Dɔktɔ dɔn ɛva tɛl yu, ɔ to pɔsin na yu famili ɔ to yusɛf, se yu gɛt "blɔd vesel we dɔn blok" ɔ "blɔd vesel dɔn swel lɛk balɔ"? Na nɔmal tin fɔ fil bad bad wan we wi yɛri sɔntin lɛk dat. Bɔku pipul dɛn kin tink se sɔntin lɛk dis nid fɔ gɛt big ɔpreshɔn, kɔt big say, ɛn fɔ lɔng tɛm fɔ mek i wɛl. Bɔt yu no se wit di advans we di mɛdikal sayɛns dɔn go bifo, wan we de naw fɔ trit bɔku pan dɛn prɔblɛm ya we dɛn nɔ kɔt big say, tru wan rili smɔl ol. Tide wi go tɔk bɔt da wɔndaful tritmɛnt we de, we na ‘endovascular surgery’.
Wetin na Ɛndovaskyuɛl Ɔpreshɔn?
Fɔ tɔk am simpul wan, ɛndovaskyuɛl ɔpreshɔn na we fɔ trit sik dɛn we de afɛkt di vaskul sistɛm na wi bɔdi we wi nɔ de kɔt big big say dɛn. Imajin se wata paip we dɔn lɔk na yu os. Fɔ fiks am, yu kin put smɔl waya insay di paip ɛn pul di tin we dɔn blok ɛn nɔ brok di wɔl.
Di nem "Endo" min "insay." "Vascular" min "we gɛt fɔ du wit blɔd vesel dɛm." So we dεn tu dεn kam togεda, "Endovascular" min "tritmεnt we dεn du insay di bכdi vεsul dεm." Insay dis, di dɔktɔ dɛn we de du ɔpreshɔn kin put wan tin we kin chenj (kateta) insay wan blɔd vesel ɛn pas insay de fɔ mek di prɔblɛm we de na di blɔd vesel fayn. Dis we aw dɛn kin du am kin mek di blɔd go bak na di bren, at, di an ɛn fut dɛn, ɛn di lɔng dɛn.
Wetin na di difrɛns bitwin tradishɔnal ɔpreshɔn ɛn dis nyu we?
Pan ɔl we dɛn tu we ya kin trit di blɔd vesel, big difrɛns de pan aw di dɔktɔ kin go nia di blɔd vesel. Fɔ ɔndastand dis difrɛns, luk di tebul we de dɔŋ ya.
| Di kwaliti we pɔsin gɛt | Opin Ɔpreshɔn | Ɛndovaskyuɛl Ɔpreshɔn |
|---|---|---|
| Aw fɔ akses | Di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin, mek wan big say, ɛn i kin rich na di blɔd vesel. | Dɛn kin mek smɔl ol na di blɔd vesel wit nidul, ɛn dɛn kin put tin tiub dɛn (kateta) tru am. |
| Rod we de kɔt | I big, a nid stich. | I rili smɔl (we tan lɛk pin ed). |
| Blɔd we de kɔmɔt | Rili ay. | Rili low. |
| Di tɛm fɔ mɛn pipul dɛn | I kin tek sɔm wiks ɔ ivin sɔm mɔnt. | I nɔ kin apin so ɔltɛm, i kin kam bak to nɔmal insay sɔm dez ɔr wik. |
| Di lɔng tɛm we i fɔ de na di ɔspitul | Fɔ sɔm dez ɔ pas wan wik. | Bɔku tɛm, na wan ɔ tu dez. Sɔntɛm yu kin go na os di sem de. |
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ disayd uswan pan dɛn tu we ya we go fayn fɔ yu, we i tink bɔt yu mɛrɛsin, yu ej, ɛn ɔl yu wɛlbɔdi.
Wetin na di men mɛrɛsin wae dɛn kin trit wit dis we?
Dɛn kin yuz ɛndovaskyuɛl ɔpreshɔn fɔ trit difrɛn kayn tin dɛn we gɛt fɔ du wit di at ɛn di blɔd vesel dɛn. Sɔm pan dɛn na:
- Aneurysm: Dis na we di wɔl na di blɔd vesel wik, we kin mek i bɔl kɔmɔt na do lɛk balyɔn. dis kin apin na di abdominal aortic aneurysm כ di thoracic aortic aneurysm, εn bak na כda bכdi vεsul dεm na di bכdi. Dis kin denja bikɔs if dis anɛrizm brok, i kin mek yu blɔd kɔmɔt insay yu bɔdi bad bad wan.
- Atherosclerosis: Yu go dɔn yɛri bɔt dis. Fɔ tɔk am simpul wan, na di bɔku bɔku kɔlɔstrel ɛn fat we de insay di blɔd vesel dɛn, we de mek wan layt we gɛt "plek." Dis kin mek di blɔd vesel dɛn smɔl ɛn mek di blɔd nɔ ebul fɔ flɔ. Dis na de men tin wae kin mek pɔrsin gɛt sik lɛk at atak ɛn strok.
- Di sik we de mek pɔsin gɛt di sik we dɛn kɔl Carotid Artery:di carotid atεri dεm na di tu men bכdi we de na di tu say dεm na wi nεk we de kכri bכdi go na di bren. we dεn at dεm ya kin blok, di risk fכ strכk kin bכku bכku wan.
- Dip Vein Thrombosis (DVT): Dis na bכdi we de fכm na di vein dεm we de dip insay di bכdi, spεshal wan na di leg dεm. Di denja we de ya na dat if dis blɔd klɔt brok ɛn stɔp na blɔd vesel na di lɔng (Pulmonary Embolism), i kin mek pɔsin in layf de pan denja.
- Peripheral Artery Disease (PAD): Na wan sik we kin kam we di at we de gi blɔd to di limb dɛn, mɔ di leg dɛn kin smɔl. Di men sayn na we yu de fil pen na yu leg we yu de waka fɔ shɔt tɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If dɛn se yu fɔ du dis kayn ɔpreshɔn, yu dɔktɔ go tɔk to yu fɔs bɔt yu sik ɛn yu wɛlbɔdi istri. Dɔn i go du wan ɛgzam pan in bɔdi ɛn ɔda fɔ du sɔm tɛst dɛn fɔ ɔndastand di prɔblɛm mɔ. Fɔ ɛgzampul:
- Ultrasound scan: Fɔ si aw blɔd de flɔ insay di blɔd vesel ɛn usay di blɔk de.
- Angiografi: Dɛn kin put spɛshal day insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt fɔ gɛt klia map fɔ di blɔd vesel dɛn.
- CT skan ɔ MRI skan: Gɛt mɔ ditayla tri-dimɛnshɔnal (3D) imej dɛn fɔ di blɔd vesel dɛn ɛn di tisu dɛn we de rawnd.
- ECG ɛn Echocardiogram: Chɛk aw di at de wok.
Bay di infɔmeshɔn we dɛn gɛt frɔm dɛn tɛst ya, di mɛdikal tim go plan di tritmɛnt we go fayn fɔ yu.
Wetin na di men kayn tritmɛnt wae dɛn kin yuse dis kayn we?
difrεn kayn εndovaskulεr tritmεnt dεm de. Dipen pan yu kɔndishɔn, yu go pik wan ɔ mɔ pan dɛn tin ya.
| Di we aw dɛn kin trit (Procedure) . | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Angioplasty we dɛn kin du | Dɛn kin put kateta wit balyɔn insay di blɔd vesel we dɔn blok ɛn dɛn kin blo di balyɔn fɔ mek di say we dɛn blok big. |
| Di Ples we Dɛn De Plɛs Stɛnt | afta di angioplasty, dεn kin put wan sכmכl mεsh tכb (stεnt) insay di at fכ mek i nכ blok igen. |
| Atherectomy we dɛn kin du | Fɔ skrap di plek we dɔn gɛda na di wɔl dɛn na di blɔd vesel dɛn wit wan spɛshal tin. |
| Stent Graftin we dɛn kin yuz | Dɛn kin put wan tiub we dɛn mek wit klos ɛn mɛtal mɛsh ɛn fiks am insay wan blɔd vesel we wik lɛk wan anɛrizm fɔ mek i strɔng. |
| Trombectomy we dɛn kin du | mεkanikal we dεn de pul כ dכg sכlushכn fכ wan bכdi kכlכt (thrombus) we trכp insay bכdi vεsεl (thrombolysis). |
| Embolization | di blɔd vesel bay wilful bay we dɛn put smɔl tin we tan lɛk bidz insay di vessel fɔ stɔp di blɔd ɔ fɔ kɔt di blɔd we de go to wan tumbu. |
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Wach fɔ dɛn sayn ya!
Wan pan di big bɛnifit dɛn we dis ɔpreshɔn kin gɛt na we i kin wɛl kwik kwik wan. Dipen pan di kɔmplisiti fɔ di ɔpreshɔn, yu kin go na os di sem de (ɔtpeshɛnt) ɔ yu kin de na ɔspitul fɔ wan ɔ tu dez. Bɔrku pipul dɛn kin bigin fɔ du tin dɛn bak ɛvride afta lɛk wan mɔnt so. Bɔt yu dɔktɔ go gi yu di bɛst advays bɔt dis.
I rili impɔtant fɔ atɛnd ɔl di fɔlɔp apɔntinmɛnt dɛn wit yu dɔktɔ afta dɛn dɔn du di ɔpreshɔn. Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Bɔrku pen na yu bɛlɛ, chɛst, bak, ɔr groin
- Blɔd we de kɔmɔt na di say we dɛn du di ɔpreshɔn
- Pen ɔ swel na di leg ɔ an
- Diziz ɔr nɔr kin no natin
- Nɔm ɔr nɔr de fil fayn na yu an ɔr leg
- Wi kin wik ɔ taya pasmak
- di skin we rεd כ wata we lεk pus we de kכmכt frכm di sכmכl say we dεn kכl we dεn de כpεrayshכn
- Fiva
Mɛsej we dɛn kin kɛr go na os
- Endovaskul ɔpreshɔn na wan advans ɛn sef we fɔ trit di blɔd vesel dɛn we de insay di bɔdi, we dɛn nɔ mek big say we dɛn kɔt am.
- dis kin trit bכku denja sik dεm fayn fayn wan lεk atεrosklεrosis, anεvrizm, εn dip vein thrombosis (DVT).
- Dis we fɔ du tin kin gɛt shɔt tɛm fɔ wɛl, i nɔ kin gɛt bɔku pen, ɛn i kin de na ɔspitul fɔ shɔt tɛm pas di tradishɔnal opin ɔpreshɔn.
- Na di dɔktɔ we de chɛk yu nɔmɔ go ebul fɔ no if dis tritmɛnt fayn fɔ yu.
- If ɛni ɔda sayn we nɔ kɔmɔn apin afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn nɔ fɔ pe atɛnshɔn to am.
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