So wo nso wote nka sɛ wo ho ayɛ wo yaw anaasɛ wo ti ayɛ wo hare? Eyi betumi ayɛ Vertebrobasilar Insufficiency!

Ɛtɔ mmere bi a, wote nka sɛ wo ti yɛ wo yaw, wo tirim yɛ hare, anaasɛ wo kari pɛ bere a wonam no? Nnipa binom nso sɛ wɔrekasa a, wɔka wɔn nsɛm a ɛyɛ yaw. Mmu saa sɛnkyerɛnne ahorow yi ngu sɛ ɛyɛ nea ɛfata. Ebetumi ayɛ tebea bi a ɛma mogya a ɛkɔ w’amemene no akyi no so tew ho sɛnkyerɛnne. Ɛnnɛ, yɛbɛka tebea bi a wɔfrɛ no Vertebrobasilar Insufficiency (VBI) ho asɛm .

Dɛn ne akyi berɛmo mu ntini a ɛnyɛ adwuma (VBI)?

Sɛ yɛbɛka no tiawa a, vertebrobasilar insufficiency (VBI) yɛ tebea a ɛma mogya a ɛkɔ w’amemene no akyi no so tew anaasɛ egyae. Yɛn amemene no akyi fã yi na ɛhwɛ kari pɛ ne kankyee so. Enti susuw ɔhaw ahorow a ebetumi aba sɛ ɔfã yi nnya mogya a ɛdɔɔso a, hwɛ.

Nnipa dodow no ara a wɔwɔ VBI no wɔ akwahosan ho haw nketenkete nkutoo. Nanso, tebea yi de wo to asiane kɛse mu sɛ wubenya akisikuru anaasɛ bere tiaa mu ischemic attack (TIA) , tebea a ɛte sɛ mini-stroke. Ɛtɔ da bi a, saa tebea yi tumi yɛ den na ebetumi ama obi adi dɛm wɔ ne nkwa nna nyinaa mu anaasɛ obewu mpo. Ɛno nti na ɛho hia sɛ wohu eyi no.

Nnuruyɛfo taa sa VBI tebea yi denam afotu a wɔde ma wɔn sɛ wɔnyɛ nsakrae wɔ asetra mu, na sɛ ɛho hia a, nnuru a wɔkyerɛw ma wɔn no so. Nanso, sɛ yare no ho sɛnkyerɛnne kɔ so wɔ saa nneɛma yi akyi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.

So VBI ahorow ahorow wɔ hɔ?

Yiw, ɔkwan titiriw biako na ɛwɔ hɔ. Wɔfrɛ no Bere tiaa mu Vertebrobasilar Insufficiency . Eyi yɛ nea ɛntaa nsi kakra. Saa tebea yi ba bere a woadan wo ti anaasɛ woakyinkyim wo ti no. Nnuruyɛfo nso frɛ no sɛ:

• Bow hunter syndrome a ɛma obi nya ɔyare mmoawa
• Ti a ɛdannan syncope
• Vertebrobasilar a ɛkyinkyini a ɛnnɔɔso

Nea ɛba wɔ asɛm yi mu ne sɛ mogya ntini bi a ɛde mogya kɔ amemene no mu no siw bere tiaa bi bere a wɔadan ti no.

Hena na ɛda adi kɛse sɛ obenya VBI?

Wowɔ asiane kɛse mu sɛ wubenya VBI sɛ woadi boro mfe 50 na wowɔ tebea horow a edidi so yi a:

• Sɛ wowɔ coronary artery disease anaa peripheral artery disease (PAD) , a ɛyɛ ɔhaw ahorow wɔ ntini a ɛde mogya kɔ koma no ne akwaa a ɛwɔ akyirikyiri te sɛ nan ne abasa no mu a.
• Sɛ wowɔ asikreyare a .
• Sɛ obi a ɔwɔ abusua no mu anya VBI pɛn a (aheditary link).
• Sɛ wowɔ mogya mmoroso (Hypertension) anaasɛ srade a ɛkɔ soro wɔ wo mogya mu a .
• Sɛ wowɔ sigaretnom ho abakɔsɛm a.
• Obolo, kyerɛ sɛ, sɛ kɛseyɛ mmoroso a emu yɛ den wɔ hɔ a.
• Sɛ srade (plaque) wɔ wo mogya ntini mu a, ɛkyerɛ sɛ wowɔ atherosclerosis .
• Sɛ srade dodow a ɛwɔ mogya no mu kɔ soro a, wɔfrɛ no hyperlipidemia .

Koma ne embolic tebea horow a ebetumi asiw mogya ntini bi nso ma asiane a ɛwɔ hɔ sɛ obi benya VBI no yɛ kɛse. Nhwɛsoɔ:

• Atrial fibrillation (Afib) (koma mu yare a ɛma ɛyɛ mmerɛw) .
• Mogya a ɛtwetwe mogya mu ɔhaw ahorow
• Ɔyare mmoawa a ɛba koma no mu (infective endocarditis) .
• Vertebral artery dissection ( tetew wɔ ventricular artery a ɛde mogya kɔ amemene no fasu mu) .

Akontaabu kyerɛ sɛ mmarima betumi anya VBI mmɔho abien sen mmea. Tebea no abu so kɛse wɔ mmusuakuw bi nso mu.

VBI abu so dɛn?

Wɔka sɛ nnipa a wɔadi boro mfeɛ 70 mu bɛyɛ 25%, anaa bɛyɛ baanan biara mu baako, betumi anya VBI. Enti eyi nyɛ biribi a wɔntee ho asɛm koraa.

Dɛn ne nneɛma atitiriw a ɛde VBI ba?

Nea ɛde VBI ba titiriw wɔ nsɛm dodow no ara mu ne tebea bi a wɔfrɛ no atherosclerosis . Sɛnea yɛadi kan aka no, eyi ne bere a srade a ɛwɔ mogya mu (plaque) a srade ne calcium ayɛ no boaboa ano wɔ mogya ntini no mu, na ɛma ɛyɛ teateaa na ɛma mogya no so tew. Ɛte sɛ efĩ akɔhyɛ nsu paipu mu.

Nneɛma afoforo nso wɔ hɔ a ɛtaa ba:

• Penetrating artery disease ( mogya ntini nketenkete paa a ɛsiw wɔ amemene no mu) .
• Pulmonary embolism (mogya a ɛtɔ wɔ ahurututu mu – eyi betumi anya nkɛntɛnso a ɛnteɛ) .
• Vertebral artery dissection ( akyi berɛmo mu ntini no fasu a wɔtetew) .

Ntease ahorow bi nso wɔ hɔ a ɛntaa nsi:

• Mogya mu nyarewa (Coagulopathies) .
• Nnubɔne a wɔde di dwuma ɔkwammɔne so
• Fibromuscular dysplasia (FMD) (mogya ntini afasu nyin a ɛnteɛ) .
• Tiyɛ a ɛyɛ yaw – Atiridiinini a emu yɛ den binom betumi ne tebea no abata ho.

Dɛn ne VBI ho sɛnkyerɛnne ahorow?

Obi a ɔwɔ VBI betumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa. Eyinom betumi apue mpofirim na ayera bere tiaa bi akyi, anaasɛ ɛbɛkɔ so atra hɔ.

• Kari pɛ ho haw : adwenemhaw, te nka sɛ nneɛma retwa wo ho ahyia ( vertigo ). Wo de susuw ho hwɛ, sɛ wo ho kyere wo bere a wugyina hɔ ara mpo a, anka wobɛte nka dɛn bere a wonam?
• Adwene a ɛyɛ basaa, adwene a ɛyera ( delirium ).
• Ɛyɛ den sɛ wobɛmene aduan ( dysphagia ).
• Nyarewa a ɛka kankyee ne nkitahodi ( ataxia) .) - Ɛte sɛ nea wuntumi nnantew, ɛyɛ den sɛ wubedi wo nsa ne nan ase.
• Anisoadehu mmɔho abien anaasɛ aniwa a ɛyera.
• Nhumu a ɛyera mpofirim ( syncope ).
• Wo nipadua no fã bi a ɛyɛ mmerɛw.
• Nsɛmfua a wɔka no kasafĩ ne kasafĩ bere a wɔrekasa ( dysarthria ).
• Nhumu a ɛyera mpofirim na ɔhwe fam (drop attacks).
• Nsu a wontumi nni so (Urinary incontinence).
• Akisikuru ne ɔfe.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi, titiriw sɛ ɛba mpofirim na ɛsan ba bio a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu, efisɛ ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ woayɛ akisikuru.

Ɔkwan bɛn so na nnuruyɛfo hu VBI?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu. Nea ɛka ho no, ebia wɔbɛyɛ sɔhwɛ kakraa bi bio de asi tebea no pɔtee so dua.

• Mfoninitwa sɔhwɛ ahorow:
• CT scan (computed tomography scan) anaa MRI (magnetic resonance imaging) twa mogya ntini a ɛwɔ w’amemene akyi no mfonini. Eyi betumi aboa ma yɛahu sɛ ebia mogya ntini no asiw anaasɛ asɛe anaa.
• Angiography: Eyi yɛ nhwehwɛmu a wɔde X-ray mfonini di dwuma de hwehwɛ wo mogya ntini (ntini mu ntini) mu. Ɛtɔ mmere bi a, wɔde nsu titiriw bi (contrast dye) gu ntini no mu de yɛ saa mfonini ahorow yi.
• CTA (computed tomography angiography) anaa MRA (magnetic resonance angiography): Saa nhwehwɛmu ahorow yi betumi ama woanya wo mogya ntini ho mfonini a emu da hɔ yiye, a ɛwɔ afã abiɛsa (3D).
• Echocardiogram (Echo): Eyi te sɛ koma no mu ultrasound scan. Ɛhwɛ sɛnea koma no dan ne ntini ahorow reyɛ adwuma, ne sɛnea koma no rebɔ mogya (pumping action).
• Electrocardiogram (ECG anaa EKG): Eyi kyerɛ sɛnea wo koma no anyinam ahoɔden yɛ adwuma. Ebetumi ahu biribiara a ɛnkɔ so pɛpɛɛpɛ wɔ wo koma bɔ mu.
• Holter monitor: Eyi yɛ afiri ketewaa bi a wɔde hyɛ wo nipadua so nnɔnhwerew 24 kosi 48. Ɛkɔ so kyerɛw anyinam ahoɔden dwumadi a ɛwɔ wo koma mu bere a woreyɛ nneɛma a ɛfata no.
• Prothrombin time (PT) ne partial thromboplastin time (PTT) mogya mu nhwehwɛmu: Saa mogya mu nhwehwɛmu yi susuw bere a egye ansa na wo mogya no ayɛ kɛse.

Ɛnyɛ sɔhwɛ ahorow yi nyinaa na ɛho behia. Wo duruyɛfo begyina wo sɛnkyerɛnne ne wo tebea so asi nhwehwɛmu ahorow a ɛsɛ sɛ wɔkra ho gyinae.

Ɔkwan bɛn so na wɔsa VBI?

Ayaresa ahorow pii wɔ hɔ a wobetumi apaw. Wo duruyɛfo no begyina wo tebea no so akyerɛ ayaresa a ɛfata sen biara.

1. Nsakrae a ɛba asetra mu:

Mpɛn pii no, ade a edi kan a ɛsɛ sɛ wobɔ mmɔden ne sɛ wobɛtew sɛnkyerɛnne ahorow no so denam asetra mu nsakrae bi a wobɛyɛ so.

• Kura mu duru a ɛfata mu: Kɛse mmoroso ne ade a ɛde nyarewa pii ba.
• Di srade a ɛwɔ mogya mu no so denam w’aduan a wobɛsakra so: Ɛho hia yiye sɛ wobɛtew nnuan a ngo ne srade pii wom so.
• Apɔw-mu-teɛteɛ: Biribi a ɛyɛ mmerɛw te sɛ nantew simma 30 da biara mpo betumi ama nsakrae kɛse aba.
• Sigaretnom a wubegyae: Akyinnye biara nni ho sɛ eyi yɛ biribi a ɛsɛ sɛ woyɛ.

2. Nnuru (nnuru): .

Ebia oduruyɛfo no bɛkyerɛw nnuru a wɔde siw akwahosan ho haw ahorow ano.

• Nnuru a ɛma mogya tu: Te sɛ aspirin.
• Nnuru a wɔde siw mogya mmoroso ano.
• Nnuru a ɛma mogya mu srade so tew.
• Nnuru a wɔde siw asikreyare ano.

3. Oprehyɛn a wɔyɛ:

Sɛ asetra kwan mu nsakrae na nnuru a wɔde di dwuma no mma mogya no nsan nkɔ a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ no oprehyɛn.

• Carotid endarterectomy: Nea ɛka eyi ho ne oprehyɛn a wɔde yi srade (plaque) fi mogya ntini kɛse bi a ɛwɔ kɔn no mu (carotid artery) mu.
• Coronary angioplasty ne stent: Sɛ mogya ntini bi a ɛwɔ koma no mu siw a, wɔde dade ahama (stent) a wɔde balloon ketewaa bi ahyɛ mu ma ɛtrɛw ntini no mu.
• Coronary artery bypass surgery: Wɔde mogya ntini a ɛte apɔw a woyi fi nipadua no fã foforo si koma no mu mogya ntini a asɛe ananmu.
• Akyi berɛmo mu ntini a wɔsan yɛ: Wɔnam oprehyɛn so siesie akyi berɛmo mu ntini a ɛde mogya kɔ amemene no mu no asɛe.

VBI a Ɛba Bere Tiaa mu Ayaresa:

Sɛ́ VBI tebea a yɛadi kan aka ho asɛm no ayaresa, a ɛba bere a wɔdannan ti no:

• Kɔnmu a wɔde hyɛ kɔn mu anaasɛ kɔla.
• Nnuru a wɔde yɛ nnuru.
• Ebia oprehyɛn, ebia akyi berɛmo mu oprehyɛn a ɛnyɛ kɛse mpo betumi ayɛ yiye.

Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ wubenya VBI no so?

Sɛ wudi afotu yi akyi a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya VBI no so kɛse:

• Di aduan pa: Di nhabannuru, nnuaba, ne nnuan a ahoɔdennuru wom pii. Tew ngo, asikre, ne nkyene so.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Cholesterol dodow a wɔbɛhyɛ so.
• Sɛ wowɔ akwahosan ho nsɛm afoforo te sɛ mogya mmoroso anaa asikreyare a, di so yiye sɛnea nnuruyɛfo afotu kyerɛ.
• Sigaretnom a wobegyae.

Saa nneɛma yi boa ma wɔbɔ wɔn ho ban fi ɛnyɛ VBI nko ho, na mmom nyarewa afoforo pii nso ho.

Obi a ɔwɔ VBI akwahosan tebea te dɛn? (Nsusuwii) .

Obi a ɔwɔ VBI nkɔmhyɛ gyina nneɛma pii so:

• Baabi a amemene no dwumadi aka ( ntini mu yare a emu yɛ den) .
• Sɛ́ ebia woadi kan anya ɔyare a ɛma obi hwe ase anaa.
• Mfeɛ.
• So akwahosan ho haw afoforo bi wɔ hɔ?

Sɛ VBI mu yɛ den a, ebetumi ama obi adi dɛm na owu mpo. Nanso, sɛ wohu ntɛm na wɔsa no yiye a, wobetumi anya nneɛma pa ara.

So VBI betumi de nkɛntɛnso a ɛtra hɔ kyɛ aba?

Nnipa pii a wɔwɔ sɛnkyerɛnne a emu nyɛ den no betumi de asetra mu nsakrae ne nnuru adi wɔn sɛnkyerɛnne ahorow no ho dwuma. Nanso, sɛ yare no ho sɛnkyerɛnne no mu yɛ den a, ebia ebehia sɛ wɔsan siesie wɔn ho asram pii, mfe pii mpo.

Nsɛnnennen (ɔhaw) a ebetumi aba esiane VBI nti no bi ne:

• Mogya a ɛtɔ wɔ nan mu - Deep Vein Thrombosis (DVT) .
• Mogya a ɛtɔ wɔ ahurututu mu - Pulmonary Embolism .
• Nsu a ɛho nhia na ɛyɛ den sɛ ɔbɛmene.
• Ɔhome a ɛyɛ den.
• obubuafo anaasɛ akisikuru.
• Yafunu mu ɔfe ( gastritis ).
• Koma mu yare ( koma mu ntini a ɛyɛ mmerɛw) .
• Ahurututu mu nyarewa.
• Nhyɛso mu opira / mpa so akuru.
• Akisikuru anaa bere tiaa mu ischemic attack (TIA) .
• Anisoadehu a wɔhwere.

So VBI betumi asan aba bio wɔ ayaresa akyi?

VBI a ɛsan ba bio no dodow yɛ 10% kosi 15%. Eyi kyerɛ sɛ sɛ wo ho tɔ wo mpo a, hokwan wɔ hɔ sɛ ɛbɛsan aba. Enti, ɛho hia sɛ wokɔ so di wo duruyɛfo akwankyerɛ akyi na wokura asetra kwan a ɛfata mu.

Sɛ mewɔ VBI a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wohu sɛ wowɔ VBI a, ɛho hia sɛ wusua nneɛma ahorow a ebetumi aboa wo bere a wo ho retɔ wo no ho ade. Ebia wubehia mmoa wɔ nneɛma te sɛ:

• Ntetee a wɔde ma akisikuru ne dwensɔtwaa.
• Aduandi ho afotu.
• Ahobammɔ a wɔbɛhwɛ ahu wɔ fie.
• Sɛnea wɔyɛ da biara da nnwuma a wɔkyerɛkyerɛ.

Ebia ayaresa ahorow yi bɛboa wo:

• Adwuma mu ayaresa: Ɛkyerɛ wo sɛnea w’ankasa wobɛyɛ da biara da nnwuma.
• Apɔw-mu-teɛteɛ: Ɛma nipadua no kankan, ahoɔden, ne kari pɛ tu mpɔn.
• Ɔkasa mu ayaresa: Ɛboa ma kasa ne ɔmene a ɛyɛ den ma.

Ebia wubehia ɔyarehwɛfo a ɔhwɛ wo wɔ fie mmoa nso de ahwɛ sɛnea wo ho bɛtɔ wo no.

Nkrasɛm a Wɔde Kɔ Fie: Dɛn na yesua fii eyi mu?

Okay, enti, vertebrobasilar insufficiency (VBI) a yɛkaa ho asɛm nnɛ no.Ɛyɛ tebea a ɛma mogya a ɛkɔ amemene no akyi no so tew. Eyi betumi de sɛnkyerɛnne ahorow te sɛ adwenemhaw, nipadua a wontumi nni so, ne kasa a ɛyɛ den aba. Nea ɛde ba titiriw ne mogya ntini a srade a ɛwɔ mu no siw (atherosclerosis).

Nha wo ho! Mpɛn pii no, wobetumi de asetra mu nsakrae ne nnuru adi tebea yi so. Ebia nnipa binom mpo behia oprehyɛn.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so. Hwɛ oduruyɛfo ntɛm ara na woanya afotu. Sɛ wuhu ntɛm a, ebetumi aboa wo ma woasa wɔn yare ntɛm na asiw tebea horow a emu yɛ den kɛse ano.

Nneɛma te sɛ adwuma mu ayaresa, nipadua mu ayaresa, ne kasa mu ayaresa betumi aboa ma wo da biara da asetra ayɛ mmerɛw. Kɔ so nya apɔwmuden!

` Vertebrobasilar Insufficiency, VBI, Amemene mu ischemia, Atiridiinini, obubuafo, TIA, Atherosclerosis, Akisikuru