Imajin se di blɔd vesel dɛn we de ɔlsay na wi bɔdi tan lɛk wan netwɔk we gɛt rod dɛn na wan siti. Na dɛn rod ya blɔd de travul, ɛn i de kɛr di ɔksijɛn ɛn tin dɛn we ɔl di sɛl dɛn na wi bɔdi nid. We ɔltin de go fayn, dis trafik kin apin we nɔ gɛt ɛnitin fɔ ambɔg am. Bɔt wetin go apin if wantɛm wantɛm wan big tin we de ambɔg am, lɛk big ston, blok dis men rod? Trafik kin stɔp kpatakpata, nɔto so? Na di sem tin kin apin if blɔd klɔt (thrombus) fɔm na wan pan wi blɔd vesel dɛn. Dis kin mek di blɔd nɔ flɔ, ɛn dis kin mek di ɔgan we da vein de gi am, pwɛl bad bad wan, ɛn i kin ivin mek pɔsin in layf de pan denja. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du fɔ sev pipul dɛn layf we de na dis kayn denja.
Fɔ tɔk am simpul wan, wetin na Thrombectomy?
Thrombectomy na ɔpreshɔn fɔ pul wan blɔd we dɔn lod na yu blɔd vesel (we na at ɔ vein). I tan lɛk se yu pul wan klos we de na wata paip ɛn mek i flɔ bak. Di men gol fɔ dis ɔpreshɔn na fɔ mek di blɔd flɔ bak we nɔmal we blɔd dɔn blok.
Dɛn blɔd ya kin kam na difrɛn say dɛn na wi bɔdi. Di wan dɛn we kɔmɔn pas ɔl na:
- Na di leg dɛn
- Na di an dɛn
- Intestinal we de na di bɔdi
- Na di bren
- Na di lɔng dɛn
- Insay di at
Sɔntɛnde, dɛn kin nid fɔ du dis ɔpreshɔn insay sɔm awa, bikɔs if dɛn nɔ du am di rayt we, chans de fɔ lɛ pɔsin lɔs in an ɔ ivin layf.
Udat rili nid dis ɔpreshɔn?
If yu gɛt blɔd klɔt, yu dɔktɔ go tray fɔs fɔ trit am wit mɛrɛsin. Fɔ ɛgzampul, dɛn kin gi yu antikɔagulant ɔ thrombolytics. Bɔt if dɛn mɛrɛsin ya nɔ de kɔntrol di blɔd, ɔ if di blɔd big ɛn na imejensi, yu dɔktɔ kin disayd fɔ pul di thrombectomy.
Di men rizin dɛn we mek dɛn du dis ɔpreshɔn na:
- Fɔ mek yu nɔ gɛt prɔblɛm dɛn we go mek yu layf de pan denja: If blɔd klɔt na wan big blɔd vesel we de go na di bren ɔ at, i kin kil pɔsin.
- Stɔp fɔ pwɛl di ɔgan dɛn fɔ ɔltɛm: If dɛn kɔt di blɔd we de na wan an ɔ leg, di tisu we de na da ɔgan de go bigin fɔ day. If di blɔd nɔ flɔ bak kwik kwik wan, di ɔgan kin nɔ ebul fɔ waka ɔ ivin nid fɔ kɔt am.
- Fɔ mek yu nɔ gɛt ɛmbolɔs: Dis na we blɔd we dɔn fɔm na wan ples brok, travul wit di blɔd, ɛn stɔp na ɔda pat na di bɔdi, fɔ ɛgzampul, na di lɔng dɛn. Dis na tin bak we rili denja.
Ɛni rizin de fɔ mek dɛn nɔ du ɔpreshɔn fɔ pul di trombectomy?
Yɛs, nɔto ɔlman kin gɛt dis ɔpreshɔn. Sɔntɛnde, di bad tin we pɔsin kin du we i du dis kin pas di bɛnifit we i go gɛt. If yu gɛt ɛni wan pan dɛn tin ya, yu dɔktɔ go disayd nɔ fɔ du dis ɔpreshɔn:
- If di blɔd klɔt de na ples we rili at fɔ rich wit ɔpreshɔn.
- If di blɔd klɔt de insay wan rili smɔl blɔd vesel , if yu put inschrumɛnt dɛn na da kayn ples de fɔ pul di blɔd klɔt, dat kin pwɛl di vein insɛf.
- If yu ebul fɔ kɔntrol di we aw yu blɔd de klɔt fayn fayn wan wit mɛrɛsin .
- If yu gɛt wan sik we bin dɔn de na yu blɔd .
- If blɔd de kɔmɔt insay di bren (intracranial hemorrhage) .
- If yu gɛt ay blɔd prɛshɔn we yu nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin.
- If di blɔd we dɔn klɔt pas 30 dez ɛn i nɔ de mɛn .
Di tin we impɔtant pas ɔl na dat, na dɔktɔ nɔmɔ we tek tɛm chɛk yu mɛrɛsin go disayd if yu nid fɔ pul yu trombo ɔ nɔ nid fɔ pul yu thrombectomy.
Men kɔndishɔn dɛn we dɛn kin trit wit trombectomy
Dɛn kin yuz dis ɔpreshɔn fɔ difrɛn kayn mɛrɛsin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Dip Vein Trombosis (DVT) we de mek pɔsin gɛt sik . | di fכmeshכn fכ bכdi kכlכt insay wan vein we de dip insay di bכdi (bכku tεm na di lεg). |
| Akyu Limb Ischemia | Wan at we de blok wantɛm wantɛm we blɔd klɔt na wan at we de gi blɔd to wan an ɔ leg. |
| Strok | Damej to pat pan di bren bikɔs ɔf wan blɔd we de klɔt we de blok wan blɔd vesel we de gi blɔd to di bren. |
| At Atak (Mayokardial Infarkshɔn) . | di korona at dεm we de gi bכdi to di at bay we blכd kכlכt de blok. |
| Pɔlmonari Ɛmbolizm | bכdi we dεn fכm כdasay na di bכdi (bכku tεm na di leg) de brok εn i de lod insay wan vein na di lכng. |
| Akyu Mɛsɛntrik Ischemia | Wan vein we de gi blɔd to di intestinal dɛn, blok wantɛm wantɛm. |
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ pul di trombectomy?
Tu men we dɛn de fɔ du dis ɔpreshɔn. Lɛ wi luk di difrɛns bitwin dɛn tu.
| Ɔspitul / Opin Thrombectomy | Pɛrkyutan / Minimal Invasiv Thrombectomy |
|---|---|
| Insay dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin oba di vein usay di blɔd klɔt de, opin di blɔd vesel, ɛn pul di blɔd klɔt dairekt. Mɔ spesifik wan, dɛn kin kɔt di blɔd vesel, put wan smɔl tin we tan lɛk balyɔn insay, ɛn pul di blɔd we dɔn klɔt. Dɔn dɛn kin siŋ di vein bak togɛda. | Dis nɔ min se dɛn fɔ kɔt big say. Dɛn kin mek wan smɔl ol na di skin, ɛn dɛn kin put wan tiub we rili tan we dɛn kɔl kateta insay di blɔd vesel. afta dat, we dεn de yuz imej tεknik lεk εks-ray, dεn de gayd dis tכb to di say we di blכd kכlכt. Na de, dɛn kin yuz spɛshal tin dɛn fɔ brok di blɔd we dɔn klɔt ɔ fɔ sok am kɔmɔt lɛk vaykum klin. |
| Bɔku tɛm, dɛn kin du dis ɔnda jenɛral anestezi. | Bɔku tɛm dɛn kin du dis bay we dɛn gi di pɔsin wan mɛrɛsin we de mek i fil fayn (sedation). No big anestezi nɔ nid fɔ de. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
Sɔntɛnde, dɛn kin du dis as imejensi ɔpreshɔn, so yu nɔ go gɛt tɛm fɔ rɛdi. Bɔt if na ɔpreshɔn we yu dɔn plan fɔ du, yu dɔktɔ go tɛl yu dɛn tin ya:
- Imej tɛst: Dɛn kin ɔda tɛst lɛk ɔltra saund, MRI, ɔ CT skan fɔ si di rayt sayz ɛn usay di blɔd klɔt de.
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, yu fɔ lɛf fɔ smok kwik kwik wan bifo dɛn du yu ɔpreshɔn. Smok kin mek prɔblɛm dɛn afta dɛn dɔn du di ɔpreshɔn.
- Fɔ stɔp sɔm mɛrɛsin dɛn: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul mɛrɛsin dɛn. Dɛn kin aks yu fɔ stɔp fɔ tek mɛrɛsin we de mek yu blɔd tan (anticoagulants) sɔm dez bifo dɛn du yu ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis prɔses kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu de du. Dipen pan di saiz ɛn usay di blɔd klɔt, di tin we dɛn kin du kin tek wan awa ɔ sɔm awa. Jɛnɛral wan, na dis kin apin:
1. Anesthesia/Sedation: Dɛn go injekt anestesia ɔ sɛdativ insay wan vein na yu an so dat yu nɔ go fil ɛni pen.
2. Insishכn/pankshכn: Insay dairekt כpεrayshכn, dεn kin kכt di skin usay di bכdi vεsεl de. insay di mini-incision mεtכd, dεn kin mek wan sכmכl ol tru di skin to di vein.
3. Kanul (Percutaneous method): dεn de put di kanula (kateta) εn waya dεm insay di vein tru di ol εn gayd am to di say we di bכdi kכlכt we dεn de luk di skan.
4. Fɔ pul di blɔd we de klɔt: We dɛn de du dairekt ɔpreshɔn, dɛn kin pul di blɔd kɔmɔt wit balɔ kanula. Ɔda we dɛn, dɛn kin krɔs di klot, sɔlv am, ɔ sok am wit spɛshal tin dɛn.
5. Klos: We dɛn de du dairekt ɔpreshɔn, dɛn kin siŋ di blɔd vesel ɛn di skin we dɛn kɔt bak togɛda. insay di כda we, dεn kin pul di kanula εn dεn kin klem di ol כ dεn kin yuz spεshal tin (vaskulכr kloz divays) fכ kכloz di ol.
Wetin kin apin afta di ɔpreshɔn? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Afta di ɔpreshɔn, dɛn go kɛr yu go na wan ɔbshɔbishɔn wɔd ɛn dɛn go de wach yu impɔtant sayn dɛn (blɔd prɛshɔn, at rit, ɛn ɔda tin dɛn). Sɔm pipul dɛn kin go na os di sem de. Bɔt sɔm pipul dɛn go gɛt fɔ de na ɔspitul fɔ sɔm dez. I dipen pan yu kɔndishɔn.
We yu de go na os, di dɔktɔ go tɛl yu bɔt dɛn tin ya:
- Aw fɔ tek kia ɔf di rod we dɛn de kɔt.
- Mɛrɛsin fɔ tek ɛn nɔ fɔ tek.
- Ustɛm nɔmal wok kin bigin bak?
Lɛk ɔl ɔpreshɔn, thrombectomy kin gɛt sɔm risk dɛn, bɔt dɛn risk ya kin smɔl we yu kɔmpia am to di bad tin we kin apin we pɔsin gɛt blɔd klɔt.
Lɛ wi luk di men bɛnifit ɛn risk dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Fɔ ebul fɔ sev pipul dɛn layf. | Damej pan di blɔd vesel ɔ in narrowing (stenosis). |
| Fɔ mek yu nɔ lɔs yu an ɛn fut, lɛk yu an ɔ yu fut. | Blɔd we de kɔmɔt pasmak. |
| Fɔ stɔp di bren damej we kin kam bikɔs ɔf tin dɛn lɛk paralayz. | Blɔd we kin gɛda ɔnda di skin (Hematoma). |
| Kwik kwik wan mek di blɔd go bak kwik kwik wan ɛn stɔp fɔ pwɛl di ɔgan dɛn. | Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik. |
| wan bכdi we de kכlכt de brok εn i de stכk na di lכng dεm (pulmonary embolism). | |
| Wan ɔda blɔd we de klɔt. |
Imejɛnsi sityueshɔn dɛn we nid fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn ɔpreshɔn yu, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɛn nɔ de te . Ɔ, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Blɔd: If blɔd de kɔmɔt na di say we dɛn du di ɔpreshɔn.
- Chɛst pen: If yu fil pen na yu chɛst ɔ tayt wantɛm wantɛm.
- I nɔ izi fɔ yu fɔ blo (dyspnea): If yu gɛt prɔblɛm fɔ blo wantɛm wantɛm.
- Kɔnfyushɔn: If yu fil lɛk yu ed de tɔn ɔ yu gɛt layt, ɔ if yu fil lɛk se yu nɔ de no natin igen.
- Diziz ɔr nɔr de balans: If yu fil diziz ɛn i nɔ izi fɔ yu fɔ waka.
- Fiva: If yu gɛt fiva, i kin bi sayn fɔ se yu gɛt infekshɔn.
- Pen, swel, ɔ swɛt na di an ɔ leg.
- Wan wata we tan lɛk pus de kɔmɔt na di say we dɛn kɔt am.
Dɛn sayn ya kin bi sayn fɔ siriɔs prɔblɛm, so nɔr ignore dɛm.
Mɛsej we dɛn kin kɛr go na os
- Thrombectomy na impɔtant tritmɛnt we de sev layf, we dɛn kin ɔpreshɔn fɔ pul wan blɔd we dɔn stɔp na blɔd vesel.
- Nɔto ɔl di blɔd we de klɔt nid fɔ du dis ɔpreshɔn. Bɔku pan dɛn kin trit wit mɛrɛsin. Dɛn kin du dis ɔpreshɔn pan imejensi ɛn siriɔs kes dɛm.
- Tu men we dɛn de fɔ du dis ɔpreshɔn (dayrɛkt ɔpreshɔn ɛn minimally invasive ɔpreshɔn). Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (mɛrɛsin, chenj dɛn layf) ɛksaktɔli fɔ mek blɔd nɔ fɔm bak afta dɛn dɔn du di ɔpreshɔn.
- Yu fɔ no di sayn dɛn we de wɔn yu we kin apin afta yu dɔn du di ɔpreshɔn. If ɛni wan pan dɛn kayn sayn dɛn de sho, go to dɔktɔ wantɛm wantɛm.
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