Aw fɔ ripɛnt blɔd vesel we nɔ gɛt big say we dɛn kɔt am (Endovascular Aneurysm Repair - EVAR) .

Yu dɔn ɛva yɛri se di blɔd vesel we impɔtant pas ɔl na wi bɔdi kin swel lɛk balɔ? Dis na tin we rili de mek pɔsin fred. Bɔt nɔ wɔri, wit di advansmɛnt fɔ mɛdikal sayɛns, dɛn kin trit dis naw insay wan rili simpul we we dɛn nɔ kin kɔt big say. Tide wi go tok abaut am. Dɛn kɔl dis we fɔ du tin EVAR.

Fɔ tɔk am simpul wan, wetin na EVAR?

di ful minin fכ EVAR na Endovascular Aneurysm Repair . Dis na ɔpreshɔn we dɛn nɔ kin du bɔku tin. Dɛn kin yuz am fɔ trit aneurism, ɔ as wi kin kɔl am na mɛrɛsin , aneurysms , na di aorta, we na di men blɔd vesel na wi bɛlɛ.

Imajin se di big blɔd vesel na wi bɔdi na di aorta. Dis na di say we dɛn kin sheb blɔd frɔm di at to di wan ol bɔdi. Sɔntɛnde, we wan ples we de na dis blɔd vesel in wɔl wik, di prɛshɔn we di blɔd de prɛs kin mek da wik ples de bɔl lɛk balɔ. Na dat wi kin kɔl aneurysm.

Insay EVAR tritmɛnt, na tu rili smɔl ol dɛn nɔmɔ dɛn kin mek na di tu say dɛn na di vein, ɛn dɛn kin pas spɛshal inschrumɛnt dɛn tru dɛn fɔ mek di blɔd vesel we dɔn swel frɔm insay.

Wetin mek wi nid dis EVAR tritmɛnt?

Di men gol fɔ dis tritmɛnt na fɔ mek di blɔd vesel we tan lɛk balɔ (aneurysm) nɔ bɔs, bikɔs if i bɔs, i kin rili ambɔg layf.

Insay EVAR tritmɛnt, dɔktɔ dɛn kin put spɛshal tiub (stɛnt graft) we dɛn mek wit klos ɛn mɛtal mɛsh insay di blɔd vesel we dɔn swel. afta dεn dכn put dis tכb, bכdi de fכlכ tru dis nyu tכb. Dɔn di prɛshɔn we di blɔd de gi nɔ de nak di wɔl we wik na di blɔd vesel we dɔn swel. So, i dɔn lɛf smɔl fɔ lɛ i nɔ bɔs igen.

Udat dis EVAR tritmɛnt fit fɔ?

If yu gɛt aortic aneurysm, dis tritmɛnt kin fayn fɔ yu. Bɔt nɔto ɔl di aneurism dɛn kin trit di sem tɛm. Yu dɔktɔ kin tink bɔt EVAR pan dɛn kayn tin ya:

• If yu aneurism big ɔ if i smɔl bɔt i de gro kwik kwik wan .
• If yu bɔdi nɔ ebul fɔ bia fɔ opin ɔpreshɔn wit big say we dɛn kɔt am.
• If di blɔd vesel dɛn we de ɔp ɛn dɔŋ di anɛrizm wɛl .

Ɔda we dɛn de lɛk EVAR? (FEVAR ɛn TEVAR)

Yes, dεn kin yuz dis tritmεnt mεtכd wit sכm vεryushכn dεm dipכnt pan di say we di anεvrizm de.

Wetin na FEVAR?

Tink bɔt wi aorta lɛk tik trɔnk. frכm dis trכnk, di branch dεm (sכm sכm at dεm) we de kכri bכdi to di כgan dεm na wi bכdi (lεk di kidni dεm εn di intestin dεm) de sheb. Sɔntɛnde, wan aneurism kin fɔm nia di say we wan pan dɛn branch ya kin sheb. If na so i bi, i nɔ kin izi fɔ du EVAR ɔltɛm.

Na fɔ dɛn kayn kɔmpleks kes ya dɛn kin yuz wan spɛshal we we dɛn kɔl FEVAR (Fenestrated Endovascular Aneurysm Repair) . di stent graft we dεn yuz ya gεt sכm sכm ol dεm (fenestrations) we dεn mek fכ fit usay di branch dεm de sheb. Tru dɛn ol dɛn de, dɛn kin put difrɛn smɔl smɔl stent dɛn fɔ dɛn branch dɛn de. Jɔs lɛk tiub we dɛn mek fɔ fit di trɔnk ɛn di branch dɛn na tik.

Difrɛns bitwin EVAR ɛn TEVAR

Dis na tin we rili simpul.

• EVAR dεn kin du fכ di anεvrizm dεm na di bכdi (bεlε) .
• TEVAR (Thoracic Endovascular Aneurysm Repair) dεn kin du fכ aneurism dεm na di chεst kεviti (thorax) .

TEVAR kin rili wok fayn fɔ di aneurism na di big at we de rɔn dɔŋ tru di chɛst, we de fa smɔl frɔm di at. Bɔt fɔ di anɛrizm dɛn we de rili nia di at, bɔku tɛm dɛn kin nid fɔ ɔpreshɔn opin wan.

Ɛni prɔblɛm de wit dis tritmɛnt?

EVAR na tritmɛnt we rili sef ɛn we rili gɛt sakrifays, bɔt lɛk ɛni ɔpreshɔn, smɔl chans de fɔ mek i gɛt prɔblɛm dɛn.

• Blɔd Klɔt: Sɔntɛnde, blɔd kin klɔt na di dip vein dɛn na di leg. Wi kin kɔl dis Dip Vein Trombosis (DVT) .
• Ɛndolik: Ivin afta dɛn dɔn put di stent, smɔl blɔd kin lik bitwin di stent ɛn di wɔl na di blɔd vesel ɛn jɔyn di anɛrizm.
• Infεkshכn: Infεkshכn na di say we di injury de.
• Kidni we nɔ de wok fayn
• At atak
• Blɔd we de kɔmɔt pasmak

Dɛn risk ya kin rili smɔl. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo dɛn du di ɔpreshɔn.

Aw dɛn kin du di ɔpreshɔn?

Okay, naw lɛ wi luk di step dɛn we de insay dis ɔpreshɔn.

1. Fɔs, dɛn go gi yu anestezi fɔ ɔ put yu na slip ɔ fɔ put yu na layt slip. So yu nɔ go fil ɛni pen.

2. Nεks, di dכkta go akses di anεvrizm na yu bεlε tru di fεmoral atεri dεm na yu groin.

3. We dɛn yuz tu nidul dɛn we rili tan, dɛn kin put wan kateta , we na wan tin we tan lɛk tin we kin chenj, insay dɛn tu at dɛn ya. Di stent graft we wi bin dɔn tɔk bɔt, dɛn kin fold am insay dis kateshɔn.

4. We di dɔktɔ de luk wan spɛshal skrin we tan lɛk ɛkstrem rayt, i de gayd dis kateshɔn along di blɔd vesel to usay di aneurism de.

5. We i de na di rayt say, di stent tiub we de insay di kateshɔn de mek i big. Dɔn i kin go insay di blɔd vesel, ɛn mek wan nyu rod we strɔng fɔ mek blɔd flɔ.

6. Dis stent tiub de tay fayn fayn wan na di wכl na di bכdi we de mek di bכdi nכ go insay di anεrizm.

7. Afta di prosidur dɔn, dɛn kin tek tɛm pul di kateshɔn. Di pankchɔ dɛn so smɔl dat dɛn nɔ ivin nid fɔ stich. Dɛn kin put smɔl plasta pan di wund fɔ ɛp am fɔ wɛl.

Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?

Bɔrku tɛm, i kin tek sɔm dez to wan mɔnt fɔ mek yu wɛl ɔl.

• Yu go gɛt fɔ de na ɔspitul fɔ tu ɔ tri dez.
• Yu kin bigin fɔ it ɛn drink wantɛm wantɛm afta dɛn dɔn anestez yu.
• Yu kin ivin grap na bed ɛn waka wit di ɛp we nɔs dɛn de ɛp yu.
• Yu kin fil taya smɔl ɛn yu kin fil pen fɔ sɔm dez afta yu dɔn go na os. Yu fɔ yuz di pen kil we dɛn gi yu fayn fayn wan.
• Nɔ drayv te yu tek di mɛrɛsin dɛn we de mek yu fil pen.
• Bɔku pipul dɛn kin go bak na dɛn wokples insay wan mɔnt.
• Yu fɔ avɔyd fɔ es ɛni ebi ebi tin fɔ 4 to 6 wiks.