So wote nka sɛ wo koma reyɛ ayɛ wo yaw? Momma yɛnka Coronary Artery Spasm ho asɛm!

Ɛtɔ da bi nso a, ebia wobɛte biribi a ɛyɛ nwonwa, te sɛ wo koko a ɛyɛ den, a ɛba na ɛkɔ, ɛnte saa? Ebia woremfa w’adwene nsi so kɛse. Nanso eyi betumi afi mogya ntini a ɛwɔ koma no mu a ɛyɛ teateaa, tebea a yɛfrɛ no wɔ aduruyɛ mu sɛ `Coronary Artery Spasm` . Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, efisɛ eyi nyɛ biribi a ɛsɛ sɛ yebu yɛn ani gu so.

Dɛn ne saa ahrawa mu ntini a ɛyɛ mmerɛw yi? (`Akoma mu Ntini a Ɛtwetwe`)

Okay, di kan ma yɛnhwɛ nea saa coronary arteries yi yɛ. Wo koma yɛ akwaa a ɛyɛ nwonwa a ɛyɛ adwuma a ennyae da mũ nyinaa, bere mpo a woada no. Enti mogya ntini a ɛma koma ntini no nya mframa pa ne aduannuru a ehia na ama ayɛ adwuma yiye no ne nea yɛfrɛ no ahrawa mu ntini . Eyi te sɛ nsu ho nhyehyɛe a ɛde nsu ba ofie bi mu.

Afei, `(Coronary Artery Spasm)` yɛ ahrawa mu ntini a ɛde mogya kɔ koma no mu a ɛyɛ den mpofirim, te sɛ nam asinasin bi a ɛwɔ yɛn nan mu a ɛrekyinkyin. Yɛfrɛ eyi a wɔkyekyere no ` Contraction` . Mpɛn pii no, eyi nkyɛ, na ebia worente nka mpo wɔ simma kakraa bi mu. Nanso, saa tebea yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya komayare ne komayare ho nsɛnnennen afoforo no ayɛ kɛse. Ɛno nti na ɛho hia sɛ wohu eyi no.

Nsonsonoe bɛn na ɛda ahrawa mu ntini mu yare ne angina ntam?

Ebia woate asɛmfua ‘Angina’ no, ɛnte saa? Sɛ yɛbɛka no tiawa a, ɛkyerɛ koko mu yaw. Koko mu yaw betumi aba bere a ntini a ɛma mogya tu no ayɛ mmerɛw no. Yɛfrɛ eyi vasospastic angina .

Mpɛn pii no, ade titiriw a ɛde angina ba ne ntini ahorow no a nneɛma te sɛ srade (`Plaque`) siw. Nanso ade titiriw a ɛwɔ saa `(Vasospastic Angina)` yi mu ne sɛ saa ɛyaw yi betumi aba bere a woagye w'ahome mpo . Angina ahorow afoforo taa ba bere a yɛabrɛ, te sɛ bere a yɛreyɛ apɔw-mu-teɛteɛ no. Eyi ne nsonsonoe titiriw no.

Hena na ɛda adi sɛ obenya ``Coronary Artery Spasm''?

Afei ma yɛnhwɛ nea ɛda adi kɛse sɛ obenya saa tebea yi. Sɛ wowɔ asiane ahorow a ɛde komayare ba a, wo nso wowɔ asiane mu ma saa `(Coronary Artery Spasm)` yi. Nneɛma atitiriw a ɛka eyi ne:

• Mogya mmoroso (Hypertension).
• Cholesterol dodow a ɛkɔ soro wɔ mogya mu (`Hyperlipidemia`).
• Tawa a wɔnom, a ɛkyerɛ sɛ wɔnom sigaret ne beedis , yɛ ɔhaw a ɛka nnipa pii.
• Nnubɔne a mmara mma ho kwan a wɔde di dwuma binom .

Nanso adeɛ a ɛyɛ nwonwa ne sɛ saa ``Coronary Artery Spasm`` yi nso ba nnipa a wɔnni mogya mmoroso anaa srade a ɛkɔ soro mu. Ɛyɛ nea ɛda nsow titiriw sɛ saa nnipa yi mu dodow no ara nom sigaret daa. Enti, yebetumi asusuw sɛ sigaretnom nya eyi so nkɛntɛnso kɛse.

Dɛn na ɛde akwanside yi reba?

Okay, enti dɛn ankasa na ɛde ``Coronary Artery Spasm'' ba? Koma mu yare ahorow bi betumi de aba:

• Srade a ɛwɔ ntini no mu, na ɛyɛ teateaa (`Atherosclerosis`). Eyi te sɛ nkannare a ɛreyɛ ayɛ kɛse wɔ nsu afiri dedaw bi mu, na asiw tokuru a ɛwɔ paipu no mu no.
• Mogya mmoroso .
• Cholesterol a ɛdɔɔso .

Nea ɛka nneɛma a ɛde ba yi ho no, nneɛma bi betumi akanyan saa akwanside yi. Ɛne sɛ, wɔma ɛba mpofirim. Fa no sɛ obi a ɔrenyan gyata a wada. Saa nneɛma a ɛkanyan no yi bi ne:

• Tawa a wɔde di dwuma (sigaret, beedis). Eyi ne ɔtamfo a odi kan.
• Awɔw a ano yɛ den a wɔde wɔn ho bɛhyɛ mu. Susuw biribi te sɛ nsu a ɛyɛ nwini paa a wobɛguare prɛko pɛ, anaasɛ wobɛkɔ baabi a awɔw wom kɛse ho hwɛ.
• Adwennwen a ɛtra so . Eyi yɛ biribi a ɛka nnipa pii, ne ɔhaw ahorow a yehyia wɔ yɛn da biara da asetra mu no. Ɔhaw ahorow wɔ adwumam, abusua mu ɔhaw ahorow, eyinom nyinaa betumi aka yɛn.
• Nnuru ahorow bi a ɛkanyan adwene a wɔde di dwuma , sɛ nhwɛso no, nnubɔne a mmara mma ho kwan te sɛ `(Amphetamines)` anaa `(Cocaine)`.

Dɛn ne `(Coronary Artery Spasm)` ho sɛnkyerɛnne?

Mpɛn pii no, saa `(Coronary Artery Spasm)` yi betumi aba a enni sɛnkyerɛnne biara . Ɛno ne nea ɛyɛ hu kakra. Nanso, sɛ yare no ho sɛnkyerɛnne da adi ampa a, nneɛma bi a ebia wubehu ni:

• Koko a ɛyɛ den anaasɛ nhyɛso. Ebia ɛbɛyɛ te sɛ nea obi repiapia wo moma so, anaasɛ ɛte sɛ nea adesoa bi wɔ wo moma so.
• Koko mu yaw. Saa ɛyaw yi titiriw ne:
• Ebetumi aba bere a woagye w'ahome no . Wɔtaa hu no anadwo fã akyi anaa anɔpatutuutu .
• Wɔtaa te ɛyaw yi nka wɔ koko no benkum so .
• Ɛtɔ da bi a saa `(Coronary Artery Spasm)` yi betumi akanyan wo anadwo .
• Saa akwanside ahorow yi betumi aba mpɛn kakraa bi afe biara, kosi mpɛn pii da biara. Ɛsono nnipa biara.

Bere tenten ahe na saa akwanside yi betumi atra hɔ? Ɛte sɛn dɛn?

Bere tenten a ``Coronary Artery Spasm'' di no betumi ayɛ soronko wɔ onipa biara ho. Ebetumi adi simma anum kosi simma 30 wɔ baabiara . Wɔ nnipa binom fam no, ebetumi ayɛ tiaa, na wɔ afoforo fam no, ebetumi ayɛ tenten kakra.

Ɛdefa sɛnea ɛte nka no ho no, sɛnea madi kan aka no, ɛtɔ mmere bi a ebia worente biribiara nka koraa. Anaasɛ ebia wobɛte nneɛma a ɛte sɛɛ nka:

• Koko a ɛyɛ den.
• Ebia ɛyaw no te sɛ nea ɛrehyerɛn afi wo moma so akɔ wo kɔn, wo nsa (titiriw wo nsa benkum), anaa wo hwene mu, te sɛ komayare ara pɛ.

Wobɛyɛ dɛn ahu ``Coronary Artery Spasm'' no pɛpɛɛpɛ?

Nea ɛbɛyɛ na wo duruyɛfo ahu saa tebea yi pɛpɛɛpɛ no, ɔbɛyɛ nhwehwɛmu ahorow pii de ahwɛ sɛnea wo koma no te. Eyi nyɛ biribi a wobetumi de nsusuwii hunu ahyɛ nkɔm. Wɔn titiriw ne:

• Echocardiogram (`Echocardiogram` - `Echo test`): Eyi de nnyigyei asorɔkye di dwuma de twa wo koma mfonini. Ɛte sɛ scan a wɔyɛ ma ɛnanom a wɔrenyinsɛn no. Ebetumi ahwɛ sɛnea koma no mu adan ne ntini ahorow no reyɛ adwuma.
• Electrocardiogram (EKG anaa ECG): Eyi kyerɛ sɛnea wo koma no anyinam ahoɔden yɛ adwuma. Ebetumi ama woanya sɛnea wo koma rebɔ ne sɛ ebia mogya a ɛkɔ koma no mu no so tew anaa.
• Coronary Angiography : Eyi taa yɛ nhwehwɛmu a ɛyɛ nokware sen biara a wɔde hu yare. Wɔ sɔhwɛ yi mu no, wɔde aduru soronko bi fa ntini bi a ɛwɔ abasa anaa nan mu no mu gu koma no ntini mu, na wotwa X-ray mfonini ahorow. Eyi betumi akyerɛ pefee sɛ ebia ntini no mu ayɛ teateaa anaasɛ ayɛ mmerɛw anaa.

Bio nso, wo duruyɛfoɔ bɛtumi ama wo afiri ketewa bi (`Ambulatory Monitor` anaa `Holter Monitor`) a wode bɛhyɛ wɔ fie. Eyi kyerɛw wo koma no anyinam ahoɔden dwumadi nnɔnhwerew 24, 48, anaa nea ɛboro saa mpo bere a woreyɛ wo da biara da dwumadi ahorow no. Eyi ho hia titiriw efisɛ `(Coronary Artery Spasm)` taa ba anadwo anaa bere a woagye w'ahome, enti ɛho hia yiye sɛ wobɛkyerɛw wo koma dwumadi wɔ saa mmere no mu.

Ɔkwan bɛn so na wɔsa `(Coronary Artery Spasm)` yi?

Botae atitiriw abien na ɛwɔ ayaresa mu. Biako ne sɛ wɔbɛma saa akisikuru yi asiw ano , na biako nso ne sɛ wɔbɛtew koko mu yaw so .

Sɛ wo ho yɛ wo hyew mpofirim a, wɔma wo aduru bi a wɔfrɛ no nitroglycerin (e.g. Nitrostat®) saa bere no. Ɛyɛ adwuma denam ntini a ɛtrɛw, ɛma mogya kɔ yiye, na ɛtew koko mu yaw so ntɛmntɛm no so. Wɔtaa de ma sɛ abopon ketewaa bi a wɔde gu tɛkrɛma ase, enti ɛkɔ nipadua no mu ntɛmntɛm.

Nea ɛbɛyɛ na woasiw saa akwanside ahorow yi ano bere tenten no, wo duruyɛfo betumi akyerɛw nnuru afoforo ama wo sɛ wode bedi dwuma daa:

• Calcium channel blockers : Sɛ nhwɛso no, nnuru te sɛ Amlodipine (Norvasc®), Diltiazem (Cardizem®), anaa Nifedipine (Procardia®). Eyinom yɛ adwuma denam wo ntini ahorow no afasu a ɛma ɛyɛ mmerɛw, na ɛtew sɛnea ɛyɛ teateaa no so.
• Statins : Sɛ nhwɛso no, nnuru te sɛ Atorvastatin (Lipitor®) anaa Simvastatin (Zocor®). Ɛwom sɛ eyinom yɛ nnuru a ɛtew srade so titiriw de, nanso wɔahu nso sɛ ɛboa ma wosiw saa akisikuru yi ano denam ntini a ɛwɔ mu no dwumadi a ɛma ɛyɛ yiye no so.

Ɛtɔ da bi a, saa `(Coronary Artery Spasm)` yi betumi ama koma no bɔ a ɛnteɛ, a ɛyɛ hu (`Ventricular Arrhythmia`) wɔ koma no ase adan mu. Eyi yɛ tebea a emu yɛ den, efisɛ ebetumi de nkwa ato asiane mu. Sɛ wowɔ `(Ventricular Arrhythmia)` a ɛte saa a, wo duruyɛfo betumi akamfo akyerɛ sɛ fa cardioverter defibrillator (`ICD`) a wotumi de hyɛ nipadua mu na wɔasiw nsɛnnennen a emu yɛ den ano. `(ICD)` no hu koma a ɛbɔ a ɛnteɛ na ɛde anyinam ahoɔden nsɛnkyerɛnne di dwuma de boa ma wo koma bɔ wɔ ɔkwan a ɛfata so.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ mogya mu ntini a ɛyɛ mmerɛw no so?

Sɛ wowɔ asiane ahorow te sɛ srade a ɛkɔ soro ne mogya mmoroso a, saa tebea horow no a wobɛsa no yiye no betumi atew asiane a ɛwɔ hɔ sɛ wubenya saa `(Spasm)` yi so. Ɛho hia paa nso sɛ wobɛkwati nneɛma (`Triggers`) a ebetumi de eyi aba `(Coronary Artery Spasm)`.

Sɛ nhwɛso no, wubetumi ayɛ nneɛma te sɛ awɔw a ano yɛ den a wobɛkwati mpofirim, wubegyae sigaretnom koraa (akyinnye biara nni ho sɛ eyi yɛ biribi a ɛsɛ sɛ woyɛ), na woahwehwɛ akwan a wobɛfa so adi adwennwen a ɛboro so ho dwuma (te sɛ nsusuwii ne yoga).

Ɛno kyerɛ sɛ wobɛyɛ nsakrae bi a ɛfata wɔ asetra mu. Nea ɛka eyi ho ne aduan pa a wobedi (a ngo, nkyene, ne asikre kakraa bi na ɛwom, na nnuaba ne nhabannuru pii wom) ne apɔw-mu-teɛteɛ daa .

Sɛ mewɔ `(Coronary Artery Spasm)` a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Coronary Artery Spasm yɛ tebea a enni sabea . Eyi kyerɛ sɛ ɛyɛ den sɛ wɔbɛsa no koraa, nanso wobetumi adi ho dwuma. Wobɛhia ayaresa a ɛkyɛ ne aduruyɛfoɔ hwɛ na woatumi adi ho dwuma. Nanso mma ɛnhaw wo.

Sɛ wɔde ayaresa a ɛfata di dwuma a, nnipa dodow no ara betumi adi wɔn yare no ho sɛnkyerɛnne so, atew mpɛn dodow a saa ntua yi ba no so, na wɔatra ase pa a ɛfata. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, anom wo nnuru no bere ano, na woakɔ so ayɛ nsakrae wɔ w’asetra mu.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ER)?

Eyi yɛ asɛm a ɛho hia yiye, ebetumi ayɛ nkwa ne owu asɛm . Sɛ ahrawa mu ntini a ɛyɛ mmerɛw no kɔ so kyɛ a, ebetumi abɛyɛ komayare. Enti, sɛ wuhu komayare ho sɛnkyerɛnne a, ntwentwɛn wo nan ase simma biako mpo na frɛ 1990 (Suvaseriya) ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu.

Dɛn ne komayare ho sɛnkyerɛnne? Hwehwɛ sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa ka koko mu yaw ho:

• Adwene a ɛyɛ basaa anaasɛ ne ti a ɛyɛ hare .
• Nhumu a wɔhwere (`Syncope`).
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm a, wo moma so rebɔ (`Palpitations`).
• Akisikuru anaa ɔfe, te sɛ nea ontumi nnya aduan (`Nausea` anaa `Dyspepsia`).
• Ɔhome a ɛyɛ den, te nka sɛ wo ho atɔ wo (Dyspnea).
• Fifiri a ɛyɛ nwini.
• Ɔbrɛ a ɛba mpofirim, ɔbrɛ a ɛtra so a wɔte nka.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa ka wo koko mu yaw ho a, ntra fie kɛkɛ nsusuw sɛ ɛyɛ yafunu mu yare. Hwehwɛ ayaresa ntɛm ara. Bere ne ade a ɛho hia sen biara a ɛbɛma wɔagye obi nkwa.

Dɛn ne nkrasɛm a yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu?

Coronary Artery Spasm yɛ ntini a ɛde mogya kɔ koma no mu no mpofirim, ɛyɛ teateaa anaasɛ ɛyɛ mmerɛw. Ebia eyinom bɛba na wɔakɔ a ɛyaw biara nni mu. Nanso, wobetumi ama asiane a ɛwɔ hɔ sɛ obi benya komayare no ayɛ kɛse. Ebetumi aba titiriw anadwo fã anaa anɔpatutuutu na ebetumi akanyan wo.

Nea eye sen biara ne sɛ, ayaresa ahorow wɔ hɔ a wɔde sa eyi. Wubetumi atew koko mu yaw so na woasiw saa akwanside ahorow yi ano. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ nea yɛaka ho asɛm wɔ asɛm yi mu no a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu. Wubetumi nso atew asiane yi so denam sigaretnom a wobɛkwati koraa na woabɔ bra pa so. Hwɛ wo koma so yiye! Ɛyɛ w’agyapade a ɛsom bo sen biara.

` Koma mu yare, koma mu ntini, koko mu yaw, angina, komayare, Coronary Artery Spasm, koma akwahosan