Fa w’adwene bu wo nipadua nyinaa sɛ kurow kɛse a adagyew nnim. Afei koma no ne nsukorabea titiriw wɔ saa kurow no mu. Efi saa tank yi mu no, ɛsɛ sɛ paipu kɛse kɛse bi a ɛyɛ den wɔ hɔ a wɔde nsu bɛkɔ ofie ne mmɔnten biara a ɛwɔ kurow no mu, ɛnte saa? Saa na mogya ntini titiriw a ɛwɔ yɛn nipadua mu a ɛde mogya a ɛho tew a oxygen wom fi koma no mu kɔ nipadua no nyinaa mu no te. Yɛfrɛ eyi sɛ aorta. Ɛnnɛ yɛrebɛka saa paipu kɛseɛ yi fã a ɛdi kan na ɛho hia paa, aorta, a ɛne koma no ankasa wɔ abusuabɔ no ho asɛm. Ɛno ne aorta a ɛforo kɔ soro no.
Sɛ yɛbɛka no tiawa a, dɛn ne aorta a ɛforo kɔ soro no?
Sɛ yɛbɛka no tiawa a, aorta a ɛforo kɔ soro no ne aorta no fã a edi kan, mogya ntini a ɛsõ sen biara wɔ yɛn nipadua mu. Sɛ koma no yɛ adwuma te sɛ pɔmpɛ na ɛbɔ mogya a, mogya no di kan hyɛn aorta a ɛforo yi mu. Ɛte sɛ paipu kɛse no fã a edi kan a efi nsukorabea mu ba. Saa ɔfa yi fi ase fi koma no mu na ɛkɔ soro. Asɛmfua "aorta" kyerɛ "sɛ wobɛkɔ soro". Enti wubetumi anya beae a ɛwɔ ho adwene afi din yi mu.
Ɛyɛ ɔfã yi na aortic arch no yɛ na afei ɛkɔ fam sɛ aorta a ɛsiane no. Ɛne sɛ, aorta a ɛforo kɔ soro no ne ntini nhyehyɛe titiriw yi a ɛde mogya kɔ nipadua no nyinaa mu no mfiase.
Mfaso bɛn na eyi so wɔ ma yɛn nipadua?
Dwuma a aorta a ɛforo kɔ soro no di no ho hia yiye. Wo de susuw ho hwɛ, yɛn koma wɔ adan atitiriw anan. Eyinom mu no, benkum so ahurututu no ne nea ɛde mogya a ɛho tew a mframa pa wom kɔ nipadua no nyinaa mu.
Enti, mogya a benkum so ahurututu yi de pam no di kan hyɛn aorta a ɛforo no mu. Efi hɔ no, akwaa biara, nkwammoaa biara, fi amemene no so kosi nansoaa so nya mframa pa ne aduannuru a ehia na ama watumi atra ase.
Na ade titiriw foforo nso wɔ hɔ. Koma a ɛde mogya kɔ nipadua no nyinaa mu no nso hia mogya na ama ayɛ adwuma, ɛnte saa? Mogya ntini atitiriw abien a ɛde mogya kɔ koma ntini no mu, ntini a ɛma mogya tu no nso fi ase fi saa aorta a ɛforo yi mu. Enti, ɛda adi pefee fi eyi mu sɛ aorta a ɛforo no yɛ ade a ɛho hia yiye a ɛma koma no ne nipadua no nyinaa nya nkwa.
Ne tiaatwa mu no, aorta a ɛforo kɔ soro no ne baabi a nsu afiri titiriw a ɛde mogya kɔ yɛn nipadua mu no fi ase. Sɛ sintɔ ketewaa bi mpo wɔ eyi mu a, ebetumi aka nhyehyɛe no nyinaa.
Ɛhe na eyi wɔ? Ɛte dɛn?
Aorta a ɛforo kɔ soro no wɔ yɛn moma so, wɔ benkum so ahurututu a ɛwɔ koma no benkum so no atifi pɛɛ. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛwɔ dompe a ɛyɛ tratraa a ɛwɔ yɛn koko mfinimfini, akyi berɛmo no akyi.
Sɛ yɛhwɛ sɛnea ɛte a, aorta no nyinaa te sɛ poma kakra. Saa poma yi ntini, kyerɛ sɛ, ɔfã a efi ase fi koma no mu kɔ soro tẽẽ no ne aorta a ɛforo kɔ soro no. Afei poma no mu kotow te sɛ nsa, na yɛfrɛ no aortic arch. Afei ɔfã a ɛkɔ fam te sɛ poma no fã tenten no ne aorta a ɛsiane no.
Ɔpanyin a ɔwɔ apɔwmuden aorta a ɛforo kɔ soro no taa tenten yɛ sɛntimita 5-8 (bɛyɛ nsateakwaa 2-3) na ne tɛtrɛtɛ yɛ sɛntimita 3-4. Ɛbɛyɛ teateaa nkakrankakra bere a ɛkɔ fam no.
Aorta a ɛforo no afã horow ne n’afasu no ntoatoaso
Mogya ntini a ɛho hia yi mu paapae yɛ no afã nketewa pii. Na te sɛ mogya ntini biara no, eyi wɔ ɔfasu a ɛyɛ ntoatoaso pii. Momma yɛnhwɛ eyi mu nkɔ akyiri kakra.
| Ɔfã / Ɔfã | Nkyerɛmu |
|---|---|
| Aorta a ɛforo kɔ soro no afã atitiriw abien | |
| Aortic Ntini a Ɛwɔ Aortic | Eyi ne koma no fã a edi kan a ɛne koma no ankasa wɔ abusuabɔ. Aortic valve a ɛyɛ adwuma sɛ ɔpon a mogya fa fi koma no benkum so kɔ aorta no mu no wɔ ɔfã yi. Ntini abien a ɛma mogya kɔ koma ntini no mu no nso fi ase wɔ ha. |
| Tubular Ascending Aorta a Ɛforo kɔ soro | Eyi ne ɔfã a ɛte sɛ afiri a efi ntini kɛse no ntini mu kɔ ntini kɛse no anim. Nkorabata foforo biara nni hɔ a efi ɔfã yi nkorabata. |
| Ntini abiɛsa a ɛwɔ ntini no fasu no mu | |
| Tunica Intima na ɔkyerɛwee | Eyi ne ɔfasu no mu a ɛyɛ torotoro a ɛne mogya di nkitaho. |
| Nsɛm ho amanneɛbɔfo | Eyi ne mfinimfini fã no. Nhama a ɛyɛ den na ɛwom. Saa ɔfa yi boa ma mogya ntini no trɛw na ɛtwetwe bere a koma no bɔ no. Saa ɔfa yi betumi ayɛ mmerɛw bere a yɛrenyin no. |
| Adventitia a wɔde di dwuma | Eyi ne ade a ɛbɔ ho ban sen biara. Mogya ntini nketenkete bi wɔ mu. |
Dɛn ne nyarewa a ɛka aorta a ɛforo kɔ soro no?
Tebea ahorow pii wɔ hɔ a ebetumi aka mogya ntini a ɛho hia yiye yi. Eyinom bi betumi ayɛ nea asiane wom kɛse. Enti ɛho hia sɛ wohwɛ wɔn yiye.
| Yareɛ | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Aortic Ntini a Ɛma Ntini Mu | Eyi ne tebea a abu so na asiane wom sen biara. Nea ɛkɔ so wɔ ha ne sɛ baabi a ɛyɛ mmerɛw wɔ aorta no fasu mu no pue te sɛ balloon. Nneɛma te sɛ mogya mmoroso, sigaretnom, ne awosu mu nneɛma betumi de eyi aba. Saa akisikuru yi yɛ asiane efisɛ ebetumi atetew ɔfasu no ntoatoaso no mu (Aortic Dissection) anaasɛ ɛpae koraa (Rupture) . Sɛ ɛba saa a, ebetumi ama mogya atu kɛse wɔ nipadua no mu na ɛde nkwa mpo ato asiane mu. |
| Aortic Valve a Ɛyɛ Den a Ɛyɛ Den | Aortic valve no te sɛ ɔpon. Sɛ ɔpon yi mmue yiye na ɛyɛ teateaa a, ɛsɛ sɛ koma no yɛ adwumaden sen sɛnea ɛtaa yɛ na ama mogya akɔ mu. Ɛte sɛ nea worebɔ mmɔden sɛ wode akongua kɛse bi bɛfa ɔpon teateaa bi mu. Bere kɔ so no, eyi betumi ama koma ntini no ayɛ kɛse. |
| Aortic Valve a Ɛsan Yɛ Adwuma | Nea ɛkɔ so wɔ ha ne sɛ aortic valve no ntumi nto mu koraa. Ɛte sɛ nea ɔpon no abue kakra sen sɛ wɔbɛto mu yiye. Afei mogya a wɔde pɔmpɛ no bi san kɔ koma no benkum so. Eyi ma ehia sɛ koma no bɔ mogya pii sen sɛnea ɛsɛ sɛ ɛyɛ, na bere kɔ so no, koma no betumi ayɛ mmerɛw. |
| Bicuspid Aortic Valve (BAV) a Ɛma Nnipa Yɛ Adwuma . | Mpɛn pii no, aortic valve no wɔ afã abiɛsa. Nanso, wɔwo nnipa binom a wɔn nsateaa abien pɛ na ɛwɔ hɔ. Saa tebea yi betumi ama valve no ayɛ teateaa bere a bere kɔ so no anaasɛ ɛma mogya kɔ akyi. Nnipa a wɔwɔ saa tebea yi nso wɔ asiane kɛse mu sɛ wobenya ntini mu yare. |
| Ntini a Ɛma Nkitahodi Mu Nyarewa | Awosu mu tebea horow te sɛ Marfan Syndrome ne Loeys- Dietz Syndrome ma nipadua no ntini a ɛka bom no yɛ mmerɛw. Esiane sɛ ntini ahorow yi na ɛka bom yɛ aorta no afasu nti, nnipa a wɔwɔ saa tebea horow yi wɔ asiane kɛse mu sɛ wobenya aorta ho haw ahorow. |
| Ɔhaw a Ɛma Ɔhaw | Nyarewa te sɛ giant cell arteritis betumi ama ntini kɛse no fasu mu ayɛ hyew, na ama ayɛ mmerɛw. |
Enti yɛbɛyɛ dɛn ama ntini kɛse yi anya apɔwmuden?
Nneɛma koro no ara a yɛyɛ de ma yɛn koma ne yɛn mogya ntini yɛ yiye no nso ho hia ma aorta a ɛforo kɔ soro no akwahosan. Ɛho nhia sɛ yɛyɛ biribi titiriw bi ma eyi. Ade titiriw ne sɛ wobɛkɔ so anya asetra a ahoɔden wom.
- Aduan a ahoɔden wom: Di aduan a nkyene, srade, ne srade a ɛdɔɔso nnim, na nhabannuru, nnuaba, ne nhabannuru pii wom.
- Apɔw-mu-teɛteɛ daa: Fa wo ho hyɛ apɔw-mu-teɛteɛ te sɛ nantew, mmirikatu, anaa sakre so anyɛ yiye koraa no simma 30 da biara, anyɛ yiye koraa no nnafua 5 dapɛn biara.
- Kwati sigaretnom: Sigaretnom ne ade kɛse a wubetumi asɛe wo mogya ntini. Gyae sigaretnom nnɛ.
- To nsa a wonom ano hye: Nsã a wobɛnom betumi ama mogya mmoroso aba, enti di so.
- Mogya mmoroso ne mogya mu srade ano aduru: Sɛ wowɔ mogya mmoroso anaa srade a ɛdɔɔso a, di akwankyerɛ ne nnuru a wo duruyɛfo de ama wo no akyi yiye.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ oduruyɛfo ahu wo dedaw sɛ wowɔ aorta a ɛforo kɔ soro anaa komayare foforo biara a, sɛ wunya sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
Afei nso, esiane sɛ sɛnkyerɛnne ahorow a edidi so yi betumi ayɛ ntini a apaapae ho sɛnkyerɛnne nti, sɛ eyinom mu bi ba a, ɛsɛ sɛ wokɔ ayaresabea Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara a wontwentwɛn wo nan ase.
| Putupuru! - kɔ ETU no mu ntɛm ara! | |
|---|---|
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
| Ɛyaw a emu yɛ den, mpofirim, koko anaa akyi akyi yaw | Ɛyaw a wontumi nnyina ano a ɛte sɛ nea sekan rebɔ anaasɛ ɛretetew. |
| Ɔhome a ɛyɛ den | Ahome a ɛyɛ tiaa mpofirim. |
| Adwene a ɛyɛ basaa anaasɛ n’adwene a ɛyera | Adwene a ɛyɛ basaa a ɛtra so mpofirim anaasɛ n’adwene mu yɛ no naa na ɔhwe ase. |
| Koma a ɛbɔ denneennen | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm paa. |
Sɛ obi wɔ w’abusua mu wɔ komayare anaa aortic yare, anaasɛ sɛ woadi boro mfe 65 a, wo ne wo duruyɛfo nkasa mfa sɛnea wobɛtew asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow wɔ aorta a ɛforo kɔ soro no so. Wobetumi adi asiane ahorow yi pii so denam nhwehwɛmu a ɛfata ne asetra kwan a ɛfata so.
Nkrasɛm a Wɔde Kɔ Fie
- Aorta a ɛforo kɔ soro no ne mogya ntini titiriw ne kɛse a efi ase fi yɛn koma mu no fã a edi kan na ɛho hia sen biara.
- Saa ɔfã yi de mogya kɔ koma no mu, ne nipadua no nyinaa nso.
- Tebea horow te sɛ aortic aneurysms betumi ayɛ asiane kɛse na sɛ ɛpaapae a, ebetumi de nkwa ato asiane mu.
- Wubetumi abɔ wo aorta ho ban denam suban pa te sɛ aduan pa a wubedi, apɔw-mu-teɛteɛ, ne sigaretnom a wobɛkwati so.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ wo koko mu yaw a emu yɛ den mpofirim, w’akyi yɛ wo yaw, ɛyɛ den sɛ wobɛhome, anaasɛ w’adwene mu yɛ wo naa a, bu no sɛ ɛyɛ ntɛm na kɔ ayaresabea Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
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