Yu leg kin swel wantɛm wantɛm ɛn i kin fil pen? I kin bi DVT (Dip Vein Thrombosis) .

Yu tink se wan pan yu leg dɛn dɔn swel wantɛm wantɛm ɛn wam we yu tɔch am? Yu tink se i kin at we yu de waka ɔ we yu tinap? Sɔntɛm di skin na yu leg dɔn rɛd? Bɔku pipul dɛn kin tink se na jɔs we pɔsin kin swɛt ɔ we in anklɛ kin swɛt. Bɔt sɔntɛnde, i kin bi sɔntin we rili siriɔs ɛn nid fɔ pe atɛnshɔn to am wantɛm wantɛm. Tide wi de tɔk bɔt blɔd we de klɔt na dip vein, ɔ wetin na mɛrɛsin we dɛn kɔl Dip Vein Thrombosis (DVT) .

Fɔ tɔk am simpul wan, wetin na DVT?

Tu kayn blɔd vesel dɛn de na wi bɔdi. Wan pan dɛn na di vein dɛn we de ɔp di skin we pɔsin kin si ɔnda di skin. Di ɔda wan na di big big vein dɛn we de rɔn dip insay di bɔdi. Dip Vein Thrombosis (DVT) na we bכdi kכlכt (thrombus) de fכm insay dεn dip vein dεm ya. Tink bɔt am lɛk dɔti we de stɔp na wata paip, we de blok di wata we de flɔ. Dis blɔd we de klɔt kin blok di blɔd we de flɔ na di vein ɔl ɔ sɔm pat pan am. dis kכndyushכn kin kכmכn bכku pan di vein dεm na di leg dεm (especially di tכŋ כ di bכtכk), εn di bכdi. Bɔt nɔto ɔltɛm, blɔd kin klɔt na di vein dɛn na di an, di bren, di intestinal, di liva , ɔ di kidni.

Wetin mek DVT kin denja?

If di DVT kɔndishɔn kɔntinyu fɔ de lɛk aw i de, i nɔ de mek pɔsin in layf de pan denja. Bɔt di men denja na if di blɔd we dɔn fɔm insay dis vein brok kɔmɔt de ɛn bigin fɔ travul tru di blɔd. imajin, wetin go apin if bכdi we brok (wi kכl dis `emboli`) go strεt to wan bכdi we de na di lכng εn i stכk? Na dat wi kin kɔl Pulmonary Embolism (PE) . Dis na imejensi we rili denja, we kin mek pɔsin in layf de pan denja. So, i impɔtant fɔ no ɛn trit di sik jɔs lɛk aw yu tink se yu gɛt DVT. Apat frɔm dat, lɛk af pan di pipul dɛn we gɛt DVT kin gɛt prɔblɛm dɛn we kin de fɔ lɔng tɛm we dɛn kɔl Post-Thrombotic Syndrome .Dis na we blɔd we de klɔt de pwɛl di dilik valv dɛn we de insay di vein dɛn, we de mek blɔd gɛda na di leg dɛn instead fɔ pɔmp fayn fayn wan. Dis kin mek di skin swel, pen, di kɔlɔ kin chenj (brawn), ɛn wund dɛn we at fɔ wɛl (venous stasis ulcers) fɔ mɔnt ɔ ivin ia.

Aw yu go no if yu gɛt DVT? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Nɔto ɔlman we gɛt DVT go gɛt di sik. Na lɛk 30% pan pipul dɛn kin gɛt DVT we nɔ gɛt ɛni sayn. Sɔm pipul kin gɛt sɔm kayn sik wae nɔr kin ivin notis. Bɔt sɔm tin dɛn de we kin apin to pɔsin. If yu gɛt dɛn sik ya, mɔ if na wan leg nɔmɔ dɛn kin apin, yu fɔ wɔri.

Yu fɔ no bɔt di sayn dɛm fɔ Pulmonary Embolism (PE)!

Sɔm pipul dɛn kin jɔs no se dɛn gɛt DVT afta di blɔd klɔt brok ɛn stɔp na dɛn lɔng. So na fɔ no gud gud wan bɔt dɛn sayn ya we de kam biɛn ya.

• I kin pen na yu chɛst wantɛm wantɛm
• I nɔ kin izi fɔ yu fɔ blo
• Fɔ kɔf blɔd
• Diziz (vɛrtigo) .
• Fɔ mek pɔsin spɛl

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

Ɛnibɔdi kin gɛt DVT, bɔt sɔm pipul dɛn kin gɛt mɔ risk. Lɛ wi tek wan luk pan wetin dɛn bi.

• Sidɔm stil fɔ lɔng tɛm: Imajin se yu de tek bɔs frɔm Kɔlɔmbɔ fɔ go na Jafna, Sri Lanka, ɔ yu de tek plen fɔ lɔng tɛm fɔ go na di kɔntri. We yu de travul fɔ lɔng tɛm, if yu kip yu leg dɛn na di sem pozishɔn, dat kin mek di blɔd nɔ go fayn ɛn i kin mek yu blɔd klɔt. Na di sem tin kin apin afta dɛn dɔn du big ɔpreshɔn, ɔ if yu fɔ de na bed fɔ sɔm dez bikɔs ɔf sik.
• Ɔpreshɔn ɔ aksidɛnt: If di vein dɛn pwɛl bikɔs ɔf ɔpreshɔn ɔ aksidɛnt, di risk fɔ mek blɔd klɔt kin bɔku.
• Ɔva 40 ia: De risk kin go ɔp smɔl smɔl wit di ej.
• di bεlε εn afta dεn bכn: di risk fכ DVT de hכy we uman bεlε εn fכ lεk 6 wik afta dεn bכn.
• Ɔvaweit/Obesity: Pipul wae gɛt ɔvaweit kin gɛt bɔrku risk.
• Smok: If yu smok, i kin mek yu blɔd klot mɔ ɛn mɔ.
• Kansa ɛn kansa tritmɛnt: Sɔm kayn kansa ɛn kansa tritmɛnt (e.g. kemotɛrapi) kin mek yu gɛt DVT.
• Pils fɔ kɔntrol bɔn ɔ ɔmon tɛrapi: Pils fɔ kɔntrol bɔn ɛn ɔmon tritmɛnt we gɛt di ɔmon ɛstrojen kin mek di blɔd klɔt smɔl.
• Famili istri: If pɔsin na yu famili (mama, papa, brɔda ɛn sista) dɔn gɛt DVT, yusɛf de pan denja.
• Di tin dɛn we kin mek dɛn gɛt jɛnɛtiks: Sɔm pipul dɛn kin bɔn wit tin dɛn we kin mek dɛn blɔd klɔt izi wan.
• Ɔda mɛdikal kɔndishɔn dɛm: Ɔtoimyun sik dɛm lɛk lupus, inflammatory bowel disease, varicose veins (varicose veins in the leg), ɛn COVID-19 infɛkshɔn kin mek bak di risk fɔ gɛt DVT.

Dɔktɔ, aw yu kin no di DVT kɔrɛkt wan?

If yu gɛt sayn dɛn fɔ DVT, yu dɔktɔ go fɔs chɛk yu, aks yu bɔt yu mɛdikal istri ɛn di tin dɛn we kin mek yu gɛt dis sik, dɔn ɔda fɔ mek dɛn du bɔku tɛst fɔ no if yu gɛt di sik.

• Duplex Venous Ultrasound: Dis na di men ɛn di tɛst we dɛn kin yuz mɔ fɔ no DVT. I tan lɛk we dɛn de skan pikin. I nɔ de mek pɔsin fil pen. I kin si klia wan di blɔd we de flɔ na di vein dɛn ɛn if ɛni blɔd klɔt de.
• Venografi: Dɛn nɔ de yuz dis bɔku igen. Dis min se yu fɔ injɛkt spɛshal wata (day) insay wan vein ɛn tek ɛkstrem rayt.
• MRI ɔ CT skan: Sɔntɛnde, dɛn kin du dɛn tɛst ya if dɛn tink se blɔd dɔn klɔt na dip vein dɛn lɛk di bɛlɛ ɔ di bren.
• Speshal blɔd tɛst: If yu dɔn gɛt DVT fɔ no rizin, ɔ if yu gɛt famili histri, yu dɔktɔ kin disayd fɔ du spɛshal blɔd tɛst fɔ chɛk fɔ di jenɛtik kɔndishɔn we de afɛkt di blɔd we de klɔt.

Wetin na di tritmɛnt dɛm fɔ DVT?

Sɔm men gol dɛn de fɔ trit DVT.

• Fɔ stɔp wan blɔd we de klɔt fɔ mek i big.
• Fɔ mek da blɔd klɔt de nɔ brok ɛn go na di lɔng dɛn.
• Fɔ stɔp fɔ mek nyu blɔd klɔt.
• Ridyus di risk fɔ gɛt lɔng tɛm kɔmplikeshɔn (Post-Thrombotic Syndrome).

Bɔku men tritmɛnt dɛn de fɔ mek pɔsin ebul fɔ du dɛn tin ya.

1. Di tin dɛn we de mek blɔd tan (Anticoagulants) .

Dɛn kɔl dis `Anticoagulants` insay Inglish. Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di blɔd nɔ ebul fɔ klɔt. di tin we impɔtant pas ɔl na dat dɛn mɛrɛsin ya nɔ de ``sɔlv'' wan blɔd we dɔn ɔlrɛdi fɔm. Bifo dat, dɛn kin stɔp am fɔ mek i nɔ big ɛn nyu klot dɛn nɔ fɔ mek. As tɛm de go, di tin dɛn we di bɔdi de du kin sɔlv di blɔd we dɔn klɔt smɔl smɔl. Dɛn kin yuz mɛrɛsin lɛk ``Warfarin`` ɛn ``Heparin`` fɔ dis. Yu dɔktɔ go disayd us mɛrɛsin fayn fɔ yu ɛn aw lɔng yu nid fɔ tek am. Bɔrku tɛm, yu go nid fɔ tek dis mɛrɛsin fɔ 3-6 mɔnt, ɔr fɔ sɔm pipul dɛm, fɔ di res ɔf yu layf.

2. Kɔmpreshɔn Stɔkin dɛn

Dɛn tin ya nɔ tan lɛk sɔks dɛn we dɛn kin yuz ɔltɛm. Dis na sɔks dɛn we dɛn mek spɛshal wan we fit fayn fayn wan rawnd di anklɛ dɛn. dεn mek dεn fכ rili tayt rawnd di ankכl dεm εn sכmtεm dεn nכ de tayt bכku tכwεd di kכn dεm. Dis kin ɛp di blɔd fɔ flɔ ɔp di leg dɛn we nɔ de stɔp. If yu wɛr dɛn tin ya ɔl di de, i kin ridyus di swel ɛn pen na di leg bay lɛk 50%.

3. IVC Filta we yu de yuz

Dis nɔto tritmɛnt fɔ ɔlman. I fayn fɔ pipul dɛn we nɔ ebul fɔ tek mɛrɛsin we de mek blɔd tan, ɔ we gɛt blɔd we dɛn de tek am. na ya, dεn de put wan sכmכl divais we lεk mεsh (wan `filta`) insay di bכdi in men vein, di `Vena Cava`. Dis na fɔ kech blɔd we dɔn brok na di leg bifo i travul go na di lɔng dɛn.

Aw a go mek DVT nɔ kam bak?

We yu dɔn gɛt DVT, i impɔtant fɔ mek i nɔ apin igen. Dɔn bak, if yu de pan denja fɔ gɛt DVT, yu nid fɔ tek stɛp fɔ mek i nɔ apin igen.

If yu dɔn ɔlrɛdi gɛt DVT:

• Tek di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm. Nɔ mis wan de.
• Atɛnd klinik ɛn blɔd tɛst pan di de dɛn we dɛn dɔn sɛtul.
• Adopt wɛlbɔdi layf (gud it, ɛksesaiz, ɛn avɔyd fɔ smok).

If yu de pan denja fɔ gɛt DVT, fɔ mek yu nɔ gɛt am:

• We yu de travul fɔ lɔng tɛm: Grap ɛn waka rawnd wan tɛm insay di awa. We yu sidɔm, du smɔl smɔl ɛgzampul dɛn lɛk fɔ rɔta yu anklɛ ɛn fɔ muv yu fut finga dɛn ɔp ɛn dɔŋ.
• Afta yu dɔn du di ɔpreshɔn: Grap na bed ɛn bigin fɔ waka kwik kwik wan. Du wetin yu dɔktɔ tɛl yu.
• Ɔltɛm drink inof wata.
• Tɔk to yu dɔktɔ ɛn gɛt advays bɔt aw fɔ ridyus yu risk.

DVT, Dip Vein Thrombosis, Blɔd Klɔt, Blɔd Klɔt na Vein, Leg Swel, Pulmonary Embolism, Blɔd Tinna, Antikoagulant, Blɔd Tinin Mɛdikeshɔn, Leg Pen