So wowɔ cysts wɔ wo mmerɛbo mu? Momma yɛnka mmerɛbo mu akisikuru ho asɛm!

Ɛtɔ da bi a, nneɛma betumi asi wɔ wo nipadua mu a wunhu mpo. Mmɛn mu akisikuru yɛ nneɛma a ɛtete saa no mu biako. Mpɛn pii no, eyinom nyɛ nea asiane wom, nanso ɛtɔ mmere bi a, mmere bi wɔ hɔ a ɛsɛ sɛ wode w’adwene si so kakra. Enti, ɛnnɛ, so yɛbɛka mmerɛbo mu akisikuru yi ho asɛm kɔ akyiri na ɛnyɛ den?

Dɛn ne mmerɛbo mu Nkwammoaa?

Sɛ yɛbɛka no tiawa a, mmerɛbo mu akisikuru yɛ kotoku nketewa a nsu ahyɛ mu ma a ɛba wo mmerɛbo so. Fa no sɛ nsu mu akisikuru nketenkete. Eyinom mu dodow no ara yɛ tebea horow a ɛnyɛ hu. Ɛno kyerɛ sɛ wɔnyɛ kokoram. Nanso, ɛntaa mma koraa sɛ akisikuru bi betumi anyin na ɛde sɛnkyerɛnne ahorow aba. Awo mu tebea horow bi nso betumi de aba, na sɛ ɛba saa a, ebia ɛho behia sɛ wɔsa yare.

mmerɛbo mu akisikuru yi abu so dɛn? Hena na ɔtaa nya wɔn?

mmerɛbo mu akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) yi abu so dɛn? Nnuruyɛfo ka sɛ ebia nnipa a wɔwɔ United States no mu 15% kosi 18% na wɔwɔ bi. Wɔ wiase nyinaa no, dodow no yɛ 5% kosi 10%. Ɛno kyerɛ sɛ ɛtaa ba sen sɛnea ebia wubesusuw.

Hena na ɛda adi sɛ obenya wɔn? Wɔtaa ka nnipa a wɔadi fi mfe 30 kosi 70. Nanso, ɔha biara mu kakraa bi pɛ, a efi 10% kosi 15% na wonya yare no ho sɛnkyerɛnne. Ɛda adi sɛ mmea na wɔwo saa akisikuru yi sen mmarima. Nanso, mmarima betumi anya bi akyiri yi wɔ asetra mu sen mmea.

So mmerɛbo mu akisikuru taa yɛ kokoram?

Afei ebia worebisa wo ho sɛ, so mmerɛbo mu akisikuru yi betumi ayɛ kokoram? Mma ɛnhaw wo, saa akisikuru yi ntaa nyɛ kokoram anaasɛ kokoram ansa na aba. Nnuruyɛfo taa yɛ oprehyɛn de yi saa akisikuru yi fi hɔ, sɛ́ ɛyɛ sɛnkyerɛnne anaa kokoram. mmerɛbo mu akisikuru nyinaa mu 1% kosi 5% yɛ nea edi kokoram anim. Akuru a ɛte saa no mu bɛyɛ 30% betumi abɛyɛ kokoram. Sɛ ɛba saa a, nnuruyɛfo de oprehyɛn beyi wɔn afi hɔ.

Wɔ tebea horow bɛn mu na mmerɛbo mu akisikuru betumi ayɛ nea asiane wom?

Enti, so nsɛm bi wɔ hɔ a saa mmerɛbo mu akisikuru yi betumi ayɛ asiane? Yiw, bere a akisikuru dodow no ara nyɛ kokoram (ɛnyɛ bɔne) na ɛnyɛ kɛse sɛ ɛde sɛnkyerɛnne ahorow bɛba no, ɔha biara mu kakraa bi pɛ betumi abɛyɛ kokoram. Nanso, mmerɛbo mu akisikuru ahorow abien na ɛda adi sɛ ɛho hia titiriw sɛ wɔyɛ oprehyɛn anaa ayaresa foforo:

Hydatid yare a ɛwɔ nipadua no mu

Wɔsan frɛ saa yare yi echinococcal cysts anaa hydatid cysts , na ɔyare mmoawa bi na ɛde yare yi ba.Saa mmoawa yi fi akraman ne nguan mu kɔ nnipa mu, na mpɛn pii no ɛnam nsu nhyehyɛe a efĩ wom so. Sɛ nhwɛso no, sɛ yɛnom nsu a efĩ wom a yennim anaasɛ yɛne mmoa a wɔwɔ saa ɔyare mmoawa yi yɛ adwuma yiye na wɔanhohoro yɛn nsa yiye a, yebetumi anya. Saa mmoawa yi nyin te sɛ akisikuru wɔ mmerɛbo ne nipadua no afã afoforo. Sɛ wɔansa no yiye a, ebetumi ama obi anya atiridiinini, akisikuru, anaa eosinophilia (mogya mu nkwammoaa fitaa bi a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so). Nnuruyɛfo sa eyi denam nnuru a wɔde ma de kum ɔyare mmoawa no (ɛtɔ mmere bi a wɔde nnuru a wɔde sa yare mpo) ne oprehyɛn a wɔde yi akisikuru no fi hɔ no so.

mmerɛbo mu yare a ɛma mogya tu (PLD) .

Eyi yɛ yare a ɛntaa nsi koraa, a wonya fi awo mu. Ɛka nnipa bɛyɛ biako kosi du wɔ mpem ɔha mu. Nnipa a wɔwɔ `(PLD)` no nya akuwakuw a ɛnyɛ kokoram (benign) anaasɛ simple cysts (simple cysts) wɔ wɔn mmerɛbo akyi. Saa akisikuru yi betumi ayɛ te sɛ bobe akuwakuw akɛse . Nnipa a wɔwɔ saa yareɛ yi mu 20% pɛ na wɔda yareɛ no adi, nanso ebia wɔrenkyerɛ yareɛ no kɔsi sɛ wɔbɛyɛ mpaninfoɔ. Bere kɔ so no, bere a wɔn mmerɛbo reyɛ kɛse no, wɔn yafunu betumi ahonhon, ayɛ kɛse, na ɛnyɛ dɛ. Nnuruyɛfo de nnuru ne oprehyɛn sa saa `(PLD)` tebea yi.

So mmerɛbo mu akisikuru no ankasa kɔ? Wobetumi anya akɛse ahe?

Aduruyɛ mu nhwehwɛmu ahorow bi ada no adi sɛ mmerɛbo mu akisikuru a ɛnyɛ hu betumi afi hɔ ankasa a wonni ayaresa biara . Nanso, ɛho hia sɛ yɛkae sɛ mmerɛbo mu akisikuru dodow no ara nyɛ nea asiane biara nni ho na ɛnnyin sɛnea ɛbɛyɛ a ɛbɛma wɔanya yare no ho sɛnkyerɛnne. Nanso, sɛ ɛsõ a, nnuruyɛfo betumi ayɛ oprehyɛn ayi afi hɔ.

Saa mmerɛbo mu akisikuru yi betumi ayɛ kɛse ahe? Nokwarem no, wobetumi ayɛ nketewa te sɛ fennel bulb ketewa bi ano, anaasɛ wɔn kɛse te sɛ nsateakwaa 4. Ɛno kyerɛ sɛ ɛsono wɔn kɛse.

Dɛn na ɛde mmerɛbo mu akisikuru ba?

Saa mmerɛbo mu akisikuru yi mu dodow no ara fi awo mu. Eyi kyerɛ sɛ wɔwɔ hɔ bere a wɔawo wɔn. Nokwarem no, nnuruyɛfo ntumi nhu nea ɛde mmerɛbo mu akisikuru a wɔde awo wɔn yi ba ankasa.

Dɛn ne mmerɛbo mu akisikuru ho sɛnkyerɛnne?

Nnipa dodow no ara a wɔwɔ mmerɛbo mu akisikuru a ɛnyɛ hu anaa kokoram no nni sɛnkyerɛnne biara. Nanso, wɔn a wɔwɔ yare no ho sɛnkyerɛnne no betumi anya:

• Biribi te sɛ ɛyaw a ano yɛ den a wobɛte nka wɔ wo yafunu nifa so atifi .
• Sɛ wote nka sɛ wo ho ayɛ wo hyew na woahohoro.
• Akisikuru ne ɔfe.
• Aduan ho akɔnnɔ a ɛyera, anaasɛ ɔte nka sɛ ɔmene bere a wadi kakra mpo no.
• Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome.
• Ɛte sɛ akuru kɛse bi a ɛwɔ wo yafunu mu.
• Jaundice a ɛma obi ho yɛ hyew. Sɛ mmerɛbo mu akisikuru siw wo bile ntini ahorow no ano a, eyi betumi aba.
• Atiridii ne yafunu mu yaw a emu yɛ den. Sɛ saa akisikuru no pae a, eyi betumi aba.

Ɔkwan bɛn so na nnuruyɛfo hu mmerɛbo mu akisikuru?

Mpɛn pii no, nnuruyɛfo hu mmerɛbo mu akisikuru bere a wɔyɛ mfonini mu nhwehwɛmu de hwehwɛ tebea foforo bi no. Wobetumi de nhwehwɛmu te sɛ eyinom ahu mmerɛbo mu akisikuru:

• Ultrasound a wɔde yɛ nneɛma. Nea ɛka eyi ho ne sɛ wode nnyigyei asorɔkye a ano yɛ den bedi dwuma de atwa akwaa a ɛwɔ wo nipadua mu no ho mfonini ne video a ɛte ase. Ebia woahu scans a ɛnanom a wɔyem nya no, saa na ɛte.
• CT scan (Computed tomography scan) Saa sɔhwɛ yi de X-ray ahorow ne kɔmputa di dwuma de yɛ wo ntini a ɛyɛ mmerɛw ne wo nnompe ho mfonini a ɛwɔ afã abiɛsa (3D).
• MRI (Magnetic resonance imaging) nhwehwɛmu. Eyi yɛ sɔhwɛ a ɛyaw nnim a wɔde magnet kɛse, radio asorɔkye, ne kɔmputa yɛ nipadua no akwaa ne ne nhyehyɛe ho mfonini a emu da hɔ yiye.

Sɛ nnuruyɛfo nam nhwehwɛmu ahorow yi so hu mmerɛbo mu akisikuru a, wobetumi ayɛ nea edidi so yi de ahu sɛ ebia akisikuru no yɛ nea edii kokoram, kokoram, anaasɛ mmerɛbo mu yare a ɛyɛ polycystic a yɛkaa ho asɛm no, anaasɛ ebia ɔyare mmoawa bi na ɛde akisikuru no ba:

• Nipadua mu nhwehwɛmu.
• Aduruyɛ ho abakɔsɛm. Ebia wobebisa wo nsɛm te sɛ sɛ ebia wowɔ mmerɛbo mu yare a ɛkyɛ, sɛ ebia obi wɔ w’abusua mu anya nyarewa a ɛte saa, ne sɛ ebia woatu kwan akɔ akyirikyiri nnansa yi anaa.
• Nsɔhwɛ ahorow a wɔde hwehwɛ mogya mu nkwammoaa mu. Wɔyɛ eyinom de hu nnuru pɔtee bi a ɛko tia nyarewa wɔ mogya mu.
• Ultrasound a wɔde nsonsonoe a ɛwɔ mu no yɛ kɛse. Eyi nso de nnyigyei asorɔkye a ano yɛ den di dwuma, nanso wɔde aduru soronko bi na ɛtwa mfonini ahorow no. Eyi ma wotumi hu nsɛm a emu da hɔ.

Ɔkwan bɛn so na wɔsa mmerɛbo mu akisikuru?

mmerɛbo mu akisikuru a ɛnyɛ hu (a ɛnyɛ den) dodow no ara nhia ayaresa biara. Nanso, ebia ebehia sɛ nnuruyɛfo yi akisikuru a ɛnyɛ hu a ɛsõ sen sɛntimita 4 no fi hɔ.

Akwan ne oprehyɛn ahorow pii wɔ hɔ a wɔfa so yi akisikuru akɛse a ɛnyɛ hu, akisikuru a mmerɛbo mu yare a ɛyɛ polycystic de ba, ne mmerɛbo mu akisikuru a edi kokoram anaa kokoram aba:

• Aspiration a wɔde fa honam ani . Wɔ saa adeyɛ yi mu no, nnuruyɛfo de ultrasound anaa CT scans di dwuma de nnade anaa catheters hyɛ mmerɛbo mu ntini no mu na woyi nsu a ɛwɔ akisikuru no mu no fi hɔ.
• Cyst fenestration a wɔde hyɛ nipadua mu. Eyi yɛ oprehyɛn a wɔyɛ. Sɛnea ɛbɛyɛ na wɔasa akisikuru akɛse no, woyi akisikuru no fasu no fi hɔ.
• Hepatic resection a wɔatwa no.Nea ɛka oprehyɛn yi ho ne sɛ woyi mmerɛbo no afã horow a akisikuru aka no.
• Ntini mu ntini a wɔde hyɛ nipadua mu (TACE). Saa ayaresa yi te sɛ nea wɔresi abura de asiw asubɔnten bi ano. Nnuruyɛfo de nnuru a ekum kokoram gu ntini bi a ɛde mogya kɔ wo mmerɛbo mu no mu. Afei, wɔde ade bi gu nipadua mu de siw saa ntini no ano. Saa ade yi yɛ adwuma te sɛ abura, na ɛma nnuru a ekum kokoram no twa akisikuru no ho hyia na ɛmma wontumi nguan.
• Sɛɛgyiri. Yi akisikuru a ɛnyɛ hu anaa kokoram fi hɔ.
• Mmɛn a wɔde ma obi foforo. Wɔyɛ saa oprehyɛn yi sɛ aduru a wɔde sa mmerɛbo mu yare a ɛyɛ polycystic a ɛnyɛ nnuru ne/anaasɛ oprehyɛn a wɔyɛ de yi mmerɛbo mu akisikuru no ho dwuma.

So wobetumi asiw mmerɛbo mu akisikuru ano?

Esiane sɛ mmerɛbo mu akisikuru dodow no ara fi awo mu, a ɛkyerɛ sɛ ɛwɔ hɔ bere a wɔawo no nti, ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw ano. Nanso, wubetumi abɔ wo ho ban afi mmoawa a wɔsɛe nnɔbae te sɛ hydatid yare ho denam ahotew a wobɛma so, sɛ nhwɛso no, denam wo nsa a wobɛhohoro yiye bere a wode wo nsa aka afieboa akyi, ne nsu pa a wobɛnom so.

Sɛ mewɔ mmerɛbo mu akisikuru a, dɛn na metumi ahwɛ kwan?

Sɛ wowɔ mmerɛbo mu akisikuru a, nea wubetumi ahwɛ kwan (nkɔmhyɛ) gyina akisikuru ko a wowɔ so:

• mmerɛbo mu akisikuru bi a ɛnyɛ kokoram (a ɛnyɛ papa) mfa sɛnkyerɛnne biara mma da. Sɛ ɛba saa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu te sɛ ultrasound asram abiɛsa biara afe biako de hwɛ sɛ akisikuru no reyɛ kɛse anaasɛ ɛresakra anaa.
• Wɔyɛ nnipa binom oprehyɛn de yi akisikuru akɛse a ɛnyɛ hu anaa kokoram. Nhwehwɛmu ahorow kyerɛ sɛ mmerɛbo mu akisikuru a wɔde oprehyɛn yi fi hɔ no ho yɛ na koraa . Ɛdenam wo tebea so no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo.

Sɛ wohu sɛ mewɔ mmerɛbo mu akisikuru a, mɛyɛ dɛn ahwɛ me ho?

Nnipa binom hia oprehyɛn anaa ayaresa foforo ma mmerɛbo mu akisikuru. Sɛ saa a, bisa wo duruyɛfo no sɛnea wubedi ayaresa no mu nsunsuanso bɔne ho dwuma . Ɛho hia nso sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Mpɛn pii no, nkurɔfo di kan hu sɛ wɔwɔ mmerɛbo mu akisikuru bere a wɔayɛ nhwehwɛmu esiane biribi foforo nti no. Ɛnyɛ biribi a obiara ani gye ho sɛ ɔbɛte ho asɛm mpofirim. Nanso sɛ woredi ɔyare bi a wonhwɛ kwan a ɛte sɛɛ ho dwuma a, nsɛmmisa bi a wubetumi abisa wo duruyɛfo ma waboa wo ma woahu nea ɛsɛ sɛ woyɛ akyi ni:

• "Mɛyɛ dɛn ahu sɛ me tumor no yɛ benign anaasɛ kokoram?"
• "Sɔhwɛ bɛn na ɛsɛ sɛ meyɛ?"
• "So ɛho behia sɛ wɔyɛ me mmerɛbo mu nhwehwɛmu?"
• "Sɛ saa akisikuru yi rema me ho ayɛ me yaw anaasɛ ɛreyɛ me yaw a, so wobetumi ayi afi hɔ?"
• "So woahwɛ sɛnea saa akisikuru yi kɛse ne beae a ɛwɔ bere tenten ni?"
• "Sɛ mewɔ mmerɛbo mu akisikuru a, so ɛsɛ sɛ meyɛ nhwehwɛmu afoforo de hwɛ sɛ mewɔ akisikuru wɔ me nipadua mu mmeae afoforo anaa?"

Nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Okay, enti momma yɛnkae nsɛntitiriw a ɛho hia sen biara no bi mfi nea yɛaka ho asɛm no mu.

Nnipa dodow no ara di kan hu sɛ wɔwɔ mmerɛbo mu akisikuru bere a wɔyɛ wɔn nhwehwɛmu esiane biribi foforo nti no. Bere a obiara mpɛ sɛ ɔbɛte akwahosan ho haw bi a wɔnhwɛ kwan ho asɛm no, ebia wo ho bɛtɔ wo sɛ wubehu sɛ mmerɛbo mu akisikuru dodow no ara nyɛ kokoram (ɛnyɛ bɔne) na ɛntaa mma yare no ho sɛnkyerɛnne a ɛka w’asetra pa.

Mpɛn pii no, nnuruyɛfo si gyinae sɛ wɔbɛhwɛ saa akisikuru yi mmom sen sɛ wɔbɛyɛ oprehyɛn de ayi afi hɔ. Sɛ wowɔ mmerɛbo mu akisikuru ho dadwen bi a, nsuro sɛ wubebisa wo duruyɛfo wo tebea no ho asɛm. Saa kwan no so no, wubetumi anya nea wobɛhwɛ kwan no ho adwene a emu da hɔ. Kae sɛ, eye sɛ wubehu sen sɛ wubesuro nea wunnim.

` Mmerɛbo mu Ntini, Mmerɛbo, Ntini, Kokoram, Benign, Kokoram, Hydatid yare, Polycystic mmerɛbo mu yare, Mmerɛbo mu sɛnkyerɛnne, Mmerɛbo mu cyst ayaresa