Na bulge lɛk balɔ na di men blɔd vesel na di bɛlɛ? Lɛ wi lan bɔt EVAR (Endovascular Aneurysm Repair) tritmɛnt insay wan simpul we

di big bכdi we de na wi bכdi na di aorta, we wi kin kכl ``Aorta'' insay Inglish. Tink bɔt am lɛk di men wata paip we de na wi bɔdi. Na dis de sheb blɔd frɔm di at to di wan ol bɔdi. Sɔntɛnde, di wɔl na dis blɔd vesel kin wik ɛn bigin fɔ bɔl kɔmɔt lɛk balyɔn. Dis na wetin wi kin kɔl ``Aneurysm'' na mɛrɛsin. Di tin we denja pas ɔl na dat dis bulge de bɔku ɛn chans de fɔ mek i bɔs wantɛm wantɛm. So tide wi go tɔk bɔt wan mɔdan tritmɛnt we kin avɔyd dis denja sityueshɔn we dɛn nɔ mek big say na di bɔdi ɛn wit smɔl tray.

Fɔ tɔk am simpul wan, wetin na EVAR?

di ful minin fכ EVAR na `(Endovascular Aneurysm Repair)`. Insay Sinhala, na fɔ ripɛnt insay blɔd vesel. Dis nɔto big ɔpreshɔn . Dat min se instead fɔ du big ɔpreshɔn bay we dɛn kɔt di bɛlɛ opin, dɛn kin yuz wan rili smɔl ol nɔmɔ fɔ du dis tritmɛnt.

Imajin se wan ol wata paip dɔn swel ɛn i de kam fɔ bɔs. Bifo yu kɔt di paip ɛn pul am, wetin de apin ya tan lɛk we yu de mek am fayn bay we yu put paip we tan ɛn strɔng insay am. Dɔktɔ dɛn kin put wan spɛshal tiub (Stent Graft) insay di blɔd vesel we dɔn swel. Dis tan lɛk spɛshal layn we dɛn mek wit klos ɛn mɛtal mɛsh. We dɛn put dis insay, di blɔd de flɔ tru di nyu tiub. Dɔn, dɛn nɔ kin put ɛni prɛshɔn pan di wɔl we wik ɛn we dɔn swel. So, di risk fɔ mek i bɔs nɔ de igen.

Wetin mek wi nid EVAR tritmɛnt?

di men εn di wangren tin we mek dεn de du dis na fכ mek di Abdominal Aortic Aneurysm nכ rכp . Bikɔs if dat apin, na sik we kin rili mek pɔsin in layf de pan denja ɛn i kin kil pɔsin.

We di wɔl na di blɔd vesel wik, di prɛshɔn we di blɔd kin kam insay ɛni at bit kin mek da wik ples de swel. I tan lɛk bɔbul we de insay taya. I nɔ go ebul fɔ go bifo sote go. Wan tɛm, i kin bɔs. If dat apin, bɔku bɔku blɔd kin flɔ insay di bɔdi, ɛn day kin apin insay sɔm minit.

So wetin EVAR tritmεnt de du na fכ put dat ``(Stent Graft)``, chenj di bכdi fכ fכlכ, εn rεliv di prεshכn pan di wכl we swel. Dat kin stɔp ɔlmost di risk fɔ brok.

Udat dis EVAR tritmɛnt fayn fɔ?

Dɛn nɔ kin du dis tritmɛnt wantɛm wantɛm fɔ ɔlman we gɛt bɛlɛ anɛrizm. Yu dɔktɔ go luk fɔ sɔm tin dɛn fɔ disayd if dis tritmɛnt fayn fɔ yu.

• If yu aneurism big inof , ɔIf skan sho se i de gro kwik kwik wan insay shɔt tɛm.
• If yu nɔ ebul fɔ bia di risk fɔ big ɔpreshɔn lɛk fɔ baypas na yu bɛlɛ bikɔs ɔf ɔda mɛrɛsin (lɛk at sik ɔ lɔng sik).
• if di bכdi vεsul dεm we de oba εn dכn di bulge hεlty εn strכng (biכs i nid fכ gεt gud ples fכ put di nyu tכb).

Na afta yu dɔn tink bɔt tin dɛn lɛk dis, na in di dɔktɔ disayd se EVAR tritmɛnt na di bɛst fɔ yu.

Wetin na di spɛshal we we dɛn kɔl FEVAR?

Di big iliak at we de na wi bɛlɛ tan lɛk tik trɔnk. I de branch to smɔl smɔl blɔd vesel dɛn we de kɛr blɔd to ɔgan dɛn na wi bɛlɛ (lɛk di kidni ɛn intestinal). Sɔntɛnde, wan aneurism kin fɔm rili nia usay dɛn branch dɛn de branch. If na so i bi, dɛn nɔ go ebul fɔ put di stret tiub we dɛn kin yuz fɔ mek EVAR ɔltɛm, bikɔs if dɛn du dat, i go mek di blɔd nɔ go na dɛn branch dɛn de.

Na fɔ dɛn kayn kɔmpleks kes ya dɛn kin yuz wan spɛshal we we dɛn kɔl FEVAR (Fenestrated Endovascular Aneurysm Repair). Insay di `(Stent Graft)` we dɛn yuz ya, dɛn kin mek smɔl ol dɛn we tan lɛk winda fɔ fit di branch dɛn. afta dεn dכn put di men tכb, dεn de put wan sεparat sכm `(Stent)` tru dεn winda dεm insay di bכdi we lεk branch fכ mek sכh se bכdi fכ fכlכ. pan ɔl we dis kin kɔmplikt smɔl, na big bɛnifit fɔ ebul fɔ mɛn `(Aneurysm)` na dɛn kayn say dɛn ya we at fɔ du we yu nɔ nid fɔ du big ɔpreshɔn.

Wetin na di difrɛns bitwin EVAR ɛn TEVAR?

Dɛn tu tritmɛnt ya na di sem tritmɛnt. Di difrɛns na di say we dɛn de gi di tritmɛnt.

• EVAR: Dɛn kin du am fɔ abdominal (abdominal) aneurisms.
• TEVAR (Thoracic Endovascular Aneurysm Repair): dεn kin du am fכ aneurism dεm na di chεst (thorax) .

Wetin na di bɛnifit dɛn we EVAR tritmɛnt gɛt?

We yu kɔmpia am wit big ɔpreshɔn, EVAR tritmɛnt gɛt sɔm klia bɛnifit dɛn. Na wan we we nɔ kin rili ambɔg pɔsin.

Ɛni risk de wit EVAR tritmɛnt?

Pan ɔl we EVAR na tritmɛnt we rili saksesful ɛn sef, lɛk ɛni mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.

Aw dɛn kin du EVAR ɔpreshɔn? Step by step

Okay, naw lɛ wi si aw dɛn kin rili du dis tritmɛnt. We yu dɔn ɔndastand dis klia wan, yu nɔ go fred we yu nɔ nid fɔ fred.

1. Anestezi: Fɔs, dɛn go gi yu anestezi fɔ mek shɔ se yu nɔ fil ɛni pen ɔ nɔ fil fayn. Dɛn kin put yu fɔ slip kpatakpata, ɔ yu kin jɔs nɔ no natin.

2. Akses: Di dכkta go yuz di men blכd vesel dεm na yu groin εria (Femoral Arteries). Na smɔl say nɔmɔ dɛn go kɔt na di skin.

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4. Gayd: dis kateshכn nid fכ gayd am along di bכdi vεsεl, rayt to di say we di anεvrizm de na di bכdi. Fɔ si dis kɔrɛkt wan, di dɔktɔ kin yuz wan spɛshal teknɔlɔji fɔ tek pikchɔ lɛk X-ray (Real-time imaging). dis min se dεn de du dis bay we dεn de wach di kateshכn de muv layv insay di bכdi.

5. Stent Graft Ples: We i de na di rayt say, di dɔktɔ go ɛkstɛnd di stent graft insay di kateshɔn. Dɔn i go bɔku insay di blɔd vesel ɛn tay insɛf fayn fayn wan na di wɔl dɛn, ɛn dis go mek wan nyu rod we strɔng fɔ mek di blɔd flɔ.

6. Fכ finish: we dεn dכn put di `(Stent Graft)` fayn fayn wan, dεn kin tek tεm pul di kateshכn. Di ol we de na di groin so smɔl dat i nɔ ivin nid fɔ stich am . Dɛn kin put smɔl tin we tan lɛk plasta.

Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?

Pan ɔl we di tɛm we pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin, na dis kin apin ɔltɛm.

• Yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez.
• Afta dɛn dɔn anestez yu, yu go ebul fɔ it ɛn drink jɔs afta dat.
• We di nɔs dɛn ɛp am, dɛn tɛl am fɔ grap na bed kwik kwik wan ɛn bigin fɔ waka.
• Yu go fil taya smɔl fɔ di fɔs dez afta yu dɔn go na os, ɛn yu go nid fɔ tek mɛrɛsin fɔ mek yu fil pen. Dat na nɔmal tin.
• Nɔ drayv te yu tek mɛrɛsin fɔ mek yu fil pen .
• Bɔku pipul dɛn kin ebul fɔ go bak na dɛn wokples insay lɛk wan mɔnt so .
• Yu fɔ avɔyd fɔ es di wet fɔ 4-6 wik .

If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!

Afta yu go na os, i impɔtant fɔ pe atɛnshɔn to yu bɔdi. If yu si ɛni wan pan di sayn dɛm we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm.

• Swel, pen, ɔ kol skin na di leg, mɔ di ɔnda leg (dɛn kin bi sayn fɔ DVT).
• If yu fil se yu de tɔn ɔ yu de fil fɔdɔm .
• If yu gɛt siriɔs pen na yu bɛlɛ, yu chɛst, ɔ yu bak .
• Palpitations na we yu fil se yu at de bit fast fast.
• If yu gɛt rɛdnɛs na di groin eria ɔ ɔda kayn pen na yu leg we nɔ kɔmɔn .

EVAR tritmɛnt na ɔda we we bɛtɛ pasmak, we nɔ de mek pɔsin fil pen pas tradishɔnal opin ɔpreshɔn. Yu kin wɛl kwik kwik wan ɛn go na os. Bɔt yu nɔ go fɔgɛt se di tritmɛnt bin wok fayn. As di dɔktɔ se, i rili impɔtant fɔ kam bak di tɛm we dɛn dɔn sɛtul ɛn du ɔda skan. Na so yu kin chɛk if di `(Stent Graft)` we dɛn bin put de wok fayn ɛn if ɛni prɔblɛm de lɛk `(Endoleak)`.