Yu blɔd kin fil lɛk se yu blɔd nɔ de flɔ? Lɛ wi tɔk bɔt Arterial Insufficiency!

Sɔntɛnde yu kin fil pen na yu leg we yu de waka? Ɔ yu kin fil lɛk se yu ed de tɔn ɔ yu nɔ kin fil fayn na sɔm say dɛn? Nɔ tink se dɛn tin ya na jɔs random tin dɛn. Sɔntɛm dis na sayn fɔ sho se di blɔd we de go na yu bɔdi wik smɔl. Tide wi go tɔk bɔt wan tɔpik we impɔtant pas dat. dat na di dכn we di bכdi de go na di at dεm, כ lεk aw dכkta dεn kכl am, `(Arterial Insufficiency)`.

Wetin na di at we nɔ de wok fayn?

Fɔ tɔk am simpul wan, dis na we di blɔd we de pas na wan ɔ mɔ at na wi bɔdi kin go dɔŋ. di atεri dεm lεk wan sistεm fכ tכb dεm we de kכri bכdi we gεt כksijεn kכlכs wi bכdi frכm di at to כl di כda כgan dεm εn tisu dεm. So, wetin kin apin if dɛn tiub ya blok ɔ smɔl? Na da tɛm de blɔd kin go dɔŋ. di men rizin fכ dis na di fεt we de bכku na di atεri wכl dεm, wan kכndyushכn we dεn kכl ``Atherosclerosis''.

Ɔl pat na wi bɔdi nid blɔd we gɛt bɔku ɔksijɛn fɔ mek i wok. So if di at dɛn nɔ ebul fɔ sɛn blɔd fayn, wi ɔgan ɛn tisu dɛn nɔ go ebul fɔ wok fayn. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn .

Dis kכndyushכn (Arterial Insufficiency) kin afekt yu pan tu men we dεm:

1. Akyu atεrial insufficiency: Dis na we di bכdi fכ fכl כ de rεdכks wan wan כ stכp kכmplit wan biכs fכ sכm rizin (bכku tεm na blכd kכlכt). Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

. As tɛm de go, di sik kin wɔs smɔl smɔl, ɛn di risk fɔ gɛt prɔblɛm dɛn kin bɔku.

Di tin we impɔtant pas ɔl na dat if dɛn no dis sik kwik kwik wan ɛn trit am fayn, di risk fɔ gɛt siriɔs prɔblɛm dɛn kin ridyus bad bad wan.

Aw dis tin kin afɛkt wi bɔdi?

We blɔd nɔ de flɔ na di at, dat kin mek di blɔd nɔ go na difrɛn pat dɛn na wi bɔdi, mɔ di men ɔgan dɛn ɛn di an ɛn fut dɛn. di we aw dis kin afɛkt di bɔdi dipen pan us at we smɔl ɔ blok .

Tink bɔt am dis we:

• If di at dεm na yu nεk (karotid כ vεrbral atεri dεm) sכmtεm sכmtεm, fכ egzampl pan wan kכndyushכn we dεn kכl carotid atεri sik, i kin afekt yu bren .
• Prɔblɛm wit di aorta , lɛk abdominal aortic aneurysm kin afɛkt yu chɛst, bak, ɛn bɛlɛ .
• If di korona at we de gi blɔd to di at blɔk , we na wan sik we dɛn kɔl korona at sik, i kin afɛkt yu at dairekt wan .
• if prכblεm de wit di at we de gi bכdi to di sכmכl intestin (di ``Superior mesenteric artery``) , wan kכndyushכn lεk ``Mesenteric artery stenosis``, i kin afekt di wok we yu sכm intestכn de du .
• If prɔblɛm de wit di at dɛn we de gi blɔd to di kidni dɛn (renal arteries) , we na wan sik we dɛn kɔl renal artery disease, i go afɛkt yu kidni dɛn .
• If di at dɛn we de na yu leg dɛn blok , lɛk di sik we dɛn kɔl peripheral artery disease (PAD), kin afɛkt yu leg ɛn fut dɛn .
• Wan sik we dɛn kɔl pulmonary embolism, we na blɔd we de blok di at dɛn we de na yu lɔng , kin afɛkt yu lɔng .

Bɔt i impɔtant bak fɔ mɛmba se we di blɔd nɔ de pas na di at, i kin rili afɛkt ɔl di pat dɛn na di bɔdi indaykt wan. Yu kin notis sɔm sayn dɛm na di pat na di bɔdi we de nia di at we dɔn blok pas ɔl. כltu, di sem tin dεm we de mek di at dεm we de de sכmtεm sכmtεm (lεk atεrosklεrosis) kin apin bak na di at dεm we de כda say na di bכdi. Fɔ ɛgzampul, if yu gɛt di blɔd we nɔ de flɔ ɔltɛm bikɔs ɔf di at we de na wan at we de na yu leg, yu de pan denja fɔ di sem tin na yu at.

Ɔl pat na wi bɔdi nid ɔksijɛn fɔ mek i go liv. if wan כgan כ tisu lכs כksijεn wan wan, da כgan de kin fεl insay awa, insay kes fכ `Acute arterial insufficiency`. Dis kin mek yu gɛt imejensi we go mek yu layf de pan denja bikɔs blɔd nɔ de flɔ na di at dɛn:

• Critical limb ischemia: Blɔd we de blok na di an , leg, ɔ fut.
• Hat atak: I de blok di blɔd fɔ flɔ to di at.
• Pulmonary embolism: Blɔk we di blɔd de flɔ to di lɔng dɛn.
• Stroke: I de blok di blɔd fɔ flɔ to di bren.

Dis sik kin kil yu if yu nɔr trit yu fayn, na dat mek i impɔtant fɔ no bɔt in sik ɛn tɔk to yu dɔktɔ bɔt yu risk dɛm.

Wetin na di difrɛns bitwin di blɔd we de kɔmɔt na di at ɛn di blɔd we de kɔmɔt na di venɔs?

Dɛn tu tin ya na tin dɛn we gɛt fɔ du wit aw blɔd de go, bɔt smɔl difrɛns de.

di atεrial insufficiency na prכblεm we di bכdi de fכlכ na di at. di venus insufficiency na prכblεm we di bכdi de fכlכ na di vein dεm (di vεsul dεm we de kכri impur bכdi bak to di at).

Fɔ tɔk am simpul wan:

• di at dεm na di wan dεm we de kכri klin bכdi we gεt כksijεn frכm di at kכlכs di bכdi.
• Vein na di tin we de mek blɔd we nɔ gɛt bɛtɛ ɔksijɛn ɛn we nɔ klin, kam bak na di at.

Di tin dɛn we kin mek dɛn tu tin ya kin apin difrɛn. di men tin we de mek di bכdi fכ fכlכ na di at dεm na di fεt we de bכku na di atεri wכl dεm (atherosclerosis). di blכd fכ fכlכ na di vein dεm na di mεntal we di vein dεm na di leg dεm de pwεl.

di atεria insufisεns kin apin na wan at εnisay na di bכdi, bכt wan kכndyushכn we dεn kכl venus insufficiency kin mεntal afekt di leg dεm.

Dɛn tu tin ya kin mek di leg dɛn fil pen ɛn nɔ kin fil fayn. If yu leg dɛn de pen ɔltɛm, yu de fil ebi, yu de swel, ɔ yu taya, mek shɔ se yu go to dɔktɔ fɔ tɔk bɔt dɛn sayn ya.

Wetin na di sayn dɛm fɔ dis?

Sɔm pipul dɛn nɔr kin gɛt ɛni sayn te de sik kam tranga ɔr imejensi kam. Bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk:

• Diziz: Na filin fɔ lɛ yu nɔ balans.
• Intermittent claudication: Leg pen we kin apin we yu de waka ɛn i kin stɔp we yu rɛst. Dis na we yu kin fil pen na yu leg we yu de du sɔm tin, mɔ we yu de waka, ɛn di pen kin go afta yu dɔn rɛst fɔ shɔt tɛm.
• Pen na yu fut ɔ yu fut finga dɛn: Na we yu de bɔn, we yu de fil pen na yu fut ɔ yu fut finga dɛn, ivin we yu de rɛst.
• Di chenj na di skin kɔlɔ ɛn di we aw i tan: Di skin kin skel na di leg ɛn fut, i kin it, ɛn di skin kin chenj.
• Bɛlɛ pen: Na bɛlɛ pen we kin bigin 15-20 minit afta yu it, i kin las fɔ sɔm awa, dɔn i kin go.
• Ɔlsa: Sɔl dɛn we nɔ de mɛn na di leg ɛn fut (espɛshali di anklɛ). Dɛn tin ya na sayn fɔ se blɔd nɔ de go fayn.
• We yu de lɔs yu wet: Wantɛm wantɛm, yu nɔ plan fɔ du yu wet.

Yu kin gɛt smɔl ɔ blok di at dɛn na pas wan ples na yu bɔdi. Fɔ ɛgzampul, pipul dɛn we gɛt di sik we dɛn kɔl peripheral artery disease (PAD) na dɛn leg kin gɛt korona at sik (CAD). So, yu kin gɛt kɔmbayn sayn dɛm wae gɛt fɔ du wit ɛni prɔblɛm. Na dat mek i impɔtant fɔ tɛl yu dɔktɔ jɔs afta yu notis ivin di smɔl smɔl sayn.

Simptom dɛm fɔ imejensi - nɔ ignore dɛn wan ya!

If yu gɛt ɛni wan pan dɛn sik ya, kɔl 911 (1990 na Sri Lanka) ɔ go na di ɔspitul we de nia yu wantɛm wantɛm. Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin gɛt ɛnitin fɔ du wit mɛrɛsin:

• Chɛst de pen ɔ tayt.
• Fɔ fil lɛk se yu de si insay tu ɔ yu de lɔs yu vishɔn.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Tisu day (`Gangrene`) (di skin de blak, bad smel).
• Pale skin, kol swet, ɔ blu skin.
• Sɔdan inkris na di puls rɛt.
• Tɔk we nɔ de tɔk fayn.
• Wantɛm wantɛm, bad bad pen na in chɛst, an, sholda, nɛk, ɔ jaw.
• I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm fɔ natin.
• Wantɛm pen ɔ nɔr kin fil fayn na yu sholda, nɛk, bɛlɛ, ɛn/ɔ bak fɔ no rizin.

Wit sɔm sayn dɛm, yu nɔr kin ivin ebul fɔ kɔl. So, if i pɔsibul, kip wan `mɛdikal alert divays` (lɛk nɛks) wit yu ɔltɛm. Dɔn bak, tɛl yu fambul ɛn padi dɛn bɔt dɛn sik ya. So dat dem go kol 1990 fo yu as soon as dem notis dem.

Wetin mek dis de apin? Wetin na di rizin dɛn?

di tu men rizin dεm we kin mek di bכdi fכ fכlכ na di at dεm na:

• Atherosclerosis: Fεt dεm we de na di atεri wכl dεm (atherosclerosis): Fεt dεm lεk kכlestכl de bכku insay di at, we de sכmtεm sכmtεm כ blכk am kכmplit.
• Trombosis: Na bכdi kin kכl insay wan at, we kin mek di bכdi fכ fכlכ.

Aw yu kin no bɔt dis?

Dɔktɔ dɛn kin no dis sik bay we dɛn kin aks yu bɔt yu sik, tek yu mɛdikal histri, ɛn du ɛgzam fɔ yu bɔdi. Yu dɔktɔ go aks yu bɔku kwɛstyɔn fɔ lan bɔku tin bɔt yu sik. Fɔ ɛgzampul:

• Wetin na yu sayn dɛm?
• Aw lɔng dɛn sik ya dɔn de?
• Usay yu de fil di pen?
• Yu tink se de sik kin kam ɛn go? If na so i bi, ustɛm dɛn kin kam?
• Wetin yu kin du fɔ ridyus di sayn dɛm?

Di dɔktɔ go tɔk to yu bak bɔt:

• Yu fɔs mɛdikal histri.
• Sik dɛm wae de rɔn na yu famili (genetically related).
• Ɔda mɛrɛsin dɛn we yu gɛt naw.
• Di mɛrɛsin dɛn we yu de yuz.

We di dɔktɔ de chɛk di bɔdi, i kin du dɛn tin ya:

• Dɛn kin tɛl yu fɔ smayl fɔ si if wan say na yu fes de drɔp.
• dεn de chεk di puls dεm na difrεn say dεm na di bכdi (lεk di chεst, di an, εn di ankכl).
• Dɛn kin tek blɔd sɛmpul fɔ chɛk fɔ difrɛn lɛvul dɛn we kin gɛt fɔ du wit di sik we de na di at.
• Dɛn go chɛk yu yay ɛn yu yay.
• Si if ɛni chenj de na yu skin kɔlɔ ɔ di we aw yu tan.
• Chek fɔ si if yu gɛt ɔlsa na yu skin.
• Dɛn kin mɛzhɔ di blɔd prɛshɔn na di tu an dɛn.

Dis ɛgzam kin tɛl yu dɔktɔ bɔku tin. Bɔt dɛn kin du sɔm spɛshal tɛst dɛn bak fɔ no mɔ bɔt yu at.

Fɔda tɛst dɛn

Na sɔm tɛst dɛn we kin ɛp fɔ no se blɔd nɔ de flɔ na di at dɛn we de na difrɛn pat dɛn na di bɔdi:

• Ankle-brachial index (ABI): dis de kכmpεr di bכdi prεshכn na di lכw leg dεm wit di bכdi prεshכn na di an. dis kin sho aw di bכdi de fכlכ fayn fayn wan na di at dεm na di leg dεm.
• CT Angiogram (`Computed tomography angiogram - CTA`): I de tek 3D pikchכ dεm fכ di at dεm we de gi bכdi to di at (koronary arteries), an, leg, כ intestines fכ εp fכ fכn blכk.
• Echocardiogram (`Echocardiogram - echo`): I de yuz sawnd wev fכ chεk di wok we di at de du.
• E.C.G., ɛn ɔda pipul dɛn. (`Electrocardiogram - ECG/EKG`): I de rεkכd di ilektrikal aktiviti fכ di at. I kin no prɔblɛm wit blɔd flɔ ɛn at bit we nɔ de bit ɔltɛm.
• Pulse volyum rεkכdin: I de mכsu di chenj dεm na di bכdi vכlyum na di lεg dεm. I kin no se di tin dɛn we dɔn blok.
• Vascular ultrasound: I de yuz sawnd wev fɔ tek pikchɔ fɔ yu at (inklud di wan dɛn we de na yu nɛk) fɔ luk fɔ blɔk.

Wetin na di tritmɛnt dɛn?

Di tritmɛnt de dipen pan wetin de mek di sik ɛn aw i siriɔs. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu. Sɔm tritmɛnt dɛn we yu kin gɛt na:

• Atherectomy (ɔpareshɔn fɔ pul di plek we de na di at dɛn).
• כpεrayshכn fכ pul di blכk dεm na di at dεm na di nεk (`Carotid endarterectomy`).
• Koronari at baypas graftin (`Koronari angioplasti`).
• Koronari atεri baypas graftin (CABG).
• Di chenj dɛn we pɔsin kin chenj in layf: fɔ du ɛksɛsayz, fɔ it tin dɛn we gɛt wɛlbɔdi.
• Di mɛrɛsin dɛn: Kɔntrol di blɔd prɛshɔn, kɔlɔstrel, ɛn di shuga we de na di blɔd.
• Mεdisin dεm we de ridyus di risk fכ blɔd kכlכt (Anticoagulants).
• sכm sכm mεsh tyub dεm (`Stents`) dεn kin yus fכ kip di at dεm opin.

Udat de pan big risk fɔ gɛt dis? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Enibodi kin divεlכp `Arterial insufficiency`. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. If yu gɛt ɛni wan pan dɛn tin ya, yu kin gɛt mɔ risk bak:

• di at bit we nɔ de ɔltɛm (`Atrial fibrillation`).
• Dayabitis (`Dayabetis Mɛlitus`).
• di ay kכlestכl na di bכdi (`Hyperlipidemia`).
• Ay blɔd prɛshɔn (Hypertension).
• Protein C we nɔ de wok fayn.
• Protein S we nɔ de wok fayn.
• di kכndishכn dεm we de mek bכdi kכlכt tu kwik (`Thrombophilia`).
• Blɔd we gɛt fɔ du wit kansa (`Trousseau syndrome`).

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik:

• I dɔn pas 60 ia.
• We uman gɛt bɛlɛ.
• Smok ɛn yuz tabak.
• Yuz bɔn kɔntrol pils we gɛt ɛstrojen.

Aw fɔ protɛkt yusɛf frɔm dis? (Prɛvenshɔn) .

If yu chenj yu layf, dat kin ɛp yu fɔ ridyus dis prɔblɛm. Na sɔm tin dɛn we yu kin du:

• Ɛksesaiz ɛvride. Tray fɔ waka fɔ at le 30 minit insay di de, fayv dez insay di wik. Mek shɔ se yu tɔk to yu dɔktɔ bifo yu bigin fɔ du nyu ɛksesaiz.
• Lɛf fɔ smok ɛn fɔ smok kpatakpata. Dis inklud fɔ vap ɛn fɔ it tabak.
• Fɔ fala di it we go ɛp yu at.
• Limit yu rɔm we yu de drink. Fɔ man dɛn, nɔ fɔ drink pas tu tɛm insay wan de. Fɔ uman dɛn, nɔ fɔ drink pas wan pɔsin fɔ drink ɛvride.
• Kɔntrol yu wet. Aks yu dɔktɔ wetin na wɛlbɔdi wet fɔ yu.
• Tek di mɛrɛsin we dɛn gi yu di rayt tɛm.
• Gɛt mɛdikal chɛk-ap at le wan tɛm insay di ia.

Aw fɔ liv wit dis sityueshɔn?

We yu de liv wit di at we nɔ de wok fayn, mɛmba dɛn tin ya:

• Mek wan plan fɔ du ɛksɛsayz. Nɔto ɔlman na di sem. Pik ɛksesaiz we yu lɛk. I kin bi ɛnitin frɔm dans, ays sket, to waka na pak. Dɔn bak, fɛn we fɔ ad sɔm ɔda tin dɛn to yu ɛvride. Aks yu dɔktɔ ɔltɛm us ɛgzampul dɛn we nɔ bad fɔ yu.
• Luk insay di opshɔn dɛn fɔ it fayn fayn wan. Luk insay tin dɛm lɛk di Mɛditarenian it ɛn di DASH it.
• Kip yu skin klin. Dis impɔtant mɔ if yu gɛt PAD, nyuropathy we gɛt fɔ du wit dayabitis, ɔ ɔda periferik nyuropathy. Wash yu fut ɛn yu leg ɛvride, ɛn put mɔstizayza. Chek fɔ si if di skin gɛt kɔlɔ, i dɔn krak, ɔ if i gɛt sɔri.
• Stɔp fɔ smok ɛn yuz tabak. Aks yu dɔktɔ fɔ ɛp yu.
• Wear kɔmfyut sus. Shuz fɔ sɔpɔt ɛn fit fayn.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Kip ɔl yu dɔktɔ apɔntinmɛnt ɛn fɔ fala-fala. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam bak.

Dɔn bak, if yu notis ɛni nyu sayn ɔ chenj na yu sik, kɔl yu dɔktɔ wantɛm wantɛm. I kin fayn bak fɔ print wan list fɔ yu sik dɛn ɛn kip dɛn wit yu. I izi fɔ mis wan sayn na di hustle ɛn bustle na ɛvride layf, ɔr fɔ wɔnda, "Wetin na dis?" So, na fɔ no di tin dɛn we yu nid fɔ wach fɔ. Sheb dis infɔmeshɔn wit di wan dɛn we yu lɛk.

We yu kam fɔ no se yu gɛt `Arterial insufficiency`, yu kin wɔnda, "Aw a go fiks dis?" Na di fɔs tin we wi kin tink bɔt we wi sik. Yu go wish se yu go ebul fɔ tɔn bak tɛm ɛn du tin difrɛn we. Bɔt dis nɔto tɛm fɔ luk bak, bɔt fɔ luk bifo.

Fokus pan wetin yu gɛt naw. Us chenj yu go mek wantɛm wantɛm? Wetin na di wan dɛn we impɔtant pas ɔl? Gɛt gayd frɔm yu dɔktɔ bɔt aw fɔ chenj yu layf ɛn aw fɔ trit yu. Di tin we impɔtant pas ɔl na dat, yu nɔ nid fɔ go tru dis waka yu wan. Yu dɔktɔ ɛn yu ɔl di wɛlbɔdi tim de ya fɔ ɛp yu fɔ mek yu at gɛt wɛlbɔdi.

` Atεri blכk, rεdכks bכdi fכ fכlכ, at sik, bכdi vεsul dεm, hεlth, strכk, kכlestכl