Atherosclerosis: De kɔz, de simptom ɛn wetin yu nid fɔ no

Bɔku tɛm wi ɔl kin yɛri tin lɛk ‘high cholesterol’ ɛn ‘blok blɔd vesels’. Bɔt yu dɔn ɛva wɔnda aw dis kin rili apin insay wi bɔdi? Wi blɔd vesel dɛn tan lɛk di rod dɛn na wi bɔdi fɔ mek blɔd go ɔlsay. Dɛn rod ya kin kɛr blɔd we gɛt bɔku ɔksijɛn ɛn klin frɔm wi at to di ɔgan dɛn we de ɔlsay na wi bɔdi. Imajin, wetin go apin if dɛn rod ya kin ful-ɔp smɔl smɔl wit fat ɛn dɔti? Na dat wi kin kɔl atherosclerosis na mɛrɛsin.

Fɔ tɔk am simpul wan, wetin na atherosclerosis?

atεrosklεrosis na di fεt, kכlestכl, kalsiכm, εn כda tin dεm we de kכmכt sכmtεm insay di wכl dεm na wi bכdi vεsul dεm (especially atεri dεm) fכ mek wan ‘plek’ . Dɛn kin kɔl dis ‘atheroma’ insay mɛrɛsin. As dis plek de gro smɔl smɔl, di blɔd vesel wɔl de tik ɛn at. wi kכl dis "hardening of the blood vessels" כ "hardening of the blood vessels".

Di tin we de mek pɔsin fred bɔt dis na dat dis prɔses kin apin rili kwayɛt wan, we nɔ kin gɛt ɛni simptom na di fɔs stej. Yu nɔ go notis ɛni chenj fɔ lɔng lɔng tɛm. Bɔt as tɛm de go, dis plek de gro ɛn smɔl di lumen (di ples we blɔd de pas) insay di blɔd vesel.

Imajin se dɛn dɔn ridyus wan rod we gɛt 4 len to wan len bikɔs trafik de ful-ɔp. Blɔd flɔ kin ridyus bad bad wan. Dis min se wi ɔgan dɛn nɔ gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid. Wetin ivin denja pas ɔl na dat dis blɔd vesel kin brok wantɛm wantɛm bikɔs ɔf di blɔd we de muv fast fast. We dat apin, wi bɔdi kin mek blɔd klɔt fɔ mek di wund wɛl.

Wetin kin apin we dɛn blok blɔd flɔ dis kayn we? I dipen pan usay di klot de fɔm. Fɔ ɛgzampul, if i apin na wan korona at we de gi blɔd to di at, di at nɔ go gɛt bɛtɛ ɔksijɛn, ɛn dis go mek i gɛt at atak .

Aw dis sik kin kɔmɔn?

Atɛrosklɛrosis na rili wan sik we kin rili kɔmɔn. Di prɔblɛm dɛn we kin kam we di fat kin bɔku na di at, lɛk at atak ɛn strok, na dɛn kin mek pipul dɛn day ɔlsay na di wɔl. Sɔv dɔn sho se bɔrku pipul dɛm wae dɔn pas midul ej gɛt dis sik, bɔt lɛk af pan dɛm nɔr kin ivin no am.

Wetin na di sayn dɛm fɔ dis?

As wi bin dɔn tɔk, nɔr sayn nɔr de wae de kam fɔs. di simptom dεm kin bigin fכ sho we wan bכdi bכdi blכk pas 70%. Bɔrku pipul dɛn kin ɔlrɛdi no se dɛn gɛt dis sik afta dɛn gɛt imejensi, lɛk hat atak ɔr strok.

Dipen pan usay di blɔd vesel dɔn blok, di sayn dɛm kin apia na difrɛn pat dɛm na di bɔdi.

Wetin mek di blɔd vesel dɛn kin blok lɛk dis? Wetin na di tin dɛn we kin mek i apin?

Di wan dɛn we de stɔdi bɔt dis biliv se bɔku men tin dɛn de we kin mek pɔsin gɛt at pwɛl.

• di lεvεl dεm fכ bad kכlestכl (LDL) εn triglisεrayd dεm de inkrεs.
• Yuz tin dɛn we dɛn kin yuz fɔ smok (smok).
• Di ay blɔd prɛshɔn.
• Shuga.

Dɛn tin ya kin pwɛl di dilik layn we de insay wi blɔd vesel (endothelium). dis damej na in de stat di prכsεs fכ atεrosklεrosis. Dis damej nɔ kin apin wan nɛt, bɔt i kin apin fɔ lɔng tɛm.

Lɛ wi luk di step dɛm fɔ dis prɔses ditayli.

Dis na tin we dɔn de apin fɔ lɔng lɔng tɛm. Dis na di men tin dɛn we wi fɔ du.

1. di εndoteyl dεm we de pwεl: Tin dεm lεk hכy kכlestכl, di tכxin dεm we de insay sigrεt, εn hכy blכd prεshכn kin pwεl di insay layn dεm na di bכdi vεsul dεm. We dis damej de apin, di wayt blɔd sɛl dɛn kin atrak di say we dɛn de. Dɛn sɛl ya kin gɛda ɛn mek inflamɛns insay di blɔd vesel.

2. fεt strik fכmeshכn: Dis na di fכs sayn we wi kin si fכ atεrosklεrosis. Di wayt blɔd sɛl dɛn we dɔn rich na di say we di bɔdi dɔn pwɛl kin tray fɔ pul di kɔlɔstrel pat dɛn bay we dɛn kin kɔba dɛn. dεn kכl dεn sεl dεm ya we fulכp wit kכlestכl ‘fכm sεl dεm’. We dɛn day, dɛn kin lɛf yɔlɔ strɛch ɔ spat na di blɔd vesel in wɔl.

3. Fɔ mek di plek big:As di sɛl dɛn we dɔn day ɛn ɔda dɔti tin dɛn de kɔntinyu fɔ gɛda, di smɔl smɔl tin we gɛt fat kin gro smɔl smɔl ɛn tɔn to big plek. afta dat, wan fayv kap we de fכm smol mכsul sεl dεm de fכm rawnd dis plek. Dis kin mek di pat dɛn pan di plek nɔ brok ɛn gɛda na di blɔd. As dis plek de gro big, di ples fɔ blɔd fɔ flɔ kin smɔl.

4. Plɛk rɔp: Dis na di kes we denja pas ɔl. Di plet we de rawnd di plet kin bɔs wantɛm wantɛm. We dis apin, blɔd kin klɔt na da say de. Dis blɔd we de klɔt kin blok di blɔd vesel kpatakpata, ɛn dis kin mek di blɔd nɔ flɔ. Dis na de tin wae kin mek pɔrsin gɛt at atak ɔr strok.

Wetin na di risk factor dɛm fɔ dis?

Bɔku tin dɛn de we kin mek pɔsin gɛt di sik we dɛn kɔl atherosclerosis. Sɔm pan dɛn tin ya wi kin chenj, bɔt sɔm, lɛk ej, wi nɔ kin chenj.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt atɛrosklɛrosis?

If di blɔd nɔ de go fayn, dat kin mek i gɛt bɔku siriɔs prɔblɛm dɛn. Di men wan dɛn na:

• Koronari at sik
• At atak
• Di at ritm dɛm we nɔrmal (Arrhythmia) .
• At we nɔ de wok fayn
• Strok
• Transiεnt ischemik atak (TIA) .
• Di sik we de na di periferik at
• Kidni sik we nɔ de mɛn (CKD) .
• Di blɔd vesel dɛn we wik, we kin mek dɛn bulge (aneurysms) ɛn bɔs.

Aw fɔ no bɔt dis sik?

Yu dɔktɔ go fala sɔm step fɔ no dis sik ɔr kɔlkul yu risk fɔ am.

1. Fɔ chɛk yu bɔdi kɔmplit wan: Dis min se yu fɔ yuz stetɔskɔp fɔ lisin to yu at ɛn di sawnd we blɔd de mek we de pas na yu blɔd vesel dɛn. fכ egzampl, if yu yeri "whooshing" sawnd ("bruit") we yu de lisin to di carotid atεri dεm na yu nεk, i kin bi sayn fכ bכdi kכlכt na di at.

2. Aks bɔt yu mɛdikal histri ɛn famili histri: Dis infɔmeshɔn kin ɛp fɔ no aw yu gɛt prɔblɛm.

3. Aks bɔt yu layf: Aks bɔt tin dɛn lɛk if yu de smok ɛn aw yu it tan lɛk.

4. Fɔ ɔda fɔ du blɔd tɛst: Dɛn tin ya kin tɛl yu bɔku tin bɔt yu kɔlɔstrel lɛvɛl, shuga lɛvɛl, ɛn aw yu at de wok.

Test fɔ kɔnfɔm di kɔndishɔn

Sɔntɛnde, dɛn kin nid fɔ du ɔda tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ plan aw fɔ trit am.

• Angiography: Na tɛst we dɛn kin yuz spɛshal ɛkstrem rayt ɛn day fɔ si ustɛm ɛn ɔmɔs blɔd vesel dɛn dɔn blok.
• ECG (Electrocardiogram): I de mɛzhɔ di ilɛktrik aktiviti, rit, ɛn ritm na di at.
• Echocardiogram: I de tek pikchɔ fɔ di at in valv ɛn chɛmba dɛn fɔ si aw di at de pɔmp blɔd fayn fayn wan.
• Ɛksesaiz strɛs tɛst: Dɛn kin mɛzhɔ yu at rit we yu de ɛksesaiz (we yu de waka pan tredmil).
• Ultrasound Scan: Dɛn kin yuz dis tɛst fɔ chɛk aw di blɔd vesel dɛn tik na di nɛk (Carotid ultrasound) ɔ bɛlɛ (Abdominal ultrasound) ɛn if dɛn gɛt fat.
• CT skan: Dis skan de tek pikchɔ fɔ di insay pat na di bɔdi ɛn i kin no se big blɔd vesel dɛn tik ɛn smɔl.

Aw dɛn kin trit am?

Di tritmɛnt fɔ atherosclerosis inklud fɔ chenj in layf, fɔ tek mɛrɛsin, ɛn if nid de, ɔpreshɔn ɔ ɔda tritmɛnt. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu.

1. Di chenj dɛn we pɔsin de liv in layf

Na dɛn tin ya impɔtant pas ɔl. Dɛn chenj ya kin ridyus di risk fɔ gɛt prɔblɛm dɛn bad bad wan.

• Nɔ it ɔl di tin dɛn we dɛn kin mek wit tabak. If yu de smok, lɛf fɔ smok wantɛm wantɛm.
• Yu fɔ it tin dɛn we go ɛp yu at. I bɛtɛ fɔ it Mɛditarenian it we gɛt bɔku vɛjitebul, frut, ligɛm, fish, ɛn fayn fayn fat lɛk ɔliv ɔyl, ɛn smɔl rɛd mit ɛn tin dɛn we dɛn dɔn prosɛs.
• Ɛksesaiz ɛvride. Start wit shɔt waka ɛn wok te yu du ɛksɛsayz fɔ at le 30 minit insay di de, bɔku de dɛn insay di wik.

2. Mɛrɛsin (di kayn mɛrɛsin dɛn) .

Mεdikeshכn kin εp fכ kכntrכl di risk fכ fεt akyumulεshכn. Yu dɔktɔ kin tɛl yu se:

• mεdikeshכn dεm we de dכn kכlestכl (e.g., statin).
• Mɛrɛsin we de mek di blɔd prɛshɔn go dɔŋ.
• Mɛrɛsin dɛn we de kɔntrol di shuga we de na di blɔd.
• Dɛn kin gi yu mɛrɛsin dɛn we de mek blɔd nɔ klɔt (e.g., aspirin).

3. Di we aw dɛn kin trit pɔsin ɛn di ɔpreshɔn we dɛn kin du

If di blɔd vesel dɛn dɔn blok bad bad wan ɔ di risk fɔ gɛt prɔblɛm dɛn bɔku, yu go nid fɔ yuz dɛn kayn tritmɛnt ya.

• Angioplasty and Stent placement: Na we dɛn kin put smɔl balyɔn insay blɔd vesel we dɔn blok, inflate am fɔ mek di vessel big, ɛn put smɔl tyub we tan lɛk mɛsh (stent) fɔ mek i nɔ lɔk bak.
• Coronary Artery Bypass Grafting (CABG): Na we fɔ baypas blɔd vesel we dɔn blok ɛn mek nyu blɔd vesel we dɛn yuz wan pat pan blɔd we dɛn tek frɔm ɔda pat na di bɔdi.

Wetin yu fɔ du?

Nɔr panik if yu kam fɔ no se yu gɛt dis sik. Di tin we impɔtant pas ɔl na fɔ wok togɛda wit yu dɔktɔ.

• Go na di klinik dɛn di tɛm we dɛn dɔn sɛtul as i tɛl yu.
• Chek yu blɔd prɛshɔn, kɔlɔstrel, ɛn shuga ɔltɛm ɛn kɔntrol dɛn.
• If ɛni nyu sayn we de sho ɔ di sayn we dɔn de chenj, tɛl yu dɔktɔ wantɛm wantɛm.
• Tek kia ɔf yu maynd wɛlbɔdi bak. Na nɔmal tin fɔ fil wɔri ɛn frayd wae yu de liv wit dis kayn sik. Tɔk to yu famili, padi dɛn, ɔ pɔsin we de advays yu bɔt am if nid de.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?

If yu ɔ pɔsin we de nia yu gɛt at atak (bɔku pen na yu chɛst, i nɔ izi fɔ blo, pen we de rayt dɔŋ di lɛft an) ɔ strok (we de drɔp na wan say na yu fes, i nɔ izi fɔ tɔk, yu nɔ de no natin na wan say na yu bɔdi) , kɔl 1990 wantɛm wantɛm fɔ ambulans ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu. Dis na imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan.