So wɔayɛ nhyehyɛe sɛ wobɛyɛ aduruyɛ mu nhwehwɛmu titiriw bi, te sɛ colonoscopy? Sɛ saa a, ebia wo duruyɛfo aka akyerɛ wo sɛ yɛ wo dwensɔtwaa ho nhyehyɛe ansa na woayɛ nhwehwɛmu no. Enti ebia woresusuw sɛnea wode nnuru a wɔde ama wo no bedi dwuma ankasa ho. Mma ɛnhaw wo, yɛbɛma eyi ayɛ mmerɛw.
Dɛn ne nnuru a wɔde yɛ nnuru yi? Dɛn na ɛyɛ ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru titiriw bi a wɔde ma wo dwensɔtwaa mu da mpan koraa na ɛho tew. Bere a wɔreyɛ aduruyɛ mu nhwehwɛmu, titiriw colonoscopy, a wɔde mfoninitwa afiri di dwuma de hwehwɛ dwensɔtwaa no mu no, ɛsɛ sɛ wohu dwensɔtwaa no mu yiye. Eyi ne nea wɔde saa aduru yi di dwuma. Eyinom ka nnuru a wɔde siw akisikuru ( laxatives ) kuw no ho.
Mpɛn pii no, nneɛma atitiriw abiɛsa na ɛwɔ saa nnuru a wɔde hyɛ mu yi mu:
- Polyethylene Glycol: Eyi yɛ adwuma denam nsu a ɛtwetwe kɔ dwensɔtwaa no mu so, na ɛma nsu no yɛ mmerɛw na ɛnyɛ den sɛ ɛbɛfa mu.
- Bisacodyl: Eyi ba wɔ aduruyɛ mu. Ɛkanyan ntini a ɛwɔ dwensɔtwaa no mu no na ɛma nsu no fa ntɛmntɛm.
- Electrolytes: Eyi ho hia yiye. Sɛ wokɔ so didi a, anyinam ahoɔden a ɛwɔ wo nipadua mu no betumi atew, na ama nsu atɔ wo mu. Esiane sɛ electrolytes wɔ aduru yi mu nti, ɛboa kɛse ma electrolyte kari pɛ wɔ nipadua no mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma
Ansa na wobɛnom saa aduru yi no, ɛho hia sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka nea edidi so yi ho asɛm titiriw:
- Sɛ wowɔ yare a enni sabea a ɛfa yafunu, dwensɔtwaa, anaa menewam ho a.
- Sɛ wowɔ asaabo mu haw biara a .
- Sɛ wowɔ tebea bi a ɛwɔ hɔ mprempren te sɛ yafunu a ɛyɛ wo yaw, wo ho ayɛ wo hyew, anaasɛ wo dwensɔtwaa mu a ɛsiw .
- Sɛ woadi kan anya akisikuru wɔ nneɛma a ɛwɔ aduru yi mu biara ho (polyethylene glycol, bisacodyl), aduru foforo, aduan, anaa ade a wɔde yɛ ade.
- Sɛ woanyinsɛn, anaasɛ worehwɛ akokoaa kwan a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Sɛ wode saa nsɛm yi ma wo duruyɛfo no a, ɛbɛboa no ma wasi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnsɛ, na ɛbɛboa no nso ama woanya afotu a ɛho hia wɔ sɛnea wode bedi dwuma dwoodwoo ho.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Eyi ne ɔfã a ɛho hia sen biara. Ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ . Eyinom ne anammɔn a ɛsɛ sɛ wodi akyi wɔ ɔkwan a ɛkɔ akyiri so.
1. Aduan titiriw: Wɔbɛka akyerɛ wo sɛ di aduan titiriw bi akyi da koro anaa nnanu ansa na wɔayɛ sɔhwɛ no. Ebia wɔbɛka akyerɛ wo sɛ nom nsu nkutoo anaasɛ kwati nnuan bi. Di akwankyerɛ ahorow yi akyi yiye.
2. Tablet no a wobɛnom: Mene Bisacodyl tablet a ɛwɔ nnuru no mu no nyinaa ne nsu kuruwa sɛnea wo duruyɛfo kyerɛ no. Mma nwe, nbubu, anaa nsɛe saa tablet yi da.
3. Siesie nsu no: Fa powder packet a ɛwɔ adaka no mu no fra nsu dodow a wɔakyerɛ wɔ so no na fa fra yiye. Mfa biribi foforo biara nka ho (e.g. asikre, nneɛma a ɛma ɛyɛ dɛ). Sɛ wopɛ sɛ ɛyɛ dɛ a, wubetumi de nsu a woasiesie no ahyɛ frigye mu na woama ayɛ nwini kakra ansa na woanom.
4. Nom nsu no: Fi ase nom nsu a woasiesie yi nkakrankakra fi bere a wo duruyɛfo ka kyerɛ wo sɛ nom no. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ nom no bere ne bere mu, te sɛ kuruwa dɔnhwerew biara.
5. Nea ɛsɛ sɛ wohwɛ kwan: Ɛho behia sɛ wokɔ aguaree nea edi kan wɔ dɔnhwerew biako anaa nnɔnhwerew kakraa bi akyi bere a woanom aduru no. Sɛ wufi ase nom nsu no pɛ a, wubefi ase ayɛ wo dwensɔtwaa a ɛyɛ nsu mpɛn pii. Eyi ne nea wɔhwɛ kwan. Eyi ne ɔkwan a wɔfa so tew dwensɔtwaa no ho. Enti mma ɛnhaw wo wɔ ho.
Na sɛ menom nnuru pii wɔ akwanhyia mu nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nneɛma afoforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi
- Nnuru afoforo: Mfa nnuru foforo biara nnom dɔnhwerew biako ansa na woafi aduru a wɔde tew yafunu mu yi ase. Wo ne wo duruyɛfo nkasa mfa bere a ɛsɛ sɛ wonom mogya mmoroso ne asikreyare nnuru a wotaa de di dwuma no ho, na di kan nya afotu.
- Nufusu ne Nnuru a Ɛko Tia Asikre: Kwati nufusu mu nnuan te sɛ nufusu, yogurt, ne nufusu a wɔayam dɔnhwerew biako ansa na woanom bisacodyl ne dɔnhwerew biako akyi. Afei nso, kwati nnuru a ekum asikre a wɔde sa yafunu mu yare. Eyinom betumi asɛe aduru a wɔde kata aduru no so a ɛbɔ ho ban no na ama yafunu mu yaw ne ɛyaw ayɛ kɛse.
- Ahohoro: Ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra bere a wonom nsu no. Sɛ wote nka sɛ wo ho nyɛ wo dɛ yi a, gyae nsu no nom kakra. Anaasɛ, tew dodow a wonom bere koro mu na nom bere tenten.
- Powder no a wobɛhome: Sɛ wode aduru no powder no regu nsu mu a, nhome powder no mfutuma. Eyi betumi ama obi anya akisikuru te sɛ ahome a ɛyɛ den anaasɛ ɔfefe.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ nnuru nyinaa no, hokwan wɔ hɔ sɛ ebefi mu aba, na emu dodow no ara nyɛ aniberesɛm.
| Sɛnea nsunsuanso bɔne no te | Mpopoeɛ |
|---|---|
| Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsakrae a ɛba koma a ɛbɔ mu | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛrebɔ daa, wo ti a ɛyɛ wo yaw, wo koko mu yɛ wo yaw. |
| Nkɛntɛnso a enya wɔ asaabo so | Nsu a ɛba no so tew, nansoaa, nsa, anaa anan a ɛho ahonhon. |
| Akisikuru a ɛma obi ho kyere no | Akisikuru a ɛba mpofirim. |
| Yafunu mu yaw a emu yɛ den | Yafunu mu yaw a ɛba mpofirim anaa emu yɛ den, mogya a ɛba nsu mu, atiridiinini, akisikuru. |
| Nsunsuanso bɔne a mpɛn pii no enhia sɛ wokɔ ayaresabea (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Akisikuru ne akisikuru | Eyinom betumi aba bere a edi kan a wufi ase nom aduru no. |
| Yafunu mu yaw | Nkate kakra a ɛba sɛ akisikuru bi wɔ yafunu mu. |
| Akyi berɛmo mu ɔfe | Ɔfe anaa ɛyaw a ɛba akyi berɛmo mu esiane dwensɔtwaa a ɛtaa kɔ nipadua no mu nti. |
Nkrasɛm a Wɔde Kɔ Fie
- Wɔde saa nnuru yi di dwuma de tew dwensɔtwaa no ho koraa ansa na wɔayɛ aduruyɛ mu nhwehwɛmu.
- Di wo duruyɛfo no aduan ho akwankyerɛ ne nnuru ho akwankyerɛ akyi pɛpɛɛpɛ.
- Ɛyɛ ade a ɛfata sɛ obi taa nya akisikuru a nsu wom bere a wanom aduru no awie no. Mma ɛnhaw wo wɔ ho.
- Sɛ worenom bisacodyl aduru a, kwati nufusu ne nnuru a ekum asikre dɔnhwerew biako ansa na woanom ne ɛno akyi.
- Sɛ wuhu yare no ho sɛnkyerɛnne bi a emu yɛ den te sɛ yafunu mu yaw a emu yɛ den, sɛnkyerɛnne a ɛkyerɛ sɛ wo ho yɛ wo hyew, wo koko mu yaw, anaa akisikuru a, hwehwɛ ayaresa ntɛm ara.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo .
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Polyethylene Glycol a ɛwɔ nipadua no mu; Nneɛma a ɛma anyinam ahoɔden; Bisacodyl (PEG Prep Kit / HalfLytely) yɛ aduru a wɔde sa akisikuru a wɔnom ansa na wɔayɛ sɔhwɛ bɛn?
Eyi yɛ bowel prep kit! Nnuruyɛfo de eyi di dwuma de yi nsu ne nwura nyinaa fi ɔyarefo no akyi berɛmo/dwensɔtwaa kɛse mu da koro ansa na wɔayɛ ne dwensɔtwaa mu nhwehwɛmu, baabi a wɔde mfoninitwa afiri hyɛ ne dwensɔtwaa mu. Ɛsɛ sɛ colon no ho tew 100% na ama mfoninitwa afiri no ahu no yiye.
💬 Mɛyɛ dɛn ayi nwura a ɛwɔ me dwensɔtwaa mu nyinaa afi hɔ koraa bere a manom saa aduru yi (PEG + Bisacodyl) awie no?
Saa packet yi kura nnuru 2 a ɛyɛ nwonwa (wɔbɔ fi afã abien no nyinaa)! Nea edi kan no, sɛ wonom ‘Bisacodyl’ nnuru 2 a, ɛyɛ adwuma sɛ ade a ɛkanyan, na ɛma dwensɔtwaa no tu/tu ntɛmntɛm. Afei, sɛ wode saa ‘PEG powder + nkyene afrafra’ no gu nsu lita 2 mu na wonom a, wɔde saa nsu lita 2 no hohoro nsu a ɛwɔ dwensɔtwaa no mu nyinaa te sɛ asubɔnten (Osmotic Lavage)! (Esiane sɛ nkyene/electrolytes wom nti, sodium/potassium nkɔ nipadua no mu).
💬 Nsɛnnennen/asiane bɛn na ebetumi aba sɛ wobɛnom saa yafunu mu nsuo (Prep Kit) yi?
Nokwasɛm ne sɛ, nsu a nkyene wom na ɛyɛ den yi lita 2 a wɔnom (a yafunu ayɛ ma) yɛ ‘osuahu a ɛnyɛ dɛ a wontumi nnyina ano’ ma ayarefo pii! Ne saa nti, akisikuru/fefe a emu yɛ den, ahurututu/yafunu mu akisikuru yɛ nea wontumi nkwati. Asiane foforo ne sɛ eyi ma wo ho popo kɛse, na sɛ woannom nsu/nsu ahorow afoforo a, wubetumi anya nsu a ɛho ayɛ fĩ kɛse (Severe Dehydration/Renal Impairment) na w’asaabo betumi agyae adwumayɛ!
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