Biribi te sɛ balloon ketewaa bi a ɛwɔ wo nipadua mu? Momma yɛnka saa ntini a ɛma mogya tu yi ho asɛm!

So woate asɛmfua ‘aneurysm’ ho asɛm pɛn? Ebia woate w’adamfo anaa w’abusua muni bi a ɔwɔ bi ho asɛm. Anaasɛ ebia woate sɛ oduruyɛfo bi reka ho asɛm. Ɛwom sɛ edin no bɛyɛ te sɛ nea ɛyɛ hu kakra de, nanso sɛ yenim nea ɛyɛ ankasa a, yebetumi akwati ehu a ɛho nhia. Enti, so yɛbɛka ho asɛm nnɛ?

Dɛn ankasa ne aneurysm?

Sɛ yɛbɛka no tiawa a, aneurysm yɛ beae a ɛyɛ mmerɛw wɔ mogya ntini bi a ɛwɔ yɛn nipadua mu a ɛpuepue te sɛ balloon no fasu mu. Wunim, yɛn ntini ahorow no ne ntini akɛse a ɛde mogya a oxygen pii wom fi koma no mu kɔ nipadua no fã a aka no. Enti, sɛ nsensanee bi a ɛwɔ saa ntini yi fasu mu yɛ mmerɛw a, nhyɛso a mogya a ɛsen ntɛmntɛm no de ba no ma saa baabi a ɛyɛ mmerɛw no puw. Saa bulge no ne nea yɛfrɛ no aneurysm.

Mpɛn pii no, yɛnte nka sɛ yɛwɔ aneurysm, na yɛnte ɛyaw biara. Nanso, sɛ ɛpae mpofirim a, ebetumi ayɛ asiane kɛse, na ɛtɔ mmere bi mpo a ɛde ne nkwa to asiane mu. Enti, ɛho hia paa sɛ yehu eyi.

So ntini ahorow a ɛma mogya tu no wɔ hɔ? Ɛhe na wɔhyehyɛ?

Yiw, ntini a ɛma mogya tu tumi ba yɛn nipadua mu ntini biara mu. Ɛno kyerɛ sɛ wobetumi ayɛ wɔ mmeae ahorow te sɛ koma, yafunu, amemene, ne nan. Ntini a ɛma mogya tu no ko a egyina baabi a ɛba no so.

Ntini a ɛtaa ba a wɔtaa hu ne aortic aneurysm . So wunim sɛ aorta no ne ntini a ɛsõ sen biara wɔ yɛn nipadua mu? Ɛyɛ ntini a ɛde mogya fi koma no mu kɔ nipadua no nyinaa mu. Wɔfrɛ ntini a ɛba ntini afoforo a ɛnyɛ aorta mu no sɛ peripheral aneurysms.

Momma yɛnhwɛ ahorow atitiriw kakraa bi:

• Abdominal Aortic Aneurysm (AAA): Eyi ne nea abu so sen biara. Ɛkɔ so wɔ aorta no fã a ɛkɔ fam fa yafunu no mu no mu.
• Cerebral Aneurysm/Brain Aneurysm: Sɛnea edin no kyerɛ no, eyi ba wɔ ntini bi a ɛwɔ amemene no mu mu. Eyi fã ketewaa bi a ɛtaa ba ne saccular aneurysm, a wɔsan frɛ no berry aneurysm . Ɛte sɛ kotoku ketewaa bi a mogya a ɛbata ntini no ho ahyɛ mu ma, a ɛte sɛ berry.
• Thoracic Aortic Aneurysm: Eyi sua kakra sen yafunu mu Aortic Aneurysm. Ɛba wɔ aorta no atifi, wɔ koko no fã.
• Carotid Aneurysm: Eyinom nyin wɔ carotid ntini ahorow a ɛde mogya kɔ yɛn amemene, yɛn kɔn, ne yɛn anim no mu. Eyinom ho yɛ na koraa.
• Popliteal Aneurysm: Eyi ba wɔ ntini a ɛkɔ kotodwe akyi no mu.
• Mesenteric Artery Aneurysm: Saa ntini yi ba wɔ ntini a ɛde mogya kɔ yɛn dwensɔtwaa mu no mu.
• Splenic Artery Aneurysm: Eyi ba wɔ ntini a ɛkɔ ahurututu no mu no mu.

Saa ntini mu yare yi abu so dɛn?

So wunim sɛ amemene mu ntini a ɛnpaapae no ba nnipa a wɔwɔ apɔwmuden 2% kosi 5% mu? Na, wɔn mu no, bɛyɛ 25% wɔ bɛboro aneurysm biako. Mpɛn pii no, enyin wɔ mpanyin afe so, nanso ebetumi aba mmofra nso mu. Wɔtaa hu sɛ wɔwɔ bɛyɛ mfe 50. Nanso nea eye sen biara ne sɛ, amemene mu ntini dodow no ara mpaapae.

Aortic aneurysms (AAAs) taa ba bere a obi nyin no. Titiriw no, yafunu mu aortic aneurysms (AAA) abu so wɔ mmarima mu sen mmea mmɔho anan kosi asia. Mmarima a wɔadi mfe 55-64 mu 1% pɛ na wɔwɔ bi. Nanso, saa ɔha mu nkyekyɛmu yi kɔ soro 2% kɔsi 4% wɔ mfeɛ du biara mu.

Hena na ɔwɔ asiane kɛse sɛ obenya ntini mu yare?

Ntini ahorow a ɛma mogya tu no ka nnipa akuw ahorow. Sɛ nhwɛso no, amemene mu ntini a ɛma mogya tu no abu so wɔ mmea mu sen mmarima mu. Saa ara nso na aortic aneurysms abu so wɔ mmarima mu sen mmea.

Yafunu mu aortic aneurysms (AAA) abu so kɛse wɔ:

• Wɔ mmarima fam.
• Wɔn a wɔadi boro mfe 60 no fam.
• Wɔn a wɔnom sigaret no fam. (Eyi yɛ asiane kɛse paa!)
• Wɔ aborɔfo fam (nanso ebetumi anya nkɔso wɔ obiara a ofi abusuakuw biara mu).

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya ntini mu yare?

Mpɛn pii no, obi nnim sɛ ɔwɔ ntini mu yare. Ebetumi ayɛ komm a ɛrenyin wɔ nipadua no mu. Nanso, sɛ aneurysm bi pae a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Ɛsɛ sɛ wunya ayaresa ntɛm ara. Sɛ wo anaa obi a wo ne no da sɛnkyerɛnne ahorow adi sɛ ntini a apaapae a, frɛ 911 (1990 Suwaseriya wɔ Sri Lanka) ntɛm ara.

Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu ntini a apaapae no ba mpofirim:

• Tiyɛ a ɛyɛ hare /akisikuru.
• Koma a ɛbɔ ntɛmntɛm.
• Tiyɛ a emu yɛ den mpofirim, ɛyaw wɔ koko, yafunu, anaa akyi.
• Nhumu a Ɛyera Mpofirim bere a ne ti ayɛ no yaw kɛse akyi.

Nea ɛho hia: Ntini a ɛpaapae yɛ nkwa anaa owu tebea, enti sɛ wuhu saa sɛnkyerɛnne ahorow yi a, nkyɛ.

Sɛ ntini a ɛma mogya tu no anpae mpo a, ɛtɔ mmere bi a ebetumi de sɛnkyerɛnne ahorow aba a egyina baabi a ɛwɔ so. Ebia wubenya ahodwiriw ho sɛnkyerɛnne te sɛ mogya mmoroso, fifiri a ɛyɛ nwini, te nka sɛ wo ho totɔ wo, ne koma a ɛbɔ ntɛmntɛm.

Nsɛnkyerɛnne afoforo betumi ayɛ:

• Sɛ wote nka sɛ w’adwene atu afra anaasɛ w’adwene atu afra.
• Ɛyɛ den sɛ wobɛmene.
• Ɔbrɛ.
• Tiyɛ (titiriw wɔ amemene mu ntini a ɛyɛ den mu).
• Akisikuru anaa ɔfe.
• Ɛyaw a ɛba wo Yafunu, Wo Moma so anaa w’akyi.
• Pulsating Abdominal Mass anaasɛ Wo Kɔn a Ɛhonhon.
• Koma a Ɛbɔ Ntɛmntɛm.
• Anisoadehu mu Nsakrae.

Dɛn ne nsɛnnennen a ebetumi afi ntini a ɛma mogya tu mu aba?

Sɛ ntini bi mu paapae a, ɛma mogya tu wɔ ne mu. Ɛdenam baabi a ɛba so no, mpaapaemu no betumi ayɛ nea asiane wom kɛse na ɛde nkwa mpo ato asiane mu.

Wo de susuw ho hwɛ, sɛ mogya a ɛtɔ wo kɔn mu ntini bi mu na ɛkɔ w’amemene mu a, dɛn na ɛba? Sɛ saa mogya a ɛtwetwe no siw mogya a ɛkɔ w’amemene mu no kwan a, akisikuru ba.

Sɛ amemene mu ntini a ɛma mogya tu no pae a, wɔfrɛ no subarachnoid hemorrhage. Nnipa binom frɛ akisikuru a ɛte sɛɛ sɛ amemene mu mogya. Nkurɔfo taa nya "tiyɛ a ɛyɛ hu sen biara wɔ wɔn asetra mu." Eyi akyi betumi ayɛ mmerɛw, kasa a ɛyɛ den, ne sɛnkyerɛnne afoforo.

Dɛn nti na saa ntini a ɛma mogya tu yi ba? Dɛn na ɛde ba?

Ɛtɔ da bi a, wɔwo nkurɔfo a wɔwɔ ntini mu yare. Eyi kyerɛ sɛ wɔwɔ hɔ bere a wɔawo wɔn. Nanso, wobetumi anya nkɔso bere biara wɔ asetra mu. Mpɛn pii no, ɛyɛ den sɛ wubehu biribi pɔtee a ɛde ntini mu yare ba. Nanso, nneɛma pii wɔ hɔ a ebetumi de aba:

• Atherosclerosis: Eyi ne bere a srade a ɛwɔ ntini no afasu mu ma ɛyɛ teateaa. Eyi betumi ama ntini ahorow no afasu ayɛ mmerɛw.
• Abusua abakɔsɛm a ɛfa ntini mu yare ho: Sɛ wo maame, wo papa, anaa wo nuanom anya saa yare yi a, wo nso wowɔ asiane mu sɛ wubenya bi.
• Mogya Nhyɛso: Sɛ mogya mmoroso kɔ soro bere nyinaa a, ntini no afasu betumi asɛe na ayɛ mmerɛw.
• Akwanhyia anaa opira a ɛba aorta no mu .

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya ntini mu yare? (Nyare a Wɔahu) .

Ntini a ɛma mogya tu pii ba a enni sɛnkyerɛnne biara. Ebia wo duruyɛfo behu wɔn wɔ akwanhyia mu bere a wɔreyɛ nhwehwɛmu daa anaasɛ wɔreyɛ nhwehwɛmu foforo no.

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ebia wowɔ ntini mu yare a, oduruyɛfo bi bɛyɛ mfoninitwa nhwehwɛmu pii. Nhwehwɛmu ahorow a ebetumi aboa ma wɔahu na wɔahu sɛ obi anya ntini mu yare bi ne:

• CT Scan a wɔde yɛ nhwehwɛmu
• CT anaa MRI Angiography: Wɔde eyi twa mogya ntini no ho mfonini titiriw.
• Ultrasound scan `(Nnyigyei a ɛboro so)`

Ɔkwan bɛn so na oduruyɛfo kyekyɛ ntini mu yare mu?

Wo duruyɛfo no begyina ne kɛse ne sɛnea ɛbae so akyekyɛ ntini mu yare bi mu. Nkyekyɛmu ahorow wɔ hɔ:

• Fusiform aneurysm: Wɔ eyi mu no, ntini no fi afã nyinaa fi adi.
• Saccular Aneurysm: Eyi ne bere a ntini no fã biako pɛ na ɛpue (te sɛ Berry Aneurysm a yɛadi kan aka ho asɛm no).
• Mycotic Aneurysm: Eyi ba bere a ntini bi fasu yɛ mmerɛw bere a ɔyare mmoawa bi aba akyi (mpɛn pii no wɔ koma no mu ntini ahorow no mu).
• Pseudoaneurysm anaa False Aneurysm: Wɔ eyi mu no, ntini no fasu no akyi pɛɛ nkutoo na ɛpue. Eyi betumi aba bere a ntini no mu fã asɛe (dissection) akyi.

Ɔkwan bɛn so na wɔsa ntini a ɛma mogya tu?

Sɛ oduruyɛfo bi hu sɛ wowɔ ntini a emu nsɛee a, wɔbɛhwɛ wo yiye. Botae titiriw a ɛwɔ ayaresa mu ne sɛ wobesiw ntini a ɛma mogya tu no mu paapae.

Ɛdenam aduruyɛ anaa oprehyɛn a wɔde sa yare no ko, beae, ne ne kɛse so. Ebia oduruyɛfo bi bɛkyerɛw nnuru a ɛbɛma mogya no atu mpɔn, ama mogya mmoroso so atew, anaa asiw srade a ɛwɔ mogya mu ano. Saa ayaresa ahorow yi betumi aboa ma wɔasiw ntini a ɛma mogya tu no so na ɛnsɛ sɛ ɛyɛ kɛse na ɛtew nhyɛso a ɛwɔ ntini no fasu so no so.

Ebia ntini akɛse a ɛyɛ hu sɛ ɛbɛpae no behia oprehyɛn. Afei nso, sɛ ntini bi mu paapae a, akyinnye biara nni ho sɛ ɛho hia sɛ wɔyɛ oprehyɛn. Oprehyɛn ahorow pii wɔ hɔ:

• Endovascular Aneurysm a Wosiesie (EVAR): .Wɔ endovascular oprehyɛn yi mu no, oduruyɛfo bi de catheter (afiri a ɛyɛ tratraa) hyɛ mogya ntini bi mu. Oduruyɛfo a ɔyɛ oprehyɛn no nam catheter no so de graft (hama titiriw bi) hyɛ mu de hyɛ ntini no den anaasɛ esiesie. Wɔ ahurututu mu ntini a ɛma mogya tu ho no, wɔfrɛ saa adeyɛ yi Thoracic Endovascular Aneurysm Repair (TEVAR). Sɛ wɔde aduru a wɔde hyɛ nipadua mu a wɔabue mu titiriw di dwuma a, wɔfrɛ no Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Oprehyɛn a Wɔbue: Wɔ tebea horow bi mu no, oduruyɛfo bi betumi atwa (oprehyɛn a wɔabue mu) de ahyɛ nipadua no mu anaasɛ ayi ntini a ɛwɔ nipadua no mu no afi hɔ.
• Endovascular Coiling: Saa kwan yi sa amemene mu ntini a ɛyɛ mmerɛw. Oduruyɛfo a ɔyɛ oprehyɛn no de nhama pii (i.e., platinum waya nhama) hyɛ ntini no mu denam catheter so na ɔhyɛ mu ma. Eyi ma mogya a ɛsen kɔ ntini no mu no so tew na ɛtew asiane a ɛwɔ hɔ sɛ ɛbɛpae no so.
• Microvascular Clipping: Eyi nso yɛ amemene mu oprehyɛn a wɔabue mu ma amemene mu ntini a ɛyɛ mmerɛw. Oduruyɛfo a ɔyɛ oprehyɛn no de dade bi a wɔde kyekyere mogya ntini no ase de twa mogya no mu.
• Catheter Embolization: Wɔde saa adeyɛ yi di dwuma de gyae mogya a ɛtɔ wɔ aneurysm mu. Oduruyɛfo a ɔyɛ oprehyɛn no de afiri bi hyɛ ntini a asɛe no mu na ɔde afiri no di dwuma de nnuru anaa nnuru a ɛma mogya tu no gyae.

Mɛyɛ dɛn asiw ntini a ɛma mogya tu no ano?

Ntini mu ntini a ɛnpaapae abu so. Ɛnyɛ bere nyinaa na wontumi nsiw wɔn kwan. Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya ntini mu yare no so denam asetra a ɛfata a wobɛkɔ so akura mu no so:

• Di Aduan a Ɛma Wo Koma: Di ngo, nkyene, ne asikre kakraa bi, na di nhabannuru ne nnuaba pii. Nneɛma te sɛ nhaban momono, nhabannuru, ne mpataa a wɔayɛ no foforo a ɛwɔ yɛn man yi mu no ye paa.
• Apɔw-mu-teɛteɛ Daa: Yɛ biribi te sɛ nantew, mmirikatu, anaa asuguare anyɛ yiye koraa no simma 30 da biara.
• Kura Mu duru a Ɛfa Apɔwmuden Mu: Wo mu duru a ɛfata wo tenten a wobɛkɔ so akura mu no ho hia yiye.
• Kwati Sigaretnom anaa Gyae: Eyi yɛ ade a ɛsɛ sɛ woyɛ. Sigaretnom yɛ nneɛma akɛse a ɛde ntini mu yare ba no mu biako.

Dɛn ne nkɔmhyɛ ma obi a ɔwɔ ntini mu yare?

Ntini a ɛpaapae yɛ nneɛma a egye ntɛmpɛ a ɛde nkwa to asiane mu. Sɛ ntini bi mu paapae wɔ amemene no mu a, ebetumi ama obi anya akisikuru. Sɛ wɔansa no ntɛm ara a, ebetumi akum obi. Sɛ wɔyɛ ayaresa ntɛm a, nea ebefi mu aba no betumi ayɛ soronko. Nnipa dodow no ara ho tɔ wɔn yiye bere a wɔsan siesie wɔn ho ne ayaresa afoforo.

Mpɛn pii no, nnuruyɛfo betumi aboa nnipa a wɔwɔ ntini nketenkete a emu ntetew. Wo duruyɛfo bɛhwɛ wo tebea no yiye. Nnuru anaa oprehyɛn betumi atew asiane a ɛwɔ hɔ sɛ obi bɛpaapae no so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛnkyerɛnne ahorow te sɛ eyinom a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara:

• Ti a ɛyɛ hare.
• Koma a Ɛbɔ Ntɛmntɛm.
• Tiyɛ a emu yɛ den mpofirim, ɛyaw wɔ koko, yafunu, anaa akyi.

Saa sɛnkyerɛnne ahorow yi betumi ayɛ ntini a apaapae ho sɛnkyerɛnne, enti ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu a wonsɛe bere.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wususuw sɛ wowɔ ntini mu yare, anaasɛ wowɔ yare no dedaw a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• So mewɔ asiane mu sɛ menya ntini mu yare?
• So ɛsɛ sɛ meyɛ mfoninitwa nhwehwɛmu na ama mahu sɛ mogya mu ntini bi ayɛ me yaw?
• Mɛyɛ dɛn atumi asiw me ntini mu yare no ano na ansɛe anaasɛ anpae?
• Nsakrae bɛn na meyɛ wɔ asetra mu na ama asiane a ɛwɔ hɔ no so atew?

Kae sɛ aneurysm betumi aba yɛn nipadua mu ntini biara mu. Wo duruyɛfo betumi ahwɛ ntini bi a ɛma mogya tu no so na wasa no yare na ama asiane a ɛwɔ hɔ sɛ ɛbɛpae no so atew. Nanso, sɛ mogya mu ntini bi pae a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Ɛsɛ sɛ wohwehwɛ nnuruyɛfo mmoa ntɛm ara.

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

Okay, enti yɛaka aneurysms ho asɛm pii nnɛ, ɛnte saa? Sɛ yɛbɛka no tiawa a, wɔyɛ yɛn mogya ntini biako a ɛyɛ mmerɛw a ɛpuepue te sɛ balloon. Mpɛn pii no, wunhu wɔn mpo, nanso sɛ ɛpae a, ebetumi ayɛ asiane kɛse.

Ade a ɛho hia sen biara ne sɛ wubehu nneɛma a ɛde asiane ba wo so. Sɛ wowɔ nneɛma te sɛ sigaretnom, mogya mmoroso, anaa abusua abakɔsɛm a, ɛbɛyɛ papa sɛ wobɛkɔ akɔhwɛ wo wɔ aduruyɛ mu daa.

Sɛ wuhu yare no ho sɛnkyerɛnne ahorow a egye ntɛmpɛ, te sɛ tiyɛ a emu yɛ den mpofirim, wo koko mu yaw, anaasɛ w’adwene mu yɛ wo naa a, kɔ ayaresabea a wontwentwɛn wo nan ase.

Asetra a ahoɔden wom te sɛ adidi pa, apɔw-mu-teɛteɛ, ne sigaretnom a wɔkwati betumi atew asiane yi so. Enti, hwɛ wo nipadua nso. Efisɛ akwahosan ne ade a ɛho hia sen biara!

` Aneurysm, mogya ntini, aorta, amemene mu aneurysm, yafunu mu ntini, mogya ntini a apaapae, tiyɛ mpofirim, oprehyɛn