So wɔayɛ wo endoscopy pɛn? Ebia wo duruyɛfo aka akyerɛ wo sɛ yɛ nhwehwɛmu yi sɛ yafunu mu akisikuru anaa ɔhaw foforo bi wɔ hɔ. Sɛ ɔreyɛ nhwehwɛmu yi a, ɛtɔ da bi a oduruyɛfo no hu sɛ mogya retu afi kuru ketewaa bi a ɛwɔ wo yafunu anaa wo dwensɔtwaa mu, anaasɛ nnua nketenkete a enyin (polyps) ayɛ. Bere bi a atwam no, anka eyi bɛhwehwɛ sɛ wɔyɛ oprehyɛn nketenkete, nanso ɛnnɛ mfiridwuma mu nimdeɛ a ɛkɔ anim no, akwan bi wɔ hɔ a wɔfa so sa saa nneɛma yi a wɔrentwitwa mpo. Ɛno yɛ ayaresa a ɛkɔ akyiri a yɛreka ho asɛm nnɛ no mu biako. Wɔfrɛ no Argon Plasma Coagulation, anaasɛ APC tiawa.
Sɛ yɛbɛka no tiawa a, dɛn ne APC (Argon Plasma Coagulation)?
Okay, ebia edin yi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso nea ɛkɔ so wɔ eyi mu no yɛ mmerɛw yiye. Fa no sɛ tokuru ketewaa bi a ɛwɔ afiri bi a ɛwɔ yɛn nipadua mu (te sɛ aduan mu ntini) mu retu mogya. Wɔ saa kwan yi a wɔfrɛ no APC mu no, oduruyɛfo no de afiri a ɛyɛ tratraa foforo fa endoscope tube (scope) no mu, na wɔde mframa titiriw bi a wɔfrɛ no ‘Argon’ fa mu. Afei, wɔde anyinam ahoɔden ketewaa bi na ɛsɔ mframa no. Ɔhyew kɛse a eyi de ba no hyew baabi a mogya tu no na ɛma mogya no gyae. Afei nso, sɛ nnua nketenkete a wɔmpɛ (polyps) wɔ hɔ a, saa kwan yi betumi asɛe no koraa.
Eyi te sɛ ɔhaw bi a wobedi ho dwuma wɔ nipadua no mu, a wontwitwa nkɔ nipadua no mu, nanso wofi akyi yɛ mmerɛw yiye. Eyi kyerɛ sɛ ɛho nhia sɛ wɔkɔyɛ oprehyɛn kɛse. Ɛno ne nea yɛfrɛ no ‘minimally invasive’ wɔ aduruyɛ mu.
Yafunu mu ɔyaresafo anaa ahurututu ho oduruyɛfo na ɔyɛ saa ayaresa yi.
Wɔ tebea horow bɛn mu na ayaresa yi ho hia?
Nneɛma ahorow nti na wɔde APC ayaresa di dwuma. Momma yɛnhwɛ nea ɛyɛ titiriw.
| Tebea a wɔresa no yare | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya a ɛretu wɔ nipadua no mu a wobegyae | Wɔde sa mogya a efi akuru a ɛwɔ yafunu ne dwensɔtwaa mu, mogya a ɛba akyi berɛmo mu, anaa tebea bi a wɔfrɛ no ‘watermelon yafunu’ (Gastric Antral Vascular Ectasia Syndrome) mu ba. |
| Ntini/akisikuru a wɔmpɛ a woyi fi hɔ | Wɔde saa kwan yi yi nneɛma nketenkete a enyin (polyps) anaa ntini a ebetumi ayɛ kokoram wɔ dwensɔtwaa mu no fi hɔ. Wobetumi de atew kokoram akisikuru a ɛwɔ obi a ontumi nyɛ oprehyɛn kɛse mu nso. |
| Barrett Esophagus a Wɔsa | Eyi fi yafunu mu yare a ɛtra hɔ kyɛ (GERD) a ɛde nsakrae ba esophagus nkwammoaa mu. Wɔde APC ahorow di dwuma de yi nkwammoaa a wɔasesa yi fi hɔ ansa na wɔadan kokoram. |
| Mu duru a ɛkɔ soro wɔ oprehyɛn a wɔde tew mu duru so akyi | Bere a wɔayɛ oprehyɛn bi a ɛma obi mu duru so tew akyi no, baabi a na yafunu no abata ho no betumi atrɛw na ayɛ kɛse bere a bere kɔ so no. Afei wɔn mu duru bɛsan aba bio. Wɔde APC ayaresa di dwuma de kyekye saa beae a wɔatrɛw no mu den na wɔtew so bio. |
| Ahurututu ne ɔhome mu haw ahorow | Wɔde saa kwan yi nso ka ahurututu mu nhwehwɛmu ho de sa akisikuru nketenkete anaa mmeae a mogya tu wɔ mframa kwan no mu. |
Ɔkwan bɛn so na saa ayaresa yi yɛ adwuma?
Ahosiesie kakra wɔ hɔ a ɛsɛ sɛ woyɛ ansa na woayɛ saa ayaresa yi. Egyina sɛnea wopɛ sɛ woyɛ so.
- Upper Endoscopy: Eyi hwehwɛ sɛ wɔde afiri bi fa ano no mu de hwehwɛ yafunu ne aduannoa mu.
- Colonoscopy: Eyi hwehwɛ sɛ wɔde afiri bi fa akyi berɛmo no mu de hwehwɛ dwensɔtwaa kɛse no mu.
- Bronchoscopy: Eyi hwehwɛ sɛ wɔde afiri bi fa hwene anaa ano mu de hwɛ ahurututu no.
Ansa na eyi bɛba no, wo duruyɛfo bɛka akyerɛ wo sɛ kwati adidi anaa anonne nnɔnhwerew kakraa bi . Sɛ wɔyɛ colonoscopy a, wɔbɛma wo dwensɔtwaa ahosiesie bi a ɛbɛboa ma wo dwensɔtwaa ho atew. Afei nso, sɛ worenom nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin a, ebia wɔbɛka akyerɛ wo sɛ gyae nom nna kakraa bi.
Bere a wɔreyɛ ayaresa no...
1. Wɔbɛma wo aduru a wɔde kum wo na ama wo ho atɔ wo na woante ɛyaw biara. Nea ɛka eyi ho ne sɛ wode afiri ketewaa bi (IV line) bɛhyɛ ntini bi mu wɔ wo basa mu na wɔde nnuru afa mu ama wo.
2. Afei wɔbɛma woada mpa a wɔde sa yare no so.
3. Oduruyɛfo no de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (scope) a mfoninitwa afiri a wɔde abata nipadua no mu sɛnea ɛfata (fa ano, hwene, anaa akyi berɛmo mu) hyɛ mu.
4. Nea ɛbɛyɛ na anyinam ahoɔden ansɛe wo nipadua no, wɔde ade a ɛyɛ tratraa (grounding pad) bata wo nipadua ho (mpɛn pii no w’asen).
5. Afei, wɔde catheter a APC afiri no wom no fa scope no mu kɔ beae a ɛfata.
6. Wodi kan de argon gas gu mu, afei wɔde anyinam ahoɔden sɔ gya. Afei wɔhyew ntini a wɔde wɔn ani asi so no.
7. Oduruyɛfo no wie ayaresa no denam afiri no a ɔde tu sɛnea ɛho hia, na ɔhwɛ mframa ne anyinam ahoɔden dodow so.
8. Sɛ wɔyɛ adwuma no wie a, woyi scope, catheter, ne grounding pad no fi hɔ.
Saa adeyɛ yi nyinaa taa gye bɛyɛ simma 15 kosi dɔnhwerew biako .
Dɛn na ɛba wɔ ayaresa no akyi? So nsunsuanso bɔne bi wɔ hɔ?
Sɛ wɔsa wo yare wie a, wɔde wo bɛto dan a wɔde wo ho atɔ wo mu kakra na wɔde wo bɛkɔ fie bere a aduru a wɔde kum nipadua no mu nsunsuanso no asɛe awie no. Ebia ɔhaw nketenkete bi bɛba.
- Sɛ wote nka sɛ wo yafunu ayɛ ma.
- Gas a ɛtwam ne yafunu mu yaw kakra a efi mu ba.
- Ɔbrɛ kakra, adwenemhaw kakra.
Eyinom taa yɛ nea ɛfata. Biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho. Saa ɔhaw ahorow yi befi hɔ wɔ nnɔnhwerew kakraa bi mu. Worente ɛyaw biara nka bere a wɔreyɛ ayaresa no efisɛ wɔbɛma wo nnuru a wɔde kum nipadua no.
APC yɛ adeyɛ a ahobammɔ wom yiye. Nsɛnnennen ntaa mma. Nanso, sɛnea ɛte wɔ aduruyɛ biara mu no, asiane nketenkete bi wɔ hɔ. Mogya a ɛtɔ, ɔhaw ahorow a ɛfa aduru a wɔde kum nipadua no ho, aduannoa a ɛyɛ teateaa (stenosis), anaa ntini a ɛpaapae no ntaa mma. Ɛno nti na ɛho hia sɛ oduruyɛfo a ne ho akokwaw yɛ saa ayaresa ahorow yi.
Nsɛnkyerɛnne a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara
Sɛ wosan kɔ fie a, sɛ wohu sɛnkyerɛnne a ɛwɔ aseɛ ha yi bi a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara, titire Dwumadibea a Ɛhia Ntɛmntɛm (ETU). Eyinom betumi ayɛ biribi a anibere wom ho sɛnkyerɛnne, enti ɛho hia sɛ woyɛ ho biribi ntɛm.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho! | |
|---|---|
| 🔴 na ɛyɛ | Yafunu mu yaw a emu yɛ den a ɛnbrɛ ase bere a gas atwam mpo akyi. |
| 🔴 na ɛyɛ | Koko mu yaw . |
| 🔴 na ɛyɛ | Ɔhome a ɛyɛ den . |
| 🔴 na ɛyɛ | Mogya a wɔfe (a ɛte sɛ kɔkɔɔ anaa kɔfe a wɔayam). |
| 🔴 na ɛyɛ | Mogya a ɛba akyi berɛmo mu (mogya kɔkɔɔ anaa tuntum tuntum a ɛwɔ nsu mu). |
| 🔴 na ɛyɛ | Atiridii anaa atiridiinini. |
| 🔴 na ɛyɛ | Ɛyɛ den sɛ wobɛmene anaasɛ menewa mu yaw a ɛkɔ soro. |
Sɛ wokɔ fie wie a, di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
- Esiane nea aduru a wɔde kum nipadua no de ba nti, nka kar anaasɛ mfa mfiri a emu yɛ duru nni dwuma saa da no.
- Fa obi bra ma ɔde wo bɛkɔ fie. Ɛyɛ papa sɛ obi bɛtra wo nkyɛn nnɔnhwerew kakraa bi bere a woadu fie akyi.
- Kwati nsa a wobɛnom.
- Oduruyɛfo no bɛtu wo fo wɔ nea wubetumi adi ne bere a wubetumi afi ase adidi sɛnea ɛsɛ no ho.
Nkrasɛm a Wɔde Kɔ Fie
- Argon Plasma Coagulation (APC) yɛ aduru a ɛkɔ akyiri a ɛnyɛ nea wɔde hyɛ nipadua no mu a wɔde gyae mogya a ɛba nipadua no mu na wɔayi ntini a wɔmpɛ afi hɔ.
- Wɔyɛ eyi wɔ aduru a wɔde kum nipadua no mu, enti worente ɛyaw biara.
- Sɛ wosa wo yare wie a, ebia wobɛte nka sɛ wo ho yeraw wo nketenkete te sɛ wo ho ayɛ wo hyew ne gas, nanso mpɛn pii no eyinom kɔ ntɛm.
- Sɛ wokɔ fie bere a woasa wo yare awie a, di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
- Sɛ wuhu kɔkɔbɔ sɛnkyerɛnne biara te sɛ yafunu mu yaw a emu yɛ den, wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaa mogya a wobɛfe a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
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