Yu gɛt wan at we dɔn blok na yu nɛk? Lɛ wi lan bɔt Carotid Artery Senting, we de mek pɔsin nɔ gɛt strok.

Yu dɔktɔ dɔn tɛl yu se wan big blɔd vesel na yu nɛk dɔn blok ɛn yu de pan denja fɔ gɛt strok? Na nɔmal tin fɔ fil fɔ fred smɔl we yu yɛri sɔntin lɛk dis. Bɔt nɔ wɔri. Tide, mɛrɛsin dɔn rili go bifo. Tritmɛnt dɛn de we rili fayn fɔ mɛn dɛn kayn blɔk ya ɛn fɔ ridyus di risk fɔ gɛt strok. Tide wi de tɔk bɔt wan pan dɛn kayn tritmɛnt ya we rili fayn ɛn we nɔ rili kɔmplikt: fɔ put wan karotid stent.

Fɔ tɔk am simpul wan, wetin na carotid stent?

Okay, lɛ wi bigin bay we wi ɛksplen am simpul wan. Wi gɛt tu men blɔd vesel dɛn na di tu say dɛn na wi nɛk we de gi blɔd to wi bren, fes, ɛn nɛk. Na dɛn tin ya wi kin kɔl di Carotid Arteries . As tεm de go, tin dεm lεk fεt εn kכlestכl frכm di it dεm we wi de it kin bigin fכ bכku pan di wכl dεm na dεn at dεm ya. Wi kin kɔl dis ‘plek’ . I tan lɛk se rɔst de bɔku insay wata paip.

dis plek de bil εn i de sכm di pasej we de insay di at, sכmtεm i de blok am kכmplit wan. dis kכndyushכn dεn kכl am carotid artery stenosis . We dis kin apin, di blɔd we de flɔ na di bren kin stɔp, ɛn dis na di men tin we kin mek pɔsin gɛt strok.

So, carotid stenting na tritmɛnt we de opin bak wan at we dɔn blok. Na ya, di dɔktɔ kin put wan stent , we na wan smɔl mɛtal tiub we shep lɛk mɛsh, insay di say we dɔn blok ɛn blo am frɔm insay. Dɔn di at we dɔn blok kin big bak, ɛn dis kin mek di blɔd go bak. Dɛn kin put dis stent insay di at fɔ ɔltɛm. I tan lɛk prɔp we de agens di wɔl we de kam fɔdɔm, we de ɛp di at fɔ stɔp fɔ smɔl bak.

Udat nid dis tritmɛnt?

Bɔku tɛm, dɔktɔ go tɛl yu dis tritmɛnt afta i dɔn chɛk yu karotid at fɔ si if i dɔn blok. Dis kin gɛt fɔ du wit tɛst dɛn lɛk karotid ɔltra saund , CT skan , ɔ MRI . Bɔku tɛm dɛn kin nid dis tritmɛnt fɔ:

• Fɔ di wan dɛn we dɔn gɛt di sayn dɛm fɔ ministroke ɔ strok ɛn we dɛn at de blok pas 50%.
• Fɔ di wan dɛn we nɔ gɛt ɛni sayn bɔt we dɛn at dɔn blok pas 70%.

Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu kɔndishɔn, ɔ if difrɛn ɔpreshɔn (Carotid Endarterectomy) fayn.

Fɔ pripia fɔ ɛn du di tritmɛnt

I go mɔs bi se yu dɔktɔ go bigin yu fɔ tek sɔm mɛrɛsin dɛn we de mek yu blɔd tan sɔm dez bifo yu du yu ɔpreshɔn, lɛk aspirin ɛn klopidogrel .

Aw dɛn kin du di tritmɛnt?

Na spɛshal dɔktɔ we dɔn gɛt spɛshal trenin fɔ dis kin du dis. Dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen we yu de du di tritmɛnt. Bɔku men we dɛn de fɔ put di stent insay.

Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu. Di wan ol tin we dɛn kin du kin tek lɛk wan ɔ tu awa so. Bɔt yu go nid fɔ de na di ɔspitul fɔ wan de, bikɔs i go tek sɔm awa mɔ fɔ pripia ɛn wach afta dat.

Wetin kin apin afta dɛn dɔn trit am?

Afta di tritmɛnt, di dɔktɔ go du angiogram fɔ chɛk if di stent de wok fayn ɛn if di blɔd dɔn kam bak to nɔmal. Dɔn, dɛn go pul di kateshɔn ɛn ɔda tin dɛn ɛn dɛn go gi yu ɛni pen kil ɛn ɔda tin dɛn we yu nid.

Di tin we impɔtant pas ɔl na dat yu go nid fɔ kɔntinyu fɔ tek yu mɛrɛsin we de mek yu blɔd tan (e.g., Aspirin, Clopidogrel) ivin afta yu dɔn go na os. Nɔ stɔp fɔ tek dis mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Bɔku tɛm yu go nid fɔ tek dis mɛrɛsin fɔ sɔm mɔnt.

Di tɛm fɔ wɛl afta yu dɔn go na os

• Nɔ es ɛnitin we ebi pas 20 pawn (lɛk bɔkit wata) fɔ wan wik.
• Nɔ put di say we dɛn kɔt/pias insay wata (nɔ gɛt bat, swimin pul) fɔ wan wik afta yu dɔn trit am. Swimin na okay.
• Tek tɛm smɔl we yu de klaym stej.
• Smɔl smɔl yus to yu nɔmal rutin insay wan wik.

Benefit, risk, ɛn sakses fɔ lɔng tɛm fɔ tritmɛnt

Dis tritmɛnt nɔ kin tek bɔku pipul dɛn pas di tradishɔnal opin ɔpreshɔn, we gɛt bɔku bɛnifit dɛn. Di men wan dɛn na di smɔl smɔl say dɛn we dɛn kɔt, di risk fɔ mek di nɛf dɛn we de na di nɛk nɔ pwɛl, ɛn di pen we nɔ de afta dɛn dɔn trit am.

Di prɔblɛm dɛn we kin apin na we yu blɔd de kɔmɔt, yu blɔd prɛshɔn smɔl/hay (Hypotension/Hypertension), at rit slo (Bradycardia), blɔd kin klɔt, ɛn i nɔ kin apin so ɔltɛm, i kin gɛt strok. Yu dɔktɔ go ɛksplen dɛn bad bad tin ya to yu.

Di impɔtant tin na dat dis tritmɛnt nɔ de mɛn di sik we de ɔnda am (atherosclerosis). I jɔs de pul di blɔk we dɔn de. So, i impɔtant fɔ chenj di we aw yu de liv yu layf fɔ mek di at nɔ blok bak.

• Stɔp fɔ smok ɛn vaping ɔltogɛda.
• Tek di mɛrɛsin we di dɔktɔ gi yu di rayt tɛm.
• Mek yu gɛt wɛlbɔdi wet.
• Ɛksesaiz ɔltɛm.
• Yu fɔ it tin dɛn we go ɛp yu at, we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Kip yu blɔd prɛshɔn, kɔlɔstrel (LDL we nɔ pas 70), ɛn dayabitis (HbA1c we nɔ pas 7) kɔntrol fayn fayn wan.
• Si di dɔktɔ di tɛm we dɛn dɔn sɛtul ɛn mek dɛn chɛk yu.

Sɔntin yu nɔ plan! Wetin fɔ du if yu gɛt dɛn sik ya?

Dis rili impɔtant. If yu gɛt ɛni wan pan dɛn sik ya, kɔl 1990 Ambulans Savis wantɛm wantɛm ɛn nɔ de te ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• Di sayn dɛm fɔ strok: fɔ drɔp na wan say na yu fes, i nɔ kin izi fɔ tɔk ɔ ɔndastand wɔd, yu nɔ kin fil ɔ yu an ɔ yu leg kin swɛ.
• If blɔd de kɔmɔt pasmak ɔ swel na di say we dɛn put di stent (groin, an, ɔ nɛk).

sכmtεm di at kin sכmtεm bikoz di tisu dεm de gro bak na di sayt we dεn trit. Wi kin kɔl dis ‘restenosis’ . Na dat mek i impɔtant fɔ mek yu de du ɔltra saund ɔltɛm.