So wɔaka akyerɛ wo sɛ yɛ adwennwen ho sɔhwɛ? (Exercise Stress Test) Mma ɛnhaw wo, momma yɛnhwehwɛ ho biribiara!

Sɛ wobɔ mmɔden, woforo antweri, anaa wo nantew ntɛmntɛm kakra a, wote nka sɛ wo moma so yɛ wo yaw anaasɛ wote yaw? Anaasɛ ɛyɛ den ma wo sɛ wobɛhome? Bere a wokaa eyi ho asɛm kyerɛɛ wo duruyɛfo no, so ɔka kyerɛɛ wo sɛ yɛ "Exercise Stress Test"? Ebia wotee ehu ne ehu kakra nka bere a wotee saa din no. Sɛ yɛte asɛmfua "adwennwen" a, yɛdwen biribi a ɛyɛ den ho. Nanso nokwarem no, eyi nyɛ biribi a ɛsɛ sɛ wosuro. Eyi yɛ sɔhwɛ a wɔtaa yɛ a ɛma yenya nsɛm a ɛsom bo pii a ɛfa wo koma akwahosan ho, na wɔtaa yɛ. Enti momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ?

Susuw wo kar no engine ho hwɛ. Sɛ wɔde si hɔ ara kwa a, ebia ɛbɛyɛ te sɛ nea ɛreyɛ adwuma yiye. Nanso ɛyɛ bere a woreforo koko anaasɛ worekɔ ntɛmntɛm nkutoo na wuhu ankasa sɛ biribi asɛe wɔ engine no ho anaa. Saa na ɛte wɔ yɛn koma mu.

Sɛ yɛtena ase gye yɛn ahome kɛkɛ a, koma no nni adesoa pii wɔ so. Nanso sɛ yɛteɛteɛ yɛn apɔw mu, yetu mmirika, anaa yehuruw a, yɛn nipadua no afã afoforo hia mframa pa ne mogya pii. Afei ɛsɛ sɛ koma no yɛ adwuma ntɛmntɛm na ɛyɛ den sen sɛnea ɛtaa yɛ no.

Apɔw-mu-teɛteɛ adwennwen sɔhwɛ hwehwɛ sɛ wode "apɔw-mu-teɛteɛ" anaa "adwennwen" kakra ma wo koma wɔ baabi a wɔahyɛ so na ahobammɔ wom na afei woahwɛ sɛnea ɛyɛ n'ade. Eyi betumi aboa wo duruyɛfo ma wasua nneɛma bi a ɛho hia paa.

• Wo koma bɔ mogya yiye dɛn? - betumi ahunu se wo koma no pumping tumi so tew anaase eko soro bere a woreteɛteɛ w'apɔw mu.
• So koma ntini no renya mogya a ɛdɔɔso? - se ntini a ɛde mogya kɔ koma no mu (coronary arteries) no yɛ teateaa anaasɛ esiw a, ebia koma no rennya mogya a ɛdɔɔso wɔ apɔw-mu-teɛteɛ mu. Saa sɔhwɛ yi betumi ahu eyi.
• So wo sɛnkyerɛnne ahorow no fa koma mu? - betumi ahwehwe se wo koko mu yaw, wo home tiaa, anaase wo tiyere ba bere a woreteɛteɛ w’apɔw mu. Sɛ saa a, ebetumi ayɛ komayare.
• Koma no anyinam ahoɔden dwumadi te dɛn? - betumi ahwɛ sɛ koma no bɔ bɛyɛ nea ɛnkɔ so daa anaasɛ ɛnte saa bere a woreyɛ apɔw-mu-teɛteɛ.

Sɛ yɛbɛka no tiawa a, eyi te sɛ "fitness test" ma wo koma.

Hena na ɔpɛ sɛ ɔyɛ sɔhwɛ yi?

Nneɛma pii nti na oduruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ wo. Momma yɛnhwɛ nea wɔyɛ.

Adwennwen ho sɔhwɛ ahorow pii wɔ hɔ.

Ɛnyɛ obiara na wɔsɔ no hwɛ wɔ ɔkwan koro so. Nhwehwɛmu ko a wobɛyɛ no betumi ayɛ soronko a egyina wo tebea, wo yare no ho sɛnkyerɛnne, ne nsɛm a ɛsɛ sɛ wo duruyɛfo hu so.

1. Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ

Eyi ne ɔkwan a abu so na ɛyɛ mfitiasede sen biara. Nea ɛkɔ so wɔ ha ne sɛ wɔde sticker nketewa (electrodes) bata wo moma so ne wo nsa ho, na wɔde bata `EKG` (Electrocardiogram) afiri ho. Afei wɔka kyerɛ wo sɛ nantew wɔ afiri a wɔde tu mmirika so anaasɛ fa sakre a egyina hɔ. Wɔde ahoɔhare ne sɛnea ɛkɔ fam (te sɛ koko a wɔforo) no kɔ soro nkakrankakra. Saa bere yi mu no, `EKG` afiri no kɔ so kyerɛw wo koma no anyinam ahoɔden dwumadi. Ɛsan nso susuw wo mogya mmoroso bere ne bere mu.

2. Apɔw-mu-teɛteɛ Adwennwen Echocardiogram

Eyi yɛ sɔhwɛ a ɛkɔ akyiri kakra sen nea atwam no. Ɛfa ho sɛ wobɛyɛ wo koma no `Echocardiogram` (ultrasound scan of the heart) ansa na woateɛteɛ w'apɔw mu wɔ wo tumi sen biara mu ne bere a woawie no.

Saa sɔhwɛ yi ho wɔ mfaso kɛse wɔ nsɛm a nea efi EKG a wɔyɛ no daa mu ba no mu nna hɔ mu.

3. Nuklea Adwennwen Sɔhwɛ

Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso ɛde aduru bi a ahobammɔ wom yiye, a ne dodow sua na ɛyɛ adwuma. Wɔde saa ade yi gu wo ntini mu. Afei, mfoninitwa afiri titiriw bi (SPECT anaa PET scan) twa mogya a ɛsen fa wo koma mu bere a woregye w’ahome no ho mfonini.

Afei, woteɛteɛ w’apɔw mu wɔ treadmill no so. Sɛ woteɛteɛ w’apɔw mu wie a, mfoninitwa afiri no san twa mfonini bio. Seesei oduruyɛfo no betumi de mfonini ahorow a wɔatwa bere a wɔagye n’ahome no atoto mfonini ahorow a wotwae bere a wɔateɛteɛ wɔn apɔw mu akyi no ho. Sɛ mogya ntini bi siw a, mogya a ɛkɔ koma ntini no fã a saa ntini no de ma no so tew bere a wɔreyɛ apɔw-mu-teɛteɛ no. Yebetumi ahu eyi pefee wɔ mfonini ahorow no mu. Eyi betumi ama wɔahu sɛnea koma ntini ahorow no mu asiw no mu yɛ den no ho nhwehwɛmu a edi mu yiye.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Sɛ wubenya nea efi mu ba no pɛpɛɛpɛ a, ɛho hia yiye sɛ wusiesie wo ho yiye ansa na woayɛ sɔhwɛ no.

• Aduan ne Nsã: Nnidi anaa nnom biribiara nnɔnhwerew kakraa bi ansa na woayɛ sɔhwɛ no. Ɛnyɛ hwee sɛ wobɛnom nsu kakra. Titiriw sɛ woreyɛ `Nuclear Stress Test` a, ebia wɔbɛka akyerɛ wo sɛ mmuada kosi sɛ sɔhwɛ no bɛba awiei.
• Kwati caffeine a wobɛnom:Mma nnom biribiara a caffeine wom te sɛ kɔfe, tii, chocolate, anaa ahoɔdennuru bi nnɔnhwerew 24 ansa na woayɛ nhwehwɛmu. Caffeine betumi asakra wo koma bɔ na ebetumi aka nea ebefi mu aba no.
• Kwati sigaretnom: Nnom sigaret da a wɔbɛyɛ sɔhwɛ no.
• Bisa wo duruyɛfo no nnuru ho asɛm: Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi a wotaa nom (sɛ nhwɛso no, koma mu nnuru te sɛ beta-blockers, nnuru bi a wɔde home ma ayamtu) da a wobɛyɛ nhwehwɛmu no. Mma w’ankasa nnnyae nnuru nom da. Bere nyinaa wo ne wo duruyɛfo nkasa na di n’akwankyerɛ akyi pɛpɛɛpɛ.
• Wɔ nnipa a wɔwɔ asikreyare fam no: Sɛ worenom nnuru a wɔde sa asikreyare a, mmuadadi betumi ayɛ ɔhaw. Enti, wo ne wo asikreyare ho oduruyɛfo nkasa ansa na woayɛ nhwehwɛmu no na woanya afotu wɔ sɛnea wobɛnom w’aduru ne w’aduan saa da no ho. Sɛ wowɔ glucose monitor a, fa bra.
• Ntade: Hyɛ ntade a emu yɛ hare na ɛyɛ fɛ ne mpaboa a ɛyɛ fɛ a wode nantew (te sɛ mpaboa a wɔde ntama ayɛ anaa agumadi mpaboa).
• Ma wo ho dwo: Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a woreyɛ sɔhwɛ no. Nanso sɛ wo ho yeraw wo dodo a, nneɛma te sɛ wo koma bɔ ne wo mogya mmoroso betumi asesa na aka nea ebefi mu aba no. Enti bɔ mmɔden sɛ wobɛma wo ho adwo wo sɛnea wubetumi biara.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Sɛ wokɔ lab a, ɔyarehwɛfo anaa mfiridwuma ho nimdefo bi bedi kan asusuw na wakyerɛw wo mogya mmoroso a woregye w’ahome ne wo koma bɔ. Afei wɔde electrode ahorow bɛbata wo moma so ne wo nsa a ɛbɛka EKG no ho.

Afei, wɔbɛka akyerɛ wo sɛ foro treadmill no. Efi ase brɛoo paa, te sɛ nea wonam asase a ɛyɛ petee so. Simma kakraa biara no, ɔsraani panyin a ɔhwɛ so no bɛma ahoɔhare ne sɛnea ɛkɔ fam no akɔ soro nkakrankakra. Bere biara, wobebisa wo sɛ, "Wo te nka dɛn?" "So worehyia ɔhaw bi?" Sɛ wote nka sɛ wo ho nyɛ wo dɛ, wo koko yɛ wo yaw, anaa wo tirim yɛ wo yaw a, ɛsɛ sɛ woka kyerɛ wɔn ntɛm ara.

Sɛ wudu koma a ɛbɔ denneennen a egyina mfe a woadi ne sɛnea wo ho yɛ den so kyerɛ a, wobɛkɔ so akura saa dodow no mu simma kakraa bi na afei woagyae sɔhwɛ no. Mpɛn pii no, apɔw-mu-teɛteɛ fã no di bɛyɛ simma 10-15. Nanso, sɛ wunya yare no ho sɛnkyerɛnne a emu yɛ den ansa na saa bere no adu anaasɛ woka sɛ wuntumi nyɛ bio a, wobegyae sɔhwɛ no ntɛm.

Sɛ wɔyɛ nhwehwɛmu no wie a, wɔbɛhwɛ wo so bɛyɛ simma 15 kosi sɛ wo koma bɔ ne wo mogya mmoroso bɛsan ayɛ nea ɛfata. Sɛ biribiara yɛ nea ɛfata wie a, wubetumi akɔ fie.

Dɛn na sɔhwɛ no mu aba ka?

Sɛ wo nsa ka nhwehwɛmu amanneɛbɔ no wie a, wo duruyɛfo no bɛhwehwɛ mu na wakyerɛkyerɛ mu akyerɛ wo. Yebetumi akyekyɛ nea efi mu ba no mu ayɛ no afã atitiriw abien.

Sɛ nea efi mu ba no yɛ nea ɛfata a...

Eyi kyerɛ sɛ wo koma reyɛ n’ade yiye wɔ apɔw-mu-teɛteɛ ho, wo koma renya mogya a ehia, na ɛnyɛ koma mu haw kɛse bi na ɛde wo sɛnkyerɛnne ahorow no ba.

• Sɛ wɔyɛ nhwehwɛmu no de hu nea ɛde wo sɛnkyerɛnne ahorow no ba a: Ebia biribi foforo te sɛ adwennwen anaa yafunu mu yare na ɛde wo koko mu yaw aba. Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu afoforo na ama wɔahu.
• Sɛ wɔyɛ no ansa na wɔayɛ apɔw-mu-teɛteɛ anaa oprehyɛn a: Eyi kyerɛ sɛ wo koma mu yɛ den a wubetumi afi apɔw-mu-teɛteɛ nhyehyɛe bi ase anaasɛ wobɛyɛ wo oprehyɛn.

Sɛ nea efi mu ba no yɛ nea ɛnteɛ a...

Nea efi mu ba a ɛnteɛ kyerɛ sɛ wo koma anya ɔhaw bi bere a woreyɛ apɔw-mu-teɛteɛ, na ebetumi ayɛ komayare ho sɛnkyerɛnne.

• Nsakrae a ɛba EKG mu: Sɛ mogya nkɔ koma no mu sɛnea ɛsɛ (ischemia) a, EKG no da nsakrae bi adi.
• Koko mu yaw: Sɛ wote wo koko mu yaw bere a woreyɛ apɔw-mu-teɛteɛ a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ koma no mu ntini asiw.
• Mogya mmoroso a ɛnteɛ: Mogya mmoroso a ɛnkɔ soro anaasɛ ɛnkɔ fam yiye bere a wɔreyɛ apɔw-mu-teɛteɛ no nso betumi ayɛ ɔhaw.

Sɛ wonya biribi a ɛnteɛ a, oduruyɛfo no na obesi nea ɔbɛyɛ akyi no ho gyinae.

• Nsakrae nketenkete bi ne: asetra mu nsakrae (sigaretnom a wogyae, aduan a wodi so, apɔw-mu-teɛteɛ) ne nnuru a wɔde siw srade ne mogya mmoroso ano.
• Nsakrae a anibere wom ne:Ebia wɔbɛhyɛ sɛ wɔnyɛ sɔhwɛ afoforo de si ɔhaw no so dua bio na wɔahu baabi pɔtee a asiw no wɔ. Sɛ nhwɛso no, wobetumi de wo akɔma biribi te sɛ `CT Coronary Angiography` (CT scan) anaa `Cardiac Catheterization` (angiogram sɔhwɛ).