So wote ɛyaw wɔ wo nan mu, titiriw wɔ nantwi ba no fã, bere a wonam no? So wote nka sɛ wo nan rehwere ne tumi bere a woanantew kwan tiaa bi akyi, na ɛte sɛ nea ɛso tew bere a woagye w’ahome no? Ebia mogya ntini bi a ɛwɔ wo nan mu reyɛ asiw nkakrankakra. Yɛfrɛ saa tebea yi Peripheral Artery Disease (PAD). Ɛnnɛ yɛreka oprehyɛn titiriw bi a wɔyɛ bere a tebea yi mu yɛ den na wontumi mfa ayaresa afoforo nni so ho asɛm.
Dɛn ne Peripheral Artery Bypass a Wɔde Yɛ Adwuma?
Sɛ yɛbɛka no tiawa a, ɛte sɛ nea woresi ɔkwan foforo a wɔfa so twa kwan so na wɔakwati kar pii wɔ ɔkwan bi so. Cholesterol ne srade afoforo boaboa ano wɔ ntini a ɛde mogya kɔ yɛn nipadua mu, titiriw kɔ yɛn nan mu, na ɛyɛ "plaque." Bere kɔ so no, saa akisikuru yi boaboa ano na esiw mogya ntini no ano. Eyi ma ntini a ɛwɔ yɛn nan mu no nnya mframa pa ne aduannuru a ehia.
Enti, wɔ Peripheral Artery Bypass oprehyɛn mu no, oduruyɛfo a ɔyɛ oprehyɛn no yɛ ɔkwan foforo a ɔbɛfa so atwa mogya ntini a asiw no ho. Nea ɛka eyi ho ne sɛ wode mogya ntini a ɛte apɔw a efi w’ankasa wo nipadua mu (mpɛn pii no, ntini a efi wo nan mu) anaa ntini a wɔde hyɛ wo nan mu bedi dwuma. Eyi ka beae a asiw no atifi ne ase bom, na ɛma wonya ɔkwan foforo a mogya fa so sen.
Hena na ohia oprehyɛn yi ankasa?
Saa oprehyɛn yi nyɛ obiara a ɔwɔ PAD. Wo duruyɛfo bedi kan asɔ nnuru, asetra mu nsakrae (te sɛ sigaretnom a wogyae, apɔw-mu-teɛteɛ, ne aduan a wodi), ne ebia ayaresa afoforo a ɛfa ntwitwiridii nketenkete ho (te sɛ angioplasty anaa stent) ahwɛ.
Wɔtaa kamfo oprehyɛn yi kyerɛ wɔn a akwan yi mu biara ankɔ yiye na wɔasiw wɔn mogya ntini no fã kɛse no ara.
Nneɛma atitiriw pii nti na ɛsɛ sɛ wosusuw oprehyɛn yi ho.
| Nsɛnkyerɛnne a ɛkyerɛ | Dɛn na eyi kyerɛ? |
|---|---|
| Nan mu yaw bere a wonam anaa anadwo | Saa ɛyaw yi ba bere a mframa pa nni ntini no mu esiane mogya a ɛkɔ fam nti. Sɛ ɛyaw no mu yɛ den araa ma wuntumi nna anadwo a, ɛyɛ tebea a emu yɛ den. |
| Akuru a ɛnyɛ nea ɛsa wɔ nan so | Esiane mogya a ɛnkɔ yiye nti, akuru nnya aduannuru a ehia na ama wɔasa no. Sɛ wobɔ no ketewaa mpo a, ebetumi adan kuru kɛse. |
| Ntini mu owu (Gangrene) . | Eyi ne ɔfã a emu yɛ den sen biara. Sɛ ɛkame ayɛ sɛ mogya a ɛkɔ nan no mu no twa koraa a, nansoaa anaa nan no afã horow dan tuntum na efi ase wu. Sɛ wɔannyɛ oprehyɛn saa bere yi a, ebia ɛho behia mpo sɛ wotwa nan no. |
Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn?
Sɛ oduruyɛfo no si gyinae sɛ ɔbɛyɛ wo oprehyɛn yi a, ɔbɛyɛ nhwehwɛmu pii de ahwɛ w’akwahosan nyinaa.
- Electrocardiogram (EKG): Hwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
- Ultrasound Scan: Hwɛ baabi pɔtee a mogya ntini no asiw ne sɛnea emu yɛ den no.
- Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ asikre a ɛwɔ mogya mu, srade a ɛwɔ mogya mu, ne asaabo dwumadi mu.
- Adwennwen ho sɔhwɛ: Ɛtɔ mmere bi a wɔyɛ sɔhwɛ yi de hwɛ sɛnea koma no yɛ adwuma bere a wɔreyɛ apɔw-mu-teɛteɛ.
Nea ɛho hia paa ne sɛ, sɛ woyɛ obi a ɔnom sigaret a, ɛsɛ sɛ wugyae sigaretnom koraa adapɛn kakraa bi ansa na wɔayɛ wo oprehyɛn. Sigaretnom ma wo mogya ntini mu yɛ den na ɛma asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen wɔ oprehyɛn akyi no yɛ kɛse. Ɛho behia nso sɛ wokwati adidi anaa anonne wɔ anadwo fã akyi anadwo a edi wo oprehyɛn no anim no na wugyae nnuru biara a wo duruyɛfo aka akyerɛ wo sɛ gyae nom.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Wɔbɛma wo aduru a wɔde kum nipadua no nyinaa (a ɛma wo ho yeraw wo koraa) sɛnea ɛbɛyɛ a worente ɛyaw biara nka bere a wɔreyɛ oprehyɛn no. Afei, oduruyɛfo a ɔyɛ oprehyɛn no bɛyɛ ntwitwiridii a ne tenten yɛ nsateakwaa 4-8 wɔ mogya ntini a asiw no atifi ne ase. Sɛ wɔde ntini a ɛte apɔw redi dwuma wɔ wo nan mu de ayɛ bypass no a, wɔbɛtwa no soronko ama ɛno nso.
Afei wɔde ahwɛyiye pam ntini a wɔde ahyɛ mu no kɔ mogya ntini a ɛte apɔw a ɛwɔ nea asiw no atifi ne ase no so. Sɛ wɔyɛ mogya foforo no wie a, wɔde nhama anaa nhama toto baabi a wɔatwa no mu. Oprehyɛn no nyinaa betumi agye nnɔnhwerew abien kosi asia, a egyina sɛnea oprehyɛn no yɛ den so.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ bɛyɛ nnafua 2-5. Saa bere yi mu no, nnuruyɛfo ne ayarehwɛfo no bɛhwɛ sɛnea wo koma bɔ, wo mogya mmoroso, ne wo atiridii daa. Nea ɛho hia sen biara no, wɔbɛhwɛ daa ahwɛ sɛ mogya no rekɔ nan a wɔayɛ no oprehyɛn no mu yiye anaa. Wɔbɛma wo nnuru a wɔde sa ɛyaw.
Sɛ wokɔ fie wie a, oduruyɛfo no bɛkyerɛw nnuru pii ama wo ama woakɔ so anom.
- Nnuru a ɛte sɛ statin (ɛtew mogya mu srade so).
- Nnuru te sɛ Aspirin anaa Clopidogrel (a wɔde siw mogya a ɛbɛtɔ wɔ nipadua foforo a wɔde ma mu no ano).
Ɛyɛ ade a ɛfata sɛ wubenya aduan ho akɔnnɔ a ɛyera, ɛyaw anaasɛ ɛyɛ mmerɛw wɔ mmeae a wɔatwitwa no, wo nan ho ahonhon bi, na ntini mu yaw bere a wonam wɔ adapɛn kakraa a edi kan no mu bere a woasan aba fie no. Eyinom so bɛtew nkakrankakra bere a bere kɔ so no. Ebia ebegye bɛyɛ adapɛn 6-8 ansa na ayɛ yiye koraa.
Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?
Te sɛ oprehyɛn kɛse biara no, eyi wɔ mfaso horow ne asiane ahorow bi nso.
| Mfaso a ɛwɔ so | Asiane/Nsɛnnennen a Ɛba |
|---|---|
| Nan mu yaw a emu yɛ den a ayaresa afoforo nnyaa ano brɛɛ ase. | Mogya a ɛtwetwe. |
| Akuru a ennyae fi ase sa. | Nyarewa a ɛwɔ ntwitwiridii mu. |
| Yi asiane a ɛwɔ hɔ sɛ wobɛhwere wo nan esiane gangrene nti no fi hɔ. | Mogya a ɛtɔ dodo. |
| Nea efi mu ba a ɛtra hɔ kyɛ (60%-85% a wɔde si nipadua foforo mu no da so ara yɛ adwuma yiye wɔ mfe 5 akyi mpo). | Ntini a ɛsɛe wɔ baabi a wɔreyɛ oprehyɛn no. |
| Asetra pa ne nantew tumi a ɛkɔ anim. | Asiane ketewaa bi a ɛwɔ komayare mu (bɛyɛ oprehyɛn ahorow 3%). |
Nnipa dodow no ara nnya nsɛnnennen a anibere wom. Nanso, nnipa a wɔadi boro mfe 70 ne wɔn a wɔwɔ ayaresa mu tebea afoforo te sɛ asikreyare anaa asaabo mu yare no wɔ asiane mu kakra sɛ wobenya ɔhaw ahorow. Ɛtɔ mmere bi a, graft a wɔayɛ foforo mpo betumi asiw kwan wɔ mfe pii akyi. Sɛ ɛba saa a, ebia ɛho behia sɛ wɔsan yɛ ayaresa.
Sɛ wokɔ fie wie a, sɛ wo ho yɛ wo hyew, wote awɔw nka, nsu a ɛte sɛ akisikuru fi baabi a wɔyɛɛ wo oprehyɛn no fi mu ba, anaasɛ sɛ wo nan kɔla, ne nsusuwii, anaa ne nkate sesa mpofirim a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a wontwentwɛn wo nan ase.
Nkrasɛm a Wɔde Kɔ Fie
- Peripheral Artery Bypass oprehyɛn yɛ oprehyɛn kɛse a wɔyɛ wɔ nnipa a mogya ntini a asiw wɔn nan mu kɛse a wɔanyɛ ho hwee wɔ ayaresa afoforo ho.
- Sɛ wonom sigaret a, ɛho hia sɛ wugyae koraa ansa na woayɛ wo oprehyɛn ne bere a woayɛ oprehyɛn akyi na ama woanya nea edi mu.
- Nom nnuru a wo duruyɛfo akyerɛw ama wo no bere ano. Mma wo werɛ mmfi sɛ wobɛnom wo mogya a ɛma mogya tu no, titiriw.
- Mma ayaresabea biara a wobɛkɔ bere a woayɛ oprehyɛn awie no nmpa wo ti so. Ɛsɛ sɛ wo duruyɛfo no hwɛ mogya a ɛkɔ wo nan mu daa.
- Sɛ wuhu sɛ atiridiinini, nsu a efi baabi a wɔatwa no mu ba, anaasɛ nsakrae mpofirim wɔ wo nan mu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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