Ovarian Torsion: So Eyi Betumi Ato Wo? Momma Yɛnkasa!

So wo yafunu ayɛ wo yaw mpofirim pɛn? Titiriw wɔ yafunu no ase? Ɛtɔ mmere bi a yesusuw sɛ ɛyaw a ɛte sɛɛ yɛ nea ɛfata. Nanso, ɛtɔ mmere bi a ebetumi ayɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Nneɛma a egye ntɛmpɛ a ɛte saa no biako ne ovarian torsion, anaa ``Ovarian Torsion''. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, efisɛ eyi yɛ biribi a ɛsɛ sɛ wo, sɛ ɔbea no hu.

Dɛn ne ovarian torsion?

Sɛ yɛbɛka no tiawa a, Ovarian Torsion yɛ bere a wo mmadwoa no biako twitwiw ntini a ɛkura mu no ho hyia na ɛdannan no. Sɛnea wunim no, awotwaa yɛ akwaa abien a ɛho hia yiye wɔ ɔbea awo nhyehyɛe mu. Wɔyɛ ntini abien a ɛte sɛ nkesua a ɛwɔ awotwaa no afã abien no nyinaa. Wɔ w’awo bere mu no, saa awotwaa yi gyae nkesua na ɛyɛ nkwaadɔm a ɛhwɛ wo brayɛ ne nyinsɛn so. Ntini ahorow a wɔfrɛ no ligaments na ɛsensɛn saa awotwaa yi mu wɔ akyi berɛmo no mu.

Susuw nea ɛba bere a awotwaa bi twitwiw saa no ho hwɛ. Wotwa mogya a ɛkɔ awotwaa a wɔakyinkyim no mu, na ɛno betumi asɛe no. Eyi na ɛma yafunu no ase yaw mpofirim a wontumi nnyina ano. Sɛ wɔanhwehwɛ ayaresa a egye ntɛmpɛ wɔ bere a ɛte sɛɛ mu a, awotwaa mu ntini no betumi awu na awotwaa no betumi ayera koraa. Eyi nti na eyi yɛ tebea a emu yɛ den yiye no.

Ɛtɔ mmere bi a, ɛnyɛ awotwaa no nko, na mmom awotwaa a ɛbɛn hɔ no nso tumi kyinkyim. Sɛ ɛba saa a, wɔfrɛ tebea yi adnexal torsion.

Saa tebea yi abu so dɛn?

Nhwehwɛmufo nnim sɛnea awotwaa mu akisikuru abu so wɔ nnipa dodow no ara mu ankasa. Nanso, nhwehwɛmu ahorow ada no adi sɛ ɛno ne ade a ɛto so anum a wɔtaa yɛ mmea oprehyɛn a egye ntɛmpɛ. Wobu akontaa sɛ nsrahwɛ a wɔyɛ wɔ dwumadibea a wɔhwɛ ntɛmpɛ so kɔyɛ oprehyɛn a ɛfa mmea awo nhyehyɛe ho no mu 3% pɛ na ɛyɛ awotwaa a wɔkyinkyini.

Dɛn ne sɛnkyerɛnne ahorow no? Ɔkwan bɛn so na yebetumi ahu?

Tebea yi ho sɛnkyerɛnne titiriw ne yafunu ase yaw a emu yɛ den mpofirim. Nanso, yafunu mu yaw yɛ nyarewa afoforo pii ho sɛnkyerɛnne, ɛnte saa? Yɛmfa ahopere nkɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ no mma wɔn nyinaa. Nanso, wɔ `(Ovarian Torsion)` yi mu no, ayaresabea a wobɛkɔ ntɛmntɛm no ma wunya hokwan kɛse sɛ wubegye wo ovary no nkwa.

Nsɛnkyerɛnne afoforo a wobetumi ahu ne:

• Ɛyaw a ɛkɔ fam kosi nea emu yɛ den wɔ yafunu no ase.
• Akisikuru ne ɔfe.

Afei, nsɛnkyerɛnne bi wɔ hɔ a ɛkyerɛ sɛ awotwaa mu ntini afi ase rewuwu. Eyinom ne:

• Huraeɛ.
• Mogya a ɛba ɔbea no awotwaa mu a ɛnyɛ ne kwan so anaasɛ nsu foforo a ɛba.

Ɛyaw yi te nka dɛn?

Ɛsono sɛnea obiara te ɛyaw. Enti ebetumi ayɛ den sɛ wubehu pɛpɛɛpɛ sɛ ɛyaw a worehyia no yɛ ntɛmpɛ te sɛ `(Ovarian Torsion)` anaa biribi foforo. Nanso, nnipa dodow no ara taa ka ɛyaw a ɛwɔ `(Ovarian Torsion)` mu no ho asɛm sɛ ɛyɛ nea ɛkɔ fam kosi nea emu yɛ den. Ɛne sɛ, ɛyɛ ɛyaw a ɛda adi kɛse a ɛyɛ den sɛ wobebu yɛn ani agu so.

Saa ɛyaw yi betumi ayɛ te sɛ eyi:

• Ɛyaw a ano yɛ den a ɛyɛ sekan (eyi ne nea abu so sen biara) anaasɛ ɛyaw a ɛyɛ kusuu a ɛyɛ mmerɛw wɔ yafunu mu.
• Ɛyaw a ɛba yafunu no ase nyinaa (eyi nso abu so) anaasɛ ɛyaw wɔ ɔfã a awotwaa a wɔakyinkyim no wɔ no nkutoo (mpɛn pii no ɔfã nifa).
• Ebia ɛyaw no bɛkɔ yafunu no ase nkutoo, anaasɛ ebetumi akɔ asen, n’afã, ne akyi.
• Ɛyaw no betumi ayɛ nea ɛkɔ so daa (eyi abu so), anaasɛ ebetumi aba na akɔ bere ne bere mu (eyi ntaa mma).

Ɛwom sɛ mpɛn pii no ɛntaa nsi de, nanso ɛtɔ mmere bi a saa `(Ovarian Torsion)` ho sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛba bere ne bere mu. Ɛne sɛ, ɛyaw no ba, brɛ ase kakra, na afei ɛsan ba. Ɛtɔ mmere bi a, awotwaa no tumi twitwiw na afei ɛtrɛw bio kɛkɛ. Sɛ ɛkyinkyin a, mogya no gyae na ɛyaw no ba. Sɛ ɛsan trɛw a, mogya no fi ase tu na ɛyaw no ano brɛ ase. Esiane saa su a ɛkɔ so bere ne bere mu yi nti, ebia wuntumi nsusuw nea ɛrekɔ so no ho. Nanso, sɛ ɛyaw no ba bere ne bere mu mpo a, sɛ wowɔ `(Ovarian Torsion)` a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn na wonya ayaresa.

Dɛn nti na saa awotwaa yi twitwiw? Dɛn ne nea enti a ɛte saa?

Sɛ yɛbɛka no tiawa a, Ovarian Torsion ba bere a biribi a ɛkari pɛ a ɛma awotwaa no kɔ so tra hɔ no sɛe no. Sɛ nhwɛso no, sɛ akisikuru bi wɔ awotwaa no mu te sɛ awotwaa mu akisikuru (titiriw nea ɛsõ) a, ɛma awotwaa no mu duru yɛ kɛse. Afei ɛda adi kɛse sɛ ɛbɛdannan ne ho na akyinkyim atwa ntini a ɛbata ho no ho ahyia. Ɛwom sɛ eyi ntaa nsi de, nanso kokoram akisikuru anaa nneɛma afoforo a ɛyɛ den a ɛwɔ awotwaa no mu nso betumi ama ne mu duru asakra na akyinkyim yi.

Hena na ɔwɔ asiane kɛse ma eyi?

Asiane ahorow bi wɔ hɔ a ebetumi ama tebea yi aba, Ovarian Torsion. Ma yɛnhwɛ nea wɔyɛ:

• Mfe a wɔadi: Nnipa a wohu sɛ wɔwɔ saa tebea yi mu bɛyɛ nkyem anan mu abiɛsa wɔ wɔn awo mfe mu. Eyi kyerɛ sɛ ɛtaa ba nnipa a wɔadi fi mfe 29 kosi 34. Nanso, obiara a ɔwɔ mmadwoa (akokoaa a ɔwɔ awotwaa mu mpo) betumi anya saa tebea yi.
• Ovarian cysts: Nnipa a wɔahu sɛ wɔwɔ ovarian cysts no mu bɛyɛ 85% wɔ ovarian cysts anaa akisikuru afoforo a ɛnyɛ hu. Asiane no yɛ kɛse sɛ akisikuru no yɛ sɛntimita 5 (bɛyɛ nsateakwaa 2) anaa nea ɛboro saa a.
• Ɛware sen awotwaa mu ntini a ɛyɛ daa: Wɔwo nnipa binom a wɔn ntini atenten kakra. Saa nkurɔfo yi nso wɔ asiane kɛse mu.
• Nyinsɛn: .Wɔn a wɔahu sɛ wɔwɔ Ovarian Torsion no mu bɛyɛ nkyem anan mu biako anyinsɛn. Saa asiane yi betumi akɔ soro esiane nsakrae a ɛba nipadua no mu wɔ nyinsɛn mu nti. Sɛ nhwɛso no, corpus luteum cysts taa ba bere a wɔyem no. Afei nso, nsakrae a ɛba nkwaadɔm mu no betumi ama ntini ahorow no ayɛ mmerɛw, na ama ayɛ mmerɛw sɛ ɛbɛkyinkyim.
• Awo ho ayaresa: Ayaresa a ɛkanyan awotwaa no ma ɛma nkesua pii fi adi (ovulation) no ma asiane a ɛwɔ hɔ sɛ obenya follicular cysts no yɛ kɛse. Follicle yɛ kotoku bi a ɛwɔ awotwaa no mu a ɛma ɛwo fi mu. Ɛyɛ ade a ɛfata sɛ cysts bɛba saa follicle yi mu bere a ovulation rekɔ so no. Enti, dodow a ntini no yɛ adwuma no, dodow no ara na asiane a ɛwɔ hɔ sɛ wobenya akisikuru no yɛ kɛse.

So ebetumi aba sɛ biribi na ɛrema eyi aba mpofirim?

Ɛtɔ da bi a, wo nipadua mu kankyee bi betumi akanyan Ovarian Torsion ho sɛnkyerɛnne. Wɔ nnipa binom fam no, saa sɛnkyerɛnne ahorow yi betumi aba bere a wɔada anaa bere a wɔayɛ apɔw-mu-teɛteɛ a emu yɛ den akyi.

Nanso kae sɛ, ɛnsɛ sɛ ɛyɛ adeyɛ titiriw bi ansa na Ovarian Torsion aba.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Mpɛn pii no, awotwaa a ɛkyinkyin no gyae a nsɛnnennen biara nni ho bere a wɔsa no yare no. Nanso, sɛ wɔansa no ntɛm a, mogya a ɛkɔ awotwaa no mu no betumi atwa na ntini no awuwu. Ɛwom sɛ wobetumi de awotwaa biako pɛ anyinsɛn de, nanso nhwehwɛmu ahorow ada no adi sɛ sɛ woyi awotwaa bi fi hɔ esiane awotwaa a ɛkyinkyin nti a, ebetumi atew hokwan a ɛwɔ hɔ sɛ wobenyinsɛn no so.

Ɛwom sɛ eyi ntaa nsi koraa de, nanso ntini a awu no betumi ama ɔyare bi aba yafunu no mu (peritonitis). Sɛ wɔansa yare yi ntɛm ara a, ebetumi atrɛw akɔ akwaa afoforo ne mogya mu mpo. Ɛno nti na ayaresa a wɔde ma ntɛm ho hia kɛse no.

Ɔkwan bɛn so na wohu yare no?

Mpɛn pii no, wobetumi de transvaginal ultrasound a ɛkyerɛ sɛ awotwaa no ntumi nkɔ mogya a ɛdɔɔso so ahu sɛ awotwaa no akyeakyea. Nanso, ɔkwan biako pɛ a wubetumi afa so ahu no yiye ne sɛ ebia oduruyɛfo a ɔyɛ oprehyɛn betumi ahu awotwaa a twitwiw wo nipadua mu no. Mpɛn pii no, wɔde ɔkwan bi a wɔfrɛ no laparoscopy bɛhwɛ wo mmadwoa no tẽẽ. Sɛ wohu sɛ wo ovarian torsion bere a woreyɛ laparoscopy a, wobetumi ayɛ ho adwuma ntɛm ara.

Dɛn ne ayaresa ahorow no?

Nnuruyɛfo a wɔyɛ oprehyɛn sa awotwaa a ɛkyinkyin no denam awotwaa a wɔakyinkyim no a wɔteɛteɛ so. Wobetumi nso ayi akisikuru biara a ebia ɛde ba no afi hɔ (ovarian cystectomy). Mpɛn pii no, wobetumi agye wo ovary no nkwa.

Mpɛn pii no, nnuruyɛfo a wɔyɛ oprehyɛn de ɔkwan bi a wɔfrɛ no laparoscopy di dwuma de sa awotwaa a ɛkyinkyin. Wɔ saa adeyɛ yi mu no, wɔtwitwa wo yafunu mu nketenkete pii. Wɔde afiri bi a wɔfrɛ no laparoscope fa ntwitwiridii no biako mu hwɛ sɛ wo mmadwoa no akyeakyea anaa. Sɛ wosi so dua sɛ awotwaa no akyeakyea a, wɔfa saa ntwitwiridii koro no ara so yɛ oprehyɛn de siesie ɔhaw no.

Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔabue ano (laparotomy). Sɛ wɔyɛ wo laparoscopy wie a, ebia wubetumi akɔ fie da koro no ara. Nanso, laparotomy yɛ oprehyɛn kɛse, enti ebia ɛsɛ sɛ wotra ayaresabea hɔ anadwo na wo ho tɔ wo akyɛ.

Sɛ wuhyia saa tebea yi a, dɛn na ɛba?

Wɔsa nnipa pii a wɔwɔ Ovarian Torsion yare na wɔsan kɔ wɔn asetra a ɛfata mu a wɔde mmadwoa abien a ɛte apɔw na ɛyɛ adwuma. Oprehyɛn a wɔyɛ de ma awotwaa no tenten no yɛ nea edi mu 90%.

Nanso, sɛ oduruyɛfo a ɔyɛ oprehyɛn no susuw sɛ ntini no asɛe anaasɛ akisikuru no fi kokoram akisikuru bi a, ebia ɔbɛkamfo akyerɛ sɛ wonyi awotwaa no. Nanso, eyi ntaa mma.

So akwan bi wɔ hɔ a wobetumi afa so asiw eyi ano?

Nokwarem no, ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw Ovarian Torsion ano.

Nanso sɛ wokɔ so nya ovarian torsion (a ɛntaa nsi koraa) a, ebia wo duruyɛfo bɛkamfo oprehyɛn a wɔfrɛ no oophoropexy akyerɛ wo. Wɔyɛ eyi de ma awotwaa no gyina sɛnea ɛbɛyɛ a ɛrenkyinkyin.

Aduruyɛ ho abenfo binom kamfo saa ``oophoropexy`` oprehyɛn yi kyerɛ mmofra a wɔahwere awotwaa biako esiane ``Ovarian Torsion`` wɔ mmofraase nti. Ɛkora awotwaa a aka no so na sɛ wɔpɛ a, ɛma wotumi wo mma daakye. Abenfoɔ da so ara resua mfasoɔ a ɛwɔ ``oophoropexy`` so wɔ nsɛm a ɛtete saa mu.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ yafunu ase yaw a wontumi nkyerɛkyerɛ mu, titiriw sɛ wunim dedaw sɛ wowɔ awotwaa mu akisikuru, a ɛma asiane a ɛwɔ hɔ sɛ awotwaa no bɛkyinkyin no yɛ kɛse a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yafunu a egye ntɛmpɛ (ETU) ntɛm ara.

Abenfo ntumi nka bere tenten pɔtee a egye ansa na ntini no awu bere a awotwaa no mu apaapae na yare no ho sɛnkyerɛnne afi ase no. Ɛno nti na ɛho hia sɛ wowɔ ɔfã a ahobammɔ wom no. Dodow a wokɔ oduruyɛfo nkyɛn ntɛm na wohu sɛ wowɔ yare no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wubefi mu aba no yɛ kɛse.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wuhyia saa tebea yi a, ɛbɛyɛ papa sɛ wubebisa oduruyɛfo nsɛm yi:

• Dwumadi ahorow bɛn na ɛsɛ sɛ mekwati bere a me ho retɔ me wɔ oprehyɛn mu no?
• Bere bɛn na ɛsɛ sɛ mesan ba bɛhwɛ sɛnea me ho atɔ me?
• Hokwan bɛn na ɛwɔ hɔ sɛ mɛsan anya Ovarian Torsion bio?
• So oprehyɛn yi bɛka m’awo?
• Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɔhaw bi wɔ hɔ a ɛsɛ sɛ mehwɛ yiye?

So eyi betumi de nkwa ato asiane mu?

Mpɛn pii no, ovarian torsion nyɛ nea ɛde nkwa to asiane mu, nanso ebetumi aba. Ɛntaa mma sɛ awotwaa a awu betumi ama obi anya ɔyare mmoawa a emu yɛ den sɛ wɔansa a. Nanso, nea enye koraa a ebetumi ato nnipa dodow no ara ne mmadwoa a wɔhwere.

Ayaresa a wɔyɛ no ntɛm betumi asiw nneɛma yi mu nea enye koraa, te sɛ ɔhonam akwaa a ɛyera anaa ɔyare mmoawa a ɛde ne nkwa to asiane mu a ɛbɛba no ano.

Bere tenten ahe na wuntumi nhu sɛ eyi akɔ so anaa?

Nnipa dodow no ara a wɔn awotwaa mu akisikuru no kɔ oduruyɛfo nkyɛn wɔ nna biako kosi abiɛsa akyi bere a yare no ho sɛnkyerɛnne no afi ase no. Nanso, wɔabɔ amanneɛ sɛ nnipa a wɔn ho yɛ hyew bere ne bere mu no nkɔ asram pii a wonhu wɔn. Eyi ne bere a awotwaa no twitwiw na ɛtrɛw bio, na ɛde ɛyaw a ɛba na ɛkɔ ba.

Nanso, sɛ aban no anhu sɛ wowɔ yare no a, ɔkwan biara nni hɔ a wobɛfa so ahu sɛ ebia eyi na ɛde wo yaw no ba anaa. Bere yɛ ade titiriw wɔ ha. Sɛ wowɔ sɛnkyerɛnne ahorow a, ntwɛn. Kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara sɛnea wubetumi.

So eyi ankasa bɛyɛ yiye?

Ebetumi aba, nanso ɛntaa nsi koraa.

Wɔ awotwaa a ɛkyinkyin bere ne bere mu mu no, awotwaa no twitwiw na ɛkyinkyin wɔ ɔkwan bi so a awiei koraa no ɛsan kɔ ne tebea a na ɛte kan (a ɛnkyinkyim) no mu.

Nanso, nsusuw da sɛ `(Ovarian Torsion)` bɛkɔ yiye wɔ n'ankasa so. Eyi nyɛ biribi a wobetumi agyaw ama kwa. Sɛ wowɔ sɛnkyerɛnne ahorow a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Sɛ wowɔ sɛnkyerɛnne bi te sɛ yafunu ase yaw a, ebetumi ayɛ abasamtu na ɛyɛ hu sɛ wunnim sɛ ebia ɛyɛ biribi ketewaa bi anaa biribi a ɛsɛ sɛ wohwɛ no ntɛm ara. Wɔ ovarian torsion ho no, ɔkwan biara nni hɔ a wobɛfa so ahu sɛ ɛyaw no fi ovary a twitwiw no kosi sɛ wo duruyɛfo behu sɛ ɛyɛ saa. Nea ɛyɛ awerɛhow no, nnipa pii nnim mpo sɛ wɔwɔ tebea bi (a mpɛn pii no ɛnyɛ asiane biara) a wɔfrɛ no ovarian cyst, a ɛyɛ asiane a ɛma ovarian cyst.

Mfa wo ho nto wo ho so. Sɛ wo yafunu ase yɛ wo yaw kɛse a, kɔ ayaresabea ntɛm ara. Sɛ woyɛ ade ntɛmntɛm a, ebetumi agye wo mmadwoa nkwa. Ebetumi agye wo nkwa nso.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi eyi mu?

Okay, enti, ɛfiri deɛ yɛaka ho asɛm nnɛ afa Ovarian Torsion ho no, nneɛma a ɛho hia paa a ɛsɛ sɛ yɛma ɛtra yɛn adwenem nie:

• Sɛ wo yafunu ase yɛ wo yaw mpofirim, wo ho yɛ wo yaw, na wofe a, mfa nyɛ hwee. Eyi betumi ayɛ Ovarian Torsion.
• Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Hokwan pa wɔ hɔ sɛ wubetumi agye wo mmadwoa nkwa denam ayaresabea a wobɛkɔ a worensɛe bere no so.
• Asiane yi dɔɔso kakra ma nnipa a wɔwɔ awotwaa mu akisikuru, mmea a wɔyem, ne wɔn a wɔreyɛ awo ho ayaresa. Nanso, ebetumi aba obiara mu.
• Ayaresa a wɔtaa yɛ ne sɛ wɔde laparoscopy bebue awotwaa a wɔakyinkyim no. Mpɛn pii no, wobetumi agye awotwaa no nkwa.
• Ntwɛn da sɛ "eyi ankasa bɛyɛ yiye." Hwehwɛ nnuruyɛfo afotu bere a ɛyaw no aba ara pɛ.

Kae sɛ ɔkwan a eye sen biara a wobɛfa so anya apɔwmuden ne sɛ wobɛma w’ani aku wo nipadua ho na woayɛ ho biribi bere a wuhu biribi a ɛyɛ soronko no. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.

` Ovarian Torsion, Yafunu mu Ɛyaw, Mmea Ho Ntɛmntɛm, Ovarian Cysts, Laparoscopy, Mmea Akwahosan