Udat na dis Vascular Surgeon? Lɛ wi tɔk bɔt dis simpul wan!

Yu dɔn ɛva yɛri bɔt ‘ vaskul ɔspitul ɔspitul ’? Yu go si se di nem strenj smɔl, ɔ yu nɔ go no bɛtɛ udat dɛn bi. Bɔt dɛn wan ya na grup we gɛt spɛshal dɔktɔ dɛn we de du rili impɔtant wok fɔ mɛn sik dɛn we gɛt fɔ du wit di blɔd vesel sistɛm na wi bɔdi. So, tide wi go tɔk bɔt udat na dɛn pipul ya, wetin rili dɛn de du, ɛn wetin go apin if yu mit dis kayn dɔktɔ, rili simpul wan.

Udat na dis vaskul ɔspitul ɔspitul?

Fɔ tɔk am simpul wan, vaskul ɔspitul na dɔktɔ we de no ɛn trit sik dɛn we gɛt fɔ du wit blɔd vesel dɛn na yu bɔdi, pas di blɔd vesel dɛn na yu at ɛn bren. Jɔs tink bɔt dis, wi bɔdi gɛt blɔd vesel dɛn we lɔng lɛk 60,000 mayl, ɔ 96,000 kilomita! dis dεm inklud atεri dεm - di vεsεl dεm we de kכri bכdi frכm di at to di rεst כf di bכdi, vein dεm - di vεsεl dεm we de kכri bכdi frכm di bכdi bak to di at, εn limfatik vεsul dεm - di vεsεl dεm we de kכri limf fכluid, we de εp di bכdi in imyun sistεm.

So dɛn vaskul ɔspitul ya na di masta sabi pipul dɛn we no dip bɔt ɔl dɛn vessel ya, aw dɛn de wok, ɛn di sik dɛn we kin apin insay dɛn. If prɔblɛm de wit yu blɔd vesel, dɛn pipul ya kin ɛp yu fɔ kɔntrol am ɛn mek yu gɛt wɛlbɔdi.

Yu kin mit wan pan dɛn dɔktɔ ya na dɛn ɔfis, ɔ na ɔspitul, ɔ ivin if dɛn fɔ du ɔpreshɔn pan yu. Dɛn pipul ya rili sabi fɔ sɔlv siriɔs mɛrɛsin prɔblɛm ɛn wok wit kɔmpleks anatomi. Infakt, sɔntɛnde dɛn kin kɔl dɛn di “sɔjɔn in ɔspitul .” Dis min se if yu gɛt blɔd we yu nɔ bin de ɛkspɛkt ɔ yu blɔd vesel blok we yu de du ɔda ɔpreshɔn, na dɛn vaskul ɔspitul dɔktɔ dɛn ya kin kam ɛp yu.

Wetin dɛn dɔktɔ ya kin du?

Okay, so wetin ekzakli vaskul sajin de du? Mek wi si.

Dɛn pipul ya kin trit pipul dɛn wit sik dɛn we kin afɛkt ɔl ɔda blɔd vesel dɛn, nɔto jɔs yu at ɔ yu bren.

• Dɛn go asɛs yu risk fɔ gɛt prɔblɛm wit yu blɔd vesel .
• Fɔ no if pɔsin gɛt sik dɛn.
• Dɔn dɛn go mek wan tritmɛnt plan we go fayn fɔ yu.

Dis tritmɛnt plan kin inklud mɛrɛsin ɛn chenj to yu ɛvride abit – fɔ ɛgzampul, fɔ du ɛksɛsayz ɛn fɔ tek tɛm wit wetin yu de it ɛn drink.

Sɔntɛnde dɛn dɔktɔ ya kin ɛp fɔ sev yu an ɛn fut , sɔntɛnde yu layf . Dɛn kin mek tin nɔ apin lɛk strok , stɔp wan aneurism fɔ brok, ɛn pul di pen we di at dɛn kin blok.

Dɔn bak, dɛn kin du difrɛn tin dɛn ɛn ɔpreshɔn fɔ mɛn sik dɛn we de na di blɔd vesel. Dɛn tin ya na tritmɛnt dɛn we nɔ kin tek bɔku tin , lɛk di wan dɛn we dɛn kin yuz kateshɔn, tru smɔl smɔl say dɛn we dɛn kɔt, ɛn ivin kɔmpleks ɔpreshɔn we dɛn kin du fɔ opin , we kin mek dɛn kɔt big big wan. Sɔntɛnde, dɛn kin du haybrid tritmɛnt dɛn bak we kin jɔyn di bɛnifit dɛn we dɛn tu we ya gɛt.

Di tin we impɔtant pas ɔl na dat, dɔktɔ we de mɛn yu vaskul ɔspitul go no yu as pɔsin ɛn gi yu sɔpɔt fɔ lɔng tɛm . Dis na bikɔs bɔku tɛm, vaskul sik na tin dɛn we kin de fɔ lɔng tɛm ɛn dɛn kin nid fɔ kia fɔ lɔng tɛm. Bɔrku pipul dɛm wae gɛt vaskul prɔblɛm kin gɛt ɔda wɛl bɔdi prɔblɛm bak. So, dɛn tritmɛnt plan kin kɔmplikt smɔl. If na so i bi, vaskul ɔspitul dɔktɔ dɛn kin wok wit ɔda spɛshal pipul dɛn fɔ mek dɛn ebul fɔ kia fɔ yu fayn fayn wan .

Us kayn sik dɛn pipul ya kin trit?

Naw lɛ wi luk di men sik dɛn we vaskul ɔspitul dɔktɔ dɛn kin trit. Dis list kin lɔng smɔl, bikɔs dɛn kin trit bɔku bɔku sik dɛn:

• Aortic aneurysms - Dis na wan bulge na di wol na yu aorta.
• Atεrosklεrosis - Dis na di kayn atεrosklεrosis we kכmכn pas כl. dis na we di fεt dεm de kכlכp insay di at dεm, we de mek di vessel dεm sכmtεm sכmtεm.
• כtoimyun sik dεm na di bכdi vεsul dεm - sik dεm we di imyun sistεm de atak di bכdi in כwn sεl dεm.
• Blɔd klɔt - Dɛn tin ya kin apin na di at ɔ vein.
• Carotid artery disease - Dis na we wan big at na di nεk we de gi bכdi to di bren we de blok כ sכm.
• Sεribrovaskul sik - sik dεm we de fכm di vεsεl dεm we de gi bכdi to di bren.
• Chronic limb-threatening ischemia na wan sik we de mek pɔsin in layf de pan denja we blɔd nɔ de gi am fayn.
• Krכnik venus insufficiency we kin kכz bay we di vein dεm na di leg dεm de damej.
• Dip vein trombosis (DVT) .
• Dialysis we dɛn kin du(Dialysis) Akses prεparashכn εn mεntenans - Dis nid fכ pipul dεm we gεt kidni fεil.
• Ɔlsa dɛn na fut we gɛt fɔ du wit dayabitis .
• Endoleak (blɔd lik frɔm di rɔng ples) afta minimally invasive tritmɛnt fɔ wan aneurism.
• wan kכndyushכn we kכmכpshכn pan wan atεri na di bכdi (Median arcuate ligament syndrome - MALS) .
• di bכdi we de kכmכt rεdכks to di intestinal dεm (Mesenteric ischemia) .
• Kɔmpreshɔn fɔ di bɛlɛ vein (Nutcracker syndrome) .
• di kכmpreshכn fכ di bכdi vεsul dεm εn di nεv dεm na di nεk εn di an dεm (Thoracic outlet syndrome) .
• di atεri dεm we de na di lεg dεm de sכmtεm (Pεrifεral atεri sik - PAD) .
• Pɛriferal at ɛn venɔs anɛrizm dɛn .
• Popliteal atεri εntrapmεnt sεndrכm .
• Kכmpreshכn fכ wan vein na di bכdi (May-Thurner syndrome) .
• Strɔk - Sɔntɛnde dis kin apin we di blɔd vesel blok.
• Supɛrfishal venɔs trombosis.
• Varikɔs veins dɛn .

We yu luk dis list, yu go si aw bɔku bɔku sik dɛn ya we dɛn dɔktɔ ya de trit. Ɔl dɛn sik ya kin kam bikɔs ɔf sɔm prɔblɛm wit di blɔd vesel sistɛm.

Us tɛst dɛn kin yuz fɔ no di sik?

Vaskul ɔspitul dɔktɔ dɛn ɛn dɛn tim dɛn kin yuz difrɛn tɛst dɛn fɔ no if pɔsin gɛt prɔblɛm wit di blɔd vesel dɛn. Na sɔm pan dɛn:

• Ankle/brachial index (ABI) - dis na simpul tεst we de kכmpεr di bכdi we de fכlכ to di leg dεm wit di bכdi prεshכn na di an.
• Chɛst X-ray - Dis kin impɔtant bak pan sɔm prɔblɛm dɛn we de na di blɔd vesel.
• CT angiogram - dis na spεshal CT skan we kin tek ditayla, tri-dimenshכnal (3D) pikchכ dεm fכ di bכdi vεsul dεm.
• magnεtik rεsכnans angiogram (MRA) - dis na כda kayn skan fכ luk di bכdi vεsul dεm. I de yuz wan MRI mashin.
• Vascular ultrasound / Doppler ultrasound - Dis de yuz sawnd wev fכ luk di fכ fכlכ bכdi insay di bכdi vεsul dεm εn fכ si if eni blכk de na di vessel dεm. Dis na tɛst we nɔ de mek pɔsin fil pen ɛn we nɔ gɛt wan prɔblɛm.

Dɛn tɛst ya kin ɛp dɔktɔ dɛn fɔ no ustɛm na di rial prɔblɛm wit yu blɔd vesel dɛn.

Us kayn ɔpreshɔn/tritmɛnt dɛn pipul ya kin du?

Vascular surgeons gɛt di abiliti fɔ du difrɛn tritmɛnt ɛn ɔpreshɔn dɛn. Dɛn kin du dis ɔl bay aw yu sik, ɛn dɛn kin pik di we we go fayn fɔ yu. Na sɔm pan dɛn:

• Ɔpreshɔn fɔ di arterial aneurisms(Aneurysm surgery) - Dɛn kin bi tradishɔnal opin ɔpreshɔn.
• Angioplasty - na we fɔ pul di plek ɔ di blɔd we de klɔt na wan at ɔ vein ɛn opin di blɔd vesel bay we dɛn de inflayt wan balyɔn. Sɔntɛnde, dɛn kin put stent , we na smɔl mɛsh tyub, fɔ mek di vessel opin.
• Atherectomy - fכ pul di fεt dεposit dεm (plak) we de kכmכt frכm di bכdi vεsul dεm.
• Endarterectomy - na כda we fכ כpכt fכ pul di fεt dεposit dεm na di bכdi vεsul dεm (e.g., carotid endarterectomy).
• εndovaskul ripa fכ di bכdi, tכraks εn tכrakoabdominal aorta anεvrizm (EVAR, TEVAR) - dis na tritmεnt we involv fכ put kateshכn tru sכm sכm insay di groin εn go tru wan tכb, we dεn nכ mek big insay.
• baypas כpεraysh כn fכ blכk na di big at dεm εn atεri dεm na di limb dεm - baypas di blכk εn mek nyu rod we yu de yuz wan pat pan di vein we dεn tek frכm כda pat na di bכdi כ wan atifishal tכb.
• Popliteal ɛntrapmɛnt ɔpreshɔn.
• Dɛn kin put stent na di blɔd vesel dɛn.
• di vena cava filta ples - Na sכm sכm filta we dεn put insay di big vein fכ mek di bכdi we de fכm na di leg dεm nכ go travul go na di at כ di lכng dεm.
• transkarotid atεri rivaskulεrayzeshn (TCAR) fכ mek di bכdi fכ fכlכ fayn fayn wan na di atεri dεm na di nεk.
• di tכraks כlt כpεraysh כn fכ k כrekt kכmpreshכn pan di bכdi vεsul dεm εn di nεv dεm na di nεk εn di an dεm.
• Prɛparashɔn ɛn mentenɛns fɔ akses rod dɛn (e.g. fistula, graft) fɔ dayalaysis .
• Thrombectomy na we dɛn de pul di blɔd we de kɔmɔt na di at ɔ di vein dɛn.
• Gi mɛrɛsin fɔ sɔlv di blɔd we de klɔt (Thrombolytic therapy - clot busters) .
• Opin ɔpreshɔn fɔ kɔrɛkt di midyan arkuet ligamɛnt sindrom .
• Opin ɔpreshɔn fɔ kɔrɛkt wan hεnia disk (Nutcracker syndrome) .
• εndovaskul ablashכn fכ di vein dεm we nכ rich - Dis na tritmεnt fכ wik, lik vein dεm na di lεg dεm we dεn de yuz lεzεr כ rεdyufrikyuεns wev dεm.

Wetin mek dɛn de rifer yu to dɔktɔ we de mɛn yu vaskul ɔspitul?

Yu praymari kia kin rifer yu to vaskul ɔspitul ɔspitul if yu gɛt wan sik we de mek yu blɔd vesel dɛn nɔ de wok fayn. Tink bɔt am, blɔd vesel dɛn we gɛt wɛlbɔdi kin kɛr blɔd go na ɔl di pat dɛn na yu bɔdi. So, if wan blɔd vesel pwɛl, i kin afɛkt di wan ol bɔdi. Na dat mek di vaskul ɔspitul dɛn gɛt impɔtant wok fɔ no wetin nɔ rayt ɛn fɔ fiks am.

Tipikli, pɔsin kin mit fɔs wit vaskul ɔspitul we i nid dis kayn spɛshal kia. Bɔt sɔntɛnde, lɛk we yu gɛt mɛdikal imejensi, yu kin mit wan we yu nɔ bin de tink se go apin.

Di wɔd ‘sɔjɔn’ kin mek pɔsin fred smɔl. Bɔrku pipul nɔr kin no gud gud wan wetin na vaskul ɔspitul te dɛn nid wan. Bɔt fɔ tru, dɛn dɔktɔ ya nɔ jɔs de du ɔpreshɔn. Dɛn kin trit bɔku bɔku prɔblɛm dɛn wit mɛrɛsin, chenj dɛn layf, ɛn we dɛn nɔ kin yuz bɔku prɔblɛm dɛn.

Bɔt if dɛn du yu ɔpreshɔn, yu go nid fɔ kɔntinyu fɔ go to dis dɔktɔ fɔ wach yu sik afta dat. Dɔn, yu ɛn di dɔktɔ kin wok togɛda fɔ wach ɛni nyu prɔblɛm we de kam.

If yu dɔktɔ dɔn sɛn yu to dɔktɔ we de mɛn yu vaskul, yu kin gɛt bɔku kwɛstyɔn dɛn. ‘Wetin mek a nid fɔ go to dis dɔktɔ?’, ‘Wetin go apin nɛks?’, ‘A go nid ɔpreshɔn?’ Yu fɔ mɛmba se bikɔs dɔktɔ dɛn we de mɛn yu vaskul ɔspitul kin trit bɔku bɔku sik dɛn ɛn dɛn gɛt difrɛn tritmɛnt dɛn, yu nɔ go nid fɔ du ɔpreshɔn. Bɔt if dɛn nid fɔ du ɔpreshɔn, yu dɔktɔ go ɛksplen wetin mek ɛn di rayt tin we go apin. Tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu wit dɛn. Da we de, yu kin gɛt de kia wae rayt fɔ yu, frɔm wae yu no bɔt yu sik te yu wɛl.

Mɛmba fɔ shɔt tɛm.

Okay, so lɛ wi mɛmba sɔm impɔtant tin dɛn fɔ yu smɔl frɔm wetin wi dɔn tɔk bɔt:

• Vaskul ɔspitul na spɛshal pɔsin we de trit sik dɛn na ɔl di blɔd vesel dɛn pas yu at ɛn bren.
• Dɛn pipul ya nɔ jɔs de du ɔpreshɔn. Dɛn kin yuse bɔrku tin lɛk mɛrɛsin, chenj dɛn layf, ɛn smɔl tritmɛnt.
• If yu tink se yu gɛt prɔblɛm wit yu blɔd vesel , ɔ if yu dɔktɔ rifer yu to da kayn spɛshal pɔsin de, nɔ panik.
• Lan bɔt yu sik ɛn aw fɔ trit yu. I rili impɔtant fɔ tɔk to yu dɔktɔ opin wan.
• Di wɛlbɔdi fɔ di blɔd vesel dɛn rili impɔtant fɔ di wɛlbɔdi fɔ wi ɔl bɔdi , so i fayn fɔ tek kia ɔf am.

So, a op se naw yu dɔn ɔndastand mɔ bɔt vaskul ɔspitul dɔktɔ dɛn. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shem fɔ tɔk to dɔktɔ!

` Vascular Surgeon, Vascular Diseases, Atɛri, Vein, Ɔpreshɔn, Blɔd Sakyuleshɔn