So wowɔ mogya ntini bi wɔ wo yafunu mu a ɛbɔ te sɛ balloon? Momma yensua eyi ho ade (Visceral Artery Aneurysm)!

So woasusuw pɛn sɛ mogya ntini bi a ɛwɔ yɛn nipadua mu te sɛ nsu paipu betumi ayɛ mmerɛw wɔ bere bi mu na atutu te sɛ akuturuku? Wɔfrɛ eyi kɛkɛ sɛ `(Aneurysm)`. Ɛtɔ da bi a, eyi tumi sie a wɔrenkyerɛ biribiara, nanso ebetumi abɛyɛ ɔhaw kɛse mpofirim wɔ asetra mu. Ɛnnɛ yɛbɛka tebea bi a ebetumi ayɛ asiane ho asɛm, nanso nnipa pii nnim, a ɛne `(Visceral Artery Aneurysm)`.

Dɛn ne `(Visceral Artery Aneurysm)`? Momma yɛnte ase wɔ ɔkwan a ɛnyɛ den koraa so!

Fa no sɛ, yɛwɔ mogya ntini bi wɔ yɛn nipadua mu, na ne fasu yɛ mmerɛw kakra. Afei, esiane mogya a ɛsen fa mu no nhyɛso nti, saa beae a ɛyɛ mmerɛw no pue te sɛ balloon. Ɛno ne nea wɔfrɛ no ``Aneurysm``. Afei, sɛ saa ``Aneurysm`` yi yɛ kɛse dodo a, ɛno kyerɛ sɛ bulge a ɛte sɛ balloon no betumi apae. Sɛ ɛba saa a, mogya fi ase sen kɔ nipadua no mu. Yɛfrɛ eyi ``Mogya a ɛtɔ``, na eyi yɛ tebea a ɛde nkwa to asiane mu ankasa.

Afei, dɛn ne saa `(Visceral Arteries)` yi? Eyinom ne mogya ntini atitiriw a ɛwɔ yɛn nipadua mu, `(Aorta)`, a ɛyɛ nkorabata na ɛde mogya kɔ akwaa a ɛho hia sen biara wɔ yɛn yafunu mu no mu.

Saa akwaa ahorow yi ne:

• Yɛn dwensɔtwaa
• Asaabo a ɛma obi nya asaabo
• Brɛboɔ
• Pancreas a ɛwɔ nipadua no mu
• Akisikuru a ɛwɔ akyi
• Yafunu

Mpɛn pii no, saa ``Visceral Artery Aneurysms'' yi ba wɔ ntini a ɛde mogya kɔ akyi berɛmo, asaabo, ne mmerɛbo mu.

So `(Visceral Artery Aneurysms)` ahorow bi wɔ hɔ?

Yiw, ahorow abien titiriw na ɛwɔ hɔ.

1. Pseudoaneurysms: Eyi ne bere a tokuru ketewaa bi ba mogya ntini bi fasu mu, na mogya bi tu fi tokuru no mu, na ɛboaboa ano wɔ ntini a ɛwɔ ntini no akyi no mu. Afei, esiane mogya a ɛtwetwe wɔ yɛn nipadua mu nti, ɔfasu a ɛyɛ mmerɛw twa mogya a wɔaboaboa ano no ho hyia. Nanso esiane sɛ ɔfasu yi mu nyɛ den pii nti, ɛda adi sɛ saa pseudoaneurysms yi bɛpae.

2. Nokware Aneurysms: Eyi ne bere a mogya ntini no fasu no fã bi a ayɛ mmerɛw no puw te sɛ balloon. Sɛnea yɛadi kan aka no.

Eyinom abu so dɛn? Hena na ɔtaa nya wɔn?

Visceral Artery Aneurysms yɛ tebea a ɛntaa nsi ankasa. Nanso esiane sɛ nnipa dodow no ara nkyerɛ sɛnkyerɛnne biara nti, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔwɔ bi ankasa.

Ɛsono sɛnea visceral artery aneurysms ahorow bi ba no wɔ ɔbarima ne ɔbea ntam. Sɛ nhwɛso no, ɛda adi sɛ mmea benya mogya ntini a ɛde mogya kɔ akyi berɛmo mu no mu.

Dɛn ne eyi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Ade a ɛho hia sen biara ni. Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ! Nnuruyɛfo taa hu eyinom wɔ akwanhyia mu bere a wɔreyɛ aduruyɛ mu nhwehwɛmu, te sɛ ``(CT scan)`` anaa ``(MRI scan)``, wɔ tebea foforo ho.

Nanso, sɛ mogya ntini a ayɛ kɛse, anaa ``aneurysm'', pae a, sɛnkyerɛnne ahorow bɛda adi. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:

• Anemia (a ɛkyerɛ sɛ mogya dodow so tew wɔ nipadua no mu) .
• Ɛyaw a ɛba yafunu anaa akyi . Ɛtɔ mmere bi a, ɛyaw yi tumi yɛ anifere kɛse, ɛtɔ da bi nso a ebetumi ayɛ den. Enti, ɛtɔ mmere bi a ɛyɛ den sɛ wobehu yare no pɛpɛɛpɛ.

Nsɛnkyerɛnne afoforo betumi ayɛ soronko a egyina beae a ntini no wɔ so. Nhwɛsoɔ:

• Mogya a wɔfe
• Mogya a ɛwɔ nsu mu

Sɛ mpofirim ara wote ɛyaw a emu yɛ den wɔ wo yafunu anaa w’akyi a, mmu w’ani ngu so. Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Dɛn nti na eyinom `(Visceral Artery Aneurysms)` ba? Dɛn na ɛde ba?

Nneɛma atitiriw pii nti na ntini mu ntini ankasa ba:

• Atherosclerosis: Eyi ne ade a ɛtaa de ba. Srade a ɛwɔ yɛn mogya ntini mu no boaboa ano, na ɛde nkakrankakra ma ntini no afasu yɛ mmerɛw.
• Ntini a ɛka bom yɛ nyarewa: Sɛ nhwɛso no, tebea horow te sɛ Fibromuscular dysplasia, Marfan syndrome, ne Ehlers-Danlos syndrome. Eyinom betumi ama ntini no afasu ayɛ mmerɛw fi awo mu.
• Ahodwiriw: Fa w’adwene bu akwanhyia kɛse bi, ɔhwe a emu yɛ den wɔ yafunu mu. Ɛno mpo no, tebea a ɛte sɛɛ betumi aba.

Nneɛma a ɛde pseudoaneurysms ba ne:

• Opira a ɛba bere a wɔayɛ mmerɛbo anaa dwensɔtwaa oprehyɛn akyi.
• Ɔyare a ɛba dwensɔtwaa mu (Pancreatitis).
• Opira (a efi akwanhyia anaa ɔhwe foforo mu).
• Vasculitis a ɛma mogya tu.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Nnuruyɛfo de aduruyɛ mu mfoniniyɛ mu nhwehwɛmu titiriw te sɛ CT scan (Computed Tomography scans) ne MRI scan (Magnetic Resonance Imaging) di dwuma titiriw de hu Visceral Artery Aneurysms. Saa nhwehwɛmu ahorow yi tumi susuw ntini a ɛma mogya tu no kɛse pɛpɛɛpɛ. Saa kɛse yi a wubehu no ho hia na ama wɔahu ayaresa a wobetumi apaw.

Sɔhwɛ soronko foforo wɔ hɔ, a wɔfrɛ no `(Angiography)` . Wɔ eyi mu no, wɔde afiri a ɛyɛ tratraa paa (`Catheter`) hyɛ wo ntini biako mu na wɔde kɔ `(Visceral Artery)` baabi a `(Aneurysm)` no wɔ. Afei, wɔde nsu titiriw bi (`Contrast dye`) fa saa tube no mu gu mu. Afei, sɛ wɔde `(X-ray)` anaa `(CT scan)` hwɛ a, nsu no ma mmeae a ɛnyɛ ne kwan so a ɛwɔ mogya ntini no mu no da adi pefee. Ɛtɔ da bi a, wobetumi ayɛ ayaresa bere koro no ara mu ne saa `(Angiography)` yi.

Wɔ tebea horow bi mu, titiriw wɔn a wɔwɔ ntini a ɛka bom yɛ nyarewa a yɛadi kan aka ho asɛm no, ebia ntini a ɛma mogya tu wɔ ntini a ɛwɔ nipadua no mu bɛboro biako mu. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo bɛhwehwɛ ntini a ɛwɔ wo yafunu mu no nyinaa mu.

Dɛn na woyɛ bere a woahu sɛ wowɔ `(Aneurysm)` akyi? So wotwɛn kɛkɛ? `(Nhwɛsoɔ)`

Sɛ́ wɔbɛsa anaasɛ wɔrensa no gyina ntini a ɛma mogya tu no kɛse ne ne su so. Mpɛn pii no, sɛ ntini a ɛma mogya tu ankasa sua sen sɛntimita 2 , nnuruyɛfo taa kamfo kyerɛ sɛ “wɔntwɛn yiye.”

Eyi kyerɛ sɛ oduruyɛfo no bɛhwɛ wo bere ne bere mu ahwɛ sɛ ebia ntini a ɛma mogya tu no reyɛ kɛse anaa. Ebia ɔbɛma wo nnuru nso a ɛbɛma wo mogya mmoroso so atew, efisɛ mogya mmoroso betumi ama asiane a ɛwɔ hɔ sɛ ntini a ɛma mogya tu no bɛyɛ kɛse no ayɛ kɛse.

Bere bɛn na akyinnye biara nni ho sɛ ɛsɛ sɛ wɔsa eyi?

Sɛ wususuw sɛ ebia ntini a ɛma mogya tu no bɛpae a, ɛbɛyɛ papa sɛ wobɛsa. Titiriw wɔ nsɛm te sɛ eyinom mu:

• Pseudoaneurysms a ne kɛse te biara: efisɛ asiane kɛse wɔ hɔ sɛ ɛbɛpae.
• Nokware ntini a ɛsõ sen sɛntimita 2: (Nanso, wɔ splenic artery aneurysm ho no, wɔtaa kamfo kyerɛ sɛ wonsiesie bere a ɛsõ sen sɛntimita 3 no).

Afei nso, ɛmfa ho sɛnea wo mogya mu ntini no kɛse te no, ebia wubehia ayaresa nso sɛ asiane kɛse wom sɛ wobɛpaapae a. Asiane a wowɔ no betumi ayɛ kɛse sɛ wo:

• Sɛ woanyinsɛn anaasɛ woadi mfe a wobɛwo a.
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkɔ so te sɛ mogya a ɛtɔ kɔ nipadua mu anaa yafunu/akyi yaw a.
• Sɛ wuhia mmerɛbo foforo anaa oprehyɛn foforo de sa akisikuru a.

Afei nso, ebinom `(Visceral Artery Aneurysms)`, ɛmfa ho sɛnea wɔn kɛse te no, hia ayaresa ntɛm ara, a egyina beae a wɔwɔ so, efisɛ asiane kɛse wɔ hɔ sɛ wɔbɛpae. Nhwɛsoɔ:

• Ntini a ɛwɔ yafunu mu ntini a ɛde mogya kɔ yafunu, dwensɔtwaa ketewa no atifi, ne dwensɔtwaa no atifi no mu.
• Ntini a ɛwɔ pancreaticoduodenal artery a ɛde mogya kɔ dwensɔtwaa ne dwensɔtwaa ketewa no atifi no mu.
• Ntini a ɛwɔ mesenteric artery a ɛwɔ soro, a ɛde mogya kɔ dwensɔtwaa ketewa no mu no mu.

Dɛn ne ayaresa a wobetumi apaw?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sa yare:

1. Oprehyɛn a wobue ano

2. Endovascular akwan a ɛnyɛ den koraa

Nnuruyɛfo si akwan abien yi mu nea ɛfata wo ho gyinae denam nneɛma te sɛ:

• Wo mogya ntini no su (te sɛ ne nsusuwii ne ne kɛse).
• Ɛhe na `(Aneurysm)` no wɔ?
• Asiane ahorow a ɛwɔ oprehyɛn a wɔyɛ no pefee mu (egyina mfe a woadi ne w’akwahosan nyinaa so).

Wɔ oprehyɛn a wɔabue mu `(Oprehyɛn a wɔabue)`Nea wɔyɛ ne sɛ, bere a oduruyɛfo a ɔyɛ oprehyɛn no atwitwa kɛse kakra akyi no, ɔkɔ baabi a ntini no wɔ tẽẽ, yi ntini no fã a asɛe no, na ɔde ntini foforo bi si ananmu anaasɛ osiesie nea ɛwɔ hɔ dedaw no.

Ayaresa a ɛnyɛ den koraa ne sɛ wode afiri a ɛyɛ tratraa (catheter) bɛhyɛ mogya ntini bi mu, a mpɛn pii no efi w’asen mu, na wɔkyerɛ no kwan kɔ baabi a ntini no wɔ. Afei, wɔde nnwinnade nketewa fa afiri no mu de gyina ntini a ɛma mogya tu no so na esiw no kwan sɛ ɛbɛpae, na wɔde akwan a edidi so yi mu biako anaa nea ɛboro saa di dwuma:

• Coil embolization anaa plug embolization: Eyi hwehwɛ sɛ wɔde coil ketewaa bi anaa mfiri plug bɛhyɛ ntini no mu na wɔde ahyɛ mu ma.
• Nsu a wɔde hyɛ nipadua no mu: Wɔ eyi mu no, wɔde gluu soronko bi, gel, anaa nsu foforo bi gu ntini no mu na wɔto mu.
• Stenting: Wɔ eyi mu no, wɔde tube (stent) bi a wɔde dade ahama a wɔde ntama akata so ahyɛ ntini a ntini a ɛma mogya tu no wɔ no mu.

Sɛ woreyɛ angiography de ahu visceral artery aneurysm a, ɛtɔ mmere bi a wobetumi ayɛ saa ayaresa a ɛnyɛ den pii yi bere koro mu, denam catheter koro no ara a wɔde yɛɛ saa nhwehwɛmu no so.

Nsonsonoe bɛn na ɛda oprehyɛn a wɔabue ano ne endovascular ayaresa ntam?

Wɔayɛ saa ayaresa abien yi nyinaa ho nhwehwɛmu. Mpɛn pii no, abien no nyinaa yɛ nea ahobammɔ wom na etu mpɔn pɛpɛɛpɛ. Nanso, akwan a wɔmfa nhyɛ mu pii no betumi ama ne ho atɔ no ntɛmntɛm na watra ayaresabea bere tiaa bi. Nanso, wɔ tebea horow bi mu no, ebia ayaresa a ɛto so abien ho behia.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw `(Visceral Artery Aneurysm)` a ɛbɛba no ano?

Ɛyɛ den sɛ wobesiw `(Visceral Artery Aneurysms)` ahorow pii ano. Nanso, `(Aneurysms)` a efi ntini a ɛyɛ mmerɛw na ɛyɛ den `(Atherosclerosis)` a yɛadi kan aka ho asɛm no mu ba no, wobetumi de asetra pa asiw ano. Nneɛma bi a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya `(Atherosclerosis) so ni:

• Di wo srade ne mogya mmoroso so.
• Yɛ apɔw-mu-teɛteɛ daa.
• Di aduan a ɛma koma nya ahoɔden akyi .
• Da sɛnea ɛsɛ.
• To nsa a wonom ano hye.
• Di adwennwen so.
• Gyae sigaretnom ne tawanom koraa.

Dɛn ne tebea yi ho anidaso? `(Nsusuwii)`

Sɛ Visceral Artery Aneurysm mu paapae a, ɛtɔ mmere bi a ebetumi akum obi. Nhwehwɛmu kyerɛ sɛ nnipa bɛyɛ 25% a wɔde Visceral Artery Aneurysm kɔ dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu no wɔ ntini a apaapae. Eyinom mu anyɛ yiye koraa no, 10% wuwu.Asiane a ɛwɔ hɔ sɛ ɛnanom a wɔyem a wɔn mogya mu ntini a apaapae bewuwu no dɔɔso mpo.

Mpɛn pii no, nnipa a wonni sɛnkyerɛnne biara (ɛyaw anaa mogya a ɛba wɔn mu) ansa na wɔafi ayaresa ase no taa nya nea eye. Nnipa a wɔwɔ pseudoaneurysms no wɔ asiane kɛse mu sɛ wɔbɛpaapae na wɔawuwu sen wɔn a wɔwɔ aneurysm ankasa no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ mpofirim ara wote yaw kɛse wɔ wo yafunu anaa w’akyi a, hwehwɛ aduruyɛfo afotu ntɛm ara. Ntwentwɛn wo nan ase.

Visceral artery aneurysms yɛ mmeae a ɛyɛ mmerɛw wɔ wo ntini a ɛwɔ wo yafunu mu no afasu mu. Sɛ saa afasu yi pae a, ebetumi ama mogya atu wɔ nipadua no mu. Ɛnyɛ obiara a ɔwɔ saa tebea yi na ɔwɔ yare no ho sɛnkyerɛnne a emu yɛ den, enti wobetumi akyɛ sɛ wobehu yare no. Nanso esiane sɛ wɔde aduruyɛ mu mfoniniyɛ mu nhwehwɛmu a wɔde hwehwɛ nyarewa afoforo di dwuma kɛse nti, wohu Visceral Artery Aneurysms pii ansa na apae. Enti, ayaresa a wɔde ma ntɛm no betumi atew owu ho asiane no so. Ɛwom sɛ ɛnyɛ Visceral Artery Aneurysms nyinaa na wobetumi asiw ano de, nanso asetra pa betumi atew asiane a ɛwɔ hɔ sɛ ntini mu ntini a ɛyɛ den de ba no so. Wo ne wo duruyɛfo nkasa mfa nea wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya ntini mu yare no so.

Nkrasɛm a Wɔde Kɔ Fie

• ``Visceral Artery Aneurysm'' yɛ akisikuru a ɛte sɛ balloon wɔ mogya ntini bi a ɛwɔ yafunu no mu. Eyi betumi ayɛ asiane kɛse sɛ ɛpae a.
• Mpɛn pii no, ɛnkyerɛ yare no ho sɛnkyerɛnne biara. Wobetumi ahu no wɔ akwanhyia mu bere a wɔreyɛ scan de ahu tebea foforo bi no.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ yafunu/akyi yaw mpofirim, mogya a wobɛfe, anaa mogya a ɛkɔ wo nsu mu , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Ayaresa ahorow bi wɔ hɔ a wobetumi apaw. Wogyina ntini a ɛma mogya tu no kɛse ne ne su, ne w’akwahosan tebea so na ɛkyerɛ ayaresa.
• Asetra pa (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wɔkwati) ho hia yiye na wɔasiw ntini a ɛyɛ den a ntini mu yare de ba no ano.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa w’abusua oduruyɛfo anaa oduruyɛfo titiriw bi. Kɔ so nya apɔwmuden!

` Aneurysm, ntini, yafunu, mogya ntini a ɛpaapae, mogya a ɛtɔ wɔ nipadua no mu, oprehyɛn, CT scan