Tink bɔt di nɛtwɔk we blɔd vesel dɛn de ɔlsay na wi bɔdi lɛk di rod dɛn we de ɔlsay na wan siti. Na dɛn rod ya blɔd kin kɔmɔt na wi at ɛn go na ɔl di kɔna dɛn na wi bɔdi. So wetin kin apin if dɛn rod ya blok, brok, brok, ɔ ɔda prɔblɛm de na dɛn rod ya? Di wan ol trafik dɔn ambɔg, nɔto so? Semweso, we prɔblɛm de wit wi blɔd vesel, wi kin jɔs kɔl di spɛshal ɔpreshɔn dɛn we dɛn kin du fɔ trit am `(Vascular Surgery)`.
Fɔ tɔk am simpul wan, wetin na ‘Vascular Surgery’?
Vascular Surgery na wan jεnarכl tεm fכ כpεrayshכn εn tritmεnt dεm we involv di bכdi vεsul dεm (atεri, vein, εn kapilari) na wi bכdi. Na dis nεtwכk fכ bכdi we de kכri bכdi frכm wi at to כl di כda כgan dεm εn tisu dεm na di bכdi, εn de bכn bכdi bak to di at.
Dɛn blɔd vesel ya kin pwɛl bikɔs ɔf difrɛn mɛrɛsin dɛn. Sɔmtɛm dɛn kin ebul fɔ kɔntrol dɛn kayn tin ya wit chenj na yu layf ɛn mɛrɛsin. Bɔt sɔntɛnde, yu kin nid fɔ du ɔpreshɔn fɔ mek di prɔblɛm nɔ wɔs.
Dɛn ɔpreshɔn dɛn ya mɔ na:
- Fɔ mek di blɔd vesel dɛn we dɔn pwɛl bak.
- Fɔ ridyus di risk fɔ siriɔs kɔmplikeshɔn wae kin apin bikɔs ɔf dɛn kɔndishɔn ya.
- Fɔ mek pipul dɛn gɛt akses to blɔd vesel fɔ mek i izi fɔ gɛt mɛrɛsin lɛk dayalaysis fɔ di wan dɛn we gɛt kidni.
Insay us kɔndishɔn dɛn ‘Vascular Surgery’ nid fɔ de?
If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu kin nid fɔ du ɔpreshɔn pan yu vaskul. Di bɛst tin fɔ disayd bɔt dis na yu dɔktɔ kin disayd.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Aɔtik Anɛrizm | di aorta de wik εn i de bulge lεk balכn. |
| Blɔd we De Klɔt | Blɔd kin klɔt insay di blɔd vesel dɛn. |
| Di sik we de mek pɔsin gɛt di sik we dɛn kɔl Carotid Artery | di men at (carotid artery) we de na di nεk we de gi bכdi to di bren we de blok. |
| Dip Vein Trombosis (DVT) we de mek pɔsin gɛt sik . | Blɔd we de klɔt na wan vein we de dip insay di bɔdi. |
| Pɛriferal Atɛri Disizin (PAD) . | Di fat we de na di bɔdi kin blok di vein dɛn we de kɛr blɔd go na di pat dɛn na di bɔdi lɛk di leg ɛn an. |
| Varikɔs Vein dɛn | di vein dεm na di leg dεm kin swεla, blu, εn dεn kin si am na di sכfa. |
| Rεnal Atεri Sεnɔsis | di atεri dεm we de gi bכdi to di kidni dεm we de sכm. |
Dɛn ɔpreshɔn ya kin nid fɔ bi fɔ bɔku ɔda sik dɛn lɛk dis. Yu dɔktɔ go tek tɛm chɛk yu sik ɛn disayd if i nid fɔ du ɔpreshɔn wit mɛrɛsin.
Wetin na di men kayn ɔpreshɔn dɛn we dɛn kin du?
Bɔku difrɛn ɔpreshɔn ɛn prosidur dɛn de fɔ trit prɔblɛm dɛn we gɛt fɔ du wit di blɔd vesel. Di kayn ɔpreshɔn we yu nid go dipen pan yu kɔndishɔn. Lɛ wi tɔk bɔt sɔm pan di men kayn dɛn.
1. Ripair di Aortic Aneurism
If di blɔd vesel we big pas ɔl na wi bɔdi (di aorta) wik ɛn inflayt lɛk balyɔn, wi nid fɔ mek am bifo i bɔs. Dis na di ɔpreshɔn we dɛn kin du fɔ dat.
- Open Aneurysm Surgery: Dis kin min se dɛn kin kɔt di chɛst ɔ di bɛlɛ, pul di blɔd vesel we dɔn pwɛl, ɛn put atifishal tiub (graft) insay am.
- Endovascular Aneurysm Repair (EVAR): Dis kin min se dɛn nɔ kin du bɔku ɔpreshɔn. Dɛn kin mek smɔl ol na di skin, dɛn kin put wan waya mɛsh tiub we dɛn kɔl stent graft insay di ol, ɛn blɔd kin pas na di nyu tiub.
- Thoracic Endovascular Aneurysm Repair (TEVAR): dis lεk `(EVAR)`, bכt dεn kin du am fכ aneurysm dεm na di aorta na di chεst εria.
2. Tritmɛnt fɔ Pɛriferal Atɛri Disizin (PAD) .
PAD na wan sik we de mek plek de bɔku na di at we de kɛr blɔd go na di leg ɛn an. Dis kin mek yu gɛt sɔm sayn dɛm lɛk pen na yu leg we yu de waka.
- Angioplasti ɛn Stɛnt:Insay dis, dɛn kin put wan smɔl balyɔn insay di blɔd vesel we dɔn blok ɛn dɛn kin blo am fɔ mek di vessel big. Dɔn, dɛn kin put wan smɔl waya mɛsh ``stɛnt`` insay fɔ mek i nɔ blok bak. I tan lɛk se yu de klin wata paip we dɔn blok ɛn put smɔl tiub insay fɔ mek i nɔ blok igen.
- Atherectomy: Dis na fɔ yuz smɔl bled na di ɛnd pan wan kateshɔn (wan tin tiub) fɔ skrap di fat we dɔn gɛda na di wɔl dɛn na di blɔd vesel dɛn.
- Pɛriferal At Baypas Ɔpreshɔn: Dis kin min fɔ opin wan blɔd vesel we dɔn blok ɛn mek nyu rod fɔ mek blɔd flɔ. Dis min se yu fɔ yuz ɔda blɔd vesel we gɛt wɛlbɔdi frɔm insay di bɔdi ɔ wan atifishal tiub. I tan lɛk se yu de bil baypas fɔ baypas trafik na rod.
3. Tritmɛnt fɔ di prɔblɛm dɛn we gɛt fɔ du wit di Carotid Artery (nɛk vein).
Carotid artery disease na wan kכndyushכn we fεt dεposit dεm de bכku na di men atεri dεm na di nεk we de gi blכd to wi bren. Dis kin mek yu gɛt denja tin lɛk strok.
- Carotid Angioplasty and Stenting: As wi bin dɔn tɔk, dɛn kin mek dis at big wit balyɔn ɛn stent.
- Carotid Endarterectomy: Insay dis, dɛn kin kɔt smɔl pat na di nɛk, dɛn kin opin di at, dɛn kin pul di fat layt we de insay, ɛn dɛn kin stich di at bak togɛda.
4. Tritmɛnt fɔ Venɔs Sik dɛn
Di dɔti blɔd we de na wi bɔdi kin kam bak na di at tru vein dɛn. di vein dεm, spεshal wan na di leg dεm, gεt valv dεm we de εp fכ pכmp blכd כp. we dεn valv dεm ya wik, bכdi de kכmכt na di lεg dεm, we de mek kכndishכn dεm lεk ``Varicose veins``.
- Vena Cava Filta Ples: Fɔ pipul dɛm we gɛt kɔndishɔn lɛk dip vein thrombosis (DVT), dɛn kin put smɔl filta insay wan big vein fɔ stɔp di blɔd we de klɔt fɔ travul go na di at ɔ di lɔng.
- Vein Ligation and Stripping: insay dis, dεn kin כpεrayshכn kכt di vein dεm we sik (varicose veins) εn pul dεm.
- Endovenous Thermal Ablation: We yu yuz laser bim ɔ ay frikyuɛnsi redio wev, dɛn kin deaktiv di vein we gɛt di sik frɔm insay ɛn lɔk am we dɛn nɔ mek big say we dɛn kɔt am.
- Sklɛrotɛrapi: Dis kin min fɔ injɛkt wan kemikal sɔlvushɔn fɔ lɔk smɔl smɔl vayrɔs vein dɛn ɛn spayda vein dɛn.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Na nɔmal tin fɔ fil smɔl fred ɛn wɔri bifo yu du ɔpreshɔn lɛk dis. Bɔt mɛmba se yu dɔktɔ ɛn di mɛdikal tim go ɛksplen ɔltin to yu.
Yu dɔktɔ go tek tɛm chɛk yu bifo dɛn du di ɔpreshɔn.
- Mɛdikal histri: Tɔk bɔt yu sik dɛn, di sik dɛn we yu bin dɔn gɛt trade, di mɛrɛsin dɛn we yu de tek, ɛn ɛni alɛji we yu gɛt.
- Test dɛn:Dɛn go ɔda difrɛn tɛst dɛn we dɛn nid fɔ du fɔ di ɔpreshɔn. fכ egzampl, tεst dεm lεk `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)`.
- Di we aw yu de pripia: Sɔm tin dɛn de we yu kin du bifo dɛn du di ɔpreshɔn.
- Di dɔktɔ go aks yu if yu nid fɔ stɔp fɔ tek ɛni wan pan di mɛrɛsin dɛn we yu kin tek ɔltɛm.
- Dɛn go aks yu fɔ stɔp fɔ it ɛn drink di nɛt bifo dɛn du di ɔpreshɔn.
- If yu de smok, dɛn kin advays yu fɔ lɛf fɔ smok. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Tu we dɛn fɔ du ɔpreshɔn: Open ɛn Endovascular
Bɔku pan di ɔpreshɔn dɛn we dɛn kin du na di vaskul dɛn, dɛn kin du am tu men we dɛn. Yu dɔktɔ go ɛksplen us we dɛn de du yu.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Opin Ɔpreshɔn | If na so i bi, dɛn kin kɔt di skin lɔng wan usay di blɔd vesel we dɛn fɔ trit de, ɛn dɛn kin du di ɔpreshɔn bay we dɛn de go na da blɔd vesel de dairekt wan. |
| Ɛndovaskyuɛl Ɔpreshɔn (Minimally Invasive Surgery) . | Dis na wan we we nɔ kin tek bɔku pipul dɛn. Dɛn kin mek smɔl ol na di skin, dɛn kin put kateta (tin tiub) tru am, ɛn dɛn kin gayd am along di blɔd vesel to di say we dɛn fɔ trit. Di tɛm fɔ wɛl kin shɔt wit dis we. |
Wetin kin apin afta di ɔpreshɔn? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn kin difrɛn bad bad wan fɔ di kayn ɔpreshɔn we yu bin gɛt. Sɔm big ɔpreshɔn dɛn kin nid fɔ de na di say usay dɛn de kia fɔ pipul dɛn we sik (ICU) fɔ sɔm dez. Bɔt afta yu dɔn du smɔl tin lɛk sklɛrotɛrapi, yu kin ebul fɔ go na os di sem de.
Lɛk ɛni ɔpreshɔn, dɛn ɔpreshɔn ya kin gɛt sɔm prɔblɛm dɛn bak.
- Alɛji to anestezi ɔ di tin dɛn we dɛn yuz.
- Blɔd we de kɔmɔt.
- Blɔd we de klɔt.
- Sik we de prɛd.
- Nɛv dɛn we dɔn pwɛl.
- Hat atak ɔ strok.
Dis risk kin go ɔp dipen pan aw yu sik, yu ej, ɛn ɔda mɛrɛsin wae yu gɛt, lɛk dayabitis. Tɔk opin wan wit yu dɔktɔ bɔt dis.
A nid fɔ go to di dɔktɔ jisnɔ!
If yu gɛt ɛni sayn fɔ wan kɔmplikeshɔn we yu de wɛl frɔm di ɔpreshɔn, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm. Yu fɔ no mɔ bɔt dɛn sayn ya we de kam biɛn ya.
| Di sayn we de sho se di sik de | Wetin fɔ tek tɛm wit |
|---|---|
| Fiva, pus we de kɔmɔt na di wund, rɛd, swel | Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn. |
| Wantɛm pen, swel, swɛla na yu an ɔ yu leg | If yu blɔd klɔt, dat kin bi sayn fɔ se yu dɔn gɛt strok. |
| Bɔrku pen na yu chɛst, bɛlɛ, bak, ɔ bɛlɛ | I kin bi sayn fɔ se yu gɛt siriɔs prɔblɛm we de insay yu bɔdi. |
| Fɔ kɔf blɔd ɔ yɔlɔ/grin mɔkus | I kin bi sayn fɔ se pɔsin gɛt infekshɔn na in lɔng. |
| Blɔr vishɔn, i nɔ izi fɔ swɛla | I kin bi sayn fɔ se di nervɔs sistɛm dɔn afɛkt. |
Vascular Surgery na wan impɔtant mɛrɛsin we kin sev wi layf ɛn mek wi kwaliti layf bɛtɛ. Nɔ ɛva fred fɔ aks yu dɔktɔ bɔt ɛni kwɛstyɔn we yu gɛt, ilɛksɛf i smɔl.
Mɛsej we dɛn kin kɛr go na os
- Vascular Surgery de tɔk bɔt ɔpreshɔn ɛn tritmɛnt dɛn we dɛn kin du pan di blɔd vesel dɛn (arteries ɛn veins) na wi bɔdi.
- Dɛn kin du dɛn ɔpreshɔn ya tu men we: ‘open surgery’, we gɛt fɔ du wit big say dɛn we dɛn kɔt, ɛn ‘endovascular’ ɔpreshɔn, we gɛt fɔ du wit smɔl smɔl say dɛn.
- I rili impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn bifo ɛn afta di ɔpreshɔn fɔ mek shɔ se yu wɛl kwik kwik wan.
- If yu gɛt ɛni ɔda tin we nɔ kɔmɔn afta yu dɔn du di ɔpreshɔn, lɛk fiva, pen bad bad wan, ɔ swel, tɛl yu dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu ɔpreshɔn.
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