So wote nka sɛ woatɔ piti a ntease biara nnim? So wote nka sɛ ɛyɛ nwonwa wɔ wo koma bɔ mu? Momma yensua (Implantable Loop Recorder) ho ade.

So ɛtɔ mmere bi a wote nka sɛ wo ho atɔ wo? Anaasɛ wo koma bɔ ntɛmntɛm araa ma wote nka sɛ ehu aka wo? Nanso sɛ wokɔ oduruyɛfo nkyɛn a, ECG nkyerɛ bɔne biara saa bere no? Eyi yɛ ɔhaw a nnipa pii wɔ. Enti, ɛnnɛ yɛreka mfiri ketewaa bi nanso ɛho hia yiye a wɔde hu nneɛma a ɛnteɛ wɔ koma bɔ mu a ɛba bere ne bere mu nkutoo ho asɛm.

Dɛn ne saa Implantable Loop Recorder (ILR) yi?

Sɛ yɛbɛka no tiawa a, ɛyɛ ɛlɛtrɔnik mfiri ketewaa bi a wɔde ahyɛ wo moma so were ase. Ɛte sɛ pen drive ketewaa bi. Ne dwumadi titiriw ne sɛ ɛbɛkɔ so ahwɛ wo koma bɔ ne sɛnea ɛbɔ, na akyerɛw biribiara a ɛnteɛ.

Wɔde di dwuma de hu nsakrae a ɛntaa nsi wɔ koma mu nnyigyei mu a wɔmfa koma mu nhwehwɛmu (te sɛ Holter monitor) a wɔtaa yɛ mprenu da biara no nnye. Wobetumi agyaw saa mfiri yi wɔ wo nipadua mu akosi mfe abiɛsa . Sɛ oduruyɛfo no nya nsɛm a ɛho hia wɔ saa bere no mu a, wobetumi ayi afi hɔ ntɛm.

Dɛn nti na oduruyɛfo bi bɛkamfo saa mfiri yi akyerɛ wo?

Ebia wo koma ho ɔyaresafo bɛkamfo ILR akyerɛ wo sɛ:

• Sɛ woatotɔ piti anaasɛ woabɔ wo koma a wontumi nkyerɛkyerɛ mu a: Eyi betumi aboa ma woahu nea ɛde ba ankasa sɛ nhwehwɛmu afoforo antumi anhu nea ɛde ba a.
• Hu koma no nnyigyei a ɛntaa nsi (arrhythmias): Apɔw-mu-teɛteɛ ahorow bi te sɛ ``Atrial Fibrillation - AFib``, ntaa nsi. Saa mfiri yi ho wɔ mfaso kɛse wɔ nsɛm a ɛtete saa mu.
• Hwɛ arrhythmia a wɔahu dedaw bere a wɔresa no.
• Hwɛ sɛnea anyinam ahoɔden a ɛwɔ koma no mu bere a woanya komayare anaa akisikuru akyi.

Ɔkwan bɛn so na saa mfiri ketewa yi yɛ adwuma?

Fa no sɛ ɔkwansrafo ketewaa bi a ɔrehwɛ wo koma. Ɛhu anyinam ahoɔden a ɛwɔ wo koma mu na ɛkyerɛw nsakrae biara a ɛnteɛ. Ɛyɛ ketewaa bi, na ne tenten bɛyɛ nsateakwaa biako anaa abien.

Esiane sɛ ɛwɔ honam ani (subcutaneous) nti, wubetumi ahu akuru a ɛwɔ honam ani no, nanso worente ɛyaw anaasɛ wo ho nyɛ wo dɛ biara.

Saa mfiri yi yɛ adwuma wɔ akwan abien so:

1. Ɔno ara: Sɛ saa afiri yi hu biribi a ɛnteɛ wɔ wo koma mu, bere mpo a wunni sɛnkyerɛnne biara a, ɛbɛkyere asɛm a esii no agu hama so.

2. Nsa: Saa afiri yi de activator ketewaa bi a wubetumi akura mu wɔ wo nsam ba.Wo nsa ka. Sɛ wote nka sɛ wo ho atɔ wo anaasɛ wo koma rebɔ ntɛmntɛm a, nea ɛsɛ sɛ womia button a ɛwɔ activator no so no ara kwa. Afei, saa afiri yi kyerɛw wo koma dwumadi saa bere no ne bere tiaa bi ansa na ɛreba. Eyi bɛboa wo duruyɛfo no ma wate abusuabɔ a ɛda wo sɛnkyerɛnne ahorow ne koma no dwumadi a ɛnteɛ ntam ase.

Wɔde saa data yi nyinaa sie ne memory mu. Afei ɛma wo duruyɛfo nya saa nsɛm no wɔ bere a ɛfata mu.

Dɛn na ɛba ansa na wɔde afiri no ahyɛ mu?

Nea edi kan no, wo duruyɛfo besi gyinae sɛ ebia wuhia saa mfiri yi ankasa anaa. Nea ɛbɛyɛ na wɔayɛ eyi no, wɔbɛhwɛ w’ayaresa ho abakɔsɛm mu, ayɛ wo nipadua mu nhwehwɛmu, na sɛ ɛho hia a, wɔbɛyɛ nhwehwɛmu kakraa bi.

• `EKG` (Electrocardiogram) .
• Echocardiogram (koma mu nhwehwɛmu) .
• `Apɔw-mu-teɛteɛ adwennwen sɔhwɛ` (sɔhwɛ a wɔyɛ bere a wɔreyɛ apɔw-mu-teɛteɛ) .
• `Tilt table test` (sɔhwɛ a wɔde hwɛ sɛ obi ayɛ basaa) .

Sɛ, wɔ nhwehwɛmu ahorow yi akyi no, wontumi nhu nea ɛde wo sɛnkyerɛnne ahorow no ba pefee a, wobetumi akamfo ILR akyerɛ.

Wo duruyɛfo betu wo fo wɔ sɛnea wubesiesie wo ho ama oprehyɛn no ho. Mpɛn pii no, wobɛte nka sɛ woada kakra, enti wɔbɛka akyerɛ wo sɛ fa obi mmra ma ɔmfa kar nkɔ fie bere a wɔayɛ oprehyɛn no awie no . Ɛnyɛ papa sɛ wobɛka kar nnɔnhwerew 24.

So ɛyɛ asɛm kɛse sɛ wobesiesie eyi? Ɔkwan bɛn so na ɔkwan a wɔfa so yɛ no?

Nte saa koraa. Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye, ketewaa bi. Wubetumi akɔ fie da koro no ara. Wɔremma wo aduru a ɛma wo dwensɔ koraa, nanso wɔbɛma wo nnuru a ɛbɛboa wo ma woagye w’ahome na woante ɛyaw biara.

Eyi taa yɛ oduruyɛfo a ne ho akokwaw wɔ koma no anyinam ahoɔden nhyehyɛe mu (``Electrophysiologist''). Anamɔn a wɔfa so yɛ no te sɛ nea edidi so yi:

1. Wɔbɛma wo aduru a ɛma wo ho dwo ne aduru a wɔde kum wo mpɔtam hɔ a ɛbɛma woayɛ mmerɛw sɛnea ɛbɛyɛ a worente ɛyaw biara.

2. Wɔtwa wo koko benkum so honam ani fã ketewaa bi .

3. Wɔyɛ baabi ketewaa bi (kotoku) wɔ honam ani de afiri no si.

4. Wɔde ILR afiri no ahyɛ saa beae no mu.

5. Wɔde nhama anaa gluu soronko bi (`oprehyɛn gluu`) na ɛto ntwitwiridii no mu.

6. Awiei koraa no, wɔde biribi te sɛ magnet a wɔde bɛbɛn koko no so na ɛma afiri no yɛ adwuma.

Saa adeyɛ yi nyinaa gye bere tiaa bi pɛ, bɛyɛ simma 10 kosi 15 .

Mfaso ne ɔhaw bɛn na ɛwɔ eyi so?

Sɛnea ɛte wɔ aduruyɛ biara mu no, mfaso ne ɔhaw ahorow wɔ hɔ. Wo duruyɛfo ne wo besusuw eyi ho na wasi gyinae.

Dɛn na ɛsɛ sɛ mehwɛ so bere a mede afiri no ahyɛ mu awie no?

Nnipa dodow no ara betumi akɔ fie na wɔasan afi dwumadi ahorow a wɔtaa yɛ no ase da koro no ara. Ansa na wobɛkɔ fie no, wo duruyɛfo bɛkyerɛ wo sɛnea wode nnwinnade a ɛka afiri no ho no bedi dwuma. Nea ɛka eyi ho ne activator a womia bere a wowɔ sɛnkyerɛnne ahorow ne transmitter a ɛde data kɔma wo duruyɛfo no.

Wɔbɛma wo akwankyerɛ nso a ɛfa sɛnea wobɛma baabi a wɔatwa no ho atew. Ebia ɛyaw ne akuru bi bɛba beae hɔ nna kakraa a edi kan no. Eyi yɛ ade a ɛfata. Ɛbɛkɔ wɔ nna kakraa bi akyi. Oduruyɛfo no nso bɛkyerɛ wo bere tenten a ɛsɛ sɛ woma beae no ho tew na ɛhɔ yɛ kusuu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara!

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi wɔ baabi a afiri no wɔ (beae a wɔatwa no) a, ka kyerɛ wo duruyɛfo ntɛm ara . Ebia eyinom yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa.

Ɔkwan bɛn so na eyi yɛ soronko wɔ afiri a ɛma koma bɔ kɛse ho?

Eyi yɛ asɛmmisa a ɛho hia paa. Eyinom yɛ mfiri abien a ɛyɛ adwuma abien a ɛsono emu biara koraa.

• Loop Recorder (ILR): Eyi yɛ afiri a wɔde hwehwɛ nneɛma mu . Ɛte sɛ mfoninitwa afiri. Ɛkyerɛw nea ɛrekɔ so wɔ koma no mu nkutoo. Ɛnka koma no wɔ ɔkwan biara so.
• Pacemaker: Eyi yɛ `` ayaresa`` afiri. Te sɛ oduruyɛfo no, ehu nneɛma a ɛnteɛ wɔ koma no mu na ɛde anyinam ahoɔden nsɛnkyerɛnne kɔma de siesie.

Sɛ yɛbɛka no tiawa a, nsɛm a efi Loop Recorder no mu no boa wo ma wusi gyinae sɛ ebia wuhia pacemaker anaasɛ wunhia.

So eyi betumi aboa ma wɔahu komayare?

Dabi, wɔannwene saa mfiri yi amma saa atirimpɔw no. Nanso, etumi hu apɔw-mu-teɛteɛ a ɛnyɛ den, a ɛyɛ ɔhaw a efi komayare mu ba.

Awiei koraa no, ɛyɛ ade a ɛfata sɛ wobɛte abasamtu nka bere a wo sɛnkyerɛnne ahorow no nna adi wɔ nhwehwɛmu ahorow mu no. Nanso esiane sɛ Implantable Loop Recorder hwɛ wo koma so bere tenten nti, ɛda adi kɛse sɛ wo duruyɛfo "behu" na wakyerɛ ɔhaw no yiye. Eyi betumi ama woanya mmuae a woahwehwɛ no, na wo ho atɔ wo ntɛmntɛm.