Bere a wo duruyɛfo kaa pacemaker ho asɛm kyerɛɛ wo, anaasɛ bere a wohwɛɛ koma scan amanneɛbɔ bi no, so ɔkaa din "Right Atrial Appendage"? So wotee nka sɛ ehu aka wo kakra anaasɛ w’adwene tu frae bere a wotee no? So wususuwii sɛ, "O me Nyankopɔn, dɛn ne yare foforo yi?" Ɛyɛ ade a ɛfata koraa sɛ wobɛte nka saa. Efisɛ ɛyɛ din a yɛn mu biara nte ho asɛm pii. Nanso biribiara nni hɔ a enti ɛsɛ sɛ wobɔ hu. Ɛyɛ mmerɛw yiye. Momma yɛnka eyi ho asɛm nnɛ, te sɛ nea nnamfo baanu rekasa, a adesoa biara nni ho.
Sɛ yɛbɛka no tiawa a, dɛn ne Right Atrial Appendage (RAA) yi?
Fa no sɛ yɛn koma te sɛ ofie ketewa bi a ɛwɔ adan anan. Wɔfrɛ adan abien a ɛwɔ ofie yi abansoro a ɛwɔ soro no atria, na wɔfrɛ adan abien a ɛwɔ abansoro a ɛwɔ fam no sɛ ventricles. Pia a ɛwɔ abansoro a ɛwɔ soro yi nifa so, kyerɛ sɛ , atrium nifa so no yɛ ɔfã ketewaa bi a ɛte sɛ kotoku a ɛpuepue kakra fi atrium nifa so, a yɛfrɛ no Right Atrial Appendage (RAA). Eyi yɛ koma no ankasa fã, na ɛnyɛ biribi a wɔayɛ no foforo.
"Enti dɛn nti na nnuruyɛfo reka eyi ho asɛm?" ebia woresusuw ho. Ade titiriw nti a ɛte saa ne sɛ, sɛ ɛho hia sɛ wɔde afiri a ɛma koma no bɔ kɛse hyɛ nnipa binom mu a, ɛyɛ mmerɛw na ahobammɔ wom kɛse sɛ wɔde waya ketewaa bi a wɔfrɛ no kɔbere bɛhyɛ RAA no mu. Eyi te saa efisɛ RAA no bɛn mfinimfini titiriw a ɛde anyinam ahoɔden nsɛnkyerɛnne kɔ koma no mu, SA node (sinoatrial node) no yiye . Enti, sɛ wɔde hama a ɛma koma no bɔ no si hɔ a, wobetumi adi koma no dwumadi so yiye.
Okay, enti ɔsom bɛn na ɔfã ketewa yi de ma?
Saa kotoku ketewaa a wɔfrɛ no RAA yi nso wɔ adwuma titiriw bi wɔ yɛn nipadua mu. Sɛ mogya dodow a ɛwɔ yɛn nipadua mu no kɔ soro mpofirim a, mogya dodow a ɛba koma no mu nso kɔ soro. Afei RAA yi afasu fi ase trɛw.
Fa no sɛ ɛte sɛ balloon a nsu ahyɛ mu ma. Sɛnea balloon no trɛw bere a nsu no kɔ soro no, saa ara na RAA no nso twetwe kakra bere a mogya no kɔ soro no.
Sɛ afasu no twetwe wɔ saa kwan yi so a, RAA no yi protein soronko bi a wɔfrɛ no Natriuretic Peptides . Saa protein ahorow yi kyerɛ yɛn nipadua no sɛ ɛka sɛ, "Okay, seesei yɛwɔ nsu pii wɔ yɛn nipadua mu dodo, ɛsɛ sɛ yɛtew so kakra." Afei saa protein ahorow yi trɛw yɛn mogya ntini mu kakra, na ɛsan nso kyerɛ asaabo no ma ɛboa ma ɛnam nsu mu yi nkyene ne nsu a ɛboro so fi mu. Saa adeyɛ yi ma nipadua no mogya dodow ne mogya mmoroso a ɛkɔ soro no san kɔ nea ɛfata. Sɛ yɛbɛka no tiawa a, eyi te sɛ abɔde mu nhyɛso a ɛhwɛ nneɛma so wɔ yɛn nipadua mu.
Dɛn na RAA yi te na ɛte dɛn?
Eyi yɛ beae ketewaa bi pɛ. Bɛyɛ sɛntimita 3 ahinanan, a ɛboro yɛn nsateaa nnadewa no kɛse bɛyɛ mmɔho abien. Nanso nea ɛyɛ nwonwa ne sɛ, ɛnyɛ obiara RAA na ɛyɛ pɛ. Te sɛ yɛn anim ne yɛn nsateaa nkyerɛwee no, ebetumi ayɛ soronko wɔ onipa biara ho. Nneɛma atitiriw kakraa bi wɔ hɔ a nnuruyɛfo ahu.
- Parrot beak shape: Eyi ne sɛnea wɔtaa hu.
- Ɔpɔnkɔ ti nsusuwii: Nnipa binom RAA nsusuwii te sɛ eyi.
- Nsusuwii a ɛte sɛ anvil: Ɛte sɛ trapezoid nsusuwii.
- Po so hyɛn: Ɛyɛ ahinanan.
- Nsusuwii a wɔankyerɛkyerɛ mu: Ɛtɔ mmere bi a wobetumi de eyi asi baabi a ɛnyɛ nsusuwii biara de.
Ɛmfa ho sɛnea ɛte biara no, mpɛn pii no ennya nkɛntɛnso kɛse. Nanso, nnuruyɛfo dwen saa nsusuwii yi ho bere a wɔreyɛ koma oprehyɛn bi no.
Tebea ne sɛnkyerɛnne ahorow a ebetumi aka RAA
Mpɛn pii no, RAA nyɛ ɔhaw a anibere wom. Nanso, ɛtɔ mmere bi a aduruyɛ mu tebea horow bi betumi aka no. Afei nso, sɛnkyerɛnne ahorow a yehu wɔ tebea horow yi mu no te sɛ nea yehu wɔ komayare afoforo mu no ara pɛ.
| Ayaresa tebea a ebetumi aba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Atiridiinini a Ɛyɛ Fɛ (Afib) . | Eyi ne bere a koma no atifi (atria) no fi ase bɔ ntɛmntɛm, te sɛ nea ɛrehuruhuruw. Eyi betumi ama mogya no akɔ baabiara, na mogya a ɛbɛtɔ wɔ RAA no mu. Nanso, sɛ wɔde toto benkum so atiridiinini ho a, ɛnyɛ den koraa sɛ mogya a ɛbɛtɔ wɔ ha no. |
| Akwanhyia mu opira | Wɔ biribi te sɛ kar akwanhyia kɛse mu no, sɛ wɔbɔ obi koko denneennen a, ebetumi asɛe RAA no. |
| Ntini a ɛma mogya tu | Nea ɛkɔ so wɔ eyi mu ne sɛ RAA no fasu no yɛ mmerɛw na ɛpuepue te sɛ balloon. Eyi nso yɛ ade a ɛntaa nsi koraa. |
Nsɛnkyerɛnne a ebia wɔbɛte nka wɔ tebea a ɛte saa mu
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛnea ebia wobɛte nka |
|---|---|
| Koko mu yaw | Ɛyaw no te sɛ ɛyaw a ɛyɛ den na ɛyɛ den wɔ koko mu. |
| Ɔbrɛ | Ɔbrɛ a ɛtra so ho atenka a ɔnyɛ hwee mpo. |
| Ɔhome a ɛyɛ den (Dyspnea) . | Ɛte sɛ nea wo ho atɔ wo, na ɛyɛ den ma wo sɛ wobɛhome. |
| Adwene a ɛyɛ basaa | Nkate a ɛma obi ho kyere no na n’ani yɛ bruu. |
Ade a ɛho hia sen biara ne sɛ, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, nsusuw kɛkɛ sɛ, "Ɛbɛyɛ sɛ eyi yɛ ɔhaw wɔ RAA ho." Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woahu nea ɛde ba ankasa.
Ɔkwan bɛn so na oduruyɛfo no sɔ RAA no hwɛ?
Sɛ wo duruyɛfo susuw sɛ RAA na wate wo sɛnkyerɛnne ahorow no akyi a, nhwehwɛmu titiriw pii wɔ hɔ a wɔde bɛhwɛ sɛnea ɛte.
| Sɔhwɛ no din | Sɛ yɛbɛka no tiawa a, dɛn na wode eyi yɛ? |
|---|---|
| Transesophageal Echocardiogram (TEE) a Wɔde Di Dwuma. | Eyi nso yɛ echo scan. Nanso wɔnyɛ eyi wɔ koko so. Wɔde afiri ketewaa bi a ɛte sɛ mfoninitwa afiri fa ano no mu, de fa menewa no mu, na wɔtwe mfonini bɛn koma no yiye. Saa kwan yi tumi hu afã nketenkete te sɛ RAA no pefee. |
| Koma mu CT (Kɔmputa so Tomography) . | Eyi yɛ scan titiriw bi a wɔde X-ray di dwuma. Ebetumi ayɛ koma no mfonini a ɛwɔ afã abiɛsa (3D). Eyi boa kɛse ma wohu sɛnea RAA no te ne ne kɛse, ne sɛ ebia mogya a ɛtɔ bi wɔ hɔ anaa. |
| Transthoracic Echocardiogram (TTE) a Wɔde Hwɛ Ahurututu mu . | Eyi ne nea yɛtaa frɛ no echo scan. Wɔnam afiri bi a wɔde si koko no ani so na ɛyɛ. Ebetumi ama yɛanya sɛnea koma no yɛ adwuma nyinaa ho adwene pa. |
Dɛn ne ayaresa ahorow a wɔde sa ɔhaw ahorow a ɛfa RAA ho?
Asɛmpa no ne sɛ, sɛ ɔhaw bi wɔ RAA ho mpo a, wobetumi asa. Wo duruyɛfo no begyina wo tebea no so akyerɛ ayaresa a ɛfata sen biara.
- Nnuru a ɛko tia mogya a ɛtwetwe: Sɛ mogya a ɛtɔ gu RAA no mu a, wɔma saa nnuru yi na ama saa mogya a ɛtɔ no apete na amma mogya a ɛtwetwe foforo no ankɔ.
- Ablation Treatment: Sɛ nea ɛde atrial fibrillation (Afib) ba ne ntini a ɛne RAA wɔ abusuabɔ a, ɔkwan titiriw bi betumi asɛe saa ntini no na ama koma no asan ayɛ adwuma sɛnea ɛsɛ.
- Oprehyɛn: Sɛ akwanhyia bi nti RAA no sɛe a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie ɔfã a asɛe no.
Mɛyɛ dɛn atumi ama me koma ne RAA anya apɔwmuden?
Eyi ne ɔfã a ɛho hia sen biara. Biribi titiriw biara nni hɔ a ɛsɛ sɛ RAA yɛ. Sɛ yɛhwɛ yɛn koma nyinaa yiye a, koma no fã biara, a RAA ka ho, kɔ so nya apɔwmuden. Enti dɛn na ɛsɛ sɛ yɛyɛ?
- Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 150 dapɛn biara: Yɛ biribi a w’ani gye ho, te sɛ nantew a ɛyɛ ntɛmntɛm, mmirikatu, anaa asuguare.
- Di nnuan a ɛma koma nya ahoɔden: Fa nnuaba, nhabannuru, atoko, aburow a wɔayam, ne mpataa ka w’aduan ho. Tew nnuan a ngo, nkyene, ne asikre pii wom so sɛnea wubetumi.
- Kwati sigaretnom koraa: Ɔsɛe a sigaretnom de ba koma no so no yɛ kɛse paa.
- Di adwennwen ho dwuma: Ma w’adwene dwo denam nneɛma te sɛ adwennwen, yoga, anaa anigyede bi a w’ani gye ho a wode wo ho bɛhyɛ mu no so.
- Di nyarewa afoforo so: Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, di wo duruyɛfo akwankyerɛ akyi na di so yiye.
Sɛ wode saa nneɛma a ɛnyɛ den yi ka w’asetra ho a, wo koma bɛda wo ase.
Nkrasɛm a Wɔde Kɔ Fie
- Right Atrial Appendage (RAA) yɛ wo koma no fã a ɛfata na ɛwɔ apɔwmuden. Ɛnyɛ yare foforo.
- Wɔtaa ka eyi ho asɛm wɔ nsɛm titiriw bi mu, te sɛ bere a wɔde afiri a ɛma koma no bɔ kɛse rehyɛ nipadua no mu no.
- Ɔhaw ahorow a ɛba wɔ RAA ho no ntaa mma, nanso ayaresa a etu mpɔn wɔ hɔ a wɔde sa.
- Ɔkwan a eye sen biara a wobɛfa so abɔ wo RAA ho ban ne sɛ wobɛma wo koma nyinaa ayɛ yiye. Ɛno kyerɛ sɛ yebedi aduan pa, apɔw-mu-teɛteɛ, na yɛakwati subammɔne.
- Sɛ wowɔ nsɛmmisa, adwenem naayɛ, anaa ehu bi wɔ wo koma ho a, nsusuw ho kɛkɛ, wo ne wo duruyɛfo nkasa pefee . Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.
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