Dɛn ne Aortoiliac Occlusive Disease? So worehu sɛ mogya a ɛkɔ wo nan mu no so atew? Momma yɛnka eyi ho asɛm!

Ɛtɔ mmere bi a, wo nan yɛ yaw bere a wonam no? So ɛyaw no ano brɛ ase bere a woagyina hɔ kakra awie no? Anaasɛ wote nka sɛ wo nan ho ayɛ wo yaw anaasɛ wo ho ayɛ nwini? Eyinom betumi ayɛ biribi a anibere wom ho sɛnkyerɛnne. Ɛnnɛ yɛrebɛka tebea bi a wɔfrɛ no `Aortoiliac Occlusive Disease`, a ɛwɔ din a ɛyɛ den kakra, nanso ebetumi aka nnipa pii ho asɛm. Mma ɛnhaw wo, momma yɛnkyerɛkyerɛ eyi mu tiawa.

Dɛn ne Aortoiliac Occlusive Disease?

Sɛ yɛbɛka no tiawa a, eyi yɛ mogya ntini titiriw a ɛde mogya kɔ yɛn nipadua no fã a ɛwɔ fam no mu a asiw. Saa tebea yi ka nyarewa kuw kɛse bi a wɔfrɛ no `Peripheral Artery Disease (PAD),` a ɛkyerɛ mogya ntini a ɛde mogya kɔ akwaa no mu no ho.

Saa yareɛ yi ka `(Aorta)`, mogya ntini kɛseɛ a ɛwɔ yɛn nipadua mu, ne mogya ntini a wɔfrɛ no `(Iliac arteries)` no fã a ɛwɔ fam no titire. `(Aorta)` ne ntini titiriw a ɛde mogya fi koma no mu fa koko mu kɔ yafunu mu. `(Iliac arteries)` ne saa `(Aorta)` yi nkorabata titire mmienu a ɛpaapae mmienu a ɛbɛn yafunu no na ɛde mogya kɔ nan no so.

Afei, deɛ ɛba wɔ saa yareɛ yi mu ne sɛ biribi a wɔfrɛ no `(Plaque)` boaboa ano wɔ saa mogya ntini yi mu. `(Plaque)` yɛ ade a ɛyɛ nnam a wɔde nneɛma te sɛ ngo ne srade na ɛyɛ. Fa no sɛ, eyi yɛ biribi te sɛ nkannare ne efĩ a ɛreyɛ kɛse wɔ nsu paipu bi mu wɔ yɛn fie bere a bere kɔ so no.

Nneɛma abien nti na saa `(Plaque)` yi yɛ asiane:

• Ɛtew baabi a ɛwɔ mogya ntini no mu so: Bere a saa `(Plaque)` yi reyɛ kɛse no, baabi a ɛwɔ mogya ntini no mu no yɛ ketewaa. Afei mogya no siw kwan, te sɛ kar a akyeakyea.
• Ebetumi de `(Embolus)` aba: Ɛtɔ da bi a, saa `(Plaque)` yi fã bi betumi abubu na ɛne mogya no atu kwan. Wɔfrɛ asinasin a ɛpaapae saa no `(Embolus).` Sɛ saa `(Embolus)` yi kɔhyɛ mogya ntini ketewa bi mu baabi a, mogya a efi hɔ no begyae koraa.

Ɔkwan bɛn so na eyi ka yɛn nipadua?

Aortoiliac Occlusive Disease yɛ tebea a ɛma mogya a ɛkɔ Aorta ne Iliac ntini mu no siw. Eyi de ɔhaw ahorow ba efisɛ mogya a oxygen wom no nkɔ yɛn nipadua mu ntini ahorow mu yiye. Sɛ wobɛte eyi ase a, ɛsɛ sɛ wuhu mogya ntini yi ho asɛm kakra.

Yɛn `(Aorta)` te sɛ ɔkwan kɛse bi a ɛwɔ kurow bi mu. Efi ɔkwan kɛse yi so no, akwan a ɛwɔ nkyɛnkyɛn pii de mogya kɔ nipadua no afã horow. Sɛ nhwɛso no, `(Renal arteries)` a ɛde mogya kɔ yɛn asaabo mu no mu paapae fi `(Aorta) no mu.` Saa mpaapaemu yi ne anohyeto a ɛwɔ soro a `(Aortoiliac Occlusive Disease)` betumi afi ase. Nnuruyɛfo frɛ `(Aorta)` fã a ɛwɔ eyinom ase `(Renal arteries)`, kosi awotwaa no mu no, `(Infrarenal aorta)`.

Afei, wɔ ti nhwi no ase no, saa `(Aorta)` yi mu paapae yɛ abien , te sɛ 'Y' a wɔabɔ no anim . Eyinom ne mogya ntini abien a wɔfrɛ no nifa ne benkum `(Common iliac artery)`. Saa nkorabata yi kyekyɛ bio na ɛde mogya kɔ yɛn nipadua no afã horow a edidi so yi mu:

• Buttock beae a ɛwɔ
• Nan ne anan
• Hip area
• Ɔbarima ne ɔbea awo nhyehyɛe no afã horow
• Akwaa a ɛwɔ akyi berɛmo mu (sɛ nhwɛso no, akisikuru, mmerɛbo) .

Sɛnea yare no mu yɛ den no gyina ‘Y’ yi fã a wɔasiw ano ne sɛnea wɔasiw ano kɛse no so. Ɛtɔ mmere bi a, sɛ baabi ketewaa bi pɛ na wɔasiw a, ebia sɛnkyerɛnne atitiriw biara nni hɔ. Nea enti a ɛte saa ne sɛ mogya tumi fa ntini nketenkete afoforo mu kodu baabi. Nanso sɛ wosiw ano kɛse a, sɛnkyerɛnne ahorow no mu yɛ den kɛse na hokwan a ɛwɔ hɔ sɛ nsɛnnennen bɛba no yɛ kɛse.

Hena na ɛda adi kɛse sɛ obenya saa yare yi?

Wobu akontaa sɛ saa yare yi ka nnipa bɛboro ɔpepem 6 a wɔadi boro mfe 40 wɔ United States nkutoo. Asiane a ɛwɔ hɔ sɛ obenya bi no yɛ kɛse bere a obi nyin no. Sɛ nhwɛsoɔ no, nnipa a wɔadi mfeɛ aduonum bɛyɛ 5% na wɔwɔ bi, nanso ebia nnipa a wɔadi mfeɛ aduɔwɔtwe mu bɛboro 20% na wɔwɔ bi. Afei nso, saa tebea yi abu so wɔ mmarima ne abibifo mu.

So eyi betumi de nkwa ato asiane mu?

Yiw, sɛ wɔansa no yiye a, Aortoiliac Occlusive Disease betumi de ɔhaw ahorow a emu yɛ den aba, ɛtɔ mmere bi a ɛde nkwa to asiane mu. Eyinom ne nneɛma atitiriw a ebetumi aba:

• Twitwa: Eyi kyerɛ sɛ wobetwitwa nipadua no fã bi te sɛ nan na woyi afi hɔ. Eyi ba efisɛ ntini no wu bere a wɔatwa mogya no mu no.
• `(Koma mu yare)` (Koma mu yare): Koma mu yareɛ.
• `(Koma mu yareɛ)` (Koma mu yareɛ): Koma mu yareɛ.
• `(Gangrene): Owu ne ntini a ɛporɔw.

Enti, ɛho hia paa sɛ yɛhwɛ saa sɛnkyerɛnne ahorow yi.

Dɛn ne sɛnkyerɛnne ahorow no?

Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Nanso, sɛ wɔyɛ saa a, ebia wɔbɛyɛ:

• Erectile dysfunction (ED): Mmarima a wontumi nnya anaasɛ wontumi nkɔ so nnya ɔbarima ne ɔbea nna mu kyɛfa bere a wɔrenya nna mu kyɛfa no. Eyi nso betumi ne yare yi abata ho.
• `(Intermittent claudication)` (Intermittent claudication): Eyi yɛ sɛnkyerɛnne titiriw a nnipa pii nya. Sɛ nhwɛso no, sɛ woreyɛ apɔw-mu-teɛteɛ, bere a wɔnantew a, ɛyaw, ɛyɛ den, anaasɛ ɛyɛ den wɔ n’akyi anaa anan mu. Ɛbrɛ ase bere a woagye w’ahome kakra akyi. Fa no sɛ wɔ yɛn akuraa ase no, sɛ Onua Somapala kɔ sotɔɔ no mu a, sɛ ɔnantew kwan tiaa bi akyi a, ogyina na ɔka sɛ, "Ah, me nan!", na bere bi akyi no, ɔsan kɔ bio. Ɛno yɛ tebea a ɛte saa ara.
• Ahomegyeɛ Ɛyaw: Ɛyaw a ɛba wo nan mu a ɛkanyan wo anadwo. Saa ɛyaw yi betumi aba titiriw bere a wo nan so no, efisɛ tumi a ɛtwe ade ba fam no brɛ mogya a ɛkɔ nan no ase no ase.
• Akuru: Wotumi hu akuru a entumi nsa wɔ honam ani a wɔfrɛ no akuru wɔ nan anaa nan ase.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Efisɛ sɛ wuhu `Aortoiliac Occlusive Disease` ho sɛnkyerɛnne ntɛm a, ɛnyɛ den sɛ wobɛsa.

Wo duruyɛfo nso bɛhwɛ sɛ ebia ɔhaw ahorow bi wɔ mogya a ɛkɔ wo nipadua no afã afoforo te sɛ carotid ntini a ɛwɔ wo kɔn mu anaa wo koma mu ntini a ɛwɔ wo koma mu no ho. Mpɛn pii no, sɛ plaque boaboa ano wɔ wo nipadua no fã biako a, ɛda adi sɛ ɛwɔ afã afoforo nso.

Ntɛmntɛm: Ntini a Ɛsiw Ntɛmntɛm

Nanso ɛtɔ da bi a, sɛ tebea no mu yɛ den a, ntɛmpɛ bi a wɔfrɛ no ``Acute arterial occlusion'' betumi aba. Eyi kyerɛ sɛ wo nipadua no fã bi, a mpɛn pii no ɛyɛ nan anaa nan bi, nni mogya a oxygen pii wom. Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ a egye ayaresa ntɛm ara! Wɔfrɛ eyi ‘Ps asia’ na ɛwɔ sɛnkyerɛnne kakraa bi:

• Ɛyaw: Ɛyaw a emu yɛ den a wontumi nnyina ano . Eyi ne ade a edi kan a wote nka.
• Pallor: Wora a ɛwɔ nan a ayɛ no yaw no so no yɛ fitaa kɛse.
• Pulse deficit: Pulse a ɛwɔ saa beae no yɛ mmerɛw yiye, anaasɛ ɛnte nka koraa.
• Poikilothermia (awɔw): Sɛ wɔde wɔn nsa ka saa nan no a, ɛyɛ nwini sen foforo no.
• Paresthesia (a ɛyɛ mmerɛw): Ɛte sɛ nea wo nan ayɛ mmerɛw, te sɛ nea nwansena retu mmirika akɔ akyirikyiri, anaasɛ ɛte sɛ pin ne nnade .
• Obubuafo: Wontumi nte ɔhonam akwaa a ɛka no nka anaasɛ wontumi ntutu.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, frɛ 911 anaa kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara! Simma biara ho hia. Dodow a wosiw mogya no kwan kyɛ no, dodow no ara na ntini ahorow no sɛe. Wɔ tebea horow a emu yɛ den mu no, obetumi atwa ne ho atwa anaa owu mpo.

Dɛn ne nea enti a ɛte saa?

Nea ɛde saa `Aortoiliac Occlusive Disease` yi ba titiriw ne tebea bi a wɔfrɛ no `(Atherosclerosis)` . Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ `(Plaque)` a yɛadi kan aka ho asɛm no de nkakrankakra boaboa ano wɔ nipadua no mogya ntini mu. Wɔ saa yareɛ yi mu no, saa `(Plaque)` no nya deposited wɔ `(Aorta)` ne `(Iliac arteries)` no ase.

Sɛ ɛno da nkyɛn a, ebia ntease afoforo pii wɔ hɔ a ɛntaa nsi:

• Sɛ woanya radiation ayaresa akɔ pelvic area no mu a.
• Mogya ntini mu ɔfe, tebea a wɔfrɛ no ``Vasculitis''.

Dɛn ne nneɛma a ɛde asiane ba?

Esiane sɛ obiara betumi anya atherosclerosis nti, obiara betumi anya saa yare yi. Nanso, nneɛma bi ma asiane no yɛ kɛse:

• Mpanyinyɛ: Asiane no kɔ soro bere a obi nyin no.
• Abusua abakɔsɛm: Sɛ obi wɔ w’abusua mu a ɔwɔ Peripheral Artery Disease (PAD) a, ka ho asɛm kyerɛ wo duruyɛfo .
• Sigaretnom: Eyi yɛ ade titiriw a ɛde asiane ba! Sigaretnom yɛ ade titiriw a ɛde yare yi ba, ne ntini mu nyarewa afoforo nso. Sɛ woyɛ obi a ɔnom sigaret a, ɛho hia paa sɛ wohwehwɛ mmoa na ama woagyae.
• Ayaresa mu tebea horow bi:
• `Asikreyare`
• Mogya mmoroso
• `Cholesterol a ɛkɔ soro`
• `Takayasu ntini mu yare` (eyi nso yɛ tebea a ɛntaa nsi a ɛka mogya ntini no) .

Ɔkwan bɛn so na wobetumi ahu yare no?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Wo duruyɛfo bɛyɛ nea edidi so yi de ahu tebea no anaasɛ ɔbɛpow biribi foforo a ɛde ba:

1. Obisa wo nsɛm bi:

• Dɛn ne wo yare no ho sɛnkyerɛnne?
• Efi bere bɛn na eyinom aba?
• Bere bɛn na wote eyinom nka kɛse?
• Sɛ woyɛ biribi a, ɛso tew?
• So sɛnkyerɛnne ahorow no reyɛ kɛse?
• So obi wɔ w’abusua mu a ɔwɔ yare a ɛte sɛɛ?
• Nyarewa afoforo bɛn na wowɔ?

2. Ɔyɛ nipadua mu nhwehwɛmu: Hwɛ w’akwahosan nyinaa.

3. Ɔyɛ sɔhwɛ ahorow pii:

• Ankle-brachial index (ABI): Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛnyɛ yaw. Wosusuw mogya mmoroso a ɛwɔ wo nsa ne wo nan mu na wɔde toto ho. Eyi ma wunya sɛnea mogya resen kɔ wo nan ne wo nan mu yiye no ho adwene a ɛyɛ den.
• Mogya mu nhwehwɛmu: Eyinom betumi aboa wo ma woahwɛ nneɛma te sɛ srade ne asikre dodow, ne nneɛma a ɛde koma ne mogya ntini mu yare, ne w’akwahosan nyinaa mu.
• `(Computed tomography angiogram (CTA))`: Eyi yɛ `CT scan` titiriw bi. Etumi hu nneɛma te sɛ baabi a `(plaque)` wɔ mogya ntini no mu ne sɛnea asiw no pefee.
• Vascular ultrasound (a wɔsan frɛ no Doppler scan): Eyi nso de ultrasound asorɔkye di dwuma de hwɛ ɔkwan a mogya fa so kɔ mogya ntini no mu na wɔhwɛ sɛ ebia nneɛma bi asiw anaa.

Dɛn ne ayaresa ahorow no?

Ayaresa no gyina sɛnea wo tebea no mu yɛ den so. Ɛtɔ mmere bi a, asetra mu nsakrae ne nnuru betumi aboa ma wɔadi tebea no so na ama yare no akɔ so brɛoo. Ebia wo duruyɛfo bɛkamfo nea edidi so yi akyerɛ wo:

• Nnuru a wɔde ko tia mogya mmoroso .
• Nnuru a wɔde ko tia mogya nkwammoaa te sɛ aspirin anaa clopidogrel yɛ nnuru a ɛtew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so .
• Nsakrae a ɛba aduan mu: Sɛ wudi aduan pa te sɛ Mediterranea aduan anaa DASH aduan akyi a, ebetumi aboa ma woadi asiane ahorow te sɛ asikreyare ne srade so.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a wobɛyɛ daa sɛnea wo duruyɛfo kyerɛ no betumi atew asiane pii so na ama mogya a ɛkɔ wo nan mu no atu mpɔn.
• Nnuru titiriw (e.g., Cilostazol) a wɔde sa nan mu yaw a ɛba bere a obi nantew (`Intermittent claudication`).
• Nnuru a ɛma mogya mu srade so tew (`Statins`).
• Sigaretnom a wobegyae na wɔde tawa nneɛma adi dwuma koraa no yɛ ade a ɛsɛ sɛ woyɛ.

Sɛ saa nneɛma yi ntumi nni yare no so a, ebia wubehia nneɛma te sɛ:

• Oprehyɛn a wɔde twa ho hyia: Wɔyɛ ɔkwan foforo a wɔfa so twa mogya ntini a asiw no ho. Eyi te sɛ coronary artery bypass. Beae a asiw no wɔ ne baabi a bypass no fi ase na ɛba awiei no betumi ayɛ soronko a egyina w’akwahosan tebea so.
• `(Stent placement)`: Wɔde `(Stent)` ketewa bi a ɛte sɛ ahama gu mogya ntini a asiw no mu ma ɛtrɛw. Eyi ma mogya kɔ yiye. Nnuruyɛfo betumi de `(Endovascular)` akwan adi dwuma, a ɛkyerɛ sɛ wɔde saa `(Stent)` yi bɛhyɛ tokuru ketewa bi mu a wɔnyɛ ntwitwiridii kɛse.

Ayaresa biara wɔ mfaso ne ɔhaw ahorow, enti ɛbɛyɛ papa sɛ wo ne wo duruyɛfo susuw eyinom nyinaa ho na wusi ayaresa a eye ma wo ho gyinae.

So wobetumi asiw yare yi ano?

Ebia ɛrentumi nyɛ yiye sɛ yebesiw ano koraa, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane no so:

• Gyae sigaretnom ne tawa ho nneɛma nyinaa.
• Di aduan a ɛma koma nya ahoɔden a srade, srade, nkyene, ne asikre nnim.
• Fa apɔw-mu-teɛteɛ daa sɛnea wo duruyɛfo kyerɛ no.
• Di wo mogya mmoroso, asikre dodow, ne srade dodow a ɛwɔ wo mogya mu no so.
• Fa aduru a oduruyɛfo no akyerɛw ama wo no wɔ bere ano.
• Anyɛ yiye koraa no, kɔ aduruyɛ mu pɛnkoro afe biara.

Sɛ wowɔ nneɛma a ebetumi ama woanya yare yi anaasɛ ntini mu yare a, wo ne wo duruyɛfo nkasa. Dodow a wufi ase di wo asiane ahorow so ntɛm no, dodow no ara na hokwan a wowɔ sɛ wubesiw nsɛnnennen a emu yɛ den ano akyiri yi no yɛ papa.

Sɛ mewɔ saa yare yi a, dɛn na ɛba?

Sɛ wubehu wo tebea no yiye a, ɛsɛ sɛ wo ne wo duruyɛfo kasa. Ayaresa te sɛ ``Bypass oprehyɛn`` ne ``Stent placement`` taa yɛ yiye na nea efi mu ba no kyɛ. Wo duruyɛfo bɛka nea wobɛhwɛ kwan afi w’ayaresa nhyehyɛe no mu ho nsɛm pii akyerɛ wo.

Mɛyɛ dɛn ahwɛ me ho?

Ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ a ɛfa asetra mu nsakrae ne nnuru a wɔde di dwuma ho no akyi pɛpɛɛpɛ. Ɛho hia nso sɛ wo ne wo duruyɛfo yɛ adwuma denneennen wɔ w’ayaresa mu. Ɛno kyerɛ sɛ:

• Bisa wo duruyɛfo ma ɔmma no wo tebea no ho nsɛm na te ase yiye.
• Sɛ biribi wɔ hɔ a wonte ase a, bisa nsɛm. Nsuro, oduruyɛfo no wɔ hɔ sɛ ɔbɛboa wo.
• Hwehwɛ nea wubetumi ayɛ de asiw yare no ano.
• Sua nea sɛnkyerɛnne ahorow no yɛ ne nea sɛ ɛba a, ɛsɛ sɛ woyɛ.
• Hu ayaresa a wubetumi apaw.
• Bisa wo duruyɛfo no nneɛma ne mmoa akuw a wobetumi aboa wo ho asɛm. Eyinom bɛboa wo ma woahyia nnipa afoforo a wɔn tebea te sɛ wo na wɔaka wo suahu ahorow.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Anyɛ yiye koraa no, kɔ aduruyɛ mu pɛnkoro afe biara. Hwɛ hu sɛ wobɛkɔ bere a wo duruyɛfo de ama wo no akyi. Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ woba ne nhwehwɛmu a ɛsɛ sɛ woyɛ.

Afei nso, sɛ wunya yare no ho sɛnkyerɛnne foforo biara anaasɛ wo yare no ho sɛnkyerɛnne a ɛwɔ hɔ dedaw no sesa a, frɛ wo duruyɛfo ntɛm ara.

Kae sɛ nsɛm a wɔaboaboa ano

Aortoiliac Occlusive Disease yɛ ntini a ɛwɔ akyi no yare bi. Ebetumi aka w’asetra pa na ebetumi de nsɛnnennen a emu yɛ den aba. Nanso asɛmpa no ne sɛ wubetumi ayɛ biribi da biara da de atew asiane a ɛwɔ hɔ no so na woadi yare no nkɔso so. Wo ne wo duruyɛfo nkasa mfa sɛnea wubedi wo tebea no ho dwuma ne nea wobɛhwɛ kwan daakye ho. Ɛnyɛ wo nko ara, na nsuro sɛ wobɛsrɛ mmoa.

` Aortoiliac Occlusive Disease, Peripheral Artery Disease, PAD, Mogya Ntini a Ɛsiw, Nan mu Ɛyaw, Atherosclerosis, Plaque, Embolus, Intermittent Claudication, Stent, Bypass oprehyɛn