Amekae nye Ʋukawo ƒe Amekola sia? Mina míaƒo nu tso esia ŋu bɔbɔe!

Èse ‘ ʋukawo ƒe amekola ’ ŋkɔ kpɔa? Ðewohĩ àkpɔe be ŋkɔa wɔ nuku vie, alo ɖewohĩ mànya amesiwo wonye nyuie o. Gake amesiawo nye ɖɔkta bibiwo ƒe ƒuƒoƒo aɖe si wɔa akpa vevi aɖe ŋutɔ le dɔléle siwo do ƒome kple ʋuka siwo le míaƒe ŋutilã me la dada me. Eyata, egbea míaƒo nu tso amesiwo ame siawo nye, nusi tututu wowɔna, kple nusi adzɔ ne èdo go ɖɔkta sia tɔgbe ŋu, bɔbɔe ŋutɔ.

Amekae nye ʋukawo ƒe amekola sia?

Kpuie ko la, ʋukawo ƒe amekola nye ɖɔkta si dea dzesi dɔléle siwo do ƒome kple ʋuka siwo le wò ŋutilã me hedaa wo, negbe ʋuka siwo le wò dzi kple ahɔhɔ̃ me koe mele eme o. Bu eŋu kpɔ ko, ʋuka siwo ƒe didime anɔ abe kilometa 60,000 ene, alo kilometa 96,000, ƒe kadodo aɖe le míaƒe ŋutilã me! Esiawo dometɔ aɖewoe nye ʋukawo - ʋuka siwo tsɔa ʋu tso dzia me yia ŋutilã ƒe akpa mamlɛa, ʋukawo - ʋuka siwo tsɔa ʋu tso ŋutilã me trɔna yia dzia me, kple ʋuka siwo me ʋu sina tona - ʋuka siwo tsɔa ʋuka siwo me ʋu sina tona, si kpena ɖe ŋutilã ƒe dɔlélenutsiŋutete ŋu.

Eyata ʋukamedɔdala siawoe nye eŋutinunyala siwo nya nu tso ʋuka siawo katã, alesi wowɔa dɔe, kple dɔléle siwo ate ŋu adzɔ le wo me ŋu tsitotsito. Ne kuxi aɖe le wò ʋukawo ŋu la, ame siawo ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔ ahanɔ lãmesẽ me.

Àte ŋu ado go ɖɔkta siawo dometɔ ɖeka le woƒe ɔfis, alo le kɔdzi, alo ne ele be woawɔ dɔ na wò gɔ̃ hã. Ame siawo bi ɖe atikewɔwɔ me kuxi sesẽwo gbɔ kpɔkpɔ kple dɔwɔwɔ kple ŋutilã ƒe wɔwɔme sesẽwo me ŋutɔ. Le nyateƒe me la, woyɔa wo ɣeaɖewoɣi be “amekola ƒe amekola .” Esia fia be ne ʋu do le ŋuwò le vome alo ʋukawo xe le amekoko bubuwo me la, ʋuka me amekola siawoe va xɔna na wò.

Nukae ɖɔkta siawo wɔna?

Enyo, eyata nuka tututue ʋukawo ƒe amekola wɔna? Na míakpɔe ɖa.

Ame siawo daa dɔ na amewo kple dɔléle siwo gblẽa nu le ʋuka bubuwo katã ŋu, ke menye wò dzi alo ahɔhɔ̃ ɖeɖeko o.

• Woada afɔku si le wò ʋukawo me kuxiwo xɔxɔ me akpɔ.
• Dɔlélewo didi.
• Emegbe woawɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò.

Atikewɔwɔ ƒe ɖoɖo sia ateŋu anye atikewo kple tɔtrɔ le wò gbesiagbenuwɔnawo ŋu – le kpɔɖeŋu me, kamedede kple ŋuɖɔɖɔɖo le nusiwo nèɖuna kple nunono ŋu.

Ɣeaɖewoɣi la ɖɔkta siawo ate ŋu akpe ɖe ŋuwò nàɖe wò abɔ kple afɔ , ɣeaɖewoɣi wò agbe . Woate ŋu axe mɔ ɖe nɔnɔmewo abe ʋusɔgbɔdɔ ene nu, atɔ te ʋuka si me ʋu sina tona be wòagagbã o, eye woaɖe vevesese si ʋuka siwo xe hena vɛ dzi akpɔtɔ.

Azɔ hã, wowɔa dɔ vovovowo kple amekoko vovovowo tsɔ daa ʋuka me dɔlélewo. Esiawo dometɔ aɖewoe nye atikewɔwɔ siwo me womewɔa nu boo aɖeke le o , abe esiwo zãa catheter ene, to lãɖeɖe suesuesuewo me, kple amekoko sesẽ siwo wowɔna le gaglãgbe gɔ̃ hã , siwo me woɖea nu gãwo le. Ɣeaɖewoɣi la, wowɔa atike vovovowo hã siwo ƒoa mɔnu eveawo ƒe viɖewo nu ƒu.

Vevietɔ wu la, ʋukawo ƒe amekola adze si wò abe ame ɖekaɖeka ene eye wòana kpekpeɖeŋu wò ɣeyiɣi didi . Esia le alea elabena zi geɖe la, ʋukawo me dɔlélewo nyea nɔnɔme siwo nɔa anyi didi siwo hiã beléle na wo ƒe geɖe. Lãmesẽkuxi bubuwo hã le ame geɖe siwo ŋu ʋukawo me kuxiwo le la ŋu. Eyata woƒe atikewɔwɔ ƒe ɖoɖowo ate ŋu asesẽ vie wu. Le nɔnɔme mawo me la, ʋukawo ƒe amekolawo wɔa dɔ kple eŋutinunyala bibi bubuwo be woawɔ ɖoɖo ɖe wò beléle ŋu.

Dɔléle ka ƒomevie amesiawo daa?

Azɔ mina míalé ŋku ɖe dɔléle vevi siwo ʋuka me amekolawo daa dɔ na ŋu. Nuŋlɔɖi sia ate ŋu adidi vie, elabena wodaa dɔléle vovovowo:

• Aortic aneurysms - Esia nye ʋuʋudedi le wò aorta ƒe gli me.
• Atherosclerosis - Esia nye ʋukawo ƒe ʋuʋu ƒomevi si bɔ wu. Esiae nye esime ami siwo le ʋukawo me la ƒoa ƒu ɖe ʋukaawo me, si wɔnɛ be ʋukaawo me mekɔna o.
• Autoimmune diseases of the blood vessels - dɔléle siwo me dɔlélenutsiŋutete dzea ŋutilãa ŋutɔ ƒe lãmenugbagbeviwo dzi.
• Ʋu ƒe sisi - Esiawo ateŋu adzɔ le ʋukawo alo ʋukawo me.
• Carotid artery disease - Esia nye ʋuka gã aɖe si le kɔ me si naa ʋu naa ahɔhɔ̃a ƒe xexe alo eƒe ʋuʋu.
• Ahɔhɔ̃mekawo ƒe dɔléle - dɔléle siwo do ƒome kple ʋuka siwo naa ʋu ahɔhɔ̃a.
• Ischemia si nɔa anyi didi si ate ŋu ade abɔ kple afɔ afɔku me nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me si tsoa ʋu ƒe sisi na abɔ kple afɔ ƒe dɔmawɔmawɔ nyuie gbɔ.
• Ʋukawo ƒe dɔmawɔmawɔ nyuie si nɔa anyi didi si tsoa ʋuka siwo le afɔwo me ƒe gbegblẽ gbɔ.
• Vein deep thrombosis (DVT) ƒe ʋuka me ʋu ƒe sisi .
• Dialysis ƒe dɔwɔwɔ(Dialysis) Dzadzraɖo ɖe mɔɖeɖe ɖe nu ŋu kple edzikpɔkpɔ - Esia hiã na amesiwo ƒe ayiku mewɔ dɔ nyuie o.
• Afɔdzidede siwo do ƒome kple suklidɔ .
• Endoleak (ʋu si dona tso teƒe si mesɔ o) le atikewɔwɔ si me womezãa nu boo aɖeke le o na ʋuka si me ʋu sina tona vɔ megbe.
• Nɔnɔme si tso ʋuka aɖe si le ƒodo me ƒe tete me (Median arcuate ligament syndrome - MALS) .
• Ʋu si yia dɔgboa me dzi ɖe kpɔtɔ (Mesenteric ischemia) .
• Ƒodo ƒe ʋukawo ƒe tete (Nutcracker syndrome) .
• Ʋukawo kple lãmeka siwo le kɔ kple abɔwo me ƒe tete (Thoracic outlet syndrome) .
• Ʋuka siwo le afɔwo me ƒe ʋuʋu (Peripheral artery disease - PAD) .
• Ʋuka si le gota kple ʋuka siwo me ʋu sina tona .
• Popliteal artery ƒe ʋuʋu ƒe dɔléle .
• Vein aɖe si le akɔta ƒe tete (May-Thurner ƒe dɔléle) .
• Ʋusɔgbɔdɔ - Ɣeaɖewoɣi la, ʋuka aɖe ƒe xexe gbɔe esia tsona.
• Ʋuka me ʋu ƒe sisi le gotagome .
• Ʋuka siwo me ʋu sina tona .

Ne èlé ŋku ɖe xexlẽdzesi sia ŋu la, àte ŋu akpɔ alesi gbegbe ɖɔkta siawo daa dɔléle vovovowoe. Kuxi aɖewo siwo le ʋukawo me gbɔe dɔléle siawo katã tsona.

Dodokpɔ kawoe wozãna tsɔ dea dzesi dɔlélea?

Ʋukamedɔdalawo kple woƒe ƒuƒoƒowo zãa dodokpɔ vovovowo tsɔ dea dzesi ʋukawo me kuxiwo. Wo dometɔ aɖewoe nye esi:

• Ankle/brachial index (ABI) - Esia nye dodokpɔ bɔbɔe aɖe si tsɔa ʋu ƒe agbɔsɔsɔ si sina yia afɔwo me sɔna kple ʋu ƒe sisi le alɔnu.
• Akɔta ƒe X-ray - Esia ate ŋu anɔ vevie hã le ʋukawo ƒe kuxi aɖewo me.
• CT angiogram - Esia nye CT scan tɔxɛ aɖe si ate ŋu aɖe ʋukawo ƒe foto tsitotsito, le akpa etɔ̃ (3D) me.
• Magnetic resonance angiogram (MRA) - Esia nye scan ƒomevi bubu si wotsɔ léa ŋku ɖe ʋukawo ŋu. Ezãa MRI-mɔ̃ aɖe.
• Vascular ultrasound / Doppler ultrasound - Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe ʋu ƒe sisi le ʋukawo me ŋu eye wokpɔnɛ be ʋukawo xe mɔ hã. Esia nye dodokpɔ si me vevesese mele o eye wòle dedie.

Dodokpɔ siawo kpena ɖe ɖɔktawo ŋu wokpɔa nusi tututu nye kuxi si le wò ʋukawo ŋu.

Amekoko/atikewɔwɔ ka ƒomevie ame siawo wɔna?

Ŋutete le ʋukamedɔdalawo si be woawɔ dɔ vovovowo kple amekoko. Wonɔa te ɖe wò nɔnɔmea dzi wɔa esia katã, eye wotiaa mɔnu si sɔ na wò wu. Wo dometɔ aɖewoe nye esi:

• Amekoko na ʋuka siwo me ʋu sina tona(Aneurysm surgery) - Esiawo ateŋu anye amekoko siwo wowɔna le gaglãgbe si wowɔna le kɔnu nu.
• Angioplasty - Dɔwɔwɔ si wotsɔ ɖea ʋuka alo ʋuka si me ʋu sina tona le ʋuka alo ʋuka me ɖa eye woʋua ʋukaa to ʋuʋudedi dodo me. Ɣeaɖewoɣi la, wotsɔa stent , si nye mɔ̃ sue aɖe si wotsɔa lãgbalẽ wɔe, dea eme be ʋukaa nanɔ ʋuʋu ɖi.
• Atherectomy - Ami siwo le ʋukawo me (plaque) ɖeɖeɖa le ʋukawo me si me womewɔa nu boo aɖeke le o.
• Endarterectomy - Mɔnu bubu si wozãna tsɔ ɖea ami siwo le ʋukawo me ɖa to amekoko me (e.g., carotid endarterectomy).
• Endovascular repair of abdominal, thoracic and thoracoabdominal aortic aneurysms (EVAR, TEVAR) - Esia nye atikewɔwɔ si me wotsɔa ka si woɖena toa lãkusi sue aɖe me le akɔta eye wotoa mɔ̃ me, evɔ womatsoe gã aɖeke o.
• Amekoko si wowɔna tsɔ toa ʋuka gãwo kple ʋuka siwo le abɔ kple afɔwo me ƒe xexe - to mɔ si xe mɔa dzi eye woawɔ mɔ yeye to ʋuka kakɛ aɖe si woɖe tso ŋutilã ƒe akpa bubu alo mɔ̃ si wowɔ kple asi zazã me.
• Popliteal entrapment amekoko.
• Stent dede ʋukawo me.
• Vena cava filter placement - Filter sue aɖe si woda ɖe vein gã la me be wòaxe mɔ na ʋu ƒe sisi si dzɔna le afɔwo me be wòagazɔ mɔ ayi dzi alo lãkusi me o.
• Transcarotid artery revascularization (TCAR) be ʋu sina toa ʋuka siwo le kɔ me me nanyo ɖe edzi.
• Dɔwɔwɔ na akɔta be woatsɔ aɖɔ ʋukawo kple lãmeka siwo le kɔ kple abɔwo me ƒe tete ɖo.
• Dzadzraɖo kple beléle na mɔ siwo dzi woato age ɖe eme (e.g. fistula, graft) hena ʋumenugbagbeviɣidɔ .
• Thrombectomy nye ʋu si le ʋukawo alo ʋukawo me ɖeɖe ɖa.
• Atikewo nana be woatsɔ alɔ ʋu ƒe sisi (Thrombolytic therapy - clot busters) .
• Amekoko le gaglãgbe be woaɖɔ median arcuate ligament syndrome ɖo .
• Amekoko le gaglãgbe be woatsɔ aɖɔ ʋuka si me ʋu sina tona (Nutcracker syndrome) ɖo .
• Endovascular ablation of insufficient veins - Esia nye atike na veins siwo gbɔdzɔ, siwo le dodom le afɔwo me to laser alo radiofrequency waves zazã me.

Nukatae wole wò ɖom ɖe ʋukawo ƒe amekola gbɔ?

Wò dɔnɔdzikpɔla gbãtɔ ate ŋu aɖo wò ɖe ʋukawo ƒe amekola gbɔ ne dɔléle aɖe le ŋuwò si na wò ʋukawo mele dɔ wɔm nyuie o. Bu eŋu kpɔ, ʋuka siwo le lãmesẽ me tsɔa ʋu yia wò ŋutilã ƒe akpa sia akpa. Eyata ne ʋuka ɖeka gblẽ la, ate ŋu agblẽ nu le ametia katã ŋu. Esia tae ʋukawo ƒe amekolawo wɔa akpa vevi aɖe le nusi gblẽ la didi kple wo ɖɔɖɔɖo me ɖo.

Zi geɖe la, ame doa go ʋukawo ƒe amekola zi gbãtɔ ne ehiã beléle tɔxɛ sia ƒomevi. Gake ɣeaɖewoɣi, abe le atikewɔwɔ ƒe nɔnɔme kpata aɖe me ene la, àte ŋu ado go ɖeka le vome.

Nya ‘amekola’ ate ŋu ado vɔvɔ̃ na ame vie. Ame akpa gãtɔ menya nusi tututu ʋukawo ƒe amekola nye o vaseɖe esime wohiã ɖeka. Gake le nyateƒe me la, ɖɔkta siawo wɔa nu geɖe wu amekoko ko. Wotsɔa atikewo, agbenɔnɔ ƒe tɔtrɔ, kple dɔdamɔnu siwo me womewɔa nu boo aɖeke le o daa kuxi vovovowo.

Gake ne wowɔ dɔ na wò la, ahiã be nàyi edzi ayi ɖɔkta sia gbɔ be wòalé ŋku ɖe wò nɔnɔmea ŋu le ewɔwɔ vɔ megbe. Emegbe, mia kple ɖɔktaa miate ŋu awɔ dɔ ɖekae alé ŋku ɖe kuxi yeye ɖesiaɖe si ado mo ɖa ŋu.

Ne wò ɖɔkta ɖo wò ɖe ʋukawo ƒe amekola gbɔ la, nyabiase geɖe ate ŋu anɔ asiwò. ‘Nukatae wòhiã be makpɔ ɖɔkta sia?’, ‘Nukae adzɔ emegbe?’, ‘Ðe wòahiã be woawɔ dɔ nama?’ Nenɔ susu me na wò be esi ʋuka me amekolawo daa dɔ vovovowo eye atike vovovowo le wo si ta la, ɖewohĩ mahiã be woawɔ dɔ na wò o. Gake ne ehiã be woawɔ dɔ na wò la, wò ɖɔkta aɖe nusitae kple nusi tututu ava dzɔ la me na wò. Dzro nyabiase alo dzimaɖitsitsi ɖe sia ɖe si anɔ mewò la me kpli wo. To mɔ sia dzi la, àte ŋu akpɔ beléle si sɔ na wò, tso dɔléle didi dzi va ɖo hayahaya dzi.

Ðo ŋku edzi kpuie.

Enyo, eyata mina míaɖo ŋku nu vevi ʋɛ aɖewo dzi na wò kpuie tso nusiwo ŋu míeƒo nu tsoe me:

• Ʋukawo ƒe amekola nye eŋutinunyala bibi aɖe si daa ʋukawo katã ƒe dɔlélewo negbe wò dzi kple ahɔhɔ̃ koe mele eme o.
• Menye amekoko koe ame siawo wɔa o. Wozãa nu geɖe abe atikewo, agbenɔnɔ ƒe tɔtrɔ, kple atikewɔwɔ suesuesuewo ene.
• Ne èsusu be ʋukawo me kuxi aɖe le ye ŋu , alo ne wò ɖɔkta ɖo ye ɖe dɔdala bibi ma tɔgbe gbɔ la, mègatsi dzodzodzoe o.
• Srɔ̃ nu tso wò nɔnɔmea kple atikewɔwɔ ŋu. Ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta gaglãa.
• Ʋukawo ƒe lãmesẽ le vevie ŋutɔ na míaƒe ŋutilã bliboa ƒe lãmesẽ , eyata enyo be míalé be nɛ.

Eyata, mele mɔ kpɔm be fifia èse ʋukawo ƒe amekolawo gɔme nyuie wu. Ne nya aɖe le asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple ɖɔkta me o!

` Ʋukawo ƒe Amekola, Ʋukawo ƒe Dɔlélewo, Ʋukawo, Veins, Amekoko, Ʋu ƒe Ʋuʋu