Dɛmɛ don i dusukun na: Dusukun tantanni interventionnelle ye mun ye?

Yala aw delila ka "Cardiologie interventionnelle" daɲɛ mɛn wa? N’a sɔrɔ dɔgɔtɔrɔ y’a fɔ, walima n’a sɔrɔla aw bɛ ka a lajɛ barisa dusukun gɛlɛya bɛ aw la. A kɛra cogo o cogo, nin ye furakɛli baara ye min nafa ka bon kosɛbɛ. An ka kuma o kan dɔɔnin, tiɲɛ tɛ wa?

Cardiologie interventionnelle ye mun ye? A ka nɔgɔn kosɛbɛ!

N’an y’a fɔ cogo nɔgɔman na, dusukunnabana minnu bɛ don ɲɔgɔn na, olu ye fɛɛrɛ kɛrɛnkɛrɛnnen ye min bɛ kɛ ni tubabufura fitininba ye, min bɛ se ka wuli, n’o bɛ wele ko ``catheter`` walasa ka dusukun ni joli siraw banaw sɛgɛsɛgɛ ani k’u furakɛ. Aw bɛ miiri a la i n’a fɔ kanɛli fitinin min bɛ kɛ ni an bɛ kɔgɔ don an bolokɔni na, nka nin ``katetɛri`` in ye tubabufura ye min ka fin yɛrɛ. O bɛ don aw ka joli sira dɔ fɛ. O la, kun t’a la ka tigɛba kɛ fari la ka opereli kɛ. O de ye nin fɛɛrɛ in nafaba ye.

Dɔgɔtɔrɔ minnu bɛ o baara in na (an b’u wele ko interventionnelle cardiologists) bɛ dusukunnabana minnu bɛ joli siraw ni dusukunnabana na, olu dɛmɛ. U bɛ denw, denmisɛnni fitiniw ani mɔgɔkɔrɔbaw fana furakɛ minnu dusukunnabana bɛ u la, i n’a fɔ dusukun tantanni walima dusukunnabana bangenenw, i n’a fɔ senkɔniw.

Danfara jumɛn bɛ dusukunnabana furakɛli ni dusukunnabana opereli cɛ?

Hali ni o fila bɛɛ bɛ tali kɛ dusukun na, danfara dɔɔnin bɛ u ni ɲɔgɔn cɛ.

Dusukunnabana furakɛla dɔ bɛ furakɛli kɛ ``Minimally Invasive``, n ye min fɔ ka tɛmɛ, ni ``(Catheter)`` ye, ni tigɛba tɛ a la, ka tɛmɛ dingɛ fitinin dɔ fɛ. O kɔrɔ ye ko u tɛ `` dusukun dafalen opereli`` kɛ, o min ye tigɛba ye disi cɛmancɛ la (``Sternotomy``).

Nka, dusukun ni barajuru operelikɛla ye mɔgɔ ye min bɛ opereli kɛ disi yɔrɔw la, i n’a fɔ dusukun, fogonfogon ani dumunikɛminɛnw. U bɛ dusukun dafalen opereli kɛ. Tuma dɔw la, u bɛ tigɛli misɛnni caman fana kɛ tigɛda belebele kelen nɔ na.

Min nafa ka bon kosɛbɛ, o ye ko, a ka ca a la, nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnen fila bɛɛ bɛ baara kɛ ɲɔgɔn fɛ walasa ka a latigɛ furakɛli fɛɛrɛ min bɛnnen don aw ma kosɛbɛ.

Dusukun dɔgɔtɔrɔ min bɛ baara kɛ ni a ye, o bɛ mun kɛ kɛrɛnkɛrɛnnenya la?

O dɔgɔtɔrɔw kɛrɛnkɛrɛnnen don baara kɛli la ni o ``(catheter)'' ye walasa ka dusukun ni joli siraw banaw sɛgɛsɛgɛ ani k'u furakɛ. Fɛɛrɛ dɔw bɛ kɛ ka bana in dɔn tigitigi, ka sɔrɔ dɔw bɛ kɛ ka bana in furakɛ.

Dusukun dɔgɔtɔrɔ min bɛ baara kɛ ni a ye, o bɛ sɛgɛsɛgɛli jumɛnw yamaruya?

O baara in na kɛrɛnkɛrɛnnenya laA b’a lajɛ ni joli-sira-funu bɛ i fari la ka ɲɛ. A bɛ gɛlɛyaw ɲini minnu bɛ joli bɔli bali, k’a ɲini k’u ɲɛnabɔ. Misali la, a bɛ joli bolicogo ni tansiyɔn lajɛ joli siraw la minnu bɛ joli di i dusukun ma (``Coronary Arteries``) ani dusukun tantanni yɔrɔw kɔnɔ.

Sɛgɛsɛgɛli minnu bɛ Kɛ o kama, olu dɔw ye:

• Dusukun joli siraw CT scan (computer tomography (CT) of Coronary Arteries).
• Echocardiogramme (echocardiogramme (fɔcogo sɛgɛsɛgɛli min bɛ kɛ dusukun kɔnɔ).
• Dusukun MRI ye .
• Disi X -ray.

Dusukun tantanni fɛɛrɛ ye mun ye?

Nin ye dusukun furakɛcogo ye ni `(Catheter)` dɔrɔn ye, k’a sɔrɔ aw ma fari tigɛ walima ka opereli kɛ. Misali la, ni dusukun tantanni cili walima dusukun dawolo dilancogo kɛra ni `(Catheter)` ye, o ye dusukun furakɛli ye min bɛ kɛ ni sen ye.

Dusukun dɔgɔtɔrɔ min bɛ a sen don a la, o bɛ furakɛli jumɛnw kɛ?

Furakɛli caman bɛ yen dɔgɔtɔrɔ ninnu bɛ minnu kɛ. N’a sɔrɔ i ye u dɔw ko mɛn.

• Dusukun tantanni : Dusukun sɛgɛsɛgɛli ni katetɛri don a kɔnɔ.
• Angiogramme (`Angiogram` - `Peripheral` walima `Coronary`): Ji kɛrɛnkɛrɛnnen dɔ bɛ pikiri kɛ joli siraw la ka X-ray ta walasa ka a dɔn a datugulenw bɛ yɔrɔ min na.
• Angioplastie : Joli sira min datugulen don, aw bɛ o da wuli kokura ni aw ye a fiyɛ ni minɛn fitinin ye min bɛ i n’a fɔ balon.
• Koronawirisi (Atherectomy coronaire): Tulumafɛnw (plaque) bɔli joli siraw la .
• Fractional Flow Reserve (FFR) sumanikɛlan : Joli hakɛ min bɛ bali ka a sababu kɛ joli sira dɔ datugulen ye, o sumanikɛlan.
• Intravascular Ultrasound (IVUS): Fɛɛrɛ min bɛ kɛ ni ultrasound minɛn fitinin dɔ don joli sira kɔnɔ.
• Optical Coherence Tomography (OCT): Fɛɛrɛ min bɛ kɛ ni yeelen ye walasa ka joli siraw kɔnɔna ye ka ɲɛ kosɛbɛ.
• Stent bilali : O ye tubabufura fitini ye min bɛ bila joli sira datugulen dɔ kɔnɔ min dabɔra ni joli-sira-funu ye walasa a kana datugu tuguni. A ka c’a la, o bɛ dilan ni nɛgɛ ye.
• Dusukun tantanni cili ni a dilancogo: Sisan, o bɛ se ka kɛ ni katetɛri ye fana.
• Atriale gauche (Atrial Appendice) dadonni.
• Aw bɛ kogo dingɛ datugu ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ (`Atrial Septal Defect Closure`).
• Dɔlɔ Septal Ablation (Dɔlɔ Septal bɔli).
• Patente Foramen Ovale Dadoncogo.
• Sugunɛbilenni (Renal Denervation): Furakɛli min bɛ ɲɛgɛnɛsiraw laɲini ka taa sugunɛ na walasa ka tansiyɔn jiginni dɔgɔya.
• Trombolyse (Trombolyse): Joli kurukuruw bɔli.

Furakɛli jumɛn ka teli ka kɛ dusukunnakow dɔnbagaw fɛ minnu bɛ u sen don a la?

O dɔgɔtɔrɔw bɛ fɛɛrɛ min kɛ ka caya, o ye joli-sira-funu ni stent bilali ye dusukun joli siraw la. O bɛ kɛ ni katetɛri ye walasa ka joli sira dɔ datugulen sɔrɔ dusukun na. O kɔ, ni baarakɛminɛn fitinin dɔ ye i n’a fɔ balon, o balili (i n’a fɔ kolosinsinnanw bɛ sɔrɔ jolisegindumuni na) bɛ digidigi ka kɛ minɛn kogo la, ka sira dɔ dilan joli ka se ka woyo. O kɔ, ni a mago bɛ a la, tubabufura min bɛ wele ko stent, o bɛ bila yen walasa sira kana datugu tuguni. Nin ye fura ye min bɛ mɔgɔ kisi, dusukun tantanni bɛ mɔgɔ min na.

Bana ni cogoya jumɛnw bɛ furakɛ ni dusukun tantanni fɛɛrɛ ye?

Nin fɛɛrɛ in bɛ se ka bana damadɔw furakɛ minnu bɛ dusukun ni joli siraw minɛ. Misali damadɔw filɛ nin ye:

• Dusukun tantanni bana
• Atherosclérose (joli siraw sɔgɔsɔgɔninjɛ).
• Dusukun tantanni
• Carotid Artery Disease (o ye joli siraba ye min bɛ kɔ la) .
• Koronawirisi bana
• Cardiomyopathie hypertrophique (dusukun fasa ka bonya) .
• Coronary Artery Fistula (Jɛɲɔgɔnya min tɛ dusukun na joli sira dɔ ni joli sira wɛrɛ walima dusukun yɔrɔ dɔ cɛ) .
• Bana min bɛ sɔrɔ joli siraw la (joli siraw datuguli farikolo yɔrɔw la) .
• Bana basigilen (Vein) bana
• Aorte Valve Stenosis (Aortic Valve) ka sɔgɔsɔgɔninjɛ
• Joli kuruli banaw (`Tromboembolique Disease`) .
• Joli-sira-funu
• Dingɛ minnu bɛ kogo la ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ (`Atrial Septal Defect`) .
• Dingɛ minnu bɛ kogo la kɔnɔbara basigilenw ni ɲɔgɔn cɛ (`Ventricular Septal Defect`) .

Yala ne mago bɛ mɔgɔ bilasirali la ka taa dusukunnakow dɔnbaga dɔ fɛ min bɛ baara kɛ ni a ye wa?

Ɔwɔ, tuma caman na, aw mago bɛna kɛ dɔgɔtɔrɔ wɛrɛ ka cikan na walasa ka taa dusukunnakow dɔnbaga dɔ fɛ min bɛ a dɛmɛ. O bɛ kɛ barisa o dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw degecogo bɛ ka sɛgɛsɛgɛli walima furakɛli kɛrɛnkɛrɛnnen kɛ aw mago bɛ min na.

Nin dusukunnakow dɔnbaga minnu bɛ baara kɛ ni u ye, olu bɛ baara kɛ min?

Dusukun dɔgɔtɔrɔ minnu bɛ u sen don a la, olu bɛ baara kɛ dɔgɔtɔrɔsow la, dɔgɔtɔrɔsow la minnu ye mɔgɔ kelen ta ye, ani furakɛli kalansow la. Dɔw fana bɛ ɲininiw kɛ ani ka furakɛli kalandenw kalan k’a sɔrɔ u bɛ furakɛli kɛ.

Tuma caman na, o dɔgɔtɔrɔw bɛ weleli la walasa ka kɔrɔtɔko dɔ furakɛ, misali la, dusukun tantanni bɛ mɔgɔ min na.

Kalan jumɛn ka kan ka kɛ dusukunnabana furakɛli la min bɛ kɛ ni interventionnel ye?

Baara kɛli o baara in na, o bɛ san caman dege de wajibiya. Dɔgɔtɔrɔso kalan kɔfɛ (san 4), minnu bɛ nin kalan kɛrɛnkɛrɛnnen in kɛ, olu bɛ san saba sigiyɔrɔma kalan kɛ Kɔnɔna furakɛli la, o kɔfɛ, u bɛ san saba wɛrɛ kalan kɛrɛnkɛrɛnnen kɛ dusukunnakow la.

O kɔfɛ, aw bɛna san wɛrɛ sɔrɔ a dɔgɔyalenba la, dusukunnakow kalan kɛrɛnkɛrɛnnen na (`Fellowship`) fɛɛrɛw la minnu bɛ kɛ ka ``Catheter`` kɛ. O dɔrɔn de la, i bɛna ``Seereyaw`` sɔrɔ ka bɔ furakɛlitɔn dɔ fɛ.

Dusukunnataw furakɛla dɔw ye jɛkuluw kɔnɔmɔgɔw ye i n’a fɔ Society for Cardiovascular Angiography and Interventions (SCAI) walima u ka tɔnden kɛrɛnkɛrɛnnen dɔ bɛ u bolo (``Fellow``). ``Fellow`` ye mɔgɔ ye min ye taabolo 1000 ni kɔ kɛ. O kɔrɔ ye ko i bɛ furakɛli kɛ mɔgɔ dɔ fɛ min ye kalan sɔrɔ min ka bon kosɛbɛ.

Aw bɛ se ka mun makɔnɔ dusukunnabana furakɛli lajɛ dɔ senfɛ?

Fo ni kɔrɔtɔko don, dusukunnakow dɔnbaga dɔ bɛna kuma aw fɛ aw dusukun walima joli siraw gɛlɛyaw kan. U bɛna aw ɲininka aw ka bana taamasiɲɛw la ani aw ye u sɔrɔ kabini waati jumɛn. A nafa ka bon ka na ni fura minnu bɛɛ ta ye (u sɛbɛnnen don, fura minnu tɛ sɔrɔ dɔgɔtɔrɔso la, witaminiw, ani hali furakisɛw).

Dɔgɔtɔrɔ bɛna i dusukun lamɛn. A bɛna ɲininkali kɛ fana ni aw bɛ sigarɛti furaw ta walima ni aw bɛ dɔlɔ min. A bɛna a ɲininka fana ni dusukunnabana walima joli siraw gɛlɛyaw ye mɔgɔ dɔ sɔrɔ aw ka denbaya kɔnɔ. A bɛ se ka sɛgɛsɛgɛli nɔgɔmanw fana kɛ yen, i n’a fɔ ka i ka tansiyɔn lajɛ.

Ni aw mago bɛ sɛgɛsɛgɛliw ni/walima furakɛli la, aw ka kan ka lajɛ wɛrɛ boloda o don kama. Aw ka dɔgɔtɔrɔ bɛna furakɛli kɛcogo ɲɛfɔ, u hakili la ko a bɛnnen don aw ma, ka fara a nafa ni a farati kan. U bɛna a fɔ aw ye fana aw bɛ se ka aw labɛn cogo min na furakɛli kama. Misali la, a bɛ se ka ɲini aw fɛ aw kana dumuni kɛ walima ka minni kɛ lɛri 8 kɔnɔ ka kɔn sɛgɛsɛgɛli walima furakɛli ɲɛ.

A ka ca a la, i bɛ siran dɔɔni ani ka jɔrɔ ni a fɔra i ye ko i bɛna dusukun opere. Nka aw hakili to a la ko ni dusukunnabana interventionnelle bɛ aw la, aw bɛ ladonni kɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ min kalanna kosɛbɛ. U mago bɛ kunnafoni minnu na walasa ka bana in sɛgɛsɛgɛ, u bɛ se k’olu lajɛ, ka tila k’a furakɛ k’a sɔrɔ u ma dusukun da wulilen opereli kɛ.

Fɛn minnu nafa ka bon kosɛbɛ ka to i hakili la (Take-Home Message) .

O la, dusukunnabana interventionnel ye furakɛli baara ye min ɲɛtaa ka bon kosɛbɛ, wa a bɛ banabagatɔw dɛmɛ kosɛbɛ.

• Tigɛba tɛ kɛ : Nafa min bɛ a la kosɛbɛ, o ye ko dusukun ni joli siraw gɛlɛya caman bɛ se ka furakɛ ni katetɛri fitinin dɔrɔn ye, k’a sɔrɔ tigɛba si ma kɛ.
• Kɛnɛya teliya: Ikomi opereliba si tɛ kɛ, dɔgɔtɔrɔso sigili bɛ kɛ waati kunkurunnin kɔnɔ, wa aw bɛ se ka kɛnɛya joona ka segin aw ka ɲɛnamaya kɛcogo kɔrɔ la.
• Dɔnniya: Nin furakɛli in bɛ kɛ dɔgɔtɔrɔw fɛ minnu ye kalan kɛrɛnkɛrɛnnen sɔrɔ o baara kama.
• Aw kana siran: Ni o furakɛcogo sugu sɛbɛnna aw ye, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ ka ɲɛ o ko la ani ka kunnafoni kunbabaw dɔn. Ni i ye kunnafoni bɛnnenw dɔn, o bɛna i dɛmɛ i kana siran kunntanw kɛ.

Ni dusukun gɛlɛya dɔw bɛ aw la, aw kana ɲinɛ ka taa dɔgɔtɔrɔso la walasa ka laadilikan sɔrɔ. Dusukun kɛnɛman kɔrɔ ye ɲɛnamaya kɛnɛman ye!

` Dusukunnabana, dusukunnabana interventionnel, catheter, angioplastie, stent, dusukun opereli, dusukun kɛnɛya