If di dɔktɔ tɛl yu se yu pikin gɛt at prɔblɛm, yu kin rili fred ɛn wɔri, nɔto so? I rili nɔmal. Bɔt bɔku tɛm, sɔm pan dɛn tin ya nɔ kin denja lɛk aw wi kin tink. Tide wi go tɔk bɔt wan spɛshal sik we kin kam we pɔsin bɔn pikin ɛn we dɛn kin si am na di blɔd vesel dɛn na di at. Dis na di mɛrɛsin we dɛn kɔl Anomalous Coronary Artery . Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Anomalous Coronary Artery?
Dis na tin we rili simpul fɔ ɔndastand. Wi at tan lɛk pɔmp we dɛn mek wit mɔsul dɛn. Dis at mɔsul nid klin blɔd we gɛt ɔksijɛn fɔ wok. Dɛn kɔl di blɔd vesel dɛn we de gi da blɔd de korona at . Anomalous Coronary Artery na we wan ɔ mכr pan dεn korona atεri dεm ya nכ de fכm fayn fayn wan we di pikin de divεlכp na di bεlε.
Imajin wetin de apin ya, lɛk wata paip na os we bigin na di rɔng ples ɛn kɔnɛkt to di rɔng ples. Dɛn blɔd vesel ya nɔ de bigin usay dɛn fɔ bigin, ɔ dɛn nɔ de usay dɛn fɔ de.
di kayn at dεm we dis prכblεm kin afekt fכs na:
- Rayt korona at
- Lɛft men korona at
- Left sirkumflεks atεri
- Lεft antεriכr dεsεnd atεri
di men tin we kin apin we dis at de na di rכng ples na we i de ambɔg di nכmal fכ fכlכ di bכdi we gεt כksijεn to di at mכsul. Dis kin mek di at mɔsul nɔ gɛt bɛtɛ blɔd.
Dis kכndyushכn kin afekt bכt 1% pan di pipul dεm. Bɔt mɛmba se bɔku pan dɛn kes ya nɔ denja. Bɔt sɔm tɛm, i kin mek prɔblɛm bikɔs di blɔd nɔ de flɔ to di at mɔsul.
Yu tink se difrɛn kayn dis de?
Yɛs, sɔm men kayn tin dɛn de fɔ dis sik. Lɛ wi luk am simpul wan, we wi nɔ mek i kɔmplikt.
- If di men lɛft at nɔ de, di ɔda tu at dɛn kin bigin dairekt frɔm ɔda say. Dis na de kayn sik wae kin pasmak.
- wan at de stat na di כda say na di bכdi insted fכ de usay i fכ de. nכmal wan, di lεft at de stat na di lεft sayd εn di rayt at de stat na di rayt say. Bɔt insay dis kes, i go bi se i dɔn chenj.
- insted fכ stat frכm di men at we de kכri bכdi we gεt כksijεn go na di at (di aorta), i de stat frכm di at we de kכri bכdi to di lכng (di pulmonary artery). Dis kin bi wan tin we rili denja.
- Na smɔl tɛm nɔmɔ, sɔm tɛm dɛn kin de we ɛkstra at kin bigin na di tiub we kin kɛr blɔd go na di lɔng dɛn.
sכmtεm, di at we de nכmal wan de εp fכ fulכp di rol we di abnכmal at nכ kin du. Dis na wae mek sɔm pipul dɛn nɔr kin gɛt ɛni sayn te dɛn big.
Wetin na di sayn dɛm fɔ dis sik?
De sayn dɛm wae de sho kin difrɛn difrɛn wan fɔ di kayn abnɔmal tin wae de apun. Sɔmtɛm, di sayn dɛm nɔ kin apin pan yɔŋ pikin dɛm, bɔt na big pipul dɛm. Lɛ wi si dis klia wan na wan tebul.
| Tayp fɔ abnɔmal tin | Di sayn dɛm we dɛn kin si bɔku tɛm |
|---|---|
| Atɛri we bigin na di rɔng ples (AAOCA) . | Bɔku pikin dɛn nɔ kin gɛt ɛni sayn fɔ sho se dɛn sik. Sɔntɛnde, di fɔs sayn na we yu at kin stɔp wantɛm wantɛm (SCA) we yu de du ɛksɛsayz. Dis risk kin pasmak pan yɔŋ pipul dɛm wae ol bitwin 10 ɛn 30 ia.
|
| di rayt aorta we kכmכt frכm di pulmonari atεri (ARCAPA) . | di sayn dεm kin sho we dεn bכn am כ bitwin 40-60 ia. |
| di lεft aorta we kכmכt frכm di pulmonari atεri (ALCAPA) . | Dis na wan sik we rili siriɔs. di sayn dεm kin apin we dεn bεlε, insay di fכs ia. |
Wetin na di rizin fɔ dis?
Dɛn nɔ dɔn fɛn di rayt tin we mek dis apin yet. Dis na prɔblɛm we dɛn bɔn wit . dis min se dis kכndyushכn de apin bikoz fכ sכm difεkt we de apin we di korona at dεm na di at de fכm insay di fכs mכnt afta dεn bכn.
Di tin we impɔtant pas ɔl na dat, risach nɔ dɔn pruv se dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa. So, nɔ tink se na yu fɔlt dis.
Aw di dɔktɔ kin no dis sik klia wan?
I kin tranga smɔl fɔ no bikɔs sɔm pipul dɛn nɔ kin gɛt ɛni sayn ɛn ɔltin kin luk fayn we dɛn de du rutin mɛdikal ɛgzam. Bɔt if yu dɔktɔ tink se dis sik, i go tɛl yu fɔ du sɔm tɛst dɛn lɛk dis.
- CT Angiogram (Computed Tomography Angiogram): Dis kin tek tri-dimɛnshɔnal (3D) imej fɔ di blɔd vesel dɛn na di at ɛn si ɛksaktɔli usay di at dɛn de.
- X-ray na di chɛst
- Transthoracic Echocardiogram: Na skan fɔ luk aw di at de wok ɛn aw i tan.
- ECG test (Electrocardiogram): Na test fɔ chɛk di ilɛktrik aktiviti na di at.
- At MRI skan
- Cardiac Catheterization: Dɛn kin pas wan smɔl tiub tru di blɔd vesel dɛn insay di at fɔ chɛk di prɛshɔn ɛn pozishɔn we di at dɛn de.
- Stress Test: Fɔ wach aw di at de wok we yu de du ɛksɛsayz.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di kayn abnɔmal tin, aw i siriɔs, ɛn if i gɛt sayn ɔ nɔr de.
Fɔ bɔku pipul dɛn, mɔ di yɔŋ wan dɛn we gɛt wɛlbɔdi ɛn we nɔ gɛt ɛni sik, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay. Ɔpreshɔn impɔtant mɔ fɔ di wan dɛn we gɛt siriɔs sik, lɛk di lɛft atria apɛndij (LAPA).
Bɔt sɔm kayn, fɔ ɛgzampul, smɔl smɔl tin dɛn we nɔ kin apin na di rayt atria, nɔ kin nid fɔ ɔpreshɔn pas nɔmɔ if i gɛt sɔm sayn dɛn.
If ɔpreshɔn nɔto sɔntin we yu kin du, yu dɔktɔ kin tɛl yu pikin fɔ lɛ i nɔ du ɛksasaiz ɛn i kin tɛl yu bak mɛrɛsin dɛn lɛk beta-blɔk fɔ mek di at nɔ wok bɔku.
Bɔku men kayn ɔpreshɔn dɛn de we dɛn kin yuz:
- Bring di at bak na in rayt ples ɛn kɔnɛkt am bak.
- Koronari we dɛn de pul di ruf.
- Pulmonari atεri translokeshכn.
- Koronari at baypas graftin.
Wetin go apin afta di ɔpreshɔn ɛn afta dat?
Afta di ɔpreshɔn, di pikin go gɛt fɔ de na ɔspitul fɔ sɔm dez. Dɛn kin aks dɛn fɔ tek mɛrɛsin lɛk aspirin fɔ lɛk tri mɔnt. Bɔku tɛm, dɛn kin alaw dɛn fɔ tek pat pan spɔt bak afta tri mɔnt.
Bikɔs dis na sik we dɛn bɔn wit, i rili impɔtant fɔ mek dɛn de chɛk pɔsin ɔltɛm na di dɔktɔ in layf, ilɛksɛf dɛn du di ɔpreshɔn.
De luk fɔ pɔrsin wae gɛt dis sik kin jɔs fayn. Ɛspɛshali fɔ siriɔs kɔndishɔn lɛk ALCAPA, we gɛt 90% chans fɔ kil pɔsin if dɛn nɔ trit am, i kin wɛl ɔl if dɛn no am kwik ɛn trit am fayn . Ɔpreshɔn kin mek di sik nɔ kam ɛn i kin mek i nɔ day wantɛm wantɛm.
Ustɛm a fɔ go to dɔktɔ?
Yu nid fɔ rili tek tɛm wit dɛn kwaliti dɛn ya.
If yu pikin gɛt dɛn sayn ya:
- If yu de kray ɔltɛm fɔ natin.
- If di skin luk lɛk se i dɔn shayn.
- If yu fil se yu de blo tu fast.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
If na big pɔsin:
If yu gɛt pen na yu chɛst ɛn i nɔ izi fɔ yu fɔ blo , go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Dis kin bi sayn fɔ hat atak, so nɔr delay.
Bɔku filin dɛn kin kam na yu maynd we yu kam fɔ no se yu pikin gɛt at prɔblɛm. Bɔt di bɛst pat na dat dis Anomalous Coronary Artery kɔndishɔn nɔ kin gɛt ɛni bad tin. Tɔk opin wan wit yu pikin in dɔktɔ bɔt di sik we yu pikin gɛt. I go gi yu di advays we yu nid. Di tin we impɔtant pas ɔl na fɔ sɛn yu pikin fɔ go chɛk am ɔltɛm lɛk aw yu dɔktɔ se.
Mɛsej we dɛn kin kɛr go na os
- Anomalous Coronary Artery na wan sik we dɛn kin bɔn wit. I nɔto sɔntin we di mama ɛn papa fɔlt de mek.
- Bɔrku pipul dɛm wae gɛt dis sik kin liv nɔrmal layf wae nɔr gɛt ɛni sayn.
- Nɔ ɛva ignore di sayn dɛm lɛk we yu de fil pen na yu chɛst ɔ yu nɔ de blo fayn, mɔ we yu de du ɛksɛsayz. Go to dɔktɔ wantɛm wantɛm.
- If pikin de kray bɔku tɛm ɔ i nɔ izi fɔ blo we i de gi in mama in bɛlɛ, na fɔ wɔri.
- Kɔrɛkt diagnosis ɛn tritmɛnt (bɔku tɛm na ɔpreshɔn) kin rili fayn. So nid nɔ de fɔ fred.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan aw fɔ du ɛksɛsayz ɛn fɔ chɛk-ap ɔltɛm.
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