So wo koma mu mpaapaemu no asiw? (Bifurcation Blockage) Momma yɛnka eyi ho asɛm!

Ɛnnɛ yɛrebɛka biribi a ɛho hia nnipa pii ho asɛm, nanso ebia wonnim no yiye. So ɛtɔ mmere bi a wote nka sɛ wo moma so ayɛ wo den, ɛyɛ den sɛ wobɛhome? Anaasɛ woate sɛ w’adamfo bi reka komayare ho asɛm pɛn? Wɔ mmerɛ a ɛte saa mu no, ɔhaw a yɛte ho asɛm no mu baako ne ɔhaw bi a ɛfa koma no mogya ntini ho a wɔfrɛ no ‘Bifurcation Blockage’. Sɛ yɛbɛka no tiawa a, eyi yɛ akwanside a ɛba wɔ baabi a ntini bi nkorabata bi a ɛde mogya kɔ koma no nkorabata no. Momma yɛnhwɛ eyi mu nkɔ akyiri kakra, ɛnte saa?

Dɛn ne ‘Bifurcation Blockage’ yi?

Okay, afei momma yɛnhwɛ nea saa ‘Bifurcation Blockage’ yi yɛ kɛkɛ. Wo de susuw ho hwɛ, yɛn koma te sɛ nsu pɔmpɛ. Sɛnea ɛbɛyɛ a pɔmpɛ yi bɛkɔ so ayɛ adwuma no, ehia sɛ wɔde mogya ma no bere nyinaa. Saa mogya no nam mogya ntini nhyehyɛe titiriw bi a wɔfrɛ no Coronary Arteries so na ɛkɔ koma no ntini ahorow no mu . Mogya ntini atitiriw yi mu paapae yɛ nkorabata nketewa wɔ mmeae bi, te sɛ dua kɛse bi nkorabata a ɛretu nkorabata no ara pɛ. Anaasɛ, wubetumi asusuw ho te sɛ ɔkwan a ɛtwam a ɔkwan bi mu paapae yɛ abien.

Wɔfrɛ beae a ntini titiriw bi mu paapae yɛ nkorabata ketewaa bi ‘bifurcation’ . Enti, sɛ saa mpaapaemu yi, sɛ yɛbɛka no pɛpɛɛpɛ a, ɛwɔ beae bi te sɛ ‘Y’-shaped junction, na asiw ba wɔ ntini no mu esiane srade a ɛboaboa ano nti (yɛfrɛ eyi ‘plaque’ ), ɛnde wɔfrɛ ɛno ‘bifurcation blockage’ . Saa ‘plaque’ yi yɛ ade a wɔde srade, srade, ne calcium ayɛ. Nnuruyɛfo nso frɛ saa nkorabata ntini nketewa yi ‘nkorabata a ɛwɔ nkyɛnkyɛn ntini’ . Wɔsan frɛ srade a ɛde saa akwanside yi ba no ‘bifurcation lesions’ . So wote ase? Ɛte sɛ kar akwan a ɛkyere so wɔ baabi a kar hyia wɔ kwan so.

So nneɛma ahorow bi wɔ hɔ a esiw kwan yi?

Yiw, saa akwanside yi nso betumi ayɛ ahorow ahorow. Ɛne sɛ, nnuruyɛfo gyina sɛnea ntini no asiw no so na ɛkyerɛ sɛnea eyi mu yɛ den. Sɛ ntini bi yɛ teateaa a, yɛsan frɛ no ‘Stenosis’ wɔ aduruyɛ mu. ‘Bifurcation Blockage’ titiriw na ɛwɔ hɔ:

• Simple occlusion: Eyi ba bere a ntini no mu ntwemu nnu 70% asiw. Eyi kyerɛ sɛ wɔda so ara asiw mogya a ɛsen no ano kakra, nanso ebia akwanside bi wɔ hɔ.
• Complex occlusion: Ɛha na ɔhaw no mu yɛ den kakra. Ntini no bɛboro 70%, anaa ntini no mu bɛboro nkyem anan mu abiɛsa betumi asiw. Ɛtɔ mmere bi a, ebetumi ayɛ nea ɛboro biako a wɔde siw ano wɔ mmeae pii. Anaasɛ ebia mogya a ɛtɔ gu nipadua mu no akɔhyɛ mu, anaasɛ ebia calcium a ɛwɔ hɔ no ayɛ (yɛfrɛ eyi ‘calcification’).(ka) Ebia ntini no fasu no yɛ den na ɛnyɛ nea ɛyɛ mmerɛw kɛse. Ade foforo ne sɛ, ɛtɔ mmere bi a saa akwanside yi betumi ayɛ baabi a wɔtwe nkorabata ntini ketewa no wɔ anim a ɛyɛ nnam yiye (bɛboro digrii 70). Sɛ ɛba saa a, ɛyɛ den kakra sɛ wɔbɛsa, efisɛ ɛyɛ den sɛ wɔde nnuruyɛ nnwinnade bɛsa.

‘Bifurcation blockage’ yi abu so dɛn?

Ebia woresusuw sɛnea eyi abu so no ho. Nokwarem no, wobu akontaa sɛ nnipa a wɔwɔ ahrawa mu ntini mu yare (CAD) a ɛhwehwɛ sɛ wɔde wɔn kɔ ayaresabea nyinaa mu 15% kosi 20%, anaasɛ bɛyɛ anum biara mu biako fi saa ‘bifurcation blockage’ yi. Enti, bere a ebia ɛnyɛ nea abu so saa no, ɛyɛ tebea a ebetumi aka nnipa pii.

Dɛn na ɛde eyi ba?

Wiɛ, dɛn titiriw na ɛde saa akwanside yi ba? Sɛnea madi kan aka no, nea ɛde eyi ba titiriw ne ngo ne srade a ɛboaboa ano, kyerɛ sɛ, saa ‘akyi’ , a ɛboaboa ano wɔ yɛn mogya ntini no afasu mu. Ɛte sɛ nsu paipu dedaw bi a bere kɔ so no, ɛyɛ nkannare na ɛboaboa efĩ ano na esiw paipu no mu. Bere kɔ so no, saa ‘aduru’ yi boaboa ano na ɛma ɔkwan a ɛkɔ ntini no mu no yɛ teateaa. Afei mogya dodow a koma no hia, kyerɛ sɛ mframa pa ne aduannuru no nkɔ yiye. Saa ‘Bifurcation Blockage’ yi nso ka coronary artery disease (CAD) kuw koro no ara ho .

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Afei ma yɛnhwɛ nea ɛda adi sɛ obenya saa tebea yi, anaa nea ɛde asiane ba. Ɛho hia paa sɛ yɛma yɛn ani da hɔ wɔ eyinom ho, efisɛ nneɛma bi wɔ hɔ a yebetumi adi so.

Mpɛn pii no, mmea taa nya CAD ne Bifurcation Blockage bere a wɔagyae brayɛ akyi , a ɛkyerɛ sɛ wogyae brayɛ ɔsram biara, na mmarima taa nya CAD bere a wɔadi mfe 45 akyi.

Nea ɛka ho no, asiane afoforo pii wɔ hɔ:

• Asikreyare: Nnipa a wɔwɔ asikreyare no taa nya mogya ntini mu haw efisɛ asikreyare betumi asɛe mogya ntini afasu.
• Mu duru a ɛboro so anaa kɛseyɛ mmoroso: Sɛ nipadua mu duru kɔ soro a, ɛbɛyɛ den ma koma no sɛ ebetumi adi ho dwuma na ɛsɛ sɛ ɛyɛ adwumaden kɛse.
• Abusua abakɔsɛm a ɛfa koma ne ntini mu yare ho: Ɛtɔ mmere bi a eyi betumi afi awosu mu nkɛntɛnso ahorow mu.
• Mogya mmoroso (Hypertension): Mogya mmoroso kyerɛ sɛ nhyɛso a ɛho nhia kɔ ntini no so bere nyinaa. Eyi betumi asɛe ntini no.
• Cholesterol a ɛkɔ soro: Cholesterol ne ade titiriw a ɛma plaque yɛ, titiriw cholesterol "bɔne" (LDL) a ɛdɔɔso.
• Apɔw-mu-teɛteɛ a wonnya:Sɛ nipadua no ntumi nteɛteɛ n’apɔw mu a, ɛyɛ mmerɛw sɛ ɛbɛboaboa srade ano na koma akwahosan nso brɛ ase.
• Aduan a enye: Sɛ wudi nnuan a ngo, asikre, ne nkyene pii wom daa a, asiane no yɛ kɛse. Susuw nnuan a ɛnyɛ dɛ a yedi, nnuan a wɔde di ntɛmntɛm, anonne a asikre wom, ne nnuan a wɔayam ho... Sɛ wokɔ so di eyinom a, ɔhaw betumi asɔre.
• Sigaretnom anaa tawa nneɛma a wɔde di dwuma: Sigaretnom yɛ koma no atamfo akɛse no mu biako. Nnuru a ɛwɔ tawa mu no sɛe mogya ntini no tẽẽ.

Dɛn ne eyi ho sɛnkyerɛnne?

Esiane sɛ Bifurcation Blockage nso yɛ ahrawa mu ntini mu yare (CAD) bi nti, sɛnkyerɛnne ahorow no te sɛ nea ɛte saa ara. Nanso, ɛtɔ mmere bi a, saa tebea yi betumi aba a enni sɛnkyerɛnne biara. Nanso, sɛnkyerɛnne ahorow a ɛtaa ba ne:

• Angina: Eyi yɛ ɛyaw anaa koko a ɛyɛ den, atenka a ɛte sɛ nea ɛyɛ mmerɛw. Nnipa binom ka ho asɛm sɛ adesoa a ɛwɔ koko so, anaasɛ te sɛ nea wɔrepiapia koko no. Mpɛn pii no, ɛyaw yi mu yɛ den bere a wɔreyɛ apɔw-mu-teɛteɛ, wɔreforo antweri, anaa bere a nhyɛso wɔ koma no so no.
• Fifiri a ɛyɛ nwini: Ebia wobɛte awɔw ne fifiri nka mpofirim, titiriw bere a wo koko yɛ wo yaw.
• Adwene a ɛyɛ wo yaw anaasɛ wo tirim yɛ hare: Sɛ wote nka te sɛ nea wuntumi nnyina hɔ a, w’ani reyɛ bruu.
• Ɔbrɛ ne mmerɛwyɛ: Ebia wobɛte nka sɛ woabrɛ na wuntumi nyɛ biribiara. Ebia ɛbɛyɛ den ama wo nso sɛ wobɛyɛ nnwuma a kan no na ɛnyɛ den.
• Koma a ɛbɔ: Sɛ wote nka sɛ wubetumi ate wo koma rebɔ, anaasɛ wo koma rebɔ ntɛmntɛm, te sɛ nea wo koko rebɔ.
• Akisikuru: Nkate a ɛma obi te nka sɛ ɔyare, ebia ɔfe mpo.
• Ahome a ɛyɛ tiaa: Wote nka sɛ wo home yɛ den bere a woayɛ dwumadi kakra mpo awie no. Ɛtɔ da bi a, ebia ɛbɛyɛ den ama wo sɛ wobɛhome bere a woada mpo no.
• Mmati anaa abasa mu yaw: Ɛtɔ mmere bi a, ɛyaw yi betumi afi ase wɔ koko mu na akɔ fam, anom, mmati, anaa nsa benkum.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, nsusuw sɛ ɛyɛ nipadua mu yare kɛkɛ. Kɔ oduruyɛfo nkyɛn ntɛm ara.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, sɛ wokɔ oduruyɛfo nkyɛn a, obetumi ayɛ nhwehwɛmu pii de ahu sɛ ebia eyi yɛ ‘bifurcation blockage’ anaa komayare foforo anaa. Eyinom bi ne:

• Koma mu catheter a wɔde hyɛ nipadua mu ne angiogram:Nea ɛka eyi ho ne sɛ wode afiri ketewaa bi (catheter) fa mogya ntini bi a ɛwɔ wo nsa anaa wo nan mu mu kɔ wo koma mu ntini a ɛma mogya tu no mu, de aduru soronko bi bɛhyɛ mu, na woatwa X-ray mfonini ahorow. Eyi ma wuhu pefee sɛ ebia ntini no mu asiw bi ne dodow a ɛdɔɔso.
• Coronary computed tomography angiogram (CCTA): Eyi yɛ CT mfonini titiriw bi a wɔde mfonini ahorow a ɛwɔ afã abiɛsa (3D) di dwuma de hwɛ sɛnea mogya sen kɔ koma no mu ne sɛ ebia ntini ahorow no mu asiw bi anaa.
• Intravascular optical coherence tomography (IVOCT): Eyi yɛ ɔkwan a ɛkɔ akyiri yiye. Sɛ wɔde catheter no hyɛ mu ara pɛ a, wɔde adwinnade foforo a ɛyɛ tratraa fa mu na wotumi hu nsensanee a ɛwɔ mogya ntini bi mu, ntini no fasu no mu ntoatoaso no wɔ mfonini ahorow a emu da hɔ yiye a ɛyɛ fɛ mu.
• Intravascular ultrasound (IVUS): Eyi nso yɛ ultrasound nhwehwɛmu a ɛhwɛ mogya ntini no mu. Te sɛ IVOCT no, ebetumi ama yɛahu sɛnea ntini no afasu te ne sɛnea ‘plaque’ no te yiye.
• Fractional flow reserve (FFR): Eyi kyerɛ nsonsonoe a ɛwɔ nhyɛso a ɛwɔ mogya ntini bi mu, wɔ nea asiw no afã abien no nyinaa. Ebetumi asusuw baabi a asiw no akodu ho pɛpɛɛpɛ na ahu sɛ ebia ayaresa ho hia anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ɛtɔ mmere bi a , ‘bifurcation blockage’ a wɔbɛsa no betumi ayɛ den kakra. Efisɛ ntini a ɛwɔ nkorabata a ɛwɔ nkyɛn a mekaa ho asɛm no sua koraa, na anim a ɛda nkorabata fi ntini kɛse no mu nso nya nkɛntɛnso. Enti ebetumi ayɛ den kakra sɛ wobedu ho na wɔasa asen mogya ntini atitiriw no.

Nnuruyɛfo taa yɛ oprehyɛn bi a wɔfrɛ no angioplasty . Eyi hwehwɛ sɛ wɔtrɛw ntini a ayɛ teateaa no mu. Afei, wɔde waya afiri ketewaa bi a wɔfrɛ no stent hyɛ ntini no mu na ama mogya akɔ so asen a wɔrensiw bio. Wɔfrɛ angioplasty ne stenting nyinaa percutaneous coronary interventions (PCI) .

Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba bere a wɔreyɛ angioplasty na wɔde stent ahyɛ mu no:

1. Oduruyɛfo no twa wo honam ani ketewaa bi, wɔ wo nsateaa anaa w’asen mu, na ɔde catheter (afiri a ɛyɛ tratraa a ɛyɛ mmerɛw) fa mu kɔ mogya ntini bi mu.

2. Afei wɔde ahwɛyiye kyerɛ saa catheter yi kwan fa mogya ntini no mu kɔ baabi a koma no asiw no. Wɔyɛ eyi wɔ X-ray akwankyerɛ ase.

3. Balloon ketewaa bi wɔ catheter no awiei. Sɛ edu baabi a asiw no, sɛ wɔma ahurututu no mu a, mprɛte a abata saa ntini no mu no bata ntini no afasu ho, na ntini no trɛw.

4. Afei stent no nso wɔ hɔ.Wɔde biako (a ɛwɔ balloon no atifi anaasɛ ɛyɛ soronko) hyɛ ntini no mu, wɔma balloon no mu mframa, na wɔde stent no mia ntini no fasu ho. Afei woyi balloon no, na wogyaw stent no wɔ ntini no mu, na ɛmma ntini no ntumi ntew bio.

Saa ayaresa yi akyi no, wo duruyɛfo no bɛkyerɛw wo aduru bi a ɛma mogya yɛ mmerɛw a wɔfrɛ no ‘dual antiplatelet therapy’ (te sɛ aspirin ne clopidogrel) bere tenten bi na amma mogya a ɛbɛtɔ wɔ stent no mu. Ɛho hia yiye sɛ wobɛnom saa aduru yi sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere tenten no nyinaa.

Stent akwan titiriw a wɔfa so yɛ ‘bifurcation blockage’.

Stent ahorow abien na wɔde sa ahrawa mu yare (CAD) . Biako ne dade a wɔde hyɛ nipadua mu a ɛho nni hwee . Ɔfoforo no yɛ stent a wɔde yi nnuru fi mu. Saa stent a ɛma nnuru yi fi mu yi yɛ adwuma ma asiane a ɛwɔ hɔ sɛ ntini no bɛtew bio (restenosis) no so tew.

Akwan atitiriw pii wɔ hɔ a wɔfa so de stent hyehyɛ mu de sa bifurcation blockages:

• Bere tiaa mu stent: Wɔ eyi mu no, oduruyɛfo no de stent si ntini kɛse no nkutoo mu. Wɔmfa stent nhyɛ anwenne a ɛwɔ nkorabata a ɛwɔ nkyɛn no mu . Nanso, sɛ ntini kɛse no siw, anaasɛ wokɔ so nya sɛnkyerɛnne ahorow a, wobetumi de stent ahyɛ saa ntini no mu akyiri yi.
• Stent abien: Wɔ ntini a esiw a ɛyɛ den yiye mu, anaasɛ sɛ asiw a ɛwɔ nkorabata ntini no mu nso yɛ kɛse a, oduruyɛfo no de stent bɛhyɛ mogya ntini titiriw no ne nkorabata ntini ketewa no nyinaa mu. Akwan ahorow wɔ hɔ a wɔfa so yɛ eyi (e.g., Culotte, T-stenting, Crush).

Mprempren wɔreyɛ nnuruyɛ mu sɔhwɛ ahorow wɔ stent ahorow a wɔahyira so wɔ nkorabata a ɛwɔ nkyɛnkyɛn a wɔayɛ sɛ ɛbɛhyɛ saa nkorabata ntini nketewa no mu no ho.

So ayaresa ahorow betumi de nsɛnnennen aba?

Ɛtɔ mmere bi a nsɛnnennen betumi aba nnipa bi a wɔayɛ wɔn angioplasty ne stenting ama ‘Bifurcation Blockage’ bi, nanso ɛnyɛ wɔn nyinaa mu. Nneɛma atitiriw abien ne:

• In-stent restenosis: Eyi ne bere a akuru ntini ba wɔ baabi a wɔde stent no wɔ, stent no ase anaa mu, na ɛma ntini no san yɛ teateaa bio. Eyi taa ba wɔ asram asia kosi dumien akyi bere a wɔde stent ahyɛ mu no. Sɛ eyi ba a, ɛho behia sɛ wɔsan trɛw ntini no mu denam angioplasty anaa ayaresa foforo so. Stent a wɔde yi nnuru fi mu no atew asiane yi so kɛse.
• Stent thrombosis: Eyi ne bere a mogya a ɛtɔ gu baabi a stent no wɔ ne mogya ntini no mu. Wɔfrɛ eyi sɛ ‘Thrombosis’.Eyi yɛ tebea a asiane wom kakra, efisɛ mogya a ɛtɔ yi betumi asiw ntini no koraa mpofirim na ama obi anya komayare. ‘Aduruyɛ a ɛko tia mogya nkwammoaa abien’ no a wɔnom no yiye no betumi atew asiane yi so kɛse.

So wontumi nsiw saa jam ahorow yi ano?

So nneɛma bi wɔ hɔ ankasa a yebetumi ayɛ de asiw akwanside ahorow yi ano? Pɛpɛɛpɛ! Sɛ wudi anammɔn yi akyi de bɔ wo koma ho ban a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ahrawa mu yare (CAD) ne atherosclerosis – tebea a srade a ɛwɔ ntini no mu no boaboa ano, na ɛma ɛyɛ den na ɛhwere ne ahoɔden.

• Di mogya mmoroso so: Ɛho hia sɛ wotew nkyene a ɛwɔ w’aduan mu, fa w’aduru sɛnea wo duruyɛfo akyerɛ wo no, na woma wɔhwɛ wo mogya mmoroso daa.
• To nsa a wonom ano hye: Tew nsa a wonom so sɛnea wubetumi biara. Kwati sɛ wobɛnom nsa da biara da. Sɛ ɛyɛ wo dɛ a, hwehwɛ mmoa.
• Di aduan a ahoɔden wom: Eyi ho hia yiye na ama srade a ɛwɔ wo mu no so atew. Twe wo ho fi nnuan a srade pii wom, asikre pii wom, ne nnuan a wɔayɛ ho adwuma ho, na di nnuaba, nhabannuru, atoko, nnuan a ahoɔdennuru wom (te sɛ aburow a ɛyɛ bruu, oats, ne atoko), ne mpataa (titiriw mpataa a omega-3 pii wom te sɛ salmon ne mackerel) pii .
• Hwɛ yiye wɔ wo srade ho: Tew nnuan a srade a ɛyɛ dɛ ne trans pii wom a wudi so (sɛ nhwɛso no, nam kɔkɔɔ, nam a wɔayɛ, nneɛma a wɔato, nnuan a wɔayam no mu dɔ). Sɛ nhwɛso no, akutu ngo nyɛ papa mma wo boro so. Fa ngo a ahoɔden wom te sɛ ngodua ngo ne canola ngo di dwuma wɔ ɔkwan a ɛfata so.
• Di asikreyare so: Sɛ wowɔ asikreyare a, ɛho hia sɛ wudi so yiye. Aduan a wodi, apɔw-mu-teɛteɛ, ne nnuru a wɔakyerɛw ama wɔn a wɔbɛnom ho hia.
• Kwati sigaretnom: Sɛ wonom sigaret a, hwehwɛ mmoa na ama woagyae. Sɛ wo ne nnipa a wɔnom sigaret (passive smoking) bɛka ho a, ebetumi apira wo.
• Yɛ apɔw-mu-teɛteɛ: Anyɛ yiye koraa no, sɛ woteɛteɛ w’apɔw mu simma 30 da biara, nnafua 5 dapɛn biara a, ebetumi aboa ma wo mu duru a ɛfata na ahyɛ wo koma den. Wubetumi ayɛ nneɛma te sɛ nantew, sakre, anaa asuguare.
• Tew adwennwen so: Bɔ mmɔden sɛ wobɛma w’adwene adwo denam nneɛma te sɛ yoga ne nsusuwii so.

Obi a ɔwɔ ‘bifurcation blockage’ akwahosan tebea te dɛn?

Nhwehwɛmu binom kyerɛ sɛ nkonimdi a wɔde sa bifurcation blockage denam angioplasty ne stenting so no bɛyɛ 40%. Nanso, eyi betumi ayɛ soronko wɔ ɔyarefo biara ho, a egyina sɛnea asiw no te so. Eyi kyerɛ sɛ ebia nnipa binom da so ara wɔ komayare ho sɛnkyerɛnne wɔ ayaresa akyi. Enti, ɛho hia paa sɛ wobɛkɔ so abɔ wo koma ho ban denam aduan a ɛma koma no a wubedi, sɛ ɛho hia a wobɛtew wo mu duru so, ne nnuru a wɔakyerɛw ama wo a wobɛnom so. Ɛho hia nso sɛ wo ne wo duruyɛfo di nkitaho daa na woyɛ nhwehwɛmu a ɛho hia.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wususuw saa a, woSɛ worenya komayare (e.g. wo koko mu yaw kɛse, ɛyɛ den sɛ wobɛhome, wo ho fifiri, wofe) a, frɛ 911 anaa ambulance adwumayɛbea a ɛbɛn wo (e.g. 1990 Suwaseriya) ntɛm ara. Mma nsɛe bere!

Bio nso, sɛ wowɔ saa sɛnkyerɛnne yi bi a ɛkɔ so anaasɛ ɛtaa ba a, kɔ oduruyɛfo nkyɛn:

• Koko mu yaw (angina) , abasa anaa mmati mu yaw.
• Fifiri a ɛyɛ nwini.
• Ɔhome a ɛyɛ den.
• Ɔbrɛ anaa mmerɛwyɛ a ɛboro so a ntease biara nnim.
• Adwene a ɛyɛ basaa anaasɛ koma a ɛbɔ ntɛmntɛm a wɔte nka.

Dɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Ɛyɛ papa sɛ wubebisa saa nsɛm yi bere a worekɔ wo duruyɛfo nkyɛn no. Eyi bɛboa wo ma woate wo tebea no ase yiye:

• Dɛn na ebetumi ayɛ nea enti a meyɛɛ saa ‘Bifurcation Blockage’ yi ?
• So mewɔ asiane mu sɛ menya akwanside a ɛte saa ara wɔ mogya ntini afoforo mu?
• Ayaresa bɛn na wɔkamfo kyerɛ ma me? Angioplasty ne stenting bɛma saa akwanside yi atu mpɔn kɛse dɛn?
• Stent bɛn na wokamfo kyerɛ? (sɛ nhwɛso no, stent a wɔde yi nnuru fi mu?)
• Stent dodow ahe na mehia?
• Asiane ne mfaso bɛn na ɛwɔ ayaresa no so?
• Bere tenten ahe na ɛsɛ sɛ menom nnuru bere a wɔasa me yare awie no?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’asetra kwan mu de bɔ me koma ho ban?
• Nsɛnnennen bɛn na ebetumi aba wɔ ayaresa akyi, na ɔkwan bɛn so na ɛsɛ sɛ mehwɛ so?

Ade a ɛho hia sen biara a yebetumi asua afi eyi mu (Take-Home Message) .

Bifurcation Blockage yɛ siw a ɛba wɔ baabi a mogya ntini bi a ɛwɔ koma no mu no hyia, na esiw mogya a ɛkɔ koma no mu no kwan. Ɛwom sɛ ɛtɔ mmere bi a ebetumi ayɛ den sɛ wɔbɛsa de, nanso ayaresa ahorow a ɛkɔ akyiri te sɛ angioplasty ne stent wɔ hɔ.

Nanso, ade a ɛho hia sen biara ne sɛ wobɛbɔ mmɔden sɛ wubesiw tebea yi ano na sɛ wosa wo yare mpo a, wobɛbɔ wo koma ho ban denam asetra mu nsakrae pa a wobɛyɛ so (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wubegyae). Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ wo koko mu yaw anaa ahome a ɛyɛ tiaa a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu a wummu w’ani ngu so. Kae sɛ wo koma ne w’agyapade a ɛsom bo sen biara! Ɛyɛ w’asɛyɛde sɛ wobɛhwɛ so.

` Komayare, bifurcation blockage, CAD, angioplasty, stent, koko mu yaw, koma