Yu dɔn yɛri bɔt di blɔd vesel we big ɛn impɔtant pas ɔl na yu bɔdi, we na di aorta? Tink bɔt am lɛk di men wata paip we de briŋ wata kam na wi os. We di at de pɔmp klin blɔd, da blɔd de de go ɔlsay na di bɔdi tru dis aorta. So, we wan ples na di wɔl fɔ dis impɔtant blɔd vesel wik ɛn bulge kɔmɔt lɛk bɔbul na ol taya, wi kin kɔl am ‘aneurysm’ na mɛrɛsin. if dis bulge de apin na di pat pan di aorta we de rכn tru di chεst, wi kכl am ‘Thoracic Aortic Aneurysm’. Pan ɔl we dis nem de mek wi fred smɔl, lɛ wi tɔk bɔt am klia wan ɛn simpul wan.
Wetin na di thoracic aortic aneurysm?
Fɔ tɔk am simpul wan, di aorta na di men blɔd vesel na wi bɔdi we de bigin na yu at, go tru yu chɛst ɛn bɛlɛ, ɛn dɔn nia yu bɛlɛ. If wikɛd tin de na wan pan in wɔl, di prɛshɔn we di blɔd we de flɔ tru am kin mek da wik ples de bɔl lɛk balɔ. Dis na wetin wi kin kɔl aneurysm.
Dis sik nɔ kin bɔku so. Statistikin sho se i kin afɛkt lɛk wan pan ɛvri tɛn tawzin pipul dɛn. So nɔ panik we yu yɛri dis nem.
Udat nid ɔpreshɔn fɔ dis sik?
Nɔto ɔlman we gɛt dis kayn swel go nid ɔpreshɔn. Yu dɔktɔ go tink bɔt bɔku tin dɛn fɔ disayd if yu nid ɔpreshɔn ɔ nɔ nid fɔ du ɔpreshɔn.
- Di sayz fɔ di anɛrizm: Dis na di tin we impɔtant pas ɔl. Jɛnɛral wan, if di aneurism big pas 5.5 sɛntimita , ɔ if i de gro kwik kwik wan pas 0.5 sɛntimita insay siks mɔnt , yu dɔktɔ kin tink bɔt fɔ ɔpreshɔn.
- Yu simptom dɛm: Sɔmtɛm dis swɛlin kin mek yu gɛt sayn dɛm lɛk pen na yu chɛst ɛn i nɔ kin izi fɔ yu fɔ blo. If dis apin, dɛn kin se dɛn fɔ du ɔpreshɔn pan am, ilɛksɛf di sayz smɔl.
- Yu ɔl wɛl bɔdi: Yu ej ɛn if yu gɛt ɔda mɛrɛsin (e.g. dayabitis, at sik) kin afɛkt dis disizhɔn bak.
Di tin we impɔtant pas ɔl na dat na yu dɔktɔ disayd fɔ du dis. So, nɔ shek fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Us kayn ɔpreshɔn dɛn de fɔ dis?
Tu men kayn ɔpreshɔn de fɔ trit dis sik. Lɛ wi ɔndastand klia wan di difrɛns bitwin dɛn tu.
| Di kayn ɔpreshɔn we dɛn kin du | Di we aw wi fɔ du am simpul. |
|---|---|
| Open Thoracic Aneurysm Ripair fɔ di wan dɛn we de wok | Dis na tradishɔnal ɔpreshɔn we dɛn kin du. Di dɔktɔ we de du di ɔpreshɔn kin kɔt lɔng tɛm na di sayd na yu chɛst ɛn i kin rich na di pat we dɔn pwɛl na yu aorta. Dɔn, dɛn kin pul di pat we dɔn swel ɛn wik ɛn put wan sintetik graft insay. Dis na big ɔpreshɔn. |
| Ɛndovaskyuɛl ɔpreshɔn (TEVAR) . | Dis na wan we we dɛn de du tide, we nɔ de tek bɔku pipul dɛn. Yu chɛst nɔ dɔn pank. Bifo dat, yu dɔktɔ kin put wan tiub (kateta) we rili tan tru wan blɔd vesel we de na yu groin. tru dis tiub, dεn de pas wan spεshal tin we lεk mεsh (stεnt graft) to di εria we swel εn strεch am frכm insay. Dɔn di blɔd kin pas na di nyu tiub. No prɛshɔn nɔ de pan di wɔl we dɔn swel. |
Di mɛdikal tim go disayd us ɔpreshɔn we bɛtɛ fɔ yu bay di say ɛn di sayz we yu bulge, ɛn yu wɛlbɔdi kɔndishɔn.
Wetin mek dis ɔpreshɔn rili impɔtant?
di men rizin fכ du dis כpεrayshכ n na fכ mek di anεvrizm we dεn fכm na di aorta nכ rכp.
Imajin, dis swɛlin we tan lɛk balɔ kin bɔs wan de bikɔs ɔf di ay blɔd prɛshɔn we de insay. If dat apin, bɔku bɔku blɔd go kɔmɔt na di bɔdi, ɛn dis kin rili siriɔs ɛn dat kin mek pɔsin in layf de pan denja wantɛm wantɛm. So, if di dɔktɔ dɛn tink se di risk fɔ mek dis swɛlin bɔs pas di risk fɔ ɔpreshɔn, dɛn kin se dɛn fɔ du dis ɔpreshɔn. In ɔda wɔd, dis na fɔ tek tɛm mek i nɔ apin bifo i bi big aksidɛnt.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
We yu dɔn disayd fɔ du ɔpreshɔn, sɔm tin dɛn de we yu kin du fɔ rɛdi fɔ am.
- Skan: Di dɔktɔ go yuz spɛshal skan, lɛk CT skan, fɔ stɔdi mɔ bɔt aw yu swel ɛn aw i de.
- Mɛrɛsin dɛn: Dɛn kin gi yu sɔm mɛrɛsin dɛn sɔm dez bifo dɛn du di ɔpreshɔn fɔ kɔntrol yu blɔd prɛshɔn ɛn fɔ mek yu blɔd vesel dɛn rilaks.
- Mɛrɛsin dɛn we de mek blɔd nɔ klot:If yu de tek mɛrɛsin we de mek yu blɔd tan (anticoagulants), yu dɔktɔ go advays yu fɔ stɔp fɔ tek am sɔm dez bifo di ɔpreshɔn.
Yu mɛdikal tim go gi yu klia instrɔkshɔn bɔt ɔl dis.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Wetin kin apin pan di tu kayn ɔpreshɔn dɛn kin difrɛn smɔl.
Aw fɔ du ɔpreshɔn we opin
- Di dɔktɔ we de du di ɔpreshɔn kin kɔt wan lɔng say na di sayd we di chɛst de.
- We dɛn yuz spɛshal ikwipmɛnt, dɛn kin stɔp di blɔd fɔ go na di pat pan di at we dɛn de ɔpreshɔn fɔ sɔm tɛm.
- Dɔn, dɛn kin kɔt di pat we dɔn pwɛl ɛn we dɔn swel ɛn pul am, ɛn dɛn kin put graft insay in ples fɔ mek blɔd go bak.
- Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich.
Aw dɛn kin du TEVAR ɔpreshɔn
- Di dɔktɔ kin put wan tint tiub (kateta) ɛn waya tru wan blɔd vesel na yu groin.
- dis tכb de gayd fכ di say we di anεvrizm de na di chεst bay we dεn de yuz tεknכlכji we lεk εks-ray.
- Fɔ si di blɔd vesel dɛn klia wan, dɛn kin injɛkt wan spɛshal wata (kɔntrast day).
- Dɔn, we yu luk di rayt say, dɛn kin ɛkstɛnd di stent.
- we dεn dכn di wok, dεn kin pul di tכb εn di waya εn put sכm bεndεj oba di say we dεn put am insay di groin.
Wetin kin apin afta di ɔpreshɔn?
Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn du.
- Afta dɛn dɔn ɔpreshɔn yu opin: Dɛn go admit yu dairekt na di intensiv kia yunit (ICU) . Yu go de de fɔ wan ɔ tu dez. Dɔn dɛn go transfa yu to jenɛral wɔd ɛn i kin gɛt fɔ de na di ɔspitul fɔ lɛk 10 dez.
- Afta di TEVAR ɔpreshɔn: Di tɛm we dɛn kin de na ɔspitul kin shɔt, lɛk tri dez. Sɔm brus ɛn pen kin de na di groin. Di dɔktɔ go gi yu di mɛrɛsin dɛn we yu nid fɔ mɛn yu pen.
Di tɛm we i kin tek fɔ go bak to nɔmal layf kin difrɛn. I kin tek tu to tri mɔnt fɔ mek i wɛl ɔl we dɛn du ɔpreshɔn pan am we dɛn opin am. I bεst fכ avכyd hεvi liftin fכ di fכs 4-6 wik dεm. Pan ɔl we yu kin go bak to nɔmal tin dɛn lɛk tu wiks afta di TEVAR ɔpreshɔn, i bɛtɛ fɔ avɔyd fɔ du tin dɛn we tranga fɔ lɛk 4 wiks.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Pan ɔl we dis na ɔpreshɔn we de sev pɔsin in layf, lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin.
Bɔt mɛmba wan tin: Dɔktɔ dɛn kin jɔs se dɛn fɔ du dis ɔpreshɔn we di risk fɔ day bikɔs dɛn nɔ du di ɔpreshɔn pas di risk we pɔsin kin gɛt we dɛn du ɔpreshɔn.
Sɔm pan di prɔblɛm dɛn we kin apin na:
- Ebi ebi blɔd we de kɔmɔt
- Di blɔd we de go na di spayna nɔ de wok fayn
- At atak
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik
- Di kidni nɔ de wok fayn
- Prɔblɛm dɛn we pɔsin kin gɛt we i de blo lɛk nyumonia
- Wan sik we tan lɛk strok
- Wiknɛs na di leg dɛn
Dɛn tu ɔpreshɔn ya na tritmɛnt dɛn we kin rili wok fayn. εspεshali insay di kes fכ TEVAR כpεrayshכn, di sakses rεt fכ stent implantεshכn de hכy as 99%.
Ustɛm a nid fɔ go to dɔktɔ afta di ɔpreshɔn?
Afta yu dɔn go na os, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn fɔ se yu gɛt di sik ɔ yu gɛt prɔblɛm. Yu fɔ no mɔ bɔt dɛn sayn ya we de kam biɛn ya.
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Fiva | If di bɔdi in tɛmpracha na 100.4 Fahrenheit (100.4°F) ɔ pas dat. |
| Chenj dɛn na di say we dɛn kɔt am | Rid pasmak, swel, ɔ blista rawnd di say we dɛn kɔt. |
| Pen we i de fil ɔltɛm | Bɔrku pen wae nɔr de stɔp pan ɔl wae yu de tek mɛrɛsin wae de mek yu fil pen. |
| De swɛl | swel we nɔ kɔmɔn na di say we dɛn de du di ɔpreshɔn ɔ di leg dɛn. |
If yu gɛt ɛni wan pan dɛn sayn ya, nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- thoracic aortic aneurysm na wan bulge we tan lεk balכn we di bכdi in men blכd vesel wik.
- Di men gol fɔ dis ɔpreshɔn na fɔ mek dɛn nɔ gɛt di bad tin dɛn we kin apin to pɔsin we i brok in layf.
- Tu men tritmɛnt de: opin ɔpreshɔn ɛn minimal invasive TEVAR ɔpreshɔn.
- Di mɛdikal tim go disayd us ɔpreshɔn we go fayn fɔ yu.
- Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn du, ɛn i rili impɔtant fɔ tek tɛm fala di instrɔkshɔn dɛn we di dɔktɔ gi yu.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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