So woate nka pɛn, bere a wugyina hɔ ara anaasɛ worekɔda anadwo no, wo koko fi ase bɔ mpofirim? Anaasɛ woate nka pɛn a ɛyɛ nwonwa te sɛ wo koma agyae bɔ mpofirim, te sɛ nea ahuru abɔ, anaasɛ ntontom retu wɔ wo koko mu? Eyi yɛ osuahu a ɛyɛ hu kakra a nnipa pii nya. Ɛnnɛ yɛreka saa koma a ɛbɔ yi ho asɛm, a wɔ aduruyɛ mu no ɛyɛ ``Koma a ɛbɔ''.
Sɛ yɛbɛka no tiawa a, koma a ɛbɔ yi kyerɛ dɛn?
Apɔw-mu-teɛteɛ anaa koma a ɛbɔ no yɛ nkate a ɛma wote nka sɛ wo koma rebɔ ntɛmntɛm, ɛrebɔ ntɛmntɛm, anaasɛ ɛrebɔ ntɛmntɛm. Ebia wobɛte saa atenka yi nka wɔ wo moma so, wo menewa, anaa wo kɔn mu.
Fa no sɛ, eyi betumi asi bere a wote akongua so kɛkɛ anaa woreyɛ adwuma a ɛfata no. Ɛyɛ ade a ɛfata sɛ wobɛte ahodwiriw ne ehu nka kakra bere a wote eyi nka mpofirim no. Nanso nea eye sen biara ne sɛ, mpɛn pii no saa koma a ɛbɔ yi nyɛ aniberesɛm. Nanso, wɔ tebea horow a ɛntaa nsi mu no, eyi betumi afi koma no mu nnyigyei a ɛnteɛ (arrhythmia) mu, enti ɛho hia yiye sɛ wohu.
Hena na tebea yi ka no kɛse?
Nokwarem no, koma a ɛbɔ yi betumi ato obiara, nanso nhwehwɛmu ahorow ada no adi sɛ ɛtaa ba mmea mu kakra.
Eyi betumi asi wɔ asetra mu mmere ahorow mu. Nhwɛsoɔ:
- Sɛ́ ɔbabun no
- Wɔ nyinsɛn mu
- Bere a obi agyae brayɛ no
Ɛtaa ba araa ma wɔahu sɛ nnipa bɛyɛ 16% a wɔkɔ wɔn abusua oduruyɛfo nkyɛn no yɛ saa esiane koma a ɛbɔ ho haw yi nti. Ɛno nso ne ade titiriw a ɛma wohu komayare ho animdefo.
Nkate bɛn na ebia worete nka?
Sɛ wo koma bɔ a, wubetumi ate nkate ahorow nka. Ma yɛnhwɛ nea wɔyɛ.
| Atenka | Sɛ yɛbɛkyerɛkyerɛ mu tiawa a: |
|---|---|
| Koma a ɛrebɔ denneennen | Ɛte sɛ nea wo koma rebɔ denneennen, te sɛ bere a woretu mmirika aba no. |
| Pounding a wɔbɔ | Koma no bɔ biara te nka sɛ ɛyɛ den te sɛ nea ɛrebɔ koko. |
| Missing a ɛyɛ beat bi | Ɛte sɛ nea wo koma rebɔ, mpofirim ara egyina kakra, na afei woafi ase abɔ bio. |
| Te sɛ nea wowɔ beat foforo | Te sɛ nea mpofirim ara wɔbɔ nnwom foforo bi de ka nnyigyei a ɛyɛ dɛ a ɛyɛ daa no ho. |
| Flip-flopping a wɔde hyɛ mu | Nkate a ɛyɛ nwonwa, te sɛ nea me koma redi akɔneaba wɔ me moma so. |
| Te sɛ ɔkɔre a ɔrehuruhuruw (Fluttering) . | Nkate a ɛyɛ anifere yiye, a ɛbɔ ntɛmntɛm wɔ koko no mu. |
Kae sɛ, sɛ wowɔ komayare dedaw, asiane kɛse wom sɛ wubenya komayare, anaasɛ wowɔ koma ntini mu haw ahorow a, ɛda adi sɛ koma a ɛbɔ yi bɛyɛ aniberesɛm. Enti ɛsɛ sɛ nnipa a wɔte saa no hwɛ yiye titiriw wɔ eyi ho.
Dɛn nti na koma no bɔ saa? Dɛn ne nea enti a ɛte saa?
Nneɛma pii wɔ hɔ a ebetumi ama koma abɔ. Ebinom yɛ mmerɛw koraa, bere a afoforo nso hwehwɛ sɛ wɔde wɔn adwene si so kakra.
| Ntease kuw | Nhwɛso ahorow |
|---|---|
| Adwene mu nneɛma a ɛde ba ne asetra kwan | Nkate te sɛ dadwen, adwennwen, ehu, ehu. Apɔw-mu-teɛteɛ a ɛboro so, nicotine, ne nsa a wɔnom. |
| Aduan ne anonne | Nneɛma a caffeine wom, te sɛ kɔfe, tii, ne anonne a ɛyɛ dɛ bi. Nnuan a ɛyɛ nnuhwam na srade wom. |
| Aduruyɛ mu tebea horow | Thyroid a ɛyɛ adwuma boro so, mogya a ɛtɔ kɔ nipadua mu, atiridiinini, nsu a ɛtɔ, asikre anaa potassium dodow a ɛba mogya mu, nyinsɛn. |
| Nnuru ne nneɛma afoforo | Nnuru bi a wɔde home ma ayamtu, ebinom beta-blockers ma mogya mmoroso, thyroid nnuru, ɔfe/atiridii nnuru bi, ne nhabannuru ne aduannuru bi. |
Mmere bɛn na wote eyi nka kɛse?
- Bere a wo ho yeraw wo: Sɛ wote ehu anaa dadwen nka a, wo nipadua siesie ne ho ma "ɔko anaa guankɔbea." Ɛyɛ ade a ɛfata sɛ wo koma bɔ kɛse.
- Bere a wɔadi awie no: Ebia nnipa binom behu eyi bere a wɔadi nnuan a ɛyɛ nnuhwam, srade wom, anaa wɔanom kɔfe akyi.
- Sɛ woda anadwo a: Ebia worenhu eyi wɔ awiabere mu gyegyeegye no ho. Nanso sɛ woyɛ komm anadwo a, koma bɔ ketewaa bi mpo tumi te nka denneennen.
- Sɛ woda wo nkyɛn a: Eyi nso betumi asi esiane nhyɛso a ɛba wo nipadua so bere a nnipa binom da wɔn nkyɛn no nti.
- Wɔ nyinsɛn mu: Sɛ akokoaa no bere du a, ɛna no mogya dodow kɔ soro na ɛsɛ sɛ koma no yɛ adwumaden. Enti, koma a ɛbɔ no yɛ nea ɛfata wɔ saa bere yi mu, na mpɛn pii no, ɛnyɛ nea epira.
Sɛ wote nka sɛ wo koma retu da mũ nyinaa a, ɛno nyɛ ade a ɛfata. Sɛ wote nka saa a, akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan de afiri a wɔde tie asɛm atie wo koma ne w’ahurututu. Nea ɛka ho no, obebisa wo nsɛm a ɛfa:
- Wo aduruyɛ ho abakɔsɛm a edi mũ
- Nsɛnkyerɛnne a worehyia
- W’aduan a wudi
- Nnuru ne nhabannuru a wonom
Ɛho hia yiye sɛ wokyerɛkyerɛ saa nsɛm yi mu pefee kyerɛ oduruyɛfo no:
- Bere bɛn na eyi ba, na mpɛn ahe na ɛba?
- Bere tenten ahe na atwam fi bere a etwa to a wobaa hɔ no?
- Sɛ eyi ba a, wote nka dɛn? (Adwene a ɛyɛ yaw, koko mu yaw, ne nea ɛkeka ho) .
- Dɛn na na woreyɛ bere a eyi fii ase no?
- Sɛ woyɛ biribi a, ɛso tew?
Ebia sɛ wokɔ oduruyɛfo nkyɛn a, wo koma bɔ yi. Afei oduruyɛfo no bɛka akyerɛ wo sɛ fa wo nsateaa bɔ rhythm no na kyerɛ.
Sɔhwɛ ahorow sɛ ɛho hia a
Sɛ wosusuw sɛ ɔhaw bi wɔ hɔ a, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii, te sɛ:
- Mogya mu nhwehwɛmu
- Nsu mu nhwehwɛmu
- Electrocardiogram (ECG/EKG) a wɔde kyerɛw koma no .
- Adwennwen ho sɔhwɛ
- Koma no ho mfonini a wɔde ultrasound (Echocardiogram) yɛ .
- Holter monitor yɛ afiri a wɔhyɛ nnɔnhwerew 24 anaa nea ɛboro saa de kyerɛw koma dwumadi.
- Nhwehwɛmu bi a wɔyɛe wɔ electrophysiology ho
- Koma mu catheter a wɔde hyɛ nipadua no mu
Ebia ɛho behia nso sɛ wokɔ oduruyɛfo bi a ne ho akokwaw wɔ koma a ɛbɔ a ɛnyɛ ne kwan so ho, a wɔfrɛ no electrophysiologist.
Dɛn na yebetumi ayɛ de asiw eyi ano?
Nea eye sen biara ne sɛ, mpɛn pii no enhia ayaresa titiriw biara. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubehu nea ɛde ba na wotwe wo ho fi ho.
- Tew adwennwen so: Fa nneɛma te sɛ yoga, adwennwen, ne ahomegye a emu dɔ ma w’adwene dwo.
- To caffeine ne nsa ano hye: Tew kɔfe, tii, ne nsa dodow a wonom so, anaa mpo gyae koraa.
- Kwati sigaretnom: Twe wo ho fi tawa ne nneɛma a nicotine wom nyinaa ho.
- Apɔw-mu-teɛteɛ daa: Nanso ansa na wubefi ase ateɛteɛ w’apɔw mu no, bisa wo duruyɛfo apɔw-mu-teɛteɛ a ɛfata wo.
- Kwati nneɛma a ɛkanyan wo: Hwehwɛ nnuan anaa dwumadi ahorow a ɛkanyan wo yare no ho sɛnkyerɛnne na kwati.
- Di mogya mmoroso ne srade a ɛwɔ nipadua mu no so: Eyinom a wobedi so ho hia yiye ma koma akwahosan nyinaa.
Bere bɛn na ɛsɛ sɛ wohaw wo ho wɔ eyi ho? Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara!
Eyi ne ɔfã a ɛho hia sen biara. Bere a mpɛn pii no, koma a ɛbɔ no nyɛ aniberesɛm no, sɛ sɛnkyerɛnne ahorow a ɛwɔ ase hɔ no ka ho a, ebetumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne.
| Ntɛmntɛm - Sɛ wowɔ saa sɛnkyerɛnne yi a, kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) ntɛm ara! | |
|---|---|
| Ɔrepaapae | Sɛ wode koma a ɛbɔ no hwere w’adwene a. |
| Koko mu yaw anaa nhyɛso a emu yɛ den | Nkate a ɛte sɛ nea ɛyɛ den anaasɛ ɛhyɛ wo koko mu. Ɛyaw yi trɛw kɔ kɔn, anom, abasa, anaa akyi atifi. |
| Ɔhaw a ɛba wɔ ɔhome mu | Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wote nka sɛ wo ho atɔ wo. |
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ wo duruyɛfo nkyɛn. | |
| Adwene a ɛyɛ basaa anaasɛ te nka sɛ ne ti ayɛ hare | Sɛ wote nka sɛ wo ti rebɔ wo koma a ɛrebɔ, na ɛte sɛ nea nneɛma a atwa wo ho ahyia no ayɛ kusuu a. |
| Fifiri a ɛyɛ soronko | Sɛ wo ho fifiri boro so a ntease pɔtee biara nni ho a. |
| Tebea no reyɛ kɛse. | Sɛ wo koma bɔ reyɛ kɛse, anaasɛ afi ase reba mpɛn pii a. |
Nkrasɛm a Wɔde Kɔ Fie
- Koma a ɛbɔ no abu so kɛse. Mpɛn pii no, wɔnyɛ tebea a emu yɛ den.
- Adwennwen, dadwen, caffeine, nsa, ne nnuru bi betumi ayɛ nea ɛde eyi ba titiriw.
- Wubetumi adi tebea yi so denam nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan ne w’adidi mu no so.
- Sɛ wo koma a ɛbɔ no de sɛnkyerɛnne ahorow te sɛ wo koko mu yaw, ahome a ɛyɛ den, adwenemhaw, anaa adwenem naayɛ ka ho a, ebetumi ayɛ tebea a emu yɛ den. Wɔ nsɛm a ɛtete saa mu no, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ adwenem naayɛ anaa ehu ketewaa bi mpo wɔ eyi ho a, nsusuw ho mprenu da sɛ wo ne wo duruyɛfo bɛkasa afa ho.
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