Sɔntɛnde yu kin gɛt bad bad pen na yu leg, mɔ na yu shɔl ɛn kaw pikin, we yu de waka? Yu fɔ stɔp bikɔs ɔf dis pen we yu de waka smɔl? Ɔ ivin smɔl wund dɛn na yu leg dɛn kin tek lɔng tɛm fɔ wɛl, yu leg dɛn kin kol we yu tɔch dɛn, ɛn dɛn kin chenj dɛn kɔlɔ? Di men rizin fɔ dɛn tin ya kin bi we di blɔd vesel (arterie) we kin kɛr blɔd go na yu leg dɛn kin blok. So, we dis sik kin tranga, wan pan di men ɛn fayn tritmɛnt dɛn we dɔktɔ dɛn kin se na fɔ baypas ɔpreshɔn. Lɛ wi tɔk bɔt dis tide.
Wetin na Vaskul Baypas Ɔpreshɔn?
Dis na tin we rili simpul. Imajin se dɛn dɔn lɔk wan men rod na wan siti kpatakpata fɔ mek dɛn mek am fayn. Dɔn motoka dɛn nɔ kin ebul fɔ pas, nɔto so? So wetin di bigman dɛn de du? Dɛn kin pas da rod de ɛn bil nyu sayd rod, we na baypas rod, fɔ mek motoka dɛn rich usay dɛn de go.
Dis na di rayt tin we kin apin na wi bɔdi we dɛn de du baypas ɔpreshɔn. We wan big at we de kɛr blɔd go na yu leg kin so blok wit tin dɛn lɛk kɔlɔstrel dat i kin blok di blɔd flɔ kpatakpata, di dɔktɔ we de du di ɔpreshɔn kin mek nyu rod fɔ mek di blɔd flɔ rawnd di at we dɔn blok.
wan ‘graft’ dεn de yuz fכ mek dis nyu rod. dis graft kin bi vein frכm כda pat na yu bכdi (bכku tεm frכm yu leg). Ɔ i kin bi spɛshal tin we dɛn mek wit sintetik. Di men gol fɔ dis ɔpreshɔn na fɔ mek blɔd flɔ bak fayn fayn wan na yu leg, mek di tisu kɔntinyu fɔ liv, ɛn sev yu frɔm di siriɔs risk fɔ mek dɛn kɔt yu fut tumara bambay.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku tɛm, dɛn kin nid fɔ du dis ɔpreshɔn fɔ pipul dɛn we gɛt bad bad blɔk na di at we de gi blɔd to dɛn leg. dis kכndyushכn na di mεdikal kכl am `Pεrifεral Atεri Disease (PAD).` we dis `PAD` sik de kam tranga, di bכdi we de gi di lεg dεm de rεdכks so dat di tisu dεm na di lεg dεm de bigin fכ day. Dɛn kɔl dis `Kritikal Limb Ischemia`.
Fɔ tɔk am simpul wan, if blɔd nɔ de na di leg, di leg insɛf de pan denja. Bɔku tɛm dɛn kin yuz dis baypas ɔpreshɔn fɔ sev di wan dɛn we sik we gɛt dɛn kayn prɔblɛm dɛn ya in leg.
Wetin na di men kayn ɔpreshɔn we dɛn kin du baypas?
Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du. Dɛn gi dɛn nem akɔdin to di at usay di baypas bigin ɛn di at we di blɔd de pas. Yu kin gɛt gud aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Nem fɔ di ɔpreshɔn (Type of Bypass) . | Wetin de apin na simpul tin |
|---|---|
| Aortobifemoral baypas we dɛn kin yuz | we i stat frכm di big men at (Aorta) na di bכdi, i de split insay tu lεk wan ‘Y’ we de כpsayd dכn εn i de kכnekt to di men at dεm (Femoral arteries) na di tכŋ dεm na di tu leg dεm. |
| Femoral-popliteal baypas we dɛn kin yuz | i de stat frכm di fεmoral atεri na di groin εn i de kכnekt to di popliteal atεri we de oba כ dכn di kכn. |
| Femoral-tibial baypas we dɛn kin yuz | i de stat frכm di fεmoral atεri na di groin εn i de kכnekt to di tibial atεri dεm we de dכn di kכn. |
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
Yɛs, na fɔ tru. Yu dɔktɔ go du bɔku tɛst dɛn bifo i plan fɔ du yu ɔpreshɔn. Di men wan dɛn na:
- Ankle-brachial index: Dis de mekɔp di blɔd prɛshɔn na yu an ɛn anklɛ ɛn kɔmpia di tu. Dis kin mek yu no aw bɔku blɔd we de go na yu leg dɛn dɔn go dɔŋ.
- Vascular Ultrasound (Doppler Scan): Dis na skan we nɔ gɛt pen we kin luk kɔrɛkt wan di blɔd we de flɔ insay di vein dɛn ɛn ɛnitin we de blok.
Apat frɔm dat, bikɔs bɔku pipul dɛn we gɛt prɔblɛm wit dɛn leg vein kin gɛt prɔblɛm bak wit dɛn at vein, dɔktɔ dɛn go chɛk yu at wɛlbɔdi bak bifo dɛn du yu ɔpreshɔn. Dis rili impɔtant fɔ mek yu sef.
Aw dɛn kin du di ɔpreshɔn ɛn di prɔblɛm dɛn we kin apin
Di ɔpreshɔn kin apin na wan ɔspitul ɔpreshɔn rum. Fɔs, dɛn kin gi yu jenɛral anestezi (wan anestetik). So yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn. Dɔn, di dɔktɔ we de du di ɔpreshɔn kin mek sɔm say dɛn (incisions) na di skin fɔ mek i go rich di vein dɛn we i nid. Neks, dɛn kin tek di rayt graft, baypas di vein we dɔn blok, ɛn dɛn kin mek nyu rod wit rili fayn stich dɛn. Bɔku tɛm, dis ɔpreshɔn kin tek bitwin tu ɛn siks awa.
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, mɔ fɔ pipul dɛn we gɛt ɔndalayn mɛrɛsin lɛk dayabitis, at sik, ɔ kidni sik.
| Posisibul risk/kɔmplikɛshɔn |
|---|
| baypas graft fεil - dis min se di bכdi fכ fכlכ tru di graft de rεdכks כ blok bak. |
| Blɔd we de kɔmɔt frɔm di kɔt we dɛn kɔt. |
| Wund ɔ graft infɛkshɔn. |
| Nεv dεm dεm dεm, i de sכmtεm sכmtεm, כ wik na di leg. |
| At atak. |
| Nyumonia. |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Dɛn go gi yu antikɔagulɛnt fɔ mek blɔd nɔ klɔt insay di nyu graft we dɛn dɔn mek.
Di tin we impɔtant pas ɔl na dat yu dɔktɔ kin tɛl yu fɔ grap na bed ɛn bigin fɔ waka rawnd smɔl. Dis na impɔtant tin fɔ mek yu blɔd kɔntinyu fɔ waka ɛn fɔ ɛp yu fɔ wɛl kwik kwik wan. Sɔm pipul dɛn kin nid bak fɔ gɛt fizik tritmɛnt. Smɔl smɔl, yu go ebul fɔ du di tin dɛn we yu bin de du ɔltɛm.
Mɛmba wan impɔtant tin. Dis ɔpreshɔn nɔ go mɛn yu PAD ɔltogɛda. I go jɔs kɔntrol di sayn dɛm ɛn sev yu leg. As tɛm de go, dɛn graft ya kin blok bak. Graft failure na kɔmɔn tin mɔ pan pipul dɛm wae de smok. So, di sakses fɔ di ɔpreshɔn go dipen pan di we aw yu de liv yu layf.
Ustɛm yu nid fɔ kɔl yu dɔktɔ wantɛm wantɛm?
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, tek tɛm bad bad wan bɔt dɛn sayn ya we de kam biɛn ya. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ ɔ di ɔspitul usay yu bin gɛt tritmɛnt wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| If di leg we dɛn dɔn ɔpreshɔn gɛt dɛn sayn ya: | |
| - Nyu ɔ siriɔs pen | - Kol, pale, ɔ blu leg |
| - Numbness ɔr nɔr de fil natin | - Di wund dɛn we de na di leg de wɔs |
| If ɔda kɔmɔn sayn dɛm de fɔ di kɔmplikeshɔn dɛm: | |
| - Fiva | - Nɔs ɛn vɔmit |
| - Rɛd ɛn wam rawnd di say dɛn we dɛn kɔt | - Fluid we lεk pus we de drayn frכm wund dεm |
Mɛsej we dɛn kin kɛr go na os
- Vascular Bypass na ɔpreshɔn we de baypas blɔd vesel we dɔn blok ɛn mek nyu rod fɔ mek blɔd flɔ.
- Di men gol fɔ dis na fɔ mek blɔd go bak na di leg ɛn sev am frɔm di risk fɔ mek dɛn kɔt am.
- Fɔ mek di ɔpreshɔn go bifo ɛn fɔ mek di graft kɔntinyu fɔ de fɔ lɔng tɛm, i impɔtant fɔ lɛ yu nɔ smok ɔltogɛda ɛn fɔ kɔntrol sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn fayn fayn wan.
- Ivin afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm ɛn fɔ de chɛk yu ɔltɛm.
- If yu notis nyu pen, yu de swɛla, yu de chenj in kɔlɔ, ɔ yu wund de wɔs na yu leg, nɔ ignore am ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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