כl dis na di sכmכl divays (Vena Cava Filter) we de stכp di bכdi we de kכlכt fכ rich di lכng

Yu no aw i denja if blɔd klɔt na di vein dɛn na yu bɔdi, mɔ na yu leg, ɛn i stɔp na yu lɔng? Insay mɛrɛsin, wi kin kɔl dis ‘pulmonary embolism’. Dis kin ivin mek pɔsin in layf de pan denja. So tide wi go tɔk bɔt wan smɔl bɔt rili impɔtant tin we dɛn kin yuz fɔ mek dis kayn denja tin nɔ apin.

Fɔ tɔk am simpul wan, wetin na dis Vena Cava Filta?

Wan Vena Cava Filta na wan smɔl tin we dɛn mek wit mɛtal. Fɔ tɔk mɔ, i tan lɛk smɔl mɛsh, ɔ filta. di men wok we i de du na fכ kech di bכdi we de kכlכt we de travul tru di vein dεm na di bכdi εn stכp dεm fכ travul go na yu lכng.

Tu men kayn blɔd vesel dɛn de na wi bɔdi.

• Inferior Vena Cava (IVC): Dis kin kɛr blɔd kɔmɔt na di ɔda pat dɛn na di bɔdi (lɛk di leg ɛn bɛlɛ) to di at.
• Superior Vena Cava (SVC): dis kin kכri bכdi frכm di כp pat na di bכdi (lεk di ed εn di an) to di at.

dis filta dεn kin put am mכst insay di Inferior Vena Cava (IVC) , we na wan big vein we de kכri bכdi frכm di lכw bכdi. Na dat mek dɛn kin kɔl dɛn tin ya bak `(IVC filta)`. Fɔ put am na di simpul ɛgzampul, tink bɔt am lɛk se wi de put filta na wata paip. Wi kin alaw di wata fɔ pas ɛn nɔ gɛt ɛnitin fɔ ambɔg am, bɔt di dɔti we de na di wata kin stil de na da filta de. Dis filta de du di sem tin. Pan ɔl we i de mek di blɔd go na di at we nɔ gɛt ɛnitin fɔ ambɔg am, i de kech di denja blɔd we de kam wit am.

Us kayn pipul dɛn nid dis filta?

Nɔto ɔlman nid dis. Dɔktɔ kin tɛl yu fɔ yuz dis filta fɔ sɔm patikyula rizin dɛn. Dɛn kin tink bɔt yu fɔ dis if yu gɛt blɔd we de klɔt na yu veins (Venous Thromboembolism ɔ VTE) ɛn wan ɔ mɔ pan dɛn tin ya:

Yu tink se difrɛn kayn filta dɛn de?

Yɛs, na tu kayn dɛn de mɔ.

1. Pɛrmanɛnt Filta: We dɛn dɔn put dɛn, dɛn nɔ kin pul dɛn kayn filta ya. Dɛn kin las fɔ ɔl yu layf. Dɛn kin put dɛn tin ya pan pipul dɛn we nɔ ebul fɔ tek ɛni mɛrɛsin we de mek dɛn blɔd tan ɛn we de pan big risk fɔ gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm.

2. Temporary/Retrievable Filters: Dɛn kin put dɛn tin ya pan pipul dɛn we de pan tɛmporari risk. Fɔ ɛgzampul, afta dɛn dɔn du big ɔpreshɔn. We di risk dɔn dɔn ɛn dɛn kin bigin fɔ yuz di tin dɛn we de mek blɔd tan bak, dɛn kin du ɔpreshɔn fɔ pul dɛn filta dɛn ya.

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Okay, naw lɛ wi se di dɔktɔ disayd fɔ put dis filta pan yu. Sɔm tin dɛn de we yu nid fɔ pripia bifo dat.

• Yu dɔktɔ go aks bɔt yu kɔmplit wɛlbɔdi istri. Yu go nid fɔ gi ful diskripshɔn fɔ ɔl di mɛrɛsin dɛn we yu de tek (ivin vaytamɛn dɛn).
• Sɔm mɛrɛsin dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn. Fɔ ɛgzampul:
• Antikɔagulɛnt dɛn
• Aspirin we dɛn kin yuz
• Di tin dɛn we dɛn kin yuz fɔ mɛn pen (NSAID) .
• Di dɔktɔ go tɛl yu jɔs ɔmɔs awa bifo dɛn du di ɔpreshɔn yu fɔ stɔp fɔ it ɛn drink. Bɔrku tɛm, dɛn go aks yu fɔ stɔp fɔ it 8 awa bifo ɛn drink 2 awa bifo.
• Yu kin gɛt sɔm tɛst dɛn bak fɔ chɛk yu wɛlbɔdi, lɛk blɔd tɛst, wan `Echocardiogram (echo)`, ɛn wan `Electrocardiogram (EKG)`.

Aw dɛn kin du di ɔpreshɔn?

Dis nɔto big ɔpreshɔn we pɔsin fɔ fred. Dɛn kɔl am ‘minimally invasive’ prɔsidyu. Dat min se dɛn nɔ de kɔt big big say dɛn. Bɔku tɛm, dɛn kin dɔn am insay lɛk wan awa so.

Na dis na aw i kin apin:

1. Fɔs, dɛn go kɔnɛkt wan salin tiub (IV) to wan vein na yu an.

2. Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu kol ɛn rilaks.

3. Neks, dεn kin klin di εria we dεn go put di filta (na di nεk כ di groin) εn na da εria de nכmכ de nכm .

4. di dכkta de mek sכm sכm pat na di say we di sכmtin de sכmtεm εn i de put wan tin tכb we dεn kכl kateshכn insay di vein.

5. afta dat, we dεn yuz wan kayn εks-ray we dεn kכl ``Fluoroscopy,'' dεn de gayd dis tכb εksakכt wan to di IVC vein. sכmtεm, dεn kin injεkt wan spεshal likwid we dεn kכl ``kכntrast mεtirial'' tru dis tכb fכ mek di vein klia klia wan.

6. we dεn de na di kכrekt say, dεn de put di filta insay di vein tru di kateshכn. i de opin insay di vein εn i de atak di wכl dεm na di vein.

7. We di wok dɔn, dɛn kin pul di kateshɔn ɛn put smɔl bandej oba di say we dɛn kɔt fɔ lɔk am.

Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?

Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm awa. Di mɛdikal tim go wach aw yu at de bit ɛn aw yu de blo, ɛn dɛn go gi yu mɛrɛsin fɔ mɛn yu pen if yu de fil pen.

Bɔku tɛm yu kin go na os di sem de we dɛn du yu ɔpreshɔn . Bɔt yu nɔ go ebul fɔ drayv yusɛf, yu padi ɔ fambul fɔ de wit yu. Sɔm brus ɛn diskɔmfɔt kin de na di say we dɛn kɔt am fɔ sɔm dez.

Yu go ebul fɔ wɛl kwik kwik wan?

Yɛs. Di filta bigin fɔ wok jɔs lɛk aw yu put am insay.

• If dɛn put di filta tru wan vein na yu nɛk , bɔku tɛm yu kin bigin fɔ du yu nɔmal tin dɛn bak insay 24 awa.
• If dɛn bin put di filta tru wan vein na di groin , yu go nid fɔ avɔyd sɔm tin dɛn fɔ lɛk tu dez so.

Bɔt yu dɔktɔ go gi yu di rayt instrɔkshɔn dɛn we gɛt fɔ du wit yu.

Ɛni risk dɛn de we kin apin?

Bɔku tɛm, dɛn kin tek dis as ɔpreshɔn we rili sef. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Di chans fɔ mek dɛn tin ya apin rili smɔl, bɔt i fayn fɔ no bɔt dɛn.

• Wan alɛji to di kɔntrast matirial we dɛn yuz fɔ di tɛst.
• Blɔd ɔ infɛkshɔn na di say we dɛn put di kateshɔn.
• Di blɔd vesel dɛn we dɔn pwɛl.
• Filta fraktrɔs.
• Sɔntɛm di blɔd dɔn brok kɔmɔt na di filta ɛn travul go na di at ɔ di lɔng.
• Blɔd we de klɔt na di IVC vein (IVC trombosis).

Dɛn tin ya nɔ kin apin so ɔltɛm. Yu dɔktɔ go du ɔl wetin i ebul fɔ mek dɛn prɔblɛm ya nɔ bɔku.

Ustɛm yu fɔ go to dɔktɔ?

I rili impɔtant fɔ tek kia ɔf yu bɔdi we yu go na os afta dɛn dɔn ɔpreshɔn yu. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .