So wowɔ aduruyɛ mu nhwehwɛmu te sɛ endoscopy a ɛreba? Sɛ saa a, ebia wo duruyɛfo no ama wo nnuru kɛse bi a wode bɛhohoro wo dwensɔtwaa ho yiye (Bowel Preparation) ansa na woadi kan ayɛ. Ebia wɔaka akyerɛ wo sɛ fa gu nsu lita kakraa bi mu na nom. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wo ho nyɛ wo dɛ wɔ eyi ho. Nsɛmmisa te sɛ "Ɛbɛyɛ dɛn na matumi anom nsu pii saa?" "So menya yafunu a ɛyɛ yaw?" ebia ɛbɛba w’adwenem. Nanso mma ɛnhaw wo, ɛnnɛ yɛbɛka saa aduru yi, sɛnea wɔde di dwuma, ne biribiara a ɛsɛ sɛ wuhu ho asɛm.
Dɛn ne aduru yi? Sɛ yɛbɛka no tiawa a...
Eyi ne nea yɛfrɛ no aduru a wɔde sa akisikuru . Wɔ aduruyɛ mu no, eyi yɛ `(Polyethylene Glycol; Electrolytes)` ano aduru. Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde sa dwensɔtwaa, kyerɛ sɛ, aduru a ɛtew dwensɔtwaa mu. Yɛfrɛ eyi `(Laxatives)`.
Sɛnea ɛyɛ adwuma ni: Sɛ wonom saa nsu yi a, ɛkɔ wo dwensɔtwaa mu na ɛtwe nsu fi wo nipadua mu kɔ wo dwensɔtwaa mu. Nea ɛba ne sɛ wo nsu a ɛyɛ mmerɛw yiye na ɛyɛ mmerɛw. Afei nso, nhyɛso a ɛwɔ wo dwensɔtwaa mu no kɔ soro, na ɛkanyan ntini a ɛwɔ wo dwensɔtwaa mu no ma pia nsu no kɔ fam ntɛmntɛm. Sɛ wokɔ wo dwensɔtwaa mu kakraa bi a, wo dwensɔtwaa ho bɛtew koraa. Ɛno ansa na oduruyɛfo no betumi ayɛ biribi te sɛ endoscopy pefee.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Eyi ho hia paa. Ansa na wobɛnom saa aduru yi no, sɛ wowɔ tebea horow a edidi so yi mu biara a , ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa :
| So wowɔ saa tebea horow yi? | Nkyerɛmu |
|---|---|
| Nyarewa a ɛma aduan mu yɛ den | Tebea biara a enni sabea a ɛwɔ dwensɔtwaa, yafunu, anaa menewa mu. |
| Yafunu a ɛyɛ wo yaw anaa ɛyaw | Sɛ wotaa ho popo anaasɛ wo yafunu mu yɛ wo yaw a. |
| Ayaresa mu tebea afoforo | Tebea horow te sɛ nsu a ɛho nhia, ɛyɛ den sɛ ɔbɛmene ade, komayare, asaabo mu yare, sodium a ɛba fam wɔ mogya mu, anaasɛ akisikuru. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo den wɔ polyethylene glycol, nnuru afoforo, aduan kɔla, anaa nneɛma a wɔde sie ho a. |
| Nyinsɛn anaa nufu a wɔde ma | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɛho hia paa sɛ wobɛyɛ eyi sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ.
1. Dilution: Ɛsɛ sɛ wode nsu dodow pɔtee a wɔakyerɛw wɔ aduru packet a wɔde ama wo no nkyerɛwde so no diluted. Mfa nnfra nsuo foforɔ (nufusuo, nnuaba anonneɛ) anaa esiam (e.g. paanoo esiam, atokoɔ a wɔayam) da.
2. Sɔ: Ebia eyi bɛyɛ te sɛ nea ɛyɛ nwonwa kakra ama wo. Ano aduru a eye sen biara ne sɛ wode toa no bɛhyɛ frigye mu bere a woapete aduru no awie no na woama ayɛ nwini kakra ansa na woanom . Ɛbɛyɛ mmerɛw kɛse sɛ wobɛnom. Wosow no yiye ansa na wode adi dwuma biara.
3. Bere a ɛsɛ sɛ wofa: Wo duruyɛfo bɛkyerɛ wo bere pɔtee a ɛsɛ sɛ wufi ase nom. Fi ase ntɛm ara. Mpɛn pii no, bere a edi kan a ɛsɛ sɛ wokɔ aguaree no yɛ dɔnhwerew biako akyi bere a woanom aduru no. Ɛno akyi no, ɛho behia sɛ wokɔ aguaree mpɛn pii, wɔ nsu mu.
4. Aduandi: Eyi ho hia paa. Ɛho behia sɛ wudi aduan titiriw bi akyi ansa na woayɛ nhwehwɛmu. Wo duruyɛfo betu wo fo wɔ eyi ho. Nni aduan a ɛyɛ den biara nnɔnhwerew 3-4 ansa na woafi ase anom aduru no.
Sɛ wonom aduru yi pii wɔ akwanhyia mu a, mma wo ho nnyɛ wo hu na frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ woantumi ankɔ wo yafunu mu sɛnea wo duruyɛfo tuu wo fo no, a ɛkyerɛ sɛ wuntumi nnom aduru a ɛyɛ nsu no nyinaa a, wo ne wo duruyɛfo nka ho asɛm.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ so yiye. Fi ase nom saa aduru yi dɔnhwerew biako ansa na woayɛMfa nnuru foforo biara nnom nnom. Wo ne wo duruyɛfo nkasa mfa bere a ɛsɛ sɛ wonom wo nnuru afoforo no ho.
Ebia nnuru a edidi so yi ne saa yafunu ho tew aduru yi bedi nkitaho.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
|---|---|
| Nnuru a wɔde sa mogya mmoroso ne komayare | Wɔde nnuru bi ma de sa koma a ɛbɔ a ɛnteɛ. |
| Aduru a wɔde sa asaabo mu yare | Nnuru bi ka asaabo dwumadi. |
| Aduru a wɔde sa akisikuru | Nnuru te sɛ Carbamazepine, Phenobarbital, Phenytoin. |
| Nnuru a ɛma nsu fi nipadua mu | Aduru a wɔde ma de yi nsu fi nipadua no mu. |
| Nnuru afoforo a wɔde sa akisikuru | Nnuru afoforo a wɔde sa akisikuru. |
| Nnuru a wɔde kum ɛyaw (NSAIDS) . | Nnuru a wɔde sa ɛyaw ne ɔfe te sɛ Ibuprofen anaa Naproxen. |
Ebia nnuru nyinaa nka saa nsɛm a wɔahyehyɛ yi ho, enti ɛbɛyɛ papa sɛ wobɛka nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo (a vitamin ne nhabannuru ka ho) .
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw nketenkete. Nanso mma ɛnhaw wo. Ma yɛnhwɛ nea wɔyɛ, ne bere a ɛsɛ sɛ wo ne oduruyɛfo kasa.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den. |
| Asaabo a ɛsɛe | 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 mpofirim anaa emu yɛ den, akisikuru a mogya wom, atiridiinini, akisikuru, ɔfe. |
| Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Yafunu a wɔhyɛ no ma | Te a wɔte nka sɛ yafunu no ayɛ ma. |
| Akisikuru ne ɔfe | Ebia wobɛte akisikuru kakra anaasɛ wobɛfe bere a worenom aduru no. |
| Yafunu mu yaw | Yafunu mu yaw kakra. |
| Rectal a ɛnyɛ dɛ | Nsu a wɔtaa tow no ma ɔfe ne ɛyaw wɔ akyi berɛmo mu. |
Ɔkwan bɛn so na wode aduru no sie na wotow gu?
- Adekorabea: Sɛ wosan yɛ aduru no wie a, fa sie frigye mu na ama ne dɛ akora so na ansɛe. Nanso mfa nsie frigye mu. Tow sika biara a aka no gu bere a woasan ayɛ no foforo nnɔnhwerew 48 akyi .
- Tow: Sɛ woretow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam a, yi fi toa no mu, fa biribi te sɛ mpataa nwura, kɔfe a wɔayam, anaa dɔte fra mu, fa gu kotoku a wɔatoto mu denneennen mu, na tow gu nwura mu . Mfa nsu nkɔ tiafi mu.
Nkrasɛm a Wɔde Kɔ Fie
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ . Hwɛ yiye wɔ nsu dodow a wode aduru no hyɛ mu, bere a wobɛnom, ne aduan a wubedi ho.
- Hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ ne nnuru a wonom nyinaa akyerɛ wo duruyɛfo .
- Ɛyɛ ade a ɛfata sɛ wubenya yafunu mu yare bi ne akisikuru kakra bere a worenom aduru no. Nanso, sɛ wo yafunu mu yɛ wo yaw kɛse, wo ho yɛ wo hyew, anaa nsakrae ba wo koma bɔ mu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Esiane sɛ saa aduru yi yi nsu fi nipadua no mu nti, nom nsu a ɛfata (te sɛ nsu) sɛnea wo duruyɛfo kyerɛ no na amma nsu a ɛho ayɛ fĩ no .
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo biara .
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