Ðe ʋuka blɔ alo aŋutiɖiɖi hã le wò afɔwo ŋua? Alo ɖe wò afɔwo vuvuna ɣesiaɣi eye wòsena le ɖokuiwò me be yele kpekpem? Togbɔ be esiawo nye kuxi siwo bɔ na ame geɖe hã la, ɣeaɖewoɣi la, esiawo ate ŋu anye dɔléle aɖe si do ƒome kple ʋuka siwo le míaƒe ŋutilã me, vevietɔ ʋukawo, ƒe dzesiwo. Eyata egbea míaƒo nu tso nusi ʋuka me dɔléle sia, alo `(Venous Disease)` nye, kple atike siwo wowɔ nɛ ŋu. Mègavɔ̃ o, ele vevie ŋutɔ be nànya esia.
Kpuie ko la, nukae nye ʋuka me dɔléle?
Bu eŋu kpɔ, ʋukawo ƒe kadodo aɖe le míaƒe ŋutilã katã me. Míeyɔa ʋuka siawo be ʋukawo. Le esiawo dome la, ʋuka siwo tsɔa ʋu tso ŋutilãa me trɔna yia dzia mee nye ʋukawo. Le ʋuka si le lãmesẽ me me la, akpa suesuesue siwo le abe ʋɔtru ene, siwo woyɔna be ʋuƒo, la nɔa eme. Mɔ ɖeka dzi koe esiawo ʋuna le. Eyata ʋua le sisim atraɖii ɖo ta dzia gbɔ eye megatrɔna gbɔna o.
Ke hã, le nɔnɔme abe `Venous Insufficiency` ene me la, ʋuka siawo mewɔa dɔ nyuie o. Nusi dzɔna enye be ʋua meyia ŋgɔ o, ke boŋ etsia teƒe ɖeka, alo sina yia megbe. Esiae nye nusi míeyɔna zi geɖe be ʋuka me dɔléle. Esia dada nana ʋu gazɔna eye wòɖea kuxi siwo ate ŋu ado mo ɖa dzi kpɔtɔna.
Ʋuka me dɔléle ƒomevi siwo bɔ
- Ʋu ƒe Ʋuʋu: Ʋu ƒe sisi le ʋukawo me.
- Ʋukawo ƒe Dɔmawɔmawɔ nyuie (CVI): Ʋu ƒe tsitretsitsi le ʋuka siwo le ʋukawo me ƒe gbɔdzɔgbɔdzɔ ɣeyiɣi didi ta.
- Deep Vein Thrombosis (DVT): Ʋu ƒe sisi le ʋuka siwo le ŋutilãa ƒe gogloƒe (zi geɖe le afɔwo me) me. Esia nye nɔnɔme si me afɔku le vie wu.
- Pulmonary Embolism: Ʋu si le dodom le DVT me eye wòzɔna yia aklã me. Esia nye nɔnɔme si nu sẽ ŋutɔ eye afɔku le eme.
- Superficial thrombophlebitis: Ʋu ƒe sisi va nɔa ʋuka siwo le ŋutigbalẽa te me, si wɔnɛ be ʋukaa vuvu, biãna, eye wòsea veve.
- Varicose veins kple spider veins: Veins siwo vuvu, siwo tro, siwo dzena le ŋutigbalẽa tame. Ame geɖe yɔa esiawo hã be "akpɔkplɔ ƒe ʋukawo."
Nukawoe nye atike siwo wowɔna amekoko manɔmee?
Zi geɖe la, ɖɔktaa adze agbagba gbã be yeaɖu nɔnɔmea dzi amekoko manɔmee. Woate ŋu azã atike sia ɖeɖe alo atsɔe akpe ɖe atike bubuwo ŋu.
| Atikewɔwɔ ƒe mɔnu | Nukae dzɔna ɖe esia dzi? |
|---|---|
| Ʋu ƒe ʋuʋu (Anticoagulation) . | Atike siawo xea mɔ na ʋu ƒe sisi. Esiawo le vevie ŋutɔ na nɔnɔmewo abe DVT ene kple be woaxe mɔ na ʋu ƒe sisi. |
| Sox ƒomevi tɔxɛwo (Compression Stockings) . | Sox siawo tea afɔawo blewu, si wɔnɛ be ʋu ƒe ƒoƒo ɖe ʋukawo me dzi ɖena kpɔtɔna. Wokpena ɖe ame ŋu be woaɖu ʋuka siwo me ʋu sina tona kple DVT dzi. |
| Agbenɔnɔ ƒe tɔtrɔ | Woate ŋu aɖu dzesiawo dzi to nuwo abe kamedede, azɔlizɔzɔ, wò afɔwo dodo ɖe dzi vie, kple lolo dzi ɖeɖe kpɔtɔ me. |
| Sclerotherapy ƒe atikewɔwɔ | Esia nye atike tɔxɛ aɖe na ʋuka siwo me ʋu sina tona. Ðɔktaa doa tsi tɔxɛ aɖe ɖe ʋuka si me ʋu sina tona me tẽ. Esia wɔnɛ be ʋukaa dzi ɖena kpɔtɔna eye wòbuna le ɣeyiɣi aɖe megbe. |
Egbegbe dɔdamɔnu siwo zãa catheters
Le mɔnu siawo me la, ɖɔktaa ɖea ŋutigbalẽa ƒe akpa sue aɖe eye wòdea ka , si nye mɔ̃ si le tsɛ ŋutɔ, ɖe ʋukaa me. Esi wònye be esiawo mehiã be woatso nu gãwo o ta la, ɣeyiɣi si woatsɔ ada dɔa le kpuie wu eye kuxi siwo dona tso eme hã mesɔ gbɔ o.
- Angioplasty: Wotsɔa ka aɖe dea ʋuka si xe me eye wodoa ya sue aɖe si le eƒe nuwuwu be wòakeke ʋukaa tso eme. Esia wɔnɛ be ʋu te ŋu sina bɔbɔe. Ɣeaɖewoɣi la, wotsɔa stent , si nye mɔ̃ sue aɖe si wotsɔa lãgbalẽ wɔe, dea ʋukaa me be wòagatsi ake o.
- Catheter-directed thrombolytic therapy: Wotsɔa catheter dea teƒe si ʋu ƒe sisi le eye wodoa ʋumenugbagbeviɣitikewo ɖe eme tẽ. Esia nana ʋuka si me ʋu sina tona la ƒua gbe le gaƒoƒo alo ŋkeke ʋɛ aɖewo ko me.
- Endovenous thermal ablation: Wogayɔa esia be laser-dɔdamɔnu. Wozãa catheter tsɔ ɖoa laser kekeli alo dzoxɔxɔ ƒe ŋusẽ ɖe ʋuka si mele dɔ wɔm nyuie o me, "trea" ʋuka la nu tso eme. Emegbe ʋukaa dzi ɖena kpɔtɔna eye ʋu dzea sisi gɔme to ʋuka siwo le lãmesẽ me me.
- Vena cava ƒe ʋuʋudedi:Esia nye ʋuʋudedi sue aɖe si ƒe nɔnɔme le abe akɔtakpoxɔnu ene. Wotsɔe dea ʋuka vevitɔ si le míaƒe ƒodo me (vena cava) me. Wozãnɛ tsɔ xea mɔ na ʋuka siwo ƒoa ƒu ɖe afɔwo me be woagazɔ mɔ ayi ahɔhɔ̃a alo lãkusiwo me o.
Nɔnɔme kawo mee wòhiã be woawɔ dɔ na ame le?
Zi geɖe la, ne atikewɔwɔ bɔbɔe bubuwo do kpo nu, alo ne nɔnɔmea nu sẽ ko hafi wokafua amekoko.
Ne nɔnɔme sia doa kplamatse wò gbesiagbedɔwo vevie, alo ne èle afɔku me be nàxɔ dɔléle aɖe si nu sẽ wu abe DVT alo Pulmonary Embolism ene la, wò ɖɔkta ate ŋu abu amekoko ŋu.
Amekoko ƒomevi vevi geɖewo li:
- Ligation and stripping: Esia bia be woabla ʋuka si me ʋu sina tona si me kuxi le la ahaɖee ɖa. Ɣeaɖewoɣi la, wowɔa dɔ sia to lãɖeɖe suesuesuewo me to dɔwɔnu abe endoscope ene zazã me.
- SEPS (subfascial endoscopic perforator surgery): Wowɔa amekoko sia na amesiwo ƒe afɔwo ƒe ʋukawo gblẽ eye abi siwo mehaya o (ʋuka me abi) le wo ŋu.
- Amekoko ƒe mɔ si to mɔa dzi: Abe alesi wòle be woatu mɔ si dzi woato ato mɔ si dzi amewo sɔ gbɔ ɖo ene la, esia bia be woawɔ mɔ yeye aɖe aƒo xlã ʋuka si xe. Woate ŋu azã wò ŋutɔ wò ʋuka ƒe akpa aɖe alo mɔ̃ si wotsɔ asi wɔe (graft) awɔ esia.
Viɖe kple afɔku kawoe le atikewɔwɔ siawo me?
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔkuwo kple viɖewo hã li. Le kpɔɖeŋu me, ʋuka siwo nana ʋu mekɔna o ate ŋu ana ʋu nado le ame ŋu ɣeaɖewoɣi. Afɔku sue aɖe li be woaxɔ dɔlékuiwo le amekoko me.
Gake zi geɖe la, atikewɔwɔ siawo ƒe viɖewo sɔ gbɔ sã wu afɔku siwo le eme. Atikewɔwɔ siawo ate ŋu akpe ɖe ame ŋu woaxe mɔ ɖe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me abe aklã me ʋu ƒe sisi ene nu. Woate ŋu ana gbɔdzɔe ame hã tso dzesiwo abe afɔ ƒe vuvu, vevesese, ʋuʋudedi, kple ʋuka siwo me ʋu sina tona ene me. Wò ɖɔkta aɖe wò dɔlélea ƒe atike nyuitɔ kekeake me na wò.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake
Ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò le ʋuka me dɔléle (catheter alo amekoko) ƒe atikewɔwɔ vɔ megbe la, yi ɖɔkta gbɔ enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .
- Akɔtave
- Ʋu si nɔa dodom atraɖii alo tsi bubu si dona tso lã siwo wotso me
- Asrã
- Taɖuame
- Aɖuɖɔtoe alo ʋuʋudedi
- Vevesese sesẽ alo vuvu le afisi wotsoe ŋu
- Afɔ kple afɔwo ƒe ʋuʋu
- Dzoxɔxɔ alo dzoxɔxɔ si ƒo xlã afisi wotsoe
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋukawo me dɔléle nye nɔnɔme si doa kplamatse ʋu ƒe sisi to míaƒe ŋutilã ƒe ʋukawo me. Esiawo bɔ ŋutɔ.
- Ne dzesiwo abe afɔ ƒe vuvu, vevesese, alo ʋuka siwo wokpɔna ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ ɖɔkta be nànya nusi gbɔ wòtso.
- Atikewɔwɔmɔnu vovovowo li egbea, siwo dometɔ aɖewoe nye atikewo, agbenɔnɔ ƒe tɔtrɔ, egbegbe atikewɔwɔ siwo wotu ɖe catheter dzi, kple amekoko.
- Menye amesiamee hiã be woawɔ dɔ na o. Wò ɖɔkta atso nya me le atikewɔwɔ si nyo na wò ŋu.
- Ne wowɔ atike na ame geɖe nyuie la, woate ŋu aƒo asa na kuxi siwo me afɔku le eye woanɔ agbe si sɔ, si me wowɔa dɔ le.
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