Ɛtɔ da bi a, esiane nyarewa a ɛka yɛn ahurututu, titiriw tebea horow a emu yɛ den te sɛ kokoram nti, ɛsɛ sɛ nnuruyɛfo si gyinae a anibere wom paa. Wɔ tebea horow a ɛtete saa mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn yi ahurututu a yare no wom no nyinaa. Eyi ne nea yɛfrɛ no ‘Pneumonectomy’ wɔ aduruyɛ mu. Esiane sɛ eyi yɛ oprehyɛn kɛse nti, ɛho hia paa sɛ wuhu nea wobɛhwɛ kwan ankasa.
Dɛn ankasa ne ahurututu mu ntini a wɔatwa?
Sɛ yɛbɛka no tiawa a, ahurututu mu a wotwa ne oprehyɛn a wɔde yi w’ahurututu no biako. Sɛ woyi ahurututu nifa a, wɔfrɛ no ‘nifa so ahurututu’, na sɛ woyi benkum ahurututu no a, wɔfrɛ no ‘benkum ahurututu’.
Eyi ne ahurututu mu oprehyɛn a ɛsõ sen biara, efisɛ ɛtɔ mmere bi a oprehyɛn ahorow bi wɔ hɔ a woyi ahurututu no fã ketewaa bi pɛ.
- (Lobectomy) - Wei kyere se wobeyi ahurututu no fã bi (lobe) nkoaa.
- (Wedge resection) - wo eyi mu no, woyi ahurututu no fã ketewaa bi mpo fi hɔ.
Wɔnam akwan titiriw abien so na ɛyɛ ahurututu mu oprehyɛn.
| Oprehyɛn ko a wɔyɛ | Nkyerɛmu |
|---|---|
| Standard Pneumonectomy a Wɔyɛ no | Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi w’ahurututu nyinaa nkutoo. Ebia obeyi ntini ne ntini a ɛbɛn hɔ no bi nso afi hɔ. |
| Extrapleural Pneumonectomy (oprehyɛn a ɛtrɛw kɛse) . | Eyi yɛ nea ɛyɛ den kakra. Wɔ ahurututu akyi no, woyi nneɛma afoforo pii fi hɔ. Ɛyɛ: - Ahrawa - a wode kata ahurututu no ho (Pleura) . - a wode kata koma no ho (pericardium) . - a woyi diaphragm no fã bi nso fi hɔ. |
Nnuruyɛfo a wɔyɛ oprehyɛn fa akwan abien so yɛ oprehyɛn yi. Biako ne oprehyɛn a wɔyɛ no pefee a wɔfrɛ no thoracotomy . Ɔfoforo no yɛ oprehyɛn ketewaa bi a wɔde twa obi a wɔfrɛ no video-assisted thoracic surgery (VATS) . Ɛwom sɛ VATS ntumi nkɔ nipadua no mu kɛse de, nanso ɛnyɛ nea ɛfata ayarefo nyinaa.
Tebea ahorow bɛn na wɔyɛ oprehyɛn yi ma?
Wɔtaa yɛ oprehyɛn yi sɛ ahurututu mu kokoram ayaresa, nanso wobetumi ayɛ no ama tebea afoforo nso.
- Ahurututu mu kokoram
- Carcinoid tumors a ɛba ahurututu mu
- Pleural mesothelioma, kokoram a ɛba ahurututu no mu
- Ahurututu mu opira a emu yɛ den
- Fungal yare a emu yɛ den a wɔfrɛ no Aspergillosis
- Bronchiectasis yɛ yare a mframa kwan no trɛw daa.
- Nsanyare a ɛma obi nya nsamanwaw
- Bere a kokoram bi a wɔfrɛ no disseminated thymoma trɛw no
Pneumonectomy ne ahurututu mu kokoram ayaresa a wɔtaa de sa, nanso ɛnyɛ kokoram ayarefo nyinaa na wobetumi ayɛ saa oprehyɛn yi.
Henanom na oprehyɛn yi fata?
Ebia wobɛfata ama oprehyɛn yi wɔ nsɛm a edidi so yi mu:
- Sɛ kokoram no wɔ ahurututu biako pɛ mu (na ɛntrɛw nkɔ mmeae afoforo) na wobetumi ayi ahurututu no na wɔasa kokoram no koraa a.
- Ɛdenam baabi a kokoram akisikuru no wɔ so no, ahurututu no fã bi pɛ na wobetumi ayi na wontumi nyi akisikuru no nyinaa mfi hɔ.
- Sɛ wo koma, wo mogya ntini, ne wo akwaa afoforo wɔ akwahosan pa mu a.
Hena na ɔmfata mma oprehyɛn yi?
- Wɔn a wonni ahurututu mu dwumadi a ɛdɔɔso no fam.
- Wɔn a wɔwɔ komayare a emu yɛ den no fam.
- Wɔn a wɔwɔ ahurututu mu mogya mmoroso a emu yɛ den (nhyɛso a ɛkɔ soro wɔ mogya ntini a ɛde mogya kɔ ahurututu mu) no fam.
- Wɔn a wɔn koma ntumi nkɔ pɔmpɛ yiye (Poor ventricular function).
Ansa na wɔreyɛ oprehyɛn ne ahosiesie a wɔyɛ ma oprehyɛn
Nna anaa adapɛn kakraa bi ansa na wɔayɛ wo oprehyɛn no, wo duruyɛfo bɛyɛ nhwehwɛmu ahorow bi de ahu sɛnea wo koma ne w’ahurututu reyɛ adwuma.
- (VQ scan) .
- Ahurututu mu dwumadi ho sɔhwɛ ahorow
- Koma (Echocardiogram) mu nhwehwɛmu
- Koko so X-ray a wɔyɛ
- (PET scan) ne (CT scan) .
- Mogya mu nhwehwɛmu
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho?
Esiane sɛ eyi yɛ oprehyɛn kɛse nti, ɛsɛ sɛ wudi kan siesie wo ho yiye.
- Yɛ nhyehyɛe ma obi bɛhwɛ ofie nnwuma ne afieboa bere a wowɔ ayaresabea no.
- Wo ne obi nkasa na ɔmmra bɛfa wo bere a wufi ayaresabea aba fie no.
- Ɛho hia paa sɛ wubenya obi a ɔbɛboa wo bere tiaa bi bere a woadu fie no. Yɛ nhyehyɛe ma ɛno nso.
- Sɛ wonom sigaret a, gyae ntɛm ara. Eyi ho hia paa. Sɛ ɛyɛ den ma wo sɛ wubegyae a, bisa wo duruyɛfo ma ɔmmoa wo.
- Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Ebia ɔbɛka akyerɛ wo sɛ gyae nnuru bi nom anaasɛ sesa bere a wɔde yɛ no ansa na wɔayɛ wo oprehyɛn no.
- Sɛ wo ho yɛ wo hyew wɔ nnuru ho a, ka ho asɛm nso kyerɛ yɛn.
- Oduruyɛfo no bɛka akyerɛ wo sɛ nnidi anaa nnom biribiara anadwo fã akyi anadwo a edi oprehyɛn no anim. Di saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Bere a wɔreyɛ oprehyɛn no, wɔbɛma wo aduru a ɛma obi dwensɔ koraa, enti worente biribiara nka. Oduruyɛfo a ɔma obi dwensɔ no bɛhwɛ wo wɔ oprehyɛn no nyinaa mu. Oduruyɛfo a ɔyɛ oprehyɛn no bɛtwa wo koko nkyɛn, wɔ mparow abien ntam, na wama mpampam no atew mu ma adu ahurututu no mu. Afei, oduruyɛfo a ɔyɛ oprehyɛn no beyi mframa no bi afi ahurututu no mu na ɔde ahwɛyiye ayi afi hɔ. Sɛ ɛho hia a, wobeyi ntini afoforo afi hɔ, na wɔbɛpam mparow, ntini, ne honam ani asan abom. Oprehyɛn yi betumi agye nnɔnhwerew pii.
Oprehyɛn no akyi...
Sɛ wɔyɛ oprehyɛn no wie a, ɛsɛ sɛ wotra ayaresabea hɔ nna kakraa bi.
- Aduruyɛ kuw no bɛkɔ so ahwɛ wo oxygen dodow, wo koma bɔ, ne wo mogya mmoroso.
- Wɔbɛma nnuru a wɔde kum ɛyaw de adi ɛyaw no so.
- Apɔw-mu-teɛteɛ ho animdefo bɛba abɛkyerɛ wo ahomegye apɔw-mu-teɛteɛ, aboa wo ma woasɔre afi mpa so na woanantew.
Dɛn na ɛba saa baabi a hwee nni hɔ no so bere a woyi ahurututu no?
Eyi yɛ ɔhaw a nnipa pii wɔ. Sɛ woyi ahurututu bi fi hɔ ara pɛ a, mframa hyɛ baabi a ɛwɔ hɔ ma. Bere bi akyi no, nsu si saa mframa no ananmu. Bere kɔ so no, wɔpia wo koma, wo ntini, ne akwaa afoforo kɔ saa kwan no so. Ahurututu a aka no nso yɛ kɛse kakra. Yɛn nipadua yɛ nsakrae ma ɛne tebea foforo yi hyia wɔ ɔkwan a ɛyɛ nwonwa so.
Mfaso ne asiane bɛn na ɛwɔ oprehyɛn so?
| Mfasoɔ | Asiane & Nsɛnnennen a Ɛba |
|---|---|
| Wɔ kokoram fam no, wobetumi ayi akisikuru no nyinaa afi hɔ na ama kokoram no antrɛw, na ebetumi mpo asa koraa. | Koko mu akisikuru (Empyema) . |
| Ebetumi asiw nyarewa a edi awu (mmoawa, fungi) a ebetumi aba esiane ahurututu a asɛe nti no ano. | Koma a ɛbɔ a ɛnteɛ (Arrhythmia) . |
| Ɔhome a entumi nyɛ adwuma yiye | |
| Ahurututu mu yare | |
| Ahurututu mu ntini a ɛma mogya tu | |
| Bronchopleural fistula (tokuru a ɛda ahurututu no ne ahurututu no ntam) . | |
| Asiane wɔ hɔ sɛ kokoram bɛsan aba bio wɔ oprehyɛn akyi mpo. |
Nea ɛho hia: Esiane sɛnea nipadua no te nti, asiane a ɛwɔ hɔ sɛ ɔhaw ahorow bɛba bere a wɔreyɛ oprehyɛn de ayi ahurututu nifa no dɔɔso kakra sen benkum de no.
Ahotɔ ne asetra a ɛda yɛn anim
Ebia ebegye asram pii ansa na asa koraa. Saa bere yi mu no:
- Anohyeto ahorow wɔ nneɛma te sɛ nneɛma a emu yɛ duru a wɔma so ne karka ho.
- Ɔbrɛ a wɔte nka kɛse sen sɛnea ɔtaa yɛ.
- Ɛsɛ sɛ wohome daa.
- Ebia ɛbɛyɛ den sɛ wobɛyɛ da biara da nnwuma a ɛfata.
Eyinom bi bɛkɔ bere a woresa yare no, na nneɛma bi betumi abɛyɛ wo "new normal" no fã.
Dɛn na yebetumi aka afa nkwa nna ho?
Eyi gyina nneɛma pii so. Ade titiriw nti a wɔyɛɛ oprehyɛn no ne nea enti a wɔyɛɛ no. Sɛ nhwɛso no, nnipa 4 biara a wɔyɛ wɔn oprehyɛn wɔ nsamanwaw ho no mu bɛboro 3 tra ase bɛboro mfe 10. Nanso, nhwehwɛmu ahorow kyerɛ sɛ nnipa 3 biara a wɔyɛ wɔn oprehyɛn wɔ ahurututu mu kokoram ho no mu 1 pɛ na ɔtra ase bɛboro mfe 5. Enti, ɛho hia sɛ wo ne wo duruyɛfo susuw wo tebea no ho.
Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu
Hwɛ nsakrae a ɛba wo nipadua mu bere a wo ho retɔ wo no yiye.
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| - se aduru a ewo oprehyen kuru no so no ye mogya mu nsuo a. | - se kuru no wo hua fĩ anaase nsuo a ne kɔla soronko bi repue a. |
| - a efe a ewo nsuo anaase nsuo a ewo ho dodoo a ne kɔla sesa. | - Huraeɛ. |
| - a ɛyɛ akisikuru anaasɛ ɔfe. | - yaw a ennyae bere a woanom nnuru mpo akyi. |
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ ayaresabea no ETU (Emergency Treatment Unit) ntɛm ara. | |
| - se worefefe mogya a. | - a ɛyɛ den sɛ ɔbɛhome. |
| - koko mu yaw mpofirim a ɛyɛ den sɛ wobɛhome. | - a woyera wo nhumu. |
Nkrasɛm a Wɔde Kɔ Fie
- Pneumonectomy yɛ oprehyɛn a anibere wom yiye. Wɔyɛ no wɔ tebea horow a emu yɛ den mu nkutoo, bere a ayaresa afoforo kakraa bi na ɛwɔ hɔ no.
- Egye asram pii ansa na oprehyɛn no ho atɔ no koraa, na ɛho hia sɛ wotɔ wo bo ase wɔ saa bere yi mu.
- Ɛwom sɛ wobetumi de ahurututu biako atra ase akyɛ de, nanso ɛho behia sɛ wɔyɛ nsakrae bi wɔ asetra mu.
- Fa ahofadi ne wo duruyɛfo susuw nsɛmmisa anaa dadwen biara a ebia wowɔ ansa na wɔayɛ oprehyɛn anaa bere a wɔayɛ oprehyɛn akyi no ho. Ɛno ansa na wubetumi asi gyinae a eye sen biara ama w’akwahosan.
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