Di men blɔd vesel dɛn we de gi blɔd to wi bren, ed, ɛn fes de na di tu say dɛn na wi nɛk. Dɛn tin ya tan lɛk di men aywe dɛn na wi bɔdi. Imajin aw i go tan lɛk if wan pan dɛn aywe dɛn ya gɛt wik wɔl ɛn i bɔl lɛk balɔ. Na dat wi de tɔk bɔt tide, we na wan carotid artery aneurysm. Pan ɔl we i kin tan lɛk se i de mek pɔsin fred smɔl, i impɔtant fɔ no bɔt am.
Wetin na Carotid Artery Aneurism?
Fɔ tɔk am simpul wan, carotid artery aneurysm na wan sik we wan pat pan di wɔl na wan big blɔd vesel (di carotid artery) we de kɛr blɔd frɔm ɔl tu di say dɛn na yu nɛk to yu bren wik, ɛn dis kin mek di blɔd prɛshɔn bulge go na do lɛk bɔbul.
Tink bɔt wan balyɔn we dɛn kin blo. Di wɔl na di balyɔn kin tan lɛk se i de ful-ɔp, nɔto so? Wetin go apin if yu inflate am mɔ? I kin bɔs. Na so dis aneurism de bulge. As tɛm de go, i kin big. As i de big, in wɔl de tan, ɛn risk de fɔ mek i brok wan de. So di mɔ we di anɛrizm de big, na di mɔ i kin denja.
Aw siriɔs dis tin kin bi?
Carotid artery aneurysms na siriɔs sik we kin afɛkt di blɔd vesel dɛm we de gi blɔd dairekt to wi bren, so i nɔto sɔntin fɔ tek am layt. Bɔt nɔto ɔl di aneurism dɛn kin denja di sem we. Sɔm kin rili smɔl ɛn dɛn kin de fɔ lɔng tɛm ɛn nɔ kin mek ɛni prɔblɛm.
Bɔt tu men prɔblɛm dɛn de we kin apin:
1. Blɔd klɔt: Blɔd klɔt kin fɔm insay di anɛrizm, ɛn wan pat pan am kin brok ɛn stɔp na wan smɔl blɔd vesel na di bren. dis kin mek di bכdi fכ fכlכ na di bren εn mek i gεt transient ischemic attack (TIA) , "mini stroke," כ ful-blown ischemic stroke .
2. Aneurism rupture: If big aneurism rupture, i kin mek yu bכdi bכku bכku insay כ rawnd di bren. Dɛn kɔl di strok we kin kɔmɔt frɔm dis sik we dɛn kɔl ɛmoraji strok . Dis na tin we rili siriɔs ɛn we kin mek pɔsin in layf de pan denja.
Wetin na di difrɛns bitwin tru ɛn lay lay anɛrizm?
Dis na smɔl tin fɔ mɛn pipul dɛn, bɔt lɛ wi ɔndastand am simpul wan. Di wɔl na wi blɔd vesel dɛn gɛt tri layers.
- Tru Aneurism: Dis na we ɔl di tri layers na di at de wik ɛn bulge go na do. dis kin kכz fכ fεt dεm we de na di atεri wכl dεm (atherosclerosis).
- Falz Anyurizm ɔ Pseudoaneurism:Dis na we wan ɔ tu layers na di blɔd vesel wɔl kin pwɛl, we kin mek sɔm blɔd kɔmɔt ɛn gɛda rawnd di blɔd vesel, ɛn mek wan bɔbul. Fɔ tɔk strikt wan, dis nɔto tru tru blɔd. I kin apin bikɔs ɔf aksidɛnt, infεkshɔn, ɔr kɔmplikeshɔn fɔ sɔm mɛrɛsin.
Ɛni wan pan dɛn kayn tin ya kin mek pɔsin gɛt prɔblɛm, so dɛn ɔl tu kin nid fɔ gɛt tritmɛnt.
Udat kin gɛt dis sik pas ɔlman? Ɛn yu tink se i kɔmɔn?
Pan ɔl we di carotid artery aneurysm kin apin to ɛni big pɔsin, i kin apin mɔ pan pipul dɛn we ol bitwin 50 ɛn 60. Dɛn nɔ kin apin bak to pikin dɛn.
Bɔt di gud nyus na dat dis na tin we nɔ kin apin so ɔltɛm . di karotid atεri anεvrizm dεm de mek lεs dan 1% pan כl di anεvrizm dεm na di bכdi.
Wetin na di sayn dɛm fɔ dis?
Bɔrku tɛm, dɛn aneurism ya kin de witout ɛni simptom. Sɔntɛnde, dɛn kin si dɛn bay we dɛn du sɔntin lɛk ed skan fɔ ɔda rizin.
Bɔt if di sayn dɛm de apin, bɔku tɛm dɛn kin bi sayn dɛm fɔ strok ɔ transient ischemic attack (TIA).
TIA kin bi siriɔs wɔnin sayn fɔ se big strok de kam insay di de ɔ wik we de kam, so i impɔtant fɔ pe atɛnshɔn gud wan to dɛn sayn ya.
| Imejɛnsi simptom dɛm fɔ strok ɔ TIA - if yu gɛt ɛni wan pan dɛn tin ya, go na di ETU wantɛm wantɛm! | |
|---|---|
| I nɔ kin ebul fɔ si fayn wantɛm wantɛm | Wan ɔ ɔl tu di yay dɛn nɔ de si ɔ i nɔ de si fayn igen. |
| Wan say na di bɔdi nɔ de fil fayn ɔ wik | Fɔ fil se yu nɔ gɛt wan say na yu fes, yu an, ɔ yu leg. (e.g., we wan say na di fes de dכp) |
| I nɔ izi fɔ tɔk | Slurring of words, difficulty fɔ ɔndastand wetin dɛn de tɔk. |
| I nɔ kin izi fɔ waka ɛn i nɔ kin balans igen | Diziz, nɔ ebul fɔ tinap, drɛg go wan say we yu de waka. |
| Wantɛm wantɛm, ed we kin at bad bad wan | Wan bad bad ed we kin bigin wantɛm wantɛm lɛk aw i nɔ bin dɔn ɛva bi bifo. |
If yu gɛt sɔm kayn sik lɛk dis, yu nɔ go ebul fɔ kɔl di ɔspitul yusɛf. So, i rili impɔtant fɔ tɛl di pipul dɛn na yu os bɔt dis.
Ɔda sayn dɛn we de sho se yu gɛt dis sik
Apat frɔm di sayn dɛm we de sho se pɔsin gɛt strok, if di aneurism gro big fɔ prɛs pan ɔda nerv dɛm ɔ blɔd vesel dɛm na di nɛk, simptom dɛm lɛk:
- Ed de at
- Di vɔys we de ala lawd wan
- Nek de pen
- Fes we de swel
- Filin lɛk lump na di nɛk ɛn i de throb
- I nɔ izi fɔ swɛla it
- Ɔda prɔblɛm dɛn we kin apin we pɔsin de si
If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ kwik kwik wan ɛn tɛl dɛn bɔt am.
Wetin mek di aneurism dɛn kin fɔm lɛk dis? Wetin na di tin dɛn we kin mek i apin?
Bɔku tin dɛn de we kin mek pɔsin gɛt carotid artery aneurysm.
- Atɛrosklɛrosis: Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik. Dis kכndyushכn kin apin we kכlestכl εn fεt kin bכku na di bכdi in wכl dεm, we kin mek di wכl dεm wik.
- Sik dεm we de wik di bכdi in wכl dεm: Sכm sik dεm lεk ``Fibromuscular dysplasia,'' kin mek di wכl dεm na di bכdi vεsεl dεm nכ de hεlth.
- Di prɔblɛm dɛn we kin apin we dɛn de tek mɛrɛsin: I kin apin bak as kɔmplikeshɔn we kin apin to sɔm ɔpreshɔn dɛn na di nɛk, sɔm sɛntral layn dɛn, ɔ redyushɔn tɛrapi fɔ kansa.
- Aksidɛnt: Di damej pan blɔd vesel bikɔs ɔf siriɔs aksidɛnt, lɛk we dɛn shot am ɔ we dɛn chuk am wit chukchuk.
Tin dɛn we kin mek pɔsin gɛt prɔblɛm
Bɔku tin dɛn de we kin mek di wɔl dɛn na di blɔd vesel dɛn wik, we kin mek di risk fɔ gɛt aneurism bɔku:
- Famili histri: If pɔrsin na yu famili dɔn gɛt aneurysm, yusɛf kin gɛt bɔrku risk.
- Ay blɔd prɛshɔn (Hypertension): We blɔd prɛshɔn go ɔp, i de put mɔ prɛshɔn na di wɔl dɛn na di blɔd vesel dɛn. Dis kin mek di wɔl dɛn wik.
- Smok: Smok na big tin we kin mek di blɔd vesel dɛn pwɛl. i de wik di wכl dεm na di at dεm εn i de mek di risk fכ divεlכp anεvrizm bכku bכku wan.
Aw dɔktɔ kin no bɔt dis sik?
Dɔktɔ kin fala sɔm tin dɛn fɔ no bɔt dis sik.
1. Fɔ chɛk yu bɔdi: Di dɔktɔ go put stetɔskɔp na yu nɛk ɛn lisin. sכmtεm, dεn kin yεri wan difrεnt ‘swooshing’ sawnd (carotid bruit) we bכdi de fכlכ tru dis anεvrizm.
2. Yu ɛn yu famili in mɛdikal istri: Di dɔktɔ go aks bɔt ɔda mɛrɛsin dɛn we yu gɛt ɛn if ɛnibɔdi na yu famili dɔn gɛt di sem kayn sik.
3. Imaging Test: Dis na di bɛst we fɔ kɔnfirm di sik. Dɛn tɛst ya kin si klia wan wetin de apin insay yu karotid at.
- CT skan (Kɔmpyuta Tomografi skan) .
- MRA Skan (Magnetik Rɛsɔnans Angiografi) .
- Ultrasound skan we dɛn kin yuz
Dɛn tɛst ya kin mek dɔktɔ dɛn no di rayt sayz, shep, ɛn usay di anɛrizm de, ɛn akɔdin to dat, dɛn kin no di bɛst tritmɛnt.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Di tritmɛnt dipen pan di sayz fɔ yu aneurism, aw i de gro kwik, ɛn if yu gɛt sɔm sayn dɛn. Tri men tritmɛnt dɛn de we yu kin du.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| 1. Sɔvɛlayshɔn | If di anɛrizm rili smɔl ɛn nɔ gɛt ɛni sayn, yu dɔktɔ kin se yu fɔ wet fɔ sɔm tɛm we yu nɔ gɛt ɔpreshɔn. Dɛn kɔl dis "watchful waiting." Yu go gɛt skan ɛvri 6 mɔnt ɔ wan ia fɔ si if di anɛrizm de big. Insay da tɛm de, dɛn kin gi yu mɛrɛsin fɔ kɔntrol di prɛshɔn. |
| 2. Opin Ɔpreshɔn | Dis na di tradishɔnal we aw dɛn kin du ɔpreshɔn. We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt di nɛk ɛn pul di pat we dɔn pwɛl na di blɔd vesel we gɛt di anɛrizm. Dɔn, dɛn kin yuz wan pat pan blɔd vesel ɔ wan atifishal tiub (graft) we dɛn tek frɔm ɔda pat na yu bɔdi (fɔ ɛgzampul, yu leg) fɔ mek nyu rod fɔ mek blɔd flɔ. |
| 3. Endovaskul tritmɛnt (Endovaskyuɛl Stɛnt Graftin) . | Dis na less invasive prosidur we nɔ nid fɔ mek dɛn kɔt am big. Yu dɔktɔ go mek smɔl ol na wan blɔd vesel na yu an ɛn put wan tin tiub (kateta) tru am. כnda εks-ray gayd, dεn de advans di tכb to di anεvrizm, εn dεn de put wan spεshal tכb we lεk mεsh (stεnt graft) insay. dis kin mek di bכdi fכ fכlכ tru di nyu tכb insted fכ go insay di anεvrizm. |
Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu afta i dɔn tɔk to yu ɛn ɛksplen ɔltin.
Wetin a go du fɔ ridyus dis risk?
Wi nɔ kin ebul fɔ kɔntrol sɔm tin dɛn we kin mek wi gɛt dis sik (lɛk famili histri), bɔt bɔku tin dɛn de we wi kin du fɔ mek wi blɔd vesel dɛn gɛt wɛlbɔdi ɛn fɔ mek wi nɔ gɛt aneurism.
- If yu de smok, lɛf fɔ smok tide. Dis na di bɛst tin we yu go ebul fɔ du. Aks yu dɔktɔ fɔ ɛp yu.
- It tin dɛn we go ɛp yu at. Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga. It mɔ vɛjitebul, frut, ɛn grɛn.
- Ɛksesaiz ɔltɛm. Du ɛksɛsayz we fayn fɔ yu akɔdin to yu dɔktɔ in instrɔkshɔn.
- Kɔntrol di ay blɔd prɛshɔn. If yu gɛt ay blɔd prɛshɔn, tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm.
- Fɔ fala di advays we dɔktɔ gi yu. Go fɔ mek dɛn chɛk yu dɔktɔ di rayt tɛm.
difrεns de bitwin wan aneurism na di nεk εn wan aneurism insay di sכkul?
Dis na smɔl mɛrɛsin, bɔt lɛ wi tɔk am simpul wan: Wi karotid at de rɔn go ɔp di nɛk ɛn go insay di skel.
- di aneurism dεm we de fכm na do na di sכkul, dat na, na di nεk, dεn kכl dεm `ekstrakranial` .
- di aneurism dεm we de fכm insay di sכkul dεn kכl dεm `intracranial` .
If yu dɔktɔ yuz dɛn wɔd ya fɔ yu, dɛn jɔs de tɔk bɔt usay di anɛrizm de. Yu nɔ nid fɔ mɛmba dɛn wɔd ya. Aks yu dɔktɔ fɔ mek i klarify ɛnitin we yu nɔ ɔndastand.
Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt aneurysm. Bɔt wit di advans tɛknɔlɔji ɛn tritmɛnt dɛn we dɛn de yuz tide fɔ skan, bɔku pipul dɛn kin liv nɔmal layf. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go de chɛk-ap ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Carotid artery aneurysm na we di wɔl na wan big blɔd vesel na di nɛk we de kɛr blɔd go na di bren wik, ɛn dis kin mek i bɔl lɛk balyɔn.
- Di tu men denja dɛm we kin apin frɔm dis na we blɔd kin klɔt we kin mek pɔsin strok ɛn di anɛrizm we kin bɔs.
- If yu gɛt sɔm sayn dɛn we de sho se yu gɛt strok, lɛk wan say na yu fes we de drɔp wantɛm wantɛm, yu an nɔ de fil fayn, ɔ i nɔ izi fɔ tɔk, na imejensi. Go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Di tritmɛnt dipen pan di sayz fɔ di aneurism ɛn di sayn dɛm. Sɔntɛnde, fɔ jɔs wach kin du fɔ yu. Sɔntɛnde, i kin nid fɔ du ɔpreshɔn.
- Fɔ kɔntrol ay blɔd prɛshɔn ɛn fɔ avɔyd fɔ smok impɔtant fɔ mek yu nɔ gɛt dis sik.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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