Ɔhome a ɛyɛ den esiane kɛseyɛ mmoroso nti? Momma yɛnka (Obesity Hypoventilation Syndrome) ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo home yɛ wo yaw? So wobrɛ na woda kɛkɛ awiabere? Ɛho hia sɛ wuhu saa nneɛma yi, titiriw sɛ wo mu duru boro so a. Ɛnnɛ yɛbɛka ɔhome ho haw bi a wonnim no yiye, nanso ebetumi ayɛ aniberesɛm, a ebetumi ne kɛseyɛ mmoroso wɔ abusuabɔ ho asɛm. Wɔfrɛ eyi `(Obesity Hypoventilation Syndrome)` anaa OHS. Mma ɛnhaw wo, momma yɛnkyerɛkyerɛ mu tiawa.

Dɛn ne OHS (Obesity Hypoventilation Syndrome) a ɛma obi nya mframa bɔne?

Sɛ yɛbɛka no tiawa a, `(Obesity Hypoventilation Syndrome)` yɛ ɔhome mu haw a ɛba nnipa binom a wɔyɛ kɛse mmoroso mu. Eyi ne bere a carbon dioxide dodow a ɛwɔ yɛn mogya mu no kɔ soro na oxygen dodow so tew. Mpɛn pii no, sɛ yɛhome a, yegye mframa pa na yɛtwe mframa bɔne a wɔfrɛ no carbon dioxide. Nanso sɛ ɔhome so tew na mframa ankɔ ahurututu no mu yiye a, saa kari pɛ yi yera. Wɔfrɛ eyi `(Hypoventilation)` (ɔhome a ɛso tew).

Wɔ mframa a ɛmma obi ntumi nkɔ nipadua no mu akyi no, ɔhome a ɛnkɔ yiye nso betumi aba wɔ OHS mu. Nokwarem no, ɔhome mu haw ahorow a ɛma obi nna mu yɛ den a ɛbata OHS ho no mu 90% fi nna mu ahomegye a esiw kwan.

Enti, OHS te sɛ nneɛma atitiriw abiɛsa a wɔaka abom:

• Obolo.
• Ɔhome a ɛso tew (Hypoventilation).
• Ɔhome a ɛnyɛ pɛpɛɛpɛ a ɛma obi da.

Edin foforo bi wɔ hɔ a wɔde frɛ saa OHS yi, a ɛne `(Pickwickian Syndrome)`. Wɔbɔɔ din no esiane Charles Dickens ayɛsɛm bi mu nipa bi a na ɔwɔ OHS ho sɛnkyerɛnne nti.

OHS yɛ ɔhome mu haw a emu yɛ den a efi kɛseyɛ mmoroso mu ba. Ɛwom sɛ ebetumi de akwahosan ho haw a ɛde nkwa to asiane mu aba de, nanso ɛwɔ ayaresa pa.

Hena na ɛda adi kɛse sɛ obenya OHS?

OHS abu so wɔ mmarima mu sen mmea. Nsonsonoe bi a wɔbɔ ho amanneɛ nso wɔ mmusuakuw bi ntam. Nanso, ade titiriw a ɛde asiane ba ne kɛseyɛ mmoroso.

Ɛyɛ den sɛ yɛbɛka sɛnea eyi abu so ankasa, nanso nhwehwɛmu ahorow bi kyerɛ sɛ ebia ɛbɛka nnipa a wɔanyinyin no mu kakraa bi. Ɛno kyerɛ sɛ ɛnyɛ nea abu so kɛse, nanso ɛyɛ biribi a ɛka nnipa dodow bi a ɛho hia.

Dɛn ne OHS ho sɛnkyerɛnne ahorow?

Mpɛn pii no, OHS ho sɛnkyerɛnne fi nna a wonnya ne oxygen dodow a ɛba fam wɔ mogya mu (Hypoxemia). Saa sɛnkyerɛnne ahorow yi bi ne:

• Ahome a ɛyɛ tiaa.
• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ).
• Ahoɔden a wonni.
• Dae a ɛtra so awiabere (Daytime sluggishness).
• Ti a ɛtaa yɛ no yaw.
• Adwene a ɛyɛ basaa.
• Hahaahayɔ.

Bere a woda no, ebia wo hokafo no behu nneɛma te sɛ:

• Ahomegye a ano yɛ den.
• Sɛ wote nka sɛ woremene anaasɛ worehome bere a woada no.
• Ogyina kakra wɔ ahome mu. Fa no sɛ obi ka kyerɛ wo sɛ, "Sɛ woda anadwo a, ɛtɔ mmere bi a ɛte sɛ nea wugyae home sikɔne kakraa bi." Ɛno yɛ biribi a ɛte saa.

Dɛn ne nneɛma a ɛde OHS ba?

Nhwehwɛmufo da so ara nnim nea ɛde OHS ba ankasa, nanso wogye di sɛ ebia nneɛma ahorow a wɔaka abom na ɛde ba:

• Ebia biribi asɛe wɔ ɔkwan a w'amemene fa so di ɔhome so no mu . Ɛte sɛ nea glitch kakra bi wɔ yɛn home "switch" no mu.
• Mu duru a ɛboro so a ɛwɔ koko no fã no betumi ama ayɛ den ama ahurututu no sɛ ɛbɛhohoro yiye na ahome denneennen. Ɛte sɛ nea worebɔ mmɔden sɛ wobɛhome a wode adesoa bi ahyɛ wo moma so.
• Srade a ɛboro so wɔ mmeae te sɛ kɔn, koko, ne yafunu betumi ama nkwaadɔm bi a wɔyɛ no ayɛ kɛse , na ebetumi aka sɛnea obi home.

Wobɛyɛ dɛn ahu sɛ wowɔ OHS anaa?

Sɛ wokɔ oduruyɛfo nkyɛn a, wobebisa wo yare no ho sɛnkyerɛnne na wɔahwɛ wo. Wɔbɛsusu wo tenten ne wo mu duru na wɔabu wo Body Mass Index (BMI) ho akontaa. Nnipa a wɔayɛ kɛse mmoroso no BMI yɛ 30 anaa nea ɛboro saa.

Ɛno akyi no, oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii bio na ama woahu sɛ wowɔ OHS anaa. Eyinom bi ne:

• Ntini mu mogya mu mframa mu nhwehwɛmu: Nea ɛka eyi ho ne sɛ wubeyi mogya kakraa bi afi wo ntini mu na woasusuw carbon dioxide ne oxygen dodow a ɛwɔ mu no. Eyi ne ɔkwan a wobɛfa so ahu sɛ wo mogya mu CO2 dɔɔso anaasɛ O2 sua.
• Pulse oximeter: Ebia woahu eyi, afiri ketewaa bi a ɛte sɛ clip a wode gu wo nsateaa so. Ebetumi asusuw oxygen dodow a ɛwɔ wo mogya mu. Nanso, entumi nsusuw carbon dioxide, na ɛnyɛ pɛpɛɛpɛ te sɛ mogya mu.
• Ahurututu mu dwumadi ho nhwehwɛmu: Saa nhwehwɛmu ahorow yi hwɛ sɛnea w’ahurututu reyɛ adwuma yiye na ɛhwehwɛ nneɛma afoforo a ɛde ahome a ɛyɛ tiaa ba.
• Chest X-ray: Eyi nso betumi aboa ma wɔayi nneɛma afoforo a ɛde ahome a ɛyɛ tiaa ba no afi hɔ.
• Dae adesua `(Polysomnography):` Eyi yɛ sɔhwɛ titiriw. Sɛ woda ayaresabea anadwo biako wie a, wɔhwɛ wo home, wo koma bɔ, ne w’amemene mu asorɔkye bere a woada no. Eyi betumi aboa ma woahu sɛ ebia wowɔ `(Sleep Apnea)` na sɛ ɛte saa a, sɛnea emu yɛ den.

Dɛn ne ayaresa ahorow a wɔde sa OHS?

OHS ayaresa hwehwɛ sɛ wɔtew wɔn mu duru so na wɔboa wɔn ma wɔhome.

Mu duru a wɔtew so

Sɛ wubenya mu duru a ɛfata a ɛfata wo nipadua na woakura mu a, ɛno ne ade a edi kan ne nea ɛho hia sen biara wɔ OHS ayaresa mu.Ɛtɔ mmere bi a, sɛ obi mu duru so tew kɛkɛ a, ebetumi aboa ma woadi yare no ho sɛnkyerɛnne ahorow so na ama tebea no atu mpɔn. Asetra kwan a ahoɔden wom a wobɛfa so no betumi aboa kɛse. Nhwɛsoɔ:

• Aduan a ahoɔden wom a wobedi. Sɛ nhwɛso no, aduan a ɛkari pɛ te sɛ Mediterranea aduan.
• Anyɛ yiye koraa no, apɔw-mu-teɛteɛ simma 30 da biara.
• Fa nna pa si hɔ.

Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn a ɛbɛma wo mu duru so atew, te sɛ oprehyɛn a wɔde twa yafunu mu.

Boa a wɔboa ma wɔhome

Ebia wo duruyɛfo bɛkamfo afiri a wɔde ma mframa a wɔde yɛ adwuma aboa wo ma woahome. Eyinom yɛ mfiri a ɛnyɛ nea wɔde hyɛ nipadua mu, a ɛkyerɛ sɛ wobetumi de adi dwuma a wɔnyɛ oprehyɛn kɛse. Saa mfiri yi ma wo mframa kwan no bue anadwo bere a woada no, na ɛma oxygen dodow a ɛwɔ wo mogya mu no yɛ kɛse. Wohyɛ akataso soronko bi bere a woada no, na afiri no fa afiri bi mu de mframa kɔ. Mfiri ahorow pii wɔ hɔ:

• CPAP (Continuous Positive Airway Pressure) Afiri: CPAP afiri de mframa ma wɔ nhyɛso koro no ara mu bere a wohome na wohome no.
• BiPAP (Bilevel Positive Airway Pressure) Afiri: BiPAP afiri de mframa a ɛkɔ soro ma bere a worehome no ne nhyɛso a ɛba fam bere a worehome no. Ɛtɔ da bi a wɔfrɛ eyi brand din ``(BiPAP®)``.

Ɛntaa mma sɛ, sɛ saa ``Positive Airway Pressure'' mfiri yi ntumi nni tebea no so a, ebia ``Tracheostomy'' ho behia. Eyi kyerɛ sɛ oduruyɛfo bi yɛ tokuru wɔ wo kɔn mu na ɔde bata wo mframa afiri ho na aboa wo ma woahome. Eyi taa yɛ ɔkwan a etwa to.

Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ wubenya OHS no so?

Ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya OHS so ne sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata. Sɛ wo duruyɛfo akyerɛw wo CPAP anaa BiPAP a, ɛho hia sɛ wode di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.

Bio nso, sɛ worekɔ wimhyɛn mu anaasɛ wobɛyɛ wo oprehyɛn biara a, di kan ka kyerɛ wo duruyɛfo , efisɛ asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen a emu yɛ den no dɔɔso wɔ nsɛm a ɛtete saa mu.

Obi a ɔwɔ OHS akwahosan tebea te dɛn?

Sɛ wɔsa yare a, wobetumi atew OHS ho sɛnkyerɛnne so anaasɛ wɔayi afi hɔ koraa. Wɔ nnipa binom fam no, wɔn mu duru a wɔbɛtew kɛkɛ mpo betumi aboa. Ayaresa ho hia efisɛ ebetumi ama w’asetra atu mpɔn na atew asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen foforo no so. Wɔada no adi sɛ wɔde afiri a wɔde home a wɔde sa yare ntɛm no ma nnipa dodow a wowuwu wɔ OHS mu no so tew 10%.

Nanso, sɛ wɔansa OHS yare a, ebetumi de nsɛnnennen a ɛde nkwa to asiane mu aba, titiriw ɔhaw ahorow a ɛba koma ne mogya ntini mu. Oxygen a enni hɔ no de ɔhaw kɛse ba koma no so. Wobɛyɛ nea ɛyɛ mmerɛw nso sɛ wubenya nsɛnnennen a efi nna a wonnya mu ba. Sɛ wɔannya ayaresa a, w’asetra bɛkɔ fam na ɛda adi sɛ ɛho behia sɛ wɔde wo kɔ ayaresabea.

Nkɔmhyɛ a ɛwɔ hɔ ma wɔn a wonnya ayaresa no nyɛ papa koraa. OHS a wɔansa no betumi ama nkwa nna ayɛ tiaa. Wɔ nnipa a wɔwɔ nyarewa afoforo mu no, asram 18 a wowuwu wɔ OHS mu no dɔɔso kodu 23%.

Dɛn ne nsɛnnennen a ebetumi afi OHS mu aba?

Sɛ wɔansa a, obesity hypoventilation syndrome no betumi de ɔhaw ahorow a ɛfa nna ho aba. Eyinom bi ne:

• Hahaahayɔ.
• Basabasayɛ ne abufuw.
• Asiane kɛse a ɛwɔ akwanhyia mu.
• Ɔhaw ahorow a ɛba nna mu asetra ne abusuabɔ a emu yɛ den mu.

OHS nso betumi de komayare aba, sɛ nhwɛso no:

• Mogya mmoroso (Hypertension).
• Koma a ɛyɛ adwuma yiye wɔ nifa so.
• Ahurututu mu mogya mmoroso.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ tebea horow a edidi so yi mu:

• Sɛ woyɛ kɛse mmoroso na wowɔ sɛnkyerɛnne afoforo a ɛfa OHS ho a.
• So wo hokafo no ka sɛ wobɔ wo hwene denneennen anadwo na wuhu nneɛma te sɛ wo home gyae bere ne bere mu?
• Sɛ wote nka sɛ woabrɛ dodo na woada awiabere a.

Obesity Hypoventilation Syndrome (OHS) yɛ ɔhome mu haw a emu yɛ den a efi kɛseyɛ mmoroso mu ba. Sɛ woyɛ kɛse mmoroso, ɛyɛ den sɛ wobɛhome, anaasɛ wowɔ ɔhaw biara a ɛfa nna ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wɔwɔ hɔ sɛ wɔbɛboa wo. Sɛ oduruyɛfo bi hu sɛ wowɔ OHS a, wɔbɛma wo ayaresa nhyehyɛe a ɛfata sen biara.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Okay, enti, ma mensrɛ wo sɛ kae nneɛma a ɛho hia paa no bi mfi nea yɛaka ho asɛm no mu.

• Obesity Hypoventilation Syndrome yɛ ɔhome mu haw a ebetumi ayɛ kɛse koraa na ɛde kɛseyɛ mmoroso ba.
• Nea ɛba wɔ eyi mu ne sɛ carbon dioxide kɔ soro na oxygen so tew wɔ mogya no mu.
• Nea eye sen biara ne sɛ, ayaresa wɔ hɔ ma eyi! Wo mu duru a wobɛtew ne mfiri a wɔde home te sɛ CPAP/BiPAP a wode bedi dwuma no yɛ ade titiriw.
• Sɛ wohu yare no ntɛm na wɔsa yare a, ebetumi asiw asetra mu ɔsɛe kɛse ano na ama asetra atu mpɔn kɛse.
• Sɛ wo mu duru boro so na wowɔ sɛnkyerɛnne te sɛ ahome a ɛyɛ tiaa, awia nna, ne ahurututu anadwo a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu. Biribiara nni hɔ a ɛsɛ sɛ yesuro anaa yɛn ani wu. W’akwahosan ne ade a ɛho hia sen biara.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Kɛseyɛ mmoroso Hypoventilation Syndrome, OHS, Pickwickian Syndrome, kɛseyɛ mmoroso, ahome a ɛyɛ den, nna mu ahomegye, CPAP, BiPAP