Momma yɛnka Rectal Prolapse ne Oprehyɛn (Rectopexy) ho asɛm kɛkɛ .

So ɛtɔ mmere bi a, wote nka sɛ wo menewa mu ayɛ kurukuruwa anaasɛ emu yɛ duru bere a woakɔ aguaree awie no? So ɛte sɛ nea biribi apue wɔ mu? Eyi ne nea yɛfrɛ no rectal prolapse . Ɛwom sɛ ɛyɛ asɛmti a ɛyɛ den na ɛyɛ aniwu sɛ wobɛka ho asɛm de, nanso ɛho hia paa ma wo yiyedi. Enti momma yɛnka ho asɛm pefee.

Dɛn ankasa ne eyi? Sɛ yɛbɛka no tiawa a...

Susuw ho hwɛ, wɔfrɛ wo dwensɔtwaa no fã a etwa to no rectum. Mpɛn pii no, ntini a ɛwɔ wo hwene mu no na ɛkura mu. Nanso ɛtɔ mmere bi a, sɛ saa ntini ahorow yi yɛ mmerɛw a, akyi berɛmo no twetwe kɔ fam kakra na ɛbɔ mmɔden sɛ ebefi wo hwene mu. Ɛte sɛ sɔks a ɛdannan ne mu kɔ akyi. Eyi ne nea yɛfrɛ no Rectal Prolapse.

Saa tebea yi nyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Nanso, sɛ wɔansa , bere kɔ so no , ebetumi asɛe kɛse . Eyi betumi ama obi ate ɛyaw, ne dwensɔtwaa mu haw (akisikuru anaasɛ ontumi nhyɛ ne ho so), ne nsɛnnennen afoforo.

Hena na ɛda adi sɛ obenya saa tebea yi?

Eyi nyɛ tebea a ɛtaa ba. Ɛwom sɛ ebetumi aba obiara so de, nanso ɛtaa ba mmea a wɔadi boro mfe 50. Ebetumi aba nso wɔ nyinsɛn akyi, nnipa a wɔn akisikuru akyɛ, anaa bere a wɔapirapira akyi.

Oprehyɛn ahorow bɛn na wobetumi ayɛ ama eyi?

Ɔkwan biako pɛ a wobetumi afa so asa Rectal Prolapse wɔ ɔpanyin mu ne oprehyɛn. Wɔfrɛ saa oprehyɛn yi Rectopexy . Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ. Wo duruyɛfo no begyina w’akwahosan, mfe a woadi, ne sɛnea ɔhaw no mu yɛ den so apaw ɔkwan a eye sen biara ama wo.

Yafunu mu Nneɛma a Wɔyɛ

Wɔ oprehyɛn yi mu no, wɔde wo bɛhyɛ aduru a wɔde kum nipadua no mu. Akwan pii wɔ hɔ a wɔfa so yɛ eyi:

• Oprehyɛn a wobue mu (Abdominal Rectopexy): Oduruyɛfo no twa wo yafunu mu tenten, twe akyi berɛmo a ahwe ase no san kɔ soro, na ɔde nhama a ɛtra hɔ daa anaa ɛtɔ mmere bi a wɔde ahama a wɔde ahama ayɛ no kyekyere wo hwene (sacrum) akyi ɔfasu no ho. Bere kɔ so no, akuru ntini ahorow ba na ɛtra hɔ daa. Ɛtɔ mmere bi a, wobetumi ayɛ dwensɔtwaa a wotwa (oprehyɛn a wɔyɛ de yi dwensɔtwaa no fã bi) na ama akisikuru so atew.
• Laparoscopic Rectopexy: Sɛ́ anka wɔbɛtwa yafunu no mu kɛse no, wɔyɛ oprehyɛn yi denam ntwitwiridii nketenkete kakraa bi a wɔyɛ na wɔde afiri a ɛyɛ tratraa a mfoninitwa afiri abata ho (laparoscope) ne nnwinnade afoforo bɛhyɛ mu.
• Robotic Rectopexy: Eyi te sɛ oprehyɛn a wɔde safe tokuru yɛ, nanso wɔde robɔt afiri bi boa oduruyɛfo no.

Perineal Nneɛma a Wɔyɛ

Wɔtaa yɛ saa oprehyɛn yi wɔ nnipa a wɔn mfe akɔ anim anaa wɔn a wontumi nnye oprehyɛn kɛse ntom esiane ayaresa tebea afoforo nti. Wobetumi de aduru a wɔde kum nipadua no nyinaa anaasɛ wɔde epidural ayɛ.

• Altemeier kwan: Wɔ saa adeyɛ yi mu no, oduruyɛfo no yi akyi berɛmo a ahwe ase ne dwensɔtwaa no fã a etwa to no fa akyi berɛmo no mu, twa mu, na afei ɔsan de akyi berɛmo a aka no bata dwensɔtwaa no ho.
• Delorme ayaresa: Wɔtaa yɛ eyi ma obi a ɔhwe ase ketewaa bi. Ɛha yi, woyi akyi berɛmo no mu nkataso nkutoo, wɔbobɔ ntini no mu, na wɔsan pam no kɔ akyi berɛmo no mu. Eyi ma ntini no fasu no yɛ den na ɛmma akyi berɛmo no ntumi nkɔ baabiara.

Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?

Ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye ansa na woayɛ wo oprehyɛn. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ yɛ nea edidi so yi:

• Di nsu nkutoo da a edi oprehyɛn no anim.
• Gyae nnuru bi (titiriw nnuru a ɛma mogya yɛ mmerɛw) nom kakra.
• Fa nnuru a wɔde tew dwensɔtwaa no ho na ama dwensɔtwaa no ho atew yiye.

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi wɔ oprehyɛn no akyi. Sɛ wɔyɛɛ wo oprehyɛn faa wo yafunu mu a, ebia ebehia sɛ wotra hɔ bɛyɛ dapɛn biako. Wo duruyɛfo bɛhwɛ wo kosi sɛ wubetumi adidi sɛnea ɛsɛ bio, atwa gas, na woakɔ wo dwensɔtwaa mu. Eyi yɛ sɛnea ɛbɛyɛ a wobɛhwɛ ahu sɛ wo aduan mu nneɛma reyɛ adwuma yiye bio.

Nsɛnkyerɛnne a ɛtaa ba wɔ nna kakraa a edi kan wɔ oprehyɛn akyi no bi ni:

• Ɛyaw anaasɛ ɛyɛ den a wobɛte nka wɔ akyi berɛmo ne mmeae a wɔatwa no.
• Mogya a ɛtɔ kakra anaasɛ mogya kakra a wɔde fa nsu mu.

Wobɛyɛ dɛn apaw oprehyɛn a ɛfata wo yiye?

Wo duruyɛfo na ɔkyerɛ eyi. Nneɛma pii na enya eyi so nkɛntɛnso.

So asiane biara nni oprehyɛn yi mu?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow wɔ hɔ. Sɛ nhwɛso no, mogya a ɛtɔ, mogya a ɛtɔ, ne ɔyare mmoawa. Ɛwom sɛ yafunu mu oprehyɛn de asiane kɛse ba kakra de, nanso asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no sua koraa wɔ saa oprehyɛn no mu . Asiane a ɛba fam wɔ perineal oprehyɛn mu, nanso asiane a ɛwɔ hɔ sɛ ɛbɛsan aba bio no dɔɔso.

Nsɛnnennen bi a ɛfa oprehyɛn no ho pɔtee bi betumi ayɛ:

• Anal fistulas a ɛyɛ mmerɛw
• Anastomotic nsu a ɛtwetwe
• Intestinal a ɛyɛ mmerɛw
• Ɔbarima ne ɔbea nna mu dwumadi ho haw ahorow
• Akisikuru kɔ soro bio

Bere a obi ho bɛtɔ no bere a wakɔ fie akyi

Ebetumi agye adapɛn anaa asram pii ansa na wo ho atɔ wo koraa bere a woafi ayaresabea asan aba fie no. Egye bere kakra ansa na wo dwensɔtwaa asan ayɛ sɛnea na ɛte kan no. Saa bere yi mu no, ɛsɛ sɛ wohwɛ nea edidi so yi so:

• Kwati akisikuru: Di nnuan a ahoɔdennuru wom pii (nhabannuru, nnuaba). Anyɛ yiye koraa no, nom nsu nkotoku 8-10 da biara.
• Kwati sɛ wobɛtwetwe wo ho: Nhyɛ wo ho denneennen da bere a wode tiafi redi dwuma no.
• Nsuo a ɛma nsuo yɛ mmerɛw: Sɛ wo duruyɛfoɔ kamfo kyerɛ a, fa nnuru a ɛma nsuo yɛ mmerɛw di dwuma.

Bere bɛn na wopɛ sɛ wokɔ oduruyɛfo nkyɛn bio?

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, bɔ wo duruyɛfo amanneɛ ntɛm ara:

• Mogya a ɛba akyi berɛmo mu dodo.
• Akisikuru a emu yɛ den anaasɛ ɛkɔ so daa.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ rectal prolapse (te nka sɛ emu yɛ duru, ɛyɛ kurukuruwa).
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa (atiridiinini, baabi a wɔatwa no yɛ kɔkɔɔ, ɛho ahonhon).

Ebia ɛbɛyɛ wo aniwu sɛ wo ne oduruyɛfo bɛkasa afa biribi a ɛte sɛɛ ho. Nanso kae sɛ Rectal Prolapse nyɛ tebea a wobetumi asa a wɔnyɛ oprehyɛn. Dodow a wotwentwɛn wo nan ase sɛ wobɛhwehwɛ ayaresa no, dodow no ara na ɔhaw no betumi asɛe kɛse. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, nsuro sɛ wobɛkɔ oduruyɛfo nkyɛn na wo ne no akasa. Saa kwan no so no, wubetumi ho atɔ wo ntɛm na woasan abɔ w’asetra ahotɔ mu bio.