Sɛ yɛte asɛmfua koko mu yaw a, ehu ka yɛn nyinaa, ɛnte saa? Ade a edi kan a ɛba w'adwenem ne sɛ, "So eyi yɛ komayare?" Ɛyɛ ehu a ntease wom. Nanso so wunim sɛ ɛnyɛ komayare na ɛde koko mu yaw nyinaa ba? Ɛnnɛ yɛbɛka saa koko mu yaw a ɛyɛ nwonwa a ɛyɛ soronko a ɛtɔ mmere bi a ɛba yi ho asɛm. Yɛfrɛ eyinom ‘Atypical Chest Pain’.
Dɛn ne koko mu yaw a ɛnyɛ nea wɔtaa yɛ?
Sɛ yɛbɛka no tiawa a, eyi yɛ ɛyaw a ɛnda koko mu ɛyaw ho sɛnkyerɛnne a wɔtaa de bata komayare ho no nyinaa adi.
Afei ebia woresusuw ho sɛ, dɛn ne "typical" chest pain ? Nnuruyɛfo taa susuw sɛ wowɔ komayare sɛ wowɔ sɛnkyerɛnne abiɛsa yi nyinaa a:
1. Ɛyaw bi a ɛwɔ koko no mfinimfini, nufu dompe no ase, a ɛte sɛ nea wɔde adesoa bi reto so .
2. Saa ɛyaw yi kɔ soro bere a woyɛ adwuma a emu yɛ den (sɛ nhwɛso no, antweri a woforo) .
3. Anyɛ yiye koraa no, ɛyaw yi di simma abien na sɛ wogye w’ahome anaa wonom aduru bi te sɛ nitroglycerin a oduruyɛfo akyerɛw wo a, ɛbrɛ ase.
Nanso, ɛsono koko mu yaw a ɛnyɛ nea wɔtaa yɛ. Ebia ɛwɔ atifi hɔ sɛnkyerɛnne no mu biako anaa abien pɛ, anaasɛ ebetumi ayɛ soronko koraa. Nhwɛsoɔ:
- Ba a ɛba simma kakraa bi na afei ɛyera ntɛmntɛm.
- Ɛyaw no kɔ soro bere a wosakra wo gyinabea (e.g., bere a wodan wo ho, wokotow).
- Ɛyaw a ano yɛ den a wobɛte nka, te sɛ nea wɔde sekan abɔ wo.
Fa no sɛ, wote hɔ ara na mpofirim ara wote ɛyaw a ɛyɛ sekan wɔ wo moma so... Ɛkɔ wɔ sikani kakraa bi mu. Seesei ehu aka wo, ɛnte saa? So eyi yɛ komayare? Ɛno ne nea yɛfrɛ no koko mu yaw a ɛnteɛ. Nea ɛyɛ nwonwa no, nnipa pii a wɔba Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no de koko mu yaw a ɛte sɛɛ ba. Nanso wɔn mu 66% mfi komayare bi.
Momma yenhu nsonsonoe a ɛda koko mu yaw a ɛfata ne nea ɛnteɛ ntam ankasa.
Ɛho hia paa sɛ yɛte saa nsonsonoe yi ase. Wubetumi anya eyi ho adwene a emu da hɔ afi pon a ɛwɔ ase ha no so.
| Su a ɛwɔ hɔ | "Typical" koko mu yaw | "Atypical" koko mu yaw |
|---|---|---|
| Ɛyaw su | Ɛte sɛ nea wɔrepiapia, wɔrepiapia no, wɔrebubu, na wɔrehyɛ mu duru. | Ɛyaw a ano yɛ nnam, te sɛ sekan. |
| Abusuabɔ a ɛda apɔw-mu-teɛteɛ ntam | Ɛdɔɔso bere a nipadua no abrɛ, na ɛso tew bere a ɛregye n’ahome no. | Ebia ɛne apɔw-mu-teɛteɛ nni abusuabɔ. Ɛnyɛ ahomegye na ɛbɛtew so. |
| Nneɛma afoforo a ɛwom | Ebetumi de nneɛma te sɛ fifiri, akisikuru, ne ahome a ɛyɛ den aba. | Ebia ɛbɛkɔ soro bere a woresakra gyinabea no. |
| Ɛyaw a ɛtrɛw | Ɛyaw no betumi atrɛw akɔ nsa, kɔn, anaa anom. | Mpɛn pii no, ɛwɔ beae koro no ara. |
| Bere tenten a ɛyaw no te | Anyɛ yiye koraa no, ɛtaa di simma abien. | Ɛba wɔ sikɔne kakraa bi mu na ɛyera ntɛmntɛm saa ara. |
Dɛn ne asiane ahorow a ɛde koko mu yaw a ɛyɛ soronko yi ba?
Nnipa binom taa te ɛyaw ahorow yi. Sɛ wowɔ nea edidi so yi mu biara a, ebia wobɛkɔ asiane kɛse mu kakra:
- Wo a woyɛ ɔbea .
- Mogya mmoroso a obi wɔ .
- Asaabo mu yare a obi wɔ .
- Asikreyare a obi wɔ .
- Esiane sɛ na wadi kan anya komayare nti .
Dɛn ne nneɛma atitiriw a ɛde koko mu yaw a ɛte sɛɛ ba?
Ɔfã a ɛho hia no ni. Koko mu yaw a ɛyɛ soronko betumi de nneɛma ahorow pii aba. Ebetumi afi koma, ahurututu, aduannuru, nnompe, ne w’adwene mu akwahosan mpo so.
Koma mu Nneɛma a Ɛde Ba
- Acute Coronary Syndrome - Mogya a ɛkɔ koma no mu a ɛsiw kwan.
- Pericarditis - Ɔhaw a ɛba ntini a atwa koma no ho ahyia no mu.
- Myocarditis - Koma mu ntini a ɛyɛ hyew.
- Broken Heart Syndrome - Nkɛntɛnso a ɛwɔ koma no so a adwennwen a emu yɛ den de ba.
- Aortic Dissection - Mogya ntini titiriw a efi koma no mu no mu tetew.
- Aortic aneurysm - Mogya ntini titiriw no mu a ɛyɛ kurukuruwa.
Nneɛma a Ɛde Ba a Ɛfa Ahurututu Ho
- Pulmonary Embolism (PE) - Mogya a ɛtɔ wɔ ahurututu mu.
- Ahurututu mu Kokoram
- Ahurututu mu yare
- Pneumothorax - Ahurututu a abubu.
Nneɛma a Ɛde Digestive System Ba
- Gastritis anaa Acid Reflux (Chronic Acid Reflux) - Yɛka sɛ ‘gas’, a ɛkyerɛ sɛ yafunu mu acid ba soro kɔ menewa mu.
- Esophageal Spasm a Ɛyɛ Fɛ
- Esophageal a Ɛpaapae
Nneɛma Afoforo a Ɛde Ba
- Adwennwen ne Dadwen - Wei ye ade a abu so paa.
- Costochondritis - Ɔfe a ɛba ntini a ɛka mpampam a ɛwɔ koko mu no bom.
- Rib a Abubu .
Mmu w’ani ngu koko mu yaw biara so. Ɛyɛ wo duruyɛfo na ɛsɛ sɛ wusi gyinae sɛ ebia ɛyɛ nea ɛfata anaasɛ ɛnteɛ.
Ɔkwan bɛn so na wɔsa eyi? Sɔhwɛ ahorow bɛn na wɔyɛ?
Ayaresa no gyina nea ɛde wo yaw no ba so koraa. Enti, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wubehu nea ɛde ba ankasa . Ebia wo duruyɛfo bɛyɛ nhwehwɛmu ahorow bi wɔ eyi ho.
- Electrocardiogram (EKG) - Sɔhwɛ a ɛkyerɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma.
- Echocardiogram (Echocardiogram - Echo) - Koma no mu nhwehwɛmu.
- Koko so X-ray a wɔyɛ
- CT scan (Kɔmputa so Tomography - CT mfonini) .
- Koma mu MRI mfoninitwa
- Stress Test - Koma a wosɔ hwɛ bere a woreyɛ apɔw-mu-teɛteɛ.
- Koma mu Catheter a Wɔde Ma
Wɔ sɔhwɛ ahorow yi akyi no, wogyina nea ɛde ba no so kyerɛ akwan a wɔfa so sa yare, efi nnuru, akwan horow, anaa oprehyɛn so.
So yebetumi asiw tebea yi ano?
Ɛwom sɛ yentumi nni nneɛma bi a ɛde koko mu yaw soronko ba no so de, nanso yebetumi atew asiane no so kɛse denam asetra a ɛfata a yɛbɛfa so.
- Kwati sɛ wode tawa mu nneɛma bedi dwuma. Eyi ho hia paa.
- Di nnuan a ɛma koma nya ahoɔden. Di aduan a nhabannuru, nnuaba, ne srade pii wom.
- Yɛ apɔw-mu-teɛteɛ daa.
- Nya nnuru a wɔde bɔ wo ho ban a wo duruyɛfo kamfo kyerɛ no.
- Nya nyarewa biara a wowɔ dedaw te sɛ mogya mmoroso ne asikreyare ho ayaresa a ɛfata.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛwom sɛ ɛnyɛ koko mu yaw nyinaa na ɛyɛ komayare de, nanso ɛho hia sɛ wɔma oduruyɛfo hwɛ koko mu yaw biara.
- Ɛyaw a ɛnyɛ nea ɛtaa ba no taa yɛ nnam, enkyɛ, na ebetumi akɔ soro bere a wɔsakra ne gyinabea no.
- Nea ɛde ba no betumi ayɛ biribiara fi koma, ahurututu, aduan mu ntini, kosi adwennwen so. Enti, ɛho hia sɛ wuhu nea ɛde ba ankasa.
- Mmɔ mmɔden da sɛ w’ankasa wobɛsa koko mu yaw wɔ fie. Ebetumi ayɛ nea asiane wom.
- Sɛ ɛyaw no mu yɛ den na ɛyɛ den sɛ wobɛhome a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
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