Ɛtɔ mmere bi a, sɛ ɔhaw bi wɔ yɛn dwensɔtwaa no fã bi ho a, nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn yi saa fã a yare no. Ɛyɛ ade a ɛfata sɛ wote ehu ne ehu kakra nka bere a wote oprehyɛn a ɛte saa ho asɛm no. Nanso sɛ wote eyi ase yiye wie a , saa ehu no fi hɔ kodu baabi. Enti ɛnnɛ, momma yɛnka oprehyɛn ahorow a woyi dwensɔtwaa no fã bi yi ho asɛm.
Dɛn ne Ileocolectomy ne Right Colectomy?
Sɛ yɛbɛka no tiawa a, eyinom yɛ akwan abien a wɔfa so yɛ oprehyɛn yi wo aduan mu nneɛma a ɛyare no fi hɔ.
- Ileocolectomy: Wɔ oprehyɛn yi mu no, wotwa wo dwensɔtwaa ketewaa no fã a etwa to, ileum, ne wo dwensɔtwaa kɛse no fã a edi kan, akyi berɛmo a ɛforo kɔ soro no na woyi fi hɔ.
- Right Colectomy: Ɛha yi, woyi dwensɔtwaa kɛse no fã nifa nkutoo (ascending colon), a wonfi dwensɔtwaa ketewa no ileum no mu.
Afei ebia woresusuw nea enti a wɔyɛ oprehyɛn a ɛte sɛɛ ho. Mpɛn pii no, nneɛma atitiriw pii nti na wɔyɛ oprehyɛn yi.
- Kokoram tebea horow a ɛba wɔ dwensɔtwaa mu.
- Nnyin a ɛnyɛ kokoram .
- Ɛhonhon ne ɔfe a ɛba dwensɔtwaa mu a tebea horow te sɛ Crohn yare no de ba .
Nea ɛho hia sen biara ne sɛ nnuruyɛfo besi gyinae sɛ wɔbɛyɛ oprehyɛn yi bere a wɔahwɛ wo tebea no mu yiye na wɔasi so dua sɛ eyi ne ayaresa a eye sen biara ma wo akyi nkutoo.
Dɛn ne Laparoscopy?
Bere bi a atwam no, na oprehyɛn a ɛte sɛɛ hwehwɛ sɛ wotwa yafunu no mu kɛse. Nanso mprempren, esiane mfiridwuma mu nkɔso nti, wɔtaa de ɔkwan bi a wɔfrɛ no laparoscopy na ɛyɛ oprehyɛn yi. Wɔsan frɛ eyi sɛ "keyhole surgery."
Fa no sɛ, sɛ́ anka wobetwa yafunu no mu kɛse no, wɔtwa yafunu no mu nketenkete paa (te sɛ safe tokuru) wɔ yafunu no mu, na wɔfa so de mfoninitwa afiri ne nnwinnade a ɛyɛ mmerɛw hyɛ mu. Eyi kyerɛ sɛ wote ɛyaw nka kɛse, wo ho tɔ wo ntɛmntɛm, na akuru kakraa bi na ɛwɔ wo so.
Ɔkwan bɛn so na oprehyɛn no ba? Anamɔn atitiriw 4!
Saa oprehyɛn yi wɔ anammɔn atitiriw anan. Mɛkyerɛkyerɛ mu wɔ ɔkwan a wobɛtumi ate aseɛ so.
| Anamɔn a wɔfa so yɛ | Nea ɛba no yɛ mmerɛw. |
|---|---|
| Anamɔn 1: Fa laparoscope no hyɛ mu | Bere a wɔama wo aduru a ɛma obi dwensɔ wie no, oduruyɛfo a ɔyɛ oprehyɛn no twa baabi ketewaa bi (bɛyɛ nsateakwaa 1/2) wɔ baabi a ɛbɛn wo yafunu (asen). Wɔnam eyi so de adwinnade bi a wɔde mfoninitwa afiri ahyɛ mu a wɔfrɛ no laparoscope hyɛ wo yafunu mu. Wɔde mfonini ahorow a efi mfoninitwa afiri yi mu no kyerɛ wɔ screen kɛse bi (monitor) so wɔ oprehyɛn dan no mu. Afei, wɔtwa nneɛma nketenkete 5 anaa 6 bio na wɔde oprehyɛn nnwinnade a aka no hyɛ mu. |
| Anamɔn 2: dwensɔtwaa no a wobɛma ayɛ nea ɛde ne ho | Seesei ehia sɛ wɔtetew dwensɔtwaa no fã a yare no fi nea ɛwɔ apɔwmuden no ho. Wɔde aduru bi a wɔfrɛ no mesentery na ɛbata yafunu no fasu ho . Mogya ntini atitiriw a ɛde mogya ma dwensɔtwaa no fa saa ntini yi mu. Oduruyɛfo no de ahwɛyiye twitwa mogya ntini yi na ɔsɔ ano. Afei dwensɔtwaa no fã a yare no fi saa mesentery yi mu. |
| Anamɔn 3: Yi ɔfã a yare no fi hɔ | Esiane sɛ ntwitwiridii no sua koraa bere a wɔreyɛ laparoscopy nti, wɔfa ɔkwan titiriw bi so yi dwensɔtwaa a wɔatwa no. Oduruyɛfo no ma ntwitwiridii a atwam no biako yɛ kɛse kakra na ɔfa mu de kotoku titiriw bi hyɛ yafunu no mu. Afei wɔde dwensɔtwaa no fã a ɛyare a wɔayi afi hɔ no gu kotoku yi mu na wɔde ahwɛyiye yi kotoku no. |
| Anamɔn 4: Wɔsan de dwensɔtwaa no bom | Sɛ woyi ɔfã a yare no fi hɔ wie a, wɔde dwensɔtwaa a aka a ɛte apɔw no ano abien no bom. Wɔde stapler anaa nhama a ɛtumi nwene na ɛyɛ eyi. Wɔfrɛ saa adeyɛ a ɛma dwensɔtwaa no afã abien san ka bom yi anastomosis . Awiei koraa no, wɔhohoro yafunu no mu yiye, wɔhwɛ baabi a ɛka bom foforo no sɛ ebia nsu retu anaa, na wɔto mmeae a wɔatwa no nyinaa mu. |
Momma yensua bere a obi ho tɔ no wɔ fie no ho ade
Sɛ wosan kɔ fie wɔ oprehyɛn akyi a, ɛho hia paa sɛ wode nkakrankakra san fi wo da biara da dwumadi ahorow ase bio.
Nantew ne apɔw-mu-teɛteɛ a eye sen biara!
Yiw, nantew betumi aboa w’ayaresa no kɛse. Nantew hyɛ ntini ahorow mu den , ɛma mogya no tu mpɔn, na ɛmma mogya ntu., na ɛboa nso ma w'ahurututu nya apɔwmuden . Sɛ na woyɛ obi a ɔteɛteɛ w’apɔw mu yiye ansa na wɔreyɛ wo oprehyɛn a, wubetumi afi apɔw-mu-teɛteɛ a wotaa yɛ no ase bere a wo ho tɔ wo na wo duruyɛfo ama wo kwan no.
Nanso kae! Wɔnkamfo nkyerɛ sɛ wɔnyɛ apɔw-mu-teɛteɛ a emu yɛ den, wɔma wɔn mu duru so, ne apɔw-mu-teɛteɛ a ɛde nhyɛso ba yafunu no so, te sɛ nea wɔtra ase, wɔ oprehyɛn no akyi adapɛn asia .
Aduan no te dɛn?
Sɛ wɔde wo fi ayaresabea kɔ fie a, wɔbɛma wo akwankyerɛ a ɛfa aduan a ɛsɛ sɛ wudi akyi bere tiaa bi ho. Mpɛn pii no wobetu wo fo sɛ di aduan a ɛyɛ mmerɛw akyi . Eyi kyerɛ sɛ wubetumi adi nneɛma dodow no ara gye nnuaba ne nhabannuru a wɔannoa. Di saa aduan yi akyi kosi sɛ wobɛkɔ ayaresabea akɔhwɛ wo oprehyɛn akyi.
Nea ɛho hia: Sɛ wunya akisikuru esiane saa aduan yi nti a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu. Mma nnyɛ wo ho aduru.
Ɛwom sɛ oprehyɛn yɛ asɛm kɛse de, nanso sɛ wunya nimdeɛ a ɛfata na wudi aduruyɛ mu afotu akyi a, wubetumi ho atɔ wo ntɛm na woasan akɔ w’asetra a na ɛte daa no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Ileocolectomy ne Right Colectomy yɛ oprehyɛn abien a woyi akyi berɛmo no fã bi a yare fi hɔ. Wɔyɛ ma tebea horow te sɛ kokoram, akisikuru a ɛnyɛ kokoram, ne Crohn yare.
- Mpɛn pii no, wɔde "keyhole" kwan a wɔfrɛ no laparoscopy na ɛyɛ oprehyɛn yi. Eyi ma ɛyaw kakraa bi na ɛma ne ho tɔ no ntɛmntɛm.
- Sɛ wudu fie wɔ oprehyɛn akyi a, fi ase teɛteɛ w’apɔw mu nkakrankakra, te sɛ nantew. Nanso kwati sɛ wobɛma nneɛma a emu yɛ duru so na woateɛteɛ w’apɔw mu denneennen adapɛn 6.
- Di wo duruyɛfo no aduan ho akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wowɔ ɔhaw bi te sɛ akisikuru a, wo ne wo duruyɛfo nka ho asɛm.
- Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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