Ɛp fɔ yu at: Wetin na intavɛnshɔnal kadiɔlɔji?

Yu dɔn ɛva yɛri bɔt di wɔd "Interventional Cardiology"? Sɔntɛm yu dɔktɔ dɔn tɔk bɔt am, ɔ sɔntɛm yu de luk insay am bikɔs yu gɛt at prɔblɛm. Eniwe, dis na wan rili impɔtant fild fɔ mɛrɛsin. Lɛ wi tɔk bɔt am smɔl, nɔto so?

Wetin na Intɛrvɛnshɔnal Kadiɔlɔji? I rili simpul!

Fɔ tɔk am simpul wan, intavɛnshɔnal kadiɔlɔji na spɛshal prɔsidyu we de yuz wan rili smɔl, fleksibul tiub we dɛn kɔl ``kateta`` fɔ no ɛn trit di at ɛn blɔd vesel sik dɛm. tink bɔt am lεk sכm sכm kanula we wi de yuz we wi de put salin na wi an, bכt dis ``kateta`` na ivin fayn tכb. Dɛn kin put dis insay wan pan yu blɔd vesel dɛn. So, nid nɔ de fɔ mek big say na di skin ɛn du ɔpreshɔn. Dis na di big bɛnifit fɔ dis we fɔ du tin.

Dɔktɔ dɛn we de du dis wok (wi kin kɔl dɛn intavɛnshɔnal kadiɔlɔjis) kin ɛp pipul dɛn we gɛt vaskul ɛn korona at sik. Dɛn kin trit pikin dɛn bak, yɔŋ pikin dɛn, ɛn big pipul dɛn we gɛt at prɔblɛm, lɛk at valv we nɔ fayn ɔ we dɛn bɔn wit at sik, lɛk we dɛn gɛt septal prɔblɛm.

Wetin na di difrɛns bitwin Intɛrvɛnshɔnal Kadiɔlɔji ɛn Kadiɔtɔraks Ɔpreshɔn?

Pan ɔl we dɛn tu tin ya gɛt fɔ du wit di at, smɔl difrɛns de.

wan intavεnshכnal kadyכlכg de du di ``Minimally Invasive`` tritmεnt, we a bin tכk bכt, i de yuz wan ``(Catheter)``, we nכ gεt big insishכn, tru wan sכmכl ol. dat min se dεn nכ de du `` opin-hat כpεrayshכn`` , we involv fכ mek big kכt na di midul pan di chεst (``Sternotomy``).

Bɔt dɔktɔ we de du ɔpreshɔn pan di bɔdi na pɔsin we de du ɔpreshɔn pan di ɔgan dɛn na di chɛst, lɛk di at, di lɔng, ɛn di it we dɛn de it. Dɛn kin du ɔpreshɔn pan dɛn at we opin. Sɔntɛnde dɛn kin yuz bɔku smɔl smɔl say dɛn bak instead fɔ wan big say we dɛn kɔt.

Di tin we impɔtant pas ɔl na dat, bɔku tɛm, dɛn tu spɛshal pipul ya kin wok togɛda fɔ disayd us tritmɛnt we go fayn fɔ yu.

Wetin spɛshal wan intavɛnshɔnal kadɔlɔjis kin du?

Dɛn dɔktɔ ya spɛshal fɔ yuz da ``(kateta)'' de fɔ no ɛn trit sik dɛm na di at ɛn blɔd vesel dɛm. Sɔm we dɛn kin yuz fɔ no ustɛm na di sik, ɛn ɔda wan dɛn kin yuz fɔ mɛn di sik.

Us tɛst dɛn we intavɛnshɔnal kadɔlɔjis kin ɔda?

Na dis fil men wanI de chɛk if di blɔd we de go na yu bɔdi de wok fayn. I de luk fɔ prɔblɛm dɛn we de ambɔg di blɔd flɔ ɛn tray fɔ sɔlv dɛn. fכ egzampl, i de chεk di bכdi fכ fכlכ εn prεshכn na di bכdi we de gi bכdi to yu at (di ``Koronary Arteries``) εn insay di at chεmba dεm.

Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:

• CT skan fɔ di blɔd vesel dɛm na di at (kɔmpyuta tomografi (CT) fɔ di Korona Atɛri dɛm).
• Wan ɛkokadyɔgram (intrakadyak ɛkokadyɔgram).
• MRI fɔ di at .
• Chɛst X -ray.

Wetin na Intɛrvɛnshɔnal Kadyak Prɔsidyu?

dis na we fכ trit di at we dεn de yuz כnli `(Catheter)`, we dεn nכ de kכt di skin כ du כpεrayshכn. fכ egzampl, if dεn yuz `(Catheter)` fכ riples di at valv כ fכ ripεr di at valv, na intavεnshכnal at tritmεnt.

Us tritmɛnt dɛn we intavɛnshɔnal kadɔlɔjis kin du?

Bɔku tritmɛnt dɛn de we dɛn dɔktɔ ya kin du. Sɔntɛm yu dɔn yɛri bɔt sɔm pan dɛn.

• Cardiac catheterization: Na fɔ chɛk di at bay we dɛn put kateshɔn insay.
• Angiogram (`Angiogram` - `Peripheral` כ `Coronary`): dεn de injεkt spεshal wata insay di bכdi vεsul dεm εn dεn de tek εks-ray fכ no usay di blכk dεm de.
• Angioplasty: Fɔ opin bak blɔd vesel we dɔn blok bay we yu de inflate am wit smɔl tin we tan lɛk balɔ.
• Coronary Atherectomy: Dɛn kin pul di fat we de na di blɔd vesel dɛn (plek) .
• Fractional Flow Reserve (FFR) measurement: Na we dɛn de mɛzhɔ aw bɔku blɔd nɔ de flɔ bikɔs i blok na wan blɔd vesel.
• Intravascular Ultrasound (IVUS): Na we dɛn kin put smɔl ɔltrasɔund divays insay blɔd vesel.
• Optical Coherence Tomography (OCT): Na we we dɛn kin yuz layt fɔ si di insay pat pan di blɔd vesel dɛn rili klia wan.
• Stent Placement: Na smɔl mɛsh tiub we dɛn kin put insay wan blɔd vesel we dɔn blok we dɛn dɔn opin bay angioplasty fɔ mek i nɔ blok bak. Bɔku tɛm, dɛn kin mek dis wit mɛtal.
• Riplesmɛnt ɛn Ripair di At Valv: Naw dɛn kin du dis bak wit kateshɔn.
• Lɛft Atrial Apɛndij Klɔz.
• fכ kכlos di ol na di wכl bitwin di atria dεm (`Atrial Septal Defect Closure`).
• Alkohol Sɛptal Ablashɔn.
• Patent Foramen Oval Klɔz.
• Renal Denervation: Na tritmɛnt we de tɔch di nerves to di kidni fɔ ridyus di ay blɔd prɛshɔn.
• Trombolysis: I de sɔlv di blɔd we de klɔt.

Wetin na di tritmɛnt we dɛn kin du mɔ we di dɔktɔ dɛn we de mɛn di at kin du?

Di tin we dɛn dɔktɔ ya kin du mɔ na we dɛn kin du angioplasty ɛn put stent na di blɔd vesel dɛn na di at. Dis min se yu fɔ yuz kateshɔn fɔ fɛn say we blɔd vesel na di at dɔn blok. afta dat, wit sכmכl tul lεk balכn, dεn de prεs di blכk (i.e., di plek we kכlestכl dεposit dεn fכm) pan di wכl na di bכdi, we de mek wan rod fכ bכdi fכ fכlכ. Dɔn, if nid de, dɛn kin put wan mɛsh tiub we dɛn kɔl stent de fɔ mek di rod nɔ lɔk bak. Dis na tritmɛnt wae de sev pɔrsin wae gɛt hat atɔk wae dɔn sev in layf.

Us sik ɛn kɔndishɔn dɛn kin trit bay intavɛnshɔnal kadyolɔji?

Dis we ya kin trit bɔku sik dɛn we kin afɛkt di at ɛn di blɔd vesel dɛn. Na sɔm ɛgzampul dɛn ya:

• Di sik we de mek pɔsin gɛt at valv
• Atɛrosklɛrosis we kin mek pɔsin gɛt at
• At Atak we pɔsin kin gɛt
• Carotid Artery Disease (dis na wan big bכdi we de na di nεk) .
• Koronari Atɛri Sik we pɔsin kin gɛt
• Hypertrophic Cardiomyopathy (we di at mɔsul de tik) .
• Coronary Artery Fistula (Na abnɔmal kɔnekshɔn bitwin wan blɔd vesel na di at ɛn ɔda blɔd vesel ɔ pat pan di at)
• Pεrifεral Atεri Disεs (blɔd vεsεl blɔk na di limb dεm) .
• Kronik Venɔs (Vein) Disizin
• Aorta Valv Stenosis we de mek pɔsin gɛt sik
• Blɔd klɔt sik dɛn (`Tromboembolic Disease`) .
• Aneurysm we de mek pɔsin gɛt di sik
• Hol dεm na di wכl bitwin di atria dεm (`Atrial Septal Defect`)
• Hol dεm na di wכl bitwin di vεntrikl dεm (`Ventricular Septal Defect`)

A nid fɔ gɛt riferal fɔ go to intavɛnshɔnal kadiɔlɔjis?

Yɛs, bɔku tɛm yu go nid fɔ mek ɔda dɔktɔ rifer yu fɔ go to dɔktɔ we de mɛn yu at. Dis na bikɔs dɛn dɔn tren dɛn spɛshal pipul ya fɔ du di patikyula tɛst ɔ tritmɛnt we yu nid.

Usay dɛn intavɛnshɔnal kadɔlɔjis ya de wok?

Intavɛnshɔnal kadɔlɔjis dɛn kin wok na ɔspitul, prayvet mɛdikal sɛnta, ɛn mɛdikal skul dɛn. Sɔm kin du risach bak ɛn tich mɛdikal studɛnt dɛn we dɛn de gi tritmɛnt.

Bɔku tɛm, dɛn dɔktɔ ya kin de na kɔl fɔ trit ɛni imejensi, fɔ ɛgzampul, pɔsin we gɛt at atak.

Wetin na di trenin we dɛn nid fɔ intavɛnshɔnal kadiɔlɔji?

Fɔ wok na dis wok nid fɔ tren fɔ lɔng lɔng tɛm. Afta di mɛdikal skul (4 ia), di wan dɛn we de du dis sabspɛshaliti kin kɔmplit tri ia rɛzidɛns trenin pan Intanɛt Mɛdisin, dɔn dɛn kin gɛt ɔda tri ia spɛshal trenin pan Jɛnɛral Kadiɔlɔji.

Afta dat, yu go gɛt at le ɔda ia spɛshal intavɛnshɔnal kadiɔlɔji trenin (`Fellowship`) insay di tɛknik dɛn we dɛn kin yuz fɔ yuz di ``Kateta``. Na da tɛm de nɔmɔ yu go gɛt ``Sɛtifikeshɔn`` frɔm mɛdikal bɔd.

Sɔm intavɛnshɔnal kadiɔlɔjis dɛn na mɛmba dɛn na ɔganayzeshɔn dɛn lɛk di Sosayti fɔ Kadiɔvaskyuɛl Angiografi ɛn Intɛrvɛnshɔn (SCAI) ɔ dɛn gɛt spɛshal mɛmbaship (wan ``Fɛlɔ``). ``Fellow`` na pɔsin we dɔn du pas 1,000 prɔsidyu. Dis min se na pɔsin we dɔn gɛt rili advans trenin de trit yu.

Wetin yu kin ɛkspɛkt we yu de du intavɛnshɔnal kadyolɔji apɔntinmɛnt?

If nɔto imejensi, intavɛnshɔnal kadɔlɔjis go tɔk to yu bɔt yu at ɔ yu blɔd vesel prɔblɛm. Dɛn go aks yu bɔt yu sik ɛn aw lɔng yu dɔn gɛt dɛn. I impɔtant fɔ kam wit wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu de bay, vaytamɛn, ɛn ivin sɔpɔtmɛnt dɛn).

Di dɔktɔ go lisin to yu at. I go aks bak if yu de yuz tabak ɔ yu de drink rɔm. I go aks bak if ɛnibɔdi na yu famili dɔn gɛt at sik ɔ blɔd vesel prɔblɛm. I kin du simpul tɛst dɛn bak de, lɛk fɔ chɛk yu blɔd prɛshɔn.

If yu nid fɔ gɛt diagnostik tɛst ɛn/ɔ tritmɛnt, yu go nid fɔ sɛdyul wan sɛpret apɔntinmɛnt fɔ da de de. Yu dɔktɔ go ɛksplen di intavɛnshɔnal tritmɛnt we dɛn tink se rayt fɔ yu, wit di bɛnifit ɛn risk dɛm. Dɛn go tɛl yu bak aw fɔ rɛdi fɔ di tritmɛnt. Fɔ ɛgzampul, dɛn kin aks yu fɔ nɔ it ɔ drink fɔ et awa bifo dɛn du di tɛst ɔ tritmɛnt.

Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we dɛn tɛl yu se dɛn go du ɔpreshɔn pan yu at. Bɔt mɛmba se, we yu gɛt intavɛnshɔnal kadyolɔji, na spɛshal pɔsin we tren gud gud wan de kia fɔ yu. Dɛn kin gɛda di infɔmeshɔn we dɛn nid fɔ no di sik ɛn afta dat dɛn kin trit am we dɛn nɔ nid fɔ du ɔpreshɔn pan dɛn at.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

So, intavɛnshɔnal kadiɔlɔji na wan rili advans ɛn rili pasɛnt-frenli fild fɔ mɛrɛsin.

• Nɔ big big say fɔ kɔt: Di men bɛnifit na dat dɛn kin trit bɔku prɔblɛm dɛn we gɛt fɔ du wit at ɛn blɔd vesel bay we dɛn yuz smɔl kateshɔn nɔmɔ, ɛn dɛn nɔ kin kɔt ɛni big big say.
• Kwik kwik wan fɔ wɛl: Bikɔs dɛn nɔ de du ɛni big ɔpreshɔn, di tɛm we yu de na ɔspitul nɔ kin te, ɛn yu kin wɛl kwik ɛn kam bak to yu nɔmal layf.
• Ɛkspɛkt: Na dɔktɔ dɛn we dɔn gɛt spɛshal trenin fɔ dis tritmɛnt kin du dis tritmɛnt.
• Nɔ fred: If dɛn dɔn gi yu dis kayn tritmɛnt, tɔk to yu dɔktɔ bɔt am gud gud wan ɛn no di ditel dɛn. We yu no di kɔrɛkt tin, dat go ɛp yu fɔ avɔyd fɔ fred we yu nɔ nid fɔ fred.

If yu gɛt ɛni at prɔblɛm, nɔ fɔgɛt fɔ go to dɔktɔ fɔ advays. At we gɛt wɛlbɔdi min layf we gɛt wɛlbɔdi!

` At sik, intavɛnshɔnal kadiɔlɔji, kateshɔn, angioplasti, stent, at ɔpreshɔn, at wɛlbɔdi