So woate asɛmfua ‘ amemene mu ntini a ɛma mogya tu ’ pɛn? Ebia woate mpo sɛ w’adamfo bi wɔ bi. Ɛyɛ ade a ɛfata sɛ yɛbɛte ehu nka kakra na yɛn ho adwiriw yɛn bere a yɛte saa din yi no. Hena na ɔrensuro bere a wɔka sɛ mogya ntini bi a ɛwɔ amemene no mu pae no, ɛnte saa? Nanso sɛ́ anka wubesuro eyi a ɛho nhia no, ɛho hia kɛse sɛ wuhu. Enti ɛnnɛ, yɛbɛka ho asɛm tiawa koraa, wɔ ɔkwan a wobɛtumi ate aseɛ so.
Sɛ yɛbɛka no tiawa a, dɛn ne ntini a ɛma mogya tu?
Susuw balloon ho hwɛ. Sɛ yɛkɔ so bɔ so a, afã horow bi yɛ mmerɛw na ɛpue te sɛ ahurututu ketewaa bi, ɛnte saa? Saa ara na ɛkɔ so wɔ mogya ntini a ɛwɔ yɛn amemene mu no mu.
Sɛ mogya ntini bi a ɛde mogya kɔ amemene no mu no yɛ mmerɛw wɔ beae pɔtee bi, na mogya kɔ so sen fa mu ntɛmntɛm a, baabi a ɛyɛ mmerɛw no puw te sɛ akuturuku. Wɔfrɛ saa akisikuru no sɛ aneurysm . Eyinom tumi nyin bɛyɛ sɛ nnuaba ketewaa bi.
Ɛwom sɛ edin no te sɛ nea ɛyɛ hu de, nanso ntini dodow no ara mfa sɛnkyerɛnne anaa akwahosan ho haw biara mma. Obi betumi atra ase n’asetra nyinaa a onnim sɛ ɔwɔ ntini mu yare, a ɔhaw biara nni ho.
Nanso, ɛntaa mma koraa sɛ saa ntini yi betumi anyin ayɛ kɛse, mogya atu nkakrankakra, anaasɛ apaapae mpofirim. Sɛ ɛpae na mogya tu kɔ amemene no mu a, wɔfrɛ no mogyatɔw. Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ a emu yɛ den yiye a ɛde nkwa to asiane mu. Wɔ nsɛm a ɛtete saa mu no, ɛho hia sɛ wɔyɛ ayaresabea ayaresa ntɛm ara.
Dɛn ne ntini mu ntini ahorow ne ne kɛse?
Wobetumi akyekyɛ ntini a ɛma mogya tu no mu ayɛ no ahorow atitiriw pii. Momma yɛnhwɛ nea wɔyɛ.
| Aneurysm Ɔkwan a Wɔfa so Yɛ | Nkyerɛmu |
|---|---|
| Saccular Aneurysm a Ɛyɛ Adwuma | Eyi ne ɔkwan a wɔtaa de di dwuma. Ɛyɛ ahurututu bi wɔ mogya ntini no akyi, na ɛte sɛ nnuaba a ɛsensɛn bobe dua so. Eyi nti na wɔsan frɛ no "berry aneurysm." |
| Fusiform Ntini a Ɛma Ntini Mu | Eyinom nnyɛ te sɛ ahurututu. Mmom no, mogya ntini no afasu hohoro atwa ho ahyia, na ɛma saa beae no trɛw. Eyinom ntaa mma koraa. |
| Mycotic Aneurysm a Ɛyɛ Ntini a Ɛyɛ Fɛ | Ntini a ɛma mogya tu a ɛba bere a mogya ntini bi fasu yɛ mmerɛw esiane ɔyare mmoawa te sɛ mmoawa anaa fungi nti. Eyi nso ho yɛ na koraa. |
Saa ntini ahorow yi betumi ayɛ akɛse ahorow.
- Ketekete ( SMA ll): Ennu milimita 11 (bɛyɛ sɛ pɛnsere a wɔde popa nneɛma).
- Kɛse: Ɛyɛ milimita 11-25 ntam (bɛyɛ sɛ sika a ɛyɛ rupee 5 wɔ Sri Lanka).
- Ɔbran: Ne kɛse boro milimita 25.
Dɛn ne eyi ho sɛnkyerɛnne? Eyi ne nea ɛsɛ sɛ wuhu ampa!
Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu ntini a ɛyɛ den no gyina sɛ ebia apaapae anaasɛ ɛntetew so. Saa ɔfã yi ho hia yiye , enti hwɛ yiye.
| Nsɛnkyerɛnne a egye ntɛmpɛ a ɛkyerɛ sɛ mogya mu ntini a apaapae (sɛ wowɔ eyinom mu bi a, kɔ ETU ntɛm ara!) | |
|---|---|
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| Nsɛnkyerɛnne a ɛkyerɛ sɛ ntini a ɛyɛ mmerɛw a ɛrenyin nanso ɛnpae (kɔ oduruyɛfo ntɛm ara) . | |
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Dɛn nti na saa ntini a ɛma mogya tu yi ba? Henanom na wɔwɔ asiane kɛse mu?
Biribiara nni hɔ a ɛde ntini a ɛma mogya tu no ba, nanso wɔahu nneɛma bi a ɛde asiane ba.
Nneɛma a efi awosu mu ba
Awosu mu tebea horow bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya ntini mu yare no ayɛ kɛse.
- Autosomal dominant polycystic kidney disease yɛ yare a ɛma asaabo mu akisikuru ba.
- Neurofibromatosis type 1 yɛ yare a ɛma akisikuru ba honam ani ne ntini ahorow so.
- Nyarewa a ɛka ntini a ɛka bom (Marfan yare, Ehlers-Danlos yare) .
Asiane ahorow a ɛfa asetra kwan ho
Eyinom ne nneɛma a yebetumi adi so.
- Mogya Nhyɛso: Eyi ne ade titiriw a ɛde asiane ba na ɛtaa ba.
- Sigaretnom: Nnipa a wɔnom sigaret no wɔ asiane kɛse mu sɛ wobenya ntini mu yare na apae.
- Abusua abakɔsɛm: Sɛ w’abusuafo a wɔbɛn wo no mu biako (ɛna, agya, wo nua) anya ntini mu yare a, wo nso wowɔ asiane mu kakra.
- Mfe a obi adi: Asiane no kɔ soro wɔ mfe 40 akyi.
- Bɔbeasu: Mmea taa nya ntini mu yare sen mmarima.
- Nnubɔne a wɔde di dwuma: Nnubɔne te sɛ cocaine a wɔde di dwuma.
- Nsã a wɔnom boro so.
Ɔkwan bɛn so na nnuruyɛfo hu eyi?
Sɛ wo duruyɛfo susuw sɛ ntini mu yare bi gyina wo sɛnkyerɛnne ahorow so a, nhwehwɛmu ahorow pii wɔ hɔ a wɔde si so dua.
- CT Scan: Eyi twa amemene no ho mfonini a ɛkɔ akyiri. Ɛtɔ mmere bi a, wɔde aduru soronko bi gu amemene no mu na ama mogya ntini no ada adi yiye.
- MRI Scan: Wɔde magnetic field di dwuma de twa amemene ne mogya ntini no ho mfonini a emu da hɔ yiye.
- Angiogram a wɔde hwɛ nipadua no mu:Eyi ne ɔkwan a wotumi de ho to so sen biara a wɔfa so hu ntini a ɛma mogya tu. Wɔ saa adeyɛ yi mu no, wɔde afiri a ɛyɛ tratraa paa (catheter) fa mogya ntini bi a ɛwɔ nan anaa abasa no mu kɔ mogya ntini a ɛwɔ amemene no mu no mu, wɔde nsu titiriw bi gu mu, na wɔtwe X-ray mfonini ahorow toatoa so. Eyi ma wotumi hu beae pɔtee a ntini a ɛma mogya tu no wɔ, ne kɛse, ne sɛnea ɛte.
- Spinal Tap/Lumbar Puncture: Sɛ wosusuw sɛ ntini bi mu apaapae a, wogye akyi berɛmo mu nsu bi fi akyi berɛmo no mu na wɔhwehwɛ mogya mu.
Dɛn ne ayaresa ahorow no?
Nneɛma pii na ɛkyerɛ ayaresa, a nea ɛka ho ne sɛ ebia ntini no mu apaapae anaasɛ ɛntetew, ne kɛse, beae a ɛwɔ, mfe a woadi, ne w’akwahosan nyinaa.
Wɔ ntini nketenkete a enni sɛnkyerɛnne biara a ɛnpaapae fam no, ebia wobetumi akwati ayaresa biara na wɔatwɛn a wɔbɛwɛn kɛkɛ. Ɛsɛ sɛ wo ne wo duruyɛfo susuw eyi ho na ama woasi gyinae a eye sen biara.
Ɛsɛ sɛ wɔsa ntini a apaapae ntɛm ara efisɛ asiane a ɛwɔ hɔ sɛ ɛbɛpae bio no yɛ kɛse yiye. Ayaresa atitiriw pii wɔ hɔ a wobetumi apaw.
| Ɔkwan a wɔfa so sa yare | Nea ɛba no yɛ mmerɛw. |
|---|---|
| Oprehyɛn a Wɔde Twitwa Nneɛma | Oprehyɛn a ɛhwehwɛ sɛ wobue ti nhwi no. Oduruyɛfo a ɔyɛ oprehyɛn no hwehwɛ ntini a ɛwɔ ntini no mu no na ɔde dade ketewaa bi a wɔde kyekyere ne kɔn ho na ama mogya no agyae. |
| Endovascular Coiling a Wɔde Yɛ Nneɛma | Eyi yɛ adeyɛ a ɛnyɛ nea ɛhwehwɛ sɛ wobue ti nhwi no. Te sɛ angiogram no, wɔde afiri a ɛyɛ tratraa bi fa nan no mu, na wɔde platinum waya nhama a ɛyɛ fɛ yiye fa mu na wɔde hyɛ ntini a ɛma mogya tu no mu. Afei wogyae mogya a ɛkɔ hɔ no, na mogya a ɛtɔ gu mu no ba na ɛto mu. |
| Flow Diverter Oprehyɛn a Wɔyɛ | Adeyɛ a wɔde yɛ ntini akɛse a ɛma mogya tu. Wɔ saa adeyɛ yi mu no, wɔde stent a ɛte sɛ ahama gu mogya ntini no mu baabi a ntini a ɛma mogya tu no wɔ no. Eyi ma mogya fa ntini no mu tẽẽ, sen sɛ ebetwa ho ahyia. |
Nkrasɛm a Wɔde Kɔ Fie
- Amemene mu ntini dodow no ara mpaapae da. Wobetumi ayɛ wɔn a wonni sɛnkyerɛnne biara, enti mma edin no nnyɛ wo hu a ɛho nhia.
- Tiyɛ a emu yɛ den mpofirim te sɛ nea wunnyaa bi da wɔ w’asetra mu no yɛ kɔkɔbɔ sɛnkyerɛnne! Sɛ eyi ba a, nsusuw ho mprenu na kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
- Mogya mmoroso ne sigaretnom ne atamfo akɛse abien. Saa abien yi a wudi so no betumi atew asiane a ɛwɔ hɔ no so kɛse.
- Sɛ abusua muni bi a ɔbɛn no anya ntini mu yare a, wo ne wo duruyɛfo nka ho asɛm.
- Sɛ wohu ntɛm na wɔsa no yiye a, wobetumi asa saa tebea yi koraa. Enti, ɛho hia paa sɛ wuhu yare no ho sɛnkyerɛnne ahorow no.
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