Yu dɔn ɛva yɛri di wɔd ‘aneurysm’? Sɔntɛm yu dɔktɔ dɔn tɔk bɔt am, ɔ sɔntɛm sɔmbɔdi na yu famili gɛt dis sik. Pan ɔl we i kin tan lɛk se i de mek pɔsin fred smɔl, i impɔtant fɔ no bɔt am. Tide, wi go tɔk bɔt di tradishɔnal opin ɔpreshɔn fɔ wan aneurism, dat na, ‘tradishɔnal opin ɔpreshɔn’.
Wetin na ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt aneurysm?
Fɔ tɔk am simpul wan, ɔpreshɔn fɔ di aneurysm na tritmɛnt fɔ wan aneurysm na di aorta, we na di men blɔd vesel na wi bɔdi. di aorta tan lεk di men wata paip na wi bכdi. we wan pan in wכl dεm wik εn bulge lεk balכn, wi kin kכl am ``Aortic Aneurysm``. Dis kin rili denja, bikɔs di bulge kin bɔs (rupture) ɔ tear (dissection). If dat apin, i kin ivin mek pɔsin in layf de pan denja.
So we dɛn de du dis ɔpreshɔn, dɔktɔ we de du ɔpreshɔn kin pul di pat pan di aorta we dɔn pwɛl ɛn we dɔn swel ɛn put wan tin we tan lɛk tiub we dɛn mek wit atifishal tisu. Wi de kɔl dis graft. Dis graft de wok lɛk nyu blɔd vesel, we de mek blɔd flɔ sef wan ɛn nɔ gɛt ɛnitin fɔ ambɔg am.
Dis na big ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn fɔ mek big say na yu chɛst ɔ yu bɛlɛ fɔ mek i go ebul fɔ gɛt di anɛrizm. if i de na yu chεst, wi kin kכl am `(thoracic aortic aneurysm)`, εn if i de lכs sכmtεm na yu bכdi, wi kin kכl am `(abdominal aortic aneurysm)`.
Dis ɔpreshɔn de sev pɔsin in layf. Pan ɔl we sɔm prɔblɛm dɛn de we kin apin, di bɛnifit dɛn pas dɛn fa fawe. Yu dɔktɔ go tɔk to yu bɔt di bɛst tritmɛnt fɔ yu.
Udat rili nid dis ɔpreshɔn?
Dɛn nid fɔ du dis ɔpreshɔn pan tu men pat dɛn. Wan na as imejensi, ɛn dɛn kin plan ɛn du di ɔda wan bifo risk kam.
1. As imejensi (if di aneurism burst ɔ brok) .
Dis na di tin we de mek pɔsin denja pas ɔl. If di aneurism brok, na layf ɔ day sityueshɔn. If yu gɛt dɛn sik ya wantɛm wantɛm, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
| Simptom dɛm wae kin apun wae gɛt imejensi | |
|---|---|
| Wantɛm wantɛm, yu nɔ go ebul fɔ bia, pen we de te na yu chɛst ɔ bak. | Wantɛm wantɛm, bad bad pen na di bɛlɛ, bak, ɔ leg. |
| Skin we de stika, we de swet. | Diziz ɛn fɔdɔm. |
| Hat bit fast pasmak. | Nɔs ɛn vɔmit. |
| I nɔ kin izi fɔ yu fɔ blo. | |
2. Bifo risk kam (as plan fɔ ɔpreshɔn) .
If yu dɔktɔ dɔn si se yu gɛt aneurism, i go de wach am ɔltɛm. If ɛni wan pan dɛn tin ya apin, di risk fɔ mek di anɛrizm bɔs go bɔku. If na so i bi, yu dɔktɔ go disayd fɔ du di ɔpreshɔn.
- If yu fil pen na yu bɛlɛ, bak, chɛst, yu groin, ɔ insay yu shɔl.
- If i fil lɛk se yu bɛlɛ de at.
- If yu gɛt kɔf, yu de ala lawd lawd wan, ɔ yu nɔ ebul fɔ blo.
- If di aneurism big pas 5 sɛntimita .
- if di aneurism de gro kwik kwik wan (mכr dan 1 sεntimita pan ia).
Yu dɔktɔ go tink bɔt bɔku tin dɛn, lɛk yu ɔl yu wɛlbɔdi, di sayz we di anɛrizm gɛt, ɛn usay i de, fɔ mek yu disayd fɔ du di bɛst. Fɔ ɛgzampul, if yu gɛt wan sik lɛk Marfan syndrome, ivin smɔl aneurism kin denja. So, dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If na ɔpreshɔn we dɛn dɔn plan fɔ du, dɛn kin bigin fɔ pripia fɔ sɔm wiks bifo tɛm.
- Mɛdikal tɛst: Di dɔktɔ go chɛk yu ɛn du bɔku tɛst fɔ si if yu bɔdi dɔn rɛdi fɔ ɔpreshɔn.
- Tɔk bɔt mɛrɛsin: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ɔva-di-kɔnta, ɛbul, vaytamɛn). Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn bifo dɛn du yu ɔpreshɔn.
- Kɔntrol ɔda sik dɛn: If yu gɛt sik dɛn lɛk ay blɔd prɛshɔn, yu nid fɔ kɔntrol dɛn fayn fayn wan bifo yu du ɔpreshɔn.
- Fɔ lɛf fɔ smok: I rili impɔtant fɔ lɛ yu stɔp fɔ smok ɔltogɛda wan mɔnt bifo yu du di ɔpreshɔn.
- Sik: If yu gɛt ɛni sik, lɛk kol ɔ fiva, tɛl yu dɔktɔ bɔt am.
Di dɔktɔ go gi yu sɔm spɛshal tin dɛn lɛk fɔ nɔ drink wata afta midnayt di nɛt bifo di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn. Dɛn go put yu fɔ slip ɔnda jenɛral anestezi. Di ɔpreshɔn kin tek lɛk 3-4 awa so. Na di men tin dɛn we wi fɔ du.
1. Insishɔn: Di ɔspitul kin mek wan lɔng insayshɔn na di chɛst ɔ bɛlɛ fɔ rich di anɛrizm.
2. Klam: spεshal tin dεm de kכloz di bכdi vεsul dεm we de oba εn dכn di anεvrizm fכ sכm tεm. Dis tεm, dεn kin yuz hat-lכng mashin fכ pכmp blכd to כda pat dεm na di bכdi.
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4. Klos: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich ɔ step.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to di intensiv kia yunit (ICU). Na de yu go nid fɔ de ɔnda dɔktɔ fɔ sɔm dez. Di ɔl di ɔspitul we dɛn kin de na di ɔspitul kin bi bitwin 3 ɛn 10 dez. Insay di ɔspitul, yu go:
- Dɛn kin put wan urinary catheter insay.
- Dɛn kin put wan tiub insay di nos.
- Dɛn kin gi anti-coagulants fɔ mek blɔd nɔ klot.
- Dɛn kin se yu fɔ wɛr spɛshal sɔks fɔ mek blɔd nɔ klɔt na yu leg.
- Dɛn kin gi dɛn mɛrɛsin dɛn we de mek pɔsin fil pen.
Yu fɔ bigin waka sloslo ɛn gɛt trɛnk bak. Bɔt mɛmba se dis na big ɔpreshɔn. So yu nid fɔ gi yu bɔdi tɛm fɔ wɛl. Arenj fɔ mek sɔmbɔdi drayv yu go na os. Yu nɔ go ebul fɔ drayv te yu dɔktɔ gi yu di rayt fɔ drayv.
Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
I kin tek 4-6 wik fɔ ful-ɔp fɔ wɛl, pan ɔl we fɔ sɔm i kin tek 2-3 mɔnt.
Ristrikshɔn dɛn we dɛn fɔ fala we dɛn de wɛl
- Nɔ drayv te yu dɔktɔ tɛl yu fɔ drayv.
- Nɔ was insay tub we gɛt wata te di say we yu kɔt am wɛl. Yu kin tek shawa.
- Nɔ es wet we ebi pas 4.5 kg (10 lbs).
- Nɔ ɛksesaiz so dat yu nɔ go ebul fɔ blo fayn.
Fɔ kia fɔ di wund we dɛn kɔt
We yu kɔf ɔ sniz, put pilo oba di say we dɛn kɔt am ɛn pres am dɔŋ. Dis go mek di pen nɔ bɔku ɛn protɛkt di wund. Kip di wund klin lɛk aw yu dɔktɔ tɛl yu.
Ustɛm fɔ go to yu dɔktɔ wantɛm wantɛm
Pe atɛnshɔn gud wan to yu bɔdi we yu de wɛl. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Kɔt wund prɔblɛm dɛn | |
|---|---|
| Rɛd, pen, swel, ɔ wam rawnd di wund. | Blɔd ɔ klia wata we de kɔmɔt na di wund. |
| Yɔlɔ ɔ grɛn pus we de kɔmɔt. | Di ed dɛn na di wund de muf apat. |
| Ɔda siriɔs prɔblɛm dɛn | |
| Bak ɔ bɛlɛ pen bad bad wan ɔ we nɔ de chenj. | Di leg dɛn we de swel ɔ we nɔ ebul fɔ muv di leg dɛn. |
| Chɛst pen ɔ shɔt briz ivin we yu de rɛst. | Diziz, fɔdɔm, ɔ taya pasmak. |
| Blɔd dischaj wit mכkus, ɔ yɔlɔ/grin mכkus. | Fɔ fil kol ɔ fiva. |
Mɛsej we dɛn kin kɛr go na os
- Aneurism surgery na wan ɔpreshɔn we rili impɔtant, we de sev pɔsin in layf. I impɔtant fɔ ɔndastand am kɔrɛkt wan, ɛn wi nɔ fɔ fred am.
- Nɔ ignore di sayn dɛm lɛk fɔ gɛt siriɔs chɛst/bak pen wantɛm wantɛm, fɔ fɔdɔm, ɛn ɔda tin dɛm Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu plan fɔ du ɔpreshɔn, tek tɛm fala di dɔktɔ in instrɔkshɔn bifo ɛn afta di ɔpreshɔn. I impɔtant mɔ fɔ avɔyd fɔ smok.
- I kin tek tɛm fɔ mek i wɛl. Insay da tɛm de, peshɛnt, rɛst, ɛn aks fɔ sɔpɔt frɔm yu fambul ɛn padi dɛn.
- Fɔ kɔntinyu fɔ liv fayn layf afta yu dɔn ɔpreshɔn, lɛk fɔ it gud it, ɛksesaiz, ɛn fɔ kɔntrol ɔda sik dɛn, impɔtant fɔ mek yu wɛl fɔ lɔng tɛm.
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