Yu bin se yu want fɔ si yu at in at dɛn bak? Lɛ wi tɔk bɔt wan korona angiogram!

I go mɔs bi se dɔktɔ dɔn tɛl yu se yu nid fɔ du angiogram fɔ chɛk yu at in at, nɔto so? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we dɛn tɛl yu dat. Bɔt we yu dɔn no gud gud wan wetin i bi, aw dɛn kin du am, ɛn wetin mek dɛn kin du am, yu nɔ go fred ɛn fred bad bad wan. So, lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

So, wetin na korona angiogram?

Fɔ tɔk am simpul wan, korona angiogram na spɛshal tɛst we de luk aw blɔd de flɔ na yu korona at , we na di blɔd vesel dɛn we de kɛr blɔd go na yu at. I de yuz ɛkstrem rayt ɛn wan spɛshal wata we dɛn kɔl kɔntrast day . Sɔntɛnde, dɔktɔ dɛn kin kɔl am bak korona angiografi , we na di sem tin.

Dis tɛst kin si klia wan if yu at at dɛn dɔn blok ɔ dɛn dɔn smɔl . Bɔku tɛm, dis kin bi bikɔs ɔf wan sik we dɛn kɔl atherosclerosis . dis min se tin dεm lεk kכlestכl de bכku insay di at dεm, we de mek di at dεm wכl tik εn sכm, we de mek di bכdi fכ fכlכ sכmtεm.

Yu no se di korona at na wan rili impɔtant vaskul sistɛm fɔ wi at. Bikɔs dɛn vein dɛn ya de kɛr di blɔd we de gi di ɔksijɛn ɛn di tin dɛn we di at mɔsul nid fɔ liv ɛn wok. So, if wan pan dɛn vein ya nɔ de wok fayn ɔ i blok, den denja tin lɛk at atak kin apin.

Wetin mek dɔktɔ go ɔda dis angiogram?

Bɔku rizin dɛn de we mek yu dɔktɔ ɔ dɔktɔ we de mɛn yu at kin tɛl yu fɔ du korona angiogram. Lɛ wi tek wan luk pan wetin dɛn bi:

• If ɛni abnɔmal tin de na yu strɛs tɛst ɔ ECG (Electrocardiogram) tɛst.
• If yu gɛt at valv sik, at pwɛl , ɔ yu dɔn gɛt at atak trade.
• If dɛn dɔn arenj fɔ mek dɛn du yu at ɔpreshɔn, ɛn di dɔktɔ gɛt ɛni dawt, yu fɔ du amI pɔsibul fɔ mek yu gɛt korona at sik .
• If yu gɛt chɛst pen (angina) , i kin bi nyu tin ɔ di kayn pen we yu bin dɔn gɛt kin dɔn chenj.
• Yu kin gɛt prɔblɛm wit yu chɛst we nɔ kin izi fɔ yu ɔ yu nɔ kin ebul fɔ blo, bɔt ɔda tɛst dɛn nɔ dɔn fɛn natin.

Dis na di rizin we mek dɔktɔ kin se dɛn fɔ du dis tɛst. Nɔ ɛva fred fɔ aks kwɛstyɔn bɔt am. I rili impɔtant fɔ aks yu dɔktɔ ɛnitin we yu tink ɔ we yu nɔ ɔndastand.

Aw a go pripia fɔ dis angiogram?

Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ pripia fɔ dis tɛst. I go tɔk to yu bak bɔt di mɛrɛsin dɛn we yu de tek ɛn yu wɛlbɔdi istri. Bɔku tɛm, dɔktɔ go tɔk tin dɛn lɛk:

• Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ et awa bifo di tɛst. Na wata nɔmɔ yu kin drink. Wi de kɔl dis ‘fastin’, ɔ fasting.
• If yu de tek antikoagulant , dayabitis mɛrɛsin, diuretik (mɛrɛsin we de mek yu pis mɔ), ɔ sildenafil (lɛk Viagra® ɔ Revatio®), dɛn go gi yu instrɔkshɔn bɔt aw fɔ yuz dɛn ɛn if yu fɔ stɔp dɛn insay di de dɛn bifo di tɛst.
• Dɛn go aks yu if yu dɔn ɛva gɛt alɛji fɔ di kɔntrast day ɔ anestezi we wi bin dɔn tɔk bɔt.
• If yu na uman we gɛt bɛlɛ, yu fɔ tɛl yu dɔktɔ .

Wan ɔda impɔtant tin na dat, fɔ yu sef, dɛn nɔ go alaw yu fɔ drayv yusɛf go na os di de we dɛn go du di tɛst. So, i go fayn fɔ mek yu arenj fɔ mek sɔmbɔdi drayv yu go na os frɔm ɔspitul da de de.

Wetin kin apin we dɛn de du angiogram?

Okay, naw lɛ wi si wetin kin apin we dɛn de du dis korona angiogram. Tink bɔt am lɛk sɔntin we pɔsin kin si na fim.

1. Fɔs, yu go nid fɔ wɛr spɛshal mɛdikal gɔn we di ɔspitul dɔn gi yu. Dɔn, yu go nid fɔ ledɔm na di ɛgzam bed.

2. Wan mεdikal staf go gi yu wan sεdativ tru IV (wan kayn salin sכlushכn we dεn gi yu insay wan vein na yu an). Dis go mek yu fil rilaks, bɔt yu nɔ go slip ɔl. Yu go wek ɛn yu go ebul fɔ lisin to wetin di dɔktɔ tɛl yu fɔ du. Fɔ ɛgzampul, dɛn kin aks yu fɔ kɔf ɔ ol yu briz fɔ sɔm sɛkɔn.

3. Dɛn go de wach yu at bit wit ECG (Electrocardiogram) mashin ɔl di tɛm we dɛn de du di tɛst.

4. Dɔktɔ, ples de we yu kin akses big blɔd vesel (artery) na yu groin ɔ yu an?Lokal anestesia we dɛn kin yuz. Dis min se na mɛrɛsin nɔmɔ yu go mek yu nɔ ebul fɔ du natin. Dis tɛm ya, yu kin fil smɔl smɔl, bɔt yu nɔ go fil ɛni pen.

5. Dɔn di dɔktɔ we de mɛn di at kin yuz smɔl nidul fɔ go insay di blɔd vesel tru di say we dɛn pank am. Dɔn, dɛn kin put wan sheath , we na smɔl tiub, oba di nidul ɛn insay di big at.

6. Nεks, di dכkta go tred rili fayn waya dεm εn kateshכn dεm (tin tyub dεm) tru dis tכb insay di korona at dεm we de na di sεf fכ yu at. Yu nɔ go fil di tiub de muv tru yu blɔd vesel dɛn.

7. Wan X-ray mashin de rɔta rawnd yu. Dɛn kɔl dis fluoroscopy . Dis kin mek di dɔktɔ ebul fɔ si di rod we di kateshɔn de pas frɔm ɔl di say dɛn.

8. We di kateshɔn dɔn de na yu at ɔ aorta , di dɔktɔ go injɛkt spɛshal day insay di tiub. Dɔn, dɛn go yuz ɛkstrem rayt fɔ si aw di day de flɔ tru di at. Insay dis tɛm, yu kin fil wam wam ɔlsay na yu bɔdi fɔ sɔm sɛkɔn, ɔ yu kin fil lɛk se yu nid fɔ pis. Dis na nɔmal tin.

9. We di day pas na di korona at, di dɔktɔ kin si klia wan if kɔlɔstrel ɔ plek de bɔku sɔmsay insay di korona at, we kin mek di blɔd nɔ flɔ.

Imajin dis, i tan lɛk se yu de yuz drɔn kamɛra fɔ si if trafik jam de na rod ɛn usay i de.

Sɔntɛnde, if di dɔktɔ si se di blɔd vesel dɔn blok, i kin blo wan balɔ fɔ opin di say we i blok. Dɛn kɔl dis angioplasty . Dɔn, dɛn kin put stent , we na smɔl tin we tan lɛk mɛsh, na di vein fɔ mek i nɔ fɔdɔm igen.

Bɔt if dat nɔ pɔsibul, ɔ if di dɔktɔ tink se i go bɛtɛ fɔ du ɔda tritmɛnt we leta, den dɛn go dɔn di korona angiogram de.

Bɔku tɛm, di wan ol tɛst kin tek bitwin 30 ɛn 50 minit , bɔt sɔntɛnde i kin lɔng ɔ shɔt.

Wetin kin apin afta di angiogram?

Afta di ɛgzam dɔn, di dɔktɔ kin pul di kateshɔn. Dɔn wan pan di dɔktɔ dɛn kin ol di nidul tayt wan fɔ mek di blɔd nɔ kɔmɔt.

Bɔku pipul dɛn kin go na os di sem de we dɛn du di tɛst, tu to 4 awa afta dat.

Bɔt if yu tɛst kɔmplikt smɔl, ɔ if dɛn du di tɛst na di de, i bɛtɛ fɔ tink se yu go de na ɔspitul da nɛt de.

Yu kin fil taya smɔl afta yu dɔn du di angiogram. Di say we dɛn put di nidul (di wund) go de at fɔ lɛk wan wik so.Yu kin fil bad ɛn yu kin blu, lɛk brus. Yu dɔktɔ kin tɛl yu bak fɔ stɔp fɔ du tin fɔ sɔm dez afta yu dɔn go na os.

Ɛni risk de fɔ dis tɛst?

I bɛtɛ fɔ mek dɛn du dis tɛst na say we gɛt bɔku bɔku pipul dɛn usay dɔktɔ we gɛt ɛkspiriɛns kin du am ɔltɛm. Bɔrku tɛm, dɛn tɛst ya nɔr kin sef. Bɔt we yu kɔmpia am to ɔda tɛst dɛn lɛk ɔltra saund, dis na tɛst we kin mek pɔsin in at pwɛl smɔl. Siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.

Bɔt i fayn fɔ no wetin na di prɔblɛm dɛn we kin apin we dɛn tek angiogram:

• Di at we nɔ de bit ɔltɛm (aritmia) .
• Wan alɛji to ɛni wan pan di day ɔ di anestetik.
• Damej to wan blɔd vesel.
• Fɔmeshɔn fɔ blɔd we de klɔt .
• Fluid kin gɛda rawnd di at ɛn put prɛshɔn pan di at (cardiac tamponade) .
• At atak .
• Kidni kin pwɛl, sɔntɛm i kin nid fɔ dayalysis fɔ mek di blɔd klin.
• Lɔw blɔd prɛshɔn.
• Pen, blɔd, ɔ infɛkshɔn na di say we dɛn put di nidul ɔ kateshɔn.
• Strok .

Dɛn pipul ya kin gɛt mɔ risk fɔ gɛt dɛn prɔblɛm ya:

• Fɔ di wan dɛn we dɔn pas 65 ia.
• Fɔ di wan dɛn we gɛt dayabitis .
• Fɔ di wan dɛn we gɛt sik na dɛn kidni .

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dɛn prɔblɛm ya, tɔk to yu dɔktɔ.

Ustɛm a go no di rizɔlt fɔ di tɛst?

Sɔntɛnde, di dɔktɔ kin sho yu ɛkstrem pikchɔ dɛn we dɛn de du di tɛst. Bɔt afta dɛn dɔn fɔ du di angiogram, di dɔktɔ go ɛksplen to yu wetin di rizɔlt min.

Yu dɔktɔ kin se yu angiogram rizɔlt na ‘nɔmal’ ɔ ‘abnɔmal’.

• Nɔmal rizɔlt min se nɔr de blok na yu korona at ɛn yu at de gɛt inof blɔd. Bɔt if yu stil gɛt sɔm sayn dɛn, yu kin nid fɔ du ɔda tɛst fɔ no wetin mek yu gɛt dis sik.
• Wit abnormal rizulyt , kin blok sɔmsay na yu korona at. Yu dɔktɔ go tɛl yu us at dɛn dɔn blok ɛn usay. Dɛn go ɛksplen bak aw i rili bad. Dɛn kin tɛl yu bak ɔmɔs pan di blɔk de.

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

If yu rizulyt nɔrmal, yu dɔktɔ go ɛksplen bak us tritmɛnt dɛn fɔ yu. Sɔm pan dɛn tin ya na:

• Angioplasty ɔ stent (fɔ put di balyɔn we wi bin dɔn tɔk bɔt ɛn put stent).
• Fɔ ɛgzampul, fɔ mek chenj dɛn na yu layf ɛvrideFɔ ɛksesaiz mɔ ɛn chenj di we aw yu de it.
• Koronari at baypas ɔpreshɔn (CABG) .
• Yuz mɛrɛsin dɛn.

Ustɛm yu nid fɔ tɔk to di dɔktɔ ?

Afta di tɛst, if yu notis ɛni wan pan dɛn tin ya na di say we dɛn put di kateshɔn, kɔl yu dɔktɔ wantɛm wantɛm:

• If blɔd de kɔmɔt pasmak we nɔ de stɔp.
• If da eria de swel .
• If sayn dεm de fכ infεkshכn (e.g., skin kכla, pus).

Dɔn bak, if yu gɛt ɛni prɔblɛm we gɛt fɔ du wit di blɔd we de go na yu an ɔ yu fut, tɛl yu dɔktɔ bɔt dat bak.

Yu tink se angiogram kin mek pɔsin fil pen?

Tipikli, korona angiogram nɔ kin rili pen. Yu kin gɛt smɔl pen fɔ sɔm tɛm, we yu de du:

• We dɛn put di IV layn fɔ gi yu da layt slip mɛrɛsin de.
• We yu de injekt lokal anestesia.

Yu nɔ go fil ɛni pen we yu de du di tɛst bikɔs ɔf di kateshɔn. Dɔn bak, yu nɔ go fil am as i de muv tru yu vein ɛn at.

Afta di tɛst, yu kin fil sɔm pen usay dɛn put di IV ɛn put di kateshɔn. Dis go stɔp afta lɛk wan wik so.

If yu gɛt pen we yu nɔ go ebul fɔ bia we yu de du di tɛst, tɛl di dɔktɔ wantɛm wantɛm.

Dɔn...

Na nɔmal tin fɔ fil smɔl nervɔs ɛn wɔri we dɛn tɛl yu se yu nid fɔ gɛt korona angiogram. Yu kin ivin wɔnda if di tin dɛn we go apin nɔ go fayn. Bɔt mɛmba se di infɔmeshɔn we yu dɔktɔ go gɛt frɔm dis tɛst go ɛp am fɔ no bɔt yu sik ɛn mek wan tritmɛnt plan we go fayn fɔ yu. So, tɔk to yu dɔktɔ bɔt ɛnitin we yu nɔ ɔndastand ɔ gɛt ɛni kwɛstyɔn bɔt. I de de fɔ ɛp yu.

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