Mina míasrɔ̃ nu tso Subclavian Steal Syndrome - dɔléle si "fi" ʋu yi ahɔhɔ̃a me ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ta gbãna alo mèkpɔa nu nyuie oa? Alo ɖe nèsena le ɖokuiwò me be yeƒe alɔ le ƒoƒom alo le ƒoƒom, vevietɔ ne ètsɔ wò asiwo wɔ nane, kɔ nu kpekpe aɖe ɖe dzi, alo nètrɔ ta ɖe axa ɖeka kpata? Ne esia dzɔ la, ate ŋu anye nɔnɔme aɖe si ŋu míele nu ƒom tsoe egbea si woyɔna be "Subclavian Steal Syndrome." Ŋkɔa ate ŋu aɖi nusi wɔ nuku vie, abe, "Ðe esia nye fififi ƒe dɔlélea?" Mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe eye eme nakɔ.

Nuka tututue nye Subclavian Steal Syndrome?

Kpuie ko la, subclavian steal syndrome nye ne ʋu si wòle be wòayi wò ahɔhɔ̃ me la dometɔ aɖewo "fi" wò alɔnu. Esia dzɔna elabena subclavian artery, si nye ʋuka gã aɖe si naa ʋu wò alɔnu (zi geɖe la, esi le miame) la xe alo xe.

Bu eŋu ale. Èle agbagba dzem be yeaɖu nuɖuɖu agba ɖeka. Ele abe ame aɖe si le axawò tututu si "le adzame" le nuɖuɖu si nèle agbagba dzem be yeaɖu la dometɔ ɖeka alo eve ɖum ene. Ʋu si naa nunyiame siwo wòle be wòayi wò ahɔhɔ̃ me la dometɔ aɖewo "gena ɖe" asi me. Eyata ʋu si ate ŋu ayi wò ahɔhɔ̃ me dzi ɖena kpɔtɔna, abe alesi nuɖuɖu si nàte ŋu anɔ ɖuɖum dzi ɖena kpɔtɔna ene.

Ne ʋuka sia va le xexem ɖe edzi la, ʋu sina toa ʋuka si le akɔta te la me le nyaƒoɖeamenu si bɔbɔ ɖe anyi wu me. Gake ʋu ƒe sisi le ʋuka bubu siwo te ɖe wo ŋu me ya kɔna wu. Esia wɔnɛ be ʋu si le sisim le akɔta ƒe ʋuka si doa alɔ tso subclavian ʋuka me eye wòtsɔa ʋu yia ahɔhɔ̃a me la trɔna. Emegbe ʋu ma ƒe ɖe gena ɖe subclavian artery me eye wòyia alɔnu. Emae nye nusi woyɔna be "fififi."

Nɔnɔme bubu aɖe hã li si woyɔna be "coronary steal syndrome". Esiae nye esime ʋu si wòle be wòayi dzitodzito me lãmeka la xe. Esia medzɔna ɖe amesiame dzi o, ke boŋ ame aɖewo siwo wowɔ dɔ na wo ƒomevi aɖewo (dzitodzito me ʋuka siwo me ʋu sina tona) koe dzɔna ɖe wo dzi. Nusi koŋ gbɔ dɔléle siawo evea siaa tsonae nye ami ƒe ƒoƒo ɖe ʋukawo ƒe gliwo me, alo "plaque", nɔnɔme si woyɔna be "atherosclerosis" le atikewɔwɔ me. Alo susu bubuwo ate ŋu anɔ anyi siwo nana ʋuka si le akɔta te la xaxa.

Aleke gbegbee nɔnɔme sia bɔe?

Numekulawo mateŋu agblɔ ame agbɔsɔsɔme si tututu subclavian steal syndrome le o, gake wobu akɔnta be ameawo dometɔ 0.6% va ɖo 6.4% ate ŋu axɔe. Tsɔ kpe ɖe eŋu la, amesiwo ŋu ʋuka siwo le gota ƒe dɔléle le dometɔ siwo ade 18% hã ŋu dɔlélea le.

Nɔnɔme sia bɔ ɖe ŋutsuwo kple amesiwo xɔ wu ƒe 55 me wu .

Gake le nɔnɔmetatawo ɖeɖe ƒe mɔnu deŋgɔ siwo li egbea ta la, woate ŋu ade dzesi nɔnɔme sia le amesiwo ƒe dzesi aɖeke mele o gɔ̃ hã gome.

Nukae nye subclavian steel syndrome ƒe dzesiwo?

Zi geɖe la, subclavian steel syndrome ƒe dzesiwo dzena ne èle asidɔ sesẽ wɔm alo kasia nètrɔ ta ɖe axa ɖeka.Kpɔe ɖa be nɔnɔme siawo dometɔ aɖe le asiwò hã:

• Nukpɔkpɔ si me mekɔ o
• Taɖuame
• Vevesese, lãmetutudɔ, ʋuʋudedi, alo asi ƒe kpekpe
• Alɔ̃madɔmadɔ
• Tosese ƒe kuxi (si mebɔ o) .
• Sese le ɖokuiwò me abe ɖe nèle tsatsam ene (Vertigo) .
• Ataxia nye nɔnɔme si me ŋutilã megate ŋu da sɔ o eye mete ŋu zɔna nyuie o.

Gake ame akpa gãtɔ mekpɔa dzesi aɖeke o. Esia le alea elabena woƒe ahɔhɔ̃ xɔa ʋu si sɔ tso ʋuka bubu siwo le lãmesẽ me me. Womehiã atikewɔwɔ o.

Nukae hea subclavian steel syndrome vɛ?

Susu vevi ʋɛ aɖewo li siwo tae:

• Atherosclerosis - Esiae nye nusi gbɔ wòtsona wu.
• Arteriovenous malformations (kadodo si mesɔ o si le ʋukawo kple ʋukawo dome) .
• Aortic ƒe ʋuʋu
• Takayasu ƒe ʋukawo ƒe dɔléle, si nye ʋukawo ƒe dɔdzẽ ƒe nɔnɔme
• Fibromuscular dysplasia nye ʋukawo ƒe gliwo ƒe tsitsi si mesɔ o.

Nusiwo gbɔ wòtsona siawo sɔ kple esiwo hea subclavian artery stenosis vɛ.

Amekae le afɔku me wu le esia ta?

Nusiwo nana be subclavian steel syndrome xɔxɔ ƒe afɔkua dzina ɖe edzi dometɔ aɖewoe nye esi:

• Ne wowɔ dɔ na wò kpɔ be woaɖɔ ʋuka si me ʋu sina tona (aorta ƒe ʋuʋu) ɖo.
• Ne kuxi aɖewo le aortic arch alo ʋuka aɖewo ŋu tso edziɣi.
• Subclavian artery ƒe nutete (esia bɔ ɖe kamedefefewɔla aɖewo me).
• Ne akɔtaƒu (cervical rib) bubu aɖe le kɔa ƒe akpa si.

Kuxi kawoe ate ŋu ado tso nɔnɔme sia me?

Ne ètsi dzodzodzoe le subclavian steal syndrome ta la, ate ŋu ana nàdze anyi ahaxɔ abi. Ate ŋu ana wòasesẽ hã be woawɔ dɔ ɖesiaɖe kple alɔ si ŋu dɔlélea le.

Aleke wowɔna dea dzesi subclavian steel syndrome?

Nu gbãtɔ si ɖɔkta wɔna tsɔ dea dzesi esiae nye be edoa eƒe ŋutilã kpɔ. Ðɔktaa alé ŋku ɖe wò asiwo kple asibidɛwo ƒe ʋu ƒe sisi ŋu etɔxɛe. Alé ŋku ɖe carotid ʋuka siwo le wò kɔ ƒe akpa eveawo kple subclavian artery hã ŋu, adi "swoosh..." gbeɖiɖi ɖesiaɖe si mebɔ o (bruit). Ne èse gbeɖiɖi ma tɔgbe kple nuƒomɔ̃a la, ate ŋu axe ʋuka ma.

Nukae nye "Steele Syndrome" ƒe dzesi siwo wokpɔna le atikewɔwɔ me dodokpɔ me?

Ne subclavian artery syndrome le ŋuwò la, wò ɖɔkta adzidze wò ʋu ƒe sisi le abɔ eveawo me eye wòakpɔ vovototo le nuxexlẽawo me. Ʋu ƒe sisi le alɔ ɖeka me ate ŋu akɔ wu mercury milimeta 15 (mmHg) wu evelia.

Azɔ hã, ne wolé ŋku ɖe radial pulses ŋu le ɣeyiɣi ɖeka me la, pulse si le axa si ŋu subclavian steel syndrome le la ate ŋu adze abe ɖe wògbɔdzɔ ene eye ate ŋu ase le eɖokui me abe ʋuʋudedi ene.

Dodokpɔ kawoe wowɔna tsɔ ɖoa ​​kpe esia dzi?

Ðɔktaa awɔ ultrasound na wò subclavian artery gbã. Le ema megbe la, woate ŋu awɔ dodokpɔ siwo gbɔna hã, ne ehiã:

• MRA (magnetic resonance angiogram) dodokpɔ.
• CT Angiogram (CT - kɔmpiuta dzi tomography angiogram) dodokpɔ.
• Digital subtraction angiogram - Esia nye mɔnu tɔxɛ aɖe si ɖea ŋutilã ƒe akpa bubuwo ɖa le nɔnɔmetata la me eye ʋukawo koe woate ŋu akpɔ nyuie.

Dodokpɔ siawo na ɖɔktawo te ŋu bua subclavian steel syndrome (si nu mesẽ o alo esi nu sẽ) ƒe sesẽme ɖe hatsotsowo me. Wozãa klass I, II, kple III, eye Dzeside III ye nye esi nu sẽ wu. Wokpena ɖe ame ŋu hã be woanya atikewɔwɔ si ƒomevi hiã.

Nukawoe nye atike siwo wozãna na subclavian steel syndrome?

Ne dzesiwo le ŋuwò la, ahiã be woawɔ dɔ na wò be ʋu nayi ŋgɔ le ʋuka si le ʋuka te me wòanyo ɖe edzi be wòanye ʋuka si le ʋuka te ƒe ʋuʋu ƒe atike. Le wò nɔnɔmea nu la, esia ate ŋu anye amekoko si woawɔ le gaglãgbe alo amekoko si woawɔ le ʋukawo me (dɔdamɔnu si me wotsɔa dɔwɔnu suewo dea ʋuka me). Ele be nàƒo asa na alɔ si ŋu dɔlélea le zazã fũu akpa vaseɖe esime woawɔ dɔa.

Ne mèsɔ na amekoko o la, wò ɖɔkta ate ŋu aŋlɔ ʋumenugbagbeviɣitikewo alo ʋumenugbagbeviɣitikewo na wò.

Ne dzesi siwo nu mesẽ o le ŋuwò la, ate ŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe. Le nɔnɔme mawo me la, wò ɖɔkta ate ŋu aŋlɔ atike na wò be wòaɖe wò ʋu ƒe sisi kple ʋumemi ƒe agbɔsɔsɔ dzi akpɔtɔ.

Nu vevitɔe nye be zi geɖe la, mehiã be woawɔ atike na amesiwo ŋu dzesi aɖeke mele o. Gake ne ʋuka si le wò akɔta te la le kpuie la, mɔnukpɔkpɔ gã aɖe li be wòanɔ nenema le ʋuka bubuwo hã me. Esia le alea elabena zi geɖe la, ʋuka siwo me ʋu sina tona (atherosclerosis) sia ƒomevi gblẽa nu le ʋuka siwo le ŋutilã bliboa me ŋu.

Eyata ele be nàxɔ atike na kpe siawo. Ne atamanolae nènye la, ele be nàdzudzɔ atamanono, eye nàɖu wò ʋusɔgbɔdɔ kple ʋumemi ƒe agbɔsɔsɔ dzi . Nu siawo ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dzidɔ alo ʋusɔgbɔdɔ nu le etsɔme.

Atikewɔwɔ/amekoko kawo koŋue wozãna na esia?

Ðewohĩ ahiã be nàzã mɔnu siawo dometɔ ɖeka alo esi wu nenema:

• Amekoko be woawɔ mɔ si dzi woato to ʋuka si le lãkusi te la tsɔtsɔ do ka kple ʋuka bubu (le kpɔɖeŋu me, ʋuka si nye carotid).
• Angioplasty kple stenting - Esia bia be woatsɔ nane abe balloon ene akeke teƒe si xe la eye emegbe woatsɔ stent si le abe mesh ene ade eme be wòagaxe ake o.
• Atherectomy - Esia fia be woaɖe kpe gbadzɛwo ɖa le ʋukaa me.
• Endarterectomy - Ʋuka aɖe ƒe akpa aɖe ɖeɖe ɖa.

Ðe kuxiwo ate ŋu ado mo ɖa le atikewɔwɔ mea?

Ẽ, afɔku siwo le eme la toa vovo le atikewɔwɔa nu. Woate ŋu anye:

• Wò subclavian artery ga le tsitsim ake.
• Ʋu ƒe sisi ate ŋu adzɔ, si ate ŋu ana ame naxɔ ʋusɔgbɔdɔ gɔ̃ hã.
• Lãmetsi alo ʋuka aɖe ƒe gbegblẽ.
• Kuxi aɖewo ƒe amesinɔnɔ le dɔyɔɣi.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana le atikewɔwɔ siawo megbe?

Hahaya tso subclavian steel syndrome dada me ate ŋu axɔ ŋkeke ʋɛ aɖewo, kwasiɖa ɖeka, alo esi wu nenema gɔ̃ hã. Zi geɖe la, amekoko me hayahayae nyea ɣeyiɣi didi wu.

Nukae mate ŋu akpɔ mɔ na ne subclavian steel syndrome le ŋunye?

Ame siwo wu 95% siwo wowɔa dɔ na le subclavian steel syndrome ta la mehiã be woawɔ dɔ bubu gbeɖe o. Zi geɖe la, woƒe ŋgɔdonyawo nyona.

Ðe subclavian steal syndrome ate ŋu ade ame ƒe agbe afɔku mea?

Ao, esia menye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me o. Ke hã, enye nuxlɔ̃amedzesi vevi aɖe! Efia be ʋukawo ƒe ʋuʋu, si nye ʋukawo ƒe dɔléle aɖe le ŋuwò. Ne kpe gbadzɛwo va ƒo ƒu ɖe wò ʋukawo me la, ɖewohĩ oxygen masu wò dzi alo ahɔhɔ̃ me le etsɔme o. Esia nana dzidɔ alo ʋusɔgbɔdɔ ƒe afɔkua dzina ɖe edzi.

Ðe woate ŋu axe mɔ ɖe subclavian steel syndrome nua?

Míate ŋu aɖu nusiwo hea subclavian steel syndrome (abe domenyiŋusẽfianu ene) vɛ la dometɔ aɖewo dzi o. Gake woate ŋu axe mɔ ɖe dɔléle sia ƒe dzɔdzɔ nu akpa gãtɔ ne woxe mɔ ɖe ʋuka siwo me ʋu sina tona ƒe ƒuƒoƒo (ʋuka me ʋu ƒe sisi), si gbɔ wòtsona zi geɖe la nu .

Aleke mawɔ aɖe nye afɔkua dzi akpɔtɔ?

Àte ŋu aɖe wò afɔku si le nɔnɔme sia xɔxɔ me dzi akpɔtɔ – eye le esia ta wò afɔku si le subclavian steel syndrome xɔxɔ me – ne èwɔ tɔtrɔ siawo le wò gbesiagbegbenɔnɔ me:

• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Ƒo ɖokuiwò ɖe kamedede (kamedede) me aɖabaƒoƒo 30 ya teti gbesiagbe le ŋkeke akpa gãtɔ dzi.
• Ƒo asa na atamanuwo (abe sigaret kple beedis ene) zazã keŋkeŋ.
• Ðu nuɖuɖu siwo naa dzidɔ (siwo me ami si me ami ʋeʋĩ le kple ami si woyɔna be trans fat mesɔ gbɔ o).
• Ne nɔnɔme aɖewo abe ʋumemi ƒe agbɔsɔsɔ, ʋusɔgbɔdɔ, kple suklidɔ ene le ŋuwò la, ke ɖu wo dzi nyuie.

Aleke malé be na ɖokuinye?

Ne subclavian steel syndrome le ŋuwò la, ele vevie be nàno wò atikewo abe alesi wò ɖɔkta gblɔe ene, nàwɔ dɔ ɖesiaɖe si hiã, eye nàɖu ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ, kple suklidɔ dzi (ne wole ŋuwò) eye nàƒo asa na atamanuwo.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Le atikewɔwɔ vɔ megbe la, ele be woado wò kpɔ edziedzi, vevietɔ ne wò dzesiwo gadze ake. Ne wò ɖɔkta susu be wò asike te ƒe ʋuka gaxe la, ate ŋu abia be woawɔ nɔnɔmetatawo dodokpɔ geɖe wu. Ahiã be woado wò kpɔ le ɣleti ɖeka, ɣleti ade, alo ƒe ɖeka le atikewɔwɔ vɔ megbe. Le ema megbe la, àte ŋu akpɔ wò ɖɔkta abe zi ɖeka le ƒea me ene.

Nya kawoe wòle be mabia nye ɖɔkta?

Anyo be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Aleke gbegbee wòahiã be woawɔ atike nam kaba?
• Atikewɔwɔmɔnu kae nyo nam wu?
• Nukae nye wò dzidzedzekpɔkpɔ le atikewɔwɔ na amesiwo ŋu dɔléle sia le me?

Eyata nukae nye nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nusiawo katã me?

Togbɔ be nya "Fi" le eƒe ŋkɔ me hã la, subclavian steal syndrome nye dɔléle si woate ŋu ada. Ame akpa gãtɔ mehiã atikewɔwɔ o. Gake gbedasi gãtɔ kekeake si míexɔna tso esia mee nye be ʋuka siwo me ʋu sina tona (atherosclerosis) le dzɔdzɔm le wò ʋukawo me. Wò ŋutilã le gbɔgblɔm na wò be, "Dze dzidɔ ƒe nɔnɔmewo gɔme fifia, alo nàna esiwo le asiwò xoxo la nanyo ɖe edzi." Bia wò ɖɔkta tso tɔtrɔ siwo nàte ŋu awɔ be wò lãmesẽ nanyo ɖe edzi ŋu. Tɔtrɔ suesuesue siwo nàte ŋu awɔ egbea gɔ̃ hã ate ŋu ahe emetsonu gãwo vɛ. Eyata, mina míagavɔ̃ o, woana nyanya mí, eye míaɖo gɔmeɖoanyi na agbe si me lãmesẽ le, alo?

` subclavian steal syndrome, subclavian steal syndrome, ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖe kpɔtɔ, asi ƒe ʋuʋu, taɖuame, ʋukawo ƒe ʋuʋu