Yu an dɔn swel ɛn blu wantɛm wantɛm? Dis kin bi Axillo-Subclavian Vein Thrombosis (ASVT)?

Imajin se yu na yɔŋ man we gɛt wɛlbɔdi ɛn we de ple kriket, we de wok tranga wan na di jim. Bɔt wantɛm wantɛm yu an bigin fɔ at, swel, ɛn luk blu smɔl. Bɔku tɛm, dɛn kin tink se na sɔntin lɛk we di mɔsul dɛn kin strɛs. Bɔt dis kin bi wan sik we siriɔs pasmak, bɔt we pɔsin kin rili trit. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, ‘Axillo-Subclavian Vein Thrombosis’ ɔ ASVT fɔ shɔt.

Simply put, wetin na dis ASVT?

Fɔ tɔk am simpul wan, ASVT na di we aw blɔd de klɔt na dip vein na yu ɔpa an, lɛk di aksila vein ɔ di sabklavian vein. Dis kin apin afta yu dɔn wund yu an ɔ we yu yuz yu an tumɔs ɛn du di sem tin bak ɛn bak. Dɛn kin kɔl dis sik bak Paget-Schroetter syndrome ɛn trombosis we pɔsin kin tray fɔ du.

Dis na wan kayn DVT bak? Wetin na di difrɛns?

Yes, ASVT na wan kayn dip vein trombosis (DVT) bak. Bɔt we wi kin yɛri bɔt DVT, wi kin yɛri bɔt blɔd we kin kam na di leg dɛn. I kin kam wit tin dɛm lɛk fɔ sidɔm na di sem pozishɔn fɔ lɔng tɛm, fɔ fat, ɛn fɔ ol. Bɔt dis kɔndishɔn we dɛn kɔl ASVT difrɛn frɔm dat.

Yu kin ɔndastand dis difrɛns izi wan frɔm di tebul we de dɔŋ ya.

Udat kin gɛt dis sik?

Pan ɔl we dis kin tan lɛk se i sɔprayz, ASVT kin kam pan pipul dɛn we gɛt wɛlbɔdi, we gɛt wɛlbɔdi, ɛn we de du tin , mɔ di wan dɛn we ol bitwin 15 ɛn 45 ia.

Tink bɔt pipul dɛn lɛk dis:

• Pipul dɛn we de du ɛksɛsayz ɔ spɔt dɛn we dɛn kin du ɔltɛm we dɛn kin es dɛn an ɔp, lɛk fɔ bɔl fast fast na kriket, fɔ ple volibol, fɔ swim, ɔ fɔ es wet.
• Pipul dɛn we de wok na wok we dɛn kin du wit dɛn an, lɛk fɔ peint ɛn fɔ mek ilɛktrishian.
• Pipul dɛm wae gɛt dis maynia sik wae de mek blɔd klɔt kin de pan denja bak.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm fɔ ASVT kin apin wantɛm wantɛm. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Pen na di an.
• di vein dεm na di an dεm kin bulg εn dεn kin si am klia wan.
• Blu diskɔlɔreshɔn na di skin na di an (Cyanosis).
• Wan filin we yu kin fil we yu gɛt ebi ɔ taya na yu an.
• Di an kin swel wantɛm wantɛm (dis na di sayn we kin apin mɔs).

Wetin na di rial tin we de mek ASVT?

Na so i de wok. Imajin wan blɔd vesel (vein) na yu sholda we tan lɛk wata paip. Na di tu say dɛn na dis paip, dɛn kin tay wan rib ɛn wan mɔsul tayt tayt wan. We yu du ɛksɛsayz ɔ wok we yu fɔ es yu an ɔp, di vein kin pinch bitwin da mɔsul de ɛn di rib, ɛn dis kin mek i wund.

as tεm de go, ska tisu de fכm na di say we dis injuri de, we de mek di vein sכmtεm mכr. Dis kin mek di blɔd nɔ flɔ. Na da tɛm de blɔd kin bigin fɔ klɔt. di כndalayn kכndyushכn we de mek dis vein de blok dεn kכl am tכraks כltεt sεndrכm (TOS).

Aw yu go fɛn dis, Dɔktɔ?

Bay di sayn dɛm we yu gɛt, if yu dɔktɔ sɔprayz dis, i go ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik afta dɛn dɔn chɛk yu bɔdi.

• Duplex ultrasound: Dis na di tɛst we dɛn kin du mɔ. I de yuz sawnd wev fɔ luk aw blɔd de flɔ insay di veins ɛn fɔ si if ɛni blɔd klɔt de.
• Kateta-gayd venografi: Dɛn kin put smɔl tiub (kateta) insay wan vein, dɛn kin injɛkt spɛshal day, ɛn tek ɛkstrem rayt fɔ si usay di blɔd klɔt de ɛn aw di vein dɔn blok.
• CTA (computerized tomography angiography): CT skan de tek ditayla imej dεm fכ di vein dεm.
• MRA (magnetic resonance angiography): Fɔ chɛk di vein dɛn we dɛn de yuz MRI skan.

Wetin na di tritmɛnt dɛm fɔ dis?

ASVT na wan sik we dɛn fɔ trit. Fɔ delay di tritmɛnt nɔ fayn. di men we aw dεn de trit am na `Thrombolysis`.

Di we aw dɛn kin trit am

• trombolysis (klot dissolv): dis involv fכ gi wan klot-disolv dכg dairekt insay di vein usay di klot de tru wan kanula lεk tכb (kateta).
• Thrombectomy (blɔd klɔt we dɛn kin pul): Sɔntɛnde, dɔktɔ dɛn kin pul dis blɔd klɔt wit dɛn bɔdi tru smɔl ɔpreshɔn.
• Blɔd tin dɛn: Afta dɛn dɔn pul di blɔd we de klɔt, dɛn go gi yu blɔd tin fɔ sɔm mɔnt fɔ mek blɔd nɔ fɔm bak.

Apat frɔm dis tritmɛnt, di dɔktɔ go gi yu sɔm ɔda advays.

• Rɛst di an te di sayn dɛn go dɔŋ.
• fכ ol di an כp dεn kכl am ``arm elevations``.
• Riferal to fizik tɛrapi.
• We yu wɛr spɛshal kɔva we tan lɛk bandej (kɔmpreshɔn sliv) na di an.

Sɔntɛnde, dɛn kin ɔpreshɔn wan smɔl mɔsul ɔ wan pat pan di fɔs rib we de blok di vein fɔ mek di vein ebul fɔ flɔ fri wan.

Aw di tin kin bi afta dɛn dɔn trit am?

Dis na di tin we impɔtant pas ɔl. If dɛn no ASVT kwik ɛn bigin fɔ trit am kwik, di rizɔlt kin rili fayn. stכdi dεn sho se di sakses rεt de bitwin 90% εn 95%.

Bɔt sɔm pipul dɛn kin gɛt wan prɔblɛm we dɛn kɔl `pɔst-thrombotic syndrome (PTS).` Dis min se di sayn dɛm lɛk pen, ebi, ɛn swel na dɛn an kin kɔntinyu ivin afta dɛn dɔn trit am. So, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am kpatakpata, bɔku tin dɛn de we yu kin du fɔ ridyus di prɔblɛm.

• Nɔ du ɛksɛsayz we de mek yu strɛs ɔ wok fɔ lɔng tɛm, ɛn briŋ brɛk bitwin dɛn.
• Du strɛch bifo ɛn afta yu de du ɛksɛsayz fɔ strɛch yu an mɔsul dɛn.
• Nɔ es wet we yu mɔsul dɛn nɔ ebul fɔ ebul fɔ es.
• Tray fɔ yuz yu an we nɔ de domin ɛnitɛm we i pɔsibul.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ wantɛm wantɛm we yu si di fɔs sayn dɛn fɔ ASVT (we yu de swel wantɛm wantɛm, yu de fil pen, yu an de blu). Dɔn bak, if dɛn sik ya apin, tek am se na imejensi ɛn go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.

• Chɛst de pen
• I nɔ izi fɔ blo (dyspnea) .
• Fɔ mek pɔsin nɔ ebul fɔ du natin