Yu gɛt blɔd we de klɔt na wan vein na yu an? (Axillo-Subclavian Vein Thrombosis) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin fil shap pen wantɛm wantɛm na yu an, yu kin swel, ɔ yu kin gɛt blu kɔlɔ? Ɔ yu an kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk ɔ yu kin ebi? Dɛn tin ya nɔto sayn dɛn we wi fɔ ignore. I kin bi blɔd we de klɔt na big vein na yu an ɔ yu armpit. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis (Axillo-Subclavian Vein Thrombosis) ɔ (ASVT) . Nɔ wɔri, wi go tɔk bɔt dis simpul we we yu go ɔndastand.

Wetin na dis (Axillo-Subclavian Vein Thrombosis)?

Fɔ tɔk am simpul wan, Axillo-Subclavian Vein Thrombosis (ASVT) na we blɔd klɔt de fɔm na di sabklavian vein , big vein na yu sholda, ɔ di aksila vein, we na vein na yu armpit. Tink bɔt yu vein dɛn lɛk wata paip. If wan rib ɔ mit nia dis vein prɛs pan am, i kin mek blɔd nɔ flɔ ɛn mek blɔd klɔt.

Bɔrku tɛm dis kin kam wae yu gɛt injury na yu ɔp an, ɔr wae yu de strɛs na yu an wae yu de muv ɔltɛm. Sɔm pipul dɛn kin kɔl am Paget-Schroetter syndrome , ɛn ɔda wan dɛn kin kɔl am effort-induced thrombosis , we min “blɔd we kin klɔt we pɔsin de tray tranga wan.”

Dis (Dip Vein Thrombosis - DVT) nɔ kin bɔku?

Yɛs, yu kin gɛt da prɔblɛm de. (ASVT) na rili wan kayn sik we dɛn kɔl (Deep Vein Thrombosis) ɔ (DVT) . (DVT) na we blɔd klɔt de fɔm insay wan vein we de dip insay di bɔdi. Bɔt bɔku tɛm we wi de tɔk bɔt (DVT) wi kin tɔk bɔt blɔd we kin mek na di leg dɛn. Bɔrku tɛm, dɛn kin kam wit tin dɛm lɛk fɔ fat, fɔ nɔr de du tin wit yu bɔdi, fɔ ol, ɔr ɔda sik dɛm wae gɛt fɔ du wit di vein dɛm.

Bɔt bɔku tɛm, di blɔd kin klɔt na di an, we dɛn kɔl ASVT, kin apin bikɔs ɔf aksidɛnt ɔ bikɔs i yuz di an fɔ lɔng tɛm. Sɔmtɛm de sayn ɛn tritmɛnt fɔ dɛn tu sik ya kin difrɛn.

Udat kin gɛt dis (ASVT) mɔ?

Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik pasmak. Dɛn tin ya na:

• Ɔltɛm i kin du tin, bɔku tɛm i kin gɛt wɛlbɔdi .
• Yɔŋ pipul dɛn we ol bitwin 15 ɛn 45 ia .
• Pipul dɛn we de ple spɔt (e.g. fast bowlers na kriket, swima, weit lifta) ɔ pipul dɛn we de wok wit dɛn an we dɛn es ɔp ɔltɛm (e.g. peinta, ilɛktrishian, pipul dɛn we de du hevi liftin wok). Jɔs tink bɔt, we yu wok wit yu an dɛn we yu es ɔp ɛn twist di sem we, dɛn kin put prɛshɔn pan dɛn vein dɛn de.
• Pipul dɛn we gɛt sɔm prɔblɛm dɛn we kin mek dɛn blɔd klɔt na dɛn jɛnɛtiks .

Difrɛn kayn (ASVT) de?

Yɛs, tu men kayn (ASVT) de:

1. Praymari ASVT: .Dis na di kayn we we kɔmɔn pas ɔl, we kin kam bikɔs di an de muv tranga wan ɛn ripit.

2. Sεkɔndari ASVT: Dis kin kכz fכ sכm mεdikal divays dεm we dεn put insay yu כp chεst. Fɔ ɛgzampul:

• (Central venous catheter) (wan tiub we dεn put insay wan men vein) .
• (Defibrillator) (na tin we de mek di at wok bak) .
• (Pacemaker) (na tin we de kɔntrol aw di at de bit) .
• (Mɛdikeshɔn pɔt) (Na smɔl tin we dɛn kin put ɔnda di skin fɔ gi mɛrɛsin)

Dɛn tin ya kin mek bak di blɔd vesel dɛn kɔnstrikt ɛn mek blɔd klɔt.

Aw kɔmɔn tin (ASVT)?

Fɔ tru, ASVT nɔto wan sik we kin rili kɔmɔn. Statistikin sho se i kin apin pan wan ɔ tu pipul dɛn pan ɛvri 100,000 pipul dɛn ɛvri ia. כltu, na כnli 10% to 20% pan כl di DVT dεm na di כp εkstrim na ASVT de kכz am. So, frɔm da we de, na wan impɔtant nɔmba.

Wetin na di sayn dɛm fɔ (ASVT)?

If yu gɛt ASVT, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• An pen: I kin bigin wantɛm wantɛm, sɔntɛnde i kin rili bad.
• di vein dεm we yu kin si na di an dεm: di vein dεm kin tan lεk se dεn de bכl bikoz fכ di bכdi we de fכlכ kכnstrikt.
• Blu skin kala (Cyanosis): Di skin na di an kin tɔn blu. Dis min se ɔksijɛn nɔ de.
• Fɔ fil se yu an de ebi ɔ yu taya: I nɔ kin izi fɔ yu fɔ es yu an ɔ muv yu an.
• Di an we de swel wantɛm wantɛm: Di an kin bigin fɔ swel wantɛm wantɛm.

di imכtant tin na dat, insay sכm kes dεm (10% - 20%) dis bכdi kכlכt kin brok fri frכm di vein, travul tru di bכdi, εn travul go na di lכng dεm. Dɛn kɔl dis Pulmonary Embolism (PE) . Dis na tin we rili denja . I kin mek di lɔng dɛn pwɛl bad bad wan, ɛn i kin ivin mek pɔsin in layf de pan denja. So, if yu bigin fɔ gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ ɛn yu nɔ fɔ west ɛni tɛm.

Wetin mek dis (ASVT) kin apin?

As wi bin dɔn tɔk, di men tin we kin mek i apin na we di an de muv ɔltɛm. Imajin, yu de es wet ɔ ple spɔt ɔltɛm. Dɔn di mɔsul dɛn we de rawnd yu sholda ɛn yu an kin taya ɛn swel. dis mכsul dεm we swεla kin kכmprεs di bכdi vεsul dεm we de de (especially di sabklavian כ aksila vein dεm).

as tεm de go, dis prεshכn kin pwεl di vein wכl εn mek ska tisu fכm. Dɔn di vein kin smɔl frɔm insay, ɛn dis kin mek di blɔd we kin pas insay am nɔ bɔku. Dis kin mek di blɔd nɔ de flɔ fayn ɛn i kin mek di blɔd klɔt mɔ ɛn mɔ. Sɔmtɛm dɛn kin kɔl dis sik Thoracic Outlet Syndrome (TOS).Dɛn kin kɔl am bak. i min se di spεs we de na di כp pat na di chεst (thoracic outlet) de sכmtεm, we de mek prεshכn pan di vein dεm εn di nεv dεm.

sכmtεm, ASVT kin kכz fכ wan abnכmaliti na di fכs rib, כ chenj na di mכsul dεm כ ligament dεm we de rawnd di vein dεm na di armpit εn sכlda εria.

Aw dɔktɔ kin no dis (ASVT)?

We yu go to dɔktɔ wit di sayn dɛn we wi bin dɔn tɔk bɔt, i go chɛk yu fɔs. Di dɔktɔ go ebul fɔ si tin dɛn lɛk we yu an swel, yu kɔlɔ chenj, ɛn yu vein dɛn we de bulbul wan tɛm.

Dɔn, yu go nid fɔ du sɔm tɛst dɛn fɔ mek shɔ se:

• (Duplex ultrasound): Bɔku tɛm dis na di fɔs tɛst we dɛn kin du. I de yuz sawnd wev fɔ luk di blɔd we de flɔ insay di vein dɛn ɛn fɔ si if ɛni blɔd klɔt de. Dis na tɛst we nɔ de mek pɔsin fil pen ɛn we izi fɔ du.
• Kateta-gayd venografi: Sɔntɛnde dɛn kin du dis tɛst. Insay dis tɛst, dɛn kin pas wan smɔl tin tiub (kateta) tru wan vein to usay dɛn tink se di blɔd klɔt de, ɛn dɛn kin put spɛshal day insay di vein tru di kateshɔn. Dɔn dɛn kin tek ɛkstrem rayt fɔ si usay di vein dɔn blok ɛn aw big di klot de.
• (CTA - computerized tomography angiography): Dis tan lεk CT skan, bכt i de luk spεshal wan pan di bכdi vεsul dεm. Dɛn kin du am bak bay we dɛn injekt wan day.
• (MRA - magnetic resonance angiography): Na tεst we de yuz MRI skan fכ luk di bכdi vεsul dεm.

Dɛn tɛst ya kin no if di sik (ASVT) de, usay i de, ɛn aw i bad.

Wetin na di tritmɛnt dɛm fɔ (ASVT)?

Di bɛst tin na dat, fayn tritmɛnt dɛn de fɔ ASVT. Dɛn kɔl di men tritmɛnt trombolysis ɔ trombolytic therapy .

Dis min se dɛn kin injɛkt wan mɛrɛsin we de sɔlv di blɔd we dɔn rɔtin ɛn pul am, lɛk aw wi bin dɔn tɔk, dairekt insay di vein usay di blɔd klɔt de tru wan smɔl tiub (kateta) . Dis kin mek di blɔd klɔt sɔlv ɛn mek di blɔd flɔ bak na di vein.

Sɔntɛnde, dis (thrombolysis) tritmɛnt kin kam wit sɔntin we dɛn kɔl (thrombectomy) . Dat min se dɛn kin pul di blɔd we dɔn klɔt bay we dɛn yuz mashin ɔ we dɛn kin du smɔl ɔpreshɔn.

Afta dɛn tritmɛnt ya, dɛn go gi yu mɛrɛsin we de mek yu blɔd tan , lɛk Warfarin ɔ ɔda mɛrɛsin dɛn we dɛn de yuz tide, fɔ sɔm mɔnt fɔ mek blɔd nɔ klɔt bak. I rili impɔtant fɔ tek dis mɛrɛsin fɔ di rayt tɛm we yu dɔktɔ tɛl yu.

Apat frɔm dat, di dɔktɔ go gi yu dɛn advays ya bak:

• Ridyus di yus fɔ di an we di sik afɛkt te di sayn dɛn go dɔŋ kpatakpata.
• Kip yu an dεm εlevεt sכmtεm we i pכsibul (arm elevations).
• Fizik tɛrapiRif to di Baybul. Dis go ɛp yu fɔ muv bak ɛn gɛt trɛnk na yu an.
• Wear kɔmpreshɔn sliv (lɛk tayt sɔk) pan di an we di sik afɛkt. Dis go ɛp fɔ ridyus di swɛlin ɛn fɔ mek di blɔd go fayn fayn wan.

Yu tink se i go nid fɔ du ɔpreshɔn?

Sɔntɛnde, na yɛs. Dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di blɔk kpatakpata ɛn fɔ ridyus di risk fɔ mek blɔd klɔt bak. Dis ɔpreshɔn kin min fɔ pul di tin we dɔn blok. Fɔ ɛgzampul, dɛn kin pul wan pat pan di fɔs rib ɔ wan pat pan di mit we de mek di bɔdi blok. Dis kin mek blɔd flɔ fri wan tru di vein.

Wetin wi kin du fɔ mek di (ASVT) nɔ divɛlɔp?

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

• Ɔltɛm muv di mɔsul dɛn na yu an dɛn jisnɔ ɛn du ɛksɛsayz lɛk fɔ strɛch .
• Nɔ wok yu an dɛn pasmak .
• If yu de es wet ɔ yu de du ɛksasaiz tranga wan, rɛst bitwin dɛn .
• Ɛnitɛm we i pɔsibul, tray fɔ wok wit yu an we nɔ de oba yu . (e.g. if yu na rayt-an, yuz yu lɛft an we i pɔsibul).

Aw di tin go tan lɛk afta dɛn dɔn trit am?

Bɔrku pipul dɛm wae gɛt ASVT kin du fayn fayn wan afta tritmɛnt. Stɔdi dɔn sho se if dɛn no di sik ɛn trit am kwik, jɔs lɛk aw di sik bigin, 90% to 95% kin gɛt sakrifays .

Bɔt sɔm pipul dɛn kin gɛt wan prɔblɛm we dɛn kɔl Post-thrombotic Syndrome (PTS) . Insay dis, di sayn dɛm lɛk fɔ pen fɔ lɔng tɛm, fɔ ebi, ɛn fɔ swel na di an we di sik afɛkt kin kɔntinyu. So, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn ivin afta yu dɔn gɛt tritmɛnt.

Ustɛm wi fɔ go to dɔktɔ kwik kwik wan?

If yu notis ɛni wan pan di fɔs sayn dɛm fɔ ASVT, go to dɔktɔ wantɛm wantɛm . Nɔ delay, mɔ if yu gɛt ɛni wan pan dɛn tin ya:

• Chɛst de pen
• Yu tu an ɔ yu leg dɛn kin swɛla
• I nɔ izi fɔ blo (dyspnea) .

Dɛn tin ya kin bi sayn fɔ wan denja kɔndishɔn lɛk Pulmonary Embolism (PE).

(ASVT) If na so, us kwɛstyɔn yu fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt ASVT, i fayn fɔ aks sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us chenj dɛn a kin mek na layf fɔ mek a nɔ gɛt bɔku blɔd?
• A kin kɔntinyu fɔ du ɛksɛsayz ɛn du wok wit mi an?
• Wetin a go du fɔ mek blɔd nɔ kam bak?
• Aw lɔng yu nid fɔ tek mɛrɛsin we de mek yu blɔd tan?

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

A op se naw yu dɔn ɔndastand mɔ bɔt wetin wi tɔk bɔt tide (Axillo-Subclavian Vein Thrombosis - ASVT). Fɔ sɔmtin:

• (ASVT) na bכdi we de kכlכt we de fכm insay wan big vein na yu an כ yu armpit.
• Bɔku tɛm dis kin apin bikɔs dɛn kin yuz di an ɔltɛm ɛn taya.
• Yu kin sɔprayz if yu gɛt sɔm sayn dɛm lɛk pen wantɛm wantɛm, swel, ɛn blu skin na yu an.
• Trombolysis (mɛrɛsin fɔ sɔlv di blɔd we de klɔt) ɛn thrombectomy (fɔ pul di blɔd we de klɔt) na di men tritmɛnt dɛn.
• Di tin we impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn bigin fɔ trit am. If yu du dat, yu gɛt bɛtɛ chans fɔ mek yu wɛl ful wan.

If yu gɛt dɛn kayn sik ya, nɔr frayd ɛn go to dɔktɔ ɛn nɔr de te. Stay wit wɛlbɔdi!

` aksillo-sabklavian vein trombosis, ASVT, blɔd klot, an vein, sכlda pen, an swel, DVT, Pulmonary Embolism, Paget-Schroetter syndrome