Ðe kuxi aɖe le ŋuwò abe esia ene le ʋuka aɖe si le kɔ me ŋua? (Vertebral Artery Dissection) Na míasrɔ̃ nu tso eŋu.

Ðe nèse le ɖokuiwò me kpɔ be yeƒe kɔ le ƒoƒom, ta ɖu ye, alo kasia yekpɔ nu eve le ŋku ɖeka mea? Togbɔ be nusiawo adze abe nu tsɛwo ene hã la, ɣeaɖewoɣi la, nu vevi aɖe ate ŋu anɔ megbe na wo. Nɔnɔme mawo dometɔ ɖeka si ŋu míele nu ƒom tsoe egbea enye ``Vertebral Artery Dissection``.

Nukae Nye Akɔta ƒe Ʋukawo Ƒe Ʋuʋu?

Kpuie ko la, esia nye esime ʋuka gã aɖe si le wò kɔ ƒe megbe, si le wò akɔta, si tsɔa ʋu yia wò ahɔhɔ̃ me – si woyɔna be akɔta ƒe ʋuka – la vuvu tso ememe. Abe avɔ kakɛ aɖe si vuvu ene la, ʋukaa ƒe gli ƒe ƒuƒoƒo ɖeka alo esi wu nenema ate ŋu avuvu. Le nyateƒe me la, esia nye nusi mebɔ o si hea ʋusɔgbɔdɔ vɛ na sɔhɛwo , siwo mexɔ ƒe 45 haɖe o, ke menye ame tsitsiwo o.

Eyata nukae nye akɔta ƒe ʋuka sia?

Bu eŋu kpɔ, le wò kɔ megbe la, ʋuka eve siwo ƒua du yia wò akɔta. Míeyɔa wo be akɔta ƒe ʋukawo. Woƒe dɔ vevitɔe nye be woana ʋu dzadzɛ si me ɔksidzin le na wò ahɔhɔ̃ kple wò aklã . Ele abe tsi ƒe pɔmpi ene, gake esesẽ wu ema.

Ʋuka sia ƒe akpa vevi etɔ̃e nye:

• Intima : Esiae nye ƒuƒoƒo si le ememe wu, si te ɖe ʋu ƒe sisi ŋu wu.
• Media : Esiae nye titina ƒe ƒuƒoƒo. Ekpena ɖe ʋua ŋu wòsina yia mɔ ɖeka dzi.
• Adventitia : Esiae nye ƒuƒoƒo si le gota wu. Eyae nana ʋukaa ƒe nɔnɔme kple ŋusẽ nɔa eŋu.

Aleke lãɖeɖe sia kpɔa ŋusẽ ɖe wò lãmesẽ dzii?

Azɔ bu eŋu kpɔ, abe alesi megblɔe ene, ne ʋukaa ƒe akpa si le eme la vuvu la, ʋu dze sisi gɔme le ƒuƒoƒo eve siwo woyɔna be intima kple media dome. Emegbe ʋua ate ŋu aƒo ƒu ɖe afima eye wòavuvu abe ʋuƒo sue aɖe ene. Ʋu sia si woƒo ƒu ate ŋu atɔ ɖe afima eye wòawɔ ʋu ƒe sisi . Ʋu ƒe sisi sia ate ŋu axe mɔ na ʋu ƒe sisi le ʋukaa me, eye ate ŋu axe mɔ nɛ keŋkeŋ gɔ̃ hã. Ʋukaa hã ate ŋu avuvu (akeke).

Esia me tsonu si me afɔku le wue nye ʋusɔgbɔdɔ :

• Ischemic stroke : Esia dzɔna ne ʋu ƒe sisi va lolo ale gbegbe be wòxe mɔ na ʋu ƒe sisi le ahɔhɔ̃a me keŋkeŋ alo eƒe akpa aɖe. Ɣeaɖewoɣi la, ʋuka si me ʋu sina tona ƒe akpa aɖe ate ŋu agbã eye wòazɔ to ʋu si yia ahɔhɔ̃a me dzi eye wòatsi ʋuka sue aɖe me.
• Ʋusɔgbɔdɔ : Esia dzɔna ne ʋukaa ƒe gli ƒe akpa etɔ̃awo katã vuvu. Emegbe ʋu dzea dodo gɔme tso ʋukaa me, le esi teƒe be wòage ɖe ahɔhɔ̃a me. Ne aɖatsi sia yi ahɔhɔ̃a me goglo la, ʋu ateŋu ado ɖe teƒe si ƒo xlã ahɔhɔ̃a – míeyɔnɛ be subarachnoid hemorrhage – alo ateŋu aʋu ayi ahɔhɔ̃a ƒe lãkusi me.

Amekae ate ŋu axɔ akɔta ƒe ʋukawo ƒe ʋuʋu wu?

Ame aɖewo ate ŋu axɔ nɔnɔme sia le susu aɖeke manɔmee. Gake ne lãmesẽkuxi aɖewo le ŋuwò la, ate ŋu adzɔ be nàxɔe le afɔku me vie. Kpɔe ɖa be nusiawo kpɔa ŋusẽ ɖe dziwò hã:

• Sigaretnono : Esia nye nusi ʋua mɔ na dɔléle geɖe.
• Domenyiŋusẽfianu aɖewo : Le kpɔɖeŋu me , cystic medial necrosis , Ehlers-Danlos syndrome , Marfan syndrome , kple osteogenesis imperfecta ate ŋu ana ʋukawo ƒe gliwo nagbɔdzɔ.
• Fibromuscular dysplasia : Esia nye nɔnɔme si me lãmenugbagbevi siwo mesɔ o tsina le ʋukawo me.
• Ʋusɔgbɔdɔ : Ʋusɔgbɔdɔ, vevietɔ le ʋuka siwo do ƒome kple lãkusiwo kple dzitodzito me (ʋukawo me ʋusɔgbɔdɔ).
• Polycystic kidney disease : Dɔléle si me cysts dzɔna le ayiku me.
• Vasculitis : Ʋukawo ƒe dɔdzẽ.

Ðe afɔku bubuwo hã lia?

Ẽ, keŋkeŋ. Kpeɖeɖe sia ate ŋu adzɔ le abi aɖewo siwo woxɔ le kɔ ŋu hã ta. Esia ate ŋu adzɔ vevietɔ ne kɔa keke ɖe enu akpa alo ne kɔa ʋuʋu kabakaba zi ɖeka . Bu nu siawo tɔgbe ŋu kpɔ:

• Ʋufɔkuwo.
• Kɔdada aɖewo, abe asitɔtrɔ le akɔtadɔdamɔnu kple kɔmeŋusẽ ƒe asikaka ame ŋu le lãmeka goglowo ene, ate ŋu akpe ɖe ame ŋu. Gake ɖewohĩ esiawo mawɔ dɔ na amesiame o, eye afɔkuwo hã li.
• Be nàʋu ʋuʋudedia to wò aɖuwo ƒoƒo sesĩe me.
• Ne wole yoga wɔm la, woléa kɔa ɖe dzi hetrɔnɛ ɣeyiɣi didi aɖe.
• Ele abe alesi nàta dzisasrã aɖe ene, anɔ dɔ wɔm atraɖii eye wò kɔ nabɔbɔ.
• Dzitodzito me gbɔgbɔ (CPR) nye atikewɔwɔ si wowɔna ne dzia tsi kpata.
• Aɖuɖɔɖɔɖɔ sesĩe.
• Ʋuʋudedi.
• Tsatsadada ƒe kamedefefewo (`Kɔdada`).
• Kpekpeme kpekpewo kɔklɔ.
• Nu bubu ɖesiaɖe si ate ŋu ana ame naxɔ abi le kɔ ŋu.

Ðe ʋusɔgbɔdɔ hã ate ŋu adzɔ le ʋuka bubuwo ƒe ʋuʋu ta?

Ẽ, ne ʋuka aɖe si le wò kɔ me vuvu la, zi geɖe la, míeyɔnɛ be vidzidɔ ƒe ʋuka si woɖe tso vidzidɔ me . Esia lɔ akɔta ƒe ʋuka siwo ŋu míeƒo nu tsoe fifia, kpakple carotid ʋuka eve siwo zɔna to wò kɔ ƒe ŋgɔgbe hã ɖe eme. Ne ʋuka siawo dometɔ aɖe vuvu la, ate ŋu atso ʋu ƒe sisi yi ahɔhɔ̃a me, si ana ame naxɔ ʋusɔgbɔdɔ .

Afɔku ŋutɔŋutɔ kae le ʋusɔgbɔdɔ me?

Ne míagblɔe tututu la, akɔta alo akɔta ƒe ʋukawo ƒe ʋuʋu gbɔe esia tso.Afɔku si katã le ʋusɔgbɔdɔ me la mesɔ gbɔ o. Ischemic strokes nyea strokes katã ƒe 2% lɔƒo. Nɔnɔme aɖe si woyɔna be ʋukawo ƒe ʋuʋu gbɔe ʋusɔgbɔdɔ akpa gãtɔ tsona . Esiae nye esime ʋukawo ƒe gliwo va le kpekpem hele kpuie le afɔku bubuwo abe atamanono, ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ, kple suklidɔ ene ta.

Gake nu vevitɔe nye esi: Akɔta ƒe ʋukawo ɖeɖe nye nu vevitɔ si hea ʋusɔgbɔdɔ vɛ na sɔhɛwo kple ƒe titinatɔwo. Ate ŋu ahe ʋusɔgbɔdɔ si ade 25%, alo ɖeka le ene ɖesiaɖe me, vɛ le ƒexɔxɔ ƒe hatsotso sia me.

Nukae nye akɔta ƒe ʋuka si woɖe le ame ŋu ƒe dzesiwo?

Ðewohĩ màkpɔ dzesi aɖeke le gɔmedzedzea me o. Gake ne ʋuka aɖe gbã alo ʋu ƒe sisi xe mɔ na ʋu ƒe sisi yi ahɔhɔ̃a me la, àte ŋu akpɔ ʋusɔgbɔdɔ ƒe dzesiwo .

Nya nu tso nɔnɔme siawo ŋu:

• Ataxia : Dadasɔ ƒe bu ne èle zɔzɔm alo le tsitrenu, ŋutete manɔamesi be wòawɔ dɔwo nyuie.
• Taɖuame.
• Tosese ƒe dɔmawɔmawɔ nyuie.
• Nukpɔkpɔ eve.
• Kɔmeve (zi geɖe le akpa ɖeka).
• Taɖuame sesẽ.
• Nuƒoƒo si me mekɔ o (Dysarthria).
• Vertigo - Seselelãme si nye be wole tsatsam.

Aleke nàwɔ anya ne woɖe akɔta ƒe ʋuka aɖe le ŋuwò?

Dodokpɔ nyuitɔ kekeake si woatsɔ anya nusi tututu le edzi yim enye magnetic resonance angiography (MRA) . Esia ƒoa MRI- dɔdamɔnu kple mɔnu aɖe si woyɔna be angiography nu ƒu tsɔ ɖea wò akɔta ƒe ʋukawo ƒe foto siwo me kɔ ŋutɔ. Esia wɔnɛ be ɖɔktawo te ŋu nyaa afisi woɖea lãme na ame le, alesi gbegbe wòsẽe, kple ɣeyiɣi didi si wòxɔ kaba.

Gake MRA dodokpɔ sia mele afisiafi o eye ewɔwɔ hã mele bɔbɔe o. Eyata zi geɖe la, ɖɔktawo tsɔa CT scan (`Computed Tomography - CT scan`) alo CT angiography (`CT angiography`) dea dzesi nɔnɔme sia . Zi geɖe la, esiawo nɔa dodokpɔ gbãtɔ siwo wowɔna ne ame aɖe ge ɖe eme la dome.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàwɔ angiography si wozãna ɖaa . Esia bia be nàde mɔ̃ tsɛ aɖe si didi (catheter) to wò asibidɛ alo akɔta, ado amadede tɔxɛ aɖe (contrast dye), eye nàɖe foto X-ray be nàkpɔ alesi ʋua le sisim le ʋukaa me, afisi ʋua le, kple afisi abi la le.

Aleke wowɔa nu ɖe ​​esia ŋui?

Zi geɖe la, lãɖeɖe ƒe nɔnɔme siawo ahaya le wo ɖokui si le ɣeyiɣi aɖe megbe. Ke hã, be woaɖe ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ la, woate ŋu ana atike siwo nana ʋu natsi la wò.Esiawoe nye atikewɔmɔnu vevitɔwo. Le kpɔɖeŋu me, woate ŋu ana aspirin , atike bubuwo (abe Plavix® ene) , heparin si le tsi me, alo warfarin ƒe atikekuiwo.

Gake ne lãɖeɖea kaka ɖe ahɔhɔ̃a me goglo, alo ne ʋu si le dodom le ŋuwò , la, ɖewohĩ manɔ dedie be nàna ʋumenugbagbeviɣitike siawo o. Wò ɖɔkta aɖo aɖaŋu na wò be nàzã atikewɔmɔnu bubuwo.

Nukae woawɔ ne atikewɔwɔ si sɔ medze edzi o?

Ne edzɔ alea la, ɖewohĩ ahiã be woawɔ dɔ na wò. Wozãa mɔnu siawo hã na amesiwo ŋu ʋu sina le dodom le .

Dɔwɔwɔ siwo wowɔna tsɔ ɖea akɔta ƒe ʋukawoe nye esiawo:

• Endovascular embolization : Abe alesi míegblɔe va yi ene la, wotsɔa mɔ̃ tsɛwo (catheters) toa asibidɛ alo akɔta, dea afisi woɖea ʋukaa le, eye wodoa embolic agent alo wotsɔa ga suewo dea eme. Wotsɔa nu sia alo ʋuƒoawo xea ʋukaa ƒe akpa si mesɔ o la nu. Esia wɔnɛ be ʋua mete ŋu sina toa eme o.
• Angioplasty : Esia bia hã be woazã mɔ̃ tsɛwo (catheters) atsɔ ayi afisi woɖe ʋukaa le eye woakɔ ʋuƒo tɔxɛ aɖe atsɔ adzra ʋukaa ƒe akpa si vuvu la ɖo.
• Intracranial stenting : Esia bia hã be woatsɔ mɔ̃ tsɛ aɖe (catheter) ade afisi wotsoe eye woatsɔ ga si le abe lãgbalẽ ene (si woyɔna be stent) ade ʋukaa me. Esia doa ŋusẽ ʋukaa ƒe gli. Menye amesiamee wowɔa esia na o, dɔnɔ tiatia aɖewo koe wowɔna na. Zi geɖe la, ɖɔktawo wɔa ʋukawo ƒe dɔwɔwɔ kple stent siaa ɖekae.
• Amekoko : Le amesiwo mete ŋu wɔa dɔ siwo míeyɔ ɖe etame le ʋukawo me o gome la, ate ŋu ahiã be woawɔ dɔ na wo. Le amekoko me la, ɖɔktawo zãa gavi suesuesuewo tsɔ xea ʋukaa ƒe akpa si mesɔ o.

Nukae nye amesiwo ŋu dɔléle sia le ƒe hayahaya ƒe agbɔsɔsɔme?

Ame akpa gãtɔ hayana keŋkeŋ . Gake àte ŋu anɔ afɔku me kokoko be woaxɔ lãmeka ma tɔgbe le etsɔme. Gake afɔku ma dzi ɖena kpɔtɔna le ɣeyiɣi aɖe megbe.

Aleke wòle be woanɔ agbe kple akɔta ƒe ʋuka si wotso?

Ðɔktawo alé ŋku ɖe ŋuwò edziedzi vaseɖe esime nàka ɖe edzi be esia haya keŋkeŋ. Zi geɖe la, woawɔ magnetic resonance angiography (MRA) na wò le ɣleti etɔ̃ va ɖo ade ɖesiaɖe me.Woabia tso asiwò be nàwɔ dodokpɔ aɖewo. Ahiã hã be nàyi edzi anɔ ʋumenugbagbeviɣitikewo nom le ɣeyiɣi sia me. Ame siwo le afɔku gã me be woaɖe lãme na wo le etsɔme la ahiã be woayi woƒe ɖɔktawo ƒe geɖe hafi axɔ aɖaŋuɖoɖo (`beléle si woatsɔ akplɔe ɖo`).

Nukae mele be mawɔ le akɔta ƒe ʋuka ɖeɖe vɔ megbe o?

Àte ŋu ade kame, gake ele be nànɔ adzɔge tso nuwo abe:

• Kamedede siwo wowɔna to wò ŋutilã ƒe kpekpeme dada ɖe wò asiwo dzi, abe asitutu kple hehe ene.
• Kpekpeme kɔkɔ siwo wu pounde 25-30 (anɔ abe kilogram 11-13.5 ene).
• Kpekpemewo kɔkɔ ɖe ta dzi.
• Te ɖe kamedefefewo ŋu.
• Dodo le sɔdola siwo zɔna kabakaba abe roller coasters ene dzi.
• Na abɔtadɔdala naka asi wò ta/kɔ ŋu.
• Kɔa sisi sesĩe.
• Nuwo abe dziŋgɔli me tsi me nɔnɔ ene.
• Dɔ bubu siwo dzia duƒuƒu ɖe edzi/ɖea duƒuƒu dzi kpɔtɔna zi ɖeka.
• "Plank" ƒe nɔnɔme (`Plank ƒe nɔnɔme`). (Gake le ema ɖeɖeko megbe la, kuxi aɖeke mele yoga alo Pilates wɔwɔ me o, nenye be metsɔ nya ɖe kɔ dzi o ko).
• Ƒo asa na nuwɔna ɖesiaɖe si ana kɔa nagbugbɔ aŋe zi ɖeka (abi si woxɔna le ƒoƒo me), alo nuwɔna ɖesiaɖe si ana kɔa nakeke ɖe dzi atraɖii (hyperextension).

Gbedasi si Wotsɔ Yi Aƒeme

Vertebral Artery Dissection nye ʋuka aɖe si le wò kɔ megbe ƒe gli ƒe vuvu. Ƒã hafi wòhea ʋusɔgbɔdɔ vɛ . Gake ne ewɔe la, atikewɔwɔ kaba (zi geɖe la, ʋumenugbagbeviɣidɔ alo dɔdamɔnu aɖe) ate ŋu axɔ wò agbe. Atikewɔwɔ kple atikewɔlawo ƒe dzikpɔkpɔ dzi yiyi ate ŋu akpe ɖe amesiwo ŋu dɔléle sia le ŋu be woaƒo asa na kuxiwo. Eyata ne dzesi siwo míeyɔ le nyati sia me dometɔ aɖe le ŋuwò la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Emae nye nu vevitɔ kekeake.

` Vertebral Artery Dissection, ʋusɔgbɔdɔ, lãmetutudɔ, kɔve, taɖuame, taɖuame, ʋukawo ƒe gbagbã