Nea ɛsɛ sɛ wuhu fa Acute Coronary Syndrome ho!

So woate nka mpofirim sɛ wo koko mu ayɛ wo yaw, ɛyɛ wo yaw, anaa wo home yɛ tiaa wɔ ɔkwan a ɛyɛ nwonwa so? Anaasɛ woahu obi a wunim no sɛ ɔreyɛ saa? Ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi ayɛ komayare a ɛyɛ hu paa ho sɛnkyerɛnne. Acute Coronary Syndrome (ACS) yɛ din a wɔtaa de frɛ tebea horow pii a ɛba mpofirim na ntini ahorow a ɛma mogya kɔ koma no mu no siw.

Dɛn ne komayare a emu yɛ den (ACS)?

Sɛ yɛbɛka no tiawa a, Acute Coronary Syndrome (ACS) yɛ tebea a egye ntɛmpɛ a ɛba bere a ahrawa mu ntini a ɛde mogya kɔ koma no mu no siw mpofirim, na ɛmma koma no nnya mframa pa a ehia no. Fa no sɛ biribi kɔhyɛ paipu a ɛde nsu kɔ nsu pɔmpɛ a ɛwɔ wo fie no mu mpofirim a. Afei nsu no nkɔ pɔmpɛ no mu yiye. Saa ara na ɛto koma no. Eyi nyɛ yare biako, na mmom ɛyɛ komayare ahorow abiɛsa a wɔaka abom. Eyinom nyinaa betumi de nkwa ato asiane mu, enti ayaresa a wɔde kɔ ntɛm ho hia paa.

Komayare ahorow bɛn na ɛhyɛ ACS ase?

Okay, enti komayare ahorow bɛn na ɛhyɛ ACS ase? Nneɛma atitiriw abiɛsa na ɛwɔ hɔ. Eyinom gu ahorow gyina baabi a mogya ntini no asiw wɔ koma no mu, bere tenten a asiw no, ne sɛnea wɔasɛe koma no kɛse so.

1. Angina a entumi nnyina: Eyi ne bere a wo koko yɛ wo yaw anaasɛ wo ho yɛ wo den mpofirim, bere mpo a woagye w’ahome no. Ebetumi ayɛ te sɛ nea obi repiapia wo moma so. Eyi yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya komayare ankasa . Ebetumi aba nso bere a koko mu yaw a na ɛwɔ hɔ kan (angina a ɛyɛ den) no mu yɛ den no.

2. NSTEMI (Non-ST-elevation myocardial infarction): Eyi nso yɛ komayare bi. Nanso, wɔ eyi mu no , EKG (Electrocardiogram) sɔhwɛ a ɛkyerɛ sɛnea koma no anyinam ahoɔden yɛ adwuma no nkyerɛ nsonsonoe kɛse. Nanso, mogya mu nhwehwɛmu tumi hu sɛ koma ntini no asɛe. Ɛha no, coronary artery no nsiw koraa, anaasɛ sɛ asiw a, ɛyɛ bere tiaa bi pɛ.

3. STEMI (ST-elevation myocardial infarction): Eyi ne komayare a emu yɛ den sen biara . Wobetumi ahu no pefee denam EKG ne mogya mu nhwehwɛmu so. Nea ɛkɔ so wɔ ha ne sɛ ntini bi a ɛde mogya kɔ koma no mu no siw koraa bere tenten, na ɛsɛe koma no fã kɛse bi.

Hena na obetumi anya ACS tebea yi?

Seesei ebia woresusuw ho sɛ hena na obetumi anya ACS. Nokwarem no, obiara betumi anya bi. Nanso, nnipa a wɔwɔ asiane ahorow bi no taa nya bi.

Mfe a obi adi ne asetra kwan:

• Mfe a wɔadi: Mmarima a wɔadi boro mfe 45 ne mmea a wɔakɔ brayɛ mu no wɔ asiane kɛse mu.
• Mu duru a ɛboro so/kɛse mmoroso.
• Nnubɔne te sɛ cocaine a wɔde di dwuma.
• Apɔw-mu-teɛteɛ a wonnya.
• Sigaretnom.
• Aduan a ɛnyɛ papa (nnuan a ngo, nkyene, asikre pii wom).

Ayaresa mu tebea afoforo a wowɔ ne abusua abakɔsɛm:

• Sɛ COVID-19 paee a.
• Asikyireyareɛ.
• Sɛ obi a ɔwɔ w’abusua mu anya tebea horow te sɛ koko mu yaw, komayare, anaa akisikuru a.
• Mogya mu srade a ɛkɔ soro.
• Mogya mmoroso (Mogya mmoroso / mogya mmoroso).
• Sɛ na wowɔ mogya mmoroso, preeclampsia, anaa asikreyare bere a na wonyinsɛn a.

Tebea afoforo a ɛda sɛnkyerɛnne ahorow a ɛte sɛ ACS adi

Nanso nsusuw sɛ ACS na ɛde koko mu yaw ba. Tebea afoforo pii wɔ hɔ a ebetumi ama wɔanya sɛnkyerɛnne a ɛte sɛ ACS. Ɛno nti na ɛho hia sɛ wohu yare no pɛpɛɛpɛ na wonya ayaresa ntɛm no . Tebea horow a ebetumi de sɛnkyerɛnne a ɛte saa ara aba no bi ne:

• Aortic stenosis a ɛyɛ mmerɛw.
• Akisikuru.
• Ahurututu mu ntini a ɛma mogya tu.
• Aduane mu haw, acid a ɛsan kɔ nipadua no mu a enni sabea (GERD - Gastroesophageal Reflux Disease) anaasɛ ɛwo mu a ɛyɛ mmerɛw.
• Pericarditis a ɛwɔ akyi berɛmo mu.
• Ntini anaa nnompe mu haw ahorow.
• Rib a ɛpaapae.
• Ahurututu mu yare.
• Yafunu mu haw te sɛ akuru.
• Adwennwen, dadwen, anaa adwenemhaw.

ACS abu so dɛn?

Coronary Artery Disease (CAD) yɛ komayare a abu so sen biara wɔ wiase na ɛno na ɛde owu ba titiriw. Enti, ACS, tebea bi a ɛfa CAD ho no kunkum nnipa pii afe biara. Asiane yi yɛ kɛse titiriw wɔ mmarima ne wɔn a wɔwɔ komayare a ɛda adi pefee no mu.

Ɔkwan bɛn so na ACS ba?

Okay, afei momma yɛnhwɛ sɛnea ACS tebea yi ba.

Yɛn koma yɛ ntini. Sɛ ɛbɛyɛ adwuma yiye a, ehia sɛ wɔde mogya a oxygen pii wom ma no bere nyinaa. mogya yi nam ntini a ɛma mogya tu ne mogya ntini nketenkete a efi mu ba no so na ɛma.

Ɛtɔ mmere bi a, bere kɔ so no, ntini a ɛyɛ mmerɛw no boaboa ano wɔ saa ntini ahorow yi mu, na ɛyɛ teateaa. Wɔfrɛ eyi atherosclerosis . Ɛte sɛ nkannare a ɛreyɛ ayɛ kɛse wɔ nsu afiri mu bere a bere kɔ so no.

ACS ba mpofirim sɛ srade (plaque) a wɔde asie yi pae anaa ɛpaapae mpofirim a.

Sɛ ɛba saa a, mogya a ɛtɔ gu baabi a abubu no so.Saa mogya a ɛtwetwe yi ma mogya ntini no mu teateaa, anaasɛ esiw ano koraa. Afei, koma no fã bi (myocardium) nnya mframa pa a ehia no. Oxygen a enni hɔ yi (ischemia) sɛe koma no ntini. Ɛno ne bere a angina anaa komayare a entumi nnyina a yɛadi kan aka ho asɛm no ba.

Ɛntaa mma koraa sɛ nneɛma afoforo nso betumi de ACS aba:

• Coronary artery embolism yɛ mogya a ɛtwetwe, mframa a ɛbɔ, anaa srade nketenkete a esiw coronary artery.
• Coronary ntini a ɛyɛ mmerɛw.
• Ahurututu mu ntini a wɔpaapae a ɛba ara kwa (SCAD).

Dɛn ne ACS ho sɛnkyerɛnne ahorow?

ACS ho sɛnkyerɛnne betumi ayɛ soronko a egyina baabi a mogya ntini no asiw, baabi a asiw no, wo mfe a woadi, wo bɔbeasu, ne sɛ ebia wowɔ ayaresa mu tebea afoforo te sɛ asikreyare so.

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi ba a wɔmmɔ wo kɔkɔ, bere mpo a woagye w’ahome no. Nsɛnkyerɛnne a ɛtaa ba ne koko mu yaw anaasɛ ne ho nyɛ no dɛ (angina) . Eyi betumi ate nka sɛ:

• Ɛte sɛ nea ɛyɛ yaw.
• Te sɛ ɔhyew.
• Koko te nka sɛ emu yɛ duru.
• Koko a ɛyɛ den.
• Te sɛ nea wɔde piapia, nea wɔde piapia.
• Ɛte sɛ nea wɔakyere wo.

Saa ɛyaw yi betumi atrɛw akɔ benkum mmati, akɔ fam, kɔn, akyi, anaa anom. Nanso, ebia nnipa binom renhu koko mu sɛnkyerɛnne biara.

Nsɛnkyerɛnne afoforo a ɛtaa ba:

• Adwene a ɛyɛ wo yaw, wo ti a ɛyɛ hare, na wote nka sɛ wobɛtotɔ piti.
• Fifiri a ɛba dodo mpofirim (diaphoresis).
• Ɔbrɛ, ɔbrɛ.
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm, wo te nka sɛ wo moma so rebɔ (koma a ɛbɔ).
• Ɛyaw a ɛba yafunu no atifi (ebinom betumi adi mfomso aka sɛ eyi yɛ aduan a wontumi nnya anaasɛ yafunu mu ɔfe).

Mmea titiriw, ntaa nnya moma so sɛnkyerɛnne wɔ ACS bere mu. Ebia wobenya saa sɛnkyerɛnne ahorow yi pii:

* Akisikuru anaa ɔfe.

* Ɛyaw a ɛhyerɛn kɔ mmati, kɔn, yafunu, anaa anom mmeae.

* Ɔhome a ɛyɛ den (dyspnea).

Sɛ saa sɛnkyerɛnne ahorow yi kɔ so anaasɛ ɛyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi . Sɛ wususuw sɛ eyi betumi ayɛ komayare a, nom aspirin ntɛm ara na kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no nkyɛn, anaa frɛ 911.

Ɔkwan bɛn so na wohu sɛ obi anya ACS?

Ɔkwan bɛn so na nnuruyɛfo hu ACS?

Nea edi kan no, wɔbɛyɛ wo nipadua mu nhwehwɛmu. Then, you will have some blood tests and an EKG (Electrocardiogram).Wɔayɛ biako. EKG kyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Oduruyɛfo no betumi afi nhwehwɛmu ahorow yi mu ahu sɛ ebia worenya komayare anaasɛ angina a entumi nnyina.

Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu afoforo de ayi tebea afoforo afi hɔ na wɔapaw ayaresa a ɛfata sen biara. Sɛ nhwɛso no, apɔw-mu-teɛteɛ mu adwennwen ho sɔhwɛ anaa nnuru a wɔde yɛ adwennwen ho sɔhwɛ ma wo koma bɔ kɛse na ɛkyerɛ sɛnea wo koma yɛ n’ade bere a woreyɛ adwuma wɔ nea ɛsen biara mu no.

Wɔde mfoninitwa nhwehwɛmu te sɛ CT scan anaa koma MRI nso di dwuma de nya koma no ho mfonini a ɛkɔ akyiri. Mfoninitwa sɔhwɛ afoforo betumi ayɛ:

• Calcium-score nhwehwɛmu a wɔde hwehwɛ koma mu nhwehwɛmu.
• Koma mu catheter a wɔde hyɛ nipadua no mu.
• Coronary kɔmputa so tomography angiogram (CCTA) a wɔde hwɛ nipadua no mu.
• Coronary angiogram a wɔde hwɛ nipadua no mu.
• Echocardiogram a wɔde kyerɛw nsɛm.
• Nuklea aduruyɛ mu mfoniniyɛ.

ACS yɛ aduruyɛ mu tebea a egye ntɛmpɛ. Sɛ nhwehwɛmu ahorow kyerɛ sɛ mogya a ɛkɔ koma no mu no asiw a, wɔbɛsa wo yare ntɛm ara . Sɛ wowɔ yare no ho sɛnkyerɛnne a emu yɛ den te sɛ adwenemhaw a, wobetumi afi ase ayɛ ayaresa ansa na wɔahu sɛ wowɔ yare no mpo.

So aduru bi wɔ hɔ a edi mũ a wɔde sa ACS?

Aduru biara nni hɔ a wɔde sa ACS. Nanso, sɛ wuhu wo koma ntɛm na wosa yare a, ebetumi aboa ma woasiw wo koma a ɛbɛsɛe bio no ano na ama ayɛ adwuma yiye sɛnea wubetumi. Wo duruyɛfo betumi aka akwan a wobɛfa so atew asiane ahorow so na asiw nsɛnnennen ano ho nsɛm pii akyerɛ wo.

Ɔkwan bɛn so na wɔsa ACS?

Botae atitiriw a ɛwɔ ACS ayaresa mu ne sɛ ɛbɛtew ɛyaw so na ama mogya asan akɔ so na ama koma no ayɛ adwuma ntɛmntɛm sɛnea wobetumi. Wo duruyɛfo no begyina wo tebea pɔtee no so akyerɛw wo ayaresa. Mpɛn pii no, ɛfa nnuru ne oprehyɛn a wɔde ka bom de bue ntini no na ɛma koma no yɛ adwuma bio.

Nnuru bɛn na oduruyɛfo no betumi akyerɛw ama ACS?

Aduru ko a wo nsa bɛka no begyina wo tebea pɔtee no so. Wɔ tebea horow bi mu no, wo duruyɛfo betumi akyerɛw wo nnuru ansa na wakyerɛ sɛ woahu sɛ wowɔ yare no. Ebia nnuru yi bi ne:

• Nnuru a ekum mogya a ɛtwetwe mogya anaa nea ɛma mogya yɛ mmerɛw, te sɛ aspirin anaa heparin.
• Angiotensin-converting enzyme (ACE) inhibitors, a ɛma mogya mmoroso so tew.
• Beta-blockers, a ɛhwɛ mogya mmoroso so na ɛma koma no bɔ brɛoo.
• Nitroglycerin, a ɛma mogya kɔ yiye na ɛtew koko mu yaw so.
• Nnuru a ɛma ɛyaw ano brɛ ase.
• Statins, a ɛma mogya mu srade dodow so tew.
• Nnuru a ɛma mogya mu nkwammoaa a ɛma mogya tu wɔ nnɔnhwerew 12 a edi kan wɔ komayare akyi .

Ebia wo duruyɛfo nso bɛkyerɛw nnuru ama komayare afoforo a ɛfa ho, te sɛ:

• Cholesterol a ɛdɔɔso.
• Mogya mmoroso.
• Koma a ɛbɔ daa (Arrhythmia).

So ɛho behia sɛ wɔyɛ me oprehyɛn ma ACS?

Botae a ɛwɔ oprehyɛn a wɔde sa ACS mu ne sɛ wɔbɛsan abue ntini a asiw no na ama mogya asan akɔ sɛnea ɛsɛ. Ebia wo duruyɛfo bɛkamfo ayaresa ahorow te sɛ:

• Angioplasty with stent: Wɔde dade ahama ketewaa bi (stent) hyɛ mu de bue ntini a asiw no.
• Coronary artery bypass surgery (CABG): Ɔkwan foforo a wɔbɛfa so ama mogya akɔ.
• Percutaneous coronary intervention (PCI): Ntini bi a asiw a wobue.

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ wobenya ACS no so?

Sɛ wofa asetra kwan a ɛma koma nya ahoɔden a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ACS ne koma ne ntini mu yare afoforo so. Afotu bi a ɛbɛboa wo ma woayɛ saa ni:

• Kwati sigaretnom: Sɛ wonom sigaret anaa wode nnuru a wɔde nicotine di dwuma a, bisa wo duruyɛfo nhyehyɛe ne nnuru a ebetumi aboa wo ma woagyae sigaretnom ho asɛm.
• Di aduan a ahoɔden wom: Wo ne wo duruyɛfo anaa aduan ho ɔbenfo a wɔakyerɛw ne din nka aduan bi a ebetumi aboa wo ma wo mu duru a ɛfata na atew asiane a ɛwɔ hɔ sɛ wubenya komayare so ho asɛm. Mediterranea ne DASH aduan no yɛ nnuan abien a ahoɔden wom.
• To nsa a wɔnom ano hye: Ma mmea nnom nsa biako da biara na mmarima nnom mprenu da biara.
• Di akwahosan ho haw ahorow te sɛ srade a ɛdɔɔso, mogya mmoroso, asikreyare, adwennwen, adwenemhaw, ne dadwen ho dwuma. Wo duruyɛfo anaa adwenemyare ho ɔfotufo betumi de mmoa ne ayaresa ama wɔ eyi ho.
• Kɔ so yɛ nnam: Apɔw-mu-teɛteɛ betumi aboa wo ma wo mu duru so atew, ama wo nipadua no atu mpɔn, na woatew adwennwen so. Wo ne wo duruyɛfo nkasa ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe biara ase.

Dɛn ne adwene a ɛwɔ hɔ ma ACS gyinabea?

ACS ho anidaso gyina tebea pɔtee a na wowɔ, sɛnea emu yɛ den, ne sɛnea koma ntini no asɛe no so. Sɛ wohu yare no bere ano na wɔsa wo yare, na wosakra w’asetra mu a, wubetumi anya hokwan a eye sen biara sɛ wobɛtra ase a ahoɔden wom.

Di wo duruyɛfo afotu akyi na kura suban a ɛma koma no mu den. Hwɛ wo duruyɛfo no bere ano, wie nhwehwɛmu biara a wo duruyɛfo bɛhyɛ sɛ wobɛyɛ no, na ka wo bere tenten hwɛ ho asɛm sɛnea ɛbɛyɛ a wubetumi ate nea wubetumi ayɛ de atew asiane ahorow so na asiw nsɛnnennen ano ase.

Sɛ woanya komayare a, ebia wo duruyɛfo bɛkamfo nhyehyɛe bi a ɛbɛma woatumi asiesie wo koma a ɛbɛboa wo ma woasan anya ahoɔden, atew akwahosan ho asiane ahorow so, na w’asetra atu mpɔn.

Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ma ACS?

Sɛ wuhu ACS ho sɛnkyerɛnne a , kɔ ayaresabea ntɛm ara . Sɛ wuhu ACS ho sɛnkyerɛnne mpofirim, anaasɛ wususuw sɛ ɛyɛ komayare a, kɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so, anaa frɛ 911. Nsɛe bere!

Nsɛm bɛn na ɛsɛ sɛ wɔde ma nnuruyɛfo kuw no?

Sɛ wokɔ ayaresabea a, nnuruyɛfo kuw no bebisa wo wo yare no ho sɛnkyerɛnne te sɛ bere a efii ase ne sɛnea emu yɛ den no ho asɛm.

Dodow a wubetumi de nsɛm pii ama no, dodow no ara na eye. Susuw nneɛma yi ho hwɛ:

• Bere bɛn na midii kan tee nka sɛ mewɔ yare no ho sɛnkyerɛnne?
• Dɛn na na mereyɛ saa bere no?
• Dɛn ne sɛnkyerɛnne ahorow no?
• Bere tenten ahe na wɔakɔ hɔ?
• So mewɔ ɛyaw? Ɛhe na ɛwɔ?
• Sɛ wɔde nsenia a efi 1 kosi 10 di dwuma a, ɛyaw ahe na mete nka?
• So mewɔ ayaresa mu tebea afoforo?
• Nnuru bɛn na merenom mprempren?

Acute Coronary Syndrome yɛ komayare a ɛtaa ba a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara. Ebia wobɛte nka sɛ worenya komayare. Frɛ 1990 a wontwentwɛn wo nan ase, anaa kɔ ayaresabea a ɛbɛn wo ntɛm ara. Sɛ wohu yare no ntɛm na wosa wo yare a, ebetumi aboa ma wo koma asan ayɛ sɛnea na ɛte kan na aboa wo ma wo ho atɔ wo.

Dɛn ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛde fi saa asɛm yi mu kɔ fie? (Nkrasɛm a Wɔde Kɔ Fie)

Ɛyɛ mmerɛw yiye. Acute Coronary Syndrome (ACS) yɛ tebea a ɛba mpofirim a emu yɛ den. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ wo koko mu yaw, wo home a ɛyɛ tiaa, anaasɛ wo ho fifiri mpofirim , aduruyɛfo afotu a wobɛhwehwɛ ntɛm ara no betumi agye wo nkwa. Eyi ho hia titiriw sɛ wowɔ nneɛma a ɛde asiane ba te sɛ asikreyare, mogya mmoroso, anaa srade a ɛdɔɔso a. Asetra pa a wobɛtra ase, sigaretnom a wubegyae, ne wo duruyɛfo afotu a wubedi akyi nyinaa yɛ akwan a ɛho hia a wobɛfa so abɔ wo ho ban afi tebea yi ho. Hwɛ wo koma so yiye!

` Acute Coronary Syndrome, Koma mu Yare, Koma mu Ɛyaw, Angina, Koma mu Ntini, Koma Yare, Ayaresa a Egye Ntɛmntɛm