So woahyɛ no nsow pɛn sɛ, sɛ wofefe denneennen a, mogya kakra a wɔde nsu afra mu fi mu ba? Ɛyɛ ade a ɛfata koraa sɛ wobɛte ehu nka kakra na wo ho adwiriw wo bere a wuhu biribi a ɛte saa no. Ebia wubesusuw sɛ, "Oo, so mewɔ biribi a anibere wom?" Nanso nokwarem no, mpɛn pii no, eyi nyɛ biribi a ɛsɛ sɛ yesuro. Nanso, nea eyi yɛ ankasa, nea enti a ɛba, ne bere a ɛsɛ sɛ yɛdwen ho a wubehu no ho hia yiye ma w’adwene mu asomdwoe ne w’akwahosan .
Dɛn ankasa ne hemoptysis (mogya a wɔfefe)?
Sɛ yɛbɛka no tiawa a, eyi yɛ mogya a efi wo home nhyehyɛe no ase, a ɛkyerɛ sɛ efi w’ahurututu anaa wo menewam . Saa mogya a ɛde ɔfe ba yi taa betumi ayɛ fĩ na ayɛ ahurututu. Eyi te saa efisɛ epue a wɔde nsu ne nnompe afra. Ɛtɔ mmere bi a, ɛte sɛ pink, kɔkɔɔ a ɛyɛ hare, anaa kɔla a ɛyɛ nkannare. Mpɛn pii no, ɛyɛ kakraa bi pɛ.
Nanso, eyi yɛ soronko wɔ mogya a wɔfe ho. Momma yɛnhwɛ saa asɛm no.
So mogya a wɔfe ne mogya a wɔfe yɛ ade koro?
Yiw, eyi yɛ beae a nnipa pii adwene tu fra. Tebea abien yi yɛ soronko koraa.
- Mogya a wobɛfe (Hemoptysis): Eyi fi wo home kwan (ahurututu, menewa) mu. Mpɛn pii no, ɛyɛ ahurututu kakraa bi, a wɔde nsu ne nnompe afra mu.
- Hematemesis: Eyi fi wo aduan mu nneɛma a ɛwɔ soro (yafunu, dwensɔtwaa ketewa). Mpɛn pii no, ɛfa mogya pii a epue prɛko pɛ ho. Eyi taa yɛ mogya a ɛretu wɔ nipadua no mu ho sɛnkyerɛnne.
Sɛ worefe mogya a, ɛsɛ sɛ wobu no sɛ ɛyɛ ntɛm na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Ɛyɛ papa sɛ worenkyɛ.
So eyi betumi ayɛ tebea a anibere wom?
Saa asɛmmisa yi ho mmuae ne "yiw, ebetumi aba" ne "dabi, ebetumi aba." Egyina nea enti a mogya retu wo ne mogya dodow a ɛwɔ wo mu no so koraa.
Asɛmpa no ne sɛ nneɛma dodow no ara a ɛde ba no nyɛ aniberesɛm na ɛnyɛ den sɛ wobetumi asa na wɔasa. Sɛ nhwɛso no, ɔfe a ano yɛ den betumi ama ne menewa mu atwitwa kakra na ama mogya kakraa bi apue. Nanso, ɛtɔ mmere bi a eyi betumi ayɛ ɔyare mmoawa a emu yɛ den anaa tebea bi a emu yɛ den te sɛ ahurututu mu kokoram ho sɛnkyerɛnne. Afei nso, sɛ obi fe mogya pii prɛko pɛ a, ebetumi de ne nkwa ato asiane mu.
Kae sɛ, ɛmfa ho nea ɛde ba no, wo duruyɛfo nkutoo na obetumi akyerɛ wo sɛnea tebea no mu yɛ den pɛpɛɛpɛ. Enti, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu mmom sen sɛ wubesusuw ho.
Dɛn ne nneɛma a ɛma obi fe mogya?
Ntease pii betumi aba. Momma yɛnkyekyɛ wɔn mu nyɛ nea wɔtaa yɛ ne nea wɔntaa nhu. Saa pon yi bɛma woanya ntease pa.
| Sɛnti | Nkyerɛkyerɛmu tiawa bi |
|---|---|
| Nneɛma a ɛtaa de ba a wɔtaa hu | |
| Ahurututu mu yare | Ɔyare mmoawa a ɛba ɔhome akwaa mu. Ɛtaa ba sɛ obi bɛfefe mu nsu. |
| Ahurututu mu yare | Ɔyare mmoawa a emu yɛ den a ɛba ahurututu mu. |
| Nsanyare a ɛma obi nya nsamanwaw | Mmoawa bi a ɛka ahurututu mu yare. |
| Nneɛma afoforo a ebetumi de aba | |
| Ahurututu mu yare | Mframa kwan a ɛwɔ ahurututu no mu a ɛtrɛw daa. |
| Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ | Eyi yɛ tebea a emu yɛ den a egye ayaresa ntɛm ara. |
| COPD (Ahurututu mu Yare a Ɛnkɔ Anim) . | Ahurututu mu yare a ɛtra hɔ kyɛ, titiriw wɔ wɔn a wɔnom sigaret mu. |
| Ahurututu mu Kokoram | Asiane no yɛ kɛse titiriw wɔ sigaretnomfo a wɔadi boro mfe 40 mu. |
| Koma a Ɛyɛ Den a Ɛyɛ Den | Nsu a ɛboaboa ano wɔ ahurututu mu esiane koma no dwumadi a enye nti. |
| Nnuru a ɛma mogya yɛ mmerɛw a wɔde di dwuma | Nnipa a wɔnom nnuru yi taa mogya tu. |
| Ananafo ade a ɛbata mframa kwan no mu | Ɛtaa ba mmofra nkumaa mu titiriw. |
Ɔkwan bɛn so na oduruyɛfo hu nea ɛde eyi ba?
Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo nsɛm kakraa bi.
- Mogya dodow ahe na ɛyera?
- Tebea yi atra hɔ bere tenten ahe?
- Mpɛn ahe na mogya tu wo da biara?
- Mogya dodow ahe na wɔde afra nsu no mu?
- So wonom sigaret? So sɛnkyerɛnne afoforo bi wɔ hɔ?
Wo duruyɛfo betumi agyina nsɛmmisa yi ho mmuae a wode ma so anya nea ɛde ba no ho adwene a ɛyɛ mmerɛw. Afei, ebia wɔbɛyɛ nhwehwɛmu ahorow bi de ahu nea ɛde ba no, te sɛ:
- Chest X-ray: Wɔde hwɛ sɛ akisikuru, nsu, anaa biribi foforo bi a ɛnteɛ wɔ ahurututu no mu.
- Chest CT scan: Biribi a wohu wɔ X-ray so a wɔhwɛ mu kɔ akyiri.
- Bronchoscopy: Sɔhwɛ a wɔde afiri ketewaa bi a wɔde mfoninitwa afiri ahyɛ mu fa mframa kwan no mu de kyerɛ baabi a mogya no fi.
- Complete blood count (CBC): Ɛhwɛ mogya dodow a ayera afi nipadua no mu ne sɛ ebia sɛnkyerɛnne ahorow bi wɔ hɔ a ɛkyerɛ sɛ ɔyare no wɔ hɔ anaa.
- Sputum culture: Fa sputum nhwɛsode bi hwɛ sɛ ebia nneɛma a ɛde ɔyare ba te sɛ mmoawa ne mmoawa bi wɔ hɔ anaa.
- Coagulation Test: Ɛhwɛ sɛ ebia ɔhaw biara wɔ mogya a ɛbɛtɔ ho.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Ayaresa no gyina mogya dodow a ɛba ne nea ɛde ba so.
Sɛ mogya a ɛretu no mu yɛ den a:
Sɛ worehwere mogya pii prɛko pɛ a, wɔde wo bɛkɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (ICU) na ade a edi kan a wɔbɛyɛ ne sɛ wobedi mogya a ɛretu no so. Eyi bɛhwehwɛ sɛ wɔyɛ ahurututu mu nhwehwɛmu.Wobetumi ayɛ biako de ayi mogya a ɛtɔ anaasɛ wɔayɛ aduru bi a wɔfrɛ no Bronchial Artery Embolization , a esiw mogya ntini no ano.
Ayaresa a wɔde ma sɛnea nea ɛde ba no te:
Sɛ wɔhyɛ mogya a ɛretu no so wie, anaasɛ sɛ mogya no sua a, oduruyɛfo no begyina nea ɛde ba no so akyerɛ ayaresa.
- Nnuru a ekum ɔyare mmoawa: Sɛ nea ɛde ba ne ɔyare mmoawa te sɛ ahurututu mu yare anaa nsamanwaw a.
- Steroids: Sɛ nea ɛde ba ne ɔfe a.
- Oprehyɛn ne kokoram ayaresa: Sɛ nea ɛde ba ne kokoram akisikuru a ɛwɔ ahurututu mu a.
So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ntɛm ara?
Eyi ne ɔfã a ɛho hia sen biara. Bere bɛn na ɛsɛ sɛ yebu eyi sɛ asɛm a egye ntɛmpɛ?
Sɛ mogya retu wo bɛboro teaspoon kakraa bi, anaasɛ mogya retu wo bɛboro dapɛn biako a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.
Sɛ mogya retu wo a sɛnkyerɛnne ahorow a edidi so yi wɔ hɔ a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
| Adwene nsisoɔ! Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ ETU ntɛm ara. | |
|---|---|
| Huraeɛ | Ɔhome a ɛyɛ den |
| Koko mu yaw | Mu duru a ɛso tew mpofirim anaa ntɛmntɛm |
| Anadwo fifiri a ɛba | Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti |
| Mogya a ɛwɔ nsu anaa nsu mu | |
Nkrasɛm a Wɔde Kɔ Fie
- Mogya kakraa bi a wobɛtɔ bere a wofefe no ntaa nyɛ aniberesɛm, nanso mmu w’ani ngu so.
- Sɛ mogya no dɔɔso dodo, anaasɛ ɛkyɛ boro dapɛn biako, anaa sɛ wowɔ sɛnkyerɛnne afoforo te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaa atiridiinini a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Nea ɛho hia sen biara ne sɛ wubehu nea ɛde ba ankasa na woanya ayaresa a ɛfata ama no. Enti nsuro sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Hemoptysis ne hematemesis yɛ tebea abien. Mogya a wɔfe ka mogya a wɔfe ho no betumi ayɛ tebea a egye ntɛmpɛ a emu yɛ den kɛse.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔkyerɛw Nisoldipine (Nisoldipine / Sular) aduru?
Eyi yɛ Calcium Channel Blocker (CCB) a wɔayɛ sɛ ɛbɛma mogya mmoroso asiw ano. Ɛyɛ mogya mmoroso nnuru a ano yɛ den sen biara wɔ wiase no mu biako! Ade titiriw a ɛwɔ eyi mu ne sɛ ennya nkɛntɛnso a ɛba fam koraa wɔ koma no nnyigyei so sen nnuru afoforo (CCB) (Vascular Selectivity). Enti, ɛnpira koma no, na mmom ɛyɛ adwuma tẽẽ ma mogya ntini no dwo.
💬 Sɛ yɛnom saa mogya mmoroso aduru (Nisoldipine) yi a, ɛma yɛn mogya so tew dɛn?
Sɛ mogya ntini bi bɛtwetwe/atwetwe na nhyɛso no akɔ soro a, akyinnye biara nni ho sɛ ɛsɛ sɛ ‘Calcium’ nketenkete no hyɛn mogya ntini no ntini mu! Sɛ saa aduru yi hyɛn mogya no mu pɛ a, esiw/toto na ɛtow calcium apon (L-type calcium channels) a ɛwɔ saa mogya ntini no mu nyinaa 100%! Esiane sɛ calcium nkɔ mu nti, mogya ntini no ntumi ntwitwiw na ɛyɛ mmerɛw kɛse (Vasodilation). Afei mogya no sen ntɛmntɛm na nhyɛso no so tew.
💬 Dɛn ne aduru (Nisoldipine) a wɔnom no mu nsunsuanso bɔne a ɛyɛ yaw? Dɛn nti na wɔka sɛ ɛnsɛ sɛ wɔde ka aduan/srade (aduan a srade pii wom) ho?
Ɔhaw kɛse ne sɛ ɛnsɛ sɛ wudi ‘aduan a srade pii wom’ da bere a worenom saa aduru yi! Sɛ woyɛ saa a, ebia aduru no a ɛtwetwe kɔ nipadua no mu no bɛkɔ soro/akɔ fam wɔ ɔkwan a ɛnteɛ so (Altered absorption) na awiei koraa no nhyɛso no bɛkɔ fam na woawu. Nneɛma afoforo a ɛhyɛ abufuw kɛse ne sɛ akyinnye biara nni ho sɛ eyi bɛma ‘ankles/nan ho ahonhon (Peripheral Edema)’ na koma abɔ ntɛmntɛm/anim ayɛ kɔkɔɔ (Reflex tachycardia/Flushing).
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