Testicular Torsion: Hwɛ hu sɛ wubehu ɛyaw a emu yɛ den a ɛba mpofirim no ho asɛm!

Susuw ho hwɛ sɛ na woahwere biribi, anaasɛ woada mpo, na mpofirim ara wotee ɛyaw a wuntumi nnyina ano wɔ wo mmadwoa mu? Eyi nyɛ biribi a wubetumi abu w’ani agu so kɛkɛ. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Ɛnnɛ yɛreka tebea a ɛyɛ hu yi ho asɛm, nanso sɛ wunim a, wobetumi akwati a wɔfrɛ no Testicular Torsion. Ɛho hia paa sɛ abarimaa, aberante, ne awofo nso hu eyi.

Dɛn ne Testicular Torsion? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, Testicular Torsion yɛ awotwaa no a wɔkyinkyim no twa mogya ntini a ɛde ma no ho hyia. So wunim sɛ yɛn mmadwoa no abata afiri bi a wɔfrɛ no spermatic cord ho? Mogya ntini, ntini, ne nneɛma afoforo a ɛma awotwaa no nya mogya wɔ saa afiri yi mu.

Afei fa no sɛ sɛnea wɔkyinkyim nsu paipu mu denneennen ma nsu no gyae sen no, sɛ wɔkyinkyim saa mmadwoa hama yi a, mogya a ɛkɔ awotwaa mu no gyae koraa. Sɛ wotwa mogya no mu a, ntini a ɛwɔ awotwaa mu no fi ase wuwu. Eyi yɛ tebea a ɛyɛ yaw yiye a ehia sɛ wɔsa no ntɛm ara. Sɛ wɔtwentwɛn ayaresa no ase a, mmadwoa no betumi asɛe koraa na ɛsɛ sɛ wɔyɛ oprehyɛn yi.

Tebea yi yɛ aniberesɛm dɛn? Dɛn nti na bere som bo saa?

Wobu Testicular Torsion sɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Sɛ wote awotwaa mu yaw a emu yɛ den mpofirim a, ɛsɛ sɛ wokɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a wontwentwɛn wo nan ase.

Bere som bo sen sika kɔkɔɔ wɔ eyi mu, efisɛ simma biara a wobɛtwentwɛn wo nan ase sɛ wobɛhwehwɛ ayaresa no ma hokwan a ɛwɔ hɔ sɛ wubegye wo mmadwoa no so tew.

Pon a ɛwɔ ase ha no bɛboa wo ma woate aniberesɛm a ɛwɔ eyi mu no ase yiye.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ awotwaa no ayɛ kurukuruwa?

Nsɛnkyerɛnne titiriw a ɛda adi kɛse ne ɛyaw a emu yɛ den na ɛyɛ nnam mpofirim wɔ awotwaa mu. Saa ɛyaw yi betumi aba bere biara, sɛ́ ebia woda fam, wonam, anaa wote ase no. Ɛtɔ da bi a, ɛyaw yi tumi trɛw kɔ yafunu no mu.

Nsɛnkyerɛnne afoforo ne:

• Ɔhonhon ne ɛyaw a ɛba awotwaa no fã biako.
• Sɛ wote nka sɛ akuru bi wɔ awotwaa mu.
• Nkwaboaa biako wɔ soro sen foforo no.
• Nsakrae a ɛba awotwaa no honam ani kɔla mu (kɔkɔɔ, kɔkɔɔ, bruu, anaa tuntum).
• Akisikuru ne ɔfe.
• Yafunu mu yaw.
• Ɛho hia sɛ wɔtaa tow nsu.
• Huraeɛ.

Wɔ nnipa binom fam no, ɛyaw yi betumi aba mpofirim, ayera kakra, na afei asan aba bio. Yɛfrɛ eyi Intermittent Torsion. Ɛno mpo no, mmu w’ani ngu so. Akyinnye biara nni ho sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Testicular torsion taa ba wɔ nnipa a wɔwɔ awo mu tebea bi a wɔfrɛ no "Bell Clapper Deformity" mu.

Mpɛn pii no, yɛn mmadwoa no bata awotwaa no mu denneennen. Enti wontumi nkyinkyin ntɛm. Nanso, nnipa a wɔwɔ eyi (Bell Clapper Deformity) no mmadwoa no nkata ho saa. Wotumi wosow wɔn ho kɔ anim ne akyi kwa te sɛ pendulum a ɛwɔ asɔre dɔn so no. Esiane sɛ wɔsensɛn hɔ kwa saa nti, ɛnyɛ den sɛ wɔbɛkyinkyim.

Ɛtaa ka mmarimaa nkumaa, titiriw wɔn a wɔadi fi mfe 12 kosi 18. Afei nso, sɛ obi a ɔwɔ w’abusua mu anya saa tebea yi pɛn a, ebia wo nso wobɛkɔ asiane mu sɛ wubenya bi.

Nea ɛho hia: Nnipa pii susuw sɛ eyi ba bere a wɔteɛteɛ wɔn apɔw mu, wohuruw, anaa wotu mmirika no. Eyi yɛ adwene a ɛnteɛ. Ɛnyɛ apɔw-mu-teɛteɛ biara na ɛde Testicular Torsion ba. Nanso, ebetumi asi kwa bere a woreyɛ apɔw-mu-teɛteɛ mpo.

Sɛ wɔanhwehwɛ ayaresa a egye ntɛmpɛ a, nsɛnnennen bɛn na ebetumi aba?

Saa tebea yi a ɛyɛ ɔko a egye bere pii no betumi de ɔhaw abien a emu yɛ den aba sɛ wɔansa no ntɛm a.

1. Awotwaa no sɛe daa: Sɛnea yɛadi kan aka ho asɛm no, sɛ wotwa mogya a ɛkɔ no mu bɛboro nnɔnhwerew 6 a, ntini a ɛwɔ awotwaa no mu no befi ase awu. Wɔfrɛ eyi sɛ infarct. Wɔrentumi nsan mfa mmadwoa a asɛe wɔ saa kwan yi so no mma bio. Ɛho behia sɛ oduruyɛfo a ɔyɛ oprehyɛn no yi fi hɔ.

2. Mmarima a Wontumi Nwo: Sɛ woyi awotwaa a asɛe no mpo a, tumi a obi wɔ sɛ ɔbɛwo mma no nnyae koraa efisɛ awotwaa foforo no da so ara yɛ adwuma yiye. Nanso, nhwehwɛmu ahorow bi ada no adi sɛ mmadwoa dodow so bɛtew bere a awotwaa no ayɛ kurukuruwa akyi. Ebia eyi benya tumi a obi betumi awo mma no so nkɛntɛnso bi.

Ɔkwan bɛn so na oduruyɛfo no hu eyi? Dɛn ne ayaresa no?

Sɛ wokɔ Emergency Department (ETU) a, oduruyɛfo no bebisa wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Mpɛn pii no, wobetumi agyina sɛnkyerɛnne ahorow ne nhwehwɛmu nkutoo so ahu tebea no.

Sɛ wuhia sɛ wusi so dua bio a, wobetumi ayɛ scrotal ultrasound scan ahwɛ sɛ mogya rekɔ awotwaa no mu anaa. Eyi betumi ahu ntɛm ara sɛ mogya no agyae anaa.

Ayaresa no yɛ oprehyɛn!

Ayaresa biako pɛ a wɔde sa awotwaa a ɛkyinkyin ne oprehyɛn a wɔyɛ no ntɛm ara, a yɛfrɛ no (Orchiopexy) .

Oprehyɛn yi hwehwɛ sɛ:

• Oduruyɛfo a ɔyɛ oprehyɛn no twa awotwaa no mu ketewaa bi na ɔsan de mmadwoa hama a wɔakyinkyim no si hɔ.
• Sɛ wɔdan twitwa no wɔ saa kwan yi so a, mogya fi ase kɔ awotwaa no mu bio.
• Afei, sɛnea ɛbɛyɛ na oduruyɛfo no agyae twitwiw no bio no, ɔsan pam awotwaa no bom na ɔde bata awotwaa no mu ɔfasu ho.
• Mpɛn pii no, wɔde oprehyɛn siesie awotwaa a ɛwɔ ɔfã foforo no nso wɔ ɔkwan koro no ara so na amma ankyinkyim daakye.

Bere tenten ahe na egye na obi ho atɔ no wɔ oprehyɛn akyi?

Ebia ɛyaw ne ɔfe bi bɛba wɔ nna kakraa a edi kan wɔ oprehyɛn no akyi. Eyi yɛ ade a ɛfata. Fa nnuru a wɔde kum ɛyaw a wo duruyɛfo akyerɛw ama wo no di dwuma sɛnea wɔakyerɛ wo no.

• Bɛyɛ dapɛn biako akyi no, ɛyaw no ano bɛbrɛ ase kɛse, na wubetumi asan afi dwumadi ahorow a woyɛ daa ase (sukuu, ɔfese adwuma).
• Nanso, ɛsɛ sɛ wokwati nneɛma a emu yɛ duru a wobɛma so, mmirikatu, ahuruhuruw agumadi, ne apɔw-mu-teɛteɛ a emu yɛ den koraa anyɛ yiye koraa no adapɛn 3-4.
• Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woahwehwɛ afotu ansa na woasan afi dwumadi biara ase.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Momma yɛnka eyi ho asɛm wɔ afã abien. Biako ne nea egye ntɛmpɛ, na biako nso ne nea ɛsɛ sɛ wɔhwɛ yiye wɔ oprehyɛn no akyi.