So woyɛ obi a woteɛteɛ w’apɔw mu pii? Momma yensua "Athlete's Heart" ho ade?

So wunim sɛ sɛ yɛteɛteɛ yɛn apɔw mu pii, titiriw sɛ yɛteɛteɛ yɛn apɔw mu denneennen bɛboro dɔnhwerew biako da biara a, yɛn koma betumi anya nsakrae ahorow bi? Eyi ne nea yɛfrɛ no "Athlete's Heart." Mpɛn pii no, nsakrae yi nyɛ asiane, nanso ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi ayɛ te sɛ komayare afoforo de, enti ɛho hia sɛ wohu.

Nsonsonoe bɛn na ɛda agumadifo koma ne komayare a ɛma mogya tu a ɛboro so ntam?

Esiane sɛ nhwehwɛmu no bi (Electrocardiogram - EKG) a ɛfa abien no nyinaa ho no betumi ayɛ pɛ nti, ɛho hia yiye sɛ wubehu nsonsonoe pɔtee a ɛda abien no ntam. Efisɛ biako yɛ nea asiane wom, na biako nso nyɛ saa.

Dɛn ne Hypertrophic Cardiomyopathy?

Bra bɛsusuw ho, eyi yɛ tebea a anibere wom kakra.

• Eyi betumi ama agodifo awuwu esiane koma a ewu mpofirim nti.
• Ahunmu a ɛwɔ wo koma benkum ahurututu mu no so tew.
• Benkum so ahurututu no fasu yɛ kɛse sen obi a ɔwɔ ogumadifo koma no koma fasu.

Enti dɛn ne Agumadifo Koma?

Eyi nyɛ biribi a ɛsɛ sɛ yesuro.

• Eyi remma agodifo nkum komayare mpofirim.
• Ahunmu a ɛwɔ wo koma benkum so ahurututu no mu no yɛ kɛse.
• Benkum so ahurututu no fasu yɛ den, nanso ɛnyɛ kɛse te sɛ nea ɛwɔ hypertrophic cardiomyopathy mu no.

Hena na onya saa tebea yi a wɔfrɛ no agumadifo koma?

Sɛ yɛbɛka no tiawa a, saa tebea yi a wɔfrɛ no "agumadifo koma" no ka agumadifo bɛyɛ 2%. Ɛnyɛ da koro pɛ na ɛba. Ɛtaa ba nnipa a wɔatete wɔn ho denneennen mfe pii mu, a ɛkyerɛ sɛ wɔreyɛ apɔw-mu-teɛteɛ a emu yɛ den da no fã kɛse no ara. Sɛ nhwɛso no, susuw wɔn a wotu mmirika denneennen, asuguarefo a wotu mmirika tenten, ne wɔn a wɔde sakre tu mmirika ho hwɛ. Nhwehwɛmu ahorow bi kyerɛ sɛ tebea no abu so wɔ abibifo agumadifo mu sen mmusuakuw afoforo.

Ɔkwan bɛn so na ogumadifo koma ka wo nipadua?

Susuw ho hwɛ, sɛ woretu mmirika, woreguare, anaa woreyɛ apɔw-mu-teɛteɛ foforo biara a emu yɛ den a, wo ntini hia oxygen pii sen sɛnea ɛtaa ba, ɛnte saa? Enti, sɛ wubedi mframa pa ho ahiade a ɛkɔ soro yi ho dwuma a, ɛsɛ sɛ wo koma yɛ adwumaden kakra. Ne titiriw no, wo koma benkum ahurututu—dan titiriw a ɛma mogya a oxygen wom kɔ wo nipadua no fã a aka no—fi ase bɔ mogya pii sen sɛnea ɛtaa ba, wɔ nhyɛso a ɛkɔ soro mu. Saa benkum so ahurututu yi ne nea ɛnam aorta no so kyekyɛ mogya a oxygen pii wom no kɔ wo nipadua no fã a aka no mu.

Enti, bere a wokɔ so yɛ adwuma da biara da de di wo nipadua ahiade a ɛma mogya ne mframa pa pii ho dwuma no, sɛnea obi a ɔma nneɛma so ntini yɛ kɛse no, saa ara na wo benkum so ahurututu nso yɛ kɛse.Koma ntini no fi ase yɛ kɛse na koma ntini no afasu yɛ den. Eyi ne ɔkwan a koma no fa so yɛ nsakrae ma ɛne asɛnnennen foforo no hyia.

Nanso, sɛ woregye w’ahome a, ɛho nhia sɛ wo koma bɔ mogya pii saa. Enti, ɛnyɛ den sɛ koma no betumi abɔ mogya a nipadua no hia no wɔ koma a ɛbɔ a ɛba fam mpo mu. Eyi ne ade titiriw nti a nnipa a wɔwɔ ogumadifo koma no koma bɔ kɛse bere a wɔregye wɔn ahome sen onipa a ɔte saa no. Nea enti a ɛte saa ne sɛ koma no yɛ adwuma yiye.

Dɛn ne eyi ho sɛnkyerɛnne?

Biribi a ɛma nnipa pii ho dwiriw wɔn ni, na ɛho hia sɛ wuhu. Nokwarem no, sɛnkyerɛnne pɔtee biara nni agumadi mu komayare ho. Ɛno kyerɛ sɛ, sɛ wowɔ saa tebea yi mpo a, ebia worente nka sɛ wo ho nyɛ wo dɛ, worente yaw, anaa worente nka.

Nanso, sɛ wo moma so yɛ wo yaw, wo home yɛ wo yaw, wo koma bɔ wo yaw, anaasɛ wototɔ piti bere a woreyɛ apɔw-mu-teɛteɛ a, ɛnyɛ ogumadifo koma nko na ɛyɛ. Ɛda adi sɛ ɛyɛ komayare foforo, a ebia ɛyɛ nea emu yɛ den. Enti sɛ wowɔ sɛnkyerɛnne a ɛte saa a, mfa nyɛ hwee. Nyansa wom bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.

Dɛn ne nneɛma a ɛde agumadifo koma ba?

Mpɛn pii no, agumadifo binom nya saa tebea a wɔfrɛ no agumadifo koma yi bere a wɔatete wɔn ho denneennen wɔ boasetɔ ho anaa ahoɔden ntetee akyi. Ɛne sɛ, mmirikatu a ɛkɔ akyirikyiri, asuguare nnɔnhwerew pii, ne sakre a wɔde tu mmirika.

Titiriw no, boasetɔ agumadi na ɛda adi kɛse sɛ ogumadifo benkum so ahurututu kɛse ne ɔfasu mu duru yɛ kɛse, efisɛ wɔ agumadi a ɛtete saa mu no, ɛsɛ sɛ koma no bɔ mogya bere tenten.

Agodie ahorow bi a ebetumi akanyan agumadi honhom yi ni:

• Ahyɛmma a wɔde tu mmirika
• Reboro nsuo
• Cross-country skiing - Ɛwom sɛ eyi nyɛ nea nkurɔfo ani gye ho kɛse wɔ Sri Lanka de, nanso eyi nso yɛ nhwɛso.
• Sakretwie
• Mmirikatu a ɛkɔ akyirikyiri

Wobɛyɛ dɛn ahu sɛ wowɔ agumadifo koma?

Eyi nyɛ biribi a wubetumi ahu wɔ fie. Oduruyɛfo betumi ahu eyi yiye. Wɔbɛhwehwɛ wo mu, abisa wo w’agumadi ho asɛm, bere tenten a wode tete wo ho, ne nea ɛkeka ho Bio nso, nsɛnkyerɛnne bi wɔ hɔ a wɔbɛhwehwɛ:

• Koma mu nwiinwii yɛ koma mu nnyigyei a ɛnteɛ a wɔte bere a oduruyɛfo no de afiri a wɔde tie asɛm tie wo moma so no.
• Koma a ɛbɔ nnyigyei a ɛboro so a ɛnyɛ nea ɛtaa ba koma a ɛte apɔw mu.
• Koma a ɛbɔ brɛoo (bradycardia) wɔ ahomegye bere mu – kyerɛ sɛ, ɛbɔ nnu 60 simma biara.
• Mogya mmoroso a ɛba fam kakra sen sɛnea ɛte daa.

Sɔhwɛ ahorow bɛn na wɔyɛ de si eyi so dua?

Sɛ oduruyɛfo no wɔ adwenem naayɛ bi a, wobetumi ayɛ nhwehwɛmu pii de asi so dua na wɔahwɛ ahu sɛ eyi nyɛ komayare foforo a asiane wom:

• Electrocardiogram (EKG/ECG): Eyi kyerɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma. Ebia nnipa a wɔwɔ agumadifo koma bɛda nneɛma bi a ɛnteɛ adi bere a wɔregye wɔn ahome, nanso sɛ wɔteɛteɛ wɔn apɔw mu a, saa sɛnkyerɛnne ahorow yi yera.
• Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Etumi hu nneɛma pii te sɛ koma no mu adan kɛse, afasu no mu duru, ne sɛnea ntini no reyɛ adwuma no pefee. Eyi ho hia yiye na ama yɛahu nsonsonoe a ɛda agumadifo koma ne tebea horow a asiane wom te sɛ Hypertrophic Cardiomyopathy a yɛadi kan aka ho asɛm no ntam.
• Chest X-ray: Eyi betumi ama woanya koma no kɛse ne ne nsɛso ho adwene a ɛyɛ den.
• Koma ne ahurututu mu apɔw-mu-teɛteɛ ho sɔhwɛ: Nea ɛka eyi ho ne sɛ wubetu mmirika wɔ afiri a wɔde tu mmirika so na woahwɛ sɛnea wo koma ne w’ahurututu yɛ wɔn ade wɔ apɔw-mu-teɛteɛ ho.
• Koma MRI: Wɔntaa mfa eyi nni dwuma mfa nhu tebea yi.
• Adwennwen ho sɔhwɛ: Wɔntaa mfa eyi nso nni dwuma.

Ɔkwan bɛn so na wɔyɛ agumadifo koma?

Asɛmpa foforo ni! Agumadifo komayare no nhia ayaresa titiriw biara ankasa. Esiane sɛ ɛnyɛ yare nti, ɛyɛ sɛnea koma no yɛ ade a ɛfata na ɛyɛ papa bere a ɔteɛteɛ n’apɔw mu.

Nanso, sɛ wo duruyɛfo no adwenem yɛ no naa sɛ ebia wowɔ ogumadifo koma anaa komayare foforo te sɛ koma mu ntini mu yare ankasa de si so dua a, ebia ɔbɛka akyerɛ wo sɛ gyae apɔw-mu-teɛteɛ a emu yɛ den bɛyɛ asram abiɛsa. Afei, wɔbɛyɛ nhwehwɛmu foforo, te sɛ echocardiogram, de ahwɛ sɛ wo koma no kɛse so atew anaasɛ nsakrae bi aba anaa.

So saa agodini yi koma rekɔ?

Yiw, ɛtaa ba saa. Bere a agumadifo dodow no ara gyae wɔn ntetee a emu yɛ den no, anaasɛ wɔtew wɔn ntetee a emu yɛ den so akyi no, wɔn koma san de nkakrankakra san kɔ ne kɛse ne ne mu duru a ɛfata mu. Eyi betumi agye asram pii.

Nanso nhwehwɛmu bi daa no adi sɛ kan agumadifo a wɔkorɔn no mu bɛyɛ 20% da so ara wɔ benkum ahurututu a ayɛ kɛse kakra wɔ bɛyɛ mfe anum akyi bere a wogyaee ntetee koraa no. Nanso wɔammɔ nsunsuanso bɔne biara ho amanneɛ.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ eyi mu no so?

Agumadifo koma yɛ sɛnea koma no yɛ n’ade sɛnea ɛsɛ na ɛyɛ papa wɔ apɔw-mu-teɛteɛ a emu yɛ den a ɛma mframa bɔ mu, enti ɛnyɛ tebea a asiane wom. Enti, ɛho nhia sɛ woyɛ biribi titiriw bi de "tew asiane no so." Nokwarem no, nnipa binom bu no sɛ ɛyɛ koma a emu yɛ den ho sɛnkyerɛnne.

Sɛ mewɔ agumadifo koma a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Sɛ oduruyɛfo bi ka kyerɛ wo sɛ wowɔ agumadifo koma a, mma ɛnhaw wo. Apɔw-mu-teɛteɛ ye ma wo koma paa. Nnipa a wɔwɔ ogumadifo koma no ntaa nnya komayare akyiri yi. Nokwarem no, nhwehwɛmu bi a wɔyɛe wɔ agumadifo a wɔkorɔn ho no daa no adi sɛ wɔn boasetɔ ntetee no amma wɔannya komayare akyiri yi. Adanse nso wɔ hɔ a ɛkyerɛ sɛ wɔtra ase kyɛ na wonya apɔwmuden sen onipa a ɔte ase.

Ogumadifo no koma di bere tenten ahe?

Ɛyɛ mmerɛw yiye. Agumadifo koma betumi atra hɔ bere tenten a wokɔ so tete wo ho denneennen no. Sɛ́ ebia wobɛtew wo ntetee no mu den so anaasɛ wubegyae koraa no, wo koma no bɛsan akɔ ne kɛse ne ne kɛse a ɛfata mu wɔ bɛyɛ asram abiɛsa mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Eyi ne ɔfã a ɛho hia sen biara. Ɛwom sɛ agumadifo koma nyɛ hu de, nanso sɛnkyerɛnne ahorow bi wɔ hɔ a sɛ wowɔ bi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa. Efisɛ saa sɛnkyerɛnne ahorow no betumi ayɛ komayare foforo a emu yɛ den ho sɛnkyerɛnne.

Saa sɛnkyerɛnne ahorow no ne:

• Ɔtotɔ piti mpofirim, titiriw bere a ɔreyɛ apɔw-mu-teɛteɛ anaa bere a ɔreyɛ apɔw-mu-teɛteɛ awie no.
• Koko mu yaw anaasɛ te nka sɛ wo koko mu ayɛ den.
• Wo koma a wobɛte nka sɛ ɛrebɔ ntɛmntɛm/koma a ɛrebɔ denneennen, sɛ ɛrema wo ho ayɛ wo yaw a.
• Sɛ wote nka sɛ ɔhome a ɛyɛ den sen sɛnea ɔtaa yɛ bere a woreteɛteɛ w’apɔw mu no.

Kae sɛ saa sɛnkyerɛnne ahorow yi ne ogumadifo koma nni abusuabɔ. Wobetumi akyerɛ sɛ wowɔ komayare anaa komayare a ɛyɛ hu te sɛ nea yɛadi kan aka ho asɛm no (cardiomyopathy). Enti hwɛ yiye paa wɔ saa sɛnkyerɛnne ahorow yi ho, na sɛ wowɔ bi a, kɔ oduruyɛfo nkyɛn ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Sɛ wote nka sɛ worenya komayare (sɛ nhwɛso no, ɛyaw a emu yɛ den wɔ wo koko mfinimfini, ɛhyerɛn kɔ wo nsa, kɔn, anom, fifiri, akisikuru) a, frɛ 1990 (Sri Lanka ambulance adwuma a egye ntɛmpɛ) a ɛnkyɛ. Afei nso, sɛ wuhu sɛ obi ahwe ase mpofirim, onnim hwee, na ontumi nyɛ hwee a, frɛ adwumayɛfo a wɔhwɛ ntɛmpɛ so ntɛm ara na bisa mmoa.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wo duruyɛfo susuw sɛ ebia wowɔ koma mu ntini mu yare soronko bi sen ogumadifo koma, anaasɛ wosusuw sɛ ɛnte saa a, ɔbɛka akyerɛ wo sɛ gyae ntetee kakra na wɔahwɛ tebea no pɔtee. Sɛ ɛte saa a, mma wo ho nnyɛ wo hu, na bisa wo duruyɛfo no nea edidi so yi ho asɛm:

• "So sɔhwɛ afoforo bi wɔ hɔ a metumi abɔ mmɔden sɛ mɛhwehwɛ tebea yi ho nsɛm pii?"
• "Sɛ wugyae ntetee a, bere tenten ahe na ebegye ansa na woayɛ sɔhwɛ bio?"

Ɛtɔ mmere bi a, bere a nnuruyɛfo ayɛ nhwehwɛmu a wobetumi nyinaa akyi mpo no, sɛ adwenem naayɛ ketewaa bi da so ara wɔ hɔ sɛ ebia wowɔ koma mu ntini mu yare a, ebetumi ayɛ den wɔ nkate fam ama wo sɛ wubegyae ntetee kakra ahwɛ sɛ wo koma asan ayɛ sɛnea na ɛte kan anaa. Ebia agumadi bɛyɛ w’asetra fã kɛse.

Nanso, susuw w’akwahosan ne wo daakye ho. Wo ne wo duruyɛfo nka eyi ho asɛm pefee na fi nokwaredi mu. Ɛmfa ho sɛnea agumadi ho hia wo no, w’asetra ho hia kɛse mpo, ɛnte saa?

Nsɛmmisa bi a wotaa bisa wo duruyɛfo no bi ne:

• So ɛsɛ sɛ meyɛ nhwehwɛmu daa sɛ ebia mewɔ komayare anaa?
• Mpɛn ahe na ɛsɛ sɛ mehwɛ me koma akwahosan?
• So biribi wɔ me sɔhwɛ amanneɛbɔ ahorow mu a ɛka sɛ ɛsɛ sɛ wɔyɛ m’abusua mufo afoforo (ɛna, agya, anuanom) mu nhwehwɛmu sɛ ebia wɔwɔ komayare anaa? (Eyi ho hia efisɛ komayare ahorow bi fi awosu mu.)

Enti, dɛn ne nkrasɛm a yɛde kɔ fie ma yɛn fi saa asɛm yi mu?

Sɛ yɛbɛka no tiawa a, sɛ woyɛ obi a woteɛteɛ w’apɔw mu pii, titiriw boasetɔ apɔw-mu-teɛteɛ a, ɛyɛ ade a ɛfata sɛ wo koma benya nsakrae bi. Wɔfrɛ eyi "Agumadifo Koma." Eyi nyɛ yare a ɛyɛ hu. Mpɛn pii no, enhia sɛ wɔsa no yare, na koma no san ba sɛnea na ɛte kan no bere a wotew wo ntetee no mu den so anaasɛ wugyae no.

Nanso, ɛho hia yiye sɛ yɛkyerɛ nsonsonoe a ɛda eyi ne komayare a ɛyɛ hu te sɛ Hypertrophic Cardiomyopathy ntam. Efisɛ, saa tebea horow no hwehwɛ sɛ wɔsa no ntɛm. Enti, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ wo koko mu yaw, wo home a ɛyɛ tiaa, ɛyɛ den ma wo sɛ wobɛhome a ɛnyɛ ne kwan so, anaasɛ wo koko a wobɔ a, kae sɛ eyinom nyɛ agumadifo koma ho sɛnkyerɛnne, na akyinnye biara nni ho sɛ hwehwɛ aduruyɛfo afotu. Bere biara a w’adwene mu yɛ wo naa no, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa na woayɛ w’adwene mu asomdwoe ne w’ahobammɔ ho nhwehwɛmu.

Kae sɛ apɔw-mu-teɛteɛ ho hia na ama woanya apɔwmuden, nanso sɛ wobɛyɛ no dwoodwoo na woayɛ no yiye a, ɛho hia sen saa mpo!

` Agumadifo koma, apɔw-mu-teɛteɛ, koma akwahosan, hypertrophic cardiomyopathy, koma a ɛbɔ, koma mu nhwehwɛmu, agumadi mu nnuru