Amekae nye ‘ʋukawo ƒe Ðɔkta’ sia? Mina míaƒo nu tso esia ŋu tsitotsito!

Èse ‘ʋukawo ƒe Ðɔkta’ aɖe ŋkɔ kpɔa? Ðewohĩ ẽ, ɖewohĩ ao. Gake nyati vevi aɖe ŋutɔe nye esia, elabena ɖɔkta siawo wɔa nu tso ɖoɖo vevitɔ kekeake si le míaƒe ŋutilã me ŋu. Kpuie ko la, amesiawo nye ɖɔkta siwo bi ɖe ʋuka siwo le míaƒe ŋutilã me, si nye ʋukawo me. Mina míaƒo nu tso esia ŋu tsitotsito vie , alo?

Eyata amekae nye ‘Vascular Ðɔkta’ sia?

Ele bɔbɔe ŋutɔ. ‘Vascular Doctor’ nye ɖɔkta si kpɔa wò ʋukawo dzi hedaa dɔ na wò , si fia be wò ʋukawo. Akpa vevi etɔ̃e le wò ʋukawo me. Woawoe nye:

• Ʋukawo: Esiawoe nye ʋuka siwo tsɔa ʋu si me ɔksidzin kple nunyiame geɖe le tso wò dzi me yia wò ŋutilã ƒe lãkusi kple lãmenugbagbevi ɖesiaɖe me. Wole abe tsidzɔƒe vevitɔ na du aɖe ene.
• Ʋukawo: Ne wò lãmenugbagbeviwo xɔ nunyiame kple ɔksidzin si wohiã vɔ la, ʋuka siawo tsɔa gbeɖuɖɔ susɔeawo, vevietɔ carbon dioxide, yia dzia me. Abe tsiɖɔɖɔɖɔƒe si ƒoa tsi siwo wozã nu ƒu ene.
• Ʋuka siwo me ʋu sina tona: Esiawo nye ʋuka suesuesue siwo le sue ŋutɔ. Esiawoe doa ka kple ʋukawo kple ʋukawo. Wole abe pɔmpi sue siwo maa tsi tso elektrikŋusẽnamɔ̃wo me yia aƒewo me ene.

Eyata nuɖoanyi blibo sia léle ɖe te le lãmesẽ me le vevie na míaƒe agbe. Ʋukawo ƒe ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ nusiwo ɖoɖo sia gblẽna le ame ŋu ɣeyiɣi didi la gbɔ. Woate ŋu ada dɔ na wò ɖɔkta bubuwo hã ahawɔ dɔ kpli wo ne kuxi aɖe koŋ le ŋuwò.

Bu eŋu kpɔ, esia le kakam ɖe míaƒe ŋutilã katã me. Ʋu ƒe sisi ƒe ɖoɖoa le abe mɔ siwo to dukɔ aɖe me ene. Ne mɔ mawo le nɔnɔme nyui me la, nusianu azɔ nyuie. Eye ʋukawo hã le nenema!

Nuka tututue ‘ʋukawo ƒe Ðɔkta’ wɔna?

Ʋukawo ƒe ɖɔkta ƒe susu nɔa wò ʋuka siwo nye ʋukawo kple ʋukawo ƒe dɔlélewo nu tsitsi, wo didi, kple wo dada ŋu koŋ. Abe alesi míegblɔe va yi ene la, lãmenugbagbevi kple lãmenugbagbevi ɖesiaɖe si le míaƒe ŋutilã me hiã na oxygen kple nunyiame ɣesiaɣi. Eyata ʋuka siwo le lãmesẽ me le vevie ŋutɔ.

Ènya be le dukɔwo abe Amerika ene me la, ‘ʋukawo ƒe Ðɔkta’ siawo kpena ɖe dɔléle geɖe siwo bɔ ɖe amewo dome, eye woate ŋu awu ame ɣeaɖewoɣi la ŋua? Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Ʋuka siwo le gota ƒe dɔléle (`(Peripheral Artery Disease (PAD): Esia nye nɔnɔme si me ʋuka siwo tsɔa ʋu yia abɔ kple afɔwo gbɔ la xana alo xena. Dɔléle sia le Amerikatɔ siwo ade miliɔn 8.5 ŋu!
• Aortic Aneurysms alo Dissections: Esiae nye esime aorta, si nye ʋuka gãtɔ kekeake le míaƒe ŋutilã me, gbɔdzɔ eye wòdo (aneurysm) alo eƒe gli vuvu (dissection). Esia nye afɔku gã aɖe. Le ƒe 2019 ɖeɖe dzaa me la, ame siwo ade 10,000 ku le United States le esia ta.
• Ʋusɔgbɔdɔ: Nɔnɔme sia dzɔna ne ʋuka aɖe si naa ʋu yia ahɔhɔ̃a me xe alo gbã. Wobu akɔnta be ʋusɔgbɔdɔ léa ame siwo ade 800,000 le United States ƒe sia ƒe.

Ðɔkta bibi siawo li be yewoada nɔnɔme sesẽwo abe esia ene.

Atikewɔwɔ kawoe li tso ‘Vascular Doctor’ gbɔ?

Atike si ʋukawo ƒe ɖɔkta awɔ na wò la nɔ te ɖe wò nɔnɔmea dzi. Zi geɖe la, woawɔ atike siwo gbɔna:

• Agbenɔnɔ ƒe tɔtrɔ: Aɖaŋuɖoɖo le kamedede agbɔsɔsɔme si wòle be nàwɔ kple nusi wòle be nàɖu ŋu. Ɣeaɖewoɣi la, tɔtrɔ suesuesuewo ate ŋu ana tɔtrɔ gã aɖe nava.
• Atikewo: Woate ŋu aŋlɔ atikewo na wò be woatsɔ aɖe wò ʋu ƒe sisi , ʋumemi ƒe agbɔsɔsɔ dzi akpɔtɔ, alo axe mɔ ɖe ʋu ƒe sisi nu.
• Atikewɔwɔ ƒe Mɔnuwo: Atikewɔwɔmɔnu vovovowo li siwo ate ŋu akpe ɖe ŋuwò be wò ʋu nayi edzi nyuie wu. Wo dometɔ aɖewo le bɔbɔe ŋutɔ eye womebiaa amekoko gã aɖeke o.
• Amekoko: Ðɔkta siawo ate ŋu awɔ dɔ gãwo hã be woaxe mɔ ɖe ʋusɔgbɔdɔ nu alo be woatɔ te ʋuka si me ʋu sina tona ƒe ʋuʋu.

Ɣekaɣie wòle be nàkpɔ ʋukawo ƒe ɖɔkta?

Ne afɔku siwo gbɔna le ŋuwò la, anɔ eme be ʋukawo me dɔléle adze dziwò, eyata anyo be nàyi ʋukawo ƒe ɖɔkta gbɔ:

• Ne suklidɔ le ŋuwò (`(Suklidɔ)`) .
• Ne ʋusɔgbɔdɔ le ŋuwò la .
• Ne èzãa atamanuwo (abe sigaret, beedis ene) .

Azɔ hã, nunya anɔ eme be nàkpɔ ʋukawo ƒe ɖɔkta ne dzesi siawo dometɔ aɖe le ŋuwò:

• Ne èse akɔta veve esime nèle kame dem.
• Ne wò afɔwo le veve sem, le ʋuʋum, alo le vuvu (vevietɔ ne èle zɔzɔm).

Abe alesi ne xexe aɖe xe le wò aƒea ƒe tsidzɔƒe ƒe teƒe aɖe la, tsia atɔ te ene la, nenema ke wòdzɔna ne kuxi aɖe do mo ɖa le míaƒe ʋukawo ŋu. Eyata ele vevie ŋutɔ be nànya dzesi mawo tɔgbe.

Ɣeaɖewoɣi ne èle kɔdzi la, ʋukawo ŋuti ɖɔkta aɖe ate ŋu ava kpe ɖe ŋuwò le ʋuka me kuxi aɖe si womekpɔ kpɔ o ta. Nunya le ɖɔkta siawo si be woawɔ nusianu tso dɔ suesuesue siwo mewɔa nu boo aɖeke o dzi va ɖo amekoko siwo sesẽ ŋutɔ dzi. Ne èwu atikewɔsuku nu la, ele be nàgaxɔ hehe tɔxɛ ƒe atɔ̃ va ɖo adre hafi azu ʋukawo ƒe amekola.

Atikewɔwɔ ƒe nɔnɔme kawoe ʋukawo ƒe ɖɔkta daa dɔ na alo kpena ɖe ame ŋu be woaxe mɔ ɖe wo nu?

Ʋukawo ƒe Ðɔktawo daa kuxi geɖe, siwo dometɔ aɖewoe nye:

• Aneurysm (abe ʋuʋudedi ene) le ʋuka ƒe gli me
• Ʋukawo ƒe dɔdzẽ - ` (Vasculitis)`
• Ami (cholesterol) ƒe dzidziɖedzi le ʋukawo me - `(Atherosclerosis)` (Zi geɖe la, esia gbɔe ʋukawo xena)
• Ʋu ƒe sisi le ʋuka aɖe me le afɔ me - ` (Deep Vein Thrombosis - DVT)`
• Ʋuka siwo le afɔwo me ƒe ʋuʋu alo woƒe xexe - ` (Peripheral Artery Disease - PAD)`
• Aklã me Ʋuʋudedi (esia ate ŋu anye DVT me tsonu si me afɔku le) .
• Ʋukawo ƒe ʋuʋu le asiwo kple afɔwo me le vuvɔ ta - ` (Raynaud ƒe dɔléle)` (Anye be èkpɔ ame aɖewo ƒe asibidɛwo trɔ zu blɔ le vuvɔ me, alo? Ema ate ŋu anye nusitae)
• Ʋuka siwo naa ʋu yia dzitodzito me ƒe xexe alo woƒe ʋuʋu - `(Coronary Artery Disease)` (Esiae nye nu vevitɔ si hea dzidɔ vɛ)
• Varicose Veins ƒe Ʋukawo
• Ʋuka aɖe (le kɔ me) si naa ʋu naa ahɔhɔ̃a ƒe xexe alo eƒe ʋuʋu - `(Carotid Artery Disease)` (Esia nye nusi hea lãmetutudɔ vɛ)
• Ʋu ƒe sisi yi ahɔhɔ̃a me ƒe nutsotso kpata - `(Stroke)`
• Ʋuka aɖe dzadzraɖo ɖe ʋumenugbagbeviɣidɔ ŋu le ayiku ƒe dɔmawɔmawɔ nyuie megbe.
• Aɖatsi si le aorta ƒe akpa ememetɔ (aorta) - (Aortic Dissection) .

Kpɔ nu geɖe siwo ɖɔkta siawo kpena ɖe ame ŋu le ɖa!

Dodokpɔ kawoe ʋukawo ƒe ɖɔkta wɔna?

Ʋukawo ƒe ɖɔkta ate ŋu aɖe gbe be woado wò ʋukawo kpɔ abe esiawo ene be woatsɔ akpɔ wò ʋukawo ƒe lãmesẽ:

• Catheter Angiogram: Wotsɔa mɔ̃ sue aɖe toa ʋuka aɖe me eye wozãa amadede tɔxɛ aɖe tsɔ ɖea X-ray.
• CT Angiogram (`(Computed Tomography Angiogram - CT Angiogram)`): Wozãa CT scan mɔ̃ tsɔ ɖea ʋukawo ƒe nɔnɔmetata tsitotsito.
• M.R. Angiogram (`(Magnetic Resonance Angiogram - MR Ʋukawo ƒe Ʋuʋudedi)`):Wozãa MRI scanner tsɔ ɖea ʋukawo ƒe nɔnɔmetatawo.
• Vascular Ultrasound: Esia nye dodokpɔ bɔbɔe aɖe si me vevesese aɖeke mele o si me wozãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe ʋu ƒe sisi le ʋukawo me ŋu.
• Venogram: X-ray dodokpɔ si wowɔna tsɔ léa ŋku ɖe ʋu si le sisim le ʋukawo me ŋu.
• Ankle-Brachial Index (ABI): Edzidzea ʋu ƒe sisi le afɔ kple alɔnu be yeanya alesi ʋua le tsatsam le afɔawo me.

Dodokpɔ siawoe akpe ɖe ɖɔktaa ŋu wòanya nusi tututu wò kuxia nye.

Ðe ‘ʋukawo ƒe Ðɔkta’ kple ‘Dzidɔŋutinunyala’ nye ame ɖeka?

Ẽ, ame eve siawo sɔ. ‘Dzidɔŋutinunyala’ nye ɖɔkta si bi ɖe dzidɔ me. Edaa dɔléle siwo do ƒome kple dzitodzito.

Ʋukawo ƒe ɖɔkta aɖe daa dɔ na ʋuka siwo le ŋutilã bliboa me. Esia lɔ ʋuka gãwo abe aorta ene ɖe eme. Gake ʋukawo ƒe ɖɔkta mewɔa dɔ na dzia ŋutɔ tẽ o.

Gake ɣeaɖewoɣi la, woate ŋu aƒo nusiawo evea siaa nu ƒu atsɔ ada dɔ na wò, elabena dzi kple ʋukawo nye ɖoɖo eve siwo do ƒome kple wo nɔewo ŋutɔ.

Ðe wòhiã be woaɖo wò ɖe ʋukawo ƒe ɖɔkta gbɔa?

Esia ate ŋu ato vovo le wò nugblẽfexeɖoɖoa nu. Ɣeaɖewoɣi la, ahiã be nàɖo wò ƒomea ƒe ɖɔkta (Primary Care Provider) be nàyi ʋukawo ƒe ɖɔkta gbɔ. Ne ʋukawo me dɔléle ƒe dzesiwo le ŋuwò la, wò ƒomea ƒe ɖɔkta ate ŋu aɖo wò ɖe ʋukawo ƒe ɖɔkta gbɔ.

Nukae nàkpɔ mɔ na ne èyi ʋukawo ƒe ɖɔkta gbɔ?

Ne èyi ʋukawo ƒe ɖɔkta gbɔ la, ado wò ŋutilã kpɔ gbã. Emegbe aƒo nu tso wò dzesiwo ŋu na wò. Mègaŋlɔ be be yeagblɔ nusianu si nèsusu, nusianu si dze abe edo ƒome kple esia ene na ɖɔkta o.

Tsɔ kpe ɖe eŋu la, ɖɔktaa abia nyawo tso wò atikewɔwɔ ŋutinya si va yi kple ƒome ŋutinya ŋu, elabena ʋukawo me kuxi aɖewo ate ŋu ado go le ƒomewo me.

Wò ɖɔkta ate ŋu abia be woawɔ ʋudodokpɔ alo nɔnɔmetata bubuwo atsɔ akpe ɖe ŋuwò nànya nusi tututu gbɔ wò kuxia tso. Dodokpɔ siawo me tsonu akpe ɖe ŋuwò nànya atikewɔwɔ nyuitɔ kekeake na wò dɔlélea.

Ðo ŋku edzi be mègavɔ̃ naneke ne èyi ɖɔkta gbɔ o. Bia nya siwo katã le susu me na wò. Ðɔktaa le afima be yeakpe ɖe ŋuwò.

Afikae ʋukawo ƒe ɖɔktawo wɔa dɔ le?

Ʋukawo ƒe Ðɔktawo wɔa dɔ le kɔdziwo kple dɔwɔƒe siwo menye ame ŋutɔ tɔ o, kpakple le lãmesẽdɔwɔƒe siwo bi ɖe ʋukawo ƒe atikewɔwɔ ƒe akpa ɖeka me, abe ʋuka me dɔlélewo ene.

Mlɔeba la, ɖo ŋku esia dzi.

Ʋukawo ƒe ɖɔkta nye ɖɔkta si bi ɖe wò ʋukawo kple ʋukawo, alo ʋukawo dada me. Woate ŋu akpe ɖe ŋuwò le kuxi vovovo siwo gblẽa nu le wò ʋukawo ŋu la me. Wò ƒomea ƒe ɖɔkta ate ŋu akafu ʋukawo ƒe ɖɔkta si ate ŋu akpe ɖe ŋuwò le wò kuxi tɔxɛa me.

Nu vevitɔe nye be nàwɔ ɖe wò ʋukawo ƒe ɖɔkta ƒe mɔfiamewo kple atikewɔwɔ ƒe ɖoɖoa dzi pɛpɛpɛ. Ema ko hafi nàte ŋu ahaya nyuie wu. Esi wònye be ʋuka me kuxi aɖewo ate ŋu anɔ anyi eteƒe nadidi ta la, wò ʋukawo ƒe ɖɔkta ate ŋu anye wò lãmesẽdɔwɔla si anɔ anyi ɣeyiɣi didi. Eya ta ele vevie ŋutɔ be míalé ƒomedodo nyui me ɖe asi kplii.

Eyata ne kuxi sia le wò alo ame aɖe si nènya ŋu la, mègavɔ̃ be yeayi Ʋukawo ƒe Ðɔkta gbɔ o. Anye gadede wò agbe me gã aɖe!

` Ʋukawo ŋuti nunyala, ʋukawo ƒe ɖɔkta, ʋukawo ƒe dɔléle, ʋukawo, ʋusɔgbɔdɔ, ʋuka siwo le gota ƒe dɔléle, dzi ƒe lãmesẽ