Ðe wò alɔnu le ʋuʋum eye nèle veve sema? Ðe esia ate ŋu anye Arterial Thoracic Outlet Syndromea?

Ðe nèse veve alo vevesese wɔnuku aɖe le wò alɔnu, alo vuvɔ le wò asi me kpɔa? Alo ɖe nède dzesii be wò alɔ ƒe amadede trɔna alo xɔa ɣeyiɣi didi hafi wòhayana le lãɖeɖe vɔ megbea? Mègatsɔe ko be nusiawo nye nusiwo sɔ o. Esia ateŋu anye atikewɔwɔ ƒe nɔnɔme aɖe si woyɔna be `(Arterial Thoracic Outlet Syndrome)` ƒe dzesi. Mina míaƒo nu tso esia ŋu tsitotsito eye míaƒo nu tso eŋu egbea ko.

Nukae nye esia `(Arterial Thoracic Outlet Syndrome)`? Mina míase egɔme bɔbɔe ŋutɔ, alo?

Kpuie ko la, `(Arterial Thoracic Outlet Syndrome)` nye ne míaƒe ʋuka veviwo (ʋukawo) dometɔ ɖeka ƒo ɖe teƒe si le míaƒe kɔ kple kɔmeƒu dome (míeyɔa esia be `(Clavicle)`), si fia be, le teƒe si woyɔna be `(Thoracic Outlet)`. Ènyaa, ʋukawoe nye mɔ siwo tsɔa ʋu tso míaƒe dzi me yia ŋutilã bliboa me. Eyata, le amesi ŋu `(ATOS)` nɔnɔme sia le me la, ʋuka aɖe tsia ɖe teƒe sia si woyɔna be `(Thoracic Outlet).`

Bu eŋu abe tsi ƒe pɔmpi si xe, si wɔnɛ be tsi ƒe sisi dzi ɖena kpɔtɔna ene. Ne ʋuka aɖe xe alea la, ate ŋu axe mɔ na ʋu ƒe sisi. Ne womedae nyuie o la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ. Le ame aɖewo gome la, xexe sia ate ŋu ana ʋukaa ƒe gli nagbɔdzɔ eye wòado abe ʋuƒo ene. Míeyɔa esia be ``Aneurysm''. Eyata ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ eye nàdo wò kpɔ.

Amekae ate ŋu axɔ ``Arterial Thoracic Outlet Syndrome'' wu?

Abe Thoracic Outlet Syndrome ƒomevi ɖesiaɖe ene la, ebɔ ɖe nyɔnu siwo xɔ tso ƒe 20 va ɖo ƒe 50. Zi geɖe la, ʋukawo ƒe tete sia ƒomevi dzɔna le esi akɔta bubu (si woyɔna be vidzidɔ ƒe akɔta) le kɔa me ta, alo esi akɔta aɖe le teƒe si mesɔ o ta. Zi geɖe la, akɔtaƒu sia si sɔ gbɔ wu la nɔa míaƒe akɔta gbãtɔ tame.

Kuxi kawoe esia ate ŋu ahe vɛ? Nukatae esia nye afɔku?

Le nyateƒe me la, `(Arterial Thoracic Outlet Syndrome)` ye nye `(Thoracic Outlet Syndrome)` ƒe ƒomevi si me afɔku le wu . Ne womewɔ atike na `(ATOS)` sia nyuie o la, ateŋu ana ʋu ƒe sisi si me afɔku le nadzɔ le wò ʋukawo me. Ʋu ƒe sisi siawo ate ŋu axe mɔ na ʋu ƒe sisi yi wò abɔwo kple asiwo me. Togbɔ be ƒã ŋutɔ hã la, ʋu ƒe sisi siawo ateŋu azɔ mɔ ayi ahɔhɔ̃a hã me eye woahe nɔnɔmewo abe `(Stroke)` vɛ.

Eyata ne èsusu be Thoracic Outlet Syndrome ƒe dzesiwo le ye ŋu la, ele vevie be nàdi atike kaba ale si nàte ŋui.

Aleke gbegbee `(Arterial Thoracic Outlet Syndrome)` bɔe?

Ne míagblɔe tututu la, Thoracic Outlet Syndrome ƒomevi ɖesiaɖe mebɔ kura o. Nyatakaka aɖeke meli ku ɖe ame agbɔsɔsɔme si tututu le esi ŋu o. Gake esi woyɔna be Arterial TOS ye nye esi mebɔ boo o. Wokpɔa ƒomevi sia le dɔnɔ siwo mede Thoracic Outlet Syndrome le 100 ɖesiaɖe me o ŋu.

Nukae nye nusiwo gbɔ ``Arterial Thoracic Outlet Syndrome'' tsona?

Wodzia ame geɖe siwo ŋu ATOS le, abe alesi míegblɔe va yi ene, kple akɔta bubu (Cervical Rib) le kɔmeƒu (Clavicle) tame. Ʋuka si le míaƒe abɔ kple kɔmeƒu dome, si woyɔna be Subclavian Artery, tsɔa ʋu yia míaƒe abɔwo, asiwo, kɔ, kple ta gbɔ. Le Cervical Rib ma si sɔ gbɔ wu ta la, Subclavian Artery sia ate ŋu aƒo, axe mɔ na ʋu ƒe sisi, eye ʋu ƒe sisi ate ŋu adzɔ. Ʋuka siawo te ŋu gbãna ɣeaɖewoɣi eye wozɔna toa alɔnu, si xea mɔ na ʋu ƒe sisi.

Susu bubuwo hã ate ŋu akpɔ ŋusẽ ɖe esia dzi:

• Lolo akpa: Ne ame ƒe kpekpeme le dzidzim ɖe edzi la, wogadea nyaƒoɖeamenu bubuwo ƒunukpeƒewo dzi.
• Ŋutilã me Nuveviwɔame: Nuveviwɔame abe esiwo ʋufɔku hena vɛ ene.
• Tsitretsitsi Nyuie: Nuwo abe anyinɔƒe ɖeka ɣeyiɣi didi, bɔbɔ ɖe ŋgɔ ne èle dɔ wɔm, kple bubuawo ene.
• Fufɔfɔ (`(Fɔfɔfɔ)`).
• Ʋuʋu Gbugbɔgagblɔ: Le kpɔɖeŋu me, tenisƒomɔ̃ ʋuʋu, softball alo baseball tsɔtsɔ ƒu gbe, alo aɖaka kpekpewo kɔkɔ ɖe ta dzi.

Nukae nye `(Arterial Thoracic Outlet Syndrome)` ƒe dzesiwo? Aleke wokpɔa dɔlélea dzea sii?

Zi geɖe la, nɔnɔme sia ƒe dzesiwo ate ŋu agblẽ nu le wò asibidɛwo, asibidɛwo, alo asi bliboa ŋu. Dzesi si bɔ wue nye asi ɖeka ƒe ʋuʋu alo lãmetutudɔ. Dzesi siawo ate ŋu agblẽ ɖe edzi ne ètsɔ asi wɔ nane eye ate ŋu anyo ɖe edzi ne ègbɔ ɖe eme. Zi geɖe la, amesiwo ŋu ATOS le la mesea veve le kɔ alo abɔta o.

Esi wònye be ATOS ate ŋu aɖe wò ʋu ƒe sisi dzi akpɔtɔ ta la, àte ŋu ade dzesi nu siawo tɔgbe le wò asibidɛwo, asiwo, alo abɔwo me:

• Vuvɔ ƒe nɔnɔme.
• Nu ƒe ʋuʋu alo ʋuʋudedi ƒe seselelãme.
• Vevesese (`(Vevesese)`).
• Amadede ƒe Tɔtrɔ si me kɔ.
• Abi siwo le hayahayam blewu.

Bu eŋu kpɔ, Nilanthi Akka wɔa dɔ le kɔmpiuta dzi tso ŋdi vaseɖe zã me. Edze vevesese wɔnuku aɖe sem le eƒe ɖusibɔ me kple ʋuʋudedi vi aɖe. Ɣeaɖewoɣi la, eƒe asi fa miamiamia. Esusu be ɖeɖiteameŋu gbɔe wòtso. Gake ne dzesi siawo le dzidzim ɖe edzi vivivi la, ate ŋu anye `(ATOS)`.

Aleke ɖɔktawo wɔa anya dɔléle sia (Arterial Thoracic Outlet Syndrome)?

Ne ``Arterial Thoracic Outlet Syndrome'' ƒe dzesiwo le ŋuwò la, wò ɖɔkta ado wò kɔ kple abɔta ƒe akpa aɖe kpɔ gbã. Woabia tso asiwò be nàwɔ ʋuʋu aɖewo atsɔ alé ŋku ɖe wò ƒunukpeƒewo ƒe ``Range of Motion'' ŋu.

Ðɔktaa adzidze wò ʋu ƒe sisi hã eye wòabia wò dzesiwo hã. Ne wosusu be ATOS le wo ŋu la, woate ŋu awɔ dodokpɔ bubu aɖewo atsɔ akpɔ wò Thoracic Outlet.

Dodokpɔ kawoe wole wɔwɔm na esia?

Esia tututue nye nɔnɔme si le ``Arterial Thoracic Outlet`` gomeÐo nya me le `(Imaging Tests)` ŋu, siwo nye dodokpɔ siwo léa ŋku ɖe wò ŋutilã me. Woate ŋu awɔ dodokpɔ siawo atsɔ alé ŋku ɖe wò ʋukawo, ʋu ƒe sisi, kple ememenuwo ŋu:

• Ultrasound scan: Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe ŋutilãa me, vevietɔ be woakpɔ alesi ʋu le sisim. Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wozãna tsɔ dea dzesi dɔléle sia.
• Arteriogram: Wotsɔa mɔ̃ sue aɖe si le tsɛ (catheter) kple tsi tɔxɛ aɖe (contrast dye) dea wò ʋukawo me, eye woɖea X-ray.
• CT scan: Woɖea X-ray siwo kplɔ wo nɔewo ɖo tsɔ wɔa nɔnɔmetata siwo me kɔ nyuie.
• MRI scan (`(MRI)`): Ezãa radio ƒe ƒutsotsoewo kple magnet-ŋusẽ tsɔ ɖea foto tsitotsito.
• X-ray (`(X-ray)`): Wozãa keklẽŋusẽ ƒe agbɔsɔsɔme tsɔ ɖea fotowo.

Nukae nye atikewɔwɔ na `(Arterial Thoracic Outlet Syndrome)`?

Anɔ eme godoo be amekokoe wotsɔ daa dɔléle sia si woyɔna be Arterial Thoracic Outlet Syndrome. Gake hafi woawɔ dɔ na wò la, wò ɖɔkta ate ŋu aŋlɔ atike siwo naa ʋu mekɔna o, abe Warfarin (Coumadin®) alo Heparin (Hep-LockTM) ene na wò. Woate ŋu adze agbagba hã be yewoaɖe ʋumenugbagbeviɣi ɖesiaɖe si li xoxo la ɖa to atike sisi alo mɔnu bubuwo dzi.

Le amekoko me la, ɖɔkta ate ŋu awɔ nanewo abe:

• Woɖea wò akɔta si sɔ gbɔ wu (`(Cervical Rib)`) ƒe akpa aɖe ɖa, si wɔnɛ be nyaƒoɖeamenua dzi ɖena kpɔtɔna.
• Wodoa ʋuka si le lãmesẽ me si woɖe tso wò ŋutilã ƒe akpa bubu (`(Arterial Graft)`) tsɔ ɖɔlia ʋuka si gblẽ.
• Wotsɔa mɔ̃ si wowɔ kple asi dea ʋuka si gblẽ la teƒe, si wɔnɛ be ʋu gazɔna.

Nukae míate ŋu awɔ atsɔ aɖe `(ATOS)` ƒe afɔku sia dzi akpɔtɔ?

Mɔ aɖeke meli si dzi nàto axe mɔ ɖe esia nu keŋkeŋ o, gake àte ŋu awɔ tɔtrɔ aɖewo le agbenɔnɔ me be nàɖe afɔku siwo ʋuwo ƒe ʋuʋu ahe vɛ ƒe afɔkua dzi akpɔtɔ:

• Lé kpekpeme nyui si sɔ ɖe wò ŋutilã ƒe ƒomevi, ƒe si nèxɔ, kple ŋutsu alo nyɔnu nyenye nu la me ɖe asi.
• Ƒo asa na akplo kpekpewo tsɔtsɔ ɖe abɔta ɖeka.
• Seɖoƒe na ʋuʋu le yame enuenu.
• Do ŋusẽ wò abɔta to kpekpeme kɔkɔ alo tsitretsitsi ƒe kamededewo wɔwɔ me.
• Wɔ kekeɖenudɔ na wò kɔ, abɔta, kple akɔta gbesiagbe.

Nukae nye mɔkpɔkpɔ na `(ATOS)` nɔnɔmea? Ðe wòle be míavɔ̃a?

Le nyateƒe me la, ne womewɔ atike na Arterial Thoracic Outlet Syndrome (ATOS) o la, ate ŋu ahe kuxi sesẽwo abe ʋu ƒe sisi, abɔ kple afɔ ƒe abixɔxɔ, kple (le nɔnɔme sesẽwo me) asibidɛwo ƒe bu ene vɛ. Gake nya nyuiae nye be zi alesi nèdi atike kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàkpɔ dzidzedze. Eyata ne dzesi aɖewo le ŋuwò si fia be ATOS ate ŋu anɔ ŋuwò la, yi ɖɔkta gbɔ enumake.

Nukae nèdi be yeanya tso ɖɔkta gbɔ?

Ne èdo go kple ɖɔkta la, àte ŋu abia nyawo abe:

• Nukae ate ŋu ahe nye dzesiawo vɛ wu?
• Dodokpɔ kawoe wòle be mawɔ be manya nusi tututu esia nye?
• Atikewɔwɔmɔnu kawoe li?
• Ðe atikewɔwɔ siwo menye amekoko o ada nye dzesiawoa?
• Tɔtrɔ kawoe mate ŋu awɔ le nye agbenɔnɔ ŋu be wòaɖe dzesiawo dzi akpɔtɔ?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Arterial Thoracic Outlet Syndrome (ATOS) nye dɔléle si gblẽa nu le ʋuka si le akɔta te si le akɔta ƒe dodo me ŋu. Esiae nye esime ʋukaa tena eye ʋukawo te ƒoƒo. Ʋuʋudedi siawo ate ŋu agbã eye woazɔ to alɔnu, si ana ame nase veve eye wòazu lãmetutudɔ. Atikewɔwɔ kaba ate ŋu aɖe kuxiwo ƒe afɔkua dzi akpɔtɔ. Ne ATOS ƒe dzesiwo le ŋuwò la, taflatse yi ɖɔkta gbɔ enumake. Mègatsi dzi o, woate ŋu akpɔ nɔnɔme sia gbɔ to atikewɔlawo ƒe aɖaŋuɖoɖo kple atikewɔwɔ nyuie me.

` thoracic outlet syndrome, arterial thoracic outlet syndrome, ATOS, abɔ ƒe vevesese, abɔ ƒe ʋuʋu, ʋu ƒe sisi, vidzidɔ ƒe akɔta, subclavian artery