Yu kin fil bak se yu nɔ de blo fayn ɔ yu de swɛt we yu de tray tranga wan, we yu de klaym stej, ɔ du ɔdinari wok dɛn? Sɔntɛnde, di tin we kin mek dis apin kin bi wan ol blɔd we dɔn de na yu lɔng fɔ lɔng tɛm. Bɔku tɛm, ivin if yu tray fɔ kɔntrol dis sik wit mɛrɛsin, if dat nɔ wok, dɔktɔ dɛn kin sɛn yu to spɛshal ɔpreshɔn we go sev yu layf. Tide wi de tɔk bɔt da kɔmpleks, bɔt rili impɔtant ɔpreshɔn, PTE.
Wetin na dis PTE ɔpreshɔn?
Fɔ tɔk am simpul wan, PTE na shɔt wɔd fɔ Pulmonary Thromboendarterectomy . Dis na ɔpreshɔn we de pul ol blɔd klot ɛn ska tisu we dɔn stɔp na di men blɔd vesel dɛn (pulmonary arteries) na yu lɔng. Dis na sɔm kayn we we kɔmplikt we nid fɔ no spɛshal tin. Bɔt i kin mɛn sɔm sik pipul dɛn kpatakpata.
Us kɔndishɔn dɛn kin trit wit PTE ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn mɔ fɔ trit wan sik we dɛn kɔl CTEPH (Chronic Thromboembolic Pulmonary Hypertension) . Yu go tink se, ‘Dat na rili lɔng nem,’ nɔto so? Mek wi kip am simpul.
Imajin, sɔmbɔdi gɛt blɔd klɔt na in lɔng. Wi kin kɔl am ``Pulmonary Embolism (PE)``. Bɔku tɛm, dɛn blɔd klɔt ya kin sɔlv we dɛn gi dɛn tin dɛn we de mek blɔd tan. Bɔt i nɔ kin apin so ɔltɛm, pan sɔm pipul dɛn, dɛn blɔd ya nɔ kin sɔlv ɔl, bɔt dɛn kin stik na di wɔl dɛn na di blɔd vesel dɛn na di lɔng, ɛn as tɛm de go, dɛn kin tɔn to ska tisu.
We ol blɔd klɔt ɛn ska tisu de blok di blɔd vesel dɛn na di lɔng, di blɔd prɛshɔn insay dɛn vesel dɛn de kin tu ay. Na dat wi de kɔl CTEPH.
Dis kin mek di rayt say na di at fɔ wok tranga wan fɔ pɔmp blɔd to di lɔng dɛn. As tɛm de go, dis kin mek pɔsin gɛt siriɔs prɔblɛm lɛk aw at kin pwɛl ɛn aw in lɔng dɛn kin pwɛl. Di onli tritmɛnt we kin mɛn CTEPH na PTE ɔpreshɔn.
Udat nid fɔ du dis ɔpreshɔn? Yu tink se ɔlman kin gɛt am?
If yu gɛt CTEPH, sɔm tin dɛn go sho if yu kin gɛt PTE ɔpreshɔn.
| Wetin fɔ tink bɔt | Tɔk bɔt |
|---|---|
| Di kayn we aw di sik kin siriɔs | Aw yu sik kin tranga, lɛk wae yu nɔr de blo fayn ɛn yu de swɛt. |
| Di say we di blɔd de klɔt | Di tru tin na dat di blɔd we de klɔt ɛn di skata tisu de na say dɛn we dɛn go ebul fɔ pul dɛn sef wan bay ɔpreshɔn. |
| Yu ɔl wɛlbɔdi biznɛs | Yu ej, aw yu at ɛn yu lɔng de wok, ɛn if yu gɛt ɔda mɛrɛsin dɛn bak impɔtant. |
Nɔto ɔl di wan dɛn we gɛt CTEPH fit fɔ gɛt dis ɔpreshɔn. Na lɛk 40% pan di sik pipul dɛn nɔ fit fɔ gɛt dis ɔpreshɔn. Di rizin fɔ dis na bikɔs na ɔpreshɔn we rili kɔmpleks.
Wetin mek di ɔpreshɔn rili at?
Imajin se we dɛn de du ɔpreshɔn, dɛn kin put yu at ɛn yu lɔng dɛn pan wan mashin we de yuz yu at ɛn yu lɔng dɛn fɔ ɛp yu fɔ du sɔm pan di wok dɛn. Dɔn, fɔ mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ si insay yu lɔng, dɛn kin mek yu bɔdi in tɛmpracha go dɔŋ to 18 digri sɛlshiɔs (65°F), ɛn dɛn kin stɔp yu blɔd fɔ shɔt tɛm. dis dεn kכl am `dip haypothermic circulatory arrest.` Nכ wכri, dis prosidכs de alaw di sכjaman fכ pul di bכdi kכlכt εn ska tisu rili klin we i de protεkt yu bren frכm eni damej.
Aw fɔ rɛdi fɔ ɔpreshɔn?
Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid bifo dɛn du di ɔpreshɔn. Bɔku tɛm, dɛn go tɛl yu fɔ pe atɛnshɔn to dɛn tin ya:
- Di mɛrɛsin dɛn: Dɛn go aks yu fɔ stɔp fɔ tek tin dɛn we de mek yu blɔd tan (lɛk aspirin ɛn wɔfarin) ɛn sɔm tin dɛn we de mek yu fil pen (NSAID) sɔm dez bifo yu du di ɔpreshɔn, bikɔs dɛn tin ya kin mek yu gɛt mɔ blɔd we yu de du di ɔpreshɔn.
- Fɔ it ɛn drink: Dɛn go aks yu fɔ fast (nɔ fɔ it ɔ drink) fɔ sɔm awa bifo dɛn du di ɔpreshɔn. I bɛtɛ fɔ gɛt ɛmti bɛlɛ we dɛn gi yu di anestezi.
- Smok ɛn rɔm: If yu yuz ɔl tu, i rili impɔtant fɔ stɔp kpatakpata bifo yu du di ɔpreshɔn, bikɔs dɛn kin delay fɔ wɛl ɛn i kin mek yu gɛt prɔblɛm dɛn.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go admit yu na di intensiv kia yunit (ICU). Yu go de de da nɛt de. Di nɛks mɔnin, dɛn go chɛk if yu ebul fɔ blo yusɛf ɛn afta dat dɛn go pul di ventilator.
Yu go ɔltɛm de na ɔspitul fɔ 7 to 10 dez. Insay dis tɛm, yu go bigin fɔ waka smɔl smɔl. Yu go gɛt sɔm tɛst dɛn bak fɔ si if yu nid ɔksijɛn bifo yu go na os. Dis na di sem tin we kin apin we pɔsin kin wɛl we dɛn du ɔpreshɔn pan pɔsin in at we opin.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni ɔpreshɔn, PTE gɛt bɛnifit ɛn risk.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Di pɔsibiliti fɔ kɔmplit rikɔva frɔm CTEPH. | Di risk fɔ day we dɛn de du ɔpreshɔn (naw dis dɔn smɔl lɛk 1%). |
| Big impɔtant improvement pan di brith ɛn ɛksesaiz abiliti. | Risk fɔ gɛt strok (1%-2%). |
| Rikɔvayshɔn fɔ di damej we de na di rayt say na di at. | di pulmonari haypatεnshכn (PH) de stil de na wan sכm lεvεl ivin afta dεn כpεrayshכn. |
| Di ebul fɔ liv lɔng, wɛl bɔdi layf afta dɛn dɔn ɔpreshɔn am. | di akyumyuleshכn fכ wata rawnd di at (pεrikardial efyushכn). |
Sɔntin yu nɔ plan!
If yu fil pen wantɛm wantɛm , bad bad wan na yu chɛst, yu nɔ de blo bad bad wan, ɔ yu fɔdɔm afta dɛn dɔn du yu ɔpreshɔn, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɔn bak, if yu gɛt sɔm sayn dɛn lɛk fɔ swel, rɛd, pus, ɔ fiva na di say we dɛn du di ɔpreshɔn, go to yu dɔktɔ wantɛm wantɛm.
Aw na di tɛm fɔ wɛl?
I kin tek lɛk 3 mɔnt fɔ mek i wɛl ful wan.
- Fɔs 6 wik: Nɔ drayv, go wok, ɔ lif pas 4.5 kg (10 lbs).
- Wik 7 to 12: I kin es 11 kg (25 lbs).
- Afta 12 wik: Bɔrku tɛm nɔr kin gɛt ɛnitin fɔ stɔp am.
Yu ebul fɔ blo ɛn du ɛksɛsayz kin bɛtɛ smɔl smɔl te to 4 ia afta dɛn dɔn du di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we PTE na kɔmpleks ɔpreshɔn fɔ pul ol blɔd we de na di lɔng, i kin mɛn di sik we dɛn kɔl CTEPH kpatakpata.
- Dis ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ ɛn di tim fɔ spɛshal pipul dɛn go disayd if i fayn fɔ yu.
- Pan ɔl we di tɛm fɔ wɛl kin lɔng smɔl, yu kwaliti fɔ liv, yu ebul fɔ blo, ɛn yu go ebul fɔ muv go bɛtɛ afta dɛn dɔn du yu ɔpreshɔn.
- Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ tek antikɔagulant fɔ di res ɔf yu layf fɔ mek blɔd nɔ klɔt bak.
- I impɔtant fɔ go to yu dɔktɔ di rayt tɛm ɛn du tɛst. Nɔr frayd fɔ tɔk to yu dɔktɔ bɔt ɛni diskɔmfɔt we yu go gɛt.
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