Wo koma bɔ dɛn? Momma yɛnhwehwɛ nea ɛyɛ pɛpɛɛpɛ!

So woasusuw mpɛn dodow a wo koma bɔ simma biako ho pɛn? Eyi ne nea yɛfrɛ no yɛn koma bɔ anaa ``Koma a ɛbɔ''. Ɛte sɛ engine ketewaa bi a ɛwɔ yɛn nipadua mu. Ne ahoɔhare sesa gyina nea yɛyɛ ne nea yɛka, ne nea yɛte nka so. So ɛnyɛ nwonwa? Enti ɛnnɛ, momma yɛnka koma a ɛbɔ yi ho asɛm wɔ ɔkwan a ɛnyɛ den so.

Dɛn ankasa ne koma a ɛbɔ?

Sɛ yɛbɛka no tiawa a, koma bɔ ne mpɛn dodow a wo koma bɔ wɔ simma biako mu. Wunim, eyi yɛ biribi a yɛn nipadua no ankasa di so. Ɛno kyerɛ sɛ sɛ yetu mmirika, yɛteɛteɛ yɛn apɔw mu, anaasɛ yɛn ani gye kɛse anaasɛ yesuro a, yɛn koma bɔ kɔ soro . Saa ara nso na sɛ yɛda, yɛgye yɛn ahome, anaa yɛyɛ komm a, saa dodow yi so tew . Eyi yɛ biribi a ɛsakra sɛnea yɛn nipadua ahiade te.

Dɛn nti na ehia sɛ yesusuw koma a ɛbɔ ho pii saa?

Ebia wobɛdwene sɛ, "Enti eyi yɛ biribi foforo ara kwa, dɛn nti na eyi yɛ asɛm kɛse saa?" Nokwarem no, koma a ɛbɔ yɛ ade a ɛho hia a ɛka yɛn akwahosan ho nsɛm pii kyerɛ yɛn .

• Nnuruyɛfo hwehwɛ eyi mu: Sɛ wokɔ oduruyɛfo nkyɛn a, ebia woahu sɛ wɔrehwɛ wo koma a ɛbɔ. Ɛne sɛ, wɔhwɛ wo koma bɔ. Wɔtaa yɛ eyi bere a wɔreyɛ nhwehwɛmu daa afe biara, bere a yare bi wɔ wo mu, anaa ansa na wɔayɛ wo oprehyɛn no.
• Nea ɛho hia ma wɔn a wɔteɛteɛ w’apɔw mu: Sɛ woyɛ obi a ɔteɛteɛ w’apɔw mu a, eyi bɛboa wo ma woahu sɛ woreyɛ apɔw-mu-teɛteɛ yiye anaasɛ worebɔ mmɔden dodo.
• Ebetumi ahu akwahosan ho haw ahorow: Sɛ́ ebia wo koma bɔ kɛse anaasɛ ɛba fam koraa sen sɛnea ɛte daa no , ebetumi ayɛ komayare anaa akwahosan ho haw foforo ho sɛnkyerɛnne. Ɛnyɛ ɛno nko, na mmom nnuruyɛfo nso betumi anya nyarewa bi ho adwene denam sɛnea saa akisikuru yi te nka wɔ yɛn nipadua nyinaa mu no so.

Wobɛyɛ dɛn asusuw wo koma bɔ? Ɛyɛ mmerɛw yiye!

Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye a ɛsɛ sɛ woyɛ. W’ankasa wubetumi ayɛ wɔ fie. Ɛyɛ sɔhwɛ a ɛnyɛ nea wɔde hyɛ nipadua mu na ɛnyɛ yaw.

1. Hwehwɛ wo koma a ɛbɔ: Fa wo nsateaa abiɛsa a ɛware sen biara (nsateaa kɛse, mfinimfini nsateaa, nsateaa a ɛyɛ nkatabo) bom na mia wo honam ani baabi brɛoo. Saa koma a ɛbɔ yi ne nhyɛso a wote nka bere a mogya fa yɛn nipadua mu ntini ahorow bi mu no.

• Mmeae a eye sen biara: Mpɛn pii no mmeae a ɛyɛ mmerɛw sɛ wobɛhwɛ wo koma a ɛbɔ ne kɔla dompe (wo kɔn fã), baabi a ``Carotid artery`` no wɔ. Anaasɛ wo nsateaa (wɔ wo basa no nkyɛn, wo nsateaa no nkyɛn kɔ fam). Baabi a ``Radial artery`` no wɔ.

2. Kan: Sɛ wuhu sɛnea wo koma bɔ wie a, hwɛ dɔn bi na kan mpɛn dodow a wo koma bɔ wɔ sikɔne 60 (simma biako) mu. Sɛ ɛyɛ den ma wo sɛ wobɛkan sikani 60 a, kan sikɔne 30 na fa mmɔho abien. Anaasɛ wubetumi akan sikani 15 na wode anan abɔ ho.

3. Wo koma bɔ:Botae a wunya ne wo koma a ɛbɔ. Eyi ne nea yɛfrɛ no `bpm` (beats per minute).

Koma a Ɛbɔ wɔ Ahomegye Mu: Eyi ne din a wɔde frɛ koma a ɛbɔ a wosusuw bere a wo ho adwo wo na wonyɛ hwee no.

Wubetumi asusuw eyi bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ bere a woawie no. Saa kwan no so no, wubetumi ahu sɛnea na w’apɔw-mu-teɛteɛ no mu yɛ den fa.

Mfiri a wɔde di apɔwmuden akyi mprempren no bi te sɛ nsateaa dɔn no ankasa susuw wo koma bɔ na ɛda adi.

Dɛn na nea efi susuw no mu ba no ka?

Wɔbɛma wo nɔma bi tẽẽ. Eyi ne mpɛn dodow a wo koma bɔ simma biako. Sɛ wohwɛ nɔma yi a, wubetumi ahu sɛ ebia wo koma bɔ wɔ nea ɛfata mu anaasɛ ɛnte saa.

Ɛsɛ sɛ koma a ɛbɔ sɛnea ɛsɛ no yɛ dɛn?

Ɛsono eyi wɔ onipa biara fam. Egyina mfe a woadi ne w'akwahosan nyinaa so . Mpɛn pii no, abofra koma bɔ kɛse kakra.

### Koma a ɛbɔ daa wɔ ahomegye mu ma mmofra nkumaa (bere a wɔada):

• Nkokoaa a wɔawo wɔn foforo (awo kosi adapɛn 4): wɔbɔ 100 kosi 205 simma biara (100-205 bpm)* .
• Nkokoaa a wɔadi asram 4 kosi afe 1: wɔbɔ 100 kosi 180 simma biara (100-180 bpm)*
• Mmofra a wɔretu mmirika a wɔadi mfe 1 kosi 3: wɔbɔ 98 kosi 140 simma biara (98-140 bpm)*
• Mmofra a wonnya nkɔɔ sukuu a wɔadi mfe 3 kosi 5: wɔbɔ 80 kosi 120 simma biara (80-120 bpm) .
• Mmofra a wɔadi mfe 5 kosi 12 a wɔakɔ sukuu: wɔbɔ 75 kosi 118 simma biara (75-118 bpm) .
• Mmabun (mfe 13 kosi 18): wɔbɔ 60 kosi 100 simma biara (60-100 bpm) .

*Akontaabu yi gyina bere a mmofra no ani da hɔ so. Ebia saa gyinapɛn ahorow yi bɛba fam bere a wɔada no.

### Koma a ɛbɔ daa wɔ ahomegye mu ma mpanyimfo (mfe 18 ne nea ɛboro saa):

• Wɔbɔ 60 kosi 100 simma biara (60-100 bpm) .

Dɛn ne koma a ɛbɔ ne koma a ɛbɔ kɛse a ɛsɛ sɛ yɛde si yɛn ani so bere a yɛreteɛteɛ yɛn apɔw mu no?

Sɛ woyɛ obi a ɔteɛteɛ w’apɔw mu a, ɔfã yi bɛyɛ nea ɛho hia wo yiye.

• Koma a Wobɛbɔ a Wode Botae: Eyi ne ɔkwan a eye sen biara a wobɛfa so atra mu bere a woreyɛ apɔw-mu-teɛteɛ a emu yɛ den (sɛ nhwɛso no, nantew ntɛmntɛm). Saa level yi ye efisɛ ɛdɔɔso ara kwa sɛ ɛbɛboa wo koma, na ɛremfa wo nkɔ nhyɛso a ɛho nhia mu.
• Koma a Ɛbɔ Kɛse: Sɛ wopɛ sɛ woteɛteɛ w’apɔw mu denneennen a, wubetumi akɔ soro bɛyɛ 95% wɔ wo koma a ɛbɔ kɛse no mu. NansoMma ɛntra so. Sɛ woyɛ saa a, ebia asiane a ɛwɔ mu no bɛboro mfaso a ɛwɔ so no.

Nea ɛho hia: Sɛ wo nteɛteɛ w’apɔw mu daa a, ɛho hia sɛ wo ne wo duruyɛfo kasa ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe foforo ase. Eyi ho hia titiriw sɛ wowɔ komayare, ɔhome mu haw, anaa mogya a ɛkɔ nipadua no mu ho haw bi a. Wo duruyɛfo betumi de afotu a eye sen biara ama wo wɔ sɛnea wobɛteɛteɛ w’apɔw mu dwoodwoo na etu mpɔn a woremfa w’akwahosan nto asiane mu.

### Ɔkwan bɛn so na wobu eyi ho akontaa?

Wubetumi abu w’ankasa wo koma a ɛbɔ kɛse ne nea wode w’ani asi so no ho akontaa.

• `220 - Wo mfeɛ = Koma a Ɛbɔ Kɛseɛ`
• `Ahoɔhare a ɛsen biara x 0.6 = boɔ a ɛba fam koraa wɔ botaeɛ kwan so`
• `Ahoɔhare a ɛsen biara x 0.8 = botaeɛ kwan a ɛkorɔn sen biara`

Sɛ nhwɛso no, sɛ woadi mfe 40 a:

• Koma a ɛbɔ kɛse: `220 - 40 = 180 bpm`
• Botae a ɛba fam koraa wɔ botae no mu: `180 x 0.6 = 108 bpm`
• Botae a ɛkorɔn sen biara wɔ botae no mu: `180 x 0.8 = 144 bpm`

Ɛno kyerɛ sɛ, ɛsɛ sɛ wobɔ mmɔden sɛ wobɛma wo koma bɔ bɛyɛ 108 bpm kosi 144 bpm bere a woreteɛteɛ w’apɔw mu no.

Dɛn ne koma a ɛbɔ a ɛkɔ soro? (Tachycardia) .

Sɛ wo koma bɔ boro 100 simma biara (`100 bpm`) bere a woregye w'ahome a, nnuruyɛfo frɛ no `Tachycardia` . Ebia eyi bɛkyerɛ sɛ ɔhaw bi wɔ nhyehyɛe a ɛkyerɛ sɛ wo koma bɔ no mu. Nhwɛsoɔ bi ne tebea te sɛ `(Atrial Flutter)` ne `(Ventricular Tachycardia)`.

Nanso, ɛnyɛ bere nyinaa na koma a ɛbɔ kɛse no yɛ koma a ɛbɔ denneennen (Arrhythmia). Ɛtɔ da bi a, koma no bɔ tumi kɔ soro esiane nneɛma a edidi so yi nti:

• Nsu a ɛho ntew
• Ɔyare mmoawa bi
• Huraeɛ
• Yeaw
• Brɛ
• Thyroid mu yare a ɛma obi nya yare

Sɛ wowɔ adwennwen pii mu , wohaw wo ho , anaasɛ wim yɛ hyew kɛse anaasɛ ɛyɛ nwini a , wo koma bɔ nso betumi akɔ soro. Eyinom yɛ bere tiaa mu tebea horow. Enti, san susuw wo koma bɔ bere a wo ho adwo wo kakra akyi, anaasɛ bere a tebea horow no atwam no.

Dɛn ne koma a ɛbɔ brɛoo? (Bradycardia) .

Sɛ wo koma bɔ nnu 60 simma biara (`60 bpm`) bere a woregye w'ahome a, wɔfrɛ no ` Bradycardia`. Ebia eyi bɛkyerɛ sɛ ɔhaw bi wɔ nhyehyɛe a ɛkyerɛ sɛ koma no bɔ no mu. Nhwɛsoɔ bi ne tebea bi a wɔfrɛ no `Heart Block`.

Worenom nnuru bi, sɛ nhwɛso no `Beta-blockers`Sɛ worenom aduru bi a wɔfrɛ no beta-blocker a, ebia wo koma bɔ nso bɛbrɛ ase. Ɛnyɛ bere nyinaa na eyi yɛ biribi a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho. Mpɛn pii no, ebia worenom saa aduru no na ama wo mogya so atew anaasɛ ama wo koma ayɛ adwuma ayɛ mmerɛw.

Sɛ woyɛ obi a ɔteɛteɛ w’apɔw mu denneennen , titiriw ogumadifo a ɔpɛ akansi a, ebia wo koma bɔ a woregye w’ahome no bɛba fam asen mpɛn 60 wɔ simma biara mu. Wɔ agumadifo binom fam no, eyi betumi ayɛ nea ɛba fam te sɛ 40 bpm. Nanso, wɔ onipa a ɔte ase fam no, bo a ɛte saa betumi ayɛ nea ɛba fam wɔ ɔkwan a asiane wom so.

Sɛ koma no bɔ nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wo koma a ɛbɔ bere a woregye w’ahome no boro nea ɛfata so a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ɛho hia sɛ wɔma wɔhwɛ, efisɛ koma a ɛbɔ kɛse dodo anaasɛ ɛba fam dodo betumi ayɛ ɔhaw bi ho sɛnkyerɛnne.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ nsɛm bi a ɛhaw wo anaa nsɛmmisa bi fa wo koma bɔ ho a, ɛbɛyɛ papa sɛ wo ne wo ɔyarehwɛfo titiriw (PCP) bɛkasa. Obetumi abua wo nsɛmmisa na sɛ ɛho hia a, ɔde wo akɔ oduruyɛfo titiriw nkyɛn.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn:

• Sɛ wote nka sɛ wo ti ayɛ wo yaw bere a wo koma bɔ kɛse a.
• Sɛ wo koma a ɛbɔ bere a woregye w'ahome no kɔ so yɛ kɛse dodo anaasɛ ɛba fam dodo a .
• Sɛ wo koma bɔ te sɛ nea ɛnteɛ, ɛrehuruw, anaasɛ ɛne ne ho nhyia a .
• Sɛ wote nka sɛ worebɔ denneennen bere a wofa wo koma a ɛbɔ sen sɛ wobɛbɔ "thump" a, wɔsan frɛ eyi "anigye. " Eyi betumi ayɛ koma ne mogya a ɛkɔ nipadua no mu haw ahorow bi ho sɛnkyerɛnne.
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm a wonte wo koma a ɛbɔ denneennen (wɔfrɛ eyi ``Heart Palpitations'').

Ɛho hia yiye nso sɛ anyɛ yiye koraa no wobɛkɔ w’abusua oduruyɛfo nkyɛn pɛnkoro afe biara akɔhwɛ w’akwahosan afe biara . Ɛtaa ba sɛ wɔbɛhwɛ wo koma bɔ saa bere no. Etumi hu nyarewa pii nso (nyarewa a ɛyɛ hu, a enni sɛnkyerɛnne biara mpo) ntɛm. Sɛ wohu ntɛm a, wobetumi asa nneɛma pii.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Seesei wote nea koma bɔ yɛ, sɛnea wosusuw, ne nea ebetumi aka akyerɛ yɛn no ase.

Eyi yɛ biribi a ɛnyɛ den sɛ w’ankasa wubetumi asusuw ho. Sɛ wotaa susuw wo koma bɔ a, wubetumi anya adwene bi wɔ nea wo nɔma "a ɛyɛ daa" no yɛ ho.

• Sɛ wunya akenkan bi a ɛyɛ soronko da bi a, mma wo ho nnpopo. Susuw nea na woreyɛ ansa na ɛreba no ho. Ebia ntease bi wɔ hɔ a enti ɛte saa (e.g., bere a wosuroe bere a wuguan akyi no).
• Nanso, sɛ wokɔ so nya gyinapɛn ahorow a ɛnteɛ, anaasɛ wowɔ ho dadwen bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.Wobetumi ahu nea ɛma wo koma bɔ ntɛmntɛm sen sɛnea ɛsɛ.

Wo koma a wobɛhwɛ so no te sɛ wo nipadua nyinaa a wobɛhwɛ so. Enti, ɛfata sɛ yɛhwɛ ade ketewa yi, nanso ɛho hia yiye.

` Koma a ɛbɔ, koma a ɛbɔ, koma a ɛbɔ, koma a ɛbɔ sɛnea ɛsɛ, komayare, apɔw-mu-teɛteɛ