We yu luk yu leg, yu kin si blu ɔ pepul veins sɔntɛnde, ɛn na sɔm say dɛn di vein dɛn kin tan lɛk se dɛn knot? Sɔm pipul dɛn kin fil pen, ebi, ɛn it na dɛn leg bikɔs ɔf dis. Ɛspɛshali we yu wɛr dres ɔ shɔt, dis we aw yu de luk kin mek yu nɔ fil fayn smɔl. wi mεdikal kכl dis kכndyushכn `(Varicose veins)` εn `(Spider veins)`. So tide wi go tɔk bɔt wan tritmɛnt we rili sakrifays, simpul, ɛn pɔpul fɔ dis. Dat na `Sklerotɛrapi`.
Wetin rili na sklɛrotɛrapi?
Fɔ tɔk am simpul wan, `Sclerotherapy` na injɛkshɔn tritmɛnt fɔ `(Varicose veins)` ɛn `(Spider veins)` na yu leg. Dis nɔto ɔpreshɔn. Wetin kin apin ya na dat yu dɔktɔ kin yuz wan rili fayn nidul ɛn injɛkt spɛshal kemikal sɔlvushɔn na di vein we pɔsin kin si.
Tink bɔt dis wata lɛk glu. We i go insay di vein, i kin mek smɔl iritashɔn na di vein wɔl dɛn. Wetin kin apin na di vein wɔl dɛn kin stik togɛda, di blɔd we de flɔ insay di vein kin stɔp, ɛn di vein kin tan lɛk skata ɛn lɔk. As tɛm de go, yu bɔdi de absɔb ɛn pul dis vein we dɔn blok. Dɔn di vein we nɔ fayn fɔ si kin dɔn smɔl smɔl. Apat frɔm am, di pen ɛn diskɔmfɔt we i bin de mek bak nɔ de igen.
Dis tan lɛk we yu put spɛshal wata insay wan ol wata paip we nɔ gɛt yus ɛn sial am frɔm insay. Afta sɔm tɛm, jɔs lɛk aw di paip de rɔtin, na so dis vein sɛf de lɔs na di bɔdi.
Udat dis tritmɛnt fayn fɔ? Udat i nɔ fayn fɔ?
Sklerotɛrapi na sayf tritmɛnt we bɔku pipul dɛn kin du, bɔt nɔto fɔ ɔlman. Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu. I go chɛk yu bifo i du di tritmɛnt.
Bɔku tɛm, dɛn nɔ kin du dis tritmɛnt pan dɛn pipul ya:
- Fɔ mama dɛn we gɛt bɛlɛ: Dɛn nɔ go ebul fɔ du dis tritmɛnt if yu gɛt bɛlɛ. Yu kin jɔs tink bɔt am bak afta at le tri mɔnt afta yu bɔn pikin.
- Fɔ mama dɛn we de gi pikin dɛn bɛlɛ: I nɔ fayn fɔ du dis we dɛn de gi dɛn bɛlɛ.
- Fɔ pipul dɛm wae gɛt blɔd klɔt disɔda: Dɛn nɔr kin du dis if yu gɛt aktif blɔd klɔt na yu vein dɛm (aktiv dip vein trombosis ɔ superficial vein thrombosis).
- Fɔ di wan dɛn we de na bed: Dɛn nɔ kin du dis tritmɛnt pan pɔsin we de na bed ɛn we nɔ ebul fɔ waka ɛni we.
Bɔt if yu de tek bɔn kɔntrol pils, i nɔto prɔblɛm , yu kin du `Sclerotherapy`. Dɔn bak, ivin if yu dɔn ɛva gɛt blɔd klɔt bifo, i go dipen pan di tin we mek yu gɛt am ɛn aw i bad, i go pɔsibul fɔ trit am. Yu fɔ tɔk to yu dɔktɔ bɔt dis.
Wan ɔda impɔtant tin na dat sɔm tɛm dɛn nɔ kin du dis tritmɛnt pan veins we kin nid fɔ baypas ɔpreshɔn tumara bambay, lɛk korona at baypas graft ɔpreshɔn. Bɔt if di vein dɔn ɔlrɛdi pwɛl pasmak fɔ yuz, dɛn kin trit am.
Wetin yu fɔ no bifo yu gɛt tritmɛnt ɛn aw fɔ pripia
Tin dɛn de we yu fɔ pripia pan yu pat bifo yu go fɔ tritmɛnt, ɛn mɛrɛsin dɛn de we yu fɔ stɔp fɔ tek. Fɔ fala dɛn tin ya ɛksaktɔli impɔtant fɔ mek di tritmɛnt go bifo.
| Advays | Impɔtant tin dɛn fɔ no bɔt |
|---|---|
| Mɛrɛsin fɔ stɔp | Nɔ tek mɛrɛsin fɔ mɛn pen ɛn tin dɛn we de mek yu blɔd tan lɛk aspirin , ibuprofen (lɛk Advil®, Nuprin®), ɛn ɔda NSAID fɔ 48 awa bifo ɛn afta di tritmɛnt. Dɛn tin ya kin mek di blɔd bɔku. Bɔt i nɔ bad fɔ tek paracetamol (Tylenol®, Panadol®) fɔ mek yu fil pen. |
| Tek tɛm wit antibayɔtiks. | Antibayɔtik lɛk (Tetracycline) ɔ (Minocycline) kin mek di skin gɛt kɔlɔ if dɛn tek am 7-10 dez bifo ɔ afta di tritmɛnt. Tɛl yu dɔktɔ if yu de tek ɛni ɔda antibayɔtik. |
| Infɔm bɔt Prednisone | If yu de tek wan sterɔyd mɛrɛsin lɛk Prednisone , i kin mek di tritmɛnt nɔ wok fayn. So, aks yu dɔktɔ if yu kin stɔp fɔ tek am 48 awa bifo yu tritmɛnt. |
| Nɔ put ɛnitin pan di skin. | Di de we dɛn de trit yu, nɔ put ɛni loshan, krim, ɔ ɔyl pan yu leg. |
| Tink bɔt di klos we dɛn wɛr. | Bring kɔmfyut shɔt fɔ wɛr we yu de trit yu. |
| Bring kɔmpreshɔn stɔkin dɛn. | If yu gɛt kɔmpreshɔn hosiery frɔm wan tritmɛnt we yu bin dɔn gɛt bifo, kam wit am. Di dɔktɔ kin chɛk am fɔ si if i go fit dis tɛm. |
Di tin we impɔtant pas ɔl: Bifo yu stɔp ɛni mɛrɛsin we yu de tek naw, i impɔtant fɔ tɔk to di dɔktɔ we gi yu am ɛn aks am fɔ advays.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt na di dɔktɔ in ɔfis. I nɔ nid fɔ pripia am ɔ anestez am bɔku. Di wan ol tin we dɛn kin du kin tek lɛk 30 to 45 minit.
1. Pozishɔn: Dipen usay di vein we dɛn de trit de, dɛn go aks yu fɔ ledɔm na di bed ɔ na yu sayd ɔ yu sayd.
2. Fɔ klin di skin: Dɛn kin klin di skin we de rawnd di say we dɛn put di injɛkshɔn fayn fayn wan.
3. Fɔ no di vein: Sɔntɛnde, we dɛn de trit dip vein, di dɔktɔ kin yuz ɔltra saund skan fɔ no di rayt vein.
4. Injɛkshɔn: Dɔn, di dɔktɔ ɔ pɔsin we de ɛp yu go pul yu skin tayt ɛn afta dat, dɛn go yuz wan rili fayn nidul, dɛn go tek tɛm injekt di spɛshal wata ɔ fom insay di vein.
Yu go jɔs fil smɔl stinging senseshɔn frɔm di nidul . Yu kin fil smɔl fɔ bɔn as di mɛrɛsin de go insay.We dɛn injekt di mɛrɛsin insay big vein, yu kin fil smɔl smɔl na yu leg fɔ wan ɔ tu minit. Dɛn tin ya ɔl na nɔmal tin, so nɔ wɔri bɔt am.
di nכmba fכ di vein dεm we dεn trit insay wan sεshכn de dipכnt pan di sayz εn di say we yu vein dεm de, εn yu כl hεlth.
Wetin a fɔ du afta a dɔn gɛt tritmɛnt?
Afta di tritmɛnt dɔn, dɛn go aks yu fɔ de na bed fɔ lɛk 15 minit so. Dis na fɔ si if ɛni alɛji de fɔ di mɛrɛsin. Afta dat, yu kin grap ɛn drayv go na os yu wan . Yu kin du di tin dɛn bak we yu kin du ɔltɛm. Fɔ waka fayn mɔ , bikɔs i de mek di blɔd go fayn.
Sɔm spɛshal instrɔkshɔn dɛn de we yu fɔ fala insay di fɔs 48 awa afta yu dɔn gɛt tritmɛnt.
| Wetin Yu fɔ Du/Dɛn nɔ fɔ Du | Tɔk bɔt |
|---|---|
| We yu wɛr Kɔmpreshɔn Stɔkin | Di dɔktɔ se yu fɔ kɔntinyu fɔ wɛr dɛn sɔpɔt hosiery ɔ kɔmpreshɔn wrap ya fɔ 3 to 7 dez. Dis go ɛp di vein dɛm we dɛn dɔn trit fɔ tayt ɛn wɛl kwik kwik wan. |
| Avɔyd tin dɛn we wam | Nɔ was ɔt, sawna, ɛn whirlpool. Fɔ shaw wit nɔmal wata fayn, bɔt fɔ put di wata tɛmpracha dɔŋ smɔl. Nɔ put ɔt wata bɔtul dɛn na di say dɛn we dɛn de injɛkshɔn. |
| Nɔ mek di san nɔ shayn. | Nɔ put di say dɛn we dɛn dɔn trit na say we di san de shayn dairekt wan. Avɔyd bak fɔ tan. |
| Fɔ mek yu klin | Wash di say dɛn we yu injɛkshɔn wit wata we nɔ gɛt bɛtɛ wata ɛn sop we nɔ gɛt wan bɔt. |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | If yu gɛt pen, tek Paracetamol. Nɔ tek mɛrɛsin lɛk Aspirin ɔ Ibuprofen. |
Wetin na di bɛnifit dɛn we Sclerotherapy tritmɛnt de gi?
- Nɔ anesthesia: Bikɔs dis nɔto ɔpreshɔn, yu nɔ go nid fɔ anestez.
- High success rate: Bɔrku pipul kin gɛt gud rizulyt wit dis. i de wok spεshal fכ sכm sכm `(Varicose veins)` εn `(Spider veins)`. Insay wan sɛshɔnbitwin 50% εn 80% pan di vein dεm kin kכl.
- Kwik rizulyt: sכm sכm spayda vein dεm de fεd insay 3-6 wik. big vein dεm kin tek 3-4 mכnt.
- Rizult we go de sote go: Wan vein we dɛn dɔn trit fayn nɔ go apia bak . Bɔt, nyu vein dɛn kin kɔmɔt. If na so i bi, dɛn go nid fɔ trit dɛn wan bay wan.
- Lɛs pen: If yu wɛr kɔmpreshɔn stɔking afta yu dɔn trit yu, dat kin ridyus di pen bad bad wan. I kin ɛp bak fɔ kɔntrol di brus ɛn swel.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm smɔl smɔl sayd ɛfɛkt dɛn de we kin apin. Bɔt, siriɔs wan dɛn nɔ kin bɔku.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Kɔmɔn, nɔr siriɔs sayd ɛfɛkt dɛm | |
| Vein konstrikshɔn/stiffnɛs | We dɛn trit big vein dɛn, dɛn kin fil lɛk se dɛn dɔn rɔtin ɛn stif fɔ sɔm mɔnt. Dis go dɔn smɔl smɔl. |
| Rɛdnɛs | Di rεd we de na di say we dεn injεkt go dכn insay fכ dez. |
| Brawn spat dɛn | Brawn streak ɔ spat kin apia na di say dɛn we dɛn dɔn trit. dis kin fεd insay 3-6 mכnt. Bɔt pan smɔl pasɛnt pan pipul dɛm, lɛk 5%, dɛn tin ya kin de fɔ ɔltɛm. |
| Brus dɛn we de na di bɔdi | Brus kin apin na di say we dɛn injekt. Dɛn tin ya go dɔn insay sɔm wiks. |
| Alɛji we pɔsin kin gɛt | I pɔsibul fɔ mek yu gɛt alɛji fɔ di mɛrɛsin, bɔt i nɔ kin apin so ɔltɛm. Di sayn dɛm kin bi fɔ it ɛn swel. |
| Di sayn dɛm wae kin apun ɔltɛm ɛn dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Groin we de swel | If yu divεlכp swel na yu groin εria. |
| Leg we de swel wantɛm wantɛm | If di leg we dɛn dɔn trit bigin fɔ swel wantɛm wantɛm. |
| Smɔl smɔl wund dɛn | If smɔl wund (ɔlsa) de kam na di say we dɛn injɛkshɔn. |
| Rɛd strɛp | εspεshali if rεd strεk dεm de sho se dεn de rכn tכwεd di groin. |
If sɔntin lɛk dis apin, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
Yu tink se inshɔrans go kɔba dis? Yu tink se tritmɛnt wit lɛsa bɛtɛ?
Di inshɔrans kɔmni dɛn nɔ kin kɔba di tritmɛnt dɛn we dɛn kin gi fɔ sklɛrotɛrapi fɔ kɔsmɛtik rizin dɛn. Bɔt if yu gɛt mɛrɛsin rizin fɔ di vayrɔs veins, lɛk fɔ pen ɔ fɔ ebi na yu leg, sɔm inshɔrans kɔmni dɛn kin kɔba am. Dis go nid fɔ gɛt lɛta frɔm yu dɔktɔ. I bɛtɛ fɔ kɔl yu inshɔrans kɔmni bifo yu gɛt di tritmɛnt ɛn aks bɔt dis.
Laser tritmɛnt, ɔ endovenous thermal ablation, na ɔda gud tritmɛnt fɔ varicose veins. I kin mek pɔsin gɛt bad bad tin dɛn bak. Bɔt i nɔ kin izi fɔ trit di vein dɛn we rili tortu ɛn twist wit lɛsa tritmɛnt. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay aw yu vein dɛn de.
Mɛsej we dɛn kin kɛr go na os
- Sklɛrotɛrapi na tritmɛnt we rili wok ɛn sef fɔ vayrɔs ɛn spayda vein na yu leg.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt yu wɛlbɔdi ɛn ɔl di mɛrɛsin dɛn we yu de tek bifo yu gɛt tritmɛnt.
- Fɔ mek yu gɛt di bɛst rizɔlt, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan afta yu dɔn trit yu, mɔ we yu wɛr kɔmpreshɔn stɔking.
- I kin tek sɔm tɛm fɔ si di tin dɛn we kin apin. Nɔ tink se yu leg dɛn go luk fayn wan nɛt. Na fɔ peshɛnt.
- If yu gɛt siriɔs sayd ɛfɛkt (lɛk fɔ swel ɔ brus wantɛm wantɛm), nɔ panik ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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