So wunim wo koma fã ketewaa yi ho asɛm? – Nifa so Atrial Appendage

Yɛn nyinaa nim sɛ yɛn koma yɛ akwaa a ɛyɛ nwonwa yiye. Nanso ebia woante koma yi afã nketenkete no bi ho asɛm pii. Enti, ɛnnɛ yɛrebɛka koma no fã ketewaa bi a nnipa pii nka ho asɛm, nanso edi dwuma titiriw bi ho asɛm. Ɛno ne nifa atrial appendage , anaa wɔ Borɔfo kasa mu no `(Right Atrial Appendage)`, anaa `(RAA)` tiawa. Ebia worete din yi nea edi kan. Nanso mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne Right Atrial Appendage no?

Sɛ yɛbɛka no tiawa a, ``Right Atrial Appendage'' anaa ``RAA'' yɛ wo koma no fã ketewaa bi a ɛte sɛ kotoku a ɛpuepue kakra fi wo koma no atifi dan mu, a wɔfrɛ no right atrium. Ebia woate eyi ho asɛm pɛn, titiriw sɛ oduruyɛfo bi ka kyerɛ wo sɛ fa ``pacemaker lead'', waya ketewa bi a ɛka pacemaker ho, hyɛ wo nifa atrium mu a.

Susuw saa `(RAA)` yi ho sɛ kotoku ketewa bi a ɛwɔ yɛn atade mu. Ahunmu kakra bi wɔ atade titiriw no akyi. Ntease pɔtee bi wɔ hɔ a enti nnuruyɛfo pɛ sɛ wɔde pacemaker nhama bɛhyɛ saa `(RAA)` yi mu. Biako ne sɛ saa `(RAA)` yi yɛ mmerɛw yiye sɛ wobedu ho. Adeɛ foforɔ ne sɛ saa `(RAA)` yi bɛn `(SA node)`, anaa `(sinoatrial node)`, a ɛde anyinam ahoɔden nsɛnkyerɛnneɛ a ɛma yɛn koma bɔ no kɔ. Enti ɛho hia yiye ma sɛnea afiri a ɛma koma no bɔ no yɛ adwuma yiye.

Ɛtɔ mmere bi a, koma no fã a wunnim yi betumi de ɔhaw ahorow aba wo so. Nanso asɛmpa no ne sɛ, ayaresa ahorow wɔ hɔ ma saa `(RAA)` yi, te sɛ nea ɛwɔ hɔ ma koma no afã afoforo no.

Dɛn na ɛba wɔ RAA yi ho? (RAA Dwumadi) .

Afei momma yɛnhwɛ nea saa `(RAA)` ketewa yi yɛ ankasa. Ne dwumadie titire baako ne sɛ, sɛ yɛn mogya dodoɔ kɔ soro, kyerɛ sɛ, sɛ mogya dodoɔ a ɛwɔ nipadua no mu kɔ soro sene sɛdeɛ ɛhia a, saa `(RAA)` yi afasuo no firi aseɛ trɛw. Afei, saa `(RAA)` yi ma protein soronko bi a wɔfrɛ no `natriuretic peptides` .

Saa nnuru a wɔfrɛ no ``natriuretic peptides'' yi yɛ nneɛma bi a ɛho hia yiye:

• Wo mogya ntini no trɛw kakra.
• Ɛboa ma ɛnam nsuo so yi nkyene ne nsuo a ɛboro so fi wo nipadua mu.

Saa adeyɛ yi boa ma wo mogya dodow ne wo mogya so tew. Fa no sɛ paipu ketewaa bi a ɛma nsu a ɛboro so fi mu bere a nsukorabea a ɛwɔ wo fie no ayɛ ma no.

Ɛhe na RAA no wɔ? (RAA Beae) .

Wo ``Right Atrial Appendage`` no wɔ wo koma nifa atrium no atifi. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛbɛn wo ``superior vena cava``, mogya ntini kɛse bi. Saa ``(RAA)`` yi yɛ fã bi a ɛte sɛ asubɔnten a ɛtrɛw kɔ soro wɔ ahurututu nifa ne ahurututu nifa ntam.

Dɛn ne RAA no afã horow? Ɛte sɛn ? (RAA Anatomy ne Sɛnea ɛte) .

Sɛ wohwɛ saa `(RAA)` yi mu nhyehyɛɛ a, ɛte sɛ kotokuo a ɛbue a ɛma mogya kɔ mu na ɛfiri mu. `(RAA)` no mu fã yɛ mmerɛw kakra. Nea enti a ɛte saa ne sɛ ntini mu ntini bi wɔ hɔ a wɔfrɛ no `terminal crest` ne `musculi pectinati` . Eyinom te sɛ abon nketewa a ɛwɔ soro.

Sɛ yɛhwɛ ne kɛseɛ a, nhwehwɛmufoɔ ka sɛ saa `(RAA)` yi kɛseɛ bɛyɛ sɛntimita 3 ahinanan (ɛno bɛyɛ nsateakwaa fã ahinanan). `(RAA)` no bue no trɛw bɛyɛ sɛntimita 2 (ennu nsateakwaa biako kakra).

Nea ɛyɛ nwonwa ankasa ne sɛ saa `(RAA)` yi betumi anya płatka (lobe) biako anaa płatki pii, ɛtɔ mmere bi a ɛboro asia. Ɛno kyerɛ sɛ ɛnyɛ obiara `(RAA)` na ɛyɛ pɛ.

Nsusuwii bɛn na wobetumi ahu wɔ RAA mu? (RAA Nsusuwii) .

Nhwehwɛmufoɔ ahunu `(RAA)` ahodoɔ pii. Wɔn mu bi ni:

• Nsusuwii a ɛyɛ ahinanan (parot beak shape): Eyi ne nsusuwii a wɔtaa yɛ. Ɛte sɛ akɔre ano.
• Afã anan nsusuwii: Ɛte sɛ ɔpɔnkɔ ti.
• Trapezoid nsusuwii: Ɛte sɛ anvil nsusuwii.
• Nsusuwii a ɛyɛ ahinanan: Te sɛ po so hyɛn a wɔde fa po so hyɛn mu.
• Nsusuwii a wɔankyerɛkyerɛ mu: Ɛyɛ den sɛ wɔbɛkyerɛkyerɛ emu bi mu pɛpɛɛpɛ.

Wɔ saa nsusuwii atitiriw yi akyi no, nhwehwɛmufo ahu saa nsusuwii nketewa yi. So ɛnyɛ nwonwa sɛ yɛn koma fã ketewaa yi betumi ayɛ nea egu ahorow saa?

Tebea ne ɔhaw ahorow bɛn na ɛtaa ka RAA?

Te sɛ koma no afã afoforo no, aduruyɛ mu tebea horow pii wɔ hɔ a ebetumi aka RAA no. Ebi ne:

• Atrial Fibrillation (Afib): Eyi yɛ koma a ɛbɔ a ɛnyɛ daa. Saa tebea yi betumi ama mogya a ɛbɛtɔ wɔ RAA no mu. Nanso, eyi ntaa mma wɔ nifa so sɛ wɔde toto benkum so atiridiinini no ho a.
• Kar akwanhyia mu opira: Wɔ akwanhyia a emu yɛ den mu no, RAA no betumi asɛe esiane sɛ ɛbɛka ne moma so nti.
• Aneurysm: Eyi yɛ tebea a ɛma ntini bi trɛw dodo na ɛbɔ te sɛ balloon. RAA no nso betumi anya saa ntini mu yare yi.

Nea ɛho hia: Ɛho hia paa sɛ wuhu tebea horow a ɛtete saa ntɛm na wonya ayaresa a ɛfata.

Dɛn ne RAA tebea horow ho sɛnkyerɛnne?

Tebea horow a ɛka atrial appendage nifa (RAA) no betumi ama woanya sɛnkyerɛnne ahorow te sɛ:

• Koko mu yaw
• Ɔbrɛ
• Ɔhome a ɛyɛ tiaa anaa `dyspnea`
• Adwene a ɛyɛ basaa

Esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti, ɛnkyerɛ sɛ wowɔ ɔhaw bi wɔ wo RAA no ho. Ebetumi nso afi komayare afoforo ne akwahosan ho haw ahorow a ɛwɔ hɔ nyinaa mu aba. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.

Ɔkwan bɛn so na wɔbɛhwɛ RAA no akwahosan tebea? (Nsɔhwɛ a Wɔtaa Yɛ wɔ RAA Akwahosan Ho)

Nhwehwɛmu ahorow pii wɔ hɔ a nnuruyɛfo de hwɛ sɛnea wo nifa so atiridiinini (RAA) no akwahosan te:

• Transesophageal Echocardiogram (TEE): Eyi yɛ echocardiogram titiriw bi. Wɔ sɔhwɛ yi mu no, wɔde afiri ketewaa bi a mfoninitwa afiri ahyɛ mu (transducer probe) fa wo menewam hyɛ wo menewa mu de twa wo koma ho mfonini pefee. Eyi ma wotumi hu RAA no yiye paa.
• Cardiac CT (Cardiac Computed Tomography) scan: Eyi de X-ray ne kɔmputa mfiridwuma di dwuma de yɛ koma no ho mfonini a wɔatwitwa.
• Transthoracic Echocardiogram (TTE): Eyi ne echocardiogram a wɔtaa yɛ. Ɛha yi, wɔde transducer bi si wo moma so de twa wo koma mfonini.

Oduruyɛfo no begyina wo tebea so asi nea ɔbɛyɛ wɔ nhwehwɛmu ahorow yi ho.

Dɛn ne ayaresa ahorow a wɔde sa eyi? (Ayaresa a Wɔtaa De Yɛ) .

Sɛ ɔhaw bi wɔ atiridii nifa so afiri (RAA) a, ayaresa ahorow pii wɔ hɔ a wobetumi afa so:

• Nnuru a ɛko tia mogya a ɛtwetwe: Sɛ wo RAA no taa mogya tu a, wɔbɛma wo nnuru yi na amma mogya ansiw.
• Ablation ayaresa: Sɛ koma a ɛbɔ a ɛnteɛ te sɛ atrial fibrillation fi ase denam RAA so a, wobetumi ayɛ ayaresa bi a wɔfrɛ no ablation de asɛe ntini a ɛnteɛ no.
• Oprehyɛn: Sɛ RAA no ntini asɛe wɔ akwanhyia mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie anaa wɔayi afã horow a asɛe no afi hɔ.

Sɛ wubehu ayaresa a ɛfata wo a, egyina nneɛma pii so, a w’ayaresa tebea, mfe a woadi, ne w’akwahosan nyinaa ka ho.

Ɔkwan bɛn so na mɛma me nifa atiridiinini (RAA) no ayɛ nea ahoɔden wom? (Sɛnea wobɛhwɛ wo RAA so)

Nokwarem no, biribiara nni hɔ a wubetumi ayɛ ama wo `(Right Atrial Appendage)` pɔtee. Nneɛma koro no ara a woyɛ ma wo koma nyinaa nya apɔwmuden no nso ye ma wo `(RAA)`. Sɛnea ɛbɛyɛ a wo koma bɛkɔ so ayɛ yiye no, hwɛ nneɛma yi so yiye:

• Anyɛ yiye koraa no, yɛ apɔw-mu-teɛteɛ simma 150 dapɛn biara: yɛ apɔw-mu-teɛteɛ te sɛ nantew, mmirikatu, anaa asuguare.
• Di aduan a ɛma koma nya ahoɔden: Di nhabannuru, nnuaba, atoko, aburow a wɔayam, nam a ɛnyɛ den, ne mpataa pii. Tew ngo, nkyene, ne asikre so.
• Kwati sɛ wode tawa mu nneɛma bedi dwuma: Sigaretnom pira koma no yiye.
• Di w’adwennwen so:Yɛ nneɛma te sɛ yoga, nsusuwii, ne nea ɛkeka ho Gye w’ahome.
• Di ayaresa tebea horow te sɛ mogya mmoroso ne asikreyare so: Nom nnuru sɛnea wo duruyɛfo akyerɛ wo no.

Sɛ wudi anammɔn a ɛnyɛ den yi akyi a, wubetumi ama wo koma ne ntini nyinaa anya apɔwmuden.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Nnipa pii ntee asɛmfua ``Right Atrial Appendage'' anaa ``RAA'' ho asɛm da. Ebia wɔn a wɔwɔ ``Afib'' no ate Left Atrial Appendage no ho asɛm, nanso wɔnka nea ɛwɔ nifa so no ho asɛm pii.

Sɛ worekenkan asɛm yi esiane sɛ wɔde pacemaker bɛhyɛ wo mu nti a, ade biako a ɛsɛ sɛ wuhu ne sɛ nnuruyɛfo paw RAA sɛ beae a eye sen biara a wɔde pacemaker lead no bɛto. Yɛaka nea enti a ɛte saa ho asɛm dedaw.

Enti, sɛ wowɔ nsɛmmisa foforo biara fa saa `(RAA)` yi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Obetumi ama wo nsɛmmisa nyinaa ho mmuae a emu da hɔ. Kae sɛ yɛn nipadua no fã ketewaa biara wɔ dwuma a ɛsom bo, enti ɛho hia sɛ yɛma yɛn ani da hɔ.

` Koma, Nifa Atrial Appendage, RAA, Koma Yare, Pacemaker, Atrial Fibrillation, Koma Akwahosan, Nifa Atrial Appendage