So wowɔ akisikuru wɔ wo koma mu? (Cardiac Tumor) Mma ɛnhaw wo, momma yɛnka eyi ho asɛm!

Yɛn nyinaa dwen yɛn koma ho pii, ɛnte saa? Ɛyɛ ade a ɛfata sɛ yɛbɛte ehu nka kakra bere a yɛte komayare bi ho asɛm no. Ɛtɔ mmere bi a, akuru nketenkete, anaa akisikuru betumi aba koma no mu. Eyinom ne nea yɛfrɛ no wɔ aduruyɛ mu ``Cardiac Tumors''. Ebia eyinom bi nyɛ nea asiane wom, bere a afoforo nso betumi ayɛ aniberesɛm kakra. Enti, ɛho hia paa sɛ yehu eyi.

Dɛn ne koma mu akisikuru ahorow yi?

Sɛ yɛbɛka no tiawa a, yebetumi akyekyɛ akisikuru a ɛba koma no mu mu ayɛ no atitiriw abien: akisikuru a efi ase wɔ koma no ankasa mu ne akisikuru a ɛba baabi foforo na ɛtrɛw kɔ koma no mu.

Koma mu Akisikuru Titiriw

Eyinom ne akisikuru ahorow a efi ase wɔ koma no mu. Eyinom mu dodow no ara, bɛyɛ 75% kosi 95%, nyɛ kokoram , kyerɛ sɛ, akisikuru a asiane biara nni ho. Nanso, sɛ esiw koma no dwumadi kwan, anaasɛ wɔansa a, ɛtɔ mmere bi a ebetumi de asiane ahorow te sɛ akisikuru aba. Enti, eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

Ɛtɔ mmere bi a, saa akisikuru atitiriw yi betumi ayɛ kokoram , a ɛkyerɛ sɛ ebetumi abɛyɛ nea ɛyɛ hu.

Akuru titiriw a ɛnyɛ kokoram a ɛba mpanyimfo mu

• Myxoma: Eyi ne koma mu akisikuru a ɛnyɛ kokoram a ɛtaa ba mpanyimfo mu. Ɛyɛ koma mu akisikuru titiriw nyinaa mu bɛyɛ 50%. Mpɛn pii no, ɛba koma no benkum so. Ɛsɛ sɛ wɔyɛ oprehyɛn yi fi hɔ na wɔasiw nsɛnnennen a anibere wom te sɛ embolism (mogya a ɛtwetwe wɔ ntini bi mu a esiw ano) ano.
• Papillary fibroelastoma: Eyi ne koma mu akisikuru a ɛto so abien a ɛnyɛ kokoram. Ɛwom sɛ ebetumi aba wɔ mfe biara mu de, nanso ɛtaa ba nnipa a wɔadi boro mfe 60. Saa akisikuru yi mu bɛyɛ 80% nyin wɔ koma no ntini mu, titiriw aortic valve anaa mitral valve. Sɛ wunni sɛnkyerɛnne biara mpo a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn na ama asiane a ɛwɔ hɔ sɛ wubenya embolism no so atew.
• Lipoma: Eyi yɛ akisikuru a srade nkwammoaa na ɛyɛ. Ebetumi aba nnipa a wɔadi mfe ahorow nyinaa mu. Ɛtɔ mmere bi a, saa akisikuru yi tumi yɛ ketewaa, nanso ɛtɔ mmere bi a, ebetumi ayɛ kɛse paa. Mpɛn pii no, lipomas ba wɔ benkum ahurututu, nifa ahurututu, anaa ɔfasu a ɛda ahurututu no ntam (atrial septum) no mu.
• Hemangioma: Eyinom yɛ akisikuru a mogya ntini na ɛyɛ. Wɔabɔ amanneɛ sɛ ɛba nnipa a wofi mmofraase kosi bɛyɛ mfe 65 so. Mpɛn pii no, wɔmfa yare no ho sɛnkyerɛnne mma. Enti, wohu wɔn bere a wɔyɛ sɔhwɛ ahorow a ɛfa ɔhaw afoforo ho no. Wɔtaa hu hemangioma ne akisikuru afoforo a ɛwɔ yafunu mu anaa honam ani.

Akuru titiriw a ɛnyɛ kokoram a ɛba nkokoaa ne mmofra nkumaa mu

• Koma mu rhabdomyoma:Eyi ne koma mu akisikuru a wɔtaa hu wɔ nkokoaa ne mmofra nkumaa mu. Rhabdomyomas hyehyɛ akuwakuw na mpɛn pii no ɛno ara yera a wɔansa no yare.
• Teratoma: Saa akisikuru yi taa nyin wɔ pericardium, kotoku teateaa a atwa wo ba koma ho ahyia no mu. Ebetumi nso anyin wɔ baabi a mogya ntini akɛse a ɛka koma no fi ase no.
• Fibroma: Nea ɛnte sɛ rhabdomyoma no, fibroma nyin sɛ akisikuru biako. Mpɛn pii no, ɛba abofra no koma mu ntini a ɛwɔ nipadua no mu no ntini mu. Esiane sɛ ebetumi ama abofra no anya komayare a emu yɛ den nti, ɛda adi sɛ ebehia sɛ wɔyɛ abofra no oprehyɛn de yi akisikuru no fi hɔ.
• Hamartoma: Wɔsan frɛ eyi histiocytoid cardiomyopathy anaa Purkinje nkwammoaa hamartoma. Eyi betumi aka wo ba no koma a ɛbɔ no.

Koma mu akisikuru titiriw ahorow a ɛyɛ kokoram (a ɛyɛ hu).

Koma mu akisikuru titiriw nyinaa mu bɛyɛ 5% kosi 25% yɛ kokoram. Nea ɛtaa ba ne sarcoma.

• Sarcoma: Saa sarcoma yi ka nnipa a wɔwɔ koma kokoram no mu 50% kosi 75%. Sarcoma ahorow nketewa pii wɔ hɔ. Nneɛma atitiriw no mu abien ne:
• Angiosarcoma: Eyi ne subtype a ɛtaa ba mpanyimfo mu. Angiosarcoma taa ba wɔ atrium nifa anaa pericardium mu.
• Rhabdomyosarcoma: Eyi ne subtype a ɛtaa ba wɔ nkokoaa ne mmofra nkumaa mu. Nanso, ebetumi aba mpanyimfo nso. Rhabdomyosarcomas taa yɛ akuwakuw na ebetumi aba wɔ koma no dan biara mu.

Kokoram mu akisikuru titiriw ahorow nso wɔ hɔ a ɛntaa nsi:

• Malignant fibrous histiocytoma: Saa akisikuru yi taa ba benkum so ahurututu no mu na ebetumi asiw wo mitral valve no kwan, na asiw mogya a ɛbɛkɔ koma no mu adan ntam no kwan.
• Lymphoma: Lymphoma (mogya mu nkwammoaa fitaa mu kokoram) taa ba wɔ lymph nodes, akyi berɛmo, anaa nnompe mu ntini mu. Ɛntaa mma sɛ enyin wɔ koma no mu. Eyi taa ba nnipa a wɔwɔ AIDS so.

Akuru titiriw, a ebia ɛyɛ kokoram anaasɛ ɛnyɛ saa

Ebia akisikuru bi a efi ase wɔ koma no mu no yɛ kokoram anaasɛ ɛnyɛ saa.

• Mesothelioma: Saa akisikuru yi yɛ kokoram sɛ ɛba wɔ koma no akyi a. Nanso, ɛntaa mma sɛ ebetumi afi ase wɔ atrioventricular node a ɛyɛ koma no anyinam ahoɔden nhyehyɛe no fã no mu. Sɛ ɛba saa a, ɛnyɛ kokoram.
• Paraganglioma: Saa akisikuru yi taa ba koma no ase.

Koma mu Akisikuru a Ɛtrɛw

Eyinom yɛ akisikuru a ɛba bere a kokoram fi ase wɔ wo nipadua mu baabi foforo (sɛ nhwɛso no, ahurututu anaa honam ani) na ɛtrɛw kɔ wo koma mu no. Eyinom yɛ kokoram (a ɛyɛ hu) akisikuru bere nyinaa , a ɛkyerɛ sɛ efi kokoram a ɛwɔ nipadua no mu dedaw mu na ɛba.

Kokoram ahorow pii wɔ hɔ a ebetumi atrɛw akɔ koma no mu:

• Melanoma (honam ani kokoram) .
• Ahurututu mu kokoram
• Nufu mu kokoram
• Lymphoma a ɛma mogya tu
• Asaabo mu kokoram
• Kokoram a ɛwɔ aduan mu

Ɛhe na akisikuru yi nyin wɔ koma no mu?

Koma mu akisikuru betumi aba koma no afã horow. Akisikuru a edi kan ne nea ɛkɔ mmeae afoforo nyinaa betumi ayɛ kɛse wɔ mmeae a edidi so yi:

• Endocardium: Ntini a ɛwɔ koma no mu adan mu.
• Myocardium: Ɛno ne wo koma ntini.
• Koma mu ntini: Eyinom ne afã horow a ɛte sɛ "apon" a ɛhwɛ mogya a ɛfa koma no mu so.
• Pericardium: Eyi ne kotoku teateaa a atwa koma no ho ahyia.

Hena na onya koma mu akisikuru yi kɛse?

Koma mu akisikuru, a egyina ne su so, betumi aba obiara mu wɔ mfe biara mu. Ahorow bi (te sɛ teratomas) nyin bere a akokoaa da so ara wɔ awotwaa mu no. Ahorow afoforo nso ba wɔ mmofraase anaa mmere ahorow mu wɔ mpanyin afe so.

Susuw eyi ho hwɛ: Myxomas abu so wɔ mmea mu sen mmarima mmɔho abien kosi anan.

Sarcomas yɛ kokoram bi a ɛtaa ba mpanyimfo a wɔadi mfe mfinimfini mu. Sɛ wɔkyekyem pɛpɛɛpɛ a, mfe a obi adi ansa na wɔahu yare no bɛyɛ mfe 44.

Koma mu akisikuru abu so dɛn?

Koma mu akisikuru titiriw (a ɛnyɛ kokoram ne kokoram nyinaa) ka nnipa bɛyɛ 2,000 biara mu 1. Nanso, akisikuru a ɛnyɛ kokoram abu so koraa sen akisikuru a kokoram wom.

Nanso, koma mu akisikuru a efi mmeae afoforo trɛw kɔ koma no mu (metastatic) taa ba. Nhwɛsoɔ:

• Nnipa a wɔwɔ ahurututu mu kokoram no mu bɛyɛ 10%.
• Nnipa a wɔwɔ nufu mu kokoram bɛyɛ 10%.
• Nnipa a wɔwɔ melanoma no mu 50% kosi 65%.

Ɔkwan bɛn so na koma mu akisikuru ka wo nipadua?

Koma mu akisikuru betumi aka wo nipadua wɔ akwan pii so. Kokoram (a ɛyɛ hu) koma mu akisikuru betumi atrɛw akɔ wo nipadua no afã afoforo te sɛ ahurututu mu. Koma mu akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) ntrɛw, nanso ebetumi de ɔhaw ahorow aba koma ne mogya ntini mu. Ɔhaw ahorow a ɛtete saa no bi ne:

• Koma a ɛbɔ a ɛnteɛ (Arrhythmias) .
• Mogya a ɛtɔ ne thromboembolism
• Ɔhaw ahorow a ɛfa mogya a ɛkɔ koma no mu ho
• Koma mu yare
• Koma a entumi nyɛ adwuma yiye
• Koma mu nnyigyei a ɛnteɛ (Koma mu nwiinwii) .
• Mogya mmoroso a ɛba fam (Hypotension) .
• Pericardial effusion a ɛkɔ nipadua no mu
• Koka a atwa koma no ho ahyia a ɛyɛ hyew (pericarditis) .
• Valve ahorow a wɔsɛe no

Sɛnea akisikuru ka wo koma no gyina akisikuru ko ne baabi a ɛwɔ wɔ koma no mu so. Sɛ nhwɛso no, akisikuru a efi ase wɔ koma no mu no betumi asiw mogya a ɛkɔ koma no mu ano anaasɛ ɛma mogya tu. Akisikuru a enyin wɔ koma ntini no mu no betumi ama koma no ayɛ adwuma yiye anaasɛ koma abɔ a ɛnteɛ (arrhythmias).

Sɛ wohu sɛ wowɔ koma mu akisikuru a, wo duruyɛfo bɛkyerɛ wo baabi a ɛwɔ ne sɛnea ebetumi aka wo koma.

Dɛn ne koma mu akisikuru ho sɛnkyerɛnne?

Koma mu akisikuru ho sɛnkyerɛnne gu ahorow kɛse. Wogyina akisikuru ko a wowɔ ne baabi a ɛwɔ wo koma mu so. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa, anaasɛ yare no ho sɛnkyerɛnne a emu nyɛ den koraa. Ebia afoforo nso wɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wɔwɔ komayare a ɛde wɔn nkwa to asiane mu.

Koma mu akisikuru ho sɛnkyerɛnne pii yɛ nea nnuruyɛfo frɛ no "ɛnyɛ pɔtee." Eyi kyerɛ sɛ akwahosan ho haw afoforo pii betumi de saa sɛnkyerɛnne ahorow yi aba, na ɛnyɛ koma mu akisikuru nko. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi mpo a, ɛnkyerɛ bere nyinaa sɛ wowɔ koma mu akisikuru. Ɛno nti na ɛho hia sɛ woka wo yareɛ no ho sɛnkyerɛnne kyerɛ wo duruyɛfoɔ sɛdeɛ ɛbɛyɛ a ɔbɛtumi ahunu nea ɛde ba no.

Mpɛn pii no, nnipa a wɔwɔ koma mu akisikuru a ɛyɛ kokoram no ho sɛnkyerɛnne fi ase mpofirim na ɛyɛ kɛse ntɛmntɛm. Nsɛnkyerɛnne a ɛwɔ koma mu akisikuru a ɛnyɛ kokoram mu no betumi ayɛ kɛse nkakrankakra.

Nsɛnkyerɛnne ne nsɛnkyerɛnne a ɛtaa ba wɔ koma mu akisikuru ho ne:

• Koko mu yare, ɛyaw
• Adwene a ɛyɛ basaa ne obi a ɔtotɔ piti
• Ɔbrɛ, ɔbrɛ
• Atiridii ne awɔw
• Koma a ɛbɔ denneennen
• Nkwaa mu yaw
• Akɔnnɔ
• Anadwo fifiri a ɛba
• Nsonsonoe nketenkete kɔkɔɔ a ɛwɔ honam ani ``(Petechiae)``
• Ɔhome a ɛyɛ den
• Nan a ɛho ahonhon
• Mu duru a wɔtew so esiane biribi foforo biara nti

Dɛn nti na koma mu akisikuru yi ba?

Ɛnyɛ bere nyinaa na ɛda adi pefee sɛ nea enti a koma mu akisikuru titiriw ba. Awosu mu yare ahorow bi (te sɛ Carney complex) betumi ama koma mu akisikuru titiriw bi a ɛnyɛ kokoram aba.

Koma mu akisikuru a ɛtrɛw kɔ mmeae afoforo bere a kokoram fi wo nipadua no fã biako (te sɛ ahurututu anaa honam ani) trɛw kɔ koma no mu.

Wobɛyɛ dɛn ahu sɛ wowɔ koma mu akisikuru?

Wɔde mfoninitwa nhwehwɛmu na ɛkyerɛ sɛ obi anya koma mu akisikuru. Ebia wo duruyɛfo besusuw sɛ wowɔ koma mu akisikuru na wahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii na wɔahu. Anaasɛ, ebia wobehu akisikuru bi mpofirim bere a wɔreyɛ nhwehwɛmu esiane nneɛma afoforo nti.

Sɛ obi wɔ kokoram wɔ nipadua no baabi foforo na onya komayare mpofirim a, oduruyɛfo no betumi asusuw sɛ ɔwɔ koma mu akisikuru. Enti, wobetumi ayɛ mfoninitwa nhwehwɛmu ahwɛ sɛ kokoram no atrɛw akɔ koma no mu anaa.

Mpɛn pii no, ɛyɛ den sɛ wobehu koma mu akisikuru titiriw efisɛ ne sɛnkyerɛnne te sɛ nyarewa afoforo de. Ebia nnuruyɛfo besusuw sɛ akisikuru bi wɔ nnipa a wɔwɔ komayare ho sɛnkyerɛnne a enni nea ɛde ba a ɛda adi pefee no mu. Nanso mpɛn pii no, nnuruyɛfo nam nhwehwɛmu ahorow a wɔhyɛ sɛ wɔmfa nhwɛ sɛ ebia nyarewa afoforo wɔ hɔ no so hu koma mu akisikuru titiriw. Wɔfrɛ eyinom sɛ nneɛma a wohu wɔ akwanhyia mu.

Koma mu akisikuru pii wɔ sɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛnyɛ pɔtee, a ɛkyerɛ sɛ ebetumi akyerɛ ɔhaw ahorow pii. Nanso koma mu akisikuru wɔ sɛnkyerɛnne biako a ɛyɛ soronko. Sɛ wo duruyɛfo de afiri a wɔde tie asɛm tie wo koma a, ebia wobɛte "tumor plop" nnyigyei soronko bi. Saa nnyigyei yi ba bere a akisikuru no resiw mitral valve no kwan wɔ nipadua mu no. Eyi te sɛ nnyigyei a wote sɛ wowɔ mitral valve stenosis a.

Enti, sɛ wo duruyɛfo te saa nnyigyei yi a, ebia wobesusuw sɛ wowɔ koma mu akisikuru, titiriw sɛ wunni asiane ahorow a ɛbɛma woanya mitral valve stenosis a.

Sɔhwɛ ahorow bɛn na wɔreyɛ?

Mfoninitwa nhwehwɛmu ho hia na ama wɔahu koma mu akisikuru, asa, na wɔahwɛ so. Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu yi biako anaa nea ɛboro saa na ama wɔahu sɛ wowɔ yare no:

• Transthoracic echocardiogram: Saa echo yi boa ma wohu akisikuru a ɛwɔ koma no ase adan (ventricles).
• Transesophageal echocardiogram: Saa echo yi boa ma wohu akisikuru a ɛwɔ koma no atifi adan (atria).
• Koma mu MRI: Saa nhwehwɛmu yi boa ma wohu akisikuru no ho nsɛm nketenkete te sɛ sɛ ebia ɛyɛ kokoram anaa.
• Koma mu CT mfonini a ɛma nsonsonoe yɛ kɛse: Saa nhwehwɛmu yi ho wɔ mfaso ma nnipa a wɔde mfiri ahyɛ wɔn mu na wontumi nyɛ MRI. Ɛho wɔ mfaso nso ma koko no nyinaa (a ahurututu ne mogya ntini ka ho) ne koma no mu ntini a ɛma mogya tu no mu nhwehwɛmu.
• PET scan: Ɛtɔ mmere bi a wɔde nhwehwɛmu yi di dwuma de hwɛ sɛ kokoram a ɛwɔ nipadua no mmeae afoforo atrɛw akɔ koma no mu anaa.

Dɛn ne ayaresa ahorow a wɔde sa koma mu akisikuru?

Ɛsono sɛnea wobetumi asa koma mu akisikuru a egyina akisikuru no so.

• Koma mu akisikuru titiriw a ɛnyɛ kokoram: Sɛ saa akisikuru yi yɛ nketewa a, wobetumi de oprehyɛn ayi afi hɔ yiye. Ebia wɔrentumi nyi akisikuru akɛse mfi hɔ. Sɛ akisikuru no resiw koma no dwumadi kwan a, ebia wo duruyɛfo anaa wo ba no duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ no oprehyɛn. Ebia mmofra a wɔyɛ wɔn oprehyɛn de yi fibroma bi nso behia oprehyɛn a wɔde bɛsan asiesie koma no.
• Kokoram mu akisikuru titiriw:Ebia wɔrenyi saa akisikuru yi mfi hɔ na ɛtaa kum nnipa. Wobetumi de nnuru anaa mframa a wɔde sa yare adi dwuma de ama kokoram no anyin brɛoo. Ebia wo duruyɛfo nso bɛkyerɛw nnuru a wode besiw nsɛnnennen ano.
• Koma mu akisikuru a ɛtrɛw kɔ mmeae afoforo: Ayaresa no gyina baabi a kokoram no fii ase so. Ebia nea ɛka ho ne nnuru a wɔde sa yare anaa oprehyɛn a wɔde yi akisikuru no. Ebia wo duruyɛfo de nhama bɛhyɛ wo moma so de ayi nsu a ɛboro so afi akisikuru no mu. Ebia wɔde nnuru nso bɛhyɛ wo koma mu na ama akisikuru no anyin brɛoo anaasɛ ayɛ adwuma atia nsu a ɛbɛboaboa ano no.

Nnipa a wɔwɔ koma mu akisikuru no ho tɔ wɔn dodow ahe?

Hokwan a wowɔ sɛ wubenya nkwa no gyina akisikuru ko a wowɔ ne sɛnea wohu no ntɛm so. Mpɛn pii no, sɛ wohu yare no ntɛm a, ɛma nneɛma pa fi mu ba. Nanso, kokoram akisikuru bi trɛw ntɛmntɛm na ebetumi ayɛ den anaasɛ ɛrentumi nyɛ yiye sɛ wɔbɛsa. Nhwehwɛmu kyerɛ sɛ:

• Mpɛn pii no, wobetumi ayi myxomas afi hɔ yiye denam oprehyɛn so.
• Koma mu akisikuru titiriw a ɛma obi nya kokoram no taa di awu. Saa akisikuru yi betumi atrɛw ntɛmntɛm anaasɛ asan aba bere a wɔasa no yare awie no. Hokwan a wowɔ sɛ wubenya nkwa no gyina akisikuru no kɛse, baabi a atrɛw akodu, ne sɛnea wohu kokoram no ntɛm so.
• Mpɛn pii no, koma mu akisikuru a ɛtrɛw kɔ mmeae afoforo no di awu. Esiane sɛ kokoram no trɛw ntɛmntɛm nti, nnipa a wɔwɔ saa akisikuru yi no nni hokwan kɛse biara sɛ wɔbɛsa wɔn yare bere tenten.

Bere tenten ahe na wubetumi atra ase a wowɔ koma mu akisikuru?

Wo duruyɛfo no ne wo bɛkasa afa w’ankorankoro nkɔmhyɛ ho. Mpɛn pii no, nnipa a wɔwɔ koma mu akisikuru a ɛnyɛ kokoram no nya nkɔmhyɛ a eye sen nnipa a wɔwɔ kokoram akisikuru.

Kokoram mu akisikuru titiriw ma wo nkwa nna yɛ tiaa. Ne nyinaa:

• Nnipa bɛyɛ 50% nya nkwa afe biako wɔ bere a wɔahu sɛ wɔwɔ yare no akyi.
• Nnipa bɛyɛ 24% tra ase mfe abiɛsa.
• Nnipa bɛyɛ 19% tra ase mfe anum.

Nkwa nna nso gyina koma mu kokoram ko a obi benya so.

• Sarcoma: Nnipa a wɔwɔ sarcoma taa tra ase bɛyɛ asram akron kosi dunwɔtwe wɔ bere a wɔahu sɛ wɔanya bi no akyi.
• Lymphoma: Sɛ wɔkyekyem pɛpɛɛpɛ a, nnipa a wɔwɔ lymphoma no tra ase asram ason. Sɛ wɔsa wɔn yare a, wobetumi atra ase mfe anum. Sɛ wɔannya ayaresa a, wɔtra ase ɔsram biako pɛ.
• Kokoram paraganglioma: Mpɛn pii no, wotumi sa tebea yi. Nnipa bɛyɛ 84% nya nkwa mfe 10 wɔ oprehyɛn a edi mu akyi. Nanso ɛbɛyɛ 50% hokwan wɔ hɔ sɛ kokoram no bɛsan aba. Wubehia sɛ wɔyɛ mfoninitwa nhwehwɛmu daa na ama woahwɛ sɛ ebia ɛsan ba bio anaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wohu sɛ wowɔ koma mu akisikuru a, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ne nea w’ayaresa nhyehyɛe yɛ. Ebia wɔbɛkamfo awosu mu nhwehwɛmu nso ama wo ne w’abusua.

Sɛ wɔayɛ wo oprehyɛn de ayi akisikuru bi afi hɔ a, ebehia sɛ wokɔ wo duruyɛfo nkyɛn daa na woyɛ mfoninitwa nhwehwɛmu. Saa nhwehwɛmu ahorow yi betumi aboa wo duruyɛfo ma wahu sɛ akisikuru no asan aba anaa. Wobetumi nso ahwɛ sɛnea wo koma yɛ adwuma na wɔasa ɔhaw biara a ebetumi aba.

Sɛ wohu sɛ wo ba no anya komayare a, wɔn duruyɛfo bɛkyerɛkyerɛ nea ɛsɛ sɛ wɔyɛ akyi. Ebia wo ba no behia ayaresa ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Wo ne wo duruyɛfo nkasa mfa sɛnea woahu wo yare no, ayaresa nhyehyɛe, ne nkɔmhyɛ a wobɛka ho asɛm. Ebia wobɛpɛ sɛ wubisa nsɛm te sɛ:

• Akisikuru bɛn na mewɔ? So ɛyɛ kokoram?
• Ɔkwan bɛn so na saa aba yi betumi aka me koma?
• Ɔkwan bɛn na eye sen biara a wɔfa so sa saa akisikuru yi?
• Ɛkyɛ dɛn na mihia ayaresa?
• Ɔkwan bɛn so na me ho tɔ me wɔ ayaresa akyi?
• Mpɛn ahe na ɛsɛ sɛ mesan ba kɔyɛ sɔhwɛ anaa sɔhwɛ foforo?

Sɛ wo ba no wɔ koma mu akisikuru a, bisa wɔn duruyɛfo sɛ:

• Akisikuru bɛn na me ba no wɔ? So ɛyɛ kokoram?
• Ɔkwan bɛn so na aduaba yi betumi aka me ba no koma ne n’akwahosan nyinaa?
• So ɛho behia sɛ wɔyɛ me ba no oprehyɛn? Sɛ saa a, ɛnde ntɛm dɛn?
• Ɔkwan bɛn so na me ba no ho retɔ no?
• Dɛn na metumi ayɛ wɔ fie de ahwɛ me ba?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Sɛ mihu saa sɛnkyerɛnne ahorow yi a, dɛn na ɛsɛ sɛ meyɛ?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Koma mu akisikuru betumi aka wo nipadua ne w’asetra wɔ akwan pii so. Mpɛn pii no, wobetumi de oprehyɛn ayi akisikuru a ɛnyɛ kokoram no afi hɔ yiye. Nanso, akisikuru bi, a kokoram akisikuru ka ho, betumi ayɛ den kɛse sɛ wɔbɛsa.

Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara sɛ wowɔ sɛnkyerɛnne bi a. Dodow a wohu yare no ntɛm no, dodow no ara na ɛda adi sɛ ayaresa no bɛyɛ yiye.

Wo ne wo duruyɛfo nkasa mfa wo yare pɔtee a wɔahu ne sɛnea ɛbɛka wo no ho. Mma ɛnhaw wo, nnuruyɛfo wɔ hɔ sɛ wɔbɛboa wo.

` Koma mu Akisikuru, Koma mu Akisikuru, Myxoma, Sarcoma, Koma Yare Ho Nsɛnkyerɛnne, Koma mu Nhwehwɛmu, Koma mu Oprehyɛn