So wunim Koma mu Owu a Ɛba Mpofirim?

Ebia woate sɛ obi a na ɔwɔ apɔwmuden, a na onni yare anaa amanehunu biara wui mpofirim. Ɛtɔ mmere bi a, ebia na yehu wɔ atesɛm krataa mu sɛ agumadifo bi hwehwee ase wɔ abɔnten so na owui. Sɛ yɛte nsɛm a ɛtete saa a, ɛyɛ yɛn ahodwiriw ankasa, ɛnte saa? Mpɛn pii no, nea ɛde owu a ɛte saa ba mpofirim ne komayare. Ɛnnɛ, momma yɛnka saa tebea yi a wɔfrɛ no `Sudden Cardiac Death` (SCD) ho asɛm. Ɛwom sɛ eyi yɛ ade a asiane wom ankasa de, nanso ɛho hia paa sɛ yɛma yɛn ani da hɔ.

Dɛn ankasa ne Koma mu Owu a Ɛba Mpofirim (SCD)?

Sɛ yɛbɛka no tiawa a, `Sudden Cardiac Death` (SCD) yɛ owu a ɛba mpofirim, a wɔnhwɛ kwan a ɛba wɔ bere tiaa bi mu, te sɛ dɔnhwerew biako mu, esiane ɔhaw bi a ɛwɔ koma no mu nti. Eyi ba bere a koma no gyae mpofirim, kyerɛ sɛ, bere a `Cardiac Arrest` ba. Susuw ho hwɛ, koma no te sɛ yɛn nipadua no engine. Nea ɛkɔ so wɔ ha no te sɛ nea saa engine yi gyae adwumayɛ mpofirim.

Sɛ koma no gyae a, dɛn na ɛba? Koma no de mogya a oxygen pii wom kɔ yɛn nipadua nyinaa mu. Sɛ koma no gyae a, amemene no ne akwaa afoforo a ɛho hia no nnya mframa pa. Sɛ oxygen nni hɔ a, saa akwaa yi ntumi nyɛ adwuma na entumi ntra ase. Enti, sɛ wɔannye mmoa ntɛm na koma no amfi ase anyɛ adwuma bio a, ebetumi akowie owu mu. Ɛno ne nea yɛfrɛ no `Sudden Cardiac Death`.

Nanso biribi a ɛho hia a ɛsɛ sɛ yɛkae ni. Sɛ wufi ase CPR (Cardiopulmonary Resuscitation) bere a obi koma atɔ no ara pɛ, kyerɛ sɛ, bere a ne koma gyae bɔ a, wubetumi agye hokwan a ɛwɔ hɔ sɛ wubegye ne nkwa no mmɔho abien anaa abiɛsa. Ɛno nti na ɛho hia kɛse sɛ wuhu CPR ho asɛm no.

Saa tebea yi abu so dɛn sɛ `SCD`?

Eyi yɛ hu kakra ankasa. SCD ne ade titiriw a ɛde owu a efi abɔde mu ba wɔ aman te sɛ United States mu. Ɛno na ɛma nnipa a komayare kunkum wɔn nyinaa mu fã.

Sɛnea akontaabu kyerɛ no, afe biara nnipa bɛboro ɔpepem 3.5 a wɔwɔ United States nkutoo komayare bere a wonni ayaresabea. Awerɛhosɛm ne sɛ, sɛ wonya ayaresa fi ambulance adwumayɛbea mpo a, nnipa kakraa bi pɛ, bɛyɛ 10%, na wonya nkwa.

Ade foforo ne sɛ mmarima betumi anya SCD mmɔho abien sen mmea. Nanso ɛntaa mma wɔ mmofra nkumaa mu koraa. Abofra biako anaa baanu pɛ wɔ awo 100,000 biara a wɔte ase afe biara mu.

So kɔkɔbɔ nsɛnkyerɛnne bi wɔ hɔ ansa na koma no awu mpofirim?

Yiw, ɛtɔ mmere bi a, sɛnkyerɛnne ahorow bi wɔ hɔ a ebetumi ada adi nnɔnhwerew, nna, anaa adapɛn bi mpo ansa na SCD aba. Sɛ wohwɛ eyinom a, ebia wubetumi akwati akwanhyia a emu yɛ den. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara .

• Nsɛnkyerɛnne a ɛho hia a ɛnteɛ : Eyi kyerɛ nsakrae a ɛnteɛ wɔ nneɛma te sɛ koma a ɛbɔ ne mogya mmoroso mu.
• Komayare ho sɛnkyerɛnne ahorow(Komayare ho sɛnkyerɛnne): Nneɛma te sɛ koko mu yaw, ɛyaw a ɛyɛ den, ɛyaw a ɛhyerɛn kɔ abasa benkum so.
• Nyarewa a emu yɛ den te sɛ `Sepsis`: Tebea a ɛnam ɔyare mmoawa a emu yɛ den a ɛba nipadua no mu so ba.
• Ɔbrɛ : Ɔbrɛ a ɛtra so a wɔte nka a ntease biara nnim.
• Ahome tiaa : Sɛ woka wo ho kakra mpo a, wote nka sɛ wo ho ayɛ wo yaw.
• Koko mu yaw : Eyi ne sɛnkyerɛnne titiriw a nnipa dodow no ara nim.
• Totɔ piti: Nhumu a ɛyera mpofirim na ɔhwe ase.
• Koma a ɛbɔ: Ɔte nka sɛ koma no rebɔ ntɛmntɛm, nnyigyei a ɛrebɔ wɔ koko mu.

Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa a, mfa nyɛ hwee. Hwɛ oduruyɛfo ntɛm ara sɛnea wubetumi.

Dɛn na ɛde saa `SCD` yi ba?

Nea ɛde `SCD` ba titiriw ne ahrawa mu ntini mu yare . Sɛ yɛbɛka no tiawa a, ɛyɛ ntini a ɛde mogya kɔ koma no mu (coronary arteries) a srade a ɛwɔ mu no siw. Eyi mma koma no nnya mogya a ɛdɔɔso.

Mpɛn pii no, koma a ɛbɔ a ɛnbɔ daa (a ɛbɔ denneennen) na ɛde SCD ba nnipa a wonnii mfe 35 mu . Eyi yɛ ɔhaw a ɛfa koma no nnyigyei ho. Eyi betumi afi koma mu nsɛm a wɔde awo obi anaa awosu mu tebea horow a ɛka koma no anyinam ahoɔden nhyehyɛe no mu aba.

Ebia woahyɛ no nsow sɛ wɔtaa hwehwɛ agumadifo a wɔyɛ adwumaden mu hwɛ sɛ wɔwɔ hypertrophic cardiomyopathy (koma ntini a ɛyɛ den, titiriw koma ntini mu nkwammoaa), a ɛyɛ ade titiriw a ɛde SCD ba wɔ saa mfe no mu. Nanso, SCD ho yɛ na koraa wɔ agumadifo mu (ɛyɛ obiako kosi asia wɔ agumadifo 100,000 biara a wonnii mfe 35 mu).

Mpɛn pii no, nea ɛde SCD ba nnipa a wɔadi boro mfe 35 mu no ne Coronary Artery Disease a yɛadi kan aka ho asɛm no.

Wɔ saa nneɛma atitiriw abien yi akyi no, nneɛma afoforo pii wɔ hɔ a ɛde `SCD` ba. Wɔne:

• Koma ne ntini mu yare a efi Nsã a Wɔde Di Dwuma Ho Ɔhaw mu.
• Obolo .
• Awosu mu nyarewa a ɛwɔ koma ntini mu, sɛ nhwɛso no, nea yɛadi kan aka ho asɛm `Hypertrophic Cardiomyopathy` ne `Arrhythmogenic Cardiomyopathy` .

Dɛn ne asiane ahorow a ɛde SCD ba?

Asiane pii wɔ hɔ a ebetumi ama obi anya SCD. Saa asiane yi kɔ soro bere a obi nyin no, sɛ woyɛ ɔbarima a, na sɛ wowɔ awosu mu komayare ahorow bi (e.g., Hypertrophic Cardiomyopathy).

Nneɛma atitiriw abien a ɛde asiane ba ne:

• Esiane sɛ woadi kan anya komayare nti: Asiane a ɛwɔ hɔ sɛ wubenya SCD no yɛ kɛse wɔ komayare akyi.
• Coronary Ntini mu Yare:Asiane afoforo a ɛka eyi ne sigaretnom, abusua abakɔsɛm a ɛkyerɛ sɛ obi anya komayare, mogya mu srade a ɛdɔɔso, ne koma a ayɛ kɛse.

Nea ɛka eyi ho no, asiane afoforo wɔ hɔ:

• Esiane sɛ na wadi kan anya `Sudden Cardiac Arrest` nti.
• Obi a ɔwɔ abusua no mu anya `Sudden Cardiac Arrest` anaa `SCD`.
• Wo anaa obi a ɔwɔ w’abusua mu wɔ koma mu nnyigyei bi a ɛnteɛ (`Arrhythmia`). Sɛ nhwɛso no, tebea horow te sɛ `Long QT Syndrome` , `Wolff-Parkinson-White Syndrome` ne `Ventricular Tachycardia` .
• `Ventricular Tachycardia` anaa `Ventricular Fibrillation` a ɛba wɔ komayare akyi.
• Koma mu nsɛm a wɔde awo obi anaasɛ mogya ntini a ɛnyɛ ne kwan so.
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ obi taa yɛ syncope a wontumi nhu nea ɛde ba biara.
• Koma a Ɛnyɛ Yiye : Eyi kyerɛ sɛ tumi a koma no tumi de bɔ mogya no yɛ mmerɛw sen sɛnea ɛte daa. Nnipa a Koma a Ɛnyɛ Den no betumi anya Ventricular Arrhythmia (koma mu nkwammoaa a ɛbɔ daa) na wɔanya Koma a Ɛyare Mpofirim sen afoforo mmɔho asia kosi akron.
• Dilated Cardiomyopathy (koma ntini a ayɛ kɛse na ayɛ mmerɛw): Eyi na ɛde SCD bɛyɛ 10% ba. Akuru ne koma ntini a ɛsɛe no ma asiane a ɛwɔ hɔ sɛ koma no bɛbɔ a ɛnyɛ ne kwan so no yɛ kɛse. Eyi nso betumi ama obi koma atɔ no.
• Hypertrophic Cardiomyopathy (koma ntini a ɛyɛ den).
• Nsakrae kɛse a ɛba mogya mu potassium ne magnesium dodow mu.
• Obolo .
• Asikyireyareɛ .
• Sɛ wowɔ abakɔsɛm a ɛfa nnubɔne a wɔde di dwuma ho anaasɛ wanom nnuru a ɛka koma no bɔ.

Sɛ wowɔ asiane ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wo ne oduruyɛfo kasa fa akwan a wobɛfa so atew asiane a ɛwɔ hɔ no so.

Wobɛyɛ dɛn ahu `SCD`?

`SCD` bi yɛ nea oduruyɛfo bi si so dua bere a wakyerɛ sɛ nneɛma foforo biara nni hɔ a ɛde owu ba akyi. Ebia obi anya `Sudden Cardiac Arrest` na ebia ɔwɔ `SCD` sɛ ɔwɔ nsɛnkyerɛnne a edidi so yi a:

• Sɛ na menhome a.
• Sɛ pulse no ankɔ fam a.
• Sɛ na nhumu biara nni hɔ a.

Dɛn na yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya SCD no so?

Nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane yi so.

• Kɔ oduruyɛfo nkyɛn wɔ bere ano na wo ne wɔn nka w’akwahosan ho asɛm.
• Fa asetra kwan a ahoɔden wom tom. Kura mu duru a ɛfata wo, teɛteɛ w’apɔw mu, na di aduan a srade nnim.
• Kwati tawa ho nneɛma nyinaa koraa.
• Sɛ wowɔ srade a ɛdɔɔso, anaasɛ wo koma bɔ a ɛnteɛ (`Arrhythmia`), .Fa nnuru a oduruyɛfo no akyerɛw ama wo no pɛpɛɛpɛ.
• Sɛ wo duruyɛfo kamfo kyerɛ a, nya afiri bi a wɔfrɛ no `Implantable Cardioverter Defibrillator` (`ICD`) . Saa afiri yi hu koma no nnyigyei a ɛyɛ hu na ɛde anyinam ahoɔden kɔ koma no mu ma ɛsan ba sɛnea na ɛte kan no.
• Yɛ ayaresa anaa oprehyɛn a wo duruyɛfo kamfo kyerɛ, te sɛ Angioplasty (koma ntini a wobue) anaa Catheter Ablation (a ɛteɛteɛ anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa wɔ koma no mu).
• Sɛ wo duruyɛfo kamfo kyerɛ a, kɔ awosu mu nhwehwɛmu na hwɛ sɛ awosu mu tebea horow bi wɔ hɔ a ebetumi ama obi anya SCD anaa.
• Kyerɛkyerɛ w’abusua hia a CPR ho hia. Ka nea ɛsɛ sɛ wɔyɛ wɔ tebea a egye ntɛmpɛ mu ho asɛm kyerɛ wɔn.

Anyɛ yiye koraa no, ɛsɛ sɛ wɔhwehwɛ agumadifo a wɔresi akan no mu sɛ ebia wɔwɔ komayare pɛnkoro afe biara. Ɛsɛ sɛ eyi ka wɔn ankasa ne abusua aduruyɛ ho abakɔsɛm a wɔbɛsan ahwɛ mu (a ɛsɛ sɛ wɔyɛ no foforo afe biara) ne nipadua mu nhwehwɛmu. Sɛ biribi wɔ hɔ a ɛyɛ adwenem naayɛ wɔ nhwehwɛmu a edi kan no mu a, wɔn agumadi ho aduruyɛ ho oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo.

Sɛ oduruyɛfo bi susuw sɛ wowɔ komayare a, hwɛ hu sɛ wobɛkɔ koma ho oduruyɛfo nkyɛn.

Nsonsonoe bɛn na ɛda komayare ne SCD ntam?

Nnipa pii ma abien no adwene tu fra. Komayare yɛ ɔhaw a ɛfa mogya a oxygen pii wom a ɛkɔ koma ntini no mu no ho. Ɛtaa ba bere a ahrawa mu ntini bi a ɛde mogya kɔ koma no mu no asiw. Sɛ ɛba saa a, koma no nnyae, ɛkɔ so bɔ, nanso koma no fã bi sɛe.

Sudden Cardiac Death (SCD) yɛ owu a ɛba bere a koma no agyae bɔ (Cardiac Arrest) na wontumi nnya nkwa bio. Ɔhaw bi a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu na ɛde koma no gyaee. Bere a komayare betumi ama obi anya SCD no, nneɛma afoforo wɔ hɔ a ɛde SCD ba. Sɛ yɛbɛka no tiawa a, komayare yɛ "supply" haw, na komayare yɛ "electrical" haw.

`SCD` betumi aba ntɛmntɛm dɛn?

Sɛ `Cardiac Arrest` ba a, amemene no nnya mogya a ɛdɔɔso. Eyi betumi ama n’adwene atu afra wɔ sikɔne kakraa bi mu. `Sudden Cardiac Death` betumi aba wɔ simma kakraa bi mu. Ɛno nti na wobu no sɛ asɛm a egye ntɛmpɛ no.

Sɛ wo dɔfo bi wu mpofirim wɔ SCD...

Sɛ obi wu dɔfo mpofirim a, ebetumi ayɛ osuahu a emu yɛ den sen biara wɔ asetra mu no mu biako. Ɛyɛ den sɛ yebegyina ɛyaw no ano. Nanso, sɛ wo dɔfo no awu esiane awosu mu koma mu asɛm bi a ebetumi aka abusua no mufo afoforo nti a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa ho na wohwɛ sɛ ebia wowɔ asiane mu anaa. Sɛ wutu anammɔn mprempren a, ebetumi aboa ma woabɔ wo ho ne w’abusua ho ban afi asɛm foforo a ɛyɛ awerɛhow ho.

Nea etwa to no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae

Ɛwom sɛ `Koma mu Owu Mpofirim` yɛ tebea a emu yɛ den de, nanso wobetumi atew asiane no so kɛse denam hu a wobehu, asiane ahorow a wobehu na wɔadi so, ne aduruyɛ mu afotu a ɛfata a wobedi so.

• Hwɛ wo koma so yiye. Tra bra a ahoɔden wom.
• Hwɛ kɔkɔbɔ nsɛnkyerɛnne no yiye. Mmu w’ani ngu wɔn so.
• Sɛ wowɔ komayare a, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Sua CPR ho ade. Wo nso wubetumi agye obi nkwa.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Ma wo koma nnya apɔwmuden!

` Koma Owu Mpofirim, komayare, komayare, koma bɔ, CPR, koma akwahosan, asiane ahorow