So wo koma nso rehu amane wɔ ɔhaw yi ho? Momma yensua myocarditis ho ade!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ ara kwa, na wo home yɛ wo yaw kakra? Anaasɛ wote nka sɛ wo koko yɛ wo yaw kakra, anaasɛ wo koma bɔ ntɛmntɛm sen sɛnea wotaa yɛ no? Eyinom betumi ayɛ nneɛma a ɛfata, nanso ɛtɔ mmere bi a, komayare nso betumi de saa sɛnkyerɛnne ahorow yi aba. Ɛnnɛ yɛrebɛka koma ntini a ɛyɛ hyew, kyerɛ sɛ, ɛho ahonhon ho asɛm. Wɔ aduruyɛ mu no, yɛfrɛ eyi myocarditis.

Dɛn ne koma mu yare?

Sɛ yɛbɛka no tiawa a, myocarditis yɛ wo koma ntini, myocardium, a ɛyɛ hyew anaasɛ ɛho ahonhon. Susuw ho saa kwan yi so: sɛ yɛtwa yɛn honam ani a, baabi no hohoro, ɛyɛ kɔkɔɔ, na ɛyɛ yaw. Sɛ ɛba saa wɔ koma ntini no mu a, yɛfrɛ no myocarditis.

Sɛ koma no mu ntini mu yɛ hyew wɔ saa kwan yi so a, koma no dwumadi betumi asɛe. Eyi ma ɛyɛ den ma koma no sɛ ɛbɛbɔ mogya. Eyi yɛ tebea a ɛntaa nsi, a ɛkyerɛ sɛ ɛntaa nsi koraa. Ebia nnipa binom benya bi mpofirim, bere a bere kɔ so no, afoforo nso betumi anya yare no ho sɛnkyerɛnne nkakrankakra.

Myocarditis yɛ soronko wɔ koma no mu tebea afoforo a ɛma obi ho hyehye no ho. Nhwɛsoɔ:

• Pericarditis yɛ kotoku a atwa koma no ho ahyia no mu ɔfe.
• Endocarditis yɛ ɔyare mmoawa anaa ɔfe a ɛba koma no mu ntini mu.

Myocarditis ahorow pii nso wɔ hɔ a wɔntaa nhu:

• Lymphocytic myocarditis a ɛma mogya tu
• Nkwammoaa akɛse a ɛma koma ntini mu yare
• Fulminant myocarditis a ɛma obi nya komayare
• Eosinophilic koma mu ntini mu yare

Sɛ obi anya koma mu yare a, ɛte nka dɛn?

Ebia nnipa pii a wɔwɔ koma mu yare no bɛbrɛ, wɔn home ayɛ wɔn yaw, wɔn koko ayɛ wɔn yaw, anaasɛ wɔn koma bɛbɔ. Ebia nnipa binom benya saa sɛnkyerɛnne ahorow yi nkakrankakra bere a bere kɔ so no. Ebia afoforo nso benya ntua a emu yɛ den mpofirim. Sɛ koma mu yare no mu yɛ den kɛse a, koma a entumi nyɛ adwuma yiye ho sɛnkyerɛnne betumi aba. Eyi ne bere a koma no gyae adwumayɛ yiye.

Dɛn ne Myocarditis ho sɛnkyerɛnne ahorow?

Ebia worennya yare no ho sɛnkyerɛnne biara koraa. Anaasɛ ebia wubenya yare no ho sɛnkyerɛnne biako anaa nea ɛboro saa. Sɛnea sɛnkyerɛnne ahorow yi mu yɛ den no betumi ayɛ soronko wɔ onipa biara ho. Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:

• Ɔhome a ɛyɛ den (titiriw bere a woreteɛteɛ w’apɔw mu anaasɛ woda fam) .
• Ɔbrɛ a emu yɛ den, ɔbrɛ
• Atiridiinini (sɛ ɛne ɔyare mmoawa bi wɔ abusuabɔ a) .
• Koko mu yaw (a ebia ɛte sɛ nea ɛyɛ nnam, ɛyɛ sekan, anaasɛ ɛte sɛ nhyɛso a ɛwɔ koko mu) .
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛmKoma a ɛbɔ anaa koma a ɛbɔ a ɛnteɛ
• Yafunu mu yaw
• Vertigo (te nka sɛ worebɔ wo ho akɔneaba) .
• Koma mu nnyigyei a ɛnyɛ ne kwan so
• Nnipa a wɔtotɔ piti
• Akɔnnɔ
• Nipadua a nkwa nnim
• Nan anaa nansoaa a ɛho ahonhon
• Apɔw-mu-teɛteɛ a wontumi nyɛ

Saa tebea yi abu so dɛn?

Nhwehwɛmufo bu akontaa sɛ afe biara wɔbɔ nnipa bɛyɛ ɔpepem 1.5 ho amanneɛ wɔ wiase nyinaa. Eyi kyerɛ sɛ tebea yi betumi aka nnipa 100,000 biara mu 10 kosi 20 . Enti, bere a ebia ɛbɛyɛ te sɛ nea ɛnyɛ nea abu so kɛse no, ɛho hia sɛ yɛkae sɛ obiara betumi anya bi.

Dɛn nti na koma mu ntini mu yare ba?

Mpɛn pii no, ɛyɛ den sɛ wubehu biribi pɔtee a ɛde koma mu yare ba. Nanso, nea ɛtaa de ba ne ɔyare mmoawa a wɔde yare no ba. Mmoawa a wɔde myocarditis ba no bi ne:

• Atiridii mmoawa
• Herpes mmoawa asia
• Adenovirus a ɛwɔ nipadua no mu
• Coxsackie mmoawa a wɔde ɔyare mmoawa ba
• Parvovirus B19 a ɛyɛ ɔyare mmoawa
• SARS-CoV-2 (COVID-19) mmoawa

Dɛn ne ntease afoforo?

Myocarditis betumi afi nneɛma afoforo mu aba a mmoawa nka ho:

• Mmoawa a wɔde nyarewa ba
• Fungal yare mmoawa (eyi ho yɛ na yiye) .
• Chagas yare no
• Atiridiinini a ɛma obi ho yɛ hyew
• Nyarewa a nipadua no tumi ko tia - Sɛ nhwɛso no, ntini mu yare anaa lupus. Eyinom yɛ nyarewa a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ n’ankasa nkwammoaa so.
• Nneɛma bi a wɔde wɔn ho hyɛ mu - sɛ nhwɛso no, mframa a ɛbɔ anaa dade a emu yɛ duru.

So ebetumi aba sɛ efi nnuru bi?

Yiw, koma mu yare betumi aba sɛ nnuru bi mu nsunsuanso bɔne. Nnuru yi bi ne:

• Nnuru bi a wɔde sa komayare
• Nnuru a wɔde sa adwenemhaw (Antidepressants) .
• Nnuru a wɔde sa akisikuru
• Nnuru a ekum ɔyare mmoawa
• Nnuru bi a wɔde ma obi mu duru so tew
• Diuretics (nnuru a ɛma nsu fi nipadua no mu) .
• Benzodiazepines (aduru bi a ɛma obi da na ɛtew dadwen so) .
• Nnuru bi a wɔde sa adwenemyare

So abusuabɔ bi wɔ myocarditis ne Covid-19 vaccine no ntam?

Yiw, eyi nso ho hia. Ɛntaa mma koraa , wɔabɔ amanneɛ sɛ wɔanya komayare wɔ nnipa a wɔde Pfizer-BioNTech® anaa Moderna® COVID-19 vaccine no maa wɔn no mu, titiriw wɔ mmerante ne mmabaa mu. Nsɛnkyerɛnne betumi aba wɔ dapɛn a edi kan a wɔde aduru a wɔde bɔ nkurɔfo ho ban no ama no mu.

Nanso kae sɛ eyi yɛ ade a ɛntaa nsi koraa.Nnipa pii a wɔanya koma ntini mu yare afi saa vaccine yi mu no ho atɔ wɔn ntɛmntɛm bere a wɔasa wɔn yare akyi na wɔasan akɔ wɔn asetra a ɛfata mu. Nanso, sɛ woanya koma mu yare a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ koma ho oduruyɛfo nkyɛn ansa na woafi apɔw-mu-teɛteɛ ase bio.

CDC (Centers for Disease Control and Prevention) ka sɛ asiane a ɛwɔ hɔ sɛ obi benya COVID-19 no boro asiane a ɛwɔ saa ɔhaw a ɛntaa nsi yi mu no so koraa, enti wɔda so ara kamfo kyerɛ sɛ wɔmfa nnuru a wɔde bɔ nkurɔfo ho ban no.

Hena na ɔwɔ asiane kɛse mu sɛ obenya koma ntini mu yare?

Asiane ahorow bi a yentumi nsakra. Ɛda adi sɛ wubenya myocarditis sɛ wowɔ:

• Sɛ woyɛ abofra a. Nanso, eyi betumi ato obiara a wadi mfe biara.
• Sɛ woyɛ ɔbarima a. Nanso mmea nso betumi anya bi.
• Sɛnea wo nipadua no yɛ n’ade wɔ ɔfe ho no nyɛ papa. Myocarditis nyɛ yare a wonya fi awo mu. Nanso, w’awosu betumi aka sɛnea wo nipadua yɛ n’ade wɔ ɔfe ho ne asiane a ɛwɔ hɔ sɛ wubenya koma mu yare no.
• Sɛ wonom nsa pii sen sɛnea wo duruyɛfo akyerɛ wo no a.

Ayaresa ahorow bi nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya koma ntini mu yare no ayɛ kɛse. Eyinom bi ne:

• Dialysis (dialysis - mogya a wɔde yiyi bere a asaabo di nkogu) .
• Koma mfiri a wɔde ahyɛ nipadua mu
• Mframa a wɔde sa yare
• Ayaresa ahorow bi a wɔde sa komayare
• Ntini a ɛwɔ mfinimfini a wɔde ahyɛ ntini bi mu

Asiane a ɛwɔ hɔ sɛ wubenya koma mu yare no yɛ kɛse sɛ wowɔ tebea horow yi a:

• Asikreyare (Asikreyare) .
• HIV/AIDS
• Honam ani akuru anaa ɔyare mmoawa
• Kokoram a wɔde nnuru bi sa
• Adidi mu haw ahorow
• Asaabo mu yare a ɛba awiei
• Akwanhyia bi a ɛbaa ne koko so

Nsɛnnennen afoforo bɛn na ebetumi aba esiane koma mu yare nti?

Ebia nnipa binom benya akwahosan ho haw afoforo esiane koma mu yare nti. Ebi ne:

• Cardiomyopathy - Koma ntini a ɛyɛ mmerɛw anaa ɛyɛ kɛse.
• Ahurututu mu haw ahorow
• Arrhythmia - koma a ɛbɔ a ɛnteɛ
• Nhumu a wɔhwere
• Koma mu yare - komayare
• Cardiogenic shock - tebea a ɛde nkwa to asiane mu a ɛnam koma no ntumi nkɔ mogya a ɛdɔɔso so
• Koma mu owu mpofirim

Ɔkwan bɛn so na oduruyɛfo hu sɛ obi anya koma ntini mu yare?

Wo duruyɛfo de saa nneɛma yi bedi dwuma de ahu sɛ wowɔ koma mu yare anaa:

• Nipadua mu nhwehwɛmu: Oduruyɛfo no bɛyɛ nneɛma te sɛ atie wo koma na wahwɛ sɛnea wo koma bɔ.
• Aduruyɛ ho abakɔsɛm: Wobebisa wo nyarewa biara a woanya dedaw, sɛ ebia obi wɔ w’abusua mu a ɔwɔ komayare, ne nnuru a worenom ho asɛm.
• Nhwehwɛmu Titiriw: Wobetumi ayɛ nhwehwɛmu ahorow de akyerɛ sɛ yare no wɔ hɔ.

Sɔhwɛ ahorow bɛn na wɔreyɛ?

Nea ɛbɛyɛ na oduruyɛfo no ahu sɛ ebia ɛyɛ koma mu yare anaa ɔhaw foforo no, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ:

• MRI (Magnetic Resonance Imaging) scan: Ebetumi anya koma no ho mfonini a ɛkɔ akyiri.
• Koma mu nhwehwɛmu: Sɛ wofa koma mu ntini ketewaa bi na wode afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu a, ɛno ne ɔkwan a eye sen biara a wobɛfa so asi yare no so dua.
• PET (Positron Emission Tomography) scan: Ɛboa ma wohu mmeae a ɛyɛ hyew wɔ koma no mu.
• Chest X-ray: Wɔde hwɛ sɛnea koma no kɛse te ne sɛ ebia nsu bi aboaboa ano wɔ ahurututu no mu anaa.
• Koma mu catheterization: Sɛnea ɛbɛyɛ a wobesusuw nhyɛso a ɛwɔ koma no mu na wɔahwehwɛ sɛ ntini a ɛwɔ koma no mu no asiw.
• ECG/EKG (Electrocardiogram): Ɛkyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Ebetumi ahu nneɛma a ɛnkɔ so wɔ koma no bɔ mu.
• Echocardiogram: Wɔde ultrasound scan a wɔde hwehwɛ koma no mu. Ebetumi ahwɛ nneɛma te sɛ ne kɛse, ne nsusuwii, ne sɛnea koma no bɔ mogya yiye.
• Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ enzyme dodow a ɛboaboa ano wɔ mogya no mu bere a koma ntini no asɛe, ne ɔhyew agyiraehyɛde ahorow.

So wobetumi asa koma ntini mu yare? Dɛn ne ayaresa ahorow no?

Sɛ wowɔ koma mu yare a emu nyɛ den a, ebia ɛno ankasa besiesie. Sɛ ɛnte saa a, ebia wo duruyɛfo bɛkyerɛw nnuru ama wo.

So wobetumi de nnuru asa?

Yiw, oduruyɛfo no betumi akyerɛw nnuru a edidi so yi ama obi de asa koma mu yare:

• Nnuru a wɔde sa komayare: Eyinom boa ma koma no yɛ adwuma yiye na ɛtew yare no ho sɛnkyerɛnne so. Sɛ nhwɛso no, nnuru a esiw ACE ano, nnuru a esiw beta ano, nnuru a ɛma nsu fi nipadua mu.
• Corticosteroids: Eyinom yɛ nnuru bi a ɛtew ɔfe so.
• Intravenous (IV) immunoglobulin (IVIG): Eyi nso yɛ aduru a ɛsakra nipadua no mu tumi a ɛko tia nyarewa no dwumadi na ɛtew ɔfe so.

So ɛho behia sɛ wɔyɛ oprehyɛn?

Sɛ myocarditis rema koma no ayɛ adwuma yiye anaasɛ koma no ntumi nkɔ yiye, na tebea no mu yɛ den a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de mfiri te sɛ eyi hyɛ nipadua mu:

• LVAD (Left Ventricular Assist Device): Mfiri a ɛboa koma no benkum so ahurututu ma ɛma mogya.
• Pacemaker: Afiri a wɔde hyɛ nipadua mu de siesie koma a ɛbɔ a ɛnteɛ.
• Koma a wɔde si ananmu (Donor heart): Sɛ́ ɔkwan a etwa to no, ebia ɛho behia sɛ wɔde koma a ɛte apɔw a efi obi foforo hɔ ma.

Dɛn na yebetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ yebenya koma mu yare no so atew?

Nea ɛyɛ awerɛhow no, ɛyɛ den sɛ wobesiw nneɛma a ɛde koma mu yare (titiriw ɔyare mmoawa) ba no pii ano. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhohoro wo nsa mpɛn pii na woanya apɔwmuden. Eyi bɛboa wo ma woakwati nyarewa a ebetumi ama obi anya komayare.

Ɛho hia nso sɛ wobɛma wo atiridiinini aduru wɔ bere ano. Nsa a wobɛnom ano hye na woamfa nnubɔne a mmara mma ho kwan nso yɛ asiane ahorow a wubetumi adi so.

Sɛ minya myocarditis a, dɛn na ɛbɛba daakye?

Wo nkɔmhyɛ a ɛfa myocarditis ho no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne sɛnea ɔfe dodow a ɛwɔ wo koma mu no so. Nnipa pii tra ase mfe pii a wonhyia ɔhaw biara wɔ ayaresa akyi. Ebia ɛho behia sɛ afoforo kɔ so nom nnuru. Afei nso, asiane ketewaa bi wɔ hɔ sɛ wubenya koma ntini mu yare bio.

Wɔ nnipa binom fam no, koma mu yare betumi de nsɛnnennen a emu yɛ den te sɛ koma mu ntini a ɛtrɛw aba. Eyi ne bere a koma no trɛw na ɛyɛ mmerɛw. Bere kɔ so no, eyi betumi ama koma no ayɛ adwuma yiye, na ebia ebehia sɛ wɔde koma foforo ma. Wɔkyerɛ nso sɛ koma mu yare na ɛma mmerante ne mmabaa wuwu mpofirim bɛyɛ 20%. Ɛwom sɛ nnipa dodow no ara ho tɔ wɔn de, nanso ebetumi ayɛ tebea a ɛde wɔn nkwa to asiane mu.

Mpɛn pii no, nnipa a wɔwɔ komayare a efi ɔyare mmoawa mu no mu 50% kosi 80% tra ase mfe anum anaa nea ɛboro saa wɔ bere a wɔahu sɛ wɔanya bi no akyi. Nnipa pii, titiriw mmerante ne mmabaa, ho tɔ wɔn koraa na wɔbɔ asetra a ahoɔden wom na wɔyɛ nnam.

Yɛbɛyɛ dɛn ahwɛ koma mu yare no so?

Sɛ wowɔ myocarditis pɛnkoro a, ebetumi asan aba bio wɔ mfe bi akyi. Enti, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wosan nya sɛnkyerɛnne bi bio a. Sɛ wobɛkɔ so anya apɔwmuden a, yɛ nneɛma yi:

• Hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu.
• Nom nnuru a wɔakyerɛw ama wo no pɛpɛɛpɛ na fa bere ano.
• Mma nteɛteɛ w’apɔw mu kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
• Tew nkyene a ɛwɔ w’aduan mu so.
• Gyae tawa ho nneɛma a wode bedi dwuma.
• Nnom nsa.

Afei nso, ebia ɛho behia sɛ oduruyɛfo no san yɛ nhwehwɛmu ahorow bi a wɔde yɛɛ nhwehwɛmu no (e.g., echocardiogram, MRI scan).

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• Dɛn nti na minyaa koma mu ntini mu yare?
• So mehia ayaresa wɔ myocarditis ho?
• Dɛn na metumi ayɛ na ama manya apɔwmuden?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Myocarditis yɛ tebea a ɛntaa nsi a ebetumi ama wo koma ntini ayɛ mmerɛw. Nea ɛyɛ awerɛhow no, nneɛma a ɛde ba no pii yɛ den sɛ wobesiw ano. Bere a ebia nnipa binom benya yare no ho sɛnkyerɛnne a emu yɛ den no, nnipa pii tra ase mfe pii a wonhyia ɔhaw biara wɔ ayaresa akyi.

Ade a eye sen biara a wubetumi ayɛ ne sɛ wobɛkɔ so akɔ wo duruyɛfo nkyɛn bere ano, anom nnuru a wɔakyerɛw ama wo no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ, na sɛ wo yare no ho sɛnkyerɛnne no san ba a, wobɛma wo duruyɛfo ahu. Mma wo ho nnyɛ wo hu, nanso hwɛ eyi so.

` myocarditis, koma mu ɔfe, koma ntini, koko mu yaw, ahome a ɛyɛ tiaa, komayare, ɔyare mmoawa