So wowɔ nsakrae ketewaa bi te sɛ eyi wɔ wo komam? Momma yɛnka (Atrial Septal Aneurysm) ho asɛm!

Ɛtɔ mmere bi a yɛtra ase a nsakrae nketenkete bi wɔ yɛn nipadua mu a yennim, ɛnte saa? Ɛtɔ da bi a, wohu saa nneɛma yi wɔ akwanhyia mu bere a oduruyɛfo bi yɛ biribi te sɛ `scan` ma biribi foforo no. Ɛte saa, saa `Atrial Septal Aneurysm` yi yɛ komayare ketewaa bi a wɔde wo awo mu a mpɛn pii no ɛnkyerɛ sɛnkyerɛnne titiriw biara. Enti momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛnte saa?

Dɛn ne `Atrial Septal Aneurysm`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, eyi yɛ wo koma a ɛnyɛ ne kwan so a wofi awo mu . Ɔfasu a ɛtetew yɛn koma no atifi adan abien no mu, atiridii (a wɔsan frɛ no atiridii) no wɔ ntini foforo bi wɔ mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa ɔfasu no fã bi yɛ mmerɛw na ɛpuepue. Ɛtɔ mmere bi a nnuruyɛfo tumi hu eyi bere a wɔreyɛ echocardiogram, koma no mu nhwehwɛmu no. Nnuruyɛfo nso frɛ eyi sɛ interatrial septal aneurysm.

Nnipa dodow no ara wɔ atrial septal aneurysm, nanso ɛnsiw mogya a ɛnkɔ koma no mu kwan na enhia ayaresa titiriw biara. Ɛwom sɛ wonni akontaabu pɔtee biara a ɛkyerɛ nnipa dodow a wɔwɔ saa tebea yi de, nanso wɔkyerɛ sɛ ɛntaa nsi koraa .

So eyi ahorow bi wɔ hɔ?

Yiw, `Atrial Septal Aneurysm` ahorow atitiriw anum na ɛwɔ hɔ. Wɔkyekyɛ eyinom mu sɛnea koma no fã bɛn na ntini a ɛboro so, anaasɛ nea ɛpuepue no pue kɛse te. Susuw ho hwɛ, koma no nifa, benkum, anaa afã abien no nyinaa.

• Type 1R: Wɔ eyi mu no, nea ɛpuepue no kyerɛ wo nifa atrium.
• Type 2L: Ɛha na protrusion no kyerɛ benkum atrium.
• Type 3RL: Protrusion no dodow no ara wɔ atrium nifa so, nanso kakraa bi nso wɔ atrium benkum so.
• Type 4LR: Wɔ eyi mu no, protrusion no dodow no ara wɔ benkum atrium fã, na kakra wɔ nifa atrium fã nso.
• Ɔkwan a ɛto so 5: Ɛha no, ɛkame ayɛ sɛ nea ɛpuepue no yɛ pɛ wɔ nifa ne benkum ahurututu no nyinaa mu.

Bere a saa nkyekyem yi ho hia nnuruyɛfo no, ɛnyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Nea ɛho hia ne sɛnea ɛka wo.

Dɛn ne `Atrial Septal Aneurysm` ho sɛnkyerɛnne?

Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ atrial septal aneurysm no nni sɛnkyerɛnne biara . Ebia wo duruyɛfo behu no kwa bere a woreyɛ echocardiogram esiane biribi foforo nti no.

Nanso ɛtɔ mmere bi a, komayare afoforo te sɛ koma a ɛbɔ a ɛnteɛ (arrhythmias), mogya a ɛtwetwe, anaa patent foramen ovales (PFOs) betumi aka tebea yi ho. Sɛ eyi ba a, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:

• Koko mu yaw anaasɛ ɛnyɛ dɛ.
• Nsakrae a wobɛte nka wɔ ahoɔhare anaa sɛnea wo koma bɔ no mu, a wonim no sɛ `palpitations`.
• Adwene a ɛyɛ basaa.

Dɛn nti na saa `Atrial Septal Aneurysm` yi ba? Dɛn na ɛde ba?

Nhwehwɛmufo da so ara nnim nea ɛde interatrial septal aneurysm ba ankasa . Nnuruyɛfo ne nhwehwɛmufo binom gye di sɛ ebia awosu mu nneɛma anaa mmerɛwyɛ bi a ɛwɔ yɛn nipadua mu ntini a ɛka bom no mu na ɛde ba. Nanso, wɔda so ara reyɛ eyi ho nhwehwɛmu.

So eyi betumi de nsɛnnennen afoforo aba?

Sɛ wowɔ atrial septal aneurysm biako pɛ a, ɛnyɛ ɔhaw kɛse. Nanso, ɛtɔ mmere bi a, saa tebea yi betumi ama asiane a ɛwɔ hɔ sɛ wubehyia akwahosan ho haw afoforo no ayɛ kɛse . Eyinom bi ne:

• Koma mu nsɛm afoforo a wonya fi awo mu.
• Akisikuru yɛ tebea a mogya a ɛtɔ kɔ amemene no mu.
• Koma mu nnyigyei a ɛnkɔ so pɛpɛɛpɛ (arrhythmias).
• Mogya a ɛtwetwe.
• Tebea bi a wɔfrɛ no `Patent foramen ovale (PFO)` (eyi nso yɛ tokuru ketewaa bi a ɛda koma no ntini ntam).
• Tebea bi a wɔfrɛ no `Atrial septal defect (ASD)` (eyi nso yɛ tokuru a ɛwɔ ɔfasu a ɛda atria ntam).

Nea ɛho hia: Saa nsɛnnennen yi to obiara, nanso asiane yi nti na nnuruyɛfo dwen ho.

Wobɛyɛ dɛn ahu sɛ wowɔ `Atrial Septal Aneurysm`?

Mpɛn pii no, oduruyɛfo betumi ayɛ `echocardiogram` de ahwɛ sɛ eyi te saa anaa. Sɛnea madi kan aka no, sɛ ntini a ɛboro so no pue fi ɔfasu a ɛda koma no ntini ntam no mu bɛboro milimita 10 (nnuruyɛfo binom ka sɛ milimita 15) a, nnuruyɛfo behu sɛ ɛyɛ `Atrial Septal Aneurysm`.

Ɛtɔ mmere bi a, sɛ wo duruyɛfo pɛ sɛ ɔhwɛ eyi yiye a, ebia ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu titiriw bi a wɔfrɛ no transesophageal echocardiogram (TEE). Eyi hwehwɛ sɛ wode afiri ketewaa bi a ɛte sɛ mfoninitwa afiri bɛfa wo esophagus (aduan paipu) ase na ama woatumi ahu ɔfasu a ɛda wo koma ntini ntam no yiye. Eyi betumi aboa ma wɔahu atrial septal aneurysm a ebia wɔbɛpa wɔ echocardiogram a wɔyɛ no daa (transthoracic echocardiogram - TTE - wɔyɛ eyi denam koko so).

Mpɛn pii no, nkurɔfo nnim mpo sɛ wɔwɔ interatrial septal aneurysm. Mpɛn pii no, wohu no wɔ akwanhyia mu bere a wɔreyɛ koma no ho mfonini ho sɔhwɛ esiane biribi foforo nti. Saa sɔhwɛ ahorow yi bi ne:

• `CT scan` a wɔde yɛ koma no (`Koma mu kɔmputa so mfoninitwa (CT)`).
• MRI scan a wɔde hwɛ koma no (Heart MRI).
• Angiogram nhwehwɛmu.

Sɛ oduruyɛfo bi hu sɛ wowɔ atrial septal aneurysm a, ɛda adi sɛ wɔbɛhwɛ komayare afoforo a ɛne no wɔ abusuabɔ nso, efisɛ sɛnea madi kan aka no, ebia nnipa binom a wɔwɔ saa tebea yi nso wɔ komayare afoforo.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wowɔ atrial septal aneurysm, nanso wunni komayare afoforo anaa asiane ahorow a ɛbɛma mogya atɔw ne akisikuru a, ebia worenhia ayaresa biara . Eyi yɛ nokware wɔ nnipa dodow no ara fam.

Nanso, wɔ nnipa binom fam no, nnuruyɛfo betumi akyerɛw nnuru ama wɔn. Ebia aduru a wɔde sa interatrial septal aneurysm no bi ne nnuru a ɛma mogya yɛ mmerɛw (te sɛ nnuru a ekum mogya a ɛtwetwe mogya anaasɛ ɛko tia mogya mu nkwammoaa a ɛma mogya tu). Wɔde nnuru yi ma na ama mogya atɔw, efisɛ nnipa binom a wɔwɔ saa tebea yi wɔ asiane kakra mu sɛ wobenya mogya a ɛbɛtɔ.

Wɔ nnipa binom fam, titiriw wɔn a wɔwɔ patent foramen ovale (PFO) ne aneurysm no, ɔkwan a ɛnyɛ den pii a wɔfrɛ no patent foramen ovale (PFO) closure betumi aboa ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare a ɛma obi hwe ase no so atew. Wɔ saa adeyɛ yi akyi no, ebia ebehia sɛ wonom nnuru a ɛma mogya yɛ mmerɛw a wɔfrɛ no antiplatelets asram pii, anaasɛ wo nkwa nna nyinaa mpo (titiriw sɛ woanya akisikuru pɛn a).

Ɛntaa mma koraa, kyerɛ sɛ, wɔ nsɛm kakraa bi mu no, ɛho hia sɛ wɔde oprehyɛn yi `Atrial Septal Aneurysm` yi fi hɔ.

`Atrial Septal Aneurysm` yɛ aniberesɛm dɛn?

Ɛnyɛ atrial septal aneurysm a obi wɔ nkutoo ne ade a ɛhaw adwene . Ɛntaa mma ɔhaw kɛse bi mma n’ankasa. Nanso, sɛ wowɔ nneɛma afoforo a ɛde asiane ba a ɛbɛma woanya ɔyare a ɛma obi hwe ase (te sɛ mogya mmoroso, asikreyare, sigaretnom, anaa PFO a wowɔ) a, ɛnde ɛsɛ sɛ wohaw wo ho nso wɔ atrial septal aneurysm ho. Eyi betumi ama asiane a ɛwɔ hɔ sɛ wubenya akisikuru no ayɛ kɛse mpo.

So ɛsɛ sɛ yesuro ma yɛn nkwa wɔ tebea yi mu?

Mpɛn pii no, nnipa a wɔwɔ `Atrial Septal Aneurysm` nkwa nna te sɛ nnipa afoforo a wɔwɔ apɔwmuden de . Eyi kyerɛ sɛ ɛho nhia sɛ wohaw wo ho sɛ eyi bɛma wo nkwa nna ayɛ tiaa. Ɛnyɛ obiara tebea na ɛyɛ pɛ. W’ankasa wo tebea betumi ayɛ soronko a egyina nyarewa afoforo anaa akwahosan tebea horow a wowɔ so. Enti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.

Dɛn na wubetumi ayɛ de ahwɛ wo ho?

Sɛ wo duruyɛfo kyerɛw aduru bi a ɛbɛboa ma woasiw ɔyare a ɛma obi hwe ase ano (te sɛ nea ɛma mogya yɛ mmerɛw) a, ɛho hia yiye sɛ wobɛnom sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ, dodow a wɔakyerɛw ama wo, ne bere tenten a wɔakyerɛw ama wo . Mma nnnyae w’aduru nonom anaasɛ nsakra dodow a wode ma no da a wo ne wo duruyɛfo nkasa.

Sɛ wɔyɛ wo oprehyɛn ketewaa bi anaa oprehyɛn kɛse bi a, wo duruyɛfo de wo bɛkɔ akɔhwɛ wo bere ne bere mu . Hwɛ hu sɛ wubedi saa nhyehyɛe ahorow yi so. Ebia ɛho behia nso sɛ woyɛ mfoninitwa nhwehwɛmu anaa scan.

Bere bɛn na ɛsɛ sɛ wokɔ ayaresabea wɔ tebea a egye ntɛmpɛ mu?

Eyi ho hia paa. Sɛ wo anaa obi a wo ne no wɔ akisikuru ho sɛnkyerɛnne a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara a wontwentwɛn wo nan ase . Sɛ obi nya ayaresa ntɛm a, ebetumi asiw ɔsɛe kɛse a efi ɔyare a ɛma obi hwe ase mu ba no ano. Ma nsɛnkyerɛnne yi ntra w’adwenem:

• Ɛbɛyɛ den sɛ wobɛkasa, nsɛm mu yɛ basaa.
• Nipadua no fã biako (basa, nan, anim fã) te nka mpofirim sɛ ɛyɛ mmerɛw, ɛyɛ mmerɛw, anaasɛ ɛyɛ mmerɛw.
• Mpofirim ara, adwenemhaw a emu yɛ den ba.
• Anisoadehu yɛ kusuu mpofirim, anaasɛ anisoadehu yera wɔ aniwa biako anaa abien no nyinaa mu.
• Mpofirim ara, yɛn nkatede biako anaa nea ɛboro saa gyae adwumayɛ (e.g., asɛm a yɛte, hua).
• Mpofirim ara, wote nka sɛ w’adwene atu afra kɛse na ɛte sɛ nea wo werɛ afi baabi a wowɔ.
• Tiyɛ a emu yɛ den yiye a ɛba mpofirim.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wohu sɛ wowɔ `Atrial Septal Aneurysm` a, ɛyɛ ade a ɛfata sɛ wobɛnya nsɛmmisa pii wɔ w'adwene mu. Nsuro sɛ wobɛbisa wo duruyɛfoɔ nneɛma yi ho asɛm:

• "Oduruyɛfo, so mihia ayaresa biara ma saa `Atrial Septal Aneurysm` yi?"
• "Ɛnkyɛ ahe na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio (`follow-up appointments`)?"
• "So mewɔ komayare afoforo a ɛbata saa `Atrial Septal Aneurysm` yi ho?"
• "Sɛ yɛhwɛ tebea a mewɔ mprempren a, dɛn na oduruyɛfo no susuw wɔ m'akwahosan daakye ho?"

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

Ebia ɛbɛyɛ wo nwonwa kakra bere a oduruyɛfo bi ka kyerɛ wo sɛ wowɔ `Atrial Septal Aneurysm`, titiriw sɛ wunnyaa sɛnkyerɛnne biara da a. Nanso, mpɛn pii no, eyi nyɛ biribi a ɛsɛ sɛ ɛhaw adwene wɔ ho . Nnipa dodow no ara tra ase sɛnea ɛsɛ wɔ tebea yi mu a ɔhaw biara nni ho.

Nanso, sɛ wo duruyɛfo ka sɛ wo ho betumi atɔ wo esiane saa ntini a ɛma wo ho yɛ den yi nti a, wo ne no nkasa yiye na yɛ nhyehyɛe a emu da hɔ wɔ anammɔn a ɛsɛ sɛ woyɛ de bɔ wo ho ban ho. Ɛho hia nso sɛ wo ne w’abusua, wo nnamfo a wɔwɔ adwumam, ne afoforo kasa fa kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase ho na aboa ma wo suro no ano abrɛ ase. Sɛ wuhu saa nsɛnkyerɛnne yi a, ebetumi aboa wo anaa obi a wunim no daakye kɛse. Di wo duruyɛfo afotu akyi bere nyinaa. Afei wubetumi akɔ so anya apɔwmuden!

` atrial septal aneurysm, komayare, koma, echocardiogram, echocardiogram, ɔyare a ɛma obi hwe ase, PFO, koma akwahosan