Yu dɔn gɛt bad bad pen na yu chɛst wantɛm wantɛm? Yu tink se na Akyu Aɔtik Sindrom? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva tink bɔt wetin fɔ du if yu gɛt siriɔs pen na yu chɛst wantɛm wantɛm? Sɔntɛnde, i kin bi gas, ɔ i kin bi at atak. Bɔt tide wi go tɔk bɔt wan kayn imejensi we ikwal, bɔt we difrɛn smɔl. Dɛn kɔl dis Akyu Aɔtik Sindrom. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi ɔndastand am simpul wan.

Wetin rili na Akyu Aɔtik Sindrom?

Fɔ tɔk am simpul wan, dis na kɔmɔn nem fɔ sɔm imejensi prɔblɛm dɛn we kin apin na di big blɔd vesel na wi bɔdi, we na di aorta . Tink bɔt am lɛk wata pɔmp. Dis pɔmp de sheb blɔd ɔlsay na di bɔdi tru wan men paip. Na da men paip de wi kin kɔl di aorta. I de rɔn tru di chɛst ɛn tru di bɛlɛ. so, ``Acute Aortic Syndrome`` na siriכs prכblεm we de apin na di chεst pat pan dis aorta, di ``Toracic Aorta`` כ di ``Abdominal Aorta``.

Di tin we impɔtant pas ɔl na dat dɛn tin ya kin apin kwik kwik wan ɛn dɛn kin mek pɔsin in layf de pan denja . Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di men kayn dis sik?

Tri men kayn `(Acute Aortic Syndrome)` de. Lɛ wi si wetin dɛn bi.

1. Acute Aortic Dissection: Dis na di wan we siriɔs ɛn kɔmɔn pan dɛn tin ya. wetin de apin ya na we wan sכm sכm sכm wata de fכm na di insay pat pan di wכl na di aorta, we de mek bכdi fכ lik tru am bitwin di layεr dεm na di wכl. Tink bɔt am lɛk wata paip we gɛt tu layers, ɛn if wan layt brok, wata kin lik tru di ɔda tu layers. Dis kin mek di aorta wik ɛn ivin mek i bɔs.

2. Intramural Hematoma: Dis na we wan sכm sכm bכdi we de insay di wכl na di aorta de bכs εn sכm bכdi de kכlekt insay di atεri wכl. Jɔs lɛk we wi gɛt blɔd klot na wi bɔdi, i kin stɔp. Dis kin divεlכp sכmtεm to Aortic Dissection.

3. Penetrating Atherosclerotic Ulcer: Dis na wan lεsin we de divεlכp na di wכl na di aorta. Dis kכndyushכn kin kכmכn bכku pan pipul dεm we gεt fεt dεm na dεn bכdi (atherosclerosis). dis lεsin kin dip εn wik di atεri wכl.

Dɛn tri ya gɛt fɔ du wit dɛnsɛf ɛn dɛn kin chenj frɔm wan to di ɔda wan. So, i impɔtant fɔ go to tritmɛnt kwik kwik wan fɔ ɛni wan pan dɛn sik ya.

Yu gɛt dɛn sayn ya? Chek am out...

di men εn mכst kכmכn simptom fכ `(Acute Aortic Syndrome)` na we yu de fil pen wantɛm wantɛm, we yu nɔ go ebul fɔ bia, we yu de fil bad bad wan . Bɔku pipul dɛn kin tɔk se na pen we pɔsin kin chuk am ɛn we kin mek pɔsin kray. Dis pen kin kɔmɔt na di bak, to di bɛlɛ, ɔ ivin to di nɛk ɛn di jaw eria.

Apat frɔm dat, sɔm ɔda sayn dɛn kin de:

• Bεlε pen: εspεshali if di bכdi pat pan di aorta de afekt.
• Bak pen: I kin kam wit chɛst pen.
• Faint ɔr nɔr de no natin: Na bikɔs blɔd nɔr de go na di bren.
• di puls we de lכs כ we i rili wik na di leg כ fut: Dis kin bi fכ di blכd fכ fכlכ na di leg dεm we de blok.
• I nɔ kin izi fɔ yu fɔ blo
• Wik
• We pɔsin de swet

Mɛmba se if yu gɛt wan ɔ mɔ pan dɛn sik ya wan tɛm, yu fɔ go na ɔspitul wantɛm wantɛm, ɛn yu nɔ fɔ de te . Dis na imejensi!

Wetin mek dis kin apin? Wetin na di rizin dɛn?

Di men tin we kin mek dis denja sik na di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol (Hypertension) . We di prɛshɔn de ɔp fɔ bɔku ia, di wɔl dɛn na wi at kin pwɛl ɛn wik. Dis kin mek di risk fɔ dɛn kayn rupchɔ ɛn rupchɔ ya bɔku.

Ɔda rizin dɛn kin bi:

• aortic aneurysm: Dis na wan bulge we lεk balכn na di aorta. Dis bulge wik ɛn i kin izi fɔ brok ɔ bɔs.
• di aorta Valv Dεfεkt: sכm difεkt dεm we dεn bכn wit di aorta valv na di at kin mek dis risk bכku bak.
• Fat we de na di blɔd vesel (Atherosclerosis): Dis kin mek di blɔd vesel dɛn smɔl, tik, ɛn wik.

Udat go mɔs gɛt dis? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm pipul dɛn kin gɛt dis `(Acute Aortic Syndrome)` pas ɔda wan dɛn. Lɛ wi si udat dɛn bi:

• Pipul dεm wae dεn כlrεdi gεt ``Aortic Aneurysm'' kכndyushכn.
• Pipul dεm we gεt wan kכndyushכn we dεn kכl aortic coarctation (narrowing of the great aorta).
• Pipul dεm wae gεt Bicuspid Aortic Valve Disease (dεfεkt na wan at valv).
• Pipul dεm we gεt sכm jεnεtik kכndishכn dεm: fכ egzampl, kכndishכn dεm lεk `(Marfan syndrome)`, `(Turner syndrome)` כ `(Ehlers-Danlos syndrome).` dεn kin mek di bכdi in kכnektiv tisu wik. biכs di aorta na dis kayn tisu, i kin wik bak.
• Pipul wae gɛt ay blɔd prɛshɔn: Dis na di men tin wae kin mek pɔrsin gɛt dis sik.

Apat frɔm dɛn tin ya, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Ej: Dis risk kin pasmak fɔ pipul dɛm wae dɔn pas 60 ia.
• Yuz drɔgs: Dis kin apin mɔ pan pipul dɛm wae de yuse drɔgs lɛk kɔkɛyn.
• High-intensity weightlifting: Pipul dɛn we de lif bɔku wet ɛn du resistans ɛgzampul kin gɛt mɔ risk sɔntɛnde.
• Bεlε: Na sכm tεm, dis kכndyushכn dεn kin apin bak pan bεlε mama dεm we nכ gεt nכ כda risk fכs.
• Bɔy ɔ gal:Man dɛn kin gɛt dis sik mɔ.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

We yu go na ɔspitul wit di sayn dɛm we wi bin dɔn tɔk bɔt, di dɔktɔ dɛm go rɔn sɔm tɛst kwik kwik wan fɔ si if dis na ``Acute Aortic Syndrome''.

Di kayn tɛst dɛn we dɛn kin du

• CT scan: Dis na di bɛst ɛn kɔrɛkt we fɔ no dis sik (gold standad) . I tan lɛk we wi tek 3D pikchɔ fɔ di insay pat na wi bɔdi. Dis kin si klia wan aw di aorta shep, aw i de wok, aw di blɔd de flɔ, if ɛni krak krak de, ɔ if blɔd de klɔt.
• Chɛst X-ray: Dis kin gi yu rɔf aydia bɔt di shep fɔ di at ɛn di ɔgan dɛn we de rawnd am. sכmtεm, if di aorta big, dεn kin si am bak.
• Koronari Angiogram: Dis de chɛk di kɔndishɔn fɔ di korona at we de gi blɔd to di at.
• E.C.G., ɛn ɔda pipul dɛn. (Electrocardiogram - EKG): Dis de tεst di ilektrikal aktiviti na di at. Dis kin ɛp fɔ no difrɛns bitwin at atak ɛn at atak.
• Transthoracic Echocardiogram: Dis tan lɛk ɔltra saund skan fɔ di at. I kin luk aw di at in chɛmba dɛn, di valv dɛn, ɛn di blɔd vesel dɛn de.

If dɛn du dɛn tɛst ya, dɔktɔ dɛn kin ebul fɔ no di sik kwik kwik wan.

Wetin na di tritmɛnt dɛm fɔ dis? Wi go ebul fɔ sev?

di we aw dεn de trit di aorta de dipכnt pan di say we di aorta dεn dכn pwεl.

• Prɔblɛm we de wit di ascending aorta, we na di pat pan di aorta we de go ɔp to di at, nid fɔ gɛt ɔpreshɔn kwik kwik wan . Di dɔktɔ dɛn we de du ɔpreshɔn kin pul di pat we dɔn pwɛl na di aorta ɛn put wan sintetik graft insay am . Sɔm kayn bad bad tin dɛn kin nid fɔ chenj di aɔta valv bak.

• if prכblεm de wit di pat pan di aorta we de go dכn εn kכnekt to כda at dεm, di aorta we de dכn, sכmtεm dεn kin trit dis wit mεdikeshכn. Dɛn kin gi dɛn mɛrɛsin dɛn we de kɔntrol blɔd prɛshɔn, lɛk beta-blɔka ɔ vasodilator . Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di at rit slo, dɛn kin mek di blɔd vesel dɛn big, ɛn mek di prɛshɔn we de na di aorta nɔ bɔku. Bɔt sɔntɛnde, prɔblɛm wit dis pat kin nid fɔ ɔpreshɔn ɔ put stent.

De tin wae impɔtant pas ɔl na dat, di mɔr yu de wet fɔ bigin tritmɛnt, na di mɔr denja kin bi denja. So, fɔ go na ɔspitul ɛn bigin tritmɛnt kwik kwik wan rili impɔtant fɔ sev pipul dɛn layf.

Wetin wi go du fɔ avɔyd dis denja? ( Aw wi go ridyus di prɔblɛm?)

Fɔ lɛ wi go sev dis kayn bad bad tin, wi nid fɔ kia fɔ di we aw wi de liv wi layf.

• Fɔ mek yu gɛt wɛlbɔdi wet:Mek yu gɛt wɛlbɔdi wet fɔ yu ayt, ej, ɛn man ɔ uman.
• Fɔ kɔntrol blɔd prɛshɔn: Dis na di tin we impɔtant pas ɔl . If yu gɛt blɔd prɛshɔn, tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm. Chek yu blɔd prɛshɔn ɔltɛm.
• Fɔ manej ɔda ɔndalayn mɛdikal kɔndishɔn dɛn: If yu gɛt prɔblɛm lɛk dayabitis ɔ kɔlɔstrel, manej dɛn fayn fayn wan akɔdin to yu dɔktɔ in instrɔkshɔn.
• Lɛf fɔ smok kpatakpata: Smok kin rili ambɔg di blɔd vesel dɛn.

if yu fala dεn simpul stεp dεm ya, yu kin ridyus di risk fכ gεt denja kכndyushכn lεk ``Acute Aortic Syndrome''.

Wetin go apin if dis apin? Aw lɔng i go tek fɔ mek i wɛl? (Autluk fɔ di sik)

Acute Aortic Syndrome na wan imejensi we kin mek pɔsin in layf de pan denja. Bɔku tɛm, i kin nid fɔ du ɔpreshɔn kwik kwik wan. Yu wɛl bɔdi kin dipen pan aw yu kin gɛt tritmɛnt kwik kwik wan.

di tu kכndishכn dεm `(Intramural Hematoma)` εn `(Penetrating Atherosclerotic Ulcer)` gεt hכy rεt fכ liv pas `(Acute Aortic Dissection)`.

Afta yu dɔn gɛt tritmɛnt, yu go nid fɔ kɔntinyu fɔ de ɔnda dɔktɔ. Yu go nid fɔ de chɛk yu ɔltɛm fɔ chɛk if ɛni blɔd de kɔmɔt na di aorta ɔ if nyu anɛrizm dɛn dɔn fɔm. I rili impɔtant bak fɔ mek yu kɔntrol yu blɔd prɛshɔn fayn fayn wan ɔlsay na yu layf.

Nɔ fɔgɛt fɔ aks yu dɔktɔ bɔt dɛn tin ya.

If dɛn no se yu gɛt, ɔ yu tink se yu gɛt, Acute Aortic Syndrome, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di tin we kin mek a gɛt dis sik?
• A gɛt wan sik we de ɔnda mi at. Wetin na mi risk fɔ gɛt `(Acute Aortic Syndrome)`?
• Wetin na di simptom dɛm fɔ `(Acute Aortic Syndrome)` we a fɔ no bɔt?
• Wetin na di tritmɛnt opshɔn dɛm fɔ dis? Uswan na di bɛst fɔ mi?
• Us fɔlɔp tritmɛnt dɛn a fɔ du afta tritmɛnt?

Fɔ sɔmtin (Tek-Home Message) .

Okay, so yu kin mɛmba sɔm pan di impɔtant tin dɛn frɔm wetin wi dɔn tɔk bɔt.

Acute Aortic Syndrome na wan sik we kin apin wantɛm wantɛm we kin mek pɔsin in layf de pan denja we kin apin na di aorta.

Di men sayn na we pɔsin kin fil pen wantɛm wantɛm na in chɛst . Dis pen kin rayt bak to di bak ɛn bɛlɛ.

Di ay blɔd prɛshɔn na di men tin we kin mek dis apin.

If yu gɛt dɛn sik ya , go na ɔspitul wantɛm wantɛm. Kwik tritmɛnt kin sev yu layf.

Dis risk kin ridyus if yu liv fayn layf ɛn kɔntrol blɔd prɛshɔn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu famili dɔktɔ. Stay wit wɛlbɔdi!

`Akyu Aorta Sindrom, Aorta, Chɛst Pen, Ay Blɔd Prɛshɔn, At Sik, Imejɛnsi Ɔpreshɔn