So woasusuw nea ɛba bere a mogya fa mogya ntini a ɛwɔ yɛn nipadua mu no mu na mogya a ɛtɔ gu baabi ba wɔ kwan so no ho pɛn? Ebetumi ayɛ tebea a ɛyɛ hu na egye ntɛmpɛ. Wɔfrɛ oprehyɛn a wɔde yi mogya a ɛte saa a ebetumi de ne nkwa ato asiane mu no sɛ embolectomy. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Embolectomy?
Embolectomy yɛ ɔkwan a wɔfa so yi mogya a ɛtwetwe a akɔhyɛ mogya ntini bi mu na ɛresiw mogya kwan sɛnea ɛsɛ no fi hɔ. Ɛtɔ mmere bi a wɔfrɛ no thrombectomy. Edin abien no nyinaa kyerɛ ade koro, a ɛne sɛ wobeyi mogya a ɛretu no afi hɔ.
Mogya a ɛtwetwe yi betumi ayɛ ahorow abien:
1. Embolus: Fa no sɛ mogya a ɛtɔ gu baabi te sɛ wo nan, tetew fi hɔ, ne mogya no tu kwan, na ɛkyere baabi foforo, te sɛ w’ahurututu. Ɛno ne nea yɛfrɛ no embolis , mogya a ɛtwetwe a ɛpaapae fi baabi a ɛbae no na ɛkyere baabi foforo.
2. Thrombus: Mogya a ɛtwetwe mogya yi ba na ɛde ɔhaw ahorow ba beae koro. Ɛno kyerɛ sɛ ɛntetew mu na ɛnkɔ baabiara, ɛtra baabi a ɛhyehyɛɛ no. Yɛfrɛ eyi Thrombus .
Mpɛn pii no, mogya a ɛbɛtɔ no ho hia na ama mogya atɔ bere a yɛapira no. Nanso ɛtɔ mmere bi a, a ntease biara nnim no, mogya a ɛtɔ gu nipadua no mu fi ase ba wɔ nipadua no mu mmeae a ɛnsɛ sɛ ɛba. Ɛno ne bere a ɛsɛ sɛ nnuruyɛfo yi mogya a ɛtwetwe no fi hɔ.
Henanom na wohia oprehyɛn yi?
Mpɛn pii no, wɔkamfo embolectomy kyerɛ wɔ tebea a emu yɛ den nkutoo ho. Sɛ nhwɛso no, mogya a ɛtɔ wɔ ntini a emu dɔ mu wɔ nan no mu no, wɔfrɛ no Deep Vein Thrombosis (DVT) . Sɛ mogya a ɛwɔ DVT yi mu no bubu na ɛkɔhyɛ ahurututu no mu a, ebetumi de tebea bi a ɛyɛ hu yiye a wɔfrɛ no Pulmonary Embolism aba. Sɛ wontumi mfa nnuru nni tebea no so a, nnuruyɛfo de wɔn ho to oprehyɛn yi so.
Nneɛma pii wɔ hɔ a ebetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse:
- Koma mu yare: Sɛ koma no ntumi nyɛ adwuma yiye a, hokwan kɛse wɔ hɔ sɛ mogya bɛtu.
- Kɛse mmoroso: Nipadua mu duru a ɛboro so nso ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse.
- Nyinsɛn: Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no kɔ soro kakra wɔ nyinsɛn mu esiane nkwaadɔm ne nsakrae afoforo a ɛba nipadua no mu nti.
- Kokoram: Kokoram ne kokoram ayaresa ahorow bi betumi ama mogya atɔ.
- Mogya a ɛtwetwe mogya mu ɔhaw ahorow bi:Saa asiane yi nso yɛ kɛse ma nnipa a wɔwɔ awosu mu mogya a ɛtwetwe mogya no.
Akwan abien a wɔfa so yɛ embolectomy oprehyɛn
Nnuruyɛfo gyina sɛnea wo mogya a ɛretu no kɛse ne baabi a ɛwɔ so yi. Momma yɛnhwehwɛ akwan abien yi mu yiye.
| Ɔkwan | Sɛnea wɔyɛ no (simple) . |
|---|---|
| Catheter Embolectomy a Wɔde Yɛ Adwuma | Eyi yɛ adeyɛ ketewaa bi a wɔyɛ. Wɔma honam ani hwɛbea a ɛwɔ kɔn anaa asen no mu no yɛ mmerɛw, wotwa ketewaa bi, na wɔde afiri teateaa (catheter) fa mu fa mogya ntini no mu kɔ baabi a mogya no tu no. Wɔde ɔkwan bi a ɛte sɛ X-ray na ɛyɛ eyi. Afei wɔtwe mogya a ɛretu no fi afiri no mu, te sɛ afiri a wɔde tew nsu mu. Saa adeyɛ yi hwehwɛ sɛ wɔtwitwa no pii, enti ayaresa no yɛ ntɛm. |
| Oprehyɛn a Wɔde Twe Embolectomy | Eyi yɛ oprehyɛn kɛse. Wɔfa saa kwan yi so titiriw sɛ mogya a ɛtɔ kɛse bi akɔhyɛ ahurututu anaa koma no mu a. Ɛha yi, wɔyɛ median sternotomy wɔ koko no mfinimfini, wɔdan koma no ne ahurututu no kɔ afiri so bere tiaa bi (Cardiopulmonary Bypass), na oduruyɛfo a ɔyɛ oprehyɛn no bue mogya ntini a ɛfa ho no na ɔde ne nsa yi mogya a ɛretu no. |
Dɛn nti na wɔde wɔn ho to oprehyɛn so? So wontumi mfa nnuru nyɛ?
Mpɛn pii no, wodi kan ma nnipa a wɔn mogya tu no nnuru a ɛma mogya yɛ mmerɛw. Sɛ nhwɛso no, nnuru a ekum mogya a ɛtwetwe mogya (nnuru a ɛmma mogya ntumi nkɔ mu) anaa thrombolytics (nnuru a ɛma mogya tu a ɛwɔ hɔ dedaw no tew). Nanso, wɔ nsɛm bi mu no, oprehyɛn yi ho hia. Nsɛm a ɛtete saa no bi ne:
- Sɛ wuntumi nnom nnuru a ɛma mogya tu yi esiane ayaresa tebea afoforo nti a.
- Sɛ mogya a ɛretu no ansɛe ɛmfa ho aduru no anaasɛ wo tebea no mu yɛ den a.
- Sɛ sɛnkyerɛnne ahorow a mogya a ɛretu no de ba no mu yɛ den yiye na ehia sɛ wɔsa no ntɛm a.
Dɛn na ɛba wɔ oprehyɛn no akyi? Na asiane ahorow bɛn na ɛwɔ mu?
Sɛ wɔyɛ oprehyɛn wie a, ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi, ebia wobɛtra baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU). Nnuruyɛfo bɛhwɛ wo kosi sɛ wo home ne wo koma dwumadi bɛsan ayɛ sɛnea ɛsɛ. Sɛ wɔyɛɛ wo oprehyɛn a wɔabue ano a, bere a wo ho bɛtɔ wo no bɛyɛ tenten kakra sen sɛ wɔyɛɛ wo oprehyɛn a wɔde catheter ayɛ no.
Te sɛ oprehyɛn biara no, asiane ahorow bi wɔ eyi mu.
- Asiane a ɛwɔ catheter kwan no so: Mogya a ɛtɔ esiane mogya ntini a asɛe nti, koma a ɛsɛe anaasɛ ɛmma mogya nkɔ so, entumi nyi mogya a ɛtwetwe no koraa.
- Asiane a ɛwɔ oprehyɛn a wɔabue ano mu: Mogya a ɛtɔ dodo, koma a ɛbɔ ntɛmntɛm (SVT - Supraventricular Tachycardia), koma a entumi nyɛ adwuma yiye, asaabo a entumi nyɛ adwuma yiye, ne ɔyare mmoawa.
Wɔ asiane ahorow yi nyinaa akyi no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ wɔyɛ oprehyɛn yi bere a ɛho hia koraa na wɔagye obi nkwa nkutoo. Enti, nnuruyɛfo si gyinae yi bere a wɔasusuw mfaso ne ɔhaw ahorow ho awie no.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bere a wɔayɛ oprehyɛn awie no
Ɛho hia paa sɛ wohwɛ wo nipadua so bere a woakɔ fie mpo awie no. Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara . Sɛ tebea no mu yɛ den a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm so (ETU) .
- Ɔhome a ɛyɛ den
- Ntwitwiridii no dan nsu, ɛyɛ kɔkɔɔ, anaasɛ ɛho ahonhon (ɔyare mmoawa ho sɛnkyerɛnne) .
- Koko mu yaw
- Koma a ɛbɔ denneennen
- Mogya a ɛtɔ dodo
Nkrasɛm a Wɔde Kɔ Fie
- Embolectomy yɛ oprehyɛn a wɔde yi mogya a ebetumi de ne nkwa ato asiane mu a akɔhyɛ mogya ntini bi mu no afi hɔ.
- Wɔnam akwan titiriw abien so na ɛyɛ eyi: oprehyɛn ketewaa bi a wɔde catheter (afiri a ɛyɛ tratraa) di dwuma ne oprehyɛn kɛse a wɔde koko a wɔabue di dwuma.
- Nnuruyɛfo kamfo oprehyɛn yi kyerɛ wɔ tebea horow a emu yɛ den a wontumi mfa nnuru nni dwuma nkutoo mu.
- Sɛnea ɛte wɔ oprehyɛn nyinaa ho no, asiane ahorow wɔ hɔ, nanso ebia eyi ho behia na ama wɔagye obi nkwa.
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a woayɛ wo oprehyɛn no. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, hwehwɛ aduruyɛfo afotu ntɛm ara.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment