So oduruyɛfo no ka kyerɛɛ wo sɛ yɛ mmerɛbo mu nhwehwɛmu? Momma yɛnka eyi ho asɛm kɛkɛ (Liver Biopsy) .

Bere a oduruyɛfo no ka kyerɛɛ wo sɛ ɛsɛ sɛ woyɛ mmerɛbo mu nhwehwɛmu no, ehu kaa wo kakra na wo ho yeraw wo, ɛnte saa? "Dɛn nti na ɛte saa?", "So ɛbɛyɛ yaw kɛse?", "So ɛyɛ oprehyɛn kɛse?" Ɛbɛyɛ sɛ nsɛmmisa pii baa m’adwenem. Nsuro, eyi nyɛ kɛse anaasɛ ɛyɛ hu sɛnea wotaa susuw no. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa.

Sɛ yɛbɛka no tiawa a, dɛn ne mmerɛbo mu nhwehwɛmu?

Berɛbo mu nhwehwɛmu yɛ aduruyɛ mu adeyɛ ketewaa bi a wɔde ade titiriw bi yi ntini ketewaa bi (ntini a wɔde yɛ nhwɛso) fi wo mmerɛbo mu. Sɛnea yɛfa mogya mu nhwehwɛmu de hu yare bi no, wɔ eyi mu no, wɔfa mmerɛbo no ankasa fã ketewaa bi na wɔhwehwɛ mu.

Wɔde ntini a wɔde yɛ nhwɛso no kɔ aduruyɛdan mu, na ɔyare ho ɔbenfo bi , oduruyɛfo a ne ho akokwaw wɔ ntini mu nhwehwɛmu ne nyarewa a wohu mu, de afiri a wɔde hwɛ nneɛma nketenkete hwɛ mu de hu mmerɛbo mu yare ko ankasa.

Dɛn nti na ɛsɛ sɛ yɛyɛ Liver Biopsy?

Nneɛma atitiriw abien nti na ɛte saa.

1. Sɛnea Wohu: Ɛtɔ mmere bi a, wo scan anaa mogya mu nhwehwɛmu betumi akyerɛ sɛ ɔhaw bi wɔ wo mmerɛbo mu. Nanso ebia ɛnyɛ nea ɛyɛ nokware 100% . Wɔ nsɛm a ɛtete saa mu no, nnuruyɛfo ka sɛ biopsy nhwehwɛmu yi ne ɔkwan a eye sen biara a wɔfa so si mmerɛbo mu nyarewa bi so dua (sika kɔkɔɔ gyinapɛn).

2. Staging: Sɛ wowɔ mmerɛbo mu yare a enni sabea a, wɔde nhwehwɛmu yi nso di dwuma de hu baabi a atrɛw akodu ne sɛnea asɛe mmerɛbo no. Titiriw no, ebetumi ama wɔanya nkontaahyɛde (F0 kosi F4) a ɛkyerɛ sɛnea fibrosis , kyerɛ sɛ, akuru ntini a ɛba a ɛnsa. Eyi ne ɔkwan a wɔfa so hu aduru no, ayaresa, ne nkɔmhyɛ.

Nyarewa bɛn na wobetumi de sɔhwɛ yi ahu?

Berɛbo mu nhwehwɛmu betumi ahu tebea horow a ɛfa mmerɛbo ho.

Ɔkwan bɛn so na wɔyɛ Liver Biopsy? Dɛn ne akwan a wɔfa so yɛ no?

Akwan titiriw abiɛsa na ɛwɔ hɔ a yebetumi afa so ayɛ eyi. Wo duruyɛfo no begyina wo tebea so apaw ɔkwan a ɛfata sen biara.

1. Mmerɛbo mu Nkwammoaa a Wɔde Fa Honam ani

Eyi ne ɔkwan a wɔtaa de di dwuma na ɛyɛ mmerɛw sen biara. ‘Percutaneous’ kyerɛ sɛ ‘ɛfa honam ani.’ Oduruyɛfo no fa nhwɛsode no denam ade ketewaa bi a ɔde fa honam ani a ɛwɔ wo yafunu nifa so, wo mpampam ase, kɔ mmerɛbo no mu tẽẽ no so.

2. Mmerɛbo mu Ntini a Wɔde Fa Ntini Mu Nhwehwɛmu

Sɛ wowɔ asiane mu sɛ mogya bɛtu wo, anaasɛ wowɔ tebea bi te sɛ ascites a, wɔde saa kwan yi di dwuma. ‘Transvenous’ kyerɛ sɛ ‘ɛfa ntini bi mu’. Ɛha no, wɔde afiri ketewaa bi (catheter) fa ntini kɛse bi a ɛwɔ kɔn no mu (jular vein) mu, na wɔde ade no fa saa afiri no mu kɔ mmerɛbo no mu.

3. Oprehyɛn a Wɔyɛ Mmerɛbo mu Nkwammoaa mu Nhwehwɛmu

Ɛtɔ mmere bi a, wobetumi ayi mmerɛbo no fã bi bere a wɔreyɛ yafunu mu oprehyɛn (oprehyɛn a wɔabue ano anaasɛ wɔde laparoscopic oprehyɛn) esiane biribi foforo nti.

Ɔkwan bɛn so na wosiesie wɔn ho ansa na wɔayɛ wɔn nipadua mu nhwehwɛmu?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woyɛ ansa na eyi aba.

• Wo ne wo duruyɛfo bɛkasa: Wo ne wo duruyɛfo nkasa fa w’akwahosan ho abakɔsɛm ne nnuru a worenom ho. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi te sɛ nea ɛma mogya tu no nom bɛyɛ dapɛn biako ansa na wɔayɛ.
• Mogya mu nhwehwɛmu: Wɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea wo mogya tu. Sɛ sintɔ bi wɔ hɔ a, wobetumi asa ansa na wɔayɛ biopsy.
• Mmuadadi: Wɔtaa ka kyerɛ wo sɛ kwati adidi anaa anonne bɛyɛ nnɔnhwerew 8 ansa na wɔayɛ sɔhwɛ no. Nanso, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Di kan yɛ nhyehyɛe: Sɛ wɔbɛma wo nnuru a ɛma wo ho dwo a, di kan yɛ nhyehyɛe ma obi de wo kar bɛkɔ fie. Afei nso, siesie wo ho ma dapɛn a wobɛhome wɔ biopsy no akyi.

Dɛn na ɛba da a wɔyɛ biopsy no?

Sɔhwɛ no gye bɛyɛ simma 15-30, nanso ɛsɛ sɛ wotra ayaresabea hɔ nnɔnhwerew pii a wɔhwɛ wo wɔ ɛno akyi.

Bere a woreyɛ sɔhwɛ no:

1. Wɔbɛma woada mpa so, na wɔbɛhohoro baabi a wɔde ade no bɛhyɛ (wo yafunu anaa wo kɔn nifa) no ho yiye na wɔde aduru a ekum ɔyare mmoawa ahyɛ mu.

2. Afei , wɔde aduru bi a ɛma obi dwensɔ gu baabi a ɛhɔ yɛ. Wobɛte ɔhyew nka kakra bere a wode eyi ahyɛ mu no, nanso beae no bɛyɛ mmerɛw wɔ bɛyɛ simma biako mu.

3. Sɛ beae no ayɛ mmerɛw wie a, oduruyɛfo no twa ketewaa bi na ɔde biopsy needle no fa mu.

4. Ebia wɔbɛka akyerɛ wo sɛ kura wo home mu kakra. Sɛ ade no kɔ mu a, ɛyaw biara nni mu, nanso ebia wobɛte nhyɛso kakra nka wɔ wo mu .

5. Sikɔne kakraa bi akyi no, wɔfa nhwɛsode no na woyi ade no fi mu. Afei wɔde plaster gu beae no.

6. Sɛ wɔyɛ biopsy no wie a, wɔbɛdan wo akɔ wo nifa so kakra. Eyi bɛboa ma wode w’ankasa wo mu duru ahyɛ mmerɛbo no so na aboa ma mogya no agyae.

So asiane ahorow bi wɔ sɔhwɛ no akyi?

Mpɛn pii no eyi yɛ sɔhwɛ a ahobammɔ wom kɛse. Nsɛnnennen a emu yɛ den ntaa mma (bɛyɛ 0.1%). Nanso, nsɛnnennen nketenkete kakraa bi betumi aba.

• Ɛyaw: Ebia wobɛte ɛyaw kakra wɔ wo yafunu nifa anaa wo mmati nifa mu wɔ sɔhwɛ no akyi. Mpɛn pii no, wobetumi de nnuru a wɔde kum ɛyaw adi eyi so.
• Mogya mmoroso a ɛba fam: Ebia nnipa binom adwenem yɛ wɔn naa kakra. Eyi taa kɔ bere tiaa bi akyi.

Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi bere a woasan aba fie akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .

• Atiridiinini a emu yɛ den
• Mmerewa a emu yɛ den anaasɛ obi a ɔtotɔ piti
• Ɔhome a ɛyɛ den
• Koma a ɛbɔ denneennen
• Aniwa anaa honam ani a ɛyɛ kɔkɔɔ (Jaundice) .
• Ɛyaw a emu yɛ den
• Yafunu mu a ɛyɛ hyew