Somtin laik smol balon insaid yu bodi? Lɛ wi tɔk bɔt dis aneurism!

Yu dɔn ɛva yɛri bɔt di wɔd ‘aneurysm’? Sɔntɛm yu dɔn yɛri bɔt yu padi ɔ fambul we gɛt wan. Ɔ sɔntɛm yu dɔn yɛri dɔktɔ tɔk bɔt am. Pan ɔl we di nem kin tan lɛk se wi de mek wi fred smɔl, if wi no gud gud wan wetin i bi, wi go avɔyd fɔ fred we wi nɔ nid fɔ fred. So, yu tink se wi go tɔk bɔt am tide?

Wetin rili na aneurism?

Fɔ tɔk am simpul wan, aneurism na wik ples na di wɔl na wan blɔd vesel na wi bɔdi we de bulge kɔmɔt lɛk balyɔn. Yu no se wi at na di big tyub dɛm we de kɛr blɔd we gɛt ɔksijɛn frɔm di at to di ɔda pat na di bɔdi. So, if wan spat na di wɔl na dis at de wik, di prɛshɔn we di blɔd we de flɔ fast fast de mek de mek da wik spat de bɔl. Dat bulge na wetin wi kɔl aneurysm.

Bɔrku tɛm, wi nɔr kin fil se wi gɛt aneurysm, ɛn wi nɔr kin fil ɛni pen. Bɔt if i brok wantɛm wantɛm, i kin rili denja, ɛn sɔntɛnde i kin ivin put in layf pan denja. So, i rili impɔtant fɔ mek wi no bɔt dis.

Difrɛn kayn anɛrizm dɛn de? Usay dɛn kin fɔm?

Yɛs, dis anɛrizm kin fɔm na ɛni at na wi bɔdi. Dat min se dεn kin fכm na difrεn ples dεm lεk di at, bεlε (bεlε), bren, εn leg dεm. di kayn anεrizm de sho di say we i de fכm.

di kayn anεrizm we kכmכn we dεn kin si mכst na di aorta anεvrizm . Yu no se di aorta na di big at na wi bɔdi? Na di at we de kɛr blɔd kɔmɔt na di at to di wan ol bɔdi. di anεrizm dεm we de apin na כda at dεm we nכ de na di aorta dεn kכl dεm pεrifεral anεvrizm.

Lɛ wi luk sɔm men kayn dɛn:

• Abdominal Aortic Aneurysm (AAA): Dis na di kayn we we dɛn kin gɛt mɔ. i de divεlכp na di pat pan di aorta we de rכn dכn tru di bכdi.
• Sεribra Anyurizm/Bren Anyurizm: As di nem sho, dis kin apin na wan at we de na di bren. di sכbtayp we kכmכn fכ dis na di sakular anεvrizm, we dεn kכl bak bεri anεvrizm . I tan lɛk smɔl sak we ful-ɔp wit blɔd we tay pan di at, we tan lɛk bɛri.
• Thoracic Aortic Aneurysm: Dis na smɔl smɔl pas di abdominal Aortic Aneurysm. i kin apin na di כp pat na di aorta, na di chεst εria.
• Carotid Aneurysm: Dɛn tin ya kin apin na di carotid arteries, we de gi blɔd to wi bren, nɛk, ɛn fes. Dɛn tin ya nɔ kin apin so ɔltɛm.
• Popliteal Aneurysm: Dis kin apin na di at we de rɔn biɛn di ni.
• Mesenteric Artery Aneurysm: Dis kayn aneurysm de divεlכp na di atεri we de gi bכdi to wi intestכn dεm.
• Splenic Artery Aneurysm: Dis kin apin na di at we de go na di splin.

Aw kɔmɔn dis anɛrizm?

Yu no se di anεrizm dεm na di bren we nכ rכp kin apin pan 2% to 5% pan di pipul dεm we gεt hεlth? εn, pan dεn wan dεm, lεk 25% gεt mכr dan wan anεvrizm. Bɔrku tɛm, dɛn kin divɛlɔp we dɛn big, bɔt dɛn kin apin bak pan pikin dɛm. Dɛn kin no bɔt dɛn arawnd di ej we dɛn ol 50. Bɔt di bɛst pat na dat, bɔku pan di bren anɛrizm dɛn nɔ kin brok.

di aortic aneurysm (AAA) kin kכmכn mכr wit di ej. sכmtεm, di abdominal aortic aneurysms (AAA) kin kכmכn fכ to siks tεm pan man dεm pas uman dεm. Na 1% nɔmɔ pan di man dɛn we ol 55-64 ia gɛt dɛn. Bɔt dis pasɛnt de go ɔp bay 2% to 4% wit ɛvri tɛn ia.

Udat de pan big risk fɔ gɛt aneurysm?

difrεn kayn aneurism dεm de afekt difrεn grup dεm fכ pipul dεm. Fɔ ɛgzampul, di bren anɛrizm kin bɔku pan uman dɛn pas man dɛn. Semweso, di aortic aneurysm kin apin mɔ pan man dɛn pas uman dɛn.

Abdominal aortic aneurysm (AAA) kin kכmכn mכst pan:

• Fɔ man dɛn.
• Fɔ di wan dɛn we dɔn pas 60 ia.
• Fɔ di wan dɛn we de smok. (Dis na rili big risk factor!)
• Fɔ wayt pipul (bɔt kin divɛlɔp pan ɛnibɔdi we kɔmɔt na ɛni rays).

Wetin na di sayn dɛm we de sho se pɔsin gɛt aneurism?

Bɔrku tɛm, pɔrsin nɔr kin no se dɛn gɛt aneurysm. I kin de gro kwayɛt wan insay di bɔdi. Bɔt if aneurism bɔs, na mɛdikal imejensi! Yu nid fɔ gɛt tritmɛnt wantɛm wantɛm. If yu ɔ pɔsin we yu de wit sho sayn dɛn fɔ se di anɛrizm dɔn brok, kɔl 911 (1990 Suwaseriya na Sri Lanka) wantɛm wantɛm.

Di sayn dɛm we de sho se di anɛrizm dɔn brok kin apin wantɛm wantɛm:

• Laythed /diziz.
• At bit kwik kwik wan.
• Wan ed we de at bad bad wan wantɛm wantɛm, pen na in chɛst, bɛlɛ, ɔ bak.
• Sɔdɛn Lɔs pan Kɔnshɛns afta yu ed pen bad bad wan.

Impɔtant: If yu gɛt rupchɔ aneurism na layf ɔ day, so if yu gɛt dɛn sik ya, nɔ delay.

Ivin if aneurism nɔ bɔs, sɔntɛnde i kin mek yu gɛt sɔm sayn dɛn dipen pan usay i de. Yu kin gɛt sɔm sayn dɛm wae de shok, lɛk wae yu blɔd prɛshɔn go dɔŋ, yu de swet kol, yu kin fil lɛk yu nɔr de fil fayn, ɛn yu at kin bit kwik kwik wan.

Ɔda sayn dɛn kin bi:

• Fɔ fil se yu kɔnfyus ɔ yu de tɔn yu ed.
• I nɔ izi fɔ swɛla.
• Taya.
• Hɛd pen (especially in kes dɛm we di bren aneurism gɛt).
• Nɔs ɔ vɔmit.
• Pen na yu Bɛlɛ, Chɛst ɔ Bak.
• Pulsating Abdominal Mass ɔ Swel na yu Nɛk.
• Di at we pɔsin kin bit kwik kwik wan.
• Vishɔn De Chenj.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt anɛrizm?

If di anɛrizm brok, i kin mek di blɔd kɔmɔt insay di bɔdi. Dipen pan usay i kin apin, di rupchɔ kin rili denja ɛn ivin kin mek pɔsin in layf de pan denja.

Imajin, wetin go apin if blɔd klɔt fɔm insay wan anɛrizm na yu nɛk ɛn travul go na yu bren? If da blɔd de blok di blɔd fɔ go na yu bren, yu kin gɛt strok.

If di anɛrizm na di bren bɔs, dɛn kin kɔl am subarachnoid hemorrhage. Sɔm pipul dɛn kin kɔl dis kayn strok na bren blɔd. Pipul dɛn kin gɛt "di wɔs ed pen na dɛn layf." Dis kin kam afta dat, yu nɔr kin fil fayn, yu nɔr kin ebul fɔ tɔk, ɛn ɔda sayn dɛm.

Wetin mek dis aneurism kin fɔm? Wetin na di tin dɛn we kin mek i apin?

Sɔntɛnde, dɛn kin bɔn pipul dɛn wit wan anɛrizm. Dis min se dɛn kin de we dɛn bɔn dɛn. Bɔt, dɛn kin divɛlɔp ɛnitɛm na layf. Bɔku tɛm, i nɔ kin izi fɔ fɛn wan patikyula tin we kin mek pɔsin gɛt anɛrizm. Bɔt sɔm tin dɛn de we kin mek i apin:

• Atherosclerosis: Dis na we di fεt dεm de kכlכp na di wכl dεm na di atεri dεm, we de mek dεn sכmtεm sכmtεm. Dis kin mek di wɔl dɛn na di at dɛn wik.
• Famili histri bɔt aneurism: If yu mama, papa, ɔr brɔda ɛn sista dɛn dɔn gɛt dis sik, yusɛf de pan denja fɔ gɛt dis sik.
• Ay Blɔd Prɛshɔn: If blɔd prɛshɔn de ɔp ɔltɛm, di at in wɔl dɛn kin pwɛl ɛn wik.
• Aksidɛnt ɔ injuri na di aorta .

Aw dɔktɔ dɛn kin no if pɔsin gɛt anɛrizm? (Diagnosis) .

Bɔrku anɛrizm kin kam wae nɔr kin gɛt ɛni sayn. Yu dɔktɔ kin fɛn dɛn bay chans we dɛn de chɛk yu ɔltɛm ɔ ɔda skan.

If yu gɛt sɔm sayn dɛn we de sho se yu gɛt aneurysm, dɔktɔ go du bɔku tɛst dɛn fɔ tek pikchɔ. Test dɛm wae kin ɛp fɔ fɛn ɛn no if yu gɛt aneurism na:

• CT Skan we dɛn kin du
• CT ɔ MRI Angiography: Dɛn kin yuz dis fɔ tek spɛshal pikchɔ fɔ di blɔd vesel dɛn.
• Ultrasound skan (Oltrasaund)

Aw dɔktɔ kin klas wan aneurysm?

Yu dɔktɔ go klas wan aneurism bay in saiz ɛn aw i fɔm. Difrɛn klas dɛn de:

• Fusiform aneurysm: insay dis, di at de bulge kכmכt frכm כl di say dεm.
• Sakyula Anyurizm: Dis na we na wan say nɔmɔ na di at de bulj (we fiba di Bɛri Anyurizm we wi bin dɔn tɔk bɔt).
• Maykotik Anyurizm: Dis kin apin we di at in wכl wik afta infεkshכn (bכku tεm na di at valv dεm).
• Pseudoaneurysm ɔ False Aneurysm: insay dis, na di layt we de na do pas ɔl na di at in wɔl nɔmɔ de bulge. dis kin apin afta dεn dכn pwεl di insay layεr na di atεri (disekshכn).

Aw dɛn kin trit wan aneurism?

If dɔktɔ si se yu gɛt wan anɛrizm we nɔ brok, dɛn go wach yu gud gud wan. di men gol fכ tritmεnt na fכ mek di anεvrizm nכ rכp.

I dipen pan di kayn, usay di aneurism de, ɛn di sayz we i gɛt, di tritmɛnt kin inklud mɛrɛsin ɔ ɔpreshɔn. Dɔktɔ kin gi yu mɛrɛsin fɔ mek yu blɔd go fayn, fɔ mek yu blɔd prɛshɔn go dɔŋ, ɔ fɔ mek yu nɔ gɛt bɔku bɔku kɔlɔstrel. Dɛn tritmɛnt ya kin ɛp fɔ kɔntrol di anɛrizm fɔ mek i nɔ big ɛn ridyus di prɛshɔn we de na di at in wɔl.

Big big anεrizm dεm we de pan denja fכ bכs kin nid כpεrayshכn. Dɔn bak, if di anɛrizm brok, dɛn go rili nid fɔ du ɔpreshɔn. Bɔku kayn ɔpreshɔn dɛn de:

• Ɛndovaskyuɛl Anyurizm Ripa (EVAR): .Insay dis ɛndovaskyuɛl ɔpreshɔn, dɔktɔ kin put kateshɔn (wan tin tiub) insay wan blɔd vesel. Tru di kateshɔn, di dɔktɔ we de du di ɔpreshɔn kin put wan graft (wan spɛshal tub) fɔ mek di at strɔng ɔ mek i fayn. fכ di tכraks anεvrizm, dεn kכl dis prכsidכs Tכraks εndovaskul anεvrizm Ripa (TEVAR). if dεn yuz graft we gεt spεshal opin dεm, dεn kכl am Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Open Surgery: Sɔntɛnde, dɔktɔ kin mek wan say we dɛn kɔt (open surgery) fɔ put graft ɔ pul di aneurism.
• Endovascular Coiling: Dis prosidur de trit di sεribra aneurism. di sajin de put sεvεra kכyl dεm (i.e., platina waya kכyl dεm) insay di anεvrizm tru wan kateshכn εn fulכp am. Dis kin mek di blɔd we de flɔ insay di anɛrizm nɔ bɔku ɛn i kin mek i nɔ bɔs.
• Maykrovaskul Klip: Dis na bak wan kayn opin bren ɔpreshɔn fɔ sɛribra anɛrizm. Di dɔktɔ we de du di ɔpreshɔn kin put wan mɛtal klip na di say we di anɛrizm de fɔ kɔt di blɔd we de gi am.
• Catheter Embolization: Dɛn kin yuz dis prosidur fɔ stɔp di blɔd we de kɔmɔt na di aneurism. Di dɔktɔ we de du di ɔpreshɔn kin put kateshɔn insay di at we afɛkt ɛn yuz di tiub fɔ injɛkt mɛrɛsin ɔ ɛmbolik tin dɛn we de stɔp di blɔd.

Aw a go mek wan aneurism nɔ fɔm?

Aneurisms we nɔ brok na kɔmɔn tin. Nɔto ɔltɛm dɛn kin ebul fɔ stɔp dɛn. Bɔt yu kin ridyus yu risk fɔ gɛt aneurysm bay we yu de liv fayn layf:

• It tin we go ɛp yu at: It smɔl ɔyl, sɔl, ɛn shuga, ɛn it mɔ vɛjitebul ɛn frut dɛn. Tin dɛn lɛk grɛn we gɛt lif, ɔyl, ɛn fresh fish we de na wi kɔntri rili fayn.
• Ɛksesaiz Ɔltɛm: Du sɔntin lɛk fɔ waka, rɔn, ɔ swim fɔ at le 30 minit ɛvride.
• Mek yu gɛt wɛlbɔdi: Fɔ kip yu wet we fit yu ayt rili impɔtant.
• Nɔ Smok ɔ lɛf fɔ Smok: Dis na sɔntin we yu fɔ du. Smok na wan pan di big tin dɛn we kin mek pɔsin gɛt aneurism.

Wetin na di prɔgnosis fɔ pɔrsin wae gɛt aneurysm?

Ruptured aneurysms na imejensi we kin mek pɔsin in layf de pan denja. If anɛrizm brok na di bren, i kin mek pɔsin gɛt strok. I kin kil pɔsin if dɛn nɔ trit am wantɛm wantɛm. If dɛn trit pɔsin kwik kwik wan, di tin we kin apin kin difrɛn. Bɔrku pipul dɛn kin wɛl fayn fayn wan wit rihabiliteshɔn ɛn ɔda tritmɛnt.

Bɔku tɛm, dɔktɔ dɛn kin ɛp pipul dɛn we gɛt smɔl smɔl anɛrizm we nɔ brok. Yu dɔktɔ go wach yu sik gud gud wan. Mɛrɛsin ɔ ɔpreshɔn kin ridyus di risk fɔ brok.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn lɛk dis, yu fɔ go to dɔktɔ wantɛm wantɛm:

• Layt ed we pɔsin kin gɛt.
• Di at we pɔsin kin bit kwik kwik wan.
• Wan ed we de at bad bad wan wantɛm wantɛm, pen na in chɛst, bɛlɛ, ɔ bak.

Dɛn sayn ya kin bi sayn fɔ se di anɛrizm dɔn brok, so i impɔtant fɔ go to dɔktɔ we yu nɔ go west yu tɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu tink se yu gɛt aneurysm, ɔ if yu dɔn gɛt dis sik, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• A de pan denja fɔ gɛt aneurysm?
• A nid fɔ du imej tɛst fɔ no if a gɛt anɛrizm?
• Aw a go mek mi aneurism nɔ wɔs ɔ bɔs?
• Us chenj dɛn a kin chenj mi layf fɔ mek a nɔ gɛt bɔku prɔblɛm?

Mɛmba se, aneurysm kin kam na ɛni at na wi bɔdi. Yu dɔktɔ kin wach wan aneurism ɛn trit am fɔ ridyus di risk fɔ mek i bɔs. Bɔt if aneurism bɔs, na mɛdikal imejensi. Yu fɔ go to dɔktɔ wantɛm wantɛm.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht aneurism tide, no so? Fɔ tɔk am simpul wan, dɛn na wik pat pan wan pan wi blɔd vesel dɛn we de bɔl lɛk balɔ. Bɔku tɛm, yu nɔ kin ivin notis dɛn, bɔt dɛn kin rili denja if dɛn bɔs.

Di tin we impɔtant pas ɔl na fɔ no bɔt di tin dɛn we kin mek yu gɛt prɔblɛm. If yu gɛt tin dɛn lɛk fɔ smok, ay blɔd prɛshɔn, ɔ yu famili histri, i go fayn fɔ mek yu go chɛk yu ɔltɛm.

If yu gɛt ɛni imejensi sayn, lɛk we yu ed de at bad bad wan wantɛm wantɛm, yu chɛst de pen, ɔ yu nɔ de no natin, go na ɔspitul ɛn nɔ de te.

Fɔ liv fayn layf, lɛk fɔ it fayn, fɔ du ɛksɛsayz, ɛn fɔ avɔyd fɔ smok, dat kin mek dis prɔblɛm nɔ bɔku. So, tek kia of yu bodi tu. Na bikɔs wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl!