Yala kuru dɔ bɛ kɛ joli sira dɔ la i sen na, o bɛ joli bɔli bali wa? An ka kunnafoni sɔrɔ Adventitial Cystic Disease kan!

Hali n’i ye mɔgɔ kɛnɛman ye, min bɛ baara kɛ, yala i delila ka dimi walima gɛlɛya sɔrɔ i sen duguma, kɛrɛnkɛrɛnnenya la kɔkolo yɔrɔ la, farikoloɲɛnajɛ walima taama senfɛ wa? A bɛ ban waati dɔ tɛmɛnen kɔfɛ, ka sɔrɔ ka segin ka na ni i ye fɛn wɛrɛ kɛ. N’a sɔrɔ i b’a miiri ko nin tɛ koba ye. Nka, tiɲɛ na, o bɛ se ka kɛ bana dɔ taamasiɲɛ ye min man teli ka kɛ, n’o bɛ wele ko Adventitial Cystic Disease . O la, an ka kuma nin kan dɔɔnin dɔɔnin bi.

An ka a lajɛ nɔgɔya la Adventitial Cystic Disease ye min ye.

N’an y’a fɔ cogo nɔgɔman na, Adventitial Cystic Disease ye bana ye min kɔnɔ, bɔrɔ min falen don ji la, n’a bɛ wele ko cyst , o bɛ sɔrɔ joli sira dɔ la, i n’a fɔ joli sira walima joli sira. O bɛ kɛ kɛrɛnkɛrɛnnenya la adventitia la, o ye joli sira kɔkanna yɔrɔ ye. Miiri k’a filɛ, kuru fitini dɔ bɛ joli sira kɔkanna na, i n’a fɔ jibolisira, min bɛ joli bolicogo bali. O de bɛ ka Kɛ yan.

Nin kuru in bɛ joli bolicogo bali joli sira fɛ. O balili bɛ se ka caya, kɛrɛnkɛrɛnnenya la n’an bɛ lamaga walima n’an bɛ farikoloɲɛnajɛ kɛ. A ka ca a la, nin bana in bɛ popliteal artery , o ye joli siraba belebele ye min bɛ joli lase an gɛnɛgɛnɛw ni senw duguma fasaw ma. Nka a man teli kosɛbɛ, 15% ɲɔgɔn na, kurukuruw bɛ se ka bɔ joli siraw la minnu tɛ popliteal artery ye.

O ko bɛ nɔ bila jɔn de la kosɛbɛ?

Adventitial Cystic Disease ka teli ka ye cɛw la minnu si bɛ san 40 ni san 50 cɛ.Tiɲɛ na, a bɛ fɔ ko cɛw ka teli ka nin bana in sɔrɔ ka tɛmɛ musow kan siɲɛ duuru ɲɔgɔn.

Kabako dɔ ye ko nin bana in ka teli ka mɔgɔ kɛnɛmanw minɛ, minnu bɛ baara kɛ, bana jugu wɛrɛw tɛ minnu na. An b’a dɔn kosɛbɛ ko fasa walima kolosinsinnan caman bɛ se ka kɛ sababu ye ka jolilabanaw wɛrɛw lase mɔgɔ ma. Nka, a ma sɔrɔ ko o farati suguw bɛ se ka bana sɔrɔ min bɛ wele ko Adventitial Cystic Disease.

Nin bana in ka ca cogo di tiɲɛ na?

N’a sɔrɔ aw ma nin bana in mɛn fɔlɔ. o kun ye ko bana min man ca kosɛbɛ . Ni aw ye jolilabanaw bɛɛ jateminɛ, nin bana in bɛ mɔgɔ hakɛ fitinin dɔrɔn de minɛ, o ye 0,1% ɲɔgɔn ye. O kɔrɔ ye ko mɔgɔ damadɔ dɔrɔn de b’a sɔrɔ.

Nin bana in taamasiɲɛw ye jumɛnw ye? Yala ninnu fana bɛ aw bolo wa?

Nin bana in taamasiɲɛba ni a ka ca a la, o ye kɔnɔboli ye min bɛ kɛ tuma ni tuma.Sarati dɔ min bɛ wele ko. N’an y’a fɔ cogo nɔgɔman na, o ye barikantanya walima dimi ye farikolo yɔrɔw la ka a sababu kɛ joli sɔrɔli dɔgɔyali ye. A ka c’a la, o bɛ kɛ ni aw bɛ lamaga walima ni aw bɛ farikoloɲɛnajɛ kɛ. Nin dimi in bɛ ban lafiɲɛ dɔɔni kɔfɛ.

Mɔgɔ caman fɛ, o dimi bɛ bɔ misiden yɔrɔ fasaw la (misiden fasaw dimi) . Miiri k’a filɛ, n’i ye taama dɔɔnin kɛ, n’i bɛ boli, walima n’i bɛ yele ɛrɛzɛnsun damadɔw kan, dimi ni gɛlɛya kabakoma dɔ bɛ bɔ sennasanbara kɔnɔna na yɔrɔnin kelen. A bɛ nɔgɔya ni i jɔra dɔɔni, ka sɔrɔ ka daminɛ tuguni ni i bɛ taama. O de don. A ka ca a la, o bɛ sen kelen dɔrɔn de minɛ. Nka, a man teli kosɛbɛ, a bɛ se ka sen fila bɛɛ minɛ o cogo la.

Ni kun dɔw la nin kuru in bɛ sɔrɔ jolisira dɔ la (o fana man ca kosɛbɛ), o tuma na, sen bɛ se ka funu.

Mun na Adventitial Cystic Disease bɛ sɔrɔ? O sababu ye mun ye?

Hali bi, dɔnnikɛlaw t’a dɔn tigitigi bana in bɛ mɔgɔ min na, nka u hakili la, fɛn damadɔ bɛ yen minnu bɛ se ka kɛ sababu ye ka bana in sɔrɔ:

• Kɔnɔnatumuw den falenni waati : A bɛ se ka kɛ ko, den falen waati kɔnɔbara la, farikolokisɛ minnu bɛ se ka nin kuru ninnu dilan, olu bɛ don joli siraw la.
• Jɛɲɔgɔnya banaw : Jɛɲɔgɔnya bana dɔw bɛ se ka dɔ fara kurukuruw sɔrɔli kan i n’a fɔ ninnu joli siraw la.
• Joli bɛ tali kɛ ɲɔgɔn na : A bɛ se ka kɛ ko mɔgɔ dɔw ka teli ka kurukuruw sɔrɔ i n’a fɔ ninnu, u kolotugudaw kɛrɛfɛ.
• Joginni walima degun segin-segin : Joginni fɛ joli siraw la walima degun min bɛ to sen na (degun), joli sira yɔrɔ dɔw bɛ se ka tiɲɛ, o bɛ na ni kurukuruw bɔli ye.

Nka fɛn kelen de jɛlen don. Dalilu minnu bɛ yen sisan, olu b’a jira ko Adventitial Cystic Disease tɛ sɔrɔ dusukunnabana fɛ.

Nin bana in bɛ dɔn ka ɲɛ cogo di? (Sɛgɛsɛgɛli) .

Nin bana in dɔnni bɛ se ka gɛlɛya dɔɔni. Sabula, i n’a fɔ a fɔra cogo min ka tɛmɛ, a ka ca a la a bɛ sɔrɔ mɔgɔ kɛnɛmanw na, farati foyi tɛ minnu na jolilabanaw wɛrɛw la. O la ni dimi fana bɛ aw gɛnɛgɛnɛ kɔfɛ walima kɔkolo yɔrɔ la farikoloɲɛnajɛ kɛtuma na, aw ye aw jija ka taa dɔgɔtɔrɔso la ka o fɔ a ye.

Nin bana in taamasiɲɛw bɛ se ka kɛ i n’a fɔ joli siraw bana wɛrɛw, i n’a fɔ Popliteal Artery Entrapment Syndrome (PAES) walima Chronic Exertional Compartment Syndrome . O la, aw ka dɔgɔtɔrɔ bɛna bana wɛrɛw bɔ kɛnɛ kan sani aw ka nin bana in sɛgɛsɛgɛ.

Ni aw ka dɔgɔtɔrɔ bɛ aw sɛgɛsɛgɛ, a bɛ se ka a ye ko aw sen na ani aw gɛnɛgɛnɛ kɔfɛ, n’o ye popliteal artery ye. Ni dusukun tantanni ma ye, kɛrɛnkɛrɛnnenya la ni aw bɛ aw gɛnɛgɛnɛ kɔrɔta, o bɛ se ka kɛ sababu ye ka joli bolicogo datugu.

Ka fara o kan, dɔgɔtɔrɔ bɛ se ka yamaruya di sɛgɛsɛgɛli caman wɛrɛw ma walasa ka bana in sɛgɛsɛgɛ:

• Ankle-Brachial Index (ABI): O bɛ tansiyɔn jateminɛ i senkɔniw duguma.
• CT Angiogramme : O bɛ se ka kɛ ka joli bolicogo dɔn ani ni joli siraw datugulen don. A bɛ i n’a fɔ ka joli siraw ja ta.
• Duplex Ultrasound : O b’a to aw bɛ joli ja lamagannen ye min bɛ tɛmɛ aw senw fɛ.
• MRI : O bɛ se ka kurukuruw ye ka jɛya joli siraw kɔnɔ walima u lamini na.

Nin sɛgɛsɛgɛli ninnu kɔfɛ dɔrɔn, dɔgɔtɔrɔ bɛ se k’a fɔ aw ye k’a jɛya ko Adventitial Cystic Disease bɛ aw la walima ni aw tɛ.

O furakɛcogo jumɛnw bɛ yen?

Tuma dɔw la, o kurukuruniw bɛ se ka ban u yɛrɛ ma. Nka a ka ca a la, furakɛli min bɛ ɲɛ kosɛbɛ, o ye ka opereli kɛ ka kurukuru bɔ .

Tuma dɔw la, dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka kurukuru in sama ni pikirijikɛlan ye. Hali ni nin ye fɛɛrɛ ye min tɛ mɔgɔ minɛ kosɛbɛ ka tɛmɛ opereli kan, a bɛ dɔ fara kurukuruw seginni farati kan.

Ni aw ye opereli kɛ, aw ka operelikɛla bɛna kurukuru ni joli sira tiɲɛnen bɔ. Ni aw ka bana ka jugu, o kɔrɔ ye ko joli sira datugulen don pewu, a bɛ se ka kɛ ko fɛɛrɛ wɛrɛ ka kan ka kɛ. O cogo la, aw ka operelikɛla bɛ se ka joli-sira-funu-minɛn dɔ kɛ ka bɔ aw farikolo yɔrɔ wɛrɛ la walima ni fɛn dilannen dɔ ye walasa ka joli-sira-funu dilan ani ka joli-sira-funu segin a cogo kɔrɔ la. Walima, aw bɛ se ka bypass opereli kɛ, o bɛ sira kura di joli ma walasa joli ka taa joli sira datugulen lamini.

Yala an bɛ se k’o bali ka kɛ wa?

Tiɲɛ na, fɛɛrɛ kɛrɛnkɛrɛnnen si tɛ yen min bɛ se ka Adventitial Cystic Disease bali. Ikomi a sababu tigitigi ma dɔn, a ka gɛlɛn ka a kunbɛncogo fɔ.

Nka, aw bɛ se ka min kɛ ka ɲɛ, o ye ka dɔgɔtɔrɔ dɔ ka ladilikan ɲini ni aw ye bana taamasiɲɛ dɔw ye dɔrɔn, i n’a fɔ dimi, degun, sɔgɔsɔgɔninjɛ walima funu sen na. O cogo la, aw bɛ se ka bana in dɔn joona ka furakɛli daminɛ.

Mun bɛ kɛ furakɛli kɔfɛ? O ko ɲɛnabɔcogo ye mun ye? (Laɲini)

Furakɛli suguya o suguya mana kɛ Adventitial Cystic Disease la, .A bɛ se ka kɛ ko kurukuru in bɛ segin ka kɛ. O la, hali furakɛli kɔfɛ, a ka ca a la a ka kan ka to dɔgɔtɔrɔ ka kɔlɔsili kɔrɔ ka mɛn ani ka ja sɛgɛsɛgɛli kɛ.

Nka, mɔgɔ caman ye lafiya sɔrɔ dimi ni senkɔniw na, kuru bɔli opereli kɔfɛ. Sɛgɛsɛgɛli fitinin dɔ y’a jira ko ni kuru bɔra ni jolisira ye, o bɛ dɔ bɔ a seginni farati la.

Min nafa ka bon kosɛbɛ, o ye ko ni nin taamasiɲɛ ninnu bɛ aw la, aw kana siran ka taa dɔgɔtɔrɔso la ka kuma o kan. Ni aw ye bana in dɔn joona, aw bɛ se ka furakɛli daminɛ joona ka kɛnɛya.

Ɲininkali nafama dɔw ka kan ka kɛ dɔgɔtɔrɔ fɛ

Ni a sɔrɔla ko Adventitial Cystic Disease bɛ aw la, aw bɛ se ka ɲininkaliw kɛ aw ka dɔgɔtɔrɔ la i n’a fɔ:

• Yala fɛn dɔw bɛ yen ne bɛ se ka minnu kɛ walasa ka sen dimi dɔgɔya ni ne bɛ farikoloɲɛnajɛ kɛ wa?
• Ne bɛ se ka dɔ bɔ nin kuru in sɔrɔli la cogo di furakɛli kɔfɛ?
• Yala farati dɔ bɛ joli kurulen sɔrɔli la wa?
• Yala ne ka kan ka opereli kɛ walasa ka nin kuru in bɔ wa?
• Yala nin kuru in bɛ ban a yɛrɛ ma ni a ma furakɛ wa?

Ka fara nin ɲininkali ninnu kan, aw bɛ dɔgɔtɔrɔ ɲininka fɛn o fɛn na walima sigasigali fɛn o fɛn bɛ aw la.

Kuma surun na, aw hakili to nin hakilina ninnu na (Take-Home Message) .

O bɛ ɲɛ, o la sa, an ye kumasen nafama dɔw hakili jigin dɔɔnin an ye kuma minnu kan:

• Adventitial Cystic Disease ye bana ye min man teli ka sɔrɔ, kuru bɛ ​​sɔrɔ joli sira la, kɛrɛnkɛrɛnnenya la popliteal artery, ka joli boli bali.
• O bɛ cɛ kɛnɛmanw de minɛ kosɛbɛ, minnu bɛ baara kɛ kosɛbɛ, minnu si bɛ san 40-50 cɛ .
• A taamasiɲɛ fɔlɔ ye dimi walima senkɔni ye sen dugumayanfan na, kɛrɛnkɛrɛnnenya la senkɔni yɔrɔ la, farikoloɲɛnajɛ waati (kɔrɔbɔli waati ni waati) . O bɛ dɔgɔya ni lafiɲɛ ye.
• A sababu kɛrɛnkɛrɛnnen ma Sɔrɔ fɔlɔ.
• Sɛgɛsɛgɛli suguya caman (ABI, CT Angiogramme, Duplex Ultrasound, MRI) bɛ kɛ ka bana sɛgɛsɛgɛ.
• a ka ca a la , opereli bɛ kɛ ka kurukuru bɔ , o de ye furakɛli ye min bɛ ɲɛ kosɛbɛ .
• Hali ni fɛɛrɛ kɛrɛnkɛrɛnnen tɛ yen min bɛ se ka o kunbɛn, a nafa ka bon ka dɔgɔtɔrɔso laadilikan ɲini ni bana taamasiɲɛw bɔra dɔrɔn.
• Hali furakɛli kɔfɛ, dɔgɔtɔrɔ ka kɔlɔsili kuntaalajan ka kan ka kɛ barisa bana bɛ se ka segin.

O la, ni nin taamasiɲɛ ninnu bɛ aw la, a ka fisa aw ka taa dɔgɔtɔrɔso la ka ladilikan ɲini ka sɔrɔ aw ma a ta dɔɔni dɔɔni. Sabula, i n’a fɔ bana suguya bɛɛ, ni a dɔnna joona, furakɛli ni a kɛnɛyali bɛ se ka kɛ.

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