Yennim yɛn nipadua mu akwaa biara ho hwee, ɛnte saa? Koma mpo te saa. So woate ‘Left Atrial Appendage’ ho asɛm pɛn? Ebia na wunnim ho asɛm kosii sɛ wo duruyɛfo kaa ho asɛm kyerɛɛ wo. Titiriw wɔ obi a ne koma bɔ ntɛmntɛm te sɛ Atrial Fibrillation (Afib) fam no, koma no fã ketewaa yi ho nimdeɛ betumi ayɛ nea ɛho hia yiye.
Dɛn ne Benkum Atrial Appendage (LAA) no?
Sɛ yɛbɛka no tiawa a, eyi yɛ ntini ketewaa bi a ɛte sɛ kotoku a epue fi benkum ahurututu a ɛwɔ wo koma atifi no mu. Wɔtaa ka ho asɛm bere a oduruyɛfo pɛ sɛ ɔto mu no.
Afei ebia wobɛdwene sɛ, "Dɛn nti na wɔbɛto mu?" Nea enti a ɛte saa ne sɛ mogya a ɛtɔ a ɛma nnipa a wɔwɔ komayare bi a wɔfrɛ no Atrial Fibrillation (Afib) nya akisikuru no mu dodow no ara ba LAA no mu. Nanso mma ɛnhaw wo, wo koma da so ara tumi yɛ adwuma sɛnea ɛsɛ a ɔfã ketewaa yi nka ho.
Enti dɛn na ɛba LAA ankasa?
Ne dwumadi titiriw ne sɛ ɛbɛboa ma wɔahwɛ mogya dodow a ɛwɔ koma no mu so. Fa no sɛ, sɛ mogya dodow a ɛkɔ koma no mu kɔ soro na LAA no afasu trɛw a, ɛma protein bi a wɔfrɛ no natriuretic peptides kɔ mogya no mu.
Saa peptide ahorow yi yɛ nneɛma bi a ɛyɛ nwonwa wɔ yɛn nipadua mu:
- Wɔma yɛn asaabo kyerɛ sɛ ɛnam nsu mu yi nkyene ne nsu pii fi mu.
- Ɛsan nso ma yɛn mogya ntini no mu yɛ hare kakra.
Saa adeyɛ yi boa ma yɛn mogya mmoroso so tew.
Afei ebia woresusuw nea ɛba saa peptide ahorow yi so bere a wɔyɛ oprehyɛn yi LAA no ho no. Nea ɛyɛ nwonwa ne sɛ oprehyɛn no akyi bɛyɛ asram abiɛsa no, nipadua no yɛ nsakrae na peptide dodow san kɔ sɛnea na ɛte kan no.
Dɛn ne LAA no nsusuwii ne sɛnea ɛte?
Mpɛn pii no ne tenten bɛyɛ nsateakwaa 2, na ne kɛse bɛyɛ sɛ credit card. Etumi kura mogya bɛyɛ teaspoon abien (bɛyɛ mililita 9).
Nanso ɛnyɛ obiara LAA na ɛyɛ pɛ. Nsusuwii ahorow na ɛwɔ hɔ. Ɛdenam saa nsusuwii yi so no, asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no betumi ayɛ soronko mpo. Momma yɛnhwɛ nea ɛyɛ nsusuwii ahorow atitiriw no.
| Nsusuwii din | Nkyerɛkyerɛmu ne asiane |
|---|---|
| Akokɔ ntaban (a ne nsɛso te sɛ akokɔ ntaban) . | Eyi ne ɔkwan a wɔtaa de di dwuma. Ɛwɔ mfinimfini a ɛkɔ fam kakra. Wobu eyi sɛ nea asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no sua koraa. |
| Cactus (a ne nsusuwii te sɛ cactus) . | Ɔfã titiriw bi wɔ mfinimfini, ne afã afoforo a ɛte sɛ nea efi mu ba nkorabata. |
| Windsock (a ne nsɛso te sɛ mframa kotoku) . | Eyi wɔ ɔfã titiriw biako pɛ a ɛware. |
| Nnua a wɔfrɛ no cauliflower (a ɛte sɛ kɔla) . | Eyi yɛ nea ɛyɛ den yiye, na afã horow pii ne kɛse yɛ pɛ. Eyi ho yɛ na koraa. Wobu eyi sɛ nea asiane kɛse wom sɛ obi benya ɔyare a ɛma obi hwe ase . |
Tebea bɛn na ɛka LAA no?
Nsɛm atitiriw pii wɔ hɔ a ɛka LAA no:
- Akwanhyia: Nneɛma te sɛ kar akwanhyia betumi asɛe LAA no anaasɛ atetew.
- Mitral valve stenosis: Mitral valve a ɛwɔ koma no mu a ɛyɛ teateaa no ma mogya a ɛfa LAA no mu no brɛ ase. Eyi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse.
- Atrial fibrillation (Afib): Eyi ne nea ɛsɛ sɛ yɛde yɛn adwene si so titiriw. Afib fam no, koma no ntini no ntumi ntwitwiw yiye, na mmom ɛwosow. Eyi betumi ama mogya ayɛ kɛse wɔ LAA no mu na ama asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ no ayɛ kɛse.
Ade titiriw a ɛde akisikuru ba obi a ɔwɔ atrial fibrillation (Afib) so ne mogya a ɛtwetwe a ɛba LAA no mu. Akisikuru ba bere a saa ntini a ɛma mogya tu yi mu na ɛkɔhyɛ ntini bi a ɛwɔ amemene no mu mu no.
Ɔkwan bɛn so na wɔbɛhwɛ LAA no akwahosan?
Sɛ wo duruyɛfo pɛ sɛ ɔhwɛ sɛnea LAA no te a, nhwehwɛmu titiriw pii wɔ hɔ ma ɛno.
- Transesophageal echo (TEE): Eyi yɛ adeyɛ a wɔde afiri ketewaa bi hyɛ menewa no mu de twa koma no ho mfonini a emu da hɔ yiye. Eyi yɛ ɔkwan a wɔtaa fa so hwɛ LAA no.
- MRI (Magnetic Resonance Imaging) ne Cardiac CT (Computed Tomography) a wɔde hwɛ koma no:Eyinom betumi ama wɔanya koma no ne LAA ho mfonini a ɛkɔ akyiri.
Dɛn ne ayaresa ahorow a wɔde sa LAA?
LAA ayaresa gyina ɔyarefo no tebea so.
- Sɛ opira bi a, wɔyɛ oprehyɛn siesie .
- Sɛ valve haw bi wɔ hɔ, te sɛ `mitral valve stenosis` a, wɔsa .
- Sɛ asiane wɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase esiane Afib nti a, wɔto LAA no mu, woyi fi hɔ, anaasɛ wosiw ano na ama mogya a ɛbɛtɔ no asiw ano. Mprempren eyi yɛ ayaresa a edi mu yiye. Afei eyi betumi atew asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no so.
Mɛyɛ dɛn ahwɛ me koma so yiye?
Ɛho hia sɛ woma wo koma nyinaa nya apɔwmuden, ɛnyɛ LAA no nkutoo. Sɛ wobɛyɛ saa a, fa nneɛma a ɛnyɛ den yi ka w’asetra ho.
- Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 150 dapɛn biara. Nantew a ɛyɛ ntɛmntɛm mpo dɔɔso.
- Di aduan a ɛma koma nya ahoɔden . Fa nnuaba, nhabannuru, nhabannuru, ne nam ne mpataa a ɛnyɛ den ka w’aduan ho.
- Twe wo ho fi tawa ho nneɛma ho koraa .
- Hwehwɛ akwan a wobɛfa so adi adwennwen ho dwuma wɔ wo da biara da asetra mu. Biribi a ɛnyɛ den te sɛ adwendwene, nnwom a wobɛtie, anaa w’adamfo a wo ne no bɛkasa mpo betumi aboa.
- Sɛ wowɔ tebea horow te sɛ mogya mmoroso anaa asikreyare , di wo duruyɛfo akwankyerɛ akyi na di so yiye.
Ɛwom sɛ nnipa pii ntee ho asɛm da de, nanso LAA no di dwuma ketewaa bi wɔ yɛn nipadua mu. Nanso, sɛ ɛde wo to asiane mu sɛ wobɛnya akisikuru a, ɛyɛ nea asiane biara nni ho sɛ wobɛtra ase a wunni bi. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a woresusuw koma oprehyɛn ho no. Nanso wɔ obi a ɔwɔ Afib fam no, LAA no a wosiw ano, de ne ho fi nnuru a ɛma mogya yɛ mmerɛw wɔ ne nkwa nna nyinaa mu, na ɔtra ase a stroke nnim no yɛ ɔkwan pa a wobɛfa so ne wo duruyɛfo akasa afa nea eye ma wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Benkum Atrial Appendage (LAA) yɛ koma no fã ketewaa bi a ɛte sɛ kotoku a ɛbata benkum atrium no ho. Ɛho nhia mma koma no dwumadi.
- Asiane titiriw a ɛwɔ eyi mu ne sɛ wɔ nnipa a wɔwɔ Atrial Fibrillation (Afib) mu no, mogya a ɛbɛtɔ wɔ koma no mu, atu kwan akɔ amemene no mu, na ama obi anya akisikuru.
- Asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no gu ahorow gyina sɛnea LAA no te so. ‘Culiflower’ nsusuwii no ne asiane a ɛsen biara.
- LAA no a wɔbɛto mu, ayi afi hɔ, anaasɛ wobesiw ano no yɛ ayaresa a etu mpɔn a wɔde bɛtew asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no so.
- Sɛ wowɔ Afib a, wo ne wo duruyɛfoɔ nkasa pefee mfa yei ne ayaresa a ɛfata wo ho.
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