Sɛ oduruyɛfo ka kyerɛ wo anaa obi a wunim no sɛ ɔwɔ kokoram a, asɛmmisa a edi kan a ɛba w'adwenem ne sɛ, "So wobetumi ayi eyi afi hɔ denam oprehyɛn so?" Mpɛn pii no, oprehyɛn ne ano aduru a eye sen biara. Nanso, mmere bi wɔ hɔ a ɛnyɛ bere nyinaa na wobetumi ayɛ oprehyɛn. Ɛtɔ mmere bi a, oprehyɛn betumi ayɛ nea asiane wom esiane beae a kokoram no wɔ anaa ɔyarefo no akwahosan tebea afoforo nti. Wɔ nsɛm a ɛtete saa mu no, yɛreka ayaresa titiriw bi a ebia nnuruyɛfo bɛkamfo akyerɛ sɛ wɔmfa nsɛe kokoram nkwammoaa ho asɛm. Ɛno ne Cryoablation.
Sɛ yɛbɛka no tiawa a, dɛn ne Cryoablation?
Cryoablation yɛ ayaresa a wɔde awɔw a ano yɛ den di dwuma de ma nkwammoaa a ɛnyɛ ne kwan so, titiriw kokoram nkwammoaa, yɛ nwini. Susuw ho saa kwan yi so, te sɛ nea nsu a ɛyɛ nwini no, saa kwan yi ma nsu a ɛwɔ kokoram nkwammoaa no mu no yɛ nwini.
Wɔde afiri soronko bi a ɛte sɛ ade (a `cryoprobe`) na ɛyɛ eyi. Mframa a ɛyɛ nwini yiye (te sɛ nitrogen a ɛyɛ nsu anaa argon mframa) na ɛwɔ saa afiri yi mu. Sɛ oduruyɛfo no de saa afiri yi ka kokoram akisikuru no a, kokoram nkwammoaa no yɛ nwini na wowuwu esiane awɔw a ano yɛ den nti. Bere kɔ so no, woyi nkwammoaa a awuwu no fi nipadua no mu na kokoram akisikuru no so tew. Ɛtɔ da bi a wɔfrɛ saa ayaresa yi `cryosurgery`.
Wɔ tebea horow bɛn mu na oduruyɛfo bɛkamfo saa ayaresa yi akyerɛ?
Mpɛn pii no, sɛ ɛbɛyɛ yiye a, oprehyɛn ne nea edi kan a wɔpaw. Nanso, sɛ oprehyɛn ntumi nyɛ yiye anaasɛ ɛmfata a, cryoablation yɛ ɔkwan a ɛsom bo. Tebea atitiriw a oduruyɛfo betumi akamfo ayaresa yi akyerɛ no bi ni.
| Tebea | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Kokoram nketewa anaa nea edi kan | Wɔde saa kwan yi di dwuma ma kokoram akisikuru a wobetumi adu ho a wontwa mu kɛse, denam tokuru ketewaa bi a wɔyɛ wɔ honam ani nkutoo so. |
| Oprehyɛn a wɔde yi kokoram a ɛyɛ hu fi hɔ | Sɛ kokoram no wɔ baabi a ɛyɛ mmerɛw yiye, sɛ nhwɛso no, ɛbɛn akwaa bi a ɛho hia yiye a, oprehyɛn betumi asɛe saa akwaa no. Wɔ tebea horow a ɛtete saa mu no, ɔkwan yi yɛ nea asiane biara nni ho. |
| Kokoram a Ɛtrɛw | Sɛ kokoram no atrɛw akɔ nipadua no afã afoforo na ɛde ɛyaw anaa ɔhaw foforo reba a, wobetumi de saa aduru yi adi saa ɛyaw no so. Wɔfrɛ no Palliative Cryoablation. |
Kokoram ahorow a wɔde saa kwan yi sa
Wɔde cryoablation sa kokoram ahorow, a nea ɛka ho ne:
- Nufu mu kokoram
- Awotwaa mu kokoram
- Asaabo mu kokoram
- mmerɛbo mu kokoram
- Ahurututu mu kokoram
- Prostate kokoram
- Sarcomas (kokoram a ɛwɔ ntini a ɛka bom mu) .
- Thyroid kokoram
Wobɛyɛ dɛn asiesie wo ho ansa na woasa wo yare?
Sɛ wusi gyinae sɛ wobɛyɛ saa ayaresa yi a, wo duruyɛfo ne nnuruyɛfo kuw no bɛma wo akwankyerɛ a emu da hɔ wɔ nea wobɛhwɛ kwan ho. Sɛ wɔde aduru a ɛma obi dwensɔ a, wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi. Eyinom ne nneɛma a ɛwɔ hɔ nyinaa a ɛsɛ sɛ wusiesie wo ho ma.
- Yɛ nhyehyɛe ma obi de kar mfa wo nkɔ fie: Ebia w’ankasa worentumi nka kar bere a woasa wo yare no.
- Nnuru bi a wubegyae: Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru a ɛma mogya tu, aspirin, ne NSAID (nnuru a ɛma ɛyaw ano brɛ ase) nom nna kakraa bi. Eyi yɛ nea ɛbɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ bere a wɔreyɛ ayaresa no so atew.
- Nnuru a oduruyɛfo akyerɛw ama wo a wobɛnom: Ebia wɔbɛkyerɛw wo nnuru a wode befi ase ntɛm de asiw ɛyaw anaa ɔyare mmoawa ano.
Nea ɛho hia sen biara ne sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru a wonom nyinaa ho, vitamin mpo, ansa na woasa wo yare.
Dɛn na ɛba ankasa bere a wɔreyɛ ayaresa no?
Sɛ wokɔ dan a wɔde sa yare no mu a, wobedi kan ama wo aduru a wɔde kum nipadua no. Ebia eyi bɛyɛ aduru a wɔde kum nipadua no wɔ baabi a wɔreyɛ yare no nkutoo, anaasɛ aduru a wɔde kum nipadua no nyinaa a ɛma woda koraa. Afei, nea ɛkɔ so anammɔn biara ni:
1. Oduruyɛfo no yɛ tokuru ketewaa bi pɛ (`puncture`) wɔ honam ani baabi a wɔyɛ ayaresa no.
2. Wɔnam saa tokuru no mu no, wɔde ade titiriw bi a wɔfrɛ no `cryoprobe` hyɛ baabi a kokoram no wɔ no mu.
3. Eyi nyɛ nsusuwii hunu ara kwa. Wɔde mfiridwuma te sɛ ultrasound, MRI, anaa CT scan a wɔde hwɛ baabi a akisikuru no wɔ wɔ screen so no si cryorobe no so pɛpɛɛpɛ.
4. Afei, wɔde `cryoprobe` no awɔw a ano yɛ den no gu kokoram no so simma kakraa bi anaa simma kakraa bi. Nkwammoaa a ɛwɔ saa beae no yɛ nwini, na ɛbɛyɛ te sɛ nsukyenee bɔɔl.
5. Bere bi akyi no, wɔma nsukyenee bɔɔl no nwo bere a awɔw no agyae no. Saa adeyɛ a ɛma ɛyɛ nwini na ɛyɛ nwini yi na ɛsɛe kokoram nkwammoaa no.
6. Ɛtɔ da bi a ɛsɛ sɛ woyɛ saa adeyɛ yi mpɛn pii na ama woasɛe akisikuru no nyinaa.
7. Awiei koraa no, woyi cryorobe no na wɔde biribi te sɛ plaster ketewaa bi gu saa tokuru ketewa no so.
Wɔ tebea horow bi mu, titiriw wɔ yafunu mu kokoram ho no, wɔde `laparoscopic surgery` (keyhole surgery) kwan nso na ɛyɛ eyi. Afei, wɔyɛ ntwitwiridii nketenkete pii na wɔde `cryoprobes` pii hyɛ mu de yɛ ayaresa no.
Mfaso ne asiane bɛn na ɛwɔ saa ayaresa yi so?
Te sɛ ayaresa biara no, eyi wɔ mfaso ne asiane nketenkete nyinaa.
| Mfasoɔ | Asiane ahorow a ɛwɔ mu |
|---|---|
| Ɛyaw no sua efisɛ wɔantwitwa kɛse biara. | Honam ani hyew nketenkete wɔ baabi a wɔsa yare no. |
| Bere a wode bɛsan anya ahoɔden no yɛ tiaa, na wubetumi asan akɔ asetra a ɛfata mu ntɛm. | Ɔyare mmoawa (ɛho yɛ na yiye). |
| Akuru akɛse biara rennya. | Nneɛma nketenkete a ɛsɛe ntini anaa ntini a ɛwɔ apɔwmuden a atwa ho ahyia no. |
| Nsunsuanso bɔne kakraa bi. | Nsɛnnennen a ɛfa aduru a wɔde kum nipadua no ho (e.g. akisikuru). |
Asiane a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo.
Dɛn na ɛba wɔ ayaresa akyi?
Nnipa dodow no ara tumi kɔ fie da koro a wɔbɛsa wɔn yare no. Ebia ɛho behia sɛ wotra ayaresabea hɔ anadwo. Mpɛn pii no wubetumi asan akɔ wo dwumadi ahorow a woyɛ daa no mu wɔ nna abien kosi dapɛn biako mu . Nanso, eyi betumi ayɛ soronko a egyina wo tebea so, enti ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye .
Sɛ wɔsa yare wie a, kokoram nkwammoaa a asɛe no "tew" nkakrankakra na yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no yi fi hɔ. Ne saa nti, kokoram no so tew nkakrankakra.
Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?
Wɔbɛka akyerɛ wo sɛ san bra bɛhwɛ wo akyi adapɛn kakraa bi wɔ ayaresa akyi. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara:
- Ɛhonhon dodo wɔ baabi a wɔasa no yare no.
- Atiridiinini (ɛboro 38.4°C / 101°F).
- Biribi te sɛ akisikuru a ɛretu fi tokuru no mu.
- Wora a atwa baabi a wɔsa yare no ho ahyia no yɛ kɔkɔɔ anaasɛ ne kɔla bɛsakra.
Nkrasɛm a Wɔde Kɔ Fie
- Cryoablation yɛ aduru a ɛnyɛ den pii a ɛsɛe kokoram nkwammoaa denam awɔw a ano yɛ den a wɔde gu nwini mu no so.
- Eyi yɛ ɔkwan pa ara wɔ nsɛm a oprehyɛn kɛse ntumi nyɛ yiye anaasɛ asiane wom mu.
- Eyi ma ɛyaw, akuru, ne bere a wɔde sa yare no sua sen oprehyɛn a wɔyɛ no daa.
- Sɛ wɔsa kokoram nkwammoaa a awuwu wie a, nipadua no abɔde mu nneɛma a ɛkɔ so no yi fi hɔ.
- Eyi nyɛ ayaresa a ɛfata ma kokoram nyinaa anaa tebea horow nyinaa. Wo duruyɛfo ne onipa a oye sen biara a obesi gyinae sɛ ebia eyi fata wo anaa. Enti wo ne wo duruyɛfo nka eyi ho asɛm pefee.
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