Yu gɛt inflamɛns na yu blɔd vesel dɛn? Lɛ wi tɔk bɔt vaskulaytis!

Tide wi go tɔk bɔt wan sik we dɛn kɔl Vasculitis. Sɔntɛm yu nɔ bin dɔn yɛri bɔt dis nem bifo. Bɔt na wan sik we de afɛkt di blɔd vesel dɛn na wi bɔdi ɛn i nid fɔ pe atɛnshɔn to am. So, nɔ wɔri, lɛ wi jɔs tɔk bɔt wetin i bi, wetin mek i kin apin, aw wi kin no am, ɛn wetin ɔda tin dɛn kin du.

Wetin na vaskulaytis? Fɔ tɔk am simpul wan...

Vaskulaytis na we yu blɔd vesel dɛn, ɔ yu blɔd vesel dɛn wam . Inflameshɔn jɔs min se yu de swel ɛn rɛd. Tink bɔt am lɛk paip dɛn we de kɛr blɔd ɔlsay na wi bɔdi. I tan lɛk di nɛtwɔk fɔ rod dɛn na wi kɔntri. Dɛn blɔd vesel ya kin bigin na di at, dɛn kin sheb blɔd ɔlsay na di bɔdi, dɔn dɛn kin gi am bak na di at fɔ mek dɛn klin am.

Tri men kayn blɔd vesel dɛn de na wi bɔdi, lɛk aw yu go dɔn yɛri:

• Atεri dεm: Dis na di bכdi we de kכri klin bכdi (bכdi we gεt כksijεn) frכm di at to כl di כda כgan dεm εn di limb dεm.
• Vein dεm: Dis na di vessel dεm we de bכn yus bכdi (blכd we gεt hכy kabon dayכksayd) bak na di at frכm כl di pat dεm na di bכdi.
• di kapilari dεm: Dis na sכm sכm sכm blɔd vesel dεm we rili tan. Dɛn tan lɛk trɛd. Dɛn kin kɔnɛkt di at ɛn vein dɛn, lɛk smɔl smɔl rod dɛn we de bitwin tu big rod dɛn. na dεn de we di כksijεn εn di nyutriεnt dεm de chenj bitwin di sεl dεm.

Naw, if yu gɛt vaskulaytis, yu blɔd vesel dɛn kin inflam ɛn tik. Wetin kin apin da tɛm de? Di blɔd nɔ kin ebul fɔ flɔ fayn, jɔs lɛk wata paip we dɔn lɔk. As tεm de go, dis inflameshn kin pwεl yu כgan dεm (fכ egzampl, yu kidni, lכng, skin). I kin mek bak yu gɛt siriɔs prɔblɛm dɛn lɛk we yu gɛt anɛrizm . Aneurism na wik pat pan blɔd vesel, we kin mek i bulge na do lɛk balyɔn. Dis kin rili denja, bikɔs i kin bɔs.

Bɔt, nid nɔ de fɔ panik. Bɔrku pipul kin kɔntrol dis sik wae gɛt dis sik wit gud mɛrɛsin ɛn mɛrɛsin ɛn liv nɔrmal layf . Bɔt sɔntɛnde, i kin rili bad ɛn if di blɔd nɔ de flɔ to impɔtant pat dɛn, i kin rili mek pɔsin in layf de pan denja. Na dat mek i impɔtant fɔ no bɔt dis.

Impɔtant: If yu kin gɛt tin dɛn we tan lɛk fiva bɔku tɛm, ɔ if yu fil ɛnitin we nɔ kɔmɔn, lɛk we yu an ɔ yu fut kin swɛla ɔ yu de bɔn, nɔ shem fɔ go to dɔktɔ. Na mɔ if yu gɛt prɔblɛm fɔ blo, yu chɛst de pen, ɔ yu gɛt at atak, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl imejensi ambulans savis lɛk 1990.

Aw vaskulaytis kin afɛkt wi bɔdi?

Dis kayn tin wae de mek wi vɛks wae dɛn kɔl vasculitis kin afɛkt ɛni blɔd vesel na wi bɔdi. Dis min se i kin afɛkt bak di blɔd vesel dɛm we de kɔnɛkt to dɛn ɔgan ɛn bɔdi pat dɛm ya:

• Yu skin (di skin lɛsin, ɛkzema, ɛn ɔda tin dɛn kin apin) .
• Lɔng (kɔf, i kin at fɔ blo) .
• At (i kin mek yu gɛt mɔ at atɔk) .
• Nεv sεstem (we de sכmtεm sכmtεm, wik na di limb dεm) .
• Ay (i kin mek yu nɔ si fayn, yu yay rɛd) .
• Kidni (kidni kin wok fayn) .
• Bren (i kin mek yu ed at, strok) .
• Fɔ sayn (kɔndishɔn lɛk fɔ kol ɔltɛm) .
• Bɛlɛ ɛn intestinal (tin dɛn lɛk bɛlɛ kramp, blɔd dayarɛa) .
• An ɛn fut (pen, swel, swɛt) .

Aw dis sik kin kɔmɔn? Yu tink se i kin apin to ɔlman?

Nɔ, vaskulaytis na rili wan sik we nɔ kin apin so ɔltɛm . Jɔs imajin, ivin na divɛlɔp kɔntri lɛk Amɛrika, di mɛdikal ripɔt dɛn se nɔto 50 nyu wan dɛn we gɛt dis sik kin kam pan wan milyɔn pipul dɛn ɛvri ia. Dat min se na sik we nɔ kin bɔku.

I kin pas smɔl pan pipul dɛn we dɔn pas 50. Bɔt i stil nɔ kin bɔku ivin pan da ej grup de. Ivin pan dɛn pipul dɛn de, i nɔ rich 300 pan ɔl wan milyɔn pipul dɛn we dɛn jɔs gɛt dis sik ɛvri ia. So, natin nɔ de fɔ fred we yu yɛri dis, nɔto sik we de ambɔg ɔlman.

Difrɛn kayn vaskulaytis de?

Yɛs, i pas 30 difrɛn kayn vaskulaytis! Yu dɔktɔ go tɛl yu uskayn kayn vaskulaytis yu gɛt. I go dipen pan us saiz blɔd vesel dɛm na yu bɔdi (big, midul, smɔl) go afɛkt, ɛn di rizɔlt fɔ sɔm ɔda tɛst dɛm. Na sɔm ɛgzampul dɛn ya:

• ANCA-associated vasculitis (dis inklud bak spɛshal kayn dɛn we dɛn kɔl granulomatosis wit polyangiitis (GPA) , maykroskɔpik polyangiitis (MPA) , ɛn eosinophilic granulomatosis wit polyangiitis (EGPA) ) .
• Poliarteritis nodosa we gɛt di sik
• IgA vasculitis (Henoch-Schönlein purpura) (dis kin apin mɔ pan yɔŋ pikin dɛn) .
• Rumatoid vasculitis (we gɛt fɔ du wit sik dɛn lɛk at at) .
• sεntri nεv sεstem vaskulεt (dεn de afekt di bכdi vεsul dεm na di sεntri nεv sεstem, dat na di bren εn di spεnal kכd) .
• Jaynt sεl atεraytis (dis kin kכmכn bak pan ol pipul dεm, εn i kin afekt di bכdi vεsεl dεm na di ed) .
• Takayasu arteritis (dis kin apin mɔ pan yɔŋ uman dɛn ɛn i kin afɛkt di big blɔd vesel we de kɔmɔt na di at) .
• Di sik we Behçet gɛt(I kam wit sos na di mɔt ɛn di bɔdi we gɛt bɔdi)
• Urticarial vasculitis (de kam wit skin rash) .
• Kawasaki sik ( na wan kayn vasculitis bak we kin mɔs afɛkt yɔŋ pikin dɛn) .
• Sɔm kayn vaskulaytis de bak we kin apin to pikin dɛn .

Us sayn dɛm pɔrsin wae gɛt vasculitis kin gɛt?

Dis na sɔm pan di kɔmɔn sayn dɛm fɔ vaskulaytis:

• I nɔ izi fɔ blo, di chɛst tayt
• Kɔf we de kɔntinyu fɔ kɔf, sɔntɛm wit blɔd
• Yu kin fil lɛk se yu de fil lɛk yu an, yu de bɔn, ɛn yu de fil lɛk yu de swɛt
• Rɛd, blista, kɔlɔ de chenj na sɔm say dɛn, ɛn sos na di skin
• Fiva ɔltɛm, fɔ no rizin
• Fɔ fil taya pasmak, fil lɛk se natin nɔ de wok
• We yu nɔ bin de ɛkspɛkt fɔ lɔs yu wet
• Wiknɛs na di bɔdi, mɔ di mɔsul dɛn
• Jɔyn pen, swel
• Bɛlɛ pen, nɔs, vɔmit
• Kidni prɔblɛm (e.g. dak urine, blɔd na di urine, swɛlin leg) .
• Strɔk ɔ sɔm kayn sayn dɛm (i nɔ kin izi fɔ tɔk, wan say na di fes kin drɔp) .

Bɔt mɛmba se di sayn dɛn we yu kin gɛt kin dipen ɔl pan di kayn vaskulaytis we yu gɛt, us blɔd vesel dɛn kin afɛkt, ɛn aw di inflamɛns kin tranga . Nɔto ɔlman go gɛt di sem kayn sik.

Lisin to yu bɔdi, trɔst yu gut. If yu notis ɛni nyu chenj, sayn dɛm wae de mek yu nɔr fil fayn ɔr de wɔri, nɔr jɔs tink se, "Dis go go," bɔt go to dɔktɔ.

Wetin mek dis vaskulaytis kin apin? Wetin na di kɔz?

Na ya i kin kɔmplikt smɔl. Vaskulaytis na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Naw yu go de wɔnda wetin na ɔtoimyun sik. Fɔ tɔk am simpul wan, wi bɔdi gɛt wan tin we de mek wi ebul fɔ fɛt di sik. I tan lɛk di ami na wi kɔntri. Di wok we dis sistɛm de du na fɔ protɛkt wi frɔm ɛnimi dɛn we de na do (lɛk jem, baktri, vayrɔs).

Bɔt, pan ɔtoimyun sik, wi yon difɛns sistɛm kin mistek bigin fɔ atak wi yon gud sɛl ɛn tisu dɛn. I tan lɛk se wi yon ami de atak wi yon pipul dɛn. Insay vaskulaytis, wi imyun sistɛm kin atak wi yon blɔd vesel dɛn. di mεdikal masta sabi pipul dεm stil nכ no εksεkεkt wetin mek dis kin apin, wetin mek dis sistεm de go haywire.

Bɔt dɛn dɔn si se sɔm tin dɛn kin mek , ɔ mek dis sik we dɛn kɔl vasculitis:

• Sɔm infεkshɔn (e.g. epataytis B ɔ C vayrɔs) .
• Ɔda ɔtoimyun sik dɛn we bin dɔn de bifo(e.g. rεumatoid atraytis, lupus (SLE))
• As wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn
• Sɔm kayn kansa ( mɔ di kansa dɛn we gɛt fɔ du wit blɔd) .
• Sɔm pipul dɛn kin gɛt am idiopathically, we min se dɛn nɔ kin fɛn ɛni trig.

Aw yu kin no di kɔrɛkt wan bɔt vaskulaytis?

If yu dɔktɔ tink se yu gɛt vaskulaytis, i go tek tɛm luk yu fɔs. Dɛn go aks yu bɔt yu sik dɛn – aw lɔng dɛn dɔn de, aw dɛn dɔn go bifo, us ɔda sayn dɛm yu gɛt, ɛn ɔda tin dɛm Dɛn go aks bak if ɛnibɔdi na yu famili dɔn gɛt di sem kayn sik.

Dɛn kin no bɔt vaskulaytis as pat pan difrɛn diagnosis, we kin min fɔ pul ɔda sik dɛn . Dis na bikɔs dɛn kin si dɛn sayn ya bak pan ɔda sik dɛn. So, yu dɔktɔ go ɔda fɔ du sɔm tɛst fɔ no di rayt tin we mek yu gɛt di sik. Na da tɛm de nɔmɔ dɛn go kɔnfɔm se yu gɛt vaskulaytis. Sɔm pan di tɛst dɛn we yu kin gɛt na:

• bכdi tεst dεm: dεn kin luk fכ mak dεm fכ inflameshn (e.g. ESR, CRP), sכm kayn antibodi dεm (e.g. ANCA), εn כgan fכnshכn.
• Yurin tɛst: Chɛk fɔ si if di kidni dɛn dɔn afɛkt.
• Bayopsi: Bɔku tɛm dis na di tɛst we impɔtant pas ɔl fɔ kɔnfɔm vaskulaytis. sכm sכm pat pan di tisu we afekt (e.g., skin, kidni, lכng) dεn de tek am εn egzamin am כnda maykroskכp fכ si if inflameshn de na di bכdi vεsul dεm.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
• X-ray, CT scan, MRI scan: Dɛn kin yuz dɛn tin ya fɔ si di kɔndishɔn fɔ di ɔgan dɛn we di sik afɛkt.
• Angiogram: Dis na spɛshal ɛkstrem rayt tɛst we dɛn kin yuz day fɔ luk fɔ di blɔd vesel dɛn we dɔn smɔl ɔ we gɛt aneurism.
• Ɔda spɛshal tɛst dɛn we de chɛk aw di ɔgan dɛn we di sik afɛkt de wok.

I go mɔs bi se yu go go to dɔktɔ we de mɛn yu bɔdi , we na dɔktɔ we spɛshal pan di sik dɛn we de mek yu jɔyn ɛn di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf. Na in na di bɛst pɔsin fɔ trit dɛn sik ya.

Wetin na di tritmɛnt fɔ vaskulaytis? Yu tink se dɛn kin mɛn am?

Tu men gol dɛn de fɔ trit vaskulaytis:

1. Kɔntrol inflamɛns ɛn ridyus di simptom dɛm.

2. Fɔ mek di blɔd vesel ɛn ɔda ɔgan dɛn nɔ pwɛl mɔ.

Yu dɔktɔ go disayd fɔ trit yu bay di kayn vaskulaytis we yu gɛt, aw i siriɔs, ɛn yu ɔl wɛlbɔdi. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na:

• Kɔtikosterɔyd dɛn:dis na di men kayn mεdikeshכn dεm we dεn kin yuz fכ kכntrכl inflameshn (e.g., Prednisolone). Dɛn kin wok kwik kwik wan ɛn dɛn kin ridyus di sayn dɛm. Bɔt bikɔs if yu tek am bɔku tɛm, dat kin mek yu gɛt sayd ɛfɛkt we yu tek am fɔ lɔng tɛm, yu dɔktɔ go ridyus di doz smɔl smɔl.
• Immunosuppressants: Dɛn wan ya de wok bay we dɛn de kɔntrol di wok we di imyun sistɛm we nɔ de wok fayn de du. Sɔm ɛgzampul dɛn na drɔgs lɛk Methotrexate, Azathioprine, ɛn Cyclophosphamide.
• Bayolojikal: Dɛn tritmɛnt ya na nyu tritmɛnt dɛn we dɛn kin tɔk bɔt mɔ. Dɛn kin wok bay we dɛn de tɔch sɔm patikyula pat dɛn na di imyun sistɛm fɔ ridyus di inflamɛns. Fɔ ɛgzampul, wan mɛrɛsin we dɛn kɔl Rituximab.
• Sɔntɛnde, dɛn kin gi yu blɔd prɛshɔn mɛrɛsin lɛk ACE inhibitors , bikɔs dɛn fayn fɔ di blɔd vesel dɛn.

Ɔpreshɔn:

If yu blɔd vesel dɛn dɔn pwɛl bad bad wan bikɔs ɔf vaskulaytis, lɛk if dɛn rili smɔl ɔ dɛn gɛt aneurism, yu kin nid fɔ du ɔpreshɔn. Fɔ ɛgzampul, yu go nid fɔ du angioplasty fɔ mek di blɔd vesel we dɔn smɔl big ɔ yu go nid fɔ du ɔpreshɔn fɔ baypas fɔ mek yu nɔ go na say we dɔn pwɛl. Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go ɛksplen to yu us kayn ɔpreshɔn yu nid ɛn wetin fɔ ɛkspɛkt.

Yu tink se dɛn kin mɛn Vaskulaytis ɔltogɛda?

Na dis na wetin impɔtant fɔ no: Bɔku tɛm, vaskulaytis nɔ kin wɛl ɔl . Na wan sik wae nɔr de mɛn, dat min se e kin teik lɔng tɛm.

Bɔt nɔ wɔri! Afta dɛn dɔn kɔntrol di sik wit gud tritmɛnt, yu kin go insay wan stet we dɛn kɔl rɛmishɔn . Rimishɔn na tɛm wae de sik nɔr de tɔk ɛn nɔr gɛt ɛni sayn. Fɔ sɔm pipul dɛm, dis remission tɛm kin te fɔ mɔnt ɔr ivin ia. Bɔt i bɛtɛ fɔ mek yu kɔntinyu fɔ de ɔnda dɔktɔ, bikɔs di sayn dɛn kin kam bak.

Wan we de fɔ mek yu nɔ gɛt vaskulaytis?

Bɔt i sɔri fɔ no se dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt vaskulaytis, so no tru tru we nɔ de fɔ mek i nɔ gɛt am . I nɔ pɔsibul bak fɔ tɔk udat go gɛt am ɛn udat nɔ go gɛt am.

Wetin a fɔ ɛkspɛkt if a gɛt vaskulaytis?

If dɛn no se yu gɛt vasculitis, yu fɔ rɛdi fɔ manej ɛn liv wit di sik fɔ lɔng tɛm, sɔntɛm ivin fɔ di res ɔf yu layf.Ivin if yu nɔ gɛt siriɔs sik, yu go stil nid fɔ go to dɔktɔ ɔltɛm fɔ wach aw yu blɔd vesel ɛn ɔgan dɛn de, lɛk fɔ du blɔd tɛst. Aks yu dɔktɔ aw ɔltɛm yu fɔ go to dɔktɔ ɛn us tɛst yu fɔ du.

Kip in maynd se ivin if yu go insay rεmishכn, we min fכ tεm we yu nכ gεt di sik, vaskulεt sεmtεm kin kam bak tumara bambay.

Aw a go kia fɔ misɛf gud gud wan?

• Ɔltɛm pe atɛnshɔn to yu sayn dɛm. If yu notis ɛni nyu chenj, nyu sayn, ɔr sayn wae de wɔs, kip wan jɔnal.
• Tɔk to yu dɔktɔ ɛn fala di tritmɛnt plan we fayn fɔ yu. Tek di mɛrɛsin di rayt tɛm ɛn di rayt doz.
• Nɔ skip fɔ go to dɔktɔ.
• If yu fil se wan tritmɛnt nɔr de woke, ɔr nɔr de woke lɛk aw i bin de woke, nɔr shem fɔ go to yu dɔktɔ ɛn tɛl dɛm bɔt am .
• Fɔ fala di we aw yu de liv fayn layf. If yu de smok, stɔp, it fayn it, ɛn ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du.

Ustɛm a fɔ go to dɔktɔ? Insay us sityueshɔn dɛn?

• If yu gɛt nyu sik , ɔ if yu sik de wɔs, go to dɔktɔ wantɛm wantɛm.
• Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam insay fɔ fala-ap apɔntinmɛnt, blɔd tɛst, ɔ ɔda tɛst. Nɔ skip dɛn apɔntin dɛn de.

Imejɛnsi tin dɛn we kin apin:

If yu gɛt ɛni wan pan dɛn sayn ya, dɛn tin ya kin bi imejensi. So go na di ɔspitul we de nia yu wantɛm wantɛm, ɔ kɔl wan imejensi ambulans savis lɛk 1990:

• If i nɔ izi fɔ yu fɔ blo , if yu chɛst fil tayt.
• If yu fil lɛk se yu gɛt at atak (big pen na di sɛntrɔm pan yu chɛst, di pen de rayt to yu lɛft an, nɛk, jaw, yu de swet, yu de nɔs).
• If yu vishɔn de wɔs wantɛm wantɛm, ɔ if yu nɔ de si fayn wantɛm wantɛm .
• If yu de gɛt sɔm sayn dɛm fɔ strok (e.g., fɔ drɔp na wan say na yu fes, yu an nɔ de fil fayn, i nɔ izi fɔ tɔk).

Wetin na di impɔtant kwɛstyɔn dɛn we a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dis. Dis go ɛp yu fɔ ɔndastand yu sik fayn fayn wan:

• "Us kayn vaskulaytis a gɛt, dɔktɔ?"
• "Us blɔd vesel/ɔgan dɛn na mi bɔdi we dis kin afɛkt mɔ?"
• "Us ɔda tɛst dɛn a go nid fɔ du?"
• "A go nid fɔ kɔntinyu fɔ tek mɛrɛsin? Us kayn mɛrɛsin?"
• "Wetin na di sayd effekt dɛm fɔ dis mɛrɛsin?"
• "A go nid ɔpreshɔn?"
• "Us chenj a fɔ mek to mi it ɛn layf stayl?"
• "Wetin na di fɔs sayn dɛm we a go si if di sik wɔs bak?"

Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

Okay, so vasculitis na inflammation, ɔ swelling, na yu blɔd vesel dɛm. Na kɔmplikɛt kɔndishɔn, bɔt nɔ wɔri. Ivin if yu jɔs gɛt smɔl smɔl sayn dɛn, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn ɛn go de chɛk yu ɔltɛm . Na da tɛm de yu kin wach yu blɔd vesel fɔ chenj, si if vasculitis de mek yu impɔtant ɔgan dɛn pwɛl, ɛn aw fɔ mek i nɔ apin.

Vasculitis nɔr kin afɛkt ɔlman di sem, so sɔmtɛm e kin fil fɔ kɔnfyus smɔl ɛn at fɔ ɔndastand. Bɔt trɔst yu gut ɛn yu bɔdi in signal dɛn. Nɔ ɛva ignore ɔ ignore nyu ɔ chenj chenj sayn dɛm . If yu gɛt ɛni kwɛstyɔn, wɔri, ɔ fred, tɔk to yu dɔktɔ. I kin ɛp yu fɔ ɔndastand gud gud wan wetin de apin insay yu bɔdi, us tritmɛnt yu nid, ɛn aw yu go liv wit de sik. Nɔto yu wan, ɛn dɔktɔ dɛn de we go ɛp yu pan dis waka.

` Vaskulεt, inflameshn na di bכdi vεsεl dεm, כtoimyun sik dεm, vaskulεt simptom dεm, vaskulεt tritmεnt, swεl na di bכdi vεsul dεm, rεumatכlכji