Blɔd de na yu bɛlɛ vein? Lɛ wi no bɔt dis denja kɔndishɔn (SMV Thrombosis)!

Yu dɔn ɛva fil shap pen na yu bɛlɛ wantɛm wantɛm, ɔ wan strenj filin lɛk se yu bɛlɛ ful-ɔp? Sɔntɛnde, wi nɔ kin pe atɛnshɔn tumɔs pan dɛn kayn tin ya, bɔt dɛn kin bi sayn fɔ se wi gɛt siriɔs wɛlbɔdi prɔblɛm. Tide wi go tɔk bɔt wan sik we nɔ kin bɔku bɔt we rili denja. Dat na (SMV Thrombosis) , ɔ blɔd we de klɔt na di supɛriɔr mɛsentri vein.

Wetin na dis (SMV Thrombosis)? Lɛ wi ɔndastand am simpul wan?

Fɔ tɔk am simpul wan, SMV Thrombosis na we blɔd klɔt (thrombus) de mek na wan vein we dɛn kɔl Superior Mesenteric Vein (SMV) na yu bɛlɛ. Dis vein de kɛr blɔd frɔm yu smɔl intestin to yu liva. Jɔs lɛk wata paip we dɔn blok, dis blɔd we de klɔt de blok di blɔd we de flɔ bitwin di difrɛn pat dɛn na yu bɛlɛ.

Dis na aw dis sik kin denja: We blɔd nɔ de wok fayn, wi ɔgan dɛn nɔ kin gɛt di ɔksijɛn we dɛn nid. afta dat di sεl dεm (tissu dεm) na dεn כgan dεm de bigin fכ day. Dis kayn ɔgan we de pwɛl kin afɛkt di wan ol bɔdi. If dɛn nɔ trit dis sik we dɛn kɔl SMV Thrombosis kwik, sɔntɛnde i kin mek pɔsin in layf de pan denja.

כda nem fכ dis na "mesenteric venous thrombosis." Dis na kɔmɔn nem. i min se bכdi kin fכm na di supεriכr mεsεntrik vein, di infεriכs mεsεntrik vein, כ di vein dεm we de branch kכmכt frכm am. כltu, lεk 95% pan di tεm, dis bכdi kכlכt de fכm na di supεriכr mεsεntrik vein, we wi bin tכn tכk bכt. So, bɔku tɛm dɛn kin yuz dɛn tu nem ya fɔ di sem kɔndishɔn.

Wetin na di men kayn Mesenteric Venous Thrombosis?

Dɔktɔ dɛn kin klas dis sik bay aw di sayn dɛn kin sho.

• Akyu: Di sayn dɛm kin apin wantɛm wantɛm, insay 24 to 72 awa afta di blɔd klɔt dɔn fɔm. Dis na di mɔs kɔmɔn (60% - 80%) pan di kes dɛm. If na so i bi, di insay kin pwɛl kwik kwik wan, bikɔs di blɔd nɔ gɛt we fɔ go to dɛn, di blɔd we de klɔt kin blok da rod de.
• Subacute: Insay dis kes, di sayn dɛm kin kam smɔl smɔl fɔ sɔm dez. Dɛn nɔr kin tranga lɛk aw i kin bi na di akyu stej. Na ya, sɔm blɔd kin go insay di insay, bɔt di blɔd nɔ kin du fɔ am. Sɔm pipul dɛn nɔ kin go to dɔktɔ fɔ te tu wiks pan ɔl we dɛn gɛt sɔm sayn dɛn.
• Krεse sik: Sɔntɛnde, nɔr kin gɛt ɛni sayn. dis na biכs sכm sכm kolataral vεsεl dεm de fכm, we de gi di intestin dεm wit bכdi. Bɔku tɛm, dɔktɔ dɛn kin no dɛn kayn sik ya we nɔ de mɛn we dɛn de du imej tɛst fɔ ɔda sik. Dis krεse sik kin apin pan lεk 20% to 40% pan di kes dεm.

Aw dis sik kin kɔmɔn?

Dɛn kin rili tek dis as tin we nɔ kin apin so ɔltɛm . I kin apin to lɛk wan pan ɛvri 5,000 to wan pan ɛvri 15,000 pipul dɛn we de na ɔspitul.

Mesenteric venous trombosis we de mek pɔsin gɛt sikPan ɔl we i kin gɛt ɛni ej, i kin afɛkt pipul dɛn we ol bitwin 40-50 ia.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm kin difrɛn bad bad wan. Sɔm pipul dɛm, mɔr di wan dɛm wae gɛt krɛse sik, nɔr kin gɛt ɛni sayn atɔl. Bɔt pan akyu kɔndishɔn, siriɔs kramp kin apin wantɛm wantɛm. Insay sɔbakut kɔndishɔn, bɛlɛ pen kin kam ɛn go fɔ sɔm dez ɔ wik.

Sɔm pipul dɛn kin gɛt wan sik we dɛn kɔl Pɔtal Haypatɛnshɔn bikɔs ɔf dis sik. Dɔn yu kin si sayn dɛn lɛk:

• Blɔd na yu stɔl.
• Nɔs ɛn vɔmit, sɔntɛnde wit blɔd na di vɔmit.
• Bɛlɛ we dɔn blo.
• Swel na di leg ɛn fut (Edima) .
• Kɔnfyushɔn na yu maynd.

If yu gɛt nyu bɛlɛ pen ɔ yu de wɔs, yu fɔ go to dɔktɔ wantɛm wantɛm . Na da tɛm de nɔmɔ dɛn go ebul fɔ no di rayt tin we mek i apin.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt (Superior Mesenteric Vein Thrombosis)?

Risach pipul dɛn dɔn sheb di rizin dɛn fɔ dis to tri men kategori dɛn:

1. Dairekt damej to di vein: Yu vein kin damej dairekt bikos of infεkshכn (inflammation) כ כpεrayshכn.

.​

3. Blɔd klɔt disɔda: Dɛn tin ya kin mek blɔd klɔt fɔm ɛnisay na yu bɔdi.

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula kɔz fɔ dis (idiopathic) .

Udat dɛn kin gɛt dis sik pas ɔlman?

Yu de pan risk fɔ gɛt SMV Thrombosis if yu gɛt ɛni wan pan dɛn mɛrɛsin ya:

• Blɔd klɔt disɔda we kin apin we dɛn bɔn am ɔ leta, inklud di wan dɛn we kin kam wit sɔm mɛrɛsin dɛn.
• (Inflammatory Bowel Disease - IBD) we de mek pɔsin gɛt sik .
• (Sirosis) (liva sik).
• (Pancreatitis) (inflameshɔn na di pankrias).
• Kansa na di pankrias .
• At we nɔ de wok fayn .
• Di splin we dɔn big .
• Fɔ gɛt big tumbu ɔ mas na di bɛlɛ.
• Sɔm vayral infɛkshɔn, inklud (COVID-19) .

Sɔm ɔpreshɔn dɛn we yu kin du na yu bɛlɛ, lɛk fɔ pul yu bɛlɛ, kin pwɛl di insay layn na yu blɔd vesel dɛn (ɛndoteyl).Damej kin apin. Di inflamɛns we dis damej kin mek kin mek di blɔd klɔt bɔku.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ SMV Thrombosis?

We blɔd klɔt fɔm na yu mɛsentri veins, i kin mek di intestinal tisu swel. I kin mek bak yu gɛt wan sik we dɛn kɔl mesenteric ischemia , we na we blɔd nɔ de go na sɔm pat dɛn na yu dijestiv sistɛm.

We yu dijestiv ɔgan dɛn nɔ gɛt inof ɔksijɛn blɔd, dɛn nɔ kin ebul fɔ wok fayn. Ɛn dɛn tisu dɛn kin bigin fɔ day. Sɔntɛnde, dis kin mek ol dɛn na di intestinal, we kin mek di tin dɛn we de insay di intestinal lik insay di spes we de rawnd am. Ɔda tɛm, di baktri dɛm we nɔmal fɔ liv na yu dijestiv sistɛm kin spre to ɔda pat dɛm na yu bɔdi, usay dɛn nɔ fɔ de. Dis kin mek yu gɛt sɛpsis (blɔd pɔyzin) ɛn di ɔgan dɛn we de mek yu layf de pan denja.

So, dis kכndyushכn we dεn kכl (SMV Thrombosis) kin kil if dεn nכ trit am kwik.

Aw dɛn kin no se dɛn gɛt di sik we dɛn kɔl Mesenteric Venous Thrombosis?

Dɔktɔ dɛn kin sɔprayz dis sik bay di sayn dɛm wae yu gɛt. Bɔt fɔ no if i gɛt am kin tranga bikɔs bɔku pan di sayn dɛn we de sho se i gɛt dis sik nɔ kin apin . Dat min se, difrɛn ɔda tin dɛn kin kam wit dɛn. We yu gɛt bɛlɛ pen ɔ ɔda sayn dɛn, nɔto ɔltɛm blɔd we de rɔtin na di mɛsentri vein na di fɔs tin we kin kam na yu maynd.

If yu dɔktɔ tink se yu gɛt blɔd we dɔn rɔtin, dɛn go du bɔku tɛst dɛn fɔ mek yu tek pikchɔ .

(Mesenteric Venous Thrombosis) Tεst dεm fכ no di sik

Di gold standad tɛst fɔ no dis sik na CT Angiography . Insay dis skan, dɛn kin put spɛshal day insay wan vein ɛn dɛn kin si di blɔd de flɔ tru yu vein dɛn. Dis kin sho aw blɔd de flɔ fayn fayn wan tru di at ɛn vein dɛn na yu bɛlɛ ɛn if blɔd de klɔt. Di rizɔlt fɔ dis tɛst go sho yu tritmɛnt plan.

Sɔntɛnde, dɔktɔ dɛn kin yuz wan tɛst we dɛn kɔl MRI Angiography as ɔda we ɔ fɔ kɔnfirm di rizɔlt we nɔ klia frɔm CT Angiography . Dɛn kin yuse dɛn tɛst ya bak fɔ si aw yu de du tritmɛnt.

Wetin na di tritmɛnt dɛm fɔ (SMV Thrombosis)?

Dɔktɔ dɛn go mek yu tritmɛnt plan fɔ wetin yu nid. Di men gol dɛn na fɔ:

• Fɔ mek blɔd go bak na yu insay ɛn ɛp dɛn fɔ wok fayn fayn wan.
• Nɔ mek yu intestinal nɔ pwɛl ɔ stɔp fɔ pwɛl yu bɔdi.
• Fɔ mek nyu blɔd klɔt nɔ fɔm ɛn fɔ fɛn di ɔndalayn kɔz.

Kwik tritmɛnt na di men tin fɔ sev pipul dɛn layf.Di kwik we yu gɛt tritmɛnt, na di mɔ yu chans fɔ gɛt sakrifays. Dipen pan aw yu sik (akyu ɔr krɛse sik) ɛn aw i siriɔs, yu dɔktɔ kin yuz wan ɔ mɔ pan dɛn tritmɛnt ya:

• Anticoagulation: Bɔku tɛm dis na di fɔs tritmɛnt we dɔktɔ dɛn kin yuz. Dis involv fɔ gi yu mɛrɛsin fɔ ɛp fɔ sɔlv di klot ɛn fɔ mek nyu klɔt nɔ fɔm. Bɔku dɔktɔ dɛn kin bigin bay we dɛn kin gi yu wan mɛrɛsin we dɛn kɔl heparin insay yu bɛlɛ, dɔn dɛn kin yuz mɛrɛsin lɛk wɔfarin . Sɔm pipul dɛn kin nid fɔ tek dis mɛrɛsin fɔ lɛk siks mɔnt, ɛn ɔda wan dɛn kin nid fɔ tek am fɔ lɔng tɛm. If yu gɛt blɔd klɔt disɔda, ɔ if yu dɔn gɛt blɔd klɔt fɔ no rizin, yu kin nid fɔ tek dis mɛrɛsin fɔ di res ɔf yu layf.
• Trombolysis: Insay dis prosidur, yu dɔktɔ kin yuz kateta fɔ injekt mɛrɛsin na yu veins fɔ mek di klot sɔlv . Dɛn kin gi dis mɛrɛsin fɔ 24 to 72 awa.
• Thrombectomy: Dis na ɔpreshɔn fɔ pul di blɔd we dɔn rɔtin . Dɛn kin yuse dis tritmɛnt pan smɔl kes dɛm nɔmɔ, fɔ ɛgzampul , pan pipul dɛm wae nɔr kin ebul fɔ gɛt trombolysis . Dɔktɔ dɛn kin du dis bay we dɛn de yuz opin ɔpreshɔn ɔ we dɛn nɔ kin du bɔku tin.
• Bɔwel Risekshɔn: Dis kin min fɔ ɔpreshɔn fɔ pul wan pat pan yu bɔdi . If di blɔd we de klɔt dɔn blok di blɔd we de go na yu bɔdi ɛn i dɔn pwɛl yu bɔdi fɔ ɔltɛm, yu go nid fɔ pul yu smɔl bɔdi ɔ yu fɔ pul di blɔd kɔlektɔmi. If yu bigin fɔ yuz antikɔaguleshɔn na ɔspitul, yu dɔktɔ go wach yu sik dɛn fɔ si if yu nid ɔpreshɔn ɔ if ɛni prɔblɛm de.

Di prɔblɛm dɛn we kin apin we pɔsin de trit am

Di kɔmplikeshɔn we kin kam pan tritmɛnt na we pɔsin de blɔd (big ɔ smɔl). Bɔt i impɔtant fɔ mɛmba se dis sik kin kil pɔsin if dɛn nɔ trit am . So, di bɛnifit dɛn we di tritmɛnt kin gɛt pas di prɔblɛm dɛn we kin apin to pɔsin.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt SMV Thrombosis?

Yu nɔ go ebul fɔ mek blɔd nɔ klɔt ɔltɛm. Bɔt yu kin tek wan proaktiv we fɔ yu wɛl bɔdi bay wae yu de avɔyd ɛn manej bɔrku pan de ɔndalayn kɔndishɔn dɛm wae de mek yu gɛt mɔr risk. Na sɔm advays dɛn ya:

• Go fɔ mek dɛn chɛk yu wan tɛm insay di ia.
• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.
• Tɛl yu dɔktɔ if yu gɛt nyu sik ɔ if yu sik chenj.
• Aks yu dɔktɔ wetin yu nid fɔ chenj yu layf fɔ bɛnifit yu wɛlbɔdi.

Wetin kin apin if a gɛt (SMV Thrombosis)?

Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt as yu de trit ɛn wɛl. Dɛn go ɛksplen di prɔblɛm we kin apin we pɔsin gɛt nyu blɔd klɔt ɛn di tritmɛnt dɛn we dɛn kin se fɔ ridyus da prɔblɛm de. I rili impɔtant fɔ fala yu dɔktɔ in tritmɛnt plan ɛksaktɔli. Dis kin inklud fɔ tek mɛrɛsin fɔ di res ɔf yu layf. Dis go ɛp fɔ mek blɔd nɔ fɔm bak.

Monitoring rεspכns to tritmεnt

If yu de tek mɛrɛsin we de mek yu nɔ gɛt blɔd, yu go nid fɔ du blɔd tɛst ɔltɛm fɔ mek shɔ se yu de tek di rayt mɛrɛsin. Yu dɔktɔ go de wach yu bak fɔ ɛni blɔd we de kɔmɔt.

Wetin na de lukin-grɔn fɔ dis sik?

Di bɛst pɔsin fɔ aks bɔt aw yu de si tin na yu dɔktɔ. Dɛn go rivyu yu mɛdikal histri ɛn kɔndishɔn ɛn gi yu wan aidia bɔt wetin fɔ ɛkspɛkt. In jɛnɛral, aw yu de si di Mɛsenterik Venɔs Thrombosis de dipen pan bɔku tin dɛm:

• yu ej.
• Di kayn we aw yu sik kin tranga.
• Di rayt say we di blɔd de klɔt.
• Ɔda mɛrɛsin dɛn we yu gɛt.
• Di kayn we aw di damej we yu insay yu bɔdi dɔn pwɛl.
• If yu bin gɛt fɔ pul wan pat pan yu insay.
• Aw yu bin gɛt tritmɛnt kwik kwik wan.

Mesenteric Venous Thrombosis kin kil pɔsin. Insay di akyu stej, di risk fɔ day kin go ɔp wit ɛvri awa we de pas afta di sik bigin. If dɛn nɔ trit am fɔ pas 24 awa, di sik kin kil pɔsin.

Ustɛm a fɔ go to mi dɔktɔ?

As yu de wɛl afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ no aw yu de fil ɛn tɛl yu dɔktɔ if ɛnitin chenj. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam fɔ fala-ap apɔntin. Kip dɛn di rayt tɛm. Dis go ɛp yu dɔktɔ fɔ wach yu kɔndishɔn ɛn no ɛni nyu prɔblɛm (lɛk nyu blɔd we de klɔt). Bɔt ivin we yu de trit yu, if yu gɛt ɛni nyu sik ɔ yu gɛt ɛnitin fɔ wɔri bɔt, nɔ shem fɔ kɔl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt siriɔs bɛlɛ pen ɔ ɔda sayn dɛm fɔ (SMV Thrombosis) , kɔl 911 ɔ yu lokal imejensi nɔmba wantɛm wantɛm. Nɔ delay. Dis impɔtant mɔ if yu gɛt tin dɛn we kin mek yu gɛt (SMV Thrombosis) . Fɔ trit am kwik na di wangren we fɔ sev pɔsin in layf.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kwɛstyɔn dɛn kin difrɛn difrɛn wan fɔ yu patikyula kɔndishɔn ɛn di stej we dɛn de trit yu. Na sɔm kwɛstyɔn dɛn we pipul dɛn kin aks fɔ ɛp yu fɔ gɛt di infɔmeshɔn we yu nid. Yu kin aks dɛn kwɛstyɔn ya afta dɛn dɔn no se yu gɛt di sik (ɔ fɔ pɔsin we yu lɛk):

• Aw siriɔs mi sik de?
• Us tritmɛnt yu go tray fɔs?
• Us ɔda tritmɛnt dɛn a go nid?
• Wetin na di gol dɛm fɔ tritmɛnt?
• Wetin na de chans fɔ mek di tritmɛnt go bifo?
• Ɛni risk de pan di tritmɛnt?
• Aw di we aw a de si tin de?
• Us fɔlɔp apɔntinmɛnt dɛn we a go nid fɔ atɛnd?
• A nid fɔ chenj di mɛrɛsin dɛn we a de tek ɔ di tɛm dɛn we a de tek dɛn?
• Us chenj dɛn na mi layf we yu kin se a fɔ mek afta a dɔn wɛl?

Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt blɔd we de klɔt sɔmsay na yu bɔdi. Insay wan kɔndishɔn lɛk SMV Thrombosis , da blɔd we de klɔt kin mek yu intestinal in wɛlbɔdi prɔblɛm, ɛn i kin ivin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja.

If yu ɔr pɔrsin wae yu lɛk gɛt risk factor fɔ gɛt SMV Thrombosis , tɔk to yu dɔktɔ bɔt yu pasɔnal risk lɛvɛl ɛn aw fɔ manej am. Yu nɔ go ebul fɔ mek blɔd nɔ klɔt ɔltɛm. Bɔt, fɔ gɛt mɛdikal chɛk-ap ɛn fɔ no bɔt di sayn dɛm kin ɛp yu fɔ gɛt diagnosis ɛn tritmɛnt kwik kwik wan. Dis kayn tin we pɔsin kin du kwik kwik wan kin sev pɔsin in layf.

Di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

• (SMV Thrombosis) na blɔd we de klɔt na wan big blɔd vesel na di bɛlɛ. Dis kin rili siriɔs ɛn i kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik.
• If yu gɛt sɔm sayn dɛn lɛk we yu bɛlɛ de at bad bad wan wantɛm wantɛm, yu bɔdi de blo, yu de nɔs, yu de vɔmit, ɔ yu blɔd de na yu stɔl, nɔ de te. Go to dɔktɔ wantɛm wantɛm.
• If yu gɛt tin dɛn we kin mek yu gɛt dis (e.g., blɔd klot disɔda, liva sik, inflammatory bowel disease), tɔk to yu dɔktɔ bɔt am ɛn tek di step dɛm we yu nid.
• If dɛn no se yu gɛt dis sik, fala di tritmɛnt we yu dɔktɔ gi yu di rayt we. Ivin if yu fɔ tek mɛrɛsin fɔ di res ɔf yu layf, i kin ɛp fɔ sev yu layf.
• Fɔ no if yu gɛt dis sik kwik kwik wan ɛn fɔ trit yu kwik kwik wan na di bɛst we fɔ avɔyd dis sik. So no bɔt di sayn dɛm ɛn go to dɔktɔ wantɛm if yu gɛt ɛni dawt.

` SMV Thrombosis, Mesenteric Venous Thrombosis, Blɔd klot, Bɛdi pen, Supiriɔ mesenteric vein, Dijestiv sistɛm, Imejɛnsi tritmɛnt