Wetin na dis sik we di blɔd vesel dɛn nɔ kin tan lɛk? (Arteriovenous Malformation - AVM) Lɛ wi tɔk!

Yu dɔn ɛva yɛri se sɔntɛnde di blɔd vesel dɛn we de insay wi bɔdi kin tandul pan strenj we dɛn, lɛk bɔl we dɛn mek wit trɛd? Dis kin tan lɛk se i strenj smɔl, nɔto so? Bɔt, i kin rili apin, ɛn i kin denja smɔl sɔntɛnde. Tide wi go tɔk bɔt wan sik we dɛn kɔl Arteriovenous Malformation , ɔ AVM . Fɔ tɔk am simpul wan, dis na wan prɔblɛm we de na di say we di vein dɛn we de kɛr blɔd go na wi bɔdi.

Wetin na arteriovenous malformation (AVM)? Lɛ wi ɔndastand am simpul wan.

Imajin se wi gɛt wan nɛtwɔk we gɛt blɔd vesel dɛn ɔlsay na wi bɔdi. Tu men kayn vessel dεm de: Atεri εn Vein . Di at dɛn tan lɛk aywe, dɛn kin kɛr klin blɔd we gɛt ɔksijɛn frɔm di at to ɔl di pat dɛn na di bɔdi, mɔ di bren. di vein dεm lεk sכm sכm at dεm we de kכri di bכdi we dεn yuz, we nכ gεt כksijεn bak na di at.

nכmal wan, dεn haywe dεm (atεri dεm) de dכn insay wan nεtwכk we gεt rili sכm sכm tכn vein dεm. Wi kin kɔl dɛn kapilari ya . I tan lɛk big rod we de branch to smɔl smɔl sayd rod dɛn we i rich na vilej. Na tru dɛn kapilari ya di ɔksijɛn ɛn di tin dɛn we de insay di blɔd kin rich to wi sɛl dɛn, ɛn di dɔti tin dɛn we de kɔmɔt na di sɛl dɛn kin go insay di blɔd. Dɔn dis blɔd kin go bak na di at tru vein dɛn we dɛn kɔl vein.

naw, wetin kin apin pan pɔsin we gɛt AVM na dat di kapilari brij we fɔ de bitwin di at ɛn di vein nɔ de. Dɔn, di blɔd we de kɔmɔt na di at, we de kɔmɔt frɔm ay prɛshɔn, kin kɔnɛkt wantɛm wantɛm to di vein dɛn, we dɛn kin yuz fɔ lɛ prɛshɔn smɔl. Imajin wan big wata paip we de kɔnɛkt wantɛm wantɛm to wan smɔl paip we gɛt wik wɔl. Dis kin mek di vein dɛn gɛt prɛshɔn we dɛn nɔ go ebul fɔ bia. Dɛn kin si dis as bɔl we tan lɛk blɔd vesel dɛn we tan lɛk bɔd in nɛst. Bikɔs ɔf dis abnɔmal kɔnekshɔn, chans de fɔ mek di blɔd vesel dɛn bɔs (Rupture) ɛn blɔd go insay di bren (Bleeding into the brain) .

Difrɛn kayn AVM dɛn de? Usay dɛn kin fɔm?

Yes, wi kin tɔk mɔ bɔt tu kayn AVM:

1. Bren AVM: Na dεn wan ya we kכmכn pas כl. Dɛn kin divɛlɔp ɛnisay insay di bren, na di bren in fes, na di bren stem , ɔ along di spaynal kɔd . Dɛn tin ya kin denja smɔl bikɔs di bren na ples we rili sɛnsitiv.

2. Pεrifεral AVM dεm: Dis kin apin enisay na di bכdi in 100,000 mayl blכd vesel dεm. fכ egzampl, dεn kin divεlכp na di fes, an, leg, εn bak na di כgan dεm we de insay lεk di at, di liva, εn di lכng.

Aw kכmכn dεn kכl dis kכndyushכn AVM?

AVM na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm.Dɛn se na wan pan ɔl wan ɔndrɛd tawzin pipul dɛn nɔmɔ kin gɛt am. Dɛn kin bɔn ɛnibɔdi wit am. Bɔt dɔktɔ dɛn kin si am mɔ pan pipul dɛn we ol bitwin 20 ɛn 40. Di sayn dɛn kin apin bitwin 30 ɛn 50 ia.

Wetin na di sayn dɛm fɔ AVM?

Na dis na di impɔtant tin. Sɔm pipul kin gɛt AVM ɛn nɔr kin sho ɛni sayn. Na lɛk 15% pan di pipul dɛm wae gɛt AVM nɔr go gɛt ɛni sik. Bɔku tɛm, yu kin jɔs no se yu gɛt AVM afta i brok, we min se i de blɔd.

Bɔt if di sayn dɛn kin apin, dɛn kin tan lɛk dis:

• Seizure, ilɛksɛf yu nɔ no natin ɔ yu de no. Dis kin apin wantɛm wantɛm.
• Yu ed kin at ɔltɛm. Sɔntɛnde, dis kin rili bad.
• Di mɔsul dɛn wik ɔ i paralayz ɔltogɛda.
• Nɔs ɛn vɔmit.
• Sɔm pat dɛn na di bɔdi we de swɛla ɔ we de swɛt.
• Diziz we pɔsin kin gɛt.
• I nɔ kin izi fɔ waka, i nɔ kin izi fɔ tɔk, i nɔ kin mɛmba, i nɔ kin izi fɔ tink, i nɔ kin balans, ɔ i nɔ kin si fayn.
• Kɔndishɔn lɛk wae pɔrsin kin gɛt maynd kɔnfyus, wae pɔrsin kin si tin wae de mɛk pɔrsin fil fayn, ɔr wae pɔrsin gɛt dis maynia sik.
• Bak pen. Dis kin kam wantɛm wantɛm ɛn i kin rili bad. I kin mek bak yu fil se yu nɔ gɛt bɛtɛ trɛnk frɔm di hip to di leg ɛn fut finga dɛn.
• di brith shɔt we yu de tray tranga wan (dis kin apin if AVM de na di lכng) .
• Fɔ kɔf blɔd (dis na sayn bak fɔ di AVM dɛn we de na di lɔng) .
• Pɔsin we de fil pen na di bɛlɛ.
• Lump dɛn kin apia na di an, di leg, ɔ di trɔnk.
• Pen ɛn swɛlin.

Impɔtant: Na lɛk 50% pan pipul dɛm wae gɛt bren AVM go gɛt blɔd na dɛn bren as dɛn fɔs simptom. Dis kin mek pɔsin gɛt strok ɛn in bren kin pwɛl.

Wetin mek dɛn AVM ya kin fɔm? Wetin na di kɔz?

Infakt, sayɛnsman dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek AVM dɛn de divɛlɔp. Bɔku pipul dɛn biliv se dɛn bɔn dɛn . dis min se dεn blכd vεsul tכng dεm ya de fכm we di pikin de divεlכp, insay di mama in bεlε. Na smɔl tɛm nɔmɔ dɛn kin pas frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn, we min se dɛn kin kɔmɔt frɔm dɛn mama ɛn papa .

Us ifɛkt AVM gɛt pan wi bɔdi?

Tri men we dɛn de we AVM kin pwɛl:

1. Blɔd we de kɔmɔt:As a bin dɔn tɔk bifo tɛm, we di ay blɔd prɛshɔn we de kɔmɔt na di at dɛn pas tru di AVM, di wɔl dɛn na di vein dɛn kin wik ɛn dɛn nɔ kin ebul fɔ bia wit di prɛshɔn. Dɔn di vein dɛn kin bɔs ɛn bigin fɔ blɔd. We dis blɔd go insay di tisu dɛn we de rawnd am, i kin mek i pwɛl sote go . If bɔku bɔku blɔd de kɔmɔt , i kin ivin mek pɔsin day.

2. Prεs pan di pat dεm na di bכdi: Dis abnכmal kכnεkshכn de mek mכr bכdi de kכl insay di vein dεm. afta dat di vein dεm kin big εn kin prεs pan di tisu dεm we de rawnd, lεk di bren. dis de ridyus di כksijεn we de rich dεn pat dεm de εn i de ridyus di abiliti fכ di limf sistεm fכ pul di west prכduk dεm.

. Dɔn di tisu ɛn di nɛv sɛl dɛn we de na da say de kin bigin fɔ day.

Wetin na di prɔblɛm dɛn we kin apin we AVM kin gɛt?

AVM dεm, spεshal wan na di bren, kin mek siriכs kכmplikεshכn dεm lεk:

• Bren blɔd / Stroke : Dis na di big risk fɔ AVM. If AVM bɔs insay di bren, i kin mek yu paralayz, yu bren pwɛl, ɔ yu kin gɛt sik. di AVM kin push pan εn damej pat dεm na di bren כ spεnal kכd bak.
• Seizure: Na kכndyushכn we de sho se i de lכs kכnsεns εn di limb dεm we de jכk we i nכ de kכntro bikoz fכ ilektrikal aktiviti we de apin na di bren we de kכmכt wantɛm wantɛm.
• Aneurism: Na wik we na di wɔl we wik na di blɔd vesel we kɔnɛkt to ɔ rawnd wan AVM ɛn we de bulge kɔmɔt lɛk balyɔn. Dɛn tin ya kin apin bikɔs di blɔd vesel dɛn wɔl wik. dis kכndyushכn de si insay lεk 50% pan di AVM dεm na di bren εn spεnal kכd. Dɛn tin ya kin mek di AVM brok.
• Bren damej: Dis kin afɛkt tin lɛk aw i de tink, mɛmba, ɛn ɔndastand aw i de tɔk.
• Kɔma ɛn day: Ɛspɛshali if big blɔd de insay di bren.

Aw yu go no if yu gɛt AVM?

If yu gɛt sɔm sayn dɛn, yu dɔktɔ go aks yu fɔs bɔt dɛn ɛn du yu bɔdi ɛgzam. Sɔntɛnde, we dɛn put stetɔskɔp oba AVM, dɛn kin yɛri brut (sawnd we blɔd de rɔsh tru di blɔd vesel).

Apat frɔm dat, dɛn kin du imej tɛst dɛn lɛk:

• MRI (Magnetic Resonance Imaging) Scan: Na tɛst we dɛn kin yuz magnɛtik fil ɛn redio wev dɛn.
• CT (Computed Tomography) Scan: Dɛn kin yuz ɛkstrem rayt fɔ tek krɔs-sekshɔn pikchɔ dɛn fɔ di bɔdi.
• Kateta Angiografi: .Insay dis, dɔktɔ kin put wan smɔl tiub (kateta) tru wan at we de na yu an ɔ yu groin ɛn gayd am usay dɛn tink se di AVM de. Dɔn, dɛn kin injɛkt wan spɛshal day ɛn tek ɛkstrem rayt fɔ tek ditayli pikchɔ dɛn bɔt di blɔd vesel dɛn.

If dɛn sɔprayz se AVM de na di bren, sɔm patikyula tɛst dɛn lɛk:

• Sεribral MRI Angiografi (Sεribral MRA): I de yuz MRI tεknכlכji fכ gεt ditayla imej dεm fכ di bכdi vεsul dεm we de insay εn rawnd di bren.
• CT angiography (CTA): CT teknɔlɔji de mek ditayla imej dɛn fɔ di blɔd vesel dɛn.
• Transcranial Doppler ultrasound: I de yuz sawnd wev fɔ mɛzhɔ di spid we di blɔd de flɔ tru di bren.

Bikɔs bɔku AVM dɛn nɔ gɛt ɛni sayn, sɔm tɛm dɛn kin no dɛn we dɛn de du skan fɔ ɔda rizin (lɛk injuri, prɔblɛm wit yu si, ɔ ed we de at), ɔ afta di simptom dɛn dɔn bigin bikɔs ɔf blɔd.

Aw dɛn kin trit AVM?

Di tritmɛnt fɔ wan AVM dipen pan sɔm tin dɛn, lɛk:

• Di kayn AVM, aw i big, usay i de, ɛn di kayn at ɛn vein dɛn we de insay.
• Di risk fɔ mek di AVM brok.
• Yu simptom dɛm.
• yu ej.
• Yu ɔl wɛlbɔdi biznɛs.

Di men gol fɔ tritmɛnt na fɔ ridyus di risk fɔ blɔd frɔm di AVM, ɔ fɔ mɛn am kɔmplit wan. Bɔku tritmɛnt dɛn de we yu kin gɛt. Dɛn tin ya na opin ɔpreshɔn , kateta-bɛs at blɔk (Embolization) , ɛn/ɔ fɔs redyushɔn (Radiosurgery) to di AVM . Ɛni tritmɛnt we dɛn kin du gɛt in yon bɛnifit ɛn prɔblɛm dɛn. Dɛn tin ya kin difrɛn difrɛn wan fɔ yu wɛl bɔdi ɛn di kayn AVM.

Jɛnɛral wan, fɔ trit AVM kwik kwik wan na di bɛst we fɔ avɔyd siriɔs kɔmplikeshɔn.

Ɔlman in AVM difrɛn. No tritmɛnt plan nɔr de we yu dɔn sɛt we go tɛl yu di rayt tin fɔ du. Yu mɛdikal tim go tɔk to yu ɛn yu famili fɔ disayd di bɛst tritmɛnt fɔ yu sityueshɔn.

Sɔntɛnde, di AVM kin de na say usay ɔpreshɔn ɔ ɔda tritmɛnt kin gɛt prɔblɛm pas fɔ nɔ du natin. If na so i bi, yu mɛdikal tim go de wach yu AVM gud gud wan wit skan we dɛn kin du ɔltɛm. If di AVM sho ɛni chenj, lɛk sayn dɛn we de sho se blɔd de bɔku, dɛn kin tink bɔt tritmɛnt da tɛm de.

Di mɛrɛsin dɛn we dɛn kin yuz

Dɛn kin gi mɛrɛsin fɔ kɔntrol sɔm sayn dɛm:

• Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik.
• Di tin dɛn we de mek pɔsin nɔ fil pen fɔ ed we de at ɛn bak we de at.
• Blɔd prɛshɔn mɛrɛsin dɛn.

Di we aw dɛn kin trit (Procedures) .

Dɔktɔ dɛn kin tray wan ɔ mɔ pan dɛn we ya:

1. Ɔpreshɔn fɔ pul di AVM: Insay dis, dɛn kin kɔt smɔl nia di AVM, dɛn kin sidɔm di at ɛn vein dɛn we de rawnd fɔ mek blɔd nɔ kɔmɔt, ɛn dɛn kin pul di AVM. Dɔn, dɛn kin chenj di blɔd we de flɔ to di nɔmal blɔd vesel dɛn. Dis na di onli we fɔ mɛn di AVM kɔmplit wan. Afta dɛn dɔn du di ɔpreshɔn, dɛn kin du wan bren skan fɔ si if dɛn dɔn pul di AVM ɔltogɛda. Yu kin gɛt fɔ de na ɔspitul fɔ sɔm dez ɛn gɛt shɔt tɛm fɔ rihabilit.

2. Embolization: Insay dis prosidur, dכkta de put kateshכn insay wan atεri na yu groin כ an εn gayd am to di AVM. We dɛn rich de, dɛn kin pul sɔntin we tan lɛk glu, kɔyl, ɔ ɔda tin insay di AVM. Dis de ridyus ɔ stɔp di blɔd we de kɔmɔt tru di AVM ɔltogɛda. Dɛn kin yuz dis prɔsidyu mɔ if di AVM big ɛn blɔd bɔku. Dɔn, if dɛn du ɔpreshɔn leta, dɛn kin pul di AVM izi wan, ɛn dis kin mek di blɔd nɔ bɔku. Pan ɔl we dɛn nɔ kin du ɔpreshɔn wantɛm wantɛm, dis we aw dɛn kin du am kin mek di blɔd nɔ bɔku.

3. Gamma Knife® rεdyusɔjεri: Insay dis, dεn de dayrεkt bim dεm fכ rεdyushכn we de fכkus bכku bכku wan na di AVM. Insay sɔm ia, di AVM kin smɔl smɔl, i kin gɛt skata, i kin sɔlv, ɔ i kin smɔl fɔ mek i izi fɔ pul am we dɛn du ɔpreshɔn pan am. Dɛn nid fɔ skan wan wan tɛm fɔ chɛk if di AVM de shrink.

Di prɔblɛm dɛn we kin apin we pɔsin de trit am

AVM tritmɛnt kin mek kɔmplikeshɔn ɔ sayd ɛfɛkt lɛk:

• Blɔd we de kɔmɔt.
• Ed de at.
• De swɛl.
• Damej to di tisu dɛn we de rawnd.
• Wan say na di bɔdi we nɔ gɛt bɛtɛ trɛnk.
• Di ifɛkt pan aw pɔsin de tɔk, yɛri, ɔ si.
• Di rizɔlt nɔ kin kɔmplit, nɔ kin las fɔ lɔng tɛm, ɔ kin tek sɔm mɔnt fɔ mek dɛn apia ful wan.
• Sivεr kכmplikεshכn wae kin mek yu nɔr ebul fɔ du am ɔr kin kil yu.

Yu tink se dɛn kin mek AVM nɔ fɔm?

Nɔ, bikɔs dɛn biliv se AVM dɛn na tin we dɛn bɔn wit, dɛn nɔ go ebul fɔ stɔp dɛn fɔ mek dɛn nɔ fɔm. Bɔt if yu si ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, go to dɔktɔ wantɛm wantɛm. I bɛtɛ fɔ ansa to di sayn dɛn jɔs afta dɛn dɔn sho.

Wetin yu kin ɛkspɛkt if yu gɛt AVM?

Ɔlman in AVM difrɛn. If dɛn du yu ɔpreshɔn ɛn dɛn pul di AVM fayn fayn wan, yu go wɛl ɔl dis sik.

Di tin dɛn we kin kɔmɔt frɔm ɔda tritmɛnt dɛn bak kin rili fayn, bɔt i kin dipen pan bɔku tin dɛn:

• Usay di AVM de.
• Di saiz fɔ di AVM.
• Tayp fɔ di AVM.
• Yu ej ɛn yu jenɛral wɛlbɔdi.

Yu mɛdikal tim kin ɛksplen to yu fayn fayn wan bɔt yu AVM ɛn di tin dɛn we kin apin.

Impɔtant:If yu gɛt AVM ɛn yu nɔ gɛt tritmɛnt, 2-4% risk de pan ia fɔ mek i blɔd. AVM we dɔn rɔp bifo gɛt 17% chans pan ia fɔ mek i brok bak.

Ustɛm a fɔ go to mi dɔktɔ?

Sɔm pipul kin gɛt AVM pas wan tɛm (rikɔr). Si yu dɔktɔ if yu gɛt nyu sayn dɛn. Afta yu dɔn gɛt tritmɛnt, yu fɔ go to yu dɔktɔ ɛvri tri mɔnt fɔ di fɔs ia. Afta di fɔs ia, yu fɔ go to yu dɔktɔ wan tɛm insay di ia.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• Wan ed we kin at wantɛm wantɛm, we kin at bad bad wan ("di wɔs tin we a dɔn ɛva gɛt na mi layf").
• Kɔnvulshɔn we pɔsin kin gɛt.
• Di an ɔ di leg dɛn kin swɛla.
• Prɔblɛm fɔ si, balans, fɔ mɛmba, ɔ fɔ pe atɛnshɔn.

Dɛn tin ya na sayn dɛn we de sho se sɔntin apin we go mek pɔsin in layf de pan denja. Dis kin bi blɔd we de kɔmɔt na di bren.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Usay mi AVM de na mi bɔdi?
• Us tritmɛnt we bɛtɛ fɔ mi?
• If dɛn nɔ du mi ɔpreshɔn wantɛm wantɛm, ɔmɔs tɛm dɛn go nid fɔ wach mi?

Yu tink se AVM denja?

Yɛs, i kin ebul. Di big denja na fɔ blɔd (ɛmoraji). If yu gɛt siriɔs ed pen wantɛm wantɛm ("di wɔs tin we yu dɔn ɛva gɛt na yu layf"), kɔl 119 wantɛm wantɛm. I kin bi wan AVM we dɔn brok na di bren. AVM we nɔ brok gɛt 2-4% risk fɔ blɔd insay wan ia. AVM we bin dɔn rɔp bifo tɛm gɛt 17% chans fɔ rɔp bak ɛvri ia.

Yu tink se ɔl di AVM dɛn kin dɔn blɔd?

Nɔ, sɔm AVM dɛn nɔ kin ɛva blɔd, ɛn dɛn nɔ kin kɔz ɛni sayn ɔr wɛl bɔdi prɔblɛm ɔlsay na dɛn layf. Dɛn kin fɛn sɔm AVM dɛn we dɛn de du skan fɔ ɔda rizin ɔ we dɛn de du ɔtopsi.

AVM kin mek ɔda wɛlbɔdi prɔblɛm dɛn apat frɔm blɔd we de kɔmɔt. sכm AVM dεm we de gro big kin kכmprεs wan εria na di tisu, we kin pwεl da tisu de, di nεv sεl dεm, εn כda sεl dεm. If dɛn big ɛn dɛn de na say we impɔtant, di kapilari dɛn we nɔ de bitwin di at ɛn di vein dɛn kin mek di tisu we de na da say de nɔ gɛt ɔksijɛn, tin dɛn we de mek dɛn it fayn, ɛn dɔti tin dɛn. Dis kin mek di tisu dɛn day.

Yu tink se AVM kin kil pɔsin?

Yɛs, i kin ebul. Aw AVM denja ɛn bad, i dipen pan in saiz ɛn usay i de. If AVM brok ɛn mek bɔku blɔd kɔmɔt insay di bren, i kin kil pɔsin. Bɔt sɔm pipul dɛm wae gɛt AVM nɔr kin ɛva gɛt ɛni sayn ɔr wɛl bɔdi prɔblɛm.

yu kin tel usai di AVM de from usai a fil di pen na mi ed?

Fɔ tru, nɔto so.I kin bi so, bɔt bɔku tɛm, di say we di ed de at nɔ kin patikyula fɔ di say we di AVM de.

Di risk kin bɔku if uman we gɛt bɛlɛ gɛt AVM?

Fɔ sɔm pipul dɛm, di AVM simptom kin apin wantɛm wantɛm ɔ i kin wɔs bikɔs ɔf di chenj dɛm we kin apin we dɛn gɛt bɛlɛ . di blɔd volyum ɛn blɔd prɛshɔn we de go ɔp we uman gɛt bɛlɛ kin mek di risk fɔ blɔd kɔmɔt frɔm AVM.

Yu tink se AVM dɛn kin afɛkt yɔŋ pikin dɛn?

AVM kin mek pikin dɛn gɛt smɔl chenj dɛn na dɛn bihayvya ɔ dɛn kin gɛt disabiliti fɔ lan. dis chenj dεm kin apin bifo mכr klia simptom dεm sho te di pikin big sכmtεm (if di simptom dεm de kam).

Yu tink se blɔd we de kɔmɔt na di bren frɔm AVM kin mek di bren pwɛl ɔltɛm?

Nɔ, sɔm rili smɔl smɔl blɔd dɛn we kin kɔmɔt na yu bren, we dɛn kɔl maykroblɔd , kin mek yu nɔ gɛt bɛtɛ damej ɛn nɔ kin gɛt bɔku sayn dɛn. Bɔt if bɔku maykroblɔd kin kam as tɛm de go, i kin mek yu gɛt dis maynia sik ɛn i kin ambɔg di we aw yu de tink.

Wetin na di difrɛns bitwin AVM, Aneurysm, Hemangioma, Cavernous malformation, ɛn Fistula?

• Aneurism na we di at we wik, we tan lɛk balɔ na wan at. Bɔku tɛm i kin fɔm usay tu at dɛn kin sheb. wan aneurism kin divεlכp bak as kכmplikεshכn fכ wan AVM.
• εmangiomas na vaskulכr malfכmeshכn we yu kin si pan di skin. Dɛn nɔ denja ɛn dɛn nɔ nid fɔ gɛt tritmɛnt.
• Cavernous malformation na wan kayn vaskulεr lεshכn bak. Dɛn nɔ tan lɛk AVM, dɛn wan ya na blɔd vesel dɛn we de lik, bɔku tɛm dɛn kin gɛt klot. Dɛn kin blɔd, bɔt dɛn nɔ kin blɔd bad lɛk AVM, ɛn bɔku tɛm dɛn nɔ kin mek pɔsin gɛt di sik.
• Fistula na wan jεnarכl tεm fכ wan abnכmal kכnεkshכn bitwin di bכdi vεsul dεm. di atεriovenכs fistulas kin fכm na di tisu dεm we de kכba di bren εn di spεnal kכd. di AVM dεm de fכm insay di bren tisu. Fistulas kin gɛt fɔ du wit ed trauma ɔ infɛkshɔn pas AVM.

Pan ɔl we arteriovenous malformation (AVM) na siriɔs mɛrɛsin, di tritmɛnt dɛn we dɛn de gi naw kin rili wok. Yu mɛdikal tim go tɔk bɔt di ditel dɛm fɔ yu AVM – in saiz, usay i de – ɛn ɔda tin dɛm wit yu fɔ no di bɛst tritmɛnt opshɔn dɛm fɔ yu. Nɔ fred fɔ aks kwɛstyɔn if sɔntin nɔ klia. We yu ɔndastand di tin dɛn we yu go ebul fɔ du, dat go ɛp yu fɔ disayd fɔ du di rayt tin.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔmariz sɔm tin dɛn fɔ mɛmba bɔt di AVM we wi bin tɔk bɔt:

• AVM na wan abnɔmal tangle we di blɔd vesel dɛn gɛt we de kɔnɛkt di at ɛn vein dɛn dairekt wan, we nɔ gɛt kapilari, lɛk bɔd in nɛst.
• Dis na tin dɛn we kin apin bay wilful.Sɔntɛm, a nɔ no di rayt rizin.
• Di sayn dɛm nɔr kin apin pan ɔlman, bɔt sɔm kayn sik lɛk ed wae de at, wae pɔrsin kin gɛt sik, ɛn wae pɔrsin nɔr kin no natin kin apun.
• Di big tin we kin mek pɔsin gɛt blɔd, mɔ if i apin insay di bren. Dis kin mek pɔsin gɛt strok.
• Dɛn kin no am bay we dɛn de du tɛst lɛk MRI, CT skan, ɛn angiografi .
• Di tritmɛnt dɛn we yu kin gɛt na ɔpreshɔn, ɛmbolizayshɔn, ɛn redio ɔpreshɔn . Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
• If yu gɛt ed we de at wantɛm wantɛm, we yu de fil bad bad wan, we yu de sidɔm, ɔ we yu nɔ no natin, go na ɔspitul wantɛm wantɛm.
• Pan ɔl we dis nɔ kin apin so ɔltɛm, i rili impɔtant fɔ no.

If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ. Di tin we impɔtant pas ɔl na fɔ nɔ panik, gɛt di rayt infɔmeshɔn, ɛn du di tin dɛn we yu nid.

` Arteriovenous Malformation, AVM, bren blɔd vesel, blɔd we de kɔmɔt, paralayz, sizhɔ, ed we de at