Yu an dɔn swel ɛn blu? Dis kin bi Venous Thoracic Outlet Syndrome (VTOS)? Lɛ wi fɛn ɔndastand!

Yu dɔn ɛva notis se yu an kin fil wan strenj pen ɔ ebi ebi? Sɔntɛm i dɔn swel ɛn blu? Bɔku tɛm wi kin tink se dis na jɔs swɛt ɔ sɔntin we kin apin bikɔs wi taya. Bɔt sɔntɛnde, biɛn dɛn sik ya we tan lɛk se i simpul, wi fɔ tek tɛm smɔl, bikɔs i kin gɛt wan sik we pipul dɛn nɔ no bɔt we ayd biɛn am. Wan pan dɛn kayn tin ya na `Venous Thoracic Outlet Syndrome`. Pan ɔl we i go tan lɛk se di nem lɔng smɔl, lɛ wi ɔndastand am simpul wan.

Wetin na di Venɔs Tɔrɔsik Ɔutlet Sindrom (VTOS)?

Fɔ tɔk am simpul wan, Venous Thoracic Outlet Syndrome (ɔ VTOS fɔ shɔt) na wan sik we de mek wan vein na wi bɔdi we dɛn kɔl vein, kin kɔmprɛs. Dɛn vein dɛn ya kin kɛr di blɔd we dɛn dɔn yuz, ɔ blɔd we nɔ gɛt bɔku ɔksijɛn, go bak na di at ɛn di lɔng dɛn frɔm di tisu dɛn na wi bɔdi. insay VTOS, di men vein we de afekt na di sabklavian vein, we de bihayn wi kolabon (klavikul). Dis vein de na di sholda.

di εria we dis vein de pas dεn kכl am di `(Thoracic outlet)`. Tink bɔt am lɛk wata paip. Sɔntɛnde, if dis pasej blok, na da tɛm de di prɔblɛm kin bigin. Na dat kin apin to pɔsin we gɛt `VTOS`. di `(Subclavian vein)` de gεt kכmprεs insay dis `(Thorac outlet)`. Na da tɛm de yu kin si tin dɛn lɛk pen na yu an, swɛlin, ɛn sɔntɛnde yu an kin chenj in kɔlɔ. כda nem fכ dis kכndyushכn na `Paget-Schroetter syndrome (PSS).`

Udat kin gɛt dis sik?

Pan ɔl we dis sik we dɛn kɔl `VTOS` kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt am mɔ.

• uman dεm we ol bitwin 20 εn 50 ia kin jεnarali kin gεt `Thoracic Outlet Syndrome` (we na di big kategori we `VTOS` de pan).
• Dɔn bak, di wan dɛn we de ple spɔt we gɛt fɔ du wit kɔntinyu, ripit yuz dɛn an ɛn sholda (fɔ ɛgzampul, volibol, tɛnis, swimin, baysbɔl) ɔ di wan dɛn we de wok pan wok dɛn we gɛt fɔ du wit ripit muvmɛnt (tink, pɔsin we de es dɛn an ɔl di de fɔ pak tin dɛn, ɔ pɔsin we de yuz dɛn an di sem we we dɛn de mek tin dɛn) kin gɛt dis sik.

VTOS kin bi denja? Wetin na di prɔblɛm dɛn we kin apin?

Yes, `VTOS` na kondishon we kin bi denja if wi ignore am. Bikɔs, we dɛn kɔmprɛs da vein de, di blɔd we de insay de nɔ kin ebul fɔ flɔ insay am. afta dat bכdi kכlכt kin fכm insay da ``Subclavian vein``. Bikɔs ɔf dɛn blɔd ya we de klɔt, di blɔd we de flɔ na di an ɛn an kin blok ɔltogɛda.

Nɔto dat nɔmɔ, sɔntɛnde dis blɔd kin brok ɛn travul tru di blɔd vesel dɛn to di lɔng dɛn. Dat na tin we rili denja. Wi kin kɔl am ``Pulmonary embolism''. If dat apin, sɔm sayn dɛn lɛk fɔ gɛt siriɔs pen na yu chɛst wantɛm wantɛm, fɔ kɔf, ɛn fɔ mek i nɔ izi fɔ blo.If yu gɛt sayn dɛn lɛk dis, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

So, if yu tink se yu gɛt sayn dɛm fɔ Thoracic Outlet Syndrome, i impɔtant fɔ go to dɔktɔ fɔ no ustɛm na di prɔblɛm.

Wetin mek dis VTOS kin apin? Wetin na di tin dɛn we kin mek i apin?

di sabklavian vein de bitwin wi kolabon (klavikul) εn di fכs rib, εn i de kכri bכdi frכm wi an to wi at. Bɔrku pipul dɛn gɛt inof rum fɔ mek dis vein pas tru witout ɛni ɔbstrukshɔn. Bɔt, dɛn kin bɔn sɔm pipul dɛn wit smɔl ples.

Fɔ dɛn pipul dɛn de, we dɛn de yuz dɛn an ɛn sholda ɔltɛm ɛn bɔku tɛm, di vein dɛn we de na da smɔl ples de kin kɔmprɛs ɔ prɛs. Dis kɔmpreshɔn kin mek di blɔd nɔ flɔ fayn ɛn i kin mek di blɔd klɔt.

Apat frɔm dis men kɔz, sɔm ɔda tin dɛn de we kin mek `VTOS` apin:

• Fat : We wi gɛt bɔku bɔku bɔdi, i kin put ɛkstra prɛshɔn pan wi jɔyn dɛn. Dat kin afɛkt dis bak.
• Injury na yu bɔdi : Injury na di sholda ɔ nɛk we yu gɛt motoka aksidɛnt ɔ we yu fɔdɔm.
• Posture : Na di we aw wi de sidɔm ɛn tinap. If yu nɔ tinap fayn, dat kin mek yu prɛs dis eria bak we yu nɔ nid.
• Bεlε : Dis kכndyushכn kin apin sכmtεm wit chenj dεm na di bכdi we di bεlε de.
• Ripit muvmɛnt : As wi bin dɔn tɔk, we yu de du tin dɛn bɔku tɛm lɛk fɔ trowe bɔl, fɔ es tin dɛn ɔp yu ed, ɔ fɔ swing sɔntin lɛk baysbɔl bat kwik kwik wan.

Wetin na di ɛksaktɔli sayn dɛm fɔ VTOS?

Bɔrku tɛm, pipul dɛm wae gɛt `VTOS` kin gɛt sɔm kayn sik na wan an ɛn dɛn an. Dis na di men sayn dɛm:

• Fɔ fil pen ɔ pen na yu an .
• Di skin na di an kin tɔn bluish-pɔpul kɔlɔ .
• Fɔ fil ebi ebi na di an.
• De swɛl .
• Sɔntɛnde, di vein dɛn we de na wan say na di sholda, an, ɔ chɛst kin bigin fɔ kɔmɔt klia wan .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i go fayn fɔ mek yu wɔri bɔt dɛn.

Aw yu go no if yu gɛt VTOS? Wetin na di tɛst dɛn?

If yu gɛt sayn dɛm fɔ `VTOS`, dɔktɔ go fɔs chɛk yu sholda, nɛk, ɛn yu an. Dɛn go muv yu an bak ɛn biɛn ɛn go na difrɛn say dɛn fɔ chɛk di say we yu de muv.

Apat frɔm dat, dɛn go aks yu bɔt yu sik dɛn ɛn dɛn go chɛk yu blɔd prɛshɔn. If di dɔktɔ saspek VTOS, i go tɛl yu fɔ du sɔm ɔda spɛshal tɛst dɛn fɔ chɛk di say we yu de kɔmɔt na di tɔraks.

Test fɔ no if VTOS de:

Dɛn kin yuz imej tɛst fɔ dis. Dat min se, test dεm we kin luk di vein dεm, כda strכkchכ dεm, εn blכd fכ fכlכ insay di bכdi.

• (CT skan) .: Dis kin min fɔ dayrɛkt ɛkstrem rayt frɔm difrɛn angul dɛn ɛn yuz kɔmpyuta fɔ mek ditayla pikchɔ dɛn, lɛk krɔs-sekshɔn, fɔ di pat pan di bɔdi we gɛt fɔ du wit am.
• (MRI) : Dis kin yuz pawaful magnet ɛn redio wev fɔ mek pikchɔ dɛn we rili klia ɛn we gɛt ditayli bɔt di insay pat pan di bɔdi.
• Ultrasound : Dis de yuz sawnd wev fɔ luk insay di bɔdi. I kin ivin luk aw blɔd de flɔ insay di vein dɛn.
• (Venogram) : Dis na tɛst we spɛshal smɔl. na ya, dεn de pas wan sכm tכn tכb (`(kateta)`) εn wan spεshal likwid (`(kכntrast day)`) insay di vein, εn afta dat dεn tek wan ``X-ray`` pikchכ. di wata de mek di vein dεm klia klia wan.
• (X-ray) : Dɛn kin yuz ɛkstrem rayt ɔltɛm bak fɔ chɛk if ɛnitin nɔ de na di bon dɛn.

Dɔktɔ kin no if yu gɛt VTOS ɔ yu nɔ gɛt am bay we i du wan ɔ mɔ pan dɛn tɛst ya.

Wetin na di tritmɛnt dɛm fɔ VTOS?

Tu kayn tritmɛnt de fɔ VTOS: nɔto ɔspitul ɛn ɔspitul. Bɔku tɛm, dɔktɔ go tray fɔs fɔ sɔlv di blɔd we dɔn klɔt if i de. Dɛn kin du dis bay we dɛn gi dɛn mɛrɛsin dɛn we de mek blɔd nɔ klot (anticoagulants) . Fɔ ɛgzampul, dɛn kin gi yu Warfarin (Coumadin®) ɔ dairekt ɔral antikɔagulant (Xarelto®) ɔ Eliquis®.

Afta di klot dɔn sɔlv, dɛn kin nid fɔ du ɔpreshɔn fɔ stɔp di klɔt fɔ mek i nɔ fɔm bak ɛn fɔ mek di prɛshɔn we de na di vein nɔ de . We dɛn de du ɔpreshɔn, dɔktɔ kin:

• rεmov εni εksyכs tisu כ ligament dεm we de rawnd di sכbklavian vein we kin de mek prεshכn pan di vein.
• Sɔntɛnde, dɛn kin chenj di blɔd flɔ fɔ baypas di vein dɛn we dɔn pwɛl ɛn fɔ mek di blɔd flɔ fayn bak.

Dɔktɔ go disayd us tritmɛnt fayn fɔ yu, bay aw yu sik.

Aw yu go ridyus di risk fɔ gɛt VTOS?

Pan ɔl we no we nɔ de fɔ mek `VTOS` nɔ apin ɔltogɛda, sɔm tin dɛn de we wi kin du fɔ mek wi nɔ gɛt bɔku damej we dɛn surj ya kin mek:

• Mek yu gɛt wɛlbɔdi wet we fit yu ej, man ɔ uman, ɛn di kayn bɔdi we yu gɛt.
• Nɔ kɛr ebi ebi bag dɛn na jɔs wan sholda. I bɛtɛ fɔ yuz bag dɛn we de sheb di wet.
• Limit di muvmɛnt dɛn we yu kin ripit ɔvahɛd. If yu fɔ du dis, tek tɛm fɔ blo bitwin dɛn.
• Du ɛksɛsayz dɛn we go mek yu sholda dɛn strɔng. Fɔ tren fɔ mek yu nɔ ebul fɔ bia ɔ fɔ es yu wet kin ɛp fɔ du dis.
• Du ɛksɛsayz fɔ strɛch na yu nɛk, sholda, ɛn chɛst eria ɛvride.

If yu fala dɛn step ya, yu kin ridyus dis risk to sɔm mak.

Di impɔtant tin dɛn fɔ no bɔt VTOS (Take-Home Message) .

So, `Venous Thoracic Outlet Syndrome` na wan kכndyushכn we de afekt wi `(Subclavian vein)`. Dis vein kin kכmprεs, i kin mek di an swel, kכla chenj, εn pen na di an. if di say we yu de pas na da vein de na yu bכdi na nכmal tin, כ if yu gεt wok we yu de yuz yu sכlda εn an bכku tεm, yu go gεt `VTOS`.

Di impɔtant tin na dat if dɛn nɔ trit dis sik, i kin mek i gɛt prɔblɛm dɛn lɛk we blɔd kin klɔt. Bɔt if yu no di sik kwik kwik wan ɛn bigin fɔ trit yu kwik kwik wan, yu go ebul fɔ gɛt bɛtɛ tin fɔ du. Risach dɔn ivin sho se if pɔsin bigin fɔ trit am insay di fɔs 14 dez we i bigin fɔ gɛt di sik kin rili mek di chans fɔ mek i gɛt sakrifays .

So, if yu gɛt ɛni wan pan dɛn sik ya, duya nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm. I go chɛk yu ɛn tɛl yu us tritmɛnt we bɛtɛ fɔ yu. Natin nɔ de fɔ wɔri bɔt, bɔt i impɔtant fɔ du sɔntin kwik kwik wan!

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, yu kin aks yu dɔktɔ:

• Wetin kin bi di men rizin we mek a de gɛt dɛn sik ya?
• Us tɛst dɛn a nid fɔ du?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Yu tink se di tritmɛnt dɛn we nɔto ɔpreshɔn go mek a gɛt mɔ sik dɛn?
• Us chenj a kin mek na mi layf fɔ ridyus dɛn sik ya?

I go fayn fɔ yu fɔ aks kwɛstyɔn dɛn lɛk dis ɛn ɔndastand yu sityueshɔn fayn fayn wan.

` Venous Thoracic Outlet Syndrome, VTOS, Paget-Schroetter syndrome, sabklavian vein, blɔd klot, pulmonary embolism, an swel, an pen, an swel, an pen, blɔd klot, thoracic outlet syndrome, venous thromboembolism