Yu tink se di blɔd vesel dɛn na yu nɛk dɔn blok? Lɛ wi lan bɔt TCAR ɔpreshɔn (Transcarotid Artery Revascularization) .

Yu dɔktɔ dɔn tɛl yu se wan big blɔd vesel na yu nɛk dɔn blok ɛn yu de pan big risk fɔ gɛt strok? Na nɔmal tin fɔ mek ɛnibɔdi fred smɔl we i yɛri sɔntin lɛk dat. "A go nid fɔ du ɔpreshɔn? Na big tin?" I go mɔs bi se bɔku kwɛstyɔn dɛn kin kam na mi maynd. Bɔt nɔ wɔri, bikɔs mɛdikal sayɛns dɔn go bifo, naw tritmɛnt dɛn de we rili sef, simpul ɛn we go wok fɔ dɛn kayn sik ya. Tide wi go tɔk bɔt wan pan di nyu ɛn saksesful tritmɛnt dɛm, TCAR.

Fɔ tɔk am simpul wan, wetin na TCAR?

di ful nem fכ TCAR na Transkarotid Atεri Rivaskulεrayzeshn . Okay, dis nem de soun likl komplikayt, no bi so? Mek wi kip am simpul.

Tu men blɔd vesel dɛn de na di tu say dɛn na wi nɛk we de kɛr blɔd go na di bren. Wi kin kɔl dɛn wan ya di karotid at dɛn . Dɛn tin ya tan lɛk di tu men paip dɛn we de briŋ wata kam na wi os. As tɛm de go, tin dɛn lɛk fat ɛn kɔlɔstrel we de kɔmɔt na di it dɛn we wi de it kin bɔku insay dɛn blɔd vesel dɛn ya, lɛk rɔst we kin gɛda insay wata paip. Dɛn kin kɔl dis ‘plek’ insay mɛrɛsin.

as dis ‘plek’ layεr de gro sכmtεm, di spεs insay di bכdi de dכn, εn di bכdi fכ fכlכ de blok. Di tin we denja pas ɔl na dat if smɔl pat pan dis ‘plek’ layt brok ɛn travul go na di bren wit di blɔd, i kin blok wan blɔd vesel na di bren ɛn mek pɔsin gɛt strok .

So, fɔ opin dis blɔd vesel we dɔn blok bak ɛn fɔ mek di blɔd flɔ bak na wetin wi kɔl ‘revascularization.’ Bɔku men we dɛn de fɔ du dis.

1. Carotid Endarterectomy (CEA): Dis na tradishɔnal opin ɔpreshɔn. insay dis, dεn kin sכm sכm sכm pat na di nεk, dεn kin opin di bכdi vεsεl, dεn kin pul di layεr fכ ‘plek’ we de insay, εn dεn kin stich di bכdi bכdi bak togeda.

. afta dat dεn kin mek di say we dεn blכk big wit sכmtin lεk balכn, εn dεn kin put wan ‘stεnt’ , we na sכm mεsh tכb, fכ mek i nכ kכloz bak.

3. TCAR (Transcarotid Artery Revascularization): TCAR na wan we we sef, we de mכdan we de kכmbayn di bεst pan di tu mεtכd dεm. I min fɔ mek wan rili smɔl say we dɛn kɔt jɔs ɔp di kɔlabɔn na di nɛk ɛn put wan stent dairekt insay di blɔd vesel we dɔn blok.

Udat dis TCAR ɔpreshɔn fit fɔ?

Di TCAR we dɛn bin yuz fɔs insay 2015 fɔ di wan dɛn we bin de pan ay risk fɔ tradishɔnal opin ɔpreshɔn (CEA). Dat na:

• Fɔ pipul dɛn we dɔn ol .
• Fɔ di wan dɛn we gɛt at ɔ lɔng sik .
• Fɔ di wan dɛn we gɛt ska tisu frɔm di ɔpreshɔn we dɛn bin dɔn du na dɛn nɛk ɔ redyushɔn tɛrapi bifo.
• If di blɔd vesel blok na say we at fɔ ɔpreshɔn, lɛk ɔnda di jawbon.

Bɔt naw dis we fɔ du tin dɔn so fayn dat frɔm 2022, dɛn dɔn tɔk se dɛn de gi TCAR tritmɛnt ivin fɔ di wan dɛn we gɛt nɔmal wɛlbɔdi, dat na, di wan dɛn we nɔ gɛt spɛshal risk factors. Te naw, i pas 20,000 TCAR ɔpreshɔn dɛn we dɛn dɔn du na Amɛrika nɔmɔ.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

If yu dɔktɔ disayd fɔ du yu TCAR ɔpreshɔn, i go nid fɔ du bɔku tɛst dɛn bifo tɛm.

• Blɔd tɛst: Fɛn ɔda tin dɛn bɔt yu jenɛral wɛlbɔdi ɛn aw yu blɔd kin klɔt.
• Carotid artery ultrasound scan: Si aw bɔku pan di blɔd vesel dɔn blok.
• CT Angiogram: Gɛt klia, tri dimɛnshɔnal imej fɔ di blɔd vesel dɛn na di nɛk ɛn bren.

Dɔn bak, di dɔktɔ go bigin yu fɔ tek sɔm mɛrɛsin dɛn fɔ rɛdi yu fɔ di ɔpreshɔn.

• Statin- tayp mεdikeshכn dεm we de lכs kכlestכl.
• Mεdisin dεm lεk aspirin εn klopidogrεl we de mek blɔd nɔ kכlכt.

Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn.

Aw dɛn kin du di ɔpreshɔn: stɛp bay stɛp

Dis ɔpreshɔn go tek lɛk wan ɛn af awa so. Lɛ wi tek wan kwik luk pan wetin kin apin na di ɔpreshɔn rum.

1. Anestezi: Fɔ mek yu nɔ fil ɛni pen, di say we de rawnd yu nɛk go swɛ (local anesthesia) ɔ dɛn go anestez yu ɔl (general anesthesia) .

2. sכm sכm sכm pat dεm: dεn kin mek wan rili sכm pat na di nεk, jכs oba di kכlabon, we de lεk 1-1.5 inch.

3. Flɔ Rivasal: Dis na di impɔtant ɛn sef step na di TCAR prosidur.

• wan tin tכb de insay wan vein na di groin (femoral vein).
• כda tiub dεn de put insay di blכk karotid atεri tru di nεk insishכn.
• Naw, dɛn dɔn kɔnɛkt dɛn tu tiub dɛn ya to wan mashin we gɛt spɛshal filta. Afta dat, di blɔd we de flɔ na di bren kin stɔp fɔ sɔm tɛm, ɛn di blɔd we kɔmɔt na di at we de na di nɛk kin kam tru da tiub de, di filta kin klin am, ɛn go bak na di bɔdi tru di tiub we de na di groin.
• na dis tεm ya, di bכdi we yu bren nid de kכmכt frכm di carotid atεri we de na di כda say na yu nεk εn di vεrbral atεri dεm na di bak pat na yu bren.I de we nɔ gɛt ɛnitin fɔ ambɔg am.

4. Fɔ opin di blɔk: Dɛn kin yuz tin waya fɔ go bifo di blɔk ɛn mek di say big wit smɔl balyɔn.

5. Fɔ put stent: Dɔn dɛn kin put wan smɔl mɛtal mɛsh tiub, we dɛn kɔl stent , insay di say we dɛn blok. Dis kin mek di blɔd vesel opin ɛn ol di plek nia di wɔl.

6. Ɛnd: Dɔn dɛn kin pul ɔl di tiub dɛn, ɛn dɛn kin siŋ di smɔl ol we de na di blɔd vesel ɛn di say we dɛn kɔt na di nɛk.

Wetin kin apin afta di ɔpreshɔn?

Afta di TCAR ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan nɛt so . Dɔktɔ ɛn nɔs dɛn go de wach yu wɛlbɔdi ɔltɛm. Bikɔs dis na rili simpul ɔpreshɔn, i kin wɛl bak kwik kwik wan.

Wetin na di risk ɛn prɔblɛm dɛn we kin apin?

Jɔs lɛk ɛni mɛrɛsin, TCAR kin kɛr sɔm rili smɔl risk dɛn. Bɔt di chans fɔ mek dɛn tin ya apin rili smɔl.

• Blɔd ɔ swel frɔm di say we dɛn kɔt am.
• Infekshɔn na di say we dɛn kɔt am.
• Smɔl damej pan wan nerv na di nɛk.
• Strok.
• At atak.

Yu dɔktɔ go ɛksplen to yu mɔ bɔt dɛn prɔblɛm ya. Mɛmba se dɛn kin tek spɛshal step fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn ya we dɛn de du di TCAR.

Fɔ wɛl ɛn liv wit stent

TCAR na wan we we rili kwik bikɔs dɛn nɔ gɛt big say we dɛn kɔt am.

• Nɔ es wet fɔ wan ɔ tu wik.
• Chek di say we dɛn kɔt yu nɛk ɛvride fɔ mek shɔ se i klin ɛn nɔ sayn de fɔ se yu gɛt di sik.
• Aks yu dɔktɔ ustɛm yu kin go bak to yu wok ɛn ɔda tin dɛn we yu kin du ɛvride.

Afta dɛn dɔn put di stent, na yu fɔ mek di blɔd vesel nɔ blok bak. Fɔ du dis, yu fɔ du dɛn tin ya.

• If yu de smok, stɔp wantɛm wantɛm.
• Ɛksesaiz ɔltɛm.
• Adopt wan wɛlbɔdi it we nɔ gɛt bɔku sɛtyuret fat.
• Tek di mɛrɛsin we de mek yu blɔd tan ɛn di mɛrɛsin we yu dɔktɔ gi yu fɔ mek yu nɔ gɛt bɔku bɔku kɔlɔstrel, di rayt tɛm.

Ustɛm a fɔ go to di dɔktɔ?

If yu si sayn fɔ se yu gɛt di sik na di say we dɛn kɔt am, kɔl yu dɔktɔ wantɛm wantɛm.

• Fiva
• If yu fil kol
• If rɛd ɛn swel de rawnd di say we dɛn kɔt
• If sɔntin lɛk likwid kɔmɔt na di kɔt

Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu. Tɔk bɔt ɛni kwɛstyɔn, tin we de mɔna yu, ɔ dawt wit am. In gol na fɔ gi yu di tritmɛnt we fit ɛn we nɔ gɛt wan prɔblɛm.