Koma yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu. Ɛte sɛ yɛn nipadua no engine. Nanso ɛtɔ da bi a, saa koma yi nso tumi nya nyarewa ahorow. Ɛnnɛ yɛrebɛka tebea bi a ebetumi aba koma mu, a ɛhwehwɛ sɛ wohwɛ no kakra, nanso sɛ wunim yiye a, wubetumi adi so ho asɛm. Ɛno yɛ yareɛ a wɔfrɛ no `(Infective Endocarditis)` . Ebia woante din yi ho asɛm, nanso ɛho hia paa sɛ wubehu eyi ho asɛm.

Dɛn ne eyi `(Infective Endocarditis)`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, `(Infective Endocarditis)` kyerɛ sɛ ɔyare mmoawa bi hyɛn wo koma no mu, kyerɛ sɛ, `(Endocardium)` , anaa koma no mu ntini (Valves), na ɛde ɔyare mmoawa ba. Susuw ho hwɛ, valve ahorow a ɛwɔ yɛn koma mu no te sɛ apon. Saa ntini ahorow yi boa ma mogya kɔ ɔkwan biako pɛ so. Mpɛn pii no, saa ntini ahorow yi mu yɛ den yiye na ɛnyɛ den sɛ ɛbɛko atia mmoawa (mmoawa, fungi). Ɛno nti na saa tebea a wɔfrɛ no `(Infective Endocarditis)` yi ho yɛ na kakra no. Nanso sɛ ɛba a, ebetumi ayɛ aniberesɛm kakra.

Ɔkwan bɛn so na eyi ba? Ɔkwan bɛn so na mmoawa kɔ koma no mu?

Okay, afei momma yɛnhwɛ sɛnea saa `(Infective Endocarditis)` yi nyin. Efi ase bere a mmoawa (Bacteria) anaa fungi (Fungi) fa ɔkwan bi so hyɛn wo mogya mu no. Mpɛn pii no, kyerɛ sɛ , bɛyɛ anum biara mu anan, mmoawa a wɔfrɛ wɔn `(Streptococcus)` ne `(Staphylococcus)` na ɛde ba.

Ebia wobɛdwene sɛ, "Oo, ɛbɛyɛ dɛn na saa mmoawa yi atumi akɔ mogya no mu?" Susuw ho hwɛ, sɛ wutwa wo sẽ kakra bere a worehohoro wo sẽ no a, mmoawa betumi akɔ mogya no mu. Anaasɛ, sɛ wɔreyɛ wo oprehyɛn kɛse mpo, titiriw oprehyɛn a wɔde koma abue a, mmoawa betumi akɔ mu.

Mmoawa a wɔhyɛn mogya no mu, fa mogya no mu, na wɔkɔtra mmeae a kan no asɛe te sɛ koma no mu ntini anaa koma no mu ntini. Te sɛ mfutuma nketenkete bata baabi a ɛyɛ nwini ho no ara pɛ. Ɛhɔ no, saa mmoawa yi yɛ akuw. Yɛfrɛ eyinom "afifide." Saa akuw yi yi awuduru ne enzyme ahorow fi adi. Eyinom sɛe nkwammoaa a ɛwɔ apɔwmuden na esiw ayaresa no kwan.

Hena na ɛda adi sɛ obenya eyi? (Nneɛma a ɛde asiane ba) .

Ɛwom sɛ obiara betumi anya endocarditis a ɛde ɔyare mmoawa ba de, nanso nnipa binom wɔ asiane kɛse mu. Eyi te saa titiriw wɔ nnipa a wɔwɔ komayare a wɔde yɛ adwuma no fam . Nea ɛka eyi ho ne:

• Nnipa a wɔn koma ntini asɛe esiane ayaresa tebea afoforo nti: Sɛ nhwɛso no, wɔn a wɔn ntini a asɛe esiane `(Rheumatic Heart Disease)` nti.
• Nnipa a Wɔwɔ Komayare a Wɔde Awo Wɔn: Ɛne sɛ, nnipa a wɔwo wɔn a wɔwɔ komayare bi.

Saa tebea horow yi betumi aka sɛnea koma no mu ntini ahorow no yɛ adwuma. Nhwɛsoɔ:

• Aortic Valve a Ɛyɛ Den a Ɛyɛ Den
• `(Bicuspid Aortic Valve Yare)` (Bicuspid Aortic Valve Yare) .
• Regurgitation (mogya a efi koma no mu ntini mu) .
• Mitral Valve a Ɛhwe ase

Nea ɛka eyi ho no, asiane afoforo wɔ hɔ:

• Mmarima: Mmarima betumi anya saa yare yi bɛyɛ mmɔho abien sen mmea.
• Mfe a obi adi: Eyi taa ba nnipa a wɔadi boro mfe 50 so.

Dɛn ne nneɛma bɔne a ebetumi afi eyi mu aba?

Sɛ wɔanhu tebea bi a wɔfrɛ no ``Infective Endocarditis'' na wɔansa no ntɛm a, mmoawa no betumi anyin na wɔatrɛw, na ɛde ɔhaw ahorow a emu yɛ den aba. Ade titiriw biako ne komayare.

Afei nso, sɛ ayaresa a edi kan no antumi anyɛ yiye a, tebea bi a wɔfrɛ no `(Emboli)` betumi aba. `(Emboli)` yɛ mogya nketenkete a ɛpaapae fi mmoawa akuw a yɛadi kan aka ho asɛm no mu `(Afifide). Sɛ eyinom fa mogya no mu na ɛkyere mogya ntini bi mu a, ebetumi asiw mogya a ɛkɔ akwaa bi a ɛho hia mu no kwan. Eyi betumi de nsɛnnennen a ebetumi de nkwa mpo ato asiane mu aba.

Wo de susuw ho hwɛ, eyi te sɛ sɛ nwura asinasin bi kɔhyɛ nsu paipu mu a, nsu no gyae sen.

Nneɛma bɔne a ebetumi afi saa `(Emboli)` yi mu aba ne:

• Akisikuru a ɛyɛ kɛse ne ɛyaw.
• Asaabo a ɛsɛe.
• Mogya a ɛtɔ kɔ ahurututu mu (Pulmonary Embolism).
• Nnwodwoɔ.
• Ɔsɛe a ɛba akwaa a ɛwɔ akyirikyiri te sɛ nsateaa ano.

Dɛn ne nneɛma atitiriw a ɛde `(Infective Endocarditis)` ba?

Koma mu yare ahorow bi ne komayare a wɔde sa yare betumi ama mmoawa akɔ mogya mu. Eyinom ne nneɛma atitiriw a ɛde ``Infective Endocarditis`` ba.

• Koma a Wɔde Ayɛ Nneɛma: Eyinom taa nya ɔyare mmoawa sen abɔde mu ntini.
• Tebea horow a ɛhwehwɛ sɛ wɔde mfiri te sɛ nea ɛma obi koma bɔ kɛse hyɛ mu: Titiriw sɛ mfiri yi nhama fa mogya ntini mu a.
• Sɛ wɔayɛ wo koma foforo a.
• Tebea bi a wɔfrɛ no `(Hypertrophic Cardiomyopathy)` (koma ntini a ɛyɛ den).
• Sɛ wɔayɛ wo oprehyɛn a wɔabue koma mu a.
• Sɛ woadi kan anya `(Infective Endocarditis)` a.

So ntease afoforo wɔ hɔ?

Ɛntaa mma koraa sɛ saa tebea yi betumi aba nnipa a wɔwɔ koma a ɛte apɔw so. Nea ebetumi de aba no bi ne:

• Catheter yɛ biribi a ɛtra mogya ntini no mu kyɛ: sɛ nhwɛso no, catheters a wɔde bere tenten de ma wɔn a wɔwɔ kokoram no nnuru.
• Nyarewa a ɛma nipadua no tumi a ɛko tia nyarewa no yɛ mmerɛw: Sɛ nhwɛso no, `(HIV)` ne `(AIDS)`.
• Sɛ obi nya ɔyare mmoawa wɔ nipadua no mu baabi foforo.
• Nnuru a wɔde fa mmɔnten so a wɔde nnade a ɛho ntew gu mu no yɛ asiane kɛse.
• Anom ahotew a enye: Eyi ma mmoawa pii boaboa ano wɔ anom.
• Ade a ɛho ntew a wɔde bedi dwuma bere a wɔde nnuru bɛhyɛ ntini bi mu esiane aduruyɛ nti.

Dɛn ne yare yi ho sɛnkyerɛnne? Nneɛma a wubetumi ahu...

`(Infective Endocarditis)` ho sɛnkyerɛnne taa ka wo koma ne wo home nhyehyɛe. Ebia wubehyia nneɛma te sɛ:

• Koko mu yaw.
• Koma nnyigyei a ɛnteɛ (``Heart Murmur'' a oduruyɛfo te bere a ɔde ``stethoscope'' retie no).
• Ɔhome a ɛyɛ den (Dyspnea).
• Koma a ɛbɔ ntɛmntɛm (Tachycardia).

Nea ɛka eyi ho no, sɛnkyerɛnne afoforo betumi ada adi:

• Mogya a ɛwɔ nsu mu (Hematuria).
• Awɔw a ɛyɛ nwini.
• Ɔbrɛ.
• `(Janeway Lesions)`: Nsonsonoe kɔkɔɔ a ɛnyɛ yaw a ɛda adi wɔ nsateaa ne nan ase.
• Nkwaa mu Ɛyaw.
• Aduan ho akɔnnɔ a ɛyera ne mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu.
• Atiridii a ɛba fam a ɛkɔ so tra hɔ a wontumi nhu nea ɛde ba biara.
• Ntini mu yaw.
• Fifiri a ɛboro so anadwo (Night Sweats).
• Osler Nodules: Nkuruwankuruwa a ɛyɛ yaw a epue wɔ nsa ne anan so.
• Splinter Hemorrhages: Ntini nketenkete a ɛte sɛ mogya a wotumi hu wɔ nnadewa no ase.
• Subconjunctival Hemorrhage: Mogya a ɛba aniwa no fitaa mu.
• Yafunu anaa nipadua no ase a ɛho ahonhon.

Saa sɛnkyerɛnne ahorow yi betumi ada adi mpofirim anaa nkakrankakra. Ɛtɔ da bi a, saa nsɛnkyerɛnne yi betumi ayɛ te sɛ atiridiinini a ɛfata, nanso ɛho hia sɛ wuhu saa sɛnkyerɛnne ahorow yi, titiriw sɛ wowɔ komayare a.

Ɔkwan bɛn so na wohu yare yi? Dɛn na nnuruyɛfo yɛ?

Wofi ase de wo yare no ho sɛnkyerɛnne ne w’aduruyɛ ho abakɔsɛm na ɛkyerɛ sɛ wowɔ yare no. Sɛ woanya komayare pɛn na woanya atiridii a ntease biara nnim a, ɛno yɛ adwenem naayɛ kɛse. Afei nso, sɛ wowɔ sɛnkyerɛnne afoforo a ɛka bom a ɛfa yare `(Infective Endocarditis)` ho a, adwenem naayɛ betumi aba. Nanso, sɛ wubehu no yiye a, ɛsɛ sɛ woyɛ sɔhwɛ.

Sɔhwɛ ahorow bɛn na wɔbɛyɛ?

• Bacteria Culture Test: Eyi boa ma wohu sɛ mmoawa bi wɔ mogya no mu anaa, na sɛ ɛte saa a, dɛn ko.
• Nea ɛka ho no, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu afoforo de yɛ ayaresa ho nhyehyɛe. Eyinom bi ne:
• Antibody Serology Tests: Eyi betumi asi mmoawa ko a wɔwɔ mogya no mu no so dua.
• Koma `(Echocardiogram)` nhwehwɛmu: Eyi betumi ahwɛ sɛnea koma no mu ntini no te, sɛ ebia mmoawa akuw bi wɔ hɔ a wɔfrɛ no `(Afifide)`, ne sɛnea ɛsõ. `(Echocardiogram)` ahorow abien na ɛwɔ hɔ:
• Transthoracic Echocardiogram (TTE): Eyi yɛ scan a wɔtaa yɛ wɔ koko no ani.
• Transesophageal Echocardiogram (TEE): Nea ɛka eyi ho ne sɛ wɔde nhwehwɛmu ketewaa bi bɛhyɛ menewa no mu na wɔahwɛ baabi a ɛbɛn koma no. Eyi betumi ama mfonini ahorow a emu da hɔ asen TTE.

Ayaresa bɛn na ɛwɔ hɔ ma eyi?

Ayaresa titiriw a wɔde sa endocarditis a ɛde ɔyare mmoawa ba ne nnuru a ekum ɔyare mmoawa. Mpɛn pii no, wodi kan de nnuru a ekum ɔyare mmoawa a ɛtrɛw ma. Ebia eyinom bɛboa ma yare no ho sɛnkyerɛnne ahorow no afi hɔ, nanso ebia ɛrennɔɔso sɛ ɛbɛma ɔyare mmoawa no afi hɔ koraa.

Once the results of the aforementioned ``Antibody Serology Test'' come back, doctors will switch you to a ``Targeted Antibiotic'' that targets the specific type of bacteria in your blood. Ebia ɛho behia sɛ wɔde saa ayaresa yi fa ntini mu (IV) adapɛn anan kosi asia. Ebia eyi bɛkyerɛ sɛ ɔbɛtra ayaresabea.

So ɛsɛ sɛ wɔyɛ me oprehyɛn?

Sɛ mmoawa akuw, anaa `(Afifide),` sua a, ebia nnuru a ekum ɔyare mmoawa nkutoo bɛdɔɔso. Nanso, sɛ saa `(Afifide)` yi yɛ akɛse a, ebia ɛho behia sɛ wɔyɛ oprehyɛn (Infective Endocarditis Surgery) de yi fi hɔ na wɔsesa valve ahorow a asɛe no.

Afei nso, sɛ saa `(Afifide)` yi trɛw kɔ ntini a atwa ho ahyia mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn. Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛbɛyɛ papa sɛ wobɛyɛ oprehyɛn ansa na woafi nnuru a ekum ɔyare mmoawa ase. Nanso, nhwehwɛmufo da so ara resua tebea horow a ɛfata sɛ wɔyɛ oprehyɛn ansa na wɔde nnuru a ekum ɔyare mmoawa adi dwuma no ho ade.

Mɛyɛ dɛn atumi asiw eyi ano? Siw a wosiw ano ne nea eye sen biara!

Bere bi a atwam no, na wɔma nnipa a wɔwɔ asiane mu sɛ wobenya ``Infective Endocarditis`` da biara da nnuru a ekum ɔyare mmoawa. Nanso, seesei wɔasesa saa kwan yi efisɛ ɛma asiane a ɛwɔ hɔ sɛ obi benya mmoawa a nnuru a ekum ɔyare mmoawa no yɛ kɛse.

Mprempren nnuruyɛfo kyerɛw nnuru a ekum ɔyare mmoawa bere tiaa bi ansa na wɔayɛ aduruyɛ bi te sɛ sẽ ho ayaresa. Wɔde nnuru a ekum ɔyare mmoawa a wɔde siw yare ano di dwuma wɔ nnipa a asiane kɛse wom sɛ wobenya komayare a ɛde ɔyare mmoawa ba, te sɛ nnipa a wɔwɔ koma ntini a wɔde ayɛ nipadua no nkutoo.

Ade a ɛho hia sen biara ne sɛ wobɛhwɛ w’ano ne wo sẽ akwahosan so yiye. Wo sẽ a wobɛhohoro yiye mprenu da biara ne wo sẽ a wode bedi dwuma no ho hia yiye.

Hokwan ahorow bɛn na ɛwɔ hɔ sɛ wɔbɛsa yare yi?

Sɛ wɔanhu ntɛm na wɔde nnuru a ekum ɔyare mmoawa a ɛyɛ ntɛmntɛm na ano yɛ den saa yare a, hokwan a ɛwɔ hɔ sɛ wɔn ho bɛtɔ wɔn afi yare yi mu no sua. Ɛne sɛ, dodow a wɔkyɛ ayaresa no, dodow no ara na tebea no betumi ayɛ nea emu yɛ den. Sɛ wɔsa no yare ntɛm ara na ɛfata a, hokwan a ɛwɔ hɔ sɛ wobenya nkwa no yɛ kɛse. Nanso, sɛ nsunsuanso bɔne bi ba a, ebia bere a ɔde bɛsan anya ahoɔden no akyɛ.

Sɛ obi anya `(Infective Endocarditis)` akyi a, asetra bɛyɛ dɛn?

Sɛ woanya Infective Endocarditis pɛnkoro a, asiane kɛse wom sɛ wobɛsan anya bi bio. Nanso mma ɛnhaw wo, nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Brush na fa floss mprenu da biara. Anom akwahosan ne ade a ɛho hia sen biara.
• Wo ne obiara nkasa, a wo nnuruyɛfo ne wo sẽ ho oduruyɛfo ka ho, fa asiane a ɛwɔ hɔ sɛ wubenya `(Infective Endocarditis)` ho. Ma wɔnhu.
• Ma wo sẽ ho oduruyɛfo nsiesie wo sẽ asram asia biara.
• Sɛ wowɔ komayare a, di wo duruyɛfo akwankyerɛ akyi yiye na amma wo sɛnkyerɛnne no ansɛe.

Infective endocarditis yɛ ɔyare mmoawa a ɛba wo koma ntini a ɛkata so no so. Ɛwom sɛ eyi yɛ tebea a ɛntaa nsi de, nanso ebetumi ayɛ den sɛ wɔbɛsa. Nanso, ebetumi aba sɛ wo ho bɛtɔ wo. Sɛ wowɔ asiane mu a, ɛho hia sɛ wotew mmoawa a wobɛma wo ho so no so. Wubetumi ayɛ eyi denam wo sẽ ne wo sẽ a wobɛhwɛ so yiye no so. Sɛ worekɔyɛ aduruyɛ bi a, wo ne wo duruyɛfo nkasa mfa akwan a wobɛfa so abɔ wo ho ban ho asɛm.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Okay, yɛaka `(Infective Endocarditis)` ho asɛm pii seesei. Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ni:

* `(Infective Endocarditis)` yɛ ɔyare a emu yɛ den a ɛba koma no mu anaa ne ntini ahorow mu.

* Ɛwom sɛ eyi ntaa mma de, nanso sɛ ɛba a, ɛsɛ sɛ wɔsa no ntɛm.

* Ano ne sẽ ho ahotew ho hia yiye! Mma wo werɛ mmfi sɛ wobɛhohoro wo sẽ na wode nhama abɔ wo sẽ da biara da.

* Sɛ wowɔ komayare a, hwɛ sɛnkyerɛnne ahorow te sɛ atiridiinini ne ɔbrɛ titiriw.

* Ansa na wobɛsa ayaresa biara no, sɛ wowɔ asiane mu sɛ wobɛnya `(Infective Endocarditis)` a, ka kyerɛ wo duruyɛfoɔ.

* Mma wo ho nnyɛ wo hu, na mmom hwɛ yiye. Sɛ wohu ntɛm a, wobetumi asa no yiye.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, bisa w’abusua oduruyɛfo anaa komayare ho ɔbenfo. Koma a ɛte apɔw ho hia obiara!

` Komayare, komayare, endocarditis, mmoawa a wɔde nyarewa ba, koma ntini, sɛnkyerɛnne, ayaresa