So wo moma so ayɛ wo yaw kɛse mpofirim? So ebetumi ayɛ Acute Aortic Syndrome? Momma yɛnka ho asɛm!

So woasusuw nea wobɛyɛ sɛ mpofirim ara wo koko yɛ wo yaw kɛse a, woasusuw ho pɛn? Ɛtɔ mmere bi a, ebetumi ayɛ gas, anaasɛ ebetumi ayɛ komayare. Nanso, ɛnnɛ yɛrebɛka tebea a egye ntɛmpɛ a ɛyɛ hu saa ara, nanso ɛyɛ soronko kakra ho asɛm. Wɔfrɛ eyi Acute Aortic Syndrome. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ankasa ne Acute Aortic Syndrome?

Sɛ yɛbɛka no tiawa a, eyi yɛ din a wɔtaa de frɛ ɔhaw ahorow pii a egye ntɛmpɛ a ɛba yɛn nipadua mu mogya ntini kɛse a ɛne aorta . Fa no sɛ ɛte sɛ nsu pɔmpɛ. Saa pɔmpɛ yi nam paipu kɛse bi so kyekyɛ mogya kɔ nipadua no nyinaa mu. Saa paipu titiriw no ne nea yɛfrɛ no aorta. Ɛtu mmirika fa koko no mu na ɛfa yafunu no mu. Enti, ``Acute Aortic Syndrome`` yɛ ɔhaw a anibere wom a ɛba wɔ koko fã a ɛwɔ saa aorta yi mu, ``Thoracic Aorta`` anaa ``Abdominal Aorta``.

Nea ɛho hia sen biara ne sɛ tebea horow yi gye ntɛmpɛ kɛse na ebetumi de nkwa ato asiane mu . Mpɛn pii no, ɛho hia sɛ wɔyɛ oprehyɛn. Enti, ɛho hia paa sɛ yehu eyi.

Dɛn ne yare yi ahorow titiriw?

`(Acute Aortic Syndrome)` ahodoɔ titire mmiɛnsa na ɛwɔ hɔ. Ma yɛnhwɛ nea wɔyɛ.

1. Acute Aortic Dissection: Eyi ne eyinom mu nea anibere wom sen biara na ɛtaa ba . Nea ɛkɔ so wɔ ha ne sɛ nusu ketewaa bi tetew wɔ aorta no fasu no mu, na ɛma mogya tu fa mu wɔ ɔfasu no ntoatoaso no ntam. Fa no sɛ nsu paipu a ɛwɔ ntoatoaso abien, na sɛ ɔfa biako bubu a, nsu betumi atu afa ntoatoaso abien a aka no mu. Eyi betumi ama aorta no ayɛ mmerɛw na ama apae mpo.

2. Intramural Hematoma: Eyi ne bere a mogya ntini ketewaa bi a ɛwɔ aorta no fasu mu pae na mogya bi boaboa ano wɔ ntini no fasu mu. Te sɛ sɛ mogya tu wɔ yɛn nipadua mu a, ɛkyere. Ɛtɔ mmere bi a eyi betumi abɛyɛ Aortic Dissection.

3. Penetrating Atherosclerotic Ulcer: Eyi yɛ akuru a ɛba wɔ aorta no fasu mu. Saa tebea yi taa ba nnipa a srade a ɛwɔ mogya ntini mu (atherosclerosis) mu titiriw. Saa akuru yi betumi ayɛ nea emu dɔ na ama ntini no fasu ayɛ mmerɛw.

Wɔn baasa nyinaa wɔ abusuabɔ na wotumi dan fi biako mu kɔ foforo mu. Enti, ɛho hia sɛ wɔhwehwɛ ayaresa ntɛm wɔ tebea horow yi mu biara ho.

So wowɔ saa sɛnkyerɛnne ahorow yi? Hwɛ sɛnea ɛte...

`(Acute Aortic Syndrome)` ho sɛnkyerɛnne titiriw ne nea ɛtaa ba ne koko mu yaw a emu yɛ den mpofirim, a wontumi nnyina ano . Nnipa pii ka ho asɛm sɛ ɛyɛ yaw a wɔde sekan bɔ wɔn, na wɔtetew wɔn ho. Saa ɛyaw yi betumi akɔ fam, akɔ yafunu mu, anaasɛ akɔ kɔn ne anom mpo.

Sɛ ɛno da nkyɛn a, ebia sɛnkyerɛnne afoforo pii wɔ hɔ:

• Yafunu mu yaw: Titiriw sɛ yafunu no fã a ɛwɔ aorta no mu no aka a.
• Akyi yaw: Ebetumi de koko mu yaw aba.
• Totɔ piti anaasɛ adwenem naayɛ: Esiane mogya a ɛkɔ amemene no mu a ɛso tew nti.
• : .
• Ɔhome a ɛyɛ den
• Mrɛyɛ
• Fifiri a ɛrefifi

Kae sɛ, sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa prɛko pɛ a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara, a wontwentwɛn wo nan ase . Eyi yɛ asɛm a egye ntɛmpɛ!

Dɛn nti na eyi ba? Dɛn ne nea enti a ɛte saa?

Nea ɛde tebea a asiane wom yi ba titiriw ne mogya mmoroso a wontumi nni so (Hypertension) . Sɛ nhyɛso no yɛ kɛse mfe pii a, yɛn ntini no afasu sɛe na ɛyɛ mmerɛw. Eyi ma asiane a ɛwɔ hɔ sɛ wɔbɛpae ne mpaapaemu ahorow yi yɛ kɛse.

Nneɛma afoforo nti a ɛte saa betumi ayɛ:

• Aortic aneurysm: Eyi yɛ ahurututu a ɛte sɛ balloon a ɛwɔ aorta no mu. Saa akisikuru yi yɛ mmerɛw na ɛnyɛ den sɛ ebetumi apaapae anaasɛ ɛbɛpae.
• Aortic Valve Defects: Aortic valve a ɛwɔ koma no mu no mu sintɔ ahorow bi a wonya fi awo mu nso betumi ama asiane yi ayɛ kɛse.
• Srade a ɛwɔ mogya ntini mu (Atherosclerosis): Eyi ma mogya ntini no yɛ teateaa, ɛyɛ den, na ɛyɛ mmerɛw.

Hena na ɛda adi kɛse sɛ obenya eyi? (Nneɛma a ɛde asiane ba) .

Nnipa binom taa nya saa `(Acute Aortic Syndrome)` yi sen afoforo. Ma yɛnhwɛ nnipa ko a wɔyɛ:

• Nnipa a wɔwɔ ``Aortic Aneurysm'' tebea dedaw.
• Nnipa a wɔwɔ tebea bi a wɔfrɛ no aortic coarctation (aorta kɛse no a ɛyɛ teateaa).
• Nnipa a wɔwɔ Bicuspid Aortic Valve Disease (koma mu ntini bi a ɛtɔ sin).
• Nnipa a wɔwɔ awosu mu tebea horow bi: Sɛ nhwɛso no, tebea horow te sɛ `(Marfan syndrome)`, `(Turner syndrome)` anaa `(Ehlers-Danlos syndrome).` Eyinom ma nipadua no ntini a ɛka bom no yɛ mmerɛw. Esiane sɛ ntini a ɛte sɛɛ na ɛka bom yɛ aorta no nti, ebetumi nso ayɛ mmerɛw.
• Nnipa a mogya mmoroso: Eyi ne ade titiriw a ɛde asiane ba.

Eyinom akyi no, asiane afoforo pii wɔ hɔ:

• Mfe a wɔadi: Asiane yi dɔɔso ma nnipa a wɔadi boro mfe 60.
• Nnubɔne a wɔde di dwuma: Eyi betumi aba titiriw wɔ nnipa a wɔde nnubɔne te sɛ cocaine di dwuma no mu.
• Nneɛma a emu yɛ duru a wɔma so kɛse: Ɛtɔ mmere bi a nnipa a wɔma wɔn mu duru so kɛse na wɔyɛ apɔw-mu-teɛteɛ a wɔde gyina ano no betumi anya asiane kɛse.
• Nyinsɛn: Ɛntaa mma koraa sɛ saa tebea yi aba ɛnanom a wɔyem a wonni asiane foforo biara nso mu.
• Bɔbea:Mmarima taa nya saa yare yi.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Sɛ wokɔ ayaresabea a wowɔ sɛnkyerɛnne a yɛadi kan aka ho asɛm no a, nnuruyɛfo no bɛyɛ ntɛm ayɛ nhwehwɛmu kakraa bi ahwɛ sɛ eyi yɛ ``Acute Aortic Syndrome'' anaa.

Sɔhwɛ ahorow

• CT scan: Eyi ne ɔkwan a eye sen biara na ɛyɛ pɛpɛɛpɛ a wɔfa so hu yare yi (sika kɔkɔɔ gyinapɛn) . Ɛte sɛ nea yɛretwa yɛn nipadua no mu mfonini wɔ 3D mu. Eyi tumi hu sɛnea aorta no te, sɛnea ɛyɛ adwuma, sɛnea mogya no sen, sɛ ebia mpaapaemu bi wɔ hɔ, anaasɛ sɛ mogya atɔw no pefee.
• Chest X-ray: Eyi betumi ama woanya sɛnea koma no ne akwaa a atwa ho ahyia no te ho adwene a ɛyɛ den. Ɛtɔ da bi a, sɛ aorta no sõ a, wotumi hu nso.
• Coronary Angiogram: Eyi hwɛ sɛnea coronary ntini a ɛde mogya kɔ koma no mu no te.
• E.C.G. (Electrocardiogram - EKG): Eyi sɔ koma no anyinam ahoɔden dwumadi hwɛ. Eyi boa ma wohu nsonsonoe a ɛda komayare ne komayare ntam.
• Transthoracic Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Ebetumi ahwɛ sɛnea koma no dan, ntini, ne mogya ntini te.

Sɛ nnuruyɛfo yɛ nhwehwɛmu ahorow yi a, wobetumi asi yare no so dua ntɛm ara.

Dɛn ne ayaresa ahorow a wɔde sa eyi? So yebetumi agye yɛn nkwa?

Ɔkwan a wɔfa so sa yare no gyina beae a aorta no asɛe no so.

• Ɔhaw bi a ɛwɔ ascending aorta, aorta no fã a ɛkɔ soro kodu koma no mu no hwehwɛ sɛ wɔyɛ no oprehyɛn ntɛm ara . Nnuruyɛfo a wɔyɛ oprehyɛn yi aorta no fã a asɛe no na wɔde aduru a wɔde yɛ oprehyɛn si ananmu . Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔsesa aortic valve no nso.

• Sɛ ɔhaw bi wɔ aorta no fã a ɛkɔ fam na ɛne ntini afoforo, aorta a ɛsiane no di nkitaho no ho a, ɛtɔ mmere bi a wobetumi de nnuru asa eyi. Wɔma nnuru a ɛhwɛ mogya mmoroso so, te sɛ beta-blockers anaa vasodilators . Saa nnuru yi yɛ adwuma denam koma a ɛbɔ brɛoo, mogya ntini a ɛtrɛw, ne nhyɛso a ɛwɔ aorta no mu a ɛtew so. Nanso, ɛtɔ mmere bi a ɔhaw ahorow a ɛba ɔfã yi ho no betumi ahwehwɛ sɛ wɔyɛ no oprehyɛn anaasɛ wɔde stent si hɔ.

Nea ɛho hia paa ne sɛ, bere tenten a wotwɛn sɛ wubefi ayaresa ase no, dodow no ara na tebea no betumi ayɛ nea asiane wom kɛse. Enti, ayaresabea a wobɛkɔ na woafi ayaresa ase ntɛm no ho hia na ama wɔagye nkwa.

Dɛn na yebetumi ayɛ na yɛakwati tebea a asiane wom yi? ( Yɛbɛyɛ dɛn atumi atew asiane no so?)

Sɛ yebenya nkwa wɔ tebea a emu yɛ den saa mu a, ɛsɛ sɛ yɛhwɛ yɛn asetra kwan.

• Mu duru a ɛfata a wobɛkɔ so akura mu:Kura mu duru a ɛfata mu ma wo tenten, wo mfe a woadi, ne wo bɔbeasu.
• Mogya mmoroso a wobedi so: Eyi ne ade a ɛho hia sen biara . Sɛ wowɔ mogya mmoroso a, nom aduru a wo duruyɛfo akyerɛw ama wo no bere ano. Hwɛ wo mogya mmoroso daa.
• Ayaresa mu tebea afoforo a ɛhyɛ wo ase a wobedi ho dwuma: Sɛ wowɔ ɔhaw ahorow te sɛ asikreyare anaa srade a ɛwɔ wo mu a, di ho dwuma yiye sɛnea wo duruyɛfo akwankyerɛ kyerɛ.
• Gyae sigaretnom koraa: Sigaretnom pira mogya ntini kɛse.

Sɛ wudi anammɔn a ɛnyɛ den yi akyi a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya tebea horow a ɛyɛ hu te sɛ ``Acute Aortic Syndrome'' no so kɛse.

Sɛ eyi ba a, dɛn na ɛba? Bere tenten ahe na ebegye ansa na ne ho atɔ no? (Adwene a ɛwɔ yare no ho) .

Acute Aortic Syndrome yɛ tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu. Mpɛn pii no, egye oprehyɛn a egye ntɛmpɛ. Wo ho a wobɛtɔ no gyina sɛnea wo nsa ka ayaresa ntɛmntɛm no so.

Tebea abien `(Intramural Hematoma)` ne `(Penetrating Atherosclerotic Ulcer)` no nya nkwa a ɛkɔ soro sen `(Acute Aortic Dissection)`.

Sɛ wɔsa wo yare wie a, ɛho behia sɛ wokɔ so wɔ aduruyɛfo hwɛ ase. Ɛho behia sɛ wokɔhwɛ wo daa de hwɛ sɛ mogya biara retu wo wɔ aorta no mu anaasɛ ntini foforo a ɛwɔ wo mu no aba anaa. Ɛho hia paa nso sɛ wohwɛ wo mogya mmoroso so yiye wɔ w’asetra nyinaa mu.

Mma wo werɛ mmfi sɛ wubebisa wo duruyɛfo no saa nneɛma yi ho asɛm.

Sɛ wohu sɛ wowɔ Acute Aortic Syndrome, anaasɛ wususuw sɛ wowɔ Acute Aortic Syndrome a, wubetumi abisa wo duruyɛfo nsɛm yi:

• Dɛn na ɛda adi sɛ ɛde me yare no ho sɛnkyerɛnne ahorow ba?
• Mewɔ komayare bi a ɛhyɛ me ase. Dɛn ne asiane a ɛwɔ hɔ sɛ menya `(Acute Aortic Syndrome)`?
• Dɛn ankasa ne `(Acute Aortic Syndrome)` ho sɛnkyerɛnne a ɛsɛ sɛ mehu?
• Dɛn ne ayaresa a wobetumi apaw ama eyi? Emu nea ɛwɔ he na eye ma me?
• Ayaresa ahorow bɛn na ɛsɛ sɛ meyɛ wɔ ayaresa akyi?

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Okay, enti wobɛtumi akae nneɛma a ɛho hia paa no bi afiri deɛ yɛaka ho asɛm no mu.

Acute Aortic Syndrome yɛ tebea a ɛba mpofirim a ɛde nkwa to asiane mu a ɛba wɔ aorta no mu.

Nsɛnkyerɛnne titiriw ne koko mu yaw a emu yɛ den mpofirim . Saa ɛyaw yi nso tumi trɛw kɔ akyi ne yafunu mu.

Mogya mmoroso ne ade titiriw a ɛde eyi ba.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi a , kɔ ayaresabea ntɛm ara. Ayaresa a wɔyɛ no ntɛm betumi agye wo nkwa.

Wobetumi atew asiane yi so denam asetra pa a wɔbɛtra ase na wɔadi mogya mmoroso so.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne w’abusua oduruyɛfo bɛkasa. Kɔ so nya apɔwmuden!

`Acute Aortic Syndrome, Aorta, Koko mu Ɛyaw, Mogya Mmoa a Ɛkɔ Anim, Koma Yare, Oprehyɛn a Wɔyɛ no Ntɛmntɛm