Yu dɔn ɛva tink se di blɔd vesel dɛn we de insay wi bɔdi tan lɛk di wata paip dɛn we de na os? Jɔs lɛk aw as tɛm de go, dɔti ɛn rɔst kin gɛda insay wata paip dɛn ɛn mek wata nɔ de flɔ, na so tin dɛn lɛk ɔyl ɛn fat kin gɛda bak insay wi blɔd vesel dɛn ɛn mek blɔd nɔ flɔ. Na dat wi kin kɔl `Endarterectomy`, we na ɔspitul fɔ klin dis kayn blɔd vesel we dɔn blok. Tide, wi go tɔk bɔt dis insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na Endarterectomy?
Endarterectomy (dɛn kin kɔl am: en-da-te-rek-to-me) na ɔpreshɔn fɔ opin bak di at dɛn we dɔn blok ɔ we dɔn smɔl. We dɛn de du dis, dɔktɔ dɛn kin pul di plek , we na wan tik layt we gɛt fat, kalsiɔm, ɛn plek we dɔn gɛda insay yu at.
Jɔs lɛk aw dɛn kin klin di dɔti we de insay wata paip ɛn alaw di wata fɔ flɔ fayn fayn wan bak, afta dis ɔpreshɔn, di blɔd kin go bak na di blɔd vesel dɛn. Dis kin ridyus di risk fɔ gɛt bad bad tin dɛn lɛk we blɔd kin klɔt ɛn strok .
Dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ wan sik we dɛn kɔl atherosclerosis. Dis na we di plek kin gɛda insay di blɔd vesel dɛn, ɛn dis kin mek dɛn at ɛn smɔl smɔl. Dɛn kin advays dis ɔpreshɔn fɔ di wan dɛn we gɛt sɔm sayn dɛn, we kin rili siriɔs we di at dɛn dɔn blok.
Tu men tin dɛn de we dɛn kin trit wit dis ɔpreshɔn:
- Peripheral Artery Disease (PAD): Dis na we di plek we de bɔku na di at we de gi blɔd to yu leg ɔ yu an. Dis kin mek yu leg dɛn at we yu de waka, wund dɛn kin wɛl smɔl smɔl, ɛn sɔm tɛm dɛn kin ivin day tisu (gangrene).
- Carotid Artery Disease: Dis na siriɔs sik. I kin kam bikɔs di plek dɛn kin gɛda na di tu men at dɛn na di nɛk we kin kɛr blɔd go na di bren. If dɛn nɔ trit am, i kin mek i gɛt strok ɔ transient ischemic attack (TIA).
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ pul di endarterectomy?
Di kayn ɔpreshɔn kin difrɛn difrɛn wan bay usay na yu bɔdi di blɔd vesel dɔn blok. Chek di tebul we de dɔŋ fɔ mek dis izi fɔ yu.
| Di kayn ɔpreshɔn we dɛn kin du | Purifying blood vessel ɛn diskripshɔn |
|---|---|
| Carotid Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | Klin di vein dεm we de kכri bכdi to di bren frכm di tu say dεm na di nεk. Dis na di kayn we we pipul dɛn kin gɛt mɔ. |
| Femoral Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | fכ klin di men vein dεm (femoral arteries) we de rכn frכm di groin εria to di leg dεm. |
| Aɔtik ɛn Iliak Ɛndatɛrɛktɔmi | fכ klin di men bכdi vεsul dεm na di bכdi (bεlε) εn di bכdi (hip) εria dεm. |
| Korona Ɛndartɛrektomi | Klin di korona at we de gi blɔd to di at insɛf. |
| Pulmonary Endarterectomy we dɛn kin yuz fɔ mek di bɔdi | Fɔ pul di ol blɔd we de kɔmɔt na di vein dɛn we de kɛr blɔd go na di lɔng dɛn. Bɔku tɛm, dɛn nɔ kin du dis ɔltɛm. |
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bifo dis ɔpreshɔn, di dɔktɔ go du bɔku tɛst dɛn fɔ no ustɛm yu blɔd vesel dɔn blok.
- Doppler Ultrasound: Dis de yuz sawnd wev fɔ si usay di blɔd vesel dɛn dɔn blok ɛn ɔmɔs blɔd de flɔ.
- CT Angiography: Insay dis, dɛn kin put spɛshal wata (kɔntrast day) insay wan vein na yu an, ɛn dɛn kin yuz CT skan fɔ tek tri dimɛnshɔnal (3D) pikchɔ fɔ yu blɔd vesel dɛn.
- Angiography: Insay dis prosidur, dɛn kin injɛkt spɛshal wata dairekt insay di blɔd vesel ɛn tek ɛkstrem rayt pikchɔ dɛn.
- Magnetic Resonance Angiography (MRA): I de yuz magnet ɛn redio wev fɔ tek pikchɔ fɔ di blɔd vesel dɛn.
Apat frɔm dat, yu dɔktɔ go tɛl yu aw fɔ rɛdi fɔ di ɔpreshɔn. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm, lɛk tin dɛn we de mek yu blɔd tan (anticoagulants). Sɔntɛnde, dɛn kin aks yu fɔ bigin tek mɛrɛsin lɛk aspirin.
Yu go nid bak fɔ fast fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Di tim we de mɛn pipul dɛn we de anestez go tɛl yu di rayt tin fɔ du. Yu kin gɛt tɛst bak lɛk `Echocardiogram` ɔ `Stress Test` fɔ chɛk di wɛlbɔdi na yu at.
Udat dɛn nɔ go ebul fɔ du dis ɔpreshɔn?
Sɔm pipul dɛn we gɛt sɔm kayn mɛrɛsin kin gɛt dis ɔpreshɔn, so dɔktɔ dɛn nɔ kin tɛl dɛn fɔ du am. Fɔ ɛgzampul:
- If yu gɛt siriɔs at sik wae nɔr kin ebul fɔ kɔntrol (congestive heart failure).
- If yu jɔs dɔn gɛt at atak.
- If yu gɛt sɔm kayn hat sik wae nɔr kin ebul fɔ trit.
- If yu gɛt siriɔs lɔng sik lɛk ɛmfisema ɔ COPD.
- If yu dɔn gɛt redyushɔn tritmɛnt bifo tɛm to di eria usay dɛn go du di ɔpreshɔn.
- If infεkshכn de na da εria de.
Bɔt nɔ wɔri. Ivin fɔ pɔsin lɛk dis, sɔntɛnde di dɔktɔ go tray fɔ pul di tin we dɔn blok bay we i put stent insay di blɔd vesel, lɛk fɔ pul di blɔd vesel.
Aw dɛn kin du di ɔpreshɔn?
Dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. Bɔku tɛm, dɛn go gi yu jenɛral anestezi. Dis min se yu nɔ go no natin. Bɔt sɔm tɛm dɛn, mɔ we yu de klin di at dɛn na yu nɛk (carotid endarterectomy), dɛn kin kip yu wek ɛn na da eria de nɔmɔ yu nɔ ebul fɔ du natin (local anesthesia) we dɛn de du di ɔpreshɔn bikɔs i nid fɔ wach aw yu bren de wok.
We dɛn de du di ɔpreshɔn, di dɔktɔ:
1. Dɛn kin kɔt di skin oba di blɔd vesel we dɔn blok.
2. dεn de opin di bכdi vεsεl εn dεn tek tεm pul di layεr fכ `plak` we de insay.
3. Dɛn kin stich di blɔd vesel bak togɛda ɛn lɔk am. sכmtεm, fכ stכp di εria fכ sכmtεm igen, dεn kin yuz atifishal `patch` (patch) כ wan pat pan hεlty vein we dεn tek frכm כda pat pan yu כwn bכdi fכ mek di εria big sכmtεm.
4. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt di skin ɛn sutura am.
Bɛnifit, risk, ɛn tɛm fɔ wɛl
Di men bɛnifit we dis ɔpreshɔn de gi na dat i de pul di blɔd vesel we dɔn blok ɛn mek di blɔd flɔ bak. Dis kin ridyus di pen na yu leg, wund dɛm we nɔ de wɛl, ɛn mɔ di risk fɔ gɛt strok. Di tin dɛn we kin kɔmɔt frɔm dis ɔpreshɔn kin las fɔ lɔng lɔng tɛm.
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di chans fɔ mek dɛn tin ya nɔ kin apin.
- Blɔd we de kɔmɔt
- At sik, lɛk at atak
- Infεkshכn dεm
- Di nerve damej (bɔku tɛm na fɔ shɔt tɛm) .
- Narrowing of di sem vein we dɛn bin du ɔpreshɔn
- `Stroke`
Di tin we impɔtant pas ɔl na fɔ ɔndastand se yu dɔktɔ de tɛl yu fɔ du dis ɔpreshɔn bikɔs di bɛnifit dɛn we di ɔpreshɔn go gɛt pas di prɔblɛm dɛn we go apin fa fawe.
Aw lɔng i kin tek fɔ mek i wɛl?
Di lɔng tɛm we yu go de na ɔspitul kin dipen pan di kayn ɔpreshɔn we dɛn du.
- Karotid (nɛk vein) ɔpreshɔn: lɛk wan de.
- Fɔ ɔpreshɔn fɔ di fimɔral (leg vein): Na lɛk tu to 4 dez.
- Aortic (abdominal artery) ɔpreshɔn: lɛk wan wik so.
Dɛn go aks yu fɔ kam insay fɔ fala-ɔp lɛk 4 wiks afta dɛn dɔn du di ɔpreshɔn. Bɔrku pipul kin kam bak na woke afta dis fɔlɔp. Bɔt if yu gɛt wok we yu nid fɔ es ebi ebi tin dɛn, i kin tek wan ɔ tu mɔnt fɔ mek yu wɛl ɔl.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl 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 yu fil se yu nɔ gɛt bɛtɛ trɛnk ɔ yu wik na di say we dɛn kɔt am
- If wata de swel, rɛd, ɔ wata we tan lɛk pus de rawnd di say we dɛn kɔt
- Di chenj we yu de si, we yu nɔ de tɔk fayn, ɔ we yu de drɔp na wan say na yu fes
- If nausea ɔ vɔmit de apin
Mɛsej we dɛn kin kɛr go na os
- Endarterectomy na ɔpreshɔn we dɛn kin du we dɛn kin pul di plek (fat we de na di blɔd vesel) insay di blɔd vesel ɛn klin di at.
- Dis ɔpreshɔn kin rili ridyus di risk fɔ gɛt siriɔs sik lɛk strok.
- Bifo dɛn du di ɔpreshɔn, dɛn kin du bɔku tɛst dɛn fɔ no aw di tin dɔn blok ɛn aw yu at gɛt wɛlbɔdi.
- Pan ɔl we dis na big ɔpreshɔn, na tritmɛnt we kin kɔmɔt fayn ɛn i kin las fɔ lɔng lɔng tɛm.
- I kin tek sɔm tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Insay da tɛm de, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- If ɛni bad bad tin apin afta dɛn dɔn du di ɔpreshɔn, go to dɔktɔ we nɔ go te.
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