Yu gɛt ay blɔd prɛshɔn bak? Sɔntɛm yu de tek pas wan kayn mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn. Bɔt if i stil nɔ izi fɔ yu fɔ kɔntrol yu blɔd prɛshɔn, di tin we kin mek yu gɛt am na we di at dɛn we de gi blɔd to yu kidni dɛn kin blok. So tide, lɛ wi tɔk bɔt di tritmɛnt we dɛn kɔl ‘Renal Artery Senting’ we dɛn kin yuz pan dɛn kayn tin ya. Nɔ fred we yu yɛri dis, lɛ wi ɔndastand ɔltin bɔt am simpul wan.
Wetin na Renal Atɛri Sɛntin?
Fɔ tɔk am simpul wan, di men blɔd vesel dɛm we de kɛr blɔd go na di tu kidni dɛm na wi bɔdi dɛn kɔl dɛn ‘rεnal atεri dεm’. Jɔs lɛk di tu men paip dɛn we de kɛr wata go na gadin. sכmtεm, tin dεm lεk fεt kin bכku insay dεn bכdi vεsul dεm ya (dεn kכl dis kכndyushכn `(Atherosclerosis)`) εn di pasεj insay di vein dεm kin sכm sכm. wi kin kכl dis ‘rεnal atεri stεnosis’.
Imajin sɔntin lɛk wata paip we rɔst dɔn lɔk. Dɔn di wata in rod kin smɔl, nɔto so? na di sem we, di rod we de go na di kidni dεm kin blok.
Renal Artery Stenting na tritmɛnt we dɛn kin yuz fɔ opin bak, ɔ kip opin, blɔd vesel we dɔn blok. insay dis, dεn de put wan rili sכm mεsh lεk mεtal tכb (stεnt) insay di εria we blכk, we de opin di vein. Dɔn, blɔd kin bigin fɔ flɔ fayn fayn wan na di kidni bak.
Wetin kin rili apin we di rεnal veins dεm blכk?
As yu no, wan pan di men wok we wi kidni de du na fɔ filta di blɔd ɛn pul sɔl ɛn wata we nɔ nid na di bɔdi as urine. We di blɔd we de flɔ na di kidni dɛn go dɔŋ, dɛn nɔ kin ebul fɔ du dis wok fayn fayn wan. Dɔn, wata kin bigin fɔ gɛda na di bɔdi.
Nɔto dat nɔmɔ, bɔt ɔda impɔtant tin kin apin. We di kidni ‘sɛns’ se blɔd nɔ de flɔ to am, i kin tink se di blɔd prɛshɔn na di wan ol bɔdi dɔn go dɔŋ. so, fכ mek di bכdi prεshכn go כp, di kidni de rilis wan spεshal כmon we dεn kכl `(renin)`. Dis ɔmon de mek di blɔd vesel dɛn na di bɔdi tayt. Bɔt wetin kin rili apin na dat di blɔd prɛshɔn na di bɔdi kin rili ay da tɛm de.
di ay blɔd prɛshɔn we kin kam bikɔs di kidni vein dɛn kin blok dis we ya dɛn kin kɔl am Rɛnal Haypatɛnshɔn . Dis kin at fɔ kɔntrol pas di nɔmal ay blɔd prɛshɔn, ɛn as tɛm de go i kin pwɛl di kidni dɛn bak.
Udat nid fɔ gɛt stent?
Nɔto ɔlman we gɛt blɔk rεnal at go nid fɔ gɛt stent. Yu dɔktɔ go jɔs tɛl yu dis tritmɛnt pan sɔm spɛshal kes dɛm.
| Kɔndishɔn | Tɔk bɔt |
|---|---|
| Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol | If dɛn nɔ kɔntrol yu blɔd prɛshɔn pan ɔl we yu de tek tri ɔ mɔ ay doz mɛrɛsin dɛn we de mek yu gɛt ay blɔd prɛshɔn. |
| Di vein we kin blok bad bad wan | If pas 60% pan di rεnal vein dεm dכn blכk εn dεn nכ kin kכntro am wit mεdikeshכn. |
| Wata we de ful-ɔp di lɔng dɛn | if yu wan wan kכndyushכn we dεn kכl ``flash pulmonary edema''. |
| Prɔblɛm wit ɔl tu di kidni dɛn | if di tu vein dεm we de go to di tu kidni dεm dεn blכk pas 60%. |
Us tɛst dɛn kin du bifo dɛn put stent?
Bifo yu disayd fɔ put stent, yu dɔktɔ go du bɔku tɛst dɛn fɔ no aw yu at rili blok.
- Duplex Doppler Ultrasonography: Dis tan lɛk we dɛn kin skan am ɔltɛm. I de yuz sawnd wev fɔ no aw di at de smɔl ɛn aw di blɔd de flɔ fast.
- Computed Tomography Angiogram (CT Angiogram): Dis min se yu fɔ injɛkt spɛshal day na yu veins ɛn yuz CT skan fɔ tek tri-dimɛnshɔnal (3D) pikchɔ fɔ di veins. Dis kin mek yu si klia wan usay di vein dɛn dɔn blok.
- Magnetic Resonance Angiogram (MRA): Dis tan lɛk MRI skan. Dɛn kin put day ɛn yuz magnɛtik fil fɔ mek klia pikchɔ dɛn bɔt di blɔd vesel dɛn.
- Angiogram: Dis na di we we kɔrɛkt pas ɔl. insay dis, dεn de put wan vεri tכn tכb (kateta) tru wan vein na di groin כ an εn de gayd am to di rεnal vein. Dɔn, dɛn kin injɛkt wan day tru am ɛn tek ɛkstrem rayt fɔ si aw di blɔd de flɔ. Dɛn kin du stent we dɛn de du dis tɛst.
Impɔtant: Bifo dɛn tɛst ya, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (especially blood thinners lɛk aspirin) ɛn ɛni alɛji we yu go gɛt.
Aw dɛn kin du ɔpreshɔn fɔ mek dɛn put stent?
Dis nɔto big ɔpreshɔn we dɛn kin du fɔ opin pɔsin. Dɛn nɔ de put yu na slip. Dɛn kin gi yu wan mɛrɛsin we dɛn kɔl `sedation` fɔ mek yu rilaks ɛn slip. So yu nɔr kin fil ɛni pen ɛn yu nɔr kin mɛmba am afta dat.
Di tritmɛnt na jɔs lɛk dis:
1. Dɛn kin kɔt wan rili smɔl say (fɔ sɔm milimita) na di skin na yu groin ɔ yu an.
2. tru am, dεn de put wan fleksibul tכb (sheath) insay di vein.
3. tru da tכb de, dεn de pas כda tכb we rili tכn (kateta) to di vein we blכk na di kidni.
4. Dɔn, dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di tiub fɔ mek di say we dɛn blok big.
5. Fɔ dɔn, dɛn kin put di stent we tan lɛk mɛsh we wi bin dɔn tɔk bɔt fɔs na di say we dɔn big. di stent de pres pan di wol na di at, we de kip di at opin.
6. Dɛn kin put di stent de fɔ ɔltɛm, dɛn kin pul di balyɔn ɛn di tiub, dɛn kin lɔk di say we dɛn kɔt am, ɛn put bandej.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin afta dɛn dɔn trit am?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn smɔl risk dɛn de.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Bi simpul we we nɔ gɛt big say we dɛn kɔt am. | Brus ɔ blɔd de kɔmɔt usay dɛn put di tiub. |
| Di blɔd we de flɔ bak to di kidni. | Blɔd vesel ɔ kidni de pwɛl (we nɔ kin apin so ɔltɛm). |
| Fɔ ɛp fɔ kɔntrol blɔd prɛshɔn. | Blɔd we de klɔt. |
| Fɔ protɛkt di kidni fɔ wok. | Alɛji fɔ day. |
Afta yu dɔn gɛt tritmɛnt, yu go nid fɔ de na ɔspitul fɔ sɔm awa ɔ sɔntɛm fɔ wan nɛt. Yu go ebul fɔ go bak to nɔmal tin dɛn insay sɔm dez afta yu dɔn go na os. Yu go ebul fɔ bigin yu nɔmal tin dɛn bak insay lɛk wan wik so.Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin we de mek yu blɔd tan (lɛk `Aspirin`, `Clopidogrel`) we yu dɔktɔ gi yu ɛksaktɔli fɔ di tɛm we dɛn gi yu. Nɔ ɛva stɔp fɔ tek di mɛrɛsin we yu nɔ aks yu dɔktɔ.
Ustɛm a fɔ go to di dɔktɔ bak?
Ivin afta dɛn dɔn put di stent, yu fɔ rili go fɔ fala-ɔp visit lɛk aw di dɔktɔ se, bikɔs sɔntɛnde di stent ɔ ɔda say kin blok bak.
If ɛni wan pan dɛn sayn ya apin, 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, swel, i de fil pen, ɔ if blɔd ɔ pus de kɔmɔt de.
- If di leg we de na di say we dɛn dɔn trit, de fil pen, kol, ɔ i de shayn.
- If yu gɛt nyu pen na yu bɛlɛ ɔ na di say we dɛn dɔn trit.
- If yu fil diziz ɛn yu blɔd prɛshɔn go dɔŋ bɔku.
Di stent na pat we de sote go na di bɔdi. Bɔku tɛm, i nɔ kin mek pɔsin fil pen. Pan ɔl we i kin ɛp bɔku pipul dɛn fɔ kɔntrol dɛn ay blɔd prɛshɔn, yu kin stil nid fɔ tek mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn. Yu dɔktɔ go disayd dis bay aw yu sik.
Mɛsej we dɛn kin kɛr go na os
- Renal Artery Stenting na simpul, nɔ-invasive tritmɛnt fɔ siriɔs blɔk na di blɔd vesel dɛm we de go na di kidni dɛm.
- Dis kin ɛp fɔ kɔntrol di ay blɔd prɛshɔn, we at fɔ kɔntrol, ɛn i kin protɛkt di kidni dɛn.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ tek di mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ mek yu blɔd tan, jɔs fɔ di tɛm we yu dɔn tɛl yu.
- Mek shɔ se yu atɛnd di fɔs apɔntinmɛnt dɛn di de dɛn we dɛn dɔn sɛtul.
- If yu gɛt sayn dɛn we de wɔn yu lɛk fiva, pen bad bad wan, ɔ blɔd, tɛl yu dɔktɔ wantɛm wantɛm.
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