So wo koma ayɛ mmerɛw na ayɛ kɛse? Momma yɛnka Dilated Cardiomyopathy ho asɛm!

Yɛn koma yɛ akwaa a ɛyɛ nwonwa ampa, ɛnte saa? Koma a ɛma yɛn nipadua nyinaa nya nkwa bere nyinaa yi dwen yɛn ho dɛn? Ɛtɔ da bi a, sɛ yenhu mpo a, saa koma yi nso tumi nya ɔhaw ne nyarewa ahorow. Ɛnnɛ yɛrebɛka yareɛ bi a ɛma koma no yɛ mmerɛw na ɛma koma ntini no yɛ kɛse a ɛho nhia, yareɛ a ɛwɔ din a ɛyɛ hu kakra, nanso ɛho hia paa sɛ yɛn nyinaa hwɛ so. Eyi ne nea nnuruyɛfo frɛ no (Dilated Cardiomyopathy).

Dɛn ne Dilated Cardiomyopathy?

Sɛ yɛbɛka no tiawa a, tebea yi (Dilated Cardiomyopathy) ne bere a wo koma no dan titiriw a wɔde pɔmpɔ gu mu, benkum so ahurututu , anaa koma no ntini titiriw no trɛw na ɛyɛ kɛse sen sɛnea ɛte daa no. Fa no sɛ rɔba a ɛretrɛw, nanso wɔ eyi mu no, ɛnyɛ papa mma koma no. Sɛ koma ntini no yɛ mmerɛw, ɛyɛ teateaa, na ɛyɛ kɛse a, tumi a koma no wɔ sɛ ɛbɛbɔ mogya yiye no so tew. Dɛn na ɛba saa bere no? Bere biara a koma no bɛbɔ no, wogyaw mogya kakra wɔ koma no mu. Ne saa nti, nipadua no fã a aka no nnya mogya a oxygen wom dodow a ɛfata. Wɔ tebea horow a emu yɛ den mu no, eyi betumi aka koma no afã afoforo nso.

Nhwehwɛmufo bu akontaa sɛ nnipa 100,000 biara mu bɛyɛ 36 na wɔyare saa tebea yi. Nanso asɛmpa no ne sɛ, ayaresa ahorow wɔ hɔ a wɔde sa komayare yi. Na nneɛma bi wɔ hɔ a wubetumi ayɛ de adi tebea no ho dwuma.

Dɛn ne yare yi ho sɛnkyerɛnne?

Ebia nnipa pii, titiriw wɔ yare no mfiase no, renkyerɛ yare no ho sɛnkyerɛnne biara. Ɛno ne yare yi fã a ɛyɛ hu. Nanso bere a koma no dwumadi mu yɛ den nkakrankakra no, wufi ase te yare no ho sɛnkyerɛnne pii nka.

Dilated Cardiomyopathy ho sɛnkyerɛnne betumi ayɛ:

• Koko mu yaw anaasɛ ɛyɛ den
• Ɔfe ne akisikuru
• Adwene a ɛyɛ basaa anaasɛ ne ti a ɛyɛ hare
• Nnipa a wɔtotɔ piti
• Ɔbrɛ a ɛyɛ soronko a wobɛte nka ( Ɔbrɛ ) .
• Wo moma so a wobɛbɔ anaasɛ wobɛhuruhuruw wɔ wo moma so
• Ɔhome a ɛyɛ tiaa / ahome a ɛyɛ den
• Yafunu, nan, nansoaa, ne anan mu a ɛho ahonhon/ɛyɛ akisikuru
• Mu duru a ɛkɔ soro a wɔnhwɛ kwan esiane nsu a ɛkɔ nipadua no mu nti

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Dɛn nti na eyi (Dilated Cardiomyopathy) ba?

"Adɛn nti na asase so na eyi too me?" ebia woresusuw ho. Nokwarem no, wɔ nsɛm pii mu no, abenfo mpo ntumi nhu nea ɛde ba ankasa. Nanso, nneɛma bi wɔ hɔ a wonim sɛ ɛde ba. Wɔne:

• Koma a ɛbɔ a ɛnteɛ (ɔhaw a ɛba wɔ koma a ɛbɔ denneennen) ( Arrhythmia ) .
• Asanom a wɔnom ho haw
• Nnuru bi a ekum kokoram (eyinom betumi apira koma no - nnuru a ekum koma ) .
• Nsɛnnennen a ɛba akyiri wɔ nyinsɛn mu anaa awo akyi
• Koma mu yare a wɔde awo obi
• Coronary ntini mu yare
• Asikyireyareɛ
• Tebea horow a wonya fi awofo hɔ denam awosu mu nkwaadɔm so (wɔfrɛ eyi abusua mu dilated cardiomyopathy . Ebia eyi na ɛde bɛboro 50% ba) .
• Koma mu yare
• Koma mu ntini mu yare
• Mogya mmoroso
• HIV a ɛma obi nya ɔyare mmoawa
• Nyarewa te sɛ koma ntini a ɛyɛ hyew (sɛ nhwɛso no, myocarditis ) .
• Nnubɔne te sɛ cocaine a wɔde di dwuma
• Thyroid yareɛ
• Mpɔtorɔ mu yare a ɔyare mmoawa de ba

Ɛtɔ da bi a, obi tumi nya nea ɛde ba bɛboro biako. Sɛ nhwɛso no, ebia wubenya Dilated Cardiomyopathy esiane aduruyɛ mu tebea foforo nti, bere a ebia wowɔ awosu mu su.

Hena na ɔwɔ asiane kɛse sɛ obenya saa yare yi?

Ɛda adi sɛ nnipa binom benya saa tebea yi sen afoforo. Wɔne:

• Nnipa a wonnii mfe 50
• Nnipa a wofi abibifo abusua mu (ɛwom sɛ eyi mfa Sri Lanka ho titiriw de, nanso ɛyɛ biribi a wohu wɔ wiase nyinaa)
• Mmarima ankorankoro
• Sɛ obi wɔ abusua no mu wɔ Dilated Cardiomyopathy (awosu mu nkɛntɛnso) a .

Dɛn ne nsɛnnennen a ebetumi afi Dilated Cardiomyopathy mu aba?

Sɛ yare yi kɔ so, kyerɛ sɛ, wɔ nea etwa to no mu a, nsɛnnennen ahorow betumi aba. Eyinom yɛ aniberesɛm koraa, na ɛno nti na ɛho hia sɛ wohwehwɛ ayaresa ntɛm no.

Ebia nsɛnnennen yi bi ne:

• Koma a ɛbɔ a ɛnyɛ ne kwan so ( Arrhythmia ) .
• Koko mu yaw ( Angina ) .
• Mogya a ɛtwetwe wɔ koma no mu (mogya a ɛtwetwe yi tumi kɔ ahurututu mu na ɛde tebea bi a ɛyɛ hu a wɔfrɛ no pulmonary embolism ba ) .
• Koma a ɛyɛ den
• Koma mu yare
• Koma a entumi nyɛ adwuma - Wei kyerɛ sɛ koma no yɛ mmerɛw araa ma entumi nni nipadua no ahiade ho dwuma.
• Koma mu ntini mu yare
• Nnwodwoɔ

Susuw sɛnea nsɛnnennen yi yɛ aniberesɛm no ho hwɛ. Ɛno nti na ɛsɛ sɛ wohaw wo ho sɛ wuhu sɛnkyerɛnne ketewaa bi mpo a.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi (Dilated Cardiomyopathy)?

Sɛ wokɔ oduruyɛfo nkyɛn a, ade a edi kan a ɔyɛ ne sɛ ɔbɛfa w’ayaresa ho abakɔsɛm.Wo duruyɛfoɔ bɛbisa w’aduruyɛ ho abakɔsɛm (te sɛ nyarewa anaa nnuru biara a woadi kan anya) ne w’abusua abakɔsɛm (te sɛ nyarewa a w’abusua anya). Afei, wɔbɛyɛ nipadua mu nhwehwɛmu . Saa bere yi mu no, oduruyɛfo no betie w’ahurututu mu ahwɛ sɛ nsu aboaboa ano anaa. Nea ɛyɛ nwonwa no, ebia oduruyɛfo bɛte nnyigyei bi a ɛnteɛ wɔ wo koma mu (koma mu nwiinwii) ansa na woanya yare no ho sɛnkyerɛnne biara.

Ɛno akyi no, ɛho behia sɛ woyɛ nhwehwɛmu ahorow na ama woahu sɛnea yare no mu yɛ den ankasa na woayɛ ayaresa a ɛfata wo ho nhyehyɛe.

Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi?

Mpɛn pii no, wobetumi ayɛ sɔhwɛ ahorow te sɛ eyinom:

• Angiogram: Eyi hwɛ sɛ ebia biribi asiw ntini a ɛma mogya kɔ wo koma mu no mu anaa.
• Mogya mu nhwehwɛmu: Eyinom hwɛ sɛ koma asɛe ne ɔhaw afoforo anaa.
• Chest X-ray: Eyi betumi ama woanya adwene a ɛyɛ den sɛ ebia wo koma sõ sen sɛnea ɛte daa.
• Echocardiogram: Eyi yɛ sɔhwɛ a ɛho hia yiye. Ɛte sɛ ‘video’ a ɛkyerɛ koma no. Ebetumi akyerɛ sɛnea koma no reyɛ adwuma yiye, sɛnea ntini ahorow no yɛ, ne sɛnea ntini ahorow no reyɛ adwuma.
• Electrocardiogram (EKG/ECG): Eyi hwɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma, a ɛkyerɛ sɛ ebia ɔhaw bi wɔ koma no bɔ a ɛyɛ den no mu anaa.
• Apɔw-mu-teɛteɛ mu adwennwen sɔhwɛ: Eyi sɔ sɛnea wo koma yɛ n’ade bere a woteɛteɛ w’apɔw mu no hwɛ.
• Awosu mu nhwehwɛmu: Saa nhwehwɛmu yi boa ma wohu sɛ ebia wowɔ awosu mu su a ɛma wunya yare no anaa.
• Koma MRI: Eyi nso betumi ama woahu sɛnea koma no mu adan no kɛse ne sɛnea ɛyɛ adwuma no mu da hɔ.
• Endomyocardial biopsy: Wɔntaa nyɛ eyi. Nea ɛka ho ne sɛ wɔbɛfa koma no ntini ketewaa bi na wɔahwehwɛ mu.

Ɔkwan bɛn so na wɔsa Dilated Cardiomyopathy?

Ebia wubehia ayaresa ahorow. Ɛwom sɛ mpɛn pii no, saa ayaresa ahorow yi ntumi nsa yare no koraa de, nanso ebetumi aboa ma woadi yare no ho sɛnkyerɛnne ahorow so na aboa wo ma woanya apɔwmuden, akyɛ. Dodow a wofi ayaresa ase ntɛm no, dodow no ara na nea efi mu ba no ye. Wo koma ho ɔyaresafo anaa komayare ho ɔbenfo ne wo bɛkasa na wasi ayaresa nhyehyɛe a eye sen biara ama wo ho gyinae.

Wobetumi akyekyɛ akwan a wɔfa so sa yare no mu akuw atitiriw abiɛsa: nnuru, asetra mu nsakrae, ne oprehyɛn anaa aduruyɛ mu akwan foforo.

Nnuru a wɔde yɛ nnuru

Nnuru ahorow pii wɔ hɔ a ebetumi ama wo koma no ayɛ adwuma yiye wɔ Dilated Cardiomyopathy ho. Nhwɛso ahorow bi ne:

• Nnuru a esiw ACE ano
• Nnuru a ɛko tia aldosterone
• Angiotensin agyefo/neprilysin a wɔde siw ano (ARNI) .
• Antiarrhythmics (nnuru a wɔde sa koma a ɛbɔ a ɛnteɛ) .
• Beta-blockers a wɔde siw ano
• Mogya a ɛyɛ mmerɛw/aduru a ɛko tia mogya - titiriw ma nnipa a wɔwɔ tebea horow te sɛ atrial fibrillation
• Nnuru a ɛma nsu a ɛho nhia a ɛwɔ nipadua no mu no so tew ( Diuretics ) .

Ɛho hia yiye sɛ wobɛnom nnuru yi nyinaa sɛnea oduruyɛfo no akyerɛ wo, wɔ dodow a ɛfata mu, ne bere a ɛfata mu.

Nsakrae a ɛba da biara da suban mu

Ɛdenam nsakrae nketenkete a wobɛyɛ wɔ wo da biara da dwumadi, w’aduan, ne nneɛma afoforo mu so no, wubetumi ama wo nnuru no ayɛ adwuma yiye, na ebia mpo wobɛtwentwɛn wo nan ase anaasɛ woakwati sɛ wobɛyɛ oprehyɛn koraa.

Nsakrae ahorow yi ne:

• Bɔ wo nipadua ho ban: To nsa dodow a wonom ano hye. Kwati nnubɔne a mmara mma ho kwan koraa. Bɔ wo ho ban fi nyarewa te sɛ ɔyare mmoawa a ɛma obi nya mmerɛbo mu yare ne HIV ho.
• Di aduan a ɛma koma nya ahoɔden: Di nam a ɛnyɛ den (te sɛ akokɔ ne mpataa), nnuaba, ne nhabannuru pii. Aduan a nkyene nnim a wobedi no betumi aboa ma nsu a ɛwɔ nipadua no mu no so atew, na ɛno betumi ama koma no ayɛ basaa.
• Ma apɔw-mu-teɛteɛ nkɔ anim: Apɔw-mu-teɛteɛ brɛoo a ɛnyɛ den dodo mma koma no betumi aboa ma koma no ayɛ adwuma yiye. Wo ne wo duruyɛfo nkasa mfa apɔw-mu-teɛteɛ a ɛfata wo ho. Ebia wobɛpɛ nso sɛ wususuw ho sɛ wode wo ho bɛhyɛ nhyehyɛe bi a wɔde siesie koma no mu . Eyi yɛ beae pa a wubetumi afi ase ateɛteɛ w’apɔw mu dwoodwoo.

Oprehyɛn ne oprehyɛn a wɔmfa biribiara nhyɛ mu

Sɛ yare no mu yɛ den na koma no dwumadi so tew kɛse a, ebia ebehia sɛ wɔyɛ wo oprehyɛn anaa aduruyɛ mu akwan titiriw foforo. Akwan a wɔfa so yɛ Dilated Cardiomyopathy no bi ne:

• Biventricular pacemaker: Eyi yɛ afiri a ɛboa ma koma no mu adan yɛ adwuma wɔ ɔkwan a ɛkɔ so daa so.
• Implantable cardioverter defibrillator (ICD): Sɛ wo koma bɔ ntɛmntɛm wɔ ɔkwan a ɛyɛ hu so a, saa afiri yi de anyinam ahoɔden ketewaa bi ma na ɛma wo koma bɔ bio.
• Oprehyɛn a wɔyɛ ma koma a entumi nyɛ adwuma yiye anaa koma no mu ntini: Eyinom ma koma no dwumadi tu mpɔn.
• Left ventricular assist device (LVAD): Eyi yɛ mfiri a ɛboa ma wɔde mogya kɔ koma ntini a ayɛ mmerɛw kɛse mu.
• Koma a wɔde si ananmu: Eyi yɛ ɔkwan a ɛntaa nsi koraa, na wosusuw ho bere a ayaresa afoforo nyinaa adi nkogu no.

So wobetumi asiw yare yi ano?

Sɛ yɛbɛka nokware a, wontumi nsiw tebea yi ano bere nyinaa. Ebia ɛyɛ biribi a ɛkɔ so wɔ w’abusua mu (awosu mu nneɛma). Anaasɛ, ebia efi nnuru a wɔde sa yare bi te sɛ kokoram.Ebetumi aba nso sɛ aduruyɛ mu nsunsuanso bɔne.

Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya Dilated Cardiomyopathy no so atew:

• Kwati nnubɔne te sɛ cocaine koraa.
• Sɛ wonom nsa a, tew so ma ɛnyɛ kakraa bi pɛ.
• Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, di so yiye.
• Hwɛ wo koma yiye na amma komayare ankɔ so (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wobɛkwati).

Dɛn na wubetumi ahwɛ kwan bere a wo ne tebea bi a wɔfrɛ no Dilated Cardiomyopathy te no?

Wo nkɔmhyɛ gyina nea ɛde wo tebea no ba ne sɛnea emu yɛ den so. Sɛ wonya ayaresa daa a, ebia wubetumi asan akɔ adwuma na woasan afi wo da biara da dwumadi ahorow a na woyɛ daa no ase. Nanso, ɛtɔ mmere bi a bere kɔ so no, wo sɛnkyerɛnne ahorow no betumi asɛe kɛse. Sɛ wo tebea no mu yɛ den anaa nsɛnnennen sɔre a, ebia ɛbɛyɛ den ama wo sɛ wubegyina ano. Ebia ɛho behia sɛ wotra ayaresabea kosi sɛ wo yare no ho sɛnkyerɛnne no bɛyɛ yiye.

Wɔ nnipa pii fam no, koma mu ntini a ɛtrɛw betumi asɛe bere tenten na ama koma no ayɛ adwuma yiye bere tenten. Eyi kyerɛ sɛ koma no yɛ mmerɛw araa ma entumi nyɛ nea nipadua no hwehwɛ. Asaabo a entumi nyɛ adwuma yiye ne komayare a emu yɛ den yɛ sɛnkyerɛnne a ɛkyerɛ sɛ yare no nkɔ yiye. Nnipa a wɔwɔ yare no ho sɛnkyerɛnne bere a wɔregye wɔn ahome mpo, anaasɛ wontumi nyɛ apɔw-mu-teɛteɛ biara no taa nya nea enye koraa.

Nanso mma ɛnhaw wo! Nnipa a wɔwɔ Dilated Cardiomyopathy akwahosan ne wɔn nkwa nna anya nkɔso kɛse wɔ nnansa yi mfe mu. Eyi fi ayaresa a wɔatu mpɔn ne nea wohu ntɛm. Ɛnnɛ, nnipa a wɔwɔ saa yareɛ yi mu bɛboro 80% tena ase yie mfeɛ awotwe, a enhia sɛ wɔde wɔn koma si ananmu.

Mɛyɛ dɛn ahwɛ me ho?

Ade a ɛho hia sen biara a wubetumi ayɛ bere a wo ne saa yare yi te ase ne sɛ wobɛhwɛ wo ho. Di wo duruyɛfo akwankyerɛ akyi yiye.

• Hwɛ yiye wɔ nsɛnnennen ho sɛnkyerɛnne te sɛ mu duru a ɛkɔ soro mpofirim ho da biara da.
• Yɛ nsakrae a wo duruyɛfo kamfo kyerɛ (sɛ nhwɛso no, aduan a nkyene nnim a wubedi) no pɛpɛɛpɛ.
• Kɔ wo duruyɛfo nkyɛn kɔhwɛ no mpɛn pii afe biara.
• Nom nnuru a wɔakyerɛw ama wo no pɛpɛɛpɛ na fa bere ano.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Esiane sɛ bere kɔ so no, wo tebea no betumi asesa nti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho na woakɔhwɛ wo daa. Eyi yɛ biribi a ɛsɛ sɛ woyɛ wɔ w’asetra nyinaa mu. Sɛ wote nka sɛ wo yare no ho sɛnkyerɛnne reyɛ kɛse a, wo ne wo duruyɛfo nkasa ntɛm ara. Obetumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wohu sɛ wowɔ yare bi foforo a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii. Mma ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo nsɛm te sɛ:

• So ɛyɛ adwene pa sɛ mɛyɛ awosu mu nhwehwɛmu ama m’abusua mufo a aka no?
• So ɛsɛ sɛ mekwati adwuma a ɛyɛ den?
• So mmoa kuw bi wɔ hɔ a metumi akɔ mu, wɔ Sri Lanka anaa intanɛt so?
• Aduan bɛn na ɛfata me?
• Apɔw-mu-teɛteɛ bɛn na ɛsɛ sɛ meyɛ na bere tenten ahe na ɛsɛ sɛ meyɛ?

Obiara mpɛ sɛ obehu sɛ wɔn koma nnyɛ adwuma yiye. Nanso, nnɛyi nnuruyɛfo betumi de ayaresa ahorow ama na aboa wo koma ma ayɛ adwuma yiye wɔ tebea horow te sɛ Dilated Cardiomyopathy mu. Nsakrae a ɛnyɛ den nso wɔ hɔ a wubetumi ayɛ de ama wo tebea no atu mpɔn. Nsuro sɛ wubebisa nsɛm na woate nneɛma a wubetumi apaw no ase. Wubetumi ne wo duruyɛfo ayɛ adwuma de ahwehwɛ ɔkwan a eye sen biara a wobɛfa so anya saa tebea yi.

Nneɛma a ɛho hia a ɛsɛ sɛ wokae (Take-Home Message) .

Mewɔ anidaso sɛ afei de woate koma ntini mu yare a yɛkaa ho asɛm nnɛ (Dilated Cardiomyopathy) no ase yiye . Ɛwom sɛ eyi yɛ tebea a emu yɛ den de, nanso sɛ wunim na wudi ho dwuma yiye a, wubetumi abɔ bra pa.

Nea ɛho hia sen biara ne sɛ wubehu sɛnkyerɛnne ahorow no, hwehwɛ aduruyɛ mu afotu ntɛm ara, na wudi ayaresa ne akwankyerɛ a wo duruyɛfo de ama wo no akyi pɛpɛɛpɛ. Ɛnyɛ wo nko ara, nnuruyɛfo ne akwahosan ho adwumayɛfo wɔ hɔ a wɔbɛboa wo na wɔakyerɛ wo kwan wɔ akwantu yi mu. Enti kɔ so nyɛ den na gyina tebea yi ano.

` Koma yare, koma a ɛtrɛw, koma mu ntini a ɛtrɛw, koma ntini a ɛyɛ mmerɛw, ahome a ɛyɛ tiaa, koma a entumi nyɛ adwuma yiye, koma mu ayaresa