Yu fil se yu blɔd dɔn ridyus na yu an? Lɛ wi tɔk bɔt dis (Subclavian Artery Stenosis)!

Sɔntɛnde, yu kin fil taya, yu kin fil pen, ɔ yu kin swɛla we yu yuz yu an ɔ es sɔntin we ebi? Ɔ yu tink se wan an kin kol pas di ɔda wan? Dɛn tin ya kin bi sayn dɛn we de sho se wan big blɔd vesel we de gi blɔd to yu an dɔn smɔl. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya, we dɛn kɔl `(Subclavian Artery Stenosis)`.

Wetin na ``(Subklavian Atεri Stenosis)``? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, `(Subclavian Artery Stenosis)` na we di men blɔd vesel (wi kɔl am `(Subclavian Artery)`) we de gi blɔd to yu an we de smɔl, dat na, wan kɔndishɔn lɛk we yu blok. Imajin am lɛk se dɔti dɔn gɛda insay wata paip ɛn i de smɔl smɔl. Dɔn di spid we di wata de spid kin go dɔŋ, nɔto so? Na so i bi wit dis. כl di tεm dεm, dis narכw de apin we fεt sכbstans dεm (wi kכl dis `(plak)`) de dכn insay dis bכdi vεsεl. Bɔt ɔda rizin dɛn kin de bak. I tan lɛk `(speed bump)` na rod, we de slo di blɔd flɔ smɔl.

Yu go dɔn yɛri bɔt wan sik we dɛn kɔl Peripheral Artery Disease (PAD), we kin mek di blɔd vesel dɛn na di leg dɛn smɔl. dis kכndyushכn we de apin na di bכdi we de na di an, dεn kכl am Subclavian Artery Stenosis.

Bɔrku pipul kin gɛt dis sik bɔt nɔr kin sho ɛni sayn. Dat na bikɔs di ɔda blɔd vesel dɛn na wi bɔdi de wok fayn fayn wan we wɔndaful. If wan blɔd vesel blok, di ɔda blɔd vesel dɛn kin tray fɔ ful-ɔp di say we nɔ de. Dat min se dɛn kin tray fɔ gi di blɔd we di an nid sɔm kayn we.

כl di tεm dεm, dis `(Subclavian Artery Stenosis)` kכndyushכn de apin na di at we de gi bכdi to di lεft an . biכs, di `(Subclavian Artery)` we de na di lεft de divayd dayrekt frכm di `(Aorta)`, di big bכdi we de kכmכt frכm wi at. So, chans de fɔ mek yu gɛt prɔblɛm wit am. Di wan we de na di rayt say kɔmɔt na difrɛn blɔd vesel. Bɔt na smɔl tɛm nɔmɔ, yu kin si dis sik na di lɛft ɛn rayt an.

Aw dis sik kin kɔmɔn?

If yu luk di statystik na kɔntri lɛk Amɛrika, bɔku tɛm bitwin 2% ɛn 7% kin gɛt dis kɔndishɔn. כltu, pan dεn wan dεm we dεn כlrεdi gεt ``Pεrifεral Vaskulεr Disease'' (dεn blכd vεsul dεm we de sכmtεm sכmtεm), dis nכmba na lεk 19%. Dɛn kin tɔk bak se dis sik kin apin mɔ pan uman dɛn .

Wetin na di sayn dɛm fɔ `(Subclavian Artery Stenosis)`?

As wi bin dɔn tɔk, nɔto ɔlman go gɛt dis sik. Bɔt if dɛn du dat, dɛn kin tan lɛk dis:

• Mɔsul dɛn kin kramp we yu de yuz di an we dɛn afɛkt. Imajin se we yu es sɔntin we ebi ɔ du sɔntin wit yu an, di mɔsul dɛn na yu an kin tayt ɛn fil lɛk se dɛn de kramp.
• Pen ɔ stif na di an we yu de yuz di an we afɛkt.
• di an we de fil fכ sכmtεm כ lכs fכ fil na di an we dεn afekt (wi kכl dis ``Paresthesia''). I tan lɛk se di an jɔs de go numb.
• Diziz - Dis na tin we nɔ kin apin so ɔltɛm.
• Fainting - Dis na tin bak we nɔ kin apin so ɔltɛm.
• Vertigo - Dis na filin wae de spin arawnd yu. Dis kin apin bak we nɔ kin apin so ɔltɛm.

Bɔku pipul dɛn nɔ kin sho di sayn bikɔs di blɔd we de go na di an na ɔda blɔd vesel dɛn de gi am. Di sayn dɛm kin bigin fɔ sho afta di blɔd vesel dɔn smɔl lɛk 50% . Sɔmtɛm, wan sik wae dɛn kɔl ``Steal Syndrome'' kin mek ɔda sayn dɛm. Wi go tɔk bɔt dat leta.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Subclavian Artery Stenosis)`?

di men tin we de mek dis kכndyushכn na ``Atherosclerosis''. Dat min se, di fat (lɛk kɔlɔstrel) kin de insay di blɔd vesel dɛn, ɛn smɔl smɔl i kin mek di blɔd vesel smɔl . Jɔs lɛk aw mɔs kin gro na wata paip. Dis na di tin we kin mek pɔsin gɛt dis sik.

Apat frɔm dat, sɔm ɔda rizin dɛn kin de:

• Vasculitis: Na inflammatory condition we de apin na di blɔd vesel dɛm.
• Radieshɔn: If yu dɔn gɛt redyushɔn tritmɛnt fɔ sɔntin lɛk kansa na di chɛst eria.
• Thoracic Outlet Syndrome: Kכmpreshכn fכ di bכdi vεsul dεm εn nεv dεm we de kכmכt frכm di כp chεst to di nεk εn an.
• (Takayasu’s Arteritis): Na wan sik we de mek yu bɔdi wam ɛn i kin afɛkt di big blɔd vesel dɛn, mɔ pan yɔŋ uman dɛn.
• Fibromuscular Dysplasia: di bכdi vεsul dεm de sכmtεm bikoz fכ di mכsul εn kכnektiv tisu dεm we de gro na di wכl dεm na di bכdi.
• Nyurofibromatosis: Na wan jεnεtik kכndyushכn we de mek tכmכro dεm fכm na di nεv sεstem.

Wetin na di risk factor dɛm fɔ dis? Udat fɔ tek tɛm mɔ?

Sɔm pipul dɛn kin gɛt mɔ chans fɔ gɛt ``(Subclavian Artery Stenosis)``. Si if dɛn tin ya we kin mek yu gɛt prɔblɛm kin apin to yu:

• Fɔ bi bitwin 50-60 ia ol.
• Fɔ gɛt ay blɔd prɛshɔn (Hypertension). Dis na wetin wi kin kɔl "high blood pressure".
• Fɔ gɛt dayabitis (Dayabetes Mellitus / Dayabitis). Dɛn kin kɔl am bak "shuga sik", nɔto so?
• Di kɔlɔstrel we de na di blɔd de go ɔp.
• Fɔ it it dɛn we gɛt bɔku sɛtyuret fat ɛn trans fat (lɛk bɔta, majarin, it dɛn we gɛt fat, fast fud) .
• Yuz tin dɛn we dɛn kin mek wit tabak (lɛk fɔ smok, fɔ it betel nat).
• Sidɔm na wan ples fɔ tu lɔng ɛn nɔ du ɛksɛsayz.
• If yu bɔdi mas (BMI) pas 25, dat min se yu gɛt bɔku bɔku bɔdi fɔ yu ayt.
• Fɔ gɛt di sik we de na di at (PAD).
• Fɔ gɛt di kɔndishɔn (Takayasu in Arteritis).

Wetin na di poshubul komplikashכn dεm fכ `(Subclavian Artery Stenosis)`?

If dɛn nɔ trit dis sik fayn ɔ dɛn nɔ kɔntrol am, sɔm prɔblɛm dɛn kin apin.

• (Sɔbklavian Stilin Sindrom):Dis na smɔl spɛshal tin we de apin. wetin de apin ya na biכs di bכdi fכ fכlכ to di an dεm dכn rεdכks, sכm pan di bכdi we de go na di bren de "stealthily" drכ to di an dεm we dεn de wok wit dεm. Dɔn di blɔd we de go na di bren kin go dɔŋ, we kin mek tin dɛn lɛk diziz ɛn blu yay.
• Coronary Steal Syndrome: Dis kin fiba di fɔs wan, bɔt na ya sɔm pan di blɔd we de go na di at kin chenj to di an. Dis nɔ kin apin so ɔltɛm, mɔ pan pipul dɛn we dɛn dɔn du baypas ɔpreshɔn.
• Wan pat pan fat we dɔn lod insay blɔd vesel kin brok ɛn stɔp na wan smɔl blɔd vesel nia di finga dɛn. Dis kin mek di blɔd nɔ go na di finga dɛn, ɛn dis kin mek dɛn wund ɛn gɛt ɔlsa.
• Di blɔd nɔ de flɔ na di at, di bren, ɔ di an.
• (TIA - Transient Ischemic Attack): Dis na lεk wan mini `(strok)`. Di sayn dɛm lɛk we di blɔd nɔ de flɔ na di bren fɔ shɔt tɛm, we i nɔ ebul fɔ tɔk, ɛn we in an ɛn fut dɛn kin lɔs kin kam ɛn go. כltu, dis kin bi prεkursכr fכ wan mεjכr `(strok)`.

Aw dɔktɔ dɛn kin no dis sik (Subclavian Artery Stenosis)?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, we yu go to dɔktɔ, i go fɔs chɛk yu. dis dεn kכl am ``fyzikal εgzam''.

• Na de, dɛn go chɛk yu puls ɛn yu blɔd prɛshɔn .
• Sɔntɛm yu de chɛk fɔ si if wan an kol pas di ɔda wan.
• Chek fɔ si if ɛni wund de na di tu an, ɛn if i nɔ de wɛl (wund dɛn kin tek lɔng tɛm fɔ wɛl bikɔs di blɔd nɔ de go fayn).
• Yu kin chɛk bak fɔ si if di puls na wan an wik.

Wetin spɛshal na dat, nɔto lɛk we yu de chɛk yu ɔltɛm, di dɔktɔ go mɛzhɔ yu blɔd prɛshɔn na yu tu an . dis na fכ kכmpεr di `(prεshכn)` na di tu an dεm. if di `(systolic)` prεshכn (di tכp nכmba) na wan an na lεk 10-15 milimita `(mmHg)` hכy pas di כda an, i kin bi sayn fכ wan kכndyushכn we dεn kכl `(Subclavian Artery Stenosis)`. di `(prεshכn)` de hכy na di an we de gεt bכdi frכm hεlty bכdi.

Apat frɔm dat, if yu dɔktɔ yɛri "swoosh" sawnd (we dɛn kɔl "bruit") we dɛn de lisin to yu blɔd vesel dɛn na yu nɛk wit stetɔskɔp, dis kin bi sayn bak fɔ se di blɔd vesel dɛn dɔn smɔl.

Nɔr kin bɔrku pipul dɛm wae gɛt dis sik bikɔs ɔf ɔda tin dɛm kin sho bak sɔm sayn dɛm wae gɛt fɔ du wit dɛn sik dɛm wae gɛt fɔ du wit am.

Us ɔda tɛst dɛn de du fɔ kɔnfɔm?

If yu dɔktɔ sɔprayz se yu gɛt Subclavian Artery Stenosis, i kin fɔs ɔda fɔ mek dɛn du ɔltrasɔund. Dis kin chɛk aw di blɔd de flɔ kwik kwik wan ɛn aw di blɔd vesel dɛn de.

Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ luk di blɔd vesel dɛn:

• (CT Angiogram - Computed Tomography Angiogram): Dis na spɛshal kayn CT skan. Dɛn kin injɛkt wan kayn day fɔ si di blɔd vesel dɛn klia wan.
• (MRA - Magnetic Resonance Angiogram): Dis tan lεk MRI skan, bכt i spεshal fכ luk pan bכdi vεsul dεm.
• Tradishɔnal (Invasiv) Angiogram: .insay dis, dεn de pas wan sכm sכm tכb tru wan bכdi vεsεl, dεn injεkt wan day, εn dεn tek wan ``(X-ray)''. Sɔntɛnde dɛn kin yuz wan we we dɛn kɔl ``(Digital Subtraction)''. Dis kin pul tin dɛn lɛk bon ɛn i kin mek di blɔd vesel dɛn nɔmɔ si klia wan.

Wetin na di tritmɛnt dɛm fɔ `(Subclavian Artery Stenosis)`?

Tritmɛnt de dipen pan if yu gɛt ɔr nɔr gɛt di sik ɛn aw de sik tranga.

Pipul wae gɛt dis sik kin nid tritmɛnt lɛk dis:

• (Aspirin): I de mek di blɔd nɔ klɔt ɛn i de ɛp fɔ mek di blɔd tan.
• Di mɛrɛsin dɛn we de mek di kɔlɔstrel nɔ bɔku: I de ridyus di fat we de gɛda na di blɔd vesel dɛn.
• Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn .
• If di kɔz na `(Vasculitis)`, den i nid mɛrɛsin.
• Angioplasty: Insay dis, dɛn kin put wan smɔl tin we tan lɛk balɔ insay di blɔd vesel we dɔn blok ɛn blo am fɔ mek di vessel big. Bɔku tɛm, dɛn kin put stent (smɔl tin we tan lɛk mɛsh) fɔ mek i nɔ smɔl igen.
• Baypas Ɔpreshɔn: Dis na tin we nɔ kin apin so ɔltɛm. I min se yu fɔ pas di blɔd vesel we dɔn blok ɛn mek nyu rod we yu de yuz ɔda blɔd vesel (we dɛn kin pul frɔm di leg) ɔ wan we dɛn mek.

Ivin if yu nɔ gɛt di sik, yu dɔktɔ go de luk fɔ fat we de na yu blɔd vesel (atherosclerosis). Dis sik kin afɛkt di blɔd vesel dɛn ɛnisay na di bɔdi ɛn i kin mek yu gɛt ``strok'' ɔ ``at atak.'' So, yu dɔktɔ go mɔs tɛl yu fɔ:

• Na fɔ at le 30 minit insay di de, bɔku pan di de dɛn insay di wik. (Lɛk fɔ waka, rɔn, ɛksesaiz)
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Nɔ it tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda.
• It it we nɔ gɛt bɔku sɛtyuret fat ɛn trans fat (it mɔ vɛjitebul, frut, ligɛm, ɛn fayv).

Ɛni kɔmplikeshɔn ɔ sayd ɛfɛkt de fɔ di tritmɛnt?

Ɛni mɛrɛsin kin mek yu gɛt smɔl smɔl sayd ɛfɛkt dɛn. If yu gɛt ɛni prɔblɛm we de mɔna yu ɛn we nɔ de chenj we yu de tek yu mɛrɛsin, tɔk to yu dɔktɔ.

Sɔntɛnde, ɔpreshɔn ɔ prosidur lɛk ``Angioplasty`` kin mek kɔmplikeshɔn lɛk dis:

• Blɔd we de kɔmɔt.
• Damej to wan blɔd vesel.
• Blɔd we de klɔt.
• Di stent we dɛn put insay nɔ bin expand fayn ɔ i nɔ bin de na di kɔrɛkt pozishɔn.
• Di stent we dɛn put insay kin brok.
• Di blɔd vesel kin blok bak.
• Na smɔl tɛm nɔmɔ, strok kin apin afta dɛn dɔn du angioplasty ɔ ɔpreshɔn.

Aw lɔng i kin tek fɔ mek pɔsin wɛl frɔm dɛn tritmɛnt ya?

Afta yu dɔn du Angioplasty, yu go nid fɔ rɛst fɔ lɛk wan de so. Yu go ebul fɔ drayv ɛn go wok insay wan wik. Bɔt, baypas Ɔpreshɔn go tek lɔng tɛm fɔ mek i wɛl. Yu dɔktɔ go tɛl yu mɔ bɔt dis dipen pan yu kɔndishɔn.

Wetin kin apin if a gɛt `(Subclavian Artery Stenosis)`? Wetin na di tumara bambay?

If yu gɛt sɔm kayn sik, tritmɛnt kin go fa fɔ opin yu blɔd vesel ɛn fɔ mek yu nɔ gɛt di sik. If yu nɔr gɛt sɔm kayn sik, i nɔr go nid fɔ gɛt tritmɛnt.

Bɔt ilɛksɛf yu gɛt sɔm sayn dɛn ɔ yu nɔ gɛt di sik, Subclavian Artery Stenosis na wɔnin sayn frɔm yu bɔdi . Bɔrku tɛm, na Atherosclerosis (fat we de na di blɔd vesel dɛm) kin kam wit am. If wan blɔd vesel blok, i kin mek ɔda blɔd vesel dɛn blok bak. Na dat mek yu dɔktɔ go tɛl yu fɔ kɔntrol di tin dɛn we kin mek yu gɛt sik dɛn we de mek yu at ɛn blɔd .

Dis inklud:

• If yu de yuz tabak, stɔp am kpatakpata.
• Fɔ kɔntrol di ay blɔd prɛshɔn.
• Fɔ kɔntrol di ay kɔlɔstrel.
• Fɔ kɔntrol ɔ fɔ mek yu nɔ gɛt dayabitis.

Angioplasty de wok pas 95% fɔ rilivu di simptom dɛm. fayv ia afta dɛn dɔn du angioplasty, lɛk 90% pan di blɔd vesel dɛn we bin dɔn blok bifo tɛm kin stil opin. Di ɔpreshɔn we dɛn kin du opin wan kin mek pɔsin gɛt mɔ rizɔlt we go las.

If yu blɔd vesel dɔn blok ɔl, di tin dɛn we go apin nɔ go wok smɔl.

Yu kin ebul fɔ protɛkt di Sabklavian At Stɛnosis?

Yɛs, bɔku tɛm, dɛn kin mek di fat we de na di blɔd vesel (atherosclerosis) we kin mek dis nɔ apin. Na wetin yu nid fɔ du na fɔ mek sɔm chenj dɛn na yu layf.

• Fɔ bi pɔsin we de du tin wit in bɔdi.
• Fɔ fala di it we gɛt wɛlbɔdi (lɛs ɔyl, shuga, sɔl, mɔ vɛjitebul ɛn frut) .
• Nɔ smok.
• Fɔ mek yu gɛt wɛlbɔdi wet.

I impɔtant bak fɔ kɔntrol ɛni mɛrɛsin we yu dɔn gɛt, lɛk:

• Kɔlestɔl we bɔku.
• Ay blɔd prɛshɔn (Hypertension).
• Shuga.

Aw a kin kia fɔ misɛf?

Di smɔl chenj dɛn we yu kin mek na yu layf fɔ mek yu nɔ gɛt Subclavian Artery Stenosis go ɛp yu ivin afta yu dɔn gɛt tritmɛnt. Fɔ gɛt wɛl bɔdi abit kin ɛp fɔ mek dis sik nɔ kam bak. If dɔktɔ put stent na yu at, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin lɛk aspirin ɛn klopidogrel fɔ mek i nɔ lɔk igen.

Ustɛm a fɔ go to di dɔktɔ?

Afta yu dɔn gɛt tritmɛnt, dɛn go aks yu fɔ go to yu dɔktɔ lɛk ɛvri siks mɔnt fɔ di fɔs tu ia. Dɔn lɛk wan tɛm so insay di ia. Dis kin difrɛn difrɛn wan fɔ yu sik ɛn di say we dɛn de trit yu. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

Pipul wae gɛt Subclavian Artery Stenosis kin gɛt fat bak na ɔda blɔd vesel dɛm na di bɔdi. dis inklud di at dεm we de gi bכdi to yu at (di korona at dεm). If dɛn at ya blok, yu kin gɛt at atak. If yu gɛt sayn dɛn we de sho se yu gɛt at atak , go to dɔktɔ wantɛm wantɛm.

Di sayn dɛm fɔ hat atak kin bi:

• Chɛst pen ɔ tayt (dis pen kin kɔmɔt to di an, nɛk, ɔ jaw).
• I nɔ kin izi fɔ yu fɔ blo.
• Diziz, fil lɛk yu ed layt.
• Fɔ fil lɛk se yu at de bit fast fast.
• Bɛlɛ de at, nɔs, vɔmit.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• A nid tritmɛnt?
• Wetin na di bɛst tritmɛnt fɔ mi sik?
• Ɔmɔs pan dɛn kayn tritmɛnt ya yu kin du na yu ɔspitul/klinik fɔ wan ia?
• Yu kin rifer mi to pɔsin we go ɛp mi fɔ gɛt abit dɛn we go ɛp mi at? (e.g., pɔsin we sabi bɔt it)

Yu tink se `(Subclavian Artery Stenosis)` na denja?

Yes, dis kin denja, spεshal wan if i mek wan kכndyushכn we dεn kכl ``Steal Syndrome'', we min se dεn de pכmp sכm bכdi na di bren כ di at, εn insted dεn de divεrt am to di an dεm. Di bɛst tin we yu go du fɔ mek yu nɔ gɛt dɛn prɔblɛm ya na fɔ fala yu dɔktɔ in advays bɔt aw fɔ it fayn ɛn aw fɔ du ɛksɛsayz.

We yu no se yu gɛt Subclavian Artery Stenosis, i kin bi di fɔs tɛm we yu yɛri bɔt da blɔd vesel de. Bɔt, tink bɔt dis as mɛsej frɔm yu bɔdi: Yu gɛt Atherosclerosis. If i de na wan blɔd vesel, i kin de bak na di ɔda wan. So, tek stɛp naw fɔ mek yu at ɛn yu blɔd vesel dɛn gɛt wɛlbɔdi.

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, ``(Subclavian Artery Stenosis)``. Nɔ wɔri , if dɛn no am kwik ɛn manej am fayn, yu kin fayn.

Di impɔtant tin na dat, bɔku tɛm dis kin gɛt sɔntin fɔ du wit di we aw wi de liv wi layf. Dat min se yu fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi, yu fɔ du ɛksasaiz ɔltɛm , yu nɔ fɔ smok, ɛn yu fɔ kɔntrol tin dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel .

• If yu an kin fil pen, yu nɔ kin fil fayn, ɔ yu kin taya bɔku tɛm, nɔ fɔ pe atɛnshɔn to am ɛn go to dɔktɔ.
• Fɔ fala di dɔktɔ in tritmɛnt ɛn instrɔkshɔn dɛn di rayt we.
• Dis nɔto jɔs an prɔblɛm, bɔt na sayn fɔ sho se yu nid fɔ pe atɛnshɔn to yu ɔl at wɛlbɔdi.

Lisin to yu bɔdi ɛn tray fɔ gɛt wɛlbɔdi!

` Sabklavian Atεri Stenosis, Am Pen, Am Numbness, Narrowing of Blɔd Vessels, Angioplasty, Stent, Atherosclerosis