Ɛtɔ da bi a wo duruyɛfoɔ bɛtumi aka akyerɛ wo sɛ ɛhia sɛ woyɛ "biopsy" na ama woahunu deɛ ɛyɛ bɔne wɔ w'asaabo ho pɛpɛɛpɛ. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kakra nka bere a wote asɛmfua yi no. Nanso nokwarem no, ɛnyɛ hu sɛnea yesusuw no. Enti ɛnnɛ, momma yɛnka nea asaabo mu nhwehwɛmu yɛ, nea enti a wɔyɛ, ne sɛnea wɔyɛ no ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne asaabo mu nhwehwɛmu?
Asaabo mu nhwehwɛmu, anaa `(Renal Biopsy),` yɛ adeyɛ a wɔfa so yi ntini ketewaa bi fi w’asaabo mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, oduruyɛfo de ade titiriw bi di dwuma de fa saa ntini ketewaa yi. Wɔ tebea horow a ɛntaa nsi mu no, wobetumi afa saa ntini yi nso bere a wɔreyɛ oprehyɛn no. Ɛdenam ntini bi a wɔfa na wɔhwehwɛ mu wɔ saa kwan yi so so no, wobetumi ahu ɔhaw ahorow a ɛwɔ asaabo no mu ankasa.
Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nipadua no mu nhwehwɛmu?
Wɔtaa yɛ biopsy de hu ɔhaw ahorow a ɛwɔ asaabo no mu a wontumi mfa mogya mu nhwehwɛmu, nsu mu nhwehwɛmu, anaa scan nhu. Fa no sɛ, wo duruyɛfo susuw sɛ ɔhaw bi wɔ w’asaabo mu, nanso wontumi nhu nea ɛde ba no pefee wɔ scan mpo mu. Ɛno ne bere a wɔyɛ sɔhwɛ yi.
Momma yɛmfa pon a ɛwɔ ase ha no nkyerɛkyerɛ eyi mu nkɔ akyiri.
| Tebea horow a ebetumi ama wɔayɛ biopsy | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Asaabo mu akuru | Hwɛ sɛ asaabo no mu ntini asɛe na ayɛ akuru anaa. |
| Asaabo a ɛyɛ hyew | Hwehwɛ sɛ tebea bi te sɛ asaabo no mu a ɛho ahonhon anaa ɔyare mmoawa bi wɔ hɔ anaa. |
| Protein a ɛwɔ hɔ | Hwɛ sɛ protein a ɛwɔ asaabo no mu a ɛnyɛ ne kwan so anaa. |
| Awosu mu nyarewa | Hwɛ sɛ asaabo mu nyarewa biara a wonya fi awo mu nni hɔ anaa. |
| Mogya a ɛwɔ nsu mu (Hematuria) . | Sɛ mogya wɔ nsu no mu a, hwehwɛ no yiye sɛ ebia nea ɛde ba no fi asaabo mu haw anaa. |
| Proteinuria (protein a ɛba nsu mu) . | Sɛ protein dodow a ɛwɔ nsu no mu dɔɔso a, hwɛ sɛ nea ɛde ba no yɛ sintɔ bi wɔ asaabo no mu nsu a ɛtwetwe no mu anaa. |
| Dwumadi a asaabo a wɔde si ananmu yɛ | Wɔsan yɛ obi a wɔama no asaabo foforo no biopsy de hwɛ sɛ asaabo foforo no reyɛ adwuma yiye anaa. |
Kae sɛ eyi yɛ sɔhwɛ a ahobammɔ wom yiye na ɛnyɛ den koraa wɔ nsɛm dodow no ara mu. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
Wobɛyɛ dɛn asiesie wo ho ansa na wɔayɛ wo nipadua mu nhwehwɛmu?
Ansa na wɔbɛyɛ biopsy no, ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn. Ɔbɛka w’akwahosan ho abakɔsɛm, ayɛ wo nipadua mu nhwehwɛmu, na wahyɛ sɛ wɔnyɛ mogya ne nsu mu nhwehwɛmu.
Nea ɛho hia sen biara ne sɛ wobɛka nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo, sɛ́ ebia oduruyɛfo na ɔkyerɛw maa wo, nnuru a wɔde kum ɛyaw a wɔtɔn, vitamin, anaa nnuru a wɔde di dwuma wɔ amanne kwan so mpo. Nnuru bi te sɛ aspirin betumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse. Enti, ebia wobetu wo fo sɛ gyae nnuru bi a wobɛnom bɛyɛ dapɛn biako ansa na wɔayɛ biopsy.
Afei nso, wɔbɛkyerɛ wo pefee bere a ɛsɛ sɛ wugyae adidi ne anom ansa na wɔayɛ biopsy, nnuru a ɛsɛ sɛ wokɔ so nom, ne nnuru a ɛsɛ sɛ wugyae.
Dɛn na ɛba bere a wɔreyɛ biopsy no?
Mma ɛnhaw wo, worente ɛyaw biara nka wɔ saa bere yi mu. Nea enti a ɛte saa ne sɛ mpɛn pii no wɔyɛ eyi denam aduru a wɔde dwudwo wo a ɛkɔ fam anaasɛ aduru a wɔde kum nipadua no nyinaa a wɔde ma so. Bere a wɔde aduru a ɛma wo ho dwo wo kakra no, wobɛda, nanso wobɛte nka sɛ wo ho adwo wo kɛse na worente ɛyaw biara. Bere a wɔreyɛ aduru a wɔde kum nipadua no nyinaa no, wobɛda.
Nnuruyɛfo kuw bi na wɔyɛ nhwehwɛmu yi, a mpɛn pii no wɔn mu bi ne radiologist, nephrologist, ne ayarehwɛfo.
Mpɛn pii no, wɔyɛ eyi denam wo a wɔdannan wo na woda w’akyi so. Nanso, sɛ wɔama wo asaabo foforo a, wɔde wo bɛto wo yafunu so na wɔada wo nkyɛn.
Akwan titiriw abien na ɛwɔ hɔ:
1. Percutaneous Biopsy: Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma. Bere a oduruyɛfo no ma beae no ayɛ mmerɛw akyi no, ɔde scanner (Ultrasound anaa CT imaging) di dwuma de hu baabi pɔtee a asaabo no wɔ na ɔde ade titiriw bi hyɛ mu de yi ntini no.
2. Open Biopsy: Wɔ eyi mu no, wɔtwa honam ani fã ketewaa bi, woyi ntini bi fi asaabo no mu, na wɔde nhama toto nea wɔatwa no mu. Wɔtaa yɛ eyi wɔ aduru a wɔde kum nipadua no nyinaa ase.
Saa adeyɛ yi nyinaa taa gye bɛyɛ dɔnhwerew biako.
Dɛn na ɛba bere a wɔayɛ biopsy no akyi?
Sɛ wɔyɛ nipadua no mu nhwehwɛmu wie a, wɔde wo bɛkɔ dan a wɔhwɛ wɔn a wɔyare no mu na nnuruyɛfo ahwɛ wo so nnɔnhwerew pii. Ebia ɛho behia sɛ wotra ayaresabea hɔ anadwo. Saa bere yi mu no, wɔbɛhwɛ wo mogya mmoroso ne wo koma a ɛbɔ no daa. Wɔbɛhwɛ wo nso ahwɛ sɛ wotumi tow wo ho yie na mogya tu dodo bi wɔ hɔ anaa.
Sɛ wosi so dua sɛ biribiara yɛ nea ɛfata wie a, wɔbɛma wo kwan ma woakɔ fie. Nanso kae sɛ, worentumi nka kar esiane sɛ wɔde nnuru a ɛma obi dwensɔ nti. Akyinnye biara nni ho sɛ ebehia sɛ woma w’abusua muni anaa w’adamfo bi ba bɛfa wo fie.
Wɔde ntini a wɔagye afi wo nsam no bɛkɔ aduruyɛdan mu. Ɛhɔ no, oduruyɛfo titiriw bi (yare ho ɔbenfo) bɛhwehwɛ mu na wasiesie amanneɛbɔ. Wo duruyɛfo nsa bɛka amanneɛbɔ yi wɔ nna kakraa bi akyi.
Mfaso ne asiane bɛn na ɛwɔ so?
Mfaso titiriw a ɛwɔ so ne sɛ etumi hu asaabo no tebea pɛpɛɛpɛ na ɛsan nso hwɛ sɛnea asaabo a wɔde ahyɛ mu no reyɛ adwuma yiye.
Asiane ahorow no sua koraa, nanso nsɛnnennen bi betumi aba.
| Nsɛnnennen a Ebetumi Aba |
|---|
| Mogya a ɛretu: Ebia mogya bi bɛba wo nsu mu bere a wɔayɛ biopsy awie no. Nanso, sɛ mogya tu kɛse a, ebia ɛho behia sɛ wɔsa yare. Nnuruyɛfo hwɛ yiye paa wɔ eyi ho. |
| Ɛyaw: Ebia ɛyaw bi bɛba baabi a wɔde ade no ahyɛ no nna kakraa bi. |
| Afoforo: Ebia adwenemhaw, atiridiinini, nsu mu yare (UTI), ne ɔhaw a ɛyɛ den sɛ ɔbɛtow nsu no ntaa mma. |
Bere tenten ahe na ebegye ansa na ne ho atɔ no?
Ɛsɛ sɛ ɛyaw a efi ade a wɔde twa nipadua no mu no brɛ ase wɔ nna kakraa bi mu. Ɛyaw a efi oprehyɛn a wɔde twa nipadua no mu no betumi atra hɔ bɛyɛ dapɛn biako. Wo duruyɛfo bɛkyerɛw nnuru a wɔde kum ɛyaw. Ɛsɛ sɛ wokwati nneɛma a emu yɛ duru a wobɛma so, nneɛma a emu yɛ duru a wobɛma so, anaa apɔw-mu-teɛteɛ a emu yɛ den dapɛn biako anaa abien.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm no
Sɛ wohu sɛnkyerɛnne a ɛwɔ aseɛ ha yi bi a, frɛ wo duruyɛfoɔ ntɛm ara, anaa kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo.
- Sɛ wowɔ atiridiinini kɛse (boro 100.4°F anaa 38°C).
- Sɛ baabi a wɔyɛɛ biopsy no yɛ kɔkɔɔ, ɛho ahonhon, anaasɛ ne kɔla asesa a.
- Sɛ mogya da so ara wɔ nsu no mu wɔ nnɔnhwerew 24 akyi wɔ biopsy no akyi a.
- Sɛ ɛyɛ den ma wo sɛ wobɛtow nsu a.
- Sɛ wowɔ ɔhyew anaa ɛyaw bere a woretow (Dysuria).
- Sɛ wote nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ hare bere a wonam no a.
Nkrasɛm a Wɔde Kɔ Fie
- Asaabo mu nhwehwɛmu yɛ sɔhwɛ a ahobammɔ nnim koraa a wɔde hu asaabo mu yare.
- Yɛyɛ nneɛma a ɛho hia de hwɛ hu sɛ worente ɛyaw nka bere a woreyɛ eyi no.
- Di wo duruyɛfo akwankyerɛ akyi yiye ansa na woayɛ nhwehwɛmu no ne bere a woawie no.
- Nsuro sɛ wobɛka nnuru biara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko wɔ biopsy no akyi a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu ntɛm ara.
- Wo ne wo duruyɛfo nka nsɛmmisa anaa ehu biara a wowɔ ho asɛm pefee.











💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho