Yu gɛt swɛlin bak? Lɛ wi tɔk bɔt dis swɛlin (ɛdima)!

Yu dɔn ɛva notis se yu leg, anklɛ ɔ an dɛn kin swel wantɛm wantɛm? Ɔ sɔntɛnde yu fes kin ful-ɔp? Dis swel na difrεn pat dεm na di bכdi na wetin wi mεdikal kכl `(Edema)` כ jכs `edima' insay Sinhala. Dis kin rili apin we wata kin gɛda insay wi bɔdi tisu dɛn.

Udat kin gɛt dis swɛlin (ɛdima)? Yu tink se i kɔmɔn?

Fɔ tru, dis sik we dɛn kɔl swɛlin kin kam pan ɛnibɔdi. Bɔt bɔku tɛm dɛn kin si am pan mama dɛn we gɛt bɛlɛ ɛn pipul dɛn we dɔn pas 65. Dɔn bak, dis swɛlin kin rili bɔku. Bikɔs, bɔku tin dɛn de we kin mek i gɛt am. Bikɔs sɔm smɔl smɔl swɛlin dɛn kin bɛtɛ fɔ dɛnsɛf, i nɔ kin izi fɔ tɔk ɔmɔs pipul dɛn kin gɛt dis.

Wetin kin apin to di bɔdi we ɛdima de kam? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

So, we dis swel `(Edima)` de divεlכp, sכm pat dεm na yu bכdi de big, dat min se dεn de swel. Dɔn i kin tranga smɔl fɔ du di tin dɛn we yu de du ɛvride. Imajin, if yu leg dɛn swel, i nɔ kin izi fɔ waka, nɔto so? Bɔt gud nyus de. If yu kip di say we dɔn swel ɔp smɔl, ɔ if yu dɔn sidɔm ɔ tinap na wan ples fɔ lɔng tɛm, muv rawnd smɔl, yu kin ridyus dis swel. Dɔn yu go fil fri.

Bɔt mɛmba se sɔntɛnde dis swel kin bi sayn fɔ ɔda sik we de ɔnda am. So, i go fayn fɔ mek yu go to dɔktɔ if yu gɛt dɛn sik ya.

Naw lɛ wi si wetin na di men sayn dɛm fɔ dis swɛlin:

• Wan patikyula say na yu bɔdi kin luk big pas di de bifo, we min se i kin tan lɛk se i dɔn swel .
• di skin we de na di say we di swel de sho se i strεch εn i de shayn .
• If yu leg, yu anklɛ, ɔ yu fut dɛn swel, i kin at fɔ waka .
• Sɔm pipul dɛn kin kɔf ɛn i nɔ kin izi fɔ blo .
• Di say we dɔn swel kin fil ful ɛn tayt .
• Smɔl pen ɔr kin gɛt sɔri-at na di say we di sik dɔn afɛkt.

Wetin mek di bɔdi kin swel lɛk dis? Wetin na di tin dɛn we kin mek pɔsin gɛt ɛdima?

Okay, naw we dɔktɔ dɔn tɛl yu se yu gɛt ɛdima, di nɛks tin we yu want fɔ du na fɔ no wetin mek dis wata dɔn gɛda na yu bɔdi. Bɔku tin dɛn de we kin mek pɔsin gɛt dis. Lɛ wi si wetin dɛn bi.

• Gravity: Fɔ tɔk am simpul wan, if yu sidɔm ɔ tinap na di sem pozishɔn fɔ lɔng tɛm, tin dɛn lɛk wata na yu bɔdi kin gɛda na yu an, yu fut, ɛn yu fut dɛn. dis dεn kכl am ``dipεndεnt εdima.`` Imajin, pכsin we de wok na chia כl di de εn fil lεk in leg dεn swεla sכmtεm na ivintɛm? Na so i bi.
• di wik we di valv dεm na di vein dεm wik (venus insufficiency):Wi vein dεm gεt sכm sכm valv dεm insay dεm. We dɛn tin ya wik, i kin at fɔ mek di vein dɛn kɛr blɔd go bak na di at. Dis kin mek blɔd gɛda na di leg ɛn swel, we kin mek dɛn blu vein dɛn de apia (varicose veins).
• Ɔda sik dɛn na di bɔdi: Fɔ swɛlin kin bi sayn bak fɔ sɔm sik dɛn. Fɔ ɛgzampul, pipul dɛn we gɛt at pwɛl , lɔng, liva , kidni, ɛn tayroyd sik kin gɛt swel. Dis na rili impɔtant pɔynt, bikɔs if dis apin, dɛn nid fɔ trit di sik we de ɔnda am.
• Di bad tin dɛn we kin apin we dɛn tek mɛrɛsin: Fɔ swel kin apin bak as sayd ɛfɛkt we sɔm mɛrɛsin dɛn kin gɛt, lɛk di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt ay blɔd prɛshɔn ɛn tin dɛn we kin mek pɔsin fil pen .
• Nutritional deficiencies: If yu nɔ it wɛl balans it, ɔ if yu it bɔku it dɛn we gɛt bɔku sɔl (sodium) , yu bɔdi kin kip wata ɛn mek yu swel.
• bεlε : As di uterus de gro, di bכdi we de na di lכw bεlε de strεch, na dat mek di swεla leg dεm kin kכmכn we uman bεlε.
• Immune system disorders: I kin kam bak wit tin dɛm lɛk alɛji, infɛkshɔn, bɔn, injury , ɔr blɔd klɔt.

Aw dɔktɔ kin no di rayt we fɔ no if pɔsin gɛt ɛdima?

We yu go to dɔktɔ, i go chɛk yu fɔs fɔ si if yu gɛt ɛni swɛlin. Dɔn i go du tɛst fɔ no wetin mek i apin. Di dɔktɔ go tek tɛm luk di say dɛn we dɔn swel na yu bɔdi, mɔ ɛni say we di skin tan lɛk se i strɛch ɛn shayn.

afta dat, fכ no aw di swel de swεla, dεn de du wan tεst we dεn k כl ``pitting test'' . Insay dis tɛst, di dɔktɔ kin prɛs yu skin we dɔn swel wit in finga fɔ lɛk 5 to 15 sɛkɔn. Afta i pul in an, wan smɔl ol kin fɔm na da say de. Da pit de sho se wata dɔn gɛda insay yu tisu.

afta dis ``pitting test,'' di digri we di swel (grading) de ditarmin bay aw lכng i tek fכ di pit dεm fכ kam bak to nכmal. I tan lɛk dis:

• Gret 1: Dɛn kin mek wan ol we gɛt lɛk 2 mm, we kin wɛl kwik kwik wan (as soon as i tayt).
• Gret 2: 3-4 mm ol de fכm εn i de hεl insay less dan 15 sekכnd.
• Gret 3: 5-6 mm ol de fכm, εn di wund de hεl insay mכr dan 15 sekכnd, bכt i nכ rich 1 minit (60 sekכnd).
• Gret 4: Wan big ol, we na lεk 8 milimita, de fכm εn i de tek lεk 2-3 minit fכ hεl.

Aw fɔ trit ɛdima? Wetin dɛn kin du fɔ ridyus di swɛlin?

De tritmɛnt fɔ swel rili dipen pan wetin de kɔz am. Ɛspɛshali if di swel na ɔda ɔndalayn wɛlbɔdi prɔblɛm, fɔ trit dat na di men tin.

Fɔ gi sɔm ɛgzampul dɛn:

• If di swel na bikɔs ɔf wan sik na yu lɔng, lɛk ɛmfisema ɔ kronik brɔnkayt, ɛn yu na pɔsin we de smok , yu dɔktɔ go advays yu fɔ stɔp fɔ smok .
• If yu gɛt at pwɛl hat ɛn ɛdima, dɛn kin tɛl yu fɔ chenj yu layf, lɛk fɔ wach yu wet, aw yu de it wata, ɛn aw yu de it sɔl. Dɛn kin tɛl yu bak fɔ ridyus di rɔm we yu de drink.
• If yu gɛt swel as sayd ɛfɛkt fɔ wan mɛrɛsin we yu de tek, yu dɔktɔ kin ebul fɔ stɔp di mɛrɛsin ɔ ridyus di doz. Bɔt nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu.

Apat frɔm we yu de trit di ɔndalayn kɔz, sɔm tin dɛn de we yu kin du yusɛf fɔ stɔp di wata we de kɔntinyu fɔ de:

• We yu sidɔm ɔ ledɔm, put pilo ɔnda yu leg ɛn kip dɛn ɔp di lɛvɛl we yu at de.
• Bifo yu sidɔm ɔ tinap fɔ lɔng tɛm, muf smɔl ɛn waka shɔt tɛm.
• Wear spɛshal sɔpɔt sɔks/stɔk ɔ sliv. Dɛn tin ya kin gi smɔl prɛshɔn pan dɛn say dɛn de na di bɔdi ɛn i kin mek di wata we de bɔku nɔ bɔku. Fɔ di wan dɛn we kin swel ɔltɛm, ivin spɛshal sus dɛn de (ɛdima shuz) we dɛn mek fɔ ɛp fɔ swel.
• Ridyus di sɔl we yu de it.
• Tek di mɛrɛsin we yu dɔktɔ tɛl yu jɔs lɛk aw i tɛl yu. Yu dɔktɔ kin gi yu wan kayn mɛrɛsin we dɛn kɔl ‘wata pil’ (diuretic). Dis kin ɛp yu bɔdi fɔ pul di wata we pasmak tru yu urine.

Wetin na di tin dɛm we yu nɔ fɔ it we yu gɛt ɛdima?

Sɔntɛnde, yu kin swel bikɔs yu gɛt bɔku sɔl (sɔdiɔm) na yu it. Sɔl kin mek yu bɔdi gɛt wata, we kin lik insay yu tisu dɛn ɛn mek yu swel. So, fɔ ridyus sɔl na yu it kin bi fayn we fɔ ɛp fɔ ridyus di swɛlin. Dis min se di it dɛn we dɛn pak, tin dɛn we dɛn kin put insay tin, ɛn di nudul dɛn we dɛn kin it wantɛm wantɛm, gɛt bɔku sɔl, so i go fayn fɔ mek yu nɔ it dɛn.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Dipen pan wetin mek yu swel, dis kin bi fɔ sɔm tɛm ɔ fɔ ɔltɛm. Bɔku tɛm, di swɛlin kin go dɔŋ insay sɔm dez. Di swɛlin kin notis mɔ insay di fɔs tu dez, ɛn i fɔ bigin fɔ go dɔŋ bay di tɔd de. Yu kin ridyus di swel bay we yu fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If di swel nɔ go dɔŋ afta sɔm dez we yu dɔn trit yu, tɔk to yu dɔktɔ bak.

Yu tink se dɛn kin mek yu nɔ gɛt ɛdima?

Sɔmtɛm, if de tin wae kin mek yu swel na wan ɔndalayn kɔndishɔn lɛk at sik, liva sik, ɔr kidni sik, i nɔr kin pɔsibul fɔ mek yu nɔr gɛt am kpatakpata. Bɔt yu kin woke wit yu dɔktɔ fɔ kɔntrol di sayn dɛm.

Bɔt if di tin we kin mek yu swel na we yu it sɔl pasmak, yu kin mek yu nɔ swel bay we yu ridyus di sɔl we yu de it.

Dɔn bak, we yu de muv ɔltɛm, dat kin ɛp fɔ mek yu nɔ swel. We yu sidɔm ɔ tinap na wan ples, dat kin mek wata gɛda na yu bɔdi tisu dɛn. If yu si se yu sidɔm fɔ lɔng tɛm, grap ɛn muf smɔl if i pɔsibul. Dis kin ɛp fɔ ridyus di swɛlin.

Wetin a fɔ ɛkspɛkt if a gɛt ɛdima? Aw a go tek kia ɔf misɛf?

If yu gɛt wan lump na yu bɔdi, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Dis na bikɔs di lump kin mek yu skin strɛch, ɛn if yu nɔ trit am, di lump kin wɔs ɛn mek yu gɛt siriɔs wɛlbɔdi prɔblɛm.

Di swɛlin kin bi fɔ shɔt tɛm ɔ fɔ lɔng tɛm, i kin dipen pan di tin we kin mek i swel. Tritmɛnt dɛn de fɔ mɛn di ɔndalayn kɔndishɔn dɛn we kin de mek di swel de swel. Ɔda we de fɔ mek yu chenj simpul layf fɔ mek yu nɔ gɛt bɔku wata ɛn fɔ mek yu nɔ swel.

If yu gɛt swel, du dɛn tin ya fɔ mek yu nɔ swel:

• Mek chenj dɛn layf, lɛk fɔ lɛf fɔ smok ɛn chenj di we aw yu de it.
• Muv rawnd bɔku tɛm.
• Kip yu leg dɛn ɔp we yu de ledɔm ɔ sidɔm.
• Wear kɔmpreshɔn sɔks, sliv, ɔ stɔking.

I rili impɔtant: I rili impɔtant fɔ protɛkt di say dɛn we yu dɔn swel frɔm mɔ prɛshɔn, injuri, ɛn ay tɛmpracha. Dis na bikɔs if di skin brok na say dɛn we swel, i go tek lɔng tɛm fɔ wɛl ɛn chans de fɔ mek i gɛt di sik.

Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?

If yu gɛt ɛni wan pan dɛn tin ya , go to dɔktɔ wantɛm wantɛm:

• If pen de ɔ chenj in skin kɔlɔ na di say we dɔn swel.
• If opin sore de na di skin na say we swel.
• If i nɔ izi fɔ yu fɔ blo .
• If na wan an ɔ leg nɔmɔ we de na wan say na di bɔdi dɔn swel .
• If i nɔ izi fɔ yu fɔ waka ɔ fɔ muv rawnd.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Wetin mek a gɛt dis swɛlin (ɛdima)?
• A fɔ ridyus sɔl na mi it?
• Ɛni bad tin de we di tritmɛnt kin du?
• A nid fɔ wɛr spɛshal kɔmpreshɔn sɔks fɔ mek a nɔ swel na mi anklɛ?

So, wetin na di impɔtant tin dɛm we wi fɔ mɛmba bɔt dis swɛlin (ɛdima)?

Okay, frɔm ɔl wetin wi dɔn tɔk bɔt, yu fɔ ɔndastand naw wetin na ɛdima, wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.

Fɔ tɔk am simpul wan:

• di swεla de kכz fכ di wata we de kכmכt na di bכdi in tisu dεm.
• Bɔku rizin dɛn kin de fɔ dis. Sɔm kin simpul, bɔt ɔda wan dɛn kin bi sayn fɔ wan sik we de ɔnda am.
• If yu gɛt swel we nɔ kɔmɔn, mɔ we i nɔ izi fɔ blo, swel na wan an/leg nɔmɔ, ɔ swel we de kam wit pen, go to dɔktɔ wantɛm wantɛm.
• Bɔrku tɛm, yu kin kɔntrol dis sik wit smɔl chenj na yu layf (fɔ ridyus sɔl we yu de it, ɛksɛsayz, kip di say dɛn we dɔn swel ɔp) ɛn di tritmɛnt we yu dɔktɔ go gi yu.
• Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz we yu nɔ go to dɔktɔ.

So, if yu ɔ pɔsin we yu sabi de sɔfa wit dis kayn swɛlin, nɔ panik. Dɛn kin ebul fɔ mɛn am wit di rayt dɔktɔ advays ɛn tritmɛnt. Di tin we impɔtant pas ɔl na fɔ kia fɔ yu bɔdi ɔltɛm.