Yu dɔn ɛva yɛri se we yu at pwɛl bad bad wan ɔ we yu shɔk, dat kin rili pwɛl yu at? Sɔntɛnde, we pɔsin we wi lɛk day ɔ gɛt big prɔblɛm, wi kin gɛt wan strenj pen na wi chɛst ɛn i nɔ kin izi fɔ blo wit di pen. Tide, wi go tɔk bɔt wan strenj tin we kin apin to tɛm lɛk dis, we kin fil lɛk at atak, bɔt nɔto at atak. Dɛn kɔl dis ‘Broken Heart Syndrome’. Dis nɔto jɔs filin, bɔt na rial sik we dɔktɔ dɔn no.
Wetin na dis ‘broken heart syndrome’?
Fɔ tɔk am simpul wan, dis na tin we kin apin fɔ sɔm tɛm we wan pat pan yu at mɔsul kin wik wantɛm wantɛm bikɔs yu gɛt shɔk na yu bɔdi ɔ yu maynd wantɛm wantɛm. Tink bɔt dis, we wan pat na yu at stɔp fɔ wok fayn, di ɔda pat dɛn fɔ wok tranga wan. Dis at mɔsul we wik de mek i nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
Ɛni sɛl na wi bɔdi nid ɔksijɛn. Na di blɔd de kɛr dis ɔksijɛn. So if di at nɔ de pɔmp blɔd fayn, i kin afɛkt di wan ol bɔdi. Bɔt di bɛst tin na dat, dis kin bi fɔ shɔt tɛm.
Bɔku ɔda nem dɛn de we dɛn kin yuz fɔ dis sik. Nɔ fred if dɔktɔ se wan pan dɛn nem ya, dɛn ɔl min di sem tin.
- Takotsubo kadyomayopati we pɔsin kin gɛt
- Apikal balɔn kadyomayopati
- Stress kadyomayopati we pɔsin kin gɛt
Yu tink se men kayn tin dɛn de we kin mek pɔsin gɛt dis sik?
Yɛs, 4 men kayn tin de fɔ dis sik. Dɛn kin no am bay di eria na di at we wik. Lɛ wi si wetin dɛn bi.
| Kayn | Wan simpul ɛksplen |
|---|---|
| Apical we dɛn kɔl | Dis na di kayn we we dɛn kin yuz mɔ (ɔva 80%). I kin afɛkt di ɔda pat we de dɔŋ na di at. |
| Mid-ventrikular we de na di bɔdi | dis de afekt di midul pat pan di at in lכw chεmba dεm (vεntrikul dεm). Dis pat tan lɛk band we de rawnd di at. di pat dεm we de oba εn dכn dis bכnd de wok nכmal wan. |
| Basal we dɛn kɔl Basal | dis lεk di tכp we wi de oba, bכt di ‘bεlt’ pat we dεn afekt de hכy sכmtεm. Dis kin rili rare (lɛk 2%). |
| Fokal fos | Dis na di kayn we we nɔ kin bɔku (lɛk 1%). Na wan rili smɔl pat na di at nɔmɔ i kin afɛkt. Di say we di sik afɛkt tan lɛk se i de kɔmɔt na di at. |
Aw dis sik kin kɔmɔn? Udat dɛn kin gɛt am mɔ?
Na lɛk 2% pan di pipul dɛm wae kin go to dɔktɔ wit dɛn saspek hat atak, dɛn dɔn si se dɛn gɛt ‘broken heart syndrome’. Bɔt sɔm pipul dɛn we de stɔdi bɔt dis biliv se bɔku ɔda pipul dɛn gɛt dis sik, bɔt sɔntɛnde dɛn nɔ kin no di sik fayn fayn wan.
I sɔprayz fɔ no se dis sik kin bɔku pan uman dɛn . 89% pan di kes dɛm we dɛn ripɔt na uman dɛm. di risk kin bכku mכr afta di mεnopos, we de bitwin di ej dεm we de bitwin 58-77 ia.
Wan tin we de ɛksplen dis na di ɔmon we dɛn kɔl ɛstrojen , we de na uman dɛn bɔdi. Dɛn biliv se dis ɔmon de protɛkt di at frɔm di bad bad ɔmon dɛn we di bɔdi kin mek we i strɛs. Bikɔs di ɛstrojen lɛvɛl kin go dɔŋ as wi de ol, uman dɛn kin gɛt at pwɛl we dɛn gɛt strɛs wantɛm wantɛm.
Wetin na di sayn dɛm fɔ dis?
Dɛn sayn ya kin apia insay sɔm minit to awa afta wan bad bad tin dɔn apin. Di ɔmon dɛm we di bɔdi kin mek we pɔsin strɛs wantɛm wantɛm kin mek di at mɔsul nɔ ebul fɔ sɔm tɛm. De sayn dɛm kin rili fiba di wan dɛm wae kin gɛt nɔrmal at atak.
De tin wae impɔtant pas ɔl na, nɔr ɛva tray fɔ no se yu gɛt dɛn sik ya, bikɔs dɛn kin rili fiba hat atak. Go na ɔspitul wantɛm wantɛm, mɔ di Imejɛnsi Dipatmɛnt (ETU).
| Di men sayn dɛn we de sho se i gɛt dis sik | Tɔk bɔt |
|---|---|
| Wantɛm wantɛm, bad bad pen na in chɛst (angina) . | Dis na di men ɛn kɔmɔn sayn. Di chɛst kin fil tayt ɛn kɔnstrikt. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo ɛn fil se yu de swɛla na big big sayn dɛn bak. |
| di wik we di lεft vεntrikl na di at wik | Dis na sɔntin we dɔktɔ kin no tru tɛst. |
| Hat nɔ de bit ɔltɛm (ari at) . | Di at rit kin chenj abnɔmal wan. |
| Lɔw blɔd prɛshɔn (haypɔtɛnshɔn) . | Blɔd prɛshɔn (BP) kin go dɔŋ wantɛm wantɛm. |
| Di we aw pɔsin de blo | Fɔ fil lɛk se yu kin yɛri yu yon at de bit lawd wan. |
| Nɔr de fil bad (syncope) . | Na smɔl tɛm nɔmɔ, yu kin lɔs yu kɔnshɛns ɛn fɔdɔm. |
Aw dis difrɛn frɔm at atɔk?
Dis na say we bɔku pipul dɛn kin kɔnfyus. Pan ɔl we de sayn dɛn kin fiba, big difrɛns de bitwin dɛn tu tin ya.
| Di pɔynt | Brek Hat Sindrom we pɔsin kin gɛt | At Atak we pɔsin kin gɛt |
|---|---|---|
| Di rut we de mek pɔsin gɛt dis sik | Wantɛm wantɛm, we pɔsin kin strɛs pasmak na in maynd ɔ na in bɔdi. | di bכdi vεsul dεm (korona atεri dεm) we de gi bכdi to di at blכk bikoz fכ tin dεm lεk kכlestכl. |
| Di kɔndishɔn we di blɔd vesel dɛn gɛt | Dɛn nɔ de si ɛni blɔd vesel dɛn we dɔn blok . | Wan ɔ mɔ blɔd vesel dɛn kin blok ɔl ɔ sɔm pat pan dɛn . |
| At pwɛl hat | Bɔku tɛm, no damej nɔ de fɔ ɔltɛm . Di at mɔsul kin wik fɔ sɔm tɛm nɔmɔ. | di at mכ sul de day (dεn de pwεl) fכ tεm bikoz di bכdi we de lכs. |
| Fɔ wɛl | Bɔku tɛm i kin wɛl kwik ɛn kpatakpata . | Fɔ wɛl kin tek tɛm, ɛn i kin dipen pan aw i dɔn pwɛl, di at kin wok fayn fɔ ɔltɛm. |
Us kayn tin dɛn go mek dis apin?
Pan ɔl we di wan dɛn we de stɔdi bɔt dis stil nɔ ebul fɔ no wan tin we kin mek pɔsin fil bad, dɛn biliv se na wan tin we kin mek pɔsin fil bad wantɛm wantɛm na in kin mek i fil bad. Sɔntɛnde lɛk dis, wi bɔdi kin pul bɔku bɔku ɔmon dɛn we de mek wi strɛs na di blɔd wantɛm wantɛm. Dɛn tink se dɛn ɔmon ya kin ambɔg di at in wok fɔ sɔm tɛm.
Saikɔlɔjik impakful imejensi dɛm:
- Pɔsin we yu lɛk day: I kin bi pɔsin na yu fambul, yu padi, ɔ ivin yu animal we yu lɛk.
- Rilayshɔnship brok, dayvɔs.
- Gud nyus: I sɔprayz fɔ no se sɔntɛnde ivin sɔntin we kin mek pɔsin gladi, lɛk fɔ win di lɔtri, kin mek dis apin.
- Bad nyus: tin lɛk fɔ lɔs wok, fɔ lɔs bɔku mɔni.
- Wan bad bad tin we kin apin, lɛk aksidɛnt ɔ atkwek.
- Fɔ fred pasmak: tin dɛm lɛk fɔ gɛt fɔ tɔk na pɔblik, fɔ fes tif, ɛn ɔda tin dɛm.
- I bin vɛks bad bad wan.
Imejɛnsi we kin afɛkt di bɔdi:
- I kin fil pen bad bad wan.
- Wan fyzikal aktiviti we rili strɛs.
- Asma na atak, na bad bad prɔblɛm fɔ blo.
- Kɔndishɔn dɛn lɛk fɔ sik ɛn strok.
- Ay fiva, rili lɔw blɔd shuga lɛvɛl (haypoglycemia).
- Bɔku bɔku blɔd we de kɔmɔt ɔ ɔpreshɔn.
Aw dɔktɔ kin no bɔt dis?
We yu go na ɔspitul wit chɛst pen, di dɔktɔ go fɔs chɛk yu ɛn aks yu bɔt di tin we apin. Dɔn, dɛn go du sɔm tɛst fɔ no if na at atak ɔ ‘broken heart syndrome.’
- Blɔd tɛst: Ɛnzaym dɛn de we kin gɛda na di blɔd we di at mɔsul dɔn pwɛl. Chek dɛn lɛvɛl dɛn.
- EKG (electrocardiogram): Na tɛst we de rayt di ilɛktrik wok we di at de du.
- Echocardiogram: Dis tan lɛk we dɛn de skan di at. I kin luk aw di at in chεmba dεm, di valv dεm, εn di at mכsul dεm de wok. Insay Broken Heart Syndrome, e kin sho klia wan aw wan pat pan di at kin wik.
- Koronari Angiogram: Dis na di tɛst we impɔtant pas ɔl. Dis min se dɛn kin put spɛshal day na di at we de kɛr blɔd go na di at ɛn tek ɛkstrem rayt. Dis kin sho εksεkt if eni blכk de na dεn at dεm de. We pɔsin gɛt at atak, dɛn at ya kin blok, bɔt na Broken Heart Syndrome, dɛn nɔ kin si dis kayn blɔk. Dis tɛst na di wangren we fɔ no difrɛns kɔrɛkt wan bitwin dɛn tu kɔndishɔn ya.
- Chɛst X-ray ɛn At MRI: Dɛn kin du dɛn tɛst ya bak if nid de.
Aw dɛn kin trit am?
Pan ɔl we nɔr patikyula ‘cure’ nɔr de fɔ dis, dɛn kin gi mɛrɛsin fɔ kɔntrol di sayn dɛm ɛn ɛp di at fɔ wɛl. Bɔrku pipul kin wɛl wɛl wit dɛn mɛrɛsin ya.
- Aspirin: Nɔ mek blɔd nɔ klot.
- ACE inhibitor ɔ ARB: Kɔntrol blɔd prɛshɔn.
- Beta-blockers: Slow dכn di hat rεt εn rεdכks di prεshכn pan di at.
- Diuretics: Rimov wata we nɔ nid na di bɔdi ɛn ridyus di lod we de pan di at.
Bɔrku tɛm, de hat kin kam bak to nɔrmal insay sɔm dez to sɔm wiks. Bɔt sɔm pipul dɛn kin fil taya ɛn nɔ gɛt layf fɔ sɔm mɔnt. Insay dɛn kayn tin ya, i rili impɔtant fɔ tɔk to yu dɔktɔ.
Wetin wi go du fɔ mek dis nɔ apin ɛn fɔ kia fɔ wisɛf?
Pan ɔl we no patikyula we nɔ de fɔ mek dis sik nɔ apin, if wi lan fɔ kɔntrol di strɛs we kin kam na wi layf, dat kin ɛp wi bad bad wan.
- Fɔ kɔntrol yu strɛs: Fɔ du yoga, fɔ tink gud wan, ɛn fɔ du tin dɛn we go mek yu gɛt pis na yu maynd rili impɔtant. We yu de du ɛksasaiz fɔ blo dip dip wan kin ɛp bak.
- Fɔ liv fayn layf:
- It gud it we gɛt fayn fayn tin dɛn fɔ it.
- Ɛksesaiz ɔltɛm (at le 30 minit 5 dez insay di wik).
- Gɛt 7-9 awa gud slip wan de.
- Nɔ smok, fɔ tek drɔgs, ɛn fɔ drink rɔm pasmak.
- Fɛn ɛp: If yu de gɛt strɛs we yu nɔ go ebul fɔ kɔntrol fɔ yusɛf, tɔk to pɔsin we yu biliv bɔt am. If nid de, aks pɔsin we sabi advays yu fɔ ɛp yu.
Impɔtant: Dis sik nɔr kin kam bikɔs ɔf smɔl smɔl strɛs na ɛvride layf. Na bikɔs pɔsin kin shɔk wantɛm wantɛm ɛn we pasmak. Bɔt if yu de fil pen ɔltɛm na yu chɛst ɔ i nɔ izi fɔ yu fɔ blo, mek shɔ se yu tɔk to yu dɔktɔ bɔt dat.
Mɛsej we dɛn kin kɛr go na os
- ‘Broken heart syndrome’ nɔto jɔs filin, na rial mɛdikal kɔndishɔn .
- Dis kin kam bikɔs ɔf sɔm kayn pwɛl hat sik wae de kam pan pɔrsin in bɔdi ɔr maynd.
- De sayn dɛm kin rili fiba hat atak . So if yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, go na imejensi rum (ETU) wantɛm wantɛm . Nɔ mek yu wangren disayd fɔ du sɔntin.
- Bɔrku tɛm dis sik kin bi fɔ sɔm tɛm ɛn de at kin wɛl ɔltogɛda ɛn nɔr dɔn pwɛl fɔ ɔltɛm.
- If yu gɛt dis sik, i rili impɔtant fɔ yuz di mɛrɛsin we yu dɔktɔ gi yu di rayt we ɛn fɔ go bak fɔ chɛk-ap pan di de dɛn we dɛn dɔn sɛtul.
- We yu lan fɔ kɔntrol yu strɛs na layf, dat go ɛp yu fɔ protɛkt yu frɔm dɛn kayn tin ya tumara bambay.
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