Koma no ne engine ketewa a ɛwɔ yɛn nipadua mu a ɛyɛ adwuma a ennyae na ennye n’ahome da. Saa koma yi yɛ adwuma daa bere mpo a yɛda, yɛreyɛ adwuma, yɛretu mmirika, yɛrehuruw. Nanso sɛ wɔde koma no hyɛ nhyɛso mu dodo a, dɛn na ɛba? Te sɛ bere a yɛma adesoa a emu yɛ duru so na yɛn abasa mu ntini yɛ kɛse no, sɛ koma no brɛ dodo a, n’afasu, titiriw dan kɛse (benkum so ahurututu) a ɛde mogya kɔ nipadua no mu no afasu fi ase yɛ den na enyin. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ‘Left Ventricular Hypertrophy’ anaa LVH. Eyi yɛ tebea a abu so kɛse wɔ yɛn mu wɔ Sri Lanka. Enti, momma yɛnka eyi ho asɛm nnɛ ara kwa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ankasa ne Left Ventricular Hypertrophy (LVH)?
Sɛ yɛbɛka no tiawa a, LVH yɛ benkum so ahurututu no ntini fasu a ɛyɛ den, yɛn koma no mu adan atitiriw anan no mu biako. Saa benkum so ahurututu yi na ɛyɛ yɛn koma no dwumadi ahorow a ɛho hia sen biara no biako. Ɛne sɛ, mogya a oxygen pii wom a yɛde fi ahurututu mu kɔ aorta, mogya ntini a ɛsõ sen biara wɔ yɛn nipadua mu no mu. Efi hɔ no, mogya kyekyɛ kɔ nipadua no nyinaa mu, efi ti nhwi so kosi anan ase.
Enti, esiane biribi nti, sɛ nhyɛso anaa akwanside pii ba mogya a wɔde fa mu yi mu a, ɛsɛ sɛ benkum so ahurututu yi yɛ adwumaden sen sɛnea ɛtaa yɛ no. Ɛte sɛ nsu pɔmpɛ a ɛyɛ dede pii bere a asiw ano no. Sɛ woyɛ adwumaden dodo bere kɔ so a, ntini a ɛwɔ saa dan no mu no de nkakrankakra yɛ den na ɛyɛ kɛse. Wɔfrɛ eyi LVH. Ɛtɔ mmere bi a, saa dan yi tumi trɛw na ɛyɛ kɛse de di mogya dodow a ɛboro so no ho dwuma. Nhwehwɛmu ahorow kyerɛ sɛ sɛ wɔkyekyem pɛpɛɛpɛ a , nnipa baanum biara mu bɛyɛ biako betumi anya saa tebea yi.
So LVH ahorow bi wɔ hɔ?
Yiw, nnuruyɛfo gyina n’afasu kɛse ne ne kɛse so kyekyɛ wo benkum ahurututu no mu ahorow pii. Ɛho hia sɛ wuhu eyi.
| LVH type | Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba. |
|---|---|
| Ɔde n’adwene si biribi so | Koma no mu adan no afasu yɛ duru kɔ mu, na ɛma baabi (a ɛwɔ dan no mu) a mogya ahyɛ mu ma no yɛ ketewaa. |
| Nneɛma a ɛyɛ nwonwa | Koma mu dan noƐtrɛw na ɛyɛ kɛse. Eyi ma baabi (a ɛwɔ dan no mu) a mogya ahyɛ mu ma no yɛ kɛse. |
| Concentric remodeling (CR) a wɔde yɛ nneɛma foforo . | Ɛwom sɛ afasu no yɛ duru de, nanso ntini no nyinaa yɛ nea ɛfata. |
Nsɛnkyerɛnne bɛn na obi a ɔwɔ LVH nya?
Ɔhaw kɛse a ɛwɔ eyi mu ne sɛ LVH betumi ayɛ nea enni sɛnkyerɛnne biara wɔ ne mfiase . Nnipa pii hu sɛ wɔwɔ bi bere a wɔyɛ aduruyɛ mu nhwehwɛmu esiane biribi foforo nti nkutoo. Nanso bere a tebea no mu yɛ den, na nhyɛso a ɛba koma no so no yɛ kɛse no, ebia wubehu sɛnkyerɛnne ahorow a ɛte sɛ eyinom.
| Nsɛnkyerɛnne a ɛkyerɛ | Eyi te nka dɛn? |
|---|---|
| Koko mu yaw | Ebia wo koko bɛte nka sɛ ɛyɛ den na ɛyɛ den, titiriw bere a woabrɛ anaa woreyɛ apɔw-mu-teɛteɛ no. |
| Adwene a ɛyɛ basaa anaasɛ ɔtotɔ piti (Syncope) . | Mpofirim ara, wo ti kyinkyin, w’aniwa dan bruu, na ɛtɔ mmere bi mpo a, wubetumi ahwere w’adwene na woahwe ase. |
| Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa | Koma no bɔ kɔ soro mpofirim, anaasɛ ɛte sɛ nea ɛrebɔ a ɛnyɛ nea ɛbɔ denneennen. |
| Nneɛma a ɛbɔ denneennen | Sɛ woda, sɛ woyɛ komm a, wobɛtumi ate na woate wo koma a ɛrebɔ "dug dug" no nnyigyei. |
| Ɔbrɛ | Sɛ meyɛ nneɛma nketenkete a metaa yɛ mpo a, mebrɛ ntɛmntɛm. Mete nka sɛ minni nkwa biara wɔ me nipadua mu. |
| Ɔhome a ɛyɛ den | Sɛ menantew kakra, foro antweri bi, anaa mekotow a, ɛyɛ den ma me sɛ mɛhome, na me tirim yɛ me yaw. |
Dɛn nti na LVH tebea yi ba? Dɛn na ɛde ba?
Ade titiriw a ɛde LVH ba ne mogya mmoroso a wɔsan frɛ no mogya mmoroso. Sɛ wo mogya mmoroso kɔ soro a, nhyɛso a ɛwɔ wo mogya ntini mu no kɔ soro. Enti ɛsɛ sɛ wo koma yɛ adwumaden sen sɛnea ɛtaa yɛ na ama mogya atumi ako atia nhyɛso a ɛkɔ soro yi. Sɛ woyɛ adwumaden saa wɔ mfe no mu a, koma no ntini no yɛ den.
Nanso ɛnyɛ nhyɛso nko, ntease afoforo pii wɔ hɔ a ebetumi aka eyi.
- Koma mu ntini mu yare: Koma mu ntini a ɛwɔ koma no mu no te sɛ apon. Wɔma mogya kɔ baabiara na wɔmma ɛnsan nkɔ. Sɛ saa ntini ahorow yi yɛ teateaa (stenosis) anaasɛ ɛtwetwe (regurgitation) a, ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya no akɔ.
- Asikreyare: Asikreyare a wontumi nni so no ma asikre dodow kɔ soro wɔ mogya mu. Eyi betumi asɛe koma no bere a bere kɔ so no.
- Koma mu ntini mu yare: Esiane awosu anaa nneɛma afoforo bi nti, koma no ntini no betumi ayɛ kɛse anaasɛ ayɛ mmerɛw ara kwa.
- Aortic coarctation: Eyi yɛ tebea a ɛwɔ hɔ bere a wɔawo no. Mogya ntini titiriw a ɛde mogya kɔ nipadua no mu no mu teateaa wɔ baabi biako. Enti ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya afa saa beae a ayɛ teateaa no mu.
- Ayaresa mu tebea afoforo: Koma mu amyloidosis (protein a ɛwɔ koma no mu), renal artery stenosis (mogya ntini a ɛma mogya kɔ asaabo no mu a ɛyɛ teateaa), ne ventricular septal defect (VSD) (tokuru a ɛda koma no mu adan ntam) nso betumi ama LVH aba.
- Agumadi ho ntetee a emu yɛ den: Ebia agumadifo a wɔteɛteɛ wɔn apɔw mu na wɔtete wɔn ho boro so no koma atrɛw kakra fi awosu mu. Nanso, eyi nyɛ aduruyɛ mu tebea. Wɔn koma yɛ adwuma sɛnea ɛsɛ.
Adeɛ a ɛho hia ne sɛ, sɛ wowɔ saa tebea yi mu baako anaa nea ɛboro saa mpo a, ɛnkyerɛ sɛ wobɛnya LVH. Nanso asiane a ɛwɔ mu no dɔɔso sen saa. Enti, ɛho hia sɛ wodi tebea horow yi so yiye.
Hena na ɔwɔ asiane kɛse mu sɛ obenya LVH?
Nnipa binom wɔ asiane mu sɛ wobenya saa tebea yi sen afoforo.
- Kɛse mmoroso: Sɛ wo mu duru boro so a, ɛsɛ sɛ wo koma yɛ adwumaden na ama mogya akɔ wo nipadua nyinaa mu. Sɛ wo BMI boro 30 a, asiane a ɛwɔ hɔ no yɛ kɛse.
- Asaabo mu yare a enni sabea: Sɛ asaabo no ntumi nyɛ adwuma yiye a, nsu ne nkyene dodow a ɛwɔ nipadua no mu no kɔ soro, na ɛno betumi ama mogya mmoroso aba.
- Obstructive sleep apnea: Saa tebea yi a ɛma ɔhome taa gyae bere a wada no de nhyɛso kɛse ba koma no so.
- Mfomso a wodi wɔ asetra mu: Nneɛma te sɛ tawanom, nkyene pii a wode bɛka w’aduan ho, ne apɔw-mu-teɛteɛ a wonnyɛ apɔw-mu-teɛteɛ nso ma asiane no yɛ kɛse.
Sɛ wɔannya LVH a wɔansa a, dɛn na ɛba?
Ɛha na ɛsɛ sɛ yɛn nyinaa de yɛn adwene si so. LVH yɛ sɛnkyerɛnne a ɛkyerɛ sɛ koma no rebisa mmoa. Sɛ yebu yɛn ani gu so a, bere kɔ so no, tumi a koma no tumi bɔ no betumi ayɛ mmerɛw na nsɛnnennen a emu yɛ den betumi aba.
- Koma a ɛbɔ a ɛnteɛ `(Arrhythmia)`
- Koma mu yare
- Koma a ɛyɛ den
- Koma mu yare `(Koma mu yareɛ)`
- Nnwodwoɔ
- Adwene mu yare
Asiane a ɛwɔ hɔ sɛ obi benya tebea horow a emu yɛ den yi no kɔ soro bere a LVH no wɔ hɔ no, enti ɛho hia yiye sɛ wuhu saa tebea yi na wofi ase sa yare ntɛm ara sɛnea wobetumi.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wunni yare no ho sɛnkyerɛnne biara mpo a, ebia wo duruyɛfo besusuw sɛ eyi bere a wɔreyɛ wo nhwehwɛmu daa no. Wɔbɛyɛ nhwehwɛmu pii de akyerɛ sɛ LVH wɔ hɔ na wɔahu nea ɛde ba.
- Echocardiogram (Echo): Eyi ne sɔhwɛ a ɛho hia sen biara. Ɛte sɛ akokoaa bi a wɔayɛ no scan. Etumi hu sɛnea koma no mu adan kɛse te, sɛnea afasu no mu yɛ duru, sɛnea ntini no yɛ adwuma, ne sɛnea koma no bɔ mogya no pefee.
- Electrocardiogram (ECG anaa EKG): Eyi kyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Sɛ koma no yɛ kɛse a, wobetumi ahu nsakrae wɔ ECG no so.
- MRI Scan: Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ MRI scan na ama wɔasua sɛnea koma no yɛ adwuma yiye.
- Mogya mu nhwehwɛmu: Wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛ ebia ayaresa tebea afoforo te sɛ asikreyare ne asaabo mu yare bi wɔ hɔ.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Botae titiriw a ɛwɔ LVH a wɔsa mu ne sɛ wɔbɛsa nea ɛde tebea no ba no. Eyi bɛtew nhyɛso a ɛba koma no so no so na ama LVH no agyae anaasɛ ɛbɛma akɔ so brɛoo.
| Ɔkwan a wɔfa so sa yare | Dɛn na ɛba wɔ eyi ho? |
|---|---|
| Asetra mu nsakrae | Wobetumi asiw mogya mmoroso so denam aduan a nkyene nnim, a ahoɔden wom a wobedi, apɔw-mu-teɛteɛ da biara da, wɔn mu duru a wɔbɛhwɛ so, ne sigaretnom a wɔbɛkwati so. Eyi ne ayaresa fapem. |
| Mogya mmoroso nnuru | Ɛho hia sɛ wonom mogya mmoroso aduru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ na wonom bere ano. Saa nnuru yi brɛ nhyɛso a ɛba koma no so ase na ɛmma LVH nsɛe. |
| Nnuru afoforo | Wɔahu sɛ asikreyare nnuru bi (te sɛ nnuru a esiw SGLT2 ano) boa ma wodi LVH ho dwuma. |
| Koma mu ntini a wɔde yɛ oprehyɛn | Sɛ koma no mu ntini bi a ɛyɛ teateaa na ɛde LVH ba a, oprehyɛn a wɔde besi ananmu anaasɛ wosiesie no betumi ama nhyɛso a ɛwɔ koma no so no afi hɔ. |
| Oprehyɛn a wɔde ma obi mu duru so tew (Bariatric oprehyɛn) . | Sɛ wontumi nni kɛseyɛ mmoroso a emu yɛ den so a, ɛtɔ mmere bi a oprehyɛn a ɛte sɛɛ betumi aboa ma obi mu duru so atew na asiw mogya mmoroso so. |
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, mmu w’ani ngu so.
Sɛ wo koko yɛ wo yaw kɛse, ɛyɛ den ma wo sɛ wobɛhome denneennen, wohu sɛnkyerɛnne a ɛkyerɛ sɛ woabɔ wo ho akisikuru (a worehwe ase wɔ w’anim fã biako, wo nsa ayɛ wo yaw, ɛyɛ den sɛ wobɛkasa), anaasɛ wo koma bɔ ntɛmntɛm anaasɛ ɛnyɛ daa mpofirim a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.**
Bio nso, sɛ wo duruyɛfo aka akyerɛ wo sɛ wowɔ LVH a, ka nsakrae anaa nkɔanim biara a ɛba wo sɛnkyerɛnne ahorow mu ho asɛm kyerɛ wo duruyɛfo.
So wobetumi asan LVH?
Eyi ne asɛmpa no. Yiw, wɔ tebea horow bi mu no, wobetumi adi LVH ho dwuma, adi so, na mpo wɔadan no koraa!Nhwehwɛmu ahorow ada no adi sɛ sɛ wodi mogya mmoroso so yiye a, koma ntini a ayɛ den no betumi asan ayɛ den akodu baabi.
Nanso eyi gyina sɛnea wo tebea no mu yɛ den, bere tenten a woanya mogya mmoroso, ne sɛ ebia wowɔ ayaresa mu tebea afoforo te sɛ kɛseyɛ mmoroso so. Enti ade a eye sen biara a wubetumi ayɛ ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Ɛho hia yiye sɛ wobɛnom w’aduru, ayɛ nsakrae wɔ w’asetra mu, na woakɔ ayaresabea bere ano.
Nkrasɛm a Wɔde Kɔ Fie
- Left Ventricular Hypertrophy (LVH) yɛ koma no dan titiriw a wɔde pɔmpɔ gu mu no afasu a ɛyɛ den. Nea ɛde eyi ba titiriw ne mogya mmoroso.
- Ebia yare no ho sɛnkyerɛnne biara nni hɔ wɔ mfiase no, enti kɔhwɛ wo mogya mmoroso daa na kɔ aduruyɛ mu nhwehwɛmu.
- Ɔkwan a eye sen biara a wɔbɛfa so adi LVH so ne sɛ wɔbɛsa yare a ɛda adi (titiriw mogya mmoroso) a ɛde tebea no ba no yiye.
- Asetra pa (aduan pa, apɔw-mu-teɛteɛ, mu duru a wɔhyɛ so) betumi aboa kɛse ma wɔadi tebea yi so.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa pefee. Sɛ wuhu ntɛm na wosa wo yare yiye a, wubetumi atra ase a ahoɔden wom.
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