So ɛyɛ ahurututu a ɛte sɛ balloon wɔ koma no fasu mu? Momma yɛnka saa (Ventricular Aneurysm) yi ho asɛm!

So woate pɛn sɛ koma no fasu no fã bi betumi ayɛ mmerɛw na ayɛ kɛse te sɛ akuturuku? Eyi yɛ tebea a ebetumi ato nnipa binom ankasa. Ebetumi asi titiriw bere a obi anya komayare akyi. Enti, ɛnnɛ yɛbɛka saa tebea yi a wɔfrɛ no `(Ventricular Aneurysm)` ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw so, sɛnea ɛbɛyɛ a wubetumi ate ase.

Dɛn ne eyi `(Ventricular Aneurysm)`? Sɛ yɛbɛka no tiawa a...

Okay, nea edi kan no ma yɛnhwɛ nea eyi yɛ. Wunim sɛ yɛn koma wɔ adan atitiriw anan. Pia abien a ɛwɔ eyinom ase no ne nea ɛde mogya kɔ nipadua no ne ahurututu mu. Saa adan a ɛwɔ fam no ne nea yɛfrɛ no `(Ventricles)` . Enti, sɛ beae bi a ɛwɔ eyinom mu biako fasu mu `(Ventricle)`, kyerɛ sɛ, koma no ase adan no biako, yɛ mmerɛw na ɛbɔ te sɛ balloon a, yɛfrɛ no kɛkɛ `(Ventricular Aneurysm)`. Fa no sɛ kar tae bi nkyɛnkyɛn yɛ mmerɛw na ɛpuepue te sɛ ahurututu. Sɛ koma no bɔ mogya a, saa beae a ɛyɛ mmerɛw no pue.

Eyi betumi ayɛ asiane, efisɛ ɛtɔ mmere bi a, ɔfe no betumi apaapae . Sɛ eyi ba a, ɛyɛ asɛm a egye ntɛmpɛ a ɛde nkwa to asiane mu na ehia sɛ wɔkɔ ayaresabea ntɛm ara.

So Ventricular Aneurysm ahorow bi wɔ hɔ?

Yiw, nnuruyɛfo hu Ventricular Aneurysm ahorow atitiriw abien.

1. Nokware Ventricular Aneurysm: Eyi ba bere a koma no fasu no fã bi, a mpɛn pii no esiane komayare (Myocardial Infarction) nti, wu na ɛyɛ mmerɛw no. Afei ɔfasu a ayɛ mmerɛw no betumi ayɛ kɛse na ayɛ kotoku a mogya ahyɛ mu ma. Eyi ne ntini mu yare a ɛtaa ba.

2. False Ventricular Aneurysm anaa Pseudoaneurysm: Eyi yɛ soronko kakra. Nea ɛkɔ so wɔ ha ne sɛ koma no fasu no sɛe, na mogya bi fa mu na ɛboaboa ano wɔ ntini a ɛyɛ tratraa a atwa koma no ho ahyia (pericardium) no mu. Eyi kyerɛ sɛ koma no ankasa fasu no ntu, na mmom ɛte sɛ biako.

Tebea yi abu so dɛn?

Ma yɛnhwɛ sɛnea eyi abu so. Akontaabu kyerɛ sɛ nnipa 100 biara a wɔanya komayare no mu bɛyɛ 5 kosi 7 benya saa tebea yi (Ventricular Aneurysm). Asiane yi yɛ kɛse mpo sɛ komayare no aka koma no ntini no mu duru nyinaa (Transmural Myocardial Infarction).

Dɛn ne nneɛma a ɛde Ventricular Aneurysm ba?

Sɛnea yɛadi kan aka no, nea ɛde ba titiriw ne nea ɛtaa de ba ne komayare (`Myocardial Infarction`) . Wɔ komayare mu no, mogya a ɛkɔ koma ntini no mu no gyae, na saa afã horow no wuwu. Afei, akuru ntini (`Scar Tissue`) ba wɔ saa mmeae a awu no. Bere kɔ so no, saa akuru yi betumi atrɛw, ayɛ mmerɛw, na ayɛ mmerɛw. Ɛno ne bere a ``Aneurysm`` bi ba.

Nanso ɛntaa mma koraa sɛ saa tebea yi betumi aba wɔ awo mu. Wɔfrɛ ɛno sɛ komayare a wɔde awo obi.Sɛnea ɛte no, sɛ ebi wɔ hɔ a, ebia wɔrenhu kosi sɛ obi benyin na ebetumi de ɔhaw ahorow aba akyiri yi.

Wɔ ntease titiriw yi akyi no, ntease afoforo pii wɔ hɔ a wɔntaa nhu koraa:

• Ɔyare mmoawa a ɛba koma no mu ntini (endocarditis).
• Nnuru a wɔde kum ɛyaw te sɛ steroid ne nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) a wɔde di dwuma dodo bere tenten.
• Atiridiinini a Ɛma Ntini Mu.
• Nyarewa a wɔntaa nhu te sɛ `(Sarcoidosis)`.
• Sɛ́ ɔhaw a ɛba wɔ koma a wɔabue mu oprehyɛn mu.
• Nyarewa a wonya fi nna mu te sɛ akisikuru.
• Akwanhyia a ɛyɛ hu (apirakuru a ɛba obi koko so) .
• Nsanyare a ɛma obi nya nsamanwaw.
• `(Chagas Yare)` (Eyi yɛ ɔyare mmoawa a ɔyare mmoawa bi de ba, a ɛntaa mma kɛse wɔ Sri Lanka).
• Tebea pɔtee bi a ɛma koma ntini no yɛ kɛse a wɔfrɛ no ``Apical Hypertrophic Cardiomyopathy''.

Hena na ɔwɔ asiane kɛse mu sɛ obenya Ventricular Aneurysm?

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane kɛse mu. Eyinom bi ne:

• Mmea a wɔadi boro mfe 65.
• Sɛ obi wɔ w’abusua mu wɔ komayare (`Koma ne Ntini mu Yare`), ahrawa mu ntini mu yare (`Akoma mu ntini mu yare`), anaa abakɔsɛm a ɛkyerɛ sɛ ɔwɔ komayare a. Eyinom yɛ asiane ahorow a efi awosu mu.
• Nnipa a wɔn koma atrɛw (Hypertrophic Cardiomyopathy). Wɔ saa tebea yi mu no, koma ntini no yɛ den dodo.

Dɛn ne `(Ventricular Aneurysm)` ho sɛnkyerɛnne?

Adeɛ a ɛyɛ nwonwa ne sɛ mmerɛ dodoɔ no ara, sɛ saa ``(Ventricular Aneurysm)`` yi sua a, ɛbɛtumi ayɛ nea enni sɛnkyerɛnne biara. Nnipa binom nnim mpo sɛ wɔwɔ eyi, na wohu no kwa bere a wɔreyɛ wɔn sɔhwɛ esiane biribi foforo nti.

Nanso nnipa binom betumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Koko mu yaw anaasɛ ɛyɛ den, atenka a ɛkyerɛ sɛ obi ayɛ mmerɛw (`Angina`). Eyi betumi ayɛ te sɛ komayare.
• Edema (nipadua no a ɛho ahonhon), titiriw wɔ nan ne nansoaa mu.
• Ɔbrɛ a ɛtra so ho nkate a ɛkɔ so daa (`Ɔbrɛ`). Ɔbrɛ a wobɛte nka bere a woayɛ adwuma ketewaa bi mpo akyi.
• Koma a ɛbɔ ntɛmntɛm a ɛnyɛ ne kwan so, anaasɛ atenka a ɛte sɛ nea ɛrebɔ wɔ koko mu (`Heart Palpitations`).
• Ɔhome a Ɛyɛ Tiaa. Sɛ wote nka sɛ wo home yɛ wo yaw bere a wonam anaa worebɔ mmɔden mpo no.
• Nnwodwoɔ. Sɛ mogya a ɛtɔ gu ntini no mu na ɛpaapae na esiw mogya ntini bi a ɛwɔ amemene no mu ano a, eyi ba.

Dɛn ne nsɛnnennen a ebetumi aba wɔ saa `(Ventricular Aneurysm)` yi mu?

Eyi ne nea ɛsɛ sɛ yɛde yɛn adwene si so kɛse. Sɛ `(Ventricular Aneurysm)` bi wɔ hɔ a, ebetumi de nsɛnnennen bi a ɛyɛ hu aba.

Ɔhaw kɛse a ɛyɛ hu sen biara ne ntini a ɛma mogya tu no mu paapae.Sɛ ɛba saa a, ɛyɛ ntɛmpɛ a ɛde nkwa to asiane mu na ehia sɛ wɔde obi kɔ ayaresabea ntɛm ara na wɔsa no yare.

Afei nso, ɛntaa nsi koraa sɛ tebea bi a wɔfrɛ no ``Cardiogenic Shock'' betumi aba. Sɛ yɛbɛka no tiawa a, eyi ne bere a koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu. Eyi nso yɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

Ade foforo nso ne sɛ, saa ntini a ɛma mogya tu yi ma koma no benkum so ahurututu no yɛ mmerɛw, na ɛma ɛyɛ den sɛ wɔbɛfa mogya akɔ nipadua no mu. Eyi betumi ama obi anya komayare . Eyi kyerɛ sɛ koma no yɛ mmerɛw nkakrankakra na entumi nni nipadua no ahiade ho dwuma.

Nea ɛka ho no, Ventricular Aneurysm nso ma asiane ahorow a edidi so yi yɛ kɛse:

• Mogya a ɛtɔ ne akisikuru a efi mu ba no.
• Mogya a ɛkɔ koma ntini no mu no so tew (`Myocardial Ischemia`). Eyi betumi ama koko mu yaw akɔ soro.
• Koma a ɛbɔ ntɛmntɛm, a ɛyɛ hu a ɛnyɛ ne kwan so (`Ventricular Tachycardia`). Eyi nso betumi de nkwa ato asiane mu.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya ventricular aneurysm?

Sɛnea yɛadi kan aka no, esiane sɛ ɛnyɛ bere nyinaa na wɔda sɛnkyerɛnne adi nti, sɛ woanya komayare pɛn anaasɛ wowɔ asiane afoforo a ɛde ba a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow mfa nhwehwɛ tebea yi. Mpɛn pii no, saa ntini ahorow yi fi ase ba wɔ bɛyɛ asram abiɛsa akyi bere a obi anya komayare no.

Mfoninitwa nhwehwɛmu atitiriw a wɔde hu saa ntini ahorow yi ne:

• Koko so X-ray a wɔyɛ.
• Angiogram nhwehwɛmu ahorow. Ebia nea ɛka eyi ho ne nhwehwɛmu titiriw bi a wɔfrɛ no Coronary Computed Tomography Angiogram (CCTA).
• CT scan a wɔde yɛ adwuma.
• Echocardiogram (`Koma mu nnyigyei ho mfonini`). Mpɛn pii no, eyi ne sɔhwɛ a edi kan a wɔyɛ, te sɛ koma no mu ultrasound scan.
• E.C.G. sɔhwɛ (`Electrocardiogram - ECG`). Eyi hwɛ sɛnea anyinam ahoɔden a ɛwɔ koma no mu no yɛ adwuma.
• MRI scan a wɔde yɛ nhwehwɛmu. Eyi nso betumi ama wɔanya koma no ho mfonini a ɛkɔ akyiri.

Dɛn ne ayaresa a wɔde sa saa `(Ventricular Aneurysm)` yi?

Wiɛ, afei ma yɛnhwɛ nea eyi betumi ayɛ.

• Ntini nketenkete a enni sɛnkyerɛnne biara: Ebia eyinom renhia oprehyɛn kɛse ntɛm ara. Wo duruyɛfo bɛhwɛ wo so. Wɔbɛyɛ mfoninitwa nhwehwɛmu a yɛaka ho asɛm wɔ atifi hɔ no daa de ahwɛ sɛ ebia ntini a ɛma mogya tu no kɛse resakra anaasɛ ɔhaw ahorow ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Asetra mu nsakrae ne koma a wɔsan yɛ no yiye: Koma a wɔsan yɛ no yiye wɔ komayare akyiNnipa pii nya mfaso fi nhyehyɛe bi a wɔfrɛ no asetra kwan a ɛma koma pa mu nsakrae nhyehyɛe a wɔde wɔn ho hyɛ mu, baabi a abenfo boa wo ma woyɛ asetra mu nsakrae a ɛma koma nya ahoɔden (te sɛ aduan ne apɔw-mu-teɛteɛ) mu. Eyi betumi ama wo koma akwahosan atu mpɔn na atew asiane a ɛwɔ hɔ sɛ wubenya komayare daakye no so.
• Nnuru: Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ ɔhaw ahorow bɛba no so atew no, oduruyɛfo no betumi akyerɛw nnuru te sɛ:
• Aspirin anaa nnuru foforo a ɛmma mogya nkɔ nipadua no mu (ancoagulants).
• Nnuru a wɔde siw mogya mmoroso ano.
• Nnuru a ɛma mogya mu srade so tew, te sɛ ``Statins``.
• Nnuru a wɔde ma wɔ komayare ne koma a ɛnyɛ adwuma yiye.

Oprehyɛn a Wɔyɛ ma Nokware Ventricular Aneurysm

Ventricular aneurysm kɛse a ɛyɛ nokware a ɛma koko yɛ yaw, ɔhome a ɛyɛ tiaa, anaa koma a entumi nyɛ adwuma no betumi ahwehwɛ sɛ wɔyɛ no oprehyɛn. Koma ho oprehyɛn ho animdefo yɛ koma a wɔabue mu oprehyɛn a wɔfrɛ no ventricular reconstructive surgery anaa ventricular remodeling .

Oprehyɛn yi hwehwɛ sɛ:

• Woyi koma ntini no fã a ayɛ mmerɛw na ayɛ kurukuruwa (aneurysm) no fi hɔ.
• Afei, wɔpam koma no afã horow a ɛte apɔw no bom, anaasɛ wɔpam biribi te sɛ ade a wɔde ayɛ ade mu de hyɛ ɔfã a ɛyɛ mmerɛw no den.

Sɛ wowɔ koma a ɛnyɛ pɛpɛɛpɛ (`Arrhythmia`) na wuntumi nni so a, ebia ɛho behia sɛ wɔyɛ wo oprehyɛn de afiri ketewaa bi hyɛ wo moma so were ase a ɛma wo koma bɔ denneennen. Yɛfrɛ eyinom `(Implantable Cardioverter Defibrillators - ICD)` ne `(Nneɛma a ɛma koma no yɛ kɛse)` .

Oprehyɛn a wɔyɛ ma ``False Ventricular Aneurysm'' anaa ``Pseudoaneurysm''.

Eyi yɛ asɛmfua a ɛyɛ katee kakra, nanso eye sɛ wubehu. Sɛ wɔansa a, nnipa a wonya saa atoro ventricular aneurysms, anaa pseudoaneurysms yi, bɛyɛ fã bewuwu. Saa na wɔn ho yɛ hu. Enti, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn a wobue koma mu de asiesie pseudoaneurysm no.

So wobetumi asiw saa `(Ventricular Aneurysm)` yi nkɔso ano?

Nokwarem no, ɔkwan a eye sen biara a wobɛfa so asiw ventricular aneurysm ano ne sɛ wobɛbɔ mmɔden asiw nea ɛde ba titiriw a ɛne komayare ano. Ɛno kyerɛ sɛ wobɛhwɛ wo koma akwahosan so. Saa nneɛma yi bɛboa wɔ ɛno mu:

• Di aduan a ɛma koma nya ahoɔden. Di nnuan a nkyene, ngo, ne asikre nnim, na nnuaba ne nhabannuru pii wom.
• Yɛ apɔw-mu-teɛteɛ daa. Sɛ obi nantew simma 30 kɛkɛ da biara mpo ye.
• Hwehwɛ akwan pa a wobɛfa so adi adwennwen ho dwuma. Nneɛma te sɛ adwennwen, yoga, ne anigyede bi a wode wo ho bɛhyɛ mu.
• To nsanom ano hye, na sɛ ɛbɛyɛ yiye a, gyae koraa.
• Sɛ wo mu duru boro so a, tew wo mu duru so na kura mu duru a ɛfata mu.
• Sɛ wowɔ tebea horow a ɛde nhyɛso ba wo koma so, te sɛ mogya mmoroso, asikreyare, anaa srade a ɛdɔɔso a, di so yiye. Di wo duruyɛfo akwankyerɛ akyi na nom wo nnuru sɛnea wɔakyerɛ wo no.
• Sɛ wonom sigaret a, hwehwɛ mmoa na woagyae ntɛm ara. Ɛho hia yiye nso sɛ wobɛkwati sigaret a wɔde di dwuma dedaw.

Dɛn na nnipa a wɔwɔ saa tebea yi hwɛ?

Sɛ wɔkyekyem pɛpɛɛpɛ a, nnipa 10 biara mu 9 a wɔwɔ ventricular aneurysm a ɛmma ɔhaw akɛse mma no da so ara te ase wɔ mfe anum akyi wɔ bere a wɔahu sɛ wɔwɔ yare no akyi. Ɛno kyerɛ sɛ, sɛ wodi ho dwuma yiye a, wubetumi abɔ bra pa.

Nanso, sɛ saa ntini ahorow yi de sɛnkyerɛnne ahorow a ɛboro ayaresa so ba, anaasɛ nsɛnnennen ba a, asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow a ɛde nkwa to asiane mu no yɛ kɛse. Ɛno nti na ɛho hia sɛ wɔyɛ nhwehwɛmu na wɔsa wɔn yare sɛnea nnuruyɛfo kamfo kyerɛ no.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara, anaa wokɔ ayaresabea a ɛbɛn wo:

• Koko mu yaw a emu yɛ den. Te sɛ nea obi repiapia wo moma so, anaasɛ te sɛ nea biribi reyɛ wo duru.
• Ɔhome a ɛyɛ den kɛse.
• Komayare ho sɛnkyerɛnne afoforo (sɛ nhwɛso no, ɛyaw a ɛhyerɛn kɔ fam benkum nsa, anom yaw, fifiri, akisikuru) .
• Sɛ mpofirim ara wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛnte saa a.

Wɔ tebea a ɛte saa mu no, nsɛe bere. Frɛ 1990 (Suvaseriya) ambulance adwuma no ntɛm ara sɛnea wubetumi.

Dɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wo duruyɛfoɔ ka kyerɛ wo sɛ wowɔ ``Ventricular Aneurysm'' a, ɛyɛ papa sɛ wobɛbisa nsɛm kakra te sɛ yeinom. Saa kwan no so no, wubetumi anya tebea no ho ntease pa.

• Adɛn nti na me nyaa saa `(Ventricular Aneurysm)` yi?
• Ventricular Aneurysm bɛn na mewɔ? (Nokware Anaasɛ Atoro?)
• Me ntini a ɛma mogya tu no kɛse te dɛn?
• Dɛn na ɛsɛ sɛ meyɛ na ama asiane a ɛwɔ hɔ sɛ mogya mu ntini yi bɛpae no so atew?
• Aduru bɛn na ɛsɛ sɛ menom?
• Dɛn ne nneɛma bɔne a ebetumi afi saa nnuru no mu aba?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Sɛ wɔyɛ me oprehyɛn a, asiane bɛn na ɛwɔ mu?
• Nsɛnnennen ho sɛnkyerɛnne bɛn na ɛsɛ sɛ ɛhaw me?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Enti, ``Ventricular Aneurysm'' a yɛkaa ho asɛm no yɛ bulge a ɛba esiane mmerɛwyɛ wɔ ɔfasu a ɛwɔ koma no ase adan no biako mu nti. Wɔtaa hu saa tebea yi wɔ nnipa a wɔanya komayare no mu. Eyinom taa ba benkum so ahurututu no mu.

Nea ɛho hia ne sɛ, ɛwom sɛ eyi ntaa mma yare no ho sɛnkyerɛnne mma de, nanso sɛ sɛnkyerɛnne a ɛte saa ba ampa (te sɛ koko mu yaw, ahome a ɛyɛ den) a, nnuru anaa oprehyɛn ahorow bi wɔ hɔ a wobetumi de asa.Nanso, sɛ ``Ventricular Aneurysm'' pae a, ebetumi ayɛ tebea a asiane wom kɛse ama nkwa.

Enti, sɛ wo koko mu yɛ wo yaw kɛse, ɛyɛ den sɛ wobɛhome, anaa komayare ho sɛnkyerɛnne afoforo a, ntwentwɛn wo nan ase, frɛ 1990 ntɛm ara na kɔ ayaresabea. Ɛbɛyɛ mmoa kɛse wɔ wo nkwa a wobɛgye mu.

Hwɛ wo koma so yiye. Tra bra a ahoɔden wom. Afei wubetumi abɔ wo ho ban afi ɔhaw pii te sɛ eyi ho.

` Ventricular Aneurysm, komayare, komayare, koma fasu a ɛyɛ mmerɛw, koma oprehyɛn, koma akwahosan, koko mu yaw