Sɔm ‘vessel’ dɛn we de insay yu bɔdi dɔn blok? Lɛ wi lan bɔt (Stenosis) ɛn (Stricture) insay wan simpul we!

Sɔntɛnde, yu nɔ kin blo bɛtɛ we yu de klaym stej? Ɔ yu kin fil wan strenj pen dɔŋ yu leg afta yu dɔn tinap fɔ sɔm tɛm? Ɔ yu kin fil lɛk se yu de chok we yu de swɛla it? sכmtεm dεn tin ya kin kכz bay we di imכtant pasej dεm, chanεl dεm כ ‘tyub dεm’ we de insay di bכdi de sכmtεm sכmtεm. Tide, wi go tɔk bɔt dɛn ‘narrowings’ ya, we na wetin dɔktɔ dɛn kin kɔl dis kɔndishɔn (Stenosis) ɛn (Stricture) . Nɔ wɔri, lɛ wi ɔndastand dis simpul wan.

Wetin na (Stenosis) ɛn (Stricture)?

Fɔ tɔk am simpul wan, di wɔd dɛn (Stenosis) ɛn (Stricture) de tɔk bɔt we wan chanɛl, pasej, ɔ ivin smɔl ol na yu bɔdi we smɔl ɔ blok. Imajin if wan dɔti stɔp na wata paip, i nɔ go izi fɔ mek di wata pas, nɔto so? Dis na sɔntin we tan lɛk dat. bikɔs ɔf dis, tin dɛn we nid fɔ pas na da pasej de (fɔ ɛgzampul, blɔd, it, briz, urine, ɛn ɔda tin dɛn) nɔ kin ebul fɔ flɔ fayn fayn wan.

Bɔku tɛm, dɛn kin yuz dɛn tu wɔd ya fɔ chenj dɛnsɛf. Dat min se, dis na prɔses wae rili nɔr fɔ apin ɛn kin ambɔg yu. Dɛn tin ya nid fɔ gɛt tritmɛnt , mɔ if yu gɛt sɔm sayn dɛn. So i impɔtant fɔ mek yu no bɔt dis we yu de disayd fɔ du sɔntin bɔt yu wɛlbɔdi biznɛs.

(Stenosis) ɛn (Stricture) - Difrɛns de?

infakt, pan ɔl we di bɛsis minin fɔ di tu wɔd dɛn na "narrowing", sɔm tɛm dɛn de dɔktɔ dɛn kin yuz dɛn wɔd ya difrɛn we fɔ difrɛn pat dɛn na di bɔdi.

Dɛn kin yuz di wɔd stenɔsis :

• di bכ di vεsul dεm (atεri dεm) de sכmtεm sכmtεm sכmtεm dεm. Fɔ ɛgzampul, di karotid at dɛn we de na yu nɛk (di at dɛn we de kɛr blɔd go na yu bren) ɔ di rɛnɛral at dɛn we de kɛr blɔd go na yu kidni dɛn.
• Narrowing of di hat valv dεm. fכ egzampl, di aorta valv כ di mitral valv.
• Narrowing of some parts of the respiratory system , fɔ ɛgzampul yu winda paip (trachea) ɔ yu vɔys bɔks (larynx).

Sɔmtɛm dis stenɔsis kin rili smɔl, ɛn nɔr kin gɛt ɛni sayn. Bɔt ivin smɔl wan kin big as tɛm de go, i kin mek pɔsin gɛt sɔm sayn dɛn, ɔ i kin mek i gɛt prɔblɛm dɛn we de mek i sɔfa. fכ egzampl, if bכdi we de kכri bכdi go na yu bren rili sכm, yu kin gεt ``Stroke``.

Dɛn kin yuz di wɔd strikt mɔ fɔ tɔk bɔt narrowings lɛk:

• Pat dɛn na di dijestiv sistɛm . Fɔ ɛgzampul, yu εsophagus, intestinal, ɔ bayl dakt.
• Pat dɛn na di urinary system . fכ egzampl, di urethra כ di blad nεk.
• Pat dɛn na di riprodaktiv sistɛm . fכ egzampl, di vagina (`(Vagina)`) כ di sεviks (`(Cervix)`).

Usay dɛn smɔl smɔl tin ya kin apin? (Tayp dɛn fɔ Stenɔz ɛn Strikchɔ dɛn)

Dɛn kayn smɔl smɔl tin ya kin apin na bɔku say dɛn na yu bɔdi. Lɛ wi luk sɔm pan di men tin dɛn we dis kin afɛkt.

di at valv dεm εn di bכdi vεsεl dεm (sεkyulatory sistεm) .

Di valv dεm na yu at tan lεk "do dεm." Dɛn domɔt dɛn ya kin opin ɛn lɔk fɔ mek blɔd go na di rum dɛn na yu at. di bכdi vεsεl dεm lεk "paip" dεm we de kכri bכdi we gεt כksijεn ɔlsay na yu bכdi. If dɛn tin ya smɔl, siriɔs prɔblɛm dɛn kin apin.

Na sɔm ɛgzampul dɛn ya:

• di aortic valve stenosis: Dis na we di men valv we de kכri bכdi frכm di at to di bכdi we de sכmtεm sכmtεm sכmtεm. Dis kin pwɛl di at.
• Carotid artery stenosis: Dis kin apin we di men at we de na yu nɛk we de kɛr blɔd go na yu bren we smɔl. Bɔrku pipul dɛn kin gɛt dis sik afta dɛn dɔn gɛt transient ischemic attack (TIA) ɔr big big strok. Imajin se yu padi nɔ de tɔk igen wantɛm wantɛm ɛn i nɔ ebul fɔ kɔntrol in an ɛn fut dɛn igen. Dis kin bi so.
• (Coronary artery disease): Pan ɔl we di nem fɔ dis sik nɔ rayt (Stenosis), na dat kin rili apin. di at dεm we de gi bכdi to di at (`(Coronary arteries)`) de sכmtεm sכmtin dεm we fεt (`(Plaque)`). If dɛn tu smɔl, `(Hat atak)` kin apin.
• Mitral valv stenosis: di valv we de kכri bכdi frכm di כp lεft chεmba na di at to di lכw lεft chεmba de sכmtεm.
• Pulmonary artery stenosis: Dis na wan sik we kin apin to yɔŋ pikin ɛn pikin dɛn. Wan ɔ mɔ pan di at we de kɛr blɔd kɔmɔt na di at to di lɔng dɛn kin smɔl.
• di rεnal atεri stεnosis: di atεri dεm we de gi bכdi to di kidni dεm de sכm. Pan ɔl we nɔr kin gɛt ɛni sayn fɔs, as di sik de go bifo, di kidni dɛn kin wok fayn fayn wan.
• Subclavian artery stenosis: Na wan at we de gi blɔd to yu an we de smɔl. Bikɔs i kin afɛkt di lɛft an, di sayn dɛm (lɛk fɔ tingling, fɔ swɛt) kin apin na di lɛft an.

Spine

Yu spayna na di pat pan yu bɔdi we de gi yu trɛnk ɛn ɛp yu fɔ muv. i mek wit 33 sכm sכm bon dεm (Vertebrae) we dεn stכk pan dεn wan dεm. We dɛn bon dɛn bon ya layn, wan smɔl kanal de we de rɔn tru dɛn. Dɛn kɔl dis di Spinal Kanal. yu spεnal kכd de rכn tru dis kanal.

jכs lεk aw bot de muv along wan kanal, di spεnal kכd de muv bak along dis `(Spinal canal).` Jεs lεk aw di kanal nid fכ wayd fכ di bot fכ pas, di spεnal kכd tu nid fכ gεt rum insay dis kanal.

if dis `(Spinal canal)` sכmtεm sכmtεm εnisay, i kin prεs pan di nεv dεm na di spεnal kכd, we kin mek yu simptom dεm lεk pen εn sכm. dis na wetin dכkta dεn kכl `(Spinal stenosis) .` pan כl we i kin apin εnisay na di spayna, i kin afekt yu lכw bak (`(Lumbar spine)`) εn nεk (`(Cervical spine)`).

Foraminal stenosis na ɔda kayn spaynal stenosis. dis na di say we di ol dεm we di nεv dεm de kכmכt na di spεnal kכd kin sכm.

Di sistɛm we de mek pɔsin ebul fɔ blo

Yu aywe na di pasej we yu bɔdi de yuz fɔ blo insay ɛn kɔmɔt. Fɔ kip dɛn opin rili impɔtant fɔ mek yu ebul fɔ blo.

Tracheal stenosis na we yu men winda paip (trachea) de smɔl. dis kin bi we di ska tisu we de fכm na di winda paip. Bɔku tɛm, i kin bi wan sayd ɛfɛkt we pɔsin kin put insay intubeshɔn.

sכbglotik stεnosis na we di lכw pat pan di larynx de sכmtεm sכmtεm. I nɔ kin kɔmɔn lɛk tracheal stenosis. Sɔntɛnde, i kin kam bikɔs dɛn put intubeshɔn ɔ infekshɔn, bɔt bɔku tɛm dɛn nɔ kin fɛn ɛni kɔz.

Dijestiv sistɛm

di dijestiv sistεm na di say we yu de digεst di it we yu de it εn tek di nyutriεnt dεm frכm am. Na de bak yu de mek ɛn pul dɔti (feces).

Narrowings kin apin na difrɛn say dɛn na dis sistɛm:

• εsophageal stricture: Di εsophagus de sכmtεm sכmtεm. Bɔku tɛm, di asid we de kɔntinyu fɔ kam bak na di men tin we kin mek dis apin.
• intestinal stricture: na di sכm pat pan di sכmכl intestinal (`(Smכl intestinal)`) כ big intestinal (`(Colon)`) we de sכmtεm sכmtεm sכmtεm sכmtεm. dis dεn kכl am bak `(Smכl bכwel strikt)` כ `(Kכlonik strikt)`. dis risk kin bכku pan pipul dεm we gεt sik lεk `(Crohn's disease)` bikoz fכ di intestinal inflameshn we de kɔntinyu. Dis kin mek yu gɛt `(Bowel obstruction)`.
• Anal stenosis: Narכw di anal kanal. dis kin apin bכku tεm bikoz fכ di ska tisu afta dεn du di anal כpεrayshכn (lεk anoplasty).
• biliary stricture: Na di bayl dakt dεm we de kכri bayl (wan wata we de εp fכ digεst it) frכm di liva to di sכmכl intestכn we de sכmtεm כ blok. Pankrias kansa ɛn bayl dakt kansa na di men tin dɛn we kin mek dis apin.

Urinary ɛn riprodaktiv sistɛm dɛn

Sɔntɛnde, sɔm pat dɛn na yu urinary tract ɔ riprodaktiv sistɛm kin smɔl. Dis kin bi wan sayd ɛfɛkt fɔ sɔm tritmɛnt, ɔpreshɔn, ɔ bikɔs ɔf injury ɔ infɛkshɔn. Dɛn kɔndishɔn ya kin difrɛn bay wɛda man ɔ uman.

Sɔm ɛgzampul dɛn:

• di blad nεk kכntrakt: na di nεk we de sכmtεm sכmtεm usay di urine de kכmכt na di blad (`(Bladder)`) insay di urethra (`(Urethra)`). dis kin apin pan man dεm afta dεn du prכstat כpεrayshכn (`(Prostate כpεrayshכn)`).
• Yurethral strikt: Di urethra de smɔl. Dis kin afɛkt man dɛn bak mɔ. di posita urethral stenosis na we di כp pat pan di urethra de sכmtεm sכmtεm.
• Vagina stenosis: di vagina kanal de sכmtεm sכmtεm. dis kin apin pan uman dεm as sayd ifekt fכ rεdyushכn tεrapi to di pεlvik εria.

Wetin na di sayn dɛm fɔ dis narrowings?

So, wetin na di sayn dɛm fɔ narrowing na dɛn ples ya? Fɔ tru, na datI dipכnt כlsay pan usay na di bכdi di narrowing de. Sɔntɛnde , sayn nɔ kin de atɔl. Bɔt sɔm kɔmɔn sayn dɛn de we pɔsin kin si. Fɔ ɛgzampul:

• If wan at valv sכmtεm: i at fכ brith, yu chεst de pen, fכn.
• if di spεnal kanal sכmtεm: bak εn leg de pen, sכmtεm sכmtεm, i at fכ waka.
• If di say we di briz de blo smɔl: We yu de blo, yu nɔ de blo fayn.
• If di εsophagus smɔl: i nɔ kin izi fɔ swɛla it, it kin stɔp.
• if di urethra sכmtεm: i at fכ pis, wik urine strim.

Wetin mek dɛn smɔl smɔl tin ya kin apin? Wetin na di rizin dɛn?

Bɔku rizin dɛn kin de we mek dɛn kayn tin ya kin apin.

• di plek we de kכmכt na di bכdi vεsul dεm (di bכdi de blok bikoz fεt εn kכlestכl de dכn).
• As wan sayd ɛfɛkt fɔ sɔm mɛrɛsin ɛn ɔpreshɔn dɛn .
• Sik we de prɛd.
• Injuri (`Injuri` ɔ `trauma`).
• Ɔda sik dɛm, mɔ di wan dɛm wae kin mek pɔrsin gɛt inflamɛns we nɔr de dɔn (e.g. Crohn’s disease).
• Wit di chenj dɛm na di bɔdi as wi de ol .
• Sɔntɛnde , yu nɔ go ebul fɔ fɛn rizin.

Aw dɔktɔ kin no bɔt dis?

If yu gɛt sɔm sayn dɛm, dɔktɔ go luk fɔ dɛn narrowings ya. Bɔku tɛm, dɛn kin du dis di we aw dɛn de du am:

• Dɛn go chɛk yu ɛn aks yu gud gud wan bɔt di sayn dɛm we yu gɛt .
• Dɛn kin du blɔd ɛn/ɔ urine tɛst .
• Dɛn kin du spɛshal tɛst dɛn fɔ tek pikchɔ fɔ luk insay di bɔdi . Dɛn tin ya kin bi ɔltra saund skan, MRI (Magnetic Resonance Imaging), ɔ CT skan (Computed Tomography scan).
• Sɔntɛnde, dɛn kin du ɛndoskopi, we dɛn kin put wan smɔl tiub (skɔp) we gɛt kamɛra insay di bɔdi . Dis kin mek pɔsin ebul fɔ si di insay pat pan di bɔdi dairekt wan.

If yu nɔ gɛt ɛni sayn, dɛn kin no se na sɔntin we dɛn kin fɛn we dɛn de du tɛst fɔ ɔda rizin.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)

Di gud nyus na dat, tritmɛnt dɛn de fɔ dɛn narrowings ya. Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay aw yu sik. Yu dɔktɔ go tɔk to yu bɔt di bɛst tritmɛnt fɔ yu. Jɛnɛral wan, di tritmɛnt dɛn na:

• Di mɛrɛsin dɛn we dɛn kin tek bay mɔt.
• Injεkshכn (lεk ``(Steroyd injεkshכn)``).
• Fizik tɛrapi.
• Speshal prosidur ɛn ɔpreshɔn.

Bɔku tɛm, ɔpreshɔn ɛn spɛshal tin dɛn we dɛn kin du kin du tin dɛn lɛk dis:

• Yuz sɔntin lɛk balyɔn fɔ mek wan ples we smɔl, big.(Fɔ ɛgzampul, Angioplasty, we dɛn kin du we di blɔd vesel dɛn blok).
• Dɛn kin put wan smɔl tin we tan lɛk mɛsh we dɛn kɔl stent fɔ mek di blɔk nɔ kam bak. Dis tan lɛk we yu put ɔda smɔl tiub insay di tiub we dɔn blok.
• Fɔ pul di blɔk `(Plak)` (tin dɛn lɛk ɔyl) (`(Endarterectomy)`).
• Fɔ pul di ska tisu.
• Fɔ bil bak ɔ fɔ chenj di pat dɛn we dɔn pwɛl.

כl di tεm dεm, dεn kin du dεn כpεrayshכn ya bay we dεn de yuz ``minimally invasive methods''. Dat min se dɛn kin du dɛn tru smɔl smɔl say dɛn we dɛn kɔt dɛn, we dɛn nɔ kin kɔt dɛn big big say dɛn. Yu mɛdikal tim go tɛl yu mɔ bɔt dis.

Wetin yu kin ɛkspɛkt afta yu dɔn gɛt tritmɛnt?

I impɔtant fɔ mɛmba dɛn tin ya:

• Di tritmɛnt kin tek sɔm tɛm. Yu kin nid fɔ go to yu dɔktɔ bɔku tɛm. fכ egzampl, dεn kin du dilayshכn fכ εsophageal strictures bכku tεm insay di wik.
• Dis sik kin kam bak afta dɛn dɔn trit am. fכ egzampl, wan bכdi we bin bכn wan tεm kin sכmtεm sכmtεm bak (`(Restenosis)`). If dis apin, dɛn go nid fɔ ripit di tritmɛnt.
• Fɔ fala pɔsin rili impɔtant. Di dɔktɔ go wach yu kɔndishɔn, wach aw yu wɛl afta yu dɔn trit yu, ɛn chɛk fɔ ɛni nyu prɔblɛm.
• Yu go nid fɔ mek sɔm chenj dɛn na di tin dɛn we yu de du ɛvride. Yu dɔktɔ kin gi yu advays bɔt aw yu de it ɛn wetin yu de du. Sɔntɛnde dɛn kin tɛl yu fɔ rɛst smɔl, sɔntɛnde dɛn kin tɛl yu fɔ muf smɔl mɔ.

Ustɛm yu fɔ rili go to dɔktɔ?

Mek shɔ se yu go na di apɔntinmɛnt we yu dɔktɔ gi yu. Aks if ɛnitin de we yu nɔ shɔ bɔt. If ɛni wan pan dɛn tin ya apin, kɔl yu dɔktɔ wantɛm wantɛm:

• If nyu sayn dɛn de sho, ɔ di wan dɛn we dɔn de de bɔku.
• If i tan lɛk se di tritmɛnt nɔ de briŋ di rilif we dɛn bin de op fɔ.
• If kɔmplikɛshɔn de afta di ɔpreshɔn, lɛk fiva, chenj na di say we dɛn kɔt am (kɔlɔ chenj, pus dischaj, swel).

Ivin if dɔktɔ kɔl am stenosis, yu kin fil lɛk se yu de swɛla we yu es sɔm klos ɛn klaym stej. Ɔ yu kin fil pen we kin travul dɔŋ yu leg afta yu dɔn tinap fɔ sɔm tɛm. Dis we aw di at dɛn we de insay yu bɔdi kin smɔl kin apin smɔl smɔl ɛn kwayɛt wan, te wan de yu no se dɛn sayn ya nɔto jɔs smɔl tin we kin mek yu vɛks.

If yu gɛt sayn dɛn we nɔ kɔmɔn ɔ yu fil lɛk se sɔntin nɔ fayn, i rili impɔtant fɔ go to dɔktɔ.

Yu dɔktɔ go tɔk to yu, rɔn tɛst if nid de, ɛn ɛp yu fɔ gɛt di tritmɛnt we yu nid. Na da tɛm de nɔmɔ yu go ebul fɔ wɛl kwik kwik wan.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

So, di las tin we a fɔ se na, nɔ fred we yu yɛri di wɔd dɛn "stenosis" ɔ "stricture." Dɛn tin ya ɔl de tɔk bɔt we wan say we yu kin pas na yu bɔdi kin smɔl.

• Bɔku tɛm, dɛn kin trit dɛn sik ya ɛn mɛn dɛn.
• If yu gɛt sɔm sayn dɛn, nɔ ignore dɛn. Ilɛksɛf i tan lɛk se na smɔl tin, dɛn kin bi di biginin fɔ wan big prɔblɛm.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. If yu du wetin di dɔktɔ tɛl yu fɔ du, yu go wɛl kwik ɛn yu go ebul fɔ liv nɔmal layf.
• Tek kia ɔf yu bɔdi. Pe atɛnshɔn to ɛni chenj we yu notis.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ. Na in na di bɛst pɔsin fɔ ɛp yu.

` Stenosis, strikt, narrowing, blok, blɔd vesel, at valv, spayna, aywe, alimɛnt kanal, (Stenosis), (Stricture), (Aortic stenosis), (Carotid artery stenosis), (Spinal stenosis), (Angioplasty), (Stent)