So wowɔ ntini bi a ayɛ kɛse wɔ wo kotodwe akyi? (Popliteal Aneurysm) Momma yɛnka ho asɛm!

So woahyɛ no nsow pɛn sɛ biribi a ɛte sɛ balloon wɔ wo kotodwe akyi, baabi a kotodwe no kotow? Ebia wotee ɛyaw kakra, wo ho ayɛ wo duru, anaasɛ wo nsa mu akisikuru bi kɛkɛ. Mpɛn pii no, ebia wubesusuw sɛ eyi nyɛ aniberesɛm biara, nanso wɔ tebea horow bi mu no, eyi betumi ayɛ tebea bi a wɔfrɛ no Popliteal Aneurysm . Mma ɛnhaw wo, yɛbɛka eyi ho asɛm kɔ akyiri na yɛayɛ no tiawa koraa nnɛ.

Dɛn ne popliteal aneurysm?

Sɛ yɛbɛka no tiawa a, popliteal aneurysm yɛ mogya ntini titiriw a ɛwɔ wo kotodwe akyi, popliteal artery no mu a ɛyɛ kurukuruwa . Ɛte sɛ nsu paipu a ɛpae wɔ baabi. Ebetumi aba anan abien no nyinaa mu wɔ nnipa binom mu.

Sɛ ntini no hohoro saa a, ɔhaw ahorow betumi asɔre. Wobɛyɛ dɛn ahu?

• Saa beae a ahonhon no betumi apaapae .
• Mogya a ɛyɛ mmerɛw betumi ayɛ (thrombose) wɔ hɔ, na ne fã bi betumi abubu na ayɛ ntini bi a ɛwɔ nan ase no mu.
• Anaasɛ ntini no nyinaa betumi asiw.

Sɛ biribi te sɛ eyi si a, ɛtɔ mmere bi a ebetumi asɛe nan no kɛse, nnipa binom nan betumi ahwere, anaasɛ wɔn nkwa mpo betumi aka wɔn. Enti, ɛho hia paa sɛ yehu eyi.

Saa tebea yi abu so dɛn?

Popliteal aneurysms nyɛ nea abu so saa ankasa. Akontaabu kyerɛ sɛ ɛba mmea bɛyɛ 100,000 biara mu biako so. Wɔ mmarima mu no, dodow no dɔɔso kakra, bɛyɛ 100,000 biara mu 7.

Nanso, ɛwom sɛ ɛnyɛ nea ɛtaa ba de, nanso sɛ wɔde toto ntini afoforo a ɛwɔ nipadua no mu ho a, ɛyɛ ntini a ɛto so abien a ɛtaa ba wɔ yafunu mu aortic aneurysm akyi . Nea ɛyɛ nwonwa no, abusuabɔ bi wɔ abien no ntam. Nnipa a wɔwɔ popliteal aneurysm no mu bɛyɛ fã nso betumi anya aneurysm wɔ yafunu mu aorta no mu. Enti, sɛ oduruyɛfo bi hu abien yi mu biako a, ɛho hia paa sɛ ɔhwɛ sɛ ɔfoforo no wɔ hɔ.

Dɛn ne eyi ho sɛnkyerɛnne?

Mpɛn pii no, nnipa a wɔwɔ popliteal aneurysm no nkyerɛ sɛnkyerɛnne biara . Ɛno na ɛma ɛyɛ hu kakra. Nanso, sɛ yare no ho sɛnkyerɛnne da adi ampa a, ebetumi de nkwa ato asiane mu.

Wo de susuw ho hwɛ, sɛ saa ntini a ahonhon no pae (paepae) mpofirim a, dɛn na ɛbɛba?

• Ebia ɛyaw a emu yɛ den bɛba kotodwe no akyi.
• Ebia saa beae no bɛhonhon .
• Ebia nsensanee a ɛte sɛ akuru bɛda adi.

Anaasɛ, sɛ mogya a ɛtɔ gu saa ntini no mu, ne fã bi bubu, na mogya a ɛsen fa nan no mu no gyae (embolized anaasɛ thrombose) a, sɛnkyerɛnne bɛn na ɛbɛba?

• Nan mu yaw .
• Sɛ wote nka sɛ wo nan reyɛ ayɛ mmerɛw .
• Nan no reyɛ nwini .
• Nan ntini no reyɛ mmerɛw .
• Nan ho wereƐdan fitaa.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ɛho hia yiye sɛ wohwehwɛ oduruyɛfo afotu ntɛm ara , efisɛ eyi betumi ama woanya tebea a emu yɛ den a ebetumi asɛe mogya a ɛkɔ nan no mu.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nhwehwɛmufo da so ara nnim nea ɛde popliteal aneurysm ba ankasa, nanso wosusuw sɛ nneɛma kakraa bi wɔ hɔ a ebetumi aboa:

• Ɔfe: Eyi kyerɛ ɔfe anaa ɔyare mmoawa biara a ɛba ntini no afasu mu.
• Atherosclerosis: Eyi ne bere a nneɛma te sɛ srade boaboa ano wɔ mogya ntini no mu, na ɛma ntini no afasu yɛ den. Eyi betumi ama ntini ahorow no anyɛ mmerɛw na ayɛ mmerɛw.
• Popliteal artery entrapment: Wɔ nnipa binom mu no, ntini anaa ntini afoforo a ɛwɔ kotodwe akyi betumi amia mogya ntini kɛse yi. Bere kɔ so no, saa nhyɛso yi betumi asɛe ntini no na ama ntini no ayɛ kɛse.
• Opira a Ɛyɛ Hu: Saa tebea yi nso betumi aba esiane opira a emu yɛ den wɔ kotodwe anaa mmeae a atwa ho ahyia nti.

Hena na ɛda adi sɛ obenya eyi? (Nneɛma a ɛde asiane ba) .

Afei ma yɛnhwɛ nea asiane kɛse wom sɛ obenya eyi (Popliteal Aneurysm).

• Sɛ obi a ɔwɔ w’abusua mu anya ntini mu yare te sɛ eyi a: Sɛ wo maame, wo papa, anaa wo nuanom anya ntini mu yare te sɛ eyi a, wo nso wowɔ asiane kakra mu.
• Wɔ aborɔfo fam: Nhwehwɛmu ada no adi sɛ saa tebea yi abu so wɔ aborɔfo mu.
• Wɔ nnipa a wɔadi boro mfe 50 fam no: Asiane yi kɔ soro bere a ntini no yɛ mmerɛw bere a obi nyin no.
• : , .
• Nnipa a wɔwɔ ntini a ɛka bom: Nnipa a wɔwɔ nyarewa a ɛma nipadua no afã horow a ɛka ntini bom no yɛ mmerɛw nso wɔ asiane kɛse mu.
• Wɔn a wɔde tawa mu nneɛma di dwuma no fam no: Sigaretnom sɛe mogya ntini no kɛse. Ɛno nso yɛ ade titiriw a ɛde eyi ba.
• Wɔn a wɔwɔ ntini mu yare no fam no: Eyi nso yɛ ade titiriw a ɛma ntini ahorow no yɛ mmerɛw.

Nsɛnnennen bɛn na eyi betumi de aba?

Sɛ wowɔ popliteal aneurysm a, nsɛnnennen pii wɔ hɔ a ebetumi aba. Sɛnea yɛaka ho asɛm kakra pɛn no:

• Blockage of blood flow to the leg: If a blood clot forms inside a vein and a piece breaks off and blocks a vein in the lower leg, it can completely cut off blood flow to the leg. Eyi yɛ asiane kɛse.
• Aneurysm a ɛpaapae: Eyi nso yɛ ade a egye ntɛmpɛ.
• Popliteal vein compression: Ntini a ahonhon no tumi mia ntini a ɛbɛn hɔ na ɛde mogya a ɛho ntew kɔ soro no.
• Ntini a wɔde hyɛ nipadua mu:Afei nso, ntini a ɛfa saa beae no a wɔmia no betumi ama anan no ayɛ mmerɛw na ayɛ yaw.

Ɔkwan bɛn so na oduruyɛfo hu eyi? (Nyare a Wɔahu) .

Ɛtɔ mmere bi a, sɛ wobehu sɛ obi anya popliteal aneurysm a, ebetumi ayɛ anifere kakra, efisɛ tebea horow te sɛ deep vein thrombosis (DVT) ne Baker’s cyst , kotoku a nsu ahyɛ mu ma wɔ kotodwe akyi nso betumi de sɛnkyerɛnne a ɛte saa ara aba. Enti, oduruyɛfo no bedi kan ayi saa tebea horow no afi hɔ.

Sɛnea ɛbɛyɛ na woahu tebea no, wo duruyɛfo no bɛhwɛ baabi a ɛwɔ wo kotodwe akyi no yiye. Ebia wubetumi ate ntini a ahonhon no nka anaa woahu. Ebia wobɛte nka nso sɛ ɛrebɔ bere a wo koma bɔ no.

Ebia wo duruyɛfo bɛka wo ntini a ɛyɛ mmerɛw no ho asɛm sɛ `fusiform` (a ɛkyerɛ sɛ ɛbɔ atwa ntini no nyinaa ho ahyia te sɛ balloon) anaa `saccular` (a ɛkyerɛ sɛ ɛbɔ wɔ ntini no fã biako pɛ).

Sɔhwɛ ahorow bɛn na wɔyɛ?

Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow na ama wɔahu yare no pɛpɛɛpɛ na wasusuw nneɛma a ɛho hia de ayɛ ayaresa ho nhyehyɛe.

• Duplex ultrasound: Eyi ne nhwehwɛmu a wɔtaa de di dwuma, a ɛnyɛ den, na ɛnyɛ yaw. Etumi hwɛ sɛnea ntini no kɛse te ne sɛnea mogya no retu yiye.
• Computed Tomography Angiography (CTA): Eyi yɛ sɔhwɛ a wɔde X-ray ne ade titiriw bi a wɔde yɛ nneɛma (aduru a ɛne ne ho bɔ abira) di dwuma. Ebetumi ayɛ mogya ntini no ho mfonini a ɛkɔ akyiri.
• Magnetic Resonance Angiography (MRA): Eyi de magnetic field ne radio asorɔkye yɛ mogya ntini no ho mfonini. Ɛwɔ mfaso ahorow bi sen CTA.
• Digital Subtraction Angiography: Eyi yɛ sɔhwɛ a ɛyɛ den kakra. Wɔde afiri ketewaa bi hyɛ ntini bi mu, wɔde aduru bi gu mu, na wɔtwe X-ray mfonini ahorow. Wɔtaa yɛ eyi bere a wɔreyɛ oprehyɛn ho nhyehyɛe no.

Sɛ wo duruyɛfo hu sɛ wowɔ popliteal aneurysm a, ɛda adi sɛ wɔbɛhwehwɛ wo nan foforo ne wo yafunu mu ahwɛ sɛ ntini bi wɔ hɔ anaa. Sɛnea yɛadi kan aka no, nnipa pii a wɔwɔ saa tebea yi nso wɔ ntini a ɛma mogya tu wɔ wɔn nan foforo ne wɔn yafunu mu. Sɛ ntini afoforo bi wɔ hɔ a, ɛho behia sɛ wɔde ultrasound scan hwɛ wɔn wɔ wɔn nkwa nna nyinaa mu.

Bere bɛn na wɔsa eyi?

Ayaresa a wɔde sa popliteal aneurysm no gu ahorow a egyina wo tebea so. Mpɛn pii no, ntini a ɛma mogya tu no kɛse yɛ sɛntimita 2 (cm).Sɛ ɛyɛ kɛse sen saa (bɛyɛ nsateakwaa biako) a, asiane kɛse wom sɛ ɛbɛpae. Eyi yɛ bɛyɛ ntini a ɛteɛ no kɛse mmɔho abien. Sɛ mogya atɔ wo ntini mu a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛsa no sɛ ɛyɛ ketewaa sen saa mpo a, esiane asiane a ɛwɔ hɔ sɛ ne fã bi betumi abubu na asiw mogya a ɛkɔ wo nan mu no ano nti.

Sɛ wo popliteal aneurysm no sua sen sɛntimita 2, na wunni sɛnkyerɛnne biara a, ɛda adi sɛ wo duruyɛfo no bɛhwɛ so daa ahwɛ sɛ ɛreyɛ kɛse anaa.

So ɛsɛ sɛ wɔyɛ me oprehyɛn?

Sɛ wowɔ sɛnkyerɛnne bi esiane popliteal aneurysm nti, ne/anaasɛ ɛsõ sen sɛntimita 2 (sɛ mpo sɛnkyerɛnne biara nni hɔ a), ɛda adi sɛ wo duruyɛfo bɛkamfo oprehyɛn (`popliteal aneurysm repair`) sɛ ayaresa.

Dɛn ne ayaresa ahorow no?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sa yare.

1. Oprehyɛn a wobue ano:

Wɔ saa adeyɛ yi mu no, oduruyɛfo no kyekyere ntini a ɛwɔ ntini a ɛwɔ ntini no atifi ne ase no, na ɔsakra mogya no kwan. Mpɛn pii no, eyi hwehwɛ sɛ wode ntini bi a efi wo nipadua no fã foforo mu bedi dwuma. Eyi kyerɛ sɛ wɔyɛ ɔkwan foforo fi ntini a ɛwɔ ntini no atifi no mu kɔ ntini a ɛwɔ ntini no ase no mu. Afei wɔkyekyere aneurysm no na wɔsiw ano (`ligated').

2. Endovascular kwan a wɔfa so yɛ adwuma:

Eyi yɛ adeyɛ foforo koraa. Wɔde di dwuma titiriw ma nnipa a wɔwɔ tebea afoforo a enni sabea a asiane kɛse wom sɛ wobenya nsɛnnennen afi oprehyɛn a wɔyɛ no pefee mu. Wɔ saa adeyɛ yi mu no, wɔyɛ tokuru ketewaa bi wɔ nan a ɛwɔ soro no mu, wɔde waya bi fa mu, na wɔde dade afiri (stent graft) hyɛ ntini no so. Bere a stent a wɔde ahyɛ mu no fa ntini no mu no, mogya fi soro kɔ ntini no ase tẽẽ. Esiane sɛ mogya nkɔ ntini no mu tẽẽ nti, ɛtwetwe nkakrankakra, ɛtwetwe, na ɛnyɛ adwuma.

Sɛnea wɔsa yare wɔ tebea a egye ntɛmpɛ mu:

Sɛ mogya atɔ wo nan mu, na ɛresiw mogya a ɛkɔ wo nan mu no kwan a, ɛsono ayaresa no kakra. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo no bedi kan ama wo mogya a ɛma mogya tu te sɛ heparin denam IV so. Afei, wobetumi ayɛ angiogram na ama mogya asan akɔ nan ne nan a ayɛ basaa no mu. Wɔ tebea horow bi mu no, wobetumi ama wo nnuru a ɛma mogya tu (thrombolytics) na ama mogya a ɛtɔ no apete, anaasɛ wɔbɛbɔ mmɔden sɛ wɔde mfiri titiriw (mfiri a wɔde suw mogya) beyi mogya a ɛtɔ no fã bi afi hɔ.

So ayaresa ahorow betumi de nsɛnnennen aba?

Sɛnea ɛte wɔ oprehyɛn biara ho no, nsɛnnennen bi betumi aba bere a wɔreyɛ Popliteal Aneurysm ayaresa no.

• Mogya a ɛtɔ wɔ nan no mu (embolism).
• Nan a wotwa: .Eyi ntaa nsi, bere a ɔkwan foforo biara nni hɔ a wobetumi afa so nkutoo.
• Stents a ɛrebubu, ɛretu akɔ baabiara, anaasɛ ɛnyɛ nea ɛbue.
• Bypass graft a wɔasiw ano.
• Ntini mu opira.
• Ntini a emu dɔ a ɛma mogya tu.

Oduruyɛfo no bɛkyerɛkyerɛ eyinom mu akyerɛ wo yiye ansa na wɔayɛ oprehyɛn no.

Bere tenten ahe na egye ansa na asa?

Sɛ wɔyɛ oprehyɛn a wɔabue ano wie a, ebehia sɛ wotra ayaresabea hɔ bɛyɛ nnansa kosi nnansa. Sɛ wɔyɛ endovascular kwan akyi a, mpɛn pii no, bere a wɔde bɛsan anya ahoɔden no yɛ tiaa. Nanso, ebegye bere kakra ansa na ne ho atɔ no koraa. Ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi wɔ saa bere no mu.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wo ne tebea yi te ase no?

Sɛ mpo wunni popliteal aneurysm ho sɛnkyerɛnne mprempren a, ebia wubenya yare no ho sɛnkyerɛnne daakye. Na nsɛnnennen betumi aba.

Popliteal aneurysm ho yɛ na koraa. Nea ɛtaa ba ne sɛ mogya a ɛretu no bɛpae na asiw ntini bi a ɛwɔ wo nan mu. Sɛ wɔyɛ wo endovascular oprehyɛn a, ebia wubenya nsɛnnennen a ɛfa kuru ho kakraa bi sen oprehyɛn a wɔabue ano. Nanso, ebia ayaresa no renkyɛ te sɛ oprehyɛn a wɔabue ano.

Dɛn ne adwene a ɛwɔ hɔ? (Nsusuwii/Nkɔmhyɛ) .

Sɛ woma wosiesie popliteal aneurysm ansa na sɛnkyerɛnne ahorow no ada adi a, wo nkɔmhyɛ no ye kɛse . Nhwehwɛmu ada no adi sɛ nnipa a wɔayɛ wɔn bypass graft no mu 80% da so ara wɔ wɔn mogya ntini foforo no reyɛ adwuma yiye wɔ mfe anum akyi.

Nanso, sɛ wowɔ sɛnkyerɛnne ahorow esiane ntini a ɛma mogya tu no nti a, ebia w’adwene bɛyɛ kakraa bi.

Nhwehwɛmu bi daa no adi sɛ nnipa a wɔyɛɛ wɔn oprehyɛn wɔ popliteal aneurysm a apaapae ho no mu bɛboro fã kakra pɛ na wɔte ase afe biako akyi. Afei nso, na ɛsɛ sɛ wotwa nnipa bɛyɛ 15% a mogya atɔ wɔn wɔ popliteal aneurysm mu.

Mma akontaabu ahorow yi nnyɛ wo hu. Eyinom yɛ nsɛm a ɛfa nneɛma nyinaa ho ara kwa. Saa nneɛma yi betumi asesa agyina wo tebea, ayaresa a wɔde ma wo, ne sɛnea wohwɛ wo ho so. Enti, wo ne wo duruyɛfo nkasa na nya nsɛm a ɛfa wo tebea no ho.

Ɔkwan bɛn so na wobetumi atew asiane yi so?

Nnuruyɛfo gye di sɛ nea ɛde popliteal aneurysm ba titiriw ne atherosclerosis . Enti, sɛ wubetumi adi saa tebea no so a, wubetumi atew asiane yi so.

• Gyae tawa ho nneɛma a wode di dwuma koraa. Eyi ne ade a ɛho hia sen biara.
• Ma wo srade dodow a ɛwɔ wo mu no nkɔ so sɛnea ɛsɛ.
• Sɛ wowɔ mogya mmoroso a , di so yiye.
• Di nnuan a ɛma koma nya apɔwmuden a srade a ɛdɔɔso nnim.
• Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 150 dapɛn biara.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ woyɛ obi a ɔnom tawa a, sɛ wugyae no a, ɛbɛboa w’akwahosan kɛse. Afei nso, sɛ wowɔ tebea horow a edidi so yi mu biara a, yɛ nneɛma bi a wode bedi so:

• Srade a ɛkɔ soro (Hyperlipidemia) .
• Mogya mmoroso (Hypertension) .
• Asikyireyareɛ

Sɛ woyɛ oprehyɛn wie a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa nnuru a ekum mogya nkwammoaa te sɛ aspirin na ama asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ wo bypass no so no so atew. Hwɛ hu sɛ wobɛkɔ so ayɛ wo duruyɛfo. Ɛho behia sɛ wokɔhwɛ wo daa na ama woahu sɛ wo bypass no reyɛ adwuma yiye anaa. Eyi ho hia wɔ oprehyɛn akyi ne bere a wɔrehwɛ ntini a ɛwɔ mogya mu no so kosi sɛ wobesi oprehyɛn no ho gyinae no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wosiesie popliteal aneurysm wie a, ɛho behia sɛ woyɛ ultrasound nhwehwɛmu daa na ama woahwɛ ahu sɛ wo bypass no reyɛ adwuma yiye. Ɛho hia sɛ wɔyɛ saa nhwehwɛmu ahorow yi wɔ ɔsram a edi kan, ɔsram a ɛto so abiɛsa, ɔsram a ɛto so asia, ne afe biako wɔ oprehyɛn no akyi, na afei afe biara mfe pii wɔ ɛno akyi.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wususuw sɛ wo Popliteal Aneurysm no mu apaapae anaasɛ mogya a ɛretu no ayɛ embolized , kɔ Emergency Department (ETU) ntɛm ara. Nea edidi so yi ne sɛnkyerɛnne ahorow a ebetumi aba:

• Kotodwe akyi anaa nan mu a ɛho ahonhon.
• Nsonsonoe a ɛte sɛ akuru pue.
• Ɛyaw a emu yɛ den .
• Nan a ɛyɛ mmerɛw .
• Anan a ɛyɛ nwini .
• Ɛyɛ den sɛ wobɛkanyan nan a ayɛ no yaw no.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ Popliteal Aneurysm a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii wɔ w’adwene mu. Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• "Oduruyɛfo, me (Popliteal Aneurysm) no kɛse yɛ dɛn?"
• "So mihia oprehyɛn ankasa?"
• "Oprehyɛn bɛn na ɛfata me tebea no yiye?"
• "So mewɔ popliteal aneurysm wɔ me kotodwe foforo no akyi?"
• "So mewɔ yafunu mu aortic aneurysm?"

Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ woayɛ basaa kakra bere a wuhu sɛ wowɔ popliteal aneurysm no. Wo ne wo duruyɛfo nkasa mfa bere a eye sen biara a wobɛsa wo ntini mu yare no ne nea eye ma wo ho.Wubetumi ama w’akwahosan atu mpɔn denam tawa a wobɛkwati na woahwɛ wo mogya mmoroso ne srade dodow so. Sɛ wuhia mmoa wɔ eyi ho a, bisa wo duruyɛfo.

Nneɛma kakraa bi a misusuw sɛ ɛho hia wo (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛkaa ho asɛm nnɛ (Popliteal Aneurysm) no ho. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ni:

• Popliteal aneurysm yɛ mogya ntini titiriw a ɛwɔ kotodwe no akyi a ɛbɔ.
• Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow da adi (te sɛ ɛyaw wɔ kotodwe akyi, ɛho hohoro, nan a ɛyɛ mmerɛw, anaa awɔw a ɛba) , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Nneɛma te sɛ sigaretnom, srade a ɛdɔɔso, ne mogya mmoroso betumi aka eyi.
• Ayaresa ahorow wɔ hɔ, wo ne wo duruyɛfo nka ho asɛm.
• Wobetumi atew asiane yi so denam asetra pa a wɔbɛtra so .

Ɛnyɛ biribi a ɛsɛ sɛ wosuro, na mmom ɛyɛ biribi a ɛsɛ sɛ wodwen ho. Hwɛ wo nipadua no yiye. Sɛ wuhu biribi a ɛyɛ soronko a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn. Kɔ so nya apɔwmuden!

` popliteal aneurysm, ntini a ɛyɛ mmerɛw wɔ kotodwe akyi, ntini a ɛyɛ mmerɛw, kotodwe mu yaw, mogya a ɛtɔ wɔ nan mu, ntini mu oprehyɛn, atherosclerosis