Sɔntɛnde yu kin gɛt pen na yu leg ɔ yu kin gɛt kramp we yu de waka? Ɔ yu leg dɛn kin tan lɛk blu ɛn knot? Dɛn tin ya kin bi sayn fɔ sho se sɔm prɔblɛm dɛn de wit di say we di blɔd de go ɔlsay, dat na di blɔd vesel dɛn na wi bɔdi. So tide, lɛ wi tɔk bɔt dɛn sik ya we gɛt fɔ du wit blɔd vesel, ɔ as wi kin kɔl dɛn na mɛrɛsin, ‘vaskul sik’.
Fɔ tɔk am simpul wan, wetin na dɛn vaskul sik ya?
Vaskul sik de tɔk bɔt ɛni kɔndishɔn we de afɛkt wi blɔd sistɛm. Imajin se wi bɔdi tan lɛk wan nɛtwɔk we gɛt paip dɛn. Dis nɛtwɔk we gɛt paip dɛn na wi blɔd vesel dɛn. Na tru dɛn tin ya blɔd kin travul ɔlsay na wi bɔdi. Dis sistɛm gɛt tri men pat dɛn.
- Atεri: Dis na di big bכdi we de kכri klin bכdi (oxygenated blood) frכm di at to כl di כda pat dεm na di bכdi.
- Vein dεm: Dis na di vein dεm we de kכri kכmכt bכdi (bכdi we nכ gεt כksijεn) bak na di at frכm difrεn pat dεm na di bכdi.
- di kapilari dεm: Dis na di sכm sכm sכm blɔd vesel dεm we de sכmtεm sכmtεm. Dɛn kin kɔnɛkt di at ɛn vein dɛn, ɛn dɛn kin gi ɔksijɛn ɛn tin dɛn we kin mek wi gɛt tin fɔ it to wi tisu dɛn ɛn gɛda dɔti tin dɛn.
So, ɛni prɔblɛm we de afɛkt dɛn at, vein, kapilari, ɔ limf vessel ya, ɔ ɛni kɔndishɔn we de ambɔg di blɔd flɔ bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit blɔd lɛk we blɔd de klɔt, na in wi kɔl vaskul sik.
Wetin na di men kayn sik wae de kam pan yu vaskul?
Dɛn sik ya kin sheb to difrɛn kayn. Sɔm kin afɛkt di at nɔmɔ, sɔm kin afɛkt di vein dɛn nɔmɔ. Sik dɛn de bak we kin afɛkt sɔm patikyula say dɛn nɔmɔ na di bɔdi. Lɛ wi luk di men kayn dɛn.
1. Pɛriferal Atɛri Disizin
jכs lεk di korona at dεm na wi at, di at dεm we de na do na di at dεn tu kin kכl wit tin dεm lεk fεt εn kכlestכl, we wi kin kכl ‘plak’ , εn di at dεm kin bigin fכ blok frכm insay. Wi kin kɔl dis kɔndishɔn ‘atherosclerosis’ . As tɛm de go, we di at dɛn kin blok dis we, di blɔd kin go dɔŋ. Dis kin mek di tisu dɛn na di bɔdi nɔ gɛt di blɔd we dɛn nid. Wi kin kɔl dis ‘ischemia’ .
Sɔm pan de sik dɛm wae de ɔnda dis kategori de dɔŋ ya.
| Mɛdikal kɔndishɔn | Simpul ɛksplen |
|---|---|
| Pɛriferal Atɛri Disizin (PAD) . | Bɔku tɛm, di at dɛn we de na di leg dɛn kin blok. If dɛn kɔt di blɔd flɔ kpatakpata, di tisu kin day ɛn gangrene kin kam, ɛn dɛn kin ivin gɛt fɔ kɔt di leg. |
| Intestinal Ischemic Sindrom we de mek pɔsin gɛt sik | di bכdi we de blכk di bכdi we de gi bכdi to di dijestiv sistεm. |
| Di sik we de mek pɔsin gɛt di sik we de na di rεnal at | di at dεm we de gi bכdi to di kidni dεm de blok. Dis kin mek di kidni nɔ wok fayn. |
| Di Fenomen we Raynaud bin mek | We pɔsin kol ɔ strɛs bad bad wan, di smɔl smɔl at dɛn we de na di finga ɛn fut finga dɛn kin kɔnstrikt, ɛn dis kin mek di finga dɛn tɔn wayt ɔ blu. |
| Di Sik we Buerger bin gɛt | Na sik we gɛt fɔ du wit di we aw pɔsin de yuz tabak. if di sכm εn midul saiz at dεm εn di vein dεm na di an εn fut dεm sכk, i kin mek di bכdi nכ de go na di finga dεm, di tisu dεm de day (gangrene) εn dεn kin kɔt di finga dεm. |
2. Di Isyu dɛn we de na di Karotid Atɛri
Dis na prɔblɛm dɛn we kin apin na di men karotid at, we de na di tu say dɛn na wi nɛk, we de gi blɔd to di bren.
- Carotid Artery Disease: We dis at we de gi blɔd to di bren smɔl ɔ blok, i kin mek pɔsin gɛt transient ischemic attack (TIA) ɔ strok .
- Carotid Artery Dissection: Na wan layt we de rɔtin na di at in wɔl, we de mek blɔd lik tru.
- Carotid Artery Aneurysm: Na di at we de wik we de mek i bulge lεk balכn. Risk de fɔ mek dis bɔs.
3. Venɔs Sik we pɔsin kin gɛt
Valv dɛn we de insay wi vein dɛnSɔntin de we dɛn kɔl valv. I tan lɛk paip we jɔs de mek wata flɔ na wan say. we wi kכntrakt wi mכsul dεm, dεn valv dεm ya de opin εn bכdi de muv כp (tכwכd di at). We di mɔsul dɛn rilaks, di valv dɛn kin lɔk ɛn blɔd kin stɔp fɔ flɔ bak dɔŋ.
Bɔt if dɛn valv dɛn ya dɔn pwɛl, dɛn nɔ kin lɔk fayn. Dɔn di blɔd kin bigin fɔ flɔ na ɔl tu di say dɛn. Dis kin mek blɔd gɛda na di ɔda pat dɛn we de dɔŋ, mɔ na di leg dɛn, ɛn di vein dɛn kin bigin fɔ luk lɛk se dɛn dɔn swel ɛn gɛt knot. Dɛn kɔndishɔn ya na:
- Varicose Veins: Dɛn kin swel, pepul, twist veins we kin apin ɔnda di skin.
- Spayda Vein: Rεd כ pepul, lεk spayda, fayn fayn kapilari dεm we de sho na di kכn dεm εn di ankכl dεm.
- Dip Vein Thrombosis (DVT): Na bכdi we de kכlכt we de fכm insay dip vein insay di bכdi.
- Chronic Venous Insufficiency (CVI): I nɔ kin izi fɔ mek di blɔd kam bak na di at bikɔs di wɔl ɔ di valv dɛn na di vein dɛn na di leg dɛn nɔ de wok fayn.
4. Blɔd we De Klɔt
Blɔd klɔt (thrombus) na tin we tan lɛk jɛlɛ na blɔd vesel. Dis klɔt kin brok ɛn travul wit di blɔd, ɛn i kin blok wan blɔd vesel na di lɔng ( Pulmonary Embolism ), at ( Hat Atak ), ɔ di bren ( Stroke ). Dɛn tin ya na tin dɛn we rili denja.
If pɔsin gɛt DVT (blɔd we de klɔt na dip vein na di leg), di blɔd kin brok ɛn travul go na di lɔng, we kin mek i gɛt pulmonary embolism. Dis kin mek pɔsin in layf de pan denja.
5. Aɔtik Anɛrizm
Aneurysm na we di wɔl na di blɔd vesel wik, we kin mek i bɔl lɛk balyɔn. Pan ɔl we i kin apin na ɛni blɔd vesel, dɛn kin si am mɔ na di aorta, we na di men at we de kɔmɔt na di at.
- Thoracic Aortic Aneurysm: Na bulge na di aorta na di chɛst eria.
- Abdominal Aortic Aneurysm: Na bulge na di aorta na di bɛlɛ.
6. Limfɛdima
wi limfatik sistεm na wan nεtwכk fכ dilik vεsεl dεm we de εp wi imyun sistεm. If dɛn vessel ya dɔn pwɛl ɔ blok, di limf wata kin gɛda ɛn mek wi an ɛn fut dɛn swel. Dɛn kɔl dis Limfɛdima .
Wetin na di tin dɛn we kin mek pɔsin gɛt dɛn sik ya ɛn di tin dɛn we kin mek pɔsin gɛt dis sik?
Sɔm vaskul sik dɛn kin kɔmɔt frɔm dɛn mama ɛn papa (genetically), bɔt bɔku tɛm, dɛn sik ya kin kam bikɔs ɔf bad bad layf ɛn ɔda mɛrɛsin.
- Ay Kɔlestɔl
- Ay Blɔd Prɛshɔn
- Smok ɛn yuz tabak
- Shuga
- Fɔ fat ɛn fɔ gɛt bɔku bɔku bɔdi
- Nɔto fɔ du ɛksɛsayz
- Famili histri bɔt dɛn sik ya
- We pɔsin de ol
Yu gɛt dɛn sik ya bak?
Di sayn dɛm kin difrɛn difrɛn wan fɔ di sik. Lɛ wi luk di sayn dɛm fɔ sɔm big big sik dɛm.
| Di sik kategori | Di kɔmɔn sayn dɛm |
|---|---|
| Di sik we de mek pɔsin gɛt di at (PAD) . | Pen ɔ kramp na di leg, mɔ di kaw pikin, we yu de waka ɛn afta dat i nɔ de igen afta sɔm tɛm, i kin chenj di kɔlɔ na di skin na di leg, wund we nɔ de wɛl, ɛn taya na di leg. |
| Di sik we de na di at we de na di karotid at | Bɔrku tɛm nɔr kin gɛt ɛni sayn fɔ de na di fɔs stej. I kin go wae yu nɔr notis te yu gɛt strok ɔr TIA, wae kin mek yu gɛt prɔblɛm wit yu yay ɔr tɔk, kɔnfyushɔn, ɛn mɛmba prɔblɛm. |
| Varikos Vein (CVI) . | Leg de swel, pen, fil se yu leg de ebi, yu kin si blu/pɔpul veins, yu skin kin it. |
| Blɔd we de klɔt (DVT, PE) . | DVT: Wan leg kin swel, pen, rɛd, ɛn wam. Pulmonary Embolism: I kin pen na yu chɛst wantɛm wantɛm, i kin at fɔ blo, i kin kɔf blɔd. (Dis na imejensi!) |
| Aneurism na di big at | Bɔrku tɛm, no sayn nɔr kin de. If di anɛrizm brok, yu kin gɛt pen wantɛm wantɛm na yu chɛst ɔ yu bɛlɛ, yu kin gɛt diziz, ɛn yu at kin bit kwik kwik wan. (Dis na imejensi bak!) |
Aw dɔktɔ kin no bɔt dɛn sik ya?
We yu go to yu dɔktɔ, i go chɛk yu gud gud wan, aks yu bɔt yu sik, yu famili mɛdikal istri, ɛn i kin ɔda bak fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
- Vascular Ultrasound: Dis na skan we de yuz sawnd wev fɔ luk di we aw blɔd de flɔ insay di blɔd vesel dɛn ɛn fɔ si if ɛnitin de we dɔn blok.
- CT Angiography: Dɛn kin du CT skan fɔ gɛt ditayla tri-dimɛnshɔnal pikchɔ dɛn fɔ di blɔd vesel dɛn bay we dɛn injekt wan spɛshal tin insay di bɔdi.
- MR Angiography: Fɔ tek pikchɔ dɛn fɔ di blɔd vesel dɛn wit MRI mashin we yu de yuz magnɛtik fil.
- Catheter Angiography: Dɛn kin pas wan tin tiub (catheter) tru wan blɔd vesel ɛn dɛn kin injɛkt spɛshal wata insay am fɔ no if di vein dɛn dɔn blok ɔnda ɛkstrem rayt.
Wetin na di tritmɛnt dɛn?
Di we aw dɛn kin trit dɛn kin difrɛn difrɛn wan fɔ di sik ɛn aw i kin tranga. Di jenɛral advays we dɛn kin gi ɔl di wan dɛn we sik na fɔ chenj dɛn layf . Dat min se yu fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi, yu fɔ du ɛksɛsayz, ɛn avɔyd fɔ smok. Apat frɔm dat, tritmɛnt dɛn de lɛk:
- Mɛrɛsin: Yu dɔktɔ kin gi yu mɛrɛsin lɛk fɔ mek yu blɔd tan, mɛrɛsin fɔ mek yu nɔ gɛt bɔku kɔlɔstrel (statin), mɛrɛsin fɔ mek yu gɛt ay blɔd prɛshɔn, ɛn fɔ mek yu blɔd big.
- Angioplasty and Stenting: Na we dɛn kin put wan tin we tan lɛk balɔ insay blɔd vesel we dɔn blok, dɛn kin ful-ɔp am fɔ mek di vesel big (angioplasty), ɛn put wan tin we tan lɛk mɛsh (stent) fɔ mek i nɔ lɔk am bak.
- Ɔpreshɔn: Sɔntɛnde, i kin nid fɔ pul di vein we dɔn blok ɛn put ɔda vein insay (baypas ɔpreshɔn) ɔ ɔpreshɔn fɔ pul di blɔd we dɔn klɔt (thrombectomy). pan kכndishכn dεm lεk vεrin, dεn kin yuz lεzεr tritmεnt כ כpεrayshכn bak fכ pul di vein.
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ disayd di bɛst tritmɛnt fɔ yu. So nɔ go tek mɛrɛsin jɔs bikɔs yu si am na intanɛt ɔ yɛri bɔt am frɔm pɔsin.
Wetin na di tɛm dɛn we yu nid fɔ go na ETU wantɛm wantɛm?
If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɛn tin ya kin bi sayn dɛm fɔ wan sik we de mek pɔsin in layf de pan denja lɛk fɔ gɛt strok, at atak, ɔr di aortic aneurysm we dɔn brok.
- Wantɛm wantɛm, bad bad pen na in chɛst
- Wan bad bad bɛlɛ pen wantɛm wantɛm
- I nɔ izi fɔ tɔk, fɔ tɔk smɔl smɔl
- Sagging of wan say na di fes
- Wan an ɔ leg kin swɛla ɔ wik
- Wantɛm wantɛm, bad bad kɔnfyushɔn ɔ diziz
- Yu nɔ de si ɔ yu nɔ de si fayn
Mɛsej we dɛn kin kɛr go na os
- Vaskul sik na wan kכmכn kכndyushכn we de afekt di sεkyulatri sistεm na wi bכdi.
- Ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel, ɛn smok na di men tin dɛn we kin mek pɔsin gɛt dis sik.
- Nɔr ignore sɔm sayn dɛm lɛk yu leg pen, yu leg kramp, ɔr yu nɔr kin ebul fɔ blo fayn. Si yu dɔktɔ wantɛm wantɛm.
- Bɔrku pan dɛn sik ya kin avɔyd ɛn kɔntrol bay wae pɔrsin de liv fayn layf (gud it, ɛksesaiz, ɛn avɔyd fɔ smok).
- I rili impɔtant fɔ yuz di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn fɔ di tɛm we yu gi yu.
- If yu gɛt imejensi simptom (bɔku pen na yu chɛst, yu fes de flash, i nɔ izi fɔ tɔk), go na ɔspitul wantɛm wantɛm.
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