So ɛtɔ mmere bi a wote nka sɛ wo koma rebɔ ntɛmntɛm a ntease biara nnim? So wote nka sɛ woaguan ara kwa? So wote nka sɛ wo koko rebɔ, wote nka sɛ wo home yɛ wo yaw, wo ho yɛ wo yaw, na w’ani reyɛ bruu? Sɛ woanya saa osuahu ahorow yi a, nea enti a ɛte saa no mu biako betumi ayɛ tebea a yɛreka ho asɛm nnɛ a wɔfrɛ no Wolff-Parkinson-White Syndrome no. Sɛ edin no te sɛ nea ɛyɛ den kakra a, nsuro. Momma yɛnka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ankasa ne Wolff-Parkinson-White (WPW) Yare no?
Sɛ yɛbɛka no tiawa a, WPW Syndrome yɛ nsakrae ketewaa bi a ɛba ɔkwan a anyinam ahoɔden nsɛnkyerɛnne fa so tu kwan wɔ yɛn koma mu no mu. Ɛyɛ tebea a ɛwɔ hɔ bere a wɔawo no.
Fa no sɛ ɛte sɛ pɔmpɛ ketewaa bi. Sɛ pɔmpɛ yi bɛyɛ adwuma wɔ nnyigyei a ɛfata mu a, ɛsɛ sɛ enya anyinam ahoɔden nsɛnkyerɛnne. Mpɛn pii no, saa nsɛnkyerɛnne yi fa ɔkwan pɔtee biako so wɔ koma no mu nkutoo. Wɔ saa kwan yi so no, nhyiam ketewaa bi a wɔfrɛ no AV node wɔ hɔ . Saa nhyiam yi boa koma no atifi (atria) ne ase (ventricular chambers) no ma ɛtwetwe nnidiso nnidiso pɛpɛɛpɛ.
Nanso wɔ obi a ɔwɔ WPW Syndrome koma mu no, ɔkwan bi a ɛka ho wɔ hɔ a ɛka anyinam ahoɔden kwan a ɛfata no ho. Eyi te sɛ "kwan tiawa" a wobetumi de atwa ɔkwan kɛse bi a ɛwɔ kurow bi mu ho ahyia.
Saa ɔkwan foforo yi a ɛtwam AV node a ɛhwɛ sɛnea ɛkɔ ntɛmntɛm no so no ma anyinam ahoɔden nsɛnkyerɛnne no tumi kɔ koma no ase adan, ventricles no mu ntɛmntɛm yiye. Eyi ma koma no mu adan no twetwe ntɛm sen sɛnea ɛte daa. Wɔ nnuruyɛ mu no, yɛfrɛ eyi preexcitation . Saa nsɛnkyerɛnne a ɛkɔ so ntɛmntɛm na ɛnyɛ ne kwan so yi ma koma no bɔ ntɛmntɛm mpofirim. Yɛde edin te sɛ ``supraventricular tachycardia - SVT'' anaa ``atrial fibrillation - AFib'' di dwuma ma saa koma a ɛbɔ ntɛmntɛm yi.
Kae sɛ WPW Syndrome nyɛ mmerɛwyɛ a ɛwɔ wo koma mu. Ɛyɛ nsakrae ketewaa bi a efi awo mu ba koma no anyinam ahoɔden nhyehyɛe mu ara kwa.
Saa tebea yi ntaa mma koraa. Ɛka nnipa 1,000 biara mu 1 kosi 3 wɔ wiase nyinaa. Ɛtaa ba nnipa a wɔwɔ komayare afoforo a wɔde awo wɔn, te sɛ Ebstein anomaly no so.
Dɛn ne WPW Syndrome ho sɛnkyerɛnne ahorow?
Ɛnyɛ obiara a ɔwɔ WPW Syndrome na obenya yare no ho sɛnkyerɛnne. Ebia nnipa binom nnim sɛ wɔwɔ tebea no wɔ wɔn nkwa nna nyinaa mu. Nanso sɛ sɛnkyerɛnne ahorow ba a, ɛtaa ba bere a koma no bɔ ntɛmntɛm dodo no.
Dɛn nti na eyi ba? Sɛ koma no bɔ ntɛmntɛm dodo a, ne pia no nnya bere a ɛdɔɔso a ɛbɛma mogya ahyɛ mu ma. Ne saa nti, koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu. Eyi ne bere a saa sɛnkyerɛnne ahorow yi ba.
Momma yɛnhwɛ nea ɛkyerɛ titiriw wɔ pon a ɛwɔ ase ha no so.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Koma a Ɛbɔ | Wo koko a ɛyɛ den mpofirim, te sɛ nea wo koma rebɔ afi wo moma so. Eyi betumi asi bere a ɔte hɔ ara kwa, reyɛ apɔw-mu-teɛteɛ, wɔ adwennwen mu, anaa bere a wanom aduru bi a ɛkanyan obi te sɛ kɔfe awie no. |
| Adwene a ɛyɛ basaa | Sɛ wote nka sɛ n’adwene atu afra. Saa tebea yi betumi aba bere a amemene no nnya mogya a ɛdɔɔso no. |
| Totɔ piti anaasɛ wote nka sɛ woatɔ piti | Aniwa a ɛdannan bruu, ɛte nka sɛ ɛyɛ mmerɛw anaasɛ n’adwene mu yɛ no naa. |
| Ɔbrɛ anaa Mmerewa | Sɛ wote nka sɛ wo nipadua nni nkwa, wobɛte nka sɛ woabrɛ bere nyinaa. |
| Ahome a ɛyɛ tiaa | Sɛ obi te nka sɛ ne menewa anaasɛ ɛyɛ den sɛ ɔbɛhome. |
| Koko mu nhyɛso anaasɛ ɛyɛ den | Nkate a ɛte sɛ nea ɛyɛ den anaasɛ emu yɛ duru wɔ koko mu. |
Dɛn na ɛde WPW Syndrome ba?
Wɔ nnipa dodow no ara fam no, wonhuu ade pɔtee biara a ɛde WPW Syndrome ba. Eyi kyerɛ sɛ ɛba kwa ara kwa. Nanso wɔ nnipa kakraa bi pɛ fam no, ebia awosu mu nneɛma na ɛde tebea no ba. Ade biako a ɛde ba ne nsakrae a ɛba awosu mu abɔde bi a wɔfrɛ no PRKAG2 mu. Wobetumi de awosu mu nsakrae yi nso afi awo ntoatoaso so akɔ awo ntoatoaso so.
Nsɛnnennen bɛn na ebetumi aba esiane tebea yi nti?
Nnipa dodow no ara a wɔwɔ WPW Syndrome no tra ase sɛnea ɛsɛ. Nanso, sɛ wɔansa a, ɛtɔ mmere bi a nsɛnnennen betumi aba. Don’t worry , eyinom ho yɛ na koraa. Na ayaresa a etu mpɔn wɔ hɔ nnɛ a ebetumi asiw ano.
- Akwanhyia a ɛnam n’adwene a ɛyera so ba: Sɛ wo tirim fi hɔ mpofirim a, wubetumi ahwe ase na woapira.
- Koma mu nnyigyei afoforo a ɛnteɛ: Asiane a ɛwɔ hɔ sɛ obi benya koma no mu ntini afoforo a ɛnteɛ te sɛ atiridiinini no betumi ayɛ kɛse.
- Koma mu nnyigyei a ɛnyɛ pɛpɛɛpɛ: Ɛntaa mma koraa, tebea a ɛyɛ hu a wɔfrɛ no ``Ventricular fibrillation'' betumi aba.
- Koma a owu mpofirim: Eyi ne ɔhaw a emu yɛ den sen biara na ɛntaa nsi wɔ WPW yare no mu. Ayaresa botae titiriw biako ne sɛ wobeyi asiane yi afi hɔ koraa.
Ɔkwan bɛn so na nnuruyɛfo hu yare yi?
Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, ade a edi kan a wo duruyɛfo bɛyɛ ne sɛ ɔbɛyɛ ECG (electrocardiogram). Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw.
ECG betumi akyerɛw anyinam ahoɔden dwumadi a ɛwɔ koma no mu. Obi a ɔwɔ WPW yare no ECG kyerɛ ɔkwan pɔtee bi a anyinam ahoɔden kwan a ɛboro so no de ba. Yɛfrɛ saa nhwɛsoɔ yi "WPW nhwɛsoɔ."
- WPW nhyehyɛe: Sɛ mpo wowɔ saa nhyehyɛe pɔtee yi wɔ wo ECG so a, sɛ wunni sɛnkyerɛnne biara a, wo duruyɛfo no bɛka kɛkɛ sɛ wowɔ WPW nhyehyɛe.
- WPW Syndrome: Sɛ wunya sɛnkyerɛnne ahorow te sɛ wo koko mu yaw ka saa nhyehyɛe yi ho wɔ wo ECG so a, ɛnde wo duruyɛfo no behu sɛ wowɔ WPW Syndrome.
ECG akyi no, ebia wo duruyɛfo bɛkamfo nhwehwɛmu afoforo pii akyerɛ wo.
- Echocardiogram (Echo): Eyi yɛ koma no mu mfonini a wɔde ultrasound yɛ. Ɛboa ma wohu sɛ ebia koma no nhyehyɛe, ne dan, ne ne ntini ahorow reyɛ adwuma yiye anaa.
- Electrophysiology nhwehwɛmu: Eyi yɛ sɔhwɛ a ɛyɛ den kakra. Wɔ eyi mu no, wɔde nhama a ɛyɛ tratraa (catheters) hyɛ koma no mu, wɔyɛ koma no anyinam ahoɔden akwan ho mfonini, na wɔkyerɛ beae pɔtee a ɔkwan a ɛboro so no wɔ.
- Apɔw-mu-teɛteɛ mu adwennwen sɔhwɛ: Wɔma wutu mmirika wɔ treadmill so na wɔde ECG di dwuma de hwɛ sɛnea wo koma dwumadi ne ne nnyigyei sesa bere a woteɛteɛ w’apɔw mu no.
- Ambulatory a wɔde hwɛ nneɛma so (Holter monitor): .Wɔde afiri ketewaa bi hyɛ wo nipadua mu a ɛkyerɛw wo koma bɔ nnɔnhwerew 24 anaa nea ɛboro saa. Eyi boa ma wuhu nsakrae a ɛba wo koma mu bere a woreyɛ wo da biara da dwumadi ahorow a wotaa yɛ no.
Dɛn ne ayaresa ahorow a wɔde sa WPW Syndrome?
Ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa WPW Syndrome. Wo duruyɛfo no begyina sɛnea wo yare no ho sɛnkyerɛnne te, mpɛn dodow a ɛba, ne nea ebefi wo nhwehwɛmu ahorow no mu aba so akyerɛ ayaresa a ɛfata wo.
| Ɔkwan a Wɔfa so Yɛ Ayaresa | Nkyerɛmu |
|---|---|
| Nnuru a ɛko tia apɔw-mu-teɛteɛ | Nnuru a ɛma koma bɔ ntɛmntɛm no betumi atew mpɛn dodow a yare no ho sɛnkyerɛnne no so. |
| Vagal Nneɛma a Wɔde Yɛ Nneɛma | Sɛ wo koma bɔ ntɛmntɛm a, nneɛma nketenkete bi wɔ hɔ a wubetumi ayɛ wɔ fie de aboa ma asan ayɛ sɛnea na ɛte kan no. Sɛ nhwɛso no, ɔfe a ɛyɛ den anaa mpopaho a ɛyɛ nwini a wode bɛpopa w’anim. Wo duruyɛfo bɛkyerɛ wo sɛnea wobɛyɛ eyinom. |
| Koma a wɔde yɛ adwuma | Wɔ tebea a egye ntɛmpɛ mu, kyerɛ sɛ, sɛ koma no kɔ so bɔ ntɛmntɛm a, ɔkwan a wɔfa so ma koma no bɔ bio denam anyinam ahoɔden ketewaa bi a wɔde bɛkɔ koko so wɔ ayaresabea so. |
| Catheter a Wɔde Yiyi Afiri Mu | Eyi ne ayaresa a eye sen biara na ɛtra hɔ daa a wɔde sa WPW Syndrome. Wɔ eyi mu no, wɔde waya teateaa (catheter) bi fa mogya ntini bi a ɛwɔ asen no mu kɔ koma no mu, anyinam ahoɔden kwan a ɛboro so no wɔ hɔ, na wɔde radiofrequency ahoɔden anaa cryoablation ma ɛyɛ adwuma. Eyi yɛ ayaresa a ɛboro 94% a ɛyɛ yiye. Eyi akyi no, wobetumi asa yare no koraa. |
| Oprehyɛn a Wɔde Yi Nnipa Ahorow | Ɔkwan a sɛ ɔkwan a wɔfa so yi catheter no di nkogu anaasɛ ɛho hia sɛ wɔyɛ koma no oprehyɛn foforo nkutoo a, wɔde di dwuma. |
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ WPW Syndrome a, ɛho hia yiye sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ wo daa (follow-up). Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ woba mu Afei nso, sɛ wuhu nsakrae bi wɔ wo sɛnkyerɛnne mu anaasɛ wunya sɛnkyerɛnne foforo biara a, ma wo duruyɛfo nhu ntɛm ara.
Sɛ wo ne tebea a ɛte sɛɛ te a, ɛtɔ mmere bi a ebia wobɛte ehu ne dadwen kakra nka. Ɛno yɛ ade a ɛfata koraa. Wɔ mmere a ɛte sɛɛ mu no, sɛ́ anka wode bɛhyɛ toa mu no, wo ne obi a wowɔ ne mu ahotoso, anaa ɔfotufo mpo a wobɛkasa no betumi ayɛ papa kɛse ama w’adwene mu akwahosan.
Bere a ɛsɛ sɛ wokɔ ETU kɔyɛ ayaresa a egye ntɛmpɛ
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) ntɛm ara .
- Sɛ wote wo koko mu yaw kɛse a .
- Nnipa a wɔtotɔ piti.
- Sɛ wo koma bɔ ntɛmntɛm no kɔ so bɛboro simma kakraa bi na ɛnbrɛ ase bere a woayɛ Vagal Maneuvers a wo duruyɛfo akyerɛw ama wo no mpo akyi a.
Sɛ woyɛ basaa a, ebia worentumi mmoa wo ho. Ɛno nti na ɛho hia sɛ woma w’abusua ne wo nnamfo a wo ne wɔn nya bere no hu wo tebea no. Saa kwan no so no, wobehu nea ɛsɛ sɛ wɔyɛ wɔ tebea a egye ntɛmpɛ mu.
Me daakye bɛyɛ dɛn wɔ tebea yi mu?
Nnipa dodow no ara a wɔwɔ WPW Syndrome a wonya ayaresa a ɛfata no betumi atra ase sɛnea ɛsɛ na apɔwmuden . Titiriw Catheter Ablation betumi asa tebea no koraa na abɔ wo ho ban afi asiane a ɛwɔ hɔ sɛ koma wu mpofirim no ho.
Ebia ɛsɛ sɛ wohwɛ yiye wɔ nneɛma bi ho wɔ wo da biara da asetra mu. Sɛ nhwɛso no, ɛbɛyɛ papa sɛ wobɛkwati nneɛma a ebetumi ama wo koma abɔ ntɛmntɛm.
- Nsaden
- Caffeine (kɔfe, tii bi, anonne a ɛyɛ dɛ bi) .
- Nnuru a ɛkanyan obi te sɛ nicotine (sigaretnom) .
- Apɔw-mu-teɛteɛ a emu yɛ den na ɛyɛ den (bisa wo duruyɛfo apɔw-mu-teɛteɛ bɛn na asiane biara nni ho mma wo) .
Sɛ wo ba wɔ WPW Syndrome a...
Sɛ́ ɔwofo no, ebia wobɛte ehu kɛse nka bere a wuhu sɛ wo ba no wɔ saa yare yi. Ɛno yɛ ade a ɛfata. Nea ɛho hia paa ne sɛ wo ne wo ba no oduruyɛfo bɛkasa pefee na woabisa wo nsɛm nyinaa.
Sɛ nhwɛso no, nya akwankyerɛ a emu da hɔ a ɛkyerɛ sɛ ebia asiane biara nni ho sɛ wo ba no bedi agoru anaa nea ɛsɛ sɛ ɔyɛ sɛ ne koma bɔ kɔ soro wɔ sukuu mu a. Oduruyɛfo no nso betumi aboa wo ma woakyerɛkyerɛ tebea no mu wɔ kasa bi a wo ba no te ase mu.
Edin WPW Syndrome no betumi ayɛ hu. Nanso kae sɛ ɛyɛ tebea a wobetumi adi ho dwuma, na mpɛn pii no, wɔasa no koraa. Wo duruyɛfo ne nnuruyɛfo kuw no wɔ ha sɛ wɔbɛboa wo. Enti ntwentwɛn wo nan ase sɛ wubebisa nsɛm biara a wowɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Wolff-Parkinson-White (WPW) Syndrome yɛ tebea a wonya fi awo mu a anyinam ahoɔden kwan foforo a ɛwɔ koma no mu na ɛde ba.
- Nsɛnkyerɛnne te sɛ koma bɔ ntɛmntɛm, adwenemhaw, ne adwene a ɛyera betumi ada adi mpofirim. Nanso, ɛnyɛ obiara na ohu yare no ho sɛnkyerɛnne.
- Sɔhwɛ titiriw a wɔde hu yare yi ne ECG.
- Nha wo ho! Ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa eyi. Ayaresa bi a wɔfrɛ no Catheter Ablation betumi asa saa yare yi koraa wɔ bɛboro 94% mu.
- Sɛ wo koko yɛ wo yaw, wo totɔ piti, anaasɛ wo koma bɔ ntɛmntɛm bere nyinaa a, kɔ ayaresabea ETU ntɛm ara.
- Wo ne wo duruyɛfo nka wo yare no ho sɛnkyerɛnne ne ayaresa ho asɛm pefee. Sɛ wosa yare yiye na wosakra w’asetra a, wubetumi atra ase a ahoɔden wom koraa.
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