Yu dɔn ɛva yɛri bɔt korona at sik? Bɔku pan wi dɔn yɛri bɔt am. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis Coronary Artery Disease ( CAD ). Fɔ tɔk am simpul wan, na tin we fat ɛn kɔlɔstrel kin gɛda na di at we kin kɛr blɔd go na di at, ɛn dis kin mek di blɔd nɔ flɔ. Bɔt dɛn at dɛn ya kin blok difrɛn we dɛn. Tide, wi go tɔk bɔt wan sik we kɔmpleks smɔl we nid fɔ pe atɛnshɔn mɔ pan am. dat min se we fεt de bכku εn blok di at usay wan big at na di at de sheb to sכm sכm branch. Imajin se trafik jam na wan rod we shep lɛk Y, rayt usay di tu rod dɛn sheb. Dɔktɔ dɛn kin kɔl dis ‘Bifurcation Blockage’.
Wetin rili bi dis we dɛn kɔl Bifurcation Blockage?
Okay, mek wi put dis na wan simpul we. Yu at na mɔsul we de wok nɔ stɔp. I kin gɛt di ɛnaji ɛn ɔksijɛn we i nid frɔm di blɔd vesel dɛn we dɛn kɔl di korona at . Dɛn men at dɛn ya de branch to smɔl smɔl branch dɛn fɔ kɛr blɔd go na ɔl di pat dɛn na di at.
naw, dis Bifurcation Blockage de apin we fεt dεposit (wi kכl am plak ) de fכm usay wan big at de divayd to sכm sכm branch, dat na na Y-jכnkshכn. Dis plek de blok di blɔd fɔ flɔ. Dɔktɔ dɛn kɔl dis smɔl branch “sayd-branch vessel.” Dɛn kin kɔl dis plek bak “bifurcation lesion.”
Dis eria kin kɔmplikt smɔl fɔ mek i klos pas ɔda eria dɛn. Bikɔs di blɔd flɔ ɛn prɛshɔn difrɛn ya, chans de fɔ mek di plek bɔku na dɛn say ya. Ɛn i kin tranga smɔl fɔ trit am.
Yu tink se men kayn tin dɛn de we kin mek dis blok?
Yɛs, dɔktɔ dɛn kin klas dis blɔk akɔdin to aw i siriɔs, dat na ɔmɔs pan di at dɔn blok. Dɛn kɔl dis stenɔsis . Tu men kayn dɛn de.
| Tayp fɔ blok | Wan simpul ɛksplen |
|---|---|
| Wan simpul blɔk we dɛn kin blok | Dis na we di blɔd vesel nɔ rich 70% blɔk. Dis min se sɔm ples stil de fɔ mek blɔd kɔmɔt. Dis nɔ kin izi fɔ trit. |
| Komplex blok we de blok | na ya, di bכdi vεsεl dεn blכk pas 70%, we min se i rili blכk. Sɔntɛnde, i kin pas wan tin we kin blok. Ɔ dis blɔk kin bi bikɔs blɔd de klɔt ɔ we gɛt kalsifikeshɔn. Wan ɔda tin na dat, sɔntɛnde if da smɔl branch de split pan wan rili shap angle (mɔ pas 70 digri), i kin rili at fɔ put inschrumɛnt ɛn trit da eria de. |
Aw dis tin kin apin na wi kɔntri?
Dis na wan sik we kin rili kɔmɔn. εstimat dεm sho se bitwin 15% εn 20% pan כl di kεys dεm fכ korona atεri sik (CAD) we nid mεdikal tritmεnt de fכl insay dis kεtכgrεf, we dεn kכl bifurcation blockages. Fɔ tɔk am simpul wan, pan ɛvri 100 pasɛnt dɛn we kin kam na ɔspitul wit wan korona at we dɔn blok, lɛk 15-20 kin gɛt blɔk na dis jɔnkshɔn. So, dis nɔto sɔntin we wi fɔ tek am layt.
Wetin mek dis de apin? Wetin na di rial rizin fɔ dis?
Di men rizin fɔ dis na di fat we dɛn kɔl plek we wi bin dɔn tɔk bɔt. Dis tan lɛk we rɔst ɛn dɔti kin gɛda na wata paip as tɛm de go, ɛn dis kin mek ol dɛn de na di paip. Dis plek de mek we di kɔlɔstrel, fat, ɛn kalsiɔm de gɛda na di wɔl dɛn na wi blɔd vesel dɛn. As tɛm de go, dis plek kin gro big ɛn i kin mek di blɔd pas na di vein dɛn smɔl. Dɔn, di at nɔ kin gɛt di blɔd we dɛn nid. Wi kin kɔl dis kɔndishɔn atrɔsklɛrosis . di bifurkεshכn blכk na di rizulεt bak fכ dis atεrosklεrosis kכndishכn.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. If yu gɛt wan ɔr mɔr pan dɛn tin ya we kin mek yu gɛt prɔblɛm, i go fayn fɔ mek yu wach smɔl.
| Risk factor | Wan simpul ɛksplen |
|---|---|
| Ej ɛn man ɔ uman | Di risk kin bɔku fɔ uman dɛn afta dɛn dɔn menɔpauz ɛn man dɛn we dɔn pas 45 ia. |
| Shuga | Dayabitis kin pwɛl di blɔd vesel dɛn, ɛn dis kin mek i izi fɔ mek di plek bɔku. |
| We pɔsin wet pasmak ɔ we fat pasmak | As di bɔdi wet de go ɔp, ɔda tin dɛn we kin mek i gɛt prɔblɛm lɛk kɔlɔstrel ɛn ay blɔd prɛshɔn kin go ɔp bak. |
| Famili istri | If pɔrsin na yu famili (mama, papa, brɔda ɛn sista) gɛt at sik, yusɛf kin gɛt bɔrku risk. |
| Ay blɔd prɛshɔn (Hypertension) . | We di prɛshɔn go ɔp, di wɔl dɛn na di blɔd vesel dɛn kin pwɛl ɛn i kin izi fɔ mek plek fɔm. |
| Kɔlestɔl we bɔku | Dis na di men tin we de mek di plek fɔm. Di risk kin bɔku if bad kɔlɔstrel (LDL) de na di blɔd. |
| Nɔ ɛksesaiz ɛn nɔ de it fayn | Pipul dɛn we nɔ de du tin wit dɛn bɔdi ɛn it tin dɛn we gɛt bɔku ɔyl, shuga, ɛn sɔl kin gɛt bɔku prɔblɛm. |
| Fɔ smok | Smok kin pwɛl di blɔd vesel dɛn dairekt wan ɛn i kin mek di blɔd klɔt mɔ. |
Us sayn dɛn yu go gɛt?
Bifurcation blockage na wan kayn korona atεri sik (CAD), so di sayn dεm na di sem. If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm.
- Chɛst pen ɔ prɛshɔn (Angina): Dis na di men sayn. I kin fil lɛk se yu de swɛt ɔ swɛt na di sɛntrɔm pan di chɛst.
- Fɔ blo shɔt: Fɔ fil se yu nɔ gɛt bɛtɛ briz we yu taya smɔl, ɔ we yu de klaym stej.
- Fɔ fil taya we nɔ kɔmɔn: Fɔ fil taya pasmak ɔ wik fɔ natin.
- Sɔlda ɔ an pen: Pen we de travul dɔŋ di lɛft an, mɔ.
- Diziz (vertigo) ɔr fɔdɔm: Na filin wae yu de spin ɛn nɔr ebul fɔ tinap.
- Nɔs: Fɔ fil lɛk fɔ vɔmit.
- Fɔ fil kol ɛn swet.
- Fɔ fil se yu at nɔ de rit (Heart Palpitations).
De impɔtant tin na dat nɔr to ɔlman go gɛt ɔl dɛn sik ya. Sɔm pipul kin gɛt dis sik ɛn nɔr kin gɛt ɛni sayn at ɔl. So, i fayn fɔ mek yu de chɛk yu ɔltɛm if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm.
Aw dɔktɔ kin fɛn dis?
We yu tɛl yu dɔktɔ bɔt di sik dɛn we yu bin dɔn tɔk bɔt, i go chɛk yu ɛn rifer yu fɔ sɔm tɛst fɔ no if yu gɛt dis sik.
- ECG (Electrocardiogram): Dis de tɛst di ilɛktrik wok we di at de du fɔ si if ɛnitin dɔn pwɛl di at.
- Stress Test: Dɛn kin tek ECG we yu de waka pan tredmil, fɔ luk aw yu at de wok we yu strɛs.
- Echocardiogram: Na ɔltra saund skan fɔ di at.
- Cardiac Catheterization (Coronary Angiogram): Dis na di men tɛst fɔ si if ɛnitin de we de blok na yu at. Dɛn kin put smɔl tiub tru yu leg ɔ yu an, dɛn kin trɛd am na di vein dɛn na yu at, ɛn dɛn kin put spɛshal wata insay yu at, ɛn tek ɛkstrem rayt pikchɔ dɛn. Dis kin mek yu si klia wan usay di tin dɛn we dɔn blok.
- CCTA (Coronary Computed Tomography Angiogram): Dis tan lεk angiogram, bכt na tεst we dεn kin du wit CT skan mashin we dεn nכ put tכb insay di bכdi.
Dɛn tɛst ya go mek yu dɔktɔ no if yu gɛt bifurcation blockage ɛn aw i bad.
Wetin na di tritmɛnt dɛm fɔ dis?
fכ trit bifurcation blockage na sכm tεm biכs di sayd-branch vessel sכm bכku, we de mek i at fכ trit wit instrכmεnt pas wan men vein.
Di men tritmɛnt na angioplasty ɛn stent . Dis nɔto ɔpreshɔn. Dɛn kɔl dis Pɛkyutan Korona Intɛrvɛnshɔn (PCI).
Na dis na wetin de apin ya:
1. Di dɔktɔ go numb di skin na yu an ɔ yu leg, mek smɔl say, ɛn put kateshɔn tru am.Dɛn kin put wan tiub we rili tan ɛn we kin chenj we dɛn kɔl kateta insay wan blɔd vesel.
2. afta dat, we yu de luk pan εks-ray skrin, dεn de gayd di tכb to di εksakכt say we di at we dεn blכk na di at de.
3. Wan smɔl balyɔn de na di ɛnd pan di kateshɔn. We i rich usay i dɔn blok, di balyɔn kin blo. Dɔn di plek de prɛs pan di wɔl na di at, ɛn i de opin di say we dɛn dɔn blok bak.
4. Dɔn, fɔ mek di say we opin nɔ lɔk bak, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent na da ples de.
Afta dis tritmɛnt, yu dɔktɔ go gi yu spɛshal mɛrɛsin (dual antiplatelet therapy) fɔ mek blɔd nɔ klɔt insay di stent. I impɔtant fɔ mek yu tek dɛn mɛrɛsin ya fɔ di tɛm we dɛn dɔn tɛl yu fɔ tek.
Wetin na di tritmɛnt we dɛn kin yuz?
Tu men we dεn de fכ stεnt bifurkεshכn blכk.
- Provisional Stenting: Insay dis we, di dɔktɔ kin jɔs put stent na di men at. Dɛn nɔ de put di smɔl branch. Dɛn kin put stent na di smɔl branch leta, na if yu gɛt di sayn dɛn bak.
- Tu-Stent Procedures: If di blok rili kɔmpleks, di dɔktɔ kin disayd fɔ put stent na ɔl tu di men at ɛn di smɔl branch we de branch.
Ɛni prɔblɛm de we kin apin afta dɛn dɔn trit am?
Pan ɔl we angioplasty ɛn stent na tritmɛnt we kin wok fayn, prɔblɛm kin apin to smɔl pipul dɛn.
| Kɔmplikɛshɔn | Wan simpul ɛksplen |
|---|---|
| In-stɛnt Rɛstɛnɔs | dis min se di ska tisu de fכm כnda di stent, we de mek di atεri sכmtεm sכmtεm bak. Dis kin apin insay 6 mɔnt afta dɛn dɔn trit am. If dis apin, yu go nid fɔ du ɔda angioplasty ɔ ɔda tritmɛnt. |
| Stent Trombosis we de mek pɔsin gɛt sik | Dis na siriɔs, bɔt i nɔ kin apin so ɔltɛm, usay blɔd kin klɔt insay di stent ɛn i kin blok di at wantɛm wantɛm. Fɔ mek dis nɔ apin, yu nid fɔ tek di mɛrɛsin we de mek blɔd nɔ klot fayn fayn wan. |
Dɛn nɔ go ebul fɔ stɔp dis kayn tin?
I rili pɔsibul. At sik kin gɛt fɔ du wit di we aw wi de liv wi layf. So, fɔ liv layf we gɛt wɛlbɔdi, kin ridyus di risk fɔ gɛt dis sik bad bad wan.
- It tin dɛn we go ɛp yu at. Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga as yu ebul. Put frut, vɛjitebul, ligɛm, smɔl fish, ɛn ɔl di tin dɛn we yu de it.
- If yu de smok, stɔp am tide. Smok na wan pan di big ɛnimi dɛn we de na di at.
- Ɛksesaiz ɔltɛm. Du sɔntin lɛk fɔ waka ɔ bayk fɔ at le 30 minit insay di de.
- Kɔntrol yu bɔdi wet. Wan patikyula wet de we fit yu ayt. Tray fɔ mek i kɔntinyu fɔ de.
- If yu gɛt dayabitis, ay blɔd prɛshɔn, ɔ kɔlɔstrel, kɔntrol dɛn bay we yu tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ du.
- Ridyus strɛs. I rili fayn fɔ du tin dɛn lɛk yoga ɛn fɔ tink gud wan.
- Limit fɔ drink rɔm.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Mɛmba dis: If yu gɛt sɔm sayn dɛn we de sho se yu gɛt at atak, lɛk we yu de fil pen wantɛm wantɛm na yu chɛst, yu nɔ de blo fayn, ɔ yu de swet, nɔ de de fɔ wan sɛkɔn. Kɔl 911 wantɛm wantɛm ɔ kɛr di pɔsin go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Apat frɔm dat, if yu kin gɛt dɛn sik ya ɔltɛm, mek shɔ se yu go to dɔktɔ fɔ advays.
- Chɛst pen (angina), pen na yu an ɔ yu sholda
- Fɔ fil kol ɛn swet
- I nɔ kin izi fɔ yu fɔ blo
- Taya ɔ wik we yu nɔ ebul fɔ ɛksplen
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
Wae yu kam fɔ no se yu gɛt dis sik, na nɔrmal tin fɔ gɛt bɔrku kwɛstyɔn na yu maynd. Nɔ ol ɛnitin bak, aks yu dɔktɔ ɛn no.
- Wetin de mek a fil se a dɔn stɔp lɛk dis?
- Risk de fɔ mek mi ɔda blɔd vesel dɛn blok di sem we?
- Yu tink se angioplasty ɛn stent kin mɛn dis blɔk kɔmplit wan?
- Us kain stent yu rekomend fo mi?
- Ɔmɔs stent dɛn a go nid fɔ dɔn put?
- Wetin a fɔ du fɔ protɛkt mi at?
- Us kɔmplikɛshɔn dɛn a fɔ wɔri bɔt afta tritmɛnt?
A op se dis infɔmeshɔn go ɛp yu fɔ ɔndastand dis sik fayn fayn wan. Mɛmba se dis nɔto sɔntin we wi fɔ fred, bɔt na sɔntin we wi fɔ de manej fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- bifurcation blockage na wan spεshal kayn blok we de apin usay wan bכdi we de na di at de sheb to branch dεm. Dis kin kɔmplikt smɔl pas wan tipik blɔk.
- De sayn dɛm kin tan lɛk de sik wae kin kam pan pɔrsin wae gɛt dis sik. Chɛst pen ɛn shɔt briz na di men wan dɛn. Nɔ ɛva ignore dɛn tin ya.
- Fɔ put stent na tritmɛnt we go wok fayn, bɔt i nid fɔ gɛt dɔktɔ we gɛt ɛkspiriɛns fɔ ɛp am.
- Ivin impɔtant pas tritmɛnt na fɔ chenj di we aw yu de liv yu layf. I impɔtant fɔ it di rayt we, fɔ du ɛksɛsayz, ɛn fɔ avɔyd bad abit dɛn.
- Bɔrku pen na yu chɛst na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
At sik, Bifurcation Blockage, Coronary Artery Disease, Stenting, Angioplasty, Chɛst Pen, At Atak
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