Fa no sɛ woakɔ tiafi na woapue a hwee nni hɔ koraa. Nanso wɔ simma kakraa bi mu no, wote nka sɛ wo mu yɛ duru bio, te sɛ nea ɛsɛ sɛ wosan to wo ho fi mu bio. Ɛmfa ho mmɔden biara a wobɛbɔ no, biribiara mfi adi. So wo nso worehu amane wɔ tebea a ɛnyɛ dɛ koraa yi ho? Eyi ne nea yɛfrɛ no Tenesmus wɔ aduruyɛ mu. Eyi nyɛ ahometew kɛkɛ, na mmom ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe wɔ wo nipadua mu.
Dɛn ankasa ne tenesmus?
Sɛ yɛbɛka no tiawa a, tenesmus yɛ ɔpɛ a ɛkɔ so daa sɛ wobɛtow wo ho agu, bere a woaprapra wo dwensɔtwaa anaa wo akisikuru mu mpo akyi. Ebia wubenya yafunu mu yaw, wo ho bɛtɔ wo, wo ho ayɛ wo duru, anaasɛ mpo wo ho bɛtɔ wo mpofirim sɛ wobɛtow wo ho.
Saa tebea yi betumi aba wɔ akwan titiriw abien so:
1. Rectal Tenesmus: Eyi ne nsu a wɔtow gu wɔ abusuabɔ. Ɛkyerɛ sɛ bere a woakɔ dwensɔtwaa akyi mpo no, woda so ara wɔ atenka a ɛne sɛ ɛsɛ sɛ wobɔ wo ho ban.
2. Vesical Tenesmus: Eyi ne nsu a wɔtow gu wɔ abusuabɔ. Ɛkyerɛ sɛ bere a wɔatow nsu akyi mpo no, akisikuru no da so ara te nka sɛ ɛyɛ ma na ɛte nka sɛ ɛsɛ sɛ wɔtow nsu bio.
Nea ɛho hia ne sɛ tenesmus nyɛ tebea a ɛfata. Ɛyɛ aduruyɛ mu tebea foforo a ɛda adi ho sɛnkyerɛnne. Enti, ɛnyɛ papa sɛ yebebu yɛn ani agu so.
Dɛn ne nneɛma a ɛde rectal tenesmus ba?
Nneɛma atitiriw abien na ɛde tenesmus ba a ɛfa nsu a ɛwɔ nsu mu ho. Eyinom ne ɔfe ne akisikuru. Momma yɛnhwɛ eyinom wɔ ɔkwan soronko so.
| Ntease kuw | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Ahonhono | Saa tebea yi betumi aba bere a wo dwensɔtwaa no fã a ɛwɔ fam (akyi berɛmo ne akyi berɛmo) ho ahonhon na ɛyɛ mmerɛw no. Eyi betumi ama woate nka sɛ wo ho ayɛ wo ma bere a worefa nsu mu no, na ebetumi akanyan ntini ahorow a ɛde nsɛnkyerɛnne kɔ w’amemene mu ka kyerɛ wo sɛ kɔ so nya wo dwensɔtwaa nso. Nneɛma atitiriw a enti:
|
| Ayamtim | Sɛ nsu a ɛyɛ den no kyekyere dwensɔtwaa no mu esiane akisikuru nti a, ɛkanyan dwensɔtwaa no afasu bere nyinaa. Eyi ma obi te nka bere nyinaa sɛ ɛsɛ sɛ wɔpam dwensɔtwaa no mu, ɛwom mpo sɛ dwensɔtwaa no nyɛ hunu de. Nneɛma a ɛde akisikuru ba:
|
Dɛn ne nneɛma a ɛde urinary tenesmus (vesical tenesmus) ba?
Ade koro no ara a enti wote nka sɛ ɛsɛ sɛ wosan tow wo ho bere a woatoto wo ho awie no nso yɛ nokware. Saa tebea yi betumi afi nsu a aka wɔ akisikuru no mu anaasɛ ɔfe anaa ɔyare mmoawa a ɛwɔ akisikuru no mu.
| Ntease kuw | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Nsu a aka wɔ akisikuru no mu | Sɛ biribi nti wontumi nyi akisikuru no mu koraa a, nsu a aka no kanyan akisikuru no ntini ahorow no na ɛma wɔte nka sɛ ɛsɛ sɛ wɔkɔ so tow nsu. Ntease ahorow:
|
| Nsuo mu ntini a ɛyɛ hyew/yare mmoawa | Sɛ nsu a ɛkɔ nsu mu no hohoro na ɛyɛ mmerɛw a, ntini ahorow no betumi akanyan, na ama wɔate nka yi. Ntease ahorow:
|
So abusuabɔ bi wɔ adwennwen ne tebea yi ntam?
Yiw, abusuabɔ bi wɔ hɔ. Ɛnyɛ adwennwen anaa dadwen na ɛde tenesmus ba. Nanso, sɛ wowɔ tebea bi a ɛde ba dedaw a, adwennwen betumi ama ayɛ kɛse. Kae sɛ, sɛ yɛhaw a, yɛn ntini a ɛkari pɛ no sesa, na ɛma ɛyɛ den sɛ yebedi yɛn ntini ahorow so. Eyi betumi ama ntini a ɛtwetwe a ɛnyɛ nea wɔpɛ a ɛba Tenesmus mu no ayɛ kɛse. Afei nso, tebea yi a obi bɛkɔ so atra hɔ no betumi ayɛ adwennwen kɛse.
Ɔkwan bɛn so na wɔsa tenesmus?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn . Oduruyɛfo no bɛhwehwɛ wo mu na wabɔ mmɔden sɛ obehu nea ɛde wo sɛnkyerɛnne ahorow no reba no ankasa. Ebia wɔbɛyɛ sɔhwɛ ahorow a edidi so yi:
- Digital Rectal Exam: Wɔde nsa yɛ nhwehwɛmu wɔ akyi berɛmo no mu.
- Anoscopy/Flexible Sigmoidoscopy: Wɔde afiri a wɔde mfoninitwa afiri di dwuma de hwehwɛ akyi berɛmo ne akyi berɛmo no ase.
- Colonoscopy: Nhwehwɛmu a wɔyɛ wɔ akyi berɛmo no nyinaa mu.
Sɛ wohu nea ɛde ba wie a, wogyina saa ade a ɛde ba no so kyerɛ ayaresa.
- Tebea a ɛde ba no a wɔbɛsa: Wobetumi ama nnuru a ekum ɔyare mmoawa ama ɔyare mmoawa bi, na wɔde nnuru a wɔde sa akisikuru a emu yɛ den ama. Tebea horow bi betumi ahwehwɛ sɛ wɔyɛ no oprehyɛn.
- Ɔfe a wɔsa: Wobetumi de nnuru te sɛ corticosteroids ama de atew ɔfe so.
- Ayaresa a wɔde sa yare a ɛwɔ akyi berɛmo mu: Wobetumi de nnuru a ɛtew ɛyaw ne ɔfe so ama sɛ nnuru a wɔde hyɛ akyi berɛmo mu.
- Ayaresa a wɔde si ntini so: Wobetumi de nnuru a ɛhwɛ ntini a ɛtwetwe a ɛnyɛ nea wɔpɛ so (anticholinergics) anaa (antispasmodics) ama.
- Kokoram ho sɛnkyerɛnne a wɔhwɛ so: Tenesmus a kokoram de ba no a wɔbɛsa no yɛ nea ɛyɛ den. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔde nnuru a wɔde kum ɛyaw anaa oprehyɛn di dwuma.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Bere nyinaa wo ne wo duruyɛfo nkasa mfa tebea yi ho. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den a edidi so yi mu biara a, mma wo werɛ mmfi sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara .
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a: atiridiinini , akisikuru ne ɔfe , ɛyaw a emu yɛ den , anaa mogya a ɛwɔ wo nsu mu/nsu mu , hwehwɛ oduruyɛfo afotu ntɛm ara. Sɛ ɛho hia a, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Sɛ́ wobɛtra ase ne ɔhaw a ɛte sɛɛ no betumi ayɛ den yiye. Mma w’ani nnwu sɛ wo ne oduruyɛfo bɛkasa afa ho. Nhu amane wɔ kommyɛ mu. Tenesmus yɛ tebea bi a ɛsɛ sɛ wɔsa ho sɛnkyerɛnne. Sɛ tebea a ɛde ba no yɛ nea enni sabea na wontumi nsa (te sɛ IBD) mpo a, sɛ wosa yare yiye a, wubetumi adi sɛnkyerɛnne ahorow a ɛnyɛ dɛ yi so na woatra ase sɛnea ɛsɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Tenesmus nyɛ yare, na mmom ɛyɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne.
- Saa ɔhaw yi betumi aba bere a wɔtow nsu (rectal) anaasɛ nsu a wɔtow (vesical).
- Ɛho hia sɛ wuhu nea ɛde ba ankasa na wosa. Enti mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so.
- Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini, ɛyaw a emu yɛ den, anaa mogya wɔ wo nsu mu/nsu mu a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 So Disopyramide / Norpace capsules yɛ aduru a tumi wom paa ma yareɛ bi?
Eyi nyɛ aduru a wɔde di dwuma ɔkwammɔne so! Eyi yɛ aduru a tumi wom (Class 1A Antiarrhythmic) bere titiriw bi a wɔde di dwuma de siw Ventricular Arrhythmias / V-Tach / PVCs a ɛde nkwa to asiane mu so, a ɛyɛ mpofirim, wontumi nni so, ɛyɛ nnyigyei a ɛnyɛ ne kwan so/ntɛmntɛm wɔ koma no ‘ase (Ventricles), a ɛma ɔyarefo no hwe ase kɔ koma mu na owu, na ɛsan de koma no ba sɛnea ɛte daa!
💬 Sɛ wo koma rebɔ te sɛ kraman a, ɔkwan bɛn so na saa pill (Disopyramide) yi boa ma wo koma dwo?
Sɛnea ɛbɛyɛ na koma no benya anyinam ahoɔden na abɔ ntɛmntɛm no, ɛsɛ sɛ ‘Sodium’ nneɛma nketenkete kɔ nkwammoaa no mu! Sɛ saa aduru yi hyɛn koma no mu a, esiw sodium akwan no nyinaa ano (Moderate Sodium channel blocker). Nea ɛka ho no, ɛde ahoɔden ma bere a egye ansa na koma no mu anyinam ahoɔden nkwammoaa no abɔ na wɔasan ayɛ no kyɛ na ɛkyɛ (Repolarization / Potassium blockade)! Wɔ saa nneyɛe abien yi nyinaa mu no, anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ kraman no nyinaa twa na koma no brɛ ase.
💬 Dɛn ne anticholinergic ne ‘black box warnings’ a ɛsɛ sɛ nnipa a wɔnom saa aduru yi (Norpace) hu ho asɛm?
Ɔhaw kɛse a ɛwɔ eyi ho ne sɛ ɛma nipadua no nyinaa mu nsu a ɛtwetwe no we (Severe Anticholinergic effect)! Enti, tɛkrɛma/ano no yɛ kusuu na ɛyɛ den sɛ wobedi ho dwuma, nsu no kɔhyɛ akisikuru no mu (Urinary retention), aniwa no yɛ kusuu na akisikuru a emu yɛ den ba. Asiane foforo a edi awu ne sɛ ɛma koma no ‘Negative inotropic effect’ no yɛ mmerɛw kɛse! Enti sɛ obi a ɔwɔ komayare no nom eyi a, ne koma betumi agyae na wawu (Proarrhythmic effect).
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