Míenya nu tso míaƒe ŋutilã ƒe ŋutinu ɖesiaɖe ŋu o ɖe, alo? Dzi gɔ̃ hã le nenema. Èse ‘Miame Atrial Appendage’ ŋkɔ kpɔa? Anɔ eme be mènya nu tso eŋu o vaseɖe esime wò ɖɔkta gblɔe na wò. Vevietɔ na amesi ƒe dzi ƒe tsotso mewɔ ɖeka o abe Atrial Fibrillation (Afib) ene la, dzia ƒe akpa sue sia nyanya ate ŋu anɔ vevie ŋutɔ.
Nukae nye Left Atrial Appendage (LAA)?
Kpuie ko la, esia nye lãmeka sue aɖe si le abe kotoku ene si dona tso miame ƒe dzitodzito si le wò dzi ƒe ta me. Woƒoa nu tso eŋu zi geɖe ne ɖɔkta di be yeatue.
Fifia ɖewohĩ ànɔ eŋu bum be, "Nukatae woatue?" Nusitae nye be ʋu ƒe sisi si hea ʋusɔgbɔdɔ vɛ na amesiwo ŋu dzidɔ si woyɔna be Atrial Fibrillation (Afib) le ƒe akpa gãtɔ dzɔna le LAA me. Gake mègatsi dzi o, wò dzi ate ŋu awɔ dɔ nyuie kokoko akpa sue sia manɔmee.
Eyata nuka tututue dzɔna ɖe LAA dzi?
Eƒe dɔ vevitɔe nye be wòakpe ɖe ame ŋu wòakpɔ ʋu ƒe agbɔsɔsɔ si le dzia me dzi. Bu eŋu kpɔ, ne ʋu si gena ɖe dzia me dzi ɖe edzi eye LAA ƒe gliwo keke la, eɖea protein aɖe si woyɔna be natriuretic peptides ɖe ʋua me.
Peptide siawo wɔa nu wɔnuku aɖewo le míaƒe ŋutilã me:
- Wonana míaƒe ayikuwo naɖe dze kple tsi geɖe do goe to aɖuɖɔ me.
- Eɖea míaƒe ʋukawo hã ɖa vie.
Dɔwɔwɔ sia kpena ɖe mía ŋu míeɖea míaƒe ʋu ƒe sisi dzi kpɔtɔna.
Fifia ɖewohĩ ànɔ nusi dzɔna ɖe peptide siawo dzi ne wowɔ dɔ na LAA la ŋu bum. Nu wɔnukuae nye be le amekokoa megbe abe ɣleti etɔ̃ ene la, ŋutilãa trɔna ɖe nɔnɔmea ŋu eye peptide ƒe agbɔsɔsɔ gatrɔna yia nɔnɔme si sɔ me.
Nukae nye LAA ƒe nɔnɔme kple dzedzeme?
Zi geɖe la, eƒe didime anɔ abe sentimeta 2 ene, eye eƒe lolome anɔ abe gaxɔgbalẽvi ene. Ate ŋu axɔ ʋu si ade teaspoon eve (anɔ abe mililita 9 ene).
Gake menye amesiame ƒe LAA ye le ɖeka o. Nɔnɔme vovovowoe li. Le nɔnɔme sia nu la, afɔku si le ʋusɔgbɔdɔ me gɔ̃ hã ate ŋu ato vovo. Na míakpɔ nusiwo nye nɔnɔme ƒomevi vevitɔwo ɖa.
| Nɔnɔme ƒe ŋkɔ | Numeɖeɖe kple afɔku |
|---|---|
| Koklozi ƒe aʋala (si ƒe nɔnɔme le abe koklozi ƒe aʋala ene) . | Esiae nye ƒomevi si bɔ wu. Eƒe titina bɔbɔ vie. Wobua esia be enye ƒomevi si me ʋusɔgbɔdɔ ƒe afɔku le sue wu. |
| Cactus (si ƒe nɔnɔme le abe cactus ene) . | Akpa vevi aɖe le titina, eye akpa bubu siwo dze abe ɖe woɖe alɔ tso eme ene. |
| Yaƒoƒomɔ̃ (si ƒe nɔnɔme le abe yaƒoƒo ƒe akplo ene) . | Akpa didi ɖeka koe le esia si, si nye vevitɔ. |
| Seƒoƒotsihe (seƒoƒotsihe ƒe nɔnɔme) . | Esia sesẽ ŋutɔ, eye eƒe akpa geɖe ƒe lolome sɔ. Esia mebɔ kura o. Wobua esia be enye ƒomevi si me ʋusɔgbɔdɔ ƒe afɔku le wu . |
Nɔnɔme kawoe kpɔa ŋusẽ ɖe LAA dzi?
Nya vevi geɖewo li siwo le ŋusẽ kpɔm ɖe LAA dzi:
- Afɔkuwo: Nuwo abe ʋufɔkuwo ene ate ŋu agblẽ nu le LAA ŋu alo avuvui.
- Mitral valve stenosis: Mitral valve ƒe ʋuʋu le dzia me nana ʋu ƒe sisi to LAA me dzi ɖena kpɔtɔna. Esia ate ŋu ana ʋu ƒe sisi ƒe afɔkua nadzi ɖe edzi.
- Atrial fibrillation (Afib): Esiae nye esi ŋu wòle be míalé ŋku ɖo etɔxɛe. Le Afib gome la, dzia ƒe ʋukawo metsia nyuie o, ke boŋ woʋuʋuna. Esia ate ŋu ana ʋu naƒo ƒu ɖe LAA la me eye wòana ʋu ƒe sisi ƒe afɔkua nadzi ɖe edzi.
Nusi koŋ gbɔ ʋusɔgbɔdɔ tsona na amesi ŋu atrial fibrillation (Afib) le enye ʋu ƒe sisi si dzɔna le LAA me. Ʋusɔgbɔdɔ dzɔna ne ʋumenugbagbeviɣi siawo do eye wova dze ʋuka aɖe me le ahɔhɔ̃a me.
Aleke woawɔ akpɔ LAA ƒe lãmesẽ?
Ne wò ɖɔkta di be yealé ŋku ɖe LAA ƒe nɔnɔme ŋu la, dodokpɔ tɔxɛ geɖewo li na ema.
- Transesophageal echo (TEE): Esia nye dɔdamɔnu si me wozãa mɔ̃ sue aɖe si wotsɔ dea ŋɔti me tsɔ ɖea dzia ƒe nɔnɔmetata siwo me kɔ ŋutɔ. Esia nye mɔnu si bɔ ŋutɔ si wozãna tsɔ kpɔa LAA.
- MRI (Magnetic Resonance Imaging) kple Dzitodzito ƒe CT (Computed Tomography) ƒe fotoɖeɖe le dzia ŋu:Esiawo ate ŋu ana dzia kple LAA ƒe nɔnɔmetata siwo le 3D me tsitotsito.
Nukawoe nye atike siwo wozãna na LAA?
LAA dada nɔ te ɖe dɔnɔa ƒe nɔnɔme dzi.
- Ne abi aɖe xɔ ame aɖe la, wowɔa dɔ nɛ be wòadzrae ɖo .
- Ne valvɔ ƒe kuxi aɖe li, abe `mitral valve stenosis` ene la, wodaae .
- Ne afɔku li be woaxɔ ʋusɔgbɔdɔ le Afib ta la, wotua LAA la, ɖenɛ ɖa, alo xea mɔ nɛ be ʋu ƒe sisi nagadzɔ o. Esia nye atikewɔwɔ si kpɔ dzidzedze ŋutɔ fifia. Emegbe esia ate ŋu aɖe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔ.
Aleke mawɔ alé be na nye dzi nyuie?
Ele vevie be nàna wò dzi bliboa nanɔ lãmesẽ me, ke menye LAA ɖeɖeko o. Be nàte ŋu awɔ ema la, tsɔ nu bɔbɔe siawo kpe ɖe wò agbe ŋu.
- De kame aɖabaƒoƒo 150 ya teti le kwasiɖa me. Azɔlizɔzɔ sesĩe gɔ̃ hã sɔ gbɔ.
- Ƒo nuɖuɖu si naa dzidɔ . De atikutsetsewo, amagbewo, amagbewo, kple lã kple tɔmelã siwo me ami mele o wò nuɖuɖu me.
- Te ɖa le atamanuwo ŋu keŋkeŋ .
- Di mɔ siwo dzi nàto aɖu nuteɖeamedzi dzi le wò gbesiagbegbenɔnɔ me. Nu bɔbɔe aɖe abe ŋugbledede, haƒoƒo sese, alo nuƒoƒo na xɔ̃wò ene gɔ̃ hã ate ŋu akpe ɖe ŋuwò.
- Ne nɔnɔmewo abe ʋusɔgbɔdɔ alo suklidɔ ene le ŋuwò la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi eye nàɖu wo dzi nyuie.
Togbɔ be ame geɖe mesee kpɔ o hã la, akpa sue aɖe koe LAA wɔna le míaƒe ŋutilã me. Gake ne ena nèle afɔku me be nàxɔ ʋusɔgbɔdɔ la, ke anyo wu be nànɔ agbe ema manɔmee. Enye nusi sɔ be vɔvɔ̃ naɖo ame vie ne èle dzidɔ ŋu bum. Gake le amesi ŋu Afib le gome la, mɔxexe ɖe LAA nu, ablɔɖe nana wo ɖokui tso atike siwo nana ʋu ƒe sisi le eƒe agbemeŋkekewo katã me, kple agbe si me ʋusɔgbɔdɔ mele o nɔnɔ nye mɔ nyui aɖe si dzi nàto aƒo nu kple wò ɖɔkta tso nusi nyo na wò ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Left Atrial Appendage (LAA) nye dzia ƒe akpa sue aɖe si le abe kotoku ene si lé ɖe miame dzitodzito ŋu. Mele vevie na dzia ƒe dɔwɔwɔ o.
- Afɔku vevitɔ si le esia me enye be le amesiwo ŋu Atrial Fibrillation (Afib) le gome la, ʋu ƒe sisi ate ŋu adzɔ le dzia me, azɔ mɔ ayi ahɔhɔ̃a me, eye wòana ame naxɔ ʋusɔgbɔdɔ.
- Afɔku si le ʋusɔgbɔdɔ me la toa vovo le LAA ƒe nɔnɔme nu. ‘Seƒoƒotsihe’ ƒe nɔnɔmee nye afɔku gãtɔ kekeake.
- LAA la nu tutu, eɖeɖe, alo mɔxexe ɖe enu nye atike nyui aɖe si woatsɔ aɖe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔ.
- Ne Afib le ŋuwò la, ƒo nu faa kple wò ɖɔkta tso esia kple atikewɔmɔnu siwo sɔ na wò ŋu.
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