Yu lɛft an dɔn swel smɔl ɛn i ebi pas di ɔda wan? Sɔntɛnde i kin jɔs at ɛn fil lɛk se i de ting? Bɔrku pipul nɔr kin pe atɛnshɔn to dɛn sik ya. Bɔt sɔntɛnde, di rizin we mek dis kin rili siriɔs smɔl pas aw yu tink. Wan pan dɛn kayn rizin ya kin bi dis sik we dɛn kɔl ‘May-Thurner Syndrome’. Lɛ wi tek wan simpul luk pan wetin i bi.
Fɔ tɔk am simpul wan, wetin na May-Thurner Syndrome?
I rili simpul. Tu kayn blɔd vesel dɛn de na wi bɔdi. wi kin kכl di vein dεm we de kכri bכdi we gεt כksijεn frכm di at to di rεst pat na di bכdi ‘Arteries’ . semweso, wi kin kכl di vein dεm we de kכri yus, כksijεn bכdi bak to di at ‘Veins’ .
pan dis kכndyushכn we dεn kכl Turner syndrome, di men at we de kכri bכdi to yu rayt leg (rayt iliac artery) de pas oba di men vein we de kכri bכdi bak to yu at frכm yu lεft leg (left iliac vein) εn kכmprεs am. Tink bɔt am lɛk se pɔsin de step pan wata paip. Dɔn di wata kin stɔp fɔ flɔ, nɔto so? Semweso, we da at de kɔmprɛs di vein, di blɔd we de kɔmɔt na di lɛft an kin stɔp. dis kכndyushכn dεn kin kכl am bak `(Cockett syndrome)`.
Aw dis sik kin afɛkt di bɔdi?
We di blɔd we de kɔmɔt na di lɛft leg to di tap nɔ de kɔmɔt, sɔm blɔd kin bigin fɔ gɛda ɔ stɔp na di lɛft leg. Di tin we denja pas ɔl bɔt dis na dat we blɔd gɛda na wan ples lɛk dis, di chans fɔ mek blɔd klɔt insay da vein de go ɔp bad bad wan. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis ‘dip vein trombosis’ (DVT) .
DVT na siriɔs tin we kin apin wantɛm wantɛm. If dis blɔd klɔt brok ɛn stɔp na wan vein na di lɔng, i kin mek pɔsin in layf de pan denja.
Tipikli, simptom dɛm lɛk dis kin apin we DVT de divɛlɔp.
| Di sayn dɛn we de sho se pɔsin gɛt DVT | |
|---|---|
| Swel ɛn ebi ebi | Swel ɛn filin fɔ bi ebi, bɔku tɛm na wan leg (insay dis kes, di lɛft leg). |
| Pen | Shap pen ɔ we yu de fil se yu de bit na di leg, mɔ na di say we yu de gro. |
| Di kɔlɔ we di skin kin chenj | Rɛd ɔ blu kɔlɔ we de chenj na di skin na di leg. |
| Vein we de kɔmɔt na do | di vein dεm na di leg dεm kin swεla εn bigin fכ sho na di sכfa. |
Apat frɔm dat, sɔm uman dɛn kin gɛt wan sik we dɛn kɔl pelvik kɔnjɛshɔn sindrom wit May-Turner syndrome, we na wan sik we prɔblɛm wit di vein dɛn na di ɔnda bɛlɛ kin mek dɛn fil pen fɔ lɔng tɛm.
Udat go mɔs si dis sik?
May-Turner syndrome kin bכku sכmtεm pan uman dεm , εn i kin kכmכn bak pan big pipul dεm we ol bitwin 20 εn 50 ia .
Bɔt di tin we de sɔprayz na dat lɛk wan pan ɛvri fayv pipul dɛn gɛt dis sik we dɛn kɔl ``iliac vein compression.`` Bɔt nɔto ɔlman gɛt di sayn dɛm. Bɔrku pipul dɛn kin ɔlrɛdi no se dɛn gɛt May-Turner syndrome afta dɛn dɔn gɛt DVT. Te da tɛm de, dɛn nɔ kin gɛt ɛni sik.
Aw dɛn kin no se pɔsin gɛt May-Turner syndrome?
Afta yu dɔn tɛl yu dɔktɔ bɔt yu sik, i go chɛk yu ɛn i go tɛl yu fɔ du sɔm spɛshal tɛst dɛn we go chɛk yu blɔd vesel fɔ no if yu gɛt di sik.
| Test tayp | Fɔ ɛksplen am simpul wan |
|---|---|
| Ultrasound skan `(Oltrasaund)` | Test we nɔ de mek pɔsin fil pen we dɛn de yuz sawnd wev fɔ luk di blɔd vesel dɛn we de insay di bɔdi. Dis na di fɔs tin we yu fɔ du fɔ chɛk if yu gɛt DVT. |
| CT skan dɛn we dɛn kin du | Fɔ tek ditayli pikchɔ dɛn fɔ di blɔd vesel dɛn wit spɛshal X-ray mashin. |
| MRI Skan (MRI) . | Fɔ gɛt rili klia pikchɔ dɛn bɔt blɔd vesel dɛn we yu de yuz magnet ɛn redio wev. |
| Venogram we dɛn kɔl Venogram | Dɛn kin put spɛshal wata (kɔntrast day) insay wan vein ɛn dɛn kin yuz ɛkstrem rayt fɔ wach aw di blɔd de go. Dis kin ɛp fɔ no di rayt say we di vein blɔk de. |
| Intravaskul ɔltrasɔund | wan we we rili kɔrɛkt we dɛn kin put wan tiub (kateta) wit wan rili smɔl kamɛra insay wan blɔd vesel ɛn chɛk di vessel frɔm insay. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di men gol fɔ tritmɛnt fɔ May-Turner syndrome na fɔ mek di kɔnstrikt vein kam bak to nɔmal, fɔ mek di blɔd flɔ fayn, ɛn fɔ ridyus di risk fɔ gɛt DVT.
If na di sayn dɛn nɔmɔ de
Bɔku tɛm, fɔ pɔsin we nɔ gɛt DVT ɛn we jɔs gɛt sɔm sayn dɛn lɛk fɔ swel in leg ɛn pen, di dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:
- Angioplasty ɛn stent: Dis kin min fɔ put wan rili smɔl tiub we gɛt tip na di balɔ insay di vein ɛn inflate di balyɔn na di say we i smɔl. Dis kin mek di vein opin ɛn mek blɔd flɔ. Dɔn dɛn kin put wan tin we tan lɛk mɛsh we tan lɛk silinda we dɛn kɔl stent insay di vein fɔ mek i nɔ smɔl igen.
- Ɔpreshɔn: Sɔntɛnde, dɛn kin du ɔpreshɔn fɔ mek di at we dɔn smɔl kɔmɔt nia di vein. Ɔ, dɛn kin du baypas ɔpreshɔn fɔ mek nyu rod fɔ mek blɔd flɔ rawnd di say we dɔn smɔl.
If i kam wit DVT
If yu gɛt DVT bikɔs ɔf May-Turner syndrome, apat frɔm di tritmɛnt dɛn we wi dɔn tɔk bɔt, yu go nid fɔ du dɛn tin ya bak:
- Anticoagulants: Dɛn kin gi dɛn mɛrɛsin ya fɔ mek blɔd nɔ klɔt ɛn fɔ stɔp di blɔd we dɔn de fɔ mek i nɔ big.
- Mɛrɛsin we de mek di blɔd klɔt: Sɔntɛnde, dɛn kin injɛkt mɛrɛsin dairekt insay di blɔd klɔt tru kateta fɔ sɔlv am ɛn pul am.
- Vena cava filta: Na smɔl tɛm nɔmɔ dɛn kin put wan tin we dɛn kɔl filta fɔ sɔm tɛm ɔ fɔ ɔltɛm na wan big vein na wi bɔdi (inferior vena cava) fɔ mek blɔd we de na di leg nɔ kɔmɔt ɛn travul go na di lɔng dɛn.
Di kɔmplikeshɔn we denja pas ɔl: Pulmonary Embolism
Di tin we denja pas ɔl bɔt May-Turner syndrome na di divɛlɔpmɛnt fɔ DVT. Wetin denja pas ɔl na we wan pat pan da DVT de brok, travul wit di blɔd, ɛn stɔp na blɔd vesel de. Wi kin kɔl dis `Pulmonary Embolism` .
Dis na rili siriɔs, we kin mek pɔsin in layf de pan denja fɔ mɛn pipul dɛn! If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya wantɛm wantɛm, kɛr am go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm (dyspnea) .
- Bɔrku pen na yu chɛst we kin bɔku we yu de blo
- Bliding wit mucus
- At palpitations (palpitations) .
Tin dɛn we wi kin du fɔ ridyus di prɔblɛm
Nɔr patikyula we nɔr de fɔ mek yu nɔr gɛt May-Turner syndrome, bikɔs wi nɔr no di rayt kɔz fɔ am. Bɔt dɛn tin ya kin ɛp fɔ mek yu blɔd go fayn ɛn mek yu nɔ gɛt bɔku blɔd:
- Nɔ de na di sem pozishɔn fɔ lɔng tɛm. Ɛspɛshali if yu gɛt wok we yu kin sidɔm, grap ɛn waka wan tɛm insay di awa.
- Drink bɔku wata.
- Ɛksesaiz ɔltɛm, mɔ we yu de du ɛksɛsayz we yu de yuz aerobik.
- If yu gɛt ɔda sik dɛn lɛk dayabitis ɔ aypatɛnshɔn, kɔntrol dɛn fayn fayn wan akɔdin to wetin yu dɔktɔ tɛl yu.
- If yu de smok, stɔp wantɛm wantɛm.
- If yu dɔktɔ tɛl yu fɔ du am, wɛr spɛshal kɔmpreshɔn stɔkin.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt May-Turner syndrome, nɔr fred fɔ aks yu dɔktɔ. I go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- May-Turner syndrome na wan sik we di at we de kɛr blɔd go na di rayt leg ɛn di vein we de kɛr blɔd frɔm di lɛft leg de kɔmprɛs.
- Dis kin mek di blɔd nɔ de flɔ na di lɛft leg, we kin mek yu gɛt sɔm sayn dɛn lɛk we yu leg kin swel ɛn i kin fil pen.
- di men εn mכst denja komplikεshכn fכ dis kכndyushכn na di fכmeshכn fכ dip vein trombosis (DVT).
- Pulmonary embolism (wan klot we kin brok frɔm DVT ɛn lod na di lɔng) na imejensi we kin mek pɔsin in layf de pan denja.
- If yu gɛt swel, pen, ɔ ebi ebi na yu lɛft leg we yu nɔ ɛksplen, i impɔtant fɔ go to dɔktɔ.
- Dis na wan sik wae dɛn kin ebul fɔ mɛn fayn fayn wan wit tritmɛnt.
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