Yu dɔn ɛva yɛri di wɔd ‘ bren aneurysm’? Sɔntɛm yu dɔn ivin yɛri se yu padi gɛt wan. Na nɔmal tin fɔ fil smɔl fred ɛn shɔk we wi yɛri dis nem. Udat nɔ go fred we dɛn se blɔd vesel insay di bren de bɔs, nɔto so? Bɔt pas fɔ fred fɔ dis we yu nɔ nid, i impɔtant fɔ no bɔt dis. So tide, wi go tɔk bɔt am rili simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na aneurism?
Tink bɔt wan balyɔn. If wi kɔntinyu fɔ blo pan am, sɔm pat dɛn kin wik ɛn i kin kɔmɔt lɛk smɔl bɔbul, nɔto so? Di sem tin kin apin na di blɔd vesel dɛn na wi bren.
We blɔd vesel we de gi blɔd to di bren wik wan patikyula say, ɛn blɔd kɔntinyu fɔ flɔ tru am kwik kwik wan, di wik ples kin bɔl kɔmɔt lɛk balɔ. Dɛn kɔl da bulge de aneurysm . Dɛn tin ya kin gro te dɛn saiz lɛk smɔl bɛri.
Pan ɔl we di nem tan lɛk se i de mek pɔsin fred, bɔku pan di anɛrizm dɛn nɔ kin mek pɔsin gɛt ɛni sayn ɔ wɛlbɔdi prɔblɛm. Pɔsin kin liv in ɔl layf we i nɔ no se i gɛt aneurysm, we nɔ gɛt ɛni prɔblɛm.
Bɔt nɔto ɔltɛm dis anɛrizm kin gro big, lik blɔd smɔl smɔl, ɔ brok wantɛm wantɛm. We i brok ɛn blɔd go insay di bren, dɛn kin kɔl am ɛmoraji strok. Dis na rili siriɔs, layf pan denja fɔ mɛn pipul dɛn. If dɛn kayn tin ya apin, dɛn nid fɔ gɛt tritmɛnt na ɔspitul wantɛm wantɛm.
Wetin na di kayn ɛn saiz dɛm fɔ di anɛrizm?
di aneurism dεm kin sheb to difrεn men tכp dεm. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ di Aneurism | Tɔk bɔt |
|---|---|
| Sakulɔr Anɛrizm | Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin mek wan bɔbul na do na di blɔd vesel, we tan lɛk bɛri we de hang pan vayn. dis na di rizin we mek dεn kin kכl am bak "berry aneurysm." |
| Fusifɔm Anɛrizm we dɛn kɔl | Dɛn tin ya nɔ kin fɔm lɛk bɔbul. Bifo dat, di wɔl dɛn na di blɔd vesel kin swel ɔlsay, ɛn dat kin mek da say de big. Dɛn tin ya nɔ kin rili kɔmɔn. |
| Maykotik Anɛrizm | Na wan kayn anɛrizm we kin apin we di wɔl na di blɔd vesel wik bikɔs ɔf infεkshɔn lɛk baktri ɔ fεn. Dis na tin bak we nɔ kin apin so ɔltɛm. |
Dɛn aneurism ya kin gɛt difrɛn sayz.
- Smɔl ( SMA ll): I nɔ rich 11 milimita (we tan lɛk pensil iras).
- Big: Bitwin 11-25 milimita (we na lɛk 5 rup kɔyn na Sri Lanka).
- Jaynt: I big pas 25 milimita.
Wetin na di sayn dɛm fɔ dis? Dis na wetin yu rili nid fɔ no!
Di sayn dɛm fɔ aneurysm dipen pan if i dɔn brok ɔ nɔ brok. Dis pat rili impɔtant , so pe atɛnshɔn gud wan.
| Imejɛnsi simptom dɛm fɔ wan rupchɔ anɛrizm (if yu gɛt ɛni wan pan dɛn tin ya, go to di ETU wantɛm wantɛm!) | |
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| Di sayn dɛm fɔ wan anɛrizm we de gro bɔt nɔ de bɔs (to dɔktɔ wantɛm wantɛm) . | |
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Wetin mek dɛn aneurism ya kin fɔm? Udat dɛn de pan big risk?
Nɔ wan tin nɔ de we kin mek di aneurism fɔm, bɔt dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt dis sik.
Di tin dɛn we kin mek pɔsin gɛt frɔm dɛn mama ɛn papa
Sɔm tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa kin mek i gɛt aneurism.
- כtosomal dominant polycystic kidney disease na sik we sist de fכm na di kidni dεm.
- Nyurofibromatosis tayp 1 na wan sik we de mek di tכmכro dεm fכm pan di skin εn di nεv dεm.
- Sik dεm we de afekt di kכnektiv tisu (Marfan sεndrכm, Ehlers-Danlos sεndrכm) .
Di tin dɛn we kin mek pɔsin gɛt prɔblɛm wit di we aw i de liv in layf
Na dɛn tin ya wi go ebul fɔ kɔntrol.
- Ay Blɔd Prɛshɔn: Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik.
- Smok: Pipul wae de smok kin gɛt bɔrku risk fɔ gɛt aneurism ɛn fɔ bɔs.
- Famili histri: If wan pan yu fambul dɛm we de nia yu (mama, papa, brɔda ɛn sista) dɔn gɛt aneurysm, yusɛf de pan risk smɔl.
- Ej: Di risk kin go ɔp afta yu dɔn ol 40 ia.
- Jɛnda: Uman dɛn kin gɛt aneurism pas man dɛn.
- Yuz drɔgs: Yuz drɔgs lɛk kɔkɛyn.
- Fɔ drink rɔm pasmak.
Aw dɔktɔ dɛn kin fɛn dis?
If yu dɔktɔ sɔspɛkt se yu gɛt anɛrizm bay di sayn dɛm we yu gɛt, sɔm tɛst dɛn de fɔ kɔnfirm am.
- CT Scan: Dis kin tek ditayla pikchɔ dɛn bɔt di bren. Sɔntɛnde, dɛn kin put spɛshal day na di bren fɔ mek di blɔd vesel dɛn go si mɔ.
- MRI Scan: Dɛn kin yuz magnɛtik fil fɔ tek pikchɔ dɛn we rili klia bɔt di bren ɛn di blɔd vesel dɛn.
- Angiogram: 1.Dis na di we we pɔsin kin abop pan fɔ no if pɔsin gɛt aneurism. Insay dis we aw dɛn de du dis, dɛn kin pas wan tiub we rili tan (kateta) tru wan blɔd vesel na di leg ɔ an to di blɔd vesel dɛn na di bren, dɛn kin injɛkt wan spɛshal wata, ɛn dɛn kin tek sɔm ɛkstrem rayt pikchɔ dɛn. Dis kin mek dɛn ebul fɔ si di rayt say, di sayz, ɛn di shep we di anɛrizm gɛt.
- Spinal Tap/Lumbar Puncture: If pipul dεn saspek se aneurism dכn rכp, dεn kin tek sεmpl sכm spεnal fluid frכm di spayna εn tεst fכ blɔd.
Wetin na di tritmɛnt dɛn?
Bɔku tin dɛn kin no aw fɔ trit yu, lɛk if di anɛrizm dɔn brok ɔ nɔ brok, in saiz, usay i de, yu ej, ɛn ɔl yu wɛlbɔdi.
Fɔ smɔl, we nɔ gɛt ɛni sayn, we nɔ brok, i kin pɔsibul fɔ avɔyd ɛni tritmɛnt ɛn jɔs wach wet. Yu fɔ tɔk bɔt dis wit yu dɔktɔ fɔ mek yu disayd fɔ du di bɛst.
If di anɛrizm we dɔn brok, dɛn fɔ trit am wantɛm wantɛm bikɔs di risk fɔ mek i bɔs bak rili bɔku. Bɔku men tritmɛnt dɛn de we yu kin gɛt.
| Di we aw dɛn kin trit am | Wetin kin apin na simpul tin. |
|---|---|
| Klip we dɛn kin yuz fɔ ɔpreshɔn | Wan ɔpreshɔn we dɛn kin du fɔ opin di skel. Di dɔktɔ we de du di ɔpreshɔn kin fɛn di anɛrizm ɛn put wan smɔl mɛtal klip akɔdin to in nɛk fɔ mek di blɔd nɔ kɔmɔt. |
| Endovaskyuɛl Kɔyl | Dis na prosidur we nɔ de involv fɔ opin di skel. jכs lεk angiogram, dεn kin put wan tin tכb insay di leg, εn dεn kin pas rili fayn platina waya kכyl dεm tru am εn put insay di anεvrizm. Dɔn dɛn kin stɔp di blɔd we de flɔ to am, ɛn blɔd kin klɔt ɛn lɔk am. |
| Flɔ Divɛrta Ɔpreshɔn | Wan prosidur we dɛn kin yuz fɔ big aneurism. insay dis prosidur, dεn kin put wan stent we lεk mεsh insay di bכdi we di anεvrizm de. Dis kin mek di blɔd flɔ dairekt tru di anɛrizm, pas fɔ pas am. |
Mɛsej we dɛn kin kɛr go na os
- Bɔku pan di anɛrizm dɛn na di bren nɔ kin ɛva brok. Dɛn kin gɛt asymptomatic, so nɔr de alarm wae nɔr nid fɔ de wit de nem.
- Wae yu ed pen kwik kwik wan lɛk aw yu nɔr ɛva gɛt na yu layf na sayn wae de wɔn yu! If dis apin, nɔ tink tumɔs ɛn go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Ay blɔd prɛshɔn ɛn smok na di tu big ɛnimi dɛn. If yu kɔntrol dɛn tu tin ya, dat kin mek yu nɔ gɛt bɔku prɔblɛm.
- If pɔsin we de nia yu fambul dɔn gɛt anɛrizm, tɔk to yu dɔktɔ bɔt am.
- If dɛn no di sik kwik kwik wan ɛn trit am fayn, dis sik kin wɛl ɔltogɛda. So, e fayn fɔ no bɔt de sik.
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