So akisikuru bi wɔ wo moma so? So ebetumi aba sɛ ɛyɛ (Bronchogenic Cyst)? Momma yɛnka eyi ho asɛm!

So woasusuw ho pɛn sɛ ebia wubetumi anya akisikuru ketewaa bi a enyin wɔ wo moma so a wunnim mpo anaa? Ɛtɔ da bi a, ebetumi atra hɔ mfe pii a enni sɛnkyerɛnne biara. Ɛnnɛ, yɛrebɛka tebea bi a wɔfrɛ no Bronchogenic Cysts a ɛwɔ hɔ wɔ awo mu nanso ɛtɔ mmere bi a ebetumi de ɔhaw aba bere a enyin no ho asɛm.

Dɛn ne Bronchogenic Cysts?

Sɛ yɛbɛka no tiawa a, Bronchogenic Cysts yɛ akisikuru a nsu ahyɛ mu ma a ɛba wɔ ahunmu a ɛwɔ wo moma so mfinimfini, a ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ Mediastinum. Susuw ho hwɛ, Mediastinum yi yɛ wo koko fã a ɛkura akwaa a ɛho hia te sɛ mogya ntini akɛse no bi, wo esophagus, ne wo home kwan titiriw, Trachea. Ɛyɛ ɔfã a ɛtetew w’ahurututu mu nso.

Adeɛ a ɛho hia ne sɛ saa ``Bronchogenic Cysts'' yi yɛ awoɔ tebea . Eyi kyerɛ sɛ wubetumi anya saa cysts yi wɔ wo nipadua mu bere a woaba wiase yi mu no. Nanso, mpɛn pii no, wɔmfa ɔhaw biara mma wɔ mmofraase.

Nnipa pii hu sɛ wɔanya akisikuru te sɛ eyi wɔ akwanhyia mu, bere a wɔyɛ wɔn koko X-ray anaa scan foforo esiane biribi foforo nti no. Ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne biara nni hɔ mfe 30 anaa 40, na bere a akuru no ayɛ kɛse kakra nkutoo na ɔhaw ahorow fi ase sɔre. Enti, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu mpofirim sɛ wowɔ akisikuru bi wɔ wo moma so no. Nanso mma ɛnhaw wo, aduru bi wɔ hɔ a wɔde sa eyi.

Dɛn ne Bronchogenic Cysts ho sɛnkyerɛnne ahorow?

Ɛwom sɛ mpɛn pii no, saa akisikuru yi tumi ba a enni sɛnkyerɛnne biara de, nanso nnipa binom betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Ɔfe a ɛtaa ba
• Ɛyɛ den sɛ wobɛmene, te sɛ tebea a yɛfrɛ no ``Dysphagia''.
• Atiridiinini a ɛtaa ba
• Ɛnne a ɛyɛ den
• Ɔhome a ɛkɔ soro ne ahome a ɛnyɛ den, a wɔfrɛ no `(Tachypnea)`
• Wheezing (abɛn a wɔbɔ) .

Saa sɛnkyerɛnne ahorow yi betumi ada adi wɔ mfe biara mu. Nanso mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi bere a akisikuru no ayɛ kɛse na efi ase mia wo mframa afiri (afiri a ɛma wo mframa mu) anaa aduan paipu (esophagus) so no. Saa akisikuru yi a wɔfrɛ no bronchogenic cysts no tumi nyin fi sɛntimita 2 kosi 15 (bɛyɛ nsateakwaa 1 kosi 5). Ɛtɔ mmere bi a, saa akisikuru yi nya ɔyare mmoawa, na ɛno nso betumi de yare no ho sɛnkyerɛnne aba.

Dɛn nti na saa ahurututu mu ntini a ɛma ahurututu mu ntini yi ba?

Saa akisikuru yi ba bere a awotwaa no nyin , kyerɛ sɛ, bere a akokoaa no da so ara wɔ awotwaa mu no. Nanso nnuruyɛfo da so ara nni ntease a emu da hɔ wɔ nea ɛde ba ankasa no ho.

Dɛn ne nsɛnnennen a ɛwɔ tebea yi mu?

Saa `(Bronchogenic Cysts)` yi betumi ama ayɛ den sɛ wobɛhome na woamene. Saa akisikuru yi nso betumi anya ɔyare mmoawa. Mmom,Ɔhaw a ɛyɛ hu sen biara ne sɛ hokwan ketewaa bi wɔ hɔ sɛ saa akisikuru yi bɛdan kokoram, na ɛno nti na ɛho hia sɛ yɛhwɛ yiye wɔ eyi ho no.

Ɔkwan bɛn so na nnuruyɛfo hu Bronchogenic Cysts?

Mpɛn pii no, wohu saa `(Bronchogenic Cysts)` yi wɔ akwanhyia mu, wɔ `(mfonini sɔhwɛ)` a wɔyɛ esiane biribi foforo nti. Nhwɛsoɔ:

• Ɛtɔ mmere bi a, ultrasound a wɔyɛ ansa na wɔawo no tumi hu sɛ ebia akokoaa bi wɔ akisikuru a ɛte sɛɛ anaa.
• Sɛ wo anaa wo ba no yɛ wo koko X-ray sɛ nhwehwɛmu a wɔyɛ no daa no fã a, ebia saa akisikuru yi nso bɛda adi.

Sɛ wɔde mfoninitwa nhwehwɛmu hu akisikuru a ɛte sɛɛ a, dɛn na ɛba?

Ɛsono sɛnea tebea no te. Sɛ nhwɛso no, sɛ ultrasound scan bere a wonyinsɛn no da no adi sɛ wo ba no wɔ Bronchogenic Cyst a, wo awo ho oduruyɛfo no bɛhwɛ cyst no so wɔ akokoaa no nyin nyinaa mu.

Sɛ wohu sɛ wo anaa wo ba no anya akisikuru a ɛte sɛɛ a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom mfa nsi so dua bio:

• CT scan (Computed Tomography - CT scan): Eyi de X-ray ne kɔmputa twa mediastinum, wo anaa wo ba koko mfinimfini fã no ho mfonini a ɛkɔ akyiri.
• Esophagram: Eyi hwehwɛ sɛ wotwa wo anaa wo ba no esophagus ho mfonini toatoa so wɔ X-ray mu bere a woanom nsu titiriw bi (contrast fluid) awie no.
• MRI (Magnetic Resonance Imaging - MRI): MRI tumi yɛ mediastinum, koko no mfinimfini fã no ho mfonini a emu da hɔ na ɛkɔ akyiri.

Ɔkwan bɛn so na wɔsa `(Bronchogenic Cyst)`?

Mpɛn pii no, nnuruyɛfo kamfo kyerɛ sɛ wɔmfa oprehyɛn yi `(Bronchogenic Cyst)` yi mfi hɔ. Eyi te saa efisɛ sɛ woyi akisikuru no fi hɔ a, ebetumi atew asiane a ɛwɔ ɔhaw ahorow a yɛkaa ho asɛm no mu no so. Nanso, ɔkwan a wɔfa so sa yare no nso betumi asesa agyina tebea no so.

Ayaresa a wɔde ma bere a wɔyem

Wo awo ho oduruyɛfo-mmea ho ɔyaresafo no bɛhwɛ akisikuru no yiye. Sɛ akisikuru no sõ yiye a, ɛtɔ mmere bi a wobetumi ayɛ ade ketewaa bi ansa na wɔawo akokoaa no (wɔ awotwaa mu), kyerɛ sɛ, bere a ɔda so ara wɔ awotwaa no mu no, wɔayi nsu afi akisikuru no mu . Eyi bɛboa ma nhyɛso a ɛba akokoaa no koma so a akisikuru no de ba no so atew.

Ɛntaa mma koraa sɛ saa `(Bronchogenic Cysts)` yi betumi anyin ayɛ kɛse araa ma asiw akokoaa no mframa kwan. Sɛ eyi ba a, wo duruyɛfo betumi akamfo ɔkwan titiriw bi a wɔfrɛ no `EXIT procedure` (Ex-utero Intrapartum Treatment) akyerɛ sen sɛ wɔbɛwo no sɛnea ɛsɛ (vaginal delivery) anaa `(C-section).` Wɔ eyi mu no, wɔbɛma wo aduru a wɔde kum nipadua no.

Wɔ saa ``EXIT nhyehyɛe'' yi mu no, oprehyɛn ho ɔbenfo no twa wo awotwaa mu na oyi akokoaa no ti, ne kɔn, ne ne moma so atifi fa ntwitwiridii no mu. Bere a akokoaa no da so ara nya mframa pa fa wo awotwaa mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa akokoaa no nipadua mu na oyi akisikuru no fi hɔ. Sɛ woyi akisikuru no wie a, wotwa awotwaa no mu hama no, na wo awo ho oduruyɛfo no nam ntwitwiridii koro no ara a wodii kan yɛe no so yi akokoaa no koraa.

Ayaresa a wɔde ma nkokoaa a wɔawo wɔn foforo

Ebia wo ba a wɔawo no foforo no renhia ayaresa ntɛm ara. Mmom no, wo ba no mmofra oduruyɛfo bɛhwɛ sɛnkyerɛnne ahorow a ebetumi afi ahurututu mu ntini a ɛma ahurututu mu ntini mu aba no aba. Wɔbɛhwɛ eyi mu bere a wo ba no kɔsra nkokoaa a wɔhwɛ no yiye daa no.

Ayaresa a wɔde ma nkokoaa, mmofra ne mpanyimfo

Wɔ nnipa a wɔadi mfe yi fam no, ɛda adi sɛ oduruyɛfo no bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn. Oprehyɛn atitiriw abien na wɔde yɛ eyi:

• Thoracotomy: Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa wo yafunu, w’akyi, anaa wo mpampam ntam na ɔfa mu yi akisikuru no.
• Video-assisted thoracic surgery (VATS): Wɔ saa adeyɛ yi mu no, oprehyɛn no de mfoninitwa afiri ketewaa bi (afiri bi a wɔfrɛ no thoracoscope) hyɛ koko no mu de hu baabi a akisikuru no wɔ na woyi fi hɔ a ɔnyɛ ntwitwiridii kɛse. Eyi yɛ adeyɛ foforo a ɛkɔ akyiri koraa.

So nsɛnnennen bi wɔ ayaresa no mu?

Yiw, oprehyɛn a wɔyɛ de yi Bronchogenic Cyst no betumi de nsɛnnennen bi aba. Ɛnyɛ obiara na obenya eyinom mu osuahu, nanso ɛho hia sɛ wohu.

• Koma mu nnyigyei a ɛnkɔ so pɛpɛɛpɛ (Arrhythmia). Eyi betumi aka mpanyimfo a wɔn mfe akɔ anim kɛse.
• Mogya a ɛtɔ ne akisikuru nso abu so kɛse wɔ mpanyimfo a wɔn mfe akɔ anim mu.
• Akuru a ɛyɛ mmerɛw.
• Pneumothorax anaa mframa kotoku a ɛwɔ ahurututu mu a ɛhwe ase (atelectasis).
• Ntini, akwaa, ntini, anaa mogya ntini a atwa ho ahyia a ɛsɛe.
• Mogya a ɛtɔ kyerɛ mogya a efi nipadua no mu.
• Oxygen dodow a ɛso tew wɔ mogya mu (Hypoxemia).
• Ɛyaw a ɛba akyi berɛmo mu no yɛ ɛyaw a ɛtra hɔ kyɛ a ɛtra hɔ asram pii wɔ oprehyɛn akyi.
• Ɔhome mu yare, sɛ nhwɛso no, ahurututu mu yare.
• Oprehyɛn beae a ɔyare mmoawa ba.

Saa nsɛnnennen yi betumi ayɛ soronko a egyina oprehyɛn ko a wɔayɛ so. Wo duruyɛfo a ɔyɛ wo oprehyɛn no bɛkyerɛkyerɛ nsɛnnennen a ebetumi aba yi mu akyerɛ wo yiye ansa na wɔayɛ wo oprehyɛn.

So wobetumi asiw Bronchogenic Cysts ano?

Oh dabi, ɔkwan biara nni hɔ a wɔbɛfa so asiw eyinom kwan sɛ wɔbɛhyehyɛ. Efisɛ eyinom hyehyɛ bere a awotwaa no rekɔ so no.

Sɛ mewɔ Bronchogenic Cyst a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Wo duruyɛfo bɛyɛ mfoninitwa nhwehwɛmu bere ne bere mu de ahwɛ sɛnea akisikuru no te. Sɛ akisikuru no sõ araa ma ɛka wo anaa wo ba akwahosan a, wobetumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn de yi fi hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo anaa wo ba nya saa sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara:

• Ɛnne a ɛyɛ dede a ɛrenkɔ
• Ɛyɛ den sɛ wobɛmene
• Ɔhome a ɛyɛ den

Oduruyɛfo no bɛyɛ nhwehwɛmu a ɛho hia de ahu sɛ ebia nea ɛde saa sɛnkyerɛnne ahorow yi ba ne ``Bronchogenic Cyst'' anaa.

Bronchogenic cysts yɛ cyst bi a ɛba akokoaa no ahurututu mu. Ɛtɔ mmere bi a wobetumi ahu wɔn bere a wɔreyɛ ultrasound scan bere a wɔyem no. Nanso, saa akisikuru yi betumi anyin a wunhu mfe pii kosi sɛ wo anaa wo ba no befi ase ada sɛnkyerɛnne ahorow adi. Ɛyɛ ade a ɛfata sɛ wobɛte dadwen nka bere a wɔka kyerɛ wo sɛ wowɔ akisikuru bi wɔ wo moma so a ebetumi de ɔhome mu haw anaa tebea bi a emu yɛ den te sɛ kokoram aba no. Wo duruyɛfo no bɛte wo nkate ase. Ebia ɛho behia sɛ wɔyɛ wo anaa wo ba no oprehyɛn na wɔayi akisikuru no afi hɔ. Sɛ saa a, wo duruyɛfo bɛkamfo oprehyɛn a eye ma wo akyerɛ wo.

Nneɛma a ɛsɛ sɛ wokae fi asɛm yi mu (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ nea yɛaka ho asɛm no ho: Bronchogenic Cysts. Sɛ yɛbɛka no tiawa a, eyinom yɛ akisikuru bi a wonya fi awo mu na ɛba koko no mfinimfini.

• Mpɛn pii no, ebia yare no ho sɛnkyerɛnne biara nni hɔ, nanso sɛ ɛyɛ den a, ebetumi ama nneɛma te sɛ ɔfe, ɛyɛ den sɛ ɔbɛmene, na ɛyɛ den sɛ ɔbɛhome.
• Wɔtaa hu no ara kwa. Wɔde nhwehwɛmu te sɛ `(CT scan)` ne `(MRI)` si so dua.
• Mpɛn pii no, ayaresa no hwehwɛ sɛ wɔyɛ oprehyɛn yi akisikuru no. Eyi betumi asiw nsɛnnennen a ɛbɛba daakye ano.
• Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛfo afotu a wontwentwɛn wo nan ase sɛ wo anaa wo ba wɔ saa sɛnkyerɛnne ahorow yi a. Dodow a wuhu ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wobɛsa.

Enti, yɛwɔ anidaso sɛ saa nsɛm yi boaa wo. Kɔ so nya apɔwmuden!

` Bronchogenic cyst, koko mu akisikuru, ɔhome mu nyarewa, awo mu nyarewa, mediastinal cyst, mmofra akwahosan, oprehyɛn