Nsu yɛ wo nipadua no fã a ɛfata, biribi a yensusuw ho pii, ɛnte saa? Nsu a asaabo no yɛ no fa nsukorabea abien mu na ɛboaboa ano wɔ akisikuru no mu, baabi a bere a ɛho hia no, efi mu ba. Nanso susuw nea ɛbɛba sɛ biribi nti wo akisikuru no gyae adwumayɛ, anaasɛ ɛsɛ sɛ woyi fi hɔ no ho hwɛ? Ɔkwan biara nni hɔ a nsu bɛfa so afi nipadua no mu. Ɛnnɛ yɛrebɛka oprehyɛn soronko bi a ɛba bɛboa wɔ tebea a ɛte saa mu ho asɛm.
Dɛn ne ureterostomy wɔ nsɛm a ɛnyɛ den mu?
Sɛ yɛbɛka no tiawa a,
ureterostomy yɛ oprehyɛn a wɔyi nsuo nhama mmienu a ɛde nsuo fi w’asaabo mu kɔ wo akisikuru mu (a wɔfrɛ no `ureters`) no firi wo akisikuru mu na wɔde bata ɔkwan ketewa bi a ɛwɔ wo honam ani anaa wo yafunu mu mmom. Wɔfrɛ saa ade foforo a wɔabue yi
stoma . Ɛte sɛ eyi. Fa no sɛ nsu afiri abien a wɔde abɔ nsukorabea bi ho. Seesei tank no abubu. Dɛn na yɛyɛ? Yɛyi tank no na yɛde nsuo nhama mmienu no ba tẽẽ. Saa ara na ɛkɔ so wɔ ha. Yɛtwa akisikuru (nsuo) no ho hyia na yɛma nsuo afiri (`ureters`) no kɔ nipadua no mu tẽẽ fa saa `stoma` no mu. Afei, nsuo no firi asaabo no mu tẽẽ na ɛfiri nipadua no mu fa saa `stoma` yi mu. Sɛnea ɛbɛyɛ na wɔaboaboa saa nsu yi ano no, wɔde plastic bag soronko bi a wɔfrɛ no kotoku no twa stoma no ho hyia. Ɛho behia sɛ wopopa kotoku no mu mpɛn dodow a wotaa tow nsu no. Wɔ abofra ketewa fam no, wobetumi aboaboa saa nsu yi nso ano wɔ mpaboa no mu.
Saa oprehyɛn yi ma wonya ɔkwan bi a nsu fa so fi nipadua no mu dwoodwoo, sɛ mpo akisikuru no ntumi nyɛ adwuma yiye a. Eyi taa yɛ adeyɛ a ɛtra hɔ daa.
Henanom na wohia oprehyɛn yi?
Ebia wo duruyɛfo bɛkamfo oprehyɛn yi akyerɛ sɛ wo akisikuru ntumi nyi nsu mu sɛnea ɛsɛ a. Nneɛma pii betumi ama eyi aba.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|
| Akisikuru a woyi fi hɔ | Ɛsɛ sɛ woyi akisikuru no koraa esiane kokoram anaa aduruyɛ mu tebea foforo nti. |
| Akisikuru a ɛsɛe | Akisikuru a ɛsɛe esiane akwanhyia anaa biribi foforo nti, na ɛde dwumadi a ɛyera ba. |
| Tebea horow a efi awo mu ba | Tebea horow bi a ɛwɔ hɔ wɔ awo mu, te sɛ Spina Bifida, betumi ama akisikuru no anyɛ adwuma yiye. |
| Akyi berɛmo mu opira | Sɛ wontumi nni akisikuru no dwumadi so esiane akyi berɛmo a asɛe nti. |
Dɛn na woyɛ ansa na woayɛ wo oprehyɛn?
Ansa na oduruyɛfo no bɛyɛ oprehyɛn yi no, ɔbɛyɛ nhwehwɛmu ahorow pii de ahu wo nipadua no tebea pɔtee.
- Asaabo dwumadi ho nhwehwɛmu: Hwɛ sɛnea w’asaabo reyɛ adwuma yiye.
- Mogya mu nhwehwɛmu : Hwehwɛ nipadua no akwahosan nyinaa ho asɛm.
- Mfoniniyɛ mu nhwehwɛmu: Sɔhwɛ te sɛ X-ray anaa ultrasound scan twa asaabo ne nsu a ɛkɔ nipadua no mu no mfonini.
- Retrograde Pyelogram: Wɔ eyi mu no, wɔde nsu titiriw bi (aduru) hyɛ nsu a ɛkɔ nsu mu no mu na wɔyɛ X-ray.
- CT scan: Eyi betumi atwa nipadua no ho mfonini a wɔatwa no akuturuku na ama woanya mfonini a emu da hɔ.
- MRI : Eyi nso betumi ama asaabo ne nsu a ɛkɔ nipadua no mu ho mfonini a emu da hɔ yiye.
Bio nso, oduruyɛfo anaa ɔyarehwɛfo bi ne wo bɛkasa ansa na wɔayɛ wo oprehyɛn de ahu baabi a eye sen biara a wɔde stoma no bɛto. Mpɛn pii no wɔde
si baabi a ɛnyɛ den sɛ wubehu, ɛrenkyere wo ntade (sɛ nhwɛso no, abɔso), na enni honam ani nsensanee .
Ɔkwan bɛn so na oprehyɛn no kɔ so na ɔkwan bɛn so na nhyehyɛe yi yɛ adwuma?
Wɔ oprehyɛn no mu no, oprehyɛn ho ɔbenfo no bɛtetew wo urethras no biako anaa abien no nyinaa afi wo bladder no ho na ɔde abata `stoma` a wɔabɔ no foforo no ho. Afei, nsuo renkɔ akisikuru no mu. Afei ma yɛnhwɛ sɛnea nhyehyɛe foforo yi yɛ adwuma. `Stoma`, kyerɛ sɛ, nea ɛbue no, nni ntini (`sphincter`) a ɛmma nsuo ntumi nkɔ mu, te sɛ nea ɛwɔ yɛn nsuo mu no. Enti
Wontumi nni nsu a wɔde gu nipadua mu no so. Ɛkɔ so sen fi asaabo no mu nsu a ɛtɔ gu fam. Eyi ne sɛnea wɔboaboa nsu ano: 1. Wɔde kotoku bi bata stoma no so: Saa `pouching` nhyehyɛe yi wɔ afã abien. Biako ne `akwanside` no. Ɔfoforo no ne `kotoku a wɔboaboa ano`. Ɛtɔ mmere bi a, nsɛm bi wɔ hɔ a wɔka eyinom abien nyinaa bom. 2. `Barrier`: Eyi yɛ afiri a ɛte sɛ ahinanan a tokuru bi wɔ mfinimfini a ɛfata `stoma`. Wɔde ade titiriw bi a wɔde nkata ho na ɛde gluu abɔ honam ani. Enti, nsu ntumi nkɔ mu. 3. `Pouch`: Saa bag yi na wɔde abɔ `akwanside` no ho. Mprempren wɔboaboa nsu a efi asaabo no mu ba no ano kɔ kotoku yi mu tẽẽ. Mpɛn pii no, ɛsɛ sɛ wɔpam kotoku no mu bere a emu nkyem abiɛsa mu biako anaa fã ayɛ no ma no. Wubetumi de wo nsu agu tiafi mu a ɛho nhia sɛ wuyi kotoku no denam valve ketewaa bi a wubebue wɔ kotoku no ase no so. Anadwo no, wubetumi de afiri bi abɔ saa valve yi ho na woama nsu no aboaboa ano wɔ kotoku kɛse bi mu. Saa kotoku yi ahintaw wo ntade ase enti wontumi nhu. Ɔkwan bɛn so na wɔhwɛ stoma ne kotoku no?
Sɛ woyɛ oprehyɛn wie a, wo duruyɛfo anaa ɔyarehwɛfo bɛkyerɛ wo sɛnea wobɛma wo stoma, wo were a atwa ho ahyia, ne kotoku no ho atew. Wɔbɛkyerɛ wo sɛnea wobɛsesa kotoku no nso. Ɛho hia yiye sɛ wobɛma wo stoma ho atew na ayɛ kusuu bere nyinaa. Ɛsɛ sɛ woyɛ nea edidi so yi da biara:- Fa samina a ɛnyɛ den ne nsu hohoro stoma no ne were a atwa ho ahyia no.
- Fa nsu hohoro kosi sɛ samina no befi hɔ.
- Afei ma ɛnyow yiye.
Ɛsɛ sɛ wɔsesa kotoku no nso wɔ bere a ɛfata mu. Mpɛn pii no, ɛsɛ sɛ woyi kotoku dedaw no koraa na wɔde foforo gu mu wɔ nnafua 5 kosi 7 akyi . Asiane ne nsɛnnennen bɛn na ɛwɔ oprehyɛn no mu?
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ mu. Wo ne wo duruyɛfo nsusuw eyinom ho ansa na woayɛ wo oprehyɛn no.- Nsaneɛ.
- Mogya a ɛretu .
- Hernia a ɛyɛ mmerɛw.
- Redness , ɔfe, anaa nneɛma afoforo a ɛma obi ho yɛ no hyew wɔ stoma no ho.
- Sɛ wontumi nnya nea wɔhwɛ kwan sɛ ebefi oprehyɛn mu aba.
- Ntini a ɛyɛ akuru a ɛba.
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Ɛsɛ sɛ wode w’adwene si wo stoma ne honam ani a atwa ho ahyia no so bere nyinaa. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo ntɛm ara. Nsakrae a ɛba honam ani wɔ stoma no ho: Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa
| Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho | Nkyerɛmu |
|---|
| Wora a ɛyɛ kɔkɔɔ anaasɛ ɛyɛ akisikuru | Sɛ honam ani a atwa stoma no ho ahyia no yɛ kɔkɔɔ na ɛte sɛ eczema a. |
| Wora a ɛyɛ mmerɛw anaasɛ ɛyɛ kurukuruwa | Sɛ ɛte sɛ nea honam ani ayɛ kusuu, apaapae, anaasɛ apira a. |
| Honam ani akuru | Honam ani akuru betumi aba esiane nsu a ɛretu wɔ kotoku no ne stoma no ntam nti. |
| Nsakrae a ɛba nsu mu | Nsu a ɛyɛ tumm, mogya a ɛwɔ nsu mu, nsu a ɛyɛ nwini dodo, anaa hua a ano yɛ den. |
| Nsɛnkyerɛnne afoforo | Akyi yaw, atiridiinini, akisikuru ne/anaasɛ ɔfe, aduan ho akɔnnɔ a ɛyera. |
So Urostomy, Nephrostomy, ne Ureterostomy yɛ ade koro?
Dabi, ɛwom sɛ eyinom abiɛsa no nyinaa yɛ oprehyɛn a ɛsakra ɔkwan a wɔfa so yi nsu fi mu de, nanso ɛsono wɔn ho wɔn ho.- Urostomy: Eyi yɛ din a wɔtaa frɛ. Ureterostomy nso yɛ urostomy bi. Nanso, akwan foforo wɔ hɔ a wɔfa so yi urostomy. Sɛ nhwɛso no, dwensɔtwaa ketewaa no fã bi a wɔbɛfa na wɔayɛ urethra foforo.
- Nephrostomy: Eyi hwehwɛ sɛ wɔde afiri (catheter) bi hyɛ asaabo no mu tẽẽ, na ɛboaboa nsu a ɛwɔ nipadua no akyi ano gu kotoku mu. Wɔtaa yɛ eyi ma nnipa a wɔn ureters asiw. Eyi taa yɛ bere tiaa mu de.
Ureterostomy yɛ ɔkwan foforo a wɔfa so yɛ, baabi a wɔde urethra no bata honam ani no ho tẽẽ. Ebetumi ayɛ den kakra sɛ wobɛsakra wo ho akɔ asetra mu wɔ oprehyɛn no akyi. Ebia wo ho nyɛ wo dɛ sɛ wuntumi ntow nsu sɛnea ɛsɛ te sɛ nnipa afoforo. Nanso wo ne wo duruyɛfo nka ho asɛm pefee. Obetumi ama wo nkate fam mmoa a wuhia anaasɛ wama wo ne nnipa a wobetumi aboa wo adi nkitaho. Kae sɛ ɛnyɛ wo nko ara. Nnipa afoforo pii wɔ hɔ a wɔayɛ wɔn oprehyɛn yi. Afei nso, susuw oprehyɛn yi ho sɛ ɔkwan a ɛbɛboa wo ma woatra ase yiye na akyɛ. Nkrasɛm a Wɔde Kɔ Fie
- Ureterostomy yɛ oprehyɛn a wɔde twa akisikuru no ho hyia na ɛde ureter no fi asaabo no mu kɔ ɔkwan bi a wɔabue (stoma) wɔ honam ani ma nsu no fi mu.
- Mpɛn pii no, eyi ho hia bere a kokoram, akwanhyia, anaa awo mu dɛmdi nti akisikuru no ntumi nyɛ oprehyɛn no.
- Wɔde kotoku bi bata nipadua no akyi de boaboa nsu ano, na ɛsɛ sɛ wɔma mu na wɔsesa no bere ne bere mu.
- Ɛho hia paa sɛ wobɛma stoma ne were a atwa ho ahyia no ho tew na ayɛ nwunu**.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko te sɛ honam ani kɔkɔɔ, akuru, nsakrae a ɛba wo nsu mu, anaa atiridiinini a, ka kyerɛ wo duruyɛfo ntɛm ara.
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