Diverticulitis oprehyɛn a wɔyɛ? Momma yɛnhwehwɛ nea eyi yɛ ankasa.

Ebia worehu amane wɔ diverticulitis, tebea bi a ɛma wo yafunu mu yɛ wo yaw bere nyinaa na wo ho yɛ wo hyew. Sɛ ɛyɛ den sɛ wubedi wo tebea no so ɛmfa ho sɛ wonom nnuru ne ayaresa afoforo a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ wo oprehyɛn. Enti ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a ɔka saa no. Nanso, sɛ wuhu nea oprehyɛn yi yɛ ankasa, sɛnea wɔyɛ no, ne nea ɛba wɔ ɛno akyi pɛ a, wo suro no befi hɔ. Ɛnnɛ, momma yɛnka diverticulitis oprehyɛn yi ho asɛm.

Dɛn nti na ɛsɛ sɛ wɔyɛ diverticulitis oprehyɛn?

Sɛ yɛbɛka no tiawa a, diverticulitis ne tebea a nkotoku nketewa (diverticula) hyehyɛ yɛn akyi berɛmo afasu a yɛfrɛ no diverticula wɔ aduruyɛ mu no mu no nya ɔyare mmoawa anaasɛ ɛyɛ hyew. Ɛyɛ bere a tebea yi mu yɛ den nkutoo na wosusuw oprehyɛn ho.

Mpɛn pii no, wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn wɔ nsɛm a edidi so yi mu:

• Sɛ wontumi nni tebea no so ɛmfa ho sɛ wɔnom nnuru ne ayaresa afoforo a ɛnyɛ oprehyɛn a.
• Sɛ tebea yi san ba bio wɔ ayaresa akyi (diverticulitis a ɛsan ba).
• Nkitahodi bi a ɛnteɛ te sɛ fistula , ba dwensɔtwaa kɛse no fasu ne akwaa a ɛbɛn te sɛ akisikuru anaa awotwaa ntam.

Nea ɛka oprehyɛn yi ho titiriw ne sɛ wobetwa dwensɔtwaa kɛse no fã bi a yare no aka no na woyi afi hɔ. Yɛfrɛ eyi sɛ colectomy a ɛyɛ fã bi .

Ɛtɔ mmere bi a, bere a oduruyɛfo no ayi dwensɔtwaa yi fã bi akyi no, ɛsɛ sɛ ɔyɛ ostomy nso . Ma yɛnhwɛ nea ɛno yɛ.

Oprehyɛn ahorow bɛn na eyinom yɛ?

Ebia oduruyɛfo a ɔyɛ wo oprehyɛn no bɛpaw oprehyɛn ahorow yi mu biako a egyina wo tebea so.

Nsɛm kakra a ɛfa Ostomy oprehyɛn ho

Nsuro sɛ wote eyi a. Fa no sɛ ɛte sɛ nea woresi ɔkwan, bere tiaa bi a wobɛbɔ ɔkwan foforo ama kar ahorow afa so. Biribi a ɛte saa ara rekɔ so wɔ ha. Wɔreyɛ saa bere tiaa mu kwan yi de asiw nsu a ɛbɛfa baabi a wɔyɛɛ dwensɔtwaa oprehyɛn no kosi sɛ ɛbɛsa.

• Colostomy: Dwensɔtwaa kɛse no fã bi bata yafunu no honam ani, na ɛma wobue. Nsuo fa mu fi adi na ɛboaboa ano wɔ kotokuo (colostomy bag) a ɛbata yafunu no ho mu.
• Ileostomy: Wɔde dwensɔtwaa ketewa (ileum) no fã bi na ɛyɛ saa bue yi.

Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?

Ɛho behia sɛ woyɛ ahosiesie bi ansa na woayɛ oprehyɛn no. Wo duruyɛfo bɛma wo eyi ho akwankyerɛ a emu da hɔ. Mpɛn pii no, saa nneɛma yi sisi.

• Scan foforo: Ebia wɔbɛka akyerɛ wo sɛ wɔnyɛ computed tomography (CT) scan anaa X-ray nhwehwɛmu titiriw afoforo.
• Akwahosan mu nhwehwɛmu: Ebia ɛho behia sɛ woyɛ mogya mu nhwehwɛmu, wɔyɛ wo colonoscopy , EKG , ne nea ɛkeka ho Ebia wo ne kuw a wɔde aduru a ɛma obi dwensɔ no nso ahyia.
• Bowel Prep: Eyi ne ade a ɛyɛ den sen biara. Wɔbɛka akyerɛ wo sɛ gyae adidi nnɔnhwerew kakraa bi ansa na wɔayɛ oprehyɛn no na woanom nsu te sɛ nsu ne soup nkutoo. Wɔbɛma wo aduru titiriw bi nso a ɛbɛma wo dwensɔtwaa ho atew koraa.

Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?

Wɔ oprehyɛn ahorow yi nyinaa mu no, wɔde aduru a ɛma obi dwensɔ koraa (general anesthesia), a ɛkyerɛ sɛ wonte biribiara nka, woada.

1. Oduruyɛfo no twa oprehyɛn kɛse biako wɔ oprehyɛn a wɔabue mu, anaasɛ otwitwa nketenkete pii wɔ oprehyɛn a wɔde laparoscopic yɛ mu na ama adu dwensɔtwaa kɛse no mu.

2. Afei woyi dwensɔtwaa no fã a ɔyare a ɛwɔ diverticulitis no fi hɔ .

3. Wɔde staples anaa sutures san ka dwensɔtwaa no afã abien a ɛte apɔw no bom .

4. Sɛ ɛho hia a, wɔyɛ ostomy de ka dwensɔtwaa no fã bi bata honam ani.

5. Awiei koraa no, wɔto ntwitwiridii a wɔayɛ wɔ yafunu no mu no mu.

Mpɛn pii no, oprehyɛn yi gye bɛyɛ nnɔnhwerew abiɛsa kosi anan , nanso saa bere yi betumi ayɛ soronko a egyina wo tebea ne oprehyɛn ko a wɔreyɛ so.

Dɛn na ɛba wɔ oprehyɛn no akyi? Na bere tenten ahe na egye na obi ho atɔ no?

Ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi wɔ oprehyɛn no akyi. Eyi begyina sɛnea wo ho bɛtɔ wo ntɛmntɛm no so. Saa bere yi mu no:

• Aduan ne Nsã: Wɔ adapɛn kakraa a edi kan no mu no, ebehia sɛ wudi nnuan a ahoɔdennuru kakraa bi na ɛwom, emu nyɛ duru, na ɛyɛ nsu te sɛ akutu ne soup. Bɛyɛ ɔsram biako akyi no, wubetumi adi biribiara a w’ani gye ho daa.
• Apɔw-mu-teɛteɛ ne nneɛma a emu duru a wɔma so: Ɛsɛ sɛ wokwati sɛ wobɛma nneɛma a emu duru so adapɛn 6-8 .
• Karka: Sɛ wugyae nnuru a wɔde kum ɛyaw nom akyi nkutoo na wubetumi aka kar.
• Kuru hwɛ: Ayarehwɛfo no bɛkyerɛ wo sɛnea wobɛhwɛ wo kuru no. Sɛ woyɛ ostomy a, wɔbɛkyerɛ wo sɛnea wode bag no bedi dwuma nso.

Ebetumi agye asram pii ansa na ne ho atɔ no koraa. Ɛho hia paa sɛ yenya abotare.

So asiane bi wɔ oprehyɛn yi mu?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ. Anastomotic leak, mogya a ɛbɛtɔ, anaasɛ kuru mu yare betumi aba. Nanso, eyinom ho yɛ na koraa. Saa oprehyɛn yi di yiye kɛse , na ayarefo bɛyɛ 98% nnya diverticulitis bio.

Bere a ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn bio

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi bere a woasan afi oprehyɛn mu aba fie akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara :

• Yafunu mu yaw a emu yɛ den a ɛntew bere a wanom nnuru mpo akyi na ɛreyɛ kɛse.
• Sɛ wontumi ntwa nsu mu.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa, te sɛ ɔfe, kɔkɔɔ, atiridiinini, anaa ɔfe a atwa kuru no ho ahyia.