Ðe kuxiwo le fu ɖem na wò le wò ʋukawo mea? Mina míaƒo nu tso Ʋukawo me Dɔléle ŋu!

Èbu alesi ʋuka sia le vevie le míaƒe ŋutilã katã me ŋu kpɔa? Ele abe mɔwo ene, ʋuka siawo tsɔa ʋu yia míaƒe ŋutilã ƒe akpa sia akpa. Eyata ne kuxi aɖe le ʋukawo ƒe ɖoɖo sia me, si nye mɔ siwo dzi ʋu tona la, ekema ɖeko míeyɔnɛ be "Ʋukawo ƒe Dɔléle" . Esia menye dɔléle ɖeka ko o, gake dɔléle ƒomevi vovovo geɖewo le esia me.

Nukae Nye Tsitretsitsi ƒe Ðoɖoa? Mina míase egɔme bɔbɔe!

Bu eŋu kpɔ, ɖoɖo aɖe le míaƒe ŋutilã me si le abe mɔdodo gã aɖe ene. Esiae nye nusi míeyɔna be ʋu ƒe sisi ƒe ɖoɖo . Esia ƒe akpa vevitɔwoe nye ʋukawo. Ʋuka siawo ƒomevi etɔ̃e li:

1. Ʋukawo: Esiawoe nye ʋuka gã siwo tsɔa ʋu dzadzɛ si me oxygen le tso dzia me yia ŋutinu kple lãkusi bubuwo katã me. Abe alesi ko pɔmpi gã siwo tsɔa tsi tso tsigoa me yia aƒewo me ene.

2. Veins: Esiawoe nye ʋuka siwo tsɔa ʋu si wozã, si me oxygen mele o, trɔna yia dzia me tso ŋutilãa ƒe akpa sia akpa. Wole abe pɔmpi siwo ƒoa tsi siwo wozã la nu ƒu ene.

3. Ʋuka siwo me ʋu sina tona: Esiawoe nye ʋuka suetɔ kekeake siwo le míaƒe ŋutilã me, siwo lolo abe taɖa ene . Ʋuka sue siawo tsɔa ɔksidzin kple nunyiamewo tso ʋukawo me yia míaƒe ŋutilã ƒe lãmenugbagbeviwo me, eye woƒoa gbeɖuɖɔwo nu ƒu tso lãmenugbagbeviwo me hetsɔa wo yia ʋukawo me. Wole abe mɔ suesuesue siwo tsɔa mɔ gãwo doa ka kple aƒe suewo ene.

Eyata, ne kuxi aɖe le ŋutinu etɔ̃ siawo dometɔ aɖe ŋu - ʋukawo, ʋukawo, kple ʋukawo - alo ʋua ŋutɔ, si gblẽa nu le ʋu ƒe sisi ŋu la, ate ŋu anye ʋukawo ƒe dɔwɔwɔ ƒe dɔléle, si fia be ``ʋukawo ƒe dɔléle''.

Nukawoe nye ʋukawo me dɔléle ƒomeviwo?

Nya sia `(Vascular Disease)` ateŋu ava le mɔ geɖe nu. Wo dometɔ aɖewo gblẽa nu le ʋukawo ŋu ko, ɖewo hã gblẽa nu le ʋukawo ŋu. Ɣeaɖewoɣi la, ŋutilã ƒe akpa aɖewo koŋ koe dɔléle siawo te ŋu dzɔna le. Mina míalé ŋku ɖe ƒomevi vevi ʋɛ aɖewo ŋu.

1. Ʋukawo ƒe Dɔléle (PAD) .

Nusi dzɔna le esia me enye be, abe dzitodzito me ʋukawo ene la, ʋuka bubu siwo le dzia godo (vevietɔ ʋuka siwo tsɔa ʋu yia afɔwo gbɔ) va xea mɔ na ami kple ʋumemi (woyɔa esia be ``Atherosclerosis``). Le ɣeyiɣi aɖe megbe la, mɔxenu sia dzina ɖe edzi eye ʋu ƒe sisi dzi ɖena kpɔtɔna. Emegbe, esi ʋua me sina nyuie o ta la, lãmekawo ƒe gbegblẽ ateŋu adzɔ ``Ischemia``.

``Peripheral Artery Disease`` ƒomevi vovovowo li:

• Afɔwo ƒe Ʋukawo ƒe Dɔléle: Esiae nye ɣeyiɣi si me ʋu si sina yia afɔawo me dzi ɖena kpɔtɔna. Ɣeaɖewoɣi la, ne wotɔ te ʋua ƒe sisi keŋkeŋ la, lãkusi si le teƒe ma ate ŋu aku (Gangrene) eye ahiã be woalã afɔa gɔ̃ hã. Bu eŋu abe ati siwo le kukum ne ɖi ƒo abɔa me tsi ƒe pɔmpi eye tsia dzudzɔ sisi ene.
• Intestinal Ischemic Syndrome: Nɔnɔme si dona tso ʋuka siwo naa dɔgboa me ƒe xexe me.
• Ayiku ƒe Ʋukawo ƒe Dɔléle: Ʋuka siwo tsɔa ʋu yia ayiku me ƒe xexe. Esia ate ŋu ahe ʋusɔgbɔdɔ kple ayiku ƒe dɔmawɔmawɔ nyuie vɛ.
• Popliteal Entrapment Syndrome: Esia nye nɔnɔme si mebɔ o, vevietɔ le sɔhɛ kamedefefewɔlawo gome, afisi popliteal ʋuka si le klo megbe la ate ŋu aƒo ɖe lãmekawo kple lãkusi siwo le teƒe ma ta, si ana ʋu naxe mɔ.
• Raynaud ƒe Nudzɔdzɔ: Ne vuvɔ le ame ŋu alo le nuteɖeamedzi me la, ʋuka sue siwo le asibidɛwo kple afɔbidɛwo me la xana zi ɖeka. Asibidɛawo ate ŋu azu ɣie, azu blɔ, eye emegbe woazu dzĩ.
• Buerger ƒe Dɔléle: Esia gblẽa nu le ʋuka suewo kple titinatɔwo, ʋukawo, kple lãmeka siwo le asiwo kple afɔwo me ŋu wu. Womenya nusi tututu gbɔ wòtso o, gake wogblɔ be edo ƒome kple atamanono (atamanono, atama ɖuɖu) . Nudzɔdzɔ aɖewo li siwo me ʋu ƒe sisi na asiwo kple afɔwo dzi ɖena kpɔtɔna, si hea ``Ischemia``, lãkusiwo ƒe ku le asibidɛwo kple afɔbidɛwo me, kple ``Gangrene` vɛ

2. Carotid Ʋukawo ƒe Nyawo

Ʋuka vevi eve le míaƒe kɔ ƒe akpa eveawo siwo tsɔa ʋu yia ahɔhɔ̃a me. Woyɔa esiawo be ``Carotid Arteries''. Ne kuxiwo le esiawo ŋu la, ate ŋu anye afɔku gã aɖe.

• Carotid Artery Disease: Esia nye ʋuka si naa ʋu yia ahɔhɔ̃a me ƒe xexe alo eƒe ʋuʋu. Esia ate ŋu ana ʋumenugbagbeviɣidɔ (TIA) alo ʋusɔgbɔdɔ nadze ame dzi ɣeyiɣi kpui aɖe .
• Carotid Artery Dissection: Aɖatsi si le ʋuka ƒe gli ŋu, si nana ʋu sina toa eme.
• Carotid Body Tumors: Dɔdzẽ siwo dzɔna le lãmeka siwo ƒo xlã carotid ʋuka me.
• Carotid Artery Aneurysm: Ʋuka ƒe gli ƒe gbɔdzɔgbɔdzɔ si dona abe ʋuƒo ene. Esia hã ate ŋu agbã.

3. Ʋukawo me Dɔléle

Veins nye ʋuka siwo te ŋu trɔna bɔbɔe siwo me ʋukawo le siwo nana ʋu sina yia mɔ ɖeka ko dzi. Ne míeƒo míaƒe lãmekawo la, ʋuka siawo ʋuna eye ʋu sina yia dzi. Ne míeɖe dzi ɖi na míaƒe lãmekawo la, ʋukaawo tu eye ʋu megatrɔna yia anyime o.

Gake ne ʋuƒo siawo gblẽ la, wometua nyuie o . Emegbe ʋu dzea sisi gɔme le go eveawo siaa me. Ne lãmekaawo ɖe dzi ɖi la, ʋuka siwo gblẽ la mete ŋu léa ʋua o. Esia wɔnɛ be ʋu yɔa ʋukaawo me fũ, vuvuna, eye wòdzena abe ɖe wobla wo ene. Dzesiwo abe afɔwo ƒe kpekpeme, vevesese, vuvu, ʋuʋudedi, kple ʋuʋudedi ate ŋu ado mo ɖa. Ʋu ƒe sisi hã ate ŋu adzɔ.

• Varicose Veins: Ʋuka siwo vuvu, siwo ƒe amadede nye aŋutiɖiɖi, siwo tro, siwo dzena le ŋutigbalẽa te. Esia tsoa ʋuka siwo le ʋukawo me ƒe gbegblẽ gbɔ. Ðewohĩ èkpɔ kuxi sia le ame geɖe ŋu kpɔ.
• Akpɔkplɔ Veins: Fli suesuesue siwo le dzo dam alo aŋutiɖiɖi siwo dzena le klowo, afɔkpodziwo, kple ata dzi. Ʋuka siwo me ʋu sina tona siwo vuvu gbɔe esiawo tsona.
• Klippel-Trenaunay ƒe dɔléle (KTS): Esia nye ʋukawo me dɔléle si mebɔ o si wodzina.
• May-Thurner ƒe dɔléle (MTS): Nuɖusi ƒe ʋuka si le ɖusime la tea miame ƒe ʋuka, si wɔnɛ be ʋuka goglo ƒe ʋuka si me ʋu sina tona (DVT) ƒe afɔkua dzina ɖe edzi le miamefɔa me.
• Thoracic Outlet Syndrome (TOS): Dzesi siwo tsoa lãmekawo kple/alo ʋukawo (ʋukawo kple ʋukawo) siwo le kɔ ƒe anyime, akɔta, kple akɔta ƒe akpa si le etame ƒe tete, abixɔxɔ, alo dzikudodo gbɔ.
• Ʋukawo ƒe Dɔmawɔmawɔ nyuie (CVI): Nɔnɔme si me ʋuka siwo le afɔwo me ƒe gliwo kple/alo ʋukawo mewɔa dɔ nyuie o, si wɔnɛ be wòsesẽna be ʋu natrɔ ayi dzia me.

4. Ʋu ƒe Ʋuʋudedi

Ʋu ƒe sisi nye ne nane si le míaƒe ʋu me na míaƒe ʋu va le ƒoƒom vie eye wòle abe jelly ene. Ne ʋu ƒe sisi (thrombus) va le ʋuka aɖe me la, ate ŋu agbã eye wòazɔ kple ʋua, si ana ʋuka me ʋu ƒe sisi (DVT), aklã me ʋu ƒe sisi (Pulmonary Embolism), dzidɔ, alo ʋusɔgbɔdɔ .

Ne ʋukawo va le ʋukawo me la, wodzia ʋusɔgbɔdɔ, dzidɔ, afɔveve sesẽ, azɔlizɔzɔ sesẽ, kple ɖewohĩ abɔ kple afɔ gɔ̃ hã ƒe gege ɖe edzi.

• Hypercoagulable states / Ʋu ƒe Ʋuʋu ƒe Dɔlélewo: Ame aɖewo ƒe ʋu ƒe sisi kabakaba wu alesi wòle dzɔdzɔmee. Esia ate ŋu atso domenyiŋusẽfianu (domenyinyi) alo ate ŋu adzɔ le eƒe tsitsime. Esia nana ʋu ƒe sisi le ʋukawo kple ʋukawo me ƒe afɔkua dzina ɖe edzi. Esia ateŋu atso nusiwo sɔ gbɔ ɖe ʋu me siwo kpena ɖe ʋu ƒe sisi ŋu, abe `(Fibrinogen)`, `(Nu 8)`, `(Prothrombin)`, alo dzɔdzɔme protein siwo xea mɔ na ʋu ƒe sisi, abe `(Antithrombin)`, `(Protein C)`, `(Protein S)` ƒe ɖiɖi gbɔ.
• Deep Vein Thrombosis (DVT): Ʋu ƒe sisi le ʋuka goglo aɖe me le ŋutilãa me.
• Aklã me Ʋuʋudedi: Ʋu si ƒona le ʋuka me la gbãna eye wògena ɖe ʋuka aɖe me le lãkusi me. Esia nye nɔnɔme si me afɔku le ŋutɔ .
• Axillo-subclavian vein thrombosis (Paget-Schroetter Syndrome): Ʋukawo ƒe dɔléle si bɔ ɖe sɔhɛ kamedefefewɔla siwo ʋlia ho la me. Afɔku si le ʋu ƒe sisi me dzina ɖe edzi ne akɔtaƒu, akɔta gbãtɔ, alo lãmeka siwo ƒo xlãe te axilla alo subclavian vein.
• Superficial Thrombophlebitis: Ʋu ƒe sisi dzɔna le ʋuka aɖe si le ŋutigbalẽa te tututu me eye wònana wòvuvuna.

5. Aortic Aneurysm ƒe Ʋukawo ƒe Ʋuʋu

Aneurysm nye ʋuka aɖe ƒe gli ƒe gbɔdzɔgbɔdzɔ, si wɔnɛ be wòdona abe ʋuƒo ene. Togbɔ be ate ŋu adzɔ le ʋuka ɖesiaɖe me hã la, edzena zi geɖe le aorta, si nye ʋuka vevitɔ si kplɔa ame tso dzia me.

• Thoracic Aortic Aneurysm: Ʋuka si me ʋu sina tona le akɔta ƒe akpa si le ʋuʋum.
• Abdominal Aortic Aneurysm: Ʋuka si me ʋu sina tona le ƒodoa me ƒe ʋuʋu.

Vevietɔ: Ne ʋuka aɖe gbã la, ate ŋu ade ame ƒe agbe afɔku me, eyata ele vevie ŋutɔ be nànya esia.

6. Lãmetsiŋusẽ ƒe Dɔléle (FMD) .

Esia hã nye nɔnɔme si mebɔ o. Le nɔnɔme sia me la, lãmenugbagbevi siwo le ʋuka siwo le titina kple gãwo ƒe gliwo me tsina le mɔ si mesɔ o nu. Esia ate ŋu atrɔ ʋukaawo ƒe nɔnɔme, ana woadze abe dzonu ene, eye wòana ʋukaawo natsi. Esia ate ŋu ahe kuxiwo abe ʋukawo ƒe ʋuʋu kple ʋukawo ƒe ʋuʋu ene vɛ.

7. Lãmetsiŋusẽ ƒe ʋuʋu

Lãmetsiŋusẽ ƒe dɔwɔwɔ nye ʋuka siwo me ʋu sina tona kple ʋuka siwo kpena ɖe míaƒe ŋutilã ƒe dɔlélenutsiŋutete ŋu. Nuɖoanyi sia kpɔa míaƒe ŋutilã ta tso dutanuwo me. Lãmetsiŋusẽ ƒe ʋuʋu nye ne ʋuka alo lãkusi siawo gblẽ, wogblẽ, alo woɖe wo ɖa, si wɔnɛ be ʋuka me tsi ƒoa ƒu ɖe teƒe ɖeka eye wòvuvu.

• Lãmetsiŋusẽ ƒe Dɔléle Gbãtɔ: Mebɔ o. Wodzia ame aɖewo ʋuka aɖewo manɔmee alo nusiwo mesɔ o le wo me.
• Lãmetsiŋusẽ Evelia: Esia dzɔna ne ʋukawo xe alo xe mɔ na ʋukawo. Esia ate ŋu atso nusiwo le abe dɔlékuiwo, kansa, amekoko, abi ƒe lãkusi, abixɔxɔ, DVT, kple keklẽŋusẽdɔdamɔnu gbɔ.

8. Ʋukawo me dɔléle

Esia nye ʋukawo ƒe dɔdzẽ, si fia be wovuvuna. Esia ate ŋu atso atike aɖe, dɔlékui aɖe gbɔ, alo ɣeaɖewoɣi la, womate ŋu akpɔ nusi gbɔ wòtso o. Esia wɔnɛ be esesẽna be ʋu nate ŋu ato ʋukawo me. Ɣeaɖewoɣi la, ate ŋu ado ƒome kple ƒunukpeƒetetedɔ alo kadodoŋusẽdɔlélewo hã. Vasculitis hã ate ŋu ana ʋuka me ʋu nado.

Amekae ʋukawo me dɔléle gblẽa nu le wu?

Ame aɖewo nyia ʋukawo me kuxiwo ƒe dome tso wo dzilawo gbɔ to domenyiŋusẽfianu dzi. Le kpɔɖeŋu me, le nɔnɔme siawo tɔgbe me, ʋu ƒe sisi ƒe nɔnɔmewo la, ele be woanɔ agbe kple kuxi siawo tso woƒe ɖevime ke.

Gake ami kple ʋumemi (plaque) ƒe ƒuƒoƒo ɖe ʋukawo me le ɣeyiɣi aɖe megbe gbɔe ʋukawo me dɔléle geɖe tsona. Le kpɔɖeŋu me, Peripheral Artery Disease alo Carotid Artery Disease. Atherosclerosis, si nye ʋukawo ƒe gliwo ƒe ƒoƒo, ate ŋu adze egɔme le sɔhɛmenɔɣi eye ate ŋu ahe kuxiwo vɛ le ƒe titina alo emegbe.

Aleke gbegbee dɔléle siawo bɔ ɖe Sri Lanka?

Ʋukawo me dɔléle siawo va bɔ ŋutɔ fifia le Sri Lanka hã. KãAfɔku sia gadzina ɖe edzi le nusiwo nye nuɖuɖu gbegblẽ, suklidɔ ƒe dzidziɖedzi, kamemademade, kple atamanono ta . Nɔnɔme siwo woyɔna be ``Peripheral Artery Disease (PAD)`` kple ``Carotid Artery Disease`` bɔ ŋutɔ.

Nukawoe nye ʋukawo me dɔléle ƒe dzesiwo?

Esia toa vovo le dɔlélea ƒomevi nu. Na míalé ŋku ɖe dɔléle ƒomevi vevi ʋɛ aɖewo ƒe dzesiwo ŋu.

Ʋuka siwo me ʋu sina tona ƒe dɔléle (PAD) ƒe dzesiwo:

• Ʋuka siwo xe le afɔwo me: Vevesese alo sesẽ le afɔwo me ne wole dɔ wɔm alo le zɔzɔm, si nu yina ne wogbɔ ɖe eme vie. Ŋutilã ƒe amadede ƒe tɔtrɔ, abi siwo mehayana o, kple ɖeɖiteameŋu ƒe seselelãme le afɔwo ŋu.
• Dɔgbo me ʋu ƒe sisi: Ƒodo ƒe vevesese sesẽ, ʋuʋudedi, ʋuʋudedi, aɖuɖɔtoe, nuɖuɖu ƒe dzodzro, kple lolo dzi ɖeɖe kpɔtɔ.
• Ayiku ƒe ʋukawo ƒe dɔléle: Ʋusɔgbɔdɔ si dzi womeɖu o (Hypertension), dzi ƒe dɔmawɔmawɔ nyuie, kple ayiku ƒe dɔmawɔmawɔ nyuie.
• Popliteal entrapment syndrome: ʋuʋudedi, ʋuʋudedi, seselelãme ƒe bu, kple amadede ƒe tɔtrɔ le afɔ kple afɔ ŋu.
• Raynaud ƒe nudzɔdzɔ: asibidɛwo kple afɔbidɛwo trɔna biã, blɔ, alo ɣi, sese le wo ɖokui me abe ɖe wole ʋuʋum ene, eye woƒe lãme ʋuʋuna.
• Buerger ƒe dɔléle: Vevesese le asiwo, afɔwo, kple asibidɛwo ŋu ne wole ɖiɖim ɖe eme gɔ̃ hã. Asibidɛwo ate ŋu azu blɔ alo azu blɔ.

Kuxi siwo do ƒome kple ʋuka vevitɔ si le kɔ me (Carotid Artery) ƒe dzesiwo:

• Carotid artery disease: Zi geɖe la, dzesiawo medzena o vaseɖe esime ʋusɔgbɔdɔ alo TIA dze ame dzi . Dzesi siwo dzena le ʋusɔgbɔdɔ ŋu dometɔ aɖewoe nye: nukpɔkpɔ alo nuƒoƒo sesẽ, tɔtɔ, kple ŋkuɖoɖonudzi ƒe kuxiwo.
• Carotid artery dissection: Taɖuame, kɔve, ŋku alo mo ƒe vevesese.
• Carotid ŋutilã me dɔdzẽ: Dzi ƒe tsotso kabakaba, ʋusɔgbɔdɔ, fifia, taɖuame.
• Carotid artery aneurysm: Ʋusɔgbɔdɔ alo ʋu ƒe sisi ɣeyiɣi kpui aɖe ƒe amedzidzedze (TIA) ate ŋu adzɔ.

Ʋuka me Dɔléle ƒe Dzesiwo:

• Varicose veins kple spider veins: vuvu, vevesese, kple veins blɔ alo dzĩ ƒe dzedzeme le afɔwo me.
• Klippel-Trenaunay syndrome (KTS): Vevesese alo kpekpeme le afɔ alo alɔnu.
• May-Turner syndrome (MTS): afɔ ƒe vuvu, vevesese ne wozi edzi, ŋutigbalẽ biã alo eƒe amadede trɔ.
• Thoracic Outlet Syndrome (TOS): Vevesese le kɔ, alɔ, kple abɔta, asi alo asibidɛwo ƒe ʋuʋu.
• Chronic venous insufficiency (CVI): Afɔ ƒe ʋuʋu, afɔwo ƒe kpekpeme alo ʋuʋudedi, ʋuʋudedi.

Ʋu ƒe Ʋuʋu ƒe Dzesiwo:

• Ʋu ƒe sisi ƒe nɔnɔmewo: `(DVT)` alo `(Pulmonary Embolism` ate ŋu adzɔ.
• Deep vein thrombosis (DVT): afɔ ƒe vevesese, vuvu, dzoxɔxɔ, ŋutigbalẽ ƒe biã.
• Aklã me Ʋuʋudedi: Ʋu ƒe kɔdzi , akɔtave, gbɔgbɔ sesẽ. Esia nye nudzɔdzɔ kpata aɖe!
• Axillo-subclavian vein thrombosis: alɔ alo asibidɛwo ƒe ʋuʋu, kpekpeme alo vevesese, ŋutigbalẽ ƒe amadede ƒe tɔtrɔ blɔ.
• Ʋuka siwo le gota ƒe dɔdzẽ le ʋu ƒe sisi ta: ŋutigbalẽ si ƒo xlã ʋukaa ƒe vuvu, vevesese, dzoxɔxɔ, kple biã.

Aortic Aneurysm ƒe Dzesiwo:

• Thoracic artery aneurysm: akɔtave, dzi ƒe tsotso kabakaba, nu mimi sesẽ, kɔ ƒe vuvu.
• Abdominal aortic aneurysm: Ƒodo alo akɔtave, taɖuame, ʋuʋudedi kple ʋuʋudedi, (ne ʋuka si me ʋu sina tona la gbã) dzi ƒe tsotso kabakaba. Esia hã nye nudzɔdzɔ kpata!

Fibromuscular dysplasia (FMD) ƒe dzesiwo:

Kɔmeve, nukpɔkpɔ ƒe tɔtrɔ, ʋusɔgbɔdɔ, taɖuame, gbeɖiɖi "si le ɖiɖim" sese le to me, alo dzi ƒe tsotso sese.

Lymphedema ƒe Dzesiwo:

Asiwo alo afɔwo ƒe vuvu, vevietɔ.

Vasculitis ƒe dzesiwo:

Sese le eɖokui me be yeƒe lãme mekɔ o, dzoxɔxɔ, vuvu.

Nukawoe hea ʋukawo me dɔléle vɛ?

Womenya nusi tututu gbɔ ʋuka me kuxi aɖewo tsona o, gake nusiwo gbɔ wòtsona zi geɖe la dometɔ aɖewo li:

• Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
• Ʋu ƒe Ʋuʋudedi
• Atamanono alo atamanuwo zazã (esiae nye futɔ gãtɔ kekeake!) .
• Suklidɔ (Suklidɔ) .
• Domenyiŋusẽfianu siwo ƒe dome wonyi tso dzilawo gbɔ
• Atike aɖewo
• Nuveviwɔamewo
• Dɔlékuiwo
• Ʋu ƒe sisi

Aleke wokpɔa ʋukawo me dɔléle?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ . Ðɔktaa abia nya wò tso wò dzesiwo ŋu, nenye be wò ƒomea me tɔ aɖe xɔ nɔnɔme siawo kpɔ, eye wòado wò ŋutilã kpɔ. Ate ŋu akpe ɖe ŋuwò be nàɖe wò afɔkpawo kple soxwo eye nàtsɔ wò afɔwo afia ɖɔktaa.

Le ʋukawo me dɔléle ƒomevi si ɖɔktaa susui nu la, ate ŋu abia be woado ʋu kpɔ eye woawɔ scan tɔxɛwo (nɔnɔmetatawo ɖeɖe).

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Le ʋukawo me dɔléle geɖe me la, ʋukawo me tsi alo xena. Eyata, be woakpɔ esiawo pɛpɛpɛ la, wozãa ``(Imaging)`` mɔnu siwo ateŋu akpɔ ʋukawo me.

• Vascular Ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa ʋukawo ƒe nɔnɔmetatawo. Ate ŋu alé ŋku ɖe ʋu ƒe sisi kple nenye be mɔxenu aɖewo li hã.
• Catheter Angiography: Wotsɔa mɔ̃ sue aɖe (catheter) toa ʋuka aɖe me, wodoa tsi tɔxɛ aɖe ɖe eme, eye woɖea X-ray nɔnɔmetatawo. Esia wɔnɛ be wokpɔa ʋukaa ƒe eme nyuie.
• CT Angiography: CT scan zãa tsi tɔxɛ aɖe tsɔ ɖea ʋukawo ƒe foto le akpa etɔ̃ me.
• MR Angiography: Wozãa MRI scan tsɔ ɖea ʋukawo ƒe foto tsitotsito.

Aleke wodaa ʋuka me dɔlélewoe?

Atike ɖeka aɖeke meli na esia hã o. Atikewɔwɔ toa vovo le dɔlélea ƒomevi nu. Ɣeaɖewoɣi la, agbenɔnɔ ƒe tɔtrɔ abe tɔtrɔ ɖe nuɖuɖu nyui ŋu kple kamedede ene ate ŋu ana gbɔdzɔe geɖe mí. Dɔléle aɖewo hiã be woazã atike, evɔ bubuwo ya hiã be woawɔ dɔ na wo.

Mina míalé ŋku ɖe dɔléle gã geɖe ƒe atikewɔwɔ ŋu kpuie:

Atikewɔwɔ na ʋuka siwo le gota ƒe dɔléle (PAD):

• Ʋuka siwo xe le afɔwo me: nuɖuɖu, kamedede, atike, amekoko.
• Dɔgbo me ʋu ƒe sisi: Vevesesenutsitikewo, atike siwo tsia ʋumenugbagbeviɣidɔ nu, amekoko be woaɖe ʋumenugbagbeviɣia ɖa. Le nɔnɔme siwo nɔa anyi didi gome la, woate ŋu awɔ ʋukawo ƒe dɔwɔwɔ, stenting, alo bypass amekoko.
• Ayiku me ʋukawo ƒe dɔléle: Nuɖuɖu si me dze mesɔ gbɔ ɖo o, si naa dzidɔ. Ʋusɔgbɔdɔ ƒe atike, `(Statins)` (atike siwo ɖea ʋumemi dzi kpɔtɔna).
• Popliteal entrapment syndrome: Amekoko be woaɖe asi le `(Popliteal Artery)` ŋu.
• Raynaud ƒe nudzɔdzɔ: Na wò asiwo kple afɔwo naxɔ dzo. No ``(Dilated)`` atike siwo kpena ɖe ame ŋu be ʋukawo naʋu.
• Buerger ƒe dɔléle: Ele vevie be woadzudzɔ atamanono keŋkeŋ. Na wò asiwo kple afɔwo naxɔ dzo. No ʋukawo kekeɖenudɔlékuiwo.

Kuxi siwo do ƒome kple ʋuka vevitɔ si le kɔ me (Carotid Artery) dada:

• Carotid artery disease: Nuɖuɖu si naa lãmesẽ. Atike siwo nana ʋu me mekɔna o kple atike siwo ɖea ʋumemi dzi kpɔtɔna. Carotid endarterectomy be woaɖe kpe gbadzɛwo ɖa. Angioplasty kple stenting be ʋukaa nanɔ ʋuʋu ɖi.
• Carotid artery dissection: `(Antiplatelets)` (atike siwo xea mɔ na ʋumenugbagbevi dzĩwo ƒe ƒuƒoƒo), `(Anticoagulants)` (atike siwo xea mɔ na ʋu ƒe ƒoƒo), `(Stenting)`.
• Carotid body tumors: Amekoko be woaɖe dɔdzẽa ɖa.
• Carotid artery aneurysm: Atike siwo wua ʋusɔgbɔdɔ, atike siwo ɖea ʋumemi dzi kpɔtɔna, atike siwo naa ʋu ƒe sisi. Bypass alo stent-graft ƒe amekoko.

Ʋuka me Dɔléle ƒe Atikewɔwɔ:

• Vein kple spider veins: Wozãa dzoxɔxɔ, dzetsi, alo laser tsɔ ɖea wo ɖa.
• Klippel-Trenaunay Dɔléle (KTS): Atikewɔwɔ ma ke si wozãna na ʋuka me ʋu ƒe sisi.
• May-Turner Syndrome (MTS): Atikewɔwɔ ɖekae nye `(DVT)`.
• Thoracic Outlet Syndrome (TOS): Lãmesẽnyawo Gbɔkpɔkpɔ, Atikewɔwɔ.
• Venous insufficiency (CVI): Afɔwo ʋuʋu enuenu, wodoa compression stockings. Dzetsi, laser, alo lãɖeɖe ɖe ʋukawo ŋu.

Ʋu ƒe Ʋuʋudedi ƒe Atikewɔwɔ:

• Atikewɔwɔ na ʋu ƒe sisi ƒe nɔnɔmewo: `(DVT)` kple `(Pulmonary Embolism)` nye ɖeka.
• Deep vein thrombosis (DVT): Afɔwo ƒe kɔkɔme. Ʋumenugbagbeviɣitikewo kple vevesesenutsitikewo.
• Aklã me Ʋuʋudedi: Ʋu ƒe ʋuʋu kple ʋuka me ʋu ƒe sisi (ʋu ƒe sisi ƒe ʋeʋẽ). Amekoko be woaɖe ʋumenugbagbeviɣia ɖa.
• Axillo-subclavian vein thrombosis: `(Thrombolytics)`, atike siwo naa ʋu nɔa ʋuʋum. Ʋu si le ʋuʋum la ɖeɖeɖa.
• Superficial vein thrombosis: Do alɔ/afɔ si ŋu dɔlélea le la ɖe dzi wu dzia. Tsɔ dzoxɔxɔ de eme. Do afɔkpa siwo wotsɔ doa alɔe. Amekoko ƒe ʋukaa ɖeɖe ɖa.

Atikewɔwɔ na Aortic Aneurysm:

• Thoracic Aneurysm: Amekoko be woatsɔ avɔ si wodo alo stent ade eme. Esia ate ŋu anye amekoko gã aɖe le teƒe si wowɔa dɔa le kple amekokomɔnu nu.
• Abdominal aortic aneurysm: Amekoko be woade ʋuka si me ʋu sina tona me. Endovascular Repair nye dɔdamɔnu si mewɔa dɔ boo aɖeke o.

Fibromuscular dysplasia (FMD) ƒe atikewɔwɔ:

Ʋu ƒe ʋuʋu, vevesesenutsitikewo. `(Ʋuwo ƒe ʋukawo ƒe dɔwɔwɔ)`. Amekoko be ʋuka aɖe nagagbã o.

Lymphedema ƒe Atikewɔwɔ:

Do alɔ/afɔ si ŋu dɔlélea le la ɖe dzi wu wò dzi ƒe kɔkɔme esime nèmlɔ anyi abe miniti 45 ene zi eve gbesiagbe. Do abɔtawu si wotsɔna ƒoa nu. Zã alɔ/afɔ si ŋu dɔlélea le hena gbesiagbedɔwo wɔwɔ. Ne wò ɖɔkta kafui la, yi ʋumenugbagbeviɣidɔdaƒe tɔxɛ aɖe.

Vasculitis ƒe Atikewɔwɔ:

Ðɔktaa ate ŋu aŋlɔ atikewo abe steroid ene na wò.

Nukawoe nye atikewɔwɔa ƒe kuxiwo/nugbegblẽ le ame ŋu?

Atike ɖesiaɖe ate ŋu agblẽ nu le ame ŋu, gake zi geɖe la, enyo be woano viɖeawo. Zi geɖe la, eƒe nugbegblẽ le ame ŋu nu ayi le ŋkeke ʋɛ aɖewo megbe. Ne womewɔe o la, àte ŋu aƒo nu kple wò ɖɔkta tso tɔtrɔ ɖe atike bubu ŋu.

Ne èle dɔdamɔnu alo amekoko aɖe ŋu bum la, ƒo nu tso afɔku siwo le eme kple viɖe siwo le eme ŋu na wò ɖɔkta. Ðewohĩ nusi wɔa dɔ na hawòvi mawɔ dɔ na wò o.

Nukae wòle be mawɔ be maƒo asa na ʋukawo me dɔléle?

Màte ŋu atrɔ nuwo abe wò ƒexɔxɔ, wò ƒome ŋutinya, alo domenyiŋusẽfianu ene o. Gake àte ŋu awɔ nusiawo:

• Kpɔ wò suklidɔ, ʋumemi ƒe agbɔsɔsɔ, kple ʋusɔgbɔdɔ dzi .
• De kame edziedzi. Azɔlizɔzɔ aɖabaƒoƒo 30 ya teti gbesiagbe hã nyo.
• Ðu nuɖuɖu siwo naa lãmesẽ. Ðe ami, sukli, kple dze dzi kpɔtɔ. Ƒo atikutsetsewo, amagbewo, kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo geɖe wu.
• Ne ele be nànɔ anyi alo anɔ tsitre gaƒoƒo geɖe le ɣeyiɣi ɖeka me la, ʋuʋu vie eye nàzɔ azɔli zi ɖeka ya teti le gaƒoƒo ɖeka me .
• Lé lolo si sɔ me ɖe asi.
• Ðe nuteɖeamedzi dzi kpɔtɔ.
• Ƒo asa na atamanuwo keŋkeŋ. Esia nye nusi wòle be woawɔ.

Nukae wòle be makpɔ mɔ na ne ʋukawo me dɔléle (Vasculopathy) le ŋunye?

Ʋukawo me dɔléle ate ŋu anye kuxi le eƒe agbemeŋkekewo katã me ɣeaɖewoɣi. Ne wò ɖɔkta nya kpɔe be ami le wò ʋukawo me ko la, agblɔ na wò be nàwɔ tɔtrɔ aɖewo le agbenɔnɔ me. Ahiã be nàyi edzi anɔ nuwo abe kamedede, aƒo asa na atamanono, eye nàtia nuɖuɖu siwo naa lãmesẽ ene. Ðewohĩ ahiã hã be nàyi atikewo nom be dzidɔ alo ʋusɔgbɔdɔ ƒe afɔkua dzi naɖe akpɔtɔ.

Nɔnɔme sia ŋuti nukpɔsusu

Le ʋuka me dɔléle geɖe me la, zi alesi ɖɔkta kpɔ kuxia dze sii kaba la , zi nenemae nukpɔsusua nyona ɖe edzii. Ʋukawo me kuxi geɖe dada va sesẽna ne wole sesẽm ɖe edzi. Ʋukawo ƒe nɔnɔme aɖewo, abe `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` kple `(Pulmonary Embolism)`, ateŋu ade ame ƒe agbe afɔku me.

Aleke mawɔ alé be na ɖokuinye?

Tsɔ kpe ɖe nya siwo míegblɔ va yi ŋu la, ele be nàyi edzi anɔ atikeawo nom abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ eye nàyi atikewɔƒe ƒe dodokpɔ le ŋkeke siwo nèɖo ɖi dzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne tɔtrɔ aɖe va le wò ʋukawo ƒe nɔnɔme me, alo ne atike aɖe si wò ɖɔkta ŋlɔ na wò ƒe kuxi aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne èkpɔ dzesi siawo dometɔ aɖe la , ƒo ka na 911 (ƒe 1990 le Sri Lanka) enumake :

• Tɔtɔ alo taɖuame
• Nuƒoƒo sesẽ (kuɖiɖi) .
• Mo ƒe akpa ɖeka ƒe ʋuʋu
• Akɔtave sesẽ
• Dɔgbo ƒe vevesese sesẽ
• Nukpɔkpɔ ƒe bu
• Gbɔdzɔgbɔdzɔ le alɔ alo afɔ aɖe me

Nya kawoe wòle be mabia nye ɖɔkta?

• Nukae nye atikewɔwɔ nyuitɔ kekeake na nye nɔnɔme tɔxɛa?
• Ðe nu bubu aɖe gali si wòle be mawɔ atsɔ akpɔ nye ʋukawo ƒe dɔlélea gbɔa?
• Ðe atikewɔwɔ me nɔnɔme bubu aɖewo li siwo do ƒome kplii siwo ŋu wòle be manya ɖo kpe ɖe ʋukawo ƒe kuxi sia ŋua?

Nu nyuitɔ si nàte ŋu awɔ na wò ʋu ƒe sisi enye be nànɔ ŋudzɔ . Mègadzo le atikewɔwɔ me dodokpɔ alo atikewo zazã dzi o. Esi wònye be ʋusɔgbɔdɔ ƒe kuxi aɖewo doa mo ɖa le ƒomewo me ta la, wò lãmesẽnyawo gbɔgblɔ na wò ƒomea ate ŋu akpe ɖe wo ŋu woaƒo asa na ʋusɔgbɔdɔ eye woanyae. Esi wònye be ʋusɔgbɔdɔ kple ʋumemi nye nusiwo ate ŋu ana nàxɔ ʋu ƒe sisi ta la, bia tso wò ƒomea si be woana woawo hã woado wo kpɔ.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Enyo, eyata mesusu be fifia èse ʋuka me dɔléle siwo ŋu míeƒo nu tsoe egbea gɔme nyuie wu. Ðo ŋku edzi be menye nusiwo wòle be woabu nu tsɛee nye esiawo o . Ke hã, ne ède dzesi wo kaba, da wo nyuie, eye nèwɔ tɔtrɔ le agbenɔnɔ ŋu la, àte ŋu anɔ agbe nyuie kple dɔléle siawo. Nuɖuɖu si naa lãmesẽ, kamedede edziedzi , kple atamanono ƒoƒo asa naNu bɔbɔewo abe esiawo ene ate ŋu ana tɔtrɔ gã aɖe nava. Ne ɖikeke alo dzesi aɖe le ŋuwò la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o. Nɔ lãmesẽ me!

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` Ʋukawo me Dɔléle, Ʋukawo, Ʋukawo, Ʋu ƒe Ʋuʋu, Ʋusɔgbɔdɔ, Lãmetsiŋusẽ