So wo koma reyɛ adwumaden dodo? Wɔfrɛ eyi High-Output Heart Failure! Momma yɛnka eyi ho asɛm.

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw, anaasɛ wote nka sɛ woabrɛ paa bere a woayɛ biribi ketewaa bi mpo? Ebia wo nan ho ahonhon. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ade biako nti a ɛte saa ne sɛ wo koma reyɛ adwumaden sen sɛnea ɛsɛ sɛ ɛyɛ, nanso wo nipadua no nnya nea ehia. Ɛnnɛ yɛrebɛka komayare soronko bi ho asɛm. Wɔfrɛ eyi komayare a ɛma ahoɔden kɛse .

Dɛn ne Koma a Ɛyɛ Den a Ɛma Ɛyɛ Den?

Okay, enti dɛn ne High-Output Heart Failure? Sɛ yɛbɛka no tiawa a, eyi ne bere a mfiase no wo koma yɛ adwuma sɛnea ɛsɛ. Ɛne sɛ, ɛda adi sɛ ɛso tew sɛnea koma no yɛ adwuma yiye wɔ mogya a wɔde pam mu (`ejection fraction`) anaasɛ ɔhaw biara a ɛfa mogya a ɛhyɛ koma no ma (`preserved ejection fraction`) ho. Nanso, bere a mogya dodow a wo nipadua hia no kɔ soro nkakrankakra no, koma no ntumi nni saa ahwehwɛde no ho dwuma.

Fa no sɛ ɛte sɛ kar engine. Mfiase no ɛyɛ adwuma yiye, nanso bere a adesoa no kɔ soro no, engine no ntumi nni ho dwuma. Bere kɔ so no, koma no yɛ adwuma boro so ma ɛyɛ mmerɛw na awiei koraa no, entumi mfa mogya nkɔ nipadua no mu yiye.

Adɛn nti na wɔfrɛ eyi "High-Output"?

Afei ebia woresusuw nea enti a wɔfrɛ eyi 'high-output' anaa ``high-output''. Ntease pɔtee bi wɔ hɔ a enti wɔtoo saa din yi. Ɛyɛ soronko wɔ komayare ahorow afoforo ho esiane mogya dodow a wɔde fi koma no mu, a wɔfrɛ no `` koma mu nsu a ɛba'' nti.

Wɔ komayare ahorow dodow no ara mu no, saa koma no mu nsu a ɛba yi yɛ nea ɛfata anaasɛ ɛba fam mpo. Nanso, wɔ obi a ɔwɔ High-Output Heart Failure mu no, koma no pam mogya bɛyɛ lita 8 simma biara (ɛno yɛ bɛyɛ galɔn 2!) Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔpanyin a ɔwɔ apɔwmuden koma no pam mogya bɛyɛ lita 5 kosi 6 pɛ simma biara (galɔn 1.3 kosi 1.6). Enti wubetumi ahu adwuma pii a koma no reyɛ ? Nanso ɔhaw no ne sɛ nipadua no nnya mfaso biara mfi saa adwuma a ɛboro so no mu.

Saa tebea yi abu so dɛn?

Nokwarem no, sɛ wɔde toto komayare ahorow afoforo ho a, tebea yi a wɔfrɛ no ``High-Output Heart Failure'' no ntaa mma saa . Sɛ nhwɛso no, nnipa bɛyɛ ɔpepem 6 na wɔwɔ United States wɔ komayare ahorow ho. Nanso, nhwehwɛmu bi kyerɛe sɛ ``High-Output Heart Failure'' yɛ nnipa kakraa bi pɛ a wɔhwehwɛ aduruyɛ mu afotu esiane komayare nti, bɛyɛ 0.07%. Eyi kyerɛ sɛ ɛyɛ tebea a ɛntaa nsi koraa.

Dɛn ne saa tebea yi ho sɛnkyerɛnne `(High-Output Heart Failure)`?

Nsɛnkyerɛnne a ebia wubenya wɔ tebea yi mu no te sɛ komayare tebea afoforo no kakra. Nanso ɛho hia sɛ wohwɛ wɔn yiye. Hwɛ sɛ wowɔ eyinom mu bi anaa:

• Ɔhome a ɛyɛ den : Eyi betumi asɛe kɛse bere a woada anaa woada fam no. Nnipa binom nyan anadwo a ɛyɛ den sɛ wɔbɛhome.
• Ɔbrɛ a emu yɛ den : Ɔbrɛ kɛse a wobɛte nka bere a woayɛ adwuma ketewaa bi mpo akyi, anaasɛ wobɛte nka sɛ ɔda bere nyinaa.
• Ɔhohoro ( edema ): Ɔhonhon betumi aba, titiriw wɔ nan, anan, ne ɛtɔ mmere bi a yafunu mu. Wɔfrɛ eyi `(edema)`.
• Koma a ɛbɔ: Ebia wobɛte nka sɛ wo koma rebɔ ntɛmntɛm, te sɛ dede a efi wo koko mu reba.
• Koma a ɛbɔ ntɛmntɛm (tachycardia): Tebea a ɛma koma no bɔ ntɛmntɛm dodo.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, .Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Dɛn na ɛde saa tebea yi ba `(High-Output Heart Failure)`?

Nneɛma ahorow nti na tebea yi betumi aba. Wɔn mu bi ni:

• Body mass index (BMI) over 30 ( kɛseyɛ mmoroso ): Eyi ne ade titiriw a ɛtaa de tebea yi ba. Sɛ yɛbɛka no tiawa a, nipadua mu duru de nhyɛso kɛse ba koma no so tẽẽ. Susuw ho hwɛ, wo nipadua mu nkwammoaa biara hia mogya. Enti bere a wo nipadua reyɛ kɛse no, mogya dodow a ɛsɛ sɛ wo koma bɔ ne kwan a ɛsɛ sɛ ɛde saa mogya no kɔ no kɔ soro. Ɛno yɛ nhyɛso kɛse wɔ koma no so.
• mmerɛbo mu yare : Sɛ nhwɛso no, mmerɛbo mu nyarewa a enni sabea te sɛ mmerɛbo mu yare .
• Arteriovenous fistulas anaa shunts: Eyinom betumi afi awo mu anaasɛ ɛbɛba akyiri yi. Eyi ma mogya sen kɔ ntini no mu tẽẽ sen sɛ ɛbɛkɔ baabi a ehia, na ɛma adwuma a ɛwɔ koma no so no yɛ kɛse.
• Mogya a ɛtɔ kɔ nipadua mu a emu yɛ den: Sɛ mogya dodow so tew wɔ nipadua no mu a, ɛsɛ sɛ koma no bɔ mogya pii na ama wɔde mogya a ɛwɔ hɔ no ayɛ adwuma pii.
• Ahurututu mu nyarewa: Ahurututu mu nyarewa bi a enni sabea nso betumi de saa tebea yi aba.
• Sepsis: Nyarewa a emu yɛ den a ɛba nipadua no mu. Eyi nso ma nipadua no hia mogya kɛse.
• Hyperthyroidism: Sɛ wɔyɛ thyroid hormone dodo a, ɛma nipadua no mu nneɛma yɛ ntɛmntɛm na koma no yɛ adwumaden.
• Mogya mu kokoram a ɛntaa nsi: Mogya mu kokoram ahorow bi nso betumi de eyi aba.

Dɛn na ɛkɔ so ankasa wɔ `(High-Output Heart Failure)` mu?

Susuw ho saa kwan yi so: mogya ntini a ɛwɔ yɛn nipadua mu no te sɛ nsu afiri. Nyarewa bi ma mogya ntini yi yɛ kɛse sen sɛnea ɛsɛ sɛ ɛyɛ, te sɛ paipu a ɛreyɛ kɛse. Wɔ nnuruyɛ mu no, yɛfrɛ eyi vasodilation . Eyi ma nsɛm a esisi toatoa so a ɛma koma no mu nsu a ɛba, mogya dodow a koma no de fa mu no yɛ kɛse.

Afei ebia wubesusuw sɛ, ‘Oo, eye sɛ wobɛbɔ mogya pii.’ Ampa, sɛ yɛteɛteɛ yɛn apɔw mu a, yɛn nipadua hia mogya pii, enti eye sɛ yɛn koma bɛbɔ mogya pii. Nanso ɛnyɛ ntease pa bi nti na eyi te saa. Nea ɛrekɔ so wɔ ha ne sɛ ebia wo nipadua no de oxygen pii redi dwuma sen sɛnea ɛtaa yɛ, anaasɛ ebia wo mogya no retwa ntini nketenkete (arterioles) ho ahyia sen sɛ ɛbɛkɔ mu. Enti mogya pii reboaboa ano wɔ ntini no mu, ntini a ɛde mogya san kɔ koma no mu, sen sɛ ɛbɛkɔ nipadua no fã a aka no mu. Enti nea ɛrekɔ so ne sɛ nipadua no nnya mogya dodow a ehia. Koma no reyɛ adwumaden dodo ara kwa.

Dɛn ne asiane ahorow a ɛka eyi?

Nokwarem no, nneɛma koro no ara a ɛde tebea yi ba (High-Output Heart Failure) nso yɛ adwuma sɛ asiane ahorow. Ɛyɛ:

• BMI bo a ɛboro 30.
• Mmɛn mu yare, titiriw mmerɛbo mu yare.
• `Ateriovenous fistulas` anaa `shunts` a ɛwɔ hɔ.
• Mogya a ɛtɔ kɔ nipadua mu a emu yɛ den.
• Ahurututu mu nyarewa.
• `Sepsis` tebea no.
• `(Hyperthyroidism)`.
• Mogya mu kokoram a ɛntaa nsi.

Sɛ wowɔ saa tebea horow yi a, wowɔ asiane mu sɛ wubenya ``High-Output Heart Failure''.

Dɛn ne nsɛnnennen a ebetumi aba wɔ `(High-Output Heart Failure)` mu?

Sɛ wɔansa saa tebea yi yiye a, ɔhaw afoforo betumi asɔre. Ebi ne:

• Ahurututu mu mogya mmoroso: Nhyɛso a ɛkɔ soro wɔ mogya ntini a ɛde mogya kɔ ahurututu mu no mu.
• Systolic heart failure: Koma no tumi a ɛma mogya (contract) no yɛ mmerɛw.
• Nan ase a ɛho ahonhon: Nsu a ɛwɔ nan no mu.

Ɔkwan bɛn so na wohu sɛ High-Output Heart Failure?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo nipadua mu. Obebisa wo yare no ho sɛnkyerɛnne, sɛ ebia obi wɔ w’abusua mu wɔ komayare, nnuru a wonom, ne sɛ ebia wowɔ tebea foforo bi a enni sabea a ebetumi ama woanya saa tebea yi, High-Output Heart Failure. Ɛho hia yiye sɛ wode w’aduruyɛ ho abakɔsɛm a edi mũ ma.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Ebia nnuruyɛfo bɛyɛ nhwehwɛmu ahorow de ahu yare no na wɔahu nea ɛde ba.

• Mogya mu nhwehwɛmu: Hwɛ sɛnea thyroid hormone dodow te, hemoglobin dodow (hwɛ nso sɛ mogya a ɛtɔ kɔ nipadua no mu anaa), ne mmerɛbo ne asaabo dwumadi.
• Mogya mu natriuretic peptide nhwehwɛmu: Saa dodow yi kɔ soro wɔ komayare mu.
• Electrocardiogram (EKG): Hwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
• Transthoracic echocardiogram: Eyi betumi akyerɛ nneɛma pii afa koma no ho, te sɛ ne nsusuwii, ne kɛse, sɛnea ɛbɔ mogya, ne sɛnea ntini ahorow no reyɛ adwuma yiye.
• Koma mu catheterization: Ebia nhwehwɛmu yi nso ho behia wɔ tebea horow bi mu.
• Kɔmputa so tomography (CT) a wɔde yɛ mfonini.
• Koma MRI – magnetic resonance mfoninitwa afiri.

Saa nhwehwɛmu ahorow yi betumi aboa wo duruyɛfo ma wahu sɛ ebia wowɔ High-Output Heart Failure anaa, na sɛ ɛte saa a, nea ɛde ba ankasa.

Ɔkwan bɛn so na wɔsa High-Output Heart Failure?

Botae atitiriw pii wɔ ayaresa mu. Nea edi kan no, nnuruyɛfo bɛbɔ mmɔden sɛ wɔbɛtew wo home tiaa so, wɔbɛtew wo hohoro so, na wɔama wo tebea no agyina. Afei, nea ɛho hia sen biara no, wɔbɛsa tebea a ɛwɔ ase a ɛde saa ``High-Output Heart Failure'' tebea yi bae no.

Ɛho hia yiye sɛ wuhu nea ɛde tebea yi ba ankasa. Efisɛ ɛsono akwan a wɔfa so sa yare no gyina nea ɛde ba no so. Sɛ wɔsa yareɛ a ɛwɔ aseɛ no yie a, wɔbɛtumi adi tebea `(High-Output Heart Failure)` no so, na ɛtɔ da bi mpo a wɔasa no koraa.

Nnuru pɔtee a wɔde di dwuma

Wɔ oxygen a wɔde ma wo akyi no, oduruyɛfo no betumi ama wo nnuru te sɛ:

• Nnuru a ɛma nsu fi nipadua no mu: Ɛboa ma nsu a ɛboro so fi nipadua no mu fa nsu mu, na ɛtew ɔfe so.
• Inotropes: Ɛma koma no tumi a ɛtwetwe mogya no yɛ kɛse, na ɛboa ma mogya no kɔ yiye.
• Nnuru afoforo:Nnuru pɔtee a wɔde ma tebea a ɛhyɛ ase a ɛde tebea no bae (High-Output Heart Failure). Sɛ nhwɛso no, nnuru a wɔde sa thyroid haw bi, dade nnuru a wɔde sa mogya a ɛtɔ kɔ nipadua mu.

Nsunsuanso bɔne a efi ayaresa mu ba

Nnuru a wɔde di dwuma ma High-Output Heart Failure no bi betumi de ɔhaw nketenkete aba, nanso ɛnyɛ obiara na onya bi.

• Tipaeɛ
• Adwene a ɛyɛ basaa
• Yafunu mu a ɛyɛ mmerɛw
• Koma a ɛbɔ a ɛnteɛ
• Mogya mmoroso
• Mogya mmoroso a ɛba fam

Sɛ wote nka sɛ biribi te sɛ eyi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Nnuru te sɛ nnuru a ɛma obi ho popo betumi aboa ma ɔfe no so atew wɔ dɔnhwerew biako anaa abien ntam. Eyi betumi ama yɛanya ahotɔ kɛse. Nanso, tebea a ɛde tebea no bae (High-Output Heart Failure) no hwehwɛ sɛ wɔsa no bere tenten. Bere tenten a eyi gye no gu ahorow gyina tebea no ne ɔkwan a wɔfa so sa yare no so.

Ɔkwan bɛn so na wɔbɛtew asiane a ɛwɔ `(High-Output Heart Failure)` mu no so?

Nea ɛbɛyɛ na asiane a ɛwɔ tebea yi mu no so atew no, ɛho hia sɛ wɔsa aduruyɛ mu tebea horow a ɛma nipadua no hwehwɛ mogya kɛse. Eyinom bi ne:

• Sɛ wo BMI boro 30 a, hwehwɛ aduruyɛfo afotu na ama wo mu duru so atew.
• Sɛ wowɔ hyperthyroidism a, ma wɔnsa no yiye.
• Sɛ wowɔ ahurututu ne mmerɛbo mu nyarewa a, di so.
• Sɛ mogya atɔ wo kɛse a, hwehwɛ nea ɛde ba na hwehwɛ ayaresa.

Wo ne wo duruyɛfo nkasa mfa saa nneɛma yi ho na yɛ anammɔn a ɛho hia.

Sɛ wowɔ `(High-Output Heart Failure)` a, dɛn na ɛba?

Nnuruyɛfo betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma. Nanso, sɛ wobɛsa saa tebea yi yiye a, ɛsɛ sɛ wuhu nea ɛde ba ankasa. Afei, ɛho hia sɛ wɔsa saa ade a ɛde ba no.

High-Output Heart Failure di bere tenten ahe?

Saa tebea yi betumi atra hɔ bere tenten a wɔansa yare a ɛde bae a ɛde bae no.

So wobetumi asa High-Output Heart Failure?

Yiw, wobetumi asa tebea yi. Nanso egyina yare a ɛda adi a ɛde bae no so. Wobetumi asa nneɛma bi a ɛde ba no koraa na wobetumi ayi tebea yi afi hɔ.

Dɛn ne anidaso a ɛwɔ `(High-Output Heart Failure)` ho?

Nea ɛde ba no na ɛkyerɛ sɛnea obi a ɔwɔ saa tebea yi hwɛ kwan kɛse. Sɛ nhwɛso no, nhwehwɛmu bi kyerɛe sɛ nnipa a wɔn BMI boro 30 no tumi tra ase mfe anum sen wɔn a wɔwɔ mmerɛbo mu yare no.

Nanso, sɛ wohu nea ɛde ba no ntɛm na wɔsa no a, ebetumi ama nnipa nkwa nna akɔ soro.

Mɛyɛ dɛn ahwɛ me ho?

Ade a ɛho hia sen biara ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ bere a woresa tebea a ɛde tebea no bae (High-Output Heart Failure) no. Nom w’aduru no bere ano, yɛ nea ɔka kyerɛ wo sɛ yɛ, na yɛ nea ɔka kyerɛ wo na di w’aduan so.

Nneɛma bɛn na eye sen biara a ɛsɛ sɛ wudi na wonom bere a wowɔ `(High-Output Heart Failure)`?

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ di aduan a nkyene (sodium) nnim na tew nsu a wonom so. Ɛho hia sɛ wudi akwankyerɛ ahorow yi akyi yiye, efisɛ nkyene ne nsu a ɛboro so betumi ama nsu akɔtra mu, na ebetumi ama wo ho ahoro ayɛ kɛse na ɛde nhyɛso kɛse aba wo koma so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho behia sɛ wotaa kɔ wo duruyɛfo nkyɛn wɔ ɔsram a edi kan bere a woafi ayaresabea asan aba fie no mu. Tebea horow bi a ɛde High-Output Heart Failure ba no betumi ahwehwɛ sɛ wɔde wo kɔ ayaresabea bio. Enti, mma wo bere a wode bedi akyi no nmpa wo ti so sɛnea wo duruyɛfo bɛkyerɛ wo no.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa oduruyɛfo no nsɛm te sɛ:

• Dɛn ne yare a ɛwɔ ase a ɛmaa minyaa `(High-Output Heart Failure)`?
• Dɛn ne me tebea no ho nkɔmhyɛ?
• Mpɛn ahe na ɛsɛ sɛ meba bɛyɛ nhyehyɛe a ɛbɛma wɔadi akyi?

Nsuro sɛ wubebisa wo duruyɛfo nsɛm anaa adwenem naayɛ biara a ebia wowɔ.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

High-Output Heart Failure yɛ tebea a emu yɛ den kakra a koma no bɔ mogya pii sen sɛnea ɛsɛ sɛ ɛyɛ, nanso nipadua no nnya so mfaso a ɛfata.

• Nsɛnkyerɛnne: Hwɛ yiye wɔ nneɛma te sɛ ahome a ɛyɛ tiaa, ɔbrɛ, ne ɔfe ho.
• Nea ɛde ba no ho hia: Yare bi a ɛda adi (te sɛ kɛseyɛ mmoroso, mmerɛbo mu yare, mogya a ɛtɔ kɔ nipadua mu) wɔ hɔ a ɛde tebea yi reba. Nea ɛho hia ne sɛ wubehu saa ade a ɛde ba no na woasa.
• Wobetumi Asa: Wobetumi adi tebea yi so na ɛtɔ mmere bi mpo a wɔasa denam nea ɛde ba no a wɔbɛsa so.
• Di aduruyɛ mu afotu akyi: Fa aduru no di dwuma sɛnea wo duruyɛfo kamfo kyerɛ no pɛpɛɛpɛ.
• Fa nsɛm a edi mũ ma: Sɛ wokɔ wo duruyɛfo nkyɛn a, ka wo nyarewa afoforo ne nnuru a wonom ho biribiara kyerɛ wɔn. Ɛtɔ da bi a, nneɛma mpo a wunnwen ho, betumi ne eyi wɔ abusuabɔ.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara sen sɛ wubebu w’ani agu so.