Yu dɔn put stent fɔ wan at sik? Sɔntɛm yu go dɔn fil bad bad wan afta yu dɔn du dat. Tin dɛn lɛk chɛst pen ɛn shɔt briz nɔ de igen, ɛn yu go dɔn fil lɛk se yu dɔn gɛt nyu layf. Bɔt, wetin go apin if, afta sɔm tɛm, insay sɔm mɔnt, da ol sik de bigin fɔ kam bak? Wetin yu go du if yu chɛst bigin fɔ at bak? Wetin yu go du if i nɔ izi fɔ yu fɔ blo? Bɔku pipul dɛn kin wɔri dis tɛm. Dɛn de wɔnda se, "Wetin mek dis de apin pan ɔl we dɛn dɔn put stent?" Di ansa to da kwɛshɔn de na di kɔndishɔn we wi de tɔk bɔt tide, we dɛn kɔl ‘In-Stent Restenosis’.
Fɔ tɔk am simpul wan, wetin na In-Stent Restenosis?
Fɔ ɔndastand dis, lɛ wi bigin frɔm di biginin.
Fɔ tɔk am simpul wan, ‘Stenosis’ min se sɔntin lɛk wi blɔd vesel dɛn kin blok ɔ smɔl. we di korona at dεm we de gi bכdi to di at kin blכk bikoz fכ fεt dεm we de dכn (wi kכl dis Atherosclerosis ) wi kin kכl am Koronari Atεri Disease (CAD) . Angioplasty na tritmɛnt we dɔktɔ dɛn kin yuz fɔ opin dis blɔd vesel we dɔn blok bak.
Insay dis, dɛn kin put wan smɔl balyɔn insay di say we dɛn dɔn blok ɛn dɛn kin blo am fɔ mek di blɔd vesel big. Dɔn, fɔ mek di say we dɔn wayd nɔ fɔdɔm ɛn lɔk bak, dɛn kin put wan smɔl tiub we tan lɛk mɛsh (dis na wetin wi kɔl stent ) insay di vein. Dis kin mek di blɔd bigin fɔ flɔ bak.
Okay, naw yu ɔndastand. ‘Restenosis’ na wɔd we dɛn mek wit di wɔd dɛn ‘re’ (again) ɛn ‘stenosis’ (blockage). I min se, fɔ ri-blɔk . So, In-Stent Restenosis na we di blɔd vesel usay dɛn put di stent kin blok bak, rayt usay di stent bin de. Pan ɔl we dis kin rili mek wi at pwɛl, i rili impɔtant fɔ no wetin mek dis kin apin.
Wetin mek di vein kin blok bak afta dɛn dɔn put stent?
Dis nɔto bikɔs ɔf prɔblɛm wit di stent. Dis na aw wi bɔdi kin ansa. Imajin we yu gɛt injuri na yu bɔdi, skata de fɔm as i de wɛl, nɔto so? Na dat de apin ya.
Stent na sɔntin we de kɔmɔt na do na wi bɔdi. So di bɔdi de trit am lɛk ‘wund’ ɛn tray fɔ mɛn am. we dis de apin, wan nyu layεr fכ sεl dεm de gro oba di stent. Dis na nɔmal tin. Dis nyu layεr fכ sεl dεm de mek di stent pat pan di bכdi vεsul wכl, we de mek di bכdi fכ fכlכ smol smol.
Bɔt sɔm pipul dɛn bɔdi kin du tin pasmak we dɛn du dis. Dɔn di layt we di sɛl dɛn we de mek oba di stent, we dɛn kɔl ska tisu, kin tik pas aw dɛn bin de tink . Jɔs lɛk aw mɔs de gro insay wata paip ɛn klos di ol na di paip, dis tik tik de mek di blɔd pas smɔl bak. Na dat wi kin kɔl In-Stent Restenosis.
di mכst imכtant, dis kכndyushכn kin apin 3 to 6 mכnt afta dεn put di stent.Insay da tɛm de. Afta wan ɔ tu ia, di chans fɔ mek dis apin kin rili smɔl.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Pan ɔl we dis sik kin apin to ɛnibɔdi we gɛt stent, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. Chek fɔ si if yu gɛt dɛn sik ya.
| Risk factor | Tɔk bɔt |
|---|---|
| Shuga | Pipul wae gɛt dis sik wae nɔr kin kɔntrol fayn kin de pan denja mɔr. If yu blɔd shuga bɔku, dat kin mek di tisu dɛn nɔ de gro fayn. |
| Kidni Sik we pɔsin kin gɛt | Dis risk kin bɔrku bak fɔ pipul dɛm wae gɛt krɛse sik. |
| Ay Kɔlestɔl | Fɔ di wan dɛn we de kɔntinyu fɔ gɛt ay kɔlɔstrel na dɛn blɔd. |
| Ay blɔd prɛshɔn (Hypertension) . | If yu nɔ kɔntrol yu blɔd prɛshɔn, dat kin mek yu gɛt prɔblɛm bak. |
| Fɔ smok | Smok kin mek di risk bɔku bikɔs i kin pwɛl di blɔd vesel dɛn ɛn i kin ambɔg di we aw i de wɛl. |
Sɔm ɔda tin dɛn...
Apat frɔm dat, dis risk kin bɔku if di blɔd vesel we dɔn blok rili smɔl ɔ if di blɔd vesel we dɔn blok rili lɔng . Dɔn bak, if dɛn mek di vessel big wit balyɔn we nɔ gɛt stent (Balloon Angioplasty), di risk fɔ mek i blok bak kin ivin bɔku.
Wetin na di sayn dɛm fɔ dis?
Wan pan de big chalenj ya na dat bɔrku pipul dɛm wae gɛt In-Stent Restenosis nɔr kin gɛt ɛni sayn . Yu nɔ go fil ɛnitin te di at rili smɔl. Na dat mek i impɔtant fɔ go fɔ chɛk-ap ɔltɛm lɛk aw yu dɔktɔ tɛl yu afta yu dɔn gɛt stent.
Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn we rili fiba di sayn dɛn we yu bin gɛt bifo yu gɛt di stent.
- Chɛst pen ɔr nɔr de fil fayn (Angina): Na filin wae yu chɛst tayt ɔr kɔnstrikt. Dis kin wɔs we yu de du ɛksɛsayz ɔ we yu de klaym stej.
- Fɔ blo shɔt: I nɔ kin izi fɔ blo ivin if yu tray smɔl.
- Fɔ fil taya we nɔ kɔmɔn: Fɔ fil taya sote yu nɔ ebul fɔ du tin dɛn we yu bin de du izi wan.
- Sɔlda ɔ an pen: Chɛst pen we de kam wit pen we de rayt to di lɛft sholda ɔ an.
- Sɔm sayn dɛm lɛk fɔ gɛt diziz, fɔ swet, ɛn fɔ nɔs kin apin bak.
Di tin we impɔtant pas ɔl: If yu gɛt ɛni wan pan dɛn sik ya bak afta yu dɔn tek stent, nɔ fɔgɛt se i kin bi ɔda tin . Tɛl yu dɔktɔ wantɛm wantɛm.
Aw a go no if dis de?
We yu tɛl wi bɔt yu sik, di dɔktɔ go tɛl wi fɔ du sɔm tɛst fɔ no if yu gɛt am.
- Exercise Stress Test (Treadmill Test): Dɛn kin mek yu waka ɔ rɔn pan tredmil ɛn dɛn kin yuz ECG fɔ wach aw yu at de wok we yu strɛs.
- Cardiac Catheterization (Angiogram): Dis na di tɛst we kin rili klia. Jɔs lɛk aw dɛn kin put stent, dɛn kin pas wan smɔl tiub tru wan blɔd vesel insay di at, dɛn kin injɛkt wan spɛshal day, ɛn tek ɛkstrem rayt fɔ si if ɛnitin dɔn blok insay di stent.
- Ɔda tɛst dɛn: Sɔntɛnde, dɛn kin yuz skan tɛknik lɛk Intravascular Ultrasound (IVUS) fɔ luk insay di blɔd vesel ɛn mɛzhɔ kɔrɛkt wan aw di blɔk dɔn blok.
Aw dɛn kin trit am?
Di dɔktɔ go disayd di bɛst tritmɛnt bay aw di blɔk dɔn blok ɛn di sik we yu gɛt.
| Di we aw dɛn kin trit am | Wetin dɛn de du |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz | Yu kin nid fɔ chenj di doz fɔ di mɛrɛsin dɛn we yu de yuz naw ɔ ad nyu mɛrɛsin dɛn. |
| Ripit fɔ du Angioplasty | Dis na di tritmɛnt we dɛn kin yuz mɔ. Dɛn kin pas ɔda balyɔn na di stent we dɔn blok fɔ mek i big, ɛn sɔntɛnde dɛn kin put ɔda stent insay am. |
| Hat baypas ɔpreshɔn (CABG) . | If di blok bad bad wan ɔ prɔblɛm de wit sɔm blɔd vesel dɛn, dɛn kin rifer yu fɔ mek dɛn du Coronary Artery Bypass Grafting (CABG) ɔpreshɔn. Dis min se yu fɔ baypas di say we dɔn blok ɛn mek nyu at we yu de yuz blɔd vesel we dɛn tek frɔm ɔda say. |
| Rɛdieshɔn tɛrapi (Vaskul Brachytɛrapi) . | Dis na tritmɛnt we nɔ kin bɔku. na ya, dεn de gi sכm sכm rεdyushכn insay di stent fכ stכp di fכmeshכn fכ di ska tisu. |
No we nɔ de fɔ mek dis nɔ apin?
Na dis na di bɛst nyus. Yɛs, naw bɔku pipul dɛn kin ebul fɔ avɔyd dis.
Di rizin fɔ dis na wan nyu kayn stent we dɛn kɔl Drug-Eluting Stents (DES) . Dɛn tin ya nɔto jɔs mɛtal mɛsh. Dɛn stent dɛn ya gɛt wan spɛshal mɛrɛsin we de kɔntrol aw da ska tisu de we wi bin tɔk bɔt de mek. Afta dɛn dɔn put di stent insay di bɔdi, dis drɔg kin kɔmɔt smɔl smɔl, ɛn dis kin mek di sɛl dɛn nɔ gro we i nɔ nid fɔ gro.
We yu kɔmpia am wit ol bare metal stent, di risk fɔ in-stent restenosis rili smɔl we dɛn yuz dɛn drog-eluting stent ya. Ivin na Sri Lanka tide, dɛn kin yuz dis nyu kayn stent mɔ.
Bɔt, sɔm tin dɛn de we yu nid fɔ du pan yu pat.
- Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am: Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, mɔ di wan dɛn we de mek yu blɔd nɔ klɔt (e.g., Aspirin, Clopidogrel), jɔs lɛk aw dɛn tɛl yu fɔ tek, ɛn yu nɔ go mis wan de.
- Chenj di we aw yu de liv yu layf: If yu de smok, stɔp wantɛm wantɛm.. Kɔntrol yu kɔlɔstrel, dayabitis, ɛn ay blɔd prɛshɔn. It fayn it we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul. Ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- In-Stent Restenosis na di ri-narrowing of wan bכdi vεsel afta dεn put stent bikoz fכ di growth fכ di ska tisu. Dis kin apin insay 3-6 mɔnt afta dɛn dɔn trit am.
- If yu gɛt ɛni wan pan di sem tin dɛn we yu bin gɛt trade, lɛk we yu de fil pen na yu chɛst ɔ yu nɔ de blo fayn , afta yu dɔn tek stent, nɔ ignore am. Si yu dɔktɔ wantɛm wantɛm.
- Bɔrku tɛm, dis sik nɔr kin kɔz ɛni sayn . So, i rili impɔtant fɔ go to dɔktɔ di rayt tɛm, lɛk aw yu dɔktɔ tɛl yu.
- Di risk fɔ dis kɔndishɔn dɔn ridyus bad bad wan bikɔs dɛn de yuz Drug-Eluting Stents (DES) naw .
- Di impɔtant tin we yu kin du na fɔ tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek, nɔ smok, ɛn kɔntinyu fɔ liv fayn layf . Dɛn tin ya kin protɛkt yu at fɔ lɔng tɛm.
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