Yu blɔd vesel dɛn dɔn tik? Lɛ wi fɛn ɔndastand gud gud wan wetin na arteriosclerosis!

Yu dɔn ɛva tink se di blɔd vesel (arteries) we de insay wi bɔdi tan lɛk paip? Na dɛn wan ya kin kɛr klin , ɔksijɛn- rich blɔd frɔm wi at to di wan ol bɔdi. So, dɛn blɔd vesel ya nɔto jɔs paip, dɛn kin fleksibul, lɛk nyu rɔba tiub. Bɔt sɔntɛnde, dɛn blɔd vesel ya kin bigin fɔ at ɛn tik. na dat wi kin kכl mεdikal wan `( Arteriosclerosis )` כ “di atεri wכl dεm tik” כ “di at dεm we de at”. Dis na smɔl siriɔs stori, bikɔs dis kin apin to wi, ivin we wi nɔ no.

Wetin na `(Arteriosclerosis)`? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, ``Arteriosclerosis`` na we di wɔl dɛm na yu at, di men blɔd vesel dɛm we de kɛr blɔd, de tik smɔl smɔl, nɔ de elastik, ɛn stif. Tink bɔt am, aw i izi fɔ mek nyu wata paip bɛn? Bɔt we i ol ɛn de na di san ɛn ren, i nɔ kin ebul fɔ elastik igen, ɛn if yu tray fɔ bɛn am, i kin ivin brok, nɔto so? Na dat kin apin to wi at.

Dɛn at ya na wan rili impɔtant sistɛm. εvri tεm we wi at de bit, klin, כksijεn blכd de kכri כlsay na di bכdi, to εvri כgan εn tisu, tru dεn at dεm ya. So, we dɛn at dɛn ya stif , blɔd kin stɔp fɔ flɔ. Dɔn di wan ol say we wi de blɔd kin ambɔg.

dis kכndyushכn we dεn kכl `(Arteriosclerosis)` nכ de divεlכp insay wan כ tu de. I kin gro smɔl smɔl fɔ lɔng tɛm. De tin wae denja pas ɔl na dat e kin bi asymptomatic na di fɔs stej. Yu nɔ go fil ɛnitin fɔ lɔng tɛm, ɛn afta dat yu go jɔs no we ɔda kɔmplikeshɔn dɛn kam bikɔs di at dɛn dɔn at . Dis kin rili mek yu gɛt sik dɛn we de ambɔg yu at ɛn blɔd vesel, dat na sik dɛn we gɛt fɔ du wit di at ɛn di blɔd vesel dɛn.

Bɔku pipul dɛn kin kɔnfyus di wɔd dɛn `(Arteriosclerosis)` ɛn `(Atherosclerosis)` ɛn yuz dɛn as wan. Bɔt, smɔl difrɛns de bitwin dɛn tu.

• di atεriosklεrosis na we di atεri wכl dεm de tik εn at bikoz fכ eni kכz .
• Atɛrosklɛrosis na wan sik we di plek dɛn kin gɛda insay di wɔl dɛn na di at, ɛn dis kin mek dɛn at . Dis na wan patikyula kayn atεriosklεrosis. Dis na di wɔd we yu dɔn yɛri mɔ.

Naw lɛ wi luk mɔ bɔt di ɔda kayn at ɛn aw dɛn kin afɛkt wi bɔdi.

Wetin na di men kayn `(Arteriosclerosis)`?

Tri men kayn we dɛn de we kin mek pɔsin gɛt at at sik:

1. Atεrosklεrosis `(Aterosklεrosis)`

Dis na di kayn we we kɔmɔn pas ɔl we wi dɔn tɔk bɔt bifo. Atεrosklεrosis na di fεt dεposit dεm (plak כ atεroma) we de bכku sכmtεm insay di wכl dεm na yu midul saiz εn big at dεm. Tink bɔt am lɛk rɔst we de kam insay wata paip. wi kin kכl dis fεt layεr ``plak''.

Dis na sɔm pan di at we dɛn kin afɛkt mɔ:

• Aorta – Di at we big pas ɔl na wi bɔdi.
• Koronari at dεm – at dεm we de gi bכdi to di at.
• di karotid at dεm – di men at dεm we de gi bכdi to di bren.
• di atεri dεm we de na di fεmoral
• Iliac atεri dεm

dis `(plak)` de dכn na di insay layεr na di atεri wכl `(tunica intima).` insay di fכs stej dεm, dis nכ de kכz nכ prכblεm כ simptom. bכt as dis fεt layεr de gro sכmtεm, di bכdi we de pas (lumen) insay di at de sכmtεm sכmtεm. Dɔn di ples fɔ mek blɔd flɔ kin go dɔŋ. כlso, risk de fכ mek bכdi kכlכt fכm pan dis `(plek)`. Dɛn blɔd ya kin blok di at kpatakpata. If dis apin, imejensi lɛk at atak ɔr strok kin apin.

2. Arteriosklerosis `(Ateriolosklerosis)`

pan tap we `(Atherosclerosis)` de afekt di mεdiכm εn big at dεm, `(Arteriolosclerosis)` de afekt sכm sכm at dεm. wi kכl dεn sכm sכm at dεm ya `(arterioles).` dis na dεn wan dεm we de akt lεk di link bitwin di big at dεm εn di ivin sכm kapilari dεm `(capillaries).` dεn `(arterioles)` dεm de ple wan rili imכtant rol fכ kכntrכl wi bכdi prεshכn `( blכd prεshכn ).`

Arteriolosclerosis na di tik we di wכl dεm na dεn sכm atεri dεm (arterioles) de tik. Dis kin afɛkt bak di smɔl smɔl at dɛn we de na wi kidni ɛn bren. We dɛn wɔl ya tik, dɛn nɔ kin ebul fɔ wok fayn. Dɔn di ɔgan dɛn nɔ kin gɛt inof blɔd, ɛn difrɛn prɔblɛm dɛn kin apin.

3. Mönckeberg mεdial kalsifik sklεrosis `(Mönckeberg mεdial kalsifik sklεrosis)`

כda nem fכ dis na ``mεdial atεrial kalsifikεshכn.`` dis na di dεposishכn fכ kalsiכm na di midul layεr fכ di atεrial wכl ``tunica media.``we di kalsiכm dεposit dεm de bכku na dis midul layεr, di atεri wכl kin stif . Dɛn kin si dis bɔrku pan pipul dɛm wae dɔn pas 50. Bɔt e kin kam bifo pan pipul dɛm wae gɛt sɔm kayn sik wae nɔr de mɛn (fɔ ɛgzampul, sik wae nɔr de mɛn na dɛn kidni ).

Dis kɔndishɔn kin mek bak di blɔd nɔ de wok fayn ɛn i kin mek yu gɛt prɔblɛm wit di at ɛn di blɔd.

Wetin na di sayn dɛm fɔ `(Arteriosclerosis)`?

Bɔrku tɛm, nɔr simptom nɔr kin de te di kɔmplikeshɔn kin kam bikɔs ɔf ``Arteriosclerosis.`` Ivin if di simptom kin apin, dɛn kin difrɛn bad bad wan dipen pan di kayn prɔblɛm ɛn usay i afɛkt. Sɔm sayn dɛm wae kin kam pan pɔrsin na:

• Fɔ fil se yu de bɔn ɔ yu de fil pen na yu leg, mɔ di fut, ivin we yu de rɛst.
• Chenj na di frɛkuɛns we yu de pis.
• Chest pen ɔ diskɔmfɔt.
• Diziz we pɔsin kin gɛt.
• Dray, it , ɔ swɛt skin.
• Fɔ fil se yu taya bad bad wan (Fatigue).
• Di at we de blo.
• pen na di leg we yu de waka (leg kin at we yu de waka fɔ shɔt distans, ɛn i kin stɔp we yu stɔp) – dɛn kɔl dis ``intermittent claudication``.
• Nɔs ɔ vɔmit.
• Shot we yu de blo.
• Fɔ tɔk fayn ɔ i nɔ kin izi fɔ tɔk wetin yu tink bɔt.
• Fut wund (tek lɔng tɛm fɔ wɛl).
• Swɛlin (ɛdima).
• Wan yay nɔ de si igen.
• Wiknɛs na wan say na di bɔdi.

Impɔtant: If yu gɛt sayn dɛn we de sho se yu gɛt at atak, strok, transient ischemic atak (TIA) (lɛk mini-strok), pulmonary embolism (PE) (blɔd we de klɔt na di lɔng), ɔ acute mesenteric ischemia (we de blok di blɔd vesel we de gi blɔd to di intestin), yu fɔ kɔl 911 ɔ yu lokal imejensi nɔmba wantɛm wantɛm.

Wetin na di tin dɛm wae kin mek yu gɛt `(Arteriosclerosis)`? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

di atεriosklεrosis kin kכz fכ chenj dεm na di atεri wכl. dis chenj dεm fכs de apin na di sεl lεvεl, so sכm sכm dat wi nכ kin ivin si dεm. fכ egzampl, di damej pan di insay layn na di at (εndoteyl) kin mek di atεrosklεrosis.

Bɔku pan dɛn chenj ya kin apin as wi de ol. Wi nɔ go ebul fɔ stɔp di prɔblɛm dɛn we kin apin we pɔsin de ol. Na dat mek i impɔtant fɔ no bɔt ɔda tin dɛn we kin mek wi gɛt prɔblɛm we wi kin kɔntrol ɛn manej dɛn. We yu chenj di we aw yu de liv yu layf, dat kin ɛp bɔku pan dis.

di men tin dεm we kin mek di at dεm at na:

• Kidni sik we nɔ de mɛn.
• Di ay blɔd prɛshɔn.
• Di ay kɔlɔstrel lɛvɛl na di blɔd.
• Di ej we de go ɔp.
• Nɔ de du ɛksɛsayz fɔ yu bɔdi.
• Mεtabolik sεndrכm.
• Yuz tabak (smok, siga, chɛwing gam, ɛn ɔda tin dɛn).
• Tayp 2 Dayabitis Mɛlitɔs.

Tɔk to yu dɔktɔ fɔ no ɛni prɔblɛm we yu go gɛt. Fɔ ɛgzampul, if yu gɛt ɔndalayn mɛdikal kɔndishɔn lɛk dis, fɔ manej dɛn wit chenj na yu layf ɛn mɛrɛsin kin go fa fɔ mek yu at dɛn gɛt wɛlbɔdi.

Wetin na di ifekt dɛm fɔ `(Arteriosclerosis)`? (Kɔmplikeshɔn dɛn) .

Arteriosclerosis de ambɔg di nɔmal we aw blɔd de flɔ na wi bɔdi. we di at dεm stif , di כksijεn εn nyutriεnt dεm to כgan dεm εn tisu dεm nכ de wok fayn. fכ dat, we di at dεm stif kin mek difrεn kכmplikεshכn dεm, fכ egzampl:

• Aneurism (bulging of di atεri dεm).
• Di sik we de na di at we de na di karotid at.
• Koronari at sik (CAD).
• Kritikal limb ischemia na siriɔs kכndyushכn we de kכz bay we di blɔd de dכn to di limb dεm.
• At atak.
• Kidni we nɔ de wok fayn.
• di bכdi we de kכmכt rεdכks to di intestכn dεm (Mesenteric ischemia).
• Di sik we de mek pɔsin gɛt di at (PAD) .
• Pɔlmonari ɛmbolizm.
• Stenosis na di rεnal atεri.
• Strok.
• Blɔd we de klɔt `(Trɔmbosis)`.
• Di simptom dɛm fɔ transiɛnt ischemic atak (TIA).

Sɔntɛnde, pɔrsin kin gɛt pas wan kayn arteriosclerosis, ɛn dɛn kɔmbayn ifɛkt kin kam wit prɔblɛm kwik pas aw i kin bi.

fכ egzampl, sכm risεch sho se if pכsin we gεt `(medial arterial calcification)` (kalsiכm dεposit dεm na di midul layεr na di atεri wכl) gεt bak `(atherosclerosis)` (fεt dεposit dεm), di prכsεs fכ sכmtεm di atεri dεm kin aksεlεrayt. dis na biכs, nכmal wan, we fεt dεposit dεm de bil insay di insay layεr na di atεri wכl `(intima),` di atεri wכl de εkspכnd kכmכt, we de alaw bכdi fכ fכlכ tru. כltu, if di midul layεr `(midya)` d כn at bay di kכlsyכm dεposit dεm, di atεri wכl nכ kin εkspכnd kכmכt. fכ dat, di fεt dεposit dεm na di insay layεr de sכmtεm di `(lumen)` we di bכdi kin fכ fכ tru.

Aw dɛn kin no bɔt `(Arteriosclerosis)`?

Dɔktɔ dɛn kin no dis sik bay we dɛn:

• Dɛn bin du wan ɛgzam fɔ di bɔdi .
• Aks kwɛstyɔn bɔt yu famili mɛdikal histri, aw yu de liv yu layf, ɛn aw yu de fil .
• Dɛn bin du difrɛn tɛst dɛn .

Tεst dεm fכ no if yu gεt `(Arteriosclerosis)`

Yu dɔktɔ kin tɛl yu fɔ du difrɛn tɛst dɛn fɔ chɛk if yu blɔd vesel dɛn gɛt wɛlbɔdi, if yu blɔd de flɔ, ɛn aw yu at de wok. Sɔm pan dɛn na:

• Ɔltrasɔund na di bɛlɛ.
• Angiography – Dɛn kin tek ɛkstrem rayt bay we dɛn injekt wan day insay di at.
• di ankle-brachial index (ABI) – de mכsu di כmכnt we bכdi de fכlכ to di lεg dεm.
• Altra saund fɔ di karotid.
• X-ray na di chɛst.
• CT skan `(Kɔmpyut tomografi (CT) skan)`.
• Echocardiogram (Echocardiogram – echo) – na ɔltra saund ɛgzamin fɔ di at.
• E.C.G., ɛn ɔda pipul dɛn. tεst `(Ilektrokardiogram – EKG/ECG)` – de mכsu di ilektrikal aktiviti fכ di at.
• Eksεsayz strεs tεst – Dis de tεst aw di at de wok we yu de du εksεsayz.

Wetin na di tritmɛnt dɛm fɔ `(Arteriosclerosis)`?

Di tritmɛnt fɔ `(Arteriosclerosis)` na:

• Di chenj na yu layf (e.g., fɔ du ɛksɛsayz, fɔ it fayn it, fɔ stɔp fɔ yuz tabak).
• Di mɛrɛsin dɛn we dɛn kin yuz .
• Di we aw dɛn kin du mɛrɛsin ɔ ɔpreshɔn .

Yu dɔktɔ go mek yu tritmɛnt plan fɔ wetin yu nid. Dɛn go mek wan plan fɔ mek yu blɔd go fayn fayn wan, fɔ mek yu nɔ gɛt prɔblɛm dɛn, ɛn fɔ mek yu ebul fɔ kɔntrol di sik dɛn we yu gɛt. Tɔk to yu dɔktɔ fɔ no wetin bɛtɛ fɔ yu.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl Arteriosclerosis?

I nɔ kin izi fɔ mek di at dɛn at ɔltɛm. Bɔt yu kin du dɛn tin ya fɔ mek yu nɔ gɛt bɔku prɔblɛm:

• Nɔ yuz ɔl di tabak (smok, vap, chewing gum, ɛn ɔda tin dɛn).
• It it wae de mek yu hat fayn (e.g. Mediterranean Diet).
• Ɛksesaiz fɔ lɛk fayv dez insay di wik, fɔ at le 30 minit insay di de.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Kip di ɔndalayn mɛdikal kɔndishɔn (lɛk dayabitis ɛn ay blɔd prɛshɔn) kɔntrol fayn fayn wan.

Wetin a fɔ ɛkspɛkt if a gɛt `(Arteriosclerosis)`?

Arteriosclerosis kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja. Bɔt if yu no bɔt di sik ɛn trit am kwik, yu kin kɔntrol di sik ɛn liv lɔng, wɛlbɔdi layf. Tɔk to yu dɔktɔ fɔ no mɔ bɔt wetin fɔ ɛkspɛkt. Dɛn no yu ɛn yu mɛdikal istri pas ɔlman.

Ustɛm a fɔ go to mi dɔktɔ?

Si yu dɔktɔ fɔ mek dɛn chɛk yu bɔdi ɛvri ia. Dɔn bak, nɔ fɔgɛt fɔ go fɔ ɛni fɔlɔp tɛst we yu dɔktɔ tɛl yu fɔ du.

Kɔl yu dɔktɔ ɛnitɛm if:

• If yu gɛt nyu sik ɔr if yu sik chenj.
• If yu gɛt kwɛstyɔn bɔt yu tritmɛnt plan.
• If di tritmɛnt kɔz sayd ɛfɛkt.

Wi atεri dεm nכ gεt fכnt fכ yכng. Dɛn kin ol lɛk di ɔda pat dɛn na wi bɔdi. Dat min se as tɛm de go, wi at dɛn kin stif smɔl smɔl ɛn dɛn nɔ kin ebul fɔ chenj. Sɔm tin dɛn we kin mek pɔsin gɛt dis sik kin mek dis prɔses go bifo kwik kwik wan.

Di gud nyus na dat dɔktɔ dɛn kin no wetin yu de pan denja fɔ. Aks dɛm bɔt di wɛl bɔdi fɔ yu at, wetin fɔ wach fɔ, ɛn wetin yu kin du fɔ mek yu nɔ gɛt prɔblɛm. Dɛn kin tɛl yu fɔ chenj yu layf ɔr mɛrɛsin wae go ɛp fɔ mek yu at dɛn gɛt wɛl bɔdi fɔ lɔng tɛm.

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

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we wi dɔn tɔk bɔt we yu nid fɔ mɛmba:

• di atεriosklεrosis na we di atεri wכl dεm de tik εn at. Dis kin apin ɔltɛm.
• Atεrosklεrosis na wan pan di men kayn dis, we fεt dεm de kכlכp insay di at dεm.
• Bɔrku tɛm, no sayn nɔr kin de pan di fɔs tɛm, so i impɔtant fɔ de chɛk yu mɛrɛsin ɔltɛm.
• Ay blɔd prɛshɔn, ay kɔlɔstrel, dayabitis, smok, ɛn nɔ de du ɛksɛsayz na di men tin dɛn we kin mek pɔsin gɛt dis sik.
• Dis kin mek yu gɛt siriɔs prɔblɛm lɛk at atak ɛn strok.
• Bɔt dɛn kin kɔntrol dis sik ɛn ridyus di prɔblɛm bay we dɛn chenj di we aw dɛn de liv dɛn layf, tek mɛrɛsin if nid de, ɛn fala di advays we dɔktɔ gi dɛn .

So, tek kia ɔf di wɛlbɔdi na yu at ɛn yu blɔd vesel dɛn. Tek wan step fɔ gɛt wɛlbɔdi layf tide!