So oduruyɛfo no de afiri a wɔde tie asɛm no too wo kɔn mu na ɔka kyerɛɛ wo sɛ wotee nnyigyei bi a ɛyɛ nwonwa? Momma yɛnka saa (Carotid Bruit) yi ho asɛm!

So woahu oduruyɛfo bi pɛn sɛ ɔde afiri a wɔde tie asɛm wɔ wo kɔn afã abien no nyinaa retie wo? Bere a woretie no, ɛtɔ mmere bi a oduruyɛfo no tumi te "whooshing" nnyigyei bi fi mogya ntini a ɛwɔ wo kɔn mu no mu , anaasɛ nnyigyei bi te sɛ nsu a ɛretu mmirika fa mu. Ɛno ne nea yɛfrɛ no ``Carotid Bruit'' (wɔbɔ no "carotid bruee"). Eyi nyɛ biribi a ɛsɛ sɛ yesuro, nanso ɛho hia sɛ yɛma yɛn ani da hɔ.

Dɛn ne saa nnyigyei a ɛyɛ nwonwa yi a wɔfrɛ no `(Carotid Bruit)`?

Sɛ yɛbɛka no tiawa a, `(Carotid Bruit)` yɛ nnyigyei a ɛyɛ soronko, a ɛyɛ basabasa a ɛba bere a mogya sen kɔ mogya ntini atitiriw a ɛwɔ wo kɔn mu no biako anaa nea ɛboro saa mu, `(Carotid Artery)`. Fa no sɛ, te sɛ asubɔnten bi a ɛhɔ dwo a ɛbɔ ɔbotan mpofirim na efi ase sen basabasa. Saa na yɛfrɛ no `(Turbulent Flow)` bere a mogya sen wɔ ntini no mu, sen sɛ ɛbɛsen yiye na ɔkwan biako so, nanso wɔ ɔkwan a ɛyɛ basabasa na ɛyɛ basabasa kakra so . Saa `(Carotid Artery)` mogya ntini yi na ɛde oxygen ne aduannuru a w'amemene hia ba . Enti, sɛ ɔhaw bi wɔ saa ntini ahorow yi ho a, ebetumi aka yɛn amemene no dwumadi.

Ebia oduruyɛfo bɛte saa `(Carotid Bruit)` nnyigyei yi wɔ akwanhyia mu bere a oduruyɛfo reyɛ wo nhwehwɛmu no. Saa nnyigyei yi a wobɛte no betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wo `(Carotid Artery)` no ayɛ teateaa esiane srade a ɛwɔ mu nti (yɛfrɛ eyi nso `(Plaque)`) . Nanso, ɛtɔ da bi a nnipa a wɔwɔ apɔwmuden `(Carotid Artery)` nso tumi te saa nnyigyei yi. Afei nso, ebia nnipa binom nte saa nnyigyei yi sɛ wɔn mogya ntini mu teateaa paa mpo a. Enti, oduruyɛfo de saa `(Carotid Bruit)` sɛnkyerɛnne yi di dwuma sɛ ahodwiriwde kɛse bi ketewaa biako pɛ. Ɛne sɛ, sɛ wote saa nnyigyei yi nkutoo a, ɛnkyerɛ sɛ wowɔ yare a emu yɛ den, ɛyɛ mmoa ara kwa a wode besi gyinae sɛ ebia nhwehwɛmu foforo ne ayaresa ho hia anaa.

`(Carotid Bruit)` nnyigyei te dɛn?

Saa `(Carotid Bruit)` nnyigyei yi te sɛ asubɔnten a ɛsen ntɛmntɛm nnyigyei , nnyigyei te sɛ "hush hush". Wo ankasa wuntumi nte eyi. Sɛ oduruyɛfo bi mia ne stethoscope (adwinnade a wɔde hyɛ wo moma so anaa w’akyi) brɛoo wɔ wo kɔn afã horow na otie nkutoo na wubetumi ate saa nnyigyei yi. Ebia oduruyɛfo no bɛka akyerɛ wo sɛ home kakra na wokura mu kakra. Ɛne sɛ, sɛ wobɛtie mogya a ɛretu nnyigyei no pefee.

Sɛ oduruyɛfo no te ``Carotid Bruit'' te sɛ eyi a, ɔbɛkyerɛkyerɛ mu akyerɛ wo, nea ebetumi akyerɛ, ne sɛ ebia ɛsɛ sɛ woyɛ nhwehwɛmu foforo biara anaa. Enti, mma ɛnhaw wo, ɛyɛ?

Adɛn nti na saa `(Carotid Artery)` yi ma nnyigyei yi yɛ? Dɛn na ɛde ba?

Ade titiriw a ɛde saa ``Carotid Bruit`` yi ba ne tebea bi a wɔfrɛ no ``Atherosclerosis`` .

Atherosclerosis ne ɔtamfo titiriw!

`( Atherosclerosis )` yɛ aduruyɛ mu asɛmfua. Sɛ yɛbɛka no tiawa a, ɛkyerɛ sɛ srade bi, sɛ yɛbɛka no yiye a, `(Plaque)`, akɔto mogya ntini (ntini) a ɛwɔ wo nipadua mu no mu, na baabi a mogya bɛsen wɔ saa ntini no mu (yɛfrɛ no nso sɛ `(Lumen)`) no so tew nkakrankakra. Fa no sɛ bere kɔ so no, efĩ boaboa ano wɔ nsu paipu mu na esiw paipu no, saa ara na srade `(Plaque)` yi nso boaboa ano wɔ yɛn mogya ntini mu, na ɛtew baabi a mogya bɛfa so. Saa `(Plaque)` a ɛboaboa ano yi betumi ama mogya a ɛtɔ. Saa mogya a ɛretu yi betumi asiw mogya no kwan wɔ baabi a ɛba no, anaasɛ ebetumi ne mogya no atu kwan na asiw ntini bi ano wɔ baabi foforo.

Enti, sɛ plaque boaboa ano wɔ wo Carotid Artery mu na ɛma ntini no yɛ teateaa a, yɛfrɛ no Carotid Artery Stenosis . Sɛ wote Carotid Bruit a , ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ saa tebea yi.

Kae sɛ `(Carotid Artery)` no ne nea ɛma yɛn amemene no mogya a oxygen pii wom . Enti, sɛ saa ntini yi siw `(Plaque)` a, wowɔ asiane kɛse mu sɛ wubenya `(Transient Ischemic Attack - TIA)` (yɛsan frɛ eyi sɛ mogya a ɛkɔ amemene no mu a wɔtwa mu bere tiaa bi, ebinom frɛ no "mini stroke"), anaasɛ `(Ischemic Stroke)` (paralysis a mogya ntini bi a ɛde amemene no ma no siw ba). Wɔ tebea abien yi nyinaa mu no, mogya a ɛkɔ amemene no mu no so tew anaasɛ ɛyera koraa.

Ɛno nti na ɛho hia sɛ wuhu sɛ wowɔ ` (Carotid artery stenosis) ` na sɛ ɛte saa a, sɛnea emu yɛ den. `(Carotid Bruit)` yɛ kɔkɔbɔ sɛnkyerɛnne nko ara, ɛnkyerɛ wo `(Plaque)` dodow pɔtee a wowɔ. Enti, oduruyɛfo rensi gyinae sɛ wowɔ `(Carotid Artery Stenosis)` denam `(Carotid Bruit)` a wowɔ ara kwa so, na mmom ɔde bedi dwuma sɛ anammɔn a edi kan a ɔde bɛhwehwɛ mu akɔ akyiri.

So ntease afoforo nso betumi aba?

Ɛwom sɛ plaque a ɛboaboa ano ne ade a ɛtaa ma carotid bruit ba de, nanso ebetumi afi nsakrae a ɛba mogya ntini no nipadua mu nso. Sɛ nhwɛso no, nnipa a wɔwɔ tebea horow a ɛntaa nsi te sɛ Fibromuscular Dysplasia (FMD) nso betumi ate carotid bruit. Wo duruyɛfo bɛhwɛ w’aduruyɛ ho abakɔsɛm mu de abɔ mmɔden sɛ obehu nea ɛde wo carotid bruit no ba.

So `(Carotid Bruit)` a wobenya no yɛ aniberesɛm?

Ɛtɔ da bi a ``Carotid Bruit'' yɛ ɔhaw a emu yɛ den ho sɛnkyerɛnne.Ebetumi aba, nanso ɛnyɛ bere nyinaa na ɛba saa. Ɛtɔ da bi a ɛte sɛ kanea kɔkɔɔ a ɛka sɛ ebia wowɔ `(Carotid Artery Stenosis)`. Sɛ wo `(Stenosis)`, anaasɛ ntini no a ɛyɛ teateaa no mu yɛ den a, ɛda adi sɛ wubehia ayaresa na ama asiane a ɛwɔ hɔ sɛ wubenya `(TIA)` anaa `(Stroke) no so atew. Wo duruyɛfo bɛkyerɛ wo sɛ wo tebea no mu yɛ den na sɛ wuhia ayaresa. Enti mma wo ho nnpopo na tie nea wo duruyɛfo bɛka no yiye.

So ``Carotid Bruit'' betumi ayɛ nea ɛfata?

Yiw, sɛ wote `(Carotid Bruit)` a, ɛnkyerɛ bere nyinaa sɛ wowɔ `(Carotid Artery Stenosis)`. Ebia nnipa binom a wɔwɔ `(Carotid Bruit)` no nni `(Plaque)` a ɛho hia wɔ wɔn mogya ntini mu, na ebia wɔwɔ apɔwmuden. Nnipa binom betumi anya nsakrae wɔ wɔn mogya ntini nhyehyɛe mu, a ebetumi ayɛ nea ɛfata, anaasɛ ebetumi afi tebea bi te sɛ `(FMD)`. Ɛno nti na `(Carotid Bruit)` yɛ anammɔn a edi kan wɔ nhyehyɛe a wɔde hwehwɛ na wɔsa nyarewa a ɛfa `(Carotid Artery)` ho no mu.

Sɛ oduruyɛfo no ka sɛ ``Carotid Bruit'' bi wɔ hɔ a, dɛn na ɛba akyi?

Sɛ wo duruyɛfo te ``Carotid Bruit'' a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi anyɛ yiye. Afei oduruyɛfoɔ no bɛtumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforɔ mfa nhunu wo ``Carotid Artery'' no tebea pɔtee.

Dɛn ne sɔhwɛ afoforo?

Sɔhwɛ a wɔtaa yɛ saa bere yi ne Carotid Duplex Ultrasound . Eyi yɛ sɔhwɛ a ɛnyɛ yaw, a ɛnyɛ nea wɔde hyɛ nipadua mu. Ebetumi ahwɛ mogya a ɛkɔ wo Carotid Artery mu, sɛ ebia ntini no atew, ne sɛ ɛte saa a, sɛnea ɛyɛ teateaa. Ɛte sɛ ultrasound scan a wɔyɛ ma ɛnanom a wɔrewo no, nanso wɔyɛ eyi wɔ kɔn so.

So asiane ahorow nso ka no?

Yiw, sɛ wowɔ `(Carotid Bruit)`, na bere koro no ara mu no wowɔ asiane biako anaa nea ɛboro saa ma `(Carotid Artery Stenosis)` a, akyinnye biara nni ho sɛ oduruyɛfo no bɛhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ `(Carotid Duplex Ultrasound)` a yɛadi kan aka ho asɛm no. Saa nneɛma a ɛde asiane ba yi ne:

• Sɛ wowɔ ahrawa mu ntini mu yare a .
• Sɛ wowɔ asikreyare (Type 1 anaa Type 2).
• Sɛ obi a ɔwɔ abusua no mu anya akisikuru pɛn a.
• Sɛ wowɔ mogya mmoroso a .
• Sɛ srade dɔɔso wɔ wo mogya mu a .
• Sɛ woanyin (mpɛn pii no woadi boro mfe 65, anaasɛ woadi boro mfe 55 sɛ asiane afoforo wɔ hɔ a).
• Peripheral Artery Disease, yareɛ a ɛma mogya ntini a ɛwɔ nan anaa abasa mu no yɛ teateaaSɛ ɛwɔ hɔ a.
• Tawa ne sigaret a wɔnom .

Dodow a asiane ahorow yi dɔɔso no, dodow no ara na hokwan a wowɔ sɛ wubenya ``Carotid Artery Stenosis'' no yɛ kɛse.

Afei nso, sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo koma oprehyɛn te sɛ `(Coronary Artery Bypass Grafting - CABG)` , ebia wo duruyɛfo bɛpɛ sɛ ɔhwɛ sɛnea wo `(Carotid Artery)` te ansa na wɔayɛ oprehyɛn no. Eyi te saa efisɛ sɛ wowɔ `(Carotid Artery Stenosis)` a, wowɔ asiane kɛse mu sɛ wubenya `(Stroke)` bere a woreyɛ koma oprehyɛn bi anaasɛ ɛno akyi. Sɛ saa a, ebia wɔbɛsa wo yare ansa na wɔayɛ oprehyɛn no na ama saa asiane no so atew.

Dɛn ne ayaresa a wɔde sa eyi?

Ɛnyɛ obiara a ɔwɔ `(Carotid Bruit)` na obehia ayaresa. Nanso, nnipa binom behia ayaresa na ama asiane a ɛwɔ hɔ sɛ wobenya `(TIA)` anaa `(Stroke)` no so atew. Botae titiriw a ɛwɔ ayaresa mu ne sɛ ɛbɛma mogya a ɛfa wo `(Carotid Artery)` no mu atu mpɔn.

Fa nnuru di so

Mpɛn pii no, titiriw sɛ wo carotid ntini no ntew kɛse a, nnuru ne ayaresa a edi kan. Ɛdenam wo tebea so no, wo duruyɛfo betumi akamfo nnuru a edidi so yi mu biako anaa nea ɛboro saa akyerɛ wo:

• Mogya mmoroso nnuru .
• Nnuru a ɛma mogya mu srade so tew .
• Ɛtɔ mmere bi a , wɔde nnuru te sɛ aspirin a ɛmma mogya ntumi nkɔ mu no di dwuma.

Asetra mu nsakrae ho hia paa!

Nsakrae bi a wobɛyɛ wɔ w’asetra kwan mu no betumi aboa kɛse wɔ ntini a ɛyɛ mmerɛw a ɛboaboa ano wɔ wo ntini mu no so. Hwɛ hu sɛ wobɛsɔ nneɛma yi ahwɛ:

• Kwati sigaretnom ne tawa ho nneɛma nyinaa koraa. Tawa nye mma wo mogya ntini paa. Ɛma asiane a ɛwɔ hɔ sɛ wubenya nyarewa pii, a komayare ka ho nso yɛ kɛse. Sɛ wuhia mmoa a wode begyae sigaretnom a, bisa wo duruyɛfo, akwan bi wɔ hɔ a wobɛfa so ayɛ.
• Di aduan a ɛma koma nya ahoɔden . Eyi kyerɛ sɛ wunni srade, sodium, ne asikre kakraa bi. Fa nam a ɛnyɛ den te sɛ akokɔ, akokɔ, ne mpataa si nam kɔkɔɔ ananmu. Di nhabannuru, nnuaba, atoko, ne nnuaba pii.
• Apɔw-mu-teɛteɛ daa . Mfi ase nyɛ kɛse dodo prɛko pɛ. Fi ase ketewaa bi na fa si w’ani so sɛ wobɛteɛteɛ w’apɔw mu bɛyɛ simma 150 dapɛn biara. Ɛyɛ papa sɛ wubebisa wo duruyɛfo nea ɛfata na ahobammɔ wom ma wo ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe foforo ase.

Oprehyɛn anaa akwan foforo a wɔfa so yɛ no

Sɛ wo ``Carotid Artery Stenosis'' no mu yɛ den kɛse a, ebia wubehia oprehyɛn anaa akwan titiriw foforo. Eyinom bi ne:

• `(Carotid Endarterectomy a Wɔtwa)`: Eyi yɛ oprehyɛn. Eyi hwehwɛ sɛ wobue `(Carotid Artery)` no na woyi `(Plaque)` a ayɛ kɛse wɔ mu no afi hɔ.
• `(Carotid Angioplasty and Senting)` : Wɔ eyi mu no, wɔde afiri ketewaa bi a ɛte sɛ balloon hyɛ `(Carotid Artery)` a ayɛ teateaa no mu na wɔde mframa gu mu ma ɛtrɛw ntini no mu. Afei, wɔde mesh tube ketewa bi a wɔfrɛ no `(Stent)` gu ntini no mu sɛnea ɛbɛyɛ a ɛrentew bio.

Nanso kae sɛ, ɛnyɛ obiara a ɔwɔ ``Carotid Bruit'' na mogya atɔ no na obehia ayaresa. Wo ne wo duruyɛfoɔ nkasa na woahunu sɛdeɛ wo ``Carotid Bruit'' no renya wo so nkɛntɛnsoɔ pɛpɛɛpɛ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ wo duruyɛfoɔ ka kyerɛ wo sɛ wowɔ ``(Carotid Bruit)`` a, mma wo ho nnyɛ wo hu anaa nsuro . Ɛnkyerɛ ankasa sɛ wowɔ asiane kɛse mu. Ɛyɛ sɛnkyerɛnne bi a oduruyɛfo de hwɛ sɛnea wo mogya ntini ahorow te no ara kwa.

Enti, wo ne wo duruyɛfo nka eyi ho asɛm na hwehwɛ pii. Afei nso, hwehwɛ nneɛma a ɛde asiane a ɛwɔ hɔ ma atherosclerosis (ntini a ɛyɛ den) ne nea wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so. Mpɛn pii no, asetra a ahoɔden wom a wobɛtra no ne ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi tebea horow yi ho. W’akwahosan a wobɛhwɛ so no wɔ wo nsam!

` carotid bruit, dede a ɛwɔ kɔn mu, carotid artery, stroke, TIA, atherosclerosis, mogya ntini a ɛsiw, mogya a ɛkɔ amemene no mu