So woasuro pɛn bere a worekɔda anadwo, anaasɛ bere a wugyina hɔ ara kwa, na mpofirim ara wo moma so fi ase bɔ? Saa osuahu yi a ɛte sɛ nea wo koma rehuruw afi wo moma so, anaasɛ egyina mpofirim na afi ase abɔ bio no yɛ nea ɛnyɛ dɛ na ɛyɛ hu ankasa. Nnipa pii anya saa osuahu yi. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ‘Koma a Ɛbɔ’. Enti ɛnnɛ, momma yɛnka nea enti a eyi ba, so ɛyɛ biribi a ɛsɛ sɛ yesuro, ne nea ɛsɛ sɛ yɛyɛ wɔ ho.
Sɛ yɛbɛka no tiawa a, dɛn ne koma a ɛbɔ?
Apɔw-mu-teɛteɛ, anaa nea yɛfrɛ no koma a ɛbɔ no yɛ bere a wufi ase te nka sɛ wo koma rebɔ wɔ ɔkwan a ɛnteɛ so . Mpɛn pii no, yɛnte nka sɛ yɛn koma rebɔ bere a yɛte hɔ ara kwa no. Nanso saa bere yi de, wubetumi ate nka yiye.
Eyi betumi ate nka sɛ ɛsono:
- Mmirikatu: Wo koma bɔ denneennen na ɛyɛ ntɛmntɛm, te sɛ nea woatu mmirika.
- Ɔbɔ: Nkate a ɛma obi bɔ wɔ koko mu bere a koma no bɔ . Nnipa binom te nka te sɛ nea wotumi te saa nnyigyei yi wɔ aso abien no nyinaa mu.
- Sɛ́ wobɛbɔ anaasɛ wohuruw wɔ ɔbɔ bi mu: Ɛte sɛ nea ɔkɔre bi retu akɔ ne moma so, anaasɛ ɛte sɛ nea koma no bɔ pɛnkoro na afei egyina kakra ansa na abɔ a edi hɔ no.
Ɛnyɛ wo moma so nko na wubetumi ate saa wo ho a ɛrebɔ yi nka, na mmom ɛtɔ mmere bi mpo wɔ wo kɔn anaa wo menewa mu.
Nea ɛho hia ne sɛ ɛwom sɛ osuahu a ɛte sɛɛ betumi ayɛ hu kɛse de, nanso mpɛn pii no ɛnyɛ tebea a asiane wom . Nnipa pii hu eyi awiabere, nanso yɛnhyɛ no nsow esiane sɛ yenni adagyew wɔ adwuma mu nti. Ɛda adi kɛse anadwo bere a ɛhɔ yɛ dinn no.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi koko yɛ no yaw anadwo?
Sɛ wote saa nneɛma yi nka bere a woda mpa so, worebɔ mmɔden sɛ wobɛda, anaasɛ woda fam kɛkɛ a, ebetumi ayɛ ‘apɔw a ɛyɛ den’. Momma yɛnhwɛ eyi mu yiye kakra.
| Sɛnea wote nka | Nkyerɛkyerɛmu ara kwa |
|---|---|
| Fluttering a wɔde wɔn ho hyɛ mu | Ɛte sɛ anomaa anaa ɔkɔre bi rebɔ ne ntaban wɔ wo moma so. Ebinom ka sɛ ɛte sɛ nea wo koma "retwiw." |
| Koma a ɛbɔ daa | Koma no bɔ te sɛ nea ɛnteɛ, te sɛ nea ɛbɔ pɛnkoro, egyina hɔ sekan biako anaa abien ansa na abɔ a edi hɔ, na afei ɛbɔ ntɛmntɛm bio. Wɔsan frɛ eyi "skipping a beat." |
| Pounding a wɔbɔ | Ɛte sɛ nea wo koma rebɔ denneennen na ahoɔden wom. Ɛte sɛ nea obi rebɔ wo moma so afi mu. Ɛtɔ da mpo a, ebia wobɛte nka sɛ wotumi te sɛ wo koma rebɔ wɔ w’aso abien no nyinaa mu. |
Adɛn nti na yɛn koko yɛ yɛn yaw saa anadwo?
Ntease pii betumi ama eyi aba. Momma yɛnkyekyɛ mu abien na yensusuw ho. Biako ne ntease ahorow a abu so, na ɛnyɛ aniberesɛm saa. Ɔfoforo no ne nea enti a ɛsɛ sɛ yɛhwɛ yiye kakra na yɛhwehwɛ aduruyɛ mu afotu.
Mpɛn pii no, eyi fi nsakrae ketewaa bi a ɛba koma no nnyigyei mu, na ɛma koma no mu adan no biako twetwe (bɔ) ansa na bere a ɛfata adu. Yɛfrɛ eyi sɛ ventricular contraction a ɛba ntɛm (PVC) anaasɛ atiridiinini a ɛba ntɛm (PAC) . Nokwarem no, obiara koma wɔ saa nsakrae nketenkete yi wɔ nnyigyei mu bere ne bere mu, nanso ɛnyɛ obiara na ɔte nka.
| Nneɛma a ɛde koko mu yɛ den | |
|---|---|
| Nneɛma a Ɛtaa De Ba, a Ɛnyɛ Aniberesɛm | |
| Daa gyinabea | Sɛ woda w’afã, a wo nipadua no akɔ fam a, nhyɛso a ɛwɔ wo nipadua mu no kɔ soro na wubetumi ate nka sɛ wo koma rebɔ ntɛmntɛm. |
| Dadwen ne Adwennwen | Saa koko a ɛyɛ den yi betumi aba bere a wo ho adwo wo anadwo esiane adwennwen, ehu, ne dadwen a ɛwɔ da no mu nti. Eyi nso yɛ ehu ho sɛnkyerɛnne a ɛtaa ba. |
| Aduan ne anonne | Eyi nso betumi afi anonne a caffeine wom te sɛ kɔfe ne tii, nsa , chocolate, ne aduan a emu yɛ duru a carbohydrates, asikre, nkyene, anaa srade pii wom a wodi ansa na wɔada no mu aba. |
| Nsu a ɛho ntew | Sɛ nipadua no nnya nsu a ɛdɔɔso na electrolyte a ɛkari pɛ wɔ nipadua no mu no nkari pɛ a, ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya no akɔ. Ɛno nso yɛ nea enti a ɛte saa. |
| Nnuru bi ne nicotine | Saa tebea yi nso betumi afi nnuru bi a wɔde siw atiridiinini ano, nnuru bi a wɔde tew wɔn mu duru so, ne nicotine a ɛwɔ wɔn a wɔnom sigaret mu no mu. |
| Nsakrae a ɛba nkwaadɔm mu | Nufu mu yɛ mmerɛw esiane nsakrae a ɛba nipadua no mu bere a wɔyem ne bere a wɔagyae brayɛ nti. |
| Nneɛma a Ɛde Ba a Ebia Ɛbɛhwehwɛ sɛ Aduruyɛfo Ahwɛyiye | |
| Mogya a ɛtɔ kɔ nipadua mu | Sɛ mogya sua wɔ nipadua no mu a, ɛsɛ sɛ koma no yɛ adwumaden na ama nipadua no anya mframa pa a ehia. Eyi betumi ama koma no abɔ ntɛmntɛm. |
| Koma mu tebea horow | Tebea horow te sɛ komayare ne koma ntini a ɛyɛ mmerɛw (cardiomyopathy). |
| Koma mu nnyigyei a ɛyɛ den (Arrhythmias) . | Ɔhaw ahorow a emu yɛ den a ɛfa apɔw-mu-teɛteɛ ho te sɛ Atrial Fibrillation (Afib) , koma a ɛbɔ ntɛmntɛm dodo (Tachycardia) anaasɛ ɛyɛ brɛoo dodo (Bradycardia) . |
| Thyroid ho haw ahorow | Thyroid gland a ɛyɛ adwuma boro so (hyperthyroidism) betumi ama nipadua no mu nneɛma a ɛsakra ntɛmntɛm na koma no abɔ ntɛmntɛm. |
| Ayaresa mu tebea afoforo | Mogya mmoroso a ɛba fam (hypotension), asikre a ɛba fam wɔ mogya mu (hypoglycemia), ne koma mu ntini mu haw ahorow. |
Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi?
Sɛ wokɔ oduruyɛfo nkyɛn wɔ eyi ho a, obedi kan abisa wo nsɛm kakraa bi. Sɛ nhwɛso no, bere tenten ahe na eyi akɔ so, da no mu bere bɛn na ɛba, ne sɛ ebia wowɔ sɛnkyerɛnne afoforo bi (te sɛ adwenemhaw , koko mu yaw) ka ho anaa.
Afei, ɔde afiri a wɔde tie asɛm betie wo koma bɔ. Nea ɛka ho no, ebia ɔbɛyɛ sɔhwɛ ahorow bi te sɛ:
- Mogya mu Nhwehwɛmu: Eyi boa ma wuhu sɛ mogya atɔ wo, sɛnea wo thyroid hormone dodow te, ne sɛ ebia wowɔ vitamin bi a enni wo.
- ECG (Electrocardiogram): Eyi yɛ nhwehwɛmu a ɛnyɛ den a ɛyaw nnim a egye bɛyɛ simma 15. Nanso, sɛ wo koko nyɛ wo yaw bere a woreyɛ nhwehwɛmu no a, ebia ECG no bɛyɛ nea ɛfata.
- Holter Monitor: Sɛ ECG no nkyerɛ ɔhaw biara a, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ hyɛ saa afiri ketewa yi. Ɛho behia sɛ wohyɛ da koro, abien, anaa dapɛn biako mpo. Bere a woreyɛ wo dwumadi ahorow a wotaa yɛ no, afiri no kɔ so kyerɛw wo koma bɔ. Eyi betumi aboa ma wɔahu koma a ɛbɔ biara a ɛnteɛ a ebetumi aba.
Sɛ me koko yɛ me yaw anadwo a, dɛn na metumi ayɛ?
Mpɛn pii no, tebea a ɛba bere ne bere mu yi nhia ayaresa kɛse. Sɛ mpofirim ara wufi ase yɛ wo koko mu yaw anadwo a, mma wo ho nnpopo na sɔ saa nneɛma yi nhwɛ.
- Fa ahome denneennen:Sɛ wo ho yeraw wo a, wo koma bɔ kɔ soro. Enti wo bo dwo. Fa wo hwene mu home denneennen na fa w’anom home nkakrankakra. Sɛ woyɛ eyi mpɛn kakraa bi a, ɛbɛboa ma woadi wo koma bɔ so kakra. Nneɛma te sɛ adwennwen nso betumi aboa ma adwennwen so atew.
- Nom nsu kuruwa biako: Ebia eyi fi sɛ wo ho nsu asa. Enti bɔ mmɔden sɛ wobɛnom nsu kuruwa biako.
- Sesa wo gyinabea: Sɛ woda w’afã na eyi ba a, bɔ mmɔden sɛ wobɛdan akɔ w’afã. Anaasɛ, sɔre na nantew dan no mu. Ɛtɔ da bi a, wo gyinabea a wobɛsesa kɛkɛ no bɛboa.
Nea ɛho hia ne sɛ, sɛ wo duruyɛfo hu sɛ aduruyɛ mu tebea bi na ɛde wo koma bɔ a, ɔbɛsa saa tebea no. Sɛ nhwɛso no, sɛ wowɔ thyroid haw bi a, ebia wɔbɛma wo nnuru a wɔde bɛyɛ saa, anaasɛ sɛ mogya atɔ wo a, wobetumi ama wo nnuru a wɔde dade ayɛ. Wɔ tebea horow bi mu no, wobetumi akyerɛw nnuru te sɛ beta-blockers nso ama wo na ama woatumi asiw wo koma bɔ.
Dɛn na yebetumi ayɛ de asiw eyi ano?
Bere a wontumi nsiw eyi ano koraa no, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane no so.
- Gyae nneɛma bi a wobɛyɛ ansa na woada: Kwati nsa a wobɛnom, kɔfe a wobɛnom, ne sigaretnom, titiriw nnɔnhwerew kakraa bi ansa na woada.
- Kwati nnuan a emu yɛ duru: Kwati sɛ wubedi nnuan a emu yɛ duru a ngo, asikre, nkyene, ne carbohydrates pii wom a ɛbɛn bere a wode bɛda.
- Di adwennwen ho dwuma: Sɛ wowɔ tebea bi te sɛ dadwen anaa adwenemhaw a, hwehwɛ aduruyɛ mu afotu ne ayaresa a ɛfata. Sɛ woyɛ nneɛma te sɛ yoga ne adwennwen da biara da a, ebetumi atew adwennwen so kɛse.
- Kura mu duru a ɛfata mu: Nipadua mu duru a ɛboro so no yɛ asiane a ɛma obi nya komayare ne koma a ɛnyɛ ne kwan so. Enti, fa aduan a ɛfata ne apɔw-mu-teɛteɛ so kura mu duru a ɛfata mu.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ampa?
Bere a ɛho nhia sɛ wusuro sɛ wobɛte wo koko mu yaw bere ne bere mu no, tebea horow bi wɔ hɔ a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa.
Sɛ yɛbɛka no tiawa a, sɛ wotaa hyia saa tebea yi anaasɛ wusuro anaa w’adwene mu yɛ wo naa kɛse wɔ ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo. Ɛbɛma wo ho atɔ wo kɛse sɛ wubehu sɛ ɛnyɛ aniberesɛm biara.
Nanso, sɛ kɔkɔbɔ nsɛnkyerɛnne a edidi so yi (Red Flag Symptoms) ka wo koko mu yaw ho a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara .
| Kɔkɔbɔ nsɛnkyerɛnne a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara! | |
|---|---|
| Koko mu yaw anaasɛ ɛnyɛ dɛ | Sɛ wote nka sɛ wo koko mu ayɛ den anaasɛ ayɛ mmerɛw. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ tiaa, ahome a ɛyɛ den. |
| Adwene a ɛyɛ basaa anaasɛ n’adwene a ɛyera | Dizziness , atenka a ɛma obi twitwiw ne ho, anaasɛ ɔtotɔ piti/totɔ piti (syncope) . |
| Ɔhonhon a ɛboro so | Ɛhohoro dodo (edema) , titiriw wɔ nan, nansoaa, ne anan mu. |
| Ɔbrɛ a ɛyɛ soronko | Ɔbrɛ a ɛtra so mpofirim a wontumi nkyerɛkyerɛ mu. |
Bio nso, sɛ wo nsa ka kɔkɔbɔ fi fitness watch anaa mfiri foforo bi hɔ sɛ wo koma bɔ boro 100 bere a woregye w’ahome a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa afa ɛno nso ho.
Nkrasɛm a Wɔde Kɔ Fie
- Koma a ɛbɔ anadwo abu so kɛse. Mpɛn pii no, eyi nyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho.
- Adwennwen, caffeine, nsa, ne nnuan bi betumi ayɛ nea ɛde eyi ba titiriw.
- Sɛ wote eyi nka a, mma wo ho nnyɛ wo hu, home yiye, nom nsu kakra, na bɔ mmɔden sɛ wobɛsesa wo gyinabea.
- Sɛ saa tebea yi taa ba, anaasɛ w’adwene mu yɛ wo naa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na woakɔhwɛ.
- Koko mu yaw, ahome a ɛyɛ tiaa, adwenemhaw , anaasɛ adwenem naayɛ a ɛka koko mu yaw hoSɛ wowɔ sɛnkyerɛnne te sɛ eyi a, ɛyɛ ntɛmpɛ. Kɔ ayaresabea ntɛm ara.
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