Yu na yɔŋ man we lɛk fɔ ple spɔt ɛn we sabi rɔn ɛn jomp? Bɔt afta yu dɔn bigin fɔ rɔn, yu kin gɛt wan strenj pen, ebi, ɔ kin swɛla na yu leg we de dɔŋ (di kaw eria) afta yu dɔn travul fɔ shɔt tɛm? I kin go afta yu rɛst fɔ shɔt tɛm, bɔt di sem pen kin kam bak we yu bigin fɔ rɔn bak? Dis nɔ kin jɔs bi we di mɔsul dɛn kin strɛs. Tide wi de tɔk bɔt wan sik we nɔ kin apin so ɔltɛm we bɔku pipul dɛn nɔ no bɔt, bɔt i kin afɛkt yɔŋ pipul dɛn mɔ we de ple spɔt.
Fɔ tɔk am simpul wan, wetin na Popliteal Artery Entrapment Syndrome (PAES)?
I kin tan lɛk se i kɔmplikt smɔl, bɔt di we aw dɛn kin du am rili simpul. PAES na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt di blɔd vesel dɛn na wi leg. i kin apin we di men at we de rכn bihayn wi ni dεm, di popliteal atεri, gεt blכk bay wan mכsul we de nia wi (di gastrocnemius mכsul).
Jɔs lɛk we pɔsin step pan wata paip, di wata we de flɔ slo. We wi de rɔn ɔ jomp, dis mɔsul de mek wi blɔd vesel dɛn tayt. Dɔn, di blɔd we de go na di ɔnda leg kin stɔp fɔ sɔm tɛm. biכs fכ dis dכn we di bכdi fכ fכlכ, di mכsul dεm nכ de gεt di כksijεn we dεn nid, εn tin dεm lεk laktik asid de kכmכt, we de mek yu gεt sכmtεm lεk pen, hεvi, taya, εn sכmtεm na di leg.
Di bɛst tin na dat dɛn sayn ya kin go insay tri to fayv minit afta yu dɔn stɔp fɔ du ɛksɛsayz. Bɔt if dɛn nɔ trit am, di sik kin wɔs as tɛm de go. Di pen kin kam afta yu jɔs rɔn fɔ shɔt tɛm, ɛn i kin tek lɔng tɛm fɔ lɛ i nɔ de igen.
Udat dis tin kin afɛkt mɔ?
PAES kin bɔku pan yɔŋ atlet dɛn we ol bitwin 15 ɛn 25. Pipul dɛn we de ple spɔt we gɛt fɔ du wit rɔn kin gɛt mɔ risk. Fɔ ɛgzampul:
- Atletiks (Trak ɛn Fild) .
- Krɔs Kɔntri Rɔnin
- Futbɔl (Sɔka) .
- Lakrɔs we dɛn kɔl
- Fild ɔki we dɛn kɔl
Dis sik nɔ kin apin so ɔltɛm. Dɛn se i kin afɛkt less dan 1% pan di pipul dɛm. So bɔku tɛm, we wi kin gɛt dis kayn pen, wi kin tink se na jɔs wan simpul mɔsul strɛs.
Ɔda kɔndishɔn de we kin fil lɛk PAES?
Yɛs. Wan kɔndishɔn de wae gɛt bɔrku sayn dɛm wae fiba dis, bɔt i kin kɔmɔn pas PAES. Dɛn kɔl am Chronic Exertional Compartment Syndrome (CECS) . Dis na pen bak we kin kam bikɔs di prɛshɔn na di leg mɔsul dɛn nɔ kin bɔku we dɛn de du ɛksɛsayz. Sɔmtɛm pɔrsin kin gɛt ɔl tu di PAES ɛn CECS di sem tɛm.
Dɔktɔ kin no difrɛns bitwin dɛn tu bay we i du tɛst. Insay PAES, dɛn kin luk fɔ si if di blɔd prɛshɔn na di leg de go dɔŋ we dɛn de du ɛksɛsayz. Insay CECS, dɛn kin mɛzhɔ di prɛshɔn we de insay di leg mɔsul dɛn bifo ɛn afta ɛksɛsayz.
Wetin na di sayn dɛm fɔ PAES?
Yu kin gɛt dɛn sayn ya na yu groin ɛn/ɔ yu leg we yu de du ɛksɛsayz. Dɛn tin ya kin go insay sɔm minit afta yu dɔn stɔp fɔ du ɛksɛsayz.
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|---|
| Aches ɛn pen | I kin fil lɛk shap pen we de kɔmɔt insay. |
| We pɔsin taya | Mi leg dɛn kin rili taya ɛn dɛn nɔ gɛt layf. |
| Heviness we pɔsin kin gɛt | Mi leg de fil tu ebi fɔ es am. |
| Mɔsul dɛn we de rɔl | Wantɛm wantɛm, mi leg dɛn kin fil tayt ɛn knot. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Sɔntɛm, tin kin de na di leg ɛn fut. |
| Swɛl | Sɔm pipul dɛn kin fil lɛk se dɛn de bɔn lɛk se dɛn leg de bɔn frɔm insay. |
Wetin na di tin dɛn we kin mek pɔsin gɛt PAES?
Tu men rizin dɛn de we mek dis blɔd vesel kin blok.
1. Anatomik kɔmpreshɔn
Dis na di kayn we we siriɔs pas ɔl. Na tin we dɛn bɔn wit .wan blɔd vesel kin blok bikɔs ɔf di chenj na di we aw wan tɛndon ɔ mɔsul de biɛn yu ni. Dis kin apin mɔ pan man dɛn. I kin jɔs apin na wan leg. We di blɔd vesel blok dis we fɔ lɔng tɛm, i kin pwɛl.
- Ɔlsa kin kam insay di blɔd vesel.
- Blɔd klɔt kin fɔm ɛn stɔp.
- As tɛm de go, di blɔd vesel kin blok ɔltogɛda (ɔklɔd).
2. Fכnshכnal כ Fisiolojikal kכmpreshכn
If na so i bi, ɔltin frɔm yu mɔsul dɛn to yu blɔd vesel dɛn de na nɔmal pozishɔn frɔm we dɛn bɔn yu. bכt biכs fכ di we aw yu mכsul dεm de wok, spεshal wan we yu prεs yu fut dכn (`plantar flexion`), di mכsul dεm de prεs pan di bכdi vεsul dεm. Dis kayn kin apin mɔ pan uman dɛn, ɛn i kin apin na ɔl tu di leg dɛn di sem tɛm. Insay dis kayn we, bɔku tɛm nɔ kin pwɛl di blɔd vesel dɛn fɔ ɔltɛm.
Aw fɔ no dis sik kɔrɛkt wan?
If yu gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ we sabi bɔt yu vaskul . I go chɛk yu.
- Fɔs, dɛn kin chɛk fɔ si if yu puls de drɔp we yu de rɛst.
- Dɔn, dɛn kin chɛk fɔ si if chenj de na di puls rit we dɛn prɛs yu fut ɔp ɛn dɔŋ agens sɔm rɛsistɛns.
Pɔsin we gɛt PAES kin fil in puls fayn we i de rɛst, bɔt in puls kin go dɔŋ ɔ nɔ de igen we i de ɛksesaiz ɔ put prɛshɔn pan in fut.
Us tɛst dɛn kin du fɔ no if pɔsin gɛt di sik?
Afta yu dɔn chɛk yu bɔdi, yu dɔktɔ kin tɛl yu fɔ du bɔku tɛst fɔ no if yu gɛt di sik. Dɛn tin ya kin mek yu si klia wan bɔt di blɔd we de pas na yu leg dɛn.
| Tɛst | Wetin kin jɔs apin |
|---|---|
| Ankle-brachial index wit ɛksesaiz | Dɛn go mɛzhɔ yu blɔd prɛshɔn na yu an ɛn yu fut bifo ɛn afta ɛksɛsayz. If yu gɛt PAES, yu blɔd prɛshɔn na yu leg go rili smɔl pas yu an prɛshɔn afta yu dɔn du ɛksɛsayz. |
| Dupleks ɔltra saund | Dis na skan we de yuz sawnd wev. I kin si if di blɔd vesel dɔn blok ɛn wetin kin apin to di blɔd we de flɔ we dɛn ol yu leg dɔŋ ɛn ol am nɔmal wan. |
| Kɔmpyuta tomografik angiografi (CTA) . | CT skan dεn de du am bay we dεn injεkt spεshal tin (`day`) insay di bכdi. Dis kin mek yu si bak di rayt say we di blɔd vesel blok lɛk 3D pikchɔ. |
| Magnɛtik rɛsɔnans angiografi (MRA) . | MRI skan de yuz magnɛtik fil. Dis kin si klia wan bak aw di blɔd vesel ɛn mɔsul dɛn de. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di bɛst ɛn saksesful tritmɛnt fɔ PAES na ɔpreshɔn .
Nɔ wɔri, dis na ɔpreshɔn we kin tek lɛk wan awa so ɛn dɛn kin du am ɔnda jenɛral anestezi. Di dɔktɔ we de du di ɔpreshɔn kin pul wan smɔl pat pan di mɔsul we de blok di blɔd vesel. Dis kin mek di blɔd vesel ebul fɔ wok fri wan, ɛn di blɔd we de go na di leg kin kam bak lɛk aw i bin de.
If di blɔd vesel dɔn pwɛl ɛn blok bikɔs ɔf wan anatomical type of blockage, di sajin kin nid fɔ pul di blockage ɔ du baypass ɔpreshɔn yuz nyu pat pan blɔd vesel tru am.
Nɔ ɔda tritmɛnt nɔ de we dɛn nɔ gɛt ɔpreshɔn?
Wan tritmɛnt de we nɔr de ɔspitul fɔ pipul dɛm wae gɛt functional sciatica. Dis na Botulinum toxin A (Botox®) injεkshכn. Insay dis, wit di ɛp we dɛn kin yuz skan, dɛn kin put dis mɛrɛsin insay di mɔsul we de kɔnstrikt di blɔd vesel. Dis kin mek di mɔsul paralayz fɔ sɔm tɛm ɛn mek i kɔntrakt. Bɔt di ifɛkt kin las fɔ lɛk 3-6 mɔnt. Sɔntɛnde, if di mɔsul dɔn kɔntrakt fɔ ɔltɛm, di sayn dɛn nɔ kin kam bak. Bɔt di sakrifays we dis tritmɛnt kin gɛt smɔl pas di wan we dɛn kin du ɔpreshɔn pan.
Bikɔs ɔpreshɔn de gi saksesful rizulyt pan pas 90% pan di kes dɛm, na wetin dɔktɔ dɛn kin se bɔku tɛm.
Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?
I kin tek lɛk 4 to 6 mɔnt fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn ɛn bigin fɔ ple spɔt bak.
- Afta di ɔpreshɔn, bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan nɛt.
- Insay di fɔs tu wik, fisiotɛrapi tritmɛnt fɔ inklud fɔ strɛch yu leg ɛn fɔ du ɛksɛsayz fɔ mek yu ebul fɔ chenj.
- Afta tu wik, yu kin bigin fɔ du ɛksɛsayz we go mek yu leg gɛt trɛnk.
I rili impɔtant fɔ mek yu wɛl kwik kwik wan fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn gi yu.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu go to yu dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya.
- A gɛt anatomic ɔ functional PAES?
- Yu kin se dɛn fɔ du ɔpreshɔn fɔ mi kɔndishɔn? Wetin du?
- A go ebul fɔ ple mi spɔt bak di sem we afta dɛn dɔn du mi ɔpreshɔn?
If yu na yɔŋ atlet, nɔ jɔs ignore di leg pen. Bɔku tin dɛn kin de we kin mek i apin. If yu gɛt kɔrɛkt diagnosis kwik kwik wan, dat kin ɛp yu fɔ gɛt tritmɛnt kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- If yu na yɔŋ atlet ɛn yu de gɛt pen na yu leg ɔltɛm, yu de ebi, ɔ yu de swɛla we yu de du ɛksɛsayz, nɔ ignore am.
- Popliteal Artery Entrapment Syndrome (PAES) na wan sik we nɔ kin apin so ɔltɛm, bɔt dɛn kin trit am.
- I rili impɔtant fɔ go to vaskul spɛshal pɔsin fɔ no di sik kɔrɛkt wan.
- Bɔku tɛm, ɔpreshɔn kin mɛn dis sik kpatakpata, ɛn dis kin mek atlet dɛn ebul fɔ go bak fayn fayn wan fɔ du dɛn spɔt.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt