Yu tink se fat de insay yu blɔd vesel dɛn? (Atherosclerosis) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin gɛt big prɔblɛm we de divɛlɔp insay yu bɔdi we yu nɔ ivin no. Tide, wi go tɔk bɔt wan sik we de afɛkt di bɔdi kwayɛt wan, bɔt i kin rili denja. Dis na wetin wi kin kɔl "atherosclerosis". Imajin, yu blɔd vesel dɛn tan lɛk wata paip, wetin go apin if dɛn paip ya klos wit dɔti, dat na, fat? Na dat kin apin insay dis kes bak. Pan ɔl we dis na siriɔs stori smɔl, if wi ɔndastand am fayn, wi kin du bɔku tin fɔ avɔyd am.

Wetin na atrɔsklerɔsis? Fɔ tɔk am simpul wan...

fכ simpul wan, atεrosklεrosis na di fεt, kכlestכl, kalsiכm, εn כda tin dεm we de kכmכt sכmtεm insay di wכl dεm na yu at dεm, we de fכm wan "plak" (atheroma). Atɛri na di blɔd vesel dɛm we de kɛr blɔd we gɛt ɔksijɛn frɔm wi at to di ɔda pat na wi bɔdi. As dis plek de bכku, di wכl dεm na di at dεm de tik sכmtεm εn at. dis dεn kכl am bak "hardening of the arteries" כ "atherosclerosis."

Fɔs, dis kin apin kwayɛt wan. Yu nɔ go notis ɛni sayn fɔ sɔm tɛm. bכt as dis plek de gro sכmtεm, di spεs fכ blכd fכ fכlכ insay di at, dat na di opin (lumen) insay di chanεl, de sכm. Jɔs lɛk we dɔti kin stɔp na wata paip, di wata we de pas kin smɔl. Wetin kin apin da tɛm de? Di blɔd we kin rich na wi ɔgan ɛn tisu dɛn kin go dɔŋ. Nɔto dat nɔmɔ, bɔt as di blɔd de kɔntinyu fɔ flɔd kwik kwik wan, dis plek kin brok, ɔ in say kin skrach. If dat apin, blɔd kin klɔt de.

Tink bɔt am dis we: wan at we smɔl, tan lɛk rod we gɛt 4 len we dɛn ridyus to wan len. Bɔt blɔd we dɔn rɔtin tan lɛk rodblɔk we de na di midul pan da rod de. I kin stɔp di blɔd fɔ flɔ kpatakpata.

Di ifɛkt pan di bɔdi dipen pan usay di blɔd klɔt de fɔm. Fɔ ɛgzampul, if dis kayn blɔk de apin na di korona at we de gi blɔd to di at, di at kin nɔ gɛt ɔksijɛn ɛn at atak kin apin.

Aw kɔmɔn dis sik we dɛn kɔl atherosclerosis?

Dis na rili wan sik we kin rili kɔmɔn. De kɔmplikeshɔn wae kin kam wae dis bɔrku bɔrku plek kin kam wit, mɔr lɛk at atak ɛn strok, na dɛn kin mek pipul dɛn day ɔlsay na di wɔl.

Di US Nashɔnal Instityut fɔ Wɛlbɔdi biznɛs bin tɔk se na lɛk af pan di pipul dɛn we ol bitwin 45 ɛn 84 ia gɛt wan sik we dɛn kɔl atherosclerosis, bɔt dɛn nɔ no am. Wi nid fɔ wɔri bɔt dis tin we de apin na wi kɔntri bak.

Wetin na di sayn dɛm fɔ dis?

Bɔku tɛm, di sayn dɛn nɔ kin apin te wan at rili smɔl, pas 70% blɔk, ɔ blok ɔl. Bɔrku pipul dɛn kin ɔlrɛdi no se dɛn gɛt dɛn dipɔsit ya (plek) afta dɛn dɔn gɛt mɛdikal imejensi, lɛk at atak ɔr strok.

If di at de blok pas 70%, yu kin bigin fɔ gɛt di sayn dɛm. dipכnt pan usay di at we dεn blכk de, di sayn dεm kin sho na difrεn pat dεm na di bכdi.

Di sik we gɛt fɔ du wit di at (Koronary Artery Disease - CAD) .

we dis kכndyushכn de apin na di at dεm we de gi bכdi to di at, dεn kכl am Korona Atεri Disease (CAD). Dis kin mek yu gɛt at atak.

Yu kin fil tin dɛn lɛk dis:

• I nɔ kin izi fɔ yu fɔ blo ivin we yu de du layt wok (Dyspnea).
• Chest pen ɔ diskɔmfɔt (angina). Dis kin fil lɛk se yu de swɛt ɔ swɛt na yu chɛst.
• Pen na di bak, sholda, nɛk, an, ɔ bɛlɛ.
• Diziz, fil lɛk se yu nɔ gɛt bɛtɛ ed.
• Di at we de blo.
• Taya pasmak, taya pasmak.
• Nɔs ɛn vɔmit, we tan lɛk we pɔsin nɔ de it fayn.

Dijestiv sistεm (Mesenteric Ischemia) .

dis kכndyushכn (mesenteric ischemia) kin apin if di bכdi fכ fכlכ to pat dεm na di dijestiv sistεm dεn rεdכks.

• Pen ɔ kramp na di bɛlɛ, mɔ na di bɛlɛ, afta yu dɔn it.
• Blɔt, nɔs, vɔmit.
• Rɔnbɛlɛ.
• We yu de lɔs yu wet bikɔs yu de fred fɔ it, we na fɔ fred fɔ fil pen we yu de it.

Leg ɛn fut (Pɛriferal Atɛri Disizin - PAD) .

Pεrifεral atεri sik (PAD) na wan kכndyushכn we di bכdi fכ fכlכ na di at dεm we de gi bכdi to di limb dεm de rεdכks.

• Klɔdikeshɔn we de apin wan wan tɛm na pen we de fil lɛk se di mɔsul dɛn na yu leg de rɔl, mɔ we yu de waka. Dis go stɔp afta yu sidɔm fɔ sɔm tɛm ɛn rɛst, bɔt i go kam bak we yu de waka.
• Bɔn ɛn pen na yu leg ɛn fut finga dɛn we yu de rɛst, mɔ we yu de ledɔm.
• di skin in kכla de chenj (e.g., di skin de rεd).
• Kol fut.
• Infεkshכn fכ di skin εn di sכft tisu dεm na di leg, fut.
• Wund dɛn we nɔ de mɛn na di fut ɛn fut finga dɛn.

Rεnal Atεri Sεnɔsis

di rεnal atεri stεnosis kin mek yu gεt simptom dεm lεk:

• Ay blɔd prɛshɔn we dɛn nɔ kin ebul fɔ kɔntrol pan ɔl we dɛn de yuz bɔku mɛrɛsin dɛn.
• Chenj na di frɛkuɛns we pɔsin kin pis.
• Swɛlin (Ɛdima).
• Drowsiness, taya.
• Skin we dray, it, ɔ we nɔ gɛt bɛtɛ trɛnk.
• Ed de at.
• We yu de lɔs yu wet fɔ natin.
• Nɔs, vɔmit, ɔ nɔ want fɔ it.

Di sik we gɛt fɔ du wit di bren (Carotid Artery Disease) .

if dis kכndyushכn apin na di carotid atεri dεm na di nεk, we de gi bכdi to di bren, di fכs sayn dεm kin bi transient ischemic attack (TIA) כ strok.

• Diziz we pɔsin kin gɛt.
• Sagging of wan say na di fes.
• Lɔs fɔ fil na wan say na di bɔdi, di mɔsul dɛn wik.
• Di ed we de at bad bad wan.
• Fɔ slɔr wɔd dɛn we yu de tɔk, i nɔ izi fɔ mek wɔd dɛn.
• Wan yay nɔ de si fayn igen. I kin tan lɛk se blak kɔtin de fɔdɔm bifo di yay.

Wetin mek atɛrosklɛrosis kin kam? Wetin na di tin dɛn we kin mek i apin?

Risach pipul dɛn biliv se bɔku men rizin dɛn de fɔ dis:

• di lεvεl dεm fכ di bad bad LDL kכlestכl εn triglisεrayd dεm na di bכdi.
• Yuz tin dɛn we dɛn kin yuz fɔ smok (smok, tabak we nɔ gɛt smok).
• Ay blɔd prɛshɔn (Hypertension).
• Dayabitis (Dayabitis Mɛlitus).

dis tin dεm kin pwεl di insay layn na yu at dεm (εndoteyl). Na da tɛm de atɛrosklɛrosis kin bigin fɔ kam. Dis damej kin apin smɔl smɔl, as tɛm de go.

Aw dis kin apin, wetin na di stej dɛm?

Atεrosklεrosis de divεlכp fכ plεnti ia εn i gεt sεvεra men stej dεm:

1. di εndoteyl dεm we dεn dכn pwεl εn di imyun rεspכns: we di εndoteyl na di at dεm dכn dכn, kεmikכl riakshכn de bigin. Dis kin mek di wayt blɔd sɛl dɛn gɛda na di say we dɛn dɔn pwɛl. dis sεl dεm kin gεt εn mek di at de inflameshn.

2. Fεt strεk: Dis na di fכs sayn we wi kin si fכ atεrosklεrosis. di say we dεn dכn pwεl de luk lεk yכlכ strεk כ spat, εn i mek am wit day "fכm sεl dεm." Fom sel na wayt blɔd sɛl dɛn we dɔn it kɔlɔstrel fɔ tray fɔ pul am. as dεn fכm sεl dεm ya de kכntinyu fכ wok, dεn de pwεl di εndoteyl mכr.

3. Plɛk we de gro: As di dɛd fɔm sɛl dɛn ɛn ɔda dɔti tin dɛn de kɔntinyu fɔ gɛda, di fat strik de bi big plek smɔl smɔl. wan fayv kap we de fכm smol mכsul sεl dεm de fכm oba dis plek. Dis kin mek di plek nɔ brok ɛn gɛda na di blɔd. as di plek de gro, di lumen (di spεs we di bכdi de fכlכ) na di at de sכm.

4. Plɛk rɔp ɔ eroshɔn: insay dis stej, di fayv kap we de pan tap di plek de rɔp, ɔ di ɛndoteyl sɛl dɛn we de rawnd di plek kin pwɛl. Ilɛk aw i bi, blɔd kin klɔt. Dat klot de blok blɔd flɔ ɛn mek pɔsin gɛt at atak ɔ strok.

Wetin na di risk factor dɛm fɔ dis?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik we kin afɛkt di we aw pɔsin kin gɛt di at. Sɔm pan dɛn tin ya yu kin chenj, bɔt sɔm, lɛk ej, yu nɔ kin chenj.

Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Fɔ bi man dɛn we dɔn pas 45 ia.
• Bi uman we dɔn pas 55 ia.
• If sɔmbɔdi na di famili (wan man fambul we de nia am bifo i ol 45 ia, ɔ in fambul we de nia uman bifo i ol 55 ia) dɔn gɛt sik we de ambɔg in at ɛn blɔd .
• Dayabitis (Dayabitis Mɛlitus).
• Ay blɔd prɛshɔn (Hypertension).
• haypa lipidemia, spεshal wan hεy lεvεl fכ bad LDL kכlestכl כ wan spεshal lipoprotein we dεn kכl Lipoprotein (a).
• Mεtabolik sεndrכm.
• Fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Fɔ nɔ ebul fɔ du bɔku tin dɛn fɔ du.
• Fɔ it it we gɛt bɔku sɛtyuret fat, trans fat, sɔdiɔm (sɔl), ɛn shuga.

Us prɔblɛm dɛn dis kin mek?

Atεrosklεrosis de ambɔg di nכmal fכnshכn fכ wi kכdivaskyul sistεm. Dis kin mek di blɔd nɔ flɔ na difrɛn pat dɛn na di bɔdi ɔ i kin stɔp am kpatakpata, mɔ na di at ɛn di bren. Di kɔmplikeshɔn dɛn we kin apin bikɔs ɔf dis ridyus blɔd flɔ na:

• Di sik we de na di at we de na di karotid at.
• Koronari at sik.
• At atak.
• Di at bit we nɔ de bit ɔltɛm (Aritmia).
• At we nɔ de wok fayn.
• Mesenteric ischemia we gɛt di sik.
• Di sik we de na di periferik at.
• Kronik kidni sik (CKD).
• Stenosis na di rεnal atεri.
• Strok.
• Transiεnt ischemik atak (TIA) we de apin.
• di atεri wכl dεm we wik εn bulg (aneurysms) εn dεn rכp.

If yu no dis sik kwik kwik wan ɛn trit am, dat kin mek dɛn nɔ gɛt ɔ delay dɛn kayn siriɔs prɔblɛm ya.

Aw dɛn kin no dis? Us tɛst dɛn dɔktɔ dɛn kin du?

Fɔ no if yu gɛt atherosclerosis, ɔ yu risk fɔ gɛt am, dɔktɔ go du dɛn tin ya:

• Dɛn go du wan kɔmplit ɛgzam fɔ di bɔdi. Dis go min fɔ lisin to yu at ɛn di sawnd we blɔd de mek na yu at dɛn wit stetɔskɔp. fכ egzampl, dεn go chεk fכ "bruit" sawnd na di carotid atεri dεm na yu nεk. Dis sawnd kin sho se plek de de.
• Dɛn go aks yu mɛdikal istri ɛn yu famili istri. Dis infɔmeshɔn kin gi yu wan aidia bɔt yu risk fɔ gɛt atherosclerosis ɛn di prɔblɛm dɛn we i kin gɛt.
• Dɛn go aks bɔt di we aw yu de liv yu layf. Dɛn kin aks bɔt abit dɛn lɛk if yu de yuz tabak ɔ yu dɔn ɛva yuz am.
• Dɛn kin ɔda fɔ mek dɛn du blɔd tɛst.Dɛn blɔd tɛst ya we gɛt fɔ du wit at sik kin tɛl yu bɔku tin bɔt yu kɔlɔstrel lɛvɛl ɛn aw yu at de wok.

Us ɔda tɛst dɛn dɛn go du?

Di dɔktɔ kin ɔda fɔ du ɔda tɛst fɔ no if atrɔsklerɔsis de ɛn plan fɔ trit am. Dɛn tin ya na:

• Angiography: Dis de yuz spεshal εks-ray εn kכntrast day fכ fכn εn mכsu di blכk dεm na di at dεm.
• Ankle-brachial index: Dis de mek yu no di blɔd we de flɔ na yu limb dɛn bay we yu kɔmpia di blɔd prɛshɔn na yu anklɛ ɛn yu an.
• Chɛst X-ray: Dis kin tek pikchɔ fɔ di insay pat na di chɛst.
• CT scan (Computed Tomography scan): Dis skan de tek pikchɔ dɛn insay di bɔdi ɛn i kin si if big at dɛn dɔn blok ɔ dɛn dɔn smɔl.
• Hat MRI (Magnetic Resonance Imaging): Dis tɛst kin sho prɔblɛm wit di blɔd we de flɔ na di at.
• Echocardiogram (Echo): Echo de tek pikchɔ fɔ di at in valv ɛn chɛmba dɛn ɛn mɛzhɔ aw di at de pɔmp blɔd fayn fayn wan.
• ECG (Electrocardiogram or EKG): Di ECG de mכsu di ilektrikal aktiviti, rεt, εn ritm na di at.
• Ɛksesaiz strɛs tɛst: Na tɛst we de sho aw yu at de wok we yu de du tin wit yu bɔdi.
• Carotid ultrasound: dis de tek ultrasound imej dεm fכ di carotid arteries dεm na di nεk. I kin no if dɛn at dɛn ya kin smɔl ɔ blok we dɛn de kɛr blɔd go na di bren.
• כltra saund na di bכdi: Dis כltra saund de egzamin di aorta, di big at we de na di bכdi, fכ si if i gεt bulge (abdominal aortic aneurysm) כ plek.

Aw dɛn kin trit dis?

Dɛn kin trit atɛrosklɛrosis bay we dɛn chenj dɛn layf, tek mɛrɛsin, ɛn sɔntɛnde dɛn kin du ɔpreshɔn ɔ ɔda mɛrɛsin . Dipen pan usay yu gɛt atherosclerosis, yu kin go to dɔktɔ we de mɛn yu at, nefrɔlɔjis, nyurolɔjis, ɔ vaskul ɔspitul dɔktɔ.

Yu dɔktɔ dɛn go mek wan tritmɛnt plan bay wetin yu nid. Di gol dɛm fɔ tritmɛnt kin bi fɔ:

• Fɔ ridyus di risk fɔ mek blɔd klɔt.
• Fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk at atak ɔ strok.
• Fɔ ridyus di sayn dɛm.
• Fɔ ɛp yu fɔ it tin dɛn we fayn fɔ yu at ɛn blɔd vesel dɛn.
• fכ mek dεn nכ de fכm כ stכp di fכmeshכn fכ plek insay di at dεm.
• Fɔ mek di blɔd flɔ fayn, bay we yu de mek di at dɛn big ɔ baypas di say dɛn we dɔn blok.

Di we aw pipul dɛn de liv dɛn layf kin chenj

We yu chenj di we aw yu de liv yu layf, dat kin mek yu nɔ gɛt bɔku prɔblɛm dɛn. Yu dɔktɔ go mek wan plan we go fayn fɔ yu. Jɛnɛral wan, yu kin du dɛn tin ya:

• Nɔ tek ɔl di tin dɛn we dɛn kin mek wit tabak (inklud fɔ smok ɛn fɔ vap). Dis na di tin we impɔtant pas ɔl we yu go ebul fɔ du.
• Fɔ fala di it dɛn we go ɛp yu at, lɛk di it we dɛn kin it na Mɛditarenian , we min se yu fɔ it mɔ vɛjitebul, frut, ligɛm, ɔl gren, fish, ɛn ɔliv ɔyl.
• Ɛksesaiz ɛvride. Start wit shɔt waka ɛn wok te yu du ɛksɛsayz fɔ at le 30 minit insay di de, sɔm dez insay di wik.

Di mɛrɛsin dɛn we dɛn kin yuz

Mεdikeshכn kin εp fכ kכntrכl di risk fכ mek di plek bכku εn slo di prכgreshכn fכ atεrosklεrosis. Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ, fɔ mek yu gɛt bɔku bɔku kɔlɔstrel, fɔ mek yu nɔ gɛt bɔku shuga na yu blɔd, ɛn fɔ mek yu blɔd nɔ klɔt.

Di we aw dɛn kin du am ɔ di ɔpreshɔn we dɛn kin du

Difrɛn mɛrɛsin ɛn ɔpreshɔn dɛn de fɔ ɛp pipul dɛn we gɛt siriɔs blɔk at ɔ di wan dɛn we gɛt bɔku prɔblɛm dɛn. Di tritmɛnt dɛn we dɛn kin gɛt na:

• Angioplasty: Dis na fɔ put wan tin we tan lɛk balɔ insay di at we dɔn smɔl ɛn blo am fɔ mek di at big.
• Atherectomy: Dis kin min fɔ kɔt ɛn pul di plek we de insay di at.
• Carotid endarterectomy: Na ɔspitul we dɛn kin du fɔ pul di plek we de na di karotid at dɛn na di nɛk.
• Coronary artery bypass grafting (CABG): dis prosidur de mek nyu we fכ mek bכdi fכ fכlכ rawnd di at dεm we dεn blכk na di at.
• di pεrifεral atεri baypas כpεrayshכn: I de mek nyu rod fכ blכd fכ baypas di at dεm we dεn blכk na di limb dεm.
• We dɛn put stent: Afta dɛn dɔn du angioplasty, dɛn kin put wan smɔl stent we tan lɛk mɛsh fɔ mek di at nɔ smɔl igen.
• Vascular disease bypass: Dis na ɔpreshɔn bak fɔ baypas di blɔk.

Yu tink se dɛn kin mek dɛn nɔ gɛt di sik we dɛn kɔl atherosclerosis?

Sɔntɛm i nɔ go pɔsibul fɔ mek dɛn nɔ du am kpatakpata. Bɔt yu kin ridyus di prɔblɛm we yu gɛt ɛn mek di sik nɔ ambɔg yu. Na sɔm tin dɛn we yu kin du:

• It it dɛn we nɔ gɛt bɔku sɛtyuret fat, trans fat, kɔlɔstrel, sɔdiɔm (sɔl), ɛn shuga.
• Ɛnjɔy fɔ du tin dɛn we yu de du ɔltɛm . Start wit shɔt waka ɛn wok te to 30 minit insay di de, sɔm dez insay di wik.
• Mek yu gɛt wɛlbɔdi wet fɔ yu. Aks yu dɔktɔ wetin na dat.
• Manej ɔda wɛlbɔdi prɔblɛm dɛn, mɔ di sik we dɛn kɔl dayabitis, ay blɔd prɛshɔn, ɛn ay kɔlɔstrel.
• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• Na fɔ mek dɛn chɛk yu wan tɛm insay di ia.

Wetin yu fɔ ɛkspɛkt we yu de liv wit dis sik? Aw yu de kia fɔ yusɛf?

If dɛn no bɔt dis sik ɛn trit am kwik, bɔku pipul dɛn we gɛt atherosclerosis kin liv di layf we dɛn lɛk. Bɔt di sik kin mek pɔsin gɛt prɔblɛm wit di mɛrɛsin, ɛn i kin kil pɔsin. So e fayn fɔ no bɔt di prɔblɛm dɛn we yu kin gɛt ɛn wok wit yu dɔktɔ fɔ ridyus dɛn.

Wok klos wit yu dɔktɔ. Dɛn go de chɛk yu sik ɔltɛm ɛn tɛl yu aw ɔltɛm yu fɔ si dɛn. Kip ɔl yu apɔntinmɛnt dɛn ɛn bi proactive bɔt yu wɛlbɔdi. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni nyu ɔ chenj chenj. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt prɔblɛm dɛn we go mek yu layf de pan denja.

Dɔn bak, tink bɔt yu maynd wɛlbɔdi. Na nɔmal tin fɔ mek yu fil wɔri bɔt wetin go apin tumara bambay. I kin tranga fɔ mek yu chenj di we aw yu de liv yu layf. Bɔt nɔ mek dɛn filin dɛn de stɔp yu fɔ ɛnjɔy layf.

• Tɔk bɔt aw yu de fil to advays ɔ sɔpɔt grup.
• Kɔnekt wit ɔda pipul dɛn we gɛt sik na dɛn at ɛn blɔd. Una kin sheb ɛkspiriɛns ɛn lan frɔm unasɛf.
• Tɔk to yu fambul ɛn padi dɛn bɔt di chenj dɛn we yu de mek na yu layf. Ɛksplen to dɛn wetin mek dɛn chenj ya impɔtant to yu, ɛn aks fɔ dɛn sɔpɔt fɔ mek dɛn apin.

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

If yu ɔ pɔrsin wae yu sabi gɛt sayn dɛm fɔ hat atak, strok, ɔr TIA , kɔl 911 ɔr yu lokal imejensi nɔmba kwik kwik wan. Dis na mɛdikal imejensi dɛm we nid fɔ gɛt tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin fɔ bi mi blɔd prɛshɔn ɛn di kɔlɔstrel lɛvɛl?
• Ustɛm a fɔ bigin fɔ chɛk mi pikin dɛn kɔlɔstrel?
• Yu kin rikomɛnd wan program fɔ ɛp mi fɔ lɛf fɔ smok?

Faynal Mɛsej fɔ Tek-Hom

Atherosclerosis na wan kɔmɔn sik wae bɔrku pipul kin gɛt. Bɔt yu dɔktɔ de ya fɔ ɛp yu fɔ manej am ɛn liv yu bɛst layf. We yu de chɛk yu ɛvri ia, dɛn go asɛs yu risk fɔ gɛt atherosclerosis ɛn ɛksplen wetin yu kin du fɔ ridyus am. Nɔ fred fɔ aks fɔ ɛp fɔ fala yu dɔktɔ in advays. Dɛn kin gi yu advays bɔt tin dɛn we yu go nid. Mɛmba se fɔ liv fayn layf ɛn fɔ fala yu dɔktɔ in advays go ɛp yu fɔ protɛkt yu frɔm dis siriɔs sik.

` Atεrosklεrosis, atεriosklεrosis, kכlestכl, at atak, strכk, blכd vεsεl blכk, hεlty layf