So wotaa te nka sɛ w’adwene tu fra? Momma yɛnka Hemodynamic Test no ho asɛm!

So ɛtɔ mmere bi a mpofirim ara wo ho yɛ wo yaw, w’ani dan bruu, na nneɛma a atwa wo ho ahyia no te sɛ nea ɛrehuruhuruw? Anaasɛ wote nka sɛ wo ho yeraw wo kɛse, te sɛ nea wo moma so rebɔ na worehyia ɔhaw wɔ ahome mu? Sɛ saa nneɛma yi taa si a, ɛho hia yiye sɛ wuhu nea ɛde ba. Wɔ tebea a ɛte saa mu no, wɔfrɛ nhwehwɛmu titiriw bi a ebia wo duruyɛfo bɛkyerɛ wo sɛ ``Hemodynamic Test''. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri, tiawa koraa.

Dɛn ne ‘Hemodynamic Test’ yi?

Sɛ yɛbɛka no tiawa a, saa `(Hemodynamic Test)` yi yɛ ɔkwan a wɔfa so hwɛ mogya a ɛkɔ wo nipadua mu, kyerɛ sɛ, sɛnea mogya no di akɔneaba, ne sɛnea wo koma reyɛ adwuma yiye. Ɛtɔ da bi a wɔsan frɛ no `(hemodynamic tilt test)` anaa `(technetium hemodynamic test)`. Eyi te saa efisɛ sɔhwɛ yi de radioactive isotope a wɔfrɛ no `(technetium)` di dwuma (yɛbɛka eyi ho asɛm akyiri yi). Eyi yɛ sɔhwɛ a wɔde mfiridwuma bi a wɔfrɛ no `(nuclear imaging)` di dwuma ankasa. Nsuro, ɛwom sɛ eyi din yɛ nyansahu mu de kakra de, nanso sɛ wuhu sɔhwɛ no ho ade pɛ a, wubehu sɛ eyi nyɛ hu saa.

Dɛn nti na wɔreyɛ sɔhwɛ yi? Dɛn na ɛrehwehwɛ?

Fa no sɛ, wotɔ piti mpofirim na wohwe ase (wɔsan frɛ no ``syncope'') bere mpo a wugyina hɔ ara kwa no. Anaasɛ oduruyɛfo no susuw sɛ biribi asɛe wɔ ɔkwan a wo mogya fa so, kyerɛ sɛ, wo mogya no mu. Ɛno ne bere a wɔyɛ sɔhwɛ yi.

Nsɛm a efi sɔhwɛ yi mu no betumi aboa wo duruyɛfo ma wahu nea enti a wote nka sɛ woatɔ piti ankasa, anaa ɔhaw a ɛwɔ wo mogya a ɛkɔ wo mogya mu no ho. Ɛno ansa na wobetumi ahu ayaresa a eye sen biara ama wo.

Nneɛma pii nti na obi betumi atɔ piti:

• Mogya dodow a ɛkɔ w’amemene mu no so tew kakra mpofirim.
• Wo mogya mmoroso anaa wo koma a ɛbɔ so tew mpofirim.
• Nsakrae a ɛba mogya dodow a ɛwɔ nipadua no mu (`mogya dodow`) anaa ɔkwan a wɔfa so kyekyɛ mogya no mu.

Mpɛn pii no, nnipa a wɔtotɔ piti saa no betumi anya ayaresa tebea bi wɔ wɔn koma, wɔn ntini, anaa nhyehyɛe a ɛde mogya kɔ amemene no mu no mu. Enti saa ``(Hemodynamic Test)`` yi boa ma wohu nneɛma a ɛtete saa.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wuhu na wudi akyi ansa na woayɛ sɔhwɛ yi. Sɛ wudi wɔn akyi pɛpɛɛpɛ nkutoo na wubetumi atwa sɔhwɛ no mu yiye.

• Nyinsɛn ne nufu a wɔde ma: Sɛ wonyinsɛn anaa worema nufu a, wontumi nyɛ nhwehwɛmu yi. Enti, ebia ebehia sɛ woyɛ nyinsɛn mu nhwehwɛmu na ama woakɔ ɔfã a ahobammɔ wom no.
• Aduan ne Nsã: Worentumi nni anaa wonom biribiara nnɔnhwerew anan ansa na wɔayɛ sɔhwɛ no. Worentumi nwe gum anaa toffee. Nanso, sɛ wowɔ aduru biara a, wubetumi anom de nsu abien anom. Bisa wo duruyɛfo no eyi ho asɛm na hwɛ hu.
• Caffeine: Nnom biribiara a caffeine wom da a wobɛyɛ nhwehwɛmu no. Ɛnyɛ tii ne kɔfe nko, na mmom anonne a ɛyɛ dɛ ne chocolate bi nso wɔ caffeine. Nneɛma a wɔakyerɛw so sɛ "caffeine-free" anaasɛ "decaffeinated" mpo betumi ayɛ nea ɛtɔ mmere bi a caffeine kakraa bi na ɛwom, enti kwati saa nso.
• Wɔn a wɔwɔ asikreyare no: Sɛ wowɔ asikreyare a, bisa sɛ wɔnyɛ wo nhwehwɛmu no ho nhyehyɛe bɛyɛ 12:30 p.m. Saa kwan no so no, wubetumi adi anɔpaduan a emu nyɛ duru ansa na 8:30 a.m. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi nso ho.
• Nnuru bi: Nnom nnuru a ɛma obi ho yɛ hyew (nsu aduru) anaa nnuru a ɛma obi ho yɛ hyew ( nnuru a ɛma obi ho yɛ hyew ) ansa na woayɛ nhwehwɛmu. Ɛyɛ papa sɛ worensɔre bere a wɔreyɛ sɔhwɛ no.
• Nnuru afoforo: Wubetumi anom nnuru foforo biara a wotaa nom sɛnea wotaa nom no. Nanso, bisa wo duruyɛfo anaa nnuruyɛfo sɛ ebia nnuru biara a worenom no wɔ caffeine ne sɛ ebia asiane biara nni ho sɛ wobɛnom da a wobɛyɛ nhwehwɛmu no anaa. Mfi ase anaasɛ nnyae nnuru biara a wunnyaa wo duruyɛfo afotu.

Dɛn na wobɛhwɛ kwan wɔ sɔhwɛ da no?

Ɛsɛ sɛ wo nso wohwɛ saa nneɛma yi so da a wɔbɛyɛ sɔhwɛ no.

• Ntade: Hyɛ ntade a ɛyɛ fɛ na emu yɛ hare ne mpaboa. Wɔ sɔhwɛ no mu no, wɔbɛhwehwɛ sɛ wohyɛ ayaresabea atade a wontumi nkata so fi w’asen so kɔ soro.
• Agude ne nneɛma a ɛsom bo: Kwati sɛ wobɛhyɛ agude te sɛ asomuade, kɔnmuade, nkaa (a ayeforohyia nkaa ka ho). Mfa nneɛma a ɛsom bo nkɔ.
• Nneɛma a ɛsɛ sɛ wode ba: Hwɛ hu sɛ wode eyinom bɛba:
• Wo nnansa yi aduruyɛ ho abakɔsɛm ne nipadua mu nhwehwɛmu amanneɛbɔ.
• Aduruyɛ ho kyerɛwtohɔ afoforo a ɛfa w’akwahosan ho.
• Nnuru ne nnuru a wɔde ka aduan ho a wonom nyinaa ho kyerɛwtohɔ (a dodow a wonom ka ho).
• Wo allergy nyinaa ho nsɛm a wɔahyehyɛ.

Bere tenten ahe na sɔhwɛ yi gye? So w’adwene mu da hɔ?

Saa sɔhwɛ yi gye bɛyɛ nnɔnhwerew abiɛsa ansa na wɔawie, enti hwɛ kwan sɛ wode bɛyɛ nnɔnhwerew abiɛsa bɛtra ayaresabea.

Yiw, wobɛma w’adwene mu da hɔ wɔ sɔhwɛ no nyinaa mu. Aduruyɛ adwumayɛfo no bɛma wo ho atɔ wo sɛnea wubetumi. Nanso ɛho hia paa sɛ wobɛkɔ so ayɛ dinn na woayɛ komm sɛnea wubetumi biara. Saa na wobetumi anya mfonini ahorow a eye sen biara na emu da hɔ sen biara.

Dɛn na wɔde yɛ sɔhwɛ no?

Nnuruyɛfo de nnwinnade ne akwan horow pii di dwuma bere a wɔreyɛ nhwehwɛmu yi no. Momma yɛnhwɛ nea wɔyɛ.

• EKG (ECG) a Wɔhwɛ So:Wɔde nsensanee nketenkete a ɛyɛ nnam (electrodes) pii gu wo moma so. Wɔde nsɛm a efi eyinom mu no kɔ afiri bi a wɔfrɛ no electrocardiograph (EKG/ECG) mu. Saa afiri yi kyerɛw wo koma anyinam ahoɔden dwumadi sɛ graph wɔ krataa a ɛretu so. Ebetumi ahwɛ wo koma bɔ ne sɛnea ɛbɔ bere a wɔreyɛ nhwehwɛmu no.
• Mogya Nhyɛso a Wɔhwɛ So: Wɔde mogya mmoroso a wɔde hyɛ wo nsa so na wɔsusuw wo mogya mmoroso wɔ mmere ahorow mu bere a wɔreyɛ nhwehwɛmu no.
• Hemodynamic Echo: Ansa na wobefi nhwehwɛmu no ase (bere a woagye w’ahome bɛyɛ simma 20 akyi) no, wɔbɛyɛ wo echocardiogram. Saa sɔhwɛ yi gye bɛyɛ simma 20. Etwa wo koma ho mfonini a ɛkɔ akyiri. Ɛsan nso susuw mogya dodow a wo koma bɔ bere koro mu (cardiac output). Afei, bere a wɔreyɛ sɔhwɛ no, wɔsan susuw wo koma mu ahoɔden na wɔde toto akenkan a edi kan no ho.
• Nuklea Aduruyɛ Mfoniniyɛ: Oduruyɛfo no de mfoninitwa afiri soronko bi a wɔfrɛ no gamma mfoninitwa mfonini twa mfonini bere a wɔreyɛ sɔhwɛ no. Saa mfoninitwa afiri yi hu gamma mframa a radioactive isotope (anaasɛ tracer) de ba. Mfonini ahorow a mfoninitwa afiri yi twa no ma oduruyɛfo no nya nsɛm a ɛho hia pii a ɛfa sɛnea wo koma reyɛ adwuma yiye ne sɛnea wo mogya no tu ho. Ebetumi nso akyerɛ wo mogya dodow a wo koma retu ne sɛnea wo mogya no tu ntɛmntɛm.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Okay, afei momma yɛnhwɛ nea ɛba ankasa wɔ sɔhwɛ no mu.

• Wɔbɛma woada sɔhwɛ pon so.
• Akwahosan ho ɔyaresafo no, sɛ́ ɛyɛ oduruyɛfo anaa ɔyarehwɛfo no, bɛkyerɛkyerɛ sɔhwɛ no mu akyerɛ wo pefee. Nsuro sɛ wubebisa nsɛm biara a wowɔ saa bere no.
• Wɔbɛma wo IV (cannula a ɛte sɛ saline drip). Eyi ne baabi a wɔde radioactive isotope (anaasɛ tracer) a yɛadi kan aka ho asɛm no ma wo nipadua no. Wɔde saa tracer yi fa wo IV mu ansa na wɔatwa mfonini ahorow biara. Ɛtɔ mmere bi a wobetumi de nnuru afoforo nso ama denam saa IV yi so bere a wɔreyɛ nhwehwɛmu no.
• Oduruyɛfo no de gamma mfoninitwa afiri no bɛto wo moma so. Ɛho hia sɛ wobɛtra hɔ dinn bere a mfoninitwa afiri no retwa mfonini ahorow no. Ebia mfoninitwa afiri no nso bɛkyinkyin wo ho.

Sɛ woyɛ sɔhwɛ no a, wote nka dɛn?

Ebia worenhu sɛnkyerɛnne titiriw biara wɔ sɔhwɛ no mu. Nanso, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ti so yɛ hare kakra, wo ho yɛ wo yaw, anaasɛ wo koma bɔ. Mma ɛnhaw wo wɔ saa asɛm no ho.

Sɛ wɔde radioactive aduru no hyɛ wo IV mu a, ebia wobɛte nka sɛ awɔw bi retu mmirika akɔ wo nsa so. Ebia wobɛte dade dɛ nso wɔ w’anom na hua a ɛyɛ nwonwa wɔ wo hwene mu. Nanso saa nkate ahorow yi ntra hɔ nkyɛ na ebefi hɔ bere tiaa bi akyi.

Ɛho hia paa sɛ wobɛka biribiara a wote nka wɔ sɔhwɛ no mu kyerɛ oduruyɛfo anaa ɔyarehwɛfo no, ɛmfa ho sɛnea ɛyɛ ketewaa no. Wobetumi ayɛ nsakrae ma ayɛ mmerɛw ama wo sɛ wobɛtra mfonini abien no ntam. Oduruyɛfo no de wo yare no ho sɛnkyerɛnne ne nsɛm a efi nhwehwɛmu no mu bedi dwuma de ahu nea ɛde wo tebea no ba ankasa.

Ɔkwan bɛn so na eyi yɛ adwuma?

Mframa a tracer a ɛnam wo IV so ma no de ba no, wɔde gamma mfoninitwa afiri hu. Afei kɔmputa de saa nsɛm yi yɛ mfonini ahorow a ɛtoatoa so. Ebia wɔbɛma wo mfonini ahorow abiɛsa (abien bere a woada fam ne biako bere a wote ase).

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woma ɛtra w’adwenem bere a sɔhwɛ no aba awiei mpo.

• Sɛ wunya sɛnkyerɛnne biara wɔ sɔhwɛ no mu a, ɛho behia sɛ wotra ayaresabea kosi sɛ saa sɛnkyerɛnne ahorow no befi hɔ koraa.
• `(tracer)` a wɔde dii dwuma wɔ sɔhwɛ no mu no bi bɛyi afiri wo nipadua mu wɔ wo nsuo mu. Nea aka no bɛbubu wɔ awosu mu wɔ wo nipadua mu. Sɛ wubetumi a, nom nsu kakra. Ɛno bɛboa ma woahohoro `(tracer)` no afi wo nipadua mu ntɛmntɛm.
• Sɔhwɛ no akyi no, wɔbɛma wo krataa a wode bɛkɔ bere a woatu kwan dapɛn biako no. (Wɔ US no, eyi yɛ ``US Department of Homeland Security card.'') Esiane sɛ isotope a wɔde dii dwuma wɔ sɔhwɛ no mu no yɛ ``(isotope)'' nti, wubetumi ahyɛ ``(alarm)'' bere a worefa ``(security)'' nhwehwɛmu mu wɔ mmeae te sɛ wimhyɛn gyinabea ahorow.
• Nnipa dodow no ara tumi kɔ fie ntɛm ara wɔ sɔhwɛ no akyi. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den a, ɛbɛyɛ papa sɛ wubenya obi a ɔde kar bɛka wo akɔ fie. Enti nyansa wom sɛ wo ne obi bɛka wo ho bere a worekɔ no.

Asiane ne nsunsuanso bɔne bɛn na ɛwɔ eyi mu?

Te sɛ aduruyɛ mu nhwehwɛmu biara no, nsɛm nketenkete betumi aba eyi nso ho.

• Ebia wubenya akuru bi, ayɛ kɔkɔɔ, anaasɛ wo ho ahonhon wɔ baabi a wɔde IV no hyɛɛ mu no. Eyi yɛ ade a ɛfata na ebefi hɔ wɔ nna kakraa bi akyi. Ebia wobɛte ɛyaw anaa ahotɔ bi nso nka bere a wɔde IV no ahyɛ mu no.
• Saa isotope a ɛyɛ radioactive no nyɛ ade a wɔde yɛ ade, enti ɛmma nneɛma bɔne a ɛma obi ho yɛ no hyew mma.
• Mframa dodow a wɔde di dwuma wɔ sɔhwɛ no mu no sua koraa. Ɛbɛyɛ sɛ mframa dodow a wo nipadua nya bere a woyɛ wo koko X-ray no. Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

Nea afi mu aba no te dɛn? Dɛn na wɔka kyerɛ yɛn?

Amanneɛbɔ a wo duruyɛfoɔ nsa bɛka no bɛkyerɛ sɛ ebia nea ɛfiri mu baeɛ no yɛ ``nea ɛteɛ`` anaa ``ɛnyɛ nea ɛnteɛ``.

Afei nso, sɔhwɛ yi betumi akyerɛ nneɛma te sɛ:

• So wowɔ koma a ɛbɔ a ɛnyɛ ne kwan so?
• So nsakrae bi wɔ mogya mmoroso mu?
• So ɔhaw bi wɔ koma no ho, te sɛ ahrawa mu yare, baabi a ɛwɔ, sɛnea emu yɛ den, ne mogya ntini bɛn na ɛka?
• So mogya a wɔde ma no so tew (ischemia)?
• Sɛ ebia ntini a awu (infarction) aba esiane mogya ne oxygen a wonnya nti.

Wobetumi ahu nsɛm a ɛho hia pii te sɛ eyi wɔ sɔhwɛ yi mu.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Mpɛn pii no egye nnafua 10 kosi 14 (ɛno yɛ bɛyɛ adapɛn abien) ansa na oduruyɛfo no anya nhwehwɛmu yi mu aba.

Afei oduruyɛfo no de nea ebefi mu aba no bɛyɛ ɔhwɛ nhyehyɛe a ɛfata wo. Ebia ɛho behia sɛ wufi ase fa nnuru foforo anaasɛ wosakra nnuru a worenom mprempren no. Wobetumi de wo akɔ animdefo afoforo nso nkyɛn.

Oduruyɛfo no betumi agyina nea efii saa ``Hemodynamic Test'' yi mu aba no so asi gyinae sɛ ɛho hia sɛ wɔyɛ nhwehwɛmu foforo.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Enti, wubetumi ahu sɛ saa ``Hemodynamic Test'' yi yɛ sɔhwɛ a ɛho hia yiye a ebetumi aboa wo ma woahu nea ɛde nneɛma te sɛ nea ɛtaa totɔ piti ne ahome a ɛyɛ den ba.

Kae sɛ ɛyaw biako pɛ a wobɛte wɔ sɔhwɛ yi mu ne sɛ wobɛte nka kakra bere a wode IV no ahyɛ mu no. Biribiara a aka no yɛ mmerɛw ma wo sɛ wubedi ho dwuma.

Nea ebefi sɔhwɛ yi mu aba no bɛboa wo duruyɛfo ma wasi ayaresa a eye ma wo ho gyinae. Sɛ wowɔ nsɛmmisa foforo bi fa sɔhwɛ yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Kɔ so nya apɔwmuden!

`Hemodynamic nhwehwɛmu, mogya a ɛkɔ nipadua no mu, koma no dwumadi, adwenemhaw, adwenemhaw, nuklea aduruyɛ, komayare, EKG, echocardiogram