Yu kin gɛt bad bad pen bak na yu leg, mɔ we yu de waka fɔ shɔt tɛm? Yu tink se di pen kin stɔp we yu sidɔm fɔ sɔm tɛm ɛn waka bak? Ɔ yu kin fil se yu leg dɛn kin swɛla, yu leg kin kol, ɔ yu kin fil se ivin smɔl wund kin tek lɔng tɛm fɔ wɛl? Dɛn tin ya kin bi sayn dɛn we de sho se sɔm blɔd vesel dɛn na yu bɔdi dɔn blok, mɔ na di at dɛn we de kɛr blɔd go na yu leg dɛn. Tide, wi go tɔk bɔt wan sɔlv we go chenj layf pan dɛn kayn tin ya, we na ‘baypas’ ɔpreshɔn.
Fɔs, lɛ wi si wetin na vaskul sik.
Fɔ tɔk am simpul wan, dis na prɔblɛm wit di blɔd vesel sistɛm na wi bɔdi. Wi bɔdi gɛt wan nɛtwɔk we gɛt vein dɛn we de kɛr blɔd go na ɔl di kɔna dɛn. Jɔs lɛk di plaba sistem we de briŋ wata na wi os. Tu kayn vein dɛn de. di vein dεm we de kכri klin bכdi (we gεt כksijεn εn nyutriεnt) frכm di at to di כda pat dεm na di bכdi dεn kכl dεm atεri . di vein dεm we de kכri kכmכt blכd frכm di bכdi bak to di at dεn kכl dεm vein .
pan wan kכndyushכn we dεn kכl ‘Vascular Disease’, tin dεm lεk כyl εn kכlestכl kin bכku insay di wכl dεm fכ dεn at dεm ya, lεk rכst we de bכku na wata paip, εn di bכdi fכ fכlכ de sכmtεm sכmtεm. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis ‘Peripheral Artery Disease’ (PAD) . We di blɔd flɔ smɔl lɛk dis, di ɔgan dɛn we de fa frɔm di at, mɔ di leg dɛn nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. Na dat mek sayn dɛm lɛk pen ɛn swɛt kin apin we yu de waka.
Imajin, wetin go apin if pɔsin step pan di paip we de wata di tik dɛn na yu gadin? Di wata we de kɔmɔt na di ɛnd pan di paip go go dɔŋ, nɔto so? Na di sem tin kin apin to di blɔd vesel dɛn na wi leg.
So wetin na baypas ɔpreshɔn?
Okay, naw yu ɔndastand wetin na at we dɔn blok. ‘Baypas’ min fɔ mek ɔda rod fɔ dis at we dɔn blok.
Imajin se ebi ebi trafik de na di Kɔlɔmbɔ-Siti Rod, ɛn motoka dɛn nɔ ebul fɔ muv. Wetin di gɔvmɛnt de du da tɛm de? Dɛn bil nyu ɛkspɛs we fɔ baypas da trafik de, nɔto so? Semweso, dɔktɔ we de du ɔpreshɔn kin yuz nyu blɔd vesel ɔ atifishal tiub fɔ pas wan blɔd vesel we dɔn blok, ɛn dis kin mek nyu rod fɔ mek di blɔd flɔ we nɔ gɛt ɛnitin fɔ ambɔg am.
Wi de kɔl dis nyu rod we dɛn dɔn bil ‘graft’ . Dɛn kin yuz dis ‘graft’ as:
1. Wan vein we de kɔmɔt na ɔda pat na yu bɔdi: Di vein we dɛn kin yuz mɔ na di saphenous vein, we de ɔnda di skin na di leg. Sɔntɛnde, dɛn kin yuz wan vein na di an bak. Dis na di bɛst tin fɔ du.
2. Na paip we dɛn mek wit sintetik matirial:pan kes dεm we yu nכ kin ebul fכ kכmכt na wan vein frכm yu bכdi, εspεshali if di bכdi we yu fכ baypas rili big (fכ egzampl, di aorta na yu bכdi), dεn kin yuz atifishal tiub lεk dis.
Di men gol fɔ dis ɔpreshɔn na fɔ mek blɔd go bak na yu leg, fɔ mek yu nɔ fil pen, fɔ mɛn wund dɛn, ɛn if di bad tin apin, fɔ sev yu frɔm di risk fɔ mek dɛn kɔt yu an.
Wetin na di men kayn ɔpreshɔn we dɛn kin du baypas?
Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du baypas. Dɛn gi dɛn nem ya akɔdin to di say we di blɔd vesel we dɔn blok ɛn di nyu at de kɔnɛkt. Lɛ wi luk sɔm pan di kayn we dɛn we dɛn kin du na wi kɔntri.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Aortobifemoral Baypas we dɛn kin yuz | dis involv fכ mek nyu rod frכm di lכw pat pan di aorta na di bכdi to di tu men at dεm we de kכri bכdi to di leg dεm (di fεmoral at dεm). di shep fכ dis graft de lεk wan כpsayd dכwn 'Y'. |
| Femoral-Popliteal Baypas (Fem-Pop) we dɛn kin yuz fɔ mek di bɔdi. | dis involv fכ put baypas frכm di fεmoral atεri na di groin to di popliteal atεri oba כ dכn di kכn. Dis na di ɔpreshɔn we dɛn kin du mɔ fɔ di at dɛn we dɔn blok na di leg dɛn. |
| Femoral-Tibial Baypas we dɛn kin yuz | insay dis, dεn de mek nyu rod frכm di iliak atεri to di tibial atεri dεm, we de fa dכn di kכn. Dɛn kin du dis ɔpreshɔn we di blɔk de fa dɔŋ. |
Us tɛst dɛn fɔ du bifo dɛn du di ɔpreshɔn?
Yɛs, na fɔ tru. Yu dɔktɔ go du bɔku tɛst dɛn bifo i plan fɔ du di ɔpreshɔn. Dis go ɛp dɛn fɔ no ustɛm ɛn ɔmɔs pan di blɔd vesel dɔn blok.
- Anklɛ-Brachial Indeks (ABI): .Dis na tɛst we rili simpul. Dɛn kin mɛzhɔ yu blɔd prɛshɔn na yu an ɛn yu an (brachial) ɛn kɔmpia di tu valyu dɛn. If di prɛshɔn na yu leg smɔl pas di prɛshɔn na yu an, dat min se sɔm tin de we de ambɔg di blɔd we de go na yu leg.
- Vascular Ultrasound: Dis na skan we nɔ de mek yu fil pen, we fiba di wan we dɛn kin du we yu gɛt pikin. I kin si klia wan aw di blɔd de muv tru di blɔd vesel dɛn, if ɛni blɔd klɔt de, ɛn usay dɛn blok.
- Ɔda tɛst dɛn: Sɔntɛnde, yu dɔktɔ kin disayd bak fɔ chɛk yu at. Dis na bikɔs bɔku pipul dɛn we gɛt prɔblɛm wit di blɔd vesel na dɛn leg kin gɛt prɔblɛm bak wit di blɔd vesel na dɛn at.
Wetin kin apin di de we dɛn du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn na ɔspitul, na ɔpreshɔn rum. Yu nɔ gɛt natin fɔ fred. Di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn go kia fɔ yu gud gud wan.
1. Anestezi: Fɔs, wan dɔktɔ we de anestez go chɛk yu ɛn gi yu di mɛrɛsin we yu nid fɔ mek yu slip dip ɔl di tɛm we dɛn de du di ɔpreshɔn. Dɛn kɔl dis ‘Jɛnɛral Anestesia’ .
2. Ɔpreshɔn: Afta yu dɔn slip, di dɔktɔ we de du ɔpreshɔn kin kɔt sɔm smɔl smɔl tin dɛn na yu skin fɔ mek i go ebul fɔ go na di blɔd vesel dɛn we dɛn de tɔk bɔt. Di say ɛn di sayz fɔ dɛn kɔt ya go dipen pan di kayn baypas we yu de gɛt.
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4. Klos di say dεm we dεn kכl: afta dεn dכn mek di nyu rod, dεn de chεk di bכdi fכ fכlכ εn dεn kin kכloz di say dεm we dεn mek na di skin bak wit stich.
Dis ɔl dis kin tek ɛnisay frɔm tu to siks awa , i kin dipen pan di kɔmplisiti fɔ di baypas ɔpreshɔn we yu de du.
Ɛni risk de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin. Bɔt dɛn kin stɔp dɛn prɔblɛm dɛn ya ɔnda di sɔpɔtishɔn fɔ wan tim we sabi du mɛrɛsin. Di risk fɔ gɛt prɔblɛm dɛn kin bɔku smɔl, mɔ pan pipul dɛn we gɛt ɔndalayn mɛdikal kɔndishɔn lɛk at sik, kidni sik, ɛn/ɔ dayabitis.
| Men prɔblɛm dɛn we pɔsin kin gɛt | |
|---|---|
| Baypas graft disfכnkshכn | Blɔd kin klɔt insay di nyu rod we dɛn dɔn bil ɛn stɔp bak. |
| Blɔd we de kɔmɔt frɔm di kɔt we dɛn kɔt | Afta dɛn dɔn du di ɔpreshɔn, di stich dɛn kin blɔd. |
| Infεkshכn dεm | di jεm dεm kin go insay di kכt dεm כ di nyu graf dεm we dεn dכn put insay. |
| Nɛv dɛn we dɔn pwɛl | I kin bi se di leg kin swɛt ɔ wik. |
| Ɔda prɔblɛm dɛn we kin apin | Kɔndishɔn lɛk at atak ɔ nyumonia. |
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Insay dis tɛm:
- Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen.
- Dɛn go gi antikoagulant fɔ mek blɔd nɔ klɔt na di nyu graft.
- Di wan dɛn we de wok na di nɔs dɛn go klin ɛn kia fɔ yu wund dɛn fayn fayn wan.
Di tin we impɔtant pas ɔl na fɔ grap na bed ɛn bigin fɔ waka kwik kwik wan. Dis kin tranga smɔl fɔs, bɔt i impɔtant fɔ waka smɔl smɔl, lɛk aw yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi kin advays yu. Dis go mek di blɔd go fayn ɛn ɛp yu fɔ wɛl kwik kwik wan.
Ivin afta yu dɔn go na os, yu go nid fɔ bigin fɔ du yu nɔmal rutin bak smɔl smɔl. Sɔntɛm yu go nid fɔ stɔp fɔ es ebi ebi tin dɛn ɛn du tin dɛn we de mek yu strɛs fɔ sɔm tɛm.
Dis ɔpreshɔn bin sɔlv di ‘trafik’ we de na yu blɔd vesel dɛn. Bɔt, nɔ fɔgɛt, di ɔndalayn kɔz fɔ dis sik (Peripheral Artery Disease - PAD) stil de na yu bɔdi. Dis min se dis na yu sɛkɔn chans.
Fɔ mek di graft kɔntinyu fɔ gɛt wɛlbɔdi fɔ lɔng tɛm, yu go nid fɔ chenj di we aw yu de liv yu layf.
- If yu de smok, stɔp tide: Smok na di men tin we kin mek di graft nɔ wok.
- Kɔntrol dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel: Tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.
- It fayn it: ridyus ɔyl, sɔl, ɛn shuga. It mɔ vɛjitebul, frut, ɛn grɛn.
- Ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du: Ivin simpul ɛksesaiz lɛk fɔ waka ɛvride kin rili bɛnifit yu.
- Go na klinik dɛn di rayt tɛm: Mit wit yu dɔktɔ we de du ɔpreshɔn ɛn chɛk aw di graft de ɔltɛm.
Ustɛm a fɔ go to di dɔktɔ bak?
If yu si ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
| If yu si chenj laik dis fo yu leg... | |
|---|---|
| - Pen we pɔsin nɔ go ebul fɔ bia | - Kol, pale, ɔ blu leg |
| - Nɔmb ɔr nɔr de fil fayn | - If leg ɔlsa wɔs ɔ nyu ɔlsa de kam |
| If ɔda kɔmplikɛshɔn dɛn apia... | |
| - Fiva | - Nɔs ɛn vɔmit |
| - Rɛd ɛn wam rawnd di say dɛn we dɛn kɔt | - Fluid we lεk pus we de drayn frכm wund dεm |
If yu gɛt pen na yu chɛst wantɛm wantɛm, i nɔ izi fɔ blo, ɔ yu gɛt bad bad pen na yu leg wantɛm wantɛm we yu gɛt kol, yu leg dɛn we nɔ gɛt bɛtɛ kɔlɔ, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Vascular Bypass Surgery na wan we we de sev layf we de baypas blɔd vesel we dɔn blok ɛn mek nyu rod fɔ mek blɔd flɔ.
- Dis kin mek yu nɔ gɛt pen na yu leg ɛn sev yu frɔm di risk fɔ mek dɛn kɔt yu leg.
- Fɔ mek di ɔpreshɔn go bifo, i impɔtant fɔ chenj di we aw yu de liv afta di ɔpreshɔn. Speshali, yu fɔ stɔp fɔ smok kpatakpata.
- Kip di sik we dɛn kɔl dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel ɔnda kɔntrol.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta dɛn dɔn du yu ɔpreshɔn, nɔ panik ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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