Yu go dɔn yɛri dɔktɔ tɛl yu fambul, yu padi, ɔ pɔsin we yu sabi se, "Dɛn nid fɔ du at baypas, ɛn dɛn go tek wan vein na yu an ɔ yu leg." Na tɛm lɛk dat, i nɔmal fɔ mek yu fred smɔl ɛn want fɔ no mɔ. "O, wetin kin apin to da ɔgan de we dɛn pul wan vein na yu an ɔ yu leg? I nɔ go blɔd? Prɔblɛm go de leta?" Yu go de tink bɔt tin dɛn lɛk dat, nɔto so? Wel, tide a go ansa ol dem kweshon dem fo simpul we we yu go andastan.
Fɔ tɔk am simpul wan, wetin i min fɔ pul wan vein?
Fɔ ɔndastand dis, lɛ wi ɔndastand smɔl fɔs bɔt wetin na at baypas ɔpreshɔn, ɔ we dɛn kɔl korona at baypas ɔpreshɔn .
Imajin se di men wata paip we de briŋ wata kam na yu os, blok sɔmsay. Naw di wata kin kam sloslo, ɔ sɔntɛm i nɔ kin kam atɔl. Wetin yu kin du da tɛm de? Bifo yu kɔt di pat we dɔn blok, yu kin kɔnɛkt nyu paip to di sayd ɛn bak pan di pat we dɔn blok ɛn mek nyu rod. Dɔn di wata go flɔ fayn fayn wan bak.
Hat bypass ɔpreshɔn na jɔs lɛk dis. We tin dɛn lɛk kɔlɔstrel bɔku na di korona at we de gi blɔd to wi at ɛn blok, di at nɔ kin gɛt di blɔd we i nid. Na da tɛm de tin lɛk angina kin apin. Wetin dɔktɔ dɛn kin du na, dɛn kin yuz wan wɛlbɔdi blɔd vesel (vein) we dɛn tek frɔm ɔda pat na yu yon bɔdi fɔ mek nyu rod rawnd ɛn rawnd di say we dɛn blok. Dɛn kɔl dis nyu rod graft .
So, dis ‘fɔ pul wan vein’, ɔ ‘havɛst’ lɛk aw dɔktɔ dɛn kin kɔl am, de tɔk bɔt di prɔses fɔ tek di wɛlbɔdi blɔd vesel we yu nid fɔ bil da nyu rod de frɔm ɔdasay na yu yon bɔdi.
Usay dɛn vein ya kin kɔmɔt?
Tu kayn blɔd vesel dɛn de we dɛn kin yuz mɔ fɔ dis baypas ɔpreshɔn.
1. Radial Atɛri
Dis de na yu fɔs an, frɔm yu ɛlb te to yu an. Yu mɛmba usay dɔktɔ go fil yu puls we dɛn fil am? na de di raydial at de kכmכt. Wi gɛt tu men at dɛn na wi an. Dis na wan pan dɛn.
2. Saphenous Vein we de na di bɔdi
Dis na di vein we lɔng pas ɔl na wi bɔdi. i de stat na di insay pat pan di fut, dɔn i de go ɔp tru di groin ɛn jɔyn wan dip vein na di shɔl. Di wok we di vein dɛn de du na fɔ kɛr blɔd we nɔ gɛt ɔksijɛn go bak na di at. Bikɔs dis saphenous vein de jɔs dɔŋ di skin na di leg, i rili izi fɔ pul am bay ɔpreshɔn.
Aw di dɔktɔ kin disayd us vein fɔ yuz?
Dis nɔto tin we pɔsin fɔ disayd fɔ du wan nɛt. Yu mɛdikal tim go disayd dis afta dɛn dɔn tek tɛm chɛk yu sik ɛn tink bɔt sɔm tin dɛn. Dɛn go aks yu fɔ du bɔku tɛst dɛn bifo dɛn du di ɔpreshɔn.
- Kɔmplit Blɔd Kɔnt
- X-ray na di chɛst
- Imej tɛst dɛn lɛk CT Scan ɔ MRI
- Angiogram test - dεn kin yuz dis fכ chεk εksakכt aw di at dεm blכk na di at.
Dɛn kin disayd fɔ du di las tin afta dɛn dɔn tink bɔt di rizɔlt dɛn fɔ dɛn tɛst ya, ɛn bak di tin dɛn we de na di tebul we de dɔŋ ya.
| Wetin fɔ tink bɔt | Tɔk bɔt |
|---|---|
| Sayz ɛn di say we di blɔk de | di vein we dεn fכ yuz de dipכnt pan usay di at vein de εn aw i blכk. |
| Di sayz we di vein dɛn gɛt | Pik wan vein we gɛt di sem sayz lɛk yu at in vein dɛn. |
| If veins dɛn de we gɛt wɛlbɔdi | I impɔtant fɔ mek di vein we dɛn yuz fɔ transplant gɛt wɛlbɔdi ɔlsay. If yu gɛt prɔblɛm bak wit di vein dɛn na yu leg (lɛk di vayrɔs vein), dɛn nɔ go ebul fɔ tek da vein de. |
| Yu ɔvalayn wɛlbɔdi stetmɛnt | Tin dɛm lɛk ɔda mɛrɛsin wae yu gɛt (lɛk dayabitis) ɛn yu ej kin afɛkt dis disizhɔn bak. |
Bɔku tɛm, dɔktɔ dɛn go tray fɔ pul di vein frɔm yu nondominant sayd . Dat min se if yu na rayt-an, dɛn go tray fɔ gɛt di raydial at frɔm yu lɛft an.
Wetin kin rili apin we dɛn de du ɔpreshɔn?
Dis we aw dɛn kin pul di vein kin apin rayt bifo dɛn du yu baypas ɔpreshɔn. Dɛn dɔn anestez yu kɔmplit wan (jɛnɔral anestezi) ɛn dis ɔl dɔn. So yu nɔ go fil ɛni pen.
Tu men we dɛn de fɔ pul di vein.
1. Ɛndoskopik Ɔpreshɔn:Dis na di mכst kכmכn we dεn kin yus f כ minimally invasive prosidur. insay dis prosidכs, dεn kin put wan tin tכb we dεn kכl εndoskop tru wan כ tu sכm sכm sכm say dεm na di skin na di an כ leg. Na di ɛnd pan dis tyub, dɛn put kamɛra, layt, ɛn fayn fayn tin dɛn we dɛn nid fɔ mek di ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn, we de wach pan monita, kin tek tɛm separet di vein frɔm di tisu we de rawnd am ɛn pul am.
2. Open Surgery: Insay dis we ya, dɛn kin kɔt di skin lɔng wan usay di vein de ɛn pul di vein so dat i go si am dairekt wan. dis mεtכd bin de fכs, bכt naw dεn nכ de yus am bכku biכs fכ di εndoskopik mεtכd.
We dɛn dɔn pul di at, di men pat pan di baypas ɔpreshɔn kin bigin. Di dɔktɔ we de du di ɔpreshɔn kin tay wan ɛnd pan di graft to yu aorta ɛn di ɔda ɛnd to di at we dɔn blok. Naw yu gɛt nyu, wɛlbɔdi rod fɔ mek blɔd go na yu at.
Di men kweshon we yu go de aks na, "Yu no tink se mi an o leg go afekt if a no bin geht vein?" Atɔl. Wi bɔdi dɛn mek fayn fayn wan we nɔbɔdi nɔ go biliv.
* If wi tek di Radial Artery na di an: Di ɔda men at we de gi blɔd to di an , di Ulnar Artery , de tek ova di wok we di Radial Artery de du, we de gi blɔd to di an ɛn fɔs an we nɔ gɛt ɛnitin fɔ du wit am.
* If wi tek di saphenous vein na di leg: Di dip vein system , we de fa insay di leg, de tek ova di wok we di saphenous vein de du ɛn kɛr blɔd frɔm di leg bak to di at we nɔ gɛt ɛni prɔblɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. di bεnεfit dεm we di εndoskopik prosidכs in patikyular de gi bכku.
| Bɛnifit ɛn Risk dɛn | |
|---|---|
| Advantej dεm (especially in di endoskopik mεtכd) . | |
| Fɔ wɛl kwik kwik wan | I nɔ kin pen pas di ɔpreshɔn we dɛn kin du opin, so di tɛm we dɛn kin de na ɔspitul kin shɔt. Yu kin wɛl kwik kwik wan. |
| Blɔd nɔ kin bɔku | Di say we dɛn kɔt am rili smɔl, so blɔd ɛn brus nɔ kin bɔku. |
| Minimal ska dɛn we de de | Bifo big skata, na wan wan rili smɔl smɔl skata dɛn nɔmɔ kin lɛf, so di risk fɔ gɛt di sik kin ridyus bak. |
| Risk dɛn we kin apin | |
| Infεkshכn dεm | Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek pɔsin gɛt infɛkshɔn na di say dɛn we dɛn kɔt am. |
| Blɔd ɛn brus | Sɔm digri fɔ brus ɛn blɔd kin apin afta dɛn du di ɔpreshɔn. |
| Blɔd we de klɔt | Na smɔl tɛm nɔmɔ, risk kin de fɔ mek blɔd klɔt. |
| Nɛv dɛn we dɔn pwɛl | Smɔl chans de fɔ mek di smɔl smɔl nɛf dɛn we de nia di vein pwɛl, we kin mek di say we de na di bɔdi nɔ gɛt bɛtɛ trɛnk. |
Tin dɛn we yu fɔ tink bɔt we yu de wɛl afta yu dɔn go na os
Di men tin we yu fɔ pe atɛnshɔn pan na fɔ wɛl afta dɛn dɔn du yu baypas ɔpreshɔn. Afta yu kɔmɔt na ɔspitul, i rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn di wan dɛn we de wok na di nɔs dɛn gi yu di rayt we .
- Tek di rayt mɛrɛsin: Tek di mɛrɛsin dɛn we dɛn gi yu fɔ mek yu nɔ gɛt blɔd klot (anticoagulants) ɛn di mɛrɛsin dɛn we de mek yu fil pen di rayt tɛm ɛn di rayt doz.
- Fɔ kip di wund dɛn klin: Dɛn go tich yu na di ɔspitul aw fɔ klin ɛn drɛs di say dɛn we yu kɔt. Fɔ fala dɛn instrɔkshɔn ya.
- Nɔ es wet: Nɔ es ɛni wet te yu dɔktɔ tɛl yu fɔ es am.
- We yu wɛr spɛshal sɔks:If yu dɔn pul yu saphenous vein na yu leg, dɛn go aks yu fɔ wɛr spɛshal kɔmpreshɔn stɔking fɔ mek yu nɔ swel. Dɛn go advays yu bak fɔ kip yu leg ɔp smɔl.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt sɔm kayn at atak (lɛk we yu de fil bad bad wan na yu chɛst, i nɔ izi fɔ blo, yu de swet pasmak), kɔl wan imejensi ambulans savis wantɛm wantɛm lɛk 1990 ɛn go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU).
Apat frɔm dat, if wan ɔ mɔ pan dɛn sayn ya de sho, tɛl yu dɔktɔ ɛn nɔ de te.
- Chest pen ɔ tayt (Angina) .
- I de swet pasmak wantɛm wantɛm
- I nɔ izi fɔ blo (Dyspnea) .
- Sayn dɛm fɔ infekshɔn, lɛk yɔlɔ dischaj frɔm di say dɛm we dɛn de du ɔpreshɔn ɛn fiva
Baypas ɔpreshɔn na wan rili impɔtant ɔpreshɔn we de sev pɔsin in layf. Fɔ tek vein frɔm yu yon bɔdi na impɔtant pat pan am. Wit di advansment of teknoloji, dis prosidur naw kin du rili sef, wit smɔl pen ɛn kwik fɔ wɛl. So nɔ fred am we yu nɔ nid fɔ fred. If yu gɛt ɛni prɔblɛm ɔ dawt, tɔk to yu dɔktɔ opin wan bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Fɔ hat baypas ɔpreshɔn, fɔ gɛt wɛlbɔdi blɔd vesel (vein) frɔm yu yon an ɔ leg na kɔmɔn ɛn impɔtant tin fɔ du.
- We dɛn pul wan vein dis we, i nɔ go ambɔg di blɔd we de go na da ɔgan de. Ɔda blɔd vesel dɛn na di bɔdi kin tek da wok de.
- Di endoskopik we dɛn kin yuz bɔku bɔku wan tide, kin mek pɔsin nɔ fil pen, i nɔ kin gɛt skata, ɛn i kin mek i nɔ gɛt bɛtɛ tɛm fɔ wɛl.
- Fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn dɛn afta dɛn dɔn du di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik ɛn fayn fayn wan.
- If yu gɛt pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu gɛt sayn dɛn fɔ se yu gɛt wund infɛkshɔn, go to yu dɔktɔ wantɛm wantɛm.
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