So yɛbɛhwɛ wo dwensɔtwaa no ase? (Flexible Sigmoidoscopy) Biribiara yɛ mmerɛw!

So woate aduruyɛ mu nhwehwɛmu bi a wɔfrɛ no `(Flexible Sigmoidoscopy)` ho asɛm pɛn? Ebia worehwehwɛ mu esiane sɛ wo duruyɛfo ka kyerɛɛ wo sɛ yɛ nti. Anaasɛ ebia wopɛ sɛ wuhu ho asɛm kɛkɛ. Ɛmfa ho nea enti a ɛte saa no, nsuro . Ɛnnɛ, yɛrebɛka sɔhwɛ yi a wɔfrɛ no `(Flexible Sigmoidoscopy)`, a ɛyɛ ɔkwan a wɔfa so hwehwɛ wo dwensɔtwaa no ase, wɔ ɔkwan tiawa a wobɛtumi ate aseɛ so.

Dɛn ne ``Flexible Sigmoidoscopy''? Ɛyɛ mmerɛw yiye!

Sɛ yɛbɛka no tiawa a, ``Flexible Sigmoidoscopy`` yɛ sɔhwɛ a ɛhwɛ wo dwensɔtwaa kɛse no fã a ɛwɔ fam no mu . Fa no sɛ ɛyɛ afiri ketewaa bi a ɛyɛ mmerɛw. Saa tube yi wɔ mfoninitwa afiri ketewaa bi a wɔde abata n’awiei biako ho. Yɛfrɛ saa nnwinnade ahorow yi ``Endoscope.`` Eyi yɛ ``Sigmoidoscope a wɔayɛ no titiriw.`` Wɔde fa wo ``Anus`` ne wo ``Rectum`` so hyɛ mu de hwehwɛ bɛyɛ wo ``Colon`` no nkyem abiɛsa mu biako a ɛwɔ fam no mu.

Wo dwensɔtwaa kɛse no afã atitiriw anan na ɛwɔ hɔ. Ɔfã a etwa to ne nea yɛfrɛ no `(Sigmoid Colon)`. Enti ɛno nti na wɔfrɛ saa sɔhwɛ yi `(Sigmoidoscopy)`. Nanso, saa tube a ɛyɛ mmerɛw yi `(Flexible Sigmoidoscope)` nokwarem no kɔ akyiri kakra, a wɔfrɛ no `(Descending Colon)`. Saa `(Descending Colon)` yi ne baabi a ɛsiane fi wo yafunu benkum so na ɛne `(Sigmoid Colon)` no di nkitaho. Afei ɛne `(Rectum)` no di nkitaho. Ate aseɛ?

Dɛn nti na yehia saa ``Flexible Sigmoidoscopy'' sɔhwɛ yi?

Nnuruyɛfo de saa ``Flexible Sigmoidoscopy`` sɔhwɛ yi di dwuma de hwɛ sɛ yare ho sɛnkyerɛnne bi wɔ wo dwensɔtwaa no ase anaa . Mfonini a emu da hɔ a mfoninitwa afiri no twa no pue wɔ ``screen`` so, enti oduruyɛfo no betumi ahu nea ɛrekɔ so wɔ akyi berɛmo no mu.

Adeɛ a ɛho hia paa ne sɛ wɔ sɔhwɛ yi mu no, sɛ baabi a ɛyɛ adwenem naayɛ wɔ hɔ a, wɔbɛtumi ayi ntini ketewaa bi afiri hɔ de akɔ aduruyɛdan mu (`(Biopsy)`) . Ɛtɔ da bi a, sɛ ɔhaw nketenkete bi wɔ hɔ a, ɛyɛ yie sɛ wɔbɛfa saa `(Endoscope)` yi ankasa so asa.

Dɛn na sɔhwɛ yi betumi ahu? Dɛn na ɛkyerɛ?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, oduruyɛfo betumi akyerɛ wo sɛ wobɛyɛ nhwehwɛmu yi:

• Mogya a efi akyi berɛmo mu anaa mogya a ɛwɔ nsu mu.
• Nsakrae a ɛba sɛnea wo nsu anaa wo dwensɔtwaa te mu (e.g., akisikuru a ɛkɔ so daa anaasɛ akisikuru).
• Ɛyaw a ɛkɔ so tra yafunu no ase anaa akyi berɛmo no fã .
• Sɛ́ wobɛyɛ teateaa a ntease biara nnim .

Anaasɛ, sɛ biribi wɔ hɔ a ɛsɛ sɛ wɔhwehwɛ mu kɔ akyiri a egyina nea efii nhwehwɛmu foforo a woayɛ mu aba so (e.g., mogya mu nhwehwɛmu, nsu mu nhwehwɛmu, `(mfonini sɔhwɛ)`), saa `(Flexible Sigmoidoscopy)` yi nso na wɔde di dwuma ma ɛno.

Nneɛma bi a wobetumi ahu wɔ sɔhwɛ yi mu ni:

• Tebea horow a ɛyɛ hyew a ɛwɔ akyi berɛmo no mu (`(Colitis)` anaa `(Proctitis)`).
• Nkotoku nketewa a ɔyare mmoawa wom a ɛwɔ akyi berɛmo no mu (`(Diverticulitis)`).
• Dwonku no a ɛyɛ teateaa esiane akuru ntini (`(Stricture)` anaa `(Stenosis)`).
• Akuru (akuru) a ɛwɔ akyi berɛmo anaa akyi berɛmo mu.
• Mogya a ɛba yafunu mu.
• Colorectal polyps yɛ nyini a ɛba wɔ akyi berɛmo ne akyi berɛmo mu. Eyinom bi betumi ayɛ nea ɛnyɛ hu (ɛnyɛ kokoram) na ebi nso betumi ayɛ kokoram (kokoram).

Nnipa binom nso wɔ saa ``Flexible Sigmoidoscopy'' yi a wɔyɛ no sɛ nhwehwɛmu a wɔde hwehwɛ kokoram a ɛwɔ akyi berɛmo mu, ne nhwehwɛmu afoforo.

So eyi betumi ahu kokoram a ɛwɔ akyi berɛmo mu?

Yiw, sigmoidoscopy a ɛyɛ mmerɛw betumi ahu kokoram wɔ wo dwensɔtwaa anaa wo akyi berɛmo no ase. Sɛ ɛba saa a, ɛho behia sɛ wo duruyɛfo no hwehwɛ wo dwensɔtwaa nyinaa mu . Wɔfrɛ eyi sɛ colonoscopy. Esiane sɛ sigmoidoscopy a ɛyɛ mmerɛw nhwehwɛ akyi berɛmo no nyinaa mu nti, ɛnyɛ adwinnade a eye sen biara a wɔde hwehwɛ akyi berɛmo mu kokoram mu. Nanso wɔ nnipa binom fam no, ɛyɛ sɔhwɛ pa a edi kan.

So `(Sigmoidoscopy)` anaa `(Colonoscopy)` ye? Nsonsonoe bɛn na ɛwɔ mu?

Afei ebia woresusuw ho sɛ, "Dɛn nti na wonyɛ colonoscopy kɛkɛ sen sɛ wɔbɛyɛ sigmoidoscopy?" Ɛno akyi no, sɛ wo yare no ho sɛnkyerɛnne anaa nhwehwɛmu afoforo a efii mu bae no kyerɛ sɛ ɔhaw no wɔ wo dwensɔtwaa no ase nkutoo a, ebia ɛho renhia sɛ wuhu dwensɔtwaa no nyinaa.

`(Colonoscopy)` yɛ sɔhwɛ a ɛyɛ den kakra sen `(Flexible Sigmoidoscopy)`. Ebia ɛbɛyɛ den ama nnipa binom kakra sɛ wɔbɛyɛ. Egye ahosiesie soronko. `(Flexible Sigmoidoscopy)` taa nhia ahosiesie pii saa. Afei nso, `(Colonoscopy)` betumi ahwehwɛ sɛ wɔde aduru a ɛma obi dwensɔ (`(Sedation)` anaa `(Anesthesia)`.

Nnipa binom paw sɛ wɔbɛyɛ sigmoidoscopy sɛ nhwehwɛmu a wɔde hwehwɛ kokoram a ɛwɔ akyi berɛmo mu, sen sɛ wɔbɛyɛ akyi berɛmo mu nhwehwɛmu. Sɛ asiane kɛse nni wo mu sɛ wubenya kokoram wɔ wo dwensɔtwaa mu na wowɔ akwahosan tebea horow a ɛma ɛyɛ den ma wo sɛ wɔbɛyɛ wo akyi berɛmo mu nhwehwɛmu a, eyi yɛ ɔkwan pa a wobɛfa so. Sɛ́ anka wobɛyɛ colonoscopy mfe 10 biara no, wubetumi ayɛ sigmoidoscopy mfe 5 anaa 10 biara , ne fecal occult blood nhwehwɛmu afe biara.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi? So ɛyɛ asɛm kɛse?

Nnuruyɛfo dodow no ara pɛ sɛ wo dwensɔtwaa mu da mpan kakra ansa na wɔayɛ Flexible Sigmoidoscopy. Eyi kyerɛ sɛ wɔbɛka akyerɛ wo sɛ to nea wubedi ne nea wonom da a edi sɔhwɛ no anim no ano hye. Ebia wɔbɛma wo biribi nso a ɛbɛboa wo ma woatwa nsu mu ansa na wɔayɛ sɔhwɛ no. Ɛnyɛ obiara na ohia bowel prep te sɛ colonoscopy. Nanso wɔ nsɛm bi mu no, nnuruyɛfo betumi abisa. Ebia wɔbɛka nsɛm te sɛ:

• Kɔ sɔhwɛ no muDi aduan kakraa bi anaa nsu a wɔde di dwuma nnɔnhwerew 24 ansa na ɛreba. Nsu a emu da hɔ a wubedi no ye efisɛ ennyaw biribiara wɔ dwensɔtwaa no mu. Nanso, nnipa binom di kakra.
• Ebia wɔbɛka akyerɛ wo sɛ fa enema anaa suppository (nnuru a wɔde hyɛ akyi berɛmo mu) di dwuma na aboa wo ma woafa nsu mu ansa na woayɛ nhwehwɛmu. Ɛsɛ sɛ wɔde eyi di dwuma anadwo a edi sɔhwɛ no anim anaa anɔpa a wɔbɛyɛ sɔhwɛ no.
• Wɔ tebea horow bi mu no, wobetumi aka akyerɛ wo sɛ fa aduru a wɔde siw akisikuru ano anadwo ansa na wɔayɛ nhwehwɛmu no. Eyi betumi aba sɛ aduru anaa powder a wode fra nsu mu na wonom. Nnuru a wɔde sa yare bi mu yɛ den sen afoforo.
• Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru a worenom no bi da a edi nhwehwɛmu no anim anaasɛ wobɛsesa . Enti, ɛsɛ sɛ woka w’akwahosan tebea ne nnuru a wonom nyinaa kyerɛ wo duruyɛfo no pefee.

Kae sɛ wɔyɛ eyinom nyinaa de hwɛ hu sɛ sɔhwɛ no yɛ pɛpɛɛpɛ na wonya nea efi mu ba no pefee. Enti, ɛho hia paa sɛ wudi anammɔn yi akyi sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ.

So ``Flexible Sigmoidoscopy'' yɛ yaw? So mihia nnuru a wɔde dwudwo me?

Nnipa dodow no ara nhia nnuru a wɔde dwudwo anaa aduru a wɔde kum nipadua no ansa na wɔayɛ sigmoidoscopy a ɛyɛ mmerɛw. Nanso, sɛ eyi haw wo a, wubetumi ne wo duruyɛfo akasa afa ho. Mpɛn pii no sɔhwɛ no nyɛ yaw . Nanso bere a wɔde sigmoidoscope no kɔ akyi berɛmo no mu no, wɔde mframa bɔne a wɔfrɛ no carbon dioxide gu dwensɔtwaa no mu ma ɛyɛ hyew, enti ebia wobɛte nka sɛ wo ho ayɛ wo ma kakra anaasɛ wo ho ayɛ wo hyew kakra . Eyi befi hɔ bere tiaa bi akyi.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Sɛ wudu hɔ sɛ wobɛyɛ sɔhwɛ no a, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Afei oduruyɛfo no de wo besi sɔhwɛ pon no so. Gyinabea abien na wɔtaa de di dwuma:

• Benkum so (Sims) gyinabea: Ɛsɛ sɛ woda wo benkum so a wo nkotodwe kotow kyerɛ wo moma so.
• Wo kotodwe ne wo koko gyinabea: Ɛsɛ sɛ wokotow pon no so na wokotow wo honam ani kɔ w’anim, na wode wo ho to wo nkotodwe so.

Afei, oduruyɛfo no de srade bi bɛpete endoscope no awiei ne ne nsateaa a wɔde nsateaa ahyɛ mu no. Obedi kan de nsateaa bi ahyɛ wo rectum mu na wahwɛ mu (digital rectal exam). Ɛno ansa na wɔde endoscope no bɛhyɛ mu.

Bere a ɔde endoscope no hyɛ mu nkakrankakra no, ɔde mframa ma ne dwensɔtwaa no mu. Wubetumi ate mframa no nka. Sɛ sigmoidoscope no kɔ hɔ bɛyɛ nsateakwaa 24 (sentimita 60) a, ofi ase twetwe no nkakrankakra bio, na ɔsan hwɛ bio.

Mfonini ahorow a sigmoidoscope no twae no bɛda adi wɔ screen bi so. Sɛ wɔmfa nnuru a wɔde kum wo a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ sesa wo gyinabea kakra sɛnea ɛbɛyɛ a obetumi ahu wo yiye. Sɛ wote nka sɛ wo ho nyɛ wo dɛ a, ebia ɔbɛka akyerɛ wo sɛ sesa sigmoidoscope no gyinabea.

Sɛ oduruyɛfo no hu biribi a ɛyɛ adwenem naayɛ a, obetumi afa ntini bi (``biopsy'') . Ɛtɔ da bi a, wotumi nya nneɛma te sɛ ``polyps'' a ɛwɔ hokwan a ɛba fam sɛ ɛbɛyɛ kokoram. Mpɛn pii no, sɛ wohu wɔn pɛ a, woyi fi hɔ. Worente wɔn nka .

Sɛ wuhu sɛ mogya retu anaa opira bi wɔ sɔhwɛ no mu a, wubetumi afa sigmoidoscope so asa. Obetumi de adwinnade bi a wɔde anyinam ahoɔden yɛ de akata opira no ano anaasɛ ɔde nnuru bɛhyɛ mu.

Bere tenten ahe na saa ``Flexible Sigmoidoscopy'' sɔhwɛ yi gye?

Mpɛn pii no egye bɛyɛ simma 15 . Sɛ ɛho hia sɛ oduruyɛfo no yi nneɛma te sɛ polyps anaasɛ ɔsa opira bi a, ebetumi agye bere kakra. Sɛ ɔde ntini a wɔde yɛ nhwehwɛmu kɔ lab a, ebetumi agye nna kakraa bi ansa na nea efi mu ba no asan aba.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ woyɛ nhwehwɛmu wie a, oduruyɛfo no bɛkyerɛ wo nea ohui ne nea ɛsɛ sɛ woyɛ akyi. Sɛ wɔyɛɛ biopsy a, nea ebefi mu aba no begye nna kakraa bi ansa na asan aba, enti wɔbɛbɔ wo amanneɛ akyiri yi. Wubetumi atoa w'adwuma so na woadi sɛnea ɛsɛ .

So asiane anaa nsunsuanso bɔne bi wɔ sɔhwɛ yi mu?

Asiane ketewaa bi pɛ na ɛwɔ hɔ sɛ wubepira anaa mogya atɔ wo dwensɔtwaa mu esiane sigmoidoscopy nti. Ɛyɛ ade a ɛfata sɛ mogya bɛtu kakra afi akyi berɛmo mu wɔ oprehyɛn no akyi, nanso ɛnsɛ sɛ ɛkyɛ boro da koro. Ebia wubenya yafunu mu yaw bi nso afi mframa a wɔde hyɛɛ mu no mu kosi sɛ ɛbɛtwam. Nnipa binom nso betumi anya akisikuru wɔ oprehyɛn no akyi. Eyinom nyinaa yɛ bere tiaa mu nsunsuanso bɔne . Sɛ obi di akɔneaba wɔ oprehyɛn no akyi a, ebetumi aboa ma saa sɛnkyerɛnne ahorow yi so atew ntɛmntɛm.

Nanso, sɛ mogya tu wo dodo, wo yafunu mu yɛ wo yaw kɛse, anaa wo ho yɛ wo hyew wɔ nhwehwɛmu no akyi a, ɛsɛ sɛ woka kyerɛ oduruyɛfo ntɛm ara.

Nsonsonoe bɛn na ɛwɔ `(Flexible Sigmoidoscopy)` ne `(Rigid Sigmoidoscopy)` ntam?

`(Rigid Sigmoidoscopy)` mfa afiri a ɛyɛ mmerɛw (`(Endoscope)`) nni dwuma, na mmom afiri a ɛyɛ den na ɛyɛ den. Ɛware, ɛyɛ tiaa sen afiri a ɛyɛ mmerɛw, na ne tenten bɛyɛ sɛntimita 25. Wɔsan frɛ `(Rigid Sigmoidoscopy)` `(Proctoscopy)`, na wɔsan frɛ adwinnade no `(Proctoscope)`. Asɛmfua `(Procto)` kyerɛ wo rectum `(Rectum).` Ɛwom sɛ saa tube yi kɔ `(Sigmoid Colon)` nyinaa de, nanso wɔde di dwuma kɛse de hwehwɛ sɛnkyerɛnne ahorow a ɛfa rectum `(Rectum)` ne akyi berɛmo `(Anus)` ho.

Awiei koraa no, kae eyi ! (Nkrasɛm a Wɔde Kɔ Fie)

``Flexible Sigmoidoscopy`` yɛ nnuruyɛfo deaƆkwan a ɛyɛ ntɛm, ahobammɔ wom, na etu mpɔn a wobɛfa so ahu tebea horow a ɛwɔ wo dwensɔtwaa no ase na woasa. Ɛnkɔ wo nipadua mu nkɔ akyiri te sɛ colonoscopy, enti ennye bere tenten anaasɛ enhia sɛ wusiesie wo ho kɛse. Wobetumi de aduru a wɔde kum nipadua no ayɛ anaasɛ wɔmfa nni dwuma. Nnipa dodow no ara gyina ano yiye a wɔmfa nnuru nni dwuma, bere mpo a woyi ntini ahorow no. Ebia wo duruyɛfo betumi ahu wo haw no na ɔde ano aduru ama wɔ nhwehwɛmu biako pɛ mu .

Enti, sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, nsuro a ɛho nhia. Wo ne wo duruyɛfo nkasa mfa nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. W’akwahosan a wobɛhwɛ so yiye ne ade a ɛho hia sen biara!

` sigmoidoscopy a ɛyɛ mmerɛw, sigmoidoscopy, akyi berɛmo akwahosan, mogya a ɛba akyi berɛmo mu, kokoram a ɛwɔ akyi berɛmo mu nhwehwɛmu, endoscopy, yafunu mu yare, akyi berɛmo mu nhwehwɛmu, akyi berɛmo, akyi berɛmo