So wo koma ayɛ mmerɛw? Momma yensua Diastolic Heart Failure ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw kakra? Anaasɛ wote nka sɛ woatɔ piti bere a woanantew kwan tiaa bi mpo akyi? Ebia ɛsɛ sɛ wode pillow abien anaa abiɛsa gyina wo ho so anadwo sɛnea ɛbɛyɛ a worentumi nna tẽẽ? Ebia eyinom nyɛ ɔbrɛ ara kwa. Ɛnnɛ yɛrebɛka tebea bi a nnipa pii nnim, nanso ebetumi aka yɛn koma akwahosan kɛse na ebetumi ayɛ aniberesɛm koraa ho asɛm. Ɛno ne Diastolic Heart Failure .

So wunim nea Diastolic Heart Failure yɛ?

Sɛ yɛbɛka no tiawa a, Diastolic Heart Failure yɛ tebea a ɛma wo koma no dan titiriw a wɔde pɔmpɔ gu mu, benkum so ahurututu , no yɛ den na entumi mfa mogya a ɛdɔɔso nhyɛ mu ma. Wɔsan frɛ eyi Koma a Ɛnyɛ Den a Wɔakora So Ejection Fraction (HFpEF) .

Koma mu yare ahorow abien na ɛba yɛn koma benkum so. Diastolic komayare yɛ ɔkwan biako. Ɔkwan foforo ne koma a ɛba nipadua no mu a ɛyɛ mmerɛw . Nea ɛkɔ so wɔ hɔ ne tumi a benkum so ahurututu no tumi de mogya no so tew. Nanso ɛnnɛ yɛreka diastolic heart failure ho asɛm kɛse.

Dɛn na yɛn koma benkum so ahurututu no yɛ?

So wunim sɛ yɛn koma te sɛ ofie a ɛwɔ adan anan? Pia abien na ɛwɔ abansoro a ɛwɔ soro no so (atrium nifa ne benkum atrium), ne adan abien wɔ fam abansoro (nifa so ventricle ne benkum ventricle). Ventricle nifa no de mogya kɔ ahurututu no nkutoo mu. Nanso benkum so ahurututu no ne ade a ɛho hia sen biara a ɛma mogya kɔ nipadua no nyinaa mu. Ɛno nti na benkum so ahurututu no ne ɔdan a ɛyɛ den sen biara wɔ koma no mu no. Ɛno na ɛkyekyɛ mogya a oxygen wom kɔ yɛn nipadua nyinaa mu.

Dɛn na nsɛmfua Diastolic ne Systolic kyerɛ?

Woama wɔasusuw wo mogya mmoroso pɛn? Ɛma akontaahyɛde abien. Wɔfrɛ saa nɔma abien no systolic ne diastolic.

Susuw ho hwɛ, bere biara a wo koma bɛbɔ no, ɛde mogya kakra kɔ mogya a ɛkɔ wo nipadua mu nyinaa mu. Wɔfrɛ nhyɛso a ɛba bere a wɔde saa mogya no kɔ no yɛ systolic blood pressure .

Diastolic mogya mmoroso yɛ nhyɛso a ɛwɔ mogya ntini no mu bere a koma no home wɔ ne bɔ ahorow ntam, kyerɛ sɛ, bere a koma no ntini no dwo kakra no.

Ɛno nti na wo nhyɛso no wɔ gyinapɛn abien:

• Dodow a ɛwɔ soro ne mogya mmoroso a ɛwɔ systolic.
• Nnɔmba a ɛwɔ ase hɔ ne mogya mmoroso a ɛwɔ diastolic.

Afei, so wote sɛnea asɛmfua "diastolic" ba bere a yɛka diastolic komayare no ase? Ɛno kyerɛ sɛ ɔhaw no wɔ diastolic phase no mu, bere a koma no regye n’ahome na mogya ahyɛ mu ma no.

Ɔkwan bɛn so na diastolic koma a entumi nyɛ adwuma yiye no ka wo nipadua?

Sɛ wo koma benkum, titiriw benkum so ahurututu no yɛ den a, nea ɛba ni:

• Koma no ntumi nnye n’ahome yiye wɔ koma bɔ ntam.
• Enti, mogya a ɛdɔɔso nhyɛ koma no ma .
• Koma a ɛte apɔw a ɛteɛ ntumi mfa mogya pii nkɔ nipadua no nyinaa mu saa.

Ne saa nti, ebia wubenya komayare ho sɛnkyerɛnne ahorow. Ebia ɛbɛyɛ den ama wo sɛ wobɛhome, na ebia wobɛte nka sɛ woabrɛ ɛmfa ho sɛnea wubegye w’ahome . Ebia ɛbɛyɛ den ama wo sɛ wobɛhome nso bere a woda anadwo no. Wubetumi nso ahu sɛ wo yafunu anaa wo nan ho ahonhon (edema) . Saa sɛnkyerɛnne ahorow yi betumi akɔ soro nkakrankakra bere a bere kɔ so no.

Dɛn na ɛde Diastolic Heart Failure ba?

Nneɛma pii wɔ hɔ a ebetumi de tebea yi aba. Ebi ne:

• ‍ ‍ (Atrial fibrillation - Afib) : ‍ .
• Coronary artery disease : Ntini a ɛma mogya kɔ koma no mu a esiw.
• Asikyireyareɛ
• Mogya mmoroso (ntini mmoroso) .
• Nna mu akisikuru a ɛma obi ho yɛ hyew (OSA) .
• Obolo
• Asaabo mu yare a enni sabea
• Nyarewa afoforo a ɛka koma ntini te sɛ amyloidosis .

Sɛ yɛhwɛ saa nneɛma yi a, ɛda adi pefee sɛ nyarewa pii a ɛsɛ sɛ yedi so wɔ yɛn da biara da asetra mu no, eyi ka wɔn.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Diastolic komayare ho sɛnkyerɛnne te sɛ komayare ahorow afoforo de no ara pɛ. Sɛ wowɔ saa tebea yi a, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:

• Ahomegye, nnyigyei te sɛ ɔfe anaa ahurututu .
• Adwene a ɛyɛ basaa .
• Edema , a ɛkyerɛ sɛ ɛho ahonhon, titiriw wɔ nan, nansoaa, nan, anaa yafunu mu.
• Ɔbrɛ a enni sabea .
• Nsu a wɔtaa tow .
• Ahome tiaa , titiriw bere a woada anaa woreyɛ adwuma a emu nyɛ duru no.
• Apɔw-mu-teɛteɛ ho abotare a ɛso tew . Susuw ho hwɛ, sɛ mprempren wote nka sɛ wo moma so reyɛ ayɛ wo yaw na worehyia ɔhaw wɔ ahomegye mu bere a woforo antweri bi a kan no na wutumi foro ntɛmntɛm no a, eyi betumi ayɛ sɛnkyerɛnne.

Ɛhia:Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu. Ebia ɛnyɛ bere nyinaa na eyinom fi diastolic komayare, nanso ɛho hia yiye sɛ wunya yare no yiye.

Ɔkwan bɛn so na wohu Diastolic Heart Failure?

, , (family health history) . , (stethoscope) .

Wobetumi ayɛ nhwehwɛmu titiriw pii de ahu komayare yi. Nhwɛsoɔ:

• Chest X-ray : Twa wo koko ne wo koma mfonini.
• Electrocardiogram (EKG) : Sɔhwɛ a wɔde kyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
• Echocardiogram : Ɛde nnyigyei asorɔkye di dwuma de hwehwɛ sɛnea koma ntini ne ntini ahorow no yɛ adwuma ne sɛnea ɛyɛ adwuma.
• Apɔw-mu-teɛteɛ mu adwennwen ho sɔhwɛ : Wɔma wo koma bɔ kɔ soro, denam nnuru a wɔde ma wo anaasɛ wɔnantew wɔ afiri a wɔde tu mmirika so so, na wɔhwɛ wo koma so hwɛ sɛ ɛyɛ ho biribi anaa.
• Koma mu catheterization : Wɔde afiri a ɛyɛ tratraa a ɛyɛ tokuru (catheter) hyɛ mu de susuw nhyɛso ne mogya a ɛkɔ koma no mu.

Saa nhwehwɛmu ahorow yi na ɛma oduruyɛfo no hu tebea a wowɔ no pɛpɛɛpɛ.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wuhu sɛ wowɔ diastolic heart failure a, mma wo ho nnyɛ wo hu. Ayaresa ahorow wɔ hɔ a wɔde sa no. Ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wobɛyɛ nsakrae bi wɔ w'asetra mu . Suban pa betumi ama wo koma ne ntini akwahosan atu mpɔn na aboa ma wo koma ayɛ adwuma yiye. Ebia wubenya ahotɔ denam saa nneɛma yi a wobɛyɛ so:

• Nya mu duru a ɛfata na kura mu .
• Aduan a sodium nnim a ɛma komayare yɛ adwuma a wobedi . Ɛyɛ papa paa sɛ yɛbɛtew nkyene a ɛwɔ nnuan a yedi mu na yɛadi nnuaba ne nhabannuru pii.
• Sa mogya mmoroso yare .
• CPAP afiri a wobɛhyɛ sɛ wowɔ nna mu ahomegye a .
• Anyɛ yiye koraa no, apɔw-mu-teɛteɛ simma 30 dapɛn no mu nna dodow no ara.
• Sigaretnom a wobegyae ne tawa ho nneɛma a wɔde di dwuma . Bisa wo duruyɛfo sɛ wuhia mmoa wɔ eyi ho anaa.

Ebia nnuru a wɔakyerɛw ama wo nso bɛka w'ayaresa nhyehyɛe ho . Ɛho hia yiye sɛ wobɛnom wo nnuru sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.

Ebia nnipa pii a wɔwɔ HFpEF nso renom nnuru a wɔde sa komayare afoforo. Ebia wo duruyɛfo nso bɛkyerɛw nnuru a wɔde sa diastolic komayare titiriw. Ebia eyinom bi ne:

• Diuretics : Nnuru a ɛboa ma woyi sodium (nkyene) ne nsu a ɛboro so fi nipadua no mu. Eyinom ne nea yɛtaa frɛ no "diuretics."
• Mineralocorticoid receptor antagonists : Eyinom nso boa ma potassium dodow kɔ so tra hɔ bere a eyi sodium a ɛboro so fi nipadua no mu no.
• Nnuru a wɔde ma mogya mmoroso so tew .

So wobetumi asa komayare a ɛma mogya tu no koraa?

Nokwarem no, wontumi nsa komayare a ɛma mogya tu no koraa . Nanso, sɛ wosa yare no yiye a, wubetumi adi sɛnkyerɛnne ahorow no so na ama wo koma no ayɛ adwuma yiye. Eyi kyerɛ sɛ wubetumi ne tebea yi atra ase yiye.

Dɛn na yebetumi ayɛ de atew asiane yi so?

Ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wobɛma komayare a ɛma mogya tu no so ne sɛ wobɛfa suban pa . Saa suban ahorow yi bɛma wo koma akwahosan nyinaa atu mpɔn na ɛbɛma asiane a ɛwɔ hɔ sɛ wubenya komayare no so atew.

Wubetumi atew asiane a ɛwɔ hɔ no so denam nneɛma yi a wobɛyɛ so:

• Aduan a ɛma koma nya ahoɔden a wobedi .
• Apɔw-mu-teɛteɛ a wɔyɛ daa .
• To nsanom ano hye na kwati sigaretnom .
• Tebea horow te sɛ asikreyare, mogya mmoroso, ne srade a ɛdɔɔso a wobedi so .

Dɛn ne obi a ɔwɔ Diastolic Heart Failure no anidaso?

Sɛ wosa wo yare a, wubetumi atra ase yiye wɔ diastolic komayare ho. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo ayaresa nhyehyɛe no akyi pɛpɛɛpɛ. Ɛwom sɛ ebia diastolic komayare no renkɔ koraa de, nanso wubetumi adi wo sɛnkyerɛnne ahorow no ho dwuma.

Dɛn bio na wobɛpɛ sɛ wubisa wo duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Dɛn na metumi ayɛ na amma komayare yi ansɛe?
• Nnuan bɛn na ɛsɛ sɛ mekwati bere a mewɔ diastolic komayare no?
• Dɛn na metumi ayɛ de adi nnuru a ɛde ba no ho dwuma?
• Mpɛn ahe na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ saa diastolic komayare tebea yi ho?

Nkrasɛm a Wɔde Kɔ Fie

Diastolic komayare yɛ komayare ahorow abien a ɛba koma no benkum so no mu biako. Wɔsan frɛ no HFpEF . Asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi no yɛ kɛse bere a worenyin no. Afei nso, sɛ wowɔ aduruyɛ mu tebea horow a ɛda adi te sɛ asikreyare anaa mogya mmoroso a, asiane no yɛ kɛse.

Ɛwom sɛ wonni aduru a edi mũ biara a wɔde sa diastolic komayare de, nanso wobetumi adi sɛnkyerɛnne ahorow no ho dwuma yiye denam asetra mu nsakrae ne nnuru a wɔde di dwuma so.

Nnipa pii tra ase a ɛyɛ anigye na ɛyɛ nnam a komayare a ɛma mogya tu. Enti, nsuro na di aduruyɛ mu afotu a ɛfata akyi.

Koma mu yare, diastolic koma a entumi nyɛ adwuma yiye, koma no dwumadi, ahome a ɛyɛ tiaa, edema, mogya mmoroso, asikreyare