Wetin yu nid fɔ no bɔt Akyu Koronari Sindrom!

Yu dɔn ɛva fil wan strenj tayt, pen, ɔ shɔt briz na yu chɛst wantɛm wantɛm? Ɔ yu dɔn si pɔsin we yu sabi du dat? Sɔntɛnde, dɛn sayn ya kin bi sayn fɔ wan at sik we rili denja. Acute Coronary Syndrome (ACS) na wan kכmכn nem fכ sכm kayn kכndyushכn dεm we kin apin wan wan εn we kin kכz fכ blok na di at dεm we de gi blɔd to di at.

Wetin na akyu korona sindrom (ACS)?

Fɔ tɔk am simpul wan, Acute Coronary Syndrome (ACS) na wan imejensi kɔndishɔn we kin apin we di korona at we de kɛr blɔd go na di at kin blok wantɛm wantɛm, ɛn dis kin mek di at nɔ gɛt di ɔksijɛn we i nid. Imajin if sɔntin stɔp wantɛm wantɛm na di paip we de kɛr wata go na di wata pɔmp na yu os. Dɔn di wata nɔ de flɔ fayn fayn wan na di pɔmp. Di sem tin kin apin to di at. Dis nɔto wan sik, bɔt na tri kayn at sik we dɛn jɔyn togɛda. Ɔl dɛn tin ya kin mek pɔsin in layf de pan denja, so i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.

Us kayn at sik de fɔdɔm ɔnda ACS?

Okay, so wetin na di kayn hat sik wae de fol anda ACS? Tri men kayn dɛn de. Dɛn tin ya kin difrɛn difrɛn wan bay usay na di at di blɔd vesel dɔn blok, aw lɔng i dɔn blok, ɛn aw lɔng dɛn dɔn pwɛl di at.

1. Angina we nɔ stebul: Dis na we yu de fil pen ɔ tayt na yu chɛst wantɛm wantɛm, ivin we yu de rɛst. I kin fil lɛk se sɔmbɔdi de swɛt yu chɛst. Dis na rili sayn fɔ wɔn pɔsin we gɛt at atak . I kin apin bak we di chɛst pen we bin dɔn de bifo (stebul angina) kin kam bad bad wan.

2. NSTEMI (Non-ST-elevation myocardial infarction): Dis na wan kayn at atak bak. Bɔt insay dis kes , di EKG (Electrocardiogram) tɛst, we de mɛzhɔ di ilɛktrik aktiviti na di at, nɔ de sho bɔku difrɛns. Bɔt we dɛn de du blɔd tɛst, dɛn kin no se di at mɔsul dɔn pwɛl. Na ya, di korona at nɔ kin blok ɔl, ɔ if i blok, na fɔ shɔt tɛm nɔmɔ i kin blo.

3. STEMI (ST-elevation myocardial infarction): Dis na di kayn we we kin mek pɔsin gɛt at atak we kin rili bad . Dɛn kin no am klia wan tru EKG ɛn blɔd tɛst. Wetin kin apin ya na dat wan at we de gi blɔd to di at kin blok ɔltogɛda fɔ lɔng tɛm, ɛn dis kin mek wan big pat na di at pwɛl.

Udat kin gɛt dis ACS kɔndishɔn?

Naw yu kin de wɔnda udat kin gɛt ACS. Fɔ tru, ɛnibɔdi kin ebul fɔ divɛlɔp am. Bɔt pipul dɛm wae gɛt sɔm kayn risk kin gɛt dis sik.

Di ej ɛn di we aw i de liv:

• Ej: Man dɛm we dɔn pas 45 ia ɛn uman dɛm we dɔn go tru menopause kin gɛt mɔ risk.
• Ovaweit/fat pasmak.
• Yuz drɔgs lɛk kɔkɛyn.
• Nɔ de du ɛksɛsayz fɔ yu bɔdi.
• Fɔ smok.
• It we nɔ fayn (fud dɛn we gɛt bɔku ɔyl, sɔl, shuga).

Ɔda mɛrɛsin dɛn we yu gɛt ɛn yu famili histri:

• If COVID-19 bin dɔn brok.
• Shuga.
• If ɛnibɔdi na yu famili dɔn gɛt tin dɛn lɛk chɛst pen, at sik, ɔ strok.
• Di blɔd kɔlɔstrel lɛvɛl we bɔku.
• Ay blɔd prɛshɔn (Hay blɔd prɛshɔn / haypatɛyshɔn).
• If yu bin gɛt ay blɔd prɛshɔn, prɛeklampsia, ɔ dayabitis we yu gɛt bɛlɛ.

Ɔda kɔndishɔn dɛn we de sho di sem kayn sik dɛn we ACS gɛt

Bɔt nɔ tink se na ACS de mek pɔsin fil pen na in chɛst. Bɔku ɔda tin dɛn de we kin mek pɔsin gɛt di sem kayn sik we ACS gɛt. Na dat mek i impɔtant fɔ gɛt kɔrɛkt diagnosis ɛn gɛt tritmɛnt kwik kwik wan . Sɔm pan de sik wae kin mek yu gɛt dis kayn sik na:

• Aorta stenosis we de mek pɔsin nɔ ebul fɔ du am.
• Asma we gɛt asma.
• Pɔlmonari ɛmbolizm.
• digεstiv prכblεm, krכnik asid rεfluks (GERD - Gastroesophageal Reflux Disease) כ εsophageal spasm.
• Pɛrikarditis we gɛt di sik.
• Prɔblɛm wit mɔsul ɔ bon.
• Rib we de brok brok.
• Nyumonia.
• Bɛlɛ prɔblɛm lɛk ɔlsa.
• Stret, wɔri, ɔ pwɛl hat.

Aw kɔmɔn tin fɔ ACS?

Coronary Artery Disease (CAD) na di hat sik wae de kam pas ɔl na di wɔl ɛn na in kin mek pɔrsin day. So, ACS, we na wan sik we gɛt fɔ du wit CAD, kin kil bɔku pipul dɛn ɛvri ia. Dis risk kin pasmak pan man dɛm ɛn di wan dɛm wae gɛt ɔndalayn korona at sik.

Aw ACS kin apin?

Okay, naw mek wi si aw dis ACS situeshɔn de apin.

Wi at na mɔsul. Fɔ mek i wok fayn, i nid fɔ gɛt blɔd we gɛt ɔksijɛn ɔltɛm. Dis blɔd na di korona at ɛn di smɔl smɔl blɔd vesel dɛn we de branch frɔm dɛn de gi am.

Sɔntɛnde, as tɛm de go, di plek kin gɛda insay dɛn at dɛn ya, ɛn dis kin mek dɛn smɔl. Dɛn kɔl dis atɛrosklɛrosis . I tan lɛk se rɔst de bɔku na wata paip as tɛm de go.

ACS kin apin wantɛm wantɛm if dis layt we dɛn dɔn put pan fat (plek) bɔs ɔ brok wantɛm wantɛm.

We dat apin, blɔd kin klɔt oba di say we dɔn brok.Dis blɔd we de klɔt de mek di blɔd vesel smɔl, ɔ i de blok am kpatakpata. Dɔn, wan pat pan di at (di mayokardiɔm) nɔ kin gɛt di ɔksijɛn we i nid. Dis ɔksijɛn we nɔ de (ischemia) de pwɛl di at mɔsul. Na da tɛm de di angina we nɔ stebul ɔ at atak we wi bin dɔn tɔk bɔt kin apin.

Na smɔl tɛm nɔmɔ, ACS kin kam bak bikɔs ɔf ɔda rizin dɛn:

• Koronari atεri εmbolizm na we di blɔd we de kכl, di briz bכbul, כ fεt patikyula de blok di korona at.
• Koronari atεri spam.
• Spontan korona atεri dεsεkshכn (SCAD).

Wetin na di sayn dɛm fɔ ACS?

Di sayn dɛm fɔ ACS kin difrɛn difrɛn wan bay usay di blɔd vesel dɔn blok, aw yu blok, yu ej, yu man ɔ uman, ɛn if yu gɛt ɔda mɛrɛsin, lɛk dayabitis.

Bɔrku tɛm dɛn sik ya kin kam wae yu nɔr wɔn yu, ivin wae yu de rɛst. Di sayn wae kin kam pan pɔrsin na in chɛst pen ɔr nɔr kin fil fayn (angina) . Dis kin fil lɛk:

• I kin tan lɛk se i de fil pen.
• Lɛk pɔsin we dɔn bɔn.
• Chɛst kin fil ebi.
• Chɛst tayt.
• Lɛk we pɔsin de push, we pɔsin de swɛt.
• I tan lɛk se dɛn dɔn trɔs yu.

Dis pen kin spre to di lɛft sholda, dɔŋ di an, nɛk, bak, ɔ jaw. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni sik na dɛn chɛst.

Ɔda sayn dɛn we kin apin:

• Diziz, layt ed, ɛn fil lɛk se yu go fɔdɔm.
• We yu de swet pasmak wantɛm wantɛm (diaphoresis).
• Taya, taya.
• Fɔ fil lɛk se yu at de bit fast, fil lɛk se yu chɛst de bit (at de bit).
• Pen na di ɔpa bɛlɛ (sɔm kin mistek kɔl dis fɔ indigest ɔ bɛlɛ inflamɛns).

Mɔ uman dɛn nɔ kin gɛt bɛtɛ sik dɛn na dɛn chɛst we dɛn de du ACS. Dɛn kin gɛt mɔ pan dɛn kayn sik ya:

* Nɔs ɔ vɔmit.

* Pen we de rayt to di sholda, nɛk, bɛlɛ, ɔ di jaw eria.

* I nɔ izi fɔ blo (dyspnea).

If dɛn sik ya kɔntinyu ɔ wɔs, tɛl yu dɔktɔ kwik kwik wan . If yu tink se dis kin bi at atak, tek aspirin wantɛm wantɛm ɛn go na di ɔspitul imejensi dipatmɛnt we de nia yu, ɔ kɔl 911.

Aw dɛn kin no se pɔsin gɛt ACS?

Aw dɔktɔ dɛn kin no se pɔsin gɛt ACS?

Fɔs, dɛn go chɛk yu bɔdi. Dɔn, dɛn go du sɔm blɔd tɛst dɛn ɛn EKG (Electrocardiogram).Wan dɔn dɔn. EKG de rεkכd di ilektrikal aktiviti fכ di at. Frɔm dɛn tɛst rizɔlt ya, di dɔktɔ kin no if yu gɛt at atak ɔ yu gɛt angina we nɔ stebul.

Apat frɔm dat, dɛn kin du ɔda tɛst dɛn fɔ mek dɛn nɔ no ɔda tin dɛn ɛn fɔ pik di tritmɛnt we fit pas ɔl. Fɔ ɛgzampul, ɛksesaiz strɛs tɛst ɔ mɛrɛsin strɛs tɛst de mek yu at rit mɔ ɛn mɔ ɛn i de mɛzhɔ aw yu at de ansa we yu de wok di maksimam.

Dɛn kin yuz imej stɔdi, lɛk CT skan ɔ at MRI bak fɔ gɛt ditayla imej dɛn fɔ di at. Ɔda tɛst dɛn we dɛn kin du fɔ tek pikchɔ kin bi:

• Kalsiɔm-skɔ skrinin at skan.
• Kadiak kateshɔn.
• Koronari kɔmpyuta tomografi angiogram (CCTA).
• Angiogram fɔ di korona.
• Ekokardiogram fɔ mek yu gɛt di sik.
• Nyuklia mɛrɛsin imej.

ACS na wan mɛdikal imejensi. If tɛst dɛn sho se di blɔd nɔ de go na di at, dɛn go trit yu wantɛm wantɛm . If yu gɛt siriɔs sayn dɛm, lɛk wae yu nɔr de no natin, dɛn kin bigin fɔ trit yu ivin bifo dɛn no se yu gɛt di sik.

Yu tink se kɔmplit mɛrɛsin de fɔ ACS?

No mɛrɛsin nɔ de fɔ ACS. Bɔt if yu no di sik kwik kwik wan ɛn trit yu , dat kin ɛp fɔ mek yu at nɔ pwɛl mɔ ɛn mek i wok fayn fayn wan. Yu dɔktɔ kin tɛl yu mɔ bɔt aw fɔ ridyus di prɔblɛm dɛn we yu gɛt ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Aw dɛn kin trit ACS?

Di men gol dɛm fɔ tritmɛnt fɔ ACS na fɔ ridyus pen ɛn fɔ mek blɔd flɔ bak ɛn fɔ mek di at wok fayn kwik kwik wan. Yu dɔktɔ go gi yu tritmɛnt bay di patikyula sik we yu gɛt. Bɔku tɛm, i kin gɛt fɔ du wit wan kɔmbayn mɛrɛsin ɛn ɔpreshɔn fɔ opin di at ɛn mek di at wok bak.

Us mɛrɛsin dɛn di dɔktɔ kin gi fɔ ACS?

Di kayn mɛrɛsin we yu go gɛt go dipen pan yu patikyula kɔndishɔn. Sɔntɛnde, yu dɔktɔ kin gi yu mɛrɛsin bifo i kɔnfirm se yu gɛt di sik. Dɛn mɛrɛsin ya kin bi:

• Antikoagulant ɔ tin dɛn we de mek blɔd tan lɛk aspirin ɔ heparin.
• Angiotensin-converting enzyme (ACE) inhibitors, we de mek di blɔd prɛshɔn go dɔŋ.
• Beta-blɔka, we de kɔntrol blɔd prɛshɔn ɛn slo di at rit.
• Nitroglycerin, we de mek blɔd flɔ fayn ɛn mek di chɛst nɔ pen.
• Di tin dɛn we de mek pɔsin nɔ fil pen.
• Statin, we de mek di kɔlɔstrel we de na di blɔd go dɔŋ.
• Trombolytic mεdikeshכn dεm insay di fכs 12 awa dεm we yu gεt at atak .

Yu dɔktɔ kin gi yu mɛrɛsin bak fɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit yu at, lɛk:

• Kɔlestɔl we bɔku.
• Di ay blɔd prɛshɔn.
• Di at we nɔ de bit ɔltɛm (Aritmia).

A go nid ɔpreshɔn fɔ ACS?

Di gol fɔ ɔspitul tritmɛnt fɔ ACS na fɔ opin di at we dɔn blok bak ɛn mek di blɔd flɔ bak di nɔmal wan. Yu dɔktɔ kin tɛl yu fɔ du tritmɛnt dɛn lɛk:

• Angioplasty wit stent: Dɛn kin put smɔl mɛtal mɛsh (stɛnt) fɔ opin di at we dɔn blok.
• Korona at baypas ɔpreshɔn (CABG): Fɔ mek nyu rod fɔ mek blɔd flɔ.
• Pɛkyutan korona intavɛnshɔn (PCI): Fɔ opin wan at we dɔn blok.

Aw fɔ ridyus di risk fɔ gɛt ACS?

If yu liv layf we go mek yu at pwɛl, dat kin mek yu nɔ gɛt ACS ɛn ɔda sik dɛn we de ambɔg yu at ɛn yu blɔd. Na sɔm advays dɛn ya we go ɛp yu fɔ du dat:

• Nɔ smok: If yu de smok ɔ yu de yuz nikotin prɔdak, aks yu dɔktɔ bɔt program ɛn mɛrɛsin dɛn we go ɛp yu fɔ lɛf fɔ smok.
• It tin we go mek yu at pwɛl: Tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it we dɛn dɔn rɛjista bɔt it we go ɛp yu fɔ gɛt wɛlbɔdi we go ɛp yu fɔ gɛt wɛlbɔdi ɛn fɔ mek yu nɔ gɛt at sik. Di Mɛditarenian ɛn DASH it dɛn na tu it dɛn we gɛt fayn fayn tin dɛn fɔ it.
• Limit alcohol drink: Limit uman dɛn fɔ drink wan drink fɔ wan de ɛn man dɛn fɔ drink tu drink fɔ wan de.
• Manej wɛl bɔdi prɔblɛm lɛk ay kɔlɔstrel, ay blɔd prɛshɔn, dayabitis, strɛs, pwɛl hat, ɛn wɔri. Yu dɔktɔ ɔr mɛntɛl hεlth kɔlnɔ kin gi sɔpɔt ɛn tritmɛnt fɔ dis.
• Stay active: We yu de du ɛksasaiz, dat kin ɛp yu fɔ lɛf fɔ it bɔku bɔku bɔdi, fɔ mek yu bɔdi fayn, ɛn fɔ mek yu nɔ strɛs. Tɔk to yu dɔktɔ bifo yu bigin ɛni ɛksesaiz program.

Wetin na di lukin-grɔn fɔ ACS stetɔs?

Di luk fɔ ACS dipen pan di patikyula kɔndishɔn we yu bin gɛt, aw i bin siriɔs, ɛn aw di at mɔsul dɔn pwɛl. If yu no di sik ɛn trit yu di rayt tɛm, ɛn yu chenj yu layf, yu kin gɛt di bɛst chans fɔ liv fayn layf.

Fɔ fala yu dɔktɔ in advays ɛn kɔntinyu fɔ gɛt abit dɛn we go ɛp yu at. Si yu dɔktɔ di rayt tɛm, kɔmplit ɛni tɛst we yu dɔktɔ tɛl yu fɔ du, ɛn tɔk bɔt aw fɔ kia fɔ yu fɔ lɔng tɛm so dat yu go ɔndastand wetin yu kin du fɔ ridyus di prɔblɛm dɛn we yu gɛt ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.

If yu dɔn gɛt at atak, yu dɔktɔ kin tɛl yu fɔ du program fɔ mek yu gɛt trɛnk bak, fɔ mek yu nɔ gɛt bɛtɛ wɛlbɔdi, ɛn fɔ mek yu liv bɛtɛ layf.

Ustɛm yu fɔ go to dɔktɔ fɔ advays fɔ ACS?

If yu gɛt sayn dɛn fɔ ACS , go to dɔktɔ wantɛm wantɛm . If yu gɛt sayn dɛm fɔ ACS wantɛm wantɛm, ɔ if yu tink se na at atak, go na di imejensi dipatmɛnt na di ɔspitul we de nia yu, ɔ kɔl 911. Nɔ west tɛm!

Us infɔmeshɔn dɛn fɔ gi di mɛdikal tim?

We yu go na ɔspitul, di mɛdikal tim go aks yu bɔt yu sik, lɛk ustɛm dɛn bigin ɛn aw dɛn bad.

Di mɔ ditil dɛn we yu ebul fɔ gi, na di mɔ i go bɛtɛ. Tink bɔt dɛn tin ya:

• Ustɛm a bin fɔs fil di sayn dɛn?
• Wetin a bin de du da tɛm de?
• Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
• Aw lɔng dɛn dɔn de de?
• A kin gɛt pen? Usay i de?
• If yu tek wan skel we de frɔm 1 to 10, ɔmɔs pen a kin fil?
• A gɛt ɔda sik dɛn we a kin gɛt?
• Us mɛrɛsin dɛn a de tek naw?

Acute Coronary Syndrome na wan kɔmɔn at sik wae nid fɔ go to dɔktɔ kwik kwik wan. Yu kin fil lɛk se yu gɛt at atak. Kɔl 1990 ɛn nɔ shem, ɔ go na di ɔspitul we de nia yu wantɛm wantɛm. If yu no di sik kwik kwik wan ɛn trit yu, dat kin ɛp yu at fɔ kam bak to nɔmal ɛn ɛp yu fɔ wɛl.

Wetin na di impɔtant tin we wi fɔ kɛr go na os frɔm dis stori? (Mɛsej we dɛn kin tek go na os)

I rili simpul. Acute Coronary Syndrome (ACS) na wan sik we kin kam wantɛm wantɛm ɛn we kin rili siriɔs. If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, yu nɔ de blo fayn, ɔ yu de swet wantɛm wantɛm , fɔ go to dɔktɔ wantɛm wantɛm, dat go mek yu sev yu layf. Dis impɔtant mɔ if yu gɛt tin dɛn we kin mek yu gɛt dis sik lɛk dayabitis, ay blɔd prɛshɔn, ɔ ay kɔlɔstrel. Fɔ liv fayn layf, fɔ lɛf fɔ smok, ɛn fɔ fala yu dɔktɔ in advays na ɔl impɔtant we fɔ protɛkt yusɛf frɔm dis sik. Tek kia ɔf yu at!

` Akyu Korona Sindrom, At Atak, Chɛst Pen, Angina, Korona At, At Sik, Imejɛnsi Tritmɛnt