Mogya ntini atitiriw a ɛde mogya kɔ yɛn amemene, yɛn ti, ne yɛn anim no wɔ yɛn kɔn no afã abien no nyinaa. Eyinom te sɛ akwan akɛse a ɛwɔ yɛn nipadua mu no. Susuw sɛnea anka ɛbɛyɛ sɛ akwan akɛse yi biako wɔ ɔfasu a ɛyɛ mmerɛw na ɛpuepue te sɛ balloon a, hwɛ. Ɛno ne nea yɛreka ho asɛm nnɛ, carotid artery aneurysm. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ hu kakra de, nanso ɛho hia sɛ wuhu.
Dɛn ne Carotid Artery Aneurysm a Ɛyɛ Fɛ?
Sɛ yɛbɛka no tiawa a, carotid artery aneurysm yɛ tebea a mogya ntini kɛse bi (carotid artery) a ɛde mogya fi wo kɔn afã abien no nyinaa kɔ w’amemene mu no fasu no fã bi brɛ ase, na ɛma mogya mmoroso no pue kɔ abɔnten te sɛ ahurututu.
Susuw balloon a wɔde mframa gu mu ho hwɛ. Balloon no fasu yɛ tratraa bere a ɛrehuruhuruw no, ɛnte saa? Sɛ woma mframa bɔ kɛse a, dɛn na ɛba? Ɛpae. Saa na saa aneurysm yi bue. Bere kɔ so no, ebetumi ayɛ kɛse. Bere a ɛreyɛ kɛse no, n’afasu no yɛ teateaa, na asiane wɔ hɔ sɛ ɛbɛpaapae da bi. Enti dodow a aneurysm yɛ kɛse no, dodow no ara na ebetumi ayɛ nea asiane wom kɛse.
Tebea yi betumi ayɛ aniberesɛm dɛn?
Carotid artery aneurysms yɛ tebea a emu yɛ den a ɛka mogya ntini a ɛde mogya kɔ yɛn amemene mu tẽẽ no, enti ɛnyɛ biribi a ɛsɛ sɛ yɛfa no adewa. Nanso, ɛnyɛ ntini a ɛma mogya tu nyinaa na asiane wom pɛpɛɛpɛ. Ebinom sua koraa na etumi tra hɔ mfe pii a ɛmma ɔhaw biara mma.
Nanso asiane atitiriw abien na ɛwɔ hɔ:
1. Mogya a ɛtwetwe: Mogya a ɛtwetwe no betumi ayɛ ntini a ɛma mogya tu no mu, na ne fã bi betumi abubu na akɔhyɛ mogya ntini ketewaa bi mu wɔ amemene no mu. Eyi betumi atwa mogya a ɛkɔ amemene no mu no mu na ama obi anya bere tiaa mu ischemic attack (TIA) , "mini stroke," anaasɛ ischemic stroke a edi mũ .
2. Aneurysm rupture: Sɛ aneurysm kɛse bi pae a, ebetumi ama mogya atu kɛse akɔ amemene no mu anaa atwa ho ahyia. Wɔfrɛ akisikuru a efi mu ba no sɛ mogyatɔw a ɛma obi hwe ase . Eyi yɛ tebea a egye ntɛmpɛ a anibere wom yiye na ebetumi de nkwa ato asiane mu.
Nsonsonoe bɛn na ɛwɔ nokware ne atoro ntini mu?
Eyi yɛ aduruyɛ mu ade kakra, nanso momma yɛnte ase kɛkɛ. Yɛn mogya ntini no fasu yɛ nsensanee abiɛsa.
- Nokware Aneurysm: Eyi ne bere a ntini no fã abiɛsa no nyinaa yɛ mmerɛw na ɛbɔ kɔ abɔnten. Mpɛn pii no, srade a ɛwɔ ntini no afasu mu (atherosclerosis) na ɛde eyi ba.
- Atoro Aneurysm anaa Pseudoaneurysm:Eyi ne bere a mogya ntini no fasu no fã biako anaa abien sɛe, na ɛma mogya bi tu fi mu na ɛboaboa ano twa mogya ntini no ho hyia, na ɛyɛ ahurututu. Sɛ yɛbɛka no katee a, eyi nyɛ mogya a ɛtɔ ankasa. Ebetumi aba esiane akwanhyia, ɔyare mmoawa, anaa ayaresa bi a ɛyɛ den nti.
Nneɛma abien no mu biara betumi de nsɛnnennen aba, enti ebia ebehia sɛ wɔsa abien no nyinaa yare.
Hena na ɛda adi kɛse sɛ obenya saa tebea yi? Na so ɛtaa ba?
Ɛwom sɛ carotid artery aneurysms betumi aba wɔ ɔpanyin biara mu de, nanso ɛtaa ba nnipa a wɔadi fi mfe 50 kosi 60. Ɛntaa mma mmofra nso.
Nanso asɛmpa no ne sɛ eyi yɛ tebea a ɛntaa nsi koraa . Carotid artery aneurysms no nnu 1% wɔ ntini a ɛwɔ nipadua no mu nyinaa mu.
Dɛn ne eyi ho sɛnkyerɛnne?
Mpɛn pii no, saa ntini ahorow yi betumi aba a enni sɛnkyerɛnne biara. Ɛtɔ mmere bi a, wohu wɔn wɔ akwanhyia mu bere a wɔyɛ biribi te sɛ ti scan esiane biribi foforo nti no.
Nanso sɛ sɛnkyerɛnne ahorow ba a, ɛtaa yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase anaasɛ bere tiaa mu ischemic attack (TIA).
TIA betumi ayɛ kɔkɔbɔ sɛnkyerɛnne a anibere wom a ɛkyerɛ sɛ ɔyare kɛse bi reba wɔ nna anaa adapɛn a ɛreba no mu, enti ɛho hia sɛ wohwɛ saa sɛnkyerɛnne ahorow yi yiye.
| Nsɛnkyerɛnne a egye ntɛmpɛ a ɛkyerɛ sɛ woanya ɔyare a ɛma obi hwe ase anaa TIA - sɛ wowɔ eyinom mu biara a, kɔ ETU ntɛm ara! | |
|---|---|
| Aniwa a ɛyɛ mmerɛw mpofirim | Aniwa biako anaa abien no nyinaa a ɛyɛ kusuu anaasɛ ɛyera. |
| Nipadua no fã biako a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw | Anim, nsa, anaa nan fã biako a wɔte nka sɛ wo ho ayɛ wo yaw. (e.g., anim no fã biako a ɛrehwe ase) . |
| Ɔkasa a ɛyɛ den | Nsɛmfua a wɔde di dwuma ɔkwammɔne so, ɛyɛ den sɛ wobɛte nea wɔreka no ase. |
| Ɛyɛ den sɛ wobɛnantew ne sɛ wobɛkari pɛ | Adwene a ɛyɛ basaa, ontumi nnyina hɔ, twetwe kɔ ɔfã biako bere a wonam no. |
| Tiyɛ a emu yɛ den mpofirim | Tiyɛ a emu yɛ den a efi ase mpofirim a ɛte sɛ nea ebi mmae da. |
Sɛ wuhu sɛnkyerɛnne ahorow a ɛte sɛɛ a, ebia w’ankasa worentumi mfrɛ ayaresabea hɔ. Enti, ɛho hia paa sɛ wobɛbɔ nnipa a wɔwɔ wo fie amanneɛ wɔ eyi ho.
Nsɛnkyerɛnne afoforo
Wɔ ɔyare a ɛma obi hwe ase ho sɛnkyerɛnne akyi no, sɛ ntini a ɛma mogya tu no nyin kɛse ma ɛpia ntini afoforo anaa mogya ntini a ɛwɔ kɔn no mu a, sɛnkyerɛnne ahorow te sɛ:
- Tipaeɛ
- Ɛnne a ɛyɛ den
- Kɔn mu yaw
- Anim a ɛho ahonhon
- Te nka sɛ akuru bi wɔ kɔn mu na ɛrebɔ
- Ɛyɛ den sɛ wobɛmene aduan
- Anisoadehu ho haw afoforo
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara na ka ho asɛm kyerɛ wɔn.
Dɛn nti na ntini a ɛma mogya tu no ba saa? Dɛn na ɛde ba?
Nneɛma pii wɔ hɔ a ebetumi ama obi anya carotid artery aneurysm.
- Atherosclerosis: Eyi ne ade titiriw a ɛtaa de ba. Saa tebea yi betumi aba bere a srade ne srade boaboa ano wɔ mogya ntini no afasu mu, na ɛma afasu no yɛ mmerɛw no.
- Nyarewa a ɛma mogya ntini afasu yɛ mmerɛw: Nyarewa bi te sɛ ``Fibromuscular dysplasia,'' ma mogya ntini afasu ntumi nkɔ so nyɛ papa.
- Nsɛnnennen a ɛwɔ aduruyɛ mu: Ebetumi nso aba sɛ ɔhaw a efi kɔn mu oprehyɛn bi, mfinimfini ntini bi, anaa mframa a wɔde sa kokoram mu.
- Akwanhyia: Mogya ntini bi a ɛsɛe fi akwanhyia a emu yɛ den, te sɛ tuo anaa sekan a wɔde bɔ obi.
Nneɛma a Ɛde Asiane Ba
Nneɛma pii wɔ hɔ a ebetumi ama mogya ntini no afasu ayɛ mmerɛw, na ɛma asiane a ɛwɔ hɔ sɛ obi benya ntini mu yare no yɛ kɛse:
- Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu anya ntini mu yare a, wo nso wowɔ asiane kɛse mu.
- Mogya mmoroso (Hypertension): Sɛ mogya mmoroso kɔ soro a, ɛde nhyɛso kɛse ba mogya ntini no afasu so. Eyi betumi ama afasu no ayɛ mmerɛw.
- Sigaretnom: Sigaretnom yɛ ade titiriw a ɛma mogya ntini sɛe. Ɛma ntini ahorow no afasu yɛ mmerɛw na ɛma asiane a ɛwɔ hɔ sɛ obi benya ntini mu yare no yɛ kɛse.
Ɔkwan bɛn so na oduruyɛfo hu yare yi?
Oduruyɛfo di anammɔn pii akyi de hu yare yi.
1. Nipadua mu nhwehwɛmu: Oduruyɛfo no de afiri a wɔde tie asɛm bɛto wo kɔn so na watie. Ɛtɔ mmere bi a, wotumi te nnyigyei soronko bi a ɛyɛ ‘swooshing’ (carotid bruit) bere a mogya fa saa ntini yi mu no.
2. Wo ne w’abusua aduruyɛ ho abakɔsɛm: Oduruyɛfo no bebisa ayaresa tebea afoforo a wowɔ ne sɛ ebia obi wɔ w’abusua mu anya tebea a ɛte saa ara anaa.
3. Mfoninitwa Nhwehwɛmu: Eyi ne ɔkwan a eye sen biara a wɔfa so si yare no so dua. Saa nhwehwɛmu ahorow yi betumi ahu nea ɛrekɔ so wɔ wo carotid ntini no mu pefee.
- CT mfonini (Computed Tomography mfonini) .
- MRA Scan (Magnetic Resonance Angiography) a Wɔde Hwɛ Nneɛma a Wɔde Yɛ Adwuma (Magnetic Resonance Angiography) .
- Ultrasound a wɔde yɛ nhwehwɛmu
Saa nhwehwɛmu ahorow yi ma nnuruyɛfo tumi hu ntini a ɛma mogya tu no kɛse, ne nsɛso, ne beae pɔtee a ɛwɔ, na sɛnea ɛte no kyerɛ ayaresa a eye sen biara.
Dɛn ne ayaresa a wobetumi apaw?
Ayaresa no gyina wo ntini a ɛma mogya tu no kɛse, sɛnea ɛrenyin ntɛmntɛm, ne sɛ ebia wowɔ sɛnkyerɛnne ahorow so. Ayaresa atitiriw abiɛsa na ɛwɔ hɔ.
| Ɔkwan a wɔfa so sa yare | Nkyerɛmu |
|---|---|
| 1. Nneɛma a wɔde hwɛ nneɛma so | Sɛ ntini a ɛma mogya tu no sua koraa na sɛnkyerɛnne biara nni ho a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ twɛn kakra a wonyɛ oprehyɛn. Wɔfrɛ eyi "ɔwɛn a wɔtwɛn." Wobɛyɛ scans asram 6 anaa afe biara de ahwɛ sɛ aneurysm no reyɛ kɛse anaa. Saa bere yi de, ebia wɔbɛma wo nnuru a wode bedi nhyɛso no so. |
| 2. Oprehyɛn a Wɔbue Mu | Eyi ne oprehyɛn a wɔde di dwuma wɔ amanne kwan so. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa kɔn mu na oyi mogya ntini no fã a asɛe a ntini a ɛma mogya tu no wom no fi hɔ. Afei, wɔde mogya ntini bi anaa afiri a wɔde ayɛ (graft) a woyii fi wo nipadua no fã foforo (sɛ nhwɛso no, wo nan) mu di dwuma de yɛ ɔkwan foforo a mogya bɛfa so. |
| 3. Ntini a ɛwɔ nipadua no mu ayaresa (Endovascular Stent Grafting) . | Eyi yɛ adeyɛ a ɛnyɛ den pii a enhia sɛ wɔtwa no kɛse. Wo duruyɛfo no bɛyɛ tokuru ketewaa bi wɔ mogya ntini bi mu wɔ wo basa mu na ɔde afiri a ɛyɛ tratraa (catheter) afa mu. Wɔ X-ray akwankyerɛ ase no, wɔde afiri no kɔ anim kɔ ntini a ɛma mogya tu no mu, na wɔde afiri titiriw bi a ɛte sɛ ahama (stent graft) gu mu. Eyi ma mogya fa afiri foforo no mu sen sɛ ɛbɛkɔ ntini a ɛma mogya tu no mu. |
Wo duruyɛfo no besi ayaresa a eye ma wo ho gyinae bere a ɔne wo akasa na wakyerɛkyerɛ biribiara mu awie no.
Dɛn na metumi ayɛ de atew asiane yi so?
Yɛrentumi nni asiane ahorow bi so (te sɛ abusua abakɔsɛm), nanso nneɛma pii wɔ hɔ a yebetumi ayɛ na ama yɛn mogya ntini no ayɛ yiye na yɛatew asiane a ɛwɔ hɔ sɛ yebenya ntini mu yare no so.
- Sɛ wonom sigaret a, gyae nnɛ. Eyi ne ade a eye sen biara a wubetumi ayɛ. Bisa wo duruyɛfo no sɛ ɔmmoa wo.
- Di aduan a ɛma koma nya ahoɔden. Tew nnuan a ngo, nkyene, ne asikre pii wom so. Di nhabannuru, nnuaba, ne nhabannuru pii.
- Yɛ apɔw-mu-teɛteɛ daa. Fa wo ho hyɛ apɔw-mu-teɛteɛ a ɛfata wo mu sɛnea wo duruyɛfo akwankyerɛ kyerɛ no.
- Di mogya mmoroso so. Sɛ wowɔ mogya mmoroso a, nom nnuru a wo duruyɛfo akyerɛw ama wo no bere ano.
- Di aduruyɛ mu afotu akyi. Kɔ aduruyɛ mu nhwehwɛmu wɔ bere ano.
So nsonsonoe wɔ ntini a ɛwɔ kɔn mu ne ntini a ɛwɔ ti nhwi mu no ntam?
Eyi yɛ aduruyɛ kakra, nanso momma yɛnka no tiawa: Yɛn carotid ntini no tu mmirika kɔ kɔn no mu na ɛkɔ ti nhwi no mu.
- Wɔfrɛ ntini mu ntini a ɛba wɔ ti nhwi no akyi , kyerɛ sɛ, wɔ kɔn mu no `extracranial` .
- Wɔfrɛ ntini a ɛba ti nhwi no mu no `intracranial` .
Sɛ wo duruyɛfo de nsɛmfua yi di dwuma ma wo a, nea ɛkyerɛ ara ne baabi a ntini no mu ntini no wɔ. Ɛho nhia sɛ wokyere nsɛm yi gu wo tirim. Bisa wo duruyɛfo ma ɔmma no ntease wɔ biribiara a wonte ase ho.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɛ wowɔ ntini mu yare no. Nanso ɛdenam nnɛyi mfiri a ɛkɔ akyiri a wɔde hwehwɛ nneɛma mu ne ayaresa ahorow so no, nnipa pii betumi atra ase sɛnea ɛsɛ. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi yiye na woakɔ nhwehwɛmu daa.
Nkrasɛm a Wɔde Kɔ Fie
- Carotid artery aneurysm yɛ mogya ntini kɛse bi a ɛwɔ kɔn no mu a ɛde mogya kɔ amemene no mu no fasu a ɛyɛ mmerɛw, na ɛma ɛyɛ kɛse te sɛ afiri a wɔde tu mmirika.
- Asiane atitiriw abien a ebetumi afi eyi mu aba ne mogya a ɛbɛtɔ a ɛde ɔyare a ɛma obi hwe ase ne ntini a ɛma mogya tu no pae.
- Sɛ wuhu akisikuru ho sɛnkyerɛnne te sɛ w’anim fã biako a ɛbɛhwe ase mpofirim, wo nsa a ɛyɛ mmerɛw, anaasɛ ɛyɛ den sɛ wobɛkasa a, ɛyɛ ntɛm ara. Kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) ntɛm ara.
- Ayaresa no gyina sɛnea ntini a ɛwɔ nipadua no mu no kɛse ne ne sɛnkyerɛnne ahorow so. Ɛtɔ mmere bi a, ebia hwɛ a wobɛhwɛ ara kwa no bɛdɔɔso. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
- Mogya mmoroso a wobedi so ne sigaretnom a wɔbɛkwati ho hia na wɔasiw tebea yi ano.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, wo ne wo duruyɛfo nka ho asɛm pefee.
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