Yu leg dɛn de tɔn blu ɛn yu de fil bad bad wan? Na Phlegmasia Cerulea Dolens na dat? Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri bɔt wan sik we blɔd kin klɔt insay wan vein na yu leg ɔ an, we kin mek i tɔn blu, swel, ɛn fil pen? Dis na siriɔs sik, bɔt nɔr kin so. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `Phlegmasia Cerulea Dolens` . Nɔ wɔri, i impɔtant fɔ no bɔt am.

Wetin na dis `Phlegmasia Cerulea Dolens`?

Fɔ tɔk am simpul wan, `Phlegmasia Cerulea Dolens` na wan sik we big blɔd klɔt ɔ bɔku blɔd klɔt na di dip vein dɛm na wi bɔdi, mɔ na di leg dɛm (ɛn sɔmtɛm na di an dɛm) (dɛn kin kɔl am bak `Deep Vein Thrombosis` ɔ `DVT`), kin mek di vein dɛm blok ɔl. Imajin se wata paip kin lɔk wit big dɔti, ɛn dis kin mek di wata gɛda instead fɔ flɔ.

we dεn blכk wan vein lεk dis, bכdi nכ de fכlכ fayn fayn wan tru am. Di blɔd nɔ kin ebul fɔ flɔ dɔŋ ɛn bak ɔp. Wetin kin apin da tɛm de? Blɔd kin gɛda na da say de, ɛn dis kin mek di leg swel. dis swel de mek di prεshכn we de insay di vein go כp, we de put prεshכn pan di at dεm we de kכri כksijεn. I tan lɛk spɔnj we tu wet fɔ tek wata. Yu nɔ go ebul fɔ put mɔ wata insay am te yu swɛt am kɔmɔt. Na dat de apin na ya. dis de ridyus di כksijεn we de rich di tisu dεm bak.

Di tin we impɔtant pas ɔl na dat dis na mɛdikal imejensi . If dɛn nɔ no di sik ɛn trit am kwik, di leg kin pwɛl ɛn ivin i kin mek i day. So, e fayn fɔ no bɔt dɛn kayn sik ya.

Aw dis sik kin kɔmɔn?

Fɔ tru, `Phlegmasia Cerulea Dolens` na wan sik we nɔ kin apin so ɔltɛm . Dat min se, na sɔntin we dɛn nɔ kin si bɔku tɛm. Sɔm dɔktɔ dɛn kin jɔs si pɔsin lɛk dis wan ɔ tu tɛm insay dɛn wan ol wok. So, no big statystik nɔ de bɔt am.

Wetin na di sayn dɛm fɔ `Phlegmasia Cerulea Dolens`?

Di nem min "wan blu swel we de mek yu fil pen." Dat de tɔk bɔt di sayn dɛn we pɔsin kin gɛt. Luk fɔ ɛni wan pan dɛn tin ya na yu leg ɔ yu an:

• Skin kɔlɔ kin chenj: Wan rɛd, bluish-pɔpul kɔlɔ kin apia. Dis kɔlɔ kin spre to di wan ol leg.
• Siri pen: Nɔto jɔs ɔdinari pen, bɔt na bad bad pen we at fɔ bia.
• Swɛlin: Na tin we kin rili swel we yu kin fil at fɔ tɔch.
• Skin blista: Sɔntɛnde, blista we ful-ɔp wit wata (`blisters`) kin apia.
• Numbness or tingling: I kin tan lɛk se yu de chuk yu ɔ yu de ting.

Dɛn kin tɔk bak se bikɔs ɔf di we aw di say we wi bɔdi de rɔn, dis kin apin mɔ na di lɛft leg .

Wetin na di tin dɛm we kin mek pɔsin gɛt `Phlegmasia Cerulea Dolens`?

di men tin we kin mek dis apin na big bכdi we de kכl (Venous Thromboembolism).dis kin apin as komplikashכn fכ wan `DVT` na di leg. Dat min se blɔd klɔt kin fɔm na wan vein, i kin gro big, ɛn blok di wan ol venus sistɛm.

Udat de pan denja pas ɔl fɔ dis?

di risk fכ divεlכpmεnt fכ divεlכp `Phlegmasia Cerulea Dolens` na di sem lεk di risk fכ bכdi kכlכt in jεnarכl. Dɛn na:

• Kansa: Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik.
• Ɔpreshɔn: Afta dɛn dɔn du big ɔpreshɔn.
• Injury: Na bad bad injury, mɔ na di leg.
• Bεlε: We uman bεlε εn afta dεn bכn pikin.
• Pils fɔ kɔntrol bɔn pikin dɛn we dɛn kin it ɔ ɔmon tɛrapi:
• Inflammatory Bowel Disease (IBD): di sik we de mek pɔsin gɛt bɔdi.
• Bɔdi Mas Indeks (BMI) we pas 30: Dis min se pɔsin fat.
• Blɔd klɔt disɔda: Sɔm pipul dɛn kin bɔn wit di abit fɔ mek dɛn blɔd klɔt izi wan.
• venus insufficiency: di valv dεm na di vein dεm nכ de wok fayn fayn wan.
• May-Thurner syndrome: Wan vein na di lɛft leg de kɔmprɛs bay wan at.
• At we nɔ de wok fayn:
• Fɔ de na wan ples fɔ lɔng tɛm/fɔ de na bed (`Inability to move around`): Fɔ ɛgzampul, if yu fɔ de na bed fɔ sɔm dez afta yu dɔn du big ɔpreshɔn .

Dɛn ripɔt se dis sik kin apin mɔ pan pipul dɛm wae ol bitwin 40 ɛn 50 ia .

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ `Phlegmasia Cerulea Dolens`?

Dis na siriɔs kɔndishɔn ɛn kɔmplikeshɔn kin tranga.

כlmost 50% pan di pipul dεm we gεt `Phlegmasia Cerulea Dolens` kin gεt wan kכndyushכn we dεn kכl `Gangrene`, we na di day we di tisu dεm de day . If gangrene kam, sɔntɛnde i kin mek dɛn kɔt di leg ɔ an.

כlso, dεn pipul ya kin gεt wan kכndyushכn we dεn kכl `Pulmonary Embolism`, we na bכdi we de kכlכt we de travul go na di lכng dεm . Dis kin rili mek pɔsin in layf de pan denja bak.

Aw fɔ no `Phlegmasia Cerulea Dolens`?

If yu gɛt dɛn sik ya, dɔktɔ go luk yu mɛdikal istri ɛn du yu bɔdi ɛgzam. Dɛn kin aks yu kwɛstyɔn dɛn lɛk:

• "Ustɛm dɛn simptom ya bigin?"
• "Wetin yu no fit du bikos of dis?"
• "Dɛn dɔn trit yu fɔ blɔd vesel prɔblɛm bifo?"
• "Ɛnibɔdi na yu famili gɛt prɔblɛm wit blɔd we de klɔt?"

Us kayn tɛst dɛn go du?

Fɔ no if yu gɛt `Phlegmasia Cerulea Dolens`, yu dɔktɔ kin du dɛn tɛst ya:

• Ɔltrasɔund skan: .Chek if blɔd dɔn klɔt na di veins ɛn aw di blɔd de flɔ.
• Blɔd tɛst: Chɛk fɔ sayn dɛn we de sho se blɔd de klɔt, di infɛkshɔn stetɔs, ɛn ɔda tin dɛn.
• `Kכmpyuta Tomografi Angiogram (CT Angiogram):` Dis kin tek ditayl imej dεm fכ di vein dεm.
• Magnεtik Rεsכnans Angiogram (MR Angiogram): Dis na כda we fכ gεt imej fכ di vein dεm.

Aw fɔ trit `Phlegmasia Cerulea Dolens`?

Dis na imejensi, so dɛn nid fɔ bigin fɔ trit am wantɛm wantɛm.

Di dɔktɔ go fɔs es yu leg ɔp lɛk 60 digri ɔp yu at . Dis kin ɛp fɔ mek blɔd kɔmɔt na di vein dɛn na yu leg, i kin mek di blɔd go fayn fayn wan, ɛn i kin mek yu nɔ swel. Dɛn kin gi yu wata bak, rap yu wan ol leg wit kɔmpreshɔn bandej, ɛn aks yu fɔ waka rawnd smɔl.

Bɔku tɛm , wit mɛrɛsin, dɛn kin nid fɔ du mɛrɛsin bak. If yu leg gɛt blista ɔ yu de sho sayn dɛn fɔ gangrene, dat min se yu leg de pan siriɔs denja. Dɔktɔ dɛn go tray fɔ pul di blɔd we dɔn klɔt kwik kwik wan ɛn trit Plɛgmasia Cerulea Dolens bifo gangrene kam insay.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ pul di blɔd we de klɔt.
• Fɔ opin di vein dɛn ɛn fɔ mek di blɔd flɔ bak.
• Stɔp di tin fɔ mek i nɔ wɔs.

Speshal mɛrɛsin ɛn tritmɛnt dɛn

Dɛn tritmɛnt ya kin yuse fɔ `Phlegmasia Cerulea Dolens`:

• Anticoagulant mɛrɛsin dɛn: Fɔ ɛgzampul, mɛrɛsin dɛn lɛk Heparin. Dis na mɛrɛsin dɛn we dɛn kin put insay veins.
• `Thrombolysis`: insay dis, dεn de pas wan tכn tכb we dεn kכl `catheter` tru wan vein to di say we di bכdi kכlכt, εn dεn de gi mεdikeshכn tru am fכ sכlv di bכdi kכlכt.
• `Thrombectomy`: dis involv fכ pul di bכdi kכlכt כ tru sכm sכm insishכn כ tru big כpεrayshכn (`open procedure`).
• Angioplasty ɛn/ɔ stent ples: Dɛn kin du dɛn tin ya fɔ mek di at opin pan pipul dɛn we gɛt May-Thurner syndrome.

Kɔmplikɛshɔn/sayd ifɛkt dɛm fɔ tritmɛnt

Big ɔpreshɔn (`open surgery`) fɔ pul wan blɔd we de klɔt kin mek prɔblɛm dɛn lɛk:

• Di chans fɔ mek blɔd klɔt fɔm bak.
• Damej to wan blɔd vesel.

Antikoagulant ɛn trombolysis tritmɛnt kin kɛr risk fɔ blɔd . Bikɔs trombolysis kin mek di pulmonary embolism, sɔntɛnde dɔktɔ dɛn kin se dɛn fɔ yuz inferior vena cava (IVC) filta fɔ mek i nɔ apin.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Sɔm pipul dɛn kin bigin fɔ fil fayn insay lɛk wan awa afta dɛn dɔn bigin fɔ gi dɛn mɛrɛsin we de mek dɛn nɔ gɛt blɔd. Bɔt bɔku pipul dɛn nɔ kin fil fayn te sɔm awa afta dɛn dɔn bigin fɔ tek di mɛrɛsin. If di sik nɔr bɛtɛ insay 6-12 awa, di dɔktɔ kin tɛl yu fɔ du am apat frɔm di mɛrɛsin.

We dɛn du ɔpreshɔn fɔ pul di blɔd we dɔn klɔt, yu go notis se tin dɛn lɛk fɔ swel ɛn fɔ chenj di kɔlɔ na di leg go dɔn kwik kwik wan. Yu kin fil di difrɛns jɔs afta di ɔpreshɔn .

Yu tink se dɛn kin mek dɛn nɔ gɛt `Phlegmasia Cerulea Dolens`?

Yɛs, te to sɔm mak i pɔsibul. dis kכndyushכn kin bi bay we dεn de mek dεn nכ de fכ DVT (dip vein thrombosis) כ bay we dεn de trit DVT bifo i divεlכp to Phlegmasia Cerulea Dolens.

Wetin a kin ɛkspɛkt if a gɛt `Phlegmasia Cerulea Dolens`?

`Phlegmasia Cerulea Dolens` na wan sik wae kin mek yu lɔs yu leg ɔr ivin de pan denja fɔ yu layf. Na dat mek dɔktɔ dɛn kin du tin kwik kwik wan ɛn bigin fɔ trit yu fɔ mek yu nɔ wɔs. Yu kin fil lɛk se dɛn de rɔsh yu fɔ gi yu mɛrɛsin ɔ fɔ rɛdi yu fɔ ɔpreshɔn . Di rizin na dat, kwik tritmɛnt na di bɛst we fɔ gɛt di bɛst rizɔlt .

Yu go nid fɔ de na di ɔspitul fɔ sɔm dez. Yu kin gɛt ɔda skan bak (imaging test) fɔ mek shɔ se ɔl di blɔd we dɔn klɔt dɔn go.

Autluk fɔ `Flegmasia Cerulea Dolens`

di sakses rεt fכ trombolysis tritmεnt na 85% to 95%.

Bɔt if dɛn nɔ trit am, Phlegmasia Cerulea Dolens kin mek pɔsin gɛt gangrene. If gangrene kam, di risk fɔ mek dɛn kɔt am na bitwin 20% ɛn 50% . Wit ɔ atɔl gangrene, di risk fɔ dis kɔndishɔn fɔ kil pɔsin de bitwin 20% ɛn 40%.

If dɛn nɔ trit am fayn, `Phlegmasia Cerulea Dolens` kin kam bak.

ivin if dεn trit dεm kwik kwik wan, bכku pipul dεm we gεt `Phlegmasia Cerulea Dolens` kin gεt prכblεm wit di valv dεm na dεn vein dεm εn wan kכndyushכn we dεn kכl `Post-thrombotic syndrome` insay di fכs tεm.

Aw a kin kia fɔ misɛf?

Afta yu dɔn gɛt di fɔs tritmɛnt, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (anticoagulants) fɔ mek di sik nɔ kam bak. Dipen pan yu sik, yu kin nid fɔ tek dɛn mɛrɛsin ya fɔ sɔm mɔnt ɔ ivin lɔng pas dat.

Ustɛm a fɔ go to di dɔktɔ?

Yu dɔktɔ go nid fɔ chɛk yu blɔd ɔltɛm fɔ mek shɔ se yu blɔd de klɔt di rayt lɛvul. Yu go nid bak fɔ go fɛn yu ɔltɛm fɔ si if ɛni prɔblɛm go kam leta.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt di sayn dɛm fɔ `Phlegmasia Cerulea Dolens`, ɔ if yu bin dɔn gɛt di sayn dɛm bifo ɛn naw yu de gɛt am bak, go to dɔktɔ wantɛm wantɛm . Dɔn bak, if yu gɛt sayn fɔ ɔda blɔd we de klɔt ɔ simptom fɔ `Pulmonary Embolism`, yu fɔ go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• "Aw lɔŋ a go gɛt fɔ tek dɛn antikɔagulant ya?"
• " Aw ɔltɛm a nid fɔ kam fɔ fala-ap?"
• "Wetin bin fɔ dɔn mek a mek mi `DVT`?"

Wetin na di difrɛns bitwin `Phlegmasia Alba Dolens` ɛn `Cerulea Dolens`?

`Phlegmasia Alba Dolens` na kכmplikεshכn bak we blכd kכlכt. Bɔt i nɔ de stɔp di blɔd we de go na yu tisu dɛn. Di wod `alba` na di nem min `wayt`. Dis min se di leg kin bi pale. `Alba Dolens` kin apin bifo `Phlegmasia Cerulea Dolens` de divεlכp.

`Phlegmasia Cerulea Dolens` na wan sik we kin rili bad. I kin afɛkt di we aw blɔd de go. di blɔd we de go na di tisu dɛn usay di blɔd klɔt de stɔp.

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba frɔm dis stori!

Taym na di esεns insay di kes fכ `Phlegmasia Cerulea Dolens`. If yu ɔ pɔsin we yu lɛk gɛt dɛn sik ya, nɔ shem fɔ go to dɔktɔ wantɛm wantɛm. I impɔtant fɔ gɛt tritmɛnt kwik kwik wan fɔ sev wan leg, ɛn sɔntɛm fɔ sev in layf.

Sɔntɛnde, yu kin fred we dɔktɔ dɛn kin disayd fɔ du sɔntin kwik kwik wan ɛn du sɔntin kwik kwik wan. Bɔt dɛn ɔl de du am fɔ una yon gud. If sɔntin de we yu nɔ ɔndastand, nɔ fred fɔ aks kwɛstyɔn. Fɔ mek dɛn tɛl yu na di bɛst tin fɔ mek yu sef.

` Flegmasia Cerulea Dolens, DVT, Blɔd Klɔt, Leg Swɛlin, Vein Blɔk, Gangrene, Pulmonary Embolism