So ɛyɛ den ma wo nso sɛ wobɛtow wo ho? Momma yensua Defecography sɔhwɛ no ho ade!

So ɛyɛ den ma wo sɛ wobɛkɔ tiafi? Anaasɛ ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛkura wo dwensɔtwaa mu? Anaasɛ wote nka sɛ wo ho yɛ wo yaw a ɛyɛ nwonwa, a wunnim bere a wokɔ tiafi no? Sɛ wowɔ ɔhaw ahorow yi bi a, ebia wo duruyɛfo bɛpɛ sɛ woyɛ nhwehwɛmu titiriw bi a wɔfrɛ no defecography de hu nea ɛde ba. Sɛ yɛbɛka no tiawa a, wɔyɛ eyi de hwɛ sɛnea ntini ne akwaa afoforo a ɛwɔ wo nipadua mu no yɛ adwuma bere a woakɔ dwensɔtwaa mu no.

Dɛn ne Defecography?

Okay, momma yɛnhwɛ nea defecography yɛ no yiye. Eyi yɛ radiology sɔhwɛ ankasa. Ɛhwɛ sɛnea ntini ne akwaa ahorow a ɛwɔ wo nipadua mu no reyɛ adwuma bere a woretow wo ho a, anaasɛ sɛnea nnuruyɛfo frɛ no no, "wotu wo ho." Wɔde "Fluoroscopic X-ray" sɔhwɛ titiriw anaa "MRI - Magnetic Resonance Imaging" sɔhwɛ na ɛyɛ eyi. Ɛdenam saa mfiridwuma ho nimdeɛ yi so no, nnuruyɛfo tumi hu sɛnea wo nipadua no afã horow retu ne sɛnea ɛyɛ adwuma bere a woretow wo ho agu no pefee.

Seesei ebia woresusuw ho sɛ ebia ɛsɛ sɛ wopopa wo ho ankasa ma sɔhwɛ yi anaa. Dabi, wo nnyɛ saa. Aduruyɛ adwumayɛfo no de aduru titiriw bi a ɛte sɛ poop pɛpɛɛpɛ bɛhyɛ wo rectum mu. Wɔfrɛ no "barium" aduru. Saa "barium" yi yɛ "contrast agent," ade a ɛma wo nipadua no mu da adi pefee wɔ "X-ray" anaa "MRI" so. Afei wobɛma saa aduru yi bere a wote tiafi titiriw bi mu wɔ scanner no mu no. Nea ɛho hia ne sɛ radiologist no nhwɛ wo wɔ tiafi so, na mmom wo mu mfonini ahorow a ɛwɔ kɔmputa no so. Enti biribiara nni hɔ a ɛsɛ sɛ ɛyɛ aniwu.

Bere bɛn na sɔhwɛ yi ho hia?

Nhwehwɛmu yi atirimpɔw titiriw ne sɛ ɛbɛma wo duruyɛfo ahu nea ɛrekɔ so wɔ wo mu bere a woretow nsu no ho nsɛm pii. Eyi bɛboa wɔn ma wɔahu nea ɛde wo haw no ba ankasa na wɔde ayaresa a ɛfata ama wɔn. Saa sɔhwɛ yi boa nnuruyɛfo ma wohu nneɛma te sɛ:

• Ɔkwan a wo pelvic floor ntini ahorow no twetwe na ɛhome.
• Sɛnea wo akyi berɛmo yɛ adwuma bere a woakɔ dwensɔtwaa mu no.
• Ɔkwan a wo dwonku, wo akyi berɛmo, wo awotwaa, ne wo akisikuru fa so tu bere a woretow wo ho.
• So akwaa bi a ɛwɔ wo nipadua mu asesa anaasɛ asesa ne gyinabea?
• Ebia sɛ woreyɛ nhyehyɛe ayɛ wo oprehyɛn a, nneɛma bɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw?

Nyarewa bɛn na wobetumi de nhwehwɛmu yi ahu?

Sɛ wowɔ sɛnkyerɛnne ahorow a wontumi nkyerɛkyerɛ mu a ɛfa wo dwensɔtwaa ho bere tenten a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ defecography nhwehwɛmu na woahu nea ɛde ba. Nhwɛsoɔ:

• Anal yaw a ɛyɛ yaw.
• Constipation (a ɛkyerɛ sɛ ɛyɛ den sɛ wobɛtow nsu).
• Sɛnea wontumi nni nsu a ɛkɔ nsu mu no so (Fecal incontinence).
• Sɛ wɔantu obi afi hɔ koraa ne atenka a ɛne sɛ wɔantu nsu no mfi hɔ koraa.

Wɔde sɔhwɛ yi nso di dwuma de si ayaresa tebea bi so dua sɛ oduruyɛfo no susuw sɛ ɛte saa a. Tebea horow a ɛtete saa no bi ne:

• Pelvic floor a ɛnyɛ adwuma yiye: Sɛ yɛbɛka no tiawa a, ntini ne ntini a ɛwɔ wo pelvic floor no ntumi nyɛ adwuma yiye na ɛnyɛ adwuma yiye bere a woretow wo ho.
• Akwaa a ɛhwe ase: Eyi ne bere a akwaa bi a ɛwɔ wo nipadua mu no yɛ mmerɛw na ɛhwe ase fi baabi, anaasɛ akwaa biako pia kɔ foforo mu. Nhwɛso ahorow bi ne:
• Rectal a ɛhwe ase.
• Rectocele yɛ akyi berɛmo no a ɛpuepue kɔ ɔbea no awotwaa mu.
• Enterocele yɛ dwensɔtwaa ketewa no a ɛpuepue kɔ akyi berɛmo no mu.

Hena na ɔreyɛ sɔhwɛ yi?

X-ray ne MRI nhwehwɛmu a ɛtete saa nyinaa yɛ nea radiologistfo a wɔatete wɔn titiriw a wɔwɔ adansedi krataa na wɔyɛ. Titiriw no, oduruyɛfo bi a ɔwɔ ntease a emu dɔ wɔ akyi berɛmo ne ne kankyee a ɛbata ho (Anorectal Motility) na ɔyɛ defecography.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi?

Wobetumi de fluoroscopic X-ray anaa MRI ayɛ defecography. Akwan abien no nyinaa betumi ahwɛ sɛnea wo nipadua no mu nneɛma yɛ adwuma bere a worebɔ wo ho ban no. X-ray kwan no na wɔtaa de di dwuma, nanso wɔ nnipa binom fam no, mframa kakraa bi a X-ray de ba no betumi apira wɔn, enti MRI fata kɛse.

Fa no sɛ ɛte sɛ video so X-ray. Sɛ́ anka wɔbɛtwe mfonini wɔ bere bi mu no, wɔde X-ray hann a ɛkɔ so fa nipadua no mu kɔ. Afei wubetumi ahwɛ mfonini ahorow a ɛkɔ so toatoa so wɔ screen so wɔ bere ankasa mu. Ɛno kyerɛ sɛ ɛnsɛ sɛ wotwɛn ma wɔyɛ mfonini ahorow no, wubetumi ahwɛ sɛnea w’akwaa ahorow no yɛ adwuma te sɛ video.

MRI (Magnetic Resonance Imaging) sɔhwɛ yɛ adwuma denam radio asorɔkye ne magnetic field a wɔde di dwuma so. Wɔde anyinam ahoɔden bi fa dade nhama a ɛwɔ afiri no mu nyinaa mu ma ɛyɛ magnetic field. Eyi ma hydrogen atɔm a ɛwɔ wo nipadua mu no tu. Sɛ wɔsan kɔ baabi a na wɔwɔ kan no a, afiri no fa nsɛnkyerɛnne a wɔde fa radio asorɔkye so ma no na ɛda no adi sɛ mfonini wɔ kɔmputa so.

Dɛn na ɛba ansa na sɔhwɛ no aba?

Wo duruyɛfo bɛkyerɛw w’ayaresa ho abakɔsɛm nyinaa a ɛkɔ akyiri, a oprehyɛn biara a woayɛ, ayaresa tebea horow a wowɔ, nnuru a wonom, ne nneɛma biara a wode ahyɛ wo mu ka ho. Afei, wobebisa wo nea ɛba bere a worekɔtow wo ho no ho asɛm kɔ akyiri.

Afei, yɛbɛma wo nkyerɛkyerɛmu a edi mũ wɔ sɛnea wɔyɛ sɔhwɛ yi ho. Yɛbɛkyerɛkyerɛ sɛnea wubetumi aboa yɛn ma yɛanya nea emu da hɔ sen biara afi sɔhwɛ no mu nso mu. Efisɛ sɔhwɛ yi nkonimdi gyina wo mmoa so kɛse.

Ɛtɔ da bi a, wobetumi ama wo enema a wode bedi dwuma wɔ fie na aboa ma wo dwensɔtwaa mu atew ansa na woayɛ nhwehwɛmu. Ebia wɔbɛka akyerɛ wo nso sɛ sesa w’aduan, nnuru, ne nsu a wonom ansa na woayɛ nhwehwɛmu no. Saa akwankyerɛ yi betumi ayɛ soronko wɔ onipa biara ho, enti ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Wobɛyɛ dɛn asiesie wo ho wɔ sɔhwɛ da no?

Sɛ́ ebia woreyɛ Fluoroscopic X-ray Defecography anaa MRI Defecography no, nhwehwɛmu abien yi nyinaa hwehwɛ sɛ wode ade a ɛma wohu nsonsonoe a ɛma nipadua no mu akwaa a oduruyɛfo no pɛ sɛ ohu no pefee di dwuma. Eyi kyerɛ sɛ ɛsɛ sɛ wɔde saa aduru a ɛma wohu nsonsonoe yi gu wo nipadua mu ansa na woayɛ sɔhwɛ no.

Sɛ wopɛ sɛ wuhu wo aduan mu nhyehyɛe no fã a etwa to – akyi berɛmo, akyi berɛmo, ne akyi berɛmo – pefee a, nnuruyɛfo kuw no de aduru a ɛma nsonsonoe (Barium Sulfate) bɛhyɛ aduru bi mu na wɔde ahyɛ wo akyi berɛmo mu. Wɔde Barium Enema no ma wɔ sɔhwɛ no akyi pɛɛ . Nanso, ɛtɔ mmere bi a, ebia oduruyɛfo no bɛpɛ sɛ ɔhwɛ akwaa afoforo a Enema no ntumi nkɔ hɔ.

Sɛ nhwɛso no, sɛ ɛho hia sɛ wuhu wo dwensɔtwaa ketewaa no a, ebia wɔbɛma wo ano aduru a ɛne ne ho bɔ abira a wobɛnom. Ebia ɛho behia sɛ wɔnom eyi nnɔnhwerew kakraa bi ansa na wɔayɛ nhwehwɛmu no, efisɛ egye bere ansa na ano aduru no afa wo aduan mu. Bere foforo nso, sɛ ɛho hia sɛ wuhu ɔfasu a ɛda wo awotwaa ne wo akyi berɛmo ntam a, wobetumi de barium aduru bi apete wo awotwaa mu.

Osuahu no te dɛn bere a wɔreyɛ defecography sɔhwɛ no?

Sɛ wohyɛ ayaresabea atade wie a, wɔde wo bɛkɔ baabi a wɔyɛ nhwehwɛmu. Ɛhɔ no, wobɛda pon so. Afei, nnuruyɛfo kuw no de barium aduru bi bɛhyɛ wo akyi berɛmo mu denam tuo a wɔde caulking ayɛ so. Ebia saa enema yi bɛma woate nka sɛ wo ho ayɛ wo ma kakra anaasɛ wo ho ayɛ wo hyew kakra. Sɛ wo menewam yɛ ma a, wo fi awosu mu bɛte nka sɛ wopɛ sɛ wobɔ wo ho ban. Afei woasiesie wo ho ama sɔhwɛ no.

Sɛ wowɔ X-ray afiri anaa MRI afiri a wɔabue mu mu a, pon a wowɔ so no dannan tẽẽ, na tiafi soronko bi wɔ w’ase. Wotaa tra tiafi so. Wɔayɛ mfiri abien yi nyinaa sɛnea ɛbɛyɛ a ɛbɛtumi akɔ baabiara, na ɛwɔ baabi ne mframa pii. Nanso sɛ wowɔ MRI afiri a wɔde di dwuma wɔ amanne kwan so a ɛte sɛ afiri a wɔde fa nsu mu kakra mu a, ɛsɛ sɛ woda pon no so petee, na afei ɛsɛ sɛ wode wo ho gu mpaboa a wɔde ma mpanyimfo mu. Ebia wɔde kuntu a dade a wɔde ayɛ nhama nso akata wo so.

Ebia nnipa binom bɛte nka sɛ wɔsuro baabi a wɔbɛda bere a wɔwɔ MRI afiri a wɔde di dwuma wɔ amanne kwan so no mu no. Sɛ eyi ba a, ebia wɔbɛma wo aduru bi a ɛma wo ho dwo na aboa wo ma woagye w’ahome. Afiri no wɔ kanea pa na mframa a wɔde yɛ adwuma wom. Wubetumi nso afa intercom so ne mfiridwumayɛfo no akasa. MRI mfiri a wɔabue ne nea wɔde di dwuma wɔ amanne kwan so nyinaa ma "tock tock, click click" nnyigyei a ano yɛ den bere a wɔatwa mfonini ahorow no. Wɔbɛma wo aso ano aduru anaa afiri a wɔde hyɛ asom ansa na wɔayɛ oprehyɛn no.

Oduruyɛfo a ɔhwɛ mframa a wɔde yɛ nhwehwɛmu no so no de akwankyerɛ bɛma wo afi afiri no akyi. Bere a wɔretwa mfonini ahorow no, wɔbɛka akyerɛ wo sɛ hyɛ wo ntini mu den, kura mu, na ma wo ho dwo. Sɛ wopia a, ɛsɛ sɛ wode ahoɔden a ɛdɔɔso di dwuma sɛnea ɛbɛyɛ a mfiridwumayɛfo no betumi ahu sɛnea wo ntini no reyɛ adwuma no pefee. Ɛsɛ sɛ wotra hɔ dinn nso bere a wɔretwa mfonini ahorow no bere nyinaa – mpɛn pii no ennu simma biako.

Sɔhwɛ no nyinaa gye bɛyɛ simma 30 kosi 60. Ebia ɛbɛyɛ te sɛ nea ɛyɛ ɔbrɛ kakra na ebia ɛyɛ aniwu mpo, nanso ɛnyɛ sɔhwɛ a ɛyɛ yaw.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ sɔhwɛ no ba awiei a, wɔde wo bɛkɔ ankorankoro aguaree bi a wubetumi asiesie wo ho. Ɛda adi sɛ wubehu ade fitaa bi a ɛte sɛ chalky a wɔfrɛ no ``Barium'' sɛ ɛretwam afi wo nsu mu bɛyɛ nna abien. Wubetumi asan afi wo dwumadi ne adidi su a wotaa yɛ no ase ntɛm ara.

So asiane anaa nsunsuanso bɔne bi wɔ sɔhwɛ yi mu?

Wobu mframa kakraa bi a X-ray ma ɛba no sɛ ɛyɛ nea asiane biara nni ho, bere tenten a wontaa nkɔ mu no. MRI scan mfa asiane anaa nsunsuanso bɔne biara mma. Sɛ woanyinsɛn a, mpɛn pii no wɔkamfo kyerɛ sɛ kwati nhwehwɛmu abien no nyinaa sɛnea wubetumi, ɛwom mpo sɛ asiane a ɛwɔ hɔ sɛ ebepira akokoaa no sua koraa de.

Dɛn na efi mu ba? Dɛn na Hawa kyerɛ?

Oduruyɛfo a ɔhwɛ mframa so no de amanneɛbɔ a ɛkɔ akyiri bɛkɔ akɔma oduruyɛfo a ɔhwɛ wo titiriw no. Ɔbɛka nea ebefi mu aba no akyerɛ wo. Amanneɛbɔ no bɛda no adi sɛ ebia ɔhaw ahorow bi wɔ hɔ a ɛtaa ba wɔ dwensɔtwaa mu anaa. Ɛbɛsan nso akyerɛ wo sɛ wo oduruyɛfo titiriw no ahyɛ sɛ wɔnyɛ nhwehwɛmu pɔtee bi anaa.

Fa no sɛ wo duruyɛfo ahyɛ sɛ wɔnyɛ saa nsu mu nhwehwɛmu a ɛte sɛɛ, a ɛkyerɛ sɛ ebia woanya ɔhaw yi akyɛ. Enti, nsɛm a efi wo defecography sɔhwɛ mu no ho hia na ama wo duruyɛfo no ayɛ ayaresa nhyehyɛe a eye sen biara a ɛbɛma wo defecography osuahu atu mpɔn.

Fa nkrasɛm kɔ fie

Yiw, ebia sɔhwɛ yi bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, na ebia ɛnyɛ dɛ mpo. Nanso kae sɛ, ɛbɛboa wo ma woahu nea ɛde wo haw no ba ankasa na woafi ayaresa a ɛfata ase ama wo. Awiei koraa no, sɔhwɛ yi betumi ama woanya ahotɔ kɛse. Enti, sɛ wo duruyɛfo kamfo nhwehwɛmu yi kyerɛ a, ɛho hia sɛ woka ho asɛm yiye na sɛ ɛho hia a, woma wɔyɛ.

`Akisikuru, Difficography, Ɛyɛ den sɛ wobɛtow nsu, Barium, X-ray, MRI, Pelvic floor