Tink bɔt di men blɔd vesel we de bigin na di midul pan yu chɛst, na di at, ɛn kɛr blɔd go ɔlsay na yu bɔdi. Wi kin kɔl dis di aorta. Fɔ tɔk di kɔrɛkt tin, dɛn kɔl di fɔs pat we kɔmɔt na di at di ascending aorta. Dis tan lɛk di men wata paip we de na wi bɔdi. Sɔntɛnde, wan pan di wɔl dɛn na dis blɔd vesel kin wik ɛn bigin fɔ bɔl lɛk balɔ. Insay mɛrɛsin, wi kin kɔl dis sik aneurism. Dis kin siriɔs, bikɔs if dis bulge tu big, i kin bɔs. So tide wi go tɔk bɔt aw fɔ ɔpreshɔn fɔ mek wan bulge na di ascending aortic aneurysm.
Udat nid fɔ du dis ɔpreshɔn?
Fɔ tɔk am simpul wan, dis ɔpreshɔn nid fɔ apin pan tu men tin dɛn.
1. As imejensi: If dis aneurism na yu aorta bכs (rupt) כ te tru in wכl dεm (dissections), na imejensi כpεrayshכn we de sev yu layf. Dis na tin we rili denja.
2. As yu plan fɔ du ɔpreshɔn: Afta yu dɔktɔ si se yu gɛt aneurism, i go asɛs di risk fɔ mek i bɔs, ɛn if di risk bɔku, i go se yu fɔ du ɔpreshɔn bifo i bɔs. di dכkta go כlwayz mכnitor di sayz fכ di anεvrizm εn aw fast i de gro wit skan (`CT` כ `Hat MRI`) we dεn kin du wan כ tu tεm insay di ia.
Bɔrku tɛm, wan aneurism wae de gro sloslo ɔr smɔl pasmak nɔr go nid tritmɛnt fɔ sɔm tɛm. Bɔt if i de gro kwik kwik wan ɔ i dɔn rich di sayz we denja, i go fayn fɔ mek dɛn du am ɔpreshɔn bifo i bɔs.
Wetin na di bɛst tɛm fɔ mek dɛn du ɔpreshɔn?
Di disayd we yu fɔ disayd ustɛm fɔ du ɔpreshɔn kin dipen pan bɔku tin dɛn, lɛk if yu gɛt sɔm sayn dɛn, di sayz we di anɛrizm gɛt, ɛn aw i de gro kwik kwik wan.
Simptom dɛm wae nid fɔ gɛt ɔpreshɔn kwik kwik wan
If yu gɛt ɛni wan pan dɛn sik ya, i kin min se yu anɛrizm dɔn nia fɔ brok. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Atɛnshɔn! Dis na sayn dɛn we de sho se yu gɛt denja we yu gɛt imejensi! | |
|---|---|
| Shap chɛst ɔ ɔpa bak pen | Fɔ fil bad bad wan lɛk se sɔntin de te insay di bɔdi. |
| I nɔ kin izi fɔ yu fɔ blo | Kɔf, hoarseness, shɔt briz. |
| Ɔda tin dɛn we de apin | Diziz , fɔdɔm, fɔ swet pasmak, nɔs ɛn vɔmit, at bit kwik kwik wan. |
Kes dɛn we dɛn plan fɔ du ɔpreshɔn
Ivin if yu nɔ de si di sik, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan dɛn kayn tin ya:
| Factor we de inflɔws di disizhɔn | Tɔk bɔt |
|---|---|
| Di sayz fɔ di anɛrizm |
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| Di spid we aw pɔsin de gro |
|
| Ɔda tin dɛn we kin apin | Tin dɛm lɛk yu bɔdi saiz (pɔsin we gɛt smɔl bɔdi kin nid ɔpreshɔn ivin if i smɔl) ɛn if yu dɔn gɛt ɔda ɔpreshɔn pan yu at. |
Aw dɛn kin pripia bifo dɛn du di ɔpreshɔn?
Yu go rɛdi fɔ di ɔpreshɔn sɔm wiks bifo i bigin.
- Mɛdikal tɛst: Dɛn kin du blɔd tɛst fɔ chɛk aw di kidni de wok, CT ɔ MRI skan fɔ chɛk di wan ol aorta, ɛn korona angiografi fɔ chɛk ɔda blɔd vesel dɛn na di at.
- Fɔ tɔk to yu dɔktɔ: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn tradishɔnal mɛrɛsin), ɛn ɛni ɔda mɛrɛsin we yu gɛt, lɛk ay blɔd prɛshɔn ɛn dayabitis.
- Smok: I rili impɔtant fɔ stɔp fɔ smok kpatakpata at le wan mɔnt bifo di ɔpreshɔn.
Di dɔktɔ go gi yu instrɔkshɔn, lɛk fɔ nɔ drink wata afta midnayt di de we dɛn du di ɔpreshɔn ɛn fɔ tek di mɛrɛsin we dɛn tɛl yu fɔ it nɔmɔ na mɔnin.
Aw dɛn kin du di ɔpreshɔn?
Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Dɛn kin du am we dɛn ful-ɔp yu anestez (put to slip).
1. Insishɔn: Di ɔspitul de mek wan vertikal insishɔn dɔŋ di midul pan yu chɛst.
2. Blɔd sakulayshɔn: Yu go kɔnɛkt to at-lɔng mashin. Dis go mek yu bɔdi gɛt di blɔd ɛn ɔksijɛn we i nid we dɛn de du di ɔpreshɔn.
3. Ripa: dεn de pul di wik we swel pat pan di aorta εn put tכb (graft) we dεn mek wit sεntetik mεtirial. Dis de wok lɛk di nyu blɔd vesel.
4. Klos: afta dεn dכn sutura di nyu tכb εn fiks am, dεn kin kכloz di chεst insayshכn wit stich כ step.
Dis ɔpreshɔn kin tek lɛk tri to 4 awa so, bɔt di tɛm kin difrɛn difrɛn wan bay wetin dɛn nid fɔ mek.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ sɔm dez ɛn dɛn go de wach yu gud gud wan. Dɔn dɛn go transfa yu to wan rɛgyula wɔd. Di ɔl ɔspitul we yu de de kin las bitwin 4 ɛn 10 dez.
Yu kin ɛkspɛkt dɛn tin ya we yu de wɛl:
- Fɔ gi mɛrɛsin fɔ mek pɔsin fil pen.
- Fɔ put kateta fɔ mek yu urine kɔmɔt.
- Yuz mashin fɔ ɛp fɔ blo (insay di fɔs sɔm awa dɛn).
- Fɔ wɛr spɛshal sɔks (kɔmpreshɔn sɔks) fɔ mek blɔd nɔ klɔt na di leg.
Wetin na di bad tin dɛn we kin apin ɛn di bɛnifit dɛn we pɔsin kin gɛt?
Di men bɛnifit na dat i de mek i nɔ brok, we kin kil pɔsin. di sakses rεt fכ wan כpεrayshכn we dεn plan de rili hכy (bכt 95%-98%). Dis min se dis na di bɛst chans fɔ sev pɔsin in layf.
Bɔt mɛmba se if aneurism bɔs, di chans fɔ sev yu layf rili smɔl. So if yu dɔktɔ tɛl yu fɔ du ɔpreshɔn, dat min se di risk fɔ ɔpreshɔn nɔ bɔku pas fɔ nɔ gɛt am.
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin. Kɔmplikɛshɔn lɛk fɔ blɔd pasmak, infɛkshɔn, at atak, strok, ɛn kidni we nɔ de wok fayn kin apin. Bɔt di mɛdikal tim kin du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek bitwin 4 ɛn 6 wik fɔ mek i wɛl ɔl. Fɔ sɔm, i kin tek sɔm mɔnt. Insay dis tɛm, yu go gɛt fɔ fala sɔm tin dɛn we yu nɔ fɔ du.
- Nɔ drayv: Te yu dɔktɔ gi yu permishɔn (bɔku tɛm fɔ at le 1-2 wik).
- Nɔ es di wet: Nɔ es di wet we pas 5 kg (fɔ 4-6 wik).
- Fɔ was: Nɔ was te di wund dɔn wɛl. Yu kin tek shawa.
- Ɛksesaiz: Nɔ du ɛksɛsayz we yu de tray tranga wan.
Fɔ mek yu nɔ fil pen we yu de kɔf ɔ sniz , put pilo oba di wund ɛn kɔmprɛs am. Dɔn bak, fɔ lɛ yu nɔ want fɔ it ɛn taya pasmak na nɔmal tin insay di fɔs wik dɛn. Nɔ wɔri bɔt am.
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn sayn ya we yu de wɛl, tɛl yu dɔktɔ wantɛm wantɛm.
| Prɔblɛm | Ficha dɛn we yu fɔ luk fɔ |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit wund | di wund de rεd, swεla, i de pen, i de wam, i de oozing grεn/yכlכ pus, εn di ed dεm fכ di wund de separet. |
| Ɔda siriɔs sayn dɛn | Chɛst pen ɔ shɔt briz ivin we yu de rɛst, yu leg dɛn de swel, yu de fɔdɔm, yu gɛt fiva, yu de kɔf wit blɔd ɔ grɛn/yɔlɔ blɔd, blɔd na di stɔl. |
Mɛsej we dɛn kin kɛr go na os
- Wan ascending aorta aneurysm na siriɔs kɔndishɔn. Di ɔpreshɔn we dɛn plan fɔ du bifo i brok, bɔku pan dɛn kin mek dɛn nɔ gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen wantɛm wantɛm na yu chɛst ɛn i nɔ izi fɔ blo, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- I kin tek tɛm fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Afta yu dɔn wɛl, fɔ it tin dɛn we go ɛp yu at, fɔ avɔyd fɔ smok, ɛn fɔ kɔntrol tin dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn impɔtant fɔ mek yu gɛt wɛlbɔdi tumara bambay.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ.
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