Yu bin no dɛn tin ya bɔt di impɔtant blɔd vesel dɛm (Carotid Arteries) na yu nɛk?

Tide wi go tɔk bɔt wan rili, rili impɔtant pat na wi bɔdi we wi nɔ de tink bɔt bɔku. Dat na di tu men blɔd vesel dɛn we de na di tu say dɛn na wi nɛk, lɛk tu rod dɛn we de rɔn ɔp. Insay mɛdikal sayɛns, dɛn kɔl dɛn tin ya di carotid arteries . Fɔ tɔk am simpul wan, na dɛn men paip ya de kɛr klin blɔd we gɛt ɔksijɛn go na wi bren, fes, ɛn ɔda fayn fayn pat dɛn na wi nɛk . I tan lɛk di paip dɛn we de kɛr wata kɔmɔt na wata motoka go na di gadin. Ivin smɔl tin we dɛn kin blok ɔ we dɛn kin blok, sɔntɛnde i kin mek yu gɛt big prɔblɛm pas aw yu kin imajin. So, if yu no smɔl mɔ bɔt dɛn tin ya, dat go rili ɛp yu ɛn yu famili.

Usay ɛksaktɔli dɛn karotid at dɛn ya de? Wetin dɛn kin du?

Imajin, dɛn karotid at ya kin bigin na di tap pat na yu chɛst, jɔs dɔŋ usay yu nɛk bigin. Frɔm de, dɛn kin travul go ɔp yu nɛk ɛn go insay yu skel. na di tu say dεm na yu nεk, na di lεft εn rayt say, dis kכmכn karotid at de.

sכmtεm fכ go כp, bכt di midul pan di nεk, εvri wan pan dεn kכmכn karotid atεri dεm ya de split to tu כda branch dεm. Jɔs lɛk aw rod kin split to tu. Wi kɔl dis split di karotid bifurkeshɔn . Di tu branch dɛn we split frɔm de na:

1. Internal Carotid Artery: Dis na di men branch we de gi blɔd dairekt to wi bren . I de du wan wok we rili impɔtant.

2. External Carotid Artery: Dis branch de gi blɔd to di pat dɛn na wi fes, di ɔda pat dɛn na di nɛk, ɛn sɔm pat dɛn na di skel .

dis intanεt εn εksternal karotid at dεm de branch כf to bכku sכm sכm branch dεm we de gi כl di כgan dεm εn tisu dεm na di ed εn nεk wit di nyutriεnt dεm we dεn nid, dat na, bכdi we gεt כksijεn. I tan lɛk big riva we bigin as siriɔs smɔl smɔl riva dɛn, we de gi di wan ol eria tin fɔ it.

di karotid at na wan rili imכtant pat pan wi sεkyulatri sistεm . Wi bren nid ɔksijɛn ɔltɛm fɔ mek i ebul fɔ wok fayn fayn wan. Na di sem tin kin apin to di fayn fayn ɔgan dɛn we de na wi fes ɛn nɛk. I bɛtɛ if dis blɔd flɔ smol ɛn nɔ gɛt ɛnitin fɔ ambɔg am. Bɔt if sɔntin blok ɔ blɔd klɔt insay dis at, i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm.

Lɛ wi tɔk smɔl mɔ bɔt di External Carotid Artery.

di ekstenal karotid at de bigin na di karotid bifurkshכn we wi bin dכn tכk bכt, usay di kכmכn karotid at de split insay tu. As i de travul go ɔp di nɛk, nia di yes, i de sheb to tu ɔda big branch dɛn. dis na di maksila atεri εn di supεrfishal tεmporal atεri .

dis ekstenal karotid at de giv fכ lεk et sכm sכm branch dεm. Dɛn branch dɛn ya de gi blɔd to bɔku pat dɛn na wi nɛk ɛn fes. Fɔ ɛgzampul:

• wan branch we de gi blɔd to wi tayroyd gland (`Superior thyroid artery`) .
• wan branch we de gi bכdi to di insay pat pan di trot (`Ascending pharyngeal artery`)
• Wan branch we de gi blɔd to wi tɔŋ (`Lingual artery`) .
• wan branch we de gi bכdi to di mכsul dεm εn di skin na di fes (`Facial artery`) .
• wan branch we de gi bכdi to di bak pat pan di ed (`Occipital artery`) .
• wan branch we de gi bכdi to di εria bihayn di yes (`Posterior auricular artery`) .

bכku ples dεm lεk dis na branch dεm we de branch kכmכt frכm dis εksternal carotid atεri de gi bכdi.

Lɛ wi lan bak bɔt di Intanɛt Karotid Atɛri.

Dis na wan pan di impɔtant pɔsin dɛn we de insay wi stori. di intanal karotid at de stat bak na di karotid bifurkeshכn εn i de travul stret כp di nεk. Dɔn i kin go insay di skel tru wan ol we de na di skel in bays. Dɛn kɔl dis ol di karotid kanal . dis na di bכnda we de separet di εkstrakranial pat pan di atεri frכm di intrakranial pat.

we dεn go insay di sכkul, di intanεt kכrotid at de fala wan sכmtεm tכrכs, twist rod. dכkta dεn kכl dis pat insay di sכkul, di `intracranial` sεgmεnt, wit כda nem dεm. fכ egzampl, sεvin sεgmεnt dεm de, lεk `C2: Petrous sεgmεnt`, `C3: Lasεrum sεgmεnt`, `C4: Kavεrכs sεgmεnt`. Sɔm dɔktɔ dɛn kin yuz ɔda we dɛn bak fɔ klas pipul dɛn.

Bɔt, yu nɔ nid fɔ mɛmba ɔl dɛn nem ya. Bɔrku pipul nɔr go nid fɔ no dɛn nem ya na dɛn layf. Bɔt if aneurysm bigin, dɔktɔ dɛn kin yuz dɛn nem ya fɔ tɛl yu ustɛm i de. Dis infɔmeshɔn kin impɔtant pan tɛm dɛn lɛk dis.

di intanεt karotid at de giv כf sεvεra כda imכtant branch dεm insay di sכkul. Na dɛn tin ya de gi blɔd to wi bren ɛn yay . Di men wan dɛn na:

• Di ɔftalmik at de gi blɔd to di yay.
• di branch dεm lεk di Anterior Cerebral Artery εn di Middle Cerebral Artery de gi bכdi to difrεn pat dεm na di bren.

Us kayn sik dɛn ya we dɛn kɔl carotid arteries kin mek pɔsin gɛt?

Jɔs lɛk aw wata paip kin lɔk wit rɔst as tɛm de go, na so wi carotid at dɛn kin gɛt difrɛn prɔblɛm dɛn bak. Lɛ wi tek wan luk pan wetin dɛn bi:

1. Carotid Artery Disease: Dɛn kin kɔl dis bak Carotid Artery Stenosis . Stenosis min "narrowing". Dis kin apin mɔ we wan tik layt we gɛt fat ɛn kɔlɔstrel (atherosclerosis) de fɔm na di wɔl dɛn na di at . Dɛn kɔl dis dipɔsit plek.I tan lɛk se wata paip dɔn blok. dis plek dεposit dεm kin fכm bכku tεm nia di kכmכn karotid atεri, usay i de divayd insay tu (di `Carotid Bifurcation`). we dis at de blok, di bכdi we de go na di bren de dכn. Dɔn bak, blɔd kin kam pan dis plek, ɛn di blɔd kin brok ɛn blok wan smɔl blɔd vesel na di bren. If dis apin, di risk fɔ gɛt `Transient Ischemic Attack` (TIA) , we na kɔndishɔn we fiba mini-strok, ɔ siriɔs strok kin bɔku pasmak. Sɔntɛnde di plek kin brok ɛn wan pat pan am kin brok ɛn blok wan blɔd vesel na di bren.

2. Carotid Artery Aneurysm: Dis na we di wol na di carotid artery wik εn bulge aut lεk balכn. dis bulge (`Aneurysm`) kin big ova tεm. di bכdi kin fכm insay dis anεrizm, we kin mek di bכdi fכ fכm na di bren. Dɔn bak, if i tu big, i kin bɔs (`Rupture`). If dat apin, na imejensi.

3. Carotid Artery Dissection: Dis na we dεn de te na di insay layεr na di atεri wכl. Dis kray wata kin slo ɔ blok blɔd flɔ kpatakpata. Dis kin mek bak yu gɛt siriɔs sik lɛk strok.

4. Fibromuscular Dysplasia (FMD): Dis na wan sik we nɔ kin apin so ɔltɛm. Na bikɔs di blɔd vesel dɛn wɔl nɔ fayn. dis kin mek di karotid at dεm sכmtεm sכmtεm, divεlכp anεvrizm, כ disεkshכn.

Aw wi go no if prɔblɛm de wit dɛn at ya? (Di sayn dɛm ɛn tɛst dɛm)

Bɔrku tɛm, dɛn kayn karotid at sik ya nɔ kin sho ɛni sayn we dɛn bigin . Dɛn kin no bɔt di prɔblɛm nɔmɔ we mɛdikal imejensi apin, lɛk `TIA` ɔ `Stroke`. Na dat mek i impɔtant fɔ no bɔt dis.

Tek tɛm bad bad wan bɔt dɛn sayn ya!

If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya wantɛm wantɛm, kɔl 1990 (ambulans) wantɛm wantɛm, ɔ go na di imejensi rum na di ɔspitul we de nia yu . Dɛn tin ya kin bi sayn dɛm fɔ strok, ɛn if dɛn trit am kwik kwik wan, dat kin sev pipul dɛn layf ɛn ridyus di disabled fɔ lɔng tɛm.

• Wan say na di fes de drɔp ɔ nɔ gɛt layf.
• Fɔ fil lɛk se yu wɔd dɛn de tandul we yu de tɔk, ɔ nɔ ebul fɔ put wɔd dɛn togɛda fayn fayn wan.
• Wan ɔ ɔl tu di yay dɛn kin lɔs ɔ nɔ kin si klia wan wantɛm wantɛm. I kin tan lɛk se blak kɔtin de fɔdɔm bifo di yay.
• Yu nɔr de fil fayn, yu wik, ɔr yu de fil se yu nɔr gɛt layf na wan say na yu bɔdi (an, yu leg, ɔr ɔl tu).
• Fɔ lɔs filin na wan say na di bɔdi.

Sɔmtɛm yu nɔr kin ebul fɔ aks fɔ ɛp wae dɛn sik ya kin kam. So, mek yu fambul ɛn padi dɛn no bɔt dɛn sik ya. Dɔn dɛn kin no am ɛn du sɔntin kwik kwik wan we yu nid ɛp.

Aw dɔktɔ dɛn kin chɛk di at we de na di at?

We yu go to dɔktɔ, dɛn kin put stetɔskɔp na yu nɛk ɛn lisin to di sawnd we blɔd de kɔmɔt na di at. sכmtεm, if di atεri blכk, yu kin yεri "whoosh" sawnd (a `carotid bruit`). Dis de sho se di blɔd de blok, sɔntɛm na bikɔs ɔf di plek dɛn we de na di blɔd.

If yu yɛri da kayn sawnd de, ɔ if yu dɔktɔ gɛt ɔda tin dɛn we de mɔna yu, i kin aks yu fɔ du ɔda tɛst dɛn, lɛk:

• Carotid Ultrasound: Dis tεst de yuz sawnd wev fכ mek wan imej fכ di insay pat pan di at. I kin sho if ɛnitin de we de blok ɛn aw i tranga.
• CT Scan (`Computed Tomography - CT Scan`): dis kin mek bak ditayla imej dεm fכ di at dεm.
• Carotid Angiogram: Dis tɛst na fɔ injɛkt spɛshal day na di at ɛn tek ɛkstrem rayt fɔ si aw di blɔd de flɔ.
• MRA (Magnetic Resonance Angiogram - MRA): Dis tεst de yuz magnεtik fil dεm εn redio wev dεm fכ mek imej dεm fכ di at dεm.

Wetin na di tritmɛnt fɔ dɛn at we de blok?

If yu carotid artery blok, mɛrɛsin, ɔpreshɔn, ɛn ɔda tritmɛnt dɛn de we yu kin gɛt. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay aw yu sik.

Di kayn mɛrɛsin dɛn we dɛn kin yuz:

• Antiplatelet mεdikeshכn dεm: εgzampl fכ dεn mεdikeshכn dεm na mεdikeshכn dεm lεk aspirin.
• Blɔd prɛshɔn mɛrɛsin dɛn.
• Drug dɛn we de mek di kɔlɔstrel nɔ bɔku: Lɛk di mɛrɛsin dɛn we dɛn kɔl statin.

Ɔpreshɔn ɛn ɔda we dɛn:

• Carotid Endarterectomy: Dis na ɔpreshɔn we de opin di at, pul di plek we de insay, ɛn stich di at bak togɛda. Dis kin mek di blɔd flɔ bak.
• Carotid Angioplasty and Stenting: Dis na fɔ put smɔl tiub insay di at we dɔn blok, fɔ mek di at big wit wan tin we tan lɛk balɔ, ɛn put wan smɔl tin we tan lɛk mɛsh (wan stent) fɔ mek i nɔ lɔk bak. Dis na tin we nɔ kin izi fɔ du pas ɔpreshɔn.

Aw wi kin kip wi karotid at dɛn wɛl?

Fɔ mek dɛn impɔtant blɔd vesel ya gɛt wɛlbɔdi, i impɔtant fɔ kɔntrol yu kɔlɔstrel fɔs . If nid de, dɔktɔ go gi yu mɛrɛsin.

Apat frɔm dat, if yu mek dɛn simpul chenj ya na yu layf, dat go ɛp fɔ mek yu ɔl yu blɔd blɔd, ivin yu at, gɛt wɛlbɔdi:

• If yu de smok, stɔp wantɛm wantɛm. Stɔp fɔ vaping ɛn yuz ɛni ɔda tabak prodak. Aks dɔktɔ fɔ ɛp yu.
• It tin dɛn we go ɛp yu at. Fɔ ɛgzampul , di Mɛditarenian Dayt rili fayn. It mɔ vɛjitebul, frut, ligɛm, it dɛn we gɛt fayv, ɛn fish. Ridyus ɔyl, shuga, ɛn sɔl.
• Ɛksesaiz fɔ at le 30 minit insay di de. Bɔt i fayn fɔ go to dɔktɔ bifo yu bigin fɔ du nyu ɛksesaiz.
• Mek yu gɛt wɛlbɔdi wet fɔ yu ayt.

Wetin a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, dɛn kin aks yu kwɛstyɔn dɛn bɔt di karotid at dɛn lɛk:

• Wetin na di risk factor dɛm fɔ mi fɔ gɛt carotid artery disease?
• Us chenj dɛn we a kin mek na layf fɔ mek mi karotid at dɛn gɛt wɛlbɔdi?
• A nid fɔ gɛt imej tɛst (lɛk skan) fɔ chɛk di kɔndishɔn na mi karotid at?
• If a gɛt blɔk na mi karotid at, us tritmɛnt dɛn a fɔ tink bɔt?

Faynal Mɛsej fɔ Tek-Hom

So, naw yu כndastand aw dεn carotid atεri dεm ya imכtant to wi bכdi. I rili impɔtant fɔ mek dɛn blɔd vesel ya gɛt wɛlbɔdi, we kin kɛr blɔd we gɛt ɔksijɛn go na di bren ɛn ɔda pat dɛn na di ed.

Mɛmba se bɔku pan dɛn at prɔblɛm ya nɔ kin sho na di biginin. So, if yu gɛt tin dɛn we kin mek yu gɛt dis sik (lɛk ay kɔlɔstrel, ay blɔd prɛshɔn, dayabitis, smok, ɔ yu famili histri bɔt dɛn kayn tin ya), i impɔtant fɔ go to dɔktɔ ɔltɛm.

If yu kɔntinyu fɔ liv fayn layf, dat kin ɛp fɔ mek yu at dɛn gɛt wɛlbɔdi, nɔto jɔs yu at dɛn. If yu want fɔ no mɔ bɔt dis, nɔ shek fɔ tɔk to yu famili dɔktɔ. I kin gi yu mɔ infɔmeshɔn.

` Karotid at, bכdi vεsεl dεm na di nεk, bכdi saplai to di bren, strכk, atεrosklεrosis, TIA, aneurism, carotid sik, hεlty layf