Ʋuka vevi siwo naa ʋu yia míaƒe ahɔhɔ̃, ta, kple mo la le míaƒe kɔ ƒe akpa eveawo. Esiawo le abe mɔ gã siwo le míaƒe ŋutilã me ene. Bu alesi wòanɔ ne gli gbɔdzɔ le mɔ gã siawo dometɔ ɖeka ŋu eye wòdo go abe ʋuƒo ene ŋu kpɔ. Emae nye nusi ŋu míele nu ƒom tsoe egbea, si nye carotid artery aneurysm. Togbɔ be aɖi vɔvɔ̃ vie hã la, ele vevie be nànyae.
Nukae nye Carotid Artery Aneurysm?
Kpuie ko la, carotid artery aneurysm nye nɔnɔme si me ʋuka gã aɖe (carotid artery) si tsɔa ʋu tso wò kɔ ƒe akpa eveawo yia wò ahɔhɔ̃ me ƒe gli ƒe akpa aɖe gbɔdzɔna, si wɔnɛ be ʋu ƒe sisi dona ɖe gota abe kuɖɔ ene.
Bu balloon si me wodoa ya ɖo ŋu kpɔ. Balloon la ƒe gli va nɔa tsɛ wu ne wole ya ƒom, alo? Nukae dzɔna ne èdoe ɖe dzi geɖe wu? Egbãna. Aleae ʋuka sia donae. Le ɣeyiɣi aɖe megbe la, ate ŋu alolo ɖe edzi. Ne ele gã dom ɖe edzi la, eƒe gli hã le tsɛ, eye afɔku li be wòagbã gbeɖeka. Eyata zi alesi ʋuka me ʋu ƒe sisi loloe la, zi nenemae wòate ŋu anye afɔkui.
Aleke gbegbee nɔnɔme sia ate ŋu asesẽe?
Carotid artery aneurysms nye dɔléle sesẽ aɖe si gblẽa nu le ʋuka siwo naa ʋu yia míaƒe ahɔhɔ̃ me tẽ ŋu, eyata menye nusi woabu nu tsɛe o. Gake menye ʋuka siwo me ʋu sina tona katãe nye esiwo me afɔku le sɔsɔe o. Wo dometɔ aɖewo le sue ŋutɔ eye woate ŋu anɔ wo nɔƒe ƒe geɖe evɔ womahe kuxi aɖeke vɛ o.
Gake afɔku vevi eve li:
1. Ʋu ƒe sisi: Ʋu ƒe sisi ate ŋu adzɔ le ʋuka si me ʋu sina tona me, eye eƒe akpa aɖe ate ŋu agbã eye wòatsi ʋuka sue aɖe me le ahɔhɔ̃a me. Esia ate ŋu atso ʋu ƒe sisi yi ahɔhɔ̃a me eye wòana ʋu ƒe sisi ƒe amedzidzedze si nɔa anyi ɣeyiɣi kpui aɖe (TIA) , "mini stroke," alo ʋu ƒe sisi blibo nadze ame dzi .
2. Ʋuka ƒe gbagbã: Ne ʋuka gã aɖe gbã la, ate ŋu ana ʋu nado le ahɔhɔ̃a me vevie alo aƒo xlãe. Woyɔa ʋusɔgbɔdɔ si dona tso eme be ʋusɔgbɔdɔ . Esia nye nudzɔdzɔ kpata si nu sẽ ŋutɔ eye ate ŋu ade ame ƒe agbe afɔku me.
Vovototo kae le ʋuka me ʋu ƒe sisi vavã kple alakpa dome?
Esia nye atikewɔwɔ me nya vie, gake mina míase egɔme bɔbɔe. Míaƒe ʋukawo ƒe gli nye ƒuƒoƒo etɔ̃.
- Ʋuka me Ʋuʋudedi Nyateƒetɔ: Esiae nye ne ʋuka ƒe akpa etɔ̃awo katã gbɔdzɔ eye wodo ɖe gota. Zi geɖe la, ami siwo le ʋukawo ƒe gliwo me (ʋukawo ƒe ʋuʋu) gbɔe esia tsona.
- Aʋatso Ʋukawo ƒe Ʋuʋu alo Pseudoaneurysm:Esia nye ne ʋukawo ƒe gli ƒe ƒuƒoƒo ɖeka alo eve gblẽ, si wɔnɛ be ʋu aɖewo doa go heƒoa ƒu ɖe ʋukaa ŋu, eye wòwɔa kuɖɔ. Ne míagblɔe tututu la, esia menye ʋudodo ŋutɔŋutɔ o. Ate ŋu adzɔ le afɔku, dɔlékui aɖe, alo atikewɔwɔ aɖe ƒe kuxi aɖe ta.
Wo dometɔ ɖesiaɖe ate ŋu ahe kuxiwo vɛ, eyata ate ŋu ahiã be woawɔ atike na wo ame evea siaa.
Amekae ate ŋu axɔ nɔnɔme sia wu? Eye ɖe wòbɔa?
Togbɔ be carotid artery aneurysms ate ŋu adzɔ le ame tsitsi ɖesiaɖe gome hã la, ebɔ ɖe amesiwo xɔ tso ƒe 50 va ɖo ƒe 60. Ƒã hafi woate ŋu adzɔ le ɖeviwo hã me.
Gake nya nyuiae nye be nɔnɔme sia nye esi mebɔ kura o . Carotid artery aneurysms mede ʋuka siwo katã le ŋutilãa me ƒe 1% o.
Nukae nye esia ƒe dzesiwo?
Zi geɖe la, ʋuka siawo ate ŋu anɔ anyi dzesi aɖeke manɔmee. Ɣeaɖewoɣi la, wokpɔa wo le vo me ne wowɔ nane abe takpɔkpɔ ene le susu bubu aɖe ta.
Gake ne dzesiawo dze la, zi geɖe la, wonyea ʋusɔgbɔdɔ alo ʋumenugbagbeviɣidɔ (TIA) ƒe dzesiwo.
TIA ate ŋu anye nuxlɔ̃amedzesi vevi aɖe be ʋusɔgbɔdɔ gã aɖe gbɔna le ŋkeke alo kwasiɖa siwo gbɔna me, eyata ele vevie be nàlé ŋku ɖe dzesi siawo ŋu nyuie.
| Dzesi kpata siwo dzena le ʋusɔgbɔdɔ alo TIA ŋu - ne esiawo dometɔ aɖe le ŋuwò la, yi ETU enumake! | |
|---|---|
| Nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ kpata | Ŋku ɖeka alo evea siaa ƒe ŋkumekpɔkpɔ ƒe blukɔ alo nukpɔkpɔ ƒe bu. |
| Ŋutilã ƒe akpa ɖeka ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ | Seselelãme be mo, alɔ, alo afɔ ƒe akpa ɖeka le vuvu. (e.g., mo ƒe akpa ɖeka ƒe ɖiɖi) . |
| Nuƒoƒo sesẽ | Nyawo gbɔgblɔ le mɔ gbegblẽ nu, nya si gblɔm wole gɔmesese sesẽ. |
| Azɔlizɔzɔ sesẽ kple dadasɔ ƒe anyimanɔmanɔ | Taɖuame, ŋutetemanɔamesi be woatsi tre ɖe teƒe ɖeka, hehe yi axa ɖeka ne ele zɔzɔm. |
| Taɖuame sesẽ kpata | Taɖuame sesẽ aɖe ƒe gɔmedzedze kpata si tɔgbe medzɔ kpɔ o. |
Ne èkpɔ dzesi siawo tɔgbe la, ɖewohĩ màte ŋu aƒo ka na kɔdzia ŋutɔ o. Eyata ele vevie ŋutɔ be nàna ame siwo le wò aƒeme nanya nu tso esia ŋu.
Dzesi bubuwo
Tsɔ kpe ɖe ʋusɔgbɔdɔ ƒe dzesiwo ŋu la, ne ʋuka si me ʋu sina tona la lolo ale gbegbe be wòate ɖe lãmeka alo ʋuka bubuwo ŋu le kɔa me la, dzesiwo abe:
- Taɖuame
- Gbe ƒe ɖiɖi
- Kɔ ƒe vevesese
- Mo ƒe ʋuʋu
- Sese le eɖokui me abe ƒunukpeƒetetedɔ aɖe le kɔ me ene eye wòle ƒoƒom
- Nuɖuɖu mimi sesẽ
- Nukpɔkpɔ ƒe kuxi bubuwo
Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi wò ɖɔkta gbɔ kaba eye nàgblɔe na wo.
Nukatae ʋuka siwo me ʋu sina tona la dzɔna alea? Nukawoe gbɔ wòtsona?
Nu geɖe li siwo ate ŋu ahe carotid artery aneurysm vɛ.
- Ʋukawo ƒe ʋuʋu: Esiae nye nu vevitɔ si gbɔ wòtsona eye wòbɔ wu. Nɔnɔme sia ate ŋu ado mo ɖa ne ʋumemi kple ami ƒo ƒu ɖe ʋukawo ƒe gliwo me, si na gliawo gbɔdzɔ.
- Dɔléle siwo gbɔdzɔa ʋukawo ƒe gliwo: Dɔléle aɖewo, abe ``Fibromuscular dysplasia,'' nana ʋukawo ƒe gliwo menɔa lãmesẽ me o.
- Atikewɔwɔ ƒe kuxiwo: Ate ŋu adzɔ hã abe kɔ ƒe amekoko aɖewo, titina ƒe fli aɖewo, alo keklẽŋusẽ ƒe atikewɔwɔ na kansa ƒe kuxi ene.
- Afɔkuwo: Nusiwo gblẽ le ʋuka aɖe ŋu le afɔku gã aɖe me, abe tudada alo tudada ene.
Afɔku Siwo Gbɔna
Nu geɖe li siwo ate ŋu ana ʋukawo ƒe gliwo nagbɔdzɔ, si wɔnɛ be ʋuka me ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi:
- Ƒome ŋutinya: Ne ʋuka me ʋu si me ʋu sina tona le wò ƒomea me la, ke wò hã èle afɔku gã aɖe me.
- Ʋusɔgbɔdɔ (Hypertension): Ne ʋusɔgbɔdɔ dzi ɖe edzi la, edea ʋukawo ƒe gliwo dzi geɖe wu. Esia ate ŋu ana gliawo nagbɔdzɔ.
- Sigaretnono: Sigaretnono nye nu vevi aɖe si gblẽa nu le ʋukawo ŋu. Egbɔdzɔa ʋukawo ƒe gliwo eye wòdzia ʋukawo ƒe ʋuʋu ƒe afɔkua ɖe edzi ŋutɔ.
Aleke ɖɔkta awɔ anya dɔléle siae?
Ðɔkta zɔna ɖe afɔɖeɖe geɖe dzi tsɔ dea dzesi dɔléle sia.
1. Ŋutilãmedodokpɔ: Ðɔktaa atsɔ nuƒomɔ̃ aɖe aɖo wò kɔ dzi eye wòaɖo to. Ɣeaɖewoɣi la, woate ŋu ase ‘swooshing’ gbeɖiɖi tɔxɛ aɖe (carotid bruit) ne ʋu le sisim to ʋuka sia me.
2. Wò kple wò ƒomea ƒe atikewɔwɔ ŋutinya: Ðɔktaa abia nya tso atikewɔwɔ me dɔléle bubu siwo le ŋuwò kple nenye be dɔléle sia tɔgbe nɔ wò ƒomea me dometɔ aɖe ŋu hã.
3. Nɔnɔmetatawo Dodokpɔwo: Esiae nye mɔ nyuitɔ si dzi woato aɖo kpe dɔlélea dzi. Dodokpɔ siawo ate ŋu akpɔ nusi le edzi yim le wò carotid ʋuka me nyuie.
- CT-dɔdamɔnu (Computed Tomography-dɔdamɔnu) .
- MRA Scan (Magnetic Resonance Angiography) ƒe nɔnɔmetata .
- Ultrasound ƒe fotoɖeɖe
Dodokpɔ siawo na ɖɔktawo te ŋu nyaa ʋuka si me ʋu sina tona ƒe lolome, eƒe nɔnɔme, kple afisi tututu wòle, eye le esia nu nyaa atike nyuitɔ kekeake.
Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?
Atikewɔwɔ nɔ te ɖe wò ʋuka si me ʋu sina tona ƒe lolome, alesi wòle tsitsim kabakabae, kple ne dzesiwo le ŋuwò dzi. Atikewɔwɔmɔnu vevi etɔ̃e li.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| 1. Lé ŋku ɖe nu ŋu | Ne ʋuka si me ʋu sina tona la le sue ŋutɔ eye dzesi aɖeke mele eŋu o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàlala vie amekoko manɔmee. Woyɔa esia be "ŋudzɔnɔnɔ ƒe lala." Woawɔ scan na wò ɣleti 6 alo ƒe ɖeka ɖesiaɖe be woakpɔe ɖa be ʋuka si me ʋu sina tona le lãme na ame la le lolom ɖe edzi hã. Le ɣeyiɣi sia me la, woate ŋu ana atike wò be nàtsɔ aɖu nyaƒoɖeamenua dzi. |
| 2. Amekoko le Gaglãgbe | Esiae nye amekokomɔnu si wozãna tsã. Le dɔ sia wɔwɔ me la, amekolaa tsoa kɔa me eye wòɖea ʋuka si me ʋuka si me ʋu sina tona le la ƒe akpa si gblẽ la ɖa. Emegbe wozãa ʋuka aɖe alo ʋuka aɖe si wowɔ (graft) si woɖe tso wò ŋutilã ƒe akpa bubu (le kpɔɖeŋu me, wò afɔ) tsɔ wɔa mɔ yeye aɖe si dzi ʋu nate ŋu ato. |
| 3. Ʋukawo me dɔdamɔnu (Endovascular Stent Grafting) . | Esia nye dɔdamɔnu si mewɔa nuvevi ame boo o si mehiã be woatsoe gã aɖeke o. Wò ɖɔkta awɔ do sue aɖe ɖe ʋuka aɖe si le wò alɔnu me eye wòade mɔ̃ tsɛ aɖe (catheter) to eme. Le X-ray ƒe mɔfiafia te la, wodoa mɔ̃a ɖe ŋgɔ va ɖoa ʋukaa me, eye wotsɔa mɔ̃ tɔxɛ aɖe si le abe lãgbalẽ ene (stent graft) dea eme. Esia wɔnɛ be ʋu sina toa mɔ̃ yeyea me le esi teƒe be wòayi ʋuka si me ʋu sina tona me. |
Wò ɖɔkta atso nya me le atikewɔwɔ si nyo na wò ŋu ne eƒo nu kpli wò heɖe nusianu me vɔ.
Nukae mate ŋu awɔ atsɔ aɖe afɔku sia dzi akpɔtɔ?
Míate ŋu aɖu afɔku aɖewo dzi o (abe ƒome ŋutinya ene), gake nu geɖe li míate ŋu awɔ be míaƒe ʋukawo nanɔ lãmesẽ me eye míaɖe míaƒe ʋuka me ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ.
- Ne ènoa atama la, dzudzɔ egbea. Esiae nye nu nyuitɔ kekeake si nàte ŋu awɔ. Bia wò ɖɔkta be wòakpe ɖe ye ŋu.
- Ðu nuɖuɖu si naa dzidɔ. Ðe nuɖuɖu siwo me ami, dze, kple sukli sɔ gbɔ ɖo dzi kpɔtɔ. Ƒo amagbewo, atikutsetsewo, kple amagbewo geɖe wu.
- De kame edziedzi. Ƒo ɖokuiwò ɖe kamedede siwo sɔ na wò me, abe alesi wò ɖɔkta ɖo aɖaŋu na wò ene.
- Kpɔ ʋusɔgbɔdɔ dzi. Ne ʋusɔgbɔdɔ le ŋuwò la, no atike si wò ɖɔkta ŋlɔ na wò ɖe game dzi.
- Wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi. Yi ɖado wo kpɔ le atikewɔƒea ɖe game dzi.
Ðe vovototo le ʋuka si me ʋu sina tona le kɔ me kple ʋuka si le tagbɔ me domea?
Esia nye atikewɔwɔ vie, gake mina míagblɔe kpuie be: Míaƒe carotid ʋuka si tsoa kɔ me yia tagbɔ me.
- Woyɔa ʋuka siwo dona le tagbɔ godo , si nye kɔ me, be `extracranial` .
- Woyɔa ʋuka siwo dzɔna le taɖua me be `intracranial` .
Ne wò ɖɔkta zã nya siawo na wò la, ɖeko wole nu ƒom tso afisi ʋuka si me ʋu sina tona le ŋu. Mehiã be nàlé nya siawo ɖe susu me o. Bia wò ɖɔkta be wòana numekɔkɔ le nusianu si gɔme mèse o ŋu.
Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ne èva nya be ʋuka me ʋu le ye ŋu. Gake to egbegbe scanning mɔ̃ɖaŋununya kple atikewɔmɔnu deŋgɔwo dzi la, ame geɖe ate ŋu anɔ agbe si sɔ. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie eye nànɔ dodokpɔ wɔm edziedzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Carotid artery aneurysm nye ʋuka gã aɖe si le kɔ me si tsɔa ʋu yia ahɔhɔ̃a me ƒe gli ƒe gbɔdzɔgbɔdzɔ, si wɔnɛ be wòdona abe ʋuƒo ene.
- Afɔku vevi eve siwo ate ŋu ado tso esia mee nye ʋu ƒe sisi si ana ame naxɔ ʋusɔgbɔdɔ kple ʋuka si me ʋu sina tona ƒe gbagbã.
- Ne èkpɔ ʋusɔgbɔdɔ ƒe dzesiwo, abe wò mo ƒe akpa ɖeka ƒe gege ɖe anyi kpata, alɔ ƒe ʋuʋu, alo nuƒoƒo sesẽ ene la, ke enye nusi dzɔ kpata. Yi kɔdzia ƒe Dɔwɔƒe si Kpɔa Dɔléle Kpatawo Gbɔ (ETU) enumake.
- Atikewɔwɔ nɔ te ɖe ʋuka si me ʋu sina tona ƒe lolome kple dzesiawo dzi. Ɣeaɖewoɣi la, ekpɔkpɔ ɖeɖe ate ŋu asɔ gbɔ. Ɣeaɖewoɣi la, ate ŋu ahiã be woawɔ dɔ na ame.
- Ʋusɔgbɔdɔ dzi ɖuɖu kple atamanono le vevie be woaxe mɔ ɖe nɔnɔme sia nu.
- Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe esia ŋu la, ƒo nu tso eŋu na wò ɖɔkta gaglãa.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee