Ɛyɛ awosu koraa sɛ wobɛte dadwen anaa dadwen nka bere a oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ wo anaa wo dɔfo bi asaabo oprehyɛn no. Esiane sɛ asaabo yɛ akwaa a ɛho hia nti, dadwen a ɛte saa no yɛ nea ntease wom koraa. Yɛsrɛ sɛ nya awerɛhyem sɛ w’aduruyɛfo kuw no te wo nkate ase na wɔwɔ ha sɛ wɔbɛboa wo. Wɔbɛkyerɛkyerɛ ɔkwan a wɔfa so yɛ no mu, nea wɔhwɛ kwan sɛ ebefi mu aba, ne ɔkwan a wɔfa so ho tɔ wo no mu kɔ akyiri na ama w’adwene ho adwo wo.
Dɛn ne Heminephrectomy?
Heminephrectomy yɛ oprehyɛn a woyi asaabo fã a ɛnyɛ adwuma no nkutoo fi hɔ. Wo duruyɛfo a ɔyɛ wo oprehyɛn no renyi akwaa no nyinaa mfi hɔ, na mmom obeyi ɔfã a ɛnyɛ adwuma yiye bio no nkutoo.
Wɔtaa yɛ saa adeyɛ yi wɔ Duplex Kidney ho nsɛm mu . Ebia woresusuw nea ɛno kyerɛ ho.
Mpɛn pii no, yɛn mu biara wɔ asaabo abien. Mpɛn pii no, asaabo biara wɔ ureter biako (afiri a ɛde nsu kɔ akisikuru mu). Nanso, ankorankoro binom wɔ awo mu tebea bi a asaabo biako ne nsu a ɛkɔ nsu mu abien wɔ abusuabɔ; wɔfrɛ eyi sɛ Duplex Kidney .
Yɛsrɛ sɛ hyɛ no nsow sɛ ɛnyɛ obiara a ɔwɔ Duplex Kidney na ohyia nsɛmnsɛm. Nnipa pii bɔ wɔn nkwa nna nyinaa a wonnim mpo sɛ wɔwɔ saa tebea yi. Nanso, ɛtɔ mmere bi a ebetumi de nsɛnnennen bi aba a ehia sɛ wɔkɔ ayaresabea.
Nsɛnnennen bɛn na Duplex Kidney betumi de aba?
Duplex Kidney betumi de nsɛnnennen atitiriw abiɛsa aba. Momma yɛnhwɛ nea wɔyɛ.
| Tebea | Wɔ Nsɛmfua a Ɛnyɛ Den mu... |
|---|---|
| Vesicoureteral Reflux (VUR) a Ɛma Nkwa Wom (VUR) . | Eyi ba bere a nsu fi akisikuru no mu kɔ akyi kɔ asaabo no mu no. Bere kɔ so no, eyi betumi ama asaabo asɛe daa. |
| Nsuo a Ɛwɔ Awotwaa no Akyi | Eyi ba bere a ureter bi ne akwaa foforo bi a ɛnyɛ akisikuru no di nkitaho no. Saa nkitahodi a ɛnteɛ yi betumi asɛe saa akwaa a atwa ho ahyia no. |
| Ureterocele a ɛwɔ nipadua no mu | Nsu a ɛkɔ nsu mu no ase no hohoro te sɛ balloon a ɛwɔ akisikuru no mu, na esiw nsu a ɛsen sɛnea ɛsɛ no kwan. Eyi ma nhyɛso dɔɔso, na ebetumi asɛe asaabo no. |
Bere a tebea horow yi wɔ hɔ no, wo Nirogi Lanka ho ɔbenfo no bɛtaa afi ase denam wo nkɔso a ɔbɛhwɛ so. Nanso sɛ wotaa nya ɔyare mmoawa wɔ wo nsu mu anaasɛ nsɛm a yɛadi kan aka ho asɛm no ama w’asaabo no fã bi ayɛ adwuma koraa a , ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wontwa heminephrectomy.
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ma oprehyɛn?
Ansa na wobɛyɛ wo oprehyɛn no, wo urologist bɛkyerɛkyerɛ oprehyɛn no mu kɔ akyiri na wagye wo pene a woagye atom. Wɔbɛyɛ wo nhwehwɛmu nso ansa na wɔayɛ oprehyɛn no de ahwɛ ahu sɛ wowɔ apɔwmuden a ɛfata ma oprehyɛn no. Wo nnuruyɛfo kuw no bɛka:
- Wo aduruyɛ ho abakɔsɛm nyinaa .
- Nnuru a worenom mprempren nyinaa. Nea ɛka eyi ho ne nnuru a wɔkyerɛw ma obi, nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu, nhabannuru a wɔde ma, ne vitamin ahorow. Ɛsɛ sɛ wogyae nnuru bi, titiriw nnuru a ɛma mogya tu, bere a ɛma mogya tu ho asiane yɛ kɛse no.
- Allergy biara a wonim sɛ wowɔ.
Wo nsa bɛka akwankyerɛ a emu da hɔ a ɛfa bere a ɛsɛ sɛ wugyae nnuru pɔtee bi ne bere a ɛsɛ sɛ wufi ase di mmuada (kwati aduan ne anonne) ansa na wɔayɛ wo oprehyɛn no ho.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Akwan titiriw abiɛsa na ɛwɔ hɔ: oprehyɛn a wobue ano, oprehyɛn a wɔde laparoscopic yɛ, ne oprehyɛn a wɔde robɔt boa.
| Ɔkwan a Wɔfa so Yɛ Oprehyɛn | Ɔkwan a Wɔfa so Yɛ ne Mfaso a Ɛwɔ So |
|---|---|
| Bue Heminephrectomy a Wɔyɛ no | Oduruyɛfo a ɔyɛ oprehyɛn no twa asaabo no mu bɛyɛ nsateakwaa 12 wɔ ɔfã a ɛda mpampam ne asen ntam no, na ɛma wotumi kɔ asaabo no mu tẽẽ ma woyi ɔfã a ɛnyɛ adwuma no fi hɔ. |
| Oprehyɛn a Wɔde Laparoscopic Yɛ | Sɛ́ anka wobetwitwa kɛse biako no, wɔtow nneɛma nketenkete pii. Wɔde mfoninitwa afiri (laparoscope) ne nnwinnade titiriw bi hyɛ mu de yɛ nea woyi fi hɔ no. Eyi ma akuru nketenkete ba na ne ho tɔ no ntɛmntɛm. |
| Robɔt Oprehyɛn a Wɔde Yɛ Oprehyɛn | Ɛte sɛ laparoscopy, nanso wo oprehyɛn ho ɔbenfo no di robɔt abasa so pɛpɛɛpɛ, na ɛma wotumi yɛ no pɛpɛɛpɛ bere a wɔreyɛ oprehyɛn no. |
Ansa na wobefi oprehyɛn no ase no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛma wo aduru a wɔde kum nipadua no nyinaa , na wahwɛ ahu sɛ woada na wonte ɛyaw biara. Wɔde afiri a wɔde fa nsuo mu (Foley catheter) nso bɛto hɔ na ama akisikuru no akɔ so da mpan. Mpɛn pii no oprehyɛn no gye nnɔnhwerew abien kosi abiɛsa .
Dɛn na ɛba wɔ oprehyɛn akyi, na bere bɛn na obi ho tɔ no?
Wɔbɛhwɛ wo wɔ dan a wɔma wo ho tɔ wo no mu kosi sɛ wobɛda na wo vitals no ayɛ pintinn. Wɔde nnuru a wɔde siw ɛyaw ano bɛma sɛnea ɛho hia.
Bere a wɔde bɛma obi ho atɔ no gyina ɔkwan a wɔfa so yɛ oprehyɛn no so:
- Wɔ laparoscopic anaa robɔt oprehyɛn akyi no , mpɛn pii no wubetumi asan akɔ dwumadi ahorow a na woyɛ daa no mu wɔ adapɛn 4-6 ntam .
- Wɔ oprehyɛn a wɔabue ano akyi no , ne ho bɛtɔ no koraa no betumi agye adapɛn 8-12 .
Bere a wo ho retɔ wo no, wo duruyɛfo bɛhyɛ nantew a emu nyɛ duru ho nkuran na ama mogya a ɛkɔ nipadua no mu no ayɛ kɛse na asiw nsɛnnennen te sɛ mogya a ɛtɔ anaa ahurututu mu yare ano. Nanso, ɛsɛ sɛ wokwati sɛ wobɛma biribiara a emu duru boro kilogram 4.5 (bɛyɛ sɛ nsu galɔn biako) so .
Aduan a wosusuw ho
Aane. Adapɛn anan a edi kan no, fa yɛ wo botae sɛ wobɛnom nsu nkuruwa 6-8 da biara na fa w’adwene si nnuan a ɛnyɛ den sɛ wobɛyam na ɛyɛ mmerɛw so. Ebia wobetu wo fo sɛ kwati nnuan bi kosi sɛ wo dwensɔtwaa bɛsan ayɛ nea ɛfata.
| Nnuan a Wɔkamfo Kyerɛ | Nnuan a Ɛsɛ sɛ Wokwati |
|---|---|
|
Bere a Ɛsɛ sɛ Wokɔ Wo Oduruyɛfo nkyɛn Ntɛm ara
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ wo oprehyɛn no akyi a, yɛsrɛ wo, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm a ɛbɛn wo no nkyɛn .
- Ɔhome a ɛyɛ den
- Mogya a ɛtɔ dodo wɔ baabi a wɔatwa no
- Kuru no anoano a wɔtetew mu
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: Nea ɛka eyi ho ne kɔkɔɔ, ɛho ahonhon, kɔla a ɛyɛ kɔkɔɔ/biribiri/tuntum a ɛsakra wɔ beae no ho, atiridiinini, anaasɛ nsu a ɛtɔ a hua yɛ fĩ.
- Ɛyaw a wontumi nnyina ano anaasɛ ɛreyɛ kɛse
- Ɛyaw a ɛba anan mu
- Mogya a ɛwɔ wo nsu mu
Ɛyɛ ade a ɛfata koraa sɛ wobɛte oprehyɛn ho dadwen nka. Nsɛmmisa te sɛ, "So oprehyɛn no bɛyɛ yiye?" anaa "Na sɛ me sɛnkyerɛnne no mu yɛ den nso ɛ?" yɛ abɔde mu nneɛma. Bɔ mmɔden sɛ wode w'adwene besi nea ebefi mu aba pa no so: "M'asetra pa bɛyɛ papa dɛn wɔ eyi akyi?" anaasɛ "So awiei koraa no eyi bɛma saa nyarewa a ɛsan ba no aba awiei?" Sɛ wosakra w’adwene a, ebetumi aboa wo ma woate nka sɛ wo ho adwo wo kɛse bere a wo ho retɔ wo no.
Nneɛma Titiriw a Wɔde Fa Fi Nirogi Lanka
- Heminephrectomy yɛ adeyɛ a woyi asaabo fã a ɛnyɛ adwuma no nkutoo fi hɔ, na ɛkora ɔfã a ɛwɔ apɔwmuden no so.
- Wɔtaa yɛ oprehyɛn yi de di nsɛnnennen a efi awo mu tebea bi a wɔfrɛ no Duplex Kidney mu ba no ho dwuma.
- Wobetumi ayɛ oprehyɛn a wɔabue ano, wɔde laparoscopic, anaa robɔt a egyina w’asɛm pɔtee so. Bere a wo ho bɛtɔ wo no bɛsono a egyina ɔkwan a wode bedi dwuma no so.
- Di akwankyerɛ a wo duruyɛfo a ɔyɛ oprehyɛn de ma wɔ oprehyɛn akyi no akyi pɛpɛɛpɛ, titiriw wɔ w’aduan ne anohyeto ahorow a ɛfa nneɛma a emu yɛ duru a wobɛma so ho.
- Hwehwɛ ayaresa a egye ntɛmpɛ sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne te sɛ ɔhome a ɛyɛ den, mogya a ɛtɔ kɛse, anaa ɔyare mmoawa ho sɛnkyerɛnne ahorow a.
- Bere nyinaa ntwentwɛn wo nan ase sɛ wo ne w’aduruyɛfo kuw no bɛkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho; yɛwɔ ha sɛ yɛbɛboa wo ho a wobɛsan anya.
Heminephrectomy, Asaabo Oprehyɛn, Asaabo a Ɛyɛ Duplex, Asaabo Yare, Oprehyɛn Ho Nneɛma, Vesicoureteral Reflux, Ureterocele
