Yu dɔn ɛva tink bɔt di blɔd vesel we big pas ɔl na wi bɔdi? Jɔs lɛk di men wata paip we de briŋ wata kam na wi os, di men blɔd vesel we de kɛr blɔd go na ɔl di ɔgan ɛn sɛl dɛn na wi bɔdi na di aorta, ɔ as wi de kɔl am, di aorta . Dis na vessel we rili strɔng. Bɔt sɔntɛnde, jɔs lɛk aw di sayd fɔ ol motoka taya kin wik ɛn bɔl lɛk bɔbul, na so di wɔl na dis aɔta kin wik bak ɛn bɔl na wan ples. Ɔ di layt we de insay am kin ivin te. Dɛn tin ya na tin dɛn we rili denja. Bɔt nɔ wɔri, wit di advansmɛnt fɔ mɛdikal sayɛns, naw tritmɛnt dɛn de we rili fayn fɔ dis. Na dat wi de tɔk bɔt tide.
Wetin na dis TEVAR ɔpreshɔn?
Fɔ tɔk am simpul wan, TEVAR (Thoracic Endovascular Aortic Repair) na wan ɔspitul we nɔ kin tek bɔku tin fɔ mek dɛn ripɛnt di damej we di thoracic aorta dɔn pwɛl.
Imajin aw dɛn bin de trit dis kayn sik trade. Dɔktɔ dɛn bin gɛt fɔ opin di chɛst ɔltogɛda ɛn du big ɔpreshɔn fɔ mek dis pwɛl pwɛl. I bin rili kɔmplikt, i bin de tek lɔng tɛm fɔ wɛl, ɛn i bin rili gɛt prɔblɛm.
Bɔt insay di TEVAR we, dɛn nɔ kin kɔt dis kayn big say. Bifo dat, dɛn kin kɔt wan rili smɔl pat na di groin, dɛn kin put wan tint tiub (kateta) tru am, ɛn dɛn kin pas wan spɛshal tin tru da tiub de fɔ mek di pat we wik na di aorta fayn. Dis na di sem we aw paip we de rɔn insay os wɔl kin brok ɛn dɛn kin put smɔl paip insay di paip we nɔ brok di wɔl. Dis kin mek yu wɛl shɔt tɛm, i nɔ kin gɛt bɔku pen, ɛn i nɔ kin gɛt bɔku prɔblɛm.
Insay us kes dɛn nid fɔ du TEVAR ɔpreshɔn?
Dɔktɔ dɛn kin yuz dis ɔpreshɔn mɔ fɔ trit sɔm siriɔs tin dɛn we kin apin na di aorta. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Tɔraks Aɔtik Anɛrizm | Dis na wetin a bin de tɔk bɔt bifo tɛm, wan wik ples na di wɔl na di aorta we de bulge lɛk balyɔn. I kin big smɔl smɔl ɛn leta i kin bɔs. If dat apin, i kin rili denja fɔ layf. |
| Disekshɔn na di Aɔtik | dis na we di insay layt na di wכl na di aorta de te. Dɔn blɔd kin lik bitwin tu layers na di wɔl, ɛn dis kin mek di tu layers difrɛn. Dis na siriɔs sik bak we nid fɔ gɛt tritmɛnt kwik kwik wan. |
| Aorta Transekshɔn | If pɔsin wund bad bad wan na di chɛst, lɛk we i gɛt motoka aksidɛnt, i kin mek di aorta rɔtin ɔ brok. |
Di impɔtant tin na dat, pan ɔl we dɛn tin ya rili denja, di mɔdan tritmɛnt dɛn lɛk TEVAR dɔn sev bɔku pipul dɛn layf naw.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
If yu disayd fɔ du dis kayn ɔpreshɔn, yu dɔktɔ go ɛksplen to yu klia wan aw yu nid fɔ rɛdi fɔ am. Bɔku tɛm dɛn kin aks yu fɔ du tin dɛn lɛk:
- Blɔd prɛshɔn ɛn kɔlɔstrel kɔntrol: Dɛn kin gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol dɛn tin ya.
- Nɔ smok: If yu na pɔsin we de smok, yu nid fɔ stɔp am kpatakpata.
- Di chenj we yu de chenj di mɛrɛsin: Dɛn kin aks yu fɔ stɔp ɔ chenj sɔm pan di mɛrɛsin dɛn we yu de tek naw fɔ sɔm tɛm bifo dɛn du yu ɔpreshɔn.
- Speshal tɛst dɛn: Di dɔktɔ go nid fɔ du bɔku tɛst dɛn fɔ plan di ɔpreshɔn.
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
Di tin we impɔtant pas ɔl pan dɛn tɛst ya na CT Angiogram . Dis na spɛshal CT skan. I kin si klia wan di sayz ɛn di kɔndishɔn fɔ yu aorta ɛn ɔda blɔd vesel dɛn we dɛn kin yuz fɔ ɔpreshɔn.
Imajin, dɛn kin put di ɔspitul tiub tru wan blɔd vesel we de na di groin. If da blɔd vesel de tu smɔl, ɔ if di kɔlɔstrel dɔn blok am, dɛn nɔ go ebul fɔ pas di tiub. Dis skan de ɛp fɔ no dɛn kayn tin dɛn de bifo tɛm.
Dɔn bak, di mɛzhɔmɛnt dɛn frɔm dis skan rili impɔtant fɔ pik di rayt saiz stent graft fɔ di say we dɔn pwɛl na yu aorta.
Wetin na stent graft?
Dis na di hiro fɔ dis ɔpreshɔn. Stent graft na tiub we dɛn mek wit tin we tan lɛk klos. I gɛt wan mɛtal mɛsh insay. Dɛn kin fold am ɔp ɛn afta dat dɛn kin pas am tru di aorta. We i rich di rayt ples, i kin opin lɛk spring ɛn tay tayt wan na di wɔl na di aorta.
Wetin kin apin na dat blɔd kin pas na dis nyu tiub. di wכl we wik, we swel na di aorta nכ gεt di prεshכn frכm di bכdi. So i kin stɔp fɔ bɔl. I tan lɛk se yu put nyu layn insay di aorta.
Aw dɛn kin du di ɔpreshɔn?
Yu go mɔs rili want fɔ no bɔt dis. Lɛ wi tek tɛm luk di simpul tin dɛn we dɛn kin du fɔ du di ɔpreshɔn.
1. Sedation: Fɔs, dɛn go put yu ɔnda jenɛral anestezi, ɔ na di say we dɛn go du di ɔpreshɔn nɔmɔ dɛn go numb, ɛn dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ rilaks.
2. sכm sכm we dεn kin kɔt: Nεks, dεn kin kכl sכm sכm pat na di skin, bכku tεm na di groin εria, εn dεn kin akses di bכdi vεsεl (femoral artery) we de de.
3. Gayd waya: Dɛn kin pas wan tin waya (gayd waya) ɔp dis blɔd vesel, pas di say we dɔn pwɛl na di aorta, dɔn dɛn kin stɔp am.
4. Kateta ɛn stent: Dɔn, dɛn kin pas wan tiub (kateta) along di waya. di fold stent graft de insay dis tiub. Dɛn kin du ɔl dis ɔnda di gayd we wan spɛshal ɛkstrem rayt mashin (fluoroscopy) de gayd am.
5. We yu put di stent: We di tiub dɔn de na di rayt say, di dɔktɔ go tek tɛm put di stent graft. afta dat i go כtomatכk εkspכnd εn atak di wכl na di aorta.
6. Fɔ dɔn: Afta dat, dɛn kin pul di tiub ɛn di waya, ɛn dɛn kin lɔk di smɔl say we dɛn kɔt na di groin wit stich.
Bɔku tɛm, dis wan ol tin kin tek lɛk tu awa so.
Wetin na di bɛnifit ɛn risk dɛn we TEVAR ɔpreshɔn gɛt?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de, bɔt di bɛnifit dɛn we TEVAR ɔpreshɔn de gi pas dat fa fawe.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Di tɛm fɔ wɛl na shɔt tɛm. | Blɔd de lik rawnd di stent (Endoleak). |
| Di nɔmba fɔ di de dɛn we dɛn kin spɛn na ɔspitul kin ridyus. | Sik we de prɛd. |
| Di pen ɛn blɔd nɔ kin bɔku. | Di stent de muf kɔmɔt na in ples. |
| I nɔ go lɛf big skata. | Paraplegia (paralysis of the legs) bikoz fכ di bכdi fכ fכlכ di spεnal kכd dεn dכn - dis nכ kin rili apin. |
| Di risk fɔ gɛt siriɔs prɔblɛm dɛn nɔ bɔku. | Hat atak ɔ strok. |
Yu dɔktɔ go ɛksplen to yu gud gud wan dɛn prɔblɛm ya, ɛn dɛn go du ɔl wetin i ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ mek dɛn wach yu fɔ wan ɔ tu dez, dɔn dɛn go transfa yu to jenɛral wɔd. If ɔltin go fayn, yu go ebul fɔ go na os insay sɔm dez. Na sɔm tin dɛn we yu fɔ mɛmba afta yu dɔn go na os:
- Drayv: Nɔ drayv fɔ wan to tu wiks.
- Fɔ was: Nɔ sok insay tub we gɛt wata te di wund na yu groin dɔn wɛl. Fɔ shawa na fayn tin.
- We yu de es yu wet: Nɔ es pas 10 pawn (lɛk 4.5 kg) fɔ wan to tu wiks.
Fɔ fala yu layf ɔl impɔtant!
Dis na di pɔynt we impɔtant pas ɔl . Afta TEVAR ɔpreshɔn, i impɔtant fɔ go to yu dɔktɔ fɔ chɛk-ap ɔlsay na yu layf. Kin,
- Wan mɔnt afta dɛn du di ɔpreshɔn
- Dɔn insay siks mɔnt (if prɔblɛm bin de di fɔs tɛm we dɛn chɛk-ap)
- Wan ia afta dat
- Dɔn wan tɛm ɛvri ia
Yu go nid fɔ mek dɛn skan yu. Dɛn kin du dis fɔ chɛk if di stent de na di rayt ples, if ɛni prɔblɛm de wit am, if ɛni blɔd de lik. Nɔ skip dis. Dis rili impɔtant fɔ mek yu sef.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt yu tritmɛnt ɔr tɛm fɔ wɛl, nɔr frayd fɔ tɔk to yu dɔktɔ. Dɔn bak, if yu gɛt at atak ɔ strok wantɛm wantɛm (e.g., yu chɛst de pen bad bad wan, yu nɔ de blo fayn, yu nɔ kin ebul fɔ tɔk, ɔ yu wik na wan say na yu bɔdi), go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
TEVAR na wɔndaful tin we dɔn apin pan mɛrɛsin sayɛns. I dɔn ɛp fɔ trit di sik dɛm wae bin de pan denja fɔ liv, tide, wit bɔrku risk ɛn wit bɔrku risk. If yu ɔr pɔrsin wae yu sabi gɛt dis sik, nɔr frayd fɔ tɔk to dɔktɔ ɛn disayd bɔt di bɛst tritmɛnt fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- TEVAR na wan mכdan, minimally invasive surgical prosidur we de trit siriכs kכndyushכn lεk aneurysm כ dissection of di thoracic aorta.
- Dis nɔ kin mek pɔsin fil pen, i nɔ kin gɛt bɛtɛ tɛm fɔ wɛl, ɛn i nɔ kin gɛt bɔku prɔblɛm pas di tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin in chɛst.
- Dɛn kin du di ɔpreshɔn bay we dɛn put wan spɛshal tin we dɛn kɔl stent graft tru wan smɔl say we dɛn kɔt na di groin.
- Pan ɔl we pɔsin kin wɛl afta dɛn dɔn ɔpreshɔn am kwik kwik wan, i fɔ de chɛk-ap ɛn skan am ɛvri ia ɔlsay na in layf .
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ bɔt ɛni prɔblɛm ɔ tin we de mɔna yu.
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