So woate pɛn sɛ obi reka sɛ, "Mogya a ɛtɔ gu nipadua no mu akyea"? Eyi betumi ayɛ nea asiane wom kɛse. Susuw mogya ntini a ɛwɔ yɛn nipadua mu no ho sɛ paipu nhyehyɛe bi. Sɛ mogya a ɛtɔ gu nipadua no mu, a wɔfrɛ no thrombus, ba na ɛkɔhyɛ baabiara wɔ saa nsu afiri yi mu a, mogya a ɛfa mu no gyae koraa. Sɛ eyi si wɔ ntini kɛse bi a ɛde mogya kɔ amemene, koma, anaa abasa anaa nan mu mu a, saa akwaa no betumi asɛe, na ebia ɛde nkwa mpo ato asiane mu. Wɔ tebea a egye ntɛmpɛ a ɛte saa mu no, yɛrebɛka aduruyɛ bi a ɛho hia yiye a ebetumi agye obi nkwa nnɛ ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Thrombectomy?
Thrombectomy yɛ ɔkwan a wɔfa so yi mogya a ɛtɔ gu yɛn mogya ntini (ntini anaa ntini) no biako mu no fi hɔ denam oprehyɛn anaa ɔkwan titiriw a ɛte saa ara so. Ɛte sɛ nea woyi efĩ bi a akɔhyɛ nsu paipu mu na woama nsu no asan asen bio.
Saa mogya a ɛtwetwe yi tumi sisi mmeae pii wɔ yɛn nipadua mu. Wɔtaa hu wɔ nan, nsa, dwensɔtwaa, amemene, ahurututu, ne koma mu. Ɛtɔ mmere bi a, ehia sɛ woyi mogya a ɛtwetwe yi fi hɔ ntɛm, wɔ nnɔnhwerew kakraa bi mu. Anyɛ saa a, wobetumi asɛe akwaa a aka no daa anaasɛ wɔde nkwa mpo ato asiane mu.
Hena na ohia saa ayaresa yi ankasa?
Mpɛn pii no, sɛ mogya tuo a, nnuru bi wɔ hɔ a wɔde ma de tutu. Yɛfrɛ wɔn anticoagulants (mogya a ɛma mogya tu) ne thrombolytics (nnuru a ɛma mogya tu). Nanso ɛtɔ mmere bi a, nnuru yi nkutoo ntumi nyi mogya a ɛtwetwe no mfi hɔ, anaasɛ nsɛm bi wɔ hɔ a nnuru nni hɔ. Ɛno ne bere a nnuruyɛfo si gyinae sɛ wɔbɛyɛ Thrombectomy.
Saa ayaresa yi ho hia titiriw ma:
- Sɛ asiane bi wɔ hɔ a ebetumi apira nkwa a .
- Sɛ asiane wɔ hɔ sɛ mogya a ɛtɔ (thrombus) bɛtetew afi baabi a na ɛwɔ mfiase no na afa mogya no mu akɔ akɔtra nipadua no mu baabi foforo (sɛ nhwɛso no, ahurututu mu) (embolus).
- Sɛ asiane wɔ hɔ sɛ akwaa anaa ntini a ɛfa ho no bɛsɛe daa a .
Saa kwan yi ho hia yiye na ama mogya asan akɔ amemene anaa koma no mu ntɛmntɛm, titiriw wɔ tebea horow a egye ntɛmpɛ te sɛ ɔyare a ɛma obi hwe ase ne komayare mu.
Wɔ tebea horow bɛn mu na wɔnyɛ thrombectomy?
Wɔnyɛ saa ayaresa yi mma mogya biara a ɛbɛtɔ. Wɔ tebea horow bi mu no, nneɛma bi wɔ hɔ a enti wontumi nyɛ eyi anaasɛ ɛnsɛ sɛ wɔyɛ saa. Ma yɛnhwɛ nea wɔyɛ.
| Ntease a enti ɛnsɛ sɛ wɔyɛ thrombectomy | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ɛyɛ den sɛ wobedu baabi a mogya no ayɛ no | Mogya ntini bi wɔ mmeae a emu dɔ paa na ɛyɛ den. Ɛyɛ den sɛ wobɛma nnwinnade akɔ beae a ɛte saa. |
| Mogya ntini ketewaa bi mu a ɛbɛtɔ | Wontumi mfa mfiri nhyɛ ntini nketenkete paa mu. Wobetumi asɛe. |
| Wotumi de nnuru sa yare | Sɛ wotumi de nnuru a ɛma mogya yɛ mmerɛw di so a, asiane biara nni ho sɛ wɔbɛyɛ no oprehyɛn. |
| Mogya a ɛtwetwe mogya mu yare a obi wɔ | Nnipa binom wɔ mogya mu yare a wɔde awo wɔn, na oprehyɛn betumi ayɛ asiane ama wɔn. |
| Mogya a ɛtɔ wɔ amemene no mu (Intracranial Hemorrhage) . | Sɛ mogya retu amemene no mu dedaw a, oprehyɛn a ɛte sɛɛ a wɔbɛyɛ no betumi ama tebea no asɛe kɛse. |
| Mogya mmoroso a wontumi nni so | Asiane ahorow no yɛ kɛse bere a wɔyɛ no oprehyɛn a mogya mmoroso kɛse wom no. |
Akwan titiriw bɛn na wɔfa so yi mogya mu ntini yi?
Akwan atitiriw abien na ɛwɔ hɔ a wɔfa so yi thrombectomy. Ɛte sɛ nea woreyɛ tokuru kɛse de asi ɔkwan, anaasɛ woretu tokuru ketewaa bi na woasiesie afi mu.
1. Oprehyɛn a wɔabue ano (Oprehyɛn / Open Thrombectomy) .
Wɔ saa adeyɛ yi mu no, oprehyɛnfo no twa honam ani wɔ ntini a mogya a ɛtwetwe no wom no so, bue ntini no nkakrankakra, de afiri titiriw bi a ɛte sɛ balloon (balloon catheter) hyɛ mu na ɔtwe mogya a ɛtwetwe no fi mu. Afei wɔde ahwɛyiye san pam ntini no na wɔto were no mu. Eyi ne ɔkwan a wɔfa so yɛ atetesɛm.
2. Thrombectomy a wɔde fa honam ani / a ɛnyɛ den pii
Eyi ne ɔkwan a wɔtaa de di dwuma na ɛkɔ akyiri sen biara mprempren. Ntwitwiridii kɛse biara nni hɔ. Mmom no, wɔyɛ tokuru ketewaa bi wɔ mogya ntini bi mu wɔ abasa anaa nan no mu, na wɔde afiri a ɛyɛ tratraa (catheter) fa mu.
Wɔde mfoninitwa mfiri te sɛ X-ray di dwuma de kyerɛ saa afiri yi kwan kɔ baabi a mogya no atɔ. Afei, wɔde nnwinnade titiriw bi fa afiri no mu, .
- Wobetumi abubu mogya a ɛretu no mu nketenkete na wɔapete (macerated).
- Sɛnea ɛbɛyɛ foforo no, wobetumi anom mogya a ɛtɔ no, te sɛ nea wɔde vacuum cleaner (Aspiration Thrombectomy) di dwuma.
Saa kwan yi di yiye paa, efisɛ opira kɛse biara nni hɔ, enti ɔyarefo no tumi ho tɔ no ntɛm.
Tebea bɛn na wobetumi de saa aduru yi asa?
Wɔde saa ayaresa yi a wɔfrɛ no thrombectomy no di dwuma ma ayaresa tebea horow pii a ɛho hia yiye.
- Deep Vein Thrombosis (DVT): Mogya a ɛtɔ, titiriw wɔ nan no ntini a emu dɔ no mu.
- Akisikuru: Mogya a ɛtwetwe no siw mogya ntini bi a ɛde mogya kɔ amemene no mu no kwan.
- Myocardial Infarction: Mogya a ɛtwetwe mogya ntini a ɛma mogya kɔ koma no mu.
- Pulmonary Embolism: Mogya a ɛtwetwe a ayɛ nipadua no mmeae afoforo no bubu na ɛkɔhyɛ ntini bi mu wɔ ahurututu no mu.
- Acute Limb Ischemia: Mogya a ɛyera mpofirim kɔ abasa anaa nan bi mu.
- Mogya ntini a ɛde mogya kɔ dwensɔtwaa mu no siw (Mesenteric Ischemia) anaa asaabo (Renal Artery Occlusion).
Dɛn na ɛba ansa na wɔayɛ ayaresa ne bere a wɔasa yare no akyi?
Ansa na wɔbɛsa no yare
Ɛtɔ mmere bi a wɔyɛ eyi sɛ adeyɛ a egye ntɛmpɛ, enti bere nni hɔ a wɔde besiesie wɔn ho. Nanso, ansa na wɔayɛ nhyehyɛe sɛ wobetwa thrombectomy no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ:
- Mfoniniyɛ mu nhwehwɛmu: Wobetumi ahyɛ sɛ wɔnyɛ ultrasound, MRI, anaa CT scan na ama wɔahu mogya a ɛretu no kɛse ne beae pɔtee a ɛwɔ.
- Sigaretnom a wubegyae: Sɛ wonom sigaret a, wotu wo fo sɛ gyae ansa na wɔayɛ wo oprehyɛn.
- Nnuru a Wohu: Ɛsɛ sɛ woka nnuru a worenom nyinaa (a nnuru a ɛma mogya yɛ mmerɛw, nnuru a ɛma ɛyaw ano brɛ ase, ne vitamin ahorow ka ho) kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wogyae nnuru bi ansa na wɔayɛ oprehyɛn.
Bere a wɔasa no yare akyi
Sɛ wɔsa wo yare wie a, wɔde wo bɛkɔ baabi a wɔhwɛ nneɛma so na wɔahwɛ wo kosi sɛ wo tebea no bɛkɔ so ayɛ den. Nnipa binom tumi kɔ fie da koro no ara. Ebia ɛho behia sɛ afoforo tra ayaresabea hɔ nna kakraa bi. Eyi gyina faako a mogya a ɛretu no wɔ ne ayaresa ko a wɔde ma so.
Bere a wɔkɔɔ fie akyi no, .
- Ɔde afotu ma wɔ sɛnea wobɛma kuru no ho atew ho.
- Ɛho behia sɛ wokɔ so nom nnuru a ɛma mogya yɛ mmerɛw na amma mogya a ɛbɛtɔ bio.
- Ebia wɔbɛka akyerɛ wo sɛ hyɛ sɔks soronko (compression stockings) ma wo nan.
Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
Mfaso ne asiane bɛn na ɛwɔ so?
Te sɛ aduruyɛ biara no, eyi wɔ mfaso ne asiane nyinaa.
| Mfasoɔ | Asiane ahorow a ɛwɔ mu |
|---|---|
| Sɛ́ wobetumi agye nnipa nkwa. | Mogya a ɛretu. |
| Akwaa ahorow a ɛsɛe daa no so tew. | Mogya ntini no a ɛsɛe. |
| Mmofra a wɔadi dɛm a wɔbɛtew so wɔ tebea bi te sɛ ɔyare a ɛma obi hwe ase mu. | Kuru mu ɔyare mmoawa. |
| Asiane a ɛwɔ hɔ sɛ obi bɛhwere ne nsa anaa nan bi a wobeyi afi hɔ. | Mogya a ɛsan ba bio. |
| Ma mogya no san kɔ ntɛmntɛm. | Nsu a ɛtwetwe no fi hɔ na ɛkɔhyɛ ahurututu no mu (Pulmonary Embolism). |
Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara
Sɛ wuhu sɛnkyerɛnne a edidi so yi mu biara wɔ w’ayaresa akyi a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) .
- Mogya a ɛretu anaasɛ akisikuru a ɛretu fi kuru no mu.
- Koko mu yaw anaasɛ ɛyɛ den sɛ wobɛhome.
- Huraeɛ .
- Atirimɔdensɛm a emu yɛ den anaasɛ ne ti a ɛyɛ hare.
- Adwene a ɛyɛ basaa anaasɛ adwenem naayɛ a ɛyera.
- Ɛyaw a emu yɛ den, ɛho ahonhon , anaa nsa anaa nan a ɛyɛ mmerɛw.
Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so. Wobetumi ayɛ ɔhaw foforo ho sɛnkyerɛnne.
Nkrasɛm a Wɔde Kɔ Fie
- Thrombectomy yɛ aduru a egye nkwa a eyi mogya a ɛyɛ hu a akɔhyɛ mogya ntini mu na ɛma mogya san kɔ.
- Oprehyɛn ahorow a wɔabue ano ne akwan a ɛkɔ akyiri a egyina catheter so wɔ hɔ ma eyi.
- Wɔtaa de di dwuma ma tebea horow a emu yɛ den te sɛ ɔyare a ɛma obi hwe ase, komayare, ne DVT.
- Ɛho hia sɛ wode nnuru a wo duruyɛfo akyerɛw ama wo no di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ na amma mogya a ɛbɛtɔ bio wɔ ayaresa akyi.
- Bɔ wo duruyɛfo amanneɛ ntɛm ara wɔ sɛnkyerɛnne biara a ɛyɛ soronko a ɛba bere a woasa wo yare akyi no ho.
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