We yu go to dɔktɔ, yu go dɔn notis se di dɔktɔ nɔ kin jɔs put stetɔskɔp na yu chɛst, bɔt sɔntɛnde i kin put stetɔskɔp na yu tu say dɛn na yu nɛk. We yu si dat, yu kin wɔri smɔl if i se, "A yɛri smɔl sawnd we de kɔmɔt na wan blɔd vesel na mi nɛk." I rili nɔmal tin. Bɔt nɔ fred. Dis nɔr kin sho ɔltɛm se yu gɛt siriɔs sik. Tide wi de tɔk bɔt wan sik we bɔku pipul dɛn nɔ yɛri bɔt, bɔt i rili fayn fɔ no bɔt, we dɛn kɔl ‘carotid bruit.’
Fɔ tɔk am simpul wan, wetin na dis karotid brut?
‘Carotid bruit’ nɔto sik. Na sawnd we dɔktɔ kin jɔs yɛri wit stetɔskɔp. fכ bi prεsis, na abnכmal, rεpid ‘whooshing’ sawnd we yu de yεri we bכdi de fכlכ tru di ‘carotid arteries’ na di tu say dεm na yu nεk.
Imajin, we wata de flɔ fri wan tru wata paip, sawnd nɔ de. Bɔt if smɔl blɔk ɔ dɔti de na di paip, di wata kin flɔ kwik kwik wan ɛn rɔtin, ɛn dɛn kin yɛri sawnd. Dis na di sem tin wit dis. Di men at we de gi blɔd to wi bren na di karotid at. we eni tin de we de ambɔg di bכdi fכ fכlכ tru dis at, di bכdi fכ fכlכ de tכbulεnt (turbulent flow) εn dis sawnd de mek.
Di impɔtant tin na dat, yu nɔ go ebul fɔ yɛri dis. Dis na sɔntin we dɔktɔ go fɛn wantɛm wantɛm we dɛn de chɛk am ɔltɛm. So, wi kin tek dis as ‘klinik sayn’ pas fɔ bi sayn.
Wetin mek dis kayn nɔys de? Wetin na di men rizin?
di men εn di mכst kכmכn kכz fכ dis na wan kכndyushכn we dεn kכl ‘atherosclerosis’ . Di nem tan lɛk se i kɔmplikt, nɔto so? Bɔt i rili simpul.
Fɔ tɔk am simpul wan, wetin kin apin na dat kɔlɔstrel, fat, ɛn ɔda tin dɛn kin gɛda na di insay wɔl dɛn na wi blɔd vesel dɛn ɛn mek ‘plek’ . I tan lɛk layms we de bil insay wata paip. As dɛn plek ya de gro smɔl smɔl, di say we blɔd de pas kin smɔl. Dɔn, we blɔd tray fɔ rɔsh tru da smɔl ples de, dɛn kin yɛri da sawnd de we de mek pɔsin vɛks, ɔ ‘bruit’.
dis narrowing of di carotid artery dεn kכl am ‘Carotid Artery Stenosis’ .
Dis na sɔntin we wi fɔ wɔri bɔt. Bikɔs we di men at we de kɛr blɔd go na di bren blok, di bren nɔ kin gɛt ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it. Dɔn bak, sɔntɛnde, wan smɔl pat pan di plek kin brok ɛn blok ɔda smɔl at na di bren kpatakpata. Dis kin mek di risk fɔ gɛt transiɛnt ischemic atak (TIA) ɔ ischemic strok .
So, if dɔktɔ yɛri dis sawnd, i kin yuz am as impɔtant ‘klu’ fɔ no if dis kayn risk de.
Yu tink se ɔda rizin dɛn de?
Yɛs. Nɔto ɔltɛm i kin bi bikɔs ɔf di kɔlɔstrel we de na di bɔdi. Sɔntɛm,
- dis sawnd kin kכz bak bay di chenj dεm we de na di strכkchכ fכ di blכd vεsεl wכl dεm, lεk Fibromuscular Dysplasia (FMD) .
- Ivin pan sɔm pipul dɛm we gɛt wɛlbɔdi, dɛn kin yɛri dis sawnd bikɔs ɔf smɔl difrɛns pan di we aw dɛn arenj di blɔd vesel dɛm.
Yu dɔktɔ go no di rayt rizin afta we i dɔn tink bɔt yu mɛdikal istri ɛn ɔda tin dɛn.
Fɔ gɛt carotid bruit na siriɔs kɔndishɔn?
Dis kwɛstyɔn nɔ go ebul fɔ ansa wit wan stret "yes" ɔ "no".
Sɔntɛnde, dis kin bi rɛd flag we de sho se yu gɛt siriɔs risk fɔ gɛt strok. Bɔt, nɔto so i kin bi ɔltɛm.
Imajin se yu dɔktɔ tan lɛk ditektiv. Dis ‘Bruit’ sawnd na jos di fes ‘evidence’ we im fain. Dat pruf nɔmɔ nɔ de tɛl am se "na di pɔsin we du di bad tin." I gɛt fɔ chɛk mɔ. Semweso, jɔs we yu yɛri dis sawnd nɔ de sho se yu gɛt siriɔs sik. Na jɔs sayn fɔ sho se dɛn nid fɔ du mɔ investayshɔn.
Sɔm pipul dɛn we gɛt wɛlbɔdi kin yɛri dis sawnd. כlso, sכmtεm di nεk vein dεm kin 90% blכk εn stil nכ de yεri dis sawnd. So, mɛmba se dis na jɔs wan pat pan di pazl.
If di dɔktɔ se carotid bruit de, wetin kin apin nɛks?
Yu dɔktɔ nɔ go fred wit dis nɔys. Di nɛks tin we i go du na fɔ no di rayt tin we de mek i apin. Wan rili simpul, penlɛs tɛst we dɛn kin du na ‘Carotid Duplex Ultrasound’ skan.
Dis tan lɛk skan we dɛn kin du pan uman dɛn we gɛt bɛlɛ. I de yuz sawnd wev fɔ tek pikchɔ fɔ di blɔd vesel dɛn na di nɛk. I kin:
- Chek fɔ di kɔlɔstrel plek dɛn we de insay di blɔd vesel dɛn.
- If i de, mɛzhɔ ɛksaktɔli ɔmɔs pan di vein dɔn blok.
- Chek di spid ɛn di we aw blɔd de flɔ.
Bay di rizɔlt fɔ dis skan, di dɔktɔ go disayd if yu nid tritmɛnt ɔ nɔ nid tritmɛnt, ɛn if na so, wetin fɔ du.
Mɔtalman, if yu gɛt wan ɔ mɔ pan dɛn tin ya we kin mek yu gɛt dis sik, yu dɔktɔ go tɛl yu fɔ du dis skan.
| Risk factors fכ carotid atεri stεnosis | |
|---|---|
| Koronari Atɛri Sik we pɔsin kin gɛt | If di kכlestכl de na di at dεm, i go izi fכ apin na di at dεm na di nεk bak. |
| Dayabitis (Dayabetes Mɛlitɔs) . | Dayabitis kin pwɛl di blɔd vesel dɛn. |
| Ay Blɔd Prɛshɔn | We di prɛshɔn go ɔp, di insay wɔl dɛn na di blɔd vesel dɛn kin pwɛl ɛn i kin izi fɔ mek di kɔlɔstrel gɛda. |
| Ay Kɔlestɔl | Dis na di men tin we de mek di plek fɔm. |
| Smok (Yuz Tobacco) . | Smok tan lɛk se yu de pɔyzin yu blɔd vesel dɛn dairekt wan. |
| Ol Ej | Jɛnɛral wan, pipul dɛm wae dɔn pas 65 ia kin gɛt bɔrku risk. |
| Famili Istri | If pɔsin na yu famili dɔn gɛt strok, yu kin de pan denja bak. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat nɔto ɔlman nid ɔpreshɔn ɔ du ɔpreshɔn. Di tritmɛnt dipen pan aw yu at de blok, yu ej, ɛn ɛni ɔda mɛrɛsin we yu go gɛt.
Dɛn kin sheb di tritmɛnt to tri men pat.
1. Di mɛrɛsin dɛn we dɛn kin yuz
Bɔku tɛm, dis na di fɔs tin fɔ bigin wit. Dɛn tin ya kin du fɔ am, mɔ if di vein blɔk nɔ rili bad.
- Mεdikeshכn dεm we de dכn kכlestכl: dεn ya de εp fכ rεdכks di lεvεl fכ bad kכlestכl na di bכdi εn stכp fכ fכm mכr plek.
- Blɔd prɛshɔn mɛrɛsin: I de kɔntrol blɔd prɛshɔn ɛn i de mek di blɔd vesel dɛn nɔ pwɛl.
- Antikoagulant mɛrɛsin: Sɔntɛnde, dɛn kin gi yu mɛrɛsin lɛk aspirin fɔ ridyus di risk fɔ mek blɔd klɔt.
2. Di we aw pɔsin de liv in layf
Dis kin impɔtant pas fɔ tek mɛrɛsin. Dɛn tin ya go ɛp fɔ kɔntrol di mɔ blɔd vesel dɛn we de kɔnstrikt to bɔku bɔku wan.
- Lɛf fɔ smok kpatakpata: If yu na pɔsin we de smok, di bɛst tin we yu go du na fɔ lɛf fɔ smok tide. Tɔk to yu dɔktɔ if yu nid ɛp fɔ du dis.
- Di it we go ɛp yu at: Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga. Riples rɛd mit (bif, bɔd) wit fish ɛn chukchuk. Put bɔku vɛjitebul, frut, ɛn grɛn tin dɛn we yu de it.
- Ɛksesaiz ɔltɛm: I kin simpul lɛk fɔ waka fɔ 30 minit ɛvride. Bifo yu bigin fɔ du nyu ɛksesaiz, tɔk to yu dɔktɔ fɔ si wetin rayt fɔ yu.
3. Ɔpreshɔn ɛn ɔda tin dɛn we dɛn kin du
Dɛn tin ya kin jɔs nid if di blɔd vesel dɛn dɔn smɔl bad bad wan (severe stenosis) ɛn di dɔktɔ no se di risk fɔ gɛt strok rili bɔku.
- Carotid Endarterectomy: Dis na fɔ mek smɔl say na di nɛk, opin di blɔd vesel, ɛn ɔpreshɔn fɔ pul di kɔlɔstrel plek dɛn we dɔn gɛda insay.
- Carotid Angioplasty and Stenting: Dis min se yu fɔ pas wan tin we tan lɛk nidul tru di blɔd vesel ɛn inflate wan smɔl balyɔn fɔ mek di blɔk big. Dɔn, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent na di at fɔ mek i nɔ smɔl bak.
Mɛmba se na yu dɔktɔ nɔmɔ go disayd us tritmɛnt go fayn fɔ yu. Nɔr bays yu tritmɛnt disizhɔn pan wetin yu de rid na intanɛt ɔr yɛri frɔm ɔda pipul dɛm.
Mɛsej we dɛn kin kɛr go na os
- Carotid bruit nɔto sik, na jɔs sawnd we dɔktɔ kin jɔs yɛri wit stetɔskɔp. Nɔ panik if yu yɛri am.
- Pan ɔl we di men tin we kin mek dis apin na we di kɔlɔstrel kin de na di blɔd vesel (atherosclerosis), nɔto ɔltɛm wan siriɔs sik kin mek i apin.
- Dis na impɔtant ‘hint’ fɔ luk fɔ we i kam pan strok risk. So if yu dɔktɔ tɔk bɔt dis, nɔ ignore am.
- Bɔku tɛm yu dɔktɔ go du wan simpul skan we dɛn kɔl ‘Carotid Duplex Ultrasound’ fɔ kɔnfɔm di sik.
- If yu nid tritmɛnt ɔ nɔ nid fɔ du am, ɛn wetin fɔ du if i bi, i go dipen pan aw di blɔk dɔn blok ɛn yu ɔl wɛl bɔdi. Tɔk bɔt ɔltin wit yu dɔktɔ.
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