So wo koma nso rebɔ ntɛmntɛm? So wote nka sɛ nwansena wɔ wo moma so? (Palpitations) Momma yɛnka eyi ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo koma rebɔ a wuntumi nhyɛ so, anaasɛ ɛte sɛ nea ɛrehuruw mpofirim wɔ ɛbɔ bi mu? Ebia ɛbɛyɛ te sɛ nea biribi rekɔ wo moma so, anaasɛ ɛrebɔ ntɛmntɛm yiye. Saa osuahu ahorow yi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ ‘palpitations’. Mma nnsuro sɛ wote yei a, yɛbɛka ho asɛm tiawa, wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne saa ‘apɔw-mu-teɛteɛ’ yi?

Sɛ yɛbɛka no tiawa a, koma a ɛbɔ denneennen ne atenka a wunya bere a wo koma rebɔ no. Eyi betumi ayɛ ahorow ahorow:

• Koma no rebɔ denneennen: te sɛ nea obi rebɔ ne moma so.
• Koma a ɛretu mmirika: Te sɛ bere a woreba mmirikatu, anaa bere a ehu aka wo kɛse.
• Skipped beat: Nkate a ɛte sɛ nea koma no gyae mpofirim na afei efi ase bɔ bio.
• Fluttering: Nkate a ɛte sɛ ntontom rehuruhuruw wɔ koko mu.
• Koma a ɛbɔ a ɛnteɛ: Nkate a ɛkyerɛ sɛ koma no rebɔ wɔ ɔkwan a ɛnteɛ so, sen sɛ ɛbɛbɔ denneennen.

Saa nkate ahorow yi betumi atra hɔ sikani kakraa bi, ɛtɔ mmere bi a simma kakraa bi. Nea ɛho hia ne sɛ saa ‘apɔw mu a ɛbɔ’ yi nyɛ yare, na mmom ebetumi ayɛ tebea bi ho sɛnkyerɛnne. Mpɛn pii no, ɛnyɛ nea asiane wom, nanso ɛtɔ mmere bi a ɛsɛ sɛ wohaw wo ho kakra.

Dɛn nti na yenya saa ‘apɔw-mu-teɛteɛ’ yi?

Nneɛma pii betumi ama obi koma abɔ. Ebinom abu so paa. Ma yɛnhwɛ nea saa ntease ahorow no yɛ.

1. Ntease ahorow a ɛfa yɛn asetra kwan ho:

Eyinom ne nneɛma atitiriw a ɛma yɛtaa nya yɛn koma a ɛbɔ denneennen.

• Adwennwen ne Dadwen:

Fa no sɛ wowɔ sɔhwɛ kɛse, anaa ɔhaw bi wɔ adwumam, anaa abusua mu haw... Wɔ mmere te sɛ eyinom mu no, wo koma te nka sɛ emu yɛ duru yiye, ɛnte saa? Wɔ mmere te sɛ eyinom mu no, wo koma bɔ tumi kɔ soro. Nnipa binom nso nya saa koma a ɛbɔ yi bere a wɔanya `(Panic Attacks)`.

• Nsã a caffeine wom:

Yɛn nyinaa nim sɛ caffeine wɔ tii, kɔfe, ne anonne a ɛyɛ dɛ (titiriw anonne a ɛma ahoɔden) bi mu. Eyinom pii dodo betumi ama wo koma bɔ kɛse. Sɛ wonom kɔfe nkuruwa pii da biara a, ɛsɛ sɛ wususuw eyi ho kakra.

• Nicotine: 1 .

Saa tebea yi betumi aba wɔ wɔn a wɔnom sigaret ne wɔn a wɔnom sigaret mu. Nicotine yɛ ade a ɛkanyan koma no.

• Nsaden:

Wɔ nnipa binom fam no, nsa kakraa bi mpo betumi ama wɔn koma bɔ kɛse. Sɛ wonom nsa pii a, akyinnye biara nni ho sɛ ebetumi anya nkɛntɛnso.

• Apɔw-mu-teɛteɛ a Ɛyɛ Den:

Sɛ woteɛteɛ w’apɔw mu yiye a, eye ma nipadua no. Nanso, sɛ woyɛ apɔw-mu-teɛteɛ a emu yɛ den a wunnim mpofirim, anaasɛ wobɔ mmɔden dodo a, ebia wo koma bɔ kɛse.

• Nsu a ɛho ntew:

Eyi betumi asi bere a wonnom nsu a ɛdɔɔso mpo. Nsuo a wɔnom ho hia paa wɔ yɛn man yi mu hyeɛ mu.

• Dae a Wonnya:

Sɛ obi nna sɛnea ɛsɛ a, ebetumi aka koma no dwumadi nso.

• Aduan ahorow bi:

Eyi betumi ato nnipa binom bere a wɔadi nnuan a ɛyɛ nnuhwam, srade, anaa nea ɛyɛ dɛ mpo akyi.

2. Aduruyɛ mu ntease ahorow:

Ɛtɔ mmere bi a, aduruyɛ mu tebea bi betumi ama obi koma atɔ wo yam.

• Koma mu Tebea:

Eyi betumi afi koma mu ntini mu yare ahorow bi (Arrhythmias) aba. Sɛ nhwɛso no, tebea horow te sɛ Atrial Fibrillation ne Supraventricular Tachycardia (SVT). Ebetumi nso afi nhyehyɛe mu ɔhaw ahorow a ɛwɔ koma no mu, te sɛ koma no ntini a ɛyɛ mmerɛw. Eyinom yɛ nneɛma a akyinnye biara nni ho sɛ ɛsɛ sɛ oduruyɛfo hwehwɛ mu.

• Thyroid Ho Ɔhaw ahorow:

Koma a ɛbɔ betumi akɔ soro, titiriw bere a thyroid ntini no yɛ adwuma boro so (hyperthyroidism).

• Hemoglobin a ɛba fam wɔ mogya mu (nemia):

Sɛ mogya a ɛkɔ nipadua no mu no so tew a, ɛsɛ sɛ koma no yɛ adwumaden. Apɔw-mu-teɛteɛ nso betumi aba.

• Huraeɛ:

Sɛ wunya atiridii a, wo koma bɔ kɔ soro fi awosu mu.

• Electrolyte a Ɛnkari pɛ:

Nneɛma a ɛwɔ nipadua no mu te sɛ potassium ne magnesium pii anaasɛ kakraa bi betumi aka koma no nnyigyei.

• Asikre dodow a ɛba fam wɔ mogya mu (Hypoglycemia): .

Sɛ nnipa a wɔwɔ asikreyare anaa afoforo mogya mu asikre so tew mpofirim a, eyi betumi aba.

• Nnuru Bi:

Nnuru bi a wɔde home ma ayamtu, atiridii nnuru bi, ne nnuru bi a wɔde sa adwenemyare nso betumi ama obi koma atɔ no.

• Nsakrae a Ɛba Hormone Mu:

Mmea binom betumi ahu eyi wɔ nyinsɛn mu, bere a wɔagyae brayɛ, anaa bɛyɛ bere a wɔn ɔsram biara rekɔ so no.

Bere bɛn na ɛsɛ sɛ yɛhaw yɛn ho wɔ eyi ho? Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn?

Okay, afei ebia woredwene sɛ, "Sɛ eyi yɛ biribi a ɛba esiane nneɛma pii nti a, so ɛsɛ sɛ mehaw me ho? So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?"

Mpɛn pii no, saa koma a ɛbɔ yi nyɛ nea asiane wom. Nanso, wɔ tebea horow bi mu no, akyinnye biara nni ho sɛ ɛho hia sɛ wohwehwɛ aduruyɛ mu afotu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi ka ho a ɛyɛ wo yaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn:

• Adwene a ɛyɛ hare anaa nea ɛyɛ hare: Sɛ wote nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ hare bere a wo koma retu, anaasɛ w’ani dan bruu na efi ase hyerɛn a.
• Fainting anaa Syncope: Sɛ w’adwene fi wo ho so mpofirim na wohwe ase a.
• Koko mu Ɛyaw Anaasɛ Ɛhaw: Sɛ wote yaw bi a ɛyɛ wo koko a ɛrepiapia, ɛrepiapia, anaa ɛrehyew bere a wo koma rebɔ no.
• Ɔhome Tiatiaa: Sɛ wote nka sɛ worehyia ɔhaw wɔ ahome mu, bere mpo a wugyina hɔ ara kwa no.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ: Sɛ wo koma bɔ ntɛmntɛm yiye (ɛbɔ bɛboro 120-150 simma biara), anaasɛ sɛ wo koma bɔ ntɛmntɛm koraa a.
• Apɔw-mu-teɛteɛ taa ba, ɛtra hɔ kyɛ, anaasɛ ɛyɛ kɛse.
• Sɛ wowɔ komayare foforo anaasɛ sɛ obi a ɔwɔ w’abusua mu anya komayare mpofirim anaasɛ wanya komayare a emu yɛ den a.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mmu no sɛ ɛyɛ nea ɛfata. Nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara.

Sɛ wuhyia oduruyɛfo a, dɛn na ɛba?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo nsɛm kakraa bi. Eyi kyerɛ sɛ wubehu w’ayaresa ho abakɔsɛm ho nsɛm a ɛkɔ akyiri.

• Bere bɛn na koma a ɛbɔ no ba?
• Bere tenten ahe na adi?
• Ɛte nka dɛn (ɛrehuruhuruw, ɛrema kwan, ɛrehuruhuruw)?
• So wunya yare no ho sɛnkyerɛnne a emu yɛ den kɛse bere a wudidi, nom, anaa woyɛ biribi (Triggers)?
• So sɛnkyerɛnne afoforo bi wɔ hɔ (te sɛ koko mu yaw, ahome a ɛyɛ den)?
• Nnuru bɛn na wonom?
• W’asetra kwan te dɛn (aduan a wudi, sigaretnom, nsa, apɔw-mu-teɛteɛ)?
• So obi wɔ abusua no mu a ɔwɔ komayare?

Afei oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu, atie wo koma na wahwɛ sɛnea wo koma bɔ denneennen.

Afei, ebia wɔbɛka akyerɛ wo sɛ yɛ sɔhwɛ ahorow bi na aboa ma woahu nea ɛde ba:

• ECG (Electrocardiogram): Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛyaw nnim a ɛkyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Sɛ wubetumi ayɛ ECG bere a wo koma bɔ denneennen a, mfaso wɔ so kɛse.
• Holter Monitor: Eyi yɛ afiri ketewaa bi a wɔde hyɛ wo nipadua so nnɔnhwerew 24 kosi 48. Saa bere yi mu no, wɔkɔ so kyerɛw wo koma bɔ. Eyi ho wɔ mfaso sɛ wotaa bɔ wo koma nanso wɔanhu wɔ ECG so a.
• Nsɛm a Ɛsisii Kyerɛwtohɔ:Eyi te sɛ Holter Monitor, nanso wobetumi de adi dwuma nna anaa adapɛn pii. Wubetumi akyerɛw w’ankasa wo koma a ɛbɔ no agu so bere a wote nka ara pɛ.
• Mogya mu Nhwehwɛmu: Saa nhwehwɛmu ahorow yi boa ma wɔhwɛ nneɛma te sɛ thyroid hormone dodow (Thyroid Function Tests), mogya a ɛtɔ kɔ nipadua no mu (Full Blood Count), ne electrolyte dodow a ɛwɔ nipadua no mu.
• Echocardiogram: Eyi yɛ koma no mu mfonini a wɔde ultrasound yɛ. Ebetumi ahwɛ sɛnea koma no te, sɛnea ntini ahorow no yɛ adwuma, ne sɛnea koma ntini no te.
• Adwennwen Ho Sɔhwɛ: Sɛ ɛtɔ mmere bi a wo koma bɔ bere a woreteɛteɛ w’apɔw mu a, eyi yɛ sɔhwɛ a ɛfa ECG a wobɛyɛ bere a woretu mmirika wɔ treadmill so ho.

Ɛnyɛ obiara na ɛsɛ sɛ ɔyɛ sɔhwɛ ahorow yi nyinaa. Gyinae a wubesi wɔ sɔhwɛ ahorow a ɛsɛ sɛ woyɛ ho no begyina wo yare no ho sɛnkyerɛnne ne nea wo duruyɛfo no bewie so.

Sɛ wo koma bɔ a, dɛn na wubetumi ayɛ?

Nea ehia paa ne sɛ wobɛkɔ oduruyɛfo nkyɛn na woadi n’akwankyerɛ so. Nanso nneɛma bi nso wɔ hɔ a wubetumi ayɛ de aboa ma woadi tebea yi ho dwuma.

• Hu nea ɛde ba na kwati: Yɛ bere a wo koma bɔ denneennen, nea woyɛ, ne nea wudi ne nea wonom (sɛ nhwɛso no, bere a woanom kɔfe, adi nnuan a ɛyɛ nnuhwam, anaa woateɛteɛ w’apɔw mu) ho kyerɛwtohɔ ketewaa bi. Afei wubetumi atwe wo ho afi saa nneɛma no ho kakra.
• Di adwennwen ho dwuma: Bɔ mmɔden sɛ wobɛma w’adwene adwo denam nneɛma te sɛ apɔw-mu-teɛteɛ a wode home a emu dɔ, adwennwen, ne yoga so. Ɛyɛ papa nso sɛ wode wo ho bɛhyɛ anigyede bi a w’ani gye ho mu.
• To caffeine ne nsa ano hye anaa gyae: Tew tii, kɔfe, anonne a ɛma ahoɔden, ne nsa a wonom so.
• Kwati sigaretnom: Sɛ woyɛ obi a ɔnom sigaret a, ɛho hia paa sɛ wobɔ mmɔden sɛ wubegyae.
• Nom nsu pii: Nom nsu a ɛdɔɔso da mũ no nyinaa.
• Da sɛnea ɛsɛ: Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛda yiye nnɔnhwerew 7-8 da biara.
• Di aduan a ɛkari pɛ: Di nhabannuru, nnuaba, ne nnuan a ahoɔden wom. Di nnuan nketenkete sen sɛ wubedi nnuan akɛse prɛko pɛ.
• Sɛ wo duruyɛfoɔ tu wo fo nkutoo a: Ɛtɔ da bi a akwan bi wɔ hɔ a wɔfrɛ no ``Vagal Maneuvers'' a wɔfa so hwɛ wo koma bɔ kakra. Sɛ nhwɛso no, ahome a wobɛhome (te sɛ wo yafunu a wobɛma ayɛ gyegyeegye), nsuonwini a wobɛpetepete w’anim, anaasɛ wobɛma woafe. Nanso hwɛ hu sɛ wubebisa wo duruyɛfo ansa na woayɛ eyinom na sɛ ɔpene so nkutoo a, yɛ.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Enti, ‘apɔw-mu-teɛteɛ’ yɛ tebea a ɛka nnipa pii na mpɛn pii no ɛnyɛ nea asiane wom. Nanso, ɛnyɛ papa sɛ yebebu yɛn ani agu so.

Kae sɛ, sɛ wowɔ adwenem naayɛ anaa dadwen bi wɔ ɔkwan a wo koma rebɔ no ho, anaasɛ wowɔ kɔkɔbɔ nsɛnkyerɛnne a yɛadi kan aka ho asɛm no bi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.

Mma ɛnhaw wo, oduruyɛfo betumi aboa wo ma woahu nea ɛde tebea yi ba na sɛ ɛho hia a, wasa. Mpɛn pii no, wubetumi adi ‘apɔw-mu-teɛteɛ’ yi so denam nsakrae nketenkete kakraa bi a wobɛyɛ wɔ w’asetra mu no so. Hwɛ wo koma so yiye!

` Koma a ɛbɔ, Koma a ɛbɔ, Koma a ɛbɔ, Koma a ɛbɔ, Koma a ɛbɔ, Koma a ɛbɔ, Arrhythmia, ECG, Holter monitor, Adwennwen, Dadwen, Caffeine, Koma Yare Nsɛnkyerɛnne