So wote nka nso sɛ wo home yɛ wo yaw anaasɛ wo ho yɛ wo yaw bere a worebɔ mmɔden, woforo antweri, anaa woyɛ nnwuma a ɛnyɛ den no? Ɛtɔ mmere bi a, nea ɛde eyi ba no betumi ayɛ mogya a atu dedaw a atra w’ahurututu mu akyɛ. Mpɛn pii no, sɛ wobɔ mmɔden sɛ wode nnuru bedi tebea yi so mpo a, sɛ ɛno anyɛ yiye a, nnuruyɛfo de wo kɔ oprehyɛn titiriw bi a ebetumi agye wo nkwa. Ɛnnɛ yɛreka saa oprehyɛn a ɛyɛ den, nanso ɛho hia yiye, PTE no ho asɛm.
Dɛn ne PTE oprehyɛn yi?
Sɛ yɛbɛka no tiawa a, PTE yɛ Pulmonary Thromboendarterectomy a wɔatwa no tiaa . Eyi yɛ oprehyɛn a woyi mogya a ayɛ dedaw ne akuru ntini a akɔhyɛ mogya ntini atitiriw (ahurututu mu ntini) a ɛwɔ w’ahurututu mu no fi hɔ. Eyi yɛ adeyɛ a ɛyɛ den kakra a egye nimdeɛ titiriw. Nanso ebetumi asa ayarefo binom yare koraa.
Tebea horow bɛn na wɔde PTE oprehyɛn sa?
Wɔyɛ oprehyɛn yi titiriw de sa tebea bi a wɔfrɛ no CTEPH (Chronic Thromboembolic Pulmonary Hypertension) . Ebia wubesusuw sɛ, ‘Ɛno yɛ din tenten ankasa,’ ɛnte saa? Momma yɛmma ɛnyɛ mmerɛw.
Fa no sɛ, obi mogya atɔ n’ahurututu mu. Yɛfrɛ no ``Pulmonary Embolism (PE)``. Mpɛn pii no, saa mogya a ɛtwetwe yi tutu bere a wɔma wɔn nnuru a ɛma mogya tu no. Nanso ɛntaa mma koraa sɛ wɔ nnipa binom mu no, mogya a ɛtɔ gu nipadua no mu yi ntumi ntutu koraa, na mmom ɛbata mogya ntini a ɛwɔ ahurututu no mu no afasu ho, na bere kɔ so no, ɛdan akuru ntini.
Sɛ mogya a atutu dedaw ne akuru ntini siw mogya ntini a ɛwɔ ahurututu no mu a, mogya mmoroso a ɛwɔ saa ntini no mu no kɔ soro dodo. Ɛno ne nea yɛfrɛ no CTEPH.
Eyi ma koma no fã nifa no yɛ adwumaden kɛse na ama mogya akɔ ahurututu no mu. Bere kɔ so no, eyi betumi de tebea horow a emu yɛ den te sɛ koma a entumi nyɛ adwuma yiye ne ahurututu a ɛsɛe aba. Ayaresa biako pɛ a ebetumi asa CTEPH ne PTE oprehyɛn.
Henanom na wohia oprehyɛn yi? So obiara betumi anya bi?
Sɛ wowɔ CTEPH a, nneɛma pii na ɛbɛkyerɛ sɛ ebia wubetumi ayɛ wo PTE oprehyɛn anaa.
| Nsusuwii a ɛsɛ sɛ wosusuw ho | Nkyerɛmu |
|---|---|
| Sɛnea yare no ho sɛnkyerɛnne ahorow no mu yɛ den | Hwɛ sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den, te sɛ ahome a ɛyɛ tiaa ne ahurututu a ɛyɛ hu. |
| Beae a mogya a ɛtɔ | Nokwasɛm a ɛyɛ sɛ mogya a ɛtwetwe ne akuru ntini wɔ mmeae a wobetumi ayɛ oprehyɛn ayi afi hɔ dwoodwoo no. |
| W’akwahosan nyinaa | Mfe a woadi, wo koma ne w’ahurututu mu dwumadi, ne sɛ ebia wowɔ ayaresa mu tebea afoforo nso ho hia. |
Ɛnyɛ CTEPH ayarefo nyinaa na wɔfata sɛ wɔyɛ oprehyɛn yi. Ayarefoɔ bɛyɛ 40% mfata sɛ wɔyɛ saa oprehyɛn yi. Nea enti a ɛte saa ne sɛ ɛyɛ oprehyɛn a ɛyɛ den yiye.
Dɛn nti na oprehyɛn no yɛ den saa?
Fa no sɛ bere a wɔreyɛ wo oprehyɛn no, wɔde wo koma ne w’ahurututu gu afiri a wɔde twa koma ne ahurututu mu de boa adwuma no bi. Afei, sɛnea ɛbɛyɛ a oduruyɛfo a ɔyɛ oprehyɛn no betumi ahu w’ahurututu mu no, wɔma wo nipadua mu hyew so tew kodu digrii Celsius 18 (65°F), na wogyae wo mogya no kwan kakra. Wɔfrɛ eyi `deep hypothermic circulatory arrest.` Mma ɛnhaw wo, saa kwan yi ma oduruyɛfo no tumi yi mogya a ɛtɔ ne akuru ntini no fi hɔ yiye bere a ɔbɔ w’amemene ho ban fi ɔsɛe biara ho.
Ɔkwan bɛn so na wosiesie wɔn ho ma oprehyɛn?
Wo duruyɛfo bɛma wo akwankyerɛ a wuhia nyinaa ansa na wɔayɛ wo oprehyɛn no. Mpɛn pii no wɔbɛka akyerɛ wo sɛ fa w’adwene si nneɛma yi so:
- Nnuru: Wɔbɛka akyerɛ wo sɛ gyae nnuru a ɛma mogya tu (te sɛ aspirin ne warfarin) ne nnuru bi a ɛma ɛyaw ano brɛ ase (NSAID) nna kakraa bi ansa na wɔayɛ oprehyɛn no, efisɛ eyinom betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtu bere a wɔreyɛ oprehyɛn no ayɛ kɛse.
- Aduan ne anonne: Wɔbɛka akyerɛ wo sɛ mmuada (ɛnyɛ aduan anaa nnom) nnɔnhwerew kakraa bi ansa na wɔayɛ wo oprehyɛn. Ɛyɛ nea asiane biara nni ho sɛ wobɛma wo yafunu da mpan bere a wɔde aduru a wɔde kum nipadua no ama no no.
- Sigaretnom ne nsa: Sɛ wode abien no nyinaa di dwuma a, ɛho hia yiye sɛ wugyae koraa ansa na woayɛ oprehyɛn, efisɛ ɛkyɛ ayaresa no na ɛma asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no yɛ kɛse.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn wie a, wɔde wo bɛkɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (ICU). Wobɛtena hɔ saa anadwo no. Ade kyee anɔpa no, wɔbɛhwɛ sɛ w’ankasa wubetumi ahome na afei wɔayi afiri a wɔde ma mframa no afi hɔ anaa.
Mpɛn pii no wobɛtra ayaresabea hɔ nnafua 7 kosi 10. Saa bere yi mu no, wode nkakrankakra befi ase anantew. Wobɛyɛ nhwehwɛmu bi nso de ahwɛ sɛ wuhia oxygen ansa na woakɔ fie anaa. Eyi yɛ osuahu a ɛte sɛ nea obi ho tɔ no wɔ koma a wɔabue mu oprehyɛn mu no ho.
Mfaso ne asiane bɛn na ɛwɔ so?
Te sɛ oprehyɛn biara no, mfaso ne asiane ahorow wɔ PTE so.
| Mfaso a ɛwɔ so | Asiane ahorow a ɛwɔ mu |
|---|---|
| Sɛnea ebetumi aba sɛ obi ho bɛtɔ no koraa afi CTEPH mu. | Asiane a ɛwɔ hɔ sɛ obi bewu bere a wɔreyɛ oprehyɛn no (mprempren ɛba fam te sɛ 1%). |
| Nkɔso kɛse a ɛba wɔ ahomegye ne apɔw-mu-teɛteɛ mu. | Asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase (1%-2%). |
| Koma no fã nifa a asɛe no a wɔsan nya bio. | Ahurututu mu mogya mmoroso (PH) no kɔ so tra baabi pɔtee bi wɔ oprehyɛn akyi mpo. |
| Tumi a obi tumi tra ase kyɛ na ɔwɔ apɔwmuden wɔ oprehyɛn akyi. | Nsu a ɛboaboa ano wɔ koma no ho (pericardial effusion). |
Putupuru!
Sɛ wote yaw mpofirim , wo koko mu yɛ wo yaw kɛse, wo home yɛ wo yaw kɛse, anaasɛ wo totɔ piti bere a wɔayɛ wo oprehyɛn akyi a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara. Afei nso, sɛ wunya yare no ho sɛnkyerɛnne te sɛ ɔfe, kɔkɔɔ, akisikuru, anaa atiridii wɔ baabi a wɔreyɛ wo oprehyɛn no a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
Bere a ɛma obi ho tɔ no te dɛn?
Egye bɛyɛ asram 3 ansa na ne ho atɔ no koraa.
- Adapɛn 6 a edi kan: Wɔrenka kar, nkɔ adwuma, anaasɛ ɔmma nneɛma a ɛboro kilogram 4.5 (10 lbs) so.
- Adapɛn 7 kosi 12: Otumi ma nneɛma so bɛyɛ kilogram 11 (25 lbs).
- Adapɛn 12 akyi: Mpɛn pii no, anohyeto biara nni hɔ.
Ebia wo home ne apɔw-mu-teɛteɛ tumi bɛtu mpɔn nkakrankakra akosi mfe 4 wɔ oprehyɛn no akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛwom sɛ PTE yɛ oprehyɛn a emu yɛ den de yi mogya a ayɛ dedaw wɔ ahurututu mu no fi hɔ de, nanso ebetumi asa tebea a wɔfrɛ no CTEPH no koraa.
- Saa oprehyɛn yi nyɛ obiara dea. Wo duruyɛfo ne animdefo kuw no besi gyinae sɛ ɛfata wo anaa.
- Ɛwom sɛ bere a wode bɛsan wo ho no kyɛ kakra de, nanso w’asetra pa, sɛnea wohome, ne sɛnea wotumi nantew no bɛtu mpɔn kɛse wɔ oprehyɛn akyi.
- Sɛ woyɛ oprehyɛn wie a, ebehia sɛ wonom nnuru a ekum mogya a ɛtwetwe mogya wo nkwa nna nyinaa na amma mogya a ɛbɛtɔ bio.
- Ɛho hia sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ano na woayɛ nhwehwɛmu. Nsuro sɛ wo ne wo duruyɛfo bɛkasa afa ɔhaw biara a ebia worehyia ho.
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