Sɔntɛnde yu kin gɛt pen na yu leg we yu de waka? Yu tink se di pen kin stɔp afta yu dɔn tinap fɔ sɔm tɛm? Ɔ yu kin fil lɛk se yu leg dɛn kin swɛ ɔ yu kin kol? Dɛn tin ya kin bi sayn dɛn fɔ sɔntin we rili siriɔs. Tide wi go tɔk bɔt wan sik we dɛn kɔl `Aortoiliac Occlusive Disease`, we gɛt sɔm kayn kɔmplikɛt nem, bɔt i kin afɛkt bɔku pipul dɛn. Nɔ wɔri, lɛ wi ɛksplen dis simpul wan.
Wetin na di sik we dɛn kɔl Aortoiliac Occlusive Disease?
Fɔ tɔk am simpul wan, dis na we di men blɔd vesel we de gi blɔd to di ɔda pat na wi bɔdi we de dɔŋ. dis kכndyushכn de pan wan big grup fכ sik dεm we dεn kכl `Peripheral Artery Disease (PAD),` we de tכk bכt di bכdi we de gi bכdi to di limb dεm.
dis sik kin afekt di lכw pat pan di `(Aorta)`, we na di big bכdi na wi bכdi, εn di bכdi we dεn kכl `(Iliac arteries)`. di `(Aorta)` na di men at we de kכri bכdi frכm di at tru di chεst to di bכdi. di `(Iliac arteries)` na di tu men branch dεm fכ dis `(Aorta)` we de sheb tu nia di bכdi εn kכri bכdi to di leg dεm.
Naw, wetin kin apin na dis sik na dat sכmtin we dεn kכl `(Plaque)` de bil insay dεn blכd vεsεl dεm ya. `(Plaque)` na stika tin we dεn mek wit tin dεm lεk כyl εn kכlestכl. Imajin, dis na sɔntin lɛk rɔst ɛn dɔti we de kam insay wata paip na wi os as tɛm de go.
Tu rizin de we mek dis `(Plaque)` denja:
- i de ridyus di spεs insay di bכdi vεsul dεm: as dis `(Plaque)` de bil, di spεs insay di bכdi vεsul dεm de sכm sכm. Dɔn di blɔd kin blok, lɛk trafik jam.
- I kin mek yu gɛt `(Embolus)`: Sɔntɛnde wan pat pan dis `(Plaque)` kin brok ɛn travul wit di blɔd. wan pat we brok lεk dis dεn kכl am `(Embolus).` If dis `(Embolus)` stכk sכmsay na sכm sכm bכdi, di bכdi fכ fכm frכm de go stכp kכmplit wan.
Aw dis kin afɛkt wi bɔdi?
Aortoiliac Occlusive Disease na wan kכndyushכn we di bכdi fכ fכlכ na di Aorta εn Iliac atεri dεm de bכku. Dis kin mek wi gɛt difrɛn prɔblɛm dɛn bikɔs di blɔd we gɛt ɔksijɛn nɔ kin rich di tisu dɛn na wi bɔdi fayn fayn wan. Fɔ ɔndastand dis, yu nid fɔ no smɔl bɔt dɛn blɔd vesel ya.
Wi `(Aorta)` tan lɛk men rod na siti. Frɔm dis men rod, bɔku sayd rod dɛn kin kɛr blɔd go na difrɛn pat dɛn na di bɔdi. fכ egzampl, di `(Renal arteries)`, we de gi bכdi to wi kidni dεm, de split kכmכt frכm di `(Aorta).` Dis split na di כp limit usay `(Aortoiliac Occlusive Disease)` kin bigin. di dכkta dεn kכl di pat pan di `(Aorta)` dכn dכn dεn `(Renal arteries)`, te to di nεvl, di `(Infrarenal aorta)`.
naw, na di bכs pat pan di sכkul, dis `(Aorta)` de split insay tu , lεk wan כpsayd-dכwn 'Y' . dis na di tu bכdi we dεn kכl di rayt εn lεft `(Kכmכn iliak atεri)`. Dɛn branch dɛn ya kin sheb ɛn gi blɔd to dɛn pat dɛn ya na wi bɔdi mɔ:
- Di eria we de na di bɔt
- Leg ɛn fut
- Hip eria
- pat dεm na di man εn uman riprodaktiv sistεm
- כgan dεm na di pεlvik kεviti (e.g., blad, liva) .
Aw di sik kin tranga kin dipen pan us pat pan dis ‘Y’ de blok ɛn aw bad bad wan i blok. Sɔntɛnde, if na smɔl say nɔmɔ dɛn blok, nɔr kin gɛt ɛni big sayn. Dis na bikɔs blɔd kin travul te to sɔm pat tru ɔda smɔl smɔl vein dɛn. Bɔt if dɛn blok am bɔku bɔku wan, di sayn dɛm kin tranga ɛn di chans fɔ gɛt prɔblɛm kin bɔku.
Udat kin gɛt dis sik pas ɔlman?
Dɛn se dis sik kin ambɔg pas 6 milyɔn pipul dɛn we dɔn pas 40 ia na Amɛrika nɔmɔ. Di risk fɔ gɛt am kin bɔku wit di ej. Fɔ ɛgzampul, lɛk 5% pan pipul dɛm wae dɔn pas 50 ia gɛt am, bɔt pas 20% pan pipul dɛm wae dɔn pas 80 ia kin gɛt am. Dɔn bak, dis sik kin mɔna man ɛn blak pipul dɛn.
Yu tink se dis kin mek pɔsin in layf de pan denja?
Yɛs, if dɛn nɔ trit am fayn, Aortoiliac Occlusive Disease kin mek yu gɛt siriɔs prɔblɛm dɛn we kin mek yu layf de pan denja. Dis na di men wan wae kin apun:
- Amputation: Dis min se yu fɔ kɔt ɛn pul wan pat pan di bɔdi, lɛk wan leg. Dis kin apin bikɔs di tisu kin day we dɛn kɔt di blɔd saplai.
- `(Hat atak)` (Hat atak): Na at atak.
- `(At we nɔ de wok fayn)` (At we nɔ de wok fayn): At we nɔ de wok fayn.
- `(Gangrene): Di day ɛn rɔtin we di tisu dɛn kin rɔtin.
So, e fayn fɔ pe atɛnshɔn to dɛn sik ya.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt if dɛn gɛt sɔm sayn dɛn, dɛn kin gɛt:
- Erectile dysfunction (ED): Na di we aw man dɛn nɔ kin ebul fɔ gɛt ɔ kɔntinyu fɔ gɛt erection we dɛn de du mami ɛn dadi biznɛs. Dis kin gɛt fɔ du wit dis sik bak.
- `(Intermittent claudication)` (Intermittent claudication): Dis na big sayn we bɔku pipul dɛn kin gɛt. Fɔ ɛgzampul, we yu de du ɛksɛsayz, we yu de waka, yu bɔdi kin gɛt pen, tayt, ɔ stif na yu bɔdi ɔ yu fut. I kin stɔp afta we yu dɔn rɛst fɔ sɔm tɛm. Imajin se na wi vilej, we Ɔnkul Somapala go na di shɔp, afta i dɔn waka shɔt, i stɔp ɛn se, "Ah, mi leg!", ɛn afta sɔm tɛm, i go bak. Dat na di sem tin we de apin.
- Rɛst Pen: Pen na yu leg we de wek yu na nɛt. Dis pen kin apin mɔ we yu leg dɛn ɔp, bikɔs di graviti kin mek di blɔd nɔ flɔ dɔŋ di leg dɛn.
- Ɔlsa: Yu kin si wund dɛn we nɔ de mɛn na di skin, we dɛn kɔl ɔlsa, na di leg ɔ di fut in fut.
If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ. Bikɔs if yu no di sayn dɛm fɔ `Aortoiliac Occlusive Disease` kwik, i izi fɔ trit.
Yu dɔktɔ go chɛk bak fɔ si if yu gɛt prɔblɛm wit blɔd we de flɔ na ɔda pat dɛn na yu bɔdi, lɛk di karotid at na yu nɛk ɔ di korona at na yu at. Bɔku tɛm, if plek bɔku na wan pat na yu bɔdi, i go mɔs bi se i de na ɔda pat dɛn bak.
Imejɛnsi: Akyu Atɛri Ɔklushɔn
כltu, sכmtεm, we di kכndyushכn kin tranga, wan imejensi we dεn kכl ``Acute arterial occlusion'' kin apin. Dis min se wan pat pan yu bɔdi, bɔku tɛm na yu leg ɔ fut, nɔ gɛt blɔd we gɛt ɔksijɛn. Dis na mɛdikal imejensi we nid fɔ go to dɔktɔ wantɛm wantɛm! Dɛn kɔl dis ‘siks Ps’ ɛn i gɛt sɔm sayn dɛm:
- Pen: Na pen we pɔsin nɔ go ebul fɔ bia ɛn we rili bad . Dis na di fɔs tin we yu kin fil.
- Pallor: Di skin na di leg we afekt kin bi rili pale.
- Pulse dɛfisit: Di puls na da eria de rili wik, ɔ dɛn nɔ kin fil am atɔl.
- Poikilothermia (kol): We yu tɔch da leg de, i kin fil kol pas di ɔda wan.
- Paresthesia (numbness): I kin tan lɛk se yu leg dɔn swɛt, lɛk ant we de rɔn rawnd, ɔ lɛk pin ɛn nidul .
- Paralayz: Dɛn nɔ kin ebul fɔ fil ɔ muv di an we gɛt di sik.
If yu gɛt ɛni wan pan dɛn sik ya, kɔl 911 ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm! Ɛvri minit kin kɔnt. Di mɔ we di blɔd de blo, na di mɔ di tisu dɛn de pwɛl. If tin tranga, dɛn kin kɔt in an ɔ ivin day.
Wetin na di rizin dɛn we mek dɛn de du dis?
di men tin we de mek dis `Aortoiliac Occlusive Disease` na wan kכndyushכn we dεn kכl `(Atherosclerosis)` . Fɔ tɔk am simpul wan, dis min se di `(Plaque)` we wi bin dɔn tɔk bɔt de bil smɔl smɔl insay di blɔd vesel dɛn na di bɔdi. insay dis sik, dat `(Plaque)` de gεt dεposit na di lכw pat pan di `(Aorta)` εn di `(Iliac arteries)`.
Apat frɔm dat, sɔm ɔda rizin dɛn kin de we nɔ kin apin:
- If yu dɔn gɛt redyushɔn tritmɛnt to di pelvik eria.
- inflameshn na di bכdi vεsul dεm, na wan kכndyushכn we dεn kכl ``Vasculitis''.
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Bikɔs ɛnibɔdi kin gɛt dis sik, ɛnibɔdi kin gɛt dis sik. Bɔt sɔm tin dɛn kin mek di prɔblɛm kin bɔku:
- We pɔsin de ol: Di prɔblɛm kin bɔku we pɔsin de ol.
- Famili histri: If ɛnibɔdi na yu famili gɛt Pɛriferal Atɛri Disease (PAD), tɛl yu dɔktɔ bɔt am.
- Smok: Dis na big tin we kin mek pɔsin gɛt prɔblɛm! Smok na big tin wae kin mek pɔrsin gɛt dis sik, ɛn ɔda sik dɛm wae gɛt dis sik. If yu na pɔsin we de smok, i rili impɔtant fɔ aks fɔ ɛp fɔ lɛf fɔ smok.
- Sɔm sik dɛn we pɔsin kin gɛt:
- `Dayabetis`
- Di ay blɔd prɛshɔn
- `High kolesterol`
- `Takayasu in arteritis` (dis na wan sik bak we nɔ kin apin so ɔltɛm we kin afɛkt di blɔd vesel dɛm)
Aw fɔ no di sik?
If yu gɛt ɛni wan pan dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. Yu dɔktɔ go du dɛn tin ya fɔ no di sik ɔ fɔ pul ɔda tin we de mek yu gɛt dis sik:
1. I de aks yu kwɛstyɔn dɛn:
- Wetin na yu sayn dɛm?
- Frɔm ustɛm dɛn tin ya dɔn de?
- Ustɛm yu kin fil dɛn tin ya pas ɔlman?
- Yu tink se i kin go dɔŋ we yu du sɔntin?
- Yu tink se di sayn dɛm de wɔs?
- Ɛnibɔdi na yu famili gɛt dis kayn sik?
- Us ɔda sik dɛn yu gɛt?
2. Du ɛgzam fɔ yu bɔdi: Chɛk yu jenɛral wɛlbɔdi.
3. I de du sɔm tɛst dɛn:
- Ankle-brachial index (ABI): Dis na simpul tɛst we nɔ de mek pɔsin fil pen. Dɛn kin mɛzhɔ di blɔd prɛshɔn na yu an ɛn yu fut ɛn kɔmpia am. Dis kin mek yu no aw blɔd de flɔ fayn fayn wan na yu leg ɛn fut.
- Blɔd tɛst: Dɛn tin ya kin ɛp yu fɔ chɛk tin dɛn lɛk kɔlɔstrel ɛn shuga lɛvɛl, ɛn bak di tin dɛn we kin mek yu gɛt at ɛn blɔd vesel sik, ɛn yu jenɛral wɛlbɔdi.
- `(Kɔmpyut tomografi angiogram (CTA))`: Dis na spɛshal `CT skan`. i kin si klia wan tin dεm lεk usay `(plak)` de insay di bכdi vεsul dεm εn aw dεn blכk.
- Vascular ultrasound (dεn kin kכl am bak Doppler scan): Dis kin yuz ultrasound wev dεm bak fכ luk di we aw blכd de fכlכ insay di bכdi vεsul dεm εn fכ si if eni blכk de.
Wetin na di tritmɛnt dɛn?
Di tritmɛnt dipen pan aw yu sik tranga. Sɔmtɛm wae yu kin chenj yu layf ɛn de tek mɛrɛsin kin ɛp fɔ kɔntrol de sik ɛn slo fɔ mek de sik nɔr de go bifo. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ay blɔd .
- Di mɛrɛsin we de agens di pletlet, lɛk aspirin ɔ klopidogrel, na mɛrɛsin we de mek di blɔd nɔ klin .
- Di chenj we yu de it: If yu fala di it we fayn, lɛk di it we yu de it na di Mɛditarenian ɔ di it we dɛn kɔl DASH, dat kin ɛp fɔ kɔntrol di tin dɛn we kin mek yu gɛt prɔblɛm lɛk dayabitis ɛn kɔlɔstrel.
- Ɛksesaiz: We yu de du ɛksɛsayz ɔltɛm lɛk aw yu dɔktɔ tɛl yu fɔ du dat, dat kin mek bɔku tin dɛn we kin mek yu gɛt prɔblɛm nɔ bɔku ɛn i kin mek yu blɔd go fayn na yu leg.
- spεshal mεdikeshכn dεm (e.g., Cilostazol) fכ leg pen we kin apin we yu de waka (`Intermittent claudication`).
- Mεdikeshכn dεm we de dכn kכlestכl (`Statins`).
- Fɔ lɛf fɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda na sɔntin we yu fɔ du.
If dɛn tin ya nɔr de kɔntrol di sik, yu kin nid tin lɛk:
- Baypas ɔpreshɔn: Dɛn kin mek nyu rod fɔ baypas di blɔd vesel we dɔn blok. Dis tan lɛk we dɛn de baypas di korona at. Di say we di blɔk de ɛn usay di baypas bigin ɛn dɔn kin difrɛn difrɛn wan bay aw yu gɛt wɛlbɔdi.
- `(Stent placement)`: dεn de put wan sכmכl mεsh lεk `(Stent)` insay di bכdi we dεn blכk fכ mek i big. Dis kin mek di blɔd flɔ fayn fayn wan. dכkta dεn kin yuz `(Endovascular)` mεtכd dεm, we min fכ put dis `(Stent)` tru wan sכmכl ol we dεn nכ mek big insishכn.
Ɛvri tritmɛnt gɛt in gud ɛn bad tin, so i bɛtɛ fɔ tɔk bɔt ɔl dis wit yu dɔktɔ ɛn disayd us tritmɛnt we go fayn fɔ yu.
Yu tink se dɛn go ebul fɔ avɔyd dis sik?
Sɔntɛm i nɔ go pɔsibul fɔ mek wi nɔ gɛt am kpatakpata, bɔt bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:
- Lɛf fɔ smok ɛn ɔl di tin dɛn we dɛn kin yuz fɔ smok.
- It tin we go ɛp yu at we nɔ gɛt bɔku sɛtyuret fat, kɔlɔstrel, sɔl, ɛn shuga.
- Ɛksesaiz ɔltɛm lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Kɔntrol yu blɔd prɛshɔn, blɔd shuga, ɛn kɔlɔstrel lɛvɛl.
- Tek di mɛrɛsin we di dɔktɔ gi yu di rayt tɛm.
- Gɛt mɛdikal chɛk-ap at le wan tɛm insay di ia.
If yu gɛt tin dɛn we kin mek yu gɛt dis sik ɔ we yu gɛt at pwɛl, tɔk to yu dɔktɔ. Di kwik we yu bigin fɔ kɔntrol di tin dɛn we de mek yu gɛt prɔblɛm, na di mɔ yu go gɛt chans fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn leta.
Wetin kin apin if a gɛt dis sik?
Fɔ no fɔ tru bɔt yu sik, yu fɔ tɔk to yu dɔktɔ. Tritmεnt dεm lεk ``Bypass surgery`` εn ``Stent placement`` kin kכmכt fayn εn di rizulεt kin te. Yu dɔktɔ go tɛl yu mɔ bɔt wetin fɔ ɛkspɛkt frɔm yu tritmɛnt plan.
Aw a kin kia fɔ misɛf?
I impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bɔt aw fɔ chenj yu layf ɛn aw fɔ tek mɛrɛsin. I impɔtant bak fɔ wok tranga wan wit yu dɔktɔ pan yu mɛrɛsin. Dat min se:
- Aks yu dɔktɔ fɔ no mɔ bɔt yu sik ɛn ɔndastand am gud gud wan.
- If ɛnitin de we yu nɔ ɔndastand, aks kwɛstyɔn dɛn. Nɔ fred, di dɔktɔ de fɔ ɛp yu.
- Fɛn ɔda tin wae yu kin du fɔ stɔp de sik nɔr de wɔs.
- Lan wetin na de sik ɛn wetin fɔ du if dɛn apin.
- Yu fɔ no bɔt di tritmɛnt dɛn we yu kin gɛt.
- Aks yu dɔktɔ bɔt di tin dɛn we yu nid ɛn sɔpɔt grup dɛn we go ɛp yu. Dɛn tin ya go ɛp yu fɔ mit ɔda pipul dɛn we de na di sem tin lɛk yu ɛn tɛl yu bɔt yu ɛkspiriɛns.
Ustɛm a fɔ go to dɔktɔ?
Gɛt mɛdikal chɛk-ap wan tɛm insay di ia. Mek shɔ se yu go na di fɔlɔp apɔntinmɛnt dɛn we yu dɔktɔ dɔn gi yu. Yu dɔktɔ go tɛl yu aw ɔltɛm fɔ kam ɛn us tɛst yu nid fɔ du.
Dɔn bak, if yu gɛt ɛni nyu sik ɔ if di sik we yu bin dɔn gɛt chenj, kɔl yu dɔktɔ wantɛm wantɛm.
Mɛmba as sɔmari
Aortoiliac Occlusive Disease na wan kayn sik we de kam pan di at we de na di at. I kin afɛkt yu kwaliti fɔ liv ɛn i kin mek yu gɛt siriɔs prɔblɛm dɛn. Bɔt di gud nyus na dat yu kin du sɔntin ɛvride fɔ ridyus yu risk ɛn kɔntrol aw di sik de go bifo. Tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol yu sik ɛn wetin fɔ ɛkspɛkt tumara bambay. Nɔto yu wan de, ɛn nɔ fred fɔ aks fɔ ɛp.
` Aortoiliac Occlusive Disease, Peripheral Artery Disease, PAD, Blɔd Vɛsɛl Blɔk, Leg Pen, Atɛrosklɛrosis, Plɛk, Ɛmbolɔs, Intamitɛnt Klɔdikeshɔn, Stɛnt, Baypas ɔpreshɔn
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