Nnuru ahorow abien a wɔde siw mogya a ɛbɛtɔ ano? Momma yɛnka Dual Antiplatelet Therapy (DAPT) ho asɛm .

So woanya komayare, anaasɛ wɔde stent ahyɛ wo mu, anaasɛ ebia wɔayɛ wo oprehyɛn a ɛbɛma woatumi atwa wo ho ahyia, na wo duruyɛfo akyerɛ wo sɛ nom nnuru abien bere koro mu? Nnipa pii haw kakra wɔ eyi ho. Ɛyɛ ade a ɛfata sɛ nsɛmmisa te sɛ "Dɛn nti na wɔama me nnuru abien?" ne "So eyi de ɔhaw bi bɛba?" sɛ ɛbɛba w’adwene mu. Enti, ɛnnɛ yɛbɛka saa nnuru a wɔde sa yare yi ho asɛm, a ɛne Dual Antiplatelet Therapy (DAPT).

Sɛ yɛbɛka no tiawa a, dɛn ne DAPT?

DAPT yɛ aduru a wɔde ka bom a wɔde nnuru ahorow abien a ɛma mogya yɛ mmerɛw na edi dwuma. Ne titiriw no, wɔma wo aspirin ka aduru foforo a wɔfrɛ no P2Y12 inhibitor ho .

Afei hwɛ, sɛ yepira yɛn nipadua no baabi a, mogya no gyae efisɛ mogya no tu na kuru no to mu. Ɛno yɛ ade pa. Nanso, sɛ mogya tu wɔ yɛn mogya ntini mu a ntease biara nnim a, dɛn na ɛba? Fa no sɛ kar a akyeakyea wɔ kwan so, te sɛ kar a akyekyere wɔn ho, saa mogya a ɛtwetwe yi betumi akɔhyɛ yɛn mogya ntini mu. Sɛ mogya a ɛte saa no kɔhyɛ mogya ntini bi a ɛkɔ koma no mu mu a, komayare ba. Sɛ ɛkyere mogya ntini bi a ɛkɔ amemene no mu a, akisikuru ba.

Enti nea DAPT ayaresa yi yɛ ne sɛ ɛmma mogya mu nkwammoaa nketenkete, nkwammoaa nketenkete a ɛwɔ yɛn mogya mu no nkɔbata ho na ɛmma mogya no nkɔ. Saa kwan yi so no, saa ayaresa yi betumi ama mogya a ɛyɛ hu (Thrombosis) a ɛba no agyae.

Hena na ohia DAPT ayaresa kɛse?

Nnuruyɛfo taa kyerɛw saa ayaresa yi ma bere a akwahosan ho asɛm bi asi akyi ne nnipa a asiane wom sɛ wɔbɛsan asi bio. Hwɛ pon a ɛwɔ ase hɔ no.

Mfaso ne asiane bɛn na ɛwɔ DAPT ayaresa so?

Te sɛ ayaresa biara no, eyi wɔ mfaso horow ne asiane ahorow bi nso.

• Mfaso titiriw a ɛwɔ so: Ɛdenam mogya a ɛtwetwe a wosiw ano so no, asiane a ɛwɔ hɔ sɛ obi benya komayare anaa akisikuru bio no so tew kɛse . Saa aduru yi gye nkwa, titiriw ma obi a wɔde stent ahyɛ no.

• Asiane titiriw: Esiane sɛ saa nnuru yi mma mogya ntu nti, asiane wɔ hɔ sɛ mogya bɛtu.
• Nsɛnkyerɛnne a ɛtaa ba ne mogya a ɛba yafunu mu .
• Kuru ketewaa anaa nea wɔatwitwa mpo betumi ama mogya atɔ no pii asen sɛnea ɛte daa.
• Ɛntaa mma sɛ tebea horow a emu yɛ den te sɛ mogya a ɛtɔ wɔ amemene no mu betumi aba.

Nnuru afoforo ho nsunsuanso bɔne ne ɔhaw ahorow

Nneɛma bɔne a wɔtaa hu

Ebia nnipa binom behyia nea edidi so yi bere a wɔrenom aduru yi:

• Ɔhome a ɛyɛ den
• Mogya a ɛwɔ nsu mu (Hematuria) .
• Akuru a wontumi nkyerɛkyerɛ mu wɔ nipadua no so
• Mogya a ɛba hwene mu (Epistaxis) .
• Nkwammoaa a ɛma mogya tu a ɛso tew wɔ mogya mu (Thrombocytopenia) .
• Anom ntini a ɛyɛ polyps

Sɛ eyi kɔ so a, wo ne wo duruyɛfo nkasa.

Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho

Sɛ worenom DAPT a, ɛsɛ sɛ wohwɛ yiye paa bere a worenom nnuru afoforo, titiriw eyinom:

• Nnuru a ekum mogya a ɛtwetwe mogya (nneɛma afoforo a ɛma mogya yɛ mmerɛw): .Nnuru te sɛ Warfarin ne Apixaban. Sɛ wɔka eyinom bom a, asiane a ɛwɔ hɔ sɛ mogya bɛtu no yɛ kɛse koraa.
• NSAIDs (nnuru a wɔde kum ɛyaw): Nnuru te sɛ Ibuprofen, Diclofenac, ne Mefenamic Acid a yɛtaa nom ma yɛn ti yɛ yɛn yaw ne nipadua mu yaw. Eyinom ma asiane a ɛwɔ hɔ sɛ yafunu mu mogya bɛtu no yɛ kɛse bere a wɔde ka DAPT ho no.
• Nnuru a ekum adwenemhaw: Wɔnom nnuru bi ma adwenemhaw.
• Proton Pump Inhibitors (PPIs): Nnuru te sɛ Omeprazole a yɛtaa de di dwuma ma yafunu mu yare.

Bere tenten ahe na ɛsɛ sɛ wɔfa DAPT?

Eyi nyɛ ade koro wɔ obiara fam. Wo duruyɛfo na obesi bere tenten a wuhia DAPT ho gyinae. Nneɛma pii wɔ hɔ a ɛka eyi:

• Wo mfe a woadi ne w’akwahosan nyinaa.
• Asiane bɛn na ɛwɔ wo mu sɛ mogya bɛtɔ wo?
• Asiane a ɛwɔ hɔ sɛ obi benya komayare anaa ɔyare a ɛma obi hwe ase bio.
• Nea enti a wofi DAPT ase wɔ nea edi kan no mu (esiane stent nti? esiane komayare nti?).

Bere a ebia nnipa binom behia saa ayaresa yi ɔsram biako anaa abien no, afoforo pii behia afe biako anaa nea ɛboro saa . Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aspirin nom wo nkwa nna nyinaa nkutoo, bere a woagyae DAPT mpo akyi.

Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara

Esiane sɛ obi a ɔnom DAPT no wɔ asiane mu sɛ mogya bɛtɔ no nti, ɛsɛ sɛ wohwɛ yiye kɛse wɔ sɛnkyerɛnne ahorow a edidi so yi ho. Sɛ wowɔ eyinom mu bi a, kɔ oduruyɛfo nkyɛn ntɛm ara anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.