Na míasrɔ̃ nu geɖe tso ʋuka siwo me ʋu sina tona ŋua? Ʋuka suetɔ kekeake siwo le wò ŋutilã me!

Èbu ʋuka suesuesue siwo le míaƒe ŋutilã me ŋu kpɔa? Emae nye nusi míeyɔna be ʋuka siwo me ʋu sina tona . Wole abe ka nyui siwo sina toa míaƒe ŋutilã katã me ene. Womate ŋu agblɔ woƒe vevienyenye wòagbɔ eme o. Egbea, míaƒo nu tso nusiwo ʋuka siawo nye, nusiwo wowɔna, dɔléle siwo hea ame vɛ, kple alesi woawɔ be woanɔ lãmesẽ me ŋu.

Nukae nye ʋuka siwo me ʋu sina tona? Mina míase egɔme bɔbɔe!

Kpuie ko la, ʋuka siwo me ʋu sina tona lae nye ʋuka suesuesue siwo toa wò ŋutilã katã me. Wole abe mɔ̃ suesuesue siwo me ʋu sina tona ene. Woƒe dɔ vevitɔe nye be woatsɔ nunyiame kple ɔksidzin ayi lãmenugbagbevi siwo le wò ŋutinuwo kple ŋutilã ƒe dɔwɔwɔwo me. Wotsɔa gbeɖuɖɔwo, abe carbon dioxide , ene hã doa goe le lãmenugbagbevi mawo me.

Bu eŋu ale. Ðeko wòle abe ame aɖe tsɔ nu gbogbo aɖewo va wò aƒeme eye wòtsɔ gbeɖuɖɔwo katã ɖe asi ene. Esia le dzɔdzɔm le wò ŋutilã katã me, le teƒe vovovowo. Ðe mewɔ nuku oa?

Ðe ʋuka siwo me ʋu sina tona ƒomevi aɖewo lia?

Ẽ, nɔnɔme vovovowo hã le ʋuka siwo me ʋu sina tona ŋu le dɔ siwo wowɔna nu. Míate ŋu ade dzesi ƒomevi vevi etɔ̃:

1. Ʋuka siwo me fesrewo le si yia edzi: Ʋuʋu suesuesuewo (fenestrae) , alo dowo le esiawo ŋu. Esia wɔnɛ be woate ŋu aɖɔli nu kabakaba. Àte ŋu akpɔ ʋuka siawo ƒomevi le wò ayiku, dɔgbo sue, kple lãmenugbagbeviwo ƒe dɔwɔwɔ me .

2. Ʋuka siwo me ʋuʋudedi mele o siwo yia edzi: Nu suesuesuewo koe ate ŋu ato ʋuka siawo ƒomevi ƒe gliwo me. Esiawo le wò lãmekawo me, kpakple le ami kple lãmekawo me.

3. Sinusoidal capillaries: Do suesuesuewo (fenestrae) le esiawo hã me. Nu aɖewo koe ate ŋu ato wo me age ɖe eme ahado le eme. Ʋuka siawo ƒomevi bɔ ɖe wò aklã kple dɔgbo me wu .

Nukae dzɔna ɖe ʋuka siwo me ʋu sina tona dzi? Nuka tututue nye woƒe dɔ?

Ʋukawoe nye nusiwo wua míaƒe ʋu ƒe sisi ƒe ɖoɖoa nu. Eyae nye be ʋukawo kple ʋukawo doa ka kple wo nɔewo to ʋuka siawo dzi. Ènyaa, ʋukawo tsɔa ʋu si me oxygen sɔ gbɔ ɖo tso dzia me yia ŋutinuwo me. Ʋukaawo tsɔa ʋu si me oxygen mele o kple gbeɖuɖɔ siwo tso ŋutinuwo me la trɔna yia dzia me.

Eyata ʋuka siwo me ʋu sina tona ƒe dɔwɔwɔe nye be woawɔ dɔ abe teƒe si nusiwo dona tso ʋukawo kple ʋukawo me la ɖɔlia wo nɔewo le ene . Togbɔ be ʋukawo kple ʋukawo tsɔa ya kple nunyiamewo yia ŋutilã bliboa me hã la, ʋuka siawoe tsɔa wo yia teƒe siwo woɖo be woanɔ, siwo nye lãmenugbagbeviwo. Ele vevie ŋutɔ, alo?

Ʋuka siwo me ʋu sina tona la subɔa ŋutinu kple ɖoɖo vovovo geɖe siwo le míaƒe ŋutilã me. Le kpɔɖeŋu me:

• Ƒumeŋuɖui: Ekpena ɖe ʋumenugbagbevi yeye siwo wowɔ ŋu be woage ɖe ʋukawo me.
• Ahɔhɔ̃: Togbɔ be enaa nunyiame ahɔhɔ̃a hã la, ekpena ɖe ame ŋu wòwɔa ʋu kple ahɔhɔ̃ ƒe mɔxenu, si xea mɔ na nusiwo gblẽa nu le ame ŋu be woagage ɖe eme o.
• Dɔlékuiwutikewo ƒe dɔwɔwɔ: Ekpena ɖe ame ŋu be woatsɔ lãmetsiwo ayi ŋutinu siwo ŋu nya ku ɖo la gbɔ.
• Ayikuwo: Ʋuka siwo le afisia siwo le gota la ɖea ʋua, wɔa aɖuɖɔ, eye wogaxɔa tsi kple sodium ake ɖe ŋutilãa me ake.
• Aklã: Ekpena ɖe ame ŋu wòɖea ʋumenugbagbevi dzĩwo kple dɔlékui siwo gblẽ la ɖa.
• Aklã: Wokpena ɖe ame ŋu wòdoa ya si woyɔna be carbon dioxide doa goe eye wòxɔa oxygen.
• Lãmetsiŋusẽ ƒe ɖoɖo: Ekpena ɖe ame ŋu be tsiwo ƒoa ƒu tso lãkusiwo me eye wòfiaa mɔ wo yia ʋukawo me.
• Dɔgbo sue: Etsɔa nunyiame siwo woɖu eye wònaa nunyiame lãmenugbagbeviwo.

Afikae ʋuka siwo me ʋu sina tona la le?

Kpuie ko la, ʋuka siwo me ʋu sina tona le wò ŋutilã ƒe afisiafi ! Woate ŋu akpɔ wo le afisiafi si ʋukawo kple ʋukawo do ƒome le. Wosubɔa wò lãkusiwo kple ŋutinuwo abe ʋuka siwo me ʋu sina tona (`capillary beds`) ƒe kadodo ene.

Aleke amesiawo ƒe dzedzeme le? Wole sue ŋutɔ, alo?

Ẽ, ʋuka siwo me ʋu sina tona lae nye ʋuka suetɔ kekeake le wò ʋukawo me. Ele be numekulawo nazã nusuekpɔmɔ̃ hafi akpɔ wo. Bu eŋu kpɔ, wole sue wu wò ɖa . Ʋuka si me ʋu sina tona si bɔ la didi abe micrometer 5 ene (micrometer ɖeka nye milimeta ƒe akpa akpe ɖeka!). Wole sue ale gbegbe be ele be ʋumenugbagbevi dzĩwo nato wo me ɖekaɖeka. Ʋuka si me ʋu sina tona ƒe didime mede milimeta ɖeka o, si lolo abe nuŋlɔti ƒe nugbɔ ene.

Gli siwo le sue ŋutɔ (siwo ƒe titrime anɔ abe micrometer 1 ene) le ʋuka siwo me ʋu sina tona ŋu, si tae nunyiame, tsi, kple ya ate ŋu age ɖe eme ahado le eme bɔbɔe ɖo.

Nukawoe nye ʋuka siwo me ʋu sina tona ƒe akpa aɖewo?

Lãmenugbagbevi vevi eve le ʋuka siwo me ʋu sina tona me:

• Lãmenugbagbevi siwo le lãkusi me: Esiawo le ʋuka siwo me ʋu sina tona me. Wokpɔa tsi, nunyiame, kple ya ƒe sisi dzi.
• Lãmenugbagbevi siwo le lãkusi me: Esiawo wɔa ametakpɔnu ƒo xlã lãmenugbagbevi siwo le lãmenugbagbeviwo me.

Nɔnɔme kple dɔléle kawoe bɔ siwo gblẽa nu le ʋuka siwo me ʋu sina tona ŋu?

Ʋuka siwo me ʋu sina tona ƒe gbagbã bɔ ŋutɔ. Woate ŋu adzɔ ne èkɔ aɖuɖɔ alo nèɖe aɖuɖɔ sesĩe. Ne ʋuka siawo gbã la, ʋu dona, si wɔnɛ be ŋutigbalẽa ƒe amadede trɔna suesuesue siwo le abe pinpoint ene (petechiae). Zi geɖe la, amesiawo daa gbe le wo ɖokui si.

Tsɔ kpe ɖe eŋu la, nɔnɔme bubu aɖewo siwo ate ŋu akpɔ ŋusẽ ɖe ʋuka siwo me ʋu sina tona dzi lae nye esi:

• Ʋukawo me ʋukawo ƒe dɔmawɔmawɔ nyuie (AVM):Nɔnɔme si me ʋukawo kple ʋuka siwo le ahɔhɔ̃ alo aklã me la xaxa eye wotoa ʋuka siwo me ʋu sina tona ŋu. Esiawo ate ŋu adzɔ le abɔ kple afɔwo, akɔta, kple ŋutinu bubuwo hã me.
• Capillary angiosarcoma: Kansa ƒomevi aɖe si mebɔ o si dona tso lãmenugbagbeviwo me eye ate ŋu agblẽ nu le ʋuka siwo me ʋu sina tona ŋu.
• Capillary leak syndrome: Nɔnɔme si me ʋu ƒe sisi dzi ɖena kpɔtɔna zi ɖeka. Ɣeaɖewoɣi la, esia bia be woawɔ atike na ame kpata.
• Hereditary hemorrhagic telangiectasia: Ʋukawo ƒe dɔléle si ƒe dome wonyi si me tsitsi siwo mesɔ o (telangiectases) dona eye woate ŋu agbã. Wogayɔnae be Osler-Weber-Rendu ƒe dɔlélea.
• Macular degeneration: Nusiwo gblẽna le ŋkua ƒe akpa si le ʋuka siwo me ʋu sina tona ŋu ta.
• Microcephaly-capillary malformation syndrome: Ʋuka siwo keke le amesiwo ƒe ta le sue wu esi sɔ la ŋu.
• Port wine stain: Dzigbedzesi si tsoa ʋuka siwo me ʋu sina tona ƒe wɔwɔme nyuie gbɔ.
• Spider angioma: Ʋuka sue siwo dona tso titina, zi geɖe le mo, kɔ, alo akɔta. Wogayɔnae be akpɔkplɔ nevus alo akpɔkplɔ telangiectasia.
• Strawberry birthmark: Ʋuka dzĩ doviviti siwo le ŋutigbalẽa ƒe gowo dzi ƒe ƒuƒoƒo.
• Vasculitis: Ʋukawo ƒe dɔdzẽ. Esia ate ŋu akpɔ ŋusẽ ɖe ʋuka siwo me ʋu sina tona hã dzi. Esia ate ŋu ahe kuxiwo abe ʋukawo ƒe gbagbã kple woƒe xexe ene vɛ.

Nukawoe nye ʋuka me dɔlélewo ƒe dzesi siwo bɔ?

Nɔnɔme siwo gblẽa nu le ʋukawo ŋu ate ŋu ahe dzesiwo abe:

• Xeɖeɖe
• Taɖuame (vertigo) .
• Taɖuame (taɖuame) .
• Tete
• Alɔ̃madɔmadɔ
• Ɣletigbalẽa
• Ɖeɖiteameŋu
• Ŋutilã ƒe ʋuʋudedi
• Kpekpeme dzi ɖeɖe kpɔtɔ
• Ʋu si dona le ŋɔti me
• Ŋutilã ƒe amadede ƒe tɔtrɔ
• Ʋusɔgbɔdɔ
• Nukpɔkpɔ ƒe kuxiwo

Dodokpɔ kawoe wowɔna tsɔ léa ŋku ɖe ʋuka siwo me ʋu sina tona ƒe lãmesẽ ŋu?

Woate ŋu awɔ dodokpɔ siawo tɔgbe akpɔe ɖa be nɔnɔme aɖewo li siwo gblẽa nu le ʋuka siwo me ʋu sina tona ŋu hã:

• Ʋudodokpɔwo
• MRI-dɔdamɔnu ƒe fotoɖeɖe
• CT-dɔdamɔnu
• Angiogram ƒe nɔnɔmetata
• PET scan ƒe fotoɖeɖe
• Ŋku dodokpɔ
• `OCT` ŋku dodokpɔ

Nukawoe nye atike siwo bɔ ɖe ʋuka me dɔlélewo ŋu?

Woate ŋu ada nɔnɔme siwo gblẽa nu le ʋuka siwo me ʋu sina tona ŋu le mɔ siwo gbɔna nu:

• Atikewo
• Amekoko alo amekoko suesuesuewo
• Kekeli ƒe atikewɔwɔ
• Atikewo zazã
• Ʋudodo

Aleke mawɔ ana nye ʋuka siwo me ʋu sina tona nanɔ lãmesẽ me?

Ele be nàlé be na wò ʋukawo abe alesi nèléa be na wò ʋuka bubuwo ene. Ema fia be:

• Kamedede aɖabaƒoƒo 30 ya teti gbesiagbe, ŋkeke atɔ̃ le kwasiɖa me (aɖabaƒoƒo 150 le wo katã me).
• Aha kple aha siwo me caffeine le zazã dzi ɖeɖe kpɔtɔ.
• Kpekpeme si sɔ na wò la me léle ɖe asi .
• Ƒo asa na atamanono kple atamanu bubuwo zazã.
• Ŋkudɔdala gbɔ yiyi edziedzi be woado ŋku kpɔ.

Azɔ hã, wɔ dɔ kple wò ɖɔkta be nàkpɔ nɔnɔme siawo tɔgbe siwo ate ŋu agblẽ nu le wò ʋukawo ƒe lãmesẽ ŋu gbɔ:

• Suklidɔ
• Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
• Ʋusɔgbɔdɔ
• Nuteɖeamedzi

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu ade dzesi ʋuka me dɔléle aɖe hafi dzesiwo nadze le ŋuwò gɔ̃ hã. Esia ate ŋu akpe ɖe ŋuwò nàdze atikewɔwɔ gɔme hafi wòagblẽ ɖe edzi. Esia nye nyateƒe vevietɔ ne èyi nuwo abe ƒe sia ƒe ƒe dodokpɔ ene dzi.

Kpɔ ɖɔkta ne ʋuka me dɔléle ƒe dzesiwo le ŋuwò:

• Ʋuka siwo me ʋu sina tona ƒe gbagbã
• Ne edze abe ʋuka siwo le afɔawo me lolo ene
• Ne ŋutilãa ƒe akpa ɖeka vuvu alo nèse le ɖokuiwò me be yemate ŋu ase naneke gɔme o
• Ne wò afɔwo le veve sem le kamedede vi aɖe megbe
• Ne tɔtrɔ kpata le nukpɔkpɔ me

Vovototo kae le ʋuka kple ʋuka si me ʋu sina tona dome?

Ele bɔbɔe ŋutɔ. Nusi vein wɔnae nye be ne wò lãmenugbagbeviwo xɔ nusi hiã tso ʋua me vɔ la, wotsɔa ʋu si susɔ la yia dzia me. Ʋukawo tsɔa ʋu si me gbeɖuɖɔwo abe carbon dioxide ene le. Gake ʋuka si me ʋu sina tona le abe nusi wotsɔna ɖɔlia nu ene . Wò lãmenugbagbeviwo kpɔa nusi wohiã to mɔ ma dzi, eye wò lãmenugbagbeviwo hã kpɔa nusi wohiã to mɔ ma dzi.

Ne míebu mɔ gã siwo tsɔa ʋu toa míaƒe ŋutilã me ŋu la, míeŋlɔa ʋuka sue siawo be. Gake woawoe tsɔa nuwo yia teƒe siwo sɔ . Abe míaƒe ŋutilã ƒe akpa bubu ɖesiaɖe ene la, kuxiwo hã ate ŋu ado mo ɖa. Eyata wò ʋukawo ƒe dɔwɔwɔ nyuie to kamedede edziedzi kple nuɖuɖu si me nunyiame le ɖuɖu me ate ŋu akpe ɖe wò ʋukawo hã ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

Ʋuka siwo me ʋu sina tona nye ʋuka suesuesue siwo le míaƒe ŋutilã me, gake wole vevie ŋutɔ, ƒe kadodo. Woawo manɔmee la, míaƒe lãmenugbagbeviwo maxɔ nunyiame alo ɔksidzin o, eye womaɖe gbeɖuɖɔwo ɖa o.

>

Ne èwɔ ɖe agbenɔnɔ si me lãmesẽ le dzi, si fia be nàɖu nu nyuie, ade kame, eye nàƒo asa na atamanono la, àte ŋu ana wò ʋukawo nanɔ lãmesẽ me.

>

Ne èkpɔ dzesi aɖewo siwo mebɔ o la, mègaŋlɔ be be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake o. Elabena dɔléle geɖe dada le bɔbɔe ne wokpɔ wo dze sii kaba!

Eyata, mele mɔ kpɔm be fifia èse kalẽtɔ sue siawo gɔme nyuie wu le wò ŋutilã me. Wò agbanɔamedzie wònye be nàlé be na wo nyuie!

---

` Ʋukawo, ʋukawo, lãmenugbagbeviwo, nunyiame, oxygen, ʋu ƒe sisi, lãmesẽ