Yu no se di men blɔd vesel na wi bɔdi tan lɛk di men wata paip we de gi wata to siti? Dis blɔd vesel na di wan we de kɛr klin blɔd we gɛt bɔku ɔksijɛn frɔm di at to di wan ol bɔdi. So imajin us kayn denja go apin if dis men bot wik na wan ples ɛn bigin fɔ bɔl lɛk balɔ. Tide wi go tɔk bɔt dis kayn siriɔs sik, bɔt bɔku tɛm i nɔ kin tɔk natin. insay mεdikal tεm dεm, wi kin kכl dis ‘Ascending Aortic Aneurysm’.
Fɔ tɔk am simpul wan, wetin na dis Ascending Aortic Aneurysm?
Dis kin tan lɛk se na kɔmplikɛt nem, bɔt i rili simpul fɔ ɔndastand.
Mek wi brok dis nem fos.
- Aorta: Dis na wetin a bin dɔn tɔk, na di blɔd vesel we big ɛn impɔtant pas ɔl na wi bɔdi. I kin bigin frɔm wi at.
- Ascending Aorta: Dis na di ascending pat pan di aorta we de nia di at.
- Aneurysm: Dis na di rial stori. Dis na we wan wik ples na di wɔl na blɔd vesel bulge kɔmɔt. I tan lɛk "bɔbul" we de kɔmɔt na taya na motoka.
Fɔ tɔk am simpul wan, Ascending Aortic Aneurysm na wan sik we di wɔl na di fɔs pat pan di aorta we bigin na wi at kin wik ɛn bulge lɛk balyɔn. Sɔntɛnde dɛn kin kɔl dis sik Ascending Thoracic Aortic Aneurysm (ATAA) bikɔs i kin apin na di chɛst eria.
Di big denja na dat dis say we dɔn swel kin te ɔ brok ɛni tɛm. If dat apin, i kin mek yu blɔd kɔmɔt bad bad wan insay di bɔdi, we kin rili siriɔs ɛn ivin de mek yu layf de pan denja.
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. Lɛ wi tek wan luk pan udat dɛn bi. Tink bɔt if dɛn tin ya apin to yu.
| Risk factor | Wan simpul ɛksplen |
|---|---|
| Ej ɛn man ɔ uman | Man dɛn we dɔn pas 60 ia ɛn uman dɛn we dɔn pas 70 ia kin gɛt bɔku prɔblɛm. Dis na bikɔs di wɔl dɛn na wi blɔd vesel dɛn nɔ kin strɔng ɛn i kin ebul fɔ chenj as tɛm de go. |
| Famili Istri | If pɔsin na yu famili, mɔ pan yu fambul we de nia yu (mama, papa, brɔda ɛn sista dɛn), dɔn gɛt aneurysm lɛk dis, yu de pan big risk. Dis kin gɛt sɔntin fɔ du wit di jɛnɛtiks. |
| Sɔm at prɔblɛm dɛn | dis risk kin bכku fכ di wan dεm we gεt bכn difεkt we dεn kכl Bicuspid Aortic Valve (wan at valv we nכmal fכ gεt tri kכsp bכt na tu kכsp nכmכ). |
| Kɔnɛktiv Tisu Disɔda dɛn | Pipul dɛn we gɛt sik dɛn we de ambɔg dɛn bɔdi we de afɛkt di trɛnk we di bɔdi gɛt, lɛk Marfan Syndrome , kin dɔn wik di blɔd vesel dɛn wɔl. |
| Ay Blɔd Prɛshɔn | Dis rili impɔtant. Ay blɔd prɛshɔn min se blɔd de muv ɔltɛm ɔnda ay prɛshɔn insay di blɔd vesel dɛm. Dis prɛshɔn kin pwɛl di wɔl dɛn na di blɔd vesel dɛn ɛn i kin mek dɛn wik as tɛm de go. |
| Fɔ smok | Smok na wan pan di big tin dɛn we kin mek i pwɛl di blɔd vesel dɛn. Di kemikal dɛn we de insay sigrɛt kin pwɛl di wɔl dɛn na di blɔd vesel dɛn dairekt wan, ɛn dis kin mek dɛn wik ɛn mek dɛn kin bɔl. |
bכt 60% pan כl di tכraks aorta anεvrizm dεm de apin na di ascending aorta. Statistikin sho se dis sik kin afɛkt lɛk 10 pan 100,000 pipul dɛn ɛvri ia.
Wetin mek dis de apin? Wetin na di rizin dɛn?
Ɛnitin we wik ɔ pwɛl di wɔl dɛn na blɔd vesel kin mek dis apin. As wi de ol ɛn wit at sik, wi at dɛn nɔ de ebul fɔ elastik igen. Dɔn, dɛn nɔ kin ebul fɔ bia wit di prɛshɔn we blɔd de flɔ tru dɛn, ɛn dɛn kin bigin fɔ bulj na di wik say dɛn.
Bɔku men rizin dɛn de we kin afɛkt dis kayn tin:
- Atεrosklεrosis: Wi jכs kכl dis "fεt dεposit dεm na di bכdi vεsul dεm." dis we ya, tin dεm lεk kכlestכl kin bכku na di wכl dεm na di blɔd vesel dεm, i kin mek dεn at εn wik.
- Aɔtaytis: Dis na inflamɛns na di aɔta. I kin kam bikɔs ɔf sɔm infɛkshɔn ɔr prɔblɛm wit di imyun sistɛm.
- Bicuspid aortic valve disease: As wi bin dɔn tɔk, dis na di tin we kin apin we pɔsin bɔn wit di at valv. Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt aortic dissection.
- Dizayd dɛn we kin apin we pɔsin gɛt jɛnɛtiks:
- Marfan Syndrome: Na sik we de mek di bɔdi in kɔnektiv tisu dɛn wik.
- Loeys–Dietz Syndrome: Na ɔda jɛnɛtik sik we kin mek di aorta big.
- Turner Syndrome: Na wan jεnεtik kכndyushכn we de afekt uman dεm nכmכ εn kin mek prכblεm wit di kכdivaskyul sistεm.
- Traumatik Injuri: If yu gɛt siriɔs aksidɛnt ɔ blo na yu chɛst, i kin pwɛl ɛn te di wɔl na di aorta.
Wetin na di sayn dɛm fɔ dis? Aw yu no am?
Dis na di sayn ɛn denja say fɔ dis sik. Bɔrku pipul nɔr kin gɛt ɛni sayn. Yu kin go we yu nɔ notis te di anɛrizm de gro smɔl smɔl.
Bɔt as di anɛrizm de gro ɔ i de prɛs pan di ɔgan dɛn we de nia am, sɔm sayn dɛn kin apin. If yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ tɔk to yu dɔktɔ wantɛm wantɛm.
- Chɛst pen ɔ pen na di ɔp pat na di bak eria: Dis kin bi dip pen we de swɛt.
- Kɔf ɔ Wis: Dɛn sayn ya kin apin if di anɛrizm de kɔmprɛs di say we di briz de blo.
- I nɔ izi fɔ swɛla: Dis kin bi bikɔs di anɛrizm de prɛs na di εsophagus.
- Hoarseness: Di vɔys kin chenj bikɔs ɔf di kɔmpreshɔn pan wan nerve we de kɔntrol di vokal kɔd dɛm.
- Shot we yu de blo.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
Bɔrku tɛm, dɛn kin no dis sik bay we dɛn de tɛst fɔ ɔda sik. Fɔ ɛgzampul, dɔktɔ kin si se di aorta dɔn big we i de tek ɛkstrem rayt na in chɛst fɔ ɔda rizin.
If di dɔktɔ sɔspɛkt dis, i go ɔda difrɛn tɛst dɛn fɔ kɔnfirm am ɛn fɔ no di rayt sayz ɛn usay di anɛrizm de.
| Tɛst | Wetin dis de du? |
|---|---|
| X-ray na di chɛst | dis kin gi wan rough aidia fכ if di aorta dכn big, bכt i at fכ no sכm sכm anεrizm. |
| Transthorasik Ekokardiogram (TTE) we de sho aw fɔ du am. | Dis tan lɛk we dɛn de skan di at. I de yuz sawnd wev fɔ si aw blɔd de flɔ na di at ɛn aw di at valv dɛn de wok. i kin luk bak na di biginin fכ di aorta. |
| Chɛst CT Skan we dɛn kin du | dis kin mek tri-dimenshכnal (3D) imej dεm fכ di chεst. I kin sho klia wan ivin wan rili smɔl aneurism ɔ wan blɔd vesel we dɔn rɔtin (dissection). Sɔntɛnde dɛn kin du dis skan bay we dɛn injɛkt wan spɛshal wata we dɛn kɔl kɔntrast insay wan vein na di an. |
| MR Angiografi (MRA) we dɛn kɔl . | Dis na MRI skan. I de ɛp fɔ gɛt rili ditayl infɔmeshɔn bɔt di aorta ɛn aw di at de wok. |
Aw dɛn kin trit am?
Di tritmɛnt de dipen pan tin dɛm lɛk di sayz fɔ di anɛrizm, aw i de gro fast, ɛn wetin mek i de.
Fɔ smɔl aneurism (lɛs dan 5.5 cm) .
If di aneurism smɔl pas 5.5 sɛntimita ɛn yu nɔ gɛt ɔda spɛshal risk factor (lɛk Marfan Syndrome), bɔku tɛm dɛn nɔ go rifer yu fɔ ɔpreshɔn wantɛm wantɛm. Bifo dat, yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- Mɛrɛsin: Dɛn kin gi mɛrɛsin, mɔ fɔ kɔntrol blɔd prɛshɔn. We dɛn blɔd prɛshɔn go dɔŋ, di prɛshɔn we de na di blɔd vesel in wɔl dɛn kin ridyus bak.
- Fɔ de wach ɔltɛm:dεn kin du skan lεk εvri 6 mכnt fכ si if di anεvrizm de big. If i nɔ de gro kwik kwik wan, yu kin chɛk am ɛvri sɔm ia.
- Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:
- If yu de smok, i rili impɔtant fɔ lɛ yu stɔp wantɛm wantɛm .
- Fɔ it tin dɛn we gɛt wɛlbɔdi.
- Ɛnjɔy layt ɛksesaiz we nɔ de put tumɔs prɛshɔn pan di blɔd vesel dɛn. Yu fɔ tɔk to yu dɔktɔ bɔt dis ɛn aks fɔ advays.
Fɔ big aneurism (we pas 5.5 cm) .
If di aneurism big pas 5.5 sεntimita, dεn kin rεkomεnd fכ du כpεrayshכn, biכs di risk fכ rכp kin bכku afta da saiz de.
Bɔt fɔ pipul dɛn we gɛt sik lɛk Marfan Syndrome, Bicuspid Aortic Valve, ɔ famili histri bɔt aneurism, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn ilɛksɛf di aneurism smɔl. Dis na bikɔs dɛn kin gɛt ay risk fɔ brok, ivin if di aneurism smɔl.
Di ɔpreshɔn na fɔ opin di chɛst ɛn kɔt di wik pat na di aorta we de bɔl. Dɔn , dɛn kin put wan graft insay in ples. Dis na tin we dɛn mek wit wan strɔng tin we dɛn mek wit tin dɛn. we dεn de du dis כpεrayshכn, dεn kin tכn di wok we di at εn di lכng dεm de du fכ sכm tεm to wan mashin we dεn kכl ``cardiopulmonary bypass machine.`` sכmtεm, if di at valv defεkt, dεn kin du da כpεrayshכn de bak di sem tεm.
Aw de sik kin bi afta dɛn dɔn trit am? (Prɔgnosis) .
Dis na prɔblɛm fɔ bɔku pipul dɛn.
Stɔdi dɔn sho se 79% pan di pipul dɛm wae gɛt ɛlektiv ɔpreshɔn, ɔ 79 pan 100, kin liv wit gud wɛl bɔdi fɔ at le 10 ia afta dɛn dɔn gɛt tritmɛnt.
Bɔt if di anɛrizm brok ɔ bɔs, di tin kin rili siriɔs. If dɛn nɔ du di ɔpreshɔn we dɛn du kwik kwik wan insay 48 awa, lɛk af pan dɛn kayn pipul dɛn de nɔ go liv. Dis de sho aw i impɔtant fɔ no dis sik kwik kwik wan ɛn go to di rayt tritmɛnt, ilɛksɛf nɔr gɛt ɛni sayn.
Wetin wi go du fɔ protɛkt wisɛf frɔm dis kayn tin?
Pan ɔl we wi nɔ kin ebul fɔ kɔntrol sɔm tin dɛn we kin mek wi gɛt jɛnɛtiks, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Fɔ liv fayn layf: Fɔ it fayn it ɛn fɔ du ɛksɛsayz ɔltɛm.
- Kɔntrol di tin dɛn we kin mek yu gɛt prɔblɛm: Kɔntrol yu wet, blɔd prɛshɔn, ɛn kɔlɔstrel. Tek di mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ dɛn wan ya jɔs lɛk aw dɛn tɛl yu fɔ tek.
- Put di bad abit dɛn: If yu de smok, stɔp wantɛm wantɛm. Nɔ drink rɔm pasmak.
If yu gɛt dɛn sik ya, nɔ delay fɔ ivin smɔl tɛm!
Dɛn tin ya kin bi sayn dɛn fɔ se di anɛrizm dɔn brok ɔ bɔs. Dis na mɛdikal imejensi dɛn. If yu gɛt ɛni wan pan dɛn sik ya , go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Go to dɔktɔ wantɛm wantɛm! | |
|---|---|
| 🚨 we yu de du | Wan pen we kin kam wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia, we kin te na di chɛst ɔ di ɔp pat na di bak. |
| 🚨 we yu de du | I nɔ kin izi fɔ yu fɔ blo bad bad wan. |
| 🚨 we yu de du | Fɔ kɔf blɔd. |
| 🚨 we yu de du | Nɔr kin no natin, yu kin gɛt diziz, ɔr sayn dɛm fɔ strok (e.g., fɔ drɔp na wan say na yu fes, i nɔ kin izi fɔ tɔk). |
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
Na nɔmal tin fɔ fil fɔ fred if yu kam fɔ no se yu gɛt dis sik. Bɔt, i impɔtant fɔ mek yu no klia wan bɔt yu sik. Nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya we yu go to yu dɔktɔ.
- Aw big mi aneurism de?
- Wetin a go du fɔ ridyus di risk fɔ mek dis bɔm?
- Yu tink se di anɛrizm kin big? If na so i bi, aw fast i kin gro?
- Wetin na di prɔbabiliti fɔ mek dis go bɔm?
- Yu tink se a go nid ɔpreshɔn?
- If dɛn du ɔpreshɔn pan mi, wetin na di prɔblɛm dɛn we kin apin?
Mɛsej we dɛn kin kɛr go na os
- Ascending Aortic Aneurysm na we di wɔl na di at in men blɔd vesel wik ɛn bul. Dis na siriɔs sik wae kin kam kwayɛt wan.
- Bɔrku tɛm, nɔr kin gɛt ɛni sayn, so i impɔtant fɔ mek pipul dɛm wae gɛt dis sik (hay blɔd prɛshɔn, smok, famili histri) fɔ de chɛk dɛn ɔltɛm na dɔktɔ.
- De big denja wit dis na dat e kin bɔm ɛn mek pipul dɛn lɔs layf.
- Smɔl anɛrizm dɛn nid fɔ tek mɛrɛsin ɛn fɔ de wach dɛn ɔltɛm wit mɛrɛsin, ɛn dɛn kin trit big wan dɛn wit ɔpreshɔn.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen wantɛm wantɛm na yu chɛst ɔ yu nɔ go ebul fɔ blo, tek am se na imejensi ɛn go na ɔspitul wantɛm wantɛm.
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