So wo nan ho ahonhon mpofirim na ɛyɛ yaw? Ebetumi ayɛ DVT (Deep Vein Thrombosis) .

So wo nan biako ahonhon mpofirim na sɛ woka a, ɛyɛ hyew? Sɛ wonam anaa wugyina hɔ a, ɛyɛ yaw? Ebia wo nan ho were no ayɛ kɔkɔɔ? Nnipa pii susuw sɛ ɛyɛ akisikuru anaa nansoaa a abubu kɛkɛ. Nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a anibere wom kɛse na ehia sɛ wɔhwɛ so ntɛm ara. Ɛnnɛ yɛreka mogya a ɛtɔ wɔ ntini a emu dɔ mu, anaa nea wonim no wɔ aduruyɛ mu sɛ Deep Vein Thrombosis (DVT) ho asɛm .

Sɛ yɛbɛka no tiawa a, dɛn ne DVT?

Mogya ntini ahorow abien na ɛwɔ yɛn nipadua mu. Biako ne ntini a ɛwɔ soro a wotumi hu wɔ honam ani no. Ɔfoforo no ne ntini akɛse a ɛkɔ nipadua no mu tɔnn no. Deep Vein Thrombosis (DVT) yɛ bere a mogya a ɛtwetwe (thrombus) ba ntini a emu dɔ yi mu. Fa no sɛ efĩ bi a akɔhyɛ nsu paipu mu, na asiw nsu a ɛsen no kwan. Saa mogya a ɛtwetwe yi betumi asiw mogya a ɛkɔ ntini no mu no kwan koraa anaa ne fã bi. Saa tebea yi taa ba nan ntini (titiriw asen anaa asen), ne akyi berɛmo mu. Nanso, ɛntaa mma sɛ mogya a ɛbɛtɔ wɔ abasa, amemene, dwensɔtwaa, mmerɛbo , anaa asaabo ntini mu.

Dɛn nti na DVT betumi ayɛ nea asiane wom?

Sɛ DVT tebea no kɔ so te sɛ nea ɛte a, ɛnyɛ nea ɛde nkwa to asiane mu. Nanso, asiane titiriw a ɛwɔ mu ne sɛ mogya a atutu wɔ saa ntini yi mu no mu tetew fi hɔ na efi ase fa mogya no mu. Fa no sɛ, sɛ mogya a ɛtɔ gu nipadua no mu a ɛpaapae (yɛfrɛ eyi `emboli`) kɔ mogya ntini bi a ɛwɔ ahurututu mu tẽẽ na ɛkyere a, dɛn na ɛba? Ɛno ne nea yɛfrɛ no Pulmonary Embolism (PE) . Eyi yɛ asɛm a egye ntɛmpɛ a asiane wom paa, na ɛde nkwa to asiane mu. Enti, ɛho hia sɛ wuhu yare no na wosa yare no bere a wususuw sɛ wowɔ DVT no ara pɛ. Bio nso, nnipa a wɔwɔ DVT no mu bɛyɛ fã betumi anya ɔhaw ahorow a ɛtra hɔ kyɛ a wɔfrɛ no Post-Thrombotic Syndrome .Eyi ne bere a mogya a ɛtɔ no sɛe ntini a ɛyɛ mmerɛw a ɛwɔ ntini no mu no, na ɛma mogya boaboa ano wɔ nan no mu sen sɛ ɛbɛbɔ yiye. Eyi betumi ama honam ani ahonhon, ayɛ yaw, ne kɔla asakra (ayɛ bruu), ne akuru a ɛyɛ den sɛ wɔbɛsa (venous stasis ulcers) asram anaa mfe mpo.

Wobɛyɛ dɛn ahu sɛ wowɔ DVT anaa? Dɛn ne sɛnkyerɛnne ahorow no?

Ɛnyɛ obiara a ɔwɔ DVT na obenya yare no ho sɛnkyerɛnne. Nnipa bɛyɛ 30% betumi anya DVT a wonni sɛnkyerɛnne biara. Ebia nnipa binom benya yare no ho sɛnkyerɛnne a emu nyɛ den araa ma wonhu mpo. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ ɛba wo nan biako pɛ so a, ɛsɛ sɛ wohaw wo ho.

Hu Pulmonary Embolism (PE) ho sɛnkyerɛnne ahorow no yiye!

Nnipa binom hu sɛ wɔwɔ DVT bere a mogya a ɛtɔ no abubu na akɔhyɛ wɔn ahurututu mu akyi nkutoo. Enti hwɛ sɛnkyerɛnne ahorow a edidi so yi yiye.

• Koko mu yaw a ɛba mpofirim
• Ɔhome a ɛyɛ den
• Mogya a wɔfefe
• Adwene a ɛyɛ basaa (vertigo) .
• Sɛ wɔbɛtow akɔmfosɛm

Dɛn ne asiane ahorow a ɛde DVT ba?

Obiara betumi anya DVT, nanso nnipa binom wɔ asiane kɛse mu. Momma yɛnhwɛ nea wɔyɛ.

• Wobɛtra hɔ dinn bere tenten: Fa no sɛ worefa bɔs afi Colombo akɔ Jaffna, Sri Lanka, anaasɛ worefa wimhyɛn nnɔnhwerew pii akɔ ɔman no mu. Wɔ akwantu atenten a ɛte saa mu no, sɛ wode wo nan si baabi koro a, ebetumi ama mogya no akɔ brɛoo na ama mogya atɔ. Saa ara na ɛte wɔ oprehyɛn kɛse akyi, anaasɛ sɛ ɛsɛ sɛ wotra mpa so nna pii esiane yare nti a.
• Oprehyɛn anaa akwanhyia: Sɛ oprehyɛn anaa akwanhyia bi nti ntini no sɛe a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse.
• Bɛboro mfe 40: Asiane no kɔ soro nkakrankakra bere a obi nyin no.
• Nyinsɛn ne awo akyi: Asiane a ɛwɔ hɔ sɛ obi benya DVT no yɛ kɛse wɔ nyinsɛn mu ne bɛyɛ adapɛn 6 wɔ awo akyi.
• Mu duru a ɛboro so/Kyeyɛ mmoroso: Nnipa a wɔn mu duru boro so no wɔ asiane kɛse mu.
• Sigaretnom: Sigaretnom ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse.
• Kokoram ne kokoram ayaresa: Kokoram ne kokoram ayaresa ahorow bi (e.g. nnuru a wɔde sa yare) ma asiane a ɛwɔ hɔ sɛ obi benya DVT no yɛ kɛse.
• Nnuru a wɔde siw awo ano anaa hormone ayaresa: Nnuru a wɔde siw awo ano ne hormone ayaresa a estrogen hormone wom no betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse kakra.
• Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu (ɛna, agya, anuanom) anya DVT a, wo nso wowɔ asiane mu.
• Awosu mu nneɛma a ɛde ba: Ebia wɔde tebea horow a ɛma wɔn mogya tu ntɛmntɛm awo nnipa binom.
• Ayaresa mu tebea afoforo: Nyarewa a nipadua no tumi ko tia nyarewa te sɛ lupus, dwensɔtwaa mu yare a ɛma obi ho hyehye no, ntini a ɛyɛ mmerɛw (ntini a ɛyɛ mmerɛw wɔ nan mu), ne COVID-19 yare mmoawa nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya DVT no ayɛ kɛse.

Oduruyɛfo, wobɛyɛ dɛn ahu DVT pɛpɛɛpɛ?

Sɛ wowɔ DVT ho sɛnkyerɛnne a, wo duruyɛfo no bedi kan ahwɛ wo, abisa w’ayaresa ho abakɔsɛm ne asiane ahorow ho asɛm, na afei ahyɛ sɛ wɔnyɛ nhwehwɛmu pii mfa nkyerɛ sɛ woahu sɛ wowɔ wo.

• Duplex Venous Ultrasound: Eyi ne sɔhwɛ titiriw a wɔtaa de di dwuma de hu DVT. Ɛte sɛ akokoaa scan. Ɛnyɛ yaw. Etumi hu mogya a ɛsen wɔ ntini no mu ne sɛ ebia mogya atɔw bi wɔ hɔ no pefee.
• Venography: Wɔmfa eyi nni dwuma pii bio. Nea ɛka eyi ho ne sɛ wɔde nsu soronko bi (aduru) bɛhyɛ ntini bi mu na wɔayɛ X-ray.
• MRI anaa CT scan: Ɛtɔ mmere bi a, sɛ wosusuw sɛ mogya atɔ ntini a emu dɔ te sɛ yafunu anaa amemene mu a, wobetumi ayɛ nhwehwɛmu ahorow yi.
• Mogya mu nhwehwɛmu titiriw: Sɛ woanya DVT a ntease biara nnim, anaasɛ wowɔ abusua abakɔsɛm a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ mogya mu nhwehwɛmu titiriw de ahwɛ sɛ awosu mu tebea horow a ɛka mogya a ɛtwetwe no anaa.

Dɛn ne ayaresa ahorow a wɔde sa DVT?

Botae atitiriw kakraa bi wɔ hɔ a wɔde sa DVT.

• Mogya a ɛretu no a wobesiw ano sɛ ɛbɛyɛ kɛse.
• Saa mogya a ɛretu no a wobesiw ano na ansɛe na ankɔ ahurututu no mu.
• Mogya mu ntini foforo a ɛba no a wobegyae.
• Asiane a ɛwɔ nsɛnnennen a ɛtra hɔ kyɛ mu (Post-Thrombotic Syndrome) a wɔbɛtew so.

Akwan atitiriw pii wɔ hɔ a wɔfa so sa yare a wɔfa so du saa botae ahorow yi ho.

1. Nnuru a ɛma mogya yɛ mmerɛw (Anticoagulants) .

Wɔfrɛ eyi `Anticoagulants` wɔ Borɔfo kasa mu. Saa nnuru yi yɛ adwuma denam tumi a mogya no tumi twetwe no so tew so. Adeɛ a ɛho hia paa ne sɛ saa nnuru yi ``ntumi ntutu'' mogya a ɛyɛ mmerɛw a ayɛ dedaw. Mmom no, wosiw ano sɛ ɛnnyɛ kɛse na ntini foforo ntumi nkɔ. Bere kɔ so no, nipadua no abɔde mu nneɛma betumi apete mogya a ɛretu no nkakrankakra. Wɔde nnuru te sɛ ``Warfarin`` ne ``Heparin`` na ɛyɛ eyi. Wo duruyɛfo no besi aduru a ɛfata wo ne bere tenten a ɛsɛ sɛ wonom no ho gyinae. Mpɛn pii no, ɛho behia sɛ wonom saa aduru yi asram 3-6, anaasɛ nnipa binom fam no, wo nkwa nna nyinaa.

2. Nhyɛso Stockings

Eyinom nte sɛ sɔks a wɔhyɛ daa. Eyinom yɛ sɔks a wɔayɛ no titiriw a ɛhyɛ anansoaa no ho yiye. Wɔyɛ no ma ɛyɛ den yiye wɔ nansoaa no ho na nkakrankakra ɛnyɛ den kɛse wɔ nkotodwe no ho. Eyi boa ma mogya no kɔ soro a enhinhim. Sɛ wohyɛ eyinom da mũ nyinaa a, ebetumi atew nan ho ahonhon ne ɛyaw so bɛyɛ 50%.

3. IVC Filter a wɔde hyɛ mu

Eyi nyɛ ayaresa a wɔde ma obiara. Wɔkamfo kyerɛ nnipa a wontumi nnom nnuru a ɛma mogya tu, anaasɛ mogya tu bere a wɔrenom no. Ɛha yi, wɔde afiri ketewa bi a ɛte sɛ ahama (`filter`) hyɛ nipadua no ntini titiriw, `Vena Cava` mu. Eyi yɛ nea wɔde bɛkyere mogya a abubu wɔ nan no mu ansa na atumi akɔ ahurututu no mu.

Mɛyɛ dɛn asiw DVT ano sɛ ɛrensan mma bio?

Sɛ wonya DVT wie a, ɛho hia sɛ wosiw ano bio. Afei nso, sɛ wowɔ asiane mu sɛ wobɛnya DVT a, ɛsɛ sɛ woyɛ nneɛma bi de siw ano bio.

Sɛ woanya DVD dedaw a:

• Fa aduru a oduruyɛfo no akyerɛw ama no no pɛpɛɛpɛ na fa bere ano. Mma da koro mpo nmpa wo ti so.
• Kɔ ayaresabea ne mogya mu nhwehwɛmu wɔ nna a wɔahyɛ ato hɔ.
• Fa asetra kwan a ahoɔden wom (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wɔkwati).

Sɛ wowɔ asiane mu sɛ wobɛnya DVT a, sɛnea ɛbɛyɛ a wobɛsiw ano:

• Wɔ akwantu tenten mu: Sɔre na anyɛ yiye koraa no nantew pɛnkoro dɔnhwerew biara. Bere a wote ase no, yɛ apɔw-mu-teɛteɛ nketenkete te sɛ wo nansoaa a wobɛdannan wo ho ne wo nansoaa a wode bɛkɔ soro ne fam.
• Oprehyɛn akyi: Sɔ fi mpa so na fi ase nantew ntɛm ara sɛnea wubetumi. Yɛ sɛnea wo duruyɛfo ka kyerɛ wo no.
• Nom nsu a ɛdɔɔso bere nyinaa.
• Wo ne wo duruyɛfo nkasa na nya afotu wɔ akwan a wobɛfa so atew asiane a ɛwɔ hɔ no so.

DVT, Deep Vein Thrombosis, Mogya a Ɛtwetwe, Mogya a Ɛtwetwe wɔ Ntini Mu, Nan a Ɛhonhon, Ahurututu mu Ntini a Ɛma Ahurututu Mu, Mogya a Ɛma Mogya Tew, Nnuru a Ɛko Tia mogya a Ɛma Mogya Mu, Nnuru a Ɛma Mogya Tew, Nan mu Ɛyaw