Ebia wo anaa obi a wunim no tee ehu ne ehu nka kakra bere a oduruyɛfo no kaa oprehyɛn bi a wɔfrɛ no ‘Proctectomy’ ho asɛm no. Ɛno yɛ ade a ɛfata koraa. Hena na n’ani nnye oprehyɛn ho adwene no ho, ɛnte saa? Nanso sɛ yenim saa nneɛma yi pefee na yenim pɛpɛɛpɛ a, yebetumi ayi ehu a ɛho nhia afi hɔ na yɛde asomdwoe agyina ano. Enti ɛnnɛ, momma yɛnka Protectomy oprehyɛn yi ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Sɛ yɛbɛka no tiawa a, dɛn ne Protectomy?
Proctectomy yɛ oprehyɛn a woyi wo akyi berɛmo no fã bi anaa ne nyinaa. Seesei ebia woresusuw nea ɛyɛ akyi berɛmo no ho. Ɛyɛ wo dwensɔtwaa kɛse no fã a etwa to, na ne tenten bɛyɛ nsateakwaa asia. Nea ɛkɔ akyiri no, ɛyɛ ɔfã a ɛwɔ akyi berɛmo no atifi pɛɛ, baabi a nsu fi mu ba. Wɔ tebea horow bi mu no, ebia ɛho behia sɛ woyi akyi berɛmo no nso bere a wɔreyɛ oprehyɛn yi.
Dɛn nti na ɛsɛ sɛ wɔyɛ wo oprehyɛn a ɛte sɛɛ?
Nneɛma atitiriw pii nti na wɔyɛ oprehyɛn kɛse a ɛte saa. Oduruyɛfo bɛkamfo oprehyɛn yi akyerɛ wɔ tebea horow a emu yɛ den mu nkutoo, bere a ɔkwan foforo biara nni hɔ a wobetumi afa so no.
- Kokoram a ɛwɔ akyi berɛmo mu: Eyi ne ade titiriw ne ade titiriw a ɛma wotwa proctectomy. Saa oprehyɛn yi ho hia na ama wɔayi kokoram nkwammoaa afi hɔ na wɔasiw ano sɛ ɛntrɛw.
- Inflammatory Bowel Disease (IBD): Ebia woate ulcerative colitis anaa Crohn yare ho asɛm . Sɛ eyinom mu yɛ den dodo sɛ wɔde nnuru ne ayaresa afoforo bedi so a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na ama ɛyaw ne akisikuru a ɛde ba no afi hɔ.
- Abusua mu Adenomatous Polyposis (FAP): Eyi yɛ awosu mu tebea. Ɛma nnua nketenkete (polyps) pii ba wɔ akyi berɛmo ne akyi berɛmo mu. Saa nyini yi wɔ hokwan kɛse sɛ bere kɔ so no, ɛbɛyɛ kokoram. Enti wɔkamfo oprehyɛn yi kyerɛ sɛ anammɔn a wɔbɛfa so asiw kokoram ano.
Ɛwom sɛ oprehyɛn yi yɛ kɛse de, nanso mmoa a ɛde ma na ama woagye wo afi yare a ɛde wo nkwa to asiane mu te sɛ kokoram mu no som bo kɛse.
Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?
Wo duruyɛfo bɛyɛ wo nhwehwɛmu a edi mũ ansa na wɔayɛ wo oprehyɛn. Ɛho hia sɛ wunya w’akwahosan nyinaa ho ntease pa ansa na woayɛ wo oprehyɛn no ho nhyehyɛe.
- Nhwehwɛmu: Mogya mu nhwehwɛmu, ECG nhwehwɛmu, ne mfoninitwa nhwehwɛmu afoforo sɛ ɛho hia a. Sɛ wonyɛɛ wo colonoscopy da a, ɛho behia sɛ wɔyɛ saa nso.
- Bowel prep: Eyi ho hia yiye.Ansa na wɔbɛyɛ oprehyɛn no, ɛsɛ sɛ dwensɔtwaa no mu da mpan koraa na ɛho tew. Eyi nti, oduruyɛfo no bɛkyerɛw aduru a wɔde sa akisikuru ( aduru a wɔde siw akisikuru ) anaasɛ ɔde enema bedi dwuma .
- Nnuru: Sɛ worenom nnuru biara te sɛ nea ɛma mogya tu a, wɔbɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ wo oprehyɛn. Hwɛ hu sɛ wobɛka nnuru a worenom nyinaa akyerɛ wo duruyɛfo.
- Sigaretnom: Sɛ woyɛ obi a ɔnom sigaret a, sɛ wugyae koraa adapɛn kakraa bi ansa na wɔayɛ oprehyɛn no a, ɛbɛboa ayaresa no kɛse.
Sɛnea wɔyɛ oprehyɛn no ne oprehyɛn ahorow atitiriw no
Ansa na wobefi oprehyɛn no ase no, oduruyɛfo bi a ɔde aduru a ɛma obi dwensɔ bɛma wo aduru a wɔde kum nipadua no nyinaa. Enti wobɛda wɔ oprehyɛn no nyinaa mu a worente ɛyaw biara.
Proctectomy ko a wobɛyɛ no gyina sɛnea yare no te, beae a ɛwɔ, ne baabi a ɛkɔ so. Nneɛma atitiriw abiɛsa na ɛwɔ hɔ.
| Oprehyɛn Ahorow a Wɔyɛ | Nkyerɛmu |
|---|---|
| Yafunu mu a wotwa (APR) . | Wɔ eyi mu no, woyi wo akyi berɛmo, wo akyi berɛmo, ne ntini a atwa ho ahyia (sphincter ntini) no nyinaa fi hɔ. Esiane sɛ woyi akyi berɛmo no fi hɔ nti, wobue yafunu no were mu na ama nsu atumi afa mu. Wɔfrɛ eyi ostomy . Wɔde kotoku bi abata baabi a wɔabue no akyi. Stool boaboa ano wɔ saa kotoku yi mu. Ɛsɛ sɛ wɔpopa saa kotoku yi mu mpɛn pii da biara. Sɛ kokoram no bɛn akyi berɛmo no yiye a, wɔyɛ oprehyɛn yi. |
| Ntini a wɔde twa anim a ɛba fam (LAR) . | Nea ɛka eyi ho ne mmɔden a wɔbɔ sɛ wɔbɛkora akyi berɛmo ne ntini ahorow so sɛnea wobetumi biara. Woyi ɔfã a yare no nkutoo fi hɔ, na wɔsan de dwensɔtwaa no fã a aka a ɛte apɔw no bata akyi berɛmo no ho ( anastomosis ). Sɛ eyi yɛ yiye a, ɛho nhia sɛ wɔde ostomy bag bɛhyɛ mu. Wubetumi de nsu a ɛwɔ wo mu no akɔ sɛnea ɛsɛ. |
| Robot a wɔde boa a wɔde twa akyi berɛmo no | Eyi yɛ nnɛyi kwan a wɔmfa nhyɛ mu pii a wɔde yɛ LAR oprehyɛn. Oduruyɛfo a ɔyɛ oprehyɛn no de robɔt mfiridwuma di dwuma de yɛ oprehyɛn no pɛpɛɛpɛ na ɛyɛ pɛpɛɛpɛ kɛse. Mfaso a ɛwɔ eyi so ne sɛ mogya a ɛtɔ so tew, ne ho tɔ no ntɛmntɛm, na ɛyɛ pɛpɛɛpɛ. |
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn no wie a, ebehia sɛ wotra ayaresabea hɔ nna kakraa bi, ebia dapɛn biako, a egyina wo tebea no so.
- Ɛyaw ano aduru: Wobɛkɔ so anya nnuru a wode bedi ɛyaw a worehyia no so.
- Nsuo: Wobetumi de catheter ahyɛ mu de akɔ nsuo mu na wɔde nsuo afiri foforɔ (nsuo) ahyɛ mu de ayi nsuo a ɛboaboa ano wɔ beaeɛ a wɔyɛ oprehyɛn no. Eyinom yɛ bere tiaa mu de.
- Aduan: Ebia mfiase no wuntumi nnidi. Bere a wo aduan mu nhyehyɛe no ho tɔ no, wobedi kan ama wo nsu, na afei wɔde nkakrankakra ahyɛ aduan a ɛyɛ mmerɛw mu.
- Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ho ɔbenfo betumi aboa wo ma woasan anya ahoɔden na woanantew.
Ansa na wobɛkɔ fie no, w’aduruyɛfo kuw no bɛkyerɛkyerɛ sɛnea wobɛhwɛ wo kuru no, sɛnea wobɛnom nnuru a wɔde sa ɛyaw, nnuan a ɛsɛ sɛ wudi, ne akwankyerɛ biara a ɛsɛ sɛ wudi akyi mu.
Asiane ne nsɛnnennen bɛn na ɛwɔ oprehyɛn no mu?
Te sɛ oprehyɛn kɛse biara no, oprehyɛn a wɔde twa proctectomy no betumi de asiane ne nsɛnnennen bi aba, na ɛho hia sɛ wuhu.
| Nsɛnnennen Su | Nkyerɛmu |
|---|---|
| Nsɛnnennen a Ɛba Bere Tiaa Mu | |
| Nsaneɛ | Nyarewa betumi aba baabi a wɔatwa no anaa yafunu no mu. |
| Mogya a ɛretu | Sɛ mogya tu wo boro so bere a wɔreyɛ wo oprehyɛn anaa bere a woreyɛ oprehyɛn no akyi a, ebia ebehia sɛ wɔma wo mogya. |
| Mogya a ɛtwetwe | Sɛ wɔyɛ oprehyɛn wie a, mogya betumi ayɛ anan no mu esiane gyinabea a ɛkɔ soro nti. Sɛ wotu kwan kɔ ahurututu mu ( pulmonary embolism ) a, ɛyɛ hu. |
| Leakage wɔ nkitahodi no mu | Sɛ nsuo bi ba wɔ baabi a dwensɔtwaa no san ka bom (anastomosis) a, ɛsɛ sɛ wɔsan yɛ oprehyɛn bio. |
| Nsɛnnennen a Ɛtra Hɔ Bere Tenten | |
| Ɔbarima ne ɔbea nna mu ɔhaw | Oprehyɛn no betumi asɛe ntini a ɛka nna mu dwumadi ho no, na ebetumi ama mmarima ntumi nkɔ ɔbarima ne ɔbea nna mu anaasɛ anorgasmia aba mmarima ne mmea nyinaa mu. |
| Nsakrae a ɛba wɔ dwensɔtwaa mu | Ebia wotaa nya ɔpɛ sɛ wobɛkɔ aguaree, wo ho bɛtɔ wo mpofirim sɛ wobɛkɔ aguaree, anaasɛ ebia ɛbɛyɛ den sɛ wubedi wo dwensɔtwaa so. |
| Ɔhaw ahorow a ɛfa ostomy ho | Tebea horow te sɛ honam ani haw, nsu a ɛtwetwe, anaasɛ hernias betumi aba wɔ ostomy bag no ho. |
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Sɛ wudu fie pɛ a, ɛho hia sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne bi. Sɛ wuhu eyinom mu bi a, frɛ wo duruyɛfo ntɛm ara.
- Sɛ wo ho yɛ wo hyew digrii Celsius 38 (100.4 Fahrenheit) anaa nea ɛboro saa a.
- Sɛ ɛyaw no reyɛ kɛse anaasɛ wɔmfa nnuru a wɔde kum ɛyaw ano brɛ ase a.
- Sɛ baabi a wɔatwa no yɛ kɔkɔɔ, ɛho ahonhon, anaasɛ nsu a ɛte sɛ akisikuru repue a.
- Sɛ mogya tu dodo a.
- Sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho anaasɛ wo nsu mfi adi koraa a.
- Akisikuru ne ɔfe a ɛkɔ so tra hɔ.
- Ɔhome a ɛyɛ den.
- Sɛ wuhu nsakrae bi wɔ ostomy bag no dwumadi mu (kɔla, ne kɛse).
Nkrasɛm a Wɔde Kɔ Fie
- Proctectomy yɛ oprehyɛn kɛse, nanso ɛyɛ oprehyɛn a ɛho hia a ebetumi agye wo nkwa afi yare te sɛ kokoram mu anaasɛ ɛbɛma woanya ahotɔ afi ayaresa tebea a emu yɛ den mu.
- Ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ ansa na wɔayɛ oprehyɛn no na ama woanya nea efi mu ba no yiye.
- Egye bere ansa na asa. Saa bere no, nya abotare, di aduruyɛ mu afotu akyi, na nya mmoa mfi w’abusua hɔ.
- Ɛyɛ wo hokwan sɛ wo ne wo duruyɛfo bɛkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho.
- Wɔ nnɛyi oprehyɛn mfiridwuma mu no, nea efi oprehyɛn ahorow yi mu ba no di yiye kɛse. Enti, fa adwene pa hyia eyi.
👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQ) a efi Oduruyɛfo hɔ
💬 Dɛn ne proctectomy oprehyɛn?
Proctectomy yɛ oprehyɛn a wɔde yi akyi berɛmo no fã bi anaa ne nyinaa, a ɛyɛ dwensɔtwaa kɛse no fã a etwa to no.
💬 Adɛn nti na wɔyɛ proctectomy?
Nneɛma atitiriw pii nti na wɔyɛ oprehyɛn yi, a nea ɛka ho ne akyi berɛmo mu kokoram, dwensɔtwaa mu yare a emu yɛ den (IBD) a wontumi mfa nnuru nni dwuma, ne awosu mu tebea horow te sɛ Familial Adenomatous Polyposis (FAP), a wɔde siw kokoram ano.
💬 So wɔyɛ proctectomy oprehyɛn ma rectal cancer?
Yiw, ade titiriw a ɛma wotwa proctectomy ne kokoram a ɛwɔ akyi berɛmo mu. Saa oprehyɛn yi ho hia yiye na wɔayi kokoram nkwammoaa afi hɔ na wɔasiw ano sɛ ɛntrɛw nkɔ nipadua no afã afoforo.
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