Yu tink se di blɔd vesel na di at dɔn blok ɔltogɛda? Lɛ wi tɔk bɔt (Kronik Tɔtɔl Ɔklushɔn - CTO)!

Yu dɔn ɛva yɛri se blɔd vesel we de kɛr blɔd go na di at dɔn blok ɔltogɛda? Sɔntɛnde, dis kin las fɔ sɔm mɔnt. Dis na wetin wi kin kɔl kronik tɔtal ɔklushɔn (CTO) na mɛrɛsin. Dis na siriɔs stori, bɔt nɔ wɔri, bikɔs i impɔtant fɔ no bɔt am.

Wetin na Kronik Tɔtɔl Ɔklushɔn (CTO)? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, `(Chronic Total Occlusion)` ɔ `(CTO)` min se wan ɔ mɔ pan di korona at we de gi blɔd to yu at dɔn blok ɔl, ɔ 100%. Wi kin ad di wɔd `(Chronic)` to dis we dis blok dɔn de go fɔ tri mɔnt ɔ mɔ. Tink bɔt am lɛk se sɔntin dɔn blok wata paip kpatakpata. Dis kin mek di ɔksijɛn ɛn tin dɛn we di at mɔsul dɛn nid nɔ gɛt. Dis kin mek yu gɛt sɔm sayn dɛm lɛk chɛst pen, shɔt briz, `(Dyspnea),` ɛn sɔmtɛm ivin at atak. Dis sik kin tranga.

Udat de pan ay risk fɔ gɛt dis (CTO)?

infakt, dis kכndyushכn we dεn kכl `(Chronic Total Occlusion)` dεn kin si am mכst pan pipul dεm we gεt Koronary Artery Disease (CAD) . Akɔdin to sɔm stɔdi dɛm, lɛk wan pan tri pipul dɛm we gɛt `(CAD)` kin gɛt `(CTO)`.

Naw, di risk factors fכ divεlכp `(CTO)` na big wan wit di wan dεm fכ `(CAD)`. If yu na pɔsin we de smok, ɔ if yu gɛt dɛn tin ya bak, yu go gɛt `(CTO)`:

• Wan bɔdi mas indeks (BMI) we na 30 ɔ mɔ (we min se pɔsin fat).
• Dayabitis (Dayabitis Mɛlitɔs) .
• If pɔsin na di famili gɛt at sik (hereditary link).
• Ay blɔd prɛshɔn (Hypertension) .
• di ay kכlestכl lεvεl na di bכdi (Hyperlipidemia) .
• If yu bin dɔn gɛt at atak ɔ dɛn dɔn du ɔpreshɔn pan yu korona at .
• If yu de liv yu layf we nɔ de du natin (dat na, yu nɔ de du ɛksɛsayz).

Tink bɔt wi ɔnkul Sunil. I de smok bɔku sigrɛt, i gɛt smɔl shuga, ɛn i gɛt ay blɔd prɛshɔn. I nɔ de du ɛksɛsayz di rayt we. Pipul dεm lεk dat de pan di hεy risk fכ dis kכndyushכn we dεn kכl ``(CTO)''.

(CTO) Aw kɔmɔn dis sik?

Dis kכndyushכn, we dεn kכl ``(CTO)``, kin kכmכn wit di ej. Frɔm wetin dɛn dɔn tɔk bɔt:

• Na lɛk 37% pan di pipul dɛn we nɔ rich 65 ia yet.
• Na lɛk 40% pan di pipul dɛn we ol bitwin 65 ɛn 79 ia.
• Na lɛk 41% pan pipul dɛm wae dɔn pas 85 ia.

Dis na aw i de wok. Bɔt di kɔndishɔn `(CTO)` kin bɔku na sosayti pas aw masta sabi pipul dɛn kin tɔk. Bikɔs sɔm `(CTO)` nɔ de sho ɛni simptom. So, sɔm pipul dɛn nɔ kin ivin no se dɛn gɛt `(CTO)`. Dat min se, we dɛn nɔ gɛt ɔfishal diagnosis.

Wetin na di sayn dɛm fɔ wan (Chronic Total Occlusion)?

Okay, naw lɛ wi si us simptom yu kin gɛt if yu gɛt `(CTO)`. Sɔntɛnde, dɛn sayn ya kin bɔku we yu taya, we yu de du ɛksɛsayz, ɛn i kin stɔp we yu de rɛst. Bɔt sɔm pipul dɛn kin gɛt dɛn sik ya ivin we dɛn de rɛst. I impɔtant bak fɔ mɛmba se sɔntɛnde yu nɔ kin gɛt ɛni sayn atɔl.

De men sayn wae yu kin si na:

• Chɛst de pen, tayt, ɔ prɛs , lɛk se pɔsin de swɛt yu chɛst.
• Fɔ fil se yu gɛt diziz .
• Taya pasmak . Fɔ fil taya ivin afta yu dɔn du smɔl tin.
• Di at we nɔ de bit ɔltɛm .
• Vɔmit .
• Rɛsin ɔ at bit kwik kwik wan .
• I nɔ izi fɔ blo (Dyspnea) . Yu kin fil shɔt fɔ blo ivin afta yu dɔn waka fɔ shɔt tɛm.
• Pen we de kɔmɔt na di sholda dɔŋ di an .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i go fayn fɔ go to dɔktɔ fɔ advays, bikɔs dɛn tin ya kin bi sayn fɔ hat sik.

Wetin na di men rizin we mek dɛn mek (CTO)?

Fɔ tɔk am simpul wan, di men tin we kin mek yu gɛt `(Chronic Total Occlusion)` na we wan fat tin de put insay wan ɔ mɔ pan yu korona at. Wi de kɔl dis `plek` . biכs fכ di dכpכshכn fכ dis plek, di atεri wכl dεm sכmtεm sכmtεm sכmtεm sכmtεm εn stif. dis prכsεs dεn kכl am `(Atherosclerosis)` insay mεdikal. we dis `(Atherosclerosis)` kכndyushכn de apin na yu korona atεri dεm, wi kin kכl am Koronari Atεri Disease (CAD) . as tεm de go, dis plek de kכmכt εn te tεm di at de blכk kכmplit wan (100%). Na da tɛm de dɛn kin mek wan `(CTO)`.

Aw dɔktɔ dɛn kin no se pɔsin gɛt Kronik Tɔtɔl Ɔklushɔn? (Diagnosis) .

Dɔktɔ dɛn kin yuz wan tɛst we dɛn kɔl korona angiogram fɔ no if pɔsin gɛt krɛse sik. Dis min se yu fɔ injɛkt spɛshal day (kɔntrast day) insay wan blɔd vesel na yu an ɔ yu leg. Dis day de mek yu blɔd vesel dɛn sho klia wan pan ɛkstrem rayt. Dɔn di dɔktɔ kin si aw blɔd de pas na yu korona at ɛn if ɛnitin de we dɔn blok.

Apat frɔm dat, di dɔktɔ kin du sɔm ɔda tɛst dɛn bak. Sɔm pan dɛn tin ya na:

• MRI we de na di at: Dis kin mek yu si aw di at ɛn di blɔd de go.
• Cardiac Stress Test : Dɛn kin du dis tɛst fɔ si aw yu at de ansa we yu de du ɛksɛsayz, lɛk we yu de rɔn pan tredmil.
• Echocardiogram (Echocardiogram - echo) : Dis kin no di at wכl dεm, di valv dεm, εn aw bכdi de fכlכ tru di at.
• Ilɛktrokardiogram (EKG) : Dis kin luk di at in ilɛktrik signal ɛn di at ritm.

Na afta i dɔn du ɔl dɛn tɛst ya nɔmɔ di dɔktɔ kin kam to wan difinitiv kɔnklushɔn bɔt wan ``(CTO)''.

Aw dɛn kin trit wan (CTO)?

Tu men gol de we yu de trit pɔsin wit `(CTO)`. Wan pan dɛn na fɔ ridyus di sayn dɛn we pɔsin kin gɛt . Di ɔda wan na fɔ ridyus di risk fɔ gɛt sɔntin we gɛt fɔ du wit at, lɛk at atak . De kayn tritmɛnt wae yu nid go dipen pan aw yu sik kin tranga ɛn if yu dɔn ɔlrɛdi gɛt tritmɛnt fɔ `(CAD)`.

Yu dɔktɔ kin tɛl yu fɔ du dɛn tritmɛnt ya:

• Pɛkyutan Korona Intɛrvɛnshɔn (PCI) : Dɛn kin kɔl dis angioplasty ɛn stent . Insay dis prɔsidyu, yu dɔktɔ kin put wan smɔl ɔlo tiub (kateta) tru yu an ɔ yu an insay wan korona at na yu at. Dɔn, dɛn kin blo wan smɔl balyɔn tru di kateshɔn fɔ push di plek we dɔn blok na sayd. afta dat, dεn kin put wan sכmכl mεsh tכb (stεnt) insay di at fכ mek i nכ sכmtεm igen. Dis kin mek di blɔd flɔ bak.

• Coronary Artery Bypass Graft (CABG) : Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Insay dis prɔsidyu, di ɔspitul kin tek wan wɛlbɔdi at ɔ vein frɔm ɔda pat na yu bɔdi (bɔku tɛm yu leg ɔ chɛst) ɛn mek nyu rod (baypas) rawnd di korona at we dɔn blok. I tan lɛk se yu tek difrɛn rod we rod blok.

Mɛmba se, dɛn tu tritmɛnt ya kin trit di sik fayn fayn wan `(CTO).` Yu dɔktɔ go ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu.

Wetin na di lukin-grɔn wit di (CTO) pozishɔn?

Chronic Total Occlusion na siriɔs sik, bɔt nɔr wɔri, dɛn kin mɛn dis kɔndishɔn fayn fayn wan wit di rayt tritmɛnt.

Sɔm stɔdi dɛn dɔn sho se PCI kin trit CTO fayn fayn wan pan 86% pan di sik pipul dɛn, we ɔda stɔdi dɛn dɔn sho se CABG kin trit lɛk 60% pan di sik pipul dɛn fayn fayn wan.

So, if yu gɛt di rayt tritmɛnt ɛn chenj di we aw yu de liv yu layf, yu go ebul fɔ liv fayn layf.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt `(Chronic Total Occlusion)`, ɔ if yu tink se yu kin gɛt di sik, i rili impɔtant fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dis:

• Wetin na di fɔs simptom dɛm fɔ wan `(CTO)`?
• Us tɛst a nid fɔ du fɔ no if a gɛt `(CTO)`?
• Us chenj na layf stayl a kin mek fɔ ridyus mi risk fɔ gɛt `(CTO)`? (e.g. it, ɛksesaiz)
• Wetin na di tritmɛnt opshɔn dɛm fɔ wan `(CTO)`? Uswan na di bɛst tin fɔ mi?
• Wetin na di chans fɔ mek CTO divɛlɔp bak afta dɛn dɔn trit am? Wetin dɛn kin du fɔ mek i nɔ apin?

Aks dɛn kwɛstyɔn ya fɔ ɔndastand yu sik klia wan. Dɔn yu kin sɔpɔt yu tritmɛnt bɛtɛ bɛtɛ wan.

Mɛsej we dɛn kin kɛr go na os

Okay, so, fɔ sɔma, dɛn tin ya na di impɔtant tin fɔ mɛmba bɔt di `(Chronic Total Occlusion - CTO)` we wi bin tɔk bɔt.

Korona at ɔklushɔn (CTO) na wan sik we di korona at we de gi blɔd to yu at dɔn blok ɔltogɛda fɔ pas tri mɔnt. Dis kin mek di blɔd nɔ go na di at ɛn i kin mek i gɛt siriɔs prɔblɛm dɛn lɛk at atak.

Bɔt if dɛn no di sik ɛn trit am fayn fayn wan, dɛn kin ebul fɔ kɔntrol di sik dɛn ɛn liv gud layf. Dɛn kin yuz ɔl tu di Pɛkyutan Korona Intɛrvɛnshɔn (PCI) ɛn Korona At Baypas Graft (CABG) fɔ trit CTO fayn fayn wan.

If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm . Tek kia ɔf yu at!

` At sik, korona at, blɔk at, CTO, at atak, angioplasti, baypas ɔpreshɔn