Yɛn nyinaa ate akisikuru ho asɛm, ɛnte saa? Yenim sɛnea asiane wom. Nanso ebia ɛbɛyɛ wo nwonwa sɛ wubehu sɛ nea ɛde eyi ba titiriw ne yɛn kɔn mu. Yiw, mogya ntini atitiriw abien a ɛwɔ yɛn kɔn no afã abien a ɛde mogya kɔ amemene no mu no asiw, na ɛno betumi de tebea a ɛyɛ hu yi aba. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no `Carotid Artery Stenosis`, mogya ntini a ɛyɛ teateaa wɔ kɔn mu ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne carotid artery yare?
Susuw mogya ntini a ɛwɔ yɛn nipadua mu no ho sɛ nsu paipu a ɛho tew. Mogya sen fa mu a biribiara nsiw kwan. Mogya ntini abien a ɛho hia yiye a wɔfrɛ no Carotid Arteries wɔ yɛn kɔn no afã abien no nyinaa . Eyinom na ɛma yɛn amemene, yɛn anim, ne yɛn ti nya mogya a oxygen pii wom.
Afei, wɔ tebea bi a wɔfrɛ no `Carotid Artery Stenosis` mu no, srade a ɛwɔ mogya mu (plaque) fi ase boaboa ano wɔ mogya ntini yi mu. Saa `plaque` yi yɛ srade a ɛboaboa ano te sɛ cholesterol. Sɛnea nkannare boaboa ano wɔ nsu paipu mu no, saa `plaque` a ɛwɔ hɔ yi brɛ baabi a ɛwɔ mogya ntini no mu no ase nkakrankakra. Mogya ntini a ɛyɛ teateaa yi ne nea yɛfrɛ no atherosclerosis .
Sɛ mogya ntini bi siw saa kwan yi so a, mogya dodow a ɛsen kɔ amemene no mu no so tew. Afei nso, ɛtɔ mmere bi a saa srade no mu nketenkete betumi abubu na asiw mogya ntini bi a ɛyɛ mmerɛw wɔ amemene no mu koraa. Ɛno ne bere a tebea bi a ɛyɛ hu a wɔfrɛ no akisikuru ba. Eyi betumi asi wɔ mogya ntini biako anaa abien no nyinaa mu wɔ kɔn no fã biako. Sɛ wɔansa yare yi a, bere kɔ so no, ebetumi asɛe kɛse na ɛde ne nkwa mpo ato asiane mu.
Dɛn ne asiane ahorow a ɛka eyi?
Saa tebea yi nyɛ biribi a ɛba da koro pɛ. Ɛde suban ne ɔhaw ahorow bi a ɛwɔ yɛn asetra kwan ne yɛn akwahosan mu bere a bere kɔ so no na ɛde ba. Saa nneɛma yi bi betumi asesa. Hwɛ sɛ saa nneɛma yi fa wo nso ho anaa.
| Asiane a Ɛde Ba | Sɛnea ɛka no yɛ mmerɛw. |
|---|---|
| Sigaretnom ne tawanom | Eyinom sɛe mogya ntini no mu afasu na ɛma srade a ɛwɔ hɔ (plaque) no kɔ ntɛmntɛm. |
| Obolo | Kɛse mmoroso nso ma nneɛma afoforo a ɛde asiane ba te sɛ mogya mmoroso, srade a ɛwɔ mogya mu, ne asikreyare kɔ soro. |
| Apɔw-mu-teɛteɛ a wonnya (Sedentary Lifestyle) . | Sɛ nipadua no ntumi nyɛ adwuma a, mogya a ɛkɔ nipadua no mu no betumi ayɛ mmerɛw na srade a ɛwɔ nipadua no mu no betumi akɔ soro. |
| Mogya mmoroso (Hypertension) . | Sɛ mogya mmoroso kɔ soro a, mogya ntini no sɛe na srade a ɛkɔ nipadua no mu no yɛ ntɛmntɛm. |
| Cholesterol a ɛdɔɔso | Saa srade bɔne yi ne ade titiriw a ɛma srade (plaque) ba. |
| Asikyireyareɛ | Sɛ asikre dodow kɔ soro wɔ mogya mu a, mogya ntini no sɛe na ntini mu yare no mu yɛ den. |
| Mpanyinyɛ | Bere a mogya ntini no ntumi nyɛ mmerɛw bere a yɛrenyin no, asiane a ɛwɔ hɔ sɛ yebenya saa tebea yi no yɛ kɛse fi awosu mu. |
Dɛn ne yare yi ho sɛnkyerɛnne?
Ɔhaw kɛse a ɛwɔ ha ne sɛ ebia mogya ntini a asiw yi remma obi nnya yare no ho sɛnkyerɛnne biara kosi sɛ ɛbɛma obi anya ɔyare a ɛma obi hwe ase anaasɛ ɛbɛma obi anya bere tiaa mu ischemic attack (TIA) .
TIA yɛ mogya a ɛkɔ amemene no mu a wɔtwa mu bere tiaa bi, na afei ɛsan ba bio wɔ bere tiaa bi akyi. Ɛsɛ sɛ wobu eyi sɛ kɔkɔbɔ sɛnkyerɛnne a anibere wom ansa na obi anya ɔyare kɛse.
Sɛ wowɔ TIA anaa akisikuru a, amemene mu nkwammoaa fi ase wuwu, enti ayaresa a wubenya ntɛm ara no betumi ayɛ nsonsonoe a ɛda nkwa ne owu ntam.
Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase anaa TIA
Sɛ wo anaa obi foforo hu saa sɛnkyerɛnne ahorow yi bi a, .Kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara. Bere yɛ ade titiriw.
- Anim a ɛhwe ase wɔ ɔfã biako: Ɛte sɛ nea ano no fã biako ahwe ase. Sɛ wɔka kyerɛ sɛ ɔnserew a, ɛte sɛ nea ɔfã biako pɛ na ɛserew.
- Ɔkasa a ɛyɛ den: Nsɛm a ɛyɛ den, wuntumi nka nea wopɛ sɛ woka, anaasɛ ɛyɛ den ma wo sɛ wobɛte nea obi foforo reka ase.
- Aniwa biako a ɛyera: Ebia ɛbɛyɛ te sɛ nea ntama tuntum bi retɔ aniwa biako anim.
- Nipadua no fã biako a ɛyɛ mmerɛw: Nkate a ɛyera wɔ nsa, nan, anaa anim fã biako.
- Mmerewa a ɛwɔ nipadua no fã biako: ontumi mma nsa anaa nan bi so wɔ ɔfã biako, adwenem naayɛ a ɛyera.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Wɔtaa hu saa tebea yi bere a woanya obubuafo ho sɛnkyerɛnne akyi. Anaasɛ, sɛ wo duruyɛfo hwehwɛ wo mu na ɔde afiri a wɔde tie asɛm si wo kɔn so a, ebia wɔbɛte "whooshing" nnyigyei (bruit) a ɛyɛ soronko a ɛte sɛ mogya a ɛresen fi mogya ntini a asiw mu.
Wɔyɛ nhwehwɛmu pii de si yare yi so dua na wohu sɛnea mogya ntini no asiw ne baabi a asiw no pɛpɛɛpɛ.
- Ultrasound: Eyi yɛ sɔhwɛ a ɛnyɛ yaw a wɔde nnyigyei asorɔkye di dwuma de twa nipadua no mu mfonini. Etumi hu sɛnea mogya fa mogya ntini mu ne baabi a asiw no pefee.
- CTA scan (Computed Tomography Angiography - CTA): Eyi yɛ CT scan titiriw a wɔde X-ray di dwuma. Ɛtwa wo mogya ntini no ho mfonini a emu da hɔ yiye denam aduru titiriw bi a wɔde bɛhyɛ mu no so.
- Cerebral Angiography: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa paa (catheter) fa mogya ntini bi mu kɔhwɛ sɛnea asiw no. Wɔde aduru bi nso gu nipadua mu de twa mogya ntini no ho mfonini kɔ akyiri.
- MRA scan (Magnetic Resonance Angiography - MRA): Eyi te sɛ CTA scan, nanso ɛde magnetic field a ano yɛ den di dwuma sen sɛ wɔde X-ray bedi dwuma de anya mogya ntini ho mfonini a ɛkɔ akyiri.
Sɛ woyɛ nhwehwɛmu ahorow yi wie a, wo duruyɛfo no bɛkyerɛ sɛnea wo mogya ntini no mu dodow asiw. Wɔtaa bu no sɛ nea emu nyɛ den (ennu 50%), nea ɛkɔ fam (ɛwɔ 50% kosi 79%), ne nea emu yɛ den (bɛboro 80%) .
Ɔkwan bɛn so na wɔsa?
Botae titiriw a ɛwɔ ayaresa mu ne sɛ wobesiw yare no ano na asɛe na wɔatew asiane a ɛwɔ hɔ sɛ obi bebu mmubu no so.
1. Asetra mu nsakrae ne nnuru a wɔde di dwuma
Eyi ne ade a edi kan na ɛho hia sen biara.
- Adidi a ahoɔden wom: Aduan a ngo, nkyene, ne asikre nnim a wobɛma ayɛ wo su.
- Apɔw-mu-teɛteɛ: Da biara da apɔw-mu-teɛteɛ a wode wo ho bɛhyɛ mu.
- Sigaretnom a wubegyae: Akyinnye biara nni ho sɛ eyi yɛ biribi a ɛsɛ sɛ woyɛ.
- Nnuru a wɔde yɛ:Ebia wo duruyɛfo bɛkyerɛw aduru bi te sɛ aspirin a ɛbɛma mogya a ɛtwetwe no so atew, ne nnuru a ɛtew mogya mu srade so ne nnuru a ɛma mogya mmoroso .
2. Oprehyɛn ne akwan afoforo
Sɛ yare no mu yɛ den, anaasɛ woanya TIA anaa akisikuru dedaw a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn.
- Carotid Endarterectomy: Wɔ saa adeyɛ yi mu no, oduruyɛfo bi twa kɔn no mu ketewaa bi, bue mogya ntini no mu, na ɔpopa srade a asiw (plaque) no fi mu.
- Stenting: Wɔ saa adeyɛ yi mu no, wɔde afiri kɛse bi a ɛte sɛ ade hyɛ mogya ntini no mu na wɔde afiri ketewaa bi a ɛte sɛ ahama (stent) gu baabi a asiw no de trɛw mogya ntini no mu. Eyi yi akwanside a ɛmma mogya nkɔ mu no fi hɔ.
Nea ɛho hia ne sɛ ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn. Sɛ́ ebia wubehia oprehyɛn anaasɛ ɛnsɛ sɛ wɔyɛ wo oprehyɛn, ne sɛ ɛte saa a, oprehyɛn ko a ɛfata no, wo duruyɛfo na ɔbɛkari asiane a ɛwɔ wo tebea no mu ahwɛ asiane a ɛwɔ oprehyɛn mu no.
Sɛ wɔansa eyi a, ebetumi ayɛ asiane kɛse. Nanso, sɛ wohu yare no ntɛm na wɔsa no sɛnea ɛfata a, nea efi mu ba no ye paa. Nnipa dodow no ara ho tɔ wɔn ntɛm wɔ oprehyɛn akyi, na wɔtra ayaresabea da koro anaa nnanu.
Nkrasɛm a Wɔde Kɔ Fie
- Carotid Artery Stenosis yɛ tebea a emu yɛ den a srade a ɛwɔ kɔn no mu no siw mogya ntini titiriw a ɛwɔ kɔn no mu.
- Asiane kɛse a ɛwɔ eyi mu ne sɛ ebetumi ama obi anya akisikuru mpofirim a ɔrenkyerɛ yare no ho sɛnkyerɛnne biara.
- Sɛ wuhu sɛ woayɛ obubuafo ho sɛnkyerɛnne biara, te sɛ w’anim a ɛrehwe ase, wo kasa a ɛnyɛ den, anaasɛ wo ho atɔ wo wɔ nipadua no fã biako , kɔ ayaresabea Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
- Wobetumi asiw yare yi ano na wɔadi so denam asetra mu nsakrae te sɛ sigaretnom a wɔkwati, aduan pa a wobedi, ne apɔw-mu-teɛteɛ so.
- Sɛ wowɔ tebea horow te sɛ mogya mmoroso, asikreyare, anaa srade a, kɔ wo duruyɛfo nkyɛn daa na di ayaresa a wɔakyerɛw ama wo no akyi pɛpɛɛpɛ.
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