Akisikuru yɛ akwaa ketewaa bi a ne kɛse te sɛ nsateaa a ɛwɔ wo yafunu benkum so, wɔ wo mpampam atifi pɛɛ. Ebia wontee ho asɛm, nanso ɛyɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no fã a ɛho hia yiye. Sɛ yɛbɛka no tiawa a, akisikuru no adwuma titiriw ne sɛ ɛbɛma mogya mu nkwammoaa fitaa a ɛko tia nyarewa, na ayi mogya mu nkwammoaa dedaw a asɛe no afi hɔ. Enti, sɛ akyi berɛmo no ntumi nyɛ saa nnwuma yi yiye, sɛ́ ɛyɛ akwanhyia anaa yare bi nti a, ebetumi ayɛ asiane ama w’akwahosan. Ɛno ne bere a nnuruyɛfo si gyinae sɛ wɔbɛyɛ oprehyɛn ayi akyi berɛmo no (splenectomy).
So ebetumi aba sɛ obi bɛtra ase a wunni akyi berɛmo?
Ebia asɛmmisa yi aba wo nso. Yiw, akyinnye biara nni ho sɛ ebetumi ayɛ saa. Sɛ woyi akyi berɛmo no fi hɔ wie a, adwuma a ɛyɛe no mu dodow no ara yɛ nea yɛn mmerɛbo ne yɛn nnompe mu ntini na egye. Enti, akwanside biara nni hɔ a ɛbɛma woanya asetra a ɛfata, apɔwmuden, ne nea edi mũ.
Nanso ade biako wɔ hɔ. Akisikuru yɛ ɔsraani a ɔwɔ tumi a ɔko tia nyarewa. Enti sɛ ɛyera a, tumi a yɛn nipadua no tumi ko tia nyarewa no yɛ mmerɛw kakra. Enti ɛsɛ sɛ yɛhwɛ yiye kakra sen sɛnea yɛtaa yɛ no.
Ɛno kyerɛ sɛ ɛsɛ sɛ yɛhwɛ yiye titiriw wɔ nneɛma te sɛ nnuru a wɔde bɔ nkurɔfo ho ban wɔ bere ano ne sɛnea yɛbɛma yɛn ani ada hɔ wɔ ɔyare mmoawa ho sɛnkyerɛnne ahorow ho.
Dɛn nti na ɛsɛ sɛ wuyi saa akyi berɛmo yi fi hɔ?
Nneɛma pii nti na wobetumi ayi akyi berɛmo no afi hɔ. Efi akwanhyia so kosi yare a ɛtra hɔ kyɛ so no, nneɛma pii nti na ɛte saa. Momma yɛnhwɛ nea enti titiriw no.
| Sɛnti | Nkyerɛmu |
|---|---|
| Akisikuru a Apaapae | Eyi ne tebea a egye ntɛmpɛ a ɛtaa ba. Fa no sɛ woabɔ wo yafunu benkum so denneennen, sɛ́ ɛyɛ kar akwanhyia, sɛ wufi soro a wohwee ase, anaa bere a woredi agumadi. Eyi betumi asɛe w’akyi berɛmo na ama mogya atu wo mu. Eyi betumi de nkwa ato asiane mu na ehia sɛ wɔyɛ no oprehyɛn ntɛm ara. |
| Mogya mu Nyarewa | Woyi akyi berɛmo no fi hɔ bere a ayaresa afoforo ntumi mma nyarewa bi a efi mogya mu no. Nhwɛso ahorow bi ne: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sickle Cell Anemia, ne Autoimmune Hemolytic Anemia. |
| Kokoram Ahorow Ahorow | Sɛ akyi berɛmo no trɛw na ɛyɛ yaw esiane kokoram te sɛ Hodgkin Lymphoma ne Non-Hodgkin Lymphoma nti a, ebia ɛho behia sɛ woyi fi hɔ. Ɛtɔ mmere bi nso a, woyi akyi berɛmo no bere a wɔreyɛ dwensɔtwaa mu kokoram oprehyɛn no. |
| Splenomegaly a ɛyɛ kɛse | Sɛ akyi berɛmo no trɛw a ntease biara nnim na ɛde sɛnkyerɛnne ahorow te sɛ yafunu mu yaw reba a, wobetumi ayi akyi berɛmo no afi hɔ de ahu nea ɛde ba na wɔadi sɛnkyerɛnne ahorow no so. |
| Nyarewa a wɔde nyarewa ba | Ɛntaa mma koraa sɛ sɛ biribi te sɛ akisikuru bi ba akyi berɛmo no mu a, ɛho hia sɛ wɔyɛ oprehyɛn na wɔayi afi hɔ. |
Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn?
Sɛ oprehyɛn yi nyɛ nea egye ntɛmpɛ, na mmom ɛyɛ nea wɔayɛ ho nhyehyɛe a, wubenya bere kakra de asiesie wo ho. Wo duruyɛfo bɛkyerɛkyerɛ saa nneɛma yi mu akyerɛ wo.
- Vaccine a wobenya: Eyi ho hia yiye. Esiane sɛ asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no yɛ kɛse bere a wɔayi akyi berɛmo no akyi nti, ɛho hia sɛ wonya nnuru a ɛho hia a wɔde bɛbɔ wɔn ho ban afi saa nyarewa no ho adapɛn kakraa bi ansa na wɔayɛ oprehyɛn no. Saa kwan yi so no, wo nipadua no tumi a ɛko tia nyarewa no bɛyɛ nea ɛsen biara bere a wɔayɛ oprehyɛn no.
- Kwati sigaretnom: Sɛ woyɛ obi a ɔnom sigaret a, sɛ wugyae sigaret ansa na wɔayɛ wo oprehyɛn a, ebetumi aboa kɛse ma w’akuru no asa ntɛmntɛm.
- Aduruyɛ mu nhwehwɛmu: Wo duruyɛfo bɛhwehwɛ wo mu, ayɛ mogya mu nhwehwɛmu, ayɛ scan, ne nhwehwɛmu afoforo de ahwɛ ahu sɛ wo nipadua no wɔ tebea pa mu ma oprehyɛn.
- Akwankyerɛ afoforo: Wo duruyɛfo bɛtu wo fo wɔ bere a ɛsɛ sɛ wugyae adidi ne anonne da a edi oprehyɛn no anim, ne sɛ ebia ɛsɛ sɛ wugyae nnuru bi te sɛ nea ɛma mogya tu no nom bere tiaa bi.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Oprehyɛn atitiriw abien na ɛwɔ hɔ a wɔde yi akyi berɛmo no fi hɔ. Wɔ ayaresa abien no nyinaa mu no, wɔde wo hyɛ aduru a wɔde kum nipadua no mu, enti wonte biribiara nka na woada.
Oprehyɛn a Wɔde Laparoscopic Yɛ
Eyi ne ɔkwan a wɔtaa fa so di dwuma mprempren. Wɔsan frɛ no "keyhole surgery." Sɛ́ anka wɔbɛtwa yafunu no mu kɛse no, wɔfa ntwitwiridii nketenkete paa 3 anaa 4 so na ɛyɛ oprehyɛn no, na wɔfa so de mfoninitwa afiri (laparoscope) ne oprehyɛn nnwinnade a ɛyɛ mmerɛw hyɛ mu. Oduruyɛfo a ɔyɛ oprehyɛn no yɛ oprehyɛn no bere a ɔrehwɛ mfonini ahorow a efi mfoninitwa afiri no mu wɔ afiri a wɔde hwɛ nneɛma so no. Wɔ saa kwan yi so no, ntwitwiridii no sua, enti ɛyaw no sua, ne ho tɔ no ntɛmntɛm , na bere a wɔde tra ayaresabea no sua.
Oprehyɛn a Wɔbue Mu
Sɛ akyi berɛmo no sõ paa anaasɛ mogya retu a wontumi nni so a, ebetumi ayɛ den sɛ wɔde laparoscopic beyi afi hɔ. Ɛno ne bere a nnuruyɛfo de wɔn ho to oprehyɛn a wɔabue ano so. Eyi hwehwɛ sɛ wotwa yafunu no mu kɛse kakra .
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛɛ wo oprehyɛn wɔ laparoscopic a, wubetumi akɔ fie wɔ nna abien kosi abiɛsa mu, na sɛ wɔyɛɛ wo oprehyɛn a wɔabue ano a, wobɛkɔ fie wɔ bɛyɛ nnanu kosi ason mu. Ansa na wobɛkɔ fie no, nnuruyɛfo kuw no bɛkyerɛkyerɛ nneɛma a ɛsɛ sɛ wohwɛ so bere a wote ase a wunni akyi berɛmo no mu kɔ akyiri.
- Vaccines a ɛfata a wobɛnya: Wɔbɛma wo vaccination nhyehyɛeɛ pɔtee bi. Eyinom bi ne nnuru a wɔde ko tia Pneumococcus, Meningococcus, Haemophilus influenzae type b (Hib), ne afe afe atiridii aduru ne COVID vaccine. Ɛho hia sɛ wonya saa nnuru yi wɔ bere ano.
- Nnuru a ekum ɔyare mmoawa: Wobetumi akyerɛw nnuru a ekum ɔyare mmoawa ama nnipa binom, titiriw mmofra a wonnii mfe 5 ne wɔn a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw. Bio nso, ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa a egye ntɛmpɛ a ɛsɛ sɛ wonom bere a wowɔ ɔyare bi ho sɛnkyerɛnne te sɛ atiridiinini anaa ɔfe.
- Aduruyɛ ho ID: Ɛho hia yiye sɛ wode kaad anaa aduruyɛ ID abɔso a ɛkyerɛ sɛ wɔayi wo akyi berɛmo no bɛkɔ bere nyinaa. Eyi bɛyɛ mmoa kɛse ama wɔn a wɔresa wo yare bere a biribi a egye ntɛmpɛ asi no.
- Sɛ woretu kwan a: Sɛ worekɔ akwantu tenten bi mu, titiriw wɔ beae a nyarewa te sɛ asramma abu so a, kɔ wo duruyɛfo nkyɛn adapɛn kakraa bi ansa na woakɔ na woanya afotu ne nnuru a wɔde bɔ wo ho ban a ɛho hia.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho ne bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu
Wɔ obi a onni akyi berɛmo fam no, ɔyare ketewaa bi mpo betumi ayɛ nea emu yɛ den ntɛm. Enti hwɛ saa sɛnkyerɛnne ahorow yi yiye. Wɔsan frɛ eyinom sɛ "frankaa kɔkɔɔ nsɛnkyerɛnne."
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ Emergency Department (ETU) a ɛbɛn wo ntɛm ara! | |
|---|---|
| Atiridiinini (ɛboro 101°F / 38.5°C) . | Awɔw a ɛma obi ho popo |
| Nsu a ɛte sɛ akisikuru a efi kuru a wɔayɛ no oprehyɛn mu ba | Kuru no ho a ɛyɛ kɔkɔɔ na ɛho ahonhon |
| Ɔfe ne ahome a ɛyɛ den sɛ ɔbɛhome | Yafunu mu yaw a emu yɛ den, akisikuru, ne ɔfe |
| Sɛ aboa bi ka wo (titiriw ɔkraman, ɔkraman) a . | Ɛyaw a ɛnbrɛ ase ɛmfa ho sɛ wɔnom nnuru a wɔde kum ɛyaw no |
OPSI (Overwhelming Post-Splenectomy Infection) yɛ ɔyare a emu yɛ den a ɛba bere a wɔayɛ oprehyɛn akyi. Eyi betumi de nkwa ato asiane mu sɛ wɔansa no ntɛm a. Enti , sɛ wuhu atifi hɔ sɛnkyerɛnne ahorow no bi a, nsɛe bere na kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Splenectomy yɛ oprehyɛn a wɔyɛ de yi akyi berɛmo no fi hɔ. Ɛwom sɛ eyi yɛ oprehyɛn kɛse de, nanso wubetumi atra ase a edi mũ na ahoɔden wom a wunni akyi berɛmo.
- Sɛ wunni akyi berɛmo a, tumi a wo nipadua no tumi ko tia nyarewa no so tew kakra. Enti wo ho a wobɛbɔ ho ban afi ɔyare mmoawa ho no ne ade a ɛho hia sen biara.
- Nya nnuru a wɔde bɔ wo ho ban a wo duruyɛfo akyerɛw ama wo no nyinaa wɔ bere ano, a wuntwa emu biara so.
- Sɛ wunya ɔyare no ho sɛnkyerɛnne biara, te sɛ atiridiinini, atiridiinini, anaa kuru no a ɛhoa a, mmu w’ani ngu so. Hwehwɛ aduruyɛfoɔ afotuo ntɛm ara anaa kɔ Emergency Department (ETU) a ɛbɛn wo no nkyɛn.
- Sɛ wudi wo duruyɛfo akwankyerɛ so pɛpɛɛpɛ a, wubetumi akɔ so anya ahobammɔ na woanya apɔwmuden.
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