Sɛnea Yɛn Nnipadua Mu 'Descending Aorta' (Mogya Ntini Kɛseɛ) Yɛ Adwuma

Dɛn Ne Descending Aorta anaa Mogya Ntini Kɛseɛ No?

Woadi adwene da sɛnea yɛn nnipadua no yɛ adwuma, ne titiriw sɛnea mogya a nkwa wom twa yɛn nipadua mu no ho? Yɛn akoma no, a ɛyɛ ahokeka no, bɔ mmɔden kɛse de mogya kɔ yɛn nipadua afã horow nyinaa. Eyi nso bɛyɛ yiye denam mogya ntini akɛse a ɛte sɛ nsuo kwan so, na nea ɛso sen biara ne 'Aorta' no.

Aorta no yɛ ntini kɛse a ɛde mogya firi akoma no mu kɔ nnipadua no fa a aka nyinaa. Ɛnnɛ, yɛrebɛka ne fa baako a yɛfrɛ no 'Descending Aorta' anaa mogya ntini a esi kɔ fam no ho asɛm. Ɛte sɛ nsuo kwan kɛse a ɛde ahoɔden ne nkwa nsuo kɔ nkurow ne nkuraa nyinaa mu wɔ yɛn nipadua mu. Saa ntini yi asɛdeɛ ho hia yie ma yɛn apɔwmuden.

Descending Aorta No Bɔ Mu Kɔ Ɛhe Ne Ɛhe?

Nokwasɛm ne sɛ, 'Descending Aorta' no yɛ Aorta kɛse no fa. Sɛnea okwan kɛseɛ de wo firi kuro baako mu kɔ foforo mu no, saa ara na Aorta no nso teɛ. Bere a ntini kɛse yi firi akoma no mu kɔ fam wɔ wo koko mu no, yɛfrɛ no Descending Thoracic Aorta. 'Thoracic' yɛ ayaresa asɛmfua a ɛkyerɛ nea ɛfa koko no ho.

Sɛ etwa wo yafunu ntwamutadeɛ (diaphragm) no mu kɔ fam a, ne din no sesa yɛ Descending Abdominal Aorta. Eyi fa wo yafunu no mu kɔsi fam pɛɛ kɔsi wo funuma (navel) no ho. Eyi nkyerɛ sɛ ɛyɛ ntini mmienu; ɛyɛ ntini baako pɛ a ɛde mogya firi ɔsoro kɔ fam, nanso esiane mmeaeɛ a ɛfa no nti, wɔde mmeaeɛ no din ato so ama no ayɛ mmerɛw sɛ adɔkotafoɔ bɛkyerɛkyerɛ mu.

Nsonsonoeɛ Bɛn Na Ɛda Thoracic Aorta Ne Descending Aorta Ntam?

Saa asɛmfua mmienu yi ntwe adwene. 'Thoracic Aorta' kyerɛ Aorta no fa a ɛwɔ koko no mu nyinaa. Ɛkyekyɛ mu nkorabata nnan:

• Aortic root: Ɛfiri akoma no mu pɛɛ.
• Ascending aorta: Ɔfa a ɛforo kɔ soro firi akoma no mu.
• Aortic arch: Ɔfa a akyim sɛ kɔtɔkɔ no, a ɛdannan ne ho kɔ fam.
• Descending thoracic aorta: Ɔfa a ɛsi kɔ fam wɔ koko no mu, a ɛka 'Descending Aorta' no ho no.

Enti, Descending Aorta no firi Aortic arch no akyi, si kɔ fam fa koko no mu kɔ yafunu no mu. Thoracic Aorta no fa baako pɛ ne Descending Thoracic Aorta no.

Dwumadi Titiriw a Descending Aorta Yɛ Ma Yɛn Apɔwmuden

'Descending Aorta' no yɛ adeɛ a asɛyɛdeɛ kɛseɛ da no so wɔ yɛn nipadua mu. Sɛnea asuten kɛseɛ ma nsubɔnten nketewa nya nsuo no, saa ara na saa ntini yi yɛ. Ɛde mogya a mframa pa (oxygen) wɔ mu no kɔ nipadua no afa horow, na ɛma yɛn nnompe ne ntini nya ahoɔden. Sɛ anka yɛbɛbɔ din a, hwɛ mmeaeɛ a saa ntini yi ma wɔn mogya:

• Wo koko ntini ne nnompe mu.
• Wo yafunu mu nneɛma (te sɛ aduanduru kwan, yafunu kɛseɛ, ne nsono nketewa ne akɛseɛ).
• Saa ntini yi na ɛma wo saa (kidneys) no nya mogya.
• W'anan mu nnompe ne ntini nyinaa.
• Nnipaduam mogya ntini (Lymph nodes) a ɛko tia yareɛ no.
• Mmarima ne mmaa awotwaa mu nneɛma.
• Ntendurwa (Spinal cord) ne akyi berɛmo.
• Wo nsuo kwan (urinary system).

Suswɛ ho hwɛ; sɛ ɔhaw bi ba saa ntini kɛse yi mu a, dɛn na ɛbɛsie yɛn nipadua afã horow yi nyinaa! Ɛho hia paa sɛ yɛbɛhwɛ yɛn apɔwmuden so yie na ahaw biara amma mu.

Mmeaeɛ a Descending Aorta no Bɔ Kɔ Ne Sɛnea Ɛteɛ

Aorta kɛse no firi Aortic Arch no akyi pɛɛ. Ɛwɔ wo koko no akyi berɛmo nnompe a ɛtɔ so nnan (4th thoracic vertebra) no ho. Ɛno akyi no, ɛsi kɔ fam twa yafunu ntwamutadeɛ (diaphragm) no mu kɔ yafunu no mu. Ɛkɔsi wo funuma no ho, na abɔ mu mmienu. Yɛfrɛ mmeaeɛ a abɔ mu mmienu yi Aortic bifurcation. Afã mmienu yi yɛfrɛ no 'Right and left common iliac arteries', na ɛno na ɛkɔ wo nnan mu, de kɔ aseresere mu nyinaa. Ɛte sɛ dua kɛseɛ a nkorabata aba mu, de aduane kɔ nnua no nkorabata nyinaa so.

Yareɛ Bɛn Na Ɛtumi Ka Descending Aorta No?

Sɛnea mfidie nyinaa tumi sɛe no, saa ara na ɔhaw tumi ba yɛn nipadua mu nso. Ɔhaw a ɛtaa ba 'Descending Aorta' no mu baako ne Aortic aneurysms. Aneurysm yɛ mogya ntini no fa bi a aba ahomegyeɛ anaasɛ ayɛ mmerɛw na apono (asɛ balloon). Eyi tumi ba Descending Aorta no fa biara:

• Thoracic aortic aneurysm (TAA): Eyi ba koko no mu fa no mu. Ɛtaa firi mogya mmorosoɔ (High blood pressure) anaa pira bi a woanya wɔ wo koko mu.
• Abdominal aortic aneurysm (AAA): Eyi ne nea ɛtaa ba paa, wɔ yafunu fa no mu. Ɛtaa ka mpanyimfoɔ a wɔadi mfeɛ 65 ne akyi, titiriw mmarima a wɔnom sigarɛt (taba). Ɛno ne sradeɛ (cholesterol) a ɛhyɛ mogya ntini no mu (Atherosclerosis) na ɛde saa haw yi ba kɛseɛ.
• Thoracoabdominal aortic aneurysm (TAAA): Eyi firi koko no mu nyinaa kɔsi yafunu no mu.

Nyarewa a Ɛde Osua anaa Owuo Ba (Complications)

Sɛ 'aneurysm' no yɛ kɛse a, ɛyɛ hu paa. Ɛtumi de owuo ba prɛko pɛ. Hwɛ nea ɛtumi sie:

• Aneurysm rupture (Ntini no a ɛpae): Eyi ne sɛ ntini no mu apae na mogya redi dwuma bɔne. Ɛyɛ owuo yareɛ a ɛhia ayaresa ntɛm ara.
• Aortic dissection (Ntini no mu a epae): Eyi ne sɛ ntini no mu honam (layers) no mu apa ntam, na mogya rewura mu. Ɛtumi de mogya kwan si, anaa ɛma ntini no pae prɛko pɛ.

Kae sɛ, 'Aneurysm rupture' anaa 'Aortic dissection' yɛ ɔhaw kɛse a ɛhia ayaresa ntɛm ara!

Nnuru a Yɛbɛhu Sɛ Ɔhaw Ba Aorta No Mu A? (Symptoms)

Asɛm a ɛyɛ hu paa wɔ 'Descending Aorta' nyarewa ho ne sɛ, mpɛn pii no wo nhunu sɛnkyerɛnne biara (No symptoms). W'apɔwmuden bɛyɛ te sɛ nea biribiara nyɛɛ wo, kɔsi sɛ ɔhaw kɛse no bɛpae. Ɛno nti na ɛho hia sɛ wokɔ hwehwɛ w'apɔwmuden mu dabiara no. Sɛ ɔhaw no redɔɔso a, sɛnkyerɛnne yi bɛtumi ada adi:

• Sɛ wo nni aduane koraa mpo a, wote nka sɛ w'afuru amee kɛse.
• Yaw a ɛnnyae wɔ w'akyi, wo nso mu, w'anan mu anaa wo yafunu mu.
• Adeɛ bi a ɛbɔ te sɛ akoma wɔ wo yafunu mu (pulsation).
• Ahome-gyeɛ a ɛyɛ den (Shortness of breath).

Bere bɛn na ɛsɛ sɛ wofrɛ 112 hwehwɛ mmoa ntɛm ara?

Sɛ wote sɛnkyerɛnne yi a, bɔ mmɔden frɛ 112 ntɛm ara! Mfi bere ase!:

• Yafunu yaw a ɛba prɛko pɛ na ɛyɛ den paa.
• Koko anaa akyi yaw kɛse a ɛyɛ te sɛ nea wɔde sekan retwa wo.
• Ahuhuro a ɛbɔ wo prɛko, a ɛyɛ nwini (Cold, clammy sweat).
• Adwene mu a ɛyɛ basaa (Confusion).
• Anisu-tew (Dizziness) anaa ahohiahia (Fainting).
• Akoma a ɛbɔ ntɛmntɛm kɛse.
• Afe (Vomiting) ne ntasu.
• Ahome-gyeɛ a ɛyɛ den kɛse.
• Kasa a ɛyɛ den.
• Ahu-huo anaa anifira prɛko pɛ.
• Nnipadua fã baako a agyae adwuma yɛ (Paralysis/Weakness).

Sɛnea Wɔyɛ Ayaresa Ne Sɛnea Wɔsi Ano Kwan

Wɔde afidie te sɛ Ultrasound, CT scan anaa MRI na ɛhwehwɛ 'Descending Aorta' nyarewa no mu. Sɛ wɔhu sɛ aneurysm (pompo) wɔ mu a, adɔkotafoɔ bɛtumi akyerɛ wo ayaresa ahodoɔ yi:

• Surgery (Oprehyɛn): Adɔkotafoɔ bɛtwa fa a ayɛ mmerɛw no ayi afiri hɔ, na wɔde mfidie tube a ɛyɛ den asisi ananmu.
• Endovascular aneurysm repair (EVAR): Wɔnntwa nkurɔfoɔ yafunu mu, na mmom wɔde tube ketewa bi (catheter) fa ntini no mu bɛto mfidie bi (stent) de ahyɛ fa a ayɛ mmerɛw no den.
• Nnuru: Wɔde nnuru a ɛtew mogya mmorosoɔ (blood pressure pills) ne cholesterol nnuru bɛboa ma aneurysm no annyɛ kɛse.

Kwan bɛn so na wobɛtumi ahwɛ wo 'Descending Aorta' no so yie?

Kwan pa a wobɛfa so ahwɛ wo ntini kɛse yi so ne sɛ wobɛtena ase wɔ apɔwmuden kwan so (Heart-healthy lifestyle):

• Tew nsã-nom so: Mmarima nnom ntra nkyɛnmee mmienu dabiara, mmaa nso koraa nkyɛnmee baako.
• Di nnuane pa: Tew nkyene, cholesterol, ne sradeɛ (fats) a wontumi nyeyɛ nnuane mu nsuo no so. Di nnuane a ahaban ne nnuaba pii wom.
• Yɛ apɔwmuden-teɛ-teɛ (Exercise): Yɛ apɔw-mu-teɛteɛ simma 150 dapɛn biara. Tumi nantew ntɛmntɛm anaa pɛ sakre (bicycle).
• Gye w'ahome yie: Sɛ adwene mu haw (stress) pii wɔ hɔ a, ɛde ɔhaw bɛbrɛ wo akoma. Gye w'ahome yie.
• Gyae Sigarɛt-nom koraa!: Eyi ne ade kɛse a wobɛtumi ayɛ de aboa wo ho. Sigarɛt (taba) sɛe mogya ntini yi yie paa!

Wo 'Descending Aorta' no yɛ ɔkwan titiriw a nkwa fa so wɔ wo nipadua mu. Enti sɔre na bɔ wo ho ban, yɛ bɔmmɔden hwɛ wo nnuane di so na gyae sigarɛt nom, na kɔ do dabiara kɔhwɛ wo ho wɔ ayaresabea mfeɛ biara mu.