So woapira nso na ɛsɛ sɛ wopam wo? (Stitches) - Momma yɛnka eyi ho asɛm nkɔ akyiri!

Yɛn nyinaa nya opira bi fi yɛn mmofraase. Ɛtɔ mmere bi a ebetumi ayɛ akisikuru ketewaa bi, nanso ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm kakra. Fa no sɛ, wofirii wo sakre so hwee ase bere a woredi agorɔ, anaasɛ wohwee ase bere a woreforo dua... Saa bere no, wo hwene anaa wo kotodwe betumi apaapae kakra. Ɛno ne bere a ɛsɛ sɛ mmofra binom, ne ɛtɔ mmere bi a mpanyimfo, titiriw wɔ anim, abɔso, nsa, anaa nan so, nya ‘npam’. Dɛn ne saa nhama yi, dɛn nti na wɔde hyɛ mu, wohwɛ so dɛn, na ɛyɛ yaw? Ɛnnɛ yɛbɛka wo nsɛmmisa nyinaa ho mmuaeɛ ho asɛm, ɛyɛ?

Dɛn ne nwene? Dɛn nti na yehia wɔn?

Sɛ yɛbɛka no tiawa a, nhama yɛ asaawa titiriw bi a wɔde kura kuru a ɛwɔ wo honam ani no afã abien. Ɛte sɛ nea wɔrepam ntade, nanso oduruyɛfo na ɔyɛ eyi. Wɔnpam nsensanee nketenkete. Nanso sɛ ɛyɛ kuru kɛse a emu dɔ a, ɛrensa n’ankasa, enti wɔde nhama na ɛka kuru no afã abien no bom. Fa no sɛ wohwee ase bere a woredi agoru na wobɔ wo ti, anaasɛ wotiatia biribi a ano yɛ nnam so... a ɛyɛ yaw, ɛnte saa? Ɛno ne bere a ɛho hia sɛ wɔpam nneɛma. Ɛtɔ da bi a, wɔ oprehyɛn akyi mpo, kyerɛ sɛ, ``Oprehyɛn'', oduruyɛfo no de nhama di dwuma de to kuru no mu. Yɛfrɛ ntwitwiridii a ɛte saa a oduruyɛfo ahyɛ da ayɛ no ``Incision''.

Enti, atirimpɔw titiriw a ɛwɔ saa nhama yi mu ne sɛ ɛbɛkyekyere kuru no afã abien no abom, aboa ma ayɛ yiye ntɛmntɛm na ayɛ fɛ, na atew asiane a ɛwɔ hɔ sɛ akuru kɛse bi benya no so.

Wɔde kuru no afã abien no bom, na oduruyɛfo no de asaawa no kyekyere kɔndua. Afei ɛtra hɔ saa kosi sɛ were no bɛsa. Nhama ahorow pii wɔ hɔ a nnuruyɛfo de di dwuma. Yɛfrɛ eyinom ``Sutures``. Ebinom yɛ ``Nylon``, ebinom nso yɛ ``Silk``, na ebinom nso wɔde nneɛma a ɛtumi nwura te sɛ ``Vicryl`` na ɛyɛ. Nhama a ɛtumi nwene te sɛ ``Vicryl`` wɔ hɔ, a ɛtwetwe kɔ honam ani. Enti ɛho nhia sɛ wɔsan twa wɔn bio. Wɔtaa de eyinom yɛ akuru a ɛwɔ ano, anim, anaa ano mu.

So nhama nkutoo na ɛwɔ hɔ? Akwan foforo bɛn na ɛwɔ hɔ a wɔfa so to akuru?

Ɛnyɛ akuru nyinaa na ɛho hia sɛ wɔpam. Ɛtɔ mmere bi a nnuruyɛfo fa akwan foforo so to kuru no mu. Ma yɛnhwɛ nea wɔyɛ.

• Skin Glue: Fa no sɛ wowɔ kuru a ɛyɛ tratraa, ɛnyɛ nea emu dɔ anaasɛ ɛntrɛw dodo, wɔ wo moma so. Ebia wo duruyɛfo de gluu soronko bi a wɔfrɛ no Skin Glue bedi dwuma de akata kuru no so. Ne titiriw no, eyi yɛ gluu soronko bi a ɛkura kuru no anoano. Eyi nso bɛpete ne ho wɔ nnafua 7-10 akyi. Ɛnyɛ den koraa, ɛnte saa? Ɛho nhia mpo sɛ wobɛpam.

• Butterfly Bandage / Steri-nsɛmfua a wɔde kyekyere wɔn ho:Wɔ akuru nketewa bi a emu nnɔ ho no, nnuruyɛfo de aduru ketewaa bi a wɔde kyekyere nneɛma ho di dwuma. Wɔfrɛ eyinom sɛ ntontom aduru anaa steri-strips. Wɔde saa aduru a wɔde kyekyere kuru no fa kuru no afã abien no bom nna kakraa bi. Eyinom taa fi wɔn ankasa fi, te sɛ bere a woreguare no. Wɔde eyinom yɛ akuru nketenkete paa.

Ɔkwan bɛn so na oduruyɛfo de nhama hyehyɛ mu? Wunnim sɛ ɛyɛ yaw anaa, ɛnte saa?

Sɛ wuhia nhama a, ɔyarehwɛfo anaa ɔboafo bi bedi kan de aduru a ɛma wo ho yɛ wo yaw bɛhyɛ wo kuru no mu. Bere bi akyi no, sɛ beae no yɛ mmerɛw pɛ a, wobefi ase asiesie wo kuru no. Wɔde nsu a ɛnyɛ den na edi dwuma. Wɔde nsu no gu kuru no mu de yi mmoawa ne efĩ biara fi hɔ. Ebia woresusuw sɛ, "Oo, minnim sɛ eyi bɛyɛ yaw anaa." Nanso nokwarem no, worente ɛyaw kɛse nka bere a woresiesie kuru no na worepam no.

Ɛtɔ da bi a, wɔde ade ketewa bi di dwuma de nsuo aduru a ɛma obi ho yɛ no yaw a wɔfrɛ no ``Local Anesthetic'' gu honam ani. Yɛfrɛ eyi ``Anaesthetics''. Saa aduru yi ma beae no yɛ mmerɛw koraa, enti wonte ɛyaw biara. Ɛte sɛ sẽ ho oduruyɛfo bi a ɔrebɔ w’ano sɛnea ɛbɛyɛ a ɔbɛhyɛ wo sẽ ma. Enti ɛyɛ mmerɛw sen sɛnea wususuw, ɛnte saa? Nnuruyɛfo nim eyi mu yiye, enti ɛho nhia sɛ wosuro.

Afei oduruyɛfo no bɛhwɛ sɛ ade a ɛde opira no bae – susuw biribi te sɛ ahwehwɛ asinasin – da so ara wɔ kuru no mu anaa. Sɛ biribi a ɛte saa wɔ hɔ a, wobeyi nso afi hɔ. Efisɛ sɛ ɛwɔ mu a, na kuru no betumi anya ɔyare mmoawa.

Afei, oduruyɛfo no de ade ketewaa bi di dwuma na ɔde nhama no pam wo kuru no. Ɛwom mpo sɛ beae no ayɛ mmerɛw de, nanso ebia wobɛte nka sɛ woretwe kakra bere a oduruyɛfo no retwe nhama no. Nanso ɛyaw biara nni hɔ. Eyi ne ɔkwan a wɔfa so de nhama si hɔ bere a wɔayɛ oprehyɛn awie no. Nanso afei wonte biribiara nka, efisɛ wunnim hwee! So wote ase?

Wobɛyɛ dɛn ahwɛ wo nhama no yiye bere a wode asi hɔ awie no?

Sɛ wɔpam wo kuru no wie a, wo duruyɛfo bɛkyerɛ wo sɛnea wobɛhwɛ so. Ɛho hia paa sɛ wubedi akwankyerɛ ahorow yi akyi pɛpɛɛpɛ, a ɔpanyin bi boa wo. Ɔhwɛ ho akwankyerɛ a wɔde ma wɔ nwene biara ho – i.e. sutures, skin glue, butterfly bandage – betumi ayɛ soronko.

Mpɛn pii no, oduruyɛfo no bɛka akyerɛ wo sɛ ma wo kuru no nyɛ nwini da koro anaa nnanu. Ɛnyɛ papa sɛ wobɛma nsu akɔ nhama dodow no ara mu. Wunim nea enti a ɛte saa? Sɛ kuru no mu yɛ nwini a, hokwan kɛse wɔ hɔ sɛ mmoawa bɛkɔ mu na ɛde ɔyare mmoawa aba. Ebetumi nso ama kuru no akyɛ. Enti, ɛho hia paa sɛ wobɛma kuru no ayɛ nwini kosi sɛ wo duruyɛfo bɛka akyerɛ wo.

Wɔ akuru bi a wɔapam ho no, wɔkamfo kyerɛ sɛ wɔmfa aduru a ekum ɔyare mmoawa anaa srade a ekum ɔyare mmoawa ngu ho na wɔde aduru a wɔde kyekyere nipadua no kata so na amma ɔyare mmoawa ankɔ so. Nanso, honam ani gluu wɔ honam ani, enti ɛnyɛ papa sɛ wode srade bɛpete so. Ade foforo a ɛho hia ne sɛ, sɛ nhama no mu abubu mpo a, ntwe anaa mfa wo nsa nka.Ɛnsɛ sɛ w’ankasa wobɔ mmɔden da sɛ wubeyi nwene afi hɔ, ɛnte saa? Sɛ woyɛ saa a, ebetumi ama kuru no asan abue anaasɛ ɔyare mmoawa no aka no.

Asiane ho nsɛnkyerɛnne! Sɛ wuhu eyinom a, ka kyerɛ oduruyɛfo no ntɛm ara

Sɛ wote nka anaa wuhu biribi a ɛte sɛɛ a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne w’awofo kɔ oduruyɛfo nkyɛn ntɛm ara:

• Sɛ ɛte sɛ nea nhama bi abubu anaasɛ ayɛ mmerɛw a.
• Sɛ baabi a kuru no wɔ no yɛ hyew, ɛyɛ kɔkɔɔ, anaa ɛho ahonhon a.
• Sɛ nsu a ɛyɛ den, kɔkɔɔ anaa ahabammono, a wɔfrɛ no akisikuru, repue afi kuru no mu a, ɛtaa yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa.
• Sɛ ɛyaw a wontumi nnyina ano wɔ baabi a wɔapirapira no, anaasɛ ɛyaw no reyɛ kɛse a.
• Sɛ were a atwa kuru no ho ahyia no ayɛ kɔkɔɔ na ayɛ nsensanee a.
• Sɛ wowɔ atiridiinini a.

Nsɛnkyerɛnne a ɛte sɛ eyinom betumi akyerɛ sɛ ɔyare mmoawa wɔ kuru no mu. Sɛ ɛba saa a, ɛsɛ sɛ wohwehwɛ ayaresa ntɛm ara. Sɛ ɛnte saa a, tebea no betumi ayɛ nea emu yɛ den.

Momma yensua nwene ho ade.

Saa nhama ahorow no wɔ hɔ a wɔfrɛ no ``Dissolving Stitches'', ``Skin Glue'', ne ``Butterfly Bandage'', a ɛyɛ nwene anaasɛ ɛhwe ase wɔ wɔn ankasa mu. Biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho. Nanso ɛsɛ sɛ oduruyɛfo anaa ɔyarehwɛfo yi nwene ahorow afoforo.

Sɛ wohwɛ sɛnea woyi eyinom fi hɔ a, oduruyɛfo no betwitwa kakra afi baabi a nhama no wɔ na watwe asaawa ketewaa no afi mu. Wobɛte nka sɛ woretwe kakra, nanso ɛrenyɛ yaw. Nha wo ho. Egye bere kakraa bi na wode ayi nhama no afi mu sen sɛ wode bɛhyɛ mu.Wo honam ani bɛyɛ papa bere a wɔayi nhama no awie no! Ɛtɔ da bi a oduruyɛfo no bɛkyerɛ wo nna dodow a ɛsɛ sɛ wosan ba ma woyi nhama no. Ɛyɛ papa sɛ wobɛkɔ da a wɔbɛka akyerɛ wo no.

Woyɛ dɛn hwɛ wo honam ani bere a woapam wo honam ani awie no? So akuru no bɛtew?

Wo duruyɛfo bɛma wo akwankyerɛ wɔ sɛnea wobɛhwɛ wo honam ani bere a wɔayi nhama no awie no. Ma nneɛma yi ntra w’adwenem:

• Wɔkamfo kyerɛ sɛ kwati owia hann tẽẽ wɔ baabi a apira no kakra. Wora a ayɛ foforo no yɛ mmerɛw yiye na ɛnyɛ den sɛ owia bɛhyew.
• Wɔkamfo kyerɛ sɛ bere biara a wobɛkɔ abɔnten sɛ wode aduru a ɛbɔ wo ho ban fi owia ho bɛhyɛ wo ho. Eyi ho hia yiye, efisɛ owia hann tumi ma akuru no yɛ tuntum, na ɛma wotumi hu no yiye. Ɛyɛ papa sɛ wode aduru a ɛbɔ wo ho ban fi owia ho a anyɛ yiye koraa no SPF 30 wom bedi dwuma.
• Wo duruyɛfoɔ nso bɛtumi akyerɛw wo aduru soronko bi a wɔfrɛ no ``Scar Cream'' de aboa ama akuru so ate. Sɛ wode eyinom redi dwuma a, di wo duruyɛfo akwankyerɛ akyi.
• Afei nso, sɛ kuru no sa mpo a, honam ani a ɛwɔ saa beae no betumi ayɛ mmerɛw kakra. Enti hwɛ yiye ansa na wode samina ne aduru a wunnim apete so mpofirim. Sɛ wowɔ biribi a ɛhaw wo a, ka kyerɛ wo duruyɛfo.
• Wubetumi atwitwiw kuru no kakra bere a ɛresa no. Nanso kwati sɛ wobɛtwetwe. Sɛ wobɔ wo honam ani a, ebetumi asɛe honam ani foforo no na ama akuru no ayɛ kɛse.

Sɛ wohwɛ so yiye a, bere bi akyi no ɛbɛyɛ den sɛ wubehu baabi a na wo kuru no wɔ. Nea ɛho hia sen biara ne sɛ wo honam ani sa koraa! Ɛnyɛ akuru nyinaa na ebefi hɔ koraa, nanso bere kɔ so no, ɛbɛyera kɛse.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Okay, enti yɛaka stitches ho asɛm pii nnɛ. Ma eyi ntra w’adwenem:

• Nhama boa kɛse wɔ akuru akɛse a wɔsa ntɛmntɛm, ɛsa fɛfɛɛfɛ, na ɛtew akuru akɛse a ɛba no so.
• After the stitches are placed , ɛho hia paa, paa sɛ wobɛhwɛ kuru no sɛdeɛ oduruyɛfoɔ no ka kyerɛ wo no pɛpɛɛpɛ. Eyi betumi aboa ma wɔasiw ɔyare mmoawa ano na aboa ma ayɛ yiye ntɛmntɛm.
• Sɛ kuru no yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ hyew, anaasɛ akisikuru fi mu ba a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. Sɛ eyi ba a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara .
• Ɛsɛ sɛ oduruyɛfo nkutoo na oyi nhama a ɛnyɛ nhama a ɛtumi nwura mu. Mmɔ mmɔden da sɛ w’ankasa wubeyi afi hɔ.
• Sɛ wohwɛ wo honam ani yiye bere a wɔayi nwene no awie no, titiriw sɛ wobɔ ho ban fi owia ho a, akuru no bɛyera nkakrankakra.

Mma ɛnhaw wo, nwene yɛ ɔkwan a ɛbɛboa wo ma wo ho atɔ wo ntɛmntɛm na woabɔ wo honam ani ho ban ara kwa! Enti, bere foforo a wubehia nhama no, afei de wunim nea wobɛhwɛ kwan.

` Nhama, akuru, honam ani ahobammɔ, mmoa a edi kan, nhama a wotumi petepete, kuru hwɛ, akuru