So worehu ɛyaw a ɛyɛ nwonwa yi wɔ wo yafunu mu? Momma yɛnka (Rectus Sheath Hematoma) ho asɛm!

So woanya yafunu mu yaw a emu yɛ den mpofirim a ɛte sɛ akisikuru wɔ wo yafunu mu pɛn? Anaasɛ woafefe denneennen pɛn na afei woahu sɛ nsensanee bruu bi wɔ wo yafunu mu? Ɛwom sɛ saa nneɛma yi ntaa mma de, nanso ɛtɔ mmere bi a ebetumi ayɛ tebea bi a wɔfrɛ no `(Rectus Sheath Hematoma)` a ɛba yɛn yafunu mu ntini mu no ho sɛnkyerɛnne. Enti ɛnnɛ, momma yɛnka eyi ho asɛm nkɔ akyiri kakra, efisɛ ɛho hia yiye sɛ yehu eyi.

Nea edi kan no, ma yɛnhwɛ nea saa `(Rectus Sheath)` yi yɛ?

Sɛ yɛbɛka no tiawa a, wo `(Rectus Sheath)` yɛ ade a ɛyɛ den a ɛyɛ nhama a ɛkata ntini a ɛwɔ wo yafunu anim no ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ ntini a ɛyɛ den (a wɔsan frɛ no `(aponeurosis)`). Wɔ saa katasoɔ yi mu no, wo yafunu mu ntini titire mmienu, `(rectus abdominis)` (nea yɛtaa frɛ no "six-pack" muscles) ne `(pyramidalis)`.

Fa no sɛ, saa `(Rectus Sheath)` yi wɔ anim (anim) ɔfasu ne akyi (akyi) ɔfasu. Saa afasu yi yɛ fascia (`(fascia)`) koro no ara a atwa ntini afoforo a ɛwɔ wo yafunu mu ho ahyia. Ɛyɛ:

• Wo ``(akyi yafunu obliques)`` (akyi yafunu oblique ntini) .
• Wo ``(yafunu mu ntini a ɛyɛ mmerɛw)`` (yafunu mu ntini a ɛyɛ mmerɛw) .
• Wo `(transversus abdominis)` (yafunu mu ntini a ɛtwam) .

Wɔde saa meatus yi katasoɔ na ɛyɛ ``Rectus Sheath'' no.

Afei nso, epigastric ntini a ɛwɔ soro ne nea ɛwɔ fam a ɛyɛ mogya ntini atitiriw a ɛde mogya kɔ wo yafunu mu ntini mu no fa saa `(Rectus Sheath) yi mu. Enti adwuma titiriw a saa `(Rectus Sheath)` yi yɛ ne sɛ ɛbɛbɔ saa ntini, mogya ntini, ne akwaa a atwa ho ahyia yi ho ban wɔ yafunu no fasu mu.

Nanso ade ketewaa bi wɔ hɔ. Saa `(Rectus Sheath)` yi ntumi nkata nea ɛwɔ mu no so koraa. Wo `(rectus abdominis)` ntini no atifi no, saa `(Rectus Sheath)` yi akata so wɔ afã abien no nyinaa, anim ne akyi. Nanso, ɔhye bi wɔ saa ntini yi atifi ne ase ntam, na wɔfrɛ no `(arcuate line)`. Saa nkyerɛwde yi bɛyɛ ɔkwan a ɛkɔ fam fi wo awotwaa mu kosi baabi a wo hwene nnompe abien no hyia wɔ w’anim no nkyem abiɛsa mu biako (`(pubic symphysis)`).

Adeɛ a ɛho hia ne sɛ, wɔ saa `(arcuate line)` yi ase no, wo `(rectus abdominis)` ntini no fã a ɛwɔ fam no, `(Rectus Sheath)` no nkutoo na ɛkata so fi anim. `(akyi rectus sheath)` biara nni hɔ a efi akyi! Ɛno kyerɛ sɛ ntama a ɛte saa biara nni hɔ a ɛbɛbɔ `(rectus abdominis)` ntini no fã a ɛwɔ fam no ho ban. Kae eyi, efisɛ eyi ho hia ma `(Rectus Sheath Hematoma)` tebea a yɛreka ho asɛm no.

Enti dɛn ne `(Rectus Sheath Hematoma)`?

`(Hematoma)` yɛ, sɛ yɛbɛka no tiawa a, mogya a wɔaboaboa ano wɔ wo ntini mu. Afei, sɛ `(epigastric arteries)` a ɛwɔ `(Rectus Sheath)` a yɛadi kan aka ho asɛm no mu no fi ase mogya wɔ ɔkwan bi so a, saa mogya no betumi aboaboa ano wɔ wo yafunu no fã no. Wɔfrɛ saa mogya a wɔaboaboa ano yi `(Rectus Sheath Hematoma).`

Wɔ eyi mu no, mogya a ɛba, titiriw fi epigastric artery a ɛwɔ fam no mu no betumi ayɛ nea anibere wom kakra. Efisɛ, sɛnea yɛadi kan aka no, nkataso biara nni arcuate line no ase, na sɛ mogya no fi ase sen fi hɔ a, ntini biara nni hɔ a ɛbɛma mogya no atrɛw. Enti, mogya pii tumi boaboa ano.

Hena na tebea yi ka no kɛse?

Rectus Sheath Hematoma abu so wɔ mmea so sen mmarima, na ɛtaa ba nnipa a wɔadi boro mfe 60 nso so .

Saa tebea yi abu so dɛn?

Rectus Sheath Hematoma yɛ tebea a ɛntaa nsi koraa ankasa . Ɛka ayarefo a wɔde yafunu mu yaw ba no mu 1% kosi 2% pɛ . Enti, ebia worente ho asɛm mpɛn pii.

Dɛn ne sɛnkyerɛnne ahorow no?

Tebea yi ho sɛnkyerɛnne a ɛtaa ba ne yafunu mu yaw . Ɛyaw yi:

• Wubetumi afi ase ntɛm ara.
• Ebetumi ayɛ ɛyaw a ano yɛ nnam a wontumi nnyina ano.
• Ebetumi ayɛ ɛyaw a ɛba bere nyinaa nso.
• Ɛyaw no betumi ayɛ kɛse bere a wowosow wo yafunu mu ntini, wokotow, anaa wohyɛ no den no.

Nea ɛka ho no, ɛtɔ mmere bi a sɛ woka wo yafunu a, ebia wobɛte biribi te sɛ akisikuru .

Nsɛnkyerɛnne afoforo a wobetumi ahu ne:

• Akisikuru ne ɔfe
• Huraeɛ
• Wora a ɛyɛ bruu anaasɛ akuru (titiriw wɔ yafunu no fã) .
• Anemia (a ɛkyerɛ sɛ mogya dodow so tew) .
• Koma a ɛbɔ kɛse (tachycardia) .
• Mogya mmoroso a ɛba fam (hypotension) .

Dɛn na ɛde eyi ba?

Ade titiriw a ɛde `Rectus Sheath Hematoma` ba ne mogya a ɛtɔ kɔ `(Rectus Sheath) no mu.` Eyi taa ba bere a ahodwiriw bi aba yafunu no fasu mu no .

Sɛ yɛbɛka no tiawa a, tebea yi betumi aba sɛ `(epigastric artery)`, mogya ntini nketenkete a efi mu ba, anaa `(rectus abdominis)` ntini no ankasa sɛe a. Sɛnea yɛadi kan aka no, yafunu mu ntini no nam nea ɛwɔ soro ne nea ɛwɔ fam `(epigastric arteries)` so na ɛma mogya. Bio nso, sɛ `(inferior epigastric artery)` no sɛe a, tebea no betumi ayɛ aniberesɛm kakra, efisɛ enni ahobammɔ biara wɔ n’akyi wɔ `(arcuate line)` ase.

Fa no sɛ, sɛ wobɔ wo yafunu tẽẽ, anaasɛ wode ahoɔden a ɛboro so to yafunu mu ntini so mpofirim (sɛ nhwɛso no, sɛ wofefe denneennen bere tenten, anaasɛ wohyɛ wo yafunu mu den bere a worema biribi a emu yɛ duru so a), saa `(epigastric artery)` yi betumi apae na mogya afi ase atu, na ayɛ `(hematoma)`.

Dɛn ne asiane ahorow a ɛde eyi ba?

Asiane kɛse a ɛma obi nya `Rectus Sheath Hematoma` ne nnuru a wɔde siw mogya a ɛtwetwe (`(anticoagulants)` anaa ``mogya a ɛma mogya tu``) . Ɛkame ayɛ sɛ nnipa a wonya ``Rectus Sheath Hematoma`` no mu 70% renom nnuru bi a wɔfrɛ no ``(anticoagulant)``. Saa nnuru yi brɛ mogya a ɛtɔ no brɛoo, na ɛma ɛyɛ mmerɛw sɛ ``(hematoma)`` bɛba.

Ade titiriw foforo a ɛde asiane ba ne asaabo mu yare a enni sabea . Ɛkame ayɛ sɛ nnipa a wonya rectus sheath hematoma no mu 60% wɔ asaabo mu yare a ɛto so 3 anaa nea ɛboro saa.

Nneɛma afoforo a ɛde asiane ba ne:

• Yafunu mu oprehyɛn a wɔyɛe nnansa yi
• Steroid anaa nnuru a ɛma nipadua no tumi ko tia nyarewa a wɔde di dwuma
• Ɔfe a emu yɛ den yiye na ɛkɔ so daa
• `Antiplatelet therapy` (aduru a ɛmma mogya mu nkwammoaa nketenkete ntumi nhyiam) a wɔnom .
• Nyinsɛn a wɔde di dwuma
• Tebea horow a enni sabea, te sɛ mogya mmoroso ne atherosclerosis (ntini a ɛyɛ teateaa esiane srade a ɛwɔ ntini no afasu so nti) .

Nea ɛho hia: Sɛ worenom nnuru a ekum mogya a ɛtwetwe mogya te sɛ eyi a, ɛsɛ sɛ wohwɛ yiye titiriw sɛ wo yafunu mu yɛ wo yaw mpofirim a.

Ɔkwan bɛn so na wohu yare no?

Ɛtɔ mmere bi a, ebetumi ayɛ den sɛ wobehu sɛ obi anya rectus sheath hematoma, efisɛ ne sɛnkyerɛnne betumi ayɛ te sɛ yafunu mu tebea afoforo de.

Ɛda adi sɛ wo duruyɛfo bedi kan ayɛ mogya mu nhwehwɛmu de ahu wo hemoglobin ne hematocrit dodow. Nnipa a wɔwɔ rectus sheath hematoma no mu bɛboro fã benya hemoglobin dodow a ɛba fam kɛse (a ɛkyerɛ sɛ mogya dodow sua).

Afei, ebia wo duruyɛfo no bɛyɛ wo yafunu fasu ho ultrasound. Eyi betumi aboa ma wɔahu sɛ ebia nsu bi a ɛte sɛ mogya wɔ yafunu no fasu no mu ne sɛnea hematoma no kɛse te.

Ɛtɔ mmere bi a, wobetumi ayɛ CT scan na ama wɔanya tebea no ho mfonini a edi mu na emu da hɔ. CT scan, titiriw nea wɔde aduru a ɛne ne ho bɔ abira di dwuma no betumi akyerɛ baabi pɔtee a aduru no retu afi mogya ntini a asɛe no mu. Eyi nso betumi aboa oduruyɛfo no ma wahu baabi a mogya no fi.

Ɔkwan bɛn so na wɔsa?

Asɛmpa no ne sɛ rectus sheath hematomas dodow no ara ankasa sa yare na enhia ayaresa titiriw biara. Mpɛn pii no, nea ɛka tebea yi ho ayaresa ho:

• Nsukyenee a wɔde gu mu (nsukyenee anaa awɔw a wɔde hyɛ mu) a wɔde bɛhyɛ mu .
• Home
• Nnuru a wɔtaa de kum ɛyaw (`(nnuru a wɔde kum ɛyaw)`) a wɔde di dwuma .

Wɔde ayaresa a ɛnyɛ den te sɛ eyi sa rectus sheath hematomas bɛyɛ 80% .

Nanso, sɛ saa ayaresa a ɛnyɛ den yi mmoa, anaasɛ tebea no mu yɛ den kɛse a, oduruyɛfo no betumi de ne ho akɔto ayaresa bi a wɔfrɛ no ``angioembolization.`` Eyi nyɛ oprehyɛn. Ɛfa ``angiography`` (ɔkwan a wɔfa so twa mogya ntini ho mfonini) ne ``embolization`` (ɔkwan a wɔfa so to mogya ntini mu) bom, de hwehwɛ mogya ntini no na wɔto mu.

Sɛ saa ``angioembolization`` kwan yi antumi anyɛ yiye a, ebia ɛho behia sɛ wɔyɛ oprehyɛn sɛ ɔkwan a etwa to. Wɔ oprehyɛn mu no, woyi mogya a aboaboa ano (``hematoma``) no na wɔto ntini a mogya retu no mu.

Bere a woresa wo yare ne bere a wɔawie no, wo duruyɛfo de mogya mu nhwehwɛmu ne ultrasound bɛhwɛ wo tebea no so. Eyi betumi aboa ma wɔahu mogyatɔw anaa ɔyare mmoawa biara a ɛsan ba bio.

Dɛn na ɛbɛba akyi? So ne ho bɛtɔ no?

Rectus sheath hematomas dodow no ara fi wɔn ho so wɔ asram abien kosi abiɛsa ntam . Nnipa dodow no ara a wonya saa tebea yi no ho tɔ wɔn yiye na wonnya nsɛnnennen foforo biara.

Nanso, wɔ tebea horow bi mu – titiriw wɔ nnipa a wɔnom nnuru a ekum mogya a ɛtwetwe mogya mu no – saa tebea yi betumi akum obi . Nanso, ɛntaa nsi koraa. Sɛnea nsɛm a aba foforo kyerɛ no, nnipa a wowuwu nnu 2% wɔ Rectus Sheath Hematoma mu.

Sɛnea ɛte wɔ aduruyɛ mu tebea biara ho no, sɛ wohu yare no ntɛm na wɔsa no ntɛm a, ɛma hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no yɛ kɛse . Enti, sɛ wosusu sɛ wowɔ `Rectus Sheath Hematoma` ho sɛnkyerɛnne a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfoɔ afotuo.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Wo `(Rectus Sheath)` yɛ sheath a ɛho hia a ɛbɔ akwaa, ntini, ne mogya ntini a ɛwɔ wo yafunu fasu mu ho ban. Sɛ wo yafunu fasu apira ɔkwan biara so a, `(epigastric artery)` betumi apaapae na ama `(Rectus Sheath Hematoma)` aba.

Mpɛn pii no, tebea yi nhia ayaresa kɛse. Nneɛma a ɛnyɛ den te sɛ nsukyenee a wɔde bɛpetepete so, ahomegye, ne nnuru a wɔde kum ɛyaw a wɔbɛnom betumi aboa.

Nanso, nsɛm bi betumi ayɛ nea anibere wom kɛse. Sɛ wo yafunu yɛ wo yaw a emu yɛ den mpofirim a, nyansa wom bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ sɛ wuhia ayaresa anaa. Mma wo ho nnyɛ wo hu, nanso ɛho hia sɛ wo ne w’abusua hu saa nneɛma yi.

` Rectus Sheath Hematoma, yafunu mu yaw, yafunu mu mogya, epigastric artery, nnuru a ekum mogya a ɛtwetwe, yafunu mu duru, yafunu mu yaw