Yala i bɛ nin sɛrɛkili fitinin in dɔn min bɛ mɔgɔ kunkolo la wa? (Circle de Willis) An ka kuma nin kan!

Yala i delila ka ‘Circle of Willis’ ko mɛn wa? N’a sɔrɔ aw ka dɔgɔtɔrɔ y’o fɔ aw ye, walima aw y’a ye dɔgɔtɔrɔso rapɔɔri dɔw la. Tiɲɛ na, o ye an ka hakili yɔrɔ nafamaba ye. A bɛ iko lakana sira fitinin dɔ. O la, an ka kuma dɔɔnin nin `(Circle of Willis)` in ye mun ye ani a bɛ min kɛ, o bɛ ɲɛ wa?

‘Willis ka sɛrɛkili’ ye mun ye?

Okey, donc `(Circle de Willis)` ye mun ye? N’an y’a fɔ cogo nɔgɔman na, o ye joli siraw sigicogo ye min bɛ an kunkolo jukɔrɔ yɛrɛ, a da la. A cogoya bɛ i n’a fɔ bololanɛgɛ, walima a cogoya ye fan duuru ye (`(Pentagon)`) . Joli siraba fila bɛ yen minnu bɛ joli sanuman di an kunkolo ma, oksizɛni bɛ min na. Kelen ye `(Internal Carotid Artery)` sigida ye, tɔ kelen ye `(Vertebral Artery)` sigida ye. O la nin `(Circle of Willis)` in de ye nin joli-sira-funuba fla ninnu bɛ ɲɔgɔn Jɛ yɔrɔ min na. `(Internal Carotid Artery)` bɛ joli lase kosɛbɛ kunsɛmɛ ɲɛfɛ, ani `(Vertebral Artery)` bɛ joli lase kosɛbɛ kunsɛmɛ kɔ fɛ.

O bɛ Weele ko ‘Willis ka bololanɛgɛ’ farikolo-ɲɛnajɛ dɔnnikɛla Thomas Willis tɔgɔ la. Ale de y’an dɛmɛ ka fɛn caman Sɔrɔ o jɔli in kan. A bɛ Weele fana ni tɔgɔ wɛrɛw ye, misali la:

• ` (Sɛrɛkili Arterial Cerebral)` (Sɛrɛkili Arterial Cerebral)
• ` (Willis ka poligoni)` (Willis ka poligoni) .
• ` (Boucle de Willis)` (Boucle de Willis) Bamako, Mali.

O bɛ i n’a fɔ ‘dɛsɛ-safe’ an hakili la, lakana fɛɛrɛ. Miiri k’a filɛ, ni nin joli siraba fila ninnu dɔ tiɲɛna, misali la, joli sira pɛrɛnni fɛ kunsɛmɛ na (Brain Aneurysm) walima kirinni, sira tɔ kelen bɛ se ka joli dɔ di o kunsɛmɛ yɔrɔ tiɲɛnen ma nin fɛ (Circle of Willis). Yala o tɛ kabako ye wa?

Yala bɛɛ ta (Circle of Willis) ta ye kelen ye wa? Walima danfara bɛ u ni ɲɔgɔn cɛ wa?

Nka nin ye ko ye. Bɛɛ tɛ ni ``Circle of Willis'' dafalen ye. Ɲininikɛlaw ka fɔ la, a ma tiɲɛ pewu jamanaden tilancɛ la. O kɔrɔ ye ko fɛn dɔw bɛ Se ka Yɛlɛma dɔɔnin a jɔcogo la. N'o Kɛra, an b'a Weele ko ``Incomplete Circle of Willis'' .

Yɛlɛma fila bɛ yen minnu ka teli ka kɛ, kɛrɛnkɛrɛnnenya la joli sira la min bɛ wele ko Anterior Communicating Artery, o bɛ sɔrɔ Circle of Willis ɲɛfɛ:

• Fenestration : O bɛ se ka kɛ fo ka se 21% ma jamanaden bɛɛ lajɛlen na. Fenestration ye ni joli sira dɔ tilalen don fila ye, ka taama dɔɔnin kɛ, ka sɔrɔ ka segin ka fara ɲɔgɔn kan. A bɛ iko sira min bɛ tila fila ye ka sɔrɔ ka fara ɲɔgɔn kan kokura.
• `(Duplication)` (Duplication):O bɛ mɔgɔ 18% ɲɔgɔn minɛ. ``Duplication`` kɔrɔ ye ko joli sira fila minnu bɛ daminɛ u dan na, olu bɛ fara ɲɔgɔn kan ka kɛ joli sira kelen ye.

Sisan, n’a sɔrɔ i bɛ miiri ko: ‘Ni ne ka Circle of Willis fana ma dafa do?’ Kana jɔrɛ. Hali n’i ka Circle of Willis ma dafa, i bɛ se ka ɲɛnamaya kɛ kɛnɛya la k’a sɔrɔ gɛlɛya foyi ma sɔrɔ. A ka ca a la, a tɛ nɔba bila i hakili baara la. Nka, ni kunsɛmɛnasumaya dɔ bɛ aw la, i n’a fɔ sɔgɔsɔgɔninjɛ, o tuma na, o dafabaliya nɔ bɛ se ka juguya dɔɔni. Nin tɛ fɛn ye an bɛ se ka fɛn min Changer ni laɲini ye. O bɛ dɔn an joli siraw bɛ dilan cogo min na denso kɔnɔ , o kɔrɔ ye k’an to kɔnɔbara la.

Dafabali (Circle of Willis) ka ca cogo di?

O la, nin `(Circle of Willis)` dafabali in ka ca cogo di? Tiɲɛ na, ɲininikɛlaw dalen b’a la ko a ka ca kosɛbɛ. Nka a ka gɛlɛn k’a fɔ tigitigi a ka ca cogo min na. Sabula, bɛɛ tɛ `(Scan)` sɛgɛsɛgɛli kɛ hakili la. O `(Scan)` sugu dɔrɔn de la, nin `(Circle of Willis)` in cogoya bɛ Se ka Ye tigitigi. Ka kɛɲɛ ni kalan suguya caman ye, nin `(Circle of Willis)` in bɛ se ka kɛ dafalen tɛ baliku 50% ni 90% cɛ . O kɔrɔ ye ko a bɛ mɔgɔ fanba la ni fɛn dɔw ye minnu bɛ ɲɔgɔn falen-falen dɔɔnin.

Willis ka sɛrɛkili ka baara ye mun ye tigitigi?

An ka kuma sisan ka jɛya dɔɔnin nin `(Circle of Willis)` jɔyɔrɔ kan tugun. Aw k’a miiri ko `(Traffic Roundabout)` sira caman bɛ ɲɔgɔn sɔrɔ yɔrɔ min na.

Joli sira kelen-kelen minnu bɛ kɛ `(Circle of Willis)` ye, o bɛ i n'a fɔ sira. `(Siraba)` kunba fla bɛ yen, o kɔrɔ ye ko sira fla minnu bɛ joli Ta ka caya. Olu ye `(Internal Carotid Artery)` sigida ye min kofɔra ka tɛmɛ, ani `(Vertebral Artery)` sigida. Sira misɛnnin tɔw minnu bɛ `(Circle of Willis)` kɔnɔ, olu bɛ fara ɲɔgɔn kan, ka kɛ lamini ye min bɛ ɲɔgɔn cɛ o siraba fila in na, ka joli (i n’a fɔ siraba) bila ka woyo.

O nafa ye ko ni ‘siraba-bɔn’ walima ‘kasaara’ barikama kɛra o siraba in kan (i n’a fɔ joli-sira-funu-yɔrɔba dɔ min bɛ joli lase mɔgɔ ma), siraba tɔ kelen bɛ se ka joli dɔ ci kunkolo yɔrɔ min bananen don, o siraba in fɛ. N’an y’a Fɔ nɔgɔya la, ka `(Circle of Willis)` dafalen Sɔrɔ, o kɔrɔ ye ko sira wɛrɛ bɛ yen (`(Detour Route)`) min bɛ Se ka Kɛ ni balili walima gɛlɛya dɔ bɛ yen.

Ni `(Circle of Willis)` dafalen b'i bolo, o bɛ se k'i tanga bana jugu dɔw ma. Kɛrɛnkɛrɛnnenya la bana minnu bɛ joli siraw minɛ nin `(Circle of Willis)` in na. I n'a fo:

• Tumu minnu bɛ joli siraw kɔnɔ (Atherosclerose) .
• Joli bɔli kunsɛmɛ na (misali la, ka a sababu kɛ joginda ye (Intracranial Hemorrhage)) .
• Karotidi jolilabana / Karotidi joli siraw sɔgɔsɔgɔninjɛ
• Joli siraw fununi kunsɛmɛ na (Central Nervous System Vasculitis) .
• Joli sira karilen don kunsɛmɛ na (Ruptured Brain Aneurysm) .
• Kuru bɔ
• Binkanni min bɛ kɛ waati kunkurunnin kɔnɔ (TIA) walima mini-stroke

Nka, ni ``Circle of Willis'' dafalen tɛ i bolo, o sɛrɛkili lakanani baara tɛ baara kɛ ka ɲɛ. O kɔ, bana minnu bɛ tali kɛ kunsɛmɛ joli siraw la i n’a fɔ nin, olu kɔlɔlɔw ka juguya dɔɔni, kɛrɛnkɛrɛnnenya la ni kirinni kɛra.

Nin (Circle de Willis) in bɛ min?

Aw bɛ se fana k’a dɔn tigitigi nin `(Circle of Willis)` in bɛ yɔrɔ min na. A bɛ sɔrɔ `(Base of your Brain)` la, yɔrɔ la min bɛ sugunɛbara kɔkan dɔɔnin (`(Subarachnoid Space)`). A bɛ an ka `(Pituitaire)` jiribolo lamini na, `(Hypothalamus)` jukɔrɔ dɔrɔn. Ani fana, an ka kunkolo-yɔrɔ damadɔ (`(Kunkolo-yɔrɔ)`) bɛ Tɛmɛ ka surun nin `(Circle of Willis)` in na.

Tuma jumɛn na ne ka kan ka dɔgɔtɔrɔ ɲininka nin ko in na (Circle of Willis)?

Sisan, i bɛ se k’i yɛrɛ ɲininka ko: ‘Ne bɛna nin `(Circle of Willis)` in mɛn tuma jumɛn ka bɔ n ka dɔgɔtɔrɔ fɛ?’ Ayiwa, kun damadɔ bɛ se ka kɛ o la:

• Ni kunsɛmɛnasumaya bɛ aw la: Willis ka sɛrɛkili ye yɔrɔ dɔ ye min ka teli ka kɛ kunsɛmɛ na, joli siraw bɛ bɔ yɔrɔ minnu na. Ɲininikɛlaw y’a fɔ ko kunsɛmɛnasumaya 85% ɲɔgɔn bɛ kɛ joli bɔli yɔrɔ la min bɛ Willis ka sɛrɛkili ɲɛfɛ.
• Ni kirinni bɛ aw la: Atɛki bɛ se ka sɔrɔ joli sira dɔ datuguli fɛ walima joli bɔli fɛ Willis sɛrɛkili la.
• Ni Moyamoya bana bɛ aw la: Nin ye kunsɛmɛ bana ye min man ca kosɛbɛ. A bɛ kɛ ni joli sira minnu bɛ i ka Circle of Willis kɔnɔ, olu minnu bɛ joli di i kunkolo ɲɛfɛ, olu bɛ dɔgɔya dɔɔni dɔɔni walima ka datugu.
• Ni ‘Subclavian Steal Syndrome’ (Subclavian Steal Syndrome) bɛ aw la: O bɛ kɛ ni aw ka ‘Subclavian Artery’ (axillary artery) bɛ dɔgɔya walima ka datugu. O kɔfɛ, a bɛ joli dɔw ‘sonya’ minnu ka kan ka taa i hakili la i ka ‘Vertebral Artery’ fɛ (joli siraba dɔ min bɛ ‘Circle of Willis’ kɔnɔ).
• Ni aw ye opereli kɛ aw kunkolo la : Opereli kɛtuma na aw kunsɛmɛ yɔrɔ in na – misali la, walasa ka joli siraw walima gɛlɛya dɔ furakɛ aw ka ɲɛgɛnɛsira la – farati fitini bɛ aw ka Circle of Willis ni a lamini yɔrɔ nafamaw tiɲɛni na. Ni Circle of Willis yɛrɛ tiɲɛna, o bɛ se ka kɛ sababu ye ka joli sira datugu ka taa kunsɛmɛ na (Brain Ischemia) walima ka joli sira tiɲɛ pewu (Infarction).
• Ni aw ye kunsɛmɛ sɛgɛsɛgɛli kɛ:Ni aw ye kunsɛmɛ sɛgɛsɛgɛli kɛ, i n’a fɔ kunsɛmɛnasumaya walima kunsɛmɛ MRI (Magnetic Resonance Imaging), aw ka kunnafoni bɛ se ka kunnafoni dɔw di Willis ka sɛrɛkili ni a jɔcogo kan.

Mun bɛ kɛ ni (Circle de Willis) balila?

Miiri k’a filɛ min bɛna kɛ ni balili tun bɛ yɔrɔ o yɔrɔ nin `(Circle of Willis)` in kɔnɔ. A ka c'a la, n'o Kɛra, `(Stroke)` bɛ Se ka Kɛ. Nka, i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, ni `(Circle of Willis)` dafalen bɛ i la, o bɛ se k’i tanga fo ka se hakɛ dɔ ma ka bɔ kirinni taamasiɲɛ jugumanw na.

‘Circle de Syndrome de Willis’ ye mun ye?

Dɔgɔtɔrɔ dɔw ni furakɛlitɔn dɔw fana bɛ `(Moyamoya bana)` min kofɔ ka tɛmɛ, o wele ko `(Circle of Willis Syndrome)`. Tɔgɔ wɛrɛ min bɛ `(Moyamoya bana)` la o ye `(Occlusion spontanée du cercle de Willis)` ye.

An bɛ se ka mun kɛ walasa nin (Circle of Willis) ka to kɛnɛya la?

O la, an bɛ se ka mun kɛ walasa nin ``Circle of Willis'' nafama in ni joli sira wɛrɛw ka to kɛnɛya la hakili la? Min nafa ka bon kosɛbɛ, o ye ka kunsɛmɛnasumaya sɔrɔli faratiw kunbɛn ni o bɛ aw la. O faratiw ye:

• Tansiyɔn jiginni
• Kɔlɔsili ka caya
• Jabɛtibana `(Jabɛtibana)`
• Dusukunnabana
• Degun basigilen
• Bonyakojugu
• Sigarɛtimin / Nikotini tali bana
• Dɔlɔminbaliya

A nafa ka bon kosɛbɛ ka kuma dɔgɔtɔrɔ fɛ nin bana ninnu kunbɛncogo kan.

An k'an hakili to a la (Take-Home Message) .

Okey, o tuma na fɛ, an ye kuma min fɔ bi, fɛn minnu bɛ ta, olu kunbabaw ye jumɛnw ye?

``Circle of Willis`` ye joli sira kabakoma ye min bɛ an ka hakili da la min bɛ joli lase hakili ma. A bɛ iko lakana-minɛn.

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Nin dafalen tɛ bɛɛ bolo, wa o ye ko ye min tɛ kojugu ye. Foyi tɛ hami kojugu ni a ma dafa, nka kunsɛmɛnasumaya dɔw la, a farati bɛ se ka bonya dɔɔni.

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Min nafa ka bon kosɛbɛ, o ye ka ɲɛnamaya kɛ cogo la min b’a to an kunkolo jolisiraw ka kɛnɛya ani ka banaw bali i n’a fɔ sɔgɔsɔgɔninjɛ. O kɔrɔ ye ka delina ɲumanw dege ani ka faratiw kunbɛn minnu kofɔra ka tɛmɛ.

N’a sɔrɔ mɔgɔ caman tɛ hali u ka `(Circle of Willis)` ko mɛn abada. Nka, ni kunsɛmɛ bana dɔ bɛ aw la, i n’a fɔ `(Aneurysme),` dɔgɔtɔrɔ dɔ bɛ se k’o fɔ.Ni aw ka dɔgɔtɔrɔ ye furakɛli kumasen dɔ fɔ don dɔ aw tɛ min faamu, aw kana siran abada ka ɲɛfɔli ɲini. I ka kan ka fɛn min kɛ i farikolo kɔnɔ, i ka kan k’o dɔn.

` Ring of Willis, kunsɛmɛnasumaya, sɔgɔsɔgɔninjɛ, kunsɛmɛ joli siraw bololanɛgɛ, joli siraw bɛ sɔrɔ kunsɛmɛ na, kunsɛmɛ kɛnɛya, joli siraw