So ɔhaw bi wɔ wo koma a ɛbɔ no mu? Afei kɔ Electrophysiologist bi nkyɛn!

So ɛtɔ mmere bi a wote nka sɛ wo koma rebɔ wɔ ɔkwan soronko so anaa ɔkwan foforo so? Nsakrae a ɛba koma no anyinam ahoɔden nhyehyɛe mu no betumi de saa nneɛma yi aba. Ɛno ne bere a ɛsɛ sɛ yɛkɔ electrophysiologist , oduruyɛfo a ne ho akokwaw wɔ koma no anyinam ahoɔden dwumadi mu. So yɛbɛka eyi ho asɛm akɔ akyiri?

Enti hena ne eyi (Electrophysiologist)? Dɛn na ɔyɛ?

Sɛ yɛbɛka no tiawa a, ``Electrophysiologist`` yɛ komayare ho ɔbenfo a ɔwɔ ntease a emu dɔ wɔ ``electrical system`` a ɛwɔ wo koma mu no ho. Wunim, yɛn koma bɔ na ɛbɔ mogya wɔ nipadua no nyinaa mu esiane anyinam ahoɔden nhyehyɛe yi nti. Ɛte sɛ ``current`` a ɛwɔ ofie bi mu. Koma no yɛ adwuma yiye bere a saa anyinam ahoɔden nsɛnkyerɛnne ``anyinam nsɛnkyerɛnne`` yi fa koma no mu wɔ ɔkwan a ɛfata, nhyehyɛe so nkutoo.

Nanso, ɛtɔ mmere bi a, sɛ ɔhaw bi wɔ anyinam ahoɔden nsɛnkyerɛnne yi mu, te sɛ koma a ɛbɔ a ɛnteɛ (arrhythmia) , a, ebia ebehia sɛ wokɔ anyinam ahoɔden ho ɔbenfo nkyɛn. Afei obetumi ahu nea ɛrekɔ so wɔ wo koma mu no pɛpɛɛpɛ na wasa. Wɔfrɛ animdefo a wɔsa mmofra nkumaa, te sɛ nkokoaa ne mmofra nkumaa, koma a ɛbɔ ho haw ho dwuma no sɛ mmofra anyinam ahoɔden ho animdefo.

Enti, nea saa `(Electrophysiologist)` oduruyɛfo yi yɛ titiriw ne sɛ ɔbɛhwehwɛ ɔhaw ahorow a ɛwɔ wo koma mu `(conduction system)` no mu na wasa. Ɛne sɛ, ɔhwehwɛ nea enti a wo koma bɔ wɔ ɔkwan a ɛnteɛ so, nea enti a anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ wo koma mu no ntu kwan mfa ɔkwan a ɛfata so. `(Arrhythmia)` ahorow bi wɔ hɔ, a ɛnyɛ asiane kɛse, ɛyɛ ahometew ketewaa bi kɛkɛ. Nanso emu bi betumi de wɔn nkwa ato asiane mu . `(Cardiac Electrophysiologist)` betumi ahunu nsonsonoeɛ a ɛda saa mmienu yi ntam.

Wobehu nea ɛde wo anyinam ahoɔden haw no reba ne baabi a efi ase. Sɛ wohu nea ɛde ba ankasa wie a, wobetumi asa. Sɛ nhwɛso no, sɛ wɔde ayaresa te sɛ `(Catheter Ablation)` di dwuma a, ayaresa no di yiye bɛboro 90% . Esiane eyi nti, `(Electrophysiologist)` nnuruyɛfo atumi ama nnipa pii a wɔsa wɔn yare no asetra atu mpɔn.

Nsonsonoe bɛn na ɛda komayare ho ɔbenfo ne anyinam ahoɔden ho ɔbenfo ntam?

Eyi nso yɛ ɔhaw a nnipa pii wɔ. ``Electrophysiologist`` yɛ komayare ho ɔbenfo a wɔatete no titiriw . Koma ho ɔyaresafo a ɔhwɛ koma so nyinaa sa nyarewa ahorow a ɛba koma no mu. Nanso ``Electrophysiologist`` ho akokwaw titiriw wɔ koma no anyinam ahoɔden nhyehyɛe a ɛhwɛ wo koma no nnyigyei so no mu.Eyi kyerɛ sɛ wakɔ akyiri kakra wɔ ɛlɛtrɔnik fã yi mu na wanya nimdeɛ.

Nyarewa bɛn na electrophysiologist sa?

Electrophysiologist sa komayare ahorow bi a ɛfa koma no nnyigyei ho. Tebea horow yi mu pii bi ne koma a ɛbɔ a ɛnteɛ anaasɛ koma a ɛbɔ ntɛmntɛm . Tebea horow bi betumi ayɛ nea asiane wom sen afoforo. Koma mu nnyigyei tebea horow no bi ni:

• Atrial Fibrillation : Wɔ tebea yi mu no, ɛte sɛ nea koma no atifi (atria) no wosow mmom sen sɛ ɛbɛbɔ yiye.
• Atrial Flutter : Eyi nso yɛ atiridiinini a ɛbɔ ntɛmntɛm a ɛnkɔ so daa.
• Atrial Tachycardia : Koma a ɛbɔ ntɛmntɛm a efi ase wɔ atria no mu.
• Heart Block : Koma no bɔ ntɛmntɛm yiye efisɛ anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ koma no mu no ntu kwan yiye.
• Wolff-Parkinson-White Syndrome : Eyi yɛ tebea a ɛma koma no wɔ anyinam ahoɔden kwan foforo, a ebetumi ama koma no abɔ ntɛmntɛm.
• Ventricular fibrillation : Eyi yɛ tebea a ɛyɛ hu yiye. Koma no mu adan (nkwaboaa) a ɛwɔ fam no wosow a ɛnbɔ yiye. Ɛho hia sɛ wɔyɛ ayaresa ntɛm ara.
• Ventricular Tachycardia : Koma a ɛbɔ ntɛmntɛm a efi ase wɔ ventricles no mu. Eyi nso betumi ayɛ nea asiane wom.
• Supraventricular Tachycardia (SVT) : Koma a ɛbɔ ntɛmntɛm kuw a efi ase wɔ ventricles no atifi.
• Premature Atrial Contractions (PACs) : Ɔbɔ foforo a ɛba ntɛm a efi atria no mu.
• Premature Ventricular Contractions (PVCs) : Ɔhwe a ɛboro so, a ɛba ntɛm fi ventricles no mu.
• Sick Sinus Syndrome : Koma no abɔde mu afiri a ɛma koma no yɛ mmerɛw no dwumadi a ɛyɛ mmerɛw.
• Long QT Syndrome : Apɔw-mu-teɛteɛ a ɛyɛ hu betumi aba efisɛ koma no anyinam ahoɔden nhyehyɛe no gye bere tenten dodo ansa na asan ayɛ sɛnea na ɛte kan no.

Dɛn nti na wɔde me rekɔ Electrophysiologist nkyɛn?

Sɛ wo duruyɛfo susuw sɛ ɔhaw bi wɔ wo koma mu anyinam ahoɔden nhyehyɛe mu a, ebia ɔde wo bɛkɔ anyinam ahoɔden ho ɔbenfo nkyɛn. Sɛ nhwɛso no, sɛ wo koma bɔ ntɛmntɛm sen sɛnea ɛte daa, anaasɛ ɛbɔ ntɛmntɛm paa, anaasɛ ɛbɔ ntɛmntɛm a.Ebia worekɔhwɛ ``Cardiac Electrophysiologist''. Susuw ho hwɛ, ɛtɔ da bi a wote nka kɛkɛ sɛ wo moma so rebɔ, anaasɛ wo ho reyɛ wo yaw, anaasɛ wote nka sɛ wo ho reyera. Saa nneɛma yi nso betumi afi ɔhaw bi a ɛwɔ wo koma a ɛbɔ mu no mu aba.

Nhwehwɛmu bɛn na electrophysiologist yɛ?

Electrophysiologist betumi ayɛ nhwehwɛmu ahorow de aboa ma wɔahu nea ɛde wo haw no ba. Sɔhwɛ ahorow yi bi ne nnyigyei a wɔkyere gu kasɛt so, na afoforo nso ka koma ho mfonini. Saa sɔhwɛ ahorow yi mu dodow no ara nyɛ nea wɔde hyɛ nipadua mu . Ebia ebinom behia sɛ wɔde kankyee ketewaa bi (IV) bɛhyɛ ntini bi a ɛwɔ wo nsa mu mu. Sɔhwɛ ahorow yi bi ne:

• Electrophysiology Study (EPS) : Eyi hwehwɛ sɛ wɔde nhama a ɛyɛ tratraa (catheters) kɔ koma no mu de hwehwɛ koma no mu anyinam ahoɔden dwumadi mu yiye.
• Tilt Table Test : Wɔyɛ eyi de hwɛ sɛ ebia wote nka sɛ woatɔ piti bere a wosɔre no.
• Electrocardiogram (ECG/EKG) : Sɔhwɛ a ɛnyɛ den a ɛkyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
• Holter Monitor : Mfiri ketewaa bi a ebetumi akɔ so akyerɛw wo koma bɔ nnɔnhwerew 24 anaa 48.
• Event Monitor : Mfiri a ɛma wutumi kyere bere a wowɔ sɛnkyerɛnne ahorow no. Ɛsɛ sɛ wɔde eyi di dwuma nna anaa adapɛn kakraa bi.
• Transthoracic Echocardiogram (TTE) : Koma no mu nhwehwɛmu a wɔde nnyigyei a ano yɛ den yɛ.
• Transesophageal Echocardiogram (TEE) : Eyi nso yɛ echo sɔhwɛ, nanso wɔ sɔhwɛ yi mu no, wɔde afiri ketewaa bi fa esophagus no mu na ama wɔanya koma no ho mfonini a emu da hɔ.
• Computed Tomography (CT) Scan : CT scan betumi ayɛ koma no ho mfonini a ɛkɔ akyiri.
• Koma MRI : Koma no mfonini a wɔde Magnetic Resonance Imaging di dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ electrophysiologist nkyɛn?

Ɛyɛ papa sɛ wobɛkɔ Cardiac Electrophysiologist nkyɛn sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a:

• Ahome a ɛyɛ tiaa
• Koko mu yaw
• Koma a ɛbɔ - Wei kyerɛ sɛ wobɛtumi ate wo moma so rebɔ, ɛtɔ da bi a ɛnyɛ daa.

Fa no sɛ, sɛ wugyina hɔ ara mpo a, wote nka sɛ worehome wɔ ɔhaw mu, wo koko mu yɛ den, anaasɛ wo koma fi ase bɔ mpofirim. Wɔ mmere te sɛ eyinom mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu.

Koma a ɛbɔ ho haw pii wɔ sɛnkyerɛnne a ɛte saa ara, enti electrophysiologist nimdeɛ ho hia na ama woahu koma a ɛbɔ a ɛnyɛ ne kwan so ko pɔtee a wowɔ.

So wuhia sɛ wɔde obi bɛkɔ akɔhwɛ electrophysiologist?

Ɛda adi kɛse sɛ, yiw. Ebia wubehia sɛ wɔde obi bɛkɔ akɔhwɛ electrophysiologist. Ɛwom sɛ ebia wo insurance adwumakuw no renhia sɛ wɔde wo kɔ hɔ de, nanso mpɛn pii no, w’abusua oduruyɛfo anaa ɔbenfo foforo de wo bɛkɔ electrophysiologist nkyɛn sɛ wosusuw sɛ wowɔ koma a ɛyɛ den ho haw a.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wokɔ electrophysiologist nkyɛn no?

Nea edi kan no, electrophysiologist no bebisa w’ayaresa ho abakɔsɛm na waka wo mprempren sɛnkyerɛnne ahorow ho asɛm. Wobehia sɛ wɔkyerɛw nnuru a worenom nyinaa din, a nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu ka ho. Ebia koma mu anyinam ahoɔden ho ɔbenfo betumi ayɛ nhwehwɛmu ntɛmntɛm, te sɛ ECG, wɔ hɔ ara, anaasɛ ɔde afiri bi te sɛ nea ɛhwɛ nsɛm a esisi, a ɛkyerɛw wo koma bɔ nna pii bɛkɔ fie.

Sɛ woayɛ nhwehwɛmu ahorow yi dedaw a, ebia anyinam ahoɔden ho ɔbenfo bi bɛyɛ nhwehwɛmu afoforo de aboa wo ma woahu yare no. Bere a wahu yare no akyi no, anyinam ahoɔden ho ɔbenfo betumi afi ase ayɛ ayaresa. Ɛtɔ da bi a, wobetumi de ayaresa ama wɔ bere koro no ara mu. Ebia ayaresa no bi ne nnuru anaa mfiri a wɔde bɛhyɛ nipadua mu.

Ɔkwan bɛn so na nnuruyɛfo sa komayare ho haw ahorow?

Electrophysiologist betumi ahu wo haw no na wahu ayaresa a eye sen biara ma wo. Ebia ɛbɛyɛ mmerɛw te sɛ aduru foforo a wubefi ase. Ebia afoforo nso behia afiri bi a ɛbɛboa ma wɔn koma abɔ sɛnea ɛsɛ. Ayaresa atitiriw no bi ni:

• Nnuru : Wobetumi de eyinom ama wo da biara, anaasɛ wɔde ahyɛ ntini mu (IV) wɔ tebea a egye ntɛmpɛ mu.
• Pacemakers : Eyinom de anyinam ahoɔden a ɛma koma no di dwuma de siesie ɔhaw bi a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu. Wɔtaa de di dwuma ma nnipa a wɔn koma bɔ ntɛmntɛm.
• Implantable Cardioverter Defibrillators (ICDs) : Eyinom boa ma wogyae apɔw-mu-teɛteɛ a ɛyɛ hu denam anyinam ahoɔden a ɛde ba wo koma mu bere a wuhia no so.
• Cardioversion : Eyi hwehwɛ sɛ wode anyinam ahoɔden bɛbɔ wo koma mu denam afiri bi a efi akyi so na ama wo koma no asan abɔ sɛnea ɛsɛ.
• Catheter a Wɔde Yiyi Afiri Mu: Wɔ eyi mu no, oduruyɛfo bi de akuru nketenkete ba akwan a anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa fa koma no mu no so. Eyi ma nsɛnkyerɛnne a ɛnkɔ so daa no gyae akwantu na ɛma koma no nnyigyei a ɛnteɛ no gyae. Eyi yɛ ayaresa a etu mpɔn yiye.

Ntetee bɛn na electrophysiologist wɔ?

Eyi nso ye sɛ wubehu. ``Electrophysiologist`` yɛ ɔbenfo a wɔatete no yiye . Wɔ aduruyɛ sukuu akyi no, wɔyɛ residency wɔ ``General Internal Medicine`` mu. Afei wɔyɛ fellowship wɔ ``Cardiovascular Disease``, na afei afe foforo anaa abien ntetee titiriw wɔ ``Clinical Cardiac Electrophysiology.`` Enti wubetumi ahu sɛnea wɔatu wɔn ho ama sɛ wɔbɛyɛ abenfo wɔ saa adwuma yi mu? Enti wubetumi de wo ho ato wɔn so.

Ɛhe na nnuruyɛfo a wɔyɛ electrophysiologist yɛ adwuma?

Mpɛn pii no, anyinam ahoɔden ho animdefo ne komayare ho animdefo afoforo yɛ adwuma wɔ kokoam. Wɔyɛ adwuma wɔ ayaresabea ahorow nso. Wɔfrɛ lab titiriw a wɔyɛ nhwehwɛmu wɔ hɔ no electrophysiology lab anaa EP lab. Ɛtɔ mmere bi a wɔfrɛ no catheterization lab anaa Cath lab.

Nea etwa to no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Sɛ wotaa totɔ piti, wo koko yɛ wo yaw, anaasɛ wo home yɛ tiaa a, ebia wobɛpɛ sɛ wokɔ oduruyɛfo a ɔhwɛ anyinam ahoɔden so kɔhwehwɛ nea ɛde ba. Sɛ wunnim sɔhwɛ anaa ayaresa bi a wɔbɛyɛ ama wo a, nsuro sɛ wubebisa nsɛm . Oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo.

Kae sɛ ebia oduruyɛfo titiriw bi a wobɛkɔ akɔhwɛ no bɛyɛ osuahu foforo ama wo. Nanso ``Electrophysiologist`` nnuruyɛfo yɛ abenfo wɔ ntease ne koma a ɛyɛ mmerɛw ho haw ahorow a wɔsa mu. Enti wubetumi de wo ho ato wɔn so sɛ wɔbɛhwɛ wo koma akwahosan so. Mma ɛnhaw wo, wobetumi adi tebea horow yi pii so denam ayaresa a ɛfata so.

` Koma a ɛbɔ, electrophysiologist, koma bɔ, komayare, pacemaker, catheter ablation, ECG, koma mu anyinam ahoɔden nhyehyɛe, arrhythmia, komayare ho ɔbenfo