Yu tink se blɔd vesel na yu nɛk kin fil lɛk se i dɔn bɔl? Lɛ wi lan bɔt di Carotid Artery Aneurysm!

Yu dɔn ɛva tink if di blɔd vesel dɛn we de na wi nɛk kin gɛt difrɛn prɔblɛm dɛn bak? Sɔntɛnde dɛn vein ya kin wik ɛn bulge lɛk balyɔn. Pan ɔl we dis kin tan lɛk se i de mek wi fred smɔl, if wi no bɔt dis, wi kin du di rayt tin ɛn nɔ wɔri we wi nɔ nid fɔ wɔri. Tide wi go tɔk bɔt dis kayn sik, dat na , Carotid Artery Aneurysm .

Wetin na Carotid Artery Aneurism? Wetin rili apin?

Fɔ tɔk am simpul wan, carotid artery aneurysm na wan sik we wan pat pan di carotid arteries, we de na di tu say dɛn na wi nɛk, wik ɛn bulge kɔmɔt. Dɛn karotid at dɛn ya na rili impɔtant blɔd vesel dɛn bikɔs na dɛn de gi bɔku pan di blɔd we de go na wi bren, ed, fes, ɛn nɛk.

di men karotid at we de stat na di tכp pat pan wi chεst, de travul go כp di nεk εn i kin sheb to tu branch dεm na di midul pan di nεk. wan na di intanεt karotid at εn di כda wan na di εksternal karotid at . pan ɔl we dɛn aneurism ya kin apin na ɛni wan pan dɛn karotid at ya, dɛn kin si dɛn mɔ na di intanɛnt karotid at.

Tink bɔt am lɛk we yu de blo briz insay balyɔn. As di briz de go ɔp, di balyɔn in wɔl de tan ɛn big, nɔto so? Na so i bi wit dis wan. We wan pat pan di at in wɔl wik, da pat de kin bigin fɔ bɔl ɔnda di prɛshɔn we di blɔd de gi. As dis bulge de gro, di atεri wכl de tכn. Dɔn di risk fɔ mek i bɔs kin bɔku. Na dat mek dɛn se di mɔ we di aneurism de big, na di mɔ i kin denja.

Aw siriɔs dis tin kin bi?

Carotid artery aneurysm na sɔntin we kin apin na di at we de gi blɔd dairekt to wi bren, so i nɔto sɔntin fɔ tek layt. Bɔt nɔto ɔl di aneurism dɛn kin siriɔs di sem we.

Sɔm aneurism dɛn kin rili smɔl ɛn dɛn kin de fɔ lɔng tɛm ɛn nɔ kin mek ɛni prɔblɛm. Bɔt sɔntɛnde, blɔd kin klɔt na dis say we de bɔl. If dɛn blɔd klɔt ya brok ɛn blok wan blɔd vesel na di bren, dɛn kin mek pɔsin gɛt transient ischemic attack (TIA), mini strok, ɔ strok fɔ ɔltɛm .

If big aneurysm bɔs (rupchɔ) wantɛm wantɛm , blɔd kin bigin fɔ flɔ insay di bren. Dɛn kɔl dis ɛmoraji strok . Dis na imejensi we kin mek pɔsin in layf de pan denja.

Wetin na di difrɛns bitwin tru tru aneurism ɛn lay lay aneurism?

Dɔktɔ dɛn kin sheb dɛn aneurism ya to tu kayn, i kin dipen pan aw di bulge de fɔm.

• Tru Anɛrizm: .dis na we כl di tri layεr dεm na di atεri wכl (dεn kכl dεm ``Intima, Media, Adventitia'') de wik εn bulge kכmכt. di men tin we kin mek dis apin na di fεt we de dכn na di bכdi vεsul dεm, we na wan kכndyushכn we dεn kכl ``Atherosclerosis''.
• Falz aneurysm ɔ pseudoaneurysm: Dis na bulge na wan ɔ tu layers na di artery wall. I tan lɛk se wan smɔl sak dɔn bɔl kɔmɔt na di at. Bɔku tɛm dis kin apin bikɔs di at kin pwɛl we aksidɛnt apin, infɛkshɔn, ɔ prɔblɛm dɛn we kin apin we pɔsin de trit am .

Ilɛksɛf dis na tru tru anɛrizm ɔ na lay lay anɛrizm, dɛn ɔl tu kin mek prɔblɛm dɛn ɛn dɛn kin nid fɔ gɛt tritmɛnt.

Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?

Carotid artery aneurysm kin apin mɔ pan big pipul dɛm, mɔ di wan dɛm we ol bitwin 50 ɛn 60. Bɔt i nɔ kin apin so ɔltɛm pan pikin dɛm.

Dis nɔto tin we rili kɔmɔn. infakt, less dan wan pan 100 aneurism na di bodi dεn ripot as carotid artery aneurysms.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

Sɔm pipul dɛn kin gɛt carotid artery aneurysm bɔt dɛn nɔ kin gɛt ɛni sayn. Na aksidɛnt nɔmɔ dɛn kin no bɔt dɛn we dɛn du skan fɔ ɔda rizin.

Bɔrku pipul dɛm wae gɛt dis sik kin gɛt transient ischemic attack (TIA) ɔr strok. TIA tan lɛk "mini-strok." E kin bi sayn bak wae de sho se big big strok de kam insay di nɛks sɔm de ɔr wik. TIA ɛn strok ɔl tu kin kam bikɔs di blɔd kin stɔp fɔ flɔ to di bren.

Dis na mɛdikal imejensi dɛn! If yu gɛt ɛni wan pan dɛn sayn ya, yu fɔ go na ɔspitul wantɛm wantɛm:

* Yu nɔ de si fayn ɔ yu nɔ de si fayn na wan ɔ ɔl tu di yay.

* I nɔ izi fɔ waka, fɔ tɔk smɔl smɔl.

* Diziz, nɔ de balans.

* Di fes, an, ɔ leg kin swɛla ɔ wik, mɔ na wan say na di bɔdi.

* Wan ed we kin at bad bad wan wantɛm wantɛm.

* I nɔ izi fɔ tɔk, i nɔ izi fɔ ɔndastand wetin ɔda pipul dɛn de tɔk. Fɔ slɔr ɔ fɔ kɔnfyus.

Yu nɔr kin ebul fɔ kɔl fɔ ɛp yu wan wae yu gɛt dɛn kayn bad bad sik ya. Na dat mek i impɔtant fɔ tich yu fambul ɛn padi dɛm bɔt di sayn dɛm fɔ TIA ɛn Stroke. If yu wan de liv, i fayn bak fɔ tink bɔt wan Mɛdikal Alɔt Sistɛm (MAS) we yu kin prɛs fɔ kɔl fɔ ɛp.

Apat frɔm dɛn TIA ɛn strok simptom ya, if di aneurism gro big fɔ prɛs pan ɔda nerv ɔ blɔd vesel dɛn na di nɛk ɔ ed, .Na sɔm sayn dɛm wae kin apun:

• Ed de at.
• Di vɔys we de ala lawd wan.
• Pen na di nɛk.
• Fes we de swel.
• I kin tan lɛk se na knot de na mi nɛk, lɛk se dɛn de pul am.
• I nɔ izi fɔ swɛla.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si.

If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dis de apin? Wetin na di rizin dɛn?

difrεn tin dεm kin de we kin mek di karotid atεri anεvrizm.

• Atherosclerosis (fat we de na di blɔd vesel): Dis na di men tin ɛn di tin we kin mek i apin.
• di kכndishכn dεm we de wik di wכl dεm na di atεri dεm: εgzampl dεm na Fibromuscular Dysplasia εn sכm Kכnektiv Tisu Disiz dεm.
• Kɔmplikɛshɔn dɛn we kin kam pan mɛrɛsin: Sɔntɛnde i kin kam bikɔs ɔf tin dɛn lɛk `(Carotid Endarterectomy)` (ɔpreshɔn pan di carotid at), `(Central Line Placement)` (we dɛn put tiub insay big vein na di nɛk), ɔ `(Radiation Therapy)` (radiation treatment) fɔ kansa.
• Siriɔs injury na di at: Fɔ ɛgzampul, i kin apin frɔm siriɔs aksidɛnt, lɛk we pɔsin shot am ɔ we pɔsin chuk am wit chukchuk.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

difrεn tin dεm de we kin mek di wכl dεm na di at dεm wik, we kin mek di risk fכ divεlכp anεvrizm bכku:

• If pɔsin na di famili dɔn gɛt aneurysm (hereditary link).
• If yu gɛt ay blɔd prɛshɔn (Hypertension) .
• If yu de smok ɔ yu de yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.

Aw dɔktɔ dɛn kin no bɔt dis?

Dɔktɔ dɛn kin no if pɔsin gɛt carotid artery aneurysm bay we dɛn kin du sɔm tɛst dɛn lɛk:

• Fɔ chɛk yu bɔdi: We yu de du dis, di dɔktɔ go put stetɔskɔp na yu nɛk ɛn lisin to di sawnd we blɔd de mek we de pas insay. sכmtεm, if anεvrizm de, dεn kin yεri wan difrεnt "swoosh" sawnd (carotid bruit).
• Famili mɛdikal histri: Di ​​dɔktɔ go aks bɔt di mɛdikal kɔndishɔn na yu famili, bikɔs if pɔsin na yu famili dɔn gɛt aneurysm, yu kin de pan denja bak.
• Yu mɛdikal histri: Yu dɔktɔ go aks bɔt ɛni mɛrɛsin we yu gɛt ɛn ɛni mɛrɛsin we yu de tek. Dis kin ɛp fɔ no wetin mek di anɛrizm de.
• Imej Tεst dεm: Dis na tεst dεm we de sho εksεkεkt wetin de apin insay di carotid atεri εn aw di εria we de rawnd de luk. Dɛn tin ya go kɔnfirm if aneurism de ɛn sho di bɛst tritmɛnt.

Sɔntɛnde, dɔktɔ dɛn kin du dɛn tɛst ya bikɔs dɛn kin tink se dɛn gɛt aneurysm bikɔs ɔf di sayn dɛn we i gɛt. כda tεm dεm, dεn kin fכnshכn dεm aksidεntli we dεn de du tεst fכ כda kכndyushכn (`(Incidental Diagnosis)`).

Men tɛst fɔ no if pɔsin gɛt di sik:

• CT Skan (Kɔmpyut Tomografi - CT Skan) .
• MRA Skan (Magnεtik Rεsכnans Angiografi - MRA) .
• Ultrasound Skan we dɛn kin du

Apat frɔm dis, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ yu:

• Wan bren skan fɔ chɛk di blɔd we de flɔ na di bren ɛn si if ɛni ɔda anɛrizm de.
• Jɛnɛtik tɛst fɔ chɛk fɔ di kɔndishɔn dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.
• כda skan dεm fכ chεk fכ anεvrizm na כda big bכdi vεsul dεm na di bכdi (e.g., di aorta).

Wetin na di tritmɛnt fɔ dis?

Bɔku tritmɛnt dɛn de fɔ di carotid artery aneurisms. Di men gol dɛm fɔ tritmɛnt na fɔ ridyus di simptom dɛm ɛn ridyus di risk fɔ siriɔs kɔmplikeshɔn dɛm, lɛk fɔ brok di anɛrizm ɔ fɔ paralayz.

Di dɔktɔ go tink bɔt sɔm tin dɛn fɔ disayd if yu nid fɔ du ɔpreshɔn ɔ ɔda tin:

• Di sayz fɔ di anɛrizm.
• Aw di aneurism de gro kwik kwik wan .
• Ilɛksɛf yu gɛt sɔm sayn dɛn ɔ yu nɔ gɛt am .

Di men tritmɛnt dɛn we yu kin gɛt na:

• Wach
• Opin Ɔpreshɔn
• Endovaskyuɛl Stɛnt Graftin

Sɔvɛlayshɔn / Wachful Waiting

Dɛn kin kɔl dis bak "watchful waiting." Dis kin min se yu dɔktɔ kɔntinyu fɔ wach yu aneurism. Yu go gɛt tɛst (lɛk ɔltra saund, CT skan, ɔ MRI skan) ɛvri 6 to 12 mɔnt fɔ si if ɛni chenj de na di anɛrizm. Bɔku tɛm dɛn kin yuz dis fɔ smɔl smɔl anɛrizm dɛn we nɔ gɛt ɛni sayn .

If yu gɛt ay blɔd prɛshɔn, yu dɔktɔ kin gi yu mɛrɛsin fɔ blɔd prɛshɔn . Dis kin ɛp fɔ ridyus di prɛshɔn we de pan di anɛrizm. Dɛn kin gi dɛn bak mɛrɛsin fɔ mek dɛn nɔ gɛt bɔku kɔlɔstrel .

Opin Ɔpreshɔn

Dis na di tradishɔnal we fɔ trit pɔsin. Insay dis, di dɔktɔ we de du di ɔpreshɔn kin pul di pat we dɔn pwɛl ɛn we dɔn swel na di karotid at ɛn mek nyu rod fɔ mek blɔd flɔ insay in ples. Dɛn kɔl dis baypas graftin .

Fɔ mek dis nyu blɔd vesel (graft), di dɔktɔ we de du ɔpreshɔn kin yuz wan pat pan blɔd vesel we dɛn tek frɔm ɔda pat na yu yon bɔdi, ɔ dɛn kin yuz vein we dɛn mek wit sɔntin we dɛn mek lɛk GORE-TEX® .

Endovaskyuɛl Stɛnt Graftin

Dis na tin we nɔ kin tek bɔku pipul dɛn pas ɔpreshɔn we dɛn kin du opin wan. di sayz fכ di anεvrizm εn di say we i de na di karotid at go sho if yu na kandidet fכ dis prכsidכm.

εndovaskul min se dεn de du di כpεraysh כn insay yu bכdi vεsul dεm, dεn de yuz lכng, tin tכb dεm (kateta dεm).Di dɔktɔ we de du di ɔpreshɔn kin mek smɔl ol na wan at na yu groin, put dis tiub tru am, ɛn sɛn wan stent graft (smɔl tiub we tan lɛk mɛsh) to di anɛrizm ɔnda ɛkstrem rayt gayd. afta dat dεn de inflate di stent graft insay di atεri, we de kכba di anεvrizm. Dɔn blɔd kin kɔmɔt na di nyu stent graft.

Us tritmɛnt we rayt fɔ mi?

Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu. I go tek yu kɔndishɔn ɛn wetin yu nid fɔ tink bɔt. Bifo ɛni tritmɛnt, yu dɔktɔ go ɛksplen klia wan bɔt di bɛnifit dɛn, di bad tin dɛn, ɛn di bad tin dɛn we kin apin to yu. I go ɛksplen bak aw fɔ pripia fɔ di tritmɛnt ɛn di tɛm we pɔsin go wɛl afta di tritmɛnt.

Wetin wi go du fɔ ridyus dis prɔblɛm?

Sɔm risk factor dɛm (e.g., famili histri) nɔr kin ebul fɔ kɔntrol. Bɔt tin dɛn de we wi kin du fɔ mek wi at dɛn gɛt wɛlbɔdi ɛn fɔ mek wi nɔ gɛt anɛrizm:

• Nɔ smok, vap, ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda. Aks yu dɔktɔ fɔ ɛp yu fɔ lɛf fɔ du am.
• It tin dɛn we go ɛp yu at, we nɔ gɛt bɔku sɛtyuret fat, sɔl, ɛn shuga.
• Ɛksesaiz ɔltɛm lɛk aw yu dɔktɔ tɛl yu fɔ du.
• Limit fɔ drink rɔm.
• Kɔntrol di risk factor dɛm lɛk ay blɔd prɛshɔn.
• Tek di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
• Gɛt mɛdikal chɛk-ap ɛvri ia ɛn nɔ mis yu dɔktɔ in apɔntinmɛnt.

Wetin yu fɔ tink we yu kam fɔ no se yu gɛt aneurysm?

Di fiuja fɔ pɔsin we gɛt carotid artery aneurysm kin difrɛn. Sɔm pipul dɛn kin gɛt smɔl anɛrizm we dɔktɔ dɛn kin jɔs wach fɔ lɔng lɔng tɛm. Fɔ ɔda pipul dɛn, di aneurism kin gro kwik kwik wan ɛn dɛn nid tritmɛnt. Pan ɔl we ɔpreshɔn ɛn endovaskyuɛl tritmɛnt kin trit aneurism, dɛn kin gɛt prɔblɛm bak. Tɔk opin wan wit yu dɔktɔ bɔt yu sik ɛn wetin fɔ ɛkspɛkt fɔ go bifo.

Aw a fɔ kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

Fɔ fala yu dɔktɔ in advays bɔt aw fɔ chenj yu layf fɔ ɛp fɔ kɔntrol yu sik. Dɔn bak, aks bɔt tin dɛn we nɔ fayn fɔ yu. Yu kin nid fɔ avɔyd sɔm tin dɛn we kin mek yu bɔdi taya tumɔs .

Wetin na di spɛshal tɛm dɛn we yu fɔ go to dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ go to dɔktɔ ɛn if yu nid fɔ du ɛni tɛst. Mek shɔ se yu go na ɔl dɛn apɔntinmɛnt dɛn de.

Kɔl yu dɔktɔ pan dɛn kayn tin ya:

• If nyu sayn de sho ɔr di sayn dɛm we dɔn de chenj.
• If yu gɛt sayd ɛfɛkt frɔm wan mɛrɛsin we yu de tek.
• Bɔt yu aneurism ɛn yu tritmɛnt planIf yu gɛt ɛni kwɛstyɔn ɔ dawt.

Ustɛm fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) :

If yu gɛt sayn dɛm fɔ ``Hat Atak'', ``Stroke'', ɔ ``TIA'', kɔl 911 ɔ yu lokal imejensi nɔmba wantɛm wantɛm.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu kam fɔ no se yu gɛt carotid artery aneurysm, yu kin gɛt bɔku kwɛstyɔn. Bɔt sɔntɛm yu nɔ go no usay fɔ bigin. Na sɔm kwɛstyɔn dɛn ya yu kin aks fɔ bigin di tɔk:

• Usay di aneurism de? Na di nɛk ɔ insay di skel?
• Aw big di aneurism de?
• A go nid tritmɛnt? If na so i bi, ustɛm?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di bɛnifit ɛn bad tin dɛn we ɛni tritmɛnt we yu kin gɛt?
• Wetin a fɔ ɛkspɛkt we a de wɛl afta a dɔn gɛt tritmɛnt?
• Us chenj dɛn we a nid fɔ chenj mi layf?
• Ɛni tin dɛn de we a nɔ fɔ du?
• A go nid fɔ du mɔ tɛst dɛn? If na so i bi, aw kwik?

di difrεns bitwin wan aneurism na di nεk (extracranial) εn wan aneurism insay di sכkul (intracranial) .

Dɛn tu nem ya de tɔk bɔt wan anɛrizm we de fɔm na wan karotid at. Bɔt dis de tɔk bɔt difrɛns we de na di say we di anɛrizm de.

• εkstrakranial min se di anεvrizm de na do na di sכkul, we min se na di nεk εria .
• Intrakranial min se di aneurism de insay di skel .

di intanεt karotid at we wi de insay de sheb to dεn sεgmεnt dεm ya biכs i de travul כp di nεk εn insay di sכkul. fכ simpul wan, di pat pan di at we de na di nεk (di sεvikal sεgmεnt כ C1) dεn kכl am di εkstrakranial sεgmεnt. di pat dεm we de afta di atεri go insay di sכkul (di petrous, lacerum, cavernous, clinoid, ofthalmic, communicating segments - C2 to C7) dεn kכl dεm di intracranial segment. yu nכ nid fכ mεmba dεn nem dεm ya, bכt if yu dכkta se sכmtin lεk, "Yu gεt anεvrizm na yu lεft intanal karotid atεri, sεvikal sεgmεnt," wetin i min na dat anεvrizm de na di pat pan di at na yu lεft nεk, ausayd di sכkul.

Nɔr frayd fɔ aks yu dɔktɔ bɔt ɛni mɛrɛsin wae yu nɔr ɔndastand. Da we de, yu kin ɔndastand gud gud wan bɔt wetin de apin na yu bɔdi ɛn usay i de apin.

Fɔ dɔn, sɔm tin dɛn we yu fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt aneurysm. Kwɛshɔn dɛn lɛk "Wetin mek dis apin to mi?" ɛn "Mi layf ɛvride go chenj?" kin kam na yu maynd. Yu kin fred bak fɔ gɛt prɔblɛm dɛn.

Bɔt, di tin we impɔtant pas ɔl na fɔ nɔ wɔri.Wit di advans imej teknɔlɔji ɛn tritmɛnt tide, bɔku pipul dɛn kin liv nɔmal layf. Sɔm kin ebul fɔ wach dɛn aneurism, ɛn ɔda wan dɛn kin nid tritmɛnt.

If dɛn dɔn no se yu gɛt carotid artery aneurysm, tɔk to yu dɔktɔ bɔt di nɛks step ɛn tritmɛnt. If di aneurism smɔl, yu dɔktɔ kin tɛl yu fɔ wach am. Mek shɔ se yu kip yu dɔktɔ in apɔntinmɛnt ɛn skan ɛvride. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɔk to yu dɔktɔ. Yu kin bia wit dis sik bay we yu fala di rayt advays we dɔktɔ gi yu ɛn gɛt gud abit.

` Carotid Artery Aneurysm, Carotid Artery Aneurysm, Nɛk Blɔd Vesɛl, Blɔd Flɔ to di Bren, TIA, Mini Strok, Strɔk, Paralayz, Aneurysm Simptom dɛm, Aneurism Tritment