Momma yensua wo koma mu ‘mogya ntini’ titiriw (Ascending Aorta) ne hia a ɛho hia no ho ade.

Ɛnnɛ yɛrebɛka yɛn nipadua no fã bi a ɛho hia yiye na ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ den kakra de, nanso ɛnyɛ den koraa sɛ yɛbɛte yɛn nipadua no fã bi ase ho asɛm. Ɛno ne (Aorta a Ɛforo) . Sɛ yɛbɛka no tiawa a, eyi ne mogya ntini titiriw, (Aorta) , a efi ase fi yɛn koma mu na ɛkyekyɛ mogya kɔ nipadua no nyinaa mu no fã a edi kan. Ɛte sɛ asinasin a wɔde ahyɛ nsu afiri kɛse no mu a ɛde nsu fi nsukorabea ba fie hɔ no. Enti, momma yɛnhwɛ nea eyi (Ascending Aorta) yɛ, nea ɛto so, nyarewa ahorow a ebetumi de aba, ne sɛnea yɛbɛma ayɛ nea ɛfata.

Dɛn ne (Ascending Aorta)? Dɛn na ɛde ba?

Fa no sɛ yɛn nipadua te sɛ kurow kɛse bi. Ofie biara, sotɔɔ biara, beae biara a ɛwɔ kurow yi mu hia nsu. Saa ara na yɛn nipadua mu nkwammoaa biara hia mogya a ɛho tew a oxygen ahyɛ mu ma. Hena na ɔde mogya yi kɔ nipadua no mu nyinaa? Yɛn koma. Mogya a koma no bɔ no, mogya ntini titiriw a ɛsõ sen biara (Aorta) , anaa aorta kɛse no na ɛde fa nipadua no mu nyinaa.

Seesei eyi (Aorta) wɔ afã horow pii.

1. (Aorta a Ɛforo): Eyi ne ɔfã a ɛkɔ soro bere a efi ɔdan titiriw a wɔde mogya gu mu a wɔfrɛ no Benkum Ventricle a ɛwɔ koma no benkum so no mu no. Oyi ne yɛn asɛmti no mu ɔkannifo nnɛ.

2. (Aortic Arch): Afei saa afiri yi kotow kɔ soro te sɛ dua nsa. Wɔfrɛ no (Aortic Arch).

3. (Descending Aorta): Afei saa afiri yi sian, fa koko no mu, fa yafunu no mu. Wɔfrɛ saa ɔfã no (Descending Aorta).

Enti, adwuma titiriw a (Ascending Aorta) no yɛ ne sɛ ɛbɛfa mogya a oxygen pii wom a koma no bɔ no na efi ase kyekyɛ kɔ (Aortic Arch) no mu na efi hɔ kɔ nipadua no nyinaa mu. Titiriw no, mogya ntini abien a ɛho hia yiye a wɔfrɛ no Coronary Arteries a ɛde mogya kɔ koma no mu no fi eyi mu (Ascending Aorta). Fa no sɛ, nsu pɔmpɛ nso hia nsuo bi na ama ayɛ adwuma, saa na ɛyɛ adwuma.

Ɛhe na eyi (Ascending Aorta) wɔ? Ɛte sɛn?

Eyi (Ascending Aorta) wɔ yɛn moma so, titiriw dompe kɛse a ɛwɔ koko no mfinimfini, (Sternum) akyi, wɔ koma no benkum so. Ɛne koma no (Left Ventricle) no wɔ abusuabɔ tẽẽ na ɛtrɛw kɔ soro.

Sɛ yɛhwɛ sɛnea ɛte a, aorta no nyinaa te sɛ poma ketewaa biako. Aorta a ɛforo yɛ poma no fã a ɛyɛ tiaa sen biara a efi ase bɛn koma no na ɛkɔ soro. Aortic arch ne ɔfã a ɛkotow te sɛ poma no nsa.

Mpɛn pii no, Ascending Aorta no tenten yɛ sɛntimita 5 kosi 8 (bɛyɛ nsateakwaa 2 kosi 3) na ne tɛtrɛtɛ bɛyɛ sɛntimita 3 kosi 4. Ne tɛtrɛtɛ so tew nkakrankakra bere a ɛkɔ fam wɔ koko no so no.

Dɛn ne Ascending Aorta no afã horow? Ɔkwan bɛn so na wɔhyehyɛ?

Wɔakyekyɛ aorta no nyinaa mu ayɛ no afã atitiriw abien: thoracic aorta ne abdominal aorta.(Ascending Aorta), (Aortic Arch), ne (Descending Aorta) no bom yɛ (Thoracic Aorta).

Ascending Aorta no fi ase wɔ baabi a ɛbɛn Aortic Heart Valve a ɛwɔ Benkum Ventricle no akyi no. Saa Aortic Valve yi te sɛ ɔpon. Ebue na ɛto mu ma mogya fi Benkum Ventricle no mu kɔ Aorta no mu. Ascending Aorta no ba awiei ansa na Brachiocephalic Artery, nkorabata titiriw a edi kan a ɛpue fi Aortic Arch no mu no anim pɛɛ.

Ascending Aorta no wɔ afã atitiriw abien:

1. (Aortic Root): Eyi ne (Ascending Aorta), ɔfã a ɛbɛn (Aortic Valve) no ntini. Wɔ eyi mu no, abura nketenkete a ɛte sɛ bulb a wɔfrɛ no (Aortic Sinuses) . Eyinom ne baabi a nifa ne benkum (Coronary Arteries) (ntini a ɛma mogya kɔ koma no) fi ase. Eyi nso ne baabi a (Sinotubular Junction - STJ) no wɔ. STJ no ne baabi a (Ascending Aorta) no bɛyɛ tube a ɛyɛ daa.

2. Tubular (Ascending Aorta): Eyi fi ase wɔ STJ akyi na ɛkɔ so kodu Aortic Arch. Mogya ntini foforo biara nni nkorabata mfi ɔfã yi.

Te sɛ aorta no afã afoforo no, aorta a ɛforo kɔ soro no yɛ ntini abiɛsa. Fa no sɛ ɛte sɛ paipu, a ɛwɔ ntoatoaso abiɛsa:

• (Tunica Intima): Eyi ne nea ɛwɔ mu paa. Mogya sen fa eyi mu.
• (Media): Eyi ne mfinimfini fã no. Ɛwɔ nhama pii a ɛyɛ den. Eyinom ma (Aorta) no twetwe na ɛtrɛw sɛnea mogya mmoroso te. Nanso, bere kɔ so no, saa nhama yi betumi ayɛ mmerɛw na ɔfasu no betumi ayɛ teateaa.
• (Adventitia): Eyi ne ade a ɛwɔ akyi sen biara. Mogya ntini nketenkete a ɛma aduan kɔ (Aorta) fasu no mu wɔ mu.

Sɛ yɛbɛka no tiawa a, Ascending Aorta yɛ ‘paipu asinasin’ a ɛho hia yiye, ɛyɛ den a edi kan gye mogya fi koma no mu na efi ase de kɔ nipadua no nyinaa mu.

Nyarewa bɛn na ɛka Ascending Aorta no?

Nea ɛyɛ awerɛhow no, ɔfã a ɛho hia paa yi nso tumi nya nyarewa ahorow. Ma yɛnhwɛ nea ɛyɛ atitiriw no:

• Aortic Aneurysms: Eyi yɛ ɔhaw a ɛtaa ba. Aneurysm yɛ mogya ntini bi fasu a ɛyɛ mmerɛw, na ɛma ɛbɔ te sɛ balloon. Aortic aneurysms a ɛwɔ koko mu no bɛboro 50% ba wɔ aorta a ɛforo kɔ soro no mu. Wobetumi aba wɔ aortic ntini anaasɛ tubular ascending aorta no mu. Aortic aneurysms yɛ tebea horow a ɛde nkwa to asiane mu. Eyi te saa efisɛ ntini a ɛma mogya tu no betumi ama nusu atew wɔ mogya ntini no mu – tebea a wɔfrɛ no aortic dissection . Anaasɛ, sɛ ɛpae koraa a, mogya a emu yɛ den betumi atu wɔ nipadua no mu. Eyi yɛ asɛm a egye ntɛmpɛ.

• (Aortic Valve Stenosis) a Ɛyɛ Fɛ:Ɛwom sɛ Aortic Valve no nyɛ Ascending Aorta no fã de, nanso ɛbata Ascending Aorta no mu ɔfasu no ho. Aortic Stenosis yɛ Aortic Valve a ɛyɛ teateaa a ɛda Aortic Root ne Left Ventricle ntam. Eyi ma koma no yɛ adwumaden de mogya kɔ Aorta no mu. Eyi betumi ama koma ntini no ayɛ kɛse.

• (Aortic Valve Regurgitation): Eyi ba bere a (Aortic Valve) no ntumi nto mu yiye no. Afei, sɛ́ anka mogya bɛkɔ n’anim akɔ (Aorta) no mu no, ɛsan tu kɔ (Left Ventricle) no mu. Eyi ma koma no bɔ mogya pii sen sɛnea ɛte daa. Bere kɔ so no, koma no betumi ayɛ mmerɛw. (Aortic Valve Regurgitation) nso betumi aba esiane (Ascending Aorta) no a ɛtrɛw nti.

• Bicuspid Aortic Valve (BAV): Wɔwo nnipa binom a nkratafa abien wɔ wɔn aortic valve mu sen sɛ wɔde abiɛsa bɛba. Nnipa a wɔwɔ saa valve yi wɔ asiane kɛse mu sɛ wobenya aortic aneurysms a ɛforo kɔ soro. Mpɛn pii no, BAV betumi ama aortic stenosis, aortic regurgitation, anaa n’abien nyinaa aba.

• Ntini a Ɛma Nkitahodi Mu Nyarewa: Nnipa a wɔwɔ nyarewa te sɛ (Marfan Syndrome) , (Loeys-Dietz Syndrome) , ne (Ehlers-Danlos Syndrome) betumi anya ɔhaw ahorow te sɛ (Aneurysms) efisɛ (Aorta) no fasu betumi ayɛ mmerɛw.

• Ɔhaw a Ɛma Ɔhyew: Tebea horow te sɛ Giant Cell Arteritis ne Penetrating Atherosclerotic Ulcers nso betumi asɛe aorta no fasu.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea saa sɛnkyerɛnne ahorow yi yɛ hu kakra de, nanso sɛ wohu ntɛm na wɔsa no yiye a, wobetumi adi so .

Mɛyɛ dɛn atumi ama me Ascending Aorta no anya apɔwmuden?

Nneɛma koro no ara a woyɛ na ama wo koma ne wo mogya a ɛkɔ nipadua no mu no ayɛ yiye no nso ye ma Ascending Aorta no akwahosan.

• Di aduan pa a ɛkari pɛ: Di nnuan a sodium (nkyene), srade, ne srade a ɛdɔɔso nni mu. Di nnuaba, nhabannuru, aburow a wɔayam, ne fiber pii.
• Apɔw-mu-teɛteɛ daa: Yɛ biribi te sɛ nantew, mmirikatu, anaa asuguare anyɛ yiye koraa no simma 30 da biara. Ɛhyɛ koma no den na ɛhwɛ mogya mmoroso so.
• Gyae sigaretnom ne tawanom mu nneɛma koraa: Sigaretnom yɛ mogya ntini tamfo titiriw. Ɛma aorta no fasu yɛ mmerɛw na ɛma asiane a ɛwɔ hɔ sɛ mogya mu ntini mu yare no yɛ kɛse.
• Tew nsanom so anaa gyae: Nsã a wɔnom boro so nso betumi ama mogya mmoroso akɔ soro na asɛe koma ne mogya ntini.
• Kɔ aduruyɛ mu nhwehwɛmu daa: Ɛho hia yiye sɛ wobɛkɔ akɔhwɛ wo daa sɛnea wo duruyɛfo kyerɛ wo, titiriw sɛ wowɔ ɔhaw ahorow te sɛ mogya mmoroso, srade a ɛwɔ wo mu, asikreyare, anaa sɛ obi a ɔwɔ w’abusua mu anya aortic haw a.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wɔahu sɛ wowɔ Ascending Aortic Syndrome anaa komayare foforo a, sɛ wunya sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Afei nso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya mu ntini a ɛyɛ den no apae na ɛsɛ sɛ wokɔ ayaresabea ntɛm ara:

• Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti (fainting).
• Koma a ɛbɔ ntɛmntɛm.
• Ɛyaw a emu yɛ den wɔ koko anaa akyi atifi.
• Ɔhome a ɛyɛ den.

Mma w’ani ngu yare no ho sɛnkyerɛnne te sɛ eyinom so. Sɛ obi nya ayaresa ntɛm a, ebetumi agye obi nkwa.

Nkrasɛm a Wɔde Kɔ Fie

Aorta a ɛforo kɔ soro no ne mogya ntini a ɛsõ sen biara wɔ yɛn nipadua mu, aorta, no fã a edi kan. Ɛne koma no di nkitaho na edi dwuma titiriw bi wɔ boa a ɛboa ma wɔkyekyɛ mogya a oxygen wom a koma no de kɔ nipadua no nyinaa mu no mu.

Ɔhaw ahorow bi a ɛwɔ Ascending Aorta no mu, te sɛ ntini a ɛpaapae no betumi de nkwa ato asiane mu. Enti, sɛ obi a ɔwɔ w’abusua mu anya komayare, anaasɛ woadi boro mfe 65 a, wo ne wo duruyɛfo nkasa mfa akwan a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow wɔ Ascending Aorta no so no so. Ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban ne sɛ wobɛbɔ bra pa. Hwɛ wo koma so yiye, efisɛ ɛma wokɔ so tra ase!

` Ascending aorta, aorta, komayare, mogya ntini, aortic aneurysm, koma akwahosan, koma