So wo ba kumaa no home mu yɛ den te sɛ eyi? Momma yɛnka "Double Aortic Arch" ho asɛm!

So ɛtɔ mmere bi a wo ba kumaa no te nka sɛ ɛyɛ den ma no sɛ ɔbɛhome? So ne menewa bere a ɔrema aduan anaa ɔrema nufu no? Anaasɛ ɔyɛ dede a ɛyɛ nwonwa bere a ɔrehome no? Bere a ebia eyinom yɛ mmofraberem nyarewa a abu so no, tebea bi a emu yɛ den kɛse, nanso wobetumi asa, betumi aba wɔ eyi akyi. Tebea a ɛte saa a ɛntaa nsi nanso ɛho hia a ɛsɛ sɛ wohu no, wɔfrɛ no "Double Aortic Arch." Momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Sɛ yɛbɛka no tiawa a, mogya ntini titiriw a ɛde mogya fi wo ba no koma mu kɔ ne nipadua no fã a aka no ne aorta . Mpɛn pii no, ɛyɛ anwenne biako a ɛsõ. Wɔfrɛ saa ntini yi fã a ɛyɛ kurukuruwa a ɛwɔ koma no atifi no aortic arch .

Nanso, wɔ akokoaa a ɔwɔ "Double Aortic Arch" mu no, saa "aortic arch" yi yɛ abien. Ɛne sɛ, mogya ntini foforo bi bata saa "aortic arch" titiriw yi ho, na ɛyɛ arch a ɛto so abien. Saa abrannaa abien yi bom, na ɛyɛ nkaa bi twa akokoaa no mframa kwan (afiri a ɛma mogya tu) ne aduan paipu (esophagus) ho hyia . Wo de susuw ho hwɛ, sɛ wɔsiw saa mpɛtea yi ano a, dɛn na ɛba? Ɛno na akokoaa no fi ase nya sɛnkyerɛnne a emu yɛ den te sɛ ɛyɛ den sɛ ɔbɛhome, dede a ɔyɛ bere a ɔrehome, ne aduan a ɛyɛ den sɛ ɔbɛmene.

Saa "aortic arch" yi ba wɔ nyinsɛn no mfiase pɛɛ, wɔ adapɛn abien kosi ason ntam. Wɔ saa bere yi mu no, koma ne mogya ntini no nyin wɔ ɔkwan a ɛyɛ den yiye so. Afã horow bi hyehyɛ, na bere bi akyi no, ɛho nhia bio na ɛyera. "Double aortic arch" no yɛ nea ɛba esiane biribi te sɛ eyi nti. Bɛyɛ nyinsɛn no dapɛn a ɛto so anum no, mogya ntini bi a anka ɛsɛ sɛ ɛyera, esiane biribi a wonnim nti, yera na saa "aortic arch abien" yi ba. Eyi yɛ komayare a wɔde wo awo , a ɛkyerɛ sɛ wɔde bi na ɛwo akokoaa no.

Saa tebea yi a wɔfrɛ no "double aortic arch" no ka koma mu dɛmdi kuw bi a wɔde awo wɔn a wɔfrɛ no "vascular rings" ho. Eyinom ma akokoaa no mframa kwan ne ne hwene no mu yɛ den.

Dɛn ne saa "vascular rings" yi?

Okay, "Vascular Rings" yɛ, sɛnea madi kan aka no, tebea horow a "aortic arch" no nyin wɔ ɔkwan a ɛnteɛ so, a ebetumi ama akokoaa no mframa afiri (trachea), aduan paipu (esophagus), anaa abien no nyinaa ayɛ nea wɔahyɛ no den. Eyinom yɛ koma mu dɛmdi ahorow a wɔwo wɔn a wɔntaa nhu koraa . Susuw ho hwɛ, wɔwo nkokoaa 100 biara mu bɛyɛ biako a ɔwɔ komayare bi a efi awo mu. Nanso "vascular ring" ka nkokoaa 10,000 biara mu biako pɛ. Ɛyɛ nea ɛntaa nsi saa.

Dɛn ne "Vascular Rings" ahorow atitiriw?

Saa "vascular rings" yi ahorow atitiriw pii wɔ hɔ. Ma yɛnhwɛ nea wɔyɛ:

• Double Aortic Arch: Wɔ eyi mu no, "aortic arches" abien (benkum ne nifa) twa ahurututu ne aduannoa mu ho hyia. Eyi ne asɛmti titiriw a yɛreka ho asɛm.
• Nifa aortic arch a aberrant benkum subclavian artery ne benkum ligamentum: Aortic arch biako wɔ ha, nanso ɛwɔ trachea no nifa so (mpɛn pii no ɛwɔ benkum so). Wɔ eyi mu no, benkum subclavian artery a ɛde mogya kɔ akokoaa no nsa mu no fi ase wɔ aorta no so na ɛfa trachea ne esophagus akyi. Wɔnam benkum so ligamentum arteriosus, mogya ntini bi a na ɛwɔ hɔ bere a awotwaa no nkwa nna mu na afei ɛyera no nkae so na ewie saa ntini mpɛtea yi.
• Benkum so aortic arch a aberrant right subclavian artery: Ɛha yi, nifa subclavian artery no fa trachea ne esophagus akyi, na ɛmia wɔn.
• Innominate artery compression: Innominate (brachiocephalic) ntini no yɛ aorta no nkorabata bi. Wɔ eyi mu no, efi ase wɔ ahurututu no benkum so, afei ɛtwam wɔ ahurututu no anim kɔ nifa so. Eyi de nhyɛso ba ahurututu no so.
• Pulmonary artery sling: Ahurututu mu ntini benkum no fi ase fi ahurututu mu ntini nifa so na ɛfa ahurututu ne aduan mu ntini ntam.

Nea ɛkɔ so wɔ eyinom nyinaa mu ne sɛ mframa kwan anaa ɛwo kwan no nya nkɛntɛnso wɔ ɔkwan bi so.

So "Double Aortic Arch" ahorow bi wɔ hɔ?

Yiw, "double aortic arch" ahorow atitiriw abiɛsa na ɛwɔ hɔ. Wɔde abrannaa bɛn na ɛsõ, ne sɛ ebia saa abrannaa kɛse no wɔ ahurututu no nifa anaa benkum so na ɛma eyinom da nsow.

• Dominant right arch with a small left arch: Eyi ne nea ɛtaa ba, na ɛba bɛyɛ ɔha biara mu nkyem 80 mu.
• Benkum so adum a ɛwɔ tumi kɛse a ɛwɔ nifa so anim ketewaa bi: Wohu eyi wɔ bɛyɛ ɔha biara mu nkyem 10 mu.
• Arches a ɛkari pɛ: Wohu eyi nso wɔ bɛyɛ ɔha biara mu nkyem 10 mu.

"Vacular ring" bɛn na wɔtaa hu?

Ná nnuruyɛfo susuw sɛ "double aortic arch" ne "vascular ring" a abu so sen biara. Nanso nhwehwɛmu foforo ada no adi sɛ "right aortic arch" no abu so kɛse ankasa.

Nanso biribi foforo nso wɔ hɔ. Nkokoaa a wɔwɔ "right aortic arch" no taa nya koma mu dɛmdi afoforo a wɔde awo wɔn sen nkokoaa a wɔwɔ "aortic arch abien." Nanso, ɛnyɛ den koraa sɛ wobehu wɔn wɔ awo mu. Eyi te saa efisɛ ebia "right aortic arch" remma sɛnkyerɛnne ahorow mma wɔ mfiase no. Enti, ebia ɛho behia sɛ wɔyɛ oprehyɛn ma ɔhaw yi wɔ asram 6 kosi 18 ntam.

Tebea bi a wɔfrɛ no ``Double Aortic Arch'' ne ntini mu ring a ɛtaa ba. Enti, wo ba no oduruyɛfo betumi ahu ɔhaw no ntɛm. Sɛ wɔde toto nkokoaa a wɔwɔ ntini mu nkaa afoforo ho a, ebia nkokoaa a wɔwɔ ``Double Aortic Arch'' no behia oprehyɛn wɔ awo akyi bere tiaa bi.

Dɛn ne "Double Aortic Arch" ho sɛnkyerɛnne?

"Double aortic arch" ho sɛnkyerɛnne taa ba bere a wɔahyɛ akokoaa no mframa afiri, aduannuru, anaa n'abien nyinaa mu no. Saa nhyɛso yi betumi aka akokoaa no home, aduan a ɔde ma, anaa ne koma dwumadi.

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi da adi wɔ mmofraase (titiriw sɛ tebea no mu yɛ den a), nanso ɛtɔ mmere bi a ebetumi ada adi ntɛm ara wɔ mfe abiɛsa mu, anaasɛ mpo wɔ mmerantebere ne mmabaabere mu.

Some children may be misdiagnosed as having asthma because the symptoms are similar. Bere a ayamtu ayaresa di nkogu na wɔyɛ nhwehwɛmu foforo nkutoo na wohu tebea no.

Ɔhome mu sɛnkyerɛnne ahorow

Nkokoaa ne mmofra a wɔwɔ "double aortic arch" no mu bɛyɛ ɔha biara mu 91 nya saa sɛnkyerɛnne ahorow a ɛfa ɔhome ho yi. Wɔne:

• Nnyigyei a ɛyɛ nwonwa bere a wɔrehome (nnyigyei a ɛkorɔn a wɔfrɛ no `stridor` anaa nnyigyei a ɛyɛ hu a wɔfrɛ no `wheezing`) .
• Ɔfe a ɛte sɛ "seal barking." Eyi te sɛ ɔfe a ɛba wɔ tebea bi a wɔfrɛ no "croup" mu.
• Ɔhome akwaa a ɛba fam a wɔtaa nya .

Yafunu mu sɛnkyerɛnne ahorow

Nkokoaa ne mmofra a wɔwɔ "double aortic arch" no mu bɛyɛ ɔha biara mu nkyem 40 nya saa aduan mu sɛnkyerɛnne ahorow yi. Nea ɛka ho ne:

• Ne menewa bere a ɔrema nufu anaa ɔrema no aduan.
• Ɛyɛ den sɛ ɔbɛmene (dysphagia) . Eyi taa da adi bere a akokoaa no afi ase adi nnuan a ɛyɛ den akyi.
• Ɛyɛ den sɛ wobɛma wo mu duru ayɛ kɛse .
• Aduan a ɛsan ba soro kɔ menewa no mu (`Regurgitation/reflux`) .

Koma mu sɛnkyerɛnne ahorow

Nkokoaa ne mmofra a wɔwɔ "double aortic arch" no mu bɛyɛ ɔha biara mu nkyem 30 nya koma ho sɛnkyerɛnne ahorow. Eyinom bi ne:

• Koko mu yaw .
• Koma mu nnyigyei a ɛnteɛ (`Koma mu nwiinwii`) .
• Wora a ɛyɛ bruu (cyanosis) .

Dɛn na ɛde "Double Aortic Arch" ba?

Wonnya nhuu nea ɛde "double otic arch" ba ankasa . Ɛwom sɛ wɔtaa hu tebea yi wɔ nkokoaa a wɔnam "in-vitro fertilization" (IVF) so nyinsɛn wɔn mu de, nanso wonnim nea ɛde ba ankasa.

Wobetumi de aortic arch abien nso abata aduruyɛ mu tebea afoforo ho. Nkokoaa a wɔwɔ aortic arch abien no mu bɛyɛ ɔha biara mu 12 wɔ koma mu dɛmdi foforo a wɔde awo wɔn, te sɛ ventricular septal defect (VSD) ne tetralogy of Fallot . Afei nso, nkokoaa a wɔwɔ aortic arch abien no mu bɛyɛ ɔha biara mu 20 wɔ awosu mu tebea horow te sɛ chromosome 22q11 deletion ne trisomy 21 (Down syndrome) .

Ɔkwan bɛn so na wobehu "Double Aortic Arch"?

Wɔnam akwanhyia mu na wohu sɛ ɛwɔ aortic arch abien no mu anaasɛ bere a sɛnkyerɛnne ahorow no afi ase no. Ɛtɔ mmere bi a, wohu no wɔ akwanhyia mu bere a wɔyem, wɔ awo akyi, anaa bere a wɔreyɛ mfoninitwa nhwehwɛmu a wɔyɛ esiane biribi foforo nti. Efi afe 2004 no, nnipa dodow a wohu sɛ wɔwɔ saa tebea yi denam scan so bere a wɔyem no akɔ soro. Eyi so wɔ mfaso kɛse, efisɛ wobetumi ayɛ ayaresa ho nhyehyɛe bere a wɔawo akokoaa no ara pɛ.

Anaasɛ, wobetumi ahu bere a yare no ho sɛnkyerɛnne ahorow da adi wɔ akokoaa no awo akyi no. Wo ba no duruyɛfo ne wo bɛkasa afa sɛnkyerɛnne ahorow no ho na afei wayɛ nhwehwɛmu ahorow bi.

Sɔhwɛ ahorow a wɔde hu sɛ "Double Aortic Arch".

Sɔhwɛ atitiriw a wɔde hu tebea yi ne:

• Chest X-ray: Mpɛn pii no, eyi ne nhwehwɛmu a edi kan a wɔyɛ.
• CT scan a wɔde yɛ adwuma.
• Echocardiogram (Echo) sɔhwɛ: Eyi boa kɛse ma wohu sɛ ebia komayare afoforo wɔ hɔ anaa.
• MRI (MRI) nhwehwɛmu.

Ɛtɔ mmere bi a, wobetumi ayɛ ahurututu mu nhwehwɛmu de ahwɛ akokoaa no mframa afiri mu. Wobetumi ayɛ eyi de abua ɔhome a ɛyɛ den ansa na wɔahu sɛ aortic arch abien wɔ hɔ. Anaasɛ, wobetumi ayɛ ansa na wɔayɛ oprehyɛn de aboa oduruyɛfo a ɔyɛ oprehyɛn no ma wahu nea ɛde ɔhaw no reba.

Awosu mu nhwehwɛmu boa ma wohu awosu mu tebea horow.

Ɔkwan bɛn so na wɔbɛsa "Double Aortic Arch"?

Ɛsɛ sɛ wɔyɛ oprehyɛn de siesie tebea a ɛne "double aortic arch" no. Wɔ nkokoaa a wonni sɛnkyerɛnne biara mpo fam no, eye sɛ wɔbɛyɛ oprehyɛn bere a wɔadi asram 6 kosi 9. Nkokoaa a wɔn yare no ho sɛnkyerɛnne, titiriw sɛ sɛnkyerɛnne no mu yɛ den a, ebia ebehia sɛ wɔyɛ wɔn oprehyɛn ntɛm mpo.

Susuw ho hwɛ, wodii kan huu tebea "double aortic arch" no wɔ afe 1737. Wɔyɛɛ oprehyɛn a edi kan maa no wɔ 1947. Hwɛ sɛnea yɛadu akyiri fi saa bere no! Nkokoaa a wɔwɔ awo mu dɛmdi yi atumi atra ase akyɛ na wɔanya apɔwmuden esiane oprehyɛn a wɔde sa wɔn nti.

"Double Aortic Arch" oprehyɛn a wɔyɛ no

"Double Aortic Arch" oprehyɛn no yɛ nea ahobammɔ wom kɛse, na nea efi mu ba no di yiye kɛse . Ɛho renhia sɛ wɔde wo ba no bata "cardiopulmonary bypass" (koma-ahurututu afiri) ho .

Wɔde ɔkwan bi a wɔfrɛ no "lateral thoracotomy" na ɛyɛ oprehyɛn no. Eyi kyerɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn no twa akokoaa no koko fã biako, wɔ mparow abien ntam. Wɔtaa yɛ eyi wɔ benkum so, efisɛ ɛhɔ na nkokoaa dodow no ara wɔ saa "extra" rib cage ketewa no. Mfoninitwa nhwehwɛmu a wɔyɛ ansa na wɔreyɛ oprehyɛn no ma oduruyɛfo a ɔyɛ oprehyɛn no tumi hwɛ akokoaa no nipadua mu yiye na ɔyɛ oprehyɛn no ho nhyehyɛe sɛnea ɛfata.

Oduruyɛfo a ɔyɛ oprehyɛn no de "ligating and dividing" kwan di dwuma . Eyi kyerɛ sɛ wɔkyekyere abrannaa ketewa no na ama mogya a ɛretu fa mu no agyae. Afei wotwitwa na wɔpam. Wɔsan yɛ saa adeyɛ yi kosi sɛ wɔbɛtetew abrannaa no mu koraa na nhyɛso a ɛwɔ mframa afiri ne aduannoa mu no afi hɔ.

Wo ba no bɛtra ayaresabea bɛyɛ dapɛn biako, afei ne ho atɔ no na waba fie.

Ayaresa a wɔde sa "Kommerell diverticulum" (`Kommerell diverticulum - KD`) ho asɛm.

Ɛntaa mma sɛ nkokoaa binom a wɔwɔ "aortic arch abien" nso betumi anya biribi a wɔfrɛ no "Kommerell diverticulum (KD)." Eyi taa ba nkokoaa a wɔwɔ "aortic arch nifa" mu kɛse, nanso ɛntaa nsi koraa wɔ "aortic arch abien" nso mu.

Saa `KD` yi yɛ `aneurysm`, mogya ntini a ɛkɔ so wɔ `aorta` a ɛsiane a ɛbɛn `aortic arch` no mu. Saa akisikuru yi betumi agye baabi na amia akokoaa no mframa afiri ne aduan afiri no so. Ebia ɛremma ɔhaw biara mma ntɛm ara. Nanso, nnuruyɛfo a wɔyɛ oprehyɛn ani gye ho sɛ wobeyi eyi nso afi hɔ bere a wɔrebɔ `double aortic arch` no de asiw ɔhaw ahorow ano akyiri yi no.

Koma mu dɛmdi afoforo a wɔsa

Sɛ wo ba no wɔ komayare afoforo a ɛsɛ sɛ wɔyɛ no oprehyɛn a, wobetumi ayɛ no bere koro no ara mu ne aortic arch a ɛbɔ ho abien no. Ebia eyi bɛhwehwɛ sɛ wɔyɛ adeyɛ bi a wɔfrɛ no ``median sternotomy'' , a nea ɛka ho ne sɛ wɔbɛtwa obi akɔ fam wɔ koko no mfinimfini. Wo ba no oprehyɛn ho oduruyɛfo no bɛka ɔkwan a eye sen biara a wobɛfa so, a egyina nsɛm a ɛsɛ sɛ wɔsa so.

Dɛn ne nsɛnnennen a ebetumi afi oprehyɛn mu aba?

Asiane a ɛwɔ nsɛnnennen a efi aortic arch oprehyɛn abien mu ba no sua koraa . Ɛntaa mma sɛ ebetumi ayɛ den ama akokoaa no sɛ ɔbɛma no aduan anaasɛ obenya ɔhome mu haw a ɛkɔ so daa. Sɛ ɔhome mu haw bi a ɛkɔ so daa wɔ hɔ a, ɛtaa kɔ wɔ afe biako akyi wɔ oprehyɛn no akyi.

Nsɛnnennen a ɛwɔ oprehyɛn a wɔyɛ de siesie aortic arch abien ne koma mu dɛmdi afoforo mu no betumi ayɛ soronko. Wo ne wo ba no oprehyɛn ho oduruyɛfo nsusuw asiane ne nsɛnnennen yi nyinaa ho.

So wobetumi asiw "Double Aortic Arch" ano?

Dabi, wontumi nsiw tebea bi a wɔfrɛ no "double aortic arch" ano . Ɛyɛ biribi a ɛba ntɛm wɔ nyinsɛn mu na ɛwɔ hɔ bere a wɔawo no.

Dɛn ne nnipa a wɔwɔ "Double Aortic Arch" daakye?

Nkokoaa ne mmofra a wɔayɛ wɔn oprehyɛn "Double Aortic Arch" no wɔ daakye a ɛyɛ anigye yiye . Wotumi tra ase na wɔde wɔn ho hyɛ nneɛma a wɔtaa yɛ mu a anohyeto biara nni ho.

Wɔ oprehyɛn no akyi no, ebia wo ba no bɛkɔ so ahome dede akosi afe biako. Eyi te saa efisɛ akokoaa no mframa afiri no nnyinii koraa esiane "aortic arch abien" nti. Enti, ebegye bere kakra ansa na mframa afiri no ayɛ den.

Ɛntaa mma sɛ nkokoaa ne mmofra da so ara wɔ ɔhome ho sɛnkyerɛnne bɛboro afe biako wɔ oprehyɛn akyi.

Ade a ɛho hia sen biara ne sɛ wode wo ba bɛkɔ akɔhwɛ no daa na sɛ wowɔ sɛnkyerɛnne bi a ɛkɔ so a, wobɛka akyerɛ wo duruyɛfo. Ɔhwɛ a wɔde di akyi bere tenten ho hia yiye ma abofra biara a wɔayɛ no koma oprehyɛn.

Bere bɛn na ɛsɛ sɛ mefrɛ me ba no oduruyɛfo?

Sɛ wuhu sɛnkyerɛnne foforo biara, anaasɛ ɛte sɛ nea sɛnkyerɛnne a ɛwɔ hɔ dedaw no reyɛ kɛse a, wo ne wo ba no duruyɛfo nkasa ntɛm ara. Nkokoaa ne mmofra nkumaa sesa araa ma ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu nea ɛyɛ daa ne nea ɛnteɛ. Nanso sɛ wo ba no wɔ saa ɔfe a ɛte sɛ "nsɔano" no anaasɛ nnyigyei a ɛyɛ hu a , ka kyerɛ wo duruyɛfo ntɛm ara. Ebetumi ayɛ mmofraberem yare a ɛfata. Nanso ɛntaa mma sɛ ebetumi ayɛ koma mu haw bi a ɛreka sɛnea wo ba no home ho sɛnkyerɛnne.

Bere bɛn na ɛsɛ sɛ wofrɛ 911 (nɔma a egye ntɛmpɛ)?

"Double aortic arch" betumi de nhyɛso a ɛde ne nkwa to asiane mu aba wo ba no mframa kwan so. Sɛ wo ba no honam ani yɛ bruu (cyanosis) , anaasɛ ɛyɛ den ma wo ba no sɛ ɔbɛhome a , frɛ 911 ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me ba no oduruyɛfo?

Sɛ wohu sɛ wo ba no wɔ "double aortic arch" a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii. Ɛho hia sɛ wuhu wo ba no tebea, a bere a ɛho hia sɛ wɔyɛ no oprehyɛn ka ho, ne sɛ ebia wo ba no wɔ akwahosan ho haw foforo biara anaa. Ebia wobɛpɛ sɛ wubisa nsɛm te sɛ:

• Bere bɛn na ɛsɛ sɛ wɔyɛ me ba no oprehyɛn?
• Ɛhe na wɔyɛ oprehyɛn no? Hena na ɔreyɛ no?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye wɔ fie?
• Dɛn na metumi ayɛ na ama ayɛ mmerɛw ama me ba no sɛ ɔbɛtra fie?
• So me ba no wɔ komayare afoforo?
• So ɛsɛ sɛ meyɛ awosu mu nhwehwɛmu ma me ba anaa m’abusuafo a aka no?
• Me ba no daakye bɛyɛ dɛn?

Dɛn ne "Aortic Arch Syndrome"? So ɛyɛ soronko wɔ "Double Aortic Arch" ho?

Yiw, mma abien no nnyɛ basaa. "Aortic Arch Syndrome" yɛ "Vasculitis" a ɛntaa nsi koraa . Wɔsan frɛ no "Takayasu ntini mu yare" .

"Vasculitis" yɛ wo mogya ntini afasu a ɛyɛ hyew. Ebetumi aba wɔ mogya ntini biara mu, mogya ntini nketenkete mpo, ntini nketenkete no mu. "Takayasu ntini mu yare" yɛ mogya ntini a ɛyɛ mfinimfini ne akɛse a ɛyɛ hyew. Ɛtaa ba "aortic arch" ne ne nkorabata atitiriw no mu. Ɛno nti na wɔsan frɛ no "aortic arch syndrome."

Takayasu ntini mu yare (a wɔsan frɛ no "aortic arch syndrome") ba wɔ mmerante ne mmabaa a wɔadu mpanyin afe so ne mmerante ne mmabaa a wɔadu mpanyin afe so mu . Eyi yɛ ɔhaw soronko koraa sen awo mu "double aortic arch" a yɛadi kan aka ho asɛm no, na ɛsono ayaresa a wɔhwehwɛ.

Mpɛn pii no, akokoaa awo yɛ anigye ne afahyɛ bere. Nanso, sɛ wuhu sɛ wo ba no wɔ komayare bi, wɔ nyinsɛn mu anaa n’awo akyi a, dadwen ne adwenem naayɛ besi saa anigye no ananmu. Sɛ woahu nkyɛe sɛ wo ba no wɔ "double aortic arch" a, ebia woresusuw nea edi hɔ ho.

Nha wo ho. W’aduruyɛfo kuw no bɛboa wo wɔ eyi nyinaa mu anammɔn biara. Woatu ade a edi kan dedaw, a ɛne sɛ wubesua wo ba no tebea ho ade pii. Asɛmpa no ne sɛ oprehyɛn a wɔyɛ wɔ aortic arch abien no yɛ nea ahobammɔ wom kɛse na edi mu. Sɛ wo ba no wɔ komayare foforo anaa awosu mu tebea horow a, ayaresa betumi ayɛ den kakra. Nanso, esiane nkɔso a aba wɔ mmofra a wɔawo wɔn foforo hwɛ mu nti, wubetumi aboa wo ba no ma wanya ɔhwɛ a ɛfata a ohia, ne ho atɔ no, na wanya mmofraberem anigye.

Enti, nneɛma bɛn na ɛho hia sen biara a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, ma yɛmmɔ nneɛma bi a ɛsɛ sɛ wode sie w'adwene mu no mua mfi nea yɛaka ho asɛm a ɛfa "Double Aortic Arch" yi ho:

• "Double aortic arch" yɛ koma mu dɛmdi a wɔde awo obi . Akokoaa no aorta no mu apaapae ayɛ no abrannaa abien, na ɛma ahurututu ne aduan mu ntini no mia.
• Nsɛnkyerɛnne titiriw ne ɔhome a ɛyɛ den, ahomegye, ɛyɛ den sɛ ɔbɛmene, ne ɔhome mu nyarewa a ɛtaa ba .
• Wɔnam nhwehwɛmu te sɛ `CT scan`, `MRI`, `Echocardiogram` so na ɛkyerɛ saa tebea yi. Ɛtɔ da mpo a, wotumi hu sɛ ɛwɔ nyinsɛn mu.
• Ayaresa no ne oprehyɛn . Saa oprehyɛn yi yɛ nea ahobammɔ wom kɛse na edi mu.
• Wɔ akokoaa no fam wɔ oprehyɛn akyiWubetumi abɔ bra a ɛfata na apɔwmuden wom.
• Sɛ wo ba no wɔ sɛnkyerɛnne ahorow te sɛ ɛyɛ den sɛ ɔbɛhome anaasɛ ne menewa a, hwehwɛ aduruyɛfo afotu ntɛm ara .
• Nha wo ho . Bere a nnɛyi nnuruyɛ anya nkɔso no, wobetumi asa saa tebea yi yiye. W’aduruyɛ kuw no bɛma wo mmoa a wuhia.

` Double Aortic Arch, Koma Yare a Wɔde Awo Wɔn, Ntini Ntini, Nkokoaa Asphyxia, Nkokoaa Akwahosan, Koma Oprehyɛn