We yu yehri di wohd "surgery" o "operation," yu kin cringe likli? Na nɔmal tin fɔ tink bɔt big say we dɛn kɔt am, fɔ sɔm dez na ɔspitul, ɛn fɔ lɔng tɛm fɔ mek yu fil pen. Bɔt tide, mɛrɛsin dɔn go bifo bɔku. Bifo wi mek big big say dɛn lɛk aw i bin de trade, naw tɛknɔlɔji de we de mek wi ebul fɔ go insay di bɔdi tru wan smɔl ol ɛn trit siriɔs sik dɛn. Na dat wi go tɔk bɔt tide, na wɔndaful we fɔ trit di blɔd vesel dɛn na wi bɔdi.
Wetin na Ɛndovaskyuɛl Ɔpreshɔn?
Fɔ tɔk am simpul wan, ɛndovaskyuɛl ɔpreshɔn na we dɛn kin trit di blɔd vesel dɛn na wi bɔdi frɔm insay ɛn nɔ mek big big say dɛn. Imajin se wata paip de insay yu os we dɔn blok. Bifo yu brok di wɔl ɛn mek di paip fayn, dis tan lɛk we yu put wan tint tiub wit kamɛra tru wan smɔl ol ɛn pul di tin we dɔn blok.
We dɛn de du dis, dɔktɔ dɛn kin yuz smɔl nidul fɔ mek ol na wan blɔd vesel ɛn put tyub dɛn we rili tan ɛn we kin chenj we dɛn kɔl kateta tru am. Dɔn, we dɛn de yuz tɛknɔlɔji dɛn lɛk ɛkstrem rayt, dɛn kin gayd dɛn tiub ya fɔ no usay di sik de, dat na usay di blɔd vesel dɔn blok, swel, ɔ pwɛl. Dɔn, dɛn kin pas di tin dɛn we dɛn nid fɔ du fɔ mɛn di sik. Dis kin mek di blɔd go bak na di bren, at, di an ɛn fut dɛn, ɛn di lɔng dɛn.
Wetin na di difrɛns bitwin ɛndovaskyuɛl ɛn opin ɔpreshɔn?
Dɛn tu we ya kin trit di blɔd vesel dɛn. Bɔt di we aw dɛn kin tɔk to am difrɛn atɔl. Fɔ ɔndastand dis difrɛns, luk di tebul we de dɔŋ ya.
| Tin | Ɛndovaskyuɛl Ɔpreshɔn | Opin Ɔpreshɔn |
|---|---|---|
| Aw fɔ du am | Dɛn kin put kateta dɛn tru wan smɔl ol na wan blɔd vesel ɛn afta dat dɛn kin go na di say we di sik de fɔ tritmɛnt. | Dɛn kin kɔt di skin ɛn di tritmɛnt kin go dairekt to di say we di blɔd vesel we sik de. |
| Sayz fɔ di say we dɛn kɔt am | I rili smɔl (we tan lɛk pin ed). | Dɛn nid fɔ kɔt big say. |
| Blɔd we de kɔmɔt | Rili low. | Rili ay. |
| Taim fɔ wɛl | Kwik. Minimal ska dɛn we de de. | I de tek tu lɔng tɛm. |
| Taym na di ɔspitul | Bɔku tɛm shɔt (maybe yu kin go os insay wan de). | I kin tek sɔm dez ɔ sɔm wiks. |
Us kɔndishɔn dɛn kin trit wit dis we?
Dɛn kin yuz ɛndovaskyuɛl prosidur fɔ trit bɔku bɔku blɔd vesel ɛn di at ɛn di blɔd sik dɛn. Sɔm pan di men tin dɛn we kin apin to pɔsin na:
- Aneurism: Dis na we di wɔl na di blɔd vesel wik ɛn bulge kɔmɔt lɛk balyɔn. dis kin apin na di abdominal aortic aneurysm כ di thoracic aortic aneurysm, εn כda bכdi vεsul dεm na di bכdi. If dis brok, i kin mek pɔsin in layf de pan denja.
- Atherosclerosis: Dis na we di tin dɛn we gɛt fat lɛk kɔlɔstrel we de insay di it we wi de it, kin gɛda na di wɔl dɛn na di blɔd vesel dɛn, ɛn smɔl smɔl i kin mek di say we blɔd go pas smɔl smɔl. I tan lɛk se rɔst de bɔku insay wata paip. Dis kin mek blɔd nɔ flɔ.
- Carotid artery disease: Di carotid arteries na di tu men blɔd vesel dɛm na wi nɛk we de kɛr blɔd go na di bren. We dɛn kin blok bay di fat we dɛn kin put, di risk fɔ gɛt strok kin go ɔp bad bad wan.
- Dip vein thrombosis (DVT): Dis na we bכdi de fכm na di vein dεm we de dip insay di bכdi. Di tin we denja pas ɔl na if dis blɔd klɔt brok ɛn travul tru di blɔd ɛn stɔp na di lɔng (Pulmonary Embolism), i kin kil pɔsin.
- Pεrifεral atεri sik (PAD):Dis kin apin we di at we de kɛr blɔd go na di an ɛn mɔ di leg dɛn kin blok. Dis kin mek yu gɛt prɔblɛm lɛk pen na yu leg we yu de waka ɛn wund we nɔ de wɛl.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du dis kayn ɔpreshɔn, yu dɔktɔ go tɔk to yu gud gud wan bɔt yu mɛdikal istri ɛn aw yu gɛt wɛlbɔdi naw. Dɔn i go du in bɔdi ɛgzam ɛn if nid de, i go ɔda fɔ du dɛn tɛst ya:
- Ultrasound scan: I de yuz sawnd wev fɔ luk aw blɔd de flɔ insay di blɔd vesel ɛn fɔ si if ɛnitin de we dɔn blok.
- Angiografi: Dɛn kin put spɛshal day insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt pikchɔ dɛn. Dis kin sho klia wan aw di blɔd vesel dɛn smɔl ɛn usay dɛn de.
- CT skan ɛn MRI skan: Dɛn tin ya kin mek tri dimɛnshɔnal pikchɔ dɛn we rili ditayli bɔt di blɔd vesel dɛn ɛn di tisu dɛn we de rawnd am.
- ECG ɛn Echocardiogram: Dɛn kin yuz dɛn tin ya fɔ chɛk aw di at de wok.
- Ankle-brachial index (ABI): Na simpul tɛst we de mɛzhɔ ɛn kɔmpia blɔd prɛshɔn na di leg ɛn an fɔ no if blɔd nɔ de flɔ na di leg.
Us kayn ɛndovaskyuɛl ɔpreshɔn de?
Dipכnt pan yu kכndyushכn, yu dכkta kin yuse difrεn kayn εndovaskulεr tritmεnt dεm. Lɛ wi tek tɛm luk sɔm pan dɛn.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan, wetin yu de du? |
|---|---|
| Angioplasty we dɛn kin du | Dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di kateshɔn insay di blɔd vesel we dɔn blok, ɛn dis kin mek di vessel big bak. Dɔn dɛn kin pul di briz na di balyɔn ɛn pul am. |
| Di we aw dɛn kin put stent | Afta dɛn dɔn du angioplasty, dɛn kin put wan smɔl mɛtal tiub (wan stent) we tan lɛk mɛsh insay di at we dɔn big fɔ mek i nɔ blok bak. |
| Atherectomy we dɛn kin du | di fεt layεr (plak) we dεn bכlכp insay di bכdi vεsεl dεn de skrap am wit spεshal tin. |
| Stent we dɛn kin yuz fɔ graft | Dɛn kin put wan tiub we dɛn mek wit klos ɛn mɛtal mɛsh insay wan blɔd vesel we dɔn bɔl, lɛk wan anɛrizm. Dɔn di blɔd kin pas na di tiub, ɛn dis kin mek prɛshɔn nɔ kam pan di vein wɔl we wik. |
| Fɔ pul di blɔd we de klɔt (Thrombectomy/Thrombolysis) . | di blɔd we dɔn fɔm insay di blɔd vesel dɛn kin pul am wit spɛshal inschrumɛnt (thrombectomy) ɔ sɔlv am wit mɛrɛsin (thrombolysis). |
| Embolization | Sɔntɛnde, i kin nid fɔ stɔp fɔ blɔd ɔ fɔ kɔt di blɔd we de gi pɔsin we gɛt kansa. Dɔn, dɛn kin put smɔl smɔl bidz dɛn insay fɔ mek dɛn go ebul fɔ blok di blɔd vesel bay wilful. |
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Di bɛnifit dɛn we pɔsin kin gɛt
di big advantej fכ di εndovaskul mεtכd na di kwik rεkכvεshכn . Bikɔs big big say nɔ de, i nɔ kin pwɛl di bɔdi bɛtɛ. So yu fɔ de na ɔspitul fɔ smɔl tɛm, yu nɔ fɔ gɛt pen, ɛn yu kin go bak to nɔmal layf kwik kwik wan.
Bɔt mɛmba se dis we fɔ du tin nɔ fayn fɔ ɔlman. Yu dɔktɔ go disayd if opin ɔpreshɔn ɔ endovaskyuɛl ɔpreshɔn na di bɛst fɔ yu, i go dipen pan yu kɔndishɔn, usay di blɔd vesel dɛn de, ɛn yu ɔl wɛlbɔdi.
Risk/Kɔmplikeshɔn dɛn
Pan ɔl we dis ɔpreshɔn kin rili sef, smɔl smɔl prɔblɛm dɛn kin apin.
- Blɔd we de kɔmɔt na di say we dɛn put di kateshɔn.
- Di damej pan di blɔd vesel dɛn we dɛn de trit am.
- Disekshɔn fɔ di blɔd vesel wɔl.
- fכmeshכn fכ nyu bכdi kכlכt (Thrombosis) na di sayt we dεn trit.
- Na smɔl tɛm nɔmɔ, di kidni ifɛkt kin apin (bikɔs ɔf di kayn day we dɛn yuz).
Di risk fɔ mek dɛn kayn tin ya apin rili smɔl, ɛn wan mɛdikal tim we gɛt ɛkspiriɛns kin rɛdi ɔltɛm fɔ manej dis kayn tin if i apin.
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn?
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, yu nid fɔ kia fɔ yu bɔdi gud gud wan. Bɔku tɛm, yu kin go bak to di tin dɛn we yu kin du ɛvride afta lɛk wan mɔnt so. Bɔt i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays. Dɔn bak, yu fɔ rili go fɔ fala-ap tɛst dɛn di de we dɛn dɔn plan fɔ du.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te ɛn tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Simptom dɛm fɔ wach fɔ | Wetin fɔ du |
|---|---|
| Bɔrku pen na yu bɛlɛ, chɛst, bak, ɔr groin. | Go to dɔktɔ wantɛm wantɛm. |
| Blɔd ɔ brus frɔm di say we dɛn du di ɔpreshɔn. | Go to dɔktɔ wantɛm wantɛm. |
| Pen ɔ swel na yu an ɔ yu leg. | Go to dɔktɔ wantɛm wantɛm. |
| Diziz ɔ fɔdɔm . | Go to dɔktɔ wantɛm wantɛm. |
| Di an ɛn fut dɛn kin swɛla ɔ nɔ kin fil fayn. | Go to dɔktɔ wantɛm wantɛm. |
| Fɔ fil wik ɔ taya pasmak . | Go to dɔktɔ wantɛm wantɛm. |
| Rɛd, swel, ɔ pus na di say we dɛn pank am. | Go to dɔktɔ wantɛm wantɛm. |
| Fiva . | Go to dɔktɔ wantɛm wantɛm. |
Mɛsej we dɛn kin kɛr go na os
- εndovaskul כpεrayshכn na wan mכdan mεtכd fכ tritmεnt we involv fכ go insay di bכdi vεsul dεm tru sכm sכm ol dεm, we dεn nכ de mek big big say dεm.
- Dis we aw dɛn kin du am kin mek i nɔ de na ɔspitul, i nɔ kin fil pen, ɛn i kin wɛl kwik kwik wan.
- Dɛn kin yuz dis we fɔ mɛn bɔku sik dɛn lɛk atrɔsklerɔsis, aneurism, ɛn dip vein thrombosis (DVT).
- Dis we ya nɔ fayn fɔ ɔl di sik pipul dɛn. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu.
- If ɛni ɔda tin we nɔ kɔmɔn apin afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
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