So wowɔ cholesterol emboli a ɛrekɔ wo nipadua mu? Momma yɛnka eyi ho asɛm!

Yɛn nyinaa ate srade ho asɛm, ɛnte saa? Nnipa binom suro. Nanso esiane srade a ɛwɔ mogya mu yi nti, ɛtɔ mmere bi a nneɛma a yentumi nsusuw ho betumi asi wɔ yɛn mogya ntini mu. Ɛnnɛ yɛbɛka aduruyɛ tebea bi a ɛyɛ den kakra, nanso ɛho hia a ɛsɛ sɛ obiara hu ho asɛm. Wɔfrɛ eyi sɛ cholesterol emboli. Sɛ yɛbɛka no tiawa a, eyi fa srade a ɛyɛ mmerɛw a ɛba yɛn mogya ntini mu na ɛkyere yɛn ho.

Dɛn ne saa srade a ɛma mogya tu yi?

Okay, momma yɛnka no tiawa. Yɛn mogya ntini te sɛ paipu a ɛde nsu kɔ. Bere kɔ so no, nnipa binom fi ase nya srade te sɛ srade a ɛwɔ mogya ntini yi afasu mu. Te sɛ nea nkannare boaboa ano wɔ nsu afiri dedaw bi so no. Yɛfrɛ eyi buildup plaque anaa atheroma. Saa tebea yi ne nea yenim sɛ atherosclerosis, a ɛkyerɛ sɛ ntini no mu yɛ den anaasɛ ɛyɛ teateaa.

Bere tenten no, saa `(Plaque)` yi betumi aba hɔ ara kwa, a ɔhaw biara nni ho. Nanso ɛtɔ mmere bi a, saa `(Plaque)` yi afã horow paapae na efi ase de mogya no tu kwan nketenkete . Fa no sɛ te sɛ plaster dedaw bi a ɛwɔ ɔfasu bi so a ɛrehwe ase. Wɔfrɛ saa srade asinasin a abubu yi `(Cholesterol Emboli)`. Ɛtɔ da bi a, eyi nso betumi asi sɛ aduruyɛ bi mu nsunsuanso bɔne, te sɛ `(Heart Catheterization)`, sɛ nhwɛso no. Anaasɛ ebetumi asi esiane nneɛma afoforo nti.

Sɛ saa `(Plaque)` yi bubu a, ne asinasin nketenkete paa `(microemboli)` dodow bi fi mogya no mu prɛko pɛ . Te sɛ mfutuma ahum! Saa srade a ɛyɛ mmerɛw yi sua sen mogya mu ntini akɛse a ɛba bere a mogya a ɛtwetwe no boaboa ano no. Bio nso, srade a ɛwɔ srade mu titiriw na ɛyɛ eyinom. Enti, mpɛn pii no, ɛnyɛ mogya ntini akɛse mu na wɔkyere, na mmom mogya ntini nketewa anaa akɛse (ntini) mu .

Enti, sɛ mogya ntini nketenkete siw wɔ saa kwan yi so a, mogya a ɛkɔ nipadua no afã horow a saa mogya ntini no de ma no mu no sɛe, anaasɛ ɛyera koraa . Mpɛn pii no, saa `(Cholesterol Emboli)` yi siw mogya ntini a ɛkɔ yɛn asaabo mu no mu, na ebetumi mpo ama asaabo no ayɛ adwuma yiye. Afei nso, ɛtɔ mmere bi a wobetumi asiw mogya ntini nketenkete a ɛwɔ nan no mu nso, titiriw wɔ mmeae te sɛ nansoaa kɛse no. Ɛmfa ho baabi a wosiw ano no, saa `(Cholesterol Emboli)` yi betumi asɛe yɛn nipadua akwaa nkakrankakra, na wɔ tebea horow bi mu no, ɛde nkwa mpo to asiane mu .

Nnuruyɛfo de din ahorow frɛ saa tebea yi. Ebia woate din ahorow yi:

• Cholesterol Embolization Syndrome a ɛma mogya mu srade a ɛwɔ nipadua mu no yɛ kɛse
• Blue Toe Syndrome (Eyi ba bere a mogya a ɛkɔ nansoaa so no so tew) .
• Atheroembolism a ɛma mogya tu
• Atheromatous Embolization Syndrome a Ɛyɛ Ntini a Ɛyɛ Fɛ
• Cholesterol-crystal a wɔde hyɛ nipadua mu
• Atheroembolic Renal Disease (Eyi kyerɛ bere a asaabo no aka) .

Saa tebea yi abu so dɛn?

Nhwehwɛmufo da so ara nnim sɛnea tebea yi abu so, efisɛ ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu. Nanso, wɔbu akontaa sɛ nsɛm a emu yɛ den a ɛhia sɛ wɔsa no betumi aka mpanyimfo bɛyɛ 3% . Saa tebea yi taa ba nnipa a wɔadi boro mfe 60, wɔn a wɔwɔ ntini mu yare dedaw, ne wɔn a wɔwɔ komayare afoforo so .

Dɛn ne srade a ɛma mogya tu ho sɛnkyerɛnne?

Saa `(Cholesterol Emboli)` yi ma nipadua no mu yɛ hyew . Ɛne sɛ, tebea bi a nipadua no hohoro. Eyi betumi ama woanya saa sɛnkyerɛnne ahorow a ɛtaa ba yi:

• Ɔbrɛ a wɔte nka (Ɔbrɛ) .
• Huraeɛ
• Ntini mu yaw (Myalgia) .
• Weight Loss a ntease biara nnim

Wɔ sɛnkyerɛnne ahorow a ɛtaa ba yi akyi no, sɛnkyerɛnne afoforo nso betumi aba. Eyi gyina mogya ntini a srade a ɛwɔ nipadua no mu no siw ano ne nipadua no afã horow a saa mogya ntini no de mogya ma so . Nea edidi so yi yɛ sɛnkyerɛnne ahorow a ebetumi aba a egyina nipadua akwaa a ɛka no so no bi:

Wora (mpɛn pii wɔ nan anaa nan so) .

• Nsusuwii a ɛte sɛ asau wɔ honam ani, mmeae bi yɛ bruu na mmeae bi yɛ kɔkɔɔ/blue (Livedo Reticularis) .
• Nansoaa anaa nan no fã foforo a ɛdan kɔla anaa bruu (wɔfrɛ eyi ``Blue Toe Syndrome'') .
• Wora no afã horow bi yɛ nea awu na ɛyɛ tuntum (Gangrene) .
• Honam ani Akuru
• Purpura (nsonsonoe a ɛyɛ kɔkɔɔ a mogya nketenkete a ɛtɔ wɔ honam ani) .

Asaabo a ɛma obi nya asaabo

• Nsɛnkyerɛnne ne nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo no ntumi nyɛ adwuma yiye - sɛ nhwɛso no, nsu a ɛba no so tew, anan a ɛho ahonhon, ne ahome a ɛyɛ den.

Nnuan a wɔyam

• Ɛyaw a ɛba yafunu, akyi, anaa nkyɛnkyɛn
• Mogya a ɛtɔ, te sɛ mogya a ɛba nsu mu
• Ayamtuo

Adwene

• Kesereneeyɛ
• Nkae a Wɔhwere
• Adwene a ɛyɛ basaa
• Tipaeɛ
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya a ɛkɔ amemene no mu bere tiaa bi - a ɛte sɛ mini-stroke - fi mogya a ɛkɔ amemene no mu a ɛtwa mu bere tiaa bi.
• Nnwodwoɔ

Ani

• Aniwa mu yaw
• Anisoadehu a ɛyɛ kusuu
• Wotumi hu cholesterol ahwehwɛ kɔkɔɔ wɔ aniwa no retina ntini mu (wɔfrɛ eyinom ``Hollenhorst Plaques'', a oduruyɛfo hu bere a wɔreyɛ nhwehwɛmu no)

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛnkyerɛ bere nyinaa sɛ wowɔ Cholesterol Emboli. Nanso, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara .

Dɛn na ɛde saa srade a ɛma mogya tu yi ba?

Bɛyɛ 70% of the time , eyinom `(Cholesterol Emboli)` ba sɛ aduruyɛ mu nsunsuanso bɔne a ɛka yɛn mogya ntini. Sɛ nhwɛso no, nneɛma te sɛ `(Heart Catheterization)` a yɛadi kan aka ho asɛm no. Sɛ wɔyɛ saa ayaresa ahorow yi a, `(Plaque)` a ɛwɔ mogya ntini no mu no betumi aka na ebetumi apaapae.

Sɛ srade a ɛma mogya tu no ba sɛ aduruyɛ mu ɔhaw a, ɛtaa ba bere a wɔayɛ angiogram akyi . (Angiogram yɛ X-ray nhwehwɛmu titiriw bi a wɔyɛ de hwɛ sɛnea mogya ntini no te.) Nanso ɛho hia sɛ yɛkae sɛ mpɛn pii no, angiogram yɛ nhwehwɛmu a ahobammɔ wom, a asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow a emu yɛ den no sua. Nanso, srade a ɛma mogya tu no yɛ asiane a ɛntaa nsi nanso ebetumi aba .

Afei nso, ɛntaa nsi koraa sɛ , srade a ɛma mogya tu no betumi aba a ɛda adi sɛ ɛde ba. Wɔfrɛ eyi sɛ spontaneous embolism.

Dɛn ne nneɛma a ɛde asiane ba?

Wowɔ asiane kɛse mu sɛ wubenya ``Cholesterol Emboli'' sɛ nea edidi so yi mu biara fa wo ho a:

• Sɛ́ wadi boro mfe 50.
• Sɛ́ ɔyɛ ɔbarima (mmarima taa nya saa tebea yi sen mmea) .
• Plaque a ɛboaboa ano dodo wɔ mogya ntini no mu (i.e., atherosclerosis a emu yɛ den).
• Asiane ahorow a ebetumi ama ntini mu ntini mu yare a wowɔ:
• Mogya Nhyɛso a Ɛkɔ Anim
• Cholesterol a Ɛdɔɔso
• Asikyireyareɛ
• Sigaretnom anaa tawa nneɛma afoforo a wɔde di dwuma.
• Asaabo mu yare a enni sabea a obi wɔ.

Dɛn ne nsɛnnennen a ebetumi afi srade a ɛma mogya tu mu aba?

Cholesterol emboli betumi asɛe akwaa ahorow a ɛwɔ wo nipadua mu. Eyinom mu nea ɛho hia sen biara ne asaabo, honam ani, dwensɔtwaa, ne amemene . Nea ɛbɛyɛ na wo ho atɔ wo yiye no, nnuruyɛfo bɛyɛ nea wobetumi biara de asa akwaa yi a asɛe no.

Fa no sɛ, sɛ mogya a ɛkɔ asaabo no mu no gyae a, asaabo no rentumi nyɛ adwuma yiye. Afei ɛka nipadua no nyinaa. Saa ara na ɛte wɔ akwaa afoforo ho.

Ɔkwan bɛn so na wohu tebea yi? (Nyare a Wɔahu) .

Ɛtɔ mmere bi a, `(Cholesterol Emboli)` a wobehu no betumi ayɛ den kakra.. Efisɛ yare no ho sɛnkyerɛnne pii nyɛ nea ɛfa nneɛma pɔtee bi ho. Ɛno kyerɛ sɛ wobetumi ayɛ nea ɛtaa ba tebea afoforo pii mu. Wo duruyɛfo bɛhwɛ wo nipadua mu na ɔne wo akasa afa:

• Ɛfa sɛnkyerɛnne biara a wowɔ ho.
• Ɛfa w’aduruyɛ ho abakɔsɛm ho.
• Ɛfa aduruyɛ biara a woanya nnansa yi ho.

Sɛ wo duruyɛfo susuw sɛ cholesterol emboli a, ebia ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu . Sɛ nhwɛso no, wobetumi akan mogya a edi mũ (CBC) de ahwɛ sɛ ɔfe wɔ nipadua no mu anaasɛ wɔde ahwɛ sɛ asaabo no ntumi nyɛ adwuma yiye anaa.

Sɛ adwenem naayɛ bi da so ara wɔ hɔ a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ biopsy . Nea ɛka eyi ho ne sɛ wubegye ntini ketewaa bi afi wo nipadua no fã bi (mpɛn pii no wo honam ani anaa asaabo) mu na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu ahwɛ sɛ srade ahwehwɛ wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa eyi?

Nnuruyɛfo gyina w’ahiade ne sɛnea wo tebea no mu yɛ den so yɛ ayaresa ho nhyehyɛe. Ebia ayaresa a wobetumi apaw bi ne:

• Nnuru a wɔde bedi nneɛma a ɛde komayare ho dwuma: Ebia wo duruyɛfo bɛkyerɛw wo mogya mmoroso nnuru, nnuru a ɛma mogya mu srade so tew a wɔfrɛ no statin, ne nnuru a ekum mogya mu nkwammoaa kɔkɔɔ. Saa nnuru yi betumi aboa ma plaque a ɛwɔ wo mogya ntini mu no agyina na asiw kwan sɛ ɛbɛpaapae na ayɛ cholesterol emboli daakye .
• Asetra mu nsakrae: Ebia wo duruyɛfo bɛkamfo w’asetra mu nsakrae, te sɛ tawa a wobɛkwati koraa. Nsakrae ahorow yi betumi aboa ma wo mogya ntini ne wo koma ayɛ yiye .
• Nnuru a wɔde bɛtew ɔfe so: Esiane sɛ cholesterol emboli betumi ama ɔfe aba nipadua no nyinaa mu nti, wobetumi akyerɛw nnuru a wɔde bɛtew ɔfe so. Eyi betumi aboa ma yare no ho sɛnkyerɛnne ahorow no afi hɔ.
• Oprehyɛn: Eyi yɛ ɔkwan a etwa to, wɔ nsɛm a ɛde nkwa to asiane mu mu . Sɛ wonim faako pɔtee a srade a ɛwɔ mogya mu no wɔ a, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn a wɔde twa mogya no kwan anaasɛ wɔnyɛ endarterectomy na wɔayi srade a ɛwɔ mogya ntini no mu no afi hɔ.

Nea ɛka ho no, sɛ akwaa bi asɛe a, ebia ɛho behia sɛ wɔhwɛ ma wɔboa. Nhwɛsoɔ:

• Dialysis a wɔde boa asaabo no ma ɛyɛ adwuma.
• Oprehyɛn a wɔyɛ de yi akyi berɛmo no fã bi anaa ne nyinaa.
• Twitwa yɛ ɔhonam akwaa bi a woyi fi hɔ, te sɛ nsa anaa nan (eyi ba wɔ nsɛm a emu yɛ den te sɛ gangrene mu).

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ menya Cholesterol Emboli no so?

Atherosclerosis, srade a ɛboaboa ano wɔ mogya ntini muSɛ woyɛ nea wubetumi biara de brɛ wo srade dodow ase a, ɛbɛboa ma asiane a ɛwɔ hɔ sɛ wubenya Cholesterol Emboli no so atew. Nneɛma bi a wubetumi ayɛ ni:

• Kwati tawa ho nneɛma nyinaa. Sɛ wonom sigaret mprempren a, bisa wo duruyɛfo ma ɔmmoa wo mma wogyae.
• Di aduan a ɛma koma nya ahoɔden. Sɛ nhwɛso no, Mediterranea Adidi. Ɛno kyerɛ sɛ wubedi nhabannuru, nnuaba, atoko, nnuaba, ne mpataa pii. Ngo, asikre, ne nkyene a wɔtew so.
• Apɔw-mu-teɛteɛ daa , sɛnea wo duruyɛfo kyerɛ no.
• Nom nnuru a oduruyɛfo no akyerɛ wo no pɛpɛɛpɛ na fa bere ano.
• Hwɛ hu sɛ wobɛkɔ aduruyɛ mu nhwehwɛmu afe biara na woakɔ oduruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu.

Adwene no te dɛn?

Wo nkɔmhyɛ gyina nneɛma ahorow bi so, a nea ɛka ho ne wo tebea horow a ɛka wo ho ne baabi a akwaa asɛe no kodu. Nhwehwɛmu ahorow bi ada no adi sɛ asaabo a ɛsɛe no betumi abata nea efi mu ba a enye ho .

Ɛtɔ mmere bi a srade a ɛma mogya tu no di awu . Nhwehwɛmufo bu akontaa sɛ nnipa dodow a wowuwu no dɔɔso te sɛ 63%. Nanso, dodow yi betumi akɔ soro anaasɛ akɔ fam, a egyina baabi a akwaa asɛe ne w’akwahosan nyinaa so.

Wo duruyɛfo nkutoo na obetumi ama wo wo daakye ho nsɛm a eye sen biara , kyerɛ sɛ nea wobɛhwɛ kwan daakye. Obetumi agyina w’ayaresa ho abakɔsɛm ne mprempren tebea no so asusuw wo tebea no ho.

Mɛyɛ dɛn ahwɛ me ho?

Wo duruyɛfo bɛkyerɛ wo sɛnea wobɛhwɛ wo ho wɔ fie. Ɛho hia yiye sɛ wubedi n’akwankyerɛ akyi pɛpɛɛpɛ, titiriw wɔ nnuru ho . Sɛ biribi wɔ hɔ a emu nna hɔ a, bisa wo duruyɛfo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɔbɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Sɛ wo duruyɛfo hu sɛ wowɔ Cholesterol Emboli a, wubehia ayaresa ne ɔhwɛ a ɛkyɛ na ama woadi wo tebea no ho dwuma na akwaa asɛe no kakraa bi. Ɛho hia sɛ wodi wo duruyɛfo bere a wɔahyɛ no so na ama woahwɛ ahu sɛ wobɛtra ase akyɛ sɛnea wubetumi.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ bere tiaa mu ischemic attack (TIA) anaa stroke , ho sɛnkyerɛnne a , frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Eyinom yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ a ehia sɛ wɔsa no ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wo ne wo duruyɛfo nkasa mfa asiane a ɛwɔ hɔ sɛ wubenya Cholesterol Emboli ne sɛnea wubetumi atew saa asiane no so no ho. Nsɛmmisa pɔtee bi a ebia wobɛpɛ sɛ wubisa no bi ne:

• Dɛn ne asiane ahorow a ɛde me ma menya `(Cholesterol Emboli)`?
• Sɛ ɛsɛ sɛ wɔyɛ me koma oprehyɛn anaa ayaresa biara a, dɛn na yebetumi ayɛ de atew asiane yi so?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?

Sɛ wɔahu sɛ wowɔ `(Cholesterol Emboli)` a, bisa wo duruyɛfo nsɛm yi:

• Ayaresa ahorow bɛn na ebetumi aboa me?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ asetra mu?
• Dɛn ne m’adwene?

Cholesterol emboli yɛ ade a ɛtɔ mmere bi a yɛnhwɛ kwan a efi plaque a ɛboaboa ano wɔ yɛn mogya ntini mu ba. Bere a nneɛma bi ma asiane a ɛwɔ hɔ sɛ saa ntini yi bɛpaapae no yɛ kɛse no, ɛnyɛ bere nyinaa na ɛda adi pefee nea enti a nnipa binom nya saa emboli yi na afoforo nso nnya bi. Sɛ wo duruyɛfo ahu sɛ wowɔ ntini mu yare a, ɛho hia sɛ woyɛ nea wubetumi biara na ama asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no so atew . Ɛno kyerɛ sɛ wo ne wo duruyɛfo bɛyɛ adwuma de ahwɛ wo mogya ntini ne wo koma yiye.

Wo ne wo duruyɛfo nkasa mfa nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Ka nea wubetumi ayɛ wɔ wo da biara da asetra mu de atew asiane a ɛwɔ hɔ sɛ wubenya Cholesterol Emboli ne komayare ho nsɛnnennen afoforo so ho asɛm.

Nea ɛsɛ sɛ yɛkae fi eyi mu (Take-Home Message) .

Sɛ yɛbɛka no tiawa a, `(Cholesterol Emboli)` ne bere a srade asinasin `(Plaque)` a ɛwɔ yɛn mogya ntini mu no mu paapae na ɛkɔhyɛ mogya ntini nketewa no mu. Eyi betumi de akwahosan ho haw a emu yɛ den aba, titiriw akwaa te sɛ asaabo, honam ani, ne amemene a ɛsɛe.

• Nhumu ho hia: Sɛ wuhu tebea yi ne ne sɛnkyerɛnne ahorow a, ɛboa wo ma wohwehwɛ ayaresa ntɛm.
• Hu nneɛma a ɛde asiane ba: Sɛ wowɔ tebea horow te sɛ srade a ɛdɔɔso, mogya mmoroso, asikreyare, anaa sɛ wonom sigaret a, asiane yi yɛ kɛse.
• Asetra a ahoɔden wom: Wobetumi asiw ntini mu yare ano denam aduan pa a wobedi, apɔw-mu-teɛteɛ, ne sigaretnom a wɔbɛkwati so. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya srade a ɛma mogya tu no so tew.
• Di aduruyɛ mu afotu akyi: Nom wo nnuru sɛnea wɔakyerɛ wo. Mma nnyae aduruyɛ mu nhwehwɛmu ahorow.
• Hwɛ yiye wɔ sɛnkyerɛnne ahorow a ɛyɛ soronko ho: Kɔ oduruyɛfo nkyɛn ntɛm ara, titiriw sɛ wote yaw mpofirim wɔ wo nan mu, wo kɔla sesa, ɛyɛ den sɛ wobɛhome, anaa w’adwene tu fra a.

Kae sɛ w’akwahosan wɔ wo nsam. Ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi tebea horow yi ho na woagyina ano ne sɛ wobɛbɔ wo amanneɛ na woadi nnuruyɛfo afotu akyi.

` Cholesterol, emboli, mogya ntini, komayare, asaabo mu yare, angiogram, sɛnkyerɛnne ahorow