Yu gɛt prɔblɛm bak we de kɔntinyu na yu leg/an afta yu dɔn du DVT? Lɛ wi lan bɔt (Post-Thrombotic Syndrome)!

If yu dɔn ɛva gɛt blɔd we de klɔt na dip vein na yu leg ɔ an, we dɛn kɔl Dip Vein Thrombosis (DVT) , yu kin gɛt sɔm prɔblɛm dɛn we de te. I tan lɛk wund we de wɛl, bɔt i kin lɛf smɔl skata ɔ sɔm tin we nɔ kin izi fɔ yu. Tide, wi go tɔk bɔt wan kɔndishɔn we kin gɛt lɔng tɛm ifɛkt pan sɔm pipul dɛn afta dɛn dɔn gɛt DVT. Dis na wetin dɔktɔ dɛn kin kɔl Post-Thrombotic Syndrome ɔ Postfhlebitic Syndrome .

Wetin na Pɔst-Trɔmbotik Sindrom? Fɔ tɔk am simpul wan...

Imajin se yu gɛt dip vein thrombosis (DVT) na yu leg ɔ yu an. Ivin if wi trit am fayn, sɔntɛnde di klot kin mek sɔm damej na di vein. I tan lɛk sɔntin we stɔp na wata paip ɛn if yu pul am, i stil de mek sɔm damej pan di paip.

dis damej kin mek di vein dεm lכs dεn fleksibiliti εn di valv dεm we de εp fכ fכlכ di bכdi nכ de wok fayn. Dis kin mek blɔd gɛda na di vein dɛn we dɔn pwɛl instead fɔ go bak na di at. We blɔd gɛda dis kayn we, di prɛshɔn we de insay di vein dɛn kin go ɔp, ɛn dis kin mek pɔsin gɛt sɔm sayn dɛn lɛk pen ɛn swel . Dis na wetin wi kin kɔl di kɔlekɛshɔn fɔ di simptom dɛm (Post-Thrombotic Syndrome). Sɔm pipul kin gɛt sɔm kayn sik wae nɔr kin pasmak, bɔt ɔda wan kin so bad dat dɛn nɔr kin ivin ebul fɔ woke na dɛn ɛvride layf.

If yu dɔn gɛt DVT insay di las tu ia ɛn yu de gɛt dɛn sik ya naw, go to dɔktɔ wantɛm wantɛm. Dɛn kin asɛs yu sik ɛn bigin fɔ gi yu di rayt tritmɛnt fɔ mek yu fil fayn.

Aw dis sik kin kɔmɔn?

Post-Thrombotic Syndrome na rili wan kɔmɔn tin fɔ pipul dɛm wae dɔn gɛt DVT. I kin afɛkt bitwin 20 ɛn 50 pan ɛvri 100 pipul dɛm insay tu ia afta dɛn dɔn no se dɛn gɛt DVT. Dat min se i kin afɛkt bɔku bɔku pipul dɛn.

If yu gɛt Post-Thrombotic Syndrome, i kin rili at fɔ mek di blɔd we de na da vein we dɔn pwɛl de kam bak na yu at. Dis blɔd we de gɛda na in de mek ɔlkayn prɔblɛm.

Wetin na di sayn dɛm fɔ dis? Aw wi de fil?

di simptom dεm we de sho se di Pכst-Trombotik Sεndrכm (PTS) kin afekt di leg כ an usay di DVT apin. Yu kin gɛt tin dɛn lɛk:

• Pen: Pen na yu leg, mɔ we yu de waka ɔ tinap. Sɔntɛnde dɛn kin kɔl dis klɔdikeshɔn .
• Pen ɔ pen lɛk se dɛn de rol wan vein .
• Fɔ fil se yu gɛt ebi ɛn taya na yu an/lɛg.
• I de it (Pruritus) .
• Yu nɔ de fil fayn, yu de swɛt, ɛn yu de fil we yu nɔ kɔmɔn (Paresthesia) .

Dɛn sayn ya kin nɔr kin tranga fɔ sɔm pipul dɛm, ɛn kin tranga fɔ ɔda pipul dɛm.I kin afɛkt yu. Yu kin si se dɛn sik ya kin bɔku we yu tinap ɔ waka fɔ lɔng tɛm, ɛn kin stɔp we yu rɛst fɔ sɔm tɛm. Dɛn diskɔmfɔt ya kin bɔku bak we di de dɔn. Fɔ sɔm pipul dɛm, dɛn sik ya kin de ɔltɛm, ɔr kin kam ɛn go.

Wetin na di sayn dɛm wae de sho se yu gɛt Post-Thrombotic Syndrome?

Di sayn dɛm na tin dɛm wae wi kin fil. Sayn na tin dɛn we wi kin si. Yu dɔktɔ go chɛk bak fɔ dɛn sayn ya.

• Swɛlin (Edima): Na di an ɔ leg we di sik afɛkt de swel.
• Skin kin rɛd ɔ di kɔlɔ kin chenj.
• Thickening of the skin , wan filin lɛk lɛda.
• di apinεns fכ nyu varikos vein dεm .
• Di we aw smɔl smɔl spayda vein dɛn kin tan .
• If di sik kam tranga, wund dɛm we nɔ de wɛl (venɔs ɔlsa) kin kam.

Wetin mek dis (Post-Thrombotic Syndrome) kin apin? Wetin na di kɔz?

Di simpul rizin na di damej pan yu veins bikɔs ɔf Dip Vein Thrombosis (DVT) .

Di dip vein dεm na wi leg εn an dεm gεt wan-way valv dεm we de mek blכd fכ fכlכ na wan say nכmכ. Jɔs lɛk domɔt, na wan say nɔmɔ i kin opin. Dɛn valv ya de ɛp fɔ mek di blɔd flɔ bak to di at. Bɔt we blɔd klɔt insay wan vein, di blɔd klɔt kin pwɛl dɛn valv dɛn de. Dɔn di valv dɛn nɔ de wok fayn.

Dis kin mek blɔd de travul sloslo. insted fכ fכ fכlכ fayn fayn wan to di at, bכdi de pul insay di vein dεm. dis de mek di prεshכn we de insay di vein wכl dεm go כp, we de mek di sayn dεm we wi bin dכn tכk bכt.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Ɛnibɔdi we dɔn gɛt DVT kin gɛt Post-Thrombotic Syndrome. Bɔt di risk kin bɔku if yu dɔn gɛt DVT , mɔ na di sem an ɔ leg. Dat min se, if yu dɔn gɛt bɔku bɔku blɔd klɔt na di sem ples.

Dɔn bak, yu risk kin ivin bɔku if yu bin dɔn gɛt ɛni wan pan dɛn sayn ya we de sho se yu blɔd dɔn klɔt bifo:

• If i bin dɔn skata to wan big pat pan di vein.
• we bכdi kכlכt na di כp pat כ di bכdi (dεn kכl am proksimal DVT ) denja pas we blכd kכlכt na di kaw pikin (dεn kכl am distal DVT ). di risk kin bכku if di kכlכt fכm na di iliak vein כ di kכmכn fεmoral vein .
• If yu gɛt blɔd we de klɔt na big vein na yu ɔpa bɔdi, sholda, ɔ ɔp chɛst (dɛn kɔl dis axillo-subclavian vein thrombosis) .
• If blɔd klɔt bin de (rɛsidyuɛl trombosis) we nɔ bin sɔlv ɔl ivin afta dɛn dɔn trit am.

Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• If yu gɛt wan sik we bin dɔn de bifo lɛk kronik venɔs insufficiency (CVI) .
• Na yu yonIf yu bɔdi mas indeks (BMI) pas 30 (dat min se yu fat).

Aw dɔktɔ dɛn kin no se pɔsin gɛt Post-Thrombotic Syndrome?

Dɔktɔ dɛn kin no dis sik mɔ bay we dɛn de chɛk dɛn bɔdi . We yu de du dis ɛgzam, yu dɔktɔ go:

• Aks bɔt yu mɛdikal histri (lɛk aw yu bin gɛt DVT trade, us tritmɛnt yu dɔn gɛt).
• Dɛn kin aks bɔt yu sik ɛn aw dɛn kin afɛkt yu ɛvride layf.
• Dɛn go chɛk yu leg ɛn an fɔ si if yu gɛt sayn dɛn fɔ Post-Thrombotic Syndrome (lɛk fɔ swel ɛn chenj na yu skin).

Bay dis infɔmeshɔn, di dɔktɔ go no if yu gɛt Post-Thrombotic Syndrome ɛn if na so i gɛt, aw i tranga.

Wetin na di Villalta skel?

Yu kin dɔn yɛri yu dɔktɔ de tɔk bɔt di ‘Villalta skel’ . Dis na wan standad we wae dɔktɔ dɛn kin yuse fɔ no dis sik ɛn fɔ no aw i siriɔs. I tan lɛk chɛklist we gɛt wan mak. I inklud 5 sayn dɛm ɛn 6 pɔynt dɛm. Di dɔktɔ gi wan mak fɔ ɛni sayn ɛn sayn:

• 0 points: I nɔ de.
• Skɔ 1: I de de smɔl.
• Skɔ 2: Na mɔdaret prɛzɛnt.
• Skɔ 3: I rili bad.

Dɔn di dɔktɔ kin ad ɔl dɛn mak ya. If di totɛl skɔ nɔr pas 4, yu nɔr gɛt Post-Thrombotic Syndrome. If yu gɛt 5 ɔ mɔ poɛnt, yu gɛt di kɔndishɔn.

Dɛn kin klas di kɔndishɔn mɔ as mild, mɔdaret, ɔr siriɔs bays pan dɛn mak ya:

• Skɔ 5 to 9: Mild kɔndishɔn.
• Skɔ 10 to 14: Mɔdaret kɔndishɔn.
• If ɔlsa de, ɔ wan mak we na 15 ɛn ɔp: siriɔs kɔndishɔn.

Yu dɔktɔ go ɛksplen dɛn tin ya to yu ɛn tɛl yu wetin dɛn min.

Ɛni spɛshal tɛst de fɔ no bɔt dis sik?

Nɔ patikyula tɛst nɔ de fɔ no if pɔsin gɛt Post-Thrombotic Syndrome. Bɔt sɔm tɛm, dɔktɔ dɛn kin ɔda fɔ mek dɛn du ‘Duplex ultrasound’ fɔ si aw blɔd de flɔ na di vein dɛn.

Wetin na di tritmɛnt fɔ Post-Thrombotic Syndrome?

Bɔku tɛm, di tritmɛnt na kɔmpreshɔn tɛrapi, chenj di we aw pɔsin de liv in layf, ɛn ɛksesaiz . Sɔm pipul dɛn kin nid ɔpreshɔn ɔ tritmɛnt fɔ venɔs ɔlsa. Dɔktɔ dɛn go mek di tritmɛnt akɔdin to wetin ɛnibɔdi nid. Di men gol fɔ tritmɛnt na fɔ ridyus yu sik ɛn fɔ mek yu liv bɛtɛ layf.

Kɔmpreshɔn tɛrapi

Yu dɔktɔ kin gi yu spɛshal kɔmpreshɔn stɔking fɔ yu.Yu kin se wɛr dɛn. Dis na di mכst we dεn kin yus fכ kכmprεshכn tεrapi. Dɛn sɔks ya fɔ wɛr ɔltɛm (bɔku tɛm ɛvride). Dɛn sɔks ya kin put prɛshɔn pan yu kalf mɔsul dɛn ɛn mek di blɔd go fayn fayn wan na di vein dɛn. Pan ɔl we dɛn kin fil tayt we dɛn wɛr dɛn, dɛn nɔ fɔ mek dɛn fil pen.

Difrɛn kayn sɔks dɛn de we de gi difrɛn lɛvul dɛn fɔ kɔmpreshɔn. Yu dɔktɔ go gi yu di rayt kayn sɔks fɔ wetin yu nid.

I kin tek sɔm tɛm fɔ mek yu yus fɔ wɛr dɛn tin ya (kɔmpreshɔn stɔking). I impɔtant fɔ tɔk to yu dɔktɔ bɔt aw dɛn de fil ɛn if yu kin wɛr dɛn fayn fayn wan. Yu dɔktɔ kin ajɔst di lɛvɛl fɔ kɔmpreshɔn bak dipen pan aw yu de fil ɛn aw di stɔkin dɛn de gi yu di sik.

Ɔda tritmɛnt dɛn fɔ thrush na:

• Wan tin we de ɛp fɔ mek di venɔs kam bak: Fɔ ɛgzampul , di Venowave® . Dis na tin we tan lɛk pɔmp we yu kin wɛr rawnd yu nɛk fɔ ɛp fɔ mek blɔd flɔ fayn fayn wan. Yu kin wɛr am na os ɔ we yu de go ɛn go.
• Intermittent pneumatic compression (IPC) device: Dis na nyumɛtik sliv we dɛn kin wɛr na di leg we dɛn de na ɔspitul.

Di we aw pipul dɛn de liv dɛn layf kin chenj

If yu mek smɔl smɔl chenj dɛn na yu layf, dat kin ɛp fɔ mek yu nɔ gɛt bɔku sik dɛn. Yu dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Kip yu leg dɛn ɔp di lɛvɛl we yu at de , ilɛksɛf yu sidɔm ɔ yu ledɔm.
• Mek yu gɛt wɛlbɔdi bɔdi wet .
• Yuz mɔstizayza fɔ mek di skin nɔ dray ɔ krak.

Ɛksasayz

Ɛksesaiz kin ɛp fɔ mek di blɔd go fayn ɛn fɔ mek di sik nɔ bɔku. Fɔ ɛgzampul, if Post-Thrombotic Syndrome dɔn afɛkt yu leg, yu dɔktɔ kin tɛl yu fɔ du ɛksɛsayz we go mek yu leg mɔsul dɛn strɔng.

dat na biכs yu kכlf mכsul dεm na pawaful pכmp dεm we de wok lεk "sεkכn at." We yu de waka, di kɔntrakshɔn we yu kaw mɔsul dɛn de mek de ɛp fɔ pɔmp blɔd frɔm yu leg ɛn fut bak to yu at. So, we yu mek dɛn mɔsul dɛn de strɔng, yu vein dɛn kin gɛt di ɛp we dɛn nid fɔ kɛr blɔd fayn fayn wan.

We yu de du ɛksɛsayz, dat kin mek yu ebul fɔ chenj di we aw yu de du tin ɛn yu kin ebul fɔ bia wit yu at ɛn blɔd. Tɔk to yu dɔktɔ ɔltɛm bifo yu bigin fɔ du nyu ɛksesaiz program. I go tɛl yu us ɛgzampul dɛn we sef ɛn we fit fɔ wetin yu nid.

Ɔpreshɔn

Insay sɔm spɛshal kes dɛn, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn ɔ tritmɛnt we dɛn kin put insay di bɛlɛ (fɔ ɛgzampul, fɔ put stent) fɔ mek di blɔd go fayn na di vein dɛn. Yu dɔktɔ go tɛl yu if da kayn tritmɛnt de fayn fɔ yu.

Tritmɛnt fɔ venɔs ɔlsa

If di sik kam bad bad wan , venɔs ɔlsa kin kam. I rili impɔtant fɔ trit dɛn ɔlsa ya fayn ɛn tek tɛm. If nɔto so, siriɔs prɔblɛm dɛn lɛk fɔ kɔt in an kin apin. Yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tin ya:

• Antibayɔtiks.
• Bandej ɔ dresin fɔ kɔba di wund.
• Kɔmpreshɔn bandej ɔ stɔkin.
• Fɔ klin wund ɛvride.
• Ɔntmɛnt dɛn.
• Di tin dɛn we de mek pɔsin nɔ fil pen.
• Debridement na fɔ pul di tisu we dɔn day.
• Rifer to spɛshal pipul dɛm fɔ ɛp fɔ mɛn sik dɛm wae nɔr de mɛn lɛk dayabitis.

Aw lɔŋ Post-Thrombotic Syndrome kin las?

Pɔst-thrombotic syndrome na wan sik we nɔ de mɛn . Dis min se yu dɔktɔ kin ɛp yu fɔ kɔntrol am, bɔt i nɔ go ebul fɔ mɛn . Tritmɛnt kin ridyus yu sayn dɛm ɛn ɛp yu fɔ ebul fɔ woke, fɔ de wit ɔda pipul dɛm, ɛn fɔ ɛnjɔy yusɛf lɛk aw yu go want.

Yu tink se dɛn kin ebul fɔ avɔyd Post-Thrombotic Syndrome?

Dɛn nɔ kin ebul fɔ avɔyd di Post-Thrombotic Syndrome ɔltɛm. Dis na bikɔs dɛn nɔ kin ebul fɔ stɔp dip Vein Thrombosis (DVT) ɔltɛm. Bɔt yu ɛn yu dɔktɔ kin wok togɛda fɔ ridyus di prɔblɛm we yu gɛt:

• Fɔ no ɛn ridyus di tin dɛn we kin mek pɔsin gɛt DVT: Di bɛst we fɔ mek i nɔ gɛt DVT (Post-Thrombotic Syndrome) na fɔ mek i nɔ kam fɔs. Tray fɔ ridyus di prɔblɛm dɛn we yu kin chenj. Fɔ ɛgzampul, yu kin ridyus di prɔblɛm we yu gɛt if yu avɔyd tin dɛn we dɛn kin yuz fɔ sigrɛt, yu de du tin dɛn we yu de du, ɛn mek yu bɔdi gɛt wɛlbɔdi. Yu dɔktɔ go tɛl yu us risk factors yu fɔ pe atɛnshɔn to ɛn aw fɔ mek plan fɔ dɛn.
• Fɔ no if yu gɛt DVT kwik kwik wan ɛn fɔ trit yu fayn fayn wan: If yu gɛt DVT, if yu no di sik kwik kwik wan ɛn trit yu, dat kin ɛp fɔ mek yu vein dɛn nɔ pwɛl. I kin ɛp bak fɔ mek dɛn nɔ gɛt DVT tumara bambay. Dis na bikɔs if yu gɛt ɔda DVT, yu kin gɛt mɔ risk fɔ gɛt post-thrombotic syndrome. Yu dɔktɔ go disayd di bɛst tritmɛnt plan fɔ yu. Dis kin min fɔ tek mɛrɛsin we de mek yu blɔd blɔd fɔ sɔm mɔnt ɔ pas dat.

Aw a kin kia fɔ misɛf?

Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yusɛf we yu de na os. Tek tɛm fala dɛn instrɔkshɔn dɛn de, ɛn aks kwɛstyɔn dɛn if ɛnitin nɔ klia. Bɔku tɛm, yu kin du tin dɛn lɛk dis:

• Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am .
• We yu sidɔm ɔ we yu de ledɔmKip yu leg dɛn ɔp.
• Nɔ sidɔm fɔ lɔng tɛm as yu ebul. Tek shɔt briŋ fɔ waka rawnd ɛn strɛch yu bɔdi.
• Yuz mɔstizayza fɔ mek yu skin gɛt wɛlbɔdi.

I impɔtant bak fɔ tek kia ɔf yu maynd wɛlbɔdi . Fɔ liv wit Post-Thrombotic Syndrome kin mek yu gɛt strɛs pan yu maynd ɛn filin. Pipul wae gɛt dis sik kin gɛt pwɛl hat, wɔri, ɛn nɔr kin gɛt bɛtɛ rɛspɛkt fɔ dɛnsɛf. Dɛn kin wɔri se dɛn go gɛt ɔda blɔd klɔt. Dɛn kin fil bad bak bikɔs dɛn nɔ kin ebul fɔ du tin dɛn we dɛn bin de du trade bikɔs ɔf di sik dɛn we dɛn kin gɛt.

If yu de fil dɛn kayn tin ya, fɔ tɔk to pɔsin we de gi yu advays ɔ pɔsin we de mɛn yu kin rili ɛp yu. Dɛn kin ɛp yu fɔ dil wit dɛn kayn filin ya ɛn fɛn sɔlv dɛm wae go mek yu fil fayn.

Ustɛm a fɔ go to mi dɔktɔ?

Yu dɔktɔ go gi yu fɔlɔp fɔ wach yu kɔndishɔn. I rili impɔtant fɔ atɛnd ɔl dɛn apɔntinmɛnt ya so dat yu dɔktɔ go ebul fɔ ajɔst yu tritmɛnt plan as nid de.

If yu gɛt ɛni nyu sik ɔ if yu sik chenj , kɔl yu dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Dɛn kwɛstyɔn ya go ɛp yu fɔ no mɔ bɔt aw yu gɛt di sik:

• A rili gɛt Post-Thrombotic Syndrome? If na so i bi, aw i siriɔs?
• Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
• Us chenj dɛn a nid fɔ mek na mi layf?
• Us ɛgzampul dɛn we fayn fɔ mi?
• Wetin go bi di we aw a go si tin?

We dɛn no se yu gɛt Post-Thrombotic Syndrome, yu kin gɛt bɔku kwɛstyɔn ɛn fred. Bɔt nɔ wɔri, yu dɔktɔ de fɔ ansa yu kwɛstyɔn dɛn ɛn gayd yu fɔ di tritmɛnt. Pan ɔl we dis sik kin bɔku, di tin dɛn we yu nid ɛn di tin dɛn we de mɔna yu na difrɛn tin dɛn. Wok wit yu dɔktɔ fɔ fɛn tin dɛn we go sɔpɔt yu bɔdi ɛn maynd wɛlbɔdi.

Mɛsej we dɛn kin kɛr go na os

Post-Thrombotic Syndrome (PTS) na wan sik wae kin apun afta yu dɔn gɛt DVT ɛn kin rili pwɛl yu at. Bɔt dɛn kin ebul fɔ kɔntrol am .

Di tin we impɔtant pas ɔl na fɔ go to di tritmɛnt kwik ɛn di rayt we if yu gɛt DVT, fɔ no bɔt ɛni sik we go kam afta dat, ɛn fɔ go to dɔktɔ if nid de.

If yu fala yu dɔktɔ in advays, chenj di we aw yu de liv yu layf, ɛn mɔ fɔ yuz kɔmpreshɔn stɔking fayn fayn wan, dat kin ɛp yu fɔ gɛt bɔku rilif. Mɛmba se nɔto yu wangren de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ dil wit dis sik.

` Pɔst-Trɔmbotik Sindrom, DVT, Blɔd Klɔt, Venɔs Sik, Leg Pen, Leg Swɛlin, Venɔs Injuri