Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka kakra bere a oduruyɛfo ka kyerɛ wo anaa obi a wunim sɛ ɛsɛ sɛ wɔyɛ w’asaabo oprehyɛn no. Ɛnyɛ nwonwa, titiriw esiane sɛ asaabo yɛ akwaa a ɛho hia saa wɔ yɛn nipadua mu nti. Nanso wo duruyɛfo no te wo nkate ase. Ɛno nti na wɔbɛkyerɛkyerɛ oprehyɛn no mu, nea wɔhwɛ kwan sɛ ebefi mu aba, ne bere a wo ho bɛtɔ wo no mu akyerɛ wo.
Sɛ yɛbɛka no tiawa a, dɛn ne Heminephrectomy?
Heminephrectomy (hemi-nephrec-to-me) yɛ oprehyɛn a woyi w’asaabo no fã a entumi nyɛ adwuma yiye nkutoo fi hɔ. Wɔnyi asaabo no nyinaa mfi hɔ, na mmom ɔfã a entumi nyɛ adwuma yiye no ara kwa.
Wɔtaa yɛ oprehyɛn yi wɔ nnipa a wɔwɔ tebea bi a wɔfrɛ no Duplex Kidney so . Afei ebia woresusuw nea ɛno yɛ ho.
Fa no sɛ, yɛn nyinaa wɔ asaabo abien wɔ yɛn nipadua mu. Mpɛn pii no, ureter biako pɛ na ɛwɔ hɔ a ɛde nsu fi asaabo biako mu kɔ akisikuru no mu. Nanso wɔwo nnipa binom a wɔwɔ asaabo biako mu ntini abien esiane tebea bi a wonya fi awo mu nti. Ɛno nti na yɛfrɛ no ``Duplex Kidney``.
Nanso ɛnyɛ obiara a ɔwɔ ``Duplex Kidney'' na obenya ɔhaw ahorow. Nnipa binom tra ase a wonnim mpo sɛ wɔwɔ saa tebea yi. Nanso ɛtɔ mmere bi a ebetumi de nsɛnnennen bi aba.
Ɔhaw bɛn na ebetumi aba esiane Duplex Kidney nti?
Ɔhaw atitiriw abiɛsa na ebetumi aba esiane `Duplex Kidney` nti. Ma yɛnhwɛ nea wɔyɛ.
| Ɔhaw (Tebea) . | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Vesicoureteral Reflux (VUR) a Ɛma Nkwa Wom (VUR) . | Eyi ma nsu a ɛwɔ akisikuru no mu no san kɔ soro kɔ asaabo no mu. Bere tenten mu no, eyi betumi asɛe asaabo no. |
| Nsuo a Ɛwɔ Awotwaa no Akyi | Nea ɛkɔ so wɔ ha ne sɛ urethra a ɛboro so no ne akisikuru no nni abusuabɔ, na mmom ɛne akwaa foforo a ɛbɛn hɔ. Eyi nso betumi asɛe saa akwaa no. |
| Ureterocele a ɛwɔ nipadua no mu | Nsuo kwan a ɛkɔ akisikuru no mu no hohoro te sɛ balloon, na esiw nsuo a ɛsen no kwan. Eyi betumi ama nhyɛso a ɛwɔ asaabo no mu no ayɛ kɛse na asɛe. |
Wɔ ɔhaw ahorow yi mpo mu no, mpɛn pii no, wo duruyɛfo no bɛhwɛ wo so ara kwa. Nanso, sɛ wotaa nya ɔyare mmoawa wɔ wo nsu mu , anaasɛ sɛ w’asaabo no fã bi ayera adwuma koraa esiane nneɛma a yɛaka ho asɛm wɔ atifi hɔ nti a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wontwa heminephrectomy.
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ wo oprehyɛn?
Ansa na wɔbɛyɛ wo oprehyɛn no, wo oprehyɛn ho oduruyɛfo (urologist) bɛkyerɛkyerɛ oprehyɛn no mu akyerɛ wo yiye na wagye wo pene. Nea ɛka ho no, wɔbɛyɛ nhwehwɛmu ahorow pii de ahwɛ ahu sɛ wowɔ tebea pa mu ma oprehyɛn no. Akyinnye biara nni ho sɛ wobebisa wo nea edidi so yi ho asɛm:
- W'akwahosan ho abakɔsɛm a edi mũ .
- Ɛsɛ sɛ woka nnuru biara a wobɛnom ho asɛm kyerɛ wo duruyɛfo. Nea ɛka eyi ho ne nnuru a wɔkyerɛw ma obi, nnuru a wɔtɔn, nnuru a wɔde nhabannuru yɛ, ne vitamin mpo. Nnuru bi te sɛ nea ɛma mogya tu no betumi ama mogya a ɛbɛtɔ obi bere a wɔreyɛ oprehyɛn no ayɛ kɛse.
- Ɛfa allergy biara a ebia wowɔ ho.
Nna kakraa bi ansa na wɔayɛ oprehyɛn no, wɔbɛtu wo fo wɔ nnuru a ɛsɛ sɛ wonom, sɛ ebi wɔ hɔ a, ne bere a ɛsɛ sɛ wugyae nom. Wɔbɛsan nso akyerɛ wo bere pɔtee a ɛsɛ sɛ wugyae adidi ne anonne (mmuadadi) ansa na wɔayɛ oprehyɛn no.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Wobetumi ayɛ oprehyɛn yi wɔ akwan atitiriw abiɛsa so: oprehyɛn a wɔde bue, oprehyɛn a wɔde laparoscopic, ne robɔt oprehyɛn.
| Oprehyɛn ko a wɔyɛ | Sɛnea wɔyɛ ne mfaso horow |
|---|---|
| Bue Heminephrectomy a Wɔyɛ no | Oduruyɛfo no bɛtwa wo yafunu mu nsateakwaa 12, wo mpampam ne w’asen ntam. Eyi bɛma oduruyɛfo no ahu asaabo no yiye. Wobetumi de nsa ayi ɔfã a ɛnyɛ adwuma no afi hɔ. |
| Oprehyɛn a Wɔde Laparoscopic Yɛ | Nea ɛka eyi ho ne sɛ wobetwitwa yafunu no mu nketenkete pii sen sɛ wɔbɛtwitwa kɛse biako. Wɔde adwinnade teateaa bi a mfoninitwa afiri (laparoscope) wom fa baabi biako a wɔatwa mu de hwɛ asaabo no. Wɔde nnwinnade a wɔde yɛ oprehyɛn fa mmeae afoforo a wɔatwitwa mu de yi ɔfã a entumi nyɛ adwuma yiye no fi hɔ. Mfaso a ɛwɔ eyi so ne sɛ akuru no sua na ɛsa ntɛmntɛm. |
| Robɔt Oprehyɛn a Wɔde Yɛ Oprehyɛn | Eyi te sɛ laparoscopic oprehyɛn, nanso ɛha no, oduruyɛfo no de robɔt afiri nsa di oprehyɛn nnwinnade no so. Eyi ma wotumi yɛ oprehyɛn a ɛyɛ mmerɛw yiye na ɛyɛ pɛpɛɛpɛ. |
Ansa na oprehyɛn no befi ase no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛma wo aduru a wɔde kum nipadua no nyinaa (`General Anesthesia`). Enti worente ɛyaw biara, wobɛda. Afei wɔde Foley catheter bɛhyɛ mu de ama wo akisikuru no mu ada mpan. Mpɛn pii no oprehyɛn no tumi gye bɛyɛ nnɔnhwerew abien kosi abiɛsa .
Dɛn na ɛba wɔ oprehyɛn no akyi? Na bere tenten ahe na egye na obi ho atɔ no?
Sɛ wɔyɛ oprehyɛn wie a, wɔbɛhwɛ wo wɔ dan a wɔhwɛ wo ho mu kosi sɛ wobɛsɔre na w’akwahosan ayɛ yiye. Wɔbɛma wo nnuru a wode bedi wo yaw no so.
Bere a wo ho bɛtɔ wo no bɛsono a egyina oprehyɛn ko a wɔyɛɛ wo so.
- Sɛ wɔyɛ laparoscopic anaa robɔt oprehyɛn wie a, mpɛn pii no wubetumi asan akɔ dwumadi ahorow a na woyɛ daa no mu wɔ adapɛn 4-6 ntam .
- Ebetumi agye bɛyɛ adapɛn 8-12 ansa na ayɛ yiye koraa wɔ oprehyɛn a wɔabue ano akyi .
Wo duruyɛfo bɛhyɛ wo nkuran sɛ nantew kakra bere a wo ho retɔ wo no. Nantew ye ma wo nipadua na ebetumi aboa ma woasiw nneɛma te sɛ mogya a ɛtɔ ne ahurututu mu yare ano. Nanso ɛsɛ sɛ wokwati sɛ wobɛma biribiara a emu duru boro nkaribo 10 (bɛyɛ sɛ nsu galɔn biako) so.
So ɛsɛ sɛ wohwɛ yiye wɔ aduan ne anonne ho?
Aane. Adapɛn anan a edi kan wɔ oprehyɛn akyi no, wɔbɛtu wo fo sɛ nom nsu nkuruwa 6-8 da biara na di aduan a ɛyɛ mmerɛw a ɛnyɛ den sɛ wobɛyam. Wɔbɛtu wo fo nso sɛ kwati nnuan bi kosi sɛ wo dwensɔtwaa bɛsan ayɛ sɛnea na ɛte kan no.
| Nneɛma pa a ɛsɛ sɛ wodi | Nneɛma a ɛsɛ sɛ yɛkwati |
|---|---|
|
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara!
Sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi wɔ oprehyɛn akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara anaasɛ wokɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no.
- Ɔhome a ɛyɛ den
- Mogya a ɛtɔ dodo fi baabi a wɔde nhama no ayɛ no
- Wora a wɔpaapae mu denam nhama a wɔde nhama so
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare bi: Nea ɛka eyi ho ne kɔla a ɛyɛ kɔkɔɔ, kɔkɔɔ, bruu, anaa tuntum a atwa kuru no ho ahyia, atiridiinini, akisikuru a ɛsen fi kuru no mu, anaa hua a ɛyɛ fĩ.
- Ɛyaw a wontumi nnyina ano a ɛrenya nkɔanim
- Nan mu yaw
- Mogya a ɛwɔ nsu mu
Ɛyɛ ade a ɛfata sɛ wusuro oprehyɛn. Ɛyɛ awosu sɛ wubenya nsɛmmisa te sɛ, "Na sɛ oprehyɛn no ankɔ yiye nso ɛ?" anaa "Na sɛ me yare no ho sɛnkyerɛnne no mu yɛ den nso ɛ?" Nanso susuw nneɛma pa nso ho. "Oprehyɛn yi bɛma m'asetra ayɛ mmerɛw dɛn?" anaasɛ "Metumi ayi nyarewa a makɔ so anya no afi hɔ?" Sɛ wususuw nneɛma ho saa a, ebetumi aboa wo ma wo ho atɔ wo kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- Heminephrectomy yɛ oprehyɛn a woyi asaabo fã a entumi nyɛ adwuma yiye nkutoo fi hɔ. Wɔnnyi asaabo no nyinaa mfi hɔ.
- Wɔtaa yɛ oprehyɛn yi ma nsɛnnennen a efi awo mu tebea bi a wɔfrɛ no Duplex Kidney mu ba.
- Wobetumi de oprehyɛn no abue, wɔde laparoscopic, anaa robɔt ayɛ oprehyɛn no. Bere a wɔde bɛsan anya ahoɔden no gyina ɔkwan a wɔfa so yɛ no so.
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a woayɛ wo oprehyɛn awie no, titiriw wɔ aduan a wodi ne sɛnea wobɛma wo mu duru so no ho.
- Sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne te sɛ ɛyɛ den sɛ wobɛhome, mogya a ɛretu dodo, anaa ɔyare mmoawa ho sɛnkyerɛnne a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Wo ne wo duruyɛfo nka nsɛmmisa anaa ehu biara a wowɔ ho asɛm pefee.
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