So wo duruyɛfo aka akyerɛ wo anaa obi a wunim no sɛ ɛsɛ sɛ wɔyɛ no oprehyɛn wɔ kokoram a ɛwɔ akyi berɛmo mu ho? Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka wɔ bere a ɛte sɛɛ mu. Titiriw bere a wunim sɛ ɛyɛ oprehyɛn kɛse te sɛ ‘APR’ no. Nanso mma ɛnhaw wo. Sɛ wunya oprehyɛn ahorow yi ho nsɛm yiye a , ebetumi atew wo suro so kɛse. Ɛnnɛ, yɛbɛka nea APR yɛ, sɛnea wobesiesie wɔn ho ama no, ne nea ɛsɛ sɛ yɛhwɛ kwan wɔ oprehyɛn no akyi ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne APR oprehyɛn yi?
Abdominoperineal Resection, a wɔsan frɛ no APR, yɛ oprehyɛn kɛse a wɔyɛ de sa kokoram a ɛwɔ akyi berɛmo no ase titiriw. Ɛyɛ oprehyɛn a ɛyɛ den kakra.
Susuw ho hwɛ, yɛn aduan mu nneɛma a etwa to ne akyi berɛmo ne akyi berɛmo. Ɛdenam baabi a kokoram no wɔ so no, sɛ wobeyi kokoram nkwammoaa no afi hɔ koraa a, ebia ɛho behia sɛ woyi baabi a atwa ho ahyia no nso. Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔ APR adeyɛ yi mu no, wo oprehyɛn ho oduruyɛfo no bɛyɛ nneɛma atitiriw kakraa bi:
- Woyi wo anus , ɔkwan a nsu fa mu fi mu no koraa na wɔpam baabi a ɛwɔ no.
- Woyi wo rectum , wo dwensɔtwaa kɛse no fã a etwa to no.
- Wobeyi wo dwonku no fã bi nso afi hɔ.
Afei ebia woresusuw ho sɛ, "Ɛbɛyɛ dɛn na mɛtow me ho agu saa bere no?" Yiw, ɛno ne nsonsonoe kɛse a ɛwɔ oprehyɛn yi mu. Esiane sɛ woyi akyi berɛmo no fi hɔ nti, ɛsɛ sɛ wɔyɛ ɔkwan foforo a nsu betumi afa so afi nipadua no mu. Ɛno nti na wɔyɛ colostomy a ɛtra hɔ daa no.
Sɛ yɛbɛka no tiawa a, wɔfa wo dwonku no fã a aka no na wɔde n’awiei no bata wo yafunu no honam ani. Wɔfrɛ saa bue yi ‘stoma’ . Afei, wɔde bag soronko bi (ostomy bag) bata saa stoma yi ho. Afei wo nsu a ɛwɔ wo nsu mu no kɔ kotoku yi mu tẽẽ. Ebia eyi bɛyɛ ade foforo mfiase no, nanso bere kɔ so no, wode bɛyɛ wo su. Ayarehwɛfo titiriw bi wɔ hɔ a wɔbɛboa wo wɔ eyi mu.
Nea ɛho hia sen biara ne sɛ wɔyɛ oprehyɛn yi na ama wɔasa kokoram no koraa. Enti asɛnnennen no ne sɛ wobɛyɛ wo su sɛ wo ne nsakrae ahorow yi bɛtra ase.
Yɛyɛ dɛn siesie yɛn ho ansa na wɔayɛ oprehyɛn?
Esiane sɛ APR yɛ oprehyɛn kɛse nti, ɛho hia yiye sɛ wusiesie wo ho ma no. Wo nnuruyɛfo kuw no bɛkyerɛkyerɛ biribiara mu akyerɛ wo. Nneɛma a ebetumi asi wɔ saa ahosiesie yi mu no bi wɔ ase ha.
| Ahosiesie anammɔn ahorow | Dɛn na ɛto so? |
|---|---|
| Aduruyɛ mu nhwehwɛmu ahorow | Wobetumi ayɛ mogya mu nhwehwɛmu, CT scan, ne MRI scan de ahwɛ sɛ wo nipadua no betumi agyina oprehyɛn no ano anaa. |
| Aduruyɛ kuw no a wobehyia wɔn | Wo ne oduruyɛfo a wɔde aduru a ɛma obi dwensɔ, nnuruyɛfo afoforo a wɔyɛ oprehyɛn, ne wɔn a wɔhwɛ w’akwahosan behyia. |
| Nhyiam a wɔne Ostomy Ɔyarehwɛfo no yɛe | Eyi yɛ nhyehyɛe a ɛho hia yiye . Saa ɔyarehwɛfo yi bɛboa wo ma woapaw baabi a eye ma wo stoma, akyerɛ wo sɛnea wobɛhwɛ so, na wasesa wo kotoku. Nsuro sɛ wubebisa nsɛm biara a ebia wowɔ. |
| Asetra kwan mu nsakrae | Sɛ wonom sigaret a, wɔbɛka akyerɛ wo sɛ gyae sigaretnom adapɛn kakraa bi ansa na wɔayɛ oprehyɛn no. Wɔbɛka akyerɛ wo sɛ kwati nsa. Saa nneɛma yi bɛboa ayaresa no kɛse. |
| Nnuru a wɔnom ho amanneɛbɔ | Ɛsɛ sɛ woka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wogyae nnuru bi ansa na wɔayɛ oprehyɛn. |
| Sleep Apnea a Ɛyɛ Fɛ | Sɛ wowɔ nna mu ahomegye a esiw kwan a, hwɛ hu sɛ wobɛka akyerɛ wo oduruyɛfo a ɔma wotumi dwensɔ. Sɛ wode CPAP afiri di dwuma a, wɔbɛka akyerɛ wo sɛ fa bra ayaresabea da a wɔbɛyɛ oprehyɛn no. |
| Adidi ne dwensɔtwaa mu ahotew | Wɔbɛka akyerɛ wo sɛ di nsu nkutoo da a edi oprehyɛn no anim. Anɔpa a wɔbɛyɛ oprehyɛn no, wɔbɛma wo nsu titiriw bi (bowel prep) a ɛbɛma wo dwensɔtwaa ho atew koraa. |
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Esiane sɛ wɔde aduru a wɔde kum nipadua no nyinaa rema wo nti, worente biribiara nka bere a wɔreyɛ wo oprehyɛn no. Wobɛda yiye. Oduruyɛfo a ɔyɛ oprehyɛn no kuw no bɛyɛ oprehyɛn yi nnɔnhwerew pii.
Mpɛn pii no, wobetumi afa akwan abien so ayɛ oprehyɛn yi:
1. Oprehyɛn a Wɔbue Mu: Wɔnam yafunu no mu twa tenten biako so na ɛyɛ ɔkwan a wɔfa so yɛ no.
2. Laparoscopic/Robotic Surgery: Wɔnam yafunu no mu ntwitwiridii nketenkete kakraa bi so na ɛyɛ saa kwan yi, na wɔde mfoninitwa afiri ne nnwinnade titiriw di dwuma. Saa kwan yi wɔ bere tiaa a ɛma obi ho tɔ no na ɛnyɛ yaw kɛse.
Bere a wɔreyɛ oprehyɛn no, oduruyɛfo a ɔyɛ oprehyɛn no yi akyi berɛmo, akyi berɛmo, ne akyi berɛmo no fã bi a kokoram no wɔ no. Bere koro no ara mu no, woyi ntini a atwa beae no ho ahyia no nso fi hɔ. Nea enti a ɛte saa ne sɛ saa ntini ahorow yi ne baabi a kokoram nkwammoaa tumi trɛw. Afei, sɛnea yɛadi kan aka ho asɛm no, wɔbɔ stoma no wɔ yafunu no mu na wɔpam honam ani baabi a na akyi berɛmo no wɔ no kɔ soro na wɔto mu.
Dɛn ne nsɛnnennen a ebetumi aba wɔ oprehyɛn akyi?
Esiane sɛ APR yɛ oprehyɛn kɛse te sɛ oprehyɛn kɛse biara nti, asiane ahorow bi wɔ mu. Nanso mma ɛnhaw wo, nnuruyɛfo kuw no reyɛ nea wobetumi biara sɛ wɔbɛtew asiane ahorow yi so. Ɛho hia sɛ wuhu nsɛnnennen a ebetumi aba no.
- Mogya a ɛretu: Mogya betumi afi baabi a wɔyɛɛ oprehyɛn no.
- Nyarewa: Nyarewa betumi aba wɔ mmeae a wɔatwitwa anaa nipadua no mu.
- Mogya a ɛtwetwe: Mogya a ɛtwetwe no tumi ba nan no mu na ɛkɔ ahurututu mu. Nea ɛbɛyɛ na woasiw eyi ano no, wɔhyɛ wo nkuran sɛ nantew ntɛm bere a wɔayɛ wo oprehyɛn awie no.
- Akwaa a atwa ho ahyia a ɛsɛe: Hokwan kakraa bi wɔ hɔ sɛ akwaa a atwa beae a wɔyɛ oprehyɛn no ho ahyia te sɛ akisikuru no bɛsɛe.
- Ɔhaw ahorow a ɛfa aduru a wɔde kum nipadua no ho: Asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen a emu yɛ den te sɛ ahurututu mu yare, komayare, ne ɔyare a ɛma obi hwe ase no sua koraa, nanso eye sɛ wubehu.
Ɛtɔ da bi a, nsɛnnennen a ɛtra hɔ kyɛ wɔ hɔ a bere kɔ so no. Sɛ nhwɛso no, hernia betumi atwa stoma no ho ahyia. Afei nso, ebetumi aba sɛ obi anya perineal hernia wɔ baabi a wɔayi akyi berɛmo no.
Dɛn na ɛkɔ so wɔ ayaresabea bere a wɔayɛ oprehyɛn awie no?
Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi. Saa bere yi mu no, nnuruyɛfo kuw no bɛhwɛ wo ho yiye.
- Tubes ne tubes: Wɔde catheter bɛhyɛ wo nsu mu na ama wo nsuo akɔ mu. Wɔde nsuo a ɛkɔ wo yafunu mu nso bɛhyɛ nsuo biara a ɛbɛboaboa ano wɔ baabi a wɔreyɛ oprehyɛn no. Wobeyi eyinom afi hɔ wɔ nna kakraa bi mu.
- Nnuru a wɔde kum ɛyaw:Wɔbɛma wo nnuru sɛnea ɛho hia na ama woadi ɛyaw no so.
- Aduan: Sɛ woyɛ oprehyɛn wie a, wɔbɛma wo nsu a ɛsɛ sɛ wudi kan nom. Wubetumi afi ase adi nnuan a ɛyɛ mmerɛw te sɛ soup ne yogurt da a edi hɔ no.
- Nantew: Sɛ wobɛsɔre afi mpa so ntɛm ara sɛnea wubetumi na woakɔ akɔkyinkyin no ho hia yiye ma ayaresa no. Ebetumi aboa ma wɔasiw nneɛma te sɛ mogya a ɛtɔ.
- Ostomy ntetee: Eyi ne ntetee a ɛho hia sen biara a wubenya wɔ ayaresabea. Ostomy ɔyarehwɛfo no bɛba abɛkyerɛ wo sɛnea wobɛhwɛ wo stoma foforo no, asesa kotoku no, na wo honam ani tew. Nsuro sɛ wobɛbisa mpɛn pii kosi sɛ wobɛte ase. Srɛ abusua no muni bi sɛ ɔmmɛka wo ho saa bere yi. Saa kwan no so no, sɛ wokɔ fie a, wubenya obi a ɔbɛboa wo.
Wɔbɛma wo kwan ma woakɔ fie bere a wutumi di nnuan a ɛyɛ mmerɛw, de ofie nnuru di ɛyaw no so, na wote ahotoso nka sɛ w’ankasa wubetumi ahwɛ wo ostomy no.
Bere a obi ho tɔ no bere a wakɔ fie akyi no te dɛn?
Ebegye bere kakra ansa na wo ho atɔ wo koraa bere a woasan aba fie no. Saa bere yi mu no, tie wo nipadua. Sɛ woabrɛ a, gye w’ahome.
| Nneɛma a ɛnsɛ sɛ wɔyɛ | Ntease ne afotu |
|---|---|
| Gyina nsu no mu | Ɛnyɛ adwene pa sɛ wobɛguare anaasɛ wode asuguarebea bedi dwuma kosi sɛ akuru no bɛsa. Nanso aguare a wobɛkɔ no ye. |
| Nneɛma a emu duru so a wɔma so | Mma nneɛma a emu yɛ duru so adapɛn 6-8. Sɛ wɔma nneɛma a emu yɛ duru so a, ɛma asiane a ɛwɔ hɔ sɛ obi benya hernia no yɛ kɛse. |
| Ka a wɔka kar | Nka kar kosi sɛ wobɛnom nnuru a ɛma ɛyaw a ɛma obi nnubɔne. Afei nso, nka kar kosi sɛ wubenya ahotoso sɛ wubetumi abɔ breki ntɛmntɛm wɔ tebea a egye ntɛmpɛ mu. |
Sɛ wowɔ adwuma mu a, ebia ebegye adapɛn kakraa bi anaa ɔsram biako ansa na woasan akɔ adwuma, a egyina sɛnea w’apirakuru no sa ne sɛnea w’adwuma te so.
Bere a ɛsɛ sɛ wɔfrɛ oduruyɛfo no
Sɛ wowɔ ɔhaw bi wɔ bere a wo ho retɔ wo no a, frɛ wo duruyɛfo anaa ayaresabea a wɔyɛɛ wo oprehyɛn no ntɛm ara. Hwɛ hu sɛ wobɛbɔ sɛnkyerɛnne ahorow a edidi so yi mu biara amanneɛ:
- Yafunu mu yaw a emu yɛ den a wontumi mfa nnuru a wɔde kum ɛyaw mpo nni so .
- Huraeɛ. Atiridiinini a ɛyɛ digrii Celsius 38.6 (Fahrenheit 101.5) anaa nea ɛboro saa.
- Sɛ ɔfe ne akisikuru kɔ so a.
- Akisikuru anaa akisikuru.
- Sɛ mmeae a wɔatwa no yɛ kɔkɔɔ, ɛho ahonhon, anaasɛ ɛyɛ yaw a .
- Sɛ wowɔ ɔhaw anaa ɔhaw biara wɔ wo ostomy ho a .
APR oprehyɛn yɛ osuahu a ɛsakra asetra. Ebegye bere ansa na yɛayɛ no su. Wo ne wo duruyɛfoɔ, w’abusuafoɔ, ne wo nnamfonom nkasa fa wo haw, wo suro, ne wo nkateɛ ho. Ɛnsɛ sɛ wo nkutoo fa akwantu yi mu.
Nkrasɛm a Wɔde Kɔ Fie
- APR (Abdominoperineal Resection) yɛ oprehyɛn a ɛho hia a egye nkwa ma kokoram a ɛwɔ akyi berɛmo mu.
- Wɔ oprehyɛn yi mu no, woyi akyi berɛmo ne akyi berɛmo no, na wɔyɛ ɔkwan a ɛtra hɔ daa (colostomy) wɔ yafunu no mu ma nsu a ɛkɔ mu no fa mu.
- Sɛ wosiesie wo ho yiye ansa na wɔayɛ wo oprehyɛn na woakwati sigaretnom ne nsa a, ɛboa ayaresa no kɛse.
- Ɛwom sɛ mfiase no ebetumi ayɛ den sɛ wubesua sɛnea wɔhwɛ ostomy de, nanso bere kɔ so no, ebetumi abɛyɛ da biara da asetra fã. Ɛdenam ayarehwɛfo a wɔatete wɔn titiriw mmoa so no, .
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a wo ho retɔ wo no. Kwati sɛ wobɛma nneɛma a emu yɛ duru so. Sɛ wuhyia ɔhaw biara a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Eyi yɛ akwantu a emu yɛ den, wɔ honam ne adwene mu nyinaa. Mma ntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa afi w’aduruyɛfo kuw, w’abusua, ne wo nnamfo hɔ.
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