So ɛsɛ sɛ yesua X-ray nhwehwɛmu titiriw (Intraoperative Cholangiogram) a wɔyɛ bere a wɔreyɛ oprehyɛn a wɔde yi akisikuru no ho ade?

So wo duruyɛfo kamfoo kyerɛe sɛ wɔnyɛ oprehyɛn mfa yi abo a ɛwɔ akisikuru mu no? Sɛ saa a, ebia wɔaka akyerɛ wo sɛ wɔbɛyɛ ‘Intraoperative Cholangiogram’ bere a wɔreyɛ oprehyɛn no. Ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra, na ebia wobɛte ehu nka kakra mpo. Nanso nokwarem no eyi yɛ sɔhwɛ a ɛho hia yiye a wɔyɛ de hwehwɛ w’ahobammɔ. Ma yɛnhwɛ nea ɛyɛ, nea enti a wɔyɛ, ne mfaso horow a ebetumi de ama wo.

Dɛn ne Intraoperative Cholangiogram?

Sɛ yɛbɛka no tiawa a, Intraoperative Cholangiogram yɛ X-ray nhwehwɛmu titiriw bi a wɔyɛ bere a wɔreyɛ wo oprehyɛn a wɔde yi wo gallbladder ( cholecystectomy ). Ɛma oduruyɛfo a ɔyɛ oprehyɛn no nya ‘ɔkwan ho mfonini’ a emu da hɔ a ɛkyerɛ mogya ntini a ɛwɔ wo nipadua mu no.

Nsu a yɛn akisikuru ne mmerɛbo yɛ no fa ntini nketenkete nhyehyɛe bi mu kɔ dwensɔtwaa ketewa no mu. Wɔfrɛ saa ntini nhyehyɛe yi sɛ bile duct. Oduruyɛfo a ɔyɛ oprehyɛn no nam X-ray yi so tumi hu sɛnea wɔahyehyɛ nsukorade nhyehyɛe yi, sɛnea ɛne wɔn ho wɔn ho di nkitaho, ne sɛ ebia abo anaa nneɛma afoforo a esiw ntini no mu no pefee.

Dɛn nti na nnuruyɛfo yɛ nhwehwɛmu yi?

Mfaso pii wɔ sɔhwɛ yi a wɔbɛyɛ bere a wɔreyɛ oprehyɛn a wɔde yi akisikuru no so. Ɛyɛ mmoa kɛse ma nnuruyɛfo kuw no.

So ntease titiriw bi wɔ hɔ a enti ɛsɛ sɛ wɔyɛ sɔhwɛ yi?

Nnuruyɛfo binom yɛ nhwehwɛmu yi bere biara a wɔbɛyɛ wɔn oprehyɛn a wɔde yi akisikuru (cholangiography a wɔyɛ no daa). Nanso, sɛ ntease titiriw bi wɔ hɔ a, afoforo nso yɛ saa (selective cholangiography). Sɛ wowɔ tebea horow a ɛwɔ ase ha no mu biako anaa nea ɛboro saa a, ɛda adi sɛ wo duruyɛfo no besi gyinae sɛ ɔbɛyɛ nhwehwɛmu yi.

• Sɛ wowɔ nneɛma bi a ɛnteɛ wɔ wo mmerɛbo dwumadi ho nhwehwɛmu ahorow mu a .
• Sɛ dwensɔtwaa mu enzymes dodow kɔ soro a.
• Sɛ woanya dwensɔtwaa mu yare anaasɛ woanya nnansa yi a .
• Sɛ wowɔ jaundice a .
• Sɛ nnansa yi ara woasiw bile ntini no mu, te sɛ abo a.
• Sɛ wɔde ERCP (endoscopic retrograde cholangiopancreatography) nhwehwɛmu asɔ wo ahwɛ sɛ wobehu anaasɛ woyi nneɛma a asiw wɔ bile ntini no mu, nanso ɛrentumi nyɛ yiye sɛ wubehu bile ntini no koraa anaasɛ woyi nea asiw no afi hɔ a.

Ɔkwan bɛn so na saa adeyɛ yi ba?

Saa adeyɛ yi nyinaa kɔ so wɔ aduru a wɔde kum nipadua no mu na wɔde wo da, enti worente biribiara nka. Enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro eyi.

Nneɛma a ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn

Eyi a wosiesie wo ho no te sɛ nea woresiesie wo ho ama oprehyɛn a wɔde beyi akisikuru no. Wo duruyɛfo bɛma wo eyi ho akwankyerɛ a emu da hɔ.

• Wɔbɛka akyerɛ wo sɛ mmuada (kwati adidi anaa anonne) nnɔnhwerew kakraa bi ansa na wɔayɛ oprehyɛn no.
• Ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru biara a worenom ho. Ebia ɛho behia sɛ wogyae nnuru bi anaasɛ wɔyɛ nsakrae wɔ dodow a wɔde ma no mu ansa na wɔayɛ oprehyɛn. Nnyae nnuru biara a wobɛnom da a wunnya wo duruyɛfo afotu.
• Yɛ nhyehyɛe ma obi de wo bɛkɔ fie bere a wɔayɛ oprehyɛn no awie no.

Nea ɛkɔ so bere a wɔreyɛ oprehyɛn no

1. Oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛma wo aduru a wɔde kum nipadua no na wada koraa.

2. Oduruyɛfo a ɔyɛ oprehyɛn no twa yafunu no mu ketewaa bi anaasɛ ɔtwa no mpɛn pii ma oprehyɛn no.

3. Afei, wɔde afiri (catheter) a ɛyɛ fɛ yiye hyɛ cystic duct no mu.

4. Wɔnam saa afiri yi so de nsu titiriw bi a wɔfrɛ no contrast dye gu bile duct nhyehyɛe no mu. Saa nsu yi ma bile duct nhyehyɛe no da adi pefee na ɛyɛ fitaa wɔ X-ray no so.

5. Afei, ɔde X-ray afiri no di dwuma no, oduruyɛfo a ɔyɛ oprehyɛn no hwɛ nsu a ɛfa nsukorabea nhyehyɛe yi mu denam afiri a wɔde hwɛ nneɛma so so.

6. Sɛ wuhu sɛ abo bi akyea saa bere yi a, bɔ mmɔden sɛ wubeyi afi hɔ ntɛm ara sɛ ɛbɛyɛ yiye a.

7. Sɛ wɔde X-ray "map" yi di dwuma a, woyi gallbladder no dwoodwoo yiye, wowie oprehyɛn no, na wɔto ntwitwiridii no mu.

Wɔ oprehyɛn no akyi

Sɛ wɔyɛ oprehyɛn no wie a, wɔbɛhwɛ wo wɔ ayaresabea hɔ. Mpɛn pii no, wubetumi akɔ fie anwummere koro no ara anaa da a edi hɔ no.

Asiane ne mfaso bɛn na ɛwɔ sɔhwɛ yi so?

Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane nketenkete bi wɔ hɔ, nanso mfaso a ɛwɔ so no dɔɔso.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?

Sɛ wokɔ fie bere a woayɛ wo oprehyɛn awie a, hwɛ yiye paa wɔ saa sɛnkyerɛnne ahorow yi ho. Sɛ wowɔ eyinom mu bi a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ntɛm ara . Sɛ ɛho hia a, wubetumi nso akɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.

• Sɛ wunya ɛyaw a emu yɛ den a wonhwɛ kwan anaasɛ wuntumi nnyina ano a .
• Sɛ oprehyɛn a wɔatwa no yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ hyew , anaasɛ akisikuru anaa mogya fi mu ba a.
• Sɛ wo nya atiridii a .

Sɛ w’adwene mu yɛ wo naa kakra wɔ biribi a ɛte sɛɛ ho a, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo. W’ahobammɔ ne ade a ɛho hia sen biara.