Mogya ntini nketenkete a ɛwɔ amemene no mu a esiw (Microvascular Ischemic Disease): Momma yɛnka eyi ho asɛm!

So wo werɛ fi nneɛma nketenkete nso bere a worenyin no? So ɛyɛ den ma wo sɛ wode w’adwene besi baabi biako? Ɛtɔ mmere bi a wususuw sɛ eyinom yɛ onyin ho sɛnkyerɛnne a ɛfata, nanso ɛtɔ mmere bi a ebia akwahosan ho ntease foforo bi wɔ eyi akyi. Wiɛ, ɛnnɛ yɛrebɛka tebea bi a ɛka mogya ntini nketenkete a ɛwɔ yɛn amemene mu no ho asɛm. Wɔfrɛ eyi `(Microvascular Ischemic Disease)`. Ma yɛnhwɛ nea eyi yɛ, onii a onya bi, ne nea ɛkyerɛ.

Dɛn ne eyi (Microvascular Ischemic Disease)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, `(Microvascular Ischemic Disease)` yɛ din a wɔde frɛ nsakrae ahorow kuw bi a ɛba mogya ntini nketewa paa a ɛyɛ mmerɛw (yɛfrɛ eyinom `(microvessels)`) wɔ w'amemene mu no nyinaa. Sɛnea nsu paipu siw bere a ɛrenyin no, saa mogya ntini yi nso tumi sesa nkakrankakra. Ɛdenam sɛnea nsakrae yi mu yɛ den so no, wubetumi anya nsɛnnennen ahorow. Ebetumi ayɛ biribi ketewaa bi te sɛ ɛyɛ den sɛ wode w’adwene besi biribi so, anaasɛ ebetumi ayɛ aniberesɛm te sɛ `(stroke)`.

Edin afoforo pii wɔ hɔ a wɔde frɛ tebea yi. Ebia woate din ahorow yi:

• ``Amemene mu ntini nketewa mu yare (CSVD)''.
• ``Nkwammoaa nketenkete mu ischemic yare a enni sabea''.
• ``Ntini nketewa mu ischemic yare''.

Ɛmfa ho din biara a wobɛfrɛ no, ne nyinaa fa ade koro ho.

Hena na eyi ka no kɛse?

Saa tebea yi a wɔfrɛ no ``Microvascular Ischemic Disease`` no , wohu no kɛse wɔ wɔn a wɔn mfe akɔ anim mu. Mmarima ne mmea nyinaa betumi anya bi. Nea ɛho hia sen biara ne sɛ asiane a ɛwɔ hɔ sɛ obi benya saa tebea yi no yɛ kɛse bere a obi nyin no.

Susuw ho hwɛ, sɛ nnipa bedi mfe 50 a, ebia nnipa bɛyɛ 5% benya saa tebea yi. Nanso, wɔ wɔn a wɔadi mfe 90 mu no, wɔka sɛ ɛkame ayɛ sɛ nnipa nyinaa mu ɔha biara mu ɔha (100%) wɔ saa tebea yi kodu baabi. Eyi kyerɛ sɛ ɛtaa ba paa bere a yɛrenyin no.

Eyi abu so araa ma wobu akontaa sɛ ɛno na ɛde nnipa bɛyɛ 45% a wonya adwenemhaw, tebea a ɛma wɔyera nkakrankakra, ne nnipa 25% a wonya akisikuru. Enti, ɛho hia paa sɛ yehu eyi.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nea ɛde `(Microvascular Ischemic Disease)` ba titiriw ne mogya ntini nketewa a ɛwɔ amemene no mu no afasu a ɛyɛ den, ne srade a ɛboaboa ano wɔ mu, na ɛde `(plaque build-up)` ba. Ɛte sɛ nkannare a ɛreyɛ ayɛ nsu afiri dedaw mu. Nanso, abenfo nnim nea enti a eyi ba ankasa. Nanso, wɔahu sɛ nneɛma pii wɔ hɔ a ɛka eyi.

Dɛn ne nneɛma a ɛde asiane ba? Sɛ wowɔ saa nneɛma yi a, hwɛ yiye!

Onyin ne ade titiriw a ɛde asiane ba. Yɛrentumi nni so. Nanso, akwahosan ho haw afoforo pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya `(Microvascular Ischemic Disease) no yɛ kɛse ne:

• Asaabo mu yare a enni sabea:Sɛ wowɔ asaabo mu haw a, asiane yi yɛ kɛse.
• Asikreyare: Nnipa a wɔwɔ asikreyare nso taa nya saa tebea yi, efisɛ asikreyare betumi asɛe mogya ntini wɔ ɔkwan a ɛkɔ akyiri so.
• Mogya mmoroso: Titiriw sɛ wo mogya mmoroso yɛ 140/90 mm Hg (arterial hypertension) anaa nea ɛboro saa a, ɛde nhyɛso kɛse ba mogya ntini nketenkete a ɛwɔ amemene no mu no so.
• Cholesterol a ɛdɔɔso: Sɛ srade dodow a ɛwɔ mogya no mu kɔ soro a, hokwan kɛse wɔ hɔ sɛ ɛbɛboaboa ano wɔ mogya ntini no mu na asiw.
• Akisikuru ne nna mu ahomegye a esiw kwan: Eyi nso yɛ ɔhaw a emu yɛ den sen sɛnea ebia wubesusuw. Sɛ obi home yiye anadwo a, ɛma mframa pa a nipadua no nya no so tew, na ɛno nso nyɛ papa mma mogya ntini no.
• Sigaretnom anaa tawa nneɛma foforo a wɔde di dwuma: Ɛkame ayɛ sɛ sigaretnom yɛ ade a ɛde yare biara ba. Ɛsɛe mogya ntini no tẽẽ.

Sɛ wowɔ saa nneɛma yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwɛ yiye kakra.

Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu eyi?

Ɛtɔ da bi a nnuruyɛfo frɛ saa tebea yi ``Microvascular Ischemic Disease'' ` `yare a ɛyɛ komm.'' Ɛte saa efisɛ ɛtɔ mmere bi a ne sɛnkyerɛnne ahorow no yɛ anifere araa ma ɛnyɛ den sɛ wobetumi ayera. Afei nso, nkurɔfo taa bu wɔn ani gu so, na wosusuw sɛ ɛyɛ nsakrae a ɛfata a onyin ba.

Nanso, wɔ nnipa bi a wɔn mfe akɔ anim mu no, saa sɛnkyerɛnne ahorow yi betumi afi nea ɛkɔ fam kosi nea emu yɛ den. Esiane sɛ tebea yi ka nipadua no mu nhyehyɛe ahorow pii nti, sɛnkyerɛnne ahorow no betumi atrɛw yiye. Momma yɛnhwɛ nea wɔyɛ:

Nsakrae a ɛba nsu a wɔde gu nipadua mu no mu:

• Ɛyɛ den sɛ wobedi nsu so (urinary incontinence): Sɛ yɛbɛka no tiawa a, nsu bi a wobɛhwere a wunnim.
• Nsu a egye ntɛmpɛ: Nsu a ɛho hia mpofirim na emu yɛ den .

Nsakrae a ɛba wɔ nsusuwii tumi mu (Cognition): .

• Adwene mu yare: Nea ɛma obi kae ade nkakrankakra na ɛyɛ den sɛ ɔbɛyɛ da biara da nnwuma.
• Ɛyɛ den sɛ wode w’adwene besi biribi so: Ɛyɛ den sɛ wode w’adwene besi biribi so.
• Adwene mu yare a emu nyɛ den: Ɛyɛ den sɛ obesi gyinae na wate nneɛma ase.
• Adwene a ɛyɛ basaa mpofirim, te sɛ nea w’adwene reyera (delirium): Eyi betumi aba mpofirim.

Nsakrae a ɛba ntini mu (Neurology): .

• Ɛyɛ den sɛ wobɛmene aduan anaa nsu (dysphagia): Ebia aduan bɛte nka sɛ ɛrekɔ so.
• Anim ntini a wontumi nni so yiye: Ebia ɛbɛyɛ te sɛ nea anim no fã biako ahwe ase.
• Su anaa serew a wontumi nni so mpofirim a ntease biara nnim (pseudobulbar affect):Eyi betumi ayɛ osuahu a ɛyɛ nwonwa yiye.
• Nsɛmfua a ɛyɛ mmerɛw bere a wɔrekasa, kasa a ɛyɛ mmerɛw (dysarthria): te sɛ nea tɛkrɛma no ayɛ mmerɛw.

Nsakrae a ɛba adwenemyare mu:

• Dadwen: Sɛ wote nka sɛ wo ho nyɛ wo dɛ anaasɛ wosuro.
• Anibiannaso: Tebea a ɛma biribiara fono wo .
• Adwenemhaw: Awerɛhow ne abasamtu a emu yɛ den a obi te nka.
• Ɔbrɛ a ɛkɔ so daa, ɔbrɛ: Nkate a ɛkyerɛ sɛ woabrɛ ɛmfa ho nea wobɛyɛ.
• Nneɛma nketenkete ho abufuw ntɛmntɛm, abotare a wonni (Irritability) .

Dae ho haw ahorow:

• Nna mu haw ahorow .
• Anadwo a wontumi nna yiye, nna a wontumi nna ho haw .

Nantew ho haw ahorow:

• Kari a wɔbɛkari pɛ bere a wɔnantew, ɛyɛ den sɛ wobɛkari pɛ .
• Sɛ obi hwe ase anaasɛ ɔtaa hwe ase .
• Nantew a wɔde frafra mu .

Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wo ne oduruyɛfo kasa fa ho.

Ɔkwan bɛn so na wohu tebea yi? Sɔhwɛ ahorow bɛn na wɔyɛ?

Nnuruyɛfo taa de MRI (Magnetic Resonance Imaging) scan di dwuma de hu tebea yi. Ɛkame ayɛ sɛ eyi yɛ sɔhwɛ a ɛnyɛ yaw. Ɛde magnet kɛse, radio asorɔkye, ne kɔmputa twa w’amemene ho mfonini a emu da hɔ yiye.

Obi a ɔwɔ ``Microvascular Ischemic Disease'' betumi anya nsakrae ahorow wɔ n'amemene mu. Nnuruyɛfo hwehwɛ nneɛma te sɛ eyinom wɔ MRI mfonini ahorow so:

• Amemene mu mogya nketenkete yɛ mogya ntini nketenkete a ɛwɔ amemene no mu a mogya tu . Eyinom yɛ mogya nketenkete paa.
• Sɛ́ ebia nneɛma fitaa a ɛwɔ amemene no mu no asɛe anaa. Saa mmeae a asɛe yi da adi sɛ nsensanee fitaa a ɛhyerɛn wɔ scan no so. Wɔfrɛ eyinom sɛ white matter hyperintensities.
• Sɛ́ ebia akuru nketenkete a ɛnyɛ ntini mu yare wɔ amemene no mu (lacunar infarcts) a ɛnkyerɛ ntini mu sɛnkyerɛnne atitiriw biara. Eyinom te sɛ mmeae nketenkete a asɛe.

Sɛ wohu saa nneɛma yi wɔ MRI scan so a, oduruyɛfo no betumi ahu sɛ wowɔ ``Microvascular Ischemic Disease'' anaasɛ wunni bi.

So wobetumi asan yare yi na wɔasa no koraa?

Eyi yɛ asɛm a ɛyɛ den kakra. Wɔ ``Microvascular Ischemic Disease'' mfiase no, ebia ɛbɛyɛ yiye sɛ ``wɔbɛdan'' nsakrae a aba wɔ amemene no mu no bi akodu baabi. Ɛne sɛ, wobetumi adan tebea no kakra ama ayɛ papa.

Nanso, mpɛn pii no, saa yare yi kɔ so nya nkɔso. Bere kɔ so no, nsakrae yi betumi abɛyɛ nea wontumi nsakra.

Ɛno nti na ɛho hia kɛse sɛ wuhu eyi ntɛm ara na wodi asiane ahorow so no.

Enti dɛn ne ayaresa a wɔde sa eyi?

Mprempren, wonni ayaresa pɔtee biara a wɔde sa Microvascular Ischemic Disease. Botae titiriw a ɛwɔ mprempren ayaresa ahorow mu ne sɛ ɛbɛtew asiane ahorow a ɛwɔ wo so no so na asiw ɔhaw ahorow a emu yɛ den te sɛ adwenemhaw ne ɔyare a ɛma obi hwe ase no ano anaasɛ ɛbɛtwentwɛn so.

Esiane sɛ ɛsono nea ɛde asiane ba obiara so nti, ayaresa nhyehyɛe no betumi ayɛ soronko wɔ onipa biara ho. Ɛno kyerɛ sɛ wɔbɛyɛ ayaresa no ama wo. Mpɛn pii no, ayaresa no betumi ayɛ:

• Suban pa a wubenya: Nneɛma te sɛ apɔw-mu-teɛteɛ ne nnuan a ahoɔden wom pii a wobedi.
• Sigaretnom a wobegyae koraa.
• Nnuru a wɔbɛnom de atew mogya mmoroso so, asiw srade a ɛwɔ mogya mu ano, na asikre dodow a ɛwɔ mogya mu no ano.

Wo duruyɛfo bɛhwɛ wo na waka ayaresa nhyehyɛe a eye ma wo akyerɛ wo.

Mɛyɛ dɛn atumi atew asiane yi so?

Eyi ne ade a ɛho hia sen biara. Ɛho hia yiye sɛ wo ne wo duruyɛfo yɛ adwuma de hu nea asiane pɔtee a ɛwɔ wo mu no yɛ pɛpɛɛpɛ na woayɛ nhyehyɛe a ɛfata.

Akwan ahorow bi a ɛbɛboa ma asiane no so atew ni:

• Di aduan pa akyi: Tew nkyene, srade, ne asikre so sɛnea wubetumi biara. Di nhabannuru, nnuaba, ne nhabannuru a ahoɔdennuru ahorow wom pii.
• Fa wo ho hyɛ apɔw-mu-teɛteɛ ahorow mu: Paw apɔw-mu-teɛteɛ a ɛbɛma wo kari pɛ, w’ahoɔden, ne wo koma ne ntini akwahosan atu mpɔn. Ɛyɛ adwene pa sɛ wubenya mmoa afi apɔw-mu-teɛteɛ ho ɔyaresafo anaa apɔw-mu-teɛteɛ ho nteteefo hɔ na waboa wo ma wusi apɔw-mu-teɛteɛ a ahobammɔ wom na ɛfata wo ho gyinae.
• Fa wo ho hyɛ nhyehyɛe ahorow a ɛboa wo ma wugyae sigaretnom mu: Akuw a wɔboa a egyina nyansahu so anaa afotu a wɔde ma obiakofo betumi aboa.
• Fa akwan horow a wobɛfa so atew adwennwen so na woagye w’ahome: Nneɛma te sɛ adwennwen ne yoga betumi aboa wɔ eyi mu.

Ɛwom sɛ ɛbɛyɛ te sɛ nea ɛyɛ den kakra sɛ wode saa nneɛma yi bɛka w’asetra ho de, nanso ɛde mfaso kɛse bɛba w’akwahosan so bere tenten.

Mɛyɛ dɛn ahu sɛ mewɔ asiane mu?

Sɛ wubehu sɛ ebia wowɔ asiane mu a, ɛsɛ sɛ wohwɛ wo yare no ho sɛnkyerɛnne ahorow no yiye. Ɛho hia nso sɛ wɔyɛ nhwehwɛmu daa na wɔyɛ mogya ho adwuma. Hwɛ wo srade dodow ne wo mogya mmoroso. Sɛ wowɔ tebea horow a ɛhyɛ wo ase te sɛ asikreyare anaa asaabo mu yare a, ɛho hia nso sɛ wohwɛ so.

So tebea yi yɛ nea asiane wom? Dɛn na ɛbɛba akyi?

Sɛ wɔansa a, Microvascular Ischemic Disease betumi de nsɛnnennen a emu yɛ den, a ɛde nkwa to asiane mu mpo, te sɛ ɔyare a ɛma obi hwe ase ne adwene mu yare a emu yɛ den aba.

Nanso, sɛ wudi wo duruyɛfo ayaresa nhyehyɛe a wɔayɛ ama w’ankasa wo ho akyi a, wubetumi adi tebea yi a ɛresɛe no so na woatra ase a ahoɔden wom na wode wo ho. Enti, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi a wunsuro.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ mpofirim ara anaa nkakrankakra worehwere tumi a wode bɛyɛ nneɛma a ɛwɔ ase ha no mu biara a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo.

• Tumi a wotumi di nsu so.
• Tumi a obi tumi kae nneɛma.
• Tumi a wotumi susuw nneɛma ho yiye.

Mmu nsakrae a ɛte sɛɛ no ​​adewa.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Nnipa a wɔwɔ `(Microvascular Ischemic Disease)` no wɔ asiane kɛse mu sɛ wobenya akisikuru. Enti, sɛ wohu sɛnkyerɛnne a ɛwɔ ase ha no bi mpofirim a, ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ER) ntɛm ara.

• Adwene a ɛyɛ basaa, atenka a ɛte sɛ nea ɔretwa ne ti twitwiw .
• Ɔkasa a wontumi nkasa .
• Kari a wɔkari pɛ anaasɛ nneɛma a wɔyɛ no pɛpɛɛpɛ a wɔhwere, te sɛ bere a wɔnantew .
• Nipadua no fã biako a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw .
• Tiyɛ a emu yɛ den .
• Anisoadehu a ɛyera wɔ aniwa biako anaa abien no nyinaa mu .

Eyinom betumi ayɛ akisikuru ho sɛnkyerɛnne, enti ayaresa a wobenya ntɛm a wonsɛe bere betumi agye nkwa.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Saa tebea yi a wɔfrɛ no ``Microvascular Ischemic Disease,'' betumi aka nnipa binom brɛoo na afoforo nso aka wɔn kɛse. Ebetumi ama nsakrae aba w’adwene mu, ayɛ den sɛ wubedwennwen nneɛma ho, na ama woayɛ den wɔ nantew mu.

Nanso nea eye sen biara ne sɛ, ɛdenam asiane pɔtee a wubehu na woadi ho dwuma so no, wubetumi adi nsɛnnennen yi so anaasɛ wobɛtew so, na ama woanya asetra a ahoɔden wom.

Enti, wo ne wo duruyɛfo nkasa na yɛ nhyehyɛe a ɛfata wo a ɛbɛyɛ adwuma ama wo. Nsuro, nhumu ne anammɔn a ɛfata a wobɛtu ne ade a ɛho hia sen biara!

` Mogya ntini a ɛwɔ amemene no mu, onyin akwahosan, ɔyare a ɛma obi hwe ase, adwenemhaw, mogya mmoroso, asikreyare, srade