So wote nka sɛ w’ahurututu ayɛ nhyɛso dodo? Momma yɛnka Chronic Thromboembolic Pulmonary Hypertension (CTEPH) ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw kakra, anaasɛ atenka bi a ɛyɛ nwonwa wɔ wo moma so? Ebetumi aba sɛ nhyɛso a ɛwɔ mogya ntini a ɛwɔ w’ahurututu mu no mu no yɛ kɛse kakra. Eyi yɛ tebea titiriw bi a wɔfrɛ no `(Chronic Thromboembolic Pulmonary Hypertension)` anaa `(CTEPH)`. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne saa `(CTEPH)` yi? Momma yɛnte ase pɛpɛɛpɛ!

Sɛ yɛbɛka no tiawa a, CTEPH yɛ mogya mmoroso a ɛkɔ soro wɔ ɔkwan a ɛnteɛ so wɔ mogya ntini nketenkete a ɛwɔ ahurututu no mu no mu. Ɛte sɛ nhyɛso a ɛwɔ nsu paipu mu. Nanso ade titiriw nti a ɛte saa ne sɛ mogya atɔ w’ahurututu mu pɛn (yɛfrɛ eyi Pulmonary Embolism) na mogya a ɛtɔ no ntumi ntutu yiye . Ɛno ne bere a saa nhyɛso yi kɔ soro.

Hena na ɛda adi kɛse sɛ obenya CTEPH?

Eyi ho hia paa. CTEPH ba nnipa a wɔanya ahurututu mu ntini a ɛma mogya tu nkutoo so . Sɛ wowɔ nhyɛso kɛse wɔ w’ahurututu mu nanso mogya ntumi nkɔ a, ebia ɛnyɛ CTEPH, na mmom tebea foforo. Enti ɛho hia sɛ yɛte nsonsonoe yi ase.

Saa tebea yi abu so dɛn?

CTEPH yɛ tebea a ɛntaa nsi ankasa . Sɛ nhwɛso no, wɔ ɔman te sɛ United States mu no, nnipa foforo bɛyɛ 5,000 pɛ na wɔbɔ amanneɛ afe biara. Nanso, esiane sɛ ɛtɔ mmere bi a wonhu no yiye nti, dodow no betumi adɔɔso sen saa koraa. Enti, ɛho hia paa sɛ wuhu yare no ho sɛnkyerɛnne ahorow no.

Nkɛntɛnso bɛn na CTEPH betumi anya wɔ w’akwahosan so?

Sɛ nhyɛso a ɛwɔ w’ahurututu mu no kɔ soro, titiriw wɔ CTEPH fam a, wo koma nifa te nhyɛso kɛse nka . Fa no sɛ, ɛsɛ sɛ wo koma yɛ adwumaden kɛse na ama mogya akɔ w’ahurututu mu. Nea ɛba ne sɛ mogya a oxygen nnim no bi kɔhyɛ wo koma mu na egye bere tenten ansa na adu w’ahurututu mu. Eyi betumi ama oxygen dodow a ɛwɔ wo nipadua mu no so atew. Eyi yɛ tebea a emu yɛ den yiye, ɛnte saa?

Adɛn nti na saa `(CTEPH)` yi nya nkɔso? Dɛn na ɛde ba?

Nea enti titiriw a ɛte saa ne sɛ mogya a ɛtwetwe a ɛba mogya ntini nketenkete a ɛwɔ ahurututu mu no ntumi ntutu yiye. Sɛ eyi ba a , ntini a ɛte sɛ akuru no ba baabi a na mogya no mu ntini no wɔ no. Saa akuru yi ma mogya ntini no yɛ teateaa, te sɛ nsu paipu a asiw. Bere a saa teateaa yi kɔ soro no, nhyɛso no nso kɔ soro.

Dɛn ne asiane ahorow a ɛma obi nya CTEPH?

Asiane ahorow bi wɔ hɔ a ebetumi aboa ma `(CTEPH) anya nkɔso. Momma yɛnhwɛ nea wɔyɛ:

• Mogya a ɛnyɛ Type O a wowɔ.
• Sɛ obi nya ɔyare mmoawa wɔ nnompe mu (Osteomyelitis).
• Kokoram ahorow bi.
• Sɛ nhwɛso no, dwensɔtwaa mu nyarewa a enni sabea, tebea horow te sɛ `(Inflammatory Bowel Disease)`.
• Ɔbea a obi yɛ. (Mmea taa nya saa tebea yi kakra sen mmarima.)
• Koma ntini mu ɔyare mmoawa esiane pacemaker nti.
• Wo anaa obi a ɔwɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ mogya a ɛtwetwe mogya, te sɛ Antiphospholipid Syndrome.
• Esiane sɛ na wɔadi kan ayi akyi berɛmo no afi hɔ (Splenectomy).
• Aduru a wɔde si thyroid hormone ananmu a wɔnom.

Ɛnyɛ saa nneɛma yi nyinaa na ɛka obiara, nanso wɔahu sɛ ɛde asiane ba.

Dɛn ne `(CTEPH)` ho sɛnkyerɛnne?

Obi a ɔwɔ CTEPH betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Sɛ wote nka sɛ wo koko yɛ wo yaw anaasɛ wo ho ayɛ wo den .
• Mogya a wɔfe (eyi yɛ ade a ɛntaa nsi).
• Nsateaa ano ne nansoaa a ɛyɛ bruu a ɛsakra (Cyanosis).
• Sɛ wote nka sɛ ne ti ayɛ wo yaw .
• Syncope a ɛma obi ho kyere no.
• Ɔbrɛ kɛse a wɔte nka (`Ɔbrɛ`) .
• Sɛ wote nka sɛ wo moma so rebɔ a, yɛfrɛ eyi ``Koma a Ɛbɔ''.
• Ɔhome a ɛyɛ den , titiriw bere a woreyɛ biribi anaa nantew no.
• Nan a ɛho ahonhon, a efi nsu a ɛboaboa ano wɔ nipadua no mu (edema).

Mfa no sɛ wowɔ CTEPH esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien nti. Nanso sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na wohu saa yare yi `(CTEPH)`?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia obedi kan ayɛ nhwehwɛmu ahorow bi de ahwɛ sɛ ebia CTEPH wɔ hɔ, te sɛ:

• Sɔhwɛ a ɛhwɛ mframa ne mogya a ɛkɔ ahurututu mu (`(Lung ventilation-perfusion scan - V/Q scan)`).
• ``Pulmonary Angiogram'' yɛ sɔhwɛ a ɛhwɛ sɛ mogya atɔ anaasɛ ayɛ teateaa wɔ ahurututu no mu mogya ntini mu.
• Ahurututu mu Dwumadi Ho Sɔhwɛ.
• Transthoracic Echocardiogram (TTE) te sɛ koma no mu mfonini a wɔde ultrasound yɛ.

Wɔ nhwehwɛmu a edi kan yi akyi no, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu foforo de si so dua sɛ wɔahu CTEPH na wɔahu sɛnea emu yɛ den. Ebia eyinom bi ne:

• Right Heart Catheterization yɛ sɔhwɛ a wɔde susuw nhyɛso denam afiri ketewaa bi a wɔde hyɛ koma no nifa so.
• Fa mfoninitwa akwan a ɛkɔ anim te sɛ CT Pulmonary Angiography (CTPA) anaa Digital Subtraction Angiography hwehwɛ ntini a ɛwɔ ahurututu no mu.
• MRI scan a wɔde yɛ nhwehwɛmu.
• ``Exercise Stress Test'' a ɛhwɛ sɛnea koma no yɛ adwuma bere a wɔreyɛ apɔw-mu-teɛteɛ.

Saa nhwehwɛmu ahorow yi ne nea ɛma nnuruyɛfo tumi hu sɛ ebia wowɔ CTEPH ne gyinabea a ɛwɔ mu ankasa.

Dɛn ne ayaresa ahorow a wɔde sa `(CTEPH)`?

Mpɛn pii no, CTEPH ayaresa no hwehwɛ sɛ wɔyɛ oprehyɛn anaa ɔkwan a ɛte saa ara. Nneɛma atitiriw abien na ɛwɔ hɔ a wubetumi apaw:

1. Pulmonary Endarterectomy : Eyi yɛ oprehyɛn a wɔabue ano. Wɔ saa adeyɛ yi mu no, wɔyɛ oprehyɛn yi mogya a ayɛ dedaw ne akuru ntini a akɔhyɛ ahurututu no mu ntini mu no. Wɔyɛ eyi de bɔ mmɔden sɛ wɔbɛma mogya asan akɔ ahurututu no mu.

2. ``(Ahurututu mu Balloon Angioplasty)''.: Wɔ eyi mu no, wɔde balloon ketewaa bi bata afiri tenten bi (catheter) awiei, na wɔde kɔ mogya ntini a ayɛ teateaa a ɛwɔ ahurututu no mu no mu. Wɔma balloon no mu ma pia akuru no kɔ nkyɛn, na ɛma mogya ntini no trɛw bio.

Akwan abien yi mu biako a wɔbɛpaw no gyina nneɛma pii so, te sɛ ɔyarefo no tebea ne baabi a mogya no atu.

So ayaresa foforo bi wɔ hɔ a wobetumi apaw?

Yiw, ebia nnipa binom rentumi nyɛ saa oprehyɛn yi. Wɔ saa nnipa no fam, anaasɛ wɔn a wɔkɔ so nya nhyɛso wɔ wɔn ahurututu mu wɔ oprehyɛn akyi no, wobetumi ama aduru bi a wɔfrɛ no `(Riociguat)` . Eyi yɛ aduru a wɔde sa ahurututu mu mogya mmoroso. Eyi boa ma yare no ho sɛnkyerɛnne no fi hɔ.

So wobetumi asiw CTEPH ano?

CTEPH yɛ akwahosan tebea afoforo pii mu ɔhaw. Nneɛma bi a yentumi nni so. Nanso ade a ɛho hia sen biara a wubetumi ayɛ ne sɛ wobɛhwɛ w'ahurututu so yiye . Ɛno kyerɛ sɛ sɛ wonom sigaret a wubegyae na wotwe wo ho fi tawa ho a, ɛho hia yiye.

Dɛn ne anidaso a ɛwɔ hɔ ma ayarefo a wɔwɔ CTEPH?

Eyi ne asɛmpa a eye sen biara! Pulmonary Endarterectomy ne Pulmonary Balloon Angioplasty betumi asa CTEPH koraa . Nnipa pii a wɔyɛ saa ayaresa ahorow yi nya nneɛma pa ara.

Nanso, wɔ nneɛma pa yi nyinaa akyi no, ayarefo binom betumi anya adwene mu haw, dadwen, ne adwenemhaw kodu baabi. Eyi betumi ayɛ nokware titiriw ama wɔn a wɔmfata sɛ wonya ayaresa a yɛde sa yare a yɛadi kan aka ho asɛm no. Sɛ worehyia adwene mu haw ahorow yi bi a, wo ne wo duruyɛfo nkasa. Wobetumi atie wo haw ahorow na wɔakamfo ayaresa ahorow a ɛbɛboa wo ma wo ho atɔ wo.

Nneɛma bɛn na ɛho hia sɛ wohu bere a wo ne `(CTEPH)` te?

• Ɛda adi sɛ ebehia sɛ wonom nnuru a ɛma mogya tu wo nkwa nna nyinaa .
• Sɛ worenom aduru bi te sɛ Warfarin a, ebia ɛho behia sɛ woto nnuan bi (te sɛ soya ne broccoli a vitamin K pii wom) ano hye. Bisa wo duruyɛfo no eyi ho asɛm.
• Apɔw-mu-teɛteɛ a emu nyɛ den , te sɛ nantew betumi aboa nnipa pii ma wɔasan anya ahoɔden na wɔakɔ so anya apɔwmuden. Ebia wo duruyɛfo nso bɛkamfo apɔw-mu-teɛteɛ nhyehyɛe a wɔhwɛ so (ahurututu mu ahosiesie) akyerɛ wo.

Nea etwa to no, kae eyi.

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) yɛ tebea a ɛntaa nsi a mogya mmoroso a ɛwɔ ahurututu no mogya ntini mu no kɔ soro, nanso sɛ wohu ntɛm na wɔsa no yiye a, ɛyɛ yare a wobetumi asa . Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛfo afotu. Kae sɛ, sɛ wɔsa nnipa dodow no ara yare yiye a, wɔn ho bɛtɔ wɔn yiye. Enti mma wo ho nnpopo. Di wo duruyɛfo akwankyerɛ akyi yiye, na wo ho bɛtɔ wo ntɛm!

`CTEPH, Ahurututu mu mogya mmoroso, Mogya a ɛtwetwe, Ɔhome a ɛyɛ den, Komayare, Ahurututu mu mogya a ɛkɔ nipadua mu, Ahurututu mu mogya mmoroso