Cerebral Angiogram Test: So ɛyɛ biribi a ɛsɛ sɛ wosuro? Momma yɛnhwehwɛ mu yiye!

Ebia wo duruyɛfo aka akyerɛ wo sɛ ɛsɛ sɛ woyɛ nhwehwɛmu titiriw bi wɔ mogya ntini a ɛwɔ w’amemene mu no ho. So wotee ehu nka kakra bere a ɔka kyerɛɛ wo sɛ sɔhwɛ no din ne ‘Cerebral Angiogram’ no? Anaasɛ ɛyɛɛ wo den sɛ wubesusuw sɛnea na ɛte bere a wotee din no ho? Biribiara nni hɔ a enti ɛsɛ sɛ yesuro anaa yɛhaw yɛn ho. Wɔ asɛm yi mu no, yɛbɛka nea ɛyɛ ankasa, sɛnea wɔyɛ, ne nea enti a wɔyɛ no ho asɛm pɛpɛɛpɛ na yɛayɛ no tiawa.

Dɛn ne amemene mu ntini a wɔde hwɛ nipadua no mu?

Sɛ yɛbɛka no tiawa a, amemene mu angiogram yɛ nhwehwɛmu titiriw bi a ɛhwehwɛ ɔhaw ahorow a ɛwɔ mogya ntini a ɛwɔ w’amemene mu no mu. Te sɛ kurow bi asase mfonini no, sɔhwɛ yi ma nnuruyɛfo tumi hu mogya ntini a ɛde mogya kɔ w’amemene mu no ho mfonini a emu da hɔ te sɛ asase mfonini.

Nnuruyɛfo a wɔatete wɔn titiriw na wɔyɛ sɔhwɛ yi, mpɛn pii no wɔ baabi a ɛte sɛ oprehyɛn dan. Nea ɛba ni:

1. Oduruyɛfo no de plastic afiri a ɛyɛ tratraa paa a wɔfrɛ no catheter hyɛ mogya ntini kɛse bi a ɛwɔ wo nsateaa anaa wo srɛ mu mu.

2. Afei, wɔde ade bi a ɛne ne ho bɔ abira , ade titiriw bi a wɔde yɛ ade, fa afiri no mu gu mu. Saa aduru yi ma wo mogya ntini no da adi pefee wɔ X-ray mfonini ahorow no so.

3. Bere a woda nhwehwɛmu pon no so no, oduruyɛfo no twa X-ray mfonini ahorow bere a saa aduru yi fa wo mogya ntini mu no.

Mfonini ahorow a wɔde saa kwan yi twa no ma yehu mogya ntini a ɛwɔ amemene no mu no ho mfonini a ɛkɔ akyiri na emu da hɔ sen CT scan (Computed Tomography) anaa MRI scan (Magnetic Resonance Imaging) a yɛtaa yɛ no.

Dɛn nti na ɛsɛ sɛ yɛyɛ sɔhwɛ yi?

Ɛtɔ mmere bi a, wɔyɛ nhwehwɛmu yi de hu nea yare bi yɛ ankasa kɛkɛ. Mmere foforo nso, wɔde sa ayaresa tebea horow bi. Ne titiriw no, wɔde si so dua sɛ ebia nneɛma bi a ɛnteɛ wɔ mogya ntini a ɛwɔ amemene no mu no mu anaa.

Nea ɛka ho no, nneɛma afoforo pii nti na wɔyɛ sɔhwɛ yi:

• Hwɛ sɛnea wo mogya ntini te ansa na wɔayɛ wo ti, wo kɔn, anaa w’amemene oprehyɛn.
• Sɛ amemene mu akisikuru bi wɔ hɔ a, hwehwɛ ɔkwan pɔtee a wɔfa so de mogya ma ne ntini a efi mu ba.
• Sua pii fa biribi a ɛnteɛ a wohu wɔ scan foforo mu (te sɛ MRI anaa CT scan) ho.

Yɛyɛ dɛn siesie yɛn ho ansa na sɔhwɛ no aba?

Ansa na wobɛyɛ nhwehwɛmu yi no, wo duruyɛfo no bɛhwɛ sɛ ɛfata na asiane biara nni ho sɛ wobɛyɛ. Wɔbɛhwehwɛ wo mu, ebia wɔbɛyɛ mogya mu nhwehwɛmu bi, na wɔabisa w’akwahosan ho nsɛm.

• Ka nnuru a worenom mprempren nyinaa ho asɛm kyerɛ yɛn: Nea ɛka eyi ho ne vitamin, nnuru a wɔde ka aduan ho, ne nnuru a wɔtɔn (OTC) a wonom.
• Ka nyarewa foforo biara a wowɔ ho asɛm kyerɛ yɛn: biribi te sɛ atiridiinini a ɛbae nnansa yi mpo.
• Sɛ wowɔ mogya ho haw anaasɛ worenom nnuru a ɛma mogya tu a: Ka nnuru biara te sɛ ɛyaw ano aduru (NSAID) nso ho asɛm.
• Ɛfa wo akisikuru ho: Hwɛ hu sɛ wobɛka akyerɛ yɛn sɛ wowɔ akisikuru bi, titiriw nnuru a wɔde kum nipadua no, nnuru a wɔde yɛ nneɛma a ɛma wo ho yɛ hyew, anaa biribiara a iodine wom.
• Sɛ woanyinsɛn anaasɛ wususuw sɛ ebia woanyinsɛn a:Ɛsɛ sɛ meka saa nso kyerɛ oduruyɛfo no.

Sɛ wɔma wo aduru a ɛma wo ho dwo wo wɔ sɔhwɛ no mu a, wɔbɛkyerɛ wo sɛ kwati adidi anaa anonne nnɔnhwerew anan kosi awotwe ansa na wɔayɛ nhwehwɛmu no. Afei nso, sɛ wɔma wo aduru a wɔde kum nipadua no a, wɔbɛka akyerɛ wo sɛ fa obi mmra ma ɔde wo bɛkɔ fie bere a wɔayɛ nhwehwɛmu no awie no. Di akwankyerɛ ahorow yi nyinaa akyi yiye.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Okay, afei momma yɛnhwɛ sɛnea eyi kɔ so anammɔn biara. Mma ɛnhaw wo, wɔde ahwɛyiye kɛse bɛyɛ biribiara na wɔrenhaw wo.

1. Nea edi kan no, wɔbɛma wo ayaresabea atade titiriw bi a wobɛhyɛ.

2. Ɔyarehwɛfo anaa radiologist de cannula (IV line) bɛhyɛ ntini bi mu wɔ wo basa mu. Ɛha na wɔbɛma wo nnuru a ɛbɛboa wo ma woagye w’ahome, sɛ ɛho hia a. Eyi bɛyɛ te sɛ ntɛtea ketewaa bi a ɔte nka. Wobetumi ama nnipa binom, titiriw mmofra ne mpanyimfo nkumaa, nnuru a wɔde kum nipadua no nyinaa nso.

3. Wɔde mfiri bɛbata wo nipadua ho de ahwɛ wo koma bɔ ne wo mogya mmoroso wɔ nhwehwɛmu no nyinaa mu.

4. Wɔde wo bɛto sɔhwɛ pon no so. Wɔde ahama anaa foam a wɔde gyina so bɛma wo ti no ntumi nkɔ baabiara.

5. Wɔde aduru a ekum ɔyare mmoawa hohoro baabi a wɔde catheter no bɛhyɛ (asen anaa abasa) no yiye.

6. Afei , wɔde aduru bi a ɛma obi ho tɔ no gu baabi a ɛhɔ yɛ hyew. Sɛ wɔde eyi gu mu a, ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra wɔ sikɔne kakraa bi mu, nanso afei beae no befi ase ayɛ wo yaw.

7. Oduruyɛfo no twa honam ani fã ketewaa bi de hyɛ catheter no mu.

8. Afei, wɔ X-ray akwankyerɛ ase no, wɔde catheter no hyɛ mogya ntini no mu denam tokuru ketewaa bi a wɔde ade ayɛ mu. Wobɛte nka sɛ wɔrepia wo kakra saa bere yi, nanso ɛrenyɛ yaw.

9. Afei oduruyɛfo no de ahwɛyiye bɛkyerɛ catheter no kwan afa wo ntini mu na akɔ ntini bi a ɛwɔ wo kɔn mu. Worente nka sɛ catheter no refa wo nipadua mu.

10. Sɛ catheter no si baabi a, wɔde contrast dye no fa mu. Ebia wobɛte ɔhyew kakra nka bere a aduru no nam wo nipadua mu no, nanso eyi befi hɔ ntɛm.

11. Sɛ aduru no hyɛn mogya ntini a ɛwɔ w’amemene mu no mu pɛ a, oduruyɛfo no bɛtwa X-ray mfonini pii. Saa bere yi mu no, ɛsɛ sɛ wukura wo home mu na wotra hɔ dinn . Eyi nkutoo ne ɔkwan a wobɛfa so anya mfonini ahorow a emu da hɔ.

12. Sɛ oduruyɛfo no twa mfonini a ɛho hia nyinaa wie a, ɔde ahwɛyiye yi catheter no.

13. Sɛ wopɛ sɛ mogya a ɛretu fi baabi a wɔde catheter no bɛhyɛ mu no agyae a, fa nhyɛso gu beae no so kakra. Ebia ɛho behia nso sɛ wode afiri a wɔde to mu di dwuma de to tokuru ketewa no mu.

14. Awiei koraa no, wɔde plaster ketewaa bi bɛpete baabi a ɛwɔ no na wɔayi kankyee a ɛwɔ wo nsam no afi hɔ.

Eyi begye bere tenten ahe?

Mpɛn pii no sɔhwɛ no nyinaa gye bɛyɛ dɔnhwerew biako kosi abiɛsa . Bio nso, ebia bere foforo bɛba a wɔde besiesie wɔn ho ama sɔhwɛ no ne nea wɔbɛhwɛ wɔ sɔhwɛ no akyi.

Bere tenten ahe na egye ansa na asa?

Sɛ wɔyɛ sɔhwɛ no wie a, wɔde wo bɛto dan a wɔde wo ho to mu nnɔnhwerew kakraa bi. Sɛ biribiara ye a, wubetumi akɔ fie. Wo duruyɛfoɔ bɛma wo akwankyerɛ wɔ sɛdeɛ wobɛhwɛ wo ho wɔ fie. Di wɔn akyi pɛpɛɛpɛ.

• Wubetumi adidi sɛnea ɛsɛ.
• Sɛ woyɛ sɔhwɛ no wie a, ɛsɛ sɛ wohome yiye nnɔnhwerew 8 kosi 12 . Ɛno ansa na ɛsɛ sɛ wufi adwuma foforo ase.
• Sɛ woyɛ ɛna a woma nufu a, kwati sɛ wobɛma wo ba no nufu nnɔnhwerew 24 wɔ aduru no a wɔde ahyɛ mu akyi.

So asiane bi wɔ sɔhwɛ yi mu?

Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane nketenkete bi wɔ hɔ a ɛwɔ catheter a wɔde bɛhyɛ mogya ntini mu no mu. Nanso, ɛsɛ sɛ wokae sɛ eyinom ho yɛ na koraa na nnuruyɛfo hwɛ yiye wɔ eyi ho.

Wo duruyɛfo ne wo bɛbɔ asiane ahorow yi ho nkɔmmɔ ansa na wɔayɛ nhwehwɛmu no. Mma ntwentwɛn wo nan ase sɛ wubebisa nsɛm anaa nsɛm biara a ɛhaw wo saa bere no.

Dɛn na sɔhwɛ no mu aba ka?

Oduruyɛfo a ɔhwɛ mframa a wɔde hwɛ nneɛma so no besua wo X-ray mfonini ahorow no yiye na wayɛ amanneɛbɔ bi. Sɛ oduruyɛfo a ɔhyɛɛ sɛ wɔnyɛ nhwehwɛmu no nsa ka amanneɛbɔ no a, ɔne wo bɛbɔ ho nkɔmmɔ pefee.

• Sɛ ɛte sɛ nea aduru no retu afi mogya ntini bi mu a, ebetumi ayɛ mogya a ɛretu .
• Sɛ mogya ntini no mu yɛ teateaa anaasɛ esiw a, nea ɛde ba no betumi ayɛ srade a ɛwɔ nipadua no mu (plaque) anaasɛ mogya a ɛtɔ .
• Sɛ mogya ntini no ayɛ kɛse anaasɛ ɛwɔ mmeae a ɛnyɛ nea wɔtaa yɛ a, ebetumi ayɛ aneurysm , amemene mu akisikuru , anaa biribi foforo a ɛnteɛ.

Sɛ biribi a ɛte sɛɛ si wɔ nhwehwɛmu no akyi a, frɛ oduruyɛfo no ntɛm ara!

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara bere a woafi nhwehwɛmu no akɔ fie akyi a, bɔ wo duruyɛfo amanneɛ ntɛm ara.

• Ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw wɔ anim, nsa, anaa anan mu.
• Kasa a wɔde kasa a ɛyɛ hu anaa nea wɔde kasa a ɛyɛ yaw .
• Anisoadehu mu haw ahorow .
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa, te sɛ ɔhyew, kɔkɔɔ, anaa ɔfe wɔ baabi a wɔde catheter no ahyɛ mu no.
• Adwene a ɛyɛ basaa.
• Koko mu yaw.
• Ɔhome a ɛyɛ den.
• Honam ani akisikuru a ɛyɛ mmerɛw .

So eyi yɛ oprehyɛn?

Dabi, amemene mu angiogram nyɛ oprehyɛn. Ɛyɛ nhwehwɛmu a wɔde hu yare a ɛnyɛ den pii. Oprehyɛn yɛ adeyɛ a oduruyɛfo a ɔyɛ oprehyɛn twa wo nipadua mu ntini na ɔsesa. Nea ɛka saa adeyɛ yi ho ne tokuru ketewaa bi a wɔbɛyɛ de ahyɛ catheter mu nkutoo. Ɛnsakra ntini biara a ɛwɔ wo nipadua mu.

Cerebral angiogram yɛ sɔhwɛ a ɛho hia yiye na ɛsom bo a wɔde hu nyarewa a ɛfa mogya ntini a ɛwɔ amemene no mu ho. Sɛ wɔayɛ nhyehyɛe sɛ wobɛyɛ nhwehwɛmu yi a, nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a ebia wowɔ.