So woate tebea a ɛyɛ hu a wɔfrɛ no Aortic Dissection no ho asɛm? Momma yɛnka ho asɛm nkɔ akyiri!

So woasusuw ɔsɛe bɛn na ebetumi ato mogya ntini titiriw a ɛwɔ yɛn nipadua mu, afiri a ɛsõ sen biara a ɛde mogya fi koma mu kɔ nipadua no nyinaa mu no ho pɛn? Aortic dissection yɛ tebea a asiane wom a ebetumi de nkwa ato asiane mu mpofirim. Ɛwom sɛ eyi yɛ hu kakra de, nanso ɛho hia yiye sɛ wuhu eyi. Efisɛ sɛ wohu ntɛm a, wobetumi asa.

Dɛn ne Aortic Dissection? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, aortic dissection yɛ tetew (tetew) wɔ wo aorta , mogya ntini titiriw a ɛde mogya a oxygen wom fi wo koma mu kɔ wo nipadua nyinaa mu no fasu mu. Fa aorta no sɛ nsu afiri titiriw a ɛwɔ wo fie. Ɛtu mmirika fa wo moma so, fa wo yafunu mu, na ɛkɔ fam kodu wo nan so.

Eyi yɛ tebea a ɛntaa nsi koraa. Ɛba saa: Aorta no fasu no yɛ ntoatoaso abiɛsa. Biribi nti, ɔfasu yi mu fã a ɛwɔ mu no yɛ mmerɛw, na ɛma emu tetew ketewaa bi. Afei, mogya a ano yɛ den de ahopere fa nusu no mu, na ɛtetew emu fã no ne mfinimfini fã no mu. Ɛte sɛ ɔfasu bi a wɔatetew mu abien. Wɔfrɛ eyi sɛ dissection .

Sɛ mogya fi ase sen fa ɔkwan a ɛnteɛ so te sɛ eyi a, mogya a ɛkɔ nipadua no afã afoforo a ɛfata no betumi asiw ano anaasɛ ɛbɛtew so. Ɛtɔ da bi a, aorta no nyinaa tumi pae.

Eyi yɛ tebea a emu yɛ den yiye a ɛde nkwa to asiane mu. Sɛ wɔanhu na wɔansa no ntɛm a, owu betumi aba. Enti, sɛ wuhu saa sɛnkyerɛnne ahorow yi a, mma wo ho nnpopo na kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Wɔbɔ amanneɛ sɛ saa tebea yi ba nnipa ɔpepem biara mu 5 kosi 30 afe biara.

Dɛn ne aortic dissection ahorow atitiriw?

Aortic dissection ahorow atitiriw abien na ɛwɔ hɔ:

1. Stanford Type A Aortic Dissection: Eyi fi ase wɔ wo aorta no mfiase pɛɛ, ɔfã a ɛbɛn wo koma sen biara no. Ebetumi de nkwa ato asiane mu . Mpɛn pii no, ɛhwehwɛ sɛ wɔyɛ ne koko a wɔabue mu oprehyɛn ntɛm ara. Nea ɛka eyi ho ne sɛ wobesiesie aorta a atetew no mfiase anaasɛ wobeyi afi hɔ na wɔde ɔfã a wɔde ayɛ nipadua no asi ananmu. Mpɛn pii no, wɔkɔ so twitwa aorta no ase nyinaa. Type A abu so sen type B.

2. Stanford Type B Aortic Ntini a Wɔde Twitwa:Efi ase wɔ aorta no ase, a ɛne koma no ntam kwan ware kakra, wɔ aortic arch no akyi pɛɛ, wɔ aorta a ɛsiane no mu. Te sɛ type A no, mpɛn pii no etumi trɛw fi aorta a ɛsiane no so kosi yafunu mu aorta no so. Nanso, ɛnyɛ nea ɛfa aorta no fã a edi kan no ho. Ebia ɛho behia sɛ wɔyɛ no oprehyɛn ntɛm ara anaasɛ ɛrenhia. Eyi gyina baabi a wɔatwa no ne sɛ ebia ɛretwa mogya a ɛkɔ w’akwaa afoforo no mu no so.

Nnuruyɛfo de nhyehyɛe foforo a wɔde kyekyɛ nneɛma mu di dwuma, a wɔfrɛ no DeBakey nhyehyɛe a wɔde kyekyɛ nneɛma mu . Ɛwɔ ahorow abiɛsa. Ɔkwan a edi kan (Type 1) no fi ase wɔ aorta a ɛforo kɔ soro no mu na ɛtrɛw kɔ aorta a ɛsiane no nyinaa mu. Ɔkwan a ɛto so abien (Type 2) no fi ase wɔ aorta a ɛforo no mu na ɛyɛ aorta a ɛforo no nkutoo (abien no nyinaa te sɛ Stanford type A). Ɔkwan a ɛto so abiɛsa (Type 3) no fi ase wɔ aorta a ɛsiane no mu na ɛtrɛw kɔ fam (eyi te sɛ type B).

Dɛn ne aortic dissection ho sɛnkyerɛnne ahorow? Woyɛ dɛn hu no?

Su titiriw a ɛwɔ aortic dissection ho ne sɛ ɛba mpofirim . Ebetumi asi bere biara. Ɛtaa ba bere a wɔrebɔ mmɔden, na mogya mmoroso kɔ soro mpofirim. Nanso, ebetumi asi bere a woada anaa wugyina hɔ ara kwa nso. Kɔkɔbɔ nsɛnkyerɛnne biara nni hɔ a ɛba n’anim.

Eyinom ne sɛnkyerɛnne ahorow a ɛtaa ba a ebia wubehu:

• Ɛyaw a emu yɛ den a ɛyɛ nnam mpofirim wɔ koko anaa akyi atifi. Ebetumi ayɛ te sɛ nea wɔretetew mu afi mu, wɔde sekan abɔ no, anaasɛ wɔretetew were mu.
• Yafunu mu yaw a emu yɛ den.
• Ɔhome a ɛyɛ den (dyspnea).
• Totɔ piti anaasɛ adwenemhaw.
• Mogya mmoroso a ɛba fam.
• Koma mu nnyigyei a ɛnteɛ (diastolic koma mu nwiinwii anaa koma nnyigyei a ɛyɛ mum).
• Apɔw-mu-teɛteɛ a ɛyɛ ntɛmntɛm na ɛyɛ mmerɛw.
• Fifiri a ɛboro so.
• Adwene a ɛyɛ basaa (ntumi mfa n’adwene nsi biribi so).
• Anisoadehu a wɔhwere.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase no bi ne nipadua no fã biako a ɛyɛ mmerɛw na ɛyɛ den sɛ ɔbɛkasa.

Sɛ wowɔ aortic dissection ho sɛnkyerɛnne te sɛ eyi, titiriw wo koko mu yaw a emu yɛ den anaasɛ wo ho yɛ wo yaw a, frɛ 911 ntɛm ara anaa kɔ dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu. Mfa eyi nyɛ hwee, sekan biara ho hia.

Dɛn ne nneɛma a ɛde aortic dissection ba?

Aortic dissection ba bere a nkwammoaa a ɛwɔ aorta no afasu mu no yɛ mmerɛw nkakrankakra no. Ebia na saa mmerɛwyɛ yi akɔ so mfe pii, kosi sɛ baabi a ɛyɛ mmerɛw sen biara wɔ aortic fasu no mu no rentumi nnyina ano bio. Ɛno ne bere a nusu bi tetew, na ɛma aortic dissection ba.

Nnuruyɛfo gye di sɛ aortic dissection dodow no ara fi mmerɛwyɛ titiriw bi a ɛwɔ aortic fasu mu (ebia efi awo mu). Wɔ tebea afoforo mu no, nhyɛso a efi mogya mmoroso a ɛkɔ so daa mu ba no betumi ama aortic fasu no ayɛ mmerɛw, na ama aortic fasu no atetew na wɔatwitwa mu.

Mpɛn pii no, aortic dissection ba wɔ mmeae a aortic fasu no wɔ nhyɛso kɛse ase. Sɛ nhwɛso no, wo aorta a ɛforo kɔ soro no. Ntwitwiridii a ɛwɔ aorta a ɛwɔ soro no mu no abu so bɛyɛ mmɔho abien sen nea ɛwɔ aorta a ɛwɔ fam no.

Hena na ɔwɔ asiane kɛse ma eyi? Dɛn ne nneɛma a ɛde asiane ba?

Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ wubenya aortic dissection no yɛ kɛse. Hwɛ sɛ eyinom fa wo ho anaa:

• Mogya mmoroso a ɛkɔ so daa (mogya mmoroso): Eyi ne asiane a ɛho hia sen biara na ɛtaa ba . Mogya mmoroso sɛe ntini a ɛwɔ aorta no mu no tẽẽ. Eyi ma nhama a ɛyɛ den no yera, ɔfasu no nhyehyɛe bubu, na ɔfasu no yɛ den.
• Atherosclerosis (srade a ɛwɔ mogya ntini mu) anaa srade a ɛdɔɔso.
• Tawa nneɛma (sigaret, beedis, ne nea ɛkeka ho) a wɔde di dwuma.
• Aortic aneurysm (wo aorta no fasu mu a ɛyɛ kurukuruwa anaasɛ ɛyɛ kurukuruwa a ɛnyɛ ne kwan so).
• Aortic valve yare.
• Koma mu yare a wɔde awo obi, te sɛ bicuspid aortic valve (valve a ɛwɔ nkratafa abien sen sɛ anka ɛbɛyɛ abiɛsa a wɔtaa de di dwuma) anaa Turner syndrome .
• Ntini a ɛka bom yɛ yare te sɛ Marfan yare ne Ehlers-Danlos yare no yɛ ɔhaw ahorow a wobetumi anya afi awofo hɔ akɔ mmofra hɔ.
• Thoracic aortic tebea afoforo a wonya fi awo mu, a ɛka wo aorta titiriw.
• Sɛ obi a ɔwɔ w’abusua mu ayɛ aortic dissection (abusua abakɔsɛm).
• Aortitis (aorta no mu ɔfe/honhon).
• Apirakuru a emu yɛ den a ɛba koko so. Sɛ nhwɛso no, kar akwanhyia a ɛde ahoɔhare retu mmirika, obi a ɔhwee ase fi soro bɛboro anammɔn 20.
• Mmarima a wɔyɛ (mmarima wɔ asiane kɛse mu sen mmea).
• Being between 40 and 70. Bere a worenyin no, sɛnea aortic fasu no tumi yɛ mmerɛw no so tew.
• Mogya mmoroso a wobenya bere a wɔyem, titiriw bere a wɔrewo.
• Dwumadi ahorow a ebetumi ama mogya mmoroso aba bere tenten, te sɛ nnubɔne te sɛ cocaine anaa amphetamines a wɔde di dwuma.

Saa tebea horow yi betumi aba ntɛmntɛm wɔ nnipa a wɔde wɔn ho hyɛ powerlifting mu na wɔtaa nya ntini mu ntini mu yare anaasɛ wɔtwitwa wɔn mu.

Sɛ wowɔ saa nneɛma a asiane kɛse wom yi (te sɛ ntini a ɛma mogya tu anaa ntini a ɛka bom yɛ adwuma) a, hwehwɛ aortic center a eye sen biara ma w’ayaresa. Saa mmeae yi wɔ ayaresa a aba so foforo. Wɔsan nso de ɔhwɛ a eye sen biara ma denam nnuruyɛfo kuw a wɔyɛ adwuma ahorow pii (komayare ho animdefo, mframa ho animdefo, awosu ho animdefo) a wɔka bom no so. Nhwehwɛmu ahorow ada no adi sɛ mmeae a wɔyɛ adwuma titiriw wɔ aortic nyarewa a wɔsa mu no na wonya nea eye sen biara wɔ nsɛm a emu yɛ den yi ho.

Dɛn ne nsɛnnennen a ebetumi afi aortic dissection mu aba?

Aortic dissection betumi de nsɛnnennen a emu yɛ den te sɛ:

• Nnwodwoɔ.
• Aortic valve no a ɛsɛe.
• Koma mu yare.
• Koma a entumi nyɛ adwuma yiye.
• Akwaa a ɛwɔ nipadua no mu te sɛ asaabo a ɛsɛe.
• Cardiac tamponade: Nsu a ɛboaboa ano wɔ koma ntini ne kotoku a atwa koma no ho ahyia (pericardium) ntam.
• Owuo.

Ɔkwan bɛn so na nnuruyɛfo hu aortic dissection? Dɛn ne akwan a wɔfa so hu yare no?

Ebia oduruyɛfo bi begyina wo sɛnkyerɛnne ahorow so asusuw sɛ wɔatwa aortic dissection. Nanso, ebehia sɛ wohu sɛ ebia wowɔ aortic dissection anaa akwahosan ho haw foforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara te sɛ komayare anaa ɔyare a ɛma obi hwe ase. Sɛ wotwa aortic dissection a, ebia ɛbɛyɛ den sɛ wobɛte wo nsa ne wo nan mu ntini a ɛbɔ no nka. Ebia oduruyɛfo bi nso behu sɛ mogya mmoroso a ɛwɔ abasa biako mu no dɔɔso sen biako.

Ɛsɛ sɛ nnuruyɛfo hu aortic dissection ntɛm efisɛ ebia ebehia sɛ wɔyɛ wo oprehyɛn ntɛm ara. Sɛ w’aduruyɛfo kuw no hu sɛ wɔatwa aortic dissection wie a, akwantu kuw titiriw bi betumi de wo akɔ beae bi a ɛhwɛ tebea horow a emu yɛ den yi so.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Oduruyɛfo bi betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom:

• Chest X-ray: Eyi yɛ nhwehwɛmu a wɔyɛ no ntɛm a wɔde mframa kakraa bi di dwuma de twa wo koma, w’ahurututu, mogya ntini (te sɛ aorta), ne nnompe a ɛwɔ wo koko mu no mfonini.
• CT scan: Saa nhwehwɛmu yi boa ma wohu aorta no yiye ntɛm wɔ tebea a egye ntɛmpɛ mu. Ebetumi aboa oduruyɛfo ma wahu sɛ ebia ntini mu ntini mu yare anaasɛ wɔatwitwa mu anaa. Ebia wobɛma wɔde nsu titiriw bi (IV contrast) ahyɛ wo ntini mu nso sɛ sɔhwɛ yi fã.
• Transthoracic echocardiogram (TTE): Eyi de ultrasound mfiridwuma di dwuma de yɛ wo koma ntini, koma dan, ne wo aorta (aortic ntini) mfiase ho mfonini a ɛkanyan.
• Transesophageal echocardiogram (TEE) a wɔde kyerɛw koma no:Eyi betumi ama wɔanya koma no mu ntini ne adan no ho mfonini a emu da hɔ na ɛkɔ akyiri sen transthoracic echocardiogram a wɔyɛ no daa. Ɛsan nso ma wutumi hu thoracic aorta, mogya ntini a ɛwɔ wo moma so no yiye. Wɔ sɔhwɛ yi mu no, oduruyɛfo bi de afiri bi a ɛma wohu nneɛma pii fa w’anom hyɛ wo menewam. Esophagus no wɔ wo koma akyi pɛɛ ne aorta a ɛsiane no anim.
• MRI scan: Eyi de magnet kɛse ne radio asorɔkye di dwuma de yɛ akwaa ne nneɛma a ɛwɔ wo nipadua mu no ho mfonini a ɛkɔ akyiri, a wo aorta ka ho. Ebetumi akyerɛ koma no ntini, adan, ne sɛnea mogya fa aorta no mu no ho mfonini a ɛkanyan. Nanso, nhwehwɛmu yi gye bere tenten sen CT scan a wɔyɛ no daa, enti wɔmfa nni dwuma wɔ tebea horow a egye ntɛmpɛ mu.

Ɔkwan bɛn so na wɔsa aortic dissection?

Ayaresa a wɔde sa aortic dissection no gyina beae a nusu no wɔ ne nea wɔatwa no so.

• Wɔ type A aortic dissection (sɛ aorta no fã a edi kan a ɛbɛn koma no kɛse no ka a) a, ebehia sɛ wɔyɛ wo oprehyɛn ntɛm ara.
• Wɔ type B aortic dissection mu no, sɛ dissection no twa mogya a ɛkɔ akwaa ne nipadua akwaa a ɛho hia te sɛ w’asaabo, dwensɔtwaa, wo nan, anaa w’akyi berɛmo mu a, ebehia sɛ wɔyɛ wo oprehyɛn ntɛm ara. Sɛ wo CT scan no da nneɛma bi a asiane kɛse wom adi a, ɛho behia sɛ wɔyɛ wo oprehyɛn nnansa yi ara.
• Wɔ tebea horow a emu nyɛ den pii mu no, wobetumi de nnuru a wɔde bɛma wo koma bɔ brɛoo anaasɛ ɛbɛma wo mogya mmoroso so asa aortic dissection no afi ase. Wobetumi ayɛ oprehyɛn akyiri yi sɛ nsɛnnennen ba a.

Oprehyɛn ne Endovascular Ayaresa

Oprehyɛn a wobetumi apaw bi ne:

• Graft a wɔde besi ananmu: Oduruyɛfo a ɔyɛ oprehyɛn yi wo aorta no fã a asɛe no na ɔde tube a wɔde artificial tissue (aorta a wɔde ahyɛ mu) ayɛ si ananmu. Ɛdenam baabi a wɔatwitwa no kɛse so no, ebia ɛho behia nso sɛ wosiesie wo aortic valve, aortic root, anaa wo aortic arch ne ntini a ɛde mogya kɔ wo ti ne wo nsa so no. Eyi yɛ oprehyɛn a wɔyɛ wɔ koma a wɔabue mu na ɛyɛ ayaresa a eye sen biara a wɔde sa aortic dissection type A a egye ntɛmpɛ.
• Endovascular stent-graft a wosiesie:Wɔ saa adeyɛ yi mu no, oduruyɛfo bi siesie wo aorta no fi mu. Wɔde stent a wɔde hyɛ nipadua mu na edi dwuma. Eyi yɛ afiri a wɔde dade nhama ayɛ a wɔde biribi a wɔde gyina so (te sɛ agyan) abata ho. Stent no hyɛ aorta no fã a ayɛ mmerɛw no den. Saa endovascular repair yi ne ɔkwan a eye sen biara ma type B dissection a ɛyɛ den (mogya a ɛkɔ akwaa a ɛho hia mu no siw, anaasɛ nneɛma bi wɔ hɔ a asiane kɛse wom wɔ CT scan mu) type B dissection. Oduruyɛfo yɛ eyi denam wo asen mu ntini ketewaa bi a otwa wɔ w’asen mu na ɔde nhama ne nhama a wɔde fa nsu mu di dwuma no so.
• Ɔkwan a wɔfa so de afrafra: Wɔ saa adeyɛ yi mu no, oduruyɛfo de oprehyɛn a wɔabue ano ne endovascular stent-graft akwan nyinaa di dwuma de siesie aorta no. Wɔde saa kwan yi di dwuma bere a ɛsɛ sɛ nsiesie no trɛw kɔ aortic arch a ɛde mogya kɔ amemene ne abasa no mu no nyinaa. Wobetumi ayɛ eyi sɛ adeyɛ a egye ntɛmpɛ a wɔde yɛ type A dissection. Wobetumi nso ayɛ no sɛ ade a wɔde siesie nneɛma abien no fã, na wɔde ɔkwan a wɔfa so twa mogya ntini bi a ɛwɔ wo kɔn mu bedi dwuma de aboa ma woasiesie wo ho ama endovascular asiesie ama type B dissection.

Nnuru a wɔde yɛ nnuru

Oduruyɛfo betumi akyerɛw nnuru bi te sɛ beta-blockers ama wo koma a ɛbɔ ne wo mogya mmoroso. Wɔ nsɛm bi a ɛfa type B aortic dissection ho no, wobetumi de nnuru nkutoo adi dwuma de asa dissection no mfiase no. Wobetumi ayɛ oprehyɛn no a egyina sɛnea nusu no mu yɛ den ne sɛnea wɔatwitwa no kɛse so.

So wobetumi asiw aortic dissection ano?

Nneɛma pii wɔ hɔ a wuntumi nsakra a ɛma asiane a ɛwɔ hɔ sɛ wubenya aortic dissection no yɛ kɛse. Sɛ nhwɛso no, komayare ahorow bi a wonya fi awo mu, ntini a ɛka bom yɛ adwuma, anaa awosu mu nneɛma a ɛbata abusua abakɔsɛm a ɛfa aortic dissection ho.

Nanso, wubetumi atew asiane ahorow bi so:

• Di wo mogya mmoroso so.
• Kwati tawa ho nneɛma koraa.
• Kura mu duru a ɛfata mu ma wo.
• Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no na amma sɛ akwanhyia bi si a, worenpira wo koko.
• Kɔ aduruyɛ mu nhwehwɛmu daa, na sɛ wuhu nsakrae bi wɔ w’akwahosan mu a, kɔ oduruyɛfo nkyɛn.
• Sɛ wɔatwa wo busuani bi a odi kan (ɔwofo, abofra, anaa onua) aortic dissection a, ka kyerɛ wo duruyɛfo ma ɔnhwɛ asiane a ɛwɔ hɔ sɛ wubenya aortic yare no. Afei wo duruyɛfo betumi ahwɛ wo na wama wo ayaresa a ɛho hia ansa na aortic asɛm bi asi.

Sɛ wohu sɛ wowɔ aortic aneurysm a, kɔ oduruyɛfo a ne ho akokwaw wɔ aortic nyarewa mu (koma ho oduruyɛfo anaa koma ho oprehyɛn). Wobetumi asusuw asiane a ɛwɔ hɔ no ho, na sɛ ɛho hia a, wɔahwɛ wo sɛ wɔbɛyɛ wo oprehyɛn de asiesie wo aorta no.

Sɛ wɔayɛ wo aortic dissection a, dɛn na wobɛhwɛ kwan?

Aortic dissection yɛ adeyɛ a ebetumi de nkwa ato asiane mu. Nnipa a wɔn aortic dissection mpofirim (type A) no wuwu kɛse. Nnipa a wɔwɔ type A aortic dissection no mu bɛyɛ 40% wuwu ntɛm ara, esiane sɛ aorta no mu paapae koraa na mogya tu wɔn nti.

Mpɛn pii no, wogyaw nnipa a wonya nkwa wɔ tebea a egye ntɛmpɛ no mu no a wɔatwa wɔn aorta no afã horow a wɔansa no yare no bere tenten. Ebia eyi behia ayaresa akyiri yi.

Bere a nnɛyi ayaresa ahorow renya nkɔso no, nkɔmhyɛ a ɛwɔ ɔfã a enni sabea no renya nkɔso. Nanso, nkwa nna a wɔhwɛ kwan wɔ aortic dissection akyi no yɛ tiaa sɛ wɔde toto nnipa dodow no ara ho a. Nanso, sɛ aortic kuw a wɔatete wɔn sa yare ntɛm na wɔhwɛ so a, wobetumi atra ase sɛnea ɛsɛ mfe pii wɔ aortic a wɔatwa no akyi.

Mɛyɛ dɛn ahwɛ me ho?

Mpɛn pii no, oduruyɛfo bɛkyerɛw wo mogya mmoroso nnuru te sɛ beta-blockers, na ama woatumi ahwɛ wo mogya mmoroso ne wo koma bɔ so. Ɛho behia sɛ wofa eyinom wo nkwa nna nyinaa . Ebia wubehia mogya mmoroso nnuru bɛboro biako.

Ɛho hia yiye nso sɛ wobɛkwati tawa nneɛma bere a wɔatwa aortic dissection akyi.

Aerobic dwumadi ahorow te sɛ nantew, sakre so a wɔtra, ne asuguare ye. Nanso, ɛsɛ sɛ wokwati dwumadi ahorow bi te sɛ nneɛma a emu yɛ duru a wobɛma so (bɛboro wo nipadua mu duru fã). Wobetumi ama wo mogya mmoroso akɔ soro na wɔde nhyɛso kɛse aba aorta no so.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wonya nkwa wɔ aortic dissection mu akyi – sɛ mpo woannyɛ oprehyɛn a – ɛho behia sɛ wokɔ oduruyɛfo nkyɛn daa (mpɛn pii no asram 3 kosi 12 biara) ma wɔyɛ CT anaa MRI scan. Eyi ma nnuruyɛfo tumi kyere nsakrae biara ntɛm na wɔyɛ wɔn ade sɛnea ɛfata.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Nsɛmmisa bi a wubetumi abisa wo duruyɛfo ni:

• Aortic dissection bɛn na mewɔ?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• So wubetumi de me akɔ kuw bi a wɔboa nnipa a wɔayɛ wɔn aortic dissection nkyɛn?

Nsonsonoe bɛn na ɛda ntini a ɛma mogya tu, nea ɛpaapae, ne nea wɔatwitwa mu?

Saa nsɛmfua yi betumi ama yɛn adwene atu afra kakra, enti momma yɛnma emu nna hɔ:

• Aortic aneurysm: Eyi yɛ akisikuru a ɛte sɛ balloon, a ɛte sɛ balloon a ɛwɔ baabi a ɛyɛ mmerɛw wɔ wo aorta no fasu mu. Anaasɛ aorta no fã mũ bi ayɛ kɛse. Aortic aneurysm betumi ama aortic no mu apaapae anaasɛ aortic dissection.
• Aortic rupture: Eyi yɛ tetew anaa tokuru a ɛba aorta no fasu mu koraa, na ɛma mogya fa tokuru no mu kɔ baabi a atwa ho ahyia no.
• Aortic a wɔpaapae mu:Eyi yɛ tetew a ɛwɔ aorta no mu fã kɛse no ara. Ɛma mogya tu fa mu, na ɛma aortic fasu no mu ne mfinimfini no mu tetew bio. Mpɛn pii no eyi betumi atrɛw akɔ akyirikyiri wɔ afã abien no nyinaa wɔ wo aorta no so, na ebetumi atrɛw akɔ mogya ntini a efi aorta no mu fi nkorabata mu no nso mu.

Aortic dissection yɛ osuahu a ɛyɛ hu ankasa, na ɛyɛ basaa. Sɛ́ wubenya nkwa wɔ mu no betumi ayɛ nkate kotoku a adi afra. Wo nkate no yɛ nea ɛfata, na afoforo nso wɔ hɔ a wɔte nea worefa mu no ase. Yɛ w’ankasa wo nne, bisa nsɛm fa biribiara a emu nna hɔ ho. Kɔ so nom wo nnuru no, di wo duruyɛfo akwankyerɛ nyinaa akyi, na kɔ wo duruyɛfo nkyɛn bere nyinaa.

Ɛho hia yiye sɛ wobɛkɔ aortic center of excellence, a ɛwɔ osuahu pii wɔ nyarewa ahorow yi a wɔsa mu na ɛwɔ animdefo ahorow mmoa. Nea efi mmeae a ɛtete saa mu ba no ye koraa sen nea ɛsa ayarefo kakraa bi pɛ no.

Nkrasɛm a ɛho hia sen biara a ɛsɛ sɛ wode kɔ fie

Enti, ebia woate ase mprempren sɛ Aortic Dissection yɛ tebea a ɛba mpofirim, asiane kɛse wom, a ɛde nkwa to asiane mu. Sɛ wote wo koko mu yaw mpofirim, a emu yɛ den, w’akyi yɛ wo yaw, anaasɛ wohu akisikuru ho sɛnkyerɛnne a, mmu w’ani ngu so. Hwehwɛ ayaresa ntɛm ara.

• Bere yɛ nkwa: Sɛ wohu yare no ntɛm na wɔsa no yare a, ebetumi agye obi nkwa.
• Hu nneɛma a ɛde asiane ba: Hu nneɛma te sɛ mogya mmoroso, sigaretnom, ne abusua abakɔsɛm. Bɔ mmɔden sɛ wubedi wɔn so.
• Ayaresa a ɛfata ne nea wodi akyi: Fa nnuru a wo duruyɛfo akyerɛw ama wo no di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ. Kɔ aduruyɛ mu nhwehwɛmu wɔ bere ano.
• Abenfo mmoa: Sɛ ɛbɛyɛ yiye a, hwehwɛ ayaresa fi beae bi a wɔhwɛ nyarewa ahorow yi so.

Yɛwɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso. Kɔ so nya apɔwmuden!

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