So nsu ahyɛ w’ahurututu mu ma? Momma yensua tebea a ɛfa koma ho (Cardiogenic Pulmonary Edema) yi ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw kakra? Anaasɛ wosɔre fi nna mu esiane sɛ ɛyɛ den ma wo sɛ wobɛhome bere a worekɔda nti? Ebia wo nan nso ahonhon. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛnyɛ papa sɛ wubebu w’ani agu so. Efisɛ, eyi yɛ tebea a ɛfa koma no ho na ɛma nsu hyɛ ahurututu no ma, na ebetumi de nkwa ato asiane mu . Ɛnnɛ, yɛbɛka saa tebea yi a wɔfrɛ no `(Cardiogenic Pulmonary Edema)` ho asɛm.

Dɛn na wɔfrɛ saa ahurututu mu ahonhon a efi koma mu yi? (Koma ne Ahurututu mu Nsõ) .

Sɛ yɛbɛka no tiawa a, `(Cardiogenic Pulmonary Edema)` yɛ nsu a ɛboaboa ano wɔ w’ahurututu mu a ɛho nhia . Eyi betumi ayɛ nea asiane wom kɛse. Nea enti titiriw a ɛte saa ne sɛ nhyɛso a ɛwɔ koma no benkum so no kɔ soro na mogya boaboa ano. Mpɛn pii no, eyi ba esiane koma a entumi nyɛ adwuma yiye nti. Sɛ nsu hyɛ ahurututu no ma te sɛ eyi a, nea ɛka ahome a ɛyɛ den ho no, nipadua no akwaa afoforo nso betumi asɛe denam mframa pa a wonnya no so . Susuw ho hwɛ, yɛn ahurututu te sɛ ɔpon. Sɛ ɛtwe nsu a, entumi nyɛ adwuma yiye. Saa na ɛte.

Nsonsonoe bɛn na ɛda koma mu akisikuru ne ahurututu mu akisikuru ntam?

Saa din abien yi nyinaa kyerɛ nsu a ɛboaboa ano wɔ w’ahurututu mu, na ɛma ɛyɛ den sɛ wobɛhome. Nanso, `(Cardiogenic Pulmonary Edema)` yɛ `(Pulmonary Edema)` bi a komayare na ɛde ba . Ɛne sɛ, ɛyɛ ɔfa kɛseɛ `(Pulmonary Edema)` no fã. Ɔkwan foforo so no, `(Non-cardiogenic Pulmonary Edema)` fi ahurututu no ankasa a ɛsɛe. Sɛ nhwɛso no, ebetumi afi biribi te sɛ ɔyare mmoawa a emu yɛ den anaa mframa a awuduru wom a wɔhome mu na ɛde aba.

Enti dɛn ne koma mu akisikuru ne adwene mu akisikuru?

Eyinom abien nyinaa kyerɛ nsu a ɛboaboa ano wɔ yɛn akwaa ahorow mu ankasa. Wɔ `(Cardiac Edema)` mu no, nsu a ɛboro so no wɔ ahurututu mu. Nanso wɔ `(Renal Edema)` mu no, nsu a ɛboro so no wɔ asaabo no mu. Ɛtɔ da bi a, tebea abien yi nyinaa betumi aba esiane koma a entumi nyɛ adwuma yiye nti. Sɛ ɔhaw bi wɔ asaabo no ho a, asaabo no ntumi nyi nsu mfi mogya no mu yiye na nyi mfi mu sɛ nsu. Afei, nsu boaboa ano wɔ nipadua no mu.

Hena na ɔwɔ asiane kɛse sɛ obenya komayare esiane komayare nti?

Saa tebea yi taa ka nnipa a wɔwɔ komayare , titiriw wɔn a wɔn koma ntumi nyɛ adwuma yiye (Heart Failure). Susuw ho hwɛ, komayare abu so wɔ yɛn man yi mu nso. Enti, sɛ wo nso wowɔ koma mu haw bi a, ɛho hia paa sɛ wohwɛ eyi so.

Dɛn ne eyi ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?

Hwɛ sɛ wowɔ saa su ahorow yi mu biako anaa nea ɛboro saa:

• So ɛyɛ den ma wo sɛ wobɛhome bere a woreteɛteɛ w’apɔw mu anaa woda fam no? Ɛyɛ den ma nnipa binom sɛ wɔbɛhome bere a wɔada mpa so no, enti ɛsɛ sɛ wɔda a wɔde pillow abien anaa abiɛsa so.
• So wosɔre mpofirim anadwo a wote nka sɛ wo home yɛ wo yaw? Eyi yɛ biribi a nnipa pii hyia.
• So wo nan ne wo nansoaa ho ahonhon? Ɛde besi baabi a ɛbɛyɛ den sɛ wobɛhyɛ wo mpaboa.
• So wote ɔbrɛ ne ɔbrɛ nka bere nyinaa? Te sɛ nea wunni ahoɔden a wode bɛyɛ biribiara?
• So wo mu duru reyɛ kɛse mpofirim bɛboro kilogram biako (bɛyɛ nkaribo abien) da biara? Eyi betumi afi nsu a ɛkyere so.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu a worensɛe bere .

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nea ɛde `(Cardiogenic Pulmonary Edema)` ba titiriw ne `(Congestive Heart Failure ).` Eyi yɛ tebea a koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu. Nea ɛka ho no, nneɛma afoforo pii wɔ hɔ a ɛde ba:

• Arrhythmia : Koma no mmɔ wɔ ɔkwan a ɛfata so.
• Cardiomyopathy : Koma ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ den.
• Ɔhaw ahorow a ɛwɔ ntini a ɛwɔ koma no benkum so no ho : Sɛ nhwɛso no, ntini no a ɛyɛ teateaa, anaasɛ ɛsan kɔ.
• Koma Yare: Ntini bi a ɛma mogya kɔ koma no mu a esiw mpofirim.

Sɛ yɛbɛka no tiawa a, sɛ koma no tumi a ɛbɔ no so tew a, nkakrankakra mogya fi ase boaboa ano wɔ ahurututu no mu, na ɛde nhyɛso ba. Ɛno ne bere a nsu hyɛ ahurututu no ma.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ade a odi kan yɛ ne sɛ:

• Nipadua mu nhwehwɛmu yɛ wo nhwehwɛmu a edi mũ. Wɔde afiri a wɔde tie asɛm bɛtie wo moma so na wɔahwɛ sɛ wo nan ahonhon anaa.
• W’aduruyɛ ho abakɔsɛm a wubebisa . Nneɛma te sɛ nyarewa a woadi kan anya, sɛ ebia obi wɔ w’abusua mu a ɔwɔ komayare, ne nea ɛkeka ho.
• Sɔhwɛ yɛ ɔkwan a wɔfa so yɛ sɔhwɛ titiriw pii .

Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi?

Sɛ oduruyɛfo no hwehwɛ wo mu wie a, ebia wɔbɛyɛ nhwehwɛmu ahorow a edidi so yi de ahu tebea no pɔtee:

• ECG (Electrocardiogram) : Eyi betumi ahwɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma, kyerɛ sɛ, sɛnea koma no bɔ denneennen.
• Chest X-ray : Wɔyɛ koko no X-ray de hwɛ sɛ nsu wɔ ahurututu mu anaa koma a ayɛ kɛse.
• Echocardiogram : Eyi te sɛ koma no mu ultrasound scan. Etumi hwɛ nneɛma pii a ɛfa koma no ho, te sɛ ne kɛse, ne nsɛso, sɛnea ne valve ahorow no yɛ adwuma, ne sɛnea ɛbɔ pɔmpɛ.
• Mogya mu Nhwehwɛmu : Mogya no afã horow bi, sɛ nhwɛso no, enzymes a ɛba bere a koma no asɛe, ne asaabo dwumadi mu nhwehwɛmu.
• Pulmonary Arterial Catheter : Eyi nyɛ sɔhwɛ a obiara yɛ. Ɛyɛ nea ɛyɛ den kakra. Ɛyɛ sɔhwɛ a ɛfa afiri ketewaa bi a wɔde fa kɔn anaa asen mu de susuw nhyɛso a ɛwɔ mogya ntini a ɛkɔ ahurututu mu no mu.

Wiɛ, dɛn ne ayaresa ahorow a wɔde sa eyi?

Akwan a wɔfa so sa yare no gyina nea ɛde yare no ba ne sɛnea emu yɛ den so. Akwan atitiriw pii wɔ hɔ a wɔfa so sa yare:

Oprehyɛn ne ayaresa pɔtee:

Wɔ tebea horow bi mu no, ebia ayaresa te sɛ eyi ho behia:

• PCI (Percutaneous Coronary Intervention) : Sɛ mogya ntini a ɛwɔ koma no mu no siw a, wobue denam balloon a wɔde ma mu na ebia wɔde `Stent` (afiri ketewa bi a ɛte sɛ ahama) bɛhyɛ mu no so.
• Ventricular Assist Device (VAD) : Mfiri ketewaa bi a wɔde hyɛ nipadua no mu anaa akyi a ɛboa ma koma no ma mogya.
• Koma Valve Replacement : Sɛ ɔhaw kɛse bi wɔ koma valve ahorow no mu a, ɛyɛ oprehyɛn a wɔde sesa valve.
• Coronary Artery Bypass Graft (CABG) : Yɛn nyinaa nim "bypass oprehyɛn". Nea ɛka ho ne sɛ wɔbɛbɔ mogya ntini foforo wɔ koma no mu de atwa mogya ntini a asiw no ho.
• Intra-aortic Balloon Pump (IABP) : Balloon a wɔde hyɛ mogya ntini mu bere tiaa bi de boa ma wɔde mogya kɔ koma no mu.
• Extracorporeal Membrane Oxygenation (ECMO) : Eyi yɛ ɔkwan a wɔfa so yɛ adwuma wɔ tebea horow a emu yɛ den yiye mu. Nea ɛka ho ne sɛ wɔde afiri bi a ɛwɔ nipadua no akyi de oxygen bɛka mogya no ho na wɔasan de akɔ nipadua no mu.
• Koma a Wɔde Sisi : Ɔkwan a etwa to sɛ ayaresa afoforo nyinaa di nkogu a.

Nnuru ahorow a wɔde di dwuma:

Ebia wo duruyɛfo bɛkyerɛw wo nnuru te sɛ:

• Vasodilators : Eyinom yɛ adwuma denam mogya ntini a ɛtrɛw so, na ɛma ɛyɛ mmerɛw ma koma no sɛ ɛbɛbɔ mogya.
• Diuretics : Yɛtaa frɛ eyinom "nsu aduru." Wɔnam nsu a ɛboro so a wɔfa nsu mu yi fi nipadua no mu so na ɛyɛ adwuma.

Nea ɛho hia sen biara ne sɛ sɛ wo koma ayɛ wo yaw a, wo duruyɛfo bɛka akyerɛ wo sɛ tew nkyene a wonom so . Eyi nkyerɛ nkyene a wode bɛhyɛ w’aduan mu nko, na mmom nkyene a wɔde asie wɔ nneɛma te sɛ nnuan a wɔde ahyɛ toa mu, soup a wɔakyekyere, ne sauce mu nso. Enti ɛsɛ sɛ wohwɛ yiye wɔ ɛno nso ho.

Asetra mu nsakrae ne nneɛma a wubetumi ayɛ wɔ fie:

Saa nneɛma yi nso bɛboa wo:

• Anyɛ yiye koraa no, teɛteɛ w’apɔw mu nna kakraa bi dapɛn biara. Nantew a emu nyɛ duru mpo ye. Nanso, bisa wo duruyɛfo no apɔw-mu-teɛteɛ a ɛfata wo.
• Ma wo nan a ahonhon no nkɔ soro kakra bere a wote hɔ no.
• Sɛ wo nan ho ahonhon a, wobɛtumi ahyɛ sɔks soronko a wɔfrɛ no ``Compression Stockings'' sɛdeɛ wo duruyɛfoɔ afotuo no.
• Sɛ nsu wɔ w’ahurututu mu a, ma mpa no ti nkɔ soro kakra bere a woada no.

Dɛn na yebetumi ayɛ de atew asiane yi so?

Cardiogenic Pulmonary Edema (CPED) taa ba bere a wowɔ komayare dedaw no. Enti, ɔkwan a eye sen biara a wobɛfa so atew asiane yi so ne sɛ wobɛma wo koma ayɛ apɔwmuden na ayɛ den .

Saa nneɛma yi bɛboa wɔ ɛno mu:

• Di nnuan a srade a ɛyɛ dɛ ne trans fats nnim pii . Fa nhabannuru, nnuaba, ne atoko pii ka w’aduan ho.
• Apɔw-mu-teɛteɛ bere biara a ɛbɛyɛ yiye. Sɛ obi nantew simma 30 da biara mpo a, ɛyɛ ade kɛse.
• Kwati tawa nneɛma (sigaret, beedis, ne nea ɛkeka ho) a wode bedi dwuma koraa.
• To nsa a wonom no ano hye. Ɛyɛ papa sɛ wubegyae koraa sɛ ɛbɛyɛ yiye a.

Sɛ eyi ba a, dɛn na ɛba? So wobetumi asa no yare?

Nokwarem no, `(Pulmonary Edema)` yɛ tebea a ɛde nkwa to asiane mu . Nanso, sɛnea wo ho bɛtɔ wo no gyina nea ɛde ba no so. Sɛ nhwɛso no, nnipa a wɔwɔ `(Cardiac Edema)` no mu bɛyɛ 50% tra ase afe biako bere a wɔayi wɔn afi ayaresabea akyi.

Koma a entumi nyɛ adwuma yiye na ɛtaa de eyi ba. Ɛyɛ yare a enni sabea, a ɛkyerɛ sɛ ɛtra hɔ kyɛ. Nanso, sɛ wɔsa yare yiye a, wobetumi adi tebea yi so yiye .

Sɛ́ anka wobɛte mmɔbɔ sɛ, "Oh, menyaa saa yare yi," nea ɛho hia ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi na woayɛ nsakrae wɔ w'asetra kwan mu.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wokari wo ho bere koro mu da biara a, ebetumi aboa wo ma woahu sɛ wo tebea no reyɛ kɛse anaa. Ɛyɛ papa sɛ wubedi kan akari wo ho anɔpa, ansa na woadi, ne bere a wode aguaree adi dwuma awie no. Sɛ wo mu duru rekɔ soro bɛboro kilogram biako (bɛyɛ nkaribo abien) da biara a, ɛda adi sɛ worekura nsu mu. Sɛ eyi ba a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn:

• Sɛ ɛyɛ den ma wo sɛ wobɛhome a , bere a woabrɛ kakra anaa bere a woada fam no.
• Sɛ wosɔre fi nna mu a wo home yɛ wo yaw a .
• Sɛ wo nan ho ahonhon a .

Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na eye.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wo moma so yɛ wo yaw kɛse a , ntwɛn. Frɛ 911 (anaa 1990 Sudhana Ambulance Service wɔ Sri Lanka) ntɛm ara anaa wo ne obi kɔ ayaresabea.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi. Saa kwan no so no, wo nso wubetumi ate wo tebea no ase yiye.

• "Oduruyɛfo, dɛn nti na manya saa `(Cardiac Edema)` tebea yi?"
• "So eyi betumi asa denam nea ɛde ba no a wɔbɛsa so?"
• "Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m'asetra kwan mu?"

Dodow a wo duruyɛfo hu wo tebea no ntɛm na ofi ayaresa ase no, dodow no ara na nea ebefi mu aba no ye. Ɛno nti na ɛho hia sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn daa akɔhwɛ wo. Saa kwan no so no, wubetumi akyere koma mu haw biara ansa na asɛe. Ɛho hia nso sɛ wobɛnom wo nnuru no bere ano.

Awiei koraa no, ɛsɛ sɛ meka sɛ... (Take-Home Message)

Enti, `(Cardiogenic Pulmonary Edema)` yɛ tebea a nsuo hyɛ ahurututu mu ma esiane komayare bi nti, na ɛyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɛyɛ den sɛ wobɛhome, wo nan ho ahonhon, anaasɛ wosɔre a worehome , hwɛ so yiye.

Sɛ wuhu ntɛm, ayaresa a ɛfata, na wunya asetra pa ne akwan a eye sen biara a wobɛfa so abɔ wo ho ban afi tebea yi ho na woadi so. Hwɛ wo koma so, efisɛ ɛyɛ wo nkwa!

` Cardiogenic Pulmonary Edema, nsu a ɛhyɛ ahurututu mu ma, koma a entumi nyɛ adwuma yiye, ahome a ɛyɛ den, komayare, edema, koma a ɛyɛ mmerɛw