Sɛ yɛtwitwa anaa yepira yɛn nipadua no baabiara a, mogya no gyae kɛkɛ wɔ bere tiaa bi akyi, ɛnte saa? Nokwarem no, ɛyɛ ahobammɔ afiri a ɛyɛ nwonwa wɔ yɛn nipadua mu. Mogya a ɛretu no gyae efisɛ mogya no tu . Nanso susuw nea ɛbɛba sɛ mogya ntini bi a ɛwɔ yɛn nipadua mu no mu a ntease biara nnim a ɛbɛba no ho hwɛ? Ɛno yɛ tebea a asiane wom kakra. Efisɛ mogya a ɛtwetwe a ɛho nhia saa no betumi de nyarewa a ɛde nkwa to asiane mu te sɛ komayare ne akisikuru aba . Enti, ɛnnɛ yɛrebɛka aduru soronko bi a nnuruyɛfo de siw mogya a ɛtwetwe a ɛho nhia saa a ɛba no ano ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru a ekum mogya nkwammoaa a ɛma mogya tu yi?
Nnuru a wɔde ko tia mogya mu nkwammoaa a ɛma mogya tu no yɛ nnuru bi a ɛmma mogya ntumi nkɔ. Wɔnam mogya mu nkwammoaa nketenkete , mogya mu nkwammoaa nketenkete asinasin, a wosiw ano na ɛmfa ne ho nhyɛ mu na ɛboaboa ano no so na ɛyɛ adwuma.
Afei ebia woresusuw nea mogya nkwammoaa yi yɛ ho. Momma yɛnkyerɛkyerɛ mu nyɛ den kakra. Yɛn mogya no yɛ afã horow pii titiriw:
- Mogya mu nkwammoaa kɔkɔɔ : Eyinom na ɛde mframa pa kɔ nipadua no mu nyinaa.
- Mogya mu nkwammoaa fitaa : Eyinom ko tia nyarewa a ɛwɔ yɛn nipadua mu.
- Nkwammoaa a ɛma mogya tu: Eyinom ne nkwammoaa a ɛboa ma mogya tu na ama mogya atɔ yɛn nipadua mu no agyae.
Fa no sɛ wowɔ kuru ketewaa bi wɔ wo nsa anaa wo nan ho. Saa bere no, mogya nkwammoaa yi boaboa ano ntɛmntɛm twa kuru no ho hyia, bata ho, na ɛyɛ plɔg, na ɛma mogya no gyae. Eyi yɛ adebɔ mu adeyɛ wɔ yɛn nipadua mu. Nanso ɔhaw no ne sɛ, esiane yare tebea horow bi nti, mogya nkwammoaa yi fi ase bata mogya ntini no mu . Ɛno ne bere a nnuru a ekum mogya nkwammoaa boa yɛn. Nea nnuru yi yɛ ne sɛ ɛtew tumi a saa mogya nkwammoaa no tumi bata ho no so. Afei mogya a ɛho nhia ntumi nkɔ.
Nsonsonoe bɛn na ɛda Antiplatelets ne Anticoagulants (Blood Thinners) ntam?
Ɛha na nnipa pii adwene tu fra. Nnuru abien yi nyinaa yɛ adwuma ma mogya a ɛtwetwe no so tew. Nanso wɔyɛ adwuma wɔ akwan horow abien so. Ɛho hia sɛ yɛte eyi ase.
Sɛ yɛbɛka no tiawa a, antiplatelets siw mogya nkwammoaa a ɛbɛbata ho no kwan. Nnuru a ekum mogya a ɛtwetwe mogya (a wɔsan frɛ no “mogya a ɛma mogya tu”) gyae protein afoforo a ɛka mogya a ɛtwetwe no ho no dwumadi.
Momma yɛnhwɛ saa nsɛm yi na yɛama nsonsonoe yi mu ada hɔ bio.
| Aduru ko a wɔde yɛ | Sɛnea ɛyɛ adwuma | Nhwɛso ahorow |
|---|---|---|
| Nkwammoaa a ɛko tia mogya nkwammoaa | Ntini mu nkwammoaa a ɛwɔ mogya no mu no bata ho, ɛboaboa ano, na ɛmma mogya no ntumi nkɔ. | Aspirin, Clopidogrel, Ticagrelor, ne nea wɔde di dwuma |
| Anticoagulants (Nnuru a ɛma mogya yɛ mmerɛw) . | Ɛka protein ahorow (clotting factors) a ɛka mogya a ɛtɔ gu nipadua no mu no ho. | Warfarin, Heparin, Apixaban, Rivaroxaban, ne aduru a wɔfrɛ no Rivaroxaban |
Henanom na wohia nnuru yi?
Ɛwom sɛ mogya a ɛtɔ ho hia ma yɛn nipadua de, nanso nnipa binom wɔ asiane kɛse mu sɛ mogya bɛtɔ wɔn ntini mu. Ɛno nti na nnuruyɛfo kyerɛw nnuru a ekum mogya nkwammoaa a ɛma mogya tu ma wɔn no. Ebetumi ayɛ nea ɛho hia titiriw ama nnipa a wɔwɔ tebea horow a edidi so yi:
- Angina: Koko mu yaw a mogya a ɛnkɔ koma no mu sɛnea ɛsɛ na ɛde ba.
- Atrial Fibrillation: Tebea a ɛma koma no bɔ denneennen.
- Coronary Artery Disease: Ntini a ɛde mogya kɔ koma no mu no a ɛyɛ teateaa anaasɛ esiw.
- Wɔn a wɔadi kan anya komayare anaa akisikuru no fam no: Sɛnea ɛbɛyɛ a tebea no rensi bio.
- Peripheral Vascular Disease: Ntini a ɛwɔ koma no akyi a esiw, titiriw wɔ nan no mu.
- Wɔ oprehyɛn ahorow bi akyi: Sɛ nhwɛso no, wɔn a wɔayɛ wɔn oprehyɛn a wɔde twa ntini a ɛma mogya tu, angioplasty a wɔde stent ahyɛ mu, ne wɔn a wɔayɛ wɔn koma mu ntini oprehyɛn.
Nnuru ahorow bɛn na ɛwɔ hɔ a wɔde ko tia mogya nkwammoaa a ɛma mogya tu?
Nnuru ahorow pii wɔ hɔ a wɔde ko tia mogya nkwammoaa a ɛma mogya tu. Nea abu so sen biara a yɛn nyinaa nim na yɛde di dwuma ne aspirin . Ahorow afoforo pii nso wɔ hɔ. Ɔkwan soronko so kakra na ɔkwan biara so yɛ adwuma.
| Nnuru a wɔde di dwuma no fã | Nea ɛsɛ sɛ woyɛ no tiawa | Nhwɛso ahorow |
|---|---|---|
| Adenosine diphosphate (ADP) a wɔde siw aduru a wɔde siw yare ano | Ɛtew mogya nkwammoaa a ɛyɛ nnam so. | Nnuru a wɔfrɛ no Clopidogrel, Ticagrelor, Prasugrel |
| Nnuru a esiw adenosine a ɛsan gye no ano | Siw enzyme ahorow a ɛka mogya a ɛtwetwe no ano. | Dipyridamole a wɔde di dwuma |
| Glycoprotein nnuru a esiw mogya nkwammoaa mu nkwammoaa ano | Siw nneɛma a ɛma mogya tu no kwan. | Abciximab, Nnuru a Wɔde Di Dwuma |
| Nnuru a esiw phosphodiesterase ano | Ɛma mogya ntini mu trɛw na ɛmma mogya nkwammoaa ntumi nkɔ mu. | Cilostazol a wɔde yɛ nnuru |
Ɔkwan bɛn so na wɔde saa aduru yi di dwuma?
Nnuru dodow no ara a wɔde ko tia mogya nkwammoaa a ɛma mogya tu no wɔ hɔ a wɔde yɛ aduru. Ɛno kyerɛ sɛ wɔde ano na wɔfa. Wɔ nsɛm titiriw bi mu no, wɔde fa ntini mu nso.
- Wubetumi anom saa nnuru yi ansa na woadi anaasɛ woadi awie. Nanso, nnipa binom betumi anya yafunu mu yaw anaa komayare bere a wɔanom aduru yi awie no. Sɛ eyi ba a, ɛbɛyɛ papa sɛ wobɛnom aduru no ne aduan .
- Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ esiane biribiara nti.
- Nea ɛho hia sen biara ne sɛ wobɛnom aduru no sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ.Sɛ wo ho tɔ wo mpo a, nnyae aduru no nom anaasɛ nnsesa dodow a wode ma no esiane biribiara nti a wommisa wo duruyɛfo.
Mfaso ne asiane bɛn na ɛwɔ nnuru yi so?
Te sɛ nnuru biara no, nnuru a ekum mogya nkwammoaa a ɛma mogya tu yi betumi anya mfaso ne asiane ahorow bi nso.
Mfaso atitiriw a ɛwɔ so
Mfaso titiriw a ɛwɔ nnuru yi so ne sɛ esiw tebea horow a ɛyɛ hu te sɛ komayare ne akisikuru ano. Wɔboa titiriw ma wɔasiw tebea horow a ɛtete saa a ɛbɛsan aba obi a wadi kan anya bi no ano. Wɔboa nso ma sɛnkyerɛnne ahorow te sɛ koko mu yaw, ɔhaw a mogya a ɛkɔ nipadua no mu so tew, ne ahome a ɛyɛ den ma no fi hɔ.
Asiane titiriw
Asiane kɛse a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ dodo . Nea enti a ɛte saa ne sɛ nnuru yi siw mogya a ɛtwetwe no kwan. Enti, ɛma mogya a ɛtwetwe a ɛho nhia ne mogya a ɛtwetwe a yɛn nipadua hia no nso gyae.
Sɛ nhwɛso no, sɛ woapira kakra a, ebetumi agye bere tenten ansa na mogya no agyae asen sɛnea ɛte daa. Afei nso, mogya a ɛtɔ gu nipadua no mu no betumi ayɛ nea asiane wom. Enti ansa na wubefi ase anom aduru yi no, wo ne wo duruyɛfo nka asiane ahorow yi ho asɛm. Ɛho hia nso sɛ wobɛka akwan a wobɛfa so abɔ wo ho ban afi asehwe ne opira ho wɔ fie.
Nneɛma bɔne a efi mu ba ne nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho
Nsunsuanso bɔne bi betumi aba bere a wɔnom aduru yi no. Ebinom yɛ nea ɛfata, bere a afoforo nso betumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne. Enti ɛho hia sɛ wohu eyinom.
| Nneɛma bɔne a efi mu ba ne asiane ahorow | |
|---|---|
| Nsunsuanso bɔne a ɛtaa ba a wotumi hu | |
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| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
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Nea ɛho hia sen biara ne sɛ, sɛ wonom aduru yi boro dodow a wɔkamfo kyerɛ, kyerɛ sɛ, sɛ wonom boro so a, ebetumi de wo nkwa ato asiane mu. Enti , nnom nea ɛboro dodow a wo duruyɛfo akyerɛ wo no da. Sɛ eyi ba a, kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
Momma yensua sɛnea nnuru afoforo di nkitaho nso ho ade.
Nnuru a wɔde ko tia mogya mu nkwammoaa kɔkɔɔ tumi ne nnuru afoforo di nkitaho, enti ɛho hia sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo. Eyinom bi ne:
- Nnuru afoforo a oduruyɛfo bi akyerɛw ama obi.
- Nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu.
- Vitamins, minerals, nhabannuru, ne nneɛma afoforo a wɔde ka aduan ho.
- Ayurvedic anaa amanne kwan so nnuru afoforo.
Ka eyinom nyinaa ho asɛm kyerɛ wo duruyɛfo sɛnea ɛbɛyɛ a obetumi ama wo ayaresa a ɛfata na ahobammɔ wom sen biara.
Hena na ɛnsɛ sɛ ɔnom saa aduru yi?
Nnuru a wɔde ko tia mogya mu nkwammoaa a ɛma mogya tu no mfata mma nnipa a wɔwɔ ayaresa tebea horow bi, na wɔ tebea horow bi mu no, ɛsɛ sɛ wɔkwati sɛ wɔde bedi dwuma.
- Wɔn a wɔrebɛyɛ wɔn oprehyɛn anaa wɔayi wɔn sẽ wɔ nna kakraa a edi hɔ no mu (wo duruyɛfo anaa wo sẽ ho oduruyɛfo betu wo fo wɔ eyi ho).
- Wonyinsɛn, wɔrebɔ mmɔden sɛ wobenyinsɛn, anaa ɛnanom a wɔma wɔn nufu.
- Nnipa a kan no na mogya atɔ wɔn amemene mu.
- Nnipa a wɔanya nnuru yi ho adwenemhaw pɛn.
- Nnipa a wɔwɔ mogya a ɛtwetwe te sɛ hemophilia.
- Nnipa a wɔyare asaabo anaa mmerɛbo mu yare.
- Nnipa a wɔanya yafunu mu akisikuru anaasɛ wɔanya bi.
Sɛ wowɔ tebea a ɛte sɛɛ a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Nnuru a wɔde ko tia mogya nkwammoaa a ɛma mogya tu no yɛ nnuru a ɛho hia yiye a esiw mogya a ɛtwetwe a wɔmpɛ a ebetumi de tebea horow a emu yɛ den te sɛ komayare ne akisikuru aba no ano.
- Ɛsɛ sɛ wɔnom nnuru yi mu pii bere tenten. Nnyae wɔn nom anaasɛ nsakra dodow a wɔde ma no da a wunnya wo duruyɛfo afotu.
- Asiane titiriw a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ dodo. Hwɛ sɛ akuru a ɛyɛ soronko, hwene mu mogya, ne nsu tuntum a ɛbɛba. Sɛ wuhu eyinom mu bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ma wo duruyɛfo no nkyerɛkyerɛmu a edi mũ wɔ nnuru afoforo a worenom nyinaa ho (a vitamin ne Ayurvedic nnuru ka ho).
- Ɛho hia paa sɛ wobɛka akyerɛ wo duruyɛfo anaa wo sẽ ho oduruyɛfo sɛ worenom saa nnuru yi ansa na woayɛ wo oprehyɛn anaa woayɛ wo sẽ ho ayaresa.
Nnuru a ekum mogya nkwammoaa, mogya a ɛtwetwe, komayare, ɔyare a ɛma obi hwe ase, Aspirin, Clopidogrel, mogya a ɛma mogya tu, mogya mu nkwammoaa a ɛma mogya tu, komayare
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