So wunim mogya ntini a ɛsom bo a ɛwɔ wo kɔn mu yi? (Vertebral Artery) Momma yɛnkasa nkɔ akyiri!

Yɛn nyinaa dwen yɛn honam fam akwahosan ho kɛse. Ɛho hia titiriw sɛ yehu ntini nhyehyɛe a ɛde mogya kɔ yɛn amemene ne yɛn akyi berɛmo mu no ho asɛm. Ɛnnɛ yɛrebɛka mogya ntini biako a ɛho hia yiye a ɛte saa ho asɛm. Eyi ne nea yɛfrɛ no `(Vertebral Arteries)`. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyinom te sɛ nkwa mogya a ɛma yɛn nipadua no fã a ɛwɔ soro no aduan.

Dɛn ne saa `(Vertebral Arteries)` yi? Dɛn na wɔyɛ ankasa?

Sɛ yɛbɛka no tiawa a, `Vertebral Arteries` yɛ mogya ntini atitiriw abien a ɛwɔ yɛn kɔn mu a ɛde mogya kɔ amemene ne akyi berɛmo mu (ntini titiriw a ɛfa akyi berɛmo no mu). Yiw, abien na ɛwɔ hɔ, biako wɔ benkum so na biako nso wɔ nifa. Edin `Vertebral` no fi nokwasɛm a ɛyɛ sɛ saa ntini ahorow yi tu mmirika fa yɛn akyi berɛmo, akyi berɛmo nnompe no so. Saa ntini abien yi ka bom wɔ ti nhwi no ase ma ɛyɛ ntini kɛse bi a wɔfrɛ no `Basilar Artery`. Yɛsan frɛ saa nhyehyɛe yi nyinaa `Vertebrobasilar nhyehyɛe`.

Enti, eyinom adwuma titiriw ne sɛ ɛbɛma yɛn amemene no anya mframa pa ne aduannuru a ehia . So wunim sɛ mogya a ɛkɔ yɛn amemene no nyinaa mu 20% nam saa ``Vertebral Arteries`` yi so na ɛba . 80% a aka no, ntini titiriw foforo a ɛwɔ kɔn no mu a wɔfrɛ no ``Carotid Artery`` na ɛde ma. Enti susuw sɛnea eyinom ho hia no ho hwɛ!

Saa `(Vertebral Arteries)` yi ma nkorabata nketewa pii fi adi. Wɔfrɛ wɔn mu kɛse no `(Posterior Inferior Cerebellar Artery)`. Eyi yɛ ntini atitiriw abiɛsa a ɛde mogya kɔ yɛn `(Cerebellum)`, kyerɛ sɛ, amemene no fã ketewaa bi (cerebellum) no mu biako. Saa `(Cerebellum)` yi ho hia paa. Ɛboa ma yɛdi nneɛma pii a ɛwɔ yɛn nipadua mu, te sɛ kari pɛ, kankyee, kasa, ne anisoadehu so.

Enti, ɛhe na saa ``Vertebral Arteries'' yi wɔ?

Saa `(Vertebral Arteries)` abien yi fi ase fi `(Subclavian Arteries)` a ɛwɔ yɛn kɔn mu dompe ase, kyerɛ sɛ, ``clavicle`` dompe no ase. Saa `(Subclavian Arteries)` yi fi ase fi ``Aorta``, a ɛyɛ mogya ntini a ɛso sen biara wɔ yɛn nipadua mu. ``Aorta`` ne nea ɛde mogya fi koma mu kɔ nipadua no nyinaa mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ``Subclavian Artery`` a ɛwɔ nifa so no fi ase fi ``Brachiocephalic Artery`` a efi ``Aorta`` mu. ``Subclavian Artery`` a ɛwɔ benkum so no fi ase tẽẽ fi ``Aorta``.

Afei saa `(Vertebral Arteries)` abien yi, a ɛsono emu biara, kɔ soro wɔ yɛn akyi berɛmo no benkum ne nifa so wɔ kɔn mu. Ntini a wɔfrɛ no `(Suboccipital muscles)` a ɛwɔ ti nhwi no ase na ɛkata saa ntini yi so. Yɛsan frɛ saa beae yi `(Suboccipital triangle)`.

Dɛn ne Vertebral Artery no afã titiriw a ɛwɔ ne kwan so?

Fa no sɛ ɛyɛ ɔkwan tenten bi. Ɛsono mmeae a ɛtwam ne mmeae ahorow wɔ saa kwan no so. Saa na wɔkyekyɛ saa `(Vertebral Artery)` yi mu anan (`segments`) sɛnea beae a ɛnam no te. Ma yɛnhwɛ nea wɔyɛ:

• V1 (pre-foraminal) fã: 1 .Eyi ne ɔfa a edi kan a efi ase wɔ ``Subclavian Artery'' so. Eyi kɔ ``Carotid Artery'' akyi, ntini titiriw foforo a ɛwɔ kɔn no mu.
• V2 (foraminal) ɔfã: Ɔfã yi kɔ soro ka akyi berɛmo ntini (ntini a ɛde mogya san kɔ) ne ntini ahorow ho. Saa ``Vertebral Artery`` yi fa bue bi a wɔfrɛ no ``Transverse Foramen`` a ɛwɔ C6 akyi berɛmo no mu (i.e. akyi berɛmo a ɛtɔ so nsia wɔ kɔn mu) na ɛfiri adi fa C2 akyi berɛmo (akyi berɛmo a ɛtɔ so mmienu a ɛwɔ ti nhwi no ase) mu.
• V3 (extradural anaa extraspinal) fã: Saa fã yi twitwiw na ɛkyinkyin kakra bere a ɛfa C1 vertebra (a wɔsan frɛ no ``Atlas'', a ɛyɛ dompe a ɛwɔ soro sen biara wɔ akyi berɛmo no mu) so na ɛhyɛn ti nhwi no mu no.
• V4 (intradural anaa intracranial) fã: Eyi ne fã a etwa to a ɛhyɛn ti nhwi no mu. Afei nifa ne benkum `(Vertebral Arteries)` no bom yɛ `(Basilar Artery)` a yɛadi kan aka ho asɛm no.

So woahu sɛnea ntini yi yɛ den sɛ ɛde mogya kɔ yɛn amemene mu?

Nyarewa ne ɔhaw bɛn na ebetumi aka `(Vertebral Arteries)`?

Okay, afei ma yɛnhwɛ ɔhaw ahorow a mogya ntini a ɛsom bo yi betumi de aba.

Mpɛn pii no, ɔhaw ahorow sɔre esiane srade ne srade a ɛboaboa ano wɔ saa ntini ahorow yi mu, a yɛfrɛ no `(plaque)` no nti. Eyi te sɛ efĩ ne nneɛma a asɛe a ɛboaboa ano wɔ nsu afiri mu bere a bere kɔ so no. Yɛfrɛ saa tebea yi `(atherosclerosis)` . Sɛ saa `(plaque)` yi boaboa ano dodo a, ntini no betumi asiw koraa.

Sɛ `(Atherosclerosis)` nyin wɔ `(Vertebral Arteries)` mu te sɛ eyi a, wɔfrɛ no `(Vertebral Artery Stenosis)`. Ɛno kyerɛ sɛ ntini no mu yɛ teateaa. Dɛn na ebetumi de eyi aba?

• Mogya a ɛyɛ mmerɛw betumi ayɛ. Mogya a ɛsen no betumi asiw mmeae a ayɛ teateaa yi na mogya atɔw.
• Mogya a ɛkɔ amemene no mu a wɔtwa mu bere tiaa bi no betumi ama ``Transient Ischemic Attack - TIA'' aba. Yɛsan frɛ eyi ''mini stroke''.
• Akisikuru betumi aba. Eyi betumi aba sɛ mogya a ɛtwetwe no siw ntini bi a ɛwɔ amemene no mu koraa a.
• Tebea bi a wɔfrɛ no ``Vertebrobasilar insufficiency'' betumi aba. Eyi kyerɛ sɛ amemene no nnya mogya a ɛdɔɔso.

Nea ɛka eyi ho no, tebea afoforo wɔ hɔ a ɛka ntini ahorow yi:

• Cervical Artery Dissection: Eyi yɛ tetew a ɛba carotid anaa vertebral artery a ɛwɔ kɔn no mu no fasu mu. Eyi betumi aba esiane adwenemhaw nti, anaasɛ nnipa a wɔwɔ ntini a ɛka bom yɛ adwuma (te sɛ Fibromuscular Dysplasia) a wɔn mogya ntini ayɛ mmerɛw no mu.
• `(Rotational Vertebral Artery Stenosis)`: Eyi yɛ tebea a ɛntaa nsi kakra. Ɛtaa ba bere a wɔahyɛ `(Vertebral Artery)` bi esiane dompe bi a enyin a wɔmpɛ nti, na ɛmma mogya nkɔ amemene no mu. Wɔsan frɛ eyi `(Bowhunter's Syndrome)` efisɛ ɛtɔ mmere bi a saa nhyɛso yi kɔ soro wɔ agyan tow gyinabea no mu.

Enti yɛbɛyɛ dɛn ama saa `(Vertebral Arteries)` a ɛsom bo yi anya apɔwmuden?

Eyi ne ade a ɛho hia sen biara. Sɛ yɛyɛ nsakrae nketenkete kakraa bi wɔ yɛn asetra mu a, yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya tebea horow te sɛ `(Vertebral Artery Stenosis)` no so kɛse. Hwɛ sɛ wubetumi ayɛ saa nneɛma yi anaa:

• Kɔ so yɛ nnam nna dodow no ara wɔ dapɛn no mu. Ɛno kyerɛ sɛ wobɛteɛteɛ w’apɔw mu. Nantew tiawa mpo ye.
• Di aduan a ɛma koma nya ahoɔden. Nnuan a srade, srade, ne nkyene nnim ye sen biara. Di nhabannuru, nnuaba, aburow a wɔayam, ne nnuan a ahoɔdennuru pii wom pii.
• Kura mu duru a ɛfata mu. Wo mu duru a ɛfata wo tenten a wobɛkɔ so akura mu no ho hia yiye.
• Sɛ wowɔ tebea horow te sɛ asikreyare, mogya mmoroso, anaa srade a ɛdɔɔso a, di so yiye. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Sɛ wonom sigaret a, akyinnye biara nni ho sɛ gyae. Sigaretnom pira mogya ntini kɛse.

Kae sɛ, saa nneɛma yi boa ma ɛnyɛ wo ``Vertebral Arteries'' nko na mmom nipadua no ntini nhyehyɛe no nyinaa yɛ apɔwmuden.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Nsɛnkyerɛnne ahorow bi wɔ hɔ a sɛ ɛda adi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara, efisɛ ebia ɛyɛ tebea bi a emu yɛ den ho sɛnkyerɛnne.

• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase: Ne titiriw no, .
• Vertigo a emu yɛ den
• Kari pɛ a ɛyera wɔ nipadua no mu (a ɛnkari pɛ) .
• Anisoadehu mmɔho abien anaasɛ aniwa a ɛyera
• Nnipa a wɔabubu
• Sɛ wotaa hwe ase a ntease biara nni mu a `(Uneexplained falls)`

Sɛ wo anaa obi a wunim no rehyia eyi a, nsɛe bere na hwehwɛ aduruyɛfo afotu ntɛm ara. Dodow a wo sa tebea bi te sɛ `(Stroke)` ntɛm no, dodow no ara na nea ebefi mu aba no ye.

Enti, momma yɛnkae nsɛntitiriw a ɛho hia sen biara wɔ nea yɛaka ho asɛm no mu? (Nkrasɛm a Wɔde Kɔ Fie)

Seesei wunim sɛ ``Vertebral Arteries`` a yɛkaa ho asɛm nnɛ no yɛ ntini nhyehyɛe a ɛho hia yiye a ɛde mogya kɔ yɛn amemene ne yɛn akyi berɛmo mu. Eyinom a yɛbɛma ayɛ yiye no ho hia ma yɛn ``Nervous system`` no dwumadi a ɛfata.

Vertebral Artery Stenosis, anaa Vertebrobasilar insufficiency, fi ntini a ɛyɛ mmerɛw a ɛboaboa ano wɔ ntini no mu. Eyi siw mogya a ɛkɔ nipadua no mu ano na ɛma asiane a ɛwɔ hɔ sɛ obi benya akisikuru ne TIA no yɛ kɛse.

Nanso asɛmpa no ne sɛ yebetumi atew asiane yi so kɛse denam asetra mu nsakrae a ɛfata a yɛbɛyɛ so. Akwan a eye sen biara a wobɛfa so ayɛ eyi ne sɛ wubedi aduan pa, ateɛteɛ w’apɔw mu daa , akwati sigaretnom, na woadi ayaresa tebea horow a ɛwɔ hɔ dedaw (te sɛ asikreyare ne mogya mmoroso) ho dwuma .

Enti, hwɛ w’akwahosan so yiye. Efisɛ biribiara nni hɔ a ɛsom bo sen akwahosan!

`vertebral artery, mogya a ɛkɔ amemene no mu, kɔn mu ntini, obubuafo, ɔyare a ɛma obi hwe ase, ntini a ɛyɛ teateaa, srade a ɛwɔ nipadua no mu