Ènya nu tso nutome sue sia si le ahɔhɔ̃a me ŋua? (Willis ƒe nutome) Mina míaƒo nu tso esia ŋu!

Èse ‘Willis ƒe Kplɔ̃ɖoƒe’ ŋkɔ kpɔa? Ðewohĩ wò ɖɔkta gblɔe na wò, alo èkpɔe le atikewɔnyawo ŋuti nyatakaka aɖewo me. Le nyateƒe me la, enye míaƒe ahɔhɔ̃ ƒe akpa vevi aɖe ŋutɔ. Ele abe dedienɔnɔ ƒe ɖoɖo sue aɖe ene. Eyata, mina míaƒo nu kpuie tso nusi `(Circle of Willis)` sia nye kple nusi wòwɔna ŋu, enyo?

Nukae nye ‘Willis ƒe Kplɔ̃ɖoƒe’?

Enyo, eyata nukae nye `(Willis ƒe Kplɔ̃ɖoƒe)`? Kpuie ko la, enye ʋuka siwo le míaƒe ahɔhɔ̃ te tututu, le eƒe gɔme. Eƒe nɔnɔme le abe asigɛ ene, alo axa atɔ̃ ƒe nɔnɔme (`(Pentagon)`) . Ʋuka vevi eve li siwo naa ʋu si me oxygen sɔ gbɔ ɖo, si le dzadzɛ la míaƒe ahɔhɔ̃. Ðekae nye `(Internal Carotid Artery)` ɖoɖo, eye evelia nye `(Vertebral Artery)` ɖoɖo. Eyata `(Circle of Willis)` siae ʋuka vevi eve siawo do ƒome le. `(Internal Carotid Artery)` koŋue naa ʋu ahɔhɔ̃a ƒe ŋgɔgbe, eye `(Vertebral Artery)` koŋue naa ʋu ahɔhɔ̃a ƒe megbe.

Woyɔa esia be ‘Will ƒe asigɛ’ le ŋutilãŋutinunyala Thomas Willis ƒe ŋkɔ me. Eyae kpe ɖe mía ŋu míeke ɖe nu geɖe ŋu tso xɔtuɖoɖo sia ŋu. Wotsɔ ŋkɔ bubuwo hã yɔnɛ, le kpɔɖeŋu me:

• ` (Ahɔhɔ̃mekawo ƒe Kplɔ̃ɖoƒe)` (Ahɔhɔ̃mekawo ƒe Ʋukawo ƒe Kplɔ̃ɖoƒe)
• ` (Willis ƒe Dzogoe Geɖe)` (Willis ƒe Dzogoe Geɖe) .
• ` (Loop of Willis)` (Loop si tso Willis) .

Esia le abe ‘nu si ate ŋu ado kpo nu’ na míaƒe ahɔhɔ̃ ene, si nye dedienɔnɔ ƒe mɔ̃. Bu eŋu kpɔ, ne ʋuka vevi eve siawo dometɔ ɖeka gblẽ, le kpɔɖeŋu me, le ʋuka si gbã le ahɔhɔ̃a me (Brain Aneurysm) alo ʋusɔgbɔdɔ ta la, mɔ bubua ate ŋu ana ʋu aɖe nayi ahɔhɔ̃a ƒe akpa ma si gblẽ la to esia dzi (Circle of Willis). Ðe esia mewɔ nuku oa?

Ðe amesiame (Circle of Willis) tɔ sɔa? Alo ɖe vovototowo le wo domea?

Gake nya lae nye esi. Menye amesiamee si ``Circle of Willis'' deblibo le o. Le numekulawo ƒe nya nu la, ame siwo mede afã o ye si wòle keŋkeŋ. Ema fia be ate ŋu atrɔ asi le eƒe xɔtuɖoɖo ŋu vie. Ne edzɔ alea la, míeyɔnae be ``Willis ƒe Kplɔ̃ɖoƒe si Mede blibo o'' .

Tɔtrɔ eve aɖewo li siwo bɔ wu, vevietɔ le ʋuka si woyɔna be Anterior Communicating Artery, si le Circle of Willis ƒe ŋgɔgbe:

• Fenestration: Esia ateŋu akpɔ ŋusẽ ɖe amewo katã ƒe 21% dzi. Fenestration nye ne ʋuka aɖe ma ɖe eve, zɔ mɔ kpuie, eye emegbe wògaƒo ƒu ake. Ele abe mɔ aɖe si ma ɖe akpa eve eye emegbe wògava kpe ɖe wo nɔewo ŋu ene.
• `(Nu eve wɔwɔ)` (Nu eve wɔwɔ):Esia gblẽa nu le ame siwo ade 18% ŋu. ``Duplication`` fia be ʋuka eve siwo dzea egɔme ɖe vovo la ƒoa ƒu wɔa ʋuka ɖeka.

Fifia ɖewohĩ èle eŋu bum be, ‘Ke ne nye Willis ƒe Kplɔ̃ɖoƒea hã mede blibo o ɖe?’ Mega tsi dzi o. Ne wò Circle of Willis mede blibo o hã la, àte ŋu anɔ agbe si me lãmesẽ le kuxi aɖeke manɔmee. Zi geɖe la, mekpɔa ŋusẽ boo aɖeke ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ dzi o. Gake ne ahɔhɔ̃mekawo ƒe dɔléle aɖe, abe ʋusɔgbɔdɔ ene, dze dziwò la, ekema blibomademade ma ƒe ŋusẽkpɔɖeamedzi ate ŋu asẽ vie wu. Esia menye nusi míate ŋu aɖoe koŋ atrɔ o. Alesi míaƒe ʋukawo dzɔna le fugboe ƒe akpa , si fia esime míegakpɔtɔ le vidzidɔa me lae dea dzesi esia.

Aleke gbegbee nusi mede blibo o (Circle of Willis) bɔe?

Eyata aleke gbegbee `(Circle of Willis)` sia si mede blibo o bɔe? Le nyateƒe me la, numekulawo xɔe se be ebɔ ŋutɔ. Gake esesẽ be míagblɔ alesi tututu wòbɔe. Elabena, menye amesiamee si ahɔhɔ̃a ƒe `(Scan)` dodokpɔ le o. Ne wowɔ `(Scan)` alea ko hafi woate ŋu akpɔ `(Circle of Willis)` sia ƒe nɔnɔme pɛpɛpɛ. Le numekuku vovovowo nu la, `(Circle of Willis)` sia ate ŋu made blibo le ame tsitsi 50% va ɖo 90% dome o . Ema fia be ele ame akpa gãtɔ si kple vovototo suesuesuewo.

Nuka tututue nye Willis ƒe Kplɔ̃ɖoƒea ƒe dɔwɔwɔ?

Mina míagaƒo nu tso akpa si `(Circle of Willis)` sia wɔna ŋu nyuie vie azɔ. Bu eŋu be enye `(Traffic Roundabout)` afisi mɔ geɖewo va kpena le.

Ʋuka ɖesiaɖe si wɔ `(Circle of Willis)` la le abe mɔ ene. `(Mɔdodo Gã)` gã eve li, si nye mɔ eve siwo dzi ʋu le wu. Emawoe nye `(Internal Carotid Artery)` ɖoɖo si míeyɔ va yi, kple `(Vertebral Artery)` ɖoɖo. Mɔ sue bubu siwo le `(Circle of Willis)` me la ƒoa ƒu, wowɔa mɔ xaxɛ aɖe si doa ka kple mɔ gã eve mawo eye wònaa ʋu (i.e. ʋuwo ƒe zɔzɔ) sina.

Viɖe si le esia ŋue nye be ne ‘mɔxenu’ alo ‘afɔku’ aɖe dzɔ kpata le mɔ gã ma dzi (i.e., ʋuka gã aɖe si naa ʋu naa ahɔhɔ̃a) la, mɔ gã kemɛa ate ŋu aɖo ʋu aɖe ɖe ahɔhɔ̃a ƒe akpa si ŋu wògblẽ nu le to mɔ xaxɛ sia dzi. Kpuie ko la, `(Circle of Willis)` blibo ƒe amesinɔnɔ fia be mɔ bubu aɖe li (`(Detour Route)`) si woateŋu azã ne mɔxexe alo kuxi aɖe do mo ɖa.

Ne `(Circle of Willis)` blibo le asiwò la, ateŋu akpɔ tawò tso nɔnɔme sesẽ aɖewo me. Vevietɔ dɔléle siwo gblẽa nu le ʋukawo ŋu le `(Circle of Willis)` sia me. Le kpɔɖeŋu me:

• Ami siwo le ʋukawo me (Atherosclerosis) .
• Ʋu si dona le ahɔhɔ̃a me (e.g., le abi aɖe ta (Intracranial Hemorrhage)) .
• Carotid Ʋukawo ƒe Dɔléle / Carotid Ʋukawo ƒe Stenosis
• Ʋuka siwo le ahɔhɔ̃a me ƒe dɔdzẽ (Central Nervous System Vasculitis) .
• Ʋuka si vuvu le ahɔhɔ̃a me (Ruptured Brain Aneurysm) .
• Gbagbãdᴐ
• Ɣeyiɣi kpui aɖe ƒe Ischemic Attack (TIA) alo mini-stroke

Ke hã, ne ``Circle of Willis'' si mede blibo o le asiwò la, nutome ma ƒe ametakpɔdɔ mewɔa dɔ nyuie o. Emegbe le dɔléle siwo do ƒome kple ahɔhɔ̃a ƒe ʋukawo abe esia ene me la, afɔku si le eme be nusiwo wògblẽna le ame ŋu la nu sẽna la lolona vie, vevietɔ le ʋusɔgbɔdɔ gome.

Afikae esia (Circle of Willis) le?

Àte ŋu anya afisi tututu `(Circle of Willis)` sia le hã. Enɔa `(Wò Ahɔhɔ̃ ƒe Gɔmeɖoanyi)`, le teƒe si le ahɔhɔ̃mekawo godo vie (`(Subarachnoid Space)`). Enɔ míaƒe `(Pituitary Gland)` ƒe atikutsetse ŋu, le `(Hypothalamus)` te tututu. Azɔ hã, míaƒe tagbɔ ƒe lãmeka geɖe (`(Cranial Nerves)`) toa `(Circle of Willis)` sia gbɔ.

Ɣekaɣie wòle be mabia ɖɔkta tso esia ŋu (Circle of Willis)?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ‘Ɣekaɣie mase `(Circle of Willis)` sia ŋu nya tso nye ɖɔkta gbɔ?’ Enyo, susu geɖe ate ŋu anɔ anyi si tae:

• Ne ahɔhɔ̃mekawo ƒe ʋuʋu le ŋuwò: Willis ƒe Kplɔ̃ɖoƒe nye teƒe siwo ʋukawo me ʋu sina tona le ahɔhɔ̃a me wu la dometɔ ɖeka. Numekulawo gblɔ be ʋuka siwo me ʋu sina tona le tagbɔ me ƒe 85% lɔƒo dzɔna le afisi ʋu sina tona le Willis ƒe Kplɔ̃ɖoƒea ŋgɔ.
• Ne ʋusɔgbɔdɔ le ŋuwò: Ʋusɔgbɔdɔ ate ŋu adzɔ le ʋuka aɖe si xe alo ʋu si le dodom le Willis ƒe Kplɔ̃ɖoƒea ta.
• Ne Moyamoya Dɔléle le ŋuwò: Esia nye ahɔhɔ̃medɔ si mebɔ kura o. Edzɔna ne ʋuka siwo le wò Circle of Willis me, siwo naa ʋu yia wò ahɔhɔ̃ ƒe ŋgɔgbe la, va le tsatsam vivivi alo xe.
• Ne ‘Subclavian Steal Syndrome’ le ŋuwò: Esia dzɔna ne wò ‘Subclavian Artery’ (axillary artery) xaxa alo xe. Emegbe ‘efiaa’ ʋu si wòle be wòayi wò ahɔhɔ̃ me to wò ‘Vertebral Artery’ (ʋuka gã aɖe si le ‘Circle of Willis’) me la ƒe ɖe.
• Ne wowɔ dɔ na wò ahɔhɔ̃: Le amekoko me le wò ahɔhɔ̃ ƒe akpa sia – le kpɔɖeŋu me, be woatsɔ ada ʋuka si me ʋu sina tona alo kuxi aɖe le wò ahɔhɔ̃meka ŋu la – afɔku sue aɖe li be wòagblẽ nu le wò Circle of Willis kple akpa vevi siwo ƒo xlãe ŋu. Ne Willis ƒe Kplɔ̃ŋuti ŋutɔ gblẽ la, ate ŋu ana ʋu si yia ahɔhɔ̃a me naxe (Brain Ischemia) alo ʋu nabu keŋkeŋ (Infarction).
• Ne èwɔ ahɔhɔ̃mekadodo aɖe la:Ne wowɔ ahɔhɔ̃mekadodo na wò, abe ahɔhɔ̃mekawo ƒe ʋukawo ƒe dodokpɔ alo ahɔhɔ̃mekawo ƒe MRI (Magnetic Resonance Imaging) ene la, àte ŋu agblɔ nyatakaka siwo ku ɖe Willis ƒe Kplɔ̃ɖoƒea kple eƒe wɔwɔme ŋu tsitotsito.

Nukae adzɔ ne woxe mɔ ɖe (Circle of Willis) la nu?

Bu nusi adzɔ nenye be mɔxenu aɖe dzɔ le afi sia afi le `(Circle of Willis)` sia me ŋu kpɔ. Anɔ eme godoo be ne edzɔ nenema la, `(Stroke)` ate ŋu adzɔ. Ke hã, abe alesi megblɔe va yi ene la, ne `(Circle of Willis)` blibo le asiwò la, ate ŋu akpɔ tawò vaseɖe afi aɖe tso ʋusɔgbɔdɔ ƒe dzesi sesẽwo me.

Nukae nye ‘Willis ƒe Dɔléle ƒe Kplɔ̃ɖoƒe’?

Ðɔkta aɖewo kple atikewɔlawo hã yɔa `(Moyamoya Dɔléle)` si míeyɔ va yi be `(Circle of Willis Syndrome)`. Ŋkɔ bubu si wotsɔ na `(Moyamoya Dɔléle)` enye `(Willis ƒe Kplɔ̃ŋuti ƒe Ʋuʋu le eɖokui si)`.

Nukae míate ŋu awɔ be esia (Circle of Willis) nanɔ lãmesẽ me?

Eyata nukae míate ŋu awɔ be ``Circle of Willis'' vevi sia kple ʋuka bubu siwo le ahɔhɔ̃a me nanɔ lãmesẽ me? Nu vevitɔe nye be nàɖu nusiwo ate ŋu ana nàxɔ ahɔhɔ̃mekawo ƒe dɔlélewo dzi ne wole ŋuwò. Afɔku siawoe nye:

• Ʋu ƒe Ʋuʋudedi
• Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
• Suklidɔ `(Suklidɔ)`
• Dzidɔléle
• Nuteɖeamedzi si nɔa anyi didi
• Amidada
• Sigaretnono / Nicotine Zazã ƒe Dɔléle
• Ahanono ƒe Dɔléle

Ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto akpɔ nɔnɔme siawo gbɔ ŋu.

Mina míaɖo ŋku (Take-Home Message) dzi .

Enyo, eyata nukawoe nye nu vevi siwo míetsɔna tso nusiwo ŋu míeƒo nu tsoe egbea me?

``Circle of Willis`` nye ʋuka siwo le míaƒe ahɔhɔ̃ ƒe gɔme ƒe ɖoɖo wɔnuku aɖe si naa ʋu ahɔhɔ̃a. Ele abe dedienɔnɔ ƒe ɖɔ ene.

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Menye amesiamee si esia de blibo o, eye esia sɔ. Naneke meli si ŋu woatsi dzi ɖo akpa ne mede blibo o, gake le ahɔhɔ̃medɔ aɖewo me la, afɔkua ate ŋu asɔ gbɔ vie.

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Nu vevitɔe nye be míanɔ agbe le mɔ si ana míaƒe ahɔhɔ̃ ƒe ʋukawo nanɔ lãmesẽ me eye wòaxe mɔ ɖe dɔlélewo abe ʋusɔgbɔdɔ ene nu. Ema fia be nàtu numame nyuiwo ɖo eye nàɖu afɔku siwo míeyɔ va yi dzi.

Ðewohĩ ame geɖe mase woƒe `(Circle of Willis)` gɔ̃ hã gbeɖe o. Gake ne ahɔhɔ̃medɔ aɖe le ŋuwò, abe `(Aneurysm),` ene la, ɖewohĩ ɖɔkta aɖe ƒo nu tso eŋu.Ne wò ɖɔkta gblɔ atikewɔwɔ me nya aɖe si gɔme mèse o gbeɖeka la, mègavɔ̃ gbeɖe be yeabia numeɖeɖe o. Gome blibo le asiwò be nànya nusi le edzi yim le wò ŋutilã me.

` Ring of Willis, ahɔhɔ̃ me ʋu ƒe sisi, ʋusɔgbɔdɔ, ahɔhɔ̃ me ʋuka ƒe asigɛ, ʋuka siwo le ahɔhɔ̃a me, ahɔhɔ̃ ƒe lãmesẽ, ʋukawo ƒe ʋuʋu