Sɛ wugyina hɔ mpofirim a, wote nka sɛ wo ho yɛ wo yaw? Momma yɛnka kokoam afiri (Baroreceptor Reflex) a ɛhwɛ nhyɛso a ɛwɔ nipadua no mu so no ho asɛm.

So woanya eyi ato wo pɛn? Sɛ wugyina akongua, mpa, anaa nkongua so mpofirim a, wo tirim yɛ wo yaw, w’ani so yɛ tuntum, na wote nka sɛ wo ho atɔ wo. Eyi yɛ osuahu a nnipa pii taa nya paa. Mpɛn pii no, yɛtwɛn sikani kakraa bi kɛkɛ na afei yɛsan kɔ adwuma. Nanso so woasusuw nea ɛrekɔ so wɔ wo nipadua mu saa bere no ho pɛn? Wo nipadua no wɔ nhyehyɛe bi a ɛyɛ ntɛmntɛm yiye a ɛyɛ adwuma de bɔ wo ho ban. Ɛnnɛ, yɛbɛka nhyehyɛe a ɛyɛ nwonwa yi ho asɛm.

Dɛn ne Baroreceptor Reflex yi?

Sɛ yɛbɛka no tiawa a, eyi ne wo nipadua no mogya mmoroso a ɛyɛ adwuma ankasa . Fa no sɛ, sɛ wosakra wo gyinabea mpofirim, titiriw bere a wugyina baabi a wote anaa woda hɔ a, wo mogya so tew mpofirim kakra. Wɔ mmere te sɛ eyinom mu no, nipadua no nneyɛe a ɛtoatoa so ntɛmntɛm a ɛbɛma wo mogya mmoroso akɔ so ayɛ nea ɛfata no, wɔfrɛ no `Baroreceptor Reflex`.

Eyi yɛ ntɛmntɛm yiye. Saa adeyɛ yi nyinaa si wɔ bere a wo koma bɔ pɛnkoro anaa mprenu no mu. Eyi ne ɔkwan a ɛho hia sen biara a yɛfa so di yɛn mogya mmoroso so wɔ bere tiaa mu.

Ɔkwan bɛn so na eyi yɛ adwuma? Ɛyɛ adwinnade a ɛyɛ nwonwa yiye!

Sɛ yɛbɛte eyi ase a, momma yɛmfa nhwɛso tiawa bi nni dwuma. Fa no sɛ wo mogya ntini te sɛ rɔba nhama. Bere a mogya dodow a ɛsen fa saa ntini yi mu kɔ soro no, ntini no afasu trɛw. Bere a mogya dodow so tew no, saa ntrɛwmu yi so tew.

Wo nipadua no wɔ ntini soronko bi a ɛba awiei a wɔfrɛ no baroreceptors . Eyinom te sɛ nneɛma nketenkete a ɛma wohu nneɛma . Wɔwɔ mogya ntini akɛse a ɛwɔ wo kɔn mu, mogya ntini titiriw a efi wo koma mu no mu titiriw. Saa sensor ahorow yi tumi "te" nhyɛso dodow a wɔde reba saa mogya ntini afasu no so.

Afei nea ɛsɛ sɛ wohwɛ:

1. Sɛ mogya mmoroso yɛ nea ɛfata anaasɛ ɛkɔ soro a: Mogya ntini no afasu atrɛw yiye. Saa sensor ahorow yi de saa nkrasɛm no kɔ amemene no so sɛ, "Okay, nhyɛso a ɛwɔ ha no ye, ɔhaw biara nni ho." Afei amemene no ani gye saa asɛm no ho.

2. Sɛ wo mogya so tew (nea ɛba bere a wugyina hɔ mpofirim): Sɛ wosɔre mpofirim a, tumi a ɛtwe ade ba fam no ma mogya bi kɔ wo nan so. Afei mogya dodow a ɛkɔ wo ti so no so tew kakra, ka wo mogya mmoroso ho. Afei nhyɛso a ɛwɔ mogya ntini no afasu mu no so tew mpofirim. Sɛ yɛn sensor ahorow no te eyi nka ara pɛ a, wɔbɔ hu na wɔde nkrasɛm a egye ntɛmpɛ kɔ amemene no mu, na wɔka sɛ, "Asiane! Nhyɛso a ɛwɔ ha no nnɔɔso! Afasu no ntrɛw!"

3. Amemene no mmuae ntɛm ara: Amemene no yɛ adwuma bere a ne nsa aka saa nkrasɛm yi ara pɛ. Ɛte sɛ nea worebua ɔfrɛ a egye ntɛmpɛ. Amemene no nam wo ntini ahorow so de ahyɛde ahorow mena ntɛm ara:

• De kɔ mogya ntini mu: "Twe den ntɛmntɛm!" Sɛ mogya ntini no mu yɛ den kakra a, nhyɛso a ɛwɔ mu no kɔ soro ara kwa.
• Ɛde kɔ koma no mu sɛ:"Bere kakra ntɛmntɛm na ɛyɛ den!" Eyi ma koma no bɔ ne ahoɔden a ɛma koma ntini no twetwe no yɛ kɛse, na ɛma mogya pii kɔ nipadua no mu.

Eyi nyinaa si wɔ sikɔne kakraa bi mu. Ɛno nti na sɛ wote nka sɛ wo ho ayɛ wo yaw kakra mpo a, ɛbɛkɔ ntɛm. Saa nhyehyɛe a ɛyɛ nwonwa yi mma wo ntumi nnyae.

Bere bɛn na saa reflex yi ba?

Saa `Baroreceptor Reflex` yi betumi ayɛ adwuma bere biara a nsakrae bɛba wo nipadua mogya mmoroso mu. Nhwɛsoɔ:

• Bere a woresakra gyinabea ahorow no: Titiriw bere a wogyina hɔ mpofirim fi tra a wote mu no.
• Sɛ ehu ka wo mpofirim a: Fa no sɛ worenam abɔnten so na ɔkraman bi ahuruw aba w’anim mpofirim. Saa bere no, wo mogya mmoroso nso sesa, na nhyehyɛe yi na ɛhwɛ so.
• Sɛ woresakra w’apɔw-mu-teɛteɛ nhyehyɛe a: Sɛ wufi nantew mu kɔ mmirikatu mu a, wo nipadua hia mogya pii. Saa nhyehyɛe yi nso de ne ho gye mu na ɛsakra wo mogya mmoroso ne wo koma bɔ sɛnea ɛho hia.

Dɛn ne nhyehyɛe yi afã horow? Ɛhe na wɔwɔ?

Eyi nyɛ biribi a ɛwɔ baabi biako. Eyi yɛ afã horow pii a ɛtrɛw wɔ nipadua no mu nyinaa. Saa ntini ahorow yi wɔ wo koma mu, mogya ntini a ɛwɔ wo kɔn mu, ne w’ahurututu mu titiriw. Nsɛm a efi hɔ no kɔ amemene no mu, na wɔyɛ ho adwuma wɔ ntini ahorow no nyinaa mu.

Hwɛ pon a ɛwɔ aseɛ ha no ma nneɛma titire a ɛwɔ saa nhyehyɛeɛ yi mu.

Nyarewa bɛn na ɛka sɛnea saa reflex yi yɛ adwuma?

Ayaresa tebea horow bi betumi asɛe saa `Baroreceptor Reflex` yi dwumadi. Eyi betumi ama obi ntumi nni mogya mmoroso so yiye. Tebea horow yi bi ne:

• Parkinson yare a ɛma obi nya yare
• Stress cardiomyopathy (koma a abubu) .
• Akyi berɛmo mu opira
• Asikreyare a ɛto so 1 anaa ɔkwan a ɛto so abien
• Postural orthostatic tachycardia syndrome (POTS) a ɛma obi tumi gyina hɔ ma .
• Lewy nipadua mu adwenemhaw

Bio nso, akisikuru a ɛwɔ kɔn mu anaa oprehyɛn a wɔyɛ wɔ kɔn mu no betumi asɛe saa nneɛma a ɛma wohu nneɛma yi.

Dɛn ne sɛnkyerɛnne ahorow bere a saa reflex yi ntumi nyɛ adwuma yiye no?

Sɛ nhyehyɛe yi yɛ mmerɛw a, nipadua no ntumi nni mogya mmoroso so ntɛmntɛm sɛnea ɛsɛ, na sɛnkyerɛnne ahorow te sɛ eyinom betumi aba.

Sɔhwɛ bɛn na wɔyɛ de hwɛ sɛ ɔhaw bi wɔ eyi mu anaa?

Sɛ wo duruyɛfo susuw sɛ eyi yɛ a, ebia ɔbɛkamfo nhwehwɛmu ahorow bi akyerɛ wo, te sɛ:

• Mogya mmoroso a wɔde hwɛ: Ebia wɔbɛka akyerɛ wo sɛ hyɛ afiri titiriw bi a ɛkyerɛ wo mogya mmoroso nnɔnhwerew 24 (nnɔnhwerew 24 a wɔde hwɛ wo mogya so).
• Koma a ɛbɔ susuw: Sɔhwɛ ahorow te sɛ ECG.
• Valsalva maneuver: Eyi hwehwɛ sɛ wobɛka akyerɛ wo sɛ kura wo home mu na woyɛ push-up, bere a wohwɛ sɛnea wo koma bɔ ne wo mogya mmoroso sesa no.
• Mogya mu nhwehwɛmu: Hwɛ sɛ ebia aduruyɛ mu tebea afoforo te sɛ asikreyare bi wɔ hɔ anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi na dɛn na yebetumi ayɛ?

Ayaresa a wɔde sa saa ``Baroreceptor Reflex`` mmerɛwyɛ yi gyina nea ɛde ba no so. Ɛtɔ da bi a, wo duruyɛfo betumi akyerɛw wo nnuru te sɛ eyinom na aboa ma woadi wo mogya mmoroso so:

• `Midodrine a wɔde yɛ adwuma`
• `Droxidopa a ɛyɛ adwuma wɔ hɔ`
• `Fludrocortisone a wɔde yɛ aduru`

Nnuru akyi no, asetra pa a wobɛkɔ so akura mu nso ho hia yiye.

Nneɛma a yebetumi ayɛ na ama yɛanya apɔwmuden

Nea ɛbɛyɛ na wo mogya mmoroso akɔ so ayɛ den no, wubetumi ne wo duruyɛfo akasa na woasusuw nneɛma yi ho:

• Aduan a ahoɔden wom: Di aduan a ɛkari pɛ, nkyene nnim, na nnuaba ne nhabannuru pii wom.
• Nnuru foforo a wobɛsesa: Sɛ worenom nnuru foforo a ɛka wo mogya mmoroso a, wo ne wo duruyɛfo nkasa mfa nsakrae a wobɛsesa wɔ dodow a wɔde ma no ho.
• Abdominal binder: Eyi yɛ abɔso a wɔde hyɛ yafunu no ho. Eyi betumi aboa nnipa binom ma wɔn mogya mmoroso akɔ soro. Bisa wo duruyɛfo no eyi ho asɛm.
• Kwati nneɛma a ɛkanyan wo: Sɛ wowɔ saa tebea yi a, hu nneɛma a ɛma wo mogya mmoroso kɔ soro anaa ɛma ɛba fam na bɔ mmɔden sɛ wobɛkwati.

Sɛ wugyina hɔ na wufi ase tu mmirika a, ebia worenhu nsakrae a ɛyɛ nwonwa yi mpo wɔ wo nipadua mu. Nanso wo `Baroreceptor Reflex` yɛ adwuma komm na ɛma wo mogya mmoroso yɛ nea ɛfata. Nanso sɛ wotaa te nka sɛ wo ho yɛ wo yaw anaasɛ wototɔ piti a, mmu w’ani ngu so kɛkɛ. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na woahu nea ɛde ba.