So wotaa te nka sɛ wo koko mu yɛ den, wo mu yɛ duru, anaasɛ wo ho yɛ wo yaw? So ɛyaw yi kɔ soro titiriw bere a woabrɛ kakra, bere a woforo antweri, anaa bere a wote nka sɛ wo ho yeraw wo? Nanso afei wɔyɛɛ wo ECG, ebia wɔyɛɛ wo angiogram mpo, nanso oduruyɛfo no kae sɛ biribiara nsiw koma no mogya ntini akɛse (coronary arteries) mu, na ɛyɛ fɛ koraa. Ebia woresusuw sɛ, "Ɛnde dɛn nti na asase so na mewɔ saa koko mu yaw yi?" Eyi yɛ ɔhaw a nnipa pii wɔ ankasa. Ɛnyɛ wo nko ara. Ɛnnɛ yɛreka koko mu yaw bi a ɛnyɛ mmerɛw sɛ wɔde nhwehwɛmu akɛse hu, nanso ɛwɔ hɔ ankasa ho asɛm. Yɛfrɛ eyi microvascular angina.
Dɛn ne Microvascular Angina?
Sɛ yɛbɛka no tiawa a, eyi nso yɛ angina, a ɛyɛ koko mu yaw a mogya a oxygen wom a ɛnnɔɔso nkɔ koma no mu de ba. Nanso nsonsonoe no ni. Wɔ angina a ɛtaa ba mu no, ɔhaw no wɔ mogya ntini akɛse a ɛde mogya kɔ koma no mu titiriw no mu. Ebia srade a ɛwɔ hɔ no na esiw wɔn kwan.
Nanso wɔ microvascular angina mu no, ɔhaw no nni saa mogya ntini akɛse no mu. Ɛwɔ mogya ntini nketenkete a ɛyɛ fɛ yiye a ɛpue fi saa ntini akɛse no mu (coronary microvasculature) no mu. Susuw ho hwɛ, yɛwɔ paipu kɛse bi a ɛde nsu ba yɛn fie. Ɛno ye. Nanso sɛ nsu afiri nketewa a ɛkɔ tap nketewa ne nsu a wɔde gu mu wɔ fie no mu no siw na ɛyɛ nwunu a, nsu no renpue. Saa na ɛkɔ so wɔ ha nso. Sɛ ntini ketewaa a ɛde mframa pa kɔ koma ntini no mu yi anyɛ adwuma yiye a, wote koko mu yaw.
Eyi nti na sɛ wohwɛ wo ntini akɛse no wɔ nhwehwɛmu te sɛ angiogram mu a, ɛte sɛ nea ɛteɛ. Nanso ɛyaw no wɔ hɔ ankasa. Bere bi a atwam no, na nnuruyɛfo frɛ saa tebea yi ‘Koma mu Yare X.’
Dɛn ne tebea yi ho sɛnkyerɛnne?
Saa sɛnkyerɛnne ahorow yi te sɛ nea ɛba daa angina no ara pɛ. Ɛyaw no betumi atra hɔ simma 15 anaa nea ɛboro saa.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Koko mu yaw anaasɛ ɛnyɛ dɛ | Nkate a ɛte sɛ nea ɛyɛ den, nhyɛso, anaa emu yɛ duru wɔ koko mu. Mpɛn pii no, eyi kɔ soro bere a wɔreyɛ adwumaden anaa wɔadwennwen no. |
| Ɔhome a ɛyɛ den | Ɛyɛ den sɛ wobɛhome bere a woabɔ mmɔden kakra mpo, a ɛte sɛ nea woabɔ wo ho ban. |
| Ɔbrɛ a ɛyɛ soronko | Ɔbrɛ a ɛtra so a wɔte nka na ahoɔden a wonni a ntease biara nnim. |
| Nneɛma afoforo a ɛwom | Ebia nnipa binom nso benya nneɛma te sɛ fifiri, akisikuru ne akisikuru, ne yafunu mu yaw. |
Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛde ba ne nea ɛde asiane ba?
Nneɛma pii nti na ɛte saa. Nnuruyɛfo kyekyɛ mu abien: mfitiase ne nea ɛto so abien.
- Nea ɛde ba titiriw: Ɔhaw a ɛwɔ ha no wɔ mogya ntini nketenkete no ankasa mu. Wɔyɛ den mpofirim (spasm), anaasɛ wɔntrɛw (mmue) yiye bere a nipadua no hia mogya pii no. Wɔfrɛ eyi ``Coronary microvascular disease''.
- Nea ɛto so abien a ɛde ba: Eyi ne bere a mogya ntini nketenkete no ho haw no ba sɛ aduruyɛ mu tebea foforo bi mu nsunsuanso. Sɛ nhwɛso no, ebetumi afi tebea horow te sɛ cardiomyopathy a ɛma koma ntini yɛ mmerɛw, anaa nyarewa a nipadua no tumi ko tia nipadua no ankasa, a ɛtow hyɛ nipadua no ankasa nkwammoaa so.
Afei nso, nnipa binom wɔ asiane kɛse mu sɛ wobenya saa tebea yi.
| Asiane a Ɛde Ba | Hena na ɔwɔ asiane mu kɛse? |
|---|---|
| Ɔbea a obi yɛ | Mmea a wɔakɔ brayɛ mu titiriw na asiane kɛse wom. |
| Asikyireyareɛ | Efisɛ asikreyare tumi sɛe mogya ntini. |
| Mogya mmoroso (Hypertension) . | Mogya mmoroso betumi asɛe mogya ntini a ɛyɛ mmerɛw. |
| Cholesterol a ɛkɔ soro `(Hyperlipidemia)` | Ebetumi aka sɛnea mogya ntini ahorow no yɛ adwuma. |
| Tawa mu nneɛma a wɔde di dwuma | Sigaretnom yɛ ade titiriw a ɛma mogya ntini mu teateaa na ɛsɛe. |
Ɔkwan bɛn so na wɔsa eyi?
Akwan atitiriw abien na ɛwɔ hɔ a wɔfa so di tebea yi ho dwuma. Asetra mu nsakrae ne nnuru a wɔde di dwuma. N’abien nyinaa ho hia pɛpɛɛpɛ.
Asetra mu nsakrae a ɛsɛ sɛ wɔyɛ
- Sɛ wonom sigaret a, gyae koraa. Eyi ne ade a ɛho hia sen biara a wubetumi ayɛ.
- Fa aduan a ɛma koma nya ahoɔden tom. Tew ngo ne nam kɔkɔɔ so, na di nhabannuru, nnuaba, ne nnuan a ahoɔdennuru wom pii.
- Yɛ apɔw-mu-teɛteɛ daa. Biribi a ɛyɛ mmerɛw te sɛ nantew simma 30 da biara mpo betumi ayɛ nea mfaso wɔ so kɛse. Nanso, bisa wo duruyɛfo apɔw-mu-teɛteɛ ko a ɛfata wo.
- Kura mu duru a ɛfata mu.
- Da yiye na tew adwennwen so. Nneɛma te sɛ nsusuwii ne yoga betumi aboa.
- Sɛ wowɔ nyarewa afoforo te sɛ asikreyare, mogya mmoroso, anaa mogya mu srade a, di so yiye.
Aduru a oduruyɛfo no de ma no
Ebia wo duruyɛfo bɛkyerɛw nnuru ahorow a ɛbɛma mogya ntini yi ayɛ adwuma yiye na atew ɛyaw so.
- Nnuru a esiw calcium kwan
- Beta-blockers a wɔde siw ano
- Nitrates - sɛ nhwɛsoɔ no, nitroglycerin
- Statins - a wode brɛ mogya mu srade ase
- Nnuru a esiw ACE ano
Nea ɛho hia sen biara: Wo duruyɛfo na ɔkyerɛw nnuru yi ma wo bere a wahwɛ wo tebea no mu yiye awie no. Mfa afotu a afoforo de ma anaa sɛnea wuhu sɛ ɛfata so mfa nnuru yi nni dwuma esiane biribiara nti.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn? ne sɛnea wohu yare no
Mmuae tiawa ne sɛ, sɛ wowɔ koko mu yaw biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ebetumi ayɛ yafunu mu yare ara kwa, nanso ɛyɛ oduruyɛfo na obehu sɛ ɛyɛ komayare anaasɛ ɛnte saa.
Esiane sɛ ebetumi ayɛ den sɛ wobehu tebea yi nti, ɛho hia sɛ woka wo sɛnkyerɛnne ahorow no ho asɛm pefee kyerɛ wo duruyɛfo. Nsuro sɛ wobɛka sɛ, "Meda so ara yɛ me koko mu yaw bere a mayɛ basaa no," sɛ mpo nhwehwɛmu ahorow kyerɛ sɛ ɔhaw biara nni wo ntini akɛse no ho a.
Sɛ oduruyɛfo no susuw sɛ ɔwɔ saa tebea yi a, obetumi ayɛ nhwehwɛmu titiriw pii bio.
- Stress Test: Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ mogya a ɛkɔ koma no mu no so tew bere a woteɛteɛ w’apɔw mu (Myocardial Ischemia).
- Coronary Flow Reserve (CFR) Test: Sɛnea ɛbɛyɛ a wobehu sɛ ebia koma no betumi ama ne mogya akɔ soro de adi oxygen a ɛhia no ho dwuma anaa.
- Scan titiriw: Nuklea scan, MRI, anaa koma mu catheter mu nhwehwɛmu titiriw betumi ahu sɛ ntini nketewa yi ntumi nyɛ adwuma yiye.
Sɛ wɔansa a, mogya a ɛnkɔ koma no mu bere nyinaa no betumi asɛe koma ntini no daa. Enti mmu koko mu yaw yi sɛ ɛyɛ sɛnkyerɛnne ara kwa. Ɛyɛ sɛnkyerɛnne a ɛho hia a efi wo koma mu.
Nkrasɛm a Wɔde Kɔ Fie
- Microvascular angina yɛ koko mu yaw bi a ɛba bere a mogya ntini akɛse a ɛwɔ koma no mu no reyɛ adwuma sɛnea ɛsɛ, nanso esiane ɔhaw ahorow a ɛwɔ mogya ntini nketenkete paa no dwumadi mu nti.
- Koko mu yaw, ahome a ɛyɛ tiaa, ne ɔbrɛ a ɛtra so ne sɛnkyerɛnne atitiriw .
- Sɛ wokɔ so yɛ wo koko mu yaw ɛmfa ho sɛ nea efii wo nhwehwɛmu no mu bae no yɛ nea ɛfata a, mmu w’ani ngu so. Wo ne wo duruyɛfo nka ho asɛm bio.
- Eyi taa ba mmea, nnipa a wɔwɔ asikreyare, mogya mmoroso, ne srade a ɛdɔɔso so.
- Sɛ wohu yare no yiye na wɔsa no yare (asetra mu nsakrae ne nnuru) a, wobetumi adi tebea yi ho dwuma yiye na wɔakura asetra pa mu.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne Nipadua mu Ɛyaw?
Ɛnyɛ nipadua mu yaw a ɛba bere a woayɛ apɔw-mu-teɛteɛ wɔ apɔw-mu-teɛteɛ akyi no nkutoo! ‘Body Aches’ yɛ sɛnkyerɛnne a emu yɛ den a ɛma wote nka sɛ wo ntini, nkwaa, ne nnompe (Muscle/Joint pain) nyinaa abubu na wɔabubu prɛko pɛ, na ɛma ɛyɛ nea wontumi nnyina ano (Dull, widespread ache), na ɛmma wuntumi mfi mpa so. Mpɛn pii no, eyi ne kɔkɔbɔ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ ɔko kɛse bi rekɔ so wɔ wo nipadua mu!
💬 Dɛn ne nneɛma titiriw a ɛde nipadua mu yaw/ɛyaw ba araa ma wuntumi mfi mpa so?
Nteaseɛ titire 3 na ɛma yei: 1) ‘Mmoawa mu yareɛ a emu yɛ den’ - Dengue (Dengue - bone marrow failure), COVID-19, anaa atiridii a ɛtaa ba, berɛ a nipadua no mu tumi a ɛko tia nyarewa no ko (Inflammatory response/Cytokines) nipadua no nyinaa yɛ hyew. 2) 'Fibromyalgia' - Ɛyaw a ɛma ntini mu yare a ɛma ɛyaw a wontumi nnyina ano wɔ nkwaa ne ntini mu wɔ nkwa nna nyinaa mu a yare biara nni mu. 3) Lupus (Lupus / Autoimmune diseases), ne Statins (Statins) nnuru a wɔnom ma srade, a ɛno nso ma ntini sɛe.
💬 Dɛn ne 'fatal/emergency situations' a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara, a wonnom Panadol (Paracetamol) anadwo bere a woanya atiridii?
Mpɛn pii no, eyi bɛbrɛ ase wɔ nnafua 3-4 mu wɔ atiridii a ɔyare mmoawa de ba mu. Nanso asiane a ɛsen biara! Sɛ, ne nipadua mu yaw no, 1) ‘atiridii kɛse a ɛwosow na kɔn a ɛyɛ den (Stiff neck / Meningitis - brain fever)’ ba, 2) ɔhome a ɛyɛ den / koko mu yaw, 3) mu duru a ɛso tew a ntease biara nnim, fifiri a ɛba anadwo (kokoram / nsamanwaw), 4) nsu no dan kɔfe kɔla tuntum (Dark urine / muscle weakness), wuhia sɛ wɔde no bɛkɔ ayaresabea ntɛm ara!
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