Di men, big blɔd vesel we de kɛr blɔd ɔlsay na wi bɔdi na di aorta, ɔ aorta. Tink bɔt am lɛk di men wata paip we de briŋ wata kam na wi os. Wetin go apin if wan pan di wɔl dɛn na dis paip wik na wan ples ɛn bigin fɔ bɔl ɔnda di prɛshɔn we di wata de prɛs? Na dat na di Thoracic Aortic Aneurysm. wetin kin apin insay dis kes na di wכl fכ wan pat pan di aorta we de rכn tru wi chεst de wik εn bulge lεk balכn כnda di prεshכn fכ di bכdi. Tide, wi go tɔk bɔt dis sik, wae kin apun bɔrku tɛm wae nɔr gɛt ɛni sayn, insay de bɔdi.
Wetin rili na di Thoracic Aortic Aneurysm?
Fɔ tɔk am simpul wan, dis na swel ɔ bulge (aneurysm) na di aorta, di big at we de rɔn tru wi chɛst (thorax). Dis aorta tan lɛk tiub. Bɔt we aneurism fɔm, di shep fɔ da tiub de kin chenj, ɛn wan ples kin bulge kɔmɔt lɛk balyɔn. כltεm, dכkta dεn kin kכl dis kכndyushכn anεvrizm we da pat de pan di at de bi at le 50% waid pas in nכmal wit.
dis kayn aneurism kin fכm enisay na wi aorta. Bɔt i kin apin mɔ na di bɛlɛ. Wi kin kɔl am Abdominal Aortic Aneurysm. Bɔt lɛk wan pan ɔl 4 anɛrizm dɛn we de fɔm kin apin na di chɛst. Wi kin kɔl am Thoracic Aortic Aneurysm.
If yu gɛt smɔl aneurism lɛk dis, i nɔ go nid bɔku tritmɛnt. We yu de tek mɛrɛsin fɔ kɔntrol tin dɛn lɛk ay blɔd prɛshɔn, yu dɔktɔ go skan yu ɔltɛm fɔ si if i de big. Bɔt if di anɛrizm big, ɔ i de gro kwik kwik wan, i kin nid fɔ du ɔpreshɔn bifo siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.
Aw dis sik kin kɔmɔn?
Statistikin sho se dis sik kin afɛkt bitwin 6 ɛn 10 pipul dɛm pan ɛvri 100,000. Bɔt di rial nɔmba kin pas dat. Dis na bikɔs bɔrku pipul nɔr kin sho ɛni sayn ɛn de liv wae dɛn nɔr ivin no se dɛn gɛt dis sik. Na lɛk 20% pan di sik pipul dɛm we dɛn no se gɛt dis sik gɛt dɛn fambul dɛm we dɛnsɛf gɛt am, we min se i kin kɔmɔt frɔm dɛn mama ɛn papa.
Wetin na di sayn dɛm fɔ dis?
De big denja fɔ dis sik na dat bɔrku tɛm nɔr kin gɛt ɛni sayn. Bɔt sɔntɛnde, we di anɛrizm gro big ɛn prɛs pan di ɔgan dɛn we de rawnd am, sɔm sayn dɛn kin sho.
| Di sayn we de sho se di sik de | Rizin |
|---|---|
| Pen na di jaw, nɛk, chɛst, ɔ ɔp bak. | Bikɔs ɔf di prɛshɔn we de kɔmɔt frɔm di anɛrizm. |
| I nɔ izi fɔ swɛla ɔ i kin fil pen we yu de swɛla. | Aneurism de kam bikɔs di εsophagus de bulge. |
| Di vɔys we de ala lawd wan. | biכs fכ di kכmpreshכn fכ di nεv dεm we de kכntro di vכys. |
| Kɔf ɔ i nɔ izi fɔ blo. | wan aneurism de kכz bay we dεn kכmpresh di trakya. |
Imejɛnsi simptom dɛm we kin apin if di aneurism brok (rupchɔ) ɔ disekshɔn (dissection) .
Dis na di stej we denja pas ɔl pan di sik. di wכl fכ wan anεvrizm kin wik εn i kin bכs (rכp) כ te tru tu layεr dεm na di wכl (dissection). Dis na tin we kin apin wantɛm wantɛm ɛn we kin mek pɔsin in layf de pan denja. Dɛn sayn ya kin apin wantɛm wantɛm ɛn rili bad.
If yu ɔ ɔda pɔsin gɛt ɛni wan pan dɛn kayn sik ya, nɔ delay fɔ ivin wan minit. Go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Ɛvri sɛkɔn impɔtant fɔ sev pɔsin in layf.
| Simptom dɛm wae nid fɔ gɛt mɛrɛsin kwik kwik wan | |
|---|---|
| I kin fil pen bad bad wan | Wan pen we kin kam wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia, we kin chuk pɔsin, we kin chuk pɔsin na in chɛst ɔ bak. |
| Diziz we pɔsin kin gɛt | Diziz, yu nɔ de si fayn, ɔ yu de fɔdɔm. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil lɛk se yu nɔ gɛt bɛtɛ briz wantɛm wantɛm. |
| Di at we de blo | Fɔ fil lɛk se yu at de bit fast fast. |
| We pɔsin de swet pasmak | Fɔ swet pasmak fɔ natin. |
| Ɔda tin dɛn we de apin | Kɔnfyushɔn, at fɔ tɔk, nɔ de si fayn, yu nɔ de fil fayn ɔ yu wik na wan say na di bɔdi. |
Wetin mek sɔntin lɛk dis kin apin?
di wכl dεm na wi at dεm nכmal fכ strכng εn fleksibul. Dɛn fɔ ebul fɔ kɔntrakt ɛn strɛch ɔnda di prɛshɔn we di blɔd we de kam insay wit ɛni at bit. Bɔt if dɛn wɔl dɛn ya wik, dɛn nɔ kin ebul fɔ bia wit di prɛshɔn ɛn dɛn kin bigin fɔ bɔl.
Di men tin we kin mek dis apin na wan sik we dɛn kɔl Atherosclerosis . Fɔ tɔk am simpul wan, fat tin dɛn lɛk kɔlɔstrel kin de insay di blɔd vesel dɛn (wi kin kɔl dis plek), smɔl smɔl i kin tik ɛn wik di wɔl dɛn na di blɔd vesel dɛn. Jɔs lɛk aw rɔst kin gɛda insay ol wata paip. dis de mek di wכl dεm na di vessel dεm wik εn i de mek di chans fכ divεlכp anεvrizm bכku.
Wetin na di tin dɛm wae kin mek di risk bɔku?
apat frכm di atεrosklεrosis, εnitin we de wik di wכl dεm na di aorta de mek di risk fכ divεlכp anεvrizm bכku.
| Risk factor | Tɔk bɔt |
|---|---|
| Di ay blɔd prɛshɔn | כltεm de put mכr prεshכn pan di vein wכl dεm. |
| Smok ɛn yuz tabak | i de damej di atεri wכl dεm dεn wan εn i de mek di atεrosklεrosis fכm kwik kwik wan. |
| Famili istri | If sɔmbɔdi na yu fambul we de nia yu dɔn gɛt aneurysm, yusɛf de pan big risk. |
| We pɔsin de ol | Jɛnɛral wan, pipul dɛm wae dɔn pas 65 ia kin gɛt bɔrku risk. |
| Sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks | di kכndyushכn dεm lεk Marfan sεndrכm, Loeys-Dietz sεndrכm, Vascular Ehlers-Danlos syndrome, εn Turner sεndrכm de inkrεs di risk biכs dεn de wik di bכdi in kכnektiv tisu dεm. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Kכndishכn dεm lεk aortatis (inflamεshכn na di aorta), bicuspid aorta valv sik (wan at valv sik), εn korona atεri sik (CAD). |
Aw dɔktɔ dɛn kin fɛn dis?
Bɔrku tɛm, na aksidɛnt kin kam fɔ no dis. Wi kin kɔl am "incidental diagnosis." Dat min se we dɛn du ɛkstrem na di chɛst fɔ sɔm ɔda rizin, di dɔktɔ kin notis se di midul pat na di chɛst (mediastinum) wayd pas aw i kin bi. Na da tɛm de dɛn kin sɔprayz se wan aneurysm.
If dis kayn saspek de, di dɔktɔ go ɔda fɔ du tɛst dɛn lɛk dis fɔ kɔnfirm am:
- kכmpyuta tכmכgrafi (CT) angiogram: dis kin prodyuz rili klia tri-dimεnshכnal imej dεm fכ di aorta.
- Echocardiogram (echo): na ɔltra saund skan fɔ luk aw di at de wok ɛn di fɔs pat pan di aorta.
- Magnetic resonance angiogram (MRA): Na tɛst we fiba CT skan, bɔt dɛn nɔ yuz raytin.
- Abdominal ultrasound: Pipul wae gɛt thoracic aneurysm kin gɛt abdominal aneurysm bak, so chɛk dat bak.
Wetin na di tritmɛnt dɛn we dɛn kin gɛt?
Di difinitiv tritmɛnt fɔ wan thoracic aortic aneurysm na ɔpreshɔn. Bɔt ustɛm ɛn us kayn ɔpreshɔn dɛn go du, i go dipen pan di sayz we di anɛrizm gɛt, usay i de, aw i de gro fast, ɛn yu ɔl wɛlbɔdi.
Ustɛm i nid fɔ du ɔpreshɔn?
If di anɛrizm smɔl, di dɔktɔ kin disayd fɔ wet we dɛn nɔ gɛt ɔpreshɔn. Wi kɔl dis "watchful waiting." Dis min se dɛn go skan di anɛrizm ɛvri 6 to 12 mɔnt fɔ si if i de big, ɛn dɛn go gi yu mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn.
Bɔt,
- If di anɛrizm na 2 inch (lɛk 5.5 sɛntimita) ɔ pas dat, .
- If di aneurism de gro fast pas 0.5 cm pan ia , .
- If di aneurism de mek yu gɛt sɔm sayn dɛn , .
Bɔku tɛm dɛn kin se dɛn fɔ du ɔpreshɔn bikɔs di mɔ di anɛrizm big, na di mɔ i go bɔs.
Men kayn ɔpreshɔn dɛn we dɛn kin du
Bɔku men kayn ɔpreshɔn dɛn de we dɛn de yuz naw.
1. Tradishכnal opin כpεrayshכn: dεn kin kɔt di midul pan di chεst, dεn kin pul di wik pat pan di aorta wit di anεvrizm, εn dεn kin put graft insay in ples.
2. di tכraks εndovaskul aorta ripa (TEVAR): Dis na di prosidכs we nכ de invayt bכku bכku wan. dεn kin mek sכm sכm pat na di groin, εn dεn kin put wan stent graft tru di say we dεn kכl am bay we dεn de yuz kateta to di anεvrizm εn tay am frכm insay.
3. riplesmεnt fכ di aorta rut: dεn kin du dis כpεrayshכn if di anεvrizm de na di rכt fכ di aorta, we de kכnekt to di at. I kin nid bak fɔ chenj di at valv.
Yu dɔktɔ go disayd us tritmɛnt we bɛtɛ fɔ yu.
Yu nɔ tink se dis nɔ go apin?
no we nכ de fכ 100% fכ mek di anεvrizm nכ divεlכp. Bɔt if yu kɔntrol di men tin we kin mek yu gɛt dis sik, we na di at, dat kin mek yu nɔ gɛt di prɔblɛm bad bad wan.
- Kɔntrol yu blɔd prɛshɔn ɛn kɔlɔstrel lɛvɛl bay we yu tek di mɛrɛsin dɛn we yu dɔktɔ gi yu.
- Adopt di we aw yu de it tin dɛn we go ɛp yu at, lɛk di Mɛditarenian Dayt.
- Lɛf fɔ smok ɛn ɔl di tin dɛn we dɛn kin mek wit tabak kpatakpata.
- Ɛksasayz. Du tin dɛn we yu nɔ go ebul fɔ du, lɛk fɔ waka, fɔ at le 150 minit insay di wik. Bɔt tɔk to yu dɔktɔ bifo yu bigin fɔ du nyu ɛksɛsayz.
- Mek yu fɔ chɛk yu mɛrɛsin ɛvri ia.
If yu gɛt dis sik, aw yu kin kia fɔ yusɛf?
If yu dɔktɔ tɛl yu se yu gɛt thoracic aortic aneurysm, nɔ panik. I go gi yu advays bɔt aw fɔ kia fɔ yusɛf we yu de liv wit am.
- Avɔyd tin dɛn lɛk fɔ es wet ɛn fɔ tren we gɛt ay intensiti intaval (HIIT). dis kin put prεshכn we nכ nid pan di aorta. Aks yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu.
- Nɔ yuz tabak ɔltogɛda.
- Ridyus di sɔl we de insay it.
- Tek di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
- Nɔ tek drɔgs we de mek yu at rit (kɔkɛyn, amfɛtamin) ɛn sɔm ɔyl dɛn.
- Stay de kɔntakt yu dɔktɔ ɔltɛm. If yu gɛt ɛni nyu sayn ɔ yu gɛt ɛni sayd ɛfɛkt frɔm yu mɛrɛsin, mek dɛn no wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Thoracic Aortic Aneurysm na wan bulge we lεk balכn na di men bכdi we de na di chεst.
- Bɔrku tɛm, e nɔr kin gɛt ɛni sayn, so if yu gɛt tin dɛm wae kin mek yu gɛt dis sik (hay blɔd prɛshɔn, smok, famili histri), no bɔt am.
- Wantɛm wantɛm, bad bad pen na in chɛst ɔ bak, i nɔ kin izi fɔ blo, ɔ i kin fɔdɔm na siriɔs imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If di aneurism smɔl, dɛn kin manej am wit mɛrɛsin ɛn de wach am ɔltɛm. If i big, dɛn kin trit am wit ɔpreshɔn.
- If yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu kin liv lɔng, wɛl bɔdi pan ɔl we yu gɛt dis sik. Ɔltɛm fala yu dɔktɔ in advays.
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