Di men blɔd vesel we de kɛr blɔd kɔmɔt na yu at to yu wan ol bɔdi, we na di aorta, tan lɛk di men paip we de kɔmɔt na wi wata tank na os. Sɔntɛnde dis paip kin wik ɛn bigin fɔ bɔl lɛk ol balyɔn. Insay mɛrɛsin, wi kin kɔl dis anɛrizm. εspεshali if di pat we de nia di at, di ascending aorta, bulge aut lεk dis, i kin bi siriכs sכmtεm. Tide wi go tɔk bɔt di ɔpreshɔn we dɛn kin du fɔ dis sik.
Aw dɛn kin du dis ɔpreshɔn?
Fɔ tɔk am simpul wan, dɛn kin kɔrɛkt dis sik wit tradishɔnal opin ɔpreshɔn. Di dɔktɔ we de mɛn yu at kin pul di pat we wik ɛn we dɔn swel na yu aorta ɛn put wan tiub we dɛn mek wit sintetik tin we dɛn kɔl graft insay. dis graft de wok lεk nyu layn fכ yu aorta. Dɔn blɔd kin flɔ tru am ɛn nɔ gɛt ɛnitin fɔ ambɔg am. Dɛn kin du dis ɔpreshɔn na ɔspitul ɔpreshɔn rum.
Udat nid fɔ du dis ɔpreshɔn?
If wan aneurism na yu ascending aorta brok ɔ dissect , na imejensi. Wi kin kɔl dis Tayp A disɛkshɔn. Dis na imejensi ɔpreshɔn we yu fɔ du wantɛm wantɛm fɔ sev yu layf.
Dɔn bak, if yu gɛt anɛrizm we de pan denja fɔ bɔs ɔ brok, yu kin nid fɔ du dis ɔpreshɔn. Yu dɔktɔ go du imej tɛst (lɛk CT skan, MRI skan) wan ɔ tu tɛm insay di ia fɔ chɛk in kɔndishɔn. Sɔntɛnde, if di anɛrizm rili smɔl ɔ i de gro sloslo, dɛn nɔ go nid fɔ du ɔpreshɔn fɔ sɔm tɛm. Bɔt if i big ɔ sho sayn dɛn fɔ se i de gro kwik kwik wan , dɛn kin nid fɔ du ɔpreshɔn pan am bifo i bɔs ɔ brok.
Fɔ tɔk am simpul wan, if di prɔblɛm dɛn we kin apin we pɔsin de delay fɔ di tritmɛnt pas di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn.
Wetin na di bɛst tɛm fɔ mek dɛn du ɔpreshɔn?
Bɔku tin dɛn kin sho di bɛst tɛm fɔ mek dɛn du dis ɔpreshɔn. De tin wae impɔtant pas ɔl na if yu gɛt sɔm kayn sik. Apat frɔm dat, tin dɛn lɛk di sayz we di anɛrizm gɛt, aw i de gro fast, yu bɔdi saiz, ɛn ɛni ɔda mɛrɛsin we yu go gɛt kin ɛp bak.
Simptom dɛm wae nid fɔ gɛt ɔpreshɔn kwik kwik wan
If yu gɛt pen na yu chɛst, i kin bi sayn fɔ se di anɛrizm dɔn de kam fɔ bɔs. If dɛn kayn tin ya apin, dɛn nid fɔ du ɔpreshɔn kwik kwik wan.
| Imejɛnsi simptom dɛm - go na ɔspitul wantɛm wantɛm! | |
|---|---|
| Wantɛm wantɛm, bad bad pen | Na bad bad pen na di chɛst ɔ di ɔp bak we de fil lɛk se sɔntin de te frɔm insay. |
| Chɛst de pen | Eni kain chest pen. |
| Skin kin chenj | Skin kin stika, i kin swet. |
| I nɔ izi fɔ blo | Kɔf, ala lawd lawd wan, ɔ i nɔ kin izi fɔ blo. |
| Ɔda tin dɛn we de apin | Diziz, fɔdɔm, at bit kwik kwik wan, nɔs ɛn vɔmit, shɔt briz. |
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te. Wantɛm wantɛm, kɔl di 1990 ambulans savis ɔ go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU).
Di sayz fɔ di anɛrizm
di sayz fכ di anεvrizm na di men tin we de mek dεn plan fכ du כpεrayshכn. I kin nid fɔ du ɔpreshɔn we i rich dɛn sayz ya:
- Avrej: 5.5 sɛntimita
- Fɔ di wan dɛn we gɛt kɔndishɔn lɛk Marfan syndrome: 4.5 sɛntimita
- Fɔ di wan dɛn we gɛt kɔndishɔn lɛk Loeys-Dietz syndrome: 4.0 sɛntimita
Di spid we wan aneurism de gro
Ivin if di aneurism smɔl pas 5.5 sɛntimita, if i de gro kwik kwik wan, dɛn go nid fɔ du ɔpreshɔn jisnɔ.
- pan avrej: 1 cm pan ia כ 0.5 cm pan 6 mכnt.
- fכ pipul dεm we gεt sכm kכndyushכn dεm (e.g. bicuspid aortic valve): If i de gro 0.5 cm pan ia.
Tin dɛn we spɛshal to yu
Yu dɔktɔ go tink bak bɔt yu bɔdi saiz ɛn ɔda sik dɛn we yu gɛt. Fɔ ɛgzampul, we smɔl anɛrizm de pan pɔsin we smɔl kin denja, ilɛksɛf i smɔl. Dɔn bak, if dɛn du ɔda ɔpreshɔn pan yu at, yu dɔktɔ go tɛl yu fɔ mek di anɛrizm fayn di sem tɛm we dɛn du da ɔpreshɔn de. Dis kin ɛp fɔ mek dɛn nɔ du ɔpreshɔn tumara bambay.
yu nכ kin yus כda mεtכd dεm (endovascular) fכ dis?
di tכraks εndovaskul aorta ripa (TEVAR) na di prכsidכm we dεn kin yuz fכ rεpa di anεvrizm dεm na di tכraks aorta we de dכn. כltu, dεn nכ kin yus dis prכsidכm na di ascending aorta, di at we de stat na di at. Dis na bikɔs di we aw dɛn tu pat ya tan ɛn di blɔd prɛshɔn difrɛn.
Bɔt we tin apin, dɛn dɔn yuz TEVAR fɔ sev di layf fɔ pɔsin we wik tumɔs fɔ mek dɛn du tradishɔnal ɔpreshɔn. Naw, di wan dɛn we de stɔdi bɔt dis de mek nyu tin dɛn we go fit di aorta we de go ɔp. So dis we fɔ du tin kin bi mɔ kɔmɔn tumara bambay. Bɔt fɔ naw, di bɛst ɛn standad tritmɛnt na fɔ opin ɔpreshɔn.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu go nid fɔ go to yu dɔktɔ sɔm wiks bifo di ɔpreshɔn. Dɛn go asɛs yu wɛlbɔdi ɛn dɛn go du sɔm tɛst dɛn we yu nid.
Test dɛn we dɛn kin du bɔku tɛm:
- Blɔd tɛst: Chɛk aw di kidni de wok.
- CT ɔ At MRI: I de chɛk ɔl di pat dɛn na di aorta. If prɔblɛm de wit di aɔta valv, dɛn kin mek am bak we dɛn de du dis ɔpreshɔn.
- Koronari angiografi: fכ chεk fכ fεt dεposit (atherosclerosis) na di at dεm we de gi bכdi to di at.
- Duplex ultrasound: I de chɛk di kɔndishɔn fɔ di blɔd vesel dɛn na di nɛk (carotid arteries). Prɔblɛm wit dɛn tin ya kin mek pɔsin gɛt strok we dɛn de du ɔpreshɔn.
Tin dɛn fɔ tɔk to di dɔktɔ:
- Di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn we yu de tek. Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn bifo dɛn du yu ɔpreshɔn.
- Ɔda sik dɛn: If yu gɛt sik dɛn lɛk ay blɔd prɛshɔn, yu nid fɔ kɔntrol dɛn fayn fayn wan bifo dɛn du yu ɔpreshɔn.
- Aw yu de fil: Tɛl yu dɔktɔ if yu gɛt ɛni sik, lɛk kol, flu, ɔ hεpi.
- Smok: Dɛn fɔ stɔp fɔ smok ɔltogɛda wan mɔnt bifo dɛn du di ɔpreshɔn.
Yu dɔktɔ go gi yu klia instrɔkshɔn dɛn di de we dɛn go du yu ɔpreshɔn. Fɔ fala dɛn instrɔkshɔn dɛn de gud gud wan rili impɔtant fɔ mek yu ɔpreshɔn go bifo.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, dɛn go put yu ɔnda jenɛral anestezi. So yu nɔ go fil ɛnitin. Di dɔktɔ we de du di ɔpreshɔn go mek wan midyan sternotomy na di midul pan yu chɛst, pul di pat we wik na yu aorta, ɛn put di graft insay. Sɔntɛnde we dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to wan mashin we dɛn kin yuz fɔ baypas pan di at ɛn pulmonari. Dis ɔpreshɔn kin tek lɛk 3-4 awa.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go admit yu na di intensiv kia yunit (ICU). Na de dɛn go de wach yu fɔ sɔm dez. Afta dat, dɛn go transfa yu to wan jenɛral wɔd. Di ɔl di ɔspitul we dɛn kin de na ɔspitul kin bi frɔm 4 to 10 dez.
We i bin de na ɔspitul, .
- Yu go gɛt wan urinary catheter we dɛn put insay.
- Dɛn kin gi mɛrɛsin (anticoagulants) fɔ mek blɔd nɔ klɔt.
- Dɛn kin wɛr spɛshal kɔmpreshɔn sɔks fɔ mek blɔd nɔ klɔt na di leg dɛn.
- Yu kin kɔnɛkt yu to mashin fɔ ɛp yu fɔ blo.
- Dɛn go gi dɛn mɛrɛsin fɔ mek di pen nɔ bɔku.
Yu nid fɔ bigin waka sloslo ɛn gɛt trɛnk bak. Bɔt dɛn fɔ du ɔltin sloslo, jɔs lɛk aw di dɔktɔ tɛl dɛn. Bikɔs yu nɔ go ebul fɔ drayv motoka we yu de go na os, i rili impɔtant fɔ mek yu gɛt pɔsin fɔ go wit yu.
Di bɛnifit, risk, ɛn di tɛm fɔ wɛl fɔ dis ɔpreshɔn
| Pat | Tɔk bɔt |
|---|---|
| Di bɛnifit dɛn we pɔsin kin gɛt | Di ɔpreshɔn we dɛn plan fɔ du kin mek di anɛrizm nɔ bɔs ɔ brok. Imejɛnsi ɔpreshɔn kin sev pɔsin in layf. |
| Risk dɛn we kin apin | Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin mek pɔsin blɔd, blɔd kin klɔt, infɛkshɔn, at atak, strok, ɛn kidni we nɔ de wok fayn. De risk kin bɔrku fɔ pipul dɛm wae gɛt ɔda siriɔs mɛrɛsin. Yu dɔktɔ go tɔk bɔt yu wan wan risk dɛn. |
| Sakses ɛn lɔng layf | di ɔpreshɔn dεm we dεn plan (ilεktiv) kin 95% - 98% saksesful. Dɛn kayn pipul ya kin ɛkspɛkt fɔ liv di sem layf we di jenɛral pipul dɛn kin liv. Bɔt di sakrifays we dɛn kin du fɔ ɔpreshɔn we dɛn kin du kwik kwik wan kin smɔl pasmak. So, fɔ no am kwik kwik wan ɛn fɔ trit am rili impɔtant. |
| Di tɛm fɔ mek pɔsin wɛl | I kin tek 4-6 wik ɔ ivin mɔnt fɔ mek i wɛl ful wan. Afta yu dɔn kɔmɔt na di ɔspitul, yu kin gɛt trɛnk bak kwik kwik wan bay we yu tek pat pan wan program fɔ mek yu at pwɛl. |
Tin dɛm fɔ fala we yu de wɛl
- Nɔ drayv: Nɔ drayv te yu dɔktɔ gi yu di rayt fɔ drayv.
- Nɔ es di wet: Nɔ es pas 10 paund (4.5 kg) fɔ 4-6 wik.
- Ɛksesaiz: Nɔ du ɛksasaiz we go mek yu fil shɔt fɔ blo. Aks yu dɔktɔ us ɛksɛsayz we fayn fɔ yu.
- Kiya fɔ di say we yu kɔt di say we yu kɔt am: Kip di say we yu kɔt am klin. Chek am ɛvride fɔ si sayn dɛn fɔ rɛd, swel, ɔ pus. If yu ol pilo nia yu chɛst we yu de kɔf ɔ sniz, dat go ɛp fɔ mek yu nɔ fil pen.
A nid fɔ chenj mi layf afta di ɔpreshɔn?
Yɛs. I rili impɔtant fɔ mek sɔm chenj dɛn na yu layf fɔ ridyus di risk fɔ gɛt at sik tumara bambay.
- It tin we go mek yu at pwɛl: mɔ ridyus sɔl (sɔdiɔm).
- Ɛksesaiz: Aks yu dɔktɔ bɔt ɛksesaiz dɛn we fayn fɔ yu.
- If yu de smok, stɔp wantɛm wantɛm: Smok kin mek yu blɔd vesel dɛn pwɛl bad bad wan.
- Kɔntrol ay blɔd prɛshɔn, kɔlɔstrel ɛn dayabitis.
Ustɛm a fɔ go to dɔktɔ?
Pe atɛnshɔn to yu bɔdi we yu de wɛl. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Ficha dɛn we yu fɔ luk fɔ | |
|---|---|
| Prɔblɛm dɛn we kin apin we pɔsin de kɔt kɔt | |
| - Rɛd, pen, wam, ɔ swel. - Blɔd ɔ klia wata we de siep tru di bandej. - Grin ɔ yɔlɔ pus dischaj. - Edj separeshɔn na di kɔt pat. | |
| Ɔda siriɔs prɔblɛm dɛn | |
| - Chɛst pen ɔ shɔt briz ivin we yu rɛst. - di leg dεm de swεla כ di leg dεm nכ ebul fכ muv. - Diziz, fɔdɔm, ɔ taya pasmak. - Fɔ kɔf blɔd, ɔ yɔlɔ/grin mכkus. - Chil ɔ fiva. - Blɔd na di stɔl. |
Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn na yu maynd bifo yu du ɔpreshɔn lɛk dis. Tɔk to yu dɔktɔ bɔt dɛn ɔl opin wan. We dɔktɔ se dɛn fɔ du dis ɔpreshɔn, dɛn kin se di prɔblɛm dɛn we kin apin we pɔsin nɔ du di ɔpreshɔn, pas fɔ du am. Pipul wae kin wɛl afta dɛn dɔn plan fɔ du ɔpreshɔn kin go liv nɔrmal layf. So if yu gɛt di rayt mɛdikal tim ɛn kia fɔ yu fayn fayn wan, yu kin wɛl kwik ɛn kam bak to yu nɔmal layf.
Mɛsej we dɛn kin kɛr go na os
- Ascending Aortic Aneurysm na we di aorta na di at de bul. Dis na siriɔs kɔndishɔn we dɛn nid fɔ wach gud gud wan.
- Di sakses rɛt fɔ ɛlektiv ɔpreshɔn rili ay. So, nɔ put di ɔpreshɔn bifo tɛm if prɔblɛm de.
- If yu gɛt pen na yu chɛst ɔ yu bak wantɛm wantɛm, dat kin bi sayn fɔ se yu gɛt di anɛrizm we dɔn brok. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Fɔ fala yu at-hɛlth layf afta dɛn dɔn ɔpreshɔn yu rili impɔtant fɔ yu lɔng tɛm wɛlbɔdi.
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