Mprempren, nnipa pii a wɔwɔ Sri Lanka wɔ afiri ketewaa bi wɔ wɔn afie a etumi susuw mogya mmoroso. Sɛ́ ebia wokɔ oduruyɛfo anaa nnurutɔnbea no, afei de wubetumi ahwɛ wo mogya mmoroso ntɛm ara. Nanso so wunim sɛ mfomso nketenkete a yedi bere a yɛresusuw mogya mmoroso no betumi asakra akenkan no koraa? Sɛ yɛbɛka no pɛpɛɛpɛ a, ɔkwan bi wɔ hɔ a wɔfa so susuw eyi yiye. Ɛnnɛ, yɛbɛka sɛnea wobɛsusuw wo mogya mmoroso a worennyɛ basabasa biara, nea gyinapɛn ahorow a wonya no kyerɛ, ne mmeae a ɛsɛ sɛ wohwɛ so ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne mogya mmoroso susuw yi?
Mogya mmoroso susuw yɛ nhwehwɛmu a ɛyɛ mmerɛw yiye a ɛnyɛ yaw a egye nnu simma biako. Ɛhwɛ sɛ wo mogya mmoroso te sɛ nea ɛfata, ɛkɔ soro, anaa ɛba fam. Wubetumi ayɛ eyi wɔ fie, anaasɛ wubetumi ama oduruyɛfo asusuw ho.
Susuw nsu afiri bi ho hwɛ. Sɛ wodan motor no a, nsu no de nhyɛso bi ba saa paipu no afasu so, ɛnte saa? Saa ara nso na nhyɛso a ɛba mogya ntini (ntini) no afasu so bere a yɛn koma no bɔ no ne nea yɛfrɛ no mogya mmoroso . Saa ntini yi de mframa pa ne aduannuru kɔ yɛn nipadua mu akwaa ne ntini biara mu.
Saa nhwehwɛmu yi ho hia efisɛ ɛno nkutoo ne ɔkwan a wɔfa so hu tebea bi a wɔfrɛ no mogya mmoroso. Wɔtaa frɛ mogya mmoroso sɛ "owudifo a ɔyɛ komm." Ɛne sɛ, ebetumi atra nipadua no mu mfe pii a enni sɛnkyerɛnne biara. Nanso saa bere yi mu no, ɛsɛe yɛn koma, mogya ntini, ne asaabo komm. Enti, ɛho hia paa sɛ wosusuw mogya mmoroso daa, sɛ yare no ho sɛnkyerɛnne biara nni hɔ mpo a.
Bere bɛn na eye sen biara a wobetumi de asusuw mogya mmoroso?
Wubetumi asusuw wo mogya mmoroso da biara. Nanso nea ɛho hia sen biara ne sɛ wobɛyɛ no bere koro mu da biara da . Sɛ nhwɛso no, wubetumi asusuw no bere koro mu anɔpa biara ne/anaasɛ bere koro mu anwummere biara.
Mogya mmoroso a wobesusuw no ho hia yiye wɔ tebea horow te sɛ eyinom mu:
- Sɛ woafi ase renom mogya mmoroso nnuru nkyɛe a: Bɛyɛ adapɛn abien akyi bere a woafi aduru no ase no, w’ankasa wubetumi ahu sɛ aduru no reyɛ adwuma anaasɛ ɛnte saa denam wo mogya mmoroso a wobɛsusuw nna kakraa bi a ɛtoatoa so no so.
- Ansa na wobɛkɔ oduruyɛfo nkyɛn: Ɛyɛ papa sɛ wode wo mogya mmoroso akenkan kɔ fie bɛyɛ dapɛn biako ansa na da a wobɛkɔ ayaresabea no adu na woakyerɛw ato hɔ. Nnipa binom tumi te ehu ne ehu nka kakra bere a wɔkɔ oduruyɛfo nkyɛn esiane ayaresabea no tebea nti. Yɛfrɛ eyi "White Coat Syndrome."Wɔsan frɛ eyi. Esiane eyi nti, ebia ɛbɛyɛ te sɛ nea nhyɛso a wɔsusuw wɔ ayaresabea hɔ no kɔ soro kakra. Afei nso, nnipa binom wɔ nhyɛso kɛse wɔ fie na wɔtaa yɛ wɔ ayaresabea. Enti, sɛ woma wɔkenkan akenkan no nyinaa wɔ fie ne ayaresabea a, ɛbɛboa oduruyɛfo no ma wanya wo tebea no ho ntease a eye sen biara.
Oduruyɛfo betumi asusuw wo mogya mmoroso esiane nneɛma yi nti:
- Hwɛ wo tebea no so bere a worenya ayaresa wɔ ayaresabea no.
- Hwɛ sɛ wowɔ mogya mmoroso anaa mogya mmoroso a ɛba fam anaa.
- Hwɛ sɛnea nnuru a wɔkyerɛw maa wo no tu mpɔn.
- Hwɛ asiane a ɛwɔ hɔ sɛ wubenya komayare anaa mogya ntini mu yare.
- Si sɛnea aduruyɛ mu akwan horow te sɛ oprehyɛn ahorow bi a asiane wom ma wo no ho gyinae.
- Hwɛ sɛ wofata ma nnwuma anaa agumadi bi anaa.
Sɛ wubenya akenkan a edi mu sen biara a, siesie wo ho saa!
Sɛ wubenya akenkan a edi mu a, ɛsɛ sɛ wusiesie wo ho kakra ansa na woasusuw wo mogya mmoroso. Sɛ wudi saa anammɔn yi akyi a, wubenya akenkan a edi mu sen biara.
- Gyae saa nneɛma yi yɛ simma 30 ansa na: Kwati tawa nneɛma (te sɛ sigaret), nnuan, anonne (titiriw nea caffeine wom te sɛ kɔfe), na anyɛ yiye koraa no teɛteɛ w’apɔw mu simma 30 ansa na woasusuw wo mogya mmoroso.
- Kɔ aguaree: Ebia wo mogya mmoroso akenkan bɛkɔ soro kakra bere mpo a wo akisikuru ayɛ ma no. Enti kɔ aguaree ansa na woasusuw.
- Gye w’ahome simma 5: Mfa wo mogya mmoroso akenkan nkɔ bere a woakyinkyin anaa woayɛ biribi akyi pɛɛ. Tena akongua a wubetumi atra hɔ tẽẽ so, na ɛnyɛ baabi a wobɛda te sɛ sofa, na anyɛ yiye koraa no gye w’ahome simma 5 .
- Sɛnea wobɛtra ase yiye: Tra akongua bi so a w’akyi tẽẽ , wo nan ntwitwa, na wo nan yɛ petee wɔ fam .
- Sɛnea wode wo nsa besi: Fa abasa a wopɛ sɛ wode susuw wo mogya mmoroso no to pon so. Ade a ɛho hia sen biara ne sɛ wo nsa no wɔ koma mu . Mfa adesoa biara nhyɛ wo basa so, gye w’ahome koraa kɛkɛ.
- Paw nsateaa a ɛfata: Sɛ wode nsateaa a ɛyɛ ketewaa dodo ma wo nsa gu mu a, nhyɛso akenkan no bɛyɛ kɛse atoro. Afei nso, sɛ wode cuff a ɛsõ dodo si hɔ a, akenkan no bɛba fam atoro. Wɔ nnipa dodow no ara fam no, mpanyimfo nsateaa kɛse bɛyɛ papa.
- Sɛnea wobɛkyekyere wo nsateaa no: Ɛsɛ sɛ wode nsateaa no kyekyere wo nsa atifi, wɔ wo nsateaa no atifi pɛɛ . Wubetumi de wo nsa benkum anaa nifa adi dwuma. Nanso mfa nsateaa no nkyekyere wo nsa so bere a wohyɛ wo ntade no. Ɛsɛ sɛ wɔde cuff no kyekyere wo honam ani ma ɛne wo honam ani yɛ pɛ . Eyi ma ɛyɛ mmerɛw sɛ wobɛhyɛ atade a nsa tiaa.
Nea ɛho hia sen biara ne sɛ ɛsɛ sɛ woyɛ komm paa na woyɛ komm bere a woresusuw wo mogya mmoroso no. Nnyɛ biribiara te sɛ nkɔmmɔbɔ anaa video a wobɛhwɛ wɔ wo fon so.
Okay, afei ma yɛnhwɛ sɛnea yebetumi asusuw mogya mmoroso pɛpɛɛpɛ.
Sɛnea wɔde afiri a ɛyɛ adwuma ankasa susuw
Yɛtaa de afiri a ɛte sɛɛ di dwuma wɔ fie. Ɛyɛ mmerɛw yiye.
1. Sɛnea yɛadi kan aka no, tena ase yiye, kura wo nsa, na fa nsateaa no hyɛ mu yiye.
2. Mia afiri no so bɔtn no so na dane no. Afei mframa bɛhyɛ cuff no ma na afi ase ayɛ den.
3. Afei, mframa a ɛwɔ cuff no mu no so tew nkakrankakra na wɔsusuw nhyɛso no.
4. Bɛyɛ simma biako mu no, afiri no screen no bɛkyerɛ wo nhyɛso gyinapɛn abien no.
Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛsusuw pɛnkoro, atwɛn simma biako, na afei woasusuw ade foforo . Saa kwan no so no wubetumi anya adwene a edi mu.
Ɔkwan a nnuruyɛfo fa so (Manual Method) .
Ebia woahu wo duruyɛfo de afiri a wɔde tie asɛm ne afiri a wɔde hyɛ wo mogya mu a wɔde nsa ahyɛ mu ma asusuw wo mogya mmoroso. Nea ɛba ni:
1. Wɔbɔ mframa kɔ cuff no mu na wɔkyekyere wo basa no mu den.
2. Afei wɔde afiri a wɔde tie asɛm no si ntini bi a ɛwɔ wo nsateaa mu (brachial artery) so na wɔma cuff no mu yɛ hyew ntɛmntɛm yiye.
3. Sɛ woyɛ eyi a, wode nnyigyei a edi kan a wote bere a mogya fi ase sen fa ntini no mu no kyerɛw botae biako.
4. Bere a wokɔ so bɔ no, hyɛ botae foforo no nsow wɔ baabi a nnyigyei no yera no.
Esiane sɛ saa kwan yi hwehwɛ osuahu kakra nti, yɛhyɛ nyansa sɛ fa afiri a ɛyɛ adwuma ankasa di dwuma wɔ fie.
Dɛn na wo mogya mmoroso akenkan kyerɛ? Momma yɛnte ase!
Sɛ wususuw wo mogya mmoroso wie a, wunya nɔma abien. Sɛ nhwɛso no, 120/80 mmHg. Ma yɛnhwɛ nea akontaahyɛde abien yi kyerɛ.
- Systolic pressure: Eyi ne dodow a ɛwɔ soro. Ɛyɛ nhyɛso a ɛsen biara a ɛwɔ wo ntini mu bere a wo koma bɔ, a ɛno ne bere a ɛtwetwe de bɔ mogya no.
- Diastolic pressure: Eyi ne nɔma a ɛwɔ ase no. Ɛyɛ nhyɛso a ɛba fam sen biara wɔ ntini ahorow mu wɔ koma bɔ ntam, bere a koma no dwo ma ɛsan hyɛ mogya ma bio no.
Wɔde mercury milimita (mmHg) na ɛsusuw saa gyinapɛn ahorow yi.
| Mogya mmoroso dodow | Systolic mmHg a ɛwɔ nipadua no mu | Diastolic mmHg a ɛwɔ nipadua no mu |
|---|---|---|
| Daa daa | Ennu 120 na ɛwɔ hɔ | na ennu 80 |
| Ɛkɔ soro kakra (Elevated) . | Wɔ 120 – 129 ntam | na ennu 80 |
| Mogya Nhyɛso a Ɛkɔ Anim - Ɔfã 1 (Stage 1 Mogya Nhyɛso a Ɛkɔ Anim) . | Wɔ 130 – 139 ntam | anaasɛ ɛwɔ 80 – 89 ntam |
| Mogya Nhyɛso a Ɛkɔ Anim - Ɔfã 2 (Stage 2 Mogya Nhyɛso a Ɛkɔ Anim) . | 140 anaa nea ɛboro saa | anaa 90 anaa nea ɛboro saa |
| Hypertensive Crisis - Hwehwɛ aduruyɛ mu afotu ntɛm ara! | Bɛboro 180 | ne/anaasɛ bɛboro 120 |
Kae sɛ ebia nnipa binom (sɛ nhwɛso no, wɔn a wɔanya akisikuru nnansa yi) wɔ botae soronko bi a wɔn duruyɛfo de asi wɔn ani so. Enti ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa akyerɛ nea w’ankasa w’atirimpɔw yɛ.
Sɛ ɛte sɛ nea nhyɛso no dɔɔso kakra a, mma ɛnhaw wo!
Sɛ wuhu akenkan a ɛkɔ soro kakra da bi bere a woresusuw wo mogya mmoroso wɔ fie no a, mma wo ho nnpopo. Akenkan a ɛkɔ soro pɛnkoro no nkyerɛ sɛ wowɔ mogya mmoroso.
Sɛ akenkan pii a wɔnom wɔ mmere ahorow mu wɔ nna pii mu no kɔ soro bere nyinaa nkutoo a, oduruyɛfo bɛka sɛ wowɔ mogya mmoroso.
Sɛ wohu sɛ wowɔ mogya mmoroso a, wo duruyɛfo bɛkyerɛw wo aduru a ɛfata ama wo. Ɔbɛtu wo fo nso sɛ yɛ nsakraeɛ bi wɔ w’asetena mu, te sɛ yeinom, de ka wo nnuru no ho anaa ansa na woanom:
- Wo mu duru a wobɛkɔ so akura mu: Bɔ mmɔden sɛ wobɛma wo mu duru a ɛfata ama wo tenten.
- Apɔw-mu-teɛteɛ: Anyɛ yiye koraa no simma 150 dapɛn biara (simma 30 da biara, nnafua 5 dapɛn biara) apɔw-mu-teɛteɛ, te sɛ nantew anaa sakre so.
- Nkyene a wode siw ano: Tew nkyene dodow a wode ka w’aduan ho no so. Ɛyɛ papa sɛ wobɛnom nkyene a ennu miligram 1,500 da biara.
- Aduan a ahoɔden wom: Fa nnuaba, nhabannuru, ne aburow pii ka w’aduan ho, na tew nnuan a ngo ne srade pii wom (titiriw srade a ɛyɛ den) so.
- Kwati sigaretnom: Sɛ wonom sigaret a, ɛho hia sɛ wugyae koraa.
- To nsa ano hye: Sɛ wonom nsa a, yɛ saa wɔ ɔkwan a ɛfata so.
Sɛ ɛba saa a, kɔ oduruyɛfo nkyɛn ntɛm ara!
Sɛ wo susuw wo mogya mmoroso wɔ fie na akenkan no kɔ soro yiye a, mma wo ho nnpopo, twɛn bɛyɛ simma 5 na susuw bio. Sɛ akenkan no kɔ so yɛ kɛse a, wo ne wo duruyɛfo nkasa. Titiriw sɛ w'akenkan no wɔ "Hypertensive Crisis" level (boro 180/120 mmHg) a, hwehwɛ aduruyɛ mu afotu ntɛm ara.
| Kɔ ayaresabea (ETU) ntɛm ara! (Sɛ wowɔ saa nsɛnkyerɛnne yi a ɛne Hypertensive Crisis) | |
|---|---|
| - a ɛyɛ den sɛ wobɛhome | - koko mu yaw |
| - akyi yaw | - anisoadehunu nsakrae (blurring) . |
| - a ɛyɛ den sɛ wobɛkasa | - a ɛyɛ mmerɛw wɔ nipadua no mu |
| - a ɛyɛ tiyɛ a emu yɛ den | |
Sɛnea mogya mmoroso yɛ ɔhaw no, saa ara na mogya mmoroso nso yɛ ɔhaw.Ebetumi ayɛ saa. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, hwɛ yiye wɔ ɛno nso ho.
- Adwumaden
- Adwene a ɛyɛ basaa
- Adwene a ɛyɛ basaa
- Nnipa a wɔtotɔ piti
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, wo ne wo duruyɛfo nka ho asɛm nso.
Wo mogya mmoroso a wobɛsusuw no yɛ adwinnade a ɛsom bo a wode bɛte w’ankasa akwahosan ase. Sɛ wusua sɛnea wobɛsusuw wo mogya mmoroso yiye wɔ fie a, ɛma wunya ahofadi sɛ wobɛyɛ no bere biara, baabiara, na ɛnyɛ den. Sɛ wo gyinapɛn ahorow no yɛ nea ɛfata a, ebetumi ama woanya asomdwoe. Ebetumi nso aboa wo ma woahu na woasa mogya mmoroso a enni sɛnkyerɛnne biara.
Nkrasɛm a Wɔde Kɔ Fie
- Kwati kɔfe, sigaretnom, ne apɔw-mu-teɛteɛ anyɛ yiye koraa no simma 30 ansa na woasusuw wo mogya mmoroso, na anyɛ yiye koraa no gye w’ahome simma 5.
- Sɛ woresusuw a, ma w’akyi nyɛ tẽẽ, wo nan ntwitwa, wo nan nyɛ petee wɔ fam, na wo nsa ntra koma.
- Fa cuff no bɛn honam ani bere nyinaa, na ɛnyɛ ntade no so.
- Sɛ wo mogya mmoroso kɔ soro pɛnkoro pɛ a, mma ɛnhaw wo. Wɔfrɛ no mogya mmoroso bere a woahwɛ wo mogya mmoroso nna pii ne mpɛn pii akyi.
- Sɛ wo mogya mmoroso boro 180/120 mmHg na wowɔ sɛnkyerɛnne te sɛ wo koko mu yaw na ɛyɛ den sɛ wobɛhome a, kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
- Bere biara, sɛ wowɔ adwenem naayɛ anaa dadwen bi wɔ wo mogya mmoroso gyinapɛn ahorow ho a, wo ne wo duruyɛfo nkasa.
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