Yu dɔn yɛri bɔt di denja sik we dɛn kɔl Aortic Dissection? Lɛ wi tɔk bɔt am ditayli!

Yu dɔn ɛva tink bɔt us kayn damej kin apin to di men blɔd vesel na wi bɔdi, we na di big paip we de kɛr blɔd kɔmɔt na di at to di wan ol bɔdi? Aortic dissection na wan denja sik we kin bi wan wan tɛm we kin mek pɔsin in layf de pan denja. Pan ɔl we dis kin mek pɔsin fred smɔl, i rili impɔtant fɔ no bɔt dis. Bikɔs if dɛn no am kwik, dɛn kin trit am.

Wetin na Aortic Dissection? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, we dɛn de kɔt di aorta na we yu aorta , we na di men blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn kɔmɔt na yu at to yu wan ol bɔdi. Tink bɔt di aorta as di men wata paip na yu os. I de rɔn tru yu chɛst, pas na yu bɛlɛ, ɛn go dɔŋ to yu leg dɛn.

Dis na tin we nɔ kin apin so ɔltɛm. i kin apin lεk dis: di wכl na di aorta de mek wit tri layεr dεm. Fɔ sɔm rizin, di layt we de insay dis wɔl kin wik, ɛn dis kin mek smɔl smɔl tin we de kɔmɔt insay de rɔtin. Dɔn, blɔd we gɛt ay prɛshɔn kin rɔsh tru di kray wata, ɛn i kin sheb di layt we de insay ɛn di layt we de midul. I tan lɛk se dɛn de kɔt wan wɔl insay tu. Dɛn kɔl dis disɛkshɔn .

We blɔd bigin fɔ flɔ na di rɔng say lɛk dis, di nɔmal blɔd flɔ to ɔda pat dɛn na di bɔdi kin blok ɔ ridyus. Sɔntɛnde, di wan ol aorta kin bɔs.

Dis na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja. If dɛn nɔ no di sik ɛn trit am kwik, day kin apin. So, if yu gɛt dɛn sik ya, nɔ panik ɛn go na imejensi rum wantɛm wantɛm.

Dɛn ripɔt se dis sik kin apin bitwin 5 ɛn 30 pan ɛvri milyɔn pipul dɛm ɛvri ia.

Wetin na di men kayn aortic dissection?

Tu men kayn we dɛn de we dɛn kin kɔt di aorta:

1. Stanford Type A Aortic Dissection: Dis kin stat na di biginin fכ yu aorta, di pat we de nia yu at. I kin mek pɔsin in layf de pan denja . Bɔku tɛm, dɛn kin nid ɔpreshɔn fɔ opin in chɛst kwik kwik wan. Dis min se dɛn fɔ mek di say we di aorta we dɔn rɔtin bigin ɔ fɔ pul am ɛn put wan pat we dɛn mek wit prɔstɛtik insay. כl di tεm dεm, di disεkshכn kin kכntinyu כl di we dכn di aorta. Tayp A kin kɔmɔn pas tayp B.

2. Stanfɔd Tayp B Aɔta Disekshɔn:i de stat na di lכw pat pan di aorta, we de fa sכmtεm frכm di at, jכs afta di aorta arch, insay di aorta we de dכn. lεk tayp A, i kin kכmכt frכm di aorta we de dכn to di abdominal aorta. Bɔt i nɔ de involv di fɔs pat pan di aorta. I kin nid fɔ gɛt ɔpreshɔn wantɛm wantɛm ɔ i nɔ kin nid fɔ du ɔpreshɔn wantɛm wantɛm. Dis dipen pan usay di dissekshɔn de ɛn if i de kɔt di blɔd flɔ to yu ɔda ɔgan dɛn.

Dɔktɔ dɛn kin yuz ɔda we fɔ mek pipul dɛn no difrɛn difrɛn tin dɛn, we dɛn kɔl di DeBakey klasifikeshɔn sistem . I gɛt tri kayn. di fכs tכp (Tayp 1) de stat na di aorta we de go כp εn i de go כl di we te to di aorta we de dכn. di sεkכn tכp (Tayp 2) de stat na di ascending aorta εn i de limited to di ascending aorta (dεn tu sεm lεk Stanford tayp A). di tכd tכp (Tayp 3) de stat na di aorta we de dכn εn i de go dכn (dis sכm kayn we lεk tayp B).

Wetin na di sayn dɛm we de sho se dɛn dɔn kɔt di aorta? Aw yu no am?

di men tin we de sho se di aorta disekshɔn na dat i kin apin wantɛm wantɛm . I kin apin ɛnitɛm. Bɔku tɛm, i kin apin we pɔsin de tray tranga wan, ɛn di blɔd prɛshɔn kin go ɔp wantɛm wantɛm. Bɔt, i kin apin bak we yu de slip ɔ jɔs tinap. No wɔnin sayn nɔ de we kin kam bifo am.

Dis na de kɔmɔn sayn dɛm wae yu kin gɛt:

• Wan pen we kin kam wantɛm wantɛm, we kin rili bad ɛn we kin shap na di chɛst ɔ di ɔp pat na di bak. I kin fil lɛk se dɛn de kɔt am insay, chuk am wit nɛf, ɔ lɛk se dɛn de kɔt in skin.
• Bɛlɛ pen bad bad wan.
• I nɔ izi fɔ blo (dyspnea).
• Faint ɔ diziz.
• Lɔw blɔd prɛshɔn.
• di at sawnd dεm we nכ nכmal (diastolic hat murmur כ muffled hat sawnd dεm).
• Wan puls we de rɔn kwik kwik wan ɛn we wik.
• We pɔsin de swet pasmak.
• Kɔnfyushɔn (inability fɔ kɔnsɛntret).
• I nɔ de si fayn igen.
• Di sayn dɛm wae de sho se pɔrsin gɛt strok na fɔ wik na wan say na di bɔdi ɛn i nɔr kin izi fɔ tɔk.

If yu gɛt sayn dɛm fɔ di aɔta disɛkshɔn lɛk dis, mɔ di chɛst pen bad bad wan ɔ sayn dɛm fɔ strok, kɔl 911 wantɛm wantɛm ɔ go na di imejensi rum we de nia yu. Nɔ tek dis fɔ natin, ɛvri sɛkɔn de kɔnt.

Wetin na di tin dɛn we kin mek dɛn kɔt di aorta?

di aorta disekshכn de apin we di sεl dεm na di wכl dεm na di aorta de wik sכmtεm. Dis wik kin dɔn de fɔ lɔng tɛm, te di say we wik pas ɔl na di aɔta wɔl nɔ kin ebul fɔ bia wit am igen. Na da tɛm de wan kray wata kin apin, we kin mek dɛn kɔt di aorta.

Dɔktɔ dɛn biliv se bɔku pan di kes dɛm we dɛn kin kɔt di aɔta na bikɔs ɔf wan bɛsik wikɛdnɛs na di aɔta wɔl (sɔntɛm na inhɛrit). כda kes dεm, di prεshכn we de kכmכt frכm di hεy blכd prεshכn we de kכntinyu kin mek di aorta wכl wik, we kin mek di aorta wכl chεr εn disεkshכn.

di aorta disekshכn kin apin na di εria dεm we di aorta wכl de כnda di big prεshכn. Fɔ ɛgzampul, yu aorta we de go ɔp. di disekshכn dεm na di כp aorta kin kכmכn lεk tu tεm pas di wan dεm na di lכw aorta.

Udat de pan denja pas ɔl fɔ dis? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Bɔku tin dɛn de we kin mek yu gɛt mɔ risk fɔ gɛt aorta dissection. Si if dɛn tin ya apin to yu:

• Di blɔd prɛshɔn we de kɔntinyu (haypa prɛshɔn): Dis na di tin we impɔtant pas ɔl ɛn we kin mek pɔsin gɛt dis sik . di ay blɔd prɛshɔn de pwɛl di tisu layers na di aorta dairekt wan. Dis kin mek di elastik fayv dɛn lɔs, di we aw di wɔl tan kin fɔdɔm, ɛn di wɔl kin tik.
• Atherosclerosis (fat we de na di blɔd vesel) ɔ we gɛt bɔku kɔlɔstrel.
• Yuz tin dɛn we dɛn kin mek wit tabak (sigrɛt, beedis, ɛn ɔda tin dɛn).
• Aortic aneurysm (na abnɔmal bulge ɔ bulge na di wɔl na yu aorta).
• Di sik we de na di aorta valv.
• di at kכndyushכn dεm we dεn bכn wit, lεk wan bicuspid aortic valve (wan valv we gεt tu liflet insted fכ di tri we dεn kin yus) כ Turner syndrome .
• Di sik wae de kam wit di kɔnektiv tisu, lɛk Marfan syndrome ɛn Ehlers-Danlos syndrome, na prɔblɛm wae kin kam frɔm mama ɛn papa to pikin.
• ɔda hεriditri tכraks aorta kכndyushכn dεm, we kin mεntal afekt yu aorta.
• If pɔsin na yu famili dɔn gɛt aortic dissection (family history).
• Aortatis (inflameshɔn/swel na di aorta).
• Bɔku bad bad injuri dɛn na di chɛst. Fɔ ɛgzampul, wan aksidɛnt we motoka we de spid, we pɔsin fɔdɔm frɔm ayt we pas 20 fit.
• Fɔ bi man (man dɛn de pan ay risk pas uman dɛn).
• fכ de bitwin 40 εn 70. As yu de ol, di fleksibiliti fכ di aorta wכl de dכn.
• Fɔ gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ, mɔ we yu de bɔn pikin.
• Aktiviti dɛm wae kin mek yu gɛt ay blɔd prɛshɔn fɔ lɔng tɛm, lɛk fɔ yuz drɔgs lɛk kɔkɛyn ɔ amfɛtamin.

dis kכndyushכn kin divεlכp kwik kwik wan pan pipul dεm we de du pawa liftin εn we kin gεt anεvrizm כ disεkshכn.

If yu gɛt dɛn tin ya we kin mek yu gɛt bɔku prɔblɛm (lɛk aneurism ɔ kɔnɛktiv tisu disɔda), fɛn wan aɔta sɛnta we fayn fɔ yu tritmɛnt. Dɛn sɛnta dɛn ya gɛt di laytst tritmɛnt dɛn. Dɛn kin gi di bɛst kia bak bay we dɛn kin briŋ wan tim we gɛt bɔku bɔku dɔktɔ dɛn (di wan dɛn we de mɛn at, di wan dɛn we de stɔdi bɔt raydio, di wan dɛn we sabi bɔt di jɛnɛtiks). Stɔdi dɔn sho se sɛnta dɛn we spɛshal fɔ trit aɔta sik dɛn gɛt di bɛst autkam fɔ dɛn kɔmpleks kes ya.

Wetin na di prɔblɛm dɛn we kin apin we dɛn kɔt di aorta?

Wan aorta disekshɔn kin mek siriɔs kɔmplikeshɔn dɛn lɛk:

• Strok.
• Damej to di aorta valv.
• At atak.
• At we nɔ de wok fayn.
• di damej pan di insay כgan dεm lεk di kidni dεm.
• di kadyak tamponade: na di wata we de kכmכt bitwin di at mכsul εn di sak we de rawnd di at (pεrikardium).
• Day.

Aw dɔktɔ dɛn kin no se dɛn dɔn kɔt di aorta? Wetin na di we aw dɛn kin no di sik?

Dɔktɔ kin sɔprayz se dɛn dɔn kɔt di aɔta bikɔs ɔf di sayn dɛn we yu gɛt. Bɔt dɛn go nid fɔ no if yu gɛt aortic dissection ɔ ɔda wɛlbɔdi prɔblɛm we gɛt di sem kayn sayn, lɛk at atak ɔ strok. Wit aortic dissection, e kin tranga fɔ fil di puls na yu an ɛn leg. Dɔktɔ kin si bak se di blɔd prɛshɔn na wan an pas di ɔda an.

Dɔktɔ dɛn nid fɔ no if yu dɔn kɔt di aɔta kwik kwik wan bikɔs yu go nid fɔ gɛt ɔpreshɔn kwik kwik wan. We yu mɛdikal tim dɔn no se dɛn dɔn kɔt di aorta, wan spɛshal transpɔt tim kin transfa yu to wan sɛnta we de manej dɛn kɔmpleks kɔndishɔn ya.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:

• Chɛst X-ray: Dis na kwik tɛst we yu kin yuz smɔl raytin fɔ tek pikchɔ fɔ yu at, yu lɔng, blɔd vesel (lɛk di aorta), ɛn bon dɛn na yu chɛst.
• CT skan: Dis tεst de εp fכ si di bεst posbul fכ si di aorta kwik kwik wan we imejensi apin. I kin ɛp dɔktɔ fɔ si if aneurysm ɔ dissection de. Yu kin gɛt spɛshal wata bak (IV kɔntrast) we dɛn injɛkt insay yu vein as pat pan dis tɛst.
• Transthoracic echocardiogram (TTE): Dis de yuz ɔltra saund teknɔlɔji fɔ mek yu at valv dɛn, at chɛmba dɛn, ɛn di biginin fɔ yu aorta (aortic ruot) we de muv.
• Transɛsofagial ɛkokadyɔgram (TEE): .dis kin mek klia, mכr ditayl imej dεm fכ di at valv dεm εn chεmba dεm pas wan rεgulεr transthoracic echocardiogram. I de mek yu si bak di thoracic aorta, we na di blɔd vesel we de na yu chɛst fayn fayn wan. Insay dis tɛst, dɔktɔ kin put ɔltra saund divays tru yu mɔt insay yu ɛsophagus. di εsophagus de dεrekt bihayn yu at εn bifo di aorta we de dכn.
• MRI skan: Dis kin yuz big magnet ɛn redio wev fɔ mek ditayli pikchɔ dɛn bɔt di ɔgan dɛn ɛn di tin dɛn we de insay yu bɔdi, ivin yu aorta. I kin sho pikchɔ dɛn we de muv fɔ di at valv dɛn, di chɛmba dɛn, ɛn aw blɔd de flɔ tru di aorta. Bɔt dis tɛst kin tek lɔng tɛm pas di CT skan we dɛn kin du ɔltɛm, so dɛn nɔ kin yuz am bɔku tɛm we ɛnitin apin we nɔ izi fɔ du.

Aw dɛn kin trit pɔsin we dɛn kɔt di aorta?

di tritmεnt fכ di aorta disεkshכn dipכnt pan di lכkεshכn fכ di tear εn disekshכn.

• Fɔ tayp A aorta dissekshɔn (if di fɔs pat pan di aorta, we de nia di at, afɛkt), yu go nid ɔpreshɔn wantɛm wantɛm.
• Insay tayp B aɔta dissekshɔn, if di disɛkshɔn kɔt di blɔd flɔ to impɔtant ɔgan ɛn bɔdi pat dɛn, lɛk yu kidni, intestin, leg, ɔ spɛnal kɔd, yu go nid fɔ ɔpreshɔn kwik kwik wan. If yu CT skan sho ɛni tin we de mek yu gɛt prɔblɛm, yu go nid fɔ du ɔpreshɔn jisnɔ.
• If yu nɔr tranga, dɛn kin bigin fɔ trit yu fɔ kɔt di aɔta wit mɛrɛsin fɔ mek yu at nɔr de bit ɔ fɔ mek yu blɔd prɛshɔn go dɔŋ. Dɛn kin du ɔpreshɔn leta if prɔblɛm dɛn kam.

Ɔpreshɔn ɛn Ɛndovaskyuɛl Tritmɛnt

Di tin dɛn we dɛn kin du fɔ ɔpreshɔn na:

• Graft riplesmɛnt: Dɔktɔ we de du ɔpreshɔn kin pul di pat we dɔn pwɛl na yu aorta ɛn put wan tiub we dɛn mek wit atifishal tisu (graft). dipכnt pan aw dεn dεsεkt dεm, dεn kin nid bak fכ rεpair yu aorta valv, aorta rut, כ yu aorta arch εn di vein dεm we de kכri bכdi to yu ed εn an. Dis na ɔpreshɔn we dɛn kin du fɔ opin at ɛn na di bɛst tritmɛnt fɔ wan imejensi tayp A aɔta disɛkshɔn.
• Endovaskul stent-graft ripa: .We dɛn de du dis, dɔktɔ kin mek yu aorta frɔm insay. Dɛn kin yuz wan stent graft. Dis na sintetik tiub we dɛn mek wit mɛtal waya we gɛt sɔpɔt (lɛk skɔf) we dɛn tay pan am. di stent de mek di pat we wik na di aorta strɔng. dis εndovaskul ripa na di bεst opshכn fכ komplikεt (blכd fכ fכlכ to imכtant כgan dεm de blכk, כ hεy risk fכm dεm de pan CT skan) tayp B disekshכn. Dɔktɔ kin du dis bay we i kin kɔt smɔl pat na yu fimɔral at we de na yu groin ɛn yuz waya ɛn kateshɔn.
• Haybrid aprɔch: Insay dis prɔsidyu, dɔktɔ de yuz ɔl tu di opin ɔpreshɔn ɛn ɛndovaskyuɛl stent-graft tɛknik fɔ mek di aorta fayn. Dɛn kin yuz dis tɛknik we di ripa nid fɔ go ɔlsay te to di aɔta arch, we de gi blɔd to di bren ɛn di an dɛn. Dis kin bi as imejensi prosidur fɔ tayp A disekshɔn. Dɛn kin du am bak as pat pan tu stej ripa, yu kin yuz baypas frɔm wan blɔd vesel na yu nɛk fɔ ɛp fɔ pripia fɔ ɛndovaskyuɛl ripa fɔ tayp B disekshɔn.

Mɛrɛsin dɛn we dɛn kin yuz

Dɔktɔ kin gi yu mɛrɛsin dɛn lɛk beta-blɔka fɔ mek yu at rit ɛn blɔd prɛshɔn go dɔŋ. Sɔm kes dɛm we dɛn kin pul di tayp B aɔta, dɛn kin yuz mɛrɛsin nɔmɔ fɔ trit di disekshɔn fɔs. Dipen pan aw di kray kray at ɛn di sayz fɔ di disɛkshɔn, dɛn kin du ɔpreshɔn mɔnt ɔ ia afta dat.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ kɔt di aorta?

Bɔrku tin de wae yu nɔr kin chenj wae de mek yu gɛt mɔr risk fɔ gɛt aortic dissection. fכ egzampl, sכm hat kכndyushכn dεm we dεn bכn wit, kכnektiv tisu dizכrd, כ jεnεtik fכktכ dεm we kכnεkt wit famili histri fכ aorta disεkshכn.

Bɔt yu kin ridyus sɔm pan di prɔblɛm dɛn we yu kin gɛt:

• Kɔntrol yu blɔd prɛshɔn.
• Nɔ it tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Ɔltɛm wɛr sit bɛlt we yu de rayd motoka fɔ mek yu nɔ wund yu chɛst if aksidɛnt apin.
• Go fɔ mek dɛn chɛk yu ɔltɛm, ɛn go to dɔktɔ if yu notis ɛni chenj na yu wɛlbɔdi.
• If yu fambul we na yu fɔs digri (mama ɔ papa, pikin, ɔ brɔda ɛn sista) dɔn gɛt aɔta disɛkshɔn, aks yu dɔktɔ fɔ no if yu gɛt aɔta sik. Dɔn yu dɔktɔ kin wach yu ɛn gi yu tritmɛnt we yu nid bifo wan aɔtik ivin apin.

If dɛn no se yu gɛt aɔta anɛrizm, go to dɔktɔ we spɛshal pan aɔta sik dɛn (dɔktɔ we de mɛn yu at ɔ dɔktɔ we de mɛn yu at). Dɛn kin asɛs yu risk ɛn, if nid de, dɛn kin wach yu fɔ ɔpreshɔn fɔ mek yu aorta fayn.

Wetin fɔ ɛkspɛkt if yu gɛt aortic dissection?

Aortic dissection na tin we kin mek pɔsin in layf de pan denja. Pipul dεm wae gεt sכdεn aorta disεkshכn (tayp A) gεt hכy mכtalman rεt. כlmost 40% pan di pipul dεm we gεt tayp A aorta disεkshכn de day wantεm wantεm, bikoz di aorta de rכp kכmplit wan εn blכd de kכmכt.

Pipul dɛm wae kin sev frɔm di imejensi kin lɛf wit krɛse sik na di pat dɛm wae nɔr trit na dɛn aorta. Dis kin nid fɔ gɛt tritmɛnt leta.

Wit di advansmɛnt fɔ di mɔdan tritmɛnt dɛm, di prɔgnosis na di kronik faz de impɔtant. כltu, di layf εkspεktεns afta di aorta disεkshכn de sכt we yu kכmpεr am wit di jεnarכl pכpulεshכn. Bɔt if dɛn trit am kwik kwik wan ɛn mɛn di aɔtik tim, i pɔsibul fɔ liv nɔmal layf fɔ bɔku ia afta dɛn dɔn kɔt di aɔta.

Aw a kin kia fɔ misɛf?

Bɔku tɛm, dɔktɔ go gi yu blɔd prɛshɔn mɛrɛsin lɛk beta-blɔk fɔ mek yu blɔd prɛshɔn ɛn yu at rit. Yu go nid fɔ tek dɛn tin ya fɔ di res ɔf yu layf . Yu kin nid mɔ pas wan blɔd prɛshɔn mɛrɛsin.

I rili impɔtant bak fɔ avɔyd tin dɛn we dɛn kin yuz fɔ smok afta dɛn dɔn kɔt di aɔta.

Aerobic aktiviti dɛm lɛk fɔ waka, baysikul, ɛn swim fayn. Bɔt sɔm tin dɛn lɛk fɔ es ebi ebi (we pas af pan yu bɔdi wet), yu fɔ avɔyd. Dɛn kin mek yu blɔd prɛshɔn go ɔp ɛn put ɛkstra prɛshɔn pan di aorta.

Ustɛm a fɔ go to mi dɔktɔ?

Afta yu dɔn sev frɔm aorta dissekshɔn – ivin if yu nɔ gɛt ɔpreshɔn – yu go nid fɔ go to dɔktɔ ɔltɛm (bɔku tɛm ɛvri 3 to 12 mɔnt) fɔ CT ɔ MRI skan. Dis kin mek dɔktɔ dɛn ebul fɔ kech ɛni chenj kwik ɛn du wetin dɛn se.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Us kayn aortic dissection a gɛt?
• Yu tink se a go nid ɔpreshɔn?
• yu kin rifer mi to wan sopot grup fo pipul dem we don geht aortic dissection?

Wetin na di difrɛns bitwin di aneurism, rupture, ɛn dissection?

Dɛn wɔd ya kin mek wi kɔnfyus smɔl, so lɛ wi mek wi no klia wan:

• Aortic aneurysm: Dis na bulge we lεk balon, lεk balכn we de wik na di wכl na yu aorta. Ɔ wan ol pat pan di aorta de bɔl. wan aorta anεrizm kin mek di aorta rכp כ di aorta dεsεkshכn.
• di aorta rכpshכn: Dis na we di aorta in wכl de kכmplit, כ ol, we de mek bכdi lik tru di ol go insay di εria we de rawnd am.
• Disekshɔn na di aɔta: .dis na di tεm we de insay di layt we de insay di aorta. i de mek di bכdi lik tru, we de separet di insay εn midul layεr dεm na di aorta wכl mכr. dis kin kכmכt fכ lכng distans na di tu say dεm along yu aorta, εn i kin spre bak to di bכdi vεsul dεm we de branch kכmכt frכm di aorta.

Aortic dissection na rili tin we kin mek pɔsin fred ɛn we kin mek pɔsin kɔnfyus. Fɔ sev am kin bi miks bag fɔ filin dɛn. Di we aw yu de fil na tru, ɛn ɔda pipul dɛn de we ɔndastand wetin yu de go tru. Bi yu yon vɔys, aks kwɛstyɔn bɔt ɛnitin we nɔ klia. Kɔntinyu fɔ tek yu mɛrɛsin dɛn, fala ɔl wetin yu dɔktɔ tɛl yu fɔ du, ɛn atɛnd ɔl yu dɔktɔ in apɔntinmɛnt dɛn.

I rili impɔtant fɔ go na wan aɔta sɛnta fɔ ɛksɛlɛns, we gɛt bɔku ɛkspiriɛns fɔ trit dɛn kayn sik ya ɛn we gɛt di sɔpɔt frɔm difrɛn spɛshal pipul dɛn. Di tin dɛn we dɛn kin gɛt frɔm dɛn kayn sɛnta dɛn de bɛtɛ pas di wan dɛn we kin trit smɔl nɔmba pan di wan dɛn we sik.

Di mɛsej we impɔtant pas ɔl fɔ kɛr go na os

So, yu go dɔn ɔndastand naw se Aortic Dissection na wan sik we kin apin wantɛm wantɛm, we rili denja, we kin mek yu layf de pan denja. If yu gɛt pen na yu chɛst wantɛm wantɛm, bad bad wan, yu gɛt bak pen, ɔ yu gɛt sayn dɛn we de sho se yu gɛt strok, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.

• Taym na layf: If yu no di sik kwik kwik wan ɛn trit am, dat kin sev pɔsin in layf.
• Yu fɔ no bɔt tin dɛn we kin mek yu gɛt dis sik: No bɔt tin dɛn lɛk ay blɔd prɛshɔn, smok, ɛn yu famili istri. Tray fɔ kɔntrol dɛn.
• Di rayt tritmɛnt ɛn fɔ fala: Yuz di mɛrɛsin dɛn we yu dɔktɔ tɛl yu jɔs lɛk aw dɛn tɛl yu. Go fɔ mek dɛn chɛk yu na dɔktɔ di rayt tɛm.
• Ɛp frɔm masta sabi pipul dɛn: If i pɔsibul, go to tritmɛnt frɔm spɛshal sɛnta we de trit dɛn kayn sik ya.

Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!

` Aorta dissekshɔn, aorta, aorta, chɛst pen, at sik, ay blɔd prɛshɔn, ɔpreshɔn, imejensi kia