Momma yensua Digital Rectal Exam (DRE) no ho ade pɛpɛɛpɛ?

Ebia woate sɔhwɛ yi ho asɛm pɛn, anaasɛ ebia oduruyɛfo bi aka akyerɛ wo sɛ yɛ. Ɛyɛ ade a ɛfata sɛ wobɛte aniwu anaa aniwu kakra nka bere a wote saa din yi. Nanso eyi yɛ sɔhwɛ a ɛboa ma wohu nyarewa pii ntɛm, ɛnyɛ den sɛnea wususuw no, na wowie wɔ simma kakraa bi mu. Enti, ɛnnɛ yɛbɛka saa Digital Rectal Exam (DRE) yi ho asɛm kɔ akyiri na ɛnyɛ den koraa , kyerɛ sɛ, nhwehwɛmu a wɔde nsateaa yɛ fa rectum no mu.

Dɛn ankasa ne nea wɔfrɛ no Digital Rectal Exam yi?

Sɛ yɛbɛka no tiawa a, eyi yɛ adeyɛ a oduruyɛfo hwehwɛ wo dwensɔtwaa no ase, a ɛyɛ dwensɔtwaa kɛse no ne akyi berɛmo no awiei (baabi a yɛtow gu). Wɔ mmarima fam no, eyi nso hwɛ prostate gland no mu. Oduruyɛfo no de nsateaa a wɔde nsateaa ahyɛ mu a wɔde srade ahyɛ mu hyɛ wo akyi berɛmo mu de hwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa. Ɛtɔ mmere bi a eyi betumi ayɛ wo nipadua mu nhwehwɛmu a woyɛ daa afe biara no fã, titiriw wɔ mmarima fam. Ɛtɔ mmere bi nso a wobetumi ayɛ bere a wɔreyɛ mmea ho nhwehwɛmu no.

Dɛn nti na ehia sɛ yɛyɛ sɔhwɛ a ɛte saa?

DRE sɔhwɛ no yɛ adwinnade a ɛho hia a wɔde hwehwɛ nyarewa ahorow mu, enti ebia oduruyɛfo bɛkamfo akyerɛ de aka wo daa nhwehwɛmu ho.

Nyarewa bɛn na wobetumi de nhwehwɛmu yi ahu?

Tebea horow pii wɔ hɔ a oduruyɛfo betumi asusuw anaasɛ aboa ma wɔahu wɔ nhwehwɛmu yi mu. Nhwɛsoɔ:

• Yare a Ɛma Ɔyare a Ɛma Ɔyare (IBD) .
• Akisikuru a ɛma obi ho yɛ hyew
• Anal mu mpaapaemu
• Prostate yare mmoawa
• Kokoram a ɛwɔ akyi berɛmo anaa akyi berɛmo mu
• Nneɛma a akwanhyia bi sɛee saa beae no
• Ntini mu nyarewa bi

Nsɛnkyerɛnne bɛn na ɛbɛma nnuruyɛfo ayɛ DRE?

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, oduruyɛfo betumi asusuw DRE nhwehwɛmu ho:

• Sɛ mogya tu fi akyi berɛmo no mu a.
• Sɛ mogya wɔ wo nsu mu, anaa sɛ wuhu mogya wɔ tiafi mu a.
• Nsakrae a ɛba dwensɔtwaa mu, sɛ nhwɛso no, akisikuru a ɛkɔ so daa anaa akisikuru.
• Sɛ mogya anaa nsuo wɔ wo nsuo mu a.
• Sɛ ɛyɛ den ma wo sɛ wubedi wo nsu so (Urinary incontinence).
• Sɛ ɛyɛ den ma wo sɛ wubedi wo dwensɔtwaa so (fecal incontinence).

Oduruyɛfo betumi ayɛ DRE nhwehwɛmu yi sɛ wɔpɛ sɛ wɔhwɛ wo prostate gland no akwahosan anaasɛ wosusuw sɛ biribi a anibere wom bi gyina wo sɛnkyerɛnne ahorow so a.

Prostate haw ne DRE nhwehwɛmu no

Sɛ ɔbarima bi yɛ DRE a, oduruyɛfo no bɛhwɛ prostate gland no so titiriw. Ɛwom sɛ U.S. Preventive Services Task Force nkamfo DRE nkyerɛ sɛ adwinnade a wɔde hwehwɛ prostate kokoram mu de, nanso wobetumi de ahwɛ sɛ ebia prostate mu nyarewa bi wɔ hɔ anaa. Oduruyɛfo no bɛhwehwɛ prostate gland no kɛse biara, akisikuru, anaa nsakrae biara a ɛba ne soro. Saa sɔhwɛ yi bɛboa ma wɔahu sɛ ebia sɔhwɛ foforo ho hia anaa.

Sɛ wo duruyɛfo susuw sɛ ebia wowɔ ɔyare bi a, ebia ɔbɛbɔ wo prostate gland no ho aduru. Eyi bɛma nsu a ɛwɔ wo nsu mu no aboaboa ano wɔ wo nsu mu. Afei wɔde nsu no bi bɛkɔ baabi a wɔyɛ nhwehwɛmu, baabi a ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete bɛhwɛ nsu no mu de ahu ayaresa a ɛsɛ sɛ wonya.

Na sɛ mogya wɔ nsuo/mogya a ɛfiri akyi berɛmo mu ba nso ɛ?

Sɛ mogya wɔ wo nsu mu, wuhu mogya wɔ tiafi mu, anaasɛ wuhu mogya wɔ tiafi krataa no so a, DRE nhwehwɛmu betumi ayɛ sɔhwɛ a ɛho hia yiye . Mogya a ɛwɔ wo nsu mu no betumi ayɛ yare bi a ɛwɔ wo dwensɔtwaa atifi anaa ase ho sɛnkyerɛnne. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo te sɛ colonoscopy, wɔ DRE no akyi. Eyi betumi aboa ma wɔahu sɛ ebia ɛyɛ kokoram, akisikuru a ɛwɔ nipadua no mu, anaasɛ akyi berɛmo no fasu a ɛyɛ hyew.

So nsonsonoe wɔ dwensɔtwaa mu su horow mu?

Sɛ wowɔ nsakrae soronko wɔ wo dwensɔtwaa mu (sɛ nhwɛso no, nsu a ɛyɛ tratraa te sɛ pɛnsere, ɛyɛ tratraa, anaasɛ ɛyɛ den sɛ wobɛfa mu) a, oduruyɛfo betumi ayɛ DRE de ahwɛ sɛ ebia asiw bi te sɛ akisikuru.

Hena na ɔyɛ DRE sɔhwɛ yi?

Nnuruyɛfo ahorow betumi ayɛ DRE nhwehwɛmu yi de aboa ma wɔahu wo tebea no. Nea ɛka ho ne:

• W’abusua oduruyɛfo (Primary care providers) .
• Nnuruyɛfo a wɔyɛ oprehyɛn
• Yafunu mu yafunu ho animdefo
• Awo ne mmea ho animdefo
• Oncologists ho animdefo

Mpɛn ahe na ɛsɛ sɛ meyɛ DRE sɔhwɛ yi?

Ebia wo duruyɛfo bɛkamfo DRE akyerɛ sɛ wo afe afe nipadua mu nhwehwɛmu no fã . DRE no akyi no, wo duruyɛfo no nso betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu a wɔfrɛ no PSA (Prostate-Specific Antigen) mfa nhwɛ sɛ ebia prostate kokoram anaa. PSA yɛ protein a ɛwɔ wo mogya mu a ebetumi ama woanya wo prostate akwahosan ho nsɛm bi.

Ɔkwan bɛn so na ɛsɛ sɛ yesiesie yɛn ho ansa na yɛayɛ DRE sɔhwɛ?

Asɛmpa a eye sen biara ne sɛ, enhia sɛ woyɛ biribi titiriw biara de asiesie wo ho ama DRE sɔhwɛ yi.Nanso, sɛ wowɔ akyi berɛmo mu mpaapaemu anaasɛ akisikuru a, ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo, efisɛ DRE betumi ama tebea horow yi asɛe kɛse.

Oduruyɛfo no bɛkyerɛkyerɛ sɛnea wɔyɛ nhwehwɛmu yi mu akyerɛ wo, na wubetumi abisa nsɛm biara a wowɔ saa bere no.

Dɛn na ɛba bere a wɔreyɛ DRE sɔhwɛ no? Dɛn na ɛsɛ sɛ yɛhwɛ kwan?

Oduruyɛfo no bɛyɛ DRE sɔhwɛ yi wɔ kokoam sɔhwɛ dan bi mu wɔ n’adwumayɛbea. Wɔbɛka akyerɛ wo sɛ yi wo ntade fi w’asen so nkɔ fam, na wɔbɛma wo atade anaa ntama a wode bɛkata wo so. Sɔhwɛ no nyinaa gye simma kakraa bi pɛ. Mpɛn pii no, ɛnyɛ yaw, nanso ebia wo ho nyɛ wo dɛ kakra. Ebia nnipa binom bɛte nka sɛ ɛsɛ sɛ wɔtow nsu.

Sɛ ɛyɛ ɔbarima...

Oduruyɛfo no bɛka akyerɛ wo sɛ da gyinabea abien no mu biako. Gyina hɔ tẽẽ na fa wo ho to w’anim wɔ sɔhwɛ pon no so, anaasɛ da pon no so a wo nkotodwe abɔ wo moma so.

Nea edi kan no, oduruyɛfo no bɛhwɛ wo akyi berɛmo no akyi ahwɛ sɛ ebia akisikuru anaa akyi berɛmo mu mpaapaemu bi wɔ hɔ anaa. Afei, sɛ woasiesie wo ho a, oduruyɛfo no bɛka akyerɛ wo sɛ gye w’ahome na wohome denneennen. Afei, oduruyɛfo no de nsateaa a wɔde nsateaa ahyɛ mu a wɔde srade ahyɛ mu bɛhyɛ wo akyi berɛmo mu.

Oduruyɛfo no bɛte wo prostate gland, ne kɛse, ne ne soro nka. Sɛ wo prostate gland no yɛ kɛse a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra anaasɛ wobɛte ɛyaw/nhyɛso kakra bere a woreyɛ nhwehwɛmu no. Awiei koraa no, oduruyɛfo no bɛhwɛ wo dwensɔtwaa a ɛwɔ fam ne wo akyi berɛmo no afasu mu ahwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa.

Sɛ ɔbea bi...

Ebia wo duruyɛfo bɛyɛ DRE sɛ wo akyi berɛmo mu nhwehwɛmu no fã. Wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon bi so a w’anim kyerɛ soro a wo nan so wɔ stirrups mu.

Sɛ woasiesie wo ho a, wo duruyɛfo bɛka akyerɛ wo sɛ gye w’ahome na wohome denneennen. Afei, ɔde nsateaa a wɔde srade ahyɛ mu a wɔde nsateaa ahyɛ mu bɛhyɛ wo akyi berɛmo mu. Saa bere yi de, wo duruyɛfo bɛhwɛ wo dwensɔtwaa no ase ne wo dwensɔtwaa no afasu mu ahwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa.

Dɛn na ɛba wɔ DRE sɔhwɛ no akyi?

Wubetumi ayɛ wo dwumadi ahorow a wotaa yɛ no ntɛm ara wɔ DRE no akyi. Mogya kakra a efi akyi berɛmo mu no ntaa mma , nanso ebetumi aba. Sɛ wowɔ akyi berɛmo mu mpaapaemu anaasɛ akisikuru a, ɛda adi sɛ mogya bɛtɔ wo. Sɛ mogya tu wo pii wɔ DRE no akyi a, ka kyerɛ wo duruyɛfo.

So asiane bi wɔ DRE sɔhwɛ yi mu? So nsɛnnennen betumi aba?

Mpɛn pii no wobu DRE nhwehwɛmu sɛ ahobammɔ wom kɛse, na mpɛn pii no, ɔhaw ketewaa bi nkutoo na wohu. Nanso, eye sɛ wubehu asiane nketenkete kakraa bi a ɛwɔ hɔ ne nsɛnnennen a ebetumi aba:

• Ɔhaw anaa ɛyaw: .Ebia nnipa binom bɛte nka sɛ wɔn ho nyɛ wɔn dɛ anaasɛ wɔbɛte yaw kakra bere a oduruyɛfo no de wɔn nsateaa hyɛ akyi berɛmo no mu no. Eyi taa yɛ bere tiaa mu de na sɛ sɔhwɛ no wie pɛ a, ɛkɔ.
• Mogya a ɛtɔ wɔ akyi berɛmo mu: Ɛntaa mma sɛ nnipa binom betumi anya mogya a ɛba wɔn akyi berɛmo mu kakraa bi wɔ DRE akyi, titiriw sɛ wɔn akyi berɛmo mu mpaapaemu anaa akisikuru a atwam a. Sɛ mogya tu wo kɛse wɔ nhwehwɛmu no akyi a, ɛho hia sɛ woka kyerɛ wo duruyɛfo.
• Nyarewa: Eyi nso yɛ ade a ɛntaa nsi koraa. Hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ obi benya ɔyare mmoawa wɔ ɔkwan biara a wɔfa so yɛ a ɛhwehwɛ sɛ wɔde afiri bi hyɛ nipadua no mu no mu. Nnuruyɛfo de nsateaa a ɛnyɛ ɔyare mmoawa ne srade di dwuma bere a wɔreyɛ oprehyɛn no na ama asiane yi so atew.

Bere bɛn na yebehu nea ebefi DRE sɔhwɛ no mu aba?

Ɛsɛ sɛ wo duruyɛfo tumi ka nea efi DRE no mu ba kyerɛ wo bere a wɔayɛ nhwehwɛmu no ara pɛ .

Dɛn na nea efii DRE sɔhwɛ no mu bae no ka kyerɛ yɛn?

Nea efii DRE nhwehwɛmu mu bae sɛnea ɛte daa no kyerɛ sɛ oduruyɛfo no anhu biribiara a ɛnteɛ wɔ nhwehwɛmu no mu. Nanso, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo de si nea afi mu aba no so dua.

Nea efi mu ba a ɛnteɛ betumi akyerɛ nneɛma dodow bi. Ebia mogya, akuru a wubetumi ate nka, akyi berɛmo mu mpaapaemu, akisikuru, anaa ɛyaw kɛse bi wɔ hɔ bere a wɔreyɛ nhwehwɛmu no. Wo duruyɛfo no bɛka eyi ho asɛm akyerɛ wo ntɛm ara na wakyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

So wɔyɛ DRE nso bere a wɔreyɛ colonoscopy no?

Yiw, ɛtɔ mmere bi a oduruyɛfo betumi ayɛ DRE sɛ ade a edi kan wɔ akyi berɛmo mu nhwehwɛmu mu. Nanso, mpɛn pii no wɔnhwɛ prostate gland no mu bere a wɔreyɛ DRE no. Wɔde saa DRE yi hwehwɛ wo rectum mu nkutoo na wɔde srade bi gu so de siesie wɔn ho ma colonoscopy no. Enti, wubetumi abisa wo duruyɛfo sɛ wobetumi ahwɛ wo prostate bere a wɔreyɛ DRE a wɔyɛ bere a wɔreyɛ colonoscopy no anaa.

Awiei koraa no, kae eyi (Take-Home Message) .

Hwɛ, yenya. Digitals rectal exam ho adwene betumi ayɛ aniwu na ɛnyɛ dɛ. Nanso, bere a ebia ɛnyɛ osuahu a ɛyɛ anigye no, mpɛn pii no ɛyɛ adeyɛ a wɔyɛ no ntɛmntɛm na ɛnyɛ yaw. Na wo duruyɛfo ahu ne nyinaa pɛn. Biribiara nni hɔ a ɛsɛ sɛ yɛfɛre. Sɛ wo duruyɛfo ka sɛ bere aso sɛ woyɛ DRE a, ɛho hia sɛ wutie. DRE ahorow betumi aboa wo ma woahu nea ɛrekɔ so wɔ wo nipadua mu, na ebetumi aboa nso ma woahu nyarewa ne tebea horow bi ntɛm . Enti, nsuro anaa nnyɛ wo aniwu sɛ wo ne wo duruyɛfo bɛkasa afa ho.

`Rectal nhwehwɛmu, dijitaal rectal nhwehwɛmu, prostate, akisikuru, akisikuru, kokoram nhwehwɛmu, DRE