Yu nɔ gɛt bɛtɛ blɔd fɔ go na yu an ɛn fut dɛn? (Critical Limb Ischemia) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin fil bad bad pen ɔ yu an, yu fut, ɔ yu finga dɛn kin swɛ? Sɔntɛm ivin smɔl wund kin tek lɔng tɛm fɔ wɛl? Ɔ yu fut kin kol ɔltɛm? Dɛn tin ya nɔto sayn fɔ jɔs ignore. Tide wi go tɔk bɔt wan sik we kin mek yu gɛt dɛn sik ya, we kin siriɔs smɔl, bɔt yu kin ebul fɔ kɔntrol am if yu no gud gud wan.

Wetin na Kritikal Limb Ischemia (CLI)?

Fɔ tɔk am simpul wan, Critical Limb Ischemia, ɔ CLI fɔ shɔt tɛm, na we blɔd de blok bad bad wan to wan ɔ mɔ pan yu an, yu leg, ɔ fut. I tan lɛk se dreyn we dɔn lɔk na wata paip. We dɛn kɔt di blɔd flɔ dis we, dɛn say dɛn de nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid.

Wetin kin apin bikɔs ɔf dis?

• Na bad bad pen de . Sɔntɛnde, dis pen kin mek pɔsin nɔ ebul fɔ bia.
• Di an ɛn fut dɛn kin swɛla , ɛn di filin kin stɔp.
• Wund dɛn na yu fut, yu fut, ɔ yu an kin tek lɔng tɛm fɔ wɛl . Sɔntɛnde, ivin smɔl skrach kin tɔn to big wund.

Dis na tin we rili siriɔs bikɔs i kin mek pɔsin gɛt at sik, fɔ kɔt in an, ɛn ivin day.

Kritikal Limb Ischemia na rili wan rili bad bad kes fɔ Pɛriferal Atiri Disease , wan kɔndishɔn we dɛn kɔl peripheral artery disease. dis PAD de kכz fכ wan fεt layεr we dεn kכl ``atherosclerotic plaque'' we de bil insay wi at dεm (di vein dεm we de kכri bכdi frכm di at to di rεst כf di bכdi), we de mek dεn sכmtεm sכmtεm כ blכk. So, we blɔd nɔ de flɔ, i nɔ kin izi fɔ mek wi mɔsul ɛn tisu dɛn gɛt wɛlbɔdi, strɔng, ɛn wɛl if wi wund. כda nem fכ dis CLI kכndyushכn na ``krכnik limb-threatening ischemia''.

Udat kin gɛt dis sik?

Infakt, ɛnibɔdi we gɛt PAD, ɔ peripheral artery disease, kin gɛt CLI. Dis risk kin bɔku as yu de ol .

Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik. Si if dɛn tin ya apin to yu:

• Krכnik Kidni Disease : We di kidni dεm nכ de wok fayn, כda kכmplikεshכn kin apin na di bכdi.
• Dayabitis : Dayabitis na wan big tin wae kin pwɛl di blɔd vesel dɛm.
• Ay blɔd prɛshɔn (Hypertension) : If blɔd prɛshɔn de ɔp ɔltɛm, i nɔ fayn bak fɔ di at.
• di ay kכlestכl (Hyperlipidemia) : di fεt dεm we de na di at dεm de kכz fכ di inkrεs pan di lεvεl fכ di kכlestכl we de du bad na di bכdi.
• Smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok: Dis na sɔntin we gɛt fɔ du wit bɔku sik dɛn. I kin mek bak di at dɛn pwɛl bad bad wan.

Imajin, wi gɛt wata paip sistem na wi os. As tɛm de go, tin dɛn lɛk rɔst ɛn dɔti kin kam insay dɛn paip dɛn de ɛn mek dɛn nɔ ebul fɔ waka. Na so i kin bi wit wi blɔd vesel dɛn. Bikɔs ɔf dɛn tin ya we kin mek pɔsin gɛt prɔblɛm, di blɔd vesel dɛn kin bigin fɔ lɔk smɔl smɔl.

Yu tink se Critical Limb Ischemia de mek pɔsin in layf de pan denja?

Yɛs, fɔ tru . Dis na wan sik we rili siriɔs. Kritikal Limb Ischemia kin rili inkrisayz yu risk fɔ gɛt big big wɛlbɔdi prɔblɛm dɛn we kin mek yu layf de pan denja, ɛn bak fɔ day.

Akɔdin to sɔm statystik, insay wan ia we dɛn dɔn gɛt Critical Limb Ischemia:

• Na lɛk wan pan ɛvri tri pipul dɛn go gɛt fɔ kɔt in an ɛn fut.
• Na lɛk wan pan ɛvri 4 pipul dɛn kin day pan am. De men tin wae kin mek pipul dεn day na kכndyushכn lεk hat sik כ strok.

Dɛn statystik ya nɔmɔ de sho aw dis rili siriɔs. So, if yu gɛt sɔm sayn dɛn, i go fayn fɔ mek yu nɔ delay .

Aw dis sik kin kɔmɔn?

Dis nɔto tin we nɔ impɔtant. Bɔku pipul dɛn na di wɔl kin sɔfa wit dis sik. Dis sik kin kam mɔr wit di ej ɛn pan pipul dɛm wae gɛt de risk factor wae wi bin dɔn tɔk bɔt fɔs (lɛk dayabitis, ay blɔd prɛshɔn, smok). So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ dis sik?

Di men ɛn mɔs kɔmɔn sayn fɔ Kritikal Limb Ischemia na bad bad pen na yu fut ɔ yu leg . Dis pen kin so bad dat e kin wek yu na nɛt. Sɔm pipul dɛn kin tray fɔ pul dis pen bay we dɛn kin hang dɛn leg pan di bed, ɔr bay we dɛn kin grap ɛn waka rawnd di rum.

Bɔt sɔm pipul dɛn nɔ kin fil dis kayn pen. Bɔt dɛn kin gɛt wan ɔ mɔ pan dɛn ɔda sayn ya:

• Fɔ fil kol ɔltɛm na yu an, yu fut, ɔ yu leg.
• Di skin na di fut kin smol, shayn, nɔ gɛt ia, ɔ i kin dray pasmak .
• Wik ɔr nɔr de fil fayn na di leg ɔr fut.
• Di leg, fut, ɔ an dɛn kin swɛla ɔ nɔ kin fil fayn .
• Wund dɛn na yu fut ɔ yu leg kin tek lɔng tɛm fɔ mek i wɛl . Ivin smɔl skrach kin tɔn to big wund we dip.
• Sɔntɛnde, di skin kin chenj in kɔlɔ ɛn sho sayn dɛm fɔ gangrene, we na wan sik we di tisu kin day.
• Di nel dɛn we de na di fut tik.

If yu gɛt ɛni wan pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin kin mek pɔsin gɛt Kritikal Limb Ischemia?

Di men rizin fɔ dis na di Pɛrifɛral Atɛri Disease (PAD) we wi bin dɔn tɔk bɔt bifo tɛm., dat na, di sik we de na di at we de na di at. Dis siriɔs tin we dɛn kɔl Kritikal Limb Ischemia kin apin we yu at dɛn dɔn smɔl ɔ blok fɔ sɔm mɔnt, ivin fɔ lɔng tɛm. Fכ bi prεsis, dis na di las, mכst siriכs stej fכ PAD.

Aw dɛn kin no dis sik?

Yu dɔktɔ kin sɔprayz se Critical Limb Ischemia bay yu simptom ɛn ɔda wɛlbɔdi prɔblɛm dɛn we yu gɛt (lɛk dayabitis ɔ ay blɔd prɛshɔn).

Fɔ mek dɛn no di pɔsin we dɛn de tink ɛn no aw di sik rili bad, di dɔktɔ kin du sɔm ɔda tɛst dɛn. Sɔm pan dɛn tin ya na:

• CT skan dɛn we dɛn kin du
• MRI Skan (MRI) .
• Angiogram : Insay dis, dɛn kin injɛkt spɛshal wata na di at ɛn dɛn kin tek ɛkstrem rayt fɔ si usay di blɔk de ɛn aw bɔku i de.
• Ultrasound : Dɛn kin yuz dɛn tin ya fɔ si tin dɛn lɛk di blɔd we de flɔ ɛn di kɔndishɔn na di at.

Dɛn tɛst ya kin luk mɔ pan:

• Aw blɔd de go na yu an, finga, anklɛ, fut, ɛn fut finga dɛn.
• Di spid ɛn di kayn we aw wund dɛn kin wɛl , if ɛni wan de.
• Aw di at kin smɔl ɔ blok .

Wetin na di tritmɛnt dɛm fɔ dis?

Kritikal Limb Ischemia na wan sik we dɛn fɔ trit wantɛm wantɛm . If yu blɔd flɔ bak fayn fayn wan na yu an ɛn fut dɛn kwik kwik wan, dat kin mek yu nɔ kɔt yu an.

Yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Mɛrɛsin : Dɛn kin gi yu mɛrɛsin lɛk fɔ mek yu blɔd tan, mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ, ɛn fɔ mek yu nɔ gɛt bɔku kɔlɔstrel.
• Endovaskul tritmεnt : Dis na tritmεnt dεm we dεn kin du sכm sכm we, we dεn nכ de mek big insishכn lεk כpεrayshכn.
• Angioplasty : Dis na fɔ put wan tin we tan lɛk balɔ insay wan at we dɔn blok ɛn inflate am fɔ mek di at big. Sɔntɛnde, dɛn kin put stent , we na smɔl tiub we tan lɛk mɛsh, fɔ mek di at nɔ smɔl bak.
• Atherectomy : Insay dis prosidur, dεn kin yuz spεshal tin fכ pul di fεt layεr we dεn kכl plek we dεn bכlכp insay di at.
• Ɔpreshɔn : Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ mek wan at fayn ɔ fɔ chenj am wit nyu at (wan vein we kɔmɔt ɔdasay na yu bɔdi ɔ wan atifishal tiub).

Imajin, if ɛni wan pan dɛn tritmɛnt ya nɔ ebul fɔ mek di blɔd kɔmɔt fayn bak, dat min se di dɔktɔ go gɛt fɔ disayd fɔ kɔt in finga, pat pan in an, wan fut finga, pat pan in fut, ɔ pat pan in leg. Frɔm pipul dɛn we gɛt Kritikal Limb IschemiaNa lɛk wan pan ɛvri fayv pipul dɛn go gɛt fɔ du dis kayn ɔpreshɔn, mɔ fɔ pipul dɛn we gɛt dayabitis .

Aw dɛn go ebul fɔ ridyus dis prɔblɛm?

Fɔ ridyus yu risk fɔ gɛt Critical Limb Ischemia, di fɔs tin we yu fɔ du na fɔ mek dɛn trit yu PAD (peripheral artery disease) fayn fayn wan. Apat frɔm dat, yu nid fɔ tray fɔ ridyus di prɔblɛm dɛn we wi bin dɔn tɔk bɔt.

• Mek yu gɛt wɛlbɔdi wet we fit yu ej, man ɔ uman, ɛn di kayn bɔdi we yu gɛt.
• Ɛksesaiz ɔltɛm . Inklud trɛnk trenin, fleksibiliti ɛksesaiz, ɛn aerobic ɛksɛsayz insay yu ɛksesaiz rutin. I fayn bak fɔ waka fɔ at le 30 minit insay di de.
• Tray fɔ kip yu blɔd prɛshɔn ɛn kɔlɔstrel lɛvɛl insay di wɛlbɔdi rɛnj .
• If yu gɛt ɔda sik dɛn lɛk dayabitis, manej dɛn fayn fayn wan . Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
• Ridyus strɛs . Tray fɔ rilaks tru di we dɛn we gɛt wɛlbɔdi, lɛk fɔ tink gud wan ɔ fɔ tɔk to yu padi.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Kritikal Limb Ischemia na wan sik wae kin mek yu gɛt siriɔs prɔblɛm ɛn shɔt layf. So, if yu gɛt sayn dɛn fɔ dis sik, ɔ yu gɛt sayn dɛn fɔ PAD (peripheral arterial disease), go to dɔktɔ wantɛm wantɛm . Di kwik we yu gɛt tritmɛnt, na di mɔ yu nɔ go gɛt siriɔs prɔblɛm dɛn ɛn yu nɔ go lɔs yu an ɛn fut .

Aw lɔŋ yu kin liv wit Kritikal Limb Ischemia?

Infakt, di mכtalman rεt wit Kritikal Limb Ischemia de hכy sכmtεm. Afta dɛn dɔn no se dɛn gɛt dis sik, na lɛk af pan di pipul dɛn we gɛt dis sik kin liv fɔ pas fayv ia . Bɔrku pan dɛn pipul ya kin day bikɔs ɔf kɔmplikeshɔn wae gɛt hat sik ɔr strok. Na dat mek di tritmɛnt kwik kwik wan ɛn fɔ chenj di we aw yu de liv yu layf impɔtant.

Us kwɛstyɔn dɛn yu kin aks di dɔktɔ?

If yu gɛt Critical Limb Ischemia, ɔ if yu sɔspɛkt am, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di fɔs sayn dɛm fɔ Critical Limb Ischemia?
• Us tɛst dɛn kin du fɔ no dis sik?
• Wetin na di tritmɛnt opshɔn dɛm fɔ Kritikal Limb Ischemia?
• Wetin kin apin if a nɔ gɛt dis tritmɛnt?
• If a gɛt PAD, aw a go ridyus mi risk fɔ gɛt Critical Limb Ischemia?

Nɔ ɛva fred fɔ aks dɛn kwɛstyɔn ya. I rili impɔtant fɔ mek dɛn no gud gud wan bɔt di tin we de apin to yu.

Yu kin waka wit Kritikal Limb Ischemia?

Yɛs, sɔntɛnde fɔ waka kin ɛp fɔ ridyus di pen we kin kam wit Critical Limb Ischemia . Dɔn bak, if yu muv yu bɔdi ɛn waka ɔltɛm, dat go mek blɔd go na yu leg dɛn mɔ ɛn mɔ. Dis na sɔntin we dɛn kin rɛkɔmɛnd fɔ Kritikal Limb Ischemia. Bɔt if yu fil se yu leg pen de wɔs we yu de waka, yu fɔ rili tɔk to yu dɔktɔ bɔt am .

Fɔ dɔn, mɛmba dis (Take-Home Message) .

So, Critical Limb Ischemia, we wi bin tɔk bɔt tide, na siriɔs sik we kin apin we blɔd flɔ to yu limb dɛn bad bad wan . Dis na wan kayn bad bad sik wae dɛn kɔl Peripheral Artery Disease (PAD). Dis kin mek yu gɛt mɔ prɔblɛm wit yu at ɛn i kin mek yu layf shɔt.

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho ɛn nɔ de te . If yu du dat, yu go gɛt bɛtɛ chans fɔ gɛt gud tin ɛn nɔ fɔ lɔs yu an ɛn fut. If yu fala wɛlbɔdi layf, dat kin ɛp bak fɔ protɛkt yusɛf frɔm dɛn kayn tin ya.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu famili dɔktɔ. I kin gi yu di advays we yu nid.

` Kritikal limb ischemia, leg pen, blɔd vesel blok, periferik atria sik, gangrene, angioplasty, dayabitis