Yu no bɔt dis blɔd vesel we rili impɔtant na yu at? (Left Anterior Descending Artery) Lɛ wi tɔk!

Yu dɔn ɛva yɛri bɔt di `(Lɛft Anterior Descending Artery)` ɔ `(LAD artery)`? Sɔntɛm yu dɔktɔ dɔn tɔk bɔt am, ɔ yu dɔn rid bɔt am sɔnsay. Dis na blɔd vesel we rili impɔtant fɔ wi at. Infakt, i tan lɛk di layf blɔd we de na wi at. So, tide wi go tɔk bɔt dis `(LAD artery)`, wetin i de du, di prɔblɛm dɛn we i kin kam wit, ɛn aw wi kin tek kia ɔf am na simpul we we yu go ɔndastand.

Wetin na dis `(Lεft Anterior Dεsεnd Atεri)`? I tan lɛk map we de sho di at!

Fɔ tɔk am simpul wan, yu `(Left Anterior Descending Artery)`, ɔ lɛ wi kɔl am `(LAD)` fɔ shɔt, na wan pan di tu branch dɛm na di `(left main coronary artery)` na di lɛft say na yu at. di wod ``Anterior'' min ``in front.'' Dis min se dis bכdi de mεnli fכ gi bכdi to di fכnt pat na yu at. tink bכt, di men pכmp chεmba na di lכw lεft say na yu at, di `(vεntrikul),'' na in de gεt di bכdi we gεt כksijεn pas כl frכm dis `(LAD). nכto dat nכmכ, bכt wan mכsul tisu de we de separet di wכl dεm na di at, wi kכl am `( Septum ),'' εn dis `(LAD)` de gi bכdi to am bak.

Sɔntɛnde dɔktɔ dɛn kin kɔl dis blɔd vesel bak di ``anterior interventricular branch.`` pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, in wok rili simpul – fɔ kɛr blɔd go na di at!

bכt na sכmtin we yu fכ no: If dis `(LAD)` atεri blok kכmplit wan, i kin mek yu hat atak. Bɔku tɛm dɛn kin kɔl dis `(widowmaker heart attack )`. Fɔ yɛri dis nem kin mek yu fred smɔl, bikɔs dis kayn at atak kin kil yu bɔrku tɛm. Na dat mek wi nid fɔ tek tɛm so bɔt dis `(LAD)`.

Wetin rili de apin wit `(LAD)`? Di men pɔsin we de gi di at!

As wi bin dɔn tɔk, di LAD na di big wan we de na yu at. Dis na spɛshal kayn blɔd vesel na di at, we na pat pan di blɔd we de kɛr blɔd go ɔlsay na wi bɔdi. Yu kin imajin, na lɛk af pan di blɔd we yu at nid, dɛn kin kɛr am go tru dis LAD! Dat min se i impɔtant fɔ mek di at wok fayn fayn wan.

Wea dis `(LAD)` de?

wi se di men korona at we de na di lεft say na yu at de sheb to tu branch dεm. dεn tu branch dεm de na di Lεft Anterior Discending Artery εn di Circumflex Artery. Jɔs lɛk aw rod kin sheb to tu, dis men at de sheb bak to tu pat ya. Dɔktɔ dɛn kin kɔl dis bak bifurcation. dis LAD at de insay di protεktiv mεmbran we de na di כdasay na yu at, di epikardium. i de rכn along di septum fכ di at, lεk sכm sכm kanal, frכm di bכs pat na di at to di εpiks fכ di at.

Wetin na di branch dɛn we de na `(LAD)`?

dis `(LAD)` dakt de sheb to tu sכm sכm branch dεm:

• dayagכnal branch dεm: dεn branch dεm ya de gi bכdi to di fכnt εn bכtכm pat dεm na di vεntrikl we de na di lכw lεft say na di at.
• (Septal branch dεm): dεn branch dεm ya de gi bכdi to di antεriכr tu-tכd pat pan di septum fכ di at.

Dɛn branch ya fɔ mek shɔ se difrɛn pat dɛn na di at gɛt di rayt blɔd.

Wetin na "lɛft-dominant sirkuleshɔn"?

Dis na dip tɔpik smɔl, bɔt lɛ wi tray fɔ ɔndastand am simpul wan. כda at de we dεn kכl ``posterior descending artery (PDA)`` we de kכri bכdi to di lכw εn bak pat dεm na yu at εn to pat pan di ``septum``.

• Rayt-dominant circulation : If yu tek tɛn pipul, lɛk et pan dɛn gɛt blɔd we de kɔmɔt na di men korona at na di rayt say.
• di lεft-dominant sεkyuleshכn: כltu, insay lεk wan pan tεn pipul dεm, dis PDA de gεt bכdi frכm wan branch na di lεft men korona at (ither di LAD כ di sirkumflεks at).
• di kכdominant sεkyuleshכn: pan lεk tu pan tεn pipul dεm, di PDA na di LAD כ sirkumflεks atεri, εn di rayt korona atεri de gi am.

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Na jɔs wan natura l pozishɔn we di at gɛt.

Wetin na di mεdikal kכndishכn dεm we de afekt `(LAD)`?

Dis na di say we wi nid fɔ pe atɛnshɔn mɔ. Insay dis LAD, fat dɛposit, we wi kɔl plek, kin bil. Dɛn kɔl dis sik atrɔsklɛrosis . I tan lɛk se rɔst de bɔku na wata paip. pan sɔm pipul dεm, dis plek kin bכku so dat di LAD kin blok kכmplit wan. Wetin kin apin da tɛm de? Blɔd we gɛt ɔksijɛn nɔ kin ebul fɔ rich na di at. Na da tɛm de wi kin gɛt di widowmaker hat atak we wi bin dɔn tɔk bɔt, we kin kil bɔku tɛm. Pan ɔl we i go tan lɛk se di wɔd uman we in man dɔn day, na fɔ man dɛn nɔmɔ, dis at sik kin afɛkt man ɛn uman.

Imajin, Nishantha ol lɛk 50 ia so. I pasmak smɔl ɛn i gɛt dayabitis. Wan de, i bigin fɔ swet wantɛm wantɛm wit bad bad pen na in chɛst. We dɛn rɔsh am go na ɔspitul, dɛn kam fɔ no se i gɛt `(widowmaker heart attack)`. Laki se i bin sev bikɔs dɛn bin gɛt tritmɛnt kwik kwik wan. Dis sho aw dis bin rili impɔtant.

כlso, pan sכm pipul dεm, di LAD at kin sכmtεm sכmtεm כ sכt we dεn bכn am. dis kכndyushכn dεn kכl am haypoplastik lεft antεriכr dεsεnd atεri. Dis kin mek sɔm prɔblɛm dɛn bak:

• At bit irɛgyulariti `(Aritmia ) .
• At atak
• Ischemia we de na di mayokardia
• Di day we di at kin day wantɛm wantɛm

Wetin na di sayn dɛm fɔ blok na di LAD?

If di LAD smɔl ɔ blok, yu kin gɛt pen na yu chɛst (angina) . Dis kin bi stebul angina ɔr angina we nɔ stebul. Hat atak na wan mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan . If yu gɛt ɛni wan pan dɛn sik ya, kɔl 911 (imejɛnsi nɔmba 1990 na Sri Lanka) wantɛm wantɛm:

• Chest pen ɔ tayt (Angina) .
• Fɔ fil kol ɛn swet
• Diziz, na filin fɔ spin na yu ed
• Taya ɛn wik
• Di at we de blo
• Vɔmit
• I nɔ kin izi fɔ yu fɔ blo
• Pen na di sholda ɔ an (espɛshali di lɛft an) .

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, nɔ ɛva ignore dɛn.

Aw dɔktɔ dɛn kin chɛk di wɛlbɔdi fɔ yu `(LAD)`?

Dɔktɔ dɛn kin yuz tɛst lɛk dɛn wan ya fɔ chɛk aw yu korona at dɛn de, mɔ di LAD:

• Kadyak kateshɔn: Dis kin chɛk fɔ korona at sik .
• Coronary computed tomography angiogram (CCTA): dis kin mek tri dimenshכnal (3D) imej dεm fכ di bכdi fכ fכlכ na di at.
• Intravaskul optik kohεrens tכmografi (IVOCT) כ intravaskulכr כltra saund (IVUS): dεn mεtכd dεm ya kin tek rili klia, hεy rεsכlushכn imej frכm insay wan at.
• Fractional flow reserve (FFR): dis de mכsu di prεshכn we di bכdi de insay wan at, we kin εp fכ no aw di blכk bכku bכku.

Dɛn tɛst ya kin no kɔrɛkt wan if ɛnitin de we de blok ɔ we de smɔl na yu LAD.

Aw dɛn kin trit di kɔndishɔn dɛn we de afɛkt di `(LAD)`?

Fɔ opin wan LAD we dɔn blok, yu kin nid fɔ du kadyak kateshɔn, wit tin dɛn lɛk angioplasty ɛn fɔ put stent .

• Angioplasty na wan tin we dɛn kin du we dɛn kin put smɔl balyɔn insay wan at, blo am fɔ opin di say we i dɔn blok, ɛn mek di at big.
• Stent na smɔl waya mɛsh tiub we de ɛp fɔ mek di at nɔ smɔl bak afta dɛn dɔn du angioplasty.

Dɛn tritmɛnt ya kin mek di blɔd go bak na di at ɛn i kin mek i nɔ gɛt at atak.

Aw a go protɛkt mi LAD at? Di rod fɔ gɛt wɛlbɔdi at!

Bɔrku tin de wae yu kin du fɔ mek yu blɔd blɔd, inklud yu (LAD), gɛt wɛl bɔdi. Na di tin dɛn we impɔtant pas ɔl:

• It tin we go ɛp yu at: Dis kin ɛp fɔ mek yu nɔ gɛt bɔku kɔlɔstrel. Fɔ it we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul kin fayn.
• Ridyus yu drink rɔm: If yu gɛt adikshɔn to rɔm, aks fɔ ɛp.
• Ɛksesaiz ɛn mek yu gɛt wɛlbɔdi: Fɔ waka fɔ at le 30 minit ɛvride na fayn tin bak.
• Yu fɔ no di kayn fat dɛn we yu gɛt: Ridyus di fat dɛn we nɔ fayn (saturated ɛn trans fats).
• Tek step fɔ kɔntrol dayabitis ɛn ay blɔd prɛshɔn: Fɔ ridyus sɔl we yu de it kin ɛp bak fɔ dis.
• Aks fɔ ɛp fɔ lɛf fɔ smok: Smok na wan pan di big ɛnimi dɛn we de na di at.

We yu du dɛn tin ya, yu nɔ go ebul fɔ kip yu `(LAD)` nɔmɔ, bɔt yu ɔl at ɛn bɔdi wɛl.

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

bay naw yu go probabli כndastand se di `(Left Anterior Descending Artery)` na bכdi we implεnt fכ di hεlth fכ wi at. If yu blok dis kin mek yu gɛt wan sik we go kil yu, mɔ we yu gɛt `(widowmaker heart attack)`. dis na biכs dis na di men at we de gi di lεft say na di at wit di bכdi bכku bכku wan. chans de fכ mek dis `(LAD)` atεri `(plak)` go kכmכt εn `(atherosclerosis)` go divεlכp, we kin mek yu gεt korona atεri sik. If dat apin, yu go gɛt fɔ du tritmɛnt lɛk `(angioplasty)` ɛn `(stent)` fɔ opin di at ɛn ridyus di risk fɔ gɛt at atak. Bɔt di bɛst tin na fɔ mek dɛn nɔ gɛt dɛn kayn tin ya bifo dɛn apin. We yu tɔk to yu dɔktɔ ɛn mek di chenj dɛn we yu nid to yu layf ɛn it, yu kin kip yu at, dat na yu `(LAD)`, wɛl ɛn gladi. Yu at go tɛl yu tɛnki!