Yu gɛt blɔd we de klɔt na wan vein na yu bren? (Sεribral Venכs Sayn Trכmbosis - CVST) Lε wi lan bכt am.

Yu dɔn ɛva gɛt bad bad ed we bin tan lɛk se i de wɔs ɛvride? Ɔ yu dɔn gɛt wan sik we tan lɛk se yu de sik wantɛm wantɛm? Sɔntɛnde, dɛn tin ya kin bi sayn fɔ sɔntin we siriɔs. Tide wi go tɔk bɔt wan patikyula kɔndishɔn we kin mek dis apin, we na we blɔd kin klɔt na wan big at na di bren.

Wetin na Sεribra Venכs Sayn Trכmbosis (CVST)?

Fɔ tɔk am simpul wan, Cerebral Venous Sinus Thrombosis , ɔ CVST fɔ shɔt, na blɔd we de klɔt insay wan big blɔd vesel, we na vein, na yu bren. Dis na wan sik we nɔ kin apin so ɔltɛm, bɔt i kin mek lɛk 1% pan ɔl di strok dɛm we dɛn no.

Imajin, we blɔd klɔt fɔm na wan big at na yu bren, di blɔd kin bigin fɔ flɔ na di rɔng say instead fɔ flɔ di rayt say. Dis kin mek di prɛshɔn we de insay di bren go ɔp, ɛn dis kin mek di bren swel. Dis tan lɛk we wata paip de blok ɛn mek wata bak ɔp.

Blɔd klɔt lɛk dis kin ɔltɛm fɔm na di sayn dɛn na yu bren:

• Transvas sayn we de na di sayn
• Supiriɔr sajital saynɔs
• Infεriכr sajital saynכs
• Sigmoid sayn dɛn we de na di sayn dɛn
• Sayn we gɛt kavɛn
• Dip sayn dεm na yu kכtεks

Udat dɛn kin afɛkt mɔ pan dis (CVST) kɔndishɔn?

Dis kכndyushכn (CVST) kin bכku pan uman dεm . I kin apin mɔ pan pipul dɛn we ol bitwin 40 ɛn 50 ia, bɔt i kin apin we dɛn yɔŋ, ivin pan bebi dɛn .

Yu kin gɛt CVST if yu gɛt ɛni wan pan dɛn tin ya ɔ tin dɛn we kin mek yu gɛt dis sik:

• Nephrotic syndrome - Dis na wan sik wae gɛt fɔ du wit di kidni dɛm.
• Di tin dɛn we kin mek pɔsin gɛt kansa.
• Vasculitis - Dis na inflamɛns na di blɔd vesel dɛm.
• Sarkoidosis we pɔsin kin gɛt.
• Fat.
• Covid-19 (`COVID-19`) infεkshכn.
• Trombophilia - Dis na wan sik we yu kin gɛt frɔm yu mama ɛn papa we yu blɔd kin klɔt izi wan.
• Liva sik.

Aw kɔmɔn tin na CVST?

CVST na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm . Risach pipul dεm se i kin afekt bitwin tu (`2`) εn fayvtin (`15`) pipul dεm pan wan milyan pipul dεm evri ia. Dɛn kin tɔk bak se lɛk sɛvin (`7`) pan ɛvri milyɔn pikin ɛn bebi dɛn kin gɛt CVST ɛvri ia. So yu kin si, i nɔ kɔmɔn so.

Us ifɛkt CVST kin gɛt pan mi bɔdi?

Bɔku kɔmplikeshɔn dɛn de we kin apin bikɔs ɔf CVST. Dɛn na:

• I nɔ de si fayn igen.
• intrasεribral εmoraji (`hεmorrhage`) - dat na, bכdi we de lכs frכm wan bכdi we bכs.
• Di ed we de at bad bad wan.
• Gɛt fit.
• Wan sik we tan lɛk strok.

Wetin na di sayn dɛm fɔ CVST?

Di sayn dɛm fɔ CVST kin difrɛn difrɛn wan bay aw di blɔd de klɔt ɛn usay i de na di bren .

De men sayn wae yu kin si na:

• Smɔl smɔl, ed de at bad bad wan (dis na di sayn we kin apin pas ɔl).
• Di sik dɛn we kin mek pɔsin sik.
• di chenj we di mental stetכs de chenj εn/כ nyu nyurolכjik dεfisit, lεk we big bren blכd de kכmכt.

Wetin na di tin dɛn we kin mek pɔsin gɛt CVST?

Bɔku tin dɛn de we kin mek pɔsin gɛt CVST:

• Fɔ gɛt bɛlɛ .
• Yuz bɔn kɔntrol pils (oral kɔntraseptiv).
• Fɔ gɛt sɔm siriɔs aksidɛnt (trauma).
• Fɔ gɛt wan sik we dɛn kin gɛt frɔm dɛn mama ɛn papa we kin mek di blɔd klɔt izi wan, fɔ ɛgzampul, trombophilia.
• Di we aw infεkshכn de apin (fכ egzampl, COVID-19 infεkshכn).

Dɔn bak, dɛn dɔn ripɔt se na smɔl pipul dɛn kin gɛt CVST afta dɛn dɔn gɛt di COVID-19 vaysin. Bɔt i impɔtant fɔ mɛmba se dis nɔ kin apin so ɔltɛm .

Aw dɔktɔ dɛn kin no se pɔsin gɛt CVST?

Yu dɔktɔ go yuz bren imej tɛst fɔ no if yu gɛt CVST. I impɔtant fɔ no di sik kwik kwik wan fɔ avɔyd prɔblɛm dɛn.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt CVST?

Fɔ no if yu gɛt CVST, yu dɔktɔ kin du imej tɛst lɛk:

• Wan bren MRI (magnetic resonance imaging) test we dɛn du we dɛn yuz kɔntrast day.
• wan bren CT (`Brain CT - kompyuted tomography`) skan dεn de du am bay we dεn de yuz day.
• Magnεtik Rεsכnans Vεnografi (MRV), CT Vεnografi (CT vεnografi) כ Sεribral Angiografi (Sεribral Angiografi).

Apat frɔm dat, dɛn kin du blɔd tɛst, lɛk panɛl we dɛn kɔl hypercoagulability panel, fɔ chɛk fɔ si if i gɛt ɛni prɔblɛm we de mek pɔsin nɔ gɛt wata.

Aw dɛn kin trit CVST?

Bɔku we dɛn de fɔ trit CVST, lɛk:

• Antikoagulant : Fɔ ɛgzampul, ɛparin. Dɛn kin gi dɛn tin ya ivin we uman gɛt bɛlɛ.
• Trombolytics (drɔg dɛn we de pwɛl di klot).
• If na infekshɔn mek yu blɔd klɔt, dɛn kin gi yu antibayɔtik .
• If i rili siriɔs, dɛn kin du ɔpreshɔn fɔ pul di blɔd we dɔn klɔt (`Thrombectomy`) .
• Acetazolamide ɔ ɔda mɛrɛsin fɔ ridyus di prɛshɔn we de insay yu bren (intrakranial prɛshɔn).
• If di sik apin, dɛn kin gi am mɛrɛsin fɔ mɛn di sik we de mek pɔsin in at pwɛl .

Dipen pan wetin mek yu CVST, yu kin nid fɔ tek warfarin (e.g. Coumadin®, Jantoven®) ɔ dairekt ɔral antikɔagulɛnt (e.g. Rivaroxaban, Apixaban ɔ Dabigatran) fɔ tri to 12 mɔnt. Pipul wae gɛt wan sik lɛk trombophilia kin nid fɔ tek warfarin fɔ layf.

Wetin na de kɔmplikeshɔn ɔr sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?

If yu de tek warfarin, i rili impɔtant fɔ tek di rayt doz we dɛn tɛl yu fɔ tek . Na dat mek yu dɔktɔ go de chɛk yu blɔd ɔltɛm. Di doz we dɛn gi yu fɔ inof fɔ stɔp blɔd klot fɔ mek we go ambɔg yu, bɔt nɔto so ay dat yu nɔ go ebul fɔ stɔp fɔ blɔd if yu kɔt yu an ɔ yu leg. So yu nid fɔ fɛn di rayt balans.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

We yu gɛt ɛprin, ilɛksɛf na IV ɔ injɛkshɔn, i kin bigin fɔ wok kwik kwik wan . Warfarin kin tek lɛk wan wik so fɔ wok, so yu dɔktɔ go kip yu pan heparin te i bigin fɔ wok. Afta dat, yu kin stɔp fɔ tek heparin ɛn tek warfarin nɔmɔ.

Ɔ, if yu dɔktɔ pik wan dairekt ɔral antikɔagulant, i kin mek yu blɔd tan to di lɛvɛl we yu want insay sɔm awa. As di blɔd we de klɔt bigin fɔ sɔlv ɛn di prɛshɔn we de insay di bren de go dɔŋ, smɔl smɔl yu go bigin fɔ fil fayn.

Aw a go ridyus di risk fɔ gɛt CVST?

If yu bin dɔn gɛt CVST we yu gɛt bɛlɛ, if yu tek wan antikɔagulɛnt we yu gɛt bɛlɛ afta dat i kin ridyus dis risk.

Di ɔral kɔntraseptiv dɛn bak na risk factor fɔ CVST. So, yu kin ridyus dis risk bay we yu nɔ yuz bɔn kɔntrol pils. Yu kin yuz wan we fɔ kɔntrol di pikin we gɛt prɔjɛstin nɔmɔ insted.

Smok we yu de tek bɔn kɔntrol pils kin mek bak di risk fɔ gɛt CVST . If yu avɔyd dɛn tu tin ya, dat kin ɛp fɔ mek yu nɔ gɛt CVST.

If a gɛt (CVST), wetin a fɔ ɛkspɛkt?

Trade, na lɛk 50% pan di pipul dɛm wae bin gɛt CVST bin de liv. Bɔt naw di tin dɔn bɛtɛ pasmak.Di rεt wae de mכtalman frכm dis sik naw bכku, bitwin 5% εn 10%. Dis na bikɔs ɔf di advans imej teknɔlɔji ɛn di advans tritmɛnt we dɛn de yuz.

Bɔt, CVST kin kam bak . Na dat mek yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu blɔd tan (anticoagulants).

Aw lɔŋ di (CVST) kɔndishɔn kin las?

(CVST) kin las frɔm awa to wik. I go mɔs bi se yu sik go de insay wan pan dɛn kayn tin ya:

• Akyu: I kin rich 48 awa.
• Subacute: I pas 48 awa, bɔt i kin te 30 dez. (Dis na di kayn we we pipul dɛn kin yuz mɔ.)
• Kronik: I kin las fɔ wan mɔnt ɔ mɔ.

Wetin na di lukin-grɔn fɔ (CVST) stetɔs?

Di luk fɔ pipul dɛm wae gɛt CVST wae gɛt di rayt diagnosis ɛn tritmɛnt fayn . Bɔt, CVST kin kil pɔsin if dɛn nɔ no am ɛn trit am kwik. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.

Aw a fɔ kia fɔ misɛf?

Afta yu dɔn gɛt CVST, yu dɔktɔ go want fɔ mek yu nɔ gɛt ɔda blɔd klɔt. Dis min se yu go nid fɔ kɔntinyu fɔ tek wan mɛrɛsin we de mek yu blɔd blɔd ɔ “blɔd tin” lɛk wɔfarin.

Pan ɔl we dis de protɛkt yu frɔm di blɔd we de mek yu denja, i de mek yu gɛt mɔ blɔd bikɔs ivin smɔl injuri we yu gɛt ɛvride. So, yu fɔ rili tek tɛm we yu de yuz shap tin dɛn lɛk nɛf . I go fayn fɔ yuz ilɛktrik reza instead fɔ yuz reza we dɛn kin yuz ɔltɛm.

Ustɛm a fɔ go to mi dɔktɔ?

Yu fɔ go to yu dɔktɔ ɔltɛm (sɔntɛm ɛvri sɔm mɔnt) we yu de tek blɔd thinner (anticoagulants). If yu mis wan doz fɔ warfarin, kɔl yu dɔktɔ wantɛm wantɛm.

Tri to siks mɔnt afta yu gɛt CVST, yu kin nid fɔ du ɔda CT skan ɔ MRI wit day fɔ chɛk aw di blɔd we dɔn klɔt na yu bren de.

Ustɛm a fɔ go na di imejensi rum?

If yu de tek Warfarin ɛn yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu de blɔd, kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm, ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu kwik kwik wan :

• Blɔd we nɔ go ebul fɔ stɔp .
• Wan bad bad ed we de at .
• Brayt rɛd blɔd we yu de kɔf, vɔmit, ɔ we yu de pul dɔti.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a bin gɛt dis (CVST) kɔndishɔn?
• Aw lɔng a go gɛt fɔ gɛt tritmɛnt?
• Wetin na mi risk fɔ gɛt CVST bak?

Bikɔs CVST kin kam bak, i impɔtant fɔ kip ɔl di fɔlɔp apɔntinmɛnt dɛn wit yu dɔktɔ. Dɛn go want fɔ mek shɔ se yu de tek di rayt mɛrɛsin fɔ mek CVST nɔ apin igen. If yu de tek tin dɛn we de mek yu blɔd tan, yu fɔ avɔyd bak fɔ du tin dɛn we go mek yu wund. Ivin tin dɛn we yu kin yuz ɛvride lɛk naif ɛn siza kin mek yu blɔd kɔmɔt. So i fayn fɔ yuz ɔda tin dɛn we sef lɛk ilɛktrik reza.

So, wetin na di mɛsej we wi fɔ mɛmba frɔm dis stori?

Fɔ tɔk am simpul wan, CVST na wan sik we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs we blɔd kin klɔt na wan blɔd vesel na di bren. If yu gɛt sɔm sayn dɛn lɛk bad bad ed we de at ɛn we de mek yu at pwɛl, go to dɔktɔ wantɛm wantɛm . If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu gɛt bɛtɛ tin fɔ du. Di tin dɛn we de mek blɔd tan na di men tin we dɛn kin yuz fɔ mɛn am. Yu fɔ tek tɛm bak fɔ blɔd we yu de tek dɛn mɛrɛsin ya. I impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu ɛn fɔ fala yu dɔktɔ. Mɛmba se nɔto yu wangren de, ɛn yu dɔktɔ de de fɔ tɔk to yu ɛn ɛp yu.

` Sεribra venכs sayn trombosis, CVST, blכd kכlכt na di bren, ed we de at, bכdi tin dεm we de tכn, strכk, sik we de mek yu sik