Wetin yu go du if dɛn put smɔl kamɛra insay yu at ɛn luk am? Dat na kadyak kateshɔn!

Bɔku tɛm yu kin gɛt pen na yu chɛst? Ɔ yu dɔktɔ de tink se yu gɛt at prɔblɛm? Tide wi go tɔk bɔt wan spɛshal tɛst we dɛn kin du fɔ si ɛksaktɔli wetin de apin insay yu at. Dis na wetin wi kin kɔl `(Cardiac Catheterization)`. Di nem kin tan lɛk se na big tin, bɔt nɔ fred. Lɛ wi tɔk bɔt dis simpul wan.

Wetin na Kadiak Kateshɔn? Fɔ tɔk am simpul wan...

Imajin se yu bin want fɔ chɛk if di blɔd vesel dɛn we de insay yu at, we na di smɔl smɔl tiub dɛn we de kɛr blɔd go na yu at, de wok fayn ɛn if sɔntin dɔn blok sɔmsay. Na da tɛm de dɛn kin du dis ``Cardiac Catheterization`` tɛst.

Fɔ tɔk am simpul wan, dis involv fɔ pas wan rili tin, smɔl tiub (dɛn kin kɔl am bak ``kateta``) tru wan big blɔd vesel na yu an ɔ yu groin insay yu at. I tan lɛk se yu put smɔl kamɛra insay. we di tכb go insay yu at, dכkta dεm kin si klia wan di men bכdi vεsul dεm na yu at, lεk di ``korona at dεm`` (di at dεm we de gi bכdi to di at mכsul) כ di ``pulmonary artery`` (di at we de kכri bכdi frכm di at to di lכng). Dɔn dis kin no klia wan if prɔblɛm de wit di shep ɔ di wok we di at de du.

Dis nɔto big ɔpreshɔn. Dat min se no big say nɔ de na di bɔdi. So di tɛm we pɔsin kin gɛt fɔ wɛl kin shɔt pas di ɔpreshɔn. Bɔt sɔntɛnde afta dis tɛst, i kin dipen pan di rizɔlt, di dɔktɔ kin disayd se yu nid fɔ ɔpreshɔn.

Na wan dɔktɔ we de mɛn at ɛn we dɔn gɛt spɛshal trenin pan dis ɛn in tim kin du dis tɛst. Ɔda dɔktɔ dɛn, nɔs dɛn, ɛn tɛknishian dɛn de jɔyn dis tim.

Wetin na di kayn kadyak kateshɔn?

Na tu kayn tin de mɔ fɔ dis:

1. Lεft hat kateshכn: dis involv fכ pas wan sכmכl tכb (kateshכn) tru wan atεri insay di at. dis prosidכs de mek yu si di kכndishכn fכ di chεmba dεm εn di korona atεri dεm na di lεft say na yu at, εn mεzj di prεshכn na da say de.

2. rayt hat kateshכn: insay dis, dεn de put wan tכb tru wan vein. Dis kin mek wi ebul fɔ si di chɛmba dɛn na di rayt say na di at ɛn di prɛshɔn we de na da say de.

Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst fɔ mek yu gɛt kateshɔn fɔ yu at?

Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi:

• If yu de fil pen ɔltɛm na yu chɛst ɔ yu at nɔ de rit, fɛn di tin we mek yu de fil.
• tek bכdi sεmpl כ wan rili sכm tisu frכm di at εn tεst am (`(bayopsi)`).
• Mek shɔ se prɔblɛm nɔ de wit yu korona at ɔ yu at valv.
• chɛk if di at mɔsul de wok fayn ɛn no if di at mɔsul sik de (cardiomyopathy).
• Chek fɔ prɔblɛm wit di at dɛn we de go na yu lɔng (pulmonary arteries) ɛn ay blɔd prɛshɔn (pulmonary hypertension).
• Chek di blɔd flɔ, ɔksijɛn lɛvɛl, ɛn prɛshɔn na difrɛn pat dɛn na di at.
• Gɛt infɔmeshɔn we ɔda tɛst dɛn nɔ kin ebul fɔ fɛn kɔrɛkt wan.
• Disid us tritmɛnt yu nid nɛks. Fɔ ɛgzampul, if blɔd vesel blok, dis go ɛp fɔ disayd if fɔ klin am, put stent, ɔ du ɔpreshɔn lɛk korona at baypas graft (CABG).
• Dis tɛst impɔtant bak we yu de plan fɔ transplant yu at.

Aw kadyak kateshɔn de wok?

Mek a ɛksplen dis smɔl. afta di dכkta put da sכmכl tכb de insay di at, dεn de injεkt wan spεshal wata (dεn kכl am `kכntrast mεtirial`) tru da tכb de insay di at εn di bכdi vεsεl dεm. dis likwid de mek di bכdi vεsul dεm εn di at chεmba dεm klia wan pan di `X-ray` imej dεm.

as dis wata de travul tru di at, dεn de rεkכd am pan εks-ray (dεn kכl am bak korona angiogram). Frɔm dɛn dijital pikchɔ dɛn ya, di dɔktɔ kin:

• Fɛn ɛksaktɔli usay wan korona at dɔn blok ɔ smɔl.
• Asɛs di sayz ɛn shep fɔ di at in chɛmba ɛn blɔd vesel dɛn.
• Chek fɔ blɔd ɔ brus we nɔ kɔmɔn.

sכmtεm, if yu nid fכ lan mכr dip infכmeshכn, dεn kin du כda spεshal tεst dεm di sem tεm we dis ``Cardiac Catheterization'' de du. Fɔ ɛgzampul:

• Intravascular ultrasound (IVUS): Dɛn kin yuz dis fɔ si plek ɛn kalsiɔm we de insay di blɔd vesel, ɛn fɔ chɛk if stent de insay.
• Fractional flow reserve (FFR): Dɛn kin yuz dis fɔ mɛzhɔ di prɛshɔn na ɔl tu di say dɛn na di blɔd vesel we dɔn blok ɛn no if di blɔk we dɔn blok bad bad wan fɔ mek dɛn nid tritmɛnt.
• `(Optical coherence tomography - OCT)`: dis kin tek rili klia pikchכ dεm fכ di insay fכ di bכdi vεsul dεm.

כlso, sכmtεm di dכkta kin du sכm tritmεnt dεm we i de du dis ``Cardiac Catheterization''. Dɛn tin ya nɔto ɔpreshɔn.

• Angioplasty: I de mek di at at we dɔn smɔl ɛn mek di blɔd flɔ fayn fayn wan na di at.
• `(Stent placement)`: fכ put sכm sכm mεsh lεk divays (`(Stent)`) insay di at we dεn wayd fכ mek i nכ sכmtεm igen.
• Valvuloplasty: Fɔ opin wan at valv we dɔn smɔl.
• `(Rotablation)`: Na tritmεnt fכ pul di kalsiכm dεposit dεm na di at dεm.
• Intravaskul lithotripsy: dis involv fכ yuz spεshal balכn εn prεshכn wev fכ brok di kalsiכm.
• `(Ablashɔn pan di at)`: .Wan tritmɛnt fɔ kɔrɛkt wan abnɔmal at ritm.

Imajin aw i go valyu if yu kin fɛn prɔblɛm dɛn na yu at wit wan tɛst, ɛn sɔntɛnde yu kin trit dɛn rayt de? Na dat dis na ɔltin bɔt.

Aw lɔŋ dis at kateshɔn (Hat Kat) tɛst kin tek?

Wan tipik kadyak kateshɔn, we de luk jɔs pan yu korona at, kin tek lɛk 30 minit. Bɔt dis tɛm kin difrɛn difrɛn wan bay wetin mek dɛn du di tɛst.

Bɔt, we yu ad di tɛm fɔ rɛdi fɔ dis ɛn di tɛm fɔ wɛl afta di tɛst, yu go gɛt fɔ de na ɔspitul ɔl di de. I kin tek fayv, nayn, ɔ ivin mɔ awa. Ivin if yu wek di tɛm we dɛn de du di tɛst, yu go stil gɛt fɔ put di wan ol de fɔ dis. If fɔ sɔm rizin di dɔktɔ dɛn disayd fɔ du sɔntin lɛk angioplasty, i kin tek lɔng tɛm pas dat, sɔntɛm fɔ sɔm awa.

Wetin fɔ ɛkspɛkt bifo di tɛst?

Bifo yu du wan `(Cardiac Catheterization)`, yu fɔ no bɔt dɛn tin ya:

• Yu go nid fɔ stɔp fɔ it ɛn drink fɔ sɔm awa bifo di tɛst (bɔku tɛm na lɛk siks to et awa).
• Yu dɔktɔ kin tɛl yu fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ sɔm tɛm ɔ chenj di doz. Yu fɔ du am akɔdin to dat.
• Yu fɔ tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt ɛn ɔl di mɛrɛsin dɛn we yu de tek.

Afta yu rich na di ɔspitul:

• Yu fɔ wɛr wan gɔn we di ɔspitul dɔn gi yu.
• wan sכm sכm tכb (intravenכs - IV) layn) go put insay wan vein na yu an fכ gi yu mεdisin εn wata.
• Yu fɔ ledɔm na wan spɛshal bed. Abov dis bed, wan big X-ray kamera ɛn sɔm TV monita dɛn de.
• di skin dεn de pripia usay dεn go put di sכm sכm tכb (kateshכn) (we na di an כ di groin).
• Dɛn kin put sɔm smɔl smɔl, flat, stika pat dɛn (ilɛktrod) na yu chɛst. Dɛn kin kɔnɛkt dɛn tin ya to wan ilɛktrɔkadyografi monita (EKG). Dis de wach yu at rit ɛn ritm.
• Dɛn go gi yu wan mɛrɛsin we nɔ de mek yu fil fayn fɔ ɛp yu fɔ rilaks, bɔt yu go de wek ɛn no natin ɔl di tɛm we yu de du di tɛst.
• I fayn fɔ tek tɛm wit tin dɛn lɛk alɛji, nɔs, ɛn fɔ mek yu nɔ fil fayn na yu chɛst.

Wetin kin apin we dɛn de du di tɛst?

We dɛn de put kateshɔn na di at, di dɔktɔ go du dɛn tin ya:

• Dɛn kin injɛkt wan mɛrɛsin we de mek yu nɔ fil fayn ɔnda yu skin wit smɔl nidul.
• sכm sכm plastic sheath (wan `introducer sheath` - dεn de pas di kateshכn tru dis) dεn de put am insay wan bכdi we de na yu an, nεk, כ groin.
• Dɛn kin put di kateshɔn tru di swɛt ɛn gayd am insay di at. (Yu kin fil smɔl we yu put di swɛt ɔ di kateshɔn, bɔt i nɔ fɔ mek yu fil pen).
• Fɔ ɛp fɔ put di kateshɔn fayn fayn wan, dɛn kin aks yu fɔ tɔn yu ed ɔ tek dip briz ɛn ol am fɔ sɔm sɛkɔn.
• Di rum kin dak, ɛn dɛn kin put smɔl spɛshal wata (kɔntrast matirial) tru wan kateta insay yu at ɛn at chɛmba dɛn. Insay dis tɛm, yu kin fil wam wam tin na yu bɔdi ɔ yu fes fɔ sɔm sɛkɔn .
• If yu yuz X-ray kamera, di wata go pas tru yu at ɛn at chɛmba fɔ tek pikchɔ (dɛn go aks yu fɔ ol yu briz we dɛn de tek di X-ray).
• We yu stil de, dɛn go pul di kateshɔn ɛn di swɛt.
• Di layt dɛn dɔn ɔn bak.

Wetin fɔ ɛkspɛkt afta dɛn dɔn yuz kadyak kateshɔn?

Afta di ɛgzam dɔn, di dɔktɔ kin pul di kateshɔn ɛn di swɛt.

If dɛn bin put di kateshɔn na yu an:

• Dɛn kin put bandej usay dɛn put di tiub.
• Yu fɔ kip yu an stret fɔ at le wan awa (bɔt yu kin waka).
• Dɛn go de wach yu fɔ sɔm awa fɔ si if ɛni sayn ɔr sayd ɛfɛkt de.
• Dɛn go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu an dɛn we yu go na os.
• If yu fil se yu de blɔd (wet, wam), if yu finga dɛn nɔ gɛt bɛtɛ trɛnk, ɔ if yu fil ɛnitin we nɔ kɔmɔn, yu fɔ tɛl yu dɔktɔ.

If dɛn bin put di kateshɔn tru yu groin:

• di sayt we dεn put am tayt, sכmtεm dεn kin yuz sutura כ "plug" (dis kin ridyus di bכdi we de bכn).
• Dɛn kin tɛl yu fɔ ledɔm na bed wit yu leg dɛn stret fɔ tu to siks awa fɔ stɔp di blɔd (dis tɛm kin ridyus if yu put di "plɔg"). Dɛn kin tɛl yu bak se yu nɔ fɔ es yu ed pas tu pilo.
• Fɔ mek yu nɔ gɛt di sik, dɛn kin put klin bandej oba di say we di groin de ɛn dɛn kin chɛk am ɔltɛm.
• If yu fil se yu de blɔd (wet, wam), if yu fut finga dɛn de swɛ, ɔ if yu fil ɛnitin we nɔ kɔmɔn, tɛl dɛn.

Rikɔvayshɔn afta dɛn dɔn yuz di Kadiak Kateshɔn

Tek kia ɔf dɛn tin ya we yu de wɛl:

• Yu nid fɔ drink bɔku wata fɔ pul di spɛshal wata (kɔntrast matirial).
• Di dɔktɔ go tɛl yu if yu go go na os di sem de ɔ yu go de na ɔspitul fɔ wan nɛt (ɛni we, dɛn go wach yu fɔ sɔm awa afta di tɛst).
• Tɔk to yu dɔktɔ bɔt aw fɔ kia fɔ di wund.
• Yu nid pɔsin fɔ drayv yu go na os (if yu os de pas tu awa, de na ɔtel ɛn waka fɔ fayv to tɛn minit ɛvri awa).

Bɔku tɛm yu kin drayv 24 awa afta yu kɔmɔt na ɔspitul. Dipen pan usay dɛn put di kateshɔn, yu fɔ avɔyd fɔ du tin dɛn we tranga (lɛk fɔ spɔt ɔ fɔ es ebi ebi) fɔ tu to fayv dez. Yu dɔktɔ go tɛl yu ustɛm yu go ebul fɔ go bak na wokples.

We yu de na os, i nɔ fayn fɔ put di wund insay wata fɔ wan wik.Dat min se yu nɔ fɔ swim ɔ go insay bathtub. Bɔt yu kin shaw 24 awa afta di tɛst.

Wetin na di bad tin dɛn we kin apin we dɛn du dis tɛst?

Jɔs lɛk ɔl di mɛdikal tɛst dɛm, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.

• Alɛji riakshɔn.
• At ritm we nɔ de ɔltɛm.
• Lɔw blɔd prɛshɔn.
• Blɔd ɔ infɛkshɔn na di say we dɛn put di kateshɔn.
• Kolaps fɔ wan lɔng (nyumothorax).
• Pen we de kɔntinyu fɔ de na in chɛst.
• Kidni we nɔ de wok fayn.
• Fluid akyumyuleshכn rawnd di at (`(cardiac tamponade)`).
• Blɔd klɔt, at atak, strok ɔ day (dɛn tin ya nɔ kin apin so ɔltɛm ).
• Fɔ gɛt ɔpreshɔn we dɛn kin du kwik kwik wan, fɔ ɛgzampul, dɛn kin du ɔpreshɔn pan dɛn we dɛn kɔl korona at baypas graft (CABG).

We yu de tɔk to yu dɔktɔ, mek shɔ se yu ɔndastand ɔl dɛn prɔblɛm ya. Dɔn bak, aks wetin mek dɛn de aks yu fɔ du dis tɛst. Pan ɔl we dis nɔto ɔpreshɔn, i kin tan lɛk se na siriɔs ɔpreshɔn. Bɔt mɛmba se prɔblɛm dɛn we kin apin we dɛn de du dis tin nɔ kin apin so ɔltɛm.

Wetin na di tin dɛn we kin apin? Wetin Iv min?

Afta di kadyak kateshɔn, yu dɔktɔ go gɛt bɔku impɔtant infɔmeshɔn fɔ ɛp fɔ disayd yu nɛks tritmɛnt. Di rizɔlt kin difrɛn difrɛn wan bay di rizin fɔ di tɛst.

Di dɔktɔ kin:

• Fɛn prɔblɛm, lɛk we wan pan yu korona at dɛn blok, ɛn trit am rayt de.
• Fɔ no wan sik we pɔsin kin gɛt we i nid fɔ du ɔpreshɔn.
• wan sεmpl fכ yu at mכsul dεn de sεnd to labכtכri fכ ``bayopsi''.
• Gɛt di infɔmeshɔn we yu nid fɔ plan tritmɛnt.
• Mek shɔ se yu at de wok fayn afta yu dɔn trit yu bifo tɛm.

Ustɛm dɛn go no di tin dɛn we go apin?

Yu dɔktɔ kin tɔk to yu bɔt di rizɔlt wantɛm wantɛm, bɔt bikɔs i kin tek tɛm fɔ mek dɛn analayz sɔntin lɛk tisu sɛmpul na di lab, i kin tek sɔm dez fɔ gɛt di rizɔlt.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

If di dɔktɔ si ɛni prɔblɛm we dɛn de du di at kat, i go plan fɔ du ɔda tɛst ɔ tritmɛnt. Wit di infɔmeshɔn we i gɛt, i kin ivin rɛdi fɔ ɔpreshɔn.

Ustɛm a fɔ kɔl di dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn put kateshɔn na yu at, kɔl yu dɔktɔ wantɛm wantɛm:

• If yu gɛt fiva .
• If yu fil se yu de tɔn diziz .
• If pen, swel, blɔd, ɔ pus de na di say we dɛn put di kateshɔn.
• If yu gɛt pen na yu chɛst .
• If i nɔ izi fɔ yu fɔ blo .
• If yu at de bit nɔmal .

If yu fil lɛk se yu gɛt at atak ɔ strok, go to dɔktɔ wantɛm wantɛm.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

I kin mek yu fred fɔ tink se pɔsin de luk insay yu at. Bɔt mɛmba se, dis `(Cardiac Catheterization)` nɔto ɔpreshɔn, ɛn yu gɛt wan skilful mɛdikal tim fɔ tek kia ɔf yu. Di infɔmeshɔn we dɛn kin gɛt frɔm dis tɛst rili valyu to di dɔktɔ dɛn we kin pik di tritmɛnt we go fayn fɔ yu. So, dis tɛst na jɔs wan step pan di joyn fɔ mek yu wɛl. Nɔ ɛva fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ dawt we yu gɛt. I rili impɔtant fɔ mek yu no klia wan wetin de na yu maynd.

` Kadyak kateshɔn, at sik, angiogram, stent, at tɛst, at tritmɛnt, at wɛlbɔdi