Yu pikin de gɛt prɔblɛm fɔ blo ɛn it? Lɛ wi lan bɔt dis (Vascular Ring).

Sɔntɛnde, yu smɔl pikin kin fil lɛk se i nɔ izi fɔ blo? Ɔ i kin chok ɔltɛm we i de gi pikin tin fɔ it ɔ we i de gi pikin in bɛlɛ? Ɔ i kin vɔmit afta i dɔn it? Wan pan di rizin fɔ dis kin bi wan kɔndishɔn we dɛn kɔl `(Vascular Ring)`, we wi go tɔk bɔt tide. Di nem kin tan lɛk big tin, bɔt nɔ fred . Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na dis `(Vascular Ring)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Vascular Ring na wan tin we nɔ fayn na di aorta fɔ pikin. Naw yu kin de wɔnda wetin na di aorta. Na di men, big blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn frɔm wi at to di ɔda pat na wi bɔdi. I tan lɛk di men paip we de kɛr wata kɔmɔt na wata tank go na ɔl di say dɛn na di os.

insay dis ``Vascular Ring'' kכndishכn, di aorta כ in branch dεm, di pikin in trakya (di brith tכb) , di εsophagus ( di it tכb), כ כl tu, dεn de kכmprεs εn rap rawnd am. Tink bɔt am lɛk ɔda tin we rap insɛf tayt tayt wan rawnd wata paip, we de mek i nɔ izi fɔ mek wata flɔ.

So, wetin kin apin we yu stɔp lɛk dis?

• If di trakya kin kɔnstrikt, di pikin kin gɛt prɔblɛm fɔ blo .
• If di εsophagus tayt, di pikin kin gɛt prɔblɛm fɔ it, fɔ gi in bɛlɛ , ɔ fɔ swɛla.

Dis na wan prɔblɛm we dɛn bɔn wit. dis min se dεn bכn di pikin wit dis kכndishכn we i stil de insay di bεlε. Sɔntɛnde, i kin siriɔs, bɔt di bɛst tin na dat dɛn kin trit am fayn fayn wan wit ɔpreshɔn.

Aw di aorta kin fɔm? Wetin kin apin na wan vaskul ring?

Lɛ wi luk aw di pikin in aorta kin de nɔmal wan.

nכmal wan, di aorta de stat na di lכw lεft chεmba na di pikin in at (lεft vεntrikl). afta dat i de go כp di trakya, kכv insay wan arch (aortic arch), εn afta dat i de go dכn di trachea bak (descending aorta). Frɔm dis arch ɛn di pat we de kam dɔŋ, bɔku smɔl smɔl blɔd vesel dɛn de branch fɔ gi blɔd to difrɛn pat dɛn na di bɔdi.

כltu, insay pikin we gεt wan kכndyushכn we dεn kכl ``Vascular Ring'', dis big atεri ``(Aorta)'' כ in branch dεm, di trakya, di εsophagus, כ כl tu, de rap rawnd am lεk ring, i kכmplit כ pat. Na dat mek dɛn kɔl am ``Vascular Ring''.

Imajin, dis tan lɛk we wi rap wata paip na wi gadin rawnd di tik in rut, we go mek di wata we de flɔ nɔ bɔku.

Wetin na di men kayn `(Vascular Ring)`?

difrεn we dεm de we dis `(Vascular Ring)` kin fכm. Di tri kayn dɛn we dɛn kin yuz mɔ na:

1. `Dɔbl Aɔtik Ak`: .wetin kin apin insay dis na di aorta de stat nכmal wan, dεn split insay tu arch dεm. dis tu arch dεm de rawnd εn tayt rawnd di pikin in briz paip, trakya, εn εsophagus. Dɔn di tu arch dɛn jɔyn togɛda na di ɔda say ɛn bi wan blɔd vesel bak.

2. Rayt Aortic Arch: Na ya, di aorta de stat kכrekt, na di rayt say na di trachea insted na di lεft. Dɔn, wan nɔmal blɔd vesel nɔ kin bigin di rayt we ɛn go biɛn di εsophagus. dis branch de gi כda atεri (di lεft sabklavian atεri ) we de kכri bכdi to di pikin in lεft an. dis ring de kכmplit bay di rεmεnt fכ wan bכdi vεsul we bin opin di tεm we di pikin de liv εn afta dat i de kכloz (di Ligamentum Arteriosum). Dɛn blɔd vesel ya kin kam togɛda ɛn kɔmprɛs di pikin in trachea, esophagus, ɔ ɔl tu.

3. Aberrant Right Subclavian Artery (RSA): dεn kin kכl dis bak Arteria Lusoria. nכmal wan, dis at de stat frכm di Brachiocephalic Trunk, we na wan pan di tri at dεm we de kכmכt frכm di Aortic Arch. כltu, insay dis kes, di Aberrant RSA de stat dayrekt frכm di Aortic Arch. I nɔto kɔmplit ring , so i nɔ kin mek pɔsin gɛt sɔm sayn dɛn.

Aw kɔmɔn dis `(Vascular Ring)` kɔndishɔn?

Vascular Ring na wan sik we nɔ kin apin so ɔltɛm . Ivin wan pan ɛvri 100 bebi dɛn nɔ kin gɛt am. ivin wit di hat dεfεkt we dεn bכn wit, bitwin 1% εn 3% pan dεm kin gεt vaskulεr ring. So, no bi somtin we de hapun to plenti pipul.

Udat kin gɛt dis sik?

Dis kכndyushכn kin apin pan bebi dεm we kכmכt frכm εni trayb כ etnik. Pan ɔl we wi nɔ no di rayt tin we kin mek i apin, dɛn dɔn si se i kin bɔku tu tɛm pan man pikin dɛn pas uman pikin dɛn .

Wetin de mek dis `(Vascular Ring)` de fכm?

sayɛnsman dεm stil nכ no εksεktεli wetin mek dis ``vaskulεr ring'' de fכm di tεm we di pikin de divεlכp. Bɔku tɛm i kin apin se as di pikin de gro na di bɛlɛ, sɔm pat dɛn de na di aorta we fɔ jɔs fɔdɔm. Bɔt dɛn kin tink se dis kin apin we dɛn pat dɛn de nɔ fɔdɔm .

Wetin na di sayn dɛm fɔ wan Vascular Ring?

If wan vaskul ring sho di simptom ɔ nɔ sho, ɛn if na so, ustɛm, i dipen pan di kayn ɛn aw i de kɔmprɛs di trakya ɔ di εsophagus bad bad wan.

Sɔm bebi dɛn kin sho sɔm sayn dɛn we dɛn smɔl . Ɔda pipul dɛn kin gɛt dis sik wae dɛn dɔn ol smɔl, ɔr leta na dɛn layf. I sɔprayz fɔ no se sɔm pipul dɛn nɔ kin sho ɛni sayn atɔl .

Sɔntɛnde, pɔrsin kin dɔn gɛt prɔblɛm fɔ blo ɔr fɔ swɛla fɔ lɔng tɛm, ɛn pan ɔl we i kin go to dɔktɔ we de mɛn in pulmon ɔr gastroenterologist fɔ trit am, dɛn nɔ kin ebul fɔ no ustɛm na di prɔblɛm.

Di sayn dɛm we kin apin if di trakya afɛkt:

Di trakya na di say we di briz de blo. So if i smɔl, yu kin si sayn dɛn lɛk dis:

• Fɔ kɔf bɔku tɛm .
• Infεkshכn dεm we de apin na di rεspiretכri fכs fכs (e.g. nyumonia).
• Nasal flaring ( flaring na di nos we yu de blo).
• wan abnכmal sawnd we yu de brith (e.g., `(Wheezing)` - wan sawnd we de wis frכm di chεst, `(Stridor)` - wan lawd sawnd frכm di trot).
• Respiratory Cyanosis na we di skin de chenj di kɔlɔ we de blu bikɔs i nɔ izi fɔ blo.

Di simptom dɛm we kin apin if di εsophagus afɛkt:

Di εsophagus na di it paip. If i smɔl, yu kin gɛt sɔm sayn dɛn lɛk:

• Asid riflɔks .
• If yu nɔ gɛt wet ɛn nɔ de it fayn na ``Failure to Thrive''.
• Filin lɛk se sɔntin dɔn stɔp na yu trot .
• I nɔ izi fɔ it , fɔ chok bɔku tɛm we yu de it.
• I nɔ izi fɔ swɛla (Dysphagia), mɔ we yu de swɛla sɔlid it dɛn.
• Fɔ vɔmit ɔltɛm .

Ɔda sayn dɛn we de sho se yu gɛt at:

Sɔmtɛm pipul dɛm wae gɛt Vascular Ring kin gɛt ɔda kayn at pwɛl hat wae dɛn kin bɔn wit. If na so i bi, yu kin si sayn dɛm bak lɛk:

• Wan abnɔmal sawnd we dɛn kin yɛri na di at na ``Hat Murmur''.
• Palpitations (hat bit fast ɔ i nɔ de bit ɔltɛm).
• I nɔ izi fɔ blo (Dyspnea).

Aw dɛn kin no dis `(Vascular Ring)` kɔndishɔn? (Diagnosis) .

If dɔktɔ sɔspɛkt se vaskul ring, dɛn kin du bɔku tɛst fɔ no if di sik gɛt:

• εks-ray na di chεst: Dis de tek pikchכ fכ di כgan dεm we de insay di pikin in chεst. Bɔku tɛm, dis na di fɔs tɛst we dɛn kin du.
• CT skan: Dis kin tek klia pikchɔ bak fɔ di tin dɛn we de insay di bɔdi, mɔ di at, di trakya, ɛn di εsophagus.
• Echocardiogram: Dɛn kin kɔl am bak echo, dis kin tek pikchɔ dɛn we tan lɛk vidio bɔt di pikin in at ɛn aorta.

apat frכm dεn tεst ya, dεn kin du כda tεst dεm fכ si us kכndishכn di trakya כ εsophagus de insay:

• Bariɔm Swɛlɔ `(Bariɔm Swɛlɔ)` / `(Ɛsofagogram)`:insay dis, dεn de gi di pikin wan spεshal likid we dεn kכl `(Barium)` fכ drink. afta dat, dεn tek εks-ray fכ si aw dis `(Barium)` likwid de muv dכn di εsophagus `(Esophagus). if di εsophagus `(Esophagus)` de blok bay wan `(Vascular Ring), dεn kin no am wit dis tεst.
• brכnkoskopi: insay dis, dεn de pas wan tin tכb we gεt sכmכl kεmεra εn layt tru di pikin in mכt כ in nos, tru di briz paip (trachea) εn insay di lכng dεm, fכ egzamin di insay.
• Ɔpa Ɛndoskopi: Dis na tiub bak. Bɔt dɛn kin pas am na di mɔt ɛn dɔŋ di εsophagus fɔ luk insay.

Wetin na di tritmɛnt dɛm fɔ dis `(Vascular Ring)`?

If wan vaskul ring de mek di pikin in trakya ɔ in ɛsophagus kɔnstrikt, we de mek i nɔ izi fɔ blo ɔ it, i kin nid fɔ du ɔpreshɔn .

כltu, nכto כl di vaskulכr ring dεm nid fכ כpεrayshכn we dεn bεlε. Bɔt sɔm kayn dɛn lɛk dabl aɔta arch, nid fɔ ɔpreshɔn kwik kwik wan.

Di kayn ɔpreshɔn we dɛn kin du kin dipen pan di pikin in kɔndishɔn, di kayn vaskul ring, ɛn aw i bad. Bɔku tɛm, di ɔpreshɔn kin gɛt fɔ du wit:

• fכ kכt εn separet wan pat pan di vaskulכr ring fכ ridyus di prεshכn.
• Fɔ pul wan smɔl pat pan di aorta ɔ ɔda at.

כl di tεm dεm, dεn kin du dis כpεrayshכn tru wan sכmכl insayshכn na di sayd fכ di pikin in chεst (wan opin prosidכs - `(Toracotomy)`) . Dis min se dɛn nid fɔ kɔt di say we big smɔl. Bɔt nɔto ɔltɛm, fɔ pikin dɛn we dɔn big smɔl, i pɔsibul fɔ du wan tin we nɔ go ambɔg dɛn .

we dεn de fכ mek dis `(Vascular Ring)` nכ fכm?

infakt, sayɛnsman dεm stil nכ כndastand gud gud wan wetin mek di ``vaskulεr ring'' de fכm di tεm we di εmbrayo de, so naw nכ spεsifi k mεtכd de fכ mek i nכ .

Us kayn tumara bambay pɔrsin wae gɛt dis sik kin ɛkspɛkt?

Ɔpreshɔn fɔ mek wan Vascular Ring rili sef ɛn i kin wok fayn . Pan ɔl we sɔm sayn dɛn kin kɔntinyu fɔ de fɔ sɔm mɔnt afta dɛn dɔn du di ɔpreshɔn, bɔku pipul dɛn nɔ kin gɛt ɛni sik igen insay wan ia .

Bɔku pipul dɛn nɔ go ɛva nid fɔ gɛt ɔpreshɔn igen. Bɔt, na smɔl tɛm nɔmɔ, dɛn kin nid fɔ du ɔda ɔpreshɔn.

Ivin afta dɛn dɔn du di ɔpreshɔn, yu kin nid fɔ go to spɛshal pipul dɛn fɔ advays (fɔ fala yu) fɔ lɔng lɔng tɛm. Dɛn tin ya kin bi:

• Wan dɔktɔ we de mɛn di at.
• Dɔktɔ we spɛshal pan di dijestiv sistɛm (Gastroenterologist).
• Dɔktɔ we spɛshal pan di we aw pɔsin de blo (Pulmonologist).

Wetin bak a fɔ aks di dɔktɔ bɔt Vascular Ring?

If yu ɔ yu pikin gɛt wan sik we dɛn kɔl ``Vascular Ring'', i fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn `(Vascular Ring)` na dis?
• Dis na arawnd mi trakya, esophagus, ɔ ɔl tu?
• Yu kin se yu fɔ du ɔpreshɔn? If na so i bi, yu tink se i opin ɔ i nɔ de ambɔg bɔku?
• Aw lɔng i go tek fɔ mek i wɛl?
• Yu tink se di sayn dɛn we a kin gɛt go dɔnawe wit mi afta dɛn dɔn du di ɔpreshɔn?
• A fɔ go to ɔda spɛshal pipul dɛn?
• A gɛt ɔda sik dɛn we de ambɔg mi at? If na so, yu tink se dɛn kin trit dɛn di sem tɛm we dɛn du dis ɔpreshɔn?

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

di vaskul ring na wan kכndyushכn we dεn bכn wit we di pikin in aorta nכ de fכm abnכmal, we de mek prεshכn pan di trakya כ εsophagus, כ כl tu. Dis kin mek i nɔ izi fɔ blo ɔ swɛla.

Di tin we impɔtant pas ɔl na dat dɛn kin kɔrɛkt dis sik fayn fayn wan wit ɔpreshɔn ɛn dɛn kin pul di sayn dɛn we de sho se i sik.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Dɛn go gi yu ɔl di tin dɛn we yu nid.

` Vascular Ring, Aorta, Trachea, Esophagus, Bכn Difεkt, Difεlεns fכ Brith, Difikulti fכ it