Yu don eva yehri sohmbodi se, "Blod klot don stik"? Dis kin rili denja. Tink bɔt di blɔd vesel dɛn na wi bɔdi lɛk wan sistɛm we gɛt paip dɛn. if wan klot, we dεn kכl `thrombus`, fכm εn stכk εnisay na dεn paip dεm ya, di bכdi fכ fכlכ tru dεm de stכp kכmplit wan. If dis apin na wan big vein we de gi blɔd to di bren, at, ɔ wan an ɔ leg, da ɔgan de kin pwɛl, ɛn sɔntɛm i kin ivin mek i day. Insay dis kayn imejensi, wi go tɔk bɔt wan rili impɔtant mɛrɛsin we go sev pɔsin layf tide.
Fɔ tɔk am simpul wan, wetin na Thrombectomy?
Thrombectomy na di we aw dɛn kin pul wan blɔd we dɔn stɔp insay wan pan wi blɔd vesel dɛn (ati ɔ vein) tru ɔpreshɔn ɔ wan spɛshal we we tan lɛk dis. I tan lɛk se yu pul wan dɔti we dɔn stɔp na wata paip ɛn lɛf di wata fɔ flɔ bak.
Dɛn blɔd ya kin kam na bɔku say dɛn na wi bɔdi. Dɛn kin de mɔ na di leg, an, insay, bren, lɔng, ɛn at. Sɔntɛnde, dɛn kin nid fɔ pul dɛn blɔd ya kwik kwik wan, insay sɔm awa. If nɔto dat, dɛn kin mek di ɔgan we gɛt di sik pwɛl sote go ɔ dɛn kin ivin mek pɔsin in layf de pan denja.
Udat rili nid dis tritmɛnt?
Bɔku tɛm, we blɔd klɔt, mɛrɛsin dɛn de we dɛn kin gi fɔ sɔlv am. wi kin kכl dεm `anticoagulants` (blכd tin dεm) εn `thrombolytics` (mεdikeshכn dεm we de mek blכd kכlכt). Bɔt sɔntɛnde, dɛn mɛrɛsin ya nɔmɔ nɔ kin ebul fɔ pul di klot, ɔ sɔm tɛm dɛn de we dɛn nɔ kin gɛt mɛrɛsin. Na da tɛm de dɔktɔ dɛn disayd fɔ du Thrombectomy.
Dis tritmɛnt na in dɛn kin nid mɔ fɔ:
- If risk de fɔ mek bad tin apin to layf .
- if risk de fכ mek bכdi kכlכt (thrombus) brok kכmכt frכm in כrijinal ples εn travul tru di bכdi fכ lod כdasay na di bכdi (fכ egzampl, na di lכng) (wan `embolus`).
- If risk de fɔ mek di ɔgan ɔ tisu we gɛt fɔ du wit am pwɛl fɔ ɔltɛm .
Dis we fɔ du tin rili impɔtant fɔ mek di blɔd go bak kwik kwik wan na di bren ɔ at, mɔ we tin apin lɛk strok ɛn at atak.
Insay us kes dɛn dɛn nɔ kin du thrombectomy?
Dɛn nɔ kin du dis tritmɛnt fɔ ɛvri blɔd we dɔn klɔt. Sɔntɛnde, rizin dɛn de we mek dɛn nɔ kin ebul fɔ du dis ɔ dɛn nɔ fɔ du dis. Lɛ wi si wetin dɛn bi.
| Rizin dɛn fɔ mek dɛn nɔ du thrombectomy | Wan simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ rich usay di blɔd dɔn klɔt | Sɔm blɔd vesel dɛn de na say dɛn we rili dip ɛn we kɔmpleks. I at fɔ mek dɛn put inschrumɛnt dɛn na dis kayn ples. |
| Fɔ gɛt klot na wan rili smɔl blɔd vesel | Dɛn nɔ kin ebul fɔ put divays dɛn insay rili smɔl smɔl vein dɛn. Dɛn kin pwɛl. |
| Dɛn kin mɛn am wit mɛrɛsin | If dɛn kin kɔntrol am wit tin dɛn we de mek blɔd tan, no risk nɔ de fɔ mek dɛn du am ɔpreshɔn. |
| Fɔ gɛt prɔblɛm we de mek yu blɔd klɔt | Sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn blɔd we dɛn bɔn wit, ɛn ɔpreshɔn kin denja fɔ dɛn. |
| Fɔ gɛt blɔd na yu bren (Intracranial Hemorrhage) . | If blɔd dɔn ɔlrɛdi de na di bren, if yu du dis kayn ɔpreshɔn, dat kin mek di tin wɔs. |
| Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol | Di risk dɛn kin bɔku we dɛn du ɔpreshɔn wit blɔd prɛshɔn we rili ay. |
Wetin na di men we dɛn fɔ pul dɛn blɔd ya?
Tu men we dɛn de fɔ du di trombectomy. I tan lɛk fɔ mek big ol fɔ bil rod, ɔ drɔ smɔl ol ɛn mek am bak frɔm insay.
1. Opin ɔpreshɔn (Sɔjɛshɔn / Opin Thrombectomy) .
insay dis prosidכs, di sכjaman de kכt di skin oba di vein we gεt di bכdi kכlכt, i de opin di vein sכmtεm, i de put spεshal tin we lεk balכn (wan `balכn kateta`) εn pul di bכdi kכlכt. Dɔn dɛn kin tek tɛm siŋ di vein bak togɛda ɛn lɔk di skin. Dis na di tradishɔnal we aw dɛn kin du am.
2. Pɛrkyutan / Minimal Invasiv Thrombectomy
Dis na di we aw dɛn kin yuz mɔ ɛn we dɔn go bifo naw. No big say nɔ de we dɛn kɔt am. Bifo dat, dɛn kin mek wan smɔl ol na wan blɔd vesel na di an ɔ leg, ɛn dɛn kin put wan tin tiub (kateta) tru am.
We dɛn de yuz imej tɛknɔlɔji lɛk ɛkstrem rayt, dɛn de gayd dis tiub fɔ no usay di blɔd de klɔt. Dɔn, dɛn kin pas spɛshal inschrumɛnt dɛn tru di tiub, .
- di bכdi kכlכt kin brok insay sכm sכm pat dεm εn sכlv (`macerated`).
- כda we de fכ sכk di bכdi kכlכt, lεk wit vεkyum klin (`Aspiration Thrombectomy`).
Dis we fɔ du tin kin rili wok fayn, bikɔs nɔ big injuri nɔ de, so di pɔsin kin wɛl kwik kwik wan.
Us kɔndishɔn dɛn kin trit wit dis tritmɛnt?
Dis tritmɛnt we dɛn kɔl thrombectomy, dɛn kin yuz am fɔ bɔku tin dɛn we rili impɔtant fɔ mɛn pipul dɛn.
- Dip Vein Thrombosis (DVT): Blɔd kin klɔt, mɔ na di dip vein dɛn na di leg dɛn.
- Strɔk: Blɔd we de klɔt de blok wan blɔd vesel we de gi blɔd to di bren.
- Myocardial Infarction: Na blɔd we de klɔt na di korona at we de gi blɔd to di at.
- Pulmonary Embolism: Na blɔd we dɔn fɔm ɔdasay na di bɔdi kin brok ɛn lod insay wan vein na di lɔng.
- Acute Limb Ischemia: Di blɔd kin lɔs wantɛm wantɛm na wan an ɔ leg.
- di bכdi we de blכk di bכdi we de gi bכdi to di intestכn dεm (`Mesenteric Ischemia`) כ di kidni dεm (`Renal Artery Occlusion`).
Wetin kin apin bifo ɛn afta tritmɛnt?
Bifo dɛn trit am
Sɔntɛnde, dɛn kin du dis as imejensi prosidur, so tɛm nɔ kin de fɔ pripia. Bɔt bifo yu plan fɔ pul di trombectomy, yu dɔktɔ kin aks yu fɔ:
- Imej tɛst: Dɛn kin ɔda fɔ mek dɛn du ɔltra saund, MRI, ɔ CT skan fɔ no di rayt sayz ɛn di say we di blɔd klɔt de.
- Fɔ lɛf fɔ smok: If yu de smok, dɛn kin advays yu fɔ lɛf fɔ smok bifo dɛn du yu ɔpreshɔn.
- Aw fɔ no bɔt mɛrɛsin: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di mɛrɛsin dɛn we de mek yu blɔd tan, tin dɛn we de mek yu nɔ fil pen, ɛn vaytamɛn dɛn). Sɔm mɛrɛsin dɛn kin nid fɔ stɔp bifo dɛn du di ɔpreshɔn.
Afta dɛn dɔn trit am
Afta tritmɛnt, dɛn go kɛr yu go na wan ɔbzhɔveshɔn yunit ɛn wach yu te yu kɔndishɔn stebul. Sɔm pipul dɛn kin go na os di sem de. Ɔda pipul dɛn kin nid fɔ de na ɔspitul fɔ sɔm dez. Dis kin dipen pan usay di blɔd klɔt de ɛn di kayn tritmɛnt we dɛn gi am.
Afta we dɛn dɔn go na os, .
- Gi advays bɔt aw fɔ kip di wund klin.
- Yu go nid fɔ kɔntinyu fɔ tek tin dɛn we de mek yu blɔd tan fɔ mek yu nɔ gɛt blɔd klɔt bak.
- Dɛn kin tɛl yu fɔ wɛr spɛshal sɔks (kɔmpreshɔn stɔkin) fɔ yu leg.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Fɔ ebul fɔ sev pipul dɛn layf. | Blɔd we de kɔmɔt. |
| Fɔ mek di ɔgan dɛn nɔ pwɛl ɔltɛm. | Blɔd vesel dɛn we de pwɛl. |
| Ridyus disabiliti na wan kɔndishɔn lɛk strok. | Infekshɔn na wund. |
| Fɔ pul di risk fɔ lɔs yu an ɔ leg. | We blɔd kin klɔt bak. |
| Kwik kwik wan, mek di blɔd go bak kwik kwik wan. | di klot de kכmכt εn i de lod na di lכng dεm (Pulmonary Embolism). |
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu si ɛni wan pan dɛn sik ya afta yu tritmɛnt, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Blɔd ɔ pus we de kɔmɔt na di wund.
- Chɛst pen ɔ i nɔ kin izi fɔ blo.
- Fiva .
- Diziz bad bad wan ɔ layt ed.
- Kɔnfyushɔn ɔ lɔs pan kɔnshɛns.
- Bɔrku pen, swel , ɔr de swɛla na yu an ɔr leg.
Nɔ ignore dɛn sayn ya. Dɛn kin bi sayn fɔ ɔda prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Thrombectomy na tritmɛnt we de sev layf, we de pul wan denja blɔd we dɔn stɔp na blɔd vesel ɛn mek blɔd flɔ bak.
- Opin ɔpreshɔn dɛn de ɛn bak advans kateshɔn-based we dɛn de fɔ dis.
- Dɛn kin yuse am fɔ siriɔs sik lɛk strok, at atak, ɛn DVT.
- I impɔtant fɔ yuz di mɛrɛsin we yu dɔktɔ gi yu jɔs lɛk aw dɛn tɛl yu fɔ mek yu nɔ gɛt blɔd klɔt bak afta yu dɔn trit yu.
- Notis yu dɔktɔ wantɛm wantɛm bɔt ɛnitin we nɔ kɔmɔn we kin apin afta yu dɔn trit yu.
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