Yɛn koma yɛ akwaa a ɛyɛ nwonwa. Efi da a wɔwoo yɛn kosi da a yebewu no, ɛyɛ adwuma a ennyae sekan biako mpo. Te sɛ pɔmpɛ a nyansa wom no, ɛde mogya kɔ nipadua no mu nyinaa. Afã nketenkete pii wɔ hɔ a ɛboa ma ɛyɛ adwuma yiye. So woasusuw sɛnea mogya sen kɔ ɔkwan biako pɛ so wɔ koma no mu, a ɛnsan nkɔ akyi no ho pɛn? Ɛno ne nea "valves" a ɛwɔ koma no mu no boa. Ɛnnɛ yɛreka valve soronko a ɛte saa biako ho asɛm, ahurututu mu valve.
Sɛ yɛbɛka no tiawa a, dɛn ne ahurututu mu ntini no?
Fa no sɛ wo koma wɔ adan anan. Mmienu wɔ soro na abien wɔ ase. Saa ahurututu mu ntini yi te sɛ ɔpon a ɛkɔ ɔkwan biako so a ɛda ɔdan a ɛwɔ fam a ɛwɔ koma no nifa so (anifa so ahurututu) ne mogya ntini titiriw a ɛde mogya kɔ ahurututu no mu (ahurututu mu ntini) ntam .
Ne dwumadi titiriw ne sɛ ɛbɛhwɛ mogya a "ɛyɛ fĩ" a wɔde adi dwuma awie wɔ yɛn nipadua mu na oxygen kakraa bi na ɛwɔ mu no fi koma no mu kɔ ahurututu mu de tew ho. Sɛ mogya no fa mu wie a, ɔpon yi to mu na amma ansan ankɔ koma no mu.
Wɔbom frɛ saa ahurututu mu ntini yi, ne aortic valve a ɛwɔ koma no fã foforo no sɛ "semilunar valves." Eyi te saa efisɛ nkrataa/aflaps a ɛwɔ saa valve ahorow yi so no te sɛ ɔsram fã. Ɛtɔ da bi a nnuruyɛfo nso frɛ eyi "pulmonic valve," a ɛyɛ ade koro no ara.
Ɔkwan bɛn so na saa valve yi yɛ adwuma? Ɛyɛ nwonwa!
Ɔkwan a ɔpon ketewa yi fa so yɛ adwuma no yɛ nwonwa. Ɛte sɛ nea ɛresaw, ɛrebue na ɛreto mu wɔ nnyigyei a edi mũ mu ne koma bɔ.
- Systolic phase: Sɛ ventricle nifa no twetwe a, mogya a ɛwɔ mu no fi mu. Saa bere no, ahurututu mu ntini no bue . Afei, mogya a oxygen nnim no kɔ ahurututu mu ntini a ɛkɔ ahurututu mu no mu.
- Diastolic phase: Sɛ koma no dwo bere a ɛtwetwe wie, anaasɛ sɛ ɛyɛ mmerɛw a, ahurututu no mu ntini no to mu denneennen . Sɛ ɛnto mu a, mogya a wɔde kɔ ahurututu mu no betumi asan akɔ koma no mu. Saa valve yi mma ɛno ntumi nsi. Ɛyɛ bere a wɔato saa valve yi mu na mogya hyɛ ventricle nifa no ma de pam round a edi hɔ no.
Sɛ yɛbɛka no tiawa a, ɛte sɛ kar polisini bi a ɔte kwan so. Ɔma mogya no kɔ ɔkwan biako pɛ so na osiw no kwan koraa sɛ ɛnsan nkɔ.
Fa Di Dwuma Titiriw: Ross Ɔkwan a Wɔfa so Yɛ
Wɔ adwuma a saa valve yi yɛ daa akyi no, wɔde di dwuma wɔ atirimpɔw foforo a ɛyɛ nwonwa nso ho: sɛ aortic valve a ɛho hia kɛse wɔ koma no mu no yare a, wɔde saa ahurututu mu valve yi hyɛ nipadua no mu mmom.
Wɔfrɛ eyi sɛ Ross nhyehyɛe. Ɛyɛ adeyɛ a ɛyɛ den kakra. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi wo aortic valve a yare no na ɔde w’ankasa ahurututu mu valve a ɛte apɔw si ananmu. Afei, wɔde ahurututu mu ntini a wɔde ma no kɔ baabi a na ahurututu mu ntini no wɔ no. Esiane sɛ ɛyɛ w’ankasa wo ntini nti, ɛfata yiye na ɛtra hɔ kyɛ.
Dɛn ne nyarewa a ɛka saa valve yi?
Mpɛn pii no, ɔhaw ahorow a ɛwɔ ahurututu mu ntini no mu no fa komayare a wɔde awo obi ho . Eyi kyerɛ sɛ akokoaa betumi anya saa ɔhaw ahorow yi bere a wɔawo no. Ɛntaa mma koraa sɛ ɔhaw ahorow a ɛba saa valve yi ho betumi aba akyiri yi wɔ asetra mu esiane aduruyɛ mu tebea afoforo nti (sɛ nhwɛso no, ahurututu mu mogya mmoroso).
Momma yɛnte aduruyɛ mu tebea atitiriw yi ase kɛkɛ mfi pon a ɛwɔ ase ha no so.
| Tebea | Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba... |
|---|---|
| Ahurututu mu atresia | Eyi yɛ tebea a wonya fi awo mu. Nea ɛkɔ so wɔ ha ne sɛ ahurututu mu ntini no ntumi nkɔ yiye. Ɛte sɛ nea wɔasi ɔfasu wɔ baabi a ɛsɛ sɛ ɔpon wɔ. Mogya ntumi nkɔ ahurututu mu. Eyi betumi ama akokoaa no ayɛ bruu (cyanosis) bere a wɔawo no. |
| Tetralogy a ɛwɔ Fallot mu | Eyi nso yɛ komayare a ɛyɛ den a wɔde awo obi. Ɛha no, koma mu dɛmdi anan bom ba. Saa sintɔ ahorow no mu biako ne ahurututu mu ntini ne aorta a ɛyɛ teateaa. Esiane sɛ eyi yɛ tebea a emu yɛ den nti, ebehia sɛ wɔyɛ akokoaa no oprehyɛn de siesie. |
| Ahurututu mu ntini a ɛyɛ mmerɛw | Nea ɛkɔ so wɔ ha ne sɛ valve no bue bɛyɛ teateaa. Afei ɛsɛ sɛ koma no yɛ adwumaden de pam mogya fi mu. Mpɛn pii no, eyi nso yɛ biribi a ɛwɔ hɔ wɔ awo mu. Nnipa binom wɔ ayaresa a wɔde trɛw valve no mu, bere a afoforo nso ɛsɛ sɛ wɔsesa valve no. |
| Ahurututu mu valve a enni hɔ | Eyi yɛ tebea a ɛntaa nsi koraa, a wofi awo mu. Wɔ saa tebea yi mu no, ebia nkratafa a ɛwɔ valve no mu no nni hɔ anaasɛ ennyin yiye. Eyi ma valve no yɛ teateaa na ɛnto mu yiye, na ɛma mogya no kɔ akyi (regurgitation). |
| Ahurututu mu ntini a ɛsan kɔ nipadua no mu | Nea ɛkɔ so wɔ ha ne sɛ valve no ntumi nto mu yiye. Enti sɛ koma no dwo a, mogya a wɔde kɔ ahurututu no mu no bi san kɔ ahurututu nifa no mu. Eyi nyɛ mmerɛw wɔ nnipa dodow no ara mu. Nanso wɔ tebea horow a emu yɛ den mu no, ventricle nifa no betumi ayɛ kɛse na ayɛ mmerɛw, na nsu betumi ahyɛ nipadua no ma na ahuru (edema). |
So ebetumi aba sɛ wobɛtra ase a wunni ahurututu mu ntini?
Asɛmmisa yi ho mmuae tẽẽ ne "dabi." Ahurututu mu ntini no yɛ ade titiriw a ɛma yɛn nipadua no mogya kɔ ahurututu mu na ama yɛanya mframa pa. Sɛ yɛannya valve a ɛyɛ adwuma yiye a, yɛrentumi ntra ase.
Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛte ase wɔ ha ne sɛ ɛdenam nnɛyi nnuruyɛ a ɛkɔ akyiri so no, wobetumi asa tebea horow yi yiye . Sɛ wɔansa nkokoaa ne mpanyimfo a wɔwɔ ahurututu mu ntini mu yare a emu yɛ den no yare a, wɔn nkwa nna betumi atew. Enti, sɛ wo anaa wo ba no wɔ saa tebea yi a, ɛho hia paa sɛ wo ne wo duruyɛfo bɔ ayaresa a wubetumi apaw ne w’asetra daakye ho nkɔmmɔ pefee.
Yɛbɛyɛ dɛn ama saa valve yi anya apɔwmuden?
Yɛrentumi nsiw komayare a wɔde awo obi ano. Nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi ɔhaw ahorow ho akyiri yi wɔ asetra mu na ama yɛn koma nyinaa atra apɔw. Bɔ mmɔden sɛ wode eyinom bɛhyɛ w’asetra mu.
- Kwati sigaretnom koraa: Tawa ahorow nyinaa, ɛnyɛ sigaret ne vape nkutoo, nye mma koma no yiye. Sɛ ɛyɛ den ma wo sɛ wubegyae a, bisa wo duruyɛfo ma ɔmmoa wo.
- Gyae nsanom anaa to ano hye kɛse: Nsã nyɛ papa mma koma akwahosan.
- Di aduan a ahoɔden wom: Tew nnuan a ngo, nkyene, ne asikre pii wom so. Fa nhabannuru, nnuaba, atoko, ne aburow pii ka w’aduan ho.
- Apɔw-mu-teɛteɛ daa: Sɛnea wo duruyɛfo kamfo kyerɛ no, anyɛ yiye koraa no, fa wo ho hyɛ apɔw-mu-teɛteɛ a emu yɛ den te sɛ nantew mu simma 150 dapɛn biara.
- Di nyarewa te sɛ mogya mmoroso ne srade a ɛwɔ nipadua mu no so:Sɛ wowɔ nyarewa ahorow yi a, fa aduru no di dwuma sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Kɔ aduruyɛ mu nhwehwɛmu afe biara: Sɛ wunni nyarewa biara mpo a, anyɛ yiye koraa no, kɔ oduruyɛfo nkyɛn pɛnkoro afe biara kɔhwɛ w’akwahosan.
- Titiriw ma ɛnanom a wɔrenyinsɛn: Sɛ woanyinsɛn a, kɔ ayaresabea ahorow a ɛfata na nya afotu ne ayaresa a ɛho hia. Eyi betumi atew asiane a ɛwɔ hɔ sɛ obi benya tebea horow te sɛ komayare a wɔde awo obi no so.
Ɛtɔ mmere bi a, koma no nhyehyɛe ne sɛnea n’afã horow yɛ adwuma ho adesua betumi ayɛ te sɛ nea ɛyɛ den kakra. Titiriw bere a wuhu sɛ wo anaa wo ba wɔ komayare bi no. Ebetumi ayɛ den sɛ wubegye nsɛm pii prɛko pɛ. Nanso kae sɛ wo duruyɛfo no wɔ hɔ bere nyinaa sɛ ɔbɛboa wo na wabua wo nsɛmmisa. Nsuro da sɛ wubebisa biribiara a ɛwɔ w’adwene mu, ɛmfa ho sɛnea ɛyɛ ketewaa no.
Nkrasɛm a Wɔde Kɔ Fie
- Ahurututu mu ntini no yɛ ahurututu a ɛho hia a ɛkɔ ɔkwan biako so a ɛma mogya a oxygen nnim tumi kɔ ahurututu no mu kɔtew ho.
- Nyarewa pii a ɛbata saa valve yi ho no betumi afi awo mu. Hwɛ yiye paa wɔ sɛnkyerɛnne ahorow te sɛ kɔla bruu a ɛwɔ akokoaa a wɔawo no foforo mu no ho.
- Sɛ wowɔ komayare ho sɛnkyerɛnne bi anaa wususuw sɛ ɛwɔ hɔ a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Esiane nnɛyi oprehyɛn ne ayaresa akwan a ɛkɔ akyiri nti, nnipa pii betumi asa tebea horow yi yiye na wɔatra ase yiye.
- Asetra kwan a ɛma koma nya ahoɔden (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wɔkwati) betumi abɔ koma akwahosan ho ban bere tenten.











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