Yu dɔn ɛva yɛri bɔt blɔd we de kɔmɔt na di blɔd vesel dɛn we de insay wi bɔdi? Infakt, blɔd we de klɔt rili impɔtant fɔ lɛ wi nɔ blɔd we wi bɔdi wund. Bɔt sɔntɛnde, fɔ natin, if blɔd klɔt fɔm insay di blɔd vesel, i kin denja smɔl. Na bikɔs dɛn blɔd ya kin mek di blɔd nɔ flɔ ɛn mek siriɔs prɔblɛm dɛn. If na so i bi, wan spɛshal ɔpreshɔn fɔ pul dɛn blɔd klɔt dɛn de, dɛn kin kɔl am Embolectomy. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Embolectomy?
Embolectomy na di ɔspitul we dɛn de pul wan blɔd we dɔn stɔp na blɔd vesel (blɔd vesel). Sɔntɛnde dɛn kin kɔl dis trombectomy. Smɔl difrɛns de bitwin dɛn tu nem ya. Lɛ wi ɔndastand dat bak.
Imajin se blɔd klɔt de fɔm insay wan big blɔd vesel na yu leg. If dis blɔd klɔt de na in ples, wi kin kɔl am thrombus . Naw imajin se wan smɔl pat pan dis blɔd klɔt brok, travul wit di blɔd, ɛn go na yu lɔng ɛn stɔp na wan smɔl blɔd vesel de. Semweso, blɔd we kin kɔmɔt na wan ples, travul go na ɔda say ɛn stɔp, dɛn kin kɔl am ɛmbolis .
so, insay simpul tεm dεm, Thrombectomy na fכ pul wan bכdi kכlכt (`thrombus`) na di say we i fכm. Embolectomy na we dɛn pul wan blɔd we dɔn klot (`embolus`) we dɔn travul ɛn stɔp ɔdasay. Bɔt dɛn tɛm ya, bɔku tɛm dɛn kin yuz dɛn tu wɔd ya fɔ chenj.
Na dɔktɔ we de du ɔpreshɔn ɔ dɔktɔ we tren fɔ du tin dɛn we nɔ de ambɔg di bɔdi kin du dis ɔpreshɔn. Dipen pan usay di blɔd klɔt de, dis kin bi ɔpreshɔn we dɛn kin du kwik kwik wan . If di klɔt blok di blɔd we de go na wan impɔtant pat na di bɔdi, i kin mek pɔsin in layf de pan denja.
Udat nid fɔ du dis ɔpreshɔn? Insay us sityueshɔn dɛn?
Dip Vein Thrombosis na wan kכndyushכn we blכd kכlכt de fכm insay dip vein na di leg. If dis blɔd klɔt brok ɛn travul go na di lɔng, i kin mek pɔsin gɛt siriɔs sik we dɛn kɔl Pulmonary Embolism . If dɛn nɔ ebul fɔ kɔntrol dis sik wit mɛrɛsin, di dɔktɔ kin disayd fɔ du Embolectomy.
Jɛnɛral wan, sɔm pipul dɛn kin gɛt mɔ risk fɔ gɛt blɔd klɔt pas ɔda pipul dɛn. Dis kin bi bikɔs ɔf sɔm tin dɛn.
- Fɔ di wan dɛn we gɛt at sik
- Fɔ di wan dɛn we fat pasmak
- We uman gɛt bɛlɛ
- Insay di kes dɛm we gɛt kansa
- Fɔ pipul dɛm wae gɛt sɔm kayn jenɛtik sik dɛm wae kin afɛkt blɔd we de klɔt
Wetin mek dɔktɔ go se dɛn fɔ du dis ɔpreshɔn?
Bɔku pipul dɛn we gɛt blɔd klɔt, dɛn kin gi dɛn fɔs mɛrɛsin fɔ mek dɛn blɔd tan, bɔt dɛn kin nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:
- If dɛn nɔ ebul fɔ gi yu antikɔagulɛnt ɔ trombolaytik fɔ ɛni rizin.
- If, pan ɔl we dɛn de gi dɛn mɛrɛsin dɛn de, di blɔd we dɔn klɔt nɔ sɔlv ɛn di sik go wɔs.
- Risk de fɔ gɛt wan sik we dɛn kɔl paradoxical embolism , we na di pɔsibul fɔ mek blɔd klɔt travul tru wan smɔl ol na di at ɛn travul go to wan impɔtant ɔgan lɛk di bren.
Bɔku tɛm, na wan tim we gɛt dɔktɔ dɛn kin disayd fɔ du sɔntin lɛk dis ɛn dɛn kin kam togɛda ɛn tek tɛm chɛk di sikman in kɔndishɔn.
Lɛ wi lan stɛp bay stɛp aw dɛn kin du di ɔpreshɔn.
Dɛn kin du dis ɔpreshɔn tu men we dɛn. Di dɔktɔ go pik di bɛst we fɔ du am dipen pan di sayz ɛn usay di blɔd de klɔt.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
We dɛn de pripia yu fɔ ɔpreshɔn, di mɛdikal tim go pripia di tɛst ɛn ikwipmɛnt dɛn we yu nid.
- If dɛn du opin ɔpreshɔn (Surgical Embolectomy), dɛn go pripia fɔ wan skan we dɛn kɔl transɛsophageal echocardiogram fɔ wach aw di at de wok we dɛn de du di ɔpreshɔn.
- Kateta ɛmbolɛktomi de yuz ɔltra saund mashin fɔ no usay di blɔd klɔt de ɛn wan ɛkstrem rayt we dɛn kɔl angiogram fɔ gayd di kateshɔn.
I nɔ mata us we dɛn du di ɔpreshɔn, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen.
Wetin kin apin we dɛn de du ɔpreshɔn
Di tebul we de dɔŋ ya go ɛp wi fɔ ɔndastand klia wan di difrɛns bitwin dɛn tu we ya ɛn aw dɛn de du dɛn.
| We | Aw dɛn kin du am |
|---|---|
| Kateta Ɛmbolɛktomi | No big kot de fo dis.
|
| Opin Ɔpreshɔn (Sɔjik Ɛmbolɛktomi) . | Insay dis, dɛn kin opin di chɛst ɛn du ɔpreshɔn.
|
Sɔm sik pipul dɛn kin gɛt wan smɔl tin bak we dɛn kɔl vena cava filta we dɛn kin put insay fɔ mek di blɔd we go klɔt tumara bambay nɔ go go na di lɔng dɛn.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn dɔn, if yu bin gɛt opin ɔpreshɔn, dɛn go siŋ di say dɛn we dɛn kɔt insay ɛn na do, ɛn dɛn go pul yu na di at-lɔng mashin. If yu bin gɛt kateshɔn, dɛn go tay di smɔl say we dɛn kɔt ɛn bandej am.
Afta dɛn dɔn ɔpreshɔn yu, i go mɔs bi se:
- Yu go gɛt fɔ kɔntinyu fɔ tek antikɔagulant fɔ mek yu blɔd tan.
- Yu go nid fɔ gɛt ɔda skan (Transthoracic echocardiogram) fɔ chɛk aw di at de wok.
- Yu kin gɛt fɔ de na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) fɔ sɔm dez.
Lɛ wi tɔk bak bɔt di gud ɛn bad tin dɛn (risk) .
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Dis ɔpreshɔn nɔto fɔ ɔlman, bɔt i kin bi di bɛst tin fɔ di wan dɛn we nɔ ebul fɔ tek mɛrɛsin we de mek dɛn blɔd, we nɔ de du am, ɛn we gɛt siriɔs sik dɛn, fɔ mek dɛn wɛl kwik kwik wan.
Bɔt i impɔtant fɔ mek wi no di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn.
| Risk dɛn we kin apin we dɛn du di ɔpreshɔn we dɛn kɔl Embolectomy | |
|---|---|
| Risk dɛm fɔ di Kateshɔn Mɛtɔd (Minimally Invasive) . | |
| Blɔd we de kɔmɔt | Blɔd kin kam bikɔs di blɔd vesel dɔn pwɛl. |
| At pwɛl hat | At injury ɔr at bit we nɔ de bit ɔltɛm (ari ritmia) kin apin. |
| Blɔd klɔt we lɛf | Sɔntɛm i nɔ go pɔsibul fɔ pul di blɔd we dɔn klɔt ɔltogɛda. |
| Risk dɛn we kin apin we dɛn du ɔpreshɔn we dɛn opin | |
| Ebi ebi blɔd we de kɔmɔt | Blɔd we de kɔmɔt pasmak we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn. |
| At sik | di at bit kwik kwik wan (supraventricular tachycardia - SVT) εn at fεil kin apin. |
| Ɔda prɔblɛm dɛn we kin apin | Kidni nɔ de wok fayn, infekshɔn, ɛn i nɔ kin izi fɔ mek ivin day kin apin. |
Fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ bak
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dɛn go alaw yu fɔ go na os wans yu brith ɛn at wok dɔn kam bak to nɔmal. Bɔku tɛm, di pɔsin kin wɛl kwik kwik wan afta dɛn dɔn du di kateshɔn pas afta dɛn dɔn du di ɔpreshɔn we dɛn opin.
Trade, bɔku pipul dɛn we dɛn bin du dis ɔpreshɔn bin day. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, da tin de dɔn chenj bad bad wan . Tide, di risk fɔ day bikɔs ɔf dis ɔpreshɔn dɔn kam dɔŋ to bitwin 5% ɛn 16%. Wan sɔv dɔn sho se 73% pan di pipul dɛn we dɛn du dis ɔpreshɔn stil de alayv ɛn wɛl afta fayv ia.
Pe atɛnshɔn to dɛn sayn dɛn ya!
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm .
- I nɔ kin izi fɔ yu fɔ blo
- Sayn dεm fכ infεkshכn na di say we dεn kכl am (swεl, rεd, pus drenage) .
- Chɛst de pen
- Di at we de blo
- Blɔd we nɔ de kɔmɔt fayn
Dɛn luk di sem, bɔt dɛn difrɛn! (Ɔda tritmɛnt dɛn)
Sɔm ɔda wɔd dɛn de we kin mek yu yɛri lɛk ɛmbolɛktomi. Lɛ wi tek tɛm luk di difrɛns bitwin dɛn.
Embolectomy ɛn Ɛndaterektomi
Embolectomy na we dɛn pul wan blɔd we dɔn klɔt. Endarterectomy na di ɔspitul we dɛn kin pul di fat (plaque) we kin gɛda insay wan blɔd vesel. Dɛn kin du dis fɔ mek di blɔd vesel dɛn nɔ blok.
Embolectomy ɛn Trombolytic tɛrapi
Embolectomy na wan we fɔ du di bɔdi we dɛn kin du ɔpreshɔn fɔ pul di blɔd we dɔn klɔt. Trombolytic therapy involv fɔ injekt mɛrɛsin insay wan vein fɔ sɔlv di blɔd we de insay di bɔdi. Sɔntɛnde dis mɛrɛsin kin mek pɔsin blɔd kɔmɔt na ɔda say dɛn lɛk di bren.
As yu si, bɔku difrɛn we dɛn de fɔ trit di blɔd we de rɔtin. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu ɛn di wan we nɔ bad fɔ yu. If yu ɔ pɔsin we yu sabi gɛt dis kayn ɔpreshɔn, nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Embolectomy na we dɛn du ɔpreshɔn fɔ pul wan denja blɔd we dɔn stɔp na blɔd vesel.
- Dɛn kin du dis tu men we dɛn: tru wan kateta (wan tin tiub) ɛn tru ɔpreshɔn we dɛn kin du na di chɛst we opin.
- Dis ɔpreshɔn kin sev layf fɔ di wan dɛn we nɔ de tek ɔ nɔ ebul fɔ tek mɛrɛsin we de mek dɛn blɔd tan.
- Lɛk ɔl di ɔpreshɔn dɛn, dis wan gɛt prɔblɛm dɛn, bɔt bikɔs ɔf di mɔdan mɛdikal tɛknɔlɔji, di sakrifays rɛt rili bɔku.
- If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo ɔ yu de fil pen na yu chɛst afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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