Nsuro sɛ wɔbɛyɛ mmerɛbo mu nhwehwɛmu! Momma yensua nsɛm a ɛkɔ akyiri

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a wo duruyɛfo ka kyerɛ wo sɛ "fa wo mmerɛbo no fã ketewaa bi kɔyɛ nhwehwɛmu" (Liver Biopsy). Hena na n'ani nnye ho sɛ ɔbɛte nsɛmfua "a wɔde bɛbata ade mu," ɛnte saa? Nanso nokwarem no, eyi nyɛ hu sɛnea yesusuw no. Eyi betumi aboa wo ma woahu nea ɛhaw wo mmerɛbo no ankasa. Enti momma yɛnka eyi ho asɛm mfi mfiase ara kwa.

Dɛn ne mmerɛbo mu nhwehwɛmu?

Sɛ yɛbɛka no tiawa a, mmerɛbo mu nhwehwɛmu yɛ adeyɛ a wɔde ade titiriw bi yi ntini ketewaa bi (ntini a wɔde yɛ nhwɛso) fi wo mmerɛbo mu. Afei oduruyɛfo bi a ne ho akokwaw wɔ ntini mu, a wɔfrɛ no ɔyare ho ɔbenfo de afiri a wɔde hwɛ nneɛma nketenkete mu hwehwɛ saa ntini nhwɛsode yi mu. Saa nhwehwɛmu yi betumi aboa ma woahu yare ko a wo mmerɛbo wɔ ankasa.

Mpɛn pii no, wɔma wo akisikuru koraa, a ɛkyerɛ sɛ wɔmfa wo nna. Nanso, sɛ wo ho yeraw wo anaa wo ho yeraw wo a, ebia wɔbɛma wo aduru a ɛma wo ho dwo (aduru) a ɛbɛboa wo ma woagye w’ahome. Eyi bɛma woatumi ayɛ eyi a worente nka sɛ wo ho nyɛ wo dɛ dodo.

Dɛn nti na ɛsɛ sɛ wɔyɛ mmerɛbo mu nhwehwɛmu?

Ebia oduruyɛfo bi de wo bɛkɔ akɔyɛ nhwehwɛmu yi esiane nneɛma pii nti.

• Sɛ wo mogya mu nhwehwɛmu aba kyerɛ sɛ mmerɛbo mu enzymes kɔ soro wɔ ɔkwan a ɛnteɛ so a.
• Sɛ wo honam ani ayɛ kɔkɔɔ a ntease biara nnim a, ɛkyerɛ sɛ wowɔ jaundice.
• Sɛ wo mmerɛbo mu nhwehwɛmu (te sɛ ultrasound anaa CT scan) kyerɛ sɛ biribi asɛe wɔ ho, te sɛ akisikuru a, .
• Sɛ mmerɛbo no ahonhon na ɛyɛ kɛse a ntease biara nnim a.

Saa nhwehwɛmu yi tumi hu nyarewa dodow bi a ɛfa mmerɛbo ho pɛpɛɛpɛ. Nhwɛsoɔ:

• mmerɛbo mu kokoram
• Mmerɛbo mu yare a srade wom
• Hwɛ sɛnea tebea horow te sɛ Hepatitis B ne C yɛ aniberesɛm
• Hwɛ sɛ mmerɛbo no anya akisikuru anaa, na sɛ ɛte saa a, kodu baabi.

Afei nso, sɛ obi renya mmerɛbo mu yare bi ayaresa dedaw a, saa biopsy nhwehwɛmu yi betumi aboa ma wɔahu sɛ ebia ayaresa no di yiye anaa.

So eyi yɛ yaw ankasa?

Eyi ne asɛmmisa kɛse a ɛwɔ obiara adwene mu. Ɛyɛ ade a ɛfata sɛ wubesusuw ɛyaw ho bere a wote asɛmfua "ade a wode bɛbɔ ade na woafa asinasin" no. Nanso nokwasɛm ne sɛ, sɛ wɔde biopsy needle no hyɛ mmerɛbo no mu a, wonte ɛyaw biara.

Akwan bɛn na wɔfa so yɛ mmerɛbo mu nhwehwɛmu?

Akwan pii wɔ hɔ a wɔfa so yɛ mmerɛbo mu nhwehwɛmu. Wo duruyɛfo na obesi ɔkwan a eye ma wo tebea no ho gyinae.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ biopsy?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woyɛ ansa na sɔhwɛ yi aba. Ɛho hia paa sɛ wudi eyinom akyi pɛpɛɛpɛ.

• Ka biribiara kyerɛ wo duruyɛfo: Sɛ woanyinsɛn, wowɔ koma anaa ahurututu mu yare, wo ho nyɛ wo den wɔ nnuru bi ho, anaasɛ mogya tu ho haw a, di kan ka ne nyinaa kyerɛ.
• Ka nnuru a wonom nyinaa ho asɛm kyerɛ yɛn:Ka nnuru, vitamin, ne nnuru a wɔde ka aduan ho a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo . Ɛho hia titiriw sɛ woka kyerɛ wo duruyɛfo sɛ worenom nnuru a ɛma mogya tu te sɛ aspirin, clopidogrel (Plavix), warfarin (Coumadin), anaa apixaban (Eliquis) . Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru yi nom nna kakraa bi ansa na wɔayɛ biopsy.
• Bisa nsɛm: Wo ne wo duruyɛfo nkasa fa nsɛmmisa anaa dadwen biara a ebia wowɔ wɔ eyi ho.
• Adidi ne anom a wubegyae: Wo duruyɛfo bɛkyerɛ wo nnɔnhwerew dodow a ɛsɛ sɛ wugyae adidi ne anonne ansa na wɔayɛ biopsy no. Di saa bere no akyi pɛpɛɛpɛ.
• Obi a ɔde wo bɛka kar akɔ fie: Esiane sɛ worentumi nka kar bere a wɔayɛ biopsy no akyi nti, fa obi bra ma ɔde wo bɛkɔ fie.

Dɛn na ɛba da a wɔyɛ biopsy no?

Saa adeyɛ yi taa kɔ so saa.

Ansa na wɔbɛyɛ biopsy no

Oduruyɛfo no bɛsan akyerɛkyerɛ ɔkwan a wɔfa so yɛ no nyinaa mu akyerɛ wo bio, aka nsɛnnennen a ebetumi aba ho asɛm akyerɛ wo, na wagye wo pene. Sɛ ɛho hia a, wɔbɛma wo nnuru a ɛma wo ho dwo na aboa wo ma woagye w’ahome. Ebia wɔbɛyɛ ultrasound nso de ahu baabi a ɛfata a wɔde ade no bɛhyɛ mu.

Bere a wɔayɛ biopsy no

Wɔbɛma wo ayaresabea atade na wɔaka akyerɛ wo sɛ da mpa so. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ da fam a wo nsa nifa hyɛ wo ti ase na wo nsa nifa apue. Ɛho hia sɛ wotra hɔ dinn sɛnea wubetumi wɔ saa bere yi mu. Oduruyɛfo no bɛhohoro baabi a ɛhɔ yɛ fɛ, de aduru bi a ɛma obi ho dwiriw no bɛma no, watwa ketewaa bi, ɔde ade a wɔde hwehwɛ nipadua no mu bɛhyɛ mu, na wɔ sikɔne kakraa bi mu no, ayi ntini bi afi hɔ. Adeyɛ no nyinaa gye bɛyɛ simma 15-30.

Bere a wɔayɛ biopsy no akyi

Afei wɔde wo bɛto dan a wɔde wo ho bɛto mu bɛyɛ nnɔnhwerew 2-4 ahwɛ sɛ wo mogya mmoroso ne wo koma bɔ te sɛ nea ɛfata anaa.

• Ebia wobɛte ɛyaw kakra nka wɔ baabi a wɔde aduru no guu wo no, na wobɛte ɛyaw bi wɔ wo mmati anaa w’akyi. Sɛ ɛho hia a, wɔbɛma nnuru a wɔde kum ɛyaw.
• Kwati sɛ wobɛma nneɛma a emu yɛ duru so anaasɛ wobɛteɛteɛ w’apɔw mu denneennen dapɛn biako wɔ biopsy no akyi.
• Mfa nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin a wunnyaa wo duruyɛfo afotu. Wubetumi anom paracetamol (acetaminophen) sɛ ɛho hia a.
• Oduruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo bere a ne nsa aka wo nhwehwɛmu amanneɛbɔ wɔ nna kakraa bi akyi no.

So asiane bi wɔ eyi mu?

Mpɛn pii no, nsɛnnennen biara nni hɔ. Nanso, eye sɛ wubehu nneɛma a ɛntaa nsi koraa a ebetumi asi no.

• Mogya a ɛretu: Ebia mogya retu wo wɔ wo mu. Wɔbɛhwɛ wo wɔ ayaresabea hɔ ahwɛ sɛ eyi te anaa.
• Bile leak: Bile tumi fi mmerɛbo anaa akisikuru mu.
• Ɔhaw ahorow a ɛfa ahurututu ho:Ɛntaa mma koraa sɛ biopsy needle no betumi abɔ pleura no, asɛe ahurututu no (pneumothorax).

Sɛ wowɔ saa nsɛnkyerɛnne yi a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ETU.

Sɛ sɛnkyerɛnne ahorow a edidi so yi mu biara ba wɔ nnɔnhwerew 72 akyi wɔ nipadua mu nhwehwɛmu no akyi a, frɛ wo duruyɛfo ntɛm ara, anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU).

• Atiridii anaa awɔw
• Adwene a ɛyɛ basaa
• Ɔhome a ɛyɛ den
• Koko mu yaw
• Yafunu a ɛho ayɛ kurukuruwa anaasɛ ɛyɛ ma
• Yafunu mu yaw a ɛkɔ soro
• Kɔkɔɔ, ɔfe, ne ɛyaw a emu yɛ den wɔ baabi a wɔatow no