Yu leg dɛn kin at we yu de waka? I kin bi Pɛriferal Atiri Disease!

Yu kin fil pen ɔ pen bak na yu leg, mɔ na yu kaw pikin, we yu de waka, mɔ fɔ shɔt distans? I kin go afta yu sidɔm fɔ sɔm tɛm ɛn rɛst, bɔt i kin kam bak we yu waka? If na so i bi, dis na sɔntin we go impɔtant to yu. Wi kin kɔl dis kɔndishɔn ‘Peripheral Artery Disease’ , ɔ PAD fɔ shɔt. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na ‘Pɛriferal Atɛri Disease’?

Fɔ tɔk am simpul wan, Pɛriferal At Diziz na wan sik we fat (plaque) kin gɛda na di at we kin kɛr blɔd go na yu leg, ɛn smɔl smɔl i kin mek dɛn smɔl. Tink bɔt am lɛk we wata paip kin lɔk wit dɔti ɛn smɔl smɔl wata nɔ de flɔ. Wi at dɛn tan lɛk paip. Dɛn kin rili smol insay, so blɔd kin flɔ fayn fayn wan ɛn nɔ kin klɔt.

כltu, as dis ‘plek’ (wan layεr fεt εn kכlestכl) de bכku sכmtεm na di wכl dεm na di at, di spεs insay di at de sכm sכm. Insay mɛrɛsin, dɛn kin kɔl dis bak ‘atherosclerosis’ . sכmtεm, di had sεf fכ dis ‘plεk’ de rכp, we de alaw 'pletlet' (wan kayn bכdi sεl we de εp fכ kכl bכdi) fכ fכm, we de mek di at sכmtεm sכmtεm.

We wan at de blok, blɔd nɔ kin ebul fɔ pas insay am. di tisu dεm na di leg dεm we da at de gi dεn nכ de gεt כksijεn εn nyutriεnt dεm. Dis kin pwɛl dɛn tisu dɛn de ɛn leta i kin mek dɛn day (gangrene) . Dis kכndyushכn kin afekt di tכd dεm εn di fut dεm mכst.

Sɔm pipul dɛn kin gɛt PAD kwik kwik wan, ɔda wan dɛn kin gɛt am sloslo. Bɔrku ɔda tin dɛn de we kin afɛkt dis, lɛk usay di plek de na yu bɔdi ɛn yu ɔl wɛl bɔdi.

Aw kכmכn dis ‘pεrifεral atεri sik’ (PAD)?

PAD na rili wan sik we kɔmɔn pas aw yu go tink. Dɛn se bitwin 8 ɛn 12 milyɔn pipul dɛn na Amɛrika de sɔfa wit dis sik. Bɔt sɔntɛnde, dɛn nɔ kin no am di rɔŋ we ɛn dɛn nɔ kin trit am. So, di tru nɔmba kin pas dat.

Aw PAD kin afɛkt mi bɔdi? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di men ɛn mɔs kɔmɔn sayn fɔ PAD na klaudikeshɔn . Dis na pen na di leg (especially di kaw pikin) we yu de waka ɔ ɛksesaiz. Dis pen kin go we yu rɛst. dis kin apin biכs di leg mכsul dεm nכ de gεt inof כksijεn.

Bɔt di tin dɛn we PAD kin du nɔto jɔs fɔ mek i nɔ izi fɔ waka. I kin mek bak yu leg ɔ yu fut gɛt wund dɛn we nɔ de mɛn.Di risk fɔ gɛt strok kin bɔku. if di PAD kכndyushכn kin bi siriכs, dεn lεsin dεm ya kin bi εria dεm we dεn dכn day (gangrene), εn i kin ivin nid fכ pul di fut כ leg (amputation). Imajin wi ɔnkul Siripala, i nɔ kin ivin waka shɔt distans fɔ go na di stoa, i kin ɔltɛm se in leg de at, i kin bi sɔntin lɛk dis.

Wetin na di kɔmɔn sayn dɛm fɔ PAD?

Nɔto ɔlman we gɛt PAD go gɛt di sik. Na lɛk 50% kin gɛt nɔr simptom at ɔl. Dis kin apin smɔl smɔl. di simptom dεm kin bigin fכ sho we di at de sכmtεm 60% כ mכr.

Di kɔmɔn sayn dɛm na:

• Pen, kramp, ɔ pen na yu leg ɔ bɔdi (intermittent claudication) we kin apin we yu de waka ɔ klaym stej. Dis kin go dɔŋ we yu rɛst.
• Bɔn, pen bad bad wan na di fut ɛn fut finga dɛn (ischemic rest pain) ivin we yu de rɛst, mɔ we yu de ledɔm na bed na nɛt .
• Kol skin na di fut.
• We yu si di skin we de rɛd ɔ ɔda kɔlɔ de chenj .
• Infεkshכn dεm na di skin εn sכft tisu bכku tεm (especially na di fut כ di leg dεm).
• Ɔlsa dɛn we nɔ de mɛn na di fut ɛn fut finga dɛn.

Impɔtant: If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ advays. Bikɔs if dɛn no se pɔsin gɛt PAD kwik kwik wan, dɛn kin bigin fɔ trit am bifo siriɔs prɔblɛm dɛn lɛk at atak ɔ strok apin.

Stej dɛn de fɔ PAD?

Yɛs, dɔktɔ dɛn kin yuz bɔku we dɛn fɔ klas PAD. Di Fontaine klasifikeshɔn na smɔl simpul wan. Na di stej dɛn ya:

• Stej I: Nɔ gɛt ɛni sayn.
• Stej IIa: Mild leg pen we yu de du eksasaiz (mild claudication).
• Stej IIb: mכdarεt to siriכs leg pen (mכdarεt to siriכs klaudikeshכn).
• Stej III: Pen na di leg dεm ivin we yu de rεst (Ischemic rεst pen).
• Stej IV: Ɔlsa ɔ gangrene.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt PAD?

If dɛn nɔ trit pipul dɛn we gɛt PAD, dɛn kin nid fɔ kɔt dɛn leg ɔ fut (ɛn nɔto ɔltɛm dɛn kin kɔt dɛn an) . Dis risk kin pasmak pan pipul dɛm wae gɛt dayabitis.

biכs wi sεkyulatri sistεm de kכnekt, di ifekt dεm we PAD de gi nכ de fכ di limb we dεn afekt. Pipul dεm wae gεt atεrosklεrosis na di atεri dεm na dεn lεg kin gεt dis kכndyushכn כdasay na dεn bכdi. Dis min se pɔrsin wae gɛt PAD kin gɛt korona at atak, at atak, strok, ɔr transient ischemic attack (TIA)., we min se di risk fɔ tin dɛn lɛk smɔl strok kin bɔku pas pɔsin we nɔ gɛt PAD. Pɔrsin wae gɛt hat sik gɛt lɛk 1 pan 3 chans fɔ gɛt PAD na in leg.

Wetin na di men tin we kin mek pɔsin gɛt PAD?

di men kכz na di divεlכpmεnt fכ atεrosklεrosis na di atεri dεm na di lεg dεm (εn sכmtεm na di an dεm). jכs lεk na di at dεm na di at, fεt dεposit dεm (plak) kin bכku pan di bכdi in wכl dεm, sכmtεm di at dεm kin sכmtεm sכmtεm εn leta i kin blok dεm.

Wetin na di tin dɛn we kin mek pɔsin gɛt PAD?

Yuz tabak na di impɔtant ɛn pawaful tin we kin mek pɔsin gɛt PAD ɛn di prɔblɛm dɛn we i kin gɛt. Infakt, 80% pan di pipul dɛm wae gɛt PAD na pipul dɛm wae de smok naw ɔr de smok trade. Yuz tabak de inkrisayz di risk fɔ gɛt PAD bay lɛk 400%. I kin delay bak fɔ mek di sik bigin fɔ te to 10 ia.

We yu kɔmpia am to pipul dɛn we nɔ de smok, pipul dɛn we de smok ɛn gɛt PAD kin gɛt:

• Day we pɔsin day bikɔs ɔf at atak ɔ strok .
• Poor rizulyt fɔ baypas ɔpreshɔn pan di leg dɛn.
• Fɔ gɛt fɔ kɔt yu an ɔ yu leg.

Ilɛksɛf yu na uman ɔ man, yu de pan denja fɔ gɛt PAD if yu gɛt wan ɔ mɔ pan dɛn tin ya:

• Yuz tin dɛn we dɛn kin mek wit tabak (dis na di tin we strɔng pas ɔl).
• Fɔ gɛt dayabitis (Diabetes Mellitus).
• Fɔ bi 50 ia ɔ pas dat.
• Fɔ gɛt Afrikan Amɛrikin famili (pan ɔl we dis nɔ rili impɔtant to Sri Lanka, i fayn fɔ no).
• Fɔ gɛt pɔrsin ɔr famili histri bɔt at sik ɔr blɔd vesel sik.
• Fɔ gɛt ay blɔd prɛshɔn (Hypertension).
• Fɔ gɛt ay kɔlɔstrel (Hyperlipidemia).
• Di bɔdi we fat pasmak.
• Fɔ gɛt wan sik we de mek yu blɔd klɔt.
• Fɔ gɛt kidni sik (dis kin bi ɔl tu risk factor ɛn rizɔlt fɔ PAD).

Aw dɛn kin no se pɔsin gɛt PAD? (Diagnosis) .

We yu go to dɔktɔ, i go chɛk yu ɛn aks yu bɔt yu mɛdikal istri ɛn di tin dɛn we kin mek yu gɛt prɔblɛm. Sɔm tɛst dɛn we nɔ de ambɔg pɔsin kin du bak fɔ no if yu gɛt PAD ɛn if na so, aw i rili bad. Dɛn tɛst ya kin ɛp fɔ no if blɔd vesel dɔn blok:

• Ankle-brachial index (ABI): dis de mכsu bכdi prεshכn na di ankכl εn an.
• Puls volyum rikodin (PVR).
• Vaskul ɔltrasɔund.

Sɔntɛnde, i kin nid fɔ du wan invasiv tɛst we dɛn kɔl angiogram fɔ no if di at de blok.

Yu tink se dɛn kin rivɛns PAD?

Yɛs, sɔm stɔdi dɛn dɔn sho datƐksesaiz ɛn kɔntrol kɔlɔstrel ɛn blɔd prɛshɔn kin rivɛns di sayn dɛm fɔ PAD.

If dɛn no am kwik, chenj dɛn layf, ɛn tritmɛnt, dɛn kin stɔp PAD fɔ mek i nɔ wɔs. If yu tink se yu de pan denja fɔ gɛt PAD, ɔ if yu dɔn ɔlrɛdi gɛt sɔm sayn dɛn, go to yu famili dɔktɔ, spɛshal dɔktɔ we de mɛn yu vaskul, ɔ dɔktɔ we de mɛn yu at fɔ bigin wan program fɔ mek yu nɔ gɛt am ɔ fɔ trit yu wantɛm wantɛm.

Wetin na di tritmɛnt dɛm fɔ PAD?

PAD kin trit wit chenj na layf, mɛrɛsin, ɛn mɛrɛsin.

Tu men gol dɛn de fɔ PAD tritmɛnt:

1. Fɔ ridyus yu risk fɔ gɛt tin dɛn we kin apin to yu at ɛn blɔd , lɛk at atak ɛn strok.

2. Ridyus pen we yu de waka ɛn mek yu kwaliti layf bɛtɛ.

Di we aw pipul dɛn de liv dɛn layf kin chenj

PAD tritmɛnt kin bigin wit fɔ chenj yu layf fɔ ridyus yu risk factors. Na sɔm tin dɛn we yu kin du:

• Fɔ lɛf fɔ smok prɔdak dɛn kpatakpata. Aks yu dɔktɔ bɔt program dɛn we go ɛp yu fɔ lɛf fɔ smok.
• It fayn it we gɛt bɔku fayv ɛn we nɔ gɛt bɔku kɔlɔstrel, fat, ɛn sɔdiɔm. Limit di fεt to 30% pan di tכtal kalori dεm we yu de it ɛvride. di satεrayt fεt nכ fכ pas 7% pan di tכtal kalori dεm. Nɔ it tin dɛn we dɛn mek wit trans fat, lɛk di vegjetabul ɔyl dɛn we gɛt pat pan di haydrojɛn ɛn we gɛt haydrojɛn.
• Ɛksasayz. Start fɔ du ɛksɛsayz ɔltɛm, lɛk fɔ waka. Fɔ waka na fayn tritmɛnt fɔ PAD. Pipul dɛn we kin waka ɔltɛm kin mek di distans we dɛn kin waka go ɔp bifo dɛn leg dɛn at.
• Manej ɔda wɛl bɔdi prɔblɛm lɛk ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel.
• Kip yu strɛs lɛvɛl smɔl. Tin dɛn lɛk ɛksesaiz, yoga, ɛn tink gud wan kin ɛp fɔ du dis.
• Praktis gud kia fɔ yu fut ɛn skin fɔ mek yu nɔ gɛt infɛkshɔn ɛn fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn.

Di mɛrɛsin dɛn we dɛn kin yuz

Mεdikeshכn dεm lεk antihypertensive mεdikesh כn , statin mεdikeshכn, εn dayabitis mεdikeshכn kin εp fכ kכntrכl di risk fכ PAD εn ridyus di risk fכ strכk εn at atak.

Yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu blɔd nɔ klin, lɛk aspirin ɔ klopidogrel fɔ mek yu blɔd nɔ klɔt. Dɛn kin gi yu bak wan mɛrɛsin we dɛn kɔl cilostazol fɔ mek yu ebul fɔ waka distans. Dis mεdisin de εp pipul dεm wae gεt intamitεnt klodikeshכn εksεsayz fכ lכng tεm bifo dεn leg dεn at.

Di ɛksesaiz program dɛn we dɛn kin supavayz

Wan ɛksɛsayz program we dɔktɔ de kia fɔ, kin ɛp fɔ mek yu nɔ gɛt pen na yu leg ɛn ɛp yu fɔ waka mɔ. Dis kin min fɔ waka pan tredmil fɔ at le tri dez insay di wik.

Pipul wae gɛt PAD fɔ waka fɔ 30 to 60 minit ɛvride, ivin na os. Di advays we dɛn kin gi mɔ na fɔ yuz di "Start/Stop" ɛgzampul:

• Waka te di pen smɔl, dɔn stɔp.
• Wet te di pen dɔn kɔmɔt kpatakpata.
• Start fɔ waka bak.

Minimally invasive ɔ ɔpreshɔn tritmɛnt dɛn

Fɔ sɔm pipul dɛn, ivin afta dɛn dɔn de du ɛksɛsayz ɛn tek mɛrɛsin fɔ sɔm mɔnt, di pen na dɛn leg kin so bad dat i kin ambɔg di tin dɛn we dɛn kin du ɛvride. If i tranga, i kin nid fɔ mek di blɔd flɔ fayn fayn wan fɔ mek yu nɔ fil pen ivin we yu de rɛst, ɔ fɔ ɛp fɔ mɛn pɔsin we wund.

Mɔ advans kes dɛm fɔ PAD, we kin mek dɛn gɛt siriɔs pen ɛn nɔ kin ebul fɔ waka, kin nid fɔ gɛt ɛndovaskul (minimally invasive) ɔ ɔpreshɔn tritmɛnt. Sɔm pan di sem tritmɛnt dɛn we dɛn kin yuz fɔ at sik dɛn kin yuz bak fɔ PAD:

• Angioplasty: Fɔ mek di at we dɔn blok big bay we yu de yuz sɔntin we tan lɛk balɔ.
• Stent ples: Dɛn kin put smɔl mɛsh tyub fɔ mek di at opin.
• Pɛriferal at baypas ɔpreshɔn: Fɔ mek ɔda we fɔ mek blɔd flɔ (bɔku tɛm dɛn kin yuz ɔda vein na di bɔdi) fɔ baypas di at we dɔn blok.
• Atherectomy: Dɛn kin pul di plek we dɔn de insay di at bay we dɛn yuz spɛshal inschrumɛnt.

Prɔblɛm dɛn we kin apin afta dɛn dɔn trit am

If yu gɛt ɛni wan pan dɛn prɔblɛm ya afta dɛn tritmɛnt ya, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn ɔ ɔda prɔblɛm:

• Swel, blɔd, ɔ pen usay dɛn put di kateshɔn.
• Chɛst de pen.
• I nɔ kin izi fɔ yu fɔ blo.
• Fiva ɔ kol kol.
• Diziz we pɔsin kin gɛt.
• Di leg dɛn we de swel.
• Bɛlɛ de pen.
• Opin di say we dɛn kɔt di ɔpreshɔn.

Aw lɔng e kin tek fɔ wɛl frɔm tritmɛnt kin difrɛn difrɛn wan fɔ di tritmɛnt wae yu bin gɛt. Yu kin nid fɔ de na ɔspitul fɔ wan ɔ mɔ nɛt. Pan ɔl we di atherectomy kin tek sɔm dez fɔ mek i wɛl, angioplasty kin tek lɛk wan wik. wan pεriferal atεri baypas graft kin tek lεk 6 to 8 wik fכ fulכp fכ rεkכva.

Aw fɔ ridyus di risk fɔ gɛt PAD? (Prɛvenshɔn) .

Wae yu no se yu gɛt risk factor fɔ PAD, yu kin gɛt motiveshɔn fɔ mek yu nɔr gɛt am. Di sem advays fɔ mek yu at gɛt wɛlbɔdi, na fɔ kia fɔ yu blɔd we de go:

• Kɔntrol yu wet.
• It it we nɔ gɛt bɔku fat, we nɔ gɛt bɔku shuga, ɛn we gɛt at le fayv tɛm fɔ fresh frut ɛn vɛjitebul ɛvride.
• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• If yu dɔktɔ gri fɔ du ɛksɛsayz fɔ at le 30 minit insay di de, bɔku pan di de dɛn insay di wik.

If yu gɛt at sik, tɔk to yu dɔktɔ bɔt di tin dɛn we kin mek yu gɛt PAD. Tɛl yu dɔktɔ bɔt ɛni sayn we yu gɛt, lɛk we yu leg de pen, yu wik, ɔ yu nɔ de fil fayn.

Wetin yu kin ɛkspɛkt if yu gɛt PAD?

Lɛk bɔku wɛl bɔdi prɔblɛm, PAD kin izi fɔ trit if dɛn no am kwik. Di rit we PAD de go bifo kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin, lɛk usay di plet de ɛn yu ɔl wɛl bɔdi.

PAD na wan sik wae yu kin gɛt ɔl yu layf. Pan ɔl we no mɛrɛsin nɔ de fɔ PAD, yu kin ebul fɔ mɛn am. Yu kin mek PAD nɔ wɔs if yu du dɛn tin ya:

• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• Fɔ du ɛksasaiz ɔltɛm.
• Limit fat ɛn it fayn it.
• Fɔ kɔntrol di tin dɛn we kin mek yu gɛt prɔblɛm, lɛk dayabitis, ay kɔlɔstrel, ɛn ay blɔd prɛshɔn.

Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

I impɔtant fɔ tek kia ɔf yu fut gud gud wan fɔ mek yu nɔ gɛt wund dɛn we nɔ de wɛl. Fut kia fɔ pipul dɛm wae gɛt PAD inklud:

• Wear kɔmfyut sus we fit yu fayn fayn wan.
• Chek yu fut ɛn yu fut ɛvride fɔ si if yu gɛt blista, kɔt, krak, abrashɔn, ɔ sos. Luk bak fɔ rɛd, wam, nel we dɔn gro insay yu fut, kɔn, ɛn kɔl. Jɔs lɛk pɔsin we gɛt dayabitis, yu nid fɔ kia fɔ yu fut.
• Nɔ delay fɔ trit ivin smɔl prɔblɛm wit yu fut ɔ yu skin.
• Kip yu fut klin ɛn wet fayn fayn wan (nɔ put mɔstizayza pan wund we opin).
• Afta yu dɔn was, trim yu nel dɛn we dɛn stil saf. Kɔt dɛn stret ɛn fayl dɛn flat wit nel fayl.

Sɔntɛnde, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu fut , mɔ if yu gɛt dayabitis. I kin ɛp wit buniɔn, buniɔn, ɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit fut.

Ustɛm yu fɔ go to dɔktɔ?

Si dɔktɔ pan dɛn kayn tin ya:

• If yu gɛt bad bad infekshɔn na wund na yu fut, di infekshɔn kin go to yu mɔsul dɛm, tisu dɛm, blɔd, ɛn bon dɛm. If di infekshɔn tranga, yu kin nid fɔ go na ɔspitul.
• If i tu at fɔ waka fɔ du ivin nɔmal wok dɛn.
• If yu gɛt pen na yu leg ivin we yu de rɛst , dis na sayn fɔ se yu nɔ de gi yu blɔd fayn.

Sɔntin yu nɔ plan:If yu nɔ ebul fɔ fil yu leg, yu nɔ ebul fɔ muv am, ɔ di skin we de pan am gɛt difrɛn kɔlɔ pas di ɔda pat na yu leg, go na di imejensi rum wantɛm wantɛm. Dis min se di blɔd we de go na yu leg dɔn stɔp we yu nɔ wɔn yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• A nid mɛrɛsin fɔ ridyus di risk fɔ gɛt PAD?
• Aw fa a fɔ waka we a bigin fɔ waka program?
• A nid ɔspitul tritmɛnt fɔ PAD?

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Yu kin du bɔrku tin fɔ mek yu nɔr gɛt ɔr slo fɔ mek yu nɔr gɛt Pɛriferal Atɛri Disease, ɔr PAD, bay wae yu de chenj yu layf. Kip ɔl yu fɔlɔp apɔntinmɛnt wit yu dɔktɔ ɛn vaskul spɛshal pɔsin, ɛn tek ɔl yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek. If yu no di wɔnin sayn dɛm fɔ PAD kɔmplikeshɔn go ɛp yu fɔ no ustɛm fɔ aks fɔ ɛp. Tek kia ɔf yu leg dɛn, bikɔs dɛn go kɛr yu go fa!

` Pεrifεral atεri sik, PAD, leg pen, blכk atεri, bכdi sεkyuleshכn, smok, dayabεtis, kכlestכl, atεrosklεrosis, klaudikeshכn