Nyarewa ne Tebea Ahorow31, Kɔtɔnimma, 2025🔄 Updated: Kutawonsa 14, 2026⏱ 11 min

So nsakrae kakra bi wɔ mogya a ɛkɔ wo koma mu no mu? Momma yɛnka (Cardiac Shunt) ho asɛm!

Creator: Dr. Priya Sammani
Published: 2025-05-31T15:13:26.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Yɛn koma yɛ akwaa a ɛyɛ nwonwa, ɛnte saa? Nanso ɛtɔ mmere bi a nsakrae nketenkete anaa basabasayɛ betumi aba ɔkwan a mogya fa koma no mu no mu. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, kyerɛ sɛ, `(Cardiac Shunt)` . Eyi betumi ayɛ biribi a wɔwo wɔ nnipa binom mu, kyerɛ sɛ, sɛ `(Congenital Heart Defect)` . Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara, nanso wɔ afoforo fam no, eyi betumi ayɛ aniberesɛm kakra.

Ma yenni kan nhwɛ sɛnea mogya tu wɔ koma no mu?

Sɛ yɛbɛka no tiawa a, yɛn koma te sɛ ofie a ɛwɔ adan anan. Eyi nifa so ne baabi a mogya a nipadua no nyinaa de adi dwuma, a mframa pa asɛe no no boaboa ano. Afei koma no de mogya yi kɔ ahurututu no mu. Fa no sɛ wode bɛkɔ baabi a wɔde kar sisi. Ɛyɛ ahurututu mu na wɔde mframa pa foforo ka mogya yi ho, te sɛ nea wɔde pɛtro gu kar mu. Bere koro no ara mu no, woyi mframa bɔne a ɛwɔ mogya no mu no fi hɔ . Afei mogya a oxygen pii wom a ɛho tew yi san ba koma no benkum so. Efi hɔ no, koma no kyekyɛ mogya yi ma nipadua no nyinaa. Eyi boa ne mogya ntini kɛse a wɔfrɛ no `(Aorta)` . Eyi ne sɛnea mogya taa tu kwan:

Mogya a oxygen nnim no sen kɔ koma no nifa.
Koma no de saa mogya no kɔ ahurututu no mu.
Ahurututu no ma mframa pa hyɛ mogya no ma na eyi carbon dioxide fi mu.
Mogya a oxygen pii wom fi ahurututu mu kɔ koma no benkum.
Koma no de mogya yi kɔ nipadua no mu nyinaa.

Afei, `(Cardiac Shunt)` kyerɛ sɛ biribi a ɛnteɛ wɔ ɔkwan a mogya no fa so no mu. Ɛne sɛ, mogya no mfi baabi nkɔ baabi foforo (mogya ntini anaa koma dan mu) wɔ ɔkwan a ɛfata so, na mmom ɛfa ɔkwan foforo so. Esiane eyi nti, mogya a oxygen wom tumi san kɔ ahurututu no mu, anaasɛ mogya a oxygen wom tumi kɔ nipadua no mu tẽẽ a ɛnkɔ ahurututu no mu. So wote ase?

Dɛn ne Cardiac Shunt ahorow atitiriw?

`(Cardiac Shunt)` ahorow titiriw abien na ɛwɔ hɔ, a wɔda nsow sɛnea mogya no fa kwan so: 1. Benkum-kɔ-nifa shunt (Left-to-right shunt / Acyanotic): Wɔ eyi mu no, mogya a anya oxygen dedaw, kyerɛ sɛ, mogya a ɛsɛ sɛ ɛkɔ nipadua no mu fi koma no benkum so no san fa nifa so kɔ ahurututu no mu. Wɔ eyi mu no , mpɛn pii no oxygen dodow (blueness) so tew wɔ mfiase no. Nhwɛso ahorow bi ne:

Atrial Septal Defect (ASD): Tokuru a ɛda koma no atifi adan abien (atria) ntam.
Ventricular Septal Defect (VSD): Tokuru a ɛda koma no ase adan abien (dan) ntam.
Patent Ductus Arteriosus (PDA): Mogya ntini a ɛwɔ awotwaa no mu na ɛsɛ sɛ ɛto mu wɔ awo akyi, da so ara bue.
Atrioventricular Septal Defect: Mfomso a ɛyɛ den a ɛwɔ afasu a ɛda atria ne ventricles ntam no mu.
`(Ahurututu mu ntini a ɛsan ba a ɛnyɛ ne nyinaa/ɔfã bi - TAPVR/PAPVR)`:Mogya ntini (ahurututu mu ntini) a ɛde mframa pa fi ahurututu mu ba koma no mu no nkitahodi a ɛnteɛ.

2. Right-to-left shunt (Cyanotic): Eyi ne bere a mogya a oxygen nnim a efi nipadua no mu nkɔ ahurututu no mu nkɔfa oxygen, na mmom ɛkɔ koma no benkum so tẽẽ na ɛkyinkyini nipadua no nyinaa. Eyi ma oxygen dodow a ɛwɔ mogya no mu so tew, na ebia honam ani yɛ bruu . Wɔfrɛ eyi `(Cyanosis)` . Nhwɛso ahorow bi:

Tetralogy of Fallot: Eyi yɛ koma mu dɛmdi anan a wɔaka abom.
Ntini Kɛse no a Wɔde Si Adanse: Mogya ntini atitiriw abien a ɛde mogya fi koma no mu kɔ nipadua no ne ahurututu mu no gyinabea dannan.
Pulmonary Atresia: Valve a ɛde mogya kɔ ahurututu mu (pulmonary valve) no nnyɛ yiye.
Eisenmenger Syndrome: Shunt a mfiase no na efi benkum kɔ nifa no dan fi nifa kɔ benkum awiei koraa.
Hypoplastic Left Heart Syndrome ( HLHS ): Koma no benkum so ntumi nkɔ yiye.
`(Double Outlet Nifa Ventricle)`
`(Ahurututu mu Ntini a Ɛyɛ Fɛ)`
`(Truncus Ntini a Ɛma Ntini)`

Nea ɛka ho no, tebea bi wɔ hɔ a wɔfrɛ no circular shunt . Eyi yɛ tebea a emu yɛ den yiye a ɛde nkwa to asiane mu . Wɔ eyi mu no, mogya di akɔneaba wɔ koma no mu, nanso wɔmfa mogya a ɛdɔɔso nkɔ nipadua no mu. Wɔtaa hu eyi wɔ tebea bi a wɔfrɛ no `(Ebstein's Anomaly - EA)` a emu yɛ den mu.

Saa (Cardiac Shunt) tebea horow yi abu so dɛn?

Nokwarem no, saa `(Cardiac Shunt)` yi ne komayare a ɛtaa ba a wɔde woo obi . Sɛ wɔkyekyem pɛpɛɛpɛ a , nkokoaa 100 biara mu bɛyɛ biako betumi anya komayare bi a efi awo mu.

Dɛn ne nneɛma a ɛde (Cardiac Shunt) ba?

Ɛtɔ mmere bi a eyinom betumi afi awosu mu ade bi mu aba . Ɛne sɛ, ebetumi afi nsakrae (`(Mutation)`) a ɛba awosu mu abɔde pɔtee bi mu na ɛde aba. Sɛ nhwɛso no, nnipa a wɔwɔ `(Down Syndrome)` no mu bɛyɛ fã wɔ `(Cardiac Shunt)` bi. Afei nso, nneɛma bi a ɛka ɛna no wɔ nyinsɛn mu no betumi ama asiane a ɛwɔ hɔ sɛ akokoaa no benya `(Cardiac Shunt)` no ayɛ kɛse.

Ɛna no wɔ ``(Gestational Diabetes )`` ( asikreyare wɔ nyinsɛn mu).
Ɛyaw ano aduru ``( Ibuprofen )`` anaa vitamin A a wɔde di dwuma dodo.
Influensa (atiridii) .
Wii a wɔde di dwuma .
Rubella (Germanfo Akisikuru) .

Susuw ho hwɛ, sɛ ɛna bi nya biribi a ɛte sɛɛ wɔ nyinsɛn mu a, ebetumi anya akokoaa no koma nyin so nkɛntɛnso ketewaa bi. Ɛno nti na ɛho hia sɛ yɛhwɛ yiye paa wɔ nyinsɛn mu no.

Dɛn ne Cardiac Shunt ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne no betumi ayɛ soronko koraa. Mpɛn pii no, wonhu shunt a efi benkum kɔ nifa kosi sɛ wɔbɛyɛ mmerante ne mmabaabere anaa mpanyin afe so . Sɛ sɛnkyerɛnne ahorow no ba ampa a, ebia nea ɛka ho ne:
Ɔhome a ɛyɛ den (Dyspnea) .
Ɔbrɛ a wɔte nka ntɛmntɛm, a wontumi nteɛteɛ w’apɔw mu.
Bere kɔ so no, saa shunt a ɛkɔ benkum kɔ nifa yi betumi ama ahurututu mu mogya mmoroso (mogya a ɛkɔ soro wɔ ahurututu no mu mogya ntini mu) aba. Wɔ shunt a efi nifa kɔ benkum mu no , mpɛn pii no sɛnkyerɛnne ahorow no fi ase wɔ nkokoaabere mu .
Nsɛnkyerɛnne titiriw ne akokoaa no honam ani kɔla bruu (cyanosis) .
Nsateaa anaa nansoaa nnadewa a wɔde nhama ayɛ .
Mogya a wɔfe (Hemoptysis) .
Akokoaa no mu duru nkɔ soro yiye .
Ɔhome a ɛyɛ den (Dyspnea) .
Nyarewa a wɔtaa nya .
Susuw sɛnea ɛbɛyɛ hu sɛ ɛna anaa agya behu akokoaa a wɔawo no foforo sɛ ɔreyɛ bruu no ho hwɛ. Ade a ɛho hia sen biara wɔ mmere a ɛte sɛɛ mu ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.
Wobɛyɛ dɛn ahu sɛ wowɔ (Cardiac Shunt) anaa?
Sɛ oduruyɛfo bi susuw sɛ wɔde koma no shunt a, wobetumi ayɛ nhwehwɛmu ahorow pii, te sɛ:
Mogya mu nhwehwɛmu : Hwehwɛ nsakrae a ɛba mogya mu nkwammoaa kɔkɔɔ mu.
Mfoniniyɛ mu nhwehwɛmu: Fa wo koko X-ray anaa CT scan hwehwɛ nsakrae a aba wɔ koma no nsusuwii mu.
Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Ebetumi ahwɛ sɛnea koma no hyehyɛ , sɛnea ɛyɛ adwuma, sɛnea ɛsen, ne sɛ ebia ntokuru bi wɔ hɔ anaa. Mpɛn pii no, eyi ne sɔhwɛ a ɛho hia sen biara.
Electrocardiogram - EKG: Sɛ wobɛhwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu na woahu tebea horow te sɛ Pulmonary Hypertension.
Cardiac Catheterization: Saa sɔhwɛ yi susuw nhyɛso a ɛwɔ koma no dan biara mu. Wobetumi de asi gyinae sɛ ebia oprehyɛn ho hia anaasɛ aboa ma wɔahu sɛ ebia wɔakamfo oprehyɛn akyerɛ dedaw anaa.
Ɔkwan bɛn so na wɔsa Cardiac Shunt?
Ayaresa no gyina tebea no ho sɛnkyerɛnne ne sɛnea emu yɛ den so. Ebia shunt nketewa bi ankasa bɛsa a wɔrensa wɔn yare biara. Wɔ shunt akɛse ho no, nnuruyɛfo betumi ayɛ oprehyɛn de asiesie mogya a ɛretu no . Oprehyɛn ahorow bi a wɔtaa yɛ no bi ne:
`(Norwood procedure)`: Eyi yɛ koma a wɔabue mu oprehyɛn a wɔtaa yɛ wɔ nkokoaa a wɔawo wɔn foforo so. Ɛha yi, nnuruyɛfo a wɔyɛ oprehyɛn yɛ `(Aorta)` kɛse bi na wɔsesa mogya kwan no. Wɔ oprehyɛn no akyi no, nifa so ahurututu no tumi yɛ n’adwuma a ɛne sɛ ɛde mogya kɔ nipadua no mu.
`(Glenn procedure)`: Oduruyɛfo a ɔyɛ oprehyɛn no sesa mogya kwan no na ɔkyerɛ mogya fi nipadua no mu kɔ ahurututu no mu tẽẽ.
`(Fontan procedure)`: Wɔ saa adeyɛ yi mu no, wɔsesa mogya no nso na wɔde mogya a oxygen nnim no kɔ ahurututu no mu tẽẽ. Sɛ wɔyɛ oprehyɛn no wie a, mogya a oxygen pii wom no kɔ koma no mu adan no biako mu tẽẽ. Eyi mma mogya a oxygen nnim ne nea oxygen pii wom no ntumi nfrafra koma no mu.
Oprehyɛn ahorow yi ho asɛm a wɔbɛte no betumi ayɛ hu, nanso wɔagye nkokoaa pii nkwa.
So wobetumi asiw Cardiac Shunt ano?
Ɔkwan biara nni hɔ a ɛyɛ 100% surefire a wobɛfa so asiw koma shunt ano. Nanso, sɛ woanyinsɛn a, wubetumi adi suban pa akyi na ama hokwan a wowɔ sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden nyinaa ayɛ kɛse:
Kwati nneɛma a epira: Kwati nsa, tawa, nnubɔne a mmara mma ho kwan, ne caffeine dodow a ɛboro so.
Di aduan a ahoɔden wom: Kwati nnuan a ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no ayɛ kɛse, te sɛ nam a wɔannoa yiye, kyiisi ahorow bi, ne mmoa nneɛma a wɔmfa nnuru nhyɛ mu.
Apɔw-mu-teɛteɛ daa .
Fa nnuru a wɔde bɔ wo ho ban nyinaa sɛnea wo duruyɛfo kamfo kyerɛ no, a atiridiinini aduru no ka ho.
Anyɛ yiye koraa no, da nnɔnhwerew ason kosi awotwe anadwo biara. Bɔ mmɔden sɛ wobɛda wo benkum so na ama mogya no akɔ soro.
Fa vitamin a wɔde ma ansa na woawo ne aduannuru afoforo a wɔde ma sɛnea wo duruyɛfo kyerɛ no.
Dɛn ne obi a ɔwɔ (Cardiac Shunt) no anidaso?
Eyi nso gu ahorow kɛse gyina `(Cardiac Shunt)` no su ne sɛnea emu yɛ den so. `(Cardiac Shunt)` kɛse anaa nea emu yɛ den hia ayaresa na wɔasiw nsɛnnennen ano. Ebia ahorow bi behia oprehyɛn wɔ adapɛn kakraa bi akyi wɔ awo akyi . Sɛ wowɔ `(Pulmonary Hypertension)` a emu yɛ den a, ɛda adi sɛ wubehia koma oprehyɛn anaasɛ wubenya nsɛnnennen. Mpɛn pii no, shunt ahorow a ennya oxygen dodow a ɛwɔ mogya no mu so nkɛntɛnso kɛse no mfa nsɛnnennen a emu yɛ den mma. Ebia wɔrenna yare no ho sɛnkyerɛnne biara adi anaasɛ wɔrenhia ayaresa biara.
Dɛn bio na wopɛ sɛ wubisa wo duruyɛfo?
Sɛ wo anaa wo ba no wɔ ``Cardiac Shunt'' a, ɛyɛ papa sɛ wubebisa wo duruyɛfo no nea edidi so yi ho asɛm:
`(Cardiac Shunt)` bɛn na me/me ba no wɔ?
Sɔhwɛ bɛn na ɛsɛ sɛ me/me ba no yɛ na ama mahu eyi?
Ayaresa ahorow bɛn na ɛwɔ hɔ?
Dɛn na metumi ayɛ de atew asiane a ɛwɔ nsɛnnennen a efi `(Cardiac Shunt)` yi mu ba no so?
Hokwan bɛn na ɛwɔ hɔ sɛ me ba a odi hɔ no nso benya `(Cardiac Shunt)`?
Dɛn na yebetumi ahwɛ kwan daakye?
Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Koma mu shunt yɛ ɔkwan a ɛnteɛ wɔ ɔkwan a mogya fa so fa wo koma mu. Mpɛn pii no, awosu mu nneɛma na ɛde eyinom ba, nanso ebi nso ne nneɛma a ɛka wo nyinsɛn no wɔ abusuabɔ. Shunt ho sɛnkyerɛnne ahorow gu ahorow kɛse. Shunt ahorow bi nni sɛnkyerɛnne kakraa bi pɛ anaasɛ enni bi koraa. Afoforo nso yɛ aniberesɛm na sɛ wɔansa wɔn yare a, ebetumi de wɔn nkwa ato asiane mu. Sɛ koma mu shunt mu yɛ den a, ebia wo duruyɛfo bɛyɛ oprehyɛn de ayɛ ɔkwan foforo a mogya bɛfa so.
Kae sɛ, sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu a woremmɔ hu. Sɛ wohu yare no ntɛm na wɔsa no yare yiye a, ebetumi ama nneɛma pa aba.
` Koma shunt, koma shunt, awo mu komayare, mogya a ɛkɔ nipadua no mu, komayare ho sɛnkyerɛnne, mmofra komayare, koma oprehyɛn

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Nyarewa ne Tebea Ahorow31, Kɔtɔnimma, 2025
So nsakrae kakra bi wɔ mogya a ɛkɔ wo koma mu no mu? Momma yɛnka (Cardiac Shunt) ho asɛm!
Dr. Priya SammaniMedical Verification
⏱ 11 min read
📋Table of Contents
1. Ma yenni kan nhwɛ sɛnea mogya tu wɔ koma no mu?
2. Dɛn ne Cardiac Shunt ahorow atitiriw?
3. Saa (Cardiac Shunt) tebea horow yi abu so dɛn?
4. Dɛn ne nneɛma a ɛde (Cardiac Shunt) ba?
5. Dɛn ne Cardiac Shunt ho sɛnkyerɛnne ahorow?
6. Wobɛyɛ dɛn ahu sɛ wowɔ (Cardiac Shunt) anaa?
7. Ɔkwan bɛn so na wɔsa Cardiac Shunt?
8. So wobetumi asiw Cardiac Shunt ano?
9. Dɛn ne obi a ɔwɔ (Cardiac Shunt) no anidaso?
10. Dɛn bio na wopɛ sɛ wubisa wo duruyɛfo?
11. Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Yɛn koma yɛ akwaa a ɛyɛ nwonwa, ɛnte saa? Nanso ɛtɔ mmere bi a nsakrae nketenkete anaa basabasayɛ betumi aba ɔkwan a mogya fa koma no mu no mu. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm, kyerɛ sɛ, `(Cardiac Shunt)` . Eyi betumi ayɛ biribi a wɔwo wɔ nnipa binom mu, kyerɛ sɛ, sɛ `(Congenital Heart Defect)` . Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara, nanso wɔ afoforo fam no, eyi betumi ayɛ aniberesɛm kakra.
Ma yenni kan nhwɛ sɛnea mogya tu wɔ koma no mu?
Sɛ yɛbɛka no tiawa a, yɛn koma te sɛ ofie a ɛwɔ adan anan. Eyi nifa so ne baabi a mogya a nipadua no nyinaa de adi dwuma, a mframa pa asɛe no no boaboa ano. Afei koma no de mogya yi kɔ ahurututu no mu. Fa no sɛ wode bɛkɔ baabi a wɔde kar sisi. Ɛyɛ ahurututu mu na wɔde mframa pa foforo ka mogya yi ho, te sɛ nea wɔde pɛtro gu kar mu. Bere koro no ara mu no, woyi mframa bɔne a ɛwɔ mogya no mu no fi hɔ . Afei mogya a oxygen pii wom a ɛho tew yi san ba koma no benkum so. Efi hɔ no, koma no kyekyɛ mogya yi ma nipadua no nyinaa. Eyi boa ne mogya ntini kɛse a wɔfrɛ no `(Aorta)` . Eyi ne sɛnea mogya taa tu kwan:
Mogya a oxygen nnim no sen kɔ koma no nifa.
Koma no de saa mogya no kɔ ahurututu no mu.
Ahurututu no ma mframa pa hyɛ mogya no ma na eyi carbon dioxide fi mu.
Mogya a oxygen pii wom fi ahurututu mu kɔ koma no benkum.
Koma no de mogya yi kɔ nipadua no mu nyinaa.
Afei, `(Cardiac Shunt)` kyerɛ sɛ biribi a ɛnteɛ wɔ ɔkwan a mogya no fa so no mu. Ɛne sɛ, mogya no mfi baabi nkɔ baabi foforo (mogya ntini anaa koma dan mu) wɔ ɔkwan a ɛfata so, na mmom ɛfa ɔkwan foforo so. Esiane eyi nti, mogya a oxygen wom tumi san kɔ ahurututu no mu, anaasɛ mogya a oxygen wom tumi kɔ nipadua no mu tẽẽ a ɛnkɔ ahurututu no mu. So wote ase?
Dɛn ne Cardiac Shunt ahorow atitiriw?
`(Cardiac Shunt)` ahorow titiriw abien na ɛwɔ hɔ, a wɔda nsow sɛnea mogya no fa kwan so: 1. Benkum-kɔ-nifa shunt (Left-to-right shunt / Acyanotic): Wɔ eyi mu no, mogya a anya oxygen dedaw, kyerɛ sɛ, mogya a ɛsɛ sɛ ɛkɔ nipadua no mu fi koma no benkum so no san fa nifa so kɔ ahurututu no mu. Wɔ eyi mu no , mpɛn pii no oxygen dodow (blueness) so tew wɔ mfiase no. Nhwɛso ahorow bi ne:
Atrial Septal Defect (ASD): Tokuru a ɛda koma no atifi adan abien (atria) ntam.
Ventricular Septal Defect (VSD): Tokuru a ɛda koma no ase adan abien (dan) ntam.
Patent Ductus Arteriosus (PDA): Mogya ntini a ɛwɔ awotwaa no mu na ɛsɛ sɛ ɛto mu wɔ awo akyi, da so ara bue.
Atrioventricular Septal Defect: Mfomso a ɛyɛ den a ɛwɔ afasu a ɛda atria ne ventricles ntam no mu.
`(Ahurututu mu ntini a ɛsan ba a ɛnyɛ ne nyinaa/ɔfã bi - TAPVR/PAPVR)`:Mogya ntini (ahurututu mu ntini) a ɛde mframa pa fi ahurututu mu ba koma no mu no nkitahodi a ɛnteɛ.
2. Right-to-left shunt (Cyanotic): Eyi ne bere a mogya a oxygen nnim a efi nipadua no mu nkɔ ahurututu no mu nkɔfa oxygen, na mmom ɛkɔ koma no benkum so tẽẽ na ɛkyinkyini nipadua no nyinaa. Eyi ma oxygen dodow a ɛwɔ mogya no mu so tew, na ebia honam ani yɛ bruu . Wɔfrɛ eyi `(Cyanosis)` . Nhwɛso ahorow bi:
Tetralogy of Fallot: Eyi yɛ koma mu dɛmdi anan a wɔaka abom.
Ntini Kɛse no a Wɔde Si Adanse: Mogya ntini atitiriw abien a ɛde mogya fi koma no mu kɔ nipadua no ne ahurututu mu no gyinabea dannan.
Pulmonary Atresia: Valve a ɛde mogya kɔ ahurututu mu (pulmonary valve) no nnyɛ yiye.
Eisenmenger Syndrome: Shunt a mfiase no na efi benkum kɔ nifa no dan fi nifa kɔ benkum awiei koraa.
Hypoplastic Left Heart Syndrome ( HLHS ): Koma no benkum so ntumi nkɔ yiye.
`(Double Outlet Nifa Ventricle)`
`(Ahurututu mu Ntini a Ɛyɛ Fɛ)`
`(Truncus Ntini a Ɛma Ntini)`
Nea ɛka ho no, tebea bi wɔ hɔ a wɔfrɛ no circular shunt . Eyi yɛ tebea a emu yɛ den yiye a ɛde nkwa to asiane mu . Wɔ eyi mu no, mogya di akɔneaba wɔ koma no mu, nanso wɔmfa mogya a ɛdɔɔso nkɔ nipadua no mu. Wɔtaa hu eyi wɔ tebea bi a wɔfrɛ no `(Ebstein's Anomaly - EA)` a emu yɛ den mu.
Saa (Cardiac Shunt) tebea horow yi abu so dɛn?
Nokwarem no, saa `(Cardiac Shunt)` yi ne komayare a ɛtaa ba a wɔde woo obi . Sɛ wɔkyekyem pɛpɛɛpɛ a , nkokoaa 100 biara mu bɛyɛ biako betumi anya komayare bi a efi awo mu.
Dɛn ne nneɛma a ɛde (Cardiac Shunt) ba?
Ɛtɔ mmere bi a eyinom betumi afi awosu mu ade bi mu aba . Ɛne sɛ, ebetumi afi nsakrae (`(Mutation)`) a ɛba awosu mu abɔde pɔtee bi mu na ɛde aba. Sɛ nhwɛso no, nnipa a wɔwɔ `(Down Syndrome)` no mu bɛyɛ fã wɔ `(Cardiac Shunt)` bi. Afei nso, nneɛma bi a ɛka ɛna no wɔ nyinsɛn mu no betumi ama asiane a ɛwɔ hɔ sɛ akokoaa no benya `(Cardiac Shunt)` no ayɛ kɛse.
Ɛna no wɔ ``(Gestational Diabetes )`` ( asikreyare wɔ nyinsɛn mu).
Ɛyaw ano aduru ``( Ibuprofen )`` anaa vitamin A a wɔde di dwuma dodo.
Influensa (atiridii) .
Wii a wɔde di dwuma .
Rubella (Germanfo Akisikuru) .
Susuw ho hwɛ, sɛ ɛna bi nya biribi a ɛte sɛɛ wɔ nyinsɛn mu a, ebetumi anya akokoaa no koma nyin so nkɛntɛnso ketewaa bi. Ɛno nti na ɛho hia sɛ yɛhwɛ yiye paa wɔ nyinsɛn mu no.
Dɛn ne Cardiac Shunt ho sɛnkyerɛnne ahorow?
Nsɛnkyerɛnne no betumi ayɛ soronko koraa. Mpɛn pii no, wonhu shunt a efi benkum kɔ nifa kosi sɛ wɔbɛyɛ mmerante ne mmabaabere anaa mpanyin afe so . Sɛ sɛnkyerɛnne ahorow no ba ampa a, ebia nea ɛka ho ne:
Ɔhome a ɛyɛ den (Dyspnea) .
Ɔbrɛ a wɔte nka ntɛmntɛm, a wontumi nteɛteɛ w’apɔw mu.
Bere kɔ so no, saa shunt a ɛkɔ benkum kɔ nifa yi betumi ama ahurututu mu mogya mmoroso (mogya a ɛkɔ soro wɔ ahurututu no mu mogya ntini mu) aba. Wɔ shunt a efi nifa kɔ benkum mu no , mpɛn pii no sɛnkyerɛnne ahorow no fi ase wɔ nkokoaabere mu .
Nsɛnkyerɛnne titiriw ne akokoaa no honam ani kɔla bruu (cyanosis) .
Nsateaa anaa nansoaa nnadewa a wɔde nhama ayɛ .
Mogya a wɔfe (Hemoptysis) .
Akokoaa no mu duru nkɔ soro yiye .
Ɔhome a ɛyɛ den (Dyspnea) .
Nyarewa a wɔtaa nya .
Susuw sɛnea ɛbɛyɛ hu sɛ ɛna anaa agya behu akokoaa a wɔawo no foforo sɛ ɔreyɛ bruu no ho hwɛ. Ade a ɛho hia sen biara wɔ mmere a ɛte sɛɛ mu ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.
Wobɛyɛ dɛn ahu sɛ wowɔ (Cardiac Shunt) anaa?
Sɛ oduruyɛfo bi susuw sɛ wɔde koma no shunt a, wobetumi ayɛ nhwehwɛmu ahorow pii, te sɛ:
Mogya mu nhwehwɛmu : Hwehwɛ nsakrae a ɛba mogya mu nkwammoaa kɔkɔɔ mu.
Mfoniniyɛ mu nhwehwɛmu: Fa wo koko X-ray anaa CT scan hwehwɛ nsakrae a aba wɔ koma no nsusuwii mu.
Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Ebetumi ahwɛ sɛnea koma no hyehyɛ , sɛnea ɛyɛ adwuma, sɛnea ɛsen, ne sɛ ebia ntokuru bi wɔ hɔ anaa. Mpɛn pii no, eyi ne sɔhwɛ a ɛho hia sen biara.
Electrocardiogram - EKG: Sɛ wobɛhwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu na woahu tebea horow te sɛ Pulmonary Hypertension.
Cardiac Catheterization: Saa sɔhwɛ yi susuw nhyɛso a ɛwɔ koma no dan biara mu. Wobetumi de asi gyinae sɛ ebia oprehyɛn ho hia anaasɛ aboa ma wɔahu sɛ ebia wɔakamfo oprehyɛn akyerɛ dedaw anaa.
Ɔkwan bɛn so na wɔsa Cardiac Shunt?
Ayaresa no gyina tebea no ho sɛnkyerɛnne ne sɛnea emu yɛ den so. Ebia shunt nketewa bi ankasa bɛsa a wɔrensa wɔn yare biara. Wɔ shunt akɛse ho no, nnuruyɛfo betumi ayɛ oprehyɛn de asiesie mogya a ɛretu no . Oprehyɛn ahorow bi a wɔtaa yɛ no bi ne:
`(Norwood procedure)`: Eyi yɛ koma a wɔabue mu oprehyɛn a wɔtaa yɛ wɔ nkokoaa a wɔawo wɔn foforo so. Ɛha yi, nnuruyɛfo a wɔyɛ oprehyɛn yɛ `(Aorta)` kɛse bi na wɔsesa mogya kwan no. Wɔ oprehyɛn no akyi no, nifa so ahurututu no tumi yɛ n’adwuma a ɛne sɛ ɛde mogya kɔ nipadua no mu.
`(Glenn procedure)`: Oduruyɛfo a ɔyɛ oprehyɛn no sesa mogya kwan no na ɔkyerɛ mogya fi nipadua no mu kɔ ahurututu no mu tẽẽ.
`(Fontan procedure)`: Wɔ saa adeyɛ yi mu no, wɔsesa mogya no nso na wɔde mogya a oxygen nnim no kɔ ahurututu no mu tẽẽ. Sɛ wɔyɛ oprehyɛn no wie a, mogya a oxygen pii wom no kɔ koma no mu adan no biako mu tẽẽ. Eyi mma mogya a oxygen nnim ne nea oxygen pii wom no ntumi nfrafra koma no mu.
Oprehyɛn ahorow yi ho asɛm a wɔbɛte no betumi ayɛ hu, nanso wɔagye nkokoaa pii nkwa.
So wobetumi asiw Cardiac Shunt ano?
Ɔkwan biara nni hɔ a ɛyɛ 100% surefire a wobɛfa so asiw koma shunt ano. Nanso, sɛ woanyinsɛn a, wubetumi adi suban pa akyi na ama hokwan a wowɔ sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden nyinaa ayɛ kɛse:
Kwati nneɛma a epira: Kwati nsa, tawa, nnubɔne a mmara mma ho kwan, ne caffeine dodow a ɛboro so.
Di aduan a ahoɔden wom: Kwati nnuan a ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no ayɛ kɛse, te sɛ nam a wɔannoa yiye, kyiisi ahorow bi, ne mmoa nneɛma a wɔmfa nnuru nhyɛ mu.
Apɔw-mu-teɛteɛ daa .
Fa nnuru a wɔde bɔ wo ho ban nyinaa sɛnea wo duruyɛfo kamfo kyerɛ no, a atiridiinini aduru no ka ho.
Anyɛ yiye koraa no, da nnɔnhwerew ason kosi awotwe anadwo biara. Bɔ mmɔden sɛ wobɛda wo benkum so na ama mogya no akɔ soro.
Fa vitamin a wɔde ma ansa na woawo ne aduannuru afoforo a wɔde ma sɛnea wo duruyɛfo kyerɛ no.
Dɛn ne obi a ɔwɔ (Cardiac Shunt) no anidaso?
Eyi nso gu ahorow kɛse gyina `(Cardiac Shunt)` no su ne sɛnea emu yɛ den so. `(Cardiac Shunt)` kɛse anaa nea emu yɛ den hia ayaresa na wɔasiw nsɛnnennen ano. Ebia ahorow bi behia oprehyɛn wɔ adapɛn kakraa bi akyi wɔ awo akyi . Sɛ wowɔ `(Pulmonary Hypertension)` a emu yɛ den a, ɛda adi sɛ wubehia koma oprehyɛn anaasɛ wubenya nsɛnnennen. Mpɛn pii no, shunt ahorow a ennya oxygen dodow a ɛwɔ mogya no mu so nkɛntɛnso kɛse no mfa nsɛnnennen a emu yɛ den mma. Ebia wɔrenna yare no ho sɛnkyerɛnne biara adi anaasɛ wɔrenhia ayaresa biara.
Dɛn bio na wopɛ sɛ wubisa wo duruyɛfo?
Sɛ wo anaa wo ba no wɔ ``Cardiac Shunt'' a, ɛyɛ papa sɛ wubebisa wo duruyɛfo no nea edidi so yi ho asɛm:
`(Cardiac Shunt)` bɛn na me/me ba no wɔ?
Sɔhwɛ bɛn na ɛsɛ sɛ me/me ba no yɛ na ama mahu eyi?
Ayaresa ahorow bɛn na ɛwɔ hɔ?
Dɛn na metumi ayɛ de atew asiane a ɛwɔ nsɛnnennen a efi `(Cardiac Shunt)` yi mu ba no so?
Hokwan bɛn na ɛwɔ hɔ sɛ me ba a odi hɔ no nso benya `(Cardiac Shunt)`?
Dɛn na yebetumi ahwɛ kwan daakye?
Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Koma mu shunt yɛ ɔkwan a ɛnteɛ wɔ ɔkwan a mogya fa so fa wo koma mu. Mpɛn pii no, awosu mu nneɛma na ɛde eyinom ba, nanso ebi nso ne nneɛma a ɛka wo nyinsɛn no wɔ abusuabɔ. Shunt ho sɛnkyerɛnne ahorow gu ahorow kɛse. Shunt ahorow bi nni sɛnkyerɛnne kakraa bi pɛ anaasɛ enni bi koraa. Afoforo nso yɛ aniberesɛm na sɛ wɔansa wɔn yare a, ebetumi de wɔn nkwa ato asiane mu. Sɛ koma mu shunt mu yɛ den a, ebia wo duruyɛfo bɛyɛ oprehyɛn de ayɛ ɔkwan foforo a mogya bɛfa so.
Kae sɛ, sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu a woremmɔ hu. Sɛ wohu yare no ntɛm na wɔsa no yare yiye a, ebetumi ama nneɛma pa aba.
` Koma shunt, koma shunt, awo mu komayare, mogya a ɛkɔ nipadua no mu, komayare ho sɛnkyerɛnne, mmofra komayare, koma oprehyɛn
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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