Sɛ mogya atɔ wo nan anaa wo nsa mu ntini a emu dɔ mu pɛn, a wɔfrɛ no Deep Vein Thrombosis (DVT) , a, ebia wubenya ɔhaw ahorow bi a ɛtra hɔ kyɛ. Ɛte sɛ kuru a ɛsa, nanso ebetumi agyaw akuru ketewaa bi anaasɛ ɔhaw bi. Ɛnnɛ, yɛrebɛka tebea bi a ebetumi anya nnipa binom so nkɛntɛnso bere tenten wɔ DVT akyi ho asɛm. Eyi ne nea nnuruyɛfo frɛ no Post-Thrombotic Syndrome anaa Postphlebitic Syndrome .
Dɛn ne Post-Thrombotic Syndrome? Sɛ yɛbɛka no tiawa a...
Fa no sɛ wowɔ ntini a emu dɔ a ɛma mogya tu (DVT) wɔ wo nan anaa wo nsa mu. Sɛ yɛsa no yiye mpo a, ɛtɔ mmere bi a, mogya a ɛtɔ no betumi asɛe ntini no kakra. Ɛte sɛ biribi a akɔhyɛ nsuo afiri mu na sɛ woyi fi hɔ a, ɛda so ara sɛe paipu no kakra.
Saa ɔsɛe yi betumi ama ntini no ahwere sɛnea ɛyɛ mmerɛw na ntini a ɛboa ma mogya kɔ no ntumi nyɛ adwuma yiye. Eyi ma mogya boaboa ano wɔ ntini a asɛe no mu sen sɛ ɛbɛsan akɔ koma no mu. Sɛ mogya boaboa ano saa kwan yi so a, nhyɛso a ɛwɔ ntini no mu no kɔ soro, na ɛde sɛnkyerɛnne ahorow te sɛ ɛyaw ne ɔfe ba . Eyi ne nea yɛfrɛ no sɛnkyerɛnne ahorow a wɔboaboa ano (Post-Thrombotic Syndrome). Ebia nnipa binom nya yare no ho sɛnkyerɛnne a emu nyɛ den koraa, nanso ebinom nso betumi ayɛ den araa ma wontumi nyɛ adwuma mpo wɔ wɔn da biara da asetra mu.
Sɛ woanya DVT wɔ mfe abien a atwam no mu na mprempren worehu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wobetumi asusuw wo tebea no ho na wɔafi ase ayɛ ayaresa a ɛfata na ama wo ho atɔ wo.
Saa tebea yi abu so dɛn?
Post-Thrombotic Syndrome yɛ tebea a abu so wɔ nnipa a wɔanya DVT mu ankasa. Ɛka nnipa 100 biara mu 20 kosi 50 wɔ mfe abien akyi bere a wɔahu sɛ wɔwɔ DVT no. Ɛno kyerɛ sɛ ɛka nnipa dodow bi a ɛda nsow.
Sɛ wowɔ Post-Thrombotic Syndrome a, ɛyɛ den yiye sɛ mogya a ɛwɔ saa ntini a asɛe no mu no bɛsan akɔ koma no mu. Saa mogya a wɔaboaboa ano yi na ɛde ɔhaw ahorow nyinaa ba.
Dɛn ne eyi ho sɛnkyerɛnne? Yɛte nka dɛn?
Post-Thrombotic Syndrome (PTS) sɛnkyerɛnne ahorow no ka nan anaa abasa a DVT no bae no titiriw. Ebia wubehyia nneɛma te sɛ:
- Ɛyaw: Ɛyaw wɔ nan mu, titiriw bere a obi nam anaa ogyina hɔ no. Ɛtɔ mmere bi a wɔfrɛ eyi claudication .
- Ɛyaw anaa ɛyaw te sɛ nea wɔrebobɔ ntini bi .
- Nsa/nan mu duru ne ɔbrɛ a wɔte nka.
- Ɛyɛ akisikuru (Pruritus) .
- Ntini a ɛyɛ mmerɛw, akisikuru, ne nkate a ɛyɛ soronko (Paresthesia) .
Saa sɛnkyerɛnne ahorow yi betumi ayɛ nea emu nyɛ den mma ebinom, na emu yɛ den wɔ afoforo fam.Ebetumi aka wo. Ebia wubehu sɛ saa sɛnkyerɛnne ahorow yi kɔ soro bere a wugyina hɔ anaa wonantew kyɛ no, na sɛ wogye w’ahome kakra a, ɛso tew. Saa ɔhaw ahorow yi nso betumi ayɛ kɛse wɔ da no awiei. Wɔ nnipa binom fam no, saa sɛnkyerɛnne ahorow yi betumi ayɛ nea ɛkɔ so daa, anaasɛ ebetumi aba na akɔ.
Dɛn ne akyi sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya Post-Thrombotic Syndrome?
Nsɛnkyerɛnne yɛ nneɛma a yɛte nka. Nsɛnkyerɛnne yɛ nneɛma a yetumi hu. Wo duruyɛfo nso bɛhwɛ sɛ saa nsɛnkyerɛnne yi wɔ hɔ anaa.
- Swelling (Edema): Abasa anaa nan a ayɛ no yaw no ho ahonhon.
- Wora a ɛyɛ kɔkɔɔ anaasɛ ne kɔla bɛsakra.
- Wora a ɛyɛ den , atenka a ɛte sɛ aboa nhoma.
- Varicose ntini foforo a ɛba .
- Akɔre ntini nketenkete a ɛda adi .
- Sɛ tebea no mu yɛ den a, akuru a ɛnsa (ntini mu akuru) betumi aba.
Dɛn nti na eyi (Post-Thrombotic Syndrome) ba? Dɛn na ɛde ba?
Nea enti a ɛyɛ mmerɛw sen biara ne sɛ wo ntini asɛe esiane Deep Vein Thrombosis (DVT) nti .
Ntini a emu dɔ a ɛwɔ yɛn nan ne yɛn abasa mu no wɔ ntini a ɛkɔ ɔkwan biako so a ɛma mogya kɔ ɔkwan biako pɛ so. Te sɛ ɔpon no, etumi bue wɔ ɔkwan biako pɛ so. Saa ntini ahorow yi boa ma mogya san kɔ koma no mu. Nanso, sɛ mogya tu wɔ ntini bi mu a, mogya a ɛtwetwe no betumi asɛe saa ntini ahorow no. Afei valve ahorow no ntumi nyɛ adwuma yiye.
Ne saa nti, mogya tu kwan brɛoo paa. Sɛ́ anka mogya bɛsen akɔ koma no mu yiye no, ɛboaboa ano wɔ ntini no mu. Eyi ma nhyɛso a ɛwɔ ntini no afasu mu no yɛ kɛse, na ɛde sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no ba.
Hena na ɔwɔ asiane kɛse mu ma tebea yi?
Obiara a wanya DVT no betumi anya Post-Thrombotic Syndrome. Nanso, asiane no yɛ kɛse sɛ woanya DVT mpɛn pii , titiriw wɔ abasa anaa nan koro no ara mu. Ɛne sɛ, sɛ woanya mogya a ɛtɔ pii wɔ beae koro a.
Afei nso, asiane a ɛwɔ hɔ no yɛ kɛse mpo sɛ woanya mogya a ɛtɔ kan no ho sɛnkyerɛnne yi bi a:
- Sɛ anka ɛtrɛw kɔɔ ntini no fã kɛse bi a.
- Mogya a ɛtɔ wɔ asen atifi anaa akyi berɛmo mu (a wɔfrɛ no proximal DVT ) no yɛ asiane kɛse sen mogya a ɛtɔ wɔ nantwi ba no mu (a wɔfrɛ no distal DVT ). Asiane no yɛ kɛse titiriw sɛ mogya a ɛtwetwe no ba ntini a ɛwɔ akyi no mu anaasɛ ntini a ɛtaa ba asen no mu a .
- Sɛ mogya atɔ wo ntini kɛse bi mu wɔ wo nipadua atifi, wo mmati, anaa wo moma so atifi (wɔfrɛ eyi axillo-subclavian vein thrombosis) .
- Sɛ na mogya a ɛtɔ (residual thrombosis) bi wɔ hɔ a ɛnsɛe koraa bere a wɔasa no yare mpo akyi a.
Nea ɛka ho no, asiane afoforo pii wɔ hɔ:
- Sɛ wowɔ tebea bi a woadi kan anya te sɛ ntini mu yare a enni sabea (CVI) a .
- Wo deɛSɛ wo nipadua mu duru (BMI) boro 30 (ɛno kyerɛ sɛ woayɛ kɛse mmoroso).
Ɔkwan bɛn so na nnuruyɛfo hu Post-Thrombotic Syndrome?
Nnuruyɛfo nam nipadua mu nhwehwɛmu so titiriw na ɛkyerɛ tebea yi . Wɔ sɔhwɛ yi mu no, wo duruyɛfo no bɛyɛ:
- Bisa w’ayaresa ho abakɔsɛm (te sɛ sɛnea woanya DVT bere bi a atwam, ayaresa ahorow a woanya, ne nea ɛkeka ho).
- Wobisa wo yare no ho sɛnkyerɛnne ne sɛnea ɛka wo da biara da asetra ho asɛm.
- Wɔbɛhwɛ wo nan ne wo nsa mu sɛ ebia Post-Thrombotic Syndrome (te sɛ wo ho ahonhon ne wo honam ani nsakrae) ho sɛnkyerɛnne bi wɔ hɔ anaa.
Oduruyɛfo no begyina saa nsɛm yi so ahu sɛ ebia wowɔ Post-Thrombotic Syndrome anaa, na sɛ ɛte saa a, sɛnea emu yɛ den.
Dɛn ne Villalta nsenia no?
Ebia woate sɛ wo duruyɛfo reka ‘Villalta nsenia’ ho asɛm . Eyi yɛ ɔkwan a wɔahyɛ da ayɛ a nnuruyɛfo fa so hu tebea yi na wɔhwɛ sɛnea emu yɛ den. Ɛte sɛ nhwehwɛmu kratasin a wɔde nkontaahyɛde bi ahyɛ mu. Nea ɛka ho ne sɛnkyerɛnne ahorow 5 ne nsɛntitiriw 6. Oduruyɛfo no de nkontaahyɛde ma wɔ sɛnkyerɛnne ne sɛnkyerɛnne biara ho:
- 0 points: Ɛnyɛ nea ɛwɔ hɔ.
- Nkonimdi 1: Ɛwɔ hɔ kakra.
- Nkonimdi 2: Ɔwɔ hɔ a ɛkɔ fam.
- Nkonimdi 3: Ɛyɛ bɔne yiye.
Afei oduruyɛfo no de nkontaahyɛde ahorow yi nyinaa bom. Sɛ nkontabuo no nyinaa nnu 4 a, wunni Post-Thrombotic Syndrome. Sɛ wowɔ nsɛntitiriw 5 anaa nea ɛboro saa a, wowɔ tebea no.
Wɔsan kyekyɛ tebea no mu sɛ ɛnyɛ den, ɛyɛ mmerɛw, anaa emu yɛ den a egyina nkontaahyɛde ahorow yi so:
- Nkonimdi 5 kosi 9: Tebea a emu nyɛ den.
- Nkonimdi 10 kosi 14: Tebea a ɛkɔ fam.
- Sɛ akuru wɔ hɔ, anaasɛ wonya nkontaa 15 ne nea ɛboro saa a: tebea a emu yɛ den.
Wo duruyɛfo bɛkyerɛkyerɛ nea afi mu aba yi mu akyerɛ wo na waka nea ɛkyerɛ akyerɛ wo.
So nhwehwɛmu titiriw bi wɔ hɔ a wɔde hu tebea yi?
Nhwehwɛmu pɔtee biara nni hɔ a wɔde hu Post-Thrombotic Syndrome. Nanso, wɔ tebea horow bi mu no, nnuruyɛfo betumi ahyɛ sɛ wɔnyɛ ‘Duplex ultrasound’ na ama wɔahu sɛnea mogya resen fa ntini no mu.
Dɛn ne ayaresa ahorow a wɔde sa Post-Thrombotic Syndrome?
Mpɛn pii no, nea ɛka ayaresa ho ne ayaresa a wɔde mia obi, asetra mu nsakrae, ne apɔw-mu-teɛteɛ . Ebia nnipa binom behia sɛ wɔyɛ wɔn oprehyɛn anaa wɔsa wɔn ntini mu akuru. Nnuruyɛfo bɛsiesie ayaresa no ma ɛne obiara ahiade ahyia. Botae titiriw a ɛwɔ ayaresa mu ne sɛ ɛbɛtew wo yare no ho sɛnkyerɛnne so na ama w’asetra atu mpɔn.
Aduru a wɔde hyɛ obi so
Ebia wo duruyɛfo bɛkyerɛw wo compression stockings soronko ama wo.Wubetumi aka sɛ hyɛ wɔn. Eyinom ne akwan a wɔtaa fa so yɛ nhyɛso a wɔde sa yare. Ɛsɛ sɛ wɔhyɛ saa sɔks yi daa (mpɛn pii no da biara). Saa sɔks yi de nhyɛso ba wo nantwi ba ntini so na ɛma mogya no kɔ ntini no mu yiye. Ɛwom sɛ ebia wɔte nka sɛ ɛyɛ den bere a wɔhyɛ de, nanso ɛnsɛ sɛ ɛyɛ yaw.
Sɔks ahorow wɔ hɔ a ɛma nhyɛso ahorow ahorow. Wo duruyɛfo bɛkyerɛw sɔks a ɛfata ama w’ahiade.
Ebia ebegye bere kakra ansa na woayɛ wo su sɛ wobɛhyɛ eyinom (compression stockings). Ɛho hia sɛ wo ne wo duruyɛfo kasa fa sɛnea wɔte nka ne sɛ ebia wubetumi ahyɛ no yiye anaa. Wo duruyɛfo nso betumi ayɛ nsakrae wɔ sɛnea wohyɛ wo ho no mu a egyina sɛnea wote nka ne ahotɔ kɛse a stokɛ no ma wo yare no ho sɛnkyerɛnne no so.
Ayaresa afoforo a wɔde sa thrush ne:
- Afiri a ɛboa ma ntini no san ba: Sɛ nhwɛso no , Venowave® . Eyi yɛ afiri a ɛte sɛ pɔmpɛ a wode bɔ wo kɔn mu de boa ma mogya no kɔ yiye. Wubetumi ahyɛ wɔ fie anaa bere a worekɔ baabiara.
- Intermittent pneumatic compression (IPC) device: Eyi yɛ mframa nsateaa a wɔhyɛ wɔ nan so wɔ ayaresabea.
Asetra kwan mu nsakrae
Nsakrae nketenkete a wobɛyɛ wɔ w’asetra mu no betumi aboa kɛse ma wo yare no ho sɛnkyerɛnne so atew. Ebia wo duruyɛfo bɛkamfo nneɛma te sɛ:
- Ma wo nan nkɔ soro sen wo koma , sɛ́ wote hɔ anaasɛ woda fam no.
- Kura wo nipadua mu duru a ɛfata mu .
- Fa nnuru a ɛma wo honam ani yɛ hyew di dwuma na amma wo honam ani anyow anaasɛ anpaapae.
Dwumadie
Apɔw-mu-teɛteɛ betumi aboa ma mogya no atu mpɔn na atew sɛnkyerɛnne ahorow no so. Sɛ nhwɛso no, sɛ Post-Thrombotic Syndrome aka wo nan a, ebia wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ a ɛhyɛ wo nan ntini mu den.
Ɛte saa efisɛ wo nantwi ba ntini yɛ pɔmpɛ a ahoɔden wom a ɛyɛ adwuma te sɛ "koma a ɛto so abien." Sɛ wonam a, wo nantwi ba ntini a ɛtwetwe no boa ma mogya fi wo nan ne wo nan mu san kɔ wo koma mu. Enti, sɛ wohyɛ saa ntini ahorow no den a, wo ntini no nya mmoa a ehia na ama wɔatumi de mogya akɔ yiye.
Apɔw-mu-teɛteɛ ma wotumi yɛ nsakrae na ɛma wo koma ne ntini mu boasetɔ tu mpɔn. Wo ne wo duruyɛfo nkasa bere nyinaa ansa na woafi apɔw-mu-teɛteɛ nhyehyɛe foforo ase. Ɔbɛkyerɛ wo apɔw-mu-teɛteɛ a ahobammɔ wom na ɛfata w’ahiade.
Sɛɛgyiri
Wɔ nsɛm titiriw bi mu no, nnuruyɛfo betumi akamfo oprehyɛn anaa aduru a wɔde fa ntini mu (sɛ nhwɛso no, stenting) akyerɛ na ama mogya a ɛkɔ ntini no mu atu mpɔn. Wo duruyɛfo bɛkyerɛ wo sɛ ebia ayaresa a ɛte saa fata wo anaa.
Ntini mu akuru a wɔde sa yare
Sɛ tebea no mu yɛ den a , ntini mu akuru betumi aba. Ɛho hia paa sɛ wɔsa saa akuru yi yiye na wɔde ahwɛyiye yɛ. Sɛ ɛnte saa a, nsɛnnennen a anibere wom te sɛ nea wɔatwa no betumi aba. Ebia wo duruyɛfo bɛkamfo nea edidi so yi mu biako anaa nea ɛboro saa akyerɛ wo:
- Nnuru a ekum ɔyare mmoawa.
- Nhama anaa nhama a wɔde kata kuru no so.
- Nhyɛso aduru anaa stokɛ.
- Da biara da kuru a wɔhohoro.
- Nsõ a wɔde yɛ srade.
- Nnuru a ɛma ɛyaw ano brɛ ase.
- Debridement yɛ ntini a awuwu a woyi fi hɔ.
- Wɔde wɔn kɔ animdefo nkyɛn ma wɔboa ma wodi nyarewa a enni sabea te sɛ asikreyare ho dwuma.
Bere tenten ahe na Post-Thrombotic Syndrome di?
Post-thrombotic syndrome yɛ tebea a enni sabea . Eyi kyerɛ sɛ wo duruyɛfo betumi aboa wo ma woadi ho dwuma, nanso wontumi nsa . Ayaresa betumi atew wo yare no ho sɛnkyerɛnne so na ama woatumi ayɛ adwuma, abɔ fekuw, na woagye w’ani sɛnea wopɛ.
So wobetumi asiw Post-Thrombotic Syndrome ano?
Wontumi nsiw Post-Thrombotic Syndrome ano bere nyinaa. Eyi te saa efisɛ wontumi nsiw Deep Vein Thrombosis (DVT) ano bere nyinaa. Nanso, wo ne wo duruyɛfo betumi abom atew asiane a ɛwɔ hɔ no so:
- Hu nneɛma a ɛde DVT ba na tew so: Ɔkwan a eye sen biara a wobɛfa so asiw DVT (Post-Thrombotic Syndrome) ano ne sɛ wubesiw ano wɔ nea edi kan no mu. Bɔ mmɔden sɛ wobɛtew asiane ahorow a wubetumi asesa no so. Sɛ nhwɛso no, wubetumi atew asiane a ɛwɔ hɔ no so denam tawa ho nneɛma a wobɛkwati, nnam a wobɛkɔ so ayɛ, ne wo mu duru a wobɛkɔ so akura mu no so. Wo duruyɛfo bɛkyerɛ wo asiane ahorow a ɛsɛ sɛ wode w’adwene si so ne sɛnea wobɛyɛ nhyehyɛe ama ho.
- DVT a wobehu ntɛm na wɔasa no yiye: Sɛ wowɔ DVT a, sɛ wohu ntɛm na wosa no a, ebetumi aboa ma wo ntini a ɛsɛe wo no so atew. Ebetumi nso aboa ma wɔasiw DVT a ɛbɛba daakye ano. Eyi te saa efisɛ sɛ wowɔ DVT foforo a, asiane kɛse wom sɛ wubenya post-thrombotic syndrome. Wo duruyɛfo na ɔbɛkyerɛ ayaresa nhyehyɛe a eye sen biara ama wo. Mpɛn pii no, eyi hwehwɛ sɛ wɔnom nnuru a ekum mogya a ɛtwetwe mogya asram pii anaa nea ɛboro saa.
Mɛyɛ dɛn ahwɛ me ho?
Wo duruyɛfo bɛma wo akwankyerɛ wɔ sɛnea wobɛhwɛ wo ho bere a wowɔ fie no. Di saa akwankyerɛ ahorow no akyi yiye, na sɛ biribi mu nna hɔ a, bisa nsɛm. Mpɛn pii no wubetumi ayɛ nneɛma te sɛ eyi:
- Fa w'aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ .
- Bere a ɔte hɔ anaa ɔda fam noMa wo nan nkɔ soro.
- Kwati sɛ wobɛtra ase akyɛ sɛnea wubetumi biara. Gye w’ahome bere tiaa bi na nantew na woatrɛw wo nipadua mu.
- Fa moisturizer di dwuma na ama wo honam ani ayɛ yiye.
Ɛho hia nso sɛ wohwɛ w’adwene mu akwahosan so . Sɛ obi ne Post-Thrombotic Syndrome tra ase a, ebetumi ahaw adwene wɔ adwene ne nkate fam. Nnipa a wɔwɔ saa tebea yi betumi anya adwenemhaw, dadwen, ne wɔn ho a wɔmfa nyɛ hwee. Ebia wɔbɛhaw wɔn ho sɛ wobenya mogya a ɛbɛtɔ bio. Ebia wɔbɛte awerɛhow nso esiane sɛ wontumi nyɛ nneɛma a na wɔyɛ kan no bio esiane wɔn yare no ho sɛnkyerɛnne nti.
Sɛ worenya saa nkate horow yi a, sɛ wo ne ɔfotufo anaa ɔyaresafo bi bɛkasa a, ebetumi aboa wo kɛse. Wobetumi aboa wo ma woadi saa nkate horow yi ho dwuma na woanya ano aduru a ɛbɛma wo ho atɔ wo.
Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?
Wo duruyɛfo bɛma woadi wo akyi de ahwɛ wo tebea no. Ɛho hia yiye sɛ wobɛkɔ saa nhyiam ahorow yi nyinaa ase sɛnea ɛbɛyɛ a wo duruyɛfo betumi ayɛ nsakrae wɔ w’ayaresa nhyehyɛe mu sɛnea ɛho hia.
Sɛ wunya sɛnkyerɛnne foforo biara anaasɛ wo sɛnkyerɛnne sesa a , frɛ wo duruyɛfo ntɛm ara.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Saa nsɛmmisa yi bɛboa wo ma woasua pii afa wo yare no ho:
- So mewɔ Post-Thrombotic Syndrome ampa? Sɛ saa a, ɛyɛ aniberesɛm dɛn?
- Ayaresa bɛn na wokamfo kyerɛ me?
- Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’asetra kwan mu?
- Apɔw-mu-teɛteɛ bɛn na ɛfata me?
- Dɛn na m’adwene bɛyɛ?
Sɛ wohu sɛ wowɔ Post-Thrombotic Syndrome a, ebia wubenya nsɛmmisa ne ehu pii. Nanso mma ɛnhaw wo, wo duruyɛfo wɔ hɔ sɛ obebua wo nsɛmmisa na wakyerɛ wo kwan wɔ ayaresa mu. Ɛwom sɛ tebea yi abu so de, nanso w’ahiade ne nea ɛhaw wo no yɛ soronko. Wo ne wo duruyɛfo nyɛ adwuma na hwehwɛ nneɛma a ɛbɛboa wo nipadua ne w’adwene mu akwahosan.
Nkrasɛm a Wɔde Kɔ Fie
Post-Thrombotic Syndrome (PTS) yɛ tebea a ebetumi aba wɔ DVT akyi na ebetumi ahaw adwene kɛse. Nanso wobetumi adi ho dwuma .
Ade a ɛho hia sen biara ne sɛ sɛ wunya DVT a, wobɛhwehwɛ ayaresa ntɛm na ɛfata, sɛ wubehu sɛnkyerɛnne biara a ɛbɛba akyiri yi, na sɛ ɛho hia a, wobɛhwehwɛ aduruyɛfo afotu.
Wo duruyɛfo afotu a wubedi akyi, asetra mu nsakrae a ɛho hia a wobɛyɛ, ne titiriw no, compression stockings a wode bedi dwuma yiye no betumi aboa wo ma woanya ahotɔ kɛse. Kae sɛ ɛnyɛ wo nkutoo na wowɔ hɔ, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo ma woadi saa tebea yi ho dwuma.
` Post-Thrombotic Syndrome, DVT, Mogya a Ɛtwetwe, Ntini mu Yare, Nan mu Ɛyaw, Nan a Ɛhonhon, Ntini Mu Apirakuru











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