Yu ɔ pɔsin we yu sabi dɔn ɛva tɛl yu se yu at at at dɔn blok ɛn yu nid fɔ baypas? Wi ɔl dɔn yɛri di wɔd ‘baypas’. Imajin se ebi ebi trafik de na rod, dɔn dis tan lɛk fɔ bil ɔda rod fɔ mek motoka dɛn pas. We blɔd vesel we de gi blɔd to di at kin blok, wan nyu rod, dat na nyu blɔd vesel kin kɔnɛkt to di at, we dɛn jɔs kɔl baypas ɔpreshɔn. Bɔt yu dɔn ɛva wɔnda usay dɛn kin kɛr blɔd vesel fɔ bil dis nyu rod? Bɔku tɛm, dɛn kin yuz wɛlbɔdi blɔd vesel frɔm yu yon bɔdi fɔ dis. Dat na di prɔses we wi go tɔk bɔt tide, we dɛn kin pul da blɔd vesel de na wan pat na di bɔdi ɛn transplant am to di at.
Wetin i min fɔ ‘avɛst’ blɔd vesel?
Fɔ tɔk am simpul wan, dis tan lɛk fɔ avɛst blɔd vesel. Fɔ tɔk di kɔrɛkt tin, i min se yu fɔ ɔpreshɔn wan blɔd vesel we gɛt wɛlbɔdi na wan pat na yu yon bɔdi (bɔku tɛm na yu an ɔ yu leg) ɛn yuz am as ɔda tin fɔ yuz pas wan at we dɔn blok na yu at. di bכdi we dεn tek dis we dεn kכl am ``graft.''
wan εnd pan dis graft de kכnekt to di bכdi in men εn big at, di aorta, εn di כda εnd de kכnekt to di at we blכk na di at dכn di blכk. Dɔn, blɔd kin pas na di nyu at we dɔn kɔnɛkt to di at we nɔ gɛt ɛnitin fɔ ambɔg am, ɛn i kin pas di pat we dɔn blok. Dɛn kɔl dis ɔpreshɔn Coronary Artery Bypass Grafting (CABG) insay mɛrɛsin.
Usay dɛn blɔd vesel ya kɔmɔt?
Tu kayn blɔd vesel dɛn de we dɛn kin yuz mɔ fɔ baypas ɔpreshɔn.
1. Radial Artery na di an
Dis na big blɔd vesel we de kɔmɔt insay yu an frɔm yu ɛlb te to yu an . Dis na di at we yu kin fil we yu fil yu puls. I de located very superficially to di skin.
"Den if dem pul dis at, yu no tink se blɔd go flɔ to di an?" Sɔntɛm yu gɛt da kayn kwɛstyɔn de. Nɔ fred. Dɛn mek wi bɔdi fayn fayn wan. wi gεt wan כda big at, di ``Ulnar Artery,'' we de rכn paralel to dis ``Radial Artery'' na wi an. afta dεn dכn pul di raydial at, di כda at de du di כl wok we da at de du.
2. Saphenous Vein na di Leg
Dis na di vein we lɔng pas ɔl na wi bɔdi. Na vein we de kɛr dɔti blɔd go bak na di at. I de rɔn frɔm di bɔt ɔf di bɔdi ɔlsay te to di shɔl. If yu pul am, dat nɔ go mek yu gɛt ɛni prɔblɛm. Bikɔs wan dip venɔs sistɛm de na di leg. afta dεn dכn pul di saphenous vein, di fכnshכn we i bin de du na di dip venus sistεm de tek ova.
Wetin yu kin du bifo dɛn du yu ɔpreshɔn?
Bifo di dɔktɔ disayd fɔ du dis ɔpreshɔn, i go du bɔku tɛst dɛn fɔ no di rayt sayz ɛn usay di tin we dɔn blok na yu at. Bay di rizɔlt, i go disayd if di vein we fit pas ɔl fɔ di baypas na yu an ɔ yu leg.
| Test tayp | Fɔ tɔk am simpul wan, . |
|---|---|
| Kɔmplit Blɔd Kɔnt | Fɔ chɛk di kayn ɛn ɔmɔs sɛl dɛn we de na di blɔd. |
| Chɛst X-ray ɛgzamin | Fɔ tek kia ɔf di bɛsis kɔndishɔn na di at ɛn di lɔng. |
| Skan dɛn lɛk CT, MRI, ɔ Vascular Ultrasound | Fɔ tek ditayli pikchɔ dɛn bɔt di insay pat na di bɔdi ɛn di blɔd vesel dɛn. |
| Angiogram we dɛn kin du | Dɛn kin put spɛshal wata insay di blɔd vesel dɛn ɛn dɛn kin yuz ɛkstrem rayt fɔ no di say dɛn we dɔn blok. |
Apat frɔm dat, i rili impɔtant fɔ fala di tin dɛn we yu dɔktɔ gi yu bifo yu du di ɔpreshɔn.
- Fast (nɔ fɔ it ɛn drink) fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
- If yu de smok, stɔp am kpatakpata.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ sɔm tɛm (inklud vaytamɛn ɛn ɛbul mɛrɛsin).
Aw dɛn kin du di ɔpreshɔn?
Di ɔpreshɔn fɔ pul di blɔd vesel tan lɛk baypas ɔpreshɔn. Dɛn kin put yu ɔnda jenɛral anestezi. Tu men we dɛn de fɔ pul di blɔd vesel.
1. Ɛndoskopik Ɔpreshɔn: Dis kin min fɔ mek wan ɔ tu rili smɔl say dɛn na di skin na di an ɔ leg.I min fɔ put wan tiub we rili tan (ɛndoskɔp) we gɛt kamɛra ɛn tin dɛn fɔ du ɔpreshɔn. Di dɔktɔ tek tɛm pul di blɔd vesel we i de wach di monita. Di skata we dis kin mek pɔsin gɛt rili smɔl.
2. Open Surgery: Insay dis, dɛn kin pul di blɔd vesel bay we dɛn mek wan big, lɔng say usay di blɔd vesel de ɛn opin di skin.
we dεn de du baypas כpεrayshכn, yu at εn lכng dεm kin chenj fכ sכm tεm to ``Hat-Lכng Baypas Mashin.`` Dɔn di sכja de tek di hεlty bכdi we dεn bin dכn pul bifo ``graft`` εn transplant am insay di at baypas di blכk.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
dis we aw dεn kin graft wan vein frכm di bכdi na di men rizin fכ di sakses fכ baypas כpεrayshכn. Bɔku bɛnifit dɛn de fɔ du dis, mɔ wit di ɛndoskopik we.
Bɛnifit dɛn:
- I kin wɛl kwik kwik wan ɛn i nɔ kin fil pen.
- Ridyus di tɛm we dɛn kin spɛn na ɔspitul.
- Nɔ big ska ɛn ridyus di risk fɔ gɛt infɛkshɔn .
- Ridyus risk fɔ blɔd ɛn blɔd klɔt (Hematomas).
Risk dɛn we kin apin:
Jɔs lɛk ɔl ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin to ɔlman.
- Blɔd ɔ brus na di say we dɛn kɔt am.
- Blɔd we De Klɔt.
- Yu nɔ de fil fayn ɔ yu nɔ de fil fayn na di say we yu de fil bikɔs di nɛf dɛn we de rawnd di say we dɛn kɔt di say dɔn pwɛl.
- Swɛlin (Ɛdima).
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik.
Di tin we impɔtant pas ɔl na dat, di men tin we yu fɔ pe atɛnshɔn pan afta dɛn dɔn du di ɔpreshɔn na fɔ mek yu wɛl frɔm di baypas ɔpreshɔn. If yu tek tɛm du wetin yu dɔktɔ tɛl yu fɔ du, yu go ebul fɔ avɔyd bɔku pan dɛn bad tin ya.
We yu nid fɔ go to dɔktɔ kwik kwik wan
We yu go bak na os afta dɛn dɔn du yu ɔpreshɔn, nɔ pe atɛnshɔn to ɛnitin we go mek yu nɔ fil fayn. If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Chɛst pen ɔ filin fɔ tayt na di chɛst (Angina).
- Kol swet we kin kam wantɛm wantɛm .
- I nɔ izi fɔ blo (Dyspnea).
- Sayn dɛn we de sho se pɔsin gɛt di sik, lɛk we yɔlɔ wata we de kɔmɔt na di wund dɛn we dɛn dɔn ɔpreshɔn ɛn fiva .
fכ finish, stכdi dεn sho se baypas כpεrayshכn we dεn yuz di raydial atεri כ intanal mama atεri de kכmכt bכku as tεm pas we dεn yuz di saphenous vein. dis na biכs di atεrial wכl dεm strכng pas di vein dεm, so dεn nכ kin blok bak. Bɔt yu dɔktɔ go luk ɔl yu mɛdikal rɛkɔd fɔ no us vein we bɛtɛ fɔ yu ɛn aw fɔ gɛt am.
Mɛsej we dɛn kin kɛr go na os
- We dɛn de du hat baypas ɔpreshɔn (CABG), dɛn kin yuz wan wɛlbɔdi blɔd vesel, bɔku tɛm frɔm yu yon an ɔ yu leg, fɔ mek nyu rod fɔ mek blɔd go na di at.
- Dis na ɔpreshɔn we dɛn kin du fayn fayn wan ɔlsay na di wɔl ɛn i kin sev bɔku pipul dɛn layf.
- Di wok we di blɔd vesel we dɛn de ɔpreshɔn de du, na ɔda blɔd vesel dɛn we de nia de du am ɔtomɛtik wan, so i nɔ go ambɔg di bɔdi.
- I impɔtant fɔ fala di mɛrɛsin instrɔkshɔn dɛn ɛksaktɔli fɔ mek shɔ se yu wɛl kwik kwik wan afta dɛn dɔn du yu ɔpreshɔn ɛn fɔ avɔyd prɔblɛm dɛn.
- Nɔ ɛva ignore di chɛst pen, di at fɔ blo, ɔ sayn dɛm fɔ wund infɛkshɔn ɛn go to yu dɔktɔ wantɛm wantɛm.
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