So Koko mu Ɛyaw Yɛ Yafunu mu Yare? Momma Yɛnsua Myocardial Ischemia Ho Nsɛm

So ɛtɔ mmere bi a wote nka sɛ wo koko mu yɛ duru, wo ho yɛ wo yaw, anaasɛ wo ho yɛ wo yaw bere a woabrɛ kakra, bere a woforo antweri bi, anaa bere a wote nka sɛ wo ho yeraw wo kakra no? Yɛn mu pii werɛ fi eyi, na yesusuw sɛ ɛyɛ ade a ɛfata, ebia yafunu mu yare. Nanso ɛnyɛ sɛ ɛsɛ sɛ wɔsa koko mu yaw nyinaa saa ara. Ebia eyi yɛ sɛnkyerɛnne a ɛho hia paa a wo koma de rema wo. Ɛno na yɛreka ho asɛm nnɛ, sɛ koma no nnya mogya a ɛdɔɔso.

Sɛ yɛbɛka no tiawa a, dɛn ne Myocardial Ischemia?

Edin no te sɛ nea ɛyɛ den kakra, nanso nokware no yɛ mmerɛw. Myocardial Ischemia yɛ bere a wo koma ntini no nnya mogya dodow a ehia na ama ayɛ adwuma yiye no. Yenim sɛ mogya na ɛde mframa pa ne aduannuru afoforo kɔ nipadua no nyinaa mu. Enti sɛ mogya dodow a ɛsen kɔ koma no mu no so tew a, ennya mframa pa a ɛdɔɔso.

Sɛnea nsu mfiri hia nsu na ama atumi atu mmirika no, saa ara na yɛn koma nso hia mogya a wɔde ma bere nyinaa. Sɛ mogya a wɔde ma yi gyae kakra anaasɛ ɛso tew kɛse a, nkwammoaa a ɛwɔ koma ntini no mu no fi ase sɛe. Sɛ tebea yi mu yɛ den kɛse a, ebetumi abɛyɛ komayare (Myocardial Infarction anaa Heart Attack) .

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane kɛse mu. Hwɛ sɛ wowɔ asiane ahorow yi bi anaa.

Dɛn ne eyi ho sɛnkyerɛnne?

Tebea yi ho sɛnkyerɛnne titiriw ne nea ɛtaa ba ne koko mu yaw a wɔfrɛ no angina . Eyi betumi ayɛ te sɛ komayare anaasɛ aduan a wontumi nnya, nanso ɛyɛ soronko kakra.

Angina ɛyaw te dɛn?

• Sɛ́ wobɛte nka sɛ adesoa a emu yɛ duru wɔ wo moma so
• Sɛ wote nka sɛ wo koko mu ayɛ wo den
• Koko a ɛyɛ den
• Te sɛ ɔhyew a ɛwɔ koko no mu.
• Ɛtɔ mmere bi a, ɛte sɛ nea ɛyɛ mmerɛw

Angina ahorow abien na ɛwɔ hɔ.

Wobetumi akyekyɛ Angina mu ayɛ no ahorow atitiriw abien. Ɛho hia paa sɛ wubehu nsonsonoe a ɛda abien no ntam.

1. Angina a ɛyɛ den: Eyi taa ba bere a woayɛ basaa (sɛ nhwɛso no, woteɛteɛ w’apɔw mu, wo nantew ntɛmntɛm). Ɛyaw no kɔ bere a woagye w’ahome anaa woanom nnuru a wo duruyɛfo akyerɛw ama wo (sɛ nhwɛso no, aduru a wode bɛhyɛ wo tɛkrɛma ase) .

2. Angina a entumi nnyina: Eyi ne tebea a asiane wom sen biara . Saa ɛyaw yi betumi aba bere a woagye w’ahome anaa woada anadwo mpo. Ɛnkɔ fam nso bere a wɔanom nnuru mpo akyi. Eyi betumi ayɛ komayare ho sɛnkyerɛnne, enti ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara .

Nsɛnkyerɛnne afoforo a ɛnyɛ angina

Wɔ koko mu yaw akyi no, sɛnkyerɛnne ahorow a edidi so yi nso betumi aba:

• Ɛyaw anaa ɔhaw a ɛhyerɛn kɔ nsa benkum, mmati, kɔn, anom, akyi, anaa yafunu no fã .
• Ahome a ɛyɛ tiaa .
• Awɔw ne fifiri a wɔte nka .
• Nkate a ɛma obi yɛ ma, aduan a ontumi nnya, anaasɛ akisikuru bi wɔ ne menewa mu.
• Akisikuru anaasɛ ɔfe .
• Dizziness , tiyɛ a ɛyɛ hare, mmerɛwyɛ a ɛtra so, anaa dadwen a wɔte nka.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa.

Sɛ wowɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa bɛboro simma 5 a, ɛyɛ ntɛmpɛ. Frɛ 1990 Ambulance Service ntɛm ara.

Dɛn nti na mogya a ɛkɔ koma no mu so tew? Dɛn na ɛde ba?

Nea ɛde eyi ba titiriw ne nea ɛtaa de ba ne Coronary Artery Disease . Sɛ yɛbɛka no tiawa a, eyi yɛ srade ne srade (yɛfrɛ eyi `(Plaque)`) a ɛboaboa ano wɔ ntini a ɛde mogya kɔ koma no mu (coronary arteries), a ɛma ntini no yɛ teateaa. Te sɛ nsu paipu a bere kɔ so no, ɛyɛ nkannare na ɛsiw. Sɛ ntini no mu yɛ teateaa a, mogya dodow a koma no hia no ntumi nkɔ.

Nneɛma afoforo nti:

• Mogya a Ɛtu: Sɛ srade (plaque) bi a ayɛ kɛse wɔ ntini a ɛyɛ teateaa mu mu paapae a, mogya a ɛbɛtɔ wɔ saa beae no na asiw ntini no koraa.
• Coronary Artery Spasm: Ɛtɔ mmere bi a mogya ntini a ɛwɔ koma no mu no twetwe mpofirim, na ɛma mogya no gyae bere tiaa bi.
• Nnubɔne te sɛ cocaine a wɔde di dwuma.
• Coronary Artery Dissection: Eyi yɛ tebea a ɛntaa nsi koraa a mogya ntini bi fasu tetew.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne, ayɛ wo nipadua mu nhwehwɛmu, na ebia ɔbɛkamfo nhwehwɛmu kakraa bi nso akyerɛ wo.

• ECG (Electrocardiogram): Ɛsɔ sɛnea koma no mu anyinam ahoɔden yɛ adwuma hwɛ.
• Echocardiogram: Koma no mu nhwehwɛmu. Ebetumi ahwɛ sɛnea koma no yɛ adwuma ne sɛnea wɔahyehyɛ no.
• Apɔw-mu-teɛteɛ mu Adwennwen Sɔhwɛ: Wɔyɛ ECG bere a wonam afiri a wɔde tu mmirika so, na wɔhwɛ nsakrae a ɛba wo koma mu bere a woreteɛteɛ w’apɔw mu no.
• Coronary Angiogram: Wɔde nsu titiriw bi gu koma no mogya ntini mu na wɔyɛ X-ray de hwɛ sɛnea ntini no asiw ankasa.
• Mogya mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ koma ntini no asɛe na wɔahwɛ nneɛma te sɛ srade dodow.

Dɛn na woreyɛ sɛ ayaresa?

Ayaresa no gyina sɛnea wo tebea no mu yɛ den ne nea ɛde ba no so. Botae titiriw ne sɛ wɔbɛsan de mogya akɔ koma ntini no mu na wɔasiw komayare a ɛbɛba daakye ano.

Nnuru ahorow a wɔde di dwuma:

• Nitroglycerin a ɛwɔ nipadua no mu:Aduru a ɛma obi ho tɔ no ntɛm fi angina yaw mu.
• Beta-blockers ne calcium channel blockers: Hwɛ koma no dwumadi ne mogya mmoroso so, na ɛtew adwuma a ɛwɔ koma no so no so.
• Nnuru a ɛko tia mogya a ɛtwetwe mogya (e.g. Aspirin, Clopidogrel): Ɛma mogya a ɛtwetwe no ntumi nkɔ mogya ntini no mu.
• Nnuru a ɛma mogya mu srade so tew.

Akwan a wɔfa so sa yare ne oprehyɛn ahorow:

• Angioplasty ne Stent a Wɔde Si Hɔ: Wɔde afiri a ɛte sɛ balloon hyɛ mogya ntini a asiw no mu na wɔde afiri a ɛte sɛ ahama (stent) hyɛ mu na amma ansiw bio.
• Coronary Artery Bypass Graft: Wɔnam ntini bi a wɔafa afi nipadua no fã foforo a wɔde twa ntini a asiw no ho so na ɛyɛ mogya ntini foforo.

Dɛn na yebetumi ayɛ de atew asiane no so?

Nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu no betumi atew asiane yi so kɛse.

• Sɛ wowɔ asikreyare, mogya mmoroso, anaa srade a ɛwɔ wo mu a, di so yiye sɛnea wo duruyɛfo akwankyerɛ kyerɛ.
• Fa simma 30-60 teɛteɛ w’apɔw mu da biara, anyɛ yiye koraa no nnafua 5 dapɛn biara. (Nantew a ɛyɛ ntɛmntɛm mpo ye sɛnea ɛsɛ.)
• Tew nnuan a ngo, nkyene, ne asikre pii wom so, na di nhabannuru, nnuaba, nhabannuru, ne aburow pii.
• Sɛ wonom sigaret a, gyae koraa.
• Tew adwennwen so.
• Kura wo nipadua mu duru a ɛfata mu.