So ntini bi a atetew wo kɔn mu? (Cervical Artery Dissection) Momma yensua ho ade.

Sɛ mpofirim ara yɛte ɛyaw a emu yɛ den wɔ yɛn kɔn anaa yɛn ti mu, anaasɛ sɛ aberante bi nya sɛnkyerɛnne bi te sɛ akisikuru a, yɛhaw kakra, ɛnte saa? Ɛtɔ mmere bi a, ade a anibere wom a ɛde saa nneɛma yi ba ne tebea bi a wɔfrɛ no kɔn mu ntini a apaapae. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa.

Dɛn ne Awotwaa mu Ntini a Wɔtwitwa?

Sɛ yɛbɛka no tiawa a, awotwaa mu ntini a wɔatwa no yɛ mogya ntini anaa ntini a ɛwɔ yɛn kɔn mu no fasu biako anaa nea ɛboro saa a ɛtetew anaasɛ ɛpaapae. Ɛte sɛ nsu paipu ketewaa bi a ɛpae.

So wunim, ntini ahorow abien a ɛho hia yiye wɔ yɛn kɔn mu.

1. Carotid ntini: Eyinom ne ntini a ɛma mogya kɔ yɛn amemene no anim.

2. Vertebral arteries: Eyinom de mogya kɔ amemene no akyi ne yɛn akyi berɛmo mu.

Enti, sɛ tetetew wɔ saa ntini yi biako mu a, ɛno ne nea yɛfrɛ no `Cervical Artery Dissection`. Ade a anibere wom sen biara wɔ ha ne sɛ eyi betumi ayɛ ade titiriw a ɛde akisikuru ba, titiriw wɔ mmerante ne mmabaa ne wɔn a wɔadi mfe mfinimfini mu .

Ɔkwan bɛn so na saa tebea yi ka w’akwahosan?

Fa no sɛ, sɛ saa ntini no fasu no bubu a, mogya bi fi ase tu fa saa mpaapaemu no mu wɔ ɔfasu no ntoatoaso no ntam. Eyi betumi ama mogya atɔw wɔ hɔ. Ade a ɛyɛ hu sen biara ne sɛ, sɛ mogya a ɛtwetwe yi pae na esiw mogya ntini ketewaa bi a ɛwɔ amemene no mu a, ebetumi atwa mogya a ɛkɔ amemene no fã bi mu na ama obi anya akisikuru, titiriw ischemic stroke.

Sɛ yɛbɛka no tiawa a, sɛ ntini bi mu paapae, mogya tu, na sɛ ɛkɔ amemene no mu a, ebetumi ama obi anya akisikuru.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Biribiara nni hɔ a enti ɛte saa. Ebia nneɛma pii ka ho.

1. Apirakuru a ɛba ti anaa kɔn mu

Mpɛn pii no, nea ɛde eyi ba titiriw ne akwanhyia anaa opira a ɛba ne ti anaa ne kɔn mu. Nhwɛsoɔ:

• Kɔn mu apirakuru (te sɛ mpire) a efi kar akwanhyia mu.
• Sɛ wobɔ wo kɔn mu denneennen bere a woredi agumadi.
• Ahwease a ɛba mpofirim.

2. Ebetumi nso afi ɔbrɛ mu aba ama nnipa binom (Non-traumatic causes) .

Ɛtɔ mmere bi a eyi betumi asi a asiane kɛse biara nni ho.

• Mmɔden a wɔbɔ boro so bere a worema biribi a emu yɛ duru so no. Fa no sɛ worekɔ apɔw-mu-teɛteɛ na mpofirim ara wobɔ mmɔden sɛ wobɛma wo mu duru pii so.
• Esiane nhyɛso a ɛba ntini a ɛwɔ kɔn no mu bere a ɔrefefe, ɔrefefe, anaasɛ ɔrefe denneennen nti.

3. Ntini a ɛka bom yɛ adwuma

Ntini a ɛka bom wɔ yɛn nipadua mu yɛ ntini bi a ɛboa ma nneɛma te sɛ nnompe, ntini, honam ani, ne mogya ntini bom. Awosu mu nyarewa bi wɔ hɔ a ɛma saa ntini a ɛka bom yi yɛ mmerɛw. Nnipa a wɔwɔ nyarewa a ɛte saa nso wɔ asiane kɛse mu sɛ wobenya `Cervical Artery Dissection`. Nhwɛso kakraa bi ni:

• Ehlers-Danlos yare a ɛma obi nya ɔyare no
• Fibromuscular dysplasia a ɛma nipadua no yɛ adwuma yiye
• Marfan yare a ɛma obi nya ɔyare no
• Nnompe mu nkwaadɔm a ɛnyɛ pɛ

Saa nyarewa yi nso tumi ma mogya ntini no afasu yɛ mmerɛw, na ɛma ɛyɛ mmerɛw sɛ ɛbɛpaapae.

4. Kɔn mu Apirakuru pɔtee bi

Eyinom yɛ soronko kakra wɔ opira a ɛyɛ daa no ho.

• Kɔn a Ɛpaapae ne Nea Ɛtwetwe: Sɛnea yɛadi kan aka no, mpire tebea horow ba wɔ kar akwanhyia mu.
• Wo kɔn a wobɛkura mu wɔ baabi koro no ara akyɛ: Sɛ nhwɛso no, obi reyɛ ɔdan atifi mfonini a ne ti akɔ soro bere tenten.
• Kɔn a ɛkeka ne ho mpofirim: Bere a wote nneɛma te sɛ roller coaster so, anaasɛ bere a wɔreyɛ kɔn mu nsakrae bi a wɔde yɛ apɔw-mu-teɛteɛ (ɛho hia sɛ obi a ɔfata yɛ eyinom).
• Nneɛma a emu yɛ duru a wɔma so na wɔsoa: Titiriw bere a wɔanyɛ no yiye no.

5. Nnansa yi nyarewa

Saa tebea yi nso betumi aba bere a yɛabrɛ esiane nyarewa bi nti.

• Yafunu a ɛyɛ yaw esiane sɛ ɔtaa ɔfe nti: Saa bere yi de, wɔde nhyɛso ba ntini a ɛwɔ kɔn no mu no so.
• Ɔhome mu nyarewa te sɛ atiridiinini ne atiridiinini a ɔfe a ɛkɔ so daa.

6. Nneɛma afoforo a ɛde asiane ba

Nneɛma afoforo bi ma asiane no yɛ kɛse:

• Atherosclerosis: Eyi ne bere a srade boaboa ano wɔ ntini no afasu mu, na ɛma ntini no yɛ teateaa.
• Mogya mmoroso: Eyi de nhyɛso ba ntini ahorow no so bere nyinaa.
• Sigaretnom: Sigaretnom pira mogya ntini kɛse.

Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Mpɛn pii no, ɛrentumi nyɛ yiye sɛ wobehu awotwaa mu ntini a wɔatwa no yiye kosi sɛ bɛyɛ ɔsram biako wɔ bere a sɛnkyerɛnne ahorow no afi ase akyi. Nanso, sɛnkyerɛnne ahorow atitiriw pii wɔ hɔ.

1. Tiyɛ anaa kɔn mu yaw a emu yɛ den mpofirim

Eyi ne sɛnkyerɛnne a ɛtaa ba. Saa ɛyaw yi nte sɛ tiyɛ a ɛyɛ daa.

• Efi ase mpofirim.
• Ɛnnyera, ɛkɔ so tra hɔ.
• Ɛyaw no taa ba ti no fã biako (titiriw wɔ aniwa biako akyi) anaa kɔn no fã biako .
• Ebia ɛbɛyɛ te sɛ tiyɛ a ɛyɛ akuwakuw , atiridiinini , anaasɛ aprannaa tiyɛ ( aprannaa tiyɛ yɛ tiyɛ a emu yɛ den a ɛba mpofirim, te sɛ anyinam).

2. Horner yare a ɛma obi nya ɔyare

Eyi ka sɛnea yɛn aniwa ne yɛn anim keka yɛn ho ara kwa. Nsɛnkyerɛnne no bi ne:

• Aniwa a ɛrehwe ase.
• Aniwa biako aniwa no sua sen aniwa foforo no.
• Fifiri a ɛba anim no fã biako so tew anaasɛ enni hɔ.

Saa `Horner's syndrome` yi taa ka ti no fã biako pɛ.

3. Nsɛnkyerɛnne a ɛte sɛ ɔyare a ɛma obi hwe ase

Saa sɛnkyerɛnne ahorow yi ba bere a amemene no fã bi nnya mogya a ɛdɔɔso no. Wobu eyinom sɛ nea egye ntɛmpɛ na ɛsɛ sɛ wɔhwehwɛ aduruyɛ mu afotu ntɛm ara.

• Ɛyɛ den sɛ wobɛnantew, ɛyɛ nwonwa (ataxia).
• Kari pɛ a ɛyera wɔ nipadua no mu (Balance problems).
• Anisoadehu a ɛyɛ kusuu.
• Adwene a ɛyɛ basaa.
• Anisoadehu abien (Diplopia).
• Abasa anaa nan bi a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw.
• Ɔkasa mu den / Dysarthria anaa Aphasia. (Ɔkasa a ɛyɛ mmerɛw, wontumi nkasa pefee) .
• Sɛ wote nka sɛ nneɛma retwa wo ho ahyia (Vertigo).

Henanom na ɛsɛ sɛ wɔdwene eyi ho titiriw?

Cervical Artery Dissection betumi ayɛ anifere kakra sɛ wobehu. Nanso, sɛ wunya sɛnkyerɛnne ahorow a yɛabobɔ din wɔ atifi hɔ no mu biako anaa nea ɛboro saa, titiriw sɛ wunya kɔn/ti yaw a emu yɛ den mpofirim a ɔyare a ɛma obi hwe ase ho sɛnkyerɛnne ahorow ka ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Ebia wo duruyɛfo besusuw sɛ eyi na wayɛ nhwehwɛmu a ɛho hia.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɔhwɛ titiriw bi wɔ hɔ a wɔde hu sɛ ebia tebea yi wɔ hɔ ankasa anaa.

• CTA Scan (Computed Tomography Angiography - CTA): Eyi betumi atwa mogya ntini no ho mfonini a ɛkɔ akyiri.
• MRA Scan (Magnetic Resonance Angiography - MRA): Eyi yɛ scan foforo a ɛkɔ akyiri a wɔde hwɛ mogya ntini.

Saa scan ahorow yi tumi hu pefee sɛ ebia nusu bi wɔ ntini no mu anaasɛ mogya atɔw.

Dɛn ne ayaresa ahorow a wɔde sa eyi? (Ayaresa)

Asɛmpa no ne sɛ bere kɔ so no, ntini mu nusu dodow no ara sa wɔn ankasa yare. Nanso, ayaresa ho hia na wɔasiw tebea horow a emu yɛ den te sɛ ɔyare a ɛma obi hwe ase ano.

Ayaresa titiriw ne nnuru a ɛtew mogya a ɛtwetwe so:

• Antiplatelet therapy: Wɔyɛ eyi na amma mogya mu nkwammoaa a ɛwɔ mogya no mu no anhyiam na ayɛ mogya mu ntini. Eyi ho nhwɛso ne nnuru te sɛ `Aspirin` ne `Clopidogrel`.
• Nnuru a ɛko tia mogya a ɛtwetwe: Wɔsan frɛ eyinom "mogya a ɛma mogya tu." Wosiw ɔkwan a mogya tu no ano. Wɔde heparin ma sɛ aduru a wɔde twitwiw nipadua no, na wɔde Warfarin ma sɛ aduru.

Oduruyɛfo no begyina wo tebea so akyerɛ nnuru yi mu nea ɛsɛ sɛ wode ma ne bere tenten a wode bɛma.

Na sɛ ayaresa a ɛfata no ankɔ yiye nso ɛ?

Ɛntaa mma koraa sɛ sɛ nnuru nkutoo ntumi nni tebea no so a, wobetumi de stenting adi dwuma.Ebia ɛho behia nso sɛ wɔyɛ oprehyɛn. Stent yɛ afiri ketewa bi a wɔde ahama ayɛ a wɔde hyɛ ntini no mu, siesie nusu no, ɛhyɛ ntini no fasu mu den, na ɛma mogya kɔ yiye.

Ɔkwan bɛn so na wobɛbɔ wo ho ban afi tebea yi ho? (Ayaresa a wɔde siw ano) .

Sɛ wowɔ ayaresa tebea bi (te sɛ ntini a ɛka bom yɛ nyarewa a yɛaka ho asɛm wɔ atifi hɔ) a ɛma asiane a ɛwɔ hɔ sɛ wubenya `Cervical Artery Dissection` no yɛ kɛse a, ɛho hia yiye sɛ wobɛkɔ ntini ho ɔbenfo nkyɛn daa.

Obiara a aka no betumi ayɛ saa nneɛma yi de atew asiane yi so:

• Mma wo kɔn nkɔ baabi koro no ara nkyɛ dodo (e.g., te sɛ nea woreyɛ ɔdan no atifi ho adwini).
• Kwati kɔn ne ti a wobɛkanyan wo mpofirim ntɛmntɛm (rollercoaster a wobɛtra, akwan bi a wɔfa so yɛ kɔn mu nsakrae).
• Kwati sɛ wobɛma nneɛma a emu yɛ duru so denam mmɔdenbɔ a ɛboro so so.
• Di aduan a ɛma koma nya ahoɔden (srade ne ngo kakraa bi na ɛwom, nnuaba ne nhabannuru pii wom).
• Yɛ apɔw-mu-teɛteɛ daa. (Bisa wo duruyɛfo no apɔw-mu-teɛteɛ a ɛfata wo.)
• Di wo mogya mmoroso so. Sɛ ɛho hia a, fa nnuru te sɛ nnuru a esiw ACE ano.
• Gyae sigaretnom koraa.

Dɛn ne nkɔmhyɛ no? (Nkɔmhyɛ) .

Nsɛm dodow no ara a wɔde twa awotwaa mu ntini mu no sa yiye. Ntini no san ba sɛnea na ɛte kan no. Saa ayaresa yi taa gye asram abiɛsa kosi asia .

Ɔkwan bɛn so na sɛ obi ne tebea yi bɛtra ase?

Sɛ wɔatwa wo awotwaa mu ntini mu a, ɛho behia sɛ wɔyɛ wo nhwehwɛmu daa (te sɛ scan) kosi sɛ wo duruyɛfo begye adi sɛ asa koraa. Ɛho behia nso sɛ wokɔ so nom nnuru a ekum mogya nkwammoaa anaa mogya a ɛtwetwe mogya a yɛadi kan aka ho asɛm no wɔ saa bere yi mu.

Ɛwom sɛ awotwaa mu ntini a wɔatwa no ne ade titiriw a ɛde akisikuru ba nnipa a wɔadi fi mfe 40 kosi 60 mu de, nanso ɛnyɛ obiara a ɔwɔ bi no na obenya akisikuru. Nnipa dodow no ara ho tɔ wɔn a nsɛnnennen biara nni ho bere a wɔyɛ nhwehwɛmu ne ayaresa a ɛfata no. Botae titiriw a wɔde sa wɔn a wɔwɔ yare no ho sɛnkyerɛnne ne sɛ wobesiw akisikuru ano.

Nkrasɛm a Wɔde Kɔ Fie

Cervical Artery Dissection yɛ tebea a ebetumi ayɛ hu, titiriw wɔ mmerante ne mmabaa mu, efisɛ ebetumi ama obi anya ɔyare a ɛma obi hwe ase.

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Sɛ wote kɔn/ti yaw a emu yɛ den mpofirim, ɛyaw wɔ w’ani akyi, anaasɛ wohu ɔyare a ɛma obi hwe ase (ɛyɛ den sɛ wobɛkasa, wo nsa ne wo nan a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛnantew) , hwehwɛ oduruyɛfo afotu ntɛm ara.

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Nneɛma pii betumi ama tebea yi aba, a akwanhyia, mmɔdenbɔ a ɛboro so, ne awosu mu nyarewa bi ka ho.

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Mpɛn pii no, wobetumi asa saa tebea yi denam ayaresa a ɛfata ne aduruyɛfo hwɛ so. Ade a ɛho hia sen biara ne sɛ wobɛyɛ ade ntɛm na woammu w’ani agu sɛnkyerɛnne ahorow no so.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Kɔ so nya apɔwmuden!

` Cervical Artery Dissection, Stroke, Kɔn mu Ɛyaw, Tiyɛ, Mogya Ntini, Mogya a Wɔde Kɔ Amemene no mu