Aortic Dissection - Yu no bɔt dis denja kɔndishɔn?

Yu at na di men say we yu de pɔmp yu wan ol bɔdi. So di men, big blɔd vesel we de kɔmɔt na di at ɛn kɛr blɔd we gɛt ɔksijɛn ɛn klin ɔlsay na yu bɔdi, dɛn kɔl am di aorta. Tink bɔt am lɛk di men wata paip we de gi wata to yu os. Aortic Dissection na we di wɔl na dis men blɔd vesel de te frɔm insay. Dis na imejensi we rili denja, we kin mek pɔsin in layf de pan denja, we kin apin wantɛm wantɛm, ɛn dɛn nɔ kin wɔn pɔsin bifo tɛm.

Wetin na Aortic Dissection? Lɛ wi ɔndastand am simpul wan

Wi aorta na blɔd vesel we gɛt tri layers. I tan lɛk wan wɔl we gɛt tri layers. If fɔ sɔm rizin, wan kray wata apin na di layt we de insay dis wɔl, di blɔd we de flɔ ɔnda ay prɛshɔn de go insay di kray wata ɛn bigin fɔ lik bitwin di tu layers na di wɔl. As di blɔd de ful-ɔp dis we, di tu layers de separet frɔm dɛnsɛf. Na dat wi de kɔl disɛkshɔn.

Tink bɔt am lɛk rod we bɔs tu. We dis kin apin, di nɔmal we aw blɔd kin flɔ na difrɛn pat dɛn na di bɔdi kin ambɔg. εn sכmtεm, dis big at kin bכs kכmplit wan (rכp).

Wetin na di men kayn aortic dissection?

Dɔktɔ dɛn kin sheb dis sik to tu men kayn, we dɛn kɔl di Stanfɔd klasification, we na bay usay di kray wata kin kɔmɔt.

Wetin na di sayn dɛm fɔ dis? Aw fɔ no am?

di men tin we de sho se di aorta disekshכn na dat i kin apin wan wan . No sayn nɔ de fɔ wɔn pɔsin. I kin apin ɛnitɛm, lɛk we yu de slip, we yu de rɛst, ɔ we yu de du ebi ebi wok.

Dis na di sayn dɛm wae yu kin si in jɛnɛral:

• Wantɛm wantɛm, yu nɔ go ebul fɔ bia, shap pen na yu chɛst ɔ ɔp bak. Bɔrku pipul kin kɔl am "rip" ɔr "stab" filin. Dis na di men ɛn kɔmɔn sayn.
• Bɛlɛ pen bad bad wan.
• I nɔ izi fɔ blo (Dyspnea).
• Diziz ɔ vertigo.
• Di blɔd prɛshɔn go dɔŋ wantɛm wantɛm (lɔ blɔd prɛshɔn).
• Wan wik, rɔpid puls.
• We pɔsin de swet pasmak.
• Kɔnfyus.
• I nɔ de si fayn igen.
• Di sayn dɛn we de sho se pɔsin gɛt strok. Fɔ ɛgzampul, we pɔsin wik na wan say na in bɔdi ɔ i nɔ kin izi fɔ tɔk.

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

di men tin we kin mek di aorta disekshכn na we di wכl na di aorta de wik sכmtεm as tεm de go. Dis wikɛd kin apin sikrit wan fɔ lɔng lɔng tɛm, ɛn leta i kin kray na di say we wik pas ɔl.

Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis na di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol (Hypertension) . Di ay blɔd prɛshɔn kin pwɛl di wɔl dɛn na di blɔd vesel dɛn, ɛn dis kin mek dɛn nɔ kin ebul fɔ chenj ɛn wik.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Atɛrosklɛrosis ɔ ay kɔlɔstrel.
• Yuz tin dɛn we dɛn kin yuz fɔ smok (smok).
• Aɔtik anɛrizm.
• Sik dεm na di aorta valv na di at.
• di at dεm we dεn bכn wit, fכ egzampl, bicuspid aortic valve (tu valv dεm insted fכ di tri we dεn kin yus).
• Kɔnɛktif tisu sik dɛn, lɛk Marfan sindrom ɛn Ehlers-Danlos sindrom . Dis na kɔndishɔn dɛn we pɔsin kin gɛt frɔm dɛn mama ɛn papa.
• If sɔmbɔdi na di famili dɔn gɛt aortic dissection bifo.
• Siriɔs injuri na di chɛst (e.g., siriɔs motoka aksidɛnt).
• Bikɔs i ol bitwin 40 ɛn 70 ia.
• di ay blɔd prɛshɔn we uman gɛt bɛlɛ.
• Yuz drɔgs lɛk kɔkɛyn.

Aw dɔktɔ kin no bɔt dis?

We yu go na ɔspitul, di dɔktɔ kin sɔprayz dis sik bay di sayn dɛm we yu gɛt. Bɔt bikɔs dɛn sayn ya tan lɛk we pɔsin gɛt at atak ɔ strok, dɛn nid fɔ du bɔku tɛst dɛn kwik kwik wan fɔ no if i gɛt am fɔ tru.

• CT scan (Computed Tomography): Dis na di bɛst ɛn fastest we fɔ si di aorta klia wan we i gɛt imejensi.
• Echocardiogram: Dis na ɔltra saund tɛst. transεsophageal echocardiogram (TEE) kin sho di aorta klia wan pas transthoracic echocardiogram.
• Chɛst ɛkstrem rayt: I kin gi wan rɔf aydia fɔ no if di aorta dɔn dilayt.
• MRI (Magnetic Resonance Imaging): Pan ɔl we dis kin mek dɛn mek pikchɔ dɛn bak we rili klia, dɛn nɔ kin yuz am bɔku tɛm we tin apin bikɔs i kin tek lɔng tɛm pas CT skan.

Aw dɛn kin trit am?

Di we aw dɛn de trit am dipen pan usay di kray wata de (Tayp A ɔ Tayp B) ɛn di sikman in kɔndishɔn.

Ɔpreshɔn ɛn ɔda tritmɛnt dɛn

1. Graft Riplesmɛnt: Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Insay dis ɔpreshɔn, di dɔktɔ kin pul di pat we dɔn pwɛl na di aorta ɛn put wan sintetik graft insay. Dɛn kin du dis ɔpreshɔn as imejensi tritmɛnt fɔ Tayp A disekshɔn.

. Dis kin mek di wɔl we wik strɔng frɔm insay. dis mεtכd dεn kin yus fכ komplikεt Tayp B disekshכn.

3. Haybrid Aprɔch: Insay sɔm kɔmpleks kes dɛm, dɛn kin gɛt fɔ yuz ɔl tu di opin ɔpreshɔn ɛn stent-graft we dɛn kin yuz togɛda.

Mɛrɛsin dɛn (drɔg dɛn) .

Dɛn kin yuz mɛrɛsin mɔ bifo dɛn du di ɔpreshɔn, afta dɛn dɔn du di ɔpreshɔn, ɛn pan Tayp B kes dɛn usay dɛn nɔ nid fɔ du ɔpreshɔn.

• Dɛn kin gi mɛrɛsin lɛk beta-blɔka fɔ mek di at rit ɛn blɔd prɛshɔn go dɔŋ. dis de ridyus di prεshכn pan di aorta εn i de mek di kray wata nכ de spre mכr.
• Yu fɔ tek mɛrɛsin fɔ di res ɔf yu layf fɔ kɔntrol yu blɔd prɛshɔn.

Yu tink se dɛn go ebul fɔ stɔp dis?

Wi nɔ kin chenj sɔm risk factor dɛm (e.g. hereditary diseases). Bɔt, sɔm tin dɛn de we wi go ebul fɔ kɔntrol.

• Kip yu blɔd prɛshɔn kɔntrol fayn fayn wan.If yu gɛt ay blɔd prɛshɔn, tek di mɛrɛsin we yu dɔktɔ gi yu di rayt we ɛn ridyus di sɔl we yu de it.
• If yu de smok, stɔp wantɛm wantɛm.
• Mek yu gɛt wɛlbɔdi bɔdi wet.
• If ɛnibɔdi na yu famili (mama ɛn papa, brɔda ɛn sista) dɔn gɛt dis sik, tɔk to yu dɔktɔ bɔt am ɛn du di tɛst dɛn we yu nid.
• If yu wɛr sit bɛlt, dat kin mek yu nɔ wund yu chɛst we yu gɛt motoka aksidɛnt.