Tink bɔt di at we de kɛr blɔd go na yu at, yu bren, ɛn yu an ɛn fut dɛn as rod. As tɛm de go, dɛn rod ya kin ful-ɔp wit fat lɛk kɔlɔstrel , we kin mek di blɔd vesel dɛn smɔl frɔm insay, lɛk we rod kin lɔk. Wi kin kɔl dis atɛrosklɛrosis . We di at dɛn kin blok lɛk dis, siriɔs tin dɛn lɛk chɛst pen , at atak , ɛn strok kin apin. So, angioplasty na wan rili impɔtant tritmɛnt fɔ opin bak di blɔd vesel we dɔn blok ɛn mek di blɔd flɔ bak .
Wetin rili na Angioplasty?
Fɔ tɔk am simpul wan, angioplasty na wan we we dɛn kin put smɔl tiub ( kateta ) insay wan at we dɔn blok we dɛn nɔ du big ɔpreshɔn, ɛn mek blɔd flɔ fri wan. Dis kin min fɔ mek yu blo wan smɔl balyɔn na di ɛnd pan di tiub na di say we di tiub dɔn blok. dis de push di plek (fεt dεposit dεm) na di atεri wכl apat, we de opin di at waid bak.
Dis na minimally invasive prosidur we yu kɔmpia am wit big big ɔpreshɔn lɛk baypas ɔpreshɔn. So, di risk dɛm nɔr kin bɔku ɛn di tɛm fɔ wɛl kin shɔt. Di wɛlbɔdi fɔ wi at ɛn blɔd vesel dɛn impɔtant fɔ mek wi ɔl bɔdi gɛt wɛlbɔdi. So, dis tritmɛnt kin nid fɔ de fɔ mek yu nɔr gɛt siriɔs prɔblɛm lɛk at atak ɛn strok.
Wetin na di kayn ɛn di we aw dɛn kin du angioplasty?
Dɔktɔ dɛn kin yuz difrɛn nem dɛn fɔ dis prɔsidyu dipen pan di blɔd vesel we dɛn de trit. Tu men kayn dɛn de:
- Coronary Artery Angioplasty: Dis na tritmɛnt fɔ di men blɔd vesel dɛm we de gi blɔd to di at. Wi kin kɔl dɛn wan ya di korona at. Wan ɔda nem fɔ dis tritmɛnt na `(Percutaneous Coronary Intervention – PCI)`.
- Peripheral Artery Angioplasty: Dis de min aw fɔ trit di at we de kɛr blɔd kɔmɔt na di at to di pat dɛn we de fa na di bɔdi lɛk di an ɛn di leg dɛn.
Difrɛn we dɛn de fɔ du dis tritmɛnt:
- Balɔn Angioplasti: .Dis na di we aw dɛn kin yuz mɔ. As wi bin dɔn tɔk, dɛn kin mek di vein big bay we dɛn de blo smɔl balyɔn.
- Angioplasty with Stenting: Bɔku tɛm, afta dɛn dɔn mek di at big wit balyɔn, dɛn kin put wan smɔl mɛsh tiub (we dɛn kɔl stent ) insay di at fɔ ɔltɛm fɔ mek i opin. Dis kin ridyus di risk fɔ mek di at smɔl bak.
- Excimer Laser Angioplasty: Insted of balכn, dεn de yuz laser bim fכ sכlv εn pul di fεt plek we de na di at. Bɔt dɛn nɔ kin yuz dis we pas di we aw dɛn kin yuz balyɔn.
Ustɛm i nid fɔ du angioplasty?
Dis dɔŋ ya na sɔm pan de tin dɛm wae yu kin nid fɔ du angioplasty. If yu gɛt ɛni wan pan dɛn sik ya, yu dɔktɔ kin tɛl yu fɔ gi yu dis tritmɛnt.
| Mɛdikal kɔndishɔn | Simpul ɛksplen |
|---|---|
| At Atak we pɔsin kin gɛt | Dɛn kin du dis as imejensi tritmɛnt fɔ mek di at nɔ pwɛl we i gɛt at atak ɔ jɔs afta i dɔn gɛt at atak. |
| Koronari Atɛri Disizin (CAD) . | di at dεm we de gi blɔd to di at de blok. Dis kin mek yu chɛst pen. Dis na di rizin we kin mek dɛn du angioplasty. |
| Pɛriferal Atɛri Disizin (PAD) . | di big big bכdi we de na di an, di lεg, εn di bכdi blכk. If dɛn nɔ trit am, i kin mek di leg dɛn fil pen, ɔlsa, ɛn di tisu dɛn day (gangrene). |
| Di sik we de mek pɔsin gɛt di sik we dɛn kɔl Carotid Artery | di men at we de na di nεk we de gi bכdi to di bren we de blok. Dis kin mek di risk fɔ gɛt strok. |
| Kidni sik we nɔ de mɛn | We di blɔd vesel dɛn we de gi blɔd to di kidni dɛn kin blok, di kidni dɛn kin nɔ wok fayn. Sɔntɛnde, angioplasty fɔ dɛn vessel ya kin mek di kɔndishɔn bɛtɛ. |
Di tin we impɔtant pas ɔl na dat bifo di dɔktɔ du dis tritmɛnt, i go du wan ɛkstrem rayt tɛst we dɛn kɔl angiogram fɔ no ustɛm di blɔd vesel dɔn blok ɛn aw i bad.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ dis. Bɔku tɛm, yu go nid fɔ pe atɛnshɔn to dɛn tin ya:
- Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink (fast) fɔ lɛk 8 awa bifo di tritmɛnt. I nɔ bad fɔ drink smɔl wata.
- Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd blɔd . I kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez.
- Mek shɔ se yu tɛl yu dɔktɔ if yu dɔn ɛva gɛt alɛji fɔ di kɔntrast day ɔ di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin nɔ fil bad we dɛn bin dɔn yuz fɔ ɛkstrem yu fɔs.
- Yu fɔ tɛl dɛn bak if yu gɛt bɛlɛ .
- De tin wae impɔtant pas ɔl na dat yu nɔr go ebul fɔ drayv di de we dɛn go gɛt di tritmɛnt. So if yu de go na os di sem de, yu go nid fɔ arenj fɔ mek pɔsin kɛr yu go na os . Yu kin nid fɔ de na ɔspitul fɔ wan nɛt.
Wetin kin apin we dɛn de trit am?
Natin nɔ de fɔ wɔri bɔt. Dis na di step dɛm we kin apin:
1. Dɛn go gi yu ɔspitul gɔn fɔ wɛr ɛn dɛn go mek yu ledɔm pan spɛshal tebul.
2. Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn tru wan IV layn we go put yu na layt slip, bɔt yu go kɔnshɛns fɔ fala di instrɔkshɔn dɛn.
3. Tru di tritmɛnt, mashin dɛn de wach tin dɛn lɛk yu at rit ɛn ɔksijɛn lɛvɛl.
4. Dɛn kin mek di say we dɛn put di kateshɔn (bɔku tɛm na di groin ɔ di an) kin mek i nɔ fil fayn wit lokal anestezi . So yu nɔ go fil ɛni pen. Yu kin fil se yu de pinch smɔl.
5. Di dɔktɔ de go insay wan blɔd vesel wit nidul ɛn put wan tiub (sheath) tru am.
6. afta dat, dεn de pas di waya εn kateshכn tru dis tכb to di bכdi we dεn tכk bכt. Na dis tɛm, wan ɛkstrem rayt mashin (fluoroscopy) de rɔn rawnd yu, we de ɛp di dɔktɔ fɔ si di rod we di tiub de pas frɔm ɔl di say dɛn.
7. we dεn rich di blכk, dεn de injεkt wan spεshal day (kכntrast day) tru di tכb. Di X-ray go sho di blɔd we de flɔ tru di vein klia wan. Dis tɛm, yu kin fil wam wam ɔr fil lɛk yu nid fɔ pis fɔ sɔm sɛkɔn.Yu kin kam. Dat na nɔmal tin.
8. We dɛn dɔn fɛn di rayt say we di blɔk de, dɛn kin pas wan smɔl waya insay am, ɛn dɛn kin pas wan kateshɔn we gɛt tiub pan am.
9. Dɔn di balyɔn go ful-ɔp fɔ sɔm sɛkɔn . Sɔntɛm yu go nid fɔ du dis bɔku tɛm.
10. Wi go tek ɔda ɛkstrem rayt fɔ si aw di blɔd dɔn go bifo.
11. Bɔku tɛm, dɛn kin put stent, lɛk aw wi bin dɔn tɔk, na da say de . Dis stent de ɛp fɔ mek di at opin ivin afta dɛn dɔn pul di balyɔn.
We di tritmɛnt dɔn, di dɔktɔ go pul di kateshɔn, put bandej oba di say we dɛn put am, ɛn ol am na in ples fɔ sɔm tɛm fɔ mek di blɔd nɔ kɔmɔt. If dɛn bin put di kateshɔn tru di groin, yu go nid fɔ ledɔm na bed fɔ sɔm awa.
Ɛni risk de fɔ dis tritmɛnt?
Jɔs lɛk ɛni ɔda mɛrɛsin, angioplasty kin gɛt sɔm prɔblɛm dɛn. Bɔt, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm . I fayn mɔ fɔ mek dɛn du dis wok na say usay dɛn kin du bɔku bɔku tin dɛn wit dɔktɔ dɛn we gɛt ɛkspiriɛns ɛn we kin du dis wok ɔltɛm.
Di prɔblɛm dɛn we kin apin:
- Blɔd, pen, ɔ infɛkshɔn na di say we dɛn put di kateshɔn.
- Wan alɛji to di day ɔ anestetik we dɛn yuz.
- Damej pan blɔd vesel ɔ kidni.
- Fɔmeshɔn fɔ blɔd we de klɔt.
- Di at bit we nɔ de bi (arithmia).
- If dɛn nɔ put stent, di vein go blok bak.
- Na smɔl tɛm nɔmɔ, at atak ɔ strok kin apin.
Pipul dɛn we dɔn pas 65 ia, di wan dɛn we gɛt sik na dɛn kidni, ɔ di wan dɛn we gɛt bɔku bɔku blɔd vesel dɛn we dɔn blok kin gɛt smɔl chans fɔ gɛt prɔblɛm dɛn.
Di tɛm fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
Yu go nid fɔ de na ɔspitul fɔ sɔm awa ɔ fɔ wan nɛt afta di tritmɛnt. Yu kin fil taya smɔl we yu go na os. Gɛt bɔku rɛst ɛn drink bɔku wata . Yu dɔktɔ go advays yu fɔ avɔyd fɔ du tin tranga wan fɔ sɔm dez. Di wund usay dɛn put di kateshɔn kin brus smɔl ɛn i kin tan lɛk wan wik.
I rili impɔtant: Afta yu dɔn trit yu, dɛn go gi yu wan mɛrɛsin we de mek yu blɔd tan lɛk aspirin. I impɔtant fɔ tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, ɛn yu nɔ fɔ mis wan doz . If yu fil se yu nid fɔ stɔp fɔ tek am, mek shɔ se yu tɔk to yu dɔktɔ bifo yu du dat.
Yu fɔ ebul fɔ go bak na wokples ɛn drayv insay lɛk wan wik so. Bɔt dis kin difrɛn difrɛn wan bay di kayn tritmɛnt we yu bin gɛt. Aks yu dɔktɔ bɔt dat bak.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm:
- If di say we dɛn put di kateshɔn de blɔd ɔ i tan lɛk se i gɛt di sik (rɛd, swel, ful-ɔp wit pus).
- If di kɔlɔ fɔ da leg de chenj .
- If yu fil bad bad pen ɔ wam na da say de.
- If yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Angioplasty na tritmɛnt we rili wok ɛn we dɛn kin du bɔku bɔku wan we kin mek di blɔd vesel dɛn we dɔn blok big ɛn mek di blɔd flɔ bak.
- Bɔku tɛm, we dɛn de du dis tritmɛnt, dɛn kin put stent na di at fɔ mek i nɔ lɔk bak.
- Bikɔs dis nɔto big ɔpreshɔn, di prɔblɛm dɛn we kin apin nɔ kin bɔku ɛn i kin wɛl kwik kwik wan.
- Afta tritmɛnt, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn strikt wan, mɔ we i kam pan aw fɔ tek di mɛrɛsin.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ dawt bɔt dis, tɔk to yu dɔktɔ bɔt am opin wan. I de de fɔ ɛp yu.
Angioplasty, at sik, stent, blɔd vesel blok, chɛst pen, at atak, kɔlɔstrel
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