So wo koma rebɔ ntɛmntɛm mpofirim? Ebia eyi ne Wolff-Parkinson-White Syndrome!

So woahyɛ no nsow pɛn sɛ wo koma fi ase bɔ mpofirim te sɛ ɔbɔdamfo a ntease biara nnim? Saa bere no, wote ehu nka kakra, ɛnte saa? Ɛtɔ da bi a, nea ɛde eyi ba no betumi ayɛ tebea bi a wɔfrɛ no Wolff-Parkinson-White Syndrome, a yɛrebɛka ho asɛm nnɛ. Ɛwom sɛ ebia edin no bɛyɛ te sɛ asɛm kɛse de, nanso momma yɛnka ho asɛm tiawa.

Dɛn ne Wolff-Parkinson-White Yare no?

Sɛ yɛbɛka no tiawa a, Wolff-Parkinson-White syndrome (WPW) yɛ tebea a anyinam ahoɔden kwan foforo bi a ɛwɔ koma no mu a ɛwɔ awo mu na ɛde ba . Yɛn koma bɔ efisɛ anyinam ahoɔden nsɛnkyerɛnne fa koma no mu. Mpɛn pii no, saa nsɛnkyerɛnne yi wɔ ɔkwan pɔtee bi a ɛsɛ sɛ wɔfa so. Nanso wɔ nnipa a wɔwɔ WPW mu no, "kwan tiawa" ketewaa bi wɔ koma no mu de ka ɔkwan pɔtee yi ho.

Fa no sɛ, sɛ woreka kar wɔ kwan so a, sɛ wofa ɔkwan ketewa bi a ɛwɔ nkyɛnkyɛn so ka ɔkwan kɛse no ho a, wubetumi akɔ ntɛmntɛm. Esiane anyinam ahoɔden kwan a ɛboro so yi nti, nsɛnkyerɛnne a ɛkɔ koma no mu no tu ntɛmntɛm yiye. Ne saa nti, koma no fi ase bɔ ntɛmntɛm paa mpofirim. Nnuruyɛfo frɛ eyi supraventricular tachycardia (SVT) , a ɛkyerɛ sɛ koma bɔ ntɛmntɛm a efi ase wɔ koma no atifi fam.

Sɛ koma no bɔ ntɛmntɛm saa a, koma no mu adan no nnya bere a ɛdɔɔso a ɛbɛma mogya ahyɛ mu ma ansa na abɔ a edi hɔ no. Eyi kyerɛ sɛ koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu.

WPW tebea yi abu so dɛn?

Wolff-Parkinson-White yare no yɛ tebea a ɛntaa nsi ankasa . Wɔ wiase nyinaa no, ɛka nnipa bɛyɛ 1 kosi 3 wɔ 1,000 biara mu. Obiara betumi anya WPW, na ɛtɔ mmere bi a ɛkɔ so wɔ mmusua mu. Wɔkyerɛ nso sɛ abu so kakra wɔ nnipa a wofi Chinafo mu.

Dɛn ne sɛnkyerɛnne ahorow no?

WPW ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Nnipa dodow no ara nni sɛnkyerɛnne biara koraa . Nanso ebia nnipa binom behu yare no ho sɛnkyerɛnne da biara wɔ sikani kakraa bi kosi nnɔnhwerew kakraa bi mu. Ebia afoforo nso behyia wɔn mpɛn pii afe biara.

Ebia wobɛte nneɛma a ɛte sɛɛ nka:

• Sɛ wote nka sɛ ne ho nyɛ wo dɛ na wo ho yeraw wo kɛkɛ .
• Ɛyaw anaasɛ wo koko a ɛyɛ den a wobɛte nka.
• Sɛ wote nka te sɛ vertigo (akyi berɛmo mu vertigo).
• Nnipa a wɔtotɔ piti .
• Ɔbrɛ kɛse a wɔte nka.
• Sɛ wobɔ wo koma a, ɛyɛ mpofirim a wote nka sɛ wo koma rebɔ ntɛmntɛm. Eyi betumi atra hɔ sikani kakraa bi anaa nnɔnhwerew kakraa bi.
• Ɔhome a ɛyɛ den a wɔte nka (dyspnea) .

Afe biara, nnipa a wɔwɔ WPW no mu 1% kosi 2% nya koma a ɛnyɛ ne kwan so, anaasɛ koma a ɛnyɛ den .

Dɛn na ɛde WPW ba?

Mpɛn pii no, ɛyɛ den ma nnuruyɛfo mpo sɛ wobehu nea ɛde WPW ba pɔtee.Ebia obi a ɔwɔ w’abusua mu anya saa tebea yi pɛn, anaasɛ ebetumi aba a ntease biara nnim.

So WPW fi awosu mu?

Nhwehwɛmufo da so ara ntumi nhu sɛ ebia efi awofo hɔ kɔ mmofra hɔ anaa. Nnipa dodow no ara a wɔwɔ WPW nni awofo a wɔwɔ tebea no. Nanso, wobetumi de awosu mu nkwaadɔm bi a ɛde WPW ba no akɔ awo ntoatoaso ahorow mu. Wɔsan frɛ tebea a wonya fi awo mu yi abusua mu Wolff-Parkinson-White syndrome .

Nsɛnnennen bɛn na ebetumi aba esiane WPW nti?

Ɛtɔ da bi a, nkurɔfo tumi hwe ase na wopirapira bere a wɔde brace no hyɛ wɔn ho no. Ebia nnipa binom mogya mmoroso bɛba bere a wɔn koma bɔ ntɛmntɛm dodo no. WPW ho haw a ɛntaa nsi koraa nanso ɛyɛ hu ne koma mu owu mpofirim .

Sɛ wowɔ WPW ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wɔsa tebea yi ntɛm a, ebetumi asiw nsɛnnennen ano.

Ɔkwan bɛn so na wohu WPW?

Nnuruyɛfo taa de ECG (electrocardiogram) hu WPW . Yɛka kɛkɛ sɛ "twa koma no mfonini," na ɛno ara ne no. Ɛtɔ da bi a, wo duruyɛfo tumi hu nsakrae a ɛba wo koma bɔ mu bere a woreyɛ wo nipadua mu nhwehwɛmu no. Sɛ wo sɛnkyerɛnne no mu yɛ den bere a woteɛteɛ w’apɔw mu a, wobetumi aka akyerɛ wo nso sɛ yɛ apɔw-mu-teɛteɛ ho adwennwen ho sɔhwɛ . Sɛ wo koma bɔ te sɛ soronko, anaasɛ wowɔ sɛnkyerɛnne afoforo a ɛfa WPW ho a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.

Nhwehwɛmu bɛn na wɔde hu WPW?

Sɛnea ɛbɛyɛ na woahwɛ wo koma bɔ no, ebia wo duruyɛfo bɛkamfo nhwehwɛmu te sɛ eyinom akyerɛ:

• Electrocardiogram (ECG): Eyi ne sɔhwɛ a ɛho hia sen biara.
• Electrophysiology adesua: Eyi yɛ koma no anyinam ahoɔden dwumadi ho nhwehwɛmu a ɛkɔ akyiri yiye. Wɔnam mfiri nketewa a ɛte sɛ waya a wɔde fa koma no mu so na ɛyɛ eyi.
• Holter monitor: Eyi yɛ afiri ketewaa bi a wɔde hyɛ wo nipadua so nnɔnhwerew 24 kosi 48. Ɛkyerɛw wo koma dwumadi wɔ bere no nyinaa mu.
• Bere tenten a wɔde hwɛ sɛnea obi nantew: Te sɛ Holter monitor, nanso wɔhwɛ koma no bɔ bere tenten (nna anaa adapɛn pii).

Saa nhwehwɛmu ahorow yi ma wo duruyɛfo no hu sɛnea wo koma bɔ, sɛnea ɛbɔ, ne sɛ ebia ɔhaw bi wɔ ɔkwan a anyinam ahoɔden nsɛnkyerɛnne fa so no mu anaa. Obi a ɔwɔ WPW ECG betumi ada nsakrae a ɛda adi kɛse adi sen ECG a ɛyɛ daa.

Bere bɛn na wɔtaa hu WPW?

Ɛtɔ mmere bi a nnuruyɛfo hu WPW wɔ nkokoaabere mu . Nanso, wɔtaa hu bere a woyɛ abofra, a woadi fi mfe 15 kosi 25 , efisɛ ɛno ne bere a yare no ho sɛnkyerɛnne fi ase da adi kɛse.

So tebea afoforo bi wɔ hɔ a ɛbata WPW ho?

Ebia nnipa binom a wɔwɔ WPW nso wɔ komayare afoforo. Nhwɛsoɔ:

• Atrial fibrillation: Tebea a ɛma koma no atifi dan no bɔ ntɛmntɛm na ɛyɛ ntɛmntɛm.
• Ebstein anomaly: Mfomso a wonya fi awo mu wɔ koma mu ntini bi mu.
• Ventricular fibrillation (V-fib): Tebea a ebetumi de nkwa ato asiane mu a koma no ase adan no bɔ ntɛmntɛm yiye na wontumi nni so.

Sɛ wowɔ komayare yi pii a, wo duruyɛfo bɛkyerɛkyerɛ sɛnea wobɛhwɛ wo koma akwahosan so akyerɛ wo.

Ɔkwan bɛn so na wɔsa WPW?

Ɛsono sɛnea wɔsa WPW wɔ onipa biara mu. Sɛ wo ntaa nhu yare no ho sɛnkyerɛnne a, ebia worenhia ayaresa biara . Ebia wo sɛnkyerɛnne ahorow no so bɛtew anaasɛ ɛbɛyera mpo bere a bere kɔ so no.

Nanso, sɛ wo koma bɔ mpɛn pii na wo nso worehu sɛnkyerɛnne ahorow te sɛ adwenemhaw ne ɔtopae a, ebia wo duruyɛfo bɛkamfo ayaresa te sɛ:

• Radiofrequency ablation: Eyi yɛ ayaresa bi a wɔfrɛ no catheter ablation . Wɔ eyi mu no, wohu anyinam ahoɔden kwan a ɛboro so wɔ koma no mu na wɔde radio asorɔkye ahoɔden sɛe ne fã ketewaa bi. Afei koma no bɔ san ba sɛnea na ɛte kan no. Eyi yɛ ayaresa a etu mpɔn yiye.
• Cardioversion: Wɔde saa kwan yi di dwuma de gyae koma a ɛbɔ ntɛmntɛm a ɛnyɛ ne kwan so (titiriw wɔ nsɛm te sɛ SVT mu) na wɔsan de koma no san yɛ adwuma sɛnea ɛsɛ. Wobetumi ayɛ eyi denam nnuru a wɔde ma (chemical cardioversion) anaasɛ anyinam ahoɔden ketewaa bi a wɔde bɛma koko so (electrical cardioversion).
• Nnuru: Wobetumi de nnuru ama wo de ahyɛ wo koma bɔ ntɛmntɛm so anaasɛ ama wo koma abɔ sɛnea ɛsɛ bere tenten.

So WPW hia oprehyɛn?

Nnipa dodow no ara a wɔwɔ WPW no nhia oprehyɛn. Nanso, ɛntaa mma koraa sɛ nnuruyɛfo betumi ayɛ koma a wɔabue mu oprehyɛn de asiw anyinam ahoɔden kwan a ɛboro so a ɛwɔ koma no mu no ano. Wɔtaa yɛ oprehyɛn a ɛte sɛɛ bere koro no ara mu ne komayare foforo a ɛka WPW ho.

Ɔkwan bɛn so na wobedi WPW sɛnkyerɛnne ahorow ho dwuma wɔ fie?

Sɛ wo koma bɔ ntɛmntɛm mpofirim bere a wowɔ fie a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nneɛma te sɛ:

• Valsalva maneuver: Eyi hwehwɛ sɛ wobɛbɔ wo hwene na woabɔ mframa afi w’anom, te sɛ nea worebɔ mmɔden sɛ wobɛbɔ balloon. Anaasɛ, home denneennen na kura mu bere a worepia wo yafunu akɔ mu no.
• Ɛwa.
• Carotid sinus a wɔde twitwiw: Fa brɛoo twitwiw kɔn no fã biako (baabi a carotid sinus no wɔ). Sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ saa nkutoo a, yɛ eyi.

Ɛtɔ mmere bi a eyinom betumi aboa ma wɔadi koma a ɛbɔ ntɛmntɛm so.

So nsunsuanso bɔne/nsɛnnennen bi wɔ ayaresa no mu?

Aduru biara betumi anya nkɛntɛnso bɔne. Wo ne wo duruyɛfo nkasa wɔn ho asɛm.

Ɛwom sɛ radiofrequency ablation yɛ adeyɛ a ahobammɔ wom na etu mpɔn de, nanso nea edidi so yi ntaa nsi:

• Mogya a ɛtwetwe.
• Nsaneɛ.
• Nnwodwoɔ.
• Mogya a ɛretu.

Nsɛnnennen a efi koma a wɔde yɛ adwuma mu ba nso ho yɛ na koraa. Ebia nnipa binom benya mogya a ɛbɛtɔ, honam ani baabi a wɔde anyinam ahoɔden bɔɔ no no mu atwa ketewaa bi, anaasɛ koma no mu ayɛ den. Eyinom ho yɛ na koraa.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Nneɛma a wubetumi ayɛ wɔ fie, te sɛ Valsalva maneuver ne ɔfe, betumi aboa ma wo koma bɔ brɛoo kakra wɔ saa bere yi mu. Sɛ worenom nnuru a wɔde sa WPW a, bisa wo duruyɛfo no nea wubetumi ahwɛ kwan sɛ ebefi mu aba.

Sɛ woyi wo nipadua no fi nipadua no mu anaa wɔyɛ wo oprehyɛn wie a, wo duruyɛfo bɛkyerɛ wo bere tenten a ebegye ansa na wo sɛnkyerɛnne ahorow no atu mpɔn, nea ɛsɛ sɛ wohwɛ kwan bere a wo ho retɔ wo no, ne bere a wubetumi asan ayɛ nneɛma a woyɛ daa no.

So wobetumi asiw WPW ano?

Dabi, Wolff-Parkinson-White yare no yɛ tebea bi a wɔwo wo . Biribiara nni hɔ a wubetumi ayɛ de asiw ano.

Sɛ mewɔ WPW a, dɛn na ɛba?

Sɛ wowɔ WPW a, ɛsɛ sɛ wo ne wo duruyɛfo yɛ adwuma de di wo sɛnkyerɛnne ahorow ho dwuma. Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn bere a wo ne no kɔ hɔ daa na ama woahwɛ ahu sɛ wo yare no ho sɛnkyerɛnne no renyɛ kɛse. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wowɔ sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne no mu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.

Dɛn ne daakye anidaso ma nnipa a wɔwɔ WPW?

Nnipa a wɔwɔ WPW a wonya ayaresa no nkwa nna yɛ nea ɛfata . Wobetumi de radiofrequency ablation anaa oprehyɛn asa nnipa pii yare koraa.

Mpɛn pii no, nnipa a wonni yare no ho sɛnkyerɛnne no nni asiane a ɛba fam sɛ wobewuwu esiane komayare a owu mpofirim nti. Nnipa a wɔwɔ koma a ɛyɛ mmerɛw ho sɛnkyerɛnne no wɔ asiane a ɛkɔ soro kakra. Nanso, koma mu owu mpofirim ntaa mma koraa wɔ nnipa a wɔwɔ WPW no mu.

Mɛyɛ dɛn ahwɛ m’akwahosan so?

Kɔ wo duruyɛfo nkyɛn daa. Di wo duruyɛfo akwankyerɛ akyi bere nyinaa. Hwɛ w’akwahosan so wɔ saa kwan yi so:

• Di nnuan a ahoɔden wom .
• Di wo mogya mmoroso so .
• Mfa tawa ho nneɛma nni dwuma.
• Kwati anaasɛ to nnuru a ɛkanyan adwene (caffeine, nnuru bi) a wobɛnom no ano hye. Wo ne wo duruyɛfo nka eyi ho asɛm.
• Kura mu duru a ɛfata a ɛfata wo mu.

Nneɛma bɛn na eye sen biara a wubetumi adi na woanom bere a wowɔ WPW?

Nneɛma bi betumi ama wo koma abɔ ntɛmntɛm. Bisa wo duruyɛfo no eyinom ho asɛm:

• Nsaden.
• Caffeine ( a ɛwɔ kɔfe, tii, ne anonne bi mu).
• Nnuru a ɛkanyan obi te sɛ amphetamines anaa nicotine.

Sɛ wowɔ WPW a, wubetumi ateɛteɛ w’apɔw mu?

Sɛ woyɛ apɔw-mu-teɛteɛ a, eye ma wo nipadua ne w’adwene. Bisa wo duruyɛfo fa apɔw-mu-teɛteɛ a wode WPW bɛyɛ ho. Ka asiane titiriw biara a ɛsɛ sɛ wuhu ne dwumadi biara a wuntumi nyɛ ho asɛm kyerɛ no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ mpofirim ara wo koma bɔ ntɛmntɛm a wuntumi mfa ofie nnuru nni dwuma, titiriw sɛ WPW ho sɛnkyerɛnne te sɛ adwenemhaw, adwenemhaw, anaa koko mu yaw ka ho a, frɛ wo duruyɛfo ntɛm ara .

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Ebia obi behia ayaresa a egye ntɛmpɛ wɔ tebea te sɛ eyi mu:

• Sɛ wo koko yɛ wo yaw bɛboro simma 15 a.
• Sɛ wo koko yɛ wo yaw , ɛyɛ den sɛ wobɛhome, anaasɛ wo yafunu mu yɛ wo yaw a .
• Sɛ woabrɛ na woansɔre a .
• Sɛ koma no bɔ kɔ so yɛ nea ɛnteɛ wɔ simma kakraa bi akyi a.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wo anaa wo ba wɔ WPW a, bisa wo duruyɛfo nsɛm yi:

• So asiane biara nni ho sɛ mɛnom nnuru a wɔde sa WPW ne nnuru afoforo a menom?
• Sɛ mewɔ WPW a, so me mma nso benya bi?
• Mɛyɛ dɛn ahu sɛ koma a ɛbɔ ntɛmntɛm no yɛ nea egye ntɛmpɛ?
• Sɛ me ba no nya komayare wɔ sukuu mu a, ne ho bɛtɔ no?
• So asiane biara nni ho sɛ wobɛbɔ agumadi a wowɔ Wolff-Parkinson-White syndrome?
• So ɛsɛ sɛ meyɛ ayaresa a ɛyɛ hu te sɛ ablation?

Awofo pii nhwɛ kwan sɛ wɔn ba benya komayare. Ebetumi ayɛ hu bere a wo ba no koma bɔ ntɛmntɛm esiane Wolff-Parkinson-White yare nti no. Nanso, ayaresa a wɔde sa yare yi betumi aboa nnipa pii na wɔasa wɔn yare. Bisa wo duruyɛfo no sɛnea wubetumi adi wo yare no ho sɛnkyerɛnne ahorow ho dwuma ne ano aduru a eye sen biara a wode bedi dwuma bere tenten ma wo ne wo ba no ho asɛm.

Nkrasɛm a Wɔde Kɔ Fie

Wolff-Parkinson-White syndrome (WPW) yɛ tebea a anyinam ahoɔden kwan a ɛboro so a ɛwɔ koma no mu a ebetumi ama koma no abɔ ntɛmntɛm dodo na ɛde ba. Ɛnyɛ obiara na ɔwɔ yare no ho sɛnkyerɛnne, nanso ebia nnipa binom benya nneɛma te sɛ koko mu yaw, adwenemhaw, ne adwenemhaw. Mma ɛnhaw wo, ayaresa pa wɔ hɔ a wɔde sa eyi.Ɛtɔ mmere bi a, wobetumi de ayaresa te sɛ radiofrequency ablation asa no koraa. Nea ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛ wowɔ saa sɛnkyerɛnne ahorow yi a. Ɛho hia paa nso sɛ wobɛtra ase wɔ apɔwmuden mu. Wo ne wo duruyɛfo nkasa na ɔnyɛ ayaresa nhyehyɛe a ɛfata wo.

` Wolff-Parkinson-White Syndrome, Koma a ɛbɔ denneennen, Koma a ɛbɔ ntɛmntɛm, SVT, ECG, Koma yare, Ablation, Cardioversion, Sri Lanka Akwahosan