Mina míasrɔ̃ nu tso wò dzi ƒe ‘ʋuka’ vevitɔ (Ascending Aorta) kple eƒe vevienyenye ŋu.

Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa aɖe si le vevie ŋutɔ eye togbɔ be adze abe ɖe wòsesẽ vie ene hã la, ele bɔbɔe ŋutɔ be míase egɔme. Emae nye (Aorta si Le Dziƒo) . Kpuie ko la, esiae nye ʋuka vevitɔ, si nye (Aorta) , si dzea egɔme tso míaƒe dzi me eye wòmaa ʋu yia ŋutilã bliboa me la ƒe akpa gbãtɔ. Ele abe kakɛ si woda ɖe pɔmpi gã si tsɔa tsi tso tsigoe me vaa aƒea me ene. Eyata, mina míakpɔ nusi nye esia (Ascending Aorta), nusi dzɔna ɖe edzi, dɔléle ka ƒomevie wòate ŋu ahe vɛ, kple alesi woawɔ ana wòanɔ lãmesẽ me.

Nukae nye (Ascending Aorta)? Nukae wòhena vɛ?

Tsɔe be míaƒe ŋutilã le abe du gã aɖe ene. Aƒe ɖesiaɖe, fiase ɖesiaɖe, teƒe ɖesiaɖe le du sia me hiã tsi. Nenema kee lãmenugbagbevi ɖesiaɖe si le míaƒe ŋutilã me hiã ʋu dzadzɛ si me ɔksidzin yɔ fũ. Amekae tsɔa ʋu sia toa ŋutilã bliboa me? Míaƒe dzi. Ʋu si dzia tona la, ʋuka vevitɔ, gãtɔ kekeake (Aorta) , alo ʋuka gã lae tsɔa ʋua yia ŋutilã bliboa me.

Fifia akpa vovovowo le esia (Aorta) ŋu.

1. (Ascending Aorta): Esiae nye akpa si yia dzi ne ele dodom le ʋudoƒe gã si woyɔna be Left Ventricle si le dzia ƒe miame. Esiae nye míaƒe amesi ƒe nya wogblɔna egbea.

2. (Aortic Arch): Emegbe mɔ̃ sia bɔbɔna yia dzi abe atikplɔ ƒe asiléƒe ene. Woyɔe be (Aortic Arch).

3. (Aorta si ɖiɖi): Emegbe mɔ̃ sia ɖiɖina, toa akɔta, toa ƒodo me. Woyɔa akpa ma be (Descending Aorta).

Eyata, dɔ vevitɔ si (Ascending Aorta) wɔnae nye be wòaxɔ ʋu si me oxygen sɔ gbɔ ɖo si dzia tona eye wòdzea emama gɔme na (Aortic Arch) eye tso afima yia ŋutilã bliboa me. Vevietɔ ʋuka vevi eve siwo woyɔna be Coronary Arteries siwo naa ʋu dzia la dzea egɔme tso esia dzi (Ascending Aorta). Bu eŋu kpɔ, tsipɔmpi hã hiã tsi aɖe hafi wòate ŋu awɔ dɔ, aleae wòwɔa dɔe.

Afikae esia (Ascending Aorta) le? Aleke wòdzenae?

Esia (Ascending Aorta) le míaƒe akɔta, vevietɔ ƒu gã si le akɔta titina, le (Sternum) megbe, le dzia ƒe miame. Edo ƒome kple dzia ƒe (Miame Ventricle) tẽ eye wòkekena yia dzi.

Le dzedzeme gome la, ʋuka bliboa le abe atikplɔ sue ɖeka ene. Aorta si le dzi yim nye atikplɔa ƒe akpa kpuitɔ kekeake si dzea egɔme tso dzia gbɔ eye wòyia dzi. Aortic arch nye akpa si bɔbɔna abe atikplɔa ƒe asiléƒe ene.

Zi geɖe la, Ascending Aorta didi tso sentimeta 5 va ɖo 8 (anɔ abe sentimeta 2 va ɖo 3 ene) eye wòkeke abe sentimeta 3 va ɖo 4 ene. Eƒe kekeme dzi ɖena kpɔtɔna vivivi ne ele ɖiɖim le akɔta.

Nukawoe nye Ascending Aorta ƒe akpawo? Aleke wowɔe?

Aʋala bliboa ma ɖe akpa vevi eve me: akɔta ƒe ʋuka kple ƒodo ƒe ʋuka.(Ascending Aorta), (Aortic Arch), kple (Aorta si ɖiɖina) ƒoa ƒu wɔa (Thoracic Aorta).

Ascending Aorta dzea egɔme tso Aortic Heart Valve gbɔ, si le Miame Ventricle megbe. Aortic Valve sia le abe ʋɔtru ene. Eʋuna hetua be ʋu nate ŋu atso Miameʋuka me ayi Aorta la me. Ascending Aorta wu enu do ŋgɔ teti na Brachiocephalic Artery, si nye alɔdze gã gbãtɔ si do tso Aortic Arch la gbɔ.

Akpa vevi eve le Ascending Aorta la ŋu:

1. (Aortic Root): Esiae nye (Ascending Aorta) ƒe ke, si nye akpa si te ɖe (Aortic Valve) ŋu wu. Do suesuesue siwo le abe bulb ene siwo woyɔna be (Aortic Sinuses) . Afi siae ɖusime kple miame (Coronary Arteries) (ʋuka siwo naa ʋu dzia) dzea egɔme tsoe. Afi sia hãe (Sinotubular Junction - STJ) le. STJ nye afisi (Ascending Aorta) va zua mɔ̃ si sɔ le.

2. Tubular (Ascending Aorta): Esia dzea egɔme le STJ megbe eye wòyia edzi va ɖoa Aortic Arch. Ʋuka bubu aɖeke meɖea alɔ tso akpa sia o.

Abe ʋukaa ƒe akpa bubuawo ene la, lãkusi si le dzi yim la nyea lãkusi etɔ̃. Bu eŋu abe pɔmpi ene, si me ƒuƒoƒo etɔ̃ le:

• (Tunica Intima): Esiae nye ƒuƒoƒo si le ememe wu. Ʋu sina toa esia me.
• (Nyadzɔdzɔgblɔmɔnuwo): Esiae nye titina ƒe ƒuƒoƒo. Ka geɖe siwo te ŋu trɔna bɔbɔe le eŋu. Esiawo nana (Aorta) la te ŋu ƒoa ke eye wòkekena le ʋu ƒe sisi nu. Gake le ɣeyiɣi aɖe megbe la, ka siawo ate ŋu agbɔdzɔ eye gli la ate ŋu anɔ tsɛ.
• (Adventitia): Esiae nye ƒuƒoƒo si le gota wu. Ʋuka suesuesue siwo naa nunyiame (Aorta) ƒe gli la le eme.

Kpuie ko la, Ascending Aorta nye ‘pɔmpi’ sesẽ aɖe si le vevie ŋutɔ, si xɔa ʋu tso dzia me gbã eye wòdzea eɖoɖo ɖe ŋutilã bliboa me gɔme.

Dɔléle kawoe gblẽa nu le Ascending Aorta ŋu?

Nublanuitɔe la, akpa sia si le vevie ŋutɔ la ate ŋu axɔ dɔléle vovovowo hã. Na míakpɔ nusiwo nye vevitɔwo ɖa:

• Aortic Aneurysms: Esia nye kuxi si bɔ ŋutɔ. Aneurysm nye ʋuka aɖe ƒe gli ƒe gbɔdzɔgbɔdzɔ, si wɔnɛ be wòdona abe ʋuƒo ene. Aortic aneurysms siwo wu 50% le akɔta la dzɔna le aorta si le dzi yim me. Woate ŋu adzɔ le aortic root alo tubular ascending aorta me. Aortic aneurysms nye nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me. Esia le alea elabena ʋuka si me ʋu sina tona ate ŋu ana aɖatsi navu le ʋukaa ƒe ƒuƒoƒo me – nɔnɔme si woyɔna be aortic dissection . Alo, ne egbã keŋkeŋ la, ʋu ate ŋu ado le ŋutilãa me vevie. Esia nye nudzɔdzɔ kpata aɖe.

• (Aortic Valve ƒe Ʋuʋudedi):Togbɔ be Aortic Valve menye Ascending Aorta ƒe akpa aɖeke o hã la, ebla ɖe Ascending Aorta ƒe gli ememetɔ ŋu. Aortic Stenosis nye Aortic Valve ƒe ʋuʋu le Aortic Root kple Left Ventricle dome. Esia nana dzia wɔa dɔ sesĩe wu be yeatsɔ ʋu akɔ ɖe Aorta la me. Esia ate ŋu ana dzi ƒe lãmeka nalolo.

• (Aortic Valve Regurgitation): Esia dzɔna ne (Aortic Valve) la metu nyuie o. Emegbe le esi teƒe be ʋu nayi ŋgɔ ayi (Aorta) me la, egatrɔna yia (Miame Ventricle) me. Esia wɔnɛ be dzia kɔa ʋu geɖe wu alesi wòle dzɔdzɔmee. Le ɣeyiɣi aɖe megbe la, dzia ate ŋu agbɔdzɔ. (Aortic Valve Regurgitation) hã ate ŋu adzɔ le (Ascending Aorta) ƒe kekeme ta.

• Bicuspid Aortic Valve (BAV): Wodzia ame aɖewo kple agbalẽvi eve le woƒe aortic valve me ɖe etɔ̃ teƒe. Amesiwo ŋu ʋuka sia ƒomevi le la le afɔku gã aɖe me be woaxɔ ʋuka siwo me ʋu sina tona si le dzi yim. Zi geɖe la, BAV ate ŋu ana aortic stenosis, aortic regurgitation, alo evea siaa.

• Lãmetsiŋusẽ ƒe Dɔlélewo: Amesiwo ŋu dɔlélewo abe (Marfan Syndrome) , (Loeys-Dietz Syndrome) , kple (Ehlers-Danlos Syndrome) le ate ŋu axɔ kuxiwo abe (Aneurysms) ene elabena (Aorta) ƒe gli ate ŋu agbɔdzɔ.

• Dzoxɔxɔ ƒe Dɔlélewo: Nɔnɔmewo abe Giant Cell Arteritis kple Penetrating Atherosclerotic Ulcers hã ate ŋu agblẽ nu le ʋukaa ƒe gli ŋu.

Togbɔ be dzesi siawo adze nu dziŋɔ vie hã la, woate ŋu aɖu wo dzi ne wokpɔ wo dze sii kaba eye woda wo nyuie .

Aleke mawɔ ana nye Ascending Aorta nanɔ lãmesẽ me?

Nu siwo nèwɔna be wò dzi kple ʋu ƒe sisi nanɔ lãmesẽ me la ke nyo na Ascending Aorta ƒe lãmesẽ hã.

• Ƒo nuɖuɖu si naa lãmesẽ, si da sɔ: Ƒo nuɖuɖu siwo me sodium (dze), ʋumemi, kple ami siwo me ami ʋeʋĩ mele o. Ƒo atikutsetsewo, amagbewo, nuku blibowo, kple fibre geɖe wu.
• De kame edziedzi: Wɔ nane abe azɔlizɔzɔ, duƒuƒu, alo tsiƒuƒu ene miniti 30 ya teti gbesiagbe. Edoa ŋusẽ dzia eye wòkpɔa ʋu ƒe sisi dzi.
• Dzudzɔ atamanono kple atamanono keŋkeŋ: Sigaretnono nye ʋukawo ƒe futɔ gã aɖe. Egbɔdzɔa ʋuka si me ʋu sina tona ƒe gli ŋu eye wònaa ʋuka me ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi.
• Ðe ahanono dzi kpɔtɔ alo nàdzudzɔ: Ahanono fũ ate ŋu ana ʋu ƒe sisi nadzi ɖe edzi hã eye wòagblẽ nu le dzi kple ʋukawo ŋu.
• Do atikewɔlawo kpɔ edziedzi: Ele vevie ŋutɔ be nàdo wò kpɔ edziedzi abe alesi wò ɖɔkta gblɔe ene, vevietɔ ne kuxiwo abe ʋusɔgbɔdɔ, ʋumemi, suklidɔ, alo ne ʋuka me ʋu ƒe sisi ƒe kuxiwo nɔ wò ƒomea me ene.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne wokpɔ Ascending Aortic Syndrome alo dzidɔ bubu aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake ne dzesi yeyewo dze le ŋuwò alo ne wò dzesi siwo li xoxo la gagblẽ ɖe edzi.

Azɔ hã, ne èkpɔ dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema la, ate ŋu anye ʋuka si me ʋu sina tona ƒe gbagbã ƒe dzesi eye ele be nàyi atikewɔƒe kpata enumake:

• Taɖuame alo alɔ̃madɔmadɔ (fainting).
• Dzi ƒe tsotso kabakaba.
• Vevesese sesẽ le akɔta alo akɔta ƒe akpa si le etame.
• Yagbɔgbɔ sesẽ.

Mègaŋe aɖaba ƒu dzesi siawo tɔgbe dzi o. Atikewɔwɔ kaba ate ŋu axɔ ame aɖe ɖe agbe.

Gbedasi si Wotsɔ Yi Aƒeme

Aorta si le dzi yim nye ʋuka gãtɔ kekeake si le míaƒe ŋutilã me, si nye aorta, ƒe akpa gbãtɔ. Edoa ka kple dzia eye wòwɔa akpa vevi aɖe ŋutɔ le kpekpeɖeŋu nana be woama ʋu si me ɔksidzin le si dzia tsɔna yia ŋutilã bliboa me.

Kuxi aɖewo siwo le Ascending Aorta ŋu, abe ʋuka si me ʋu sina tona ene, ate ŋu ade ame ƒe agbe afɔku me. Eyata ne dzidɔ le wò ƒomea me kpɔ, alo ne èxɔ ƒe 65 kple edzivɔ la, ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto aɖe kuxi siwo ate ŋu ado mo ɖa le Ascending Aorta ŋu dzi akpɔtɔ ŋu. Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò tae nye be nànɔ agbe si me lãmesẽ le. Lé be na wò dzi, elabena ena nènɔa agbe!

` Ascending aorta, aorta, dzidɔ, ʋukawo, aortic aneurysm, dzi ƒe lãmesẽ, dzi