So wo ho atɔ wo mpofirim, wo nipadua no fã biako ayɛ wo yaw, anaasɛ ɛyɛ den ma wo sɛ wobɛkasa pɛn? Ɛtɔ mmere bi a eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare ketewaa bi. Sɛ eyi ba a, ade titiriw a nnuruyɛfo bɛhwehwɛ ne sɛ ebia ntini kɛse a ɛwɔ wo kɔn mu a ɛde mogya kɔ w’amemene mu no asiw anaa. Ɛno na yɛrebɛka ho asɛm nnɛ.
Dɛn ne Carotid Angiography?
Sɛ yɛbɛka no tiawa a, carotid angiogram, anaa angiogram, yɛ sɔhwɛ titiriw bi a ɛhwɛ sɛnea mogya resen wɔ mogya ntini atitiriw abien a ɛwɔ wo kɔn no afã abien no nyinaa (nea yɛfrɛ no carotid ntini ahorow) no mu. Fa no sɛ ntini abien yi sɛ ntini atitiriw abien a ɛde mogya fi wo koma mu kɔ w’amemene mu. Wɔyɛ sɔhwɛ yi de hwɛ sɛ ebia ntini yi mu biara asiw anaasɛ ɛyɛ teateaa anaa.
Eyi hwehwɛ sɛ wɔde X-ray twa mfonini. Nanso sɛ wɔyɛ X-ray a ɛnyɛ den mpo a, wontumi nhu mogya ntini yi pefee. Enti, wɔde nsuo soronko bi, aduru bi a wɔfrɛ no ``contrast dye'', gu nipadua no mu. Saa aduru yi ma mogya ntini no yɛ fitaa wɔ X-ray no so. Te sɛ bere a woka kar wɔ ɔkwan a ɛso yɛ sum so a wo kanea asɔ wo anim no, wutumi hu ɔkwan no yiye.
Dɛn nti na ɛsɛ sɛ woyɛ sɔhwɛ yi?
Ade titiriw nti a wɔyɛ sɔhwɛ yi ne sɛ wosusuw sɛ Carotid Artery Disease wɔ hɔ a . Nea ɛkɔ so wɔ eyi mu ne sɛ bere kɔ so no, nneɛma te sɛ srade a ɛwɔ mogya mu no boaboa ano wɔ mogya ntini yi mu, na ɛma ntini no afasu yɛ den na ɛma mogya no yɛ ketewaa. Te sɛ bere kɔ so no, nkannare boaboa ano wɔ nsu paipu bi mu wɔ yɛn fie na esiw nsu a ɛsen no ano. Wɔ aduruyɛ mu no, yɛfrɛ eyi `(Atherosclerosis)`.
Nneɛma atitiriw pii nti na ebia wo duruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu yi:
- Sɛ wo duruyɛfo susuw sɛ wowɔ carotid artery yare ho sɛnkyerɛnne ahorow a.
- Sɛ woadi kan anya mini-stroke , anaa nea wonim no wɔ aduruyɛ mu sɛ ``Transient Ischemic Attack - TIA''.
- Sɛ woadi kan anya akisikuru kɛse bi a .
Nea ɛho hia sen biara ne sɛ, sɛ ntini ahorow yi siw a, ebetumi ama mogya dodow a ɛkɔ amemene no mu no so atew. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya akisikuru no yɛ kɛse. Enti, ɛho hia paa sɛ wɔyɛ sɔhwɛ yi na wohu tebea no ntɛm.
So wobɛyɛ sɔhwɛ foforo biara ansa na eyi aba?
Aane. Mpɛn pii no, oduruyɛfo mfa wo nkɔma angiography nhwehwɛmu yi ntɛm ara. Ansa na ɛno bɛba no, mpɛn pii no wɔyɛ carotid ultrasound.Wɔyɛ sɔhwɛ bi. Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛnyɛ yaw, a wɔde scanning a wɔde nnyigyei asorɔkye di dwuma. Nanso ɛtɔ mmere bi a sɛ mfonini ahorow a efi ultrasound sɔhwɛ yi mu no mu nna hɔ koraa, anaasɛ oduruyɛfo no pɛ sɛ ohu ntini no tebea ho nsɛm pii a, ade a edi hɔ ne sɛ ɔbɛkɔ akɔyɛ carotid angiography nhwehwɛmu.
Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?
Wo duruyɛfo anaa ayaresabea adwumayɛfo bɛma wo akwankyerɛ a emu da hɔ wɔ sɛnea wubesiesie wo ho ama nhwehwɛmu yi ho. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.
| Ɔfã a ɛsɛ sɛ wosiesie | Nea ɛsɛ sɛ wɔyɛ ne nkyerɛkyerɛmu |
|---|---|
| Aduan ne anonne | Wɔbɛka akyerɛ wo sɛ nnidi anaa nnom biribiara nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Eyi kyerɛ sɛ ɛsɛ sɛ wudi mmuada. Di saa afotu no akyi pɛpɛɛpɛ. |
| Nnuru a wonom no | Hwɛ hu sɛ wobɛka nnuru biara a wonom da biara (e.g. aspirin, asikreyare aduru, mogya mmoroso nnuru) ne Ayurvedic nnuru biara a wonom ho asɛm akyerɛ wo duruyɛfo. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi nom da koro ansa na wɔayɛ nhwehwɛmu no. |
| Nneɛma a ɛsom bo | Gyae wo nneɛma a ɛsom bo te sɛ agude ne sika wɔ fie. Kwati sɛ wode eyinom bɛba ayaresabea. |
| Ayaresabea a wobɛkɔ ne nea wobɛsan aba | Ebia worentumi nka kar wɔ sɔhwɛ no akyi, enti ɛho hia sɛ wunya obi a ɔbɛka wo akɔ fie. |
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Mpɛn pii no, adeyɛ no nyinaa gye bɛyɛ dɔnhwerew biako anaa dɔnhwerew biako ne fã. Ɛho nhia sɛ wohaw wo ho, wɔde w’ahobammɔ na ɛyɛ biribiara.
Bere a woduu ayaresabea hɔ akyi no
Wɔbɛma wo ayaresabea atade a wobɛhyɛ. Sɛ wohyɛ ahwehwɛ anaa nneɛma a wɔde boa aso a, bisa oduruyɛfo anaa ɔyarehwɛfo no sɛ wubetumi ahyɛ bere a wɔreyɛ nhwehwɛmu no anaa. Nanso, ɛsɛ sɛ woyi ahwehwɛ a wɔde hwɛ ade no fi hɔ.
Sɔhwɛ nhyehyɛe
Table a ɛwɔ aseɛ ha yi bɛboa wo ama woate saa adeyɛ yi ase yie.
| Anamɔn a wɔfa so yɛ | Dɛn na ɛrekɔ so? |
|---|---|
| IV line no a wɔde besisi hɔ | Wɔde afiri ketewaa bi (IV catheter) bɛhyɛ ntini bi a ɛwɔ wo basa mu mu. Wɔnam eyi so de nnuru ne nsu a ɛho hia bɛma. |
| Nnuru a ɛma obi dwo a wɔde ma | Wɔbɛma wo aduru a ɛnyɛ den a ɛma wo ho dwo wo na ama wo dadwen so atew. Eyi nso betumi aboa wo ma woada. |
| Koma a ɛbɔ a wɔhwɛ so | Wɔde electrode ahorow abata wo moma so na wɔde abɔ EKG afiri bi ho. Eyi hwɛ sɛnea wo koma yɛ adwuma wɔ sɔhwɛ no nyinaa mu. |
| Aduru a wɔde ma ma obi a ɔyɛ mmerɛw | Wɔde aduru bi a ɛma obi dwensɔ gu baabi a wɔde catheter no hyɛ mu, mpɛn pii no wɔde hyɛ asen no mu anaa ɛtɔ mmere bi a abasa no. |
| Catheter a wɔde hyɛ mu ne die drilling | Sɛ wɔde aduru a ɛma obi dwensɔ wie a, wɔde afiri (catheter) a ɛyɛ tratraa paa na ɛyɛ mmerɛw hyɛ mogya ntini no mu na wɔkyerɛ kwan kɔ carotid ntini a ɛwɔ kɔn no mu no mu. Afei, wɔde aduru a wɔde yɛ ade fa afiri no mu gu mu. Afei wɔtwa X-ray mfonini ahorow. |
So eyi yɛ yaw?
Dabi, eyi ntaa nyɛ sɔhwɛ a ɛyɛ yaw. Worente ɛyaw biara efisɛ catheter no ayɛ mmerɛw. Mmom,Sɛ wɔde aduru no gu nipadua no mu a, ebia wobɛte ɔhyew anaasɛ wo ho ayɛ wo hyew kakra. Eyi yɛ ade a ɛfata. Ɔhyew no befi hɔ wɔ sikani kakraa bi mu.
Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ nhwehwɛmu no mu a, ɛsɛ sɛ woka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara:
- Koko mu yaw anaasɛ ɛnyɛ dɛ
- Honam ani akisikuru anaasɛ ɛyɛ akisikuru
- Sɛ obi te nka sɛ ne ho ayɛ no yaw.
- Sɛ wote nka sɛ wo menewa ayɛ mmerɛw
- Nsakrae biara anaasɛ anisoadehu a ɛyɛ kusuu
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Sɛ wɔyɛ nhwehwɛmu no wie a, oduruyɛfo no beyi catheter no na ɔde aduru abɔ ne ho na ama mogya no agyae. Afei, wɔbɛhwɛ wo koma bɔ ne wo mogya mmoroso, na wɔde wo akɔ dan foforo mu akɔhome nnɔnhwerew kakraa bi.
Wɔbɛtu wo fo sɛ nom nsuo pii wɔ saa berɛ yi mu. Eyi te saa efisɛ ɛsɛ sɛ wohohoro aduru a wɔde ahyɛ wo nipadua mu no mu ntɛmntɛm fa wo nsu mu. Enti sɛ ɛho hia sɛ woto wo ho kakra a, mma ɛnhaw wo, ɛyɛ ade a ɛfata.
Dɛn na nea efi mu ba no ka na bere bɛn na wobenya?
X-ray mfonini ahorow a wotwa fii sɔhwɛ yi mu no betumi akyerɛ pefee sɛ ebia wo carotid ntini ahorow no asiw anaasɛ ɛyɛ teateaa bi anaa.
Oduruyɛfo titiriw bi, oduruyɛfo a ɔhwɛ mframa a ano yɛ den so hwehwɛ mfonini ahorow yi mu, na wɔyɛ amanneɛbɔ. Wɔde amanneɛbɔ yi kɔma oduruyɛfo a ɔresa wo yare no. Afei oduruyɛfo no ne wo bɛkasa na wakyerɛkyerɛ nea ebefi mu aba ne sɛ ɛho hia a, nneɛma a edi hɔ a ɛsɛ sɛ woyɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Carotid angiography yɛ X-ray nhwehwɛmu titiriw bi a ɛhwɛ sɛ ntini atitiriw a ɛwɔ wo kɔn mu a ɛde mogya kɔ w’amemene mu no asiw anaa.
- Saa sɔhwɛ yi ho hia yiye ma ntini a ɛyɛ teateaa anaasɛ asiw a ebetumi ama obi anya ɔyare a ɛma obi hwe ase no ntɛm.
- Mpɛn pii no, saa adeyɛ yi nyɛ yaw, nanso ɛho hia sɛ wodi oduruyɛfo no akwankyerɛ akyi yiye ansa na wɔayɛ nhwehwɛmu no ne bere a wɔawie no.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (sɛ nhwɛso no, akisikuru, ɛyaw a emu yɛ den wɔ baabi a wɔde catheter no ahyɛ mu) wɔ nhwehwɛmu no akyi a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Bere nyinaa wo ne wo duruyɛfo nkasa pefee mfa nea efii wo nhwehwɛmu mu bae ne ayaresa a wobɛyɛ daakye ho.
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