"Hat blɔk", "blɔk at", "nid fɔ gɛt angioplasty"... I nɔmal fɔ mek ɛnibɔdi fil smɔl fred we i yɛri wɔd dɛn lɛk dis. Sɔntɛm dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili bɔt dis tritmɛnt. So yu go mɔs gɛt bɔku kwɛstyɔn dɛn na yu maynd, lɛk wetin na dis, na big ɔpreshɔn, i go at, ɛn wetin kin apin afta? Nɔ mek yu fred. Tide, wi go tɔk bɔt wetin na angioplasty, rili simpul ɛn insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na angioplasty?
Angioplasty nɔ tan lɛk ɔpreshɔn we dɛn kin du fɔ opin at. na wan we we nɔ kin tek bɔku tin ɛn we dɛn kin du tru smɔl say we dɛn kɔt am. Fɔ tɔk di kɔrɛkt tin, dɛn kin yuz am fɔ pul di blɔd we dɔn blok ɛn alaw di blɔd fɔ flɔ fri wan bak if di at dɛn na wi bɔdi, mɔ di at dɛn we de gi blɔd to di at, dɔn blok ɔ smɔl bikɔs ɔf di kɔlɔstrel ɛn fat we de na di at (wan mɛrɛsin we dɛn kɔl atherosclerosis) .
Imajin se wata paip dɔn blok na yu os. I tan lɛk fɔ klin am ɛn mek di wata flɔ bak. Fɔ dis, dɔktɔ dɛn kin yuz wan smɔl tin we tan lɛk balɔ. wit di balכn, dεn de prεs di blכk fεt layεr (plak) pan di wכl na di at, we de mek spεs insay di at.
Dis na jɔs wan tritmɛnt we rili sef. We yu kɔmpia am wit big big ɔpreshɔn lɛk baypas ɔpreshɔn, di risk ɛn di tɛm fɔ wɛl kin rili smɔl. Di wɛlbɔdi na wi at rili impɔtant fɔ di wɛlbɔdi fɔ wi ɔl bɔdi. So, dis angioplasty tritmɛnt kin nid bɔku tɛm fɔ mek dɛn nɔ gɛt siriɔs kɔndishɔn lɛk at atak ɛn strok we kin apin bikɔs ɔf dɛn kayn blɔk ya.
Wetin na di kayn ɛn di we aw dɛn kin du angioplasty?
Dɔktɔ dɛn kin yuz difrɛn nem fɔ dis dipen pan di blɔd vesel we dɛn de trit. Tu men kayn dɛn de.
- Coronary Artery Angioplasty: Dis na angioplasty we dɛn kin du pan di men blɔd vesel dɛm (coronary arteries) we de gi blɔd to di at. Wan ɔda nem fɔ dis na Pɛkyutan Korona Intɛrvɛnshɔn (PCI) . Dis na di kayn we we wi lɛk pas ɔl.
- Peripheral Artery Angioplasty: Dis de min aw fɔ trit di peripheral artery we de kɛr blɔd frɔm di at to di pat dɛn we de fa na di bɔdi, lɛk di an ɛn leg.
Bɔku difrɛn we dɛn de we dɛn kin yuz fɔ du dis tritmɛnt. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Teknik we dɛn de yuz fɔ du am | Fɔ tɔk am simpul wan... |
|---|---|
| Balɔn Angioplasti we dɛn kin du | Dis na di bɛst we fɔ du am. Dɛn kin put wan smɔl balyɔn insay di say we dɛn dɔn blok ɛn ful-ɔp am, ɛn dɛn kin prɛs di fat layt we de na di vein pan di wɔl, ɛn dis kin mek wan rod. |
| Di Ples we Dɛn De Plɛs Stɛnt | Afta di balyɔn opin di at, dɛn kin put wan smɔl mɛtal tiub (we dɛn kɔl stent ) insay di at fɔ mek i nɔ smɔl igen. Bɔku tɛm dɛn kin du dis afta dɛn dɔn du angioplasty. |
| Laser Angioplasti we dɛn kin du | Dis na wan we we difrɛn smɔl. Na ya, instead fɔ yuz lɛsa, dɛn kin yuz lɛsa bim fɔ mɛlt ɛn bɔn di fat layt we dɔn trɔp. Bɔt dɛn kin yuz dis smɔl smɔl pas di we aw dɛn kin yuz lɛsa. |
Ustɛm i nid fɔ du angioplasty?
Bɔku tin dɛn de we yu dɔktɔ kin tɛl yu fɔ gi yu dis tritmɛnt.
- Hat Atak: Dɛn kin gi dis tritmɛnt as imejensi tritmɛnt we yu gɛt at atak ɔ jɔs afta dat. I kin ɛp fɔ mek di at nɔ pwɛl bɛtɛ. If na so i bi, dɛn kin admit yu na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm fɔ dis tritmɛnt.
- Coronary Artery Disease (CAD): Dɛn kin du dis fɔ ridyus di risk fɔ gɛt at atak tumara bambay if yu gɛt sɔm sayn dɛm lɛk chɛst pen (angina) we kin kam bikɔs di at dɛn we de gi blɔd to di at kin smɔl.
- Peripheral Artery Disease (PAD): Na wan sik we di men blɔd vesel dɛm na di an, leg, ɛn pelvis kin smɔl, we kin mek di leg fil pen we yu de waka ɛn wund kin wɛl sloslo. Dɛn kin yuz angioplasty bak fɔ trit dis sik.
- Carotid Artery Disease: Dɛn kin yuz dis tritmɛnt fɔ ridyus di risk fɔ gɛt strok, we kin apin bikɔs di carotid arteries na di nɛk we de gi blɔd to di bren kin blok.
- Kronik Kidni Disease: Sɔntɛnde, di kidni nɔ kin wok fayn bikɔs di blɔd vesel dɛn we de gi di kidni dɛn kin blok. Dis tritmɛnt kin ɛp bak pan dɛn kayn tin ya.
Di tin we impɔtant pas ɔl na dat bifo yu du dis tritmɛnt, yu dɔktɔ go du wan tɛst we dɛn kɔl angiogram . Dis na fɔ si ustɛm ɛn aw bɔku pan di at dɔn blok.
Aw yu kin rɛdi fɔ dis?
Nɔ wɔri, yu dɔktɔ ɛn di wan dɛn we de wok na di ɔspitul go gi yu klia instrɔkshɔn bɔt aw fɔ pripia fɔ dis. Bɔku tɛm, yu go gɛt sɔm advays dɛn lɛk dis:
- Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo di tritmɛnt (i fayn fɔ drink smɔl wata).
- If yu de tek sɔm mɛrɛsin dɛn lɛk antikoagulant, dɛn kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez ɔ chenj di doz. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Dɛn go aks yu if yu dɔn gɛt alɛji fɔ ɛnitin trade (espɛshali to di kɔntrast day we dɛn yuz fɔ du di tɛst dɛn) ɔ if yu dɔn gɛt ɛni prɔblɛm wit di anestezi.
- If yu gɛt bɛlɛ, yu fɔ rili mek dɛn no.
- Di tin we impɔtant pas ɔl: Dɛn nɔ go alaw yu fɔ drayv go na os di de we dɛn go gɛt yu tritmɛnt. So, arenj fɔ mek sɔmbɔdi drayv yu go na os bifo tɛm. Yu kin nid fɔ de na ɔspitul fɔ wan de.
Wetin kin apin we dɛn de du angioplasty? Lɛ wi lan stɛp bay stɛp
Di rum usay dɛn de du dis (Cath Lab) nɔ tan lɛk ɔpreshɔn tɛatar ɔltɛm, bɔt na ples we gɛt bɔku bɔku ɛkstrem rayt mashin ɛn monita. Lɛ wi tek wan step-by-step luk pan wetin kin apin we dɛn de du di tritmɛnt.
1. Pripia: Dɛn go gi yu spɛshal ɔspitul gɔn ɛn tɛl yu fɔ ledɔm na bed. Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn tru IV (lɛk saline ) fɔ ɛp yu fɔ rilaks ɛn fil fɔ slip smɔl. Bɔt yu nɔ go slip ɔl, ɛn yu go wek fɔ lisin to wetin di dɔktɔ se. Yu go kɔnɛkt to monita dɛn we go mɛzhɔ tin dɛn lɛk yu at rit ɛn ɔksijɛn lɛvɛl.
2. Akses: Neks, di dɔktɔ go pik say fɔ akses wan big blɔd vesel, ilɛksɛf na yu an ɔ yu groin. Dɛn go injɛkt smɔl injɛkshɔn (lɔkal anestezi) fɔ mek di say nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil ɛni pen, bɔt yu kin fil smɔl tingling.
. afta dat, ivin di waya dεm εn tכb dεm we tכn we dεn kכl kateshכn dεn de pas tru dis tכb כl di we te to di vein we blכk na di at.
4. 4. .X-ray gayd: Wan big X-ray mashin (we dɛn kɔl fluoroscopy ) de rɔn rawnd yu, we de ɛp di dɔktɔ fɔ si di rod we di kateshɔn de pas na skrin. I tan lɛk se yu de wach GPS.
5. fכ no usay di blכk: we di kateshכn de insay in ples, dεn de injεkt wan spεshal likwid (kכntrast day) insay di vein tru am. Dis wata de mek di blɔd vesel dɛn klia wan pan di ɛkstrem rayt. Dis tɛm ya, yu kin fil smɔl wam na yu bɔdi, ɔ yu kin fil lɛk se yu nid fɔ pis. Dis go go insay sɔm sɛkɔn dɛn. Na frɔm dɛn pikchɔ ya di dɔktɔ go fɛn di rayt say we di blɔk de na di vein.
6. Opin di vein: Naw, dεn de pas wan kateshכn wit sכmכl balכn tru di εria we blכk. We i rich di rayt ples, dɛn kin blo di balyɔn fɔ sɔm sɛkɔn dɛn. afta dat di fεt layεr we dεn blכk de prεs pan di wכl na di vein, we de mek wan rod fכ blכd fכ fכlכ. I kin nid fɔ du dis bɔku tɛm.
7. Fɔ put stent: Afta yu dɔn mek shɔ se di vein opin, bɔku tɛm di dɔktɔ go put stent insay di opin. Dis na smɔl mɛsh tyub. I de ɛp fɔ mek di vein we dɔn opin opin sote go, ɛn dis de mek i nɔ smɔl bak.
We dɛn dɔn du ɔl dis, di dɔktɔ go pul di kateshɔn, put plasta oba di say we dɛn put di nidul, ɛn ol am na in ples fɔ sɔm tɛm fɔ mek di blɔd nɔ kɔmɔt. If dɛn bin du dis tru di groin, yu go gɛt fɔ ledɔm flat na di bed fɔ sɔm awa. Di ɔl di tin we dɛn kin du kin tek lɛk 30 minit to 2 awa.
Wetin na di bad tin dɛn we kin apin we dis kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt mɛmba se, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm we dɛn de du dis wok ɔltɛm, ɔnda dɔktɔ we gɛt ɛkspiriɛns fɔ kia fɔ am, ɛn na gud ɔspitul.
| Posisibul risk dɛm fɔ angioplasty tritmɛnt | |
|---|---|
| Sɔm prɔblɛm dɛn we kin apin |
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| Di wan dɛn we kin gɛt mɔ prɔblɛm | |
Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?
Afta di tritmɛnt, yu go nid fɔ de na ɔspitul fɔ sɔm awa ɔr fɔ wan nɛt. Afta yu go na os, yu go fil taya smɔl. Gɛt bɔku rɛst ɛn drink bɔku wata. Yu dɔktɔ go tɛl yu fɔ avɔyd fɔ du tin tranga wan fɔ di fɔs tu ɔ tri dez. Di say we dɛn put di nidul kin brus smɔl ɛn i kin tan lɛk wan wik.
Mɛmba se: Yu dɔktɔ go gi yu tin dɛn we de mek yu blɔd tan lɛk aspirin. I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek, ɛn yu nɔ go mis wan de. If yu fil se yu nid fɔ stɔp fɔ tek dɛn fɔ ɛni rizin, mek shɔ se yu tɔk to yu dɔktɔ bifo yu du dat.
Bɔku tɛm, yu go ebul fɔ drayv bak ɛn bigin fɔ du yu nɔmal tin dɛn bak insay lɛk wan wik so. Bɔt dis kin difrɛn difrɛn wan bay aw yu sik, so go to yu dɔktɔ ɔltɛm ɛn fala wetin i tɛl yu fɔ du.
Afta yu go na os, ustɛm yu fɔ kɔl di dɔktɔ?
Dɛn go sɛtul yu fɔ go na wan klinik we go fala yu, so mek shɔ se yu go de. Bɔt bifo dat, if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If di say we dɛn pier de blɔd ɔ i tan lɛk se i gɛt di sik (i swɛlin, rɛd, i de kɔmɔt na di pus).
- If di kɔlɔ fɔ da an ɔ leg de chenj.
- If yu fil wam ɔr yu fil bad bad wan na da say de.
- If yu gɛt pen na yu chɛst ɔ yu gɛt prɔblɛm fɔ blo .
Dis na tritmɛnt we go wok fayn? Yu tink se i de mek pɔsin fil bad?
Angioplasty na tritmɛnt we kin rili wok fayn, bɔt di sakrifays we i kin gɛt kin dipen pan bɔku tin dɛn, lɛk aw yu blɔd vesel blɔk bad bad wan, yu ɔl wɛlbɔdi, ɛn yu ej. Yu dɔktɔ go ɛksplen to yu ditayli wetin go bi bay di patikyula sik we yu gɛt.
As fɔ pen, yu nɔ go fil bɔku pen we yu de du dis tritmɛnt. Yu kin gɛt sɔm smɔl smɔl tin dɛn we nɔ kin izi fɔ yu:
- Di IV kin pen we dɛn put am insay.
- Di smɔl pen we yu kin fil we dɛn injɛkt di mɛrɛsin we de mek yu nɔ fil fayn.
- Yu kin fil smɔl prɛshɔn ɔ nɔ kin fil fayn na yu chɛst as di balyɔn we de insay yu vein de blo.
Yu nɔ go ivin fil di kateshɔn de go tru yu vein. If yu gɛt pen we yu nɔ go ebul fɔ bia we yu de du di tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm.
Na nɔmal tin fɔ fil fɔ fred we dɛn tɛl yu se yu nid fɔ du angioplasty. Bɔt na wan rili kɔmɔn, sef, ɛn sakrifays we dɛn kin du ɔlsay na di wɔl. Nɔ ɛva fred fɔ aks yu dɔktɔ bɔt ɛnitin we yu nɔ ɔndastand ɔ we yu nɔ shɔ bɔt. I de de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Angioplasty nɔto big ɔpreshɔn fɔ di at. Na tritmɛnt we dɛn kin yuz bɔku bɔku wan ɛn we nɔ bad fɔ opin blɔd vesel dɛn we dɔn blok.
- Bɔku tɛm, dɛn kin put stent fɔ mek di at nɔ blok bak.
- Nɔr big pen nɔr kin de wae dɛn de du di tritmɛnt, bɔt smɔl diskɔmfɔt kin apin.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn strikt wan afta yu dɔn gɛt tritmɛnt, mɔ di wan dɛn we gɛt fɔ du wit fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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