Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na wo ho adwiriw wo bere a wo ba no duruyɛfo ka kyerɛ wo sɛ tokuru bi wɔ wɔn koma mu no. Ebia woredwene sɛ, "O me Nyankopɔn, dɛn na ɛtoo me ba?" Nanso mma ɛnhaw wo. Saa tebea yi abu so kɛse wɔ nnuruyɛ mu. Ɛnnɛ yɛrebɛka saa tokuru a ɛwɔ koma mu yi ho asɛm, a ɛno ne nea yɛfrɛ no `(Atrial Septal Defect - ASD)` wɔ aduruyɛ mu, ne ayaresa a wɔde sa no, a ɛyɛ `(ASD Closure)`.
Sɛ yɛbɛka no tiawa a, dɛn ne ASD?
Yɛn koma wɔ adan atitiriw anan. Wɔfrɛ atifi dan abien no sɛ atria. Ɔfasu (septum) bi wɔ saa ntini abien yi ntam. Atrial Septal Defect (ASD) yɛ tokuru a ɛnyɛ ne kwan so a ɛwɔ ɔfasu yi mu.
Susuw ho hwɛ, ɛkame ayɛ sɛ wɔwo akokoaa biara a tokuru ketewaa bi wɔ ɔfasu yi mu. Ɛno yɛ ade a ɛfata. Saa tokuru yi ankasa to mu wɔ adapɛn anaa asram kakraa bi akyi wɔ akokoaa no awo akyi. Nanso ɛtɔ da bi a, saa tokuru yi tumi yɛ kɛse kakra, anaasɛ entumi ntoto n’ankasa mu. Ɛno ne bere a yɛfrɛ no ASD.
So ɛho hia sɛ wɔto tokuru yi mu? Henanom na wohia saa ayaresa yi?
Sɛ tokuru no sua koraa a, ebia ɛremma ɔhaw biara mma. Ebia ayaresa biara ho nhia. Nanso sɛ tokuru no sõ a, ebetumi ayɛ ɔhaw.
Nea ɛba ne sɛ esiane tokuru yi nti, mogya a efi koma no dan biako mu fi ase tu kɔ ɔdan a ɛnteɛ no mu. Afei ɛsɛ sɛ koma ne ahurututu yɛ adwumaden sen sɛnea wɔtaa yɛ no. Bere kɔ so no, eyi betumi de nsɛnnennen ahorow aba.
Ade a ɛho hia sen biara ne sɛ wobɛsa eyi ansa na nsɛnnennen asɔre. Enti sɛ wo duruyɛfo kamfo oprehyɛn yi kyerɛ a, nsuro.
Nsɛnnennen atitiriw a ebetumi aba esiane tebea yi nti ne:
- Koma mu nnyigyei a ɛnkɔ so daa, a wɔsan frɛ no `(Arrhythmia)` tebea horow. Sɛ nhwɛso no, `(Atrial Fibrillation)` anaa `(Atrial Flutter)`.
- Koma no a ɛtrɛw.
- Asiane a ɛwɔ hɔ sɛ koma no bɛyɛ adwuma yiye.
- Mogya mmoroso a ɛkɔ soro wɔ ahurututu mu (Pulmonary Hypertension).
- Ɔhome a ɛyɛ den.
- Asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase.
Sɛ wo anaa wo ba no wɔ asiane mu sɛ wobenya saa nsɛnnennen yi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ to tokuru no mu (ASD Closure). Afei nso, sɛ wɔreyɛ wo oprehyɛn wɔ komayare foforo ho a, ebia wo duruyɛfo no besi gyinae sɛ ɔbɛto tokuru no mu bere koro no ara mu. Wɔtaa yɛ saa oprehyɛn yi wɔ mmofra nkumaa so na amma koma no ansɛe daakye.
Ɔkwan bɛn so na wɔbɛto tokuru no mu? Akwan atitiriw abien na ɛwɔ hɔ!
Akwan titiriw abien na wɔfa so to tokuru yi mu: koma a wɔabue mu oprehyɛn ne akwan a ɛnyɛ oprehyɛn a wɔde catheter di dwuma. Wo koma ho ɔyaresafo na obesi ɔkwan a eye ma wo tebea no ho gyinae.
| Ɔkwan a wɔfa so sa yare | Nkyerɛmu |
|---|---|
| 1. Koma a Wɔabue Mu Oprehyɛn (Oprehyɛn a Wɔto Mu) . | Wɔ eyi mu no, wɔtwa wɔ koko no fã, na ɛkɔ koma no mu tẽẽ na wɔto tokuru no mu. Wobetumi de aduru a wɔde ayɛ ade, ntini afoforo a efi nipadua no mu, anaa nhama a wɔde kyekyere tokuru no mu atoto tokuru no mu. Wɔyɛ eyi wɔ aduru a wɔde kum nipadua no nyinaa ase. |
| 2. Transcatheter a Wɔto mu | Eyi nhia sɛ wɔtwa no kɛse. Wɔde afiri (catheter) a ɛyɛ tratraa paa fa mogya ntini bi a ɛwɔ asen no mu kɔ koma no mu, na wɔde afiri titiriw bi (afiri a wɔde to mu) fa mu de to tokuru no mu. Bere a wɔde sa yare no yɛ tiaa, na akuru kɛse biara nka. |
Kakra kakra fa Transcatheter Closure ho
Sɛ tokuru a ɛwɔ wo koma mu no sua na wunni komayare foforo biara a, wɔtaa paw saa kwan yi. Wɔ saa kwan yi so no, ɔyarefo no nna koraa. Wɔde nnuru a ɛma obi dwo a emu nyɛ den di dwuma. Oduruyɛfo no de catheter a wɔde fa ntwitwiridii ketewaa bi a ɛwɔ asen no mu, X-ray ne ``(Echocardiogram)`` di dwuma de kyerɛ catheter no kwan kɔ koma no mu. Afei, wɔde afiri a ɛto tokuru no si hɔ pɛpɛɛpɛ na woyi catheter no. Sɛ obi ho tɔ no ntɛmntɛm yiye wɔ saa kwan yi so.
Dɛn na ɛba wɔ ayaresa akyi? Bere tenten ahe na egye na obi ho atɔ no?
Ɛdenam ayaresa a wɔde ma wo so no, ebia ebehia sɛ wotra ayaresabea hɔ da koro anaa nea ɛboro saa. Aduruyɛ kuw no bɛhwɛ wo yiye.
- Sɛ wɔayɛ wo oprehyɛn a wɔabue ano a , ɛsɛ sɛ wokwati dwumadi ahorow a emu yɛ den te sɛ nneɛma a emu yɛ duru a wobɛma so adapɛn kakraa bi.
- Sɛ wɔyɛɛ wo catheter procedure , mpɛn pii no wubetumi asan akɔ wo dwumadi ahorow a na woyɛ daa no mu wɔ dapɛn biako mu.
Wɔ ayaresa akyi no, nnuru a wɔde siw mogya a ɛbɛtɔ no ano bɛyɛ asram 6Ɛho behia sɛ wofa. Afei nso, ne titiriw no, sɛ woreyɛ wo sẽ ayaresa a, wo duruyɛfo betu wo fo sɛ fa nnuru a ekum ɔyare mmoawa na amma woannya ɔyare mmoawa.
Ade a ɛho hia sen biara ne sɛ wobɛhwɛ ahu sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu. Ɛbɛhia sɛ woyɛ nhwehwɛmu ahodoɔ pii, te sɛ ``Echocardiogram'' ne ``Electrocardiogram - ECG'', de hwɛ sɛ ayaresa no yɛ yie anaa.
So asiane bi wɔ saa ayaresa yi mu?
Sɛnea ɛte wɔ aduruyɛ biara ho no, asiane nketenkete bi wɔ hɔ. Nanso, mpɛn pii no ɛyɛ ayaresa a ahobammɔ wom yiye na etu mpɔn. Asiane ahorow a ebetumi aba ne:
- Nneɛma a wɔde sa yare no ho akisikuru.
- Koma a ɛbɔ a ɛnteɛ (Arrhythmia).
- Mogya a ɛretu.
- Koma ntini anaa mogya ntini a ɛsɛe (eyinom ho yɛ na yiye).
- Nyarewa a atwa baabi a wɔatwa anaa afiri a ɛtoo tokuru no ho ahyia.
- Stroke anaa Bere tiaa mu Ischemic Attack.
Wo duruyɛfo no bɛka asiane ahorow yi ho asɛm akyerɛ wo. Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho, mpɛn pii no saa nneɛma yi nsi.
Tebea horow bɛn mu na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Sɛ wuhu kɔkɔbɔ sɛnkyerɛnne biara wɔ w’ayaresa akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara anaasɛ wokɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) so.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛsɛ sɛ wohwɛ yiye | |
|---|---|
| - mogya, akisikuru, anaase nsuo foforɔ a ɛretu afiri nea wɔatwa no mu. | - koko mu yaw. |
| - a woyera wo nhumu anaase ntwitwiridii. | - Huraeɛ. |
| - yaw no nkɔ soro anaasɛ ɛntew ɛmfa ho sɛ wɔnom nnuru a wɔde kum ɛyaw. | - a ɛyɛ den sɛ wobɛhome. |
| - nsakrae a ɛba koma mu nnyigyei mu (ɛte sɛ nea ɛrebɔ wɔ koko mu). | |
Sɛ yɛde rewie a, ASD Closure yɛ ayaresa a ɛho hia paa a ɛbɔ koma ne ahurututu akwahosan ho ban, ɛboa wo anaa wo ba ma wotra ase kyɛ, a ahoɔden wom.
Nkrasɛm a Wɔde Kɔ Fie
- Atrial septal defect (ASD) yɛ tokuru a ɛwɔ ɔfasu no mu wɔ koma no atifi adan abien no ntam.
- Esiane sɛ ntokuru akɛse de nhyɛso kɛse ba koma ne ahurututu so nti, ɛho hia sɛ wɔto mu na amma nsɛnnennen a ɛbɛba daakye no asiw ano.
- Akwan a wɔfa so yɛ koma a wɔabue mu ne akwan a ɛnyɛ oprehyɛn a wɔde catheter di dwuma de to eyi mu wɔ hɔ. Wo duruyɛfo na obesi ɔkwan a eye ma wo ho gyinae.
- Sɛ wɔsa yare wie a, ɛho hia paa sɛ wodi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ na wokɔ ayaresabea ahorow wɔ nna a wɔahyɛ ato hɔ no mu.
- Saa ayaresa yi ma nkwa nna yɛ kɛse na ɛboa kɛse wɔ asetra a ahoɔden wom mu.
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