So woate tebea bi a mogya ntini nketenkete a ɛwɔ ahurututu no mu no mu nhyɛso kɔ soro mpofirim ho asɛm pɛn? Ɛte sɛ nea biribi akɔhyɛ nsu afiri mu na nhyɛso no kɔ soro. Ɛno ne nea CTEPH yɛ. Bere a ebia edin no te sɛ nea ɛware kakra no, ɛnyɛ den sɛ yɛbɛte ase. Ɛyɛ tebea a ɛntaa nsi, nanso ɛyɛ tebea a ɛho hia a ɛsɛ sɛ yɛn nyinaa hu.
Sɛ yɛbɛka no tiawa a, dɛn ne CTEPH?
CTEPH yɛ mogya mmoroso a ɛwɔ ahurututu mu. Wɔ aduruyɛ mu no, yɛfrɛ eyi `(Pulmonary Hypertension)`. Nanso eyi yɛ soronko wɔ mogya mmoroso a ɛfata ho. Ntease pɔtee bi wɔ hɔ a enti CTEPH ba. Ɛne sɛ, mogya a ayɛ mmerɛw a kan no akɔhyɛ ahurututu no mogya ntini `(Pulmonary Embolism)` mu no ntumi nkɔ yiye .
Fa no sɛ mogya atɔ obi wɔ n’ahurututu mu. Mpɛn pii no, yɛn nipadua no ankasa akwan horow no ma mogya a ɛtwetwe yi fi bere kɔ so no. Nanso wɔ nnipa binom fam no, mogya a ɛtwetwe yi ntumi ntutu koraa. Mmom no, wɔbɛyɛ ntini dedaw a ɛte sɛ akuru a ɛtra mogya ntini no mu. Bere kɔ so no, saa akuru yi ma mogya ntini no mu teateaa.
Sɛ mogya ntini mu teateaa a, ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya afa saa ntini a ayɛ teateaa no mu. Eyi ma nhyɛso a ɛwɔ mogya ntini a ɛwɔ ahurututu no mu no kɔ soro dodo. Ɛno ne nea yɛfrɛ no CTEPH (Chronic Thromboembolic Pulmonary Hypertension) .
Nea ɛho hia ne sɛ saa yare yi ba nnipa a wɔanya ahurututu mu ntini mu yare ho abakɔsɛm nkutoo so. Sɛ nhyɛso a ɛwɔ ahurututu mu no yɛ kɛse a abakɔsɛm a ɛte saa nni hɔ a, ebetumi ayɛ aduruyɛ mu tebea foforo.
Ɔkwan bɛn so na CTEPH ka wo nipadua?
Yɛn koma no nifa de mogya a oxygen nni mu na ɛho ntew kɔ ahurututu no mu ma ɛho tew. Afei, sɛ mogya ntini a ɛwɔ ahurututu no mu no yɛ teateaa esiane CTEPH nti na nhyɛso no kɔ soro a, ɛsɛ sɛ koma no fã nifa no hyia akwanside kɛse bi wɔ mogya yi a ɛbɛpia akɔ ahurututu no mu no mu.
Eyi de ɔhaw atitiriw abien ba:
1. Koma no mu adesoa a ɛboro so: Sɛ woyɛ adwumaden saa bere nyinaa a, koma no nifa fi ase yɛ mmerɛw. Eyi te sɛ nsu pɔmpɛ a ɛreyɛ adwumaden de ahyɛ baabi a asiw ma. Bere kɔ so no, pɔmpɛ no yɛ mmerɛw.
2. Oxygen dodow a ɛso tew wɔ nipadua no mu: Mogya no ntumi mfa ahurututu no mu yiye na ennye oxygen. Eyi ma oxygen dodow a ɛwɔ nipadua no mu no so tew. Eyi ne nea yehu sɛ sɛnkyerɛnne te sɛ ɔbrɛ ne ahome a ɛyɛ tiaa.
Nneɛma bɛn na ɛma asiane a ɛwɔ hɔ sɛ obi benya CTEPH no yɛ kɛse?
Sɛnea yɛadi kan aka no, ade titiriw a ɛde ba ne sɛ mogya a atu wɔ ahurututu mu no ntumi ntutu koraa. Nanso, ɛda adi sɛ nnipa binom benya saa tebea yi. Momma yɛnhwɛ nea asiane ahorow yi yɛ.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| Mogya su ahorow | Mogya a ɛnyɛ 'O' a wowɔ. |
| Nyarewa a ɛma mogya tu | Sɛ w’ankasa anaa obi a ɔwɔ w’abusua mu wɔ mogya a ɛtwetwe (e.g. Antiphospholipid Syndrome ). |
| Spleen a woyi fi hɔ | Splenectomy (oprehyɛn a wɔde yi akyi berɛmo no fi hɔ) . |
| Nyarewa a ɛtra hɔ kyɛ | Nyarewa a ɛtra hɔ kyɛ te sɛ nnompe mu yare (osteomyelitis) . |
| Ayaresa mu tebea afoforo | Kokoram ne nyarewa ahorow bi te sɛ Inflammatory Bowel Disease . |
| Nneɛma afoforo | Ɔbea a wobɛyɛ, koma no mu afiri a ɛma koma no bɔ kɛse, ne thyroid hormone ayaresa a wɔde ma no yɛ nneɛma a ɛde ɔyare mmoawa ba. |
Dɛn na ebetumi ayɛ yare yi ho sɛnkyerɛnne?
Ebia CTEPH ho sɛnkyerɛnne no renna adi mfiase no. Wonyin nkakrankakra. Ebia wubesusuw sɛ eyi yɛ ɔbrɛ a ɛfata ara kwa. Nanso ɛho hia paa sɛ yɛhwɛ saa sɛnkyerɛnne ahorow yi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nsɛm pii |
|---|---|
| Ɔhome a ɛyɛ den | Ɛba titiriw bere a worebɔ mmɔden, te sɛ bere a wonam anaa woreforo antweri no. Bere a yare no kɔ so no, saa ɔhaw yi betumi aba bere a wugyina hɔ ara kwa mpo no. |
| Ɔbrɛ ne ɔbrɛ a ɛtra so | Ɔbrɛ a wɔte nka bere nyinaa a wonyɛ adwuma biara mpo. |
| Koko mu yaw anaasɛ ɛyɛ den | Ɛyaw yi betumi aba efisɛ ɛsɛ sɛ koma no yɛ adwumaden. |
| Nan ne nansoaa a ɛho ahonhon (Edema) . | Esiane sɛ koma no ntumi nyɛ adwuma yiye nti, nsu boaboa ano wɔ nipadua no mu, na ɛma anan no hohoro. |
| Adwene a ɛyɛ basaa ne akisikuru (Syncope) . | Eyi betumi aba bere a amemene no nnya mframa pa a ɛdɔɔso no. |
| Koma a ɛbɔ denneennen | Sɛ wote nka sɛ wubetumi ate w’ankasa wo koma bɔ. |
| Kɔla a ɛyɛ bruu a ɛsakra (Cyanosis) . | Anofafa ne nsateaa ano dan bruu esiane oxygen a ɛba fam wɔ mogya no mu nti. |
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ wowɔ abakɔsɛm sɛ mogya atɔ wo ahurututu mu pɛn a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn ntɛm ara.
Ɔkwan bɛn so na wohu CTEPH?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne na wahwɛ wo. Sɛ adwenem naayɛ bi wɔ hɔ sɛ wowɔ CTEPH a, wɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua sɛ woahu.
- V/Q scan: Eyi hwɛ sɛnea mogya sen kɔ ahurututu no mu ne sɛnea mframa fa mu. Saa scan yi tumi hu mmeae a mogya a ɛtɔ, efisɛ mogya a ɛkɔ so no so tew.
- Transthoracic Echocardiogram (TTE): Eyi betumi ahwɛ nhyɛso a ɛwɔ koma no nifa so ne sɛnea koma no yɛ mmerɛw no.
- CT Pulmonary Angiogram: Eyi yɛ CT scan titiriw bi a etumi hu mogya a ayɛ dedaw ne mogya ntini a ɛwɔ ahurututu no mu a ɛyɛ teateaa no pefee.
Sɔhwɛ foforo a wɔde besi so dua
Sɛ wohu yare no wie a, wobetumi ayɛ nhwehwɛmu pii bio de ahu sɛnea emu yɛ den na wɔayɛ ayaresa ho nhyehyɛe.
- Koma Nifa mu Catheterization: Eyi ne ɔkwan a ɛyɛ pɛpɛɛpɛ sen biara a wɔfa so susuw ahurututu mu nhyɛso. Wɔde afiri ketewaa bi (catheter) fa mogya ntini bi a ɛwɔ nipadua no mu mu kɔ koma no nifa ne mogya ntini titiriw a ɛkɔ ahurututu no mu no mu, na wɔsusuw nhyɛso no.
- Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ: Wɔyɛ sɔhwɛ yi de hwɛ sɛnea wo koma ne w’ahurututu yɛ adwuma bere a woreteɛteɛ w’apɔw mu no.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa a ɛfa CTEPH ho ne sɛ ɛyɛ yare a wotumi sa. Ayarefo dodow no ara betumi anya ahotɔ denam oprehyɛn anaa ayaresa afoforo so. Ayaresa atitiriw abien na ɛwɔ hɔ.
1. Ahurututu mu Endarterectomy (PTE): .
Eyi yɛ oprehyɛn a wɔyɛ wɔ koma a wɔabue mu. Wɔ saa adeyɛ yi mu no, nnuruyɛfo a wɔyɛ oprehyɛn bue mogya ntini atitiriw a ɛwɔ ahurututu no mu no na wɔpopa mogya a ayɛ dedaw ne akuru ntini biara a ebia ayɛ kɛse wɔ mu no. Ɛwom sɛ eyi yɛ oprehyɛn a ɛyɛ den yiye de, nanso sɛ ɛyɛ yiye a, ɛwɔ hokwan kɛse sɛ ɛbɛsa yare no koraa.
2. Ahurututu mu Ntini a Wɔde Yɛ Ahurututu Mu (BPA):
Wɔde saa ayaresa yi di dwuma ma nnipa a mogya atɔ wɔn ntini a ɛyɛ nketewa dodo sɛ wɔbɛyɛ wɔn oprehyɛn mu. Wɔ saa ayaresa yi mu no, wɔde afiri ketewaa bi (catheter) hyɛ ntini bi a ɛwɔ nan no mu mu na wɔde balloon ketewaa bi a ɛwɔ n’awiei di dwuma de ma ntini a ayɛ teateaa no mu yɛ hyew na ɛtrɛw. Eyi nyɛ ade kɛse te sɛ oprehyɛn.
Ɛkame ayɛ sɛ saa ayaresa yi mu biara betumi asa CTEPH koraa. Sɛ wɔsa wɔn yare wie a, nnipa dodow no ara tumi tra ase sɛnea ɛsɛ.
Ɛtɔ mmere bi a, wɔ wɔn a wontumi nyɛ wɔn oprehyɛn anaasɛ wɔda so ara wɔ nhyɛso kɛse bi wɔ wɔn ahurututu mu wɔ oprehyɛn akyi no, wɔde nnuru titiriw (e.g., Riociguat) ma de di saa nhyɛso no so.
Nneɛma a ɛsɛ sɛ wuhu bere a wo ne CTEPH te
W’asetra bɛtu mpɔn kɛse wɔ ayaresa akyi, nanso nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye.
- Nnuru a ɛma mogya yɛ mmerɛw wɔ wo nkwa nna nyinaa mu: Ɛho behia sɛ wonom nnuru a ɛma mogya yɛ mmerɛw wo nkwa nna nyinaa na amma mogya antɔ bio. Ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
- Aduane: Sɛ worenom aduru bi te sɛ `Warfarin` a, ɛsɛ sɛ wohwɛ yie wɔ nnuan a vitamin K pii wom (te sɛ kabege, spinach, broccoli). Wo ne wo duruyɛfo nka eyi ho asɛm.
- Kwati sigaretnom: Sigaretnom pira w’ahurututu paa. Sɛ woyɛ obi a ɔnom sigaret a, ɛho hia sɛ wugyae koraa.
- Apɔw-mu-teɛteɛ a emu nyɛ duru: Apɔw-mu-teɛteɛ a emu nyɛ den te sɛ nantew betumi aboa ma w’ahoɔden akɔ soro. Nanso, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe biara ase. Ebia wɔde wo bɛkɔ nhyehyɛe bi a nnuruyɛfo hwɛ so a wɔde siesie wo ho a wɔfrɛ no ``Pulmonary Rehabilitation.''
- Adwene mu akwahosan: Sɛ obi ne yare a ɛtra hɔ kyɛ te sɛ eyi tra ase a, ebetumi ama wanya adwennwen, dadwen, anaa adwenemhaw. Sɛ wote nka saa a, mma ɛnwu sɛ wo ne wo duruyɛfo anaa obi a ɔbɛn wo bɛkasa.
Nkrasɛm a Wɔde Kɔ Fie
- CTEPH yɛ mogya mmoroso tebea a mogya a ayɛ dedaw a ɛbɛkyere ahurututu no mu mogya ntini mu na ɛde ba.
- Mfa eyi nfrafra mogya mmoroso a ɛfata.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ den, ɔbrɛ a ɛtra so, anaasɛ wo nan ho ahonhon, titiriw sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ mogya atɔ wo a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Mpɛn pii no, wotumi de oprehyɛn anaa akwan foforo so sa yare yi koraa.
- Sɛ wosa yare wie mpo a, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, titiriw wɔ nnuru a ɛma mogya yɛ mmerɛw a wobɛnom ho.
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