Blɔd de klɔt na di lɔng dɛn? Lɛ wi lan gud gud wan bɔt Pulmonary Embolism (PE)!

Yu dɔn ɛva si se yu gɛt prɔblɛm fɔ blo wantɛm wantɛm ɛn yu de fred smɔl we yu chɛst de at? Sɔntɛm yu bin tink se na at atak. Bɔt yu no se sɔntin kin de we rili siriɔs fɔ mek dɛn gɛt dɛn sik ya? Dat na we blɔd de klɔt na wan blɔd vesel we de go na di lɔng dɛn, we na wan sik we dɛn kɔl Pulmonary Embolism (PE) . Dis nɔ kin apin so ɔltɛm lɛk aw yu go tink. So tide, lɛ wi tɔk bɔt dis ditayli, insay wan rili simpul we.

Wetin na Pɔlmonari Ɛmbolizm (PE)?

Fɔ tɔk am simpul wan, pulmonary embolism na blɔd we de klɔt we de fɔm insay wan blɔd vesel na yu lɔng. Yu no aw dis kin apin? Blɔd we kin klɔt ɔdasay na yu bɔdi, bɔku tɛm na wan vein na yu leg ɔ an , kin brok fri ɛn travul tru yu blɔd, ɛn leta i kin stɔp na yu lɔng. Tink bɔt am lɛk we wata de blok.

Wetin kin apin we blɔd klɔt stɔp na di lɔng dɛn lɛk dis?

• Blɔd nɔ de flɔ to di lɔng dɛn.
• di כksijεn lεvεl na di lכng dεm de dכn.
• di blɔd prɛshɔn de go ɔp na di pulmonari at.

Dis na mɛdikal imejensi . If dɛn nɔ trit am kwik, wan pulmonary embolism kin mek di at ɔ di lɔng dɛn pwɛl, ɛn sɔntɛnde i kin ivin day. infakt, dεn se lεk 33% pan di pipul dεm we gεt pulmonary embolism de day bifo dεn no dεn sik εn trit dεm. So yu kin si aw dis na siriɔs tin, nɔto so?

Bɔt if dɛn no di sik ɛn trit am kɔrɛkt wan ɛn kwik kwik wan, dis sik nɔ kin rili kil pɔsin.

Aw dis sik kin kɔmɔn?

Naw yu kin de wɔnda aw dis (Pulmonary Embolism) kin kɔmɔn. Infakt, dis na wan pan di sik dɛn we pipul dɛn kin gɛt na di at ɛn di blɔd vesel dɛn we dɛn kin si ɔlsay na di wɔl. Infakt, na di tɔd sik we pɔsin kin gɛt afta at atak ɛn strok. Jɔs tink bɔt, na kɔntri lɛk Amɛrika nɔmɔ, na lɛk 900,000 pipul dɛn kin gɛt dis (PE) kɔndishɔn ɛvri ia. So dis nɔto sɔntin we wi fɔ ignore, nɔto so?

Wetin na di sayn dɛm fɔ dis?

di fכs sayn dεm fכ pulmonari εmbolizm na we yu de blo sכt εn yu chεst de pen . Dis pen kin wɔs we yu de ɛksesaiz ɔ tek dip briz.

If yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm. Pulmonary embolism na siriɔs sik, bɔt dɛn kin trit am fayn fayn wan. If yu trit yu kwik kwik wan, dat kin mek yu nɔ day bad bad wan.

di simptom dεm fכ pulmonary embolism kin difrεn dipכnt pan aw di blכd kכlכt siriכs. Bɔrku pipul kin gɛt dis sik, bɔt sɔm nɔr kin gɛt ɛni sayn atɔl.

De men sayn wae yu kin si na:

• Fɔ blo kwik kwik wan - Dis kin apin ilɛksɛf yu de aktif ɔ yu de rɛst.
• Fɔ blo kwik kwik wan.
• Wiz na sawnd we pɔsin kin mek we i de blo.
• Shap pen we yu nɔ ebul fɔ ɛksplen na yu chɛst, yu an, yu bak, yu sholda, yu nɛk, ɔ yu jaw . Dis pen kin tan lɛk di sayn dɛm wae de sho se yu gɛt at atak ɛn i kin wɔs we yu de blo.
• Kɔf - kin kam wit blɔd blɔd.
• Pale skin, swet, blu skin.
• Hat bit kwik kwik wan (Pulse).
• We pɔsin de swet pasmak.
• Sɔntɛnde, i kin bi se i nɔ kin rɛst, i kin gɛt diziz, i kin fɔdɔm, ɔ i nɔ kin no natin.

Aw lɔŋ pɔrsin kin gɛt dis sik wae nɔr gɛt sayn?

Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak fɔs. Dɛn sayn ya kin kam smɔl smɔl fɔ sɔm dez ɔr wik. As tɛm de go, de sik kin bɔku smɔl smɔl ɛn kam na yu maynd. Bɔt fɔ ɔda pipul dɛn, di sayn dɛn kin apin insay sɔm minit, ivin sɛkɔn, we dɛn dɔn gɛt pulmonary embolism. So yu nid fɔ rili tek tɛm wit dis.

Wetin na di rizin dɛn we mek dɛn de du dis?

Okay, naw lɛ wi si aw dis (Pulmonary Embolism) kin apin, dat na wetin na di tin dɛn we kin mek dis apin. di men tin we kin mek am na di bכdi we de kכlכt we de fכm na wan vein כdasay na di bכdi, spεshal wan na di leg כ an, i de brok kכmכt frכm de, travul tru di bכdi εn i de stכk na di lכng. We blɔd kin klɔt na say dɛn lɛk di leg dɛn, wi kin kɔl am (Deep Vein Thrombosis) ɔ (DVT) .

Bɔku men rizin dɛn de we mek blɔd kin klɔt:

• wan kכlekshכn כ "pool" fכ bכdi na wan εria na di bכdi (bכku tεm na an כ leg). Dis kin apin afta dɛn dɔn ɔpreshɔn am, afta dɛn dɔn de na bed fɔ lɔng tɛm, ɔ afta yu dɔn travul fɔ lɔng tɛm (bay motoka, tren, plen). Tink bɔt am, we yu sidɔm na di sem pozishɔn fɔ lɔng tɛm, di blɔd we de flɔ na yu leg kin blok smɔl, nɔto so? Na da tɛm de di risk fɔ mek blɔd klɔt kin bɔku.
• Di damej pan blɔd vesel, fɔ ɛgzampul, bikɔs i brok ɔ ɔpreshɔn (espɛshali di hip, ni, ɔ leg).
• Ɔda tin dɛn we kin apin to pɔsin we sik. fכ egzampl, kכdivaskyul sik – kכndishכn dεm lεk (Congestive heart failure), (Atrial fibrillation), hat atak כ strok.
• Di chenj dɛn we de apin na di tin dɛn we de mek yu blɔd klɔt. Dɛn tin ya we kin mek blɔd klɔt kin bɔku pan sɔm kayn kansa, ɔ pan pipul dɛn we de tek ɔmon riplesmɛnt tɛrapi, ɔ pan sɔm pipul dɛn we de tek bɔn kɔntrol pils. Dɔn bak, pipul dɛn we gɛt prɔblɛm we de mek dɛn blɔd klɔt kin de pan denja.

Udat de pan big risk fɔ gɛt dis?

Naw lɛ wi si udat kin gɛt dis (Pulmonary Embolism), dat na udat de pan denja. Sɔm abit dɛn de, sɔm sik dɛn, ɔ sɔm tin dɛn de we kin mek dis prɔblɛm bɔku.

• Fɔ di wan dɛn we gɛt blɔd we de klɔt na dɛn leg, dat na, Dip Vein Thrombosis (DVT).
• Fɔ di wan dɛn we nɔ de muv fɔ lɔng tɛm, lɛk we dɛn de travul wit motoka, tren, ɔ plen (e.g., fɔ travul wit motoka fɔ krɔs kɔntri fɔ lɔng tɛm).
• Di wan dɛn we jɔs dɔn gɛt injury ɔ damej na dɛn blɔd vesel bikɔs ɔf ɔpreshɔn, brok brok, ɔ wan kɔndishɔn lɛk varicose veins.
• Di wan dɛn we de yuz ɔmon-based bɔn kɔntrol we (lɛk bɔn kɔntrol pil, pat, ring) ɔ ɔmon riplesmɛnt tɛrapi.
• Fɔ pipul dɛm wae gɛt dis maynia sik wae de mek blɔd klɔt.
• Fɔ di wan dɛn we gɛt famili histri bɔt blɔd we de klɔt.
• Fɔ di wan dɛn we de smok naw.
• Fɔ di wan dɛn we gɛt Dayabitis Mɛlitɔs.
• Fɔ di wan dɛn we gɛt kansa.
• Fɔ di wan dɛn we dɔn pas 60 ia.
• Fɔ di wan dɛn we gɛt histri bɔt at prɔblɛm, at atak, ɔ strok.
• Fɔ di wan dɛn we gɛt Bɔdi Mas Indeks (BMI) we pas 25, dat min se dɛn gɛt bɔku bɔku bɔdi, ɔ fɔ di wan dɛn we gɛt BMI we pas 30, dat na, dɛn fat.
• Fɔ uman dɛn we gɛt bɛlɛ ɔ di wan dɛn we de insay siks wik afta dɛn bɔn pikin.
• Fɔ di wan dɛn we gɛt sɛntral venɔs kateshɔn we dɛn put tru wan vein na di an ɔ leg.

If yu gɛt wan ɔ mɔ pan dɛn tin ya we kin mek yu gɛt PE, ɛn yu dɔn gɛt blɔd we dɔn klɔt bifo, i rili impɔtant fɔ tɔk to yu dɔktɔ ɛn tek step fɔ ridyus yu risk fɔ gɛt PE.

Us prɔblɛm dɛn dis kin mek?

Pulmonary Embolism kin mek yu gɛt prɔblɛm dɛn lɛk:

• Saynosis - Dis na di blush we di skin kin chenj, we kin mek i nɔ gɛt ɔksijɛn.
• At atak.
• Strok.
• di pulmonary hypertension - Dis min se di prεshכn de go כp na di bכdi vεsul dεm na di lכng.
• Shok we i mek.
• Pulmonary infarction - Dis na di day we di lכng tisu de day.

Dis na siriɔs kɔndishɔn wae nid fɔ gɛt tritmɛnt kwik kwik wan fɔ PE.

Aw yu kin no bɔt dis?

Okay, if yu gɛt sɔm kayn sik lɛk dis, aw dɔktɔ ɔ nɔs go no se yu gɛt pulmonary embolism? Dɛn kin luk pan yu sayn dɛm, yu risk factor dɛm, dɔn dɛn kin du sɔm tɛst dɛm.

• Blɔd tɛst - Pan dɛn wan ya , di D-dimer tɛst impɔtant.
• kכmpyuta tכmografi (CT) angiogram - Dis na spεshal CT skan we de luk fכ bכdi kכlכt na di bכdi vεsul dεm na di lכng.
• Ultrasound fɔ di leg dɛn. - dεn kin du dis fכ chεk fכ Dip Vein Thrombosis (DVT) na di leg dεm. Dis na di say we wan klot kin travul go na di lכng dεm.
• VQ skan - If yu nכ ebul fכ gεt di kכntrast mεtirial we yu nid fכ CT skan, dis skan kin no di bכdi we de kכlכt na di lכng dεm.
• Pul ɔksimita (puls ɔks) .- Na divays we de klip pan yu finga ɛn mɛzhɔ di ɔksijɛn lɛvɛl.
• Echocardiogram - Na ɔltra saund ɛgzamin fɔ di at.

Apat frɔm dis, dɛn kin du ɔda tɛst dɛn:

• Angiogram we de na di pulmonari.
• X-ray na di chɛst.

Aw fɔ trit am? (Tritmɛnt)

Dis (Pulmonary Embolism) na mεdikal imejensi. Bɔku tɛm, dɛn kin trit am na ɔspitul. Dɔn dɛn kin wach yu kɔndishɔn gud gud wan. Di lɔng tɛm we yu go de na ɔspitul kin dipen pan aw di blɔd kin klɔt. Sɔmtɛm sɔm pipul dɛn nɔ kin nid fɔ de na ɔspitul.

Di men tritmɛnt fɔ pulmonary embolism na mɛrɛsin dɛn we de mek blɔd tan we dɛn kɔl antikoagulant .

Dipen pan aw di blɔd klɔt bad ɛn di impak we i gɛt pan ɔda ɔgan dɛn lɛk yu at, dɛn kin trit yu wit trombolytic therapy (blɔd klɔt-disɔlv tritmɛnt), ɔpreshɔn, ɔ ɔda tin dɛn fɔ mek blɔd flɔ fayn fayn wan na di blɔd vesel dɛn na di lɔng.

Drug dɛn we de mek pɔsin nɔ rɔtin

Bɔku tɛm, dɛn kin gi di tritmɛnt as mɛrɛsin we de mek pɔsin nɔ gɛt blɔd, dat na fɔ mek blɔd tan . Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek yu blɔd nɔ ebul fɔ klɔt. Dis kin mek nyu blɔd klɔt nɔ fɔm ɛn i kin stɔp di blɔd we dɔn de fɔ big.

Jɔs lɛk ɛni mɛrɛsin, i rili impɔtant fɔ no gud gud wan aw ɛn ustɛm fɔ tek dis (anticoagulant) mɛrɛsin, ɛn fɔ fala yu dɔktɔ in instrɔkshɔn. Di kayn mɛrɛsin we dɛn go gi yu, aw lɔng yu nid fɔ tek am, ɛn us tɛst fɔ fala yu fɔ du, go dipen pan aw yu gɛt di sik. So i impɔtant fɔ go to yu dɔktɔ ɛn lab ɛvride. Da we de, dɛn kin si aw yu de ansa di mɛrɛsin. We yu de tek (anticoagulant), yu go nid bak fɔ du blɔd tɛst ɔltɛm (lɛk prothrombin time test ) fɔ si aw yu blɔd kin klɔt kwik.

Kɔmpreshɔn stɔkin dɛn

Dis na spɛshal kayn sɔks. Dɛn sɔks ya kin mek di blɔd go fayn na di leg dɛn. Yu go dɔn si pipul dɛm wae gɛt Dip Vein Thrombosis (DVT) de yuse dɛn tin ya. Yu fɔ yuz dɛn tin ya lɛk aw yu dɔktɔ tɛl yu fɔ du. Bɔku tɛm, dɛn tin ya na sɔks dɛn we go rich yu ni. Dɛn kin ɛp fɔ mek yu leg dɛn tayt ɛn mek blɔd nɔ gɛda. Aks yu dɔktɔ bɔt aw fɔ yuz dɛn sɔks ya, aw lɔng fɔ wɛr dɛn, ɛn aw fɔ was ɛn kip dɛn klin.

Ɔda tritmɛnt dɛn (Procedures) .

If di pulmonary embolism de mek pɔsin in layf de pan denja, ɔ if ɔda tritmɛnt dɛn nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn ɔ yuz kateta fɔ pul di blɔd we dɔn klɔt na di pulmonary artery. Trombolytic therapy na ɔda tin we yu kin du. Dis involv fכ gi yu "clot busters" (mεdisin dεm we de sכlv blכd kכlכt) . Wan ɛgzampul naWan mɛrɛsin we dɛn kɔl Tissue Plasminogen Activator (TPA). Dɛn kin gi dis mɛrɛsin na di ɔspitul in Imejɛnsi Dipatmɛnt ɔ Intɛnsiv Keya Yunit (ICU) ɛn dɛn kin tek tɛm wach am. Dɛn kin gi dis tritmɛnt if yu blɔd prɛshɔn smɔl ɔ if yu kɔndishɔn nɔ stebul bikɔs ɔf di pulmonary embolism.

Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ yuz vena cava filta . dis na wan kayn filta we dεn kin put insay di big vein na di bכdi. we dεn put dis insay, di bכdi kכlכt dεm de trכp insay dis filta bifo i rich di lכng dεm.

Di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt

Blɔd na wan pan di men sayd ɛfɛkt dɛm fɔ di mɛrɛsin dɛm we dɛn kin yuz fɔ trit pulmonary embolism. Na dat mek dɔktɔ dɛn go gi yu di rayt doz fɔ antikoagulant ɔ thrombolytic fɔ yu kɔndishɔn. I kin izi bak fɔ dɛn fɔ wach yu kɔndishɔn we yu de na ɔspitul.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Yu go bigin fɔ fil fayn insay lɛk wan wik so afta yu bigin fɔ trit yu. Bɔt i kin tek sɔm mɔnt, ivin sɔm ia fɔ mek i wɛl gud gud wan frɔm di pulmonary embolism.

Bikɔs we di blɔd vesel dɛn na di lɔng dɛn kin blok, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd. Jɔs lɛk aw wata paip we dɔn klos de mek motoka fil mɔ strɛs. fכ dis rizin, afta PE, i kin tek mכnt fכ wan pan di chεmba dεm na di at fכ kam bak to nכmal. Dis kin mek i nɔ izi fɔ dɛn fɔ wok tranga wan lɛk aw dɛn bin de du trade.

Yu tink se dɛn go ebul fɔ stɔp dis? (Prɛvenshɔn) .

Yɛs, yu kin ɛp fɔ mek dis nɔ apin to bɔku tɛm. Fɔ mek yu nɔ gɛt pulmonary embolism, du dɛn tin ya:

• Ɛksesaiz ɔltɛm. If yu nɔ ebul fɔ waka, muv yu an, yu fut, ɛn yu fut fɔ sɔm minit ɛvri awa. If yu no se yu go sidɔm ɔ tinap fɔ lɔng tɛm, wɛr kɔmpreshɔn stɔkin fɔ mek yu blɔd go fayn.
• Drink bɔku wata, bɔt nɔ drink rɔm ɛn kafin.
• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• Nɔ krɔs yu leg.
• Nɔ wɛr tayt klos.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Kip yu leg dɛn ɔp fɔ lɛk 30 minit tu tɛm insay di de.
• Tɔk to yu dɔktɔ bɔt aw fɔ ridyus di tin dɛn we kin mek yu gɛt prɔblɛm, mɔ if yu ɔ pɔsin na yu famili dɔn gɛt blɔd we dɔn klɔt bifo.
• Tɔk to yu dɔktɔ bɔt wan (Vena cava filta).

Wetin yu kin ɛkspɛkt if yu gɛt PE?

If dɛn nɔ trit am, pulmonary embolism na wan rili siriɔs sik we kin mek pɔsin gɛt disabled fɔ ɔltɛm ɔ day. Sɔm pipul dɛn kin day wantɛm afta dɛn dɔn gɛt pulmonary embolism, ɔ insay sɔm awa. Dis kin apin bifo dɔktɔ ivin no di sik.

If yu gɛt at ɔr lɔng sik, yu de pan ay risk fɔ day bikɔs ɔf PE. כltu, biכs fכ di improv mεtכd dεm fכ imej, wan pulmonary embolism de כnli kil insay 1% to 3% pan pipul dεm.

Wit tritmɛnt, yu prɔgnosis de dipen pan di saiz fɔ di blɔd we de klɔt, di blok, yu ɔl wɛl bɔdi, ɛn aw yu at kin pɔmp blɔd fayn fayn wan.

Yu tink se PE go go kpatakpata?

I kin tek mɔnt, ivin ia fɔ mek di pulmonary embolism dɔn kpatakpata. Sɔntɛnde, we dɛn ripit PE kin mek pɔsin gɛt wan sik we nɔ de mɛn we dɛn kɔl kronik tromboɛmbolik pulmonari haypatɛnshɔn (CTEPH) .

Aw a kin kia fɔ misɛf?

Yu go nid fɔ tek blɔd tin fɔ tri to siks mɔnt, ɔ ivin lɔng pas dat. Nɔ stɔp fɔ tek dɛn te yu dɔktɔ tɛl yu fɔ tek dɛn. We yu de tek mɛrɛsin we de mek yu blɔd tan, tek tɛm as yu ebul fɔ du tin dɛn we go mek yu wund ɛn blɔd.

Tɔk to yu dɔktɔ bɔt yu fɔlɔp kia ɛn fala dɛn advays fɔ ridyus yu risk fɔ gɛt ɔda PE. Dɛn kin tɔk bɔt tin dɛn lɛk fɔ lɛf fɔ smok, fɔ du mɔ ɛksesaiz, ɛn fɔ chenj di we aw yu de it.

Go to ɛvri apɔntinmɛnt wit di dɔktɔ ɛn di lab fɔ si aw yu de ansa di tritmɛnt dɛn we dɛn dɔn gi yu.

If yu fil se yu de wɔri ɔr de fred afta yu dɔn gɛt PE, aks yu dɔktɔ fɔ tɔk to pɔsin we de gi yu advays. I go ɛp yu.

Ustɛm yu fɔ go to dɔktɔ?

Si yu dɔktɔ fɔ di apɔntinmɛnt fɔ fala yu. Tɛl yu dɔktɔ if yu stɔl blak, yu gɛt bad bad ed pen, ɔ yu gɛt brus we kin big we yu de tek mɛrɛsin we de mek yu blɔd tan. Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin de blɔd insay pɔsin in bɔdi.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt di sayn dɛm fɔ Pulmonary Embolism (we wi bin dɔn tɔk bɔt), go to tritmɛnt kwik kwik wan. Nɔ delay.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu go want fɔ aks yu dɔktɔ:

• Wetin na di bɛst tritmɛnt fɔ mi?
• Aw lɔŋ a nid fɔ tek di mɛrɛsin we yu gi mi?
• Ustɛm na mi nɛks fɔlɔp tɛst?

Afta yu dɔn gɛt pulmonary embolism, yu kin si se yu layf nɔ go ɛva bi di sem igen. I impɔtant fɔ gri wit dat. Ɔda pipul dɛn nɔ go ɔndastand se yu de fred fɔ mek i apin bak. So i kin fayn fɔ tɔk bɔt di tin dɛn we yu de fred wit sɔpɔt grup ɔ advaysa. Fɛt di tin dɛn we yu de fred ɛn kɔntinyu fɔ fala wetin yu dɔktɔ tɛl yu fɔ du, ivin fɔ tek di mɛrɛsin dɛn we dɛn gi yu.

Mɛsej we dɛn kin kɛr go na os

Pulmonary Embolism kin apin wantɛm wantɛm, .Na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja. Bɔt if yu no di sik kwik kwik wan ɛn go to dɔktɔ wantɛm wantɛm, yu kin wɛl ful wan. So, if yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo fayn ɔ yu de fil pen na yu chɛst, nɔ tek am layt. Go to dɔktɔ wantɛm wantɛm. I rili impɔtant bak fɔ mek di wan dɛn we gɛt dis sik tray fɔ ridyus dɛn. Yu wɛlbɔdi de na yu an!

` Pulmonary Embolism, PE, Lɔng Blɔd Klɔt, Shot Breath, Chɛst Pen, DVT, Blɔd Klɔt, Blɔd Tinin Mɛdikeshɔn, Antikoagulant