Lɛ wi lan mɔ bɔt Venous Thromboembolism (VTE) wantɛm wantɛm.

Yu dɔn ɛva wɔnda aw di blɔd we de pas na wi vein dɛn kin stɔp sɔntɛnde na wan ples ɛn mek klot? Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt fɔ tru, i rili impɔtant fɔ no bɔt dis. Bikɔs na da tɛm de nɔmɔ wi go ebul fɔ du sɔntin kwik kwik wan if nid de. Tide wi de tɔk bɔt blɔd we de klɔt na wan vein, wan kɔndishɔn we dɔktɔ dɛn kɔl `(Venous Thromboembolism - VTE)`.

Wetin na Venɔs Tromboɛmbolizm (VTE)?

Fɔ tɔk am simpul wan, `(Venous Thromboembolism)` na we blɔd klɔt de fɔm insay wan vein na wi bɔdi, we na wan kayn vein we de kɛr klin blɔd go na di at, we de mek di blɔd nɔ flɔ. Na ya, "Thrombo" min blɔd we de klɔt. "Embolism" min we dis kayn blɔd klɔt de travul along wan blɔd vesel ɛn stɔp sɔmsay. "Venous" min insay di veins.

We dɔktɔ dɛn kin tɔk bɔt VTE, dɛn kin tɔk mɔ bɔt tu kayn blɔd we kin klɔt:

1. Dip Vein Thrombosis (DVT): Dis na we bכdi kכlכt de fכm na di dip vein dεm we de rכn tru di mכsul dεm, dip insay di bכdi.

2. Pulmonary Embolism (PE): Dis kin apin we blɔd we kɔmɔt na DVT ɔ blɔd we kɔmɔt na ɔda say brok ɛn lod insay wan vein na di lɔng.

Tink bɔt dis, dɛn vein ya kin briŋ blɔd bak na di at frɔm fa fa pat dɛn na wi bɔdi, lɛk wi an ɛn fut dɛn. So, we wan vein blok bay blɔd klɔt, blɔd kin bigin fɔ gɛda biɛn di say we blok. Dɔn da say de kin swel ɛn gɛt inflamɛns. Dɔn bak, di sɛl dɛn we de bifo di say we dɛn dɔn blok nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. Dis kin mek di vein dɛn, di tisu dɛn, ɛn ivin di ɔgan dɛn rili pwɛl. fכ egzampl, if wan vein we de kכri bכdi go na di lכng dεm de blok bay ``VTE'', i kin mek yu layf de pan denja .

Aw blɔd kin klɔt na vein dɛn lɛk dis?

Fɔ tru, fɔ mek blɔd klɔt na nɔmal tin we wi bɔdi kin du fɔ mek wi gɛt wɛlbɔdi. Yu kin tink bɔt am lɛk skab we kin mek we smɔl wund we de na wi skin dray ɛn smɔl blɔd kɔmɔt. Na so i bi. We injuri de insay di bɔdi, ilɛksɛf na infɛkshɔn, di blɔd kin tik smɔl fɔ mek di blɔd nɔ kɔmɔt. Ivin if dis na infekshɔn, dɛn kin trit di layn na di blɔd vesel lɛk se na wund.

Nɔmal wan, we di wund ɔ di infekshɔn bigin fɔ wɛl, di blɔd we de klɔt kin sɔlv. Bɔt sɔntɛnde, dat nɔ kin apin . Ɔ, blɔd kin klɔt we nɔ gɛt ɛni injuri. Dis kin bi bikɔs ɔf bɔku tin dɛn. Insay dɛn kayn tin ya, if di blɔd we de klɔt big, i kin blok di vein kpatakpata.

Aw dɛn blɔd ya kin afɛkt yu bɔdi?

Bɔku pipul dɛn kin tink se we dɛn tink bɔt blɔd we de klɔt, i min se blɔd de klɔt we de mek pɔsin gɛt ``At Atak'' ɔ ``Strok.'' Bɔt ``VTE'' nɔto di kayn blɔd we kin kɔmɔt na di at (di vein dɛn we kin kɛr blɔd kɔmɔt na di at to di ɔda pat na di bɔdi). Bɔt, i kin rili denja .

Di prɔblɛm we rili siriɔs na we wan VTE ɔ blɔd we de klɔt, kɔmɔt na di say we i kɔmɔt, travul tru di blɔd, ɛn lod na di vein dɛn na di lɔng dɛn . Dɛn kɔl dis Pulmonary Embolism (PE). PE de mek di ɔksijɛn ɛn blɔd nɔ go na di lɔng dɛn. Na di sem tɛm, di blɔd prɛshɔn na di at kin go ɔp. Dɛn kɔl dis sik Pulmonary Hypertension. If dis kɔntinyu, at kin pwɛl ɛn ivin day.

VTE kin apin bכku tεm na di dip vein dεm na wi bכdi, spεshal wan na di leg כ an כ na di vein dεm we de insay di mכsul dεm. We blɔd klɔt fɔm na dip vein, dɛn kin kɔl am Dip Vein Thrombosis (DVT). We DVT blok wan vein, i kin mek di vein inflam, swel, ɛn rɛd, we kin pwɛl di vein fɔ lɔng tɛm. Dis kin mek yu gɛt wan sik we dɛn kɔl Chronic Venous Insufficiency ɔ Post-thrombotic Syndrome. Nɔto ɔl DVT dɛn kin blok wan vein, bɔt dɛn kin ebul, so dɛn kin klas dɛn as Venous Thromboembolic Disease. I impɔtant bak fɔ mɛmba se if blɔd klɔt brok ɛn travul go na di lɔng, i kin mek yu gɛt PE.

wetin difrεns bitwin `Thrombosis` (wan bכdi we de kכlכt) εn `Thromboembolism` (we blכk we blכd kכlכt na di sεkyuleshכn)?

Fɔ tɔk am simpul wan, `(Thrombosis)` min blɔd we de klɔt. `(Thromboembolism)` min bכdi we de kכlכt we de travul tru di bכdi εn stכk sכmsay, we de mek di bכdi nכ fכ fכlכ. `(Dip Vein Thrombosis - DVT)` εn `(Pulmonary Embolism - PE)` dεn tu de fכl כnda di כmbrela fכ `(Venous Thromboembolic Disease)`. Na bikɔs dɛn tu tin ya kin mek blɔd nɔ flɔ na di vein dɛn.

supεrfishal venus thrombosis (SVT) na bכdi we de kכlכt we de fכm insay sכm sכm sכpεshכnal vein dεm we de nia di sכfa pan di skin, εn i nכ kin kכz siriכs kכmplikεshכn. Pan ɔl we lɛk af pan di DVT dɛn nɔ kin mek prɔblɛm, dɛn fɔ tink bɔt dɛn bikɔs dɛn kin mek prɔblɛm ɛn dɛn kin mek pɔsin gɛt PE.

Aw kכmכn dεn kכl dis kכndyushכn `VTE`?

ivin na sɔm divεlכp kכntri dεm na di wכl, `(VTE)` na di tכd mכst kכmכn vaskulεr sik afta `(Hat Atak)` εn `(Stroke)`. Dis min se dis sik kin afɛkt lɛk wan pan ɛvri 1000 pipul dɛm pan ia. כlmost af pan di wan dεm we de divεlכp `(VTE)` de divεlכp bak `(Pulmonary Embolism - PE)`. כlso, lεk 25% pan di wan dεm we de divεlכp `(PE)` de day. dεn kin se bak se di risk fכ divεlכp `(VTE)` de dכbl εvri tεn ia afta dεn ol 40 ia .

Udat de pan ay risk fɔ gɛt VTE?

Infakt, ɛnibɔdi kin gɛt VTE. Bɔt sɔm tin dɛn de we kin mek di prɔblɛm bɔku. Tink bɔt se lɛk 25% to 50% pan di VTE kes dɛm kin apin fɔ no rizin. Ɔda 20% gɛt fɔ du wit kansa. Ɔda 20% gɛt fɔ du wit ɔpreshɔn. Dɔn bak, sɔm pipul dɛn kin gɛt prɔblɛm we kin mek dɛn blɔd klɔt, ɛn dis kin mek dɛn gɛt prɔblɛm wit blɔd.

Wetin na di tin dɛn we kin mek pɔsin gɛt VTE?

Bɔku rizin dɛn de we mek blɔd kin klɔt. Bɔt i nɔ kin izi fɔ tɔk fɔ tru if di blɔd we de klɔt go gro big fɔ blok wan vein ɔ brok lɔs ɛn travul go na di lɔng dɛn. Pipul wae gɛt VTE kin gɛt pas wan risk factor.

sכm pipul dεn gεt imbalans pan di protin dεm na dεn bכdi we de εp fכ blכd kכlכt (`(Thrombophilia)`). Dis kin mek dɛn blɔd klɔt izi wan ɛn mek i nɔ kin sɔlv di blɔd we dɔn fɔm. Dis kin bi frɔm in mama ɛn papa, ɔr kin bi wan sayd ɛfɛkt fɔ ɔda mɛrɛsin.

Sɔntɛnde, we di bɔdi nɔ de muv, dat na we i nɔ de muv , di blɔd we de flɔ na di vein dɛn kin slo ɛn blɔd kin klɔt. Jɔs tink bɔt, we yu de travul fɔ lɔng tɛm, we yu de na di sem pozishɔn fɔ lɔng tɛm na di bɔs ɔ tren, ɔ we yu sidɔm na chia ɔl di de na ɔfis, ɔ we yu sik ɛn nɔ de na bed, dis risk kin de.

Di tin we kin mek blɔd klɔt pas ɔl na we pɔsin wund ɔ gɛt infɛkshɔn. Sɔntɛnde, dis injury kin kam bikɔs ɔf mɛrɛsin. Fɔ ɛgzampul, i kin apin we dɛn de du ɔpreshɔn, we dɛn de tek kemotɛrapi fɔ kansa, ɔ we dɛn put IV (intravenous liquid) layn insay di an ɔ put kateshɔn. Pipul wae kin de na ɔspitul fɔ lɔng tɛm kin gɛt bɔrku risk fɔ gɛt blɔd klɔt. Dis na bikɔs dɛn de wɛl frɔm injuri ɔ infɛkshɔn, dɛn de gɛt agresiv mɛrɛsin, ɛn dɛn de spɛn bɔku tɛm na ɔspitul bed.

Us tin dɛn kin mek pɔsin gɛt VTE?

Na sɔm tin dɛm wae kin mek yu gɛt mɔr risk fɔ gɛt VTE:

• Injuri to wan vein bikɔs ɔf frakt ɔ ɔpreshɔn.
• Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik.
• Di blɔd we de go dɔŋ bikɔs i stil de na wan ples fɔ tu lɔng.
• Jεnεtik kכndishכn dεm we de pas dכn tru jεnereshכn εn famili histri fכ VTE.
• di inkrεs lεvεl dεm fכ di כmon `(Estrogen)` bikoz fכ bεlε, bכn kכntrכl pil yus, כ כmon riplesmεnt tεrapi (`(Hכmon Riplesmεnt Tεrapi)`).
• bכdi sik dεm we de kכlכt, fכ egzampl `(Factor V Leiden sik)`, `(Polycythemia Vera)` εn `(Sickle Cell Disease)`.
• Sɔm sik dɛn we nɔ de mɛn, fɔ ɛgzampul, kansa, at sik, ɛn Inflammatory Bowel Disease (IBD).
• Di tin dɛn we kin mek pɔsin liv in layf, dat na fɔ smok, fɔ fat, ɛn fɔ nɔ du ɛksɛsayz.
• Ej (VTE kin mɔs pan ol pipul dɛm. Dis kin bi bikɔs ɔf di prɛvalɛns ɔf kɔmɔrɔbiditi ɛn bad bad layf stayl factor dɛm bitwin dɛm).

Wetin na di sayn dɛm fɔ wan `VTE`?

If wan vein blok bikɔs ɔf dip vein thrombosis (DVT), di sayn dɛn kin kam na di say we di blɔd klɔt. Dɛn tin ya na:

• Swɛlin (espɛshali na wan leg ɔ an) .
• Rɛdnɛs
• Fɔ fil wam we yu tɔch da say de
• Pen (especially wen yu tinap ɔr de waka) .

di simptom dεm fכ wan ``(PE)``, dat na, bכdi we de kכlכt na di lכng dεm, kin apia wan wan, sכmtεm dεn nכ de sho nכ sayn bifo fכ ``(DVT)``. Dɛn sayn ya na:

• Chɛst pen (especially we yu de tek dip briz) .
• I nɔ kin izi fɔ blo (we kin bigin wantɛm wantɛm) .
• Di at rit we de go ɔp
• Di rεt we yu de blo de go ɔp
• Vertigo (filin lɛk se yu de spin) .
• Lɔs fɔ no bɔt sɔntin
• Swet ɔ fil kol
• Fɔ kɔf blɔd

Impɔtant: If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm , bikɔs dɛn tin ya kin bi sayn fɔ se yu gɛt siriɔs sik.

Aw dɛn kin no bɔt `VTE`?

Ɔda kɔndishɔn dɛn de we gɛt di sem kayn sayn dɛm lɛk DVT ɛn PE. Fɔ mek shɔ se yu gɛt Venous Thromboembolic Disease, yu dɔktɔ go aks bɔt yu mɛdikal histri, no bɔt di tin dɛn we kin mek yu gɛt VTE, ɛn nɔ go gɛt ɔda sik dɛn. Dɛn kin du wan bɛsik blɔd tɛst bak fɔ luk fɔ sayn dɛn we de sho se blɔd dɔn rɔtin. Dɔn dɛn go yuz imej tɛst dɛn lɛk skan fɔ no usay di blɔd de.

Us tɛst dɛn kin yuz fɔ no if yu gɛt `VTE`?

difrεn tεst dεm dεn de du fכ no `(DVT)` εn `(PE)`.

Tests we detekt `DVT`

• Blɔd tɛst: Wan blɔd tɛst de we dɛn kɔl D-dimer tɛst. Dis de mכsu di lεvεl fכ wan tin we de kכmכt we di blכd kכlכt brok dכn. If di lɛvɛl fɔ dis tin ay, i kin bi sayn fɔ se blɔd dɔn klɔt. Dɛn kin du blɔd tɛst bak fɔ no di ɔksijɛn we de na di blɔd ɛn fɔ chɛk fɔ si if pɔsin gɛt di sik we dɛn kin gɛt frɔm di blɔd we kin mek i nɔ klin.
• Vascular ultrasound: Dis na tɛst we nɔ de mek pɔsin fil pen. Bɔku tɛm na di fɔs tin we yu kin pik fɔ luk di vein dɛn ɛn aw blɔd de flɔ tru dɛn. Sɔntɛnde dɛn kin kɔl am dupleks ɔltrasɔund bikɔs i gɛt tu pat. Insay di fɔs pat, di dɔktɔ kin yuz wan tin we tan lɛk stik fɔ dayrɛkt sawnd wev dɛn na di vein dɛn ɛn fɔ gɛt pikchɔ dɛn na skrin. Dɔn dɛn kin kɔmprɛs di vein fɔ si if i de kɔntrakt nɔmal wan ɔ if blɔd de blok am. Insay di sɛkɔn pat, dɛn kin dayrɛkt di sawnd wev dɛn fɔ si aw di blɔd de flɔ na di vein. We blɔd de flɔ nɔmal wan, di sawnd wev dɛn kin chenj tru wan tin we dɛn kɔl Doppler effect.
• MR venografi: .wan we we dεn kכl Magnetic Resonance Imaging (MRI) kin bכku pas כltra saund fכ egzamin di vein dεm na di εria dεm lεk di bεlε, di chεst, εn di bכdi. Insay MR venografi, dɛn kin yuz rediofrikyuɛnsi wev fɔ no di blɔd we de klɔt. Dis tɛst nid fɔ ledɔm insay wan standad MRI mashin. Dɛn kin gi yu spɛshal day bak fɔ ɛp di vein dɛn fɔ sho klia wan.
• Kontrast venografi: Dis na tradishonal X-ray test. Bak, dɛn kin injɛkt wan kɔntrast day insay wan vein fɔ mek di vein dɛn we dɛn kin si mɔ pan di pikchɔ dɛn. Pan ɔl we i kin ambɔg smɔl pas ɔda tɛst dɛn we dɛn kin du fɔ tek pikchɔ, dɛn kin tek am se i kɔrɛkt. Dɛn kin du dis if ɔda tɛst dɛn nɔ kin no. Di pɔsin we de wok fɔ di ɛkstrem rayt kin put smɔl tiub insay wan pan yu big vein dɛn, gayd am fɔ go na di rayt say, i kin put di kɔntrast day, dɔn i kin tek ɛkstrem rayt.

Tests we detekt `PE`

• Pulse oximetry: If yu simptom sho se yu gɛt PE, yu dɔktɔ kin fɔs mɛzhɔ di ɔksijɛn lɛvɛl na yu blɔd bay we i put pulse oximetry sensor na yu finga. If di ɔksijɛn lɛvɛl smɔl, i kin bi bikɔs ɔf PE ɔ ɔda lכng ɔ at kɔndishɔn.
• Chɛst X-ray: Pan ɔl we chɛst ɛkstrem nɔ kin ebul fɔ no if yu gɛt PE, i kin no ɔda tin dɛn we de apin na yu lɔng ɔ at we kin mek yu gɛt di sik.
• CT pulmonary angiography (CTPA): Dis na di standad tɛst fɔ no if pɔsin gɛt PE. CT skan de mek tri dimɛnshɔnal (3-D) pikchɔ dɛn bɔt di vein ɛn atria dɛn na yu lɔng. "Pulmonary" min se i riliyt to di lכng dεm, εn "angiography" na εks-ray fכ di bכdi vεsul dεm. CTPA nכ de invayv, bכt i kin nid fכ injεkt kכntrast day insay wan vein.
• Pulmonary angiogram: If ɔda tɛst dɛn nɔ klia, tradishɔnal pulmonary angiogram kin gi difinitiv rizɔlt. Bɔt, i kin invayd smɔl. Fɔ dis angiogram, di pɔsin we de wok fɔ di ɛkstrem rayt kin put wan tiub insay wan pan yu big vein dɛn, i kin trɛd am na yu chɛst, i kin put kɔntrast day, dɔn i kin tek ɛkstrem rayt.

Wetin na di tritmɛnt dɛm fɔ VTE?

di tritmεnt opshכn dεm fכ `(Venous Thromboembolism)` dipכnt pan aw di bכdi kכlכt denja. Sɔm `(DVT)` kes dɛm kin bi wit ɔral mɛrɛsin. Bɔt sɔm `(PE)` kes dɛn kin nid fɔ pul dɛn kwik kwik wan . Yu dɔktɔ kin pul wan `(PE)` we de mek yu layf de pan denja wit kateshɔn we dɛn put tru wan vein, ɔ i kin injɛkt wan `(thrombolytic)` mɛrɛsin we de sɔlv di blɔd we dɔn klɔt kwik kwik wan. Bɔt bikɔs ɔf di kɔmplikeshɔn dɛn we kin apin, dɛn kin jɔs du dɛn kayn tin ya we dɛn kin du we tin nɔ izi fɔ du.

If VTE nɔ de mek pɔsin in layf de pan denja wantɛm wantɛm, di tritmɛnt de pe atɛnshɔn fɔ stɔp di klot we dɔn de fɔ mek i nɔ big ɛn fɔ mek nyu klot nɔ fɔm. Dɛn kayn tritmɛnt ya fɔ mek di blɔd nɔ gɛt dis sik na tin dɛn we de mek di blɔd nɔ rɔtin, we na mɛrɛsin dɛn we de mek di blɔd tan, ɛn kɔmpreshɔn stɔking, we de ɛp fɔ mek di blɔd go fayn fayn wan. If yu gɛt mɔ kɔmpleks, yu dɔktɔ kin tɛl yu fɔ du tin wit yu bɔdi, lɛk fɔ put filta insay wan vein fɔ mek di blɔd nɔ go na yu lɔng.

Aw yu go mek yu nɔ gɛt VTE?

Bɔku tin dɛn de we kin mek pɔsin gɛt venus thromboembolism, nɔto ɔl dɛn tin ya wi kin kɔntrol. Bɔt, bɔku tɛm, fɔ de du tin na di izi we fɔ mek yu nɔ gɛt am . Bikɔs bɔku pan di DVT dɛn kin apin na di leg dɛn, if yu kɔntinyu fɔ mek di blɔd go fayn fayn wan na di leg dɛn, dat kin ridyus di prɔblɛm bad bad wan.

If yu sidɔm fɔ lɔng tɛm, ilɛksɛf na wokples ɔ we yu de travul, mek shɔ se yu grap ɛn waka rawnd ɔltɛm ɛn ɛksesaiz yu leg mɔsul dɛn. Dis go ɛp fɔ ridyus di blɔd we de gɛda. Ilɛksɛf yu sik ɔ yu de wɛl afta dɛn dɔn du yu ɔpreshɔn, if yu grap ɛn muv rawnd kwik kwik wan, dat go ɛp fɔ mek yu nɔ gɛt bɔku blɔd. Ɛksesaiz kin ɛp bak fɔ mek yu nɔ strɛs ɛn mek yu gɛt wɛlbɔdi wet . Dis na ɔda tin dɛn we kin mek pɔsin gɛt VTE.

Aw yu kin tek kia ɔf yusɛf afta yu dɔn gɛt VTE?

If yu gɛt VTE, no bɔt dɛn tin ya:

• Go fɔ kia fɔ yu ɔltɛm. Yu dɔktɔ go wach yu sik ɛn disayd aw lɔng yu nid fɔ tek yu mɛrɛsin.
• Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am. Bɔt if yu gɛt blɔd pasmak (na siriɔs sayd ɛfɛkt we blɔd tin dɛn kin gɛt), stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɛn kɔntak yu dɔktɔ.
• Yu fɔ no di sayn dɛn we de sho se blɔd dɔn rɔtin, mɔ di leg dɛn we de swel ɛn pen we yu tɔch yu.
• Adopt layf we gɛt wɛlbɔdi. Stay aktif, drink bɔku wata, kɔntrol strɛs, ɛn lɛf fɔ smok if yu de smok.

Mɛmba se bɔku difrɛn tin dɛn de we kin mek pɔsin gɛt Venous Thromboembolism. Sɔm tin kin de wae yu nɔr no bɔt ɛn yu nɔr kin ebul fɔ chenj.

Afta ɔl dis tɔk, na dis yu nid fɔ mɛmba!

bכku tin dεm de we kin kכntribyut to wan kכndyushכn we dεn kכl `(Venous Thromboembolism - VTE)`. Yu kin gɛt prɔblɛm dɛn we yu nɔ no bɔt, ɛn sɔm pan dɛn wi nɔ kin ebul fɔ kɔntrol. Bɔt bɔku tin dɛn de we yu kin du fɔ mek yu nɔ gɛt `(VTE)` . Ɛn, if i sɔri fɔ no se i apin, dɛn kin ebul fɔ manej am fayn fayn wan.

If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bɔt di patikyula tin dɛn we kin mek yu gɛt prɔblɛm ɛn aw yu go ridyus di prɔblɛm. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sayn dɛm fɔ ``VTE''. Wi kin tek ɔl di blɔd we de klɔt, di wan dɛn we yu gɛt naw ɛn di wan dɛn we yu go gɛt tumara bambay, siriɔs wan. So nɔ fred fɔ go to dɔktɔ jɔs afta yu gɛt ɛnitin we de mɔna yu. Yu wɛlbɔdi na di tin we wi fɔ put fɔs!

` Blɔd klɔt, vein, DVT, PE, lɔng, Venɔs Tromboɛmbolizm, VTE