Sɛ wokɔ oduruyɛfo nkyɛn a, so wo mogya kɔ soro? Wɔfrɛ eyi "White Coat Syndrome"!

So woakɔ oduruyɛfo nkyɛn pɛn na wɔahwɛ wo mogya mmoroso na woahu sɛ ɛdɔɔso sen sɛnea na ɛwɔ fie no koraa? Ɛtɔ mmere bi a, ebia wubesusuw sɛ, ‘Oo, mewɔ mogya mmoroso?’ Nanso sɛ wudu fie kɔhwɛ bio a, wo mogya mmoroso yɛ nea ɛfata. Ɛno ne nea yɛbɛka ho asɛm, a wɔfrɛ no "White Coat Syndrome." Ɛnnɛ, yɛbɛka nea ɛyɛ ankasa, nea enti a ɛba, so ɛyɛ hu, ne nea yebetumi ayɛ wɔ ho.

Dɛn ne "White Coat Syndrome"?

Sɛ yɛbɛka no tiawa a, "white coat syndrome" yɛ bere a wokɔ oduruyɛfo nkyɛn, anaasɛ wowɔ ayaresabea, wo mogya mmoroso, anaa mogya mmoroso, kɔ soro sen sɛnea ɛte daa. Nanso nea ɛyɛ nwonwa no, sɛ wususuw wo nhyɛso wɔ fie a, ɛwɔ anohyeto a ɛfata mu. Mogya mmoroso a ɛfata yɛ mogya a ɛba nipadua no mu a ennu mercury milimita 120 (mmHg) ne mogya mmoroso a ennu mercury milimita 80 . Fa no sɛ, wo nhyɛso no kɔ soro wɔ oduruyɛfo no anim nkutoo, nanso wɔ fie no, ɛyɛ ade a ɛfata!

Eyi yɛ biribi a ɛsɛ sɛ wosusuw ho, efisɛ nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔwɔ "white coat syndrome" no mu bɛyɛ 5% nya mogya mmoroso, anaa mogya mmoroso ankasa afe biara .

Ɛho hia sɛ woma wɔhwɛ wo mogya so pɛpɛɛpɛ. Nea enti a ɛte saa ne sɛ ebetumi akyerɛ sɛ ebia wuhia nnuru anaa nnuru dodow a ɛsɛ sɛ wonom. Fa no sɛ wo mogya mmoroso kɔɔ soro wɔ oduruyɛfo adwumayɛbea nkutoo, enti wɔmaa wo aduru bi a wunhia ankasa, anaasɛ dodow a ɛboro so sen sɛnea ɛsɛ sɛ wunya. Afei nso, sɛ worenom nnuru a wɔde sa wo mogya mmoroso dedaw a, ebia wo duruyɛfo besusuw sɛ wo nnuru no ntumi nyɛ adwuma, na ɔhaw no ne "white coat syndrome" ankasa.

So "white coat syndrome" yi yɛ nokware? So ɛyɛ atosɛm?

Yiw, eyi yɛ tebea ankasa . Eyi nyɛ anansesɛm anaa nsusuwii hunu ara kwa. Nhwehwɛmufo ayɛ eyi ho nhwehwɛmu pii na wɔakyerɛw nea wɔahu no. Enti eyi yɛ biribi a nyansahu gye tom.

So "white coat syndrome" yɛ asiane?

Eyi yɛ biribi a ɛsɛ sɛ yesusuw ho. Ɛtɔ mmere bi a, ebetumi ayɛ nea asiane wom. Ebia nnipa a wɔwɔ "white coat syndrome" no mogya mmoroso bɛkɔ soro kakra asen nnipa a wonni tebea no. Titiriw no, nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔadi boro mfe 60 ne akuw a asiane kɛse wom mu (i.e. wɔn a wɔadi kan anya komayare, wɔwɔ asikreyare, anaa nneɛma afoforo a ɛde komayare ba) betumi anya komayare a ɛwɔ saa yare yi mu bɛyɛ mmɔho abien sen wɔn a wɔwɔ akuw a asiane nnim mu.

Nanso, ebetumi aba sɛ asiane a ɛkɔ soro yi mfi "white coat hypertension" nkutoo, na mmom efi asiane ahorow a yɛadi kan aka ho asɛm no. Ɛno nti na ɛho hia sɛ wo ne oduruyɛfo kasa fa eyi ho no.

Hena na ɛda adi sɛ obenya "white coat syndrome"?

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom betumi anya bi. Eyinom ne:

• Nnipa a wɔadi boro mfe 50.
• Mmea (mmea).
• Nnipa a nnansa yi ara wɔahu sɛ wɔwɔ mogya mmoroso.
• Nnipa a wɔayɛ kɛse mmoroso.
• Nnipa a wɔmfa tawa nneɛma nni dwuma (ebia eyi bɛyɛ nwonwa kakra, nanso nhwehwɛmu ahorow kyerɛ saa).

"Wite coat hypertension" abu so dɛn?

Saa tebea yi a wɔfrɛ no "white coat hypertension" no ka nnipa a wɔwɔ mogya mmoroso no mu 15% kosi 30% . Ɛno kyerɛ sɛ ebia nnipa baasa biara a wɔwɔ mogya mmoroso mu biako benya bi. Ɛnyɛ ɛno nko, na mmom ebetumi aba nnipa a wonni mogya mmoroso nso mu.

Dɛn ne "white coat syndrome" ho sɛnkyerɛnne?

Sɛ wowɔ "white coat hypertension" a, ebia wobɛte ehu ne dadwen nka bere a wokɔ oduruyɛfo nkyɛn no. Ɛte sɛ nea woayɛ basaa kakra. Saa ehu yi betumi ayɛ kɛse bere a wokɔ sɔhwɛ dan mu no, titiriw bere a wɔresusuw wo mogya mmoroso no. Ebia nnipa binom nso ho fifiri bɛtɔ wɔn na wɔn koma rebɔ.

Ɔkwan bɛn so na "white coat syndrome" ka wo nipadua?

Eyi nyɛ oduruyɛfo no ho suro ara kwa. Sɛ "white coat syndrome" kɔ so kyɛ a, wobetumi de abata:

• Ebia wo ntini ahorow no bɛyɛ den.
• Ebia mogya ntini no dwumadi asɛe.
• Asiane a ɛwɔ owu a ɛfa komayare (koma ne ntini mu owu) ho no betumi ayɛ kɛse.
• Asiane a ɛwɔ hɔ sɛ benkum so ahurututu no bɛkɔ soro no betumi ayɛ kɛse.
• Asiane a ɛwɔ hɔ sɛ obi benya asikreyare anaa mogya mmoroso no betumi ayɛ kɛse.

Ɛno akyi no, eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa. Ɛho hia sɛ wokae sɛ sɛ wo mogya mmoroso kɔ soro wɔ oduruyɛfo anim mpo a, ebetumi anya wo nipadua so nkɛntɛnso akyɛ.

Dɛn nti na saa "white coat syndrome" yi ba? Dɛn na ɛde ba?

Fa no sɛ, worekɔ oduruyɛfo nkyɛn, na wo ho yeraw wo kakra, wopɛ sɛ wuhu biribi kakra, te sɛ, ‘Me mogya bɛyɛ dɛn? Na sɛ ɛkorɔn nso ɛ?’ Saa bere no, wo nipadua no, esiane nea ebefi mu aba ho dadwen nti, ebetumi ayɛ n’ade ara kwa . Ɛte sɛ nea sɛ yehu asiane a, yɛn nipadua siesie ne ho sɛ "ɛbɛko anaasɛ ebeguan." Oduruyɛfo adwumayɛbea a wobɛkɔ, dan a wɔyɛ nhwehwɛmu no mu a wobɛkɔ, na awiei koraa no wobɛhwɛ wo mogya mmoroso no nyinaa betumi akanyan saa mmuae yi.

Afei nso, yɛn mogya mmoroso ntra hɔ sɛnea ɛsɛ da mũ no nyinaa. Ɛyɛ ade a ɛfata sɛ ɛbɛsakra wɔ nneɛma te sɛ:

• Da no mu bere (ebetumi ayɛ soronko wɔ anɔpa, awia, ne anadwo ntam).
• Sɛ́ ebia wugyee w’ahome ansa na woresusuw wo mogya mmoroso anaasɛ woannye w’ahome no.
• Dede a ɛde efĩ ba wɔ baabi a atwa wo ho ahyia no dodow.
• W’adwene tebea (sɛ́ ebia w’ani agye, w’awerɛhow, anaa wosuro).

Ɔkwan bɛn so na wobehu "white coat syndrome"?

Wo duruyɛfo betumi ahu eyi sɛ wo mogya mmoroso boro sɛnea ɛte daa (140 mmHg anaa nea ɛboro saa wɔ systolic so ne/anaasɛ 90 mmHg anaa nea ɛboro saa wɔ diastolic so) anyɛ yiye koraa no mprɛnsa wɔ wo nsrahwɛ no mu a. Nanso, ɛsɛ sɛ wode nnɔnhwerew 24 nantew mogya mmoroso anaa ofie mogya mmoroso hwɛ nso hwɛ wo mogya mmoroso.

Mpɛn pii no, sɛ wo mogya mmoroso nnu 135/85 mmHg wɔ nnɔnhwerew 24 a wɔde hwɛ wo so (wɔ fie), nanso ɛboro 140/90 mmHg bere a oduruyɛfo no hwɛ mu a, ɛnde wosusuw sɛ "white coat syndrome".

Ambulatory Blood Pressure Monitoring (ABPM) yɛ afiri ketewa bi a wode hyɛ wo nsa anaa wo nsateaa so nnɔnhwerew 24 da biara. Ɛno ara susuw wo mogya mmoroso na ɛkyerɛw to hɔ da mũ no nyinaa, bere a woreyɛ adwuma na woada no. Eyi ne ɔkwan a wobɛfa so ahu sɛnea wo mogya mmoroso te ankasa wɔ fie.

So "white coat syndrome" yi rekɔ?

Mpɛn pii no, tebea yi betumi atra hɔ mfe pii . Sɛ wokɔ oduruyɛfo koro nkyɛn afe biara mpo a, ɛmfa ho sɛnea wo ne saa oduruyɛfo no da adamfofa su na wo ho tɔ wo no, ɛda adi sɛ eyi bɛkɔ so. Eyi kyerɛ sɛ eyi nyɛ oduruyɛfo no ho suro kɛkɛ , na mmom biribi a ɛyɛ den kɛse.

Ɔkwan bɛn so na wɔsa "white coat syndrome"?

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ wo mogya mmoroso daa wɔ fie. Eyi bɛboa wo ma woahu sɛ ebia wowɔ mogya mmoroso ampa anaa. Wubetumi atɔ afiri a wɔde hwɛ mogya mmoroso a ɛnyɛ adwuma a wode bedi dwuma wɔ fie. Anaasɛ, nnurutɔnbea ahorow bi wɔ mfiri a wɔde susuw wo mogya mmoroso, ɛnte saa? Wubetumi nso de saa nneɛma no adi dwuma.

Nea ɛka ho no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nsakrae bi wɔ w’asetra mu, te sɛ:

• Yɛ apɔw-mu-teɛteɛ mpɛn pii. Biribi te sɛ anyɛ yiye koraa no simma 30 a wobɛnantew da biara.
• Mu duru a wɔtew so . Ɛho hia sɛ wokura mu duru a ɛfata wo tenten.
• Tew nkyene dodow a wudi no so. To nneɛma te sɛ pickles, mpataa a ayow, ne soseji ano hye.
• Kwati a wɔkwati sɛ wɔde tawa nneɛma bedi dwuma .

Nanso, sɛ wowɔ nneɛma afoforo a ɛde koma ne ntini mu asiane ba, te sɛ kɛseyɛ mmoroso ne sigaretnom a, ebia wo duruyɛfo nso bɛka akyerɛ wo sɛ fi ase nom nnuru a ɛtew mogya mmoroso so, a wɔfrɛ no "nnuru a ekum mogya mmoroso."

Dɛn na wobetumi ayɛ de ayi, anaasɛ wɔbɛtew, "white coat syndrome" so?

Sɛ wubetumi a, bɔ mmɔden sɛ wobɛma wo ho adwo wo na woagye w’ahome bere a worekɔ oduruyɛfo nkyɛn no. Eyi bɛboa wo ma wo mogya mmoroso abɛn dodow a wowɔ wɔ fie no. Hwɛ sɛ afotu yi boa anaa:

• Wo ne wo duruyɛfo no nnya abusuabɔ pa. Wei bɛboa wo ma wo ho atɔ wo sɛ wo ne no bɛkasa. Sɛ wo ho nyɛ wo dɛ wɔ wo mprempren oduruyɛfo no ho a, bɔ mmɔden sɛ wobɛhwehwɛ oduruyɛfo foforo.
• Kyerɛw nsɛmmisa kakraa bi a wopɛ sɛ wubisa na fa kɔ. Afei ɛho renhia sɛ wohaw wo ho sɛ wubesusuw sɛ, "Oh, me werɛ fii sɛ mebisa saa."
• Gye bere kakra ka ho ansa na woakɔ baabi a wo ne no akɔ. Fa wo kar si hɔ, kɔ a worenhaw wo ho biara, na wobɛte nka sɛ wo ho adwo wo.
• Kwati sigaretnom, kɔfe nom, anaa apɔw-mu-teɛteɛ dɔnhwerew fã ansa na woayɛ nhyehyɛe. Eyinom betumi ama wo mogya mmoroso akɔ soro bere tiaa bi.

Nnuru a wɔde sa "White Coat Syndrome" ne nea efi mu ba

Nnuruyɛfo taa kyerɛw nnuru ma "white coat syndrome" sɛ wowɔ nneɛma afoforo a ɛde komayare ba nkutoo a. Mpɛn pii no, ayaresa hwehwɛ sɛ wosakra w’asetra , te sɛ wo mu duru a wobɛtew ne nkyene a wobɛtew so wɔ w’aduan mu. Nanso, ebia ɛho behia sɛ nnipa a asiane kɛse wom sɛ wobenya komayare no nom nnuru a ɛma mogya mmoroso ("antihypertensives").

Te sɛ nnuru biara no, mogya mmoroso nnuru betumi de ɔhaw nketenkete aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso ebia nnipa binom behyia nneɛma te sɛ:

• Sɛ wote nka sɛ n’adwene atu afra.
• Tipaeɛ.
• Te sɛ nea yafunu ayɛ wo yaw.

Sɛ eyi ba a, ka kyerɛ wo duruyɛfo . Ebia obetumi asesa aduru no anaasɛ wayɛ nsakrae wɔ dodow a wɔde ma no mu.

Ɔkwan bɛn so na wɔbɛtew asiane a ɛwɔ "white coat syndrome" mu no so?

Sɛ wo ne wo duruyɛfo bɛkasa na woakyerɛkyerɛ wo haw ahorow mu a , wubetumi atew ehu ne wo dadwen so kɛse. Eyi nso betumi atew asiane a ɛwɔ hɔ sɛ obi benya "white coat hypertension" no so.

Sɛ mewɔ "white coat syndrome" a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nhwehwɛmu ahorow kyerɛ sɛ nnipa a wɔwɔ "white coat hypertension" no wɔ asiane kɛse mu sɛ wobenya koma ne ntini mu nsɛm sen wɔn a mogya mmoroso a ɛfata. Eyi kyerɛ sɛ ɛnyɛ biribi a wubetumi abu w’ani agu so kɛkɛ wɔ oduruyɛfo adwumayɛbea. Nanso, nea ɛho hia sen biara ne sɛ wobɛhwɛ wo mogya mmoroso wɔ fie na woayɛ asetra mu nsakrae a wo duruyɛfo kamfo kyerɛ no. Sɛ ɛho hia a, ɛho hia nso sɛ wobɛnom nnuru a wɔakyerɛw ama wo no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ.

Mɛyɛ dɛn ahwɛ me ho?

• Hwɛ wo mogya mmoroso daa wɔ fie. Eyi bɛboa wo ma woahu sɛ wo mogya mmoroso wɔ nea ɛfata mu anaa.
• Sɛ wo mogya mmoroso kɔ soro bere nyinaa bere a worehwɛ wɔ fie mpo a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Saa kwan no so no, wubetumi ahu sɛ wo mogya mmoroso yɛ kɛse ankasa anaa.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm te sɛ eyinom. Saa kwan no so no, wubetumi anya eyi ho ntease pa.

• "Oduruyɛfo, mpɛn ahe na ɛsɛ sɛ mehwɛ me mogya mmoroso wɔ fie?"
• "Mɛyɛ dɛn asusuw me mogya mmoroso pɛpɛɛpɛ wɔ fie? So ɔkwan pa bi wɔ hɔ a mɛfa so ayɛ saa?"
• "Sɛ mede me mogya mmoroso kyerɛwtohɔ ba fie a, so oduruyɛfo no betumi ahwɛ sɛ ɛyɛ nokware?"

Nsɛm a ɛte sɛ eyinom a wubebisa no bɛma woanya tumi kɛse, na ɛbɛboa oduruyɛfo no ma wate wo tebea no ase yiye.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu? (Nkrasɛm a Wɔde Kɔ Fie)

Sɛ oduruyɛfo no susuw wo mogya mmoroso na ɔka sɛ ɛdɔɔso a, ebia wo ho bɛtɔ wo na ehu aka wo kakra mpo. Ɛno yɛ ade a ɛfata. Nanso, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wo mogya mmoroso kɔ soro ankasa. Ebia wo ho yeraw wo kakra anaasɛ wosuro esiane sɛ wowɔ oduruyɛfo adwumayɛbea nti. Wɔfrɛ ɛno "White Coat Syndrome."

Nea ɛho hia sen biara ne sɛ wobɛhwɛ wo mogya mmoroso daa wɔ fie. Hwɛ wɔ nnurutɔnbea anaasɛ fa afiri a wɔde hwɛ nneɛma so wɔ fie. Sɛ gyinapɛn ahorow a ɛwɔ fie no yɛ nea ɛfata a, ka kyerɛ wo duruyɛfo . Afei obetumi ayɛ wo kyerɛwtohɔ ahorow no foforo. Afei nso, sɛ nhyɛso no da so ara yɛ kɛse bere a worehwɛ mu wɔ fie no a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo . Efisɛ afei ɛkyerɛ sɛ ebia wowɔ mogya mmoroso ankasa. Ɔkwan biako pɛ a wobɛfa so ahu nea tebea no yɛ ankasa ne sɛ wobɛhwɛ wo mogya mmoroso daa na wo ne wo duruyɛfo akasa afa ho. Mma ɛnhaw wo, sɛ wunim eyi na wudi ho dwuma yiye a, wubetumi akɔ so anya apɔwmuden!

` White coat syndrome, mogya mmoroso, mogya mmoroso, oduruyɛfo, dadwen, komayare, mogya mmoroso