An k’a dɔn i dusukun ‘joli-minɛn’ kunba (Aorta jiginni) n’a nafa.

Bi an bɛna kuma an farikolo yɔrɔ dɔ kan min nafa ka bon kosɛbɛ, wa hali n’a bɛ se ka kɛ ko a ka gɛlɛn dɔɔnin, a faamuyali ka nɔgɔn kosɛbɛ. O ye (Aorta jiginni) ye . N’an y’a fɔ cogo nɔgɔman na, nin ye joli siraba yɔrɔ fɔlɔ ye, n’o ye (Aorta) ye , min bɛ daminɛ an dusukun na ka joli tila farikolo bɛɛ la. A bɛ i n’a fɔ yɔrɔ min bɛ sigi pibiliki belebele kɔnɔ min bɛ ji bɔ jidagayɔrɔ la ka na so kɔnɔ. O la, an k’a lajɛ nin (Aorta Ascending) ye mun ye, mun bɛ kɛ a la, a bɛ se ka bana suguya minnu lase mɔgɔ ma, ani a bɛ to kɛnɛya la cogo min na.

(Aorta jiginni) ye mun ye? O bɛ mun de lase mɔgɔ ma?

Miiri k’a filɛ, an farikolo be komi duguba. Du bɛɛ, butiki bɛɛ, dugu in yɔrɔ bɛɛ mago bɛ ji la. O cogo kelen na, an farikolo farikolokisɛ kelen-kelen bɛɛ mago bɛ joli saniyalen na min falen bɛ oksizɛni na. Jɔn bɛ o joli in pɔnpe farikolo fan bɛɛ la? An dusukun. Dusukun bɛ joli min pɔnpe, o bɛ taa farikolo fan bɛɛ la joli siraba belebeleba fɛ, joli sira belebeleba (Aorta) , walima joli siraba belebeleba fɛ.

Sisan nin (Aorta) yɔrɔ caman bɛ yen.

1. (Aorta jiginni): O ye yɔrɔ ye min bɛ wuli ni a bɛ bɔ joli-bɔn-yɔrɔba la min bɛ wele ko Ventricle Numan fɛ dusukun kinin fɛ. Nin ye an ka bi ɲɛmɔgɔba ye.

2. (Aortic Arch): O kɔ, nin tubabukan in bɛ biri san fɛ i n’a fɔ bere bololanɛgɛ. A bɛ Weele ko (Aortic Arch).

3. (Aorta Jiginni): O kɔ, nin tubabukan in bɛ jigin, ka tɛmɛ disi fɛ, ka tɛmɛ kɔnɔbara fɛ. O yɔrɔ bɛ Weele ko (Aorta Jiginni).

O la, (Aorte Ascending) ka baara kunba ye ka joli min na, oksizɛni bɛ min na, dusukun bɛ min pɔnpe, o ta k’a daminɛ k’a tila (Aortic Arch) ani ka bɔ yen ka taa farikolo bɛɛ la. Kɛrɛnkɛrɛnnenya la, joli sira fila minnu nafa ka bon kosɛbɛ, n’olu bɛ wele ko Coronary Arteries , olu minnu bɛ joli di dusukun ma, olu bɛ daminɛ o de la (Aorta jiginni). Miiri k’a filɛ, ji pɔnpe fana mago bɛ ji dɔ la walasa ka baara kɛ, a bɛ baara kɛ ten.

Nin (Aorta Ascending) bɛ min? A bɛ cogo di?

O (Aorta jiginni) bɛ sɔrɔ an disi la, kɛrɛnkɛrɛnnenya la kolo belebele min bɛ disi cɛmancɛ la, (Sternum) kɔfɛ, dusukun kinin fɛ. A ni dusukun (Ventrique gauche) bɛ ɲɔgɔn na k’a ɲɛsin san fɛ.

Yecogo siratigɛ la, aorte bɛɛ bɛ i n’a fɔ bere fitini kelen. Aorta jiginni ye bere yɔrɔ surunba ye min bɛ daminɛ dusukun kɛrɛfɛ ka taa san fɛ. Aortic arch ye yɔrɔ ye min bɛ kɔrɔta i n’a fɔ bere bololanɛgɛ.

A ka ca a la, Aorta jiginni bɛ kɛ santimɛtɛrɛ 5 ni 8 cɛ (santimɛtɛrɛ 2 fo 3 ɲɔgɔn) ani a bonya bɛ se santimɛtɛrɛ 3 fo 4 ɲɔgɔn ma. A bonya bɛ dɔgɔya dɔɔni dɔɔni ni a bɛ jigin disi la.

Ascending Aorta yɔrɔ jumɛnw bɛ yen? A bɛ dabɔ cogo di?

Aorte bɛɛ tilalen don yɔrɔba fila ye: barajuru ni kɔnɔbara basigilen.(Aorte Ascending), (Aortic Arch), ani (Aorta Jiginni) bɛ fara ɲɔgɔn kan ka kɛ (Thoracic Aorta) ye.

Aorte Ascending bɛ daminɛ Aortic Heart Valve kɛrɛfɛ, o min bɛ sɔrɔ Ventricle Numan fɛ. Nin Aortic Valve in bɛ i n’a fɔ da. A bɛ da wuli ka datugu walasa joli ka bɔ Numanbolo fɛ ka don Aorta kɔnɔ. Ascending Aorta bɛ ban dɔɔnin ka kɔn Brachiocephalic Artery ɲɛ, o ye bolofara belebele fɔlɔ ye min bɛ bɔ Aortic Arch la.

Ascending Aorta yɔrɔba fila bɛ yen:

1. (Aortic Root): O ye (Aortic Ascending) ju ye, yɔrɔ min ka surun (Aortic Valve) la. O kɔnɔ, bɔgɔdaga misɛnninw bɛ yen minnu bɛ i n’a fɔ bulɔgu, n’u bɛ wele ko (Aortic Sinuses) . O yɔrɔ de la kininbolo ni numanbolo (Coronary Arteries) (joli minnu bɛ joli lase dusukun ma) bɛ daminɛ yɔrɔ minnu na. O fana ye (Sinotubular Junction - STJ) bɛ yɔrɔ min na. STJ ye yɔrɔ ye (Aorta Ascending) bɛ kɛ tubabukan nɔgɔman ye.

2. Tubular (Aorte Ascending): O bɛ daminɛ STJ kɔfɛ ka taa a fɛ fo ka se Aortic Arch ma. Joli sira wɛrɛ si tɛ bolo bɔ o yɔrɔ la.

I n’a fɔ aorte yɔrɔ tɔw, aorte jiginni bɛ kɛ ni farikolo yɔrɔ saba ye. Aw ye miiri a la i n’a fɔ pipe, min bɛ ni layini saba ye:

• (Tunica Intima): Nin ye kɔnɔnafili ye. Joli bɛ woyo o fɛ.
• (Media): Nin ye cɛmancɛ-la-yɔrɔ ye. Fibre élastique caman b’a la. Olu bɛ a to (Aorta) bɛ sɔgɔsɔgɔ ani ka wuli ka kɛɲɛ ni tansiyɔn ye. Nka, waati tɛmɛnen kɔfɛ, o fiɲɛw bɛ se ka barika dɔgɔya ani kogo bɛ se ka fin.
• (Adventitia): Nin ye kɛnɛma-yɔrɔ ye. Joli sira misɛnninw bɛ a la minnu bɛ balo di (Aorta) kogo ma.

N’an y’a fɔ cogo nɔgɔman na, Ascending Aorta ye ‘pipe’ ye min nafa ka bon kosɛbɛ, min barika ka bon, min bɛ joli sɔrɔ fɔlɔ ka bɔ dusukun na, ka a daminɛ k’a ci farikolo fan bɛɛ la.

Bana jumɛnw bɛ Aorte Ascending (Aorta Ascending) de minɛ?

A fɔ man di nka, o yɔrɔ min nafa ka bon kosɛbɛ, o fana bɛ se ka bana suguya caman sɔrɔ. An k’a lajɛ a kunbabaw ye mun ye:

• Aortic Aneurysmes : Nin ye gɛlɛya ye min ka teli ka sɔrɔ. Jolilabana ye joli sira kogo fanga dɔgɔyali ye, o bɛ kɛ sababu ye ka a kuru i n’a fɔ balon. Aorte aneurysme minnu bɛ disi la, olu ka ca ni 50% ye, o bɛ kɛ aorte jiginni na. U bɛ se ka kɛ aorte ju la walima tubular ascending aorte la. Aortic aneurysmes ye banaw ye minnu bɛ mɔgɔ ka ɲɛnamaya bila farati la. O bɛ kɛ barisa joli siraw bɛ se ka ɲɛji bɔ joli siraw la – bana min bɛ wele ko aortic dissection . Walima, ni a karilen don pewu, joli jugumanba bɛ se ka bɔ farikolo kɔnɔ. Nin ye kɔrɔtɔko ye.

• (Aortic Valve Stenosis): Ɲɛgɛnɛsiraw ani mɔgɔ dogoyɔrɔw:Hali ni Aorte Valve tɛ Ascending Aorta kɔnɔ, a bɛ nɔrɔ Ascending Aorta kɔnɔna kogo la. Aortic Stenosis ye Aortic Valve dɔgɔyali ye Aortic Root ni Left Ventricle cɛ. O bɛ kɛ sababu ye dusukun ka baara kɛ kosɛbɛ walasa ka joli don Aorta kɔnɔ. O bɛ se ka kɛ sababu ye ka dusukun fasa bonya.

• (Aortic Valve Regurgitation): O bɛ kɛ ni (Aortic Valve) ma datugu ka ɲɛ. O kɔ, sanni a ka taa ɲɛfɛ ka don (Aorta) kɔnɔ, joli bɛ segin ka don (Ventrique gauche) kɔnɔ. O bɛ kɛ sababu ye dusukun ka joli caman bɔ ka tɛmɛ a cogo kɔrɔ kan. Waati tɛmɛnen kɔ, dusukun bɛ se ka barika dɔgɔya. (Aortic Valve Regurgitation) fana bɛ se ka kɛ ka a sababu kɛ (Aorte Ascending) ka bonya.

• Bicuspid Aortic Valve (BAV): Mɔgɔ dɔw bɛ bange ni sɛbɛnfura fila ye u ka aortic valve kɔnɔ sanni u ka kɛ saba ye. Nin sɔgɔsɔgɔninjɛ suguya bɛ mɔgɔ minnu na, olu ka farati ka bon ka joli siraw wuli minnu bɛ wuli. Tuma caman na, BAV bɛ se ka kɛ sababu ye ka aorte stenosis, aortic regurgitation, walima o fila bɛɛ.

• Jɛɲɔgɔnya banaw : Bana minnu bɛ mɔgɔ minnu na i n’a fɔ (Syndrome de Marfan) , (Syndrome de Loeys-Dietz) , ani (Syndrome d’Ehlers-Danlos) olu bɛ se ka gɛlɛyaw sɔrɔ i n’a fɔ (Aneurysmes) barisa (Aorta) kogo bɛ se ka barika dɔgɔya.

• Funubana : Bana minnu bɛ sɔrɔ i n’a fɔ joli-sira-funu belebelebaw ani joli-sira-funu-bana minnu bɛ don mɔgɔ kɔnɔ, olu fana bɛ se ka joli-sira-funu kogo tiɲɛ.

Hali ni nin taamasiɲɛ ninnu bɛ se ka kɛ siranfɛn ye dɔɔni, u bɛ se ka kunbɛn ni u dɔnna joona ani ni u furakɛra ka ɲɛ .

Ne bɛ se ka n ka Ascending Aorta to kɛnɛya la cogo di?

Aw bɛ fɛn minnu kɛ walasa aw dusukun ni joli-sira-funu ka to kɛnɛya la, olu kelenw ka ɲi fana Ascending Aorta kɛnɛya ma.

• Aw bɛ dumuni nafama dun, dumuni dafalenw dun: Aw bɛ dumuni minnu dun, soja (kɔgɔ), kolosinsinnan ani tulumafɛnw ka dɔgɔn. Aw bɛ jiridenw, nakɔfɛnw, sumanmuguw ani jolisegindumuni caman dun.
• Aw bɛ to ka farikoloɲɛnajɛ kɛ: Aw bɛ fɛn dɔ kɛ i n’a fɔ taama, boli walima jibɔ, miniti 30 ni kɔ tile kɔnɔ. A bɛ dusukun barika bonya ani ka tansiyɔn kunbɛn.
• Sigarɛtimin ni sigarɛtimin dabila pewu: Sigarɛtimin ye joli siraw juguba ye. A bɛ aorte kogo fanga dɔgɔya ani ka dɔ fara joli siraw kan.
• Aw bɛ dɔlɔ minni dɔgɔya walima ka a dabila: Dɔlɔmin kojugu fana bɛ se ka dɔ fara tansiyɔn kan ani ka dusukun ni joli siraw tiɲɛ.
• Aw bɛ to ka taa dɔgɔtɔrɔso la: A nafa ka bon kosɛbɛ ka to ka taa a fɛ i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na, kɛrɛnkɛrɛnnenya la ni gɛlɛyaw bɛ aw la i n’a fɔ tansiyɔn jiginni, kolosinsinnan, sukarodunbana, walima ni aw ka denbaya kɔnɔmɔgɔ dɔ ye aortic gɛlɛya sɔrɔ.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni a sɔrɔla ko bana dɔ bɛ aw la min bɛ wele ko Syndrome Ascending Aortic Syndrome walima dusukunnabana wɛrɛ, aw bɛ taa dɔgɔtɔrɔso la joona ni taamasiɲɛ kuraw bɛ aw la walima ni aw ka bana taamasiɲɛ kɔrɔw juguyara.

Ani fana, ni aw ye nin taamasiɲɛ ninnu dɔ walima caman sɔrɔ, o bɛ se ka kɛ joli siraw pɛrɛnni taamasiɲɛ ye, wa aw ka kan ka taa dɔgɔtɔrɔso la joona joona:

• Dimi walima ɲɛnamini (fainting).
• Dusukun tantanni teliya.
• Dimi jugumanba bɛ kɛ disi la walima kɔ sanfɛla la.
• Ninakili gɛlɛya.

Aw kana aw ɲɛmajɔ nin taamasiɲɛ suguw la. Ni aw ye furakɛli kɛ joona, o bɛ se ka mɔgɔ ka ɲɛnamaya kisi.

Take-Home cikan

Aorte jiginni ye an farikolo joli sira belebeleba yɔrɔ fɔlɔ ye, n’o ye aorta ye. A bɛ tali kɛ dusukun na, wa a jɔyɔrɔ ka bon kosɛbɛ walasa ka dɛmɛ don ka joli oksizɛni sɔrɔ min bɛ bɔ dusukun fɛ, o jɛnsɛnni farikolo bɛɛ la.

Gɛlɛya dɔw bɛ sɔrɔ Ascending Aorta la, i n’a fɔ joli siraw karilen, olu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la. O la, ni dusukunnabana bɛ aw ka denbaya kɔnɔ mɔgɔ dɔ la, walima ni aw si tɛmɛna san 65 kan, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ fɛɛrɛw kan minnu bɛ se ka dɔ bɔ aw ka gɛlɛyaw sɔrɔli la ni Aorta Ascending ye. I yɛrɛ tangacogo ɲuman ye ka ɲɛnamaya kɛ cogo ɲuman na. I janto i dusukun na, sabu o b’i to ɲɛnamaya la!

` Aorte ascending, aorta, dusukunnabana, joli siraw, aorte aneurisme, dusukun kɛnɛya, dusukun