Tu men blɔd vesel dɛn de we de kɛr blɔd go na wi bren na di tu say dɛn na wi nɛk. Imajin wetin go apin if dɛn blɔd vesel ya ful-ɔp wit plek, ɔ fɔ se, plek. I tan lɛk se rɔst de bɔku insay wata paip. Dɔn di blɔd we de go na di bren go go dɔŋ. Dis na wetin de mek di rod fɔ mek pɔsin gɛt strok we denja. So, tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du fɔ pul dis kayn blɔk.
Fɔ tɔk am simpul wan, wetin na Carotid Endarterectomy?
Dis na lɔng ɛn strenj nem, bɔt in minin rili simpul. Dis na ɔpreshɔn. Dis ɔpreshɔn kin gɛt fɔ du wit ɔpreshɔn fɔ pul di fat ɛn kɔlɔstrel plek dɛn we dɔn gɛda insay di karotid at na yu nɛk. Wi gɛt tu karotid at na di lɛft ɛn rayt say na wi nɛk. Dɛn tu ya de gi blɔd to wi bren, nɛk, ɛn fes. Dɛn kin du dis ɔpreshɔn na di lɛft ɔ rayt say, i kin dipen pan di sayd we dɛn blok.
Dɔktɔ dɛn kin pul dɛn fat ya fɔ mek blɔd go bak na di bren. Dis na bikɔs dɛn fat ya kin mek di blɔd nɔ flɔ slo, ɔ sɔntɛnde i kin stɔp am ɔltogɛda. If yu bren nɔ gɛt inof blɔd, yu go gɛt strok.
De tin wae impɔtant pas ɔl na dat, strok na mɛdikal imejensi. If di sayn dɛm fɔ strok sho, fɔ kɛr di pɔsin go na di Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan, insay tri awa, rili impɔtant fɔ sev layf.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ?
Yu dɔktɔ go chɛk yu, luk yu mɛdikal istri, ɛn tɛst rizɔlt fɔ no if dis ɔpreshɔn nid fɔ du. Bɔku tɛm, dɛn kin se dɛn fɔ du dis ɔpreshɔn pan dɛn tin ya. Lɛ wi luk dis na tebul fɔ ɛp yu fɔ ɔndastand am klia wan.
| We dɛn kin se dɛn fɔ du ɔpreshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Di sik we de mek pɔsin gɛt di sik we dɛn kɔl Carotid Artery | If ɔltra saund skan dɔn si se pas af (50%) pan di blɔd vesel dɛn na yu nɛk dɔn blok bikɔs ɔf fat we de de. |
| Blɔd nɔ de flɔ fayn na di bren | Tεst dεn dכn kכnfכm se di bכdi we de fכlכ na di bren dכn dכn bכku biכs fכ dis blכk. |
| Fɔ gɛt mini-strok ɔ prɛkursɔr strɔk (TIA) . | If yu dɔn ɔlrɛdi gɛt smɔl strok ɔ transiɛnt ischemic atak (TIA) bikɔs yu blɔd vesel dɔn blok. |
| Siriɔs kɔnjɛshɔn we nɔ gɛt ɛni sayn | Ivin if yu nɔ fil ɛni sayn, if skan sho se di blɔd vesel dɔn blok bad bad wan, i tan lɛk se yu dɔn defuz bɔm bifo di tɛm rich. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bɔku tin dɛn de we yu nid fɔ du ɛn rɛdi fɔ bifo dɛn du dis ɔpreshɔn.
- Spɛshal tɛst: Yu dɔktɔ kin ɔda spɛshal skan, lɛk sɛribra angiogram, CT angiografi, ɔ MR angiografi, fɔ gɛt rili klia pikchɔ bɔt yu karotid at ɛn bren.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn). Sɔm mɛrɛsin dɛn kin nid fɔ stɔp fɔ sɔm tɛm bifo dɛn du di ɔpreshɔn. Bɔt bɔku tɛm, dɛn kin tɛl pɔsin fɔ tek mɛrɛsin dɛn lɛk aspirin ɔl di tɛm we dɛn de du di ɔpreshɔn.
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, yu fɔ rili lɛf fɔ smok bifo dɛn du yu ɔpreshɔn . Smok kin mek di blɔd klɔt mɔ ɛn mɔ ɛn i kin mek i nɔ wɛl.
- Instrɔkshɔn frɔm di mɛdikal tim: Di mɛdikal tim go gi yu klia instrɔkshɔn bɔt wetin fɔ it ɛn drink di de bifo di ɔpreshɔn, us tɛm fɔ kam na ɔspitul, ɛn ɔda tin dɛn.Fɔ fala dɛn ɔl di rayt we.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn na ɔspitul ɔpreshɔn rum ɛn bɔku tɛm i kin tek lɛk wan ɔ tu awa so.
Bifo di ɔpreshɔn bigin, dɛn go gi yu anestezi. Tu we dɛn de fɔ du dis. Wan pan dɛn na jenɛral anestezi, we kin mek yu slip kpatakpata.. Di ɔda wan na lokal anestezi , we de mek yu nɔ gɛt bɛtɛ trɛnk na yu nɛk usay dɛn de du di ɔpreshɔn we yu wek. If dɛn gi yu lokal anestesia, dɛn go gi yu mɛrɛsin bak fɔ ɛp yu fɔ rilaks.
Di dɔktɔ we de du di ɔpreshɔn de du di ɔpreshɔn dis we:
1. Fɔs, dɛn kin fɛn di rayt say we di blɔd vesel we dɔn blok de ɛn mek smɔl say we lɔng lɛk 4 inch na di nɛk.
2. Neks, dem go chɛk fɔ si if dɛn nid fɔ mek di blɔd kɔntinyu fɔ flɔ to di bren we dɛn de du di ɔpreshɔn. If nid de, dɛn go put smɔl tiub (shunt) fɔ sɔm tɛm fɔ mek di blɔd pas di say we dɛn dɔn blok ɛn flɔ go na di bren.
3. Dɔn, dɛn kin kɔt am along di pat we dɔn blok na di blɔd vesel ɛn tek tɛm pul di fat layt (plek) we de insay.
4. Afta dɛn dɔn pul di fat layt, dɛn kin siŋ di blɔd vesel bak togɛda. Bɔku tɛm, dɛn kin put pat we dɛn mek wit spɛshal tin fɔ mek di blɔd vesel big smɔl fɔ mek i nɔ lɔk bak.
5. Fɔ dɔn, dɛn kin pul di tɛmporari tiub we dɛn bin put ɛn di blɔd flɔ bak to nɔmal.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit fɔ dis ɔpreshɔn na dat i kin rili ridyus di risk fɔ gɛt strok tumara bambay. We dɔktɔ we gɛt ɛkspiriɛns fɔ du ɔpreshɔn, di prɔblɛm nɔ kin bɔku.
Bɔt jɔs lɛk ɛni ɔpreshɔn, smɔl chans de fɔ mek sɔm prɔblɛm dɛn apin.
| Di Kɔmplikɛshɔn dɛn we kin apin |
|---|
| - Blɔd we de kɔmɔt |
| - Sik we de prɛd |
| - Blɔd we de klɔt |
| - Nεv dεm we dεn dכn pwεl |
| - Fɔ gɛt strok ɔ at atak |
| - Rioklushכn fכ di bכdi vεsul insay di fכs tεm |
Dis risk kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔku tin dɛn kin afɛkt am:
- Di mak we di blɔd vesel dɔn blok.
- Yu dɔn ɛva gɛt strok bifo?
- If yu gɛt ɔda sik dɛn lɛk dayabitis, at sik, ɔ kidni sik.
- Yu ej (di risk kin go ɔp smɔl as yu de ol).
Wetin kin apin afta di ɔpreshɔn ɛn aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ lɛk wan de afta di ɔpreshɔn. Dis na fɔ wach yu kɔndishɔn. Yu go ebul fɔ it ɛn drink nɔmal wan insay sɔm awa afta di ɔpreshɔn. Yu kin gɛt smɔl tiub (dreyn) we dɛn put na yu nɛk fɔ pul wata kɔmɔt na di say we dɛn kɔt. Bɔku tɛm, dɛn kin pul dis insay wan de.
Sɔm kayn pen kin de na yu nɛk fɔ lɛk tu wiks. Yu kin yuz ɔdinari pen kil fɔ dat.
Bɔku tɛm, di we aw pɔsin kin wɛl kin apin kwik kwik wan. Bɔku pipul dɛn kin go na os di de afta dɛn dɔn du di ɔpreshɔn. Afta yu dɔn go na os:
- Fɔ was: Fɔ was nɔ bad. Bɔt nɔ rɔb di ɔspitul glu oba di say we dɛn kɔt ɔ mek wata nak am dairekt wan.
- Fɔ kia fɔ di say we dɛn kɔt am: Chek di say we dɛn kɔt am ɛvride. Nɔ put ɛni loshan pan am. Nɔ wɛr klos we de rɔb pan di say we dɛn kɔt am.
- Go bak na wokples: Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay wan ɔ tu wiks.
- Drayv: Yu kin drayv bak wans di say we dɛn kɔt dɔn wɛl ɛn nɔ pen nɔ de we yu tɔn yu nɛk.
Jɔs bikɔs di ɔpreshɔn bin wok fayn nɔ min se yu fɔ go bak to yu ol abit dɛn. Yu nid fɔ chenj di we aw yu de liv yu layf fɔ mek blɔd nɔ go kam bak.
Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- Fɔ fala di it we gɛt wɛlbɔdi .
- Ɛksesaiz if di dɔktɔ alaw am.
- Fɔ lɛf fɔ smok kpatakpata.
- Fɔ ridyus di strɛs.
- Fɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt bɔku kɔlɔstrel lɛk aw dɛn tɛl yu fɔ tek.
A fɔ go to di dɔktɔ bak? Us sayn dɛn a fɔ luk fɔ?
Yɛs, na fɔ tru. Yu fɔ go to yu dɔktɔ wan mɔnt afta di ɔpreshɔn. Dɔn ɛvri siks mɔnt fɔ tu ia, dɔn wan tɛm insay di ia afta dat. Dɛn kin du dis fɔ si if di blɔd vesel we dɛn bin dɔn ɔpreshɔn de blok bak, ɔ if prɔblɛm de wit di blɔd vesel na di ɔda say, dɛn kin yuz ɔltra saund skan.
Dɔn bak, if yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Pe atɛnshɔn mɔ to dɛn tin ya! |
|---|
|
Wetin na di difrɛns bitwin dis ɔpreshɔn ɛn fɔ put stent?
Dis na prɔblɛm fɔ bɔku pipul dɛn.
- Carotid Endarterectomy: Dis na fɔ kɔt di blɔd vesel opin ɛn pul di fat layt we de insay.
- Stent: Dis min se yu fɔ put smɔl balyɔn insay di blɔd vesel fɔ mek di say we dɔn blok big (dɛn kɔl dis angioplasty), dɔn yu put wan mɛtal tiub (stent) insay di say we yu wayd fɔ mek i nɔ blok bak.
Dɛn tu we ya de wok fɔ mek blɔd go bak na di bren. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
Na nɔmal tin fɔ mek ɛnibɔdi fred we i yɛri bɔt prɔblɛm wit blɔd we de flɔ na in bren. Bɔt dis ɔpreshɔn we dɛn kin du fɔ pul di karotid ɛndaterektomi na wan we we rili fayn fɔ mek di blɔd flɔ fayn fayn wan na di bren ɛn sev yu frɔm wan denja kɔndishɔn lɛk strok. If yu gɛt ɛni kwɛstyɔn ɔ dawt, tɔk to yu dɔktɔ ɛn mek ɔltin klia.
Mɛsej we dɛn kin kɛr go na os
- Carotid endarterectomy na ɔpreshɔn we dɛn kin pul di fat we de (plaque) insay di men blɔd vesel na di nɛk, we kin mek pɔsin nɔ gɛt strok.
- Pan ɔl we dis na big ɔpreshɔn, bɔku tɛm i kin rili sef ɛn i kin wok fayn we dɛn du am ɔnda di sɔpɔtishɔn fɔ wan tim we gɛt ɛkspiriɛns fɔ mɛn pipul dɛn.
- Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn kin kwik, bɔt i impɔtant fɔ fala wɛlbɔdi layf fɔ mek di blɔd nɔ kam bak.
- Yu fɔ no ɛni sayn we de wɔn yu we go apin afta yu dɔn du di ɔpreshɔn. If yu gɛt ɛnitin we de mɔna yu, go to yu dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt