Yu kin fil pen bak na yu leg, mɔ we yu de waka fɔ shɔt tɛm? Yu tink se di pen kin stɔp we yu stɔp fɔ sɔm tɛm ɛn waka bak? Ɔ yu kin wek na nɛt wit pen na yu leg? Dɛn tin ya nɔ kin jɔs bi ɛni ɔda kɔmɔn pen na yu leg. Di rizin bihayn dis kin bi we di men blɔd vesel we de gi blɔd to yu leg dɛn dɔn blok. Tide, wi go tɔk bɔt Peripheral Artery Bypass, we na wan big ɔpreshɔn we dɛn kin du fɔ dis.
Fɔ tɔk am simpul wan, wetin na Peripheral Artery Bypass?
Dis na ɔpreshɔn. Dis ɔpreshɔn kin min fɔ mek nyu rod fɔ mek blɔd flɔ fɔ baypas wan at we dɔn blok ɔ we dɔn smɔl na yu leg (ɔ sɔntɛnde yu an).
Imajin dis. Big trafik jam de na rod we yu kin tek, ɛn di rod dɔn blok ɔl. Naw yu nɔ go ebul fɔ go fa fawe. Wetin di wan dɛn we de bil di rod kin du da tɛm de? Dɛn kin bil nyu baypas rod fɔ avɔyd di trafik. Na so dis ɔpreshɔn de bi.
di kכlestכl εn כda fεt dεm de bכku na di bכdi vεsul dεm na wi bכdi, we de fכm wan "fεt layεr." Insay mɛrɛsin, dɛn kin kɔl dis plek . As tɛm de go, dis fat layt de gro ɛn blok di blɔd vesel dɛn. Wi kin kɔl dis kɔndishɔn Pɛriferal At Diziz (PAD) . We dis blɔd flɔ kin blok, di tisu dɛn na yu leg nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. na da dכkta de mek nyu bכdi fכ fכlכ (wan graft) bay we i kכnekt di at dεm we de oba εn dכn di blכk.
Udat rili nid fɔ gɛt baypas ɔpreshɔn?
Dis ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ go tray fɔs fɔ kɔntrol yu sik wit mɛrɛsin ɛn chenj yu layf (lɛk fɔ lɛf fɔ smok ɛn fɔ du ɛksɛsayz). Bɔt dɛn kin jɔs tink bɔt ɔpreshɔn if ɛni wan pan dɛn tin ya nɔ wok ɛn if wan big pat pan yu blɔd vesel dɔn blok bad bad wan.
If yu gɛt dɛn sik ya, yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Leg pen we yu de waka ɔ na nɛt | We a waka fɔ shɔt tɛm, a kin fil pen lɛk se dɛn de pul mi ia. I kin stɔp we a stɔp. We a kin slip na nɛt, mi leg dɛn kin at, so mi slip kin ambɔg. |
| Wund dɛn we nɔ de mɛn na yu leg | Ivin smɔl wund na di leg, mɔ na di fut ɔ il, i kin tek lɔng tɛm fɔ wɛl. Dis kin apin bikɔs di blɔd nɔ de go fayn. |
| Tisu day (Gangrene) . | We blɔd nɔ de flɔ kpatakpata, di skin ɛn di tisu we de na da say de kin bigin fɔ day. Di skin kin tɔn blak ɛn yu nɔ kin fil fayn igen. Dis na tin we rili denja. |
Di tin we impɔtant pas ɔl na dat dɛn kin du dis ɔpreshɔn fɔ pipul dɛn we gɛt di sik we dɛn kɔl Peripheral Artery Disease (PAD) we dɔn rili go bifo . Dis min se if yu de du dis ɔpreshɔn, yu sik de na sɔm kayn siriɔs lɛvɛl. Bɔt nɔ wɔri, dis na di sɔlv we go wok pas ɔl fɔ am.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu vaskul ɔspitul dɔktɔ go ɔda fɔ du sɔm tɛst dɛn fɔ no di rayt kɔndishɔn we yu gɛt bifo dɛn du yu ɔpreshɔn.
- ECG (Electrocardiogram): Chɛk aw di at de wok.
- Ultrasound Scan: Fɔ no di rayt we aw blɔd de flɔ na di blɔd vesel dɛn ɛn usay tin dɛn de blok.
- Blɔd Tɛst: Chɛk fɔ tin dɛn lɛk dayabitis ɛn kɔlɔstrel lɛvɛl.
- Stress Test: Si aw yu at de ansa we yu de du ɛksɛsayz.
Apat frɔm dɛn tɛst ya, wan impɔtant tin de we yu fɔ du. If yu de smok, stɔp fɔ smok wantɛm wantɛm. Dis go ɛp yu bad bad wan fɔ ridyus di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn.
Di de bifo dɛn du di ɔpreshɔn, yu dɔktɔ go gi yu dɛn tin ya:
- Sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek blɔd nɔ klɔt) kin nid fɔ stɔp fɔ sɔm tɛm.
- Dɛn kin se nɔ fɔ it ɔ drink ɛnitin afta midulnɛt di nɛt bifo di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, di dɔktɔ we de anestez go mek yu slip ɔl so dat yu nɔ go fil ɛni pen. Dɔn di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. Insishכn: dεn kin mek tu insishכn dεm we lכng lεk 4-8 inch oba εn dכn di bכdi we dεn blכk.
2. Tek wan vein fɔ di baypas (Graft): .Nyu baypas nid fɔ gɛt vein. Bɔrku tɛm dis na wɛl bɔdi vein frɔm yu yone leg. Ɔ dɛn kin yuz plastic ɔ fabrik graft. If yu yuz yu yon vein, yu go nid fɔ mek ɔda smɔl say fɔ mek yu gɛt am.
3. fכ mek nyu rod: dεn de siw di graft to di men bכdi vεsεl, wit wan sayd oba di blכk εn di כda say dכn di blכk. Naw di blɔd kin pas di blɔk ɛn flɔ dɔŋ dis nyu rod.
4. Fɔ lɔk di say dɛn we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step.
Di ɔl di ɔpreshɔn kin tek ɛnisay frɔm tu to siks awa, i kin dipen pan aw di at we dɔn blok lɔng ɛn aw di ɔpreshɔn kɔmpleks.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to di wɔd, usay di mɛdikal wokman dɛn go de wach yu ɔltɛm fɔ:
- Dɛn kin chɛk yu puls, blɔd prɛshɔn, tɛmpracha, ɛn aw yu de blo ɔltɛm.
- Dɛn kin chɛk ɔltɛm fɔ si if di leg we dɛn du ɔpreshɔn gɛt gud blɔd.
- Dɛn kin gi mɛrɛsin fɔ mek pɔsin nɔ fil pen fɔ kɔntrol di pen.
We yu go na os frɔm ɔspitul, di dɔktɔ go gi yu sɔm mɛrɛsin dɛn fɔ mek yu kɔntinyu fɔ tek am.
- Statin: Kɔntrol di kɔlɔstrel.
- Aspirin ɔ Clopidogrel: Nɔ mek blɔd nɔ klɔt.
Di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we dɛn du ɔpreshɔn
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Leg pen ɛn di sayn dɛm wae nɔr dɔn bɛtɛ wit ɔda tritmɛnt dɛm kin dɔn. | Blɔd we de klɔt. |
| Di wund dɛn na di leg kin bigin fɔ wɛl kwik kwik wan. | Infεkshכn pan di wund dεm we de na di sutura. |
| Di risk fɔ mek dɛn kɔt yu leg bikɔs ɔf bad bad tin dɛn lɛk gangrene dɔn dɔn. | Blɔd we de kɔmɔt pasmak. |
| Di tin dɛn we kin apin kin las fɔ lɔng tɛm. di baypas stil de wok fayn fayn wan pan 60%-85% pan di kes dεm 5 ia afta di כpεrayshכn. | Di nerve damej we dɛn de du ɔpreshɔn. |
| Di kwaliti fɔ layf de go bifo bad bad wan. | At atak (insay smɔl pasɛnt). |
Mɛmba se bɔku pipul dɛn nɔ kin gɛt big big prɔblɛm, bɔt pipul dɛn we dɔn pas 70 ia ɛn di wan dɛn we gɛt ɔda sik (lɛk dayabitis ɔ kidni sik) kin gɛt smɔl prɔblɛm.
Tin dɛn we yu fɔ tink bɔt we yu de wɛl ɛn afta yu dɔn go bak na os
I kin tek lɛk 6 to 8 wiks fɔ mek i wɛl. Bɔt yu fɔ ebul fɔ go bak smɔl smɔl to yu nɔmal tin dɛn insay sɔm wiks. Yu go ɔltɛm kɔmɔt na di ɔspitul insay 2-5 dez.
Dɛn tin ya kin apin afta yu dɔn rich na os, nɔr frayd:
- Di apɛtit we de go dɔŋ.
- Fɔ fil pen ɔ tingling rawnd di say dɛn we dɛn kɔt.
- Di leg dɔn swel smɔl.
- Fɔ fil pen na di mɔsul dɛm we yu de waka.
Ustɛm fɔ kɔl di dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) .
- If yu gɛt ay fiva ɔ if yu de shek shek wit kol.
- If wata we tan lɛk pus de kɔmɔt na di stich dɛn, dɛn kin rɛd, dɛn kin swel, ɛn dɛn kin fil pen bad bad wan.
- If di leg in kɔlɔ chenj (i tɔn pale ɔ blu), if di leg kol bad bad wan, ɔ if di tingling de go ɔp.
Afta di ɔpreshɔn, di dɔktɔ go gi yu de fɔ kam bak fɔ mek dɛn fala yu. Mek shɔ se yu go na dɛn klinik ya. Na de, di dɔktɔ go du ɔltra saund skan fɔ si if yu baypas de wok fayn.
Mɛsej we dɛn kin kɛr go na os
- Peripheral Artery Bypass surgery na tritmɛnt we kin rili wok fayn fɔ pipul dɛn we gɛt blɔd vesel dɛn we dɔn blok bad bad wan na dɛn leg.
- Bɔku tɛm dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pipul dɛn we dɛn nɔ dɔn kɔntrol dɛn sik wit mɛrɛsin ɛn chenj dɛn layf.
- If yu na pɔsin we de smok, bifo ɛn afta dɛn du di ɔpreshɔnI rili impɔtant fɔ lɛf fɔ smok kpatakpata. I go ɛp yu bad bad wan fɔ mek yu wɛl.
- Afta yu dɔn du di ɔpreshɔn, tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm ɛn di rayt tɛm. Kip di stich dɛn klin.
- Mek shɔ se yu go na di klinik di de dɛn we di dɔktɔ tɛl yu fɔ kam bak. Da we de, dɛn kin kɔntinyu fɔ wach yu kɔndishɔn.
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