Wan smɔl luk insay yu ed? Lɛ wi tɔk bɔt bren aneurism.

Yu dɔn ɛva gɛt ed we bin de at we yu nɔ bin ebul fɔ bia? I bin tan lɛk se laytin dɔn nak yu ed, ɔ lɛk se bɔm dɔn bɔn? Sɔmtɛm wi kin tink bɔt dɛn tin ya as jɔs nɔmal ed pen, bɔt dɛn kin bi sayn fɔ wan rili siriɔs wɛlbɔdi prɔblɛm. Wan pan dɛn kayn tin ya we wi nid fɔ pe atɛnshɔn to kwik kwik wan na wetin wi de tɔk bɔt tide, we na “Brain Aneurysm .” Fɔ yɛri dis nem kin mek yu fred, bɔt i rili impɔtant fɔ no bɔt am.

Fɔ tɔk am simpul wan, wetin na aneurism?

Imajin se wan paip de we de kɛr wata. Wan pat pan dis paip wik smɔl, i dɔn ol. Dɔn, as di wata de flɔ fast fast, da wik pat de bigin fɔ bɔl smɔl, lɛk smɔl balyɔn. Di sem tin kin apin if sɔntin apin to blɔd vesel ɔ at we de insay wi bren .

Bren aneurysm, ɔ as dɔktɔ dɛn kin kɔl am, cerebral aneurysm, na wik wɔl we de na wan at we de rawnd ɔ insay di bren we de bulge aut ɔnda di prɛshɔn we blɔd de gi, ɛn mek wan bulge.

Ɛnitɛm we wi at de bit, blɔd kin pas na di at dɛn na di bren we wi de prɛs. As dis prɛshɔn de kɔntinyu fɔ ambɔg da say de we wik, i de big smɔl smɔl. Jɔs lɛk we wi de blo briz insay balyɔn, i kin tan ɛn big. Di mɔ i de big, na di mɔ i go bɔs.

pan ɔl we dɛn aneurism ya kin fɔm ɛnisay na di bren, bɔku tɛm dɛn kin fɔm na di men at dɛn we de na di bays pan wi skel. sכm pipul dεm (bכt 10% - 30%) kin gεt mכr dan wan anεvrizm. Bɔt di gud nyus na dat bɔku pan dɛn aneurism ya rili smɔl. Dɛn nɔr kin kɔz ɛni sayn.

di simptom dεm kin bigin fכ sho כnli we di anεvrizm big fכ prεs pan di bren tisu כ nεv dεm we de rawnd am. Di tin we de mek i denja pas ɔl na we di anɛrizm de lik blɔd ɔ i brok kpatakpata. Dis kin mek blɔd kɔmɔt insay di bren.

Wetin kin apin if wan anɛrizm bɔs?

We aneurism bɔs, blɔd kin lik insay di bren tisu we de rawnd am. Dɛn kɔl dis blɔd.Dis blɔd kin mek di bren prɛshɔn mɔ, ɛn dis kin mek di bren swel. Di men sayn we kin apin bikɔs ɔf dis na wetin wi kin kɔl "thunderclap headache ," we na wan ed we kin at wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ imajin.

If di aneurism brok, i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm, lɛk:

• Subarachnoid Hemorrhage (SAH): Dis na di bכdi we de kכmכt na di spεs bitwin di bren εn di tכn mεmbran we de kכba di bren (di arachnoid layεr). 90% pan dεn blכd dεm ya de kכz fכ wan rupture aneurysm.
• Hemorrhagic Stroke : Na strok we kin kam we blɔd de kɔmɔt na di say we de bitwin di skel ɛn di bren.

Dɛn tin ya kin mek yu bren pwɛl fɔ ɔltɛm ɛn ɔda siriɔs prɔblɛm dɛn .

Udat kin gɛt aneurism? Aw i kɔmɔn?

Dis sik kin kam pan ɛni ej, ɛn ɛnibɔdi kin gɛt am. Bɔt pipul dɛm wae ol bitwin 30 ɛn 60 ia kin gɛt bɔrku risk. Dɔn bak, risach dɔn sho se dis sik kin bɔku smɔl pan uman dɛn pas man dɛn.

pan ɔl we nɔr patikyula data nɔ de bɔt dis na Sri Lanka, dɛn se lɛk 6% pan di pipul dɛm na kɔntri dɛm lɛk Amɛrika gɛt wan anɛrizm we nɔ brok. Dis min se dis nɔ kin apin so ɔltɛm lɛk aw pɔsin kin tink. Bɔt, di anɛrizm we kin brok nɔ kin bɔku so.

Wetin na di sayn dɛm we de sho se pɔsin gɛt aneurism?

di sayn dεm fכ dis kin difrεn dipכnt pan if di anεvrizm dכn rכp כ nכ rכp. We yu ɔndastand dis difrɛns, dat go ɛp yu fɔ sev yu layf.

Sɔntɛnde, bifo wan aneurism brok, i kin lik smɔl blɔd. Dɛn kɔl dis sɛntinɛl blɔd . Insay dis tɛm, wan wɔnin ed pen (sentinel ed pen) kin apin sɔm dez ɔ wik bifo di big wan. If yu gɛt ed we nɔ kɔmɔn, we rili bad, nɔ ɛva ignore am. Si dɔktɔ wantɛm wantɛm.

Wetin mek dɛn aneurism ya kin fɔm? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

di anεrizm dεm kin fכm we di wכl dεm na di at dεm na di bren kin tכn εn wik. Dɛn kin apin na di say dɛn we di at dɛn de branch. Sɔntɛnde, dɛn kin bɔn pɔsin wit wikɛd tin na di at in wɔl. Apat frɔm dat, bɔku ɔda tin dɛn kin afɛkt dis.

Factors we de kɔmɔt frɔm ɛriti

Dis na tin dɛn we wi nɔ go ebul fɔ kɔntrol ɛn we wi gɛt frɔm wi jɛnɛtiks.

• sכm hεriditri kכndishכn dεm: fכ egzampl, `Vaskulεr Ehlers-Danlos sεndrכm`, `Autosomal dominant polycystic kidni sik`, `Marfan sεndrכm`, `Fibromuscular dysplasia`.
• di atεriovenכs malfכmeshכn na abnכmal kכnεkshכn bitwin di atεri dεm εn di vein dεm na di bren.
• If pɔsin we de nia yu fambul (mama, papa, brɔda ɛn sista) dɔn gɛt aneurysm, yusɛf de pan ay risk.

Di we aw wi de liv wi layf ɛn ɔda wɛlbɔdi prɔblɛm dɛn

Dis na tin dɛn we wi kin chenj ɛn kɔntrol.

• Smok: Dis na big ɛnimi we de pwɛl di at in wɔl dɛn.
• Ay Blɔd Prɛshɔn: If yu nɔ kɔntrol di ay blɔd prɛshɔn, dat kin mek di at dɛn wɔl de prɛs ɔltɛm.
• Yuz drɔgs: Ɛspɛshali drɔgs lɛk kɔkɛyn.
• Fɔ drink rɔm pasmak.

Wetin na di tin dɛn we kin mek di anɛrizm bɔs?

di sem tin dεm we de mek di anεvrizm fכm de kכntribyut bak fכ mek i rכp. Risach pipul dɛn biliv se na ay blɔd prɛshɔn na di men tin we kin mek di anɛrizm brok. We blɔd prɛshɔn go ɔp, blɔd kin push mɔ ɛn mɔ pan di wɔl dɛn na di at.

We blɔd prɛshɔn go ɔp wantɛm wantɛm ɛn anɛrizm kin bɔs:

• Wan strɔng filin, lɛk fɔ kɔntinyu fɔ strɛs ɔ fɔ vɛks wantɛm wantɛm.
• Di tray we dɛn nid fɔ es sɔntin we ebi (we dɛn de es wet, muv fɔnicha).
• Fɔ no se yu gɛt ay blɔd prɛshɔn bɔt nɔ tek di rayt mɛrɛsin fɔ am.

pan tap dat, tin dεm lεk di sayz, shep, εn di say we di anεrizm de afekt bak if i go rכp כ nכ go rכp.

Aw fɔ no dis sik?

Bɔrku pipul dɛm wae gɛt unruptured aneurysms nɔr kin ivin no se dɛn gɛt wan. Bɔku tɛm, dɛn kin no dɛn bay we dɛn de du MRI ɔ CT skan na di bren fɔ ɔda rizin.

Bɔt if yu gɛt sayn dɛn we de sho se yu gɛt di anɛrizm we dɔn brok (espɛshali da bad bad ed we de at), yu fɔ go na ɔspitul in imejensi rum wantɛm wantɛm. Na de, dɔktɔ dɛn go du sɔm tɛst fɔ no if blɔd de kɔmɔt.

• CT (Computed Tomography) Scan: Dis kin chɛk kwik kwik wan fɔ si if blɔd de kɔmɔt na di bren. sכmtεm dεn kin du spεshal skan we dεn kכl `CT Angiogram (CTA)`, we kin gεt klia imej dεm fכ di bכdi vεsul dεm.
• MRI (Magnetic Resonance Imaging) scan: Dis kin mek yu mek di bren ɛn di blɔd vesel dɛn fayn fayn wan.
• Sεribra Angiografi: Insay dis, nyurosɔjɔn kin put wan smɔl tiub (kateta) tru di groin ɔ di an, gayd am insay di blɔd vesel dɛn na di bren, ɛn chɛk rili prɛsishɔn usay di anɛrizm de, di sayz, ɛn shep.
• sεribrospεnal fכluid (CSF) tεst: we dεn pכnch di lכmba kin no se blכd de bכn rawnd di bren.

Wetin na di tritmɛnt dɛn?

Di men gol fɔ tritmɛnt na fɔ stɔp di blɔd we de kɔmɔt na di anɛrizm. Rupchɔ aneurysm na mɛdikal imejensi we nid fɔ ɔpreshɔn kwik kwik wan. If yu fɔ trit di anɛrizm we nɔ brok ɔ nɔ fɔ trit am, i go dipen pan yu kɔndishɔn.

Men tritmɛnt we dɛn kin yuz

1. Maykrovaskul Klip: Dis na opin ɔpreshɔn. di nyuro sajin de mek wan sכmכl ol na di sכkul εn go na di say we di anεvrizm de. Dɔn, lɛk klos-pin, dɛn kin put wan smɔl mɛtal klip rawnd di nɛk fɔ di anɛrizm, ɛn i kin kɔt di blɔd we de go to am kpatakpata.

2. Endovascular Coiling: Dis involv fכ mek sכm sכm sכm. sכm sכm tכb (kateta) we dεn put tru di groin כ wrist dεn de yuz fכ put vεri fayn waya kכyl dεm insay di anεvrizm. Dɛn kɔyl ya kin mek wan blɔd klɔt insay di anɛrizm, ɛn dis kin mek di blɔd nɔ flɔ to am.

3. Flow Diversion Stents: Dɛn kin du dis bak we dɛn nɔ kɔt am. dεn kin put wan tכb we lεk mεsh (stεnt) insay di bכdi we di anεvrizm de. dis de dayrεkt di bכdi fכ fכlכ dεrekt tru di vessel, baypas di anεvrizm.

Wetin yu kin du fɔ wan anɛrizm we nɔ brok?

If yu gɛt smɔl anɛrizm we nɔ gɛt ɛni sayn ɛn yu nɔ gɛt ɔda tin we kin mek yu gɛt dis sik, yu dɔktɔ kin disayd nɔ fɔ trit am.

Dɛn kin disayd fɔ du ɔpreshɔn ɔ nɔ ɔpreshɔn bay bɔku tin dɛn, lɛk yu ej, ɔl yu wɛlbɔdi, di sayz ɛn usay di anɛrizm de, ɛn yu famili istri. Tɔk opin wan wit yu dɔktɔ bɔt dis.

Wetin yu go se bɔt tumara bambay?

If di aneurism brok, di tin we go apin go dipen pan yu ej, wɛlbɔdi, di blɔd we yu lɔs, ɛn aw yu go gɛt tritmɛnt kwik kwik wan. I sɔri fɔ no se lɛk 25% pan di pipul dɛn kin day insay 24 awa afta dɛn dɔn brok di anɛrizm. Di rεt wae de day na lεk 50% insay tri mכnt.

Na lɛk 66% pan di wan dɛn we dɔn sev kin sɔfa sɔm kayn we fɔ pwɛl dɛn bren fɔ ɔltɛm. Bɔt if dɛn gɛt tritmɛnt kwik kwik wan ɛn dɛn kin gɛt gud rihabiliteshɔn , sɔm kin wɛl wit smɔl disabiliti ɔ nɔr kin gɛt disabled.

Bɔt bɔrku pipul dɛm wae gɛt smɔl smɔl anɛrizm wae nɔr dɔn brok kin liv lɔng layf ɛn nɔr kin gɛt ɛni sayn ɔr ɛni ifɛkt frɔm am.