Yu leg dɔn swel ɛn yu de fil pen? Dis kin bi bikɔs ɔf (May-Thurner Syndrome)!

Sɔntɛnde, wi leg dɛn kin swel ɛn at fɔ natin, nɔto so? Ɛspɛshali di lɛft leg. Bɔku pipul dɛn nɔ kin pe atɛnshɔn tumɔs to dis. Bɔt sɔntɛm dis nɔ kin bi simpul tin ɔltɛm. Tide wi go tɔk bɔt wan kɔndishɔn we wi nɔ yɛri bɔt, bɔt we wi ɔl no se i fayn fɔ go. Dat na `(May-Turner Syndrome)`. dis dεn kכl am bak `(Cockett syndrome)` כ `(Iliac vein compression syndrome)`.

Wetin na di ɛksaktɔli ``May-Thurner Syndrome''?

Fɔ tɔk am simpul wan, `(May-Thurner Syndrome)` na wan kɔndishɔn usay yu rayt iliak at (`Right Iliac Artery`) ɛn yu lɛft iliac vein (`Left Iliac Vein`) de kɔmprɛs. Naw yu kin de wɔnda wetin na dɛn iliak at ɛn vein ya. di rayt iliak at na di men blɔd vesel we de kɛr blɔd go na yu rayt leg. di lεft iliak vein na di men bכdi we de kכri bכdi frכm yu lεft leg bak to di at. so, insay dis `(May-Thurner Syndrome)`, dat kכmpreshכn kin intafεr di bכdi fכ fכlכ tru yu leg dεm.

Wetin dis kin du to di bɔdi? Aw i kin afɛkt am?

Naw yu go mɔs de wɔnda wetin dis kin du to di bɔdi ɛn aw i kin afɛkt am. di men tin na dat bikoz fכ dis prεshכn, b כdi de stat fכ kכlekt na di leg dεm, spεshal wan di lεft leg , insted fכ go strεt כp tru di lεft iliak vein, dat na, tכwεd di at. We dis apin, blɔd kin klɔt na di dip vein dɛn . Wi kin kɔl dis pan mɛrɛsin `(Dip Vein Thrombosis)` ɔ `(DVT)`. Dis na kɔndishɔn we nid sɔm atɛnshɔn. Di simptom dɛm fɔ `(DVT)` kin tan lɛk dis:

• di kכla we di skin de chenj na di leg (maybe rεd, blu).
• di vein dεm na di leg dεm de sho se dεn bכl εn swεla.
• Leg pen, bad bad pen, ɔ we yu tɔch yu at.
• Leg de swel ɛn fil lɛk se yu ebi.

Sɔm uman dɛn kin gɛt bak di sik we dɛn kɔl pelvic congestion syndrome (PBS) wit di May-Thurner syndrome. di dכkta dεm biliv se dis krεse pεlvis pen de kכz fכ prכblεm wit di vein dεm na di bεlε (i.e., di lכw bכdi).

Aw dis kin ambɔg di we aw blɔd de flɔ?

Blɔd de muv ɔltɛm tru wi bɔdi in blɔd vesel dɛm (atɛri ɛn vein dɛm). As yu mɛmba, di at dɛn kin kɛr klin blɔd we gɛt ɔksijɛn frɔm di at to ɔl di ɔda pat dɛn na di bɔdi. Afta dɛn pat dɛn de dɔn gɛt ɔksijɛn ɛn tin dɛn we de mek dɛn gɛt tin fɔ it, di vein dɛn kin kɛr blɔd we nɔ gɛt ɔksijɛn ɛn we nɔ klin go bak na di at ɛn di lɔng dɛn.

Na sɔm say dɛn na wi bɔdi, dɛn at ɛn vein dɛn ya kin krɔs dɛnsɛf. semweso, insay wi bכdi, di rayt iliak at de oba di lεft iliak vein. Nɔmal wan, dis nɔto prɔblɛm. כltu, pan pכsin we gεt `(May-Thurner Syndrome)`, di rayt iliak at de put prεshכn pan di lεft iliak vein. Imajin se wata paip de, wetin go apin if pɔsin step pan am? I nɔ kin izi fɔ mek di wata flɔ, nɔto so? Fɔ tɔk di kɔrɛkt tin, sɔntin we fiba dis kin apin na ya.Bikɔs di lɛft iliak vein dɔn kɔmprɛs, i kin at fɔ mek blɔd flɔ fri wan tru am.

Udat kin gɛt dis sik?

i tan lεk se dis ``May-Thurner Syndrome'' de apin sכmtεm pan uman dεm . I kin kɔmɔn smɔl bak pan big pipul dɛn we ol bitwin 20 ɛn 50 ia .

Aw dis sik kin kɔmɔn?

Infakt, di iliak vein thrombosis kin kכmכn pas aw yu kin tink. Sɔm stɔdi dɔn sho se lɛk wan pan ɛvri fayv pipul dɛn kin gɛt dis kayn trombosis! Bɔt di tin we de mek wi sɔprayz na dat, pan ɔl we bɔku pipul dɛn gɛt iliak vein trombosis, dɛn nɔ kin spɛshal fɔ no se dɛn gɛt `(May-Thurner Syndrome)`. Wan rizin fɔ dis kin bi bikɔs bɔku pipul dɛn nɔ kin gɛt di sayn dɛm fɔ `(May-Thurner Syndrome)` te dɛn gɛt wan sik lɛk `(DVT)`.

Wetin na di sayn dɛm fɔ `(May-Thurner Syndrome)`?

Bɔrku pipul dɛm wae gɛt May-Thurner Syndrome nɔr kin gɛt ɛni sayn , mɔr lɛk if dɛn nɔr gɛt di DVT wae wi bin dɔn tɔk bɔt. If di sayn dɛn kin apin, bɔku tɛm dɛn kin jɔs afɛkt di lɛft leg . Dɛn tin ya kin bi:

• Di filin fɔ ebi na di leg. Lɛk ston we de hang na mi leg, i rili nɔ kɔmfyut.
• Sɔntɛnde, wund dɛn we nɔ de wɛl (ɔlsa) kin apin na di leg dɛn.
• Yu kin gɛt pen na yu leg ɔ yu kin gɛt kramp we de kɔmɔt insay.
• Di kɔlɔ we di skin gɛt kin chenj. I kin bi blu ɔ brawn.
• Leg we de swel.
• di kכndishכn dεm lεk di vεrikos vein dεm kin kam.

Wetin kin mek yu gɛt `(May-Thurner Syndrome)`?

di men rizin fכ dis na biכs di rayt iliak at de push pan di lεft iliak vein. Bɔt dɔktɔ dɛn stil nɔ ebul fɔ fɛn di rayt rizin we mek dis kin apin. Dat min se, i kin jɔs bi bikɔs di bɔdi chenj.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ ɛn tɔk klia wan bɔt yu sik ɛn yu wɛlbɔdi istri. Di dɔktɔ go chɛk yu. Dɔn, dɛn kin du sɔm spɛshal tɛst dɛn we kin luk dɛn blɔd vesel ya.

• `CT (Computed Tomography) scan` : Dis de yuz X-ray εn spεshal kכmpyuta fכ tek kכros-sekshכnal imej dεm fכ di bכdi vεsul dεm. Dɔn dɛn kin yuz dis fɔ si if ɛnitin de we dɔn blok.
• `MRI (Magnetic Resonance Imaging)` : Dis de yuz magnet, redio wev, ɛn kɔmpyuta fɔ mek ditayla imej dɛn fɔ di blɔd vesel dɛn.
• Ultrasound: Dis tεst de yuz sawnd wev fכ luk aw bכdi de fכlכ insay di bכdi, spεshal wan na di bכdi vεsul dεm (Doppler Ultrasound).
• Venogram : Insay dis, dɛn kin injɛkt spɛshal day (kɔntrast day) insay wan vein ɛn dɛn kin wach di day ɔnda ɛkstrem rayt fɔ si if blɔk de na di blɔd flɔ.
• ``kateta-bεys vεnogram'' kin bi bak. dis min se dεn de put sכm sכm tכb (kateta) insay wan vein εn dεn injεkt day tru am.
• Intravascular Ultrasound (IVUS) : Dis na tɛst we dɔn go bifo smɔl. Na ya, dɛn kin put kateshɔn insay wan blɔd vesel, ɛn dɛn kin pas wan smɔl ɔltra saund divays (probe) tru di kateshɔn fɔ tek rili klia, ditayli pikchɔ dɛn bɔt di insay pat pan di blɔd vesel. Dis kin mek yu no di prɛshɔn kɔrɛkt wan.

Wetin na di tritmɛnt dɛm fɔ dis?

Tu men gol de wae yu de trit `(May-Thurner Syndrome)`. Wan pan dɛn na fɔ mek di blɔd go fayn fayn wan . Di ɔda wan na fɔ ridyus di risk fɔ gɛt `(DVT)`. Dipen pan yu sik, yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Angioplasty and Stenting : Dis na di tritmɛnt we dɛn kin yuz mɔ. insay dis prosidכs, dεn de put wan kateshכn wit sכmכl balכn insay di blכk lεft iliak vein. We i rich di rayt say we di blɔk de, dɛn kin blo di balyɔn. Dis kin mek di vein we dɔn blok opin. Dɔn, dɛn kin put wan smɔl mɛsh tyub, we dɛn kɔl stent , na di say we opin fɔ mek i nɔ lɔk igen, ɛn dɛn kin pul di balyɔn. Dis tan lɛk we yu pul wan say we dɔn blok na rod ɛn bil brij fɔ mek i izi fɔ krɔs.
• Baypas ɔpreshɔn : Sɔntɛnde, dɛn kin mek nyu rod bay we dɛn yuz wan pat pan di tisu we dɛn tek frɔm ɔda eria ɔ atifishal tiub fɔ baypas di vein we dɔn blok. Dis kin mek di blɔd flɔ bak. Dis na big ɔpreshɔn.
• di rayt iliak atεri shuntin : Na sכm tεm dεn kin du כpεrayshכn fכ muv di rayt iliak atεri sכmtεm fכ rεliv prεshכn pan di lεft iliak vein. Sɔntɛnde, dɛn kin put wan pat pan di tisu bitwin di vein ɛn di at fɔ mek i nɔ gɛt prɛshɔn.

Wetin fɔ du if yu divɛlɔp `(DVT)`?

Naw imajin se yu gɛt `(May-Thurner Syndrome)` ɛn yu gɛt `(DVT)` bak. If na so i bi, apat frɔm di tritmɛnt dɛn we wi dɔn tɔk bɔt, yu dɔktɔ go ad sɔm ɔda tritmɛnt dɛn:

• Anticoagulants : Dɛn tin ya de mek blɔd nɔ klɔt, stɔp di blɔd we dɔn de fɔ mek i nɔ big, ɛn dɛn kin ivin ɛp fɔ sɔlv di blɔd we dɔn de smɔl smɔl.
• Klot-busting medications / Thrombolytics : Dis na pawaful mɛrɛsin dɛm we dɛn kin gi dairekt fɔ sɔlv di blɔd klɔt. Bɔku tɛm, dɛn kin gi dɛn mɛrɛsin ya tru kateshɔn, dairekt insay di blɔd we de klɔt.
• `Vena Cava Filter` : Dis na smɔl tin we tan lɛk mɛsh. di `Inferior Vena Cava` na di big wan we de na wi bכdi. Dis na di say we blɔd we de kɔmɔt na di leg ɛn bɛlɛ de go na di at. we dεn put dis filta insay da vein de, i de mek di bכdi we de fכm na di leg dεm nכ kכmכt na di rod εn travul go na di lכng dεm.

Yu tink se we de fɔ mek dis nɔ apin?

Fɔ tɔk tru, no shɔ we nɔ de fɔ mek dis ``May-Thurner Syndrome'' nɔ apin., bikɔs dɛn stil nɔ no di rayt tin we mek i apin. Bɔt yu kin kip yu blɔd ɔlsay fayn fayn wan ɛn ridyus di risk fɔ mek yu blɔd klɔt bay we yu du dɛn tin ya:

• Nɔ sidɔm na wan ples fɔ lɔng tɛm. If yu de wok na ɔfis, grap ɛn waka rawnd fɔ smɔl tɛm, strɛch yu leg, at le wan tɛm insay awa.
• Drink bɔku wata. I fayn fɔ drink at le 2-3 lita wata wan de.
• Ɛksesaiz ɔltɛm , mɔ ɛksesaiz we yu de yuz aerobik (lɛk fɔ waka, rɔn, ɛn bayk).
• If yu gɛt ɔda sik dɛn lɛk dayabitis, aypatɛnshɔn, ɔ peripheral artery disease (PAD), tɔk to yu dɔktɔ ɛn mek dɛn kɔntrol dɛn fayn fayn wan.
• If yu de smok, yu go mɔs lɛf fɔ smok . Smok na bad bad tin fɔ yu blɔd vesel.
• If yu dɔktɔ tɛl yu fɔ du am, wɛr spɛshal kɔmpreshɔn stɔkin. Dɛn tin ya kin ɛp fɔ ridyus di blɔd we de gɛda na yu leg ɛn ɛp yu fɔ muf ɔp.

Us prɔblɛm dɛn dis kin mek?

Di men kɔmplikɛshɔn fɔ `(May-Thurner Syndrome)` na di `(DVT)` we wi bin tɔk bɔt. Bɔt sɔntin de we kin mek pɔsin denja pas dat . Dat min se if blɔd we dɔn fɔm na di leg brok kɔmɔt de, travul tru di blɔd ɛn stɔp na wan vein na di lɔng. Wi kin kɔl dat `(Pulmonary Embolism)` (wan blɔd we kin stɔp na di lכng) .

Pulmonary Embolism na wan mɛrɛsin we kin mek pɔsin in layf de pan denja. If yu gɛt ɛni wan pan dɛn nyu ɔr we de wɔs , go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm ɔ kɔl ambulans:

* Fɔ kɔf blɔd wit mucus.

* At de bit (we yu at de bit kwik kwik wan ɔ we nɔ de bit ɔltɛm).

* I nɔ kin izi fɔ yu fɔ blo, yu kin fil lɛk se yu de swɛla (Dyspnea).

* If yu gɛt siriɔs pen na yu chɛst wantɛm wantɛm we kin wɔs we yu de blo.

Wetin na di fiuja fɔ pɔrsin wae gɛt `(May-Thurner Syndrome)`?

Bɔrku pipul dɛn kin liv lɔng, wɛl bɔdi layf wit May-Thurner Syndrome wae nɔr gɛt ɛni prɔblɛm. If yu nɔr gɛt de sik, yu nɔr kin ivin no se yu gɛt dis sik.

Bɔt if yu gɛt ɛni wan pan di sayn dɛm fɔ `(Deep Vein Thrombosis - DVT)` we wi bin tɔk bɔt (lɛk fɔ swel, rɛd, pen, wam na yu leg), mek shɔ se yu go to dɔktɔ . Bɔku tɛm dɛn kin kɔntrol `(DVT)` fayn fayn wan wit mɛrɛsin ɛn if nid de, ɔda tritmɛnt dɛn.

Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ

If yu gɛt, ɔ yu tink se yu gɛt, May-Thurner Syndrome, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di sayn dɛm fɔ ``May-Thurner Syndrome'' we de afɛkt mi?
• Wetin na di tin we kin mek a gɛt dis sik?
• Us kayn tɛst a fɔ du fɔ no dis rili?
• Wetin na di simptom dɛm fɔ wan `(DVT)`? Wetin a fɔ du if a gɛt dɛn?
• Wetin na di sayn dɛm fɔ wan `(Pulmonary Embolism)`? Wetin a fɔ du if a gɛt dɛn?
• Us tritmɛnt yu kin advays fɔ ``May-Thurner Syndrome''? Wetin na di gud ɛn bad tin dɛn we de apin?
• Wetin na di chans fɔ mek di sik kam bak afta dɛn dɔn trit am?

Yu tink se `(May-Thurner Syndrome)` de mek pɔsin in layf de pan denja?

`(May-Thurner Syndrome)` nɔ de mek pɔsin in layf de pan denja dairekt wan. כltu, i kin mek yu gεt wan denja kכmplikεshכn we dεn kכl `(Pulmonary Embolism)`. Na dat de mek pɔsin in layf de pan denja. So, i rili impɔtant fɔ no bɔt di sayn dɛm fɔ `(Pulmonary Embolism)` ɛn go to dɔktɔ wantɛm wantɛm if yu fil sɔntin lɛk dat.

Aw yu go no if yu gɛt `(May-Thurner Syndrome)`?

Infakt, yu nɔ go ebul fɔ no fɔ tru if yu gɛt `(May-Thurner Syndrome)` bikɔs bɔku pipul dɛn nɔ kin ivin no se dɛn gɛt am te dɛn gɛt di sayn dɛm fɔ `(DVT)`.

di onli we fכ no fכ sכri na fכ mek dכkta du di imej tεst dεm we wi bin tכk bכt (lεk CT, MRI, Venogram, IVUS) εn kכnfכm se di lεft iliak vein de drεn frכm di rayt iliak at.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so, na di impɔtant tin dɛm wae yu nid fɔ mɛmba bɔt di ``May-Thurner Syndrome'' wae wi dɔn tɔk bɔt fɔ lɔng tɛm:

• May-Thurner Syndrome na wan sik we yu rayt iliak at de kɔmprɛs yu lɛft iliak vein, we de mek blɔd nɔ flɔ frɔm yu lɛft leg bak to yu at.
• dis de mek di risk fכ divεlכp wan kכndyushכn we dεn kכl ``Deep Vein Thrombosis - DVT'' (blכd kכlכt na di dip vein dεm) .
• Bɔrku pipul nɔr kin gɛt ɛni sayn . If di sayn dɛm kin apin, bɔku tɛm na tin dɛm lɛk pen na yu lɛft leg, swel, ebi, ɛn chenj na yu skin kɔlɔ.
• Di tritmɛnt na fɔ ridyus di prɛshɔn, fɔ mek blɔd flɔ bak, ɛn fɔ ridyus di risk fɔ gɛt DVT. Angioplasty ɛn stent na di tritmɛnt dɛn we dɛn kin yuz mɔ.
• If yu si di sayn dɛm fɔ DVT (we yu de swel wantɛm wantɛm, yu de fil pen, yu de rɛd, yu de wam we yu tɔch yu leg), go to dɔktɔ wantɛm wantɛm.
• Di simptom dɛm fɔ ``Pulmonary Embolism'' (we yu de blo kwik kwik wan, yu de fil pen na yu chɛst, yu de kɔf blɔd, yu de fil lɛk yu fɔdɔm) na mɛdikal imejensi. If na so i bi, go na ɔspitul wantɛm wantɛm ɛn nɔ de te.

E fayn fɔ no bɔt dis sik. Bikɔs, if dɛn no am kwik, i go go fa fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn. Nɔ panik, bɔt no bɔt di sayn dɛm we wi dɔn tɔk bɔt ɛn nɔ shem fɔ go to dɔktɔ if nid de.

`May-Thurner Syndrome, Iliac Vein Thrombosis, DVT, Dip Vein Thrombosis, Leg Swel, Leg Pen, Pulmonary Embolism, Blɔd Klɔt, Vein Disease