Momma yensua Thrombectomy, oprehyɛn a wɔyɛ de yi mogya a ɛkɔ mogya ntini bi mu no ho ade kɛkɛ?

Fa no sɛ mogya ntini a ɛwɔ yɛn nipadua nyinaa mu no te sɛ akwan a wɔatwa wɔ kurow bi mu. Ɛyɛ saa akwan yi so na mogya fa mframa pa ne aduannuru a yɛn nipadua mu nkwammoaa biara hia no. Sɛ biribiara kɔ yiye a, saa kar akwan yi si a akwanside biara nni mu. Nanso sɛ mpofirim ara akwanside kɛse bi te sɛ ɔbo kɛse bi siw ɔkwan kɛse yi ano a, dɛn na ɛba? Kar gyae koraa, ɛnte saa? Sɛ mogya tu (thrombus) bi ba yɛn mogya ntini no biako mu a, saa ara na ɛba. Eyi ma mogya no gyae, na ɛsɛe akwaa a saa ntini no de ma no kɛse, na ebetumi de nkwa mpo ato asiane mu. Ɛnnɛ yɛreka oprehyɛn soronko bi a wɔyɛ de gye nkwa wɔ tebea a ɛyɛ hu saa mu ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Thrombectomy?

Thrombectomy yɛ oprehyɛn a wɔde yi mogya a ɛtɔ a akɔhyɛ wo mogya ntini mu (a ɛyɛ ntini anaa ntini bi) mu. Ɛte sɛ nea woreyi biribi a asiw nsu paipu mu na woama asan asen bio. Botae titiriw a ɛwɔ oprehyɛn yi mu ne sɛ ɛbɛma mogya a atu a mogya atɔw asiw kwan no asan akɔ yiye.

Saa mogya a ɛtwetwe yi tumi sisi mmeae ahorow wɔ yɛn nipadua mu. Nea ɛtaa ba ne:

• Wɔ nan no mu
• Wɔ nsa mu
• Nneɛma a ɛwɔ dwensɔtwaa mu
• Wɔ amemene no mu
• Wɔ ahurututu mu
• Wɔ koma mu

Ɛtɔ mmere bi a, ɛsɛ sɛ wɔyɛ oprehyɛn yi wɔ nnɔnhwerew kakraa bi mu, efisɛ sɛ wɔanyɛ no yiye a, hokwan kɛse wɔ hɔ sɛ obi bɛhwere ɔhonam akwaa anaa nkwa mpo.

Hena na ohia oprehyɛn yi ankasa?

Sɛ mogya atɔ wo a, wo duruyɛfo no bedi kan abɔ mmɔden sɛ ɔde nnuru bɛsa. Sɛ nhwɛso no, wobetumi ama wo nnuru a ekum mogya a ɛtwetwe mogya anaasɛ thrombolytics. Nanso, sɛ nnuru yi ntumi nni mogya a ɛtwetwe no so, anaasɛ sɛ mogya a ɛtwetwe no sõ na egye ntɛmpɛ a, ebia wo duruyɛfo no besi gyinae sɛ obetwa thrombectomy.

Nneɛma atitiriw a enti wɔyɛɛ saa oprehyɛn yi ne:

• Siw ɔhaw ahorow a ɛde nkwa to asiane mu ano: Sɛ mogya ntini kɛse bi a ɛkɔ amemene anaa koma mu no mu a, ebetumi akum obi.
• Gyae akwaa a ɛsɛe no daa: Sɛ wotwa mogya a ɛkɔ abasa anaa nan bi mu a, ntini a ɛwɔ saa akwaa no mu no befi ase awu. Sɛ mogya no ansan ankɔ ntɛm a, ebia akwaa no bedi dɛm anaasɛ ɛsɛ sɛ wotwa mpo.
• Siw embolis ano: Eyi ne bere a mogya a ayɛ mmerɛw wɔ baabi no mu paapae, na ɛne mogya no tu kwan, na ɛkyere nipadua no fã foforo, sɛ nhwɛso no, wɔ ahurututu mu. Eyi nso yɛ tebea a ɛyɛ hu paa.

So ntease bi wɔ hɔ a enti ɛnsɛ sɛ wɔyɛ thrombectomy oprehyɛn?

Yiw, ɛnyɛ obiara na obetumi ayɛ saa oprehyɛn yi. Wɔ tebea horow bi mu no, ɔhaw a efi eyi a wɔyɛ mu ba no betumi asen mfaso a ebefi mu aba no. Sɛ wowɔ tebea horow a edidi so yi mu biara a, ebia wo duruyɛfo besi gyinae sɛ ɔrenyɛ oprehyɛn yi:

• Sɛ mogya a ɛretu no wɔ baabi a ɛyɛ den yiye sɛ wobetumi adu hɔ wɔ oprehyɛn mu a.
• Sɛ mogya a ɛretu no wɔ mogya ntini ketewaa bi mu a , nnwinnade a wɔde bɛhyɛ baabi a ɛte saa de ayi akisikuru no betumi asɛe ntini no ankasa.
• Sɛ wubetumi de nnuru adi wo mogya a ɛbɛtɔ no so yiye a .
• Sɛ wowɔ mogya mu yare bi a woadi kan ayɛ a .
• Sɛ mogya tu wɔ amemene no mu (mogya a ɛba amemene no mu) .
• Sɛ wowɔ mogya mmoroso a nnuru mpo ntumi nni so a .
• Sɛ mogya a ɛretu no adi boro nnafua 30 na ɛyɛ nea enni sabea a .

Tebea atitiriw a wɔde thrombectomy sa

Wɔde oprehyɛn yi di dwuma ma ayaresa tebea ahorow. Momma yɛnhwɛ nea wɔyɛ.

Dɛn ne oprehyɛn ahorow a wɔde twa thrombectomy?

Akwan atitiriw abien na wɔfa so yɛ oprehyɛn yi. Ma yɛnhwɛ nsonsonoe a ɛda abien no ntam.

Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn?

Ɛtɔ mmere bi a wɔyɛ eyi sɛ oprehyɛn a egye ntɛmpɛ, enti ebia worennya bere mfa nsiesie wo ho. Nanso, sɛ ɛyɛ oprehyɛn a wɔayɛ ho nhyehyɛe a, wo duruyɛfo bɛka nea edidi so yi akyerɛ wo:

• Mfoniniyɛ mu nhwehwɛmu: Wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ ultrasound, MRI, anaa CT scan na ama wɔahu mogya a ɛretu no kɛse ne beae pɔtee a ɛwɔ.
• Sigaretnom a wubegyae: Sɛ woyɛ obi a ɔnom sigaret a, ɛsɛ sɛ wugyae ntɛm ara ansa na wɔayɛ wo oprehyɛn. Sigaretnom betumi de nsɛnnennen aba wɔ oprehyɛn akyi.
• Nnuru bi a wubegyae: Ɛsɛ sɛ woka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ne nhabannuru ka ho. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru a ɛma mogya tu (nnuru a ɛma mogya tu) nom nna kakraa bi ansa na wɔayɛ wo oprehyɛn.

Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?

Saa adeyɛ yi betumi ayɛ soronko a egyina oprehyɛn ko a wɔreyɛ wo so. Ɛdenam sɛnea mogya a ɛretu no kɛse ne baabi a ɛwɔ so no, adeyɛ no betumi agye dɔnhwerew biako anaa nnɔnhwerew pii. Mpɛn pii no, eyi ne nea ɛba:

1. Anesthesia/Sedation: Wɔde anesthesia anaa aduru a ɛma obi dwo bɛhyɛ ntini bi mu wɔ wo basa mu sɛnea ɛbɛyɛ a worente ɛyaw biara.

2. Incision/puncture: Wɔ oprehyɛn tẽẽ mu no, wotwa honam ani wɔ baabi a mogya ntini no wɔ. Wɔ mini-incision kwan no so no, wɔyɛ tokuru ketewaa bi fa honam ani kɔ ntini no mu.

3. Cannulation (Percutaneous method): Wɔde cannula (catheter) ne nhama no fa tokuru no mu kɔ ntini no mu na wɔkyerɛ kwan kɔ baabi a mogya no atɔ bere a wɔrehwɛ scan no.

4. Mogya a ɛretu no a wobeyi: Wɔ oprehyɛn tẽẽ mu no, wɔde balloon cannula twe mogya a ɛtɔ no fi mu. Wɔ akwan foforo so no, wɔde nnwinnade soronko twitwiw mogya a ɛtɔ no, wɔpete mu, anaasɛ wɔtwe fi mu.

5. Wɔto mu: Wɔ oprehyɛn tẽẽ mu no, wɔsan pam mogya ntini a wɔatwa no ne honam ani. Wɔ ɔkwan foforo no so no, woyi kankyee no na wɔde krampɔn to tokuru no mu anaasɛ wɔde afiri titiriw bi (afiri a wɔde to ntini mu) to tokuru no mu.

Dɛn na ɛba wɔ oprehyɛn no akyi? Na asiane ahorow bɛn na ɛwɔ mu?

Sɛ wɔyɛ oprehyɛn no wie a, wɔde wo bɛkɔ baabi a wɔhwɛ nneɛma so na wɔahwɛ wo nsɛnkyerɛnne a ɛho hia (mogya mmoroso, koma bɔ, ne nea ɛkeka ho) yiye. Nnipa binom tumi kɔ fie da koro no ara. Nanso ɛho behia sɛ nnipa binom tra ayaresabea hɔ nna kakraa bi. Egyina wo tebea no so.

Sɛ worekɔ fie a, oduruyɛfo no bɛka nneɛma yi ho asɛm akyerɛ wo:

• Sɛnea wɔhwɛ kwan a wɔfa so twa no so.
• Nnuru a ɛsɛ sɛ wɔnom ne nea ɛnsɛ sɛ wɔnom.
• Bere bɛn na adwuma a wɔtaa yɛ no betumi asan afi ase?

Momma yɛnhwɛ mfaso ne asiane atitiriw a ɛwɔ so.

Tebea horow a egye ntɛmpɛ a ɛhwehwɛ sɛ wɔkɔ oduruyɛfo nkyɛn

Sɛ wuhu sɛnkyerɛnne a edidi so yi mu biara bere a woafi oprehyɛn akɔ fie akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara a wontwentwɛn wo nan ase . Anaasɛ, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.

• Mogya a ɛtɔ: Sɛ mogya tu fi baabi a wɔyɛɛ oprehyɛn no a.
• Koko mu yaw: Sɛ mpofirim ara wote nka sɛ wo koko yɛ wo yaw anaasɛ wo ho yɛ wo den a.
• Ɔhome a ɛyɛ den (dyspnea): Sɛ mpofirim ara ɛyɛ den ma wo sɛ wobɛhome a.
• Adwene a ɛyɛ basaa: Sɛ wote nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ wo hare, anaasɛ wote nka sɛ w’adwene reyera a.
• Adwene a ɛyɛ wo yaw anaasɛ worenkari pɛ: Sɛ wote nka sɛ wo ho ayɛ wo yaw na ɛyɛ den sɛ wobɛnantew a.
• Atiridiinini: Sɛ wowɔ atiridiinini a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ woanya ɔyare mmoawa.
• Ɛyaw, ahonhon, anaa abasa anaa nan a ɛyɛ mmerɛw.
• Nsu bi a ɛte sɛ akisikuru fi baabi a wɔatwa no.

Saa sɛnkyerɛnne ahorow yi betumi ayɛ ɔhaw a emu yɛ den ho sɛnkyerɛnne, enti mmu w’ani ngu so.