Yu gɛt blɔd vesel bak we dɔn blok na yu nɛk? Lɛ wi lan ɔltin bɔt Carotid Artery Stenosis!

Oh, yu dɔn ɛva tink bɔt aw i kin bi siriɔs prɔblɛm if di big blɔd vesel dɛn we de na di tu say dɛn na wi nɛk kin blok? Sɔmtɛm dis kin apin wae yu nɔr gɛt ɛni sayn. Tide wi go tɔk bɔt wan sik we kin kam sloslo ɛn wantɛm wantɛm we kin mek pɔsin gɛt wan sik we kin mek pɔsin in layf de pan denja lɛk strok . Dis na wetin wi kɔl Carotid Artery Stenosis .

Wetin na di Carotid Artery Stenosis?

Fɔ tɔk am simpul wan, Carotid Artery Stenosis na wan sik we di Carotid Arteries na di tu say dɛm na yu nɛk, di men blɔd vesel dɛm we de kɛr blɔd go na yu bren, fes, ɛn ed, kin blok frɔm insay. Tink bɔt am lɛk se wata paip kin lɔk wit dɔti ɛn rɔst, we kin mek wata nɔ flɔ sloslo. di men tin we kin mek dis blok na we wan tin we dεn k כl plek de bכku insay di at dεm. dis `plek` na mεnli mek am wit fεt kכlestכl dεposit dεm .

Wi gɛt tu karotid at na di tu say dɛn na wi nɛk. Insay pɔsin we gɛt wɛlbɔdi, dɛn at dɛn ya tan lɛk klin paip, we blɔd de flɔ fayn fayn wan we nɔ gɛt ɛnitin fɔ ambɔg am. Dis blɔd na in de kɛr di ɔksijɛn ɛn di tin dɛn we wi bren nid. So, we plek gɛda na wan ɔ ɔl tu pan dɛn blɔd vesel ya, di blɔd we de flɔ na di bren kin go dɔŋ. Dis na wetin dɔktɔ dɛn kin kɔl atherosclerosis . Dis sik kin bɔku smɔl smɔl as tɛm de go, ɛn if dɛn nɔ trit am, i kin mek pɔsin gɛt strok we denja , ɛn ivin day.

Aw dis sik kin kɔmɔn?

Dɛn se lɛk 5% pan di jenɛral pipul dɛn kin gɛt dis sik. Di American Stroke Association , bin tɔk se strok na di nɔmba fayv tin we kin mek pɔsin day. Di risk fɔ mek di carotid artery oklushɔn, ɛn bak fɔ gɛt strok, kin go ɔp wit di ej. Dat min se, na sɔntin we de go ɔp smɔl smɔl as tɛm de go.

Wetin na di tin dɛm wae kin mek dis sik ɛn di tin dɛm wae kin mek pɔrsin gɛt dis sik?

difrεn tin dεm de we de mek di carotid atεri stenosis. Di bɛst tin na dat wi kin kɔntrol sɔm pan dɛn. Na sɔm pan dɛn:

• Yuz tabak ɛn sigrɛt: Dis na big tin we kin mek bɔku sik dɛn kam. If pɔsin smok, i kin pwɛl di blɔd vesel dɛn ɛn i kin mek i gɛt bɔku bɔku plak.
• Fat: Lɛk ɔda sik dɛn we kin kam wit bɔdi fat, fat kin afɛkt dis bak.
• Sidɔm layf: Dis risk kin pasmak fɔ pɔrsin wae de woke na chia ɔl de ɛn nɔr de ɛksesaiz.
• Ay blɔd prɛshɔn (Hay blɔd prɛshɔn / Ay blɔd prɛshɔn):We di prɛshɔn go ɔp, di wɔl dɛn na di blɔd vesel dɛn kin pwɛl, ɛn dis kin mek i izi fɔ mek di plek bɔku.
• di hכy kכlestכl: If di kכlestכl lεvεl na di bכdi hכy, di men tin we de mek di ‘plek’ we wi bin mεnshכn fכm de.
• Dayabitis: Pipul wae gɛt shuga kin gɛt prɔblɛm wit dɛn blɔd vesel bak. Dayabitis kin chenj di wɔl dɛn na di blɔd vesel, ɛn dis kin mek i izi fɔ mek di plek bɔku.
• Ej: As yu de ol, yu kin gɛt bɔku sik dɛn bay insɛf. Dis nɔto ɛksɛpshɔn.

we wan כ mכr pan dεn tin ya kam togεda, di risk fכ di carotid atεri oklushכn de inkrεs mכr.

Wetin na di sayn dɛm fɔ dis sik?

Bɔku tɛm, we di karotid at kin blok kin mek pɔsin nɔ si ɛni sayn te i gɛt strok . Strɔk kin apin we di plek we de na di at brok, ɔ blɔd klɔt fɔm pan di plek ɛn travul go na di bren, we kin blok wan smɔl blɔd vesel na di bren. Dɛn kin kɔl dis bak ischemic stroke . We dɛn kɔt di blɔd flɔ dis kayn we, di bren sɛl dɛn nɔ gɛt ɔksijɛn ɛn tin dɛn we dɛn nid fɔ it ɛn dɛn kin bigin fɔ day.

Sɔm pipul dɛn kin gɛt transient ischemic attack (TIA) bifo dɛn gɛt big big strok. Dis na lɛk "mini-strok." Dis na we wan blɔd vesel na di bren kin blok fɔ sɔm tɛm ɛn afta dat i kin opin bak. TIA na siriɔs wɔnin sayn fɔ sho se big big strok de kam.

Impɔtant: Ivin if di sayn dɛm fɔ TIA dɔn go insay sɔm minit, nɔr ignore am. If yu go to dɔktɔ wantɛm wantɛm, dat kin ɛp fɔ mek yu nɔ gɛt big big strok.

Wetin na di sayn dɛm wae de sho se yu gɛt strok ɔr TIA?

Dɛn sayn ya kin kam wantɛm wantɛm. If yu gɛt ɛni wan pan dɛn tin ya , yu fɔ go na ɔspitul wantɛm wantɛm :

• Wan say na di fes kin drɔp: We dɛn aks am fɔ smayl, wan say na di fes nɔ kin ebul fɔ smayl fayn.
• I nɔ izi fɔ tɔk ɔ fɔ swɛ wɔd dɛn: I nɔ kin izi fɔ ɔda pipul dɛn fɔ ɔndastand wetin dɛn de tɔk, ɛn wɔd dɛn kin slɔp.
• Wan yay nɔ de si ɔ i nɔ de si fayn: I kin tan lɛk se blak kɔtin de fɔdɔm bifo wan yay.
• Yu nɔr de fil fayn ɔr nɔr de fil fayn na wan say na di bɔdi.
• di mכsul dεm wik εn lכs trεnk na wan say na di bכdi: i nכ ebul fכ es yu an כ leg, i at fכ waka.

Yu kin yuz di akɔdin FAST fɔ mɛmba dɛn kwaliti ya:

• F - Fes we de drɔp
• A - Arm Wiknɛs
• S - Difikulti fɔ Tɔk
• T - Taym fɔ kɔl imejensi savis (fɔ go ɔspitul wantɛm wantɛm) .

Ivin if di carotid artery blok, i kin mek yu paralayz.If yu nɔr gɛt kol, yu nɔr kin notis ɛni sayn. Na dat mek dis kin mek pɔsin fred smɔl.

Aw dɛn kin no dis sik?

Bɔrku tɛm, dɛn kin no se yu gɛt carotid artery stenosis afta yu dɔn gɛt sɔm sayn dɛm fɔ strok. Dɛn kin no bɔt am nɔmɔ we dɔktɔ dɛn de du tɛst fɔ no wetin mek di stenosis de.

Sɔntɛnde, we dɔktɔ de chɛk yu nɛk wit stetɔskɔp fɔ ɔda rizin, dɛn kin yɛri wan sawnd we nɔ kɔmɔn, we na wan sawnd we de wisɛl (bruit) we de kɔmɔt insay di blɔd vesel dɛn. Dat kin mek pipul dɛn dawt bak bɔt dis sik.

Dɔktɔ dɛn kin yuz bɔku tɛst fɔ no if dis sik dɔn kam ɛn no ɔmɔs ɛn usay di blɔk de:

• Ultrasound scan (Ultrasound / Duplex Ultrasound): Dis de yuz sawnd wev fכ mek imej fכ di bכdi vεsul dεm we de insay di bכdi. Dis na simpul tɛst we nɔ de mek pɔsin fil pen ɛn we dɛn kin du pan di say we di skin de. I kin chɛk di we aw blɔd de flɔ insay di blɔd vesel ɛn if ɛnitin de we dɔn blok ɔ we de smɔl.
• CT Angiography (Computed Tomography Angiography - CTA): dis tεst de yuz wan mashin we dεn kכl `CT` skan (na divais we de yuz εks-ray fכ tek ditayl pikchכ dεm fכ di insay pat na di bכdi) fכ tek ditayl pikchכ dεm fכ di carotid atεri dεm. We dɛn de du dis tɛst, dɛn kin put spɛshal day insay di blɔd vesel dɛn. Dis day de mek di say dɛn we dɛn dɔn blok klia wan na di pikchɔ dɛn. dis tεst kin bi bak fכ pipul dεm we dεn put `pacemaker` insay כ we dεn put `stεnt` fכ כda sik dεm.
• Sɛribra Angiografi: Dis na tɛst bak fɔ no if pɔsin gɛt di sik. Bɔt insay dis tɛst, dɛn kin pas wan smɔl kateshɔn (tin tiub) tru wan blɔd vesel ɛn dɛn kin chɛk di blɔk we dɔn blok. Insay dis tɛst, dɛn kin put wan kayn day we fiba di blɔd vesel dɛn fɔ si di ditel dɛn bɔt di vein dɛn klia wan. Dis na tɛst we kɔmplikt smɔl.
• MR Angiography (Magnetic Resonance Angiography - MRA): Dis tan lɛk CT skan, bɔt i nɔ de yuz ɛkstrem rayt. Dɛn tek di pikchɔ dɛn bay we dɛn yuz magnɛtik fil ɛn redio wev. Dis kin mek bak ditayli pikchɔ dɛn bɔt di blɔd vesel dɛn. Dis na tɛst bak we nɔ de mek pɔsin fil pen.

Aw yu kin klas dis blɔk?

We dɛn de du diagnosis, dɔktɔ dɛn kin luk if yu gɛt di sik, aw i bad, ɛn usay i de. di carotid artery stenosis kin jεnarali sheb to tri men kεtכgrεf: sכm kayn, mכdarεt, εn siriכs.

• Mild blɔk na wan usay di blɔk nɔ rich 50%, we min se i nɔ rich af ful.
• Mɔdaret kɔnjɛshɔn de bitwin 50% ɛn 79% kɔnjɛshɔn.
• siriכs blכk de bitwin 80% εn 99% blכk, we min se bכku bכku bכku de blכk. Dis na di lɛvul we denja pas ɔl.

Aw dɛn kin trit dis?

Di men gol fɔ trit di carotid artery stenosis na fɔ stɔp di sik fɔ mek i nɔ wɔs. Dis kin bigin wit di chenj we yu de chenj yu layf :

• Fɔ it gud it we gɛt wɛlbɔdi.(Id dɛn we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, we gɛt bɔku frut ɛn vɛjitebul)
• Fɔ ɛksesaiz ɔltɛm .
• Stɔp fɔ smok kpatakpata.

Apat frɔm dat, dɔktɔ dɛn kin tɛl yu bak se yu fɔ tek aspirin , we na wan mɛrɛsin we de mek yu blɔd tan, mɛrɛsin we de mek yu blɔd prɛshɔn, ɛn mɛrɛsin we de mek yu kɔlɔstrel nɔ bɔku ɛvride.

Bɔt if di blɔk rili bad, ɔ if yu de sho se yu gɛt TIA ɔ strok, dɔktɔ dɛn kin se yu fɔ du ɔpreshɔn.

• Carotid Endarterectomy: Dis na fɔ mek smɔl say na di nɛk, opin di blɔd vesel, ɛn pul di plek we dɔn gɛda insay.
• Stent: Dis min se yu fɔ put smɔl stent we tan lɛk mɛsh insay di blɔd vesel we dɔn blok bay we yu yuz wan tin we tan lɛk nidul, ɛn mek di blɔd vesel big frɔm insay. Dɔn di plek kin trɔp bitwin di stent ɛn di blɔd vesel wɔl, we kin mek di blɔd kɔntinyu fɔ flɔ ɛn nɔ ambɔg am.

Wan dɔktɔ we de mɛn yu vaskul ɔ spɛshal pɔsin go disayd uswan pan dɛn tu ɔpreshɔn ya we go fayn fɔ yu.

Nɔto ɔl di karotid at we de blok nid fɔ ɔpreshɔn ɔ put stent. Dɛn tritmɛnt ya gɛt prɔblɛm dɛn bak. Dɔktɔ dɛn kin se dɛn fɔ du dɛn tritmɛnt ya nɔmɔ if di prɔblɛm we kin mek pɔsin paralayz bikɔs ɔf di tin we dɔn blok pas di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn.

Wetin kin apin afta dɛn ɔpreshɔn dɛn ya? Aw lɔng i kin tek fɔ mek i wɛl?

Carotid artery stenosis kin denja if yu nɔ no am ɛn trit am kwik. I kin mek pɔsin paralayz , day, ɔ i kin gɛt disabled fɔ ɔltɛm. So, i impɔtant fɔ no di sayn dɛm we de sho se pɔsin gɛt strok ɛn tek akshɔn kwik kwik wan if yu ɔ ɔda pɔsin notis dis kayn sayn.

Fɔ trit di carotid artery stenosis kwik kwik wan kin sev layf. We nid de, ɔpreshɔn ɛn stent kin rili fayn. Bɔrku pipul dɛn kin jɔs de na ɔspitul fɔ wan nɛt ɛn dɛn kin wɛl kwik kwik wan.

As yu de ol, yu risk fɔ gɛt carotid artery disease de go ɔp. De impɔtant tin wae yu kin du fɔ mek yu nɔr gɛt dis sik, ɛn fɔ mek yu nɔr gɛt prɔblɛm lɛk strok, na fɔ kɔntinyu fɔ liv fayn layf . Sɔm ɛgzampul dɛn na fɔ du ɛksɛsayz, fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi, ɛn fɔ nɔ smok. Si yu famili dɔktɔ ɛn yu dɔktɔ we de mɛn yu at ɔltɛm ɛn fala dɛn advays. Tɔk to yu dɔktɔ bɔt aw fɔ kip yu at ɛn yu blɔd sistɛm wɛl.

Mɛsej we dɛn kin kɛr go na os

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:

• Carotid Artery Stenosis na wan kכndyushכn we di men bכdi vεsεl na di nεk de blok bay fεt dεposit dεm (plak). DisStroke kin apin.
• Smok, fat, ay blɔd prɛshɔn, ay kɔlɔstrel, dayabitis, ɛn ol na di men tin dɛn we kin mek dis sik.
• Bɔrku tɛm, dis kin apun witout ɛni sayn . Bɔt if yu gɛt `TIA` (mini-strok) ɔ yu gɛt sayn dɛm fɔ strok (fes we de drɔp, i nɔ izi fɔ tɔk, wik na yu an ɔ yu leg), go na ɔspitul wantɛm wantɛm .
• Dɛn kin no dis tru tɛst dɛn lɛk ɔltra saund, CTA, ɛn MRA .
• Di tritmɛnt na fɔ chenj di we aw pɔsin de liv in layf, tek mɛrɛsin, ɛn if nid de, ɔpreshɔn (Carotid Endarterectomy) ɔ put stent .
• Di bɛst we fɔ mek dis nɔ apin na fɔ liv fayn layf .

Dɔn gɛt am? If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Carotid Artery Stenosis, Blɔk di Blɔd Vesɛl dɛn na di Nɛk, Paralayz, Strok, Blɔd Flɔ to di Bren, Fat Dipɔsit, Ay Kɔlɔstrel, Ay Blɔd Prɛshɔn, Smok, Simptom, Tritmɛnt, Carotid Artery Stenosis Sinhala