Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a wo duruyɛfo ka kyerɛ wo sɛ ɛsɛ sɛ woyɛ wo dwonku oprehyɛn, colectomy. Yɛn nyinaa ho yeraw yɛn kakra bere a yɛte asɛmfua "oprehyɛn" no. Nanso sɛ wuhu nea ɛyɛ, nea enti a wɔyɛ, ne sɛnea wɔyɛ no pɛpɛɛpɛ pɛ a, wo suro no befi hɔ. Enti ɛnnɛ, momma yɛnka ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne colectomy?
Sɛ yɛbɛka no tiawa a, colectomy yɛ oprehyɛn a wɔde yi wo dwensɔtwaa kɛse (colon) no fã bi anaa ne nyinaa. Dwotwaa kɛse no yɛ yɛn aduan mu nneɛma a ɛho hia yiye. Sɛ ɔfã yi sɛe esiane aduruyɛ tebea bi nti a, egyae adwumayɛ yiye. Ɛno na nnuruyɛfo si gyinae sɛ wɔbɛyɛ oprehyɛn yi.
Wɔtaa kamfo oprehyɛn yi kyerɛ wɔ tebea horow a edidi so yi mu:
- Kokoram a ɛwɔ akyi berɛmo mu: Yi akyi berɛmo no fã a kokoram nkwammoaa wom no.
- Diverticulitis: Eyi yɛ tebea a nkotoku nketenkete hyehyɛ dwensɔtwaa kɛse no fasu mu, na ɛyɛ ɔyare mmoawa na ɛyɛ hyew.
- Mogya a ɛba wo yafunu mu: Sɛ mogya tu fi wo dwensɔtwaa mu a wuntumi nni so a.
- Dwonku kɛse a ɛsiw: Sɛ dwensɔtwaa no asiw koraa esiane biribi nti a.
- Yare a emu yɛ den a ɛma obi ho hyehye no: Bere a tebea horow te sɛ Crohn yare anaasɛ akisikuru a ɛma obi ho hyehye no mu yɛ den no.
Ɛtɔ mmere bi a, sɛ asiane kɛse wɔ hɔ sɛ wobenya kokoram daakye esiane awosu mu tebea horow a wonya fi awo mu nti (sɛ nhwɛso no, Lynch syndrome) a, wobetumi ayɛ eyi nso sɛ colectomy a wɔde siw ano de atew saa asiane no so.
So oprehyɛn yi ahorow wɔ hɔ?
Yiw, wɔakyekyɛ oprehyɛn yi mu ahorow pii a egyina dwensɔtwaa no fã a woyi fi hɔ no so. Oduruyɛfo a ɔyɛ oprehyɛn a ogyina w’ayaresa tebea so na osi eyi ho gyinae.
| Oprehyɛn ko a wɔyɛ | Sɛ yɛbɛka no tiawa a, dɛn na ɛba? |
|---|---|
| Total Colectomy a Wɔyɛ | Wobeyi wo dwonku no nyinaa afi hɔ. |
| Colectomy a Wɔyɛ no Ɔfã | Woyi akyi berɛmo no fã a yare no nkutoo fi hɔ. Eyi ahorow afoforo nso wɔ hɔ. |
| Hemicolectomy a wɔde twa nipadua no | Woyi dwensɔtwaa kɛse no fã biako, nifa anaa benkum. |
| Proctocolectomy a wɔde twa nipadua no mu | Woyi dwensɔtwaa kɛse ne akyi berɛmo no nyinaa fi hɔ. |
| Sigmoid Colectomy a Wɔde Yɛ Nneɛma | Woyi dwensɔtwaa kɛse no fã a etwa to, sigmoid colon a ɛne akyi berɛmo no di nkitaho no fi hɔ. |
Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?
Esiane sɛ eyi yɛ oprehyɛn kɛse nti, ɛho hia paa sɛ wusiesie wo ho ma no.
Nea edi kan no, wo oprehyɛn ho ɔbenfo no ne wo bɛkasa na wakyerɛkyerɛ oprehyɛn ko a wɔbɛyɛ wo, sɛnea wɔbɛyɛ no (sɛ́ ebia wɔbɛfa ɔkwan kɛse bi a wɔatwa so anaasɛ wɔde mfoninitwa afiri so bɛyɛ no mu). Afei, wɔbɛyɛ nhwehwɛmu ahorow bi ahwɛ sɛ wo nipadua no betumi adi oprehyɛn no ho dwuma anaa.
- Mogya mu nhwehwɛmu
- Colonoscopy a wɔde hwɛ nipadua no mu
- EKG (Electrocardiogram) nhwehwɛmu a ɛhwɛ sɛnea koma no yɛ adwuma
- Mfoninitwa nhwehwɛmu, te sɛ CT scan anaa MRI scan
Nea ɛka ho no, nnuruyɛfo kuw no nso bɛbɔ wo amanneɛ wɔ nneɛma a ɛsɛ sɛ wudi akyi nna kakraa bi ansa na wɔayɛ oprehyɛn no ho. Eyinom ne:
- Yɛ nhyehyɛe ma obi mfa kar mfi ayaresabea nkɔ fie: W’ankasa worentumi nka kar bere a wɔayɛ wo oprehyɛn awie no.
- Fi ase di aduan a nsu wom: Wɔbɛka akyerɛ wo sɛ nom nsu te sɛ soup ne nnuaba mu nsu nkutoo nna kakraa bi ansa na woayɛ wo oprehyɛn.
- Bowel prep: Da a edi oprehyɛn no anim no, wɔbɛma wo nsu titiriw bi anom na ama wo dwensɔtwaa mu ada mpan koraa. Eyi yɛ nea ɛnyɛ dɛ kakra, nanso ɛho hia yiye ma oprehyɛn no nkonimdi.
- Mmuadadi: Worentumi nnidi anaa nnom biribiara fi anadwo fã da a wɔbɛyɛ oprehyɛn no.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Bere a wɔreyɛ oprehyɛn no, wɔbɛma wo aduru a ɛma obi dwensɔ koraa, enti worente biribiara nka. Oduruyɛfo a ɔyɛ oprehyɛn no de mfoninitwa afiri (Laparoscopic Colectomy) bɛtwitwa wo yafunu mu tenten biako (Open Colectomy) anaasɛ ntwitwiridii nketenkete pii (Laparoscopic Colectomy). Wobeyi wo dwonku no fã a yare no afi hɔ na wɔasan abɔ afã abien a ɛwɔ apɔwmuden no mu. Wɔfrɛ eyi sɛ anastomosis .
Nanso, ɛtɔ mmere bi a ɛrentumi nyɛ yiye sɛ wɔbɛka afã abien a ɛwɔ apɔwmuden no abom. Sɛ nhwɛso no, sɛ ɔkwan a ɛda afã abien a aka no ntam no sõ dodo, anaasɛ sɛ ɔyare mmoawa bi nti wontumi mfa nkabom ntɛm ara a, oduruyɛfo a ɔyɛ oprehyɛn no betumi asi gyinae sɛ ɔbɛyɛ ostomy .
Dɛn ne Ostomy?
Nea ɛka ostomy ho ne sɛ wɔde dwensɔtwaa no awiei a ɛte apɔw no ba honam ani a ɛwɔ yafunu no so, na wɔyɛ ɔkwan foforo (stoma) a nsu betumi afa mu. Afei wɔboaboa nsu no ano wɔ kotoku titiriw bi (ostomy bag) a wɔde abata saa kwan no ho mu.
Yenim sɛ eyi yɛ nsakrae kɛse wɔ w’asetra mu. Nanso wubenya afotu ne ntetee a wuhia nyinaa na wode adi eyi ho dwuma na woada so ara abɔ asetra a ɛfata wɔ ayaresabea. Enti nsuro.
Sɛ woyɛ oprehyɛn wie a, ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi anaa dapɛn biako. Wobɛnom nsu ne nnuan a ɛyɛ mmerɛw wɔ nna kakraa a edi kan no mu. Wubetumi asan akɔ adidi a ɛfata so bere a wo ho retɔ wo no. Ebetumi agye adapɛn 6 ansa na wo ho atɔ wo koraa bere a woakɔ fie awie no. Nanso, nnipa dodow no ara tumi san kɔ wɔn dwumadi dodow no ara mu wɔ adapɛn abien ntam.
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Ɛho hia yiye sɛ wuhu kɔkɔbɔ sɛnkyerɛnne biara a ebetumi aba bere a woasan aba fie bere a woayɛ wo oprehyɛn awie no. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, ka kyerɛ wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn ntɛm ara.
| Kɔkɔbɔ afã | Nkyerɛmu |
|---|---|
| Atiridiinini a emu yɛ den | Nipadua mu hyew a ɛkɔ soro, mmerɛwyɛ ho atenka. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ ɔyare mmoawa wɔ baabi a wɔatwa no | Kɔkɔɔ, ɔfe, ɛyaw a emu yɛ den, anaasɛ akisikuru a atwa baabi a wɔatwa no ho ahyia. |
| Yafunu mu yaw a ɛkɔ soro nkakrankakra | Sɛ yafunu mu yaw no kɔ soro nkakrankakra sen sɛ ɛbɛtew a. |
| Ɛyɛ den sɛ wobɛtow nsu a ɛyɛ fĩ | Ɔnkɔ dwensɔtwaa mu anaasɛ ɔmfa ne ho nhyɛ mu nna pii. |
Colectomy betumi ayɛ osuahu a ɛsakra asetra. Ebetumi ayi wo yaw ho sɛnkyerɛnne ahorow no afi hɔ, asa wo kokoram, anaasɛ aboa wo ma woatra ase akyɛ wɔ kokoram ho. Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Wɔyɛ krado bere nyinaa sɛ wɔbɛboa wo.
Nkrasɛm a Wɔde Kɔ Fie
- Colectomy yɛ oprehyɛn a wɔde yi dwensɔtwaa kɛse no fã bi a asɛe.
- Wɔyɛ oprehyɛn yi ma aduruyɛ mu tebea horow a emu yɛ den te sɛ kokoram ne diverticulitis.
- Ɛho hia yiye sɛ wubedi aduruyɛ mu akwankyerɛ ahorow akyi, a dwensɔtwaa a wobɛhohoro ka ho, ansa na woayɛ oprehyɛn.
- Ebia wubehia ostomy bag na wode akɔ nsu mu, nanso wubenya mmoa a wuhia nyinaa na wode atra ase.
- Egye bere ansa na woasa yare, enti yɛ ayamye ma wo ho na gye wo bere fa sa yare.
- Sɛ wunya kɔkɔbɔ nsɛnkyerɛnne te sɛ atiridiinini anaa ɛyaw a emu yɛ den wɔ oprehyɛn akyi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
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