Yu gɛt big blɔd vesel we de bɔl insay yu bɛlɛ? (Abdominal Aortic Aneurysm) - Lɛ wi no bɔt dis!

Yu dɔn ɛva yɛri se wan big blɔd vesel na yu bɛlɛ de bɔl lɛk balɔ? Dis kin tan lɛk se yu de fred, bɔt if yu no bɔt am, yu kin kɔntrol bɔku tin dɛn. Tide wi go tɔk bɔt dis kayn sik, we dɛn kɔl am na mɛrɛsin `(Abdominal Aortic Aneurysm)` ɔ `(AAA)`. Fɔ tɔk am simpul wan, wan pat pan di big wɔl na di bɛlɛ (Aorta) kin wik ɛn swel.

Wetin na dis Abdominal Aortic Aneurysm?

Okay, lɛ wi si fɔs wetin dis `(Abdominal Aortic Aneurysm)` na simpul wan. di big bכdi we de na yu bכdi na di aorta, כ di `(Aorta)`. Tink bɔt am lɛk di men paip we de kɛr wata kɔmɔt na wata tank go na di wan ol os. di bכdi we wi at de pכmp de sheb כlsay na di bכdi tru dis `(Aorta)`. di pat pan dis `(Aorta)` we de go tru di bכdi dεn kכl am di `(Abdominal Aorta)`.

naw, insay wan `(Abdominal Aortic Aneurysm)`, wan wik ples na di wכl na di abdominal aorta de bulge kכmכt, lεk balכn we de blo. nכmal wan, di wכl dεm na wi `(Aorta)` kin rili strכng εn fleksibul. Dɛn mek am fɔ bia wit di prɛshɔn we blɔd we de kɔmɔt na di at kin gi.

Bɔt as wi de ol, bikɔs ɔf tin dɛn lɛk fɔ yuz tabak (lɛk fɔ smok sigrɛt), ɛn sɔm mɛrɛsin dɛn, di wɔl fɔ dis `(Aorta)` kin wik. we i wik, i nכ kin ebul fכ bia di prεshכn we di bכdi de gi, εn di `(Aorta)` de bigin fכ bulge frכm da wik ples de. Dis bulge kin big smɔl smɔl as tɛm de go.

di dכkta dεm kin disayd se yu gεt AAA if wan pat pan di aorta at le 50% big pas nכmal. Fɔ bɔku pipul dɛn, dis min se wan bulge we gɛt lɛk 3 sɛntimita waid.

di tin we impɔtant pas ɔl na dat as dis swɛlin (`Aneurysm`) de big, di risk fɔ mek i bɔs (`Rupture`) de go ɔp. If dat apin, i kin mek blɔd bɔku pasmak insay di bɔdi ɛn i kin mek pɔsin in layf de pan denja. dis risk de hכy spεshal fכ ``Aneurysm`` we big pas 5.0 sεntimita pan uman dεm εn 5.5 sεntimita pan man dεm.

Bɔku tɛm, AAA nɔ kin sho ɛni sayn te i kam fɔ bɔs. Na dat mek i rili impɔtant fɔ no if yu gɛt ɛni risk fɔ mek yu gɛt AAA ɛn wok wit dɔktɔ fɔ mɛn am.

Sɔntin yu nɔ plan!

If yu gɛt bad bad pen wantɛm wantɛm na yu bɛlɛ ɔ yu bak, dat kin bi sayn fɔ AAA we de kam fɔ bɔs. Yu kin gɛt prɔblɛm bak fɔ blo, yu ed kin tɔn, ɛn yu kin vɔmit. If dis apin , yu fɔ kɔl 911 ɔ go na di ɔspitul we de nia yu wantɛm wantɛm.

Aw kכmכn dis `(Abdominal Aortic Aneurysm)`?

Dis nɔ kin rili apin lɛk aw yu kin tink.

• Na lɛk 1.4% pan di big pipul dɛm wae ol bitwin 50 ɛn 84 ia na Amɛrika gɛt dis sik. Dat na lɛk 1.1 milyɔn pipul dɛn.
• I kin afɛkt bitwin 1% ɛn 2% pan di man dɛn we dɔn pas 65. Di risk fɔ gɛt AAA kin dubl wit ɛvri tɛn ia we dɛn ol.
• Man dɛn kin gɛt dis sik 4 tɛm pas uman dɛn.
• I kin divεlכp pan lεk 1% pan uman dεm we pas 70 ia we gεt histri fכ smok.

Risach dɔn sho mɔ se:

• pan tap dεn `(Aneurysm)` (swelling) dεm kin apin enisay na di `(Aorta),` dεn kin apin mכst na di bכdi rijyכn. 75% pan ɔl di `(Aortic Aneurysm)` na `(Abdominal Aortic Aneurysm)`.
• `(AAA)` na mɔ pan wayt pipul, blak pipul, ɛn Eshia pipul dɛm.
• Dis kin apin to man dɛn. Bɔt if i apin to uman, i kin rili bɔm, ilɛksɛf i smɔl. I kin apin bak to ɔda pipul dɛn na di famili.

Wetin na di sayn dɛm fɔ Abdominal Aortic Aneurysm?

Bɔrku pipul nɔr kin gɛt ɛni sayn te wan ``AAA'' de kam fɔ bɔs. Bɔt we i de kam fɔ bɔs, yu kin gɛt dɛn tin ya:

• Wan kɔntinyu, dip pen na di ɔda pat na di bɔdi ɔ di bɛlɛ.
• Pen na di leg, groin, ɔ pelvik eria.
• Wan puls we de fil lɛk at bit na di bɛlɛ eria. (Sɔm tin pipul dɛn kin fil dis, bɔt if na nyu tin, yu fɔ wɔri).

AAA we brok na mɛdikal imejensi! Di sayn dɛm kin bigin wantɛm wantɛm:

• Bɔrku pen na yu bɛlɛ, dɔŋ bak, ɔ yu leg.
• I nɔ kin izi fɔ yu fɔ blo.
• Di at rit de go ɔp.
• Lɔw blɔd prɛshɔn.
• Diziz ɔr nɔr kin no natin.
• Nɔs ɔ vɔmit.
• Di skin kin stika ɛn i kin swet.

If yu gɛt dɛn sik ya, nɔ delay fɔ wan sɛkɔn, go na ɔspitul wantɛm wantɛm!

Wetin na di tin dɛn we kin mek pɔsin gɛt Abdominal Aortic Aneurysm?

Fɔ tɔk am simpul wan, AAA kin kam bikɔs di aorta in wɔl wik. Dis wikɛdnɛs kin kam bikɔs ɔf di tin dɛn we de apin na di envayrɔmɛnt ɛn di jɛnɛtiks. Wi nɔ ɔndastand gud gud wan yet bɔt di rayt tin we kin apin.

Fɔ ɛgzampul, we pɔsin de smok , i kin pwɛl di prɔtin dɛn we de mek di wɔl na di aorta, ɛn dis kin mek i nɔ strɔng. כlso, di aorta kin wik biכs fכ fεt dεm we de na di bכdi vεsul dεm (atherosclerosis). we dεn fεt dεposit ya de bכku ova tεm, inflameshn εn sεl dεm kin day na di layεr dεm na di atεri wכl. we di strכkchכral kכmכpכnεnt dεm na di aorta brok dכn, di aorta de wik εn i kin izi fכ bulge abnכmal.

Udat de pan risk fɔ gɛt ``Abdominal Aortic Aneurysm''?

Dɛn risk factor ya gɛt big impak pan di divɛlɔpmɛnt fɔ `(AAA):

• Fɔ gɛt istri bɔt aw fɔ yuz tabak:Risach pipul dɛn se if yu smok at le 100 sigrɛt insay yu layf, dat kin mek yu gɛt prɔblɛm. Di risk kin difrɛn difrɛn wan bay aw bɔku tabak yu dɔn yuz (di mɔ yu dɔn yuz, na di mɔ di risk go bɔku).
• Di ej we de go ɔp: Di risk fɔ gɛt AAA de go ɔp as yu de ol (afta di ej fɔ 50 ia fɔ man dɛn, afta di ej fɔ 65 ia fɔ uman dɛn).
• Sεks we dεn bכn: Man dεn kin mכr fכ divεlכp `(AAA)`.
• Fɔ gɛt famili histri bɔt (AAA): Dis impɔtant bak. If wan pan yu fɔs digri fambul dɛm (mama ɛn papa, pikin dɛm, brɔda ɛn sista dɛm) gɛt (AAA), yu gɛt 10% to 20% risk fɔ gɛt am bak. Dis asosieshɔn de mɔ pan man brɔda ɛn sista dɛn.

Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• Di ay blɔd prɛshɔn.
• Fɔ gɛt sɔm kayn atεrosklɛrotik kadyovaskyuɛl sik (ASCVD). Dis inklud korona at sik (CAD) ɛn pεrifεral atεri sik (PAD).
• Fɔ gɛt wan sik we dɛn kin gɛt frɔm di vaskyuɛl kɔnɛktiv-tisu.

Wetin na di poshubul komplikashɔn dɛm fɔ `(AAA)`?

di komplikashכn we kin kכmכn pas כl na we di anεvrizm kin rכp . Dis kin mek bitwin 150,000 ɛn 200,000 pipul dɛn de day ɔlsay na di wɔl ɛvri ia. AAA we brok kin mek yu blɔd insay yu bɔdi we go mek yu layf de pan denja. Di risk de go ɔp as di anɛrizm de big.

Aw fɔ no if yu gɛt `(Abdominal Aortic Aneurysm)`?

Bikɔs AAA nɔ kin mek pɔsin gɛt di sik, bɔku tɛm dɔktɔ dɛn kin no se AAA nɔ brok we dɛn de du tɛst fɔ ɔda wɛlbɔdi prɔblɛm dɛn. If yu dɔktɔ sɔspɛkt se yu gɛt AAA bay di tɛst rizɔlt ɔ ɔda rizin, dɛn kin du dɛn tɛst ya:

• Abdominal duplex ultrasound: Dis na di tɛst we dɛn kin du mɔ, we nɔ kin mek pɔsin fil pen, ɛn we izi fɔ du.
• CT Angiogram (Computed tomography angiogram - CTA): Dis de mek yu ebul fɔ si mɔ ditayli.

Skrin fɔ Abdominal Aɔta Anyurizm

Dɔktɔ dɛn se pipul dɛn we de pan denja fɔ gɛt AAA fɔ du ɔltra saund. Dis na simpul tɛst we nɔ de mek pɔsin fil pen. I kin chɛk fɔ si if AAA de. If wan de, yu dɔktɔ go ɔda ɔda ɔltra saund ɔltɛm (bɔku tɛm ɛvri 6 to 12 mɔnt) fɔ wach am. If i rili big ɔ if ɔda tin dɛn de we kin mek i brok, dɛn kin se dɛn fɔ du ɔpreshɔn pan am.

Aw dɛn kin trit Abdominal Aortic Aneurysm?

di tritmεnt de dipכnt pan di sayz fכ di anεvrizm, biכs dis na di men tin we de sho di risk fכ rכp. Smɔl smɔl anɛrizm dɛn nɔ kin nid fɔ gɛt tritmɛnt wantɛm wantɛm.Bifo dat, di dɔktɔ go de wach di anɛrizm wit ɔltra saund ɔ CT skan ɔltɛm. Dɛn kɔl dis sɔvɛlayshɔn . Big big aneurism kin nid fɔ ɔpreshɔn.

`(AAA)` Sɔvɛlayshɔn (`Sɔvɛlayshɔn`)

jεnarali, i fayn fכ mכnitor wan AAA if in dayamita less dan 5.5 cm pan man dεm εn less dan 5.0 cm pan uman dεm. Dɔn bak, di anɛrizm nɔ fɔ mek pɔsin gɛt ɛni sayn.

Dipen pan di saiz fɔ di aneurism, yu kin nid fɔ du ɔltra saund ɔ CT skan ɔltɛm . Big big aneurism kin nid fɔ du tɛst mɔ ɛn mɔ. If yu dɔn nia di stej fɔ di tritmɛnt, yu kin nid fɔ tek CT skan instead fɔ du ɔltra saund. Yu fɔ fala yu dɔktɔ fɔ mek dɛn du tɛst. Yu dɔktɔ go tɛl yu bak se:

• Us chenj dɛn yu nid fɔ chenj yu layf? Dis kin min fɔ lɛf fɔ smok kpatakpata, fɔ it tin dɛn we go ɛp yu at, ɛn fɔ du ɛksɛsayz.
• Us mɛrɛsin yu nid fɔ tek fɔ kɔntrol di tin dɛn lɛk ay blɔd prɛshɔn ɔ ay kɔlɔstrel?

Di chenj we yu de chenj yu layf ɛn di mɛrɛsin dɛn we yu de tek nɔ go mek di anɛrizm smɔl (naw, no tritmɛnt nɔ de we go ebul fɔ du dat). Bɔt dɛn tin ya kin ɛp fɔ slo di rit we di anɛrizm kin big ɛn ridyus di risk fɔ ɔda prɔblɛm dɛn we kin kam wit di at ɛn di blɔd. Risach pipul dɛm stil de luk fɔ mɛrɛsin ɛn ɔda tritmɛnt dɛm wae kin slo ɔ stɔp di grow fɔ smɔl AAA dɛm.

Ɔpreshɔn fɔ `(AAA)`

Yu AAA kin nid ɔpreshɔn pan dɛn kayn tin ya:

• dεn kin kכnsidr di anεvrizm fכ 5.5 cm כ big in dayamita pan man dεm εn 5.0 cm כ big pas dat pan uman dεm. (Sɔm spɛshal sɛnta dɛn kin se dɛn fɔ du ɔpreshɔn fɔ smɔl saiz dɛn, i go dipen pan yu ɔl wɛlbɔdi biznɛs, di risk profayl, ɛn ɔda tin dɛn.)
• I nɔ mata di sayz we di anɛrizm gɛt, if i mek yu gɛt di sayn dɛn.
• If di aneurism dɔn bɔs, yu nid fɔ du ɔpreshɔn wantɛm wantɛm fɔ sev yu layf.

dεn kin du כpεrayshכn fכ ridyus di risk fכ wan anεvrizm we de bכs bay we dεn de pul di pat we wik na di aorta εn put wan atifishal tyub (graft) כ bay we dεn put nyu layn (graft) insay di aorta. Tu we dɛn de we dɛn kin du ɔpreshɔn fɔ dis:

• tradishכnal opin anεvrizm ripa כpεrayshכn: Na ya, dεn de opin di bכdi εn dεn de riples di pat we dεn dכn pwεl na di aorta.
• εndovaskul anεvrizm ripa (EVAR): dis involv fכ mek sכm sכm pat na di כp leg εn put stent graft insay di aorta fכ kכba di anεvrizm. Dis nɔ nid fɔ kɔt big say.

Ɔl tu di ɔspitul ɛn di pasɛnt dɛn jɔs lɛk di EVAR prosidur fɔ ɛlektiv ɔpreshɔn bikɔs i izi fɔ wɛl frɔm ɛn i gɛt bɛtɛ chans fɔ liv insay di shɔt tɛm. if di strכkchכ fכ di aorta fayn, EVAR kin gi rεpair fכ lכng tεm. Bɔt yu go nid fɔ du ɔltra saund ɔ CT skan ɛvri ia fɔ chɛk aw dɛn dɔn mek am. Open ɔpreshɔn kin bi wan opshɔn we sef bikɔs ɔf sɔm tin dɛn (lɛk yu ej ɔ di kayn we aw di aorta tan). Ɛni prɔsidyu gɛt in bɛnifit ɛn bad tin dɛn. Yu dɔktɔ go tɔk bɔt dis wit yu, ɛn una ɔl tu go disayd fɔ du di bɛst.

If di anɛrizm we dɔn brok, i nid fɔ du ɔpreshɔn wantɛm wantɛm fɔ gi am chans fɔ sev layf.

Wetin a go ɛkspɛkt if a gɛt dis sik?

Di we aw yu de si tin kin dipen pan bɔku tin, lɛk di sayz we di anɛrizm gɛt, di tɛm we i kin tek fɔ mek yu gɛt tritmɛnt, ɛn yu ɔl yu wɛlbɔdi. Yu dɔktɔ na di bɛst pɔsin fɔ aks yu wetin fɔ ɛkspɛkt. I sabi yu ɛn yu wɛlbɔdi istri pas ɔlman.

Yu tink se dɛn kin mek yu nɔ gɛt Abdominal Aortic Aneurysm?

Naw, no we nɔ de we dɛn dɔn pruv fɔ mek AAA nɔ fɔm. Bɔt if yu gɛt mama ɔ papa, brɔda ɛn sista, ɔ pikin we dɔn gɛt AAA, tɔk to yu dɔktɔ. I kin se dɛn fɔ du ɔltra saund fɔ chɛk fɔ si if i gɛt sayn dɛn we de sho se i gɛt anɛrizm.

Ilɛksɛf yu gɛt famili histri ɔ yu nɔ gɛt am, yu kin du tin fɔ ridyus ɔda tin dɛn we kin mek yu gɛt prɔblɛm ɛn fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi na yu at ɛn blɔd. Tɔk to yu dɔktɔ bɔt dɛn tin ya:

• Aw yu kin lɛf fɔ smok ɔ fɔ yuz ɔda smok?
• Aw yu kin mek ɛksesaiz plan we go fayn fɔ yu?
• Aw fɔ fala di it we go ɛp yu at?
• Aw yu kin kɔntrol yu blɔd prɛshɔn, kɔlɔstrel, ɛn yu blɔd shuga?
• Aw fɔ stɔp fɔ drink rɔm?

Aw a kin kia fɔ misɛf?

If yu gɛt `(AAA)`, i rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ gi yu. I go advays yu akɔdin to wetin yu nid. Jɛnɛral wan, na sɔm advays dɛn ya:

• Atɛnd ɔl yu mɛdikal apɔntin ɛn fɔlɔp tɛst dɛn.
• Mek chenj dɛn na yu layf we go sɔpɔt yu wɛlbɔdi. Start smɔl ɛn sɛt gol dɛn we yu go ebul fɔ rich.
• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.
• Aks yu dɔktɔ if yu nid antibayɔtik bifo yu du sɔm tin dɛn fɔ mɛn yu tit ɔ fɔ mɛn yu. Sɔm pipul dɛn nid dɛn fɔ mek dɛn nɔ gɛt di sik afta dɛn dɔn du ɔpreshɔn fɔ mek dɛn ripɛnt di aneurism.

Ustɛm a fɔ go to mi dɔktɔ?

Kɔl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• Nyu ɔ chenj chenj sayn dɛm.
• Di sayd ɛfɛkt dɛn we di mɛrɛsin dɛn kin gɛt.
• Kwɛshɔn ɔ wɔri bɔt yu kɔndishɔn ɔr tritmɛnt plan.

Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam fɔ apɔntin. Yu go nid fɔ de chɛk yu ɔltɛm fɔ chɛk fɔ dɛn tin ya:

• Yu tink se `(AAA)` go big, ɔ risk de fɔ mek i bɔm?
• Ɛni kɔmplikeshɔn de afta EVAR, lɛk ɛndoleak (blɔd lik rawnd di graft), ɔ ɛni sayn de fɔ se i dɔn rɔp bak?

Go to ɔl yu apɔntinmɛnt dɛm so dat yu dɔktɔ go ebul fɔ wach yu kɔndishɔn ɛn ɛp yu fɔ gɛt wɛl bɔdi.

Ustɛm a fɔ go na di imejensi rum?

If yu gɛt sayn dɛn we de sho se AAA bɔs, lɛk we yu de fil bad bad wan na yu bɛlɛ ɔ yu bak , kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul imejensi rum we de nia yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• A de pan risk fɔ mek a gɛt `(AAA)`?
• A nid fɔ du wan skrinin tɛst fɔ (AAA)?
• Us chenj dɛn we a fɔ chenj mi layf fɔ mek a nɔ gɛt bɔku prɔblɛm?

If yu dɔktɔ disayd se yu gɛt `(AAA)`, dɛn kin aks yu dɛn kwɛstyɔn ya fɔ no mɔ:

• Aw big wan aneurism kin bi?
• Yu kin se dɛn fɔ wach ɔ ɔpreshɔn?
• Us ɔpreshɔn we go fayn fɔ mi?
• Wetin na di bɛnifit ɛn bad tin dɛn we pɔsin kin du we i du ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl?
• Us fɔlɔp tɛst dɛn a go nid fɔ du afta dɛn dɔn du di ɔpreshɔn?
• enibodi na mi fambul nid fo geht tehst fo `(AAA)`?

Fɔ no se yu gɛt Abdominal Aortic Aneurysm kin mek yu at pwɛl ɛn yu kin mek yu fred. Bɔt di gud nyus na dat yu dɔktɔ no se yu gɛt wan. We yu no se yu gɛt wan na di fɔs tin we yu fɔ du fɔ mek yu gɛt wɛlbɔdi. Yu dɔktɔ go wach yu sik ɛn tɛl yu fɔ gi yu tritmɛnt we nid de. I go tɛl yu bak bɔt tin dɛn we yu kin du na yu ɛvride layf fɔ mek di anɛrizm nɔ big ɔ bɔs.

Mɛmba as sɔmari (Tek-Home Message) .

Okay, so lɛ wi rikap di impɔtant pɔynt dɛm we wi tɔk bɔt tide bɔt `(Abdominal Aortic Aneurysm)` ɔ `(AAA)`.

• aortic aneurysm (AAA) na we di men bכdi we de na di bכdi (di aorta) wik εn swel.
• Bɔrku tɛm, nɔr de sayn nɔr kin de na di fɔs stej.
• Di ol man dɛm we de smok kin gɛt mɔ risk. If pɔsin na di famili gɛt am, prɔblɛm de.
• Di big denja na dat dis kin bɔm (`Rupture`) . If dat apin, i kin mek pɔsin in layf de pan denja.
• If yu gɛt sɔd, siriɔs pen na yu bɛlɛ ɔr bak wit ɔda sayn dɛm, na imejensi. Go na di ɔspitul wantɛm wantɛm.
• I impɔtant fɔ mek di wan dɛn we gɛt risk factor fɔ du skrinin tɛst lɛk aw dɔktɔ advays.
• As tritmɛntDɛn kin du sɔvɛlayshɔn ɔ ɔpreshɔn. i dipכnt pan di sayz fכ di anεvrizm εn כda tin dεm.
• Fɔ lɛf fɔ smok ɛn liv fayn layf rili impɔtant.

Mɛmba se, i bɛtɛ fɔ mek dɛn tɛl yu ɛn du di tin dɛn we yu nid pas fɔ fred dis. Tɔk wit yu dɔktɔ opin wan ɛn pik di tritmɛnt ɛn layf we go fayn fɔ yu.

Abdominal Aortic Aneurysm, AAA, Aorta Swelling, Blɔd Vessel Bursting, Abdominal Pen, At sik, Smok