Mediastinoscopy: Momma yensua oprehyɛn yi ho ade mfa nhwehwɛ kokoram wɔ ɔkwan a ɛnyɛ den so (Mediastinoscopy) .

So wo duruyɛfo aka akyerɛ wo sɛ ɛsɛ sɛ woyɛ mediastinoscopy? Ɛbɛyɛ sɛ wosuro kakra bere a wotee saa din no, ɛnte saa? Ɛbɛyɛ sɛ na wunya nsɛmmisa pii te sɛ, ‘Dɛn ne eyi? So ɛyɛ oprehyɛn kɛse bi? So ɛbɛyɛ yaw?’ Ɛyɛ ade a ɛyɛ daa yiye. Ɛnyɛ nwonwa sɛ sɛ wote asɛmfua foforo bi, na sɛ wɔfrɛ no oprehyɛn mpo a, wo ho yeraw wo kakra. Enti ɛnnɛ, momma yɛnka nea saa mediastinoscopy yi yɛ, nea enti a wɔyɛ, sɛnea wɔyɛ, ne nea ɛkɔ so wɔ ɛno akyi, wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Mediastinoscopy?

Okay, momma yenni kan nsɛe eyi. Mediastinoscopy yɛ oprehyɛn a ɛma wo duruyɛfo tumi hwɛ wo koko mu yiye, titiriw baabi a ɛda w’ahurututu ntam (a yɛfrɛ no mediastinum wɔ nnuruyɛ mu).

Susuw ho hwɛ, saa kwan a ɛda ahurututu abien a ɛwɔ yɛn moma so no ntam yi ho hia yiye. Efisɛ akwaa a ɛho hia pii te sɛ yɛn koma, yɛn ahurututu, ne yɛn aduan mu ntini wɔ ha. Enti wɔde saa kwan yi di dwuma bere a yɛpɛ sɛ yehu sɛ ebia biribi a ɛyɛ soronko wɔ beae yi, te sɛ akisikuru anaasɛ ntini a ɛyɛ kɛse a ɛma mogya tu no.

Wɔde adwinnade titiriw bi a wɔfrɛ no mediastinoscope na ɛyɛ saa adeyɛ yi. Ɛte sɛ afiri a ɛyɛ tratraa a mfoninitwa afiri ne kanea bi abata ho. Sɛ nnuruyɛfo de saa adwinnade yi di dwuma a, wotumi hu nea ɛwɔ koko no mu pefee. Ɛnyɛ sɛ wotumi hu nko, na mmom wobetumi agye ntini bi afi lymph node anaa akisikuru foforo bi a ɛwɔ hɔ mu na wɔde amena ma wɔayɛ nhwehwɛmu (yɛfrɛ eyi biopsy).

Nsonsonoe bɛn na ɛda Mediastinoscopy ne Mediastinotomy ntam?

Ebia wobɛte asɛmfua mediastinotomy nso. Wɔyɛ abien no nyinaa de hwɛ koko no mediastinum fã no. Nanso nsonsonoe kakra wɔ mu.

• Mediastinoscopy: Nea ɛka eyi ho ne sɛ wɔbɛtwa ketewaa bi (bɛyɛ nsateakwaa biako) wɔ kɔn no mu na wɔde afiri a wɔde hwɛ ade mu ahyɛ mu. Ntwitwiridii no sua, enti ɛsa ntɛmntɛm.
• Mediastinotomy: Eyi hwehwɛ sɛ wotwa wo koko no mu kɛse kakra na wɔhwɛ mu tẽẽ. Saa kwan yi ma oduruyɛfo no hu emu nneɛma pii, nanso nea wɔatwa no sõ, enti bere a wɔde sa yare no kyɛ.

Dɛn nti na wopɛ sɛ woyɛ sɔhwɛ yi?

Nneɛma pii nti na oduruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Nneɛma atitiriw a enti ɛte saa ne:

• Si so dua sɛ wususuw sɛ wowɔ kokoram:Sɛ wuhu biribi a ɛyɛ soronko wɔ wo moma so wɔ X-ray anaa CT scan mu a, ɛsɛ sɛ wofa ntini bi na wohwehwɛ mu na ama woahu sɛ ɛyɛ kokoram anaasɛ ɛnte saa. Saa kwan yi ho hia yiye ma ɛno.
• Kyerɛ kokoram no fã: Sɛ wɔahu sɛ obi anya ahurututu mu kokoram, thymus gland kokoram, anaa esophageal kokoram dedaw a, wɔyɛ nhwehwɛmu yi de hwɛ baabi a atrɛw akodu. Titiriw no, ɛboa ma wohu sɛ ebia kokoram no atrɛw akɔ ntini a ɛbɛn hɔ mu anaa. Eyi ne ɔkwan a wɔfa so hu kokoram no fã na wɔpaw ayaresa a eye sen biara.
• Hwehwɛ nyarewa afoforo: Ɛnyɛ kokoram nko, ɛtɔ mmere bi a wɔde nhwehwɛmu yi di dwuma de hwehwɛ nyarewa a ɛwɔ ahurututu mu, na wɔde hu tebea afoforo te sɛ lymphoma, sarcoidosis, anaa mesothelioma .

So nnipa bi wɔ hɔ a wɔmpɛ sɛ wɔyɛ wɔn oprehyɛn yi?

Yiw, oprehyɛn yi mfata obiara. Wɔ tebea horow bi mu no, ebetumi ayɛ nea asiane wom. Titiriw ma nnipa te sɛ:

• Wɔn a wɔwɔ akisikuru a wontumi nyɛ oprehyɛn a ɛsõ dodo sɛ wɔbɛyɛ oprehyɛn ayi afi hɔ no fam.
• Wɔ wɔn a wɔayɛ mediastinoscopy pɛn no fam (efisɛ akuru a efi baabi a wɔatwa no kan no betumi ama ayɛ den na asiane wom sɛ wɔbɛyɛ no ne mprenu so).
• Wɔ wɔn a wɔayɛ wɔn aduru a wɔde mframa a ano yɛ den a ɛkɔ wɔn moma so no fam (ebia oprehyɛn no bɛyɛ den efisɛ ntini a ɛwɔ saa beae no asesa esiane mframa a wɔde ma nti).

Wo duruyɛfo bɛhwɛ wo na wasi eyi ho gyinae a eye sen biara.

Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?

Esiane sɛ eyi yɛ oprehyɛn nti, wo duruyɛfo bɛma wo akwankyerɛ a ɛfa sɛnea wubedi kan asiesie wo ho. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

Ɔkwan bɛn so na wɔyɛ oprehyɛn no?

Okay, afei ma yɛnhwɛ nea ɛkɔ so wɔ oprehyɛn dan no mu. Mma ɛnhaw wo, eyi nyinaa si wɔ general anesthesia ase, a ɛkyerɛ sɛ wɔde wo da sɛnea ɛbɛyɛ a worente biribiara nka.

1. Anesthesia: Nea edi kan no, wɔde IV gu ntini bi mu wɔ wo basa mu na wɔma wo nnuru a ɛbɛma woada koraa.

2. Ahome afiri: Sɛ wunnim a, wɔde ahome afiri bi si wo menewam na wɔma wo kwan ma fa afiri (ventilator) so home.

3. Ntwitwiridii ketewaa bi: Wɔtwa ketewaa bi wɔ wo kɔn ase bɛyɛ nsateakwaa biako, wɔ wo nufu dompe no atifi pɛɛ.

4. Adwinnade no a wɔde hyɛ mu: Oduruyɛfo a ɔyɛ oprehyɛn no de adwinnade bi a wɔfrɛ no mediastinoscope fa saa ntwitwiridii no mu.

5. Nhwehwɛmu ne nhwɛsode a wɔfa: Oduruyɛfo no de hyɛ mu na ɔde mfoninitwa afiri hwɛ mmeae a wɔbɛhwɛ no. Sɛ ntini anaa ntini bi a ɛyɛ adwenem naayɛ wɔ hɔ a, wɔde adwinnade ketewaa bi a ɛte sɛ nkankyee a ɛwɔ adwinnade koro no ara so na fa nhwɛsode (biopsy).

6. Afiri no a wobɛyi na woapam: Sɛ wowie adwuma no wie a, yi afiri no na fa asaawa a ɛtumi nwura anaa asaawa a wɔde di dwuma daa pam ntwitwiridii ketewa no.

7. Sɛ wobɛsɔre afi aduru a wɔde kum nipadua no mu: Awiei koraa no, wɔbɛsan anyan wo bio na wɔayi afiri a wɔde home no afi hɔ.

Saa adeyɛ yi nyinaa taa gye bɛyɛ dɔnhwerew biako , nanso ɛtɔ mmere bi a ebetumi agye bere tenten kakra.

Dɛn na ɛba wɔ oprehyɛn akyi? Bere a ɛma obi ho tɔ no te dɛn?

Wobɛda so ara ate nka sɛ wo ho ayɛ wo yaw kakra nnɔnhwerew kakraa bi bere a woanyane afi aduru a wɔde kum wo no mu akyi. Mpɛn pii no, eyi yɛ ayaresa a wɔde kɔ ayaresabea, a ɛkyerɛ sɛ enhia sɛ wotra ayaresabea.

• Fie a wobɛkɔ: Nanso, esiane sɛ wɔama wo aduru a wɔde kum nipadua no nti , worentumi nka kar. Wubehia abusua muni anaa adamfo bi a ɔde kar bɛka wo akɔ fie.
• Nsɛnnennen:Esiane sɛ wɔde ahome afiri no hyɛɛ mu nti, ebia wobɛte nka sɛ wo menewa ne w’ano ayɛ wo yaw, wobɛte ɛyaw, na woafefe da a edi hɔ no. Mma ɛnhaw wo wɔ saa asɛm no ho. Beae a wɔatwa no nso bɛyɛ yaw kakra nna kakraa bi. Oduruyɛfo no bɛma wo nnuru a wɔde kum ɛyaw ama wo.
• Nhwehwɛmu: Ɛtɔ mmere bi a, oprehyɛn akyi no, ebia wɔbɛyɛ wo koko X-ray de ahwɛ ahu sɛ ɔhaw biara nni w’ahurututu mu.

Asiane bɛn na ɛwɔ mediastinoscopy mu?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane nketenkete bi wɔ hɔ. Ɛwom sɛ nea ebetumi aba sɛ eyinom besi no sua koraa de, nanso ɛho hia sɛ wohu.

Asiane a ɛwɔ hɔ sɛ obi bewu wɔ oprehyɛn yi mu no sua koraa, yiye (bɛyɛ 0.09%). Enti mma ɛnhaw wo wɔ ho a ɛho nhia.

Bere tenten ahe na egye ansa na nea efi mu ba no aba?

Wɔde nipadua mu nhwehwɛmu no bɛkɔ aduruyɛdan mu akɔyɛ nhwehwɛmu, na ebia ebegye nna kakraa bi ansa na amanneɛbɔ no aba. Sɛ amanneɛbɔ no ba a, wo duruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo na wasusuw anammɔn a edi hɔ ne ayaresa ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛyɛ ade a ɛfata sɛ wubenya ɛyaw ne ɛyaw nketenkete bi bere a woakɔ fie awie no. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.

• Koko mu yaw a emu yɛ den
• Atiridiinini a ano yɛ den yiye
• Ɔhome a ɛyɛ den
• Sɛ baabi a wɔatwa no yɛ kɔkɔɔ kɛse, ɛho ahonhon, na nsu a ɛte sɛ akisikuru refi mu aba a

Mma w’ani ngu nneɛma a ɛte sɛɛ so.