So woafa wo mogya mmoroso, anaa "nhyɛso" sɛnea yɛn nyinaa frɛ no no, na woahwɛ nɔma a ɛwɔ soro ne ase wɔ amanneɛbɔ no so nkutoo pɛn? Nnipa pii yɛ saa. Nanso so wunim sɛ "nsonsonoe" anaa nsonsonoe a ɛda saa akontaahyɛde abien no ntam no nso ma yenya nsɛnkyerɛnne a ɛho hia yiye a ɛfa wo koma ne wo mogya ntini akwahosan ho? Saa gap no ne nea yɛfrɛ no "Pulse Pressure" wɔ aduruyɛ mu. Ebia wontee saa asɛmfua yi da. Nanso mma ɛnhaw wo, ɛyɛ mmerɛw yiye. Ɛnnɛ yɛbɛka ne nyinaa ho asɛm pefee, te sɛ nea yɛne yɛn adamfo bi rekasa.

Sɛ yɛbɛka no tiawa a, dɛn ne Pulse Pressure?

Pulse pressure ne nsonsonoe a ɛda akenkan abien no ntam bere a wosusuw wo mogya mmoroso no. Ɛyɛ mmerɛw yiye.

Sɛ wosusuw wo nhyɛso a, wunya nɔma abien, ɛnte saa?

1. Nnɔmba a ɛwɔ soro: Wɔfrɛ eyi sɛ systolic pressure. Eyi susuw nhyɛso a ɛsen biara wɔ wo mogya ntini mu bere a wo koma bɔ na ɛde mogya kɔ wo nipadua mu no.

2. Ase nɔma: Wɔfrɛ eyi diastolic pressure. Eyi susuw nhyɛso a ɛba fam koraa wɔ mogya ntini no mu bere a koma no abɔ awie na ɛregye n’ahome kakra ma mogya ahyɛ mu ma bio no.

Wohu nhyɛso a ɛwɔ nipadua no mu sɛnea edidi so yi: Twe nɔma a ɛwɔ ase (Diastolic) fi nɔma a ɛwɔ soro (Systolic) no mu.

Fa no sɛ wo mogya mmoroso yɛ 120/80 mmHg. (mmHg yɛ ade a wɔde susuw mogya mmoroso).

Afei wo pulse pressure bɛyɛ: 120 - 80 = 40 mmHg .

Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔpanyin a ɔwɔ apɔwmuden koma a ɛbɔ no bɛyɛ mmHg 40 . Ɛyɛ ade a ɛfata sɛ saa bo yi bɛkɔ soro kakra bere a yɛrenyin no. Nanso ɛtɔ mmere bi a, bo a ɛkɔ soro dodo anaasɛ ɛba fam dodo betumi ayɛ ɔhaw bi ho sɛnkyerɛnne wɔ wo koma ne ntini mu ansa na sɛnkyerɛnne ahorow no ada adi.

Dɛn nti na me koma a ɛbɔ no sesa bere a mehwɛ me mogya so simma kakraa biara no?

Eyi yɛ ɔhaw a nnipa pii wɔ. Yiw, ɛyɛ ade a ɛfata koraa sɛ wo mogya mmoroso ne wo koma bɔ sakra kakra fi bere biara mu. Ɛho nhia sɛ yɛhaw yɛn ho wɔ ho.

Susuw ho hwɛ, bere a worehome, bere a wosakra wo gyinabea, na egyina da no mu bere so no, mogya dodow a wo koma bɔ no sesa kakra. Eyi ma nsakrae nketenkete ba nhyɛso mu, bɛyɛ 5 mmHg kosi 10 mmHg. Ɛno nti na ɛte sɛ nea pulse pressure nso sesa kakra no. Ɛnyɛ ɔhaw kɛse. Sɛ saa gyinapɛn yi kɔ so yɛ nea ɛnteɛ nkutoo a, nea ehia sɛ yɛhaw yɛn ho.

Dɛn na "wide pulse pressure" kyerɛ?

Pulse pressure a ɛtrɛw yɛ bere a nsonsonoe a ɛda wo mogya mmoroso nɔma a ɛwɔ soro ne nea ɛwɔ fam ntam no "trɛw" yiye. Sɛ yɛbɛka no tiawa a, ɛyɛ bere a wo koma a ɛbɔ no kɔ soro bere nyinaa sen bo a ɛsom te sɛ 50 mmHg anaa 60 mmHg.

Fa no sɛ obi mogya mmoroso yɛ 140/80 mmHg.

Afei Pulse Nhyɛso = 140 - 80 = 60 mmHg. Eyi korɔn sen bo a wɔtaa de di dwuma no.

Dɛn nti na eyi rekɔ so?

Bere a yɛrenyin no, yɛn mogya ntini a ɛyɛ mmerɛw no so tew nkakrankakra, na ɛyɛ "den" kakra. Ɛte sɛ rɔba afiri foforo a bere kɔ so no ɛyɛ den na ɛnkotow bio. Yɛfrɛ tebea yi atherosclerosis . Nnipa a wɔwɔ asikreyare ne asaabo mu yare nso betumi ama wɔn mogya ntini ayɛ den ntɛm.

Sɛ mogya ntini mu yɛ den a, mogya ntini no mma nhyɛso no mfi bere a koma no bɔ na ɛbɔ mogya (Systolic) no. Enti, dodow a ɛwɔ soro no kɔ soro kɛse. Saa ara na sɛ koma no dwo (Diastolic) a, nhyɛso no so tew ntɛmntɛm esiane mogya ntini a ayɛ den nti. Enti, dodow a ɛwɔ ase no so tew. Afei nsonsonoe a ɛda nɔma a ɛwɔ soro ne nɔma a ɛwɔ ase no ntam no yɛ kɛse.

Asiane bɛn na ɛwɔ nhyɛso a ɛkɔ soro mu?

Ebia obi a ɔnyɛ apɔw-mu-teɛteɛ kɛse a ɛkɔ soro bere nyinaa no bɛyɛ akwahosan ho haw ahorow a ɛbɛba daakye ho sɛnkyerɛnne.

• Asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse.
• Asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no yɛ kɛse.
• Koma mu nnyigyei a ɛnkɔ so pɛpɛɛpɛ (arrhythmia) betumi aba.
• Nnipa a wɔwɔ nyarewa te sɛ asikreyare no wɔ asiane kɛse mu sɛ wɔn ani ne wɔn asaabo bɛsɛe.

Nanso, ebia agumadifo a wɔn ho akokwaw, titiriw wɔn a wotu mmirika tenten no koma a ɛyɛ den no bɛyɛ kɛse. Ɛno nyɛ ɔhaw. Esiane sɛ wɔn koma wɔ apɔwmuden na enyin yiye nti, wɔbɔ mogya pii wɔ bere biara a wɔbɔ no mu sen onipa a wɔtaa bɔ no. Ɛno yɛ su a ɛma apɔwmuden.

Dɛn na "narrow pulse pressure" kyerɛ?

Pulse pressure teateaa ne bere a nsonsonoe a ɛda soro nɔma ne ase nɔma ntam no yɛ "teateaa" yiye. Mpɛn pii no, sɛ pulse pressure no nnu wo dodow a ɛwɔ soro no nkyem anan mu biako (systolic) a, yebu no sɛ ɛyɛ pulse pressure teateaa.

Sɛ nhwɛso no, momma yɛnka sɛ obi mogya mmoroso yɛ 100/85 mmHg.

Afei Pulse Nhyɛso = 100 - 85 = 15 mmHg.

Saa boɔ a ɛyɛ 15 yi sua sene dodoɔ a ɛwɔ atifi hɔ no nkyem anan mu baako (25) Enti, yei yɛ Narrow Pulse Pressure.

Dɛn nti na eyi rekɔ so?

Saa tebea yi ba bere a koma no ntumi nkɔ mogya a ɛdɔɔso. Nneɛma pii betumi ama eyi aba:

• Koma a entumi nyɛ adwuma yiye bere a obi anya komayare akyi.
• Mogya pii a ɛyera fi nipadua no mu esiane akwanhyia nti.
• Cardiac tamponade yɛ tebea a nsu boaboa ano twa koma no ho hyia, na ɛmma koma no ntumi nyɛ adwuma yiye.

Wɔ eyi mu no, dodow a ɛwɔ soro (Systolic) no so tew efisɛ koma no ntumi nkɔ mogya denneennen saa. Nanso nipadua no bɔ mmɔden sɛ ɛbɛkɔ so akura nhyɛso mu denam mogya ntini a ɛtwetwe ma ɛde mogya kɔ akwaa a ɛho hia mu no so. Enti nɔma a ɛwɔ ase (Diastolic) no nkɔ fam saa. Afei nsonsonoe a ɛda nɔma a ɛwɔ soro ne nɔma a ɛwɔ ase ntam no bɛyɛ ketewaa koraa.

Wubetumi anya eyi ho ntease a emu da hɔ afi pon a ɛwɔ ase ha no so.

Dɛn nti na ɛho hia saa sɛ wobedi sɛnea obi koma bɔ no so?

Ɛho hia yiye sɛ wobɛhwɛ wo koma a ɛbɔ denneennen no so yiye, efisɛ sɛ wo koma bɔ kɛse a, ɛkyerɛ sɛ wo koma reyɛ adwumaden sen sɛnea ɛtaa yɛ, anaasɛ wo mogya ntini no ayɛ teateaa, anaasɛ n’abien nyinaa.

Esiane nneɛma abien yi nyinaa nti, woAsiane a ɛwɔ hɔ sɛ obi benya tebea a emu yɛ den te sɛ komayare anaa ɔyare a ɛma obi hwe ase no kɔ soro kɛse. Saa asiane yi yɛ kɛse titiriw ma nnipa a wɔadi boro mfe 55. Enti, nyansa wom sɛ wubehu eyi na woatu anammɔn a ɛho hia.

Dɛn na metumi ayɛ na ama me koma a ɛbɔ no akɔ so ayɛ nea ɛfata?

Wo mogya mmoroso a wobɛhwɛ so no fa wo mogya mmoroso nyinaa a wobɛhwɛ so ara kwa ankasa. Nneɛma kakraa bi wɔ hɔ a ɛnyɛ den, nanso etu mpɔn yiye a wubetumi ayɛ de aboa.

• Anyɛ yiye koraa no, kɔ aduruyɛ mu pɛnkoro afe biara: Mogya mmoroso yɛ "kum a ɔyɛ komm" a mpɛn pii no ɛnkyerɛ sɛnkyerɛnne biara. Enti sɛ wopɛ sɛ wokyere ɔhaw bi ansa na asɛe a, kɔ wo duruyɛfo nkyɛn na kɔhwɛ wo daa .
• Fa aduan a ahoɔden wom di dwuma: Tew nnuan a nkyene ne srade pii wom so sɛnea wubetumi biara. Ɛyɛ papa sɛ wobɛma nkyene a wobɛnom no ayɛ teaspoon biako (gram 5-6) da biara. Fa nhabannuru, nnuaba, ne nhabannuru ka w’aduan ho.
• Yɛ nnam: Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 30 da biara, te sɛ nantew, mmirikatu, anaa sakre so. Eyinom yɛ kɛse ma wo koma ne wo mogya a ɛkɔ nipadua no mu.
• To nsa a wonom ano hye: Nsa a wɔnom yɛ ade titiriw a ɛde mogya mmoroso ba, enti ɛho hia sɛ wodi so.
• Hu asiane a ɛwɔ mu: Sɛ obi wɔ w’abusua mu wɔ mogya mmoroso, asikreyare, srade, anaa komayare a, ka kyerɛ wo duruyɛfo sɛnea ɛbɛyɛ a obetumi de afotu titiriw ama wo.
• Fa aduru a wɔakyerɛw ama wo no di dwuma sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ: Sɛ wo duruyɛfo akyerɛw wo mogya mmoroso aduru a, ntwa so da. Mma nnyae wo nnuru a wobɛnom no nsusuw sɛ, "Ɛnnɛ bɛyɛ papa ama wo." Fa dodow a wɔakyerɛw ama no no wɔ bere pɔtee no mu.
• Susuw wo mogya mmoroso wɔ fie: Sɛ ɛbɛyɛ yiye a, tɔ afiri a wɔde hwɛ mogya mmoroso a wubetumi de adi dwuma wɔ fie. Anyɛ yiye koraa no, susuw wo mogya mmoroso mprenu kosi mprɛnsa dapɛn biara na kyerɛw to hɔ. Eyi bɛma woate wo mogya mmoroso mu nsakrae ase yiye.

Bere bɛn na ɛsɛ sɛ me ne oduruyɛfo kasa fa eyi ho?

Sɛ wotaa hwɛ wo mogya mmoroso wɔ fie, na wuhu sɛ wo koma bɔ boro 60 mmHg bere nyinaa , anaasɛ wuhu sɛ ɛba fam koraa (teateaa) , akyinnye biara nni ho sɛ ɛsɛ sɛ wuhu wo duruyɛfo na woka ho asɛm.

Ɛtɔ mmere bi a, wubetumi ate nka sɛ w’adwene atu afra bere a wo mogya mmoroso dodow a ɛwɔ soro no kɔ soro na dodow a ɛwɔ fam no sua no. Ɔkwan a eye sen biara a wobɛfa so ahu no yiye sɛ ebia eyi yɛ onyin a ɛfata anaasɛ ɛyɛ akwahosan ho haw foforo ho sɛnkyerɛnne ne sɛ wo ne wo duruyɛfo bɛkasa. Ɔde wo pulse pressure akenkan no bedi dwuma de ahu wo koma ne wo mogya ntini akwahosan ho nsɛm pii.