So worete ɛyaw mpofirim wɔ wo yafunu mu baabi biako? So ebetumi ayɛ Epiploic Appenis?

So woanya ɛyaw a ano yɛ den mpofirim wɔ wo yafunu mu pɛn? Ɛte sɛ nea wubetumi de wo nsateaa akyerɛ. Yɛtaa suro wɔ mmere a ɛte sɛɛ mu, ɛnte saa? Ade biako nti a eyi ba ne tebea bi a wonnim no yiye, nanso ɛfata sɛ wuhu ho asɛm. Wɔfrɛ eyi sɛ Epiploic Appendix. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra de, nanso momma yɛnkyerɛkyerɛ mu tiawa.

Enti dɛn ne Epiploic Appendix?

Sɛ yɛbɛka no tiawa a, Epiploic Appenthes yɛ ɛyaw a efi ase mpofirim wɔ wo yafunu mu. Edin no kyerɛ " inflammation of an epiploic appendix." Okay, seesei worebisa wo ho sɛ dɛn ne saa "epiploic appendages" yi. Wɔyɛ ntini nketenkete a srade wom a ɛsensɛn yɛn akyi berɛmo no akyi. Fa no sɛ bobe nketewa a ɛsensɛn bobe dua so.

Enti, sɛ srade ketewaa yi (epiploic appendage) twitwiw mpofirim (torsion) a, dɛn na ɛba? Afei wotwa mogya a ɛkɔ hɔ no mu. Fa no sɛ nsu afiri bi a wɔakyinkyim no denneennen wɔ baabi biako. Afei nsu no remfa mu, ɛnte saa? Saa na ɛba bere a wɔakyinkyim ɔfã a srade wom yi no. Sɛ wotwa mogya no mu a, saa ɔfã no ho yɛ hyew, na ɛkyerɛ sɛ ɛhohoro, ɛyɛ kɔkɔɔ, na ɛma ɛyɛ yaw. Ɛno ne ɛyaw a wote wɔ wo yafunu mu.

Mpɛn pii no, ɛyaw yi ba mpofirim koraa. Wubetumi ahu baabi a ɛyɛ yaw no pɛpɛɛpɛ. Nanso esiane sɛ saa tebea yi ntaa mma nti, ɛtɔ mmere bi a nnuruyɛfo mpo tumi de frafra tebea afoforo a ɛde yafunu mu yaw a ɛtaa ba no mu. Nhwɛsoɔ:

• Appendicitis - Wei kyerε sε appendix no ho hyehyee.
• Cholecystitis - Wei kyerε sε akisikuru no ho hyehyee.
• Diverticulitis - Eyi yɛ ɔfe a ɛba nkotoku nketewa a ɛwɔ dwensɔtwaa kɛse no fasu mu no mu.

Epiploic Appendigitis abu so dɛn?

Ɛyɛ den sɛ yɛbɛka sɛnea eyi abu so ankasa, efisɛ mpɛn pii no ebetumi akɔ so a wonhu. Nhwehwɛmufo bu akontaa sɛ nnipa a wɔde wɔn kɔ ayaresabea esiane yafunu mu yaw mpofirim nti no mu bɛyɛ 1% betumi anya saa tebea yi. Afei nso, nnipa a wɔahu sɛ wɔwɔ diverticulitis anaa appendicitis no mu bɛyɛ 5% wɔ nea wɔfrɛ no epiploic appendicitis ankasa. Ɛno kyerɛ sɛ ɛtɔ da bi a, bere a ebia yebesusuw sɛ ɛyɛ aniberesɛm no, nea ɛde ba no betumi ayɛ biribi a ɛyɛ mmerɛw te sɛ eyi.

So Epiploic Appendagitis yɛ tebea a emu yɛ den?

Ade a ɛho hia ni: Mpɛn pii no, epiploic appendagitis nyɛ tebea a emu yɛ den.Nanso, sɛnea yɛadi kan aka no, ɔhaw no ne sɛ wobetumi de afrafra tebea afoforo a emu yɛ den mu. Nea ɛnte sɛ tebea afoforo no, eyi taa gyae a wɔmfa ayaresa pɔtee biara nka ho. Srade a ayɛ hyew (epiploic appendage) no wow bere kɔ so, ɛyɛ calcified, na awiei koraa no, efi akyi berɛmo no mu hwe ase. Ɔhonhon ne ɛyaw no nyinaa kɔ.

Enti kae sɛ eyi nyɛ biribi a ɛsɛ sɛ wobɔ hu wɔ ho. Nanso, sɛ wo yafunu mu yɛ wo yaw a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.

Dɛn na ɛde eyi ba?

Nneɛma atitiriw abien na ɛde Epiploic Appendigitis ba: Nea ɛde ba titiriw ne nea ɛto so abien.

Nneɛma atitiriw a ɛde ba

Eyinom yɛ nneɛma a efi ase wɔ saa srade asinasin (appendage) no mu pɛɛ.

• Torsion: Mpɛn pii no (bɛyɛ 75%) saa tebea yi fi srade a wɔaka ho asɛm no a ɛkyinkyim no. Esiane saa twitwiw yi nti, ɛkame ayɛ sɛ mogya a ɛkɔ mu no twa koraa, na ntini ahorow no wuwu esiane mogya a ɛyera nti . Wɔfrɛ eyi (Infarction) wɔ aduruyɛ ho nyansahu mu.
• Thrombosis: Ɛntaa mma koraa sɛ mogya a ɛtɔ gu ntini bi mu wɔ saa srade a ɛwɔ hɔ yi mu, na esiw mogya a ɛbɛkɔ no kwan .

Nneɛma a ɛto so abien a ɛde ba

Eyinom ne nea ɛntaa nsi koraa. Nea ɛba ne sɛ ɔhaw bi a ɛwɔ baabi foforo na ɛka srade asinasin yi.

• Ɔyare bi a efi beae foforo trɛw: Sɛ nhwɛso no, sɛ ɔyare bi wɔ yafunu no mu baabi foforo a, ebetumi atrɛw akɔ srade a ɛyɛ kurukuruwa yi mu.
• Ntini a atwa ho ahyia no a ɛho ahonhon a ɛma srade a atwa ho ahyia no hohoro: Ɛtɔ mmere bi a, sɛ ntini a atwa ho ahyia no hohoro a, ebetumi ama srade a atwa ho ahyia no ayɛ kɛse na ɛde ɔhaw ahorow aba.

Hena na ɔwɔ asiane kɛse ma eyi?

Nhwehwɛmu bi ada no adi sɛ nnipa binom taa nya Epiploic Appendigitis. Ma yɛnhwɛ nnipa ko a wɔyɛ.

• Nnipa a wɔayɛ kɛse mmoroso : Ebia eyi te saa efisɛ srade nkwammoaa yi nso betumi ayɛ akɛse wɔ nnipa a wɔn nipadua mu srade boro so no mu .
• Nnipa a wɔwɔ akisikuru: Akisikuru yɛ akwaa anaa ntini bi a ɛwɔ nipadua no mu a ɛpuepue fa baabi a ɛyɛ mmerɛw wɔ nipadua no mu.
• Nnipa a wɔwɔ diverticulosis (nkotoku nketenkete a ɛwɔ dwensɔtwaa kɛse no mu): Asiane no nso dɔɔso wɔ tebea yi mu.
• Nnipa a wɔteɛteɛ wɔn apɔw mu denneennen: Ɛtɔ mmere bi a, nneɛma a ɛte sɛɛ betumi asi bere mpo a woteɛteɛ w’apɔw mu denneennen sen sɛnea wususuw no.
• Nnipa a wɔadi mfe mfinimfini (wɔadi mfe 40-50): Nnipa a wɔwɔ saa mfe yi mu hu pii kakra.
• Mmarima afã:Wɔkyerɛ sɛ eyi abu so wɔ mmarima mu sen mmea.

Nanso ɛnyɛ obiara na onya eyi esiane sɛ ɔwɔ saa nneɛma a ɛde asiane ba yi ara kwa nti , na ebetumi aba obi a onni eyinom mu biara nso mu.

Dɛn ne eyi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw ne ɛyaw a ɛba yafunu no fã biako. Eyi betumi afi ase mpofirim na akɔ so adapɛn pii. Epiploic appendages no wɔ yɛn akyi berɛmo no ase. Enti, wɔtaa te ɛyaw yi nka wɔ yafunu no ase. Nnipa baanan biara mu baasa ka sɛ ɛyaw wɔ wɔn yafunu no ase. Na bɛboro fã ka sɛ ɛwɔ benkum so.

Wɔaka ɛyaw yi ho asɛm sɛnea edidi so yi:

• Sharp: Te sɛ sekan a wɔde sekan abɔ obi.
• Daa: Ɛkɔ so, nsakrae ka ho anaasɛ ɛnsakra.
• Intense: Ɛyɛ den araa ma ɛyɛ den sɛ wobɛgyina ano.

Afei nso, ɛyaw no betumi ayɛ kɛse wɔ mmere te sɛ eyinom mu:

• Bere a ɔfefe
• Bere a wɔretrɛw nipadua no mu no
• Bere a worehome denneennen no

Ɛyaw yi akyi no, wobetumi ahu sɛnkyerɛnne afoforo pii:

• Awɛmfo: Fa no sɛ sɛ obi bɔ mmɔden sɛ ɔde ne nsa bɛka wo yafunu a, wo ara wobɛkyekyere baabi a wobɛfa no denneennen, te sɛ nea wode wo nsa akata so. Ɛno ne nea yɛfrɛ no 'awɛmfo'.
• Rebound tenderness: Sɛ oduruyɛfo no mia wo yafunu so na afei oyi ne nsa mpofirim a, ɛte sɛ nea ɛyaw no kɔ soro sen kan no.
• Ade a wotumi de wɔn nsa ka: Ɛtɔ mmere bi a, srade a ɛyɛ hyew (appendage) no betumi ahonhon araa ma sɛ wofi akyi ka a, ɛte sɛ akuru.

Saa nsɛnkyerɛnne yi te sɛ nyarewa a yɛadi kan aka ho asɛm te sɛ appendicitis, cholecystitis, ne diverticulitis ho sɛnkyerɛnne. Nanso, wɔ saa nyarewa no mu no, mpɛn pii no, sɛnkyerɛnne afoforo te sɛ atiridiinini, akisikuru , ne ɔfe . Enti, sɛ wowɔ ɛyaw a ano yɛ den wɔ yafunu no mu baabi te sɛ eyi, nanso wunni saa sɛnkyerɛnne afoforo no (te sɛ atiridii ne ɔfe) a, ebia oduruyɛfo no besusuw sɛ Epiploic Appenthes.

Wobɛyɛ dɛn ahu eyi?

Oduruyɛfo a ɔhwɛ mframa so betumi ayɛ ultrasound scan anaa CT scan (computed tomography scan).Kyerɛ tebea yi sɛ Epiploic Appendagiti.** Mpɛn pii no, wonhu epiploic appendix a ɛte apɔw wɔ saa scan ahorow yi so. Nanso, wotumi hu obi a ne ho ayɛ hyew no pefee. Nea enti a ɛte saa ne sɛ ɔfe no ma nsu hyɛ mu ma na ɛda adi sɛ ɛhyerɛn wɔ scan no so. Ɛda adi sɛ ade a ɛte sɛ kurukuruwa wɔ baabi a ɛyaw no wɔ no ara pɛ.

Dɛn ne ayaresa a eye sen biara ma eyi?

Nnuruyɛfo taa fi ase denam nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa (NSAID) a wɔde ma so . Eyinom brɛ ɔfe ne ɛyaw ase. Sɛ nhwɛso no, ibuprofen. Sɛ ɛho hia a, wobetumi de nnuru afoforo a wɔde kum ɛyaw aka ho. Nnipa dodow no ara nya ahotɔ ntɛm wɔ nnuru yi mu. Sɛ eyi mmoa a, wɔ nsɛm a ɛntaa nsi mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi akyi berɛmo a ɛho ayɛ hyew no fi hɔ.

Bere tenten ahe na ɛtaa gye ansa na Epiploic Appendigitis asa?

Sɛ wɔannya ayaresa mpo a, Epiploic Appenthes ho sɛnkyerɛnne ntaa ntra hɔ bɛboro dapɛn biako. Wɔ tebea horow bi mu no, wotumi di adapɛn anan. Nanso, sɛ wɔde nnuru di dwuma a, mpɛn pii no, yare no ho sɛnkyerɛnne no fi hɔ wɔ nna kakraa bi mu. Enti, biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Bere bɛn na ɛho hia sɛ wɔyɛ oprehyɛn?

Oprehyɛn a wɔyɛ ma epiploic appenthes no ho yɛ na yiye. Nanso, sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye koraa, anaasɛ adwenem naayɛ da so ara wɔ wo yare no ho a, ebia ɛho behia sɛ wo duruyɛfo no hwɛ wo yafunu mu na wahu nea ɛde ɛyaw a ɛkɔ so daa no ba ankasa.

Wɔde oprehyɛn bi a ɛnyɛ den pii a wɔfrɛ no laparoscopy di dwuma de yɛ eyi. Wɔ saa adeyɛ yi mu no, oduruyɛfo no twa wo yafunu mu nketenkete abiɛsa anaa anan (bɛyɛ nsateakwaa fã) na ɔde mfoninitwa afiri ketewaa bi a wɔfrɛ no laparoscope fa mu. Oduruyɛfo a ɔyɛ oprehyɛn no de video mfoninitwa afiri hwɛ mfonini ahorow no wɔ screen so na afei ɔde nnwinnade atenten a ɛyɛ tratraa fa ntwitwiridii nketenkete no mu de yi akyi berɛmo a ayɛ hyew no fi hɔ.

Dɛn ne asɛm a etwa to a woka wɔ tebea yi ho?

Epiploic appenthes betumi ayɛ yaw na ɛyɛ hu. Nanso sɛ yɛbɛka no ɔkwan biara so a, ɛnyɛ biribiara a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho. Nea ɛnte sɛ wo appendix, gallbladder, anaa diverticula no, epiploic appendage no nni asiane mu sɛ ɛbɛpaapae esiane ɔfe nti. Mpɛn pii no, ɔfe no brɛ ase nkakrankakra, srade a ɛyɛ kurukuruwa no wu, na biribiara ba awiei wɔ dapɛn biako mu.

So abusuabɔ bi wɔ Epiploic Appendigitis ne Kokoram ntam?

Abusuabɔ biara nni Epiploic Appenfects ne kokoram ntam a wonim, enti mma ɛnhaw wo.

So nnuan bi wɔ hɔ a ɛsɛ sɛ yedi anaa yɛkwati de asiw eyi ano?

Abusuabɔ biara nni Epiploic Appendagiti ne w’adidi ntam a wonim. Enti, nnuan pɔtee biara nni hɔ a ɛsɛ sɛ yedi anaa yɛkwati.

Enti, sɛ wowɔ Epiploic Appendigitis da bi a, ebia ɛbɛyɛ bere a edi kan ne nea etwa to a wobɛte ho asɛm. Ebia ɛyaw a ɛba mpofirim no ama ehu aka wo, na ebia wubewie sɛ wobɛkɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu, a wususuw sɛ biribi a anibere wom rebɛba. Nanso Epiploic Appendigitis ayaresa no yɛ mmerɛw yiye, na wɔntaa nhia oprehyɛn. Ebia wobɛba fie a wode asɛm bi a ɛyɛ nwonwa bɛka akyerɛ obiara a wɔntee ho asɛm da.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

• Epiploic appenthes yɛ yafunu mu yaw a ɛba mpofirim a srade ketewaa bi a ɛsensɛn dwensɔtwaa kɛse no akyi (colon) no twitwiw, mogya a ɛyera, na ɛyɛ hyew na ɛde ba.
• Ɛwom sɛ mpɛn pii no wobetumi de eyi afrafra tebea afoforo te sɛ appendicitis , nanso mpɛn pii no sɛnkyerɛnne ahorow te sɛ atiridiinini ne ɔfe nyɛ den pii.
• Eyi nyɛ tebea a emu yɛ den, na mpɛn pii no, ɛno ankasa sa wɔ dapɛn biako anaa abien ntam.
• Wɔde nnuru a wɔde kum ɛyaw ne nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) titiriw na wɔde sa yare. Wɔntaa nhia oprehyɛn.
• Nanso, sɛ wo yafunu mu yɛ wo yaw mpofirim a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu, efisɛ ebetumi ayɛ tebea foforo a emu yɛ den ho sɛnkyerɛnne.

Enti mewɔ anidaso sɛ mowɔ ntease pa wɔ Epiploic Appendis ho. Kɔ so nya apɔwmuden!