Dɛn ne Vagus Nerve yi? Momma yɛnka ho asɛm tiawa!

So woate biribi a wɔfrɛ no ‘Vagus Nerve’ ho asɛm pɛn? Ebia ɛnyɛ saa. Nanso ɛyɛ ade a ɛho hia yiye, ɛyɛ den kakra, na ɛyɛ nwonwa yiye wɔ yɛn nipadua mu. Ɛte sɛ kokoam ɔbɔfo bi a ɔwɔ yɛn nipadua mu. Enti, momma yɛnka Vagus Nerve yi ho asɛm nnɛ wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase?

Dɛn ne Vagus Nerve yi?

Okay, di kan ma yɛnhwɛ nea Vagus Nerve yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ yɛn ntini ahorow no fã a ɛho hia yiye. Ntini titiriw a ɛwɔ yɛn nipadua no parasympathetic nervous system no mu ne Vagus Nerve. Parasympathetic Nervous System no na ɛhwɛ yɛn nipadua no dwumadi ahorow bi so. Sɛ nhwɛso no, nneɛma te sɛ wo aduan a woyam, wo koma bɔ, wo nipadua mu ahoɔden a ɛko tia nyarewa . Eyinom yɛ dwumadi ahorow a yɛmpɛ (nneɛma a yentumi nni so wɔ adwene mu, ɛba ara kwa). Fa no sɛ, wuntumi nsusuw aduan a wobɛyam ho, ɛba ara kwa. Ɛno ne no.

Yɛn benkum ne nifa Vagus Nerves no kura ntini nhama a ɛwɔ Parasympathetic Nervous System no mu 75%. Saa nhama yi ne nea ɛde nsɛm kɔ yɛn amemene, koma, ne yɛn aduan mu nhyehyɛe ntam .

Saa Vagus Nnerve yi yɛ yɛn ti nhwi ntini dumien no mu nkyem du . Enti, wɔsan frɛ no Cranial Nerve X , efisɛ X yɛ Romafo akontaahyɛde ma 10.

Enti, dɛn ne Vagus Nerve no dwumadi?

Yɛaka Vagus Nerves a ɛyɛ yɛn ntini nhyehyɛe no fã no ho asɛm kakra. Wɔde wɔn ho hyɛ nkate ne kankyee (i.e., ɛfa kankyee ho) dwumadi pii a ɛkɔ so wɔ yɛn nipadua mu wɔ awosu mu no mu. Hwɛ nsɛm a wɔahyehyɛ yi:

• Nnuan a yɛyam: Eyi boa yɛn ma yɛyam aduan a yedi no yiye.
• Koma a ɛbɔ, mogya mmoroso, ne ɔhome: Eyinom nso di dwuma titiriw wɔ wɔn a wodi so no mu.
• Nkwammoaa a ɛko tia nyarewa no mmuae: Ɛfa nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no dwumadi nso ho.
• Adwene: Yɛn anigye ne awerɛhow nkate nso nya nkɛntɛnso bi.
• Nsu ne nnompe a wɔyɛ.
• Wora ne ntini mu nkate.
• Ɔkasa: Eyi nso ho hia ma sɛnea yɛkasa.
• Ɛdɛ.
• Nsu a wɔde gu mu.

So wubetumi ahu nneɛma pii a ntini ketewa yi ka ho?

Dwuma bɛn na Parasympathetic Nervous System di?

Yɛkae sɛ Vagus Nerve no yɛ Parasympathetic Nervous System no fã titiriw. Saa nhyehyɛe yi na ɛhwɛ yɛn nipadua de soƐhwɛ nneɛma a wɔfrɛ no ‘home and digest’ so . Susuw nea ɛkɔ so wɔ wo nipadua mu bere a woadi yiye na woade wo ho no ho. Ɛno ne nea eyi boa wɔ ho.

Eyi ne ‘ɔko anaa guankɔbea’ mmuae a yɛn Sympathetic Nervous System yɛ no bɔ abira koraa . Sɛ ehu aka wo anaa wo ho yeraw wo a, wo koma bɔ ntɛmntɛm na wo ho fifiri, ɛnte saa? Saa na Sympathetic Nervous System no yɛ. Saa nhyehyɛe abien yi bom yɛ yɛn Autonomic Nervous System . Eyi ne nea edi yɛn nipadua no dwumadi ahorow a yɛmpɛ so.

So wunim baabi a Vagus Nerve no wɔ?

Vagus Nerve no ne yɛn ti nhwi ntini a ɛware sen biara . Ɛtrɛw fi yɛn amemene mu kosi yɛn dwensɔtwaa kɛse no mu. So wubetumi asusuw bere tenten a egye ho? Yɛn Benkum Vagus Nnerve no tu mmirika fa yɛn nipadua no benkum so, na Right Vagus Nerve no tu mmirika fa nifa so.

Latin asɛmfua ‘vagus’ kyerɛ ‘akyinkyin’. Ebia edin no fi nokwasɛm a ɛyɛ sɛ saa ntini ahorow yi fa ɔkwan tenten a ɛyɛ kyinhyia so fa nipadua no nyinaa mu. Wofi ase wɔ beae bi a wɔfrɛ no Medulla Oblongata, wɔ yɛn amemene no ase . Afei wɔfa mmeae yi, anaasɛ wɔde wɔn ho hyɛ mu:

• Kɔn: (Ɛwɔ Carotid Artery ne Jugular Vein Ntam) .
• Koko/Ahurututu
• Akoma
• Ahrawa
• Yafunu ne aduan mu ntini.

Ɛte sɛ nea woretu kwan tenten akɔ wo nipadua mu, ɛnte saa?

Ɔkwan bɛn so na Vagus Nerve baa dwumadibea no yɛ?

Yɛn benkum ne nifa Vagus Nnerves no bom yɛ Vagal Trunk . Eyinom bom wɔ esophageal hiatus, baabi a yɛn esophaguus no hyɛn yafunu no mu no. Saa Vagal Trunk yi na ɛwɔ yafunu mu ntini a ɛwɔ anim ne akyi a ɛkɔ yafunu no mu.

Vagus Nerve no nkorabata atitiriw ne:

• Inferior ganglion branch: Eyi som yɛn menewa (`(pharynx)`) ne larynx (`(larynx)` - nne adaka) ntini ne ntini ahorow.
• Superior ganglion branch: Eyi som ntini ahorow a ɛkɔ yɛn akyi berɛmo ne yɛn aso mu.
• Vagus nerve branch: Eyi som ntini a ɛkɔ yɛn koma, ahurututu, ne esophagus (afiri a ɛka ano ne yafunu bom) no.

Nyarewa bɛn na ɛka Vagus Nerve no?

Ɛtɔ da bi a, Vagus Nerve a ɛho hia yi nso betumi anya ɔhaw ahorow. Eyi betumi de tebea horow te sɛ:

• Gastroparesis: Eyi ne bere a vagus ntini no sɛe, na ɛma aduan a efi yafunu no mu kɔ dwensɔtwaa no mu no gyae anaasɛ ɛyɛ brɛoo yiye. Fa no sɛ kar engine a ɛnyɛ adwuma. Saa vagus ntini a ɛsɛe yi betumi afi tebea horow te sɛ asikreyare , mmoawa a wɔde nyarewa ba, yafunu mu oprehyɛn, ne scleroderma .
• Vasovagal Syncope: Syncope yɛ obi a ɔtotɔ piti. Eyi ba bere a Vagus Nerve a ɛkɔ koma no mu no yɛ n’ade boro so wɔ nneɛma bi ho no. Sɛ nhwɛso no, nneɛma te sɛ ɔhyew a ano yɛ den, dadwen, ɔkɔm, ɛyaw, anaa adwennwen. Eyi betumi ama mogya mmoroso akɔ fam mpofirim (Orthostatic Hypotension) , adwenem ayɛ no naa, na watɔ piti. Woate sɛ nkurɔfo totɔ piti bere a wohu mogya anaasɛ wɔde aduru a wɔde twitwiw wɔn mu no, ɛnte saa? Ɛno yɛ biribi a ɛte saa.

Dɛn ne Vagus Nerve haw ho sɛnkyerɛnne?

Sɛ ɔhaw bi wɔ Vagus Nnerve no ho a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina nea ɛde ba ne ntini no fã a ɛka no so. Nsɛnkyerɛnne a ɛtaa ba no bi ne:

• Yafunu mu yaw ne ne ho a ɛyɛ hyew.
• Acidity (a ɛkyerɛ sɛ yafunu mu acid a ɛba soro kɔ menewa mu - `(Gastroesophageal Reflux Disease, GERD)`).
• Nsakrae a ɛba koma a ɛbɔ, mogya mmoroso, anaa asikre dodow a ɛwɔ mogya mu.
• Ɛyɛ den sɛ wobɛmene anaasɛ gag reflex no a ɛyera.
• Adwene a ɛyɛ basaa anaasɛ obi a ɔtotɔ piti.
• Nne a ɛyɛ den, ɛyɛ dede, anaasɛ ɛnne a ɛyera.
• Aduan ho akɔnnɔ a ɛyera, ɔte nka sɛ ɔmee bere a wadi kakra awie, anaasɛ ne mu duru so tew a ntease biara nnim.
• Akisikuru ne ɔfe.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛyɛ papa sɛ wobɛhaw wo ho wɔ ho.

Dɛn ne Vagus Ntini a Ɛkanyan (VNS)?

Eyi yɛ ayaresa foforo koraa. Vagus Nerve Stimulation (VNS) yɛ adeyɛ a wɔde anyinam ahoɔden a ɛkanyan yɛn benkum vagus ntini no. Wɔ saa adeyɛ yi mu no, nnuruyɛfo de afiri ketewaa bi si wo moma so were no ase. Afei, waya bi kɔ honam ani na ɛde saa afiri yi bata ntini no ho.

Saa afiri yi nam Benkum Vagus Nnerve so de anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ brɛoo yiye a ɛnyɛ yaw kɔ w’amemene no mu. Saa nkate ahorow yi ma anyinam ahoɔden dwumadi a ɛnkɔ so daa wɔ amemene no mu no dwo.

U.S. Aduan ne Nnuru Dwumadibea (FDA) apene saa ``(VNS)`` kwan yi so de sa akisikuru ne adwenemhaw a wɔmfa ayaresa a wɔtaa de sa no yare.Wɔapene so sɛ wɔmfa nsa nyarewa te sɛ. Nea ɛka ho no, wɔresɔ ahwɛ sɛ wobetumi de adi dwuma wɔ nyarewa a edidi so yi mu anaa:

• Ti a ɛyɛ yaw a ɛyɛ akuwakuw.
• Yare a Ɛma Ɔyare a Ɛyɛ Ɔhyew (IBD).
• Yeaw.
• Adwennwen a Ɛba Akyirikyiri (PTSD).
• Ntini mu yare a ɛma ntini mu yare.

So eyi nyɛ nhwɛso pa a ɛkyerɛ sɛnea mfiridwuma mu nimdeɛ akɔ anim?

Ɔkwan bɛn so na wobetumi ahu Vagus Nerve haw ahorow?

Sɛ oduruyɛfo bi susuw sɛ wowɔ ɔhaw bi wɔ wo vagus nerve no ho a, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa:

• CT scan anaa MRI scan: Eyinom hwɛ sɛ ebia biribiara asiw dwensɔtwaa no mu anaa.
• Echocardiogram: Eyi hwɛ sɛnea koma no yɛ adwuma.
• Gastric emptying solid study anaa Smart Pill: (Eyi yɛ ɛlɛtrɔnik mfiri ketewaa bi a womene) Eyi na ɛkyerɛ bere tenten a egye ansa na aduan afi yafunu mu akɔ dwensɔtwaa mu.
• Upper Endoscopy: Eyi hwehwɛ wo aduan mu ntini a ɛwɔ soro no mu.

Saa sɔhwɛ ahorow yi nkutoo ne ɔkwan a wɔfa so hu nea esii ankasa.

Dɛn ne nnuru a wɔde sa Vagus Nerve nyarewa?

Ɛsono akwan a wɔfa so sa yare no gyina yare no so. Momma yɛnhwɛ ayaresa a wɔde sa nyarewa atitiriw abien.

Ayaresa a Wɔde Sa Gastroparesis:

Yareɛ a yɛadi kan aka ho asɛm no, baabi a aduane ntwa yafunu mu yie no, yɛyɛ nneɛma te sɛ yei:

• Nsakrae a ɛba aduan mu: Te sɛ nnuan nketenkete a wodi a wɔtaa di a ɛnyɛ den sɛ wobɛyam.
• Nnuru: Nnuru a wɔde sa akisikuru, yafunu mu yaw, asikre a ɛwɔ mogya mu, ne yafunu a ɛda mpan.
• Nsu a wɔde ma aduan: Ɛtɔ mmere bi a, wɔde aduan fa nsukorabea bi mu ma na ama aduannuru akɔ mogya no mu tẽẽ.
• Gastrostomy: Tokuru a wɔyɛ wɔ yafunu no mu na ama nhyɛso a ɛba yafunu no so no so atew.
• Gastric Electrical Stimulation: (Ɛte sɛ VNS) de anyinam ahoɔden kɔ yafunu no ntini ne ntini ahorow mu ma ɛboa ma aduan fa dwensɔtwaa no mu.

Ayaresa a Wɔde Sa Vasovagal Syncope:

Eyi ne nea wɔyɛ de totɔ piti:

• Nnuan a nkyene pii wom a wobedi.
• Nnuru a ɛma mogya mmoroso so tew (e.g. diuretics) a wobegyae (wɔ nnuruyɛfo afotu so).
• Nnuru a ɛma sodium, nsu dodow, ne mogya mmoroso kɔ soro, anaasɛ ɛma ntini a ɛma nipadua no yɛ adwuma no dwo a wɔnom.
• Compression stockings a wɔhyɛ na ama mogya a ɛbɛboaboa ano wɔ nan no mu.

Nea ɛho hia sen biara ne sɛ ɛsɛ sɛ wɔyɛ saa ayaresa ahorow yi nyinaa sɛnea oduruyɛfo kyerɛ no pɛpɛɛpɛ.

Yɛbɛyɛ dɛn ama yɛn Vagus Nerves no ayɛ yiye?

Saa asetra mu nsakrae yi bɛboa ma yɛn ntini nyinaa anya apɔwmuden, a Vagus Ntini ka ho:

• Yɛ apɔw-mu-teɛteɛ: Ɛyɛ papa sɛ wobɛteɛteɛ w’apɔw mu kakra da biara.
• Di aduan a ahoɔden wom: nneɛma te sɛ nhabannuru, nnuaba, ne aburow a wɔanhoro mu.
• Di tebea horow te sɛ asikreyare ne mogya mmoroso anaa mogya mmoroso a ɛba fam so.
• Fa akwan horow a ɛtew adwennwen so te sɛ adwennwen, aduru a wɔde dadaa, anaa yoga di dwuma.

Ɛwom sɛ eyinom betumi ayɛ te sɛ nneɛma nketenkete de, nanso enya yɛn akwahosan so nkɛntɛnso kɛse bere tenten.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu ampa:

• Yafunu mu yaw a ɛkɔ so daa.
• Koma a ɛtaa yɛ hyew (GERD tebea).
• Sɛ ɛyɛ den ma wo sɛ wobɛmene anaa wobɛkasa a.
• Sɛ wotaa totɔ piti a.
• Sɛ wo ho yɛ wo yaw, wofe, anaasɛ wo mu duru so tew a wontumi nkyerɛkyerɛ mu a.
• Sɛ koma no bɔ ntɛmntɛm dodo (ntɛmntɛm) anaa brɛoo dodo (brɛoo).

Mfa nneɛma a ɛte sɛɛ nnto nkyɛn. Sɛ wunya ayaresa wɔ bere ano a, wobetumi adi ɔhaw pii ho dwuma ansa na ayɛ kɛse.

Sɛ yɛbɛbɔ no mua a, kae...

Okay, enti seesei wowɔ adwene pa wɔ Vagus Nerve a yɛkaa ho asɛm nnɛ no ho. Kae sɛ eyi yɛ ntini a ɛyɛ nwonwa a ɛhwɛ yɛn nipadua mu dwumadi ahorow a ɛho hia sen biara no pii so, te sɛ yɛn koma bɔ, yɛn home, ne yɛn aduan mu .

Sɛ vagus ntini no sɛe a, ebetumi de aduan mu haw ahorow te sɛ gastroparesis aba. Ɛtɔ mmere bi a, nnuruyɛfo de saa ntini yi dwudwo anyinam ahoɔden dwumadi a ɛnkɔ so daa wɔ amemene no mu denam ɔkwan bi a wɔfrɛ no Vagus Nerve Stimulation (VNS) .

Ɛho hia paa sɛ yedi asetra mu su pa akyi na ama yɛn ntini ahorow no akɔ so ayɛ yiye. Sɛ wowɔ ɔhaw anaa sɛnkyerɛnne bi a ɛfa eyi ho a, mma wo werɛ mmfi sɛ wobɛhwehwɛ aduruyɛfo afotu. Efisɛ, w’akwahosan ne w’agyapade a ɛsom bo sen biara!

` Vagus ntini, ntini nhyehyɛe, parasympathetic ntini nhyehyɛe, aduan a wɔyam, koma bɔ, gastroparesis, vasovagal syncope