Yu gɛt wund dɛn bak na yu leg we nɔ de wɛl? Lɛ wi lan bɔt dis ‘Vascular Ulcer’!

Yu dɔn ɛva notis se sɔntɛnde wund dɛn kin apia na yu leg, mɔ na yu groin ɔ anklɛ eria, ɛn i kin tek lɔng tɛm fɔ wɛl? Sɔntɛm yusɛf go dɔn ɛkspiriɛns dis. Dɛn tin ya nɔto ɔdinari wund dɛn. Wi kin kɔl dɛn tin ya ‘Vascular Ulcers’, we insay Sinhala min ‘vein ulcers ’. Fɔ tɔk am simpul wan, dɛn wund ya kin apin na di skin bikɔs di blɔd nɔ de go fayn na wi bɔdi. Lɛ wi tɔk bɔt dis smɔl smɔl tide, bikɔs dis na sɔntin we kin afɛkt bɔku pipul dɛn.

Wetin na vaskul ɔlsa?

Fɔ tɔk am simpul wan, venɔs ɔlsa na wund dɛn we kin apin na wi skin. Bɔt dɛn tin ya nɔto jɔs ɛni wund. Dɛn kin kam bikɔs prɔblɛm de wit di blɔd we de flɔ na wi bɔdi, dat na di say we di blɔd de go. Bɔrku tɛm, dɛn kin si dɛn wund ya na wi an ɛn fut, mɔ na di ɔnda leg ɛn fut. Bɔt dɛn kin apin bak na ɔda say dɛn. Dɛn wund ya kin tek lɔng tɛm fɔ wɛl, ɛn sɔntɛnde dɛn kin nid spɛshal tritmɛnt lɛk ɔpreshɔn.

Tu men rizin de we mek dɛn venɔs ɔlsa ya kin apin.

1. Wan na we di blɔd we de go na wi at dɛn kin wik . di at dεm na di say we di bכdi de gεt di nyutriεnt dεm εn כksijεn we i nid. So we prɔblɛm de wit dɛn tin ya, wund dɛn kin kam.

2. Di ɔda rizin na di blɔd we nɔ de go fayn na wi veins . Na tru di vein dɛn we blɔd, wit di dɔti tin dɛn we de na di bɔdi, kin kɛr go bak na di at. If prɔblɛm de wit dɛn tin ya, injury kin apin.

Di wan dɛn we kin bɔku pan dɛn na wund dɛn we kin apin na di vein dɛn, we wi kin kɔl bak venɔs ɔlsa .

Aw kɔmɔn tin dɛn ya kin wund?

Infakt, dɛn venɔs ɔlsa ya kin bɔku pas aw yu kin tink, mɔ we yu de ol. Na avrej, lɛk 1% pan di big pipul dɛn kin gɛt dis sik. Na pipul dɛm wae pas 65 ia, dis pasɛnt kin bi bitwin 3% ɛn 5%. So dis nɔto sɔntin we wi fɔ tek am layt.

Aw dɛn venɔs ɔlsa ya kin afɛkt wi bɔdi?

Dɛn injury ya kin gɛt difrɛn bad bad tin dɛn fɔ du to yu layf. Jɔs tink bɔt...

• Di risk fɔ gɛt infɛkshɔn mɔ ɛn mɔ: Wi skin tan lɛk shild we de protɛkt wi frɔm jem. So wund lɛk dis na we da shild de brok, we de mek jem dɛn go insay di bɔdi izi wan.
• Sepsis: If dɛn nɔ trit di infekshɔn fayn, i kin skata ɔlsay na di bɔdi ɛn mek i gɛt wan sik we rili denja we dɛn kɔl sɛpsis . Dis na we wi imyun sistεm de riak pasmak pan wan big infεkshכn εn bigin fכ pwεl difrεn pat dεm na di bכdi.
• Gangrene: Na bikɔs ɔf infekshɔn ɔ blɔd nɔ de flɔ to di wund, di sɛl dɛn we de rawnd di wund kin bigin fɔ day. Dis kin mek pɔsin gɛt wan sik we dɛn kɔl gangrene . If dɛn nɔ trit am, i kin skata ɛn ivin mek i day.
• Pen ɛn i nɔ kin izi fɔ waka:Dɛn venɔs ɔlsa ya kin rili pen. Dipen pan usay di ɔlsa de, yu nɔ go ebul fɔ wok, slip, ɔ du tin dɛn ɛvride. Bikɔs we yu de du yu bɔdi, dat kin mek yu blɔd go fayn, if yu nɔ ebul fɔ waka bikɔs ɔf ɔlsa we de mek yu fil pen, di ɔlsa kin wɔs.

I rili impɔtant: Nɔ ignore dɛn injury ya bikɔs dɛn smɔl. I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di sayn dɛm fɔ venɔs ɔlsa kin dipen pan di tin we kin mek pɔsin gɛt ɔlsa, ɛn sɔntɛnde i kin gɛt bɔku tin dɛn we kin mek i gɛt ɔlsa wan tɛm.

Di simptom dɛm fɔ Venɔs Ɔlsa / Stasis Ɔlsa

Bɔku tɛm, dɛn sayn ya kin apin bifo di venɔs ɔlsa bigin:

• Di bɔdi we de na di leg dɛn de tɔn rɛd ɛn swel.
• Di skin kin tik, at, ɛn tɔn dak kɔlɔ (bɔku tɛm i kin bi rɛd, pepul, ɔ brawn).
• i kin bi se yu de sכmtεm sכmtεm sכmtεm εn it na di εria we i afekt (wi kכl dis ‘stasis dεrmatitis’ ).
• Varicose veins na wan kɔmɔn sayn fɔ divεlכp vein prכblεm.

Stasis ɔlsa dɛn kin gɛt dɛn kayn tin ya:

• Bɔku tɛm, injury kin apin rawnd di anklɛ.
• Di wund dɛn nɔ dip ɛn dɛn kin kɔba dɛn wit rɛd to yɔlɔ kɔtin.
• di shep fכ di lεsin dεm nכ de rεgulεr, wit ed dεm we nכ ivin.
• Di skin we de rawnd di wund kin shayn ɛn i kin tan lɛk se i strɛch.
• Da eria de kin fil wam pas ɔda ples dɛn.
• Di wund dɛn kin mek pɔsin fil pen ɛn i kin kɔmɔt frɔm wata lɛk blɔd ɔ wata. If dɛn gɛt di sik, dɛn kin gɛt dɔti smel ɛn pus.

Di sayn dɛn we de sho se pɔsin gɛt ɔlsa na di at

Dɛn sayn ya kin apin bifo yu gɛt ɔlsa na di at:

• Di skin we de rawnd di wund kin shayn ɛn dray. I kin tan lɛk bak se i tayt ɛn i kin flay.
• di ia we de lכs kin apin na di an/leg we i afekt כ nia di wund biכs fכ di bכdi we nכ de kכmכt fayn.
• Blɔd kin stɔp fɔ flɔ we yu ledɔm ɔ es yu leg ɔp. Dis kin mek yu leg dɛn fil lɛk se dɛn nɔ gɛt wan bɔt ɛn kol. Yu leg kin at we yu es yu leg ɔ ledɔm. (Dis pen kin kɔmɔt bay we yu lɛf yu leg dɛn fɔ hang dɔŋ. Yu leg dɛn kin tɔn rɛd bak as blɔd de flɔ bak to nɔmal.)

di atεrial כlsa dεm kin gεt dεn simptom dεm ya:

• Sɔl kin bigin fɔ mek na di pat dɛn na di bɔdi we de fa frɔm di at, mɔ na di fut finga dɛn ɛn bitwin di fut finga dɛn.
• di lεsin dεm de sho dak in kכla (sεf rεd, yכlכ, grey, blak).
• Di wund dɛn dip, sɔntɛnde dɛn kin ivin sho di mɔsul dɛn ɔ di tɛndon dɛn.
• Di ed dɛn we de rawnd di wund tan lɛk se dɛn dɔn push dɛn kɔmɔt.
• Sɔntɛm di wund dɛn nɔ kin blɔd, ɛn nɔ kin fil pen.

Udat dis tin kin afɛkt mɔ?

Venɔs ɔlsa kin bɔku pan pipul dɛn we dɔn ol ɔ di wan dɛn we gɛt sɔm wɛlbɔdi prɔblɛm, mɔ di wan dɛn we gɛt at ɛn blɔd prɔblɛm. Di kɔndishɔn dɛn we gɛt fɔ du wit dis na:

• Dayabitis (Dayabetes Mɛlitɔs) .
• Fat
• Pεrifεral Vaskul Disεs - dat na, Pεrifεral Atεri Disiz (PAD) כ Pεrifεral Venכs Disiz (PVD) .
• Di sik we de ambɔg di at ɛn di blɔd
• Ay blɔd prɛshɔn (Hypertension) .
• Smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok

Ivin if di sik nɔ de, di venɔs ɔlsa kin kam if di blɔd nɔ de flɔ fɔ ɔda rizin dɛn. Fɔ ɛgzampul:

• Injury: If pɔsin brok, bɔn, ɛn in mɔsul dɛn kin pwɛl di blɔd vesel dɛn we de nia am ɛn i kin mek prɔblɛm wit di blɔd we de go ɔlsay.
• Fɔ tinap fɔ lɔng tɛm: Pipul dɛn we tinap fɔ lɔng tɛm we dɛn nɔ de muf (lɛk di wan dɛn we de wok na di keshia, di wan dɛn we de wok na di bekeri, di wan dɛn we de wok na di ɔtel) kin gɛt blɔd we kin gɛda na di vein dɛn na dɛn leg. we di valv dεm na di vein dεm nכ de wok fayn, di bכdi nכ de fכlכ fayn bak to di at. dis de put tu mכch prεshכn pan di vein dεm εn mek dεn big, we de mek ‘Varicose Veins’. afta dat, wata de lik frכm di vein dεm go insay di tisu dεm we de rawnd, we de mek dεn swel. dis wata, wit bכdi εn protin dεm kin mek brawn spat dεm na di leg dεm, spεshal wan na di insay pat na di groin εria. Dis kin mek yu it, ɛn di skin kin dray ɛn krak. baktri dεm kin go insay dεn krak krak dεm ya εn mek wan skin infεkshכn we dεn kכl ‘Cellulitis’ כ wan wund we rilet to di vein dεm.
• Famili histri: If pɔrsin na yu famili dɔn gɛt dɛn kayn injury ya, yu kin de pan denja fɔ gɛt dɛn kayn bad bad tin ya bak.

Wetin mek dɛn kayn injury ya kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔku tɛm, dɛn kin sheb di venɔs ɔlsa akɔdin to di ɔndalayn kɔz dɛm. Bɔt wan ɔlsa kin gɛt bɔku tin dɛn we kin mek i apin. Wan gud ɛgzampul fɔ dis na di divɛlɔpmɛnt fɔ di venɔs ɔlsa bikɔs ɔf dayabitis.

• Stasis Ɔlsa: Dɛn kin kam bikɔs ɔf prɔblɛm wit di vein dɛm. di mכtalman in venכs כlsa dεm de fכl insay dis kεtכgrεf. Dɛn kin kam mɔr na yu leg ɛn fut as yu de ol. dis kin apin we di valv dεm na di vein dεm na di lεg dεm nכ de du dεn wok fayn fayn wan. Dis min se di blɔd we fɔ de go ɔp to di at nɔ go ebul fɔ stɔp fɔ flɔ dɔŋ bikɔs ɔf di graviti. Dis kin mek mɔ blɔd kin gɛda na di leg ɛn fut, ɛn dis kin mek di blɔd vesel dɛn gɛt mɔ prɛshɔn. Dis prɛshɔn kin mek di vein dɛn lik wata ɛn ivin bɔs. As tɛm de go, dis kin mek pɔsin gɛt ɔlsa.
• Arterial Ulcers: Dɛn kin kɔl dɛn tin ya bak ‘Ischemic Ulcers’ . Dɛn kin kam bikɔs blɔd nɔ de flɔ na di say we di sik dɔn afɛkt. Wi de kɔl dis ‘Ischemia’.Dɛn kin kɔl am bak. Bikɔs di blɔd nɔ de go ɔlsay, di pat na di bɔdi we afɛkt (bɔku tɛm na an ɔ leg) kin bigin fɔ day smɔl smɔl.

Aw yu no dis? Aw dɔktɔ dɛn kin no se i gɛt am?

Dɔktɔ kin no kwik kwik wan if yu gɛt ɔlsa na di venɔs bay we i chɛk am. I go luk di wund gud gud wan, sɔntɛm i go palpat di say we de rawnd am, ɛn chɛk fɔ si if ɛni spɛshal sayn de.

Bɔt di dɔktɔ nid fɔ no bak wetin mek di pɔsin wund. Di infɔmeshɔn we dɛn gɛt we dɛn de chɛk di injuri go ɛp bak fɔ du dis. Bɔt dɛn go ɔda sɔm tɛst dɛn bak fɔ ɔndastand di rayt tin we mek dɛn du am. Dis na bikɔs sɔm tin dɛn kin de we kin afɛkt di venus injury, ɛn dɛn tin ya kin gɛt fɔ du wit dɛnsɛf.

Us tɛst dɛn de du?

Yu dɔktɔ ɔ spɛshal pɔsin kin du dɛn tɛst ya:

• Blɔd prɛshɔn: Di dɔktɔ go mɛzhɔ di blɔd prɛshɔn na yu an. I go mɛzhɔ di blɔd prɛshɔn bak na yu leg fɔ si if difrɛns de bitwin dɛn tu. Dɛn kɔl dis tɛst di Ankle-Brachial Index (ABI) tɛst .
• Lisin to yu at ɛn chɛk yu puls: We yu dɔktɔ lisin to yu at ɛn brith, i kin luk fɔ pruf fɔ se yu gɛt at sik we de ɔnda di at we kin mek yu gɛt di venous lesions. Dɛn kin fil bak di puls (peripheral pulses) na yu lכw leg εn fut. Di trɛnk we dɛn puls ya gɛt — ɔ if yu nɔ fil ɛni puls — kin ɛp yu dɔktɔ fɔ mek yu no mɔ bɔt di sik.
• Blɔd tɛst: Blɔd tɛst kin ɛp yu dɔktɔ fɔ no if yu gɛt di sik ɛn disayd aw fɔ trit yu injury. Wan patikyula tɛst na di A1C ɛmoglobin tɛst . Dis kin ɛp fɔ no if yu gɛt dayabitis ɛn if na so i gɛt, aw i rili bad.
• Imajin: Yu dɔktɔ kin ɔda fɔ mek dɛn tek imej tɛst fɔ mek dɛn nɔ jɔs luk di injuri bɔt fɔ luk bak pan di blɔd we de flɔ rawnd am. Dɛn kin ɔda bak fɔ mek dɛn tek imej tɛst fɔ di men at ɛn vein dɛn ɔdasay na di bɔdi, bikɔs dɛn tin ya kin sho bak prɔblɛm dɛn we gɛt fɔ du wit wan vaskul injuri. Dɛn tɛst dɛn ya kin bi ɛkstrem rayt, MRI, CT skan , ɛn ɔltra saund .

Yu tink se dɛn wund ya kin wɛl? Wetin na di tritmɛnt dɛn?

Bɔku tɛm, wan venɔs ɔlsa kin wɛl. Bɔt di chans fɔ mek di wund wɛl dipen pan aw i rili bad. So, fɔ trit di venɔs ɔlsa kwik kwik wan rili impɔtant fɔ mek yu gɛt gud autkam.

I impɔtant bak fɔ adrɛs di ɔndalayn prɔblɛm we mek di injuri. Yu dɔktɔ go trit di injury ɛn tɛl yu aw fɔ trit ɛni ɔndalayn wɛlbɔdi prɔblɛm we yu gɛt. Sɔm pan di tin dɛn we i go tɛl yu fɔ du na fɔ chenj di we aw yu de liv yu layf. Dɛn chenj ya kin ɛp fɔ ridyus yu risk fɔ gɛt ɔda injury ɛn fɔ mek yu layf bɛtɛ.

Di we aw dɛn kin trit am

Dɛn kin yuz difrɛn tritmɛnt dɛn dipen pan aw di venɔs ɔlsa dɛn bad ɛn wetin mek dɛn gɛt am.

Di mɛrɛsin dɛn we dɛn kin yuz

• Antibayɔtik: Dɛn kin trit infɛkshɔn ɛn, insay sɔm kes dɛm (lɛk afta dɛn dɔn ɔpreshɔn), dɛn kin gi am bak fɔ mek i nɔ gɛt infɛkshɔn.
• Jɛl ɛn ɔntmɛnt dɛn we dɛn kin put pan pɔsin: Dɛn tin ya kin ɛp fɔ pul di tisu we dɔn day ɔ we gɛt di sik, i kin mek di blɔd flɔ fayn fayn wan na di say we di sik afɛkt, i kin mek di wund nɔ gɛt di sik, ɛn i kin ɛp fɔ mek di wund wɛl kwik kwik wan.
• Mɛrɛsin fɔ trit di prɔblɛm we de ɔnda yu: Tin dɛn lɛk fɔ kɔntrol yu blɔd prɛshɔn ɛn kɔlɔstrel, fɔ lɛf fɔ smok, ɛn fɔ kɔntrol di shuga we yu gɛt na yu blɔd kin ɛp fɔ mek di wund dɛn wɛl.
• Di mɛrɛsin dɛn we de mek pɔsin fil pen ɔ we de mek pɔsin nɔ fil fayn: Venɔs ɔlsa ɛn sɔm pan dɛn tritmɛnt dɛn kin mek pɔsin fil pen. Na kɔmɔn tin fɔ yuz mɛrɛsin fɔ mɛn pen ɔr mɛrɛsin fɔ mek yu nɔr fil fayn we yu de trit yu.

Bandej ɛn dresin dɛn

Dɛn kin yuz bandej ɛn difrɛn kayn tin dɛn we pɔsin kin wɛr fɔ mɛn ɔlsa na di venɔs. Dɛn fɔ yuz dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu. If yu nɔ yuz am di rayt we, di venɔs ɔlsa kin wɔs instead fɔ bɛtɛ.

• Bandej: If yu kɔba di wund wit bandej we de protɛkt yu, dat kin ɛp fɔ protɛkt yu frɔm infekshɔn. Sɔm bandej dɛn kin gɛt mɛrɛsin bak, we kin ɛp di wund fɔ wɛl kwik kwik wan.
• Kɔmpreshɔn klos: Dɛn tin ya na sɔks, stɔkin, ɛn ɔda tin dɛn. Dɛn kin put prɛshɔn pan di wan ol leg, ɛn dis kin ɛp fɔ mek i nɔ swel ɔ stɔp fɔ swel. Dɛn kin yuz dɛn fɔ di venɔs ɔlsa. Dɛn kin ɛp fɔ mek blɔd nɔ gɛda na di leg ɛn fut.
• Spɛshal shuz, sɔks ɔ ɔtotik divays: Bɔku venɔs ɔlsa, mɔ di ɔlsa we gɛt dayabitis, kin kɔmɔt frɔm simpul frikshɔn ɛn prɛshɔn. Bɔrku tɛm, we yu fil pen, yu kin chenj di we aw yu de waka ɛn ridyus di damej na di say we di sik dɔn ambɔg. Bɔt dis nɔ kin bi wit ɔlsa we gɛt dayabitis. Bɔku tɛm, dɛn kin kam bikɔs di fut dɛn nɔ kin fil fayn ɔl ɔ sɔm pat pan am.

Advans we dɛn fɔ du tin

Dɛn kin yuz dɛn advans tritmɛnt ya fɔ big, ɔ venous wund dɛn we kin tek lɔng tɛm fɔ wɛl.

• Rivaskulayzeshɔn: we di impɔtant blɔd vesel dɛn blok kin mek yu gɛt ɔlsa na di venɔs. Rivaskulayzeshɔn tritmɛnt dɛn kin tray fɔ pul dɛn blɔk ya, mɛn ɔlsa dɛn we dɔn de, ɛn mek nyu ɔlsa dɛn nɔ fɔm.
• Ɔpreshɔn: Dɛn kin du ɔpreshɔn fɔ wund dɛn we gɛt di sik ɔ we big ɛn we at fɔ wɛl. Dɔktɔ we de du ɔpreshɔn kin du ɔpreshɔn fɔ pul di tisu we dɔn day ɔ we gɛt di sik frɔm di dip wund ( ‘Debridement’ ), we kin mek i izi fɔ mek di wund wɛl. Dis kin inklud:Dɛn kin yuz skin graft ɛn ɔda we dɛn fɔ mek di say dɛn we dɔn pwɛl. .
• Prɛskrib fɔ waka: Fɔ du bɔdi wok, mɔ we yu du am wit dɔktɔ advays, kin ɛp fɔ mek di blɔd go fayn ɛn fɔ mek nyu venɔs ɔlsa nɔ kam.
• Hyperbaric oxygen therapy: Di nכmal כksijεn lεvεl we de rawnd wi na 21%. insay ‘Hyperbaric oxygen therapy’, dεn de put yu insay wan chεmba we gεt 100% כksijεn kכnsantreshכn εn inkrεs pan di atmosfεrik prεshכn. Ɔnda dɛn kɔndishɔn ya, wund dɛn, mɔ di wund dɛn we de na di venɔs, kin wɛl kwik kwik wan.
• Debridement: Tisu we dɔn day ɛn we gɛt di sik we de insay ɛn rawnd dip wund kin mek i nɔ wɛl ɛn i kin mek i gɛt prɔblɛm dɛn we kin mek i gɛt prɔblɛm lɛk gangrene. Dibridement involv fɔ pul dis tisu we dɔn day ɔ we gɛt di sik, ɛn lɛf ɔl di tisu we gɛt wɛlbɔdi.

Aw fɔ kɔntrol di sayn dɛm ɛn ridyus di risk?

If yu de pan denja fɔ gɛt venɔs ɔlsa, tin dɛn de we yu kin du fɔ protɛkt yu wɛlbɔdi ɛn fɔ mek ɔlsa nɔ kam. Dis impɔtant mɔ if yu gɛt dayabitis ɔ ɔda tin we de mek yu fut nɔ fil fayn.

• Chek yusɛf: Chek yu fut ɛvride. Pe spɛshal atɛnshɔn to bitwin di fut finga dɛn, rawnd di anklɛ dɛn, ɛn na di fut dɛn.
• Protɛkt yu fut: Protɛkt yu fut frɔm injury bay we yu wɛr sus ɛn sɔks we fit fayn fayn wan.
• Gɛt di rayt kia fɔ yu fut: If yu gɛt dayabitis, yu fɔ go to dɔktɔ we de mɛn yu fut ɔltɛm fɔ chɛk yu fut fɔ si if yu gɛt sayn dɛn fɔ ɔlsa. I go advays yu bɔt di bɛst we fɔ kia fɔ yu fut.
• Kɔntrol di ɔndalayn mɛdikal kɔndishɔn dɛm: If yu tek kia ɔf tin dɛm lɛk yu blɔd prɛshɔn, kɔlɔstrel, yu blɔd shuga lɛvɛl, ɛn yu wet kin ɛp fɔ mek yu nɔ wund.

If yu dɔn ɔlrɛdi gɛt venɔs ɔlsa, yu dɔktɔ go gayd yu aw fɔ kia fɔ am. Bɔku tɛm, i go advays yu bɔt dɛn tin ya:

• Kip di wund klin: Yuz bandej ɛn chenj am lɛk aw di dɔktɔ tɛl yu.
• Rɛst lɛk aw dɛn advays yu: If yu gɛt venɔs ɔlsa, yu dɔktɔ go tɛl yu fɔ kip yu leg dɛn ɔp fɔ mek yu nɔ swel.
• Tek yu mɛrɛsin kɔrɛkt wan: Tek yu mɛrɛsin, mɔ di antibayɔtik, blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel mɛrɛsin, di rayt tɛm.

Wetin yu kin ɛkspɛkt we yu de liv wit dis injury?

If yu gɛt venous ulcer, ɔ yu dɔn gɛt wan bifo, yu de pan big risk fɔ gɛt ɔda wan. Fɔ kia fɔ yu wɛlbɔdi na di bɛst we fɔ delay fɔ mek yu gɛt nyu ɔlsa. If yu de manej yu wɛl bɔdi, yu go liv lɔng ɔlsay ɛn yu nɔ go gɛt bɛtɛ wɛlbɔdi prɔblɛm.

Na di ɔda say, if yu nɔr tek kia ɔf yu wɛl bɔdi, di venɔs ɔlsa – ɛn yu ɔl wɛl bɔdi – go mɔs wɔs. Di wɔs tin, if yu nɔ tek di ɔlsa ɛn yu wɛlbɔdi biznɛs, i kin mek yu kɔt yu an, ɛn ivin day.

Ustɛm yu fɔ go to dɔktɔ?

Si yu famili dɔktɔ wan tɛm insay di ia fɔ mek dɛn chɛk yu bɔdi kɔmplit wan. Dis impɔtant fɔ no bɔt wɛl bɔdi prɔblɛm, inklud di wan dɛn we kin mek yu gɛt vaskul lɛshɔn, ivin if dɛn nɔ sho di sayn dɛm.

Dɔn bak, tɔk to yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• If wund na yu leg ɔ fut de tek lɔng pas aw yu bin de tink fɔ wɛl.
• If yu gɛt sɔm sayn dɛm we de sho se yu gɛt prɔblɛm wit di blɔd we de go na yu leg (espɛshali we yu de swel, pen, yu kɔlɔ de chenj, ɔ yu de fil pen we de chenj dipen pan aw yu de ol yu leg).
• If yu gɛt pen na yu leg we kin bɛtɛ wit rɛst.

Ustɛm yu fɔ go na di Imejɛnsi Rum?

If yu gɛt venɔs wund, i kin gɛt infɛkshɔn ɛn yu gɛt dɛn sayn ya, yu fɔ go na di imejensi rum:

• If di skin we de rawnd di say we di sik dɔn tɔn dak brawn ɔ blak, mɔ na di finga dɛn.
• If yu gɛt fiva ɔ yu de kol ɛn yu de shek shek.
• If bad bad smel de kɔmɔt na di venɔs wund.
• If di venɔs wund de kɔmɔt mɔ wata ɔ blɔd pas aw i kin kɔmɔt, mɔ if di wata we de kɔmɔt na klawd ɔ yɔlɔ.
• If di wund ɛn di say we de rawnd am swel, rɛd, ɛn fil wam we yu tɔch am.

Fɔ sɔmtin, mɛsej we yu kin kɛr go na os:

Vascular ulcers kin bi sayn fɔ wan ɔndalayn krεse hεlth kכndishכn. Pan ɔl we dɛn tin ya siriɔs, yu kin ebul fɔ kɔntrol dɛn ɛn yu kin ɛnjɔy yu layf. Nɔ fred ɔ panik.

Yu dɔktɔ kin gayd yu, gi yu di tin dɛn we yu nid, ɛn gi yu ɔda sɔpɔt. Ɔl dis go ɛp yu fɔ mek di sik dɛn we nɔ de mɛn nɔ ambɔg yu layf ɛn liv di layf we yu want. I impɔtant fɔ go to dɔktɔ kwik kwik wan. Tek kia of yu fut, tek kia of yu helt.

` Venus wund, sirkulatory prɔblɛm, fut wund, venus wund, arterial wund, dayabitik wund, wund we nɔ de wɛl