Egbea, míadzro nu vevi aɖe si le vevie na wò ŋutilã me. Bu wò ɖoɖoa ŋu abe pɔmpi si le aƒe me ene; “mɔ̃” suesuesue siwo tsɔa nunyiame kple ɔksidzin yia wò ŋutilã bliboa me la ƒe kadodo sesẽ aɖe le asiwò. Woyɔa esiawo be wò ʋukawo . Kpuie ko la, míate ŋu anɔ agbe wo manɔmee o.
Nukawoe nye ʋuka vovovoawo?
Ðe ʋuka ƒomevi vovovowo lia? Ẽ, hatsotso vevi evee li. Woƒe taɖodzinu ɖekae nye be woatsɔ ʋu dzadzɛ si me oxygen sɔ gbɔ ɖo tso wò dzi me ayi wò ŋutilã ƒe dzogoe ɖesiaɖe dzi.
Ƒomevi gbãtɔe nye ʋuka siwo te ŋu trɔna . Bu wicketkeeper aɖe si lé kriket bɔl si zɔna kabakaba ŋu kpɔ; ele be woaxɔ ŋusẽ ma si dze wo ŋu le gɔmedzedzea me, si me nyaƒoɖeamenu sesẽ le. Nenema ke ʋuka siawo hã wɔnɛ, woxɔa ʋu si me ʋu sina tona tẽ tso wò dzi me hafi tsɔnɛ toa eme.
Ƒomevi eveliae nye lãmekawo ƒe ʋukawo . Abe alesi fefewɔla ma ke ƒua du ɣemaɣi be yeatsɔ bɔl la ayi afisi wòle be wòayi ene la, ʋuka siawo maa ʋu ma ɖe lãkusi vovovo siwo le wò ŋutilã katã me.
Kpuie ko la:
- Ʋuka siwo te ŋu ʋãna: Ka siwo te ŋu trɔna la sɔ gbɔ ɖe esiawo me, si wɔnɛ be woate ŋu akeke ahagbugbɔ abe rababa ene. Wole teƒe si te ɖe dzia ŋu wu. Kpɔɖeŋu aɖewoe nye aorta kple aklã ƒe ʋuka .
- Lãmetsiwo ƒe ʋukawo: Lãmetsiwo ƒe ka siwo le gbadzaa wu le esiawo me. Woawoe nye be woama ʋu ɖe ŋutilã ƒe akpa aɖewo koŋ me. Kpɔɖeŋu aɖewoe nye afɔkpodzi ƒe ʋuka (le wò afɔ me), ʋuka si le ŋgɔgbe (le wò asibidɛ gbɔ, afisi nèsea wò ʋu ƒe sisi le), kple abɔta ƒe ʋuka (le wò abɔta).
Vovototo kae le ʋukawo kple ʋukawo dome?
Ame geɖe tɔtɔa ʋukawo kple ʋukawo. Mina míana vovototoawo me nakɔ.
Ʋukawo ƒe ʋukawo
- Wotsɔa ʋu dzadzɛ si me oxygen sɔ gbɔ ɖo tso wò dzi me yia ŋutilã ƒe akpa mamlɛa.
- Woƒe gliwo sesẽ eye lãmekawo le wo ŋu elabena ele be woanɔ te ɖe ʋu ƒe nyaƒoɖeamenu nu ɣesiaɣi si wò dzi le ƒoƒom.
- Ʋukawo mekpɔa ʋukawo o; ŋusẽ si wò dzi hena vɛ la sɔ gbɔ be wòana ʋu nayi edzi anɔ zɔzɔm ɖe mɔ ɖeka dzi.
Veins
- Ne wò lãmenugbagbeviwo kple lãkusiwo zã ɔksidzin vɔ la, ʋuka siawo tsɔa ʋu si me oxygen vɔ le (si me oxygen mele o) la trɔna yia wò dzi me.
- Ʋukawo ƒe gliwo le tsɛ wu ʋukawo elabena ʋu ƒe sisi le wo me ɖiɖina ŋutɔ.
- Valvɔwo le ʋukawo me be ʋu nagage ɖe megbe o.
Aleke ʋukawo kpena ɖe wò ŋutinuwo ŋu wowɔa dɔe?
Dɔ vevitɔ si wò ʋukawo wɔnae nye be woana ɔksidzin kple nunyiamewo nayi edzi. Wò dzi tsɔa ʋu sia si me ɔksidzin le la yia ŋutilãa ƒe ʋuka gãtɔ kekeake si nye aorta . Tso afima la, eɖea alɔ ɖe ʋuka suesuesuewo me, eye wòkakana ɖe wò ŋutilã katã me abe lãgbalẽ ene.
Ðo ŋku edzi be wò ŋutilã ƒe ŋutinu ɖesiaɖe hiã ɔksidzin kple nunyiame sia hafi wòate ŋu awɔ dɔ. Wò ʋukawoe nye mɔ gã siwo naa nu vevi siawo.
Wotsɔa ʋuka aɖewo ɖoa ŋutinu aɖewo koŋ ŋu, abe:
- Coronary arteries: Na ʋu na dzitodzito me lãmekaa tẽ.
- Carotid arteries: Tsɔ ʋu yi wò ahɔhɔ̃, mo, kple kɔ gbɔ.
- Akɔta ƒe ʋukawo: Naa ahɔhɔ̃ kple aklã ƒe ʋukawo.
- Iliac ʋukawo: Nana akɔta ƒe nuto.
- Femoral artery: Enaa afɔawo.
- Subclavian arteries: Na ta, kɔ, kple abɔwo.
- Celiac kple mesenteric ʋukawo: Na wò nuɖuɖumeŋusẽ nana wò.
Nyateƒenya dodzidzɔnamewo tso wò ʋukawo ŋu!
Nu aɖewo li siwo mexɔ se ŋutɔŋutɔ o siwo wòle be nànya tso wò ʋukawo ŋu:
- Ènya be wò lãmekawo ɖoa dzesiwo ɖe wò ʋukawo be woaxe alo woakekea? Aleae wò ʋu ƒe sisi le ɖoɖo nu. To asitɔtrɔ le woƒe didime ŋu me la, wò ʋukawo nana wò ʋu ƒe sisi nɔa te.
- Le ɣeyiɣi ɖesiaɖe me la, wò ʋu ƒe agbɔsɔsɔme katã ƒe 10% lɔƒo le wò ʋukawo me.
- Enyo be míade dzesii be aklã ƒe ʋuka koe nye ʋuka si tsɔa ʋu “ƒoɖi” si me oxygen mele o. Etsɔa ʋu tso dzia me yia lãkusi me koŋ be wòaxɔ ɔksidzin yeye.
Afikae wole, aleke woƒe dzedzeme le, eye aleke wotu woe?
Ʋukawo dzea egɔme tso dzia gbɔ kple aorta eye wodoa alɔ abe ati ƒe alɔwo ene, eye woɖoa wò ŋutilã ƒe akpa ɖesiaɖe.
Wodzena abe mɔ̃wo ene , gake to vovo na ʋukawo la, woƒe gliwo le kpekpem eye lãmekawo le wo me be woate ŋu akpɔ nyaƒoɖeamenu gã si dona tso dzia ƒe miameʋuka me gbɔ. Wotrɔna ɖe nɔnɔmewo ŋu ale gbegbe.
Le lolome gome la, wò ʋuka gãtɔ kekeake, si nye aorta, ƒe didime anɔ abe milimeta 10–25 (inch 0.4–0.9). Ʋuka bubuwo didi tso milimeta 3–5 (inch 0.11–0.19). Ʋuka suetɔ kekeake siwo woyɔna be arterioles , ate ŋu anɔ sue abe milimeta 0.01 va ɖo 0.30 ene.
Ʋukawo nye ƒuƒoƒo vevi etɔ̃:
1. Tunica intima: Nusi le eme si me ka siwo te ŋu trɔna le.
2. Tunica media: Titina ƒe akpa si me lãmeka siwo le gbadzaa sɔ gbɔ ɖo, si wɔnɛ be ʋukaa te ŋu xana alo kekena ne ehiã.
3. Tunica externa: Gotagome ƒuƒoƒo si doa ka kple lãkusi siwo ƒo xlãe eye lãmeka siwo naa dzesi ʋukaa be wòatrɔ asi le eƒe lolome ŋu la nɔa eme.
Nukawoe nye ʋukawo ƒe nɔnɔme siwo bɔ?
Nublanuitɔe la, nɔnɔme vovovowo ate ŋu agblẽ nu le wò ʋukawo ŋu. Wo dometɔ aɖewoe nye:
- Atherosclerosis (Arterial Narrowing and Hardening) : Nɔnɔme sia dzɔna ne nusiwo le abe ami kple ʋumemi ene ƒo ƒu ɖe wò ʋukawo ƒe gliwo me, si wɔnɛ be wotsia eye wosẽna le ɣeyiɣi aɖe megbe.
- Aneurysm : Ʋuka ƒe gli ƒe akpa si gbɔdzɔ si doa go abe ʋuʋudedi ene. Ne womewɔ atike na esia o la, ate ŋu agbã.
- Ʋu ƒe Ʋuʋu : Nusi dzɔna le ʋuka aɖe me si xea mɔ na ʋu ƒe sisi nyuie.
- Coronary Artery Disease : Ʋukawo me ʋu ƒe sisi le ʋuka siwo naa ʋu yia wò dzi me koŋ.
- Carotid Artery Disease : Ʋukawo ƒe ʋuʋu le ʋuka siwo me ʋu sina tona me, siwo ƒe dɔe nye be woana ʋu naɖo wò ahɔhɔ̃ me.
- Ʋu ƒe Ʋuʋudedi
- Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
- Peripheral Artery Disease (PAD) : Ʋuka siwo naa ʋu wò abɔwo kple afɔwo ƒe ʋuʋu.
- Vasculitis (Arterial Inflammation) : Nɔnɔme si me wò ʋukawo ƒe gliwo vuvu eye woxɔa abi.
Nukawoe nye ʋuka me dɔlélewo ƒe dzesi alo dzesi siwo bɔ?
Zi geɖe la, nɔnɔmewo abe ʋusɔgbɔdɔ kple ʋumemi ƒe agbɔsɔsɔ ene meɖea dzesi aɖeke fiana le woƒe gɔmedzedze o. Ne mèkpɔe dze sii o la, wò ʋukawo ate ŋu asẽ vivivi, eye ʋumenugbagbevi dzĩwo (ʋumemi kple ami ƒe ƒuƒoƒo) ate ŋu adze wo ƒoƒo gɔme. Nya siawo nana ʋu ƒe sisi sesẽna, si wɔnɛ be ʋukawo xana alo xena keŋkeŋ.
Dzesi siwo ate ŋu ana ʋukawo me dɔléle naxɔ ame ƒe nuxlɔ̃ame dometɔ aɖewoe nye:
- Akɔtave
- Dzidɔ
- Gbagbãdᴐ
- Wò abɔwo kple afɔwo ƒe ʋuʋu alo vevesese
- Yagbɔgbɔ kpuie
- Ƒodo ƒe vevesese
- Ðeɖiteameŋu si gbɔ eme
Vevietɔ: Ne èkpɔ dzesi siawo dometɔ aɖe la, ele vevie ŋutɔ be nàyi atikewɔƒe enumake, elabena woate ŋu afia be lãmesẽkuxi sesẽ aɖe le ŋuwò.
Nukawoe nye dodokpɔ siwo bɔ be woatsɔ akpɔ wò ʋukawo ƒe lãmesẽ?
Wò ɖɔkta ate ŋu awɔ nɔnɔmetatawo dodokpɔ geɖe atsɔ ada wò ʋukawo ƒe nɔnɔme kpɔ:
- Angiography : Dɔwɔwɔ si me wodoa amadede tɔxɛ aɖe ɖe ʋukawo me, eye wowɔa X-ray scan kplɔe ɖo.
- CT Scan (Kɔmpiuta dzi Tomenukuku) .
- MRI (Magnetic Resonance Imaging) ƒe nɔnɔmetatawo .
- Echocardiogram : Ultrasound dodokpɔ be woatsɔ akpɔ wò dzi kple ʋuka siwo do ƒome kplii ƒe dɔwɔwɔ.
Nukawoe nye atike siwo wozãna na ʋuka me dɔlélewo zi geɖe?
Atikewɔwɔ na ʋukawo ƒe dɔlélewo to vovo ŋutɔ, tso atikewo zazã dzi va ɖo amekoko dzi:
- Agbenɔnɔ ƒe tɔtrɔ: (Míadzro esiawo me kpuie)
- Atike siwo woatsɔ aɖe ʋumemi alo ʋu ƒe sisi dzi akpɔtɔ
- Ʋu ƒe ʋuʋu ƒe atikewo
- Atike siwo tsia dzodzodzoetsitsi nu, abe corticosteroids ene
- Angioplasty : Dɔdamɔnu si me wozãa mɔ̃ si le abe ʋuƒo ene tsɔ kekea ʋuka si xaxa ɖe enu, eye zi geɖe la, wotsɔa ʋuka si me ʋu sina tona la dea ʋuka me.
- Coronary artery bypass ƒe ʋuʋu
- Amekoko siwo wowɔna to ʋuka bubu siwo xe ŋu
- Carotid endarterectomy : Amekoko si wowɔna tsɔ ɖea ami siwo le carotid ʋuka me ɖa.
Afɔɖeɖe bɔbɔe siwo nàwɔ be wò ʋukawo nanɔ lãmesẽ me
Eyata nukae nàte ŋu awɔ be wò ʋukawo nanɔ lãmesẽ me? Le nyateƒe me la, afɔ siwo nèɖena hena dzi ƒe lãmesẽ la nye nusiwo tututu wò ʋukawo hiã.
Afɔɖeɖe bɔbɔe aɖewo siwo nàte ŋu awɔe nye esi:
- Ðu nuɖuɖu si naa dzidɔ. Etɔxɛe la, ƒo asa na nuɖuɖu siwo me ami siwo woyɔna be trans fats kple saturated fats sɔ gbɔ ɖo. Lé fɔ ɖe atikutsetsewo, amagbewo, amagbe siwo me aŋgbawo le, kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo ŋu.
- De kame edziedzi. Ðoe kplikpaa be yeade kame aɖabaƒoƒo 30 ya teti gbesiagbe, abe azɔlizɔzɔ, duƒuƒu, alo tsiƒuƒu ene.
- Ƒo asa na atamanuwo (sigaret, vape, kple bubuawo) keŋkeŋ.
- Tsɔ wò alɔ̃dɔdɔ ɖo nɔƒe gbãtɔ (ne ame tsitsie nènye la, ɖoe be yeadɔ alɔ̃ nyuie gaƒoƒo adre va ɖo enyi le zã ɖeka me).
- Kpɔ nuteɖeamedzi gbɔ nyuie. Nuwɔnawo abe ŋugbledede, yoga, alo gomekpɔkpɔ le modzakaɖeɖe siwo nèlɔ̃na wu me ate ŋu ana tɔtrɔ gã aɖe nava.
- Ne ʋusɔgbɔdɔ, ʋumemi sɔ gbɔ ɖe dziwò, alo suklidɔ le ŋuwò la, wɔ ɖe atikewɔwɔ ƒe ɖoɖo si nèŋlɔ na wò dzi ɣesiaɣi.
- Na wò kpekpeme nanɔ lãmesẽ me.
- Ðe wò ahanono dzi kpɔtɔ.
Ne ame geɖe bua woƒe dzi ŋu ne wole woƒe dzitodzito me ʋukawo ŋu bum, gake wò ʋukawo wɔa akpa vevi aɖe. Woawoe nye mɔ siwo dzi oxygen, nunyiame, kple nu bubu siwo léa agbe ɖe te la toa wò ʋu me. Ne èlé be na wò ʋukawo la, woawo hã akpɔ dziwò!
Ðo ŋku edzi be esi wònye be zi geɖe la, ʋusɔgbɔdɔ kple ʋumemi ƒe agbɔsɔsɔ meɖea dzesi aɖeke fiana o ta la, ele vevie be nàdo wò kpɔ edziedzi le atikewɔƒe be nàkpɔ egbɔ be wò agbɔsɔsɔ le lãmesẽ me. Ne womele nenema o la, atikewɔwɔ ƒe mɔfiame nyuitɔ didie nye mɔ nyuitɔ si dzi nàto anɔ mɔ nyuitɔ dzi.
