Yu fil se yu lɔng dɛn de ɔnda tumɔs prɛshɔn? Lɛ wi tɔk bɔt Kronik Thromboembolic Pulmonary Hypertension (CTEPH)!

Sɔntɛnde yu kin fil smɔl fɔ blo, ɔ yu kin fil strenj na yu chɛst? I kin bi se di prɛshɔn we de insay di blɔd vesel dɛn na yu lɔng dɛn kin ay smɔl. dis na spεshal kכndyushכn we dεn kכl `(Krכnik Thromboembolic Pulmonary Hypertension)` כ `(CTEPH)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na dis `(CTEPH)`? Lɛ wi ɔndastand gud gud wan!

Fɔ tɔk am simpul wan, CTEPH na abnɔmal inkris pan blɔd prɛshɔn insay di smɔl smɔl blɔd vesel dɛn na di lɔng. I tan lɛk di prɛshɔn we de insay wata paip. Bɔt di men rizin fɔ dis na bikɔs yu dɔn gɛt blɔd we de klɔt na yu lɔng dɛn bifo (wi kɔl dis Pulmonary Embolism) ɛn di blɔd nɔ de sɔlv fayn . Na da tɛm de dis prɛshɔn kin bɔku.

Udat kin gɛt CTEPH mɔ?

Dis rili impɔtant. CTEPH kin apin nɔmɔ pan pipul dɛn we gɛt histri bɔt pulmonary embolism . If yu gɛt ay prɛshɔn na yu lɔng bɔt yu nɔ gɛt blɔd klot, i nɔ kin bi CTEPH, bɔt na difrɛn kɔndishɔn. So i impɔtant fɔ ɔndastand dis difrɛns.

Aw dis sik kin kɔmɔn?

CTEPH na rili wan sik we nɔ kin apin so ɔltɛm . Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, na lɛk 5,000 nyu wan dɛn nɔmɔ dɛn kin gɛt ɛvri ia. Bɔt bikɔs sɔntɛnde dɛn nɔ kin no am fayn, di nɔmba kin bɔku pasmak. So, e fayn fɔ no bɔt de sik.

Us kayn impak CTEPH kin gɛt pan yu wɛl bɔdi?

We di prɛshɔn na yu lɔng dɛn go ɔp, mɔ we yu gɛt CTEPH, di rayt say na yu at kin fil bɔku prɛshɔn . Imajin, yu at gɛt fɔ wok tranga wan fɔ pɔmp blɔd to yu lɔng. Wetin kin apin na dat sɔm pan di blɔd we nɔ gɛt ɔksijɛn kin stɔp na yu at ɛn i kin tek lɔng tɛm fɔ rich na yu lɔng. Dis kin mek yu bɔdi nɔ gɛt bɛtɛ ɔksijɛn. Dis na prɛti siriɔs kɔndishɔn, nɔto so?

Wetin mek dis `(CTEPH)` de divɛlɔp? Wetin na di tin dɛn we kin mek i apin?

di men rizin fכ dis na biכs di bכdi we de fכm na di sכm sכm bכdi we de na di lכng nכ de sכlv fayn fayn wan. We dis apin , di tisu dɛn we tan lɛk ska kin fɔm usay di klot dɛn bin de. Dis skata kin mek di blɔd vesel dɛn smɔl, lɛk se wata paip kin lɔk. As dis narrowing de go ɔp, di prɛshɔn de go ɔp bak.

Wetin na di risk factor dɛm fɔ mek yu gɛt CTEPH?

Sɔm tin dɛn de we kin mek pɔsin gɛt prɔblɛm we kin mek i gɛt `(CTEPH). Lɛ wi tek wan luk pan wetin dɛn bi:

• Fɔ gɛt ɔda kayn blɔd we nɔto Tayp O.
• Fɔ gɛt infɛkshɔn na di bon dɛm (Osteomyelitis).
• Sɔm kayn kansa dɛn.
• Krכnik intestinal sik dεm, fכ egzampl, kכndishכn dεm lεk `(Inflammatory Bowel Disease)`.
• Fɔ bi uman. (Uman dɛn kin gɛt dis sik smɔl pas man dɛn.)
• Infεkshכn na di at tisu bikɔs ɔf wan pesmɛka.
• Yu ɔ sɔmbɔdi na yu famili gɛt histri bɔt blɔd klɔt disɔda, lɛk Antiphospholipid Syndrome.
• Bikɔs dɛn bin dɔn pul di splin bifo tɛm (Splenectomy).
• Fɔ tek tritmɛnt fɔ riples di tayroyd ɔmon.

Nɔto ɔl dɛn tin ya kin afɛkt ɔlman, bɔt dɛn dɔn no se na tin dɛn we kin mek pɔsin gɛt dis sik.

Wetin na di sayn dɛm fɔ `(CTEPH)`?

Pɔsin wae gɛt CTEPH kin gɛt sɔm kayn sik lɛk:

• Fɔ fil se yu chɛst de pen ɔ yu tayt .
• Fɔ kɔf blɔd (dis na tin we nɔ kin apin so ɔltɛm).
• Blu dikɔlareshɔn na di finga dɛn ɛn di fut finga dɛn (Cyanosis).
• Fɔ fil se yu gɛt diziz .
• Sinkɔp we dɛn kɔl Syncope.
• Fɔ fil se yu taya bad bad wan (`Fatigue`) .
• We yu fil lɛk se yu chɛst de paund, wi kin kɔl dis ``Hat Palpiteshɔn''.
• I nɔ izi fɔ yu fɔ blo , mɔ we yu de du sɔntin ɔ we yu de waka.
• di leg dεm de swεla, we de bi fכ di wata we de kכmכt na di bכdi (edema).

Nɔ tink se yu gɛt CTEPH jɔs bikɔs yu gɛt wan ɔ tu pan dɛn sik ya. Bɔt if dɛn sik ya kɔntinyu, i go fayn fɔ mek yu go to dɔktɔ.

Aw dɛn kin no dis sik `(CTEPH)`?

We yu go to dɔktɔ, i kin du sɔm tɛst dɛn fɔs fɔ chɛk if CTEPH de, lɛk:

• wan tεst we de luk di vεntileshכn εn blכd saplai to di lכng dεm (`(Lung ventilation-perfusion scan - V/Q scan)`).
• ``Pulmonary Angiogram'' na tεst we de chεk fכ blכd kכlכt כ narכw na di bכdi vεsul dεm na di lכng.
• Pɔlmonari Fɔnkshɔn Tɛst dɛn.
• Transthoracic Echocardiogram (TTE) tan lɛk ɔltra saund skan fɔ di at.

Afta dɛn fɔs tɛst ya, dɛn kin nid fɔ du ɔda tɛst fɔ kɔnfɔm di diagnosis fɔ CTEPH ɛn fɔ no aw i siriɔs. Dɛn tin ya kin bi:

• Rayt At Kateterizashכn na tεst we de mכsu prεshכn bay we dεn put sכm sכm tכb insay di rayt say na di at.
• egzamin di at dεm na di lכng dεm yuz advans imej tεknik lεk CT Pulmonary Angiography (CTPA) כ Digital Subtraction Angiography.
• Wan MRI skan we dɛn kin du.
• wan ``Exercise Stress Test'' we de chεk di hat in wok we yu de du εksεsayz.

Dɛn tɛst ya na dɛn tin ya we de mek dɔktɔ dɛn ebul fɔ no if yu gɛt CTEPH ɛn us stej i de.

Wetin na di tritmɛnt dɛm fɔ `(CTEPH)`?

Di tritmɛnt fɔ CTEPH kin gɛt fɔ du wit ɔpreshɔn ɔ ɔda tin we tan lɛk dis. Tu men tin dɛn de we yu kin du:

1. Pulmonary Endarterectomy : Dis na opin ɔpreshɔn we dɛn kin du. insay dis we dεn de du dis, dεn de כpכt di ol blכd kכlכt εn ska tisu we sכk insay di at dεm na di lכng. Dɛn kin du dis fɔ tray fɔ mek blɔd go bak na di lɔng dɛn.

2. ``(Pulmonari Balɔn Angioplasti)''.: Insay dis, dɛn kin tay wan smɔl balɔ na di ɛnd pan wan lɔng tiub (kateta), we dɛn kin pas insay di blɔd vesel we dɔn smɔl na di lכng. Dɛn kin blo di balyɔn fɔ push di skata na sayd, ɛn dis kin mek di blɔd vesel big bak.

Fɔ pik wan pan dɛn tu we ya, i kin bi bay bɔku tin dɛn lɛk aw di pɔsin de sik ɛn usay di blɔd de klɔt.

Ɛni ɔda tritmɛnt de we yu kin du?

Yɛs, sɔm pipul dɛn nɔ kin ebul fɔ du dis ɔpreshɔn. Fɔ dɛn pipul ya, ɔ fɔ di wan dɛn we de kɔntinyu fɔ gɛt prɛshɔn na dɛn lɔng afta dɛn dɔn du dɛn ɔpreshɔn, dɛn kin gi dɛn wan pil we dɛn kɔl `(Riociguat)` . Dis na mɛrɛsin we dɛn kin gi fɔ pulmonari haypatɛyshɔn. Dis kin ɛp fɔ mek di sik nɔr de igen.

Yu tink se dɛn kin ebul fɔ stɔp CTEPH?

CTEPH na wan kɔmplikɛshɔn fɔ bɔku ɔda wɛlbɔdi kɔndishɔn dɛn. Sɔm tin dɛn we wi nɔ ebul fɔ kɔntrol. Bɔt di impɔtant tin we yu go du na fɔ kia fɔ yu lɔng dɛn fayn fayn wan . Dat min se fɔ lɛf fɔ smok if yu de smok ɛn fɔ de fa frɔm tabak rili impɔtant.

Wetin na di lukin-grɔn fɔ di wan dɛn we gɛt CTEPH?

Dis na di bɛst nyus! Pulmonary Endarterectomy ɛn Pulmonary Balloon Angioplasty kin mɛn CTEPH kɔmplit wan . Bɔrku pipul dɛm wae kin gɛt dɛn tritmɛnt ya kin gɛt fayn fayn tin dɛm fɔ du.

Bɔt pan ɔl we dɛn fayn tin ya kin apin, sɔm sik pipul dɛn kin gɛt sɔm kayn prɔblɛm wit dɛn maynd, wɔri, ɛn pwɛl at. Dis kin bi tru mɔ fɔ di wan dɛn we nɔ fit fɔ gɛt di tritmɛnt dɛn we wi bin dɔn tɔk bɔt. If yu de gɛt ɛni wan pan dɛn kayn prɔblɛm ya na yu maynd, tɔk to yu dɔktɔ. Dɛn kin lisin to di tin dɛn we de mɔna yu ɛn tɛl yu bɔt di tritmɛnt dɛn we go ɛp yu fɔ fil fayn.

Wetin na di impɔtant tin dɛm fɔ no we yu de liv wit `(CTEPH)`?

• I go mɔs bi se yu go nid fɔ tek mɛrɛsin we de mek yu blɔd tan lɛk yu layf .
• If yu de tek mɛrɛsin lɛk Warfarin, yu kin nid fɔ stɔp sɔm it dɛn (lɛk soya ɛn brɔkoli, we gɛt bɔku vaytamɛn K). Aks yu dɔktɔ bɔt dis.
• Layt ɛksesaiz , lɛk fɔ waka, kin ɛp bɔku pipul dɛn fɔ gɛt trɛnk bak ɛn fɔ gɛt wɛlbɔdi. Yu dɔktɔ kin tɛl yu bak fɔ du ɛksɛsayz program we dɛn de supavayz (pulmonary rehabilitation).

Fɔ dɔn, mɛmba dis.

Chronic Thromboembolic Pulmonary Hypertension (CTEPH) na wan sik we nɔ kin apin so ɔltɛm we di blɔd prɛshɔn na di blɔd vesel dɛm na di lɔng dɛn kin go ɔp, bɔt na sik we dɛn kin trit if dɛn no am kwik ɛn trit am di rayt we . If yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ. Mɛmba se if dɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl fayn fayn wan. So nɔ panik. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, ɛn yu go ebul fɔ wɛl kwik kwik wan!

`CTEPH, Pulmonary Hypertension, Blɔd Klɔt, Difikulti fɔ Brith, At Sik, Pulmonary Embolism, Pulmonary Hypertension