So wote nka nso sɛ wo mene bere a womene no? Anaasɛ wuhu amane wɔ nneɛma te sɛ ɔfe a ɛkɔ so daa, wo koko mu yaw a ɛtaa yɛ, ne akisikuru ? Ebia wo duruyɛfo ahyɛ nyansa sɛ yɛ "Esophagoscopy" na woahu nea ɛde saa nneɛma yi ba. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na woayɛ nwonwa bere a wote saa din yi. Nanso mma ɛnhaw wo. Ɛnnɛ, yɛbɛka sɔhwɛ yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Esophagoscopy?
Esophagoscopy yɛ sɔhwɛ a wɔde hwɛ wo esophaguus mu . Esophagus yɛ afiri a ɛde aduan ne anonne fi menewa mu kɔ yafunu mu. Eyi yɛ sɔhwɛ bi a wɔfrɛ no endoscopy .
Fa no sɛ eyi, wɔde afiri tenten a ɛyɛ mmerɛw (endoscope) a mfoninitwa afiri ketewaa bi wɔ so na ɛyɛ eyi. Oduruyɛfo no de ahwɛyiye de saa afiri yi fa w’anom anaa wo hwene mu, de fa wo menewam, na ɔhwɛ mu wɔ screen so. Eyi ma wutumi hu pefee sɛ ebia yare, opira, anaa ɔhaw foforo bi wɔ aduan no mu anaa.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wote sɛ wɔde tube ahyɛ wo menewam no. Nanso wɔyɛ eyi sɛ ade a edi kan a wɔde behu nea ɛde wo haw no ba ankasa na ama wo ho atɔ wo.
Dɛn nti na wopɛ sɛ woyɛ sɔhwɛ yi?
Nneɛma pii nti na oduruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ. Titiriw no, wobetumi aka akyerɛ wo sɛ yɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a:
| Nsɛnkyerɛnne a ɛtaa ba |
|---|
| Ɔfe a ɛtra hɔ kyɛ. |
| Ɛyɛ den sɛ wobɛmene aduan anaasɛ wobɛte ɛyaw nka bere a woremene no. |
| Akisikuru ne ɔfe a ɛtaa ba. |
| Koma a ɛyɛ yaw a ɛkɔ so daa. |
Wɔ saa nneɛma yi akyi no, ɛtɔ mmere bi a wɔde saa kwan yi di dwuma de yi biribi te sɛ aduan asinasin a akɔhyɛ aduan mu, anaasɛ sɛ womene biribi wɔ akwanhyia mu a.
Afei nso, sɔhwɛ yi ho hia na ama wɔahu aduruyɛ mu tebea horow bi pɛpɛɛpɛ.
- GERD (Gastroesophageal Reflux Disease): Eyi ne nea yɛfrɛ no yare a ɛne yafunu mu acid a ɛba menewam mu ara kwa.
- Barrett’s esophagus : Nsakrae a ɛba esophagus nkwammoaa mu a GERD a ɛtra hɔ kyɛ de ba.
- Dysphagia : Sɛnea ɛbɛyɛ a wobehu nea ɛde ɛyɛ den sɛ wobɛmene aduan.
- Esophageal cancer : Sɛnea ɛbɛyɛ a wobehu sɛ kokoram nkwammoaa wɔ hɔ anaa .
- Laryngopharyngeal reflux (LPR): Yafunu mu acid san kɔ soro kɔ ɛnne nhama ne menewa mu.
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Wɔtaa yɛ nhwehwɛmu yi wɔ aduru a wɔde kum nipadua no mu sɛnea ɛbɛyɛ a worente ɛyaw anaa wo ho nyɛ wo dɛ biara. Enti, wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ wɔ sɛnea wubedi kan asiesie wo ho. Mpɛn pii no, ɛsɛ sɛ wuhu saa nneɛma yi.
1. Yɛ nhyehyɛe ma obi de wo kar nkɔ fie: Worentumi nka kar bere a wɔayɛ nhwehwɛmu no awie esiane nea efi nnuru a wɔde kum nipadua mu no mu ba nti. Enti, ɛho hia sɛ obi ka wo ho ma ɔde kar bɛfa wo akɔ fie.
2. Kwati aduan ne anonne: Wɔbɛtaa atu wo fo sɛ kwati sɛ wubedi anaa wobɛnom biribiara bɛyɛ nnɔnhwerew 8 ansa na wɔayɛ sɔhwɛ no.
3. Ka wo nnuru no ho asɛm kyerɛ wo duruyɛfo : Hwɛ hu sɛ wubedi kan abɔ wo duruyɛfo amanneɛ wɔ nnuru biara a worenom ho, titiriw nnuru a ɛma mogya yɛ mmerɛw anaa nhabannuru a wɔde ma. Ebia ɔbɛka akyerɛ wo sɛ gyae saa nnuru no nom bere tiaa bi.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Nea edi kan no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛma wo nnuru a ɛbɛma woada kakra anaasɛ ɛbɛma woate nka sɛ wo ho adwo wo. Enneɛ,
- Sɛ wɔde afiri no fa ano no mu a , wɔde aduru bi a ɛma obi ho tɔ no pete menewa no mu, na sɛ wɔde fa hwene no mu a, wɔde petepete hwene no mu.
- Afei oduruyɛfo no de endoscope tube no brɛoo paa na ɔde ahwɛyiye fa ano anaa hwene no mu na ɔde fa aduan no mu.
- Wɔhwɛ mfonini ahorow a efi mfoninitwa afiri a ɛwɔ afiri no mu no wɔ kɔmputa so na wɔhwehwɛ aduannoa no mu yiye.
- Sɛ baabi bi wɔ hɔ a ɛyɛ adwenem naayɛ a, wobetumi afa ntini ketewaa bi akɔyɛ mu nhwehwɛmu (biopsy) . Eyi bɛma yɛahu sɛnea saa nkwammoaa no te ankasa.
Eyi begye bere tenten ahe? So ɛbɛyɛ yaw?
Bere a wɔde yɛ no gu ahorow a egyina ɔkwan a wɔfa so yɛ nhwehwɛmu no so. Sɛ wɔde anom a wɔde hwɛ anom no gye bɛyɛ simma 15, bere a wɔde anom a wɔde hwɛ anom no betumi agye bɛyɛ simma 60.
Dabi, eyi nyɛ sɔhwɛ a ɛyɛ yaw. Wɔbɛma wo aduru a wɔde kum wo, enti worente ɛyaw biara. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wode afiri no ahyɛ mu no, nanso ɛnyɛ yaw.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Mpɛn pii no, eyi yɛ ayaresa a wɔde kɔ ayaresabea. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Nanso, ɛho behia sɛ wotra ayaresabea anaa ayaresabea nnɔnhwerew kakraa bi kosi sɛ nea efi aduru a wɔde kum nipadua no mu ba no bɛsɛe. Ebetumi agye bɛyɛ dɔnhwerew biako nso ansa na wo menewa ne wo hwene mu a ɛyɛ mmerɛw no afi hɔ.
Mfaso ne asiane bɛn na ɛwɔ sɔhwɛ yi so?
Mfaso titiriw a ɛwɔ sɔhwɛ yi so ne:
- Sɛnea wotumi hu tebea horow te sɛ GERD ne Barrett aduan mu ntini no pɛpɛɛpɛ .
- Sɛ wotumi hu kokoram nkwammoaa a ɛwɔ aduan mu no ntɛm a, ɛma wotumi fi ayaresa ase ntɛm.
- Sɛ́ wobetumi ayi nneɛma a akɔhyɛ nsu a ɛkɔ nsu no mu no afi hɔ dwoodwoo .
Esophagoscopy yɛ adeyɛ a ahobammɔ wom yiye. Nsɛnnennen ntaa mma. Sɛ ɛba a, wobetumi de aka ho:
- Mogya a ɛtɔ kakra
- Menewa a ɛyɛ yaw anaa opira
- Ade bɔne a ɛba bere a wɔde aduru a wɔde kum nipadua no mu yɛ den
- Perforation of the esophagus - Eyi ho yɛ na yiye, yiye.
So ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bere a wɔayɛ nhwehwɛmu no awie no?
Mpɛn pii no, oduruyɛfo no bɛka nea efi nhwehwɛmu no mu aba akyerɛ wo ntɛm ara. Nanso, sɛ wɔyɛɛ nipadua mu nhwehwɛmu a, ebia ebegye nna kakraa bi anaa dapɛn biako ansa na amanneɛbɔ no asan aba. Sɛ ɛba saa a, wɔbɛma wo da bi a wobɛkɔ akɔhwɛ oduruyɛfo no bere a amanneɛbɔ no asan aba no.
Nanso, sɛ wuhyia ɔhaw biara bere a wokɔ fie bere a wɔayɛ nhwehwɛmu no awie a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| Sɛ wuntumi nsiw mogya a ɛba hwene mu ano a | |
| Sɛ wowɔ menewam yaw a emu yɛ den yiye a | |
| Sɛ wowɔ koko mu yaw a emu yɛ den a | |
| Sɛ ɛyɛ den ma wo sɛ wobɛhome a | |
| Sɛ wo nya atiridii a | |
Wɔ tebea a ɛte saa mu no, ntwentwɛn wo nan ase sɛ wobɛfrɛ wo duruyɛfo anaasɛ wobɛkɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) .
Nkrasɛm a Wɔde Kɔ Fie
- Esophagoscopy yɛ sɔhwɛ a ɛho hia yiye na ahobammɔ wom a wode bɛhwɛ wo esophagus (aduan paipu) mu.
- Eyi nyɛ yaw. Wɔbɛma wo aduru a wɔde kum wo yare anaa aduru a ɛma wo ho tɔ wo, enti worente nka sɛ wo ho yeraw wo kɛse.
- Ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi (te sɛ aduan a wonni, nnuru a wɔde bɛbɔ amanneɛ) pɛpɛɛpɛ ansa na wɔayɛ nhwehwɛmu no.
- Sɛ wunya ɔhaw biara a emu yɛ den (ɛyaw a emu yɛ den, ɛyɛ den sɛ wobɛhome) wɔ sɔhwɛ no akyi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ sɔhwɛ yi ho haw bi a, wo ne wo duruyɛfo nka ho asɛm pefee. Afei obetumi akyerɛkyerɛ nea ɛhaw wo no mu.
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