Akisikuru a ɛte sɛ balloon wɔ splenic artery no mu? Momma yensua Splenic Artery Aneurysm ho ade pɛpɛɛpɛ!

So woate sɛ splenic artery aneurysm ho asɛm pɛn? Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso mma ɛnhaw wo. Momma yɛnka ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so. Mpɛn pii no, saa tebea yi betumi aba a enni sɛnkyerɛnne biara, nanso ɛtɔ mmere bi a ebetumi aba a nneɛma te sɛ ɛyaw wɔ yafunu no benkum atifi.

Dɛn ne saa splenic artery aneurysm yi?

Sɛ yɛbɛka no tiawa a, w’akyi berɛmo no wɔ mogya ntini titiriw bi, ntini bi , a ɛma mogya, na sɛ saa ntini no fasu no fã bi yɛ mmerɛw na ɛpuepue te sɛ afiri a wɔde bɔ mogya a, yɛfrɛ no ntini a ɛma mogya tu . Fa no sɛ nsu paipu a ɛbɔ kɔ baabiara bere a ayɛ dedaw no. Bere kɔ so no, saa akisikuru yi betumi ayɛ kɛse. Dodow a bulge no yɛ kɛse no, dodow no ara na ebetumi asɛe ade kɛse. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ akyi berɛmo no mu ntini no mu yɛ den sɛntimita 1.0 anaa nea ɛboro saa a, yɛfrɛ no ahurututu mu ntini a ɛma mogya tu. Ɛtɔ mmere bi a, ebetumi ayɛ nea enni sɛnkyerɛnne biara bere tenten. Nanso ɛtɔ mmere bi a, ebetumi nso ada sɛnkyerɛnne ahorow adi a ehia sɛ wɔsa yare ntɛm ara. Enti, ɛho hia paa sɛ wuhu eyi, kyerɛ sɛ, yare no ho sɛnkyerɛnne ne asiane ahorow.

Saa tebea yi abu so dɛn? Hena na ɛda adi sɛ obenya bi?

Saa tebea yi a wɔfrɛ no splenic artery aneurysm no ka nnipa 1,000 biara mu biako kosi 2,500 biara mu biako. Ɛno kyerɛ sɛ, bere a ebia ɛbɛyɛ te sɛ nea ɛnyɛ asɛm kɛse de, nanso ɛyɛ ntini a ɛtaa ba wɔ ntini a ɛwɔ yɛn yafunu mu no mu (visceral artery aneurysm).

Eyi betumi aka mpanyimfo a wɔadi mfe ahorow nyinaa. Nanso sɛ woyɛ ɔbea , titiriw boro mfe 60 a, wowɔ asiane mu kakra. Nokwarem no, ɛyɛ nea ɛda nsow nso sɛ saa ntini ahorow yi mu bɛyɛ 80% ba mmea so .

Ɔkwan bɛn so na ntini a ɛma mogya tu no ka nipadua no? So ɛyɛ hu?

Mpɛn pii no, yɛn ntini ahorow no yɛ nea ɛyɛ mmerɛw yiye. Wɔtwetwe wɔn ho na wɔtrɛw bere a mogya fa wɔn mu no, nanso wɔnhwere wɔn tebea a ɛfata no. Nanso sɛ mogya mu ntini bi ba a, baabi a ɛyɛ mmerɛw wɔ ntini no mu ma ɛbɔ kɔ abɔnten. Ɛte sɛ nea wɔretwe rɔba bi wɔ baabi biako. Ntini no fasu yɛ mmerɛw yiye wɔ saa bere no mu. Bere kɔ so no, sɛ wɔansa eyi a, ebetumi de nsɛnnennen a emu yɛ den aba .

Splenic Artery Aneurysm yɛ aduruyɛ mu tebea a emu yɛ den . Ɛtɔ mmere bi a ebetumi de wo nkwa ato asiane mu, titiriw sɛ woanyinsɛn a . Te sɛ ntini afoforo a ɛma mogya tu no, eyi yɛ nea asiane wom efisɛ ebetumi apaapae anaasɛ atwitwa . Saa mpaapaemu ne ntini a wɔatwitwa yi yɛ tebea horow a egye ntɛmpɛ a ɛde nkwa to asiane mu a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara.

Biribi foforo nso wɔ hɔ, wɔfrɛ no pseudoaneurysms., a wɔfrɛ no ‘atoro ntini a ɛma mogya tu’. Eyi nso betumi aka ahurututu mu ntini no. Wɔ aneurysm ankasa mu no, ɛka ntini no fasu no nyinaa. Wɔ pseudoaneurysm mu no, ɔfa biako anaa abien pɛ na ɛka. Nanso, saa pseudoaneurysm a ɛwɔ splenic artery no nso yɛ aniberesɛm yiye na asiane kɛse wom sɛ ɛbɛpaapae sen aneurysm ankasa.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya ntini a ɛwɔ akyi berɛmo mu no?

Nsɛnkyerɛnne ahorow pii wɔ hɔ a wubetumi anya sɛ wowɔ saa ntini mu yare yi a.

• Ɛyaw a ɛba wo yafunu no benkum so atifi . Saa ɛyaw yi nso betumi akɔ wo mmati benkum so.
• Nkate a ɛyɛ hu wɔ yafunu no benkum atifi.

Susuw nea ɛbɛba sɛ saa ntini a ɛma mogya tu yi pae a . Afei ebia mpofirim ara wubenya yare no ho sɛnkyerɛnne te sɛ:

• Akisikuru ne ɔfe .
• Ɛyaw a ano yɛ den wɔ yafunu no atifi , wɔ wo mpampam ase pɛɛ.
• Ɛyaw a ɛba benkum mmati mu .
• Hypovolemic shock (tebea a mogya dodow a ɛso tew wɔ nipadua no mu) ho sɛnkyerɛnne.

Saa ɔyare yi betumi aba mpofirim, anaasɛ ebetumi aba wɔ akwan abien so. Bɛyɛ nnipa baanan biara mu biako nya saa nneɛma abien yi a wɔaka abom. Ɛne sɛ, sɛnkyerɛnne ahorow no da adi mpofirim, afei ɛbrɛ ase bere tiaa bi. Nanso saa ahotɔ no nkyɛ, na nipadua no ho dwiriw no ntɛm ara.

Ade a ɛho hia sen biara ne sɛ, sɛ wowɔ sɛnkyerɛnne biara a ɛkyerɛ sɛ ntini a ɛwɔ akyi berɛmo mu no ayɛ basaa anaasɛ apaapae a, ɛsɛ sɛ wofrɛ 1990 anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ ntɛm ara.

Nnipa pii nnya yare no ho sɛnkyerɛnne biara kosi sɛ aneurysm bi reyɛ apaapae anaasɛ apaapae. Ɛno nti na ɛho hia kɛse sɛ wuhu nneɛma a ɛde asiane ba wo mu na wo ne wo duruyɛfo kasa fa asiane dodow a wowɔ no ho.

Dɛn nti na saa splenic artery aneurysm yi ba?

Mmerewa a ɛwɔ akyi berɛmo no fasu mu ne ade titiriw a ɛde saa ntini a ɛma mogya tu yi ba. Ɛnyɛ bere nyinaa na ɛda adi pefee sɛ nea ɛde saa mmerɛwyɛ yi ba ankasa. Nanso, nhwehwɛmufo ahu sɛ asiane pii wɔ hɔ a ebetumi ama tebea no aba.

Eyinom mu , nyinsɛn yɛ asiane a ɛho hia yiye. Afei nso, asiane yi dɔɔso mpo ma mmea a wɔanyinsɛn pɛn. Wɔ nyinsɛn mu no, nkwaadɔm mu nsakrae ka wo mogya no, na ɛma nhyɛso a ɛwɔ akyi berɛmo no mu no yɛ kɛse. Eyi betumi ama ntini no afasu ayɛ mmerɛw na ama ntini a ɛma mogya tu no ayɛ mmerɛw.

Ayaresa mu tebea afoforo ahorow nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya splenic artery aneurysm no ayɛ kɛse. Nhwɛso kakraa bi ni:

• Mogya mmoroso (Aterial hypertension) .
• Ntini mu ntini a ɛyɛ den
• Amemene mu ntini a ɛma mogya tu
• Cirrhosis a ɛwɔ mmerɛbo mu
• Sɛ nhwɛso no, ntini a ɛka bom yɛ nyarewaMarfan yare a ɛma obi nya ɔyare no
• Asikreyare (Asikreyare) .
• Ɔyare mmoawa a ɛba koma no mu (Endocarditis) .
• Fibromuscular dysplasia (FMD) a ɛma nipadua no yɛ adwuma yiye .
• Granulomatosis a ɛwɔ polyangiitis (GPA) (kan no na wɔfrɛ no Wegener’s) .
• Mmɛn a wɔde ma obi foforo
• Ntini mu ntini a ɛma mogya tu (PAN) .
• Portal hypertension (nhyɛso a ɛkɔ soro wɔ ntini a ɛkɔ mmerɛbo no mu) .
• Vasculitis a ɛma mogya tu

Asiane ahorow nso wɔ hɔ a ɛma pseudoaneurysms a yɛadi kan aka ho asɛm no ba :

• Pancreatitis a enni sabea
• Nsɛnnennen a ɛba wɔ oprehyɛn akyi.
• Akwanhyia, opira te sɛ kar akwanhyia anaa sekan a wɔde sekan obi.

Dɛn ne nneɛma a ɛma mogya mu ntini a ɛma mogya tu no pae?

Asiane atitiriw pii wɔ hɔ a ɛma ahurututu mu ntini a ɛma mogya tu no mu paapae:

• Portal hypertension: Mogya a ɛkɔ baabi a ntini no wɔ no kɔ soro no ma asiane a ɛwɔ hɔ sɛ ɛbɛpaapae no yɛ kɛse.
• Nyinsɛn: Ntini a ɛwɔ mmea a wɔyem mu bɛyɛ 50% mu paapae bere a wɔyem no. Mpɛn pii no, saa mpaapaemu yi ba wɔ nyinsɛn no fã a etwa to no mu.
• Nsɛnkyerɛnneɛ a ɛwɔ hɔ: Nnipa a wɔwɔ sɛnkyerɛnne no wɔ asiane 80% sɛ wɔbɛnya ɔyareɛ no. Eyi boro wɔn a wonni sɛnkyerɛnne biara (a wɔwɔ asiane 10%) so kɛse.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?

Nokwarem no, ebetumi ayɛ den kakra sɛ wobehu ahurututu mu ntini a ɛma mogya tu. Nea enti a ɛte saa ne sɛ yare no ho sɛnkyerɛnne no mu nna hɔ koraa, na etumi suasua tebea afoforo pii. Ɛtɔ mmere bi a, nnuruyɛfo hu saa tebea yi bere a wɔreyɛ nhwehwɛmu esiane biribi foforo nti.

Mfonini mu nhwehwɛmu titiriw ne ɔkwan a eye sen biara a wobɛfa so ahu saa ntini ahorow yi, titiriw sɛ wunni sɛnkyerɛnne biara a.

Sɔhwɛ ahorow bi a wɔde yɛ eyi ni:

• CT Angiography (Kɔmputa so tomography angiography - CTA) .
• Digitals subtraction angiography (DSA) a wɔde yi mogya fi mu .
• Ultrasound nhwehwɛmu (Ultrasonography) , a endoscopic ultrasound nhwehwɛmu ka ho.
• M.R. Angiography (Magnetic resonance angiography - MRA) .

Saa nhwehwɛmu ahorow yi mu biara wɔ mfaso pɔtee bi a ɛma wohu ntini a ɛma mogya tu ne ayaresa ho nhyehyɛe. Wo duruyɛfo bɛkyerɛkyerɛ nhwehwɛmu a ɛsɛ sɛ woyɛ ne nea enti a ɛsɛ sɛ woyɛ mu akyerɛ wo.

Mɛyɛ dɛn ahu sɛ mihia ayaresa?

Ɛsɛ sɛ wɔsa splenic artery aneurysms a asiane wom sɛ ɛbɛpae anaasɛ ɛbɛpaapae no ho adwuma ntɛmntɛm. Sɛ wowɔ tebea horow a edidi so yi mu biara a, wo duruyɛfo betumi akamfo akyerɛ wo sɛ wobɛsa wo yare:

• Sɛ ntini a ɛwɔ nipadua no mu no kɛse boro sɛntimita 3 (milimita 30) a.
• Sɛ bere kɔ so no, ntini a ɛma mogya tu no yɛ kɛse a .
• Sɛ wowɔ sɛnkyerɛnne ahorow a .
• Sɛ wuhia mmerɛbo foforo a .
• Sɛ woanyinsɛn a , anaasɛ sɛ ebetumi aba sɛ wubenyinsɛn a .

Sɛ asiane nnim sɛ wo ntini a ɛwɔ wo mogya mu no bɛpaapae a, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnhwɛ wo so , a ɛkyerɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu a edi akyi bere ne bere mu. Sɛ asiane a ɛwɔ hɔ sɛ wobɛpaapae no kɔ soro bere biara a, wo duruyɛfo bɛkamfo ayaresa akyerɛ wo.

Dɛn ne ayaresa ahorow a wɔde sa splenic artery aneurysm?

Ayaresa ahorow pii wɔ hɔ a wobetumi apaw ama eyi.

• Endovascular procedure: Mpɛn pii no eyi ne ɔkwan a eye sen biara a wɔfa so di ntini a ɛma mogya tu no ho dwuma ansa na apae (ayaresa a wɔpaw). Ɛha yi, oduruyɛfo no siw mogya a ɛsen fa ntini no mu no kwan. Akwan ahorow wɔ hɔ a wɔfa so yɛ eyi. Sɛ nhwɛso no, wɔ ɔkwan bi a wɔfrɛ no ‘coiling’ mu no, wɔde dade coils di dwuma de hyɛ aneurysm no ma. Wɔ ɔkwan foforo so no, wɔde nsu titiriw bi gu mu, na ɛma mogya no fa ntini no mu yɛ den na esiw. Oduruyɛfo no paw ɔkwan a ɛfata sen biara a egyina sɛnea ntini no te ne baabi a ɛwɔ so.
• Oprehyɛn a wɔabue ano: Wɔkamfo eyi kyerɛ nnipa a wontumi nnya endovascular ayaresa anaasɛ wɔantumi annye no yiye. Ɛha yi, oduruyɛfo no yi ntini no fã a asɛe no. Ebia ɛho behia nso sɛ woyi w’akyi berɛmo (splenectomy) .
• Oprehyɛn a wɔde laparoscopic yɛ: Eyi nyɛ oprehyɛn a ɛnyɛ den pii sen oprehyɛn a wɔabue ano, na bere a wɔde ma obi ho tɔ no yɛ tiaa. Mpɛn pii no, eyi ne ɔkwan a eye sen biara a wɔfa so sa yare bere a wɔyem no.

Wo ne wo duruyɛfo nkasa mfa ayaresa nhyehyɛe a eye ma wo ho.

Nsɛnnennen a ɛba wɔ ayaresa mu

Wo duruyɛfo bɛkyerɛkyerɛ asiane ne nsɛnnennen a ɛwɔ ayaresa mu akyerɛ wo. Eyinom mu nea abu so sen biara ne tebea bi a wɔfrɛ no post-embolization syndrome (PES) . PES ho sɛnkyerɛnne ahorow bi ne:

• Huraeɛ.
• Akisikuru ne ɔfe.
• Yafunu mu yaw.

Sɛ wunya saa sɛnkyerɛnne ahorow yi wɔ ayaresa akyi a, wo ne wo duruyɛfo nkasa. Ebia wo duruyɛfo bɛkamfo nnuru a wɔde kum ɛyaw anaa nkyene (IV nsu) aboa wo ma wo yare no ho sɛnkyerɛnne no afi hɔ kosi sɛ wo ho bɛtɔ wo.

Dɛn na metumi ayɛ de atew asiane yi so?

Ɛho hia sɛ wudi aduruyɛ mu tebea foforo biara a wowɔ ho dwuma yiye, titiriw nea ɛma asiane a ɛwɔ hɔ sɛ wubenya akisikuru mu ntini mu ntini no yɛ kɛse no. Wo ne wo duruyɛfo nkasa mfa nea ɛsɛ sɛ woyɛ ma wo tebea no pɔtee ho.

Nneɛma bi a ɛtaa ba a wubetumi ayɛ ni:

• Nom nnuru a wɔakyerɛw ama wo nyinaa wɔ bere ano .
• Sɛ wunya yare no ho sɛnkyerɛnne foforo biara anaasɛ wo sɛnkyerɛnne no sesa a, ka kyerɛ wo duruyɛfo ntɛm ara .
• Kɔ afe afe aduruyɛ mu nhwehwɛmu , na kɔ bere biara a woayɛ nhyehyɛe sɛ wo ne oduruyɛfo no bɛkɔ.

Afei nso, nsakrae ahorow bi a wobɛyɛ wɔ w’asetra mu no betumi aboa ma wo mogya ntini nyinaa , a w’akyi ntini no ka ho, akɔ so ayɛ yiye .

• Gyae sigaretnom ne tawanom koraa .
• Di aduan a ɛma koma nya ahoɔden .
• Fa apɔw-mu-teɛteɛ daa sɛnea wo duruyɛfo kamfo kyerɛ no.
• To nsa a wobɛnom ano hye .

Sɛ mewɔ saa tebea yi a, dɛn na ɛsɛ sɛ mehwɛ kwan? Dɛn ne adwene a ɛwɔ hɔ?

Sɛ wowɔ splenic artery aneurysm a, di wo duruyɛfo akwankyerɛ akyi yiye. Ebia worenhia ayaresa ntɛm ara. Mmom no, ebia wo duruyɛfo bɛkamfo nea wɔfrɛ no “ɔwɛn a wɔtwɛn” akyerɛ wo. Eyi kyerɛ sɛ wobɛyɛ mfoninitwa nhwehwɛmu daa (mpɛn pii no afe biara) de ahwɛ sɛ ebia ntini a ɛma mogya tu no reyɛ kɛse anaa. Ɛho hia sɛ wɔsa yare wɔ bere ano na amma ntini a ɛma mogya tu no anpae anaasɛ anpaapae.

Anidaso a obi a ɔwɔ saa tebea yi benya no gyina nneɛma pii so:

• Aneurysm no kɛse ne beae a ɛwɔ .
• Sɛnea ntini a ɛma mogya tu no nyin ntɛmntɛm .
• Sɛ́ ebia ntini a ɛma mogya tu no bɛpae anaasɛ ɛrempae .
• Ayaresa tebea afoforo ne asiane ahorow a wowɔ.

Splenic artery aneurysm a ɛpaapae no taa di awu . Nhwehwɛmu ada no adi sɛ mpaapaemu betumi akum nnipa a:

* Mmea a wɔnyɛ nyinsɛn no mu 25% kosi 40% .

* Mmea a wɔyem no 65% kosi 75% (awotwaa a wowuwu no dodow yɛ 90% kosi 95%).

* Nnipa bɛboro 50% a wɔwɔ portal hypertension .

Ɛkame ayɛ sɛ bere nyinaa na pseudoaneurysms a ɛpaapae wɔ splenic artery no mu no di awu .

Wo ne wo duruyɛfo nkasa mfa sɛnea wobɛhwɛ w’ankasa tebea no ho.

Mɛyɛ dɛn ahwɛ me ho? Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wotra ase a wowɔ Splenic Artery Aneurysm a, ɛyɛ kakra...Ebetumi ayɛ adwennwen . Ebia wubesusuw nea ɛrekɔ so wɔ wo nipadua mu no ho, anaasɛ ebia wobɛte ehu nka sɛ ntini a ɛma mogya tu no bɛpae.

Ɛyɛ ade a ɛfata sɛ wobɛte dadwen nka. Ka wo nkate kyerɛ wo duruyɛfo. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔmfa nni dwuma ansa na wɔayɛ ntini a ɛyɛ mmerɛw a ebetumi apaapae. Bisa wo duruyɛfo no ma ɔnkyerɛ wo nea efi mfoninitwa mu bae no na ɔnkyerɛkyerɛ nea ɛkyerɛ mu. Dodow a wode wo ho hyɛ w’akwahosan ho nhyehyɛe mu no, dodow no ara na wobɛte nka sɛ wubetumi adi wo tebea no so.

Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ woba mu kɔhwɛ wo ne mfoniniyɛ mu nhwehwɛmu. Sɛ wowɔ nsɛmmisa, nsɛm bi a ɛhaw wo, anaa sɛnkyerɛnne foforo anaa nea ɛresakra a, frɛ wo duruyɛfo ntɛm ara .

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Bisa wo duruyɛfo no ma ɔnkyerɛkyerɛ wo yare no ne wo ayaresa nhyehyɛe mu. Nsɛmmisa bi a wubetumi abisa ni:

• Me ntini a ɛma mogya tu no kɛse te dɛn ?
• Ɛhe ankasa na ɛwɔ?
• Hokwan bɛn na ɛwɔ hɔ sɛ ɛbɛpae ?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho ?
• Bere bɛn na ɛsɛ sɛ me ne 1990 kasa ?
• Mpɛn ahe na ɛsɛ sɛ meba kɔhwɛ me wɔ aduruyɛ mu ?
• Sɔhwɛ ahorow bɛn na ɛsɛ sɛ meyɛ? Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma wɔn?

Afei nso, bisa wo duruyɛfo no nsɛm foforo a ebetumi aboa wo ma woate sɛnea wohu yare no ne ayaresa nhyehyɛe a woayɛ no ase.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Te sɛ ntini afoforo no, sɛ wɔansa akisikuru a ɛyɛ hu sen biara . Sɛ wo duruyɛfo hu sɛ wowɔ saa tebea yi a, woadi w’anim anammɔn biako dedaw. Oduruyɛfo no bɛhwɛ tebea no so na wakyerɛ wo bere a wuhia ayaresa.

Sɛ wɔresa wo yare sɛ wo ho ayɛ wo ntini anaasɛ woapaapae a, ɛho hia sɛ woma w’ani da hɔ bere tenten . Mma wo duruyɛfo nkɔhwɛ no nmpa wo ti so, na wo ne wo duruyɛfo nkasa mfa sɛnkyerɛnne foforo anaa nea ɛresakra biara ho. Yɛ ɔhokafo a ɔyɛ nnam wɔ w’ayaresa mu na sua wo tebea no ho ade sɛnea wubetumi biara. Sɛ wowɔ nimdeɛ ne nsɛm a, wubetumi ne w’aduruyɛfo kuw no ayɛ adwuma de aboa ma ɔhaw ahorow a ɛbɛba daakye no so atew.

` Splenic Artery Aneurysm, Akisikuru, Ntini, Yafunu mu Ɛyaw, Nyinsɛn, Mogya Ntini