Ðe ‘ʋuka’ aɖewo siwo le wò ŋutilã me xea? Mina míasrɔ̃ nu tso (Stenosis) kple (Stricture) ŋu le mɔ bɔbɔe aɖe nu!

Ðe gbɔgbɔtsixe tsia ƒowò ɣeaɖewoɣi ne èlia atrakpui? Alo ɖe nèsea veve wɔnuku aɖe le wò afɔ ŋu le tsitrenu hena ɣeyiɣi aɖe megbea? Alo ɖe nèsena le ɖokuiwò me be yeƒe lãme le ƒoƒom ne yemi nuɖuɖua? Ɣeaɖewoɣi la, nu siawo ate ŋu atso mɔ veviwo, mɔwo alo ‘mɔ̃wo’ siwo le ŋutilãa me ƒe kpuiƒe gbɔ. Egbea, míaƒo nu tso ‘narrowings’ siawo ŋu, si nye nusi ɖɔktawo yɔna be nɔnɔme sia (Stenosis) kple (Stricture) . Mègatsi dzi o, mina míase nya sia gɔme bɔbɔe.

Nukae nye (Stenosis) kple (Stricture)?

Kpuie ko la, nya (Stenosis) kple (Stricture) siaa fia mɔ aɖe, mɔ aɖe, alo do sue aɖe gɔ̃ hã ƒe ʋuʋu alo xexe le wò ŋutilã me. Bu eŋu kpɔ be ne ɖiƒoƒo aɖe tsi pɔmpi me la, asesẽ be tsia nato eme, alo? Esia nye nane si le abe ema ene. Le esia ta la, nu siwo wòle be woato mɔ ma me (le kpɔɖeŋu me, ʋu, nuɖuɖu, gbɔgbɔ, aɖuɖɔ, kple bubuawo) mate ŋu asi nyuie o.

Zi geɖe la, wozãa nya eve siawo tsɔ ɖɔlia wo nɔewo. Eyae nye be esiawo nye nuwɔna siwo mele be woadzɔ ŋutɔŋutɔ o eye woate ŋu agblẽ nu le ŋuwò. Nɔnɔme siawo hiã be woawɔ atike na wo , vevietɔ ne dzesiwo le ŋuwò. Eyata ele vevie be nànya esia ne èle nyametsotso wɔm le wò lãmesẽ ŋu.

(Stenosis) kple (Stricture) - Ðe vovototo aɖe le wo domea?

Le nyateƒe me la, togbɔ be gɔmesese vevitɔ si le nya eveawo ŋue nye "kekeli" hã la, ɖɔktawo zãa nya siawo le mɔ vovovowo nu ɣeaɖewoɣi na ŋutilã ƒe akpa vovovowo.

Wozãa nya stenosis zi geɖe:

• Ʋukawo (ʋukawo) ƒe ʋuʋu. Le kpɔɖeŋu me, carotid ʋuka siwo le wò kɔ me (ʋuka siwo tsɔa ʋu yia wò ahɔhɔ̃ me) alo ayiku ƒe ʋuka siwo tsɔa ʋu yia wò ayiku me.
• Dzitodzito ƒe ʋukawo ƒe ʋuʋu. Le kpɔɖeŋu me, aortic valve alo mitral valve.
• Narrowing of some parts of the Respiratory system , le kpɔɖeŋu me, wò yaƒoƒomɔ̃ (yagbɔgbɔ) alo wò gbeɖiɖiɖaka (larynx).

Ɣeaɖewoɣi la, ʋusɔgbɔdɔ sia ate ŋu anɔ sue ŋutɔ, eye dzesi aɖeke manɔ eŋu o. Gake sue aɖe gɔ̃ hã ate ŋu alolo le ɣeyiɣi aɖe megbe, ahe dzesiwo vɛ, alo ahe nɔnɔme siwo me afɔku le vɛ. Le kpɔɖeŋu me, ne ʋuka aɖe si tsɔa ʋu yia wò ahɔhɔ̃ me va le kpuie ŋutɔ la, àte ŋu axɔ ``Stroke``.

Wozãa nya stricture zi geɖe tsɔ fiaa nu xaxɛwo abe:

• Nuɖuɖumeŋusẽ ƒe akpa aɖewo . Le kpɔɖeŋu me, wò nuɖuɖutome, dɔgbo, alo ʋuka siwo me ʋu sina tona.
• Aɖuɖɔtoe ƒe akpa aɖewo . Le kpɔɖeŋu me, tsinyegoe alo tsinyegoe ƒe kɔ.
• Vidzidzi ƒe akpa aɖewo . Le kpɔɖeŋu me, vidzidɔ (`(Vagina)`) alo vidzidɔ (`(Cervix)`).

Afikae ʋuʋudedi siawo ate ŋu adzɔ le? (Stenoses Kple Strictures Ƒomeviwo) .

Teteɖeanyi siawo ƒomevi ate ŋu adzɔ le wò ŋutilã ƒe teƒe geɖe. Mina míalé ŋku ɖe nu vevi ʋɛ aɖewo siwo ŋu esia gblẽ nu le ŋu.

Dzitodzito me ʋukawo kple ʋukawo (ʋuka siwo me ʋu sina tona) .

Valvɔ siwo le wò dzi me le abe "ʋɔtruwo" ene. Ʋɔtru siawo ʋuna hedoa wo ale be ʋu nate ŋu ato wò dzi ƒe xɔwo me. Ʋukawo le abe "pɔmpiwo" siwo tsɔa ʋu si me oxygen sɔ gbɔ ɖo ɖe wò ŋutilã katã me ene. Ne esiawo va le kpuie la, kuxi sesẽwo ate ŋu ado mo ɖa.

Kpɔɖeŋu aɖewoe nye esi:

• Aortic valve stenosis: Esia nye ʋuka vevitɔ si tsɔa ʋu tso dzia me yia ŋutilãa me la ƒe kpuiƒe. Esia ate ŋu agblẽ nu le dzia ŋu.
• Carotid artery stenosis: Esia tsoa ʋuka gã si le wò kɔ me si tsɔa ʋu yia wò ahɔhɔ̃ me la ƒe tsitsi gbɔ. Ame akpa gãtɔ ƒe dzesiwo dzena le ʋuka me ʋu ƒe sisi ɣeyiɣi kpui aɖe (TIA) alo ʋusɔgbɔdɔ gã aɖe megbe. Kpɔe ɖa le susu me be xɔ̃wò aɖe megate ŋu ƒoa nu o zi ɖeka eye megate ŋu ɖua eƒe abɔwo kple afɔwo dzi o. Esia ate ŋu anɔ alea.
• (Coronary artery disease): Togbɔ be dɔléle sia ƒe ŋkɔ megblɔ be (Stenosis) o hã la, le nyateƒe me la, nenemae wòdzɔna. Ʋuka siwo naa ʋu dzia (`(Coronary arteries)`) la va nɔa kpuie le ami siwo me ami le (`(Plaque)`) ta. Ne wova le kpuie akpa la, `(Dzidɔ)` ateŋu adzɔ.
• Mitral valve stenosis: Valvɔ si tsɔa ʋu tso dzia ƒe miamexɔ si le etame yi miamexɔ si le ete la ƒe kpuiƒe.
• Aklã ƒe ʋukawo ƒe ʋuʋu: Esia nye nɔnɔme si dzɔna ɖe vidzĩ suewo kple ɖevi suewo dzi. Ʋuka siwo tsɔa ʋu tso dzia me yia lãkusi me la dometɔ ɖeka alo esi wu nenema va xana.
• Ayiku ƒe ʋukawo ƒe ʋuʋu: Ʋuka siwo naa ʋu ayikuwo ƒe ʋuʋu. Togbɔ be dzesi aɖeke madze le gɔmedzedzea me o hã la, ne nɔnɔmea le sesẽm ɖe edzi la, ayiku ƒe dɔwɔwɔ ate ŋu aɖe akpɔtɔ.
• Subclavian artery stenosis: Ʋuka si naa ʋu naa wò alɔnu ƒe ʋuʋu. Esi wònye be zi geɖe la, edzea miame dzi ta la, dzesiwo (abe ʋuʋudedi, ʋuʋudedi ene) dzena le miame.

Akɔta ƒe akɔta

Wò akɔta nye wò ŋutilã ƒe akpa si doa ŋusẽ wò eye wòkpena ɖe ŋuwò nèʋãna. Ƒu sue 33 (Vertebrae) siwo woƒo ƒu ɖe wo nɔewo dzi ye le eme. Ne ƒu siawo le fli me la, tɔdzisasrã sue aɖe si toa wo me. Woyɔa esia be Akɔta ƒe Tɔdzisasrã. Wò aklã toa tɔdzisasrã sia me.

Abe alesi tɔdziʋu zɔna to tɔdzisasrã dzi ene la, aklã hã zɔna to `(Akɔta ƒe mɔ̃) sia dzi.` Abe alesi wòhiã be tɔdzisasrãa nakeke hafi tɔdziʋua nato eme ene la, nenema ke wòle be teƒe nanɔ aklã hã ŋu le tɔdzisasrã sia me.

Ne `(Spinal canal)` sia xaxa le afi sia afi la, ateŋu azi lãmeka siwo le aklã me dzi, si ahe dzesiwo abe vevesese kple lãmetutudɔ ene vɛ. Esiae nye nusi ɖɔktawo yɔna be `(Spinal stenosis) .` Togbɔ be ateŋu adzɔ le akɔta ƒe akpa ɖesiaɖe hã la, zi geɖe la, edzea wò akɔta (`(Lumbar spine)`) kple kɔ (`(Cervical spine)`).

Foraminal stenosis nye aklã ƒe ʋuʋu ƒomevi bubu. Afi siae do siwo me lãmekawo tona dona le aklã me la va xaxa le.

Yagbɔgbɔ ƒe ɖoɖo

Wò yaƒoƒomɔ̃woe nye mɔ siwo dzi wò ŋutilã zãna tsɔ gbɔa yae hedoa go. Wo dzadzraɖo ɖe wo ŋu le vevie ŋutɔ be nàte ŋu agbɔ ya.

Tracheal stenosis nye wò yaƒoƒomɔ̃ vevitɔ (trachea) ƒe ʋuʋu. Esia tsoa abi ƒe lãkusi siwo le yaƒoƒomɔ̃a me gbɔ. Zi geɖe la, ate ŋu anye intubation ƒe nugbegblẽ le ame ŋu.

Subglottic stenosis nye lãkusi ƒe akpa si le anyime ƒe ʋuʋu. Mebɔ abe yaƒoƒo ƒe ʋuʋu ene o. Ɣeaɖewoɣi la, ate ŋu atso mɔ̃ si wotsɔ dea ʋu me alo dɔlékuiwo xɔxɔ gbɔ, gake le go geɖe me la, womate ŋu akpɔ nusi gbɔ wòtso o.

Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ

Nuɖuɖumeŋusẽe nye afisi nèɖua nuɖuɖu si nèɖuna eye nèxɔa nunyiame siwo le eme. Enye afisi nèwɔa gbeɖuɖɔ (aɖuɖɔ) le heɖenɛ doa goe hã.

Nuwo ƒe kpuiƒe ate ŋu adzɔ le teƒe vovovowo le nuɖoanyi sia me:

• Nuɖuɖutome ƒe ʋuʋu: Nuɖuɖutome ƒe ʋuʋu. Zi geɖe la, acid ƒe ʋuʋu si nɔa anyi ɖaae nye nusi koŋ gbɔ esia tsona.
• Dɔgbo ƒe ʋuʋu: Dɔgbo sue (`(Dɔgbo sue)`) alo dɔgbo gã (`(Colon)`) ƒe akpa aɖe ƒe ʋuʋu. Wogayɔa esia be `(Dɔgbo sue ƒe ʋuʋu)` alo `(Dzogome ƒe ʋuʋu)`. Afɔku sia lolo wu le amesiwo ŋu dɔlélewo abe `(Crohn ƒe dɔléle)` le le dɔgboa ƒe dɔdzẽ si nɔa anyi ɖaa ta. Esia ateŋu ahe `(Adɔgbo ƒe mɔxexe)` vɛ.
• Anal stenosis: Aɖuɖɔtoe ƒe ʋuʋu. Zi geɖe la, esia ate ŋu adzɔ le abi ƒe lãkusi le akɔta ƒe dɔwɔwɔ vɔ megbe (abe anoplasty ene).
• Biliary stricture: Aɖuɖɔtoe siwo tsɔa ʋumenugbagbeviɣi (tsi si kpena ɖe ame ŋu wòɖua nuɖuɖu) tso aklã me yia dɔgbo suea me la ƒe ʋuʋu alo xexe. Dɔdzẽ si le dɔgboa me kple dɔdzẽ si le ʋukawo me ye nye nusiwo koŋ gbɔ esia tsona.

Aɖuɖɔtoe kple vidzidzi ƒe ɖoɖowo

Ɣeaɖewoɣi la, wò aɖuɖɔtoe alo vidzidzi ƒe akpa aɖewo ate ŋu axa. Esia ate ŋu anye atikewɔwɔ aɖewo, amekoko, alo abi alo dɔlékuiwo ƒe nugbegblẽ le ame ŋu. Nɔnɔme siawo ate ŋu ato vovo le ŋutsu alo nyɔnu nyenye nu.

Kpɔɖeŋu aɖewo:

• Bladder neck contracture: Kɔ ƒe ʋuʋu le afisi aɖuɖɔ dona le tsinyegoe me (`(Tsinyegoe)`) yia tsinyegoe me (`(Urethra)`). Esia ateŋu adzɔ le ŋutsuwo me le prostate dɔwɔwɔ vɔ megbe (`(Prostate surgery)`).
• Urethral stricture: Aɖuɖɔtoe ƒe ʋuʋu. Esia hã gblẽa nu le ŋutsuwo ŋu wu. Posterior urethral stenosis nye tsinyegoe ƒe akpa si le etame ƒe ʋuʋu.
• Vaginal stenosis: Vidzidɔ ƒe mɔ si le kpuie. Esia ate ŋu adzɔ le nyɔnuwo me abe keklẽŋusẽdɔdada ƒe nugbegblẽ le akɔta ƒe akpa si le akɔta ŋu ene.

Nukawoe nye dzesi siwo ɖee fia be wole ʋuʋum siawo?

Eyata nukawoe nye dzesi siwo le teƒe siawo ƒe ʋuʋu ŋu? Le nyateƒe me la, e...Enɔ te ɖe afisi wòle le ŋutilãa me si me ʋuʋudedia le dzi bliboe. Ɣeaɖewoɣi la, ɖewohĩ dzesi aɖeke manɔ anyi kura o. Gake dzesi aɖewo li siwo bɔ siwo woate ŋu akpɔ. Le kpɔɖeŋu me:

• Ne dzitodzito aɖe va xaxa: gbɔgbɔ sesẽ, akɔtave, alɔ̃madɔmadɔ.
• Ne aklã ƒe mɔa xaxa: akɔta kple afɔ ƒe vevesese, lãmetutudɔ, azɔlizɔzɔ sesẽ.
• Ne yaƒoƒomɔ̃a va xaxa: Gbɔgbɔtsixetsixe, gbɔgbɔtsixetsixe.
• Ne nuɖuɖutome la xaxa: nuɖuɖu mimi sesẽ, nuɖuɖu ƒe ʋuʋu.
• Ne tsinyegoea va xaxa: aɖuɖɔtoe sesẽ, aɖuɖɔtoe ƒe sisi gbɔdzɔ.

Nukatae ʋuʋudedi siawo dzɔna? Nukawoe nye susu siwo tae?

Susu geɖewo ate ŋu anɔ anyi siwo tae nɔnɔme mawo dzɔna ɖo.

• Plaque ƒe ƒuƒoƒo ɖe ʋukawo me (ʋukawo ƒe xexe le ami kple ʋumemi ƒe ƒuƒoƒo ta).
• Abe atikewɔwɔ kple amekoko aɖewo ƒe nugbegblẽ le ame ŋu ene la .
• Dɔdzedze.
• Nuveviwɔame (`Abi` alo `nuveviwɔame`).
• Dɔléle bubuwo, vevietɔ esiwo hea abi si nɔa anyi didi vɛ (e.g. Crohn ƒe dɔléle).
• Esi tɔtrɔ siwo vaa ŋutilãa me ne míele tsitsim ta la .
• Ɣeaɖewoɣi la, ɖewohĩ màte ŋu ake ɖe susu aɖe ŋu o.

Aleke ɖɔkta awɔ anya esia?

Ne dzesiwo le ŋuwò la, ɖɔkta adi nusiwo le kpuie siawo. Zi geɖe la, wowɔa esia le mɔ siwo gbɔna nu:

• Woado wò kpɔ eye woabia wò nyuie tso wò dzesiwo ŋu .
• Wowɔa ʋu kple/alo aɖuɖɔ dodokpɔwo .
• Wowɔa nɔnɔmetatawo dodokpɔ tɔxɛwo tsɔ léa ŋku ɖe ŋutilãa ƒe ememe ŋu . Esiawo ate ŋu anye ultrasound scan, MRI (Magnetic Resonance Imaging), alo CT scan (Computed Tomography scan).
• Ɣeaɖewoɣi la, wowɔa endoscopy, si me wotsɔa mɔ̃ sue aɖe si me fotoɖemɔ̃ le (scope) dea ŋutilãa me . Esia wɔnɛ be woate ŋu akpɔ ŋutilãa ƒe akpa si le eme tẽ.

Ne dzesi aɖeke mele ŋuwò o la, woate ŋu ake ɖe eŋu be enye nusi ŋu woke ɖo le vome le dodokpɔ si wowɔ le susu bubu aɖe ta me.

Nukawoe nye atike siwo wozãna na esia? (Dᴐyᴐyᴐ)

Nya nyuiae nye be atikewo li na nutete siawo. Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le wò nɔnɔmea nu. Wò ɖɔkta aƒo nu tso atikewɔwɔ nyuitɔ kekeake na wò ŋu na wò. Le goawo katã me la, atikewɔwɔwo dometɔ aɖewoe nye:

• Atike siwo woano.
• Atikewo dodo (abe ``(Steroid atikewo)`` ene).
• Lãmesẽfefewɔwɔ.
• Dɔdamɔnu tɔxɛwo kple amekokowo.

Zi geɖe la, amekoko kple dɔ tɔxɛwo wɔwɔ wɔa nusiwo le abe esiawo ene:

• Nane abe balloon ene zazã atsɔ akeke teƒe si le gbadzaa ɖe enu.(Le kpɔɖeŋu me, Angioplasty, si wowɔna ne ʋukawo xe).
• Wodea mɔ̃ sue aɖe si le abe lãgbalẽ ene si woyɔna be stent be mɔxenua nagadzɔ ake o. Esia le abe mɔ̃ sue bubu dede mɔ̃ si xe la me ene.
• `(Plaque)` (nu siwo le abe ami ene) (`(Endarterectomy)`) si woxe la ɖeɖe ɖa.
• Abi ƒe lãkusi ɖeɖeɖa.
• Akpa siwo gblẽ la gbugbɔgatu alo wo ɖɔliɖɔli.

Zi geɖe la, wozãa ``mɔnu siwo me womezãa nu boo aɖeke le o'' tsɔ wɔa amekoko siawo. Eyae nye be wowɔa wo to lãɖeɖe suesuesuewo me, eye wometsoa nu gãwo o. Wò atikewɔlawo ƒe ƒuƒoƒoa agblɔ nya geɖe tso esia ŋu na wò.

Nukae nàte ŋu akpɔ mɔ na le atikewɔwɔ vɔ megbe?

Ele vevie be míaɖo ŋku nu siawo dzi:

• Atikewɔwɔ ate ŋu axɔ ɣeyiɣi aɖe. Ðewohĩ ahiã be nàyi ɖɔkta gbɔ zi geɖe. Le kpɔɖeŋu me, woate ŋu akeke nuɖuɖutome ƒe ʋuʋu zi geɖe le kwasiɖa me.
• Nɔnɔme sia ate ŋu agadzɔ le atikewɔwɔ vɔ megbe. Le kpɔɖeŋu me, ʋuka si keke tsã ate ŋu agate ŋu akeke (`(Restenosis)`). Ne edzɔ alea la, ahiã be woagawɔ atike nɛ ake.
• Nusiwo woawɔ atsɔ akplɔe ɖo le vevie ŋutɔ. Ðɔktaa alé ŋku ɖe wò nɔnɔmea ŋu, alé ŋku ɖe wò hayahaya ŋu le atikewɔwɔ vɔ megbe, eye wòalé ŋku ɖe kuxi yeye aɖeke ŋu hã.
• Ðewohĩ ahiã be nàwɔ tɔtrɔ aɖewo le wò gbesiagbedɔwo ŋu. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò tso wò nuɖuɖu kple dɔwɔnawo ŋu. Ɣeaɖewoɣi la, woate ŋu agblɔ na wò be nàɖi ɖe eme vie, ɣeaɖewoɣi woate ŋu agblɔ na wò be nàʋu vie.

Ɣekaɣie wòle be nàkpɔ ɖɔkta godoo?

Kpɔ egbɔ be yeyi ɣeyiɣi si wò ɖɔkta na wò. Bia ne nane li si ŋu mèka ɖe edzi o. Ne nusiwo gbɔna dometɔ aɖe dzɔ la, yɔ wò ɖɔkta enumake:

• Ne dzesi yeyewo do, alo esiwo li xoxo la dzi ɖe edzi.
• Ne edze abe atikewɔwɔa mele gbɔdzɔe si wokpɔ mɔ na la hem vɛ o ene.
• Ne kuxi aɖewo do mo ɖa le amekoko megbe, abe dzoxɔxɔ ene la, tɔtrɔ le teƒe si wotsoe (amadede ƒe tɔtrɔ, ʋuʋudedi ƒe dodo, vuvu).

Ne ɖɔkta yɔe be stenosis gɔ̃ hã la, àte ŋu ase le ɖokuiwò me be yeƒe lãme le ƒoƒom ne èkɔ awu ʋɛ aɖewo helia atrakpuiwo. Alo àte ŋu ase veve aɖe si azɔ to wò afɔ dzi ne ètsi tre hena ɣeyiɣi aɖe. Ʋuka siwo le wò ŋutilã me ƒe ʋuʋu sia ate ŋu adzɔ blewuu kple ɖoɖoezizi, vaseɖe esime gbeɖeka nàva kpɔe be dzesi siawo menye fuɖename sue aɖe ko o.

Ne dzesi siwo mebɔ o le ŋuwò alo nèse le ɖokuiwò me be nane gblẽ la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Wò ɖɔkta aƒo nu kpli wò, awɔ dodokpɔwo ne ehiã, eye wòakpe ɖe ŋuwò nàkpɔ atike si nèhiã. Ema ko hafi nàte ŋu ahaya kaba.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, nya mamlɛtɔ si wòle be magblɔ enye be, mègavɔ̃ ne èse nya siwo nye "stenosis" alo "stricture" o. Esiawo katã le nu ƒom tso mɔ aɖe si le wò ŋutilã me ƒe ʋuʋu ŋu.

• Zi geɖe la, woate ŋu ada nɔnɔme siawo ahada wo.
• Ne dzesiwo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Ne wodze abe nu sue aɖe ene hã la, woate ŋu anye kuxi gã aɖe ƒe gɔmedzedze.
• Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie. Ne èwɔ nusi ɖɔkta gblɔ na wò be nàwɔ la, àhaya kaba eye àte ŋu anɔ agbe si sɔ.
• Lé be na wò ŋutilã. Lé ŋku ɖe tɔtrɔ ɖesiaɖe si nède dzesii ŋu.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Eyae nye ame nyuitɔ kekeake si akpe ɖe ŋuwò.

` Ʋuʋudedi, ʋukawo ƒe ʋuʋu, ʋuʋu, ʋukawo, dzitodzitowo, akɔta, yaƒoƒomɔ̃wo, nuɖuɖumɔ, (Stenosis), (Stricture), (Aortic stenosis), (Carotid artery stenosis), (Spinal stenosis), (Angioplasty), (Stent)