Sɔntɛnde, yu kin gɛt big prɔblɛm dɛn insay yu bɔdi we yu nɔ ivin no. Wan pan dɛn prɔblɛm ya na we di fimoral artery aneurysm. Fɔ tɔk am simpul wan, wan big blɔd vesel (artery) na yu thigh, nia di hip joyn, de bulge aut lεk balכn, we dεn kכl ``Femoral Artery Aneurysm''. Dis na tin wae yu fɔ wɔri bɔt, bikɔs sɔmtɛm yu kin gɛt dis sik
ɛn nɔr gɛt ɛni sayn .
Wetin na di εksaktɔli fimoral atεri anεvrizm?
Tink bɔt wata paip. Di wɔl na dis paip kin wik wan tɛm ɛn i kin bɔl smɔl smɔl. Na so i bi. di men bכdi vεsεl na yu tכŋ (dεn kכl am `fεmoral atεri`)
de bulge to lεk tu tεm in nכmal saiz. Dis kin apin bikɔs ɔl di layers na di blɔd vesel wɔl strɛch. We di blɔd vesel in wɔl wik dis we, i
kin bɔs . If i bɔs, dis na big blɔd vesel, so bɔku bɔku blɔd kin kɔmɔt na di bɔdi wan tɛm. Dat na tin we rili denja. Dɔn bak, chans de fɔ mek blɔd klɔt fɔm na dis bulge ɛn stɔp na di vein, ɔ i kin brok lɔs ɛn blok wan vein ɔdasay.
Dɛn kayn kayn swɛlin ya de bay usay dɛn kin apin?
yes, dכkta dεn kin klas dis ``Femoral Artery Aneurysm``
akɔdin to di εksakεt say . di men bכdi vεsεl na yu tכŋ, lε wi kכl am di ``kכmכn fεmoral atεri``, de sheb to sכm sכm branch dεm na difrεn ples dεm.
- Sɔm swɛlin kin apin bifo dis men vein branch .
- כda wan dεm kin apin na di say we di branch dεm de divayd , כ na di branch dεm we de divayd, di ``profunda femoral artery`` כ ``superficial femoral artery``.
Dis klasification de du am bay di say we i de bikɔs sɔm tɛm di tritmɛnt kin difrɛn smɔl dipen pan di patikyula say we di swel de.
Udat kin gɛt dis sik pas ɔlman?
pan ɔl we ɛnibɔdi kin gɛt dis sik, we dɛn kɔl ``Femoral Artery Aneurysm,'' sɔm pipul dɛn kin gɛt smɔl smɔl risk.
- Man dɛn kin gɛt am pas uman dɛn.
- Dis risk kin pasmak fɔ pipul dɛm wae dɔn pas 70 ia .
Apat frɔm dat, yu kin de pan denja bak if yu gɛt dɛn tin ya:
- Ay blɔd prɛshɔn : If yu blɔd prɛshɔn de ɔp ɔltɛm.
- Ay kɔlɔstrel : Ay kɔlɔstrel na di fat tin we de insay di blɔd.If yu gɛt bɔku bɔku kɔlɔstrel .
- Kɔnɛktiv tisu sik dɛn : Sɔm sik dɛn de we nɔ kin apin so ɔltɛm we kin afɛkt di bɔdi in tisu dɛm, fɔ ɛgzampul, Ehlers-Danlos syndrome ɔ Marfan syndrome. Pipul wae gɛt dɛn sik ya kin de pan denja bak.
- Yuz tin fɔ smok : Dis risk kin bɔku fɔ di wan dɛn we de smok sigrɛt, bidi, bɛtel nɛt, ɔ ɔda kayn tabak.
- Atherosclerosis : Bɔku tɛm dis na di men tin we kin mek pɔsin gɛt dis sik. Atherosclerosis na we di fat we de bɔku na di wɔl dɛn na di blɔd vesel , we de mek dɛn smɔl smɔl. If yu bin dɔn gɛt at atak bifo, ɔ if yu gɛt prɔblɛm wit di blɔd vesel dɛn na yu leg, lɛk di sik we de na di periferik at, yu kin gɛt di sik we dɛn kɔl atherosclerosis.
- Famili histri : If pɔrsin na yu famili, lɛk yu mama, papa, ɔr brɔda ɛn sista dɛn, dɔn gɛt aneurysm lɛk dis bifo, yu kin gɛt smɔl risk bak.
Aw dis sik kin kɔmɔn?
fכ tru, dis `(Femoral Artery Aneurysm)` na
wan kכndyushכn we rili rεs . Dat min se, i nɔto sik we pipul dɛn kin gɛt. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, sɔm pipul dɛn kin gɛt dɛn swɛlin ya na dɛn tu leg. כda wan dεm kin gεt dεn swel dεm ya (aneurysms) nכto nכmכ na dis fεmoral atεri, bכt na כda bכdi vεsul dεm na di bכdi (fכ egzampl, na di aorta na di bεlε) di sem tεm. Akɔdin to stεdi, dis kכndyushכn de afekt כnli 0.007% pan man dεm. Na uman dɛn, dis pasɛnt ivin smɔl. So, nɔr frayd fɔ tink se dis nɔr kin apin so ɔltɛm, bɔt i rili impɔtant fɔ no bɔt dis.
Wetin kin apin to di bɔdi we dɛn blɔd vesel ya dilayt?
If yu gɛt `(Femoral Artery Aneurysm)`, tu men risk dɛn de. 1.
Blɔd klɔt : Blɔd klɔt kin fɔm na di say we di anɛrizm de ɛn i kin stɔp na da vein de. Ɔ, di klot kin brok fri ɛn travul along di blɔd fɔ blok wan smɔl blɔd vesel ɔdasay (fɔ ɛgzampul, na di lכw leg ɔ fut). Dis kin mek di blɔd nɔ go na da say de ɛn mek prɔblɛm. 2.
Rupture : Dis na di wan we denja pas ɔl. Di wɔl we wik na di at kin bɔl ɛn bɔs wantɛm wantɛm. If dat apin, lɛk aw wi bin dɔn tɔk, i kin mek pɔsin blɔd bɔku ɛn ivin day.
Wetin na di sayn dɛm fɔ dis?
Bɔku tɛm, .
Na lɛk 40% pan di pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni sayn! Dat na di pat we de mek pɔsin fred. Bɔt if di sayn dɛn we de sho se yu gɛt dis sik, dɛn kin inklud:- Wan lump na yu groin : Yu kin fil wan lump na yu groin eria. Sɔmtɛm, dis lump kin fil lɛk se i de throb (pulsating).
- Swel na di lכw leg : Di lכw leg kin swεla.
- Pen ɔ prɛshɔn na yu groin ɔ leg : Yu kin gɛt pen na yu groin, yu shɔl eria, ɔ yu leg, ɔ yu kin fil se yu de prɛs.
- Blɔd we de klɔt : As wi bin dɔn tɔk, di sayn dɛm we de sho se blɔd de klɔt (e.g., kol wantɛm wantɛm, paleness, siriɔs pen) kin apin.
- Bloating : Dis nɔ kin apin so ɔltɛm, bɔt if i apin, i kin mek yu gɛt siriɔs prɔblɛm wit pen we yu de fil wantɛm wantɛm.
Mɛmba se, i kin de witout ɛni sayn, so i fayn fɔ tɔk to dɔktɔ if yu gɛt tin dɛn we kin mek yu gɛt dis sik.
Wetin kin mek dis apin?
difrεn rizin dεm de we mek di wכl na di fεmoral at kin wik εn mek dis kayn bulging (aneurysm).- Atherosclerosis : Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik . we di fεt de kכlכp insay di bכdi vεsul dεm, di wכl dεm na di vein dεm de tik sכmtεm εn dεn de lכs dεn elastik, dεn nכ ebul fכ bia di prεshכn we di blכd de prεshכn igen εn dεn kin wik εn bulge na sכm εria dεm.
- Ay blɔd prɛshɔn : We blɔd prɛshɔn ay fɔ lɔng tɛm, di blɔd vesel dɛn kin de ɔnda big prɛshɔn ɔltɛm. Dis kin mek di wɔl dɛn na di vein dɛn wik bak.
- Trauma : If wan blɔd vesel we de na di shɔl eria dɔn pwɛl bikɔs ɔf aksidɛnt ɔ i wund wantɛm wantɛm, di say kin swel leta. Fɔ ɛgzampul, sɔntɛnde, smɔl smɔl injuri dɛn we pɔsin kin gɛt frɔm sɔm mɛrɛsin dɛn (lɛk fɔ put kateshɔn) kin bi di rizin.
- Kɔnɛktiv tisu sik : As wi bin dɔn tɔk, pipul dɛn we gɛt sik dɛn we nɔ kin apin so ɔltɛm we kin afɛkt di kɔnɛktiv tisu na di bɔdi, lɛk Ehlers-Danlos syndrome, Marfan syndrome, ɔ adventitial cystic disease, kin gɛt we dɛn bɔn wit di blɔd vesel in wɔl dɛn we wik.
- Behçet in sik : Behçet in sik kin mek bak di blɔd vesel dɛn inflamɛns ɛn mek i swel lɛk dis.
dis na di rizin we mek di wכl na yu fεmoral at de wik εn sכmtεm i de strεch כnda di prεshכn we di bכdi de gi, we de fכm wan anεvrizm lεk dis. Aw dɔktɔ dɛn kin no dis?
We yu go to dɔktɔ, dɛn kin fil se yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔt nɔto ɔl di lump na yu groin na aneurysm. Sɔntɛnde, i kin bi wan hεnia. So, fɔ no ustɛm i bi, ɛn fɔ no ustɛm di bulge big, usay i de, ɛn wetin i bi, yu dɔktɔ go aks yu fɔ du sɔm tɛst dɛn lɛk:- Ultrasound scan : Dis na simpul tɛst we nɔ gɛt pen we kin luk insay di blɔd vesel, usay di swɛlin de, ɛn aw i big.
- CT angiogram : Dis na spɛshal kayn CT skan. Insay dis tɛst, dɛn kin put spɛshal day (kɔntrast day) insay yu blɔd vesel dɛn, ɛn di CT skan kin tek ditayla tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ di blɔd vesel dɛn. Dis kin gi bɔku infɔmeshɔn bɔt di blɔk.
- M.R. Angiogram (Magnetic Resonance Angiogram - MRA) : Dis na spɛshal MRI skan we de luk pan blɔd vesel, we fiba CT angiogram.
Di dɔktɔ go disayd us tritmɛnt go fayn fɔ yu bay di infɔmeshɔn we i go gɛt frɔm dɛn tɛst ya. Aw yu kin trit dɛn blɔd vesel ya we dɔn swel na yu leg?
di risk fכ wan ``Femoral Artery Aneurysm'' rupchכ na rεlatεvli lכw (bכt 1% to 14%). So, nɔto ɔlman go nid ɔpreshɔn wantɛm wantɛm . Bɔt yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ mek di anɛrizm fayn pan dɛn kayn tin ya:- If yu gɛt sɔm sayn dɛm (e.g. pen, swel, blɔd we de klɔt).
- If di swɛlin bɔs (dis na imejensi ɛn i nid fɔ du ɔpreshɔn wantɛm wantɛm).
- If di swɛlin de kam big (di dɔktɔ go chɛk am ɔltɛm).
- If di dayamita fɔ di bulge big pas 2.5 sɛntimita (lɛk wan inch) .
fכ mek dis bulge, dכkta dεn kin du `open surgery` . Dat min se dɛn kin kɔt di skin ɛn luk di blɔd vesel dairekt wan. dis nכto di `laparoscopic` כpεrayshכn we dεn kin du bכku tεm tru sכm sכm insishכn dεm wit kεmεra. di sajin de pul di pat pan di bכdi we swεla, we wik εn i de put wan atifishal tכb, we dεn kכl `fabric graft` (tכb we dεn mek wit spεshal kayn klos). Dis tan lɛk we yu kɔt wan wik ples na faya hos ɛn put nyu wan we strɔng pas am. Dɔn di blɔd kin bigin fɔ flɔ bak fayn fayn wan ɛn i nɔ kin ambɔg am.
Us prɔblɛm dɛn kin apin afta dis ɔpreshɔn?
lεk εni כpεrayshכn, sכm chans de fכ sכm kכmplikεshכn afta dis fεmoral atεri baypas graftin כpεrayshכn. Bɔt dɔktɔ dɛn kin rili tek tɛm wit dɛn tin ya.- Infεkshכn : Di wund we dεn כpכt kin fεst εn infεkshכn.
- Blɔd : Blɔd kin kɔmɔt afta dɛn dɔn du di ɔpreshɔn.
- Blɔd we de klɔt: Blɔd kin klɔt na di leg dɛn.
Bɔku tɛm, dɛn tin ya na tin dɛn we pɔsin kin ebul fɔ kɔntrol. If yu fil ɛnitin we nɔ kɔmɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Aw lɔng e kin tek fɔ wɛl afta dis tritmɛnt?
Afta di ɔpreshɔn, yu go nid fɔ de na di ɔspitul fɔ lɛk tri to tɛn dez. I kin tek wan mɔnt ɔ mɔ fɔ mek i wɛl ɛn go bak to di nɔmal tin dɛn we i kin du. So, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli ɛn fɔ peshɛnt insay dis tɛm. Wetin a go du fɔ ridyus dis risk?
as wi bin dכn tכk bכt, di mεn kכz fכ dis `(Femoral Artery Aneurysm)` na `(Atherosclerosis)`, we fεt de bכku na di bכdi vεsul dεm. So, fɔ kɔntrol am kin ridyus di risk fɔ dɛn aneurism ya.- Kɔntrol yu kɔlɔstrel lɛvɛl ɛn yu blɔd prɛshɔn . Tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek.
- Ɛksesaiz ɔltɛm . Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit insay di de, fayn.
- It fayn it we nɔ gɛt bɔku fat . It mɔ frut, vɛjitebul, ɛn it dɛn we gɛt fayv.
- If yu de smok, stɔp am kpatakpata . Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak bak. Dis rili impɔtant.
- Fɔ sɔm pipul dɛn, apat frɔm dɛn chenj ya we dɛn kin chenj dɛn layf, di dɔktɔ kin tɛl dɛn bak fɔ kɔntinyu fɔ tek mɛrɛsin dɛn we de mek dɛn nɔ gɛt bɔku kɔlɔstrel.
If a gɛt bloating lɛk dis, wetin a fɔ ɛkspɛkt?
dis `(Femoral Artery Aneurysm)` nכ go go fכ insεf if dεn nכ trit am. If yu dɔktɔ tɛl yu se yu gɛt wan, i go chɛk am ɔltɛm (tɛl yu fɔ kam fɔ `fɔl-ɔp`). dat min se i go du tεst lεk `(Ultrasound scan)` na sכm intaval dεm fכ si if di swεla de kam big כ if כda prכblεm de. Frɔm dat, i go disayd if dɛn nid fɔ du ɔpreshɔn ɔ if i fɔ wet smɔl. Bɔku tɛm, di tin dɛn we kin kɔmɔt frɔm dɛn ɔpreshɔn dɛn ya kin rili fayn. Di risk fɔ day di tɛm we dɛn de du di ɔpreshɔn rili smɔl, bitwin 1% ɛn 5%. Ivin fayv ia afta di ɔpreshɔn, lɛk 85% pan di blɔd vesel dɛn we dɛn dɔn ripɛnt stil de wok fayn, ɛn dɛn nɔ gɛt ɛni prɔblɛm wit di blɔd we de flɔ. Dis na rili gud nyus. Aw a go tek kia ɔf misɛf?
If yu gɛt `(Femoral Artery Aneurysm)` ɛn yu dɔn gɛt ɔpreshɔn, ɔ dɔktɔ de wach yu we nɔ gɛt ɔpreshɔn, yu go nid fɔ mek dɔktɔ chɛk yu at ɔltɛm fɔ di res ɔf yu layf. Dis chɛk-ap ɔltɛm kin ɛp fɔ no ɛni nyu aneurism bifo dɛn big ɛn bɔs. If yu smok, i kin mek dɛn aneurism ya big. So, yu dɔktɔ go mɔs advays yu fɔ stɔp fɔ smok. Dɔn bak, fala di instrɔkshɔn dɛn we dɛn gi yu fɔ kɔntrol yu kɔlɔstrel ɛn blɔd prɛshɔn ɛksaktɔli. Ustɛm a fɔ go na say usay dɛn de kia fɔ pipul dɛn we gɛt prɔblɛm?
If yu leg ɔ yu fut sho wan ɔ mɔ pan dɛn sayn ya wantɛm wantɛm, yu fɔ go na ɔspitul imejensi rum wantɛm wantɛm, ɛn yu nɔ fɔ de te :- If di leg wik ɔ i fil se i nɔ gɛt layf.
- If di leg swel wantɛm wantɛm .
- If yu de fil pen we yu nɔ go ebul fɔ bia .
- If yu leg dɔn swɛ .
- If yu leg fil kol pas di ɔda leg we yu tɔch am.
- If di leg dɔn tɔn pale ɔ i dɔn chenj in kɔlɔ.
Dɛn sayn ya de sho se siriɔs prɔblɛm de wit di blɔd we de flɔ to di leg, we kin min se di swɛlin kin de mek di blɔd klɔt ɔ di swel kin bɔs. So, fɔ gɛt tritmɛnt kwik kwik wan ɛn nɔ west tɛm, dat kin sev yu layf. Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt dis sik, nɔr shem fɔ aks yu dɔktɔ. Fɔ ɛgzampul, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:- "Dɔkta, wetin rili de mek dis swel na mi veins?"
- "A rili nid ɔpreshɔn fɔ dis? Nɔto ɔda tritmɛnt dɛn de?"
- "A kin gɛt mɔ swɛlin lɛk dis na ɔda pat dɛn na mi bɔdi?"
- "Yu kin gi mi sɔm advays bɔt it dɛn we go ɛp fɔ mek mi kɔlɔstrel lɛvɛl go dɔŋ?"
I rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dis fɔ mek yu ɔndastand di tin we de apin to yu. Wetin na di difrɛns bitwin `Femoral Artery Aneurysm` ɛn `Pseudoaneurysm`?
Sɔntɛnde yu go yɛri bak di wɔd `(Pseudoaneurysm)`. Dis min "fals bulge". dis `(Pseudoaneurysm)` de kכmכn pas di rial `(Femoral Artery Aneurysm)` we wi bin de tכk bכt. כltu, dεn kin fכm wan `(Pseudoaneurysm)` afta dεn du mεdikal prosidכs pan yu bכdi (fכ egzampl, we dεn du `(angiogram)` כ dεn put `(catheter)` insay), εn di wכl fכ da bכdi vεsεl de dεm sכmtεm, εn sכm bכdi kin lik kכmכt εn kכlekt rawnd di vein, we de fכm wan lump. di men difrεns na dat insay rial `(aneurysm)`, כl di layεr dεm na di bכdi vεsul wכl de strεch εn bulge. bכt insay wan `(pseudoaneurysm)`, dat nכ de apin, na wan kכlekshכn fכ bכdi we de lik kכmכt tru wan ol na di bכdi vεsεl wכl. Wetin na di mɛsej we wi want fɔ kɛr go na os frɔm dis stori?
So, pan ɔl we di fimoral artery aneurysm we wi bin tɔk bɔt fɔ lɔng tɛm nɔ kin bɔku, i rili impɔtant fɔ mek yu ɛn yu famili no bɔt am.- Bɔrku tɛm dis kin bi asymptomatic .
- If yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm (ay blɔd prɛshɔn, kɔlɔstrel, smok, famili histri), go to dɔktɔ .
- If yu dɔktɔ si se yu gɛt wan, nɔ panik. Sɔm tritmɛnt dɛn de we dɛn kin yuz fɔ pul am, ivin we dɛn du ɔpreshɔn, bifo i bɔs .
- If yu mit wit dɔktɔ we gɛt ɛkspiriɛns fɔ trit dɛn kayn tin ya, dat go mek yu fil fayn.
- Tek kia ɔf yu wɛlbɔdi ɔltɛm, liv fayn layf, ɛn fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.Dɔn yu kin avɔyd bɔku wɛlbɔdi prɔblɛm dɛn lɛk dis ɛn gɛt wɛlbɔdi.
If yu gɛt ɛni ɔda kwɛstyɔn, mek shɔ se yu tɔk to yu famili dɔktɔ ɔ spɛshal pɔsin.
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