Yɛn nyinaa nim sɛ yɛn koma ne ade titiriw a ɛma mogya fa nipadua no nyinaa mu. Te sɛ nsu motor. Enti, ɛsɛ sɛ mogya kronn a oxygen pii wom a koma yi bɔ no nya ɔkwan titiriw bi a ɛbɛfa so akyekyɛ wɔ nipadua no nyinaa mu. Saa mogya kwan titiriw, kɛse, na ɛyɛ den sen biara no ne aorta, anaa sɛnea yɛka wɔ Borɔfo kasa mu no, ‘Aorta’. Ɛnnɛ yɛrebɛka ‘Descending Aorta’ a ɛyɛ aorta yi fã a ɛho hia paa no ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Descending Aorta no?
‘Descending Aorta’ no yɛ aorta no fã a ɛware sen biara, mogya ntini kɛse a ɛwɔ wo nipadua mu. Sian kyerɛ sɛ ‘sɛ wobɛkɔ fam’. Enti, sɛnea edin no kyerɛ no, eyi ne aorta no fã a ɛkɔ fam. N’adwuma titiriw ne sɛ ɛde mogya a oxygen pii wom na ɛho tew fi koma no mu bɛkɔ fam afa wo koko ne wo yafunu mu. Ɛte sɛ nsu afiri titiriw a ɛde nsu kɔ kurow bi mu. Saa paipu titiriw yi nkorabata yɛ nkorabata nketewa de mogya kɔ nipadua no fã a aka no mu.
Afã abien na ɛwɔ eyi mu... ɛyɛ dɛn?
Ɛwom mpo sɛ mogya ntini a wɔfrɛ no Descending Aorta no nyinaa kɔ so de, nanso yɛka ho asɛm sɛ afã abien a egyina baabi a ɛwɔ so. Ɛte sɛ sɛ sɛ ɔkwan koro no ara fa nkurow abien mu a, wɔde din ahorow frɛ no wɔ kurow biara mu.
1. Descending Thoracic Aorta: Sɛ Descending Aorta no fa wo moma so (Thorax) a, yɛfrɛ saa fã no ‘Descending Thoracic Aorta’. ‘Thoracic’ yɛ aduruyɛ mu asɛmfua a wɔde di dwuma ma nneɛma a ɛfa koko ho.
2. Descending Abdominal Aorta: Saa mogya ntini yi sesa ne din bere a ɛfa diaphragm, ntini a ɛtetew wo koko ne wo yafunu mu no mu no. Wɔfrɛ ɔfã a ɛwɔ diaphragm no ase a ɛwɔ wo yafunu mu no Descending Abdominal Aorta. Ɛtrɛw fi wo yafunu atifi kosi bɛyɛ wo yafunu no fã.
Mma eyi nfrafra aorta no afã afoforo!
Ɛtɔ mmere bi a, aorta no afã horow betumi ayɛ tan. Momma yɛnkyerɛkyerɛ ɛno nso mu.
- So Thoracic Aorta ne Descending Aorta yɛ ade koro?
Dabi, eyinom nyɛ ade koro. ‘Thoracic Aorta’ kyerɛ aorta no fã a ɛfa koko no mu nyinaa. Ɛwɔ afã horow pii:
- Aortic root: Ntini no fã a ɛne koma no wɔ abusuabɔ.
- Ascending aorta: Ɔfã a efi ase fi koma no mu na ɛkɔ soro.
- Aortic arch: Ɔfã a ɛyɛ kurukuruwa a ɛwɔ soro, te sɛ dua nsa.
- Descending thoracic aorta: Eyi ne Descending Aorta a yɛreka ho asɛm no fã a ɛwɔ koko no mu.
Ɛno kyerɛ sɛ, Descending Aorta no fã bi yɛ Thoracic Aorta no dea.
- Nsonsonoe bɛn na ɛda Ascending ne Descending Aorta ntam?
Eyi yɛ mmerɛw yiye. Fa aorta no sɛ asɛmmisa agyiraehyɛde kɛse (?).
- Aorta a ɛforo kɔ soro no ne ɔfã a efi koma no mu kɔ soro.
- Aorta a ɛsiane no ne ɔfã a ɛkɔ fam wɔ saa curve no akyi. Ɛtrɛw fi koko so kosi yafunu no mu.
Ɔsom bɛn na Aorta a Ɛsiane no de ma yɛn nipadua?
Eyi ne ɔkwan kɛse a ɛde mogya kɔ yɛn nipadua no fã a ɛwɔ fam no. Ɛnam eyi so na mogya ntini nketenkete (nkorabata) a efi mu no fi mu no na yɛn akwaa a ɛho hia no pii nya mframa pa ne aduannuru.
| Nhyehyɛe atitiriw ne akwaa a wonya mogya | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nnuan a wɔyam | Ɛde mogya kɔ nipadua no afã horow te sɛ esophagus, yafunu, dwensɔtwaa nketewa ne akɛse. |
| Asaabo a ɛma obi nya asaabo | Ɛma mogya a ɛho hia no kɔ asaabo no mu, na ɛyi nneɛma fĩ fi nipadua no mu. |
| Ɔhome nhyehyɛe ne koko afasu | Ɔde mogya kɔ ahurututu ne koko mu ntini ahorow mu. |
| Awo nhyehyɛe | Ɔde mogya kɔ mmadwoa mu na ɛde mmarima awotwaa mu kɔ awotwaa mu. |
| Akyi berɛmo (akyi berɛmo) . | Ɛde mogya kɔ akyi berɛmo a ɛyɛ yɛn ntini a ɛho hia no mu. |
| Nan | Awiei koraa no, saa afiri yi mu paapae yɛ abien na ɛbɛyɛ ntini titiriw a ɛde mogya kɔ anan no mu. |
Momma yensua mogya ntini yi kɛse ne ne ntoatoaso nso ho ade.
Aorta no kɛse betumi ayɛ soronko kakra a egyina mfe a obi adi, nipadua kɛse, ne ɔbarima anaa ɔbea so. Wɔ ɔpanyin a ɔwɔ apɔwmuden mu no, sɛ wɔkyekyem pɛpɛɛpɛ a
- Mpɛn pii no , ahurututu mu aorta a ɛsiane no kɛse bɛyɛ sɛntimita 2.5 - 3 .
- Yafunu mu aorta a ɛsiane no kɛse taa yɛ bɛyɛ sɛntimita 2 .
Mogya ntini a ɛyɛ den yi yɛ ntini atitiriw abiɛsa:
1. Innermost layer (Tunica Intima): Mogya sen fa saa ɔfa yi mu. Ɛboa ma wodi mogya mmoroso so na ɛmma mogya ntumi nkɔ.
2. Mfinimfini fã (Media): Saa ɔfa yi wɔ ntini nketenkete ne nhama a ɛyɛ den a ɛboa ma mogya kɔ ɔkwan biako so. Saa ɔfa yi betumi ayɛ mmerɛw bere a obi nyin no.
3. Akyi fã (Adventitia): Ɛha na mogya ntini no nya n’ahoɔden ne ne nhyehyɛe.
Tebea bɛn na ɛka Descending Aorta no?
Esiane sɛ ɛyɛ adwuma a ɛho hia saa nti, mogya ntini yi a ɛsɛe no betumi ayɛ kɛse. Tebea a ɛtaa ba ne aortic aneurysm .
Sɛ yɛbɛka no tiawa a, aneurysm yɛ baabi a ɛyɛ mmerɛw wɔ mogya ntini bi fasu mu, na ɛma ɛpuepue te sɛ balloon. Eyi yɛ kɛse nkakrankakra na ebetumi apae da bi.
Ntini ahorow pii wɔ hɔ a ɛba wɔ aorta a ɛsiane no mu:
- Thoracic Aortic Aneurysm (TAA): Eyi ba wɔ aorta a ɛsiane wɔ koko no mu no mu. Mogya mmoroso, ahurututu a ɛba koko so, ne awosu mu nyarewa bi (e.g. Marfan Syndrome) betumi de aba.
- Abdominal Aortic Aneurysm (AAA): Eyi ne ntini a ɛtaa ba. Ɛba wɔ yafunu no mu. Ɛtaa ba nnipa a wɔadi boro mfe 65 so kɛse, titiriw mmarima a wɔnom sigaret . Nea ɛde ba titiriw ne srade a ɛwɔ mogya ntini mu (atherosclerosis) no.
- Thoracoabdominal Aortic Aneurysm (TAAA): Eyi yɛ ntini a ɛtrɛw fi koko mu kosi yafunu no mu.
Sɛ oduruyɛfo no hu sɛ ntini mu yare bi te sɛ eyi a, ɔbɛkɔ so ahwɛ denam mfoninitwa so. Sɛ enyin ma ɛyɛ hu a, ɔbɛhwehwɛ ayaresa ansa na nsɛnnennen a ɛde ne nkwa to asiane mu aba.
Nsɛnnennen abien a ɛyɛ hu sen biara:
1. Aneurysm Rupture: Ntini no fã a ayɛ kɛse no pae. Eyi betumi ama mogya atɔ nipadua no mu kɛse na wawu amonom hɔ ara mpo.
2. Type B Aortic Dissection (ɔfasu a wɔtetew): .Nsu a ɛtetew mogya ntini bi mu, na ɛma mogya fa nusu no mu kɔ baabi a ɛda ɔfasu no fã abien ntam no. Eyi nso betumi ama mogya ntini no apae anaasɛ atwa mogya a ɛkɔ akwaa ahorow mu no mu.
Saa tebea abien yi nyinaa yɛ aduruyɛ mu tebea horow a egye ntɛmpɛ a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara . Sɛ adwenem naayɛ ketewaa bi mpo wɔ hɔ a, ɛho hia yiye sɛ wokɔ ayaresabea Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
Dɛn ne tebea horow yi ho sɛnkyerɛnne?
Ade a ɛyɛ hu wɔ ha ne sɛ mpɛn pii no, tebea horow te sɛ ntini a ɛma mogya tu no nkyerɛ sɛnkyerɛnne biara wɔ ne mfiase . Ɛno kyerɛ sɛ wubetumi anya tebea bi a ɛyɛ hu a ɛrenya nkɔso wɔ wo nipadua mu a ɔhaw biara nni ho. Ɛno nti na ɛho hia sɛ wokɔ oduruyɛfo nkyɛn daa kɔhwɛ no.
Nanso, kɔkɔbɔ nsɛnkyerɛnne bi betumi ada adi bere a mogya mu ntini bi reyɛ apaapae no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ ntini bi reyɛ apae | |
| Yafunu mu yaw | Ɛte sɛ nea koma rebɔ wo yafunu mu. |
| Ɛyaw a ɛkɔ so daa | Ɛyaw a ɛkɔ so wɔ akyi, akyi, asen, anan, anaa yafunu mu. |
| Yafunu a ɛyɛ ma | Sɛ wote nka sɛ wo ho ayɛ wo ma kɛse bere a woadi kakra mpo akyi. |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ wo home yɛ den anaasɛ ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne a ɛhia sɛ wɔsa no ntɛm (Aneurysm Rupture / Dissection) . | |
| Ɛyaw a emu yɛ den mpofirim | Ɛyaw a wontumi nnyina ano wɔ koko, akyi atifi, anaa yafunu mu a ɛte sɛ nea sekan rebɔ anaasɛ ɛretetew. |
| Adwene a ɛyɛ basaa ne ti a ɛyɛ hare | Dizziness , aniwa a ɛyɛ bruu, anaasɛ ɔtotɔ piti. |
| Nneɛma afoforo a ɛwom | Fifiri a ɛyɛ nnam, koma bɔ ntɛmntɛm, ɔfe, kasa a ɛyɛ den, nipadua no fã biako a ɛyɛ mmerɛw. |
Sɛ wohu saa yareɛ a ɛhia ntɛm yi bi a, nsɛe bere na frɛ ambulance ntɛm ara na kɔ ayaresabea Emergency Treatment Unit (ETU). Sekan biara ho hia.
Ɔkwan bɛn so na wohu nyarewa yi?
Sɛ wo duruyɛfo susuw sɛ eyi bere a wayɛ wo nhwehwɛmu awie a, wɔbɛkamfo akyerɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu pii de si so dua.
- Yafunu mu Ultrasound Scan a Wɔde Hwɛ
- Kɔmputa so Tomography Angiography (CTA) Scan a Wɔde Yɛ Adwuma
- Magnetic Resonance Imaging (MRI) a Wɔde Hwɛ Nneɛma So
- Transesophageal Echocardiogram (TEE) a Wɔde Di Dwuma.
Saa nhwehwɛmu ahorow yi tumi hu sɛnea mogya ntini no kɛse, ne nsɛso, ne sɛ ebia mogya ntini no ahonhon anaasɛ atetew bi.
Dɛn ne ayaresa ahorow no?
Ayaresa no gyina wo ntini a ɛma mogya tu no kɛse, sɛnea ɛrenyin ntɛmntɛm, ne w’akwahosan nyinaa so.
- Hwɛ: Sɛ ntini a ɛma mogya tu no sua a, oduruyɛfo no betumi ahwehwɛ mu bere ne bere mu ahwɛ sɛ ɛreyɛ kɛse anaa.
- Nnuru: Wɔde nnuru ma de hwɛ mogya mmoroso ne srade dodow so. Eyinom betumi ama ntini a ɛma mogya tu no nyin ntɛmntɛm no ayɛ brɛoo.
- Oprehyɛn: Sɛ ntini a ɛma mogya tu no yɛ kɛse a asiane wom a, wɔyɛ oprehyɛn de yi ɔfã a ayɛ mmerɛw no na wɔde ntini a wɔayɛ (graft) si ananmu.
- Endovascular Aneurysm Repair (EVAR): Eyi yɛ adeyɛ a ɛnyɛ den pii. Wɔde stent a wɔde hyɛ nipadua no mu fa baabi ketewaa bi a wɔatwa wɔ asen no mu na ɛtrɛw mu fa ntini a ɛma mogya tu no so. Eyi ma mogya fa ntini foforo no mu, na ɛma nhyɛso a ɛwɔ ɔfasu a ahonhon no so no so tew.
Nkrasɛm a Wɔde Kɔ Fie
- Descending Aorta ne ɔkwan titiriw a ɛde mogya kɔ yɛn nipadua no fã a ɛwɔ fam no.
- Aortic aneurysm yɛ tebea a ɛma mogya ntini yi yɛ mmerɛw na ɛbɔ te sɛ balloon. Ebia eyinom renkyerɛ sɛnkyerɛnne biara wɔ mfiase no.
- Sigaretnom ne mogya mmoroso ne nneɛma atitiriw a ɛde tebea horow yi ba.
- Ɛyaw a ɛba mpofirim a wontumi nnyina ano wɔ koko anaa yafunu mu no yɛ ntɛmpɛ a ɛde ne nkwa to asiane mu. Kɔ ayaresabea ntɛm ara.
- Ɛdenam asetra pa a wubedi akyi (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wobɛkwati) so no, wubetumi ama wo koma ne ntini nhyehyɛe nyinaa, a wo aorta ka ho, anya apɔwmuden.
- Sɛ wowɔ asiane ahorow (e.g., abusua abakɔsɛm a ɛfa ntini mu yare, mogya mmoroso, sigaretnom) ho a, wo ne wo duruyɛfo nka ho asɛm na yɛ nhwehwɛmu a ɛho hia.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho