Sɛ wo ho retɔ wo wɔ komayare mu na mpofirim ara wo moma so yɛ wo yaw a ɛyɛ nwonwa bio a, wobɛte nka dɛn? Ɛyɛ ade a ɛyɛ daa sɛ wobɛbɔ hu na woasusuw sɛ, "Oh, so eyi yɛ ade dedaw koro no ara bio?" Nanso mma ɛnhaw wo. Ɛnyɛ koko mu yaw biara na ɛyɛ komayare foforo. Ɛtɔ da bi a, ebetumi ayɛ tebea foforo a ɛba bere a obi anya komayare akyi. Ɛno yɛ saa tebea horow a ɛntaa nsi, nanso ɛho hia a ɛsɛ sɛ wohwɛ yiye no mu biako.
Sɛ yɛbɛka no tiawa a, dɛn ne Dressler Syndrome?
Fa yɛn koma sɛ ade a ɛsom bo a ɛwɔ kotoku a ɛyɛ tratraa a ɛbɔ ho ban mu. Wɔfrɛ saa kotoku a ɛbɔ koma no ho ban yi wɔ aduruyɛ mu sɛ pericardium . Dressler’s Syndrome yɛ tebea a, wɔ komayare akyi adapɛn kakraa bi no, wo nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no ho yɛ hyew na ɛho ahonhon. Wɔfrɛ saa ɔfe yi pericarditis .
Sɛ yɛbɛka no tiawa a, Dressler Syndrome yɛ pericarditis bi a ɛba bere a obi anya komayare akyi. Bere bi a atwam no, na saa tebea yi ba nnipa 100 biara a na wɔwɔ komayare no mu bɛyɛ 3-5 so . Nanso seesei, esiane ayaresa a ɛkɔ akyiri nti , ɛntaa mma wɔ nnipa 100 biara a wɔanya komayare no mu biako mpo mu. Ɛno yɛ asɛmpa, ɛnte saa?
Saa tebea yi betumi aba mpofirim, a enni sɛnkyerɛnne biara nna anaa adapɛn pii wɔ komayare akyi . Saa ɔfe yi ma koma no ne kotoku a atwa ho ahyia, pericardial kotoku no, bɔ, na ɛma koko mu yaw a yɛkaa ho asɛm no. Ɛtɔ mmere bi a, nsu a nsu wom betumi ahyɛ kotoku yi ma. Wɔfrɛ eyi sɛ pericardial effusion . Sɛ saa nsu yi dɔɔso a, ebetumi de nhyɛso aba koma no so.
Dɛn nti na eyi rekɔ so? So yɛn ankasa nipadua redan atia yɛn?
Wonnya nhuu nea ɛde eyi ba ankasa 100%, nanso adwene titiriw no ne sɛ ɛyɛ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no ho ntease ketewaa bi na ɛma ɛka biribi foforo.
Susuw ho saa kwan yi so. Komayare yɛ koma ntini a ɛsɛe. Sɛ saa ɔsɛe yi ba a, yɛn nipadua mu ahoɔden a ɛko tia nyarewa a ɛte sɛ "ɔsraani" a ɔwɔ yɛn nipadua mu no tow hyɛ saa opira no so.Ɛba sɛ ɛbɛsa baabi a na ɛwɔ no yare. Nanso ɛtɔ mmere bi a, wɔ saa adeyɛ yi mu no, yɛn nipadua mu tumi a ɛko tia nyarewa no adwene tu fra kakra na edi mfomso sɛ koma ntini a asɛe no yɛ ɔtamfo. Na afei efi ase ko tia no. Sɛ́ ɔko yi mu nsunsuanso bɔne no, saa pericardium a ɛho nni asɛm a atwa koma no ho ahyia no hohoro.
Esiane sɛ eyi yɛ nipadua no mu tumi a ɛko tia nyarewa a ɛba bere a asɛe koma no akyi nti, ebia wo duruyɛfo nso bɛfrɛ no Post-Cardiac Injury Syndrome (PCIS) . Ɛyɛ edin a wɔde frɛ tebea horow pii te sɛ eyi.
Dɛn ne tebea yi ho sɛnkyerɛnne? Woyɛ dɛn hu no?
Mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ adapɛn abien kosi anan akyi bere a obi anya komayare no. Eyinom yɛ soronko kakra wɔ komayare ho sɛnkyerɛnne ahorow ho. Momma yɛnhwɛ yare no ho sɛnkyerɛnne atitiriw no yiye.
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛnea ɛte nka |
|---|---|
| Koko mu yaw | Eyi ne sɛnkyerɛnne titiriw no. Ɛyaw a ano yɛ den, te sɛ sekan a wɔde sekan . Saa ɛyaw yi yɛ kɛse bere a wohome denneennen, mene, wofefe, na woda fam no. Nea ɛyɛ nwonwa no, ɛyaw no so tew bere a wode wo ho to w’anim na wotra ase no . Eyi yɛ sɛnkyerɛnne pɔtee bi. |
| Ɔhome a ɛyɛ den | Ebia ɛbɛyɛ den ama wo sɛ wobɛhome, titiriw bere a wokotow anaa woda fam no. |
| Ɔbrɛ | Ɔbrɛ ne ɔbrɛ a wɔte nka a ntease biara nnim. |
| Huraeɛ | Ɔhyew a wɔte nka, nanso ɛnyɛ atiridiinini kɛse. |
| Nnipa nyinaa a wɔn ho nyɛ wɔn dɛ | Te nka sɛ ne ho nyɛ no dɛ na ne ho nyɛ no dɛ. |
Nea ɛho hia sen biara ne sɛ ɛnsɛ sɛ wobu ani gu koko mu yaw biara a ɛba bere a obi anya komayare akyi no so. Nyansa wom sɛ wo ne wo duruyɛfo bɛkasa ntɛm ara.
Eyi betumi de nsɛnnennen a asiane wom aba?
Mpɛn pii no, Dressler’s Syndrome yɛ tebea a wobetumi asa sɛ wɔsa no ntɛm a. Nanso, wɔ nsɛm a ɛntaa nsi mu no, sɛ wɔansa a, nsɛnnennen a emu yɛ den betumi aba. Ɛno nti na ɛho hia sɛ wokɔ oduruyɛfo nkyɛn bere a woahu sɛnkyerɛnne ahorow no ara pɛ no.
- Cardiac Tamponade: Eyi ne ɔhaw a ɛyɛ hu sen biara. Nsu ahyɛ kotoku a atwa koma no ho ahyia (pericardium) no mu ma araa ma entumi nkɔ pɔmpɛ yiye. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Nsɛnkyerɛnne no bi ne koma a ɛbɔ ntɛmntɛm ne mogya mmoroso a ɛba fam.
- Constrictive Pericarditis: Eyi yɛ tebea a bere kɔ so no, koma no akyi no hohoro, ɛyɛ den, na ɛyɛ den. Eyi siw koma no tumi a ɛbɔ denneennen no ano. Eyi betumi de tebea horow a emu yɛ den te sɛ komayare aba.
Saa nneɛma yi betumi ayɛ hu sɛ wobɛte. Nanso kae sɛ wɔntaa nhu koraa na sɛ wɔsa wɔn yare wɔ bere a ɛsɛ mu a, wobetumi asiw ano koraa .
Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?
Ebia wo duruyɛfo besusuw sɛ woanya komayare bere a wate wo sɛnkyerɛnne ahorow no akyi, titiriw sɛ woanya komayare nnansa yi a. Ebia wɔbɛyɛ sɔhwɛ kakraa bi de asi w’adwene mu naayɛ no so dua.
Ade a edi kan a oduruyɛfo no yɛ
Ade a edi kan a wobɛyɛ ne sɛ wode afiri a wɔde tie asɛm no bɛto wo moma so na woatie no yiye. Afei, wobɛte nnyigyei abien a ɛyɛ pɔtee paa.
1. Pericardial Friction Rub: Nnyigyei a ɛba bere a pericardium a ahonhon no de ne ho petepete koma no so no. Ɛte sɛ aboa nhoma a ayow abien a ɛrepetepete.
2. Pleural Rub: Ɛtɔ da bi a, saa ɔfe yi nso tumi ka ntini a atwa ahurututu no ho ahyia (pleura). Eyi betumi ama nnyigyei a ɛte saa ara aba bere a wɔrehome no.
Sɔhwɛ ahorow a edi hɔ
Saa nhwehwɛmu ahorow yi betumi asi yare no so dua bio.
| Sɔhwɛ | Dɛn na worehwehwɛ wɔ mu? |
|---|---|
| Mogya mu Nhwehwɛmu | Wɔhwehwɛ ɔfe wɔ nipadua no mu, titiriw hwɛ sɛ C-reactive protein (CRP) ne mogya mu nkwammoaa fitaa dodow akɔ soro anaa. |
| ECG (Electrocardiogram) . | Saa sɔhwɛ yi a ɛhwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu no betumi ahu nsakrae pɔtee bi a ɛfa koma no akyi a ɛho ahonhon ho. |
| Koko so X-ray a wɔyɛ | Sɛ nsu atwa koma no ho ahyia a, ebia ɛbɛyɛ te sɛ nea koma no ayɛ kɛse wɔ X-ray no so. |
| Echocardiogram (Echo) . | Eyi yɛ koma no mu nhwehwɛmu. Ebetumi ahwɛ sɛ nsu atwa koma no ho ahyia, dodow a ɛwɔ mu, ne sɛ ɛrenya koma no so nkɛntɛnso no pɛpɛɛpɛ. |
| Koma mu MRI | Sɛ nhwehwɛmu afoforo antumi ankyerɛ mfonini a emu da hɔ a, saa MRI mfonini yi betumi ada koma no ne koma no akyi ahonhon adi pefee. |
Dɛn ne ayaresa no? So wobetumi asa eyi?
Yiw, koraa! Dressler’s Syndrome ayaresa yɛ mmerɛw yiye na etu mpɔn. Mpɛn pii no, nnuru betumi adi ɔfe no so na ayi sɛnkyerɛnne ahorow no afi hɔ.
Ebia wo duruyɛfo bɛkyerɛw aspirin dodow a ɛdɔɔso ama wo , nanso aduru bi a wɔfrɛ no colchicine nso betumi aboa ma ɔfe no so atew na amma ansan ankɔ so bio.
Ɛho hia yiye sɛ wobɛnom nnuru yi sɛnea wo duruyɛfo akyerɛ wo no adapɛn pii, ebia asram pii . Mma nnyae aduru no nom fã esiane sɛ ɛyaw no ano abrɛ ase nti. Saa a wɔbɛyɛ no bɛma hokwan a ɛwɔ hɔ sɛ yare no bɛsan aba bio no ayɛ kɛse.
Enti, dɛn na ɛsɛ sɛ meyɛ?
Sɛ worenya ahoɔden afi yare kɛse bi te sɛ komayare mu a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne abasamtu nka bere a biribi a ɛte sɛɛ asi bio no. Nanso nea ɛho hia sen biara ne sɛ wobɛte ase sɛ eyi yɛ tebea a wotumi di so.
- Di nea oduruyɛfo no ka akyi pɛpɛɛpɛ: Nom w’aduru no bere ano pɛpɛɛpɛ, bere tenten a wɔakyerɛw ama wo no nyinaa.
- Mma bere a wobɛkɔ akɔhwɛ wo no nmpa wo ti so: Sɛ wo ho tɔ wo mpo a, hwɛ hu sɛ wobɛsan aba da a wo duruyɛfo bɛka akyerɛ wo no. Eyi ho hia yiye na ama yɛahu sɛnea ayaresa no reyɛ adwuma yiye.
- Hwɛ yare no ho sɛnkyerɛnne: Sɛ sɛnkyerɛnne no san ba anaasɛ ɛyɛ kɛse a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Bisa nsɛm: Sɛ wowɔ nsɛmmisa bi fa tebea yi anaa aduru no ho a, bisa wo duruyɛfo ma ɔmma no ntease.
Dressler’s Syndrome yɛ tebea a ɛtɔ mmere bi a ebetumi asan aba bio bere a wɔasa no yare akyi mpo, na ɛno nti na ɛho hia sɛ wɔkɔ so tra oduruyɛfo hwɛ ase no.
Nkrasɛm a Wɔde Kɔ Fie
- Dressler’s Syndrome yɛ tebea a ebetumi aba wɔ adapɛn kakraa bi akyi wɔ komayare akyi, nanso mprempren ɛntaa nsi koraa .
- Nea ɛde eyi ba ne sɛnea nipadua no ankasa nipadua no mu tumi a ɛko tia nyarewa no yɛ ho biribi, na ɛnyɛ komayare foforo.
- Nsɛnkyerɛnne titiriw ne koko mu yaw a ano yɛ den a ɛso tew bere a wokotow w’anim no.
- Wobetumi adi tebea yi so yiye na wɔde nnuru asa no koraa .
- Ade a ɛho hia sen biara ne sɛ wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara wɔ koko mu yaw biara a ɛba bere a woanya komayare akyi no ho. Sɛ woremmɔ hu na wonyɛ w’ade yiye a, wubetumi asiw nsɛnnennen biara ano.
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