Momma yensua Aortic Aneurysm, a ɛyɛ akisikuru a ɛte sɛ balloon a ɛwɔ yɛn nipadua no mogya ntini titiriw no mu no ho ade kɛkɛ!

Oh, ɛtɔ da bi mpo a yɛnkyerɛ sɛnkyerɛnne biara, nanso ɔhaw akɛse betumi asɔre wɔ nipadua no mu, ɛnte saa? Ɛno ne tebea a ɛba komm, nanso sɛ wunim a, wubetumi adi so. Aortic Aneurysm yɛ hu kakra sɛ wobɛte, nanso momma yɛnka ho asɛm tiawa. Afei wubetumi anya ho ntease pa.

Momma yenni kan nhwɛ nea saa ‘Aorta’ yi yɛ?

Fa no sɛ, mogya ntini a ɛsõ sen biara wɔ yɛn nipadua mu ne ‘Aorta’ . Ɛte sɛ paipu kɛse a ɛde nsu fi yɛn nsukorabea kɔ yɛn fie baabiara. Saa aorta yi ne nea ɛde mogya a ɛho tew a oxygen wom fi yɛn koma mu kɔ nipadua no nyinaa mu. Wɔayɛ no te sɛ poma a ɛkɔ soro. Wɔfrɛ ɔfã a efi koma no mu kɔ soro no ‘Ascending Aorta’ , na wɔfrɛ ɔfã a ɛkɔ yafunu no mu no ‘Descending Aorta’ .

Enti, dɛn ne ‘Aortic Aneurysm’ yi?

Sɛ yɛbɛka no tiawa a, saa ‘Aortic Aneurysm’ yi yɛ bere a mmerɛwyɛ bi wɔ yɛn mogya ntini titiriw a wɔfrɛ no aorta no fasu mu, na nhyɛso a mogya fa mu no ma saa beae no bɔ te sɛ balloon. Ɛte sɛ nsu afiri dedaw bi a ɛrepae. Saa bulge te sɛ balloon no ne nea yɛfrɛ no aneurysm. Eyi betumi asi wɔ mogya ntini biara mu, nanso sɛ ɛba wɔ aorta no mu a, yɛfrɛ no aortic aneurysm.

So ntini mu ntini ahorow yi wɔ hɔ?

Yiw, aortic aneurysms ahorow atitiriw abien na ɛwɔ hɔ. Wɔakyekyɛ saa ahorow abien yi mu sɛnea baabi a ɛba no te:

1. Abdominal Aortic Aneurysm (AAA): Eyi ne nea abu so sen biara. Ɛkɔ so wɔ yɛn aorta no fã a ɛwɔ fam, a ɛno ne ɔfã a ɛkɔ yafunu no mu. Fa no sɛ ɛyɛ ɔfã a ɛtrɛw kɔ fam wɔ poma so.

2. Thoracic Aortic Aneurysm (TAA): Eyi ba wɔ aorta no atifi, kyerɛ sɛ, wɔ ɔfã a ɛkɔ soro a ɛte sɛ ‘U’ a ɛkɔ soro wɔ koko no fã no. Ɛtɔ mmere bi a, wɔ nnipa a wɔwɔ ntini a ɛka bom yɛ nyarewa te sɛ Marfan syndrome mu no, saa TAA yi betumi aba wɔ ascending aorta, aorta no fã a ɛkɔ soro a ɛbɛn koma no kɛse no mu.

Mpɛn pii no , yafunu mu aortic aneurysms (AAA) abu so sen thoracic aortic aneurysms (TAA) . Ebia eyi te saa efisɛ aorta a ɛwɔ yɛn koko mu no fasu no yɛ duru kakra na ɛyɛ den sen aorta no fasu a ɛwɔ yɛn yafunu mu no.

Tebea yi abu so dɛn?

Nokwarem no, mmarima taa nya yafunu mu aortic aneurysm (AAA) mpɛn 4 kosi 6 sen mmea. Ɛka mmarima a wɔadi fi mfe 55 kosi 64 bɛyɛ 1%. Nanso, asiane a ɛwɔ hɔ sɛ wobenya bi no kɔ soro bere a obi nyin no. Wɔkyerɛ sɛ asiane no betumi akɔ soro bɛyɛ 4% mfe 10 biara.

Hena na ɔwɔ asiane kɛse ma eyi? (Nneɛma a Ɛma Asiane) .

W’abusua awosu ne w’asetra kwan nyinaa betumi adi dwuma wɔ saa aortic aneurysm yi nkɔso mu. Wɔtaa hu saa tebea yi wɔ:

• Wɔ sigaretnomfo mu no .
• Wɔn a wɔadi boro mfe 65 no mu.
• Wɔ mmarima mu no .
• Sɛ obi a ɔwɔ w’abusua mu anya aortic aneurysm pɛn a.
• Mogya mmoroso, kyerɛ sɛ, ma nnipa a mogya mmoroso .

Susuw ho hwɛ, sɛ saa nneɛma yi mu bi fa wo ho a, so ɛrenyɛ papa sɛ wobɛhaw wo ho kakra wɔ eyi ho?

Dɛn na ɛde eyi ba?

Mpɛn pii no, ɛyɛ den sɛ wobehu nea ɛde aortic aneurysm ba ankasa. Nanso, nneɛma pii wɔ hɔ a wosusuw sɛ ɛde ba:

• Atherosclerosis: Eyi ne srade a ɛboaboa ano wɔ mogya ntini no mu, na ɛma ɛyɛ teateaa. Ɛte sɛ nkannare a ɛreyɛ ayɛ nsu paipu mu.
• Ntini a ɛwɔ ntini no mu a ɛyɛ hyew.
• Awosu mu tebea horow: Nyarewa a ɛka ntini a ɛka bom titiriw, te sɛ Marfan yare ne Ehlers-Danlos yare .
• Aorta no a opira: Te sɛ nea efi akwanhyia bi mu.
• Nyarewa bi: Sɛ nhwɛso no, ebetumi afi ɔyare bi a wonya fi nna mu te sɛ akisikuru .

Dɛn ne eyi ho sɛnkyerɛnne?

Ade a ɛho hia ni. Nnipa pii nnim mpo sɛ wɔwɔ aortic aneurysm. Nea enti a ɛte saa ne sɛ ebia yare no ho sɛnkyerɛnne biara nni hɔ kosi sɛ ɛbɛpaapae.

Nanso, sɛ aneurysm bi pae a, ɛyɛ tebea a emu yɛ den a ehia sɛ wɔsa no yare ntɛm ara. Sɛ wo anaa obi a wo ne no wɔ sɛnkyerɛnne bi a ɛkyerɛ sɛ ntini a ɛma mogya tu no apae a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu ntini a apaapae no betumi aba mpofirim:

• Adwene a ɛyɛ basaa anaasɛ ne ti a ɛyɛ hare.
• Koma a ɛbɔ ntɛmntɛm.
• Koko mu yaw a emu yɛ den mpofirim, yafunu mu yaw, anaa akyi yaw.

Sɛ wohu aortic aneurysm ansa na apaapae a, ɛwɔ hokwan a eye sen biara sɛ ne ho bɛtɔ no. Bere a ntini a ɛma mogya tu no nyin no, ebia wubehu sɛnkyerɛnne ahorow te sɛ eyinom:

• Ɔhome a ɛyɛ den anaa ahome a ɛyɛ tiaa.
• Sɛ wote nka sɛ wo ho ayɛ wo ma bere a woadi kakra mpo a.
• Ɛyaw a wɔte nka wɔ baabi a ntini a ɛma mogya tu no wɔ (eyi betumi ayɛ kɔn, akyi, koko, anaa yafunu mu).
• Ɛyaw anaa ɔhaw a wobɛte nka bere a woremene no.
• Nsa, kɔn, anaa anim a ɛho ahonhon.

Nsɛnnennen bɛn na eyi betumi de aba?

Sɛ aortic aneurysm mu paapae a, ebetumi ama mogya atu wɔ nipadua no mu. Ɛdenam baabi a ntini no wɔ so no, saa mpaapaemu yi betumi ayɛ nea emu yɛ den yiye, na ɛde nkwa mpo ato asiane mu. Nanso, sɛ wɔsa wɔn yare ntɛm a, nnipa dodow no ara betumi anya ahoɔden afi ntini a apaapae mu.

Aortic aneurysm a ayɛ kɛse nso betumi ama mogya ntini no fasu mu atetew (aortic dissection) . Saa nusu yi ma mogya tu fa ntini no afasu mu. Eyi ma ntini no mu yɛ teateaa, na ɛtew mogya a efi koma no mu kɔ nipadua no afã afoforo no so anaasɛ esiw ano koraa. Nhyɛso a ɛwɔ ntini no mu nso betumi ayɛ kɛse, na ama ntini no mu apaapae.

Wobɛyɛ dɛn ahu eyi?

Esiane sɛ ntini mu yare pii ba a enni sɛnkyerɛnne biara nti, nnuruyɛfo hu bere a wɔreyɛ aduruyɛ mu nhwehwɛmu a wɔyɛ no daa anaasɛ wɔreyɛ biribi foforo ho nhwehwɛmu nkutoo.

Sɛ wowɔ asiane kɛse mu sɛ wubenya aortic aneurysm, anaasɛ wowɔ aneurysm ho sɛnkyerɛnne ahorow a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu , a ɛyɛ nhwehwɛmu a ɛhwɛ wo nipadua mu. Eyinom ho nhwɛso bi ne:

• CT scan a wɔde yɛ adwuma.
• CT anaa MRI angiography a wɔde yɛ nhwehwɛmu.
• Ultrasound a wɔde yɛ nhwehwɛmu.

Ɔkwan bɛn so na wosa ntini a ɛnyɛ nea ɛpaapae?

Sɛ wowɔ aortic aneurysm a mpaapae, kyerɛ sɛ, nea ennya mpaee a, wo duruyɛfo bɛhwɛ wo yiye. Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu daa sɛ wowɔ asiane ahorow a ɛbɛma woanya ntini mu yare a.

Botae titiriw a ɛwɔ ayaresa mu ne sɛ wɔbɛma mogya ntini no anyɛ kɛse na amma mogya ntini no mu apaapae anaasɛ apaapae. Wɔ ntini nketenkete a ɛnpaapae ho no , ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma mogya no akɔ yiye, ama mogya mmoroso so atew, anaasɛ ɛbɛma srade a ɛwɔ mogya mu no ayɛ kɛse. Eyinom nyinaa betumi aboa ma ntini a ɛma mogya tu no nyin brɛoo na ɛtew nhyɛso a ɛwɔ mogya ntini no fasu so no so.

Aortic aneurysm oprehyɛn ahorow bɛn na ɛwɔ hɔ?

Ebia ntini akɛse a ɛwɔ asiane mu sɛ ɛbɛpaapae anaasɛ ɛbɛpae no behia oprehyɛn . Ebia wo duruyɛfo de oprehyɛn akwan yi biako bedi dwuma:

1. Open aneurysm repair: Wɔ saa adeyɛ yi mu no, oduruyɛfo no twa aneurysm no, yi ɔfã a ayɛ mmerɛw no, na ɔde tubing (graft) titiriw bi si ananmu de siesie mogya ntini no. Ebia oprehyɛn a wɔabue ano yi ho behia sɛ mogya mu ntini bi pae a.

2. Endovascular Aneurysm a Wosiesie (EVAR): .Eyi yɛ oprehyɛn a wɔmfa biribiara nhyɛ mu. Ɛno kyerɛ sɛ wɔyɛ no a wɔnyɛ ntwitwiridii kɛse. Wɔ saa adeyɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa (catheter) di dwuma de kyerɛ mogya a wɔde ahyɛ mu no kwan kɔ ntini a ɛwɔ mogya mu no mu na ɔhyɛ mogya ntini no den anaasɛ osiesie. Wɔsan frɛ saa adeyɛ yi sɛ thoracic endovascular aneurysm repair (TEVAR) anaasɛ fenestrated endovascular aneurysm repair (FEVAR) .

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Ebetumi agye ɔsram biako anaa nea ɛboro saa ansa na ne ho atɔ no wɔ oprehyɛn a wɔyɛe wɔ ntini a ɛma mogya tu no mu. Wo duruyɛfo bɛkɔ so ahwɛ wo sɛ nsakrae, wo nyin, anaa nsɛnnennen bi wɔ ntini a ɛma mogya tu no mu anaa. Nnipa dodow no ara nya nneɛma pa wɔ oprehyɛn akyi.

Nanso, sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ. Nsɛnnennen a ebetumi aba wɔ oprehyɛn akyi no bi ne:

• Mogya a ɛretu atwa graft no ho ahyia. Wɔsan frɛ eyi endoleak .
• Wɔde paipu no fii ne baabi.
• Mogya a ɛtwetwe.
• Nsaneɛ.

So yebetumi asiw saa aortic aneurysm yi ano sɛ ɛrenhyehyɛ?

Yiw, kodu baabi. Mogya mmoroso, srade a ɛdɔɔso, anaa tawa a wode di dwuma no ma asiane a ɛwɔ hɔ sɛ wubenya ntini mu yare no yɛ kɛse. Wubetumi atew asiane a ɛwɔ hɔ no so denam asetra a ahoɔden wom a wobɛfa so . Ɛno kyerɛ sɛ:

• Aduan a ɛma koma nya ahoɔden a wobedi.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Mu duru a ɛfata a wobɛkɔ so akura mu.
• Sigaretnom a wobegyae koraa ne tawanom a wɔde di dwuma.

Hwɛ, ɛnyɛ sɛ saa nneɛma yi ye ma ntini mu yare nko, na mmom eye ma yɛn nipadua nyinaa akwahosan nso, ɛnte saa?

Dɛn ne nkɔmhyɛ ma obi a ɔwɔ aortic aneurysm?

Sɛ wo duruyɛfo hwɛ wo yiye na ɔsa wo yare a, obetumi aboa wo ma woadi aortic aneurysm ho dwuma. Ade a eye sen biara ne sɛ w’aduruyɛfo kuw no bɛhwehwɛ na wɔasa aortic aneurysm ansa na apaapae, sɛ ɛbɛyɛ yiye a.

Sɛ aortic aneurysm mu paapae a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wɔansa no yare ntɛm a, aortic aneurysm a apaapae no betumi akum obi. Oprehyɛn a wɔabue ano ne ntini mu oprehyɛn nyinaa betumi asa aortic aneurysm a apaapae no yiye.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara:

• Nhumu a ɛyera (syncope, adwenemhaw anaasɛ ɔtopae).
• Mogya mmoroso a ɛba fam.
• Koma a ɛbɔ ntɛmntɛm.
• Koko, yafunu, anaa akyi yaw a emu yɛ den mpofirim.

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• So mewɔ asiane mu sɛ menya aortic aneurysm?
• Mɛyɛ dɛn ahu sɛ mewɔ aortic aneurysm?
• Dɛn na metumi ayɛ na amma aortic aneurysm no mu apaapae anaasɛ anpae?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ asetra mu na ama asiane a ɛwɔ hɔ sɛ menya aortic aneurysm no so atew?

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Sɛ woyɛ nneɛma bi na ama wo koma akwahosan atu mpɔn a, ebetumi aboa ma aortic aneurysm ankɔ so anaasɛ ansɛe. Wo ne wo duruyɛfo nkasa mfa asetra mu nsakrae a wubetumi ayɛ ho asɛm. Sɛ wowɔ asiane mu sɛ wubenya aortic aneurysm a, hwɛ hu sɛ wobɛkɔ akɔyɛ nhwehwɛmu daa. Sɛ wohu ntini a ɛma mogya tu no ntɛm na wɔsa no a, ebetumi atew asiane a ɛwɔ hɔ sɛ ɛbɛpaapae anaa nsɛnnennen afoforo so kɛse. Kae sɛ, nhumu ne ahobammɔ a eye sen biara!

` Aortic Aneurysm, Aortic aneurysm, Mogya ntini a ɛtrɛw, Koma mu yare, AAA, TAA, Aota