Yu kin dɔn gɛt prɔblɛm wit yu brith fɔ sɔm tɛm, ɔr kin ivin fil shɔt fɔ blo we yu de waka. Yu dɔktɔ go dɔn tɛl yu se yu gɛt pulmonary hypertension, we na we ol blɔd klɔt de bɔku na yu lɔng. Wae yu nɔr kin ebul fɔ kɔntrol dis sik wit mɛrɛsin, wi de tɔk bɔt spɛshal ɔpreshɔn wae kin sev yu layf.
Fɔ tɔk am simpul wan, wetin na dis PTE ɔpreshɔn?
Nɔ mek yu fred di lɔng nem Pulmonary Thromboendarterectomy. Wi go kol am PTE fo shot. PTE na wan rili kɔmpleks prɔsidyu we spɛshal ɔspitul dɔktɔ dɛn kin du. I involv fɔ ɔpreshɔn fɔ pul ol blɔd klot ɛn ska tisu we dɔn stɔp na di wɔl dɛn na di men blɔd vesel dɛn we de kɛr blɔd go na yu lɔng (di Pulmonary Arteries).
Imajin se wata paip na yu os dɔn ful-ɔp wit dɔti ɛn wata nɔ de flɔ. PTE ɔpreshɔn tan lɛk fɔ klin di insay pat pan di paip ɛn mek di wata flɔ fayn fayn wan bak. Dis na di bɛst we fɔ pul dɛn ol ɛn at blɔd we nɔ go ebul fɔ sɔlv wit mɛrɛsin. Sɔntɛnde, dis ɔpreshɔn kin ivin mɛn di sik kpatakpata.
Us kɔndishɔn dɛn kin trit wit PTE ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn mɔ pan pipul dɛn we gɛt wan sik we dɛn kɔl Chronic Thromboembolic Pulmonary Hypertension (CTEPH) . Dis na smɔl kɔmplikɛt nem, so lɛ wi ɔndastand am.
- Kronik: min "we de las fɔ lɔng tɛm."
- Tromboembolic: min "we blɔd klɔt kin mek am."
- Pulmonary Hypertension: Dis min se "high blɔd prɛshɔn na di lכng dɛm."
Fɔ tɔk am simpul wan, CTEPH na we wan blɔd we dɔn klɔt (Pulmonary Embolism - PE) we bin dɔn fɔm bifo tɛm na di lכng nɔ de sɔlv fayn, bɔt insted i de stik to di wɔl dɛm na di blɔd vesel dɛm na di lכng, we de mek ska tisu as tɛm de go, we de mek di blɔd nɔ flɔ, we de mek di prɛshɔn go ɔp na di lכng.
Bɔku tɛm, we pɔsin gɛt blɔd klot (PE) na in lɔng, dɔktɔ dɛn kin gi am tin dɛn we de mek blɔd tan. Bɔku tɛm, dɛn mɛrɛsin ya kin sɔlv di blɔd we dɔn klɔt. Bɔt pan rili smɔl nɔmba pan pipul dɛm, lɛk 2% - 4%, dɛn blɔd klɔt ya nɔ de sɔlv ɔl. Dɛn kin ol, dɛn kin stik na di wɔl dɛn na di blɔd vesel dɛn, ɛn blok di rod fɔ mek blɔd flɔ. Dis kin put bɔku strɛs na di rayt say na di at, we kin pɔmp blɔd to di lɔng dɛn. As tɛm de go, dis kin mek in at nɔ wok fayn , in lɔng dɛn kin pwɛl, ɛn ivin gɛt prɔblɛm dɛn we kin mek i day.
Di onli tritmεnt wae kin kכmplit kכl dis kכndyushכn we dεn kכl CTEPH na PTE כpεrayshכn.
Udat nid fɔ du dis ɔpreshɔn? Yu tink se ɔlman kin gɛt am?
If yu gɛt CTEPH, dɛn go tink bɔt sɔm tin dɛn fɔ no if yu go ebul fɔ du dis ɔpreshɔn.
- Di kayn we aw yu sik dɛn kin tranga.
- Usay di blɔd klɔt dɛn de, aw fa dɛn dɔn skata, ɛn aw dɛn dɔn blok di blɔd vesel dɛn.
- Yu ej, yu wɛl bɔdi, ɛn aw yu at ɛn yu lɔng dɛn de wok.
Di dɔktɔ dɛn we de du ɔpreshɔn se if dɛn ebul fɔ pul dɛn blɔd klɔt ya sef wan, di tritmɛnt we dɛn kin pik fɔ CTEPH na PTE ɔpreshɔn.
Bɔt nɔto ɔlman we gɛt CTEPH kin du dis ɔpreshɔn. Na lɛk 40%, ɔ 4 pan tɛn pipul dɛn, nɔ fayn fɔ dis ɔpreshɔn. Di men rizin fɔ dis na bikɔs na ɔpreshɔn we rili kɔmpleks.
Wetin mek dis ɔpreshɔn rili at?
We dɛn de du dis ɔpreshɔn, di dɔktɔ dɛn kin transfa di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm to wan mashin we dɛn kin yuz fɔ baypas yu at ɛn pulmonari . Dis min se dis mashin de gi yu bɔdi ɔksijɛn ɛn pɔmp blɔd we dɛn de du di ɔpreshɔn.
Di tin we impɔtant pas ɔl na dat, we dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn nid fɔ si klia wan di blɔd vesel dɛn we de na di lɔng dɛn we nɔ gɛt wan bɔt. Fɔ du dis, dɛn kin yuz wan spɛshal we fɔ mek yu bɔdi in tɛmpracha go dɔŋ to 18 digri sɛlshiɔs (65 Fahrenheit), ɛn dis kin mek di blɔd nɔ go ɔlsay fɔ sɔm tɛm (Deep Hypothermic Circulatory Arrest). Dɛn kin kol di bɔdi dis we fɔ mek di bren nɔ pwɛl. Dis we ya de mek di dɔktɔ tek tɛm pul di blɔd we de klɔt ɛn di skata tisu dɛn na say we klia ɛn we nɔ gɛt blɔd.
If i nɔ pɔsibul fɔ du ɔpreshɔn, us ɔda tin dɛn de we pɔsin kin du?
If dɔktɔ dɛn disayd se yu nɔ fit fɔ gɛt PTE ɔpreshɔn fɔ ɛni rizin, dɛn go tɛl yu fɔ du ɔda tritmɛnt dɛn.
- Oral Medication: Spɛshal mɛrɛsin dɛn de we kin kɔntrol blɔd prɛshɔn na di lɔng.
- Balloon Pulmonary Angioplasty (BPA): Dis na fɔ yuz wan tint tiub we dɛn put tru wan vein na di leg fɔ rich di blɔd vesel dɛn we dɔn blok na di lɔng, ɛn inflate dɛn wit wan tin we tan lɛk balɔ fɔ opin di blɔd flɔ.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
| Di pat we dɛn fɔ pripia | Wetin fɔ du |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz | Dɛn go aks yu fɔ stɔp fɔ tek ɛni mɛrɛsin we de mek yu blɔd tan (e.g., Aspirin, Warfarin) ɛn tin fɔ mek yu fil pen (NSAID) sɔm dez bifo dɛn du di ɔpreshɔn, bikɔs dɛn tin ya kin mek yu gɛt mɔ blɔd we yu de du di ɔpreshɔn. |
| Fɔ it ɛn drink | Dɛn advays yu fɔ nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo yu du ɔpreshɔn (fastin). I bɛtɛ fɔ gɛt ɛmti bɛlɛ we dɛn gi yu anestezi. |
| Smok ɛn Rɔk | If yu de smok, lɛf fɔ smok kpatakpata. I fayn bak fɔ lɛf fɔ drink rɔm. Dɛn tu tin ya kin delay di hilin prɔses afta dɛn dɔn ɔpreshɔn ɛn i kin mek di risk fɔ gɛt kɔmplikeshɔn dɛn bɔku. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn kin bigin na mɔnin ɛn i kin tek lɛk 6 awa so. Yu go ful-ɔp fɔ anestez so yu nɔ go fil natin.
1. Ɛp fɔ blo: Fɔs, dɛn kin put wan tin tiub (Endotracheal Tube - ETT) tru yu mɔt ɔ yu nos, dɔŋ yu winda paip, ɛn kɔnɛkt am to ɔksijɛn mashin (ventilator). Dis mashin go ɛp yu fɔ blo ɔl di tɛm we dɛn de du di ɔpreshɔn.
2. Fɔ opin di chɛst: Neks, di dɔktɔ we de du di ɔpreshɔn go kɔt yu brɔst bon (sternum) fɔ rich na di at ɛn di lɔng.
3. Kɔnɛkshɔn to di baypas mashin: Dɔn yu go kɔnɛkt to di Kadiopulmonari Baypas Mashin. Dis mashin go du di wok we di at ɛn di lɔng dɛn de du we dɛn de du di ɔpreshɔn.
4. Bodi kol: Neks, yu bodi temperecha de go dɔŋ smɔl smɔl to 18 digri sɛlshiɔs.
.
6. Riwɔm: Afta dɛn dɔn pul di blɔd klot, yu bɔdi tɛmpracha kin kam bak to nɔmal ɛn yu kin diskɔnekt frɔm di baypas mashin. Bɔt yu kin kɔntinyu fɔ kɔnɛkt to di ventilatɔ.
7. Fɔ lɔk di chɛst:Fɔ dɔn, di dɔktɔ we de du di ɔpreshɔn go lɔk yu chɛst ɛn put sɔm tin tyub dɛn fɔ pul ɛni wata we pasmak we go dɔn gɛda insay yu bɔdi.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go admit yu na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . Yu go de na di ICU da nɛt de. Di nɛks mɔnin, di mɛdikal tim go chɛk aw yu de blo. If yu ebul fɔ blo yusɛf, dɛn go pul di ventilator.
Yu go gɛt fɔ de na ɔspitul fɔ 7 to 10 dez. Yu go de fɔs na di ICU, dɔn dɛn go transfa yu to wan rɛgyula wɔd as yu kɔndishɔn de bɛtɛ.
Di we aw pɔsin kin wɛl kin tan lɛk fɔ wɛl we dɛn du ɔpreshɔn pan pɔsin in at we opin. Yu go ebul fɔ waka insay sɔm dez ɛn smɔl smɔl yu go ebul fɔ du sɔm wok. Bifo yu go na os, yu go du sɔm tɛst dɛn bak fɔ si if yu nid ɔksijɛn.
Wetin na di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we i du ɔpreshɔn pan PTE?
Di bɛnifit dɛn we pɔsin kin gɛt
- Dis na di onli we fɔ mɛn CTEPH kɔmplit wan .
- Fɔ bɔku pipul dɛn, di ɔpreshɔn kin wok fayn, ɛn di briz ɛn di wok we dɛn lɔng kin bɛtɛ.
- Bɔku pipul dɛn we bin de dipen pan ɔksijɛn bifo dɛn du dɛn ɔpreshɔn nɔ go nid ɔksijɛn igen afta dɛn dɔn du dɛn ɔpreshɔn.
- Bɔku tɛm, di damej we di sik kin du to di rayt say na di at kin chenj.
- Di chans fɔ liv fɔ lɔng tɛm afta dɛn dɔn du di ɔpreshɔn rili bɔku.
Risk ɛn Kɔmplikɛshɔn dɛn
Bikɔs dis na big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt we di tɛknɔlɔji dɔn go bifo insay di las sɔm ia, dɛn bad bad tin ya dɔn ridyus bad bad wan.
- Di risk fɔ day we dɛn de du ɔpreshɔn naw dɔn smɔl lɛk 1%.
- Di risk fɔ gɛt strok na lɛk 1% - 2%.
- Sɔm pipul dɛn kin stil gɛt sɔm lɛvul fɔ pulmonary hypertension afta dɛn dɔn du dɛn ɔpreshɔn. Dɛn go nid fɔ kɔntinyu fɔ tek mɛrɛsin.
- sכmtεm, wata we de kכmכt rawnd di at (pεrikardial efyushכn) kin apin.
If yu gɛt dɛn sik ya, kɔl 1990 wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu:
- Bɔrku pen na yu chɛst
- Fɔ mek pɔsin nɔ ebul fɔ du natin
- Wantɛm we yu nɔ de blo bad bad wan
Aw lɔng i kin tek fɔ mek i wɛl?
As tɛm de go, yu kin go bak to nɔmal layf. Bɔt, yu fɔ peshɛnt smɔl.
- Fɔs 6 wik: Yu nɔ go ebul fɔ drayv, go wok, ɔ es pas 10 pawn (lɛk 4.5 kg).
- Wik 7 to 12: I kin es 25 paund (lɛk 11 kg).
- Afta 12 wik: Dɛn kin pul di tin dɛn we dɛn kin du fɔ es di wet.
Bɔrku pipul kin kam bak to dɛn nɔrmal aktiviti insay 3 mɔnt. Yu brith ɛn ebul fɔ ɛksesaiz go bɛtɛ smɔl smɔl, ɛn yu kin si impɔtant fɔ te 4 ia.
Aw di mɛdikal supavayshɔn de afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go gɛt fɔ kɔntinyu fɔ go to di dɔktɔ.
- Yu go gɛt sɔm spɛshal tɛst fɔ chɛk yu lɔng 6 wik afta di ɔpreshɔn ɛn bak bitwin 3-6 mɔnt afta dat.
- Di tin we impɔtant pas ɔl na dat yu go gɛt fɔ tek anticoagulants/blood thinners fɔ di res ɔf yu layf fɔ mek nyu blɔd klot nɔ fɔm.
If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ.
- If di pen nɔr kin bia, ɔr if di pen kin stɔp ɛn afta dat i kin bɔku bak.
- If di at bit fast ɔ nɔ de bit ɔltɛm.
- If di wund we dɛn du di ɔpreshɔn rɛd, i swel, i de kɔmɔt na di pus, ɔ i gɛt fiva (dɛn tin ya na sayn dɛn fɔ se i gɛt di sik).
PTE na ɔpreshɔn we rili valyu we kin gi sɛkɔn layf to pɔsin we de sɔfa wit CTEPH. Pan ɔl we na kɔmpleks ɔpreshɔn ɛn i kin tek lɔng tɛm fɔ mek i wɛl, di tin we kin kɔmɔt frɔm am, we na di chans fɔ liv fri wan ɛn nɔ swɛla bak, rili valyu.
Mɛsej we dɛn kin kɛr go na os
- PTE ɔpreshɔn na wan ɔpreshɔn we rili kɔmpleks we de pul ol blɔd klot ɛn ska tisu we dɔn stɔp na di blɔd vesel dɛn na di lɔng dɛn.
- Dɛn kin yuz dis fɔ trit wan sik we kin mek pɔsin in layf de pan denja we dɛn kɔl CTEPH (Chronic Thromboembolic Pulmonary Hypertension).
- PTE ɔpreshɔn na di wan tritmɛnt we kin mɛn CTEPH kɔmplit wan.
- Dis na tin we fiba di ɔpreshɔn we dɛn kin du fɔ opin at, ɛn i kin tek tɛm fɔ mek i wɛl. Bɔt di sakrifays rɛt rili ay.
- Afta yu dɔn ɔpreshɔn, yu go nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan lɛk yu layf fɔ mek nyu blɔd nɔ kam.
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