So wo nso wotaa hwe ase? Momma yɛnka eyi ho asɛm (Tilt Table Test)!

So w’ani ayɛ bruu mpofirim, woate nka sɛ nneɛma retwa wo ho ahyia, anaasɛ woate nka sɛ w’adwene reyera pɛn? Sɛ eyi taa to wo a, ɛnnɛ yɛrebɛka sɔhwɛ bi a ebetumi aboa wo ma woahu nea ɛde ba no ho asɛm. Wɔfrɛ eyi `(Tilt Table Test)`. Nsuro, ɛyɛ mmerɛw. Ma yɛnhwɛ nea ɛyɛ, sɛnea wɔyɛ, ne nea ɛsɛ sɛ wuhu.

Dɛn ne eyi (Tilt Table Test)?

Sɛ yɛbɛka no tiawa a, ``Tilt Table Test'' yɛ sɔhwɛ a ɛboa ma wohu nea ɛde totɔ anaa adwene a ɛyera (a wɔsan frɛ no ``Syncope'' wɔ aduruyɛ mu). Nea ɛka ho ne sɛ wobɛma woada mpa soronko (pon) so na woakɔ so ahwɛ wo mogya mmoroso , wo koma bɔ , ne sɛnea wo koma bɔ bere a wɔadan mpa no wɔ afã horow no. Mpa no si hɔ bere nyinaa sɛnea ɛbɛyɛ a wo ti bɛkɔ wo ti so.

Dɛn na wobetumi ahu wɔ Tilt Table Test no mu?

Saa ``Tilt Table Test'' yi ma yetumi hu sɛnea wo koma bɔ, wo nnyigyei, ne wo mogya mmoroso sesa bere a wosakra wo gyinabea (sɛ nhwɛso no, bere a wosɔre gyina hɔ mpofirim fi baabi a woada). Sɛ wode saa nsɛm yi di dwuma a, wo duruyɛfo betumi ahu nea ɛde wo ti a ɛyɛ wo yaw na wo ti yɛ hare . Afei eyi betumi aboa wo ma woayɛ ayaresa nhyehyɛe a eye sen biara ama wo.

Afei, hwɛ, syncope, anaasɛ akisikuru yɛ bere tiaa mu nhumu a ɛyera na ɔhwere nipadua no so tumi esiane mogya dodow a ɛkɔ amemene no mu a ɛso tew bere tiaa bi nti. Ɛno nti na ɛtɔ da bi a nnipa hwe ase no. Mogya a ɛyera yi betumi afi mogya mmoroso a ɛkɔ fam mpofirim, koma a ɛbɔ so tew, anaa mogya dodow a ɛba nipadua no mu anaa mogya a ɛkɔ nipadua no mu no mu nsakrae. Bere a w’adwene asan aba wo so mpo no, ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra.

Sɛ́ ebia yegyina hɔ, yɛte ase, anaa yɛda fam no, ɛsɛ sɛ yɛn nipadua no ma yɛn koma bɔ ne yɛn mogya mmoroso no yɛ adwuma yiye. Nanso, aduruyɛ mu tebea horow bi betumi asiw saa adeyɛ yi kwan. Sɛ ɛba saa a, wo mogya mmoroso betumi akɔ fam mpofirim bere a wosɔre gyina hɔ no.

Mpɛn pii no, tebea afoforo a ɛka wo koma, wo ntini, anaa mogya a ɛkɔ amemene no mu na ɛde sycope ba. Enti, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu afoforo nka Tilt Table Test no ho na ama woate wo tebea no ase yiye.

Wobɛyɛ dɛn ayɛ eyi (Tilt Table Test)?

Susuw nea ɛkɔ so wɔ wo nipadua mu bere a wosɔre fi baabi a woda hɔ mpofirim no ho hwɛ. Ɛno ne nea saa ``Tilt Table Test'' yi yɛ wɔ artificially. Nanso ɛyɛ nea ahobammɔ wom kɛse . Esiane sɛ wɔde ahama akyekyere wo wɔ mpa no so nti, sɛ wo ho dwiriw wo mpo bere a wode mpa no kɔ baabi a wugyina no a, worenhwe ase.

Bere bɛn na wɔyɛ Tilt Table Test? Ɛhe? Bere tenten ahe na egye?

Oduruyɛfo betumi ayɛ saa ``Tilt Table Test'' yi sɛ wotaa nya adwenemhaw anaasɛ wo ho yeraw wo a ntease biara nnim a.

Wɔyɛ saa sɔhwɛ yi wɔ ``Tilt Lab'' anaa ``Electrophysiology Lab'' soronko bi a ɛwɔ ayaresabea anaa ayaresabea.

Nhwehwɛmu no betumi agye bɛyɛ simma 90 ansa na wɔawie, a egyina wo sɛnkyerɛnne ne sɛnea wo mogya mmoroso ne wo koma bɔ sesa bere a woreyɛ nhwehwɛmu no so. Ebia nnipa binom bɛda sɛnkyerɛnne ahorow adi fi sɔhwɛ no fã a edi kan no ara pɛ, enti enhia sɛ wɔyɛ nhwehwɛmu no bio. Edu saa bere no, oduruyɛfo no benya nsɛm a wohia nyinaa.

Ɔkwan bɛn so na wosiesie wo ho ma Tilt Table Test no?

Di wo duruyɛfo akwankyerɛ akyi yiye na hu nea ɛsɛ sɛ woyɛ da a wobɛyɛ nhwehwɛmu no. Ɛyɛ adwene pa sɛ wobɛka akyerɛ w’adamfo anaa wo busuani bi sɛ ɔmfa kar nkɔ fie wɔ sɔhwɛ no akyi.

Ɛfa aduan ne anonne ho:

• Didi sɛnea ɛsɛ anadwo a edi sɔhwɛ no anim no.
• Nni anaa nnom biribiara gye nsu a wobɛnom mprenu nnɔnhwerew anan ansa na woayɛ sɔhwɛ no.
• Nnom biribiara a caffeine wom (te sɛ kɔfe anaa tii) da a wɔbɛyɛ sɔhwɛ no.

Ɛfa nnuruyɛ ho:

• Fa nsu a wonom nom nnuru a wotaa de di dwuma no bere ano.
• Sɛ worenom nnuru a wɔde hyɛ nsu mu (nsu aduru) a, bisa wo duruyɛfo sɛ wubetumi anom bere a wɔayɛ nhwehwɛmu no awie anaa.
• Mfa nnuru a wɔde siw akisikuru ano.
• Sɛ wowɔ asikreyare anaa wonom insulin a, bisa wo duruyɛfo sɛnea wobɛfa w’aduru no da a wɔbɛyɛ nhwehwɛmu no. Fa wo glucose mita ka wo ho sɛ wote nka sɛ asikre a ɛwɔ wo mogya mu no so atew wɔ kwan so kɔ ayaresabea a.
• Nnyae nnuru nom da a wo ne oduruyɛfo nkasa.

Dɛn na ɛsɛ sɛ wohyɛ?

• Hyɛ ntade a ɛyɛ fɛ ne mpaboa. Wubetumi ahyɛ T-shirt a nsa tiaa anaa nsa nnim sen sɛ wobɛhyɛ ayaresabea atade. Sɛ wohyɛ ntade a nsa tenten anaa ɛyɛ den a, ebia wɔbɛka akyerɛ wo sɛ sesa kɔ ayaresabea atade. Ɛyɛ papa sɛ wode ntade foforo bɛba a wobɛsesa mu sɛ ebia wobɛfe anaa wobɛtow wo ho bere a woreyɛ nhwehwɛmu no a.

Dɛn na ɛsɛ sɛ wode kɔ?

• Mfa biribiara a ɛsom bo nkɔ.
• Fa eyinom ka wo ho kɔ:
• Nnuru a worenom mprempren ne dodow a wɔde di dwuma a wɔakyerɛw.
• Aduruyɛ ho kyerɛwtohɔ dedaw, sɛ ɛwɔ hɔ a.
• Wo allergy nyinaa (nnuru, nnuan, nneɛma a atwa yɛn ho ahyia) ho kyerɛwtohɔ a wɔakyerɛw.
• Wo insurance krataa no.

Dɛn na ɛba ansa na sɔhwɛ no aba?

Oduruyɛfo anaa ɔyarehwɛfo bɛkyerɛkyerɛ sɔhwɛ no mu akyerɛ wo, abua wo nsɛmmisa, na waka akyerɛ wo sɛ fa wo nsa hyɛ krataa a ɛkyerɛ sɛ wopene so ase. Ebia wubetumi nso anya kratasin yi bere a wo ne oduruyɛfo no hyia da a edi nhwehwɛmu no anim no. Obi bɛboa wo ma woasiesie wo ho ama sɔhwɛ no na woabua nsɛmmisa biara a ebia wowɔ.

Ansa na wobɛyɛ nhwehwɛmu no, sɛ wopɛ sɛ woka kyerɛ wo duruyɛfo sɛ ɔmfa wo nsa biako mfa IV (nkyene a wɔde fa ntini mu) nhyɛ mu anaasɛ ɔnhwɛ wo mogya mmoroso a, ka kyerɛ no.

Ansa na wɔbɛyɛ nhwehwɛmu no, nnuruyɛfo no bɛyɛ nea edidi so yi:

• Wɔbɛma woada ``Tilt Table'' so. Eyi yɛ mpa a wɔde mfiri ayɛ a dade mprɛte a wode wo nan bɛto so.
• Wɔde ntama a ɛyɛ mmerɛw bɛkyekyere wo nipadua no nyinaa, nanso ebehia sɛ wosoa w’ankasa wo mu duru bere a woreyɛ sɔhwɛ no.
• Wɔde IV bɛhyɛ ntini bi a ɛwɔ wo nsa anaa wo nsa mu mu. Eyi betumi agye mogya na ama wo nnuru bere a wɔreyɛ nhwehwɛmu no, sɛ ɛho hia a.
• Wɔde mogya mmoroso nsateaa bɛbata wo nsa biako ne wo nsateaa bi ho. Wɔde eyinom bata monitor ahorow a ɛde nsɛm mena wɔ sɔhwɛ no nyinaa mu no ho. Nsateaa no so nsateaa no kɔ so yɛ adwuma wɔ sɔhwɛ no nyinaa mu. Cuff a ɛwɔ abasa no so no hwɛ wo mogya mmoroso simma 4-10 biara.
• Wɔde nneɛma nketenkete a ɛyɛ nnam a wɔfrɛ no electrodes gu wo moma so. Wɔde eyinom bata electrocardiogram (EKG) monitor ho. Eyi kyerɛ wo koma anyinam ahoɔden dwumadi sɛ nkyerɛwde a ɛkɔ so wɔ krataa a ɛretu so. Eyi betumi ahwɛ wo koma bɔ ne sɛnea ɛbɔ bere a wɔreyɛ nhwehwɛmu no.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Aduruyɛ adwumayɛfo no bɛtra wo nkyɛn wɔ sɔhwɛ no nyinaa mu. Wɔbɛbɔ mmɔden sɛ wɔbɛma wo ho atɔ wo sɛnea wobetumi. Mfiri bɛkɔ so ahwɛ wo mogya mmoroso, sɛnea wo koma bɔ, ne wo koma bɔ. Wɔbɛkyerɛw nsɛm a wɔaboaboa ano no agu kɔmputa so.

Ɔfã a Edi Kan:

Wɔ ``Tilt Table Test'' mu no, wobɛda bɛyɛ simma 15.

Afei, bere a woda so ara wɔ hɔ no, oduruyɛfo bi bɛfa wo mogya mmoroso ne EKG.

Onipa a ɔhwɛ pon a wɔde mfiri wɔ so no dannan pon no sɛnea ɛte yi:

• Simma 2-3 wɔ digrii 30 mu.
• Simma 2-3 wɔ digrii 45 mu.
• Ɛkɔsi simma 45 wɔ digrii 70 mu.

Ade a ɛho hia sen biara ne sɛ wobɛma wo ti so bere nyinaa bere a woreyɛ sɔhwɛ no.

Sɛ wopɛ sɛ wunya sɔhwɛ no mu aba a edi mu a, di akwankyerɛ ahorow yi akyi:

• Tra hɔ dinn na yɛ komm sɛnea wubetumi biara wɔ sɔhwɛ no mu.
• Mma wo nan nnhinhim bere a wugyinagyina hɔ no.
• Bɔ mmɔden sɛ worenkasa gye sɛ ɛho hia koraa.
• Ka sɛnkyerɛnne biara a wubehu wɔ Tilt Table Test no mu (te sɛ adwenemhaw, ti a ɛyɛ hare, anaa yafunu a ɛyɛ wo yaw) kyerɛ wo duruyɛfo .

Ɔfã a Ɛto so Abien (sɛ ɛho hia a):

Sɛ wo mogya mmoroso ankɔ fam wɔ nhwehwɛmu no fã a edi kan no mu a, oduruyɛfo betumi ama wo aduru bi de ahwɛ sɛnea wo nipadua no yɛ n’ade wɔ ho. Saa aduru yi ma wo koma bɔ ntɛmntɛm. Wobetumi de saa aduru yi ama wo ``IV'', sɛ aduru, anaasɛ sɛ aduru a wɔde petepete w'anom.

Sɛ oduruyɛfo no de aduru no ma wo wie a, ɔbɛdan pon no akɔ digrii 60 akosi simma 15. Sɛ wo mogya so tew wɔ saa bere yi mu a, nhwehwɛmu no aba awiei. Nanso, wɔde simma 15 bewie sɔhwɛ no fã a ɛto so abien no.

Wobɛte nka dɛn wɔ sɔhwɛ no mu?

Wɔ sɔhwɛ no nyinaa mu no, oduruyɛfo no bebisa wo sɛnea wote nka. Ebia worennya yareɛ no ho sɛnkyerɛnne biara, anaasɛ wobɛtumi anya ``pre-syncope'' sɛnkyerɛnne. Eyinom ne nea abu so sen biara:

• Lightheadedness - Wote nka sɛ wo ho ayɛ hare, te sɛ nea worehuruhuruw.
• Adwene a ɛyɛ basaa.
• Sɛ wote nka sɛ woyare kɔ wo yafunu mu, te sɛ nea wobɛfe.
• Sɛ obi bɔ ne koma a, ɔte nka sɛ koma no rebɔ na ne koko rebɔ.

Ebia w’ani ayɛ kusuu anaasɛ wo ti ayɛ wo yaw.

Ɛnyɛ sɔhwɛ yi atirimpɔw ne sɛ ɛbɛma woayɛ basaa. Nanso, egyina sɛnea woyɛ w’ade wɔ sɔhwɛ no ho so no, ebetumi ama woayɛ basaa.

Nea ɛho hia yiye: Ka nea wote nka wɔ nhwehwɛmu no nyinaa mu kyerɛ wo duruyɛfo . Ebia wɔbɛka akyerɛ wo sɛ fa nsenia a efi 1 kosi 10 (10 ne nea enye koraa) to wo sɛnkyerɛnne ahorow no so. Wo sɛnkyerɛnne ahorow, ne nsɛm a woaboaboa ano afi sɔhwɛ no mu no bɛboa wo duruyɛfo ma wahu nea ɛde wo sɛnkyerɛnne ahorow no ba.

Sɛ wote nka sɛ wuntumi nkɔ so nyɛ nhwehwɛmu no esiane wo sɛnkyerɛnne ahorow nti a, ka kyerɛ wo duruyɛfo . Wobetumi agyae sɔhwɛ no sɛ wɔpɛ a. Nanso, sɛ wosusuw sɛ asiane biara nni ho sɛ wobɛtoa sɔhwɛ no so a, wɔbɛhyɛ wo nkuran sɛ twɛn kosi sɛ wobewie sɔhwɛ no, efisɛ ɛno na wubenya nea edi mũ sen biara.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ Tilt Table Test wie a, oduruyɛfo no bɛsan asi pon no ase akɔ baabi a ɛyɛ tratraa. Wobɛda pon no so bɛyɛ simma 5-10. Saa bere yi mu no, oduruyɛfo no bɛhwɛ sɛ wo ho ye anaa na wasan asusuw wo mogya mmoroso, wo koma bɔ, ne sɛnea wobɔ no.

Ɛntaa mma koraa sɛ yareɛ no ho sɛnkyerɛnne a emu yɛ den bɛkɔ so wɔ sɔhwɛ no akyi, nanso sɛ ɛba saa a, ebia ɛho behia sɛ wɔde wo kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So ma wɔhwehwɛ mu.

Sɛ eyi ne wo sɔhwɛ a etwa to wɔ da no mu a, oduruyɛfo no beyi wo `(IV)` no afi hɔ. Sɛ wowɔ sɔhwɛ afoforo a ɛhwehwɛ sɛ wonya `(IV)` saa da no a, wobegyaw `(IV)` no sɛnea ɛte no. Onipa a ɔreyɛ sɔhwɛ foforo no beyi `(IV)` no afi hɔ wɔ wo sɔhwɛ a etwa to no akyi.

Nnipa dodow no ara tumi kɔ fie wɔ sɔhwɛ no akyi. Nanso ɛsɛ sɛ wunya ɔpanyin bi a ɔwɔ asɛyɛde a ɔde wo kɔ fie. Worentumi nka kar saa da no.

Sɛ wunni sɔhwɛ foforo biara a ɛhwehwɛ sɛ wudi mmuada a, wubetumi adidi sɛnea ɛsɛ wɔ sɔhwɛ no akyi.

Sɛ sɛnkyerɛnne foforo biara ba wɔ nhwehwɛmu no akyi, anaasɛ sɛ sɛnkyerɛnne a ɛwɔ hɔ dedaw no kɔ so a, ka kyerɛ wo duruyɛfo .

So asiane bi wɔ eyi mu (Tilt Table Test)? So asiane biara nni ho?

Ɛntaa mma sɛ wɔde nkurɔfoɔ da wɔ ``Tilt Table Test'' no mu. Nanso, esiane sɛ nnuruyɛfo no ka wo ho nti, wɔbɛma pon no asi fam ntɛm na ama woasan akɔ wo tebea a na wote daa no mu. Ebia wobɛte nka sɛ woabrɛ na/anaasɛ wo yafunu mu ayɛ wo yaw. Nnipa binom ntumi nni wɔn nsu so bere a wɔreyɛ nhwehwɛmu no.

Mpɛn pii no, sɔhwɛ yi yɛ nea asiane biara nni ho . Nanso, sɛnea ɛte wɔ sɔhwɛ ahorow nyinaa ho no, asiane ahorow bi wɔ hɔ. Ɛntaa mma koraa sɛ nnipa a wɔn koma mu ntini anaa carotid ntini a ɛyɛ teateaa no betumi anya komayare anaasɛ akisikuru.

Wo duruyɛfo no ne wo bɛbɔ asiane ne mfaso a ɛwɔ tilt table sɔhwɛ no mu ho nkɔmmɔ ansa na wapene nhwehwɛmu no so. Sɛ ɛho hia a, ebia wo duruyɛfo no bɛyɛ nsakrae bi wɔ nhwehwɛmu no mu na ama asiane a ɛwɔ hɔ no so atew.

Sɛ sɔhwɛ no yɛ (Positive) / (Negative) a, ɛkyerɛ dɛn?

• Tilt table nhwehwɛmu a ɛkyerɛ sɛ ebia wowɔ aduruyɛ mu tebea bi a ɛma nsakrae a ɛnteɛ ba wo mogya mmoroso, wo koma bɔ, anaa wo koma a ɛbɔ mu.
• Tilt table nhwehwɛmu a ɛnyɛ papa kyerɛ sɛ woankyerɛ sɛnkyerɛnne biara a ɛkyerɛ sɛ wowɔ aduruyɛ tebea bi a ɛde nsakrae a ɛnteɛ ba wo mogya mmoroso, wo koma bɔ, anaa wo koma a ɛbɔ mu.

Tebea bɛn na ebetumi ama wɔayɛ nhwehwɛmu (a ɛyɛ papa)?

Tebea ahorow a ebetumi ama `(Positive) (Tilt Table Test)` aba no bi ne:

• Koma a ɛbɔ brɛoo wɔ ɔkwan a ɛnteɛ so (Bradycardia).
• Koma a ɛbɔ ntɛmntɛm a ɛnyɛ ne kwan so (Tachycardia).
• Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia).
• Mogya mmoroso a ɛba fam (Hypotension).
• Postural Orthostatic Tachycardia Syndrome (POTS) a ɛma obi tumi gyina hɔ ma.

Bere bɛn na mɛhu nea efi sɔhwɛ no mu aba?

Oduruyɛfo betumi ahwɛ nea afi mu aba no mu na ɔne wo asusuw ho wɔ tebea horow a edidi so yi mu:

• Sɛ wowɔ nsakrae kɛse wɔ wo mogya mmoroso, wo koma bɔ, anaa wo koma bɔ mu a.
• Sɛ wokɔ ɔhaw mu a.
• Sɛ wo sɛnkyerɛnne no kɔ so wɔ sɔhwɛ no akyi a.

Sɛ oduruyɛfo a ɔwɔ lab no ankasa ankyerɛ wo nea efii mu bae wɔ nhwehwɛmu no akyi a, frɛ oduruyɛfo a ɔde wo kɔɔ nhwehwɛmu yi mu no na bisa nea efii mu bae no ho asɛm. Mpɛn pii no, wobehu nea ebefi mu aba no wɔ nna kakraa bi mu, sɛ ɛnyɛ ntɛm ara a.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?

Ɛdenam nea efii Tilt Table Test no mu bae so no, ebia ebehia sɛ woyɛ nhwehwɛmu foforo na ama woahu nea ɛde wo syncope no ba ankasa. Ebia sɔhwɛ ahorow yi bi ne:

• Hemodynamic nhwehwɛmu, a wɔde echocardiogram yɛ, de hwɛ sɛnea mogya kyekyɛ wɔ wo nipadua nyinaa mu, nhyɛso a ɛwɔ wo mogya ntini mu, ne sɛnea wo koma rebɔ mogya yiye wɔ wo nipadua nyinaa mu.
• Autonomic reflex sɔhwɛ sɔ wo autonomic nervous system hwɛ - nhyehyɛe a ɛhwɛ nneyɛe a yennni so, te sɛ ɔhome, koma bɔ, ne aduan a wɔyam.
• `(Vestibular function test)` (sɔhwɛ a ɛfa kari pɛ ho).
• Koma a ɛbɔ a wɔhwɛ so.
• Echocardiogram (koma no mu sɔhwɛ a wɔde nnyigyei a ano yɛ den yɛ).

Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?

Oduruyɛfo a ɔde wo kɔɔ sɔhwɛ yi mu no bɛkyerɛkyerɛ nhwehwɛmu no mu aba mu akyerɛ wo na ɔne wo akasa afa w’ayaresa nhyehyɛe no ho.

Ɛho hia paa sɛ wubisa wo duruyɛfo no nnuru a wode di dwuma no ho asɛm. Ebia ɛho behia sɛ woyɛ nsakrae wɔ nnuru ahorow anaa dodow a wonom no mu. Di ayaresa nhyehyɛe foforo a wo duruyɛfo akyerɛw ama wo no akyi pɛpɛɛpɛ.

Ehu betumi ama woasuro sɛ wo nkutoo bɛtra hɔ anaasɛ wobɛkɔ abɔnten. Nnuruyɛfo de saa ``Tilt Table Test'' yi adi dwuma mfe du du pii de aboa nkurɔfo ma wɔahu nea ɛde wɔn ehu ba. Sɛ wohu nea ɛde ba wie a, wobetumi ayɛ ayaresa nhyehyɛe bi a ɛbɛboa wo.

Ade a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Ebetumi ahaw adwene na ayɛ hu ankasa sɛ wobɛtaa akɔtotɔ piti. Nanso kae sɛ wobetumi ahu nea ɛde eyi ba na wɔasa. ``Tilt Table Test`` yɛ anammɔn a ɛho hia a ɛbɛboa wɔ eyi mu.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so. Hwɛ oduruyɛfo na ka wɔn ho asɛm. Afei wubetumi anya mmoa a wuhia. Sɛ wowɔ nsɛmmisa foforo bi fa sɔhwɛ yi ho a, nsuro sɛ wubebisa wo duruyɛfo. W’akwahosan a wobɛhwɛ so yiye ne ade a ɛho hia sen biara!

` Totɔ, adwene a ɛyera, tilt table test, koma a ɛbɔ, mogya mmoroso, diagnosis, syncope