Bere a oduruyɛfo no ka kyerɛɛ wo sɛ ɛsɛ sɛ woyɛ nhwehwɛmu bi a wɔfrɛ no "Right Heart Catheterization" no, so na wo ho yeraw wo kakra? Ɛyɛ ade a ɛfata sɛ obiara bɛte ehu nka kakra na ɔpɛ sɛ ohu nneɛma pii bere a ɔka sɛ wɔde biribi te sɛ "catheter" rehyɛ koma no mu no. Nanso mma nsuro. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a ɛbɛma nsɛmmisa a wowɔ wɔ w’adwene mu nyinaa ho mmuae so. Afei wubehu sɛ eyi nyɛ biribi a ɛsɛ sɛ wusuro wɔ ne nyinaa akyi.
Sɛ yɛbɛka no tiawa a, dɛn ne Koma Nifa Catheterization?
Eyi yɛ sɔhwɛ soronko koraa. Sɛ yɛbɛka no tiawa a, ɛkyerɛ sɛnea wo koma reyɛ adwuma yiye, kyerɛ sɛ, sɛnea ɛrebɔ mogya. Saa nhwehwɛmu yi boa ma wunya mogya mmoroso ne mframa pa dodow ho adwene a edi mu, titiriw wɔ wo koma nifa ne ahurututu mu.
Nnuruyɛfo nso frɛ eyi sɛ "ahurututu mu ntini a wɔde hyɛ nipadua mu." Ɛtɔ da bi nso a wobɛte sɛ wɔfrɛ no "Swan-Ganz catheter." Eyinom nyinaa yɛ din ahorow a wɔde frɛ sɔhwɛ koro.
Sɛ wobɛyɛ nhwehwɛmu yi a, wo duruyɛfo de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a wɔfrɛ no catheter bedi dwuma . Wɔde saa afiri yi fa ntini kɛse bi a ɛwɔ wo kɔn, wo srɛ, anaa wo nsa mu mu na wɔde ahwɛyiye de asaawa hyɛ wo koma nifa mu. Efi hɔ no, wɔbɛkyerɛ no kwan akɔ ntini titiriw a ɛde mogya kɔ w’ahurututu mu, ahurututu mu ntini no mu . Eyi ne ɔkwan a wɔfa so susuw nsɛm wɔ wo koma mu.
Dɛn nti na ɛho hia sɛ yɛyɛ sɔhwɛ a ɛte saa?
Nsɛm a wonya fi sɔhwɛ yi mu no som bo yiye. Ɛboa nnuruyɛfo ma wohu aduruyɛ mu tebea horow pɛpɛɛpɛ na wohu sɛnea wotumi sa wɔn yare.
Fa no sɛ, sɛnea mfiridwumayɛfo de nnwinnade soronko bi di dwuma de hwɛ sɛ ɔhaw bi wɔ kar engine mu no, saa ara na oduruyɛfo no de saa afiri yi di dwuma de susuw nhyɛso ne mframa pa dodow a ɛwɔ koma no mu.
Pon a ɛwɔ aseɛ ha no kyerɛ wo aduruyɛ mu tebea titire a ɛhia sɛ wɔyɛ nhwehwɛmu yi.
| Tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma mu ahodwiriw a ɛma obi ho dwiriw no | Koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu mpofirim. |
| Koma ne ntini mu yare | Ɛyɛ den sɛ wobɛpopa mogya esiane koma ntini a ɛyɛ mmerɛw anaa ɛyɛ kɛse nti. |
| Koma mu yare a wɔde awo obi | Koma mu dɛmdi ahorow a wɔde awo obi. |
| Koma a entumi nyɛ adwuma yiye | Koma no ntumi mfa mogya mfa nni nipadua no ahiade ho dwuma. |
| Koma mu ntini mu yare | Valve ahorow a ɛwɔ koma no mu no mmue anaasɛ ntoto mu yiye. |
| Ahurututu mu mogya mmoroso | Nhyɛso a ɛboro so wɔ mogya ntini a ɛde mogya kɔ ahurututu mu no mu. |
Bio nso, ebia sɔhwɛ yi ho behia ansa na wɔayɛ akwaa a wɔde bɛma obi foforo oprehyɛn bi anaasɛ akyi, ne ansa na wɔde afiri titiriw bi a ɛboa koma no (`(benkum ventricular assist device)`) ahyɛ mu.
Nsonsonoe bɛn na ɛwɔ sɔhwɛ abien yi a wɔyɛ wɔ koma no nifa ne benkum no ntam?
Yiw, eyi yɛ asɛmmisa a ɛho hia. Sɔhwɛ bi wɔ hɔ a wɔyɛ wɔ koma no nifa so (`Right heart catheterization`) ne sɔhwɛ bi wɔ hɔ a wɔyɛ wɔ koma no benkum so (`Left heart catheterization`). Nsonsonoe a ɛda adi pefee wɔ abien no ntam.
| Su | Koma Nifa mu Catheterization (nifa so) . | Benkum Koma mu Catheterization (benkum so) . |
|---|---|---|
| Catheter a wɔde hyɛ mu | Ɛdenam ntini bi so (wɔ kɔn, asen, anaa abasa mu) . | Ɛdenam ntini bi mu (mpɛn pii no ɛwɔ asen anaa abasa mu) . |
| Koma no fã a wɔrehwehwɛ mu | Koma no ahurututu nifa, ahurututu nifa, ne ahurututu mu ntini. | Koma no benkum so ventricle, aorta, ne coronary ntini a ɛde mogya kɔ koma no mu no. |
| Botae titiriw | Nhyɛso a ɛwɔ koma ne ahurututu no nifa so a wosusuw. | Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ ebia ntini a ɛma mogya tu no asiw anaa. |
| Edin afoforo | Ahurututu mu ntini mu catheterization | Koma mu ntini a wɔde hyɛ nipadua mu, Coronary angiography |
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ma sɔhwɛ yi?
Okay, afei ma yɛnhwɛ sɛnea ɛsɛ sɛ wusiesie wo ho da a edi kan no. Wo duruyɛfo bɛma wo akwankyerɛ pɔtee wɔ eyi ho, nanso eyinom ne nneɛma a ɛsɛ sɛ woyɛ wɔ ɔkwan a ɛkɔ akyiri so.
- Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo: Ɛho hia sɛ woka nnuru biara a wɔakyerɛw ama wo, vitamin, nnuru a wɔde ka aduan ho, anaa nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu a wonom ho asɛm kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wogyae nnuru bi, titiriw nnuru a ekum mogya a ɛtwetwe , nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
- Fa obi ka wo ho bra fie: Ebia worentumi nka kar wɔ sɔhwɛ no akyi, enti ɛho hia sɛ wode obi bɛba fie.
- Yi agude ne nnadewa a wɔde yɛ nnadewa: Ansa na wobɛyɛ sɔhwɛ no, yi agude nyinaa te sɛ kɔnmuade, nkapo, ne nkaa. Yi nnadewa biara a wɔde yɛ nnadewa no fi hɔ, sɛ ɛwɔ hɔ a.
- Mmuadadi: Wɔbɛka akyerɛ wo sɛ nnidi anaa nnom biribiara nnɔnhwerew 6 kosi 12 ansa na wɔayɛ sɔhwɛ no. Ɛho hia paa sɛ wudi afotu yi akyi pɛpɛɛpɛ.
Dɛn na ɛba da a wɔbɛyɛ sɔhwɛ no?
Adeyɛ no nyinaa betumi agye nnɔnhwerew pii, nanso bere a wɔde catheter no si hɔ no taa yɛ bɛyɛ dɔnhwerew biako.
Ansa na sɔhwɛ no bɛba...
Sɛ wɔde wo kɔ ayaresabea no fã titiriw bi ("cath lab") wie a, ɔyarehwɛfo bi bɛba mu abɛka akyerɛ wo sɛ hyɛ ayaresabea atade. Wɔbɛka akyerɛ wo sɛ kɔ aguaree na fa wo dwonku mu mpan. Afei wɔbɛma woada sɔhwɛ pon so na wɔde nsensanee nketenkete abata wo moma so. Wɔfrɛ eyinom electrode ahorow . Wɔde eyinom hwɛ sɛnea wo koma no yɛ adwuma (te sɛ ECG) wɔ sɔhwɛ no nyinaa mu.
Mpɛn pii no, wɔremfa wo nna mma sɔhwɛ yi. Nanso, ɛtɔ mmere bi a wobetumi ama wo aduru a ɛma wo ho dwo anaa aduru bi a ɛbɛboa wo ma woada anaasɛ woagye w’ahome denam kankyee (IV) a wɔde ahyɛ ntini bi mu wɔ wo basa mu no so.
Wɔ sɔhwɛ no mu no...
Woda saa bere yi. Oduruyɛfo no ne kuw no rekyerɛkyerɛ biribiara mu akyerɛ wo.
1. Nea edi kan no, wɔhohoro baabi a wɔde catheter no bɛhyɛ (kɔn, asen, anaa abasa) no ho na sɛ ɛho hia a, woyi nhwi biara.
2. Afei , wɔde aduru bi a ɛma obi dwensɔ gu baabi a ɛwɔ hɔ no ma ɛyɛ mmerɛw. Enti worente ɛyaw pii nka.
3. Afei, wɔde ade titiriw bi di dwuma de hyɛn mogya ntini no mu na wɔde catheter no fa mu.
4. Afei, wɔde brɛoo paa na wɔde ahwɛyiye hwɛ, bere a wɔrehwɛ screen soronko bi te sɛ x-ray no, wɔkyerɛ catheter no kwan kɔ koma no fã nifa na ɛkɔ ahurututu mu ntini no mu.
5. Sɛ catheter no si baabi a ɛfata a, wɔsusuw nhyɛso a ɛwɔ beae biara no na sɛ ɛho hia a, wɔfa mogya.
6. Saa bere yi mu no, wobetumi aka akyerɛ wo sɛ tra hɔ dinn, home anaa gyina kakra, anaa sesa wo nipadua gyinabea.
7. Ɛtɔ da bi a, wubetumi nso ahu sɛnea wo koma bɔ sesa bere a woreteɛteɛ w’apɔw mu (sɛ nhwɛso no, wode afiri a wɔde fa pedal di dwuma bere a woda mpa so).
8. Awiei koraa no, wɔde ahwɛyiye yi catheter no, na wɔde plaster anaa aduru a wɔde kyekyere nneɛma gu baabi a wɔde bɛhyɛ mu no.
So eyi yɛ yaw?
Ebia wobɛte ɛyaw kakra bere a wɔde aduru a ɛma wo ho yɛ wo yaw no gu wo mu no. Ebia wobɛte nhyɛso kakra nso nka bere a wɔde catheter no ahyɛ mu no. Sɛ ɛnyɛ ɛno a, ɛyaw biara nni hɔ bere a catheter no kɔ mu no. Nanso, ebia wobɛte nneɛma te sɛ:
- Koko mu yaw anaasɛ te nka sɛ koma a ɛbɔ bere a catheter no bɔ koma no afasu no.
- Ti a ɛyɛ wo yaw, te nka sɛ wo ho ayɛ wo hyew.
- Sɛ obi te nka sɛ ne ho ayɛ no yaw.
- Sɛ wote nka sɛ worefefe.
- Nkate a ɛyɛ hyew bere a wɔde aduru no ama no.
Sɛ wote saa nneɛma yi bi nka a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara. Ɛho hia paa.
So asiane bi wɔ sɔhwɛ yi mu?
Mpɛn pii no , koma nifa a wɔde hyɛ nipadua no mu no yɛ adeyɛ a ahobammɔ wom yiye . Nanso, te sɛ aduruyɛ mu adeyɛ biara no, ebetumi de asiane nketenkete koraa aba. Sɛ wusi gyinae sɛ mfaso a ɛwɔ oprehyɛn no so dɔɔso sen asiane ahorow no nkutoo a, na wo duruyɛfo bɛkamfo akyerɛ wo.
Asiane ahorow bi a ebetumi aba ne:
- Nnuru anaa nneɛma a wɔde di dwuma ho akisikuru.
- Koma a ɛbɔ daa (Arrhythmia).
- Mogya a ɛretu anaasɛ akisikuru wɔ baabi a wɔde catheter no ahyɛ mu.
- Mogya a ɛtwetwe.
- Nsaneɛ.
- Ɛntaa mma koraa, koma anaa mogya ntini a ɛsɛe, komayare anaa ɔyare a ɛma obi hwe ase.
Kae sɛ asiane ahorow yi ho yɛ na koraa. Aduruyɛ kuw no asiesie wɔn ho koraa sɛ wobesiw biribi a ɛte sɛɛ ano.
Sɛ wudu fie a, dɛn na wopɛ sɛ woyɛ?
Wɔbɛhwɛ wo nnɔnhwerew kakraa bi wɔ sɔhwɛ no akyi na wɔde wo akɔ fie. Hwɛ yiye wɔ saa nneɛma yi ho bere a woakɔ fie awie no.
- Ahomegye: Gye w’ahome da mũ no nyinaa. Kwati sɛ wobɛkotow, wobɛma so, anaa wobɛpia wo ho anyɛ yiye koraa no nnɔnhwerew 24.
- Kwati sɛ wobɛka kar: Sɛ wɔama wo aduru a wɔde nna a emu nyɛ duru a, nka kar anaa mfa mfiri a emu yɛ duru nni dwuma nnɔnhwerew 24.
- Nom nsu pii: Nsu pii a wobɛnom no ye ma nipadua no.
- Hwɛ aduru a wɔde kyekyere wo ho no so: Fa aduru no sie baabi a wɔde catheter no bɛhyɛ mu bere tenten biara a wo duruyɛfo bɛka akyerɛ wo (mpɛn pii no da koro anaa nnanu).
- Aguare: Nguare nnɔnhwerew 24-48. Afei nso, nhyɛ bathtub mu kosi sɛ kuru no bɛsa koraa. Sɛ woreguare a, npete kuru no mu denneennen dodo, na mmom ma ɛnyɛ nwini.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara!
Sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, frɛ wo duruyɛfo a ɛnkyɛ . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
| Kɔkɔbɔ Nsɛnkyerɛnne | Nea ɛsɛ sɛ wode w’adwene si so titiriw |
|---|---|
| Mogya a ɛretu anaasɛ ɛho ahonhon wɔ baabi a wɔde catheter no ahyɛ mu no | Sɛ mogya no annyae anaasɛ sɛ akisikuru kɛse bi a ɛyɛ yaw ba wɔ hɔ a. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Kuru no ho a ɛyɛ kɔkɔɔ, ɛho hohoro, ɔhyew, akisikuru, anaa atiridiinini a atwa kuru no ho ahyia. |
| Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa | Sɛ wote nka sɛ wo moma so rebɔ anaasɛ wo koma bɔ te sɛ nea ɛyɛ nwonwa a. |
| Nsakrae a ɛba abasa anaa nan bi mu | Sɛ basa anaa nan a wɔde catheter no hyɛɛ mu no yɛ yaw, dan bruu, ɛyɛ nwini, anaasɛ ɛyɛ mmerɛw a. |
| Komayare ho sɛnkyerɛnne ahorow | Koko mu yaw anaasɛ ɛyɛ den, fifiri a ɛboro so, ɛyɛ den sɛ wobɛhome. |
| Nhumu a wɔhwere | Sɛ w’adwene fi wo so mpofirim a. |
Nkrasɛm a Wɔde Kɔ Fie
- Koma Nifa Catheterization yɛ sɔhwɛ a ɛho hia na mpɛn pii no ahobammɔ wom a ɛhwɛ sɛnea wo koma nifa no yɛ adwuma.
- Di oduruyɛfo no akwankyerɛ (mmuadadi, nnuru ho akwankyerɛ) akyi yiye ansa na woayɛ nhwehwɛmu yi.
- Nsuro sɛ wobɛka ɔhaw biara a wobɛte nka bere a wɔreyɛ nhwehwɛmu no akyerɛ nnuruyɛfo kuw no.
- Ɛho hia paa sɛ wobɛhome na woahwɛ kuru no so bere a woakɔ fie awie no.
- Hwɛ kɔkɔbɔ nsɛnkyerɛnne no yiye. Sɛ saa sɛnkyerɛnne ahorow yi bi da adi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ woda so ara wɔ nsɛmmisa bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo besusuw ho.
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