Nusiwo wòle be nànya tso Thrombectomy (ʋu ƒe sisi ɖeɖeɖa) ŋu!

Èse ame aɖe gblɔ kpɔ be, "Ʋu ƒuƒu aɖe tsi"? Esia ate ŋu anye afɔku gã aɖe. Bu ʋuka siwo le míaƒe ŋutilã me be wonye pɔmpiwo ƒe ɖoɖo aɖe. Ne ʋu ƒe sisi, si woyɔna be thrombus, dzɔ eye wòtsi teƒe ɖesiaɖe le pɔmpi siawo me la, ʋu si toa wo me la nu tsona keŋkeŋ. Ne esia dzɔ le ʋuka gã aɖe si naa ʋu naa ahɔhɔ̃, dzi, alo alɔ alo afɔ me la, ŋutinu ma ate ŋu agblẽ, eye ɖewohĩ ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Le nɔnɔme kpata sia tɔgbe me la, míele nu ƒom tso atikewɔwɔ vevi aɖe ŋutɔ si ate ŋu aɖe ame ƒe agbe egbea ŋu.

Kpuie ko la, nukae nye Thrombectomy?

Thrombectomy nye ʋu ƒe sisi si tsi míaƒe ʋukawo (ʋukawo alo ʋukawo) dometɔ ɖeka me la ɖeɖe ɖa to amekoko alo dɔ tɔxɛ ma tɔgbe me. Ðeko wòle abe ɖe woɖe ɖi aɖe si tsi pɔmpi me ɖa eye nàna tsi la nagasi ake ene.

Ʋuka siawo te ŋu dzɔna le teƒe geɖe le míaƒe ŋutilã me. Wonɔa afɔ, abɔ, dɔgbo, ahɔhɔ̃, lãkusi, kple dzi me wu. Ɣeaɖewoɣi la, ehiãna be woaɖe ʋuka siawo ɖa kaba, le gaƒoƒo ʋɛ aɖewo ko me. Ne menye nenema o la, woate ŋu agblẽ nu le ŋutinu si ŋu dɔa le ŋu tegbee alo woate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Ameka ŋutɔŋutɔe hiã atikewɔwɔ sia?

Zi geɖe la, ne ʋuka aɖe do la, atike aɖewo li siwo wonana be woatsɔ alɔe. Míeyɔa wo be anticoagulants (ʋu si naa ʋu ƒe sisi) kple thrombolytics (atike siwo naa ʋu ƒe sisi le lãme na ame). Gake ɣeaɖewoɣi la, atike siawo ɖeɖe mate ŋu aɖe ʋumenugbagbeviɣia ɖa o, alo nɔnɔme aɖewo li siwo me atike aɖeke meli o. Ɣemaɣie ɖɔktawo tso nya me be yewoawɔ Thrombectomy.

Atikewɔwɔ sia hiã na:

• Ne afɔku aɖe li be wòagblẽ nu le ame ƒe agbe ŋu .
• Ne afɔku li be ʋu ƒe sisi (thrombus) natso afisi wònɔ tsã eye wòazɔ mɔ to ʋukawo me be wòadze ɖe ŋutilãa ƒe teƒe bubu (le kpɔɖeŋu me, le lãkusi me) (embolis).
• Ne afɔku li be wòagblẽ nu le ŋutinu alo lãkusi si ŋu nya ku ɖo ŋu tegbee .

Mɔnu sia le vevie ŋutɔ be ʋu nagaɖo ahɔhɔ̃a alo dzia me kaba, vevietɔ le nɔnɔme kpatawo abe ʋusɔgbɔdɔ kple dzidɔ ene me.

Nɔnɔme kawo mee womeɖea ʋuka me ʋu le o?

Womewɔa atike sia na ʋu ƒe sisi ɖesiaɖe o. Le go aɖewo me la, susu aɖewo li siwo tae womate ŋu awɔ esia o alo mele be woawɔe o. Na míakpɔ nusiwo wonye ɖa.

Mɔnu vevi kawoe wozãna tsɔ ɖea ʋuka siawo ɖa?

Mɔ vevi eve li siwo dzi woato aɖe ʋuka me ʋu ƒe sisi ɖa. Ele abe do gã aɖe wɔwɔ be woatsɔ atu mɔ, alo do sue aɖe kuku hedzrae ɖo tso eme ene.

1. Amekoko le gaglãgbe (Amekoko / Ʋuka me ʋu ƒe sisi le gaglãgbe) .

Le dɔ sia wɔwɔ me la, amekola la lãa ŋutigbalẽa ɖe ʋuka si me ʋu si le dodom le la dzi, ʋua ʋukaa blewuu, tsɔa mɔ̃ tɔxɛ aɖe si le abe ʋuƒo ene (balloon catheter) dea eme eye wòhea ʋukaa doa goe. Emegbe wogbugbɔa ʋukaa lɔ̃na nyuie eye wotua ŋutigbalẽa. Esiae nye mɔnu si wozãna tsã.

2. Ʋuka me Ʋuʋudedi / Ʋuka me Ʋuʋudedi si Mexɔa Nu boo aɖeke o

Esiae nye mɔnu si wozãna wu eye wòde ŋgɔ wu fifia. Wometso teƒe gã aɖeke o. Ke boŋ woɖea do sue aɖe ɖe ʋuka aɖe me le alɔ alo afɔ me, eye wotsɔa mɔ̃ tsɛ aɖe (catheter) dea eme.

Wozãa nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya abe X-ray ene tsɔ fiaa mɔ mɔ̃ sia yia afisi ʋua le. Emegbe, wotsɔa haƒonu tɔxɛwo toa mɔ̃a me, .

• Woateŋu agbã ʋu ƒe sisi la ɖe akpa suewo me eye woatsɔe aƒu gbe (macerated).
• Alo woateŋu ano ʋu si le ʋuʋum la, abe alesi wozãa yaƒoƒomɔ̃ (Aspiration Thrombectomy ene).

Mɔnu sia kpɔa dzidzedze ŋutɔ, elabena abi gã aɖeke mele eŋu o, eyata dɔnɔa ate ŋu ahaya kaba.

Nɔnɔme kawoe woate ŋu atsɔ atike sia ada?

Wozãa atike sia, si woyɔna be ʋuka me ʋu ƒe sisi, na atikewɔwɔ me nɔnɔme vevi geɖe ŋutɔ.

• Deep Vein Thrombosis (DVT): Ʋu ƒe sisi, vevietɔ le afɔwo ƒe ʋuka goglowo me.
• Ʋusɔgbɔdɔ: Ʋu ƒe sisi xea ʋuka aɖe si naa ʋu yia ahɔhɔ̃a me.
• Myocardial Infarction: Ʋu ƒe sisi le dzitodzito me ʋuka siwo naa ʋu yia dzia me.
• Aklã me Ʋuʋudedi: Ʋu si ƒo ƒu ɖe ŋutilã ƒe akpa bubuwo la gbãna eye wògena ɖe ʋuka aɖe me le lãkusi me.
• Acute Limb Ischemia: Ʋu ƒe gege ɖe alɔ alo afɔ aɖe me zi ɖeka.
• Ʋuka siwo naa ʋu yia dɔgbowo me ƒe xexe (Mesenteric Ischemia) alo ayiku (Renal Artery Occlusion).

Nukae dzɔna do ŋgɔ na atikewɔwɔ kple le atikewɔwɔ vɔ megbe?

Hafi woawɔ atike nɛ

Ɣeaɖewoɣi la, wowɔa esia abe dɔ kpata ene, eyata ɣeyiɣi aɖeke meli woatsɔ adzra ɖo o. Gake hafi nàwɔ ɖoɖo be woaɖe ʋuka me ʋukawo ɖa la, wò ɖɔkta ate ŋu abia tso asiwò be:

• Nɔnɔmetatawo dodokpɔ: Woate ŋu abia be woawɔ ultrasound, MRI, alo CT scan atsɔ anya ʋu si le dodom ƒe lolome kple afisi tututu wòle.
• Dzudzɔ atamanono: Ne ènoa atama la, woɖoa aɖaŋu na wò be nàdzudzɔ hafi woawɔ dɔ na wò.
• Atikewo Ŋuti Nyanya: Ele be nàgblɔ atike siwo katã zãm nèle (siwo dometɔ aɖewoe nye ʋuwutikewo, vevesesenutsitikewo, kple vitaminwo) na wò ɖɔkta. Ðewohĩ ahiã be woadzudzɔ atike aɖewo zazã hafi woawɔ dɔ na wo.

Le atikewɔwɔ vɔ megbe

Le atikewɔwɔ vɔ megbe la, woakplɔ wò ayi ŋkuléleɖenuŋudɔwɔƒe aɖe eye woalé ŋku ɖe ŋuwò vaseɖe esime wò nɔnɔmea nali ke. Ame aɖewo ate ŋu ayi aƒe gbemagbe ke. Ðewohĩ ahiã be ame bubuwo nanɔ kɔdzi ŋkeke ʋɛ aɖewo. Esia nɔ te ɖe afisi ʋu si le ƒoƒom le kple atike si ƒomevi woawɔ dzi.

Esi woyi aƒeme vɔ la, .

• Eɖoa aɖaŋu le alesi woawɔ be abi la nanɔ dzadzɛ ŋu.
• Ahiã be nàyi edzi anɔ ʋumenugbagbeviɣitikewo zãm be ʋu ƒe sisi nagadzɔ ake o.
• Woate ŋu agblɔ na wò be nàdo sox tɔxɛwo (compression stockings) na wò afɔwo.

Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Viɖe kple afɔku kawoe le eme?

Abe atikewɔwɔ ɖesiaɖe ene la, viɖe kple afɔku siaa le esiawo ŋu.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake

Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe le wò atikewɔwɔ vɔ megbe la, yɔ wò ɖɔkta enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .

• Ʋu alo ʋuʋudedi si le dodom tso abi la me.
• Akɔtave alo gbɔgbɔ sesẽ.
• Asrã .
• Taɖuame sesẽ alo taɖuame.
• Tɔtɔ alo ame ƒe susu ƒe dɔwɔwɔ.
• Vevesese sesẽ, vuvu , alo abɔ alo afɔwo ƒe ʋuʋu.

Mègaŋe aɖaba ƒu dzesi siawo dzi o. Woate ŋu anye kuxi bubu aɖe ƒe dzesi.