Mpɛn pii no, brayɛ yɛ bere a emu yɛ den ma yɛn mmea no binom. Ɛwom sɛ yesusuw sɛ nneɛma te sɛ yafunu mu yaw ne akyi yaw yɛ nea ɛfata de, nanso ɛtɔ mmere bi a saa bere yi mu no, koko mu yaw a ɛyɛ nwonwa ne ahome a ɛyɛ den betumi aba. Wɔ mmere a ɛtete saa mu no, ɛsɛ sɛ yɛhwɛ yiye kakra wɔ tebea titiriw a yɛreka ho asɛm nnɛ yi ho. Ɛwom sɛ eyi yɛ hu kakra de, nanso momma yɛnte ase kɛkɛ.
Dɛn ne eyi (Catamenial Pneumothorax)?
Sɛ yɛbɛka no tiawa a, `(Catamenial Pneumothorax)` yɛ mframa a ɛboaboa ano wɔ baabi a ɛda w’ahurututu ne wo moma so ntam, bɛyɛ bere a wo bra, anaa saa nna no mu. Asɛmfua ``Catamenial`` kyerɛ sɛ ``ɛfa brayɛ ho.`` ``Pneumothorax`` kyerɛ sɛ mframa wɔ koko mu. Mframa a ɛboaboa ano yi betumi ama nhyɛso atwa ahurututu no ho ahyia, na ɛtɔ mmere bi a ahurututu no fã bi anaa ne nyinaa betumi abubu. Fa no sɛ ɛte sɛ balloon a mframa bi ayera. Wɔ nnipa dodow no ara fam no, eyi ka ahurututu nifa no.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Fa no sɛ, w'adamfo, ma yɛmfrɛ no 'Samadhi'. Samadhi anya ne koko mu yaw kɛse wɔ ne nifa so nnansa anaa nnansa ansa na ne bra afi ase, na ɔte nka sɛ ne home yɛ tiaa kakra. Ná osusuw sɛ eyi yɛ ade a ɛfata, ebia esiane mmɔdenbɔ nti. Nanso bere a ohuu oduruyɛfo bi nkutoo na ɔtee saa tebea yi a wɔfrɛ no `(Catamenial Pneumothorax)` ho asɛm. Enti, sɛ wo nso worehyia saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wohaw wo ho wɔ ho:
- Koko mu yaw: Eyi ne sɛnkyerɛnne titiriw. Ebetumi ayɛ nea ɛba mpofirim, ano yɛ nnam, ɛyɛ sekan, na ɛtɔ mmere bi a ɛyɛ sekan. Saa ɛyaw yi betumi ayɛ kɛse bere a ɔrehome anaa ɔrefefe no.
- Ahome a ɛyɛ tiaa: Ebetumi ayɛ te sɛ nea wuntumi nhome, wo ho atɔ wo, anaasɛ wo koko mu ayɛ den.
- Ɔfe: Ɔfe a ɛyɛ yaw na ɛyɛ kusuu betumi aba.
- Mogya a wɔde ɔfe (Hemoptysis): Ɛtɔ mmere bi a, mogya kakra betumi apue ne ahurututu no. Eyi to obiara.
- Ɔhome a ɛkɔ soro anaa koma a ɛbɔ kɛse.
- Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra bruu (Cyanosis): Eyi yɛ sɛnkyerɛnne a anibere wom kɛse. Eyi ba bere a nipadua no nnya mframa pa a ɛdɔɔso no. Sɛ wuhu biribi te sɛ eyi a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi nna kakraa bi ansa na wo nna afi ase (da biako anaa abien) anaasɛ nna kakraa bi (mpɛn pii no nnɔnhwerew 72) wɔ bere a afi ase akyi.
Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Nokwarem no, ebia ɛbɛyɛ te sɛ nea abusuabɔ a ɛda wo brayɛ ne mframa a ɛhyɛ w’ahurututu mu ma ntam no yɛ nwonwa kakra, na ɛtɔ mmere bi a ɛyɛ den ma nnuruyɛfo mpo sɛ wobehu nea ɛde ba ankasa. Nanso nnipa atitiriw kakraa bi wɔ hɔ a wosusuw sɛ wɔyɛ saa.
Wobu nea ɛde ba titiriw sɛ ɛyɛ tebea bi a wɔfrɛ no ``Endometriosis``. Eyi ne bere a w’awotwaa no mu ntama nyin.Endometriosis yɛ ntini a enyin te sɛ awotwaa no mu nneɛma a ɛwɔ awotwaa no akyi, wɔ nipadua no afã afoforo. Sɛ nhwɛso no, sɛ saa ntini yi nyin wɔ w’ahurututu mu, pleurae (ntini a ɛyɛ tratraa a atwa ahurututu no ho ahyia) anaa diaphragm (ntini a ɛtetew koko ne yafunu mu) mu a, saa ntini yi nso betumi mogya anaasɛ apaapae bere a worekɔ brayɛ mu. Eyi betumi ama mframa akɔ ahurututu no mu ahurututu no mu. Ɛno ne bere a ahurututu mu yare ba. Sɛ wunim yiye sɛ endometriosis na ɛde tebea yi ba a, wɔsan frɛ no endometriotic pneumothorax.
Nanso, ɛnyɛ obiara a ɔwɔ catamenial pneumothorax na ɔwɔ endometriosis. Hormone dodow a ɛsakra ne ɔfe a ɛba bere a wo nna mu no nso betumi aka w’ahurututu. Nneɛma afoforo bi a ebetumi ama obi anya ahurututu mu yare bere a ɔrekɔ brayɛ mu no bi ne:
- Mogya a ɛkɔ so tew esiane nnuru a wɔfrɛ no `(Prostaglandins) nti: Eyinom yɛ nnuru a ɛyɛ adwuma te sɛ hormone. Wɔyɛ no boro so wɔ wo nna mu. Wosusuw sɛ eyinom betumi ama mframa kotoku / blebs a ɛwɔ w’ahurututu mu no apae, na ama mframa akɔ ahunmu a atwa w’ahurututu ho ahyia no mu.
- Mframa a ɛfa awo nhyehyɛe no mu: Ɛtɔ mmere bi a, mframa betumi afi yafunu no mu akɔ koko no mu denam sintɔ nketenkete a efi awo mu wɔ wo diaphragm no mu.
Sɛ Endometriosis trɛw kɔ ahurututu mu a, dɛn na ɛba?
Sɛ wowɔ endometriosis wɔ w’ahurututu mu anaa nneɛma a atwa wo ho ahyia mu a, ebetumi de tebea bi a wɔfrɛ no Thoracic Endometriosis Syndrome aba. Wɔ pneumothorax akyi no, nneɛma yi nso betumi asi:
- Mogya a ɛhyɛ ahurututu no ho ma (Hemothorax) .
- Pulmonary nodules (akuru nketenkete a ɛwɔ ahurututu mu) .
- Catamenial hemoptysis (mogya a ɔfefe bɛyɛ bere a obi rekɔ brayɛ mu) .
Ɛtɔ mmere bi a, sɛ wɔanhu sɛ wowɔ awotwaa mu yare mpo a, sɛ wunya ahurututu mu yare wɔ bere ntam a, ebia efi awotwaa mu ntini a enyin wɔ ahurututu anaa ahurututu mu.
Hena na ɔwɔ asiane kɛse mu ma tebea yi?
Catamenial pneumothorax yɛ tebea a ɛtaa ba mmea a wɔadi fi mfe 30 kosi 40 a wɔreyɛ ovulating (i.e., brayɛ daa). Ɛntaa mma sɛ ebetumi aba mmea a wɔde hormone awo ano aduru redi dwuma anaasɛ wɔanyinsɛn so. Sɛ wo anaa w’abusua mu obi wɔ endometriosis a, asiane kɛse wom kakra sɛ wubenya saa tebea yi.
So eyi betumi de nsɛnnennen aba?
Wɔ tebea horow bi mu no, ahurututu mu yare betumi de nsɛnnennen a emu yɛ den aba, te sɛ ɔhome a entumi nyɛ adwuma yiye anaa koma a entumi nyɛ adwuma yiye . Ɛwom sɛ eyi ntaa mma de, nanso sɛ wowɔ ahurututu mu yare ho sɛnkyerɛnne a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn.Esiane sɛ saa sɛnkyerɛnne ahorow yi betumi ayɛ te sɛ nea ɛwɔ aduruyɛ mu tebea afoforo a emu yɛ den mu nti, ɛnkɔ kɛkɛ.
Wobɛyɛ dɛn ahu eyi?
Nnuruyɛfo taa hu tebea bi a wɔfrɛ no ``Catamenial Pneumothorax'' denam wo sɛnkyerɛnne ahorow a wotie yiye, w'ahurututu a wotie, ne mfoniniyɛ mu nhwehwɛmu ahorow a wɔde di dwuma so. Saa sɔhwɛ ahorow yi bi ne:
- Chest X-ray: Eyi betumi ahwɛ sɛ ebia ahurututu no mu ayɛ den anaasɛ mframa ahyɛ mu ma.
- CT scan: Eyi betumi ama wɔanya mfonini a emu da hɔ na ɛkɔ akyiri sen X-ray. Ebetumi nso ahwɛ sɛ endometriosis wɔ hɔ anaa.
- Ahurututu mu ultrasound: Eyi nso boa ma wohu ahurututu mu yare.
Nea ɛbɛyɛ na waboa oduruyɛfo no ma wahu nea ɛde ba no, sɛ wubetumi aka nea edidi so yi akyerɛ wɔn a, ɛbɛyɛ nea mfaso wɔ so:
- So wo nna refi ase nnansa yi ara?
- Sɛ́ ebia wo nna afi ase nnansa yi ara anaa.
- Sɛ́ ebia woanya saa sɛnkyerɛnne ahorow yi wɔ wo nna mu pɛn no yɛ nsɛm a ɛho hia yiye.
Ɛtɔ mmere bi a, sɛ wɔannyɛ oprehyɛn (sɛ nhwɛso no, laparoscopy anaa thoracoscopy) anaasɛ wɔnyɛ biopsy a, ebia oduruyɛfo no rentumi nhu sɛ ebia nea ɛde ahurututu mu yare no ba ankasa ne endometriosis anaa biribi foforo.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Mpɛn pii no, ahurututu mu yare ketewaa bi ankasa besiesie. Nanso, sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den anaasɛ w’ahurututu mu abubu kɛse a, ebia ebehia sɛ woyɛ aduru bi a wɔfrɛ no thoracentesis de yi mframa a ɛwɔ wo moma so, anaasɛ wo koko mu ntini. Eyi ma w’ahurututu san trɛw bio.
Nea ɛbɛyɛ na tebea yi rensan mma bio no, wo duruyɛfo betumi akamfo nea edidi so yi akyerɛ wo:
- Video-assisted thoracoscopy (VATS): Nea ɛka eyi ho ne sɛ wɔde mfoninitwa afiri ne nnwinnade bɛfa mmeae nketenkete kakraa bi a wɔatwa mu, na ama oduruyɛfo no ayi awotwaa mu ntini, asiesie ntokuru a ɛwɔ ahurututu no mu, anaasɛ wato mframa kotoku (blebs) mu.
- Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma wo hormone dodow akɔ so, ama endometriosis no anyin brɛoo, na ama ovulation agyae. Sɛ nhwɛso no, wo duruyɛfo betumi akyerɛw wo nnuru a wɔde siw awo ano, nnuru a ɛma hormone a ɛma gonadotropin (GnRH agonists), anaa danazol.
- Pleurodesis: Bere a wɔreyɛ oprehyɛn no, w’ahurututu no bata wo koko no fasu ho, denam nnuru a wɔde di dwuma anaasɛ ntwitwiridii ketewaa bi a wɔyɛ wɔ w’ahurututu no mu (pleura) so. Eyi mma ahurututu no ntumi nsɛe efisɛ baabiara nni hɔ a mframa betumi aboaboa ano.
- Hysterectomy with bilateral oophorectomy: Sɛ ayaresa afoforo nyinaa di nkogu, na sɛnkyerɛnne ahorow no mu yɛ den yiye a, sɛ ɔkwan a etwa to a, wɔyɛ oprehyɛn yi awotwaa ne awotwaa no nyinaa, na ɛma ovulation ne brayɛ gyae koraa.
Nea ɛho hia: Wo duruyɛfo na ogyina w’ayaresa tebea, mfe a woadi, awo ho botae ahorow, ne nneɛma afoforo pii so na esi ayaresa ahorow yi ho gyinae. Enti, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi na wo ne wo duruyɛfo susuw nsɛmmisa anaa nsɛm biara a ɛhaw wo ho.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wunya sɛnkyerɛnne ahorow a ɛnyɛ dɛ te sɛ eyinom (titiriw wo koko mu yaw, ahome a ɛyɛ tiaa) a ɛbata wo nna ho a, nnye ntom kɛkɛ sɛ "wo bere a woakɔ so ara kwa" na akyinnye biara nni ho sɛ wo ne oduruyɛfo nkasa.
Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:
- Wususuw sɛ dɛn na ɛde tebea yi reba me so?
- Ayaresa ahorow bɛn na mewɔ? Dɛn ne mfaso ne ɔhaw ahorow a ɛwom?
- Sɛ ɛsɛ sɛ wɔde afiri bi hyɛ me koko mu a, bere tenten ahe na ɛsɛ sɛ mede sie?
- So ɛsɛ sɛ metra ayaresabea?
- Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho wɔ fie? Nneɛma bɛn na ɛnsɛ sɛ meyɛ?
- Ɔkwan bɛn so na ɛsɛ sɛ mede nnuru a wɔakyerɛw ama me yi di dwuma? So wobetumi de ɔhaw ahorow aba?
Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?
Sɛ wowɔ ahurututu mu yare ho sɛnkyerɛnne te sɛ wo koko mu yaw kɛse, ɛyɛ den sɛ wobɛhome, anaa w’ano yɛ bruu a, kɔ Emergency Room (ER) ntɛm ara. Eyinom betumi ayɛ tebea afoforo a emu yɛ den ho sɛnkyerɛnne, na ebia wubehia ayaresa ntɛm ara. Mma nsɛe bere.
Dɛn na metumi ahwɛ kwan wɔ tebea yi ho?
Catamenial pneumothorax ntaa nyɛ tebea a ɛde nkwa to asiane mu. Nanso, sɛ wunya bi pɛnkoro na wɔannya no yare a, ɛda adi sɛ ɛbɛsan aba bio, mpɛn pii no asram kakraa biara. Ɛno nti na ɛho hia sɛ wonya yare no mu nhwehwɛmu a ɛfata na wɔsa no yare no. Ebia wubehia ayaresa ahorow a wɔaka abom (te sɛ oprehyɛn ne nnuru) na ama woadi ho dwuma.
So wobetumi asiw `(Catamenial Pneumothorax)` ano?
Catamenial pneumothorax yɛ tebea a ebetumi asan aba mpɛn pii. Nanso, egyina nea ɛde ba so no, oprehyɛn (titiriw VATS), nnuru a ɛma nipadua no tumi yɛ adwuma yiye, anaa abien no nyinaa a wɔaka abom betumi aboa ma wɔasiw ɔyare no a ɛsan ba no ano anaasɛ ɛbɛtew so.
Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?
Bere a ɛyɛ ade a ɛfata sɛ wubenya ɔhaw bi wɔ wo nna mu no, ɛnyɛ nea ɛntaa nsi sɛ wubenya ahurututu mu haw ahorow. Nea eye ne sɛ, saa tebea yi a wɔfrɛ no ``Catamenial Pneumothorax,'' no ntaa nyɛ nea ɛde nkwa to asiane mu. Na ayaresa ahorow bi wɔ hɔ a ebetumi aboa ma amma ansi bio.
Nea ɛho hia sen biara ne sɛ, sɛ wowɔ sɛnkyerɛnne ahorow a ɛkɔ so daa te sɛ wo koko mu yaw ne ahome a ɛyɛ tiaa bere a worekɔ brayɛ mu a, mmu w’ani ngu so na ka kyerɛ oduruyɛfo. Afei obetumi ahu sɛ eyi yɛ `(Catamenial Pneumothorax)` anaa biribi foforo, na wama wo afotu ne ayaresa a ɛfata sen biara. Kae sɛ, nea ehia paa ne sɛ wobɛhwɛ w’akwahosan so na woaka wo haw ahorow ho asɛm pefee. Mma ɛnhaw wo, biribiara ano aduru wɔ hɔ!
` Catamenial Pneumothorax, pneumothorax, brayɛ, bere, koko mu yaw, ahome a ɛyɛ tiaa, endometriosis, ahurututu akwahosan, mmea akwahosan, Brayɛ, koko mu yaw, ahome a ɛyɛ tiaa, ahurututu, endometriosis, mmea akwahosan
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