Sɔntɛnde, yu kin fil pen, yu kin fil lɛk yu de swɛt, ɔ yu kin jɔs fil lɛk se yu leg dɛn kin swɛla we yu de waka? Yu leg dɛn kin bigin fɔ at afta yu dɔn waka fɔ shɔt tɛm, ɛn di pen kin stɔp afta yu dɔn tinap fɔ sɔm tɛm? Dɔn wan pan di men rizin dɛn we kin mek dis apin na bikɔs di vein dɛn we de kɛr blɔd go na yu leg dɛn dɔn ful-ɔp wit fat. Wi kin kɔl dis kɔndishɔn Pɛriferal Atiri Disease, ɔ PAD fɔ shɔt. So tide wi de tɔk bɔt wan spɛshal ɛn rili advans tritmɛnt we de klin dɛn vein dɛn ya we dɔn lɔk ɛn mek blɔd flɔ bak. Dɛn kɔl am Atherectomy.
Fɔ tɔk am simpul wan, wetin na Atherectomy?
Jɔs lɛk aw wata paip na wi os kin lɔk wit dɔti ɛn rɔst as tɛm de go, na so fat tin dɛn lɛk kɔlɔstrel kin gɛda bak na wi bɔdi in at dɛn as tɛm de go. wi kכl dis layεr fεt we de bil כp ‘plak’ . dis layεr fכ plek de tik sכmtεm εn i de ridyus di spεs insay di vein. Fɔ tɔk di kɔrɛkt tin, i de mek di vein smɔl. Insay mɛrɛsin, wi kin kɔl dis prɔses Atherosclerosis . So PAD na di kכndyushכn fכ Atherosclerosis we de mek di vein dεm na di limb dεm, spεshal wan di leg dεm, blכk.
Atherectomy na we dɛn kin put wan rili fayn tiub (kateta) insay wan at we dɔn blok ɛn we dɛn yuz smɔl bled ɔ lɛsa bim na di ɛnd pan di tiub, dɛn kin kɔt di plek we dɔn at ɛn skrap am go. I tan lɛk se yu de klin smɔl dɔti we dɔn stɔp insay paip wit spɛshal tul.
Afta dɛn dɔn du dis, dɛn kin pul di blɔk we de na di at, ɛn blɔd kin flɔ fri wan. Sɔntɛnde, afta dɛn dɔn pul dis fat layt, dɔktɔ dɛn kin du angioplasty fɔ mek di at opin, bay we dɛn kin put balyɔn ɔ stent .
Wetin na di men kayn tritmɛnt fɔ atherectomy?
difrεn men kayn tritmεnt dεm de fכ atherectomy, i dipכnt pan di divays we dεn yuz fכ pul dis plek layεr. Yu dɔktɔ go pik di we we go fayn fɔ yu bay tin dɛn lɛk di kayn we aw yu at de blok ɛn di kayn we aw di plek layt de.
| Nem fɔ di we aw dɛn de trit am (Type of Atherectomy) . | Aw I De Wok |
|---|---|
| Excisional Atherectomy we dɛn kin du | Dis min se yu fɔ kɔt ɛn pul di plek layt na wan say wit inschrumɛnt we gɛt fayn bled. |
| Laser Ablashɔn Atɛrektɔmi | As di nem sho, dis de yuz wan ay-ɛnaji laser bim fɔ sɔlv, vaypa, ɛn pul di plek layt. |
| Ɔrbital Atɛrektɔmi | Dis tan lɛk we yu de pul rɔst wit sand pepa. Dɛn kin yuz wan tin we gɛt dayamɔn tip we de rɔta wit ay spid fɔ skrap ɛn pul di plek layt. |
| Rotational Atherectomy we dɛn kin yuz fɔ mek tin dɛn | If na so i bi, dɛn kin yuz wan tin we gɛt sɔm smɔl smɔl bled dɛn we de rɔn wit ay spid fɔ kɔt, krɔs, ɛn pul di plek layt. |
Wetin a fɔ du bifo dis tritmɛnt?
Bifo yu dɔktɔ disayd fɔ du dis tritmɛnt, i go ɔda fɔ du bɔku tɛst fɔ si aw yu vein dɛn dɔn blok ɛn ustɛm dɛn de.
- Angiography: Dis na fɔ injekt spɛshal day na yu blɔd vesel ɛn tek ɛkstrem pikchɔ fɔ di blɔd we de flɔ tru dɛn. Dis kin mek yu ebul fɔ si klia wan ɛnitin we dɔn blok.
- Vascular Ultrasound: Dis tan lɛk we dɛn kin skan am ɔltɛm. I de yuz sawnd wev fɔ mɛzhɔ di spid we blɔd de flɔ na di vein dɛn ɛn fɔ no if di blɔd dɔn blok.
Bay di rizɔlt fɔ dɛn tɛst ya, yu dɔktɔ go disayd if yu fit fɔ Atherectomy. Dɔn di dɔktɔ go gi yu klia instrɔkshɔn dɛn bɔt aw fɔ rɛdi fɔ di tritmɛnt.
- Fɔ it ɛn drink: Dɛn kin aks yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo yu gɛt tritmɛnt.
- Mɛrɛsin: I impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan (anticoagulants) ɔ aspirin. Dɛn kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez.
We yu go na ɔspitul di de we dɛn go trit yu, dɛn go gi yu ɔspitul gɔn ɛn dɛn go put wan tin tiub insay wan vein na yu an fɔ gi yu anestezi. Nɔr wɔri, dɛn kin du ɔl dis so dat yu nɔr go fil ɛni diskɔmfɔt ɔr pen.
Aw di tritmɛnt kin wok?
Okay, naw lɛ wi si aw dɛn kin rili du dis tritmɛnt. Dis nɔto big ɔpreshɔn, so i nɔ de mek big say na yu bɔdi.
1. Fɔs, dɛn go gi yu wan mɛrɛsin we de mek yu nɔ fil fayn ɛn wan mɛrɛsin we de mek yu fil fayn fɔ mek yu fil lɛk se yu dɔn chak smɔl. So yu nɔ go fil ɛni pen, bɔt yu go kɔnshɛns.
2. Dɔn, di dɔktɔ go mek smɔl say na yu skin fɔ put wan tin tiub (kateta) insay wan pan yu vein dɛn (bɔku tɛm na yu groin ɔ yu an).
3. nεks, dεn kin tek tεm gayd di tכb tru di vein, כnda εks-ray gayd, εn sεnd am na di say we di plek dכn kכlכm εn i blכk.
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Dɛn kin nid fɔ du dis bɔku tɛm te di blɔd flɔ bak. Bɔku tɛm, di wan ol tin kin tek lɛk tu awa so.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt dɔn fayn fayn wan, yu go nid fɔ ledɔm na bed fɔ sɔm awa (bɔku tɛm fɔ 4-6 awa) fɔ mek yu nɔ blɔd kɔmɔt na di say we dɛn put di kateshɔn. Insay dis tɛm, di nɔs dɛn go de chɛk yu blɔd prɛshɔn, yu puls, ɛn yu at rit ɔltɛm.
Bɔku tɛm, dɛn kin du dis as ɔutpatient prosidur, we min se yu kin go na os di sem ivintɛm. Bɔt sɔntɛnde, i kin nid fɔ de na ɔspitul fɔ wan de, i kin dipen pan aw yu sik.
Bɔku tɛm, yu kin go bak to yu nɔmal tin dɛn insay sɔm dez. Bɔt bikɔs ɔlman in tɛm fɔ wɛl difrɛn, i go fayn fɔ aks yu dɔktɔ bɔt di bɛst tɛm fɔ bigin yu wok bak.
Benefit ɛn risk dɛm fɔ atherectomy tritmɛnt
Jɔs lɛk ɛni ɔda mɛrɛsin, atherectomy gɛt in bɛnifit ɛn sɔm rili smɔl risk dɛn. I impɔtant fɔ no bɔt dɛn tin ya.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| I de gi rilif kwik kwik wan frɔm di PAD simptom dɛm (lɛk pen na yu leg). | We yu kɔt di plek, smɔl pat pan am kin brok ɛn stɔp na ɔda smɔl at we de bifo yu. |
| Dis nɔto big ɔpreshɔn. Na smɔl ol nɔmɔ dɛn kin mek na di skin. (I nɔ kin invayd smɔl) | Sɔntɛnde, di divays kin pwɛl di blɔd vesel, ɛn mek ol. |
| Bɔku tɛm, di tritmɛnt kin tek shɔt tɛm, lɛk tu awa so. | Blɔd ɔ infɛkshɔn kin apin na di say we dɛn put di tiub. |
| Yu kin wɛl kwik kwik wan ɛn go bak to nɔmal layf. | Sɔm chans de fɔ mek di plet go de bak na di sem ples. |
Bɔt yu fɔ mɛmba se dɛn bad tin ya nɔ kin apin so ɔltɛm. Dɔktɔ dɛn we gɛt ɛkspiriɛns kin rili sabi fɔ mek dɛn tin ya nɔ apin ɛn fɔ mɛn dɛn if dɛn apin.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
We yu go na os afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ pe atɛnshɔn to ɛni chenj na yu bɔdi. If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ tɔk to yu dɔktɔ we yu nɔ go te .
| If yu gɛt dɛn sik ya afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm. |
|---|
| - Big pen we yu nɔ go ebul fɔ bia na di groin eria ɔ leg we dɛn dɔn trit. |
| - Leg we de swel (Edima) . |
| - Rɛd ɔ wam filin na di say we dɛn trit. |
| - di leg we dεn trit de fil kol כ nכmba pas di כda leg. |
Atherectomy na wan we we rili fayn ɛn we sef fɔ trit Pɛriferal Atɛri Disease (PAD). If yu gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn gɛt advays. Tɛnki fɔ di mɔdan tritmɛnt dɛm lɛk dis, wi dɔn ebul naw fɔ dil wit dɛn sik ya fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Atherectomy na simpul, minimally invasive tritmεnt we de skrap εn pul di fεt dεposit dεm (plaque) we dכn lod na di atεri dεm bikoz fכ PAD.
- Bikɔs dis nɔto big ɔpreshɔn, yu kin wɛl kwik ɛn kam bak to nɔmal layf.
- Jɔs lɛk ɔl di tritmɛnt dɛn, smɔl smɔl prɔblɛm dɛn de, bɔt dɛn nɔ kin bɔku ɛn dɔktɔ dɛn we gɛt ɛkspiriɛns kin ebul fɔ mɛn dɛn.
- If yu gɛt pen we nɔ kɔmɔn, swel, rɛd, ɔ swɛt na yu leg afta yu dɔn trit yu, kɔl yu dɔktɔ wantɛm wantɛm .
- Yu layf, lɛk fɔ it ɛn ɛksesaiz, rili impɔtant fɔ mek dis tritmɛnt go bifo ɛn fɔ mek yu nɔ gɛt di sik bak.
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