Ðe ɖɔktaa tsɔ nuƒomɔ̃a de kɔ na wò hegblɔ na wò be èse gbeɖiɖi wɔnuku aɖea? Mina míaƒo nu tso (Carotid Bruit) sia ŋu!

Èkpɔ ɖɔkta aɖe wòtsɔ nuƒomɔ̃ le kɔ ƒe akpa eveawo ɖo to wò kpɔa? Ne èle to ɖom la, ɖɔkta ate ŋu ase "whooshing" gbeɖiɖi aɖe ɣeaɖewoɣi tso ʋuka siwo le wò kɔ me , alo gbeɖiɖi aɖe abe tsi si le du dzi to wo me ene. Emae nye nusi míeyɔna be ``Carotid Bruit'' (woyɔnae be "carotid bruee"). Esia menye nusi wòle be woavɔ̃ na o, gake ele vevie be míanɔ ŋudzɔ.

Nukae nye gbeɖiɖi wɔnuku sia si woyɔna be `(Carotid Bruit)`?

Kpuie ko la, `(Carotid Bruit)` nye gbeɖiɖi si mebɔ o, si me tɔtɔ le, si dzɔna ne ʋu le sisim le ʋuka vevi ɖeka alo esi wu nenema me le wò kɔ me, si nye `(Carotid Artery)`. Kpɔe ɖa le susu me, abe tɔsisi si fa miamiamia si ƒo kpe aɖe zi ɖeka eye wòdze sisi gɔme zitɔtɔ ene. Aleae míeyɔna be `(Turbulent Flow)` ne ʋu le sisim le ʋukawo me, le esi teƒe be wòazɔ nyuie eye wòato mɔ ɖeka dzi, gake le mɔ si me zitɔtɔ kple zitɔtɔ le vie nu . `(Carotid Artery)` ʋuka siawoe hea oxygen kple nunyiame siwo wò ahɔhɔ̃ hiã vɛ . Eyata ne kuxi aɖe le ʋuka siawo ŋu la, ate ŋu akpɔ ŋusẽ ɖe míaƒe ahɔhɔ̃ ƒe dɔwɔwɔ dzi.

Ðɔkta ate ŋu ase `(Carotid Bruit)` ƒe gbeɖiɖi sia le vome ne ɖɔkta le wò dom kpɔ. Gbeɖiɖi sia sese ateŋu anye dzesi be wò `(Carotid Artery)` xaxa le ami siwo le eme ta (míeyɔa esia hã be `(Plaque)`) . Ke hã, ɣeaɖewoɣi la, amesiwo ŋu `(Carotid Artery)` le lãmesẽ me hã ate ŋu ase gbeɖiɖi sia. Azɔ hã, ɖewohĩ ame aɖewo mase gbeɖiɖi sia o ne woƒe ʋukawo le kpuie ŋutɔ gɔ̃ hã. Eyata ɖɔkta zãa dzesi sia si nye `(Carotid Bruit)` abe aɖaŋunu si lolo wu ƒe akpa sue ɖeka ko ene. Eyae nye be gbeɖiɖi sia sese ɖeɖe mefia be dɔléle sesẽ aɖe le ŋuwò o, ɖeko wònye kpekpeɖeŋu le nyametsotso wɔwɔ me nenye be ehiã be nàgawɔ dodokpɔ bubuwo ahawɔ atike nɛ.

Aleke `(Carotid Bruit)` ƒe gbeɖiɖi le?

`(Carotid Bruit)` ƒe gbeɖiɖi sia sɔ kple tɔsisi si sina kabakaba ƒe gbeɖiɖi , gbeɖiɖi si le abe "hush hush" ene. Màte ŋu ase nya sia le ɖokuiwò si o. Ne ɖɔkta te eƒe nuƒomɔ̃ (dɔwɔnu si wodona ɖe wò akɔta alo akɔta) ɖe wò kɔ ƒe akpa vovovowo blewuu heɖo to ko hafi nàte ŋu ase gbeɖiɖi sia. Ðɔktaa ate ŋu abia tso asiwò be nàgbɔ ya eye nàlée ɖe asi vie. Eyae nye be woaɖo to ʋu si le sisim ƒe ɖiɖi nyuie.

Ne ɖɔkta se ``Carotid Bruit'' abe esia ene la, aɖe eme na wò, nusi ateŋu afia, kple nenye be ehiã be nàgawɔ dodokpɔ bubuwo. Eyata, mègatsi dzi o, enyoa?

Nukatae `(Carotid Artery)` sia wɔa gbeɖiɖi sia? Nukawoe gbɔ wòtsona?

Nu vevitɔ si gbɔ ``Carotid Bruit`` sia tsona wue nye nɔnɔme si woyɔna be ``Atherosclerosis`` .

Ʋukawo me ʋu ƒe sisi ye nye futɔ vevitɔ!

`( Atherosclerosis )` nye atikewɔwɔ me nya. Kpuie ko la, efia be ami aɖe, ne míagblɔe tututu la, `(Plaque)`, le ʋukawo (ʋukawo) me le wò ŋutilã me, eye teƒe si ʋu nate ŋu atso le ʋuka mawo me (míeyɔnɛ hã be `(Lumen)`) dzi ɖena kpɔtɔna vivivi. Bu eŋu kpɔ be le ɣeyiɣi aɖe megbe la, ɖiƒoƒo ƒoa ƒu ɖe tsi ƒe pɔmpi me eye wòxea pɔmpia, nenema ke ami siawo `(Plaque)` hã ​​ƒoa ƒu ɖe míaƒe ʋukawo me, si wɔnɛ be teƒe si ʋu nate ŋu atso la dzi ɖena kpɔtɔna. `(Plaque)` ƒe ƒuƒoƒo sia ateŋu ahe ʋu ƒe sisi vɛ. Ʋu ƒe sisi sia ate ŋu atɔ te ʋu ƒe sisi le afisi wòdzɔna le, alo ate ŋu azɔ mɔ kple ʋua eye wòaxe ʋuka aɖe le teƒe bubu.

Eyata ne kpe gbadzɛwo ƒo ƒu ɖe wò Carotid Artery me eye wòna ʋukaa me xaxa la, míeyɔnae be Carotid Artery Stenosis . Carotid Bruit sese ate ŋu anye dzesi be nɔnɔme sia ate ŋu anɔ ŋuwò.

Ðo ŋku edzi be `(Carotid Artery)` ye naa ʋu si me oxygen sɔ gbɔ ɖo míaƒe ahɔhɔ̃ . Eyata, ne ʋuka sia va xe kple `(Plaque)` la, ke èle afɔku gã aɖe me be `(Transient Ischemic Attack - TIA)` (míeyɔa esia hã be ʋu ƒe sisi na ahɔhɔ̃a ƒe nutsotso hena ɣeyiɣi aɖe, ame aɖewo yɔnɛ be "mini stroke"), alo `(Ischemic Stroke)` (lãmeka si tso ʋuka si naa ahɔhɔ̃a ƒe xexe gbɔ). Le nɔnɔme siawo evea siaa me la, ʋu si sina yia ahɔhɔ̃a me dzi ɖena kpɔtɔna alo buna keŋkeŋ.

Esia tae wòle vevie be nànya ne ` (Carotid artery stenosis) ` le ŋuwò eye ne ele nenema la, alesi gbegbe wòsẽe. `(Carotid Bruit)` nye nuxlɔ̃amedzesi ko, megblɔa `(Plaque)` agbɔsɔsɔme si tututu le asiwò na wò o. Eyata ɖɔkta matso nya me be `(Carotid Artery Stenosis)` le ŋuwò to `(Carotid Bruit)` ƒe amesinɔnɔ ko me o, ke boŋ azãe abe afɔɖeɖe gbãtɔ ene atsɔ aku nu me yi ŋgɔe.

Ðe susu bubuwo ate ŋu anɔ anyia?

Togbɔ be ʋumenugbagbevi dzĩwo ƒe ƒuƒoƒoe nye nusi gbɔ carotid bruit tsona wu hã la, ate ŋu atso tɔtrɔ siwo va le ʋukawo ƒe wɔwɔme me hã gbɔ. Le kpɔɖeŋu me, amesiwo ŋu dɔléle siwo mebɔ o abe Fibromuscular Dysplasia (FMD) ene le hã ate ŋu ase carotid bruit. Wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu be yeadze agbagba anya nusi gbɔ wò carotid bruit tso.

Ðe `(Carotid Bruit)` ƒe amesinɔnɔ nye nu vevi aɖea?

``Carotid Bruit'' nyea kuxi sesẽ aɖe ƒe dzesi ɣeaɖewoɣi.Ate ŋu adzɔ, gake medzɔna ɣesiaɣi o. Ɣeaɖewoɣi la, ele abe akaɖi dzĩ si gblɔna be ɖewohĩ `(Carotid Artery Stenosis)` le ŋuwò ene. Ne wò `(Stenosis)`, alo ʋuka ƒe ʋuʋu sesẽ la, anɔ eme be ahiã be woawɔ atike na wò be woaɖe afɔku si le `(TIA)` alo `(Stroke) xɔxɔ me dzi akpɔtɔ. Wò ɖɔkta agblɔ na wò ne wò dɔlélea nu sẽ eye ne èhiã atikewɔwɔ. Eyata mègatsi dzodzodzoe eye nàɖo to nya si wò ɖɔkta agblɔ nyuie o.

Ðe ``Carotid Bruit'' ate ŋu anye nusi sɔa?

Ẽ, `(Carotid Bruit)` sese mefia ɣesiaɣi be `(Carotid Artery Stenosis)` le ŋuwò o. Ame aɖewo siwo ŋu `(Carotid Bruit)` le ate ŋu anye be `(Plaque)` ƒe ƒuƒoƒo ɖedzesi aɖeke manɔ woƒe ʋukawo me o, eye woate ŋu anɔ lãmesẽ me. Ame aɖewo ateŋu atrɔ le woƒe ʋukawo ƒe wɔwɔme me, si ateŋu anye nusi sɔ, alo ateŋu atso nɔnɔme aɖe abe `(FMD)` ene gbɔ. Esia tae `(Carotid Bruit)` nye afɔɖeɖe gbãtɔ ko le dɔléle siwo do ƒome kple `(Carotid Artery)` didi kple wo dada ƒe ɖoɖoa me.

Ne ɖɔkta gblɔ be ``Carotid Bruit'' aɖe li la, nukae adzɔ emegbe?

Ne wò ɖɔkta se ``Carotid Bruit'' la, ateŋu anye dzesi be nane gblẽ. Emegbe ɖɔkta ateŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ anya nɔnɔme si tututu le wò ``Carotid Artery'' me.

Nukawoe nye dodokpɔ bubu siwo woawɔ?

Dodokpɔ si wowɔna zi geɖe le ɣeyiɣi sia mee nye Carotid Duplex Ultrasound . Esia nye dodokpɔ si me vevesese mele o, si me womewɔa nuvevi ame o. Ate ŋu alé ŋku ɖe ʋu si le sisim le wò Carotid Artery me ŋu, nenye be ʋukaa xa, eye ne ele nenema la, alesi wòle kpuie. Eɖi ultrasound scan si wowɔna na vidada siwo le fu fɔm, gake wowɔa esia le kɔ dzi.

Ðe afɔkuwo hã kpɔa ŋusẽ ɖe edzia?

Ẽ, ne `(Carotid Bruit)` le ŋuwò, eye le ɣeyiɣi ma ke me la , afɔku ɖeka alo esi wu nenema le asiwò na `(Carotid Artery Stenosis)` la, ɖɔktaa aɖe gbe godoo be woadoe kpɔ abe `(Carotid Duplex Ultrasound)` si míeyɔ va yi ene. Afɔku siawoe nye:

• Ne dzitodzito me dɔléle le ŋuwò la .
• Ne suklidɔ le ŋuwò (Ƒomevi 1 alo Ƒomevi 2).
• Ne ƒomea me tɔ aɖe xɔ ʋusɔgbɔdɔ kpɔ.
• Ne ʋusɔgbɔdɔ le ŋuwò la .
• Ne ʋumemi sɔ gbɔ ɖe wò ʋu me .
• Ne ètsi wu (zi geɖe la, èxɔ wu ƒe 65, alo èxɔ wu ƒe 55 ne afɔku bubuwo li).
• Peripheral Artery Disease, si nye dɔléle si nana ʋuka siwo le afɔ alo abɔwo me la xaxaNe eli.
• Atama kple sigaret zazã .

Zi alesi afɔku siawo sɔ gbɔ ɖe asiwò la, zi nenemae mɔnukpɔkpɔ si li be nàxɔ ``Carotid Artery Stenosis'' la lolonae.

Azɔ hã, ne woɖoe be woawɔ dzidɔ na wò abe `(Coronary Artery Bypass Grafting - CABG)` ene la, wò ɖɔkta ate ŋu adi be yealé ŋku ɖe wò `(Carotid Artery)` ƒe nɔnɔme ŋu hafi awɔ dɔ na wò. Esia le alea elabena ne `(Carotid Artery Stenosis)` le ŋuwò la, èle afɔku gã aɖe me be `(Stroke)` nadze dziwò le dzidɔ aɖewo wɔwɔ me alo le wo megbe. Ne nenemae la, woate ŋu ada dɔ na wò hafi woawɔ dɔ na wò be wòaɖe afɔku ma dzi akpɔtɔ.

Nukae nye esia ƒe atikewɔwɔ?

Menye amesiame si ŋu `(Carotid Bruit)` le lae ahiã atikewɔwɔ o. Ke hã, ame aɖewo ahiã atikewɔwɔ be woaɖe woƒe afɔku si le `(TIA)` alo `(Stroke)` xɔxɔ me dzi akpɔtɔ. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòana ʋu nazɔ nyuie to wò `(Carotid Artery)` me.

Atikewo tsɔ ɖu wo dzi

Zi geɖe la, vevietɔ ne wò ʋuka si me ʋu sina tona me mekɔ tututu o la, atikewoe nye atike gbãtɔ. Le wò nɔnɔmea nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Ʋu ƒe sisi ƒe atike .
• Atike siwo ɖea ʋumemi dzi kpɔtɔna .
• Ɣeaɖewoɣi la, wozãa atikewo abe aspirin ene, si xea mɔ na ʋu ƒe sisi.

Agbenɔnɔ ƒe tɔtrɔ le vevie ŋutɔ!

Tɔtrɔ aɖewo wɔwɔ le wò agbenɔnɔ me ate ŋu akpe ɖe ŋuwò ŋutɔ le ʋuka siwo me ʋu sina tona me ƒe ƒoƒo ɖe wò ʋukawo me dzi ɖuɖu me. Kpɔ egbɔ be yete nu siawo kpɔ:

• Ƒo asa na atamanono kple atamanuwo katã keŋkeŋ. Atama gblẽa nu le wò ʋukawo ŋu ŋutɔ. Enaa dɔléle geɖe, siwo dome dzidɔ hã le, xɔxɔ ƒe afɔkua dzina ɖe edzi. Ne èhiã kpekpeɖeŋu be nàdzudzɔ atamanono la, bia wò ɖɔkta, mɔ aɖewo li siwo dzi nàto awɔe.
• Ƒo nuɖuɖu si naa dzidɔ . Esia fia be woaɖu ami, sodium, kple sukli fũu akpa. Tsɔ lã siwo me ami mele o abe koklozi, koklozi, kple tɔmelã ene ɖɔ li lã dzĩ. Ƒo amagbewo, atikutsetsewo, mɔliwo, kple nukuwo geɖe wu.
• De kame edziedzi . Mègadze egɔme lolo akpa zi ɖeka o. Dze egɔme tso sue eye nàɖoe be yeade kame si nu sẽ abe miniti 150 ene kwasiɖa sia kwasiɖa. Anyo be nàbia wò ɖɔkta be nukae sɔ na wò eye wòle dedie na wò hafi nàdze kamedede ƒe ɖoɖo yeye aɖe gɔme.

Amekoko alo dɔ bubuwo wɔwɔ

Ne wò ``Carotid Artery Stenosis'' nu sẽ wu la, ateŋu ahiã be woawɔ dɔ na wò alo awɔ dɔ tɔxɛ bubuwo. Esiawo dometɔ aɖewoe nye:

• `(Carotid Endarterectomy ƒe ʋuʋu)`: Amekokoe nye esia. Esia bia be woaʋu `(Carotid Artery)` eye woaɖe `(Plaque)` si ƒo ƒu ɖe eme la ɖa.
• `(Carotid Angioplasty and Senting)` : Le esia me la, wotsɔa mɔ̃ sue aɖe si le abe balloon ene dea `(Carotid Artery)` si woɖe ɖe vovo la me eye wodoa ya ɖe eme be wòakeke ʋukaa. Emegbe la, wotsɔa mesh tube sue aɖe si woyɔna be `(Stent)` dea ʋukaa me be wòagaxe ake o.

Gake ɖo ŋku edzi be menye amesiame si ŋu ``Carotid Bruit'' le lae ʋu ƒona o eye ahiã be woawɔ atike nɛ. Ƒo nu kple wò ɖɔkta be nànya alesi tututu wò ``Carotid Bruit'' le ŋusẽ kpɔm ɖe dziwòe.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ne wò ɖɔkta gblɔ na wò be ``(Carotid Bruit)`` le ŋuwò la, mègatsi dzodzodzoe alo avɔ̃ o . Mefia kokoko be èle afɔku gã aɖe me o. Dzesi aɖe si ɖɔkta zãna tsɔ léa ŋku ɖe wò ʋukawo ƒe lãmesẽ ŋu koe wònye.

Eyata, ƒo nu tso esia ŋu kple wò ɖɔkta eye nànya nu geɖe. Azɔ hã, di nusiwo ate ŋu ana nàxɔ ʋukawo ƒe ʋuʋu (ʋukawo ƒe sesẽ) kple nusi nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ. Zi geɖe la, agbenɔnɔ si me lãmesẽ le ye nye mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso nɔnɔme siawo me. Wò lãmesẽ dzi kpɔkpɔ le asiwò!

` carotid bruit, toɣliɖeɖe le kɔ me, carotid ʋuka, ʋusɔgbɔdɔ, TIA, ʋukawo ƒe ʋuʋu, ʋukawo ƒe xexe, ʋu ƒe sisi yi ahɔhɔ̃a me