Yu go de wɔnda aw siriɔs strok kin bi. di men rizin fכ dis na dat di mכst imכtant atεri (carotid artery) na di tu say dεm na wi nεk we de kכri bכdi go na di bren de blok bay fεt dεposit dεm. I tan lɛk se rɔst de kam insay wata paip ɛn smɔl smɔl i de lɔk am. Bɔt nɔ wɔri, naw dɛn gɛt rili advans ɛn simpul tritmɛnt fɔ dis. Na dat wi de tok abaut tide.
Wetin na dis tritmɛnt we dɛn kɔl TFCAS?
Fɔ tɔk am simpul wan, Transfemoral Carotid Artery Senting (TFCAS) na wan we we nɔ kin invayd smɔl we dɛn kin yuz fɔ opin bak wan karotid at we dɔn blok na di nɛk. I min fɔ put wan rili smɔl tiub we tan lɛk mɛsh, we dɛn kɔl stent, insay di at we dɔn blok fɔ mek i big bak.
Tink bɔt am, di karotid at dɛn we de na di tu say dɛn na wi nɛk na di tu men at dɛn we de kɛr ɔksijɛn ɛn tin dɛn we de mek wi gɛt tin fɔ it na wi bren, fes, ɛn nɛk. As tɛm de go, di kɔlɔstrel ɛn fat we de kɔmɔt na di it dɛn we wi de it kin bigin fɔ gɛda na di wɔl dɛn na dɛn at dɛn ya. Wi de kɔl dis plet. dis plek we de bכku de mek di atεri wכl dεm tik εn i de at (atherosclerosis). Afta sɔm tɛm, di blɔd vesel dɛn kin smɔl (stenosis). We dis blɔd nɔ de flɔ, di blɔd we de go na di bren kin go dɔŋ, ɛn dis kin mek pɔsin gɛt strok bad bad wan.
Insay TFCAS tritmɛnt, dɛn kin put spɛshal tiub (kateta) tru wan rili smɔl say we dɛn kɔt na yu groin ɔ yu an ɛn gayd am to di at we dɔn blok na yu nɛk. Dɔn dɛn kin put wan stent tru di kateshɔn fɔ opin di at bak. Di stent, lɛk tɛnt pol, de ɛp fɔ mek di at nɔ fɔdɔm igen. Dis kin mek di blɔd go bak na di bren, ɛn dis kin mek i nɔ gɛt strok.
Udat nid dis tritmɛnt?
Dɛn kin advays yu fɔ gi yu dis tritmɛnt if yu dɔktɔ si se yu gɛt di sik we dɛn kɔl carotid artery disease. Sɔntɛnde, yu nɔ kin gɛt ɛni sayn atɔl. Bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik dɛn we fiba mini-strok (ɔ transiɛnt ischemic atak - TIA).
Bɔku tɛm, sɔm tritmɛnt dɛn de fɔ di carotid artery stenosis. Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi, aw di at shep, ɛn usay di stenɔsis de.
De tin wae impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ uswan pan dɛn tritmɛnt ya go fayn fɔ yu.
| Di we aw dɛn kin trit am | Wetin kin jɔs apin | Speshal wok |
|---|---|---|
| TFCAS (di we aw dɛn tɔk bɔt na dis atikul) | fכ put stent insay wan vein na di nεk yuz wan tכb we dεn put tru di groin כ an. | No big kɔt nɔ de. Di tɛm we pɔsin kin wɛl kin shɔt. |
| Carotid Endarterectomy (CEA) we dɛn kin yuz fɔ mek di bɔdi. | Dɛn kin kɔt di nɛk, dɛn kin opin di at, ɛn dɛn kin pul di fat layt (plek) we dɔn gɛda de. | Tradishɔnal ɔpreshɔn we dɛn bin de du pan bɔku pipul dɛn. |
| Transkarotid stent (TCAR) we dɛn kin yuz fɔ mek tin dɛn. | dεn kin mek sכm sכm pat na di nεk jכs oba di kכla bכn εn dεn kin put di stεnt dεm dεn kin put am dεn wan dεm dεn kin put di at dεm. | Sɔm stɔdi dɔn sho se i gɛt smɔl risk fɔ gɛt strok pas TFCAS. |
Udat TFCAS tritmɛnt fit fɔ?
TFCAS tritmɛnt kin bɛtɛ fɔ yu pas CEA ɔpreshɔn if yu gɛt dɛn risk factor ya:
- If di at dɔn blok na say we pɔsin nɔ go ebul fɔ rich izi wan bay ɔpreshɔn.
- If yu gɛt ɔda wɛl bɔdi prɔblɛm (comorbidities) lɛk at sik, lɔng sik, ɔr fɔ fat.
- If yu gɛt ska tisu na yu nɛk bikɔs ɔf di ɔpreshɔn ɔ redyushɔn tɛrapi we yu bin dɔn du bifo.
- If yu vɔkal kɔd dɛn dɔn pwɛl.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dis ɔpreshɔn, yu dɔktɔ kin aks yu fɔ:
- Mek dɛn du sɔm blɔd tɛst ɛn ɔda wɛlbɔdi tɛst dɛn.
- Du echocardiogram ɔ strɛs tɛst fɔ chɛk aw di at de wok.
- du imej tεst lεk `carotid angiography`, `vascular ultrasound`, כ `MRA` fכ si εksakכt usay di atεri de blכk.
- Gi wan list fɔ ɔl di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de yuz.
- Dɛn kin gi yu mɛrɛsin lɛk aspirin fɔ mek blɔd nɔ klɔt.
- Nɔ it ɔ drink (fast) fɔ sɔm awa bifo yu du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn? Step by step
Bɔku tɛm, dis ɔpreshɔn nɔ kin tek tu awa ɛn na wan tim we gɛt spɛshal trenin we gɛt dɔktɔ dɛn kin du am.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Dɛn kin gi pɔsin anestezi | Bɔku tɛm, dɛn go ful-ɔp yu anestez. Dɛn kin gi yu smɔl mɛrɛsin bak fɔ mek yu at kol we yu de wek. |
| 2. Fɔ put di kateshɔn insay | wan spεshal tכb (kateshכn) de gayd tru wan sכmכl ol we dεn mek na di groin to di carotid atεri na di nεk wit di εp fכ εks-ray. |
| 3. Fɔ instɔl di filta | Dɛn kin put smɔl filta jɔs bifo di blɔk fɔ kech ɛni plek we kin brok we dɛn de mek di at big. Dis kin mek di risk fɔ gɛt strok nɔ bɔku. |
| 4. Yuz di balyɔn | dεn kin put wan sכmכl balכn insay di blכk εn inflate, we de prεs di fεt layεr pan di at in wכl εn mek di at wayd. Dɔn dɛn kin pul di balyɔn. |
| 5. Fɔ put di stent | Naw, dɛn kin put wan stent we kin mek insɛf bɔku na di say we dɔn big. Dis kin ɛp fɔ mek di at opin. |
| 6. Fɔ dɔn | Dɛn kin pul di filta ɛn di kateshɔn, ɛn dɛn kin lɔk di ol we de na di groin wit spɛshal tin. |
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go de wach yu na rum usay dɛn de wɛl fɔ sɔm awa. Dɔn yu go gɛt fɔ de na ɔspitul fɔ wan nɛt.
- Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen fɔ ɛni prɔblɛm we yu go gɛt.
- Yu dɔktɔ go tɛl yu fɔ tek antiplatelet mɛrɛsin (e.g., Aspirin, Clopidogrel) fɔ di res ɔf yu layf fɔ mek blɔd nɔ klɔt na di say we di stent de.
Bɔrku pipul kin go na os frɔm ɔspitul afta 24 awa. I kin gɛt brus, swel, ɛn smɔl pen na di say we dɛn kɔt am fɔ sɔm dez.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Bɛnifit dɛn
- Di risk fɔ gɛt strok kin ridyus: As di blɔd de flɔ bak to di bren, di risk fɔ gɛt strok kin ridyus bad bad wan.
- Smɔl say we dɛn kɔt am: Nɔ big say nɔ de, so i nɔ kin fil pen, i kin mek i gɛt di sik, ɛn i kin gɛt skata.
- Kwik fɔ wɛl: Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay sɔm dez.
Risk dɛn we kin apin
Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de, bɔt di risk fɔ gɛt siriɔs kɔmplikeshɔn nɔ pas 3%.
- rεstenosis: Na sכm tεm, ska tisu kin fכm כnda di stent εn sכm di atεri bak.
- Strɔk: We dɛn de du ɔpreshɔn, sɔm pat dɛn pan di fat kin brok ɛn blok wan at we de na di bren. Bɔt dis risk kin ridyus bad bad wan bay di filta we wi bin dɔn tɔk bɔt.
- At atak
- Blɔd ɔ infekshɔn
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya we yu go na os afta dɛn dɔn du yu ɔpreshɔn , kɔl yu dɔktɔ wantɛm wantɛm.
- If yu fil fiva ɔ yu gɛt kol
- If nɔs ɛn vɔmit go dɔn
- If di say we dɛn kɔt am rɛd, i swel, ɔ i de kɔmɔt yɔlɔ wata (sayn dɛn fɔ sho se yu gɛt di sik) .
Di tin we impɔtant pas ɔl: If yu gɛt sɔm sayn dɛn we de sho se yu gɛt strok, lɛk yu nɔ de tɔk fayn, yu wik na wan say na yu bɔdi, yu fes de drɔp, ɔ yu de chenj yu yay, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn nɔ de te.
Mɛsej we dɛn kin kɛr go na os
- TFCAS na wan advans, minimally invasive prosidur we dɛn kin yuz fɔ opin di at dɛn we dɔn blok na di nɛk ɛn ridyus di risk fɔ strok.
- Dis tritmɛnt nɔ fayn fɔ ɔlman. Tɔk to yu dɔktɔ bɔt us tritmɛnt we bɛtɛ fɔ yu.
- I rili impɔtant fɔ mek yu gɛt wɛlbɔdi layf (gud it, ɛksesaiz, ɛn lɛf fɔ smok) ɛn tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek jɔs lɛk aw dɛn tɛl yu afta dɛn dɔn du yu ɔpreshɔn.
- If yu no bɔt de wɔnin sayn dɛm wae kin kam afta yu dɔn ɔpreshɔn, ɛn mɔr di sayn dɛm wae de sho se yu gɛt strok, dat kin ɛp fɔ sev yu layf.
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