Aw siriɔs we yu at in at dɛn blok? (Fractional Flow Reserve - FFR) Lɛ wi fɛn ɔut wit di tɛst!

Yu tink se yu gɛt at sik? Ɔ yu dɔktɔ dɔn tɔk se yu korona at dɛn dɔn blok? Yu go dɔn yɛri bɔt dis tɛst we dɛn kɔl Fractional Flow Reserve, ɔ FFR fɔ shɔt. Pan ɔl we i kin tan lɛk se na kɔmplikɛt nem, na tɛst we rili impɔtant. So, lɛ wi tɔk bɔt am tide insay simpul, ɔndastandin Sinhala.

Wetin na Frakshɔn Flɔ Rizav (FFR)?

Fɔ tɔk am simpul wan, (FFR) na we fɔ mɛzhɔ ɛksaktɔli aw di stenɔsis siriɔs, dat na aw i de ambɔg di blɔd flɔ, if blɔk de sɔmsay na di korona at we de gi blɔd to yu at. Imajin se we wata paip blok, di spid ɛn prɛshɔn we di wata de gi go dɔŋ, nɔto so? Na di sem we, we wan korona at de blok, di prɛshɔn we di blɔd we de flɔ insay de gɛt kin go dɔŋ. Wetin dis (FFR) tɛst de du na fɔ mɛzhɔ da prɛshɔn difrɛns de ɛn fɔ no ɔmɔs di blɔk de.

Dɔktɔ dɛn kin du dis (FFR) tɛst we dɛn de du kadyak kateshɔn ɔ korona angiogram. Di rizɔlt fɔ dis tɛst de ɛp fɔ no us kayn tritmɛnt yu fɔ gɛt (fɔ ɛgzampul, if yu fɔ tek mɛrɛsin yu wan ɔ angioplasty ɛn stent). Dis na tɛst we rili impɔtant we go ɛp yu fɔ disayd fɔ du impɔtant tin dɛn.

Ustɛm dɛn nid fɔ du FFR tɛst?

Nɔto ɔlman go nid fɔ gɛt dis tɛst. Dɔktɔ go disayd fɔ du dis (FFR) tɛst pan sɔm spɛshal kes dɛm.

• if imej fכ yu korona at dεm sho se bitwin 50% εn 70% pan di dayamita fכ di at dεm dכn blכk (stenosis), dis (FFR) tεst kin tεl εksεktכ aw bכku da blכk de rili bכku bכku fכ fכlכ.
• sכmtεm, ivin if signifyant blכk de fכ bכt 90% pan di at, dεn kin du dis tεst fכ akכrd wan fכ ases aw i siriכs.

Bɔt if yu at blɔk nɔ rich 30% ɔ bɔku pas 70%, dis (FFR) tɛst nɔ kin nid fɔ bi. Bikɔs if di blɔk rili smɔl (lɛs dan 30%) den tritmɛnt (lɛk angioplasty) nɔ go nid fɔ bi. If di blɔk rili big (mɔ pas 70%), dɛn rili nid fɔ gɛt tritmɛnt. Wetin di (FFR) de du na fɔ ɛp fɔ mek di rayt disizhɔn pan dɛn in-bitwin sityueshɔn dɛn de.

Impɔtant: If yu bin dɔn du angioplasty ɛn put stent na yu at, dis (FFR) tɛst kin ɛp bak fɔ no if yu gɛt big at atak tumara bambay.

Ɛni bad tin de fɔ dis (FFR) tɛst?

Lɛk ɛni tɛst we dɛn kin du fɔ mɛn pipul dɛn, smɔl smɔl tin dɛn de we yu fɔ tink bɔt.

• Sɔntɛnde, lay lay nɔmal rizɔlt kin apin. Dis min se prɔblɛm rili de, bɔt di tɛst nɔ go no am. Wan rizin we mek dis kin apin na if yu rili smɔl blɔd vesel dɛn (coronary arterioles) nɔ de ansa di mɛrɛsin we dɛn gi yu we dɛn de du di tɛst fɔ mek yu blɔd vesel dɛn big.
• כlso, di lεngth fכ di εria we sכmtεm na di vein de afekt di FFR valyu bak.

Bikɔs yu dɔktɔ no ɔl dɛn tin ya gud gud wan, i go disayd afta we i dɔn tink bɔt ɔl dɛn tin ya.

Wetin na (iFR) ɛn (FFR)? Wetin na di difrɛns bitwin dɛn tu tin ya?

Yu kin dɔn yɛri bɔt sɔntin we dɛn kɔl (iFR). (iFR) tinap fɔ (instant wev-fri rεshɔn). כl tu (FFR) εn (iFR) na tεst dεm we de mכsu aw di blכk de siriכs na di at dεm na di at. Bɔt smɔl difrɛns de.

• We dɛn de du di (FFR) tɛst: Dɛn kin gi spɛshal mɛrɛsin, lɛk adenosine (Adenocard® ɔ Adenoscan®), fɔ mek di blɔd vesel dɛn big as i pɔsibul ɛn fɔ mek di blɔd flɔ mɔ.
• insay di (iFR) tεst: If yu nכ yuz dכg lεk dat, dεn de mכsu di prεshכn na wan spεshal mכment na di at in saykl.

Pan ɔl we di gol fɔ dɛn ɔl tu na di sem, smɔl difrɛns de pan di we aw dɛn de du dɛn. Yu dɔktɔ go disayd uswan go fayn fɔ yu.

Udat de du di (FFR) tɛst?

Dis na spɛshal mɛdikal tɛst. Di (FFR) tɛst na wan dɔktɔ we de mɛn di at , we gɛt spɛshal trenin fɔ dis.

Aw di (FFR) tɛst de wok?

Dis kin tan lɛk se na simpul tin fɔ du, bɔt i gɛt fɔ du wit sɔm we we kɔmpleks. di blɔd prɛshɔn de mɛzhɔ ɔl tu distal to di blɔk na yu korona at ɛn proksimal to am . Dat min se dɛn kin mɛzhɔ di prɛshɔn bifo ɛn afta di blɔk. di rεshכ bitwin dεn tu prεshכn valyu dεm ya dεn kכl am frakshכnal frakshכn (FFR). Dis na wetin de mek wi no aw bɔku blɔd nɔ de flɔ.

Aw a fɔ pripia fɔ di (FFR) tɛst?

Dis tan lɛk we yu de rɛdi fɔ du smɔl ɔpreshɔn. Yu dɔktɔ go ɛksplen to yu di ditel dɛn, bɔt dɛn tin ya na di jenɛral tin dɛn we yu go nid fɔ du:

• Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu blɔd tan , sɔm dez bifo di tɛst.
• Nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di tɛst (NPO - nɔto natin bay mɔt).
• Bikɔs dɛn go gi yu anestezi ɔ wan mɛrɛsin we nɔ de mek yu fil fayn we dɛn de du dis tɛst, yu go nid pɔsin fɔ drayv yu go na os afta di tɛst. Yu nɔ go ebul fɔ drayv yusɛf.

Wetin fɔ ɛkspɛkt di de fɔ di (FFR) tɛst?

Di tɛst insɛf kin tek lɛs wan awa . Bɔt if di dɔktɔ chɛk yu FFR wantɛm wantɛm ɛn disayd fɔ du angioplasty ɔ stent, i go tek mɔ tɛm. So, i fayn fɔ aks yu dɔktɔ bifo tɛm aw lɔng yu go nid fɔ de na ɔspitul, ɛn yu fɔ aks yu tɛm fɔ pripia ɛn rɛst afta di tɛst.

Wetin kin apin we dɛn de du di (FFR) tɛst?

Okay, naw mek wi si wetin de hapun insaid di test. Pan ɔl we i kin tan lɛk se dɛn tin ya nɔ izi fɔ du smɔl, di dɔktɔ dɛn go kia fɔ yu gud gud wan.

1. Fɔ mek pɔsin nɔ fil fayn:Fɔs, dɛn kin yuz wan lokal anestetik fɔ mek wan smɔl pat na yu skin (na yu an, yu nɛk, ɔ yu groin).

2. Fכ put di nidul insay: Nεks, dεn de put sכmכl nidul insay wan vein tru di say we dεn pank.

.

4. Fɔ si di rod: Dɛn kin yuz wan spɛshal we we tan lɛk (X-ray) we dɛn kɔl fluoroscopy fɔ chɛk na skrin fɔ si if di kateshɔn de go na di rayt ples.

5. Kontrast fluid: Neks, dεn injekt wan spεshal day (kontrast mεdia) tru dis kateshכn insay di vein dεm na yu at. Dɔn di vein dɛn kin sho klia wan pan ɛkstrem rayt.

6. Blɔk tɛst: Dɛn kin yuz dis fɔ chɛk if ɛni blɔk de ɛnisay na di at na yu at.

7. Fɔ si di blɔd we de flɔ: Sɔntɛnde, dɛn kin yuz smɔl ɔltra saund divays we dɛn tay na di ɛnd pan dis kateshɔn fɔ si di blɔd we de flɔ insay di blɔd vesel dɛn.

8. Fɔ gi mɛrɛsin: Bifo dɛn put prɛshɔn waya na di say we dɛn dɔn blok, dɛn kin gi mɛrɛsin lɛk heparin (fɔ mek blɔd nɔ klɔt) ɛn naytroglycerin (fɔ mek di blɔd vesel dɛn big) (Nitronal® ɔ Tridil®).

9. Fɔ mɛzhɔ prɛshɔn: Naw di rial wok de kam. wan spɛshal waya (prɛshɔn waya) de pas na di say we dɛn dɔn blok, ɛn di sɛns dɛn we de pan am de mɛzhɔ di blɔd prɛshɔn bifo ɛn afta di vein dɔn blok. Fɔ mɛzhɔ dis kɔrɛkt wan, dɛn kin mɛzhɔ di blɔd we de flɔ di tɛm we di blɔd de flɔ maksimal. Fɔ dat, dɛn kin gi yu wan mɛrɛsin (adenosine) ɔ (papaverine) fɔ mek yu blɔd flɔ fɔ sɔm tɛm.

10. Tritmɛnt (if nid de): If dɛn tek di blɔk se i siriɔs bay di FFR valyu, dɛn kin du angioplasty (we dɛn kin mek di at big wit balyɔn) na di say we dɛn de, ɛn dɛn kin put stent (smɔl tiub lɛk mɛsh) fɔ mek i nɔ blok mɔ.

11. Ri-tɛst: Afta dɛn dɔn put di stent, dɛn kin chɛk di FFR valyu bak fɔ kɔnfɔm if di tritmɛnt bin wok fayn.

12. Fɔ dɔn: Fɔ dɔn, dɛn kin pul di kateshɔn ɛn di waya, dɛn kin ol di say we dɛn pank am fɔ sɔm tɛm, dɔn dɛn kin put plasta.

Wetin fɔ ɛkspɛkt afta di (FFR) tɛst?

Bɔrku pipul nɔr kin gɛt ɛni big diskɔmfɔt afta dis (FFR) tɛst, ɛn kɔmplikeshɔn kin rili shɔt.

• If yu jɔs dɔn du di tɛst, bɔku tɛm yu kin go na os insay sɔm awa.
• Bɔt if yu gɛt angioplasty ɛn dɛn put stent afta FFR, yu kin gɛt fɔ de na ɔspitul da nɛt de ɔnda dɔktɔ in sɔpɔtishɔn.

Wetin na di sayd ɛfɛkt dɛm fɔ di (FFR) tɛst?

Jɔs lɛk ɛvri mɛrɛsin, sɔm pipul dɛn kin fil smɔl smɔl.

• Yu kin gɛt pen na yu chɛst ɔ yu kin gɛt prɔblɛm fɔ blo lɛk wan minit afta dɛn dɔn gi yu di adenosine mɛrɛsin (we na tru IV ɔ dairekt insay wan vein na yu at).Dis na nɔmal tin, nɔ wɔri. I min se yu blɔd flɔ de na in mak, we min se na tɛm fɔ mɛzhɔ yu FFR. Dis diskɔmfɔt go dɔn jisnɔ.
• (Papaverine) kin rili smɔl (lɛk 1% pan pipul dɛm) kin mek di at ritm we nɔr fayn , bɔt dis kin sɔlv afta sɔm tɛm.
• i impɔtant fɔ mɛmba se bikɔs dɛn de du dis (FFR) tɛst wit kadyak kateshɔn, sɔm risk dɛn de we gɛt fɔ du wit am (e.g. blɔd, infɛkshɔn, alɛji to di kɔntrast mɛdiɔm). Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.

Aw dɛn kin kɔl di (FFR) valyu?

Dis tan lɛk fɔmula we dɛn kin yuz fɔ du matematiks. di dכkta de sheb di prεshכn na yu korona at we de distal to di blכk (Pd) bay di prεshכn we de na yu korona at we de proksimal to di blכk (Pa).

Fɔ tɔk am simpul wan, FFR = Pd / Pa .

Dɛn prɛshɔn mɛzhɔmɛnt ya na di dɔktɔ de tek am bay we i de yuz spɛshal ikwipmɛnt we dɛn de yuz kadyak kateshɔn.

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn de tɛl wi?

Yu go gɛt wan nɔmba we gɛt dɛsimal ples dɛn.

• Wan nɔmal FFR valyu de bitwin 0.94 ɛn 1.0. if dεn rich dis valyu, i min se nכ big tin de we de ambɔg di bכdi fכ fכlכ tru di vein dεm.
• If di FFR valyu jεnarali less dan 0.80, i min se di blכk de mek bכku bכku bכku bכku bכku wan de mek di bכdi fכ fכlכ, εn dat mek dεn nid fכ trit am (bכku tεm angioplasty εn stεnt).
• fכ egzampl, if yu FFR na 0.75, i min se yu blכd prεshכn dכn dכn bay 25% biכs fכ di narrowing of yu korona atεri dεm (1.00 - 0.75 = 0.25, כ 25%).
• If di FFR valyu sho se di blɔk nɔ so siriɔs, den angioplasty ɛn stent nɔ nid fɔ de. Dɛn kin trit am wit mɛrɛsin nɔmɔ. Dis kin ɛp fɔ mek dɛn nɔ du ɔpreshɔn we nɔ nid fɔ du.

Ustɛm a go no di rizɔlt fɔ di (FFR) tɛst?

Dis na di bɛst tin. Di dɔktɔ go sho yu di FFR valyu dɛn na in divays jɔs afta i tek yu blɔd prɛshɔn ridin. So, ilɛksɛf na di tɛm we dɛn de du di tɛst ɔ afta i dɔn, di dɔktɔ go tɛl yu di rizɔlt ɛn wetin fɔ du nɛks.

Ustɛm yu fɔ tɔk to di dɔktɔ? (Afta di ɛgzam)

We yu go na os afta di tɛst, yu fɔ tɛl yu dɔktɔ ɔ di ɔspitul we de nia yu wantɛm wantɛm if yu gɛt wan ɔ mɔ pan dɛn sayn ya:

• Chest pen (especially pen wae nyu, bad bad wan, ɔr nɔr de go wae yu rɛst) .
• I nɔ kin izi fɔ yu fɔ blo
• Fiva (we di bɔdi in tɛmpracha go ɔp) .
• Pen, swel, rɛd, ɔ pus na di say we dɛn de akses
• Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm
• Di at bit ɔ di at we nɔ de bit

Nɔ ignore dɛn sayn ya.

Fɔ dɔn, mɛmba

Dis (Fractional Flow Reserve - FFR) tɛst na tɛst fɔ yu korona at sik.Wan mɔdan ɛn kɔrɛkt we we go ɛp di dɔktɔ bad bad wan fɔ disayd wetin na di bɛst tritmɛnt. Di mɛdikal wokman dɛm go mek shɔ se yu fil fayn as yu ebul we dɛn de du di ɛgzam. If ɛnitin de we yu nɔ ɔndastand ɔ if yu de fred, mek shɔ se yu aks di dɔktɔ ɔ di nɔs. Na yu rayt.

I fayn fɔ rɛdi yu maynd fɔ dat, bikɔs yu kin nid fɔ mek dɛn put angioplasty ɔ stent rayt afta yu dɔn chɛk yu FFR. Mɛmba se dɛn de du ɔltin fɔ protɛkt yu at in wɛlbɔdi.

Wi de wish yu fɔ wɛl kwik kwik wan!

` At sik, korona at sik, FFR tɛst, Frakshɔn Flɔ Rizav, kadyak kateshɔn, korona angiogram, angioplasti, stent, at atak, at sik simptom dɛm