So worehyia ɔhaw wɔ wo mogya ntini mu? Momma yɛnka Vascular Disease ho asɛm!

So woasusuw sɛnea ntini nhyehyɛe yi ho hia wɔ yɛn nipadua nyinaa mu no ho pɛn? Ɛte sɛ akwan, saa mogya ntini yi de mogya kɔ yɛn nipadua akwaa nyinaa. Enti sɛ ɔhaw bi wɔ saa ntini nhyehyɛe yi mu, kyerɛ sɛ, akwan a mogya fa so no so a, ɛnde yɛfrɛ no "Ntini mu Yare" kɛkɛ . Eyi nyɛ yare biako, nanso nyarewa ahorow pii ka eyi ho.

Dɛn ne Nkyinkyin Nhyehyɛe no? Momma yɛnte ase kɛkɛ!

Fa no sɛ, nhyehyɛe bi wɔ yɛn nipadua mu a ɛte sɛ akwan kɛse bi. Eyi ne nea yɛfrɛ no mogya a ɛkɔ nipadua no mu no . Nneɛma titiriw a ɛka eyi ho ne mogya ntini no. Mogya ntini yi gu ahorow abiɛsa:

1. Ntini: Eyinom ne ntini akɛse a ɛde mogya a ɛho tew a mframa pa wom fi koma no mu kɔ akwaa ne ntini afoforo nyinaa mu. Te sɛ nsu afiri akɛse a ɛde nsu fi nsukorabea no mu kɔ afie mu no ara pɛ.

2. Ntini: Eyinom ne ntini a ɛde mogya a wɔde adi dwuma a oxygen nnim no san fi nipadua no nyinaa mu kɔ koma no mu . Wɔte sɛ paipu a ɛboaboa nsu a wɔde adi dwuma ano.

3. Ntini a Ɛma Ntini: Eyinom ne mogya ntini nketenkete a ɛwɔ yɛn nipadua mu, a ne kɛse te sɛ nhwi . Saa ntini nketenkete yi de mframa pa ne aduannuru fi ntini ahorow no mu kɔ yɛn nipadua mu nkwammoaa mu, na ɛboaboa nwura ano fi nkwammoaa no mu de kɔ ntini no mu. Wɔte sɛ akwan nketenkete a ɛka akwan akɛse ne afie nketewa bom.

Enti, sɛ ɔhaw bi wɔ saa akwaa abiɛsa yi mu biara mu - ntini, ntini, ne ntini nketenkete - anaasɛ mogya no ankasa, a ɛka mogya a ɛkɔ nipadua no mu no a, ebetumi ayɛ mogya ntini nhyehyɛe no yare, kyerɛ sɛ, ``ntini mu yare''.

Ntini mu nyarewa ahorow bɛn na ɛwɔ hɔ?

Saa asɛmfua `(Vascular Disease)` yi betumi aba akwan horow pii so. Ebinom ka ntini ahorow no nkutoo, ebinom nso ka ntini ahorow no nkutoo. Ɛtɔ mmere bi a, saa nyarewa yi tumi ba nipadua no mmeae pɔtee bi nkutoo. Momma yɛnhwɛ ahorow atitiriw no mu kakraa bi.

1. Ntini a Ɛma Ntini a Ɛwɔ Akyi (PAD) .

Nea ɛkɔ so wɔ eyi mu ne sɛ, te sɛ ahrawa mu ntini no, ntini afoforo a ɛwɔ koma no akyi (titiriw ntini a ɛde mogya kɔ nan no mu) no siw srade ne srade (wɔfrɛ eyi ``Atherosclerosis``). Bere kɔ so no, saa akwanside yi kɔ soro na mogya no so tew. Afei, esiane sɛ mogya no ntumi nkɔ yiye nti, ntini a ɛsɛe betumi aba ``Ischemia``.

``Peripheral Artery Disease`` ahorow pii wɔ hɔ:

• Nan no mu Ntini a Ɛwɔ Akyi: Eyi ne bere a mogya a ɛkɔ nan no mu no so tew. Ɛtɔ da bi a, sɛ mogya no gyae koraa a, ntini a ɛwɔ saa beae no betumi awu (Gangrene) na ebia ɛho behia mpo sɛ wotwa nan no. Fa no sɛ nnua a ewuwu bere a efĩ siw turo no mu nsu paipu mu na nsu no gyae sen no.
• Intestinal Ischemic Syndrome: Tebea a mogya ntini a ɛma dwensɔtwaa no siw ba.
• Renal Artery Disease: Ntini a ɛde mogya kɔ asaabo mu no siw. Eyi betumi ama mogya mmoroso ne asaabo a entumi nyɛ adwuma yiye.
• Popliteal Entrapment Syndrome: Eyi yɛ tebea a ɛntaa nsi, titiriw wɔ agumadifo nkumaa mu, baabi a popliteal ntini a ɛwɔ kotodwe akyi no betumi amia ntini ne ntini a ɛwɔ saa beae no, na ama mogya a ɛkɔ no siw.
• Raynaud Adeyɛ: Sɛ obi nya awɔw anaasɛ ɔwɔ adwennwen a, ntini nketenkete a ɛwɔ nsateaa ne nansoaa mu no twetwe mpofirim. Ebia nsateaa no bɛdan ayɛ fitaa, ayɛ bruu, na afei ayɛ kɔkɔɔ.
• Buerger Yare: Eyi ka ntini nketewa ne akɛse, ntini, ne ntini a ɛwɔ nsa ne anan mu no kɛse. Wonnim nea ɛde ba ankasa, nanso wɔde abata tawa a wɔnom (sigaretnom, tawa a wɔwe) ho . Nsɛm bi wɔ hɔ a mogya a ɛkɔ nsa ne anan mu no so tew, na ɛde ``Ischemia``, ntini a ewuwu wɔ nsateaa ne nansoaa mu, ne ``Gangrene` ba

2. Carotid Ntini Ho Nsɛm

Ntini atitiriw abien na ɛwɔ yɛn kɔn no afã abien no nyinaa a ɛde mogya kɔ amemene no mu. Wɔfrɛ eyinom ``Carotid Arteries''. Sɛ ɔhaw ahorow wɔ eyinom ho a, ebetumi ayɛ asiane kɛse.

• Carotid Artery Disease: Eyi yɛ ntini a ɛma mogya kɔ amemene no mu no a esiw anaasɛ ɛyɛ teateaa. Eyi betumi ama obi anya bere tiaa mu ischemic attack (TIA) anaasɛ ɔyare a ɛma obi hwe ase .
• Carotid Artery Dissection: Tetew a ɛba ntini no fasu mu, na ɛma mogya tu fa mu.
• Carotid Nipadua mu Akisikuru: Akisikuru a ɛba ntini a atwa carotid ntini no ho ahyia no mu.
• Carotid Artery Aneurysm: Ntini no fasu a ɛyɛ mmerɛw a ɛbɔ te sɛ balloon. Eyi nso betumi apae.

3. Ntini mu Yare

Ntini yɛ mogya ntini a ɛyɛ mmerɛw a ɛwɔ ntini ahorow wɔ mu a ɛma mogya kɔ ɔkwan biako pɛ so. Sɛ yɛtwetwe yɛn ntini a, saa ntini yi bue na mogya sen kɔ soro. Sɛ yɛma yɛn ntini ahorow no dwo a, ntini ahorow no to mu na mogya gyae san san kɔ fam.

Nanso sɛ saa valve ahorow yi sɛe a, ɛnto mu yiye . Afei mogya fi ase sen kɔ afã abien no nyinaa. Sɛ ntini no dwo a, ntini a ɛwɔ ntini a asɛe no mu no ntumi nkura mogya no mu. Eyi ma mogya hyɛ ntini no ma, ɛhohoro, na ɛte sɛ nea wɔabɔ no nhama. Nsɛnkyerɛnne te sɛ nan a emu yɛ duru, ɛyaw, ɛho ahonhon, akisikuru, ne ɛyaw betumi aba. Mogya a ɛyɛ mmerɛw nso betumi ayɛ.

• Varicose Veins: Ntini a ɛho ahonhon, ɛyɛ kɔkɔɔ, na ɛyɛ kyinkyim a ɛda adi wɔ honam ani. Eyi fi ntini a ɛwɔ ntini no mu a ɛsɛe no. Ebia woahu ɔhaw yi wɔ nnipa pii mu.
• Akɔre Ntini: Ntrɛwmu nketenkete a ɛyɛ kɔkɔɔ anaa kɔkɔɔ a epue wɔ nkotodwe, nansoaa, ne asen so. Eyinom fi ntini a ɛho ahonhon.
• Klippel-Trenaunay syndrome (KTS): Eyi yɛ mogya ntini mu yare a wɔntaa nhu.
• May-Thurner syndrome (MTS): Nifa so ntini a ɛwɔ akyi no mia benkum so ntini no, na ɛma asiane a ɛwɔ hɔ sɛ ntini a emu dɔ mu ntini a emu dɔ (DVT) bɛba wɔ nan benkum no mu no yɛ kɛse.
• Thoracic Outlet Syndrome (TOS): Nsɛnkyerɛnne kuw bi a efi ntini ne/anaa mogya ntini (ntini ne ntini) a ɛwɔ kɔn ase, abasa, ne koko a ɛwɔ soro no a wɔhyɛ, opira, anaa ɛhyɛ abufuw mu ba.
• Chronic Venous Insufficiency (CVI): Tebea a ɛma ntini a ɛwɔ nan no mu no afasu ne/anaasɛ ntini ahorow no nyɛ adwuma yiye, na ɛma ɛyɛ den sɛ mogya bɛsan akɔ koma no mu.

4. Mogya a Ɛtwetwe

Mogya a ɛtwetwe ne bere a biribi a ɛwɔ yɛn mogya mu ma yɛn mogya yɛ den kakra na ɛte sɛ jelly. Sɛ mogya a ɛtɔ (thrombus) bi ba mogya ntini bi mu a, ebetumi abubu na ɛne mogya no atu kwan, na ɛde deep vein thrombosis (DVT), ahurututu mu embolism (Pulmonary Embolism), komayare, anaa akisikuru aba .

Sɛ mogya tu wɔ ntini ahorow no mu a, ɛma asiane a ɛwɔ hɔ sɛ obi benya akisikuru, komayare, nan mu yaw kɛse, nantew a ɛyɛ den, na ebia ne nsa ne ɔhonam akwaa mpo ahwere no yɛ kɛse.

• Hypercoagulable states / Blood Clotting Disorders: Nnipa binom mogya tu ntɛmntɛm sen sɛnea ɛte daa. Eyi betumi afi awosu mu (agyapade) anaasɛ ebetumi aba akyiri yi wɔ asetra mu. Eyi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ntini ne ntini mu no yɛ kɛse. Eyi betumi afi nneɛma a ɛboro so wɔ mogya no mu a ɛboa ma mogya tu, te sɛ `(Fibrinogen)`, `(Ade 8)`, `(Prothrombin)`, anaasɛ abɔde mu protein ahorow a esiw mogya a ɛtwetwe, te sɛ `(Antithrombin)`, `(Protein C)`, `(Protein S)` a ɛso tew.
• Deep Vein Thrombosis (DVT): Mogya a ɛtɔ gu ntini bi a emu dɔ mu wɔ nipadua no mu.
• Pulmonary Embolism: Mogya a ɛyɛ mmerɛw a ɛba ntini bi mu no bubu na ɛkɔhyɛ ntini bi mu wɔ ahurututu no mu. Eyi yɛ tebea a asiane wom yiye .
• Axillo-subclavian vein thrombosis (Paget-Schroetter Syndrome): Mogya ntini mu yare a ɛtaa ba agumadifo nkumaa a wɔpɛ akansi mu. Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse bere a akisikuru, mparow a edi kan, anaa ntini a atwa ho ahyia no mia axilla anaa subclavian vein no.
• Superficial Thrombophlebitis: Mogya a ɛtɔ gu ntini bi a ɛwɔ honam ani pɛɛ mu na ɛma ɛho wosow.

5. Aortic Ntini a Ɛma Ntini Mu

Aneurysm yɛ mogya ntini bi fasu a ɛyɛ mmerɛw, na ɛma ɛbɔ te sɛ balloon. Ɛwom sɛ ebetumi aba mogya ntini biara mu de, nanso wɔtaa hu no wɔ aorta, mogya ntini titiriw a efi koma no mu kɔ no mu.

• Thoracic Aortic Aneurysm: Aorta no mu a ɛyɛ kurukuruwa wɔ koko no fã.
• Abdominal Aortic Aneurysm: Aorta no mu a ɛyɛ kurukuruwa wɔ yafunu no fã.

Nea ɛho hia: Sɛ ntini bi mu paapae a, ebetumi de obi nkwa ato asiane mu, enti ɛho hia yiye sɛ wuhu eyi.

6. Ntini a Ɛyɛ Fɛ (FMD) .

Eyi nso yɛ tebea a ɛntaa nsi. Wɔ tebea yi mu no, nkwammoaa a ɛwɔ ntini a ɛwɔ mfinimfini ne akɛse afasu mu no nyin wɔ ɔkwan a ɛnteɛ so. Eyi betumi asesa ntini ahorow no nsusuwii, na ama ayɛ sɛ nhwiren, na ntini no ayɛ teateaa. Eyi betumi de ɔhaw ahorow te sɛ ntini a ɛma mogya tu ne ntini a wɔpaapae mu aba.

7. Ntini a ɛma mogya tu

Ntini a ɛma mogya tu no yɛ ntini a ɛma mogya tu ne ntini a ɛboa yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no. Saa nhyehyɛe yi bɔ yɛn nipadua ho ban fi nneɛma a ɛyɛ ananafo ho. Lymphedema yɛ bere a saa ntini anaa ntini ahorow yi sɛe, asɛe, anaasɛ woyi fi hɔ, na ɛma ntini mu nsu boaboa ano wɔ baabi biako na ɛhohoro.

• Lymphedema a Ɛho Hia: Ɛntaa mma. Wɔwo nnipa binom a wonni ntini bi a ɛma mogya tu anaasɛ wonni nneɛma bi a ɛnteɛ wɔ wɔn mu.
• Secondary Lymphedema: Eyi ba bere a ntini a ɛma mogya tu no siw anaasɛ esiw kwan no. Eyi betumi afi nneɛma te sɛ ɔyare mmoawa, kokoram, oprehyɛn, akuru ntini, opira, DVT, ne mframa a wɔde sa yare mu aba.

8. Ntini mu yare

Eyi yɛ mogya ntini a ɛyɛ hyew, a ɛkyerɛ sɛ ɛho ahonhon. Eyi betumi afi aduru bi, ɔyare mmoawa bi, anaasɛ ɛtɔ mmere bi a wontumi nhu nea ɛde ba biara. Eyi ma ɛyɛ den sɛ mogya bɛsen fa mogya ntini no mu. Ɛtɔ mmere bi nso a ebetumi ne ntini mu yare anaa ntini a ɛka bom yɛ nyarewa nso abata ho. Vasculitis nso betumi ama obi anya ntini mu yare.

Henanom na ntini mu yare ka no kɛse?

Nnipa binom nam awosu mu nkwaadɔm so nya mogya ntini mu haw ahorow fi wɔn awofo hɔ. Sɛ nhwɛso no, wɔ tebea horow a ɛtete saa mu no, mogya a ɛtwetwe no, ɛsɛ sɛ wɔde ɔhaw ahorow yi tra ase fi wɔn mmofraase.

Nanso, ntini mu nyarewa pii fi srade ne srade (plaque) a ɛboaboa ano wɔ ntini ahorow no mu bere a bere kɔ so no. Sɛ nhwɛso no, Peripheral Artery Disease anaa Carotid Artery Disease. Atherosclerosis, ntini no afasu a ɛyɛ den no betumi afi ase wɔ mpanyin afe so na ebetumi de ɔhaw ahorow aba wɔ mfe mfinimfini anaa akyiri yi.

Nyarewa yi abu so dɛn wɔ Sri Lanka?

Mprempren mogya ntini mu nyarewa yi abu so kɛse wɔ Sri Lanka nso. NkankaNneɛma te sɛ adidi a enye, asikreyare a ɛkɔ soro, apɔw-mu-teɛteɛ a wɔnyɛ, ne sigaretnom ma asiane yi kɔ soro bio . Tebea horow a wɔfrɛ no ``Peripheral Artery Disease (PAD)`` ne ``Carotid Artery Disease`` abu so kakra.

Dɛn ne mogya ntini mu yare ho sɛnkyerɛnne?

Eyi gu ahorow gyina yare ko a obi wɔ so. Momma yɛnhwɛ nyarewa atitiriw kakraa bi ho sɛnkyerɛnne.

Ntini a ɛwɔ akyi (PAD) ho sɛnkyerɛnne:

• Ntini a asiw wɔ nan no mu: Ɛyaw anaa ɛyɛ den wɔ nan no mu bere a woreyɛ adwuma anaa nantew, na ɛno ano brɛ ase bere a woagye w’ahome bere tiaa bi akyi. Wo honam ani kɔla a ɛsakra, akuru a ɛnsa, ne ɔbrɛ a wɔte nka wɔ nan ho.
• Intestinal ischemia: Yafunu mu yaw a emu yɛ den, akisikuru, ɔfe, akisikuru, aduan ho akɔnnɔ a ɛyera, ne mu duru a ɛso tew.
• Adwene mu ntini mu yare: Mogya mmoroso a wontumi nni so (Hypertension), koma a ɛyɛ den, ne asaabo dwumadi a ɛnteɛ.
• Popliteal entrapment syndrome: ne nan ne nan a ɛyɛ mmerɛw, ne ho yɛ no yaw, ɔte nka a ɛyera, na ne kɔla sesa.
• Raynaud adeyɛ: nsateaa ne nansoaa a ɛdannan kɔkɔɔ, bruu, anaa fitaa, ɛte sɛ nea ɛreyɛ ayɛ mmerɛw, na ɛyɛ mmerɛw.
• Buerger yare: Ɛyaw wɔ nsa, nan, ne nsateaa mu bere a ɔregye n’ahome mpo. Nsateaa betumi adan bruu anaasɛ ayɛ bruu.

Ɔhaw ahorow a ɛfa ntini titiriw a ɛwɔ kɔn no mu (Carotid Artery) ho sɛnkyerɛnne:

• Carotid ntini mu yare: Mpɛn pii no, sɛnkyerɛnne ahorow no nna adi kosi sɛ obi bɛbɔ akisikuru anaa TIA . Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase no bi ne: ɛyɛ den sɛ obehu ade anaa ɔbɛkasa, adwene a ɛyɛ basaa, ne ɔhaw a ɛma ɔkae ade.
• Carotid artery dissection: Tiyɛ, kɔn mu yaw, aniwa anaa anim yaw.
• Carotid nipadua mu akisikuru: Koma a ɛbɔ ntɛmntɛm, mogya mmoroso, fifiri, tiyɛ.
• Carotid artery aneurysm: Akisikuru anaa bere tiaa mu ischemic attack (TIA) betumi aba.

Ntini mu Yare Ho Nsɛnkyerɛnne:

• Varicose veins ne spider veins: ɛho ahonhon, ɛyaw, ne ntini bruu anaa kɔkɔɔ a ɛda adi wɔ nan no mu.
• Klippel-Trenaunay syndrome (KTS): Ɛyaw anaa emu yɛ duru wɔ nan anaa abasa mu.
• May-Turner syndrome (MTS): nan a ɛho ahonhon, ɛyaw bere a wɔahyɛ no, honam ani yɛ kɔkɔɔ anaasɛ ne kɔla sesa.
• Thoracic Outlet Syndrome (TOS): Ɛyaw wɔ kɔn, abasa, ne mmati mu, nsa anaa nsateaa a ɛyɛ mmerɛw.
• Chronic venous insufficiency (CVI): Nan mu akisikuru, anan mu duru anaa akisikuru, a ɛho ahonhon.

Mogya a Ɛyɛ Fɛ Ho Nsɛnkyerɛnne:

• Mogya a ɛtwetwe tebea horow: `(DVT)` anaa `(Pulmonary Embolism` betumi aba.
• Deep vein thrombosis (DVT): nan mu yaw, ɛho ahonhon, ɛyɛ hyew, honam ani yɛ kɔkɔɔ.
• Pulmonary Embolism: Mogya a ɔfe , koko mu yaw, ɛyɛ den sɛ ɔbɛhome. Eyi yɛ asɛm a egye ntɛmpɛ!
• Axillo-subclavian vein thrombosis: ɛho ahonhon, emu yɛ duru anaa ɛyaw wɔ abasa anaa nsateaa mu, honam ani kɔla a ɛyɛ bruu.
• Ntini a ɛwɔ soro a ɛyɛ hyew esiane mogya a ɛtwetwe nti: ɛho ahonhon, ɛyaw, ɔhyew, ne honam ani a atwa ntini no ho ahyia no yɛ kɔkɔɔ.

Aortic Aneurysm Nsɛnkyerɛnne:

• Thoracic artery aneurysm: koko mu yaw, koma bɔ ntɛmntɛm, ɛyɛ den sɛ ɔbɛmene, kɔn mu ahonhon.
• Yafunu mu aortic aneurysm: Yafunu anaa akyi yaw, adwenemhaw, akisikuru ne ɔfe, (sɛ ntini no mu paapae a) koma bɔ ntɛmntɛm. Eyi nso yɛ asɛm a egye ntɛmpɛ!

Fibromuscular dysplasia (FMD) ho sɛnkyerɛnne ahorow:

Kɔn mu yaw, aniwa a ɛsakra, mogya mmoroso, adwenemhaw, nnyigyei a "ɛbɔ" a wɔte wɔ aso mu, anaa koma bɔ a wɔte.

Lymphedema ho sɛnkyerɛnne:

Nsa anaa anan a ɛho ahonhon, titiriw.

Vasculitis ho sɛnkyerɛnne ahorow:

Sɛ obi te nka sɛ ne ho nyɛ no dɛ, atiridiinini, ne ho ahonhon.

Dɛn na ɛde ntini mu yare ba?

Wonnim nea ɛde mogya ntini mu haw ahorow bi ba ankasa, nanso nneɛma bi wɔ hɔ a ɛtaa de ba:

• Cholesterol a Ɛdɔɔso
• Mogya Nhyɛso a Ɛkɔ Anim
• Sigaretnom anaa tawa nneɛma a wɔde di dwuma (eyi ne ɔtamfo kɛse!) .
• Asikreyare (Asikreyare) .
• Awosu mu nkwaadɔm a wonya fii awofo hɔ
• Nnuru bi
• Apirakuru a wɔde ma
• Nyarewa a wɔde nyarewa ba
• Mogya a ɛtwetwe

Ɔkwan bɛn so na wohu ntini mu yare?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn . Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne, sɛ ebia obi wɔ w’abusua mu anya saa tebea horow yi anaa, na ɔbɛyɛ nipadua mu nhwehwɛmu. Ebetumi aboa sɛ wobɛma woayi wo mpaboa ne wo sɔks na wode wo nan akyerɛ oduruyɛfo no.

Ɛdenam ntini mu yare ko a oduruyɛfo no susuw so no, obetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu ne scan titiriw (mfonini).

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Wɔ ntini mu nyarewa pii mu no, mogya ntini no mu a ɛyɛ mmerɛw anaasɛ esiw. Enti, sɛ yɛbɛhunu yeinom pɛpɛɛpɛ a, wɔde ``(Imaging)`` akwan a ɛtumi hwɛ mogya ntini no mu di dwuma.

• Vascular Ultrasound: Eyi de nnyigyei asorɔkye di dwuma de yɛ mogya ntini ho mfonini. Ebetumi ahwɛ sɛnea mogya no kɔ ne sɛ ebia nneɛma bi asiw kwan anaa.
• Catheter Angiography: Wɔde afiri ketewaa bi (catheter) fa mogya ntini bi mu, wɔde nsu titiriw bi gu mu, na wɔtwe X-ray mfonini. Eyi ma wotumi hu mogya ntini no mu yiye.
• CT Angiography: CT scan de nsu soronko bi twa mogya ntini ho mfonini wɔ afã abiɛsa.
• MR Angiography: Wɔde MRI scan twa mogya ntini ho mfonini a ɛkɔ akyiri.

Ɔkwan bɛn so na wɔsa mogya ntini mu nyarewa?

Aduru biako biara nni hɔ a wɔde sa eyi nso. Ɛsono sɛnea wɔsa yare no gyina yare ko a obi wɔ so. Ɛtɔ mmere bi a, asetra mu nsakrae te sɛ nsakrae a wɔbɛdan akɔ aduan pa so ne apɔw-mu-teɛteɛ betumi ama obi anya ahotɔ kɛse. Nyarewa bi hwehwɛ sɛ wɔde nnuru di dwuma, na afoforo nso hwehwɛ sɛ wɔyɛ oprehyɛn.

Momma yɛnhwɛ ayaresa a wɔde sa nyarewa atitiriw pii no mu tiawa:

Ayaresa a wɔde sa ntini a ɛwɔ akyi no mu yare (PAD):

• Ntini a asiw wɔ nan no mu: aduan, apɔw-mu-teɛteɛ, nnuru, oprehyɛn.
• Intestinal ischemia: Nnuru a wɔde kum ɛyaw, nnuru a ɛma mogya tu, oprehyɛn a wɔde yi akisikuru no fi hɔ. Wɔ tebea horow a enni sabea ho no, wobetumi ayɛ angioplasty, stent, anaasɛ bypass oprehyɛn.
• Adwene mu ntini mu yare: Aduan a nkyene nnim, a ɛma koma no nya ahoɔden. Mogya mmoroso aduru, `(Statins)` (nnuru a ɛma mogya mu srade so tew).
• Popliteal entrapment syndrome: Oprehyɛn a wɔyɛ de gyae `(Popliteal Artery)` no.
• Raynaud adeyɛ: Ma wo nsa ne wo nan nyɛ hyew. Fa ``(Dilated)`` nnuru a ɛboa ma mogya ntini mu bue.
• Buerger yare: Ɛho hia sɛ wugyae sigaretnom koraa. Ma wo nsa ne wo nan nyɛ hyew. Fa nnuru a ɛtrɛw ntini mu.

Ɔhaw ahorow a ɛfa ntini titiriw a ɛwɔ kɔn no mu (Carotid Artery) ho ayaresa:

• Carotid ntini mu yare: Aduan a ahoɔden wom. Nnuru a ɛma mogya yɛ mmerɛw ne nnuru a ɛma mogya mu srade so tew. Carotid endarterectomy a wɔde yi plaque no fi hɔ. Angioplasty ne stent a wɔde bɛhyɛ mu na ama ntini no abue.
• Carotid artery dissection: `(Antiplatelets)` (nnuru a esiw mogya mu mogya mu nkwammoaa a ɛboaboa ano), `(Anticoagulants)` (nnuru a esiw mogya a ɛtwetwe), `(Stenting)`.
• Carotid nipadua mu akisikuru: Oprehyɛn a wɔde yi akisikuru no fi hɔ.
• Carotid artery aneurysm: Nnuru a ekum mogya mmoroso, nnuru a ɛtew mogya mu srade so, nnuru a ɛma mogya tu. Bypass anaa stent-graft oprehyɛn a wɔyɛ.

Ntini mu Yare a Wɔsa:

• Ntini ne akɔre ntini: Fa ɔhyew, nkyene nsu, anaa laser yi fi hɔ.
• Klippel-Trenaunay Syndrome (KTS): Ayaresa koro no ara a wɔde sa ntini mu thromboembolism.
• May-Turner Syndrome (MTS): Ayaresa koro no ara a wɔde yɛ `(DVT)`.
• Thoracic Outlet Syndrome (TOS): Apɔw-mu-teɛteɛ, Nnuru.
• Chronic venous insufficiency (CVI): Ɔtaa keka ne nan, ɔhyɛ compression stockings. Ntini a wɔde nkyene nsu, laser, anaa nea wɔatwa.

Mogya a Ɛtwetwe Nnipa Ho Ayaresa:

• Ayaresa a wɔde sa mogya a ɛtwetwe tebea horow: `(DVT)` ne `(Pulmonary Embolism)` yɛ ade koro.
• Deep vein thrombosis (DVT): Nan a ɛkɔ soro. Nnuru a ɛma mogya yɛ mmerɛw ne nnuru a wɔde kum ɛyaw.
• Pulmonary Embolism: Nnuru a ɛma mogya yɛ mmerɛw ne nnuru a ɛma mogya tu (nneɛma a ɛma mogya tu). Oprehyɛn a wɔyɛ de yi mogya a ɛtwetwe no fi hɔ.
• Axillo-subclavian vein thrombosis: `(Thrombolytics)`, nnuru a ɛma mogya yɛ mmerɛw. Mogya a ɛretu no a wobeyi afi hɔ.
• Superficial vein thrombosis: Ma nsa/nan a ɛka no so kɔ soro sen koma no. Fa ɔhyew gu so. Hyɛ stokɛ a ɛboa. Oprehyɛn a wɔde yi ntini no fi hɔ.

Aortic Aneurysm Ayaresa:

• Thoracic Aneurysm: Oprehyɛn a wɔyɛ de hyɛ ntama a wɔde hyɛ nipadua mu anaa stent mu. Eyi betumi ayɛ oprehyɛn kɛse a egyina beae a wɔyɛ no ne ɔkwan a wɔfa so yɛ oprehyɛn no so.
• Abdominal aortic aneurysm: Oprehyɛn a wɔyɛ de hyɛ nipadua no mu. Endovascular Repair yɛ adeyɛ a ɛnyɛ den pii.

Ayaresa a wɔde sa fibromuscular dysplasia (FMD):

Nnuru a ɛma mogya yɛ mmerɛw, nnuru a wɔde kum ɛyaw. `(Angioplasty)`. Oprehyɛn a wɔyɛ de siw ntini bi ano sɛ ɛbɛpae.

Lymphedema Ayaresa:

Ma nsa/nan a ayɛ wo yaw no so nsen wo koma no bere a woda fam bɛyɛ simma 45 mprenu da biara no. Hyɛ compression sleeve. Fa abasa/nan a ayɛ basaa no yɛ da biara da dwumadi ahorow. Sɛ wo duruyɛfo kamfo kyerɛ a, kɔ ayaresabea titiriw bi a wɔhwɛ mogya mu nkwammoaa a ɛma mogya tu.

Vasculitis a Wɔsa:

Ebia oduruyɛfo no bɛkyerɛw nnuru te sɛ steroid.

Dɛn ne nsɛnnennen/nsunsuanso bɔne a ɛwɔ ayaresa no mu?

Aduru biara betumi anya nkɛntɛnso bɔne, nanso mpɛn pii no mfaso a ɛwɔ so no fata sɛ wɔnom. Mpɛn pii no, nea efi mu ba no befi hɔ wɔ nna kakraa bi mu. Sɛ wɔanyɛ saa a, wubetumi ne wo duruyɛfo akasa afa aduru foforo a wobɛdan akɔ so ho.

Sɛ woresusuw oprehyɛn anaa oprehyɛn bi ho a, wo ne wo duruyɛfo nka asiane ne mfaso a ɛwɔ so ho asɛm. Ebia nea ɛyɛ adwuma ma wo yɔnko no renyɛ adwuma mma wo.

Dɛn na ɛsɛ sɛ meyɛ na makwati ntini mu yare?

Worentumi nsakra nneɛma te sɛ wo mfe, w’abusua abakɔsɛm, anaa wo awosu mu nneɛma. Nanso wubetumi ayɛ saa nneɛma yi:

• Di wo asikreyare, srade a ɛdɔɔso, ne mogya mmoroso so .
• Yɛ apɔw-mu-teɛteɛ daa. Anyɛ yiye koraa no, nantew simma 30 da biara nso ye.
• Di nnuan a ahoɔden wom. Tew ngo, asikre, ne nkyene so. Di nnuaba, nhabannuru, ne nnuan a ahoɔdennuru wom pii.
• Sɛ ɛsɛ sɛ wotra ase anaa wugyina hɔ nnɔnhwerew pii wɔ bere koro mu a, di akɔneaba kakra na anyɛ yiye koraa no nantew pɛnkoro dɔnhwerew biara .
• Kura mu duru a ɛfata mu.
• Tew adwennwen so.
• Kwati tawa ho nneɛma koraa. Eyi yɛ ade a ɛsɛ sɛ wɔyɛ.

Sɛ mewɔ mogya ntini mu yare (Vasculopathy) a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Ɛtɔ mmere bi a, ntini mu yare betumi ayɛ ɔhaw wɔ nkwa nna nyinaa mu. Sɛ wo duruyɛfo hu sɛ srade wɔ wo ntini mu pɛ a, ɔbɛka akyerɛ wo sɛ yɛ nsakrae bi wɔ w’asetra mu. Ɛho behia sɛ wokɔ so yɛ nneɛma te sɛ apɔw-mu-teɛteɛ, kwati sigaretnom, na wopaw nnuan a ahoɔden wom. Ebia ɛho behia nso sɛ wokɔ so nom nnuru na ama asiane a ɛwɔ hɔ sɛ wubenya komayare anaa akisikuru no so atew.

Tebea yi ho adwene

Wɔ ntini mu nyarewa pii mu no, dodow a oduruyɛfo hu ɔhaw no ntɛm no , dodow no ara na adwene no ye. Ntini mu haw pii bɛyɛ den sɛ wɔbɛsa bere a emu yɛ den no. Ntini mu tebea horow bi te sɛ `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` ne `(Pulmonary Embolism)` betumi de nkwa ato asiane mu.

Mɛyɛ dɛn ahwɛ me ho?

Wɔ nea yɛaka ho asɛm wɔ atifi hɔ no akyi no, ɛsɛ sɛ wokɔ so nom nnuru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ na wokɔ aduruyɛ mu nhwehwɛmu wɔ nna a wɔahyɛ ato hɔ no mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ nsakrae bi ba wo mogya ntini tebea mu, anaasɛ wowɔ ɔhaw bi wɔ aduru bi a wo duruyɛfo akyerɛw ama wo ho a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

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

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a , frɛ 911 (1990 wɔ Sri Lanka) ntɛm ara :

• Adwene a ɛyɛ basaa anaasɛ adwenemhaw
• Ɔkasa a ɛyɛ den (akasakasa) .
• Anim no fã biako a ɛhwe ase
• Koko mu yaw a emu yɛ den
• Yafunu mu yaw a emu yɛ den
• Anisoadehu a wɔhwere
• Mmerewa a ɛba basa anaa nan bi mu

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Dɛn ne ayaresa a eye sen biara ma me tebea pɔtee no?
• So biribi foforo bi wɔ hɔ a ɛsɛ sɛ meyɛ de hwɛ me mogya ntini tebea no so?
• So aduruyɛ mu tebea afoforo bi wɔ hɔ a ɛfa ho a ɛsɛ sɛ mihu ka mogya ntini mu haw yi ho?

Ade a eye sen biara a wubetumi ayɛ ama wo mogya mmoroso ne sɛ wobɛma w'ani ada hɔ . Mma nntwa aduruyɛ mu nhwehwɛmu anaa nnuru a wɔde di dwuma no so. Esiane sɛ mogya mmoroso ho haw ahorow bi kɔ so wɔ mmusua mu nti, w’akwahosan ho nsɛm a wobɛka akyerɛ w’abusua no betumi aboa wɔn ma wɔakwati mogya mmoroso na wɔahu. Esiane sɛ mogya mmoroso ne srade yɛ nneɛma a ɛde mogya mmoroso ba nti, ka kyerɛ w’abusua no ma wɔn nso wɔnhwɛ wɔn mu.

Nsɛm a Wɔaboaboa Ano (Nkrasɛm a Wɔde Kɔ Fie) .

Okay, enti mesusu sɛ seesei woanya nteaseɛ pa wɔ ntini mu nyarewa a yɛkaa ho asɛm nnɛ no ho. Kae sɛ eyinom nyɛ nneɛma a ɛsɛ sɛ wobu no adewa . Nanso, sɛ wuhu wɔn ntɛm, wosa wɔn yare yiye, na woyɛ nsakrae wɔ w’asetra mu a, wubetumi ne nyarewa yi atra ase yiye. Aduan pa a wobedi, apɔw-mu-teɛteɛ daa , ne sigaretnom a wɔkwatiNneɛma a ɛnyɛ den te sɛ eyi betumi ama nsakrae kɛse aba. Sɛ wowɔ adwenem naayɛ anaa sɛnkyerɛnne bi a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛ mu afotu. Kɔ so nya apɔwmuden!

` Ntini mu Yare, Ntini, Ntini, Mogya a Ɛtwetwe, Akisikuru, Srade