Wɔ mmarima binom fam no, nsu a wɔtow betumi ayɛ yaw kɛse na ɛnyɛ dɛ. Nsuo no sen te sɛ nea ɛkyere, drip by drip... ɛtɔ da bi mpo a ɛtumi siw koraa. Ade titiriw nti a eyi ba no betumi ayɛ sɛ nsu a ɛkɔ nsu mu no asiw, kyerɛ sɛ, ɛyɛ teateaa. Wɔ aduruyɛ mu no, yɛfrɛ eyi ' Urethral Stricture '. Enti, ɛnnɛ yɛreka oprehyɛn titiriw bi a nnuruyɛfo kamfo kyerɛ bere a akwan foforo a wɔfa so sa yare no antumi anyɛ yiye ho asɛm.
Dɛn ne Perineal Urethrostomy?
Sɛ yɛbɛka no tiawa a, Perineal Urethrostomy yɛ oprehyɛn a wɔyɛ mmarima. Nea ɛka ho ne ɔkwan foforo a wɔbɛfa so abue, anaa ɔkwan foforo a nsu betumi afa mu. Wɔyɛ saa bue foforo yi wɔ honam ani fã a ɛda wo awotwaa ne wo akyi berɛmo ntam no. Yɛfrɛ saa beae no ‘perineum’.
Fa no sɛ, sɛnea ɛte biara, nsu a ɛboaboa ano wɔ yɛn akisikuru mu no fa afiri bi a wɔfrɛ no urethra mu na efi mu wɔ ɔbarima no akyi. Nanso, esiane nyarewa bi, opira , anaa oprehyɛn a wɔadi kan ayɛ nti, saa nsu a ɛkɔ nsu mu yi betumi ayɛ akuru, ayɛ teateaa, anaasɛ asiw. Ɛno ne bere a nsu a ɛsen no siw koraa anaasɛ ne fã bi. Saa oprehyɛn yi ma wonya ɔkwan foforo a ɛtra hɔ daa a nsu betumi afa so afi mu ama wɔn a wɔn nsu a wɔde fa nsu mu no asiw araa ma wontumi mfa nsu mfa ɔbarima no akyi.
Dɛn nti na ɛsɛ sɛ wɔyɛ wo oprehyɛn a ɛte sɛɛ?
Wɔtaa susuw oprehyɛn yi ho bere a ayaresa afoforo a wɔde sa urethral stricture no adi nkogu no. Ɛne sɛ, bere a wontumi nsan mfa nsu a ɛkɔ nipadua no mu no nsi baabi foforo sɛnea ɛbɛyɛ a nsu no mfa ɔbarima no ano nkɔ. Wɔ oprehyɛn yi akyi no, nsu no fa ɔkwan foforo bi a ɛwɔ akyi no mu fi mu, enti ɛho behia sɛ wotra ase bere a woretow nsu no.
Eyi nso betumi ayɛ ɔkwan pa a wɔn a wɔn mfe akɔ anim a wɔmpɛ sɛ wɔyɛ wɔn oprehyɛn kɛse a wɔde bɛsan asiesie wɔn ho no betumi afa so. Wosusuw oprehyɛn yi ho wɔ tebea horow a edidi so yi mu.
| Tebea horow a ebia ebehia sɛ wɔyɛ no oprehyɛn | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Urethral strictures a ɛyɛ den/ɛsan ba bio | Nsɛm a ɛma nsu a ɛkɔ nsu mu no kɔ so siw na ɛnyɛ ayaresa afoforo ho biribi. |
| Squamous cell carcinoma a ɛwɔ ɔbarima no akyi | Esiane kokoram ahorow bi a ɛba ɔbarima no akyi. |
| Oprehyɛn a wɔde yi ɔbarima no akyi berɛmo (Penectomy) . | Bere a wɔayi ɔbarima no akyi koraa esiane kokoram anaa nneɛma afoforo nti. |
| Nsu a wɔde yi nsu mu | Bere a wɔyɛ oprehyɛn yi urethra no nyinaa anaa ne fã bi. |
| Hypospadias a ɛwɔ nipadua no mu | Eyi yɛ awo mu tebea a ɛma nsu a ɛkɔ akyi no bue wɔ ɔbarima akyi berɛmo no ase sen sɛ ɛbɛkɔ ne ano. |
| Nsu mu ntini a wɔde hyɛ nipadua mu a entumi nyɛ yiye | Bere a oprehyɛn ahorow a atwam de asiesie nsu a ɛkɔ nsu mu no ankosi hwee no. |
| Fournier yare a ɛma obi nya gangrene | Bere a ɔyare mmoawa a emu yɛ den aba ɔbarima no akyi ne akyi berɛmo no. |
Hena na ɔmfata mma oprehyɛn yi?
Nanso ɛnyɛ obiara na obetumi ayɛ saa oprehyɛn yi. Wɔ tebea horow bi mu no, ebetumi ayɛ den kakra. Sɛ wowɔ saa nneɛma yi bi a, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa eyi ho kɔ akyiri:
- Sɛ woyɛ kɛse mmoroso kɛse a .
- Sɛ woadi kan ayɛ wo oprehyɛn wɔ perineum no fã a .
- Mframa a wɔde sa prostate kokoramSɛ woafa a.
Nsɛmmisa bi a wotaa bisa a ebia wunya
So mmadwoa fi ɔbarima no akyi fi oprehyɛn akyi?
Eyi yɛ ɔhaw a nnipa pii wɔ. Dabi, wɔ oprehyɛn yi akyi no, mmadwoa mfi ɔbarima no akyi, na mmom efi ɔkwan foforo a wɔabue no mu.
So oprehyɛn yi bɛma wɔahwere nsu a wɔde di dwuma no?
Ehu kɛse foforo ne sɛ worentumi nhyɛ wo ho so. Ɛno rensi. Wowɔ ntini ahorow a ɛhwɛ wo nsu so wɔ saa kwan a wɔabue yi so yiye. Enti wubetumi adi wo nsu so.
Oprehyɛn yi remma obi ntumi nhyɛ ne ho so. Mma ɛnhaw wo wɔ saa asɛm no ho. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
Ɔkwan bɛn so na wosiesie wɔn ho ma oprehyɛn?
Ansa na wobɛyɛ oprehyɛn no, wo duruyɛfo bɛka akyerɛ wo sɛ fa nsu a wode bɛkɔ no ma. Ɔbɛhyɛ wo ase anom nnuru a ekum ɔyare mmoawa na amma woannya ɔyare mmoawa. Ebia ɛho behia nso sɛ woyɛ X-ray de hwɛ sɛnea wo urethra no te.
Nea ɛho hia paa ne sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ wo nyarewa afoforo ne nnuru a worenom no ho.
| Hwɛ hu sɛ wobɛka saa nneɛma yi ho asɛm akyerɛ wo duruyɛfo. | |
|---|---|
| Nneɛma a wɔde ahyɛ nipadua no mu | Nneɛma te sɛ stent, nkwaa a wɔde besi ananmu, pacemakers, koma valves. |
| Nyarewa a wɔde nyarewa ba | Sɛ woanya ɔyare bi te sɛ MRSA a. |
| Nnuru a ɛma mogya yɛ mmerɛw | Sɛ worenom nnuru te sɛ warfarin, aspirin, clopidogrel, rivaroxaban, anaa dabigatran a. |
Sɛnea wɔyɛ oprehyɛn no ne nea ɛba wɔ ɛno akyi
Wɔyɛ eyi wɔ ayaresabea, wɔ aduru a wɔde kum nipadua no nyinaa ase . Eyi kyerɛ sɛ woada koraa bere a wɔreyɛ oprehyɛn no. Enti wonte biribiara nka. Mpɛn pii no, oprehyɛn no gye dɔnhwerew biako kosi abien.
Sɛ wɔyɛ oprehyɛn wie a, wɔde afiri bi bɛhyɛ wo akisikuru mu na aboa wo ma woatumi akɔ nsu mu. Yɛfrɛ no Foley catheter . Mpɛn pii no, saa catheter yi bɛtra nea ɛwɔ hɔ bɛyɛ adapɛn abien kosi abiɛsa. Saa bere yi mu no, wɔbɛma wo nnuru a wɔde kum ɛyaw ne nnuru a ekum ɔyare mmoawa na amma woannya ɔyare mmoawa.
Ansa na wubefi ayaresabea hɔ no, oduruyɛfo ne ayarehwɛfo no bɛkyerɛkyerɛ sɛnea wobɛhwɛ wo ho wɔ fie, sɛnea wobɛhwɛ wo catheter no so, sɛnea wobɛnom w’aduru, ne bere a ɛsɛ sɛ wosan kɔ ayaresabea no mu akyerɛ wo.
Bɛyɛ asram 8-12 akyi no, wɔyɛ nhwehwɛmu bi a wɔfrɛ no cystourethroscopy, a wɔde mfoninitwa afiri di dwuma de hwɛ sɛ ebia nsu a ɛkɔ nsu mu no te apɔw anaasɛ asan asiw bio.
Dɛn ne nsɛnnennen a ebetumi aba?
Oprehyɛn yi nkonimdi dodow yɛ kɛse yiye (wɔbɔɔ amanneɛ sɛ "ɛyɛ papa"). Na nsɛnnennen ho yɛ na koraa. Nanso, ɛho hia sɛ wuhu wɔn sɛ ebia biribi si a.
Sɛ ɔhaw bi ba a, sɛnkyerɛnne ahorow no betumi ayɛ: nsu a wɔtow gu no so tew, nsu a ɛka wɔ akisikuru no mu bere a wɔatow nsu awie no, anaasɛ ɔyare mmoawa a ɛba akisikuru mu. Nsɛnnennen afoforo a ebetumi aba ne:
- Mogya a ɛretu fi nea wɔatwa no mu
- Rehono
- Huraeɛ
- Nsuo mu yareɛ
- Stricture no a ɛsan ba bio
- Koma ne ntini mu haw ahorow
Sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biara, sɛ nhwɛso no, mogya a ɛtɔ dodo esiane nea wɔatwa anaasɛ atiridiinini a ano yɛ den nti a, ka kyerɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) .
Nkrasɛm a Wɔde Kɔ Fie
- Perineal Urethrostomy yɛ oprehyɛn a edi mu kɛse a wɔde sa urethral strictures a emu yɛ den wɔ baabi a ayaresa afoforo adi nkogu.
- Sɛ woyɛ oprehyɛn yi wie a, ɛho behia sɛ wotra ase tow nsu. Afei nso, mmadwoa befi abue a wɔabɔ no foforo no mu aba.
- Saa oprehyɛn yi remma worenhwere tumi a wode bedi wo nsu so (incontinence).
- Asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no sua koraa, nanso sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (mogya a ɛtɔ kɛse, atiridiinini) a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Oduruyɛfo no akwankyerɛ a wobedi akyi (nnuru a wɔnom, ayaresabea a wobɛkɔ) wɔ oprehyɛn akyi no ho hia na ama obi ho atɔ no ntɛmntɛm.
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