So woate nka mpofirim sɛ wo koma rebɔ, wo koko mu ayɛ den, anaa woahu sɛ worepere sɛ wobɛhome pɛn? Ebia eyi besi bere a woresiesie wo ho ama sɔhwɛ bi, ansa na wode asɛm bi ama, anaasɛ bere a woatu mmirika na woateɛteɛ w’apɔw mu akyi pɛɛ. Bere a eyi taa yɛ nipadua mu mmuae a ɛfata koraa no, momma yɛnhwehwɛ mu yiye na yɛnte nea ɛrekɔ so wɔ wo nipadua mu no ase ankasa.
Dɛn ne Sinus Tachycardia?
Sɛ yɛbɛka no tiawa a, sɛ wo koma bɔ ntɛmntɛm sen 100 simma biara a, wɔfrɛ no tachycardia . Afei, sinus tachycardia kyerɛ sɛ wo koma no abɔde mu afiri a ɛma wo koma bɔ— sinoatrial (SA) node —de anyinam ahoɔden nsɛnkyerɛnne remena ntɛmntɛm, na ɛma wo koma bɔ ntɛmntɛm sen sɛnea ɛte daa. Fa no sɛ SA node no sɛ master spark plug a ɛkyerɛ wo koma bere a ɛsɛ sɛ wotwetwe. Sɛ saa nsɛnkyerɛnne yi yɛ ntɛmntɛm a, wo koma bɔ kɔ soro sɛnea ɛfata.
Mpɛn pii no, eyi yɛ mmuae a ɛfata koraa a wo nipadua no yɛ. Wo koma bɔ ntɛmntɛm fi awosu mu ma ɛma mogya a oxygen pii wom bere a wote ehu nka, wode wo ho hyɛ apɔw-mu-teɛteɛ mu denneennen, anaa bere a nsu a ɛwɔ wo mu no ayɛ wo hyew no. Wɔ tebea horow yi mu no, ɛyɛ ade a ɛfata koraa .
Dɛn ne Sinus Tachycardia (IST) a Ɛmfata?
Nanso, ɛtɔ mmere bi a wo koma bɔ kɔ so bɔ boro 100 simma biara a ntease biara nni mu a emu da hɔ na ntease wom. Sɛ wo duruyɛfo yɛ ECG (electrocardiogram) mpo a, ebia ɛrenkyerɛ sɛ nipadua no nhyehyɛe a ɛnteɛ biara. Wɔfrɛ saa tebea yi sɛ Inappropriate Sinus Tachycardia (IST) . Wɔtaa hu no kɛse wɔ mmea a wɔadi mfe 30 mu. Nya awerɛhyem, bere a ebetumi ayɛ nea ɛnyɛ dɛ de, nanso tebea yi nyɛ nea ɛde wo nkwa to asiane mu .
Wo duruyɛfo betumi de ECG adi dwuma de ahu nsonsonoe a ɛda sinus tachycardia ne koma a ɛbɔ ntɛmntɛm ahorow afoforo ntam ntɛm. Momma yɛnhwɛ tachycardia ahorow kakraa bi a ɛtaa ba:
- SVT (Supraventricular Tachycardia): SVT ho sɛnkyerɛnne betumi ate nka sɛ ɛte sɛ sinus tachycardia . Nanso, mpɛn pii no, akwan pɔtee bi a ɛda nsow wɔ koma no mu a wo duruyɛfo betumi aboa wo ma woadi ho dwuma na ɛkanyan no.
- Sinus Tachycardia a PVCs (Premature Ventricular Contractions) ne PACs (Premature Atrial Contractions) wom: Sɛ wowɔ tebea horow yi a, ebia wobɛte nka sɛ wo koma rebɔ, ɛrehuruw, anaasɛ ɛrebɔ wo moma so (ɛbɔ). Eyi fi ɔbɔ a ɛboro so, a wɔbɔ no ntɛm. Nea eye ne sɛ, mpɛn pii no, saa bɔ a ɛboro so yi nyɛ asiane biara koraa .
- Ventricular Tachycardia: Eyi yɛ tebea a ebetumi ayɛ hu a efi koma no ase adan mu. Sɛ obi koko mu yɛ no yaw kɛse, ne home yɛ tiaa kɛse, anaasɛ ɔhwe ase a, ɛsɛ sɛ wɔyɛ no ntɛm ara, na ebia ɛho behia sɛ wɔn a wɔrehwɛ no yɛ CPR (Cardiopulmonary Resuscitation) .
Henanom na Sinus Tachycardia Ka Wɔn?
Kaso obiara betumi anya sinus tachycardia. Sɛnea yɛadi kan aka no, mpɛn pii no ɛyɛ sɛnea wo nipadua no yɛ n’ade wɔ nipadua mu mmɔdenbɔ, nkate fam nhyɛso, anaa anigye ho ara kwa.
Dɛn na Ɛde Sinus Tachycardia Ba?
Ade titiriw a ɛkanyan sinus tachycardia ne honam fam anaa nkate fam nhyɛso a ɛde ba wo nipadua so. Nhwɛso ahorow a wɔtaa yɛ no bi ne:
- Ehu: Ehu a ɛba mpofirim no kanyan adrenaline a ɛyɛ den ntɛm ara. Susuw sɛnea sɛ ɔkraman bi taa wo mpofirim a, wo koma bɔ ntɛmntɛm no ho hwɛ!
- Dadwen anaa Ehu: Ehu mu nhyɛso a wote nka ansa na woatra ase ayɛ sɔhwɛ anaasɛ woatu anammɔn akɔ nsɛm a ɛho hia mu.
- Huraeɛ:Sɛ wutu mmirika kɔ atiridiinini a, wo koma bɔ ntɛmntɛm fi awosu mu de boa ma wo nipadua no dwo.
- Apɔw-mu-teɛteɛ a emu yɛ den : Mmirikatu, agumadi, anaa wo ho a wobɛpia denneennen bere a woreyɛ apɔw-mu-teɛteɛ.
- Nnuru bi: Nnuru bi a wɔkyerɛw ma wo, atiridii aduru a wɔtɔn, anaa nnuru a ɛkanyan obi betumi ama wo koma abɔ.
- Nsu a ɛho ntew : Bere a wo nipadua nni nsu a ɛdɔɔso a ɛbɛma mogya dodow a ɛfata akɔ so atra hɔ no.
Bere a sinus tachycardia yɛ mmuae a ɛfata wɔ tebea horow a yɛabobɔ din wɔ atifi hɔ no mu no, koma a ɛretu mmirika bere a wo ho adwo wo koraa na woagye w’ahome no nyɛ ade a ɛfata.
Aduruyɛ mu nneɛma afoforo a ɛntaa nsi nso wɔ hɔ a w’akwahosan ho ɔyaresafo bɛhwehwɛ mu:
- Koma ntini no a ɛsɛe.
- Anemia ( Anemia ): Mogya dodow a ɛba fam a ɛtew oxygen dodow a ɛfa wo nipadua mu no so.
- Mogya a ɛtɔ kɛse (mogya a ɛtɔ).
- Thyroid ntini a ɛyɛ adwuma boro so (Hyperthyroidism).
Sɛ wo duruyɛfo bu nneɛma a ebetumi de aba yi nyinaa a, ebia ɔbɛka sɛ wowɔ Inappropriate Sinus Tachycardia (IST) .
Dɛn ne Nsɛnkyerɛnne no?
Nnipa pii a wɔwɔ sinus tachycardia no nhu sɛnkyerɛnne biara koraa . Sɛ wuhu sɛnkyerɛnne ahorow mpo a, mpɛn pii no ɛyɛ tiawa na ɛyɛ nea ɛfa wo ho. Nanso, ebia wubehu sɛ:
- Koma a ɛbɔ ntɛmntɛm anaasɛ ɛbɔ ntɛmntɛm.
- Koma a ɛbɔ (te nka a ɛyɛ wo koko a worehuruhuruw anaasɛ worebɔ).
- Ɔtotɔ piti (syncope).
- Koko mu yaw anaasɛ ɛnyɛ dɛ.
- Ti a ɛyɛ hare.
- Ɔhome a ɛyɛ tiaa anaasɛ ɛyɛ den sɛ ɔbɛhome.
- Adwene a ɛyɛ basaa.
Sɛ wowɔ Inappropriate Sinus Tachycardia (IST) a, ebia wobɛtaa ahyia:
- Ahome a ɛyɛ tiaa (titiriw bere a wɔyɛ adwuma nketenkete).
- Ɔbrɛ anaa ɔbrɛ a ɛkɔ so daa.
- Apɔw-mu-teɛteɛ a wontumi nnyina ano (te nka sɛ wabrɛ anaasɛ wuntumi nni nipadua mu mmɔdenbɔ ho dwuma).
- Koma a ɛtaa bɔ denneennen.
Ɔkwan Bɛn so na Wohu no?
Wo duruyɛfo bɛka w’ayaresa ho abakɔsɛm ho asɛm, abisa wo yare no ho sɛnkyerɛnne, na wayɛ wo nipadua mu nhwehwɛmu a edi mũ. Nea ɛbɛyɛ na wɔahu nea ɛde wo koma bɔ ntɛmntɛm ba ankasa no, ebia wɔbɛkamfo nhwehwɛmu ahorow a edidi so yi akyerɛ sɛ wobɛyɛ de ahu:
- Electrocardiogram (ECG anaa EKG): Saa sɔhwɛ yi kyerɛw wo koma no anyinam ahoɔden nsɛnkyerɛnne de kyerɛ sɛnea ɛyɛ adwuma.
- Echocardiogram: Wo koma mu nnyigyei a wɔde hwɛ sɛnea ɛsõ, sɛnea ɛte, ne sɛnea ɛbɔ no yiye.
- Holter monitor: ECG afiri ketewaa bi a wotumi fa so a wohyɛ nnɔnhwerew 24 anaa nea ɛboro saa de kɔ so hwɛ wo koma a ɛbɔ bere a woreyɛ da biara da no.
- Chest CT scan: Wo koko mu amena ho mfonini a ɛkɔ akyiri a wɔatwa no tiaa.
- Mogya mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ ebia nneɛma a ɛkanyan obi te sɛ mogya a ɛtɔ kɔ nipadua mu anaa thyroid mu yare.
- Chest X-ray: Sɛnea ɛbɛyɛ a wobɛhwɛ w’ahurututu ne koma nhyehyɛe akwahosan.
- Pulse oximetry: Sensor a ɛnyɛ den a ɛnyɛ nea ɛkɔ nipadua no mu a wɔde si wo nsateaa so de susuw oxygen dodow a ɛwɔ wo mogya mu.
- Scan a wɔde hwɛ mogya a ɛkɔ w’ahurututu mu: Wɔtaa frɛ no V/Q scan, de hwɛ hu sɛ biribiara nsiw (te sɛ mogya a ɛtɔ) w’ahurututu mu ntini mu.
Sɛ wɔanhu ade foforo biara a ɛde ba wɔ ayaresabea a, wo duruyɛfo betumi de ahotoso ahu sɛ wowɔ Inappropriate Sinus Tachycardia .
Dɛn ne Ayaresa a Wobetumi Apaw?
Sɛ woresa sinus tachycardia a, ade titiriw a wo duruyɛfo de di kan bere nyinaa ne sɛ obehu nea ɛde ba no na wasa .
- Sɛ adwennwen kɛse anaa apɔw-mu-teɛteɛ a emu yɛ den na ɛma wo koma bɔ ntɛmntɛm a, w’adwennwen dodow a wobɛhwɛ so, akwan a wobɛfa so agye w’ahome, anaasɛ wobɛsakra w’apɔw-mu-teɛteɛ no bɛboa ma woasiesie asɛm no.
- Sɛ aduruyɛ mu tebea bi a ɛda adi (te sɛ nsu a ɛtɔ anaa mogya a ɛtɔ kɔ nipadua mu) na ɛde wo sinus tachycardia reba a, wo duruyɛfo no de n’adwene besi saa akwahosan ho asɛm pɔtee no a ɔbɛsa na wasiesie so tẽẽ.
Wobetumi adi Sinus Tachycardia (IST) a ɛmfata ho dwuma na wɔasa no wɔ akwan horow pii so, a egyina wo sɛnkyerɛnne pɔtee ne w’aduruyɛ ho abakɔsɛm so:
- Beta-blockers: Saa nnuru yi boa ma wo koma bɔ yiye, na ɛma ɛkɔ so tra baabi a ahobammɔ wom na ɛyɛ mmerɛw.
- Calcium channel blockers: Eyinom yɛ nnuru foforo a ɛboa ma wo koma bɔ brɛoo na ɛhyɛ so nso.
- Ivabradine : Eyi yɛ aduru a wɔde wɔn ani asi so kɛse a wɔayɛ no titiriw sɛnea ɛbɛyɛ a wo koma bɔ so dwoodwoo.
- Catheter ablation: Eyi yɛ adeyɛ a ɛnyɛ den pii a wo duruyɛfo hu akwan pɔtee a ɛwɔ wo koma mu a ɛde anyinam ahoɔden nsɛnkyerɛnne a ɛnteɛ ba no na ɔsa.
- Adwene ne nneyɛe ho ayaresa: Saa ayaresa a ɛboa yi boa wo ma wunya akwan pa a wobɛfa so agyina ano a wode bedi adwennwen ne dadwen a ɛtaa kanyan koma a ɛbɔ kɛse no ho dwuma.
So Nsunsuanso Foforo Bi Bi Wɔ Saa Ayaresa Yi Mu?
Te sɛ aduruyɛ biara no, nnuru a wɔde sa sinus tachycardia a ɛmfata no betumi de nsunsuanso bɔne bi a ebetumi aba . Nanso, mpɛn pii no, honam fam ne nkate fam ahotɔ a wunya no boro asiane ahorow a emu nyɛ den yi so koraa. Ɛyɛ awerɛhyem nso sɛ yebehu sɛ asiane a ɛwɔ hɔ sɛ ɔhaw ahorow a emu yɛ den befi catheter a wɔde yiyi mu aba no sua koraa . W’akwahosan kuw a ɛwɔ Nirogi Lanka no bɛka saa akwan yi ho asɛm kɔ akyiri de apaw ɔkwan a ahobammɔ wom na etu mpɔn sen biara ma wo.
Ɔkwan Bɛn so na Ɛsɛ sɛ Wohwɛ Nsɛnkyerɛnne no So Bere a Ɛba?
Sɛ wuhu sɛnkyerɛnne ahorow mpofirim a, mpɛn pii no wɔn ankasa bɛtwam ntɛmntɛm. Sɛ wufi ase te nka sɛ wo ti yɛ wo yaw, wo ti yɛ wo yaw, anaasɛ wo nkari pɛ a, da fam ntɛm ara na home brɛoo . Adeyɛ a ɛnyɛ den yi boa ma mogya san kɔ baabiara na ɛde ahotɔ ba ntɛmntɛm.
So Wubetumi Asiw Sinus Tachycardia ano?
Bere a nneɛma bi a ɛkanyan—te sɛ ehu a ɛba mpofirim—fi awosu mu yɛ nea wuntumi nni so no, wubetumi asiw nsɛm pii ano koraa denam nneɛma afoforo a ɛkanyan wo da biara da a wubedi ho dwuma no so. Fapem a wode besiw ano ne sɛ wobɛma wo ho adwo wo, wobɛkɔ so akura asetra a ɛfata mu, na woama wo nipadua no anya nsu pii .
Nsakrae atitiriw a wubetumi ayɛ wɔ asetra mu:
- Tow caffeine a wonom: Tew tii, kɔfe, anonne a ɛma ahoɔden, ne anonne afoforo a caffeine wom a ɛkanyan wo koma bɔ no so.
- Apɔw-mu-teɛteɛ daa: Fi ase brɛoo na nkakrankakra ma wo apɔw-mu-teɛteɛ dodow nkɔ soro. Kwati apɔw-mu-teɛteɛ a emu yɛ den dodo mpofirim.
- Gyae sigaretnom na kwati tawa ho nneɛma nyinaa koraa.
- Tew sodium (nkyene) a wudi wɔ w’aduan mu no so.
“Asetra kwan a ahoɔden wom ne wo kyɛm a emu yɛ den sen biara—ɛnyɛ sɛ ɛko tia sinus tachycardia nko, na mmom ɛko tia koma ne ntini mu nyarewa ahorow pii.”
Dɛn ne Nkɔmhyɛ a Ɛfa Tebea Yi Ho?
Bere a ɛtɔ mmere bi a koma a ɛbɔ ntɛmntɛm ahorow afoforo bi betumi ama koma ntini ayɛ mmerɛw (a wɔfrɛ no cardiomyopathy ) no, ɛnyɛ nea ɛda adi koraa sɛ eyi rensi wɔ sinus tachycardia ho. Esiane sɛ sinus tachycardia taa yɛ sɛnea wo nipadua no yɛ n’ade wɔ bere tiaa mu honam fam anaa nkate fam nhyɛso ho ara kwa nti, bere tenten mu anidaso (nkɔmhyɛ) no ye yiye . Sɛ nea ɛkanyan wo wɔ ase no siesie wie a, wo koma bɔ san fi awosu mu kɔ ne mfiase a ɛyɛ papa no so.
Sɛ Wowɔ Sinus Tachycardia a, Wobɛyɛ Dɛn Atumi Ahwɛ Wo Ho?
Ɛwom mpo sɛ ɛnyɛ bere nyinaa na wuntumi nni asetra mu adwennwen a wonhwɛ kwan so de, nanso ɔkwan a eye sen biara a wobɛfa so ahwɛ wo ho ne sɛ wode nsiyɛ bedi dwuma wɔ akwan horow a wɔfa so yi adwennwen so, akura aduan pa mu, na woahwɛ ahu sɛ wobɛkɔ so anya nsu bere nyinaa da mũ no nyinaa.
Na Sɛ Wohyia Sinus Tachycardia Bere a Wonyinsɛn Adi nso ɛ?
Koma a ɛbɔ bere a woanyinsɛn no nyɛ nea ɛntaa nsi , efisɛ wo mogya dodow kɔ soro fi awosu mu de boa wo ba no. Mpɛn pii no, saa koma a ɛbɔ yi nyɛ asiane koraa . Nanso, sɛnea ɛbɛyɛ a wubenya ahobammɔ koraa no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wonyɛ ECG daa . Sɛ ɛho hia sɛ wɔsa yare a, nnuru a ahobammɔ wom kɛse wɔ hɔ a wobetumi apaw a ɛrempira wo anaa wo ba no. Yɛsrɛ sɛ wo ne w’akwahosan ho ɔyaresafo nsusuw biribiara a ɛhaw wo ho pefee.
Bere Bɛn na Ɛsɛ sɛ Wohwehwɛ Aduruyɛ Ho Afotu a Ɛyɛ Animdefo?
Sɛ tebea bi a ɛyɛ adwennwen, apɔw-mu-teɛteɛ a emu yɛ den, anaa anigye na ɛmaa wo koma bɔ kɛse a, ɛsɛ sɛ ɛno ankasa san kɔ nea na ɛte kan no. Nanso, sɛ wowɔ akwahosan tebea horow a na woadi kan anya, anaasɛ wo koma bɔ ntɛmntɛm bere a woagye w’ahome koraa mpo a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.
Bere a mpɛn pii no, sinus tachycardia a ɛnyɛ hu nyɛ hwee a ɛhaw adwene no, aduruyɛ mu tebea afoforo a ɛhyɛ ase nso betumi ama koma abɔ ntɛmntɛm. Saa komayare afoforo yi bi betumi ayɛ nea anibere wom kɛse na ehia sɛ wɔhwɛ ayaresabea . Sɛ wonya nhwehwɛmu a ɛfata a, ɛma wonya asomdwoe na wohu yare no pɛpɛɛpɛ.
Nsɛm Bɛn na Ɛsɛ sɛ Wubisa Wo Oduruyɛfo?
Sɛ wokɔ w’akwahosan ho ɔyaresafo nkyɛn a, ntwentwɛn wo nan ase sɛ wubebisa nsɛm a ɛboa yi na ama woate w’akwahosan ase yiye:
- “Dɛn na ɛda adi sɛ ɛkanyan me anaa ɛde me sinus tachycardia ba?”
- “So me sɛnkyerɛnne ahorow no betumi akyerɛ sɛ mewɔ komayare bi a emu yɛ den sen saa?”
- “So mihia bere a wɔde di akyi anaasɛ meyɛ sɔhwɛ foforo?”
Wo Nkrasɛm a Wode Kɔ Fie
Sinus tachycardia yɛ koma a ɛbɔ ntɛmntɛm a mpɛn pii no ɛyɛ wo nipadua no awosu mu adeyɛ a ɛfata wɔ da biara da nneɛma te sɛ adwennwen, apɔw-mu-teɛteɛ, anaa nsu nketenkete a ɛho nhia ho. Sɛ nea ɛkanyan wo anaa nea ɛde adwennwen ba no twam pɛ a, mpɛn pii no wo koma bɔ san kɔ sɛnea na ɛte kan no ankasa.
Nanso, sɛ wo koma kɔ so bɔ bere a woregye w’ahome a, yɛsrɛ wo hwehwɛ aduruyɛ mu nhwehwɛmu. Bere a mpɛn pii no, sinus tachycardia ankasa nyɛ asiane biara no, nyansa wom bere nyinaa sɛ wobɛkɔ akwahosan ho ɔbenfo nkyɛn de ayi koma ne ntini mu nsɛm a emu yɛ den kɛse afi hɔ. Wɔ Nirogi Lanka no, yɛhyɛ wo nkuran sɛ fa w’akwahosan di kan, di adwennwen ho dwuma, na kɔ so nya nsu fɛfɛɛfɛ!
sinus tachycardia, koma a ɛbɔ, koma a ɛbɔ, tachycardia, ECG, komayare, adwennwen, akwahosan
