Na dis kin mek yu leg pen? Lɛ wi lan bɔt Popliteal Artery Entrapment Syndrome (PAES)!

Yu kin fil pen bak, tayt, ɔ ebi ebi na yu leg, mɔ na di say we yu de na di kaw pikin, we yu de ɛksesaiz, rɔn, ɔ waka fast? I kin go afta sɔm tɛm, bɔt i kin kam bak we yu bigin fɔ du ɛksasaiz bak? Dɔn i rili impɔtant fɔ mek yu no bɔt dis sik we dɛn kɔl popliteal artery entrapment syndrome. Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Wetin na di popliteal artery entrapment sindrom (PAES)?

Fɔ tɔk am simpul wan, Popliteal Artery Entrapment Syndrome (PAES) na wan sik we nɔ kin apin so ɔltɛm na di blɔd vesel. I kin mɔs afɛkt yɔŋ pipul dɛn we de du tin, mɔ di wan dɛn we de ple spɔt. di popliteal at na di men bכdi we de kכmכt frכm di tכŋ to di groin bihayn wi ni dεm. dis at de kכmprεs bay wan mכsul we de bihayn di kכn, we na wetin de apin na dis kכndishכn.

Tink bɔt am lɛk wata paip. I de gi blɔd to di leg we de dɔŋ. naw, dis at kin kכnstrikt biכs fכ chenj di we aw wi gastrocnemius mכsul de atak di thigh bon. εspεshali we wi bεnd wi fut dכn (dεn kכl dis ``plantar flexion'' insay mεdikal tεm dεm), dis gastrocnemius mכsul de kכntrakt. Dɔn da at de kin kɔnstrikt mɔ.

We yu de du ɛksɛsayz, dɛn de push di at ɔltɛm, ɛn dis kin mek i spasm. Wetin kin apin da tɛm de? Di blɔd we de go na di leg de go dɔŋ. dis kin mek tin dεm lεk laktik asid εn kabכn dayכksayd kin bכku na di mכsul dεm εn di nεv dεm. Na dat mek yu kin fil ebi, pen, taya, ɛn sɔntɛnde yu leg ɛn fut kin swɛla.

Di gud nyus na dat, dɛn sik ya kin stɔp insay tri to fayv minit afta yu dɔn stɔp fɔ du ɛksɛsayz. Bɔt if dɛn nɔ trit am, as tɛm de go, dɛn sik ya kin tranga ɛn kin te. Dis min se yu go bigin fil pen ivin afta yu dɔn rɔn fɔ shɔt tɛm, ɛn i go tek lɔng tɛm fɔ mek yu wɛl.

Udat dɛn kin afɛkt mɔ pan dis PAES kɔndishɔn?

Dis sik we dɛn kɔl PAES, kin afɛkt yɔŋ atlet dɛn we ol bitwin 15 ɛn 25. Dis risk kin rili bɔku fɔ di wan dɛn we de tek pat pan spɔt dɛn we gɛt fɔ du wit rɔn. Fɔ ɛgzampul:

• Resin (Trak) .
• Krɔs kɔntri rɔn
• Futbɔl
• Lakrɔs we dɛn kɔl
• Fild ɔki we dɛn kɔl

Tink bɔt wan pikin we de tek pat pan trak ɛn fil ivin dɛn na skul, ɔ wan yɔŋ man we de ple sɔk. Dɛn kin gɛt dis sik bikɔs dɛn kin yuz dɛn leg ɔltɛm.

Aw kɔmɔn tin fɔ PAES?

PAES na rili wan sik we nɔ kin apin so ɔltɛm . Dɛn se na less dan 1% pan di pipul dɛm gɛt am. So i nɔ kin izi fɔ tɔk di rayt we ɔmɔs pipul dɛn gɛt am.

Ɔda kɔndishɔn dɛn de wae de sho sayn dɛm wae fiba PAES?

Yɛs, i de. Chronic Exertional Compartment Syndrome (CECS) na wan mכsul εn nerv kכndyushכn we kכmכn pas PAES, εn i kin kכz bak bay εksεsayz. I kin mek bak di mɔsul dɛm na di leg (ɛn sɔmtɛm di an dɛm) gɛt pen ɛn swel. Pan ɔl we CECS kin afɛkt ɛnibɔdi, i kin apin mɔ pan yɔŋ rɔna dɛn ɛn di wan dɛn we de ple spɔt we gɛt fɔ du wit kɔntakt ɔltɛm.

Sɔntɛnde, pɔsin we gɛt PAES kin gɛt CECS bak. Dɛn dɔn si se lɛk 5% pan di pipul dɛn we nɔ dɔn wɛl pan PAES gɛt CECS bak. So i impɔtant fɔ mɛmba se dɛn tu tin ya kin de di sem tɛm.

Wetin na di difrɛns bitwin PAES ɛn CECS?

Yu dɔktɔ go du difrɛn tɛst fɔ no difrɛns bitwin dɛn tu tin ya.

• Fɔ PAES: Dɛn kin mɛzhɔ di blɔd prɛshɔn na di leg we dɛn de rɛst ɛn afta dat dɛn kin chɛk am fɔ si if i de go dɔŋ afta dɛn dɔn du ɛksɛsayz.
• Fɔ CECS: Dɛn kin mɛzhɔ di prɛshɔn we de na di 4 mɔsul kɔmpawtmɛnt dɛn na di leg bifo ɛn afta ɛksɛsayz. Insay CECS, di prɛshɔn na dɛn kɔmpawtmɛnt ya kin go ɔp abnɔmal wan.

Aw e kin fil fɔ gɛt PAES?

We yu de du ɛksɛsayz, yu kin gɛt sɔm sayn dɛn lɛk dis na yu groin eria ɛn/ɔ yu leg:

• Wan pen we tan lɛk kramp
• Taya
• Wan ebi ebi filin
• Di mɔsul dɛn we de kramp
• Fɔ mek pɔsin nɔ ebul fɔ du natin
• Swɛl

Dɛn sayn ya kin dɔn afta yu dɔn rɛst fɔ tri to fayv minit. Bɔt lɛk aw wi bin dɔn tɔk, if dɛn nɔ trit dɛn, dɛn sik ya kin kam bak as tɛm de go ɛn i kin tek lɔng tɛm fɔ mek dɛn wɛl.

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

Tu we dɛn de mɔ we dis trɔs kin apin:

1. Anatomik kכmpreshכn: dεn kin si dis pan lεk 10% pan di kes dεm. I tan lɛk se i kin apin smɔl mɔ pan man dɛn. insay lεk 70% pan di kes dεm, i kin apin na wan leg nכmכ.

2. nכn-anatomik kכmpreshכn, fכnshכnal כ fysiolojikal kכmpreshכn: dis kin apin mכr pan uman dεm. pan mכr dan 90% pan di kes dεm, i kin apin na di tu leg dεm.

Anatomik kɔmpreshɔn

dis kin apin biכs pat pan yu gastrocnemius mכsul de oba כ dכn di popliteal artery. Sɔntɛm wan tɛndinɔs band na di mɔsul kin pwɛl di at. Dis na bikɔs:

• Ɔlsa ɔ sɔri kin kam.
• Blɔd kin klɔt.
• as tεm de go, di at kin blכk kכmplit (oklud) כ di at dεm we de dכn am kin blכk.

dis we ya, fכ difrεn we dεm de we di mכsul de posishכn we i kכl di at.

Fכnshכnal כ fysiolojikal kכmpreshכn

If na so i bi, ɔl yu mɔsul dɛn kin de di rayt we. Bɔt di mɔsul kin atak jɔs ɔp di shɔl bon, ɔ insay wan grov we de insay di ni. So we yu bɛn yu fut dɔŋ (plantar flexion), di mɔsul de pul insay ɛn prɛs di at.

sכmtεm dis prεshכn kin kכz bak fכ כda mכsul (popliteus mכsul) we de כnda di at. Risach pipul dɛn se dɛn nɔ dɔn si se dis aktif prɛshɔn de mek di at pwɛl.

Aw dɛn kin no bɔt PAES?

Wan spɛshal dɔktɔ we de mɛn di vaskul dɛn kin no bɔt dis sik. I go egzamin yu ɛn chɛk fɔ si if yu leg ɛn popliteal puls dɔn drɔp. Dɛn kin chɛk bak fɔ chenj na yu puls we yu de muv yu leg ɔp ɛn dɔŋ agens sɔntin.

If yu gɛt PAES, yu dɔktɔ kin:

• Yu kin fil yu puls we yu de rɛst.
• Bɔt we yu de du ɛksɛsayz, yu puls kin go dɔŋ we yu bɛn ɔ stret yu leg.

Us tɛst dɛn kin du fɔ chɛk fɔ PAES?

Dɛn tɛst ya kin no aw blɔd de pas na di ni, leg, ɛn fut. Dɛn imej tɛst ya kin sho dɛn tin ya:

• Yu tink se di at nɔmal?
• If di at injuri go apin.
• Ɛni blɔd de we de klɔt?
• di atεri dεn swεla (aneurysm - na bכdi vεsεl we 50% big pas nכmal).
• Yu tink se mɔsul kin kɔmprɛs wan at?

Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:

• Ankle-brachial index wit ɛksesaiz: Dis de mɛzhɔ di blɔd prɛshɔn na yu an ɛn yu leg bifo ɛn afta ɛksɛsayz. Nɔmal wan, blɔd prɛshɔn na yu an ɛn yu fut na di sem, ɛn dɛn ɔl tu kin go ɔp we yu de du ɛksɛsayz. Bɔt if yu at dɛn spam we yu de rɔn, yu blɔd prɛshɔn na yu leg afta yu dɔn du ɛksɛsayz kin go dɔŋ pas 90% pan yu blɔd prɛshɔn na yu an.
• duplex ultrasound of di popliteal artery wit plantar flexion: dis de yuz sawnd wev fכ mek wan imej fכ di atεri εn mכsu di bכdi fכ fכlכ. Dis kin mek yu dɔktɔ si aw di at dɛn na yu leg kin fil we yu leg bɛn ɛn we yu de rɛst, ɛn fɔ si if ɛni mɔsul de spam.
• kכmpyuta tכmografik angiografi (CTA) wit plantar flekshכn: Dis na wan kayn CT skan bak. Dɛn kin yuz spɛshal day fɔ luk aw di at dɛn we de na di leg de ɛn fɔ si if ɛni mɔsul spasm de we di leg bɛn ɛn we i de rɛst.
• magnεtik rεsכnans angiografi (MRA) wit plantar flekshכn: Dis tεst de yuz magnεtik fil εn redio wev fכ luk di kכndishכn fכ di atεri dεm na di lεg εn fכ si if εni mכsul spam de we di lεg bεn εn we i de rεst.

Aw dɛn kin trit PAES?

Yu dɔktɔ kin du yu ɔpreshɔn.Dɔn, pul wan smɔl pat pan di gastrocnemius ɛn popliteus mɔsul dɛn. Dis go mek di prɛshɔn we de na di at nɔ gɛt bɛtɛ blɔd ɛn mek di blɔd flɔ nɔmal wan to di leg.

Bɔku tɛm, dis ɔpreshɔn kin tek lɛk wan awa so. Dɛn kin du am ɔnda jenɛral anestezi.

Sɔntɛnde, insay siriɔs kes dɛm we di at dɔn pwɛl ɛn blok bikɔs ɔf di anatomical popliteal entrapment, di ɔspitul kin nid fɔ klin di at, pat am, ɔ mek nyu rod rawnd di blɔk (baypas).

Ɔpreshɔn na di tritmɛnt we go wok pas ɔl fɔ PAES, bikɔs na wan we we kin rili wok fayn fɔ bɔku pipul dɛn. Mɔr pas 90% pan di pipul dɛm wae de du ɔpreshɔn kin gɛt bɔrku impɔtant improvement pan dɛn simptom dɛm.

fכ di wan dεm we gεt fכnshכnal PAES, wan tritmεnt opshכn we nכ de כpכt na Botulinum tכxin A. כnda CT כ ultrasound gayd, di dכkta de injεkt εither `Botox®` כ `Dysport®` insay di mכsul we de mek di twitch. Dis kin mek di mɔsul paralayz fɔ sɔm tɛm. Di op na dat di mɔsul go kɔntrakt fɔ ɔltɛm.

Bɔt dis kin jɔs las fɔ tri to siks mɔnt. If di mɔsul nɔ ridyus, di sayn dɛn kin kam bak. Dis tritmɛnt dɔn bi saksesful pan less dan 60% pan pipul dɛm afta wan ia tritmɛnt.

Aw lɔng e kin tek fɔ wɛl afta dɛn tritmɛnt ya?

I kin tek 4 to 6 mɔnt fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn.

Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ wan nɛt. Dɔn, yu go nid fɔ du fyzikal tritmɛnt (lɛk fɔ strɛch ɛksesaiz) fɔ di fɔs tu wiks. Afta tu wiks, yu go nid fɔ du trɛnk ɛn kɔndishɔn ɛksesaiz te yu wɛl ɔl.

Wetin kin apin to pɔsin we gɛt PAES?

If yu gɛt functional popliteal entrapment ɛn yu leg pen we yu de du ɛksɛsayz nɔ bad, yu kin want fɔ stɔp yu ɛksesaiz. Yu dɔktɔ kin wach yu sik.

Bɔt lɛk aw wi bin dɔn tɔk bifo tɛm, ɔpreshɔn kin pas 90%, ɛn di risk fɔ mek i kam bak nɔ kin bɔku. Bɔku pan di atlet dɛn kin go bak to dɛn nɔmal tin dɛn afta dɛn dɔn du dɛn ɔpreshɔn.

If anatomic entrapment de, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di mɔsul tisu we nɔ nɔmal. Dis na bikɔs if dɛn nɔ du am, di at kin pwɛl as tɛm de go. If yu delay di tritmɛnt ɛn yu gɛt strɔkchɔral PAES we dɔn pwɛl di popliteal at, yu kin gɛt pen na yu leg ɔltɛm we yu de waka. Sɔntɛnde, dɛn kin nid fɔ kɔt wan leg. Bɔt dat nɔ kin apin so ɔltɛm .

Ustɛm a fɔ go to di dɔktɔ bak?

Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ go to di dɔktɔ:

• Insay wan mɔnt.
• Insay siks mɔnt.
• Insay twɛlv mɔnt.

Na dɛn mitin ya:

• Dɛn go du ɔltrasɔund ɛgzamin fɔ yu at we dɛn dɔn ripɛnt.
• Dɛn de chɛk di blɔd prɛshɔn na yu leg.

If yu at dɔn kam bak to nɔmal, yu nɔ go nid fɔ mek yu gɛt ɔda apɔntinmɛnt pas di sayn dɛn bak ɔ yu nid fɔ mek dɛn baypas di at.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• A gɛt anatomic PAES ɔ functional PAES?
• Yu kin se dɛn fɔ du ɔpreshɔn fɔ mi kɔndishɔn?

If yu yɔŋ ɛn yu leg de pen, mek shɔ se yu go to dɔktɔ. Bɔku tin dɛn kin de we kin mek pɔsin fil dis pen. Di kwik we yu gɛt kɔrɛkt diagnosis, na di mɔ yu kin bigin fɔ trit am kwik kwik wan. If yu gɛt popliteal artery entrapment syndrome, tɔk to yu dɔktɔ bɔt if ɔpreshɔn na fayn tin fɔ yu. Dis dɔn bi wan tritmɛnt we dɔn wok fayn pan bɔku kes dɛm.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• PAES na wan sik we di men at we de biɛn di ni, we na wan mɔsul, kin kɔnstrikt, we kin mek di blɔd nɔ flɔ to di leg.
• Dis kin afɛkt yɔŋ atlet dɛn mɔ , mɔ di wan dɛn we de rɔn.
• If yu gɛt sɔm sayn dɛn lɛk pen, ebi, ɔ tingling na di groin eria we yu de du ɛksɛsayz, bɔt dɛn kin stɔp we yu de rɛst, yu kin gɛt PAES.
• Wan sik de bak we dɛn kɔl CECS we gɛt di sem kayn sik, so i impɔtant fɔ no di sik kɔrɛkt wan.
• Yu kin kɔnfyus di sik bay we yu mek spɛshal dɔktɔ chɛk yu (lɛk `Ankle-brachial index`, `Duplex ultrasound`, `CTA`, `MRA`).
• Bɔku tɛm, ɔpreshɔn na di tritmɛnt we kin wok fayn pas ɔl . Dɛn kin gi sɔm pipul dɛn injɛkshɔn we gɛt `(Botulinum toxin A)`.
• If dɛn nɔ trit am, as tɛm de go, di at kin pwɛl ɛn di sik kin wɔs.
• So, if yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ ɛn nɔ de te.

Nɔr wɔri, if yu no dis sik, gud tritmɛnt de. Di men tin na fɔ go to dɔktɔ kwik kwik wan, ɛn nɔ fɔ pe atɛnshɔn to di sayn dɛm. Dɔn yu kin gɛt wɛlbɔdi ɛn aktif bak!

` popliteal artery entrapment syndrome, PAES, leg pen, hip pen, eksasaiz, yɔŋ atlet, blɔd vesel, popliteal artery