Wopɛ sɛ wusua Nna Abien Dwonku Ahosiesie a wɔde tew wo dwensɔtwaa ho no ho ade?

So wowɔ `(Colonoscopy)` sɔhwɛ a ɛreba nnansa yi ara? Afei ɛbɛyɛ sɛ woate dwensɔtwaa ahosiesie ho asɛm ansa na ɛreba. Ɛwom sɛ eyi betumi ayɛ te sɛ nea ɛyɛ ɔhaw kakra de, nanso ɛho hia sɛ wɔyɛ `(Colonoscopy)` sɔhwɛ no yiye. Ɛnnɛ, yɛbɛka saa nna mmienu dwensɔtwaa ahosiesie kwan yi ho asɛm, titire sɛdeɛ wɔde `( Magnesium Citrate )`, `(Dulcolax)` aduru ne `(Golytely)` yɛ no.

Dɛn nti na saa akyi berɛmo mu ahotew yi ho hia saa ma ``(Colonoscopy)''?

Sɛ yɛbɛka no tiawa a, ɛsɛ sɛ wo dwonku mu da mpan koraa na ɛho tew bere a woreyɛ wo dwonku mu nhwehwɛmu no. Fa no sɛ wo duruyɛfo reka kar da a wim yɛ hyew. Nanso sɛ nsu a ɛwɔ wo dwensɔtwaa mu no asiw a, ɛte sɛ nea woreka kar wɔ osu kɛse anaa sum mu. Worentumi nhu biribiara pefee.

Nea ɛho hia sen biara ne sɛ, sɛ wɔhohoro akyi berɛmo no ho yiye nkutoo na oduruyɛfo no betumi ahu nsakrae nketenkete mpo a ɛba akyi berɛmo no mu, te sɛ nyinsɛn nketenkete (polyps), anaa kokoram mfiase.

Ɛno nti na ɛho hia kɛse sɛ wudi wo yafunu mu ɔyaresafo akwankyerɛ akyi pɛpɛɛpɛ no. Sɛ ɛnte saa a, ebia ɛsɛ sɛ wotwe colonoscopy no hyɛ da anaasɛ woma wɔsan yɛ bio akyiri yi. Sɛ ɛba saa a, ɛnyɛ wo dɛ.

Wobɛyɛ dɛn asiesie wo ho ama saa nna abien dwensɔtwaa ahosiesie yi?

Nneɛma nketenkete kakraa bi wɔ hɔ a ɛsɛ sɛ wɔyɛ ma eyi nna kakraa bi. Ma yɛnhwɛ nea wɔyɛ.

Nneɛma a anyɛ yiye koraa no ɛsɛ sɛ wugye nnanu (5) ansa na woayɛ ``(Colonoscopy)``:

Wubetumi atɔ nnuru yi wɔ nnurutɔnbea. Wonhia nnuru a wɔakyerɛw ama wo ansa na woanya wɔn. Nanso, nnuru te sɛ `(Golytely)` hwehwɛ sɛ wɔkyerɛw ma obi, enti di kan yɛ krado.

• `Magnesium Citrate` nsuo toa a emu duru yɛ 296 ml (10 nsuo ounce). (Eyi yɛ nsu a ɛboa ma akisikuru so tew)
• Dulcolax aduru anan (4) a wɔde ahyɛ mu. Ɛsɛ sɛ Bisacodyl miligram 5 (5mg) na ɛwɔ aduru biara mu. Nea ɛho hia: Fa aduru a wɔde sa akisikuru, na ɛnyɛ nea ɛma nsu a ɛyɛ mmerɛw no.
• Bio nso, ɛsɛ sɛ wodi kan nom aduru `(Golytely/Nulytely®/Trilyte®/Colyte®)` a wo duruyɛfo akyerɛw ama wo no nso.

Kae sɛ, di akwankyerɛ ahorow yi akyi pɛpɛɛpɛ. Ɛno ansa na wubetumi ayɛ colonoscopy a edi mu na ɛho renhia sɛ wosan yɛ bio.

Nsɛntitiriw kakraa bi a ɛho hia yiye:

• Ɛsɛ sɛ wo dwensɔtwaa mu da mpan koraa sɛnea ɛbɛyɛ a oduruyɛfo no betumi ahu mu yiye.
• Di akwankyerɛ a wo yafunu mu ɔyaresafo de ama no akyi sɛnea wɔakyerɛw wɔ krataa no so no pɛpɛɛpɛ.
• Nni aduan a ɛyɛ den biara da a edi wo colonoscopy no anim. Nsu a emu da hɔ nkutoo na wɔma ho kwan. Yɛbɛka eyi ho asɛm akɔ akyiri.

So wuhia obi a ɔne wo bɛba da a wɔbɛyɛ wo colonoscopy no?

Yiw, eyi yɛ ahyɛde. Sɛ worehwɛ wo colonoscopy a, ɛsɛ sɛ wo ne ɔpanyin bi a ɔwɔ asɛyɛde ka wo ho. Ɛsɛ sɛ saa onipa no tena wo nkyɛn kosi sɛ wobeyi wo afi ayaresabea. Wɔremma wo nkutoo nkɔ fie. Kae sɛ ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra anaasɛ wobɛda wɔ sɔhwɛ no akyi. Ɛnyɛ nea asiane biara nni ho sɛ obi nkutoo bɛkɔ fie saa bere no.

Sɛ wunni obi a ɔde wo bɛkɔ fie a, ɛsɛ sɛ wotwa wo sɔhwɛ no mu. Wɔmma wo kwan sɛ wobɛka kar biara, te sɛ sakre, kar, anaa skuter, anaasɛ wo nkutoo mfi asoɛe no mu saa da no. Enti ɛho hia yiye sɛ wudi kan yɛ nhyehyɛe ma eyi.

Ɛsɛ sɛ wohwɛ yiye wɔ nnuru a wonom no ho.

Sɛnea ɛbɛyɛ a wubenya ahobammɔ no, ebia ebehia sɛ wugyae nnuru bi anaasɛ wosakra dodow a wɔde ma no nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Ɛho hia sɛ wo ne wo duruyɛfo susuw eyi ho hwehwɛ afotu.

Mogya a Wɔde Yɛ Adwuma:

Sɛ worenom saa aduru yi a, hwɛ hu sɛ anyɛ yiye koraa no wobɛkɔ wo duruyɛfo nkyɛn adapɛn abien (2) ansa na wɔayɛ nhwehwɛmu no asusuw saa aduru yi ho. Nea enti a ɛte saa ne sɛ ebia ɛbɛyɛ den sɛ wobedi mogya biara a ɛbɛtɔ bere a wɔreyɛ nhwehwɛmu no so.

Nhwɛso ahorow bi:

• `Klopidogrel (Plavix®)`
• `Warfarin (Coumadin®)`
• ``Ticlopidine hydrochloride (Ticlid®) a ɛwɔ nipadua no mu no yɛ nea ɛfata.
• `Anagrelide (Agrylin®) a wɔde yɛ aduru a wɔde yɛ aduru`
• `Rivaroxaban (Xarelto®)`
• `Dabigatran (Pradaxa®)`
• `Apixaban (Eliquis®)`
• `Prasugrel (Effient®)`

Insulin ne Asikreyare Nnuru:

Wo ne oduruyɛfo a ɔkyerɛw saa aduru yi nkasa na nya afotu wɔ sɛnea wobɛsakra aduru yi dodow mu wɔ nna a edi wo colonoscopy anim no mu.

• Sɛ ɛyɛ da a wɔbɛyɛ nhwehwɛmu no a, nnom asikreyare nnuru no wɔ anadwo fã akyi anadwo a edii ɛno anim no.
• Sɛ worenom insulin (sɛ nhwɛso no, insulin a ɛyɛ adwuma bere tenten te sɛ insulin glargine injection (Lantus®), insulin lispro (Humalog®), insulin isophane (HumulinN®, NovolinN®, ReliOn®), anaa insulin 70/30 a, ɛsɛ sɛ wofa wo dodow a wotaa de di dwuma no fã (1/2) pɛ da a edi nhwehwɛmu no anim. Afei nso, kɔ wo duruyɛfo nkyɛn wɔ eyi ho.

Nnuru a Wɔde Siesie Mu duru:

Ɛsɛ sɛ wo mu duru so tew.Sɛ worenom nnuru a, ebia ɛho behia sɛ wosakra dodow no anaasɛ wugyae nom nna kakraa bi (ebia dapɛn biako) ansa na wɔayɛ nhwehwɛmu no. Bisa oduruyɛfo a ɔkyerɛw aduru no wɔ eyi ho.

Nnuru ahorow bi a ebia ebehia sɛ wogyae no bi ne:

• `Canagliflozin (Invokana®)`
• ` Dapagliflozin (Farxiga®, Forxiga®)`
• `Dulaglutide (Nokware®)`
• `Empagliflozin (Jardiance®)`
• `Ertugliflozin (Steglatro®)`
• ``Exenatide (Byetta®, Ɔde ne nsa kyerɛɛ ne so, na ɔde ne nsa kyerɛɛ ne so bio.
• ``Liraglutide (Victoza®, Saxenda®)'' a ɛyɛ aduru a ɛma obi nya apɔwmuden.
• `Lixisenatide (Adylyxin®) a wɔde yɛ aduru a wɔde yɛ aduru`
• ` Semaglutide (Ozempic®, Wegovy®, Rybelsus®)`
• `Tirzepatide (Mounjaro®, Zepbound®)`

Dade Nnuru a Wɔde Yɛ Nnuru:

Sɛ worenom dade aduru a, gyae nom dapɛn biako (1) ansa na wɔayɛ wo colonoscopy. Dade aduru betumi ama wo nsu tuntum aba na ebetumi ayɛ kɛse wɔ wo dwensɔtwaa mu, na asiw nhwehwɛmu no kwan.

Mpa ahorow afoforo:

Wubetumi anom nnuru te sɛ aspirin, nnuru a ekum ɔyare mmoawa, anaa nnuru a ɛma obi ho yɛ hyew a wode nsu bi ka ho da a wɔbɛyɛ nhwehwɛmu no. Nanso, sɛ wunnim nnuru a wubetumi akɔ so anom ne nea ɛsɛ sɛ wugyae a, hwɛ hu sɛ wubebisa wo duruyɛfo.

Ɛfa adidi ne anom nnansa (3) ansa na wɔayɛ `(Colonoscopy)` ho

Ɛsɛ sɛ wugyae nnuan a ahoɔdennuru pii wom a wubedi nnansa ansa na woayɛ nhwehwɛmu no. Eyinom betumi akɔ so atra dwensɔtwaa no mu na asiw sɔhwɛ no kwan.

• Popcorn a wɔde yɛ aduan
• Adua
• Nnuadewa (sɛ nhwɛso no, flax, owia-nsoromma, quinoa) .
• Abodoo a wɔde aburow pii ayɛ
• Nnuadewa
• Salad/nhabannuru a wɔde yɛ aduan
• Nnuaba a ɛyɛ foforo ne nea ayow a honam ani ayɛ

Da koro (1) ansa na `(Colonoscopy)` adu

Eyi yɛ da a ɛsɛ sɛ yɛhwɛ yiye kakra. Efi da a edi `(Colonoscopy)` anim no, ɛsɛ sɛ wonom nsu a emu da hɔ nkutoo. Nni nnuan a ɛyɛ den biara.

Wubetumi anom nsu a emu da hɔ kosi nnɔnhwerew abiɛsa (3) ansa na wɔayɛ wo colonoscopy.

Dɛn ne Nsu a Ɛda Hɔ?

Sɛ yɛbɛka no tiawa a, sɛ wohwie gu ahwehwɛ mu na wutumi hu mu a, ɛyɛ nsu a emu da hɔ.

Nhwɛso ahorow:

• Nsuo
• Tia a wɔmfa nnuru nhyɛ mu (a nufusu nka ho) .
• Kafe a asikre nnim (a nufusu nnim) .
• Broths/soups a emu da hɔ (a nhabannuru anaa nam asinasin nka ho) .
• Nnuaba nsu (ɛnyɛ asinasin, s.e. apɔw-mu-teɛteɛ, bobe nsu - kɔla tuntum biara nni mu) .
• Jelly (ɛnyɛ kɔla tuntum - ɛnyɛ kɔkɔɔ, ɛnyɛ kɔkɔɔ) .
• Agumadi mu anonne a ɛyɛ hann anaa soda te sɛ Sprite, 7Up

Nneɛma a ɛnsɛ sɛ wosuro:

• Nufusu ne nufusu a wɔde yɛ nneɛma
• Nnuaba mu nsu a ɛyɛ tumm (e.g. tomato nsu, akutu nsu a asinasin wɔ mu) .
• Nsaden

Ɔkwan bɛn so na wɔyɛ nna abien bowel prep no?

Eyi ne ɔfã a ɛho hia sen biara. Ansa na wobɛyɛ nsu a wɔde tew akyi berɛmo no ho no, kenkan akwankyerɛ no nyinaa na te ase yiye.

Nna mmienu (2) ansa na `(Colonoscopy)` no adu:

• 1 p.m. kosi 5 p.m.: Nom nsu a emu tew kuruwa biako (bɛyɛ ɔuns 8) dɔnhwerew biara.
• 5:30 PM: Nom Magnesium Citrate toa no nyinaa (ounces 10).
• Efi anadwo nnɔnsia kosi anadwo nnɔnsia: Bio nso, nom nsu a emu tew kuruwa biako dɔnhwerew biara.
• 9:30 PM: Fa Bisacodyl (Dulcolax) aduru anan (4) no nyinaa prɛko pɛ ne nsu.

Sɛ woyɛ saa nneɛma yi a, ɛho behia sɛ wokɔ aguaree mpɛn pii. Eyi yɛ ade a ɛfata, enti mma ɛnhaw wo wɔ ho. Nyansa wom sɛ wobɛtra baabi a tiafi bɛn hɔ.

Da koro (1) ansa na `(Colonoscopy)` adu:

• Wubetumi adi nsu a emu da hɔ nkutoo kosi anwummere nnɔnsia da mũ nyinaa. Nni aduan a ɛyɛ den biara.
• Awiabere no, siesie wo `(Golytely/Nulytely/Trilyte Colyte)` nsuo a wɔde afra a ɛyɛ laxative na fa sie frigye mu. Sɛ ɛde flavor pack ba a, wubetumi de saa aka ho. Nanso mfa nsukyenee, asikre, anaa nneɛma foforo biara a ɛma ɛyɛ dɛ nka ho.
• Ɛsɛ sɛ wonom saa nsu yi wɔ afã abien.
• 6 PM: Fi ase nom nsu a wɔasiesie no ounces 8 (kuruwa kɛse) simma 15 biara. Kɔ so nom kosi sɛ wobɛnom nsu a ɛwɔ mu nyinaa mu fã (1/2).
• Nnɔnhwerew nsia (6) ansa na woayɛ wo sɔhwɛ no: Nom nsu no fã a aka (1/2) sɛnea na woyɛ kan no, nom kuruwa a emu duru yɛ ɔuns 8 simma 15 biara.
• Kɔ so nom nsu a emu da hɔ kosi nnɔnhwerew abiɛsa (3) ansa na wɔayɛ wo colonoscopy. Ɛno akyi no, nnom biribiara.

Dɛn na woyɛ wɔ mmere titiriw bi mu?

Ebia nnipa binom dwensɔtwaa brɛoo. Ebia saa nkurɔfo yi behia afotu soronko. Sɛ wowɔ saa tebea yi a, wo ne wo duruyɛfo nkasa na nya afotu a ɛfata wo.

Na sɛ wowɔ akisikuru nso ɛ?

Wubetumi nso anom aduru a wɔde siw wo ho nna kakraa bi ansa na woahohoro wo ho. Eyi bɛboa ma wo akisikuru no afi hɔ ansa na woatew wo ho. Bisa wo duruyɛfo no eyi nso ho asɛm.

Na sɛ bowel prep a atwam no ankɔ yiye nso ɛ?

Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Ebia wubehia afotu foforo anaa ahosiesie foforo.

Na sɛ nyarewa bi ma dwensɔtwaa mu kyɛ nso ɛ?

Nyarewa bi (sɛ nhwɛso no, Parkinson yare, Multiple Sclerosis (MS)) anaa nnuru bi (sɛ nhwɛso no, Nnubɔne, Gabapentin, Anticholinergic nnuru) betumi akyɛ dwensɔtwaa mu a ɛda mpan. Sɛ woyɛ obi a wode mmubuafo akongua di dwuma a, eyi nso betumi aka wo dwensɔtwaa. Ka wo tebea no ne nnuru biara a wonom kyerɛ wo duruyɛfo. Ebia wubehia bere foforo de ayi wo dwensɔtwaa mu ne nnuru foforo a wode bɛnom.

Na sɛ ɛyɛ den ma wo sɛ wobɛnom nsu pii nso ɛ?

Fi ase siesie wo yafunu nnɔnhwerew abien anaa abiɛsa ansa na woayɛ. Saa kwan no so no, wubenya bere pii anom dodow no nyinaa.

Na sɛ mintumi nwie bowel prep no nso ɛ?

Sɛ wuntumi nnom nsu a wɔde tew wo dwensɔtwaa ho no nyinaa a, ɛda adi sɛ ɛsɛ sɛ wotwe wo dwensɔtwaa mu nhwehwɛmu no hyɛ da. Sɛ wo dwensɔtwaa no ho ntew koraa a, mfaso remma sɔhwɛ no so.

So wɔayɛ wo oprehyɛn a ɛma wo ho yɛ den?

Oprehyɛn a wɔde twa yafunu mu no ka yafunu ne dwensɔtwaa ketewaa no. Ɛnsesa wo dwensɔtwaa tenten. Nanso ebia ɛsɛ sɛ wonom nsu nkakrankakra, mpɛn pii. Ɛsɛ sɛ woda so ara yɛ ade koro no ara a ɛte sɛ nea wɔde tew dwensɔtwaa nyinaa ho no, egye bere tenten kakra kɛkɛ.

So woyɛ obi a woreyɛ dialysis esiane asaabo mu yare nti?

Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo nephrologist nkyɛn kɔhwehwɛ afotu pɔtee ansa na woayɛ wo colonoscopy ho nhyehyɛe. Mpɛn pii no, ayarefo a wɔma wɔn dialysis no fa aduru a wɔde tew wɔn akyi berɛmo ho Golytely na wɔma wɔyɛ nhwehwɛmu no da koro no ara a wɔyɛ wɔn dialysis (colonoscopy anɔpa ne dialysis anwummere).

Momma yɛnhwehwɛ nea "Clear Liquids" kyerɛ ankasa.

Eyi yɛ mmerɛw yiye. Sɛ wubetumi ahwie nsu bi agu ahwehwɛ mu na woahu mu a, wobu no sɛ "nsu a emu da hɔ." Sɛ nhwɛso no, nsu, soup a emu da hɔ, jelly a ne kɔla yɛ hann (ɛnyɛ kɔkɔɔ anaa kɔkɔɔ), tii a ɛnyɛ nufusu, ne kɔfe. Nufusu, nnuaba mu nsu a ɛyɛ tumm, ne nsa nhyɛ saa kuw yi mu.

Nkaebɔ foforo a ɛfa kar a wɔde bɛkɔ fie ho

Yɛaka dedaw sɛ ɛsɛ sɛ wo ne ɔpanyin bi ka wo ho bere a worekɔ akɔyɛ wo colonoscopy no. Ɛsɛ sɛ saa onipa no tena wo nkyɛn kosi sɛ sɔhwɛ no bɛba awiei na wɔde wo akɔ fie. Sɛ ɔpanyin a ɔka wo ho no nso ka wo ho wɔ kar no mu nkutoo a, wubetumi afa Uber®, Lyft®, taksi, anaa bɔs akɔ fie.

Nsusuw mpo sɛ, "Mɛda ha kakra na afei m'ankasa mɛka kar akɔ." Ɛno ntumi nyɛ yiye. Ɛsɛ sɛ wonya ɔpanyin bi a ɔwɔ asɛyɛde ka wo ho bere a worehyɛn mu no, wowɔ hɔ bere a wɔreyɛ sɔhwɛ no, na ɔde wo kar akɔ fie. Worentumi nka kar biara kosi sɛ da no bɛba awiei. Eyi yɛ w’ankasa ahobammɔ nti.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya adwene pa wɔ Nna Abien Bowel Preparation nhyehyɛeɛ no ho. Mma ɛnhaw wo, sɛ wudi akwankyerɛ yi akyi yiye a, biribiara bɛkɔ yiye.

• Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ: Eyi ne ade a ɛho hia sen biara. Mfomso ketewaa bi mpo betumi asɛe sɔhwɛ no.
• Hwɛ yiye wɔ nea wudi ne nea wonom ho: Titiriw wɔ nna a edi sɔhwɛ no anim ne da a edi kan no mu no, di akwankyerɛ no akyi pɛpɛɛpɛ. Yɛ eyi bere a wɔaka akyerɛ wo sɛ nom "nsu a emu da hɔ" nkutoo no.
• Bisa wo duruyɛfo no nnuru ho asɛm: Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo na yɛ nsakrae biara a ɛho hia.
• Fa obi ka wo ho bra: Mma wo werɛ mmfi sɛ wode obi a ɛyɛ n’asɛyɛde sɛ ɔde wo bɛkɔ fie da a wɔbɛyɛ sɔhwɛ no bɛba.
• Bisa nsɛm: Sɛ wowɔ nsɛmmisa biara anaasɛ wonte biribiara ase wɔ saa ``Bowel Prep'' anaa ``Colonoscopy'' yi ho a, nsuro sɛ wobɛbisa wo duruyɛfoɔ anaa ɔyarehwɛfoɔ.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ahosiesie yi yɛ den kakra de, nanso ɛfata sɛ wunya no yiye efisɛ eyi yɛ sɔhwɛ a ɛho hia yiye ma w’akwahosan. Akwaaba pa mma wo!

` Colonoscopy ahosiesie, dwensɔtwaa ahosiesie, magnesium citrate, dulcolax, golightly, akyi berɛmo mu ahotew, aduan mu nhyehyɛe