Yu tink se di blɔd vesel dɛn we de go na yu bren dɔn blok? Lɛ wi tɔk bɔt Carotid Artery Stenting

Yu dɔn ɛva yɛri bɔt strok? Na siriɔs sik wae kin mek bɔrku pipul frayd ɛn kin chenj dɛn layf. So di men rizin fɔ dis strok na we di men blɔd vesel dɛn we de kɛr ɔksijɛn ɛn tin dɛn we de mek wi bren de blok. I tan lɛk men paip we dɔn blok we de kɛr wata go na di gadin. Tide wi go tɔk bɔt wan rili impɔtant tritmɛnt we de opin dɛn blɔd vesel ya we dɔn blok bak, mek blɔd flɔ fayn fayn wan na di bren, ɛn ridyus di risk fɔ gɛt strok.

Fɔ tɔk am simpul wan, wetin na Carotid Artery Stenting?

Imajin se wi gεt tu men "atεri" dεm na di tu say dεm na wi nεk we de gi bכdi to wi bren, fes, εn nεk. Na dɛn tin ya wi kin kɔl di Carotid Arteries pan mɛrɛsin . as tεm de go, di fεt dεposit, spεshal kכlestכl (we dכkta dεn kכl `plak`), de bigin fכ bכku pan di wכl dεm fכ dεn bכdi vεsul dεm ya. I tan lɛk se rɔst de bɔku insay wata paip. Smɔl smɔl, dɛn tin ya kin bɔku ɛn di blɔd vesel kin smɔl, ɛn sɔntɛnde i kin blok am kpatakpata. Dɛn kɔl dis sik Carotid Artery Stenosis .

Dis na di say we dɛn kin put wan rili smɔl mɛtal tiub we tan lɛk mɛsh insay di say we dɛn dɔn blok ɛn di blɔd vesel we dɔn smɔl kin big bak. Dis na wetin wi kɔl carotid artery stent .

Na spɛshal pipul dɛn we dɛn tren spɛshal wan kin du dis tritmɛnt, lɛk Intɛrvɛnshɔnal Kadiɔlɔjis, Vaskul Sɔjɔn, ɔ Ɛndovaskyuɛl Nyurosɔjɔn.

Udat rili nid dis tritmɛnt?

Bifo yu dɔktɔ tɛl yu fɔ du dis tritmɛnt, dɛn kin du ɔltra saund skan, CT skan, ɔ MRI skan fɔ yu nɛk blɔd vesel fɔ si aw dɛn dɔn blok. Bɔrku tɛm dɛn kin nid dis tritmɛnt fɔ pipul dɛm wae:

• Dɛn wan wae dɔn sho sayn dɛm fɔ strok ɔ ministroke ɛn wae dɛn dɔn kɔnfyus se dɛn carotid artery dɔn blok pas 50% bay skan.
• Fɔ di wan dɛn we nɔ gɛt ɛni simptom, bɔt we dɛn karotid at de blok pas 70% pan skan.

Aw a fɔ pripia bifo a gɛt tritmɛnt?

Pan ɔl we dis nɔto big tin lɛk ɔpreshɔn, i nid fɔ pripia sɔm tɛm. I go mɔs bi se yu dɔktɔ go tɔk dɛn tin ya:

• Anticoagulants: Dɛn kin aks yu fɔ bigin tek aspirin ɛn ɔda kayn mɛrɛsin dɛn (e.g., Clopidogrel, Ticagrelor) tri to fayv dez bifo yu tritmɛnt. I impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, lɛk aw dɛn tɛl yu fɔ tek. If yu nɔ du dat, dat kin mek yu tritmɛnt delay.
• Fɔ it ɛn drink: Dɛn go aks yu fɔ fast fɔ sɔm awa bifo di tritmɛnt. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis bak.

Wetin kin apin we dɛn de trit am?

Tu men we dɛn de fɔ put di stent insay di blɔd vesel na yu nɛk. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.

We dɛn de du dis tritmɛnt, dɛn go gi yu mɛrɛsin lɛk ɛparin fɔ mek yu blɔd nɔ klɔt. Bɔku tɛm, di wan ol tin we dɛn kin du kin tek wan ɔ tu awa. Bɔt yu go gɛt fɔ de na di ɔspitul fɔ wan de, inklud di tɛm fɔ pripia ɛn wach afta dat.

Wetin kin apin afta dɛn dɔn trit am?

Afta dɛn dɔn put di stent fayn fayn wan, di mɛdikal tim go du dɛn tin ya:

• Dɛn kin du tɛst lɛk angiogram fɔ si if di stent wayd ɛn if di blɔd de flɔ fayn.
• Dɛn kin pul ɔl di kateshɔn dɛn. Di stent de kɔntinyu fɔ de na in ples fɔ ɔltɛm.
• Dɛn go gi yu di mɛrɛsin we yu nid fɔ ridyus di diskɔmfɔt we yu de fil.
• Dɛn go ɛksplen to yu ɛn yu famili di tin dɛn we go kɔmɔt frɔm di tritmɛnt.
• Afta yu go na os, dɛn go gi yu instrɔkshɔn bɔt aw fɔ tek yu mɛrɛsin, wetin fɔ it, ɛn aw fɔ ɛksesaiz. Mɔtalman, dɛn go tɛl yu fɔ kɔntinyu fɔ tek aspirin ɛn ɔda mɛrɛsin dɛn we de mek yu blɔd tan.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?

difrεn advantej dεm de fכ stεnt we yu kכmpεr wit di tradishכnal carotid endarterectomy.

Men advantej dɛn

• Nɔ nid fɔ mek dɛn du big ɔpreshɔn: Dis na we we nɔ kin ambɔg di bɔdi bɛtɛ.
• Smɔl say we dɛn kɔt am ɔ we dɛn nɔ kɔt am: Insay sɔm we dɛn, na say nɔmɔ dɛn kin pank.
• Ridyus risk fɔ damej pan di nerves na di nɛk.
• Ridyus pen afta tritmɛnt.

Di prɔblɛm dɛn we kin apin (Kɔmplikeshɔn dɛn) .

Jɔs lɛk ɔl di mɛrɛsin dɛn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt dɛn tin ya nɔ kin apin to ɔlman.

• bכdi prεshכn de dכn (`Hypotension`) כ inkrεs (`Hypertension`).
• Slɔ at rit (Bradycardia).
• Blɔd we de kɔmɔt na di say we dɛn put di tiub.
• Blɔd we de klɔt.
• Strɔk: Smɔl risk de fɔ mek yu gɛt strok frɔm smɔl blɔd we de travul go na di bren we yu de du tritmɛnt ɔ afta yu dɔn trit am.
• Blɔd we de kɔmɔt na di bren.

Dis risk kin difrɛn fɔ yu ej, if yu gɛt ɔda mɛrɛsin, ɛn aw di blɔd vesel dɔn blok. So, tɔk opin wan bɔt dis wit yu dɔktɔ ɛn aks ɛni kwɛstyɔn we yu gɛt.

Wetin yu fɔ du fɔ mek yu gɛt di bɛst rizɔlt?

Di kɔndishɔn we mek di blɔd vesel dɛn blok (atherosclerosis) afta dɛn dɔn put di stent nɔ go wɛl ɔl. So, i rili impɔtant fɔ chenj di we aw yu de liv yu layf fɔ mek dɛn nɔ gɛt dɛn kayn prɔblɛm dɛn ya tumara bambay.

• Nɔ smok ɔl: Nɔto sigrɛt, bidis, ɛn siga nɔmɔ, bɔt ivin `vaping` fɔ stɔp.
• Tek yu mɛrɛsin dɛn kɔrɛkt wan: Tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm ɛn di rayt doz.
• Mek yu gɛt wɛlbɔdi wet.
• Ɛksesaiz ɔltɛm: Ivin fɔ waka fɔ 30 minit insay di de, i fayn.
• Fɔ fala di it we go ɛp yu at: nɔ it bɔku ɔyl, sɔl, ɛn shuga, ɛn it mɔ frut ɛn vɛjitebul dɛn.
• Kɔntrol ɔda sik dɛn:If yu gɛt dayabitis, ay blɔd prɛshɔn, ɔ kɔlɔstrel, kip dɛn kɔntrol fayn fayn wan (e.g., kip blɔd prɛshɔn dɔŋ 130, LDL kɔlɔstrel dɔŋ 70, ɛn HbA1c dɔŋ 7).
• Go fɔ chɛk-ap fɔ fala: Mek shɔ se yu go to dɔktɔ di de dɛn we i tɛl yu fɔ kam chɛk aw di stent de.

Wetin na di tɛm fɔ wɛl ɛn ustɛm a fɔ kɔl di dɔktɔ?

Yu nid fɔ rɛst smɔl fɔ di fɔs wik afta yu dɔn go na os.

• Nɔ es ebi ebi tin (we pas 10 kg).
• Nɔ put di say we yu put am insay wata (e.g., was, swim) fɔ wan wik. Fɔ was nɔto prɔblɛm.
• If yu de klaym stej, klaym am sloslo.

Situeshɔn dɛn we yu nid fɔ pe atɛnshɔn to kwik kwik wan:

Dɔn bak, if di say we di tiub de kɔntinyu fɔ blɔd, swel, ɔ pul pus, kɔl yu dɔktɔ wantɛm wantɛm.