Wo koma ne w’ahurututu fata dɛn? Momma yɛnhwehwɛ mu denam CPET sɔhwɛ no so! (Koma ne ahurututu mu Apɔw-mu-teɛteɛ Sɔhwɛ) .

So ɛtɔ mmere bi a ɛyɛ den ma wo sɛ wobɛhome bere a wutu mmirika kakra mpo, anaa bere a woforo antweri bi no? Anaasɛ wote nka sɛ woabrɛ ma ɛyɛ nwonwa? Ebia wo duruyɛfo aka ‘adwennwen ho nhwehwɛmu’ ho asɛm akyerɛ wo. Ɛhwɛ sɛnea wo koma yɛ adwuma bere a woreteɛteɛ w’apɔw mu no. Nanso ɛnnɛ yɛreka sɔhwɛ titiriw bi a ɛhwɛ wo koma ne w’ahurututu nyinaa dwumadi wɔ ɔkwan a emu dɔ so ho asɛm. Wɔfrɛ eyi CPET, anaa Koma ne Ahurututu mu Apɔw-mu-teɛteɛ Sɔhwɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne CPET?

CPET yɛ sɔhwɛ a ɛkyerɛ wo koma (cardio) ne w’ahurututu (ahurututu) dwumadi bere a woreteɛteɛ w’apɔw mu no. Wɔsan frɛ no ‘metabolic exercise stress test’. Ɛyɛ mmerɛw yiye. Wɔbɛka akyerɛ wo sɛ nantew wɔ treadmill so anaasɛ fa sakre a egyina hɔ pintinn. Saa bere yi mu no, wɔde anim akataso anaa ano aduru soronko bi bɛhyɛ wo ho a ɛma wutumi fa w’ano nkutoo home.

Eyi kyerɛ sɛnea wo koma, w’ahurututu, ne mogya ntini ahorow bom yɛ adwuma yiye ma mframa pa kɔ wo ntini mu bere a woreteɛteɛ w’apɔw mu no. Koma mu adwennwen ho nhwehwɛmu a wɔtaa yɛ no hwɛ wo koma nkutoo. Nanso CPET nhwehwɛmu som bo kɛse efisɛ ɛma wunya wo koma ne w'ahurututu nyinaa ho nsɛm bere koro mu .

Dɛn nti na oduruyɛfo bi bɛkamfo nhwehwɛmu yi akyerɛ?

Nneɛma pii nti na ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ. Sɛ nhwɛso no, ebia wubehyia ɔhaw ahorow a edidi so yi mu biako:

• Hwehwɛ nea enti a wo home yɛ wo yaw anaasɛ wote nka sɛ woabrɛ paa bere a woteɛteɛ w’apɔw mu no: Nnipa binom hu sɛ wɔbrɛ paa bere a wɔabrɛ kakra no. Saa nhwehwɛmu yi betumi aboa ma wɔahu sɛ ebia nea ɛde ba no fi komayare, ahurututu mu haw, anaa biribi foforo.
• Hwɛ apɔw-mu-teɛteɛ dodow a wo koma ne w’ahurututu betumi adi ho dwuma: Eyi ho hia sɛ wuhu apɔw-mu-teɛteɛ dodow a asiane biara nni ho ansa na woafi apɔw-mu-teɛteɛ ase, titiriw ma obi a ɔwɔ komayare.
• Hwehwɛ koma anaa ahurututu mu nyarewa anaa hwɛ so: Wɔde sɔhwɛ yi di dwuma de hu sɛnea tebea horow te sɛ koma a entumi nyɛ adwuma yiye, komayare a wɔde awo obi, ahurututu mu mogya mmoroso, anaa COPD no mu yɛ den.
• Yɛ w’ayaresa nhyehyɛe: Saa nsɛm yi ho wɔ mfaso ma wohu sɛ ebia nnuru a wonom no reyɛ adwuma yiye ne sɛ ebia nkɔso bi aba wo tebea no mu wɔ ayaresa akyi anaa.
• Nya akwahosan tebea a ɛbɛba daakye ho adwene (Prognosis): Wubetumi anya adwene bi wɔ yare bi daakye ho, kyerɛ sɛ, sɛ ebia tebea no bɛyɛ yiye anaasɛ ɛbɛsɛe.
• Yɛ apɔw-mu-teɛteɛ nhyehyɛe a ahobammɔ wom a ɛyɛ adwuma ma wo: Ɛnyɛ obiara na ɔfata apɔw-mu-teɛteɛ koro. Eyi bɛboa wo ma woayɛ apɔw-mu-teɛteɛ a eye ma wo nipadua ne bere tenten a wode bɛyɛ ho nhyehyɛe.
• Hwɛ asiane ahorow a ɛwɔ mu ansa na woayɛ oprehyɛn kɛse: Sɛ nhwɛso no, ansa na wobetwa ahurututu anaa ahurututu foforo no, ɛho hia sɛ wohwɛ sɛ ebia wo nipadua betumi agyina oprehyɛn no ano anaa.
• Hwɛ sɛ wobɛtumi ayɛ adwuma a ɛhwehwɛ nipadua mu dwoodwoo: Nnwuma bi (e.g. odumgyafoɔ, asraafoɔ) hwehwɛ sɛ wowɔ nipadua mu ahoɔden a ɛkorɔn. Wɔde sɔhwɛ yi nso di dwuma de hu sɛ wofata wɔn anaa.

Woyɛ dɛn yɛ sɔhwɛ yi?

Wɔyɛ CPET sɔhwɛ no wɔ dan titiriw bi a wɔfrɛ no ‘Stress Lab’ mu. Mpɛn pii no, ayaresabea ahorow wɔ beae bi a wɔahyira so ama eyi. Ɛwom sɛ afiri a wɔde yɛ nhwehwɛmu a wɔatete no na ɔyɛ nhwehwɛmu yi de, nanso biribiara kɔ so wɔ oduruyɛfo bi hwɛ ase.

Ɛho behia sɛ wotra sakre a egyina hɔ pintinn so anaasɛ wofa sakre a wɔde tu mmirika so. Ɛsɛ sɛ woteɛteɛ w'apɔw mu bere tenten biara a wubetumi . Simma anaa abien biara, mfiridwumayɛfo no bɛma sakre no ahoɔden a ɛko tia, anaasɛ ahoɔhare ne sɛnea ɛkɔ fam no akɔ soro. Afei, wubefi ase ayɛ den sɛ wobɛteɛteɛ w’apɔw mu. Sɔhwɛ no begyae bere a wote nka sɛ wuntumi nyɛ bio no .

Wɔ saa bere yi nyinaa mu no, wofa akataso a yɛadi kan aka ho asɛm no mu home. Saa afiri yi susuw oxygen dodow a ɛwɔ mframa a wohom mu ne mframa a wohome no mu dodow a carbon dioxide wom. Ɛsan nso susuw mframa dodow a w’ahurututu betumi agye bere koro mu. Wɔkyerɛw saa nsɛm yi nyinaa gu kɔmputa so.

Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?

Wo duruyɛfo bɛkyerɛ wo sɛnea wubesiesie wo ho ama nhwehwɛmu yi pefee. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ. Nneɛma a ɛwɔ hɔ nyinaa a ɛsɛ sɛ wodi akyi no bi wɔ ase ha. Momma yɛnhwɛ pon bi na ama ayɛ mmerɛw sɛ yɛbɛkae saa nneɛma yi yiye.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Wɔyɛ sɔhwɛ no wɔ akwan horow pii so. Sɔhwɛ no nyinaa betumi agye bɛyɛ simma 75. Nanso wobɛteɛteɛ w’apɔw mu bɛyɛ simma 20 ankasa.

Hwɛ anammɔn a ɛwɔ ase ha no.

1. Ahosiesie: Nea edi kan no, mfiridwumayɛfo no de sticker ahorow bi bɛhyɛ wo moma so. Wɔfrɛ eyinom EKG electrodes. Eyinom bɛhwɛ wo koma bɔ. Afei, wɔde mogya mmoroso afiri bɛhyɛ wo basa so, na wɔde pulse oximeter ahyɛ wo nsateaa so. Ɛtɔ mmere bi a, wobetumi de afiri (catheter) a ɛyɛ tratraa paa ahyɛ ntini bi a ɛwɔ wo nsateaa mu mu de asusuw mogya a ɛwɔ wo ntini mu no.

2. Gye w’ahome: Nea edi hɔ no, wɔbɛka akyerɛ wo sɛ nyɛ hwee simma abien kosi abiɛsa. Wɔ saa bere yi mu no, wɔbɛkyerɛw wo koma bɔ, wo mogya mmoroso, ne oxygen dodow a ɛfata sɛ nea wofi ase yɛe.

3. Ɔhyew a wɔde ma:Afei wonantew afiri a wɔde tu mmirika so anaasɛ wotra sakre so simma abien kosi abiɛsa wɔ mmirikatu a ɛyɛ brɛoo yiye a emu nyɛ duru so. Eyi sɔ sɛnea wo koma ne w’ahurututu yɛ wɔn ade wɔ apɔw-mu-teɛteɛ kakraa bi pɛ ho hwɛ.

4. Apɔw-mu-teɛteɛ a Ɛkɔ Anim: Eyi ne sɔhwɛ no fã a ɛho hia sen biara. Ɛtaa di simma 8 kosi 12. Wokɔ so teɛteɛ w’apɔw mu bere a mfiridwumayɛfo no ma wo mu duru yɛ kɛse nkakrankakra no. Ɛbɛyɛ den ama wo nkakrankakra. Eyi ne bere a ɛsɛ sɛ wopia wo ho denneennen sɛnea wubetumi.

5. Cool-down: Sɛ wuntumi nyɛ bio a, gyae sɔhwɛ no fã titiriw no. Afei, bɛyɛ simma abiɛsa kosi anum, nkakrankakra na wo mu duru biara nni mu no, wosan teɛteɛ w’apɔw mu bio. Eyi ma nipadua no nya ahoɔden nkakrankakra.

Mfiridwumayɛfo no bɛhwɛ wo tebea no yiye wɔ saa bere yi nyinaa mu. Ebia wɔbɛka akyerɛ wo nso sɛ fa nsaano nsɛnkyerɛnne di dwuma mfa bisa sɛnea wote nka. Sɛ nhwɛso no, wɔ nsenia a efi 1 kosi 10 so no, ebia wɔbɛka akyerɛ wo sɛ fa sɛnea woabrɛ no toto ho.

Sɛ woreyɛ sɔhwɛ no a, wobɛte nka dɛn?

Sɛ wubenya nea efi mu ba no pɛpɛɛpɛ na mfaso wɔ so a, ɛsɛ sɛ woteɛteɛ w’apɔw mu kosi sɛ wobɛbrɛ ankasa . Enti, ɛyɛ ade a ɛfata sɛ wo koma bɔ, wo mogya mmoroso, ne wo home bɛkɔ soro. Ebia wo ho fifiri bɛtɔ wo na wo nan nso ate nka sɛ wabrɛ paa. Ɛyɛ ade a ɛfata nso sɛ w’ano bɛyow efisɛ worehome denam akataso no so.

Hwɛ yare no ho sɛnkyerɛnne te sɛ eyinom so titiriw :

• Ɛyaw, ɛyɛ den, anaasɛ ɛnyɛ dɛ wɔ koko, abasa, anaa anom.
• Ɛyɛ den yiye sɛ wobɛhome.
• Adwene a ɛyɛ basaa anaa atenka a ɛte sɛ nea woatɔ piti.

Eyinom betumi ayɛ nneɛma a egye ntɛmpɛ te sɛ komayare ho sɛnkyerɛnne. Lab adwumayɛfo no bɛhwɛ wo EKG no, na sɛ wohu nsakrae biara a ɛyɛ hu a, wobegyae sɔhwɛ no ntɛm ara.

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Wɔyɛ CPET wɔ baabi a ahobammɔ kɛse wɔ, a wɔhwɛ so. Enti biribiara nni hɔ a ɛsɛ sɛ wosuro. Nanso, ɛnyɛ 100% a ɛyɛ nokware sɛnea wo nipadua bɛyɛ n’ade wɔ apɔw-mu-teɛteɛ a emu yɛ den ho. Asiane ahorow a ɛntaa nsi koraa wɔ hɔ, te sɛ adwenem naayɛ anaa komayare. Sɛ tebea bi si ntɛm mpo a, wɔatete lab adwumayɛfo no ma wɔasa wo yare wɔ hɔ ara.

Ansa na wobɛtu wo nan wɔ lab mpo no, wo duruyɛfoɔ bɛhwɛ sɛ nhwehwɛmu yi yɛ nea asiane biara nni ho mma wo. Sɛ nhwɛso no, sɛ wowɔ tebea horow a edidi so yi mu biara a, ebia wo duruyɛfo besi gyinae sɛ nhwehwɛmu yi nyɛ nea asiane biara nni ho sɛ wobɛyɛ:

• Nyarewa a emu yɛ den te sɛ atiridiinini, atiridiinini, anaa COVID-19.
• Koma mu yare a emu yɛ den.
• Mogya a ɛtɔ wɔ nan mu (Deep Vein Thrombosis - DVT).
• Koma mu ntini mu yare a ɛdɔɔso dodo.
• Asaabo a Ɛnyɛ Den.
• Koma no mu ntini a ɛyɛ mmerɛw anaasɛ emu yɛ den.
• Nyinsɛn a ɛba akyiri anaa nyinsɛn a nsɛnnennen wom.
• Sɛ woanya komayare nnansa yi (wɔ nnafua 30 ntam) a.
• Mogya mmoroso a wontumi nni so (Severe Hypertension) anaa mogya mmoroso a ɛkɔ soro wɔ ahurututu mu (Pulmonary Hypertension).
• Koma mu nnyigyei a wontumi nni so (Uncontrolled Arrhythmias).

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wo cool-down phase no ba awiei a, mfiridwumayɛfo no bɛsan ahwɛ wo vitals bio na ayi nnwinnade biara a ebia wode abata wo nipadua ho no afi hɔ. Ɛno akyi no, wubetumi atra ase anom nsu bi, na woagye w’ahome kakra. Sɛ wonya awerɛhyem sɛ wo ho ye a, wɔbɛma woakɔ fie.

Oduruyɛfo a ɔhyɛɛ nhwehwɛmu yi bɛhyehyɛ bere soronko bi a ɔne wo bɛkasa afa nea ebefi mu aba no ho .

Dɛn na ɛwɔ amanneɛbɔ a wo nsa ka no mu?

CPET sɔhwɛ no boaboa susudua mpempem pii ano. Wɔde eyinom ama wɔ amanneɛbɔ bi a ɛwɔ mfonini ahorow pii a ɛyɛ den a wɔfrɛ no ‘nine-panel plots’ mu. Eyinom yɛ mfiridwuma ho nimdeɛ kɛse na ɛyɛ den ma onipa a ɔte ase sɛ ɔbɛte ase.

Nanso mma ɛnhaw wo. Wo duruyɛfo bɛhwehwɛ saa nhyehyɛe ahorow yi nyinaa mu na ɔde nsɛm a ɛnyɛ den akyerɛkyerɛ nea ɛkyerɛ mu akyerɛ wo. Ɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi, sɛ ebia ɛho hia sɛ woyɛ nhwehwɛmu pii, anaa sɛ ebia ɛsɛ sɛ wofi ayaresa biara ase.

CPET scan betumi ama woahu sɛnea wo koma ne w’ahurututu reyɛ adwuma no ho nsɛm pii. Ebetumi ayɛ den kakra sɛ ɛsɛ sɛ wohyɛ mfiri ahorow no nyinaa na woyɛ apɔw-mu-teɛteɛ no. Nanso kae sɛ mfiri biara ma wonya nsɛm a ɛho hia a ebetumi aboa wo ma woayɛ ayaresa a eye sen biara ama wo ho nhyehyɛe.

Sɛ wowɔ nsɛmmisa bi ansa na wɔayɛ nhwehwɛmu no anaasɛ wopɛ sɛ wuhu sɛnea wusiesie wo ho ho nsɛm pii a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.