Yu dɔn gɛt blɔd we de klɔt na yu leg veins? Lɛ wi tɔk bɔt (Dip Vein Thrombosis - DVT)!

Yu dɔn ɛva yɛri bɔt dis sik we dɛn kɔl `(Deep Vein Thrombosis)` ɔ DVT? Sɔntɛm yu ɔ pɔsin we yu sabi dɔn gɛt wan leg we swel ɛn we de mek i fil pen wantɛm wantɛm ɛn go to dɔktɔ. Tide, lɛ wi tɔk bɔt wetin i rili bi, wetin mek i kin apin, i denja, ɛn wetin fɔ du, okay?

Wetin rili na DVT?

fכ simpul wan, DVT (`(Deep Vein Thrombosis)`) na di fכmeshכn fכ wan bכdi kכlכt (`(thrombus)`) insay di vein dεm, dip insay wi bכdi. Tink bɔt am lɛk dɔti we de stɔp na wata paip. Tu men rizin dɛn de we mek dɛn blɔd klɔt ya fɔm. Wan na dat di vein dɛn kin pwɛl sɔm we dɛn. Di ɔda wan na dat di spid we di blɔd de flɔ na di veins de go dɔŋ, we min se di blɔd de travul rili slo.

We blɔd klɔt, i kin blok di blɔd fɔ pas na wan vein ɔl ɔ sɔm pat pan am. Bɔku tɛm, DVT kin apin na di vein dɛn na di ɔda leg (anklɛ), di shɔl, ɔ di hip. Bɔt DVT kin apin bak na ɔda dip vein dɛn na di bɔdi, lɛk di an, di bren, di insay, di liva, ɛn di kidni.

Aw DVT denja?

Naw yu go de tink se, na jɔs blɔd we de klɔt, so wetin mek i go denja? Wɛl, if di DVT de usay i de, i nɔ go mek big aksidɛnt apin. Bɔt di tin we denja pas ɔl na dat di blɔd we de mek insay dɛn vein dɛn ya kin brok fri ɛn travul ɔlsay na di bɔdi wit di blɔd.

Imajin if blɔd we de klɔt (ɛmbolis) we brok lɔs, stɔp na wan blɔd vesel na di lɔng, we na tin we rili denja . Insay mɛrɛsin, wi kin kɔl am ``Pulmonary Embolism'' ɔ PE. Bikɔs dis kin mek pɔsin in layf de pan denja, i impɔtant fɔ no di sayn dɛm, mek yu no bɔt di sik, ɛn bigin fɔ trit am kwik kwik wan.

Nɔto dat nɔmɔ, bɔt lɛk af pan di pipul dɛn we gɛt DVT na dɛn leg, ɔ lɛk wan pan tu pipul dɛn, kin gɛt pen ɛn swel na dɛn leg wan wan tɛm fɔ sɔm mɔnt, ɔ ivin ia. dis kכndyushכn dεn kכl am ``pכst-trombotik sεndrכm''. dis kin apin we di DVT de pwεl di dilik valv dεm we de insay di vein dεm εn di insay wכl na di vein dεm, we de mek bכdi de kכl na wan ples insted fכ muv כp fayn fayn wan. dis pen εn swεla de kכz bay we di prεshכn de bכku insay di vein dεm.

Pɔst-thrombotic syndrome kin gɛt dɛn sayn ya:

• Blɔd de gɛda na di leg.
• Di tru tin na dat di leg dɛn kin kɔntinyu fɔ swel.
• di prεshכn we de kכmכt insay di vein dεm.
• Chenj in skin kala na di leg, sɔmtɛm i kin tɔn brawn.
• Venous stasis ulcer na wund dεm we at fכ hεl na di leg dεm.

Wetin na di difrɛns bitwin DVT ɛn dip vein trombosis?

Yu go mɔs dɔn yɛri bɔt wan vein we swel, blu, ɛn we de mek yu fil pen we yu tɔch am. dεn kכl am `(Superficial Venous Thrombosis)` (sכm pipul dεn kin kכl am bak `(fhlebitis)` כ `(superficial thrombofhlebitis)`). I jɔs de ɔnda yu skin, .Blɔd klɔt kin fɔm na wan vein we de nia de. I nɔ kin izi fɔ mek blɔd klɔt lɛk dis brok ɛn travul go na di lɔng dɛn. Bɔt if di blɔd klɔt travul go na di dip vein sistɛm, smɔl chans de fɔ mek i apin.

Bɔku tɛm, dɔktɔ kin no if blɔd de na di vein dɛn we de nia di skin bay we i de palpat di bɔdi ɛn chɛk di bɔdi. Bɔt fɔ mek yu rili shɔ bɔt DVT, dat na, blɔd we de klɔt na dip vein, dɛn rili nid fɔ du ɔltra saund tɛst.

Aw kɔmɔn dis DVT?

I impɔtant fɔ no dis bak. If yu luk di statystik na kɔntri lɛk Amɛrika, dɛn se bitwin wan ɛn tri pan ɛvri 1,000 big pipul dɛn kin gɛt DVT ɔ di `(Pulmonary Embolism)` (PE) we kin kɔmɔt frɔm am ɛvri ia. Dɛn kin tɔk bak se lɛk tri ɔndrɛd tawzin pipul dɛn kin day ɛvri ia bikɔs ɔf DVT/PE. Imajin, DVT/PE na di tɔd kɔmɔn vaskul sik afta at atak ɛn strok.

Pan ɔl we DVT/PE kin apin pan ɛni ej, i nɔ kin apin so ɔltɛm pan pikin ɛn yɔŋ pipul dɛn. I kin apin mɔ pan pipul dɛn we dɔn pas 60. Wan ɔda impɔtant tin na dat, pas af pan ɔl di DVT dɛn kin apin we dɛn de trit dɛn na ɔspitul fɔ sik ɔ afta dɛn dɔn ɔpreshɔn dɛn. Di men rizin fɔ dis na bikɔs we wi de na ɔspitul, wi nɔ kin muv arawnd lɛk aw wi kin muv ɛn wi kin de na bed fɔ lɔng tɛm, we kin mek blɔd nɔ go na di leg dɛn.

Wetin na di sayn dɛm fɔ DVT?

DVT kin apin na di vein dεm na di leg כ di an dεm. I sɔprayz fɔ no se lɛk 30% pan di pipul dɛn we gɛt DVT, ɔ lɛk wan pan ɔl tri pipul dɛn, nɔ kin gɛt ɛni sayn! Sɔmtɛm de sik kin so smɔl dat sɔm pipul dɛn nɔ kin ivin notis am.

Bɔt di sayn dɛn we de sho se pɔsin gɛt DVT wantɛm wantɛm (akyu) kin bi:

• swel na yu leg ɔ an (sɔntɛnde dis kin apin wantɛm wantɛm).
• Pen ɔ tεnd na di leg ɔ an (dεn kin fil dis nɔmɔ we yu tinap ɔr de waka).
• Fɔ fil se di say we yu swel ɛn we de mek yu fil pen na yu leg ɔ an, wam pas di ɔda wan dɛn.
• Di skin we de na da say de rɛd ɔ chenj in kɔlɔ.
• di vein dεm we de nia di skin de sho se dεn big pas aw i nכmal εn dεn de bul.
• bכdi de pen כ pen na di sayd fכ di bכdi (dis kin apin if bכdi kכlכt fכm na di dip vein dεm we de insay di bכdi).
• ed we de at bad bad wan (bɔku tɛm i kin bigin wantɛm wantɛm) ɛn/ɔ i kin gɛt sik (dis kin apin if blɔd klɔt na di bren).

Sɔm pipul dɛn nɔ kin no se dɛn gɛt DVT te di klot brok kɔmɔt na dɛn leg ɔ an ɛn travul go na dɛn lɔng. Na da tɛm de dɛn kin bigin fɔ gɛt sɔm sayn dɛm fɔ pulmonary embolism (PE), we kin inklud fɔ pen na dɛn chɛst wantɛm wantɛm, fɔ blo shɔt, fɔ kɔf blɔd, fil fɔ gɛt diziz, ɛn sɔntɛm dɛn nɔ go no natin.

Na sɔntin we yu fɔ mɛmba: If yu gɛt wan ɔ mɔ pan di sayn dɛm fɔ DVT, duya nɔ wet fɔ mek di sayn dɛm go dɔŋ. Kɔl dɔktɔ wantɛm wantɛm, ɔ go na di imejensi rum na di ɔspitul we de nia yu. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn.

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

Naw lɛ wi luk di tin dɛn we kin mek pɔsin gɛt DVT, ɔ di tin dɛn we kin mek pɔsin gɛt dis sik. If dɛn tin ya apin to yu, i go fayn fɔ mek yu wach smɔl bɔt DVT:

• Fɔ gɛt famili histri bɔt jɛnɛtik kɔndishɔn we de mek yu blɔd klɔt mɔ.
• Kansa ɛn sɔm pan in tritmɛnt dɛm (lɛk kemotɛrapi).
• If yu ɔ sɔmbɔdi na yu famili dɔn gɛt DVT bifo.
• Ristrikshɔn fɔ blɔd flɔ na dip vein bikɔs ɔf injuri, ɔpreshɔn, ɔ fɔ lɔng tɛm we i nɔ ebul fɔ muv.
• Fɔ de na di sem pozishɔn, we yu nɔ de muf, fɔ lɔng tɛm. Lɛk we yu de travul wit lɔng bɔs, tren, ɔ plen, ɔ we yu de na bed afta dɛn dɔn ɔpreshɔn yu ɔ yu dɔn wund bad bad wan.
• fכ bεlε כ we yu jכs bכn pikin (di risk kin bכku insay di fכs 6 wik).
• Fɔ pas 40 ia (bɔt mɛmba se DVT kin kam pan ɛni ej).
• We pɔsin wet pasmak/we pɔsin fat pasmak .
• Fɔ gɛt ɔtoimyun sik lɛk lupus, vasculitis, ɔ inflammatory bowel disease (IBD).
• Yuz tin dɛn we dɛn kin yuz fɔ smok (lɛk sigrɛt, beedis).
• Pipul wae gɛt varicose veins dɛnsɛf kin gɛt mɔ risk fɔ gɛt DVT.
• Fɔ tek bɔn kɔntrol pils ɔ sɔm ɔmon tritmɛnt dɛn .
• fכ gεt sεntri venכs kateshכn (tכb we dεn put insay big vein) כ peshכn (divays we de kכntr כl di at rεt) we dεn put insay di bכdi.
• Bikɔs dɛn jɔs dɔn gɛt COVID-19, dat kin mek bak di risk fɔ gɛt DVT bɔku.

Aw yu go no if yu gɛt DVT?

We yu go to dɔktɔ we gɛt sayn dɛn fɔ DVT, dɛn go aks yu fɔs bɔt di sayn dɛn we yu gɛt, yu ɔda mɛrɛsin dɛn, ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik. Dɔn dɛn go chɛk yu. Afta dat, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no if yu gɛt DVT:

DVT ditekshɔn tɛst dɛn

• Duplex venous ultrasound : Dis na di tɛst we dɛn kin yuz mɔ, we nɔ kin mek pɔsin fil pen, ɛn we izi fɔ du fɔ no DVT.Dis kin yuz sawnd wev we dɛn kɔl ɔltra saund fɔ luk di blɔd we de flɔ na di vein dɛn ɛn fɔ si if ɛni blɔd de klɔt. Di pɔsin we de du dis tɛst de put ɔltra saund probe pan yu leg ɔ an ɛn put am saful saful prɛshɔn. If di vein nɔ kɔntrakt fayn we yu prɛs am, di dɔktɔ kin tink se blɔd kin klɔt de. If di rizɔlt fɔ dis ɔltra saund nɔ rili klia, di dɔktɔ kin du ɔda tɛst.
• `(Venography)` : Dis na tɛst we dɛn kin du insay di bɔdi. Dɛn nɔ kin yuz am bɔku tɛm dɛn tɛm ya. na ya, dεn kin mek sכm sכm pat na di skin na di nεk כ groin, dεn kin put wan tכn tכb (`(kateta)`) tru am insay wan vein, εn dεn kin injεkt wan spεshal likwid (kכntrast mεtirial) insay di vein dεm. Dɔn, dɛn kin tek ɛkstrem rayt fɔ si if di blɔd we de flɔ na di vein dɛn dɔn blok bikɔs di blɔd dɔn klɔt.
• Magnetic Resonance Imaging (MRI) ɔ Magnetic Resonance Venography (MRV) : MRI kin tek rili klia pikchɔ fɔ di ɔgan ɛn strɔkchɔ dɛn we de insay di bɔdi. MRV kin tek pikchɔ fɔ di vein dɛn, mɔ na sɔm patikyula say dɛn na di bɔdi. Bɔku tɛm, MRI ɛn MRV kin gi mɔ ditayli infɔmeshɔn pas ɔltra saund ɔ CT skan.
• Computed tomography (CT) scan : Dis na ɔda we fɔ tek krɔs-sɛkshɔn pikchɔ dɛn fɔ di insay pat na di bɔdi we yu de yuz ɛkstrem rayt tɛknɔlɔji. Dɔktɔ kin yuz CT skan fɔ fɛn DVT na di bɛlɛ, di bɛlɛ, ɔ di bren, ɛn i kin luk bak fɔ blɔd we dɔn klɔt na di lɔng (pulmonary embolism).

Sɔntɛnde, if yu dɔktɔ tink se yu gɛt wan sik we de mek yu blɔd klɔt, ilɛksɛf na yu gɛt frɔm yu mama ɛn papa ɔ yu gɛt am, dɛn kin tɛl yu fɔ du spɛshal blɔd tɛst fɔ luk fɔ am. Dis impɔtant mɔ pan kes dɛn lɛk dɛn wan ya:

• If yu dɔn gɛt blɔd klɔt trade fɔ no ɔda rizin we klia.
• If yu gɛt blɔd we de klɔt na wan vein na say we nɔ kɔmɔn, lɛk yu intestinal, liva, kidni, ɔ bren.
• If yu famili gɛt strɔng histri bɔt blɔd we de klɔt.
• If dɛn dɔn ɔlrɛdi no se sɔmbɔdi na yu famili gɛt wan patikyula sik we de mek yu blɔd klɔt we yu gɛt frɔm yu mama ɛn papa.

Aw ɛvride layf de wit DVT?

We yu gɛt DVT, yu kin gɛt sɔm pen ɛn swel na yu leg fɔ di fɔs dez, we kin mek i nɔ izi fɔ yu fɔ muv ɛn du yu nɔmal tin dɛn. Bɔt nɔ wɔri, smɔl smɔl yu kin bigin fɔ du yu nɔmal tin dɛn .

If yu leg dεm swel εn yu fil se yu ebi, tray fכ le na bed wit wan כ tu pilo dεm כnda yu leg dεm εn kip yu il dεm lεk 5-6 inch oba yu ed. Dis go ɛp fɔ mek blɔd kɔmɔt na yu leg dɛn to yu at ɛn mek yu nɔ swel.

Apat frɔm dat, tink bɔt dɛn tin ya:

• If yu fɔ sidɔm fɔ lɔng tɛm (e.g., we yu de wok na ɔfis, wach TV), du ɛgzampul dɛn we gɛt fɔ du wit fɔ muv yu hip dɛn bak ɛn go bifo wan tɛm ɛvri af awa.
• Grap ɛn waka rawnd fɔ sɔm minit at least ɛvri awa we yu wek. Dis impɔtant mɔ we yu de na lɔng plen ɔ we yu de travul fɔ lɔng tɛm insay motoka lɛk bɔs, tren, ɔ motoka.
• If yu dɔktɔ tɛl yu fɔ du am, wɛr spɛshal kɔmpreshɔn stɔkin we go kam te yu ni. Dɛn dɔn si se we pɔsin wɛr dɛn tin ya ɛvri mɔnin ɛn ivintɛm i kin mek yu leg nɔ pen ɛn swel bay 50%.
• Nɔ du tin dɛn we go mek yu gɛt siriɔs injury (e.g., spɔt we gɛt ay impak fɔ rɔn ɔ jomp) fɔ sɔm tɛm.
• Ɔltɛm drink bɔku wata, mɔ we yu de travul, ɛn nɔ mek yu bɔdi nɔ gɛt wata.

Wetin na di tritmɛnt dɛm fɔ DVT?

Sɔm pipul dɛm wae gɛt DVT kin nid fɔ de na ɔspitul fɔ tritmɛnt, bɔt bɔrku pipul dɛn kin gɛt tritmɛnt na os, tek mɛrɛsin lɛk aw dɛn dɔktɔ tɛl dɛn, ɛn go na klinik (ɔtpatient).

Di men tritmɛnt fɔ DVT na:

• Gi blɔd tin dɛn (anticoagulants) fɔ mek blɔd nɔ klɔt.
• Di tin we a bin dɔn tɔk bɔt na fɔ wɛr kɔmpreshɔn stɔkin.
• Fɔ ɛlevɛt di leg(dɛn) we di sik afɛkt bɔku tɛm ɔlsay na di de.

Na smɔl tɛm nɔmɔ, if di DVT dɔn skata bɔku say, spɛshal tritmɛnt (kateta-based prosidur) kin nid fɔ de.

Dɛn tritmɛnt ya gɛt sɔm men gol dɛn:

• Di gol na fɔ stɔp di blɔd we dɔn de fɔ mek i nɔ big ɛn go to ɔda vein dɛn we de rawnd am.
• fכ mek di bכdi kכlכt nכ brok fri frכm wan vein εn travul wit di blכd to di lכng (we de mek di pulmonary embolism).
• Fɔ ridyus di risk fɔ gɛt dis kayn blɔd klɔt bak tumara bambay.
• fכ mek di kכmplikεshכn dεm we go de fכ lכng tεm (e.g., krכnik venus insufficiency, wan kכndyushכn we de mek di lεg dεm swel εn di skin kכlכ de chenj) we kin kכz fכ dis bכdi kכlכt.

Mɛmba dɛn tin ya bɔt mɛrɛsin

If yu dɔktɔ gi yu mɛrɛsin fɔ DVT, tek tɛm bad bad wan bɔt dɛn tin ya:

• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, insay di rayt doz. Nɔ mis wan de.
• Mek dɛn du yu blɔd tɛst jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du, ɛn nɔ mis yu lab apɔntinmɛnt. (Sɔm tin dɛn we de mek blɔd tan nid fɔ de tɛst yu blɔd ɔltɛm fɔ chɛk if yu blɔd ebul fɔ klɔt.)
• Nɔ bigin fɔ tek ɛni nyu mɛrɛsin (inklud pen kil, vaytamɛn, ɛn Ayurveda mɛrɛsin dɛn we yu kin bay na kɔt) ɔ stɔp fɔ tek ɛni mɛrɛsin we yu de tek naw we yu nɔ go to yu dɔktɔ.
• Tɔk to yu dɔktɔ bɔt di it we yu de it. Sɔm tin dɛn we de mek yu blɔd tan (lɛk wɔfarin) kin mek yu nɔ it sɔm it dɛn (lɛk ligɛm). So una fɔ no bɔt dis.

Smɔl mɔ bɔt DVT tritmɛnt

Antikoagulant (we de mek blɔd tan) .

Dis mɛrɛsin kin mek yu blɔd nɔ klot izi wan. I de stɔp bak di blɔd we dɔn de fɔ mek dɛn nɔ big, ɛn i de mek bak dɛn nɔ brok ɛn muv rawnd.

di imכtant tin na dat, dεn antikoagulεnt dεm ya nכ de "sכlv" di bכdi kכlכt dεm. Di tin dɛn we yu bɔdi kin yuz fɔ mek yu bɔdi kin sɔlv di klot dɛn smɔl smɔl. Bɔt sɔntɛnde, di klot dɛn nɔ kin sɔlv ɔl. if dεn du dat, dεn de shrink εn de lεk sכm sכm "ska" dεm insay di vein dεm. Sɔmtɛm dɛn "ol" klot ya kin mek yu leg swel ɔltɛm, bɔt bɔku tɛm dɛn nɔ kin mek ɛni big big simptom.

Bɔku kayn antikɔagulant dɛn de. fכ egzampl, warfarin (we dεn de mכket כnda nem dεm lεk Coumadin), hεparin (dεn gi am as injεkshכn), εn di nyu dairekt כral antikoagulεnt dεm (DOAC) כ nכvel כral antikoagulεnt (NOAC) (e.g. rivaroxaban, apixaban, dabigatran). Yu dɔktɔ go tɛl yu us kayn mɛrɛsin go fayn fɔ yu ɛn we nɔ bad.

If yu nid fɔ tek wan antikɔagulant, aw lɔng yu nid fɔ tek am go dipen pan yu kɔndishɔn. Sɔm pipul dɛn kin jɔs nid fɔ tek am fɔ sɔm mɔnt (bɔku tɛm na 3-6 mɔnt), ɔda wan dɛn kin nid fɔ tek am fɔ di res ɔf dɛn layf. Dis kin dipen pan tin dɛn lɛk:

• Yu dɔn ɛva gɛt blɔd klot lɛk dis bifo?
• Ilɛksɛf dɛn de trit yu fɔ wan sik we go de fɔ lɔng tɛm, lɛk kansa ɔ wan sik we de mek yu ebul fɔ fɛt yusɛf (if na so, yu go nid fɔ tek wan antikɔagulant fɔ lɔng tɛm, we kin mek yu gɛt mɔ blɔd klɔt).

Di sayd ɛfɛkt we di antikɔagulɛnt dɛn kin gɛt na we pɔsin de blɔd. If yu gɛt izi brus, blɔd we de kɔmɔt na yu gam pasmak we yu de brus yu tit, blɔd na yu nos, ɔ blak stɔl we yu de tek dɛn mɛrɛsin ya, kɔl yu dɔktɔ wantɛm wantɛm.

`(Kɔmreshɔn Stɔkin)` (Spɛshal tayt sɔks)

Yu dɔktɔ kin tɛl yu fɔ wɛr spɛshal kɔmpreshɔn stɔkin fɔ ridyus ɔ ivin nɔ swel na yu leg. di men tin we kin mek dis swel na di damej pan di dilik valv dεm we de insay yu vein dεm we DVT kin mek. Swel kin apin bak bikɔs di blɔd we de flɔ na yu vein dɛn kin blok bay DVT.

Mɔs pan di kɔmpreshɔn stɔkin dɛn kin kam insay wan we we dɛn kin wɛr dɔŋ di ni. Dɛn stɔking ya kin tayt smɔl na di anklɛ, ɛn smɔl smɔl dɛn nɔ kin tayt igen as yu de muf ɔp di leg. dis de mek di leg slo, yunifom prεshכn (kכmpreshכn) de mek di bכdi dכn pכl εn i de εp fכ muv כp. Sɔm pipul dɛn kin gɛt fɔ wɛr dɛn fɔ tu ia ɔ mɔ. Stɔdi dɔn sho se if yu wɛr dɛn stɔking ya ɛvride frɔm mɔnin to ivintɛm (ɛn nɔto na nɛt we yu de slip) i kin mek yu nɔ fil pen ɛn swel na yu leg bay 50%.

Sɔntɛnde, afta big ɔpreshɔn, yu kin si pipul dɛn we wɛr spɛshal divays (`(intermittent pneumatic compression devices)`) we dɛn kin put rawnd yu leg ɛn tayt ɛn lus wan wan tɛm fɔ mek yu nɔ gɛt DVT we yu de na ɔspitul. Dɛn nɔ kin fayn fɔ yuz dɛn tin ya ausayd ɔspitul. Dɔn bak, dɛn nɔ kin fayn fɔ yuz dɛn divays ya fɔ pɔsin we dɔn ɔlrɛdi gɛt DVT na in leg.

Speshal prosidur fɔ DVT

Bɔku tɛm dɛn kin ebul fɔ kɔntrol DVT wit mɛrɛsin. Bɔt if yu nɔ ebul fɔ tek blɔd tin fɔ sɔm rizin, ɔ if yu kɔntinyu fɔ gɛt blɔd klot pan ɔl we yu tek am kɔrɛkt wan, dɔktɔ we de du ɔpreshɔn kin nid fɔ du ɔpreshɔn fɔ put spɛshal tin (inferior vena cava filter ɔ IVC filter) na di big vein na yu bɔdi (di vena cava).

Bɔku tɛm, dɛn kin du dis bay we dɛn de mek di say nɔ gɛt maynd. di sajin de put dis `(IVC filta)` tru wan tin tכb (`(kateta)`) insay wan big vein na yu groin כ nεk, εn afta dat i de tek am εn put am na di `(vena cava)`, di men vein we de kכri bכdi frכm di lכw pat dεm na di bכdi to di at. di rizin fכ dis filta na fכ mek di bכdi we de kכlכt na di vein dεm na yu leg nכ brok εn travul כp, εn big bכdi kכlכt (`(emboli)`) fכ travul go na yu lכng εn mek `(pulmonary embolism)`. bכt mεmba, pan כl we wan `(IVC filta)` de ridyus di risk fכ `(pulmonary embolism)`, i nכ de stכp nyu bכdi kכlכt fכ fכm na yu vein dεm.

Aw a go ridyus di risk fɔ gɛt DVT?

Dɛn se, "Prɛvenshɔn bɛtɛ pas fɔ mɛn." So dat na tru bɔt DVT bak.

If yu dɔn ɔlrɛdi gɛt DVT ɛn yu dɔn dɔn di tritmɛnt, yu fɔ du dɛn tin ya fɔ ridyus yu risk fɔ gɛt ɔda DVT/PE blɔd klɔt tumara bambay:

• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, fɔ di tɛm we dɛn tɛl yu fɔ tek.
• Nɔ mis yu dɔktɔ in apɔntinmɛnt ɛn lab tɛst. Dis na di de dɛm wae yu dɔktɔ kin no aw yu tritmɛnt go woke ɛn if yu nid fɔ chenj di doz fɔ yu mɛrɛsin.
• Mek chenj dɛn na yu layf we go mek yu gɛt wɛlbɔdi, lɛk fɔ it di rayt it, fɔ du ɛksɛsayz ɛvride, ɛn fɔ lɛf fɔ smok ɔltogɛda.

If yu nɔ ɛva gɛt DVT, bɔt yu gɛt wan ɔ mɔ pan di tin dɛn we kin mek yu gɛt DVT, tek tɛm mek yu nɔ gɛt DVT bay we yu:

• If yu fɔ sidɔm na wan ples fɔ lɔng tɛm (e.g., na ɔfis, we yu de travul fɔ lɔng tɛm), du sɔm layt ɛksesaiz, lɛk fɔ muv yu hip dɛn ɔp ɛn dɔŋ ɛn rɔta yu ankles, at le wan tɛm ɛvri af awa.
• If yu de na lɔng plen, grap wan tɛm ɛvri awa ɛn waka rawnd di ais. If yu de pan lɔng motoka trip (bɔs, motoka), kɔmɔt na di motoka at le wan tɛm ɛvri awa ɔ tu awa ɛn muv rawnd smɔl, strɛch yu leg smɔl.
• Afta yu sik ɔ ɔpreshɔn, grap na bed ɛn bigin fɔ waka kwik kwik wan. Di kwik we yu bigin fɔ muv, na di mɔ yu nɔ go gɛt DVT.
• Afta big ɔpreshɔn, if yu dɔktɔ tɛl yu fɔ tek am, tek di mɛrɛsin (e.g., smɔl smɔl eparin injɛkshɔn) ɔ wɛr kɔmpreshɔn stɔking fɔ ridyus di risk fɔ mek blɔd klɔt.
• Si yu dɔktɔ di tɛm dɛn we yu dɔn plan fɔ du ɛn fala in instrɔkshɔn dɛn gud gud wan fɔ mek yu nɔ gɛt DVT.

Wetin a kin ɛkspɛkt if a gɛt DVT?

I kin tek mɔnt to wan ia fɔ mek di blɔd we dɔn klɔt kɔmɔt kpatakpata frɔm DVT. So, i impɔtant fɔ kɔntinyu fɔ tek yu blɔd tina ɛn wɛr kɔmpreshɔn stɔking, if dɛn tɛl yu fɔ du am, te yu dɔktɔ tɛl yu fɔ stɔp.

We yu de tek blɔd tin dɛn (especially warfarin), yu go nid fɔ du blɔd tɛst ɔltɛm (INR tɛst) fɔ mek shɔ se yu de gɛt di rayt doz. Yu dɔktɔ kin want bak fɔ du mɔ ɔltra saund leta fɔ chɛk if yu blɔd klɔt stil de, if i dɔn go dɔŋ ɔ i de big, ɛn aw yu vein dɛn de muv.

Ustɛm a fɔ go to mi dɔktɔ bak?

If yu sayn dɛm (lɛk yu leg pen ɛn swel) nɔr bɛtɛ ɔr wɔs we yu de trit yu, tɛl yu dɔktɔ wantɛm wantɛm. Dɔn bak, if yu brus izi wan we yu de tek mɛrɛsin we de mek yu blɔd tan, ɔ if yu gɛt bɔku blɔd we yu de gɛt we yu de si yu mɔnt, tɛl yu dɔktɔ.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Dis na tin bak we rili impɔtant. If yu gɛt ɛni wan pan dɛn tin ya we yu de tek mɛrɛsin we de mek yu blɔd tan, we min se yu de sho sayn dɛn fɔ se yu de blɔd pasmak, go na ɔspitul imejensi rum wantɛm wantɛm:

• If di vɔmit brayt rɛd wit blɔd, ɔ if di vɔmit blak lɛk kɔfi grɔn.
• If di stɔl brayt rɛd wit blɔd, ɔ if di stɔl blak ɛn stika.
• If yu kɔntinyu fɔ blɔd we yu nɔ go ebul fɔ stɔp frɔm yu nos, yu mɔt, ɔ ɛni ɔda say.
• If yu gɛt sɔm sayn dɛn we de sho se yu gɛt strok, lɛk we yu ed de at wantɛm wantɛm, yu nɔ de si fayn, yu nɔ go ebul fɔ tɔk, ɔ yu wik wan say na yu bɔdi.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We dɛn no se yu gɛt DVT, i nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ fred fɔ aks yu dɔktɔ bɔt tin dɛn lɛk:

• Aw lɔng a go gɛt fɔ tek dis blɔd tina?
• Ustɛm a go ebul fɔ travul nɔmal wan bak (especially long trip, flayt)?
• Aw ɔltɛm a fɔ si di dɔktɔ (`(fɔl-ap apɔntinmɛnt)`)?
• A nid fɔ mek ɛni spɛshal chenj pan di tin dɛn we a de it?
• Us tin dɛn a fɔ avɔyd we a de tek dis tritmɛnt?

So, wetin wi fɔ kɛr go na os frɔm dis stori?

DVT nɔto sɔntin we pɔsin fɔ fred, bɔt i nɔto sɔntin we pɔsin fɔ tek am layt sɛf. Na wan sik wae de afɛkt bɔrku pipul dɛm ɔlsay na di wɔl ɛn dɛn kin trit am fayn fayn wan.

Di tin we impɔtant pas ɔl na, .If yu gɛt sɔm sayn dɛn, go to dɔktɔ wantɛm wantɛm ɛn tek di tritmɛnt jɔs lɛk aw i tɛl yu. If dɛn gi yu mɛrɛsin fɔ mek yu blɔd tan, tek am di rayt tɛm ɛn du di tɛst dɛn we yu dɔktɔ tɛl yu fɔ du. Yu dɔktɔ na di bɛst pɔsin fɔ ansa ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu wɛlbɔdi biznɛs. So, tɔk to am opin wan ɛn gɛt di bɛst tritmɛnt fɔ yu sik. Stay wit wɛlbɔdi!

` Dip Vein Thrombosis, DVT, blɔd klot, vein, Pulmonary Embolism, PE, leg swel, blɔd tin, kɔmpreshɔn stɔking, blɔd klot, venus trombosis