Yu dɔn ɛva si se i nɔ izi fɔ blo wantɛm wantɛm, fil shap pen na yu chɛst we yu tek dip briz? Ɔ yu dɔn fil wantɛm wantɛm se yu at de bit kwik kwik wan, yu de swet, ɛn yu de wɔri fɔ natin? Pan ɔl we bɔku tɛm wi kin tink bɔt dis as at atak, i kin bi sɔntin we rili difrɛn ɛn i kin rili denja. Tide wi go tɔk bɔt wan kayn siriɔs, bɔt we de sev layf we dɛn kɔl ‘Pulmonary Embolism’.
Fɔ tɔk am simpul wan, wetin na Pulmonary Embolism?
Pulmonary Embolism (PE) na blɔd we de klɔt we de fɔm insay wan blɔd vesel (vein) we de gi blɔd to yu lɔng. Naw yu kin de wɔnda, "Aw blɔd kin klɔt na di lɔng dɛn?" di tru tin na dat, dis bכdi we de kכlכt nכ de fכm na di lכng. Bɔku tɛm, i kin fɔm ɔdasay na wi bɔdi, mɔ na di dip vein dɛn na wi leg ɔ an. Wi kin kɔl dis Dip Vein Trombosis (DVT).
Tink bɔt di blɔd vesel dɛn na yu bɔdi lɛk wan nɛtwɔk we gɛt rod dɛn. Dis blɔd we de klɔt na yu leg, lɛk motoka, de travul na da rod de wit di blɔd, go tru di at, ɛn leta i kin stɔp na wan smɔl blɔd vesel na di lɔng. I tan lɛk se big motoka we stɔp na smɔl rod.
We blɔd klɔt kam lod na di lɔng, tri men tin dɛn kin apin:
1. Dɛn nɔ de alaw di blɔd fɔ go na di lɔng dɛn.
2. di כksijεn lεvεl na di lכng dεm de dכn.
3. Blɔd prɛshɔn de go ɔp na di blɔd vesel dɛn we gɛt kɔnekshɔn to di lɔng dɛn.
Dis na mɛdikal imejensi. If dɛn nɔ trit am kwik, i kin mek pɔsin in at ɔ in lɔng pwɛl ɛn ivin day. Stɔdi dɔn sho se lɛk wan pat pan tri (33%) pan pipul dɛm wae gɛt dis sik kin day bifo dɛn no bɔt dɛn sik ɛn trit dɛm.
Bɔt di gud nyus na dat , if dɛn no di sik di rayt tɛm ɛn trit am fayn, dis sik nɔ kin rili kil pɔsin.
Wetin na di sayn dɛm fɔ dis sik? Pe atɛnshɔn wantɛm wantɛm!
Di sayn dɛm fɔ pulmonary embolism (PE) kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen pan di sayz we di blɔd klɔt ɛn di ifɛkt dɛn we i gɛt. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt, bɔrku pipul dɛn go gɛt wan ɔr mɔr sayn.
Di men ɛn di fɔs sayn dɛm na we yu de blo shɔt wantɛm wantɛm ɛn we yu de fil pen na yu chɛst we de go ɔp we yu de blo dip ɔ we yu de tray tranga wan.
If yu gɛt wan ɔ mɔ pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm. I bɛtɛ fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). If yu gɛt tritmɛnt kwik kwik wan, dat kin mek yu nɔ day bad bad wan.
Di tebul we de dɔŋ ya de sho di sayn dɛm wae kin kam pan dis sik.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm | Ivin we yu jɔs sidɔm de nɔ du natin, yu kin fil shɔt fɔ blo wantɛm wantɛm. |
| Shap pen na yu chɛst | Dis pen kin bɔku we yu de blo, kɔf, ɔ bɛn. Sɔntɛnde, e kin fil lɛk de pen wae pɔrsin gɛt hat atɔk. I kin apin na di chɛst, an, sholda, nɛk, ɔ jaw eria. |
| Kɔf | I kin bi bak se blɔd de kɔmɔt wit di mucus. |
| Di at we de blo | Di at rit (puls) kin go ɔp wantɛm wantɛm. |
| Diziz ɔ fɔdɔm | Diziz , fɔdɔm, ɔ ivin nɔ kin no natin. |
| Ɔda tin dɛn we de apin | We yu de swet pasmak, yu skin de shayn ɔ blu, yu de swɛt, ɛn yu de wɔri we yu nɔ ebul fɔ ɛksplen. |
Fɔ sɔm pipul dɛn, dɛn sik ya kin kam smɔl smɔl fɔ sɔm dez ɔr wik. Di sayn dɛm kin kam tranga pasmak as tɛm de go. Bɔt fɔ sɔm pipul dɛn, dɛn kin gɛt siriɔs sik insay sɔm minit afta di sik bigin.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
As a bin dɔn tɔk, Pulmonary Embolism (PE) kin kɔmɔt frɔm wan blɔd we kin klɔt (DVT) we kin fɔm ɔdasay na di bɔdi, mɔ na di leg, we kin brok lɔs ɛn stɔp na di lɔng dɛn. So, ɛnitin we kin mek dɛn blɔd klɔt ya fɔm kin mek bak PE.
Sɔm men rizin dɛn:
- Fɔ kip di bɔdi stil fɔ lɔng tɛm: We yu de na bed afta yu dɔn ɔpreshɔn, ɔ we yu de na di sem pozishɔn we yu de rayd fɔ lɔng tɛm na plen ɔ bɔs, di blɔd we de go na yu leg dɛn kin slo ɛn blɔd kin klɔt.
- Di damej pan di veins: Aksidɛnt, brok brok (espɛshali di hip, ni, ɔ leg), ɛn big ɔpreshɔn kin pwɛl di veins ɛn i kin mek di blɔd klɔt mɔ.
- Ɔda tin dɛn we kin apin to pɔsin: Kɔndishɔn lɛk at pwɛl, kansa, ɛn strok.
- Di chenj we de apin na di blɔd we de klɔt: Sɔm pipul dɛn kin gɛt prɔblɛm wit di we aw dɛn de mek blɔd klɔt. Dɔn bak, dis risk kin bɔku smɔl pan pipul dɛn we de tek bɔn kɔntrol pils ɔ ɔmon riplesmɛnt tritmɛnt.
Dis dɔŋ ya na sɔm pan de pipul dɛm wae gɛt bɔrku risk fɔ dis sik. If yu gɛt wan ɔ mɔ pan dɛn tin ya we kin mek yu gɛt dis sik, i impɔtant fɔ tɔk to yu dɔktɔ bɔt am.
- fכ gεt כ we yu bin gεt blכd kכlכt na di leg (Deep Vein Thrombosis - DVT).
- Fɔ du ɔpreshɔn ɔ fɔ de na bed fɔ lɔng tɛm.
- Fɔ smok.
- Bikɔs i dɔn pas 60 ia.
- bεlε כ di fכs 6 wik afta dεn bכn pikin.
- Fɔ gɛt kansa.
- Yuz ɔmon mɛrɛsin lɛk bɔn kɔntrol pils.
- Fat - Bɔdi Mas Indeks (BMI) we pas 30.
- Fɔ gɛt famili histri bɔt blɔd we de klɔt.
- Fɔ gɛt ɔda sik dɛn we nɔ de mɛn lɛk dayabitis ɛn at sik.
- fכ gεt lכng tεm sεntri venus kateta (wan tכb we dεn put insay wan vein na di an כ leg) fכ gi tin dεm lεk salin.
Aw fɔ no di sik? (Diagnosis) .
We yu go na ɔspitul, di dɔktɔ go tek tɛm luk yu sayn dɛn ɛn di tin dɛn we kin mek yu gɛt dis sik. Dɔn, dɛn go ɔda fɔ du sɔm tɛst fɔ no if dɛn dɔn no di sik.
| Tɛst | Fɔ tɔk am simpul wan, wetin i de du? |
|---|---|
| Tɛst fɔ Blɔd | Na dis na di D-dimer tɛstDi tɛst spɛshal. I de mɛzhɔ wan prɔtin we de mek we wan blɔd klɔt sɔlv na di bɔdi. If dis lɛvɛl smɔl, di chans fɔ gɛt PE smɔl. |
| CT Angiogram we dɛn kin du | Dis na spɛshal CT skan. Dɛn kin put spɛshal day (kɔntrast) insay wan vein na yu an, ɛn dɛn kin tek tri dimɛnshɔnal (3D) pikchɔ dɛn bɔt di blɔd vesel dɛn na yu lɔng. If blɔd klɔt de, yu kin si am klia wan. |
| Ultrasound Scan fɔ di Leg dɛn | dis skan dεn kin du fכ chεk fכ blכd kכlכt (DVT) na di dip vein dεm na di leg dεm. If DVT de, na in kin mek di lɔng simptom dɛn de. |
| Ɔda tɛst dɛn | Apat frɔm dat, dɛn kin du ɛkstrem rayt na di chɛst, Echocardiogram fɔ chɛk aw di at de wok, ɛn puls ɔksimita fɔ no di ɔksijɛn lɛvɛl bak. |
Aw dɛn kin trit am?
Dɛn kin du tritmɛnt fɔ PE na ɔspitul, bikɔs dɛn nid fɔ wach yu kɔndishɔn gud gud wan. Aw lɔng di tritmɛnt de dipen pan aw di blɔd de klɔt bad bad wan.
Di men tritmɛnt na fɔ gi mɛrɛsin dɛn we de mek blɔd nɔ klot . Wi kin kɔl dɛn tin ya we de mek pɔsin nɔ rɔtin ɔ tin dɛn we de mek blɔd tan .
Di impɔtant tin na dat dɛn mɛrɛsin ya nɔ de sɔlv di blɔd we dɔn de. Dɛn kin jɔs mek nyu blɔd klɔt dɛn nɔ fɔm ɛn di klot dɛn we dɔn de fɔ mek dɛn nɔ big. di klot dεm we de naw de sכlv sכmtεm tru di bכdi in yon nεchכral prכsεs dεm.
- Antikoagulant mɛrɛsin: Dɛn kin gi dɛn tin ya as injɛkshɔn ɔ pils. Yu kin nid fɔ tek dɛn mɛrɛsin ya fɔ 3-6 mɔnt, ɔ sɔm tɛm dɛn kin tek am fɔ lɔng tɛm. Nɔ stɔp fɔ tek dɛn mɛrɛsin ya fɔ ɛni rizin pas yu dɔktɔ tɛl yu fɔ tek am.
- Thrombolytic Therapy: Dis na tritmɛnt we dɛn kin gi pan pipul dɛn we rili siriɔs, we kin mek pɔsin in layf de pan denja. Dɛn drɔgs ya kin wok bay we dɛn kin sɔlv di blɔd we dɔn klɔt kwik kwik wan. Dɛn kin gi dɛn ɔnda klos wach we dɔktɔ dɛn we de na di intensiv kia yunit (ICU) kin wach dɛn.
- Ɔda we dɛn fɔ du am:Sɔntɛnde, if mɛrɛsin nɔ go du, dɛn kin nid fɔ du ɔpreshɔn ɔ kateta fɔ pul di blɔd. Wan ɔda tin we yu kin du na fɔ put wan Vena Cava Filta insay. Dɛn kin yuz dis fɔ filta ɛn kech di blɔd we de kɔmɔt na di leg bifo i rich na di lɔng dɛn.
- Kɔmpreshɔn Stɔkin: Yu dɔktɔ kin advays yu fɔ wɛr dɛn spɛshal kayn stɔking ya fɔ mek blɔd go fayn fayn wan na yu leg.
Yu tink se dɛn go ebul fɔ avɔyd dis tin we de apin?
Yɛs, i pɔsibul to bɔku pat. Di men tin we de ya na fɔ ridyus di risk fɔ mek blɔd klɔt.
- Bi aktif: Ɛksesaiz ɛvride. If yu sidɔm fɔ lɔng tɛm ( plen, bɔs rayd, ɔfis wok), grap ɛn waka rawnd wan tɛm insay awa, muv yu leg ɛn an dɛn.
- Nɔ wɛr tayt klos: If yu wɛr tayt klos, dat kin mek yu blɔd nɔ go fayn.
- Nɔ krɔs yu leg: Nɔ sidɔm wit yu leg krɔs fɔ lɔng tɛm.
- Mek yu gɛt wɛlbɔdi wet.
- Nɔ smok kpatakpata.
- Drink bɔku wata: We yu nɔ gɛt wata na yu bɔdi, dat kin mek yu blɔd tik.
- Yu fɔ no di tin dɛn we kin mek yu gɛt prɔblɛm: If dɛn du ɔpreshɔn pan yu, yu gɛt bɛlɛ, ɔ yu gɛt ɔda tin dɛn we kin mek yu gɛt prɔblɛm, tɔk to yu dɔktɔ bɔt di tin dɛn we yu go du fɔ mek yu blɔd nɔ klɔt.
Yu fɔ bigin fil fayn insay wan wik afta yu dɔn trit yu. Bɔt i kin tek sɔm mɔnt ɔ ivin sɔm ia fɔ mek di klot sɔlv ɔl. Insay dis tɛm, i impɔtant fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- Pulmonary embolism (PE) na bכdi we de kכlכt we de fכm insay wan bכdi we de na di lכng. Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja.
- Di briz we kin shɔt wantɛm wantɛm, di chɛst kin pen we i de blo dip dip wan, ɛn di at kin bit kwik kwik wan na di men sayn dɛm. If dɛn tin ya apin, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Bɔku tɛm, dɛn blɔd ya kin mek na di leg dɛn (DVT). Fɔ lɔng tɛm we i nɔ de muv, ɔpreshɔn, smok, ɛn fat na di men tin dɛn we kin mek i gɛt prɔblɛm.
- Di pɔtnɛshɛl fɔ sev layf kin rili bɔku we dɛn no di sik insay di rayt tɛm ɛn trit am wit antikɔagulant.
- I rili impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ gi yu fɔ di ful tɛm ɛn fala di instrɔkshɔn dɛn we dɛn gi fɔ mek dis sik nɔ kam bak.
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