So wo kɔn mu ntini asiw? Momma yensua biribiara fa (Carotid Angiography) ho!

So woasusuw sɛnea ɛho hia sɛ mogya fa mogya ntini a ɛwɔ yɛn kɔn mu no mu kɔ amemene no mu no ho pɛn? Ɛtɔ mmere bi a, mogya ntini yi tumi siw. Ɛno na yɛbɛka nhwehwɛmu titiriw bi a wɔayɛ de ahu nea ɛrekɔ so wɔ mogya ntini atitiriw a ɛwɔ wo kɔn mu no ho asɛm. Wɔfrɛ eyi carotid angiography . Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa ne ɔkwan a wubetumi ate ase so.

Enti, dɛn ankasa ne Carotid Angiography?

Sɛ yɛbɛka no tiawa a, carotid angiography yɛ sɔhwɛ a wɔde hu sɛnea mogya retu wɔ mogya ntini akɛse a ɛwɔ wo kɔn no afã abien no nyinaa a wɔfrɛ no carotid arteries no mu . Saa mogya ntini yi de mogya fi yɛn koma mu kɔ yɛn ti ne yɛn amemene mu. Fa no sɛ ɛyɛ ntini atitiriw a ɛde nkwa ba yɛn amemene mu.

Ɛtɔ mmere bi a, srade siw mogya ntini yi mu, te sɛ nea asiw nsu paipu mu. Nnuruyɛfo frɛ eyi Carotid Artery Disease . Nea ɛde eyi ba titiriw ne tebea bi a wɔfrɛ no Atherosclerosis . Wɔ tebea horow a ɛtete saa mu no, wɔyɛ angiography nhwehwɛmu de hu sɛnea mogya ntini no asiw ne baabi a asiw no pɛpɛɛpɛ. Wɔde X-ray ne nsu titiriw bi a wɔfrɛ no Contrast Dye na ɛyɛ nhwehwɛmu yi de twa mogya ntini no mfonini. Afei oduruyɛfo no tumi hu nea ɛrekɔ so wɔ mogya ntini no mu pefee.

Bere bɛn na wɔyɛ carotid angiography?

Tebea ahorow pii wɔ hɔ a wo duruyɛfo anaa ɔyarehwɛfo betumi aka akyerɛ wo sɛ yɛ nhwehwɛmu yi:

• Sɛ osusuw sɛ wowɔ Carotid Artery Disease a .
• Sɛ woanya mini-stroke (anaasɛ Transient Ischemic Attack - TIA) a . Eyi ne bere a mogya a ɛkɔ amemene no mu no so tew bere tiaa bi, na ɛde sɛnkyerɛnne ahorow a ɛte sɛ akisikuru ba (e.g. mmerɛwyɛ mpofirim wɔ nipadua no fã biako, ɛyɛ den sɛ ɔbɛkasa) na afei ɛyɛ yiye wɔ bere tiaa bi akyi.
• Sɛ woanya akisikuru a .

Wɔ tebea a ɛte sɛɛ mu no, nhwehwɛmu yi ho hia yiye na ama wɔahu mogya ntini a ɛwɔ kɔn no mu no pɛpɛɛpɛ.

So wosɔ biribi foforo biara hwɛ ansa na woayɛ sɔhwɛ yi?

Yiw, mpɛn pii no sɛ oduruyɛfo bi susuw sɛ wowɔ carotid artery disease ho sɛnkyerɛnne ahorow a, wobedi kan ayɛ nhwehwɛmu a ɛnyɛ den a ɛyaw nnim a wɔfrɛ no carotid ultrasound . Eyi betumi ama yɛanya mogya ntini no ho adwene a ɛyɛ den. Nanso, sɛ ultrasound mfonini ahorow no mu nna hɔ sɛnea ɛsɛ, anaasɛ oduruyɛfo no pɛ sɛ ohu nsɛm pii a, ɛnde wɔbɛkra sɛ wɔnyɛ carotid angiography.

Hena na ɔyɛ carotid angiography yi?

Wɔyɛ eyi.Oduruyɛfo a ne ho akokwaw wɔ ayaresa a wɔde mfonini kyerɛ kwan mu. radiologist a ɔde ne ho gye mu, sɛ yɛbɛka no pɛpɛɛpɛ a. Ɔno na ɔyɛ adwuma a ɛyɛ mmerɛw yi dwoodwoo na ɔyɛ no pɛpɛɛpɛ.

Ɔkwan bɛn so na Carotid Angiography yɛ adwuma? Ɛyɛ mmerɛw yiye!

Momma yɛnhwɛ sɛnea wɔyɛ sɔhwɛ yi:

1. Nea edi kan no, oduruyɛfo no de afiri a ɛyɛ tratraa yiye a ɛyɛ mmerɛw a wɔfrɛ no ``catheter'' hyɛ mogya ntini bi a ɛwɔ wo srɛ mu (anaa ɛtɔ mmere bi a wo nsa) mu. Worente ɛyaw pii nka bere a wɔde eyi ahyɛ mu no, efisɛ beae no bɛyɛ mmerɛw.

2. Afei, wɔde nsuo soronko bi a wɔfrɛ no ``Contrast Dye`` fa saa tube ``(Catheter) yi mu gu mogya ntini no mu. Saa nsu yi ne nea ɛma mogya ntini no da adi pefee bere a wɔhwɛ no wɔ X-ray so ``(X-rays).

3. Awiei koraa no, wɔtwe mfonini ahorow a wɔde X-ray yɛ. Wɔde saa mfonini ahorow yi hwɛ sɛ mogya ntini no asiw anaasɛ ayɛ teateaa anaa.

Ɛtɔ da bi a, sɛ́ anka wɔbɛyɛ X-ray no, wobetumi de CT scan (a wɔsan frɛ no CT Carotid Angiography) anaa MRI (a wɔsan frɛ no Magnetic Resonance Angiogram - MRA) adi dwuma. Eyi gyina wo duruyɛfo so.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?

Nneɛma kakra bi wɔ hɔ a wɔbɛka akyerɛ wo sɛ yɛ ansa na sɔhwɛ yi aba, na ɛho hia paa sɛ wudi akyi pɛpɛɛpɛ.

• Aduan ne Nsã: Wo duruyɛfo bɛtu wo fo wɔ nnɔnhwerew dodow a ɛsɛ sɛ wudi mmuada ansa na woayɛ nhwehwɛmu no ne nea ɛsɛ sɛ wudi anaa wonom ne nea ɛnsɛ sɛ wudi. Ɛho hia sɛ wudi akwankyerɛ ahorow yi akyi.
• Nnuru: Ɛsɛ sɛ woka nnuru a wonom nyinaa (titiriw nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin ) ne nhabannuru biara a wode di dwuma ho asɛm kyerɛ wo duruyɛfo . Wo duruyɛfo bɛkyerɛ wo sɛ ebia ɛsɛ sɛ wonom nnuru yi anaasɛ ɛnsɛ sɛ wonom ansa na wɔayɛ nhwehwɛmu no.
• Nneɛma a ɛsom bo: Gyae w’ahoɔden te sɛ sika kɔkɔɔ agude, nkaa, ne kɔnmuade wɔ fie.
• Sɛ woda ayaresabea a: Sɛ ɛsɛ sɛ wotra ayaresabea hɔ anadwo a, fa nneɛma a wubehia na ama wo ho atɔ wo (e.g., atade, mpaboa) bra.
• Sɛ woreyɛ ayaresa a wɔde kɔ ayaresabea a: Ɛho behia sɛ woyɛ nhyehyɛe ma obi de wo kar bɛkɔ fie bere a wɔayɛ sɔhwɛ no awie no, efisɛ ebia ɛbɛyɛ den ama wo sɛ wobɛka kar bere a wɔayɛ nhwehwɛmu no awie no.

Sɛ woba sɔhwɛ mu a, dɛn na ɛsɛ sɛ wohwɛ kwan?

Sɛ woba sɔhwɛ no mu a, .

• Wɔbɛma wo ayaresabea atade a wobɛhyɛ.
• Sɛ wode ahwehwɛ anaa nneɛma a wɔde boa aso di dwuma a, bisa oduruyɛfo no sɛ wubetumi ahyɛ bere a wɔreyɛ nhwehwɛmu no anaa.
• Nanso ahwehwɛ a wɔde hwɛ adeMfa nhyɛ bere a wɔreyɛ sɔhwɛ no.

Osuahu bɛn na wunya bere a woreyɛ sɔhwɛ no?

Carotid angiography taa gye simma 60 kosi 90 . Saa bere yi mu no, oduruyɛfo ne nnuruyɛfo kuw no bɛyɛ:

• Wɔde afiri ketewa bi a wɔfrɛ no ``catheter`` hyɛ ntini bi mu wɔ wo basa mu na wɔfa so de nnuru ne nsu a ɛho hia ma wo nipadua. Wɔfrɛ eyi ``IV - Intravenous`` .
• Wɔbɛma wo aduru a ɛma wo ho dwo wo na ama wo ho adwo wo na ama woate nka sɛ woada kakra.
• Wɔde nhama nketewa a ɛte sɛ sticker (electrodes) bata wo moma so, na wɔde ECG (Electrocardiogram) afiri hwɛ wo koma no anyinam ahoɔden dwumadi so wɔ sɔhwɛ no nyinaa mu.
• Wɔde nnuru a wɔde kum nipadua no mu ntini (anaa abasa) no yɛ mmerɛw . Afei worente ɛyaw biara nka bere a wɔde catheter no ahyɛ mu no.
• Afei, wɔde catheter bi hyɛ tube no mu, na wɔde nsu titiriw bi a wɔfrɛ no "Contrast Dye" fa mu na ɛma mogya ntini no da adi.

So carotid angiography yi yɛ yaw?

Mpɛn pii no, sɔhwɛ yi nyɛ yaw. Ade biako pɛ a nnipa dodow no ara te nka ne ɔhyew anaasɛ ɛyɛ mmerɛw kakra bere a wɔde nsu titiriw (Contrast Dye) no ahyɛ nipadua no mu no. Nanso eyi yera wɔ sikani kakraa bi mu.

Nanso, sɛ wote biribi a ɛte sɛɛ nka bere a wɔreyɛ nhwehwɛmu no , ɛsɛ sɛ woka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara sɛ:

• Koko mu yaw anaasɛ ɛnyɛ dɛ.
• Wora a ɛyɛ wo yaw.
• Ɛte sɛ nea me ho bɛtɔ me.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw kɛse (e.g., sɛ obi te nka sɛ ne menewa mu ayɛ den, ɛyɛ den sɛ ɔbɛhome) - wɔfrɛ eyi anaphylaxis .
• Anisoadehu a ɛyɛ kusuu anaa nsakrae biara.

Mma ɛnhaw wo, aduruyɛ kuw no rehwɛ wo, enti sɛ biribi a ɛte saa si a, wɔbɛsa no ntɛm.

Sɛ sɔhwɛ no ba awiei a, dɛn na ɛba?

Sɛ sɔhwɛ no ba awiei a, .

• Oduruyɛfo no de ahwɛyiye yi catheters a wɔde ahyɛ mu no nyinaa.
• Wɔde nhyɛso na wɔde aduru a wɔde kyekyere nipadua no gu so de siw mogya a efi baabi a wɔde afiri no hyɛɛ mu no ano.
• Wɔhwɛ wo koma bɔ ne wo mogya mmoroso.
• Wɔde wo bɛkɔ dan a ɛyɛ soronko mu akɔhome nnɔnhwerew kakraa bi. Saa bere yi mu no, ebehia sɛ wotra mpa so kakra.

Sɛ woyɛ nhwehwɛmu wie a, wo duruyɛfo no betu wo fo sɛ nom nsu ne nsu pii na aboa ma aduru a wɔde yɛ ade a ɛne ne ho bɔ abira no afi wo nipadua mu ntɛm. Ebia ɛho behia nso sɛ wobɛtow wo ho kakra asen sɛnea wotaa yɛ no. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wobɛsɔre ne bere a ɛsɛ sɛ wufi ase di akɔneaba ho no akyi yiye.

Dɛn na nea efi carotid angiography mu ba no kyerɛ?

Wo duruyɛfo betumi asua nsɛm a ɛho hia pii afi nea efi sɔhwɛ yi mu ba no mu.

• So carotid ntini ahorow a ɛwɔ wo kɔn mu no asiw anaasɛ ɛyɛ teateaa ?
• Sɛ wowɔ biribi a asiw wo kwan te sɛ eyi a, ebetumi aboa wo ma woasusuw asiane a ɛwɔ hɔ sɛ wubenya akisikuru no ho .
• Nnuruyɛfo begyina nea ebefi mu aba yi so asi ayaresa ko a wuhia kɔ w’anim, anaa asetra mu nsakrae a ɛsɛ sɛ woyɛ ho gyinae .

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Mfonini ahorow a wɔatwa bere a wɔreyɛ sɔhwɛ no yɛ nea oduruyɛfo a ɔhwɛ mframa a wɔde hwɛ nneɛma so na ɔhwehwɛ mu . Ɔde saa mfonini ahorow yi hwehwɛ nea yare no yɛ na ɔyɛ ho amanneɛbɔ. Afei wɔde amanneɛbɔ no kɔma oduruyɛfo a ɔresa wo yare no. Sɛ wo duruyɛfo nsa ka amanneɛbɔ no a, ɔbɛfrɛ wo na wakyerɛkyerɛ nea ebefi mu aba ne nea ɛsɛ sɛ woyɛ akyi.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no bere a wɔayɛ nhwehwɛmu no awie no?

Sɛ wufi sɔhwɛ no mu kɔ fie wie a, sɛ wuhyia nea edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara:

• Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wo ho yɛ wo hyew wɔ aduru a wɔde yɛ ade a ɛne ne ho bɔ abira no ho (sɛ nhwɛso no, wo honam ani yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ wo yaw, ɛyɛ den sɛ wobɛhome).
• Sɛ wo ho nyɛ wo den a , sɛ wowɔ atiridii a.
• Sɛ baabi a wɔde afiri no guu mu no ahonhon, ayɛ kɔkɔɔ, anaasɛ ɛyɛ yaw, anaasɛ mogya kɔ so fi hɔ a.

Nneɛma a ɛte sɛɛ ntaa nsi, nanso sɛ ɛba saa a, ɛbɛyɛ papa sɛ wobɛka akyerɛ oduruyɛfo no ntɛm ara sɛnea wubetumi.

Ɔkwan bɛn so na nnuruyɛfo sa Carotid Artery Disease?

Sɛ carotid angiography hu sɛ mogya ntini a ɛwɔ wo kɔn mu no asiw anaasɛ ayɛ teateaa a, wo duruyɛfo betumi ahyɛ ayaresa a edidi so yi ho nyansa:

• Carotid Endarterectomy: Eyi yɛ oprehyɛn a ɛma mogya ntini bi a asiw bue na eyi srade a ɛwɔ mu no fi hɔ.
• Carotid Stenting: Eyi hwehwɛ sɛ wɔde afiri ketewaa bi a ɛte sɛ ahama (Stent) bɛhyɛ mogya ntini a asiw no mu de atrɛw ntini no mu. Wɔde catheter a ɛte sɛ angiography nso na ɛyɛ eyi.
• Nnuru: Wobetumi akyerɛw nnuru te sɛ nea ɛma mogya yɛ mmerɛw ne nnuru a ɛma mogya mu srade so tew.

Nea ɛka ho no, oduruyɛfo no tu wo fo nso sɛ yɛ nsakrae wɔ w’asetra mu, te sɛ sigaretnom a wubegyae, aduan pa a wubedi, ne apɔw-mu-teɛteɛ.

Awiei koraa no, kae (Take-Home Message) .

Okay, enti mewɔ anidaso sɛ seesei woanya adwene pa wɔ sɔhwɛ a wɔfrɛ no Carotid Angiography a yɛkaa ho asɛm nnɛ no ho.

Wɔyɛ eyi de hu sɛ ebia mogya ntini atitiriw a ɛwɔ wo kɔn mu no asiw anaasɛ ɛyɛ teateaa anaa.Ɛyɛ akwanside te sɛ eyi nti na tebea horow a asiane wom te sɛ ɔyare a ɛma obi hwe ase betumi aba.

Nsuro sɛ wobɛdwene sɔhwɛ yi ho. Wɔyɛ no sɛnea ɛbɛyɛ a ɛbɛboa wo, ate w’akwahosan tebea ase pɛpɛɛpɛ, na sɛ ɛho hia a, wofi ase sa yare ntɛm ara sɛnea ɛbɛyɛ yiye. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, nsuro sɛ wubebisa wo duruyɛfo. Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo kɔ akyiri. Kɔ so nya apɔwmuden!

` Carotid Angiography, Carotid Angiography, Kɔn Ntini, Akisikuru, Mogya Ntini a Ɛsiw, X-ray, Contrast Dye, Carotid Ntini Yare