Nek blɔd vesel blok ɛn strok risk: Lan bɔt TCAR tritmɛnt (Transcarotid Artery Revascularization) .

Yu go dɔn yɛri dɔktɔ se, "Wan big blɔd vesel na yu nɛk dɔn blok, ɛn dis kin mek yu gɛt strok." Na nɔmal tin fɔ mek ɛnibɔdi fil fɔ fred smɔl we i yɛri sɔntin lɛk dis. Bɔt nɔ wɔri, bikɔs mɛdikal sayɛns dɔn go bifo ɛn naw rili fayn we dɛn de fɔ trit dɛn kayn sik ya. Tide wi de tɔk bɔt TCAR, we na wan mɔdan ɛn sef tritmɛnt we dɛn kin yuz fɔ ridyus di risk fɔ gɛt strok.

Wetin na TCAR? Lɛ wi ɔndastand am simpul wan.

TCAR (Transcarotid Artery Revascularization) na spɛshal tritmɛnt we de mek di men blɔd vesel na yu nɛk we dɔn blok we dɛn kɔl Carotid Artery . Imajin se sɔntin we tan lɛk dis kin apin na ya, lɛk dreyn we dɔn lɔk na yu os. Insay dɛn blɔd vesel ya, tin dɛn lɛk fat ɛn kɔlɔstrel kin gɛda ɛn mek wan layt. Wi de kɔl dis ‘Plak’ .

Dis plek layt de mek di blɔd vesel smɔl smɔl. Di tin we denja pas ɔl na dat if wan pat pan dis plek brok ɛn blok wan blɔd vesel na di bren, ɔ if dis blok stɔp blɔd flɔ kpatakpata, strok kin apin.

So fɔ mek dɛn nɔ gɛt dis prɔblɛm, dɔktɔ dɛn kin trit dɛn blɔk ya fɔ pul dɛn. Tri men we dɛn de fɔ du dis:

1. Carotid Endarterectomy (CEA): Dis na tradishɔnal opin ɔpreshɔn. Di dɔktɔ kin kɔt di nɛk, opin di blɔd vesel, ɛn skrap di plek wit in an.

. Dɔn, dɛn kin put wan tin we tan lɛk mɛsh, we dɛn kɔl stent, fɔ mek di vessel nɔ smɔl igen.

3. TCAR tritmɛnt: Dis na smɔl tin we fiba di CAS we, bɔt na mɔ mɔdan ɛn sef we. na ya, dεn kin put di stent tru wan sכm sכm say na di nεk, pas fכ pas tru di groin. Wi go tɔk bɔt di spɛshal tin dɛn we de insay dis leta.

Udat TCAR tritmɛnt rili fayn fɔ?

TCAR bin fɔs introdyus fɔ pasɛnt dɛn we bin de pan ay risk fɔ kɔmplikeshɔn frɔm tradishɔnal opin ɔpreshɔn (CEA). Tin dɛm wae kin mek dis risk bɔku na:

• We yu de ol.
• Prɛzɛns fɔ at sik ɔ lɔng sik.
• Fɔ gɛt ska tisu na di nɛk frɔm di ɔpreshɔn we dɛn bin dɔn du na di nɛk ɔ raytin tɛrapi bifo.
• If di blɔk de na say we at fɔ ɔpreshɔn, lɛk ɔnda di jawbon.

Bɔt naw dɛn de yuz dis we fɔ du tin bak fayn fayn wan fɔ di wan dɛn we gɛt nɔmal risk lɛvɛl.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

If yu disayd fɔ du TCAR tritmɛnt, yu dɔktɔ go ɔda fɔ mek dɛn du sɔm tɛst dɛn fɔs.

• Blɔd tɛst dɛn
• כltra saund skan fכ di karotid atεri dεm na di nεk
• Wan spɛshal CT skan (CT Angiogram) we de chɛk di blɔd vesel dɛn na di nɛk ɛn di bren

Apat frɔm dat, dɛn kin bigin fɔ tek bɔku mɛrɛsin dɛn fɔ rɛdi yu fɔ ɔpreshɔn. Dɛn tin ya kin bi mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel lɛk statin ɛn mɛrɛsin dɛn we de mek pɔsin in blɔd tan lɛk aspirin.

Di tin we impɔtant pas ɔl na dat di dɔktɔ go advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.

Aw dɛn kin du TCAR ɔpreshɔn?

Dis na rili wɔndaful we fɔ du tin, we gɛt bɔku tin dɛn fɔ du wit tɛknɔlɔji. Na dis na wetin kin apin na di ɔpreshɔn rum insay simpul wɔd dɛn:

1. Anestesia: Dɛn kin du dis bay we dɛn de mek yu slip ɔl (Jɛnɛral Anestesia) ɔ bay we dɛn de mek yu nɔ gɛt bɛtɛ trɛnk na di say we de rawnd yu nɛk nɔmɔ (Local Anesthesia).

2. di blכd filtreshכn sistεm: nεks, dεn de put wan tin tכb insay wan vein na yu groin (femoral vein). Dɔn dɛn kin yuz dis fɔ mek di blɔd we dɛn dɔn klin go bak na yu bɔdi.

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4. Fɔ rivɛns di blɔd flɔ: Naw di tin we impɔtant pas ɔl de apin. dεn kin put כda tכb insay di karotid at tru da sכmכl insεshכn de, εn dεn kin kכnekt da tכb de to di tכb we de na di groin tru wan spεshal filta. Dɔn, di blɔd we de flɔ na di karotid at kin kɔmɔt na di say we di bren de go fɔ sɔm tɛm, ɛn go na di ɔda we!

5. Sef: Dis min se ivin if ɛni plek fragmɛnt brok we dɛn de du di prɔsidyu, dɛn nɔ go travul go na di bren. Bifo dat, dɛn kin filta di blɔd, ɛn i kin trap ɔl di dɔti, ɛn na klin blɔd nɔmɔ kin go bak na di bɔdi tru di vein we de na di groin. Dis na di men tin wae de mek pɔrsin nɔr gɛt strok.

6. Fɔ put stent: Naw di dɔktɔ de yuz wan tint waya fɔ go tru di say we dɛn blok, i de mek am big wit balyɔn, ɛn put stent we tan lɛk mɛtal mɛsh . Dis kin mek shɔ se di blɔd vesel kɔntinyu fɔ opin.

7. Fɔ dɔn: Dɔn dɛn kin pul ɔl di tiub dɛn, ɛn dɛn kin siŋ di smɔl smɔl say dɛn we dɛn kɔt na di at ɛn nɛk klos. Di wan ol tin we dɛn kin du kin tek lɛk wan ɛn af awa so.

Fɔ wɛl ɛn fɔ kia fɔ am fɔ lɔng tɛm

Afta TCAR ɔpreshɔn, yu go de na ɔspitul fɔ lɛk wan de so. Insay dis tɛm, di mɛdikal wokman dɛn go de wach yu kɔndishɔn ɔltɛm. Bikɔs dis na ɔpreshɔn we dɛn nɔ kin du bɛtɛ, i nɔ kin tek lɔng tɛm fɔ mek di wund dɛn wɛl.

Afta yu dɔn go na os, yu fɔ avɔyd fɔ es ebi ebi tin dɛn fɔ lɛk wan wik so. Tɔk to yu dɔktɔ bɔt ustɛm yu go ebul fɔ go bak na wokples. I impɔtant bak fɔ chɛk yu nɛk wund ɔltɛm fɔ mek shɔ se i de wɛl ɛn fɔ si if yu gɛt sayn dɛn we de sho se yu gɛt di sik.

Ustɛm fɔ kɔl di dɔktɔ

If yu gɛt ɛni wan pan dɛn sayn ya we de sho se di wund gɛt di sik, kɔl yu dɔktɔ wantɛm wantɛm:

• Fiva
• Fɔ fil kol ɛn shek shek
• Rɛdnɛs rawnd di wund
• Fluid-layk dischaj frɔm di wund

Afta dɛn dɔn put stent, yu gɛt big wok fɔ mek yu blɔd vesel dɛn nɔ blok igen. Fɔ du dis, yu fɔ du dɛn tin ya:

• Lɛf fɔ smok kpatakpata.
• Ɛksesaiz ɔltɛm.
• It fayn it we nɔ gɛt bɔku sɛtyuret fat.
• Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ kɔntrol di kɔlɔstrel ɛn di blɔd we de rɔtin di rayt tɛm.