So oduruyɛfo bi akyerɛw aduru bi a ɛbɛma wo anaa w’abusua mu bi asiw mogya a ɛbɛtɔ ano? Ebetumi ayɛ biribi a wonim no yiye te sɛ Aspirin. Anaasɛ ebetumi ayɛ biribi te sɛ Clopidogrel. Yɛtaa frɛ saa nnuru yi Antiplatelet nnuru. Ɛnnɛ, yɛbɛka nea eyinom yɛ ankasa, sɛnea ɛyɛ adwuma wɔ yɛn nipadua mu, ne ahwɛyiye a ɛsɛ sɛ yɛyɛ bere a yɛde redi dwuma no ho asɛm wɔ ɔkwan tiawa ne nidi mu.
Dɛn ne nnuru a ekum mogya nkwammoaa mu nkwammoaa? Ɔkwan bɛn so na wɔyɛ adwuma?
Sɛ yɛbɛte eyi ase a, ɛsɛ sɛ yedi kan hu yɛn mogya ho asɛm kakra. Yɛn mogya no mu titiriw ne mogya mu nkwammoaa kɔkɔɔ (a ɛde mframa pa), mogya mu nkwammoaa fitaa (a ɛko tia mmoawa), ne nkwammoaa nketenkete foforo a yɛfrɛ no mogya nkwammoaa .
Fa no sɛ wode sekan atwitwa wo nsa. Mogya no sen kakra, na afei egyae kɛkɛ, ɛnte saa? Ɛte saa esiane mogya nkwammoaa a ɛma mogya tu yi nti. Sɛ beae bi apira a, mogya nkwammoaa yi de ahopere kɔ baabi a apira no, bata ho, na ɛyɛ ahama, na ɛma mogya tu. Saa mogya a ɛtwetwe yi yɛ adwuma sɛ ‘plug’ a ɛma mogya no gyae. Eyi yɛ abɔde mu ahobammɔ afiri a ɛyɛ nwonwa wɔ yɛn nipadua mu.
Nanso, ɔhaw no ni. Sɛ mogya a ɛtɔ te sɛ eyi ba yɛn mogya ntini mu a biribiara mpira yɛn a, dɛn na ɛba? Ɛno yɛ asiane kɛse. Sɛ mogya a ɛte saa no ba ntini bi a ɛde mogya kɔ koma no mu mu a, ebetumi ama obi anya komayare . Sɛ ɛba ntini bi a ɛkɔ amemene no mu mu a, ebetumi ama obi anya akisikuru .
Nnuru a wɔde ko tia mogya nkwammoaa a ɛma mogya tu no yɛ adwuma denam mogya mu nkwammoaa a ɛmma mogya mu nkwammoaa ntumi nkɔfa ntini no mu, na ɛno na ɛmma mogya ntumi nkɔ mu no so. Sɛ yɛbɛka no tiawa a, saa nnuru yi brɛ mogya nkwammoaa a ɛma mogya tu no ‘nwene’ ase.
Nsonsonoe bɛn na ɛda Antiplatelets ne Anticoagulants ntam?
Nnipa pii ma nnuru ahorow abien yi frafra. Ɛwom sɛ wɔfrɛ wɔn baanu nyinaa sɛ "mogya a ɛma mogya tu" de, nanso ɔkwan a wɔfa so yɛ adwuma no yɛ soronko kakra. Ɛwom sɛ nea efi abien no nyinaa mu ba awiei koraa ne sɛ ɛbɛtew mogya a ɛtwetwe no so de, nanso ɛsono baabi a ɛyɛ adwuma. Momma yɛnte eyi ase yiye.
| Aduru ko a wɔde yɛ | Sɛnea ɛyɛ adwuma |
|---|---|
| Nkwammoaa a ɛko tia mogya nkwammoaa (sɛ nhwɛso no, Aspirin, Clopidogrel) . | Dɛn na edi kan ka bom ma ɛyɛ mogya a ɛtɔ?Ɛmma mogya nkwammoaa a ɛmma mogya mu nkwammoaa ntumi nkɔ mu. |
| Nnuru a ɛko tia mogya a ɛtwetwe mogya (sɛ nhwɛso no, Warfarin, Apixaban) . | Sɛ mogya nkwammoaa boaboa ano pɛ a, esiw protein soronko a ɛwɔ mogya no mu (nneɛma a ɛma mogya tu) a ɛboa ma mogya no mu yɛ den no dwumadi kwan. |
Henanom na wohia nnuru yi?
Mpɛn pii no, obi a ɔwɔ apɔwmuden nhia saa aduru yi. Nanso nnipa a wɔwɔ ayaresa tebea horow bi no wɔ asiane kɛse mu sɛ mogya bɛtɔ wɔn ntini mu. Nneɛma atitiriw a enti ebia wo duruyɛfo bɛkyerɛw saa aduru yi ama wo no bi ni:
- Sɛ woanya komayare anaa akisikuru pɛn a, siw nea ɛbɛsan aba bio ano.
- Sɛ wowɔ coronary artery disease , a ɛkyerɛ sɛ ntini a ɛwɔ wo koma mu no ayɛ teateaa.
- Angina , kyerɛ sɛ, sɛ wo koko yɛ wo yaw a.
- Peripheral Vascular Disease , a ɛkyerɛ sɛ ntini a ɛkɔ akwaa no mu no asiw.
- Sɛ wowɔ koma a ɛnyɛ adwuma yiye te sɛ atrial fibrillation a .
- Sɛ wɔayɛ wo oprehyɛn a wɔde siw kwan so (Coronary Artery Bypass) a .
- Sɛ woayɛ angioplasty , kyerɛ sɛ, sɛ wɔde stent ahyɛ wo ntini mu a.
- Sɛ wɔayɛ wo koma valve oprehyɛn a.
Nneɛma a ɛsɛ sɛ wohwɛ yiye bere a wode nnuru a ekum mogya mu nkwammoaa kɔkɔɔ redi dwuma no
Sɛnea wɔnom aduru no
Wɔnom nnuru a ekum mogya nkwammoaa mu nkwammoaa dodow no ara sɛ nnuru. Wɔ tebea horow titiriw nkutoo mu na wɔde nnuru a wɔde fa ntini mu di dwuma. Sɛ wo yafunu yɛ wo yaw anaa wo koma yɛ wo yaw bere a worenom nnuru no a, ɛbɛyɛ papa sɛ wobɛnom aduru no ne aduan bi.
Nea ɛho hia sen biara: Sɛ wopa dodow bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛbɛn wo dodow a edi hɔ no yiye (sɛ nhwɛso no, aka nnɔnhwerew kakraa bi pɛ) a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wɔahyɛ no mu. Mfa nnuru abien prɛko pɛ esiane biribiara nti. Afei nso, nnyae nnuru yi mu biara (a aspirin ka ho) nom mpofirim a wunnya wo duruyɛfo afotu. Sɛ woyɛ saa a, ebetumi ama mogya atɔ mpofirim na ɛde asiane aba.
Asiane ne nea efi mu ba
Asiane titiriw a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ dodo. Nea enti a ɛte saa ne sɛ saa nnuru yi mma mogya a wɔmpɛ no ntumi nkɔ ntini no mu, na ɛtwentwɛn mogya a ɛtwetwe a ehia na ama mogya atɔ no agyae bere a obi apira ankasa no nso kyɛ.
| Sɛnea nsunsuanso bɔne no te | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a wɔtaa hu | |
| Ɔdan bruu bere mpo a akuru ketewaa bi wɔ hɔ | Ɛnyɛ den sɛ akuru bɛda adi wɔ nipadua no afã horow. |
| Mogya a ɛba hwene mu | Hwene mu mogya kakra a ntease biara nnim. |
| Mogya a ɛretu fi kuru bi mu | Mogya a egye bere tenten ansa na agyae, mpo efi kuru ketewaa bi mu. |
| Mmea brayɛ | Mogya a ɛtɔ kɛse sen sɛnea ɛte daa. |
| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Mogya a ɛwɔ nsu mu | Nsu a ɛyɛ kɔkɔɔ, pink, anaa bruu. |
| Mogya a ɛwɔ nsu mu | Nsu a ɛyɛ kɔkɔɔ anaa tarry. |
| Mogya a wɔfe | Mogya a ɔfefe anaa mogya a ɛte sɛ kɔfe a wɔayam. |
| Yafunu mu yaw a emu yɛ den | Yafunu mu yaw a ɛba mpofirim, a emu yɛ den, a ɛkɔ so daa. |
| Mogya a ɛtwetwe kɛse a ɛho ayɛ hare | Mogya a ɛyɛ kɛse a ɛte sɛ kurukuruwa (hematoma) a ɛba honam ani. |
Sɛ wuhu sɛnkyerɛnne biara a emu yɛ den te sɛ eyi a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no nkyɛn ntɛm ara.
Nkitahodi a ɛda nnuru afoforo ntam
Sɛ worenom saa aduru yi a, ɛho hia sɛ woka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Nnuru bi betumi ne nnuru a ekum mogya mu nkwammoaa kɔkɔɔ yi adi nkitaho na ama mogya a ɛbɛtɔ obi no ayɛ kɛse. Enti hwɛ hu sɛ wobɛka nneɛma yi ho asɛm akyerɛ wo duruyɛfo:
- Nnuru a wɔde sa nyarewa afoforo.
- Nnuru te sɛ nnuru a wɔde kum ɛyaw a wubetumi atɔ afi nnurutɔnbea a wonkyerɛw wo krataa.
- Vitamins, minerals anaa nneɛma afoforo a wɔde ka ho.
- Titiriw no, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ Ayurvedic anaa Sinhala nnuru biara a wonom ho.
Hena na ɔmfata sɛ ɔnom saa aduru yi?
Ebia nnipa binom mfata mma saa aduru yi. Wo duruyɛfo na obesi eyi ho gyinae.
- Nnipa a wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wɔn oprehyɛn anaa wɔayi wɔn sẽ wɔ nna kakraa a edi hɔ no mu.
- Wonyinsɛn, wɔrebɔ mmɔden sɛ wobenyinsɛn, anaa ɛnanom a wɔma wɔn nufu.
- Nnipa a kan no na mogya atɔ wɔn amemene mu.
- Nnipa a wɔwɔ mogya a ɛtwetwe te sɛ hemophilia.
- Nnipa a wɔwɔ asaabo anaa mmerɛbo mu yare a emu yɛ den.
- Nnipa a wɔanya yafunu mu akisikuru anaasɛ wɔanya bi.
Saa aduru yi yɛ aduru a ɛho hia yiye a ebetumi aboa ma wɔagye nnipa nkwa afi tebea horow a emu yɛ den te sɛ komayare ne akisikuru mu. Enti, ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ na wuhu asiane ahorow a ebetumi aba.
Nkrasɛm a Wɔde Kɔ Fie
- Nnuru a wɔde ko tia mogya mu nkwammoaa kɔkɔɔ yɛ aduru a ɛho hia yiye a wɔde ma de siw nyarewa a ɛde nkwa to asiane mu te sɛ komayare ne akisikuru ano.
- Mma nnnyae saa aduru yi nom anaasɛ nsakra dodow a wode ma no da a wunnya wo duruyɛfo afotu.
- Asiane titiriw a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ dodo. Hwɛ yiye na woanpirapira bere a woreyɛ da biara da dwumadi ahorow no.
- Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya retu kɛse, te sɛ mogya a ɛwɔ wo nsu anaa wo nsu mu, mogya a ɛrefe, anaa yafunu mu yaw a emu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no nkyɛn Emergency Department (ETU).
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo, vitamin ahorow, ne Ayurvedic nnuru a worenom nyinaa ho.
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