So wo mogya mmoroso kɔ soro kakra? Momma yɛnka (Prehypertension) ho asɛm!

So woakɔ oduruyɛfo nkyɛn pɛn na wɔaka biribi te sɛ, "Me mogya mmoroso akɔ soro kakra, nanso ɛnkɔ soro sɛnea ɛbɛyɛ a ɛfata sɛ wonom nnuru"? Anaasɛ saa ato w’adamfo anaa w’abusua muni bi? Nokwarem no, nnipa dodow no ara nsusuw tebea a ‘ɛkɔ soro kakra’ yi ho pii. Wɔdwene kɛkɛ sɛ, "Oh, ɛnyɛ yareɛ da so ara." Nanso ɛnnɛ yɛbɛka nea ɛyɛ ankasa, nea enti a ebetumi ayɛ asiane kakra, ne sɛnea yebetumi ahwɛ yiye na yɛanya apɔwmuden ho asɛm. Nnuruyɛfo frɛ saa tebea yi `(Prehypertension)` .

Dɛn ne `(Prehypertension)`? Momma yɛnte ase kɛkɛ!

Okay, di kan ma yɛnhwɛ nea `(Prehypertension)` yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ bere a wo mogya mmoroso kɔ soro kakra sen sɛnea ɛte daa no . Mpɛn pii no, ɛsɛ sɛ obi a ɔwɔ apɔwmuden mogya mmoroso (`Mogya Nhyɛso` anaa BP) bɛyɛ mercury milimita 120/80 (120/80 mmHg). Sɛ wohwɛ wo mogya mmoroso a, gyinapɛn mmienu na ɛwɔ hɔ a wɔfrɛ no soro boɔ (`Systolic pressure`) ne aseɛ boɔ (`Diastolic pressure`). Wɔ `(Prehypertension)` mu no, wo soro boɔ betumi ayɛ 120 ne 139 ntam , anaasɛ wo ase boɔ betumi ayɛ 80 ne 89. Sɛ saa botaeɛ mmienu yi mu biara wɔ saa ntam yi mu a, wɔbu no sɛ `(Prehypertension)`. Ɛtɔ da bi a nnuruyɛfoɔ nso frɛ no "mogya mmorosoɔ a ɛkɔ soro" sɛ wo soro boɔ yɛ 120 kɔsi 129 na wo fam boɔ no nnu 80. Afei nso, sɛ dodoɔ a ɛwɔ soro no yɛ 130 kɔsi 139 na aseɛ dodoɔ no yɛ 80 kɔsi 89 a, wɔbɛtumi nso afrɛ no "stage 1 high blood pressure". Nanso saa ``(Prehypertension)`` yi yɛ din a wɔde frɛ no nyinaa a ɛkata saa tebea abien yi nyinaa so. Sɛ wo nhyɛsoɔ yɛ 140 anaa nea ɛboro saa wɔ nɔma a ɛwɔ soro no so, ne/anaasɛ 90 anaa nea ɛboro saa wɔ nɔma a ɛwɔ aseɛ no so a, ɛno ne deɛ yɛfrɛ no mogya mmorosoɔ (`Hypertension`` anaa "mogya mmorosoɔ").

So eyi ``(Prehypertension)'' yɛ asiane? Dɛn nti na ɛsɛ sɛ yɛdwen ho?

"Oh, kakra kɛkɛ a ɛboro so, dɛn na ɛrekɔ so?" ebia wubesusuw sɛ. Nanso, nokwasɛm ne sɛ, yiw, eyi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Susuw ho hwɛ, nnipa a wɔwɔ saa `(Prehypertension)` tebea yi no taa nya nyarewa a emu yɛ den te sɛ komayare, komayare, anaa akisikuru mmɔho abien kosi abiɛsa sen nnipa a wɔn mogya mmoroso a ɛfata! Ɛnyɛ ɛno nko, nnipa pii a wɔwɔ `(Prehypertension)` no nya mogya mmoroso ankasa bere a bere kɔ so no. Nhwehwɛmu bi ada no adi sɛ nnipa dodow no ara a wɔwɔ `(Prehypertension)` nya mogya mmoroso wɔ mfe abiɛsa kosi anan mu. Ɔkwan foforo so no, eyi te sɛ kanea kɔkɔɔ. Sɛ yɛanhwɛ yiye mprempren a, ɛrenkyɛ ansa na kanea kɔkɔɔ no asɔ.

`(Prehypertension)` abu so dɛn?

Eyi yɛ tebea a abu so kɛse sen sɛnea ebia wubesusuw. Sɛ yɛbɛka no tiawa a, wobu akontaa sɛ bɛyɛ mpanyimfo baasa biara mu biako wɔ wiase nyinaa wɔ ``prehypertension``.Meretwɛn. Ebia tebea yi abu so wɔ Sri Lanka te sɛ eyi. Enti, eyi yɛ biribi a ebetumi afa obiara ho.

So `(Prehypertension)` wɔ sɛnkyerɛnne ahorow?

Eyi ne ade a asiane wom sen biara wɔ eyi ho. `(Prehypertension)` nni sɛnkyerɛnne pɔtee biara. Saa ɔhaw yi betumi ayɛ kɛse nkakrankakra wɔ wo nipadua mu a worente yaw anaa ɛyaw biara nka. Ɛwom sɛ ɛtɔ mmere bi a ebia wobɛte nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ hare de, nanso eyinom nyɛ sɛnkyerɛnne pɔtee a ɛfa `(Prehypertension)` ho.

Enti, ɔkwan baako pɛ a wobɛfa so ahu sɛ wowɔ ``Prehypertension'' anaasɛ wonni bi ne sɛ wobɛma wɔasusuw wo mogya mmoroso daa.

Dɛn ne nsɛnnennen a ebetumi aba esiane `(Prehypertension)` nti?

Ɛwom sɛ sɛnkyerɛnne biara nni hɔ de, nanso nsakrae a epira bi betumi afi ase aba nnipa a wɔwɔ ``Prehypertension`` nipadua mu. Eyinom betumi ayɛ tebea bi a wɔfrɛ no ``Atherosclerosis`` (kyerɛ sɛ, srade a ɛwɔ ntini no mu no boaboa ano, na ɛma ɛyɛ mmerɛw na ɛyɛ den) ho sɛnkyerɛnne a edi kan. Nhwɛsoɔ:

• Mogya ntini atitiriw a ɛwɔ kɔn no mu (``carotid artery`') no afasu yɛ den sen sɛnea ɛte daa.
• Koma no mu adan no bi a wɔtrɛw mu.
• Calcium a ɛboro so a ɛwɔ ahrawa mu ntini a ɛde mogya kɔ koma no mu no mu.

Eyinom nyɛ akyi sɛnkyerɛnne, nanso nsakrae a ɛba nipadua no mu yi kyerɛ sɛ wɔrebue kwan a ɛkɔ tebea horow a emu yɛ den te sɛ komayare ne akisikuru mu.

Dɛn ne nneɛma a ɛde `(Prehypertension)` ba?

Ɛwom sɛ wonhuu ade biako pɛ a ɛde mogya mmoroso ba de, nanso nneɛma pii wɔ hɔ a ɛde mogya mmoroso ba. Sɛ yɛbɛka no tiawa a, yɛn asetra kwan ne ade titiriw.

• Nkyene a yedi boro so: Nkyene a ɛwɔ aduan a yedi mu. Afei susuw ho, yɛde nkyene kakra ka aduan a yɛyɛ wɔ fie no ho a yennim, titiriw curries, sambols, pickles. Saa ara nso na nnuan a yɛtɔ firi sotɔɔ mu, titire `short-eats`, `processed foods` (i.e. canned, packaged foods) nso wɔ nkyene. Ɔhaw no fi ase bere a yɛkɔ so di saa nneɛma yi.
• Nsã a wɔnom : Nsã a wɔnom boro so nso yɛ ade titiriw a ɛde mogya mmoroso ba.
• Apɔw-mu-teɛteɛ a wonnya: Sɛ obi tra baabi a ɔnyɛ apɔw-mu-teɛteɛ biara mma nipadua no nso boa ma mogya mmoroso kɔ soro.

Wɔ nnipa a wɔwɔ mogya mmoroso bɛyɛ 95% fam no, biribiara nni hɔ a ɛde ba. Nneɛma pii na ɛma mogya mmoroso kɔ soro. Wɔ 5% a aka no mu no, aduruyɛ mu tebea afoforo betumi ama mogya mmoroso aba. Nhwɛso ahorow:

• Dae mu ahomegye a ɛyɛ den
• Asaabo mu yare
• Thyroid yareɛ

Hena na ɔwɔ asiane kɛse mu sɛ obenya ``(Prehypertension)``?

Nnipa binom taa nya ``Prehypertension`` sen afoforo. Momma yɛnhwɛ nneɛma a ɛde asiane ba yi:

• Tawa a wɔde di dwuma: Ɛnyɛ wɔn a wɔnom sigaret, bidi, ne sigaret nko na asiane yi dɔɔso, na mmom wɔn a wɔde tawa a wɔwe (te sɛ aduru a wɔde lime ayɛ) di dwuma nso.
• Body Mass Index (BMI) a ɛboro mfe 25: Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ wo mu duru boro so ma wo tenten. Ɛnyɛ den sɛ wubetumi ahwɛ eyi denam BMI akontaabu afiri a wobɛhwehwɛ wɔ Intanɛt so na woakyerɛw wo tenten ne wo mu duru so.
• Abusua abakɔsɛm: Sɛ w’awofo anaa w’anuanom wɔ mogya mmoroso a, ɛda adi sɛ wubenya ``prehypertension`` anaa mogya mmoroso. Eyi yɛ awosu mu nkɛntɛnso.

Wobɛyɛ dɛn ahu no yiye sɛ wowɔ `(Prehypertension)`? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔnhwɛ wo mogya mmoroso pɛnkoro kɛkɛ na wɔka sɛ wowɔ ``Prehypertension'' esiane sɛ ɛkɔ soro nti. Mpɛn pii no, oduruyɛfo bɛka akyerɛ wo sɛ wowɔ ``Prehypertension'' sɛ anyɛ yiye koraa no wowɔ mogya mmoroso akenkan abien wɔ nna ahorow mu, wɔ mmere ahorow mu , na saa akenkan ahorow no kɔ soro bere nyinaa sen sɛnea ɛte daa a. Wɔde afiri bi a wɔfrɛ no ``cuff'' a wɔde kyekyere wo nsa atifi na wɔma mframa na wɔma mframa fi mu na ɛsusu mogya no. Eyi yɛ sɔhwɛ a ɛnyɛ yaw. ``Prehypertension'' dodoɔ no yɛ 120 ne 139 wɔ akenkan a ɛwɔ soro no mu ne 80 ne 89 wɔ akenkan a ɛwɔ fam no mu.

So ɛho hia sɛ wɔsa `(Prehypertension)`?

Yiw koraa! Eyi nyɛ biribi a ɛyɛ yiye ara kwa anaasɛ wobetumi abu ani agu so. Sɛ yɛannyɛ anammɔn mfa nni so wɔ saa `(Prehypertension)` gyinabea yi mu a, hokwan kɛse wɔ hɔ sɛ ɛbɛkɔ soro nkakrankakra na abɛyɛ ``Hypertension``. Mogya mmoroso nyɛ biribi a ɛyɛ yiye wɔ n’ankasa mu.

Ɔkwan bɛn so na wɔsa `(Prehypertension)`?

Asɛmpa no ne sɛ nnipa pii a wɔwɔ ``prehypertension`` betumi adi wɔn tebea no so a wɔmfa nnuru nni dwuma, denam nsakrae nketenkete bi a wɔbɛyɛ wɔ wɔn asetra mu ara kwa so . Dɛn ne nsakrae ahorow yi?

• Apɔw-mu-teɛteɛ a wɔyɛ no daa: Ɛho hia sɛ anyɛ yiye koraa no, wode simma 30 teɛteɛ w’apɔw mu a emu yɛ den nna kakraa bi dapɛn biara. Biribiara fi nantew a ɛyɛ ntɛmntɛm, mmirikatu, sakre, anaa asuguare so ye.
• Kura mu duru a ɛfata mu: Bɔ mmɔden sɛ wobɛma wo mu duru a ɛfata ama wo tenten. Sɛ wo mu duru boro so a, sɛ wotew so kakra a, ebetumi ama nsakrae kɛse aba.
• Gyae tawa mu nneɛma a wode bedi dwuma: Sɛ wonom sigaret a, gyae koraa. Sɛ wode tawa ahorow foforo di dwuma a, gyae no nso.
• Aduan a wɔsakra no:
• Tew nkyene so: Tew nkyene dodow a wode ka w’aduan ho no so. Afei nso, tew nnuan a nkyene pii wom a wudi (te sɛ nnuan a wɔayɛ, nnuan a wɔde di ntɛmntɛm, ne nam ne mpataa a wɔde nkyene ayɛ) so.
• Tew ngo so: Tew nnuan a srade wom a wɔayam no so.
• Di nhabannuru, nnuaba, ne nhabannuru pii.
• Wɔsan frɛ saa aduane yi ``DASH aduane - Aduan ho akwan a wɔfa so gyae mogya mmoroso''. Wubetumi asua ho ade pii denam wo duruyɛfo anaa aduannuru ho ɔbenfo a wubebisa no so.
• To nsa ano hye: Sɛ wonom nsa a, to nsa biako a wɔahyɛ da ayɛ da biara ma mmea ne nsa abien a wɔahyɛ da ayɛ da biara ma mmarima.
• Adwennwen ano aduru: Adwennwen a ɛboro so nso betumi ama mogya mmoroso aba. Yoga, nsusuwii, ne akwan a wobɛfa so agye w’ahome a wobɛhwehwɛ no betumi aboa wɔ eyi mu.

Nanso, sɛ wowɔ prehypertension ne akwahosan ho haw afoforo te sɛ asikreyare, asaabo mu yare, anaa koma ne ntini mu yare a, wo duruyɛfo betumi afi ase anom nnuru a ekum mogya mmoroso. Nnuru ahorow pii wɔ hɔ. Nnuru bi betumi de ɔhaw ahorow aba, enti wo ne wo duruyɛfo nkasa mfa nsakrae a wobɛdan akɔ nnuru foforo so sɛ wunya saa nsunsuanso bɔne yi bi a.

Dɛn na yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya `(Prehypertension)` no so?

Eyi te sɛ ayaresa akwan a yɛadi kan aka ho asɛm no. Sɛ wudi saa suban ahorow yi akyi ansa na woanya prehypertension mpo a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya no so kɛse:

• Kwati tawa nneɛma (sigaret, tawa a wusiw nnim, `vaping` mpo) koraa.
• Anyɛ yiye koraa no, teɛteɛ w’apɔw mu yiye nna kakraa bi dapɛn biara.
• Hwehwɛ akwan a wobɛfa so adi adwennwen a ɛwɔ w’asetra mu no so.
• To nsa dodow a wonom ano hye.
• Tew nkyene dodow a wɔde gu aduan mu no so.
• Kura mu duru a ɛfata mu.

Sɛ mewɔ `(Prehypertension)` a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nhwehwɛmu kɛse bi ada no adi sɛ nnipa a wɔwɔ ``Prehypertension`` no wɔ asiane kɛse mu sɛ wobenya komayare ne akisikuru sen wɔn a mogya mmoroso sua. Nnipa a wɔwɔ ``Prehypertension`` taa nya nkɔsoɔ kɔ mogya mmoroso mu bere kɔ so. Mogya mmoroso nso ma asiane a ɛwɔ hɔ sɛ obi benya asaabo mu yare ne asikreyare a ɛto so abien no yɛ kɛse.

Nanso, mma wo ho nnpopo! Adeɛ a ɛho hia ne sɛ, sɛ wohu saa ``Prehypertension'' tebea yi ntɛm a, wobɛtumi asesa wo da biara da suban, asiw mogya mmorosoɔ a ɛbɛba no ano, na wonam saayɛ so atew asiane a ɛwɔ hɔ sɛ wobɛnya koma ne ntini mu yareɛ no so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho hia paa sɛ anyɛ yiye koraa no wobɛkɔ w’abusua oduruyɛfo nkyɛn pɛnkoro afe biara akɔyɛ aduruyɛ mu nhwehwɛmu a edi mũ (`afe afe nipadua mu nhwehwɛmu` anaa `nhwehwɛmu`).Sɛ wo duruyɛfoɔ ka sɛ wowɔ ``prehypertension'' a, ɔbɛkyerɛ wo mpɛn dodoɔ a ɛsɛ sɛ wosan ba. Eyi te saa efisɛ ɛsɛ sɛ wohwɛ daa sɛ ebia wo mogya mmoroso so tew bere a nsakrae a woyɛ wɔ w’asetra mu no so tew, anaasɛ ɛrekɔ mogya mmoroso mu anaa. Sɛ saa a, wubetumi afi ase ayɛ ho adwuma ntɛm.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

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

• "Oduruyɛfo, ɔkwan bɛn so na ɛsɛ sɛ mesesa m'aduan na ama me mogya mmoroso so atew?"
• "So ɛsɛ sɛ menom nnuru ma saa `(Prehypertension)` tebea yi?"
• "Apɔw-mu-teɛteɛ dodow ahe na ɛsɛ sɛ meyɛ da biara? Apɔw-mu-teɛteɛ bɛn na eye ma me mogya mmoroso?"
• "So metumi asua pii afa nkyene a wɔbɛtew so ho?"

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae (Take-Home Message) .

Obiara pɛ sɛ onya apɔwmuden na onya mogya mmoroso sɛnea ɛsɛ. Nanso, ɛtɔ mmere bi a yebetumi anya mogya mmoroso a yenhu mpo. Sɛ wohu sɛ wowɔ ``prehypertension'' a, mma wo ho nnyɛ wo hu. Ɛnyɛ wo nko ara; ɛyɛ tebea a abu so yiye. Nea eye sen biara ne sɛ, wubetumi adi so. Sɛ woyɛ nsakrae kakraa bi wɔ asetra mu a, wubetumi ama wo mogya mmoroso asan akɔ nea ɛfata. Sɛ wuhia mmoa a wode bɛtew wo mu duru so, agyae sigaretnom, anaasɛ wubefi ase adi aduan pa a, bisa wo duruyɛfo anaa akwahosan ho ɔbenfo.

Saa anammɔn ketewaa a wotu nnɛ yi yɛ sika kɛse a wode bɛto wo koma akwahosan daakye mu! Enti, nntwentwɛn wo nan ase, fi ase nnɛ.

Nhyɛso, Mogya Nhyɛso, Prehypertension, Mogya Nhyɛso, Koma Yare, Akwahosan, Asetra kwan