Yɛn nyinaa nim asaabo a ɛwɔ yɛn nipadua mu no ho asɛm. Nanso so woate asaabo no mu fã bi a wɔfrɛ no ‘Renal Sinus’ ho asɛm pɛn? Ebia woahu asɛmfua yi wɔ wo scan amanneɛbɔ biako so na woasusuw nea ɛyɛ ho. Mma ɛnhaw wo, eyi yɛ asaabo no ankasa fã. Momma yɛnka ho asɛm nnɛ ara kwa.
Sɛ yɛbɛka no tiawa a, dɛn ne renal sinus?
Fa no sɛ asaabo yɛ kurow kɛse. Afei renal sinus no yɛ beae te sɛ saa kurow no mu nhyiam kɛse anaa bɔs gyinabea a ɛwɔ mfinimfini no. Nneɛma a asaabo no hia no ba mu na nneɛma a asaabo no yɛ no fa saa beae titiriw yi mu fi adi.
Sɛ yɛbɛka no tiawa a, eyi yɛ baabi a tokuru wɔ asaabo no mfinimfini. Wɔ saa ahunmu yi mu no, wɔbɔ asaabo no afã horow pii a ɛho hia yiye ho ban. Wɔde srade a wɔde akata so atwa saa afã horow yi ho ahyia de abɔ ho ban.
Dɛn na ɛwɔ saa mfinimfini yi mu?
Nneɛma atitiriw a ɛwɔ saa ahunmu yi mu a wɔfrɛ no renal sinus ne:
- Renal artery ne vein: Mogya ntini atitiriw a ɛde mogya kɔ asaabo mu na efi mu ba.
- Renal pelvis: Ɔfã a ɛte sɛ funnel a nsu a asaabo no yɛ no boaboa ano.
- Calyces akɛse ne nketewa: Nneɛma nketenkete a ɛte sɛ kuruwa a nsu fi ase boaboa ano. Nsu a ɛboaboa ano fi eyinom mu no ne nea ɛkɔ adwene no akyi berɛmo no mu.
- Lymphatic channels: Nsu a ɛde nsu a ɛfa nipadua no nipadua mu ahoɔden a ɛko tia nyarewa ho kɔ.
- Autonomic nerves: Ntini a ɛhwɛ nneyɛe a yentumi nni so (sɛ nhwɛso no, mogya ntini a ɛtwetwe).
- Ntini a ɛka bom ne nipadua mu srade: Srade ne ntini a ɛka bom wɔ hɔ a ɛbɔ biribiara a aka ho ban na ɛhyɛ baabi a ɛda ntam no ma.
Nea ɛho hia sen biara no, renal sinus no mu dodow no ara yɛ srade. Saa srade a ɛwɔ mu yi betumi akɔ soro nkakrankakra bere a worenyin na wo mu duru yɛ kɛse no.
Dɛn ne tebea horow a ɛtaa ka adwene no ntini no?
Saa asaabo no fã yi nso betumi anya ɔhaw ahorow. Nanso eyinom mu dodow no ara nyɛ nea asiane wom. Momma yɛnhwɛ nea ɛyɛ tebea horow a ɛtaa ba a wohu.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Renal sinus cyst a ɛyɛ mmerɛw | Eyi ne ɔkwan a wɔtaa de di dwuma. Sɛ yɛbɛka no tiawa a, ɛyɛ akisikuru a nsu ahyɛ mu ma. Eyinom nyɛ kokoram. Ɛtɔ da bi a, ɛkɔ so wɔ sinus no mu (peripelvic cyst), na ɛtɔ da bi nso a ɛkɔ so wɔ akyi, bɛn no (parapelvic cyst). |
| Adwene mu ntini mu srade a ɛma mogya tu | Wɔfrɛ eyi srade a ɛboaboa ano dodo wɔ adwene no mu. |
| Ntini a ɛwɔ mmeae pii a ɛyɛ cystic nephroma a ɛnyɛ hu | Eyi nso yɛ akisikuru a ɛnyɛ kokoram, nanso ebetumi anyin akɔ adwene no mu. |
| Caliectasis a ɛyɛ mmerɛw | Nneɛma a ɛte sɛ kuruwa (calyces) a ɛboaboa nsu ano no yɛ nea nsu ahyɛ mu ma dodo na ɛho ahonhon. Sɛ wɔansa eyi a, ebetumi ama asaabo no ayɛ adwuma yiye. |
| Ntini mu akuru | Tebea horow te sɛ adwene mu ntini a ɛma mogya tu, a adwene mu ntini a ɛwɔ adwene no mu no fasu yɛ mmerɛw na ɛbɔ te sɛ balloon. |
| Adwene mu nkwammoaa mu kokoram | Eyi yɛ kokoram a ɛba asaabo mu. Ɛtɔ da bi a, saa akisikuru yi tumi trɛw kɔ adwene no mu. |
Nhwehwɛmu ahorow bi ahu abusuabɔ bi a ɛda srade dodow a ɛwɔ adwene no mu ne mogya mmoroso ntam.
Wobɛyɛ dɛn ahwehwɛ asaabo no fã yi mu?
Sɛ wo duruyɛfo susuw sɛ wowɔ asaabo mu haw a, ebia wɔbɛyɛ nhwehwɛmu mpɛn pii de akyerɛ sɛ ɛyɛ nokware.
| Sɔhwɛ su | Dɛn na eyi yɛ? |
|---|---|
| Mfoninitwa Sɔhwɛ ahorow | |
| CT scan a wɔde yɛ adwuma | Asaabo ne adwene mu ntini a wɔatwa no mfonini a ɛkɔ akyiri a wobenya. |
| MRI mfonini (MRI) . | Asaabo no mfonini a emu da hɔ yiye a wobenya denam magnetic field a wɔde di dwuma so. |
| Asaabo mu nnyigyei a wɔde yɛ ultrasound | Nnyigyei asorɔkye a wɔde bedi dwuma de ahwehwɛ nneɛma te sɛ asaabo ne akisikuru tebea mu. |
| Sɔhwɛ afoforo | |
| Mogya mu nhwehwɛmu | Hwɛ sɛ asaabo no reyɛ mogya yiye anaa (glomerular filtration). |
| Asaabo mu nhwehwɛmu | Sɛ ɔhaw bi ba a, woyi ntini ketewaa bi fi asaabo no mu na wɔhwehwɛ mu. |
| Nsu mu nhwehwɛmu | Nsu a wɔbɛhwɛ sɛ mogya, protein, anaa ɔyare mmoawa ho sɛnkyerɛnne bi wɔ hɔ anaa. |
So obiara nya renal sinus cysts?
Yiw, ampa. Nkwammoaa ne lipomatosis nyinaa yɛ tebea horow a ɛtaa ba bere a obi nyin no. Anyɛ yiye koraa no, nnipa a wɔadi boro mfe 70 no mu bɛyɛ 33%, anaa bɛyɛ baasa biara mu biako, betumi anya akisikuru biako wɔ wɔn asaabo mu.
Mpɛn pii no, saa akisikuru yi mfa sɛnkyerɛnne biara mma , enti ebia wunnim mpo sɛ wowɔ bi. Nnuruyɛfo taa hu wɔn kwa bere a wɔyɛ scan esiane biribi foforo nti no.
Mɛyɛ dɛn ahu sɛ mewɔ renal sinus cyst?
Sɛnea yɛaka wɔ atifi hɔ no, nnipa dodow no ara nhu yare no ho sɛnkyerɛnne biara. Nanso, sɛ akisikuru no yɛ kɛse, anaasɛ ɛpae, mogya tu, anaa ɔyare no nya ɔyare no a, yare no ho sɛnkyerɛnne betumi aba. Wɔ tebea horow a ɛtete saa mu no, ebia wubehyia:
- Ɛyaw a ɛba akyi berɛmo mu: Ɛyaw wɔ nkyɛn, yafunu, anaa akyi wɔ mpampam ne asen ntam.
- Atiridii: Atiridii a ɛba nipadua mu.
- Nsu a wɔtaa tow: Ɛsɛ sɛ wɔtow nsu mpɛn pii sen sɛnea wɔtaa tow.
- Mogya a ɛwɔ nsuo mu: Mogya a ɛwɔ nsuo mu anaa nsuo a ɛyɛ tumm.
Sɛ wowɔ saa nsɛnkyerɛnne yi a, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara akɔhwehwɛ afotu.
Ɔkwan bɛn so na wobɛma asaabo ne adwene no mu ntini ayɛ yiye?
Esiane sɛ adwene mu ntini no yɛ asaabo no ankasa fã nti, nneɛma koro no ara a woyɛ na ama w’asaabo ayɛ yiye no ye ma ɛno nso. Ɛho hia titiriw sɛ wobɛhwɛ wo nipadua mu duru so. Bere a wo mu duru yɛ kɛse no, srade nso betumi akɔ soro wɔ adwene no mu.
Nneɛma a ɛnyɛ den a wubetumi ayɛ de abɔ w’asaabo akwahosan ho ban ni:
- Kwati sigaretnom: Sigaretnom sɛe mogya ntini a ɛde mogya kɔ asaabo mu no.
- Di nkyene so: Tew nkyene dodow a wode ka w’aduan ho no so. Nkyene pii betumi asakra mineral a ɛkari pɛ wɔ wo mogya mu na ama w’asaabo ayɛ basaa.
- Nom nsu pii: Sɛ wonom nsu dodow a ɛfata da biara a, ɛma ɛyɛ mmerɛw sɛ asaabo no beyi awuduru afi nipadua no mu.
- Apɔw-mu-teɛteɛ: Sɛ woteɛteɛ w’apɔw mu da biara a, ebetumi aboa ma woadi mogya mmoroso so. Ɛyɛ papa paa ma asaabo no.
- Hwɛ yiye wɔ nnuru a wɔde kum ɛyaw ho: Kwati sɛ wobɛnom nnuru a wɔde kum ɛyaw, titiriw nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g., ibuprofen) a wunni aduruyɛfo afotu. Sɛ wonom pii a, ebetumi asɛe w’asaabo.
- Hwɛ wo mogya mmoroso: Sɛ wowɔ mogya mmoroso a, di so denam nnuru a wo duruyɛfo akyerɛw ama wo no a wobɛnom so.
- Di asikreyare so: Sɛ wowɔ asikreyare a, asikre dodow a wobɛhwɛ so yiye wɔ wo mogya mu no ho hia na ama woabɔ w’asaabo ho ban.
Nkrasɛm a Wɔde Kɔ Fie
- Renal sinus yɛ baabi a ɛwɔ w’asaabo mfinimfini a ɛbɔ mogya ntini a ɛho hia ne afã horow a ɛboaboa nsu ano ho ban.
- Renal sinus cysts abu so kɛse , titiriw bere a yɛrenyin no. Eyinom mu dodow no ara nyɛ asiane biara na ɛmfa yare no ho sɛnkyerɛnne biara mma.
- Mpɛn pii no, eyinom nhia ayaresa. Wo duruyɛfo nam scan so bɛhwɛ wɔn.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akyi berɛmo mu yaw, atiridiinini, wo taa tow nsu, anaa mogya a ɛba wo nsu mu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Suban pa te sɛ wo mu duru a wobɛkɔ so akura mu, nsu pii a wobɛnom, nkyene a wobɛtew so, ne sigaretnom a wobɛkwati no betumi aboa ma w’asaabo ne w’adwene mu ntini ahorow no ayɛ yiye.
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