Wokaa sɛ wopɛ sɛ wohwɛ wo koko mu? Momma yɛnka mediastinoscopy ho asɛm!

Ɛtɔ mmere bi a, sɛ nnuruyɛfo susuw sɛ biribi asɛe wɔ wo moma so, kyerɛ sɛ, baabi a ɛda w’ahurututu ntam a, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu titiriw bi na ama wɔahu nea ɛyɛ pɛpɛɛpɛ. Ɛno ne sɔhwɛ a wɔfrɛ no mediastinoscopy. Ebia edin no te sɛ nea ɛyɛ nwonwa kakra, nanso ɛnnɛ yɛbɛka nneɛma pii ho asɛm pefee, te sɛ nea ɛde eyi ba, nea enti a wɔyɛ, sɛnea wɔyɛ, ne sɛ ebia ɛsɛ sɛ wusuro. Sɛ oduruyɛfo bi aka akyerɛ wo nso sɛ ɛsɛ sɛ woyɛ nhwehwɛmu a ɛte saa a, migye di sɛ saa asɛm yi bɛyɛ nea ɛho hia wo yiye.

Dɛn ne mediastinoscopy yi?

Sɛ yɛbɛka no tiawa a, mediastinoscopy yɛ oprehyɛn a ɛma wo duruyɛfo tumi hwɛ wo koko mfinimfini yiye, baabi a ɛda w’ahurututu ntam (a yɛfrɛ no mediastinum wɔ aduruyɛ mu) . Saa beae yi yɛ akwaa a ɛho hia te sɛ wo koma, wo menewa , ne wo mframa a ɛtwetwe no fie.

Enti wohwɛ eyi dɛn? Nnuruyɛfo de adwinnade titiriw bi a wɔfrɛ no mediastinoscope di dwuma . Ɛte sɛ afiri a ɛyɛ tratraa. Ɛwɔ kanea ketewaa bi ne mfoninitwa afiri wɔ n’awiei biako. Oduruyɛfo no betumi ahu nea mfoninitwa afiri no hu wɔ afiri a wɔde hwɛ nneɛma so. Ade titiriw foforo a ɛwɔ saa adwinnade yi mu ne sɛ ebetumi afa ntini mu nhwɛsode , ntini a ɛma mogya tu (eyinom yɛ nhyehyɛe a ɛko tia nyarewa wɔ yɛn nipadua mu no afã horow), anaa biribi foforo biara a ɛyɛ soronko, te sɛ akisikuru, na ɛde akɔma afiri a wɔde yɛ nhwehwɛmu.

Nsonsonoe bɛn na ɛda Mediastinotomy ne Mediastinoscopy ntam?

Ebia woate asɛmfua foforo, mediastinotomy ho asɛm. Nea ɛka saa akwan abien yi nyinaa ho ne sɛ wɔbɛhwɛ baabi a ɛwɔ koko no mfinimfini a wɔfrɛ no mediastinum no mu na wɔafa nhwɛsode afi hɔ. Wɔde akwan abien yi nyinaa nso di dwuma de hu sɛ ebia yare bi te sɛ kokoram atrɛw anaa.

Nanso nsonsonoe kakra wɔ mu. Wɔ mediastinotomy mu no, wɔbue ketewaa bi wɔ koko no mu tẽẽ, a ɛkyerɛ sɛ wotwa honam ani de yɛ ɔkwan a wɔfa so fa mu. Wɔ mediastinoscopy mu no, wɔtwa ketewaa bi na wɔde afiri a wɔfrɛ no mediastinoscope no hyɛ mu. Ɛwom sɛ mediastinotomy ma oduruyɛfo a ɔyɛ oprehyɛn no hu baabi kakra de, nanso baabi a wɔatwa no sõ kakra na bere a wɔde sa yare no kyɛ kakra. Wɔ mediastinoscopy mu no, nea wɔatwa no sua, enti ayaresa no ba ntɛmntɛm.

Dɛn nti na wɔyɛ mediastinoscopy?

Ebia nneɛma pii nti na oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi.

• Nea enti titiriw ne sɛ wobɛhwɛ yiye ahwɛ sɛ ɔhaw bi wɔ ahurututu abien no ntam (mediastinum) anaa.
• Fa ntini a ɛma mogya tu no kɔ hɔ na hwɛ sɛ kokoram anaa.Ɛtɔ mmere bi a wɔyɛ eyi nso de hwɛ sɛ ebia kokoram a efi mmeae afoforo atrɛw akɔ saa ntini ahorow yi mu anaa.
• Sɛ wowɔ kokoram wɔ w’ahurututu mu, thymus gland (a ɛno nso yɛ ntini ketewaa bi a ɛwɔ wo koko atifi), anaa wo esophagus mu a, nhwehwɛmu yi betumi aboa ma woahu sɛnea kokoram no mu yɛ den, anaasɛ ɛkɔ akyiri .
• Ɛwom sɛ ɛnyɛ mpɛn pii de, nanso ɛtɔ mmere bi a wobetumi ayɛ eyi sɛ wususuw sɛ wowɔ ɔyare bi wɔ w’ahurututu mu a .
• Etumi hu nyarewa te sɛ lymphoma, sarcoidosis (yare a ɛma nipadua no afã horow hohoro nketenkete), anaa mesothelioma (ahurututu mu kokoram bi) nso .

So nnipa bi wɔ hɔ a wɔmpɛ sɛ wɔyɛ sɔhwɛ yi?

Yiw, ɛnyɛ obiara na obetumi ayɛ mediastinoscopy. Ebia nnipa binom mfata mma saa adeyɛ yi. Nhwɛsoɔ:

• Nnipa a wɔwɔ akisikuru a wontumi nyɛ oprehyɛn a ɛsõ dodo sɛ wɔbɛyɛ oprehyɛn ayi afi hɔ.
• Nnipa a wɔayɛ mediastinoscopy pɛn (sɛnea ebetumi ayɛ den kakra ne mprenu so).
• Nnipa a wɔayɛ wɔn mframa a wɔde sa yare wɔ wɔn moma so (efisɛ ebia ntini a ɛwɔ saa beae no asesa).

Esiane nneɛma te sɛ eyinom nti, ɛyɛ oduruyɛfo no na obesi gyinae sɛ ebia nhwehwɛmu yi fata wo anaasɛ ɛnsɛ.

Hena na ɔyɛ mediastinoscopy yi?

Oduruyɛfo a ɔyɛ koma ne ahurututu mu oprehyɛn anaa oduruyɛfo a ɔyɛ oprehyɛn nyinaa na ɔyɛ eyi . Wɔyɛ no nso wɔ oprehyɛn dan mu . Efisɛ, sɛ biribi si mpofirim, te sɛ mogya a ɛtɔ kɛse sen sɛnea na wɔhwɛ kwan a, ɛsɛ sɛ wusiesie wo ho sɛ wobɛkɔ oprehyɛn kɛse bi mu de adi so (kyerɛ sɛ, oprehyɛn a wotwa koko no mfinimfini dompe - sternotomy , anaa oprehyɛn a ɛtwa mpampam ntam - thoracotomy) . Enti, wɔyɛ eyi wɔ beae a nneɛma a ɛtete saa wɔ.

Wobɛyɛ dɛn asiesie wo ho ama eyi?

Sɛ wɔyɛ nhyehyɛe sɛ wɔbɛyɛ wo mediastinoscopy wie a, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wudi kan siesie wo ho nna kakraa bi.

• Ɛho behia sɛ woyɛ nhwehwɛmu ahorow a wo duruyɛfo hyɛ sɛ wobɛyɛ no, a ebia nea ɛka ho ne wo koko X-ray, CT scan, ne ahurututu mu dwumadi ho nhwehwɛmu .
• Sɛ worenom nnuru a ɛma mogya tu a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no . Bisa wo duruyɛfo ma ɔmma wo akwankyerɛ pɔtee.
• Wɔbɛka akyerɛ wo sɛ gyae adidi ne anonne nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Eyi kyerɛ sɛ ɛsɛ sɛ wo yafunu da mpan.

Wo duruyɛfo anaa ɔyarehwɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

So eyi yɛ da koro sɔhwɛ?

Yiw, mpɛn pii no wubetumi akɔ fie da koro no ara a wobɛyɛ wo mediastinoscopy (ayaresa a wɔde kɔ ayaresabea) no . Nanso ansa na wobɛkɔ fie no, wo duruyɛfo bɛhwɛ sɛ wubetumi ayɛ saa nneɛma yi anaa:

• So wubetumi anantew a wunhia mmoa?
• So wubetumi anom nsu te sɛ nsu ?
• So wubetumi atow wo ho sɛnea ɛsɛ?
• So wubetumi adi wo yaw no so ? (Ɛne sɛ, so aduru a worenom no ama ɛyaw no so atew?)

Sɛ saa nneɛma yi ye a, mɛma woakɔ fie.

Ɔkwan bɛn so ankasa na wɔyɛ saa mediastinoscopy yi?

Afei ma yɛnhwɛ sɛnea yɛbɛyɛ sɔhwɛ yi anammɔn biara.

1. Nea edi kan no, wɔbɛma wo aduru a wɔde kum nipadua no nyinaa . Eyi kyerɛ sɛ wobɛda koraa na worente biribiara nka wɔ oprehyɛn no nyinaa mu. Wɔnam kankyee bi a wɔde ahyɛ ntini bi a ɛwɔ wo nsa mu so na ɛma saa aduru yi.

2. Afei wɔde afiri bi a wɔde home fa wo menewam . Eyi kyerɛ sɛ afiri bi bɛyɛ wo home bere a wɔreyɛ sɔhwɛ no.

3. Afei, oduruyɛfo a ɔyɛ oprehyɛn no bɛyɛ ntwitwiridii ketewaa bi a ne tenten bɛyɛ nsateakwaa biako, wɔ wo moma so pɛɛ, wɔ wo kɔn ase pɛɛ.

4. Ɛdenam saa ntwitwiridii no so , wɔde adwinnade a wɔfrɛ no mediastinoscope a madi kan aka ho asɛm no hyɛ mu.

5. Afei fa nkakrankakra kɔ baabi a wopɛ sɛ wuhu no.

6. Sɛ wɔde nnwinnade nketewa a ɛwɔ afiri no so di dwuma a, wobetumi ayi nhwɛsode afi ntini a ɛma mogya tu anaa mmeae afoforo a ɛte sɛ nea ɛnyɛ ne kwan so, anaasɛ wobetumi ayi akuru ketewaa bi mpo afi hɔ koraa.

7. Sɛ wɔyɛ adwuma no wie a, woyi mediastinoscope no fi hɔ.

8. Fa asaawa a ɛtumi nwura anaa plaster a wɔde nkata so kata saa ade ketewa a wɔatwa no so.

9. Afei wɔbɛnyane wo afiri aduru a wɔde kum wo no mu na wɔayi afiri a wɔde home no afiri mu.

Fa no sɛ, eyi nyinaa si bere a woada yiye no. Enti wonte biribiara nka.

Eyi begye bere tenten ahe?

Mpɛn pii no, mediastinoscopy gye bɛyɛ dɔnhwerew biako ansa na wɔayɛ. Nanso, ɛtɔ mmere bi a, sɛ ɛho hia sɛ oduruyɛfo no hwɛ mu kɔ akyiri kakra, ɔfa nhwɛsode pii, anaasɛ sɛ ɔhaw bi mpofirim (te sɛ mogya a ɛretu) ba na ɛho hia sɛ wɔyɛ oprehyɛn kɛse te sɛ sternotomy anaa thoracotomy a yɛadi kan aka ho asɛm no na ama wɔatumi asiw ano a, ebetumi agye bere tenten.

Bere a obi ho tɔ no te dɛn wɔ sɔhwɛ no akyi?

Wobɛda so ara ate nka sɛ woada kakra nnɔnhwerew kakraa bi bere a woanyane afi aduru a wɔde kum wo mu akyi.Eyi yɛ ade a ɛfata. Sɛ wonte ɛyaw pii wɔ sɔhwɛ no akyi a, abusua muni anaa w’adamfo bi betumi de wo kar akɔ fie. Worentumi nka kar saa da no efisɛ wɔbɛma wo aduru a wɔde kum nipadua no.

W’ano ne wo menewa bɛte nka sɛ ɛyɛ mmerɛw kakra nnɔnhwerew kakraa bi. Eyi te saa esiane ahome afiri no nti. Sɛnea ɛbɛyɛ a wubenya ahobammɔ no, nnuruyɛfo no remma wo nnidi anaa wonnom kosi sɛ akisikuru no bɛbrɛ ase. Ade kyee no, ebia wobɛfe, wo ho ayɛ wo yaw, wo menewa mu ayɛ wo yaw, na woate ɛyaw bi wɔ baabi a wɔatwa no . Eyinom bɛbrɛ ase wɔ nna kakraa bi mu.

Ɛtɔ da bi a, wɔ nhwehwɛmu no akyi no, ebia wɔbɛyɛ wo koko X-ray nso de ahwɛ ahu sɛ ɔhaw biara nni w’ahurututu mu.

So eyi yɛ yaw?

Yiw, ebia ɛyaw bi wɔ baabi a wɔyɛɛ sɔhwɛ no. Enti ɛho behia sɛ wonom nnuru a wɔde sa ɛyaw nna kakraa bi. Oduruyɛfo no bɛkyerɛw aduru a ɛho hia ama wo. Sɛ wonom aduru no wɔ bere a ɛfata mu a, wobetumi adi ɛyaw no so kɛse.

Asiane bɛn na ɛwɔ mu?

Mpɛn pii no, mediastinoscopy mma ɔhaw kɛse biara mma. Nanso, ɛntaa mma koraa sɛ nnipa binom behyia nea edidi so yi:

• Ahurututu mu yare (ahurututu mu yare).
• Pneumothorax (ahurututu a mframa ahyɛ mu ma na ɛbɛyɛ ketewaa sen sɛnea ɛte daa. Ebia eyi behia sɛ wɔde afiri ketewaa bi hyɛ mu na ama mframa no afi mu.)
• Mogya a ɛretu. (Mpɛn pii no eyi yɛ ketewaa bi, nanso ɛntaa mma sɛ ebetumi ayɛ den araa ma ebehia sɛ wɔyɛ no oprehyɛn).
• Kuru a ɔyare mmoawa wom.

Sɛ yɛka asiane a ɛwɔ owu mu wɔ asɛm yi mu ho asɛm a, ɛyɛ kakraa bi pɛ, bɛyɛ ɔha biara mu nkyem 0.09. Ɛno kyerɛ sɛ nnipa mpem du biara mu biako a wɔyɛ sɔhwɛ yi (bɛyɛ mpem du biara mu akron) na asiane kɛse wom saa. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Nanso, esiane sɛ asiane ketewaa bi wɔ oprehyɛn biara mu nti, eye sɛ wubehu ɛno nso.

Dɛn ne ɔhaw a ɛtaa ba?

Mogya a ɛtɔ yɛ ɔhaw a ɛtaa ba kakra sen ɔhaw afoforo, nanso mpɛn pii no wotumi di ho dwuma.

Nea afi mu aba no te dɛn? Dɛn na wɔka kyerɛ yɛn?

Nsɛm a wubenya bere a wɔde biopsy sample a wɔfaa bere a woreyɛ wo mediastinoscopy no akɔ aduruyɛdan mu akɔyɛ nhwehwɛmu akyi no bɛboa wo duruyɛfo no ma wahu baabi a wo kokoram no wɔ. Wo kokoram no fã ne sɛnea akisikuru no sõ ne sɛ ebia atrɛw akɔ mmeae a ɛbɛn anaa mmeae a ɛwɔ akyirikyiri. Saa nsɛm yi bɛboa wo duruyɛfo ma wahu ayaresa a eye ma wo.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Ebetumi agye nna pii ansa na wɔayɛ ntini ahorow no mu nhwehwɛmu wɔ aduruyɛdan mu.Afei, sɛ wosi so dua sɛ wowɔ kokoram a, oduruyɛfo no behia bere kakra bio de ayɛ ayaresa nhyehyɛe a ɛfata wo yiye a egyina saa nea efi mu ba no so. Enti ɛho behia sɛ wunya abotare kosi sɛ wubenya nea ebefi mu aba no.

Bere bɛn na ɛsɛ sɛ wofrɛ oduruyɛfo no?

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara bere a woasan aba fie akyi a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo.

• Sɛ koko mu yaw kɔ soro, anaasɛ sɛ koko mu yaw foforo ba a.
• Sɛ wo nya atiridii bɔne a.
• Sɛ ɛyɛ den sɛ wobɛhome a, sɛ ɛte sɛ atiridiinini a.
• Sɛ baabi a wɔatwa no yɛ kɔkɔɔ kɛse, ahonhon, na akisikuru repue a.

Mma w’ani ngu nneɛma a ɛte sɛɛ so.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi eyi mu?

Okay, enti mesusu sɛ seesei woanya nteaseɛ pa wɔ mediastinoscopy a yɛkaa ho asɛm nnɛ no ho.

Kae sɛ eyi yɛ sɔhwɛ a ahobammɔ wom wɔ nsɛm dodow no ara mu. Oduruyɛfo bi bɛhyɛ eyi na ama woate wo tebea no ase yiye na wama wo ayaresa a eye sen biara a wuhia.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo. Nea ɛho hia sen biara ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Afei biribiara bɛkɔ yiye. Mepɛ sɛ wo ho tɔ wo ntɛm!

` Mediastinoscopy, Ahurututu mu nhwehwɛmu, Koko mu oprehyɛn, Ntini a ɛma mogya tu, Kokoram a wohu, Ɔhome mu nyarewa