So wo duruyɛfo aka akyerɛ wo sɛ yɛ TEE nhwehwɛmu? Ebia sɛ wote edin no a, ehu ka wo kakra. Ebia woresusuw ho sɛ, ‘Dɛn ne ade a ɛmene tube yi nyinaa?’ Nanso mma ɛnhaw wo. Ɛnyɛ hu sɛnea ebia wubesusuw no. Ɛyɛ sɔhwɛ a ɛkɔ akyiri yiye a ɛma wo duruyɛfo nya nsɛm pii a ɛho hia fa wo koma akwahosan ho. Ɛnnɛ, yɛbɛka TEE sɔhwɛ no ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so a wubetumi ate ase.
Sɛ yɛbɛka no tiawa a, dɛn ne TEE?
TEE asekyerɛ nyinaa ne Transesophageal Echocardiogram . Okay, okay... edin no yɛ basaa kakra. Momma yɛmma eyi nyɛ mmerɛw.
Fa no sɛ ɛsɛ sɛ wotwa wo koma mfonini. Wɔ echo sɔhwɛ a wɔtaa yɛ, a wɔfrɛ no Transthoracic Echo (TTE) , mu no, oduruyɛfo no de afiri ketewaa bi si wo moma so na ɔtwe wo koma mfonini. Ɛte sɛ nea woretwa mfonini afi akyirikyiri.
Nanso TEE sɔhwɛ yɛ soronko kakra. Ɛha yi, wɔde afiri bi a ɛyɛ tratraa paa na ɛyɛ mmerɛw (a wɔfrɛ no endoscope) fa w’anom na ɛfa wo menewam. Wɔ saa afiri yi awiei no, afiri ketewaa bi a ɛte sɛ mfoninitwa afiri (transducer) wɔ hɔ. Eyi ma nnyigyei asorɔkye kɔ, na asorɔkye no tu fi koma no so na ɛma koma no ho mfonini a emu da hɔ yiye a ɛbɛn.
Wo esophagus no wɔ wo koma akyi, na ɛbɛn no yiye. Ɛno nti na saa kwan yi tumi twa wo koma ho mfonini a emu da hɔ yiye na ɛkɔ akyiri no.
Dɛn nti na ɛsɛ sɛ yɛyɛ TEE sɔhwɛ?
Ɛnyɛ obiara na ɛho behia sɛ ɔyɛ saa TEE sɔhwɛ yi. Oduruyɛfo no kamfo kyerɛ esiane nneɛma pɔtee kakraa bi nti. Ma yɛnhwɛ nea wɔyɛ.
| Tebea | Sɛnea TEE boa |
|---|---|
| Bere a sɔhwɛ afoforo mma nsɛm a emu da hɔ | Ebia worentumi nhu komayare pɔtee bi bere a woayɛ TTE daa akyi. TEE ma yehu koma no mu yiye na emu dɔ. |
| Bere a wowɔ tebea a egye ntɛmpɛ/aniberesɛm mu | Sɛ wo mogya mmoroso sua koraa, wo oxygen dodow sua, anaasɛ wo nipadua no ho adwiriw no a, TEE betumi aboa ma woahu nea ɛde ba no ntɛm. |
| Ansa na wɔbɛsa koma a ɛbɔ denneennen no yare | Saa nhwehwɛmu yi ho hia na wɔde ahwɛ sɛ mogya atɔ koma no mu ansa na wɔayɛ ayaresa ahorow a ɛfa koma no a ɛnyɛ den ho, te sɛ catheter a wɔde yi nipadua no mu anaasɛ anyinam ahoɔden a wɔde yi koma no . |
| Wɔ koma oprehyɛn mu | Wɔde TEE di dwuma de hwɛ sɛnea koma no te pɛpɛɛpɛ ansa na wɔayɛ no oprehyɛn, de si oprehyɛn no nkonimdi so dua wɔ oprehyɛn akyi, na ɛtɔ mmere bi a wɔde kyerɛ oduruyɛfo a ɔyɛ oprehyɛn no kwan bere a wɔreyɛ no oprehyɛn no. |
Dɛn nti na ɛsɛ sɛ wopaw TEE sen sɛ wobɛpaw Echo a wɔde di dwuma daa?
Nnuruyɛfo taa di kan yɛ TTE scan wɔ koko so, nanso wɔ tebea horow bi mu no wosi gyinae sɛ wobehuruw akɔ TEE tẽẽ.
- Esiane sɛnea wɔn koko te nti: Ɛyɛ den ma nnipa binom sɛ wobenya mfonini a emu da hɔ afi TTE mu esiane sɛnea wɔn koko te, srade a ɛboro so, anaa baabi a wɔn ahurututu wɔ nti.
- Ahurututu mu nyarewa: Sɛ yare tebea bi wɔ ahurututu mu a, ebetumi asiw koma no anisoadehu kwan.
- Wɔ tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu mu: Mfonini ahorow a emu da hɔ a wonya fi TEE mu no som bo kɛse wɔ tebea a egye ntɛmpɛ a ɛho hia sɛ wohu yare no ntɛm na edi mu no mu.
Mɛyɛ dɛn asiesie me ho ama TEE sɔhwɛ no?
Wubehia ahosiesie bi ansa na sɔhwɛ yi aba. Wo duruyɛfo bɛma wo eyi ho akwankyerɛ a emu da hɔ.
- Aduan ne anonne: Wɔtaa ka kyerɛ wo sɛ anyɛ yiye koraa no, nnidi anaa nnom biribiara nnɔnhwerew 6 ansa na wɔayɛ sɔhwɛ no.
- Nnuru: Wo ne wo duruyɛfo nkasa mfa bere a ɛsɛ sɛ wonom nnuru a wotaa de di dwuma no ho.
- Nsã: Kwati nsa a wobɛnom wɔ nna a edi sɔhwɛ no anim no mu.
- Ofirikafo: Mma wo werɛ mmfi sɛ wode obi bɛba a ɔde wo bɛkɔ fie , efisɛ worentumi nka kar bere a wɔawie sɔhwɛ no.
Nea ɛho hia sen biara: Ɛho hia sɛ woka w’akwahosan ho abakɔsɛm kyerɛ wo duruyɛfo, titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Kokoram a ɛwɔ aduan mu
- Yafunu mu yare
- Koma a ɛtaa yɛ hyew (GERD) .
- Ɛyɛ den sɛ wobɛmene
- Dae mu ahomegye a ɛyɛ den
- Yafunu mu kokoram
- Sɛ worenom nnuru a wode bɛda, dadwen, anaa ɛyaw a.
Sɛ wɔka saa nneɛma yi kyerɛ wo wie a, oduruyɛfo no betumi ayɛ nneɛma a ɛho hia na ama nhwehwɛmu yi ayɛ nea ahobammɔ wom ama wo.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Adeyɛ a wɔde yɛ sɔhwɛ yi nyinaa betumi agye bɛyɛ simma 90. Nanso, mfonini ahorow no ankasa a wotwa no gye bɛyɛ simma 15 pɛ. Wɔde bere a aka no siesie wo na wɔhwɛ wo wɔ sɔhwɛ no akyi.
1. Nea edi kan no, wɔbɛma wo ayaresabea atade a wobɛhyɛ.
2. Wɔde sticker nketewa (electrodes) bɛhyɛ wo moma so. Eyinom bɛhwɛ sɛnea wo koma no anyinam ahoɔden yɛ adwuma wɔ sɔhwɛ no nyinaa mu.
3. Wɔde mogya mmoroso cuff abɔ abasa no ho na wɔde pulse oximeter abɔ nsateaa no ho.
4. Mma ɛnhaw wo! Wɔbɛpete aduru bi a ɛma wo ho yɛ wo yaw wɔ wo menewam na amma ɛyaw anaa ɔfe biara nni hɔ bere a wode afiri no rehyɛ mu no.
5. Afei, wɔde aduru bi bɛhyɛ ntini bi a ɛwɔ wo nsa mu (``IV line``) mu na ama woate nka sɛ wo ho adwo wo na woada . Eyi remma wo ho nyɛ wo dɛ pii.
6. Wɔbɛdane wo akɔ benkum na wɔama woada.
7. Afei oduruyɛfo no de ahwɛyiye kɛse ne ahwɛyiye bɛhyɛ TEE afiri a wɔde srade ayɛ mu afa w’ano na akɔ wo menewam. Ɛtɔ da bi a wɔbɛka akyerɛ wo sɛ mene.
8. Sɛ tube no si baabi a, wobefi ase atwa koma no mfonini. Worente ɛyaw biara nka , nanso ebia wobɛte nhyɛso kakra nka wɔ wo moma so.
9. Sɛ wɔyɛ mfonini ahorow no wie a, nkokorafo no yi afiri no fi hɔ.
10. Wɔbɛhwɛ wo mogya mmoroso, wo koma bɔ, ne oxygen dodow so kakra wɔ ɛno akyi, na wɔbɛbɔ wo amanneɛ bere a wubetumi akɔ fie.
So asiane ahorow bi wɔ mu?
Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara mu no, TEE betumi de asiane ketewaa bi aba, nanso eyinom ho yɛ na koraa.
- Nnuru a wɔde di dwuma no ho akisikuru.
- Aduan anaa nsuo a ɛhyɛn ahurututu mu (`Aspiration pneumonia`).
- Nsakrae a ɛba mogya mmoroso anaa koma a ɛbɔ mu.
- Mogya kakraa bi a ɛtɔ esiane akisikuru ketewaa bi a ɛwɔ akyi berɛmo no mu nti.
Sɛ wowɔ ehu anaa adwenem naayɛ bi wɔ eyi ho a, wo ne wo duruyɛfo nka ho asɛm pefee ansa na woayɛ nhwehwɛmu no.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Ɛho behia sɛ wohome kakra wɔ sɔhwɛ no akyi.
- Menewa mu yaw: Wo menewa bɛte yaw bɛyɛ dɔnhwerew biako. Nni anaa nnom biribiara kosi sɛ ɛyaw no befi hɔ koraa. Sɛ ɛnte saa a, ebia wobɛmene.
- Menemkuro:Ebia wo menewam bɛyɛ wo yaw kakra nnɔnhwerew kakraa bi anaa da koro anaa nnanu bere a wo menewam no afi hɔ akyi. Eyi yɛ ade a ɛfata. Nanso, sɛ ɛyaw no mu yɛ den anaasɛ ɛnkɔ nna kakraa bi akyi a, wo ne wo duruyɛfo nkasa.
- Fie a wobɛkɔ: Esiane nnuru a wɔde ma wo a ɛma woda nti, worentumi nka kar anaa wonyɛ adwuma a asiane wom nnɔnhwerew 24. Ɛno nti na wubehia obi a ɔde wo bɛkɔ fie no.
Dɛn na wobetumi ahu wɔ TEE sɔhwɛ mu?
Saa sɔhwɛ yi betumi ama wɔanya koma no nhyehyɛe ne ne dwumadi ho nsɛm a ɛsom bo pii, na ama ayɛ mmerɛw ama oduruyɛfo no sɛ obehu aduruyɛ mu tebea horow.
| Ayaresa tebea a wotumi hu | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Aortic aneurysm a ɛma mogya tu | Mogya ntini titiriw a ɛde mogya fi koma no mu no fasu yɛ mmerɛw na ɛho ahonhon. |
| Mogya a ɛtwetwe | Hwɛ sɛ mogya a ɛretu wɔ koma no mu adan mu anaa. |
| Koma mu yare a wɔde awo obi | Koma mu dɛmdi ahorow a ɛba wɔ awo mu a wobehu. |
| Koma mu akisikuru | Kokoram anaa kokoram a enni akisikuru a ebetumi aba koma no mu a wobehu. |
| Koma mu ntini mu yare | Hwɛ a wɔbɛhwɛ sɛ koma no mu ntini no ayɛ teateaa anaasɛ mogya retu anaa. |
| Endocarditis a ɛde ɔyare mmoawa ba | Ɔyare mmoawa a ɛyɛ hu a ɛba koma no mu ntini anaa ntini ahorow mu. |
Nkrasɛm a Wɔde Kɔ Fie
- TEE yɛ scan titiriw bi a wɔfa wo esophagus mu a ɛma wo koma ho mfonini a emu da hɔ yiye.
- Wɔtaa yɛ eyi bere a ultrasound scan a wɔyɛ no daa wɔ koko no mu no mma wonnya nsɛm a ɛdɔɔso no.
- Wɔ sɔhwɛ no mu no, wɔbɛma wo nnuru a ɛbɛboa wo ma wo ho atɔ wo, wo ho adwo wo, na wo menewam nyɛ wo yaw. Eyi nyɛ sɔhwɛ a ɛyɛ yaw.
- Ɛho hia sɛ wudi mmuada nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no na woanya obi a ɔde kar bɛka wo akɔ fie wɔ sɔhwɛ no akyi.
- Wo ne wo duruyɛfo nkasa ansa na woayɛ nhwehwɛmu no fa ayaresa tebea biara a wowɔ, nnuru biara a wonom, ne ehu anaa dadwen biara a wowɔ ho. Ɛho hia paa ma w’ahobammɔ.
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