So worehyia ɔhaw ahorow wɔ wo dwensɔtwaa ketewa no ho? Momma yensua enteroscopy ho ade.

Ebia woate oduruyɛfo no sɛ ɛsɛ sɛ wɔde mfoninitwa afiri hyɛ wo yafunu mu na wɔahwɛ. Mpɛn pii no, yɛfrɛ eyi endoscopy. Nanso so wunim sɛ ɔkwan foforo bi wɔ hɔ a wobɛfa so ahwehwɛ ɔhaw ahorow a ɛwɔ wo dwensɔtwaa mu tɔnn a endoscopy a wɔyɛ no daa ntumi nyɛ? Ɛno ne nea yɛfrɛ no enteroscopy. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi so a wubetumi ate ase.

Dɛn ne enteroscopy kɛkɛ?

Sɛ yɛbɛka no tiawa a, enteroscopy yɛ adeyɛ a ɛnyɛ oprehyɛn a ɛhwehwɛ wo dwensɔtwaa ketewa no mu. Eyi ma wo duruyɛfo tumi hu tebea horow a ɛwɔ wo dwensɔtwaa ketewaa no mu a ontwitwa.

Afei ebia woresusuw nsonsonoe a ɛda endoscopy ne eyi ntam no ho. Fa w’adidi nhyehyɛe no sɛ ɔkwan tenten bi. Endoscopy a wɔyɛ no daa no betumi ahwɛ ɔkwan yi atifi fã a ɛyɛ aduannoa, yafunu, ne dwensɔtwaa ketewaa no fã a edi kan no nkutoo. Nanso dwensɔtwaa ketewa no tenten yɛ mita pii. Wɔde enteroscopy di dwuma de kɔ saa ɔfã tenten no mu.

Mfiri a wɔde yɛ eyi no te sɛ nea wɔde yɛ endoscopy. Ɛne sɛ, afiri a ɛyɛ tratraa a mfoninitwa afiri ne kanea wɔ n’awiei. Nanso ade titiriw a ɛwɔ eyi mu ne sɛ wɔde mfiridwuma ho nimdeɛ a ɛma wotumi fa afiri no mu kɔ akyiri kɛse wɔ dwensɔtwaa ketewa no mu.

Bere bɛn na ɛho hia sɛ wɔyɛ enteroscopy?

Mpɛn pii no, oduruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu yi sɛ wosusuw sɛ wowɔ ɔhaw bi wɔ wo dwensɔtwaa ketewaa no ho a nhwehwɛmu afoforo ntumi nhu a. Ma yɛnhwɛ nea saa tebea horow no yɛ.

Ɛnyɛ sɛ wɔde enteroscopy di dwuma de hu nyarewa nko. Ɛtɔ da bi a, wɔde saa kwan yi nso di dwuma de yɛ ayaresa nketenkete bere koro mu.

• Biopsy: Woyi ntini ketewaa bi fi dwensɔtwaa no fã bi a ɛyɛ adwenem naayɛ mu na wɔde kɔ aduruyɛdan mu kɔhwehwɛ nea ɛyɛ ankasa.
• Polyp a woyi fi hɔ: Yi polyps a wompɛ a ayɛ wɔ akyi berɛmo no mu no fi hɔ.
• Baabi a mogya retu no a wobɛma agyae: Sɛ baabi a mogya retu te sɛ kuru bi wɔ hɔ a, hyew no na ama mogya no agyae.
• Beae a ɛyɛ teateaa a wobɛtrɛw mu: Sɛ baabi a ɛyɛ teateaa anaa asiw wɔ dwensɔtwaa no mu a, trɛw mu kakra na ama ayɛ mmerɛw sɛ aduan bɛfa mu.

So enteroscopy ahorow bi wɔ hɔ? Momma yɛnhwɛ.

Yiw, akwan pii wɔ hɔ a wɔfa so yɛ sɔhwɛ yi. Momma yɛnte wɔn ase kɛkɛ.

Ɛwɔ ahorow abien a egyina sɛnea wɔde afiri no hyɛ mu so.

1. Upper Enteroscopy (Oral Method): Wɔ eyi mu no, wɔde adwinnade no fa ano no mu, fa aduan no mu kɔ yafunu no mu, na efi hɔ kɔ dwensɔtwaa ketewa no mu.

2. Lower Enteroscopy (ɔkwan a wɔfa so yɛ akyi berɛmo): Wɔ eyi mu no, wɔde adwinnade no fa akyi berɛmo no mu, fa dwensɔtwaa kɛse no mu, na wɔhwehwɛ fi dwensɔtwaa ketewa no ase kɔ soro.

Nneɛma ahorow a egyina sɛnea afiri no kɔ n’anim wɔ dwensɔtwaa no mu so

Wɔde akwan horow di dwuma de ma saa afiri yi kɔ anim kɔ dwensɔtwaa no mu.

• Double balloon: Eyi yɛ ɔkwan a ɛyɛ anigye yiye. Afiri no wɔ balloon abien. Sɛ wɔbɔ balloon biako mu na ɛkyekyere baabi biako wɔ dwensɔtwaa no mu a, biako no kɔ n’anim. Afei sɛ wɔma mframa gu mu a, mframa no dum. Ɛkɔ n’anim te sɛ ɔkraman.
• Ɔkwan a wɔfa so yɛ balloon biako: Wɔ saa kwan yi so no, wɔde balloon biako pia afiri no kɔ anim.
• Spiral overtube (ɔkwan a wɔfa so yɛ spiral):Wɔ eyi mu no, wɔdannan ɔfã a ɛyɛ nkuruwankuruwa a ɛwɔ afiri no awiei no te sɛ nkɔnsɔnkɔnsɔn, na wɔde afiri no kɔ n’anim wɔ dwensɔtwaa no mu.

Wo duruyɛfo no begyina wo tebea ne beae a ɛsɛ sɛ wɔhwehwɛ mu no so besi akwan yi mu nea ɛfata wo ho gyinae. Mpɛn pii no, yafunu mu yafunu ho animdefo na wɔyɛ nhwehwɛmu ahorow yi.

Dɛn na ɛba ansa na sɔhwɛ yi aba ne bere a ɛrekɔ so?

Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?

W’ahosiesie no gyina sɛ ebia wɔde ano (atifi) anaa akyi berɛmo (ase) na ɛyɛ sɔhwɛ no so.

• Sɛ wɔfa ano na ɛyɛ (Upper Enteroscopy): Wɔbɛtu wo fo sɛ gyae adidi ne anom koraa nnɔnhwerew kakraa bi ansa na wɔayɛ nhwehwɛmu no, efisɛ ɛho hia sɛ nhwehwɛmu no mu da hɔ na yafunu ne dwensɔtwaa no da mpan.
• Sɛ wɔfa akyi berɛmo no mu yɛ a (Lower Enteroscopy): Eyi hwehwɛ sɛ wɔyɛ dwensɔtwaa . Wɔbɛma wo nsu titiriw bi a wobɛnom. Sɛ wonom a, wo yafunu ho bɛtew yiye na wo dwensɔtwaa ho atew koraa.
• Afotu foforo: Sɛ worenom nnuru biara te sɛ nea ɛma mogya tew a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Ebia wɔbɛka akyerɛ wo sɛ gyae wɔn nom nna kakraa bi ansa na wɔayɛ sɔhwɛ no.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Saa sɔhwɛ yi taa gye simma 45 kosi nnɔnhwerew 2 . Worente ɛyaw biara nka wɔ saa bere yi mu.

1. Nea edi kan no, wɔbɛma wo aduru a wɔde kum wo yare anaa aduru bi a ɛma wo ho dwo . Eyi bɛboa wo ma woada koraa bere a wɔreyɛ sɔhwɛ no anaasɛ wobɛkɔ so agye w’ahome a wonte biribiara nka.

2. Sɛ wɔde ano yɛ a, wɔde aduru bi petepete ne menewa mu ma ɛyɛ mmerɛw.

3. Afei oduruyɛfo no de ahwɛyiye de afiri no fa ano anaa akyi berɛmo no mu na ɔde nkakrankakra kɔ anim wɔ akyi berɛmo no mu.

4. Mfonini ahorow a efi afiri no mfoninitwa afiri no mu no bɛda adi wɔ screen kɛse bi so. Oduruyɛfo no hwɛ wɔn bere a ɔreyɛ nhwehwɛmu no.

5. Sɛ wuhu baabi a ɔhaw bi wɔ a, wubetumi afa ntini mu nhwɛsode (biopsy) anaasɛ woayɛ ayaresa foforo ntɛm ara, sɛ ɛho hia a.

Dɛn na wubetumi ahwɛ kwan bere a wɔayɛ enteroscopy awie no?

Wɔtaa yɛ eyi wɔ ayarefo a wɔda abɔnten so. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Nanso kae sɛ ebia wobɛte nka sɛ woada anaasɛ woabow nsa esiane nnuru a wɔde da a wɔde ma wo nti.

Ebia ɔhaw nketenkete bi bɛba wɔ sɔhwɛ no akyi. Mpɛn pii no, eyinom yera koraa wɔ da koro anaa nnanu mu.

So asiane bi wɔ eyi mu? Bere bɛn na ɛsɛ sɛ me ne oduruyɛfo no kasa?

Mpɛn pii no, enteroscopy yɛ adeyɛ a ahobammɔ wom koraa, nanso sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane nketenkete bi wɔ hɔ.

• Nsɛnnennen a efi nnuru a wɔde kum nipadua no mu ba
• Mogya a ɛtɔ gu nipadua no mu
• Pancreatitis a ɛyɛ yare
• Perforation of the tissue a afiri no afa mu - Eyi ho yɛ na yiye.
• Paralytic ileus (dwensɔtwaa no dwumadi a egyae bere tiaa bi) .

Wo duruyɛfo bɛfrɛ wo abɛka nea efi nhwehwɛmu no mu aba ho asɛm anaasɛ ɔbɛyɛ nhyehyɛe ama woaba mu da foforo. Wɔbɛkyerɛkyerɛ nea sɔhwɛ no hui ne nea ɛsɛ sɛ wɔyɛ akyi.

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