Blɔd we de klɔt na di liva vein (Portal Vein Thrombosis): Lɛ wi tɔk bɔt dis!

Sɔm sik dɛn de we kin kam kwayɛt wan insay di bɔdi we wi nɔ kin sho ɛni sayn. wan pan dεn kayn kכndyushכn dεm ya na we bכdi de kכlכt na di pכtal vein na di liva, כ fכ mεdikal tεm, wan kכndyushכn we dεn k כl ``Portal Vein Thrombosis`` . Dis kin siriɔs smɔl, so lɛ wi tɔk bɔt am smɔl mɔ, nɔto so?

wetin na dis we dεn kכl pכtal vein trombosis (`(Portal Vein Thrombosis)`)?

Fɔ tɔk am simpul wan, yu liva gɛt wan men blɔd vesel we de briŋ blɔd to yu liva frɔm ɔda pat dɛn na yu bɛlɛ (lɛk yu bɛlɛ ɛn yu insay). Dɛn kɔl dis di pɔtal vein . we bכdi kכlכt (thrombus) fכm na di pכtal vein, insay di branch dεm we de branch כf insay di liva, כ insay wan pan di כda vein dεm we de gi bכdi to am (lεk di supεriכr mεsεntrik vein εn di spεl vein), i de sכmtεm כ blכk di vein kכmplit wan, we dεn kכl pכtal vein trombosis, כ PVT.

Dis na rili siriɔs sik. Bɔt bɔku tɛm, i nɔ kin sho ɛni sayn fɔs. So, yu nɔ go no se yu gɛt dis kayn blɔd we de klɔt. i kin fכnshכn wan we dεn de tεst fכ כda tin, כ dεn kin כnli fכnshכn am afta wan kכmplikεshכn lεk pכtal haypatεnshכn (prεshכn we de go כp na di vein dεm na di liva). Dɛn kɔmplikeshɔn ya kin mek pɔsin in layf de pan denja if dɛn nɔ trit dɛn fayn. Ɛspɛshali if yu gɛt sɔm sayn dɛn lɛk fɔ vɔmit blɔd ɔ fɔ pas blɔd na yu stɔl, i siriɔs ɛn yu fɔ go to dɔktɔ wantɛm wantɛm.

Pipul wae gɛt liva fibrosis, mɔr lɛk sirosis, kin gɛt bɔrku risk fɔ gɛt pɔtal vein trombosis. Pipul wae gɛt ɔda kayn mɛrɛsin, lɛk wae blɔd kin rɔtin, kin gɛt bɔrku risk bak. So, if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik, i impɔtant fɔ tɔk to dɔktɔ, du tɛst, ɛn fɔ no se yu gɛt di sik ɛn trit yu kwik kwik wan.

Di kayn pɔtal vein trombosis (PVT) de?

yes, dכkta dεn kin sheb dis ``Pכtal Vein Thrombosis'' to tu men tכp dεm, i dipכnt pan di pכsin we de divεlכp am:

• Cirrhotic Portal Vein Thrombosis (PVT) na di kayn trombosis we kin apin mɔs wit sirosis . dis na kכndyushכn we bכdi kin fכm na di pכtal vein pan pipul dεm we gεt sirosis.
• Nɔn-cirrhotic Portal Vein Thrombosis (PVT): Dis na blɔd we de klɔt we de fɔm pan pɔsin we nɔ gɛt sirosis.

Fɔ ɔndastand dis klasification impɔtant fɔ plan tritmɛnt. Fɔ ɛgzampul, dɔktɔ dɛn kin disayd if yu gɛt sirosis. If yu gɛt sirosis, dat kin mek yu gɛt prɔblɛm wit yu prɔblɛm, we kin afɛkt yu prɔgnosis. Bɔt, dɔktɔ dɛn de lan mɔ ɔltɛm bɔt ɔl tu di kayn pɔtal vein trombosis ɛn aw fɔ mek di prɔblɛm dɛn nɔ bɔku. So i impɔtant fɔ tɔk to yu dɔktɔ bɔt di tritmɛnt we yu go gɛt ɛn wetin yu go ebul fɔ ɛkspɛkt.

Aw dis sik kin kɔmɔn?

Pɔtal Vein Thrombosis nɔr kin apin to pipul dɛm wae nɔr gɛt liva sik. Bɔt sɔm grup dɛn, mɔ di wan dɛn we gɛt sirosis, kin gɛt mɔ prɔblɛm. Na lɛk wan pan ɛvri 4 pipul dɛm wae gɛt sirosis go gɛt PVT. Dis na bikɔs di ska we de na di liva de mek di blɔd nɔ flɔ sloslo. We blɔd de flɔ sloslo, i kin izi fɔ mek blɔd klɔt.

Wetin na di poshubul komplikashכn dεm fכ di pכtal vein trombosis (PVT)?

Dɛn kɔmplikeshɔn ya kin difrɛn difrɛn wan bay tin dɛm lɛk usay di blɔd klɔt de ɛn ɔda ɔndalayn mɛdikal kɔndishɔn dɛm wae yu gɛt. Sɔm pan di prɔblɛm dɛn we kin apin na:

• εsophageal varices (we di vein dεm na di εsophagus de swεla) .
• Gastrointestinal (GI) Blɔd we de kɔmɔt na di bɔdi
• di damej to di intestines bikoz fכ rεdכks bכdi saplai (`(Mesenteric Ischemia)`)
• di prεshכn we de go כp na di vein dεm na di liva (`(Portal Hypertension)`)
• Splenomegaly (di splin we dɔn big) .

Wetin na di sayn dɛm fɔ pɔtal vein trombosis (PVT)?

Bɔrku pipul nɔr kin gɛt ɛni sayn. Bɔku tɛm, dɔktɔ dɛn kin no di sik bay we dɛn de du imej tɛst we dɛn kin du fɔ ɔda rizin.

Bɔt if prɔblɛm dɛn apin, di sayn dɛn kin sho. Dɛn kayn sayn ya na:

• Blɔd we de vɔmit.
• Blɔd na di stɔl (we na blak ɔ rɛd).
• Bɛlɛ de blo, we yu bɔdi de blo.
• Swel na di leg ɛn ankles (`(Edema)`).
• Bɛlɛ de at, i de limp.

Wetin kin mek blɔd klɔt na dis pɔtal vein?

Dɔktɔ dɛn kin kɔl dis ‘multifactorial’ kɔndishɔn. Dis min se na tu ɔ mɔ tin dɛn we dɛn jɔyn togɛda kin mek i kam.

tri men tin dεm de we de kכntribyut fכ mek bכdi kכlכt na yu ``Pכtal Vein'':

• fכ gεt haypa kכagul stet (`(Hypercoagulable Stet)`). Dis min se yu blɔd kin klot kwik pas pɔsin we nɔmal.
• Slow blɔd flɔ tru di liva.
• di damej pan di insay wכl (εndoteyl) na di pכtal vein.

Wetin na de risk factor fɔ dis sik?

Difrɛn mɛrɛsin kin mek yu blɔd klɔt ɛn mek yu blɔd nɔ pas na di liva sloslo. Sɔm pan dɛn tin ya we kin mek pɔsin gɛt prɔblɛm na:

• Tumɔs dɛn we de na di bɛlɛ.
• Antifosfolipid sindrom (`(Antifosfolipid Sindrom)`).
• Antithrombin dɛfisiɛns (`(Antithrombin dɛfisiɛns)`).
• Fibrosis na di liva (`(Sirrosis)`).
• Factor V Leiden (`(Factor V Leiden)`) - Dis na jεnεtik kכndyushכn we de afekt bכdi kכlכt.
• Infεkshכn dεm na di bεlε (e.g. pankrεas).
• Mayloproliferative neoplasms (`(Myeloproliferative Neoplasms)`) - dis na sik dεm we de riliyt to di bon mכro.
• Sivεr kes fכ pכtal haypatεnshכn.
• We uman gɛt bɛlɛ.
• Protein C Dεfisiεns (`(Protein C Dεfisiεns)`).
• Protein S dεfisiεns (`(Protein S Dεfisiεns)`).
• Prothrombin jin mכtεshכn (`(Prothrombin jin mכtεshכn)`).

pan tap dat, sכm כpεrayshכn dεm na di bכdi (e.g., spεlinεktomi) kin pwεl di insay wכl na di bכdi vεsεl bak, we kin mek dis risk bכku.

Aw dɛn kin no se pɔsin gɛt pɔtal vein trombosis (PVT)?

Dɔktɔ dɛn kin no dis sik bay we dɛn de du kɔmplit ɛgzam pan dɛn bɔdi ɛn difrɛn tɛst dɛn. Dɛn go aks bak bɔt yu mɛdikal histri fɔ si if yu gɛt ɛni risk fɔ mek yu gɛt ``Portal Vein Thrombosis''.

Us tɛst dɛn kin du fɔ no dis?

Yu dɔktɔ kin ɔda tɛst lɛk dis fɔ no if yu gɛt ``Portal Vein Thrombosis'' ɛn luk fɔ kɔmplikeshɔn dɛn:

• CT skan (`(Kɔmpyut Tomografi (CT) Skan)`).
• Doppler ɔltrasɔund tɛst (`(Doppler ɔltrasɔund)`). Dɛn kin yuz dis fɔ si aw blɔd de flɔ na di blɔd vesel ɛn if ɛni blɔd klɔt de.
• Liva fכnshכn tεst dεm (`(Liva Fכnshכn Tεst dεm)`).
• MRI skan (`(Magnetik Rɛsɔnans Imej (MRI))`.)

Dɛn go disayd yu tritmɛnt plan bay di rizɔlt fɔ dɛn tɛst ya.

Aw dɔktɔ dɛn kin trit pɔtal vein trombosis (PVT)?

Dɔktɔ dɛn kin disayd aw fɔ trit ɛni wan pan di sikman dɛn wan bay wan. Dat min se, dɛn kin mek di tritmɛnt akɔdin to wetin yu nid. Bɔku tin dɛn de we kin afɛkt dis:

• Usay di blɔd we de klɔt de.
• Di tin we kin mek blɔd klɔt.
• Ɔda ɔndalayn mɛdikal kɔndishɔn dɛm wae yu gɛt (e.g., sirosis).
• If kɔmplikeshɔn dɛn de.
• Yu ɔl di mɛdikal istri.

Di tritmɛnt we dɛn kin pik kin bi:

• Anticoagulants: Dɛn mɛrɛsin ya kin ɛp fɔ stɔp di blɔd we de klɔt fɔ big ɛn mek nyu klɔt nɔ fɔm. Bɔt bikɔs pipul dɛn we gɛt sirosis kin gɛt bɔku blɔd insay dɛn bɔdi, dɔktɔ dɛn kin tek tɛm yuz dɛn mɛrɛsin ya.
• Trombolaytik Tɛrapi: .If di antikoagulant nכmכ nכ inof, dεn kin gi dis tritmεnt as wata we dεn gi insay wan vein (IV) כ tru wan sכm sכm tכb (kateta) fכ sכlv di bכdi we kכlכt. Dɔktɔ dɛn kin yuz dis we bak if yu insay nɔ de gɛt bɛtɛ blɔd.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Dis na tin bak we dɛn kin yuz smɔl kateshɔn. i de yuz fכ kכntrכl di komplikashכn dεm we de fכm di pכtal vein trombosis, spεshal wan we di GI bכdi de bכn. i involv fכ mek wan tכnel tru yu liva εn kכnekt yu pכtal vein to wan big vein na yu liva. Dis nyu rod de mek blɔd we de kɔmɔt na yu intestinal pas di liva. Dis kin mek di prɛshɔn we de na di vein dɛn na yu liva nɔ bɔku, ɛn dis kin mek yu nɔ gɛt bɔku blɔd. Bɔt bikɔs yu liva kin filta di pɔyzin dɛn we de kɔmɔt na yu blɔd, naw blɔd we nɔ filta de go na yu bɔdi. So, wan risk fכ dis tritmεnt na dat di tכxin dεm kin travul go na di bren εn afekt di bren fכnshכn (`(Hepatic Encephalopathy)`).

I rili impɔtant fɔ tɔk bɔt di gud ɛn bad tin dɛn we dɛn tritmɛnt ya gɛt wit yu dɔktɔ fɔ ɔndastand di bɛnifit ɛn bad tin dɛn we dɛn kin du fɔ yu dipen pan yu kɔndishɔn.

Wetin na di prɔgnosis fɔ dis sityueshɔn?

Yu dɔktɔ na di bɛst pɔsin fɔ aks bɔt di prɔgnosis fɔ yu sik. I go tɛl yu wetin fɔ ɛkspɛkt bay yu kɔndishɔn. di chans fכ liv εn layf εkspεktεns frכm di pכtal vein trombosis kin difrεn dipכnt pan:

• Di tin we kin mek blɔd klɔt.
• If yu gɛt `(Cirrhosis)` ɔ yu nɔ gɛt am.
• Ɔda ɔndalayn mɛdikal kɔndishɔn dɛn we yu gɛt.
• Kɔmplikɛshɔn dɛn we kin apin.
• Di kɔndishɔn we yu liva de.

Jɛnɛral wan, if yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu gɛt mɔ chans fɔ wɛl.

Yu kin ebul fɔ protɛkt di pɔtal vein trombosis (PVT)?

Blɔd klɔt, inklud di wan dɛn we de na di pɔtal vein, nɔ kin ebul fɔ stɔp ɔltɛm. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt:

• Go fɔ mek dɛn chɛk yu mɛrɛsin ɛvri ia, ɛn atɛnd ɔl di tɛst dɛn we yu dɔktɔ tɛl yu fɔ fala. Fɔ ɛgzampul, if yu gɛt sirosis we i bigin, if yu no am kwik kwik wan, dat kin ɛp fɔ mek yu nɔ gɛt PVT.
• Wok wit yu dɔktɔ fɔ manej ɛni ɔndalayn mɛdikal kɔndishɔn we yu go gɛt. Fɔ ɛgzampul, if yu gɛt wan sik lɛk dayabitis (`(Diabetes Mellitus)`), kip am kɔntrol fayn fayn wan.
• Tek ɔl yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek, di rayt tɛm.
• If yu gɛt ɛni nyu sik, ɔ if yu sik chenj, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ?

Mek shɔ se yu go fɔ yu mɛdikal chɛk-ap ɛvri ia. If yu gɛt ɛni nyu sayn we yu nɔ ebul fɔ ɛksplen, go to yu dɔktɔ fɔs.

If yu gɛt wan ɔr mɔr risk factor fɔ gɛt `(Portal Vein Thrombosis)`, i fayn fɔ tɔk to yu dɔktɔ bɔt am. I go aks yu bɔt yu pasɔnal risk lɛvɛl ɛn wetin yu kin du fɔ ridyus am.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

wan komplikashכn fכ di pכtal vein trombosis na akyu gεstrointestinal (GI) bכdi we de bכn. Bɔrku tɛm, de sik kin kam wantɛm wantɛm ɛn kin tranga. If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul ɔ kɔl 911 wantɛm wantɛm:

• If yu fil se yu de diziz ɔ yu de fel (syncope).
• If yu gɛt blak ɔ rɛd stɔl, ɔ if yu vɔmit blɔd.
• If di at bit fast.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm kwɛstyɔn dɛn we go ɛp yu fɔ no mɔ bɔt di tin we de apin to yu:

• Wetin mek a gɛt dis blɔd we de klɔt?
• Wetin na di bɛst tritmɛnt plan fɔ mi?
• A nid fɔ tek ɛni mɛrɛsin? If na so i bi, fɔ aw lɔng?
• Wetin na di bɛnifit ɛn bad tin dɛn we di tritmɛnt dɛn gɛt?
• Wetin a fɔ ɛkspɛkt as a de wɛl?
• Wetin na mi lɔng tɛm prɔgnosis (`(Prognosis)`)?

Fɔ no se yu gɛt blɔd klɔt kin mek yu fred. insay wan situeshכn lεk ``Portal Vein Thrombosis'', yu kin wכnda us komplikashכn dεm go apin εn aw siriכs dεn go bi. Rayt yu kwɛstyɔn dɛn ɛn tɛl yu dɔktɔ. Lan ɔl wetin yu nid fɔ no bɔt yu sik ɛn aw fɔ trit yu. Tugɛda wit yu dɔktɔ, yu kin fɛn we fɔ mek yu wɛl.

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

Okay, so, fɔ sɔma wetin wi dɔn de tɔk bɔt, Pɔtal Vein Thrombosis, na blɔd we de blok di men vein we de kɛr blɔd go na di liva.

Pan ɔl we bɔku tɛm i nɔ kin sho di sayn dɛn fɔs, dis kin bi siriɔs sik, mɔ pan pipul dɛn we gɛt sirosis.

If yu fil se yu de vɔmit blɔd ɔ blɔd na yu stɔl, go to dɔktɔ wantɛm wantɛm.

If yu gɛt tin dɛn we kin mek yu gɛt dis sik, i impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn ɛn du di tɛst dɛn we yu nid. Fɔ no am kwik kwik wan ɛn fɔ trit am na di bɛst. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, ɛn nɔ fred fɔ aks kwɛstyɔn if yu gɛt ɛni wan. Stay wit wɛlbɔdi!

` Pɔtal vein trombosis, blɔd klot na di liva, sirosis, ɛmatemesis, liva sik, blɔd vesel blok, PVT