Dɛn na ɛrekɔ so wɔ wo koma mu? Momma yɛnhwehwɛ mu denam Cardiac Imaging so.

So woasusuw nea ɛkɔ so wɔ yɛn koma mu no ho pɛn? Ɛtɔ mmere bi a, ɛsɛ sɛ nnuruyɛfo hu sɛnea wo koma te yiye. Ɛnnɛ yɛrebɛka akwan titiriw bi a wɔfa so yɛ adwuma wɔ nsɛm a ɛtete saa mu ho asɛm. Eyi ne nea yɛfrɛ no kɛkɛ `(Cardiac Imaging)` anaa koma mfoniniyɛ. Mma ɛnhaw wo, eyi nyɛ asɛm kɛse, momma yɛnkyerɛkyerɛ mu mmiako mmiako.

Dɛn ne koma mu mfoniniyɛ?

Sɛ yɛbɛka no tiawa a, koma ho mfonini yɛ adeyɛ a ɛtwa wo koma ne nneɛma a atwa ho ahyia no ho mfonini. Ɛte sɛ nea woretwa mfonini, nanso ɛyɛ soronko kakra. Ɛboa nnuruyɛfo ma wohu sɛ wo koma te apɔw anaasɛ ɔhaw bi wɔ hɔ. Nnipa binom nso frɛ no koma ne ntini mu mfoniniyɛ, nanso nea ɛkyerɛ no yɛ pɛ.

Akwan titiriw bɛn na wɔfa so yɛ koma ho mfonini?

Akwan pii wɔ hɔ a wɔfa so hwehwɛ koma no mu. Ɛgyina onipa no tebea so no, oduruyɛfo no bɛkyerɛ ɔkwan a ɔbɛfa so. Momma yɛnhwɛ akwan titiriw a wɔfa so yɛ no:

• Echocardiogram - yɛfrɛ no "Echo" tiawa: Nnipa pii ate eyi ho asɛm.
• Cardiac computed tomography (CT) scan: Eyi nso yɛ scan bi.
• Nuklea koma mu nhyɛso ho sɔhwɛ: Eyi de nneɛma kakraa bi a ɛma anyinam ahoɔden di dwuma.
• Single-photon emission computed tomography (SPECT): Eyi nso yɛ nuklea sɔhwɛ bi a yɛaka ho asɛm wɔ atifi hɔ.
• Cardiac positron emission tomography (PET): Eyi nso yɛ nuklea sɔhwɛ foforo.
• Coronary angiogram anaa benkum koma mu catheterization ("koma cath"): Eyi hwɛ ntini a ɛkɔ koma no mu.
• Koma mu MRI: Eyi yɛ MRI mfonini, nanso ɛyɛ nea ɛfa koma no ho pɔtee.
• Multigated acquisition (MUGA) scan: Eyi nso hwɛ sɛnea koma no yɛ adwuma.

Ɛtɔ mmere bi a, nnuruyɛfo betumi abom ayɛ nhwehwɛmu ahorow yi mu abien anaa abiɛsa. Sɛ nhwɛso no, wobetumi abom ayɛ CT scan ne coronary angiogram, anaa PET ne CT scan na ama woate wo koma tebea ase yiye .

Bere bɛn na oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ koma mu mfonini mu nhwehwɛmu?

Nnuruyɛfo de nhwehwɛmu ahorow yi di dwuma esiane nneɛma kakraa bi nti. Momma yɛnhwɛ nea wɔyɛ:

• Hwɛ koma tebea horow mu ansa na komayare biara aba.
• Hwehwɛ komayare mu na woahu komayare pɔtee a wowɔ dedaw.
• Sɛ obi anya komayare a, hwɛ sɛnea wɔasɛe koma no kɛse.
• Nnipa binom nya sɛnkyerɛnne te sɛ koko mu yaw ne ahome a ɛyɛ den. Hwehwɛ nea ɛde ba .
• Sɛ wɔresa komayare bi a, wɔde eyinom nso di dwuma de hwɛ sɛ ebia ayaresa no so wɔ mfaso ma koma no anaasɛ ɛnte saa.

Fa no sɛ wo moma so yɛ wo yaw kakra kɛkɛ. Sɛ oduruyɛfo no susuw sɛ ɛyɛ biribi a ɛfa koma no ho a, obetumi ayɛ nhwehwɛmu te sɛ eyi.

Koma mu nyarewa bɛn na wobetumi de nhwehwɛmu ahorow yi ahu?

Saa akwan a wɔfa so yɛ koma ho mfonini yi betumi aboa ma wɔahu komayare pii na wɔadi ho dwuma, a nea ɛka ho ne:

• Arrhythmia: Eyi kyerɛ sɛ koma no bɔ ntɛmntɛm.
• Coronary artery disease: Ntini a ɛma mogya kɔ koma no mu no siw.
• Koma mu yare: Eyi ne nea wɔfrɛ no komayare.
• Koma a entumi nyɛ adwuma yiye: Koma no yɛ mmerɛw na entumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu.
• Mmofra ne awo mu komayare: Sɛ nhwɛso no, nsakrae bi a ɛba koma no nhyehyɛe mu.
• Koma mu ntini mu yare: Yare a ɛwɔ ntini a ɛwɔ koma no mu no mu.
• Pericardial disease: Nyarewa a ɛwɔ ntini a ɛyɛ tratraa a atwa koma no ho ahyia no mu.

Afei momma yɛnka sɔhwɛ atitiriw yi bi ho asɛm nkɔ akyiri kakra.

Dɛn ne Echocardiogram (Echo)?

Echocardiogram de nnyigyei asorɔkye a ano yɛ den (nnyigyei a yentumi nte) a wɔfrɛ no ultrasound di dwuma de twa koma no mfonini. Eyi betumi ayɛ koma no mu adan, ntini, afasu, ne mogya ntini ahorow ho mfonini a ɛte sɛ video. Echo soronko bi a wɔfrɛ no Doppler echocardiogram nso tumi susuw sɛnea mogya fa koma no dan biara mu.

Echocardiogram betumi aboa ma wɔahu sɛnea koma no rebɔ mogya yiye ne sɛnea koma no di huammɔ no mu yɛ den, sɛ ebi wɔ hɔ a. Etumi hu ɔhaw ahorow a ɛwɔ koma no mu ntini, ɔyare mmoawa, mogya a atɔ, anaa ntokuru a ɛwɔ koma no mu nso. Koma ho nnuruyɛfo taa de saa sɔhwɛ yi di dwuma efisɛ ebetumi ama wɔanya nsɛm pii a wɔmfa mframa a ano yɛ den nni dwuma.

Dɛn ne Koma mu Kɔmputa so Tomography (Cardiac CT) scan?

Koma mu CT scan de kɔmputa yɛ koma no ho mfonini a ɛkɔ akyiri denam X-ray a wɔyɛ toatoa so no so. Eyi ma wotumi twa mfonini ahorow wɔ mmeae ahorow ne mmeae ahorow. Wobetumi ahwɛ saa mfonini ahorow yi tẽẽ anaasɛ wobetumi ayɛ no sɛ mfonini ahorow a ɛwɔ afã abiɛsa, na ama wɔatumi afi mmeae ahorow ahwɛ koma no ne mmeae a atwa ho ahyia no.

Ebia wo duruyɛfo bɛkra sɛ wɔnyɛ CT scan mfa nhwɛ sɛ ntini no asiw anaasɛ ɔhaw ahorow a ɛwɔ koma no nhyehyɛe mu. Ɛtɔ da bi a, wobetumi ayɛ eyi sɛ sɔhwɛ afoforo mma nsɛm a ɛdɔɔso a. Koma ho oprehyɛn ho animdefo ne komayare ho animdefo a wɔde wɔn ho hyɛ mu (a wɔde nsukorade nketewa yɛ koma oprehyɛn) de eyi yɛ wo koma ho mfonini de boa wo ma wusi gyinae sɛ ebia woyɛ obi a obetumi ayɛ oprehyɛn anaa ayaresa foforo anaa.

Dɛn ne nuklea koma mu nhyɛso ho sɔhwɛ?

Eyi de ade bi a ɛyɛ radioactive a wɔfrɛ no ``tracer'' di dwuma de hwɛ mogya a ɛkɔ wo koma mu ne nea atwa ho ahyia. Wo duruyɛfoɔ de saa ``tracer'' yi gu ntini bi a ɛwɔ wo nipadua mu mu, na afei ɔde mfoninitwa afiri soronko bi twa wo koma mfonini. Wɔyɛ sɔhwɛ yi pɛnkoro bere a woregye w’ahome na wɔyɛ no bio bere a woateɛteɛ w’apɔw mu awie (sɛ nhwɛso no, denam mmirikatu a wode tu mmirika wɔ afiri a wɔde tu mmirika so).

Wɔsan frɛ saa sɔhwɛ yi ``Myocardial perfusion imaging (MPI)''.

Nuklea koma mu nhyɛso ho sɔhwɛ ahorow nso wɔ hɔ:

• Koma mu PET (positron emission tomography) a wɔde hwehwɛ nipadua mu
• Cardiac SPECT - kɔmputa so tomography a wɔde foton biako a ɛtwetwe

Dɛn ne koma mu PET scan?

PET scan nso yɛ nuklea mfoninitwa sɔhwɛ, sɛnea yɛaka wɔ atifi hɔ no. Ɛde radioactive tracer nso di dwuma. Saa tracer yi kɔ koma no mmeae a yare no wɔ no. Afei PET mfoninitwa afiri no betumi ahu mmeae a wɔagye tracer no.

Koma mu PET scan hwɛ sɛnea koma ntini no yɛ adwuma titiriw. Etumi hu sɛ koma no asɛe, te sɛ akuru ntini, bere a komayare aba akyi. Wɔde yɛ koma mu adwennwen ho nhwehwɛmu nso. Wɔtaa yɛ PET scan de ka CT scan ho.

Dɛn ne koma `(SPECT)` scan?

SPECT scan nso yɛ nuklea mfoniniyɛ ho sɔhwɛ. Ɛde radioactive tracer di dwuma de hwɛ mogya a ɛkɔ ne nipadua mu nneɛma a ɛkɔ so wɔ koma no mu ntini no mu. Oduruyɛfo no de tracer no gu ntini bi mu, na afei ɛkɔ koma no mu. SPECT mfoninitwa afiri no tumi hu mmeae a wɔagye tracer no.

Dɛn ne coronary angiogram?

Coronary angiogram yɛ X-ray nhwehwɛmu titiriw bi a wɔyɛ bere a wɔde koma no mu catheter rehyɛ mu no. Wɔ sɔhwɛ yi mu no, wo duruyɛfo de afiri tenten bi a ɛyɛ tratraa (a wɔfrɛ no catheter) hyɛ ntini kɛse bi a ɛwɔ w’asen anaa wo nsateaa mu mu na ɔde asaawa fa wo koma mu. Afei, wɔde aduru soronko bi fa afiri no mu gu wo mogya mu. X-ray afiri bi twa aduru no mfonini bere a ɛnam mogya ntini a atwa wo koma ho ahyia no mu no.Saa sɔhwɛ yi hwehwɛ titiriw sɛ ntini ahorow no asiw anaasɛ asiw. Fa no sɛ ɛte sɛ nea worehwɛ sɛ efĩ akɔhyɛ nsu paipu mu anaa.

Dɛn ne Koma mu MRI?

MRI a wɔde yɛ koma no de radio asorɔkye ne magnet di dwuma sen sɛ wɔde mframa bedi dwuma de hwehwɛ koma no mu. MRI tumi twa mfonini a ɛkɔ akyiri yiye . Ɛkyerɛ koma no afã horow no pefee na ɛkyerɛ sɛnea wɔreyɛ adwuma yiye. Ebetumi aboa ma wɔahu tebea horow pii denam koma no a asɛe te sɛ akuru anaa ɔfe a wɔbɛhwehwɛ so.

Dɛn ne MUGA scan?

MUGA scan hwɛ sɛnea koma no ase adan (a wɔfrɛ no ventricles) no yɛ adwuma. Wɔsan frɛ saa scan yi radionuclide ventriculography.

Wɔ sɔhwɛ yi mu no, oduruyɛfo bi de radioactive tracer bi gu ntini bi mu. Mfoninitwa afiri titiriw bi hu saa mframa yi na ɛde yɛ koma a ɛrebɔ no ho mfonini a ɛkanyan. MUGA scan twa koma no mfonini wɔ mmere pɔtee bi mu, bere biara a ɛbɛbɔ.

Saa sɔhwɛ yi susuw ejection fraction no. Eyi ne mogya dodow a koma no bɔ bere biara a ɛbɔ no. Nnuruyɛfo mfa nhwehwɛmu yi nni dwuma mpɛn pii bio, nanso ɛyɛ ɔkwan biako a wɔfa so susuw sɛnea koma no tumi bɔ pɔmpɛ. Wɔtaa de susuw ejection fraction no bere ne bere mu bere a wɔde nnuru a ebetumi de koma no mu nsunsuanso bɔne te sɛ nnuru a wɔde sa kokoram sa yare bere tenten no.

Ɔkwan bɛn so na ɛsɛ sɛ yesiesie yɛn ho ma sɔhwɛ a ɛte sɛɛ?

Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wubesiesie wo ho ama nhwehwɛmu pɔtee a woreyɛ no mu. Ebia nneɛma te sɛ:

• Kwati nnuan, anonne, ne nnuru a caffeine wom (te sɛ kɔfe ne tii) bere a woreyɛ adwennwen ho nhwehwɛmu ne coronary angiograms no.
• Sɛ worekɔyɛ koma `(CT)` scan ne koma `(MRI)` a, gyaw w'agude wɔ fie.
• Sɛ worekɔyɛ koma MRI a, yi dade nneɛma biara te sɛ nneɛma a wɔde boa aso (sɛ ɛfata a), ahwehwɛ, ne ti nhwi a wɔde hyɛ nipadua mu no fi hɔ.
• Hyɛ ntade a ɛyɛ fɛ a dade afã biara nni mu.

Afei nso, akyinnye biara nni ho sɛ ɛsɛ sɛ woka nneɛma yi kyerɛ wo nnuruyɛfo:

• Ɛfa nyarewa afoforo a wowɔ nyinaa ho.
• Ɛkame ayɛ sɛ nnuru biara a wobɛnom (sɛ́ ebia oduruyɛfo na ɔkyerɛw ama wo, nea woatɔ afi nnurutɔnbea, aduannuru a wɔde ma, anaa nnuru mpo sɛ wode di dwuma a).
• Sɛ wode aduruyɛ mfiri biara ahyɛ wo nipadua mu, te sɛ afiri a ɛma wo koma yɛ den, mfiri a wɔde hyɛ wo nipadua mu, pin, anaa abaa a.
• Sɛ wowɔ dade asinasin biara wɔ wo nipadua mu a, ɛno ara ne no.
• Ɛne sɛ, sɛ woanyinsɛn a.

Saa nsɛm yi ho hia yiye ma oduruyɛfo no sɛ ɔbɛyɛ nhwehwɛmu no dwoodwoo.

So asiane bi wɔ sɔhwɛ ahorow yi mu?

Mpɛn pii no, saa koma mu mfoniniyɛ ho nhwehwɛmu ahorow yi yɛ nea asiane biara nni ho . Wɔnyɛ nea wɔde hyɛ nipadua mu anaasɛ ɛnyɛ nea wɔde hyɛ nipadua mu kakraa bi. Nanso, ɛntaa mma koraa sɛ nnipa binom betumi anya aduru a wɔde yɛ nneɛma a wɔde yɛ nhwehwɛmu no bi no ho adwenem naayɛ. Nanso, eyi ho yɛ na koraa.

Kae sɛ, nhwehwɛmu yi nyinaa twa wo koma, mogya ntini, ne nneɛma a atwa ho ahyia no mfonini, hwɛ sɛnea mogya fa wo koma mu, na wunya wo koma akwahosan ho mfonini pefee.

Awiei koraa no, ade a ɛho hia sen biara

Koma mu nhwehwɛmu yɛ adwinnade a ɛsom bo a ɛboa nnuruyɛfo ma wɔte wo koma tebea ase na ɛboa wo ma wudi wo tebea no ho dwuma. Sɛ wo duruyɛfo kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a, nsuro sɛ wubebisa wɔn nea enti a ɛsɛ sɛ wohwɛ kwan ne nea ɛsɛ sɛ wohwɛ kwan. Wo koma a wobɛhwɛ so yiye no ne ade a ɛho hia sen biara.

` Koma mu Mfoninitwa, Echocardiogram, CT Scan, MRI, Angiogram, Koma Yare, Koma mu Nhwehwɛmu