Yu go mɔs dɔn notis se as di wata paip dɛn na wi os dɛn de ol, dɛn kin gɛt dɔti ɛn rɔst. Semweso, di blɔd vesel dɛn na wi bɔdi, we na di tiub dɛn we de kɛr blɔd, kin lɔk wit difrɛn tin dɛn as tɛm de go. We blɔd vesel kin lɔk, di blɔd nɔ kin ebul fɔ flɔ. insay dis kayn kes, di prosidכs fכ pul di tin dεm we kכlכg tru כpεrayshכn εn klin di bכdi vεsul dεn jכs kכl am ``Endarterectomy``.
Wetin na Endarterectomy? Wetin rili apin?
Fɔ tɔk am simpul wan, endarterectomy na ɔpreshɔn fɔ opin bak di at dɛn we dɔn blok ɔ we dɔn smɔl. Plɛk na wan had, stika layt we gɛt fat ɛn kalsiɔm we kin gɛda insay wi blɔd vesel dɛn. I tan lɛk se rɔst de fɔm pan wata paip. Insay dis ɔpreshɔn, dɔktɔ dɛn kin opin di blɔd vesel ɛn skrap di plek we dɔn gɛda insay.
We dɛn pul di plek dis we, di ples we de insay di blɔd vesel kin bɔku. Dis kin mek blɔd flɔ fayn bak. Dis kin rili ridyus di risk fɔ mek blɔd klɔt ɛn siriɔs tin dɛn lɛk strok .
Dɛn kin du dis ɔpreshɔn we di sik we dɛn kɔl atherosclerosis, we na we di blɔd vesel dɛn kin bɔku, kin rili bad, mɔ pan di wan dɛn we de sho di sayn dɛn.
Di men tin dɛn we dɛn kin trit wit dis ɔpreshɔn na:
- Peripheral Artery Disease (PAD): Dis na we di plek kin bɔku na di at we kin kɛr blɔd go na yu leg ɔ yu an, ɛn i kin blok dɛn. Dis kin mek yu leg fil pen we yu de waka, wund we nɔ de wɛl, ɛn we di wɔs tin, tisu day (gangrene).
- Carotid Artery Disease: Dis na di we aw di plek kin gɛda na di tu men at na wi nɛk we kin kɛr blɔd go na di bren. If dɛn at dɛn ya smɔl, dɛn kin kɔt di blɔd we de go na di bren, ɛn dis kin mek i gɛt strok, i kin atak fɔ sɔm tɛm (TIA), ɔ i kin mek i nɔ ebul fɔ si fɔ sɔm tɛm.
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ pul di endarterectomy?
Difrɛn kayn dɛn de fɔ dis ɔpreshɔn dipen pan usay dɛn du am. Fɔ mek i izi fɔ yu fɔ ɔndastand, lɛ wi luk am dis we.
| Di kayn ɔpreshɔn we dɛn kin du | Poynt fɔ pul di blɔk | Impɔtant tin |
|---|---|---|
| Carotid Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | Di at we de kɛr blɔd go na di bren tru di nɛk. | Wan ɔpreshɔn we dɛn kin du ɔltɛm. I de ridyus di risk fɔ mek pɔsin paralayz. |
| Aɔtik ɛn Iliak Ɛndatɛrɛktɔmi | di men at dεm na di bכdi εn di bכdi. | Na ɔpreshɔn we dɛn kin du ɔltɛm. |
| Femoral Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | di at dεm we de rכn frכm di groin εria to di leg dεm. | I de mek di blɔd go bak na di leg dɛn. |
| Korona Ɛndartɛrektomi | Coronary arteries, we de gi blɔd to di at. | Bɔku tɛm dɛn kin du am wit baypas ɔpreshɔn. |
| Pulmonary Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | Di at dɛn we de na di pulmonari. | Na ɔpreshɔn we dɛn nɔ kin du ɔltɛm. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo yu du dis ɔpreshɔn, di dɔktɔ go du bɔku tɛst dɛn fɔ no ɔmɔs ɛn usay di blɔd vesel dɔn blok.
- Doppler ultrasound: Na skan we de yuz sawnd wev fɔ luk fɔ blɔd we de flɔ ɛn blok.
- CT angiography: Dɛn kin yuz spɛshal X-ray ɛn kɔntrast day fɔ mek tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ di blɔd vesel dɛn.
- Angiography: Dɛn kin injekt wan day dairekt insay wan at ɛn dɛn kin yuz ɛkstrem rayt fɔ tek pikchɔ fɔ di blɔd vesel dɛn.
- MRA (Magnεtik Rεsכnans Angiografi - MRA):Dɛn kin yuz magnet ɛn redio wev dɛn fɔ gɛt ditayli pikchɔ dɛn bɔt di blɔd vesel dɛn.
Afta dɛn tɛst ya, yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk fɔ mek yu blɔd tan. Dɛn kin aks yu bak fɔ bigin tek sɔm mɛrɛsin dɛn lɛk aspirin. Yu fɔ du ɔl dis jɔs lɛk aw yu dɔktɔ tɛl yu.
Yu go nid bak fɔ fast (nɔ it ɔ drink ɛnitin) fɔ sɔm awa bifo di ɔpreshɔn. Di tim we de gi yu anestezi go gi yu patikyula instrɔkshɔn bɔt dis.
Aw dɛn kin du di ɔpreshɔn?
Dɛn go gi yu anestezi fɔ mek yu nɔ fil ɛni pen we dɛn de du di ɔpreshɔn. Dɛn kin gi bɔku pipul dɛn jenɛral anestezi. Dis min se yu go de slip di tɛm we dɛn de du di ɔpreshɔn. Bɔt sɔm tɛm, mɔ we dɛn de du ɔpreshɔn lɛk carotid endarterectomy, dɛn kin kip yu wek ɛn na di eria nɔmɔ we dɛn de tɔk bɔt go numb (local anesthesia) fɔ mek i izi fɔ wach aw yu bren de wok.
Na dis na di step-by-step brekdaun fɔ wetin kin apin we dɛn de du di ɔpreshɔn:
1. Skin incision: Dɛn kin mek smɔl insay di skin dairekt oba di at we dɔn blok.
2. Fɔ pul di plek: Dɛn kin opin di at ɛn tek tɛm skrap di layt we de insay di plek.
3. Klos di at: Dɔn dɛn kin stich di at. Sɔntɛnde, dɛn kin siŋ smɔl pat na in ples fɔ mek di at nɔ smɔl bak. Dis pat kin mek am wit atifishal wan ɔ i kin bi wan pat pan di tisu we dɛn tek frɔm ɔda vein na yu yon bɔdi.
4. Fɔ lɔk di skin: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt di skin wit stich.
Wan Carotid Endarterectomy kin tek lɛk wan ɔ tu awa so. Di tɛm fɔ ɔda kayn ɔpreshɔn kin difrɛn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Di tin we impɔtant pas ɔl na dat if dɔktɔ tɛl yu fɔ du dis ɔpreshɔn, dat min se di bɛnifit dɛn we yu go gɛt we yu du di ɔpreshɔn, pas di prɔblɛm dɛn we yu go gɛt if yu nɔ du di ɔpreshɔn.
Di men bɛnifit dɛn we yu kin gɛt:
- Dɛn kin pul di blɔk ɛn di blɔd vesel kin kam bak to nɔmal.
- As di blɔd de go bak to nɔmal, tin dɛn lɛk pen na yu leg ɛn wund dɛn we nɔ de wɛl kin bigin fɔ wɛl.
- Di risk fɔ gɛt strok kin ridyus bad bad wan.
- Bɔku tɛm, di tin dɛn we kin apin we dɛn du ɔpreshɔn kin las fɔ lɔng lɔng tɛm.
Di prɔblɛm dɛn we kin apin:
Jɔs lɛk ɛni ɔpreshɔn, smɔl smɔl prɔblɛm dɛn de we kin apin.
- Blɔd we de kɔmɔt
- At prɔblɛm lɛk at atak
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik
- Di nerve damej (bɔku tɛm na fɔ shɔt tɛm) .
- Ri-narrowing of di artery afta di ɔpreshɔn
- Paralayz we pɔsin kin gɛt
Bɔt fɔ bɔku pipul dɛn, di risk fɔ gɛt siriɔs prɔblɛm dɛn kin rili smɔl.
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?
Di lɔng tɛm we yu go de na ɔspitul afta dɛn dɔn du di ɔpreshɔn go difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn du.
| Di kayn ɔpreshɔn we dɛn kin du | Avrej lɔng tɛm we pɔsin kin de na di ɔspitul |
|---|---|
| Carotid Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | 1 dez |
| Femoral Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | 2-4 dez |
| Aortic ɔ Visceral Endarterectomy we dɛn kin pul | Na lɛk wan wik so |
| Pulmonary Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | Na lɛk 10 dez so |
Afta yu dɔn go na os, i rili impɔtant fɔ rɛst ɛn tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu. Dɛn go aks yu fɔ kam na di klinik fɔ wan fɔlɔp visit insay lɛk 4 wiks. Dɔn dɛn go chɛk di say we dɛn kɔt am. Bɔrku pipul kin go bak na dɛn woke afta dis klinik visit.
Bɔt if yu na pɔsin we de es ebi ebi tin dɛn, yu go nid fɔ rɛst fɔ wan ɔ tu mɔnt te yu wɛl ɔl. Ɛspɛshali if yu dɔn du ɔpreshɔn pan yu bɛlɛ, i nɔ fayn fɔ es pas 5 kilo fɔ tu mɔnt.
Ustɛm yu fɔ kɔl di dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- If yu fil fiva ɔ yu gɛt kol
- If swɛlin, rɛd, ɔ wata we tan lɛk pus de kɔmɔt na di say we dɛn kɔt am
- If yu fil se yu bɔdi de swɛt ɔ yu wik
- If yu si chenj na yu yay, yu nɔ de tɔk fayn, ɔ yu de drɔp na wan say na yu fes
- Nɔs ɔ vɔmit
Mɛsej we dɛn kin kɛr go na os
- Endarterectomy na ɔpreshɔn we dɛn kin du we kin pul di fat (plaque) we de insay di blɔd vesel dɛn ɛn mek di blɔd flɔ bak.
- Dis ɔpreshɔn kin rili ridyus di risk fɔ gɛt siriɔs mɛrɛsin lɛk paralayz.
- Pan ɔl we dis na big ɔpreshɔn, di bɛnifit dɛn kin rili bɔku we dɛn du di rayt pɔsin.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, bifo ɛn afta dɛn du di ɔpreshɔn.
- If yu si ɛni sayn we de wɔn yu afta yu dɔn du di ɔpreshɔn, go to dɔktɔ wantɛm wantɛm. If yu gɛt ɛnitin fɔ wɔri bɔt yu wɛlbɔdi biznɛs, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
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