Hena ne komayare ho ɔbenfo? Momma yɛnhwehwɛ nea eyi yɛ ankasa!

Ɛtɔ mmere bi a, wote nka sɛ wo moma so ayɛ wo den anaasɛ wobrɛ kakra? Anaasɛ obi wɔ w’abusua mu a wanya komayare? Sɛ saa a, ɛho hia yiye sɛ wuhu komayare ho oduruyɛfo bi ho asɛm. Ma yɛnhwɛ nnipa ko a wɔyɛ, nea wɔyɛ, ne sɛnea wobetumi aboa wo.

Hena ne komayare ho ɔbenfo yi?

Koma ho oduruyɛfo yɛ oduruyɛfo a ne ho akokwaw wɔ koma ne mogya ntini mu nyarewa ho. Sɛ yɛbɛka no tiawa a, saa nnuruyɛfo yi betumi aboa ma wo koma atra apɔw, asiw komayare ano, na sɛ ɛba a, wɔasa.

Sɛ wobɛyɛ oduruyɛfo titiriw te sɛ eyi a, ɛnyɛ mmerɛw, ɛyɛ? Ɛsɛ sɛ wodi kan sua ade mfe anan wɔ aduruyɛ sukuu mu. Afei, ɛsɛ sɛ wɔyɛ residency wɔ general internal medicine mu mfe abiɛsa bio. Ɛno akyi no, anyɛ yiye koraa no, ɛsɛ sɛ wɔyɛ mfe abiɛsa foforo ntetee titiriw wɔ komayare ho. Wɔ ntetee a ɛware yi akyi no, ɛsɛ sɛ wotwa sɔhwɛ titiriw ahorow mu na wonya adansedi krataa fi ɔman no mu kuw bi a wogye tom hɔ. Ɛsɛ sɛ wɔkɔ so yɛ sɔhwɛ ne adesua nso na ama wɔn nimdeɛ ayɛ foforo na wɔakɔ so ahu ayaresa ahorow a aba so foforo.

Dɛn na komayare ho oduruyɛfo yɛ?

Afei ma yɛnhwɛ nea komayare ho ɔbenfo yɛ. Sɛ wowɔ koko mu yaw, mogya mmoroso, koma a entumi nyɛ adwuma yiye, koma ntini mu haw, mogya ntini mu haw a, wobetumi asa biribiara a ɛfa koma no ho.

Nea ɛbɛyɛ na wɔahu nea ɛhaw wo ankasa no, wɔbɛkra sɛ wɔnyɛ sɔhwɛ ahorow. Sɛ nhwɛso no, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ ECG (Electrocardiogram) , Echocardiogram (Echo) , CT Scan (Computed Tomography) , CMR (Cardiac Magnetic Resonance Imaging) , ne Nuclear Imaging . Ebia wobegyina nsɛm a efi nhwehwɛmu ahorow yi mu so akyerɛw nnuru ama wo, aboa wo ma woafi ase ateɛteɛ w’apɔw mu na woadi adidi, anaasɛ woayɛ oprehyɛn bi te sɛ Cardiac Catheterization . Ɛtɔ da bi a, sɛ wuhia koma mu oprehyɛn a, oduruyɛfo yi de wo bɛkɔ koma ne ahurututu mu oprehyɛn ho oduruyɛfo a ɔfata nkyɛn.

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nipadua mu nhwehwɛmu, aka wo yare no ho sɛnkyerɛnne, ne w’ayaresa ho abakɔsɛm.

Ɛho hia paa sɛ wobɛka akyerɛ wo duruyɛfoɔ sɛ obi wɔ w’abusua mu anya komayareɛ (abusua abakɔsɛm), ɛfiri sɛ ɛbɛboa wɔn ama wɔate asiane a ɛwɔ mu no ase.

Nsɛm a ɛho hia kakra te sɛ eyi mpo betumi ama wo duruyɛfo anya wo koma ne wo mogya ntini akwahosan ho nhumu a ɛsom bo:

• Wo mu duru
• Mogya mmoroso
• Cholesterol dodow a ɛwɔ nipadua no mu
• Mogya mu glucose/asikre dodow

Oduruyɛfo no de nsɛm yi nyinaa bɛtoto nea efii wo nhwehwɛmu no mu ho de ahu nneɛma a ɛde komayare ba a wowɔ. Wɔbɛpɛ nso sɛ wohu sɛ wonom sigaret, apɔw-mu-teɛteɛ dodow a woyɛ, nea wudi ne nea wonom, ne nnuru a wonom .

Nyarewa ahorow bɛn na komayare ho animdefo sa anaa wɔboa ma wosiw ano?

Okay, enti momma yɛnhwɛ nyarewa a komayare ho animdefo sa anaasɛ wɔboa ma wosiw ano no. Nsɛm a wɔahyehyɛ no ware kakra, nanso ɛho hia sɛ wuhu:

• Atherosclerosis (Eyi ne bere a srade boaboa ano wɔ mogya ntini no mu na esiw ano. Ɛte sɛ efĩ a akɔhyɛ nsu paipu mu.)
• Mogya mmoroso
• Cholesterol a ɛdɔɔso
• Angina (koko mu yaw, ɛte sɛ nea ɛyɛ den) .
• Cardiac Arrest (Koma a ɛyɛ adwuma mpofirim) .
• Koma no Di Dwuma (koma no dwumadi a ɛyɛ mmerɛw, te sɛ motor a ɛyɛ mmerɛw) .
• Koma a Ɛyare
• Mogya a ɛtwetwe
• Atrial Fibrillation ne koma mu ntini mu yare afoforo
• Endocarditis (yare mmoawa a ɛba koma no mu) .
• Cardiogenic Shock (tebea a komayare de ba) .
• Koma mu ntini ho haw ahorow
• Koma mu yare a ɛnyɛ ne kwan so
• Cardiomyopathy (yare a ɛba koma ntini mu) .
• Myocarditis (koma ntini a ɛyɛ hyew/honhon) .
• Ɔhaw ahorow a ɛba wɔ koma no akyi a ɛkata so no ho, sɛ nhwɛso no, pericarditis (ntini a ɛyɛ tratraa a atwa koma no ho ahyia no a ɛyɛ hyew) .
• Koma mu yare a wɔde awo obi
• Ɔhaw ahorow a ɛba aorta no mu, te sɛ aneurysm anaa stenosis
• Ntini mu haw (e.g. Peripheral Artery Disease - ntini a ɛwɔ akwaa no mu a ɛyɛ teateaa, Subclavian Artery Disease , Renal Artery Disease - ntini a ɛkɔ asaabo no mu a ɛyɛ teateaa, Coronary Artery Disease - ntini a ɛde mogya kɔ koma no ankasa mu a ɛyɛ teateaa)
• Akisikuru (a mogya a ɛkɔ amemene no mu a esiw, ɛtɔ mmere bi a ɛne koma mu haw ahorow wɔ abusuabɔ na ɛde ba) .

Nhwehwɛmu bɛn na komayare ho oduruyɛfo yɛ?

Ebia komayare ho oduruyɛfo bɛkra sɛ wɔnyɛ nhwehwɛmu ahorow yi, nanso akwahosan ho adwumayɛfo afoforo nso betumi ayɛ nhwehwɛmu ahorow bi:

• Cardiac Catheterization (sɔhwɛ/ayaresa a ɛhwehwɛ sɛ wɔde afiri ketewaa bi hyɛ koma no mu) .
• Koko so X-ray a wɔyɛ
• Mogya mu nhwehwɛmu (Eyinom hwɛ nneɛma pii te sɛ srade ne asikre) .
• MRI (Magnetic Resonance Imaging) a wɔde hwɛ koma no
• CT (Computed Tomography) a wɔde hwɛ koma no
• Coronary Angiogram (X-ray a wɔde yɛ koma no ntini a wɔde aduru a wɔde yɛ aduru de hwehwɛ sɛ ntini no mu asiw) .
• Adwennwen Ho Sɔhwɛ (a wɔsan frɛ no Treadmill Sɔhwɛ) .
• Electrocardiogram (ECG/EKG) (sɔhwɛ a ɛkyerɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma) .
• Echocardiogram (Echo) (afiri a wɔde hwɛ koma no mu, a ebetumi ahwɛ sɛnea koma no te ne sɛnea ɛyɛ adwuma) .
• Transesophageal Echocardiogram (TEE ) .
• Holter Monitor (mfiri ketewaa bi a ɛkyere wo koma bɔ bɛyɛ nnɔnhwerew 24) .
• Event Monitor (mfiri a ɛkyerɛw bere a sɛnkyerɛnne bi aba) .
• Implantable Event Recorder/Implantable Loop Recorder (afiri a wɔde hyɛ honam ani na ɛhwɛ sɛnea koma bɔ bere tenten) .

Bere bɛn na ɛsɛ sɛ wokɔ komayare ho oduruyɛfo nkyɛn?

Mpɛn pii no, sɛ w’abusua oduruyɛfo (Primary Care Provider) anaa wo daa oduruyɛfo hu sɛ wowɔ ɔhaw bi wɔ wo koma anaa mogya ntini mu a ɛsɛ sɛ wohwɛ so titiriw a, ɔde wo bɛkɔ koma ho oduruyɛfo nkyɛn. Ɛtɔ da bi a, saa oduruyɛfo titiriw yi ne wo bɛyɛ adwuma akyɛ de akɔ so ahwɛ wo tebea no so.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwehwɛ aduruyɛfo afotu ntɛm ara na sɛ ɛho hia a, kɔ komayare ho oduruyɛfo nkyɛn:

• Ɛyaw a ɛwɔ wo moma so - ɛyaw a ano yɛ nnam wɔ wo moma so mfinimfini, titiriw sɛ ɛte sɛ nea ɛreyɛ ayɛ den a
• Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti
• Ahome tiaa - a wote nka se wo home tiaa mpo bere a woayo adwuma ketewa bi akyi
• Koma a ɛbɔ - Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛrebɔ ntɛmntɛm

Dɛn ne mmeae titiriw a komayare ho animdefo yɛ?

Koma mu yare ne ade titiriw a ɛde owu ba wɔ wiase nyinaa. Koma ho animdefo yɛ nnuruyɛfo kuw a wɔho hia paa. Wobetumi ayɛ adwuma wɔ mmeae titiriw mpo wɔ komayare ho. Sɛ nhwɛso no, nnuruyɛfo bi wɔ hɔ a wɔn ho akokwaw wɔ nneɛma te sɛ `Koma a Ɛnyɛ Den`, `Koma mu Nsɛnnennen`, anaa `Awo mu Tebea` mu.

Koma ho aduruyɛfo ahorow ahorow

Koma ho animdefo nso wɔ subspecialties ahorow. Wɔn ho akokwaw wɔ koma ne mogya ntini mu haw ahorow mu, sɛ nhwɛso no, koma ho mfoninitwa anaa koma a wɔsan siesie.

Nneɛma ahorow a ɛtete saa no bi ni:

• Clinical Cardiologist - Oduruyɛfo a ɔtaa di kan hu wo na ɔyɛ nhwehwɛmu no.
• Koma a Ɛnyɛ Den Ho Ɔbenfo
• Pediatric Cardiologist - Oduruyɛfo a ɔsa komayare wɔ mmofra nkumaa mu.
• Interventional Cardiologist - Eyinom ne nnipa a wɔyɛ nneɛma te sɛ angioplasty (ntini a wɔde balloons trɛw) ne stent a wɔde si hɔ.
• Cardio-oncologist - Oduruyɛfo titiriw a ɔhwɛ nkɛntɛnso a kokoram ayaresa nya wɔ koma no so.
• Koma a Wɔde Awo Wɔn Ho Ɔbenfo
• Cardiac Imaging Specialist - Ɔbenfoɔ a ɔde akwan te sɛ Echo ne MRI hwehwɛ nyarewa.
• Peripheral Interventional Cardiologist - Wɔn a wɔsa ntini a ɛwɔ akwaa mu no yare.
• Preventive Cardiologist - Obi a ɔboa ma wɔsiw yareɛ ano ansa na aba.
• Cardiac Rehabilitation Specialist - Obi a ɔde apɔw-mu-teɛteɛ ne asetra ho afotu ma nnipa a wɔrenya ahoɔden afi komayare mu.
• Electrophysiologist - Ɔyɛ ɔbenfo wɔ koma a ɛyɛ den ho haw ahorow, te sɛ pacemaker a wɔde hyɛ nipadua mu.
• Nkwakoraa ne mmerewa Koma Ho Ɔbenfo
• Koma ne ntini mu yare ho ɔbenfo
• Agumadi mu Koma Ho Ɔbenfo
• Koma Ho Ɔbenfo a Ɔhwɛ Wɔn a Ɛyɛ Den

So mihia sɛ wɔde me kɔ komayare ho oduruyɛfo nkyɛn?

Eyi betumi ayɛ soronko a egyina wo insurance nhyehyɛe so. Insurance nnwumakuw binom hwehwɛ sɛ wɔde wo kɔma wo fi nea ɔhwɛ wo titiriw no hɔ. Enti, ɛbɛyɛ papa sɛ wubebisa wo insurance adwumakuw no eyi ho asɛm. Eyi bɛboa wo ma woakwati sɛ wubetua sika a ɛboro nea wohwɛ kwan. Mpɛn pii no, sɛ wobɛkɔ oduruyɛfo titiriw te sɛ komayare ho oduruyɛfo nkyɛn a, ne bo yɛ den sen sɛ wobɛkɔ abusua oduruyɛfo nkyɛn. Nanso, wubetumi akora sika so denam wo insurance adwumakuw no mmara a wubedi so no so.

Ɛhe na komayare ho animdefo yɛ adwuma?

Wubetumi ahyia komayare ho oduruyɛfo wɔ ayaresabea a ɔyɛ adwuma wɔ hɔ no. Nnuruyɛfo binom hwɛ ayarefo wɔ wɔn ankorankoro adwumayɛbea ahorow. Wobetumi nso de wo akɔ ayaresabea anaa aduruyɛbea foforo akɔyɛ nhwehwɛmu anaa ayaresa.

Awiei koraa no, nneɛma a ɛsɛ sɛ yɛkae...

Koma ho ɔyaresafo yɛ obi a obetumi ama nsakrae kɛse aba w’asetra mu. Ebia wobetumi agye wo nkwa bere a woanya komayare akyi. Anaasɛ, ebia wobetumi aboa ma komayare asiw ano. Ebia wubehia komayare ho oduruyɛfo a ne ho akokwaw wɔ tebea pɔtee a wowɔ no mu, a egyina wo tebea no so.

W’abusua oduruyɛfo anaa w’adamfo bi a wowɔ ne mu ahotoso betumi akamfo komayare ho oduruyɛfo pa akyerɛ wo. Nanso, adeɛ a ɛho hia paa ne sɛ wobɛte nka sɛ wo ho tɔ wo na wowɔ ahotosoɔ wɔ oduruyɛfoɔ a worekɔ ne nkyɛn no nkyɛn.Ɛsɛ sɛ wutumi bisa nsɛm a wunsuro wɔ biribiara a wonte ase ho.

Kae sɛ wo koma ne w’agyapade a ɛsom bo sen biara. Ɛyɛ w’asɛyɛde sɛ wobɛhwɛ so! Sɛ wutie wo duruyɛfo afotu na wudi so a, ɛbɛma woanya ahoɔden kɛse a wode bɛtra ase a ahoɔden wom na anigye wom.

` Koma ho ɔyaresafo, koma, komayare, komayare, mogya mmoroso, srade, ECG, Echo, koma mu nhwehwɛmu, komayare ho sɛnkyerɛnne