So wo koma abrɛ kakra? Momma yensua Congestive Heart Failure ho ade wɔ ɔkwan a ɛnyɛ den so!

So ɛtɔ mmere bi a wote nka sɛ ɛyɛ den ma wo sɛ wobɛhome bere mpo a wonam kwan tiaa bi anaa woforo antweri no? Anaasɛ wote nka sɛ wo nan anaa wo nan ase ahonhon? Eyinom betumi ayɛ wo koma a ɛreka biribi akyerɛ wo. Ɛnnɛ yɛbɛka Congestive Heart Failure , anaa sɛnea ebinom frɛ no, congestive heart failure ho asɛm. Mma ɛnhaw wo, sɛ wote eyi ase yiye na wohwɛ so yiye a, wubetumi ayɛ yiye.

Dɛn ankasa ne Congestive Heart Failure?

Sɛ yɛbɛka no tiawa a, Congestive Heart Failure yɛ bere a wo koma ntumi nkɔ mogya yiye sɛnea ɛsɛ. Fa wo koma sɛ beae kɛse a wɔkyekyɛ nneɛma. Ɛsɛ sɛ wɔde biribiara a ɛba mu (i.e. mogya) kɔ baabi a ɛfata (i.e. akwaa) wɔ bere ano. Nanso dɛn na ɛba bere a saa beae yi yɛ mmerɛw kakra na entumi mfa nneɛma a wɔde ahyɛ mu no nyinaa mma wɔ bere ano no? Nneɛma a wɔde ahyɛ mu no boaboa ano, ɛnte saa? Saa na ɛkɔ so wɔ ha nso. Sɛ koma no ntumi mfa mogya nkɔ yiye a, mogya no san kɔ akyi na ɛboaboa ano wɔ nipadua no afã horow, titiriw wɔ ahurututu, nan, nansoaa, ne yafunu mu . Eyi ne nea yɛfrɛ no (Congestive), a ɛkyerɛ sɛ "nneɛma a wɔaboaboa ano" bi wɔ hɔ.

So Congestive Heart Failure ahorow atitiriw bi wɔ hɔ?

Yiw, ahorow atitiriw pii wɔ hɔ:

• Benkum so koma a entumi nyɛ adwuma yiye: Eyi ne nea abu so sen biara. Eyi ne bere a koma no benkum (benkum so ahurututu) ntumi mfa mogya nkɔ nipadua no nyinaa mu. Eyi betumi ama mogya aboaboa ano wɔ ahurututu no mu, na ama ayɛ den sɛ ɔbɛhome.
• Nifa so koma a entumi nyɛ adwuma yiye: Eyi taa fi benkum so koma a entumi nyɛ adwuma yiye. Sɛ koma no fã nifa ntumi mfa mogya mfi ahurututu no mu yiye a, mogya no boaboa ano wɔ ntini no mu na ɛma mmeae te sɛ nan, anan, ne yafunu ho ahonhon.
• Koma a entumi nyɛ adwuma yiye: Eyi yɛ nea ɛntaa nsi. Wɔ tebea yi mu no, koma no pam mogya yiye, nanso esiane sɛ nipadua no hwehwɛ kɛse (sɛ nhwɛso no, mogya a ɛtɔ kɔ nipadua mu a emu yɛ den, thyroidism a ɛboro so) nti, koma no ntumi nni saa ahwehwɛde no ho dwuma.

Saa tebea yi abu so dɛn?

Nnipa ɔpepem pii a wɔwɔ wiase nyinaa rehu amane wɔ tebea yi ho. Ɛtaa ba nnipa a wɔadi boro mfe 65 mu titiriw , na ɛno ne ade titiriw a ɛde ayaresabea kɔ ayaresabea wɔ saa mfe kuw no mu. Enti, ɛho hia paa sɛ yehu saa tebea yi.

Dɛn ne Congestive Heart Failure ho sɛnkyerɛnne ahorow?

Saa nsɛnkyerɛnne yi betumi ayɛ soronko wɔ onipa biara ho, na ɛsono nso a egyina sɛnea tebea no mu yɛ den so. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba a wobetumi ahu:

• Ahome a ɛyɛ tiaa: Sɛ wote nka sɛ wobɛtotɔ piti bere a woreyɛ adwuma a emu nyɛ den, worekɔ fam kakra, anaasɛ woreforo antweri kakraa bi no. Wɔ tebea horow a emu yɛ den mu no, ebetumi ayɛ den sɛ wobɛhome bere a ogyina hɔ mpo.
• Sɛ wosɔre anadwo a ɛyɛ den sɛ wobɛhome:Sɛ wosɔre mpofirim bere a woada na wote nka sɛ wo home yɛ den a, ɛno nso yɛ eyi ho sɛnkyerɛnne.
• Koko mu yaw anaa ne ho nyɛ no dɛ: Ebia nnipa binom te nka sɛ wɔn moma so ayɛ den anaasɛ emu yɛ duru.
• Koma a ɛbɔ: Ebia koma no bɛte nka sɛ ɛrebɔ denneennen, ɛrebɔ ntɛmntɛm, anaasɛ ɛrebɔ daa.
• Ɔbrɛ kɛse a wobɛte nka bere a woreyɛ nnam: Ɔbrɛ a wobɛte nka dodo sɛ wobɛyɛ nneɛma a kan no na ɛnyɛ den.
• Anan, anan, ne yafunu a ɛho ahonhon: Asen ne nansoaa betumi ahonhon araa ma ɛbɛyɛ den sɛ wɔbɛhyɛ mpaboa anaasɛ woyi nkaa.
• Wo mu duru a ɛkɔ soro mpofirim: Sɛ wo mu duru yɛ kilogram kakraa bi wɔ nna kakraa bi mu a, ebia efi nsu a ɛkyere wo mu.
• Ɛho hia sɛ wɔtaa tow nsu anadwo.
• Ɔfe a ɛyɛ nwunu a ɛyɛ hacking a ɛba a ntease biara nnim: Saa ɔfe yi betumi ayɛ kɛse, titiriw bere a worefefe no.
• Sɛ wote nka sɛ yafunu no ayɛ ma anaasɛ ayɛ den.
• Aduan ho akɔnnɔ a ɛyera anaasɛ ɔte nka sɛ ɔyare (akisikuru).

Kae sɛ ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛyɛ anifere koraa, anaasɛ enni hɔ mpo. Nanso ɛno nkyerɛ sɛ wunni komayare. Nsɛnkyerɛnne betumi aba na akɔ. Ɛtaa ba sɛ bere kɔ so no, tebea no mu yɛ den. Enti sɛ wowɔ saa nsɛnkyerɛnne yi biako anaa abien a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn ne nneɛma a ɛde Congestive Heart Failure ba?

Nneɛma pii betumi ama koma no ayɛ mmerɛw. Nneɛma atitiriw a enti ɛte saa no bi ne:

• Coronary artery disease ne/anaasɛ komayare: Koma no ntini a ɛsɛe esiane ntini a ɛde mogya kɔ koma no mu no siw nti.
• Koma mu ntini mu yare: Eyi betumi afi awosu mu nneɛma, ɔyare mmoawa, anaa nneɛma afoforo a ɛde ba, na ɛma koma ntini no yɛ mmerɛw anaasɛ ɛyɛ den.
• Komayare a wɔde awo obi: Sɛ wɔwo obi a ɔwɔ komayare.
• Asikreyare: Asikreyare a ɛtra hɔ kyɛ betumi aka koma no.
• Mogya mmoroso: Mogya mmoroso a wontumi nni so no ma koma no yɛ adwumaden.
• Koma a ɛbɔ a ɛnteɛ (Arrhythmia): Koma a ɛbɔ daa no ma koma no ntumi nyɛ adwuma yiye.
• Asaabo mu yare: Sɛ asaabo no ntumi nyɛ adwuma yiye a, nsu ne nkyene dodow a ɛwɔ nipadua no mu no kɔ soro, na ɛde nhyɛso ba koma no so.
• Nipadua mu duru (BMI) a ɛboro 30 (kɛse mmoroso).
• Tawa ne nnubɔne a mmara mma ho kwan a wɔde di dwuma.
• Nsã a wɔnom boro so.
• Nnuru bi: Sɛ nhwɛso no, nnuru bi a wɔde sa kokoram no betumi apira koma no.

Ade foforo a ɛsɛ sɛ wuhu ne sɛ benkum fam koma a entumi nyɛ adwuma yiye no ne ade titiriw a ɛma koma nifa yɛ adwuma. Sɛ benkum no ntumi nyɛ adwuma yiye a, mogya kɔ akyi fa ahurututu no mu na ɛka nifa nso.

Hena na ɔwɔ asiane kɛse ma eyi?

Ɛda adi sɛ nnipa binom benya saa tebea yi. Saa asiane ahorow yi bi ne:

• Wɔadi boro mfe 65.
• Tawa, nnubɔne te sɛ cocaine, anaa nsa a wɔde di dwuma.
• Asetra a wɔtra ase a ɛnyɛ apɔw-mu-teɛteɛ.
• Nnuan a nkyene ne srade pii wom a wɔtaa di.
• Mogya mmoroso a obi wɔ.
• Sɛ obi wɔ ahrawa mu ntini mu yare.
• Esiane sɛ na wadi kan anya komayare nti.
• Abusua abakɔsɛm a ɛfa Congestive Heart Failure ho a wobenya.

Dɛn ne nsɛnnennen a ebetumi afi Congestive Heart Failure mu aba?

Sɛ wɔansa saa tebea yi yiye anaasɛ wɔanhyɛ so a, ɔhaw foforo betumi aba.

• Koma a ɛbɔ a ɛnteɛ.
• Koma a ɛtɔ mpofirim no betumi ama obi awu mpo.
• Koma mu ntini ho haw ahorow.
• Nsu a ɛboaboa ano wɔ ahurututu mu (Pulmonary edema).
• Ahurututu mu mogya mmoroso.
• Asaabo a ɛsɛe anaasɛ asaabo a entumi nyɛ adwuma yiye.
• Mmerɛbo a ɛsɛe.
• Aduan pa a wonnya nni.

Wobɛyɛ dɛn ahu sɛ wowɔ Congestive Heart Failure anaa?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo nsɛm.

• Nneɛma te sɛ sɛnkyerɛnne ahorow a wowɔ ne bere tenten a wode anya bi.
• Ayaresa mu tebea afoforo a wowɔ (te sɛ asikreyare, mogya mmoroso).
• So obi wɔ w’abusua mu a wanya komayare anaa owu mpofirim pɛn?
• So wode tawa, nsa, anaa nnubɔne di dwuma?
• Sɛ́ ebia woadi kan anya nnuru anaa mframa a wɔde sa kokoram no.
• Nnuru bɛn na wode di dwuma?

Afei oduruyɛfo no bɛhwɛ wo nipadua mu. Wɔbɛtie wo koma, ahwɛ w’ahurututu mu, na wɔahwɛ sɛ wo nan ho ahonhon anaa.

Dɛn ne akwan anan a ɛwɔ Congestive Heart Failure no mu?

Esiane sɛ eyi yɛ yare a bere kɔ so no, emu yɛ den nkakrankakra nti, ɛwɔ afã anan. Wɔfrɛ saa mmere yi A, B, C, ne D. Ɛne sɛ, akwantu a efi asiane a ɛba fam mu kɔ baabi a asiane kɛse wom.

Stage A (Stage A - Ansa na koma no ntumi nyɛ adwuma yiye) .

Eyi kyerɛ sɛ wowɔ asiane kɛse mu sɛ wubenya komayare. Ebia eyi te saa efisɛ obi a ɔwɔ w’abusua mu anya yare no. Anaasɛ ebetumi aba sɛ esiane tebea horow yi mu biako anaa nea ɛboro saa nti:

• Mogya mmoroso (Hypertension).
• Asikyireyareɛ.
• Coronary ntini mu yare.
• Nkwammoaa mu nkwaadɔm mu yare.
• Abakɔsɛm a ɛfa nsanom ho haw ho.
• Sɛ obi wɔ atiridiinini a ɛma obi ho kyere no.
• Abusua abakɔsɛm a ɛkyerɛ sɛ obi anya koma ne ntini mu yare.
• Sɛ wode nnuru a ebetumi asɛe koma no adi dwuma (e.g., nnuru bi a ɛko tia kokoram).

Stage B (Stage B - Ansa na koma no ntumi nyɛ adwuma yiye) .

Saa bere yi de, wo benkum ventricle (dan titiriw a ɛma mogya fa nipadua no mu nyinaa) ntumi nyɛ adwuma yiye, anaasɛ nsakrae bi ba ne nhyehyɛe mu (e.g. ɛyɛ den). Nanso wunnya nnyaa komayare ho sɛnkyerɛnne.

Ɔfã C

Wɔahu sɛ nnipa a wɔwɔ saa tebea yi mu no wɔ Congestive Heart Failure wɔ aban kwan so . Ebia na wɔanya yare no ho sɛnkyerɛnne nso mprempren, anaasɛ ebia na wɔadi kan anya yare no ho sɛnkyerɛnne nanso seesei wonni bi.

Stage D ne Ejection Fraction a wɔatew so (EF) .

Saa nkurɔfo yi wɔ tebea bi a ɛkɔ akyiri yiye (Advanced) (Heart Failure) . Sɛ wɔsa yare mpo a, ɛyɛ den sɛ wobedi yare no ho sɛnkyerɛnne no so. Mogya dodow a wɔtu fi koma no mu bere koro mu, kyerɛ sɛ, `(Ejection fraction - EF)`, sua koraa na ebetumi anya `(HFrEF - komayare a ejection fraction so atew)`. Eyi ne (Heart Failure) no fã a etwa to.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Nnuruyɛfo yɛ nhwehwɛmu ahorow pii de hu sɛ ebia wowɔ koma a ɛyɛ den, ɔfã a ɛwɔ mu, ne nea ɛde ba ankasa:

• Mogya mu nhwehwɛmu: Eyinom tumi hu tebea afoforo a ɛka koma no (e.g. mogya a ɛtɔ kɔ nipadua mu, asaabo mu yare, thyroid haw) ne sɛ ebia koma no asɛe (denam enzyme dodow bi a wɔbɛhwɛ so).
• Koma mu catheterization: Wɔyɛ eyi de hwɛ sɛ koma no mu ntini a ɛma mogya tu no asiw anaa.
• Chest X-ray: Wobetumi de eyi ahwɛ sɛ koma no ayɛ kɛse na nsu aboaboa ano wɔ ahurututu no mu anaa.
• Echocardiogram (Echo): Eyi te sɛ koma no mu ultrasound scan. Etumi hu nneɛma pii te sɛ koma no dan, ntini ahorow, koma no ntini dwumadi, ne sɛnea ɛbɔ mogya yiye (``Ejection fraction - EF'') no pefee.
• MRI (Magnetic Resonance Imaging) a wɔde kyerɛ koma no.
• CT (Computed Tomography) a wɔde hwɛ koma no.
• Electrocardiogram (EKG anaa ECG): Eyi boa ma wohu nneɛma te sɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu ne sɛnea koma no bɔ denneennen.
• MUGA scan (Multigated Acquisition Scan): Wobetumi de eyi nso ahwɛ sɛnea koma no mu adan no rebɔ mogya yiye.
• Adwennwen ho sɔhwɛ: Wɔyɛ ECG bere a wonam treadmill so anaasɛ wote sakre so de hwɛ sɛnea wo koma yɛ n’ade wɔ apɔw-mu-teɛteɛ ho.
• Awosu mu nhwehwɛmu: Ɛtɔ mmere bi a, titiriw sɛ abusua abakɔsɛm bi wɔ hɔ a, wɔyɛ nhwehwɛmu ahorow yi de hwehwɛ awosu mu nneɛma a ɛde ba.

Ɔkwan bɛn so na wɔsa Congestive Heart Failure?

Ayaresa gyina komayare ko a wowɔ, nea ɛde ba, ne tebea a wowɔ so.Nnuru ne asetra mu nsakrae yɛ ayaresa nhyehyɛe biara fã titiriw. Wo duruyɛfo no ne wo bɛka ayaresa nhyehyɛe a eye sen biara ama wo ho asɛm.

Nea ɛho hia ne sɛ, (Heart Failure) nyɛ yare a wotumi sa koraa. Bere a ɛyɛ kɛse no, mogya dodow a koma no de kɔ akwaa ahorow no mu no so tew, na wokɔ ɔfã a edi hɔ no so. Worentumi nsan mfi saa mmere yi mu. Enti, ayaresa botae titiriw ne sɛ ebesiw wo kwan sɛ wobɛkɔ ɔfã a edi hɔ no, ɛbɛtwentwɛn so, adi sɛnkyerɛnne ahorow no so na ama w’asetra atu mpɔn.

Momma yɛnhwɛ sɛnea ayaresa no sesa fi ɔfã biara kɔ foforo so:

Ayaresa a wɔde sa ɔfã A:

Saa nkurɔfo yi nnya nnyaa komayare, nanso asiane no dɔɔso. Ɛno nti na wɔyɛ nneɛma bi de tew asiane no so no.

• Apɔw-mu-teɛteɛ a wɔyɛ no daa, te sɛ nantew da biara da.
• Tawa a wɔtwe wɔn ho fi ho koraa.
• Mogya mmoroso ayaresa (nnuru, aduan a nkyene nnim, asetra kwan a ɛyɛ nnam).
• Srade a ɛwɔ mogya mu a ɛdɔɔso a wɔde sa yare.
• Nsã ne nnubɔne a mmara mma ho kwan a wɔbɛkwati.
• Sɛ wowɔ akwahosan tebea afoforo te sɛ ahrawa mu ntini mu yare, asikreyare, anaa mogya mmoroso a, wobetumi akyerɛw wo Angiotensin-converting enzyme inhibitor (ACE-I) anaa Angiotensin II receptor blocker (ARB).

Ayaresa a wɔde sa ɔfã B:

Saa nkurɔfo yi wɔ komayare, nanso wonni sɛnkyerɛnne biara.

• Ayaresa ahorow a wɔaka ho asɛm wɔ Ɔfã A no nyinaa.
• Sɛ wo `(Ejection fraction - EF)` yɛ 40% anaa nea ennu saa a, `(ACE-I)` anaa `(ARB)` ne aduru a ɛfata.
• Sɛ woanya komayare pɛn na wo EF yɛ 40% anaa nea ennu saa (sɛ woannom dedaw a), ɛsɛ sɛ wonom aduru bi a wɔfrɛ no beta-blocker.
• Sɛ woadi kan anya komayare anaasɛ wo EF yɛ 35% anaa nea ennu saa a, ebia wubehia aduru bi a wɔfrɛ no Aldosterone antagonist.
• Ɛtɔ mmere bi a, ebia oprehyɛn anaa nneɛma afoforo a wɔde wɔn ho gye mu ho behia wɔ tebea horow te sɛ ahrawa mu ntini mu yare, koma a entumi nyɛ adwuma yiye, valve yare (valve a wosiesie anaa wɔde besi ananmu), anaa komayare a wɔde awo obi ho.

Ayaresa a wɔde ma stage C (HFrEF - ma wɔn a wɔn mogya a wɔde fa mu so tew):

Saa nnipa yi wɔ (Heart Failure) na wɔwɔ/wɔanya sɛnkyerɛnne ahorow.

• Ayaresa ahorow a wɔaka ho asɛm wɔ ɔfã A ne B mu.
• `(Beta-blocker)` ne `(Aldosterone a ɛko tia)` nnuru.
• Nnuru kuw bi a wɔfrɛ no `(Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Wɔde aduru a wɔaka abom a wɔfrɛ no ``(Hydralazine/nitrate)`` di dwuma sɛ ayaresa afoforo ntumi nni sɛnkyerɛnne ahorow no so, titiriw wɔ nnipa a wofi Afrika Amerika abusua mu.
• Sɛ koma no bɔ boro 70 simma biara na yare no ho sɛnkyerɛnne kɔ so a, nnuru a ɛma koma bɔ so tew.
• Sɛ yare no ho sɛnkyerɛnne (titiriw ɔfe ne ahome a ɛyɛ den) kɔ so a, wɔma obi aduru a ɛma nsu fi nipadua mu (nea yɛfrɛ no nsu mu nnuru).
• Nkyene (sodium) dodow a ɛwɔ aduan mu a wɔbɛtew so.
• Kari wo ho da biara da. Sɛ wo mu duru yɛ kɛse anaasɛ wo so tew bɛboro kilogram 2 (nkaribo 4) wɔ da koro anaa nnanu mu a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Ebia ɛho behia nso sɛ woto nsu dodow a wonom da biara no ano hye.
• Ɛsɛ sɛ nnipa binom nya afiri soronko bi a ɛma koma no bɔ a wɔfrɛ no ``Cardiac resynchronization therapy - CRT``, anaa ``biventricular pacemaker``.
• Wɔde afiri bi a wɔfrɛ no implantable cardiac defibrillator (ICD) hyɛ nnipa a asiane wom sɛ wobenya koma a ɛnyɛ adwuma yiye a ɛde wɔn nkwa to asiane mu no mu.
• Sɛ yare no ho sɛnkyerɛnne no tu mpɔn bere a wɔsa yare no mpo a, ɛho hia yiye sɛ wɔtoa ayaresa no so na ama tebea no atwe akɔ akyiri afi D no mu.

Ayaresa a wɔde ma wɔ ɔfã D no:

Saa nkurɔfo yi wɔ tebea bi a emu yɛ den (Heart Failure).

• Ayaresa ahorow a wɔaka ho asɛm wɔ ɔfã A, B, ne C. Nea ɛka ho no, wɔresusuw ayaresa ahorow a ɛkɔ akyiri ho:
• Koma a wɔde si ananmu.
• Mfiri a wɔde yɛ adwuma a ɛboa koma no (Ventricular assist devices - VADs) .
• Koma oprehyɛn titiriw `(Koma oprehyɛn)`.
• Inotropic nnuru a wɔde fa ntini mu bere nyinaa (nnuru a ɛma tumi a koma no twetwe no yɛ kɛse).
• Palliative care anaa hospice hwɛ.

Stages C ne D (HFpEF - ma wɔn a wonni ɔhaw biara wɔ mogya a wɔde bɛfa koma mu):

Wɔ eyi mu no, ɛwom mpo sɛ tumi a koma no tumi twetwe (ejection fraction) no yɛ nea ɛfata de, nanso ɔhaw bi wɔ mogya a ɛhyɛ koma no ma (diastolic function) a ɛde koma no di huammɔ no mu.

• Ayaresa ahorow a wɔaka ho asɛm wɔ ɔfã A ne B mu.
• Ayaresa mu tebea afoforo a ebetumi ama koma ayɛ adwuma anaasɛ ama ayɛ kɛse (sɛ nhwɛso no, atiridiinini, mogya mmoroso, asikreyare, kɛseyɛ mmoroso, koma mu ntini mu yare, ahurututu mu yare a enni sabea, srade a ɛkɔ soro, asaabo mu yare) a wɔbɛsa.
• Nnuru a wɔde hyɛ nsu mu (nsu aduru) a wɔde tew yare no ho sɛnkyerɛnne so anaasɛ wɔtew so.

Mma wo werɛ mmfi sɛ w’ayaresa tebea afoforo (asikreyare, asaabo mu yare, mogya a ɛtɔ kɔ nipadua mu, mogya mmoroso, thyroid yare, ayamtu, ahurututu mu yare a enni sabea) a wubedi ho dwuma no ho hia yiye na ama woatumi adi tebea yi so (Koma a Ɛnyɛ Den) .

So ayaresa no mu nsunsuanso bɔne anaa nsɛnnennen bi wɔ hɔ?

Ebia ayaresa ahorow bi benya nsunsuanso nketenkete.

• Mogya mmoroso a ɛba fam (Hypotension).
• Nkɛntɛnso a enya wɔ asaabo dwumadi so (Asaabo a entumi nyɛ adwuma yiye).
• Ayaresabea a wɔtaa de wɔn kɔ, titiriw nnuru a wɔde fa ntini mu (central IVs) ma asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no yɛ kɛse.

Wo ne wo duruyɛfo nka eyi ho asɛm na wɔbɔ wo amanneɛ.

Ɔkwan bɛn so na wɔbɛtew asiane a ɛwɔ (Congestive Heart Failure) mu no so?

Ɛwom sɛ yentumi nsakra nneɛma te sɛ mfe a yɛadi ne abusua abakɔsɛm de, nanso yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya saa tebea yi (Koma a Ɛnyɛ Den) no so denam yɛn asetra kwan a yɛbɛsakra no so.

• Mu duru a ɛfata a wobɛkɔ so akura mu.
• Aduan a ahoɔden wom a wobedi (nkyene, asikre, ngo kakraa bi, nhabannuru ne nnuaba pii).
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Adwennwen a wobedi ho dwuma yiye.
• Tawa a wɔde di dwuma a wobegyae koraa.
• Nsã a wɔnnom anaasɛ wɔnnom kakraa bi koraa.
• Nnubɔne a mmara mma ho kwan a wɔmfa nni dwuma.
• Sɛ wowɔ ayaresa mu tebea afoforo a ɛma asiane no yɛ kɛse (te sɛ mogya mmoroso, asikreyare, srade a ɛkɔ soro) a, ma wɔnsa wɔn yare yiye na wonni so.

Daakye bɛn na obi a ɔwɔ Congestive Heart Failure betumi ahwɛ kwan?

Sɛ wɔyɛ ayaresa a ɛfata, wɔsakra asetra mu, na wodi wo duruyɛfo nyansahyɛ ahorow so a, nnipa pii betumi atra ase a anigye wom ɛmfa ho sɛ wɔwɔ Koma a Ɛyɛ Den no. Wo daakye gyina nneɛma yi so:

• Egyina sɛnea wo koma ntini no yɛ adwuma yiye so.
• Ɛgyina sɛnea wo sɛnkyerɛnne ahorow no te ne sɛnea emu yɛ den so.
• Egyina sɛnea woyɛ w’ade yiye wɔ ayaresa nhyehyɛe no ho so.
• Egyina sɛnea wudi w’ayaresa nhyehyɛe (nnuru, aduan, apɔw-mu-teɛteɛ) akyi yiye so.

Nhwehwɛmu ahorow bi kyerɛ sɛ ebia nnipa a wɔwɔ komayare no tra ase bɛyɛ mfe 10 asen wɔn a wonni bi no. Nanso eyi gu ahorow kɛse wɔ onipa biara mu. Enti ɛbɛyɛ papa sɛ wobɛka wo tebea no ho asɛm akyerɛ wo duruyɛfo. Koma a entumi nyɛ adwuma yiye yɛ tebea a enni sabea, a ɛkɔ so wɔ ne nkwa nna nyinaa mu. Ɛhwehwɛ sɛ wɔde nkwa nna nyinaa sa yare na wodi ho dwuma.

Mɛyɛ dɛn ahwɛ me ho? (Ne ho a wɔhwɛ) .

Sɛ wo ne Koma a Ɛyɛ Fɛ te a, ɛho hia paa sɛ wohwɛ wo ho.

• Fa w’aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mma da koro mpo nmpa wo ti so.
• Kɔ so yɛ nnam sɛnea wubetumi biara. Bisa wo duruyɛfo apɔw-mu-teɛteɛ a ɛfata wo.
• Di aduan a nkyene nnim akyi. Nkyene pii wɔ nnuan a wɔakyekyere, agu toa mu, ne nnuan a wɔde di dwuma ntɛmntɛm.
• Hwɛ wo mu duru da biara da. Sɛ wuhu sɛ wo mu duru bɛkɔ soro mpofirim (sɛ nhwɛso no, kilogram 1-2 wɔ da koro anaa nnanu mu) a, ka kyerɛ wo duruyɛfo .
• Sɛ sɛnkyerɛnne foforo ba, anaasɛ sɛ sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
• Hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ bere a wɔahyɛ sɛ wobɛkɔ akɔhwɛ wo no mu.
• Esiane sɛ eyi yɛ yare a ebetumi akum obi nti, ɛyɛ adwene pa sɛ wobɛma wo duruyɛfo ne w’abusua ahu nea wopɛ wɔ w’ayaresa ho (e.g., sɛ ebia wopɛ ayaresa a ɛma wo nkwa nna tenten/ayaresabea). Wobetumi ayɛ eyi denam ``akwankyerɛ a wɔadi kan ahyɛ mu'' anaa ``apɛde a ɛte ase'' a wɔbɛhyehyɛ so. Nyansa wom sɛ wubesiesie eyi bere a woda so ara wɔ w’adwene mu sɛ ebia worentumi nsi gyinae ahorow yi akyiri yi a.

Nneɛma bɛn na worentumi mfa nnidi na wonom (Congestive Heart Failure)?

Ɛsɛ sɛ nnipa pii a wɔn koma ayɛ wɔn adwuma no to nkyene a wɔnom da biara da no so . Ebia ɛho behia nso sɛ nnipa binom to nsu a wɔnom (te sɛ nsu, tii, soup) ano hye. Wo duruyɛfo anaa aduannuru ho ɔbenfo betu wo fo wɔ eyi ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho hia yiye sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ sɛnkyerɛnne foforo bi anaasɛ wo komayare ho sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a. Titiriw sɛ wowɔ nea edidi so yi mu biara a:

• Sɛ ɛyɛ den ma wo sɛ wobɛhome bere a woagye w’ahome mpo a.
• Sɛ ɔfe kɔ soro wɔ nan, anan, anaa yafunu mu a.
• Sɛ wo mu duru kɔ soro mpofirim (boro kilogram 1-2 wɔ da koro anaa nnanu mu).
• Sɛ wote nka bere nyinaa sɛ woabrɛ na woada a.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wo komayare no mu yɛ den mpofirim (sɛ nhwɛso no, ahome a ɛyɛ tiaa kɛse, wo koko mu yaw kɛse) a, wuhia ayaresa a egye ntɛmpɛ. Nnuruyɛfo frɛ eyi koma a entumi nyɛ adwuma yiye . Sɛ ɛba saa a, ebia wɔbɛma wo nnuru ne oxygen a ɛbɛboa ma wo tebea no atu mpɔn. Sɛ wokɔ ayaresabea ntɛm a worensɛe bere a, ebetumi agye wo nkwa.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, nsuro sɛ wubebisa nsɛm a ɛwɔ w’adwene mu.

• "(Congestive Heart Failure) fã bɛn na mewɔ?"
• "Dɛn ne ayaresa a eye sen biara ma me wɔ saa bere yi mu?"
• "Dɛn ne apɔw-mu-teɛteɛ a ahobammɔ wom bi a metumi ayɛ? Bere tenten ahe na ɛsɛ sɛ meyɛ?"
• "Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m'aduan mu?"
• "So akuw bi wɔ hɔ a wɔboa nnipa a wɔwɔ (Congestive Heart Failure)?"
• "Sɛ me yare no ho sɛnkyerɛnne no mu yɛ den a, dɛn na ɛsɛ sɛ meyɛ?"

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Congestive Heart Failure nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu no adewa nso. Sɛ wowɔ saa tebea yi a, nneɛma pii wɔ hɔ a wubetumi ayɛ na ama wo koma akwahosan atu mpɔn.

• Fa w’aduru no pɛpɛɛpɛ na fa bere ano.
• Di nnuan a nkyene nnim na ɛma koma nya ahoɔden.
• Kɔ so yɛ nnam sɛnea wubetumi biara.
• Hwɛ wo mu duru da biara da na hwɛ nsakrae a ɛba mpofirim.
• Hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu.
• Yɛ wo sɛnkyerɛnne ahorow no ho kyerɛwtohɔ na sɛ ɛyɛ kɛse a, ka kyerɛ wo duruyɛfo .

Sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ w’aduru, asetra mu nsakrae, anaa biribi foforo biara a ɛwɔ w’ayaresa nhyehyɛe mu ho a, wo ne wo duruyɛfo nkasa pefee. Wɔwɔ hɔ sɛ wɔbɛboa wo ma woadi tebea yi ho dwuma na woabɔ bra a eye sen biara. Kae sɛ ɛnyɛ wo nko ara!

`Komayare, komayare, komayare, koko mu yaw, ahome a ɛyɛ den, koma a ɛyɛ den, koma a ɛnyɛ adwuma yiye, nan a ɛho ahonhon