Nutcracker Syndrome ye mun ye? An ka kuma o kan cogo nɔgɔman na.

Yala aw ka teli ka dimi sɔrɔ aw kɔ kiniyanfan fɛ walima aw kɔnɔbara dugumayanfan na wa? Walima aw ye joli dɔɔni kɔlɔsi aw ka sugunɛ na wa ? Ni nin taamasiɲɛ suguw bɛ aw la, a sababu bɛ se ka kɛ bana ye min man teli ka kɛ, aw ma min mɛn. Bi an bɛ kuma nin bana in kan min bɛ wele ko Nutcracker Syndrome. Aw kana siran ka nin mɛn. A ka ca a la o tɛ ko jugu ye, wa dɔgɔtɔrɔ kɛrɛnkɛrɛnnen min bɛ o ko dɔn, o bɛ se k’aw dɛmɛ.

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

Miiri ka kɛ nutcracker ye. A bɛ i n’a fɔ ka nɔnɔ dɔ kari ni nɔnɔmugu ye. O cogo la, joli siraba min bɛ joli ta ka bɔ i kininbolo sugunɛ na, n’o ye sugunɛbaralabana ye, o bɛ sɔgɔsɔgɔ joli siraba fila wɛrɛw cɛ i kɔnɔbara la. O de y’a to a bɛ wele ko Nutcracker Syndrome.

Ni jolisira dɔ datugulen don o cogo la, joli min bɛ tɛmɛ a fɛ, o bɛ sumaya, walima tansiyɔn bɛ bonya ani joli bɛ daminɛ ka taa sira jugu fɛ. o de bɛ taamasiɲɛw bila mɔgɔ la i n' a fɔ dimi ni joli sugunɛ na .

A ka ca a la, o jolisira bɛ siri joli siraba cɛ min bɛ bɔ an dusukun na (aorta) ni joli min bɛ joli lase an banakɔtaa ma (superior mesenteric artery). o bɛ wele ko sɔgɔsɔgɔninjɛ ɲɛfɛla . A man teli kosɛbɛ, o jolisira in fana bɛ se ka siri joli siraba ni kɔkolo cɛ . o bɛ wele ko kɔfɛla nutcracker syndrome .

Nutcracker Syndrome taamasiɲɛw ye jumɛnw ye?

A daminɛ na, n’a sɔrɔ i tɛna fɛnba si kɔlɔsi. Nka ni jolisira datugulen don ka mɛn, taamasiɲɛ suguya caman bɛ se ka bɔ kɛnɛ kan. An ka ninnu lajɛ tabali dɔ kɔnɔ.

Ni joli ma se ka tɛmɛ sugunɛbaralabana fɛ ka ɲɛ, o joli degun bɛ se ka nɔ bila ɲɛgɛnɛsira wɛrɛw la fana. O de kama a taamasiɲɛw bɛ ɲɔgɔn ta ka kɛɲɛ ni cɛya ni musoya ye.

O dimi tɛ kɛ tuma bɛɛ. Tuma dɔw la, a bɛ se ka juguya ni a bɛ yaala-yaala, ni a bɛ yɔrɔ dɔw la, walima ni musow ka kalolabɔ waati.

Danfara min bɛ Nutcracker Phenomenon ni Nutcracker Syndrome cɛ

An ka kan ka fɛn wɛrɛ faamuya yan. O de ye danfara ye nin fla ni ɲɔgɔn cɛ.

• Numukɛko : O cogo la, hali ni sugunɛbaralabana min kofɔra ka tɛmɛ, o datugulen don, taamasiɲɛ foyi tɛ aw la .
• Nutcracker Syndrome: O cogo la, jolisira bɛ datugu, wa aw bɛ taamasiɲɛw fana sɔrɔ .

A ka ca a la dɔgɔtɔrɔw tɛ o ko in furakɛ. Nka ni bana taamasiɲɛw bɔra kɔfɛ, aw ka kan ka taa dɔgɔtɔrɔso la sisan ka kuma o kan.

O ko in sababuw ye mun ye?

“Jalaki” si tɛ i fan fɛ walasa o ka kɛ. A sababu minnu ka teli ka sɔrɔ olu ye:

• Joli siraw bɛ yɔrɔ min na, o yɔrɔ dɔgɔyali bangenen fɛ.
• Kɔnɔbara tulu bɔli (ka a sababu kɛ a ka fin walima a girinya bɛ dɔgɔya yɔrɔnin kelen).
• Kɔrɔya bonya barikama (bonya teliya, kɛrɛnkɛrɛnnenya la funankɛya waati).

N’an y’a fɔ cogo nɔgɔman na, o fɛnw bɛ dɔ bɔ joli-sira-funu yɔrɔ la. A ka ca a la, tulumafɛn dɔ bɛ yen walasa ka jolisira lakana. Ni o bɛ ka fin, walima ni joli siraw jɔyɔrɔ bɛ Changé, jolisira bɛ se ka datugu.

Sababu wɛrɛ minnu man teli ka ye:

• Tumu minnu bɛ sɔrɔ kɔnɔbara kɛrɛfɛ walima kɔnɔbara kɔnɔ.
• Nɔgɔmugu funu.
• Aorte (aorte) min bɛ bonya.
• Kɔnɔmaya (k’a sababu kɛ denso bonya ye min bɛ digidigi lamini jolisiraw kan).
• Kɔkolo gɛlɛyaw (i n’a fɔ kɔkolo duguma kurulen caya).

Sɛgɛsɛgɛli bɛ kɛ cogo di?

Nutcracker Syndrome sɔrɔli bɛ se ka gɛlɛya barisa a taamasiɲɛw (kɔnɔdimi, joli min bɛ sugunɛ na) ni bana wɛrɛw bɛ tali kɛ ɲɔgɔn na kosɛbɛ, i n’a fɔ sugunɛbilenni, sugunɛbilenni, ani kɔnɔbara basigilen. O la, aw ka dɔgɔtɔrɔ bɛna fɔlɔ ka sababu wɛrɛw lajɛ.

Ni o sababuw bɔra kɛnɛ kan, ni siga bɛ a la ko Nutcracker Syndrome bɛ a la, nin sɛgɛsɛgɛli ninnu bɛ se ka kɛ walasa ka sugunɛbaralabana datugu:

• Sugunɛ sɛgɛsɛgɛli : O bɛ se ka hali joli misɛnniw dɔn minnu ka dɔgɔn kojugu fo u tɛ se ka ye ni ɲɛkisɛ ye.
• Doppler ultrasound : Nin ye sɛgɛsɛgɛli ye min tɛ dimi ye, min bɛ kɛ ni mankanw ye walasa ka joli bɛ taa teliya cogo min na sugunɛbaralabana fɛ, o jateminɛ. Hali ni o dɔrɔn tɛ se ka bana sɛgɛsɛgɛli dafa, a bɛ se ka taamasiɲɛ nafamaw di.
• CT angiography (CTA) walima MR angiography (MRA): Nin sɛgɛsɛgɛli suguya ninnu bɛ se ka joli siraw ja jɛlenba dilan yɔrɔ saba la kɔnɔbara la. U bɛ se k’a ye tigitigi ni jolisira dɔ datugulen don, ni joli bɛ ka woyo kɔfɛ, walima ni a bɛ sira wɛrɛ ta.
• Venogramme : O ye ka tubabufura finman dɔ don jolisira la ani ka tansiyɔn suman sani a ka datugu ani a datugulen kɔfɛ. Ni danfaraba bɛ degun na, o ye dalilu barikama ye min b’a jira ko nin bana in bɛ yen. Fɛɛrɛ dɔ fana bɛ se ka kɛ nin waati in na min bɛ wele ko IVUS (intravasculaire ultrasound) walasa ka joli kɔnɔna lajɛ.

Furakɛliw ye jumɛnw ye?

Furakɛli bɛ bɔ aw ka bana taamasiɲɛw bɛ nɔ bila aw ka don o don ɲɛnamaya la cogo min na. Mɔgɔ dɔw bɛ kɛnɛya ni furakɛli nɔgɔmanw ye ani waati tɛmɛnen kɔfɛ. Dɔ wɛrɛw fana mago bɛ se ka kɛ opereli la.

Kɔlɔsili ni bana taamasiɲɛw kɔlɔsili

Ni aw ka bana taamasiɲɛw ma juguya, dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka makɔnɔni kɛ ni aw ɲɛmajɔlen ye. Kɛrɛnkɛrɛnnenya la denmisɛnni fitiniw na, a ka ca a la nin bana in bɛ ɲɛ a yɛrɛ ma ni farikolo bɛ ka bonya. O waati kɔnɔna na:

• Dimimadafura (misali la, parasetamɔli) bɛ se ka kɛ.
• Fura dɔw bɛ se ka di minnu bɛ sugunɛ dɛmɛ (misali la ACE inhibiteurs).
• Ni girinya dɔgɔyali de ye a sababu ye, a bɛ se ka fɔ aw ye ko aw ka girinya dɔɔni.
• A bɛ to ka bana in kɔlɔsi ni sɛgɛsɛgɛli ye walima ni sugunɛ sɛgɛsɛgɛli ye.

Opereli ni fɛɛrɛ wɛrɛw

Ni bana taamasiɲɛw ma ɲɛ walima ni u bɛ ka aw ka don o don ɲɛnamaya bali kosɛbɛ, aw bɛ se ka opereli jateminɛ. Sugandili min ka fisa aw ma, o bɛna bɔ aw si hakɛ la, aw ka kɛnɛya la, ani aw ka bana taamasiɲɛw cogoya la.

• Sugunɛbilenni : O ye ka sugunɛ datugulen bɔ ka a siri kokura yɔrɔ la min yɔrɔ ka ca. Nin ye opereli ye min ka teli ka kɛ ani min bɛ ɲɛ.
• Stenting (Stenting): Tubabufura fitini dɔ (stent) bɛ bila jolisira datugulen kɔnɔ walasa a ka da wuli. Nka, o tɛ fɛɛrɛ ɲuman ye funankɛninw bolo, barisa o stent ninnu tɛ mɛn fo abada.
• Gonadal vein embolization : O bɛ kɛ ka basi fununen furakɛ. A bɛ joli bali ka taa o jolisiraw la. O bɛ se ka kɛ dɛmɛ ye ni basibɔn dimi de ye gɛlɛyaba ye.
• Sugunɛbilenni yɛrɛma : Sugunɛ bɛɛ bɛ bɔ ka taa yɔrɔ wɛrɛ la min bɛnnen don farikolo la. O bɛ kɛ dɔrɔn ni fɛn tɔw bɛɛ ma ɲɛ.

Nutcracker Syndrome, Sugunɛdimi, Joli bɛ bɔ sugunɛ na, Kɛrɛfɛdimi, Jolilabana, Numanbolo dimi