So mogya atɔ wo nan ntini mu? Momma yɛnka (Deep Vein Thrombosis - DVT) ho asɛm!

So woate saa yare yi a wɔfrɛ no `(Deep Vein Thrombosis)` anaa DVT ho asɛm pɛn? Ebia wo anaa obi a wunim no nan ho ahonhon na ɛyɛ yaw mpofirim na wakɔ oduruyɛfo nkyɛn. Ɛnnɛ, momma yɛnka nea ɛyɛ ankasa, nea enti a ɛba, so ɛyɛ hu, ne nea ɛsɛ sɛ yɛyɛ, okay?

Dɛn ankasa ne DVD?

Sɛ yɛbɛka no tiawa a, DVT (`(Deep Vein Thrombosis)`) yɛ mogya a ɛtɔ (`(thrombus)`) a ɛba ntini no mu, wɔ yɛn nipadua no mu tɔnn. Fa no sɛ efĩ bi a akɔhyɛ nsu afiri mu. Nneɛma atitiriw abien nti na mogya mu ntini yi ba. Biako ne sɛ ntini no sɛe wɔ ɔkwan bi so. Ɔfoforo nso ne sɛ ahoɔhare a mogya fa ntini no mu no so tew, na ɛkyerɛ sɛ mogya no tu brɛoo paa.

Sɛ mogya tu a, ebetumi asiw mogya a ɛbɛfa ntini bi mu no ano koraa anaa ne fã bi. Mpɛn pii no, DVT ba wɔ nan ase (ankle), asen, anaa asen ntini mu. Nanso, DVT tumi ba nipadua no ntini afoforo a emu dɔ te sɛ abasa, amemene, dwensɔtwaa, mmerɛbo, ne asaabo nso mu.

DVT yɛ asiane dɛn?

Afei ebia woresusuw sɛ, ɛyɛ mogya a ɛtɔ kɛkɛ, enti dɛn nti na ɛbɛyɛ asiane? Wiɛ, sɛ DVT no tra baabi a ɛwɔ a, ebia ɛremma akwanhyia kɛse bi mma. Nanso nea ɛyɛ hu sen biara ne sɛ mogya a ɛtwetwe a ɛba saa ntini yi mu no betumi atew ne ho na ɛne mogya no atu kwan akɔ nipadua no nyinaa mu.

Fa no sɛ mogya a ɛtɔ (embolis) a ɛpaapae no kɔhyɛ mogya ntini bi mu wɔ ahurututu no mu, na ɛno yɛ tebea a asiane wom kɛse . Wɔ aduruyɛ mu no, yɛfrɛ no ``Pulmonary Embolism'' anaa PE. Esiane sɛ eyi betumi de nkwa ato asiane mu nti, ɛho hia sɛ wohu yare no ho sɛnkyerɛnne, hu yare no, na wofi ayaresa ase ntɛm.

Ɛnyɛ ɛno nko, na mmom nnipa a wɔwɔ DVT wɔ wɔn nan mu no mu bɛyɛ fã, anaasɛ bɛyɛ baanu biara mu biako, betumi anya ɛyaw ne ahonhon wɔ wɔn nan mu bere ne bere mu asram pii, anaa mfe pii mpo. Wɔfrɛ saa tebea yi ``post-thrombotic syndrome''. Eyi ba bere a DVT no sɛe ntini a ɛyɛ mmerɛw a ɛwɔ ntini no mu ne ntini no mu ɔfasu no, na ɛma mogya boaboa ano wɔ baabi biako sen sɛ ɛbɛkɔ soro yiye no. Ɛyaw ne ɔfe yi fi nhyɛso a ɛkɔ soro wɔ ntini no mu.

Ebia sɛnkyerɛnne ahorow a edidi so yi ka post-thrombotic syndrome ho:

• Mogya a ɛreboaboa ano wɔ nan no mu.
• Nokwasɛm a ɛyɛ sɛ nan no kɔ so hohoro.
• Nhyɛso a ɛkɔ soro wɔ ntini no mu.
• Honam ani kɔla sesa wɔ nan no so, na ɛtɔ mmere bi a ɛdan bruu.
• Venous stasis ulcers yɛ akuru a ɛyɛ den sɛ wɔbɛsa wɔ nan no so.

Nsonsonoe bɛn na ɛda DVT ne ntini a emu dɔ mu thrombosis ntam?

Ebia woate ntini bi a ahonhon, ɛyɛ bruu, na sɛ woka a, ɛyɛ yaw ho asɛm. Wɔfrɛ no `(Superficial Venous Thrombosis)` (nnipa binom nso frɛ no `(phlebitis)` anaa `(superficial thrombophlebitis)`). Ɛwɔ wo honam ani kɛkɛ, .Mogya a ɛtɔ gu ntini bi a ɛbɛn hɔ mu. Ɛntaa mma koraa sɛ mogya a ɛtɔ te sɛ eyi bɛpae na atu kwan akɔ ahurututu mu. Nanso, sɛ mogya a ɛretu no kɔ ntini a emu dɔ no mu a, hokwan ketewaa bi wɔ hɔ sɛ ebetumi aba.

Mpɛn pii no, oduruyɛfo betumi ahu sɛ mogya atɔ ntini a ɛbɛn honam ani no mu denam nipadua no a ɔde ne nsa ka na ɔhwehwɛ mu no so. Nanso, sɛ yebetumi anya awerɛhyem koraa wɔ DVT, kyerɛ sɛ mogya a ɛtɔ wɔ ntini a emu dɔ mu ho a, akyinnye biara nni ho sɛ ɛho hia sɛ wɔyɛ ultrasound nhwehwɛmu.

DVT yi abu so dɛn?

Ɛho hia sɛ wuhu eyi nso. Sɛ wohwɛ akontaabu a ɛwɔ ɔman te sɛ Amerika mu a, wɔka sɛ mpanyimfo 1,000 biara mu biako kosi baasa nya DVT anaasɛ `(Pulmonary Embolism)` (PE) a efi mu ba no afe biara. Wɔka nso sɛ nnipa bɛyɛ mpem ahasa na wowuwu afe biara esiane DVT/PE nti. Fa no sɛ DVT/PE ne ntini mu yare a ɛto so abiɛsa a ɛtaa ba wɔ komayare ne akisikuru akyi.

Ɛwom sɛ DVT/PE betumi aba wɔ mfe biara mu de, nanso ɛntaa nsi wɔ mmofra ne mpanyimfo nkumaa mu. Ɛtaa ba nnipa a wɔadi boro mfe 60. Nokwasɛm foforo a ɛho hia ne sɛ DVT nyinaa mu bɛboro fã ba bere a wɔresa yare bi wɔ ayaresabea anaasɛ wɔayɛ oprehyɛn awie no. Nea enti titiriw a ɛte saa ne sɛ, sɛ yɛwɔ ayaresabea a, yɛnkyinkyin sɛnea yɛtaa yɛ no na yɛda mpa so kyɛ, na ɛno ma mogya a ɛkɔ anan mu no so tew.

Dɛn ne DVT ho sɛnkyerɛnne ahorow?

DVT taa ba wɔ nan anaa nsa ntini mu. Nea ɛyɛ nwonwa no, nnipa a wɔwɔ DVT no mu bɛyɛ 30%, anaasɛ bɛyɛ nnipa baasa biara mu biako nni sɛnkyerɛnne biara! Ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne no nyɛ den araa ma ebia nnipa binom renhu mpo.

Nanso, DVT a ɛba mpofirim (a emu yɛ den) ho sɛnkyerɛnne betumi ayɛ:

• Nan anaa nsa bi a ɛho ahonhon (ɛtɔ mmere bi a eyi ba mpofirim).
• Ɛyaw anaasɛ ɛyɛ mmerɛw wɔ nan anaa abasa mu (eyi betumi ate bere a wogyina hɔ anaa wɔnantew nkutoo).
• Sɛ́ wobɛte nka sɛ nan anaa nsa no fã a ahonhon na ɛyɛ yaw no yɛ hyew sen nea aka no.
• Wora a ɛyɛ kɔkɔɔ anaa kɔla a ɛbɛsakra wɔ saa beae no.
• Ntini a ɛbɛn honam ani no te sɛ nea ɛsõ sen sɛnea ɛte daa na ɛbɔ.
• Yafunu mu yaw anaa ɛyaw a ɛba yafunu no nkyɛn (eyi ba sɛ mogya a ɛtɔ gu ntini a emu dɔ a ɛwɔ yafunu no mu no mu a).
• Tiyɛ a emu yɛ den (ɛtaa yɛ mpofirim bere a efi ase) ne/anaasɛ akisikuru (eyi ba sɛ mogya a ɛtɔ wɔ amemene no mu a).

Nnipa binom nnim sɛ wɔwɔ DVT kosi sɛ mogya a ɛtɔ no bɛpae afi wɔn nan anaa wɔn nsa so na akɔ wɔn ahurututu mu. Ɛno ne bere a wofi ase nya ahurututu mu ntini a ɛma mogya tu (PE) ho sɛnkyerɛnne, a ebetumi ayɛ nea ɛka ho ne koko mu yaw mpofirim, ahome a ɛyɛ tiaa, mogya a wɔfefe, wɔn adwene mu yɛ wɔn naa, na ebia wɔn adwene mu yɛ wɔn naa.

Biribi a ɛsɛ sɛ wode sie w’adwenem ni: Sɛ wowɔ DVT ho sɛnkyerɛnne biako anaa nea ɛboro saa a, yɛsrɛ wo ntwɛn mma sɛnkyerɛnne no ano brɛ ase. Frɛ oduruyɛfo ntɛm ara, anaa kɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. Ayaresa a wɔyɛ no ntɛm betumi asiw nsɛnnennen a emu yɛ den ano.

Dɛn ne nneɛma a ɛde DVT ba?

Afei ma yɛnhwɛ nneɛma a ɛtaa de DVT ba, anaa asiane ahorow. Sɛ eyinom fa wo ho a, ɛyɛ papa sɛ wobɛma w’ani ada hɔ kakra wɔ DVT ho:

• Abusua abakɔsɛm a ɛfa awosu mu tebea horow a ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse ho.
• Kokoram ne n’ayaresa ahorow bi (te sɛ nnuru a wɔde sa yare).
• Sɛ wo anaa obi a ɔwɔ w’abusua mu anya DVT pɛn a.
• Mogya a ɛkɔ ntini a emu dɔ mu anohyeto esiane opira, oprehyɛn, anaasɛ bere tenten a wontumi nkɔ baabiara nti.
• Gyinabea koro no ara a wobɛtra, a wonhinhim, bere tenten. Te sɛ bere a woretu kwan wɔ bɔs, keteke, anaa wimhyɛn tenten mu, anaa bere a woda mpa so bere a wɔayɛ wo oprehyɛn anaasɛ woapira kɛse no.
• Sɛ wonyinsɛn anaasɛ wowo akokoaa nnansa yi ara (asiane no yɛ kɛse wɔ adapɛn 6 a edi kan no mu).
• Sɛ́ obi adi boro mfe 40 (nanso kae sɛ DVT betumi anya nkɔso wɔ mfe biara mu).
• Mu duru a ɛboro so/kɛse mmoroso .
• Sɛ obi wɔ yare a nipadua no tumi ko tia nyarewa te sɛ lupus, vasculitis, anaa inflammatory bowel disease (IBD).
• Tawa nneɛma (te sɛ sigaret, beedis) a wɔde di dwuma.
• Nnipa a wɔwɔ ntini a ɛyɛ mmerɛw nso wɔ asiane kɛse mu sɛ wobenya DVT.
• Nnuru a wɔde siw awo ano anaa nnuru bi a wɔde sa awo ano a wɔnom .
• Central venous catheter (afiri a wɔde hyɛ ntini kɛse bi mu) anaa pacemaker (afiri a ɛhwɛ koma no bɔ) a wɔde bɛhyɛ nipadua no mu.
• Nnansa yi ara a wɔanya COVID-19 no nso ma asiane a ɛwɔ hɔ sɛ wobenya DVT no yɛ kɛse.

Wobɛyɛ dɛn ahu sɛ wowɔ DVT anaa?

Sɛ wokɔ oduruyɛfo bi a ɔwɔ DVT ho sɛnkyerɛnne nkyɛn a, wobedi kan abisa wo wo yare no ho sɛnkyerɛnne, w’ayaresa mu tebea afoforo, ne sɛ ebia w’abusua mu obiara anya tebea a ɛte saa ara anaa. Afei wɔbɛhwehwɛ wo mu. Ɛno akyi no, ebia wɔbɛyɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa de akyerɛ sɛ wowɔ DVT anaa:

DVT a wɔde hu nhwehwɛmu

• Duplex venous ultrasound : Eyi ne nhwehwɛmu a wɔtaa de di dwuma, ɛnyɛ yaw, na ɛnyɛ den sɛ wɔbɛyɛ de ahu DVT.Eyi de nnyigyei asorɔkye a wɔfrɛ no ultrasound di dwuma de hwɛ mogya a ɛsen wɔ ntini no mu na wɔhwɛ sɛ mogya atɔw bi anaa. Onipa a ɔreyɛ nhwehwɛmu yi de ultrasound probe to wo nan anaa wo nsa so na ɔde nhyɛso brɛoo. Sɛ ntini no antwitwa yiye bere a womia no a, ebia oduruyɛfo no besusuw sɛ ebia mogya atɔw wɔ hɔ. Sɛ nea efi saa ultrasound yi mu ba no mu nna hɔ koraa a, oduruyɛfo no betumi ayɛ nhwehwɛmu foforo.
• `(Venography)` : Eyi yɛ sɔhwɛ a wɔyɛ wɔ nipadua no mu. Wɔntaa mfa nni dwuma nnansa yi. Ɛha yi, wɔtwitwa ketewaa bi wɔ kɔn anaa asen no were mu, wɔde afiri teateaa (`(catheter)`) fa mu kɔ ntini bi mu, na wɔde nsu titiriw bi (ade a ɛne ne ho bɔ abira) gu ntini no mu. Afei, wɔtwa X-ray mfonini de hwɛ sɛ ebia mogya a ɛkɔ ntini no mu no asiw esiane mogya a ɛtwetwe nti anaa.
• Magnetic Resonance Imaging (MRI) anaa Magnetic Resonance Venography (MRV) : MRI tumi twa akwaa ne nneɛma a ɛwɔ nipadua no mu ho mfonini a emu da hɔ yiye. MRV tumi twa ntini ahorow ho mfonini, titiriw wɔ nipadua no mmeae pɔtee bi. Mpɛn pii no, MRI ne MRV tumi ma wonya nsɛm a ɛkɔ akyiri sen ultrasound anaa CT scan.
• Computed tomography (CT) scan : Eyi yɛ ɔkwan foforo a wɔfa so twa nipadua no mu mfonini a wɔatwa no tiaa denam X-ray mfiridwuma so. Oduruyɛfo betumi de CT scan ahwehwɛ DVT wɔ yafunu, akyi berɛmo, anaa amemene mu, ne afei nso ahwehwɛ mogya a atɔ wɔ ahurututu mu (pulmonary embolism).

Ɛtɔ mmere bi a, sɛ wo duruyɛfo susuw sɛ wowɔ mogya a ɛtwetwe yare bi, sɛ́ ebia wunya fii awo mu anaasɛ wonyae a, ebia ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu titiriw na wɔahwehwɛ. Eyi ho hia titiriw wɔ nsɛm te sɛ eyinom mu:

• Sɛ mogya atɔ wo bere bi a atwam a ntease foforo biara nni hɔ a ɛda adi pefee nti a.
• Sɛ mogya atɔ wo ntini bi mu wɔ baabi a ɛyɛ soronko, te sɛ wo dwensɔtwaa, wo mmerɛbo, w’asaabo, anaa w’amemene mu a.
• Sɛ w’abusua wɔ abakɔsɛm a emu yɛ den a ɛfa mogya a ɛtɔ gu ho a.
• Sɛ wɔahu sɛ obi wɔ w’abusua mu dedaw sɛ ɔwɔ mogya a ɛtɔ kɔ nipadua mu a ɛyɛ awosu mu yare pɔtee bi a.

Ɔkwan bɛn so na da biara da asetra te wɔ DVT ho?

Sɛ wowɔ DVT a, ebia wobɛte ɛyaw bi na wo nan ho ahonhon wɔ nna kakraa a edi kan no mu, na ama ayɛ den ama wo sɛ wobɛkɔ baabiara na woayɛ wo dwumadi ahorow a wotaa yɛ no. Nanso mma ɛnhaw wo, wubetumi de nkakrankakra asan akɔ wo dwumadi ahorow a wotaa yɛ no so .

Sɛ wo nan ho ahonhon na wote nka sɛ emu yɛ duru a, bɔ mmɔden sɛ wobɛda mpa so a wode pillow biako anaa abien ahyɛ wo nan ase na wode wo nan ase bɛyɛ nsateakwaa 5-6 wɔ wo ti so. Eyi bɛboa ma mogya a efi wo nan mu akɔ wo koma mu no atu mpɔn na atew wo ho.

Nea ɛka ho no, susuw nneɛma yi ho:

• Sɛ ɛsɛ sɛ wotra ase kyɛ (sɛ nhwɛso no, bere a woreyɛ adwuma wɔ ɔfese, worehwɛ TV) a, yɛ apɔw-mu-teɛteɛ a anyɛ yiye koraa no, wobɛma w’asen akɔ anim ne akyi pɛnkoro dɔnhwerew fã biara.
• Sɔre na nantew simma kakraa bi anyɛ yiye koraa no dɔnhwerew biara a wobɛda no. Eyi ho hia titiriw bere a wowɔ wimhyɛn tenten mu anaasɛ worekɔ akwantu tenten mu wɔ kar te sɛ bɔs, keteke, anaa kar mu no.
• Sɛ wo duruyɛfo kyerɛw ma wo a, hyɛ compression stockings soronko a ɛba wo nkotodwe so. Wɔahu sɛ eyinom a wɔhyɛ anɔpa ne anwummere biara no ma nan mu yaw ne ne ho a ɛhoa so tew bɛyɛ 50%.
• Kwati dwumadi ahorow a ebetumi ama woapira kɛse (sɛ nhwɛso no, mmirikatu anaa ahuruhuruw agumadi a ɛde nkɛntɛnso kɛse ba) bere tiaa bi.
• Nom nsu pii bere nyinaa, titiriw bere a woretu kwan no, na mma wo nipadua mu nsu nnsɛe.

Dɛn ne ayaresa ahorow a wɔde sa DVT?

Ebia ɛho behia sɛ nnipa binom a wɔwɔ DVT tra ayaresabea kɔhwɛ wɔn yare, nanso wobetumi asa nnipa dodow no ara yare wɔ fie, anom nnuru sɛnea wɔn duruyɛfo akyerɛ wɔn, na wɔakɔ ayaresabea (ayarefo a wɔda ayaresabea).

Ayaresa atitiriw a wɔde sa DVT ne:

• Nnuru a ɛma mogya yɛ mmerɛw (ancoagulants) a wɔde bɛma na amma mogya antumi ankɔ.
• Adeɛ a madi kan aka ho asɛm ne sɛ wobɛhyɛ compression stockings.
• Nan (nan) a ayɛ no ma a wɔma so mpɛn pii da mũ no nyinaa.

Ɛntaa mma koraa, sɛ DVT no atrɛw kɛse a, ebia ayaresa titiriw (aduru a wɔde catheter di dwuma) ho behia.

Saa ayaresa ahorow yi wɔ botae atitiriw pii:

• Botae no ne sɛ wobesiw mogya a ɛwɔ hɔ dedaw no ano na ankɔyɛ kɛse na antrɛw akɔ ntini afoforo a atwa ho ahyia no mu.
• Mogya a ɛretu no a wobesiw ano sɛ ɛbɛpae afi ntini bi mu na ɛne mogya no atu kwan akɔ ahurututu no mu (a ɛde ahurututu mu ntini a ɛyɛ mmerɛw ba).
• Asiane a ɛwɔ hɔ sɛ obi benya mogya a ɛbɛtɔ saa bio daakye no so tew.
• Nsɛnnennen a ɛtra hɔ kyɛ (e.g., ntini a entumi nyɛ adwuma yiye, tebea a ɛma nan ho ahonhon na honam ani kɔla sesa) a ebetumi afi mogya a ɛtwetwe yi mu aba no a wobesiw ano.

Kae saa nneɛma yi a ɛfa nnuruyɛ ho

Sɛ wo duruyɛfo kyerɛw nnuru a wode sa DVT a, hwɛ yiye paa wɔ nneɛma yi ho:

• Fa w’aduru no sɛnea wo duruyɛfo kyerɛ no pɛpɛɛpɛ, wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu. Mma da koro mpo nmpa wo ti so.
• Ma wɔnyɛ wo mogya mu nhwehwɛmu sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ , na mma wo lab bere a wobɛkɔ no nmpa wo ti so. (Nnuru a ɛma mogya yɛ mmerɛw no bi hia sɛ wɔyɛ mogya mu nhwehwɛmu daa na ama wɔatumi ahwɛ sɛnea wo mogya tu no).
• Mfi ase nnom nnuru foforo biara (a nnuru a wɔde kum ɛyaw, vitamin, ne Ayurvedic nnuru a wɔtɔn ka ho) anaasɛ nnyae nnuru biara a wonom mprempren a wonkɔ wo duruyɛfo nkyɛn.
• Wo ne wo duruyɛfo nkasa fa w’aduan ho. Ebia nnuru bi a ɛma mogya yɛ mmerɛw (te sɛ warfarin) bɛto nnuan bi a wudi (te sɛ atoko) dodow ano. Enti hwɛ eyi so yiye.

DVT ayaresa ho nsɛm kakra

Nnuru a ekum mogya a ɛtwetwe mogya (nneɛma a ɛma mogya yɛ mmerɛw) .

Saa aduru yi titiriw na ɛmma wo mogya ntumi nkɔ ntɛmntɛm. Ɛma mogya a ɛwɔ hɔ dedaw no nso ntumi nyɛ kɛse, na ɛmma ɛntetew na ɛnkɔ baabiara nso.

Nea ɛho hia no, saa nnuru a ekum mogya a ɛtwetwe mogya yi "nsɛe" mogya a ɛwɔ mogya mu no. Wo nipadua no abɔde mu nneɛma a ɛma mogya tu no de nkakrankakra tew. Nanso, ɛtɔ mmere bi a, mogya a ɛtwetwe no ntumi ntutu koraa. Sɛ wɔyɛ saa a, wɔtew na ɛkɔ so tra hɔ sɛ "akuru" nketenkete wɔ ntini no mu. Ɛtɔ da bi a, saa ntini "dedaw" yi betumi ama nan ho ahonhon a ɛkɔ so, nanso mpɛn pii no ɛmma yare no ho sɛnkyerɛnne titiriw biara mma.

Nnuru ahorow pii wɔ hɔ a ekum mogya a ɛtwetwe mogya. Sɛ nhwɛso no, warfarin (a wɔtɔn wɔ din te sɛ Coumadin ase), heparin (wɔde ma sɛ aduru a wɔde twitwiw mogya mu), ne nnuru foforo a wɔde ko tia mogya a wɔnom tẽẽ (DOACs) anaa nnuru foforo a wɔde ko tia mogya a ɛtwetwe mogya a wɔde ano ka (NOACs) (e.g. rivaroxaban, apixaban, dabigatran). Wo duruyɛfo bɛkyerɛ wo nnuru ko a eye ma wo na ahobammɔ wom sen biara.

Sɛ ɛho hia sɛ wonom aduru a ekum mogya a ɛtwetwe mogya a, bere tenten a ɛsɛ sɛ wonom no begyina wo tebea no so. Ɛho hia sɛ nnipa binom nom asram kakraa bi pɛ (mpɛn pii no asram 3-6), bere a ebia ɛho behia sɛ afoforo nso nom wɔn nkwa nna nyinaa. Eyi gyina nneɛma te sɛ:

• So woanya mogya a ɛtɔ te sɛ eyi pɛn?
• Sɛ́ ebia wɔresa wo yare wɔ tebea bi a ɛtra hɔ kyɛ te sɛ kokoram anaa yare bi a nipadua no tumi ko tia nyarewa ho (sɛ ɛte saa a, ebia ebehia sɛ wonom aduru a ekum mogya a ɛtwetwe mogya bere tenten, na ɛma asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ no yɛ kɛse).

Nneɛma bɔne a ɛtaa ba wɔ nnuru a ekum mogya a ɛtwetwe mogya mu ne mogya a ɛtɔ. Sɛ wote akuru a ɛnyɛ den, mogya tu fi wo sẽ mu dodo bere a worehohoro wo sẽ, wo hwene mu mogya, anaa wo nsu tuntum bere a worenom nnuru yi a, frɛ wo duruyɛfo ntɛm ara.

`(Compression Stockings)` (Sɔks a ɛyɛ den titiriw)

Ebia wo duruyɛfo bɛkyerɛ wo sɛ hyɛ compression stockings soronko na ama wo nan a ɛho ahonhon no so atew anaasɛ ayi afi hɔ mpo. Nea ɛde saa ɔfe yi ba titiriw ne ntini a ɛyɛ mmerɛw a ɛwɔ wo ntini mu no a ɛsɛe a DVT de ba. Ɔhonhon nso betumi aba efisɛ DVT siw mogya a ɛkɔ wo ntini mu no kwan.

Compression stockings dodow no ara ba wɔ ɔkwan bi so a wɔhyɛ wɔ kotodwe ase. Saa stokɛ yi yɛ den kakra wɔ nansoaa no so, na nkakrankakra ɛnyɛ den kɛse bere a woforo nan no. Eyi ma nhyɛso (compression) a ɛyɛ brɛoo na ɛyɛ pɛ ba nan no so, na ɛtew mogya a ɛboaboa ano no so na ɛboa ma ɛkɔ soro. Ɛsɛ sɛ nnipa binom hyɛ wɔn mfe abien anaa nea ɛboro saa. Nhwehwɛmu ada no adi sɛ sɛ wohyɛ saa stokɛ yi da biara fi anɔpa kosi anwummere (na ɛnyɛ anadwo bere a woada) a, ebetumi atew ɛyaw ne nan a ɛho ahonhon so akodu 50%.

Ɛtɔ da bi a, wɔ oprehyɛn kɛseɛ akyi no, wobɛtumi ahunu nkurɔfoɔ a wɔhyɛ mfiri soronko (`(intermittent pneumatic compression devices)`) a wɔde twa wo nan ho hyia na wɔkyekyere mu den na wɔsansan bere ne bere mu de siw DVT ano bere a wowɔ ayaresabea no. Wɔnkamfo eyinom nkyerɛ sɛ wɔmfa nni dwuma wɔ ayaresabea akyi. Afei nso, wɔmfa saa mfiri yi nkyerɛ obi a ɔwɔ DVT wɔ ne nan mu dedaw.

Akwan pɔtee a wɔfa so yɛ DVT

Mpɛn pii no, wobetumi de nnuru adi DVT ho dwuma. Nanso, sɛ wuntumi nnom nnuru a ɛma mogya yɛ mmerɛw esiane biribi nti, anaasɛ wokɔ so nya mogya a ɛtɔ ɛmfa ho sɛ wonom no yiye a, ebia ebehia sɛ oduruyɛfo a ɔyɛ oprehyɛn yɛ oprehyɛn de mfiri titiriw bi (inferior vena cava filter anaa IVC filter) gu ntini kɛse a ɛwɔ wo nipadua mu (vena cava) no mu.

Wɔtaa yɛ eyi denam beae no a wɔma ɛyɛ mmerɛw so. Oduruyɛfo a ɔyɛ oprehyɛn no de saa `(IVC filter)` yi fa afiri a ɛyɛ tratraa (`(catheter)`) mu kɔ ntini kɛse bi a ɛwɔ wo srɛ mu anaa wo kɔn mu, na afei ɔfa na ɔde gu `(vena cava)`, ntini titiriw a ɛde mogya fi nipadua no afã horow a ɛwɔ fam kɔ ​​koma no mu no mu. Botae a ɛwɔ saa filter yi mu ne sɛ ɛbɛma mogya a ɛtɔ wo nan ntini mu no abubu na antu kwan akɔ soro, na mogya a ɛtɔ kɛse (`(emboli)`) antu kwan akɔ w’ahurututu mu na ɛde `(pulmonary embolism)` aba. Nanso kae sɛ, bere a `(IVC filter)` brɛ asiane a ɛwɔ hɔ sɛ `(pulmonary embolism)` no ase no, ɛnsiw mogya foforo a ɛbɛtɔ wo ntini mu no kwan.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ menya DVT no so?

Wɔka sɛ, "Asiw ano ye sen ayaresa." Enti ɛno yɛ nokware wɔ DVT nso ho.

Sɛ woanya DVT dedaw na woawie ayaresa a, ɛsɛ sɛ woyɛ nea edidi so yi na ama asiane a ɛwɔ hɔ sɛ wubenya DVT/PE mogya a ɛbɛtɔ bio daakye no so atew:

• Fa w’aduru no sɛnea wo duruyɛfo kyerɛ no pɛpɛɛpɛ, bere tenten a wɔakyerɛw ama wo no.
• Mma wo duruyɛfo nhyiam ne lab nhwehwɛmu nmpa wo ti so. Eyinom ne nna a wo duruyɛfo betumi ahu sɛnea w’ayaresa no tu mpɔn ne sɛ ebia ɛsɛ sɛ wɔsesa wo nnuru dodow.
• Yɛ nsakrae a ɛfata wɔ w’asetra mu, te sɛ aduan a ɛkari pɛ a wubedi, apɔw-mu-teɛteɛ da biara da, ne tawanom a wubegyae koraa.

Sɛ woannya DVT da, nanso wowɔ asiane ahorow a yɛaka ho asɛm wɔ atifi hɔ no biako anaa nea ɛboro saa a, hwɛ yiye na woasiw DVT ano denam:

• Sɛ ɛsɛ sɛ wotra baabi biako kyɛ (sɛ nhwɛso no, wɔ adwumayɛbea hɔ, wɔ akwantu tenten bi mu) a, yɛ apɔw-mu-teɛteɛ a emu nyɛ den bi, te sɛ w’asen a wobɛma akɔ soro ne fam na woadannan wo nansoaa, anyɛ yiye koraa no pɛnkoro dɔnhwerew fã biara.
• Sɛ worekɔ wimhyɛn tenten mu a, anyɛ yiye koraa no, sɔre pɛnkoro dɔnhwerew biara na nantew twa ɔkwan no so. Sɛ worekɔ kar akwantu tenten mu (bɔs, kar) a, anyɛ yiye koraa no, fi kar no mu pɛnkoro dɔnhwerew biako anaa abien biara na di akɔneaba kakra, na trɛw wo nan mu kakra.
• Sɛ woyare anaa oprehyɛn bi a, sɔre fi mpa so na fi ase nantew ntɛm ara sɛnea wubetumi. Dodow a wufi ase tu ntɛm no, dodow no ara na ɛnyɛ den sɛ wubenya DVT.
• Sɛ woyɛ oprehyɛn kɛse wie a, sɛ wo duruyɛfo kyerɛw ma wo a, fa aduru no (sɛ nhwɛso no, heparin a wɔde twitwiw wo mu nketenkete) anaasɛ hyɛ compression stockings na ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so atew.
• Hwɛ wo duruyɛfo wɔ mmere a wɔahyɛ no mu na di n’akwankyerɛ akyi pɛpɛɛpɛ na ama asiane a ɛwɔ hɔ sɛ wubenya DVT no so atew.

Sɛ mewɔ DVT a, dɛn na metumi ahwɛ kwan?

Ebetumi agye asram kosi afe ansa na mogya a ɛretu no apete koraa afi DVT mu. Enti, ɛho hia sɛ wokɔ so nom nnuru a ɛma wo mogya yɛ mmerɛw na wohyɛ compression stockings, sɛ wɔkyerɛw ma wo a, kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.

Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (titiriw warfarin) a, ɛho behia sɛ woyɛ mogya mu nhwehwɛmu daa (INR nhwehwɛmu) na ama woahu sɛ worenya dodow a ɛfata. Ebia wo duruyɛfo nso bɛpɛ sɛ ɔyɛ ultrasound pii akyiri yi de hwɛ sɛ ebia wo mogya a ɛretu no da so ara wɔ hɔ, sɛ ne kɛse so atew anaasɛ ɛreyɛ kɛse, ne sɛnea wo ntini ahorow no tu.

Bere bɛn na ɛsɛ sɛ mesan kɔ me duruyɛfo nkyɛn bio?

Sɛ wo yare no ho sɛnkyerɛnne (te sɛ wo nan mu yaw ne wo ho a ɛhoa) ankɔ yiye anaasɛ ankɔ so ansɛe bere a wɔreyɛ ayaresa no a, ka kyerɛ wo duruyɛfo ntɛm ara. Afei nso, sɛ wo ho yɛ wo yaw ntɛmntɛm bere a worenom nnuru a ɛma mogya tu, anaasɛ mogya tu wo kɛse wɔ brayɛ mu a, ka kyerɛ wo duruyɛfo.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Eyi nso ho hia paa. Sɛ wuhu nea edidi so yi mu biara bere a worenom nnuru a ɛma mogya tu, a ɛkyerɛ sɛ woreda mogya a ɛretu dodo ho sɛnkyerɛnne adi a, kɔ ayaresabea dan a wɔhwɛ wɔn a egye ntɛmpɛ ntɛm ara:

• Sɛ ɔfe no yɛ kɔkɔɔ hyerɛnn a mogya wom, anaasɛ sɛ ɔfe no yɛ tuntum te sɛ kɔfe a wɔayam a.
• Sɛ nsuo no yɛ kɔkɔɔ a mogya ayɛ no ma, anaasɛ nsuo no yɛ tuntum koraa na ɛyɛ nnam a.
• Sɛ wokɔ so tu mogya fi wo hwene, w’ano, anaa baabi foforo biara a wunsiw ano a.
• Sɛ wuhu akisikuru ho sɛnkyerɛnne te sɛ tiyɛ a emu yɛ den mpofirim, w’aniwa a ɛsakra, kasa a ɛyɛ den, anaa nipadua no fã biako a ɛyɛ mmerɛw a.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wohu sɛ wowɔ DVT a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii wɔ w’adwenem. Nsuro sɛ wubebisa wo duruyɛfo nneɛma te sɛ:

• Bere tenten ahe na ɛsɛ sɛ menom mogya a ɛma mogya tu yi?
• Bere bɛn na metumi atu kwan sɛnea ɛsɛ bio (titiriw akwantu tenten, wimhyɛn)?
• Mpɛn ahe na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn (`(follow-up appointments)`)?
• So ɛsɛ sɛ meyɛ nsakrae titiriw bi wɔ m’aduan mu?
• Dwumadi ahorow bɛn na ɛsɛ sɛ mekwati bere a merenom saa ayaresa yi?

Enti, dɛn na ɛsɛ sɛ yɛde fi asɛm yi mu kɔ fie?

DVT nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu no adewa nso. Ɛyɛ tebea a ɛka nnipa pii wɔ wiase nyinaa na wobetumi asa no yiye.

Ade a ɛho hia sen biara ne sɛ, .Sɛ wowɔ sɛnkyerɛnne ahorow a, kɔ oduruyɛfo nkyɛn ntɛm ara na fa ayaresa no sɛnea ɔkamfo kyerɛ no pɛpɛɛpɛ. Sɛ wɔkyerɛw wo nnuru a ɛma mogya tu a, fa no bere ano na yɛ nhwehwɛmu a wo duruyɛfo kamfo kyerɛ no. Wo duruyɛfo ne onipa a oye sen biara a obebua nsɛmmisa anaa dadwen biara a ebia wowɔ wɔ w’akwahosan ho. Enti, wo ne no nkasa pefee na nya wo tebea no ho ayaresa a eye sen biara. Kɔ so nya apɔwmuden!

` Deep Vein Thrombosis, DVT, mogya a ɛtɔ, ntini, Pulmonary Embolism, PE, nan a ɛho ahonhon, mogya a ɛyɛ mmerɛw, compression stockings, mogya a ɛtɔ, ntini mu thrombosis