Yu gɛt vein we de bɔl biɛn yu ni? (Popliteal Aneurysm) Lɛ wi tɔk bɔt am!

Yu dɔn ɛva notis se wan bɔl de we tan lɛk balɔ na di bak pat na yu ni, usay di ni de bɛn? Sɔntɛm yu dɔn fil smɔl pen, yu bin de ebi, ɔ yu jɔs fil wan smɔl smɔl tin na yu an. Bɔrku tɛm, yu kin tink se dis nɔto siriɔs tin, bɔt sɔm tɛm, dis kin bi wan sik wae dɛn kɔl Popliteal Aneurysm . Nɔ wɔri, wi go tɔk bɔt dis ditayli ɛn rili simpul wan tide.

Wetin na popliteal aneurysm?

Fɔ tɔk am simpul wan, popliteal aneurysm na we di men blɔd vesel we de biɛn yu ni, we na di popliteal artery . I tan lɛk se wata paip de bɔs wan tɛm. I kin apin na ɔl tu di leg dɛn na sɔm pipul dɛn.

We di vein swel lɛk dis, prɔblɛm kin kam. Aw yu no?

• Da say de we dɔn swel kin brok .
• bכdi kin fכm (thrombose) de, εn wan pat pan am kin brok εn εmboliz wan vein na di lכw leg.
• Ɔ di wan ol vein kin blok.

If sɔntin lɛk dis apin, sɔntɛnde i kin gɛt siriɔs damej pan di leg, sɔm pipul dɛn kin lɔs dɛn leg, ɔ ivin dɛn layf kin afɛkt. So, i rili impɔtant fɔ mek wi no bɔt dis.

Aw dis sik kin kɔmɔn?

Popliteal aneurisms nɔ kin rili kɔmɔn so. Fɔ sho se dɛn kin apin to lɛk wan pan ɛvri 100,000 uman dɛn. Pan man dɛn, di nɔmba kin pas smɔl, ɛn na lɛk 7 pan ɛvri 100,000.

Bɔt pan ɔl we i nɔ kin rili kɔmɔn, we yu kɔmpia am to ɔda anɛrizm dɛn na di bɔdi, na di sɛkɔn anɛrizm we kin apin afta abdominal aortic aneurysm . I sɔprayz fɔ no se sɔntin de bitwin dɛn tu tin ya. Na lɛk af pan di pipul dɛn we gɛt popliteal aneurysm kin gɛt aneurysm bak na di abdominal aorta. So, if dɔktɔ no wan pan dɛn tu tin ya, i rili impɔtant fɔ chɛk fɔ di ɔda wan.

Wetin na di sayn dɛm fɔ dis?

Bɔrku tɛm, pipul dɛm wae gɛt popliteal aneurysm nɔr kin sho ɛni sayn . Na dat mek i de mek pɔsin fred smɔl. Bɔt if di sayn dɛn we de sho se yu gɛt dis sik, dat kin mek yu layf de pan denja.

Imajin, wetin go apin if da vein we dɔn swel bɔs (rupt) wantɛm wantɛm?

• I kin gɛt siriɔs pen biɛn di ni.
• Da eria de kin swel .
• Spɔt dɛn we tan lɛk brus kin apia.

Ɔ, us sayn dɛn go apin if blɔd klɔt fɔm insay da vein de, wan pat pan am brok, ɛn di blɔd we de flɔ dɔŋ di leg stɔp (embolized ɔ thrombose)?

• Leg pen .
• Fɔ fil lɛk se yu leg de go swɛ .
• Di fut dɛn de kol .
• Di mɔsul dɛn na di leg de wik .
• Leg skinI kin tɔn pale.

If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm , bikɔs dis kin mek yu gɛt siriɔs sik we kin mek blɔd nɔ go fayn na yu leg.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt popliteal aneurysm, bɔt dɛn tink se sɔm tin dɛn de we kin mek i apin:

• Inflameshɔn: Dis de tɔk bɔt ɛni swɛlin ɔ infɛkshɔn we de apin na di vein wɔl dɛn.
• Atherosclerosis: Dis na we tin dεm lεk kכlestכl de bכku insay di bכdi in bכdi, we de mek di wכl dεm na di at dεm tik. dis kin mek di at dεm nכ de fleksibul εn wik.
• di popliteal artery entrapment: pan sכm pipul dεm, dis big bכdi kin kכmprεs bay mכsul dεm כ כda tisu dεm we de bihayn di kכn. As tɛm de go, dis kɔmpreshɔn kin pwɛl di at ɛn mek i gɛt anɛrizm.
• Traumatik Injury: Dis kכndyushכn kin apin bak bikɔs ɔf bad bad injuri na di kכn ɔr di say we de rawnd am.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Naw lɛ wi si udat de pan ay risk fɔ gɛt dis (Popliteal Aneurysm).

• If pɔsin na yu famili dɔn gɛt aneurism lɛk dis: If yu mama, papa, ɔ yu brɔda ɛn sista dɛn dɔn gɛt aneurism lɛk dis, yusɛf de pan smɔl risk.
• Fɔ wayt pipul dɛm: Risach dɔn sho se dis sik kin mɔna wayt pipul dɛm.
• Fɔ pipul dɛm wae dɔn pas 50 ia: Dis risk kin go ɔp as di at dɛn kin wik we dɛn de ol.
• Fɔ man dɛn: As wi bin dɔn tɔk, dis kin apin mɔ pan man dɛn.
• Pipul dεm wae gεt kכnεktiv tisu dεm: Pipul dεm wae gεt sik wae de mek dεn wik na di pat dεm na di bכdi we de kכnekt tisu dεm dεn tu de pan hכy risk.
• Fɔ di wan dɛn we de yuz tabak: We pɔsin smok, i kin pwɛl di blɔd vesel dɛn bad bad wan. Dat na wan men tin bak we kin mek dis apin.
• Fɔ di wan dɛn we gɛt atherosclerosis: Dis na big tin bak we kin mek di at dɛn wik.

Us prɔblɛm dɛn dis kin mek?

If yu gɛt popliteal aneurysm, sɔm kɔmplikɛshɔn dɛn de we kin apin. As wi don tok abaut likl bifo:

• Blɔk we di blɔd de flɔ na di leg: If blɔd klɔt insay wan vein ɛn wan pat brok ɛn blok wan vein we de dɔŋ di leg, i kin kɔt di blɔd flɔ na di leg kpatakpata. Dis na tin we rili denja.
• Aneurysm rupture: Dis na imejensi bak.
• Popliteal vein compression: di vein we swel kin kכmprεs di vein we de rכn nia εn kכri dכti bכdi go כp di leg.
• Nɛv kɔmpreshɔn: .Dɔn bak, we dɛn kɔmprɛs di nɛv dɛn we de rɔn tru da eria de, dat kin mek di leg dɛn nɔ gɛt bɛtɛ trɛnk ɛn pen.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

Sɔntɛnde, fɔ no if yu gɛt popliteal aneurysm kin tranga smɔl, bikɔs tin dɛn lɛk dip vein thrombosis (DVT) ɛn Baker’s cyst , we na sak we ful-ɔp wit wata biɛn di ni, kin mek yu gɛt di sem kayn sayn dɛn bak. So, di dɔktɔ go fɔs pul dɛn tin dɛn de.

Fɔ no di sik, yu dɔktɔ go tek tɛm luk di say we de biɛn yu ni. Yu kin ebul fɔ fil ɔ si di vein we dɔn swel. Yu kin fil bak se i de bit wit yu at bit.

yu dכkta kin dεskrεb yu anεvrizm as `fusiform` (we min se i de bulge rawnd di כl vessel lεk balכn) כ `sakcular` (we min se i de bulge na wan sayd nכmכ na di vessel).

Us kayn tɛst dɛn kin du?

Di dɔktɔ kin ɔda difrɛn tɛst dɛn fɔ no di sik kɔrɛkt wan ɛn tek di tin dɛn we dɛn nid fɔ du fɔ plan di tritmɛnt.

• Duplex ultrasound: Dis na di tɛst we dɛn kin yuz mɔ, simpul, ɛn nɔ gɛt pen. I kin chɛk di sayz fɔ di vein dɛn ɛn aw di blɔd de flɔ fayn fayn wan.
• Computed Tomography Angiography (CTA): Dis na tɛst we dɛn kin yuz ɛkstrem rayt ɛn spɛshal day (kɔntrast day). I kin mek difrɛn difrɛn pikchɔ dɛn bɔt di blɔd vesel dɛn.
• Magnetic Resonance Angiography (MRA): Dis de yuz magnɛtik fil ɛn redio wev fɔ mek pikchɔ dɛn bɔt di blɔd vesel dɛn. I gɛt sɔm bɛnifit dɛn pas CTA.
• Digital Subtraction Angiography: Dis na tɛst we kɔmplikt smɔl. Dɛn kin put smɔl tiub insay wan vein, dɛn kin put day, ɛn tek ɛkstrem pikchɔ dɛn. Bɔku tɛm, dɛn kin du dis we dɛn de plan fɔ du ɔpreshɔn.

If yu dɔktɔ no se yu gɛt popliteal aneurysm, i go mɔs bi se dɛn go chɛk yu ɔda leg ɛn bɛlɛ fɔ si if ɛni aneurysm de de. Bikɔs, lɛk aw wi bin dɔn tɔk, bɔku pipul dɛn we gɛt dis sik kin gɛt aneurism bak na dɛn ɔda leg ɛn di men at na dɛn bɛlɛ. If ɛni ɔda aneurism de, dɛn go nid fɔ de wach dɛn wit ɔltra saund skan ɔlsay na dɛn layf.

Ustɛm dɛn kin trit dis?

Di tritmɛnt fɔ wan popliteal aneurysm kin difrɛn difrɛn wan dipen pan yu kɔndishɔn. tipikli, di dayamita fכ di aneurism na 2 sεntimita (cm).If i big pas dat (lɛk wan inch), i gɛt ay risk fɔ bɔs. Dis na lɛk tu tɛm di dayamita fɔ wan nɔmal vein. If yu gɛt blɔd we de klɔt na yu aneurism, yu dɔktɔ kin disayd fɔ trit am ilɛksɛf i smɔl pas dat, bikɔs i kin mek wan pat pan am brok ɛn blok di blɔd we de go na yu leg.

If yu popliteal aneurysm smɔl pas 2 sɛntimita, ɛn yu nɔ gɛt ɛni sayn, yu dɔktɔ go mɔs de wach am ɔltɛm fɔ si if i de big.

Yu tink se a nid ɔpreshɔn?

If yu gɛt sɔm sayn dɛn bikɔs ɔf wan popliteal aneurysm, ɛn/ɔ if i big pas 2 sɛntimita (ivin if nɔ simptom nɔ de), yu dɔktɔ go mɔs tɛl yu fɔ du ɔpreshɔn (`popliteal aneurysm repair`) as tritmɛnt.

Wetin na di tritmɛnt dɛn?

Tu men we dɛn de fɔ trit pɔsin.

1. Open ɔpreshɔn:

We dɛn de du dis, di dɔktɔ kin tay di vein dɛn we de ɔp ɛn dɔŋ di anɛrizm, ɛn dis kin mek di blɔd flɔ bak. Bɔku tɛm dis kin min fɔ yuz vein graft frɔm ɔda pat na yu bɔdi. dis min se dεn de mek nyu rod frכm di vein we de oba di anεvrizm to di vein we de dכn di anεvrizm. afta dat dεn kin tay di anεvrizm εn blכk am (`ligated').

2. εndovaskul aprכch:

Dis na nyu we fɔ du tin. Dɛn kin yuse am mɔ fɔ pipul dɛm wae gɛt ɔda krɛse sik wae gɛt bɔrku risk fɔ gɛt kɔmplikeshɔn frɔm opin ɔpreshɔn. insay dis prosidur, dεn kin mek wan sכmכl ol na di כp leg, dεn kin put waya tru am, εn dεn kin put wan mεtal mεsh divays (stεnt graft) oba di anεvrizm. as di stent graft de pas tru di aneurism, di bכdi de fכlכ dairekt frכm oba to dכn di aneurism. Bikɔs blɔd nɔ de flɔ dairekt to di anɛrizm, i kin smɔl smɔl, i kin klɔt, ɛn i nɔ kin wok.

Aw fɔ trit pɔsin we i gɛt ɛnitin fɔ du wit am:

If yu gɛt blɔd klot na yu leg, we de blok blɔd flɔ to yu leg, di tritmɛnt difrɛn smɔl. If na so i bi, yu dɔktɔ kin gi yu fɔs wan tin we de mek yu blɔd tan lɛk ɛparin, tru IV. Dɔn, dɛn kin du angiogram fɔ mek di blɔd go bak na di leg ɛn fut we di sik dɔn afɛkt. Sɔntɛnde, dɛn kin gi yu tin dɛn we de mek yu blɔd tan (thrombolytics) fɔ mek yu sɔlv di blɔd, ɔ dɛn kin tray fɔ pul pat pan di blɔd we yu de yuz spɛshal tin dɛn (di tin dɛn we dɛn kin yuz fɔ sɔk).

Yu tink se di tritmɛnt dɛn kin mek pɔsin gɛt prɔblɛm?

Jɔs lɛk ɛni ɔpreshɔn, sɔm kɔmplikeshɔn kin apin we dɛn de trit Popliteal Aneurysm.

• Blɔd we de klɔt na di leg (ɛmbolizm).
• We dɛn kɔt di leg:Dis kin apin smɔl smɔl, na we ɔda tin nɔ de fɔ du.
• Stent dɛn we de brok, we de muf kɔmɔt na di say we dɛn de, ɔ we nɔ de opin.
• Baypass graft blok we yu de blok.
• Na di nerve injury.
• Dip vein trombosis we de mek pɔsin gɛt.

Di dɔktɔ go ɛksplen dɛn tin ya to yu gud gud wan bifo dɛn du di ɔpreshɔn.

Aw lɔng i kin tek fɔ mek i wɛl?

Afta dɛn dɔn ɔpreshɔn yu opin, yu go nid fɔ de na di ɔspitul fɔ lɛk tu to tri dez. afta we dεn du εndovaskul aprכch, di tεm we i de rεkכv kin sכt. Bɔt, i go tek sɔm tɛm fɔ mek i wɛl ɔl. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn insay da tɛm de.

Wetin yu fɔ ɛkspɛkt we yu de liv wit dis sik?

Ivin if yu nɔr gɛt sayn dɛm fɔ popliteal aneurysm naw, yu kin gɛt sayn dɛm tumara bambay. Ɛn prɔblɛm dɛn kin apin.

Popliteal aneurysm nɔ kin rili apin. Wetin kin apin mɔ na we blɔd we de klɔt kin brok ɛn blok wan vein na yu leg. If yu gɛt ɛndovaskyuɛl ɔpreshɔn, yu kin gɛt smɔl prɔblɛm dɛn we gɛt fɔ du wit wund pas di ɔpreshɔn we dɛn kin du opin. Bɔt di we aw pɔsin kin wɛl nɔ kin las lɛk aw dɛn kin du ɔpreshɔn we dɛn opin.

Wetin na di tin dɛn we wi go si? (Autluk/Prɔgnosis)

If yu gɛt popliteal aneurysm we dɛn ripɛnt bifo di sayn dɛn sho, yu prɔgnosis go bɛtɛ pasmak . Risach dɔn sho se 80% pan di pipul dɛn we gɛt baypas graft stil gɛt dɛn nyu blɔd vesel we de wok fayn fayv ia afta dat.

Bɔt if yu gɛt sɔm sayn dɛn bikɔs ɔf di anɛrizm, di we aw yu de si tin kin smɔl smɔl.

Wan stɔdi sho se na smɔl pas af pan di pipul dɛn we dɛn bin du ɔpreshɔn fɔ wan rupchɔ popliteal aneurysm bin de alayv wan ia afta dat. Dɔn bak, lɛk 15% pan di pipul dɛn we bin gɛt blɔd klɔt na popliteal aneurysm bin gɛt fɔ kɔt dɛn leg.

Nɔ mek yu fred wit dɛn statystik ya. Dis na jɔs jɔnaral infɔmeshɔn. Dɛn tin ya kin chenj dipen pan yu sik, di tritmɛnt we yu de gɛt, ɛn aw yu de kia fɔ yusɛf. So, tɔk to yu dɔktɔ ɛn gɛt di infɔmeshɔn we gɛt fɔ du wit yu sityueshɔn.

Aw dɛn go ebul fɔ ridyus dis prɔblɛm?

Dɔktɔ dɛn biliv se di men tin we kin mek pɔsin gɛt popliteal aneurysm na atherosclerosis . So, if yu ebul fɔ kɔntrol da sik de, yu kin ridyus dis risk.

• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak ɔltogɛda. Dis na di tin we impɔtant pas ɔl.
• Kip yu kɔlɔstrel nɔmba nɔmal.
• If yu gɛt ay blɔd prɛshɔn , kɔntrol am fayn fayn wan.
• It tin dɛn we go ɛp yu at we nɔ gɛt bɔku sɛtyuret fat.
• Ɛksesaiz fɔ at le 150 minit insay di wik.

Aw a kin kia fɔ misɛf?

If yu na pɔsin we de yuz tabak, if yu lɛf fɔ smok, dat go bɛnifit yu wɛlbɔdi bad bad wan. Dɔn bak, if yu gɛt ɛni wan pan dɛn tin ya, du tin dɛn fɔ kɔntrol dɛn:

• Ay kɔlɔstrel (Hyperlipidemia) .
• Ay blɔd prɛshɔn (Hypertension) .
• Shuga

Afta yu dɔn du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ tek antipletlɛt dɛn lɛk aspirin fɔ mek yu nɔ gɛt bɔku blɔd klɔt na yu baypas. Mek shɔ se yu kip yu dɔktɔ apɔntinmɛnt dɛn. Yu go nid fɔ de chɛk yu ɔltɛm fɔ mek shɔ se yu baypas de wok fayn. Dis impɔtant afta dɛn dɔn du di ɔpreshɔn ɛn we dɛn de wach di anɛrizm te dɛn disayd fɔ du di ɔpreshɔn.

Ustɛm a fɔ go to dɔktɔ?

Afta dɛn dɔn ripɛnt di popliteal aneurysm, yu go nid fɔ de chɛk ɔltra saund ɔltɛm fɔ mek shɔ se yu baypas de wok fayn fayn wan. I impɔtant fɔ mek dɛn chɛk dɛn ya di fɔs mɔnt, di tɔd mɔnt, di siks mɔnt, ɛn wan ia afta dɛn dɔn du di ɔpreshɔn, ɛn afta dat ɛvri ia fɔ sɔm ia afta dat.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu tink se yu Popliteal Aneurysm dɔn brok ɔ blɔd we dɔn klɔt dɔn bi ɛmboliz , go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɛn tin ya na di sayn dɛm wae kin apun:

• Swel biɛn di ni ɔ na di leg.
• Spɔt dɛn we tan lɛk brus kin apia.
• Siri pen we pɔsin kin fil .
• Di leg dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ trɛnk .
• Kol fut.
• I nɔ izi fɔ muv di leg we dɛn afɛkt.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu kam fɔ no se yu gɛt Popliteal Aneurysm, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn na yu maynd. Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• "Dɔkta, aw big mi (Popliteal Aneurysm)?"
• "A rili nid ɔpreshɔn?"
• "Us ɔpreshɔn we go fayn fɔ mi kɔndishɔn?"
• "A gɛt popliteal aneurysm biɛn mi ɔda ni?"
• "A gɛt abdominal aortic aneurysm?"

Na nɔmal tin fɔ fil smɔl we yu kam fɔ no se yu gɛt popliteal aneurysm. Tɔk to yu dɔktɔ bɔt ustɛm na di bɛst tɛm fɔ trit yu aneurism ɛn wetin bɛtɛ fɔ yu.Yu kin mek yu wɛlbɔdi bɛtɛ bay we yu nɔ it tabak ɛn kɔntrol yu blɔd prɛshɔn ɛn kɔlɔstrel lɛvɛl. If yu nid ɛp fɔ du dis, aks yu dɔktɔ.

Sɔm tin dɛn we a tink se impɔtant fɔ yu (Take-Home Message)

Okay, so naw yu dɔn ɔndastand gud gud wan bɔt wetin wi bin tɔk bɔt tide (Popliteal Aneurysm). Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• Popliteal aneurysm na we di men blɔd vesel we de biɛn di ni de bul.
• Bɔrku tɛm, no sayn nɔr kin de. Bɔt if yu gɛt sɔm sayn dɛn (lɛk we yu de fil pen biɛn yu ni, yu swel, yu leg de swɛla, ɔ yu fil kol) , go to dɔktɔ wantɛm wantɛm.
• Tin dɛm lɛk fɔ smok, ay kɔlɔstrel, ɛn ay blɔd prɛshɔn kin afɛkt dis.
• Tritmɛnt dɛn de, tɔk to yu dɔktɔ bɔt dɛn.
• Dis risk kin ridyus if yu liv fayn layf .

Na tin we yu fɔ fred, bɔt na sɔntin we yu fɔ wɔri bɔt. Pe atɛnshɔn to yu bɔdi. If yu notis ɛnitin we nɔ kɔmɔn, nɔ delay fɔ go to dɔktɔ. Stay wit wɛlbɔdi!

` popliteal aneurysm, varikos vein dεm bihayn di kכn, vεrikos vein dεm, kכn pen, bכdi kכlכt na di lεg, vein כpεrayshכn, atεrosklεrosis