Yu vein we de kɛr blɔd frɔm di ɔp pat na yu bɔdi to di at dɔn blok? Lɛ wi lan bɔt di Superior Vena Cava Syndrome!

Sɔntɛnde, yu kin fil lɛk se yu nɔ ebul fɔ blo smɔl, yu fes, yu nɛk, ɔ yu an kin swel? Ɔ yu notis se vein dɛn de bɔl na yu nɛk ɔ yu chɛst? I bɛtɛ lɛ wi nɔ wɔri tumɔs bɔt dɛn tin ya, nɔto so? Bikɔs dɛn tin ya kin bi sayn dɛn fɔ prɔblɛm wit big blɔd vesel na yu chɛst. Tide wi de tɔk bɔt wan kayn sik, we dɛn kɔl ``Superior Vena Cava Syndrome'' ɔ ``SVCS''. Nɔ wɔri, wi go tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.

So, wetin na dis `(Superior Vena Cava Syndrome)`?

Fɔ tɔk am simpul wan, `(Superior Vena Cava Syndrome)` na wan kɔlekɛshɔn fɔ di simptom dɛm we kin apin we sɔntin de ambɔg di blɔd flɔ tru wan big blɔd vesel na wi chɛst. Dis blɔd vesel na wetin wi kɔl `(Superior Vena Cava)`. Tink bɔt am lɛk wan aywe we de kɛr yus, ɔksijɛn-poor blɔd frɔm di ɔp pat na wi bɔdi – dat na, frɔm ples dɛn lɛk di ed, nɛk, an, ɛn ɔpa chɛst – bak to di at.

naw, wetin kin apin if, fכ sכm rizin – i kin bi tכmכro we de divεlכp insay di bכdi, כ i kin bi bכdi kכlכt – dis bכdi vεsεl kכmprεs כ blok frכm insay? Na da tɛm de di prɔblɛm bigin. Di blɔd nɔ kin ebul fɔ rich na di at ɛn i kin stɔp insay da vessel de, i kin ful-ɔp.

Bɔt dɛn mek wi bɔdi bak we rili wɔndaful. Sɔntɛnde, jɔs lɛk we trafik jam de na rod, motoka dɛn kin tek `detour`, ɛn sɔm pan dis blɔd we dɛn blok kin tray fɔ yuz ɔda smɔl smɔl vein dɛn we de nia fɔ go na di at. Dis we ya, blɔd kin flɔ to di at te to sɔm mak. Bɔt if dis blɔk apin wantɛm wantɛm ɔ i rili bad , i kin mek di blɔd nɔ de flɔ bad bad wan, ɛn sɔntɛnde i kin ivin mek pɔsin in layf de pan denja .

Yu tink se kayn tin dɛn de we kin apin to dis?

Yes, tu men kayn ``Superior Vena Cava Syndrome'' de. Dɛn kin sheb dɛn tu kayn ya akɔdin to wetin mek dɛn gɛt di sik:

1. Malignant SVC syndrome: Dis na wan sik wae de kam wit kansa . Fɔ ɛgzampul, tumbu kin kɔmprɛs wan big blɔd vesel, ɛn dis kin mek di blɔd nɔ flɔ. Na lɛk 7 pan 10 pipul dɛm wae gɛt SVC syndrome (70%) gɛt dis kayn.

2. Benign SVC syndrome: Dis nɔr kin kam wit kansa . I kin kam wit ɔda wɛl bɔdi prɔblɛm. Na lɛk 3 pan 10 pipul dɛm (30%) go gɛt dis kayn.

Wetin kin bi di sayn dɛm fɔ dis?

If yu gɛt SVC sindrom, yu kin gɛt wan ɔr mɔr pan dɛn sik ya. Sɔm pan dɛn sayn ya kin de fɔs, so yu fɔ pe atɛnshɔn mɔ to dɛn.

• Swel: Yu de swel na yu fes, yu nɛk, yu chɛst we de ɔp, ɛn/ɔ yu an. Bɔku tɛm dis na di fɔs sayn we kin sho .
• di vein dεm we yu kin si: di vein dεm na di nεk כ chεst kin bigin fכ tan lεk se dεn bכl εn dilayt. Dis na so bakWan sayn we pɔsin kin si fɔs .
• Di vishɔn we nɔ klia.
• Kɔf.
• Ed de at.
• Voys hoarseness, chenj.
• Layt ed ɔ fɔdɔm.
• Shot we yu de blo.

Di tin we impɔtant pas ɔl na dat dɛn sik ya kin wɔs ɛn bɔku we yu de ledɔm . Yu fɔ no bɔt dat bak.

Wetin mek dis kayn `(SVC Syndrome)` de divεlכp? Wetin na di tin dɛn we kin mek i apin?

Lɛ wi si naw wetin na di men rizin dɛn we kin afɛkt dis kayn tin.

Di bad bad tin dɛn we kin mek pɔsin gɛt kansa

As wi bin dɔn tɔk, kansa na wan men tin we kin mek pɔsin gɛt SVC sik. Dɛn kayn kansa ya mɔ kin afɛkt:

• Lɔng kansa: Dis na di tin we kin mek pɔsin gɛt kansa pas ɔlman .
• kansa dεm na di limf no dεm, fכ egzampl `(Lymphoma)`.
• If brɔst kansa dɔn skata ɛn afɛkt di limf no dɛm na yu midiastinum.
• Mesothelioma (Dis na kansa we kin kכmכt na di mεmbran we de kכba di lכng dεm).
• Taymoma (kansa na di taymus gland).

Ɔda tin dɛn we nɔ kin mek pɔsin gɛt kansa (Benign Causes) .

Dis sik kin apin if yu nɔ gɛt kansa. Dɛn tin ya we kin mek i apin:

• Di mɛrɛsin dɛn we dɛn kin put insay pɔsin in bɔdi: Dis na di tin we kin mek pɔsin nɔ gɛt kansa.
• Tink bɔt tin dɛm lɛk smɔl tiub dɛm (kateta) we dɛn kin put insay wi bɔdi fɔ trit sɔm mɛrɛsin kɔndishɔn dɛm (e.g., sɛntral venɔs kateta), pesmɛka we de ɛp di at fɔ wok, difibrilator, ɛn ɛmodayalis kateta we dɛn kin yuz fɔ klin di blɔd fɔ di wan dɛn we gɛt kidni.
• we di waya כ kateshכn dεm fכ dεn divays dεm de insay di Superior Vena Cava, sכmtεm sכm frikshכn כ prεshכ n kin de na di wכl fכ da vein de. Dɔn i kin gɛt inflamɛns , skata tisu , ɔ blɔd kin klɔt . Dɛn tin ya kin blok di vein.
• Bɔt i impɔtant bak fɔ mɛmba: Nɔto ɔlman we gɛt divays lɛk dis we dɛn put na dɛn bɔdi go gɛt SVC sindrom. di risk de dipכnt pan tin dεm lεk di kayn divays we dεn yuz εn aw lכng i de na di vein.
• Sɔm prɔblɛm dɛn we kin apin we dɛn de du mɛrɛsin.
• Goiter we gɛt di sik.
• Difrɛn infɛkshɔn, fɔ ɛgzampul sifilis ɔ TB.
• Tumɔs dɛn we nɔ gɛt kansa.
• Sik dɛm lɛk `(Sarcoidosis)`.
• Ska tisu we de fכm afta rεdyushכn tεrapi, כ sכmtεm fכ nכ rizin, kin blכk di at.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

If yu gɛt sayn dɛm fɔ SVC sindrom, yu dɔktɔ go fɔs du yu bɔdi ɛgzam. Dɔn, dɛn kin ɔda fɔ du difrɛn tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no di tin we mek i gɛt am. mכtalman tεst dεm we dεn de tek imej kin εp fכ no if bכdi de fכlכ fayn fayn wan tru di Superior Vena Cava (SVC) vein כ if i dכn divayt biכs fכ blok.

Sɔm pan di tɛst dɛn we yu kin gɛt na:

• Wan ɛkstrem rayt na di chɛst.
• `(CT skan)` (Kɔmpyuta Tomografi Tɛst).
• Vascular ultrasound (Dεn kin yuz dis fכ si bכdi fכ fכlכ εn blכk na di bכdi vεsul dεm).
• `(Venogram)` (In dis, dεn injεkt spεshal likwid insay wan vein εn dεn de tek `X-ray` imej fכ chεk di kכndishכn fכ di vein).

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ SVC sindrom dipen pan di kɔz ɛn aw yu gɛt di sik . De tritmɛnt wae de woke fɔ ɛnibɔdi kin difrɛn.

Bɔku tritmɛnt dɛn de we dɛn kin yuz:

• εndovaskul stεnt: dis involv fכ put sכm sכm mεsh tכb (wan `stεnt`) insay wan blכd vεsεl we blכk fכ kip di vεsεl opin bak. Dis kin mek di blɔd flɔ bak.
• If di tin we mek di prɔblɛm na mɛrɛsin: If na mɛrɛsin we dɛn put insay pɔsin in bɔdi, dɛn kin pul am ɔ put wan we fit fɔ chenj am.
• Mεdikeshכn dεm we de bכku bכtכm: If di blכd kכlכt na fכ blכd kכlכt, dεn kin gi spεshal mεdikeshכn (as IV injεkshכn כ as כral pil) fכ sכlv di kכlכt.
• Tritmɛnt fɔ kansa: If di tin we kin mek i gɛt kansa, dɛn kin yuz redyushɔn ɔ kemotɛrapi fɔ pwɛl di kansa sɛl dɛn.
• Ɔpreshɔn:
• If kansa tumbu dɛn de, dɛn kin pul dɛn wit ɔpreshɔn.
• Na smɔl tɛm nɔmɔ dɛn kin du ɔpreshɔn fɔ chenj di we aw di blɔd de go.

Dɛn tritmɛnt ya kin ɛp fɔ mek blɔd go fayn fayn wan na yu at. Sɔntɛnde, dɛn kin nid fɔ gɛt pas wan tritmɛnt. Yu dɔktɔ go ɛksplen us tritmɛnt bɛtɛ fɔ yu ɛn wetin de fayn ɛn bad.

Ustɛm a fɔ go to dɔktɔ?

If yu fil se yu gɛt wan ɔ mɔ pan di sayn dɛm fɔ `(SVC syndrome)` we wi bin dɔn tɔk bɔt, mek shɔ se yu go to dɔktɔ we yu nɔ go te . Dɔn di dɔktɔ kin chɛk yu ɛn rifer yu fɔ di tritmɛnt we yu nid.

I impɔtant bak fɔ kip yu dɔktɔ in fɔlɔp apɔntinmɛnt afta yu dɔn gɛt tritmɛnt. Dɛn apɔntinmɛnt ya na usay yu dɔktɔ go kɔntinyu fɔ wach aw yu blɔd vesel dɛn gɛt wɛlbɔdi ɛn aw yu tritmɛnt go wok fayn.

Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt dɛn kayn sik ya, i min se di ``SVC sindrom'' dɔn bi siriɔs ɛn i kin ivin mek yu layf de pan denja . If dis kayn tin apin , go na di ɔspitul we de nia yu wantɛm wantɛm, ɔ kɔl wan imejensi ambulans savis lɛk 1990 .

• Diziz ɔ fɔdɔm .
• If yu yɛri smɔl, ay sawnd we yu de blo ɔ pul briz.
• If yu gɛt chenj na yu tinkin ɔr aw yu de no bɔt di tin dɛn we de arawnd yu (e.g., kɔnfyushɔn, nɔ de wach bad bad wan).

Dɛn bad bad sayn ya kin kam bikɔs yu bren ɔ yu briz de swel, ɔr yu nɔr de gɛt inof blɔd to di men ɔgan dɛm na yu bɔdi. Dis na tin we rili denja , so i impɔtant fɔ go to dɔktɔ wantɛm wantɛm!

Us kayn op a go gɛt fɔ go bifo wit dis sityueshɔn?

Di prɔgnosis fɔ pɔrsin wae gɛt Superior Vena Cava Syndrome kin difrɛn bad bad wan. I kin dipen pan bɔku tin dɛn, lɛk wetin kin mek pɔsin gɛt dis sik, aw i kin tranga, ɛn aw i kin biev we i gɛt tritmɛnt .

• Sɔntɛnde, if dɛn trit di ɔndalayn kɔz fɔ SVC sindrom fayn fayn wan, dɛn kin wɛl di sik kpatakpata .
• Bɔt, na smɔl tɛm nɔmɔ , dis kin kil pɔsin.
• In jɛnɛral, pipul dɛm wae gɛt SVC sindrom bikɔs ɔf tin dɛm wae nɔr gɛt kansa (benign kɔz) kin liv lɔng pas di wan dɛm wae gɛt dis sik bikɔs ɔf kansa (malignant forms).

Yu dɔktɔ kin gi yu di kɔrɛkt infɔmeshɔn bɔt dis, bikɔs di ɔndalayn mɛdikal kɔndishɔn we mek yu gɛt SVC sindrom kin afɛkt yu layf bak.

Fɔ dil wit wan kɔndishɔn lɛk dis kin rili strɛs . Sɔntɛm yu dɔn ɔlrɛdi de gɛt tritmɛnt fɔ kansa, ɛn dɛn nyu sayn ya kin mek yu wɔri ɛn wɔri mɔ bɔt yu tumara bambay. Ɔ, yu kin gɛt wan sik wae de ɛp yu fɔ liv, wae de gi yu tritmɛnt wae de sev yu layf.

Ilɛk uskayn sik yu gɛt, yu mɛdikal tim de ya fɔ kia fɔ yu ɛn ɛp yu . Dɛn kin ɛksplen wetin mek yu gɛt dis sik ɛn tɔk bɔt aw fɔ mɛn yu we go fayn fɔ yu. Nɔ fred fɔ tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Mek shɔ se yu ɔndastand ɔltin, inklud aw di tritmɛnt go woke ɛn ustɛm yu fɔ kam bak fɔ fala-ɔp tɛst.

Fɔ dɔn, di impɔtant tin dɛn we yu fɔ mɛmba na:

Okay, so wi don tok plenti boht `(Superior Vena Cava Syndrome)`. I impɔtant fɔ mek yu mɛmba dɛn tin ya:

• SVC Syndrome na wan sik wae nid fɔ pe atɛnshɔn . Na we wan big vein we de kɛr blɔd kɔmɔt na di ɔp pat na wi bɔdi go na di at, blok.
• Yu fɔ no bɔt di sayn dɛm lɛk fɔ swel na yu fes, yu nɛk, ɛn yu an, yu kin si di vein dɛm na yu nɛk ɛn yu chɛst, ɛn i nɔ kin izi fɔ blo.
• If yu gɛt dɛn sik ya, go to dɔktɔ we yu nɔ go te . Fɔ gɛt diagnosis kwik kwik wan rili impɔtant fɔ mek di tritmɛnt go bifo.
• Difrɛn tritmɛnt dɛn de fɔ dis. Di tritmɛnt dipen pan di tin we mek i gɛt am.
• Bɔrku tɛm, fɔ trit de ɔndalayn kɔz na di bɛst we fɔ kɔntrol ɔ mɛn dis sik.
• Yu fɔ no di sayn dɛm we pɔsin kin gɛt we i gɛt ɛnitin fɔ du wit am (diziz, nɔ kin no natin, strenj sawnd we yu de blo, nɔ kin no bɛtɛ) ɛn go to dɔktɔ wantɛm wantɛm if dis kayn tin apin.
• Tɔk to di dɔktɔ bɔt yu prɔblɛm ɛn di tin dɛn we yu de fred.

Wi de wish yu gud wɛlbɔdi!

` Superior Vena Cava Syndrome, SVCS, blɔd vesel blok, chɛst veins, swel, at fɔ blo, kansa simptom