Tink bɔt yu at lɛk wata pɔmp. Di men, big, ɛn strɔng tiub we de pɔmp wata ɔlsay na yu bɔdi na di aorta . Dis na di wan we de kɛr blɔd we gɛt bɔku ɔksijɛn ɛn klin frɔm yu ed to yu leg. So if prɔblɛm de wit dis impɔtant men tiub, wi go tɔk bɔt ɔpreshɔn fɔ mek i fayn. Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri bɔt dis, bɔt we dɛn dɔn tɛl yu fayn fayn wan, yu kin ebul fɔ pul da fred de.
Wetin na di men prɔblɛm dɛn we kin apin na dis aorta?
Fɔ tɔk am simpul wan, tu men prɔblɛm dɛn de we kin afɛkt di aorta.
1. Aneurysm: Imajin wan ol wata paip we de bulbul kɔmɔt lɛk balyɔn. di sem we, di wכl dεm na di aorta kin wik εn bulge kכmכt lεk balכn bikoz fכ di prεshכn we di bכdi de pas tru am. Dis na wetin wi kin kɔl ``Aneurysm''.
2. Diskɛshɔn: Dis difrɛn smɔl. di wכl na di aorta gεt sεvεra layεr dεm. Wetin kin apin pan dis na we smɔl kray wata kin fɔm na di layt we de insay, ɛn blɔd kin lik bitwin dɛn tu layt dɛn de. Dis na tin bak we rili denja.
If dis aneurism ɔ dissection bɔs wantɛm wantɛm, i kin mek bɔku blɔd kɔmɔt na di bɔdi ɛn i kin mek pɔsin in layf de pan denja. Na dat mek dɔktɔ dɛn kin tray fɔ mek am bak wit ɔpreshɔn bifo i rich da say de.
Wetin mek tin dɛn lɛk dis kin apin?
Bɔku rizin dɛn de fɔ dis, sɔm pan dɛn wi kin kɔntrol, ɛn sɔm pan dɛn wi nɔ kin ebul fɔ kɔntrol.
| Men rizin dɛn | Wan simpul ɛksplen |
|---|---|
| Atɛrosklɛrosis we kin mek pɔsin gɛt at | Di men tin we kin mek i apin na we tin dɛn we tan lɛk kɔlɔstrel kin bɔku na di wɔl dɛn na di blɔd vesel dɛn, we kin mek di blɔd vesel dɛn at ɛn smɔl. |
| Haypatɛyshɔn | Ay blɔd prɛshɔn, ɔ prɛshɔn we de ɔp fɔ lɔng tɛm, kin pwɛl di wɔl dɛn na di blɔd vesel dɛn. |
| Kɔnɛktiv Tisu Disɔda dɛn | Dis na sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks. Fɔ ɛgzampul, pipul dɛn we gɛt sik lɛk Marfan Syndrome kin gɛt wik bɔdi tisu, we kin mek di aorta wik. |
| Aksidɛntal injuri | Dis kayn damej kin apin bak bikɔs ɔf bad bad injuri na di chɛst, lɛk big motoka aksidɛnt. |
Aw dɛn kin du ɔpreshɔn? Wetin na di men we dɛn fɔ du am?
Di dɔktɔ go disayd di ɔpreshɔn we go fayn fɔ yu bay bɔku tin dɛn lɛk aw yu sik bad ɛn usay di anɛrizm de. Tu men we dɛn de fɔ du am.
1. Opin Ɔpreshɔn
Dis na di tradishɔnal we aw dɛn kin du am. na ya, dεn kin mek wan stεrnotomi na di midul pan di chεst, כ dεn kin opin di bכdi, fכ akses di pat we dεn dכn pwεl na di aorta dεm. afta dat dεn kin pul di pat we dεn pwεl εn dεn kin put wan graft we dεn mek wit sεntetik mεtirial lεk Dakrכn insay in ples. Dis na big ɔpreshɔn, ɛn i kin tek lɔng tɛm fɔ mek i wɛl.
2. Ɛndovaskyuɛl / Minimal Invasiv Ɔpreshɔn
Dis na teknɔlɔji we de naw. No big insishɔn nɔ de ya. Dɛn kin kɔt smɔl say na wan blɔd vesel tru di groin, ɛn dɛn kin sɛn wan stent graft tru am wit di ɛp we dɛn kin yuz kateta (tin tiub) to di pat we dɔn pwɛl na di aorta.
Wetin na stent graft?
Dis tan lɛk smɔl tiub we dɛn mek wit mɛtal mɛsh ɛn kɔba am wit klos. we dεn put dis insay di ples we di ``(Aneurysm)`` de, di bכdi de fכlכ tru dis nyu tכb. Dɔn di blɔd de flɔ we i nɔ nak di wɔl na di aorta we wik. So, i kin stɔp fɔ bɔs.
Advantej dεm fכ di εndovaskul mεtכd:
- Di nɔmba fɔ di de dɛn we dɛn kin de na di ɔspitul de go dɔŋ.
- Dis na fayn opshɔn fɔ di wan dɛn we nɔ ebul fɔ bia di risk fɔ opin ɔpreshɔn.
- Bikɔs no big say nɔ de we dɛn kɔt am, di tɛm we i fɔ wɛl kin rili shɔt.
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
I rili impɔtant fɔ rɛdi gud gud wan bifo yu du di ɔpreshɔn.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ivin vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn.
- Mek dɛn du ɔl di tɛst dɛn we yu dɔktɔ tɛl yu fɔ du, lɛk blɔd tɛst, EKG, ɛn CT skan, di rayt tɛm.
- Di tɛm we dɛn de na ɔspitul ɛn di fɔs dez afta dɛn dɔn go bak na osMek pɔsin rɛdi fɔ ɛp.
- Fɛn ɔut ustɛm yu fɔ stɔp fɔ it ɛn drink di nɛt bifo dɛn du di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i go tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go admit yu fɔs na di intensiv kia yunit (ICU). We yu gɛt kɔnshɛns bak, dɛn kin put wan tyub we yu de blo fɔ ɛp yu fɔ blo. Dɛn go pul am we yu ebul fɔ blo yusɛf. We yu dɔn ebul fɔ waka sloslo, dɛn go transfa yu to wan rɛgyula wɔd.
Di tɛm fɔ wɛl kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn du:
- If dɛn du opin ɔpreshɔn , i kin tek lɛk 2-3 mɔnt fɔ mek i wɛl ɔl.
- di εndovaskul כpεrayshכn nid fכ de na כspitul tu to tri dez εn fכ ful rεkכvεshכn tεm fכ 2-4 wik .
Risk fɔ ɔpreshɔn ɛn ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin to ɔlman.
- Blɔd we de kɔmɔt pasmak
- Strok
- At atak
- Kidni we nɔ de wok fayn
- Infεkshכn dεm
- di leg dεm we de lכs fכ wok (especially in lכw tכraks εn abdominal כpεrayshכn) .
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm:
- Rɛd, swel, ɔ pus we de kɔmɔt frɔm di wund we dɛn du di ɔpreshɔn
- Fiva we nɔ gɛt rizin
- Bɔrku pen na yu chɛst
- I nɔ kin izi fɔ yu fɔ blo
Di tin we impɔtant pas ɔl na dat di sakrifays ɛn sef fɔ ɔpreshɔn we dɛn bin dɔn plan bifo tɛm, bɔku pas di imejensi ɔpreshɔn we dɛn kin du na di Imejɛnsi Tritmɛnt Yunit (ETU) afta we di anɛrizm dɔn bɔs. So, if di dɔktɔ tɛl yu fɔ du ɔpreshɔn, nɔ fred am ɛn du di tin dɛn we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Aɔta ɔpreshɔn na rili impɔtant ɔpreshɔn we de sev pɔsin in layf, so nɔ fred am we nɔ nid fɔ du am.
- Di sakses ɛn sef fɔ ɔpreshɔn we dɛn plan fɔ du, pas fɔ wet te wan imejensi, kin bɔku pasmak.
- di mכdan ``Endovascular`` mεtכd de rili ifektiv. Bɔt, i nɔ fayn fɔ ɔlman we sik. Yu dɔktɔ go pik di we we go fayn fɔ yu.
- Fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu jɔs afta di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik kwik wan.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu wɛlbɔdi, di ɔpreshɔn, ɔ di tɛm we yu go wɛl.
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