So mogya resan afi wo koma pon ano? Momma yɛnka Aortic Regurgitation ho asɛm!

So woasusuw pɛn sɛ apon nketenkete bi wɔ yɛn koma mu a ɛma mogya tu kɔ ɔkwan biako pɛ so? Yiw, ɛyɛ nokware. Nanso, ɛtɔ mmere bi a, saa apon yi betumi anya nsu ketewaa bi. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ, a wɔfrɛ no `(Aortic Regurgitation). Sɛ yɛbɛka no tiawa a, ɔpon a ɛde mogya kɔ koma no mogya ntini kɛse no mu no nto mu yiye, na mogya bi san kɔ koma no mu. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm akɔ akyiri.

Dɛn ne `(Aortic Regurgitation)`? Momma yɛnte ase kɛkɛ!

Fa no sɛ ɔpon kɛse bi wɔ wo koma mu, a yɛfrɛ no `(Aortic Valve)`. Eyi wɔ wo koma ne `(Aorta)`, mogya ntini kɛse a ɛwɔ nipadua no mu no ntam pɛɛ. Bere biara a wo koma bɛbɔ no, mogya a ɛho tew a oxygen wom no fa saa `(Aorta)` yi mu kɔ nipadua no nyinaa mu.

Enti, sɛ koma no dan titiriw a wɔde pɔmpɔ gu mu, benkum so ahurututu no, twetwe a, saa aortic valve yi bue ma mogya fi mu. Afei, sɛ benkum so ahurututu no dwo a, ɛsɛ sɛ saa valve yi to mu denneennen. Ɛno ne bere a mogya no sen kɔ n’anim tẽẽ a ɛnsan mma koma no mu.

Nanso, wɔ obi a ɔwɔ Aortic Regurgitation mu no, Aortic Valve no ntumi nto mu yiye. Eyi kyerɛ sɛ bere biara a benkum so ahurututu no bɛdwo no, mogya bi san kɔ saa dan no mu. Bere a eyi yɛ ade a ɛhaw adwene ankasa no, anigyesɛm ne sɛ, nnuruyɛfo wɔ akwan a wɔfa so sa.

Aortic Regurgitation yɛ komayare a ɛtaa ba no mu biako. Ebetumi ayɛ nea emu yɛ den fi nea emu nyɛ den so kosi nea emu yɛ den so . Ɛtɔ mmere bi a nnuruyɛfo nso frɛ no Aortic Insufficiency.

Dɛn ne `(Aortic Regurgitation)` ahorow atitiriw?

Nnuruyɛfo kyekyɛ Aortic Regurgitation mu abien titiriw:

1. Acute type: Eyi yɛ tebea a ɛba mpofirim mpofirim.

2. Ɔkwan a enni sabea: Eyi yɛ tebea a ɛkɔ so nkakrankakra bere a bere kɔ so no. Wɔtaa hu saa ɔkwan a enni sabea yi wɔ aman te sɛ United States mu.

Nea ɛka ho no, nnuruyɛfo betumi akyekyɛ tebea yi mu bio, a egyina ɔhaw no su so. Wɔkyekyɛ yare no mu nso yɛ no afã horow A, B, C, ne D, a egyina sɛnea emu yɛ den so . Ɔfã D ne ɔfã a emu yɛ den sen biara.

Dɛn ne `(Aortic Regurgitation)` ho sɛnkyerɛnne?

Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:

• Ɛyaw anaasɛ wo koko a ɛyɛ den a wobɛte nka .
• Mewɔ ɔfe.
• Ɔbrɛ a wɔte nka bere nyinaa.
• Koma a ɛbɔ yɛ bere a koma no bɔ wɔ ɔkwan a ɛnteɛ so, te sɛ nea ɛrehuruhuruw.
• Ɛtɔ da bi a, wobɛtumi ahwere w’adwene (syncope).
• Ebia wobɛte ahome a ɛyɛ tiaa (dyspnea) bere a woreyɛ apɔw-mu-teɛteɛ no. Akyiri yi, ebia wobɛte ahome tiaa bere a woada anaa worebɔ mmɔden sɛ wobɛda no.
• Ankles ne nan ho ahonhon (edema).

Nanso kae sɛ, .Sɛ wowɔ aortic regurgitation a ɛnyɛ den na enni sabea a, ebia worennya sɛnkyerɛnne biara bere tenten. Nsɛnkyerɛnne no bɛda adi nkakrankakra bere a tebea no mu yɛ den no.

Dɛn ne nneɛma a ɛde `(Aortic Regurgitation)` ba?

Nneɛma pii nti na ebetumi de tebea yi aba. Momma yɛnhwɛ nea wɔyɛ:

• Valve a ɛyɛ mmerɛw bere a obi nyin: Eyi ne ade a ɛtaa de ba wɔ Amerika ne Europa Atɔe Fam aman mu.
• Koma Yare a Ɛma Ntini Mu Nyarewa: Eyi ne ade titiriw a ɛde ba wɔ aman a afei na wɔrenya nkɔso pii mu. Ɛyɛ atiridiinini a ɛba bere a obi anya menewa mu yare a wɔansa no yare akyi no na ɛde ba.
• Mogya mmoroso.
• Endocarditis: Mpɛn pii no, ɔyare bi a ɛkɔ mogya mu na ɛde eyi ba.
• Apirakuru a ɛba koko so: Sɛ nhwɛso no, biribi te sɛ kar akwanhyia.
• Thoracic Aortic Ntini a Ɛyɛ Fɛ.
• Aortic Ntini a Wɔde Twitwa.
• Aortic Valve no mu nneɛma bi a ɛnteɛ wɔ awo mu: Sɛ nhwɛso no, tebea bi a wɔfrɛ no Bicuspid Aortic Valve. Eyi kyerɛ sɛ valve a mpɛn pii no ɛsɛ sɛ ɛwɔ cusps abiɛsa no wɔ cusps abien pɛ.

Hena na ɔwɔ asiane kɛse mu ma tebea yi?

Nsakrae bi a ɛba wo aortic valve ne akwahosan tebea afoforo mu no betumi ama asiane a ɛwɔ hɔ sɛ wubenya saa valve yare a ɛretu yi ayɛ kɛse. Ebia wobɛkɔ asiane mu sɛ wo:

• Sɛ wowɔ `(Bicuspid Aortic Valve)` anaasɛ awosu mu valve sintɔ foforo a: Nnipa a wɔwɔ `(Bicuspid Aortic Valve)` taa betumi afi ase ayɛ saa valve yi a ɛretu wɔ mfe 20 kosi 40 ntam.
• Calcification of the aortic valve leaflets: Nnipa a wɔwɔ saa ɔhaw yi taa di boro mfe 60, na ebia wɔwɔ valve ho haw bɛboro biako.
• Tebea bi a ɛka aorta a ɛkɔ koma no mu (Aortopathy) a wowɔ.
• Sɛ woadi kan anya atiridiinini a ɛyɛ wo yaw anaasɛ wɔahu sɛ wowɔ komayare a ɛyɛ wo yaw a.
• Sɛ woadi kan ayɛ aortic valve foforo a: Ɛtɔ mmere bi a, bioprosthetic valve no betumi de nkakrankakra ayɛ nea entumi nyɛ adwuma yiye bere kɔ so no.

Dɛn ne nsɛnnennen a ebetumi aba wɔ Aortic Regurgitation mu?

Fa no sɛ, sɛ `(Aortic Valve)` no tu a, mogya a ɛboro so san kɔ koma no `(Left Ventricle)` mu. Afei, mogya bɛhyɛ dan a wɔde pɔmpɛ mu no ma dodo. Nea ɛde ba ne sɛ, ɛsɛ sɛ `(Left Ventricle)` no yɛ adwumaden kɛse de di mogya a ɛboro so yi ho dwuma na ɔde mogya dodow a wɔhwehwɛ no kɔ `(Aorta)` no mu.

Bere kɔ so no, eyi betumi ama benkum so ahurututu no ntini afasu ayɛ den na ayɛ kɛse. Wɔfrɛ eyi sɛ Left Ventricular Hypertrophy. Eyi ma koma no adwumayɛ so tew.

Eyi betumi de nsɛnnennen afoforo te sɛ koma a entumi nyɛ adwuma yiye ne koma a ɛnyɛ den aba.

Aortic regurgitation a emu yɛ den betumi ama tebea horow a emu yɛ den te sɛ ahurututu mu akisikuru ne koma no mu nsu a ɛba no so tew aba.

Ɔkwan bɛn so na wohu yare yi?

Nnuruyɛfo nam nipadua mu nhwehwɛmu ne nhwehwɛmu ahorow so hu Aortic Valve Regurgitation.

Bere a woreyɛ wo nipadua mu nhwehwɛmu no, wo duruyɛfo no bɛyɛ:

• Ka w’aduruyɛ ho abakɔsɛm ho asɛm.
• Wɔhwɛ nsɛnkyerɛnne a ɛho hia te sɛ wo mogya mmoroso.
• Wo duruyɛfo de afiri a wɔde tie asɛm betie wo koma na wahwɛ sɛ nnyigyei soronko bi a wɔfrɛ no aortic regurgitation murmur anaa. Mogya a ɛsan kɔ benkum so ahurututu no mu na ɛde saa nnyigyei yi ba.

Sɛ wɔresusuw mogya mmoroso a, sɛ nsonsonoe kɛse (bɛboro 40 mmHg) da soro ne fam a, eyi nso yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia aortic valve no retu.

Nhwehwɛmu bɛn na wɔyɛ de hu `(Aortic Regurgitation)`?

Sɔhwɛ titiriw a wɔde hwehwɛ yare yi na wobu no sɛ "sika kɔkɔɔ gyinapɛn" ne ``Echocardiogram'' anaa ``Echo'' sɔhwɛ. Eyi de nnyigyei asorɔkye a ɛkɔ soro ``Ultrasound'' di dwuma de twa koma no mfonini. Oduruyɛfo no betumi de akwan horow, te sɛ ``Doppler Ultrasound'', ahwɛ sɛnea wo valve ahorow no yɛ adwuma. ``Doppler Ultrasound'' kyerɛ ahoɔhare ne ɔkwan a mogya fa koma no mu.

Nhwehwɛmu afoforo a ebia ɛho behia na ama wɔahu yare yi anaasɛ wɔayɛ ayaresa ho nhyehyɛe ne:

• Koko so X-ray a wɔyɛ
• Electrocardiogram (ECG/EKG) a wɔde kyerɛw koma no .
• Koma mu MRI nhwehwɛmu
• Coronary Angiogram a Wɔde Yɛ Adwuma
• Koma mu CT scan a wɔde yɛ adwuma
• Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ

Ɔkwan bɛn so na wɔsa Aortic Regurgitation?

Wobetumi de nnuru anaa oprehyɛn ayɛ aortic regurgitation . Sɛ wowɔ tebea bi a emu yɛ den a, wubehia ayaresa ntɛm ara.

Ɛdenam sɛnea wo tebea no mu yɛ den so no, ebia ebehia sɛ wɔyɛ wo oprehyɛn de siesie wo aortic valve no anaasɛ wɔsesa koraa . Wo duruyɛfo bɛhwɛ wo na wasi gyinae sɛ ebia ɛho hia sɛ wɔyɛ wo oprehyɛn anaa. Wɔbɛkyerɛkyerɛ mfaso ne asiane a ɛwɔ oprehyɛn so nso mu akyerɛ wo. Nneɛma te sɛ tawanom ne aduruyɛ mu tebea afoforo a wontumi nni so betumi ama asiane a ɛwɔ oprehyɛn mu no ayɛ kɛse na ama ne ho atɔ no ayɛ den.

Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo besusuw ho sɛ ebia oprehyɛn no fata wo ne asiane ahorow a ɛwom.

Sɛ valve oprehyɛn nyɛ ɔkwan a wubetumi afa so a, ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛboa ma woadi wo koma a entumi nyɛ adwuma yiye no ho dwuma na ama w’asetra atu mpɔn. Nnuru afoforo betumi atew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru so. Nanso kae sɛ bere a nnuru tumi di yare no ho sɛnkyerɛnne ahorow so no, entumi nsiw aortic regurgitation a emu yɛ den ano anaasɛ nsa.

Dɛn ne nsɛnnennen anaa nsunsuanso bɔne a efi ayaresa no mu ba?

Ebia ɛho behia sɛ wɔyɛ nnipa a wɔasiesie aortic valve anaa wɔasesa no oprehyɛn foforo daakye. Asiane ahorow nso wɔ hɔ te sɛ:

• Nnwodwoɔ
• Koma a Ɛyare
• Mogya a ɛretu
• Nsaneɛ
• Koma a ɛbɔ a ɛnteɛ `(Arrhythmia)`

Sɛ wɔsesa aortic valve wie a, ɛho behia sɛ wonom nnuru a ɛma mogya yɛ mmerɛw (ancoagulants) na amma mogya antɔ. Wobetumi anom eyinom asram pii (ama bioprosthetic valves a wɔde mprako, nantwi, anaa onipa ntini ayɛ) anaasɛ nkwa nna nyinaa (ama mfiri valves). Wɔ tebea horow bi mu no, valve a wɔasesa no betumi atu anaasɛ ɛbɛtɔ.

Sɛ wowɔ valve foforo a, ebia wo duruyɛfo betu wo fo sɛ fa nnuru a ekum ɔyare mmoawa ansa na woakɔ sẽ ho oduruyɛfo nkyɛn. Eyi betumi aboa ma wɔasiw ɔyare mmoawa bi a ɛbɛba koma no mu (endocarditis) ano.

So wobetumi asiw Aortic Regurgitation ano?

Ɛnyɛ bere nyinaa na wontumi nsiw koma mu ntini mu yare ano. Nanso, wubetumi ayɛ saa nneɛma yi de atew asiane a ɛwɔ hɔ no so:

• Kwati sɛ wode tawa mu nneɛma bedi dwuma.
• Kwati nnubɔne a wɔde di dwuma.
• Fa wo ho hyɛ apɔw-mu-teɛteɛ mu sɛnea wo duruyɛfo kamfo kyerɛ no.
• Sɛ woyare anaa wunya ɔyare mmoawa a, kɔ oduruyɛfo nkyɛn ntɛm ara.
• Nom wo nnuru nyinaa yiye, a nea wɔde sa mogya mmoroso ka ho.
• Sɛ wo aorta no atrɛw a, to nneɛma a emu yɛ duru a wobɛma so no ano hye.

Daakye bɛn na obi a ɔwɔ `(Aortic Regurgitation)` betumi ahwɛ kwan?

Wubetumi anya aortic regurgitation a enni sabea mfe pii a wunhu sɛnkyerɛnne biara. Nanso, bere kɔ so no, ebetumi asɛe kɛse. Sɛ wufi ase nya ɔhaw wɔ ɔhome mu anaasɛ wo koko yɛ wo yaw a, ebia wubehu.

W’adwene gyina nneɛma pii so, na ebinom ne:

• Bere a wufii ase nyaa sɛnkyerɛnne ahorow no.
• Sɛnea yare no akɔ so akodu.
• Sɛ́ ebia wowɔ komayare anaa.
• Bere a wo nsa kaa ayaresa no.
• W’akwahosan nyinaa.

Nhwehwɛmu ada no adi sɛ nnipa a wɔyɛ wɔn oprehyɛn de sesa valve ansa na koma no ayɛ basaa no wɔ bere tenten mu anidaso pa, sɛ wɔn tebea no mu yɛ den mpo a. Wɔ nnipa a wɔwɔ komayare fam no, ebia adwene a ɛwɔ hɔ no bɛyɛ ketewaa bi.

Nnipa a aortic regurgitation a ɛnyɛ den kosi nea ɛkɔ fam no yɛ yiye wɔ ayaresa akyi. Wɔn mfeɛ 10 nkwa nna yɛ 80% kɔsi 95%.

Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa wo daakye anidaso ho. Wo duruyɛfo nim wo ne w’aduruyɛ ho abakɔsɛm yiye, enti wobetumi de saa nsɛm no adi dwuma de ama woanya nea wobɛhwɛ kwan.

Mɛyɛ dɛn ahwɛ me ho?

Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛhwɛ wo ho no akyi, a nnuru ne asetra mu nsakrae ka ho. Mpɛn pii no, ɛho hia sɛ wonom nnuru no nyinaa sɛnea wɔakyerɛw ama wo na wonom bere koro mu da biara . Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wobɛyɛ nsakrae bi wɔ w’asetra mu, a nea ɛka ho ne:

• Aduan a ɛma koma nya ahoɔden a wobedi: Sɛ nhwɛso no, Mediterranea Aduan. Ebia wo duruyɛfo nso bɛka akyerɛ wo sɛ tew nkyene dodow a wudi no so.
• Yɛ apɔw-mu-teɛteɛ daa: Bisa wo duruyɛfo apɔw-mu-teɛteɛ dodow a wubetumi ayɛ ne apɔw-mu-teɛteɛ ahorow a asiane biara nni ho.
• Kwati sɛ wonom sigaret anaa mfa tawa nneɛma afoforo nni dwuma: Srɛ mmoa na ama woagyae.
• Kwati nnubɔne a wode bedi dwuma: Titiriw nnuru a wɔde fa ntini mu (IV nnuru), efisɛ ɛma asiane a ɛwɔ hɔ sɛ wubenya komayare no yɛ kɛse.
• Hwɛ wo sẽ ne wo sẽ yiye na amma koma no mu ntini mu yare (endocarditis) asiw ano: Nea ɛka eyi ho ne sɛ wobɛkɔ sẽ ho oduruyɛfo nkyɛn asram asia biara.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wowɔ Aortic Regurgitation a, ɛho hia sɛ wodi bere a woahyɛ no so sɛnea ɛbɛyɛ a wo duruyɛfo no betumi ahwɛ wo tebea no. Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ woba.

Sɛ wobɛhwɛ sɛnea wo valve ne koma no yɛ adwuma a, ɛho behia sɛ woyɛ ``Echocardiogram'' bere ne bere mu (asram asia biara kosi mfe anum biara). Aduruyɛ nsrahwɛ a wɔyɛ no daa ho hia na ama wɔahu sɛnkyerɛnne biara a ɛkyerɛ sɛ ``Aortic Regurgitation'' no asɛe. Saa kwan yi so no, wubetumi anya ayaresa wɔ bere a ɛsɛ mu na asiw wo koma a ɛsɛe daa no ano.

Sɛ wɔayɛ wo koma ntini oprehyɛn a, di wo duruyɛfo nhyehyɛe a ɔde di akyi no akyi yiye. Wo duruyɛfo bɛhwɛ wo yiye ahwɛ sɛ wo koma reyɛ adwuma yiye na worennya komayare anaa ɔhaw afoforo.

Sɛ wunya sɛnkyerɛnne foforo, sɛ sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den, anaasɛ wowɔ nsɛmmisa bi fa wo tebea no ho a, frɛ wo duruyɛfo bere biara.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ komayare anaa akisikuru ho sɛnkyerɛnne a, frɛ 911 anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ ntɛm ara. Eyinom yɛ tebea horow a egye ntɛmpɛ a ɛde nkwa to asiane mu na egye ayaresa ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Koma mu ntini mu yare a wobɛtra ase no betumi ayɛ adwennwen. Ebia wowɔ nsɛmmisa pii fa wo tebea no ho, nanso ebia wunnim baabi a wubefi ase. Nsɛmmisa bi a wubetumi abisa wo duruyɛfo ma wasua pii ni:

• Me `(Aortic Regurgitation)` tebea no yɛ aniberesɛm dɛn?
• So mewɔ koma no mu ntini ho haw afoforo?
• So mihia ayaresa? Sɛ saa a, bere bɛn na?
• Dɛn na ɛka ayaresa ho?
• Mpɛn ahe na ɛsɛ sɛ meba bɛyɛ nhyehyɛe a ɛbɛma wɔadi akyi?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ asetra mu de boa me koma akwahosan?

So tebea ketewaa bi a wɔfrɛ no `(Aortic Regurgitation)` no mu yɛ den bere nyinaa?

Nnipa bɛboro 25% a wɔwɔ benkum so ahurututu a ɛnyɛ adwuma yiye no nya sɛnkyerɛnne ahorow wɔ afe biako mu. Nanso, wɔ nhwehwɛmu bi a wɔyɛe wɔ nnipa a wɔn aortic regurgitation a emu nyɛ den kosi nea ɛkɔ fam ho mu no, nnipa dodow no ara anhu wɔn tebea no a asɛe koraa. Adesua no dii wɔn akyi bɛyɛ mfe anum. Enti, ɛnyɛ obiara na ne ho yɛ den, nanso ɛho hia sɛ wɔkɔhwɛ wɔn daa.

So Aortic Regurgitation De Nkwa To Asiane?

Sɛ tebea no mu yɛ den na ɛba mpofirim a, ebetumi de ne nkwa ato asiane mu. Ebetumi ama koma no ayɛ adwuma yiye, koma ntini a ɛma mogya tu, anaasɛ owu mpofirim mpo. Sɛ wowɔ sɛnkyerɛnne ahorow a ɛne sɛ wo ho yɛ wo hyew a emu yɛ den mpofirim a, ɛsɛ sɛ wɔyɛ wo oprehyɛn ntɛm ara.

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Nim a wunim sɛ wowɔ aortic valve a ɛretu no betumi ayɛ hu na ebia wubesusuw nea daakye bɛyɛ ho. Nanso, asɛmpa no ne sɛ esiane nkɔso a aba wɔ aduruyɛ ho nyansahu mu nti, wobetumi aboa nnipa pii a wɔn aortic regurgitation.

Nea ɛho hia sen biara ne sɛ worensuro anaasɛ worenhaw wo ho, na mmom wo ne wo duruyɛfo bɛkasa afa ayaresa a wubetumi apaw ho na woasusuw nea eye ma wo ho. Sɛ wunya ayaresa wɔ bere a ɛsɛ mu na wudi wo duruyɛfo afotu akyi a, wubetumi abɔ bra pa. Hwɛ wo koma so yiye!

` aortic regurgitation, koma valve yare, komayare, ahome a ɛyɛ tiaa, koko mu yaw, echocardiogram, koma oprehyɛn