Ðe wò akɔta le veve sem vevie kasia? Ðe wòate ŋu anye Acute Aortic Syndromea? Mina míaƒo nu tso eŋu!

Èbu nusi nàwɔ ne akɔta le veve sem vevie zi ɖeka la ŋu kpɔa? Ɣeaɖewoɣi la, ate ŋu anye gas, alo ate ŋu anye dzidɔ. Ke hã, egbea míele nu ƒom tso nudzɔdzɔ kpata aɖe si me afɔku le nenema ke, gake wòto vovo vie ŋu. Woyɔa esia be Acute Aortic Syndrome. Togbɔ be ŋkɔa aɖi nya sesẽ vie hã la, mina míase egɔme bɔbɔe.

Nuka tututue nye Acute Aortic Syndrome?

Kpuie ko la, esia nye ŋkɔ si bɔ na kuxi kpata geɖe siwo dzɔna le míaƒe ŋutilã ƒe ʋuka gãtɔ kekeake, si nye aorta . Bu eŋu abe tsipɔmpi ene. Pɔmpi sia maa ʋu ɖe ŋutilã bliboa me to pɔmpi gã aɖe dzi. Pɔmpi vevi mae nye nusi míeyɔna be aorta. Eƒua du toa akɔta eye wòtoa ƒodo me. Eyata, ``Acute Aortic Syndrome`` nye kuxi sesẽ aɖe si dzɔna le akɔta ƒe akpa si le aorta sia me, ``Thoracic Aorta`` alo ``Abdominal Aorta``.

Nu vevitɔ kekeakee nye be nɔnɔme siawo hiã kpata ŋutɔ eye woate ŋu ade ame ƒe agbe afɔku me . Le go geɖe me la, ehiãna be woawɔ dɔ na ame. Eyata ele vevie ŋutɔ be míanya esia.

Nukawoe nye dɔléle sia ƒomevi vevitɔwo?

`(Acute Aortic Syndrome)` ƒomevi vevi etɔ̃e li. Na míakpɔ nusiwo wonye ɖa.

1. Acute Aortic Dissection: Esiae nye esi sesẽ wu eye wòbɔ wu le esiawo dome. Nusi dzɔna le afisiae nye be aɖatsi sue aɖe dona le ʋukaa ƒe gli ƒe eme, si wɔnɛ be ʋu toa eme le gli ƒe ƒuƒoƒoawo dome. Bu eŋu abe tsi ƒe pɔmpi si ŋu ƒuƒoƒo eve le ene, eye ne ƒuƒoƒo ɖeka gbã la, tsi ate ŋu ato ƒuƒoƒo eve mamlɛawo me. Esia ate ŋu ana aorta la nagbɔdzɔ eye wòana wòagbã gɔ̃ hã.

2. Intramural Hematoma: Esia nye esime ʋuka sue aɖe si le aorta ƒe gli me la gbã eye ʋu aɖewo ƒo ƒu ɖe ʋukaa ƒe gli me. Abe alesi ko ne ʋu ƒo ɖe míaƒe ŋutilã me ene la, etsina. Esia ate ŋu ava zu Aortic Dissection ɣeaɖewoɣi.

3. Penetrating Atherosclerotic Ulcer: Esia nye abi si dona le ʋuka ƒe gli me. Nɔnɔme sia bɔ ɖe amesiwo ami sɔ gbɔ ɖe ʋukawo me (ʋukawo me ʋu ƒe sisi) koŋ me. Abi sia ate ŋu aglo eye wòana ʋukaa ƒe gli nagbɔdzɔ.

Wo ame etɔ̃a katã do ƒome kple wo nɔewo eye woate ŋu atrɔ tso ɖeka me ayi bubu dzi. Eyata ele vevie be woadi atike na dɔléle siawo dometɔ ɖesiaɖe kaba.

Ðe dzesi siawo le ŋuwòa? Kpɔe ɖa be...

`(Acute Aortic Syndrome)` ƒe dzesi vevitɔ kple esi bɔ wue nye akɔtave sesẽ kpata, si womate ŋu ado dzi atsɔ o . Ame geɖe gblɔna be enye vevesese si wotsɔa yi ƒoa ame, si naa aɖatsi. Vevesese sia ate ŋu atso akɔta, ayi ƒodo me, alo ayi kɔ kple aɖu ƒe akpa aɖe gɔ̃ hã.

Tsɔ kpe ɖe eŋu la, dzesi bubu geɖewo ate ŋu anɔ eŋu:

• Ƒodo ƒe vevesese: Vevietɔ ne ʋuka si le ƒodo ƒe akpa si le ƒodo me la gblẽ.
• Akɔtave: Ate ŋu ava kple akɔtave.
• Alɔ̃madɔmadɔ alo ame ƒe susu ƒe dɔmawɔmawɔ nyuie: Le ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ ta.
• Afɔ alo afɔwo ƒe ʋuʋu alo esi gbɔdzɔ ŋutɔ: Esia tsoa ʋu ƒe sisi yi afɔwo me ƒe xexe gbɔ.
• Yagbɔgbɔ sesẽ
• Gbɔdzɔgbɔdzɔ
• Fifia ƒe ʋuʋu

Ðo ŋku edzi be ne èkpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema zi ɖeka la, ele be nàyi kɔdzi enumake, eye màhe ɖe megbe o . Esia nye nudzɔdzɔ kpata aɖe!

Nukatae esia dzɔna ɖo? Nukawoe nye susu siwo tae?

Nusi koŋ gbɔ afɔku ƒe nɔnɔme sia tsoe nye ʋusɔgbɔdɔ si dzi womeɖu o (Hypertension) . Ne nyaƒoɖeamenua nu sẽ ƒe geɖe la, míaƒe ʋukawo ƒe gliwo gblẽna eye wogbɔdzɔna. Esia dzia afɔku si le gbagbã kple gbagbã ƒomevi siawo me ɖe edzi.

Susu bubuwo ate ŋu anye:

• Aortic aneurysm: Esia nye ʋuʋudedi si le abe balloon ene le aorta me. Ʋuʋudedi sia gbɔdzɔ eye ate ŋu agbã alo agbã bɔbɔe.
• Aortic Valve Defects: Aortic valve ƒe gbɔdzɔgbɔdzɔ aɖewo siwo wodzina le dzia me hã ate ŋu ana afɔku sia nadzi ɖe edzi.
• Ami siwo le ʋukawo me (Atherosclerosis): Esia nana ʋukawo xana, wotsina, eye wogbɔdzɔna.

Amekae ate ŋu atu esia ɖo wu? (Afɔku siwo ate ŋu ahe ame) .

Ame aɖewo ate ŋu axɔ `(Acute Aortic Syndrome)` sia wu ame bubuwo. Na míakpɔ amesiwo wonye ɖa:

• Ame siwo ŋu ``Aortic Aneurysm'' dɔléle le xoxo.
• Ame siwo ŋu dɔléle aɖe si woyɔna be aortic coarctation (aorta gã la ƒe ʋuʋu).
• Ame siwo ŋu Bicuspid Aortic Valve Disease (si nye dzitodzito ƒe dɔmawɔmawɔ nyuie) le.
• Ame siwo ŋu domenyiŋusẽfianu ƒe nɔnɔme aɖewo le: Le kpɔɖeŋu me, nɔnɔmewo abe `(Marfan ƒe dɔléle)`, `(Turner ƒe dɔléle)` alo `(Ehlers-Danlos ƒe dɔléle).` Esiawo nana ŋutilã ƒe kadodoŋusẽ gbɔdzɔna. Esi wònye be lãkusi sia ƒomevie le ʋukaa me ta la, ate ŋu agbɔdzɔ hã.
• Ame siwo ŋu ʋusɔgbɔdɔ le: Esiae nye afɔku vevitɔ.

Tsɔ kpe ɖe esiawo ŋu la, afɔku bubu geɖewo hã li:

• Ƒe: Afɔku sia lolo wu na amesiwo xɔ wu ƒe 60.
• Atike vɔ̃ɖiwo zazã: Esia ate ŋu adzɔ vevietɔ le amesiwo zãa atike vɔ̃ɖiwo abe cocaine ene gome.
• Kpekpeme kɔkɔ si me ŋusẽ le ŋutɔ: Afɔku ate ŋu adzi ɖe edzi ɣeaɖewoɣi.
• Fufɔfɔ: Ƒã ŋutɔ la, nɔnɔme sia dzɔ le vidada funɔ siwo me afɔku bubu aɖeke mele o hã ŋu.
• Na:Anɔ bɔbɔe be ŋutsuwo naxɔ dɔléle sia.

Aleke ɖɔktawo dea dzesi esiae? (Dɔléle ƒe dzesi) .

Ne èyi kɔdzi kple dzesi siwo míeyɔ va yi la, ɖɔktawo awɔ dodokpɔ ʋee aɖewo kaba akpɔe ɖa be esia nye ``Acute Aortic Syndrome'' hã.

Dodokpɔ ƒomeviwo

• CT scan: Esiae nye mɔ nyuitɔ kekeake si sɔ pɛpɛpɛ wu si dzi woato anya dɔléle sia (sikadzidzenu) . Ele abe míaƒe ŋutilã ƒe akpa si le eme ƒe fotoɖeɖe le 3D me ene. Esia ate ŋu akpɔ alesi ʋukaa ƒe nɔnɔme le, eƒe dɔwɔwɔ, alesi ʋua sinae, nenye be gbagbã aɖewo le eme, alo ne ʋukawo le ƒoƒom.
• Akɔta ƒe X-ray: Esia ate ŋu ana woanya dzia kple ŋutinu siwo ƒo xlãe ƒe nɔnɔme le mɔ si mesɔ o nu. Ɣeaɖewoɣi la, ne ʋukaa lolo la, woate ŋu akpɔe hã.
• Coronary Angiogram: Esia léa ŋku ɖe dzitodzito me ʋuka siwo naa ʋu yia dzia me ƒe nɔnɔme ŋu.
• E.C.G. (Electrocardiogram - EKG): Esia doa dzia ƒe elektrikŋusẽ ƒe dɔwɔwɔ kpɔna. Esia kpena ɖe ame ŋu wòdea vovototo dzidɔ kple dzidɔ dome.
• Transthoracic Echocardiogram: Esia le abe dzia ƒe ultrasound scan ene. Ate ŋu alé ŋku ɖe dzia ƒe xɔwo, ʋukawo, kple ʋukawo ƒe nɔnɔme ŋu.

Ne ɖɔktawo wɔ dodokpɔ siawo la, woate ŋu aɖo kpe dɔlélea dzi kaba.

Nukawoe nye atike siwo wozãna na esia? Ðe míate ŋu akpɔ ɖeɖea?

Mɔnu si wozãna tsɔ daa dɔe nɔ te ɖe afisi ʋuka si me ʋu sina tona la gblẽ le dzi.

• Kuxi aɖe si le ascending aorta, si nye aorta ƒe akpa si yi dzia gbɔ ŋu la, hiã be woawɔ dɔ na ame kpata . Amekolawo ɖea ʋuka si me ʋu sina tona ƒe akpa si gblẽ la ɖa eye wotsɔa atike si wotsɔ lãgbalẽ wɔe ɖoa eteƒe . Le nɔnɔme sesẽ aɖewo me la, ahiã be woaɖɔli aortic valve hã.

• Ne kuxi aɖe le ʋukaa ƒe akpa si ɖiɖina eye wòdoa ka kple ʋuka bubuwo, si nye ʋuka si ɖiɖina la, woate ŋu atsɔ atike ada esia ɣeaɖewoɣi. Wona atike siwo léa ʋu ƒe sisi nu, abe beta-blockers alo vasodilators ene. Atike siawo wɔa dɔ to dzia ƒe tsotso blewu, ʋukawo keke, kple ʋukawo ƒe nyaƒoɖeamenu dzi ɖeɖe kpɔtɔ me. Gake ɣeaɖewoɣi la, kuxi siwo doa mo ɖa le akpa sia ŋu ate ŋu abia be woawɔ dɔ na ame alo ade ʋuka si me wotsɔa ʋuka ɖonae.

Nu vevitɔ kekeakee nye be zi alesi nèlala be yeadze atikewɔwɔ gɔme la, zi nenemae nɔnɔmea ate ŋu agblẽ nu le eŋu. Eyata kɔdzi yiyi kple atikewɔwɔ gɔmedzedze kaba le vevie ŋutɔ be woaɖe amewo ƒe agbe.

Nukae míate ŋu awɔ be míaƒo asa na nɔnɔme sia si me afɔku le? ( Aleke míawɔ aɖe afɔkua dzi akpɔtɔ?)

Be míatsi agbe le nɔnɔme sesẽ sia tɔgbe me la, ele be míalé be na míaƒe agbenɔnɔ.

• Kpekpeme si sɔ me léle ɖe asi:Lé kpekpeme nyui me ɖe asi le wò kɔkɔme, ƒe si nèxɔ, kple ŋutsu alo nyɔnu nyenye nu.
• Ʋu ƒe sisi dzi ɖuɖu: Esiae nye nu vevitɔ kekeake . Ne ʋusɔgbɔdɔ le ŋuwò la, no atike si wò ɖɔkta ŋlɔ na wò ɖe game dzi. Kpɔ wò ʋu ƒe sisi ɖa edziedzi.
• Atikewɔwɔ ƒe nɔnɔme bubu siwo gbɔ wòtso dzi kpɔkpɔ: Ne kuxiwo abe suklidɔ alo ʋumemi ene le ŋuwò la, kpɔ wo gbɔ nyuie le wò ɖɔkta ƒe mɔfiamewo nu.
• Dzudzɔ atamanono keŋkeŋ: Sigaretnono gblẽa nu le ʋukawo ŋu ŋutɔ.

Ne èwɔ ɖe afɔɖeɖe bɔbɔe siawo dzi la, àte ŋu aɖe afɔku si le nɔnɔme siwo me afɔku le abe ``Acute Aortic Syndrome'' ene xɔxɔ me dzi akpɔtɔ ŋutɔ.

Nukae adzɔ ne esia dzɔ? Ɣeyiɣi didi kae wòaxɔ hafi ahaya? (Dɔlélea ƒe nukpɔsusu) .

Acute Aortic Syndrome nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Zi geɖe la, ebiana be woawɔ dɔ na ame kpata. Wò hayahaya nɔ te ɖe alesi woawɔ atike na wò kaba dzi.

Nɔnɔme eve siwo nye `(Intramural Hematoma)` kple `(Penetrating Atherosclerotic Ulcer)` ƒe agbetsitsi ƒe agbɔsɔsɔme sɔ gbɔ wu `(Acute Aortic Dissection)`.

Le atikewɔwɔ vɔ megbe la, ahiã be nàyi edzi anɔ atikewɔlawo ƒe dzikpɔkpɔ te. Ahiã be woado wò kpɔ edziedzi be ʋu le dodom le ʋuka me alo ʋuka yeyewo ƒe wɔwɔme hã. Ele vevie ŋutɔ hã be nàlé wò ʋu ƒe sisi nyuie le wò agbemeŋkekewo katã me.

Mègaŋlɔ be be yeabia wò ɖɔkta tso nu siawo ŋu o.

Ne wokpɔe be Acute Aortic Syndrome le ŋuwò, alo nèsusu be yexɔe la, àte ŋu abia nya siawo wò ɖɔkta:

• Nukae ate ŋu ahe nye dzesiawo vɛ wu?
• Dzidɔ aɖe le ŋunye. Nukae nye nye afɔku be maxɔ `(Acute Aortic Syndrome)`?
• Nuka tututue nye `(Acute Aortic Syndrome)` ƒe dzesi siwo wòle be manya nu tsoe?
• Nukawoe nye atikewɔmɔnu siwo woate ŋu azã na esia? Wo dometɔ kae nyo nam wu?
• Dɔdamɔnu kawoe wòle be mawɔ le atikewɔwɔ vɔ megbe?

Kpuie ko la (Take-Home Message) .

Enyo, eyata àte ŋu aɖo ŋku nu vevi aɖewo dzi tso nusiwo ŋu míeƒo nu tsoe me.

Acute Aortic Syndrome nye dɔléle si dzɔna kpata, si dea ame ƒe agbe afɔku me, si dzɔna le aorta me.

Dzesi vevitɔe nye akɔtave sesẽ kpata . Vevesese sia ate ŋu akeke ɖe akɔta kple ƒodo hã me.

Ʋusɔgbɔdɔe nye nusi koŋ gbɔ esia tsona.

Ne èkpɔ dzesi siawo la , yi kɔdzi enumake. Atikewɔwɔ kabakaba ate ŋu axɔ wò agbe.

Woate ŋu aɖe afɔku sia dzi akpɔtɔ ne wonɔ agbe le lãmesẽ me eye woɖu ʋu ƒe sisi dzi.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ƒomea ƒe ɖɔkta me o. Nɔ lãmesẽ me!

`Acute Aortic Syndrome, Aorta, Akɔtave, Ʋusɔgbɔdɔ, Dzidɔ, Amekoko Kpata