Yu chɛst na bɔl we tan lɛk balɔ? (Thoracic Aortic Aneurysm) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin fil pen na yu chɛst, yu nɛk, ɔ yu jaw? Ɔ i nɔ kin izi fɔ yu fɔ blo smɔl, ɔ i kin fil lɛk se yu de chok we yu de swɛla? Bɔrku tɛm, wi kin fɔgɛt bɔt dɛn tin ya, wi kin tink se na nɔmal tin, sɔntɛm na sɔntin lɛk gastritis. Bɔt sɔntɛnde, dɛn tin ya kin bi sayn fɔ sɔntin we nid fɔ pe atɛnshɔn smɔl. So, tide wi go tɔk bɔt wan swɛlin we tan lɛk balɔ we kin apin na di men blɔd vesel na wi chɛst, we na di aorta . Insay mɛrɛsin, wi kin kɔl dis `Toracic Aortic Aneurysm` .

Wetin na dis `Tɔrasik Aɔtik Anyurizm`? Fɔ tɔk am simpul wan...

Imajin se yu os gɛt men say fɔ gi wata. Na so di aorta na wi bɔdi de wok. Dis na di big ɛn impɔtant at we de kɛr blɔd kɔmɔt na di at to di wan ol bɔdi. I shep lɛk tiub.

naw, dis `Thoracic Aortic Aneurysm` na we di wכl fכ yu aorta we de rכn tru yu chεst (na dat mek dεn kכl am `Torax` כ chεst cavity) de wik εn bulge aut lεk balכn na wan ples. Sɔm pipul dɛn kin kɔl dis bak dilayshɔn ɔ we di at kin big. jεnarali, if da pat de pan di aorta wayd pas 50% pan in nכmal wit, wi kin kכnsidr am as `Aneurysm`, כ bulge/bulge. dis ``nכmal wit`` kin difrεn frכm ples to ples na di aorta.

dis bulge kin apin enisay na di aorta. כltu, dεn kin apin na di bכdi (wi kin kכl dεm `Abdominal Aortic Aneurysm`), bכt lεk wan pan fכ pipul dεm kin gεt dis kכndyushכn na di chεst.

Smɔl anɛrizm dɛn nɔ kin nid fɔ gɛt big tritmɛnt. Mεdikeshכn εn rεgulεr imej tεst (lεk skan) fכ kכntro di כndalayn kכndyushכn kin inof. Bɔt if yu anɛrizm big ɔ i de gro kwik kwik wan, i kin nid fɔ du ɔpreshɔn fɔ mek yu nɔ gɛt prɔblɛm dɛn we go mek yu layf de pan denja . Dɔktɔ dɛn go disayd di bɛst tritmɛnt fɔ yu ɛn ustɛm fɔ du am, bikɔs dɛn want mek yu gɛt di bɛst rizɔlt.

Aw dis sik kin kɔmɔn?

dis kכndyushכn we dεn kכl `Thoracic Aortic Aneurysm`, kin afekt bitwin 6 εn 10 pan 100,000 pipul dεm. Bɔt i nɔ kin izi fɔ tɔk di rayt nɔmba, bikɔs bɔku tɛm dɛn anɛrizm ya nɔ kin sho ɛni sayn ɛn dat mek dɛn nɔ kin no. Na lɛk 20% pan di sik pipul dɛm we dɛn dɔn no naw gɛt famili histri bɔt dis sik, we min se wan jɛnɛtik link de.

Insay Amɛrika nɔmɔ, dɛn se na lɛk 30,000 pipul dɛn kin day ɛvri ia bikɔs dɛn kin kɔt di aortic ɔ rupchɔ, so dis nɔto sɔntin we wi fɔ tek am natin.

Wetin na di sayn dɛm fɔ wan Thoracic Aortic Aneurysm?

Bɔrku tɛm, pipul dɛm wae gɛt dis ``aneurysm'' nɔr kin no bɔt am, bikɔs bɔrku tɛm nɔr kin gɛt ɛni sayn.Bɔt sɔntɛnde, i kin sho sayn dɛn lɛk dis:

• Fɔ fil pen na yu jaw, nɛk, chɛst, ɔ ɔp bak .
• I nɔ izi fɔ swɛla ɔ i kin fil pen we yu de swɛla (if di aneurism de prɛs pan yu εsophagus).
• di vɔys we de ala (if dis anεrizm de kɔmprεs di nεv dεm we de kכntro yu vɔys).
• Kɔf ɔ i nɔ izi fɔ blo (if di anɛrizm de kɔmprɛs yu aywe).

di simptom dεm fכ wan aneurism rupture (`Rupture`) כ dissection (`Dissection`) - dis na imejensi!

Bɔrku pipul dɛn nɔr kin gɛt ɛni sayn, ɛn afta dat, wantɛm wan aneurysm kin brok ɔr kin skata. Dɛn tu tin ya na mɛdikal imejensi dɛn we nid fɔ gɛt tritmɛnt wantɛm wantɛm! Di sayn dɛm kin bigin wantɛm wantɛm ɛn kin rili bad. If yu ɔ ɔda pɔsin gɛt ɛni wan pan dɛn sik ya , yu fɔ go na ɔspitul wantɛm wantɛm :

• Wantɛm wantɛm, pen we pɔsin nɔ go ebul fɔ bia na in chɛst ɔ bak. Sɔm pipul dɛn kin tɔk se i de chuk am, i de te, ɔ i de bɔn.
• Diziz ɔ filin fɔ spin.
• I nɔ kin izi fɔ yu fɔ blo.
• Di at rit de go ɔp.
• We pɔsin de swet pasmak.
• Kɔnfyus.
• I nɔ izi fɔ tɔk.
• I nɔ de si fayn igen.
• Wik ɔ swɛt na wan say na di bɔdi.

Insay dis kayn tin , ɛvri awa ɛn minit kin impɔtant. Di mɔ yu de delay fɔ go to tritmɛnt, na di mɔ yu nɔ go ebul fɔ sev yu layf. So nɔ tek dɛn sayn ya as sɔntin we nɔ impɔtant.

Wetin na di tin dɛm we kin mek pɔsin gɛt `Toracic Aortic Aneurysm`?

Di men tin we kin mek pɔsin gɛt Thoracic Aortic Aneurysm na wan sik we dɛn kɔl Atherosclerosis. Fɔ tɔk am simpul wan, dis na we fat (plek) kin gɛda insay di wɔl dɛn na wi blɔd vesel dɛn, ɛn smɔl smɔl i kin mek dɛn smɔl. as tεm de go, dεn fεt dεm ya de wik di wכl dεm na di aorta, we de mek i izi fכ divεlכp anεvrizm.

nכmal wan, di wכl dεm na wi aorta kin strכng εn dεn fכ ebul fכ εkspכn εn kכntrakt as nid de we blכd de fכlכ. Tink bɔt am, dis aorta na di say we blɔd de kɔmɔt dairekt frɔm di at. So, i fɔ ebul fɔ bia wit di prɛshɔn we dɛn kin mek we di at de pɔmp blɔd tranga wan.

Aorta we gɛt wɛlbɔdi kin du dis witout ɛni prɔblɛm. כltu, if di wכl dεm na di aorta wik, di prεshכn we de kכmכt na di at kin mek wan pat pan di aorta bulge kכmכt na do, we de fכm wan aneurism. dis bulge nכ de nכmal, i de chenj di shep fכ di aorta in tכb. As blɔd de kɔntinyu fɔ flɔ tru dis bulge, dɛn kin put mɔ prɛshɔn pan di wɔl dɛn we dɔn ɔlrɛdi wik, ɛn dis kin mek dɛn wik mɔ ɛn mɔ. Dis kin mek di wɔl dɛn kin bɔl mɔ ɛn mɔ. Di mɔ we di anɛrizm de big, na di mɔ i de mek i denja.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

εnitin we de wik di wכl dεm na di aorta de mek di risk fכ divεlכp anεvrizm bכku. Apat frɔm di atrɔsklerɔsis, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• `Aɔtaytis`: Na inflammatory kondishכn we de apin na di aorta.
• `Bicuspid aortic valve disease` : di aorta valv na di at gεt tu liflet dεm (nכmal wan i fכ de tri).
• Koronari atεri sik (CAD) : Sik dεm we de fכm di korona at dεm we de gi bכdi to di at mכsul.
• Fɔ gɛt famili histri bɔt aneurysm (famili histri).
• Di ay blɔd prɛshɔn .
• Loeys-Dietz syndrome : Na wan rεre jεnεtik kכndyushכn we involv kכnektiv tisu.
• Marfan syndrome : Na כda jεnεtik kכndyushכn we de afekt di kכnektiv tisu.
• Bikɔs i dɔn pas 65 ia.
• Fɔ smok ɔ yuz ɛnitin we dɛn mek wit tabak.
• `Turner syndrome` : Na jεnεtik kכndyushכn we de afekt uman dεm nכmכ.
• Vascular Ehlers-Danlos syndrome : Na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt di blɔd vesel dɛm.

Yu tink se dɛn kin gɛt di Thoracic Aortic Aneurysm?

Yes, Thoracic Aortic Aneurysm kin rɔn na famili. Dat min se dɛn kin pas am to jɛnɛreshɔn dɛn. Risach pipul dɛn dɔn no bɔku tin dɛn we kin chenj na di jɛnɛtiks we kin mek di prɔblɛm bɔku. pan dεn wan ya, di mכtεshכn dεm na di ACTA2 jin na dεn wan dεm we kכmכn pas כl.

di ACTA2 jin de tεl wi bכdi fכ mek sכm protin dεm na di wכl dεm na wi at. dis protin dεm de εp di wכl dεm na wi at dεm fכ mεnten dεn shep bay we dεn de sכpכt di prεshכn we blכd de fכlכ tru dεm. if mכtεshכn de na di ACTA2 jin, di wכl dεm na wi at dεm kin strεch tu mכch we bכdi de fכlכ tru dεm.

Bɔt yu nɔ go se yu dɔn gɛt wan chenj na yu jɛnɛtik jɔs bikɔs yu gɛt anɛrizm. Bɔt di risk kin bɔku. If pɔsin we de nia yu fambul (we gɛt fɔ du wit bayoloji) dɔn gɛt Thoracic Aortic Aneurysm, i fayn fɔ tɔk to yu dɔktɔ. I kin tɛl am bak fɔ du tɛst fɔ no if pɔsin gɛt in jɛnɛtiks .

usai dis `Thoracic Aortic Aneurysm` de apin?

dis dεm de fכm usay di wכl dεm na di aorta wik. tin dεm lεk `Atherosclerosis` (fεt dεposit) we wi bin tכk bכt, כ kכnektiv tisu sik dεm, de wik di wכl dεm na di aorta, we de mek i izi fכ `Aneurysm` fכ fכm.

Yu no se di aorta na di big blɔd vesel na wi bɔdi? I tan lɛk wan ol-fashin stik we dɛn kin yuz fɔ waka. I kin bigin na di at, i kin kɔba ɔp, dɔn i kin go dɔŋ tru di chɛst ɛn di bɛlɛ. I kin dɔn jɔs ɔp di nɛf.

כlsay na di tכraks Aortic Aneurysm de divεlכp na di ascending aorta כ dεsεnd aorta. sכm tεm, i kin divεlכp bak na di arch pat pan di aorta – di pat we lεk di handel fכ stik.

Aw siriɔs wan na Thoracic Aortic Aneurysm?

Thoracic Aortic Aneurysm na siriɔs mɛrɛsin sik. Bɔku prɔblɛm dɛn de we kin apin:

• Di anɛrizm we kin brok.
• Disekshɔn na di aɔta .
• di bכdi kכlכt dεm de fכm na di say we di anεvrizm de εn i de travul go כda pat dεm na di bכdi (thromboembolism). Dɛn blɔd ya kin mek pɔsin gɛt siriɔs sik lɛk strok ɔ mesenteric ischemia .
• di aorta valv rigεtεshכn .

Dis na rili siriɔs tin dɛn we kin apin. Na dat mek wi nid fɔ tek tɛm wit dis `Aneurysm`.

Aw dɛn kin no dis `Toracic Aortic Aneurysm`?

Bɔrku tɛm, dɛn kin no bɔt wan Thoracic Aortic Aneurysm bay aksidɛnt . Dis min se dɛn kin kam fɔ no am we dɔktɔ dɛn de du tɛst fɔ ɔda rizin. fכ egzampl, we yu tek εks-ray na yu chεst, i kin sho se di midul pat pan yu chεst (di mεdiastinum) wayd pas aw i nכmal. Dis kin bi sayn fɔ se yu gɛt anɛrizm.

If yu dɔktɔ sɔspɛkt se yu gɛt Thoracic Aortic Aneurysm, ilɛksɛf na ɛkstrem rayt ɔ fɔ ɔda rizin, i go ɔda fɔ du dɛn tɛst ya:

• `Kɔmpyuta tomografi (CT) angiogram` : Dis na spɛshal CT skan.
• `Echocardiogram (echo)` : Na ɔltra saund skan fɔ di at.
• Magnetic resonance angiogram (MRA) : Na skan we de luk pan blɔd vesel dɛn we dɛn de yuz MRI tɛknɔlɔji.
• Abdominal ultrasound : Na ultrasound test fכ chεk fכ aneurism na di abdominal aorta.

Wetin na di tritmɛnt dɛm fɔ Thoracic Aortic Aneurysm?

Aorta ɔpreshɔn na di men ɛn mɔs pɔrmanent tritmɛnt fɔ Thoracic Aortic Aneurysm. Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ du ɔpreshɔn. Sɔm pan dɛn na:

• Tradishכnal opin כpεrayshכn : Dis involv fכ mek wan lכng insayshכn dכn di midul pan di chεst, pul di pat we dεn dכn pwεl na di aorta, εn riples am wit atifishal tyub (graft). dis mεtכd dεn kin yuz fכ trit di anεvrizm dεm na di ascending aorta, εn bak di kכmpleks anεvrizm dεm na di chεst εn bכdi.
• Thoracic endovascular aortic repair (TEVAR) : Dis na ɔspitul we nɔ de invayd smɔl . Dis min se dɛn kin du am we dɛn nɔ mek big big say dɛn. dεn kin yus am fכ trit di anεvrizm dεm na di aorta we de dכn. Insay dis prosidur, di ɔspitul kin mek smɔl smɔl say dɛn na yu groin, i kin yuz wan at (femoral artery) we de pas tru am, ɛn yuz kateta (tin tiub) fɔ put graft insay di aneurism.
• Aorta rut riplesmɛnt: Dɛn kin du dis ɔpreshɔn fɔ wan `Aneurysm` na di say we di aorta kin kɔnɛkt to di at (`Aortic root`). Dis kin min bak fɔ chenj yu aɔta valv. Ɔda we de fɔ du dat, yu kin yuz `Valve-sparing techniques` fɔ kip yu natura valv.

Sɔntɛnde, di dɔktɔ dɛn we de du ɔpreshɔn kin jɔyn mɔ pas wan pan dɛn we ya (fɔ ɛgzampul, opin ɔpreshɔn ɛn ɛndovaskyuɛl tritmɛnt) dipen pan di kayn we aw di anɛrizm tan. Fɔ gɛt tritmɛnt na aorta sɛnta de mek yu opshɔn ɛn yu chans fɔ gɛt gud autkam.

Ustɛm a go nid ɔpreshɔn?

Di dɔktɔ go disayd if yu nid fɔ ɔpreshɔn, ɛn if na so, ustɛm, bay we i tink bɔt dɛn tin ya:

• di sayz εn di say we di anεvrizm de.
• Aw fast di aneurism de gro .
• If di aneurism de mek yu gɛt di sik ɛn aw i tranga .
• Ɔda ɔndalayn mɛdikal kɔndishɔn dɛn we yu gɛt.

If di anɛrizm big ɔ i de mek yu gɛt sɔm sayn dɛn, dɛn kin nid fɔ du ɔpreshɔn fɔ mek i nɔ bɔs. di saiz fכ wan anεvrizm implεnt biכs di mכr i big, na di mכr i go bכst. Bɔku tɛm, dɔktɔ dɛn go disayd fɔ du ɔpreshɔn if di anɛrizm waid bitwin 2 ɛn 2.2 inch (lɛk 5 to 5.5 sɛntimita), ɔ if i de gro wit lɛk af sɛntimita ɛvri ia.

Bɔt, nɔto jɔs di saiz nɔmɔ de kɔnt. If yu gɛt kɔnektiv tisu disɔda, baykuspid aɔta valv, ɔ ɔda tin dɛn we de mek yu gɛt mɔ prɔblɛm fɔ brok ɔ brok, yu dɔktɔ kin disayd fɔ du ɔpreshɔn kwik kwik wan. Tɔk to yu dɔktɔ bɔt di sayz we yu anɛrizm gɛt ɛn ustɛm yu go nid fɔ du ɔpreshɔn.

"Watchful wet fɔ wet".

If di aneurism smɔl ɛn nɔ gɛt ɛni sayn, yu nɔ go nid fɔ du ɔpreshɔn wantɛm wantɛm. Bifo dat, yu dɔktɔ go wach yu kɔndishɔn (dɛn kɔl dis wachful waiting). Dɛn kin gi yu mɛrɛsin bak fɔ ridyus di prɔblɛm dɛn we kin mit dɛn.

fכ egzampl, dεn kin כda imej skan εvri 6 to 12 mכnt fכ chεk fכ chenj dεm na di anεvrizm. Dɛn kin gi yu mɛrɛsin bak fɔ mek yu blɔd prɛshɔn go dɔŋ ɛn fɔ ridyus di prɛshɔn na di pat we wik na yu aorta. Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we di bɛnifit dɛn we yu go gɛt pas di prɔblɛm dɛn we yu go gɛt .

Yu tink se dɛn kin mek yu nɔ gɛt Thoracic Aortic Aneurysm?

No patikyula we nɔ de fɔ mek dɛn nɔ gɛt dis sik. Bɔt yu kin ridyus yu risk fɔ gɛt atherosclerosis (we na wan men tin we kin mek yu gɛt aneurysm). Na sɔm tin dɛn we yu kin du:

• Kɔntrol yu blɔd prɛshɔn ɛn di kɔlɔstrel lɛvɛl.
• Fɔ fala di it we go ɛp yu at (e.g., di Mɛditarenian Dayt ).
• Nɔ it ɔl di tin dɛn we dɛn kin mek wit tabak.
• Gɛt at le 150 minit ɛksesaiz we gɛt mɔdaret-intensiti insay wan wik (bɔt tɔk to yu dɔktɔ bifo yu bigin fɔ du nyu ɛksɛsayz plan).
• Yu fɔ chɛk-ap ɛvri ia, ɛn atɛnd ɔl di apɔntinmɛnt dɛn we dɛn dɔn sɛtul fɔ fɔ fala yu.

Aw lɔŋ yu kin liv wit wan Thoracic Aortic Aneurysm?

di tεm we yu de liv de dipכnt pan bכku tin dεm, inklud di sayz fכ di anεvrizm εn if i de mek kכmplikεshכn. Big big aneurism kin bi denja. Na lɛk 65% pan di pipul dɛm we gɛt big anɛrizm we dɛn nɔ trit kin liv wan ia afta dɛn dɔn no se dɛn gɛt am. Na 20% nɔmɔ de liv fɔ fayv ia.

Bɔt if yu trit yu fayn, yu go ebul fɔ liv lɔng ɛn yu go ebul fɔ liv lɔng ɛn gɛt wɛlbɔdi. Na dat mek i impɔtant fɔ no if yu de pan denja fɔ gɛt Thoracic Aortic Aneurysm ɛn wok wit yu dɔktɔ fɔ manej di sik.

Aw a kin kia fɔ misɛf?

If yu gɛt aneurysm, yu dɔktɔ go gi yu advays bɔt aw fɔ kia fɔ yusɛf. I kin tɔk tin dɛn lɛk:

• Nɔ du ɛksɛsayz we yu de tray tranga wan. Tin dεm lεk hεvi weitliftin כ hεvi-intεnsiti intaval trenin (HIIT) kin put εkstra strεs pan yu at. Aks yu dɔktɔ us kayn ɛksɛsayz we nɔ bad fɔ yu.
• Nɔ yuz tabak. Tabak kin mek yu gɛt bɔku sik dɛn we de ambɔg yu at ɛn blɔd. If yu de smok ɔ yu de yuz ɔda tin dɛn fɔ smok, aks fɔ ɛp fɔ lɛf fɔ smok.
• Mek chenj dɛn na di it we yu de it. Yu kin nid fɔ ridyus di sɔl we yu de it ɔ mek ɔda chenj dɛn we go fayn fɔ yu at dɛn wɛlbɔdi.
• Tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek. Yu kin nid mɛrɛsin fɔ kɔntrol di ɔndalayn mɛdikal kɔndishɔn dɛn. Aks yu dɔktɔ if yu gɛt kwɛstyɔn bɔt aw fɔ tek dɛn mɛrɛsin ya.
• Nɔ it tin dɛn we de mek yu at bit mɔ ɛn mɔ. Sɔm ɛgzampul dɛn na kɔkɛyn, amfɛtamin, ɛn sɔm ɛbul supamakit dɛn.

Ustɛm a fɔ go to mi dɔktɔ?

Si yu dɔktɔ fɔ mek dɛn chɛk yu ɛvri ia, ɛn kip ɔl yu fɔl-ap apɔntinmɛnt dɛn. Kɔl yu dɔktɔ wantɛm wantɛm if:

• If yu notis nyu sayn dɛm ɔr chenj na di sayn dɛm wae dɔn de .
• If di mɛrɛsin mek yu gɛt sayd ɛfɛkt dɛn we yu nɔ bin de ɛkspɛkt .
• If yu gɛt kwɛstyɔn ɔr wɔri bɔt yu tritmɛnt plan.

Ustɛm a fɔ go na di imejensi rum (ER)?

Simptom dɛm fɔ wan rupchɔ ɔ rupchɔ anɛrizmIf na so, kɔl 911 (1990 na Sri Lanka) ɔ go na di imejensi rum we de nia yu wantɛm wantɛm. Dis na mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan fɔ sev pipul dɛn layf.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt Thoracic Aortic Aneurysm, yu nɔ go no wetin fɔ aks fɔs. Na sɔm kwɛstyɔn dɛn ya fɔ mek yu bigin:

• Aw big mi aneurism de?
• Dis mɔni na sɔntin we wi fɔ wɔri bɔt?
• Wetin bin fɔ dɔn mek dis `aneurysm`?
• Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
• Us chenj dɛn a nid fɔ mek na mi layf?
• Aw ɔltɛm a fɔ kam fɔ fala-fala tɛst?

Wetin na dis `Toracoabdominal aneurysm`?

Dis na wan kayn `Aneurysm` bak. dis na `Aneurysm` we de go tru כl tu yu chεst (`Thorax`) εn yu bεlε (`Abdomen`). dis kayn de mek lεk 15% pan כl di `Aneurysms` dεm we de divεlכp na di aorta.

Fɔ no se yu gɛt aneurism na yu chɛst kin mek yu fred. Sɔntɛm yu nɔr dɔn ɛva tink bɔt di wɛl bɔdi fɔ yu at ɔ aw dɛn de wok. Ɔ, sɔntɛm dɛn bɔn yu wit wan sik we de mek yu gɛt kɔnektiv tisu, so yu rili no aw yu bɔdi de wok insay. I nɔ mata wetin yu no, naw na di tɛm fɔ lan mɔ bɔt yu sik ɛn tek akshɔn fɔ ridyus yu risk fɔ gɛt prɔblɛm dɛn.

Tɔk to yu dɔktɔ bɔt wetin yu kin ɛkspɛkt bay aw yu sik. I go ebul fɔ mek yu tritmɛnt plan fɔ wetin yu nid, ansa yu kwɛstyɔn dɛn, ɛn gi yu di no we yu nid fɔ go bifo.

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

Thoracic Aortic Aneurysm na wan siriɔs sik. Bɔt if yu no kwik, yu gi yu di rayt advays, ɛn gi yu di rayt tritmɛnt, yu go gɛt bɔku chans fɔ liv wɛlbɔdi, lɔng layf.

• Pe atɛnshɔn to di sayn dɛm: Nɔr ignore tin dɛm lɛk wae yu gɛt sɔd, bad bad chɛst ɔr bak pen.
• Gɛt tɛst if yu gɛt tin dɛn we kin mek yu gɛt dis sik: If pɔsin na yu famili dɔn gɛt dis sik, ɔ if yu gɛt ay blɔd prɛshɔn ɔ yu de smok, go to dɔktɔ.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan: tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek, fala di instrɔkshɔn dɛn bɔt ɛksɛsayz ɛn it, ɛn atɛnd di tɛst ɛn apɔntinmɛnt dɛn we dɛn dɔn sɛtul.
• Nɔ smok kpatakpata: Dis na wan pan di impɔtant tin dɛn we yu go du.

Nɔ wɔri, nɔto yu wan de. Yu mɛdikal tim dɔn rɛdi fɔ ɛp yu. De tin wae impɔtant pas ɔl na fɔ no bɔt dis sik ɛn tek kia ɔf yu wɛl bɔdi tranga wan.

` Thoracic Aortic Aneurysm, aorta, chɛst pen, at sik, blɔd vesel, aneurysm, ɔpreshɔn