So wo moma so ayɛ kurukuruwa te sɛ balloon? (Thoracic Aortic Aneurysm) - Momma yɛnka eyi ho asɛm!

Ɛtɔ mmere bi a, wote yaw wɔ wo koko, wo kɔn, anaa wo hwene mu? Anaasɛ ɛyɛ den kakra sɛ wobɛhome, anaasɛ wote nka sɛ wo mene bere a woremene no? Mpɛn pii no, yɛn werɛ fi saa nneɛma yi, na yesusuw sɛ ɛyɛ nea ɛfata, ebia biribi te sɛ yafunu mu yare. Nanso, ɛtɔ mmere bi a eyinom betumi ayɛ biribi a ehia sɛ wɔde wɔn adwene si so kakra ho sɛnkyerɛnne. Enti, ɛnnɛ yɛrebɛka ɔfe a ɛte sɛ balloon a ebetumi aba wɔ mogya ntini titiriw a ɛwɔ yɛn moma so, aorta , mu ho asɛm. Wɔ nnuruyɛ mu no, yɛfrɛ eyi `Thoracic Aortic Aneurysm` .

Dɛn ne saa `Thoracic Aortic Aneurysm` yi? Sɛ yɛbɛka no tiawa a...

Fa no sɛ wo fie wɔ nsu ho nhyehyɛe titiriw bi. Saa na aorta a ɛwɔ yɛn nipadua mu no yɛ adwuma. Eyi ne ntini a ɛsõ na ɛho hia sen biara a ɛde mogya fi koma no mu kɔ nipadua no nyinaa mu. Wɔayɛ no te sɛ tube.

Afei, saa `Thoracic Aortic Aneurysm` yi ne bere a wo aorta no fasu a ɛfa wo moma so (ɛno nti na wɔfrɛ no `Thorax` anaa chest cavity) no yɛ mmerɛw na ɛbɔ te sɛ balloon wɔ beae biako. Nnipa binom nso frɛ eyi sɛ ntini no a ɛtrɛw anaasɛ ɛtrɛw. Mpɛn pii no, sɛ saa aorta no fã no trɛw sen ne trɛw a ɛfata no 50% a, yebu no sɛ `Aneurysm`, anaasɛ bulge/bulge. Saa ``ntrɛwmu a ɛfata`` yi betumi ayɛ soronko wɔ mmeae biara wɔ aorta no mu.

Saa akisikuru yi betumi aba wɔ aorta no mu baabiara. Mpɛn pii no, ɛba yafunu mu (yɛfrɛ wɔn `Abdominal Aortic Aneurysm`), nanso bɛyɛ nnipa baanan biara mu biako betumi anya saa tebea yi wɔ koko mu.

Ebia ntini nketenkete a ɛma mogya tu no renhia ayaresa kɛse. Ebia nnuru ne mfoniniyɛ mu nhwehwɛmu a wɔyɛ daa (te sɛ scan) de hwɛ tebea a ɛde ba no so no bɛdɔɔso. Nanso, sɛ wo ntini a ɛma mogya tu no sõ anaasɛ ɛrenyin ntɛmntɛm a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na wɔasiw nsɛnnennen a ɛde wo nkwa to asiane mu ano . Nnuruyɛfo besi ayaresa a eye sen biara ma wo ne bere a wɔbɛyɛ no ho gyinae, efisɛ wɔpɛ sɛ wunya nea eye sen biara.

Saa tebea yi abu so dɛn?

Saa tebea yi a wɔfrɛ no `Thoracic Aortic Aneurysm` no taa ka nnipa 100,000 biara mu 6 kosi 10. Nanso, ɛyɛ den sɛ yɛbɛka dodow pɔtee no, efisɛ mpɛn pii no, saa ntini ahorow yi nkyerɛ sɛnkyerɛnne biara ma enti ɛkɔ so a wonhu. Ayarefo a wɔahu wɔn mprempren no mu bɛyɛ 20% wɔ abusua abakɔsɛm a ɛfa tebea no ho, a ɛkyerɛ sɛ awosu mu abusuabɔ bi wɔ hɔ.

Wɔ United States nkutoo no, wobu akontaa sɛ nnipa bɛyɛ 30,000 wuwu afe biara esiane aortic dissection anaa mpaapaemu nti, enti eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

Dɛn ne Thoracic Aortic Aneurysm ho sɛnkyerɛnne ahorow?

Mpɛn pii no, nnipa a wɔwɔ saa ``aneurysm'' yi nnim, efisɛ mpɛn pii no, sɛnkyerɛnne biara nni hɔ.Nanso, ɛtɔ mmere bi a ebetumi ada nsɛnkyerɛnne te sɛ eyinom adi:

• Ɛyaw a wobɛte nka wɔ wo hwene, wo kɔn, wo moma so, anaa w’akyi atifi .
• Ɛyɛ den sɛ wobɛmene anaa ɛyaw bere a woremene (sɛ ntini a ɛma mogya tu no repiapia wo menewa no a).
• Ɛnne a ɛyɛ den (sɛ saa ntini a ɛma mogya tu yi remia ntini a ɛhwɛ wo nne so no a).
• Ɔfe anaa ɛyɛ den sɛ wobɛhome (sɛ ntini a ɛma mogya tu no remia wo mframa kwan no a).

Nsɛnkyerɛnne a ɛkyerɛ sɛ ntini a ɛpaapae (`Rupture`) anaasɛ dissection (`Dissection`) - eyinom yɛ ntɛmpɛ!

Nnipa pii nni sɛnkyerɛnne biara, na afei mpofirim ara ntini a ɛma mogya tu no betumi apaapae anaasɛ apaapae. Eyinom abien nyinaa yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ a ehia sɛ wɔsa yare ntɛm ara! Nsɛnkyerɛnne no betumi afi ase mpofirim na ebetumi ayɛ den yiye. Sɛ wo anaa obi foforo wɔ saa sɛnkyerɛnne yi bi a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara :

• Ɛyaw a ɛba mpofirim a wontumi nnyina ano wɔ koko anaa akyi. Nnipa binom ka ho asɛm sɛ ɛyɛ sekan, ɛtetew, anaa ɛpae.
• Adwene a ɛyɛ basaa anaasɛ atenka a ɛte sɛ nea ɔretwa ne ho.
• Ɔhome a ɛyɛ den.
• Koma a ɛbɔ kɔ soro.
• Fifiri a ɛboro so.
• Kesereneeyɛ.
• Ɔkasa a ɛyɛ den.
• Anisoadehu a wɔhwere.
• Mmerewa anaasɛ ɛyɛ mmerɛw wɔ nipadua no fã biako.

Wɔ tebea a ɛte sɛɛ mu no , dɔnhwerew ne simma biara ho hia. Dodow a wotwentwɛn wo nan ase sɛ wobɛhwehwɛ ayaresa no, dodow no ara na ɛnyɛ den sɛ wubegye wo nkwa. Enti mfa saa sɛnkyerɛnne ahorow yi nyɛ hwee.

Dɛn ne nneɛma a ɛde `Thoracic Aortic Aneurysm` ba?

Ade titiriw a ɛde Thoracic Aortic Aneurysm ba ne tebea bi a wɔfrɛ no Atherosclerosis. Sɛ yɛbɛka no tiawa a, eyi ne bere a srade (plaque) boaboa ano wɔ yɛn mogya ntini no afasu mu, na ɛma ɛyɛ teateaa nkakrankakra. Bere kɔ so no, srade a ɛwɔ hɔ yi ma aorta no afasu yɛ mmerɛw, na ɛma ɛyɛ mmerɛw sɛ ebenya ntini mu yare.

Mpɛn pii no, yɛn aorta no afasu mu yɛ den na ɛsɛ sɛ etumi trɛw na ɛtwetwe sɛnea ɛho hia bere a mogya retu no. Susuw ho hwɛ, saa aorta yi ne baabi a mogya fi koma no mu tẽẽ. Enti, ɛsɛ sɛ etumi gyina nhyɛso a ɛba bere a koma no bɔ mogya denneennen no ano.

Aorta a ɛwɔ apɔwmuden betumi ayɛ eyi a ɔhaw biara nni ho. Nanso, sɛ aorta no afasu yɛ mmerɛw a, nhyɛso a efi koma no mu no betumi ama aorta no fã bi ayɛ kɛse akɔ abɔnten, na ayɛ aneurysm. Saa akisikuru yi nyɛ nea ɛfata, na ɛsakra sɛnea aorta no ntini no te. Bere a mogya kɔ so sen fa saa akisikuru yi mu no, wɔde nhyɛso kɛse ba afasu a ayɛ mmerɛw dedaw no so, na ɛma ɛyɛ mmerɛw kɛse mpo. Ne saa nti, afasu no bɔ kɛse mpo. Dodow a aneurysm yɛ kɛse no, dodow no ara na ɛyɛ hu.

Dɛn ne nneɛma a ɛde asiane ba?

Biribiara a ɛma aorta no afasu yɛ mmerɛw no ma asiane a ɛwɔ hɔ sɛ obenya ntini mu yare no yɛ kɛse. Wɔ ntini mu yare akyi no, asiane afoforo pii wɔ hɔ:

• `Aortitis`: Tebea a ɛma obi ho hyehye no a ɛba wɔ aorta no mu.
• `Bicuspid aortic valve disease` : Koma no aortic valve no wɔ nkrataa abien (mpɛn pii no ɛsɛ sɛ ɛyɛ abiɛsa).
• Coronary artery disease (CAD) : Nyarewa a ɛfa coronary arteries a ɛde mogya kɔ koma ntini no mu no ho.
• Abusua abakɔsɛm a ɛkyerɛ sɛ obi anya aneurysm (abusua abakɔsɛm).
• Mogya mmoroso .
• Loeys-Dietz syndrome : Awosu mu tebea a ɛntaa nsi a ɛfa ntini a ɛka bom ho.
• Marfan syndrome : Awosu mu tebea foforo a ɛka ntini a ɛka bom.
• Sɛ́ wadi boro mfe 65.
• Sigaretnom anaa tawa biara a wɔde di dwuma.
• `Turner syndrome` : Awosu mu tebea a ɛka mmea nkutoo.
• Vascular Ehlers-Danlos syndrome : Ntini a ɛka mogya ntini mu yare a ɛntaa nsi a ɛka mogya ntini.

So wobetumi anya Thoracic Aortic Aneurysm fi awo mu?

Yiw, Thoracic Aortic Aneurysm tumi tu mmirika wɔ mmusua mu. Ɛno kyerɛ sɛ wobetumi de akɔma awo ntoatoaso ahorow. Nhwehwɛmufo ahu awosu mu nsakrae pii a ɛma asiane no yɛ kɛse. Eyinom mu no, nkwaadɔm mu nsakrae a ɛba ACTA2 awosu mu abɔde mu no na ɛtaa ba.

ACTA2 awosu mu abɔde no ka kyerɛ yɛn nipadua no sɛ yɛnyɛ protein ahorow bi wɔ yɛn ntini ahorow no afasu mu. Saa protein ahorow yi boa yɛn ntini ahorow no afasu ma ɛkɔ so tra hɔ denam mogya a ɛsen fa mu no nhyɛso a ɛboa no so. Sɛ nkwaadɔm mu nsakrae bi ba ACTA2 awosu mu abɔde mu a, yɛn ntini no afasu betumi atrɛw dodo bere a mogya fa mu no.

Nanso, wuntumi nka sɛ woanya awosu mu nsakrae bi esiane sɛ wowɔ ntini mu yare nti. Nanso, asiane a ɛwɔ mu no dɔɔso sen saa. Sɛ obi a ɔwɔ w’abusua a ɛbɛn wo mu (a ofi awosu mu abusuabɔ) anya Thoracic Aortic Aneurysm a, ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa. Ebia ɔbɛkamfo akyerɛ nso sɛ wɔnyɛ awosu mu nhwehwɛmu .

Ɛhe na saa `Thoracic Aortic Aneurysm` yi ba?

Eyinom na ɛba baabi a aorta no afasu ayɛ mmerɛw. Nneɛma te sɛ `Atherosclerosis` (srade a ɛwɔ hɔ) a yɛadi kan aka ho asɛm, anaasɛ ntini a ɛka bom nyarewa, ma aorta no afasu yɛ mmerɛw, na ɛma ɛyɛ mmerɛw sɛ `Aneurysm` bɛhyehyɛ.

So wunim sɛ aorta ne mogya ntini a ɛsõ sen biara wɔ yɛn nipadua mu? Ɛte sɛ poma a wɔde nantew a ɛyɛ dedaw. Efi ase wɔ koma no mu, kɔ soro, na afei ɛkɔ fam fa koko ne yafunu no mu. Ɛba awiei wɔ awotwaa no atifi pɛɛ.

Mpɛn pii no, Thoracic Aortic Aneurysm ba wɔ aorta a ɛforo anaa aorta a ɛsiane no mu. Ɛntaa mma sɛ ɛbɛtumi nso ayɛ kɛseɛ wɔ aorta no fã a ɛyɛ arched – ɔfa a ɛte sɛ dua nsa.

Thoracic Aortic Aneurysm yɛ aniberesɛm dɛn?

Thoracic Aortic Aneurysm yɛ aduruyɛ mu tebea a emu yɛ den. Nsɛnnennen pii wɔ hɔ a ebetumi aba:

• Aneurysm a ɛpaapae.
• Aortic a wɔpaapae mu .
• Mogya a ɛtwetwe no ba baabi a ntini no mu ntini no wɔ no na ɛkɔ nipadua no afã afoforo (thromboembolism). Saa mogya a ɛtɔ yi betumi de tebea horow a emu yɛ den te sɛ ɔyare a ɛma obi hwe ase anaasɛ mesenteric ischemia aba .
• Aortic valve a ɛsan kɔ nipadua no mu .

Eyinom yɛ tebea horow a anibere wom ankasa. Ɛno nti na ɛsɛ sɛ yɛhwɛ yie wɔ saa `Aneurysm` yi ho.

Ɔkwan bɛn so na wohu saa `Thoracic Aortic Aneurysm` yi?

Mpɛn pii no, wohu Thoracic Aortic Aneurysm wɔ akwanhyia mu . Eyi kyerɛ sɛ wohu bere a nnuruyɛfo reyɛ nhwehwɛmu esiane biribi foforo nti. Sɛ nhwɛso no, ebia wo koko X-ray bɛkyerɛ sɛ wo koko no mfinimfini fã (mediastinum) no trɛw sen sɛnea ɛte daa. Eyi betumi ayɛ ntini a ɛma mogya tu ho sɛnkyerɛnne.

Sɛ wo duruyɛfo susuw sɛ Thoracic Aortic Aneurysm, esiane X-ray anaa nneɛma afoforo nti a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu a edidi so yi:

• `Computed tomography (CT) angiogram` : Eyi yɛ CT scan titiriw.
• `Echocardiogram (echo)` : Koma no ho nhwehwɛmu a wɔde ultrasound yɛ.
• Magnetic resonance angiogram (MRA) : Mfonini a wɔde MRI mfiridwuma hwɛ mogya ntini mu.
• Abdominal ultrasound : Ultrasound nhwehwɛmu a wɔde hwɛ sɛ ntini bi wɔ yafunu mu aorta no mu anaa.

Dɛn ne ayaresa ahorow a wɔde sa Thoracic Aortic Aneurysm?

Aorta oprehyɛn ne aduru titiriw a ɛtra hɔ daa a wɔde sa Thoracic Aortic Aneurysm. Nnuruyɛfo de oprehyɛn akwan horow di dwuma. Ebi ne:

• Amanne kwan so oprehyɛn a wɔabue mu : Nea ɛka eyi ho ne sɛ wɔbɛtwa ade tenten bi akɔ fam wɔ koko no mfinimfini, ayi aorta no fã a asɛe no, na wɔde afiri a wɔde yɛ afiri (graft) asi ananmu. Wɔde saa kwan yi sa ntini a ɛwɔ aorta a ɛforo kɔ soro no mu, ne ntini a ɛyɛ den a ɛwɔ koko ne yafunu mu no.
• Thoracic endovascular aortic repair (TEVAR) : Eyi yɛ oprehyɛn a ɛnyɛ den pii . Eyi kyerɛ sɛ wɔyɛ no a wɔnyɛ ntwitwiridii akɛse. Wɔde sa ntini a ɛwɔ aorta a ɛsiane no mu. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa w’asen mu nketenkete, de ntini bi (femoral artery) a ɛfa mu di dwuma, na ɔde catheter (thin tube) di dwuma de hyɛ ntini no mu.
• Aortic ntini a wɔde besi ananmu: Wɔyɛ saa oprehyɛn yi ma `Aneurysm` wɔ beae a aorta no ne koma no di nkitaho (`Aortic root`). Ebia eyi nso bɛhwehwɛ sɛ wobɛsesa wo aortic valve no. Sɛnea ɛbɛyɛ foforo no, wobetumi de `Valve-sparing techniques` adi dwuma de akora wo abɔde mu valve no so.

Ɛtɔ mmere bi a, nnuruyɛfo a wɔyɛ oprehyɛn ka akwan yi mu bɛboro biako bom (sɛ nhwɛso no, oprehyɛn a wɔabue ano ne ntini mu ayaresa) a egyina sɛnea ntini a ɛwɔ nipadua no mu no te so. Ayaresa a wubenya wɔ aorta center no ma nea wubetumi apaw ne hokwan a wowɔ sɛ wubefi mu aba pa no yɛ kɛse.

Bere bɛn na ebehia sɛ wɔyɛ me oprehyɛn?

Oduruyɛfo no besi gyinae sɛ ebia ɛsɛ sɛ wɔyɛ wo oprehyɛn, na sɛ ɛte saa a, bere a ɛsɛ sɛ wɔyɛ wo oprehyɛn, denam nneɛma yi a obesusuw ho so:

• Aneurysm no kɛse ne beae a ɛwɔ.
• Sɛnea ntini a ɛma mogya tu no nyin ntɛmntɛm .
• Sɛ́ ebia ntini a ɛma mogya tu no de yare no ho sɛnkyerɛnne ahorow ba ne sɛnea emu yɛ den no .
• Ayaresa mu tebea afoforo a ɛhyɛ ase a wowɔ.

Sɛ ntini a ɛma mogya tu no sõ anaasɛ ɛde sɛnkyerɛnne ahorow ba a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na amma anpae. Aneurysm kɛse ho hia efisɛ dodow a ɛsõ no, dodow no ara na ɛda adi sɛ ɛbɛpae. Mpɛn pii no, nnuruyɛfo besi gyinae sɛ wɔbɛyɛ oprehyɛn sɛ ntini a ɛma mogya tu no trɛw yɛ nsateakwaa 2 kosi 2.2 (bɛyɛ sɛntimita 5 kosi 5.5), anaasɛ ɛrenyin bɛyɛ sɛntimita fã afe biara a.

Nanso, ɛnyɛ ne kɛse nko na ɛho hia. Sɛ wowɔ ntini a ɛka bom, bicuspid aortic valve, anaa nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ wobɛpaapae anaasɛ wobɛpaapae no yɛ kɛse a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ oprehyɛn ntɛm. Wo ne wo duruyɛfo nkasa mfa wo ntini a ɛma mogya tu no kɛse ne bere a ebia ɛho behia sɛ wɔyɛ oprehyɛn no ho.

"Wɔwɛn twɛn".

Sɛ ntini a ɛma mogya tu no sua na enni sɛnkyerɛnne biara a, ebia ɛho renhia sɛ wɔyɛ wo oprehyɛn ntɛm ara. Mmom no, wo duruyɛfo bɛhwɛ wo tebea no so (wɔfrɛ eyi twɛn a wowɛn). Ebia wɔbɛkyerɛw nnuru nso ama wɔn na ama asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no so atew.

Sɛ nhwɛso no, wobetumi akra sɛ wɔnyɛ mfoninitwa mfiri asram 6 kosi 12 biara de ahwɛ sɛ nsakrae bi aba ntini a ɛma mogya tu no mu anaa. Ebia wɔbɛma wo nnuru nso a ɛbɛma wo mogya so atew na ama nhyɛso a ɛwɔ wo aorta no fã a ayɛ mmerɛw no so atew. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn bere a mfaso a ɛwɔ oprehyɛn so no dɔɔso sen asiane ahorow no .

So wobetumi asiw Thoracic Aortic Aneurysm ano?

Ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw tebea yi ano. Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya atherosclerosis (ade titiriw a ɛde ntini mu yare ba) so. Nneɛma bi a wubetumi ayɛ ni:

• Di wo mogya mmoroso ne srade dodow so.
• Di aduan a ɛma koma nya ahoɔden akyi (e.g., Mediterranea Adidi ).
• Kwati tawa ho nneɛma nyinaa.
• Anyɛ yiye koraa no, fa simma 150 teɛteɛ w’apɔw mu a emu yɛ den dapɛn biara (nanso wo ne wo duruyɛfo nkasa ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe foforo ase).
• Yɛ afe afe aduruyɛ mu nhwehwɛmu, na kɔ bere a wɔayɛ nhyehyɛe sɛ wobedi akyi nyinaa.

Bere tenten ahe na wubetumi atra ase a wowɔ Thoracic Aortic Aneurysm?

Bere a wɔde bɛtra ase no gyina nneɛma pii so, a nea ɛka ho ne sɛnea ntini no kɛse te ne sɛ ebia ɛde nsɛnnennen ba anaa. Ntini akɛse a ɛma mogya tu no betumi ayɛ nea asiane wom. Nnipa a wɔwɔ ntini kɛse a wɔansa no mu bɛyɛ 65% tra ase afe biako wɔ bere a wɔahu sɛ wɔanya bi no akyi. 20% pɛ na wɔtra ase mfe anum.

Nanso, sɛ wosa yare yiye a, wo nkwa nna betumi akɔ soro kɛse na wubetumi atra ase akyɛ na woanya apɔwmuden. Ɛno nti na ɛho hia sɛ wuhu sɛ ebia wowɔ asiane mu sɛ wubenya Thoracic Aortic Aneurysm na wo ne wo duruyɛfo ayɛ adwuma de adi tebea no ho dwuma.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ aneurysm a, wo duruyɛfo bɛma wo afotu wɔ sɛnea wobɛhwɛ wo ho. Ebia ɔbɛka nsɛm te sɛ:

• Kwati apɔw-mu-teɛteɛ a emu yɛ den. Nneɛma te sɛ adesoa a emu yɛ duru a wɔma so anaasɛ ntetee a emu yɛ den a wɔde ma wɔ ntam (HIIT) betumi de nhyɛso kɛse aba wo ntini ahorow so. Bisa wo duruyɛfo apɔw-mu-teɛteɛ ahorow a asiane biara nni ho ma wo.
• Kwati tawanom. Tawa ma asiane a ɛwɔ hɔ sɛ obi benya koma ne ntini mu nyarewa pii no yɛ kɛse. Sɛ wonom sigaret anaa wode tawa afoforo di dwuma a, hwehwɛ mmoa na ama woagyae.
• Yɛ nsakrae wɔ w’aduan mu. Ebia ebehia sɛ wotew nkyene a wudi so anaasɛ woyɛ nsakrae afoforo a eye ma wo ntini akwahosan.
• Fa wo nnuru sɛnea wɔakyerɛw ama wo no. Ebia wubehia nnuru a wode bedi aduruyɛ mu tebea horow a ɛhyɛ ase no so. Bisa wo duruyɛfo sɛ wowɔ nsɛmmisa bi fa sɛnea wobɛnom nnuru yi ho a.
• Kwati nneɛma a ɛma koma bɔ kɛse. Nhwɛso ahorow bi ne cocaine, amphetamines, ne nhabannuru bi.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Hwɛ wo duruyɛfo ma ɔnyɛ wo afe afe nhwehwɛmu, na di wo bere a wode bedi akyi nyinaa so. Frɛ wo duruyɛfo ntɛm ara sɛ:

• Sɛ wuhu sɛnkyerɛnne foforo anaa nsakrae a aba wɔ sɛnkyerɛnne ahorow a ɛwɔ hɔ dedaw no mu a .
• Sɛ aduru no de ɔhaw ahorow a wɔnhwɛ kwan ba a .
• Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ w’ayaresa nhyehyɛe no ho a.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ER)?

Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu ntini a apaapae anaasɛ apaapaeSɛ saa a, frɛ 911 (1990 wɔ Sri Lanka) anaa kɔ baabi a ɛbɛn wo ntɛm ara. Eyinom yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ a ehia sɛ wɔsa yare ntɛm ara na ama wɔagye nnipa nkwa.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Thoracic Aortic Aneurysm a, ebia wunnim nea wubedi kan abisa. Nsɛmmisa bi a ɛbɛma woafi ase ni:

• Me ntini a ɛma mogya tu no kɛse te dɛn?
• So sika dodow yi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho?
• Dɛn na anka ebetumi ama saa `aneurysm` yi aba?
• Ayaresa bɛn na wokamfo kyerɛ me?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’asetra kwan mu?
• Mpɛn ahe na ɛsɛ sɛ meba bɛyɛ nhwehwɛmu a wɔde di akyi?

Dɛn ne saa `Thoracoabdominal aneurysm` yi?

Eyi nso yɛ `Aneurysm` bi. Eyi yɛ `Aneurysm` a ɛtrɛw fa wo moma so (`Thorax`) ne wo yafunu (`Abdomen`) nyinaa mu. Saa su yi yɛ bɛyɛ 15% wɔ `Aneurysms` a ɛkɔ so wɔ aorta no mu nyinaa mu.

Sɛ wuhu sɛ wowɔ ntini a ɛma mogya tu wɔ wo moma so a, ebetumi ayɛ hu. Ebia wunsusuw wo ntini ahorow no akwahosan anaa sɛnea ɛyɛ adwuma no ho da. Anaasɛ, ebia wɔwoo wo sɛ wowɔ ntini a ɛka bom yɛ adwuma, enti wunim sɛnea wo nipadua no yɛ adwuma yiye. Ɛmfa ho nea wunim no, mprempren ne bere a ɛsɛ sɛ wusua wo tebea no ho ade pii na woyɛ biribi de tew asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no so.

Wo ne wo duruyɛfo nkasa mfa nea wubetumi ahwɛ kwan a egyina wo tebea no so ho. Obetumi ayɛ ayaresa nhyehyɛe bi ma ɛne w’ahiade ahyia, abua wo nsɛmmisa, na wama wo nimdeɛ a wuhia na ama woakɔ w’anim.

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

Thoracic Aortic Aneurysm yɛ tebea a emu yɛ den. Nanso, sɛ wuhu ntɛm, wonya aduruyɛ mu afotu a ɛfata, na wonya ayaresa a ɛfata a, wubenya hokwan kɛse sɛ wobɛtra ase apɔwmuden, akyɛ.

• Hwɛ yare no ho sɛnkyerɛnne ahorow yiye: Mmu w’ani ngu nneɛma te sɛ koko anaa akyi yaw a emu yɛ den mpofirim so.
• Sɛ wowɔ nneɛma a ɛde asiane ba a, yɛ nhwehwɛmu: Sɛ obi a ɔwɔ w’abusua mu anya saa yare yi, anaasɛ wowɔ mogya mmoroso anaa sigaretnom a, hwehwɛ aduruyɛfo afotu.
• Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ: fa nnuru a wɔakyerɛw ama wo, di akwankyerɛ a ɛfa apɔw-mu-teɛteɛ ne aduan a wodi ho akyi, na kɔ nhwehwɛmu ne bere a wɔahyɛ da ayɛ.
• Kwati sigaretnom koraa: Eyi yɛ nneɛma a ɛho hia sen biara a wubetumi ayɛ no mu biako.

Mma ɛnhaw wo, ɛnyɛ wo nko ara. W’aduruyɛfo kuw no ayɛ krado sɛ wɔbɛboa wo. Ade a ɛho hia sen biara ne sɛ wubehu tebea yi na wode nsiyɛ ahwɛ w’akwahosan so.

` Thoracic Aortic Aneurysm, aorta, koko mu yaw, komayare, mogya ntini, aneurysm, oprehyɛn