Yu kin fil shap pen ɔ tayt na yu leg, mɔ na yu shɔl ɛn yu bɔdi, we yu de waka fɔ shɔt tɛm? Di pen kin go afta sɔm tɛm, bɔt i kin kam bak we yu bigin fɔ waka bak? Ɔ yu kin gɛt wund na yu leg fɔ no rizin ɛn i kin tek lɔng tɛm fɔ wɛl? If yu gɛt dɛn sik ya, yu dɔktɔ go dɔn tɔk to yu bɔt ɔpreshɔn. Sɔntɛm yu bin de fred smɔl we yu yɛri di nem. Tide wi de tɔk bɔt dat, wan ɔpreshɔn we dɛn kɔl Aortobifemoral Bypass. Nɔ wɔri, lɛ wi ɛksplen dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Aortobifemoral Bypass?
Imajin se wan men rod na siti dɔn blok kpatakpata bikɔs ɔf trafik. No we nɔ de fɔ mek motoka dɛn pas. Wetin yu kin du da tɛm de? Wi de avoid dat blok eria and bil nyu ‘bypass’ rod fo go di oda said, no bi so? Na dat dis ɔpreshɔn de du.
Aortobifemoral bypass na ɔpreshɔn we de involv di blɔd vesel dɛn na wi bɔdi. Insay dis, dɔktɔ dɛn we de du ɔpreshɔn kin mek wan nyu rod, we dɛn kɔl baypas , fɔ baypas di say dɛn we di men blɔd vesel dɛn na wi bɛlɛ we dɔn blok ɔ we smɔl. Dis kin mek blɔd go bak na wi leg dɛn.
Insay dis ɔpreshɔn, dɔktɔ dɛn kin yuz wan atifishal blɔd vesel, we dɛn kɔl graft . Bɔku tɛm, dɛn kin mek dis wit sɔntin lɛk poliɛsta. Lɛ wi ɔndastand aw i gɛt in nem:
- "Aorto" de tכk bכt di big bכdi we de na wi bכdi, di aorta . I kin bigin na di at ɛn afta dat i kin pas na di chɛst ɛn go insay di bɛlɛ.
- "Femoral" de tכk bכt di fεmoral atεri dεm, we de stat na wi groin εn de rכn along wi tכŋ dεm to bihayn wi ni dεm.
- "Bi" min 'tu'. dat min se dis graft de kכnekt to di tu fεmoral atεri dεm na yu tu leg dεm.
Dis graft luk lεk wan apsayd-dכwn "Y." di singl εnd we de tכp de kכnekt to di lכw pat pan di aorta na di bכdi. di tu leg dεm na di Y de kכnekt to di fεmoral atεri dεm na di leg dεm. Dis we ya, blɔd kin pas di blɔk ɛn flɔ izi wan to di leg dɛn.
Wetin mek wi nid fɔ du dis kayn ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn mɔ as tritmɛnt fɔ wan sik we dɛn kɔl Aortoiliac occlusive disease . Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di stori rili simpul. wetin kin apin na we di kכlestכl εn כda fεt dεm (plak) kin bכku as tεm de go insay di men blכd vesel dεm na wi bכdi εn wi bכdi. Di men blɔd vesel dɛm we dɛn kin afɛkt dis we na:
- Abdominal aorta: Dis na di pat pan di aorta we de go dכn frכm insay wi bεlε.
- Iliak at dɛn: .dis dεm de bigin nia di groin, usay di aorta de sheb to tu. dis na dεn wan dεm we de travul go na di groin εria εn bi di fεmoral atεri dεm.
We plek kam insay dɛn blɔd vesel ya ɛn mek dɛn smɔl, di pat dɛn we de dɔŋ na wi bɔdi lɛk di leg, fut, ɛn ɔda pat dɛn na di bɔdi, nɔ kin gɛt di blɔd we gɛt ɔksijɛn we dɛn nid. We dis sik kin tranga, difrɛn kɔmplikɛshɔn kin kam.
Di tin we impɔtant pas ɔl na dat dis ɔpreshɔn nɔ go ebul fɔ mɛn di sik ɔltogɛda. Bɔt i kin ɛp fɔ kɔntrol di sik dɛn ɛn fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn.
| Kɔmplikɛshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Leg pen we yu de waka (Intermittent claudication) . | Shap pen ɔ tayt we kin apin we di mɔsul dɛn nɔ gɛt di blɔd we dɛn nid we dɛn de waka. I kin stɔp we i de rɛst. |
| Bɔrku pen wae kin apun ivin wae pɔrsin de rɛst | Di blɔd nɔ de go fayn so dat di leg dɛn kin at ivin we yu nɔ de du ɛnitin, mɔ na nɛt. |
| Gangrene sik we dɛn kɔl Gangrene | Di blɔd we de go na di tisu dɛn kin lɔs kpatakpata, ɛn dis kin mek dɛn day. Dis kin mek sɔm pat dɛn na di fut tɔn blak. |
| Dɛn kin kɔt dɛn an | If dɛn nɔ ebul fɔ kɔntrol di gangrene, dɛn kin gɛt ɔpreshɔn fɔ pul wan pat pan di leg fɔ sev layf. |
Yu tink se dis na siriɔs ɔpreshɔn? Yu tink se ɔda tin dɛn de we yu go ebul fɔ du?
Yes, aortobifemoral bypass na opin ɔpreshɔn we dɛn kin du tru wan big say we dɛn kɔt na di bɛlɛ. So, dɛn kin tek am as big ɔ big ɔpreshɔn.
Bɔt tide, we di tɛknɔlɔji dɔn go bifo, ɔda tritmɛnt dɛn de fɔ dis. wan pan di men wan dεm na wan mεtכd we dεn kכ l aortoiliac stenting wit bifurcation reconstruction (AISBR) . Dis de insay di kategori we dɛn kɔl ɛndovaskyuɛl ɔpreshɔn .
Fɔ tɔk am simpul wan, dis min se dɛn fɔ put kanula insay di blɔd vesel tru wan smɔl ol na di groin, go na di say we i dɔn blok, ɛn put wan smɔl tiub we tan lɛk mɛsh (stɛnt) tru am fɔ mek di blɔd vesel big bak. Dis we ya nɔ gɛt bɔku prɔblɛm dɛn we dɛn kin gɛt we dɛn de du ɔpreshɔn ɛn i kin de na ɔspitul fɔ shɔt tɛm.
Yu dɔktɔ go disayd us opshɔn go fayn fɔ yu. Tipikli, dɛn kin advays fɔ mek dɛn put stent fɔ pipul dɛn we gɛt ay risk fɔ gɛt big ɔpreshɔn bikɔs ɔf ɔda mɛrɛsin. Bɔt sɔntɛnde, i kin nid fɔ du ɔpreshɔn pan am, i kin dipen pan aw di tin we dɔn blok bad bad wan. So tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du ɛn di gud ɛn bad tin dɛn we yu go du.
Aw wi kin pripia bifo dɛn du di ɔpreshɔn?
Big ɔpreshɔn lɛk dis kin nid fɔ pripia bɔku tɛm. Yu mɛdikal tim go gi yu di instrɔkshɔn dɛn we yu nid. Jɛnɛral wan, yu fɔ tek kia ɔf dɛn tin ya.
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok ɔltogɛda at le 3-4 wik bifo dɛn du di ɔpreshɔn. Fɔ lɛf fɔ smok rili impɔtant fɔ mek di ɔpreshɔn go bifo, ɛn fɔ mek yu at ɛn yu blɔd vesel dɛn gɛt wɛlbɔdi leta.
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: If yu de tek mɛrɛsin fɔ tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, yu fɔ tɛl yu dɔktɔ bɔt am. Sɔm mɛrɛsin dɛn kin nid fɔ stɔp ɔ chenj di doz bifo dɛn du di ɔpreshɔn.
- Fast bifo dɛn du di ɔpreshɔn: Dɛn go tɛl yu fɔ avɔyd fɔ it ɔ drink afta midnayt di nɛt bifo dɛn du di ɔpreshɔn. Fɔ fala dɛn instrɔkshɔn ya gud gud wan.
- Fɔ gɛt di tɛst dɛn we yu nid: Yu go nid fɔ du bɔku tɛst fɔ no if yu gɛt wɛlbɔdi bifo dɛn du di ɔpreshɔn.
- Ankle-brachial index (ABI): Na tɛst we de mek pɔsin no di blɔd prɛshɔn na di leg dɛn.
- Vascular ultrasound (Doppler scan): Na skan fɔ luk gud wan aw blɔd de flɔ insay di blɔd vesel ɛn ɛnitin we blɔk.
- Tεst dεm lεk ECG εn Echo we de chεk di hεlth fכ di at εn korona at.
Wetin kin rili apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, bikɔs dɛn go de ɔnda jenɛral anestezi yu. Di ɔspitul tim go fala dɛn step ya:
1. Anestesia: Dɛn kin put yu na dip slip.
2. Fɔ mek di say dɛn we dɛn kɔt: Fɔs, dɛn kin mek wan big say we dɛn kɔt (laparotomy) along di lɔng we di bɛlɛ de fɔ rich na di aorta. afta dat, dεn kin mek tu כda say dεm na di tכp pat pan di groin fכ rich di fεmoral atεri dεm.
3. Fɔ put graft insay:di sajin de tek di atifishal bכdi we shep "Y" εn i de siw di tכp εnd pan am oba di blכk we de na di aorta. di tu leg dεm we de dכn na di Y dεn sכm dεn dכn di blכk we de na di fεmoral atεri dεm.
4. Klos di say dεm we dεn sכk: afta dεn dכn mek di nyu baypas, dεn kin kכloz di say dεm we dεn mek na di bכdi εn di groin wit stich כ step.
Dis ɔl ɔpreshɔn kin tek bitwin 2 ɛn 6 awa .
Wetin kin apin na ɔspitul afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na di ɔspitul fɔ bitwin 4 ɛn 7 dez. Insay dis tɛm, di mɛdikal tim go tek kia ɔf yu gud gud wan.
- Dɛn go kip yu na di intensiv kia yunit (ICU) ɔ spɛshal wɔd ɛn dɛn go de wach yu gud gud wan fɔ ɛni prɔblɛm, mɔ we yu gɛt infɛkshɔn.
- A kin chɛk ɔltɛm fɔ si if di blɔd we de go na yu leg dɛn fayn.
- Dɛn go ɛp yu fɔ waka smɔl smɔl. Fɔs, smɔl distans, dɔn yu fɔ mek di distans go ɔp de go de.
- Dɛn kin gi mɛrɛsin fɔ mek pɔsin nɔ fil pen fɔ kɔntrol di pen.
Wetin na di sakrifays ɛn di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Dis ɔpreshɔn kin rili wok fayn. Akɔdin to di statystik, bitwin 80% ɛn 95% pan di ɔpreshɔn dɛn kin mek di blɔd flɔ fayn fayn wan fɔ 5 ia. Na 10 ia, di sakses rεt de bitwin 74% εn 86%.
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin. Bifo yu panik, mɛmba se di mɛdikal tim go du dɛn bɛst fɔ ridyus di chans fɔ mek dɛn tin ya apin.
Di prɔblɛm dɛn we kin apin:
- At atak
- Strok
- Blɔd we de kɔmɔt pasmak
- Blɔd we de klɔt
- Infekshɔn dɛn we dɛn kin gɛt we dɛn kin du ɔpreshɔn pan wund
- Graft infεkshכn
- Kidni we nɔ de wok fayn
- Lɔng we nɔ de wok fayn
Tɔk opin wan wit yu dɔktɔ bɔt dɛn prɔblɛm ya bifo yu du di ɔpreshɔn ɛn aks ɛni kwɛstyɔn we yu gɛt.
Fɔ wɛl ɛn fɔ tek tɛm afta yu dɔn go na os
I kin tek 2 to 3 mɔnt fɔ mek yu wɛl ful wan, bɔt yu fɔ ebul fɔ bigin du tin dɛn we yu nɔ bin de du bak smɔl smɔl insay 4 to 6 wik.
Di say dɛn we dɛn kɔt kin mek yu fil pen fɔ di fɔs wik dɛn. Yuz di pen kil we yu dɔktɔ gi yu fɔ dis.
- Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am: Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm ɛn di rayt doz.
- Kip di wund dɛn klin: Tek tɛm fala yu dɔktɔ in instrɔkshɔn dɛn bɔt aw fɔ was ɛn put mɛrɛsin.
- Ɛksasayz:Di bɛst ɛksesaiz fɔ du we yu bigin fɔ du am na fɔ waka. Smɔl smɔl, yu fɔ mek di distans we yu de waka go ɔp ɛvride. Bɔt nɔ go tranga pas aw yu dɔktɔ tɛl yu.
- Nɔ es wet: Nɔ es wet ɔltogɛda fɔ sɔm mɔnt.
Aks yu dɔktɔ ustɛm yu go ebul fɔ bigin drayv bak, go wok, ɛn du ɛksɛsayz we yu go tranga.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm .
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
|---|---|
| Fiva | I kin bi sayn fɔ sho se infɛkshɔn de na di bɔdi. |
| Prɔblɛm dɛn we gɛt fɔ du wit kɔt | Rɛd we de rawnd di wund, swel, pen pasmak, fil fɔ wam, ɔ wata we tan lɛk pus we de kɔmɔt na di wund. |
| Leg kin chenj | Leg de swel, pen, swɛt, kol, pale, ɔ blu. |
| Vɔmit ɛn nɔs | Nɔs ɔ vɔmit we de kɔntinyu fɔ de. |
Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du? (Sɔntin yu nɔ plan)
If yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu gɛt at atak ɔ strok , kɔl di 1990 ambulans savis we yu nɔ de te ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Di sayn dɛn we de sho se pɔsin gɛt at atak
- Pen, tayt, ɔ nɔ fil fayn na di sɛntrɔm pat na di chɛst.
- I nɔ kin izi fɔ yu fɔ blo.
- Nɔs, bɛlɛ nɔ kin fil fayn.
- Di at we de blo.
- Taya pasmak.
- Diziz, we yu nɔ de no natin.
- We pɔsin de swet pasmak.
Di sayn dɛn we de sho se pɔsin gɛt strok
- Wan say na di bɔdi (fes, an, ɔ leg) nɔ de fil fayn ɔ wik).
- I nɔ izi fɔ tɔk ɔ fɔ slɔk wɔd dɛn.
- Wantɛm we yu nɔ de si, wan ɔ tu vishɔn.
- Di ed we kin at bad bad wan wantɛm wantɛm.
- I nɔ izi fɔ waka, i nɔ de balans igen.
If yu gɛt big ɔpreshɔn, dat kin mek yu fil bad. Dat na nɔmal tin. Tɔk bɔt di tin dɛn we yu de fred ɛn di tin dɛn we de mɔna yu wit yu famili, ɛn to yu dɔktɔ ɛn di mɛdikal tim. Fɔ gɛt ɔl di infɔmeshɔn we yu nid ɛn go insay am wit gud mental pripia go ɛp bɔku wit di hiling prɔses.
Mɛsej we dɛn kin kɛr go na os
- Aortobifemoral Bypass na big ɔpreshɔn we dɛn kin du fɔ mek di blɔd flɔ bak bay we dɛn baypas di blɔk dɛn we de na di men vein dɛn we de gi blɔd to di leg dɛn.
- Dis ɔpreshɔn de ridyus di pen we yu de waka ɛn i de mek yu nɔ gɛt siriɔs prɔblɛm lɛk gangrene.
- I rili impɔtant fɔ lɛ yu lɛf fɔ smok bifo yu du di ɔpreshɔn ɛn fala wetin di dɔktɔ tɛl yu fɔ du.
- Pan ɔl we dis na big ɔpreshɔn, di sakrifays we dɛn kin du kin rili bɔku.
- Insay di tɛm we pɔsin de wɛl, i impɔtant fɔ tek kia ɔf di wund gud gud wan, tek mɛrɛsin lɛk aw dɛn tɛl am fɔ du, ɛn fala di advays we di dɔktɔ gi yu.
- If yu gɛt imejensi simptom lɛk aw yu de fil pen na yu chɛst, yu nɔ go ebul fɔ blo fayn, ɔ yu nɔ de no na wan say na yu bɔdi, yu fɔ go na ɔspitul wantɛm wantɛm.
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