So woyɛ obi a ɔnom sigaret? Anaasɛ wode tawa di dwuma? So wotaa te ɛyaw ne wo nsateaa ano, wo nansoaa, ne wo nansoaa ano? So ɛtɔ mmere bi a wo nsateaa dan bruu anaasɛ ɛyɛ fitaa? Mma w’ani ngu saa nneɛma yi so. Eyi betumi ayɛ tebea bi a emu yɛ den a wɔfrɛ no ‘Buerger yare’ a ɛyɛ soronko ma sigaretnomfo no mfiase. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi a wubetumi ate ase so.
Dɛn ankasa ne Buerger Yare no?
Sɛ yɛbɛka no tiawa a, Buerger yare no yɛ tebea a ɛntaa nsi a ɛka mogya ntini (mogya ntini) a ɛwɔ wo nsa ne wo nan mu no. Mogya ntini nketewa ne akɛse a ɛkɔ wo nsateaa ano no na ɛka wo kɛse.
Aduruyɛ mu din foforo bi wɔ hɔ a wɔde frɛ eyi, a ɛne `(Thromboangiitis Obliterans)` . Ɛte sɛ nea edin no yɛ den kakra, ɛnte saa? Momma yɛnte ase tiawa.
- ‘Thrombo’ kyerɛ mogya a ɛtɔ.
- ‘Angiitis’ kyerɛ mogya ntini a ɛyɛ hyew, anaasɛ ɛho ahonhon.
- ‘Obliterans’ kyerɛ sɛ wɔresiw biribi kwan, abɛyɛ nea enni hɔ koraa.
Enti sɛ yɛbɛka no tiawa a, eyi yɛ yare a mogya ntini ahonhon, mogya a ɛtɔ gu mu, na mogya no siw koraa .
Fa no sɛ nsu afiri bi a nkannare ne efĩ ayɛ mu ma. Saa na ɛba yɛn mogya ntini mu wɔ saa yare yi mu. Sɛ mogya a ɛsen fa mogya ntini no mu no sɛe a, ntini a ɛwɔ akyirikyiri te sɛ nsateaa ano no nnya mframa pa ne aduannuru a wohia no. Eyi de ɛyaw kɛse ba mfiase no, na afei ntini ahorow no fi ase wuwu.
Saa yare yi abu so kɛse wɔ aman te sɛ Sri Lanka a tawanom dɔɔso wom mu. Nanso, asɛmpa no ne sɛ, esiane sɛ wɔn a wɔnom sigaret no so atew nti, nnipa dodow a wɔanya saa yare yi nso so atew kɛse.
Dɛn ne yare yi ho sɛnkyerɛnne? Woyɛ dɛn hu no?
Buerger yare no ho sɛnkyerɛnne mma mpofirim. Wonyin nkakrankakra bere a bere kɔ so no. Nsɛnkyerɛnne bi wɔ hɔ a ɛda adi ntɛm, ne sɛnkyerɛnne ahorow a ɛda adi bere a yare no kɔ so no nso wɔ hɔ.
| Su ahorow a ɛwɔ hɔ | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a edi kan |
|
| Nsɛnkyerɛnne a ɛba bere a bere kɔ so no |
|
Nea ɛho hia sen biara ne sɛ, mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase wɔ nsateaa ano na afei ɛde nkakrankakra trɛw kɔ soro, kyerɛ sɛ, ɛfa nsa ne nan ho.
Dɛn nti na saa yare yi ba? Henanom na wɔwɔ asiane kɛse mu?
Nyansahufo da so ara nnim nea ɛde Buerger yare no ba ankasa , nanso abusuabɔ a emu yɛ den na emu da hɔ sen biara a wɔahu de besi nnɛ ne tawanom .
Nyansahufo gye di sɛ nnuru bi a ɛwɔ tawa mu sɛe mogya ntini a ɛkata mogya mu no na ɛma ɔfe. Eyi ma mogya ntini no hohoro na mogya a ɛtwetwe no siw ano. Nyansahufo binom susuw sɛ ebia ɛyɛ awosu mu ade anaasɛ ɔyare bi a nipadua no tumi ko tia nyarewa.
Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya yare yi yɛ kɛse:
- Tawa a wɔnom: Biribiara a wɔnom te sɛ sigaret, beedis, sigaret, ne tawa a wɔwe ne ade titiriw a ɛde asiane ba. Ebia wii a wɔde di dwuma nso ka ho.
- W’ankasa wo sigaret a wobɛyɛ: Nnipa a wɔde sigaret a wotumi bobɔw di dwuma no wɔ asiane kɛse mu.
- Bɔbeasu: Mmarima taa nya saa yare yi sen mmea.
- Mfeɛ:Saa yare yi taa ba mmerante ne mmabaa a wɔadi fi mfe 20 kosi 45 so.
Dɛn ne nsɛnnennen a ebetumi afi Buerger yare no mu aba?
Sɛ wɔantumi anhyɛ saa yare yi so yiye, kyerɛ sɛ, sɛ wɔkɔ so nom tawa a, nsɛnnennen a emu yɛ den betumi aba. Nanso, wɔntaa nhu eyinom wɔ nsɛm dodow no ara mu.
- Twitwa: Eyi ne ɔhaw a ɛtaa ba. Sɛ gangrene ba a, ɛsɛ sɛ wɔyɛ oprehyɛn yi ntini a awuwu no. Sɛ ɛnte saa a, ɔyare mmoawa no betumi atrɛw akɔ nipadua no nyinaa mu.
- Nnwodwoɔ
- Koma mu yare
- Ischemic ntua a ɛkɔ so bere tiaa bi
- Ɔhaw ahorow a ɛba mogya ntini a ɛwɔ dwensɔtwaa mu no ho.
- Ɔhaw ahorow a ɛfa ntini ahorow ho.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Obebisa wo nsɛm, ahwehwɛ wo mu, na wabɔ mmɔden sɛ obehu sɛ eyi ne yare no anaa.
Mpɛn pii no, nea edidi so yi boa wɔ sɛnea wobehu yare no mu:
1. W’aduruyɛ ho abakɔsɛm: Wobebisa wo nneɛma te sɛ sɛ ebia wonom sigaret, bere tenten a wode anom sigaret, ne sigaret dodow a wonom da biara ho asɛm.
2. Nipadua mu nhwehwɛmu: Wɔbɛhwɛ wo koma a ɛbɔ. Wɔ Buerger yare no mu no, ebia ntini a ɛwɔ akyirikyiri (e.g., wɔ nan ne abasa mu) no bɛyɛ mmerɛw.
3. Nhwehwɛmu titiriw a wɔyɛ wɔ mogya ntini mu:
- Ultrasound Scan: Eyi betumi ahwɛ sɛ mogya atɔ mogya ntini no mu anaa.
- Ankle-Brachial Index (ABI): Eyi susuw mogya mmoroso a ɛwɔ wo nan ne wo nsa mu na ɛde gyinapɛn abien no toto ho. Sɛ mogya mmoroso a ɛwɔ wo nan mu no sua koraa sen wo nsa mu a, ɛkyerɛ sɛ mogya a ɛkɔ wo nan mu no sua.
- Angiogram: Eyi ne nhwehwɛmu a eye sen biara a wode hwehwɛ sɛ wo mogya ntini mu asiw. Wɔ eyi mu no, wɔde aduru titiriw bi gu wo mogya ntini biako mu na wɔyɛ X-ray anaa CT/MRI scan. Eyi ma oduruyɛfo no hu baabi a asiw no ne dodow a asiw no pefee.
Dɛn ne ayaresa a eye sen biara ma eyi?
Kae eyi. Wɔnnya nnyaa Buerger yare no ano aduru biara. Nanso ɔkwan a eye sen biara ne ɔkwan biako pɛ a wobetumi afa so asiw yare no ano na wɔadi sɛnkyerɛnne ahorow no so ne sɛ wobegyae tawa ne nicotine a wɔde di dwuma nyinaa, a sigaretnom ka ho, ntɛm ara na wɔagyae.
Eyi ne ayaresa titiriw ne nea edi kan a wɔde sa yare yi. Sɛ wonom sigaret biako da biara anaa wohyɛ nicotine aduru mpo a, yare no renyɛ yiye, ɛbɛyɛ kɛse ara kwa.
Ayarefo pii nya nkɔso kɛse wɔ wɔn yare no ho sɛnkyerɛnne mu bere a wogyae sigaretnom no. Ebinom mpo kɔ bɔne fafiri mu.
Wɔ sigaretnom a wubegyae akyi no, wo duruyɛfo betumi akamfo ayaresa afoforo nso aboa ma woadi wo sɛnkyerɛnne ahorow no so.
| Ɔkwan a wɔfa so sa yare | Nkyerɛmu |
|---|---|
| Nnuru a wɔde di dwuma |
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| Ayaresa afoforo |
|
Dɛn na ɛsɛ sɛ mehwɛ so bere a me ne yare yi te ase no?
Sɛ wowɔ Buerger yare no a, ɛho behia sɛ woyɛ nsakrae nketenkete bi wɔ w’asetra kwan mu.
- Kwati tawanom koraa: Eyi ne ade a ɛho hia sen biara. Nicotine a wɔde ahyɛ mu ne wii nso yɛ nneɛma pa a wubetumi apaw. Sɛ wuhia mmoa a wode begyae sigaretnom a, wo ne wo duruyɛfo nka ho asɛm.
- Bɔ wo ho ban fi awɔw ho:Wim a awɔw wom betumi ama mogya ntini no mu ayɛ den kɛse, enti hyɛ sɔks ne nsateaa a ɛyɛ hyew wɔ nna a awɔw wom mu.
- Siw wo nsa ne wo nan ho apirakuru ano: Opira ketewaa bi mpo betumi agye bere tenten ansa na ayɛ yiye, enti hwɛ yiye bere a worehyɛ mpaboa na woreyɛ adwuma no.
- Fa aduru no di dwuma sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
- Hwɛ yiye bere a worenom nnuru afoforo no: Nnuru bi (e.g., nnuru bi a wɔde yɛ awɔw) betumi asiw mogya ntini mu. Enti bisa wo duruyɛfo ansa na woanom aduru biara.
Kae sɛ, nnipa a wɔkɔ so nom sigaret no mu bɛyɛ 50%, anaasɛ baanu biara mu biako, awiei koraa no, ebehia sɛ wɔyɛ nsateaa anaa nansoaa bi oprehyɛn (twitwa). Nanso nea ɛyɛ nwonwa no, nnipa a wogyae sigaretnom no ntaa nyɛ oprehyɛn a ɛte saa.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no bi, titiriw sɛ wonom sigaret a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wo sɛnkyerɛnne no mu yɛ den anaasɛ sɛnkyerɛnne foforo ba a, ma wo duruyɛfo nhu.
Bere bɛn na ɛsɛ sɛ mekɔ Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU)?
Sɛ wohu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woabɔ wo akisikuru anaa komayare (e.g. wo koko mu yaw mpofirim, ɛyɛ den sɛ wobɛkasa, wo ho te nka wɔ nipadua no fã biako) a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara. Afei nso, sɛ kuru bi a ɛwɔ wo nsateaa so no de ɛyaw a emu yɛ den, wohohoro, anaa hua a ɛyɛ fĩ reba a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ woanya ɔyare mmoawa a emu yɛ den. Wɔ nsɛm a ɛtete saa mu no, hwehwɛ aduruyɛfo afotu ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Buerger Yare yɛ mogya ntini mu yare a ɛne tawanom wɔ abusuabɔ kɛse.
- Ayaresa a eye sen biara na edi kan a wɔde sa yare yi ne sɛ wobegyae tawa ne nicotine nneɛma nyinaa koraa, a sigaret, bidis, sigaret, tawa a wɔwe, ne nicotine a wɔde ahyɛ mu ka ho.
- Sɛ woyɛ obi a ɔnom sigaret a, mfa sɛnkyerɛnne ahorow te sɛ ɛyaw, akisikuru, kɔla a ɛsakra, ne akuru a ensa wɔ wo nsateaa mu, titiriw nsateaa ano, nyɛ hwee.
- Sɛ wuhu yare no ntɛm na wugyae sigaretnom a, ɛkame ayɛ sɛ wubetumi akwati nsɛnnennen a anibere wom te sɛ wotwa a wotwa no koraa.
- Sɛ w’adwene mu yɛ wo naa wɔ eyi ho anaasɛ wuhia mmoa wɔ sigaretnom a wubegyae mu a, wo ne wo duruyɛfo nkasa pefee.
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