Yu na pɔsin we de smok? Ɔ yu de yuz tabak? Bɔku tɛm yu kin fil pen ɛn yu finga dɛn, yu fut finga dɛn, ɛn yu fut finga dɛn kin swɛ? Sɔntɛnde, yu finga dɛn kin tɔn blu ɔ pale? Nɔ ignore dɛn tin ya. Dis kin bi di biginin fɔ wan siriɔs sik we dɛn kɔl ‘Buerger’s disease’, we na fɔ pipul dɛn we de smok. Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Wetin rili na di sik we dɛn kɔl Buerger’s Disease?
Fɔ tɔk am simpul wan, Buerger’s disease na wan sik wae nɔr kin bɔrku wae kin afɛkt di blɔd vesel dɛm (blɔd vesel dɛm) na yu an ɛn yu leg. Di smɔl ɛn midul saiz blɔd vesel dɛn we de go na yu finga dɛn na dɛn kin afɛkt mɔ.
כda mεdikal nem de fכ dis, we na `(Thromboangiitis Obliterans)` . I tan lɛk se di nem kɔmplikt smɔl, nɔto so? Lɛ wi ɔndastand am simpul wan.
- ‘Thrombo’ min blɔd we de klɔt.
- ‘Angiitis’ de tכk bכt inflameshn, כ swel, na di bכdi vεsul dεm.
- ‘Obliterans’ min sɔntin we dɛn de blok, we nɔ de atɔl.
So fɔ tɔk am simpul wan, dis na sik we di blɔd vesel dɛn kin swel, blɔd kin klɔt insay dɛn, ɛn blɔd kin blok kpatakpata .
Imajin se wata paip we dɔn lɔk wit rɔst ɛn dɔti. Na dat kin apin to wi blɔd vesel dɛm na dis sik. We di blɔd nɔ de flɔ tru di blɔd vesel dɛn, di tisu dɛn we de fa lɛk di finga dɛn nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. Dis kin mek pɔsin fil pen bad bad wan fɔs, dɔn di tisu dɛn kin bigin fɔ day.
Dis sik kin bɔku na kɔntri dɛn lɛk Sri Lanka usay pipul dɛn kin yuz bɔku bɔku tabak. Bɔt di gud nyus na dat, we di pipul dɛn we de smok dɔn go dɔŋ, di wan dɛn we gɛt dis sik dɔn go dɔŋ bak bad bad wan.
Wetin na di sayn dɛm fɔ dis sik? Aw yu no am?
Di sayn dɛm fɔ Buerger in sik nɔ kin apin wantɛm wantɛm. Dɛn kin divɛlɔp smɔl smɔl as tɛm de go. Sɔm sayn dɛm de wae kin kam kwik kwik wan, ɛn sɔm kayn sayn dɛm wae kin kam wae de sik de go bifo.
| Tayp we gɛt kwaliti dɛn | Tɔk bɔt |
|---|---|
| Di sayn dɛm we kin kam fɔs |
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| Simptom dɛm wae kin kam as tɛm de go |
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Di tin we impɔtant pas ɔl na dat, dɛn sayn ya kin bigin na di finga dɛn ɛn afta dat dɛn kin spre smɔl smɔl go ɔp, dat na, along di an ɛn leg dɛn.
Wetin mek dis sik kin apin? Udat dɛn de pan big risk?
Sayɛnsman dɛn stil nɔ no wetin rili mek pɔsin gɛt di sik we dɛn kɔl Buerger, bɔt di tin we strɔng ɛn klia pas ɔl we dɛn dɔn fɛn te naw na fɔ yuz tabak .
Sayɛnsman dɛn biliv se wan kemikal we de insay tabak kin pwɛl di layn we de na di blɔd vesel dɛn ɛn mek i gɛt inflamɛns. Dis kin mek di blɔd vesel dɛn swel ɛn blɔd kin blok. Sɔm sayɛnsman dɛn tink se i kin bi wan tin we de mek pɔsin in jɛnɛtiks ɔ na sik we pɔsin kin gɛt we i de fɛt insɛf.
Bɔrku tin de wae kin mek pɔrsin gɛt dis sik:
- Yuz tabak: Fɔ smok ɛnitin lɛk sigrɛt, bidi, siga, ɛn fɔ it tabak na di men tin we kin mek yu gɛt dis sik. Yuz kanaba kin involv bak.
- Fɔ mek yu yon sigrɛt: Pipul dɛn we de yuz rol-yu-own sigrɛt kin gɛt mɔ risk.
- Jɛnda: Man dɛn kin gɛt dis sik pas uman dɛn.
- Ej:Dis sik kin kam pan yɔŋ ɛn midul ej pipul dɛm wae ol bitwin 20 ɛn 45 ia.
Wetin na di prɔblɛm dɛn we kin kam wit di sik we dɛn kɔl Buerger?
If dɛn nɔ kɔntrol dis sik fayn fayn wan, dat min se if dɛn kɔntinyu fɔ yuz tabak, siriɔs prɔblɛm dɛn kin apin. Bɔt dɛn nɔ kin si dɛn tin ya bɔku tɛm.
- Amputation: Dis na di prɔblɛm we kin apin pas ɔl. We gangrene apin, dɛn fɔ ɔpreshɔn di tisu we dɔn day. If nɔto dat, di sik kin skata ɔlsay na di bɔdi.
- Strok
- At atak
- Transient ischemic atak we kin apin
- Prɔblɛm wit di blɔd vesel dɛn na di intestinal.
- Prɔblɛm dɛn we gɛt fɔ du wit di nervɔs sistɛm.
Aw dɔktɔ kin no bɔt dis?
If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ. I go aks yu kwɛstyɔn, chɛk yu, ɛn tray fɔ no if dis na di sik.
Bɔku tɛm, dɛn tin ya kin ɛp fɔ no if pɔsin gɛt di sik:
1. Yu mɛdikal istri: Dɛn go aks yu bɔt tin dɛn lɛk if yu de smok, aw lɔng yu dɔn de smok, ɛn ɔmɔs sigrɛt yu de smok ɛvride.
2. Fɔ chɛk yu bɔdi: Dɛn go chɛk yu puls. pan Buerger in sik, di distal puls dεm (e.g., na di lεg εn an) kin wik.
3. Spɛshal tɛst fɔ blɔd vesel dɛn:
- Ultrasound Scan: Dis kin chɛk fɔ si if blɔd dɔn klɔt insay di blɔd vesel dɛn.
- Ankle-Brachial Index (ABI): Dis de mek yu no di blɔd prɛshɔn na yu leg ɛn yu an ɛn kɔmpia di tu valyu dɛn. If di blɔd prɛshɔn na yu leg rili smɔl pas di wan we de na yu an, dat min se blɔd nɔ de go na yu leg.
- Angiogram: Dis na di bɛst tɛst fɔ luk fɔ si if yu blɔd vesel dɛn dɔn blok. Insay dis, dɛn kin put spɛshal day insay wan pan yu blɔd vesel dɛn ɛn dɛn kin du ɛkstrem rayt ɔ CT/MRI skan. Dis kin mek di dɔktɔ si klia wan usay ɛn ɔmɔs di blɔk de.
Wetin na di bɛst tritmɛnt fɔ dis?
Mɛmba dis. Nɔr mɛrɛsin nɔr de fɔ Buerger in sik yet. Bɔt di bɛst ɛn di wangren we fɔ stɔp di sik fɔ mek i nɔ wɔs ɛn fɔ kɔntrol di sayn dɛn na fɔ stɔp ɔl di smok ɛn nikotin we yu de yuz wantɛm wantɛm, ivin fɔ smok.
Dis na di men ɛn nɔmba wan tritmɛnt fɔ dis sik. Ivin if yu smok wan sigrɛt ɛvride ɔ yu wɛr nikotin pat, di sik nɔ go bɛtɛ, i go jɔs wɔs.
Bɔrku pipul dɛm wae gɛt dis sik kin gɛt bɔrku impɔtant improvement pan dɛn sik wae dɛn kin stɔp fɔ smok. Sɔm kin ivin go insay rɛmishɔn.
Apat frɔm we yu lɛf fɔ smok, yu dɔktɔ kin tɛl yu bak fɔ du ɔda tritmɛnt dɛn fɔ ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz |
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| Ɔda tritmɛnt dɛn |
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Wetin a fɔ pe atɛnshɔn to we a de liv wit dis sik?
If yu gɛt Buerger’s disease, yu go nid fɔ mek sɔm smɔl smɔl chenj dɛn na yu layf.
- Nɔ tek tabak kpatakpata: Dis na di tin we impɔtant pas ɔl. Nikotin pat ɛn marijuana na fayn tin dɛn bak fɔ pik. If yu nid ɛp fɔ lɛf fɔ smok, tɔk to yu dɔktɔ bɔt am.
- Protekt yusɛf frɔm di kol:Kol weta kin mek di blɔd vesel dɛn kɔnstrikt mɔ, so wɛr wam sɔks ɛn glɔv pan kol de.
- Nɔ mek yu an ɛn fut nɔ wund: Ivin smɔl wund kin tek lɔng tɛm fɔ wɛl, so tek tɛm we yu de wɛr sus ɛn wok.
- Yuz di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu.
- Tek tɛm we yu de tek ɔda mɛrɛsin: Sɔm mɛrɛsin (e.g., sɔm kol mɛrɛsin) kin mek yu blɔd vesel dɛn kɔnstrikt. So aks yu dɔktɔ bifo yu tek ɛni mɛrɛsin.
Mɛmba se, lɛk 50% pan di pipul dɛn we de kɔntinyu fɔ smok, ɔ wan pan tu pipul dɛn, go nid fɔ gɛt ɔpreshɔn fɔ pul dɛn finga ɔ fut finga (amputation). Bɔt i sɔprayz fɔ no se pipul dɛn we lɛf fɔ smok nɔ kin gɛt da kayn ɔpreshɔn de.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, mɔ if yu na pɔsin we de smok, go to dɔktɔ wantɛm wantɛm. If yu sik de wɔs ɔr nyu sayn dɛn kam, mek yu dɔktɔ no.
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU)?
If yu gɛt sɔm sayn dɛm fɔ strok ɔ hat atak (e.g., yu chɛst de pen wantɛm wantɛm, i nɔ izi fɔ tɔk, yu nɔ de fil fayn na wan say na yu bɔdi), go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm. Dɔn bak, if wund na yu finga dɛn de mek yu fil pen bad bad wan, yu de swel, ɔ yu de smɛl bad bad wan, dat kin bi sayn fɔ se yu gɛt siriɔs infekshɔn. If na so i bi, go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Buerger’s Disease na wan sik wae de kam wit blɔd vesel wae gɛt fɔ du wit aw pɔrsin de smok.
- Di bɛst ɛn nɔmba wan tritmɛnt fɔ dis sik na fɔ stɔp ɔl di tin dɛn we dɛn kin yuz fɔ smok ɛn nikotin kpatakpata, lɛk sigrɛt, bidis, siga, sigrɛt we pɔsin kin it, ɛn nikotin pat.
- If yu na pɔsin we de smok, nɔ tek di sayn dɛn lɛk pen, swɛt, di kɔlɔ we de chenj, ɛn wund dɛn we nɔ de wɛl na yu an ɛn fut, mɔ di finga dɛn, layt.
- If yu no se yu gɛt di sik kwik kwik wan ɛn stɔp fɔ smok, yu go ebul fɔ avɔyd siriɔs prɔblɛm dɛn lɛk fɔ kɔt yu an.
- If yu gɛt ɛni dawt bɔt dis ɔ yu nid sɔpɔt fɔ lɛf fɔ smok, tɔk to yu dɔktɔ opin wan.
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