Yɛn koma yɛ pɔmpɛ a ɛyɛ nwonwa ankasa, a ennyae, ɛnte saa? Efi da a wɔwoo yɛn kosi da a yebewu no, akwaa ketewa yi de mogya fa yɛn nipadua nyinaa mu a enni huammɔ. Nanso so wunim sɛ sɛnea ɛbɛyɛ a pɔmpɛ yi bɛyɛ adwuma yiye no, ɛwɔ n’ankasa anyinam ahoɔden nhyehyɛe? Yiw, te sɛ ‘wiring’ nhyehyɛe a ɛwɔ yɛn afie mu no ara pɛ. Nsɛnkyerɛnne nketenkete a efi anyinam ahoɔden nhyehyɛe yi mu ba no ne nea ɛka kyerɛ koma no sɛ "ɛmmɔ mprempren." Eyi nyinaa si wɔ nhyehyɛe a ɛyɛ nhyehyɛe yiye, daa nnyigyei mu. Nanso, ɛtɔ mmere bi a, mfomso nketenkete betumi aba wɔ anyinam ahoɔden nhyehyɛe yi mu. Ɛno ne bere a koma no bɔ fi ase huruw wɔ ha ne ha, ɛyɛ ntɛmntɛm, anaasɛ ɛbrɛ ase. Wɔ mmere a ɛte sɛ eyinom mu no, yehia obi a ɔwɔ nimdeɛ titiriw wɔ anyinam ahoɔden nhyehyɛe yi ho mmoa, sen sɛ yebenya oduruyɛfo kwa. Ɛno ne nea yɛfrɛ no Electrophysiologist .
Sɛ yɛbɛka no tiawa a, hena ne Electrophysiologist yi?
Fa no sɛ ɔhaw kɛse bi wɔ nhama a ɛwɔ wo fie no mu, akanea no resɔ na ɛredum, na akwan tiawa wɔ mmeae bi. Saa bere no, ɛnyɛ anyinam ahoɔden ho nimdefo kwa na worekasa, na mmom wo ne anyinam ahoɔden ho nimdefo bi a onim eyi yiye. Saa na ɛte. Electrophysiologist yɛ obi a onim anyinam ahoɔden nhyehyɛe a ɛwɔ koma no mu.
Wɔyɛ komayare ho animdefo, nanso wɔn nimdeɛ wɔ anyinam ahoɔden nhyehyɛe a ɛhwɛ sɛnea koma no bɔ no so. Saa anyinam ahoɔden nhyehyɛe yi na ɛma yɛn koma bɔ, ɛhwɛ sɛnea ɛbɔ ntɛmntɛm so, na ɛma ɛbɔ daa. Sɛ ɔhaw bi wɔ eyi mu baabi a, Electrophysiologist bi wɔ hɔ sɛ obehu baabi pɔtee a ɛwɔ, nea ɛyɛ ɔhaw no, na wasa.
Yɛsan frɛ mmofra electrophysiologists animdefo a wɔsa koma a ɛyɛ den ho haw ahorow wɔ mmofra nkumaa ne mmabun mu.
Nsonsonoe bɛn na ɛda Koma Ho Ɔbenfo ne Electrophysiologist ntam?
Eyi yɛ bere a nnipa pii adwene tu fra. Enti momma yɛnte eyi ase kɛkɛ.
- Koma ho oduruyɛfo yɛ oduruyɛfo a ne ho akokwaw wɔ nyarewa a efi koma mu nyinaa mu. Sɛ nhwɛso no, ɔsa tebea horow pii, te sɛ mogya mmoroso, komayare, koma mu ntini mu haw, ne koma a entumi nyɛ adwuma yiye. Ɔte sɛ koma no mu ‘Oduruyɛfo Panyin’ no.
- Electrophysiologist yɛ komayare ho ɔbenfo, nanso wɔatete no titiriw wɔ koma no fã biako pɛ mu, a ɛne anyinam ahoɔden nhyehyɛe ne koma no nnyigyei .
Sɛ yɛbɛka no tiawa a, Electrophysiologist biara yɛ Cardiologist. Nanso ɛnyɛ Koma Ho Ɔbenfo biara na ɔyɛ Electrophysiologist. Ɛte sɛ nea ɛnyɛ obiara a onim kar ho asɛm na ɔyɛ gearbox ho ɔbenfo.
Sɛ wo koma bɔ ntɛmntɛm (arrhythmia) a, ebia wo koma ho oduruyɛfo de wo bɛkɔ electrophysiologist nkyɛn.
Tebea horow bɛn na electrophysiologist sa?
Saa animdefo yi sa tebea horow pii a efi sintɔ ahorow a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu. Bere a eyinom mu bi nyɛ aniberesɛm no, afoforo betumi de wɔn nkwa ato asiane mu. Enti, Electrophysiologist nimdeɛ ho hia na ama wɔahu nsonsonoe a ɛda eyinom ntam na wɔde ayaresa a ɛfata ama.
Wɔabobɔ aduruyɛ mu tebea atitiriw no bi ne ne nkyerɛkyerɛmu a ɛnyɛ den no din wɔ pon a ɛwɔ ase ha no so.
| Tebea no Edin | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Atiridiinini a Ɛyɛ Fɛ (AFib) . | Koma no atifi (atria) no bɔ ntɛmntɛm yiye na ɛnyɛ nea ɛkɔ so daa, te sɛ nea ɛrewosow. Eyi betumi de tebea horow te sɛ ɔyare a ɛma obi hwe ase aba. |
| Atrial Flutter a Ɛyɛ Fɛ | Ɛte sɛ AFib kakra, nanso ha no, koma no atifi adan no bɔ ntɛmntɛm, nanso ɛyɛ daa kakra. |
| Supraventricular Tachycardia (SVT) a ɛma obi ho yɛ hyew (SVT) . | Koma a ɛbɔ ntɛmntɛm yiye a efi ase wɔ koma no atifi na ɛba mpofirim na afei egyae ntɛmntɛm saa ara. |
| Ventricular Tachycardia (VT) a ɛma obi ho yɛ hyew (VT) . | Koma a ɛbɔ ntɛmntɛm yiye na ebetumi ayɛ asiane a efi ase wɔ koma no ase adan (ventricles) mu. |
| Ventricular Fibrillation (VFib) a Ɛma Ahurututu Mu Ntini a Ɛyɛ Fɛ . | Tebea a ɛde nkwa to asiane mu kɛse a koma no mu adan a ɛwɔ fam no wosow a wontumi nni so, na ɛma koma no gyaw mpofirim. |
| Koma a Wɔde Siw Ano | Koma no anyinam ahoɔden nsɛnkyerɛnne a efi soro adan no mu kɔ fam adan no mu a esiw anaasɛ ɛkyɛ. Eyi betumi ama koma no abɔ brɛoo paa. |
| Sick Sinus Syndrome a Ɛyare | Sinus node, koma no abɔde mu ade a ɛma koma no bɔ no dwumadi a ɛyɛ mmerɛw. Eyi betumi ama koma no abɔ ntɛmntɛm anaa abɔ brɛoo. |
Dɛn nti na wɔde wo rekɔ Electrophysiologist nkyɛn?
Mpɛn pii no, w’abusua oduruyɛfo anaa wo koma ho ɔyaresafo de wo bɛkɔ electrophysiologist nkyɛn. Nneɛma pii betumi ama eyi aba.
- Sɛ wuhu sɛ wo koma bɔ ntɛmntɛm sen sɛnea ɛte (Tachycardia) anaasɛ ɛyɛ brɛoo sen sɛnea ɛte (Bradycardia) .
- Sɛ ECG nhwehwɛmu kyerɛ sɛ wo koma bɔ ntɛmntɛm a .
- Sɛ wotaa totɔ piti anaasɛ wotɔ sin , hwɛ sɛ nea ɛde ba no yɛ ɔhaw bi a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu anaa.
- Sɛ obi a ɔwɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ ne koma awu mpofirim a, hwɛ sɛ ebia wowɔ asiane mu anaa.
Fa no sɛ, sɛ wokɔ wo duruyɛfo nkyɛn a, ɔhwɛ ECG na ɔka sɛ, "Nneɛma kakra bi wɔ wo koma mu, ma yɛnhwɛ eyi mu nkɔ akyiri na yɛnkyerɛ wo oduruyɛfo titiriw bi a onim eyi ho asɛm." Ɛno ne bere a wɔde wo kɔ Electrophysiologist nkyɛn.
Nhwehwɛmu bɛn na nnuruyɛfo yi yɛ?
Nea ɛbɛyɛ na wahu nea ɛhaw koma no anyinam ahoɔden nhyehyɛe no ankasa no, anyinam ahoɔden ho ɔbenfo de nhwehwɛmu ahorow di dwuma. Eyinom mu pii yɛ sɔhwɛ ahorow a ɛnyɛ den a ɛnyɛ nea wɔde hyɛ nipadua mu.
| Sɔhwɛ Edin | Dɛn na wode eyi yɛ? |
|---|---|
| Electrocardiogram (EKG/ECG) . | Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔde nneɛma a ɛma wohu nneɛma te sɛ sticker ahorow bata wo moma so ne wo nsa ne wo nan ho, na wɔkyerɛw anyinam ahoɔden a ɛwɔ wo koma mu no saa bere no. |
| Holter Monitor a Wɔde Hwɛ Nneɛma So | Eyi yɛ afiri ketewaa bi. Wɔbɛka akyerɛ wo sɛ hyɛ no bɛyɛ nnɔnhwerew 24 anaa 48. Ɛbɛkɔ so akyerɛw wo koma bɔ bere a woreyɛ wo da biara da dwumadi ahorow no. |
| Nsɛm a esisi a wɔhwɛ so | Ɛte sɛ Holter monitor, nanso wobetumi ahyɛ no nna anaa adapɛn pii. Sɛ wote yare no ho sɛnkyerɛnne nka a, wubetumi amia bɔtn bi so na woakyerɛw wo koma bɔ saa bere no. |
| Echocardiogram (Echo) . | Eyi te sɛ koma no mu ultrasound scan. Ebetumi ahwɛ sɛnea koma no te, ntini a ɛwɔ ntini no mu, ne sɛnea koma no reyɛ adwuma. |
| Tilt Table Sɔhwɛ | Sɔhwɛ a wɔde ma nnipa a wɔtaa totɔ piti. Wɔde wo to mpa so na wɔhwɛ wo mogya mmoroso ne wo koma bɔ bere a wɔdan mpa no nkakrankakra gyina hɔ no. |
| Electrophysiology Adesua (EP Adesua) . | Eyi ne sɔhwɛ a emu dɔ sen biara. Wɔde nhama a ɛyɛ fɛ yiye (catheters) fa ntini bi a ɛwɔ nan anaa abasa no mu kɔ koma no mu, na wɔyɛ koma no anyinam ahoɔden nhyehyɛe no ho mfonini de kyerɛ baabi pɔtee a ɔhaw no wɔ. |
Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mekɔ electrophysiologist nkyɛn?
Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa ho. Ɔde wo bɛkɔ electrophysiologist nkyɛn sɛ ɛho hia a.
- Koma a Ɛbɔ:Sɛ yɛbɔ yɛn koma a ɛbɔ ne nea yɛfrɛ no sɛ yɛn koma rebɔ nkate. Ebetumi ayɛ te sɛ nea yɛn koma retu mmirika wɔ yɛn koko mu, te sɛ nea ɛbɔ ntɛmntɛm mpofirim na egyina, anaasɛ ɛte sɛ nea ɛrehuruw abɔ.
- Ahome tiaa: Sɛ wote nka sɛ ɛyɛ den ma wo sɛ wobɛhome wɔ dwumadi nketenkete mpo mu.
- Koko mu yaw anaasɛ ne ho nyɛ no dɛ: Nkate a ɛma wo koko mu yɛ den anaasɛ ɛyɛ mmerɛw.
- Adwene a ɛyɛ wo yaw anaa Totɔ piti: Saa tebea yi betumi afi sɛnea wobɛte nka sɛ wo ti so yɛ hare bere a wugyina hɔ mpofirim so kosi sɛ wo ho bɛyera.
- Ɔbrɛ: Ɔbrɛ a ɛtra so a wobɛte nka bere nyinaa a ntease biara nnim.
Esiane sɛ saa sɛnkyerɛnne ahorow yi taa yɛ pɛ nti, anyinam ahoɔden ho ɔbenfo nimdeɛ ho hia na ama wɔahu nea ɔhaw no yɛ ankasa.
Ɔkwan bɛn so na wɔsa koma a ɛbɔ ho haw ahorow?
Nea eye sen biara ne sɛ ɛnnɛ, ayaresa a etu mpɔn yiye wɔ hɔ a wɔde sa komayare dodow no ara. Sɛ anyinam ahoɔden ho ɔbenfo hu wo tebea no pɛpɛɛpɛ wie a, wɔbɛkamfo ayaresa a ɛfata sen biara ama wo akyerɛ wo.
| Ɔkwan a Wɔfa so Yɛ Ayaresa | Dɛn na ɛba wɔ eyi ho? |
|---|---|
| Nnuru a wɔde ma | Nnuru a ɛma koma no bɔ, ɛma koma bɔ brɛoo, anaasɛ ɛmma mogya ntu. |
| Catheter a Wɔde Yiyi Afiri Mu | EP nhwehwɛmu no hui sɛ koma no fã a ɛresoma anyinam ahoɔden nsɛnkyerɛnne a ɛnteɛ no, denam ahoɔden te sɛ radiofrequency a wɔde di dwuma de yɛ akuru ketewaa bi so. Afei nsɛnkyerɛnne a ɛnteɛ no gyae ba. Eyi yɛ ayaresa a ɛboro 90% a ɛyɛ yiye. |
| Pacemaker a wɔde yɛ adwuma | Ɛlektrɔnik mfiri ketewaa bi a ɛboa nnipa a wɔn koma bɔ brɛoo paa ma wɔkɔ so bɔ ntɛmntɛm sɛnea ɛsɛ. Wɔde oprehyɛn hyɛ honam ani. |
| Afiri a Wɔde Ma Komam a Wɔde Sisi Mu (ICD) . | Eyi te sɛ pacemaker kakra, nanso nea ɛyɛ soronko wɔ eyi ho ne sɛ etumi hu koma a ɛbɔ ntɛmntɛm yiye (te sɛ VT anaa VFib) a ebetumi de nkwa ato asiane mu, na ɛde anyinam ahoɔden akɔ koma no mu de asan aba sɛnea na ɛte kan no. |
| Koma a wɔde yɛ adwuma | Wɔ tebea a egye ntɛmpɛ mu no, wɔde anyinam ahoɔden bɔ denam ‘ahyɛmma’ a wɔde si koko akyi na ama koma a ɛbɔ ntɛmntɛm na ɛnyɛ daa no san ba ntɛmntɛm no so. |
Sɛ ɛho hia sɛ wokɔ Electrophysiologist nkyɛn a, nsuro. Wɔyɛ abenfo a wɔatete wɔn yiye wɔ saa adwuma yi mu na wɔatu wɔn ho ama sɛ wɔbɛma w’asetra atu mpɔn. Ka nsɛmmisa anaa nsɛm biara a ɛhaw wo ho asɛm kyerɛ wɔn. Nya wo tebea ne ayaresa ho ntease a emu da hɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Electrophysiologist yɛ komayare ho ɔbenfo a ne ho akokwaw wɔ koma no anyinam ahoɔden nhyehyɛe ne koma no mu nnyigyei ho.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ koma a ɛbɔ ntɛmntɛm, brɛoo, ɛnyɛ daa, anaasɛ wotaa totɔ piti a, ebetumi ayɛ koma no anyinam ahoɔden nhyehyɛe a asɛe ho sɛnkyerɛnne.
- Mma w’ani ngu yare no ho sɛnkyerɛnne te sɛ eyinom so. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.
- Ɛnnɛ, ayaresa a etu mpɔn yiye wɔ hɔ a wɔde sa koma a ɛbɔ a ɛnteɛ (arrhythmias), efi nnuru so kosi nea wɔde yi koma ne nea ɛma koma no bɔ so.
- Nsuro sɛ wo ne electrophysiologist behyia. Wɔwɔ hɔ sɛ wɔbɛboa wo. Tie wo nsɛmmisa na hwɛ hu sɛ wobɛte biribiara ase yiye.
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