So wote nka sɛ wo mogya so atew wɔ wo basa mu? Momma yɛnka saa (Subclavian Artery Stenosis) yi ho asɛm!

Ɛtɔ mmere bi a, wote nka sɛ wobrɛ, wote yaw, anaasɛ wo ho yɛ wo yaw bere a wode wo nsa di dwuma anaa woma biribi a emu yɛ duru so no? Anaasɛ abasa biako te nka sɛ awɔw wom sen biako? Eyinom betumi ayɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya ntini kɛse bi a ɛde mogya kɔ wo basa mu no atew. Ɛnnɛ yɛrebɛka tebea a ɛte saa no biako ho asɛm, a wɔfrɛ no `(Subclavian Artery Stenosis)`.

Dɛn ne ``(Subclavian Artery Stenosis)``? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, `(Subclavian Artery Stenosis)` yɛ mogya ntini titiriw bi (yɛfrɛ no `(Subclavian Artery)`) a ɛde mogya kɔ wo basa mu no a ɛyɛ teateaa, kyerɛ sɛ, tebea te sɛ nea asiw. Fa no sɛ ɛyɛ te sɛ nea efĩ aboaboa ano wɔ nsu afiri bi mu na ɛyɛ teateaa nkakrankakra. Afei ahoɔhare a nsu no de tu no so tew, ɛnte saa? Saa na ɛte wɔ eyi ho. Mpɛn pii no, saa teateaa yi ba bere a srade nneɛma (yɛfrɛ eyi `(plaque)`) gu mogya ntini yi mu no. Nanso ntease afoforo nso betumi aba. Ɛte sɛ `(speed bump)` a ɛwɔ kwan so, a ɛma mogya no brɛ ase kakra.

Ebia woate tebea bi a wɔfrɛ no Peripheral Artery Disease (PAD) a ɛma mogya ntini a ɛwɔ nan no mu no yɛ teateaa ho asɛm. Wɔfrɛ saa tebea yi a ɛba mogya ntini a ɛwɔ abasa no mu no Subclavian Artery Stenosis.

Nnipa pii wɔ saa tebea yi nanso wɔnda sɛnkyerɛnne biara adi. Nea enti a ɛte saa ne sɛ yɛn nipadua no mogya ntini a aka no yɛ adwuma yiye ma ɛyɛ nwonwa. Sɛ mogya ntini biako siw a, mogya ntini afoforo no bɔ mmɔden sɛ wɔbɛhyɛ baabi a ɛda hɔ no ma. Ɛne sɛ, wɔbɔ mmɔden sɛ wɔde mogya a abasa no hia no bɛma wɔ ɔkwan bi so.

Mpɛn pii no, saa `(Subclavian Artery Stenosis)` tebea yi ba wɔ ntini a ɛde mogya kɔ nsa benkum so no mu . Efisɛ, `(Subclavian Artery)` a ɛwɔ benkum so no mu apaapae tẽẽ afi `(Aorta)`, mogya ntini kɛse a efi yɛn koma mu ba no ho. Enti, hokwan kɛse wɔ hɔ sɛ ɔhaw ahorow bɛba wɔ ho. Nea ɛwɔ nifa so no fi mogya ntini foforo mu. Nanso ɛntaa mma koraa sɛ wobetumi ahu tebea yi wɔ nsa benkum ne nifa nyinaa mu.

Saa tebea yi abu so dɛn?

Sɛ wohwɛ akontabuo a ɛwɔ ɔman te sɛ Amerika mu a, mpɛn pii no, 2% kɔsi 7% na wɔwɔ saa tebea yi. Nanso, wɔ wɔn a wɔwɔ ``Peripheral Vascular Disease'' (mogya ntini a ɛyɛ teateaa) dedaw no mu no, saa dodow yi bɛyɛ 19%. Wɔka nso sɛ tebea yi abu so kɛse wɔ mmea mu .

Dɛn ne `(Subclavian Artery Stenosis)` ho sɛnkyerɛnne?

Sɛnea yɛadi kan aka no, ɛnyɛ obiara na obehu yare no ho sɛnkyerɛnne. Nanso sɛ wɔyɛ saa a, ebia wɔn ho te sɛ eyi:

• Ntini mu akisikuru bere a wode abasa a ayɛ basaa no redi dwuma no. Fa no sɛ, sɛ woma biribi a emu yɛ duru so anaa wode wo nsa yɛ biribi a, wo nsa mu ntini no mu yɛ den na ɛte sɛ nea ɛreyɛ ayɛ wo yaw.
• Ɛyaw anaa nsa a ɛyɛ den bere a wode nsa a ayɛ no yaw no redi dwuma no.
• Nsa a ayɛ no yaw anaasɛ atenka a ɛyera (yɛfrɛ eyi ``Paresthesia''). Ɛte sɛ nea nsa no reyɛ ayɛ mmerɛw ara kwa.
• Dizziness - Eyi yɛ ade a ɛntaa nsi.
• Fainting - Eyi nso ho yɛ na yiye.
• Vertigo - Wei ye atenka a ewo ho se woretwa wo ho ahyia. Eyi nso ho yɛ na.

Nnipa pii nkyerɛ yare no ho sɛnkyerɛnne efisɛ mogya ntini afoforo na ɛma mogya a ɛkɔ abasa no mu no. Nsɛnkyerɛnne no fi ase da adi bere a mogya ntini no so atew bɛyɛ 50% akyi . Ɛtɔ da bi a, tebea bi a wɔfrɛ no ``Steal Syndrome'' betumi de sɛnkyerɛnne afoforo aba. Yɛbɛka saa asɛm no ho asɛm akyiri yi.

Dɛn ne nneɛma a ɛde `(Subclavian Artery Stenosis)` ba?

Nea ɛde saa tebea yi ba titiriw ne ``Atherosclerosis''. Ɛne sɛ, srade (te sɛ srade) kɔ mogya ntini no mu, na ɛma ntini no mu teateaa nkakrankakra . Te sɛ nea nsɔe nyin wɔ nsu paipu mu no. Eyi ne ade a ɛtaa de ba.

Sɛ ɛno da nkyɛn a, ntease afoforo pii betumi aba:

• Vasculitis: Ɔhyew a ɛba mogya ntini mu.
• Radiation: Sɛ woanya radiation ayaresa ama biribi te sɛ kokoram wɔ wo koko mu a.
• Thoracic Outlet Syndrome: Mogya ntini ne ntini a efi koko atifi kɔ kɔn ne abasa no mu a wɔhyɛ.
• (Takayasu’s Arteritis): Ɔyare a ɛma obi ho hyehye no a ɛka mogya ntini akɛse no, titiriw wɔ mmabaa mu.
• Fibromuscular Dysplasia: Mogya ntini a ɛyɛ teateaa esiane ntini ne ntini a ɛka bom a ɛwɔ mogya ntini afasu mu no nyin wɔ ɔkwan a ɛnteɛ so nti.
• Neurofibromatosis: Awosu mu tebea bi a ɛma akisikuru ba ntini mu.

Dɛn ne asiane ahorow a ɛde eyi ba? Hena na ɛsɛ sɛ ɔhwɛ yiye kɛse?

Nnipa binom taa nya ``(Subclavian Artery Stenosis)``. Hwɛ sɛ asiane ahorow yi fa wo ho anaa:

• Sɛ́ wadi mfe 50-60.
• Mogya mmoroso a obi wɔ (Hypertension). Eyi ne nea yɛfrɛ no "mogya mmoroso".
• Asikreyare a obi wɔ (Asikreyare / Asikreyare). Wɔsan frɛ no "asikre yare", ɛnte saa?
• Mogya mu srade dodow a ɛkɔ soro.
• Nnuan a srade ne trans fat pii wom a wobedi (te sɛ bɔta, margarine, nnuan a srade wom, nnuan a wɔde di ntɛmntɛm) .
• Tawa nneɛma a wɔde di dwuma (te sɛ sigaretnom, betel nut a wɔwe).
• Beae biako a wobɛtra akyɛ dodo na woanyɛ apɔw-mu-teɛteɛ.
• Sɛ wo nipadua mu duru (BMI) boro 25 a, ɛkyerɛ sɛ wo mu duru boro so ma wo tenten.
• Sɛ obi wɔ ntini a ɛwɔ akyi no mu yare (PAD).
• Tebea no a obi wɔ (Takayasu Arteritis).

Dɛn ne nsɛnnennen a ebetumi aba wɔ `(Subclavian Artery Stenosis)` mu?

Sɛ wɔansa saa tebea yi yiye anaasɛ wɔanhyɛ so a, nsɛnnennen bi betumi aba.

• (Subclavian Steal Syndrome) a Ɛma Nnipa Yɛ Adwuma:Eyi yɛ tebea titiriw bi kakra. Nea ɛkɔ so wɔ ha ne sɛ esiane sɛ mogya a ɛkɔ nsa no mu no so tew nti, wɔtwe mogya a ɛkɔ amemene no mu no bi "wiawia" kɔ nsa no mu bere a wɔne no reyɛ adwuma no. Afei mogya dodow a ɛkɔ amemene no mu no so tew, na ɛno betumi ama nneɛma te sɛ adwenemhaw ne aniwa a ɛyɛ bruu aba.
• Coronary Steal Syndrome: Eyi te sɛ nea edi kan no, nanso ha no, wɔdan mogya a ɛkɔ koma no mu no bi kɔ abasa no so. Eyi ntaa nsi koraa, titiriw wɔ nnipa a wɔayɛ wɔn oprehyɛn a wɔde twa kwan no mu.
• Srade a ɛyɛ srade asinasin bi a akɔhyɛ mogya ntini mu no mu paapae na ɛkyere mogya ntini ketewaa bi a ɛbɛn nsateaa no mu. Eyi betumi atwa mogya a ɛkɔ nsateaa no mu no mu, na ama ayɛ no yaw na ayɛ akuru.
• Mogya a ɛkɔ koma, amemene, anaa nsa mu no so tew.
• (TIA - Transient Ischemic Attack): Eyi te sɛ mini `(stroke)`. Nsɛnkyerɛnne te sɛ mogya a ɛkɔ amemene no mu a ɛso tew bere tiaa bi, kasa a wontumi nkasa, ne akwaa a ɛyera ba na ɛkɔ. Nanso, eyi betumi ayɛ ade a edi `(stroke)` kɛse bi anim.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi (Subclavian Artery Stenosis)?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo. Wɔfrɛ eyi ``honam fam sɔhwɛ''.

• Ɛhɔ no, wɔbɛhwɛ sɛnea wo koma bɔ ne wo mogya mmoroso .
• Ebia worehwɛ sɛ nsa biako yɛ nwini sen foforo anaa.
• Hwɛ sɛ akuru bi wɔ nsa abien no nyinaa so anaa, ne sɛ ɛnsa (akuru gye bere tenten ansa na ayɛ yiye esiane mogya a ɛnkɔ yiye nti).
• Wubetumi nso ahwɛ sɛ ebia abasa biako mu ntini a ɛbɔ no yɛ mmerɛw anaa.

Nea ɛyɛ soronko ne sɛ, nea ɛnte sɛ nhwehwɛmu a wɔyɛ no daa no, oduruyɛfo no bɛsusuw wo mogya mmoroso wɔ wo nsa abien no nyinaa mu . Wɔyɛ eyi de toto `(nhyɛso)` a ɛwɔ nsa abien no nyinaa mu no ho. Sɛ `(systolic)` nhyɛsoɔ (dodow a ɛwɔ soro) a ɛwɔ abasa baako mu no korɔn bɛyɛ milimita 10-15 `(mmHg)` a, ɛbɛtumi ayɛ tebea bi a wɔfrɛ no `(Subclavian Artery Stenosis)` ho sɛnkyerɛnne. `(nhyɛso)` no korɔn wɔ abasa a egye mogya fi mogya ntini a ɛte apɔw mu no mu.

Bio nso, sɛ wo duruyɛfo te "swoosh" nnyigyei (a wɔfrɛ no "bruit") bere a ɔde afiri a wɔde tie asɛm tie wo mogya ntini a ɛwɔ wo kɔn mu a, eyi nso betumi ayɛ mogya ntini no mu teateaa ho sɛnkyerɛnne.

Ɛntaa mma sɛ nnipa a wonya saa tebea yi esiane nneɛma afoforo nti nso betumi ada sɛnkyerɛnne ahorow a ɛfa saa nyarewa a ɛfa ho no adi.

Sɔhwɛ foforo bɛn na wɔreyɛ de asi so dua?

Sɛ wo duruyɛfo susuw sɛ wowɔ Subclavian Artery Stenosis a, obetumi adi kan akra sɛ wɔnyɛ ultrasound. Eyi betumi ahwɛ sɛnea mogya no kɔ ntɛmntɛm ne sɛnea mogya ntini no te.

Bio nso, wobetumi ayɛ nhwehwɛmu a edidi so yi de ahwɛ mogya ntini no:

• (CT Angiogram - Computed Tomography Angiogram): Eyi yɛ CT scan soronko bi. Wɔde aduru bi gu mu na ama wɔahu mogya ntini no pefee.
• (MRA - Magnetic Resonance Angiogram): Eyi te sɛ MRI scan, nanso ɛyɛ nea wɔde hwɛ mogya ntini titiriw.
• Amanneɛ kwan so (Invasive) Angiogram:Wɔ eyi mu no, wɔde afiri ketewaa bi fa mogya ntini bi mu, wɔde aduru bi gu mu, na wɔfa ``(X-ray)''. Ɛtɔ da bi a, wɔde ɔkwan bi a wɔfrɛ no ``(Digital Subtraction)'' di dwuma. Eyi yi nneɛma te sɛ dompe fi hɔ na ɛma wotumi hu mogya ntini no nkutoo yiye.

Dɛn ne ayaresa a wɔde sa `(Subclavian Artery Stenosis)`?

Ayaresa no gyina sɛ ebia wowɔ yare no ho sɛnkyerɛnne anaasɛ wunni bi ne sɛnea tebea no mu yɛ den so.

Ebia nnipa a wɔwɔ sɛnkyerɛnne ahorow no behia ayaresa te sɛ eyi:

• (Aspirin): Ɛtew mogya a ɛtwetwe no so na ɛboa ma mogya no yɛ mmerɛw.
• Nnuru a ɛma mogya mu srade so tew: Tew srade dodow a ɛboaboa ano wɔ mogya ntini mu no so.
• Aduru a wɔde sa mogya mmoroso .
• Sɛ nea ɛde ba ne `(Vasculitis)` a, ɛnde ɛhwehwɛ sɛ wɔde nnuru di dwuma.
• Angioplasty: Wɔ eyi mu no, wɔde afiri ketewaa bi a ɛte sɛ balloon hyɛ mogya ntini a asiw no mu na wɔde mframa gu mu ma ɛtrɛw ntini no mu. Mpɛn pii no, wɔde stent (afiri ketewaa bi a ɛte sɛ ahama) hyɛ mu na amma anyɛ teateaa bio.
• Bypass Surgery: Eyi yɛ oprehyɛn a wɔntaa nyɛ koraa. Nea ɛka ho ne sɛ wɔbɛfa mogya ntini a asiw no ho na wɔde mogya ntini foforo (ebia wɔafa afi nan no mu) anaa nea wɔde ayɛ ayɛ ɔkwan foforo.

Sɛ wunnya yare no ho sɛnkyerɛnne mpo a, wo duruyɛfo bɛhwehwɛ srade a ɛwɔ wo mogya ntini mu (atherosclerosis). Saa tebea yi betumi aka mogya ntini a ɛwɔ nipadua no mu baabiara na ebetumi ama woanya ``akisikuru'' anaa ``komayare.'' Enti, ɛda adi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ:

• Anyɛ yiye koraa no, yɛ apɔw-mu-teɛteɛ simma 30 da biara, nna dodow no ara wɔ dapɛn no mu. (Te sɛ nantew, mmirikatu, apɔw-mu-teɛteɛ) .
• Kura mu duru a ɛfata mu ma wo.
• Kwati tawa ho nneɛma koraa.
• Di aduan a srade a ɛyɛ dɛ ne trans fats nnim (di nhabannuru, nnuaba, atoko, ne fiber pii).

So nsɛnnennen anaa nsunsuanso bɔne bi wɔ ayaresa no mu?

Aduru biara betumi de ɔhaw nketenkete aba. Sɛ wunya ɔhaw biara a ɛhaw adwene na ɛkɔ so bere a worenom w’aduru no a, wo ne wo duruyɛfo nkasa.

Ɛtɔ da bi a, oprehyɛn anaa akwan te sɛ ``Angioplasty`` betumi de nsɛnnennen te sɛ eyinom aba:

• Mogya a ɛretu.
• Mogya ntini bi a ɛsɛe.
• Mogya a ɛtwetwe.
• Stent a wɔde hyɛɛ mu no antrɛw yiye anaasɛ na enni gyinabea a ɛfata.
• Stent a wɔde ahyɛ mu no mu paapae.
• Mogya ntini no siw bio.
• Ɛntaa mma sɛ akisikuru betumi aba bere a wɔayɛ angioplasty anaa oprehyɛn akyi.

Bere tenten ahe na egye ansa na obi ho atɔ no wɔ saa ayaresa ahorow yi mu?

Sɛ wɔyɛ Angioplasty wie a, ɛho behia sɛ wohome bɛyɛ da koro. Wubetumi aka kar na woakɔ adwuma wɔ dapɛn biako mu. Nanso, Bypass Surgery begye bere tenten ansa na ne ho atɔ no. Wo duruyɛfo bɛka eyi ho nsɛm pii akyerɛ wo a egyina wo tebea no so.

Sɛ mewɔ `(Subclavian Artery Stenosis)` a, dɛn na ɛba? Dɛn ne daakye?

Sɛ wowɔ sɛnkyerɛnne ahorow a, ayaresa betumi aboa kɛse ma wo mogya ntini no abue na ama wo sɛnkyerɛnne ahorow no afi hɔ. Sɛ wunni yare no ho sɛnkyerɛnne a, ebia ɛho renhia sɛ wobɛsa wo yare.

Nanso sɛ́ ebia wowɔ sɛnkyerɛnne ahorow anaasɛ wunni bi no, Subclavian Artery Stenosis yɛ kɔkɔbɔ sɛnkyerɛnne a efi wo nipadua mu . Mpɛn pii no, Atherosclerosis (srade a ɛwɔ mogya ntini mu) na ɛde ba. Sɛ mogya ntini biako siw a, ebetumi aka mogya ntini afoforo nso. Ɛno nti na wo duruyɛfo bɛka akyerɛ wo sɛ di nneɛma a ɛde koma ne ntini mu yare ba no so .

Nea ɛka eyi ho ne:

• Sɛ wode tawa di dwuma a, gyae koraa.
• Mogya mmoroso a wobedi so.
• Cholesterol a ɛdɔɔso a wobedi so.
• Asikreyare a wobedi so anaasɛ wosiw ano.

Angioplasty yɛ nea etu mpɔn bɛboro 95% wɔ sɛnkyerɛnne ahorow no ano aduru mu. Mfe anum wɔ angioplasty akyi no, mogya ntini a kan no na asiw no bɛyɛ 90% da so ara bue. Oprehyɛn a wɔyɛ no pefee betumi ama wɔanya nea ɛtra hɔ daa kɛse mpo.

Sɛ wo mogya ntini no siw koraa a, ebia nea ebefi mu aba no rentu mpɔn kakra.

So wobetumi asiw Subclavian Artery Stenosis ano?

Yiw, mpɛn pii no, wobetumi asiw srade a ɛwɔ mogya ntini mu (atherosclerosis) a ɛde eyi ba no ano. Nea ehia sɛ woyɛ ara ne sɛ wobɛyɛ nsakrae bi wɔ w’asetra kwan mu.

• Apɔw-mu-teɛteɛ a wɔbɛyɛ.
• Aduan pa a wobedi akyi (ngo, asikre, nkyene kakraa bi, nhabannuru ne nnuaba pii) .
• Kwati sigaretnom.
• Mu duru a ɛfata a wobɛkɔ so akura mu.

Ɛho hia nso sɛ wudi ayaresa tebea biara a ebia wowɔ dedaw te sɛ:

• Cholesterol a ɛdɔɔso.
• Mogya mmoroso (Hypertension).
• Asikyireyareɛ.

Mɛyɛ dɛn ahwɛ me ho?

Nsakrae kakraa bi a wubetumi ayɛ wɔ asetra mu de asiw Subclavian Artery Stenosis ano no bɛboa wo wɔ ayaresa akyi mpo. Suban pa betumi aboa ma tebea yi ansan mma bio. Sɛ oduruyɛfo de stent hyɛ wo ntini mu a, ɛda adi sɛ ebehia sɛ wokɔ so nom nnuru te sɛ aspirin ne clopidogrel na amma antoto bio.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wosa yare wie a, wɔbɛka akyerɛ wo sɛ kɔ wo duruyɛfo nkyɛn bɛyɛ asram asia biara wɔ mfe abien a edi kan no mu. Afei bɛyɛ pɛnkoro afe biara. Eyi betumi ayɛ soronko a egyina wo tebea ne beae a wɔresa wo yare so. Enti, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

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

Nnipa a wɔwɔ Subclavian Artery Stenosis nso betumi anya srade a ɛwɔ mogya ntini afoforo a ɛwɔ nipadua no mu no mu. Nea ɛka eyi ho ne ntini ahorow a ɛde mogya kɔ wo koma mu (akoma mu ntini ahorow). Sɛ saa ntini ahorow yi siw a, wubetumi anya komayare. Sɛ wowɔ komayare ho sɛnkyerɛnne a , hwehwɛ nnuruyɛfo mmoa ntɛm ara.

Ebia komayare ho sɛnkyerɛnne ahorow bi ne:

• Koko mu yaw anaasɛ ɛyɛ den (ɛyaw yi betumi akɔ abasa, kɔn, anaa anom).
• Ɔhome a ɛyɛ den.
• Adwene a ɛyɛ basaa, te nka sɛ ne ti ayɛ hare.
• Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm.
• Yafunu a ɛyɛ yaw, akisikuru, ɔfe.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• So mihia ayaresa?
• Dɛn ne ayaresa a eye sen biara ma me tebea no?
• Saa ayaresa ahorow yi mu ahe na woyɛ wɔ w’ayaresabea/ayaresabea afe biara?
• So wubetumi de me akɔma obi a obetumi aboa me ma manya suban ahorow a ɛma koma nya ahoɔden? (e.g., aduannuru ho ɔbenfo) .

So `(Subclavian Artery Stenosis)` yɛ asiane?

Yiw, eyi betumi ayɛ asiane, titiriw sɛ ɛde tebea bi a wɔfrɛ no ``Steal Syndrome'' ba, a ɛkyerɛ sɛ mogya kakraa bi na ɛrekɔ amemene anaa koma no mu, na mmom wɔredan akɔ abasa no mu. Ade a eye sen biara a wubetumi ayɛ de asiw ɔhaw ahorow yi ano ne sɛ wubedi wo duruyɛfo afotu a ɛfa aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe ho akyi.

Sɛ wuhu sɛ wowɔ Subclavian Artery Stenosis a, ebia ɛbɛyɛ bere a edi kan a woate saa mogya ntini no ho asɛm. Nanso, bu eyi sɛ nkrasɛm a efi wo nipadua mu: Wowɔ Atherosclerosis. Sɛ ɛwɔ mogya ntini biako mu a, ebetumi nso wɔ foforo no mu. Enti, yɛ nneɛma bi mprempren na ama wo koma ne wo mogya ntini ayɛ yiye.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛaka ho asɛm no ho, ``(Subclavian Artery Stenosis)``. Don’t worry , sɛ wohu no ntɛm na wɔhwɛ so yiye a, wubetumi ayɛ yiye.

Nea ɛho hia ne sɛ mpɛn pii no eyi fa yɛn asetra kwan ho. Ɛno kyerɛ sɛ wubedi aduan pa, apɔw-mu-teɛteɛ daa , akwati sigaretnom, na woadi tebea horow te sɛ asikreyare, mogya mmoroso, ne srade a ɛwɔ nipadua mu no so .

• Sɛ wo nsa taa te yaw, wo ho yɛ wo yaw, anaa wobrɛ a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu.
• Di oduruyɛfo no ayaresa ne akwankyerɛ ahorow akyi pɛpɛɛpɛ.
• Eyi nyɛ nsa ho haw ara kwa, na mmom ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wohwɛ wo koma akwahosan nyinaa so.

Tie wo nipadua na bɔ mmɔden sɛ wobɛkɔ so anya apɔwmuden!

` Subclavian Artery Stenosis, Abasa mu Ɛyaw, Abasa a Ɛyɛ Fɛ, Mogya Ntini a Ɛyɛ Teateaa, Angioplasty, Stent, Atherosclerosis