So wunim nea saa mmerɛbo mu ntini ahorow yi yɛ wɔ wo mmerɛbo mu ankasa? Momma yɛnkasa!

Yɛn nyinaa wɔ nneɛma a ɛyɛ nwonwa a ɛkɔ so wɔ yɛn nipadua mu, ɛnte saa? Nneɛma bi mpo a yennwen ho da biara da, nanso yentumi ntra ase a enni hɔ. Afei nso, wɔfrɛ mogya ntini nhyehyɛe bi a ɛyɛ adwuma a ɛho hia paa wɔ yɛn nipadua mu no sɛ mmerɛbo mu ntini. Sɛ yɛbɛka no tiawa a, eyinom yɛ ntini bi a ɛde mogya fi yɛn mmerɛbo mu. So yɛbɛka eyi ho asɛm akɔ akyiri kakra?

Dɛn ne mmerɛbo mu ntini no? Ɛhe na wɔwɔ?

Okay, susuw ho saa kwan yi so. Wo mmerɛbo yɛ akwaa a ɛyɛ nwonwa. Ɛyɛ adwuma pii. Enti, sɛ wɔyɛ adwuma a ɛwɔ mmerɛbo no mu wie a, ehia sɛ wɔsan de mogya a ɛho tew, nanso mframa pa nnim no kɔ koma no mu. Yɛfrɛ hepatic veins, ntini kuw bi a ɛboa ma wɔyɛ saa adwuma no.

Saa ntini yi ne Inferior Vena Cava (IVC), ntini kɛse bi a ɛboaboa mogya ano fi yɛn nipadua no fã a ɛwɔ fam na ɛde kɔ koma no mu no wɔ abusuabɔ tẽẽ. Afei mogya no fa IVC yi mu kɔ soro dan a ɛwɔ koma no nifa so, nifa so ahurututu no.

Mmere mu ntini ahorow atitiriw abiɛsa na ɛwɔ hɔ:

• Hepatic vein a ɛwɔ nifa so
• Benkum mmerɛbo mu ntini
• Mfinimfini mmerɛbo mu ntini

Saa ntini yi wɔ wo mmerɛbo mu. Wɔtu mmirika fa mmerɛbo no afã awotwe mu na ɛboa ma wɔhyɛ mmerɛbo no afã atitiriw anan hye. Nnuruyɛfo frɛ saa afã anan yi nifa anim, nifa akyi, benkum mfinimfini, ne benkum akyi. Wɔ mmerɛbo no mu no, saa mmerɛbo ntini yi nya mogya fi ntini a ɛwɔ mfinimfini no mu. Saa ntini a ɛwɔ mfinimfini yi yɛ ntini nketenkete a ɛboaboa mogya ano fi ntini nketenkete a ɛwɔ mmerɛbo no nyinaa mu.

Mmɛn ntini no fi mmerɛbo no akyi na ɛka ho tẽẽ kɔ ntini a ɛwɔ fam (IVC) no mu. Eyi ka bom wɔ baabi a ɛbɛn akyi berɛmo no, wɔ akyi berɛmo no ase pɛɛ. Mpɛn pii no, mmerɛbo ntini nifa no nkutoo na ɛka IVC no ho, bere a mmerɛbo ntini a ɛwɔ mfinimfini ne benkum no bom yɛ dua biako na ɛka IVC no ho. Nanso, eyi nyɛ ade koro wɔ obiara fam, na ebia ɛsono emu biara.

Dɛn ne ntini ahorow yi dwumadi?

Sɛ yɛbɛka no tiawa a, mmerɛbo mu ntini no yɛ yɛn mogya a ɛkɔ nipadua no mu no fã a ɛho hia yiye. Wɔn adwuma titiriw ne sɛ wɔbɛboaboa mogya a oxygen nnim afi mmerɛbo no mu na wɔde akɔ inferior vena cava (IVC) no mu. Afei mogya yi fa koma no mu kɔ ahurututu no mu, baabi a wɔde mframa pa kɔ mu, na afei wɔde san kɔ koma no mu wɔ nipadua no nyinaa mu. Enti, wubetumi ahu sɛnea ntini nhyehyɛe yi ho hia, ɛnte saa?

Mmɛn mu ntini no te sɛ nsu afiri nhyehyɛe bi a ɛde nsu a wɔde adi dwuma no fi mmerɛbo no mu na ɛsan kɔ nipadua no mu ma wɔtew ho.

So obiara mmerɛbo mu ntini yɛ pɛ? Anaasɛ nsonsonoe wɔ mu?

Eyi yɛ nokwasɛm a ɛyɛ anigye yiye. Ɛnyɛ obiara mmerɛbo mu ntini na ɛwɔ nhyehyɛe koro.Ebia nsakrae kakra bɛba wɔn mu, nanso ɛnsɛe hwee. Nanso ɛho hia yiye sɛ nnuruyɛfo a wɔyɛ oprehyɛn no hu nsakrae ahorow yi, titiriw wɔ oprehyɛn te sɛ mmerɛbo a wɔde ma anaasɛ mmerɛbo a wotwa mu.

Dɛn ne nsakrae ahorow a ebetumi aba yi? Momma yɛnhwɛ kakraa bi:

• Accessory inferior right hepatic vein: Wɔ mmerɛbo mu ntini atitiriw abiɛsa no akyi no, ntini foforo betumi akɔka IVC no ho wɔ ɔkwan a ɛba fam so.
• Hepatic veins abien: Saa ntini abien yi betumi ayɛ dua biako ansa na akɔka `(IVC)` no ho, anaasɛ ebetumi akɔka ho wɔ ɔkwan soronko so.
• Hepatic vein nifa no a ɛpaapae ntɛmntɛm: Sɛ hepatic vein nifa no reyɛ akɔka (IVC) no ho a, nkorabata ntini ketewaa bi betumi akɔka ho.
• Mfinimfini ne benkum mmerɛbo ntini no ka bom wɔ ɔkwan soronko so kɔ `(IVC)` no mu: Ɛsan nso betumi aba sɛ saa ntini abien yi bɛka abom akɔ `(IVC)` no mu a ɛnyɛ dua a ɛyɛ biako.

Enti, woahu, ɛnte saa? Nsakrae nketenkete te sɛ eyi yɛ ade a ɛfata.

Mpɛn pii no, mmerɛbo mu ntini bi ntwemu yɛ bɛyɛ milimita 15.

Dɛn ne nyarewa a ɛka mmerɛbo mu ntini no?

Nea ɛyɛ awerɛhow no, mmerɛbo mu ntini yi nso tumi nya nyarewa bi. Eyinom mu biako a ɛho hia sen biara ne tebea bi a wɔfrɛ no Budd-Chiari Syndrome .

Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya a ɛtɔ kɔ mmerɛbo no mu ntini mu no. Saa mogya a ɛtwetwe yi twetwe ntini no, anaasɛ ebetumi asiw ano koraa. Dɛn na ɛba saa bere no? Mogya gyina mmerɛbo no mu. Saa akisikuru yi ka mogya ntini a atwa mmerɛbo no ho ahyia no nso.

Nsɛnnennen a ebetumi aba esiane Budd-Chiari Syndrome nti no bi ne:

• Portal Hypertension: Nhyɛso a ɛkɔ soro wɔ portal vein a ɛde mogya kɔ mmerɛbo no mu no mu.
• Esophageal Varices: Ɛhohoro ne asiane a ɛwɔ hɔ sɛ ntini a ɛwɔ aduan mu no bɛpaapae.
• Nsu a ɛboaboa ano wɔ yafunu mu (Ascites) .
• Cirrhosis of the liver: mmerɛbo no a ɛyɛ den na ɛso tew.

Dɛn na ebetumi ayɛ saa sɛnkyerɛnne ahorow yi?

Budd-Chiari Syndrome ne nsɛnnennen a ɛbata ho no ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho, nanso sɛnkyerɛnne ahorow bi a ɛtaa ba ni:

• Mogya a wɔde fa nsu mu.
• Nnuan mu haw ahorow te sɛ anorexia, akisikuru, ne akisikuru.
• Ɔbrɛ ne mmerɛwyɛ a ɛtaa ba.
• Ɛyaw a ɛba yafunu no atifi.
• Yafunu mu a ɛyɛ hyew ne mu duru a ɛkɔ soro ntɛmntɛm.
• Ɔhome a ɛyɛ den.
• Nan anaa nansoaa a ɛho ahonhon (Edema).
• Mogya a wɔfe.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Ɔkwan bɛn so na nnuruyɛfo hu tebea a ɛte sɛɛ?

Oduruyɛfo bedi nneɛma pii akyi de ahu sɛ ebia ɔhaw bi wɔ mmerɛbo mu ntini yi mu anaa.

1. Nipadua mu nhwehwɛmu: Nea edi kan no, wɔbɛhwehwɛ wo mu.

2. Mogya mu nhwehwɛmu: Wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛnea mmerɛbo no yɛ adwuma.

3. Sɔhwɛ afoforo: Bio nso, wobetumi ayɛ sɔhwɛ ahorow yi mu biako anaa nea ɛboro saa:

• Ultrasound scan `(Nnyigyei kɛse)` sɔhwɛ.
• CT scan (Computed Tomography - CT scan) sɔhwɛ.
• MRI scan (Magnetic Resonance Imaging - MRI) nhwehwɛmu.
• Berɛbo no fã ketewaa bi a wɔfa de yɛ nhwehwɛmu (Liver Biopsy).

Oduruyɛfo no gyina nsɛm a wonya fi nhwehwɛmu ahorow yi mu so hu yare no yiye.

Dɛn na woreyɛ sɛ ayaresa?

Ayaresa a wubetumi apaw no gyina wo tebea no ne sɛnea emu yɛ den so. Wɔtaa de thrombolytic therapy ma de siesie mogya a ɛtwetwe no. Akwan ahorow nso wɔ hɔ a wɔfa so ma mogya san kɔ. Wo duruyɛfo no ne wo besusuw ayaresa a eye ma wo ho.

Dɛn na ɛsɛ sɛ yɛyɛ na ama yɛn mmerɛbo ntini no akɔ so ayɛ yiye?

Wɔka sɛ: "Siw ano ye sen ayaresa." Enti, nneɛma pii wɔ hɔ a yebetumi ayɛ na ɛnyɛ yɛn mmerɛbo ntini nko, na mmom yɛn ntini nhyehyɛe nyinaa nso ayɛ apɔwmuden.

• To nsa a wonom ano hye: Nsã a wobɛnom boro so no pira koma, mogya ntini, ne mmerɛbo paa. Sɛ wonom nsa a, ɛnsɛ sɛ wonom dodow a ɛfata.
• Kwati tawa ho nneɛma: Sigaretnom sɛe mogya ntini na ɛyɛ ade titiriw a ɛde komayare ba.
• Di ayaresa tebea afoforo ho dwuma: Sɛ wowɔ ayaresa mu tebea afoforo te sɛ mogya mmoroso anaa nipadua mu nneɛma a ɛsakra a, wo ne wo duruyɛfo nkasa mfa sɛnea wubedi ho dwuma. Tebea horow bi betumi asɛe mogya ntini bere a bere kɔ so no.
• Di aduan a ɛma koma nya ahoɔden: Wɔahu sɛ Mediterranea nnuan titiriw boa ma komayare ho asiane no so tew.
• Apɔw-mu-teɛteɛ: Bisa wo duruyɛfo apɔw-mu-teɛteɛ a ahobammɔ wom na ɛfata ma wo ho asɛm. Wo nipadua a wobɛkanyan no ma mogya no tu mpɔn.
• Kɔ aduruyɛ mu nhwehwɛmu afe biara: Oduruyɛfo no bɛhwɛ wo sɛnkyerɛnne a ɛho hia no, na sɛ ɛho hia a, ɔbɛyɛ nhwehwɛmu afoforo de aboa ma wɔahu ɔhaw biara na wɔasa no ntɛm.

So mmerɛbo mu ntini ne portal vein no yɛ ade koro?

Dabi, saa abien yi nyɛ ade koro. Hepatic Veins ne Portal Veins yɛ mogya ntini ahorow abien a ɛyɛ nnwuma a ɛne ne ho bɔ abira.

• Portal Vein: Ɛtɔ mmere bi a wɔfrɛ no hepatic portal vein. Eyi ne neaMogya a wɔde bɛba mmerɛbo no mu. Saa mogya yi fi akwaa ahorow a ɛwɔ yafunu no mu. Ɛne sɛ, ɛde mogya a ehia na ama mmerɛbo no ho tew no ba.
• Hepatic Veins: Eyinom de mogya fi mmerɛbo no mu. Ɛne sɛ, bere a wɔatete mmerɛbo no mu akyi no, mogya a oxygen nnim no fa ntini yi mu kɔ ntini a ɛwɔ fam (IVC) no mu, na efi hɔ kɔ koma no mu.

Sɛ yɛbɛka no tiawa a, portal vein no de "raw materials" no kɔ mmerɛbo no mu, bere a hepatic veins no de "finished product" (i.e., mogya a wɔatew ho) no kɔ.

Portal vein no yɛ portal venous system no dea. Ɛyɛ ntini ahorow a ɛde mogya fi akwaa a ɛwɔ yafunu no mu kɔ mmerɛbo no mu. Nanso, mmerɛbo mu ntini no nyɛ nhyehyɛe yi dea.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Enti, mewɔ anidaso sɛ seesei woanya adwene pa wɔ mmerɛbo mu ntini no ho. Eyinom yɛ abusuabɔ a ɛho hia yiye a ɛda yɛn mmerɛbo ne koma no ntam. Saa ntini yi boa ma mogya a mmerɛbo no atew, nanso mframa pa nni mu no san kɔ koma no mu.

Sɛ wowɔ nsɛm bi a ɛhaw wo anaa nsɛmmisa bi fa wo mmerɛbo anaa mogya ntini a ɛka ho no akwahosan ho a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn. Wɔn ani begye sɛ wɔbɛka eyi ho nsɛm pii akyerɛ wo na wɔatu wo fo wɔ asetra mu nsakrae a wubetumi ayɛ na ama wo mogya a ɛkɔ wo mogya mu no akɔ so ayɛ yiye ho.

Sɛ yɛbɛkɔ so anya apɔwmuden a, ɛho hia yiye sɛ yehu yɛn nipadua no afã nketenkete nanso ɛho hia yiye yi, ɛnte saa?

` Mmɛn, Mogya Ntini, Mmɛn Ntini, Mogya a Ɛkyinkyin, Budd-Chiari Syndrome, Mmɛn Ntini