Yu gɛt wund na yu leg we nɔ go wɛl? Mek wi lan ɔltin bɔt Leg Ɔlsa!

We wi gɛt smɔl wund na wi leg, wi ɔl kin tink se i go wɛl insay sɔm dez. Bɔt sɔntɛnde, dɛn wund ya kin tek sɔm wiks, ivin sɔm mɔnt fɔ wɛl, ɛn dat kin mek yu gɛt prɔblɛm. Na so wi go tɔk bɔt di anɔynt wund dɛm we de fɔm na wi leg, we kin tek lɔng tɛm fɔ wɛl. Insay mεdikal tεm dεm, dεn kכl dεn tin ya `(Leg Ulcers)`.

Wetin na dɛn ɔlsa ya we nɔ de mɛn na yu leg?

Fɔ tɔk am simpul wan, ɔlsa na yu leg na wund we nɔ wɛl fɔ pas tu wiks pan ɔl we dɛn dɔn trit am . Dɛn ɔlsa ya kin de na di say we de bitwin yu an ɛn yu ni.

Bɔku tɛm, dɛn wund dɛn ya kin pul sɔntin we tan lɛk wata (i kin bi se na pus) . If dɛn nɔ trit dɛn wund ya fayn, dɛn wund ya kin big. Fɔ ɛgzampul, if yu gɛt wund na yu leg ɛn i nɔ wɛl afta tri mɔnt we yu dɔn trit yu, wi kin tek am se na sik we nɔ de mɛn .

Akɔdin to sɔm divɛlɔp kɔntri dɛm na di wɔl, lɛk 1% pan di big pipul dɛm kin sɔfa wit dis sik. Dis prɔblɛm kin mɔs pan pipul dɛm wae dɔn pas 65. Na lɛk 4% pan dɛm kin gɛt wund wae nɔr de wɛl na dɛn leg. So dis nɔto sɔntin we wi fɔ tek am layt.

Wetin mek ɔlsa na yu leg kin apin?

Bɔku rizin kin de we kin mek yu gɛt ɔlsa na yu leg. Lɛ wi luk di men wan dɛn.

1. Prɔblɛm dɛn we de na di vein (Chronic Venous Insufficiency) .

Dis na di men rizin we mek ɔlsa na yu leg kin apin. di vein dεm na wi leg dεm gεt sכm sכm valv dεm insay dεm. Dɛn tin ya tan lɛk domɔt dɛn. Dɛn wok na fɔ mek blɔd nɔ flɔd ɔp, go na di at, ɛn bak dɔŋ. Bɔt we dɛn valv dɛn ya nɔ de wok fayn, blɔd kin bak ɛn gɛda na di ɔda leg dɛn we de dɔŋ .

Tink bɔt am lɛk we valv brok na wata paip, we de mek wata gɛda na wan ples. We blɔd gɛda lɛk dis, di prɛshɔn we de insay di vein dɛn na di leg dɛn kin go ɔp. Dɔn, di fayn fayn blɔd vesel dɛn we de na di skin kin bɔs. Dis kin mek di skin wam, i kin it, i kin dray , ɛn leta di skin kin krak ɛn ɔlsa kin kam.

2. Dayabitis (Dayabetis Mɛlitɔs) .

Yu no se dayabitis (`(Diabetes Mellitus)`) na sik wae kin kam wit bɔrku prɔblɛm. Bikɔs di blɔd shuga we pɔsin we gɛt dayabitis gɛt kin bɔku ɔltɛm, fat kin bɔku insay di blɔd vesel dɛn, ɛn dis kin mek dɛn nɔ ebul fɔ waka . Jɔs lɛk aw rɔst kin gɛda insay ol wata paip.

we di vein dεm blok lεk dis, di bכdi we de fכlכ na di lεg dεm de dכn. So, di nerv dɛn kin pwɛl . Wi kin kɔl dis `(Dayabetik Nyuropati)`. We di nerv dɛn wik lɛk dis, yu nɔ go fil ivin smɔl wund ɔ kɔt na yu leg. Sɔntɛnde, ivin smɔl kɔt we stɔp na yu sus, yu nɔ go notis te i bi big wund. Dɔn bak, wund dɛn kin wɛl sloslo bikɔs ɔf dayabitis .

3. Pɛriferal Atɛri Disizin (PAD) .

Insay dis kɔndishɔn, sɔntin we tan lɛk dayabitis kin apin. Fεt dεposit (atherosclerosis) de fכm insay di at dεm we de kכri bכdi to wi bכdi in an dεm, sכmtεm dεn de kכl dεn at dεm de. Fɔ tɔk di kɔrɛkt tin, di men at dɛn we de kɛr blɔd go na wi leg dɛn kin blok .

Wetin kin apin da tɛm de? Di leg dɛn nɔ kin gɛt inof blɔd. So dɛn nɔ kin gɛt inof ɔksijɛn ɛn tin dɛn we de mek dɛn gɛt tin fɔ it. We dis kin apin, ivin smɔl wund kin tek lɔng tɛm fɔ wɛl. Pipul wae gɛt shuga kin gɛt dis sik bak (PAD) .

4. Ay Blɔd Prɛshɔn / Aypatɛnshɔn

Ay blɔd prɛshɔn (haypa prɛshɔn) na ɛnimi bak we nɔ de tɔk natin. If dɛn nɔ kɔntrol am fayn, i kin mek yu gɛt ɔlsa we de mek yu fil pen bad bad wan (Martorell ulcer) na di ɔnda leg, mɔ na di anklɛ. di ay blɔd prɛshɔn kin mek di smɔl smɔl blɔd vesel dɛm (kapilari dɛm) na di skin kin blok, ɛn dis kin mek di blɔd nɔ de go na di skin. Dɔn di sɛl dɛn na di skin kin day ɛn apia lɛk ɔlsa.

Udat de pan big risk fɔ gɛt injury na in leg?

Sɔm pipul dɛn kin gɛt dɛn leg injury ya pas ɔda wan dɛn. Lɛ wi si udat dɛn bi:

• Fɔ uman dɛn: Uman dɛn kin gɛt dis sik lɛk tu tɛm pas man dɛn.
• di bכdi wet pasmak: Dis risk kin bכku bay we i fat כ we i de gεt we i bεlε.
• Famili histri: If pɔrsin na yu famili gɛt prɔblɛm wit in vein (e.g., varicose veins), yu kin gɛt dis sik bak.
• Ɔda sik dɛn we pɔsin kin gɛt: Pipul dɛn we gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn rεumatoid at.
• Ɔpreshɔn: Fɔ di wan dɛn we dɛn dɔn du ɔpreshɔn fɔ chenj dɛn hip ɔ ɔpreshɔn fɔ chenj dɛn ni.
• Injury ɛn aksidɛnt: Siriɔs injury lɛk brok bon.
• Nɔr de du tin fɔ yu bɔdi: Fɔ di wan dɛm wae de na wan ples fɔ tu lɔng, nɔr de waka, ɛn gɛt tin dɛm lɛk paralayz.
• Smok: Smok kin pwɛl di blɔd vesel ɛn i kin mek di blɔd nɔ flɔ fayn.
• Ɔda prɔblɛm dɛn we kin apin na di vein: Fɔ di wan dɛn we gɛt sik lɛk varicose veins, vasculitis, ɛn venous thromboembolism.

Wetin na di sayn dɛm wae de sho se yu gɛt ɔlsa na yu leg?

We yu gɛt wund na yu leg, aw yu go no am? Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:

• Wund we nɔ de wɛl: Dis na di men sayn. If di wund nɔ wɛl afta tu wiks we dɛn dɔn trit am, i kin bi `(Leg Ulcer)`.
• Aw di wund tan: Di wund kin bi rɛd, pepul, brawn, ɔ yɔlɔ . Sɔntɛnde, i kin tan lɛk se sɔm pan dɛn kɔlɔ dɛn ya miks togɛda. Di wund kin kɔmɔt bak wit wata ɔ sɔntin lɛk pus .
• Di chenj dɛn we de apin na di skin:
• Di skin we de rawnd di wund kin dray, skel, ɛn it .
• Tin dεm lεk had lumps na di skin kin apia, כ di skin kin tayt.
• Di kɔlɔ we di skin gɛt kin chenj ɛn i kin tan lɛk rɛd, blu, ɔ pepul, lɛk brus .
• Pen: Yu kin gɛt pen na yu leg, mɔ afta yu dɔn tinap fɔ lɔng tɛm .
• Swel: Yu kin si swel (edema) na di lכw leg dεm.

Aw fɔ no ɔlsa na yu leg?

If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ. Bɔku tɛm, wan spɛshal pɔsin we sabi bɔt di vaskul dɛn go chɛk dɛn wund dɛn ya. I go tek tɛm chɛk yu skin ɛn di wund.

Apat frɔm dat, yu kin du tɛst dɛn bak lɛk dɛn wan ya:

• Ankle-brachial index test: Dis de yuz ɔltra saund teknɔlɔji fɔ no di blɔd prɛshɔn ɛn di blɔd we de flɔ na di leg dɛn.
• Bayopsi: Dɛn kin tek wan sampul fɔ di skin sɛl dɛn ɛn wata we kɔmɔt na di wund ɛn chɛk am ɔnda maykroskɔp fɔ chɛk fɔ si if i gɛt infɛkshɔn ɔ ɔda sik dɛn na di skin.

Aw fɔ trit wund na yu leg?

Leg ɔlsa kin tranga smɔl fɔ wɛl. Sɔntɛnde , ivin wit tritmɛnt, di ɔlsa kin las fɔ mɔnt ɔ ivin ia . Bɔt nɔ wɔri, dɛn kin wɛl if dɛn trit dɛn fayn.

Di tritmɛnt we dɛn kin pik kin dipen pan tin dɛn lɛk di kayn injury ɛn di tin we mek i wund. Di men tin dɛn we di dɔktɔ want fɔ du na fɔ:

1. Fɔ mɛn di wund.

2. Fɔ ridyus di swɛlin.

3. Fɔ mek di wund nɔ kam bak we i de wɛl.

Na sɔm pan di men we dɛn fɔ trit am:

• Kɔmpreshɔn tɛrapi: Fɔ ɛp fɔ mek di blɔd go fayn fayn wan na di leg dɛn, dɛn kin yuz spɛshal kayn stɔking (kɔmpreshɔn stɔking) ɔ bandej. Dɛn tin ya kin mek di leg prɛshɔn, ɛn dis kin ɛp fɔ push di blɔd ɔp.
• Leg elevation: If yu kip yu leg elevεt oba yu hat fכ at le wan awa insay di de, fכ at le siks dez, i de εp fכ blכd fכ fכlכ bak na di at.
• Fɔ kia fɔ wund: Dis rili impɔtant.
• Fɔ mek dɔktɔ pul di day skin frɔm wund (`(debridement)`).
• Yuz antiseptik dɛn we dɛn kin put pan pɔsin fɔ mek yu nɔ gɛt di sik.
• Chenj di bandej we de na di wund ɔltɛm.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• If infεkshכn de na di wund, dεn kin gi am antibaytik.
• Dɛn kin gi am bak mɛrɛsin (vasodilators) we de ɛp fɔ mek di blɔd vesel dɛn big ɛn fɔ mek di blɔd flɔ fayn fayn wan.
• Haypabarik ɔksijɛn tɛrapi (`(Haypabarik ɔksijɛn tɛrapi)`):Dis na spɛshal we fɔ trit pɔsin. Yu sidɔm na wan haypabarik chɛmba ɛn blo klin ɔksijɛn. Dis kin mek di ɔksijɛn we de na di blɔd bɔku, ɛn dis kin mek di wund wɛl kwik kwik wan.
• Tritmɛnt fɔ di veins: If yu gɛt prɔblɛm lɛk varicose veins, yu kin du tritmɛnt lɛk sclerotherapy (injekt mɛrɛsin insay di veins) ɔ endovascular ablation (we yu de ɔt di veins frɔm insay ɛn sial dɛn).
• Ɔpreshɔn: Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ pul, ripɛnt, riples, ɔ baypas wan at we dɔn pwɛl.
• Skin grafts: If di wund big pas 4 inch, ɔ if ɔda tritmɛnt dɛn nɔ wɛl, dɛn kin tek di skin frɔm ɔda pat na di bɔdi ɛn graft am oba di wund.

Aw fɔ mek yu nɔ gɛt ɔlsa na yu leg?

Ivin if wund na yu leg wɛl, i kin rili kam bak . So, i rili impɔtant fɔ tek kia ɔf dɛn tin ya:

• We yu sidɔm ɔ slip, mek yu abit fɔ kip yu leg dɛn ay pas yu at . Yu kin put sɔntin lɛk smɔl pilo ɔnda yu leg dɛn.
• Mek yu gɛt wɛlbɔdi wet . Gɛt bɔku tin dɛn fɔ du wit yu bɔdi . Fɔ waka smɔl ɛvride kin fayn bak.
• If yu gɛt tin dɛn we de afɛkt di we aw yu blɔd de go, lɛk dayabitis, ay blɔd prɛshɔn, ay kɔlɔstrel, ɔ Raynaud’s syndrome, kɔntrol dɛn fayn fayn wan . Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
• If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok . Yu kin aks dɔktɔ bak fɔ ɛp fɔ dis.
• Fɔ mek di skin nɔ dray, yuz tin dɛn we de klin saful saful . Put wan loshan we de mek yu bɔdi wam afta yu dɔn was.
• Wear kɔmpreshɔn stɔkin ɔ bandej fɔ at le wan awa insay di de. Dis go mek blɔd go fayn na yu leg dɛn. Aks yu dɔktɔ fɔ pik di wan we fayn fɔ yu.

Wetin na di prɔblɛm dɛn we kin apin we yu gɛt ɔlsa na yu leg?

If wund dɛn we nɔ de wɛl kɔntinyu, dɛn kin mek dɛn gɛt mɔ prɔblɛm.

• Bon infεkshכn (Osteomyelitis): Di wund kin go dip εn mek infεkshכn na di bon dεm. If dis kin rili bad, i kin ivin mek dɛn kɔt in an.
• Sɛlulayt: Na siriɔs baktri infɛkshɔn na di skin ɛn di tisu dɛn we de ɔnda di skin. Di say we de rawnd di wund kin rɛd, swel, ɛn wam.
• Sepsis: If di infekshɔn rich na di blɔd, i kin mek pɔsin in layf de pan denja.
• Skin kansa: Na wan kayn kansa na di skin (squamous cell carcinoma) kin kam sɔmtɛm frɔm wund dɛm wae dɔn de fɔ lɔng tɛm ɛn nɔr de wɛl.

Wetin na di tin we go apin to pɔsin we gɛt injuri na in leg?

Sɔntɛnde, if pɔsin wund in leg, i kin mek i gɛt disabled . Dɛn injury ya kin mek i nɔ izi fɔ waka, wok, ɛn liv nɔmal layf. Dɛn kin nid fɔ go to dɔktɔ dɛn ɔltɛm, usay dɛn kin mɛn wund dɛn, ɛn ivin go na ɔspitul.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt wund na yu leg we nɔ go wɛl ɛn yu de gɛt ɛni wan pan dɛn sayn ya bak, go to dɔktɔ wantɛm wantɛm :

• Fiva ɔ fil kol.
• If bad bad pen de we gɛt fɔ du wit di injury we de mek yu nɔ ebul fɔ slip ɔ du tin dɛn we yu kin du ɛvride .
• Sayn dεm we de sho se di wund gεt infεkshכn: di wund de rεd, i de wam, i de swεla, εn di wata we de kכmכt na di wund we de smεl bad bad wan.

Wetin a fɔ aks mi dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• "Dɔkta, wetin mek a gɛt dis wund na mi leg?"
• "Wetin bi di bes tritment we a fit get?"
• "Us chenj a go mek fɔ mɛn dis wund ɛn mek i nɔ apin igen?"
• "Wetin na di spesifik sayn dɛm we a fɔ wɔri bɔt fɔ kɔmplikeshɔn dɛm?"

Ɔlsa na yu leg kin mek yu fil pen, i nɔ kin izi fɔ yu, ɛn i kin tek lɔng tɛm fɔ wɛl. So, dɛn nid fɔ kia fɔ di wund spɛshal wan fɔ mek di wund nɔ gɛt di sik ɛn fɔ ɛp di wund fɔ wɛl.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, as wi dɔn tɔk, ɔlsa na di leg we nɔ de mɛn (`(Leg Ulcer)`) nɔto sɔntin we dɛn kin trit izi wan. Bɔt, nɔ panik. If yu gɛt dis prɔblɛm, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we sabi du di wok, fɔ no di rayt tin we mek yu gɛt dis prɔblɛm, ɛn bigin fɔ tek di rayt tritmɛnt.

If yu tek tɛm fala yu dɔktɔ in instrɔkshɔn, kia fɔ yu wund fayn fayn wan, lɛf fɔ smok if yu smok, kɔntrol yu wet, ɛn kɔntrol ɛni ɔndalayn kɔndishɔn lɛk dayabitis kin ɛp yu fɔ mɛn dis sik. Mɛmba se dɛn wund ya kin kam bak ivin afta dɛn dɔn wɛl, so i impɔtant fɔ kɔntinyu fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. Wi de wish yu fɔ wɛl kwik kwik wan!

` Leg ɔlsa, dayabitis, ay blɔd prɛshɔn, vein prɔblɛm, wund we de wɛl, skin sik