So wunim ‘splenic vein’ a ɛwɔ wo nipadua mu yi ho asɛm? Momma yɛnka ho asɛm!

Hɛlo! So woasusuw sɛnea nneɛma nketenkete a ɛwɔ yɛn nipadua mu no bi yɛ akɛse na ɛho hia no ho pɛn? Ɛtɔ da mpo a, yennwen ho pii, ɛnte saa? Wiɛ, ɛnnɛ yɛrebɛka obi a ɔyɛ kommyɛ som kɛseɛ wɔ yɛn nipadua mu ho asɛm. Ɛno ne 'splenic vein' anaasɛ wɔ aduruyɛ mu no `(Splenic Vein)`.

Dɛn ne saa akisikuru ntini yi?

Sɛ yɛbɛka no tiawa a, wo splenic vein no yɛ mogya ntini kɛse. Ɛte sɛ paipu kɛse bi a ɛde nsu kɔ. Ɛde mogya fi wo dwensɔtwaa, wo dwensɔtwaa, ne wo yafunu afã horow mu kɔ mogya ntini kɛse foforo a wɔfrɛ no portal vein mu. Eyi yɛ nhyehyɛe kɛse bi a ɛwɔ yɛn nipadua mu a wɔfrɛ no hepatic portal system no fã. Saa nhyehyɛe yi nso ka portal vein ne mesenteric veins no ho.

Fa no sɛ, saa splenic vein `(Splenic Vein)` yi ne vein foforo a ɛho hia `(Superior Mesenteric Vein)` bom yɛ portal vein `(Portal Vein)` a madi kan aka ho asɛm no. Afei, ɛnam saa portal vein `(Portal Vein)` yi so no, wo mogya kɔ mmerɛbo `(Liver).` Mmerɛbo no te sɛ yɛn nipadua no filter. Ɛhɔ no, wɔhohoro mogya no ho yiye, wɔyɛ ho adwuma na wɔsan de kɔ koma no mu, ma wɔkyekyɛ wɔ nipadua no nyinaa mu. So wote ase?

Dɛn na ɛto splenic vein no? Dɛn ne n’adwuma titiriw?

Adwuma titiriw a akyi berɛmo no yɛ ne sɛ ɛde ahwɛyiye bɛfa mogya a ahurututu no atew na asiesie no akɔ. Seesei ebia woresusuw nea akyi berɛmo no yɛ ho. Akisikuru yɛ adwumaden a ɛyɛ nwonwa wɔ yɛn nipadua mu. Eyi mogya mu nkwammoaa kɔkɔɔ dedaw na asɛe fi yɛn mogya mu. Ɛnyɛ ɛno nko, ɛkyere mmoawa bi a wɔde nyarewa ba a wɔhyɛn mogya no mu nso na eyi fi hɔ, na ɛde mogya mu nkwammoaa fitaa a ɛko tia nyarewa nso ka mogya no ho. So ɛno nyɛ adwuma a ɛho hia paa?

Enti, mogya a wɔasiesie no yiye afi akyi berɛmo no mu no, akyi berɛmo no fa ntini no na ɛde kɔ portal vein no mu. Afei portal vein no de saa mogya no kɔ mmerɛbo no mu ma ɛho tew bio.

Wɔ saa kwan yi so no, ɛdenam mogya yi a ɛde fa mmerɛbo no mu fa mmerɛbo no mu no so no, splenic vein no boa ma wo mogya no kɔ so yɛ den. Kuw yi nyinaa mmɔdenbɔ a wɔaka abom no ho hia na ama yɛn nipadua no ayɛ adwuma yiye na yɛanya aduannuru a ehia.

So wunim baabi a saa akisikuru ntini yi wɔ?

Wo yafunu ntini no wɔ wo yafunu mu, wo yafunu akyi, bɛn wo yafunu. Sɛ yɛbɛka no pɛpɛɛpɛ a, efi wo dwonku a ɛwɔ wo benkum so, wo mpampam ase, kɔ wo yafunu mfinimfini pɛɛ. Ɛyɛ ahintaw kakra, nanso ɛyɛ adwuma kɛse.

So nnamfo afoforo wɔ splenic vein no mu? Dɛn ne n’afã horow?

Yiw, splenic vein no nkutoo nyɛ adwuma. Wɔnam mogya ntini nketenkete pii a efi akisikuru mu ba a ɛka bom so na ɛba. Yɛfrɛ saa ntini nketewa yi ‘tributaries’. Te sɛ nsubɔnten nketewa a ɛka asubɔnten ho no ara pɛ. Nsubɔnten atitiriw pii wɔ hɔ a ɛde mogya ba akisikuru ntini no mu:

• Yafunu Ntini Tiatiaa: Eyinom de mogya fi yafunu no atifi ba.
• Benkum Gastro-omental Vein: Eyi de mogya fi yafunu no a ɛyɛ kurukuruwa kɛse no mu kɔ.
• Pancreatic Veins: Sɛnea edin no kyerɛ no, ɛde mogya fi dwensɔtwaa mu kɔ.
• Inferior Mesenteric Vein: Eyi de mogya fi dwensɔtwaa kɛse anaa akyi berɛmo mu.

Ɛnam eyinom nyinaa mmoa so na akisikuru ntini no yɛ n’adwuma yiye.

Nyarewa bɛn na ebetumi aka akisikuru no?

Nea ɛyɛ awerɛhow no, nyarewa ne tebea horow bi nso betumi aka yɛn akisikuru ntini no. Mpɛn pii no, eyinom yɛ ɔhaw ahorow a ɛfa mogya a ɛsen ho. Sɛ mogya a ɛkɔ akyi berɛmo no mu no siw kwan a, ebetumi de ɔhaw aba ahurututu no ne akwaa afoforo a atwa ho ahyia no so. Tebea horow no bi ni:

• Splenic Vein Thrombosis: Eyi ne mogya a ɛtwetwe wɔ splenic vein no mu. Eyi betumi ayɛ nea asiane wom koraa.
• Portal Hypertension: Eyi taa ne mmerɛbo mu yare a akɔ anim wɔ abusuabɔ. Nhyɛso a ɛwɔ portal vein ne splenic vein no mu no kɔ soro.
• Splenomegaly: Eyi ne ahurututu no a ɛho ahonhon. Mpɛn pii no, mogya mu yare anaa ɔyare mmoawa na ɛde ba.
• Gastrointestinal Varices: Tebea a mogya ntini ahorow bi a ɛwɔ yafunu, aduan mu, akyi berɛmo, ne dwensɔtwaa mu no hohoro na ɛyɛ kɛse. Eyinom betumi apae na mogya atu.
• Pancreatitis: Pancreatitis a ɛyɛ hyew. Eyi nso betumi ama mogya atɔ wɔ akisikuru ntini no mu.
• Pancreatic Cancer: Eyi taa fi ase wɔ dwensɔtwaa no ntini mu.

Ɛho hia sɛ wuhu saa tebea horow yi sɛnea ɛbɛyɛ a sɛ sɛnkyerɛnne ahorow sɔre a, wubetumi ahwehwɛ aduruyɛfo afotu ntɛm.

Nhwehwɛmu bɛn na wobetumi ayɛ de ahu sɛ ebia akyi berɛmo no mu ntini no te apɔw anaasɛ ɔhaw bi wɔ hɔ anaa?

Yiw, nhwehwɛmu ahorow pii wɔ hɔ a ebetumi aboa wo duruyɛfo ma wahu sɛnea akyi berɛmo no ntini ne nyarewa a ɛbata ho no te. Wɔn mu bi ni:

• Mogya mu Nhwehwɛmu: Eyinom tumi hu nneɛma pii.
• CT Scan: Ebetumi atwa nipadua no mu mfonini a emu da hɔ.
• Endoscopy: Sɔhwɛ a wɔde mfoninitwa afiri ketewaa bi di dwuma de hwɛ yafunu ne aduan mu.
• Mmɛn Dwumadi Ho Nhwehwɛmu: Hwɛ sɛnea mmerɛbo no reyɛ adwuma.
• MRI scan: Eyi nso yɛ ɔkwan a tumi wom a wɔfa so hwɛ nipadua no mu, te sɛ CT scan.
• Splenoportography: Eyi yɛ x-ray sɔhwɛ titiriw bi a wɔde hwɛ akyi berɛmo no ntini ne portal vein.
• Ultrasound scan: Ɛde nnyigyei asorɔkye di dwuma de twa nipadua no mu akwaa ahorow ho mfonini.
• Venography: Ɔkwan titiriw a wɔfa so twa ntini ho mfonini wɔ x-ray mu.

Oduruyɛfo no na obesi nea wuhia afi nhwehwɛmu ahorow yi mu ho gyinae.

Yɛbɛyɛ dɛn ama akisikuru ntini a ɛho hia yi atra apɔw na ayɛ adwuma yiye?

Sɛ akisikuru ntini no bɛyɛ adwuma yiye a, ɛho hia yiye sɛ yedi asetra mu su pa ne aduruyɛ mu afotu a ɛboa ma yɛn ntini nhyehyɛe nyinaa nya apɔwmuden akyi. Ɛboa nso ma wosiw nneɛma a ebetumi de tebea horow te sɛ splenic vein thrombosis ne portal hypertension a yɛadi kan aka ho asɛm no aba no ano.

Nneɛma a ɛwɔ hɔ nyinaa a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:

• Di aduan a ahoɔden wom. Di nhabannuru, nnuaba, ne nhabannuru pii. Tew ngo, nkyene, ne asikre a wode di dwuma no so sɛnea wubetumi biara.
• Yɛ apɔw-mu-teɛteɛ daa. Yɛ biribi te sɛ nantew, mmirikatu, anaa asuguare anyɛ yiye koraa no simma 30 da biara.
• Kwati nsa a wobɛnom boro so. Ɛnyɛ mmerɛbo nko na nsa na epira, na mmom epira nipadua no nyinaa nso.
• Bɔ wo ho ban fi Hepatitis Viruses ho. Eyinom betumi afa nna a wɔmmɔ ho ban anaa nnubɔne a wɔde twitwiw nipadua mu (titiriw wɔ syringe a wɔde adi dwuma mu) so.
• Di wo tebea horow a enni sabea ho dwuma yiye. Sɛ nhwɛso no, sɛ wowɔ asikreyare anaa mogya mmoroso a, fa wo nnuru sɛnea wo duruyɛfo kyerɛ wo no na yɛ nsakrae wɔ w’asetra mu.
• Kwati sigaretnom koraa. Sigaretnom pira mogya ntini kɛse.
• Nom nsu pii da mũ no nyinaa na mma wo nipadua mu nsu nnsɛe.
• Kɔ aduruyɛ mu nhwehwɛmu daa. Ɛyɛ adwene pa sɛ anyɛ yiye koraa no, wɔbɛyɛ aduruyɛ mu nhwehwɛmu a edi mũ pɛnkoro afe biara.
• Mfa nnuru anaa aduannuru a ɛho nhia a wunni aduruyɛ mu afotu.Ebia nneɛma bi ne wɔn ho wɔn ho nhyia.
• Sɛ wo yafunu mu yɛ wo yaw a wuntumi nkyerɛkyerɛ mu anaasɛ wo ho popo a, kɔ oduruyɛfo ntɛm ara. Mma w’ani ngu so, efisɛ ebetumi ayɛ biribi a anibere wom ho sɛnkyerɛnne.

Nsonsonoe bɛn na ɛda ahurututu mu ntini ne akisikuru ntini no ntam? Yɛsrɛ sɛ kyerɛkyerɛ mu.

Eyi yɛ mmerɛw yiye. Susuw ho hwɛ, ahurututu mu ntini no ne nea ɛde mogya ‘pa’, kyerɛ sɛ, mogya a ɛyɛ foforo a oxygen wom no ba ahurututu no mu. Ɛno na ɛma ahoɔden ne mframa pa a akyi berɛmo no hia na ama atumi ayɛ adwuma. Ɛte sɛ nea wode dan mu nneɛma foforo reba fie hɔ.

Splenic vein no ne nea ɛde mogya a ‘wɔde adi dwuma’, kyerɛ sɛ, mogya a carbon dioxide ne nwura wom no kɔ akyirikyiri fi spleen no ho bere a wɔayɛ n’adwuma awie no. Ɛde saa mogya no kɔ mmerɛbo no mu ma ɛho tew. Ɛte sɛ nea woreyi nwura a ɛwɔ wo fie no afi hɔ.

Sɛ yɛbɛka no tiawa a, ntini bi de mogya foforo ba, na ntini bi nso fa mogya a wɔde adi dwuma. Ɛno ne nsonsonoe titiriw no. N’abien nyinaa ho hia ma yɛn nipadua.

Nea etwa to no, nneɛma bi a ɛho hia a ɛsɛ sɛ wokae...

Sɛ woreyɛ nhwehwɛmu wɔ saa akisikuru ntini yi mu a, ɛkyerɛ sɛ ɛsɛ sɛ wo anaa obi a wodɔ no di akwahosan ho haw bi a ɛfa ho ho dwuma. Ɛyɛ papa ankasa sɛ worehwehwɛ nsɛm wɔ saa kwan yi so. Sɛ wuhu w’akwahosan tebea ne sɛnea wo nipadua no yɛ adwuma a, ɛyɛ ahoɔden kɛse a wode bedi asɛnnennen biara so.

Afei nso, wo ne wo nnuruyɛfo nkasa daa, bisa nsɛm, na ka wo nsusuwii ne wo nkate kyerɛ wɔn. Ɛho hia yiye sɛ wode wo ho bɛhyɛ w’ankasa akwahosan mu denneennen. Mma nsuro anaa w’ani nnwu sɛ wubebisa nsɛm.

Ade a ɛho hia sen biara ne sɛ wobɛhwɛ wo ho yiye na woakɔ so anya anidaso. Kae sɛ, ɔhaw biara ano aduru wɔ hɔ, anaa ɔkwan pa a wobɛfa so adi ho dwuma. Aduruyɛ ho nyansahu renya nkɔso da biara da.

Sɛ yehu ɔsom dodow a nneɛma nketenkete te sɛ splenic vein a ɛwɔ yɛn nipadua mu mpo betumi de ama a, yɛte ɔdɔ ne yɛn nipadua ho hwɛ kɛse nka, ɛnte saa? Enti, fa ɔdɔ di wo nipadua ho dwuma.

` Splenic vein, mogya ntini, spleen, mmerɛbo, mogya a ɛkɔ nipadua no mu, akwahosan