Ðe ʋukawo ƒe kuxi aɖe le wò akɔta? Mina míasrɔ̃ nu geɖe tso Spinal Arteriovenous Malformation (AVM) ŋu!

Ðe akɔta veam ɣeaɖewoɣia? Alo ɖe nèsena le ɖokuiwò me be yeƒe alɔ alo afɔ aɖe le ƒoƒom alo gbɔdzɔa? Ðewohĩ menye nusiwo dzɔna le vome koe esiawo nye o. Egbea míele nu ƒom tso nɔnɔme aɖe si ŋu womesea nu tsoe ƒã o, gake ate ŋu anɔ vevie ŋutɔ la ŋu. Ema nye ʋuka si le aklã me, nɔnɔme si woyɔna be `(Spinal Arteriovenous Malformation)` alo `(AVM)` le atikewɔwɔ me.

Nukae nye `(Spinal AVM)` sia?

Kpuie ko la, Spinal AVM nye nɔnɔme si me ʋukawo (ʋukawo) ƒoa xlã wò eye woxatsana ɖe wò aklã (lãmeka si le wò akɔta me) ŋu alo le edzi. Ènya alesi esia dzɔnaea? Ʋukawo (ʋuka siwo tsɔa ʋu si me ɔksidzin le tso dzia me) kple ʋukawo (ʋuka siwo tsɔa ʋu si wozã trɔna yia dzia me) le míaƒe ŋutilã me. Zi geɖe la, ʋuka siwo le sue ŋutɔ siwo woyɔna be ʋuka siwo me ʋu sina tona ƒe ɖoɖo aɖee doa ka kple ʋuka kple ʋuka siawo. Ʋuka siawoe maa oxygen na míaƒe aklã kple lãkusi siwo ƒo xlãe.

Ke hã, le `(AVM)` nɔnɔme sia me la, ʋuka aɖe doa ka kple ʋuka aɖe tẽ. Wotoa ʋuka siwo le wo dome la ŋu. Bu eŋu kpɔ, ele abe ʋuwo ƒe tsɔtsɔ tso mɔ gã aɖe dzi si trɔ kpata yi mɔ sue aɖe dzi eye emegbe wògava do ka kple mɔ gã aɖe ene. Nukae dzɔna le esia ta? Oxygen agbɔsɔsɔme si lãmenugbagbevi siwo le aklã me hiã la dzi ɖena kpɔtɔna. Azɔ hã, kadodo sia si mesɔ o ate ŋu ana ʋukawo nalolo, atrɔ woƒe nyaƒoɖeamenu, eye ɣeaɖewoɣi woagbã . Ne edzɔ alea la, ʋu si gbɔ eme `(Ʋudodo)` ate ŋu adzɔ, si ate ŋu ade ame ƒe agbe afɔku me . Gake mègatsi dzi o, atikewɔmɔnu aɖewo li siwo dzi woato axe mɔ ɖe nɔnɔme sia nu. Ɣeaɖewoɣi la, ɖɔktawo hã yɔa esia be `(Spinal Arteriovenous Shunt)`, abe alesi ɖewohĩ èsee ene.

Nukae nye `(Spinal AVM)` ƒe ƒomevi veviwo?

Azɔ mina míakpɔ nusiwo nye `(Spinal AVM)` ƒe ƒomevi veviwo ɖa. Le nyateƒe me la, ʋukawo ƒe gbɔdzɔgbɔdzɔ ƒomevi atɔ̃e li siwo dzɔna le aklã me. Esiawo dometɔ aɖewoe nye `(Aklã ƒe Ʋukawo ƒe Dɔmawɔmawɔ nyuie - AVM)` kple `(Aklã ƒe Ʋukawo ƒe Dɔléle - AVF)`. Le esiawo evea siaa me la, kadodo si mesɔ o dzɔna le ʋuka kple ʋuka dome. Ke hã, `(AVM)` dzɔna le aklã ƒe lãkusi me. `(AVF)` dzɔna le `(Dura mater)` , si nye nutsyɔnu si ƒo xlã aklã ƒe ka.

Ƒomevi vevi atɔ̃awoe nye esi:

• Ƒomevi I: Dural AVF: Esia le aklã ƒe akpa si le gota wu (dura mater).
• Ƒomevi II: Intramedullary glomus AVM: Esia le aklã ƒe ka me.
• Ƒomevi III: Intramedullary juvenile AVM: Esia ate ŋu akaka ɖe aklãa me kple lãkusi siwo ƒo xlãe siaa me. Ðeviwo kple sɔhɛ tsitsiwo mee wòbɔ ɖo wu.
• Ƒomevi IV: Perimedullary AVF: Esia le lãkusi siwo ƒo xlã aklãa me.
• Ƒomevi V: Extradural AVF: Esia le teƒe si le dura mater godo.

Nu ɖeka si dzi wòle be míaɖo ŋkui enye be ne AVM gbã la, zi geɖe la, dzesiawo ate ŋu asẽ wu AVF tɔ. Esia le alea elabena AVM aɖe gbãna ɖe lãkusia me tẽ, evɔ zi geɖe la, AVF ya nɔa dura mater la me, si naa ametakpɔkpɔ aɖe.

Aleke gbegbee nɔnɔme sia bɔe?

Aleke gbegbee woyɔa nɔnɔme sia be `(Spinal AVM)`? Le nyateƒe me la, eyae nye ʋukawo me dɔléle siwo bɔ wu le aklã me. Ke hã, esesẽna be míagblɔ ame agbɔsɔsɔme si tututu wòle. Esia le alea elabena ame geɖe menya be ele yewo ŋu o vaseɖe esime dzesiwo dze le yewo ŋu. Ɣeaɖewoɣi la, woke ɖe eŋu le vo me ne wole dɔléle bubu aɖe dom kpɔ. Eyata zi geɖe la, wobua eŋu be enye nɔnɔme si mebɔ o .

Nukae nye `(Spinal AVM)` ƒe dzesiwo?

`(Spinal AVM)` ƒe dzesiwo dzɔna elabena ʋuka siwo xaxa la tea akɔta ƒe lãmeka ƒe kewo kple aklã ŋutɔ. Le atikewɔwɔ me la, míeyɔa nyaƒoɖeamenu sia ƒomevi be `(Myelopathy)` . Dzesi siwo bɔ wue nye:

• Akɔtave .
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ alo woƒe sesẽ (le kɔ, abɔwo, kple afɔwo me).
• Afɔwo ƒe ʋuʋu, seselelãme ƒe bu, alo seselelãme wɔnukuwo le afɔwo ŋu.
• Taɖuame .
• Dadasɔ ƒe bu, azɔlizɔzɔ sesẽ .
• Aɖuɖɔ kple aɖuɖɔ dzi ɖuɖu sesẽ .

Dzesi siawo toa vovo le AVM ƒomevi, alesi wòsẽe, kple afisi wòle le aklã me nu. Le kpɔɖeŋu me, ne AVM la le wò akɔta alo akɔta ƒe akpa si le etame la, dzesiawo ate ŋu adze le wò akɔta, akɔta, akɔta, abɔwo, kple afɔwo dzi. Ne ele wò akɔta titina alo akɔta ƒe akpa si le anyime la, dzesiawo ate ŋu akpɔ ŋusẽ ɖe wò ƒodo ƒe akpa si le anyime, akɔta, alo afɔwo dzi.

Dzesi siawo ate ŋu adze le ŋutilã ƒe akpa ɖeka alo axa evea siaa. Ɣeaɖewoɣi la, àte ŋu ade dzesii be wodzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe, alo woate ŋu ava hedzona. Nenɔ susu me na wò be ame aɖewo ate ŋu akpɔ aklã ƒe AVM dzesi aɖeke manɔmee.

Ke hã, ele vevie be nàyi ɖɔkta gbɔ ne dɔlélea ƒe dzesiwo dze egɔme ko. Nane abe akɔtave sesẽ kpata ene ate ŋu anye dzesi be AVM aɖe gbã. Esia nye atikewɔwɔ kpata, eyata di atike enumake.

Ɣekaɣie dzesiawo dzea egɔme?

`(AVM)` ƒe dzesi siawo ateŋu adze le ƒe ɖesiaɖe me. Ke hã, ame akpa gãtɔ kpɔa dzesiawo le ƒe 15 va ɖo ƒe 60. Ate ŋu ato vovo hã le `(AVM)` ƒe ƒomevi nu. Zi geɖe la, `(Spinal AVM)` nɔnɔme siawo nye esiwo wodzina . Esia fia be ɖewohĩ ʋuka siawo ƒe kuxiwo nɔ vidzĩ aɖe ŋu esime wogakpɔtɔ nɔ vidzidɔa me. Ke hã, ɣeaɖewoɣiNɔnɔme sia ate ŋu adzɔ le ame tsitsi (si woxɔ) megbe hã.

Nukae nye nusiwo gbɔ `(Spinal AVM)` tsona?

Ðɔktawo menya nusi tututu hea `(Spinal AVM)` sia vɛ haɖe o .

Le vidzidzi `(Spinal AVM),` numekukuwo ɖee fia be le fugboe ƒe ɣeyiɣia me (ne vidzĩa le tsitsim le vidzidɔ me) la, ʋuka siwo ƒo xlã aklãa tsina le mɔ si mesɔ o nu. Le kpɔɖeŋu me, ate ŋu atso tɔtrɔ si va le ʋu ƒe sisi ƒe mɔ dzi be woaƒo asa na mɔxenu aɖe gbɔ.

Le vidzidzi megbe la, ``Spinal AVM`` si woxɔ ateŋu adzɔ le afɔku, amekoko, alo abi bubu ƒomevi aɖe si woxɔ le aklã ŋu megbe .

Kuxi kawoe esia ate ŋu ahe vɛ?

Kuxi siwo ate ŋu ado mo ɖa le `(Spinal AVM)` ta ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi . Wo dometɔ vevitɔwoe nye:

• Ʋudodo: AVM ate ŋu agbã eye wòadze ʋu dodo gɔme le ŋutilãa me.
• Ischemia: Esia nye ne ʋu ƒe sisi nu tso. Esia ɖea oxygen kple nunyiame siwo ŋutilã ƒe akpawo hiã la dzi kpɔtɔna. Esia ate ŋu ana lãmenugbagbeviwo nadzudzɔ dɔwɔwɔ nyuie, eye le ɣeyiɣi aɖe megbe la, nusiwo gblẽ ate ŋu aƒo ƒu.
• Lãmetsi: Ne aklãa gblẽ la, ate ŋu ana ame nazu lãmetutudɔ, si nye nɔnɔme si me ametia ƒe akpa aɖewo mate ŋu aʋuʋu o.

Aleke nàwɔ anya ne `(Spinal AVM)` le asiwò?

Aleke ɖɔkta wɔa anya be AVM le aklã me? Woado wò ŋutilã kpɔ gbã , emegbe woawɔ ahɔhɔ̃mekawo ƒe dodokpɔ . Tsɔ kpe ɖe eŋu la, woate ŋu adɔ be woawɔ nɔnɔmetatawo dodokpɔ tɔxɛ aɖewo hã .

Nɔnɔmetata dodokpɔ siawo ate ŋu akpe ɖe ame ŋu woanya AVM la ƒe lolome kple afisi wòle le aklã me. Wò ɖɔkta ate ŋu azã dodokpɔwo abe esiawo ene:

• Magnetic Resonance Imaging (MRI) ƒe fotoɖeɖefia.
• Magnetic Resonance Angiography (MRA) dodokpɔ (esia léa ŋku ɖe ʋukawo ŋu koŋ) .
• Myelogram kple CT (Computed Tomography - CT) ƒe fotoɖeɖe.

Tsɔ kpe ɖe eŋu la, ne lãmekawo ƒe ʋuʋu alo lãmekawo gbɔdzɔ la, woate ŋu awɔ lãmekawo ƒe dɔwɔwɔ dodokpɔ kple electromyography (EMG) dodokpɔwo.

Aleke wowɔa atike na `(Spinal AVM)`?

Mɔnu vevi geɖewo li siwo dzi woato ada `(Spinal AVM)`:

• Embolisation:Le esia me la, amekola zãa mɔ̃ (catheter) si le tsɛ ŋutɔ tsɔ ɖoa ​​ʋuka si ŋu dɔlélea le gbɔ eye wòtɔa ʋua ƒe dodo alo tua kadodo si mesɔ o la.
• Amekoko: Amekolaa ɖea AVM la ɖa keŋkeŋ eye wònana ʋukawo sina nyuie.
• Stereotactic radiosurgery: Le esia me la, woɖoa keklẽŋusẽ ƒe keklẽ siwo ŋu ŋusẽ geɖe le ɖe afisi tututu AVM la le, si gblẽa ʋukawo ƒe kadodo siwo mesɔ o la hetua wo.

Wò ɖɔkta aɖe atike si nyo na wò nɔnɔmea me na wò. AVM ƒe lolome kple afisi wòle ye afia atike si le dedie wu eye wòawɔ dɔ wu. Agblɔ atikewɔwɔa ƒe nugbegblẽ le ame ŋu hã na wò ale be nàte ŋu awɔ nyametsotso si ŋu nènya nu tsoe.

Le `(Spinal AVM)` ƒe akpa gãtɔ me la, ehiã be woawɔ dɔ na ame be woatsɔ axe mɔ ɖe kuxi siwo míeyɔ va yi nu. Vaseɖe gbesigbe woawɔ dɔ na wò la, wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitikewo alo atike bubuwo na wò be wòaɖu wò dzesiwo dzi eye wòana nàvo.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Le amekoko vɔ megbe la, àdze gbɔdzɔe gɔme tso dzesiwo abe vevesese kple taɖuame ene me. Gake ɣeyiɣi si wòaxɔ hafi ahaya keŋkeŋ la ato vovo le amekoko si ƒomevi wò ɖɔkta kafu na wò nu. Zi geɖe la, ate ŋu axɔ kwasiɖa ʋɛ aɖewo. Le amekoko vɔ megbe la, ɖewohĩ ahiã be nàzã kamedede alo dɔdamɔnu hã be wòado ŋusẽ wò lãmekawo eye wòana wò dadasɔ nanyo ɖe edzi.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Woate ŋu awɔ dɔ na aklã ƒe AVM-wo to amekoko me. Nu nyuitɔ kekeake dona tso eme ne wokpɔ dɔlélea eye wodae kaba, hafi kuxiwo do mo ɖa. Ke hã, esia menɔa bɔbɔe ɣesiaɣi o. Ɣeaɖewoɣi la, ne aklã me AVM le ame ŋu gɔ̃ hã la, dzesiawo mate ŋu adze enumake o. Ne womewɔ atike nɛ o la, ate ŋu ahe kuxi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me abe lãmetutudɔ kple ʋudodo ene vɛ.

Aleke gbegbee Spinal AVM dɔwɔwɔ kpɔa dzidzedzee?

Zi geɖe la , amekoko si wowɔna na aklã me AVM kpɔa dzidzedze . Numekuku aɖe ɖee fia be embolisization kple amekoko ƒe atikewo ɖeɖeɖa kpɔ dzidzedze 74% kple 88%, le wo nɔewo yome. Le numekuku ma ke me la, amesiwo woda dɔ na ƒe 70% kpɔ dzesiawo ƒe gbɔdzɔe.

Gake amekokoa me tsonu nɔ te ɖe nu geɖe dzi, abe wò lãmesẽ bliboa, AVM ƒe lolome, kple afisi wòle ene. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò nyuie wu le wò nɔnɔmea ŋu.

Aklã ƒe AVM kple fufɔfɔ

Togbɔ be anya wɔ be woafɔ fu dzidzedzetɔe kple `(Spinal AVM)` hã ​​la, afɔku si le kuxiwo me la lolo ŋutɔ.. Afɔku gã aɖe li be AVM la nagbã, si ana ame nase veve vevie eye wòazu lãmetutudɔ. Esia ate ŋu ade vidadaa kple vidzĩ si le dɔ me siaa ƒe agbe afɔku me. Eyata wò ɖɔkta aɖo aɖaŋu na wò le atike siwo le dedie wu na wò nɔnɔmea kple alesi nàdzra ɖo ɖe fu si le lãmesẽ me ŋu.

Ðe woate ŋu axe mɔ ɖe esia nua?

Fifia la, womenya mɔ aɖeke si dzi woato axe mɔ ɖe nɔnɔme sia nu o (Spinal AVM). Wole numekuku bubuwo wɔm be woakpɔ nusi hea nɔnɔme siawo vɛ.

Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?

Ne èse le ɖokuiwò me be `(Spinal AVM)` ƒe dzesiwo le ye ŋu la, yi ɖɔkta gbɔ godoo .

Ɣeaɖewoɣi la, AVM ate ŋu agbã kpata. Esia nye atikewɔwɔ kpata. Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe la, yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake:

• Akɔtave kpata si womate ŋu ado dzi atsɔ o.
• Ŋutilã si me kɔ, vuvɔ, fifia.
• Yagbɔgbɔ sesẽ.
• Dzi ƒe tsotso dzina ɖe edzi.
• Aɖuɖɔtoe alo ʋuʋudedi.
• Dadasɔ ƒe bu le ŋutilãa me.
• Tɔtɔ, ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie.
• Kɔa ʋuʋu alo tɔtrɔ sesẽ.
• Taɖuame sesẽ.
• Ame ƒe susu meganɔa ame ŋu o.

Nya siwo wòle be nàbia wò ɖɔkta

Nya aɖewo siwo wòle be nàbia wò ɖɔkta:

• Afikae nye `(Spinal AVM)` le?
• Atikewɔwɔ kae nèkafu?
• Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu?
• Ɣeyiɣi didi kae wòxɔna hafi wòhayana le amekoko vɔ megbe?
• Ðe AVM ate ŋu agatsi ake ne woɖee ɖaa?
• Ne Spinal AVM le nye ƒometɔ kplikplikpliwo dometɔ ɖeka ŋu la, ɖe wòle be woado domenyiŋusẽfianu hã kpɔa?

Nu vevitɔ kekeake si dzi nàɖo ŋkui!

Ne dzesiwo dze kpata, siwo dometɔ aɖewoe nye tɔtrɔ le ŋutilã ƒe ʋuʋu kple lãmekawo ƒe ŋusẽ ŋu la, ate ŋu anye nɔnɔme dziŋɔ aɖe. Ne èse nane si wɔ nuku la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Zi geɖe la, akɔtave sesẽ nyea dzesi vevi aɖe si fia be nane gblẽ vevie. Nɔnɔme sia si woyɔna be spinal arteriovenous malformation (AVM) ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ . Eyata zi alesi wokpɔ dɔlélea kaba hedae la, zi nenemae emetsonua nyonae . Amekoko ate ŋu aɖɔ ʋuka siawo ƒe nɔnɔme si mesɔ o ɖo.

` Aklã ƒe AVM, aklã, ʋukawo, akɔtave, AVM, ʋudodo, amekoko