Amemene mu mogya ntini mu nhwehwɛmu? Momma yensua Cerebral Angiogram ho ade!

Ɛtɔ mmere bi a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ w’amemene mu nhwehwɛmu esiane sɛ wo ti yɛ wo yaw kɛse, wo ho atɔ wo mpofirim, anaasɛ woanya sɛnkyerɛnne afoforo a ɛyɛ soronko nti. Nanso ɛtɔ mmere bi a ɔhaw ahorow betumi aba a scan a wɔyɛ no daa ntumi nhu, titiriw wɔ mogya ntini a ɛyɛ mmerɛw a ɛwɔ w’amemene mu no mu. Ɛno ne bere a ebia wo duruyɛfo bɛkamfo nhwehwɛmu titiriw bi a wɔfrɛ no `Cerebral Angiogram` akyerɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne amemene mu angiogram?

`Cerebral Angiogram` yɛ X-ray nhwehwɛmu soronko a ɛhwɛ mogya ntini (mogya ntini) a ɛwɔ w’amemene, ti, anaa wo kɔn mu ne sɛnea mogya fa mu. Wɔsan frɛ no `Cerebral Angiography`.

Fa no sɛ eyi, ɛte sɛ nea wode drone camera redi dwuma de afi soro ahu sɛnea kar ahorow te wɔ kurow bi akwan so, baabi a akwan no ayɛ ma, ne baabi a akwan no yɛ teateaa. Nanso ha yi, yɛrehwɛ mogya ntini nhyehyɛe a ɛwɔ w’amemene mu no.

Adeyɛ no yɛ mmerɛw yiye. Oduruyɛfo no taa de afiri a ɛyɛ tratraa (catheter) hyɛ ntini kɛse bi a ɛwɔ w’asen anaa wo nsa mu mu. Afei, wɔde nsu titiriw bi a wɔfrɛ no contrast dye fa afiri no mu gu wo nipadua mu. Bere a aduru no ne wo mogya tu kwan kɔ wo nipadua nyinaa mu, titiriw fa mogya ntini a ɛwɔ w’amemene mu no, ɛma saa mogya ntini no yɛ fitaa wɔ X-ray mfonini ahorow mu. Afei oduruyɛfo no betumi ahu sɛ ɔhaw bi wɔ wo mogya ntini mu anaa.

Dɛn nti na ɛsɛ sɛ woyɛ sɔhwɛ yi?

Mpɛn pii no, wo duruyɛfo hyɛ sɛ ɔnyɛ nhwehwɛmu yi bere a nhwehwɛmu afoforo (te sɛ CT anaa MRI scan) ntumi nwie no. Ebetumi ahu nneɛma ahorow a ɛnteɛ wɔ mogya ntini a ɛwɔ w’amemene mu no mu.

Hwɛ pon a ɛwɔ ase ha no na hwɛ tebea horow a wobetumi ahu afi eyi mu.

So asiane bi wɔ sɔhwɛ yi mu?

Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ mu. Nanso wo duruyɛfo rekamfo nhwehwɛmu yi akyerɛ efisɛ mfaso a ɛwɔ so no dɔɔso sen asiane ahorow no koraa . Nsuro no. Nanso, ɛho hia sɛ wuhu asiane ahorow a ɛwɔ mu no .

Asiane atitiriw a ɛwɔ mu ne:

• Mframa a ɛma wo ho yɛ hyew: Eyi yɛ X-ray sɔhwɛ, enti wobɛkɔ mframa bi mu. Nanso, saa sika yi wɔ anohyeto a ahobammɔ wom mu.
• Allergy a ɛwɔ Contrast Dye ho:Ebia nnipa binom ho nyɛ wɔn den wɔ saa aduru yi ho. Sɛ eyi asi pɛn anaasɛ wo ho yɛ wo hyew wɔ biribi foforo biara ho (titiriw iodine, ɛpo mu nnuan) a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
• Nkɛntɛnso a enya wɔ asaabo so: Sɛ wowɔ asaabo mu yare dedaw a, ebia ɛbɛyɛ den ama w’asaabo sɛ ebeyi saa aduru yi afi wo nipadua mu.
• Mogya a ɛretu anaa mogya a ɛtɔ: Ebia mogya anaa akuru bi bɛba baabi a wɔabɔ no. Asiane nso wɔ hɔ sɛ mogya bɛtɔ.

Ɛntaa mma koraa, kyerɛ sɛ, ɛntaa nsi koraa , nsɛnnennen a anibere wom te sɛ eyinom betumi aba:

• TIA (Transient Ischemic Attack): Wɔfrɛ eyi sɛ ‘mini stroke’. Nsɛnkyerɛnne no kɔ bere tiaa bi akyi.
• Akisikuru: Ebetumi afi mogya a ɛretu a esiw ntini bi a ɛwɔ amemene no mu no mu aba.
• Ɔkasa a ɛyɛ den (Aphasia) .
• Hematoma (mogya a ɛboaboa ano wɔ baabi a wɔatow no) .

Ɛyɛ asiane ahorow yi nti na oduruyɛfo no bisa w’akwahosan ho abakɔsɛm a edi mũ ansa na wɔayɛ nhwehwɛmu no.

Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?

Ahosiesie a wubesiesie ama eyi nyɛ den saa. Nea ehia paa ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi yiye.

Nneɛma a ɛsɛ sɛ woka kyerɛ oduruyɛfo no

Hwɛ hu sɛ wo ne wo duruyɛfo besusuw saa nneɛma yi ho ansa na woayɛ nhwehwɛmu no.

• Allergy biara a wowɔ: Titiriw sɛ wo ho yɛ wo hyew wɔ contrast dye, iodine, shellfish, nnuru biara, latex, anaa tape ho a.
• Sɛ woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka ho asɛm.
• Sɛ wowɔ mogyatɔw ho haw ahorow a.
• Ɛsɛ sɛ woka nnuru a wonom nyinaa kyerɛ wo duruyɛfo, titiriw nnuru a ekum mogya a ɛtwetwe mogya anaa nea ɛma mogya tu te sɛ aspirin ne warfarin.

Ahosiesie afoforo

• Aduan ne anonne: Wɔbɛtaa atu wo fo sɛ kwati adidi anaa anonne (mmuadadi) nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no.
• Nnuru: Ebia ɛho behia sɛ wogyae nnuru bi te sɛ nea ɛma mogya tu no nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo.
• Boafo: Ebia wɔbɛma wo aduru ketewaa bi a ɛma wo ho dwo wo na ama wo ho adwo wo ansa na wɔayɛ sɔhwɛ no. Ɛbɛma woate nka sɛ woda kakra, enti ɛho hia sɛ wode obi bɛba a ɔde wo bɛkɔ fie.
• Nhwehwɛmu afoforo: Wobetumi nso adi kan ama wo mogya mu nhwehwɛmu ketewaa bi de ahwɛ bere a wo mogya tu, na ama asiane a ɛwɔ hɔ no so atew.

Dɛn na ɛsɛ sɛ meyɛ wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ nhwehwɛmu no wie a, wɔde wo bɛto ayaresabea nnɔnhwerew kakraa bi ahwɛ.

• Gye w’ahome: Ɛdenam baabi a wɔde ade no hyɛɛ mu so no, wobetumi aka akyerɛ wo sɛ da mpa so nnɔnhwerew kakraa bi, a worenhinhim wo nsa anaa wo nan.
• Ɛyaw: Sɛ ɛyaw kakra anaa ɔfe bi wɔ baabi a wɔde aduru no gu no a, oduruyɛfo no bɛkamfo akyerɛ sɛ fa nsukyenee gu so anaasɛ fa aduru a wɔde kum ɛyaw.
• Aduan ne nsu: Gye sɛ wo duruyɛfo akyerɛ wo sɛ ɛnte saa, wubetumi adi sɛnea ɛsɛ. Nanso, ɛho hia paa sɛ wobɛnom nsu pii. Eyi bɛboa ma aduru no afi wo nipadua mu ntɛmntɛm wɔ wo nsu mu.
• Adwuma: Mpɛn pii no wubetumi asan afi dwumadi ahorow a wotaa yɛ no ase wɔ nnɔnhwerew 8-12 ntam. Nanso, wɔhyɛ nyansa sɛ wɔnkwati dwumadi ahorow a emu yɛ den te sɛ nneɛma a emu yɛ duru a wɔma so da koro anaa nnanu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara.

Ɛyɛ ade a ɛfata sɛ wubenya akuru ketewaa bi wɔ baabi a wɔabɔ no. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, mmu w’ani ngu so. Frɛ wo duruyɛfo ntɛm ara. Sɛ biribi si ntɛm a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm so (ETU).

• Eyinom ne nsakrae a ɛba basa anaa nan a wɔde ade no hyɛɛ mu no mu: ɔhyew a ɛsakra (te nka sɛ awɔw dodo anaasɛ ɛyɛ hyew dodo), kɔla a ɛsakra, ɛyaw a ɛkɔ soro, ɛyɛ mmerɛw, anaasɛ te nka sɛ ɛyɛ mmerɛw wɔ saa basa/nan no mu.
• Sɛ wowɔ atiridii anaa atiridiinini na wote nka sɛ wowosow a .
• Sɛ baabi a wɔatow no yɛ yaw, ɛyɛ kɔkɔɔ, ɛho ahonhon, mogya tu kɔ soro , anaasɛ sɛ nsu bi a ɛte sɛ akisikuru fi mu ba a.
• Sɛ ɛyɛ den ma wo sɛ wobɛkasa anaasɛ w'aniwa sesa a .
• Sɛ wote nka sɛ wo ho ayɛ wo hyew anaasɛ wo ntini mu ayɛ mmerɛw a .
• Sɛ wo koko yɛ wo yaw anaasɛ ɛyɛ den sɛ wobɛhome a .