Yala joli sira minnu bɛ i kɔ la, olu datugulen don wa? An ka kunnafoni sɔrɔ TCAR opereli kan (Transcarotid Artery Revascularization) .

Yala dɔgɔtɔrɔ y’a fɔ aw ye ko joli siraba dɔ bɛ aw kɔ la ka datugu ani ko faratiba bɛ aw la ka kirinni sɔrɔ wa? A bɛnnen don mɔgɔ o mɔgɔ bɛ siran dɔɔnin n’a ye o ɲɔgɔnna kuma mɛn. "Yala ne bɛna opereli kɛ wa? Yala o ye koba ye wa?" N’a sɔrɔ ɲininkali caman bɛ na an hakili la. Nka aw kana aw hakili ɲagami, bawo furakɛli dɔnniya ye ɲɛtaa sɔrɔ, sisan furakɛli suguya caman bɛ yen minnu tɛ mɔgɔ tɔɔrɔ kosɛbɛ, minnu ka nɔgɔn ani minnu bɛ se ka kɛ. Bi an bɛna kuma furakɛli kura ni ɲɛtaa ɲuman dɔ kan, n’o ye TCAR ye.

N’an y’a fɔ cogo nɔgɔman na, TCAR ye mun ye?

TCAR tɔgɔ dafalen ye ko Transcarotid Artery Revascularization . Okey, nin tɔgɔ in mankan ka gɛlɛn dɔɔnin, tiɲɛ tɛ? An k’a kɛ cogo nɔgɔman na.

Joli siraba fila bɛ an kɔ fan fila bɛɛ la minnu bɛ joli ta ka taa kunkolo la. an bɛ ninnu wele ko karotidi joli siraw . Olu bɛ i n’a fɔ pibiliki belebele fila minnu bɛ na ni ji ye an ka so kɔnɔ. Waati tɛmɛnen kɔfɛ, fɛnw i n’a fɔ tulu ni kolosinsinnan minnu bɛ bɔ an bɛ dumuni minnu dun, olu bɛ ɲɔgɔn sɔrɔ o joli siraw kɔnɔ, i n’a fɔ nɔgɔ bɛ caya jibolisira kɔnɔ. O bɛ Weele ko ‘plaque’ furakɛli siratigɛ la.

Ni nin ‘plaque’ (plaque) in bɛ bonya dɔɔni dɔɔni, joli-sira-funu kɔnɔna yɔrɔ bɛ dɔgɔya, wa joli-sira-funu bɛ bali. Farati min ka bon kosɛbɛ, o ye ko ni nin ‘plaque’ in yɔrɔ fitinin dɔ karilen don ka taa kunsɛmɛ na ni joli ye, o bɛ se ka joli sira dɔ datugu kunsɛmɛ na ka kirinni bila mɔgɔ la

O la, ka nin joli sira datugulen in da wuli kokura ani ka joli segin a cogo kɔrɔ la, an bɛ min wele ko ‘revascularization’. Fɛɛrɛba damadɔ bɛ yen minnu bɛ se ka kɛ walasa k’o kɛ.

1. Carotid Endarterectomy (CEA): Nin ye opereli dafalen ye min bɛ kɛ laada la. O la, tigɛ fitini dɔ bɛ kɛ kɔ la, joli sira bɛ da, ka ‘plaque’ min bɛ a kɔnɔ, o bɛ bɔ, ka joli sira siri ka segin ɲɔgɔn na.

2. Carotid Angioplasty and Senting (CAS): Tubabufura min ka fin kosɛbɛ, o bɛ tɛmɛ joli sira dɔ fɛ min bɛ kɔkolo walima bolokɔni na, ka bilasirali kɛ ka taa joli sira datugulen na kɔ la. O kɔfɛ, yɔrɔ min datugulen don, o bɛ bonya ni fɛn ye i n’a fɔ balon, ka ‘stent’ , n’o ye mesh tube fitinin ye, o don a kɔnɔ walasa a kana datugu tuguni.

3. TCAR (Transcarotid Artery Revascularization): TCAR ye fɛɛrɛ ye min ka fisa ni bi ta ye, min bɛ fɛɛrɛ fila bɛɛ la ɲuman fara ɲɔgɔn kan. O ye ka tigɛ fitiniba dɔ kɛ kɔkolo sanfɛ dɔrɔn kɔ la ani ka stent don joli sira datugulen kɔnɔ k’a ɲɛsin a ma.

Nin TCAR opereli in bɛnnen don jɔn ma kosɛbɛ?

TCAR fɛɛrɛ daminɛna fɔlɔ san 2015 banabagatɔw kama minnu farati ka bon opereli dafalen laadalama (CEA) la. Nin don:

• Mɔgɔkɔrɔbaw ta fan fɛ.
• dusukun walima fogonfogon bana bɛ mɔgɔ minnu na .
• Minnu ye joginda sɔrɔ ka bɔ kɔ opereli tɛmɛnenw na walima ni fiɲɛ furakɛli ye.
• Ni joli sira datugulen don opereli ka gɛlɛn yɔrɔ min na, i n’a fɔ dawolo jukɔrɔ.

Nka sisan nin fɛɛrɛ in ɲɛnabɔra kosɛbɛ fo kabini san 2022, TCAR furakɛli bɛ fɔ hali banabagatɔw ma minnu ka kɛnɛya ka ɲi, o kɔrɔ ye ko farati kɛrɛnkɛrɛnnen tɛ minnu na. Fɔlɔ, TCAR opereli minnu kɛra Ameriki dɔrɔn na, olu ka ca ni 20 000 ye.

Aw bɛ aw labɛn cogo di sani opereli ka kɛ?

Ni aw ka dɔgɔtɔrɔ y’a latigɛ ka TCAR opereli kɛ aw la, a ka kan ka sɛgɛsɛgɛli caman kɛ ka kɔn o ɲɛ.

• Joli sɛgɛsɛgɛliw: Aw ye aw ka kɛnɛya bɛɛ lajɛlen ni aw ka joli kuruli seko dɔn.
• Carotid artery ultrasound scan : Aw ye a lajɛ joli siraw datugulen hakɛ min na.
• CT Angiogramme : Aw bɛ joli siraw ja jɛlen sɔrɔ, yɔrɔ saba la, minnu bɛ kɔ ni kunsɛmɛ na.

Ani fana, dɔgɔtɔrɔ bɛna aw daminɛ fura caman na walasa ka aw labɛn opereli kama.

• Statin- suguya fura minnu bɛ kolosinsinnanw dɔgɔya.
• Fura minnu bɛ i n’a fɔ asipirini ni kulopidogɛrɛli , olu bɛ joli kuruli bali.

Aw bɛna ladilikan di aw ma ko aw kana dumuni walima minfɛn si min su tilancɛ kɔfɛ su fɛ ka kɔn opereli ɲɛ.

Opereli bɛ kɛ cogo min na: senfɛ-senfɛ

O opereli bɛna lɛri kelen ni tila ɲɔgɔn kɛ. An ka teliya ka a lajɛ min bɛ kɛ opereli yɔrɔ la.

1. Anestezi : Walasa ka dimi si sɔrɔ aw la, aw kɔ lamini yɔrɔ bɛna sɔgɔsɔgɔ (anestezi sigida la) walima aw bɛna anestezi pewu (anestezi générale) .

2. Tigɛ fitini : Tigɛ fitiniba bɛ kɛ kɔ la, kɔkolo sanfɛ dɔrɔn, santimɛtɛrɛ 1-1,5 ɲɔgɔn.

3. Flow Reversal : Nin ye fɛɛrɛ ye min nafa ka bon kosɛbɛ ani min farati ka bon TCAR taabolo la.

• Tubabu finman dɔ bɛ don jolisira dɔ kɔnɔ min bɛ kɔkolo la (senkɔni joli).
• Tubabukan wɛrɛ bɛ don karotidi joli sira datugulen na kɔ tigɛli fɛ.
• Sisan, o tubabukan fila bɛ siri masin dɔ la ni filɛri kɛrɛnkɛrɛnnen ye. O kɔfɛ, joli min bɛ taa kunsɛmɛ na, o bɛ jɔ waati dɔɔni, joli min bɛ bɔ kɔ la joli sira fɛ, o bɛ tɛmɛ o tubabukan fɛ, ka saniya ni filɛtiri ye, ka segin farikolo la tubabukan fɛ min bɛ kɔkolo la.
• Nin waati in na, aw hakili mago bɛ joli min na, o bɛ bɔ aw kɔ fan dɔ fɛ karotidi joli la ani kɔkolo siraw la minnu bɛ aw kunkolo kɔfɛ.A bɛ sɔrɔ k’a sɔrɔ bali foyi ma kɛ a la.

4. Datuguda da wuli : Nɛgɛ finman dɔ bɛ kɛ ka tɛmɛ a datugulen kan ka a yɔrɔ bonya ni balon fitini ye.

5. Stent bilali : O kɔfɛ, nɛgɛdaga fitini dɔ bɛ don a datugulen kɔnɔ, n’a bɛ wele ko stent . O bɛ joli-sira-funu da wuli ani ka joli-sira-funu minɛ ka a siri kogo la.

6. A laban: O kɔ, tubabufura bɛɛ bɛ bɔ, ka joli sira dingɛ fitini ni kɔ tigɛyɔrɔ siri ka taa san fɛ.

Mun bɛ kɛ opereli kɔfɛ?

TCAR opereli kɔfɛ, aw bɛna to dɔgɔtɔrɔso la su kelen ɲɔgɔn . Dɔgɔtɔrɔw ni dɔgɔtɔrɔso baarakɛlaw bɛna aw ka kɛnɛya kɔlɔsi tuma bɛɛ. Ikomi nin ye opereli nɔgɔmanba ye, a kɛnɛyali fana bɛ teliya kosɛbɛ.

Faratiw ni gɛlɛya jumɛnw bɛ o la?

I n’a fɔ furakɛli suguya bɛɛ, TCAR bɛ se ka farati misɛnnin dɔw lase mɔgɔ ma. Nka, ninnu ka se ka kɛ, o ka dɔgɔ kosɛbɛ.

• Joli walima funu bɛ bɔ tigɛyɔrɔ la.
• Banakisɛ sɔrɔli tigɛyɔrɔ la.
• Tiɲɛni misɛnnin dɔ bɛ sɔrɔ nɛrɛmuguma dɔ la min bɛ kɔ la.
• Kuru bɔ.
• Dusukun tantanni.

Aw ka dɔgɔtɔrɔ bɛna o faratiw ɲɛfɔ aw ye ka ɲɛ. Aw ye aw hakili to a la ko fɛɛrɛ kɛrɛnkɛrɛnnenw bɛ tigɛ walasa ka o faratiw dɔgɔya TCAR taabolo la.

Ka kɛnɛya ani ka ɲɛnamaya kɛ ni stent ye

TCAR ye fɛɛrɛ ye min teliyalen don kosɛbɛ barisa tigɛba tɛ yen.

• Aw kana girinya kɔrɔta dɔgɔkun kelen walima dɔgɔkun fila kɔnɔ.
• Aw bɛ aw kɔ tigɛyɔrɔ lajɛ don o don walasa ka a dɔn ni a saniyalen don ani ni banakisɛ taamasiɲɛ si tɛ a la.
• Aw bɛ dɔgɔtɔrɔ ɲininka waati min na aw bɛ se ka segin aw ka baara la ani don o don baara wɛrɛw la.

Sten bilalen kɔfɛ, a bɛ aw yɛrɛ de bolo ka joli sira bali ka datugu tuguni. Walisa k’o kɛ, aw ka kan ka o kow kɛ.

• Ni aw bɛ sigarɛti min, aw bɛ a dabila joona.
• Aw bɛ to ka farikoloɲɛnajɛ kɛ.
• Aw bɛ dumuni nafama ta, tulumafɛnw ka dɔgɔn.
• Aw bɛ joli-sira-fura ni kolosinsinnan fura minnu fɔ aw ye dɔgɔtɔrɔ fɛ, aw bɛ olu ta a waati la tigitigi.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni aw ye bana taamasiɲɛw ye a tigɛyɔrɔ la, aw bɛ dɔgɔtɔrɔ wele joona.

• Farigan
• Ni nɛnɛ bɛ aw la
• Ni bilenni ni funu bɛ tigɛyɔrɔ lamini na
• Ni fɛn dɔ bɔra tigɛ la i n’a fɔ ji

Aw ka dɔgɔtɔrɔ bɛna a latigɛ furakɛli min ka fisa aw ma. Ɲininkali, haminanko walima sigasiga fɛn o fɛn bɛ aw la, aw ka baro kɛ n’a ye. A ka laɲini ye ka furakɛli bɛnnen ni faratiba di aw ma.