Yu kin fil bak shap pen ɔ yu leg kin swɛt we yu de waka fɔ shɔt tɛm? I kin stɔp afta yu dɔn stɔp ɛn rɛst fɔ sɔm tɛm, dɔn di pen kin kam bak we yu bigin fɔ waka bak? Dis na prɔblɛm we bɔku pipul dɛn gɛt. Di men tin we kin mek dis apin na we di men blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn go na yu leg dɛn, blok. Tide, wi de tɔk bɔt wan rili impɔtant, big ɔpreshɔn we dɛn kin du we dis kayn tin apin.
Wetin na Aortobifemoral Bypass?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɔktɔ dɛn we de du ɔpreshɔn kin du pan yu bɛlɛ (bɛlɛ). Jɔs lɛk we dɛn blok rod, dɛn mek nyu rod, we dɛn kɔl ‘baypas’ rod, dis ɔpreshɔn de mek nyu rod fɔ baypas di blɔd vesel dɛn (arteries) we dɔn blok ɔ we dɔn smɔl na yu bɔdi. Dis kin mek blɔd go fayn fayn wan to yu leg dɛn bak.
We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin put wan atifishal blɔd vesel, we dɛn kɔl graft, insay yu bɛlɛ ɛn kɔnɛkt am to di blɔd vesel we dɔn blok. Dis atifishal blɔd vesel kin bi wit tin lɛk polyɛsta. di wod "aortobifemoral" insεf de sho dis.
- "Aorto" na di big bכdi we de na wi bכdi, we na di aorta . i de stat frכm di at εn i de rכn tru di chεst to di bεlε.
- "Femoral" de tכk bכt di at dεm na yu thighs . dis dεm de stat na di groin εria εn de rכn dכn to di bak pat na di kכn.
- "Bi" min "tu." Dat min se dis atifishal bכdi de kכnekt to di tu fεmoral atεri dεm na yu tu leg dεm.
Imajin dis graft, ``(Graft),'' lɛk wan ɔpsayd-dɔwn "Y." di singl כp pat pan am de kכnekt to di aorta na di bεlε, εn di tu branch dεm na di "Y" de kכnekt to di fεmoral atεri dεm na di lεg dεm.
Us kayn sik dɛn kin du dis ɔpreshɔn fɔ?
Dɛn kin du dis ɔpreshɔn mɔ fɔ trit wan sik we dɛn kɔl aortoiliac occlusive disease . dis na we fεt εn כda tin dεm (lεk plek) de bכku pan di insay wכl dεm na di mכtalman blכd vesel dεm na yu bכdi εn yu bכdi as tεm de go. Wi de kɔl dis `(Plaque)`. Dis bil-ap kin apin insay dɛn we ya:
- abdominal aorta: Dis na di pat pan di aorta we de go dכn tru di bεlε.
- Iliac atεri dεm: Dis na di at dεm we de branch kכmכt frכm di aorta na di nεvl (umbilicus) εn go na di leg dεm.
We dis wata we de gɛda di blɔd vesel dɛn smɔl ɔ blok ɔltogɛda, yu bɔdi we de dɔŋ, mɔ yu leg, fut, ɛn di ɔgan dɛn we de na yu bɛlɛ nɔ de gɛt di blɔd we gɛt ɔksijɛn we dɛn nid. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn.
Pan ɔl we dis ɔpreshɔn nɔ go ebul fɔ mɛn di sik ɔltogɛda, i kin mek di blɔd go bak fayn fayn wan na di leg dɛn, kɔntrol di sayn dɛn, ɛn i kin ridyus di risk fɔ gɛt siriɔs prɔblɛm dɛn bad bad wan.
| Kɔmplikɛshɔn dɛn we kin apin bikɔs di blɔd nɔ de flɔ |
|---|
| Pen na yu leg we yu de waka (Intermittent claudication) . |
| Big pen na di leg ivin we yu de rɛst |
| Day fɔ tisu na di leg (Gangrene) . |
| Dɛn kin kɔt dɛn an |
Yu tink se dis na siriɔs ɔpreshɔn? Yu tink se ɔda tin dɛn de we yu go ebul fɔ du?
Yɛs, dɛn kin tek dis as big ɔpreshɔn bikɔs i nid fɔ kɔt big ɔpreshɔn na di bɛlɛ.
Bɔt wan ɔda we de we nɔ kin tek bɔku tin we dɛn kɔl aortoiliac stenting wit bifurcation reconstruction (AISBR) . dis min fכ put wan sכm mεsh tyub we dεn kכl stent insay di at we blכk εn inflate am fכ opin di at bak. Sɔm stɔdi dɔn sho se dis we fɔ du tin nɔ kin gɛt bɔku prɔblɛm dɛn ɛn i kin shɔt fɔ de na ɔspitul.
Yu dɔktɔ go disayd if opin ɔpreshɔn ɔ stent fayn fɔ yu. Pan ɔl we dɛn kin jɔs put stent fɔ pipul dɛn we nɔ kin ebul fɔ bia wit big ɔpreshɔn, bikɔs di tin dɛn we dɛn dɔn lan bɔt tɛknɔlɔji dɔn go bifo, bɔku tɛm naw dɛn kin yuz am instead fɔ ɔpreshɔn we dɛn opin. Bɔt sɔntɛnde, if stent nɔto fayn tin fɔ yu, ɔ if di stent we yu bin dɔn yuz trade nɔ wok, i kin nid fɔ mek yu opin ɔpreshɔn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu mɛdikal tim go advays yu bɔt aw fɔ rɛdi fɔ ɔpreshɔn. Dis na di tin dɛm wae yu fɔ jɔs tek kia ɔf.
- Klof fɔ smok ɔltogɛda: If yu lɛf fɔ smok at le 3-4 wiks bifo dɛn du di ɔpreshɔn, dat kin ɛp yu fɔ gɛt di bɛst rizɔlt. I impɔtant fɔ kɔntinyu fɔ lɛf fɔ smok afta dɛn dɔn du yu ɔpreshɔn fɔ mek yu at ɛn yu blɔd vesel dɛn gɛt wɛlbɔdi.
- Tɔk to yu dɔktɔ bɔt mɛrɛsin: Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek naw. I kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn ɔ chenj di doz bifo dɛn du di ɔpreshɔn.
- Fastin: Dɛn go advays yu fɔ lɛf fɔ it ɔ drink frɔm midulnɛt di de bifo dɛn du di ɔpreshɔn.
- Mɛdikal tɛst: Dɛn go aks yu fɔ du bɔku tɛst bifo dɛn du di ɔpreshɔn.
- Anklɛ-brachial indeks
- Vascular ultrasound (we na ɔltra saund skan fɔ di at dɛn) .
- Skan we de chɛk di wɛlbɔdi fɔ di at ɛn di korona at.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di ɔpreshɔn kin tek bitwin 2 ɛn 6 awa. Dɛn step ya kin apin we dɛn de du dis.
1. Dɛn go gi yu jenɛral anestesia fɔ mek yu slip kɔmplit wan.
2. Dɛn kin mek wan big say we dɛn kɔt (laparotomy) along di lɔng we yu bɛlɛ so dat di dɔktɔ we de du di ɔpreshɔn go ebul fɔ rich na di aorta.
3. dεn kin mek tu insayshכn dεm na di tu groin dεm fכ rich di fεmoral atεri dεm.
4. dεn de put di atifishal bכdi vεsεl we wi bin dכn tכk bכt di "Y" shep `(Graft)` , di כp pat pan am de kכnekt to di blכk εria na di aorta frכm oba, εn di tu lכw pat dεm de kכnekt to di blכk εria dεm na di tu fεmoral atεri dεm frכm dכn, εn dεn de siw dεm togeda.
5. fכ finish, dεn kin kכloz di say dεm we dεn sכk na di bכdi εn di groin wit stich כ step.
Wetin kin apin afta di ɔpreshɔn ɛn we yu go na os?
Yu go gɛt 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. Dɔn bak, i kin tek lɛk 2 to 3 mɔnt fɔ mek i wɛl ɔl. Bɔt afta lɛk 4 to 6 wiks, yu go ebul fɔ bigin du yu nɔmal tin dɛn bak smɔl smɔl.
Tek kia ɔf dɛn tin ya we yu rich na os.
- Tek ɔl di pen kil ɛn ɔda mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.
- Kip di say dɛn we dɛn kɔt klin ɛn kia fɔ dɛn lɛk aw di dɔktɔ tɛl yu.
- Ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du. We yu de waka distans smɔl smɔl, dat kin ɛp fɔ mek yu wɛl. Bɔt nɔ du am pasmak.
- Aks yu dɔktɔ bɔt di bɛst tɛm fɔ bigin fɔ du tin dɛn bak lɛk fɔ drayv, fɔ go wok, ɛn fɔ es wet.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm ɛn go na di Imejɛnsi Tritmɛnt Yunit (ETU) .
I rili impɔtant fɔ wach if ɛni prɔblɛm kam we yu de wɛl.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Fiva | Nɔs ɛn vɔmit |
| Pen, rɛd, ɔ wam rawnd di say dɛn we dɛn kɔt | Fluid we de lik frɔm di kɔt |
| Rɛd ɔ swel na di groin eria ɔ leg | Leg de pen, yu nɔ de fil fayn, ɔ yu nɔ de fil fayn igen |
| Kol, pale, ɔ blu skin na di leg ɔ fut | Leg wund dɛn we nɔ de wɛl ɛn we de wɔs |
If yu si di sayn dɛm fɔ hat atak ɔ strok, kɔl wan imejensi ambulans savis wantɛm wantɛm ɔ go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU).
Di sayn dɛm we de sho se pɔsin gɛt at atak:
- Chest pen ɔ diskɔmfɔt
- I nɔ kin izi fɔ yu fɔ blo
- Nɔs, bɛlɛ nɔ kin fil fayn
- Di at we de blo
- Diziz (vertigo) ɔr fɔdɔm
Di sayn dɛn we pɔsin kin si we i gɛt strok:
- Wan say na di bɔdi nɔ de fil fayn ɔ wik
- I nɔ izi fɔ tɔk (Aphasia) ɔ fɔ tɔk smɔl smɔl
- Lɔs di mɔsul kɔntrol na wan say na di fes
- Wantɛm we i nɔ de si ɔ we i nɔ de yɛri fayn
Mɛsej we dɛn kin kɛr go na os
- Aortobifemoral Bypass na big, bɔt i kin rili wok fayn, we dɛn kin du we di men at we kin kɛr blɔd go na di leg dɛn kin blok bad bad wan.
- Dis ɔpreshɔn involv fɔ mek nyu rod we dɛn de yuz wan atifishal blɔd vesel we shep lɛk ‘Y’ fɔ baypas di blɔd vesel we dɔn blok.
- Pripia lɛk fɔ lɛf fɔ smok bifo dɛn du di ɔpreshɔn kin mek di tin dɛn we kin apin kin wok fayn.
- I kin tek sɔm mɔnt fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn, ɛn i rili impɔtant fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu insay da tɛm de.
- If yu notis ɛnitin we nɔ kɔmɔn we yu de wɛl, lɛk fiva, wund infɛkshɔn, ɔ bad bad pen na yu leg, tɛl yu dɔktɔ wantɛm wantɛm.
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