So ɛtɔ mmere bi a wo koma ma ɛbɔ bio? Momma yensua (Premature Junctional Contraction) ho ade!

Oh me, so woate nka pɛn sɛ wo koma ahuruw mpofirim wɔ ɔbɔ bi so, anaasɛ mpofirim ara afi ase bɔɔ bio? Anaasɛ wotee nka sɛ wo koko rebɔ? Ɛtɔ mmere bi a yesusuw sɛ eyinom yɛ nneɛma a wɔanhyɛ da kɛkɛ, nanso ɛtɔ mmere bi a ebia aduruyɛ mu ntease ketewaa bi na ɛwɔ eyi akyi. Ɛnnɛ yɛrebɛka koma no bɔ a ɛboro so saa, a wɔfrɛ no `(Premature Junctional Contraction)` anaa PJC ho asɛm.

Dɛn ne eyi (Premature Junctional Contraction)? Momma yɛnte ase kɛkɛ?

Sɛ yɛbɛka no tiawa a, `(Premature Junctional Contraction)` yɛ koma a ɛbɔ foforo a ɛba ansa na bere a wɔahyɛ no adu . Eyi fi ase wɔ beae titiriw bi wɔ koma no mu, a yɛfrɛ no `(Atrioventricular junction)` anaa AV junction. Fa no sɛ, yɛn koma wɔ adan abien wɔ soro, na yɛfrɛ no atria. Pia abien foforo wɔ ase hɔ, na yɛfrɛ no ventricles. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa atria ne ventricles no ntam no, saa AV nhyiam yi wɔ koma no mfinimfini. Ɛhɔ na saa beat a ɛboro so, a ɛyɛ ntɛm yi fi ase.

PJC yɛ `(Arrhythmia)` ankasa, a ɛkyerɛ sɛ koma no nnyigyei a ɛnkɔ so pɛpɛɛpɛ . Mpɛn pii no, yɛn koma bɔ wɔ nnyigyei pɔtee bi mu. Nea enti a ɛte saa ne anyinam ahoɔden nsɛnkyerɛnne nhyehyɛe ketewaa bi a ɛwɔ koma no ankasa mu. Saa anyinam ahoɔden nsɛnkyerɛnne yi ka kyerɛ koma no sɛ "bɔ mprempren, bɔ mprempren". Nanso, sɛ biribi siw anyinam ahoɔden nsɛnkyerɛnne yi kwan a, ɛnde koma no bɔ bɛyɛ nea ɛnkɔ so daa. Ɛno ne nea yɛfrɛ no `(Arrhythmia)`. Afei koma no bɔ betumi ayɛ sɛ eyi:

• Ebetumi ayɛ nea ɛnkɔ so daa: kyerɛ sɛ, wohuruw ɔbɔ bi, ɔbɔ foforo bi ba, anaasɛ ɔbɔ no nyɛ pɛ.
• Ebetumi ayɛ brɛoo yiye: yɛfrɛ no ``Bradycardia''.
• Etumi bɔ ntɛmntɛm yiye: wɔfrɛ eyi `(Tachycardia)`.

PJC ka category a ɛde saa extra kick no ba no ho.

Hena na ɛda adi kɛse sɛ obenya Premature Junctional Contractions?

Mpɛn pii no, PJC ba nnipa a wɔwɔ komayare (komayare) anaa komayare foforo dedaw so. Nanso ɛtɔ mmere bi a PJC betumi aba nnipa a wɔwɔ koma a ɛte apɔw a wonni yare biara nso so . Enti, ɛyɛ den sɛ yɛbɛka no pen sɛ eyi ba nnipa binom nkutoo mu.

Eyinom abu so dɛn (Premature Junctional Contractions)?

PJC yɛ tebea a ɛntaa nsi ankasa sen koma a ɛbɔ foforo ahorow bi. Sɛ nhwɛso no, `(Premature Atrial Contractions - PACs)` anaa `(Premature Ventricular Contractions - PVCs)` abu so kakra sen PJC. Wɔ koma a ɛyɛ den mu no, `(Atrial fibrillation - Afib)` ne tebea a ɛtaa ba.

Ɔkwan bɛn so na eyi (Premature Junctional Contraction) ka me?

Fa no sɛ, ɛntaa mma koraa sɛ wubenya saa PJC ahorow yi mu biako anaa abien pɛ. Afei ebia ɛrenyɛ ɔhaw kɛse . Ebia worenhu mpo.

Nanso, saa PJC yiSɛ ɛtaa ba, ɛkɔ so a, ɛnde ɛsɛ sɛ wohaw wo ho kakra. Efisɛ, sɛ PJC taa si a, ebetumi adan tebea bi a wɔfrɛ no `(Junctional tachycardia)`. Ɛne sɛ, tebea a koma no bɔ ntɛmntɛm , fi ase fi AV nhyiam a yɛadi kan aka ho asɛm no so. `(Junctional tachycardia)` ebia ɛtɔ mmere bi a ebehia ayaresa . Sɛ nhwɛso no, wobetumi de nnuru ama de ahwɛ sɛnea koma no bɔ no so na ama asan ayɛ nea ɛfata.

Dɛn ne nneɛma a ɛde Premature Junctional Contractions ba?

Nneɛma pii wɔ hɔ a ebetumi ama wɔanya PJC. Momma yɛnhwɛ emu atitiriw no:

• Digitalis awuduru: Digitalis (e.g. Digoxin, Digitoxin) yɛ aduru a wɔde sa komayare ahorow bi te sɛ koma a entumi nyɛ adwuma yiye ne koma a ɛnyɛ den. Sɛ wonom saa aduru yi pii, anaasɛ wo nipadua no ntumi nni ho dwuma yiye a, wubetumi anya tebea bi a wɔfrɛ no digitalis toxicity. Eyi yɛ ade titiriw a ɛde PJC ba.
• Caffeine a wɔde di dwuma: Caffeine a wɔnom boro so, a ɛwɔ kɔfe, tii, ne ahoɔdennuru bi mu.
• Coronary artery disease: Ntini a ɛma mogya kɔ koma no mu no siw.
• Nsã a wɔnom: Te sɛ biribiara no, nsa a wɔnom boro so no nyɛ papa.
• Electrolyte a ɛnkari pɛ: Ɛyɛ nipadua no mu electrolytes te sɛ sodium ne potassium a ɛnkari pɛ.
• Hypoxemia: Oxygen dodow a ɛwɔ mogya mu no so tew.
• Koma a entumi nyɛ adwuma yiye: Koma no a entumi mfa mogya nkɔ yiye.
• Sigaretnom anaa tawa ho nneɛma a wɔde di dwuma.

PJC betumi aba esiane saa nneɛma yi mu biako anaa nea ɛboro saa nti.

Dɛn ne (Premature Junctional Contraction) ho sɛnkyerɛnne?

Sɛ ɛntaa mma sɛ wubenya PJC a, ebia worenhu sɛnkyerɛnne biara . Nanso, sɛ wotaa nya PJC a, ebia wubehyia nea edidi so yi:

• Ɔbrɛ: Ɔbrɛ ne nkwa a onni ho a wobɛte nka ara kwa.
• Ti a ɛyɛ hare: Ɛte nka sɛ obi adwene tu fra anaasɛ obi totɔ piti.
• Koma a ɛbɔ: Koma a ɛbɔ ntɛmntɛm, ɛbɔ, anaa ɛbɔ denneennen wɔ koko mu.

Kae sɛ, saa sɛnkyerɛnne ahorow yi mma obiara. Ebia nnipa binom nni emu biara.

Ɔkwan bɛn so na wobehu (Premature Junctional Contractions)?

Sɛ woka wo yare no ho sɛnkyerɛnne kyerɛ oduruyɛfo bi a, obedi kan abisa wo ho asɛm na afei wayɛ nipadua mu nhwehwɛmu. Ebia wobebisa nso fa:

• W’akwahosan ho abakɔsɛm: Nneɛma te sɛ nyarewa a woadi kan anya, sɛ ebia obi wɔ w’abusua mu a ɔwɔ komayare.
• Nnuru bɛn na wonom?Nnuru a wɔde sa nyarewa afoforo, vitamin mpo.
• W’asetra kwan: Nneɛma te sɛ sɛ ebia wonom sigaret, wonom nsa, ne kɔfe dodow a wonom.

Sɔhwɛ ahorow bɛn na wɔde hu Premature Junctional Contractions?

Sɛ wo duruyɛfo susuw sɛ wo ho ayɛ wo hyew a, mpɛn pii no wɔbɛkra sɛ wɔnyɛ wo electrocardiogram (EKG) . Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛnyɛ yaw. Wɔde sticker nketewa (electrodes) gu wo moma so na wɔkyerɛw anyinam ahoɔden dwumadi a ɛwɔ wo koma a ɛyɛ wo koma bɔ no mu.

Sɛ wohwɛ nea efi EKG mu ba a, ebia wubehu sɛ PJC yɛ ɔbɔ ketewaa bi a ɛka ho wɔ wo koma a ɛbɔ daa no ntam. Nanso, ɛtɔ da bi a, saa PJC yi betumi "asie" wɔ koma bɔ a ɛfata no mu. Sɛ EKG no mu nna hɔ a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo bi. Nhwɛsoɔ:

• Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Etumi hwɛ sɛnea koma no te ne sɛnea ɛyɛ adwuma.
• Adwennwen sɔhwɛ: Eyi sɔ sɛnea wo koma yɛ adwuma bere a woteɛteɛ w’apɔw mu (te sɛ mmirikatu a wode tu mmirika wɔ afiri a wɔde tu mmirika so) hwɛ.
• Tilt table test: Wɔhwɛ wo koma bɔ ne wo mogya mmoroso bere a woda mpa titiriw bi so na wɔadan mpa no wɔ afã horow no. Eyi ho hia ma nnipa a wɔretotɔ piti.

Ɔkwan bɛn so na nnuruyɛfo sa Premature Junctional Contractions?

Sɛ nnuruyɛfo resa PJC a, wodi kan hwehwɛ nea ɛde ba no . Saa ade a ɛde ba no a wɔbɛsa no betumi aboa ma koma no asan ayɛ adwuma sɛnea ɛsɛ. Ebia wo ayaresa nhyehyɛe no bi ne:

• Sɛ mprempren worenom digitalis a, susuw ho sɛ wobɛtew dodow a wode ma no so anaasɛ wobɛma akɔ soro .
• Nnuru afoforo a wɔde ma de sa tebea no ``(Digitalis toxicity)``.
• Tebea horow te sɛ komayare anaa koma mu ntini mu yare a wɔde nnuru bɛsa .
• Asetra mu nsakrae: Nneɛma te sɛ sigaretnom a wogyae, nsa anaa caffeine a wɔnom so tew.

Ade a ɛho hia sen biara ne sɛ wubedi aduruyɛ mu afotu akyi.

So wobetumi asiw Premature Junctional Contractions ano?

Ebia ɛnyɛ bere nyinaa na wobetumi asiw PJC ano koraa . Nanso, asetra pa a wubedi akyi na woakɔ wo duruyɛfo nkyɛn daa no betumi aboa ma wo koma atra apɔw. Ebia wo duruyɛfo bɛkamfo nea edidi so yi akyerɛ wo:

• To nsa no ano hye anaasɛ gyae: Ɛnsɛ sɛ mmarima nom nsa boro mprenu da biara. Ɛnsɛ sɛ mmea nom nsa boro biako da biara.
• Caffeine dodow a wunya fi nneɛma te sɛ kɔfe ne ahoɔdennuru mu a wobɛtew so .
• Ɛnyɛ sigaretnom anaa tawa ho nneɛma a wɔmfa nni dwuma.Sɛ woayɛ dedaw a, akyinnye biara nni ho sɛ gyae.
• Aduan a ahoɔden wom a nnuaba, nhabannuru, atoko, ne aburow a wɔayam pii wom a wubedi .
• Apɔw-mu-teɛteɛ a wɔyɛ no daa te sɛ nantew.
• Adwennwen a wobedi ho dwuma .
• Nnuru a wɔnom sɛnea wɔakyerɛw ama wɔn de di akwahosan tebea afoforo ho dwuma.

Bere tenten ahe na Premature Junctional Contractions di?

Sɛ wɔsa nea ɛde ba no yiye a, PJC betumi atu mpɔn anaasɛ ayera koraa , a egyina wo tebea ne sɛnea woyɛ w’ade wɔ ayaresa ho so.

So nneɛma bi wɔ hɔ a ɛtra hɔ kyɛ a efi Premature Junctional Contractions mu ba?

Ɛntaa mma sɛ PJC nsɛe koma . Nanso, sɛ komayare foforo na ɛde PJC ba a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn na ama wo koma no ayɛ yiye. Saa a wɔbɛyɛ no betumi aboa ma wɔasiw komayare a ɛtra hɔ kyɛ no ano anaasɛ wɔatew so.

Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu sɛ woanya (Premature Junctional Contractions) a?

Sɛ wo yare no ho sɛnkyerɛnne sesa anaasɛ ɛyɛ kɛse a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn . Afei nso, sɛ wohu ``Koma a entumi nyɛ adwuma yiye'' ho sɛnkyerɛnne biara a, ka kyerɛ wo duruyɛfo ntɛm ara. Saa nsɛnkyerɛnne yi bi ne:

• Sɛ obi nya ɔfe a ɛyɛ nwunu na ɛyɛ hacking .
• Nnipa a wɔtotɔ piti .
• Ɔbrɛ anaa mmerɛwyɛ a wobɛte nka bere a woreteɛteɛ w’apɔw mu anaa wode wo ho hyɛ dwumadi biara mu no.
• Ɔhome a ɛyɛ tiaa (dyspnea) .
• Asen, nan anaa yafunu mu a ɛho ahonhon .

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Wiɛ, yɛaka `(Premature Junctional Contraction)` ho asɛm pii mprempren.

Mpɛn pii no , Junctional Contractions a Ɛba Ntɛmntɛm nyɛ tebea a emu yɛ den . Ɛtɔ da bi a, nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ wo.

Nanso, sɛ nea ɛde PJC ba no yɛ komayare foforo a, wo duruyɛfo bɛkamfo ayaresa a ɛfata na etu mpɔn akyerɛ wo. Nnipa dodow no ara a wɔwɔ PJC no bɔ asetra a ahoɔden wom na wɔyɛ nnam . Enti, mma wo ho nnyɛ wo hu a ɛho nhia. Nanso sɛ wowɔ sɛnkyerɛnne ahorow a, mma wo werɛ mmfi sɛ wobɛhwehwɛ aduruyɛ mu afotu. Akwahosan pa ma wo!

` Ntɛmntɛm Junctional Contraction, Koma a Ɛbɔ, Koma a Ɛbɔ, Arrhythmia, AV junction, Koma Yare, EKG