Yu dɔn ɛva tink bɔt aw ɛni sigrɛt we yu layt, ɛni sigrɛt we yu de yuz, kin pwɛl yu an ɛn yu fut? Bɔku pipul dɛn kin tink se we pɔsin de smok, i kin jɔs ambɔg di lɔng ɛn at. Bɔt tide wi de tɔk bɔt wan sik we denja di sem we, bɔt nɔr de tɔk bɔt am bad bad wan. Dis sik kin mek yu lɔs yu finga, an, ɛn ivin yu fut. Dɛn kɔl dis sik we dɛn kɔl Buerger’s Disease .
Fɔ tɔk am simpul wan, wetin na di sik we dɛn kɔl Berger’s disease?
Fɔ tɔk am simpul wan, Buerger’s disease na wan sik we di blɔd vesel (veins) na yu an ɛn yu leg kin swel ɛn blok bikɔs blɔd kin klɔt . I tan lɛk se wata paip de klos wit dɔti. Wan ɔda nem we dɔktɔ dɛn kin yuz fɔ dis na `(Thromboangiitis Obliterans)` ɔ TAO.
Nɔr patikyula mɛrɛsin nɔr de fɔ dis sik yet. Bɔt di tin we kin mek wi sɔprayz na dat, bɔku pipul dɛn we kin gɛt dis sik, we na lɛk 100 pasɛnt, na pipul dɛn we de yuz tabak. Dis kin inklud ɛnitin frɔm sigrɛt, siga, sigrɛt we pɔsin kin it, ɛn snuf.
Di wangren gud tin bɔt dis sik na dat if yu stɔp fɔ yuz tabak ɔltogɛda, di sayn dɛm go smɔl, ɛn sɔmtɛm i go ivin go. Bɔt if yu kɔntinyu fɔ yuz tabak, i kin mek di tisu dɛn pwɛl bad bad wan ɛn leta yu kin kɔt yu finga dɛn, yu fut finga dɛn, ɛn sɔntɛnde yu kin ivin kɔt yu an ɛn fut dɛn.
Wetin mek dis kayn sik kin apin?
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt dis sik. Sɔntɛm sɔntin de we mek pɔsin gɛt sɔntin fɔ du wit in jɛnɛtiks. Dis min se sɔm pipul dɛn kin gɛt dis sik bay dɛnsɛf.
Bɔt di men tin we dɛn de tink bɔt na tabak. Tu we dɛn de we masta sabi bukman dɛn kin tink:
1. Sɔm kemikal dɛn we de insay tabak kin mek di wɔl dɛn na yu blɔd vesel dɛn vɛks ɛn mek dɛn swel.
2. Ɔ, tabak kin ambɔg yu bɔdi in imyun sistɛm , we kin mek i atak in yon gud blɔd vesel dɛn, lɛk pɔyzin.I kin bi se i bigin fɔ atak, lɛk fɔ atak.
Yu gɛt dɛn sik ya bak?
Bɔrku tɛm, di fɔs sayn fɔ dis sik na pen na yu an ɔr leg. Dis pen kin spre smɔl smɔl ɔp di an ɛn leg. Sɔntɛnde, dis pen kin rili bad. Dis pen kin apin we yu de waka, ɛksesaiz (dɛn kɔl am na mɛrɛsin ``claudication``), ɔ ivin we yu jɔs tinap. Dis pen kin tranga pasmak wae yu de kol ɔr wae yu gɛt strɛs.
Apat frɔm dat, yu kin si chenj dɛn lɛk dis na yu an ɛn fut.
| Di pat na di bɔdi | Di sayn dɛm we pɔsin kin si/fil |
|---|---|
| An ɛn fut |
|
| Finga ɛn fut finga dɛn | |
| Vein dɛn we de na di say we di skin de |
Bad tin kin apin if yu nɔ pe atɛnshɔn to dɛn.
As tɛm de go, di sik we dɛn kɔl Buerger kin kɔt di blɔd we de go na yu finga ɛn fut finga dɛn kpatakpata. dis kin mek yu gεt wan siriכs kכndyushכn we dεn kכl ``Gangrene.'' Dis min se di skin εn di tisu na da εria de bigin fכ day. Dɔn dɛn pat dɛn de nɔ kin fil fayn igen ɛn dɛn kin tɔn blu ɔ blak.
If yu gɛt gangrene, bɔku tɛm dɔktɔ dɛn kin gɛt ɔpreshɔn fɔ pul di say we dɔn pwɛl.
Nɔr kin bɔrku, dis sik kin ivin mek pɔrsin gɛt sɔm kayn sik lɛk strok ɔr at atak.
Aw di dɔktɔ kin no bɔt dis sik?
Nɔr wan tɛst nɔr de fɔ kɔnfirm se dis na Berger in sik. Yu dɔktɔ go aks yu fɔs bɔt aw yu de smok ɛn di sayn dɛn we yu gɛt.
Dɔn, dɛn kin du bɔku tɛst dɛn fɔ chɛk aw yu blɔd de go ɛn fɔ no ɔda sik dɛn we kin gɛt di sem sayn dɛn. Fɔ ɛgzampul, di sik we de na di at kin mek yu leg pen bak. Bɔt di tin we kin mek i nɔ de na di blɔd vesel dɛn we de swel, bɔt na di fat we de insay dɛn.
Yu kin nid fɔ du tɛst dɛn lɛk dɛn wan ya:
- Allen test: Dis na wan rili simpul blɔd sakulayshɔn tɛst. Di dɔktɔ tɛl yu fɔ swɛt yu an tayt tayt wan. Dis go pul sɔm pan di blɔd na yu an. Dɔn, di dɔktɔ go klem di tu men at dɛn we de nia yu an ɛn aks yu fɔ opin yu an. Yu an go tɔn blak. Dɔn, di dɔktɔ go fri wan at na wan say. Insay nɔmal pɔsin, di blɔd go ful-ɔp yu an kwik kwik wan ɛn kam bak to in nɔmal kɔlɔ. Bɔt if i tek lɔng tɛm fɔ mek di blɔd ful-ɔp, dat kin bi sayn fɔ di sik we dɛn kɔl Buerger.
- Angiogram: Dis na wan kayn ɛkstrem rayt. Dɛn kin yuz am fɔ luk fɔ blɔd vesel dɛn we dɔn blok na yu an ɛn yu fut. Di dɔktɔ kin put wan tiub we rili tan (kateta) insay wan pan yu at ɛn injɛkt wan spɛshal day insay. Dɔn dɛn kin tek ɛkstrem rayt kwik kwik wan fɔ chɛk aw di blɔd vesel dɛn de. CT ɔ MRI skan kin mek bak di sem kayn pikchɔ dɛn.
- Blɔd tɛst: Dɛn tin ya kin ɛp fɔ mek shɔ se yu nɔ gɛt ɔda sik dɛn lɛk dayabitis ɛn lupus.
Wetin na di tritmɛnt dɛn?
Fɔ lɛf fɔ smok ɔltogɛda na di wangren ɛn bɛst we fɔ stɔp di bad tin dɛn we di sik we dɛn kɔl Berger’s sik kin du. Ivin wan sigrɛt insay wan de kin mek di sik wɔs. So "cutting back a little" no bi di ansa ya. Yu fɔ lɛf fɔ du am kpatakpata.
Apat frɔm dat, tritmɛnt dɛn lɛk dis kin ɛp fɔ mek di blɔd go fayn ɛn fɔ mek di pen nɔ bɔku:
- Mɛrɛsin dɛn lɛk vasodilators ɔ blɔd thinner.
- Ɛksesaiz fɔ waka.
- intamitεnt kכmprεshכn fכ di an εn leg dεm we yu de yuz spεshal ikwipment.
- Wan ɔpreshɔn fɔ kɔt di nerv dɛn to di say we di sik afɛkt (sympathectomy).
I kin nid fɔ kɔt di bɔdi fɔ ɔpreshɔn fɔ pul wan pat we dɔn wund ɔ we gɛt gangren.
Yu tink se we yu lɛf fɔ smok, yu tink se i go rili ɛp?
Yu wɛlbɔdi tumara bambay dipen ɔl if yu lɛf fɔ smok. Akɔdin to di statystik, lɛk 43% pan di pasɛnt dɛn we kɔntinyu fɔ yuz tabak go gɛt fɔ gɛt sɔm kayn we fɔ kɔt dɛn an insay 8 ia afta dɛn dɔn no se dɛn gɛt di sik.
Bɔt dis kin apin to 6% nɔmɔ pan di wan dɛn we lɛf fɔ smok. Dis pasɛnt de nia ziro pan di wan dɛm wae dɛn kin no kwik kwik wan ɛn lɛf fɔ smok. Dis de sho aw i impɔtant fɔ lɛf fɔ smok, nɔto so?
If yu gɛt prɔblɛm fɔ lɛf fɔ smok, tɔk to yu dɔktɔ bɔt program dɛn we go ɛp yu. Nɔ shem. Na disizhɔn we go sev pɔsin in layf.
Mɛsej we dɛn kin kɛr go na os
- Buerger’s disease na siriɔs sik wae gɛt fɔ du wit aw pɔrsin de smok.
- Dis kin mek di blɔd vesel dɛn na yu an ɛn yu leg dɛn kin blok.
- Di wangren tritmɛnt we go wok fayn fɔ dis na fɔ stɔp fɔ yuz ɔl kayn tabak kpatakpata, lɛk sigrɛt, siga, sigrɛt we yu de it, ɛn we yu de it tabak.
- If yu gɛt sɔm sayn dɛn lɛk pen, tingling, ɔ yu an ɛn fut dɛn we gɛt kɔlɔ chenj, go to dɔktɔ wantɛm wantɛm.
- Yu kin kɔntrol dis sik ɛn mek yu nɔ lɔs yu an ɛn fut if yu lɛf fɔ smok.
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