So biribi te sɛ akisikuru wɔ yafunu mu? (Abdominal Mass) Momma yɛnka eyi ho asɛm!

Ɛtɔ da bi a, ebia wobɛte biribi a ɛyɛ nwonwa te sɛ akisikuru ketewaa bi nka wɔ wo yafunu mu. Anaasɛ ebia oduruyɛfo bi behu biribi a ɛte saa bere a worehwehwɛ wo mu no. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wote biribi a ɛte sɛɛ no, ɛnte saa? Nanso mma ɛnhaw wo, efisɛ ɛnyɛ akuru a ɛwɔ yafunu no mu nyinaa na asiane wom. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne yafunu mu akisikuru?

Sɛ yɛbɛka no tiawa a, ‘Abdominal Mass’ yɛ nyin anaa akuru a ɛnteɛ a ɛba wo yafunu mu, kyerɛ sɛ, wo yafunu mu. Eyinom betumi aba akwan horow pii so. Ebi yɛ akisikuru kɛkɛ, bere a afoforo nso yɛ akisikuru a kokoram de ba. Nyarewa afoforo nso betumi de saa akuru yi aba.

Nea ɛho hia ne sɛ ɛnyɛ yafunu mu akisikuru nyinaa na asiane wom . Ebinom nyɛ asiane biara na enyin ara kwa (benign). Nanso, ebinom betumi de wɔn nkwa ato asiane mu. Enti, sɛ wote nka sɛ wowɔ akisikuru anaa akisikuru bi wɔ wo yafunu mu a, ɛho hia yiye sɛ wode kyerɛ oduruyɛfo na ama woahu nea ɛyɛ ankasa.

Saa akisikuru yi tumi nyin wɔ yafunu no mu baabiara. Nhwɛsoɔ:

• Wɔ yafunu no fã a ɛwɔ soro nifa so no.
• Wɔ yafunu no fã a ɛwɔ fam nifa so no.
• Wɔ yafunu no benkum so atifi.
• Wɔ yafunu no fã a ɛwɔ fam benkum so no.
• Wɔ mpampam ase, wɔ yafunu no mfinimfini (epigastric region).
• Wɔ beae a atwa awotwaa no ho ahyia (periumbilical region).
• Ɛtɔ da mpo a, ebetumi ayɛ wɔ yafunu no akyi ɔfasu (subcutaneous ne muscle wall) so.

Putupuru! Sɛ wowɔ akisikuru bi wɔ wo menewam a ɛte sɛ nea wo koma rebɔ, na wo yafunu mu yɛ wo yaw kɛse a, kɔ ayaresabea ntɛm ara . Ebetumi ayɛ aortic aneurysm, wo mogya ntini kɛse (aorta) no fasu a ɛyɛ kurukuruwa. Sɛ eyi mu paapae a, ebetumi ama mogya atu wo nipadua mu na ɛde wo nkwa ato asiane mu. Eyi yɛ asɛm a egye ntɛmpɛ.

Dɛn ne yafunu mu akisikuru ho sɛnkyerɛnne?

Sɛ́ wubenya yare no ho sɛnkyerɛnne anaasɛ worennya no gyina nneɛma pii so. Eyinom bi ne nea ɛde akisikuru no ba, akisikuru no su, ne kɛse, ne beae a ɛwɔ. Nea ɛyɛ nwonwa no, ɛtɔ mmere bi a oduruyɛfo betumi ahu akisikuru a ɛte sɛɛ ansa na woanya yare no ho sɛnkyerɛnne biara, bere a woreyɛ nhwehwɛmu daa ara kwa.

Nanso, sɛ yafunu mu akisikuru na ɛde yare no ho sɛnkyerɛnne ahorow ba a, nea ɛka ho ne:

• Yafunu mu yaw.
• Mogya a ɛwɔ nsu mu (hematuria).
• Ayamtim.
• Ayamtuo.
• Te a wɔte nka sɛ yafunu no ayɛ ma na emu yɛ duru.
• Huraeɛ.
• Akisikuru ne ɔfe.
• Mogya a ɛba akyi berɛmo mu.
• Ɛhohoro anaasɛ ɛyɛ mmerɛw wɔ baabi a akisikuru no wɔ no.
• Nsakrae a ɛba mu duru a wontumi nkyerɛkyerɛ mu (mu duru a ɛso tew anaasɛ ɛkɔ soro a ntease biara nnim).

Dɛn na ɛde yafunu mu akisikuru ba?

Akwahosan tebea ahorow betumi aboa ma yafunu mu akisikuru aba. Momma yɛnhwɛ nneɛma atitiriw a ɛde ba no.

Cysts Ahorow Ahorow

Cysts yɛ kotoku a nsu anaa akisikuru ahyɛ mu ma. Wobetumi ayɛ nipadua no baabiara. Wohu cysts wɔ yafunu no mu te sɛ eyinom:

• Ovarian cysts - Eyinom ye cysts a ɛba mmea ovaries mu.
• Pancreatic cysts a ɛyɛ mmerɛw.
• Pancreatic pseudocysts - Eyinom nyɛ cysts ankasa, na mmom ɛnam nsuo a ɛboaboa ano wɔ pancreas mu na ɛba.
• Peritoneal inclusion - Peritoneum yɛ ntini a ɛyɛ yafunu no mu. Nkwammoaa a ɛba saa beae yi.
• Seroma (nsu a ɛboaboa ano) wɔ oprehyɛn akyi.

Kokoram

Nea ɛyɛ awerɛhow no, yafunu mu akisikuru bi betumi ayɛ kokoram. Kokoram ahorow a ɛtete saa no bi ni:

• Kokoram a ɛwɔ akyi berɛmo mu.
• Kokoram a ɛwɔ akyi berɛmo mu.
• Kokoram a ɛwɔ akisikuru mu.
• Asaabo mu kokoram.
• mmerɛbo mu kokoram.
• Kokoram a ewo ntini mu (Neuroblastoma) - titiriw wohu wo mmofra nkumaa mu.
• Yafunu mu kokoram.
• Awotwaa mu sarcoma.
• Kokoram soronko bi a ɛba wɔ aduan mu (Gastrointestinal stromal tumor - GIST).

Ayaresa mu tebea afoforo

Wɔ kokoram ne akisikuru a ɛtaa ba akyi no, aduruyɛ mu tebea afoforo ahorow betumi ama yafunu mu akisikuru aba. Nhwɛso ahorow bi ne:

• Abdominal aortic aneurysm - ntɛmpɛ a yɛadi kan aka ho asɛm.
• Crohn yareɛ - a ɛyɛ hyew a enni sabea wɔ aduane mu.
• Diverticulitis - Nkotoku nketewa a ɛwɔ dwensɔtwaa kɛse no mu a ɛyɛ hyew.
• Mmɛn a ɛyɛ kɛse (Hepatomegaly).
• Akisikuru a ayɛ kɛse.
• Akisikuru a ɛma obi ho hyehye no (Cholecystitis).
• Hydronephrosis (asaabo a ɛho ahonhon esiane nsu a wɔde gu mu nti).
• Uterine fibroids - Eyinom taa nyɛ kokoram.

Dɛn ne nsɛnnennen a ebetumi afi yafunu mu akisikuru mu aba?

Akisikuru a ɛwɔ yafunu no mu betumi amia akwaa afoforo a atwa ho ahyia no so, na ɛde nsɛnnennen a ɛtaa ba te sɛ:

• Yeaw.
• Rehono.
• Nneɛma a ɛho ayɛ fĩ.
• Aduan no nyɛ dɛ.

Nea ɛka ho no, nsɛnnennen afoforo betumi aba a egyina nea ɛde akisikuru no ba no so. Sɛ nhwɛso no, akisikuru a Crohn yare no de ba no betumi ama dwensɔtwaa asiw. Awotwaa mu ntini a ɛma mogya tu no betumi ama mogya atɔ awotwaa no mu wɔ ɔkwan a ɛnteɛ so.

Wobɛyɛ dɛn ahu sɛ wowɔ akisikuru wɔ wo yafunu mu?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ayɛ nipadua mu nhwehwɛmu. Obebisa wo nyarewa a atwam, w’abusua nyarewa, ne wo yare no ho sɛnkyerɛnne mprempren.

Afei, oduruyɛfo no bɛma woada mpa so na ɔde ne nsa abɔ wo yafunu mu. Eyi bɛboa no ma wahu sɛ akisikuru bi wɔ wo yafunu mu baabiara, sɛ akwaa bi ahonhon, anaasɛ sɛ woka no a, ɛyɛ yaw anaa.

Sɛ oduruyɛfo no tumi te saa akisikuru yi nka bere a ɔte nka wɔ wo yafunu mu a, yɛfrɛ no ‘yafunu mu akisikuru a wotumi de wo nsa ka.’ ‘Palpable’ kyerɛ sɛ wobetumi ate nka anaasɛ wɔde wɔn nsa aka.

Sɔhwɛ ahorow a wɔyɛ de hu yafunu mu akisikuru

Sɛ wɔyɛ nipadua mu nhwehwɛmu wie a, ebia ebehia sɛ oduruyɛfo no yɛ nhwehwɛmu foforo bi na ama wasua pii. Saa sɔhwɛ ahorow yi bi ne:

• Angiogram - Ɛhwehwɛ mogya ntini mu hwɛ sɛ ebia ntini no mu asiw bi anaa.
• Mogya mu nhwehwɛmu - Hwɛ sɛnea hormone dodow te na hwɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu anaa.
• Colonoscopy anaa Upper Endoscopy - Wɔde afiri bi a mfoninitwa afiri wom hyɛ mu de hwɛ aduane mu.
• Mfonini nhwehwɛmu - sɛ nhwɛso no, yafunu mu X-ray, CT scan (computed tomography scans) anaa MRI scan (magnetic resonance imaging).
• Transvaginal ultrasound - Ultrasound nhwehwɛmu a wɔyɛ fa awotwaa mu de hwehwɛ akisikuru wɔ mmea awotwaa mu.
• Urinalysis - Hwɛ sɛ biribi a ɛnteɛ wɔ urinary system no mu anaa.

Dɛn ne ayaresa a wɔde sa yafunu mu akisikuru?

Yafunu mu akisikuru a wɔsa no gyina nea ɛde akisikuru no ba no so. Oduruyɛfo no bɛbɔ mmɔden sɛ ɔbɛsa tebea a ɛde ba no.

Ayaresa a wobetumi apaw ama yafunu mu akisikuru no bi ne:

• Nnuru a wɔde sa tebea a ɛde ba no.
• Oprehyɛn a wɔyɛ de yi akisikuru bi a ɛwɔ yafunu no mu.
• Nnuru anaa mframa a wɔde sa yare a wɔde bɛtew akisikuru no so (mpɛn pii no ansa na wɔayɛ oprehyɛn).
• Sɛ wɔannya ayaresa biara a, hwɛ akisikuru no yiye hwɛ sɛ ɛsakra bere kɔ so anaa (Surveillance anaasɛ watchful waiting).

Dɛn na yebetumi asusuw ho wɔ tebea yi ho? (Nsusuwii) .

Nea ebefi mu aba nyinaa begyina nea ɛde akisikuru no ba no so. Ebia yafunu mu akisikuru bi te sɛ akisikuru ahorow bi renhia ayaresa biara. Nanso, yafunu mu akisikuru afoforo te sɛ kokoram betumi ahia ayaresa titiriw bi. Ebia eyi ka oprehyɛn, nnuru a wɔde sa yare, anaa mframa a wɔde sa yare ho.

Esiane sɛ wowɔ ahokokwaw ahorow pii saa nti, nya wo duruyɛfo no mu ahotoso. Obetumi ahu wo tebea no pɛpɛɛpɛ na wayɛ ayaresa nhyehyɛe a ɛfata wo.

So wobetumi asiw yafunu mu akuru ano?

Ɛnyɛ bere nyinaa na wobetumi asiw yafunu mu akuru ano. Efisɛ ɛtɔ mmere bi a yennim mpo sɛ asiane bi wɔ hɔ anaa. Nneɛma bi si a ntease biara nnim.

Ade a eye sen biara a wubetumi ayɛ ne sɛ wobɛsa tebea biara a ɛhyɛ wo ase a ebia wowɔ no na woadi so. Ɛho hia nso sɛ wobɛkɔ oduruyɛfo nkyɛn daa akɔhwɛ wo daa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ yafunu mu akisikuru ho sɛnkyerɛnne te sɛ yafunu mu yaw, mu duru a ɛkɔ soro mpofirim, anaa nsakrae a ɛba wo dwensɔtwaa mu a, yɛ nhyehyɛe kɔ oduruyɛfo nkyɛn ntɛm ara . Sɛ wote nka sɛ biribi "a ɛyɛ soronko" a, ka kyerɛ wo duruyɛfo. Obetumi ayɛ nhwehwɛmu de ahu nea ɛde wo sɛnkyerɛnne ahorow no reba.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, frɛ 911 (1990 Suwaseriya Ambulance Service wɔ Sri Lanka) anaa kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so:

• Yafunu mu yaw a emu yɛ den yiye.
• Sɛ akisikuru a ɛwɔ yafunu no mu no te sɛ nea ɛrebɔ, te sɛ koma a ɛrebɔ a.

Eyi yɛ tebea a ehia sɛ wɔkɔ ayaresabea ntɛm ara. Saa sɛnkyerɛnne ahorow yi betumi akyerɛ sɛ wowɔ aortic aneurysm, wo mogya ntini kɛse (aorta) a ayɛ kurukuruwa. Sɛ saa akisikuru yi mu paapae a, ebetumi de nkwa ato asiane mu.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ yafunu mu akisikuru wie a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Akisikuru bɛn na mewɔ?
• So eyi yɛ kokoram? Anaasɛ ɛnyɛ kokoram?
• Ayaresa bɛn na mihia?
• So ebehia sɛ wɔyɛ me oprehyɛn? Sɛ saa a, ɛnde ntɛm dɛn?
• So mihia nnuru anaa mframa a wɔde sa yare na ama akisikuru no so atew?
• Bere tenten ahe na m’ayaresa no bɛkɔ so?
• Sɛ mannya ayaresa biara a, dɛn na ɛba?
• Dɛn na wowɔ ka fa sɛnea wɔahu me nyinaa ho?

Ɛyɛ ade a ɛfata sɛ wobɛte ahodwiriw ne ehu nka bere a wote nsɛmfua "mass" ne "diagnosis" abom no. Sɛ nsɛmmisa te sɛ "Mass bɛn na ɛyɛ?", "So mewɔ kokoram?", "So eyi de nkwa to asiane mu?" retu mmirika wɔ w’adwene mu, ɛnyɛ wo nkutoo. Wo duruyɛfo bɛboa wo ma woahu nea enti a worenya saa sɛnkyerɛnne ahorow yi, wo nipadua mu duru ko a wowɔ, ne ayaresa ahorow a ebetumi aboa wo.

Ade a ɛho hia sen biara (Take-Home Message) .

Sɛ wote biribi a ɛyɛ soronko nka wɔ wo yafunu mu, te sɛ akisikuru, wo hohoro, anaa ɛyaw a ɛkɔ so daa a, mmu w’ani ngu so. Hwehwɛ ayaresa ntɛm ara. Bere a ɛnyɛ yafunu mu akisikuru nyinaa na asiane wom no, nyansa wom sɛ wubehu nea ɛyɛ ankasa na woafi ase sa yare ntɛm ara sɛnea wubetumi, sɛ ɛho hia a. Kae sɛ, dodow a wohu yare no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bɛyɛ yiye. Hwɛ w’akwahosan na nsuro sɛ wo ne oduruyɛfo bɛkasa.

` Yafunu mu akisikuru, yafunu mu akisikuru, yafunu mu kokoram, yafunu mu haw, yafunu mu yaw, sɛnkyerɛnne, ayaresa