So woanya osuahu bi mpofirim, a ɛyɛ bruu, na w’adwene tu fra pɛn? Ebia woanya saa osuahu yi bere a wugyina hɔ, wogyina hɔ mpofirim, anaasɛ wowɔ baabi a nnipa ahyɛ hɔ ma no. Ɛbɛyɛ sɛ wo ne w’abusua no suroe kɛse efisɛ na wuntumi nhu nea ɛde adwenemhaw a ɛte sɛɛ reba? Ɛnnɛ, yɛbɛka sɔhwɛ titiriw bi a nnuruyɛfo de hwehwɛ nea ɛde eyi ba ankasa ho asɛm. Wɔfrɛ eyi sɛ Hemodynamic Test.
Dɛn ne Hemodynamic Test?
Sɛ yɛbɛka no tiawa a, mogya mu ahoɔden nhwehwɛmu yɛ sɔhwɛ a ɛkyerɛ sɛnea wo mogya fa wo nipadua mu, sɛnea wo koma reyɛ adwuma yiye, ne sɛnea wo koma reyɛ adwuma yiye. Ɛtɔ da bi a wɔfrɛ eyi ‘hemodynamic tilt test’. Eyi de mfoninitwa afiri titiriw bi ne nneɛma kakraa bi a ɛma mframa bɔ kɛse na ɛma wuhu sɛnea wo koma ne wo mogya ntini no yɛ adwuma no yiye. Yɛfrɛ saa kwan yi `(nuklea mfoniniyɛ)`.
Dɛn nti na wɔreyɛ sɔhwɛ yi?
Sɛ wotaa totɔ piti a, nnuruyɛfo de nsɛm a efi sɔhwɛ yi mu no bedi dwuma de abɔ mmɔden sɛ wobehu nea ɛde ba. Yɛfrɛ no wɔ aduruyɛ mu sɛ obi a ɔtotɔ piti ``syncope.'' Nea ebefi sɔhwɛ yi mu aba no na ɛbɛkyerɛ ayaresa a eye sen biara ama wo.
Nneɛma pii nti na obi betumi atɔ piti:
- Mogya a ɛkɔ amemene no mu a ɛso tew bere tiaa bi.
- Mogya mmoroso anaa koma a ɛbɔ so tew mpofirim.
- Nsakrae a ɛba mogya dodow a ɛwɔ nipadua no mu anaa ɔkwan a wɔfa so kyekyɛ mogya mu.
Mpɛn pii no, nnipa a wɔtotɔ piti betumi anya ayaresa tebea bi a ɛfa koma, ntini, anaa mogya ntini a ɛwɔ wɔn amemene mu ho. Enti sɔhwɛ yi betumi aboa ma wɔahu nea saa tebea no yɛ ankasa.
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Sɛ wubetumi ayɛ sɔhwɛ yi yiye a, ebehia sɛ wusiesie wo ho kakra. Hwɛ yiye kakra wɔ saa nneɛma yi ho.
| Afutuo | Nkyerɛmu |
|---|---|
| Nyinsɛn a wɔde di dwuma | Sɛ wonyinsɛn anaa worema nufu a, wontumi nyɛ nhwehwɛmu yi, enti wobetumi aka akyerɛ wo sɛ yɛ nyinsɛn mu nhwehwɛmu de hwehwɛ w’ankasa ahobammɔ. |
| Aduan ne anonne | Nnidi anaa nnom biribiara nnɔnhwerew anan ansa na woayɛ sɔhwɛ no. Nni biribiara, te sɛ chewing gum anaa toffee. Sɛ ɛsɛ sɛ wonom nnuru a, fa nsu a wobɛnom nkutoo. |
| Caffeine a wɔde yɛ adwuma | Nnom biribiara a caffeine wom (tii, kɔfe, cola) da a wɔbɛyɛ sɔhwɛ no. Kwati nneɛma a wɔakyerɛw so sɛ “caffeine nnim” anaasɛ “caffeine nnim” efisɛ ebia caffeine kakraa bi da so ara wɔ mu. |
| Sɛ wowɔ asikreyare a | Sɛ wowɔ asikreyare a, bisa sɛ wɔnyɛ nhyehyɛe bɛyɛ 12:30 p.m. Saa kwan no so no wubetumi adi anɔpaduan a emu nyɛ duru ansa na 8:30 a.m. Wo ne wo duruyɛfo nka eyi ho asɛm. |
| Nnuru afoforo | Mfa nnuru a ɛma obi ho yɛ hyew anaa nnuru a ɛma obi ho yɛ hyew ansa na woayɛ nhwehwɛmu. Fa nnuru afoforo nyinaa sɛnea ɛsɛ. Bisa wo duruyɛfo sɛ ebia nnuru biara a worenom no wɔ caffeine ne sɛ ebia ɛsɛ sɛ wonom da a wɔbɛyɛ nhwehwɛmu no anaa. Nnyae nnuru biara a wobɛnom a wunnyaa wo duruyɛfo afotu. |
Dɛn na wobɛhwɛ kwan wɔ sɔhwɛ da no?
- Ntade: Hyɛ ntade ne mpaboa a ɛyɛ fɛ. Wɔbɛhwehwɛ sɛ wohyɛ ayaresabea atade a ɛkata w’asen so fi w’asen so kɔ soro bere a wɔreyɛ sɔhwɛ no. Enti, nhyɛ agude (a ayeforohyia nkaa ka ho). Mfa nneɛma a ɛsom bo mmra.
- Nneɛma a ɛsɛ sɛ wode ba: Fa wo aduruyɛ mu nhwehwɛmu amanneɛbɔ a woayɛ nnansa yi, aduruyɛ ho kyerɛwtohɔ afoforo a ɛfa wo tebea no ho, nnuru ne nnuru a wɔde ka ho a wonom nyinaa din (a dodow ka ho), ne nneɛma biara a ɛma wo ho yɛ wo hyew ho kyerɛwtohɔ bra.
Bere tenten ahe na sɔhwɛ no gye?
Sɔhwɛ no nyinaa gye bɛyɛ nnɔnhwerew abiɛsa. Enti hwɛ kwan sɛ wobɛtra ayaresabea bɛyɛ nnɔnhwerew abiɛsa. Ɛho behia sɛ woda bere a wɔreyɛ sɔhwɛ no. Adwumayɛfo no bɛma wo ho atɔ wo sɛnea wubetumi biara. Sɛ wokɔ so yɛ dinn na wunhinhim sɛnea wubetumi a, wubenya mfonini ahorow a emu da hɔ sen biara.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Saa sɔhwɛ yi yɛ afã horow pii a wɔaka abom, na emu biara boaboa nsɛm a ɛho hia a ɛfa wo koma ne mogya a ɛkɔ nipadua no ho ano.
| Ɔkwan a wɔfa so sɔ hwɛ | Dɛn na ɛrekɔ so? |
|---|---|
| ECG a wɔhwɛ so | Wɔde sticker nketewa pii a ɛyɛ nnam a wɔfrɛ no ``electrodes'' gu wo moma so. Eyinom de wo koma mu anyinam ahoɔden dwumadi kɔ ``EKG/ECG'' afiri bi mu. Eyi betumi ahwɛ sɛnea wo koma bɔ ne sɛnea ɛte wɔ sɔhwɛ no nyinaa mu. |
| Mogya mmoroso a wɔde susuw | Wɔde mogya mmoroso afiri a wɔde abɔ wo basa ho na ɛsusuw wo mogya mmoroso wɔ mmeae ahorow wɔ nhwehwɛmu no mu. |
| Echocardiogram (Echo) a wɔde hwehwɛ koma no mu | Ansa na wobefi nhwehwɛmu no ase, bere a woagye w’ahome simma 20 awie no, wɔbɛyɛ wo echocardiogram (koma mu nhwehwɛmu). Eyi twa wo koma ho mfonini a ɛkɔ akyiri na ɛkyerɛ mogya dodow a wo koma bɔ bere koro mu (cardiac output). Wɔsan nso yɛ saa susudua yi wɔ sɔhwɛ no mu na wɔde toto susudua a edi kan no ho. |
| Nuklea Aduruyɛ Mfoniniyɛ | Eyi ne ɔfã a ɛho hia sen biara. Wɔde radioactive ade ketewaa bi a wɔfrɛ no ``radioactive isotope'' anaa ``tracer'' fa cannula (IV) a wɔde ahyɛ wo ntini mu no mu. Afei, mfoninitwa afiri soronko bi a wɔfrɛ no ``gamma mfoninitwa afiri'' twa wo moma so mfonini. Saa mfoninitwa afiri yi tumi hu mframa a tracer no de ba no. Mfonini ahorow yi betumi ama woahu sɛnea wo koma reyɛ adwuma yiye, sɛnea wo mogya tu ntɛmntɛm, ne mogya dodow a wo koma retu no ho nsɛm pii. |
Wobɛte nka dɛn wɔ sɔhwɛ no mu?
Mpɛn pii no, ɛnte nka sɛ ɛyɛ bɔne dodo. Nanso, nnipa binom betumi anya adwenemhaw , akisikuru, anaa koma a ɛbɔ ntɛmntɛm . Eyi yɛ ade a ɛfata.
Ade a ɛho hia sen biara ne sɛ wobɛka biribiara a wobɛte nka wɔ sɔhwɛ no mu ho asɛm akyerɛ adwumayɛfo no ntɛm ara, sɛ ɛyɛ nea ɛnyɛ dɛ kakra mpo a. Oduruyɛfo no de wo yare no ho sɛnkyerɛnne ne nsɛm a efi sɔhwɛ no mu nyinaa bedi dwuma de aka wo tebea no ho asɛm.
Bere a radioactive nneɛma no fa cannula no mu no, ebia wobɛte nka sɛ awɔw bi retu mmirika akɔ wo basa so. Ebia wobɛte dadeɛ dɛ nso wɔ w’anom anaasɛ hua a ɛyɛ nwonwa wɔ wo hwene mu. Saa sɛnkyerɛnne ahorow yi befi hɔ bere tiaa bi akyi.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Sɛ sɔhwɛ no wie a, .
- Ɛho behia sɛ wotra ayaresabea kosi sɛ ɔhaw a wotee wɔ sɔhwɛ no mu no befi hɔ koraa.
- Tracer a wɔde dii dwuma wɔ sɔhwɛ no mu no bi bɛkɔ wo nsu mu. Nea aka no bɛpete wɔ wo nipadua mu wɔ awosu mu. Sɛ wopɛ a, wubetumi ama saa adeyɛ yi ayɛ ntɛmntɛm denam nsu kakra a wobɛnom so.
- Nnipa dodow no ara kɔ fie tẽẽ wɔ sɔhwɛ no akyi, nanso sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den (te sɛ wo totɔ piti) wɔ sɔhwɛ no mu a, ɛyɛ papa sɛ wobɛma obi aka wo ho.
So asiane ahorow bi wɔ sɔhwɛ yi mu?
Eyi yɛ sɔhwɛ a ahobammɔ wom yiye. Asiane nketenkete a ebetumi aba ne:
- Ebia wubenya akuru, ayɛ kɔkɔɔ, anaasɛ wo ho ahonhon wɔ baabi a wɔde kankyee no hyɛɛ mu no. Eyi yɛ ade a ɛfata.
- Nneɛma a wɔde yɛ radioactive a wɔde di dwuma no nyɛ ade a wɔde yɛ ade, enti ɛmma obi nnya akisikuru.
Mframa dodow a wɔde di dwuma wɔ sɔhwɛ yi mu no sua koraa. Nokwarem no, ɛbɛyɛ sɛ mframa dodow a anka wubenya bere a woreyɛ wo koko X-ray no ara pɛ. Enti biribiara nni hɔ a enti ɛsɛ sɛ yɛhaw yɛn ho wɔ ho.
Dɛn na sɔhwɛ ho amanneɛbɔ no ka?
Amanneɛbɔ a wo duruyɛfo nsa bɛka no bɛkyerɛ wo sɛ ebia nea efi mu ba no yɛ nea ɛfata anaasɛ ɛnyɛ nea ɛfata. Sɛ wɔnyɛ nea ɛnteɛ a, ɛbɛkyerɛ nea enti a ɛte saa nso. Nhwɛsoɔ:
- So koma mu nnyigyei bi a ɛnteɛ wɔ hɔ?
- So nsakrae bi wɔ mogya mmoroso mu?
- Wubetumi ahu sɛ wowɔ ɔhaw bi te sɛ ahrawa mu yare, baabi a ɛwɔ, ne sɛnea emu yɛ den fa.
- So mogya a ɛkɔ koma no mu no so tew (ischemia)?
- So koma ntini asɛe (infarction) esiane mogya ne oxygen a ɛyera nti?
Mpɛn pii no, egye nnafua 10 kosi 14 ansa na wɔanya amanneɛbɔ yi. Wo duruyɛfo no begyina nea ebefi mu aba yi so ayɛ ayaresa nhyehyɛe ama wo. Ebia ɛho behia sɛ wufi ase fa nnuru foforo anaasɛ wɔde wo kɔ nnuruyɛfo afoforo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wotaa nya adwenemhaw a, eyi yɛ sɔhwɛ a ɛho hia yiye a wode behu nea ɛde ba ankasa. Enti nsuro eyi.
- Di oduruyɛfo no akwankyerɛ akyi yiye ansa na woayɛ nhwehwɛmu, titiriw wɔ aduan, anonne, ne nnuru ho.
- Sɛ wote nka sɛ wo ho yeraw wo (te sɛ adwenemhaw anaa akisikuru) wɔ sɔhwɛ no mu a, ka kyerɛ adwumayɛfo no ntɛm ara. Eyi nso ho hia ma yare a wobehu.
- Mframa dodow a ɛwɔ eyi mu no sua koraa, enti nsuro no a ɛho nhia.
- Sɛ amanneɛbɔ no ba a, wo ne wo duruyɛfo nkasa mfa ho ne daakye ayaresa ho, na bisa nsɛm biara a ebia wowɔ.
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