Wi ɔl de fred di wɔd "strok," nɔto so? Na di wɔs tin we kin apin we di blɔd we de flɔ na di bren dɔn stɔp wantɛm wantɛm. Bɔku pipul dɛn kin tink se dis kin apin bikɔs ɔf at prɔblɛm nɔmɔ. Bɔt yu no se we wan big blɔd vesel na yu nɛk blok, dat kin mek bak yu gɛt strok? Tide, wi go tɔk bɔt wan spɛshal ɔpreshɔn we de klin dis kayn blɔk ɛn mek blɔd go bak na di bren.
Fɔ tɔk am simpul wan, wetin na Carotid Endarterectomy?
Imajin se tu big at dɛn we de gi blɔd to yu bren de rɔn go ɔp yu nɛk na di tu say dɛn. dεn kכl dεn bכdi vεsul dεm ya "Carotid Arteries." As tɛm de go, tin dɛn lɛk fat we wi nɔ want ɛn kɔlɔstrel we de kɔmɔt na di it dɛn we wi de it kin bigin fɔ gɛda na di wɔl dɛn na dɛn blɔd vesel dɛn ya. I tan lɛk dɔti we de bil insay wata paip. Wi kɔl dis plek .
As dis plek de gro big, i de bigin fɔ blok di blɔd vesel frɔm insay. Dis kin mek di blɔd we de flɔ na di bren nɔ bɔku. Sɔntɛnde, smɔl pat pan dis plek kin brok ɛn blok wan smɔl blɔd vesel na di bren kpatakpata. Na da tɛm de strok kin apin.
So, carotid endarterectomy na ɔspitul we de opin di carotid artery we dɔn blok, pul di plek we dɔn stɔp insay, ɛn afta dat i de klin ɛn stich di blɔd vesel bak togɛda. Fɔ tɔk am simpul wan, na fɔ klin di blɔd we de flɔ. Dis kin rili ridyus di risk fɔ gɛt strok.
Us kes dɛn dɛn kin se dɛn fɔ du dis ɔpreshɔn?
Yu dɔktɔ nɔ go tɛl yu fɔ du dis ɔpreshɔn wantɛm wantɛm. I go disayd fɔ du sɔntin bay di ɛgzam we yu du, di tɛst dɛn we yu nid, ɛn di rizɔlt dɛn. Bɔku tɛm, dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pɔsin we gɛt dɛn sik ya:
| Kɔndishɔn | Simpul ɛksplen |
|---|---|
| Wan impɔtant lɛvɛl fɔ blok | if skan (ultrasound) kכnfכm se yu karotid atεri dεn blכk pas 50% bay plek. |
| Fɔ gɛt mini-strok (TIA) . | If yu bin dɔn gɛt Transient Ischemic Attack (TIA) , we na smɔl wɔnin sayn we de bifo yu gɛt big strok (lɛk we yu nɔ de tɔk fayn fɔ sɔm minit, we yu nɔ de fil fayn na wan say na yu bɔdi). |
| Fɔ gɛt wan smɔl strok | If yu dɔn ɔlrɛdi gɛt mini-strok bikɔs ɔf wan blɔk na dis at. |
| Sivɛri blok we nɔ gɛt ɛni simptom | Fɔ mek yu nɔ gɛt strok tumara bambay, ilɛksɛf yu nɔ gɛt ɛni sayn, if skan sho se di at dɔn blok bad bad wan. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu mɛdikal tim go gi yu instrɔkshɔn bifo dis ɔpreshɔn. Dɛn tin ya kin bi:
- Spɛshal tɛst dɛm: Dɛn kin aks yu fɔ du spɛshal skan dɛm lɛk `(Cerebral Angiogram)`, `(CT Angiography)` ɔ `(MR Angiography)` fɔ lan mɔ bɔt di kɔndishɔn fɔ yu karotid at ɛn bren.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Yu nid fɔ tɛl yu dɔktɔ bɔt ɔltin, nɔto jɔs di mɛrɛsin dɛn we dɛn kin gi yu, bɔt bak di mɛrɛsin dɛn we de mek yu fil pen, vaytamɛn dɛn, ɛn tradishɔnal mɛrɛsin dɛn.
- Fɔ stɔp sɔm mɛrɛsin dɛn: Dɛn kin advays fɔ stɔp sɔm mɛrɛsin dɛn we kin mek blɔd nɔ klɔt sɔm dez bifo dɛn du di ɔpreshɔn. Bɔt bɔku tɛm, dɛn kin advays fɔ kɔntinyu fɔ tek mɛrɛsin lɛk aspirin. Gɛt patikyula advays bɔt dis.
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, yu fɔ rili lɛf fɔ smok bifo dɛn du yu ɔpreshɔn. I go ɛp yu fɔ wɛl kwik kwik wan.
Aw dɛn kin du di ɔpreshɔn
Dɛn kin du dis ɔpreshɔn na ɔspitul. Bɔku tɛm, i kin tek lɛk wan ɔ tu awa so. Dɛn kin gi yu jenɛral anestezi (put fɔ slip) ɔ lokal anestesia (we de mek yu nɔ fil di say we de rawnd yu nɛk nɔmɔ). Dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ rilaks, ilɛksɛf yu nɔ ebul fɔ du natin.
Di dɔktɔ we de du di ɔpreshɔn kin fala dɛn tin ya:
1. Dɛn kin kɔt smɔl say we gɛt lɛk 4 inch na di nɛk, usay di blɔd vesel kin blok.
2. Bikɔs dɛn nɔ kin ebul fɔ stɔp di blɔd we de kɔmɔt na di bren we dɛn de du ɔpreshɔn, if nid de, dɛn kin put smɔl tiub (shunt) fɔ mek di blɔd go ɔdasay fɔ sɔm tɛm.
3. Dɔn, dɛn kin kɔt smɔl say along di blɔd vesel we dɔn blok ɛn dɛn kin tek tɛm klin di plek layt we de insay ɛn pul am.
4. Dɔn dɛn kin siŋ di blɔd vesel bak togɛda. כltεm, dεn kin sכm spεshal "patch" insay fכ kip di εria waid εn nכ kכnstrikt igen.
5. Fɔ dɔn, dɛn kin pul di tɛmporari tiub ɛn di blɔd flɔ bak to nɔmal.
Di tin we impɔtant pas ɔl na dat, di men gol fɔ dis ɔpreshɔn na fɔ ridyus di risk fɔ gɛt strok. We wan tim we gɛt ɛkspiriɛns pan dɔktɔ dɛn du dis ɔpreshɔn, dis na ɔpreshɔn we kin rili fayn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di bɛnifit dɛn pas di prɔblɛm dɛn we kin apin bɔku tɛm.
Men bɛnifit: Fɔ protɛkt yu frɔm wan bad bad strok tumara bambay.
Di prɔblɛm dɛn we kin apin:
- Blɔd we de kɔmɔt
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik
- Blɔd we de klɔt
- Nεv dεm we dεn dכn pwεl (rare) .
- Fɔ gɛt strok ɔ at atak (we nɔ kin apin so ɔltɛm) .
- Ri-blɔk di at na di fyuchu
Dis risk kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen pan tin dɛm lɛk yu ej, if yu gɛt ɔda mɛrɛsin lɛk dayabitis ɔ at sik, ɛn aw di blɔd vesel dɔn blok. Yu dɔktɔ go ɛksplen ɔl dis to yu.
Afta di ɔpreshɔn ɛn di tɛm we i dɔn wɛl
Afta di ɔpreshɔn, dɛn go kip yu na ɔspitul fɔ lɛk wan de so fɔ mek dɛn wach yu. Afta sɔm awa, yu go ebul fɔ it ɛn drink nɔmal wan. Dɛn kin put smɔl tiub (drein) na yu nɛk fɔ pul wata kɔmɔt na di wund. Bɔku tɛm, dɛn kin pul dis insay wan de. Yu kin gɛt sɔm nɛk pen fɔ lɛk tu wiks. Yu kin tek pen kil ɔltɛm fɔ dis.
Bɔku pipul dɛn kin go na os di de afta dɛn dɔn du di ɔpreshɔn. Yu kin shaw afta yu dɔn go na os, bɔt nɔ rɔb di wund tumɔs. Yu kin go bak to di nɔmal tin dɛn we yu kin du insay wan ɔ tu wiks.
Fɔ chenj di we aw pɔsin de liv in layf rili impɔtant!
Ivin if di ɔpreshɔn nɔ wok fayn, yu go stil nid fɔ chenj yu layf fɔ mek dis kayn plek nɔ fɔm bak.
- Yuz to it we gɛt wɛlbɔdi.
- Ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Lɛf fɔ smok kpatakpata.
- Ridyus strɛs.
- Tek yu kɔlɔstrel ɛn blɔd prɛshɔn mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit wund | Di wund kin rɛd, i kin swel, ɛn i kin kɔmɔt na di yɔlɔ ɔ grɛn wata. |
| Di sayn dɛn we de sho se pɔsin gɛt strok | Ed kin at wantɛm wantɛm, i nɔ kin izi fɔ tɔk ɔ ɔndastand, diziz, wan say na di bɔdi nɔ kin fil fayn, i nɔ kin si fayn. Dɛn tin ya na rili siriɔs imejensi. |
| Di kɔmɔn infɛkshɔn simptom dɛm | Fiva, kol ɛn shek shek. |
| Ɔda siriɔs sayn dɛn | I nɔ kin izi fɔ blo, di chɛst kin pen, di leg dɛn kin swel, i nɔ kin izi fɔ swɛla. |
Mɛsej we dɛn kin kɛr go na os
- Carotid Endarterectomy na wan rili impɔtant ɔpreshɔn we dɛn kin du fɔ mek dɛn nɔ gɛt strok tumara bambay we di fat we de de we de blok wan big blɔd vesel na di nɛk.
- Dis nɔto sɔntin we dɛn kin du fɔ ɔlman. Na if i rili nid fɔ du am, afta yu dɔktɔ dɔn du di tɛst.
- Fɔ mek di ɔpreshɔn go fayn, i impɔtant fɔ chenj yu layf to wɛlbɔdi wan fɔ mek dis sik nɔ kam bak.
- Yu fɔ no di sayn dɛn we kin mek pɔsin gɛt prɔblɛm we kin apin afta dɛn dɔn du di ɔpreshɔn. If yu gɛt ɛnitin we de mɔna yu, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ ɛn sɔlv am.
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