Koma mu haw wɔ nyinsɛn mu anaasɛ awo akyi? Momma yensua Peripartum Cardiomyopathy (PPCM) ho ade!

Nyinsɛn yɛ ade a ɛyɛ anigye paa. Nanso, ɛtɔ mmere bi a akwahosan ho haw a wɔnhwɛ kwan betumi asɔre. Ɛnnɛ, yɛrebɛka komayare bi a ɛntaa nsi a ebetumi aba wɔ nyinsɛn no awiei anaasɛ wɔ awo akyi asram kakraa bi ho asɛm. Wɔfrɛ saa tebea yi Peripartum Cardiomyopathy.

Dɛn ne Peripartum Cardiomyopathy (PPCM) a Wɔde Yɛ Awo?

Sɛ yɛbɛka no tiawa a, Peripartum Cardiomyopathy (PPCM) yɛ tebea a ɛntaa nsi a ɛma wo koma ntini yɛ mmerɛw. Eyi ma wo koma hwere tumi a ɛtumi de mogya kɔ wo nipadua no fã a aka no. Ɛtɔ mmere bi a eyi betumi de nkwa ato asiane mu . Saa tebea yi taa ka mmea wɔ nyinsɛn no ɔsram a etwa to mu anaasɛ kosi asram anum wɔ awo akyi. Ɛno nti na nnipa binom frɛ no ``postpartum cardiomyopathy.'' Ɛwom sɛ ebetumi aba wɔ mfe biara mu de, nanso ɛtaa ba mmea a wɔadi boro mfe 30 so.

Peripartum Cardiomyopathy ka wo koma mu dan bi, benkum so ahurututu . Saa benkum so ahurututu yi wɔ adwuma a ɛho hia a ɛne sɛ ɛbɛma mogya a oxygen wom akɔ wo nipadua nyinaa mu. Enti sɛ ɛyɛ mmerɛw a, ɛnyɛ n’adwuma yiye.

Ebia woate sɛ wo duruyɛfo de asɛmfua ‘benkum so ahurututu a ɛtwetwe nipadua no fã’ anaa ‘benkum so ahurututu mu nsu a ɛtwetwe nipadua no fã (LVEF)’ di dwuma. Wɔtaa de ‘echocardiogram’ susuw eyi. Saa LVEF yi yɛ sɛnea wo benkum so ahurututu no tumi yi mogya fi wo koma mu yiye. Wɔda no adi sɛ ɔha biara mu nkyem, enti dodow a ɔha biara mu nkyem no kɔ soro no, dodow no ara na eye. Obi a ɔwɔ apɔwmuden LVEF taa yɛ 50% kosi 70%. Nanso, wɔ obi a ɔwɔ Peripartum Cardiomyopathy mu no, ebetumi akɔ fam akodu 45% . Dodow a LVEF no ba fam no, dodow no ara na tebea no mu yɛ den.

Ɛho hia yiye sɛ wuhu yare yi ntɛm . Ɛno ansa na hokwan a ɛwɔ hɔ sɛ wobenya ayaresa a ɛfata na ne ho atɔ no ntɛmntɛm no bɛkɔ soro.

Saa tebea yi abu so dɛn?

Peripartum Cardiomyopathy nyɛ tebea a ɛtaa ba. Nanso ɛyɛ den sɛ yɛbɛka sɛnea ɛho yɛ na no ankasa. Nsonsonoe kɛse wɔ akontaabu a ɛfa eyi ho no mu ɛnyɛ United States nko, na mmom wiase nyinaa nso. Wɔ United States no, wɔbɔ amanneɛ sɛ tebea no ba nyinsɛn bɛyɛ 1,000 kosi 4,000 biara mu biako mu. Nhwehwɛmu ahorow bi kyerɛ sɛ abu so kakra wɔ United States kesee fam mmeae sen mmeae afoforo.

Dɛn ne Peripartum Cardiomyopathy ho sɛnkyerɛnne ahorow?

Ɛtɔ mmere bi a, ɛnyɛ den sɛ wobɛpa Peripartum Cardiomyopathy sɛnkyerɛnne ahorow. Saa sɛnkyerɛnne ahorow yi mu pii te sɛ nea wotaa hu bere a wonyinsɛn no. Nanso esiane sɛ tebea yi mu yɛ den nti, ɛho hia sɛ wode w’adwene si saa sɛnkyerɛnne ahorow yi so titiriw :

• Ɔhome a ɛyɛ den (dyspnea) – titiriw bere a worebɔ mmɔden sɛ wobɛda, wobɛda, anaasɛ woreyɛ apɔw-mu-teɛteɛ biara.
• Ɔbrɛ.
• Anan ne nansoaa a ɛho ahonhon (edema) .
• Koma a ɛbɔ denneennen a wɔte nka .
• Ɔfe a ɛyɛ dry .
• Ntini a ɛwɔ kɔn mu a ahonhon .
• Sɛ wote nka sɛ wo ho ayɛ wo yaw (`Lightheadedness`) .
• Mogya mmoroso a ɛba fam (hypotension) , anaasɛ mogya mmoroso a ɛba fam bere a wosɔre mpofirim no.
• Koko mu yaw .

Peripartum Cardiomyopathy taa fi ase wɔ nyinsɛn no ɔsram a etwa to anaa akyiri yi. Nanso ɛtɔ mmere bi a ebetumi afi ase ntɛm. Afei nso, nyinsɛn de nhyɛso kɛse ba koma no so na ebetumi ama koma no mu tebea horow a na wonhuu bi da no asɛe kɛse. Enti, ɛho hia sɛ wohwɛ yare no ho sɛnkyerɛnne ahorow so wɔ nyinsɛn no nyinaa mu , ɛnyɛ adapɛn kakraa a atwam no nkutoo mu.

Dɛn ne nneɛma a ɛde Peripartum Cardiomyopathy ba?

Nhwehwɛmufo nnya nhuu biribi pɔtee a ɛde Peripartum Cardiomyopathy ba. Nanso, wogye di sɛ ebia nkwaadɔm mu nsakrae a ɛba wɔ nyinsɛn mu ne tebea afoforo te sɛ preeclampsia na ɛde ba. Ebetumi aba sɛ nneɛma pii betumi abom de tebea yi aba.

Ebia Peripartum Cardiomyopathy fi awosu mu, nanso nhwehwɛmu nnya nsii abusuabɔ yi so dua. Wobu akontaa sɛ mmea a wɔwɔ peripartum cardiomyopathy no mu 15% kosi 20% wɔ awosu mu nsakrae a ebetumi ama wɔanya koma mu ntini mu yare. Sɛ wowɔ saa nkwaadɔm mu nsakrae yi biako a, nyinsɛn ne awo mu adwennwen betumi ama woanya koma ne ntini mu yare ho sɛnkyerɛnne. Ɛho hia sɛ wo ne wo koma ho ɔyaresafo no hu abusua abakɔsɛm biara a ɛfa komayare ho, titiriw koma mu ntini mu yare anaa komayare.

Dɛn ne asiane ahorow a ɛwɔ Peripartum Cardiomyopathy mu?

Asiane ahorow bi wɔ hɔ a ebetumi aka awo akyi komayare. Dodow a asiane ahorow pii wɔ mu no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubenya peripartum cardiomyopathy no yɛ kɛse. Saa asiane ahorow yi betumi aka abom de asiane kɛse aba sen ade biako biara nkutoo.

Asiane ahorow a ebetumi aba ansa na wanyinsɛn

• Mogya mmoroso (mogya mmoroso) .
• Asikyireyareɛ .
• Obolo .
• Selenium ne zinc a enni nipadua mu .
• Nnubɔne a wɔde di dwuma ho haw (SUD) .

Asiane ahorow a ɛbata nyinsɛn ho

• Nyinsɛn a edi kan .
• Nwansena anaa mma mmiɛnsa a wobenya .
• Esiane sɛ na wɔadi kan ahu sɛ ɔwɔ Peripartum Cardiomyopathy nti .
• Akwan te sɛ `IVF` (in vitro fertilization) a wɔde bedi dwuma de anya nyinsɛn.

Asiane a ɛwɔ nsɛnnennen a ɛba bere a wɔyem no mu

• Preeclampsia ne awotwaa mu yare .
• Mogya a ɛtɔ kɔ nipadua mu .
• Thyroid yare a ɛwɔ nipadua no mu .
• Akisikuru anaa yare a nipadua no tumi ko tia nyarewa a ɛma ɛyɛ kɛse .
• Sɛ wo ho yɛ wo hyew ntɛm a, nnuru a wode bedi dwuma bere tenten de akyɛ awo .

Nokwasɛm titiriw a ɛfa mmea abibifo ho (a egyina nhwehwɛmu so) .

Saa ɔfã yi gyina nhwehwɛmu a wɔyɛe wɔ Amerikafo mmea abibifo ho titiriw so. Nea ɛne eyi hyia no:

• Peripartum Cardiomyopathy a wohu no abu so kɛse wɔ wɔn mu.
• Saa tebea yi ma koma no sɛe kɛse na tumi a koma no tumi de pɔmpɔ no so tew.
• Hokwan kɛse wɔ hɔ sɛ nsɛnnennen a emu yɛ den kɛse bɛba .
• Wohu yare no wɔ wɔn mmofraase (bɛyɛ mfe 27, afoforo taa di mfe 31) .
• Ebia ɔhaw no mu yɛɛ den kɛse esiane yare no a wohui akyiri yi wɔ awo akyi nti.
• Asiane a ɛwɔ hɔ sɛ obi bewu wɔ tebea yi mu no yɛ kɛse .

Saa nsɛm yi gyina nhwehwɛmu a wɔayɛ wɔ United States so, na ma ɛntra w’adwenem sɛ asiane ahorow betumi ayɛ soronko wɔ nnipa ahorow mu. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa w’ankasa asiane ho.

Dɛn ne nsɛnnennen a ebetumi aba wɔ Peripartum Cardiomyopathy mu?

Sɛ wo benkum ahurututu no yɛ mmerɛw na ɛbrɛ a, entumi mfa mogya nkɔ yiye, titiriw kɔ akwaa a egyina so, te sɛ ahurututu ne mmerɛbo mu. Saa brɛoo yi ka nipadua no nyinaa. Ebetumi ama koma no ayɛ adwuma yiye , na ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne mogya a ɛtɔ kɔ nipadua mu no ayɛ kɛse .

Nsɛnnennen a ɛde nkwa to asiane mu betumi ayɛ:

• Koma a ɛbɔ a ɛnyɛ ne kwan so (arrhythmias) .
• Koma mu ahodwiriw a ɛma obi ho dwiriw no .
• Koma a entumi nyɛ adwuma yiye .
• Ɔhaw ahorow a mogya a ɛtɔ gu nipadua no mu de ba .
• Amemene a ɛsɛe .

Ɔkwan bɛn so na wohu Peripartum Cardiomyopathy?

Wo duruyɛfoɔ bɛhunu sɛ wowɔ Peripartum Cardiomyopathy sɛ wowɔ saa tebea mmiɛnsa yi nyinaa a :

• Ɛbɛyɛ sɛ woanya komayare wɔ wo nyinsɛn no awiei anaasɛ wɔ asram anum akyi bere a wowoo akokoaa no.
• Ɛnsɛ sɛ oduruyɛfo no ntumi nhu ade foforo biara a ɛde wo koma di dwuma yiye. (Ɛne sɛ, anka ɛsɛ sɛ wɔpow biribiara a ebetumi de wo yare no ho sɛnkyerɛnne no afi hɔ.)
• Ɛsɛ sɛ wo benkum ventricular ejection fraction (`LVEF`) no nnu 45%.

Sɛ wopɛ sɛ wohu saa yare yi a, oduruyɛfo no ne wo bɛkasa afa w’akwahosan ho abakɔsɛm ne w’abusua akwahosan ho abakɔsɛm ho.

Sɛ wo duruyɛfo rehu sɛ wowɔ wo yare no a, obetumi akyekyɛ wo tebea no mu sɛ Class I, II, III, anaa IV. Dodow a dodow no dɔɔso no, dodow no ara na tebea no mu yɛ den . Sɛ wohu komayare a ɛma obi awo no ntɛm a, ebetumi atew owu ho asiane so na ama wɔafi ayaresa ase ntɛm ara sɛnea wobetumi. Sɛ wohu tebea no bere a asɛe akyi a, asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow a emu yɛ den, te sɛ komayare a ɛkɔ so no, yɛ kɛse.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Sɔhwɛ pɔtee biara nni hɔ a wɔde hu sɛ obi anya komayare a ɛba bere a awo no. Mmom no, wo duruyɛfo de nhwehwɛmu afoforo bedi dwuma de aka nsɛm a wode bɛma no ho. Ɔbɛyɛ nipadua mu nhwehwɛmu de ahwɛ sɛ nsu a ɛboro so wɔ nipadua no mu anaa. Ɛno akyi no, sɔhwɛ ahorow te sɛ:

• Mogya mu nhwehwɛmu .
• Electrocardiogram (ECG/EKG) a wɔde kyerɛw koma .
• Koko so X-ray a wɔyɛ .
• Echocardiogram (`Koma mu nnyigyei ho mfonini - echo`) . Wei betumi ahwɛ wo `LVEF` botae no. Eyi ho hia yiye wɔ yare a wohu mu.
• Koma MRI (magnetic resonance imaging) nhwehwɛmu .
• Koma mu catheter a wɔde hyɛ nipadua mu .
• Myocardial biopsy (wɔntaa nyɛ eyi koraa) .

Saa nhwehwɛmu ahorow yi nso betumi ama woahu sɛ ebia na wowɔ komayare bi ansa na worenyinsɛn anaa. Nnipa binom anya komayare mfe pii nanso wonhu sɛnkyerɛnne ahorow kosi sɛ wobefi ase ada adi bere a wɔyem no. Nea efii wo nhwehwɛmu no mu bae no bɛboa wo duruyɛfo ma wahu yare no pɛpɛɛpɛ.

Dɛn ne ayaresa ahorow a wɔde sa Peripartum Cardiomyopathy?

Peripartum Cardiomyopathy ayaresa no atirimpɔw ne sɛ wobedi komayare ho sɛnkyerɛnne ahorow so na aboa wo koma ma ayɛ yiye. Saa tebea yi rennyɛ yiye wɔ n'ankasa so . Sɛ wohu tebea no wɔ nyinsɛn mu a, wo duruyɛfo bɛhwɛ sɛ nnuru biara a worenom no yɛ nea asiane biara nni ho mma wo ba no. Wɔbɛka ayaresa a wubetumi apaw ne ɔhaw biara a ebetumi afi mu aba ho asɛm akyerɛ wo. Wo ne animdefo kuw bi nso bɛyɛ adwuma a wobetumi atu wo fo wɔ nyinsɛn a asiane kɛse wom ne sɛnea komayare betumi aka wo nyinsɛn no ho.

Mpɛn pii no, wɔbɛma wo nnuru koro no ara a wɔde ma komayare ahorow afoforo no. Nhwɛsoɔ:

• Nnuru a esiw angiotensin-dannan enzyme (ACE) ano .
• Angiotensin II a wɔde siw ano (ARB) .
• Angiotensin agyefo/neprilysin a esiw ano (ARNIs) .
• Beta-blockers a wɔde siw ano .
• Nnuru a wɔde hyɛ nsu mu (nsu mu nnuru) .
• Hydralazine/nitrates a ɛwɔ nipadua no mu.
• Nnuru a ɛko tia mineralocorticoid (MRA) .
• Nnuru a esiw sodium-glucose cotransporter-2 (SGLT2) ano .
• Nnuru a ekum mogya a ɛtwetwe mogya (nneɛma a ɛma mogya yɛ mmerɛw) .

Ɛdenam sɛnea wo koma reyɛ adwuma yiye so no, ebia wubehia ayaresa afoforo nso. Eyinom bi ne:

• Biribi te sɛ koma mu mfiri a wotumi hyɛ anaa wɔde hyɛ nipadua mu (cardiac defibrillator) .
• Afiri a ɛboa benkum so ahurututu (LVAD) .
• Koma a wɔde si ananmu . Wɔtaa yɛ eyi ma nnipa a wɔn yare no mu ayɛ den yiye, wɔn LVEF sua koraa, na wɔnyɛ ayaresa ho biribi.

Nsɛnnennen ne nsunsuanso bɔne a efi ayaresa mu ba

Nsunsuanso bɔne a efi ayaresa mu ba no gu ahorow gyina ayaresa no ne sɛ ebia woanyinsɛn saa bere no so. Beta-blockers a wobɛnom bere a wonyinsɛn no betumi ama wo ba no mu duru a ɛba fam wɔ awo mu, asikre a ɛwɔ mogya mu a ɛba fam (asikre a ɛwɔ mogya mu no so tew), bradycardia (koma a ɛbɔ brɛoo), anaa ne koma asiw.

Nnuru bi – te sɛ ACE inhibitors, ARBs, ARNIs, MRAs ne SGLT2 inhibitors – nyɛ nea asiane biara nni ho sɛ wɔde bedi dwuma bere a wɔyem. Nanso, mpɛn pii no, asiane biara nni ho sɛ wɔbɛnom bere a wɔrema nufu no, efisɛ kakraa bi pɛ na ɛkɔ nufusu mu. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa bere, asiane ne nsunsuanso bɔne a ɛwɔ aduru biara mu ho.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

Nnipa bɛboro 50% a wɔwɔ peripartum cardiomyopathy no san nya koma no dwumadi sɛnea ɛsɛ – mpɛn pii no wɔ nea ennu asram asia ayaresa mu. Ebinom ho tɔ wɔn wɔ nna anaa adapɛn kakraa bi mu. Wɔ afoforo fam no, ebetumi agye mfe pii ansa na wɔn ho atɔ wɔn.

Nanso, bere a wo koma no dwumadi asan ayɛ sɛnea na ɛte kan mpo no, anyɛ yiye koraa no, ɛho behia sɛ wonom nnuru afe biako .

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya komayare a ɛwɔ awo akyi no so?

Ɔkwan a eye sen biara a wobɛfa so asiw peripartum cardiomyopathy ano ne sɛ wobɛyɛ nea wubetumi biara na ama wo koma anya apɔwmuden. Bere a wuntumi nkwati asiane ahorow nyinaa no, wubetumi adi afoforo so denam:

• Nnuan a ɛma koma nya ahoɔden a wobedi .
• Apɔw-mu-teɛteɛ a wɔde wɔn ho bɛhyɛ mu daa .
• Kwati a wɔkwati tawa nneɛma ne nsa .
• Wo ne wo duruyɛfo nyɛ adwuma na di tebea horow te sɛ kɛseyɛ mmoroso anaa kɛseyɛ mmoroso ho dwuma .
• Hwɛ wo mogya mmoroso daa na sɛ ɛho hia a hwehwɛ ayaresa .

Sɛ woanya komayare wɔ nyinsɛn bi a atwam mu a, sɛ woreyɛ nhyehyɛe anyinsɛn bio a, wo ne wo duruyɛfo nka nneɛma a ɛde asiane ba wo ho.

Sɛ wowɔ Peripartum Cardiomyopathy a, dɛn na wubetumi ahwɛ kwan?

Sɛ wowɔ Peripartum Cardiomyopathy a, ɛho behia sɛ wo ne wo duruyɛfo ne nnuruyɛfo kuw bi yɛ adwuma yiye hwɛ w’akwahosan so. Sɛ woda so ara nyinsɛn a, w’akwahosan kuw no nso bɛhwɛ sɛnea wo ba no te.

Wɔbɛyɛ wo delivery nso ho nhyehyɛe. Sɛ wo komayare no yɛ nea ɛyɛ den a, ɛda adi sɛ wo duruyɛfo bɛpɛ sɛ wofa wo awotwaa mu awo. Nanso, ebia ebehia sɛ wɔyɛ epidural, episiotomy, anaasɛ wɔde forceps di dwuma na ama awo no ayɛ mmerɛw.

Sɛ wowɔ Peripartum Cardiomyopathy a, ɛda adi sɛ wɔbɛyɛ wo oprehyɛn (C-section) anaasɛ wɔbɛwo wo ansa na bere aso . Ɛho hia sɛ wo ne wo duruyɛfo kasa fa akwan horow a wubetumi apaw ne asiane ahorow a ɛwɔ mu ho.

Sɛ wowo wo ba wie a, ɛho behia sɛ wokɔ so ne wo duruyɛfo yɛ adwuma de hwɛ wo hwɛ ne ayaresa so. Sɛnea wote nka ne sɛnea wo ho bɛtɔ wo ntɛmntɛm no begyina nneɛma pii so, nanso ade a ɛho hia sen biara ne wo left ventricular ejection fraction (LVEF) . Sɛ wo LVEF nnu 30% bere a wohu sɛ wowɔ yare no a, wowɔ asiane kɛse mu sɛ wubenya nsɛnnennen a emu yɛ den.

So Peripartum Cardiomyopathy yɛ tebea a ɛtra hɔ daa?

Wɔ nnipa binom fam no, peripartum cardiomyopathy yɛ tebea a ɛtra hɔ daa. Wɔ afoforo fam no, ayaresa betumi adi sɛnkyerɛnne ahorow no so na ama koma no asan ayɛ adwuma sɛnea ɛsɛ koraa anaasɛ ne fã bi.

Sɛ anyɛ yiye koraa no wo LVEF yɛ 50% kosi 55% a, wo duruyɛfo bebu wo sɛ wo ho atɔ wo koraa afi peripartum cardiomyopathy mu. Nhwehwɛmu dodow no ara hwɛ dodow yi wɔ asram asia akyi wɔ bere a wɔahu yare no akyi. Ɛsono sɛnea wɔn ho tɔ wɔn kɛse wɔ ɔmantam biara mu ne mmusuakuw biara mu. Wɔ United States no, wɔn a wɔn ho tɔ wɔn wɔ asram asia akyi no yɛ 44% kosi 63%, bere a wɔ aman bi mu no, ɛba fam te sɛ 21% kosi 36%.

Nhwehwɛmu bi daa no adi sɛ mmea abibifo 5 biara mu 4 a wɔwɔ peripartum cardiomyopathy no ho ntɔ wɔn koraa, na 10 biara mu 1 nnya nkwa. (Bio nso, hyɛ no nsow sɛ na eyi yɛ U.S. nhwehwɛmu).

Bere a wo koma no dwumadi asan ayɛ sɛnea na ɛte kan mpo no, ebehia sɛ wohwɛ w’akwahosan so yiye na wo ne wo duruyɛfo yɛ adwuma yiye. Eyi te saa efisɛ mmea 5 biara mu 1 a wɔn ho tɔ wɔn wɔ awo akyi koma mu ntini mu yare mu no awiei koraa no, koma no bɛsan ayɛ adwuma bio. Afei nso, bere a wo LVEF san kɔ tebea a ɛfata mu mpo no, wubetumi anya nkɛntɛnso a ɛtra hɔ kyɛ, te sɛ sɛnea wotumi teɛteɛ w’apɔw mu no so tew.

Dɛn ne nkwa nna a wɔhwɛ kwan wɔ Peripartum Cardiomyopathy ho?

Nkwa nna a wɔhwɛ kwan wɔ peripartum cardiomyopathy ho no gyina wo tebea no, sɛnea w’ayaresa no yɛ adwuma yiye, ne nneɛma afoforo pii a ɛfa w’akwahosan nyinaa ho so. Dodow a wo left ventricular ejection fraction (LVEF) no ba fam no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubewu no yɛ kɛse. Afei nso, adwene a ɛwɔ hɔ no nyɛ papa mma nnipa a wohia nnuruyɛ mfiri a ɛbɛboa wɔn koma ma ayɛ adwuma no.

Nhwehwɛmufoɔ bu akontaa sɛ wiase nyinaa nnipa dodoɔ a wɔwuwu no yɛ 2.5% kɔsi 32%. United States na ɛwɔ saa beae yi awiei a ɛba fam koraa, na nnipa a wowuwu no dodow yɛ 6% kosi 10%.

Mɛyɛ dɛn ahwɛ me ho?

Ade a ɛho hia sen biara a wubetumi ayɛ de ahwɛ wo ho ne sɛ wobɛkɔ wo duruyɛfo nkyɛn daa . Di wo duruyɛfo nhyehyɛe akyi, na wo ne wo duruyɛfo nka ɔhaw anaa nsakrae biara a wubehu ho asɛm.

Nsakrae a ɛnyɛ den a wubetumi ayɛ da biara da ni:

• Tew nkyene dodow a wudi so . Hwehwɛ akwan foforo a wobɛfa so ayɛ aduan dɛ a nkyene nnim.
• Kari wo ho daa hwɛ sɛ nsu a ɛwɔ mu no akɔ mu anaa . Sɛ wo mu duru yɛ nkaribo 3-4 (bɛyɛ kilogram 1.3 - 1.8) wɔ nna abien anaa abiɛsa mu a, wo ne wo duruyɛfo nkasa.
• Sigaretnom a wobegyae . Bisa wo duruyɛfo no nneɛma a ebetumi aboa ho asɛm.
• Nsã a wɔnom so tew, anaasɛ wobegyae koraa .

Sɛ worenom nufu a, wo ne wo duruyɛfo nka asiane ahorow ho asɛm, te sɛ nnuru a wode bɛfa wo nufusu mu ama wo ba no. Mpɛn pii no, mfaso a ɛwɔ nufu a wɔde ma so – te sɛ abusuabɔ a ɛda wo ne wo ba no ntam – dɔɔso sen asiane ahorow no. Ebia wobɛpɛ sɛ wo ne nyinsɛn akyi ɔfotufo bi yɛ adwuma na ɔboa wo ma wusi nea eye ma wo ne wo ba no ho gyinae.

Peripartum Cardiomyopathy ne Adwene mu Akwahosan

Peripartum Cardiomyopathy betumi ayɛ ɔyare a ɛsakra asetra. Bere a worehwɛ wo ba a wɔawo no foforo no, ebia wobɛte nkate pii nka prɛko pɛ. Ebetumi ayɛ den sɛ wubedi eyinom nyinaa ho dwuma prɛko pɛ.

Adwennwen a peripartum cardiomyopathy de ba no betumi ama asiane a ɛwɔ hɔ sɛ wubenya adwene mu haw ahorow ayɛ kɛse. Nnipa bɛboro 50% a wɔwɔ peripartum cardiomyopathy no nya dadwen anaa dadwen a ɛkɔ akyiri wɔ wɔn koma tebea ho.

Wɔ United States no, bɛyɛ mmea 10 biara mu biako nya awo akyi adwenemhaw bere a wawo akyi, na bɛyɛ mmea 3 biara mu biako nya adwenemhaw bere a wɔahu sɛ ɔwɔ Peripartum Cardiomyopathy no.

Sɛ wote awerɛhow nka, wo ho yeraw wo, anaasɛ wo ho yeraw wo a, ɛnyɛ wo nkutoo na wowɔ. Sɛ wo ne ɔfotufo anaa ɔyaresafo bi nyɛ adwuma dedaw a, bisa wo duruyɛfo ma ɔmma wo nkɔma wo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Peripartum Cardiomyopathy ho sɛnkyerɛnne bi a, frɛ wo duruyɛfo ntɛm ara.. Wobɛkɔ bere a wɔreyɛ ayaresa no daa. Sɛ wo koma san yɛ adwuma yiye (wɔ LVEF a ɛfata) a, ɛho behia sɛ wokɔ oduruyɛfo nkyɛn pɛnkoro afe biara anaa mpɛn pii kɔhwɛ wo koma. Eyi ne bere a wobetumi ahwɛ sɛ tebea no asan aba bio anaa. Sɛ ɛba saa a, nhwehwɛmu a wɔyɛ no daa no betumi akyere no ntɛm.

Bere bɛn na ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Sɛ wo koko yɛ wo yaw, wo koma retu mmirika, wo totɔ piti, anaasɛ wunya sɛnkyerɛnne foforo biara a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara, anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ER) .

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Nsɛmmisa bi a wubetumi abisa wo duruyɛfo ni:

• So metumi de nnuru asa, anaasɛ mihia aduruyɛ mfiri?
• So ɛsɛ sɛ wɔyɛ me cesarean section (C-section)?
• Mpɛn ahe na ɛsɛ sɛ meba ma wɔyɛ nhyehyɛe a wɔde di akyi?

Sɛ mewɔ Peripartum Cardiomyopathy a, so metumi anyinsɛn bio?

Mmea pii nya peripartum cardiomyopathy bɛboro pɛnkoro. Sɛ wunya bi wɔ nyinsɛn biako mu a, ɛda adi sɛ wubenya bi bio. Mmea 3 biara mu bɛyɛ 1 benya bi wɔ nyinsɛn a edi hɔ mu.

Wubetumi ne wo duruyɛfo akasa akyerɛ sɛ ebia asiane biara nni ho sɛ wubenyinsɛn bio anaa. Sɛ asiane wom dodo a, ebia wobɛpɛ sɛ wususuw awo ano aduru ho. Wobɛpɛ ɔkwan a wɔfa so siw awo ano a estrogen nni mu, efisɛ estrogen ayaresa ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne thrombosis no yɛ kɛse.

Sɛ wunyinsɛn bio a, ɛho behia sɛ wɔhwɛ wo yiye na wɔhwɛ wo daa na ama woahu komayare ho sɛnkyerɛnne biara a edi kan.

Sɛ woresiesie wo ho sɛ wobɛwo akokoaa a, wonhwɛ kwan sɛ wubenya komayare bi. Koma mu yare foforo a wobedi ho dwuma bere a worehwɛ abofra a wɔawo no foforo no betumi ayɛ den. W’akwahosan kuw no bɛboa wo wɔ anammɔn biara a wobɛtu, ayɛ nea wobetumi biara de ahyɛ wo koma den. Sɛ woanyinsɛn na wowɔ asiane ahorow a ɛbɛma woanya peripartum cardiomyopathy a, wo ne wo duruyɛfo nkasa. Ɛho hia sɛ wobɛma wɔahu yare no ntɛm na ama asiane a ɛwɔ hɔ sɛ wo ne wo ba no behyia ɔhaw a emu yɛ den no so atew, na woanya ayaresa a wuhia .

Nneɛma bɛn na ɛho hia paa a yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu?

Peripartum Cardiomyopathy yɛ tebea a ɛma koma no yɛ mmerɛw a ebetumi aba wɔ nyinsɛn no awiei anaasɛ wɔ awo akyi asram kakraa bi. Nsɛnkyerɛnne no te sɛ nyinsɛn a ɛfata, enti hwɛ nneɛma te sɛ ahome a ɛyɛ tiaa, ɔbrɛ a ɛyɛ soronko, ne nan a ɛho ahonhon titiriw . Sɛ wohu no ntɛm na wɔsa no a, ebetumi ama hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no ayɛ kɛse. Sɛ wowɔ biribi a ɛhaw wo a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.Ɛho hia paa nso sɛ wobɛhwɛ w’adwene mu akwahosan so. Kae sɛ ɛnyɛ wo nko ara, na nnipa pii wɔ hɔ a wobetumi aboa.

` Peripartum Cardiomyopathy, Nyinsɛn Koma Yare, Koma a Ɛnyɛ Yiye, LVEF, Nyinsɛn mu Nsɛnnennen, Koma Yare Nsɛnkyerɛnne, Awo Akyi Akwahosan