Yala aw ɲɛ bɛ ka joli bɔli dɔgɔya wa? An ka nin (Syndrome ischemique oculaire) in dɔn!

Yala i barika banna, walima dimi walima girinya kabakoma dɔ bɛ i ɲɛ kelen walima ɲɛ fila bɛɛ la, min tɛ se ka ɲɛfɔ wa? Walima n’i bɔra kɛnɛma, yala i ɲɛw bɛ kɛ bulama ye wa? Tuma dɔw la, an b’a miiri ko ninnu ye ɲɛdimi dɔrɔn de ye, nka a bɛ se ka kɛ ko fɛn dɔ bɛ o kɔfɛ min ka jugu kosɛbɛ. O de ye ɲɛkisɛw ka sɔgɔsɔgɔninjɛ ye. Hali n’a tɔgɔ bɛ se ka kɛ siranfɛn ye dɔɔnin, an ka kuma a kan cogo nɔgɔman na.

Nin ye mun ye `(Syndrome ischemique oculaire)` ye?

N’an y’a fɔ cogo nɔgɔman na, ɲɛnamini ye ɲɛnamini ye min man teli ka sɔrɔ, a bɛ sɔrɔ ni an ɲɛw ma joli bɛrɛ sɔrɔ. O bɛ sɔrɔ kosɛbɛ tulumafɛnw (minnu bɛ wele fana ko plaques) joli sira belebelebaw la an kɔ la minnu bɛ wele ko Carotid Artery. O joli siraw fana bɛ joli di an ɲɛw ma. O la, ni o joli siraw datugulen don, joli min bɛ taa ɲɛw la, o bɛ dɔgɔya. O bɛ se ka kɛ sababu ye ka ɲɛnayeli gɛlɛyaw ni ɲɛdimi bila mɔgɔ la.

O kɔrɔ ye ko nin tɔgɔ in kɔrɔ, daɲɛ ni daɲɛ, o ye nin ye:

• "Ɲɛ" kɔrɔ ye furakɛli siratigɛ la "min ɲɛsinnen bɛ ɲɛw ma."
• "Ischemic" walima "Ischemia" ye bana ye min na joli bɔli bɛ dɔgɔya ka a sababu kɛ "atherosclerose" (joli siraw finni walima u gɛlɛyali) ye. Nin bana in de bɛ kɛ sababu ye ka "Carotid Artery Disease" (Carotid Artery Disease) bila mɔgɔ la.
• "Syndrome" bɛ tali kɛ bana dɔ la min taamasiɲɛ caman bɛ kɛ ɲɔgɔn fɛ.

O la, ninnu bɛɛ faralen ɲɔgɔn kan, nin ye taamasiɲɛw dalajɛlen ye minnu bɛ sɔrɔ joli bɔli dɔgɔyali fɛ ɲɛw la. Kɛrɛnkɛrɛnnenya la, nin bana in bɛ se ka kɛ `(Carotid Artery Disease)` taamasiɲɛ fɔlɔ ye. Nin bana in min bɛ wele ko `(Carotid Artery Disease)` bɛ dɔ fara jolida ni dusukun tantanni farati kan . O la, a nafa ka bon kosɛbɛ ka an janto o ko la.

Mun na o bɛ kɛ? `(Syndrome ischemique oculaire)` sababuw ye mun ye?

I n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, o sababuba ye `(Carotid Artery Disease)` (Carotid Artery Disease) ye . O fana bɛ Weele ko `(Carotid Artery Stenosis)`. `(Stenosis)` kɔrɔ ye joli sira dɔ dɔgɔyali walima a datuguli ye. Nin joli sira fila minnu bɛ wele ko `(Carotid Arteries)` minnu bɛ i kɔ fan fila bɛɛ la, olu bɛ joli caman ta ka taa i kun na, i kɔ la, i kunkolo la, ani i ɲɛw la. O la ni `(Plaque)`, tulumafɛn dɔ, o y’a daminɛ ka ɲɔgɔn sɔrɔ o joli siraw kɔnɔ (o bɛ wele fana ko `(Atheroma)`), joli bolicogo bɛ bali.

Joli sira minnu bɛ wele ko `(Ophthalmic Arteries)` minnu bɛ joli di an ɲɛw ma, olu bɛ daminɛ nin `(Carotid Arteries)` ninnu de la. O la, `(Carotid Artery Disease)` bɛ mɔgɔ min na, o tigi tɛ joli bɛrɛ sɔrɔ a ɲɛ na. O joli dɛsɛ in de ye `(Syndrome oculaire ischemique)` jusigilan ye.

Ka fara o kunba in kan, kun wɛrɛw bɛ yen minnu man teli ka ye kosɛbɛ:

• `(Carotid Artery Dissection)` (bana min ni carotid artery dissection bɛ tali kɛ ɲɔgɔn na)
• Jolilabanaw (joli siraw fununi). Misali dɔw ye Takayasu ka joli-sira-funu, joli-sira-funu belebeleba (GCA) ani Behcet ka bana ye.
• `(Fibrovasculaire Displasie)`
• `(Skleroderme)`
• `(Moyamoya bana)`

Jɔn de bɛ farati la kosɛbɛ?

Ɲɛkisɛ-sɔgɔsɔgɔninjɛ ye bana ye min man ca kosɛbɛ , a bɛ mɔgɔ 8 ɲɔgɔn minɛ miliyɔn kelen o kelen na.

A ka ca a la nin bana in bɛ mɔgɔ minɛ minnu si bɛ san 50 ni san 80 cɛ .

Farati caman bɛ yen minnu bɛ se ka o nɔ bila:

• `(Dusukunnabana)` (Dusukun ni jolisiraw ka banaw, o kɔrɔ ye ko bana minnu bɛ tali kɛ dusukun ni joli siraw la)
• Koronawirisi bana (CAD) .
• Jabɛti
• Tansiyɔn jiginni (Tansiyɔn jiginni) .
• Ka kɛ fasa ye, ka sigarɛti min, walima ka o fila bɛɛ kɛ.
• `(Moyamoya Bana)` (Nin fana ye bana ye min bɛ tali kɛ joli siraw la minnu bɛ joli lase kunsɛmɛ ma)
• Ni aw ye kirinni sɔrɔ ka tɛmɛ walima ni kirinni kuntaalajan (TIA) (TIA) (i n’a fɔ kirinni fitinin).

Ɲɛkisɛw ka bana taamasiɲɛw ye jumɛnw ye?

Nin bana in taamasiɲɛw tɛ ye tuma bɛɛ. Nka ni bana taamasiɲɛw bɔra kɛnɛ kan, tuma caman na, u bɛ ɲɛ kelen dɔrɔn de minɛ . O bana in bɛ nɔ bila i ka yeli la kosɛbɛ. Aw bɛ nin taamasiɲɛ ninnu ɲini ni dɔw bɛ aw la:

• Dimi gɛlɛn, dimi min bɛ bɔ ɲɛ kɔnɔ ka na ka taa tuma ni tuma.
• Ɲɛdimi bɛ kɛ ni ɲɛkisɛ tansiyɔn cayara.
• Ɲɛkisɛ minnu bɛ bonya (ɲɛ cɛmancɛ la, nɛrɛmuguma).
• A bɛ kɛ i n’a fɔ yɔrɔ nɛrɛmuguma walima jiri minnu bɛ panpan ɲɛ ɲɛfɛ (Eye Floaters).
• Yeli bɔnɛni dɔɔni dɔɔni walima yɔrɔnin kelen (Low Vision) walima yeli bɔnɛni waati dɔɔni kɔnɔ ka sɔrɔ ka segin a kan (Transient Vision Loss).
• Gɛlɛya bɛ yeelen lajɛ, yeli min tɛ ye (Fotophobie).
• Ka a ye ko i bɛ fɛn fila ye (Diplopie).

Dɔgɔtɔrɔw bɛ o jateminɛ cogo di tigitigi?

Ɲɛkisɛ-sɔgɔsɔgɔninjɛ taamasiɲɛw bɛ se ka kɛ i n’a fɔ bana wɛrɛw i n’a fɔ sukarodunbana ɲɛkisɛbana ni ɲɛda jolisira cɛmancɛ (CRVO). O la, a nafa ka bon ka sɛgɛsɛgɛli tigitigi sɔrɔ .

Ɲɛdɔgɔtɔrɔw bɛ nin sɛgɛsɛgɛli ninnu kɛ walasa ka nin bana in dɔn:

• Ɲɛ sɛgɛsɛgɛli: Ɲɛ sɛgɛsɛgɛli suguya caman bɛ kɛ walasa ka ɲɛnayeli gɛlɛyaw sababu dɔn. Misali la, ɲɛ sɛgɛsɛgɛli dilatalen, tomography optique coherence tomography (OCT), scan électrorétinography (sɛgɛsɛgɛli min bɛ ɲɛda ɲɛkisɛ baara jateminɛ), ani seko minnu bɛ kɛ ni ɲɛnayeli ye (sɛgɛsɛgɛli min bɛ farikolo yɔrɔw baara jateminɛ min bɛ tali kɛ yeli la).
• Fluorescein Angiogramme (Fluorescein Angiogramme ) : Nin ye sɛgɛsɛgɛli ye min bɛ kɛ ni kalali kɛrɛnkɛrɛnnen dɔ pikiri ye bolokɔni dɔ la walasa ka a lajɛ ni joli bɛ tɛmɛ joli siraw fɛ ɲɛ kɔnɔ waati hakɛ min na ani ni joli bɛ bɔ joli siraw la.

Ka fara o kan, dusukunnakow dɔnbaga (dɔgɔtɔrɔ min ka baara ɲɛsinnen bɛ dusukun ni joli siraw banaw ma) bɛ se ka yamaruya di sɛgɛsɛgɛliw ma i n’a fɔ ninnu walasa ka dusukunnabana sɛgɛsɛgɛ:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Joli siraw sɛgɛsɛgɛli min bɛ kɛ kɔ la)
• `(CT Angiogramme - CTA)`, `(Carotid Angiogram)` walima `(Magnetic Resonance Angiogram - MRA)` (o fana ye sɛgɛsɛgɛli suguya kɛrɛnkɛrɛnnenw ye minnu bɛ joli siraw cogoya lajɛ kɔ la).

O furakɛcogo jumɛnw bɛ yen?

Fɛn damadɔ bɛ yen minnu bɛ tali kɛ ɲɔgɔn na, minnu bɛ kɛ ɲɛkisɛw furakɛli la. O bɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen suguya caman ka jɛkafɔ de wajibiya.

Ɲɛgɛlɛya furakɛcogo:

• Ɲɛ pikiri suguyaw : VEGF kɛlɛli furaw walima stɛroyi. Olu bɛ dɛmɛ ka funu dɔgɔya ɲɛkisɛ la.
• Ɲɛkisɛ furaw: Aw bɛ ɲɛkisɛ tansiyɔn ni funu dɔgɔya.
• A bɛ se ka kɛ fana ko a ka kan ka ɲɛ furakɛli kɛ ni laser ye walasa ka ɲɛda tansiyɔn jiginni bali.

Furakɛli min bɛ kɛ `(Carotid Artery Disease)` la:

• Joli furaw, ka fara furaw kan minnu bɛ kɛ ka banaw kunbɛn i n’a fɔ sukarodunbana ni tansiyɔn jiginni.
• Carotid Angioplasty and Senting (Stenting) : O ye fɛɛrɛ ye min bɛ joli sira datugulen fiyɛ ni minɛn ye min bɛ i n’a fɔ balon ani ka stent (tubu fitini min bɛ i n’a fɔ nɛgɛso) don a kɔnɔ walasa a kana datugu tuguni.
• Carotid Endarterectomy (Carotid Endarterectomy) : Opereli kɛcogo min bɛ kɛ ka joli-sira-funu-banakisɛw bɔ joli-sira-funu kɔnɔ.

O bɛ se ka gɛlɛya jumɛnw lase mɔgɔ ma?

Ɲɛkisɛ bɛ mɔgɔ minnu na, olu bɛɛ tɛna yeli gɛlɛya jugumanw sɔrɔ o yɔrɔnin bɛɛ. Nka, o bana bɛ mɔgɔ minnu na, olu tilancɛ ɲɔgɔn bɛna yelikɛcogo dɔ sɔrɔ san kelen kɔnɔ . Ani fana, mɔgɔ tan o tan, wolonwula ɲɔgɔn bɛna bana dɔ sɔrɔ min bɛ wele ko Neovascular Glaucome. Glaucome neovasculaire la, joli sira kura minnu tɛ cogo la, olu bɛ sɔrɔ ɲɛ na, ka ji bɔli bali ɲɛ kɔnɔ. O bɛ se ka kɛ sababu ye ka ɲɛda tansiyɔnba bila farati la.

Ɲɛkisɛ bɛ mɔgɔ min na, o tigi ka kɛnɛya cogoya ye mun ye?

Tiɲɛ na, bana min bɛ wele ko `(Carotid Artery Disease)` min bɛ kɛ sababu ye ka `(Ocular Ischemic Syndrome)` bila mɔgɔ la . Ni a sɔrɔla ko `(Syndrome Ocular Ischemique)` bɛ a la, san duuru kɔnɔMɔgɔ tan o tan, naani bɛ se ka sa dusukun tantanni walima kirinni fɛ. O la, ka dɔgɔtɔrɔso ɲini joona ani ka fɛn dɔw Changer i ka ɲɛnamaya kɛcogo la, o bɛ se ka kɛ sababu ye ka i ka kɛnɛya lakana.

Nafama: N t’a ɲini ka i lasiran ni nin ye. Nka a nafa ka bon kosɛbɛ ka nin ko in juguya faamuya ani ka fɛɛrɛw tigɛ minnu ka kan.

Yala ɲɛnamini sɔgɔsɔgɔninjɛ bɛ se ka bali wa?

Ɔwɔ, fɛn dɔw bɛ yen aw bɛ se ka minnu kɛ walasa ka dɔ bɔ aw ka `(Carotid Artery Disease)` sɔrɔli la ani o sababu fɛ `(Ocular Ischemic Syndrome).` Olu ye:

• Aw bɛ dumuni nafama dun, i n’a fɔ Mediterane Dumuni.
• Aw ye fɛɛrɛ kɛnɛmanw ɲini walasa ka degunw kunbɛn.
• Aw bɛ sukarodunbana ni tansiyɔn jiginni kunbɛn ka ɲɛ.
• Aw bɛ girinya kɛnɛman mara min bɛ bɛn aw ma.
• Ni aw bɛ sigarɛti min, aw bɛ dɛmɛ ɲini walasa ka a dabila.
• Aw bɛ to ka baara kɛ i n’a fɔ aw bɛ se ka min kɛ ani ka farikoloɲɛnajɛ kɛ.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni nin taamasiɲɛ ninnu dɔ ye aw ye, aw bɛ taa dɔgɔtɔrɔso la sisan:

• Dimi bɛ kɛ ɲɛw la.
• Yɛlɛma o yɛlɛma bɛ yeli la, o ye gɛlɛya ye.

Ani fana, ni aw ye farikolojidɛsɛ taamasiɲɛw ye (misali la, kuma gɛlɛya, farikolo fan kelen bɛ kirin, ɲɛda fan kelen bɛ jigin), aw bɛ taa dɔgɔtɔrɔso la joona walima aw bɛ 1990 wele.

Ne ka kan ka mun ɲininka ne ka dɔgɔtɔrɔ la?

Ni aw taara dɔgɔtɔrɔso la, aw bɛ se ka ɲininkaliw kɛ i n’a fɔ:

• Mun na nin taamasiɲɛ ninnu bɛ ne la?
• Ne ka kan ka sɛgɛsɛgɛli jumɛnw kɛ?
• Furakɛli jumɛn ka fisa ne ma?
• Ne ka kan ka mun kɛ walasa ka ne dusukun kɛnɛya sabati?
• Ne bɛ se ka mun kɛ walasa ka ne ɲɛ tanga?
• Yala ne ka kan ka hami gɛlɛyaw la wa?

Bana o bana bɛ ɲɛw minɛ, o ye haminanko ye tiɲɛ na. Ni ɲɛda sɔgɔsɔgɔninjɛ bɛ aw la, yeli caman yeli bɛ se ka kɛ taamasiɲɛ fɔlɔ ye min b’a jira ko aw joli siraw datugulen don ani ka joli bɔli dɔgɔya aw kun na. O fana bɛ se ka kɛ bana wɛrɛw taamasiɲɛ ye, i n’a fɔ karotidi jolilabana. Ɲɛnamaya wɛrɛw fana bɛ se ka nin taamasiɲɛ ninnu lase mɔgɔ ma.

O la, a nafa ka bon kosɛbɛ ka taa ɲɛdɔgɔtɔrɔ dɔ fɛ min ka dɔnniya bɛ o ɲɛnabana suguw sɛgɛsɛgɛli n’u furakɛli la minnu man ca . Aw bɛ se ka taa dusukunnakow dɔnbaga dɔ fana fɛ walasa ka ``Carotid Artery Disease'' furakɛ. Nin furakɛli in bɛ baara kɛ ni joli sira datugulen dɔ dabɔli ye ani ka joli bolicogo ɲɛ ka taa ɲɛ. Aw bɛ se fana ka yɛlɛma don aw ka ɲɛnamaya kɛcogo la walasa ka aw dusukun ni aw ɲɛw tanga.

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

• Ɲɛkisɛ ye bana ye min bɛ sɔrɔ joli bɔli dɔgɔyali fɛ ɲɛw la, a sababuba ye joli siraw datuguli ye kɔ la (Carotid Arteries).
• Ni bana taamasiɲɛw bɛ aw la i n’a fɔ yeli dɔgɔyali walima ɲɛdimi, aw ye aw jija ka dɔgɔtɔrɔ dɔ ka ladilikan ɲini.
• O bɛ se ka kɛ ``Carotid Artery Disease'' taamasiɲɛ ye, o bɛ dɔ fara dusukun tantanni ni kirinni farati kan .
• Ni a dɔnna joona, ka furakɛli kɛ ka ɲɛ, ani ka ɲɛnamaya kɛcogo Changer, kɛnɛya bɛ se ka mara.
• A nafa ka bon kosɛbɛ ka sigarɛti min, ka dumuni nafama dun, ka farikoloɲɛnajɛ kɛ, ka sukarodunbana ni tansiyɔn jiginni kunbɛn.

Ni ɲininkali wɛrɛw bɛ aw fɛ o ko la, aw kana siga ka kuma aw ka dɔgɔtɔrɔ fɛ. An b’a fɛ aw ka kɛnɛya joona!

` Ɲɛkisɛ-sɔgɔsɔgɔninjɛ, Joli bɔli dɔgɔyali ɲɛw la, Karɔtidi bana, Yeli dɔgɔyali, Ɲɛdimi, Ɲɛkisɛw ka bana, Atherosclerose