So wote ɛyaw a emu yɛ den wɔ wo nan mu, titiriw wo nantwi mma, te sɛ nea ɛrebɔ anaasɛ ɛrehuruhuruw bere a wonam kwan tiaa bi no? Nanso so ɛyaw no fi hɔ koraa bere a wugyina na wohome kakra no? Sɛ eyi yɛ osuahu a wunim a, ɛnde asɛmti a yɛresusuw ho nnɛ yi bɛyɛ nea ɛho hia wo yiye. Saa tebea yi ne nea yɛfrɛ no Intermittent Claudication wɔ aduruyɛ ho nyansahu mu.
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Sɛ yɛbɛka no tiawa a, dɛn ne Intermittent Claudication?
Eyi nyɛ yare ankasa, na mmom ɛyɛ yare bi ho sɛnkyerɛnne . Sɛ yɛbɛka no tiawa a, ɛyɛ ɛyaw a wote nka wɔ wo ntini mu bere a woreyɛ nnam, te sɛ bere a wonam. Nanso ɛyaw yi fi hɔ bere a woagye w’ahome no. Ɛtɔ da bi a, ɛyaw yi mu yɛ den araa ma ɛsɛ sɛ wugyae nantew.
Eyi te saa efisɛ wo nipadua no wɔ ɔhaw bi wɔ mogya a ɛkɔ nipadua no mu ho . Sɛ wonam a, nkwammoaa a ɛwɔ wo nan ntini mu no hia mframa pa pii sen sɛnea ɛtaa yɛ no. Nanso sɛ saa ntini ahorow no nnya mogya (ne oxygen) a ɛdɔɔso mfa mogya ntini no mu a, wufi ase te ɛyaw nka. Sɛ wugyina na wohome a, ntini no nhia mframa pa pii, enti mogya ketewaa a wonya no wɔ hɔ. Enti ɛyaw no kɔ.
Ɛyaw yi te nka dɛn?
Nnipa pii te eyi nka sɛ ɛyaw a ano yɛ nnam na ɛyɛ kusuu. Ɛte sɛ nea wɔretwe anaa wɔrebɔ ntini bi. Nnipa binom nso frɛ no "Charley pɔnkɔ." Dodow a woteɛteɛ w’apɔw mu anaa wo nantew no, dodow no ara na ɛyaw no bɛkɔ soro. Wɔ tebea horow bi mu no, ntini ahorow no nso betumi ate nka sɛ ɛyɛ mmerɛw wɔ nan no mu esiane mogya a ɛnkɔ yiye nti.
Eyi nyɛ nkwaa mu yaw. Ɛwom sɛ ɛyaw no te sɛ nkwaa mu yaw de, nanso ɛnyɛ (Arthritis). Afei nso, sɛ ɛyaw no kɔ wɔ simma kakraa bi akyi wɔ ahomegye akyi a, ɛda adi kɛse sɛ ɛyɛ (Intermittent Claudication).
Dɛn nti na eyi rekɔ so? Dɛn ne ade titiriw nti?
Nea ɛde saa sɛnkyerɛnne yi ba titiriw ne tebea bi a wɔfrɛ no Peripheral Artery Disease (PAD) . Susuw mogya ntini a ɛwɔ yɛn nipadua mu no ho sɛ nsu afiri. Bere kɔ so no, nkannare ne efĩ boaboa ano wɔ nsu paipu mu na ntokuru a ɛwɔ paipu no mu no siw, saa ara nso na srade ne srade boaboa ano wɔ yɛn mogya ntini ) mu na ɛyɛ nea wɔfrɛ no "plaque". Yɛfrɛ eyi (Atherosclerosis).
Sɛ mogya ntini a ɛma mogya ntini no mu yɛ teateaa a, mogya dodow a ɛsen fa mu no so tew. Eyi te saa titiriw bere a ntini a ɛde mogya kɔ nan no mu no mu teateaa wɔ saa kwan yi so, a wɔfrɛ no PAD no. Eyi ma ɛyaw ba bere a wo nan nnya mframa pa a ɛdɔɔso bere a woreteɛteɛ w’apɔw mu, te sɛ bere a worenam fam no.
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Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, .Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow na ama wɔahu nea ɛde ɛyaw yi ba ankasa.
| Sɔhwɛ | Sɛ yɛbɛka no tiawa a, dɛn na wode yɛ? |
|---|---|
| Nipadua mu Sɔhwɛ | Wɔbɛhwɛ wo nan ne wo nan mu sɛ ebia wo koma bɔ anaa. Sɛ akisikuru no yɛ mmerɛw anaasɛ wɔante nka a, ɛyɛ ɔhaw bi ho sɛnkyerɛnne. |
| Ankle-Brachial Index (ABI) 1. Nnipa a Wɔte Ase. | Wɔsusu mogya mmoroso a ɛwɔ wo nsa ne wo nansoaa mu na wɔde toto ho. Sɛ nsonsonoe kɛse da abien no ntam a, ɛyɛ tebea bi a wɔfrɛ no PAD'' ho sɛnkyerɛnne. |
| Angiogram a wɔde yɛ nhwehwɛmu | Wɔde nsu titiriw bi (contrast dye) gu mu na wɔyɛ X-ray de hwehwɛ mmeae a mogya ntini no asiw. |
| CT anaa MRA a wɔde yɛ adwuma | Eyinom nso yɛ scan ahorow ahorow. CT angiogram anaa MRA nhwehwɛmu tumi hu baabi a ɔhaw ahorow wɔ mogya ntini no mu pefee. |
| Ntini mu Ultrasound a Wɔde Yɛ Nneɛma | Scan a wɔde nnyigyei asorɔkye di dwuma. Eyi betumi ahu mmeae a mogya ntini mu teateaa. |
Ɔkwan bɛn so na wɔsa tebea yi?
Botae titiriw a ɛwɔ ayaresa mu ne sɛ ɛbɛma mogya a ɛkɔ anan no mu no atu mpɔn. Ɛwom sɛ saa ayaresa ahorow yi ntumi nsa yare no koraa de, nanso ebetumi adi yare no ho sɛnkyerɛnne no so na ama asetra ayɛ mmerɛw. Wobetumi akyekyɛ akwan a wɔfa so sa yare no mu akuw atitiriw abiɛsa.
1. Asetra mu nsakrae
W’ankasa wubetumi ayɛ saa nneɛma yi.
- Nantew a wobɛkɔ daa:Anyɛ yiye koraa no, nantew simma 30 da biara, nnafua 3 dapɛn biara. Gyae bere a wote ɛyaw nka, gye w’ahome, na nantew bio. Eyi bɛboa ma woanya mogya ntini foforo wɔ wo nan mu.
- Mu duru a ɛfata a wobɛkɔ so akura mu: Saa tebea yi betumi asɛe kɛse bere a nipadua mu duru kɔ soro no.
- Aduan a ahoɔden wom: Di nnuan a ɛboa ma wodi nneɛma te sɛ asikreyare, srade a ɛdɔɔso, ne mogya mmoroso so.
- Sigaretnom ne tawanom a wobegyae koraa: Eyinom pira mogya ntini kɛse.
- Adwennwen ano aduru: Adwene mu akwahosan ka koma ne mogya a ɛkɔ nipadua no mu no akwahosan tẽẽ.
2. Nnuru a wɔde di dwuma
Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ:
- Nnuru a ɛma mogya yɛ mmerɛw: Eyinom siw nsɛnnennen a emu yɛ den te sɛ mogya a ɛtwetwe a ɛba na esiw mogya ntini mu mpofirim ano.
- Statins: Eyinom ma srade a ɛwɔ mogya mu no so tew na ɛhwɛ ma nkwammoaa a ɛwɔ mogya ntini mu no yɛ kɛse.
- Mogya mmoroso nnuru: Eyinom trɛw mogya ntini mu na ɛma mogya kɔ ntɛmntɛm.
- Asikreyare aduru: Sɛ wowɔ asikreyare a, ɛho hia paa sɛ wudi so yiye.
3. Oprehyɛn anaa akwan foforo a wɔfa so yɛ no
Sɛ asetra mu nsakrae na nnuru ntumi nni tebea no so a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn anaa oprehyɛn foforo.
- Angioplasty: Wɔde afiri bi a ɛte sɛ balloon hyɛ mogya ntini a ayɛ teateaa mu na wɔde mframa gu mu ma ntini no trɛw.
- Stent a wɔde si hɔ: Sɛ wɔyɛ angioplasty wie a, wɔde afiri bi a ɛte sɛ ahama (stent) gu mogya ntini no mu na amma anyɛ teateaa bio.
- Bypass Surgery: Wɔde mogya ntini bi a woyi fi nipadua no fã foforo mu na ɛyɛ ɔkwan foforo, te sɛ nea wɔyɛ ɔkwan foforo a mogya fa so twa baabi a asiw ho hyia.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wunim dedaw sɛ wowɔ Intermittent Claudication a, hwɛ sɛnkyerɛnne ahorow a edidi so yi titiriw. Sɛ wowɔ eyinom mu bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) .
- Sɛ wote awɔw kɛse nka anaasɛ wo nan anaa wo nan bi ayɛ wo yaw a .
- Sɛ akuru a ɛwɔ nan so no gye bere tenten ansa na ayɛ yiye, anaasɛ akuru foforo (akuru) ba a.
- Sɛ sɛnkyerɛnne ahorow bi wɔ hɔ a ɛkyerɛ sɛ ɔyare mmoawa (honhon, ɛyɛ kɔkɔɔ, ɛyaw, ɔhyew) atwa kuru bi ho ahyia a.
- Sɛ wo koko yɛ wo yaw anaasɛ ɛyɛ den sɛ wobɛhome a wo nan mu yaw ka ho a.
- Sɛ wo nan yɛ yaw bere a woregye w'ahome mpo a .
- Sɛ wowɔ ɛyaw mpofirim , a emu yɛ den anaasɛ sɛ ɛyaw no fi baabi a ɛtaa ba no kɔ baabi foforo a.
Saa tebea yi betumi ama nantew ne da biara da nnwuma mpo ayɛ den. Nanso, sɛ wohu ntɛm na wɔsa no yiye a, wobetumi asiw ano na anyɛ den na wubetumi abɔ bra sɛnea ɛsɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Claudication a ɛba bere ne bere mu nyɛ yare, na mmom ɛyɛ sɛnkyerɛnne a mogya a ɛkɔ nipadua no mu ho haw bi na ɛde ba. Nea ɛde ba titiriw ne Peripheral Artery Disease (PAD).
- Sɛ wote ɛyaw wɔ wo nan mu (titiriw anantwi mma) bere a wonam na ɛkɔ bere a woagye w’ahome a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.
- Sigaretnom a wubegyae, nantew daa, aduan pa a wubedi, ne wo mu duru a wobɛhwɛ so no betumi aboa kɛse ma woadi tebea yi so.
- Ɛho hia paa sɛ wode nnuru no di dwuma sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
- Sɛ wote ɛyaw bere a woregye w’ahome mpo, wo nan ho ayɛ wo yaw, anaasɛ w’akuru no ntumi nsa a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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