Momma yensua X-ray titiriw a ɛhwehwɛ mogya ntini a ɛwɔ asaabo mu (Renal Arteriography) no ho ade?

Asaabo yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu no mu biako. Wɔte sɛ nneɛma abien a wɔde yiyi nneɛma mu wɔ yɛn nipadua mu. Wɔtew yɛn mogya ho na woyi nneɛma a yɛmpɛ sɛ nsu . Enti, ɛho hia paa sɛ mogya ntini nketenkete a ɛde mogya kɔ asaabo mu no yɛ adwuma yiye. Ɛtɔ mmere bi a, oduruyɛfo no betumi asusuw sɛ biribi asɛe wɔ mogya ntini yi ho. Saa bere no, wɔyɛ sɔhwɛ titiriw bi a wɔfrɛ no `Renal Arteriography` de hwɛ. Mma nnsuro sɛ wote saa din yi a, yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne Renal Arteriography?

Eyi nso yɛ X-ray nhwehwɛmu bi. Nanso ɛnte sɛ X-ray a wɔyɛ no daa. Fa no sɛ wonam abɔnten bi a wunnim, na wuhia asase mfonini, ɛnte saa? Wiɛ, nhwehwɛmu yi boa oduruyɛfo no ma ohu asase mfonini, anaa mfonini a emu da hɔ, a ɛkyerɛ mogya ntini a ɛwɔ w’asaabo mu.

Wɔsan frɛ eyi sɛ `Renal Angiogram`. Eyi de X-ray kwan titiriw bi a wɔfrɛ no ` Fluoroscopy` di dwuma. Eyi kyerɛ sɛ sɛ́ anka wobɛtwe mfonini biako pɛ no, wubetumi ahwɛ mogya a ɛsen fa asaabo no mu no tee, na woatwa X-ray mfonini a ɛkɔ so te sɛ video. Eyi ma wutumi hu mogya ntini no ne akwaa afoforo ne nnompe a ɛwɔ mu no.

Dɛn nti na ehia sɛ yɛyɛ sɔhwɛ a ɛte sɛɛ?

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ wosusuw sɛ ɔhaw bi wɔ mogya ntini a ɛwɔ w’asaabo mu no ho a. Wɔtaa hyɛ sɛ wɔyɛ nhwehwɛmu yi sɛ mogya ntini no ntumi nhu pefee wɔ CT scan anaa MRI scan mu a .

Hwɛ pon a ɛwɔ ase hɔ no ma ayaresa tebea atitiriw a wobetumi de sɔhwɛ yi ahu.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi? Momma yɛnhwɛ anammɔn biara.

Sɛ wuhu sɔhwɛ yi ho asɛm a, ɛbɛboa ma wo suro so atew. Ma yɛnhwɛ nea ɛkɔ so wɔ eyi mu.

Nneɛma a ɛsɛ sɛ wuhu ansa na woayɛ sɔhwɛ no

• Ka biribiara kyerɛ oduruyɛfo no: Hwɛ hu sɛ wobɛka akyerɛ no sɛ wowɔ akisikuru bi , titiriw wɔ nnuru a wɔde yɛ X-ray , iodine , anaa nnuru ho.
• Sɛ woanyinsɛn , worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ wɔ eyi ho.
• Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Ɛnyɛ nea wo duruyɛfo akyerɛw ama wo no nko na ɛka eyi ho, na mmom nnuru biara a wɔtɔn a wɔde ma ɛyaw te sɛ ibuprofen ne aspirin, vitamin, ne nnuru a wɔde di dwuma wɔ amanne kwan so nso. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
• Sɛ wowɔ ayaresa tebea afoforo te sɛ asikreyare anaa mogya mmoroso a, ka ho asɛm nso kyerɛ yɛn.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

1. Nea edi kan no, ayaresabea no bɛma wo atade a wode bɛhyɛ. Afei wɔbɛma woada mpa soronko bi a X-ray afiri wom so.

2. Wɔde afiri ketewa bi (IV line) bɛhyɛ ntini bi a ɛwɔ wo nsa mu a wɔbɛma wo nsu ne nnuru a ɛbɛma wo ho adwo wo.

3. Afei, oduruyɛfo no bɛma baabi a wɔde catheter no ahyɛ mu no ayɛ mmerɛw. Saa catheter yi yɛ tube a ɛyɛ tratraa yiye na ɛyɛ mmerɛw. Mpɛn pii no wɔde fa asen no mu anaasɛ ɛtɔ mmere bi a wɔfa ntini bi a ɛwɔ abasa no mu mu . Worente ɛyaw biara nka esiane sɛ wo ho ayɛ wo hyew nti.

4. Afei wɔde ahwɛyiye fa ade ketewaa bi so de catheter no hyɛ ntini no mu.

5. Wɔde ahwɛyiye kyerɛ saa catheter yi kwan kɔ adwene no ntini a ɛde mogya kɔ asaabo no mu no mu, bere a wɔrehwɛ X-ray mfonini ahorow no.

6. Sɛ wɔde catheter no si baabi a, wɔde aduru soronko bi (contrast dye) fa mu gu mu. Saa aduru yi ma mogya ntini no da adi pefee na ɛyɛ fitaa wɔ X-ray mfonini ahorow so. Ebia wobɛte ɔhyew kakra nka wɔ wo nipadua mu saa bere yi, na ɛno yɛ ade a ɛfata.

7. Saa bere yi de, oduruyɛfo no bɛka akyerɛ wo sɛ kura wo home mu kakra . Twa saa mfonini ahorow no pefee. Ɛho hia paa nso sɛ worentu.

8. Nsɛm titiriw a ɛsɛ sɛ yɛhyɛ no nsow: Ɛtɔ mmere bi a, sɛ oduruyɛfo no hu sɛ mogya ntini bi asiw wɔ nhwehwɛmu yi mu a, obetumi asa. Wɔfrɛ eyi `Renal Artery Angioplasty`. Wɔ eyi mu no, wɔde balloon ketewaa bi fa catheter no mu na wɔde mframa gu baabi a asiw no, na ɛma mogya no san kɔ.

Dɛn na ɛsɛ sɛ meyɛ wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ sɔhwɛ no wie a, wɔde ahwɛyiye yi catheter no fi mu. Afei wɔde bɛyɛ simma 15 mia catheter no mu na ama mogya a ɛretu afi baabi a wɔde ahyɛ mu no agyae.

• Ɛno akyi no, ebehia sɛ woda mpa so nnɔnhwerew kakraa bi , titiriw sɛ wobɛma nan a wɔde catheter no ahyɛ mu no akɔ so ayɛ dinn.
• Mpɛn pii no, ebia oduruyɛfo no betu wo fo sɛ tra ayaresabea hɔ saa anadwo no na ama woahwɛ ahu sɛ biribiara kɔ yiye. Eyi yɛ w’ahobammɔ nti.
• Nom nsu pii. Eyi ho hia yiye efisɛ ɛsɛ sɛ wɔde aduru a wɔde ahyɛ nipadua no mu no fa nsu mu fi mu ntɛmntɛm.
• Ɛho behia sɛ wohwɛ baabi a wɔde catheter no bɛhyɛ mu no so nna kakraa bi bere a woakɔ fie akyi. Wo duruyɛfo betu wo fo wɔ eyi ho.

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ mu. Nanso kae sɛ eyinom ho yɛ na koraa . Na nnuruyɛfo a wɔyɛ nhwehwɛmu no hwɛ yiye paa wɔ eyi ho.

Asiane yi betumi ayɛ soronko kakra a egyina ayaresa tebea afoforo a wowɔ so. Ɛno nti na yɛadi kan aka sɛ ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm a edi mũ kyerɛ wo duruyɛfo no .

Renal Arteriography, Renal Angiogram, asaabo, aduruyɛ mu nhwehwɛmu, mogya ntini, catheter, X-ray, asaabo mu nhwehwɛmu sinhala, angioplasty sinhala