Yu kin fil pen na yu leg, mɔ na di say we yu de waka? Yu kin fil lɛk se yu leg dɛn nɔ gɛt pawa igen afta yu dɔn waka fɔ shɔt tɛm, ɛn i kin tan lɛk se i de go dɔŋ we yu rɛst? Sɔntɛm wan blɔd vesel na yu leg de blok smɔl smɔl. Wi kin kɔl dis kɔndishɔn Pɛriferal At Diziz (PAD). Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du we dis sik rili bad ɛn dɛn nɔ kin ebul fɔ kɔntrol am wit ɔda tritmɛnt dɛn.
Wetin na Pɛriferal Atri Baypas?
Fɔ tɔk am simpul wan, i tan lɛk se yu de bil nyu baypas fɔ avɔyd ebi ebi trafik na rod. kכlestכl εn כda fεt tin dεm de bכku na di at dεm we de kכri bכdi to wi bכdi, spεshal wan to wi leg dεm, εn fכ mek wan "plek." As tɛm de go, dis plek kin gɛda ɛn blok di blɔd vesel dɛn. Dis kin mek di tisu dɛn na wi leg dɛn nɔ gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid.
So, insay Peripheral Artery Bypass ɔpreshɔn, di ɔspitul kin mek nyu rod fɔ baypas di blɔd vesel we dɔn blok. Dis kin min fɔ yuz wɛlbɔdi blɔd vesel frɔm yu yon bɔdi (bɔku tɛm na vein frɔm yu leg) ɔ graft. Dis kin kכnekt oba εn dכn di εria we dεn blכk, we de mek nyu rod fכ blכd fכ fכlכ.
Udat rili nid dis ɔpreshɔn?
Dis ɔpreshɔn nɔto fɔ ɔlman we gɛt PAD. Yu dɔktɔ go tray fɔs fɔ tek mɛrɛsin, chenj in layf (lɛk fɔ lɛf fɔ smok, fɔ du ɛksɛsayz, ɛn fɔ it tin dɛn), ɛn sɔntɛm ɔda tritmɛnt dɛn we gɛt fɔ du wit smɔl smɔl say dɛn we dɛn kɔt (lɛk angioplasty ɔ stent).
Bɔku tɛm, dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ di wan dɛn we nɔ gɛt ɛni wan pan dɛn we ya ɛn we dɔn blok bɔku pan dɛn blɔd vesel bad bad wan.
Bɔku men rizin dɛn de we mek wi fɔ tink bɔt dis ɔpreshɔn.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Leg pen we yu de waka ɔ na nɛt | dis pen kin apin we di mכsul dεm nכ gεt כksijεn biכs di bכdi fכ fכlכ dכn. If de pen so bad dat yu nɔr kin ebul fɔ slip na nɛt, na siriɔs sik. |
| Wund dɛn we nɔ de mɛn na di leg dɛn | Bikɔs di blɔd nɔ de go fayn, wund dɛn nɔ kin gɛt di tin dɛn we dɛn nid fɔ wɛl. Ivin smɔl skrach kin tɔn to big wund. |
| Tisu day (Gangrene) . | Dis na di stej we kin tranga pas ɔl. We di blɔd we de go na di leg dɔn lɛf smɔl, di fut finga dɛn ɔ di pat dɛn na di fut kin tɔn blak ɛn bigin fɔ day. If dɛn nɔ du di ɔpreshɔn na dis tɛm, dɛn kin ivin gɛt fɔ kɔt di leg. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
We di dɔktɔ disayd fɔ du dis ɔpreshɔn pan yu, i go du bɔku tɛst dɛn fɔ chɛk yu jenɛral wɛlbɔdi.
- Ilɛktrokardiogram (EKG): Luk di ilɛktrik wok we di at de du.
- Ultrasound Scan: Si gud gud wan usay di blɔd vesel dɛn dɔn blok ɛn aw i bad.
- Blɔd tɛst: Chɛk tin dɛn lɛk blɔd shuga, kɔlɔstrel, ɛn di kidni we de wok.
- Stress test: Sɔntɛnde dɛn kin du dis tɛst fɔ si aw di at de wok we dɛn de du ɛksɛsayz.
Di tin we impɔtant pas ɔl na dat if yu na pɔsin we de smok, yu fɔ stɔp fɔ smok kpatakpata sɔm wiks bifo dɛn du yu ɔpreshɔn. Smok kin mek yu blɔd vesel dɛn nɔ bɔku ɛn i kin mek yu gɛt prɔblɛm dɛn afta yu dɔn ɔpreshɔn. Yu go nid bak fɔ avɔyd fɔ it ɔ drink afta midnayt di nɛt bifo yu ɔpreshɔn ɛn stɔp fɔ tek ɛni mɛrɛsin we yu dɔktɔ dɔn tɛl yu fɔ stɔp.
Aw dɛn kin du di ɔpreshɔn?
Dɛn go gi yu jenɛral anestesia (we yu nɔ go no natin) so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. afta dat, di sajin go mek 4-8 inch lכng insishכn dεm oba εn dכn di blכd vesel we blכk. If dɛn de yuz wɛlbɔdi vein na yu leg fɔ mek di baypas, dɛn go mek wan sɛpret say fɔ dat bak.
Dɔn dɛn kin tek tɛm siŋ di graft to wɛlbɔdi blɔd vesel dɛn we de ɔp ɛn dɔŋ di blɔk. We dɛn dɔn mek di nyu blɔd, dɛn kin lɔk di say we dɛn kɔt wit stich ɔ step. Di ɔl di ɔpreshɔn kin tek ɛnisay frɔm tu to siks awa, i kin dipen pan di kɔmplisiti fɔ di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk 2-5 dez. Insay dis tɛm, di dɔktɔ ɛn nɔs dɛn go de chɛk yu puls, yu blɔd prɛshɔn, ɛn yu fiva ɔltɛm. Di tin we impɔtant pas ɔl na dat, dɛn go de chɛk ɔltɛm fɔ mek shɔ se di blɔd de flɔ fayn fayn wan to di leg we dɛn dɔn ɔpreshɔn. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen.
Afta yu go na os, di dɔktɔ go gi yu sɔm mɛrɛsin dɛn fɔ mek yu kɔntinyu fɔ tek am.
- Statin tayp mεdikeshכn dεm (lכw kכlestכl).
- Mεdikeshכn dεm lεk Aspirin כ Clopidogrel (fכ mek blכd kכlכt na di nyu transplant).
Na nɔmal tin fɔ mek yu nɔ want fɔ it, yu nɔ go ebul fɔ it, yu go fil pen ɔ yu nɔ go fil fayn na di say dɛn we dɛn kɔt am, sɔm go swel na yu leg, ɛn yu gɛt mɔsul pen we yu de waka insay di fɔs wik afta yu dɔn go na os. Dɛn tin ya go stɔp smɔl smɔl as tɛm de go. I kin tek lɛk 6-8 wiks fɔ mek i wɛl ful wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Rilif fɔ siriɔs pen na yu leg we nɔr dɔn pul am wit ɔda tritmɛnt. | Blɔd we de klɔt. |
| Wund dɛn we nɔ wɛl kin bigin fɔ wɛl. | Infεkshכn dεm we dεn kכt. |
| Put di risk fɔ lɔs yu leg bikɔs ɔf gangrene. | Blɔd we de kɔmɔt pasmak. |
| di rizulεt dεm we de te (60%-85% pan di transplant dεm stil de wok fayn fayn wan ivin afta 5 ia). | Damej to di nerves na di eria we dɛn de du di ɔpreshɔn. |
| Impɔtant kwaliti fɔ layf ɛn ebul fɔ waka. | Smɔl risk fɔ gɛt at atak (lɛk 3% pan di ɔpreshɔn dɛn). |
Bɔrku pipul nɔr kin gɛt siriɔs prɔblɛm. Bɔt pipul dɛn we dɔn pas 70 ia ɛn di wan dɛn we gɛt ɔda sik dɛn lɛk dayabitis ɔ kidni sik, kin gɛt prɔblɛm smɔl. Sɔntɛnde, ivin graft we dɛn jɔs mek kin blok afta bɔku ia. If dat apin, dɛn go nid fɔ ripit di tritmɛnt.
Afta yu go na os, if yu gɛt fiva, fil kol, yu gɛt wata we tan lɛk pus we de kɔmɔt na di say we dɛn de du di ɔpreshɔn, ɔ if yu leg in kɔlɔ, shep, ɔ yu fil chenj wantɛm wantɛm, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) we yu nɔ de te.
Mɛsej we dɛn kin kɛr go na os
- Peripheral Artery Bypass surgery na big ɔpreshɔn we dɛn kin du pan pipul dɛn we gɛt blɔd vesel dɛn we dɔn blok bad bad wan na dɛn leg we nɔ dɔn ansa ɔda tritmɛnt dɛn.
- If yu de smok, i impɔtant fɔ lɛf fɔ smok kpatakpata bifo ɛn afta yu du di ɔpreshɔn fɔ mek yu go ebul fɔ du di wok fayn fayn wan.
- Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm. Nɔ fɔgɛt fɔ tek yu blɔd tin dɛn, mɔ.
- Nɔ mis ɛni klinik apɔntinmɛnt afta yu dɔn ɔpreshɔn. Yu dɔktɔ fɔ de chɛk ɔltɛm aw blɔd de go na yu leg.
- If yu notis fiva, wata we de kɔmɔt na di say we dɛn kɔt, ɔ chenj wantɛm wantɛm na yu leg, go to dɔktɔ wantɛm wantɛm.
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