Fa no sɛ kar sisi kɛse wɔ ɔkwan kɛse a wofa so bere nyinaa no so, na ɔkwan no asiw koraa. Ɛnde dɛn na woyɛ? Mpɛn pii no, yebisa obi a onim mpɔtam hɔ yiye anaasɛ yɛhwɛ Google Maps, na yɛfa ɔkwan ketewaa bi a ɛwɔ nkyɛnkyɛn so kɔ baabi a yɛrekɔ no a yɛrenkyere, ɛnte saa? Nea ɛyɛ nwonwa no, eyi ne nea ɛkɔ so wɔ yɛn nipadua mu pɛpɛɛpɛ. Sɛ biribi nti asiw mogya ntini titiriw bi a ɛwɔ yɛn nipadua mu, kyerɛ sɛ, mogya ntini bi a, nipadua no yɛ nhyehyɛe bi a ɛyɛ ‘akwan a ɛwɔ nkyɛnkyɛn’ a yɛbɛka ho asɛm wɔ asɛm yi mu nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne collateral circulation?
Ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra, nanso nokwarem no, ɛyɛ mmerɛw koraa. Collateral Circulation yɛ adeyɛ a, sɛ mogya ntini kɛse bi (ntini anaa ntini) a ɛwɔ yɛn nipadua mu no siw anaasɛ ɛsɛe a, wɔyɛ mogya ntini nhyehyɛe foforo, anaa "backup" nhyehyɛe a ɛde mogya bɛkɔ.
Sɛ yɛbɛka no tiawa a, eyi ne yɛn nipadua no abɔde mu ‘bypass’ nhyehyɛe . Sɛnea madi kan aka no, sɛ wɔasiw ɔkwan kɛse no ano a, yɛhwehwɛ akwan a ɛwɔ nkyɛnkyɛn, nipadua no nso yɛ akwan foforo a ɛwɔ nkyɛnkyɛn ma mogya kɔ. Eyi yɛ ahobammɔ afiri a ɛyɛ nwonwa wɔ yɛn nipadua mu.
Ɔkwan bɛn so na saa abɔde mu bypass nhyehyɛe yi yɛ adwuma?
Afei ebia woredwene sɛ, "Enti wɔbɔ akwan a ɛwɔ nkyɛnkyɛn yi mpofirim?" Nokwarem no, eyi betumi asi wɔ akwan abien so.
1. Mogya ntini nketenkete a ɛwɔ hɔ dedaw no a ɛtrɛw: Yɛn nipadua no wɔ mogya ntini nketenkete paa a mpɛn pii no wɔmfa nni dwuma a ɛne yɛn mogya ntini atitiriw no wɔ abusuabɔ. Sɛ ntini titiriw bi fi ase siw a, nipadua no hu tebea yi. Afei, wogyina nsɛnkyerɛnne a efi amemene no ne nhyehyɛe ahorow a ɛwɔ nipadua no mu so so no, saa mogya ntini nketenkete no fi ase trɛw nkakrankakra na ɛtrɛw. Afei, mogya a na entumi mfa anwenne kɛse no mu no fi ase fa akwan a ɛwɔ nkyɛnkyɛn a wɔatrɛw mu foforo yi so.
2. Mogya ntini foforo a ɛba: Ɛtɔ mmere bi a, titiriw sɛ mogya ntini kɛse bi siw nkakrankakra a, nipadua no fi ase yɛ mogya ntini foforo. Wɔ nnuruyɛ mu no, yɛfrɛ saa adeyɛ yi angiogenesis . Nipadua no hu sɛ mogya dodow a ɛkɔ akwaa bi mu no so tew. Saa bere no, saa akwaa no ankasa ma nnuru nsɛnkyerɛnne ma, na ɛka sɛ, "Yɛnni mogya a ɛdɔɔso, yɛ akwan foforo." Nea ɛne eyi hyia no, wɔhyehyɛ mogya ntini foforo yi.
Titiriw no, nhwehwɛmu ada no adi sɛ apɔw-mu-teɛteɛ a ɛma mframa bɔ daa , te sɛ mmirikatu, nantew ntɛmntɛm, ne asuguare, hyɛ mogya ntini foforo a ɛba ho nkuran. Ɛno nti na apɔw-mu-teɛteɛ ye ma koma no.
So obiara wɔ mogya ntini a ɛboro so yi wɔ ne nipadua mu?
Yiw, wɔwo yɛn nyinaa a yɛwɔ mogya ntini nhyehyɛe bi a ɛka ho. Nanso , saa ntini ahorow yi dodow a ɛwɔ onipa biara nipadua mu ne ne kɛse betumi ayɛ soronko wɔ onipa biara ho . Egyina nneɛma pii so, a awosu ne asetra kwan ka ho.
Mogya ntini a ɛboro so yi betumi ayɛ ahorow atitiriw abiɛsa de.
| Mogya ntini ahorow | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Ntini a Ɛma Ntini Mu | Eyinom ne ntini akɛse a ɛde mogya a oxygen pii wom fi koma no mu kɔ nipadua no fã a aka no. |
| Ntini a ɛwɔ ntini mu | Eyinom ne ntini a ɛde mogya a wɔde adi dwuma (mogya a oxygen nni mu) fi nipadua no afã horow mu san ba koma no mu. |
| Ntini a ɛma mogya tu | Eyinom ne mogya ntini nketenkete a ɛyɛ mmerɛw sen biara. Wɔnam eyinom so sesa oxygen ne aduannuru fi mogya no mu kɔ nkwammoaa no mu. |
Yare tebea horow bɛn mu na mogya a ɛkɔ nipadua no mu a ɛbɔ ho ban yi ho hia?
Saa abɔde mu bypass nhyehyɛe yi betumi aboa yɛn wɔ tebea biara a esiw mogya ntini kwan no mu. Eyi ho hia titiriw ma nnipa a wɔwɔ tebea horow a edidi so yi:
- Atherosclerosis: Eyi ne ntini a ɛyɛ den esiane srade ne srade a ɛboaboa ano wɔ ntini no afasu mu nti. Ɛte sɛ nkannare a ɛreyɛ ayɛ kɛse wɔ nsu paipu mu. Bere a ntini no siw nkakrankakra no, nipadua no nya bere de yɛ ntini a ɛka ho.
- Coronary Artery Disease: Ntini a ɛma mogya kɔ koma no mu no siw. Eyi ne ade titiriw a ɛde komayare ba. Sɛ obi a ɔwɔ colateral system pa nya komayare mpo a, wobetumi atew ɔhaw a ɛde ba no so akodu baabi.
- Ischemic Stroke: Akisikuru a ɛba esiane sɛ ntini bi a ɛde mogya kɔ amemene no mu no siw nti.
- Peripheral Artery Disease (PAD): Ntini a ɛma mogya no yɛ teateaa, titiriw kɔ anan no mu. Eyi betumi ama anan ayɛ yaw bere a yɛnantew no.
Nanso biribi a ɛho hia paa a ɛsɛ sɛ yɛn nyinaa te ase ni. Saa mogya a ɛkɔ nipadua no mu a ɛbɔ ho ban yi nyɛ nkonyaayi anaasɛ aduru a wɔde sa ne nyinaa . Ɛyɛ nipadua no ho banbɔ afiri bi kɛkɛ.
Mogya ntini a ɛboro so yi ntumi nsiw ischemia , anaa mogya a ɛkɔ akwaa bi mu a ɛso tew, a tebea horow yi de ba no ano koraa bere nyinaa. Ɛtɔ mmere bi a, sɛ ntini kɛse no siw mpofirim a, ebia ntini a ɛboro so no rentumi mma mogya ntɛmntɛm saa.
Enti, sɛ wowɔ tebea a ɛte sɛɛ a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn na wunya ayaresa a ɛfata , sen sɛ wode wo ho bɛto abɔde mu nhyehyɛe yi nkutoo so. Eyi betumi ayɛ nsonsonoe a ɛda nkwa ne owu ntam.
Ntini a ɛboro so yi di bere tenten ahe?
Sɛ wɔde mogya a ɛkɔ nipadua no mu no si hɔ pɛ a, saa mogya ntini foforo a ayɛ kɛse no betumi aboa ma mogya no akɔ so akɔ nipadua no mu sɛnea ɛsɛ asram pii, mfe pii mpo.
Nanso, bere a yɛrenyin no, mogya ntini a ɛboro so yi so tew nkakrankakra, anaasɛ efi ase tew kɛse. Yɛfrɛ eyi sɛ nea ɛntaa nsi . Saa tebea yi betumi aba ntɛmntɛm titiriw wɔ nnipa a wɔwɔ koma ne ntini mu yare no mu. Sɛ mogya ntini a ɛboro so no so tew wɔ saa kwan yi so a, sɛ ntini titiriw foforo siw a, tumi a ɛwɔ sɛ ɛbɛboa no nso so tew. Ɛno nti na wɔka sɛ ɛsɛ sɛ yɛhwɛ yɛn akwahosan so kɛse bere a yɛrenyin na yɛanya nyarewa afoforo no.
Nipadua no afã bɛn na wohu nhyehyɛe yi?
Saa mogya a ɛkɔ nipadua no mu a ɛbɔ ho ban yi wɔ yɛn nipadua no afã horow. Wobetumi ahu nhyehyɛe a ɛbɔ ho ban yi wɔ baabiara a asiane wɔ hɔ sɛ mogya ntini besiw.
| Nipadua fã | Nea ɛho hia |
|---|---|
| Akoma | Ɛboa ma koma no sɛe bere a komayare rekɔ so no so tew. |
| Adwene | Ɛboa kodu baabi sɛ sɛ obi anya akisikuru a, amemene mu nkwammoaa wuwu. |
| Nan ne anan | Ɛboa ma ɛyaw so tew bere a wɔnantew nnipa a wɔwɔ peripheral artery disease (PAD) mu no. |
| Nsa | Sɛ ntini a ɛde mogya kɔ nsa no mu no siw a, ɛboa ma nsa no kɔ so yɛ adwuma. |
| Yafunu ne ahurututu | Saa nhyehyɛe yi nso yɛ adwuma sɛ mogya ntini atitiriw a ɛka akwaa yi bom no siw a. |
Ne tiaatwa mu no, mogya a ɛkɔ nipadua no mu no yɛ tumi a ɛyɛ nwonwa a yɛn nipadua wɔ sɛ ɛko tia mogya ntini a asiw. Ɛnyɛ ɔkwan a ɛyɛ nkwaseasɛm a wɔfa so siw ɔsɛe a ebetumi afi komayare anaa akisikuru mu aba no ano koraa. Nanso wɔ nsɛm bi mu no, ebetumi ayɛ adwinnade a ɛsom bo a egye nkwa.
Mprempren aduruyɛ mu nhwehwɛmufo reyɛ nhwehwɛmu wɔ sɛnea wobetumi ayɛ mogya ntini a wɔde ayɛ adwuma a wɔde abɔ ho ban na wɔde ahyɛ ayarefo mu. Sɛ nhwehwɛmu yi yɛ yiye a, ebetumi ama nnipa pii a wɔwɔ ntini mu nyarewa no anya ahotɔ kɛse daakye.
Nkrasɛm a Wɔde Kɔ Fie
- Collateral circulation yɛ yɛn nipadua no abɔde mu ‘bypass’ anaa ‘backup’ mogya ntini nhyehyɛe.
- Ne dwumadi ne sɛ ɛbɛma akwan foforo a mogya afa so akɔ bere a mogya ntini kɛse bi asiw no.
- Apɔw-mu-teɛteɛ a wɔde mframa bɔ daa no hyɛ abɔde mu akwan a wɔfa so twa kwan yi ho nkuran.
- Bere a eyi yɛ ahobammɔ afiri a mfaso wɔ so kɛse no, ma ɛntra w’adwenem sɛ ɛnyɛ tebea horow te sɛ komayare ne ɔyare a ɛma obi hwe ase ano aduru anaa aduru a etwa to .
- Sɛ wowɔ mogya ntini a asiw ho sɛnkyerɛnne te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wo nan mu yɛ wo yaw bere a wonam a, kɔ wo duruyɛfo nkyɛn ntɛm ara . Fa wo ho to abɔde mu nhyehyɛe ahorow so na kwati sɛ wobɛtwentwɛn ayaresa ase.
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