So mogya wɔ nsu mu? Momma yensua Urine Cytology sɔhwɛ no ho ade!

So ɛtɔ mmere bi a wote ɛyaw nka bere a woretow nsu no ? Anaasɛ woahyɛ no nsow sɛ mogya kakra wɔ wo nsu mu? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu biribi a ɛte sɛɛ no. Nanso sɛ wunya yare no ho sɛnkyerɛnne te sɛ eyinom a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ wo nsu mu nhwehwɛmu. Urine Cytology yɛ sɔhwɛ titiriw bi a wɔyɛ wɔ mmere a ɛtete saa mu. Ma yɛnhwɛ nea ɛyɛ, nea enti a wɔyɛ, ne nea ebetumi ahu.

Dɛn ankasa ne nsu mu nkwammoaa mu nhwehwɛmu?

Sɛ yɛbɛka no tiawa a, eyi hwehwɛ sɛ wode afiri a wɔde hwɛ nneɛma nketenkete hwɛ nkwammoaa a ɛwɔ wo nsu a wɔde yɛ nhwɛso mu no. Nkwammoaa nketenkete fi yɛn nsu mu afasu mu bere nyinaa na ɛne nsu no tom. Wɔ sɔhwɛ yi mu no, oduruyɛfo bi a ne ho akokwaw hwɛ sɛ ebia saa nkwammoaa no yɛ nkwammoaa a ɛteɛ, a ɛte apɔw, anaasɛ sɛ ebia nneɛma bi wɔ hɔ a ɛnteɛ, titiriw kokoram nkwammoaa . Eyi yɛ sɔhwɛ a edi kan a ɛho hia yiye de hu kokoram a ɛwɔ nsu a ɛkɔ nipadua no mu.

Dɛn nti na ɛsɛ sɛ woyɛ sɔhwɛ yi?

Ebia nneɛma atitiriw pii nti na wo duruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi.

Ade titiriw ne sɛ wubesi so dua sɛ wususuw sɛ kokoram wɔ wo nsu mu a. Saa sɔhwɛ yi betumi aboa ma wɔahu kokoram ahorow a edidi so yi :

• Kokoram a ɛwɔ akisikuru mu
• Asaabo mu kokoram
• Ureter cancer (kokoram a ɛba ntini a ɛde nsu fi asaabo mu kɔ akisikuru mu) .
• Kokoram a ɛwɔ nsu mu

Bio nso, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo.

Ɔkwan bɛn so ankasa na wode nsu a wɔde yɛ nhwehwɛmu ma de yɛ nhwehwɛmu?

Okay, afei momma yɛnhwɛ sɛnea yɛde nhwɛsode bɛma yiye ama sɔhwɛ yi. Eyi ho hia yiye, efisɛ sɛ wɔde nhwɛsode no ma wɔ ɔkwan a ɛnteɛ so a, ebetumi aka amanneɛbɔ no pɛpɛɛpɛyɛ.

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so nya nhwɛsode no.

1. Clean Catch Ɔkwan a Wɔfa so Yɛ

Eyi ne ɔkwan a wɔtaa fa so yɛ, a w’ankasa woyɛ. Ɛho hia sɛ wɔma nhwɛsode no yɛ nea efĩ mfi mmoawa a ɛwɔ honam ani a atwa nsu a ɛkɔ nsu mu no ho no mu . Ɛho hia yiye sɛ wubedi akwankyerɛ a lab no de ama no akyi.

• Anamɔn 1: Nea edi kan no, fa samina hohoro wo nsa yiye.
• Anamɔn 2: Fa mpopaho soronko a wɔde ama wɔ kuruwa a wɔde yɛ nhwɛso no ho anaasɛ fa nsu a ɛho tew hohoro baabi a atwa urethral no ho ahyia no yiye.
• Anamɔn 3: Afei di kan fa nsu bi kɔ tiafi mu. Sikɔne kakraa bi akyi no, gyae nsu a wobɛtow.
• Anamɔn 4: Afei fi ase tow nsu bio na fa nsu bi ka specimen kuruwa a wɔde maa wo no ho. Ɛsɛ sɛ kuruwa no yɛ bɛyɛ fã ma.
• Anamɔn 5:To anoano no mu denneennen, na hwɛ yiye na woanka kuruwa no mu.
• Anamɔn 6: Hwɛ sɛ wɔakyerɛw wo din ne wo nsɛm wɔ kuruwa no so yiye, na fa ma lab anaa oduruyɛfo ntɛm ara sɛnea wubetumi.

2. Catheter a Wɔde Di Dwuma

Wɔ tebea horow bi mu, titiriw sɛ ɛyɛ den ma w’ankasa sɛ wode nsu bi bɛma a, ebia wo duruyɛfo anaa ɔyarehwɛfo de afiri a ɛyɛ tratraa yiye na ɛyɛ mmerɛw a wɔfrɛ no catheter bedi dwuma de agye nsu a wɔde yɛ nsu. Wɔde saa afiri yi fa wo nsu a ɛkɔ wo nsu mu no mu na ɛkɔ wo akisikuru mu de gye nhwɛsode no. Nanso, saa kwan yi de asiane ketewaa bi ba sɛ obi benya nsu mu yare, enti wɔyɛ no wɔ tebea horow a emu yɛ den mu nkutoo.

Dɛn na ɛba bere a amanneɛbɔ no aba akyi? So sɔhwɛ pii ho hia?

Eyi yɛ biribi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem. Nsu mu nkwammoaa mu nhwehwɛmu nkutoo ntumi nhu yare biara yiye. Ɛma wonya adwene titiriw bi nkutoo. Sɛ amanneɛbɔ no ka sɛ "nkwaboaa a ɛnteɛ" anaa "nkwaboaa a ɛyɛ adwenem naayɛ" wɔ hɔ a, ɛnkyerɛ sɛ wowɔ kokoram. Nea ɛkyerɛ ara ne sɛ ehia sɛ wɔyɛ sɔhwɛ pii na ama wɔahu nea ɛde ba.

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu afoforo a edidi so yi a egyina amanneɛbɔ no so akyerɛ.

Mfoninitwa Ho Adesua

Ebia wo duruyɛfo bɛpɛ sɛ ohu wo nsu a wode gu mu no mfonini. Ebia eyi bɛhwehwɛ sɛ wɔyɛ X-ray anaa CT scan (Computed Tomography scan) . CT scan betumi atwa akwaa ahorow te sɛ w’asaabo ne w’akisikuru ho mfonini wɔ afã abiɛsa (3D). Ebetumi aboa wo ma woahu sɛ ebia biribi te sɛ akisikuru wɔ wo nsu mu anaa.

Cystoscopy a wɔde hwɛ nipadua no mu

Eyi yɛ sɔhwɛ a ɛho hia yiye. Wɔde afiri a ɛyɛ tratraa paa a ɛyɛ mmerɛw a mfoninitwa afiri (cystoscope) wom fa wo nsu a ɛkɔ wo nsu mu no mu na wɔhwɛ wo akisikuru no mu. Eyi ma oduruyɛfo no hu tẽẽ sɛ ebia biribi a ɛnteɛ, ɛyɛ kɔkɔɔ, anaa akuru nketenkete bi wɔ mu anaa. Sɛ ɛho hia a, wobetumi ayi ntini ketewaa bi (biopsy) afi baabi a ɛyɛ hu na wɔayɛ mu nhwehwɛmu.

Ɛtɔ mmere bi a, wɔyɛ sɔhwɛ bi a wɔfrɛ no ureteroscopy nso bere koro no ara mu, a wɔde afiri a ɛyɛ tratraa mpo di dwuma de hwehwɛ ntini (ureters) a ɛde nsu fi asaabo mu kɔ akisikuru no mu no mu.