Yu dɔn ɛva tink bɔt wetin go apin if sɔntin blok wan blɔd vesel na wi bɔdi wantɛm wantɛm? Sɔntɛm dat nɔ apin to yu. Bɔt, dis na sɔntin we wi ɔl nid fɔ no. Bikɔs, blɔd vesel we de blok lɛk dis, wan sik we dɛn kɔl (Embolism), sɔntɛnde kin rili denja. So, wi go tɔk bɔt dis smɔl mɔ ɛn simpul wan tide?
Wetin na ɛmbolizm? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, ɛmbolizm na we wan pan yu blɔd vesel, ɔ di ples usay blɔd de flɔ, kin blok wit sɔntin. Bɔku tɛm, dis blɔk kin kam bikɔs blɔd kin klɔt we dɔn fɔm ɔdasay. Bɔt nɔto jɔs blɔd we de klɔt, bɔt ɔda tin dɛn kin travul frɔm wan ples na di bɔdi to ɔda ples ɛn blok blɔd vesel lɛk dis.
Tink bɔt am lɛk dɔti we de stɔp na wata paip. Sɔm blɔd vesel dɛn, bikɔs ɔf dɛn saiz ɛn shep, kin blok pas ɔda wan dɛn. dis kin apin spεshal wan usay big bכdi de branch כf to sכm sכm sכm wan dεm, כ usay di blכd vesel dכn sכmtεm bikoz fכ fεt dεposit (atherosclerosis).
Dɛn ɛmbolizm ya kin apin ɛnisay na yu bɔdi, lɛk yu bren, yu lɔng, yu kidni, ɛn yu splin. di kayn εmbolizm we kכmכn pas כl na di lכng dεm. We blɔd klɔt fɔm na di vein dɛn na yu leg ɛn travul go na yu lɔng, dɛn kin kɔl am pulmonary embolism, ɔ PE .
Wetin na di difrɛn we dɛn we di ɛmbolizm kin apin?
Embolism kin sheb to difrεn tכp dεm dipכnt pan us kayn tin de stכk na di bכdi. Tek wan luk:
- Tromboembolism: Dis na di kayn we we blɔd kin klɔt pas ɔl . i de kכz fכ bכdi we de fכm כdasay na di bכdi, spεshal wan na di dip vein dεm na di lεg dεm (Deep Vein Thrombosis - DVT).
- Tumor embolism: Na sɔntin we tan lɛk wan pat pan kansa sɛl.
- Fat embolism: Fat kin gɛda na di blɔd we big big bon brok.
- Septic embolism: Na blɔd we de klɔt we gɛt fɔ du wit infɛkshɔn.
- Air embolism: Fɔ ɛgzampul, i kin bi bikɔs ɔf naytrɔjen gas we yu de dayv.
- Amniotic fluid embolism: Dis kin gɛt fɔ du wit pikin we i bɔn ɛn i nɔ kin apin so ɔltɛm.
pan dεn wan ya, Venous Thromboembolism , we na bכdi we de fכm na di vein dεm εn blכk dεm, de kכmכn pas di atεrial kכlכt. Infakt, na kɔntri lɛk Amɛrika, dɛn kin ripɔt se na lɛk 900,000 pipul dɛn kin gɛt dis sik ɛvri ia. Dɔn bak, Pulmonary Embolism na di tɔd big tin we kin mek pɔsin day we gɛt fɔ du wit di at ɛn blɔd vesel dɛn na di wɔl. (Nɔmba wan ɛn tu na Strɔk ɛn At Atak).
Wetin na di sayn dɛm we de sho se pɔsin gɛt ɛmbolizm?
If ɛmbolism fɔm na yu at, i kin mek blɔd nɔ flɔ. Yu no, blɔd de kɛr di ɔksijɛn we ɔl di sɛl dɛn na wi bɔdi nid. So, if di blɔd nɔ ebul fɔ pas, di ɔksijɛn nɔ go ebul fɔ pas. dis כksijεn we nכ de de mek wan kכndyushכn we dεn kכl "infarct," we de pwεl di כgan we nid da כksijεn de. Dis kin mek pɔsin fil pen. Sɔntɛnde, dis ɔksijɛn we nɔ de kin ivin kil pɔsin.
Imajin se blɔd klɔt (thrombus) de fɔm insay wan dip vein na yu leg, ɛn smɔl smɔl pat pan am brok ɛn travul wit di blɔd to di rayt say na yu at. Frɔm de, dɛn kin pɔmp blɔd to di lɔng dɛn. dis sכm sכm blכd kכlכt dεm (pulmonary emboli) kin stכk na di sכm sכm bכdi we de na di lכng, we kin mek di lכng infarkt. Na sכm tεm we big wan dεm (pulmonary emboli) kin blok di nכmal fכ fכlכ bכdi kכmplit wan frכm di rayt say na di at to di lכng.
di simptom dεm fכ wan εmbolizm de difrεn dipכnt pan di kayn εn di say we di εmbolizm de. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:
- Shot we yu de blo
- Di ɔksijɛn we de na di blɔd we nɔ bɔku (Hypoxemia) .
- Fɔ blo kwik bɔt we nɔ shayn (Tachypnea) .
- Wiknɛs, taya
- Ɛd we de at
- Rɛd spat dɛn na di skin (Petechiae) .
- Chɛst de pen
- At bit kwik kwik wan (Tachycardia) .
- Fiva
- Swel na yu an ɔ yu leg
- Di sik dɛn we kin mek pɔsin sik
- Vertigo we pɔsin kin gɛt
- Vɔmit ɛn nɔs
- Lɔw blɔd prɛshɔn (Hypotension) .
Wetin na di men tin we kin mek pɔsin gɛt ɛmbolizm?
כltu, di pulmonary embolism kin apin na di lכng dεm. di men tin we kin mek dis apin na di bכdi we de kכlכt na di vein dεm na di lεg dεm (Deep Vein Thrombosis - DVT) . sכmtεm, pulmonary embolism kin apin bak bikoz fכ DVT na di dip vein dεm na di an dεm.
Ɔda rizin dɛn de we kin mek di embolism apin:
- Infεkshכn na di insay layn na di at (infεkshכn εndokarditis) .
- Atrial fibrillation (di at bit we nɔ de bit ɔltɛm) .
- Lεft vεntrikulεr thrombus
- Bɔn we brok we big aksidɛnt apin
- Kansa
- Difrɛn infɛkshɔn dɛn
- Pankriaytis we gɛt sik
- Liposukshɔn we dɛn kin yuz
- Fɔ transplant bon mɛrɔ
- Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ
- di plasεnta akkreta (dip we di plasεnta de atak di uterin wכl) .
Udat de pan ay risk fɔ gɛt dis (embolism)?
Bɔku tin dɛn de we kin mek pɔsin blɔd klɔt (ɛmbolizm). Si if ɛni wan pan dɛn tin ya apin to yu:
- Nɔr de du tin wit yu bɔdi: Fɔ de na wan ples fɔ lɔng tɛm, mɔ afta dɛn dɔn du yu ɔpreshɔn.
- Ɔpreshɔn ɛn sɔm mɛrɛsin dɛn: Afta dɛn dɔn du big big ɔpreshɔn.
- At we nɔ de wok fayn
- Strok
- Kansa
- Injury na yu bɔdi (Trauma) .
- Ay blɔd prɛshɔn (Hypertension) .
- Yuz tin dɛn we dɛn kin yuz fɔ smok (smok) .
- Yuz bɔn kɔntrol pils
- Kɔndishɔn dɛn we kin mek blɔd klɔt izi wan
- Sɔm tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn, lɛk mashin dɛn we de mek pɔsin in peshɛnt
Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf wan ɛmbolizm?
di komplikashכn dεm fכ wan εmbolizm kin difrεn dipכnt pan usay i de apin. I kin rili denja. Na sɔm pan di prɔblɛm dɛn we kin apin:
- Nɔmal tin dɛn we de apin na di bren we de wok, lɛk we i nɔ de mɛmba fayn
- Di at bit we nɔ de bit ɔltɛm (Aritmia) .
- Di at we de mek di at nɔ de wok
- At atak
- Sεribral εdima
- Ɛdima we de na di pulmonari
- Akyu Respiratɔri Distres Sindrɔm (ARDS) .
- We yu lɔs yu an ɔ yu leg
- Splɛnik absɛs
- Tisu dεm we de day na di kidni, splin, כ כda כgan we dεn afekt
- Trikuspid valv rigurgitashכn (bכkfכlכ fכ bכdi tru wan at valv) .
- Kidni we nɔ de wok fayn
- At we nɔ de wok fayn
- Strok
- Ivin fɔ lɔs pɔsin in layf kin apin.
Dat min se, dis nɔto sɔntin fɔ tek am layt. Pan ɔl we i kin tan lɛk se na smɔl tin, if dɛn nɔ trit am insay di rayt tɛm, i kin mek wi gɛt prɔblɛm dɛn we go mek i day.
Aw dɔktɔ kin no dis kɔrɛkt wan (embolism)?
If yu gɛt sayn dɛn we de sho se yu gɛt ɛmbolizm, dɔktɔ go chɛk yu fɔs. Di dɔktɔ kin notis tin dɛn lɛk we di skin kin chenj ɔ we i nɔ kin izi fɔ blo. If dɛn tink se i gɛt ɛmbolizm, i kin du sɔm tɛst dɛn.
dipכnt pan di kayn εmbolizm, dεn kin du dεn tεst dεm ya:
- Blɔd tɛst dɛn
- X-ray na di chɛst
- Doppler ultrasound - Luk di bכdi we de fכlכ na di bכdi vεsul dεm.
- ECG (Electrocardiogram - EKG) - I de chɛk aw di at de wok.
- CT skan (Kɔmpyut Tomografi - CT skan) .
- MRA tɛst(Magnεtik Rεsכnans Angiogram - MRA)
- MRI (Magnetik Rɛsɔnans Imej) .
- Angiogram - Na X-ray fכ di bכdi vεsul dεm afta dεn injεkt wan day.
- כltra saund tεst dεm fכ di at: (Transthoracic echocardiogram - TTE) εn (Transesophageal echocardiogram - TEE) .
- Sɔntɛnde dɛn kin du bayɔpsi fɔ chɛk wan pat pan di tisu.
Wetin na di tritmɛnt dɛm fɔ ɛmbolizm?
Di men gol fɔ tritmɛnt fɔ ɛmbolizm na fɔ pul di blɔk we de na di blɔd vesel ɛn mek di blɔd flɔ bak. Bɔrku tɛm, di fɔs tin wae yu kin du na fɔ trit yu wit mɛrɛsin.
Na sɔm tritmɛnt dɛn fɔ ɛmbolizm:
- Antikoagulant : Wi se dɛn wan ya de "thrombify" di blɔd.
- Trombolytics : Dɛn wan ya de sɔlv di blɔd we dɔn klɔt dairekt wan ɛn pul am.
- Antibayɔtik fɔ Ɛmbolizm
- Drug dεm wae de mek at wok fayn (Inotropes) .
- Ɔksijɛn tɛrapi ɔ haypabarik ɔksijɛn tɛrapi
- Embolectomy (we dɛn kin du ɔpreshɔn fɔ pul wan ɛmbolizm) .
If i rili siriɔs, pipul dɛn we gɛt ɛmbolizm kin nid ɔda tritmɛnt dɛn we go ɛp dɛn fɔ gɛt layf, lɛk CPR , ECMO (wan mashin we de wok instead fɔ di at ɛn dɛn lɔng), ɛn ivin mashin dɛn fɔ ɛp dɛn fɔ blo.
Ɛni bad tin de we di tritmɛnt kin du?
Yɛs, i sɔri fɔ no se sɔm sayd ɛfɛkt dɛn kin de. Risk de fɔ mek yu blɔd kɔmɔt, mɔ wit mɛrɛsin dɛn we dɛn kɔl antikoagulant ɛn thrombolytics. We dɛn du ɔpreshɔn fɔ pul di blɔd we dɔn klɔt (embolectomy), prɔblɛm dɛn kin de lɛk:
- Damej to wan blɔd vesel
- Blɔd we de kɔmɔt
- Slow at rit (Bradycardia) .
- Lɔw blɔd prɛshɔn (Hypotension) .
- Di at we de mek di at nɔ de wok
Wetin kin apin if ɛmbolizm apin?
Sɔm pipul dɛm wae gɛt embolism nɔr kin gɛt ɛni sayn at ɔl, ɔda wan dɛm kin gɛt bɔrku siriɔs sayn dɛm. Aw dɛn go trit yu go dipen pan bɔku tin dɛn, lɛk di sayz ɛn di kayn we aw di ɛmbolizm de, ɛn usay i kɔmɔt.
Embolism na wan sik we de mek yu layf de pan denja, so if yu no di sik kwik kwik wan ɛn trit yu kwik kwik wan, dat kin mek yu gɛt mɔ chans fɔ wɛl.
Wetin wi kin du fɔ mek wi nɔ gɛt ɛmbolizm?
Yɛs, wi kin mek sɔm kayn ɛmbolizm nɔ kam. If yu de pan denja fɔ gɛt ɛmbolizm, yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- We yu de travul fɔ lɔng tɛm (lɛk na plen ɔ bɔs), grap ɛvri sɔm awa ɛn es yu anklɛ dɛn ɔp ɛn dɔŋ smɔl (kalf pɔmp).Dis kin ɛp fɔ mek di blɔd go fayn fayn wan na di leg dɛn.
- Mɛrɛsin dɛn we de mek blɔd tan (Anticoagulants) .
- Yuz spɛshal kɔmpreshɔn stɔkin dɛn.
- Wan divays we de aplay prɛshɔn pan di leg dɛn (Intermittent Pneumatic Compression Device - IPC divays) .
- fכ sכm pipul dεm, dεn kin put filta na di men vein we de kכri bכdi frכm di lכw bכdi to di at (di inferior vena cava filta) . Dis kin mek di blɔd we de klɔt nɔ travul go na di at ɛn di lɔng dɛn.
Aw a go tek kia ɔf misɛf if a gɛt ɛmbolizm?
Afta yu dɔn gɛt ɛmbolizm, yu kin nid fɔ gɛt rihabiliteshɔn fɔ mek yu wɛl. Dis na bikɔs di ɛmbolizm kin gɛt say dɛn lɛk yu bren ɔ yu lɔng dɛn we dɔn pwɛl. Dis damej kin apin bikɔs di ɛmbolizm dɔn kɔt ɔksijɛn to da ɔgan ɔ eria de.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sayn dɛm fɔ ɛmbolizm, yu fɔ go to dɔktɔ wantɛm wantɛm. Nɔ delay.
Afta yu dɔn gɛt ɛmbolizm, yu go nid fɔ kɔntinyu fɔ go to yu dɔktɔ ɛn fala in instrɔkshɔn. Ɛspɛshali if yu de tek mɛrɛsin lɛk antikoagulant, yu dɔktɔ go chɛk fɔ si if yu de tek dɛn kɔrɛkt wan ɛn if yu risk fɔ blɔd dɔn chenj.
Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?
Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin mek a gɛt dis (embolism)?
- Wetin na di chans fɔ mek a wɛl bay aw a de fil?
- Wetin na di bɛst tritmɛnt fɔ mi?
- Wetin a fɔ du fɔ mek ɔda ɛmbolizm lɛk dis nɔ apin igen?
Fɔ sɔmtin (Tek-Home Message) .
Na nɔmal tin fɔ fil fɔ wɔri bɔt wan sik we dɛn kɔl ɛmbolizm, bikɔs i kin mek yu layf de pan denja. Na dat mek i rili impɔtant fɔ gɛt tritmɛnt wantɛm wantɛm. If yu gɛt sayn dɛn fɔ ɛmbolizm, go to dɔktɔ wantɛm wantɛm. Afta yu dɔn gɛt tritmɛnt, gɛt sɔpɔt frɔm yu famili ɛn padi dɛn. If yu de wɔri ɔr de wɔri fɔ gɛt ɔda embolism, tɔk to pɔsin we de gi yu advays. Nɔto yu wan de, ɛn nɔ fred fɔ aks fɔ ɛp.
` Embolism, blɔd klot, blɔd vesel blok, pulmonary embolism, Pulmonary Embolism, DVT, simptom dɛm, tritmɛnt, prɛvɛnshɔn
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