Sɛ wokɔ oduruyɛfo nkyɛn a, ebia woahu ɔyarehwɛfo anaa oduruyɛfo bi de ahama abɔ wo nsa, abɔ wo ho ban, na wahwɛ mita bi, ɛnte saa? Ɛno ne wo ‘nhyɛso’, anaa sɛnea yɛfrɛ no wɔ aduruyɛ mu no, wo mogya mmoroso. Ɛnyɛ nɔma abien pɛ, ɛyɛ ade a ɛho hia yiye a ɛkyerɛ wo pii fa wo nipadua nyinaa akwahosan ho. Enti momma yɛnka eyi ho asɛm fi mfiase.
Dɛn ne mogya mmoroso kɛkɛ?
Susuw mogya ntini a ɛwɔ wo nipadua mu no ho sɛ paipu nhyehyɛe bi a ɛde nsu fa mu. Koma no ne motor a ɛma nsu no fa mu. Enti, bere biara a koma no bɛbɔ no, ɛpia mogya kɔ mogya ntini titiriw a ɛwɔ wo nipadua mu no mu. Yɛfrɛ no aorta. Saa kwan yi so no, koma no pam mogya bɛyɛ mpɛn 60-100 simma biara, nnɔnhwerew 24 da biara.
Mogya mmoroso yɛ nhyɛso a mogya a wo koma bɔ no de ba wo mogya ntini no afasu so. Saa mogya ntini yi de mframa pa ne aduannuru kɔ wo nipadua no fã biara, akwaa biara.
Nanso ɛnyɛ bere nyinaa na mogya mmoroso yi yɛ pɛ. Ɛsakra gyina nea woyɛ so.
- Wo mogya mmoroso kɔ soro bere a woteɛteɛ w’apɔw mu, foro antweri, anaa wutu mmirika di bɔs akyi no.
- Ebetumi adɔɔso nso bere a w’ani agye anaa wo ho yeraw wo.
- Sɛ woda, wodwo na wogye w’ahome a, wo mogya so tew.
- Afei nso, nnuru bi a wonom, wo gyinabea (gyinabea, tena, da), ne mfe a woadi betumi asesa saa nhyɛso yi.
Dɛn nti na mogya mmoroso ho hia yɛn?
Yɛka mogya mmoroso ho asɛm pii efisɛ ebetumi anya w’akwahosan so nkɛntɛnso kɛse. Sɛ yɛbɛka no tiawa a, ɛte sɛ afiri a wɔde home. Sɛ wohwɛ so a, wubenya apɔwmuden, nanso sɛ woantumi nni so a, ebetumi de ɔhaw akɛse aba.
- Mogya mmoroso (Hypertension): Eyi ne nea yɛfrɛ no ‘mogya mmoroso’. Eyi yɛ asiane titiriw a ɛma obi nya koma ne ntini mu yare. Eyi kyerɛ sɛ hokwan kɛse wɔ hɔ sɛ obi benya tebea horow a emu yɛ den te sɛ komayare ne ɔyare a ɛma obi hwe ase. Ɛtɔ mmere bi a, mogya mmoroso tumi kɔ soro paa. Yɛfrɛ no ``Hypertensive emergency''. Eyi yɛ tebea a egye ntɛmpɛ a ebetumi de nkwa mpo ato asiane mu.
- Hypotension: Eyi yɛ tebea a wɔfrɛ no ‘mogya mmoroso a ɛba fam ’. Eyi betumi ama wo ho ayɛ wo yaw, w’ani betumi ayɛ bruu, na w’adwene atu afra na woahwe ase . Sɛ wohwe ase a, ebia wubehyia akwanhyia afoforo te sɛ wo ti a wobɛbɔ. Sɛ wo mogya so tew dodo a, mogya dodow a ɛkɔ w’akwaa a ɛho hia te sɛ w’amemene ne w’asaabo mu no betumi atew, na wubetumi mpo anya tebea bi a ɛde wo nkwa to asiane mu a wɔfrɛ no ``shock.''
Mpɛn pii no, yɛnte nka sɛ yɛn mogya mmoroso yɛ kɛse anaasɛ ɛba fam. Ɛno nti na nnipa binom frɛ no ‘ɔtamfo a ɔyɛ komm’ no. Ɔkwan biako pɛ a wobɛfa so ahu no yiye ne sɛ wobɛsusuw no yiye.
Wɔtaa yɛ eyi bere a worekɔ wo duruyɛfo nkyɛn no. Wubetumi nso de mogya mmoroso afiri (BP afiri) ahwɛ eyi wɔ fie. Nanso, ɛho hia sɛ wokae sɛ sɛ wohwɛ wɔ fie mpo a, ɛnyɛ nea wode besi oduruyɛfo nkyɛn a wobɛkɔ ananmu .
Bere bɛn na ɛsɛ sɛ wohwɛ wo mogya so?
Ɛho hia sɛ anyɛ yiye koraa no woma w’abusua oduruyɛfo hwɛ wo mogya mmoroso pɛnkoro afe biara . Sɛ wo duruyɛfo no wɔ wo mogya mmoroso ho haw bi, anaasɛ woresa obi foforo yare a, ebia ɔbɛka akyerɛ wo sɛ taa hwɛ sɛnea w’ayaresa no reyɛ adwuma yiye.
Ɛtɔ da bi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ wo mogya mmoroso wɔ fie, da biara anaa pɛnkoro dapɛn biara. Nnipa binom nso yɛ wɔn mogya mmoroso nhwehwɛmu nnɔnhwerew 24. Eyi betumi ahwɛ wo mogya mmoroso da mũ no nyinaa, bere a woada mpo no.
Susuw ho hwɛ, ebia nnipa binom mogya mmoroso bɛkɔ soro kakra esiane ehu ne dadwen a wɔwɔ bere a wɔrekɔ oduruyɛfo nkyɛn anaa wɔrekɔ ayaresabea nti. Yɛfrɛ no ``White coat syndrome''. Nnɔnhwerew 24 sɔhwɛ no nso boa ma wohu tebea horow a ɛtete saa pɛpɛɛpɛ.
Ɔkwan bɛn so na mogya mmoroso nhwehwɛmu yi yɛ adwuma?
Sɛ wosusuw wo mogya mmoroso a, wunya nɔma abien. Sɛ nhwɛso no, 120/80. Dɛn na akontaahyɛde abien yi kyerɛ?
- Nnɔmba a ɛwɔ soro (Systolic blood pressure): Eyi ne nhyɛso a ɛwɔ wo mogya ntini mu bere a wo koma bɔ na ɛde mogya kɔ wo ntini mu no. Eyi ne akontaahyɛde abien no mu nea ɛkorɔn sen biara.
- Nnɔmba a ɛwɔ ase (Diastolic blood pressure): Eyi ne nhyɛso a ɛwɔ mogya ntini no mu bere a koma no dwo wɔ ne bɔ ntam no. Eyi ne dodow a ɛba fam.
Akwan atitiriw abien na oduruyɛfo betumi afa so asusuw eyi:
1. Nsa: Saa kwan yi de cuff ne gauge a ɛkyerɛ nhyɛso no di dwuma. Oduruyɛfo no de nsateaa no kyekyere wo basa ho, de pɔmpɛ kɔ soro, na ɔde mframa gu mu. Afei, oduruyɛfo no de afiri a wɔde tie asɛm di dwuma de nkakrankakra gyae mframa no bere a ɔretie mogya a ɛresen fa wo nsa mu no.
2. Ɔkwan a wɔfa so yɛ adwuma ankasa: Saa kwan yi de ɛlɛtrɔnik mfiri (BP afiri) na edi dwuma. Eyi ma mframa a ɛwɔ cuff no mu no yɛ kɛse na ɛma mframa fi mu. Wɔda wo mogya mmoroso akenkan adi pefee wɔ dijitaal screen so. Saa kwan yi nhia sɛ wɔde afiri a wɔde tie asɛm di dwuma.
Ɔkwan bɛn so na wosiesie wo ho ansa na woasusuw mogya mmoroso?
Sɛ wubenya bo a ɛyɛ pɛpɛɛpɛ sen biara a, yɛ saa nneɛma yi.
- Kwati sigaretnom, apɔw-mu-teɛteɛ, ne anonne a caffeine wom te sɛ kɔfe/tii simma 30 ansa na woasusuw wo mogya mmoroso.
- Kɔ aguaree ansa na ɛno adu. Sɛ akisikuru no ayɛ ma mpo a, ebia nsakrae kakra bɛba nhyɛso mu.
- Tena ase komm na anyɛ yiye koraa no, nkasa simma 5 ansa na woasusuw.
- Sɛ wohyɛ atade a nsa tiaa a, ɛnyɛ den sɛ oduruyɛfo no betumi de abɔso no ahyɛ wo nsa.
Mogya Nhyɛso Dodow ne Nea Nea Ɛkyerɛ
Sɛ wonya wo mogya mmoroso akenkan wie a, ɛho hia sɛ wuhu dodow a ɛwɔ mu Eyi ne sɛnea wɔtaa kyekyɛ mogya mmoroso dodow a ɛwɔ mpanyimfo mu no mu.
| Nhyɛso Nhyɛso (Ɔfã) . | Systolic mm Hg a ɛwɔ nipadua no mu | NE/ANAA | Botae a ɛba fam (Diastolic mm Hg) . |
|---|---|---|---|
| Akwahosan mu gyinabea (Normal) . | Ennu 120 na ɛwɔ hɔ | ne | Ennu 80 |
| Wɔakɔ soro kakra | Wɔ 120 – 129 ntam | ne | Ennu 80 |
| Nhyɛso a ɛkɔ soro - Ɔfã 1 | Wɔ 130 – 139 ntam | Anaasɛ | Wɔ 80 – 89 ntam |
| Nhyɛso a ɛkɔ soro - Ɔfã 2 | 140 anaa nea ɛboro saa | Anaasɛ | 90 anaa nea ɛboro saa |
| Hypertensive Crisis - Hwehwɛ ayaresa ntɛm ara! | Bɛboro 180 | ne/anaasɛ | Bɛboro 120 |
Nea ɛho hia: Sɛ wo gyinapɛn a ɛwɔ soro ne nea ɛba fam no gu akuw abien mu a, wo duruyɛfo no besusuw ɔfã a ɛkorɔn sen biara no ho. Sɛ nhwɛso no, sɛ wo mogya mmoroso yɛ 132/78 a, ɛhyɛ ‘Mogya Nhyɛso a Ɛkorɔn - Ɔfã 1’ kuw no mu.
Wɔtaa kyerɛkyerɛ mogya mmoroso a ɛba fam (Hypotension) mu sɛ akenkan a ɛba fam sen 90/60. Nanso, ebia nnipa binom fi awosu mu mogya so tew kakra a ɔhaw biara nni ho. Nanso, ɛyɛ bere a sɛnkyerɛnne ahorow te sɛ adwenemhaw wɔ hɔ nkutoo na ɛsɛ sɛ wohaw wo ho.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Ɛtɔ mmere bi a ɛsɛ sɛ wohaw wo ho wɔ wo mogya mmoroso ho. Ɛtɔ da bi a, wubetumi ne wo duruyɛfo akasa kɛkɛ, nanso ɛtɔ mmere bi a, ɛsɛ sɛ wohwehwɛ ayaresa ntɛm ara.
| Akwannya | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Sɛ ɛba saa a, wo ne wo duruyɛfo nkasa. | |
| Sɛ wo mogya mmoroso akenkan wɔ fie no kɔ soro anaasɛ ɛba fam bere nyinaa a. | Wo ne wo duruyɛfo nkasa mfa saa gyinapɛn ahorow yi ho. Ebia ɛho behia sɛ wosakra nnuru dodow a wode di dwuma no anaasɛ wufi ase yɛ ayaresa foforo. |
| Sɛ wote nka sɛ wo ho ayɛ wo hyew, w’ani reyɛ bruu, anaasɛ wote nka sɛ wo ho ayɛ wo yaw (eyinom betumi ayɛ mogya mmoroso ho sɛnkyerɛnne). | Tena ase anaa da hɔ ntɛm ara. Afei ka kyerɛ oduruyɛfo no. |
| Sɛ wowɔ nsɛmmisa bi fa wo mogya mmoroso anaa ayaresa ho a. | Mma nsusuw ho da. Bisa wo duruyɛfo no tẽẽ na onnyi w’adwenem naayɛ no mfi hɔ. |
| Sɛ ɛba saa a, kɔ ETU (Emergency Treatment Unit) ntɛm ara! | |
| Sɛ wo mogya mmoroso yɛ 180/120 anaa nea ɛboro saa, na wo nso worenya sɛnkyerɛnne ahorow te sɛ wo koko mu yaw, ahome a ɛyɛ den, tiyɛ a emu yɛ den, ne aniwa a ɛyɛ mmerɛw a. | Eyi yɛ ntɛmpɛ a wɔfrɛ no ``Hypertensive crisis.`` Kɔ ayaresabea a ɛbɛn wo no ETU (Emergency Treatment Unit) ntɛm ara. |
| Sɛ nhyɛso no so tew na w’adwene fi wo ho so a, hwe ase na bɔ wo ti, anaasɛ woda sɛnkyerɛnne ahorow adi sɛ wo ho adwiriw wo, te sɛ wo nipadua a ɛyɛ nwini, wo ho fifiri, na wohome ntɛmntɛm. | Eyi nso yɛ asɛm a egye ntɛmpɛ. Ɛsɛ sɛ wode no kɔ ETU ntɛm ara. |
Wo mogya mmoroso yɛ dodow a ɛho hia yiye a wo duruyɛfo bɛhwɛ so mfe pii. Sɛ wote nka sɛ wo ho ye na wunni ɔhaw biara mpo a, ebia wo mu nhyɛso bɛyɛ kɛse. Enti sɛ wobɛhwɛ mu daa a, ɛno nkutoo ne ɔkwan a wobɛfa so ahu sɛ wowɔ apɔwmuden mu anaa.
Nkrasɛm a Wɔde Kɔ Fie
- Mogya mmoroso yɛ ade a ɛho hia yiye a wɔde susuw w’akwahosan nyinaa ho. Ɛnyɛ nɔma abien pɛ.
- Mpɛn pii no, mogya mmoroso (Hypertension) nni sɛnkyerɛnne pɔtee biara. Enti ebia worenhu. Ɔkwan biako pɛ a wobɛfa so ahu ne sɛ wobɛma wɔahwɛ mu daa.
- Hu wo mogya mmoroso akenkan ne nea ɛkyerɛ. Akenkan a ahoɔden wom nnu 120/80.
- Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ mogya mmoroso a, ɛho hia sɛ wonom nnuru a ɔkyerɛw ma wo no pɛpɛɛpɛ na woyɛ nsakrae wɔ w’asetra mu (aduan a wodi, apɔw-mu-teɛteɛ).
- Mmu w’ani ngu kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mmoroso kɛse anaa ɛba fam koraa no so da. Sɛ ɛho hia a, hwehwɛ ayaresa ntɛm ara.
- Sɛ wo ne wo duruyɛfo yɛ adwuma sɛ kuw na wohwɛ wo mogya mmoroso so a, mubetumi abɔ mo ho ban afi nyarewa a emu yɛ den te sɛ komayare ho.











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