Yu kin fil pen ɔ pen na yu leg, mɔ na di groin eria, we yu de waka? Dis pen kin bɔku we yu waka fa smɔl ɛn i kin stɔp we yu tinap wansay? If yu gɛt dɛn kayn sik ya, yu kin gɛt dis sik bak. Nɔr wɔri, dis na sik wae kin afɛkt bɔrku pipul dɛm. Tide, lɛ wi tɔk bɔt wetin kin mek dis sik ɛn wan mɔdan tritmɛnt we dɛn kɔl Atherectomy.
Wetin na PAD? Wetin mek di vein dɛn kin lɔk?
Fɔ tɔk am simpul wan, PAD tinap fɔ Peripheral Artery Disease . Insay Sinhala, na we di blɔd vesel dɛn (arteries) we de kɛr blɔd go na di ɔgan dɛn we de fa lɛk di limb dɛn na wi bɔdi we de blok. Imajin se as tɛm de go, tin dɛn lɛk rɔst ɛn dɔti kin stɔp na wata paip. na di sem we, "plek" kin de insay wi bכdi vεsεl dεm. dis plek na layεr we de fכm we tin dεm lεk kכlestכl, fεt, εn kalsiכm de kכmכt. Insay mɛrɛsin, wi kin kɔl dis (Atherosclerosis) .
As di blɔd vesel de smɔl smɔl bikɔs ɔf dis blɔk, di blɔd we de pas insay de go dɔŋ. We yu de du ɛksɛsayz ɔ waka, di mɔsul dɛn na yu leg nid mɔ blɔd, we min se yu gɛt mɔ ɔksijɛn. Bɔt bikɔs di vein dɛn kin blok, dɛn nɔ kin gɛt di blɔd we dɛn nid. Na da tɛm de di pen ɛn di numbness kin kam.
Wetin na di tritmɛnt we dɛn kɔl atherectomy?
Atherectomy na spɛshal tritmɛnt we de pul ɔ klin di plek we dɔn gɛda insay blɔd vesel we dɔn blok. Dis nɔto big ɔpreshɔn. I min se yu fɔ put wan tiub we rili tan (kateta) tru wan pan yu blɔd vesel dɛn ɛn gayd am to di say we i blok. Na di ɛnd pan dis tiub, dɛn gɛt wan bled we rili tan ɛn shap ɔ wan tin we de mek layt we gɛt lɛsa.
Fɔ tɔk di kɔrɛkt tin, dis tan lɛk we yu put waya insay paip we dɔn lɔk ɛn skrap di dɔti we de insay.
Dis divays de kɔt ɛn skrap di plek we dɔn at. Sɔntɛnde, dis tritmɛnt kin gɛt fɔ du wit balyɔn angioplasty fɔ opin di at mɔ ɔ wan stent fɔ mek i nɔ lɔk bak. Yu dɔktɔ go ɛksplen dis to yu ditayli.
Ɔmɔs kayn atherectomy de?
Yɛs, dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ pul di at we de na di blɔd vesel dipen pan di kayn we aw di blɔd vesel dɔn blok ɛn usay i de. Bɔku men kayn dɛn de.
| Di kayn we aw dɛn kin pul di at | Fɔ tɔk am simpul wan, wetin kin apin |
|---|---|
| Excisional Atherectomy we dɛn kin du | Dɛn kin pul di yɔlɔ layt bay we dɛn kɔt am na wan say wit shap bled. |
| Laser Ablashɔn Atɛrektɔmi | Dɛn kin yuz lɛsa bim fɔ sɔlv, vaypa, ɛn pwɛl di yɔlɔ layt. |
| Ɔrbital Atɛrektɔmi | Dɛn kin skrap di yɔlɔ layt wit wan tin we kin rɔta kwik kwik wan, we fiba san pepa. |
| Rotational Atherectomy we dɛn kin yuz fɔ mek tin dɛn | Dɛn kin rɔta wan tin we gɛt bɔku smɔl smɔl bled dɛn insay wan sɛklɔ fɔ krɔs ɛn pul di yɔlɔ layt. |
Wetin a fɔ du bifo dis tritmɛnt?
Bifo yu du dis tritmɛnt, yu dɔktɔ go ɔda fɔ du bɔku tɛst fɔ si ustɛm yu blɔd vesel dɛn dɔn blok.
- Angiography: Na tɛst we dɛn kin put spɛshal day insay di vein dɛn ɛn tek ɛkstrem rayt fɔ mek map fɔ di vein dɛn.
- Vascular Ultrasound: Na skan we de yuz sawnd wev fɔ luk aw blɔd de flɔ insay di vein dɛn ɛn fɛn say dɛn we dɔn blok.
Di de bifo yu tritmɛnt, yu go gɛt sɔm spɛshal instrɔkshɔn dɛn.
- Na tɛm fɔ lɛ wi stɔp fɔ it ɛn drink.
- Bɔt fɔ tek ɔ stɔp di mɛrɛsin dɛn we yu de tek, mɔ di wan dɛn we de mek yu blɔd blɔd .
I rili impɔtant fɔ fala ɔl dɛn tin ya jɔs lɛk aw yu dɔktɔ advays yu.
Wetin kin apin we dɛn de trit am?
We yu go na ɔspitul, dɛn go gi yu spɛshal klos fɔ wɛr. Dɔn, dɛn go gi yu mɛrɛsin fɔ numb yu so dat yu nɔ go fil ɛni pen we yu de du di tritmɛnt. Bɔku tɛm dɛn kin du dis we yu stil de no, bɔt dɛn kin du am wit smɔl smɔl mɛrɛsin fɔ mek yu fil fayn.
1. Di dɔktɔ go mek smɔl ol na wan blɔd vesel na yu groin ɔ yu an ɛn put wan tin tiub (kateta) tru am.
2. Dɔn, we yu de luk pan ɛkstrem rayt, dɛn kin tek tɛm gayd di tiub fɔ go usay di vein we dɔn blok de.
3. We yu rich di say we di blɔk, aktiv di divays (bled ɔ lɛsa) we de na di ɛnd pan di tiub ɛn skrap ɔ kɔt di yɔlɔ layt.
4. Dis prכsεs kin ripit bכku tεm te nכ tin we de ambɔg di bכdi fכ fכlכ.
Bɔku tɛm, dis wan ol tin kin tek lɛk tu awa so.
Wetin fɔ ɛkspɛkt afta dɛn dɔn trit yu?
Afta di tritmɛnt, yu go nid fɔ ledɔm flat na bed fɔ sɔm awa (i go bi lɛk 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 ɛn yu puls ɔltɛm.
Bɔrku tɛm, dis na tritmɛnt wae kin mek yu go na os di sem de ɛn nɔr nid fɔ de na ɔspitul. Bɔt sɔm pipul dɛn kin gɛt fɔ de na ɔspitul fɔ wan de. I dipen pan yu kɔndishɔn. Yu go ebul fɔ bigin du tin dɛn we yu nɔ bin de du bak insay sɔm dez. Bɔt i go fayn fɔ mek yu aks yu dɔktɔ fɔ advays.
Wetin na di bɛnifit dɛn we dis kin gɛt?
Di men bɛnifit we atherectomy gɛt na dat dɛn kin du am tru smɔl say we dɛn kɔt am, pas fɔ du big ɔpreshɔn . Dis kin mek i nɔ kin te fɔ wɛl, i nɔ kin fil pen, ɛn i nɔ kin gɛt bɔku skata.
Ɛni sayd ɛfɛkt ɔ risk de?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm prɔblɛm dɛn kin de.
- We dɛn skrap di yɔlɔ layt, wan smɔl pat pan am kin brok ɛn stɔp na ɔda smɔl vein we de bifo.
- Na smɔl tɛm nɔmɔ di tin we dɛn kin yuz fɔ skrap kin pwɛl di vein wɔl, ɛn mek i skrach ɔ ol.
Bɔt dɛn tin ya nɔ kin apin bɔku tɛm. Dɔktɔ dɛn we gɛt ɛkspiriɛns kin du ɔl wetin dɛn nid fɔ mek dɛn nɔ gɛt dɛn prɔblɛm dɛn ya.
Ustɛm yu want fɔ si di dɔktɔ bak?
We yu go na os afta yu dɔn gɛt tritmɛnt, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sik ɔ if ɛni wan pan di sik dɛn we yu dɔn gɛt dɔn wɔs. Tek tɛm mɔ bɔt dɛn tin ya:
- Big pen na di groin ɔ di leg we dɛn dɔn trit.
- Leg we de swel (Edima) .
- Rɛd ɔ filin fɔ wam na di say we dɛn dɔn trit.
- Fɔ fil kol ɔ nɔ de fil na di leg we dɛn dɔn trit.
If yu fil sɔntin lɛk dis, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- PAD (Peripheral Artery Disease) na wan sik we di blɔd vesel dɛn na di limb dɛn kin smɔl ɛn smɔl. Dis kin mek yu leg fil pen we yu de waka.
- Atherectomy na wan mɔdan tritmɛnt we dɛn kin pul di at dɛn we dɔn blok bay we dɛn de yuz wan tin tiub, ɛn dɛn nɔ kin du big ɔpreshɔn.
- Dis tritmɛnt kin jɔs sef ɛn di tɛm fɔ wɛl kin shɔt.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn strikt wan bifo ɛn afta di tritmɛnt.
- If yu gɛt ɛnitin we nɔ kɔmɔn (pen, swel, brus) afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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