So worehu amane wɔ mogya a atɔ wo ntini mu? Momma yɛnka Embolectomy oprehyɛn ho asɛm!

So woate mogya a ɛtɔ fa mogya ntini a ɛwɔ yɛn nipadua mu no ho asɛm pɛn? Nokwarem no, mogya a ɛtwetwe no ho hia yiye na ama mogya atɔ bere a yɛn nipadua apira no. Nanso ɛtɔ mmere bi a, ntease biara nnim no, sɛ mogya a ɛtɔ gu mogya ntini no mu a, ebetumi ayɛ asiane kakra. Efisɛ saa mogya a ɛtwetwe yi betumi asiw mogya no kwan na ɛde ɔhaw ahorow a emu yɛ den aba. Wɔ tebea horow a ɛtete saa mu no, wɔfrɛ oprehyɛn titiriw bi a wɔyɛ de yi saa mogya a ɛyɛ mmerɛw no Embolectomy. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Embolectomy?

Embolectomy yɛ oprehyɛn a wɔde yi mogya a ɛtɔ gu mogya ntini (mogya ntini) mu no fi hɔ. Ɛtɔ mmere bi a wɔfrɛ eyi thrombectomy. Nsonsonoe kakra da saa din abien yi ntam. Momma yɛnte ɛno nso ase.

Fa no sɛ mogya a ɛretu wɔ mogya ntini kɛse bi a ɛwɔ wo nan mu mu. Sɛ mogya a ɛtɔ yi kɔ so tra baabi a, yɛfrɛ no thrombus . Afei fa no sɛ mogya a ɛtɔ yi fã ketewaa bi abubu, ne mogya no atu kwan, na akɔ w’ahurututu mu na akɔhyɛ mogya ntini ketewaa bi mu wɔ hɔ. Saa ara nso na wɔfrɛ mogya a ɛtwetwe a ɛba baabi, tu kwan kɔ baabi foforo na ɛkyere no embolis .

Oduruyɛfo a ɔyɛ oprehyɛn anaa oduruyɛfo a wɔatete no wɔ akwan a ɛnyɛ den pii mu na ɔyɛ oprehyɛn yi. Eyi betumi ayɛ oprehyɛn a egye ntɛmpɛ kɛse a egyina baabi a mogya a ɛtɔ no wɔ so . Sɛ mogya a ɛtwetwe no siw mogya a ɛkɔ nipadua no akwaa bi a ɛho hia mu no kwan a, ebetumi de nkwa ato asiane mu.

Henanom na wohia oprehyɛn yi na wɔ tebea horow bɛn mu?

Deep Vein Thrombosis yɛ tebea a ɛma mogya a ɛtɔ gu ntini a emu dɔ mu wɔ nan no mu. Sɛ mogya a ɛtɔ yi mu paapae na ɛkɔ ahurututu no mu a, ebetumi ama obi anya tebea a emu yɛ den a wɔfrɛ no Pulmonary Embolism . Sɛ wontumi mfa nnuru nni saa tebea yi so a, oduruyɛfo no betumi asi gyinae sɛ ɔbɛyɛ Embolectomy.

Mpɛn pii no, nnipa binom wɔ asiane mu sɛ mogya bɛtɔ wɔn sen afoforo. Eyi betumi afi nneɛma pii mu.

• Wɔn a wɔwɔ komayare no fam
• Wɔn a wɔayɛ kɛse mmoroso no fam
• Wɔ nyinsɛn mu
• Wɔ kokoram nsɛm mu
• Wɔ nnipa a wɔwɔ awosu mu nyarewa bi a ɛka mogya a ɛtwetwe no fam

Dɛn nti na oduruyɛfo bi bɛkamfo oprehyɛn yi akyerɛ?

Wodi kan ma nnipa dodow no ara a mogya tu wɔn no nnuru a ɛma mogya yɛ mmerɛw, nanso ebia ɛho behia sɛ wɔyɛ oprehyɛn wɔ nsɛm a edidi so yi mu:

• Sɛ wɔantumi amma wo nnuru a ekum mogya a ɛtwetwe mogya anaa nnuru a ɛma mogya tu esiane biribiara nti a.
• Sɛ, ɛmfa ho sɛ wɔde saa nnuru no ma no, mogya a ɛretu no ntutu na tebea no mu yɛ den a.
• Asiane wɔ hɔ sɛ tebea bi a wɔfrɛ no paradoxical embolism , a ɛne sɛ ebetumi aba sɛ mogya a ɛbɛtɔ afa tokuru ketewaa bi a ɛwɔ koma no mu na akɔ akwaa bi a ɛho hia te sɛ amemene no mu.

Mpɛn pii no, nnuruyɛfo kuw bi a wɔbom hwehwɛ ɔyarefo no tebea mu yiye na wosi gyinae te sɛ eyi.

Momma yensua sɛnea wɔyɛ oprehyɛn no anammɔn biara.

Wobetumi afa akwan titiriw abien so ayɛ oprehyɛn yi. Oduruyɛfo no bɛpaw ɔkwan a eye sen biara a egyina mogya a ɛretu no kɛse ne baabi a ɛwɔ so.

Dɛn na ɛba ansa na wɔayɛ oprehyɛn no?

Bere a nnuruyɛfo kuw no resiesie wo ama oprehyɛn no, wobesiesie nhwehwɛmu ne nnwinnade a ɛho hia.

• Sɛ wɔyɛ oprehyɛn a wɔabue ano (Surgical Embolectomy) a, wɔbɛyɛ ahosiesie ama scan a wɔfrɛ no transesophageal echocardiogram de ahwɛ sɛnea koma no yɛ adwuma bere a wɔreyɛ oprehyɛn no.
• Catheter embolectomy de afiri a ɛma mogya tu no hwehwɛ baabi pɔtee a mogya no atɔ ne X-ray kwan a wɔfrɛ no angiogram de kyerɛ catheter no kwan.

Ɛmfa ho ɔkwan a wɔfa so yɛ oprehyɛn no, wɔbɛma wo nnuru a wɔde kum wo sɛnea ɛbɛyɛ a worente ɛyaw biara.

Nea ɛkɔ so bere a wɔreyɛ oprehyɛn no

Nsonsonoe a ɛda akwan abien yi ne sɛnea wɔyɛ no ntam no bɛboa yɛn ma yɛate nsonsonoe a ɛda akwan abien yi ntam pefee.

Ayarefo binom nso wɔ afiri ketewaa bi a wɔfrɛ no vena cava filter a wɔde ahyɛ mu na amma mogya a ɛbɛtɔ daakye no ankɔ ahurututu mu.

Dɛn na ɛba wɔ oprehyɛn no akyi?

Sɛ wɔyɛ oprehyɛn no wie a, sɛ wɔyɛɛ wo oprehyɛn a wɔabue ano a, wɔbɛpam ntwitwiridii a ɛwɔ mu ne akyi no, na wɔayi wo afi koma-ahurututu afiri no mu. Sɛ na wowɔ catheter a, wɔbɛkyekyere baabi ketewaa a wɔatwa no denneennen na wɔakyekyere no.

Sɛ wɔyɛ oprehyɛn wie a, ɛda adi sɛ:

• Ɛho behia sɛ wokɔ so nom nnuru a ekum mogya a ɛtwetwe mogya na ama wo mogya ayɛ mmerɛw.
• Ɛho behia sɛ woyɛ scan foforo (Transthoracic echocardiogram) de hwɛ sɛnea koma no yɛ adwuma.
• Ebia ɛsɛ sɛ wotra baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) nna kakraa bi.

Momma yɛnka mfaso ne ɔhaw ahorow (asiane) nso ho asɛm .

Te sɛ aduruyɛ biara no, eyi wɔ mfaso ne asiane nyinaa.

Nanso, ɛho hia sɛ yehu asiane ahorow a oprehyɛn yi de ba no.

Sɛ obi ho bɛtɔ no ne bere a ɛsɛ sɛ ɔsan kɔ oduruyɛfo nkyɛn bio

Ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi wɔ oprehyɛn no akyi. Wɔbɛma wo kwan ma woakɔ fie bere a wo home ne wo koma dwumadi asan ayɛ sɛnea na ɛte kan no. Mpɛn pii no, ne ho tɔ no ntɛmntɛm bere a wɔayɛ catheter no akyi sen bere a wɔayɛ no oprehyɛn a wɔabue ano akyi.

Bere bi a atwam no, nnipa dodow bi a ɛda nsow a wɔyɛɛ wɔn oprehyɛn yi wuwui. Nanso, bere a aduruyɛ ho nyansahu anya nkɔso no, saa tebea no asesa kɛse . Ɛnnɛ, asiane a ɛwɔ hɔ sɛ obi bewu wɔ oprehyɛn yi mu no so atew akodu 5% kosi 16%. Nhwehwɛmu bi ada no adi sɛ nnipa a wɔyɛɛ wɔn oprehyɛn yi mu 73% da so te ase na wɔn ho ye wɔ mfe anum akyi.

Hwɛ nsɛnkyerɛnne yi yiye!

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi bere a woasan aba fie akyi a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara .

• Ɔhome a ɛyɛ den
• Nsɛnkyerɛnne a ɛkyerɛ sɛ ɔyare mmoawa wɔ baabi a wɔatwa no (ɛhonhon, ɛyɛ kɔkɔɔ, akisikuru a ɛtwetwe) .
• Koko mu yaw
• Koma a ɛbɔ denneennen
• Mogya a ɛtɔ a ɛnyɛ ne kwan so

Wɔn ho yɛ pɛ, nanso ɛsono wɔn! (Ayaresa afoforo) .

Nsɛmfua afoforo kakraa bi wɔ hɔ a ɛte sɛ embolectomy. Ma yɛnhwɛ nsonsonoe a ɛda wɔn ntam.

Embolectomy ne Endarterectomy a Wɔtwa

Embolectomy yɛ mogya a ɛtɔ gu nipadua no mu a woyi fi hɔ. Endarterectomy yɛ oprehyɛn a wɔde yi srade a ɛwɔ mogya mu (plaque) a ɛboaboa ano wɔ mogya ntini bi mu no fi hɔ. Wɔyɛ eyi de siw mogya ntini a esiw ano.

Embolectomy ne Thrombolytic ayaresa

Embolectomy yɛ nipadua mu adeyɛ a ɛhwehwɛ sɛ wɔyɛ oprehyɛn yi mogya a ɛretu no. Nea ɛka thrombolytic therapy ho ne sɛ wɔde nnuru gu ntini bi mu na ama mogya a ɛwɔ nipadua no mu no apete. Ɛtɔ mmere bi a, saa aduru yi tumi ma mogya tu wɔ mmeae afoforo te sɛ amemene no.

Sɛnea wubetumi ahu no, akwan horow pii wɔ hɔ a wɔfa so sa mogya a ɛtwetwe no yare. Wo duruyɛfo na obesi ayaresa a eye ma wo ne nea ahobammɔ wom ma wo ho gyinae. Sɛ wo anaa obi a wunim no ayɛ nhyehyɛe sɛ wɔbɛyɛ oprehyɛn a ɛte sɛɛ a, nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a ebia wowɔ wɔ ho.