Yu gɛt ay blɔd prɛshɔn? Sɔntɛm yu de yuz bɔku mɛrɛsin dɛn, bɔt yu stil gɛt prɔblɛm fɔ kɔntrol yu blɔd prɛshɔn? If na so i bi, di tin we kin mek yu gɛt dis sik kin bi we di men blɔd vesel we kin kɛr blɔd go na yu kidni dɛn kin blok. Tide, wi go tɔk bɔt wan spɛshal we fɔ trit dɛn kayn kes ya.
Fɔ tɔk am simpul wan, wetin na Renal Artery Stenting?
I rili simpul. di men blכd vesel dεm we de gi bכdi to yu kidni dεm (wi kכl dεm ya di rεnal atεri dεm) kin blok sכmtεm bay fεt dεposit dεm. dis kכndyushכn dεn kכl am `(Renal Artery Stenosis)`. so `Renal Artery Senting` na prosidur we involv fכ put sכm sכm mεsh lεk tכb (dεn kכl dis `stent`) insay di blכd vεsεl we blכk, opin bak di εria we blכk εn fכ mek di bכdi fכ fכlכ bak.
Tink bɔt am, di kidni na di men ɔgan we de kɔntrol di sɔl ɛn wata we de na wi bɔdi. Dɛn kin du dis bay we dɛn de filta di blɔd ɛn mek urine. So if di kidni dɛn nɔ gɛt di blɔd we dɛn nid, dɛn nɔ go ebul fɔ du dis wok fayn fayn wan. Dɔn wata ɛn sɔl kin bigin fɔ gɛda na di bɔdi.
di kidni dεm de mek wan כmon bak we dεn kכl `(Renin).` Dis כmon de εp di bכdi fכ kip sכl εn wata εn i de tayt di bכdi vεsεl dεm. We di kidni no se di blɔd prɛshɔn we de kam to am dɔn smɔl, di kidni kin tink se di blɔd prɛshɔn na di bɔdi rili smɔl. afta dat i de sekret mכr `(Renin).` bכt wetin rili apin na dat di bכdi de blok εn di bכdi fכ fכlכ to di kidni de rεdכks, εn di bכdi prεshכn na di bכdi kin hכy da tεm de. We ɔl dis kam togɛda, wi kin mek wan kɔndishɔn we dɛn kɔl `(Renal Hypertension)` we kin mek pɔsin gɛt ay blɔd prɛshɔn. Dis kin put bɔku prɛshɔn pan di at ɛn ɔda pat dɛn, ɛn as tɛm de go, i kin ivin mek di kidni dɛn nɔ wok fayn .
Wetin mek i nid fɔ put stent na blɔd vesel na di kidni?
If yu dɔktɔ si se yu gɛt bɔku bɔku blɔd vesel we de go na yu kidni ɛn yu nid fɔ trit am, dɛn kin se yu fɔ put stent. Dis kin ɛp fɔ mek yu kidni dɛn nɔ pwɛl mɔ. Bɔt mɛmba se nɔto ɔl di tin dɛn we de blok na di rεnal at dɛn nid fɔ gɛt stent.
Jɛnɛral wan, sɔm kayn tin kin de wae yu kin nid dis tritmɛnt:
- If pas 60% pan di blɔd vesel dɛn blok bikɔs ɔf di fat we de insay di blɔd vesel (atherosclerosis), ɛn dɛn nɔ kin ebul fɔ kɔntrol am wit mɛrɛsin.
- If yu de tek tri ɔ mɔr ay blɔd prɛshɔn mɛrɛsin pan maksimam dos ɛn stil nɔ ebul fɔ kɔntrol yu blɔd prɛshɔn.
- if di tu bכdi vεsul dεm we de go to di tu kidni dεm dכn blכk pas 60%.
- If yu gɛt wan kidni nɔmɔ, ɛn di blɔd vesel we de go to am pas 60% blok.
- if yu gεt kכndyushכn lεk ``flash pulmonary edema`` usay di lכng dεm de fulכp wit wata wan wan.
Di tin we impɔtant pas ɔl na dat na di dɔktɔ we de chɛk yu nɔmɔ go disayd if yu nid dis tritmɛnt ɔ yu nɔ nid am. So tɔk to yu dɔktɔ opin wan bɔt dis.
Wetin kin apin bifo dɛn trit am?
Bifo yu du dis tritmɛnt, yu dɔktɔ go chɛk yu jenɛral wɛlbɔdi ɛn du bɔku tɛst fɔ no if yu nid fɔ gɛt stent.
| Nem fɔ di tɛst | Wetin jɔs de apin? |
|---|---|
| Dupleks Doppler Ultrasonografi we dɛn kin yuz | Dis tan lɛk we dɛn de skan am ɔltɛm. I de yuz sawnd wev fɔ no aw di blɔd vesel dɔn blok ɛn aw di blɔd de flɔ kwik kwik wan. |
| Kɔmpyuta Tomografi Angiogram (CT Angiogram) . | dεn de yuz εks-ray fכ mek wan tri-dimεnshכnal (3D) imej fכ di kidni. Dɛn kin injɛkt wan spɛshal wata (kɔntrast day) fɔ si di blɔd vesel dɛn klia wan. |
| Magnɛtik Rɛsɔnans Angiogram (MRA) . | I tan lɛk se dɛn de du MRI skan. I de yuz wan magnɛtik fil. Na ya bak, dɛn kin injɛkt wan spɛshal wata fɔ si klia wan aw di blɔd vesel dɛn de. |
| Angiogram we dɛn kin du | wan tin tכb (kateta) dεn de put am tru di groin כ di an εn dεn de gayd am to di bכdi we de go na di kidni. Dɔn dɛn kin injɛkt wan spɛshal wata ɛn dɛn kin yuz ɛkstrem rayt fɔ wach aw di blɔd de flɔ. Dɛn kin put di stent bak dis sem we. |
Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) . Sɔm mɛrɛsin dɛn lɛk aspirin, tin dɛn we de mek yu blɔd tan, ɛn tin dɛn we de mek yu nɔ fil pen, kin mek yu gɛt mɔ blɔd. Dat mek,Nɔ stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ.
Dɔn bak, tɛl wi bɔt ɛni alɛji we yu gɛt. Dis inklud alɛji to mɛrɛsin, sɔm tin dɛn fɔ klin (lɛk ayodin), ɛn it dɛn.
Wetin kin apin we dɛn de trit am?
Dis nɔ kin mek yu nɔ no natin atɔl. Dɛn go gi yu wan salin sɔlvushɔn tru wan vein na yu an fɔ ɛp yu fɔ rilaks ɛn slip. So yu nɔ go gɛt bɔku mɛmori bɔt di tritmɛnt.
Di dɔktɔ go mek wan rili smɔl say na yu groin ɔ yu an. Tru da say we dɛn kɔt, dɛn kin put wan ol tiub (sheath) insay di blɔd vesel. Dɔn, dɛn kin pas ɔda tin tiub (kateta) tru da tiub de to di blɔd vesel we dɔn blok we de go na di kidni.
We dɛn dɔn rich di blɔk, dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di tiub fɔ mek di blɔk big. Dɔn, dɛn kin put di mɛtal mɛsh stent we wi bin dɔn tɔk bɔt na da ples de ɛn opin am. Dɔn i kin prɛs di wɔl na di blɔd vesel, pul di blɔk we dɔn blok ɛn opin wan rod fɔ mek blɔd flɔ. Dis stent na sɔntin we de insay di bɔdi fɔ ɔltɛm.
We di stent dɔn de, dɛn kin pul di balɔ ɛn pul di kateshɔn. Dɔn dɛn kin lɔk di say we dɛn kɔt bay we dɛn de prɛs ɔ yuz spɛshal tin, ɛn dɛn kin put bɛnd.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt, yu go nid fɔ de na ɔspitul fɔ sɔm awa, sɔntɛm fɔ wan nɛt. Di mɛdikal wokman dɛm go wach yu blɔd prɛshɔn, pen, ɛn ɔl yu wɛlbɔdi. Sɔntɛm yu go nid fɔ chenj yu prɛskrishɔn bifo yu go na os. Dɛn go ɛksplen dis to yu.
We dɛn dɔn disayd se yu fit fɔ go na os, dɛn go pul yu na ɔspitul. Bɔt , yu go nid fɔ mek yu fambul ɔ padi kam kɛr yu go na os.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn smɔl prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Na tritmɛnt we dɛn kin du tru smɔl say we dɛn kɔt am ɛn i nɔ kin gɛt bɛtɛ sayd ɛfɛkt. | Brus ɔ blɔd de kɔmɔt usay dɛn put di tiub. |
| I kin mek di blɔd flɔ fayn fayn wan na di kidni dɛn. | Damej to di rεnal atεri כ kidni. |
| Fɔ gɛt ɛp fɔ ridyus di ay blɔd prɛshɔn. | Blɔd we de klɔt. |
| Fɔ ɛp fɔ protɛkt di kidni fɔ wok. | Wan alɛji to di spɛshal wata we dɛn yuz fɔ di tɛst. |
| Na smɔl tɛm nɔmɔ, di kidni nɔ kin wok fayn. |
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku pipul dɛn kin fil fayn insay sɔm dez. Yu dɔktɔ go advays yu bɔt aw yu fɔ de du tin fɔ di fɔs dez.
Yu go nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan fɔ mek di blɔd nɔ klɔt te di stent wɛl. Fɔ ɛgzampul, mɛrɛsin dɛn lɛk `Aspirin` ɔ `Clopidogrel`. Dipen pan yu kɔndishɔn, yu kin nid fɔ tek dɛn tin ya fɔ te wan mɔnt ɔ wan ia. I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek ɛn nɔ stɔp dɛn we yu nɔ go to yu dɔktɔ.
Bɔrku pipul kin kam bak na dɛn woke ɔr dɛn nɔrmal tin fɔ du insay wan wik. Bɔt if yu de du wok we nɔ izi fɔ yu, lɛk fɔ es wet, i kin tek smɔl tɛm fɔ mek yu wɛl.
Ustɛm a fɔ go to di dɔktɔ bak?
Sɔntɛnde, nyu tin dɛn kin blok ɔdasay na di blɔd vesel. So mek shɔ se yu go na di klinik di de dɛn we dɛn dɔn plan fɔ go ɛn go to di dɔktɔ.
Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya , kɔl yu dɔktɔ wantɛm wantɛm:
- If yu gɛt fiva.
- If yu gɛt prɔblɛm fɔ blo.
- If wan skin rash apin.
- If di say we dɛn put di tiub rɛd, pepul, blak, swel, i de fil pen, ɔ i de blɔd.
- If di leg usay dɛn put di tyub de pen, kol, i de shayn ɔ fil wik.
- If yu gɛt nyu pen na yu bɛlɛ ɔ na di say we dɛn dɔn trit.
- If yu fil se yu de tɔn diziz ɛn yu blɔd prɛshɔn rili smɔl (haypɔtɛnshɔn).
Mɛsej we dɛn kin kɛr go na os
- Renal Artery Stenting na wan tritmɛnt we nɔ kin sef we dɛn kin yuz fɔ opin di blɔd vesel dɛn we dɔn blok we de go na di kidni dɛn.
- Dis kin ɛp fɔ pul di ay blɔd prɛshɔn we at fɔ kɔntrol ɛn protɛkt di kidni fɔ wok.
- Nɔto ɔlman nid dis tritmɛnt. Na yu dɔktɔ nɔmɔ go disayd if yu nid am ɔ yu nɔ nid am.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ yuz di mɛrɛsin dɛn we di dɔktɔ tɛl yu fɔ yuz, mɔ di wan dɛn we de mek yu blɔd tan, jɔs lɛk aw dɛn tɛl yu fɔ yuz am.
- If yu gɛt ɛnitin we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ fred fɔ tɔk to am bɔt ɛnitin we de mɔna am.
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