Hu saa nneɛma yi ansa na woahaw wo ho wɔ akisikuru bi a ɛwɔ wo koma mu (Myxoma) ho!

So worenya sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ tiaa, wo tirim yɛ hare, anaasɛ wo mu duru so tew mpofirim? Ebia nea ɛde ba no yɛ biribi a wunsusuw ho mpo. Ɛnnɛ yɛbɛka tebea bi a ɛntaa nsi nanso ɛho hia a ɛka koma no ho asɛm. Wɔfrɛ no Cardiac Myxoma . Ɛwom mpo sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ hu de, nanso momma yɛnka ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.

Dɛn ne myxoma? So ɛyɛ akisikuru a ɛba koma no mu?

Simply put, a myxoma is a tumor that forms in your heart. Nanso asɛmpa no ne sɛ ɛyɛ akisikuru a ɛnyɛ kokoram . Ɛno kyerɛ sɛ ɛntrɛw nkɔ nipadua no afã afoforo. Myxoma ne akisikuru titiriw a ɛnyɛ kokoram a ɛtaa fi ase wɔ koma no mu.

Saa akisikuru yi betumi ayɛ akɛse ahorow. Ebinom sua te sɛ sɛntimita biako, na ebi nso tumi yɛ sɛntimita 15. Susuw nkɛntɛnso a biribi kɛse saa benya wɔ wo koma so no ho hwɛ!

Mpɛn pii no (bɛyɛ 74%) saa myxomas yi nyin wɔ wo koma benkum so , a ɛyɛ wo koma benkum so dan no atifi. Afei, bɛyɛ 18% nyin wɔ nifa atrium , a ɛyɛ nifa so dan a ɛwɔ soro no mu. Esiane sɛ enyin wɔ koma no atifi adan mu nti, wɔsan frɛ no atrial myxomas . Dodow kakraa bi a aka (bɛyɛ 8%) nso betumi ayɛ kɛse wɔ koma no ase adan , ventricles .

Mpɛn pii no, myxomas fi atrial septum, ɔfasu a ɛtetew koma no benkum ne nifa mu no mu. Mpɛn pii no, wɔde biribi a ɛte sɛ dua a wɔfrɛ no pedicle na ɛbata ɔfasu yi ho. Saa dua yi ma akisikuru no tumi di akɔneaba na ɛsensɛn koma no mu. Ɛtɔ mmere bi a, bere a ɛretu no, akisikuru no betumi akɔhyɛ koma no mu na asiw mogya no kwan.

Ɛwom sɛ eyinom nyɛ kokoram de, nanso asiane wom kɛse efisɛ ebetumi asiw koma no dwumadi kwan. Ɛno nti na ɛsɛ sɛ wɔyɛ nnipa a wɔwɔ myxomas oprehyɛn de yi fi hɔ no. Sɛ wɔanyɛ eyi a, nsɛnnennen a anibere wom betumi aba.

Hena na ɛda adi kɛse sɛ obenya myxoma?

Myxoma taa ka nnipa a wɔadi fi mfe 30 kosi 60. Afei nso, tebea no taa ba mmea so sen mmarima.

Nanso, eyi yɛ soronko kakra ma nnipa a wɔwɔ awosu mu yare bi a wɔfrɛ no Carney’s complex . Saa Carney’s complex yi betumi ama myxomas pii ayɛ ɛnyɛ koma no mu nko na mmom nipadua no afã afoforo nso. Wɔtaa hu myxomas wɔ saa nnipa yi mu wɔ wɔn mfe 20 mfiase. Afei nso, tebea no abu so wɔ mmarima mu sen mmea.

Myxoma abu so dɛn?

Koma mu akisikuru titiriw ho yɛ na koraa. Wɔka nnipa a ennu 2,000 biara mu biako. Wɔfrɛ koma mu akisikuru atitiriw yi bɛyɛ fã myxomas. Enti, wubetumi asusuw sɛnea tebea yi ho yɛ na no ho.

Ɔkwan bɛn so na myxoma ka me nipadua?

Myxoma betumi asiw mogya a ɛbɛkɔ wo nipadua nyinaa mu ne wo koma mu no kwan. Nsɛnnennen atitiriw abien na ebetumi aba:

1. (Embolism):

Eyi ne ade a asiane wom sen biara. Embolism yɛ mogya ntini bi a esiw. Myxomas binom yɛ nea ɛyɛ mmerɛw . Eyi kyerɛ sɛ wobetumi abubu ntɛm. Akisikuru no fã bi betumi abubu, afa mogya no mu, na akɔhyɛ mogya ntini bi mu wɔ nipadua no mu baabi. Anaasɛ, mogya a ɛbɛtɔ no betumi ayɛ wɔ myxoma no so, na mogya a ɛtɔ no betumi abubu na akɔhyɛ mu.

Susuw nea ɛbɛba sɛ asinasin yi fã bi kyere mogya ntini bi a ɛkɔ amemene no mu no ho hwɛ? Ebetumi ama obi anya akisikuru ! Enti eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa. Ɔhaw a ɛtaa ba koma mu myxoma mu ne saa embolism yi.

2. Valve a ɛsiw kwan:

Sɛnea yɛadi kan aka no, myxomas taa bata dua bi ho, a ɛkyerɛ sɛ ɛwosow kɔ anim ne akyi bere a mogya fa koma no mu no. Sɛ wɔwosow a, sɛ akisikuru no fa koma mu ntini bi a wɔabue mu no mu a, ebetumi asiw mogya a ɛbɛfa saa ntini no mu no kwan bere tiaa bi. Eyi taa to mitral valve , a ɛwɔ benkum atrium ne benkum ventricle ntam no. Eyi ma valve no to mu na ebue, na ɛno sɛe mogya a ɛfa koma no mu kɔ nipadua no mu brɛoo no.

Dɛn ne myxoma ho sɛnkyerɛnne ahorow?

Myxoma ho sɛnkyerɛnne gyina baabi a ɛwɔ koma no mu ne sɛnea ɛka nipadua no so. Ebia wubenya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Atiridiinini a wobenya .
• Ɔbrɛ, ɔbrɛ a ɛtra so.
• Anadwo fifiri a ɛba.
• Raynaud adeyɛ: Eyi ne bere a nsateaa ano ne nansoaa dan yɛ bruu, bruu, afei ɛyɛ kɔkɔɔ na ɛyɛ mmerɛw bere a awɔw wom no.
• Ɔhome a ɛyɛ tiaa bere a ɔreyɛ apɔw-mu-teɛteɛ anaa ɔreyɛ apɔw-mu-teɛteɛ.
• Ahome a ɛyɛ tiaa anaasɛ obi a ɔtotɔ piti bere a ogyina hɔ no. Nea enti a ɛte saa ne sɛ, sɛ wugyina hɔ a, tumi a ɛtwe ade ba fam no twe akisikuru no kɔ mitral valve no mu, na ɛma mogya mmoroso so tew bere tiaa bi.
• Mu duru a ɛso tew a ntease biara nnim.

Esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti, ɛnkyerɛ sɛ wowɔ myxoma. Koma mu yare afoforo nso betumi anya sɛnkyerɛnne a ɛte saa ara. Nanso, sɛ wuhu biribi a ɛte sɛɛ a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn na ɛde myxoma ba?

Mpɛn pii no, wontumi nhu nea ɛde myxoma no ba pefee.Nanso, bɛyɛ 10% fi awosu mu tebea a wɔfrɛ no Carney’s complex, a yɛadi kan aka ho asɛm no. Sɛ obi wɔ w’abusua mu a ɔwɔ Carney yare yi a, ɛho hia yiye sɛ woka ho asɛm kyerɛ wo duruyɛfo.

Ɔkwan bɛn so na wohu Myxoma?

Nnuruyɛfo nam nipadua mu nhwehwɛmu ne nhwehwɛmu ahorow so hu myxoma. Ɛtɔ mmere bi a, ebetumi agye bere kakra ansa na wɔahu no efisɛ ne sɛnkyerɛnne te sɛ nyarewa afoforo de.

Bere a woreyɛ wo nipadua mu nhwehwɛmu no, wo duruyɛfo de afiri a wɔde tie asɛm betie wo koma . Sɛ wowɔ myxoma a, ebia wobɛte koma nnyigyei bi a ɛnteɛ a wɔfrɛ no "tumor plop." Eyi ne nnyigyei a myxoma no yɛ bere a esiw mitral valve no kwan bere tiaa bi no.

Oduruyɛfo no nso ne wo bɛka wo yare no ho sɛnkyerɛnne ne nsakrae biara a worehyia ho asɛm. Sɛ osusuw sɛ ɔwɔ myxoma anaa komayare foforo a, ɔbɛhyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu mpɛn pii .

Nhwehwɛmu bɛn na wɔde hu Myxoma?

Mfoninitwa nhwehwɛmu ho hia na ama wɔahu myxoma. Wo duruyɛfo betumi ayɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa:

• Echocardiogram: Eyi ne sɔhwɛ a ɛho hia sen biara. Mpɛn pii no , transthoracic echo a wɔyɛ wɔ koko no atifi no kyerɛ sɛ obi anya myxoma. Nanso ɛtɔ mmere bi a wobetumi ayɛ transesophageal echo (afiri ketewaa bi a wɔde hyɛ menewa mu) de ahwehwɛ akisikuru nketenkete anaasɛ wɔahu baabi pɔtee a akisikuru no abata koma no ho.
• Koma mu MRI: MRI a wɔde hwehwɛ koma no mu.
• Koma mu CT scan: Koma no CT scan.

Bio nso, mogya mu nhwehwɛmu betumi ada myxoma ho sɛnkyerɛnne adi:

• Mogya mu nkwammoaa kɔkɔɔ a ɛso tew ( anemia ).
• Ntini mu nkwammoaa dodow a ɛso tew ( thrombocytopenia ).
• Mogya mu nkwammoaa fitaa dodow a ɛkɔ soro (eyi kyerɛ ɔfe wɔ nipadua no mu).

Nanso, mogya mu nhwehwɛmu ahorow yi nkutoo ntumi nhu sɛ myxoma wɔ hɔ. Tebea afoforo nso betumi de aba. Nanso, sɛ wɔde mfoninitwa nhwehwɛmu ne nea wɔahu wɔ nipadua mu nhwehwɛmu mu ka ho a, ebetumi aboa oduruyɛfo no ma wahu yare no.

Dɛn ne Myxoma ayaresa ahorow?

Sɛ wohu sɛ wowɔ myxoma a, ebehia sɛ wɔyɛ wo oprehyɛn de yi akisikuru no fi hɔ. Wo duruyɛfo bɛkyerɛkyerɛ eyi ne sɛnea wobesiesie wo ho ama oprehyɛn no ho nsɛm pii.

Ɛho hia yiye sɛ woyi myxoma ntɛm ara sɛnea wubetumi.Efisɛ myxoma de asiane kɛse ba sɛ obenya embolism, ɔhaw a ebetumi de nkwa ato asiane mu.

Dɛn ne nnipa a wɔwɔ myxoma no anidaso?

Mpɛn pii no, adwene a nnipa a wɔwɔ myxomas wɔ no ye. Mpɛn pii no, oprehyɛn betumi ayi myxomas no afi hɔ koraa na asiw ano bio.

Nanso, nnipa bɛyɛ 1% kosi 2% nya myxoma foforo wɔ mfe 10-15 akyi wɔ oprehyɛn no akyi. Nnipa a wɔwɔ Carney yare no wɔ asiane kɛse mu sɛ wɔbɛsan anya saa yare yi bio.

Eyi nti na, sɛ wowɔ myxoma ho abakɔsɛm a, wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ mfoniniyɛ mu nhwehwɛmu daa , titiriw echocardiogram. Saa nhwehwɛmu ahorow yi tumi hu myxomas foforo ntɛm, na ɛtew asiane a ɛwɔ hɔ sɛ daakye nsɛnnennen bɛba no so.

Nnipa a wɔanya myxoma no wɔ asiane kɛse sɛ wobenya atrial arrhythmias , a ɛyɛ koma no mu ntini a ɛwɔ soro no mu ɔhaw ahorow. Wo duruyɛfo bɛkasa afa asiane yi ho na sɛ ɛho hia a, ɔbɛkyerɛw wo nnuru.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wowɔ myxoma ho sɛnkyerɛnne bi a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ebia ɛnyɛ myxoma na ɛma saa sɛnkyerɛnne ahorow yi mfi, na mmom ebia efi komayare foforo. Nanso, wɔ komayare biara ho no, ɛho hia sɛ wɔyɛ nhwehwɛmu na wɔsa no ntɛm ansa na ɔhaw no mu ayɛ den.

Sɛ wohu sɛ wowɔ myxoma a, wo duruyɛfo bɛkyerɛ wo bere tenten a ebegye ansa na woasan aba abɛyɛ nhwehwɛmu a edi akyi ne bere a ɛsɛ sɛ wɔyɛ wo oprehyɛn.

Sɛ wɔyɛ wo oprehyɛn de yi myxoma a, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere a wo ho atɔ wo ne bere a wo ho atɔ wo no.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wo ne wo duruyɛfo nkasa mfa nea wɔahu ne daakye nhyehyɛe ahorow ho. Wubetumi abisa nsɛm te sɛ:

• Myxoma kɛse te dɛn?
• Ɔkwan bɛn so na myxoma aka me koma?
• So mewɔ nnuaba bɛboro biako?
• Bere bɛn na ɛsɛ sɛ wɔyɛ me oprehyɛn?
• So mihia nnuru biara a mede besiw yare no ho sɛnkyerɛnne anaa nsɛnnennen so?
• Mpɛn ahe na ɛsɛ sɛ meba bɛsan ayɛ sɔhwɛ anaa sɔhwɛ afoforo?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu sɛ wowɔ koma mu akisikuru no. Nanso, asɛmpa no ne sɛ myxoma yɛ tebea a mpɛn pii no wobetumi ayi afi hɔ koraa denam oprehyɛn so. Nnipa bɛyɛ 98% nnya bi bio.

Sɛ wowɔ Carney’s complex , a, wowɔ asiane kɛse mu sɛ wobɛsan anya bi bio. Nanso, sɛ wokɔ wo duruyɛfo nkyɛn bere ne bere mu na woyɛ nhwehwɛmu te sɛ echocardiogram a, wubetumi akyere nneɛma foforo biara a enyin ansa na ɛde nsɛnnennen aba.

Sɛ ehia sɛ wɔyɛ wo oprehyɛn a, wo ne wo duruyɛfo nkasa mfa nea wobɛhwɛ kwan ne bere tenten a ebegye ansa na wo ho atɔ wo. Ɛho hia nso sɛ wo ne wo duruyɛfo kasa fa asiane a ɛwɔ hɔ sɛ wubenya koma a ɛbɔ a ɛnteɛ (arrhythmias) anaa ɔhaw afoforo a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu no ho. Ebia wubehia nnuru a wode bedi ɔhaw ahorow yi so bere a wɔayi akisikuru no afi hɔ awie no. Nsuro, wo ne wo duruyɛfo nka biribiara ho asɛm na ma w’adwene nyɛ wo dɛ.

` Myxoma, koma mu akisikuru, komayare, embolism, valve a ɛsiw, koma mu oprehyɛn, Carney's complex