Ðe ʋuka aɖe le wò dɔgbo me si le dodom abe ʋuʋudedi enea? Mina míasrɔ̃ nu tso (Visceral Artery Aneurysm) sia ŋu!

Èsusui kpɔ be ʋuka aɖe si le míaƒe ŋutilã me, abe tsido ene, ate ŋu agbɔdzɔ le ɣeyiɣi aɖe me eye wòado abe ʋuƒo enea? Woyɔa esia ko be `(Aneurysm)`. Ɣeaɖewoɣi la, woate ŋu aɣla esia evɔ womaɖe dzesi aɖeke afia o, gake kasia ate ŋu ava zu kuxi gã aɖe le agbe me. Egbea míaƒo nu tso nɔnɔme aɖe si ate ŋu anye afɔku ŋu, gake ame geɖe menyae o, si nye `(Visceral Artery Aneurysm)`.

Nukae nye `(Visceral Artery Aneurysm)`? Mina míase egɔme bɔbɔe ŋutɔ!

Bu eŋu kpɔ, ʋuka aɖe le míaƒe ŋutilã me, eye eƒe gli hã gbɔdzɔ vie. Emegbe le ʋu si le sisim to eme ƒe nyaƒoɖeamenu ta la, teƒe ma si gbɔdzɔ la dona abe ʋuƒo ene. Emae nye nusi woyɔna be ``Aneurysm``. Fifia, ne ``Aneurysm`` sia lolo akpa la, efia be ʋuʋudedi si le abe balloon ene ate ŋu agbã. Ne edzɔ alea la, ʋu dzea sisi gɔme le ŋutilãa me. Míeyɔa esia be ``Ʋudodo``, eye esia nye nɔnɔme si dea ame ƒe agbe afɔku me ŋutɔŋutɔ.

Azɔ, nukae nye `(Visceral Arteries)` siawo? Esiawoe nye ʋuka vevi siwo le míaƒe ŋutilã me, si nye `(Aorta)`, siwo ƒe alɔwo dona eye wotsɔa ʋu naa ŋutinu vevitɔ kekeake siwo le míaƒe ƒodo me.

Ŋutinu siawoe nye:

• Míaƒe dɔgbowo
• Ayikuwo
• Aklã
• Dɔgbo ƒe dɔléle
• Aɖuɖɔtoe
• Ƒodo

Zi geɖe la, ``Visceral Artery Aneurysms'' siawo dzɔna le ʋuka siwo tsɔa ʋu yia dɔgbo, ayiku, kple aklã me.

Ðe `(Visceral Artery Aneurysms)` ƒomevi aɖewo lia?

Ẽ, ƒomevi eve koŋue li.

1. Pseudoaneurysms: Esia nye ne do sue aɖe do ɖe ʋuka aɖe ƒe gli ŋu, eye ʋu aɖewo dona le doa me, eye wòƒoa ƒu ɖe lãkusi siwo le ʋukaa godo la me. Emegbe le ʋu ƒe sisi le míaƒe ŋutilã me ta la, gli si gbɔdzɔ ƒo xlã ʋu si míeƒo ƒu. Gake esi gli sia mesẽ tututu o ta la, aʋatsoʋuka siawo ate ŋu agbã wu.

2. Ʋukawo ƒe Ʋuʋu Vavã: Esiae nye esime ʋukawo ƒe gli ƒe akpa aɖe si gbɔdzɔ la dona abe ʋuʋudedi ene. Abe alesi míegblɔe va yi ene.

Aleke gbegbee nusiawo bɔe? Amekae xɔa wo zi geɖe wu?

Le nyateƒe me la, Visceral Artery Aneurysms nye dɔléle si mebɔ kura o. Gake esi wònye be ame akpa gãtɔ meɖea dzesi aɖeke fiana o ta la, esesẽna be woagblɔ ame agbɔsɔsɔme si tututu ŋu wòdzena le.

Alesi ʋuka siwo me ʋu sina tona ƒomevi aɖewo dzɔnae la toa vovo le ŋutsu alo nyɔnu nyenye nu. Le kpɔɖeŋu me, nyɔnuwo ate ŋu axɔ ʋuka si tsɔa ʋu yia dɔgboa me.

Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Nu vevitɔ kekeakee nye esi. Zi geɖe la, dzesi aɖeke menɔa eŋu o! Zi geɖe la, ɖɔktawo kpɔa esiawo le vo me le atikewɔwɔ dodokpɔ me, abe ``(CT scan)`` alo ``(MRI scan)`` ene, hena nɔnɔme bubu.

Gake ne ʋuka si le dodom, alo ``aneurysm'', gbã la, dzesiwo adze. Dzesi vevitɔwoe nye:

• Ʋusɔgbɔdɔ (si fia be ʋu ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna le ŋutilãa me) .
• Vevesese le dɔgbo alo akɔta . Vevesese sia ate ŋu anye esi menya kpɔna dzea sii bɔbɔe o ɣeaɖewoɣi, ɣeaɖewoɣi la, ate ŋu asẽ ŋutɔ. Eyata esesẽna ɣeaɖewoɣi be woade dzesi dɔlélea pɛpɛpɛ.

Dzesi bubuwo ate ŋu ato vovo le afisi ʋuka si me ʋu sina tona le la nu. Le kpɔɖeŋu me:

• Ʋu ƒe ʋuʋu
• Ʋu le aɖuɖɔ me

Ne èse veve vevie le wò dɔgbo alo akɔta zi ɖeka la, mègaŋe aɖaba ƒu edzi o. Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nukatae `(Visceral Artery Aneurysms)` siawo dzɔna? Nukawoe gbɔ wòtsona?

Susu vevi geɖewo li siwo tae ʋuka me ʋu ƒe sisi vavãtɔ dzɔna ɖo:

• Ʋukawo ƒe ʋuʋu: Esiae nye nusi gbɔ wòtsona wu. Amiwo ƒoa ƒu ɖe míaƒe ʋukawo me, eye vivivi la, ʋukawo ƒe gliwo gbɔdzɔna.
• Kadodo ƒe dɔlélewo: Le kpɔɖeŋu me, nɔnɔmewo abe Fibromuscular dysplasia, Marfan ƒe dɔléle, kple Ehlers-Danlos ƒe dɔléle ene. Esiawo ate ŋu ana ʋukawo ƒe gliwo nagbɔdzɔ tso wo dziɣi.
• Nuveviwɔame: Kpɔ afɔku gã aɖe, si nye ƒoƒo sesẽ aɖe le ƒodo ŋu kpɔ. Ɣemaɣi gɔ̃ hã la, nɔnɔme sia ƒomevi ate ŋu adzɔ.

Nusiwo gbɔ pseudoaneurysms tsonae nye:

• Abi siwo woxɔna le aklã alo dɔgbo ƒe dɔwɔwɔ vɔ megbe.
• Dɔdzẽ si le dɔgboa me (Pancreatitis).
• Nuveviwɔame (tso afɔku alo ƒoƒo bubu aɖe me).
• Vasculitis ƒe dɔléle.

Aleke ɖɔktawo dea dzesi esiae?

Ðɔktawo zãa atikewɔwɔ me nɔnɔmetata dodokpɔ tɔxɛwo abe CT scan (Computed Tomography scans) kple MRI scan (Magnetic Resonance Imaging) koŋ tsɔ dea dzesi Visceral Artery Aneurysms. Dodokpɔ siawo ate ŋu adzidze ʋuka si me ʋu sina tona ƒe lolome pɛpɛpɛ. Agbɔsɔsɔ sia nyanya le vevie na atikewɔwɔ ƒe tiatiawɔblɔɖewo nyanya.

Dodokpɔ tɔxɛ bubu aɖe li, si woyɔna be `(Angiography)` . Le esia me la, wotsɔa mɔ̃ si le tsɛ ŋutɔ (`Catheter`) dea wò ʋuka ɖeka me eye woɖonɛ ɖe `(Visceral Artery)` afisi `(Aneurysm)` le. Emegbe, wodoa tsi tɔxɛ aɖe (`Contrast dye`) to mɔ̃ ma me. Emegbe ne wotsɔ `(X-ray)` alo `(CT scan)` kpɔ tsi la, enaa teƒe siwo mesɔ o le ʋukawo me la dzena nyuie. Ɣeaɖewoɣi la, woateŋu awɔ atikewɔwɔ le ɣeyiɣi ɖeka me kple `(Angiography)` sia.

Le go aɖewo me, vevietɔ amesiwo ŋu kadodoŋusẽdɔléle siwo míeyɔ va yi le la, ʋuka siwo me ʋu sina tona ate ŋu anɔ ʋuka siwo wu ɖeka me. Le nɔnɔme mawo me la, wò ɖɔkta ate ŋu ado ʋuka siwo katã le wò ƒodo me kpɔ.

Nukae nèwɔna ne èkpɔe be `(Aneurysm)` le ye ŋu? Ðe nèlalana ko? `(Dzidzedzekpɔkpɔ)`

Ne woadae alo womadae o la nɔ te ɖe ʋuka si me ʋu sina tona ƒe lolome kple eƒe ƒomevi dzi. Zi geɖe la, ne ʋuka si me ʋu sina tona ŋutɔŋutɔ le sue wu sentimeta 2 , ɖɔktawo kafua zi geɖe be “woalala nyuie.”

Esia fia be ɖɔktaa alé ŋku ɖe ŋuwò edziedzi be yeakpɔe ɖa be ʋuka si me ʋu sina tona la le lolom ɖe edzi hã. Ate ŋu ana atike hã wò be wòaɖe wò ʋu ƒe sisi dzi akpɔtɔ, elabena ʋusɔgbɔdɔ ate ŋu ana ʋuka si me ʋu sina tona nalolo nadzi ɖe edzi.

Ɣekaɣie wòhiã be woada esia godoo?

Ne èsusu be ʋuka si me ʋu sina tona ate ŋu agbã la, anyo wu be nàdae. Vevietɔ le nɔnɔme siawo tɔgbe me:

• Pseudoaneurysms ƒe lolome ɖesiaɖe: elabena afɔku gã aɖe le wo me be woagbã.
• Ʋuka vavã siwo lolo wu sentimeta 2: (Gake le ʋuka si me ʋu sina tona le ʋuka me gome la, zi geɖe la, wokafua ɖɔɖɔɖo ne elolo wu sentimeta 3).

Azɔ hã, aleke kee wò ʋuka si me ʋu sina tona la lolo o, àte ŋu ahiã atikewɔwɔ hã ne èle afɔku gã aɖe me be wòagbã. Wò afɔku ate ŋu adzi ɖe edzi ne è:

• Ne èfɔ fu alo èɖo vidzidzi ƒe ƒe me.
• Ne dzesi siwo nɔa anyi ɖaa abe ʋusɔgbɔdɔ alo dɔgbo/akɔtave ene le ŋuwò.
• Ne ehiã be woado aklã na wò alo awɔ dɔ bubu aɖe na wò be woatsɔ ada aklãdɔ.

Azɔ hã, `(Visceral Artery Aneurysms)` aɖewo, eɖanye woƒe lolome ka kee o, hiã atikewɔwɔ enumake, le afisi wole nu, elabena afɔku gã aɖe le wo me be woagbã. Le kpɔɖeŋu me:

• Ʋuka si me ʋu sina tona le dɔgboa me, si naa ʋu yia dɔgbo, dɔgbo suea ƒe akpa si le etame, kple dɔgbo ƒe akpa si le etame.
• Ʋuka si me ʋu sina tona le dɔgbo ƒe ʋuka si me ʋu sina tona me, si naa ʋu yia dɔgbo kple dɔgbo suea ƒe akpa si le etame.
• Ʋuka si me ʋu sina tona le ʋuka si woyɔna be superior mesenteric artery, si naa ʋu yia dɔgbo suea me.

Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?

Atikewɔwɔmɔnu vevi eve li:

1. Amekoko le gaglãgbe

2. Endovascular dɔdamɔnu siwo me womezãa nu boo aɖeke le o

Ðɔktawo tsoa nya me le mɔnu eve siawo dometɔ si sɔ na wò ŋu to nusiwo le abe:

• Wò ʋukawo ƒe nɔnɔme (abe woƒe nɔnɔme kple lolome ene).
• Afikae `(Aneurysm)` le?
• Afɔku siwo le amekoko le gaglãgbe me (le wò ƒexɔxɔ kple wò lãmesẽ bliboa nu).

Le amekoko le gaglãgbe `(Open surgery)`Nusi wowɔnae nye be, ne amekolaa ɖe ʋuka si lolo vie vɔ la, eyia afisi ʋukaa le tẽ, ɖea ʋukaa ƒe akpa si gblẽ la ɖa, eye wòdoa ʋuka yeye ɖe ame bubu me alo dzraa esi li xoxo la ɖo.

Atikewɔwɔ si me womezãa nu boo aɖeke le o bia be woade mɔ̃ tsɛ aɖe (catheter) ʋuka aɖe me, zi geɖe la, tso wò akɔta, eye woafia mɔe ayi afisi ʋuka si me ʋu sina tona le. Emegbe wotsɔa dɔwɔnu suewo toa mɔ̃a me be woatsɔ alé ʋuka si me ʋu sina tona la ɖe te eye woaxe mɔ nɛ be wòagagbã o, eye wozãa mɔnu siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Coil embolization alo plug embolization: Esia bia be woatsɔ coil sue aɖe alo mɔ̃ ƒe plug ade ʋukaa me ahade eme.
• Tsi ƒe ʋuʋu: Le esia me la, wodoa aŋe tɔxɛ aɖe, gelũhɛ, alo tsi bubu aɖe ɖe ʋukaa me eye wotrenɛ nu.
• Stenting: Le esia me la, wotsɔa mɔ̃ (stent) si wotsɔ ga si wotsɔ avɔ tsyɔ la dea ʋuka si me ʋuka si me ʋu sina tona le la me.

Ne èle ʋuka me ʋu ƒe dodokpɔ wɔm be yeake ɖe ʋuka si me ʋu sina tona ŋu la, ɣeaɖewoɣi la, woate ŋu awɔ atike sia si me womewɔa dɔ boo aɖeke le o le ɣeyiɣi ɖeka me, eye woazã ka si wozãna tsɔ doa ʋuka ma ke.

Vovototo kae le amekoko le gaglãgbe kple ʋukawo me dɔdamɔnu dome?

Wosrɔ̃ nu tso atikewɔwɔ siawo evea siaa ŋu. Le goawo katã me la, wo ame evea siaa le dedie eye wowɔa dɔ nyuie sɔsɔe. Gake mɔnu siwo me womezãa nu boo aɖeke le o ate ŋu ana ame nahaya kabakaba eye wòanɔ kɔdzi ɣeyiɣi kpui aɖe. Gake le go aɖewo me la, ate ŋu ahiã be woawɔ atike evelia.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe `(Visceral Artery Aneurysm)` ƒe wɔwɔ nua?

`(Visceral Artery Aneurysms)` ƒomevi geɖewo sesẽ be woaxe mɔ ɖe enu. Ke hã, woate ŋu axe mɔ ɖe `(Aneurysms)` siwo tsoa ʋukawo ƒe ƒuƒu kple sesẽ si míeyɔ va yi gbɔ `(Atherosclerosis)` to agbenɔnɔ nyui me. Nu aɖewo siwo nàte ŋu awɔ atsɔ aɖe afɔku si le `(Atherosclerosis) xɔxɔ me dzi akpɔtɔe nye esi:

• Kpɔ wò ʋumemi kple ʋu ƒe sisi dzi.
• De kame edziedzi.
• Wɔ ɖe nuɖuɖu si naa dzi ƒe lãmesẽ dzi .
• Dɔ alɔ̃ nyuie.
• Ðe ahanono dzi kpɔtɔ.
• Ðe nuteɖeamedzi dzi.
• Dzudzɔ atamanono kple atamanono keŋkeŋ.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ? `(Nukpɔsusu)`

Ne Visceral Artery Aneurysm gbã la, ate ŋu awu ame ɣeaɖewoɣi. Numekukuwo ɖee fia be amesiwo tsɔ Visceral Artery Aneurysm va xɔ si me wowɔa dɔ kpata le la dometɔ siwo ade 25% ƒe ʋuka si me ʋu sina tona la gbã. Le amesiawo dome la, 10% ya teti kuna.Afɔku si le ku me na vidada funɔ siwo ƒe ʋuka me ʋu sina tona la lolo wu gɔ̃ hã.

Le goawo katã me la, amesiwo mekpɔa dzesi aɖeke o (vevesese alo ʋu si dona le wo ɖokui me) hafi wodzea atikewɔwɔ gɔme la, ate ŋu ado tso eme nyuie wu. Amesiwo ŋu pseudoaneurysms le la le afɔku gã aɖe me be woagbã eye woaku wu amesiwo ŋu ʋuka siwo me ʋu sina tona ŋutɔŋutɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse veve vevie le wò dɔgbo alo akɔta zi ɖeka la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègahe ɖe megbe o.

Visceral artery aneurysms nye teƒe siwo gbɔdzɔ le wò ʋuka siwo le wò ƒodo ƒe gliwo me. Ne gli siawo gbã la, woate ŋu ana ʋu nado le ememe. Menye amesiame si ŋu dɔléle sia le ƒe dzesi sesẽwoe o, eyata woate ŋu ahe dɔlélea didi ɖe megbe. Gake esi wozã atikewɔwɔ me nɔnɔmetatawo dodokpɔ le dɔléle bubuwo ŋu le afisiafi ta la, wokpɔa Visceral Artery Aneurysm geɖe hafi wogbãna. Eyata atikewɔwɔ kaba ate ŋu aɖe ku ƒe afɔkua dzi akpɔtɔ. Togbɔ be menye Visceral Artery Aneurysms katãe woate ŋu axe mɔ na o hã la, agbenɔnɔ le lãmesẽ me ate ŋu aɖe ʋuka siwo me ʋu sina tona ƒe ʋukawo ƒe ʋuʋu hena vɛ ƒe afɔkua dzi akpɔtɔ. Ƒo nu kple wò ɖɔkta tso nusi nàte ŋu awɔ be wòaɖe ʋukawo ƒe ʋuʋu ƒe afɔkua dzi akpɔtɔ ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

• ``Visceral Artery Aneurysm'' nye ʋuʋudedi si le abe ʋuƒo ene le ʋuka aɖe me le ƒodo me. Esia ate ŋu anye afɔku gã aɖe ne egbã.
• Zi geɖe la, meɖea dzesi aɖeke fiana o. Woate ŋu ake ɖe eŋu le vo me le scan si wowɔ hena nɔnɔme bubu aɖe me.
• Ne èkpɔ dzesiwo abe dɔgbo/akɔtave kpata, ʋu si le dodom, alo ʋu si to wò aɖuɖɔ me ene la , yi ɖɔkta enumake.
• Atikewɔwɔ ƒe mɔnu aɖewo li. Wonɔa te ɖe ʋuka si me ʋu sina tona ƒe lolome kple ƒomevi, kpakple wò lãmesẽ ƒe nɔnɔme dzi ɖoa atikewɔwɔ.
• Agbenɔnɔ si me lãmesẽ le (nuɖuɖu nyui, kamedede, kple atamanono) le vevie ŋutɔ be woaxe mɔ ɖe ʋuka siwo me ʋu sina tona ƒe ʋukawo ƒe ʋuʋu hena vɛ nu.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ƒomea ƒe ɖɔkta alo eŋutinunyala bibi aɖe biabia me o. Nɔ lãmesẽ me!

` Ʋuka me ʋu ƒe sisi, ʋuka, ƒodo, ʋukawo ƒe gbagbã, ʋu si dona le ememe, amekoko, CT scan