Momma yensua Subclavian Steal Syndrome - yareɛ a "ɛwia" mogya kɔ amemene no mu ho ade!

Ɛtɔ mmere bi a, wote nka sɛ wo ho yɛ wo yaw anaasɛ w’ani nhu ade yiye? Anaasɛ wote nka sɛ wo nsa reyɛ ayɛ wo yaw anaasɛ ayɛ mmerɛw, titiriw bere a wode wo nsa yɛ biribi, woma biribi a emu yɛ duru so, anaa wodan wo ti kɔ ɔfã biako mpofirim no? Sɛ eyi ba a, ebetumi ayɛ tebea bi a yɛreka ho asɛm nnɛ a wɔfrɛ no "Subclavian Steal Syndrome." Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, te sɛ, "So eyi yɛ korɔnbɔ yare?" Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa na emu nna hɔ.

Dɛn ankasa ne Subclavian Steal Syndrome?

Sɛ yɛbɛka no tiawa a, subclavian steal syndrome yɛ bere a mogya a ɛsɛ sɛ ɛkɔ w'amemene mu no bi "wia" kɔ wo basa mu. Eyi ba efisɛ subclavian artery, mogya ntini titiriw bi a ɛde mogya kɔ wo basa mu (mpɛn pii no nea ɛwɔ benkum so) no asiw anaasɛ ayɛ mmerɛw.

Susuw ho saa kwan yi so. Worebɔ mmɔden sɛ wubedi aduan prɛte biako. Ɛte sɛ nea obi a ɔte wo nkyɛn pɛɛ "rewiawia" aduan a worebɔ mmɔden sɛ wubedi no mu biako anaa abien. Mogya a ɛma aduannuru a ɛsɛ sɛ ɛkɔ w'amemene mu no bi "wiawia" kɔ wo nsam. Enti mogya dodow a ebetumi akɔ w’amemene mu no so tew, te sɛ nea aduan dodow a wubetumi adi no so tew no.

Bere a ntini yi mu a esiw no kɔ soro no, mogya fa subclavian ntini no mu wɔ nhyɛso a ɛba fam mu. Nanso, mogya mmoroso a ɛwɔ ntini afoforo a ɛbɛn hɔ no mu no kɔ soro. Ne saa nti, mogya a ɛkɔ akyi berɛmo mu ntini a ɛyɛ nkorabata fi subclavian ntini no mu na ɛde mogya kɔ amemene no mu no dan akyi. Afei, mogya no bi hyɛn subclavian artery no mu na ɛkɔ abasa no mu. Ɛno ne nea wɔfrɛ no "korɔnbɔ."

Tebea foforo bi wɔ hɔ a wɔfrɛ no "coronary steal syndrome". Eyi ne bere a mogya a ɛsɛ sɛ ɛkɔ koma ntini no mu no siw. Eyi nsi obiara, na mmom nnipa binom a wɔayɛ wɔn koma oprehyɛn ahorow bi (coronary artery bypass oprehyɛn) nkutoo. Nea ɛde saa yare abien yi nyinaa ba titiriw ne srade a ɛboaboa ano wɔ ntini no afasu mu, anaasɛ "plaque", tebea a wɔfrɛ no "atherosclerosis" wɔ aduruyɛ mu. Anaasɛ ebia ntease afoforo wɔ hɔ a ɛma subclavian artery no yɛ teateaa.

Saa tebea yi abu so dɛn?

Nhwehwɛmufoɔ ntumi nka nnipa dodoɔ pɔtee a wɔwɔ subclavian steal syndrome, nanso wɔbu akontaa sɛ ebia nnipa dodoɔ no mu 0.6% kɔsi 6.4% na wɔwɔ bi. Bio nso, nnipa a wɔwɔ ntini a ɛwɔ akyi no mu bɛyɛ 18% nso wɔ saa yare no.

Saa tebea yi taa ba mmarima ne nnipa a wɔadi boro mfe 55 so .

Nanso, esiane mfoninitwa akwan a ɛkɔ akyiri a ɛwɔ hɔ nnɛ nti, tebea yi abɛyɛ nea wotumi hu kɛse wɔ nnipa a wonni sɛnkyerɛnne biara mpo mu.

Dɛn ne subclavian steel syndrome ho sɛnkyerɛnne ahorow?

Subclavian steel syndrome ho sɛnkyerɛnne taa da adi bere a woreyɛ nsaanodwuma a emu yɛ den anaasɛ woredan wo ti akɔ ɔfã biako mpofirim no.Hwɛ sɛ wowɔ saa su ahorow yi bi anaa:

• Anisoadehu a ɛyɛ kusuu
• Adwene a ɛyɛ basaa
• Ɛyaw, akisikuru, akisikuru, anaa nsa a emu yɛ duru
• Nnipa a wɔtotɔ piti
• Aso a ɛyɛ mmerɛw (ɛtaa nyɛ) .
• Sɛ wote nka sɛ worekyinkyin (Vertigo) .
• Ataxia yɛ tebea a nipadua no ntumi nkari pɛ na entumi nnantew yiye.

Nanso nnipa dodow no ara nhu sɛnkyerɛnne biara. Ɛte saa efisɛ wɔn amemene no nya mogya a ɛdɔɔso fi ntini afoforo a ɛte apɔw mu. Wonhia ayaresa.

Dɛn na ɛde subclavian steel syndrome ba?

Nneɛma atitiriw kakraa bi nti na ɛte saa:

• Atherosclerosis - Wei ne adeɛ a ɛtaa de ba.
• Arteriovenous malformations (nkitahodi a ɛnteɛ a ɛda ntini ne ntini ntam) .
• Aortic a wɔpaapae mu
• Takayasu ntini mu yare, tebea a ɛma ntini no mu yɛ hyew
• Fibromuscular dysplasia yɛ ntini no afasu a enyin wɔ ɔkwan a ɛnteɛ so.

Saa nneɛma a ɛde ba yi te sɛ nea ɛde subclavian artery stenosis ba no.

Hena na ɔwɔ asiane kɛse ma eyi?

Nneɛma bi a ɛma asiane a ɛwɔ hɔ sɛ obi benya subclavian steel syndrome no yɛ kɛse ni:

• Sɛ wɔayɛ wo oprehyɛn de asiesie aorta no a ɛyɛ teateaa (aorta no a ɛyɛ mmerɛw) a.
• Sɛ ɔhaw bi wɔ aortic arch anaa mogya ntini no bi ho fi awo mu a.
• Subclavian artery a wɔhyɛ (eyi abu so wɔ agumadifo binom mu).
• Sɛ mpampam foforo (cervical rib) wɔ kɔn no mu a.

Nsɛnnennen bɛn na ebetumi afi tebea yi mu aba?

Sɛ wototɔ piti esiane subclavian steal syndrome nti a, ebetumi ama woahwe ase na woapirapira. Ebetumi ama ayɛ den nso sɛ wode abasa a asɛe no bɛyɛ adwuma biara.

Ɔkwan bɛn so na wohu sɛ obi anya subclavian steel syndrome?

Ade a edi kan a oduruyɛfo yɛ de hu eyi ne sɛ ɔbɛyɛ nipadua mu nhwehwɛmu. Oduruyɛfo no bɛhwɛ sɛnea wo nsa ne wo nsateaa bɔ no so titiriw. Ɔbɛsan nso ahwɛ carotid ntini a ɛwɔ wo kɔn afã abien no nyinaa ne subclavian ntini no, ahwehwɛ "swoosh..." nnyigyei biara a ɛyɛ soronko (bruit). Sɛ wode afiri a wɔde tie asɛm no te nnyigyei a ɛte saa a, ebetumi asiw saa ntini no mu.

Dɛn ne "Steele Syndrome" ho sɛnkyerɛnne a wohu bere a wɔreyɛ aduruyɛ mu nhwehwɛmu?

Sɛ wowɔ subclavian artery syndrome a, wo duruyɛfo no bɛsusuw wo mogya mmoroso wɔ wo nsa abien no nyinaa mu na wahu nsonsonoe wɔ akenkan no mu. Ebia mogya mmoroso a ɛwɔ abasa biako mu no bɛboro mercury (mmHg) milimita 15 asen foforo no.

Afei nso, sɛ wɔhwɛ radial pulses no bere koro mu a, ebia ɛbɛyɛ te sɛ nea pulse a ɛwɔ ɔfã a ɛwɔ subclavian steel syndrome no yɛ mmerɛw na ebetumi ayɛ te sɛ nea ɛrebɔ denneennen.

Sɔhwɛ ahorow bɛn na wɔyɛ de si eyi so dua?

Oduruyɛfo no bedi kan ayɛ wo subclavian artery no ultrasound. Ɛno akyi no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi nso, sɛnea ɛho hia:

• MRA (magnetic resonance angiogram) nhwehwɛmu.
• CT Angiogram (CT - kɔmputa so tomography angiogram) sɔhwɛ.
• Digital subtraction angiogram - Eyi yɛ ɔkwan titiriw a wɔfa so yi nipadua akwaa afoforo fi mfonini no mu na mogya ntini nkutoo na wotumi hu pefee.

Saa nhwehwɛmu ahorow yi ma nnuruyɛfo tumi kyekyɛ sɛnea subclavian steel syndrome (ɛnyɛ mmerɛw anaasɛ emu yɛ den) no mu yɛ den. Wɔde adesuakuw I, II, ne III na edi dwuma, na Adesuakuw III na emu yɛ den sen biara. Wɔboa nso ma wohu ayaresa ko a ehia.

Dɛn ne ayaresa ahorow a wɔde sa subclavian steel syndrome?

Sɛ wowɔ sɛnkyerɛnne ahorow a, ebia ebehia sɛ wɔyɛ wo oprehyɛn na ama mogya a ɛkɔ subclavian artery no mu atu mpɔn sɛ aduru a wɔde sa subclavian artery stenosis. Ɛdenam wo tebea so no, eyi betumi ayɛ oprehyɛn a wɔabue ano anaasɛ endovascular oprehyɛn (adeyɛ a ɛhwehwɛ sɛ wɔde nnwinnade nketewa fa mogya ntini mu hyɛ mu). Ɛsɛ sɛ wokwati sɛ wode abasa a ayɛ wo yaw no bedi dwuma dodo kosi sɛ wɔbɛyɛ oprehyɛn no.

Sɛ womfata sɛ wɔyɛ wo oprehyɛn a, wo duruyɛfo betumi akyerɛw wo nnuru a ekum mogya a ɛtwetwe mogya anaa mogya mu nkwammoaa a ɛma mogya tu.

Sɛ wowɔ sɛnkyerɛnne ahorow a emu nyɛ den a, ebetumi atu mpɔn bere a bere kɔ so no. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi akyerɛw wo nnuru a ɛbɛma wo mogya mmoroso ne srade a ɛwɔ wo mu no so atew.

Nea ɛho hia ne sɛ nnipa a wonni sɛnkyerɛnne biara no ntaa nhia ayaresa. Nanso, sɛ wo subclavian artery no ayɛ teateaa a, hokwan kɛse wɔ hɔ sɛ ɛbɛyɛ saa ara wɔ ntini afoforo mu. Nea enti a ɛte saa ne sɛ saa ntini a ɛyɛ den (atherosclerosis) yi taa ka ntini ahorow a ɛwɔ nipadua no nyinaa mu.

Enti, ɛsɛ sɛ wunya ayaresa ma saa abopon yi. Sɛ woyɛ obi a ɔnom sigaret a, ɛsɛ sɛ wugyae sigaretnom, na wudi wo mogya mmoroso ne srade a ɛkɔ soro no so . Saa nneɛma yi betumi aboa ma wɔasiw komayare anaa akisikuru ano daakye.

Ayaresa/oprehyɛn pɔtee bɛn na wɔde di dwuma ma eyi?

Ebia wubehia akwan yi mu biako anaa nea ɛboro saa:

• Oprehyɛn a wɔyɛ de yɛ ɔkwan a wɔfa so twa denam subclavian artery a wɔde bɛka ntini foforo (sɛ nhwɛso no, carotid artery) ho no so.
• Angioplasty ne stenting - Eyi hwehwɛ sɛ wɔde biribi te sɛ balloon trɛw baabi a asiw no mu na afei wɔde stent a ɛte sɛ ahama hyɛ mu na amma annsiw bio.
• Atherectomy - Wei kyer3 se wobeyi plaque afiri ntini no mu.
• Endarterectomy - Woyi ntini bi a ɛwɔ mu no fã bi fi hɔ.

So nsɛnnennen betumi afi ayaresa mu aba?

Yiw, asiane ahorow no gu ahorow a egyina ayaresa no so. Ebia nea ɛka ho ne:

• Wo subclavian artery no reyɛ ketewaa bio.
• Mogya mu ntini betumi ayɛ, na ebetumi ama obi anya akisikuru mpo.
• Ntini anaa mogya ntini bi a ɛsɛe.
• Ɔhaw ahorow bi a wubenya bere a wɔresa yare no.

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

Sɛ obi ho bɛtɔ no afi subclavian steel syndrome ayaresa mu a, ebetumi agye nna kakraa bi, dapɛn biako, anaa nea ɛboro saa mpo. Mpɛn pii no, oprehyɛn a obi ho tɔ no no ne bere tenten sen biara.

Sɛ mewɔ subclavian steel syndrome a, dɛn na metumi ahwɛ kwan?

Nnipa bɛboro 95% a wɔyɛ wɔn oprehyɛn wɔ subclavian steel syndrome ho no nhia sɛ wɔyɛ wɔn oprehyɛn foforo da. Mpɛn pii no, wɔn nkɔmhyɛ yɛ papa.

So subclavian steal syndrome de nkwa to asiane mu?

Dabi, eyi nyɛ tebea a ɛde nkwa to asiane mu. Nanso, ɛyɛ kɔkɔbɔ sɛnkyerɛnne a anibere wom! Ɛkyerɛ sɛ wowɔ atherosclerosis, ntini mu yare bi. Sɛ plaque boaboa ano wɔ wo ntini mu a, ebia wo koma anaa w’amemene no rennya oxygen a ɛdɔɔso daakye. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya komayare anaa akisikuru no yɛ kɛse.

So wobetumi asiw subclavian steel syndrome ano?

Yɛrentumi nni nneɛma a ɛde subclavian steel syndrome (te sɛ awosu mu nneɛma) ba no bi so. Nanso, wobetumi asiw saa yare yi a ɛbɛba no ano kɛse denam plaque a ɛboaboa ano (atherosclerosis) a ɛtaa de ba no a wobesiw ano so .

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ no so?

Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi so – na ɛno nti asiane a ɛwɔ hɔ sɛ wubenya subclavian steel syndrome – denam nsakrae yi a wobɛyɛ wɔ wo da biara da asetra mu no so:

• Kura mu duru a ɛfata a ɛfata wo mu.
• Fa wo ho hyɛ apɔw-mu-teɛteɛ (apɔw-mu-teɛteɛ) mu anyɛ yiye koraa no simma 30 da biara wɔ nna dodow no ara mu.
• Kwati tawa nneɛma (te sɛ sigaret ne beedis) a wode bedi dwuma koraa.
• Di nnuan a ɛma koma nya ahoɔden (a srade a ɛyɛ dɛ ne srade a ɛwɔ nipadua mu kakraa bi na ɛwom).
• Sɛ wowɔ tebea horow te sɛ srade a ɛdɔɔso, mogya mmoroso, ne asikreyare a, di so yiye.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ subclavian steel syndrome a, ɛho hia sɛ wonom wo nnuru sɛnea wo duruyɛfo kyerɛ wo, yɛ oprehyɛn biara a ɛho hia, na wudi mogya mmoroso, srade a ɛkɔ soro, ne asikreyare so (sɛ wowɔ bi a) na wokwati tawa ho nneɛma.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wosa yare wie a, ɛsɛ sɛ wokɔhwɛ wo daa, titiriw sɛ wo yare no ho sɛnkyerɛnne san ba a. Sɛ wo duruyɛfo susuw sɛ wo subclavian artery no atew bio a, obetumi ahyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu pii. Ɛho behia sɛ wɔyɛ wo nhwehwɛmu wɔ ɔsram biako, asram asia, anaa afe biako wɔ ayaresa akyi. Ɛno akyi no, wubetumi akɔ wo duruyɛfo nkyɛn bɛyɛ pɛnkoro afe biara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• Ɛkyɛ dɛn na mihia ayaresa?
• Ayaresa kwan bɛn na eye ma me?
• Dɛn ne wo nkonimdi wɔ nnipa a wɔwɔ saa tebea yi ayaresa mu?

Enti, dɛn ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

Ɛmfa ho sɛ asɛmfua "Steal" wɔ ne din mu no, subclavian steal syndrome yɛ tebea a wotumi sa. Nnipa dodow no ara nhia ayaresa. Nanso nkrasɛm kɛse a yenya fi eyi mu ne sɛ plaque buildup (atherosclerosis) rekɔ so wɔ wo ntini mu. Wo nipadua reka akyerɛ wo sɛ, "Fi ase yɛ suban a ɛma koma nya ahoɔden mprempren, anaasɛ ma nea wowɔ dedaw no tu mpɔn." Bisa wo duruyɛfo no nsakrae a wubetumi ayɛ de ama w’akwahosan atu mpɔn ho asɛm. Nsakrae nketenkete mpo a wubetumi ayɛ nnɛ no betumi de nneɛma akɛse aba. Enti, mommma yensuro, mmɔ yɛn amanneɛ, na yɛnto asetra a ahoɔden wom fapem, ɛnte saa?

` subclavian steal syndrome, subclavian steal syndrome, mogya a ɛkɔ amemene no mu a ɛso tew, nsa a ɛyɛ mmerɛw, adwenemhaw, atherosclerosis