Dɛn ne ERCP sɔhwɛ? Nea ɛsɛ sɛ wuhu fa ho (ERCP Sɔhwɛ) .

So wo anaa w’abusua mu obi yafunu ayɛ wo yaw nna pii? Anaasɛ w’ani reyɛ kɔkɔɔ, te sɛ jaundice? Sɛ wokɔ oduruyɛfo nkyɛn wɔ bere a ɛte sɛɛ mu, na ɔka kyerɛ wo sɛ ɛsɛ sɛ woyɛ ERCP nhwehwɛmu a, ebia mpofirim ara wobɛte ehu nka kakra. "Dɛn ne ERCP yi?" Ebia wubesusuw ho. Enti ɛnnɛ, tiawa koraa, te sɛ nea wo ne w’adamfo bi rekasa no, momma yensua biribiara mfa ERCP sɔhwɛ yi ho.

Sɛ yɛbɛka no tiawa a, dɛn ne ERCP?

ERCP din nyinaa ne ``Endoscopic Retrograde Cholangiopancreatography''. Ɛwom sɛ edin no ware kakra de, nanso nea ɛkyerɛ no yɛ mmerɛw koraa. Eyi yɛ ɔkwan titiriw a wɔfa so hu ɔhaw ahorow a ɛwɔ bile ntini ne dwensɔtwaa mu ntini a ɛwɔ yɛn aduan mu no mu na ɛtɔ mmere bi a wɔsa.

Fa no sɛ wɔde adwinnade bi a wɔfrɛ no ``endoscope.`` Ɛne sɛ, afiri a ɛyɛ tratraa na ɛware na ɛyɛ eyi. Ɛwɔ mfoninitwa afiri ketewaa bi ne kanea bi wɔ n’awiei biako. Oduruyɛfo no de saa afiri yi fa w’anom na ɔde nkakrankakra fa wo yafunu mu kosi sɛ ebedu ``duodenum,`` dwensɔtwaa ketewa no fã a edi kan no mu.

Sɛ wodu hɔ a, oduruyɛfo no de aduru soronko bi fa afiri no mu. Afei, ɔyɛ X-ray hwɛ sɛnea aduru no sen fa afiri no mu. Eyi betumi aboa ma wɔahu sɛ ebia nneɛma bi asiw anaa abo bi wɔ afiri no mu anaa. Ɛtɔ mmere bi a, sɛ biribi te sɛ akisikuru akɔhyɛ afiri no mu a, wobetumi ayi afi hɔ bere a wɔreyɛ sɔhwɛ no.

Dɛn ne bile ntini ne dwensɔtwaa mu ntini?

Eyinom te sɛ paipu nhyehyɛe ketewaa bi a ɛwɔ yɛn nipadua mu.

• Bile ducts: Saa ntini yi de bile, nsu bi a yɛn mmerɛbo yɛ no kɔ akisikuru ne dwensɔtwaa ketewa no mu. Saa bile yi boa ma srade a ɛwɔ nnuan a yedi mu no tew.
• Pancreatic ducts: Saa ntini yi de nsu a dwensɔtwaa no yɛ kɔ dwensɔtwaa ketewa no mu. Enzyme ahorow bi wɔ saa nsu yi mu a ɛboa ma yɛyam aduan a yedi no.

Nsonsonoe bɛn na ɛda ERCP ne MRCP ntam?

Ebia woate MRCP ho asɛm nso. MRCP gyina hɔ ma `(Magnetic Resonance Cholangiopancreatography)`. Ɛwom sɛ wɔde abien no nyinaa di dwuma de hwɛ duct nhyehyɛe koro de, nanso ɛsono akwan abien no koraa. Sɛ́ anka wɔde mfoninitwa afiri bɛhyɛ mu te sɛ nea ɛwɔ ERCP mu no, MRCP hwehwɛ sɛ wɔde nsu titiriw bi bɛhyɛ ntini bi mu na wɔayɛ `(MRI)` scan.

Momma yɛnhwɛ saa pon yi na yɛate nsonsonoe no ase kɛkɛ.

Wɔ tebea horow bɛn mu na ɛho hia sɛ wɔyɛ ERCP nhwehwɛmu?

Oduruyɛfo betumi akamfo ERCP ama wo esiane nneɛma a edidi so yi nti:

• Sɛ wowɔ yafunu mu yaw a wuntumi nhu nea ɛde ba a .
• Sɛ aniwa anaa honam ani yɛ kɔkɔɔ (jaundice).
• Sɛ adwenem naayɛ bi wɔ hɔ sɛ akisikuru anaa nneɛma afoforo (te sɛ akisikuru) resiw mogya ntini no kwan a.
• Sɛ wususuw sɛ wo bile ntini anaa wo dwensɔtwaa mu ntini no asiw anaasɛ ayɛ teateaa a .
• Sɛ wususuw sɛ nsu bi retu afi saa nsu afiri yi mu a.
• Hwehwɛ nyarewa a ɛwɔ nsu a wɔde gu mu no mu.

Nnuruyɛfo taa kamfo kyerɛ sɛ wɔnyɛ ERCP sɛ anidaso wɔ hɔ sɛ wɔbɛsa tebea no mmom sen sɛ wobehu sɛ obi anya bi a. Nea enti a ɛte saa ne sɛ adeyɛ biara a ɛhwehwɛ sɛ wɔde afiri bi hyɛ nipadua no mu no de asiane ketewaa bi ba. Nanso, ERCP taa yɛ adeyɛ a asiane nnim. Wo duruyɛfo bɛkyerɛkyerɛ nsɛnnennen a ebetumi aba mu akyerɛ wo ansa na wɔayɛ oprehyɛn no.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wusiesie wo ho ansa na woayɛ ERCP. Hwɛ hu sɛ wo ne wo duruyɛfo bɛbɔ eyinom ho nkɔmmɔ.

• Ka nyarewa foforo biara a wowɔ ho asɛm kyerɛ yɛn: Sɛ wonyinsɛn, wowɔ ahurututu anaa komayare, wowɔ asikreyare, anaasɛ wo ho nyɛ wo den wɔ nnuru biara ho a, ɛsɛ sɛ woka eyinom nyinaa kyerɛ yɛn.
• Sɛ wofa insulin ma asikreyare a: Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ insulin dodow a wode ma no mu da a wɔbɛyɛ nhwehwɛmu no. Wo ne wo asikreyare ho oduruyɛfo nka eyi ho asɛm.
• Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw: Sɛ worenom nnuru te sɛ `Aspirin`, `Clopidogrel (Plavix)`, `Warfarin` a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae saa nnuru no nom nna kakraa bi. Nnyae w’aduru nom da a wommisa wo duruyɛfo.
• Di mmuada nnɔnhwerew 8: Ɛyɛ papa sɛ worendidi anaa worennom biribiara nnɔnhwerew 8 ansa na woayɛ sɔhwɛ no.
• Ma obi mfa kar nkɔ fie: Ebia wo ho bɛtɔ wo wɔ sɔhwɛ no akyi. Enti, ma obi a ɛyɛ n’asɛyɛde no mfa kar nkɔ fie. Mfa kar anaasɛ mfa mfiri nni dwuma nnɔnhwerew 8.
• So ɛsɛ sɛ metra ayaresabea?: Ebia ɛsɛ sɛ wotra ayaresabea hɔ anadwo bere a wɔayɛ nhwehwɛmu no awie no. Siesie nneɛma a ɛho hia, te sɛ ntade, ma ɛno.

Dɛn na ɛba wɔ ERCP bere mu?

Adeyɛ no nyinaa taa gye bɛyɛ nnɔnhwerew 1-2. Mpɛn pii no, wubetumi akɔ fie da koro no ara.

Ansa na wobefi sɔhwɛ no ase no, wo menewa bɛyɛ mmerɛw. Wɔbɛma wo aduru a ɛma obi dwo nso denam ntini bi mu. Afei, oduruyɛfo no de endoscope no bɛhyɛ w’anom na wakyerɛ no kwan akɔ beae no.

Ayaresa a wobetumi ayɛ wɔ ERCP bere mu

Mfaso kɛse biako a ɛwɔ eyi so ne sɛ wobetumi ayɛ ayaresa ahorow pii bere koro mu ne sɔhwɛ yi, a enhia sɛ wɔyɛ oprehyɛn foforo.

• Abo a woyi fi hɔ: Wobetumi de adwinnade ketewaa bi a ɛte sɛ waya kɛntɛn a wɔde fa endoscope no mu akyere akisikuru a akɔhyɛ nsukorabea no mu, abubu, na ayi afi hɔ.
• Biopsy: Sɛ biribi a ɛyɛ adwenem naayɛ wɔ ntini no mu, te sɛ akuru a, wobetumi afa ne fã ketewaa bi na wɔde akɔma wɔakɔyɛ ``biopsy'' de ahwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
• Ntrɛwmu: Wobetumi atrɛw afiri a ɛyɛ teateaa mu denam balloon ketewaa bi a wɔde bɛhyɛ mu na wɔabɔ mu no so.
• Stent a Wɔde Si: Sɛ ɛho hia sɛ wɔma anwenne bi bue a, wobetumi de afiri ketewaa bi a wɔde ahama ayɛ a wɔfrɛ no stent ahyɛ mu.
• Sphincterotomy: Ɛtɔ mmere bi a, ntini a ɛwɔ urethra no bue (Sphincter of Oddi) no betumi ayɛ teateaa. Wobetumi de saa kwan yi atrɛw denam ntwitwiridii ketewaa bi a wɔbɛyɛ so.

Dɛn na ɛba wɔ sɔhwɛ no akyi? Na asiane ahorow no nso?

Sɔhwɛ no akyi no, wɔbɛhwɛ wo bɛyɛ nnɔnhwerew 1-2 ansa na wɔagye wo akɔ ayaresabea hɔ. Ebia wobɛte ɛyaw bere tiaa bi, te sɛ wo menewam kakra.

Ɛwom sɛ mpɛn pii no ERCP yɛ adeyɛ a asiane nnim de, nanso nsɛnnennen betumi aba nnipa kakraa bi pɛ mu.

• Nneɛma a wɔyɛ wɔ nnuru a ɛma obi dwo ho.
• Nsu a wɔde twitwiw (dye) no ho akisikuru.
• Ɔyare a ɛba dwensɔtwaa mu (Pancreatitis).
• Tebea horow a ɛde ɔyare mmoawa ba.
• Opira anaa mogya a ɛtɔ wɔ yafunu anaa dwensɔtwaa mu a endoscope no de ba.

Kɔkɔbɔ nsɛnkyerɛnne a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara!

Sɛ wuhu sɛnkyerɛnne a ɛwɔ ase ha no bi wɔ nnɔnhwerew 72 akyi wɔ nhwehwɛmu no akyi a, frɛ wo duruyɛfo ntɛm ara na kɔ ayaresabea no Emergency Treatment Unit (ETU).