Sɔntɛnde yu kin fil tayt ɔ pen na yu chɛst we yu taya smɔl, ɔ we yu de klaym wan stej? Ɔ i nɔ kin izi fɔ yu fɔ blo? Dɛn tin ya kin bi nɔmal taya, bɔt sɔntɛnde dɛn kin bi prɔblɛm wit wan vein we de kɛr blɔd go na wi at. Tide wi go tɔk bɔt wan kɔndishɔn we siriɔs smɔl, bɔt i rili impɔtant fɔ no bɔt. Dat na wan sik we dɛn kɔl CTO, ɔ Chronic Total Occlusion.
Fɔ tɔk am simpul wan, wetin na CTO (Chronic Total Occlusion)?
Imajin se yu gɛt men paip we de briŋ wata kam na yu os. As tɛm de go, dis paip kin lɔk wit rɔst ɛn dɔti, ɛn leta i kin blok ɔl, ɛn ivin wan drop wata nɔ kin pas.
Na di sem tin kin apin na wi at. Wi gɛt blɔd vesel dɛm (wi kɔl dɛn korona at dɛm ya) we de gi klin blɔd to wi at. if tin dεm lεk כyl εn kכlestכl de insay dεn vein dεm ya fכ tεm, εn di vein kכmplit (100%) blכk, we min se if dis blכk de fכ mכr pas tri mכnt , wi kin kכl dat kכndishכn Chronic Total Occlusion (CTO) .
we wan at bכku bכku bכku wan dis we, di pat pan di at we de afekt nכ de gεt di כksijεn εn di nyutriεnt dεm we i nid. Dis kin mek yu gɛt sɔm kayn sik lɛk aw yu de fil pen na yu chɛst ɛn i nɔ kin izi fɔ yu fɔ blo. Sɔntɛnde, dis kin rili bad, ɛn i kin ivin mek pɔsin gɛt at atak.
Udat de pan denja fɔ gɛt dis CTO kɔndishɔn?
Dɛn kin si CTO mɔ pan pipul dɛm wae gɛt hat sik, mɔr lɛk korona at sik (CAD). Dɛn dɔn tɔk se lɛk wan pan ɔl tri pipul dɛn we gɛt CAD kin gɛt CTO bak.
di sem risk factor dεm we jεnarali kin kכntribyut to hat sik kin kכntribyut bak to CTO. Tek wan luk fɔ si if yusɛf gɛt dɛn tin ya.
| Risk factor | Simpul ɛksplen |
|---|---|
| Fɔ smok | Dis na di men ɛnimi. Smok kin pwɛl di blɔd vesel dɛn ɛn i kin mek di tin dɛn we de insay dɛn kwik kwik wan. |
| Ay blɔd prɛshɔn (Hypertension) . | as di prεshכn de go כp, di wכl dεm na di at dεm de pwεl εn di chans fכ di kכlestכl dεposit de bכku. |
| Ay kɔlɔstrel (Hyperlipidemia) . | We di bad bad kɔlɔstrel (LDL) we de na di blɔd go ɔp, i kin bigin fɔ put am dairekt na di at dɛn wɔl dɛn. |
| Shuga | If dɛn nɔ kɔntrol di shuga lɛvɛl, i kin pwɛl di blɔd vesel dɛn ɛn i kin mek dɛn dipɔsit dɛn ya bɔku. |
| Fat | Di wet we yu bɔdi gɛt gɛt fɔ du wit at sik. BMI we pas 30 de pan big risk. |
| Famili histri bɔt at sik | If yu mama, papa, ɔ yu brɔda ɛn sista dɛn gɛt at sik, yusɛf kin de pan denja. |
| Nɔ ebul fɔ du ɛksɛsayz | If yu nɔ kip yu bɔdi aktif, i tan lɛk se yu de mek yu gɛt at sik. |
| Hat atak ɔ baypas ɔpreshɔn bifo | If yu bin dɔn gɛt at atak ɔ baypas ɔpreshɔn bifo, yu de pan denja fɔ gɛt CTO na ɔda at. |
Di tin we impɔtant pas ɔl na dat di risk fɔ gɛt CTO de go ɔp wit di ej. So, as wi de ol, wi nid fɔ kia fɔ wi at mɔ.
Wetin na di sayn dɛm fɔ CTO?
Di sayn dɛm fɔ CTO kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt di sayn dɛm wae kin kam pan pɔrsin na:
- Chest pen, tayt, ɔr prɛshɔ: I kin tan lɛk se sɔmbɔdi de swɛt yu chɛst.
- I nɔ kin izi fɔ yu fɔ blo (Dyspnea): .Fɔ fil se yu nɔ de blo fayn we yu de tray tranga wan, lɛk we yu de waka fɔ shɔt tɛm ɔ we yu de klaym stej.
- Taya pasmak: Fɔ fil taya ɔltɛm, ivin we yu nɔ du ɛni wok.
- Fɔ fil se yu gɛt diziz.
- Di at we nɔ de bit ɔltɛm.
- Vɔmit.
- Pen na di ɔpa an: mɔ na di lɛft an.
De impɔtant tin na dat, dɛn sayn ya kin bɔrku pasmak wae yu taya. Dɛn kin stɔp we yu rɛst. Bɔt sɔntɛnde, dɛn sik ya kin apin ivin we yu nɔ taya atɔl.
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ. I go chɛk yu ɛn if nid de, i go rifer yu fɔ sɔm tɛst dɛn.
Di men tɛst fɔ kɔnfɔm if yu gɛt CTO na korona angiogram . insay dis, dεn de pas wan vεri tכn tכb tru wan vein na yu an כ yu leg to di at in vein dεm, εn dεn injεkt wan spεshal wata (kכntrast day) injεkt. Dɔn, dɛn kin tek ɛkstrem rayt fɔ si aw dis wata de flɔ tru di at in vein dɛn. If blɔk de na wan vein, dis wata go de klia wan bikɔs i nɔ go flɔ mɔ.
Apat frɔm dat, di dɔktɔ kin tɛl yu fɔ du ɔda tɛst dɛn lɛk:
- ECG (Electrocardiogram): Luk di ilɛktrik aktiviti we di at de du.
- Echocardiogram (Echo): Na skan fɔ luk aw di at de wok ɛn aw di blɔd de flɔ.
- Stress Test: Si aw yu at de ansa we yu de tray smɔl (lɛk fɔ rɔn pan tredmil).
- Cardiac MRI: Gɛt klia pikchɔ bɔt aw di at tan ɛn aw blɔd de flɔ.
Wetin na di tritmɛnt dɛm fɔ CTO?
If dɛn no se yu gɛt CTO, nɔ panik. Naw, bɔku fayn tritmɛnt dɛn de fɔ dis. Di tritmɛnt plan go dipen pan aw yu sik bad bad wan, usay di vein we dɔn blok de, ɛn yu ɔl wɛl bɔdi. Tu men kayn tritmɛnt de.
1. Pɛrkyutan Korona Intɛrvɛnshɔn (PCI) .
Dis na di tritmɛnt we dɛn kin yuz mɔ, we nɔto ɔpreshɔn. Dɛn kin du am di sem we aw dɛn kin du am angiogram.
- wan tכb we rili tכn (kateta) de pas tru wan vein na di an כ leg go na di at usay di at we blכk de.
- Dɛn kin pas wan smɔl balyɔn na da tiub de ɛn dɛn kin blo am na di say we di tiub blo. afta dat dεn kin prεs di layεr כyl we dεn kכlכm insay di vein pan di sayd dεm, we de opin di vein.
- Dɔn, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent oba di say we dɛn opin. Di stent de ɛp fɔ mek di at opin ɛn mek i nɔ blok bak.
Stɔdi dɔn sho se dis we fɔ du tin kin wok fayn fɔ lɛk 86% pan di sik pipul dɛn.
2. Koronari Atεri Baypas Graft (CABG) .
Dis na ɔpreshɔn we dɛn kin du fɔ opin in at. i rεkomεnd כnli if mכltipכl atεri dεm blכk, כ if di blכk tu kכmpleks fכ opin wit PCI.
Fɔ tɔk am simpul wan, dis involv fɔ mek "baypas" fɔ wan vein we dɔn blok. dat min se dεn de tek wan pat pan di vein frכm כda pat na yu bכdi (bכku tεm frכm yu chεst כ yu leg) εn dεn de mek nyu rod fכ blכd fכ fכlכ rawnd di pat we dεn blכk.
Dis ɔpreshɔn de prodyuz saksesful rizulyt fɔ lɛk 60% pan di pasɛnt dɛn.
Yu dɔktɔ we de mɛn yu at go ɛksplen to yu ditayli us tritmɛnt we go fayn fɔ yu.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
If dɛn no se yu gɛt CTO, i nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ fred ɔ shem fɔ aks dɛn kwɛstyɔn ya to yu dɔktɔ.
- "Dɔkta, wetin na di fɔs simptom dɛm fɔ dis CTO?"
- "Wetin test a nid fo du fo konfam dis?"
- "Us chenj a nid fɔ mek na mi layf fɔ mek dis kɔndishɔn nɔ apin?"
- "Us tritmɛnt opshɔn dɛn a gɛt? Wetin bɛtɛ fɔ mi?"
- "Afta tritmɛnt, wetin na di chans fɔ mek dis kɔndishɔn apin bak?"
Mɛsej we dɛn kin kɛr go na os
- CTO (Chronic Total Occlusion) na siriɔs sik we di blɔd vesel we de gi blɔd to di at kin blok ɔl (100%) fɔ pas 3 mɔnt.
- di men rizin fכ dis na di we aw tin dεm lεk k כlestכl εn כyl de d כn na di wכl dεm na di at dεm.
- Smok, ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel na di men tin dɛn we kin mek pɔsin gɛt dis sik. I rili impɔtant fɔ kɔntrol dɛn tin ya.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu taya pasmak , nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm.
- Nɔ wɔri, naw tritmɛnt dɛn de we rili saksesful lɛk PCI (stent plesmɛnt) ɛn CABG (baypas ɔpreshɔn).
- Fɔ liv fayn layf (gud it, ɛksesaiz) ɛn fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu go ɛp yu fɔ no dis sik.
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