Ènya nu siawo tso ʋuka vevi siwo le wò kɔ me (Carotid Arteries) ŋua?

Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ, si ŋu míebuna fũ o la ŋu. Emae nye ʋuka vevi eve siwo le míaƒe kɔ ƒe akpa eveawo, abe mɔ eve siwo le du dzi yina dzi ene. Le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me la, woyɔa esiawo be carotid arteries . Kpuie ko la, esiawoe nye pɔmpi vevi siwo tsɔa ʋu dzadzɛ si me ɔksidzin le yia míaƒe ahɔhɔ̃, mo, kple kɔ ƒe akpa bubu siwo le bɔbɔe . Ele abe pɔmpi siwo tsɔa tsi tso tsimɔ̃ me yia abɔ me ene. Nu sue aɖe si xe alo xe mɔ ɖe nusiawo me gɔ̃ hã ate ŋu ahe kuxi gãwo vɛ ɣeaɖewoɣi wu alesi nàte ŋu asusui. Eyata ne ènya nu geɖe tso esiawo ŋu tsitotsito vie la, aɖe vi na wò kple wò ƒomea ŋutɔ.

Afika tututue carotid ʋuka siawo le? Nukae wowɔna?

Bu eŋu kpɔ, carotid ʋuka siawo dzea egɔme tso wò akɔta tame, le afisi wò kɔ dze egɔme tsoe te tututu. Tso afima la, wozɔa mɔ yia wò kɔ dzi yia wò tagbɔ me. Le wò kɔ ƒe akpa eveawo, le miame kple ɖusime la, carotid ʋuka sia si bɔ la le afima.

Ne míeyi dzi vie, le kɔ titina lɔƒo la, carotid ʋuka siawo siwo bɔ dometɔ ɖesiaɖe ma ɖe alɔ eve bubuwo me. Abe alesi mɔ aɖe ma ɖe eve ene. Míeyɔa mama sia be carotid bifurcation . Alɔ eve siwo ma tso afimae nye:

1. Carotid Artery Ememe: Esiae nye alɔdze vevitɔ si naa ʋu míaƒe ahɔhɔ̃ tẽ . Ewɔa dɔ vevi aɖe ŋutɔ.

2. External Carotid Artery: Alɔdze sia naa ʋu míaƒe mo ƒe akpa aɖewo, kɔ ƒe gota gome, kple taɖu ƒe akpa aɖewo .

Carotid ʋuka siawo siwo le eme kple egodo la alɔdze zua alɔ sue geɖe siwo naa nunyiame siwo katã hiã, si nye ʋu si me oxygen sɔ gbɔ ɖo, naa ŋutinu kple lãkusi siwo katã le ta kple kɔ me. Ele abe tɔsisi gã aɖe si dzea egɔme abe alɔdze sue siwo kplɔ wo nɔewo ɖo ene, si naa nunyiame nuto bliboa.

Carotid artery nye míaƒe ʋu ƒe sisi ƒe akpa vevi aɖe ŋutɔ . Míaƒe ahɔhɔ̃ hiã na ɔksidzin ɣesiaɣi hafi wòate ŋu awɔ dɔ nyuie. Nenema kee wòle le ŋutinu tsɛ siwo le míaƒe mo kple kɔ me hã gome. Anyo wu ne ʋu sia le sisim nyuie eye womexe mɔ nɛ o. Gake ne nane xe alo ʋu ƒo ɖe ʋuka sia me la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ.

Mina míaƒo nu tso External Carotid Artery ŋu vie.

Gota carotid ʋuka dzea egɔme tso carotid bifurcation si míeyɔ va yi, afisi carotid ʋuka si bɔ la ma ɖe akpa eve. Esi wòle mɔ zɔm yi kɔ dzi, le to gbɔ la, ema ɖe alɔ gã eve bubuwo me. Esiawoe nye ʋuka si le ŋgɔgbe kple ʋuka si le etame .

Carotid ʋuka sia si le gota la ɖea alɔ sue siwo ade enyi dona. Alɔ siawo naa ʋu yia míaƒe kɔ kple mo ƒe akpa geɖe. Le kpɔɖeŋu me:

• Alɔdze aɖe si naa ʋu míaƒe lãkusi (`Superior thyroid artery`) .
• Alɔ si naa ʋu yia ŋɔti ƒe eme (`Ascending pharyngeal artery`) .
• Alɔdze si naa ʋu míaƒe aɖe (`Lingual artery`) .
• Alɔdze si naa ʋu mo ƒe lãmekawo kple ŋutigbalẽ (`Mo ƒe ʋuka`) .
• Alɔ si naa ʋu ta ƒe megbe (`Occipital artery`) .
• Alɔ si naa ʋu yia teƒe si le to megbe (`Posterior auricular artery`) .

Alɔ siwo dona tso gotagome carotid ʋuka sia me naa ʋu naa teƒe geɖe abe esia ene.

Mina míasrɔ̃ nu tso Internal Carotid Artery hã ŋu.

Esia nye ame vevitɔwo dometɔ ɖeka le míaƒe ŋutinyaa me. Carotid ʋuka si le eme hã dzea egɔme tso carotid bifurcation gbɔ eye wòzɔa mɔ tẽ yia kɔa dzi. Emegbe egena ɖe taɖua me to do aɖe si le taɖua gɔme me. Woyɔa do sia be carotid canal . Esiae nye liƒo si ma ʋukaa ƒe akpa si le tagbɔ godo kple akpa si le tagbɔ.

Ne wonya ge ɖe taɖua me ko la, carotid ʋuka si le eme la zɔa mɔ si to vovo vie, si le tsatsam la dzi. Ðɔktawo yɔa akpa sia si le taɖua me, si nye `intracranial` ƒe akpa, kple ŋkɔ bubuwo. Le kpɔɖeŋu me, akpa adre li, abe `C2: Petrous ƒe akpa`, `C3: Lacerum ƒe akpa`, `C4: Do ƒe akpa`. Ðɔkta aɖewo hã zãa hatsotsowo me toto ƒe ɖoɖo bubuwo.

Gake, mehiã be nàlé ŋkɔ siawo katã ɖe susu me o. Mahiã be ame akpa gãtɔ nanya ŋkɔ siawo le woƒe agbenɔɣi o. Gake ne ʋuka me ʋu ƒe sisi dze ame dzi la, ɖɔktawo zãa ŋkɔ siawo tsɔ gblɔa afisi tututu wòle na wò. Nyatakaka sia ate ŋu anɔ vevie le ɣeyiɣi siawo tɔgbe me.

Carotid ʋuka si le eme la ɖea alɔ vevi bubu geɖe dona le taɖua me. Esiawoe naa ʋu míaƒe ahɔhɔ̃ kple ŋkuwo . Wo dometɔ vevitɔwoe nye:

• Ŋku ƒe ʋuka naa ʋu naa ŋkua.
• Alɔdzewo abe Anterior Cerebral Artery kple Middle Cerebral Artery naa ʋu yia ahɔhɔ̃a ƒe akpa vovovowo.

Dɔléle ka ƒomevie carotid ʋuka siawo ate ŋu ahe vɛ?

Abe alesi ko tsi ƒe pɔmpi ate ŋu axe kple gbeɖuɖɔ le ɣeyiɣi aɖe megbe ene la, míaƒe carotid ʋukawo hã ate ŋu ahe kuxi vovovowo vɛ. Mina míalé ŋku ɖe nusiwo wonye ŋu:

1. Carotid Artery Disease: Wogayɔa esia be Carotid Artery Stenosis . Stenosis gɔmee nye "ʋuʋudedi". Ami kple ʋumemi ƒe ƒuƒoƒo (ʋukawo ƒe ʋuʋu) si le ʋukawo ƒe gliwo ŋu koŋ gbɔe esia tsona . Woyɔa nudzraɖoƒe sia be kpe gbadzɛ.Ele abe tsi ƒe pɔmpi ƒe xexe ene. Zi geɖe la, kpeƒekpeƒe siawo dzɔna le carotid ʋuka si bɔ gbɔ, afisi wòmãna ɖe eve me (`Carotid Bifurcation`). Ne ʋuka sia xe la, ʋu si yia ahɔhɔ̃a me dzi ɖena kpɔtɔna. Azɔ hã, ʋukawo ate ŋu ado ɖe kpe sia tame, eye ʋukaa ate ŋu agbã eye wòaxe ʋuka sue aɖe si le ahɔhɔ̃a me. Ne esia dzɔ la, afɔku si le `Transient Ischemic Attack` (TIA) , si nye nɔnɔme si sɔ kple mini-stroke, alo ʋusɔgbɔdɔ sesẽ me la lolo wu sã. Ɣeaɖewoɣi la, kpea ate ŋu agbã eye eƒe akpa aɖe ate ŋu agbã eye wòaxe ʋuka aɖe si le ahɔhɔ̃a me.

2. Carotid Artery Aneurysm: Esiae nye esime carotid artery ƒe gli gbɔdzɔ eye wòdona abe balloon ene. Bulge sia (`Aneurysm`) ateŋu alolo ɖe edzi le ɣeyiɣi aɖe megbe. Ʋu ƒe sisi ate ŋu adzɔ le ʋuka sia me, si axe mɔ na ʋu ƒe sisi yi ahɔhɔ̃a me. Azɔ hã, ne elolo akpa la, ate ŋu agbã (`Rupture`). Ne edzɔ alea la, ke nudzɔdzɔ kpata aɖee.

3. Carotid Artery Dissection: Esia nye aɖatsi si le ʋukaa ƒe gli ƒe akpa si le eme la me. Aɖatsi sia ate ŋu ana ʋu nayi blewu alo axe mɔ nɛ keŋkeŋ. Esia ate ŋu ahe nɔnɔme sesẽwo abe ʋusɔgbɔdɔ ene hã vɛ.

4. Fibromuscular Dysplasia (FMD): Esia nye dɔléle si mebɔ o. Alesi ʋukawo ƒe gliwo dzɔnae ƒe gbegblẽ gbɔe wòtsona. Esia ate ŋu ana ʋuka siwo me ʋu sina tona natsi, ʋuka siwo me ʋu sina tona, alo ʋukawo natso.

Aleke míawɔ anya ne kuxi aɖe le ʋuka siawo ŋu? (Dzesiwo kple dodokpɔwo) .

Zi geɖe la, ʋuka siwo me ʋu sina tona ƒe dɔléle siawo meɖea dzesi aɖeke fiana le woƒe gɔmedzedze o . Ne atikewɔwɔ ƒe nɔnɔme kpata aɖe dzɔ, abe `TIA` alo `Stroke` ene ko hafi wokpɔa kuxia. Esia tae wòle vevie be míanya esia ɖo.

Kpɔ nyuie ŋutɔ le dzesi siawo ŋu!

Ne wò ŋutɔ alo ame aɖe si nènya kpɔ dzesi siwo le ete dometɔ aɖe zi ɖeka la, ƒo ka na 1990 (ambulance) enumake, alo yi kɔdzi si te ɖe ŋuwò ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le . Esiawo ate ŋu anye ʋusɔgbɔdɔ ƒe dzesiwo, eye atikewɔwɔ kaba ate ŋu aɖe amewo ƒe agbe eye wòaɖe nuwɔametɔnyenye si nɔa anyi didi dzi akpɔtɔ.

• Mo ƒe akpa ɖeka ƒe gege ɖe anyigba alo agbemanɔsitɔ.
• Sese le ɖokuiwò me be yeƒe nyawo le tsatsam ne èle nu ƒom, alo be màte ŋu aƒo nyawo nu ƒu nyuie o.
• Ŋku ɖeka alo evea siaa ƒe nukpɔkpɔ ƒe bu alo woƒe dzedzeme blukɔ kpata. Ate ŋu ase le eɖokui me abe xɔmetsovɔ yibɔ aɖe le gegem ɖe ŋkuwo ŋgɔ ene.
• Gbɔdzɔgbɔdzɔ, gbɔdzɔgbɔdzɔ, alo agbemanɔamesi ƒe seselelãme le ŋutilã ƒe akpa ɖeka (abɔ, afɔ, alo evea siaa).
• Seselelãme ƒe bu le ŋutilã ƒe akpa ɖeka.

Ɣeaɖewoɣi la, màte ŋu abia kpekpeɖeŋu ne dzesi siawo do mo ɖa o. Eyata na wò ƒometɔwo kple xɔlɔ̃wo nanya dzesi siawo. Ekema woate ŋu ade dzesii eye woawɔ nu kaba ne èhiã kpekpeɖeŋu.

Aleke ɖɔktawo doa carotid ʋukawo kpɔna?

Ne èyi ɖɔkta gbɔ la, woate ŋu atsɔ nuƒomɔ̃ ade kɔ na wò eye woaɖo to ʋu si le sisim to ʋukawo me ƒe ɖiɖi. Ɣeaɖewoɣi la, ne ʋukaa xe la, àte ŋu ase "whoosh" gbeɖiɖi (a `carotid bruit`). Esia fia be ʋua xe mɔ na ʋua, ɖewohĩ le ʋuka siwo me ʋu sina tona me ta.

Ne èse gbeɖiɖi ma tɔgbe, alo ne susu bubuwo le wò ɖɔkta si si tae nèke ɖi la, woate ŋu abia tso asiwò be nàwɔ dodokpɔ bubuwo, abe:

• Carotid Ultrasound: Dodokpɔ sia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa ʋukaa ƒe akpa si le eme ƒe nɔnɔmetata. Ate ŋu afia ne mɔxenu aɖewo li kple alesi gbegbe wosẽe.
• CT Scan (`Computed Tomography - CT Scan`): Esia ateŋu awɔ ʋukawo ƒe nɔnɔmetata tsitotsito hã.
• Carotid Angiogram: Dodokpɔ sia bia be woado amadede tɔxɛ aɖe ɖe ʋukaa me eye woawɔ X-ray atsɔ akpɔ alesi ʋua le sisim.
• MRA (Magnetic Resonance Angiogram - MRA): Dodokpɔ sia zãa magnet-ŋusẽ kple radio ƒutsotsoewo tsɔ wɔa ʋukawo ƒe nɔnɔmetatawo.

Nukawoe nye atike siwo wozãna na ʋuka siawo siwo xea mɔ na ʋukawo?

Ne wò carotid ʋuka xe la, atikewo, amekoko, kple atikewɔwɔ bubuwo li. Wò ɖɔkta anɔ te ɖe wò nɔnɔmea dzi anya atike nyuitɔ kekeake na wò.

Atike ƒomeviwo:

• Atike siwo tsia ʋumenugbagbeviɣidɔ nu: Esiawo ƒe kpɔɖeŋuwoe nye atikewo abe aspirin ene.
• Ʋu ƒe sisi ƒe atikewo.
• Atike siwo ɖea ʋumemi dzi kpɔtɔna: Abe statin-tikewo ene.

Amekoko kple mɔnu bubuwo:

• Carotid Endarterectomy: Esia nye amekoko si ʋua ʋukaa, ɖea ʋuka siwo le eme la ɖa, eye wogbugbɔa ʋukaa ƒoa ƒu ɖekae. Esia nana ʋu gazɔna.
• Carotid Angioplasty and Stenting: Esia bia be woatsɔ mɔ̃ sue aɖe ade ʋuka si xe la me, woatsɔ mɔ̃ si le abe ʋuƒo ene akeke ʋukaa, eye woatsɔ mɔ̃ sue aɖe si le abe lãgbalẽ ene (stent) ade eme be wòagatu ake o. Esia nye dɔdamɔnu si mewɔa nuvevi ame boo o wu amekoko.

Aleke míewɔna be míaƒe carotid ʋukawo nanɔ lãmesẽ me?

Be ʋuka vevi siawo nanɔ lãmesẽ me la, ele vevie be nàɖu wò ʋumemi ƒe agbɔsɔsɔ dzi gbã . Ne ehiã la, ɖɔkta aɖe aŋlɔ atike na wò.

Tsɔ kpe ɖe eŋu la, tɔtrɔ bɔbɔe siawo wɔwɔ le wò agbenɔnɔ ŋu ate ŋu akpe ɖe ŋuwò be wò ʋu ƒe sisi ƒe ɖoɖo bliboa, si me wò dzi hã le, nanɔ lãmesẽ me:

• Ne ènoa atama la, dzudzɔ enumake. Dzudzɔ atamanono kple atama bubu ɖesiaɖe zazã. Bia ɖɔkta be wòakpe ɖe ye ŋu.
• Ðu nuɖuɖu si naa dzidɔ. Le kpɔɖeŋu me , Mediterranea Nuɖuɖua nyo ŋutɔ. Ƒo amagbewo, atikutsetsewo, mɔli, nuɖuɖu siwo me fibre sɔ gbɔ ɖo, kple tɔmelã geɖe wu. Ðe ami, sukli, kple dze dzi kpɔtɔ.
• De kame aɖabaƒoƒo 30 ya teti gbesiagbe. Gake anyo be nàbia ɖɔkta hafi adze kamedede yeye aɖe gɔme.
• Lé kpekpeme si sɔ na wò kɔkɔme nanɔ asiwò.

Nukae wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, woate ŋu abia nyawo wò tso carotid ʋukawo ŋu abe:

• Nukawoe nye nusiwo ate ŋu ana maxɔ carotid artery disease?
• Tɔtrɔ kawoe mate ŋu awɔ le agbenɔnɔ me be nye carotid ʋukawo nanɔ lãmesẽ me?
• Ðe wòhiã be mawɔ nɔnɔmetatawo dodokpɔ (abe scan ene) be woatsɔ akpɔ nye carotid ʋukawo ƒe nɔnɔmea?
• Ne nye ʋuka si me ʋu sina tona la xe la, atikewɔwɔ kawo ŋue wòle be mabu?

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Eyata, fifia èse alesi gbegbe carotid ʋuka siawo le vevie na míaƒe ŋutilã gɔme. Ele vevie ŋutɔ be ʋuka siawo nanɔ lãmesẽ me, siwo tsɔa ʋu si me oxygen sɔ gbɔ ɖo yia ahɔhɔ̃a kple ta ƒe akpa bubuwo.

Ðo ŋku edzi be ʋuka me kuxi siawo dometɔ geɖe medzena le gɔmedzedzea me o. Eyata ne afɔkuwo le ŋuwò (abe ʋumemi ƒe agbɔsɔsɔ, ʋusɔgbɔdɔ, suklidɔ, atamanono, alo nɔnɔme siawo le ƒomea me) la, ele vevie be nàdo wò kpɔ edziedzi.

Agbenɔnɔ si me lãmesẽ le me léle ɖe asi ate ŋu akpe ɖe ŋuwò be wò ʋukawo nanɔ lãmesẽ me, ke menye wò ʋukawo ɖeɖeko o. Ne èdi be yeanya nu geɖe tso esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ƒomea ƒe ɖɔkta me o. Ate ŋu ana nyatakaka bubuwo wò.

` Carotid ʋuka, ʋuka siwo le kɔ me, ʋu ƒe sisi yi ahɔhɔ̃a, ʋusɔgbɔdɔ, ʋukawo ƒe ʋuʋu, TIA, ʋuka me ʋu ƒe sisi, carotid dɔléle, agbenɔnɔ le lãmesẽ me