So wunim mogya ntini a ɛyɛ nwonwa "backup" a ɛwɔ yɛn nipadua mu no ho asɛm? (Collateral Circulation) Momma yɛnkasa!

Ɛnnɛ yɛrebɛka biribi a ɛyɛ nwonwa yiye na ɛho hia wɔ yɛn nipadua mu ho asɛm . Wo de susuw ho hwɛ, sɛ ɔkwan kɛse a worefa so no to mu mpofirim a, sɛnea ɛsom bo sɛ wubenya akwan nketewa afoforo a ɛwɔ nkyɛnkyɛn a wode di akɔneaba. Saa ara nso na wɔ yɛn nipadua mu no, sɛ mogya ntini titiriw bi (mogya ntini) siw anaasɛ ɛsɛe a, mogya ntini nhyehyɛe "alternative" anaa "backup" bi wɔ hɔ a wobetumi de adi dwuma mmom. Eyi ne nea wɔfrɛ no (Collateral Circulation) wɔ nnuruyɛ mu . Sɛ yɛbɛka no tiawa a, eyi te sɛ abɔde mu "bypass" nhyehyɛe a ɛwɔ yɛn ankasa nipadua mu.

Enti, dɛn ne mogya ntini nhyehyɛe foforo yi (collateral circulation)?

Sɛ yɛbɛka no tiawa a, collateral circulation yɛ mogya ntini nhyehyɛe a ɛboro so anaasɛ "backup" wɔ wo nipadua mu. Eyinom ne mogya ntini a ɛboa ma ɛdan mogya kwan sɛ mogya ntini titiriw bi te sɛ ntini anaa ntini bi siw anaasɛ ɛsɛe esiane biribi nti a. Eyi te sɛ ɔkwan a sɛ wɔto ɔkwan kɛse bi mu wɔ kurow bi mu a, kar fa akwan a ɛwɔ nkyɛnkyɛn so no. Ɛdenam mogya a wɔma fa akwan foforo yi so no, akwaa a ɛho hia no betumi akɔ so anya mframa pa ne aduannuru a wohia.

Eyi yɛ ahobammɔ afiri a ɛyɛ nwonwa wɔ yɛn nipadua mu ampa. Susuw nea ɛbɛba sɛ mogya ntini kɛse bi siw mpofirim a akwan foforo yi nni hɔ no ho hwɛ!

Ɔkwan bɛn so na saa collateral circulation yi yɛ adwuma? Ɛyɛ nwonwa, ɛnte saa?

Yiw, ɛyɛ nwonwa ankasa. Saa (Collateral Circulation ) nhyehyɛe yi yɛ adwuma wɔ akwan horow pii so.

• Mogya ntini nketewa a ɛwɔ hɔ dedaw : Yɛwɔ mogya ntini nketenkete paa a ɛyɛ tratraa a ɛne yɛn mogya ntini atitiriw no wɔ abusuabɔ. Wɔ tebea horow a ɛfata mu no, eyinom nyɛ nnam kɛse, te sɛ akwan nketewa a wɔmfa nni dwuma. Nanso, sɛ mogya a ɛkɔ mogya ntini kɛse bi mu no sɛe a, nipadua no hu eyi. Afei, saa mogya ntini nketewa a "ɛda" yi trɛw nkakrankakra, ebue, na efi ase de mogya pii kɔ.

• Mogya ntini foforo a ɛba (Angiogenesis): Ɛtɔ mmere bi a, sɛ mogya ntini kɛse bi siw nkakrankakra, nkakrankakra a, yɛn nipadua no te eyi nka. Sɛ enya sɛnkyerɛnne bi a ɛkyerɛ sɛ "mogya nnɔɔso wɔ ha" a, nipadua no fi ase yɛ mogya ntini foforo nketewa. Wɔfrɛ saa adeyɛ yi sɛ angiogenesis . Ntini foforo yi boa ma mogya fa baabi a asiw no.

• Nkɛntɛnso a apɔw-mu-teɛteɛ nya: So wunim sɛ apɔw-mu-teɛteɛ a ɛma mframa bɔ daa , te sɛ mmirikatu anaa nantew a ɛyɛ ntɛmntɛm betumi aboa ma mogya a ɛkɔ mogya ntini foforo yi mu no atu mpɔn ?Ɛkanyan ntini a ɛma mogya tu no. Wei kyerɛ sɛ apɔw-mu-teɛteɛ betumi ahyɛ saa "backup" nhyehyɛe yi mu den.

Enti, eyi ne ɔkwan a yɛn nipadua no fa so bɔ mmɔden sɛ ebegyina mogya a ɛkɔ nipadua no mu a ɛyɛ basaa ano .

Mogya kwan foforo yi (collateral circulation) abu so dɛn? So obiara wɔ bi?

Wɔwo yɛn nyinaa a yɛwɔ collateral circulation bi . Nanso, mogya ntini a ɛboro so yi kɛse, dodow, ne sɛnea ɛyɛ adwuma yiye no betumi ayɛ soronko wɔ onipa biara ho. Nnipa binom wɔ nhyehyɛe yi a wɔayɛ no yiye paa, bere a afoforo nso wɔ bi a ennyaa nkɔso pii. Ɛsono nnipa biara.

Mogya ntini a wɔde si ananmu yi ahorow atitiriw abiɛsa na ɛwɔ hɔ :

• Ntini: Eyinom ne mogya ntini akɛse a ɛde mogya a oxygen pii wom fi koma no mu kɔ nipadua no fã a aka no mu .
• Ntini mu ntini: Eyinom yɛ mogya ntini nketenkete a ɛyɛ fɛ yiye. Wɔatrɛw mu te sɛ ahama. Wɔde oxygen ne aduannuru kɔ nkwammoaa no mu na wɔboaboa nneɛma a wɔsɛe no te sɛ carbon dioxide ano.
• Ntini: Eyinom ne mogya ntini a ɛde mogya a oxygen nnim na carbon dioxide pii wom san kɔ koma no mu fi nipadua no afã horow.

Enti mogya ntini ahorow abiɛsa, ntini, ntini, ne ntini a ɛma mogya tu no nyinaa betumi ayɛ adwuma sɛ akwan foforo a wɔfa so de mogya kɔ yi.

Akwahosan tebea bɛn mu na mogya a ɛkɔ nipadua no mu a ɛbɔ ho ban yi ho hia titiriw?

Wobetumi ama saa (Collater Circulation) nhyehyɛe yi ayɛ adwuma na aboa wɔ aduruyɛ mu tebea horow a esiw mogya a ɛnkɔ so ano, kyerɛ sɛ, ɛtew mogya a ɛfa mogya ntini mu no so. Nhwɛso kakraa bi ni:

• Atherosclerosis : Eyi ne bere a srade ne srade boaboa ano wɔ ntini no afasu mu, na ɛma ntini no yɛ teateaa, na esiw mogya no kwan.
• Coronary Artery Disease: Koma mu ntini a ɛma mogya kɔ koma no mu no siw yi na ɛde komayare ba.
• Ischemic Stroke: Saa tebea yi ba bere a ntini bi a ɛde mogya kɔ amemene no mu no asiw anaasɛ mogya tu no.
• Peripheral Artery Disease (PAD): Saa yare yi fi ntini a ɛma mogya no mu teateaa, titiriw kɔ anan no mu. Eyi ho sɛnkyerɛnne biako ne ɛyaw a ɛba ne nan mu bere a yɛnantew no.

Nanso biribi a ɛho hia paa a ɛsɛ sɛ wokae ni! Mogya a ɛso tew (Ischemia) a tebea horow yi de ba no nya saa (Collateral Circulation) nhyehyɛe yi so nkɛntɛnso bere nyinaa.Wontumi nsiw ano koraa. Efisɛ, ansa na mogya ntini titiriw no besiw koraa no, ɛsɛ sɛ akwan foforo yi nyin ntɛmntɛm sɛnea ɛsɛ na etumi fa mogya a ɛdɔɔso. Enti, sɛ wowɔ tebea horow a ɛte saa a, sɛ wowɔ mogya foforo a eye mpo a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ ayaresa. Eyi yɛ mmoa ara kwa, ɛnyɛ ano aduru a edi mũ.

Bere tenten ahe na saa collateral circulation yi di?

Sɛ wɔma saa (collateral circulation) nhyehyɛe yi yɛ adwuma a, saa mogya ntini nketenkete no trɛw nkakrankakra na efi ase de mogya pii kɔ. Ebia ntini foforo a ɛtrɛw yi betumi ama mogya a ɛfata asram pii, ebia mfe pii mpo.

Nanso, bere kɔ so, titiriw bere a yɛrenyin no, mogya ntini foforo yi betumi atew nkakrankakra, anaasɛ afi ase ayɛ nketewa. Wɔfrɛ saa adeyɛ yi sɛ rarefaction . Saa tebea yi abu so titiriw wɔ nnipa a wɔwɔ koma ne ntini mu yare mu . Sɛ mogya ntini foforo yi teateaa a, sɛnea ɛyɛ adwuma yiye no so tew. Afei, sɛ mogya ntini kɛse bi siw bio a, ɛda adi sɛ yare no ho sɛnkyerɛnne bɛda adi.

Nipadua no afã bɛn na mogya ntini foforo yi (collateral circulation) taa wɔ?

Saa mogya a ɛkɔ nipadua no mu akwan foforo yi betumi ayɛ nea ɛwɔ yɛn nipadua no afã horow. Nhwɛsoɔ:

• Yafunu mu
• Akode a wɔde yɛ adwuma
• Adwene
• Anan ne nan
• Wɔ koma mu (Koma) .
• Ahrawa

Nokwarem no, eyi (Collateral Circulation) yɛ ɔkwan a nipadua no fa so di akwanside bi a ɛwɔ mogya a ɛkɔ mu no so. Nanso, sɛnea yɛadi kan aka no, eyi nyɛ ɔkwan a nkwaseasɛm ntumi nyɛ a ebetumi asiw ɔsɛe a tebea horow te sɛ ɔyare a ɛma obi hwe ase ne nyarewa te sɛ (PAD) de ba no ano koraa. Entumi nsiw komayare anaa akisikuru ano koraa nso. Nanso, wɔ tebea horow bi mu no, ebetumi ayɛ nea mfaso wɔ so kɛse, na ebetumi aboa mpo ma wɔagye obi nkwa.

Dɛn ne eyi ho anidaso daakye?

Aduruyɛ mu nhwehwɛmufo de anigye kɛse akɔ so asua eyi (collateral circulation) ho ade. Titiriw no, wɔreyɛ nhwehwɛmu wɔ sɛ ebia wobetumi ayɛ ntini a wɔde yɛ nneɛma a ɛbɔ ho ban na wɔde adi dwuma anaa. Sɛ ade a ɛte saa di nkonim a, ɛbɛyɛ yiye sɛ wɔbɛtrɛw nipadua no awosu mu tumi a ɛde gyina nyarewa ahorow a ɛmma mogya nkɔ nipadua mu no ano no mu bio. Ɛno yɛ anidaso kɛse.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi eyi mu? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, momma yɛnkae nneɛma a ɛho hia paa a yɛaka ho asɛm (Collateral Circulation) :

• Collateral Circulation yɛ abɔde mu "backup" mogya ntini nhyehyɛe wɔ yɛn nipadua mu.Sɛ mogya ntini kɛse bi siw a, eyinom bɛboa.
• Eyi yɛ ade a nipadua no de bɔ ne ho ban. Ɛtɔ mmere bi a, ebetumi ayɛ nea mfaso wɔ so kɛse na egye nkwa mpo.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa boa ma mogya ntini foforo yi nyin.
• Nanso, eyi nyɛ nyarewa ano aduru a edi mũ. Sɛ wowɔ tebea bi te sɛ (Atherosclerosis) , (Coronary Artery Disease) , (Stroke Risk), anaa (PAD) , akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ne ayaresa.
• Ebia akwan foforo yi a etu mpɔn no so bɛtew bere a obi nyin anaa ayaresa tebea horow bi no.
• Asetra a ahoɔden wom a wobɛkɔ so akura mu , titiriw aduan a ahoɔden wom a wobedi ne apɔw-mu-teɛteɛ no boa ma nhyehyɛe foforo yi, ne mogya a ɛkɔ nipadua no mu nyinaa, kɔ so yɛ nea ahoɔden wom.

Enti, yɛn nipadua yɛ nwonwa ankasa, ɛnte saa? Ɛyɛ nwonwa sɛnea wɔayɛ nhyehyɛe ahorow a ɛyɛ den saa de abɔ wɔn ho ban. Nanso, bere a yɛboa saa abɔde mu ahobammɔ akwan no, ɛho hia nso sɛ yɛhwɛ yɛn akwahosan so.

` Mogya ntini foforo, mogya akwan foforo, Collateral Circulation, mogya a ɛkɔ nipadua no mu, komayare, ntini a ɛsiw, Angiogenesis