Amekoko na wò ʋukawoa? Mina míaƒo nu tso ʋukawo ƒe dɔwɔwɔ ŋu!

Bu ʋuka siwo le míaƒe ŋutilã katã me ƒe kadodo be ele abe mɔ siwo le du aɖe me ene. Mɔ siawo dzie ʋu zɔna tso míaƒe dzi me yia míaƒe ŋutilã ƒe dzogoe ɖesiaɖe dzi le. Eyata nukae dzɔna ne mɔ siawo xe, wogbã, wogbã, alo kuxi bubu aɖe do mo ɖa? Ʋuwo ƒe zɔzɔ bliboa tɔtɔ, alo? Nenema ke ne kuxi aɖe le míaƒe ʋukawo ŋu la, ɖeko míeyɔa amekoko tɔxɛ siwo wowɔna tsɔ daae be `(Vascular Surgery)`.

Kpuie ko la, nukae nye ‘Vascular Surgery’?

Ʋukawo ƒe Amekoko nye nya si wozãna na amekoko kple atikewɔwɔ siwo lɔ ʋukawo (ʋukawo, ʋukawo, kple ʋuka siwo me ʋu sina tona) ɖe eme le míaƒe ŋutilã me. Ʋukawo ƒe kadodo siae tsɔa ʋu tso míaƒe dzi me yia ŋutinu kple lãkusi bubu siwo katã le ŋutilãa me, eye wògbugbɔa ʋu vaa dzia me.

Atikewɔwɔ ƒe nɔnɔme vovovowo ate ŋu agblẽ nu le ʋuka siawo ŋu. Ɣeaɖewoɣi la, woate ŋu akpɔ nɔnɔme siawo gbɔ to agbenɔnɔ ƒe tɔtrɔ kple atikewo zazã me. Gake le go aɖewo me la, ahiã be woawɔ dɔ na wò be kuxia nagagblẽ ɖe edzi o.

Amekoko siawo lɔ:

• Ʋuka siwo gblẽ la dzadzraɖo.
• Kuxi sesẽ siwo ate ŋu ado mo ɖa le nɔnɔme siawo ta ƒe afɔkua dzi ɖeɖe kpɔtɔ.
• Ʋukawo me yiyi ƒe mɔnukpɔkpɔ wɔwɔ be atikewɔwɔ abe ayiku ɖeɖeɖa ene nanɔ bɔbɔe na ayikudɔnɔwo.

Nɔnɔme kawo me ‘ʋukawo ƒe Amekoko’ hiã le?

Ne nɔnɔme siwo gbɔna dometɔ ɖeka alo esi wu nenema le ŋuwò la, ahiã be woawɔ dɔ na wò le ʋukawo me. Nyametsotso nyuitɔ kekeake le esia ŋue nye wò ɖɔkta.

Amekoko siawo ate ŋu ahiã na dɔléle bubu geɖe abe esia ene. Wò ɖɔkta alé ŋku ɖe wò nɔnɔmea ŋu nyuie eye wòatso nya me nenye be ehiã be woawɔ dɔ na wò kpe ɖe atikewo ŋu.

Amekoko ƒomevi vevi kawoe?

Amekoko kple dɔdamɔnu vovovo geɖewo li woatsɔ ada ʋukawo me kuxiwo. Amekoko si ƒomevi nèhiã la anɔ te ɖe wò nɔnɔmea dzi. Mina míaƒo nu tso ƒomevi vevi aɖewo ŋu.

1. Aortic Aneurysm Dzadzraɖo

Ne ʋuka gãtɔ kekeake si le míaƒe ŋutilã me (aorta) gbɔdzɔ eye wògbɔna abe ʋuƒo ene la, ehiã be woadzrae ɖo hafi wòagbã. Esiae nye amekoko si wowɔna na ema.

• Open Aneurysm Surgery: Esia bia be woatso akɔta alo ƒodo me, aɖe ʋuka si gblẽ la ɖa, eye woatsɔ mɔ̃ si wotsɔ asi wɔe (graft) aɖo eteƒe.
• Endovascular Aneurysm Repair (EVAR): Esia bia be womewɔa dɔ na ame boo o. Wowɔa do sue aɖe ɖe ŋutigbalẽa me, wotsɔa ka si woyɔna be stent graft dea doa me, eye ʋu sina toa mɔ̃ yeyea me.
• Thoracic Endovascular Aneurysm Repair (TEVAR): Esia sɔ kple `(EVAR)`, gake wowɔa esia na ʋuka siwo me ʋu sina tona le aorta me le akɔta ƒe nuto me.

2. Atikewɔwɔ na Ʋukawo ƒe Dɔléle (PAD) .

PAD nye nɔnɔme si me ʋuka siwo me ʋu sina tona la ƒoa ƒu ɖe ʋuka siwo tsɔa ʋu yia afɔwo kple abɔwo me la me. Esia ate ŋu ahe dzesiwo abe afɔ ƒe vevesese ne wole zɔzɔm ene vɛ.

• Ʋukawo ƒe Ʋukawo ƒe Dɔwɔwɔ Kple Stenting:Le esia me la, wotsɔa ʋuƒo sue aɖe dea ʋuka si xe la me eye wodoa ya ɖe eme be ʋukaa nakeke. Emegbe la, wotsɔa ka sue aɖe si wotsɔa ka ƒoa nui ``stent`` dea eme be wòagaxe mɔ nɛ ake o. Ele abe tsi ƒe pɔmpi si xe la ŋu kɔklɔ eye wotsɔ pɔmpi sue aɖe de eme be wòagaxe ake o ene.
• Atherectomy: Esia bia be woazã akplɔ sue aɖe le catheter (si nye mɔ̃ tsɛ aɖe) ƒe nuwuwu atsɔ atutu ami siwo ƒo ƒu ɖe ʋukawo ƒe gliwo ŋu la ɖa.
• Peripheral Artery Bypass Surgery: Esia bia be woaʋu ʋuka aɖe si xe eye woawɔ mɔ yeye aɖe si dzi ʋu nato. Esia bia be woazã ʋuka bubu si le lãmesẽ me tso ŋutilãa me alo mɔ̃ si wotsɔ asi wɔe. Ele abe mɔ si to mɔ aɖe dzi tutu be woatsɔ ato ʋuwo ŋu le mɔ aɖe dzi ene.

3. Carotid Artery (kɔ ƒe ʋuka) ƒe kuxiwo dada

Carotid artery disease nye nɔnɔme si me amiwo ƒoa ƒu ɖe ʋuka vevi siwo le kɔ me siwo naa ʋu yia míaƒe ahɔhɔ̃ me. Esia ate ŋu ahe nɔnɔme siwo me afɔku le abe ʋusɔgbɔdɔ ene vɛ.

• Carotid Angioplasty and Stenting: Abe alesi míegblɔe va yi ene la, wotsɔa balloon kple stent kekea ʋuka sia ɖe enu.
• Carotid Endarterectomy: Le esia me la, woɖea nu sue aɖe le kɔa me, ʋua ʋukaa, woɖea ami si le eme la ɖa, eye wogbugbɔa ʋukaa ƒoa ƒu ɖekae.

4. Ʋuka me Dɔlélewo dada

Wogbugbɔa ʋu ƒoɖi si le míaƒe ŋutilã me la vaa dzia me to ʋukawo me. Ʋukawo le ʋukawo me, vevietɔ le afɔwo me, siwo kpena ɖe ame ŋu wòkɔa ʋu yia dzi. Ne ʋuka siawo gbɔdzɔ la, ʋu ƒoa ƒu ɖe afɔawo me, si hea nɔnɔmewo abe ``Varicose veins`` ene vɛ.

• Vena Cava Filter Placement: Le amesiwo ŋu nɔnɔmewo abe deep vein thrombosis (DVT) ene le gome la, wotsɔa filter sue aɖe dea vein gã aɖe me be wòaxe mɔ na ʋu ƒe sisi be wòagazɔ ayi dzi alo lãkusi me o.
• Vein Ligation and Stripping: Le esia me la, wowɔa dɔ na ʋuka siwo ŋu dɔléle le (varicose veins) heɖea wo ɖa.
• Endovenous Thermal Ablation: Wozãa laser-ya alo radio-ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ tsia ʋuka si ŋu dɔlélea le la nu tso eme eye wotua enu evɔ wometsoa ʋu gã aɖeke o.
• Sclerotherapy: Esia bia be woado atike aɖe ɖe ʋuka sue siwo me ʋu sina tona kple akpɔkplɔ ƒe ʋukawo nu.

Nukae dzɔna hafi woawɔ dɔ na ame?

Wò ɖɔkta ado wò kpɔ nyuie hafi awɔ dɔ na wò.

• Atikewɔwɔ ŋutinya: Ƒo nu tso wò dzesiwo, dɔléle siwo nèkpɔ va yi, atike siwo nènona, kple nulɔdɔ ɖesiaɖe si le ŋuwò ŋu.
• Dodokpɔwo:Woaɖe gbe be woawɔ dodokpɔ vovovo siwo hiã hena amekokoa. Le kpɔɖeŋu me, dodokpɔwo abe `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)`.
• Wò dzadzraɖo: Nu ʋɛ aɖewo li nàte ŋu awɔ hafi awɔ dɔa.
• Ðɔktaa abia nenye be ehiã be nàdzudzɔ atike siwo nènona edziedzi la dometɔ aɖe nono.
• Woabia tso asiwò be nàdzudzɔ nuɖuɖu kple nunono le zã si do ŋgɔ na amekokoa me.
• Ne ènoa atama la, woɖoa aɖaŋu na wò be nàdzudzɔ. Ele vevie ŋutɔ be nàwɔ ɖe mɔfiame siawo dzi pɛpɛpɛ.

Amekokomɔnu eve: Open kple Endovascular

Wowɔa ʋukawo ƒe dɔwɔwɔ akpa gãtɔ le mɔ vevi eve nu. Wò ɖɔkta aɖe mɔnu si wozãna ɖe ŋuwò la me na wò.

Nukae dzɔna le amekokoa megbe? Eye afɔku kawoe le eme?

Nusi dzɔna le amekoko megbe la toa vovo ŋutɔ le amekoko si ƒomevi wowɔ na wò nu. Amekoko gã aɖewo ate ŋu abia be woanɔ dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU) ŋkeke ʋɛ aɖewo. Gake le dɔwɔwɔ sue aɖe abe sclerotherapy ene megbe la, àte ŋu ayi aƒeme gbemagbe ke.

Abe amekoko ɖesiaɖe ene la, afɔku aɖewo le amekoko siawo hã me.

• Nusiwo ŋu nulɔdɔ le le atike si naa alɔ̃dɔdɔ alo nusiwo wozãna ŋu.
• Ʋu si le dodom.
• Ʋu ƒe sisi.
• Dɔdzedze.
• Lãmetsiŋusẽ ƒe gbegblẽ.
• Dzidɔ alo ʋusɔgbɔdɔ.

Afɔku sia ate ŋu adzi ɖe edzi le alesi wò dɔlélea nu sẽe, wò ƒexɔxɔ, kple atikewɔwɔ ƒe nɔnɔme bubu siwo le ŋuwò, abe suklidɔ ene, nu. Ðo dze kple wò ɖɔkta tso esia ŋu gaglãa.

Ele be makpɔ ɖɔkta kpuie!

Ne kuxi aɖe ƒe dzesi aɖewo dze le ŋuwò esime nèle hayahayam tso amekoko me la, ele be nàte ɖe wò ɖɔkta ŋu enumake. Lé ŋku ɖe dzesi siwo gbɔna ŋu vevietɔ.

Ʋukawo ƒe Amekoko nye atikewɔwɔ ƒe mɔnu vevi aɖe ŋutɔ si ate ŋu axɔ míaƒe agbe eye wòana míaƒe agbenɔnɔ nanyo ɖe edzi. Mègavɔ̃ gbeɖe be yeabia wò ɖɔkta tso nya ɖesiaɖe si le asiwò ŋu o, aleke kee wòɖale sue o.