So wo koma nnya mogya a ɛdɔɔso? Momma yensua Ischemic Cardiomyopathy, a ɛma koma ntini no yɛ mmerɛw no ho ade!

Yɛn koma te sɛ afiri a ɛyɛ nwonwa a ɛyɛ adwuma a ennyae, ɛnte saa? Nanso sɛ koma yi nnya mogya a ɛdɔɔso, kyerɛ sɛ, mframa pa ne aduannuru a ɛho hia a, dɛn na ɛba? Afei koma ntini no fi ase brɛ ase nkakrankakra na enyin. Ɛno yɛ tebea a emu yɛ den, nanso nea ɛsɛ sɛ yɛka ho asɛm na yɛma yɛn ani da hɔ no, wɔfrɛ no `(Ischemic Cardiomyopathy)` . Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, ɛyɛ?

Dɛn ne `(Ischemic Cardiomyopathy)`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, `(Ischemic Cardiomyopathy)` kyerɛ sɛ koma ntini a ɛwɔ wo koma mu no nnya mogya a ɛdɔɔso, na ɛma ɛyɛ mmerɛw na entumi nkɔ mogya yiye. Nnuruyɛfo nso frɛ eyi `(ischemia)`, a ɛkyerɛ sɛ mogya a wɔde ma no so tew.

Wo de susuw ho hwɛ, sɛ ɛsɛ sɛ nsu mfiri tu mmirika a nsu nni mu a, dɛn na ɛbɛba? Ɛte saa. Sɛ ntini a ɛde mogya kɔ koma no mu, kyerɛ sɛ, ntini a ɛma mogya tu no , siw, anaasɛ sɛ komayare ba a, mogya a ɛkɔ koma no mu no so tew wɔ saa kwan yi so.

Eyi ma benkum so ahurututu , ɔdan titiriw a wɔde pɔmpɔ gu mu wɔ koma no benkum so no yɛ mmerɛw na ɛyɛ kɛse nkakrankakra. Afei koma no ntumi mfa mogya nkɔ nipadua no nyinaa mu yiye. Eyi yɛ komayare ahorow a abu so sen biara a wɔfrɛ no Dilated Cardiomyopathy no mu biako na ɛno ne ade titiriw a ɛde komayare a ɛba nipadua no mu ba wɔ wiase nyinaa. Saa tebea yi ba ayarefo ɔha biara mu 60 mu.

So wowɔ saa sɛnkyerɛnne ahorow yi nso?

Obi a ɔwɔ `(Ischemic Cardiomyopathy)` betumi anya sɛnkyerɛnne te sɛ eyinom. Nanso kae sɛ, nnipa binom betumi anya saa tebea yi a wonni sɛnkyerɛnne biara.

• So wote nka sɛ wo home yɛ wo yaw? Sɛ wo nantew kakra anaa woforo antweri kakraa bi a, wo tirim yɛ wo yaw?
• So wo nan ne wo nansoaa ahonhon (edema)? Te sɛ nea nsu ahyɛ wɔn ma.
• So wote nka sɛ woabrɛ ntɛm bere a woayɛ adwuma ketewaa bi mpo awie no? So wote nka sɛ woabrɛ araa ma wuntumi nwie wo da biara da nnwuma mpo?
• So wote nka sɛ wo koko yɛ wo yaw, wo ho yɛ wo den, anaasɛ wohyɛ wo so? Wɔfrɛ eyi ``Angina.`` Nanso eyi nyɛ sɛnkyerɛnne a ɛka obiara.
• So wo nipadua te nka sɛ emu yɛ duru na emu yɛ duru, te sɛ nea nsu ahyɛ mu ma? Eyi betumi aba bere a nsu aboaboa ano wɔ w’ahurututu mu no.
• So wote nka sɛ wo koma rebɔ wɔ ɔkwan a ɛnteɛ so, te sɛ nea biribi rehuruhuruw wɔ wo moma so, anaasɛ ɛrebɔ ntɛmntɛm dodo? Yɛfrɛ eyi ``arrhythmia`` anaa koma a ɛnyɛ pɛpɛɛpɛ.
• So wote nka sɛ wo ho kyere wo , w’ani reyɛ bruu, anaasɛ wote nka sɛ wo ho ayɛ wo hyew?
• Ɛtɔ mmere bi mpo a ebia wobɛtotɔ piti .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, akyinnye biara nni ho sɛ eye sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Eyi betumi afi tebea biara a ɛmma mogya nkɔ koma ntini no mu na ɛsɛe no mu. Nneɛma atitiriw a ɛde ba ne:

• Coronary Ntini mu Yare:Eyi ne ade titiriw a ɛtaa de ba . Saa tebea yi ba esiane srade a ɛboaboa ano wɔ ntini a ɛde mogya kɔ koma no mu no mu nti.
• Komayare: Sɛ komayare ba a, mogya a ɛkɔ koma no fã bi mu no twa koraa, na ɛma ntini a ɛwɔ saa fã no wuwu.
• Coronary Vasculitis: Ɔyare a ɛma obi ho hyehye no a ɛba koma no ntini mu.
• Coronary Artery Dissection: Ntini bi a ɛwɔ koma no mu fasu a ɛtetew.
• Coronary Microvascular Disease: Ɔhaw ahorow a ɛwɔ koma no mogya ntini nketenkete paa no mu.
• Fibromuscular Dysplasia: Mogya ntini afasu a enyin wɔ ɔkwan a ɛnteɛ so.
• `(Prinzmetal Angina)`: Koko mu yaw a efi ahrawa mu ntini a ɛyɛ teateaa mpofirim mu ba.

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

Nnipa binom taa nya saa tebea yi (Ischemic Cardiomyopathy). Ɛno kyerɛ sɛ asiane ahorow pii wɔ hɔ. Hwɛ sɛ eyinom fa wo ho anaa:

• Abusua abakɔsɛm a ɛkyerɛ sɛ obi anya komayare: Sɛ w’awofo anaa wo nuanom wɔ komayare a, wo nso wowɔ asiane kɛse mu.
• Mogya Nhyɛso: Mogya mmoroso yɛ ade titiriw a ɛde asiane ba.
• Tawa a wɔde di dwuma: Nneɛma te sɛ sigaret ne bidis a wɔde di dwuma.
• Asikreyare: Nnipa a wɔwɔ asikreyare nso wɔ asiane kɛse mu.
• Srade a ɛkɔ soro: Srade bɔne a ɛwɔ mogya mu a ɛkɔ soro .
• Body Mass Index (BMI) a ɛboro mfe 30: Sɛ yɛbɛka no tiawa a, sɛ woyɛ kɛse boro so a, ɛboro wo mu duru a ɛfata ma wo tenten.
• Esiane sɛ na wadi kan anya komayare nti.
• Apɔw-mu-teɛteɛ a wɔnyɛ: Eyi kyerɛ sɛ worenteɛteɛ w’apɔw mu yiye.

Sɛ wowɔ asiane ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wudi so.

Nsɛnnennen afoforo bɛn na eyi betumi de aba?

Sɛ wɔansa Ischemic Cardiomyopathy yiye a, ebetumi de akwahosan ho haw afoforo a emu yɛ den aba. Eyinom bi ne:

• Koma mu Nnyigyei a Ɛnyɛ Ne kwan so
• Congestive Heart Failure (koma ntumi nkɔ mogya yiye, na ɛma nsu boaboa ano wɔ nipadua no mu) .
• Ahurututu mu Edema
• Mitral Valve a Ɛma Nsuo a Ɛkɔ Akyirikyiri
• Mogya a ɛtɔ (sɛ eyinom tu kwan kɔ amemene no mu a, ebetumi de tebea horow te sɛ ɔyare a ɛma obi hwe ase aba) .
• Koma a Ɛyɛ Den
• Koma mu Owu a Ɛba Mpofirim

Ɛwom sɛ nsɛnnennen yi betumi ayɛ te sɛ nea asiane wom de, nanso sɛ wohu yare no ntɛm na wɔsa no yiye a, wobetumi akwati kɛse.

Ɔkwan bɛn so na oduruyɛfo no hu eyi? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nneɛma te sɛ eyinom de ahu sɛ wowɔ saa yare yi anaa:

• Bisa w’ayaresa ho abakɔsɛm: nneɛma te sɛ nyarewa a woadi kan anya ne nnuru a wonom.
• Meretie sɛnkyerɛnne ahorow a woreka ho asɛm no yiye.
• Bisa nyarewa a ɛwɔ w’abusua mu ho asɛm: titiriw komayare.
• Wɔbɛyɛ nipadua mu nhwehwɛmu: wobetie koma no, wɔbɛhwɛ ahurututu mu, na wɔahwehwɛ sɛ ɛho ahonhon.
• Wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ titiriw bi.

Dɛn ne sɔhwɛ ahorow yi?

Sɛnea ɛbɛyɛ na wɔahu yare yi pɛpɛɛpɛ na wɔahu baabi a asɛe koma no, wobetumi ayɛ nhwehwɛmu ahorow a edidi so yi:

• Mogya mu Nhwehwɛmu: Hwɛ nneɛma te sɛ enzyme ahorow bi a ɛboaboa ano wɔ mogya no mu bere a koma no asɛe, srade dodow, ne asikre dodow.
• Electrocardiogram (EKG): Sɔhwɛ a wɔde kyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Eyi betumi aboa ma wɔahu nneɛma te sɛ komayare anaa koma a ɛbɔ a ɛnteɛ.
• Chest X-ray: Sɛnea ɛbɛyɛ a wobɛhwɛ nneɛma te sɛ koma a ayɛ kɛse ne nsu a ɛwɔ ahurututu mu.
• Transthoracic Echocardiogram (TTE): Eyi te sɛ koma no mu mfonini a wɔde ultrasound yɛ. Ebetumi ama wɔanya nsɛm a ɛho hia afa koma no mu adan, sɛnea ntini no reyɛ adwuma, ne mogya dodow a koma no rebɔ (ejection fraction) ho.
• Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ: Wɔhwɛ wo ECG ne wo mogya mmoroso bere a wonam treadmill so anaasɛ wote sakre so no. Eyi na ɛkyerɛ sɛnea wo koma betumi ayɛ adwumaden ne sɛ ebia ɔhaw bi wɔ mogya a ɛkɔ nipadua mu no mu anaa.
• Cardiac Catheterization / Angiogram: Eyi hwehwɛ sɛ wɔde afiri ketewaa bi fa asen anaa abasa no mu, de aduru bi gu koma no ntini a ɛma mogya tu mu, na wɔyɛ X-ray. Eyi ma oduruyɛfo no hu baabi pɔtee a asiw ntini no mu.
• CT Scan anaa MRI Scan: Eyinom boa ma wonya koma no nhyehyɛe ne ne dwumadi ho nsɛm a ɛkɔ akyiri.
• Nuklea Aduruyɛ Mfoniniyɛ: Ɛboa ma wohu mmeae a mogya tu na asɛe wɔ koma no mu.
• Myocardial Biopsy: Wɔ tebea horow a ɛntaa nsi mu no, wobetumi afa koma no mu ntini ketewaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi betumi aboa ma wɔahu nea ɛde koma ne ntini mu yare no ba.

Enti, dɛn ne ayaresa ahorow a wɔde sa eyi?

Nnuruyɛfo wɔ botae atitiriw abiɛsa bere a wɔresa tebea yi (Ischemic Cardiomyopathy) no:

1. Ahurututu mu ntini mu yare a wɔde sa yare.

2. Koma no dwumadi a ɛbɛma atu mpɔn.

3. Komayare ho sɛnkyerɛnne a wɔbɛtew so.

Akwan atitiriw pii wɔ hɔ a wɔfa so sa eyi:

1. Nnuru a wɔde di dwuma

Ebia wo duruyɛfo bɛkyerɛw nnuru yi mu biako anaa nea ɛboro saa:

• Beta-blockers: Ɛma koma no bɔ brɛoo, ɛhwɛ mogya mmoroso so, na ɛtew adwuma a ɛwɔ koma no so no so.
• ACE inhibitors anaa ARBs: Ɛma mogya ntini mu trɛw, ɛma mogya mmoroso so tew, na ɛma ɛyɛ mmerɛw sɛ koma no bɛtwe mogya.
• `(ARNI)`: Eyi nso yɛ aduru foforo a ɛma koma no yɛ adwuma yiye.
• Diuretics (nsu aduru): Ɛboa ma nsu a ɛboro so fi nipadua no mu denam nsu a wɔde fa nsu mu so, na ɛtew ɔfe ne ahome a ɛyɛ tiaa so.
• `(Aldosterone Antagonists)`: Eyi nso yɛ aduru bi a ɛma obi ho yɛ hyew a ɛbɔ koma no ho ban.
• Antiarrhythmics: Di koma no nnyigyei a ɛnkɔ so pɛpɛɛpɛ so sɛ ɛba a.
• Nnuru a ɛko tia mogya a ɛtwetwe: Siw mogya a ɛbɛtɔ no ano.
• Statins: Ɛtew mogya mu srade dodow so.

Saa nnuru yi boa ma koma no yɛ adwuma yiye, ɛhyɛ yare no ho sɛnkyerɛnne so, esiw nsɛnnennen ano, ɛma koma mu ntini mu yare no nsɛe, na ɛtew asiane a ɛwɔ hɔ sɛ obi benya komayare daakye no so. Wo duruyɛfo bɛkyerɛ nnuru ko a ɛfata wo ne dodow a wode bɛma. Sɛnea ɔka no, ɛho hia paa sɛ wobɛnom w’aduru no bere ano.

2. Asetra mu Nsakrae

Nnuru akyi no, nsakrae bi a wobɛyɛ wɔ wo da biara da asetra mu no betumi aboa kɛse ma woadi yare yi so:

• To nkyene dodow a wode bɛka w’aduan ho no ano hye: Bɔ mmɔden sɛ wubedi nkyene miligram 2,000 kosi 3,000 da biara (ɛno nnu teaspoon biako).
• Apɔw-mu-teɛteɛ: Wo ne wo duruyɛfo nkasa na bisa apɔw-mu-teɛteɛ a ɛfata wo ne bere tenten a ɛsɛ sɛ woyɛ.
• Twe wo ho fi tawa ho nneɛma ho koraa: Sɛ wonom sigaret a, gyae.
• Di aduan pa a ahoɔden wom: Di nhabannuru, nnuaba, atoko, mpataa, ne nnuan a ahoɔdennuru pii wom pii. Tew ngo, asikre, ne esiam so. Wɔkyerɛ sɛ Mediterranea Aduan no ye paa ma ayarefo a wɔte saa.

3. Mfiri a Wɔde Hyehyɛ Mu

Ɛsɛ sɛ wɔde mfiri soronko bi hyɛ nnipa binom honam ani na aboa ma wɔn koma ayɛ adwuma yiye.

• Cardiac Resynchronization Therapy (CRT): Wɔsan frɛ no biventricular pacing, na eyi boa ma koma no mu adan bom yɛ adwuma yiye.
• Implantable Cardioverter Defibrillators (ICD): Saa afiri yi tumi hu koma a ɛyɛ hu a ɛnyɛ ne kwan so na ɛde anyinam ahoɔden ketewaa bi ma na ama koma no asan ayɛ adwuma sɛnea ɛsɛ. Eyi boa kɛse ma wosiw koma mu owu mpofirim ano.

Ɛtɔ da bi a ɛyɛ yie sɛ wobɛhyehyɛ afiri bi a wɔfrɛ no `(CRT-D)` a ɛka saa mfiri mmienu yi nyinaa bom.

4. Nneɛma a Wɔde Di Dwuma ne Oprehyɛn a Wɔyɛ

Sɛ nnuru ne asetra mu nsakrae nkutoo nnɔɔso a, nnuruyɛfo betumi akamfo ayaresa anaa oprehyɛn te sɛ:

• Angioplasty ne stent a wɔde si hɔ: Wɔde biribi te sɛ balloon hyɛ ahurututu mu ntini a asiw no mu, na wɔde ahama ketewaa bi (stent) si hɔ na amma ansiw bio.
• Coronary Artery Bypass Surgery (CABG): Wɔnam ntini a asiw no a wɔfa so na wɔde ntini bi a wɔafa afi nipadua no fã foforo mu di dwuma so na ɛyɛ mogya ntini foforo.
• Oprehyɛn a Wɔsan Yɛ Anaasɛ Wɔsan Yɛ Benkum Akyi: Saa adeyɛ yi siesie benkum ahurututu a ayɛ mmerɛw na ayɛ kɛse no nsusuwii ne ne kɛse fã bi.
• Benkum Ventricular Volume a Wɔtew So Oprehyɛn .
• Left Ventricular Assist Devices (LVAD): Afiri ketewaa bi a ɛboa ma koma no ma mogya. Wɔde eyi di dwuma bere tiaa bi ma nnipa a wɔretwɛn sɛ wɔbɛma wɔn koma foforo, na wɔ tebea horow bi mu no, wɔde di dwuma daa.
• Koma a Wɔde Ma: Sɛ́ ɔkwan a etwa to no, sɛ ayaresa foforo biara nni hɔ a etu mpɔn a, wɔde koma a ɛte apɔw a efi obi a wawu de ma no hɔ ma.
• Oprehyɛn ahorow nso wɔ hɔ a wobetumi apaw ama komayare afoforo.

So ayaresa ahorow betumi de ɔhaw ahorow aba?

Sɛnea ɛte wɔ aduruyɛ biara mu no, saa ayaresa ahorow yi betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi, na sɛnea emu yɛ den no betumi ayɛ soronko wɔ onipa biara ho.

• Efi nnuru: adwenemhaw , yafunu a ɛyɛ yaw, ɔbrɛ, ɔfe a ɛyɛ dry, tiyɛ, mogya mmoroso, ti nhwi a ɛtɔ, mogya (esiane nnuru a ɛma mogya yɛ mmerɛw nti), ne nea ɛkeka ho.
• Efi mfiri a wɔde ahyɛ nipadua mu so: mogya a ɛtɔ, ɔyare mmoawa, mfiri a entumi nyɛ adwuma yiye, ahurututu mu ntini a ɛma mogya tu, koma mu ntini a ɛyɛ mmerɛw.
• Efi akwan horow ne oprehyɛn ahorow so: koko mu yaw, mogya a ɛtɔ, ɔyare mmoawa, komayare, mogya a ɛtɔ, koma a ɛnyɛ adwuma yiye, ɔyare a ɛma obi hwe ase, koma a wɔde si ananmu a wɔpow.

Mma eyi nhaw wo. Wo duruyɛfo bɛka eyinom nyinaa ho asɛm akyerɛ wo ansa na wafi ayaresa biara ase. Sɛ wunya ɔhaw biara a, ayaresa ahorow wɔ hɔ ma wɔn nso.

Bere tenten ahe na ebegye ansa na asa?

Wɔ aduru bi ho no, ebetumi adi adapɛn pii ansa na ayɛ adwuma koraa. Wɔ ayaresa afoforo mu no, bere a obi ho bɛtɔ no betumi afi da koro, akosi adapɛn kakraa bi, anaa asram mpo. Egyina ayaresa ko ne w’akwahosan nyinaa so.

Yɛrentumi nkwati yare yi? (Ayaresa a wɔde siw ano) .

Yiw, ebetumi aba yiye! Nea ɛde `(Ischemic Cardiomyopathy)` ba titiriw ne coronary artery disease, enti sɛ wusiw ano a, wubetumi nso akwati saa yare yi.

Ɔkwan bɛn so na wobetumi atew asiane no so?

Sɛnea ɛbɛyɛ na woakwati ahrawa mu ntini mu yare ne tebea a ebetumi afi mu aba (Cardiomyopathy) no, yɛ nneɛma yi:

• Twe wo ho fi tawa ho nneɛma ho koraa.
• Anyɛ yiye koraa no, teɛteɛ w’apɔw mu nnafua 5 dapɛn biara, anyɛ yiye koraa no simma 30 da biara.
• Nya nna a wo nipadua hia.
• Kura mu duru a ɛfata mu ma wo tenten.
• Di da biara da asetra mu adwennwen so.
• Sɛ wowɔ tebea horow te sɛ asikreyare, srade a ɛdɔɔso, anaa mogya mmoroso a, di so yiye. Fa nnuru a wo duruyɛfo akyerɛw ama wo no.
• Di aduan a ahoɔden wom. Di nhabannuru, nnuaba, ne nhabannuru pii.
• Sɛ wonom nsa a, to ano hye.

Dɛn ne daakye ma obi a ɔwɔ `(Ischemic Cardiomyopathy)`?

Ɛdenam wo tebea so no, sɛnea wo koma bɛsɛe no no betumi ayɛ ketewaa bi anaasɛ emu yɛ den. Nnuru betumi ama wo koma ayɛ adwuma yiye na atew yare no ho sɛnkyerɛnne so. Nanso sɛ ɛnnɔɔso a, ebia wo duruyɛfo bɛkamfo ayaresa anaa mfiri afoforo akyerɛ wo.

So wobetumi asa tebea yi koraa?

Sɛ mogya a ɛkɔ koma no mu no so tew bere tiaa bi pɛ a, ebia wobetumi asan asɛe no. Nanso, sɛ mogya ne mframa pa nni koma ntini no mu bere tenten, te sɛ bere a obi anya komayare a, ebia ɔsɛe no rentumi nsakra.

Nhwɛso a Ɛwɔ Hɔ

W’akwahosan daakye gyina nneɛma pii so:

• Mogya dodow ahe na wo benkum ventricle betumi abɔ bere koro mu (ejection fraction).
• Sɛnea wo koma mu ntini mu yare no mu yɛ den.
• So woanya komayare pɛn?

Nanso kae sɛ, ayaresa betumi ama wo tebea no atu mpɔn kɛse, enti mma anidaso nnyae.

Mɛyɛ dɛn ahwɛ me ho? (Ne ho a wɔhwɛ) .

Nneɛma pii wɔ hɔ a w’ankasa wubetumi ayɛ na ama w’akwahosan atu mpɔn:

• Bɔ mmɔden sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata.
• To nsa a wonom ano hye.
• Da yiye anadwo biara.
• Apɔw-mu-teɛteɛ daa (sɛnea oduruyɛfo afotu kyerɛ no).
• Di aduan a ɛma koma nya ahoɔden. Nnuan a srade ne nkyene pii nni mu.
• Twe wo ho fi tawa ho nneɛma ho koraa.
• Di w’adwennwen so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa tebea yi a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn mpɛn pii afe biara kɔhwɛ wo tebea no. Wɔ saa nsrahwɛ ahorow yi mu no, wo duruyɛfo betumi ahwɛ sɛ:

• So aduru a wonom no reyɛ adwuma yiye?
• Sɛ wode mfiri bi ahyɛ mu a, so ɛreyɛ adwuma yiye?
• Ɔkwan bɛn so na wo ho tɔ wo wɔ oprehyɛn anaa oprehyɛn bi akyi?

Wɔ saa oduruyɛfo nhyiam ahorow yi mu no, sɛ wuhyia nea edidi so yi mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara:

• Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den a.
• Sɛ wunya sɛnkyerɛnne foforo a na wunnya bi kan a.
• Sɛ wote nka sɛ wo mfiri no ntumi nyɛ adwuma yiye a.
• Sɛ worenya nsunsuanso bɔne afi nnuru a wonom no mu a.

Bere bɛn na ɛsɛ sɛ wokɔ ayaresabea ntɛm ara? (ETU) .

Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara :

• Sɛ ɛyɛ den ma wo sɛ wobɛhome mpofirim a.
• Sɛ wowɔ koko mu yaw a emu yɛ den a.
• Sɛ wo hwere w’adwene na wohwe ase a.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kakra nka bere a wuhu sɛ wowɔ `(Ischemic Cardiomyopathy)`. Nanso ɛho hia yiye sɛ wo ne wo duruyɛfo bɛkasa na woanya wo tebea no ho ntease a emu da hɔ. Wubetumi abisa nsɛm te sɛ eyinom:

• Ɔsɛeɛ ahe na asɛe me koma?
• Ayaresa kwan bɛn na eye ma me?
• So mmoa akuw bi wɔ hɔ a wobetumi aboa me?
• Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ yiye wɔ aduan ne anonne ho?
• Apɔw-mu-teɛteɛ bɛn na metumi ayɛ na mintumi nyɛ?

Nsuro sɛ wubebisa oduruyɛfo no biribiara a wonte ase. Ɔbɛboa wo.

Awiei koraa no, nneɛma a ɛsɛ sɛ yɛkae...

Ischemic Cardiomyopathy yɛ tebea a emu yɛ den, nanso wobetumi adi so. Sɛ wobehu no ntɛm na wɔasa no yare yiye ne nneɛma a ɛho hia sen biara. Nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu no betumi ama nsakrae kɛse aba. Di wo duruyɛfo akwankyerɛ akyi, nom wo nnuru no bere ano, na kɔhwɛ. Ɛnyɛ wo nko ara, na nnuruyɛfo ne w’adɔfo wɔ hɔ a wɔbɛboa wo. Enti fa akokoduru gyina tebea yi ano.

` Ischemic Cardiomyopathy, Ischemic Cardiomyopathy, komayare, ahrawa mu ntini mu yare, komayare, koma ntini mu mmerɛwyɛ, komayare ho sɛnkyerɛnne