Yu dɔn yɛri bɔt di blɔd vesel we big pas ɔl ɛn we impɔtant pas ɔl na wi bɔdi? Wi kin kɔl am di aorta. Jɔs lɛk di men wata paip we de briŋ wata kam na wi os, dis aorta de kɛr klin blɔd frɔm di at to di wan ol bɔdi. Bɔt sɔntɛnde, wan wik ples kin kam na di wɔl na dis aorta, ɛn da say de kin bigin fɔ bɔl lɛk balyɔn. Na dat wi kin kɔl ‘aneurysm’. if dis bulge de apin na di aorta na di chεst, dεn kכl am ‘Toracic Aortic Aneurysm’. Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt nɔ wɔri. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan.
Wetin na Tɔraks Aɔtik Anɛrizm?
Fɔ tɔk am simpul wan, dis na bulge we kin apin na wan pat pan di thoracic aorta insay wi chɛst. Imajin wan ol wata paip, wan pat pan am wik ɛn i bulj smɔl. Na dat de apin na ya bak. Dis na rili wan sik wae nɔr kin bɔrku, na wan pan ɛvri tɛn tawzin pipul dɛm nɔmɔ gɛt dis sik.
Bɔrku tɛm, nɔrbɔdi nɔr kin no se dɛn gɛt dis swɛlin. Dɛn kin kam fɔ no am bay we dɛn de du tɛst, lɛk CT skan, we dɛn kin du fɔ ɔda rizin.
Yu tink se ɔlman fɔ gɛt dis ɔpreshɔn?
Nɔ, nɔto ɔlman we gɛt dis kayn swel go nid ɔpreshɔn. Bɔku tin dɛn de we go mek yu no if yu nid ɔpreshɔn ɔ nɔ nid fɔ du ɔpreshɔn.
- Sayz fɔ di bulge: Aw dis big rili impɔtant. Jɛnɛral wan, if i big pas 5.5 sɛntimita, dɛn fɔ tink bɔt fɔ du ɔpreshɔn.
- di rεt we di pikin de gro: If dis swεla de gro fast pas 0.5 sεntimita insay siks mכnt, dat na rizin bak fכ go כpεrayshכn.
- Yu simptom: Sɔm pipul kin gɛt sɔm kayn sik lɛk chɛst pen ɛn at fɔ blo.
- Yu ɔl wɛl bɔdi: Yu ej ɛn if yu gɛt ɔda sik dɛn bak kin afɛkt di disayd fɔ du ɔpreshɔn.
Afta yu dɔn tink bɔt ɔl dɛn tin ya, yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
Tu kayn ɔpreshɔn de: lɛ wi si wetin dɛn bi
Tu men ɔpreshɔn de fɔ trit dis sik. Si di tebul we de dɔŋ fɔ ɔndastand di difrɛns bitwin dɛn tu.
| Tin | 1. Opin Tɔrɔsik Anɛrizm Ripa | 2. TEVAR mεtכd (Tכrasik εndovaskulεr Aortik Ripa) . |
|---|---|---|
| Aw fɔ du am | Dɛn kin kɔt wan lɔng say na di sayd na di chɛst, dɛn kin pul di pat we dɔn pwɛl na di at, ɛn dɛn kin put wan atifishal tiub (graft) insay in ples. | Dɛn kin kɔt smɔl pat na di groin, dɛn kin pas wan tin tiub (kateta) tru am along wan blɔd vesel, ɛn dɛn kin put wan tin we tan lɛk mɛsh (stɛnt) insay di say we swel fɔ mek i strɔng frɔm insay. |
| Kɔt | Dɛn nid fɔ kɔt big ɛn lɔng. | Na wan rili smɔl say nɔmɔ dɛn nid fɔ kɔt am. |
| Taym na di ɔspitul | I kin tek 10 dez. | Bɔku tɛm, na lɛk 3 dez so. |
| Taim fɔ wɛl | I kin tek lɛk 2-3 mɔnt fɔ kam bak to nɔmal layf. | Yu kin du nɔmal wok insay sɔm wiks. Yu nid fɔ wet fɔ lɛk wan mɔnt so fɔ mek yu gɛt ebi ebi wok. |
Wetin mek dis ɔpreshɔn rili impɔtant?
Di men rizin fɔ du dis ɔpreshɔn na fɔ ridyus di risk fɔ mek di anɛrizm brok . Nɔto ɔl di aneurism dɛn kin brok. Bɔt if dɛn du dat, na imejensi we go mek pɔsin in layf de pan denja.
Pan ɔl we sɔm prɔblɛm dɛn de we kin apin we dɛn du ɔpreshɔn, di risk fɔ mek di at bɔs kin bɔku. Na dat mek dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn di rayt tɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu dɔktɔ go gi yu di tin dɛn we yu nid bifo dɛn du di ɔpreshɔn.
- tεst dεm: dεn de mכnitor di sayz εn kכndishכn fכ di swel כltεm bay we dεn de du tin dεm lεk `CT skan`.
- Mɛrɛsin:Dɛn kin gi yu mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn ɛn fɔ mek yu blɔd vesel dɛn rilaks sɔm dez bifo dɛn du di ɔpreshɔn.
- Anticoagulants: If yu de tek anticoagulants, yu dɔktɔ go advays yu fɔ stɔp fɔ tek am jɔs bifo dɛn du di ɔpreshɔn. Nɔ ɛva stɔp fɔ tek dɛn if yu nɔ gɛt dɔktɔ advays.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du ɔpreshɔn pan yu opin, dɛn go de wach yu na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez. Dɔn dɛn go transfa yu to wan rɛgyula wɔd ɛn yu go gɛt fɔ de na di ɔspitul fɔ lɛk 10 dez.
Afta dɛn dɔn du TEVAR ɔpreshɔn, bɔku tɛm yu go gɛt fɔ de na di ɔspitul fɔ lɛk tri dez so. Di dɔktɔ dɛn go gi yu mɛrɛsin fɔ ɛp yu wit di pen we kin apin afta di ɔpreshɔn.
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, prɔblɛm dɛn de we kin apin. Bɔt di mɛdikal tim de du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Infεkshכn na di lכng (nyumonia) כ כda prכblεm dεm we yu de blo
- At atak
- Strok
- Di kidni dɛn we de wok fayn fayn wan
- Infekshɔn na di say we dɛn de du di ɔpreshɔn
- Wiknɛs na di leg dɛn bikɔs di blɔd nɔ de wok fayn na di spayna
Nɔ fred we yu yɛri dɛn tin ya. Dis na jɔs tin dɛn we pɔsibul fɔ apin . Tɔk opin wan wit yu dɔktɔ bɔt dis ɛn aks ɛni kwɛstyɔn we yu gɛt.
Ustɛm fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn
We yu go na os afta dɛn dɔn ɔpreshɔn yu, i rili impɔtant fɔ no ɛni sayn we de sho se yu gɛt prɔblɛm dɛn kwik kwik wan. If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
|---|---|
| Fiva | If di bɔdi in tɛmpracha pas 100.4 F (38 C). |
| Chenj dɛn we de rawnd di rod we dɛn de kɔt | Rid rɛd, swel, ɔ wan lump we de fɔm rawnd di say we dɛn kɔt. |
| Pen | Bɔrku pen wae de kɔntinyu pan ɔl wae yu de tek mɛrɛsin. |
| De swɛl | swel we nɔ kɔmɔn na di say we dɛn de du di ɔpreshɔn ɔ di leg dɛn. |
Dɛn tu ɔpreshɔn ya na tritmɛnt dɛn we kin rili wok fayn. insay di TEVAR prosidכs, dεn kin put di stent 99% saksesful wan. Open ɔpreshɔn bak kin rili fayn. Di tin we impɔtant pas ɔl na fɔ ɔndastand se dis na sɔntin we dɛn kin du fɔ sev pɔsin in layf.
Mɛsej we dɛn kin kɛr go na os
- Thoracic aortic aneurysm na we di chεst pat pan di men bכdi we de kכmכt na di at wik εn bulg.
- di men rizin fכ dis kכndyushכn na di wik we di atεrial wכl de wik.
- If yu nid fɔ du ɔpreshɔn ɔ yu nɔ nid fɔ du am, i go dipen pan di sayz we di bɔl de, aw i de gro kwik, ɛn aw yu gɛt wɛlbɔdi.
- tu we dεn de fכ trit: opin כpεrayshכn εn TEVAR, we involv fכ put wan tin tכb tru di groin.
- Di men rizin we mek dɛn du dis ɔpreshɔn na fɔ mek di at we dɔn big nɔ bɔs ɛn mek i nɔ pwɛl we go mek i day.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta yu dɔn du di ɔpreshɔn ɛn fɔ tɛl di dɔktɔ wantɛm wantɛm if yu notis ɛni sayn we nɔ kɔmɔn.
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