Yu gɛt abnɔmal blɔd vesel prɔblɛm na yu ed? (Dural Arteriovenous Fistula - dAVF) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin yɛri nɔys insay yu ed? Ɔ yu kin gɛt ed we de at bɔku tɛm? Yu kin tink se dɛn tin ya na nɔmal tin, bɔt sɔntɛnde, sɔntin de biɛn dis we nid fɔ mek dɛn pe atɛnshɔn to am. Na dat dɛn kɔl dural arteriovenous fistula (dAVF) . Lɛ wi tɔk bɔt am simpul wan.

Wetin na dural arteriovenous fistula (dAVF)?

Fɔ tɔk am simpul wan, wan tint mɛmbran de we de protɛkt wi bren ɛn wi spɛnal kɔd. Dis na wetin wi kɔl di dura mater . I tan lɛk di bak kɔva fɔ buk.

Naw luk, wi gɛt wan nɛtwɔk we gɛt blɔd vesel dɛn fɔ kɛr blɔd go na ɔl di pat dɛn na wi bɔdi. di at dɛn kin kɛr klin blɔd we gɛt bɔku ɔksijɛn frɔm di at to ɔl di ɔda pat dɛn, ivin di bren. Di vein dɛn kin kɛr di blɔd we dɛn dɔn yuz, we nɔ gɛt ɔksijɛn, go bak na di at. Bitwin dɛn at ɛn vein dɛn ya, wan fayn fayn blɔd vesel dɛn de we wi kɔl kapilari . Dɛn kapilari ya de kɔntrol aw blɔd de flɔ ɛn dɛn de sheb blɔd fayn fayn wan to di ɔgan dɛn.

naw, insay dis kכndyushכn we dεn kכl fistula , wan at de kכnekt dairekt to wan vein, we nכ gεt di intamεdiεt sistεm fכ di kapilari dεm. Imajin am lɛk se dɛn kɔnɛkt big wata paip to wan smɔl paip wantɛm wantɛm. Dɔn, blɔd kin rɔsh go insay da vein de wit ay spid ɛn ɔnda ay prɛshɔn. Vein nɔ yus to da kayn blɔd de ɛn da kayn prɛshɔn de.

so, dis we dεn kכl dural arteriovenous fistula (dAVF) na abnכmal kכnεkshכn bitwin wan at εn wan vein insay di dura mater, di mεmbran we de rawnd di bren. Sɔntɛnde yu dɔktɔ kin kɔl dis bak dural arteriovenous malformation .

Dis abnɔmal kɔnekshɔn kin mek di blɔd prɛshɔn insay di blɔd vesel nɔ stebul, di shep fɔ di blɔd vesel kin chenj, ɛn di blɔd nɔ kin flɔ di say we i fɔ flɔ. Sɔntɛnde, blɔd vesel kin bɔs bikɔs i nɔ kin ebul fɔ bia wit di ay prɛshɔn. If dat apin, i kin mek pɔsin blɔd we go mek i day.

Aw dis sik kin kɔmɔn?

fכ tru, dis kכndyushכn (dAVF) nכto so kכmכn. Fɔ ɛgzampul, na Amɛrika, dɛn se i kin apin bitwin 0.15 ɛn 0.19 pan ɛvri 100,000 pipul dɛn ɛvri ia. Dat min se i nɔ kin apin so ɔltɛm.

Dis (dAVF) na siriɔs kɔndishɔn?

Na so i de wok. Sɔm (dAVF) kin rili mild ɛn nɔr kin kɔz ɛni big wɛl bɔdi prɔblɛm. Bɔt sɔm kin rili siriɔs ɛn dɛn kin put dɛn layf pan denja. Ɛspɛshali if blɔd vesel bɔs ɛn blɔd, lɛk aw wi bin dɔn tɔk, i kin pwɛl di bren tisu ɛn mek pɔsin gɛt strok .

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt ɛni sik. If yu ɔ pɔrsin wae de nia yu gɛt sɔm sayn dɛm wae de sho se yu gɛt strok (e.g., yu wik na wan say, yu nɔr de tɔk fayn, yu nɔr de no natin), yu fɔ kɔl 911 ɔr di imejensi rum we de nia yu wantɛm wantɛm.

Wetin na di sayn dɛm fɔ (dAVF)?

Sɔmtɛm yu nɔr kin gɛt ɛni sayn ivin if yu gɛt (dAVF) . Bɔt if yu gɛt sɔm sayn dɛn, dɛn kin kɔmɔt frɔm smɔl to siriɔs. di simptom dεm kin difrεn bak dipכnt pan usay di fistula de na di bren. Luk fɔ dɛn tin ya:

• Ɛd pen: I nɔ kin jɔs bi ed we de at ɔltɛm, bɔt na nyu kayn ed we kin at we sɔm tɛm dɛn kin rili bad smɔl.
• Nɔs ɛn vɔmit: Dɛn tin ya kin apin, mɔ we yu gɛt ed we de at.
• Pulsatile tinnitus: Dis na wan rili spɛshal sayn. I tan lɛk "ringing" ɔ "buzzing" sawnd na yu yes, we fiba yu at bit. Sɔm pipul dɛn kin tɔk bak se na "ringing sound in your ear."
• Vishɔn chenj: Wantɛm we yu nɔ de si fayn, yu de si tu tɛm, ɔ yu kin fil se yu nɔ de si fayn.
• I nɔ izi fɔ tɔk ɔ tɔk: Fɔ tɔk smɔl smɔl, lɛk se i nɔ ebul fɔ tɔk.
• Fɔ lɔs balans we yu de waka, fɔ gɛt prɔblɛm fɔ kɔntrol yu an ɛn fut dɛn we yu de wok.
• Mɔsul wik ɔ swɛt: Na filin fɔ swɛ ɔ wik na wan say na yu an, yu leg, ɔ yu fes.
• Pen na yu fes, yu an, ɔ yu fut.
• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Filin ɔ sɛns we nɔ kɔmɔn.

Dɛn sayn ya kin kam bikɔs blɔd de kɔmɔt na yu bren . So if yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛm wae kin mek dis (dAVF)?

Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt dAVF . Bɔt bɔku sayɛnsman dɛn biliv se i kin mek i gɛt prɔblɛm wit in ed . I kin apia sɔm ia afta di injury. Sɔm stɔdi dɛn sho se i gɛt fɔ du wit we di blɔd vesel dɛn we de kɛr blɔd go na di bren we de blok. Dis blok kin kam bikɔs ɔf sik, aksidɛnt, ɔ ɔda tin. Fɔ ɛgzampul:

• Blɔd we de klɔt (Trombosis).
• Traumatik bren injuri.
• Ɔpreshɔn fɔ di bren, lɛk fɔ pul di kraym.

Na smɔl tɛm nɔmɔ dɛn kin bɔn pɔsin wit dis (dAVF) , bɔt i nɔ kin kɔmɔt frɔm am. Dɛn stil de du risach bɔt dis sik.

Udat de pan ay risk fɔ gɛt dis (dAVF)?

Dis kכndyushכn (dAVF) kin kam pan εni ej, bכt i kin kכmכn pan big pipul dεm we ol bitwin 40 εn 60 ia .

Wetin na di poshubul komplikashɔn dɛm fɔ (dAVF)?

Kɔmplikɛshɔn dɛm wae dis kin kam wit (dAVF) kin mek pɔrsin in layf de pan denja sɔmtɛm. Di men wan dɛn na:

• Blɔd we de kɔmɔt insay di bren tisu (ɛmoraji).
• bכdi de bכn insay di sכkul, bכt na do na di bren (Subdural hematoma).
• bכdi de bכn bitwin di bren εn di protεktiv mεmbran we de rawnd am (Subarachnoid hemorrhage).
• inkrεs prεshכn insay di sכkul (intrakranial prεshכn).
• Di sik dɛn we kin mek pɔsin sik.
• Strok.

Imajin, wetin go apin if wan smɔl tap we dɛn kɔnɛkt to di big paip we de briŋ wata na wi os in wata tank kɔmɔt wantɛm wantɛm? Wata go de ɔlsay na di os. Na dat go apin if blɔd vesel bɔs insay di bren. Na dat mek dis rili denja.

Aw dɛn kin no dis (dAVF) kɔndishɔn?

Dɔktɔ kin no dis sik (dAVF) afta dɛn step ya:

• Fɔ chɛk yu bɔdi.
• Wan tɛst we gɛt fɔ du wit di nervɔs sistɛm.
• Speshal tɛst dɛn fɔ tek imej.

We yu de du dɛn tɛst ya, yu dɔktɔ go aks yu bɔt di sayn dɛn we yu gɛt ɛn di ditel dɛn bɔt di sik dɛn we yu bin dɔn gɛt trade.

Sɔmtɛm, yu nɔ kin gɛt ɛni sayn ɛn dɛn kin no am bay chans we yu gɛt imej tɛst fɔ yu bren ɔ yu spayna fɔ ɔda rizin.

Spɛshal tɛst dɛn we de ɛp fɔ no (dAVF) .

Dɔktɔ kin tek gud pikchɔ fɔ yu blɔd vesel ɛn yuz tɛst lɛk dis fɔ si if yu gɛt dis (dAVF) :

• Wan MRI (Magnetic Resonance Imaging) skan ɔ wan MRA (Magnetic Resonance Angiography) skan.
• CT Angiografi (CTA - Kɔmpyuta Tomografi Angiografi) tɛst.

Dɛn tu tɛst ya nɔ kin mek pɔsin fil pen ɛn dɛn nɔ kin mek i nɔ fil fayn. Dɛn kin mek yu dɔktɔ no klia wan bɔt di blɔd vesel dɛn na yu nervɔs sistɛm, we kin de mek yu gɛt di sik.

If wan imej tɛst lɛk dis (dAVF) mek yu wɔri, yu dɔktɔ dɛn go tɔk to yu bɔt ɔda spɛshal tɛst we dɛn kɔl sɛribra angiogram .

sεribra angiogram na tεst we nכ de invayd we kin mek yu si di bεst, klia pikchכ dεm fכ di blכd vesel dεm na yu bren. Insay dis tɛst, dɔktɔ dɛn kin put wan rili smɔl tiub – we wi kɔl am kateshɔn – insay wan blɔd vesel na yu an ɔ ɔp leg, ɛn trɛd am tru wan vein na yu nɛk to di blɔd vesel dɛn na yu bren. Dɔn, tru da kateshɔn de , dɛn kin injɛkt wan spɛshal wata.Dɛn kin injɛkt wan tin we de mek di bɔdi nɔ gɛt wanwɔd. We i miks wit yu blɔd, yu kin si am na ɛkstrem rayt fim dɛn we di blɔd de flɔ tru di at dɛn na di bren ɛn kam bak frɔm di vein dɛn. Dis na wetin de mek dɔktɔ dɛn ebul fɔ no ustɛm di dAVF tan ɛn wetin na di bɛst tritmɛnt fɔ am.

Yu tink se mɛrɛsin de fɔ dis sik (dAVF)?

Yɛs, tritmɛnt kin pul dis fistula ɛn mek di blɔd flɔ bak na di vein dɛn. Dis kin ridyus ɔr nɔr kin gɛt nyu sik ɛn kɔmplikeshɔn.

Aw dɛn kin trit (dAVF)?

di men gol fכ dis (dAVF) tritmεnt na fכ pul di abnכmal kכnεkshכn (fistula) bitwin di at εn di vein. Sɔm tritmɛnt dɛn kin de lɛk:

• Ɔpreshɔn: Dɛn kin du opin ɔpreshɔn fɔ pul di abnɔmal kɔnekshɔn (fistula) we de na di blɔd vesel we di sik afɛkt.
• εndovaskul εmbolizεshכn: insay dis, lεk aw wi bin dכn tכk, dεn de pas wan rili sכm tכb (kateta) tru wan pan yu at dεm, to usay di fistula de, εn dεn de kכloz am. I tan lɛk se yu put sil pan lik.
• Stereotactic radiosurgery: Dis na wan kayn raydyushɔn tɛrapi. insay dis, di bim dεm fכ rεdyushכn we dεn tכk bכku bכku wan de dayrεkt to di bכdi we dεn afekt usay di fistula kכnekt, we de blכk am.

Yu dɔktɔ go disayd di bɛst tritmɛnt plan fɔ yu. Dis go dipen pan bɔku tin dɛm, lɛk aw di (dAVF) , yu jenɛral wɛlbɔdi, di sayn dɛm, ɛn yu risk fɔ blɔd ɔr kɔmplikeshɔn.

If yu nɔ gɛt ɛni sayn, yu dɔktɔ nɔ go trit yu wantɛm wantɛm, bɔt i go de wach yu ɔltɛm fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Wetin na di prɔgnosis fɔ (dAVF)?

Yu prɔgnosis de dipen pan bɔku tin dɛm, lɛk usay di fistula de ɛn if i de blɔd. If dɛn no am ɛn trit am kwik, di prɔgnosis kin fayn. כnכfכs, sכm (dAVF) kin mek komplikashכn dεm we go de sote go כ we de mek yu layf de pan denja. If dɛn kayn prɔblɛm ya kin apin, dɛn kin gɛt afta dɛn dɔn kia fɔ dɛn ɛn sɔpɔt savis dɛn fɔ ɛp, lɛk fɔ mɛn yu bɔdi , ɔkupeshɔn tɛrapi , ɛn fɔ mɛn yu we yu de tɔk .

Yu dɔktɔ na di pɔrsin wae kin gi yu di kɔrɛkt tin wae de mɛk yu fil bɔt yu sik.

Survayv Rεt frɔm (dAVF) .

Bikɔs dis kɔndishɔn (dAVF) nɔ kin rili kɔmɔn, risach bɔt aw pipul dɛn kin liv stil de go bifo. Stɔdi dɛm wae de naw sho se di rεt wae de day ɛvri ia frכm dis kכndyushכn naDɛn se i de bitwin 11% ɛn 19%. dis min se insay sכm kes dεm, dεn kin εstimat di anual rεt fכ liv pas 80%.

Dɛn kin ebul fɔ stɔp dis (dAVF) kɔndishɔn?

Nɔ we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt dis sik (dAVF) . Bɔt yu kin ridyus yu risk bay wae yu kɔntrol de ɔndalayn wɛl bɔdi prɔblɛm dɛm (lɛk wae yu blɔd kin klɔt) wae kin mek yu gɛt dis sik. Yu kin protɛkt yusɛf bak frɔm injuri na yu ed bay we yu wɛr di rayt tin fɔ protɛkt yusɛf we yu de ple spɔt ɛn ɔda tin dɛn.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• Wan ed we kin at bad bad wan wantɛm wantɛm.
• Di mɔsul dɛn we wik ɔ we nɔ gɛt bɛtɛ trɛnk.
• Chenj na yu tɔk, waka, balans, ɔ vishɔn.
• Nyu biginin, i de ring na di yes (Pulsatile tinnitus).

If yu ɔ pɔrsin wae de nia yu gɛt sɔm sayn dɛm fɔ strok (e.g., wik na wan say, nɔr de tɔk fayn, nɔr de no natin), yu fɔ kɔl 911 ɔr di imejensi rum we de nia yu wantɛm wantɛm. Taym na di men tin!

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Usay dis fistula de?
• Us tritmɛnt yu kin advays?
• Yu tink se a rili nid ɔpreshɔn?
• Wetin na di sayd ɛfɛkt dɛm fɔ dis tritmɛnt?
• Dis fistula kin kam bak afta dɛn dɔn trit am?
• Aw lɔng i go tek bifo a gɛt fɔ kam bak fɔ di tɛst dɛn?

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Dis sik wae dɛn kɔl dural arteriovenous fistula (dAVF), kin gɛt big ɔr smɔl impak pan yu layf. Sɔntɛnde, i kin bi smɔl prɔblɛm we pɔsin kin ebul fɔ sɔlv izi wan ɔnda dɔktɔ in sɔpɔtishɔn. Bɔt if dɛn nɔ no di sik ɛn trit am kwik, i kin mek i gɛt prɔblɛm dɛn we go de sote go ɔ we go mek i day.

If yu gɛt ɛni sayn ɔ yu de wɔri bɔt sɔntin, kɔl dɔktɔ ɔ imejensi rum wantɛm wantɛm. Tritmɛnt dɛn de we kin ɛp fɔ pul di fistula ɛn mek blɔd go bak na ɔl di pat dɛn na yu bɔdi. Difrɛn tritmɛnt dɛn de we pɔsin kin gɛt, ɛn nɔto ɔl dɛn tritmɛnt ya nid fɔ ɔpreshɔn opin wan. Yu mɛdikal tim go evaluate yu symptoms ɛn disayd di bɛst tritmɛnt plan fɔ yu fɔ mek yu nɔ gɛt prɔblɛm.

Yu sabi yu wɛlbɔdi biznɛs pas ɔlman. So if yu notis ɛni chenj na yu bɔdi, nɔ ignore am. If yu tek akshɔn kwik kwik wan, dat kin mek yu nɔ gɛt bɔku siriɔs tin dɛn.

` Dural arteriovenous fistula, dAVF, sεribra blכd vεsεl dεm, ed pen, pulsatile tinnitus, sεribra εmoraji, strכk