Yu leg dɛn kin at we yu de waka? Yu tink se na Pɛriferal At Diziz (PAD)?

Yu kin fil pen ɔ yu leg kin swɛla, mɔ we yu de waka fɔ shɔt tɛm ɔ we yu de klaym stej? I nɔ kin go afta i dɔn sidɔm fɔ sɔm tɛm? Bɔku pipul dɛn kin tink se dis na nɔmal tin we kin mek pɔsin ol ɔ we gɛt pen na in jɔyn, bɔt i kin bi sayn fɔ sɔntin we rili siriɔs. Tide wi de tɔk bɔt wan sik we dɛn kɔl Peripheral Artery Disease, ɔ PAD, we kin mek dɛn gɛt dɛn sik ya. Dis na wan sik wae kin izi fɔ mɛn if dɛn no am kwik kwik wan.

Fɔ tɔk am simpul wan, wetin na Pɛriferal Atri Disease (PAD)?

Okay, mek wi put am dis we. Wi gɛt wan nɛtwɔk we gɛt blɔd vesel dɛn ( arteries ) we de kɛr blɔd go na ɔl di pat dɛn na wi bɔdi, nɔto so? I tan lɛk di plaba we de kɛr wata ɔlsay na wan os. Peripheral Artery Disease (PAD) na we dɛn blɔd vesel dɛn de, mɔ di wan dɛn we de kɛr blɔd go na di leg, hip, ɛn sɔntɛnde na di an, kin smɔl smɔl.

Imajin se as tɛm de go, di wata paip dɛn na yu os kin rɔsti ɛn dɛn kin lɔk wit dɔti, ɛn dis kin mek di wata we de kɔmɔt na di tap nɔ bɔku. semweso, tin dεm lεk fεt εn kכlestכl de kכmכt na wi bכdi vεsul dεm εn fכm wan ‘plek’. Insay mɛrɛsin, wi kin kɔl dis (atherosclerosis) . Dis plek de ridyus di ples we de insay di blɔd vesel dɛn. Dɔn dis kin mek blɔd nɔ flɔ tru dɛn. Dat pen kin bigin we di mɔsul dɛn na di leg dɛn nɔ gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid frɔm di blɔd.

Dis sik de ambɔg pas 200 milyɔn pipul dɛn ɔlsay na di wɔl. Di risk fɔ gɛt am kin bɔku wit di ej. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ PAD?

Bɔrku pipul nɔr kin sho ɛni sayn fɔs. Bɔt as di sik de go bifo, dɛn sayn ya kin sho. Lɛ wi luk di men sayn dɛm.

fכ man dεm, dis sik kin mek dεn nכ de wok fayn biכs fכ di bכdi we de fכ di penis nכ de wok fayn.

Udat de pan ay risk fɔ gɛt PAD?

Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik pasmak. Si if yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm .

• Fɔ pipul dɛm wae de smok : Dis na di men ɛn siriɔs risk factorSmok kin pwɛl di smol smol insay wɔl dɛn na di blɔd vesel dɛn ɛn i kin mek di blɔd vesel dɛn mek kwik kwik wan.
• Fɔ pipul dɛm wae gɛt shuga : If yu gɛt bɔrku shuga na yu blɔd, dat kin pwɛl di blɔd vesel dɛm bak. Pɔsin we gɛt shuga ɛn we de smok kin gɛt PAD tu to 4 tɛm pas pɔsin we nɔ gɛt ɛni wan pan dɛn tin ya.
• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn: As di prɛshɔn de go ɔp, di wɔl dɛn na di blɔd vesel dɛn kin pwɛl ɛn i kin izi fɔ mek di blɔd prɛshɔn klɔt.
• Fɔ di wan dɛn we gɛt ay kɔlɔstrel ɔ triglisrayd lɛvɛl: Di mɔ fat na di blɔd, na di mɔ di chans fɔ mek i de na di blɔd vesel dɛn as plek.
• Fɔ di wan dɛn we gɛt krɛse sik na dɛn kidni.
• If pɔsin na yu famili dɔn gɛt PAD, at sik, ɔ strok.

Wetin na di siriɔs tin dɛn we kin apin if dɛn nɔ trit dɛn?

If yu ignore dis, tink se na jos leg problem, e kin get serious consequences.

Wan na we di blɔd we de gi di leg stɔp kpatakpata ɛn di tisu bigin fɔ day. Dɛn kɔl dis gangrene . If dis apin, i kin nid fɔ kɔt wan finga, fut, ɔ pat pan di leg fɔ mek di infekshɔn nɔ go ɔlsay na di bɔdi. Bɔt nɔ wɔri, dɔktɔ dɛn de du dɛn bɛst fɔ mek dis nɔ apin.

Aw di dɔktɔ kin no dis sik klia wan?

We yu go to yu dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt. Dɔn i go chɛk yu leg dɛn. Speshali, i go fil di puls na difrεn pat dεm na yu leg fכ chεk fכ eni chenj na di bכdi fכ fכlכ.

Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik:

• Ankle-brachial index (ABI): Dis na wan rili simpul tɛst we nɔ de mek pɔsin fil pen. I de mɛzhɔ di prɛshɔn we de na yu an ɛn di prɛshɔn we de na yu an ɛn kɔmpia di tu. Nɔmal wan, di prɛshɔn na yu anklɛ fɔ ay smɔl pas di prɛshɔn na yu an. If i smɔl, i min se prɔblɛm de wit di blɔd we de flɔ na yu leg.
• Vaskul ɔltrasɔund: .Dis tan lɛk we dɛn de skan bebi. I kin no aw di blɔd de flɔ kwik kwik wan insay di blɔd vesel ɛn ɛnitin we blɔk.
• Pulse volyum rεkɔdin (PVR): dis de mכsu aw bכku bכdi de fכlכ to di lεg dεm.
• CT angiogram / MRA (Magnetic resonance angiogram – MRA): Dɛn tin ya kin tek ditayla pikchɔ dɛn fɔ di blɔd vesel dɛn ɛn sho usay di blɔd de blɔk di rayt say ɛn usay di blɔk de.

Wetin na di tritmɛnt dɛm fɔ PAD?

Di tritmɛnt de dipen pan aw yu sik bad bad wan. We dɛn bigin, dɛn kin kɔntrol dɛn fayn fayn wan wit chenj dɛn layf ɛn mɛrɛsin.

1. Di chenj dɛn we pɔsin de liv in layf

Dis na di fawndeshɔn fɔ tritmɛnt.

• Ɛksesaiz: Ɛksesaiz, mɔ ɛksesaiz we dɛn de supavayz (Structured Exercise Therapy), kin rili wok. Na ya, dɛn mek yu waka pan tredmil. We yu leg dɛn bigin fɔ at, yu kin stɔp fɔ sɔm tɛm, ɛn we di pen dɔn stɔp, yu kin waka bak. Dis kin mek nyu blɔd vesel dɛn na yu leg dɛn gro.
• Fɔ it tin dɛn we go ɛp yu at: I rili impɔtant fɔ it tin dɛn we gɛt bɔku vɛjitebul, frut, nɛt, ɛn ɔl di tin dɛn we yu kin it, ɛn we nɔ gɛt bɔku ɔyl ɛn sɔl.
• Fɔ lɛf fɔ smok: A de ripit, di bɛst tin we yu go du fɔ yusɛf na fɔ lɛf fɔ smok tide if yu du am. Tɔk to yu dɔktɔ fɔ ɛp yu fɔ du dis.

2. Mɛrɛsin (di kayn mɛrɛsin dɛn) .

Yu dɔktɔ kin gi yu dɛn kayn mɛrɛsin ya.

• Blɔd tin dɛn we de mek blɔd tan: Dɛn kin mek blɔd nɔ klɔt ɛn mek i izi fɔ mek blɔd flɔ. (Ɛks: Klɔpidɔgrɛl, Aspirin)
• Mεdikeshכn dεm we de mek di kכlestכl dכn (Statins): Dεn de ridyus di plek we de bכku na di blɔd vesel dεm.
• Blɔd prɛshɔn mɛrɛsin: Ridyus di damej pan blɔd vesel.
• Vasodilators: Dɛn mɛrɛsin ya kin ɛp fɔ mek di blɔd vesel dɛn big smɔl, ɛn dis kin mek yu ebul fɔ waka distans we yu nɔ de fil pen. (Ɛks: Silɔstazɔl)

3. Speshal kia fɔ fut

I rili impɔtant fɔ mek pɔsin we gɛt PAD tek kia ɔf in fut.

• Chek yu fut ɛvride fɔ si if yu wund, krak krak, ɛn di kɔlɔ dɔn chenj.
• Wash yu an wit sop ɛvride ɛn dray am fayn fayn wan, ivin bitwin yu fut finga dɛn.
• Nɔ ɛva waka barefut.
• Yuz sus ɛn sɔks we lɔs, we fit fayn, we saf.

4. Di we aw dɛn kin du am ɛn di ɔpreshɔn we dɛn kin du

If yu nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin ɛn chenj yu layf, ɔ if di sik bad bad wan, yu kin gɛt fɔ yuz dis kayn tritmɛnt.

• Angioplasty: Dɛn kin put wan tin tiub (kateta) insay di blɔd vesel we dɔn blok ɛn dɛn kin blo wan tin we tan lɛk balyɔn na di ɛnd fɔ mek di blɔk we dɔn blok big. Sɔntɛnde, dɛn kin put wan smɔl tin we tan lɛk mɛsh we dɛn kɔl stent fɔ mek i nɔ lɔk igen.
• Atherectomy: Dɛn kin yuz kateta fɔ skrap di plek we de insay di blɔd vesel.
• Pɛriferal at baypas ɔpreshɔn: Semweso lɛk at baypas ɔpreshɔn, dɛn kin mek nyu at bay we dɛn yuz blɔd vesel we dɛn tek frɔm ɔda pat na di bɔdi ɔ atifishal at fɔ baypas di at we dɔn blok.

Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?

If yu fil dɛn tin ya, go mɔs go to yu dɔktɔ.

• If di sayn dɛm jɔs bigin ɔ if di sayn dɛm wae dɔn de de de wɔs.
• If fɔ waka so tranga dat yu nɔ go ivin ebul fɔ du nɔmal wok dɛn.
• If yu leg dɛn de at ivin we yu jɔs tinap.
• If yu gɛt wund na yu leg we nɔ go wɛl.

Di tin dɛn we kin apin we yu nid fɔ go na ɔspitul kwik kwik wan:

PAD na wan sik we pɔsin kin gɛt fɔ ɔl in layf. Bɔt if yu de manej am fayn, yu go ebul fɔ liv nɔmal layf. I impɔtant fɔ de kɔntakt yu dɔktɔ ɔltɛm.

Pɛriferal At Diziz, PAD, leg pen, ia we de lɔs, blɔd vesel we de blok, atɛrosklɛrosis, smok, dayabitis