Momma yensua EBUS sɔhwɛ a wɔde mfoninitwa afiri di dwuma de hwɛ ahurututu no mu (Endobronchial Ultrasound) no ho ade.

Bere a wohwɛɛ wo X-ray anaa CT scan wiei no, so wo duruyɛfo ka kyerɛɛ wo sɛ yɛ EBUS nhwehwɛmu? Ebia sɛ wote edin no a, ehu ka wo kakra. "Dɛn ne EBUS? Wɔde biribi hyɛ w'ahurututu mu? Ɛbɛyɛ yaw?" Ebia nsɛmmisa pii wɔ w’adwene mu. Nha wo ho. Ɛnnɛ yɛbɛka EBUS sɔhwɛ yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so, wɔ kasa a wubetumi ate ase mu.

Sɛ yɛbɛka no tiawa a, dɛn ne EBUS?

Fa no sɛ oduruyɛfo no pɛ sɛ ɔhwɛ ɔhaw ketewaa bi a ɛwɔ w’ahurututu mu yiye. EBUS (Endobronchial Ultrasound) yɛ sɔhwɛ a ɛkɔ akyiri yiye a wɔyɛ wɔ mmere a ɛtete saa mu. Wɔ eyi mu no, wɔde afiri a ɛyɛ tratraa paa a kanea ne mfoninitwa afiri ketewa bi wɔ anim (yɛfrɛ eyi ``bronchoscope``) kɔ ahurututu no mu.

Nanso ade titiriw a ɛwɔ eyi ho ne sɛ, mfoninitwa afiri no akyi no, ``ultrasound`` scanner ketewa bi nso wɔ hɔ a wɔde abata tube no awiei ho. Te sɛ ultrasound scan a ɛhwɛ akokoaa a ɔwɔ awotwaa mu no, saa afiri ketewa yi tumi hu ntini ne ntini a ɛwɔ ahurututu no mu ne nea atwa ho ahyia no pefee . Eyi kyerɛ sɛ oduruyɛfo no betumi atra ahurututu no mu na watwa emu mfonini.

Dɛn ne EBUS sɔhwɛ ahorow atitiriw?

EBUS sɔhwɛ ahorow atitiriw pii wɔ hɔ. Wo duruyɛfo begyina w’ayaresa tebea so asi ɔkwan a eye ma wo ho gyinae.

Dɛn nti na wɔreka akyerɛ wo sɛ yɛ EBUS sɔhwɛ?

Mpɛn pii no, oduruyɛfo bɛkamfo EBUS akyerɛ bere a ɛsɛ sɛ wɔhwehwɛ biribi a wohuu wɔ X-ray anaa CT scan mu kɔ akyiri no. Saa nhwehwɛmu yi tumi hu nyarewa pii titiriw na wosi so dua.

• Sɛnea ɛbɛyɛ a wobehu ahurututu mu kokoram na wɔahu sɛnea ɛkɔ.
• Sɛnea ɛbɛyɛ a wobehu ɔhaw ahorow a ɛwɔ ahurututu no ntam (mediastinum).
• Sɛnea ɛbɛyɛ a wobehu ahurututu mu nyarewa ne akisikuru.
• Sɛnea ɛbɛyɛ a wobehu ahurututu mu tebea afoforo a ɛma ɔhyew te sɛ Sarcoidosis ne Silicosis.
• Sɛnea ɛbɛyɛ a wobɛhwɛ tebea horow te sɛ mframa kwan a ɛyɛ teateaa (stenosis) anaa.
• Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ akuru nketenkete bi wɔ ahurututu no mu (pulmonary nodules).

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?

Wo duruyɛfo bɛma wo akwankyerɛ pɔtee ansa na woayɛ nhwehwɛmu no. Nsuro sɛ wubebisa sɛ ebia biribi wɔ hɔ a wunnim ho hwee anaa. Mpɛn pii no, ɛho behia sɛ woyɛ nea edidi so yi:

• Yɛ mogya mu nhwehwɛmu bi ansa na wɔayɛ nhwehwɛmu no.
• Kwati adidi ne anonne nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ (mmuadadi).
• Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi (titiriw nnuru a ɛma mogya yɛ mmerɛw) nom nna kakraa bi . Ka nnuru a wonom nyinaa, vitamin mpo ho asɛm kyerɛ wo duruyɛfo.
• Nea ɛho hia sen biara: Esiane sɛ worentumi nka kar wɔ sɔhwɛ no akyi nti, di kan yɛ nhyehyɛe ma obi de wo kar bɛkɔ fie.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Ɛwom sɛ eyi betumi ayɛ te sɛ nea ɛyɛ hu kakra de, nanso nokwarem no ɛyɛ biribi a wɔayɛ no dwoodwoo kɛse na ɛnyɛ nea ɛhaw adwene biara.

Ansa na wɔreyɛ sɔhwɛ no

• Wɔbɛma woada mpa so na sɛ ɛho hia a, wɔbɛboa wo ma woakɔ gyinabea a ɛfata.
• Wɔde kankyee ketewaa bi (`(IV)`) gu ntini bi mu wɔ wo basa mu, a ɛnam soWɔbɛma wo nnuru a ɛma wo ho dwo anaa nnuru a wɔde kum nipadua no nyinaa na ama woate nka sɛ woada koraa. Eyi remma worente ɛyaw biara.
• Wɔde aduru a wɔde petepete w’ano anaa wo hwene mu a ɛma wo ho yɛ wo yaw. Eyi bɛboa ma wo ho atew biara a ebia wobɛte bere a wode afiri no ahyɛ mu no so.

Bere a wɔreyɛ sɔhwɛ no

Sɛ wɔma wo akisikuru na w’ano/wo menewa ayɛ mmerɛw a, ahurututu ho oduruyɛfo no de ahwɛyiye bɛhyɛ ahurututu mu afiri a wɔde hwɛ ahurututu mu afa w’ano anaa wo hwene mu akɔ w’ahurututu mu. Bere a wɔrehwɛ scan monitor no, wɔbɛhwehwɛ beae no mu. Sɛ ɛho hia a, wɔbɛfa ntini ketewaa bi (biopsy) akɔyɛ nhwehwɛmu. Adeyɛ no nyinaa betumi agye simma 30 kosi 90. Wɔde ahwɛyiye beyi tube no bere a wɔawie adeyɛ no.

Dɛn na wubetumi ahwɛ kwan wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ nhwehwɛmu no wie a, wɔde wo bɛto nnuruyɛfo a wɔhwɛ wo so bɛyɛ dɔnhwerew biako anaa abien. Sɛ wosan nya w’adwene na wugye di sɛ ɛnyɛ den mma wo sɛ wobɛmene a, wubetumi akɔ fie.

Nneɛma nketenkete a ɛnyɛ dɛ te sɛ eyinom betumi aba da koro anaa nnanu wɔ sɔhwɛ no akyi:

• Menewa a ɛyɛ yaw
• Ɛnne a ɛyɛ den
• Ɔfe kakra

Asiane ne mfaso bɛn na ɛwɔ sɔhwɛ yi so?

EBUS yɛ adeyɛ a asiane nnim koraa . Nanso, sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, nsɛnnennen bi wɔ hɔ a ɛntaa nsi a ebetumi aba. Nanso, mfaso a ɛwɔ saa adeyɛ yi so boro wɔn so koraa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ nsɛm bi a ɛhaw wo anaa sɛnkyerɛnne ahorow bi a ɛyɛ soronko a, frɛ wo duruyɛfo. Hwehwɛ nnuruyɛfo afotu ntɛm ara, titiriw sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a:

• Huraeɛ
• Koko mu yaw
• Ɔhome a ɛyɛ den
• Ɛyɛ den sɛ wobɛmene biribi
• Mogya a wɔfefe bere nyinaa
• Sɛ wontumi ntow nsu