So ɛtɔ da bi a wote nka sɛ
wo koma rebɔ ntɛmntɛm, ɛtɔ da bi nso a ɛrebɔ? Anaasɛ wote nka sɛ woabrɛ anaasɛ wo ho ayɛ wo yaw a ntease biara nnim? Ɛtɔ mmere bi a eyinom betumi ayɛ nea ɛfata. Nanso, ɛtɔ mmere bi nso a ebetumi ayɛ ɔhaw bi a ɛwɔ yɛn koma dwumadi ho sɛnkyerɛnne. Ɛnnɛ yɛreka tebea a ɛte saa biako ho asɛm, Sick Sinus Syndrome (SSS). Mma ɛnhaw wo, momma yɛnte eyi ase kɛkɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Sick Sinus Syndrome (SSS)?
Fa wo koma sɛ generator wɔ wo fie. Saa generator yi de anyinam ahoɔden nsɛnkyerɛnne kɔ koma no nyinaa mu ma ɛbɔ yiye. Yɛfrɛ saa abɔde mu generator yi wɔ yɛn koma mu sɛ sinus node. Eyi ne koma no abɔde mu
ade a ɛma koma no bɔ .
Sick Sinus Syndrome (SSS) yɛ tebea a ɛma koma no abɔde mu ade a ɛma koma no bɔ, sinus node no, nyɛ adwuma yiye. Afei koma no nnyigyei bɛyɛ nea ɛnkɔ so pɛpɛɛpɛ. Ɛtɔ da bi a ɛbɔ ntɛmntɛm paa, ɛtɔ da nso a ɛbɔ ntɛmntɛm paa, na ɛtɔ da nso a, ɛgyae bɔ kakra. Koma a ɛbɔ a ɛnteɛ (arrhythmias) ahorow ahorow betumi aba.
SSS ahorow titiriw bɛn na ɛwɔ hɔ?
Saa tebea yi mma ɔkwan biako pɛ so. Ahorow atitiriw pii wɔ hɔ a egyina nsakrae a ɛba koma no nnyigyei mu so. Momma yɛnhwɛ nea wɔyɛ.
| SSS type | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|
| Sinus Bradycardia a ɛyɛ mmerɛw | Eyi kyerɛ sɛ koma no bɔ brɛoo koraa sen sɛnea ɛte daa (ennu 60 wɔ simma biara mu). Eyi yɛ ade a ɛfata ma agumadifo a wɔteɛteɛ wɔn apɔw mu yiye. Nanso afoforo fam no, ebia koma no rentumi mfa mframa pa a ɛdɔɔso nkɔ nipadua no mu bere a ɛbɔ ntɛmntɛm saa no. |
| Bradycardia-Akoma mu ntini a ɛyɛ den | Eyi yɛ tebea a ɛma adwene tu fra paa. Nea ɛkɔ so wɔ ha ne sɛ koma no bɔ brɛoo mpofirim na afei mpofirim ara ɛsan yɛ ntɛmntɛm bio . Ɛte sɛ hann bi a ɛrehyerɛn. |
| Sinus a Wɔkyere/Gyina | Nea ɛkɔ so wɔ ha ne sɛ koma no abɔde mu afiri a ɛma koma no bɔ no gyae adwumayɛ bere tiaa bi . Ɛne sɛ, wohuruw koma bɔ biako anaa nea ɛboro saa. |
| Chronotropic Ahokokwaw a Wonnya | Eyi yɛ nea ɛyɛ den kakra. Sɛ yɛbɛka no tiawa a, ebia wo koma bɔ sɛnea ɛsɛ bere a woregye w’ahome no. Nanso sɛ woteɛteɛ w’apɔw mu, te sɛ bere a woreyɛ apɔw-mu-teɛteɛ a emu yɛ den te sɛ antweri a woforo a, wo koma bɔ nkɔ soro sɛnea ɛsɛ sɛ ɛyɛ . |
Dɛn nti na tebea yi ba?
Ɛyɛ den sɛ wobɛkyerɛ ade biako pɛ a ɛde SSS ba. Ɛtɔ da bi a, wontumi nhu nea ɛde ba. Nanso nneɛma kakraa bi na ɛtaa de ba:
- Mpanyinyɛ : Bere a yɛrenyin no, koma ntini te sɛ yɛn nipadua no afã afoforo no yɛ mmerɛw. Eyi ne ade titiriw nti.
- Komayare : Sɛ woadi kan anya komayare, anaasɛ tebea horow te sɛ mogya mmoroso anaa koma mu ntini mu yare asɛe wo koma .
- Koma oprehyɛn : Akuru ntini a ɛba bere a wɔayɛ koma oprehyɛn akyi no betumi asɛe sinus node no.
- Nnuru bi: Nnuru bi te sɛ beta-blockers ne calcium channel blockers a wɔde sa mogya mmoroso no betumi ama koma no abɔ brɛoo .
- Ayaresa mu tebea afoforo: Dae mu ahomegye, thyroid ho haw, ne nyarewa bi a ɛma obi ho hyehye no nso betumi de saa tebea yi aba.
- Awosu mu nneɛma a ɛde ba: Ɛntaa mma koraa sɛ awosu mu nsakrae a ɛkɔ so wɔ awo ntoatoaso ahorow mu nso betumi de SSS aba.
Dɛn ne eyi ho sɛnkyerɛnne?
Nnipa dodow no ara a wɔwɔ SSS no
nhu sɛnkyerɛnne biara . Anaasɛ ebia sɛnkyerɛnne ahorow no yɛ anifere araa ma obiara nhu. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:
- Ɔbrɛ
- Adwene a ɛyɛ basaaAnaasɛ ɔte nka sɛ ne ti ayɛ hare
- Nnipa a wɔtotɔ piti
- Ɔhome a ɛyɛ den, ahome a ɛyɛ tiaa (Feeling out of home) .
- Koko mu yaw anaasɛ ɛnyɛ dɛ
- Nkae a ɛyera, adwene a ɛyɛ basaa
- Pulse a ɛyɛ brɛoo paa
- Koma a ɛbɔ denneennen
Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, yɛsrɛ sɛ mmu w’ani ngu so. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu. Ebia nnuru a worenom no biako a wobɛsesa no betumi adi ɔhaw no ho dwuma.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Wo duruyɛfo bedi kan abisa wo wo sɛnkyerɛnne ahorow no ho asɛm. Esiane sɛ SSS ho sɛnkyerɛnne te sɛ nyarewa afoforo de nti, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu pii na ama wɔahu yare no pɛpɛɛpɛ.
- Electrocardiogram (ECG): Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔkyerɛw anyinam ahoɔden dwumadi a ɛwɔ wo koma mu no sɛ line graph. Wobetumi nso aka akyerɛ wo sɛ yɛ ECG bere a woreyɛ apɔw-mu-teɛteɛ (Treadmill Test).
- Holter Monitor: ECG kyerɛ wo koma bɔ saa bere no nkutoo. Nanso nsakrae a ɛba SSS nnyigyei mu ba bere ne bere mu. Enti afiri ketewaa bi a ɛbata wo nipadua ho no kɔ so kyerɛw wo koma bɔ bɛyɛ nnɔnhwerew 24 anaa 48.
- Event Monitor: Sɛ Holter monitor no nhu nsakrae a ɛba rhythm mu a, wobetumi ama event monitor a wobetumi de adi dwuma adapɛn pii.
- Electrophysiology Study (EPS): Eyi yɛ sɔhwɛ titiriw bi a ɛfa nhama a ɛyɛ tratraa a wɔde fa koma no mu tɔnn, yɛ koma no anyinam ahoɔden akwan ho mfonini, na wɔkyerɛ baabi pɔtee a ɔhaw no wɔ.
Dɛn na woreyɛ sɛ ayaresa?
Ayaresa no gyina SSS ko a wowɔ, sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den, ne ayaresa tebea foforo biara a ebia wowɔ so.
| Ɔkwan a wɔfa so sa yare | Nkyerɛmu |
|---|
| Nnuru a wɔsesa | Sɛ aduru bi a worenom na ɛde ɔhaw no ba a, wubetumi adi ɔhaw no ho dwuma denam wo duruyɛfo a wobɛkasa na woasesa aduru no anaasɛ wobɛtew dodow so. |
| Pacemaker a wɔde hyɛ nipadua mu | Awiei koraa no, nnipa pii a wɔwɔ SSS hia afiri a ɛma wɔn koma bɔ kɛse. Eyi yɛ mfiri ketewaa bi pɛ. Wɔde hyɛ honam ani, wɔ kɔn mu dompe no ase pɛɛ, bere a wɔreyɛ oprehyɛn ketewaa bi pɛ no. Ɛhu bere a koma no bɔ brɛoo dodo na ɛde anyinam ahoɔden nsɛnkyerɛnne kɔ koma no mu ma ɛkɔ so bɔ denneennen. |
| Mogya a Wɔde Yɛ Adwuma | Esiane sɛ asiane a ɛwɔ hɔ sɛ mogya bɛtɔ koma no mu no yɛ kɛse wɔ tebea horow te sɛ Bradycardia-Tachycardia mu nti, wobetumi akyerɛw nnuru yi ama de asiw tebea horow te sɛ ɔyare a ɛma obi hwe ase ano. |
| Ablation ayaresa | Di koma a ɛbɔ ntɛmntɛm no so, hwehwɛ baabi a anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa wɔ koma no mu no wɔ, na fa aduru titiriw bi a edum di dwuma. |
Nkrasɛm a Wɔde Kɔ Fie
- Sick Sinus Syndrome (SSS) yɛ koma a ɛbɔ a ɛnteɛ a ɛnam koma no abɔde mu afiri a ɛma koma no bɔ (sinus node) a ɛnyɛ adwuma yiye nti.
- Nsɛnkyerɛnne te sɛ adwenemhaw, ɔbrɛ a ɛtra so, ne nna a wɔhwere betumi aba. Nanso, ebia nnipa pii rennya yare no ho sɛnkyerɛnne biara koraa.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mma wo ho nnpopo anaasɛ mmu w’ani ngu so, na akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn.
- Ayaresa ahorow (pacemakers, nnuru) wɔ hɔ. Wo duruyɛfo na ɔbɛkyerɛ ayaresa a ɛfata wo tebea no yiye.
- Ɛho hia paa sɛ wobɛma wo koma ayɛ yiye denam sigaretnom a wobɛkwati, srade ne mogya mmoroso a wubedi so, aduan pa a wubedi, ne apɔw-mu-teɛteɛ a wobɛma so.
Sick Sinus Syndrome, SSS, koma a ɛbɔ, koma a ɛbɔ, pacemaker, adwenemhaw, bradycardia, tachycardia, komayare, komayare, pacemaker, koma a ɛnyɛ den, koko mu yaw
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