Momma yensua angiogram nhwehwɛmu a ɛhwehwɛ sɛ mogya ntini mu asiw no ho ade kɛkɛ?

Angiogram yɛ X-ray nhwehwɛmu titiriw bi a wɔyɛ de hwɛ sɛ ebia mogya ntini (ntini anaa ntini) a ɛwɔ wo nipadua mu no asiw anaasɛ ɛyɛ teateaa anaa. Eyi ma nnuruyɛfo hu baabi pɔtee a mogya no sen wɔ wo nipadua mu ne sɛ ebia ɔhaw bi wɔ hɔ a. Sɛ nhwɛso no, wɔde hwehwɛ baabi pɔtee a ɔhaw bi wɔ ntini anaa ntini mu wɔ mmeae te sɛ koma, kɔn, asaabo, anaa nan.

Dɛn nti na wɔyɛ angiogram? Bere bɛn na ɛho hia?

Seesei ebia worebisa wo ho sɛ, ‘Dɛn nti na mihia angiogram?’ Sɛ biribi kyerɛ sɛ wo mogya ntini no asiw, asɛe, anaa biribi foforo bi a ɛnteɛ nkutoo a, na wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ. Eyi bɛboa wɔn ma wɔahu nea ɔhaw no yɛ ne sɛnea aka wɔn kɛse . Eyi bɛma ayɛ mmerɛw sɛ wɔbɛyɛ ayaresa ho nhyehyɛe.

Sɛ yɛbɛka no tiawa a, angiogram boa ma wohu tebea horow te sɛ:

• Coronary artery disease: Eyi yɛ ntini a ɛma mogya kɔ koma no mu no siw anaasɛ ɛyɛ teateaa.
• Peripheral artery disease: Ntini a ɛwɔ nan no mu a esiw anaasɛ ɛyɛ teateaa.
• Mogya a ɛtwetwe: Mogya mu nkwammoaa boaboa ano na ɛyɛ mogya a ɛtɔ.
• Aneurysm: Ntini fasu bi a ɛyɛ mmerɛw a ɛbɔ te sɛ balloon.

Ɔkwan bɛn so na eyi yɛ adwuma?

Okay, ma yɛnhwɛ sɛnea eyi yɛ adwuma. Bere a wɔreyɛ angiogram no, wɔde ade titiriw bi (a wɔfrɛ no ade a ɛma wohu nneɛma a ɛne ne ho bɔ abira anaa ade a wɔde yɛ ade) gu wo nipadua mu. Wotumi hu saa aduru yi wɔ X-ray afiri so. Afei, sɛ wohwɛ X-ray screen no mu a, wutumi hu sɛnea mogya no fa wo mogya ntini mu, ne sɛ ebia asiw wɔ baabi no pefee.

Wɔbɛma wo nnuru a ɛbɛboa wo ma woagye w’ahome na woate nka sɛ wo ho tɔ wo wɔ sɔhwɛ yi mu. Wɔbɛma nnipa dodow no ara aduru bi a wɔde dwudwo wɔn. Wɔbɛma nnipa binom aduru a wɔde kum nipadua no nyinaa, a ɛkyerɛ sɛ wobɛda koraa. Nanso, wubehia obi a ɔde kar bɛka wo akɔ fie wɔ sɔhwɛ no akyi.

Wobɛyɛ dɛn asiesie wo ho ama angiogram?

Ansa na nhwehwɛmu yi bɛba no, wobetumi afa wo mogya no bi ahwɛ sɛnea wo mogya tu ne sɛ ebia w’asaabo reyɛ adwuma yiye anaa.

Hwɛ yiye wɔ nnuru a wɔde di dwuma ho

Sɛ worenom nnuru biara, titiriw nnuru a ɛma mogya yɛ mmerɛw (antiplatelets, anticoagulants) , akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woagyae. Sɛ wo duruyɛfo pene so a:

• Wobetumi aka akyerɛ sɛ wonnyae nnuru te sɛ ``Clopidogrel`` nnanu ansa na wɔayɛ nhwehwɛmu no.
• Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru a ɛma mogya yɛ mmerɛw te sɛ `Dipyridamole` anaa `Warfarin` nom nnɔnhwerew 72 ansa na wɔayɛ nhwehwɛmu no ne nnɔnhwerew 24 wɔ nhwehwɛmu no akyi.
• Wobetumi anom nnuru afoforo a wɔtaa de di dwuma sɛnea wɔtaa nom no.
• Wo de ma woSɛ wowɔ asikreyare , bisa wo duruyɛfo sɛnea ɛsɛ sɛ wonom wo insulin anaa asikreyare nnuru afoforo ne bere pɔtee a ɛsɛ sɛ wonom.

Ɛfa aduan ne anonne ho

Nnidi anaa nnom biribiara wɔ anadwo fã akyi anadwo a edi angiogram no anim no. Sɛ wɔbɛma wo aduru a wɔde kum nipadua no nyinaa bere a wɔreyɛ nhwehwɛmu no a, nnidi anaa nnom biribiara wɔ anadwo fã akyi anadwo a edii ɛno anim no.

Kae saa nneɛma yi wɔ sɔhwɛ da no

• Nom nsu a emu nyɛ duru nkutoo (e.g. nsu, tii a wɔmfa nhyɛ mu) anɔpa a wobɛyɛ sɔhwɛ no.
• Gyae w'agude ne nneɛma a ɛsom bo wɔ fie .
• Yɛ nhyehyɛe ma obi a ɛyɛ n’asɛyɛde mfa wo nkɔ fie.
• Fa nnuru a worenom mprempren ne nea ebia wo ho yɛ wo hyew biara ho nsɛm bra .
• Sɛ ɛsɛ sɛ wo duruyɛfo kɔhwɛ ɔyarefo a ogye ntɛmpɛ a, ebia ɛsɛ sɛ wotwɛn kosi wo bere so. Enti ɛyɛ papa sɛ wode biribi te sɛ nhoma anaa nsɛmma nhoma bɛba.
• Sɛ wowɔ asikreyare a, ka ho asɛm kyerɛ nnuruyɛfo nyinaa.
• Ɛsɛ sɛ wohyɛ ayaresabea atade na woda X-ray pon titiriw bi so.
• Ansa na wobɛyɛ nhwehwɛmu no, wo ne wo duruyɛfo nka w’akwankyerɛ, nsɛmmisa biara a wowɔ, ne w’ayaresa ho abakɔsɛm ho asɛm.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Sɛ oduruyɛfo no reyɛ angiogram a, ɔbɛyɛ:

• Nea edi kan no, wɔma baabi a wɔde catheter no bɛhyɛ mu no yɛ mmerɛw.
• Afei, wɔde ade na wɔde hyɛ wo mogya ntini no biako mu.
• Wɔde waya bi fa saa ade no mu.
• Wɔde afiri tenten a ɛyɛ tratraa bi a wɔfrɛ no catheter hyɛ waya no so kɔ ntini kɛse bi mu, mpɛn pii no wɔ w’asen anaa wo nsateaa mu.
• Afei, wɔde ahwɛyiye kɛse kyerɛ catheter no kwan fa ntini no mu kosi sɛ ebedu mogya ntini no fã a ɛsɛ sɛ wɔhwehwɛ mu no.
• Afei, wɔde `contrast material` (i.e. `dye`) a yɛadi kan aka ho asɛm no kakra bɛhyɛ wo mogya ntini mu denam catheter no so. Saa bere yi , ebia wobɛte nka sɛ wo ho yɛ hyew sikɔne kakraa bi, anaasɛ wobɛte nka sɛ ɛsɛ sɛ woto wo ho . Eyi yɛ ade a ɛfata, mma ɛnhaw wo.
• Afei wɔyɛ X-ray.
• Sɛ wohwɛ X-ray monitor no, hwɛ sɛnea aduru no tu a, wubetumi ahu sɛnea mogya no fa wo mogya ntini mu ne baabi a asiw kwan no pɛpɛɛpɛ.

Bere tenten ahe na angiogram gye?

Mpɛn pii no, wobetumi awie angiogram wɔ simma 15 pɛ mu , nanso ɛtɔ mmere bi a ebetumi agye nnɔnhwerew pii. Eyi gyina sɛ ebia oduruyɛfo no bɛyɛ ayaresa foforo biara bere a wɔahu ɔhaw no awie no so.

Fa no sɛ, sɛ oduruyɛfo no hu sɛ biribi asiw a, ɔbɛyɛ angioplasty ntɛm ara.Nea ɛka saa ayaresa yi ho ne sɛ wɔde afiri ketewaa bi a ɛte sɛ balloon pia baabi a asiw no kɔ ntini no fasu no so. Sɛ eyi ma mogya no kɔ yiye na ɛka nea ennu 30% wɔ akwanside no mu a, ebia angioplasty nkutoo ne ɔkwan a wobetumi afa so.

Nanso sɛ angioplasty no amma kwan kɛse a ɛbɛma mogya atumi asen a, ebia ebehia sɛ wode stent hyehyɛ wo mu. Eyi yɛ afiri ketewaa bi a ɛte sɛ dade ahama a wɔde hyɛ mogya ntini no mu na ɛboa ma ɛbue. Wobetumi de eyi ahyɛ mu bere a wɔayɛ angioplasty no akyi pɛɛ.

Ayaresa foforo a wobetumi afa so ne oprehyɛn a wɔde twa ntini a ɛwɔ nipadua no mu anaasɛ oprehyɛn a wɔde twa ntini a ɛwɔ akyi no . Nea ɛka eyi ho ne sɛ wɔbɛbɔ ɔkwan foforo a mogya afa so atwa ntini a asiw no ho ahyia. Nanso, wɔyɛ oprehyɛn yi da a ɛda nsow.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Wo duruyɛfo no beyi catheter no na ɔde aduru abɔ baabi a wɔatow wo honam ani no so. Anyɛ yiye koraa no, wɔde aduru a wɔde kyekyere aduru no bɛto nea ɛwɔ hɔ no mu simma 15 na ama mogya no agyae anaasɛ amma mogya a ɛbɛtɔ no asiw ano.

Sɛ wɔde catheter no faa wo nan mu a, ɛho behia sɛ wohome wɔ mpa so nnɔnhwerew anan kosi asia. Eyi bɛboa ma mogya a efi kuru no mu no so atew.

Ansa na wobɛkɔ fie

Ansa na oduruyɛfo no de wo bɛkɔ fie no, ɔbɛhwɛ wo na ɔne wo akasa afa akwankyerɛ a ɛsɛ sɛ wudi akyi wɔ fie ho.

Sɛ wokɔ fie (bere a wo ho retɔ wo wɔ angiogram no mu) .

Sɛ wɔayɛ wo angioplasty na wɔde stent ahyɛ wo mu mpo a, wubetumi akɔ fie da koro no ara anaa da a edi hɔ wɔ angiogram no akyi. Nanso esiane sɛ wɔmaa wo nnuru a wɔde kum nipadua no nti, wubehia obi a ɔde wo bɛkɔ fie .

Sɛ wokɔ fie wie a, mma wo mu duru ntra nkaribo 10 (bɛyɛ kilogram 4.5) nna abien a edi hɔ no, nkotow, anaasɛ nkotow . Eyi bɛboa ma mogya a ɛbɛtu afi kuru no mu no amma.

Ɛyɛ adwene pa sɛ wobɛma ɔpanyin bi a ɔwɔ asɛyɛde atra wo nkyɛn anadwo a wɔbɛyɛ sɔhwɛ no. Ebia ɛho behia sɛ nnipa binom tra ayaresabea hɔ anadwo ansa na wɔn ho atɔ wɔn.

Sɛ wowɔ asikreyare a, nnom metformin nnɔnhwerew 48 wɔ nhwehwɛmu no akyi . Eyi ma asiane a ɛwɔ hɔ sɛ asaabo mu nsɛnnennen bɛba no so tew.

Nom nsu pii . Eyi bɛboa ma aduru no afi wo nipadua mu ntɛm.

Asiane bɛn na ɛwɔ angiogram mu?

Asiane a ɛwɔ angiogram mu no sua koraa. Nanso, ebia nsɛnnennen nketenkete bi bɛba wɔ baabi a oduruyɛfo no tow wo honam ani na ama woatumi akɔ wo ntini no mu. Saa nsɛnnennen yi ba wɔ nsɛm a ennu 1% mu .

Mpɛn pii no, asiane ahorow a ɛwɔ angiogram mu no fa baabi a wɔatow no ho. Nea ɛka ho ne:

• Akuru: Eyinom yɛ nea ɛfata na ebefi hɔ wɔ dapɛn biako kosi adapɛn abiɛsa ntam.
• Mogya a ɛretu
• Nsaneɛ
• Yeaw
• Asaabo mu haw ahorow
• Allergic reaction a ɛwɔ nneɛma a ɛne ne ho bɔ abira (dye) ho .
• Mogya ntini a ɛsɛe
• Koma a ɛbɔ a ɛnteɛ (arrhythmia) anaa tebea bi te sɛ koma a ɛtwetwe a ɛhwehwɛ sɛ wɔsan nya nkwa.
• Mogya a ɛtɔ siw mogya ntini bi ano, na ɛma obi nya komayare anaa ɔyare a ɛma obi hwe ase (ɛho yɛ na yiye) .
• Mogya a ɛtɔ fi mogya ntini mu (ɛho yɛ na yiye) .

Ɔkwan bɛn so na wonya nea efi mu ba? Dɛn na wɔka kyerɛ yɛn?

Ebia oduruyɛfo no behu ɔhaw nketenkete a ɛnyɛ aniberesɛm. Ebia ɛho renhia ayaresa kɛse biara. Ebia wɔbɛka akyerɛ wo sɛ nom nnuru anaa yɛ nsakrae bi wɔ wo da biara da asetra mu. Sɛ nhwɛso no, teɛteɛ w’apɔw mu pii anaa di aduan a ahoɔden wom.

Nanso ɛtɔ mmere bi a, nneɛma akɛse a esiw kwan wɔ hɔ. Ɛno hwehwɛ sɛ wɔsa yare kakra. Sɛ ɛte saa a, oduruyɛfo no betumi ayɛ angioplasty bere koro no ara mu ne angiogram no, na ɔde stent bi asi hɔ de abue wo ntini no na ama abue.

Nnipa binom hia ayaresa soronko wɔ da a ɛsono emu biara. Ebia oduruyɛfo no bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn a wɔde twa ho hyia, na ɛma wonya ɔkwan bi a mogya fa so twa baabi a asiw no ho hyia.

Bere bɛn na wobehu nea ebefi mu aba?

Ɛda adi sɛ wo duruyɛfo ne wo bɛkasa bere a wɔayɛ wo angiogram no awie no. Nanso, ebia wo duruyɛfo behia bere kakra de ahwɛ wo X-ray mfonini ahorow no mu ansa na wasi nea ɔbɛyɛ akyi no ho gyinae.

Bere bɛn na ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn bio?

Sɛ saa nneɛma yi bi si a, kɔ wo duruyɛfo nkyɛn ntɛm ara:

• Sɛ wowɔ ɛyaw anaasɛ wo ho nyɛ wo dɛ a ɛnbrɛ ase ɛmfa ho sɛ wonom nnuru a .
• Sɛ ɛyɛ den sɛ wobɛkasa anaa wobɛserew a .
• Sɛ wo nsa anaa wo nan a wɔde catheter no ahyɛ mu no ho ayɛ wo yaw, wo ho ayɛ wo mmerɛw, wo ho yɛ hyew, anaasɛ wo ho ahonhon a .
• Sɛ wo nya atiridii a .
• Sɛ akuru bi bɛn kuru no a .
• Sɛ mogya tu fi baabi a wɔde catheter no guu honam ani no a.

So angiogram yɛ oprehyɛn kɛse?

Dabi Angiogram yɛ ``minimally invasive`` sɔhwɛ a wɔyɛ a wɔnyɛ ntwitwiridii kɛse . Ɛnyɛ oprehyɛn. Oduruyɛfo no fa tokuru ketewaa bi mu yɛ adwuma. Saa tokuru no sõ ara kwa sɛ wode catheter bɛhyɛ wo mogya ntini mu.

Angiogram yɛ aniberesɛm dɛn?

Angiogram yɛ nhwehwɛmu a asiane biara nni ho . Nanso, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ a ɛfa sɛnea wubesiesie wo ho ama no akyi.

So eyi yɛ yaw?

Angiogram no nyɛ yaw kɛse .

Worente ɛyaw kɛse biara nka. Ebia wobɛnya ɔhaw nketenkete bi kɛkɛ. Enti nsuro!

Oduruyɛfo no de aduru bi a ɛma obi dwensɔ bɛhyɛ wo honam ani na ama baabi a wɔde catheter no ahyɛ mu no ayɛ mmerɛw, na wobɛte nka sɛ ade no abɔ wo honam ani. Ɛno akyi no, ebia worente ɛyaw biara wɔ sɔhwɛ no mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wɔde catheter no ahyɛ mu no. Sɛ woyɛ sɔhwɛ no wie a, ebia wobɛte yaw bi anaasɛ wobɛbɔ wo ho akisikuru wɔ baabi a wɔde catheter no hyɛɛ mu no.

So angiogram ne angioplasty yɛ ade koro?

Dabi, angiogram betumi aboa wo duruyɛfo ma wahu sɛ ebia wo ntini biako asiw anaa. Bere a wɔreyɛ angiogram no, wo duruyɛfo betumi ayɛ angioplasty de asa nea asiw no.

Hena na ɔreyɛ sɔhwɛ yi?

Koma ho ɔyaresafo a ɔde ne ho hyɛ mu na ɔyɛ koma no angiogram . Ntini a ɛwɔ nipadua no afã afoforo (sɛ nhwɛso no, nan) no, mframa ho animdefo a wɔde wɔn ho hyɛ mu ne ntini mu oprehyɛn ho animdefo na wɔyɛ ntini ahorow a ɛwɔ nipadua no mu no . Ntini ho animdefo a wɔde wɔn ho hyɛ mu na wɔyɛ amemene no mu angiograms . Oduruyɛfo a ɔyɛ angiogram no betumi asua wo mfonini ahorow no na wahu mmeae a ɛhaw wo.

Awiei koraa no, awiei koraa no, kae eyi.

Sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ angiogram a, ɛkyerɛ sɛ wɔrehwehwɛ nsɛmmisa bi ho mmuae. Nsɛm a efi angiogram no mu no bɛboa wɔn ma wɔasi gyinae sɛ ebia wuhia ayaresa anaa. Sɛ ɛfata wo tebea no a, ebia wɔbɛsa wo tebea no mpo bere a woreyɛ nhwehwɛmu no.

Nanso, wɔyɛ eyi wɔ ɔkwan bi so a ɛbɛma wo ho atɔ wo na wo ho adwo wo. Biribiara nni hɔ a enti ɛsɛ sɛ yesuro.

Sɛ wowɔ nsɛmmisa bi fa angiogram anaa nea ebia ebehu ho a, nsuro sɛ wubebisa wo duruyɛfo. Kae sɛ wɔyɛ eyi de boa wo ma w’akwahosan tu mpɔn.

` Angiogram, komayare, mogya ntini, mogya a ɛtwetwe, stent, angioplasty, aduruyɛ mu nhwehwɛmu