So wo koma bɔ ntɛmntɛm anaasɛ wote nka sɛ ɛrehuruw abɔ? Momma yɛnka Koma a Ɛbɔ Ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo koma rebɔ ntɛmntɛm? Anaasɛ wote nka sɛ wo koma rehuruw, te sɛ nea biribi retwa wo koko mu, anaasɛ ɛretu denneennen? Eyi ne nea yɛfrɛ no ‘Heart Palpitations’ anaasɛ wo koma a ɛbɔ wɔ ɔkwan a ɛnteɛ so. Nokwarem no, eyi yɛ biribi a nnipa dodow no ara hyia wɔ wɔn asetra mu bere bi. Enti mma wo ho nnyɛ wo hu ntɛm ara, momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka no tiawa.

Dɛn ne Koma a Ɛbɔ?

Sɛ yɛbɛka no tiawa a, ‘Koma a Ɛbɔ’ yɛ bere a wote nsakrae nka wɔ ɔkwan a wo koma bɔ no mu. Mpɛn pii no, yennim titiriw sɛ yɛn koma rebɔ, ɛba ara kwa. Nanso wɔ eyi mu no, wote wo koma nka mpofirim:

• Ɛte sɛ nea woretu mmirika ntɛmntɛm yiye (`Racing`) .
• Te sɛ nea wɔabɔ no wɔ ne koko mu denneennen (`Pounding`) .
• Ɛte sɛ nea wɔapa koma bɔ (`Missing a beat`) .
• Te sɛ nea wowɔ beat foforo.
• Sɛ wote nka sɛ biribi rebɔ wo koko mu (`Flip-flopping`) .
• Fluttering , te sɛ ɔkɔre a ɔrehuruhuruw brɛoo na ɛyɛ nwonwa .

Ebia ɛnyɛ wo moma so nko na wobɛte koma a ɛbɔ a ɛnteɛ yi nka, na mmom ɛtɔ mmere bi a wo menewa anaa wo kɔn mu. Eyi betumi asi bere biara, bere mpo a wote ase, woreyɛ adwuma, anaa woada kɛkɛ no. Ɛyɛ ade a ɛfata sɛ wobɛte ahodwiriw ne ehu nka kakra bere a wote eyi nka mpofirim no. Nanso mpɛn pii no, eyi nyɛ aniberesɛm na ɛnyɛ nea epira . Nanso, wɔ nsɛm a ɛntaa nsi mu no, eyi betumi ayɛ koma a ɛbɔ a ɛnyɛ ne kwan so ho sɛnkyerɛnne. Wɔ nsɛm a ɛtete saa mu no, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.

Henanom na tebea yi ka no kɛse? Ɛtaa ba dɛn?

Nokwarem no, obiara betumi anya koma a ɛbɔ a ɛnyɛ ne kwan so yi. Nanso nhwehwɛmu ada no adi sɛ mmea taa nya saa tebea yi . Afei nso, wobetumi anya mu osuahu wɔ mmere ahorow mu wɔ asetra mu. Sɛ nhwɛso no, wubetumi anya koma bɔ a ɛte sɛɛ wɔ mmerantebere ne mmabaabere mu, nyinsɛn mu, anaa bere a woagyae brayɛ no.

Ɛtaa ba, nhwehwɛmu bi kyerɛe sɛ nnipa 16% kɔ wɔn ayarehwɛfo titiriw nkyɛn kɔka wɔn koma a ɛbɔ ho nkɔmmɔ. Nokwarem no, koma a ɛbɔ denneennen ne ade titiriw a ɛma ayarefo kɔ komayare ho animdefo nkyɛn. Enti wubetumi asusuw sɛnea osuahu yi abu so no ho.

Koma a ɛbɔ betumi atra hɔ bere tenten ahe?

Mpɛn pii no, saa koma bɔ yi nkyɛ. Mpɛn pii no, ɛtra hɔ sikani kakraa bi anaa simma kakraa bi . Nanso, ɛtɔ mmere bi a, ebetumi akyɛ kakra, simma pii mpo.

Dɛn na ɛma koma yi bɔ?

Okay, afei momma yɛnhwɛ nea enti a koma no fi ase bɔ anwonwakwan so saa. Nokwarem no, ntease pii betumi ama eyi aba. Ebi ne:

• Adwene mu tebea horow:
• Dadwen a emu yɛ den
• Ɔbrɛ
• Ehu anaa ahodwiriw a ɛba mpofirim (`Ehu`) .
• Ehu a wontumi nni so (`Ehu ntua`) .
• Nneɛma a ɛfa asetra kwan ho:
• Apɔw-mu-teɛteɛ (titiriw bere a wufi ase teɛteɛ w’apɔw mu mpofirim no) .
• Nyinsɛn a wɔde di dwuma
• Nsã a caffeine wom (kɔfe, tii, anonne a ɛyɛ dɛ bi) a wɔnom boro so .
• Tawa a nicotine wom a wɔde di dwuma
• Nsã a wɔnom
• Nnuru bi a wɔde di dwuma (e.g., `Cocaine`, `Amphetamines` (ahoɔhare)) .
• Aduruyɛ mu ntease ahorow:
• Thyroid a ɛyɛ adwuma boro so (Hyperthyroidism) .
• Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) .
• Potassium anaa oxygen dodow a ɛwɔ mogya no mu a ɛso tew
• Carbon dioxide dodow a ɛwɔ mogya no mu a ɛso tew
• Huraeɛ
• Anemia (mogya a enni nipadua mu) .
• Nsu a ɛyera dodo fi nipadua no mu (`Dehydration`) .
• Mogya a ɛtɔ kɛse (`Mogya a ɛyera`) .
• Nnuru ne nneɛma afoforo:
• Nnuru ahorow bi a wɔde home a wɔde di dwuma ma ayamtu (`Asthma inhalers`) .
• Beta-blockers (nnuru a wɔde sa mogya mmoroso anaa komayare) bi (titiriw bere a wɔagyae ne di anaasɛ wɔresakra dodow a wɔde di dwuma) .
• Nnuru a wɔde sa thyroid nyarewa
• Nnuru a wɔde yɛ koma a ɛbɔ a ɛnteɛ (Antiarrhythmic medicines) .
• Atiridii/fefe nnuru bi (titiriw nea `decongestants` wom) .
• Nnuru ne aduannuru a wɔde ka ho binom

Fa no sɛ, sɛ wudi aduan a ɛyɛ nnuhwam paa, nom kɔfe kuruwa biako wɔ ɛno akyi, na wo ho yeraw wo kakra a, wubetumi akɔ so anya komayare te sɛ eyi!

Bere bɛn na wobetumi ate koma a ɛbɔ yi nka kɛse?

Saa koma a ɛbɔ yi betumi aba wɔ asetra mu mmere ahorow mu. Momma yɛnhwɛ nhwɛso ahorow bi:

• Bere a dadwen kɔ soro: Sɛnea yɛadi kan aka no, sɛ wote dadwen, ehu, anaa dadwen nka a, saa koma bɔ yi betumi aba sɛ ɔkwan a nipadua no fa so yɛ ho biribi.
• Bere a wɔadi awie no: Nnipa binom te nka sɛ wɔn koma retu bere a wɔadi awie no. Eyi betumi asi titiriw bere a woadi nnuan a ɛyɛ nnuhwam, srade, anaa nnuhwam , anaasɛ bere a woanom anonne a caffeine wom (te sɛ kɔfe anaa tii), anaasɛ bere a woanom nsa awie no.
• Anadwo: Saa koma a ɛbɔ yi betumi aba awia ne anadwo nyinaa. Nanso, ɛda adi sɛ yɛbɛte nka anadwo efisɛ yɛmfa yɛn ho nhyɛ dwumadi afoforo mu na ɛhɔ yɛ dinn.
• Sɛ woda wo nkyɛn a: Ɛtɔ mmere bi a, sɛ woda wo nkyɛn, titiriw bere a woda wo benkum so a, nhyɛso a ɛwɔ nipadua no mu no betumi ayɛ kɛse na ama koma abɔ ntɛmntɛm.
• Da mũ nyinaa: Mpɛn pii no, koma a ɛbɔ no nkyɛ. Nanso, sɛ wo koma bɔ da mũ nyinaa a , akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ oduruyɛfo afotu.
• Wɔ nyinsɛn mu: Eyi yɛ biribi a nnipa pii hyia bere a wɔyem. Nea enti a ɛte saa ne sɛ wo koma bɔ ne mogya dodow a ɛkɔ wo nipadua mu no kɔ soro na ama akokoaa no anya aduannuru ne mframa pa a ohia. Mpɛn pii no, eyi nyɛ asiane. Nanso, wubetumi abisa wo duruyɛfo no aduru a ahobammɔ wom a wobɛnom bere a wonyinsɛn no ho asɛm.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn wɔ koma mu nwiinwii yi ho a, obedi kan de afiri a wɔde tie asɛm atie wo koma ne w’ahurututu. Nea ɛka ho no, obebisa wo nea edidi so yi ho asɛm:

• Wo aduruyɛ ho abakɔsɛm a edi mũ ( nyarewa a woadi kan anya, nnuru, ne nea ɛkeka ho).
• Nsɛnkyerɛnne bɛn na worehyia mprempren ( te sɛ wo koma a ɛbɔ kɛkɛ, anaasɛ so sɛnkyerɛnne afoforo nso wɔ hɔ?)
• W’aduan ( te sɛ nea wudi, caffeine, ne nsa a wonom).
• Nnuru ne nhabannuru a wode redi dwuma mprempren .

Afei nso, sɛ oduruyɛfo no betumi aka wo koma bɔ ho nsɛm a edidi so yi akyerɛ wo:

• Bere bɛn na eyi ba, na mpɛn ahe na ɛba?
• Bere tenten ahe na adi ?
• Nkate bɛn na wunya bere a eyi si (te sɛ wo ho a ɛyɛ wo yaw, w’adwene tu fra)?
• Dɛn na na woreyɛ bere a eyi fii ase no?
• Dɛn na ɛma wote nka sɛ wo ho ye na wo ho tɔ wo bere a woyɛ saa no ?

Ebia wobɛpa koma bɔ yi bere a wokɔ oduruyɛfo nkyɛn no. Sɛ ɛba saa a, ebia oduruyɛfo no bɛka akyerɛ wo sɛ fa wo nsateaa bɔ pon no so na ama woahu sɛnea ɛyɛ dɛ.

Sɔhwɛ ahorow bɛn na wɔbɛyɛ?

Nea ɛbɛyɛ na oduruyɛfo no ahu nea ɛde ba ankasa no, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu bi nso. Ebi ne:

• Mogya mu nhwehwɛmu: Hwɛ sɛ nneɛma te sɛ mogya a ɛtɔ kɔ nipadua mu, thyroid ho haw, ne electrolyte a ɛnkari pɛ anaa.
• Nsu mu nhwehwɛmu: Sɛ ɛho hia a.
• Electrocardiogram (ECG/EKG): Eyi kyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Sɛ koma bɔ saa bere no a, wɔkyere gu kasɛt so.
• Stress test (Exercise ECG): Wɔyɛ ECG bere a woretu mmirika wɔ treadmill so anaasɛ wote sakre so de hwɛ sɛnea wo koma yɛ n’ade.
• Echocardiogram: Eyi yɛ koma no mu mfonini a wɔde ultrasound yɛ. Ebetumi ahwɛ nneɛma te sɛ sɛnea koma no te ne sɛnea ntini ahorow no yɛ adwuma.
• Holter a wɔde hwɛ nneɛma so:Eyi yɛ mfiri ketewaa bi a wohyɛ nnɔnhwerew 24 anaa 48, ebia ɛkyɛ sen saa. Ɛkɔ so kyerɛw wo koma ECG no. Ɛsan nso ka kyerɛ wo sɛ kyerɛw mmere a wote nka sɛ wo koma bɔ no.
• Electrophysiology nhwehwɛmu (EPS): Eyi yɛ sɔhwɛ a ɛyɛ den kɛse. Ɛhwɛ koma no anyinam ahoɔden nhyehyɛe no mu kɔ akyiri de hwehwɛ mmeae a nnyigyei a ɛnyɛ ne kwan so rekɔ so.
• Koma mu catheterization: Sɛ ɛho hia a, wɔyɛ nhwehwɛmu yi de hwɛ sɛ koma no mogya ntini mu asiw anaa.

Ebia ɛho behia nso sɛ wokɔ electrophysiologist, oduruyɛfo a ne ho akokwaw wɔ koma a ɛnyɛ ne kwan so (arrhythmias) ho.

Dɛn ne ayaresa a wɔde sa eyi? (`Ayaresa`) .

Ayaresa a eye sen biara a wɔde bɛma wo no begyina nea ɛde wo koma a ɛbɔ no so. Ebia wunhia ayaresa biara koraa . Sɛ nhwɛso no, sɛ kɔfe anaa dadwen na ɛma wo koma bɔ a, ebia wubetumi akwati saa nneɛma no.

Nanso, sɛ wohu sɛ wowɔ komayare anaa koma a ɛnyɛ ne kwan so a, ebia ebehia sɛ wonom nnuru, woyɛ wo oprehyɛn, woyɛ wo oprehyɛn, anaasɛ wonya afiri bi te sɛ nea ɛma wo koma bɔ kɛse a ɛbɛma woatumi ahwɛ sɛnea wo koma bɔ . Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ nyinaa akyi na woakɔ bere a woadi akyi no.

Dɛn na metumi ayɛ de asiw koma bɔ?

Sɛ dadwen anaa adwennwen na ɛma wo koma bɔ a, wubetumi:

• Yɛ yoga .
• Yɛ adwennwen .
• Yɛ adwene mu apɔw-mu-teɛteɛ a ɛtwe adwene si ahome so .
• Fa wo ho hyɛ dwumadi afoforo a ɛma adwene no dwo mu.

Afei nso, sɛ wususuw sɛ caffeine na ɛde eyi ba a, ɛho behia sɛ woto anonne a caffeine wom te sɛ kɔfe ne tii no ano hye anaasɛ wugyae koraa.

So koma a ɛbɔ yi befi hɔ?

Mpɛn pii no, sɛ biribi a wudi anaa woyɛ na ɛde wo koma bɔ (sɛ nhwɛso no, sigaretnom, nsa, caffeine, nnuan a ɛyɛ nnuhwam, apɔw-mu-teɛteɛ a ɛboro so) a, saa nneɛma a ɛkanyan wo no a wobɛkwati no betumi aboa ma akɔ hɔ a wonnya ayaresa .

Nanso, sɛnea yɛadi kan aka no, sɛ komayare bi a ɛda adi anaasɛ koma bɔ a ɛnteɛ wɔ hɔ a, akyinnye biara nni ho sɛ ɛsɛ sɛ wɔsa.

Ɔkwan bɛn so na wobetumi asiw komayare ano? (Ayaresa a wɔde siw ano) .

Wubetumi atew tebea horow yi a ɛtaa ba no so denam afotu yi a wubedi akyi no so:

• Tew w’adwennwen so.Sɔ nneɛma te sɛ apɔw-mu-teɛteɛ a wɔde home a emu dɔ, apɔw-mu-teɛteɛ a wɔde gye wɔn ahome, yoga, tai chi, mfonini a wɔkyerɛ kwan, anaa akwan a wɔfa so de biofeedback hwɛ.
• Kwati nsa dodow a wonom anaa to ano hye .
• Kwati anaasɛ to caffeine dodow a ɛwɔ w’aduan mu no ano hye.
• Mfa tawa anaa nneɛma a nicotine wom nni dwuma .
• Apɔw-mu-teɛteɛ daa . Nanso ansa na wubefi ase no, bisa wo duruyɛfo no apɔw-mu-teɛteɛ a ɛfata wo.
• Kwati nnuan, anonne ne dwumadi ahorow a ɛma koma bɔ kɛse.
• Di wo mogya mmoroso ne srade dodow so .

So koma a ɛbɔ denneennen no yɛ asiane? So eyi yɛ ade a ɛfata?

Dabi, mpɛn pii no, koma a ɛbɔ no nyɛ nea asiane wom . Eyi abu so yiye. Mpɛn pii no, eyi yɛ sɛnea nipadua no yɛ n’ade wɔ adwennwen anaa dadwen ho ara kwa. Nnipa a wɔwɔ saa tebea yi betumi akɔ wɔn asetra a ɛfata mu sɛnea wɔtaa yɛ no.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Eyi ho hia paa. Sɛ ɛyɛ koma a ɛbɔ sɛnea ɛsɛ mpo a, wɔ tebea horow bi mu no, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Frɛ 1990 (Sri Lanka Ambulance Service) ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo sɛ koma no nnyae, anaasɛ sɛ sɛnkyerɛnne ahorow yi ka ho a:

* Sɛ obi totɔ piti anaasɛ obi totɔ piti .

* Ɛyaw a emu yɛ den, nhyɛso, anaa wo koko, wo kɔn, wo hwene, wo nsa (basa), anaa w’akyi atifi a ɛyɛ den .

* Ɔhome mu haw a emu yɛ den / Ɔhome a ɛyɛ tiaa .

* Atirimɔdensɛm a emu yɛ den anaasɛ ne ti a ɛyɛ hare .

Sɛ wo koma bɔ bere ne bere mu nanso wunni sɛnkyerɛnne a emu yɛ den a yɛaka ho asɛm wɔ atifi hɔ no biara a, kɔ w’abusua oduruyɛfo nkyɛn. Afei nso, sɛ wo koma a ɛbɔ no mu yɛ den anaasɛ mpofirim ara efi ase sɛ ɛtaa ba a , hwɛ hu sɛ wobɛma wo duruyɛfo ahu.

Bere bɛn na ɛsɛ sɛ wohaw wo ho wɔ komayare ho?

Ɛwom sɛ mpɛn pii no, koma a ɛbɔ no nyɛ nea asiane wom de, nanso sɛ sɛnkyerɛnne ahorow yi ka ho a, ebetumi ayɛ akwahosan ho haw a emu yɛ den ho sɛnkyerɛnne. Enti hwɛ eyinom so:

• Sɛ wote nka sɛ wo ho ayɛ wo hyew, n’adwene atu afra, anaasɛ wo ti ayɛ hare.
• Koko mu yaw anaa nhyɛso.
• Ahome a ɛyɛ tiaa.
• Fifiri a ɛyɛ soronko.
• Sɛ koma a ɛbɔ no reyɛ kɛse anaasɛ ɛrekɔ so mpɛn pii a.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm yi. Eyi bɛboa wo ma woate tebea no ase yiye:

• "Oduruyɛfo, dɛn nti na me koma rebɔ?" (`Dɛn na ɛde me koma rebɔ?`)
• "So mihia ayaresa ma me koma a ɛbɔ denneennen?"
• "Bere bɛn na me koma bɛbɔ?"
• "Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m'asetra kwan mu?"
• "Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ so titiriw?"

Enti, nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne:

Koma a ɛbɔ (a ɛkyerɛ sɛ koma bɔ ntɛmntɛm, ɛnyɛ daa, anaasɛ ɛbɔ ntɛmntɛm) nyɛ biribi a yɛtaa te nka, enti sɛ yɛte nka mpofirim a, ebetumi ayɛ nwonwa kakra na ayɛ hu. Nanso, mpɛn pii no, ɛnyɛ nea epira wɔn . Mpɛn pii no, nneɛma te sɛ adwennwen, dadwen, ne nnuan a yedi na ɛde ba.

Nanso sɛ wuhu sɛnkyerɛnne afoforo a emu yɛ den te sɛ adwenemhaw, wo koko mu yaw, ahome a ɛyɛ tiaa, anaasɛ wo totɔ piti bere a wo koma bɔ denneennen a, ebetumi ayɛ aduruyɛ mu ɔhaw a emu yɛ den ho sɛnkyerɛnne . Wɔ tebea a ɛte saa mu no, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara a worensɛe bere biara .

Nsuro, na mmom hwɛ wo nipadua so. Efisɛ w’akwahosan ho hia wo paa!

` Koma a ɛbɔ, koma a ɛbɔ, koko mu yaw, koma a ɛbɔ a ɛnteɛ, koma a ɛbɔ, dadwen, adwennwen