Ɛtɔ mmere bi a, sɛ wokɔ wo duruyɛfo nkyɛn esiane yafunu mu yaw, mogya a ɛwɔ wo nsu mu, anaa nsakrae a ɛba wo dwensɔtwaa mu nti a, ebia ɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu bi a wɔfrɛ no ‘Flexible Sigmoidoscopy’. Ebia edin yi a wobɛte no bɛma woasuro kakra. Ɛyɛ ade a ɛfata sɛ wubesusuw ho sɛ, ‘Sɔhwɛ bɛn na eyi yɛ? So ɛbɛyɛ yaw? Dɛn na ɛsɛ sɛ meyɛ?’ Enti mma ɛnhaw wo. Ɛnnɛ, yɛrebɛka biribiara a ɛsɛ sɛ wuhu fa sɔhwɛ yi ho ho asɛm.
Dɛn ankasa ne Flexible Sigmoidoscopy sɔhwɛ yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a ɛhwehwɛ wo dwensɔtwaa a ɛwɔ fam ne wo dwensɔtwaa mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ sɔhwɛ a oduruyɛfo de hwehwɛ wo akyi berɛmo ne wo dwensɔtwaa ase (sigmoid colon) afasu mu .
Adwinnade a wɔde yɛ eyi no, wɔfrɛ no ‘sigmoidoscope’. Ɛyɛ afiri a ɛyɛ tratraa paa na ɛyɛ mmerɛw. Ɛwɔ mfoninitwa afiri ketewaa bi ne kanea bi wɔ n’awiei. Oduruyɛfo no de saa afiri yi fa wo dwensɔtwaa mu na ɔhwɛ mfonini ahorow a efi mfoninitwa afiri no mu wɔ afiri a wɔde hwɛ nneɛma so so hwɛ wo dwensɔtwaa no mu.
Afei, ma yɛnhwɛ nea enti a oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi.
| Nsɛnkyerɛnne / Nea ɛde ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Yafunu mu yaw | Sɛ wowɔ yafunu mu yaw a ɛkɔ so daa a wontumi nkyerɛkyerɛ mu a. |
| Mogya a ɛba akyi berɛmo mu | Sɛ mogya wɔ nsu mu anaa mogya wɔ tiafi akyi a. |
| Nsakrae a ɛba wɔ dwensɔtwaa mu | Sɛ mpofirim ara wufi ase nya nsu a ɛho ayɛ hare, wo ho yɛ wo hyew, anaasɛ n’abien nyinaa sesa. |
| Kokoram ho nhwehwɛmu | Wɔde eyi nso di dwuma sɛ sɔhwɛ a wɔde hu kokoram a ɛwɔ akyi berɛmo anaa akyi berɛmo mu ntɛm. |
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?
Eyi yɛ ɔfã a ɛho hia paa. Wo ntoboa ho hia na ama sɔhwɛ no ayɛ pɛpɛɛpɛ.
Nea edi kan no, hwɛ hu sɛ wobɛka saa nneɛma yi akyerɛ wo duruyɛfo.
Sɛ woreyɛ wo nhwehwɛmu ho nhyehyɛe a, ka saa nsɛm yi kyerɛ wo duruyɛfo. Mfa nsie, efisɛ ɛho hia paa ma w’ahobammɔ.
- Sɛ woanyinsɛn anaasɛ ebia wobɛnyinsɛn a.
- Sɛ wowɔ ahurututu anaa komayare bi a .
- Sɛ wowɔ aduru biara ho adwenemhaw a .
- Sɛ wowɔ asikreyare (Diabetes Mellitus) a .
- Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (e.g., Aspirin, Clopidogrel, Warfarin).
Sɛ eyi te saa a, ebia wo duruyɛfo betu wo fo sɛ sesa nnuru dodow a wode di dwuma no anaasɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na woayɛ nhwehwɛmu no.
Nnuan a Wɔde Siesie Adwennwen
Sɛ wubehu sɔhwɛ no yiye a, ɛsɛ sɛ wo dwensɔtwaa a ɛwɔ fam no da mpan koraa na ɛho tew. Sɛ ɛnte saa a, sɛ asɛnka agua wɔ hɔ a, mfoninitwa afiri no rentumi nhu afasu a ɛwɔ mu no yiye.
Kae sɛ, sɛ sɔhwɛ no bɛyɛ yiye a, ɛsɛ sɛ wo dwensɔtwaa ho tew koraa. Enti di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
Eyi nti, oduruyɛfo no taa de afotu te sɛ eyi ma:
- Nsu a emu da hɔ a wodi: Da a edi sɔhwɛ no anim no, nom nsu a emu tew te sɛ nsu, tii, soup, ne broth nkutoo. Nni nnuan a ɛyɛ den. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
- Aduru a wɔde tew yafunu mu: Ebia wɔbɛma wo nsu anaa aduru bi a wobɛnom.
- Enema: Nnɔnhwerew kakraa bi ansa na wɔayɛ nhwehwɛmu no, ebia wɔbɛka akyerɛ wo sɛ fa enema yi wo dwensɔtwaa ase koraa.
Akwankyerɛ ahorow yi a wobedi akyi pɛpɛɛpɛ no bɛka sɔhwɛ no mu aba a ɛbɛkɔ yiye no kɛse.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Saa sɔhwɛ yi taa gye bɛyɛ simma 10 kosi 20 . Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Mpɛn pii no, wɔremma wo aduru a ɛma obi dwensɔ koraa, na ɛno kyerɛ sɛ wobɛte ase.
1. Nea edi kan no, wɔbɛka akyerɛ wo sɛ da mpa bi benkum so, na wo nkotodwe kotow kyerɛ wo moma so.
2. Afei oduruyɛfo no de ahwɛyiye kɛse de afiri a ɛyɛ tratraa (sigmoidoscope) no bɛhyɛ wo akyi berɛmo mu na wakyerɛ no kwan akɔ wo dwensɔtwaa no ase.
3. Sɛnea ɛbɛyɛ na wɔahu dwensɔtwaa no afasu yiye no, wɔde mframa kakraa bi gu dwensɔtwaa no mu de ma dwensɔtwaa no mu yɛ hyew. Saa bere yi de, ebia wobɛte nka sɛ woayɛ ma kakra na gas ayɛ wo.
4. Saa bere yi de, ebia wobɛte yafunu mu yaw kakra anaasɛ wo ho nyɛ wo dɛ. Sɛ wote nka saa a, nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛhome brɛoo kakra. Saa ɔhaw no so bɛtew kɛse.
5. Oduruyɛfo no hwehwɛ dwensɔtwaa no mu afasu mu yiye na afei oyi afiri no fi mu.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Sɛ wowie sɔhwɛ no ara pɛ a, oduruyɛfo no ne wo bɛbɔ nea ebefi mu aba no ho nkɔmmɔ.
- Sɛ wɔmfa nnuru a ɛma obi dwensɔ nni dwuma a, wubetumi adidi na woayɛ adwuma sɛnea ɛsɛ. Ɔhaw biara nni hɔ.
- Sɛ oduruyɛfo no hu nyini bi a ɛnteɛ, te sɛ polyps , bere a wɔreyɛ nhwehwɛmu no a, obetumi afa mu kakraa bi de ayɛ nhwehwɛmu. Wɔfrɛ eyi biopsy .
- Ɛtɔ da bi a, ebia ɔbɛkamfo akyerɛ wo nso sɛ wonyɛ colonoscopy, na ɛhwehwɛ akyi berɛmo no nyinaa mu.
So asiane anaa nsɛnnennen bi wɔ eyi mu?
Mpɛn pii no, wɔ sɔhwɛ no akyi no, ebia wobɛte yafunu mu yaw anaa gas kakra nka, nanso eyi befi hɔ koraa wɔ simma anaa nnɔnhwerew kakraa bi mu.
Nanso, ɔhaw a ɛntaa nsi na ɛyɛ aniberesɛm ne sɛ dwensɔtwaa no mu tokuru bere a wɔreyɛ oprehyɛn no. Eyi ntaa mma, nanso sɛ ɛba a, ɛho hia sɛ wɔsa yare ntɛm ara.
Enti, sɛ wuhu sɛnkyerɛnne a ɛwɔ ase ha yi bi wɔ nhwehwɛmu no akyi a, nkyɛ na frɛ wo duruyɛfo ntɛm ara. Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
| Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara | |
|---|---|
| Yafunu mu yaw a emu yɛ den | Sɛ wowɔ yafunu mu yaw a wuntumi nnyina ano a. |
| Atiridii ne awɔw | Sɛ wo nipadua te nka sɛ ɛyɛ hyew na wote nka sɛ wo ho ayɛ wo hyew a. |
| Mogya a ɛba akyi berɛmo mu dodo | Ɛnyɛ kakra, na mmom ɛboro mogya teaspoon biako prɛko pɛ. |
Enti, wubetumi ahu sɛ Flexible Sigmoidoscopy nyɛ biribiara a ɛsɛ sɛ wusuro. Ɛyɛ sɔhwɛ a mpɛn pii no ahobammɔ wom yiye a ebetumi aboa wo ma woahu w’akwahosan ho nsɛm pii a ɛho hia.
Nkrasɛm a Wɔde Kɔ Fie
- Flexible Sigmoidoscopy yɛ sɔhwɛ a ɛho hia yiye na ahobammɔ wom a wɔde hu nyarewa a ɛwɔ akyi berɛmo no ase.
- Sɛ sɔhwɛ no bɛyɛ yiye a, ɛho hia sɛ wodi oduruyɛfo no akwankyerɛ a ɛfa sɛnea wɔhohoro dwensɔtwaa no ho sɛnea wɔde ama no pɛpɛɛpɛ no akyi.
- Ka wo nyarewa afoforo, nnuru a wonom, ne nneɛma a ɛma wo ho yɛ wo hyew ho asɛm kyerɛ wo duruyɛfo a womfa biribiara nsie.
- Sɔhwɛ no gye bɛyɛ simma 10-20. Wubetumi adi ɔhaw biara a ebia wobɛte wɔ saa bere yi mu no so denam ahome a wobɛhome denneennen so.
- Sɛ wo yafunu mu yɛ wo yaw kɛse, wo ho yɛ wo hyew, anaa mogya tu wo kɛse wɔ nhwehwɛmu no akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea Emergency Department (ETU).
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