Sɔntɛnde yu kin fil lɛk se yu an ɛn yu fut dɛn kin swɛla, ɔ yu finga ɛn fut finga dɛn jɔs de kol? Yu kin fil pen na yu leg lɛk se yu mɔsul dɛn de kramp we yu de waka? Bɔku tɛm wi nɔ kin pe atɛnshɔn to dɛn tin ya as jɔs nɔmal tin dɛn. Bɔt dɛn tin ya kin bi sayn fɔ sho se di we aw yu blɔd de go ɔlsay, ɔ di we aw yu blɔd de flɔ, wik smɔl. Dis nɔto sik insɛf, bɔt i kin bi sayn fɔ ɔda sik. So lɛ wi tɔk bɔt dis jɔs, simpul wan, tide.
Wetin na po sakulayshɔn?
Imajin se wi bɔdi tan lɛk big siti. Ɛvri os na dis siti (dat na, ɛvri sɛl na wi bɔdi) gɛt rod dɛn we de kɛr impɔtant tin dɛn lɛk it, wata, ɛn ɔksijɛn. Dɛn rod ya na wi blɔd vesel. Di motoka dɛn we de transpɔt dɛn impɔtant tin ya along dɛn rod ya na wi blɔd. Di men sɛnt ɔ injin fɔ dis wan ol transpɔt sistɛm na wi at.
So, we di at, di blɔd vesel dɛm (atɛri, veins) ɔl wɛl, dis transpɔt savis kin apin witout ɛni intarapshɔn. Ɛvri sɛl na di bɔdi kin gɛt di ɔksijɛn ɛn di tin dɛn we i nid di rayt tɛm, ɛn dɛn kin tek di dɔti tin dɛn we dɛn kin mek na di sɛl dɛn bak.
Di blɔd we nɔ de go fayn min se sɔntin de ambɔg, blok, ɔ prɔblɛm de sɔmsay na dis transpɔt sistɛm. Lɛk tik we de fɔdɔm na rod, we de mek trafik jam. Dis tin we de ambɔg di blɔd nɔ de muv fayn. Ɛspɛshali to di say dɛn we de fa frɔm di at, dat na di tip dɛn na wi finga ɛn fut finga dɛn, bɔku bɔku blɔd nɔ de flɔ.
Di big prɔblɛm wit dis na dat wi sɛl dɛn nɔ de gɛt di rayt ɔksijɛn. We dɛn nɔ gɛt ɔksijɛn, di sɛl dɛn nɔ kin ebul fɔ du dɛn wok fayn fayn wan. Na da tɛm de di sayn dɛm kin bigin fɔ sho.
Wetin na di sayn dɛm we de sho se blɔd nɔ de go fayn?
We blɔd nɔ de flɔ na di bɔdi, difrɛn sayn dɛn kin sho. Dɛn tin ya kin afɛkt sɔm pat dɛn na di bɔdi mɔ, lɛk di an, fut, ɛn finga dɛn. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.
| Di sayn we de sho se di sik de | Fɔ tɔk am simpul wan... |
|---|---|
| Numbness ɔ "ilɛktrik shɔk" filin na di limb dɛm | dεn kכl dis "pin εn nidul" sεns. Dis sɛns kin apin we di blɔd we de gi di nerv dɛn dɔn ridyus. |
| An ɛn fut kin kol ɔltɛm. | Di we aw di blɔd de go ɔlsay kin ɛp bak fɔ mek di bɔdi nɔ wam. We blɔd nɔ de flɔ, di an ɛn fut kin kol pas ɔda pat dɛn na di bɔdi. |
| Mɔsul dɛn kin pen we yu de waka | We a waka fɔ shɔt tɛm, mi leg mɔsul dɛn kin fil lɛk se dɛn de kɔt dɛn ɛn dɛn de wund. Dis pen kin stɔp we a sidɔm fɔ sɔm tɛm. Dis kin apin bikɔs dɛn mɔsul dɛn de nɔ kin gɛt di ɔksijɛn we dɛn nid. |
| Di kɔlɔ we di skin kin chenj | Sɔntɛnde di skin kin gɛt blu ɔ blu bikɔs ɔf di blɔd we gɛt bɔku ɔksijɛn. |
| Leg we de swel | We di blɔd nɔ de go fayn, di wata we de na di bɔdi nɔ kin ebul fɔ kɔmɔt fayn ɛn i kin gɛda na say dɛn lɛk di leg dɛn ɛn mek i swel. |
| Varikɔs Vein dɛn | If di vein dεm na yu leg dεm de sho blu/pכpul εn kכt, i kin bi prכblεm bak wit di bכdi we de kכmכt. |
| Chɛst de pen | If prɔblɛm de wit di at we de gi blɔd to di at, yu kin gɛt pen na yu chɛst. Dis na siriɔs sayn . |
Wetin na di men tin dɛn we kin mek di blɔd nɔ de go fayn?
Nɔto wan tin de we kin mek pɔsin gɛt dis sik, bɔt bɔku tin dɛn kin mek i gɛt dis sik. Bɔku tɛm, pipul dɛn we dɔn pas 40 ia, di wan dɛn we gɛt bɔku bɔku bɔdi wet, di wan dɛn we gɛt dayabitis, ɛn di wan dɛn we nɔ de du ɛksɛsayz bɛtɛ kin gɛt mɔ prɔblɛm. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
| Rizin | Wetin kin apin wit dis? |
|---|---|
| Atɛrosklɛrosis we kin mek pɔsin gɛt at | Fɔ tɔk am simpul wan, di kɔlɔstrel ɛn fat kin bɔku insay di blɔd vesel dɛn, ɛn dis kin mek di blɔd nɔ flɔ. Jɔs lɛk aw dɔti kin gɛda insay wata paip, ɛn dis kin mek wata nɔ flɔ bɛtɛ. |
| Dayabitis (Dayabetes Mɛlitɔs) . | We di blɔd shuga de bɔku fɔ lɔng tɛm, i kin pwɛl di blɔd vesel dɛn, ɛn dis kin mek di blɔd nɔ flɔ. |
| Ay Blɔd Prɛshɔn | We blɔd de pas na di vein dɛn we i gɛt ay prɛshɔn, di wɔl dɛn na di vein dɛn kin pwɛl ɛn wik, we kin mek di blɔd nɔ flɔ. |
| Fɔ smok | Di kemikal dɛn we de insay sigrɛt kin pwɛl di blɔd vesel dɛn dairekt wan, ɛn dis kin mek di blɔd blɔd sik bɔku. |
| Fat | As di bɔdi wet de go ɔp, di risk fɔ gɛt bɔku sik dɛn we de ambɔg di blɔd blɔd, lɛk dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel, de go ɔp. |
| Dip Vein Trombosis (DVT) we de mek pɔsin gɛt sik . | Dis kin apin we blɔd klɔt fɔm insay wan dip vein na di leg. Dis kin mek di blɔd nɔ go na di leg wantɛm wantɛm. |
| Pɔlmonari Ɛmbolizm | Dis na tin we rili siriɔs ɛn we kin apin kwik kwik wan.DVT na we wan pat pan di bכdi we de fכm na di leg brok εn stכk na wan vein na di lכng. |
| Pɛriferal Atɛri Disizin (PAD) . | Dis na di rizin bak fɔ di atrɔsklerɔsis. Na big tin we kin mek yu leg pen we yu de waka, mɔ bikɔs di at dɛn we de gi blɔd to di leg dɛn kin smɔl. |
| Di Sik we Raynaud bin gɛt | Na pipul dɛm wae gɛt dis sik, wae dɛn gɛt kol ɔr strɛs, di vein dɛm wae de gi blɔd to dɛn finga ɛn fut finga dɛn kin kɔnstrikt wantɛm wantɛm. Dɔn di finga dɛn kin tɔn blak, blu, ɛn bigin fɔ swɛ. |
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, di bɛst tin fɔ du na fɔ go to yu famili dɔktɔ. I go tek sɔm step fɔ no di sik.
1. Fɔ chɛk yu bɔdi: Di dɔktɔ go chɛk yu an ɛn yu fut. I go luk fɔ swel, chenj na in skin kɔlɔ, ɛn wund. I go chɛk bak di puls na yu an ɛn yu leg.
2. Fɔ aks yu ditil dɛm: Dɛn go aks yu bɔku kwɛstyɔn dɛm, lɛk wetin na yu sayn dɛm, aw lɔng yu dɔn gɛt dɛm, if yu gɛt ɔda sik lɛk dayabitis ɔr ay blɔd prɛshɔn, if yu de smok, ɛn if ɛnibɔdi na yu famili gɛt dɛn sik ya.
3. Spɛshal tɛst: If nid de, di dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn lɛk dis fɔ no di rayt tin we mek yu du am.
- Doppler Ultrasound: Dis kin chɛk di spid we di blɔd de flɔ insay di blɔd vesel dɛn ɛn if ɛnitin de we dɔn blok.
- Ankle-Brachial Index (ABI) test: Dis kin mɛzhɔ ɛn kɔmpia di blɔd prɛshɔn na yu leg ɛn an. If di prɛshɔn na yu leg smɔl pas di wan we de na yu an, dat min se yu leg nɔ de gɛt bɛtɛ blɔd flɔ.
- Angiography ɔ CT Scan: Dɛn tɛst ya kin tek klia pikchɔ dɛn fɔ di blɔd vesel dɛn ɛn dɛn kin no usay ɛn aw bɔku blɔk de.
- Blɔd tɛst: Dɛn tin ya kin ɛp fɔ no tin dɛn lɛk di kɔlɔstrel lɛvɛl, di shuga lɛvɛl, ɛn if ɛni prɔblɛm de we de mek di blɔd klɔt.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan wetin mek yu blɔd nɔ de rɔtin fayn. Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu. Wi kin sheb dɛn tin ya to tri men grup dɛn.
1. Di chenj dɛn we pɔsin de liv in layf
Dis na di tin we impɔtant pas ɔl ɛn di fɔs tin we wi fɔ du. Ivin if yu yuz mɛrɛsin, if yu nɔ mek dɛn chenj ya, di rizɔlt nɔ go bɔku.
- If yu de smok, stɔp wantɛm wantɛm.
- Fɔ yus to it we gɛt wɛlbɔdi (lɛs ɔyl, sɔl, shuga, mɔ vɛjitebul ɛn frut).
- Ɛksesaiz ɔltɛm (ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit insay di de kin rili bɛnifit yu).
- Fɔ kɔntrol di bɔdi wet.
- If yu gɛt dayabitis, ay blɔd prɛshɔn, ɔ kɔlɔstrel, kɔntrol dɛn fayn fayn wan.
2. Tritmɛnt wit mɛrɛsin
Dipen pan yu sik, yu dɔktɔ kin gi yu mɛrɛsin lɛk:
- Statin: Dɛn tin ya de ridyus di bad bad kɔlɔstrel we de na di blɔd ɛn mek i nɔ de na di blɔd vesel dɛn.
- Antiplatelet drɔgs: Drug dɛm lɛk aspirin de ridyus di risk fɔ mek blɔd klɔt.
- Di tin dɛn we de mek blɔd tan: Drug dɛn lɛk Warfarin de mek blɔd nɔ klɔt. Dɛn kin gi dɛn tin ya mɔ fɔ kɔndishɔn dɛn lɛk DVT.
- Blɔd prɛshɔn mɛrɛsin dɛn.
3. Ɔpreshɔn ɛn ɔda tritmɛnt dɛn
Sɔntɛnde, if di blɔd vesel dɛn we de blok bad bad wan ɛn dɛn nɔ ebul fɔ kɔntrol am wit mɛrɛsin nɔmɔ, i nid fɔ yuz tritmɛnt dɛn lɛk dis.
- Angioplasty: Na tin we dɛn kin put wan tin we tan lɛk balɔ insay wan blɔd vesel we dɔn blok ɛn blo am fɔ mek di vessel big. Sɔntɛnde dɛn kin put wan smɔl tin we tan lɛk mɛsh we dɛn kɔl stent fɔ mek di vessel nɔ blok igen.
- Baypas Ɔpreshɔn: Fɔ baypas di blɔd vesel we dɔn blok ɛn mek nyu rod we yu de yuz wan pat pan di vein we dɛn tek frɔm ɔda pat na di bɔdi.
- Catheter-assisted thrombus removal: If big blɔd klɔt stɔp, dɛn kin pul am wit spɛshal tin.
Ustɛm yu fɔ go to dɔktɔ?
Dis rili impɔtant. Pan ɔl we sɔm sayn dɛn na nɔmal tin, ɔda wan dɛn kin sho se na imejensi. So mek shɔ se yu no di difrɛns.
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| Si dɔktɔ if yu gɛt dɛn sayn ya: | |
| - . | If yu gɛt nyu sayn dɛn. |
| - . | If di mɛrɛsin we yu de tek naw nɔ de pul di sik dɛn we yu gɛt. |
| - . | If yu gɛt swel, rɛd, ɔ pen na yu leg wantɛm wantɛm (dis kin bi sayn fɔ DVT). |
| Dis na imejensi dɛn! Go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm! | |
| - . | Sɔdɛn chɛst pen , i nɔ kin izi fɔ blo. |
| - . | If yu lɔs ɔl di filin na yu leg. |
| - . | If yu gɛt bad bad pen ɔ yu leg dɛn nɔ de fil fayn ivin we yu jɔs tinap we yu nɔ du ɛni ɛksesaiz. |
Mɛsej we dɛn kin kɛr go na os
- Pɔr blɔd nɔr de sik, na sayn fɔ ɔda ɔndalayn kɔndishɔn.
- Nɔ ignore tin dɛm lɛk wae yu an ɛn yu fut nɔr de fil fayn, yu de fil kol, ɔr yu leg dɛn de at we yu de waka. Tɔk to yu dɔktɔ bɔt am.
- Di bɛst ɛn impɔtant tin fɔ du fɔ kɔntrol dis sik na fɔ liv fayn layf . I impɔtant fɔ lɛf fɔ smok, fɔ du ɛksɛsayz, ɛn fɔ fala gud it.
- If yu gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, if yu kɔntinyu fɔ kɔntrol dɛn, dat go ɛp yu fɔ mek yu blɔd go fayn fayn wan.
- Wantɛm we pɔsin kin fil pen na in chɛst, i nɔ kin izi fɔ blo, ɔ i nɔ kin fil fayn na in leg na tin dɛn we kin apin kwik kwik wan. If dɛn kayn tin ya apin, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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