Yu at de fil wik? Lɛ wi no bɔt dis denja at shɔk (Cardiogenic Shock)!

Yu dɔn ɛva tink bɔt aw wi at na pɔmp we wɔndaful? Bɔt sɔmtɛm, tɛm kin de we di at nɔ kin ebul fɔ wok fayn. We dat apin, di ɔda pat na di bɔdi nɔ kin ebul fɔ gɛt inof blɔd, we dɛn kɔl cardiogenic shock . Dis na sik we de mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ kwik kwik wan. So lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

Wetin na dis kadyojɛnik shɔk?

Fɔ tɔk am simpul wan, kadyojɛnik shɔk na we yu at nɔ ebul fɔ pɔmp inof blɔd to yu bɔdi. We yu blɔd prɛshɔn go dɔŋ, yu impɔtant pat dɛn (lɛk yu bren, yu kidni, ɛn yu liva) nɔ kin gɛt di ɔksijɛn we dɛn nid. Dɔn dɛn ɔgan ya kin stɔp fɔ wok ɛn bigin fɔ pwɛl. Dis na siriɔs imejensi ɛn i nid fɔ go na ɔspitul ɛn tritmɛnt wantɛm wantɛm. If nɔto dat, i kin mek pɔsin in layf de pan denja.

Difrɛn stej dɛn de fɔ dis bak?

Yɛs, dɔktɔ dɛn kin sheb dis sik we de mek pɔsin in at pwɛl to difrɛn stej dɛn akɔdin to aw di sik rili bad. Jɔs lɛk klas dɛn na skul. Dat min se, dɛn kin disayd dɛn stej ya akɔdin to aw di pɔsin kin gɛt prɔblɛm ɛn i nɔ kin izi fɔ am. Lɛ wi si wetin dɛn bi:

• At risk (A): Dis min se yu kin gɛt hat atak ɔr at pwɛl, bɔt yu nɔr de sho sayn dɛm fɔ shok yet. Dis min se smɔl risk de ɛn yu fɔ tek tɛm.
• Bigin (B): Na dis tɛm ya, yu blɔd prɛshɔn kin bigin fɔ go dɔŋ, ɔ yu at kin rit nɔrmal. Dis min se yu rɛdi fɔ go insay shɔk.
• Klasik (C): If na so i bi, yu kin nid mɛrɛsin ɔ sɔm kayn tin fɔ ɛp fɔ pɔmp blɔd to yu bɔdi in ɔgan dɛn. Di kɔndishɔn siriɔs smɔl.
• Stej we de pwɛl (D): Na ya, di sik kin wɔs afta lɛk 30 minit, ɛn i nɔ kin gɛt ɛni ansa to di mɛrɛsin ɔ di ikwipmɛnt we dɛn yuz.
• Extremis (E): Dis na di stej we kin tranga pas ɔl. Hat atak kin kam ɛn yu nid ventilator fɔ blo, CPR fɔ mek yu hat gɛt layf bak, ɛn defibrillator.

Dɛn se na bitwin 40,000 ɛn 50,000 pipul dɛn na Amɛrika nɔmɔ kin gɛt dis sik ɛvri ia. Uman dɛn kin gɛt am mɔ. Dɔn bak, pipul dɛm wae dɔn pas 75 ia ɛn wae gɛt hat sik bifo dɛn kin gɛt bɔrku risk.

Wetin na di sayn dɛm fɔ dis? Si if yu get dis tu...

If yu gɛt wan ɔr mɔr pan dɛn sik ya, yu fɔ wɔri bɔt dɛn.

• Kɔnfyushɔn ɔ lɔs pan kɔnshɛns:Yu nɔ go ebul fɔ no di rayt tin we de apin, ɔ i kin tan lɛk se di tin dɛn we yu de tɔk nɔ klia.
• Faint: Yu kin lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm.
• I nɔ izi fɔ blo: I nɔ izi fɔ blo, i kin fil lɛk pɔsin we de swɛla.
• Di urine we de go dɔŋ: Di urine we yu de pas nɔ bɔku pas aw yu kin pis.
• An ɛn fut we kol: An ɛn fut kin fil kol we yu tɔch am.
• Skin in kɔlɔ kin chenj: Di skin kin tɔn blu ɛn tɔn blu.
• Ekstrim taya/taya: Tu taya fɔ du ɛnitin.
• di bεlε εn di leg dεm de swεla: di bεlε de swεla lεk se i fulכp wit wata, εn di tu leg dεm de swεla.
• Anorexia: I nɔ kin want fɔ it igen.

Di tin we impɔtant pas ɔl: If yu gɛt sɔm sayn dɛm fɔ hat atak (e.g., yu chɛst de pen bad bad wan, yu nɔ de blo fayn), go to dɔktɔ kwik kwik wan. Nɔ delay!

Wetin mek dis de apin? Wetin na di rizin dɛn?

Di men tin we kin mek pɔsin gɛt prɔblɛm wit in at na we i gɛt at atak . Bɔt, ɔda tin dɛn we kin apin to pɔsin in at kin kam bak. Fɔ tɔk am simpul wan, ɛnitin we mek yu at nɔ wok fayn, kin mek yu gɛt am.

Sɔm ɔda rizin dɛn na:

• Mayokarditis : Na inflamɛns na di at mɔsul.
• Endocarditis : Infεkshכn na di at valv dεm.
• Abnɔmal at bit (Arrhythmia) : Na at bit we nɔ de bit ɔltɛm.
• Cardiac Tamponade : Na wan sik we wata ɔ blɔd kin gɛda insay di sak we de rawnd di at, we kin mek di at prɛshɔn.
• Pulmonary Embolism : Wan blɔd we de klɔt kin blok wan blɔd vesel na di lɔng dɛn wantɛm wantɛm.
• Prɔblɛm wit at valv: Fɔ ɛgzampul, we di mɔsul we de sɔpɔt di valv, ɔ di prɔstɛtik valv we dɛn dɔn put insay pɔsin in bɔdi we nɔ de wok fayn.
• di damej na di wכl bitwin di lεft εn rayt atria na di at.
• Wan injuri na in chɛst.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm tin dɛn de we kin mek pɔsin gɛt at sik mɔ ɛn mɔ. Dɔn, wan de, dis at atak (Cardiogenic Shock) kin apin. Lɛ wi si wetin na dɛn tin ya we kin mek wi gɛt prɔblɛm:

• Fɔ gɛt at prɔblɛm.
• Bikɔs i bin dɔn gɛt at atak bifo tɛm.
• Fɔ gɛt korona at sik.
• Di ay blɔd prɛshɔn.
• Kɔlestɔl we bɔku.
• Shuga.
• Yuz tabak (fɔ smok, fɔ it tabak).
• Ovaweit ɛn Fat pasmak.
• Bikɔs dɛn bin dɔn du di korona at baypas ɔpreshɔn bifo dis tɛm.
• Nɔ de du ɛksɛsayz fɔ yu bɔdi.

Di gud nyus na dat yu kin chenj sɔm pan dɛn tin ya we kin mek yu gɛt prɔblɛm. Dat min se yu kin ridyus di prɔblɛm we yu gɛt bay we yu chenj di we aw yu de liv yu layf.

Wetin na di sayd ɛfɛkt dɛm wae dis sik kin gɛt?

Kardiogenic shock kin pwɛl impɔtant ɔgan dɛm lɛk yu bren, liva, ɛn kidni dɛm. I kin mek bak in at bit fayn ɛn mek pɔsin day bikɔs in at nɔ de wok. Strɔk na ɔda prɔblɛm we kin apin. Sɔntɛnde, dis sik kin kil pɔsin.

Aw dɔktɔ dɛn kin no dis?

We yu go to dɔktɔ, i go aks yu bɔt yu sik ɛn di sayn dɛn we yu de gɛt. Dɔn, we yu de chɛk yu bɔdi, yu kin notis sɔm sayn dɛn lɛk:

• Wan wik puls.
• Skin kin fil kol ɛn swet.
• Lɔw blɔd prɛshɔn.
• Wan at bit we nɔr de bit ɔ wan sawnd we nɔrmal we di dɔktɔ kin yɛri wit stetɔskɔp (Heart Murmur).

Us tɛst dɛn dɛn kin du?

Dɛn kin du sɔm tɛst dɛn fɔ no if pɔsin gɛt di sik we de mek pɔsin in at pwɛl.

• Blɔd Prɛshɔn Kɔf: Chɛk fɔ si if blɔd prɛshɔn smɔl.
• Cardiac Catheterization: Dɛn kin du dis fɔ chɛk if di korona at dɛn we de gi blɔd to di at dɔn blok. I kin chɛk bak aw di at de pɔmp blɔd fayn fayn wan.
• Ilɛktrokardiogram (ECG/EKG): Si di ilɛktrik aktiviti na di at (at ritm).
• Echocardiogram: De chɛk fɔ ɛni prɔblɛm wit di trɛnk we di at gɛt ɛn di strɔkchɔ na di at.
• Chɛst X-ray: Fɔ chɛk fɔ si if wata de na di lɔng dɛn ɛn aw di at ɛn di blɔd vesel dɛn de.
• bכdi tεst: dεn kin du tεst lεk `(Lactate)` fכ chεk di כksijεn lεvεl na di bכdi εn fכ si if di mכtalman כgan dεm dεn dכn pwεl.

Aw dɛn kin trit dis?

Dis na tin we kin mek pɔsin in layf de pan denja, so i impɔtant fɔ gɛt tritmɛnt kwik kwik wan .

di men gol fכ tritmεnt fכ di kכdiכjεnik shכk na fכ mek di bכdi εn כksijεn fכ fכlכ to di men כgan dεm εn fכ mek dεn nכ damej. Sɔntɛnde, dɛn kin du dis wit mɛrɛsin. Bɔt if i bad, dɛn kin nid spɛshal tin dɛn (Sɔpɔt Divays) fɔ ɛp di at.

Di tritmɛnt dɛn we dɛn kin bigin na di ɔspitul in Imejɛnsi Rum ɔ Intɛnsiv Keya Yunit (ICU) kin inklud:

• Mɛrɛsin dɛn we de pul di wata we pasmak, we de mek di blɔd go fayn, ɛn we de ɛp di at fɔ wok.
• Ɔksijɛn fɔ ɛp fɔ blo (sɔntɛm wit ventilatɔ).
• wan Swan-Ganz Kateta fכ mכnitor di prεshכn dεm insay di at.
• Sɔpɔt Divays dɛn we de ɛp di at bay mashin.

Di tritmɛnt we dɛn kin gi afta dat

Afta imejensi tritmɛnt, ɔda tritmɛnt de dipen pan di kɔz fɔ yu kadiɔjɛnik shɔk. Di tritmɛnt kin inklud:

• If na bikɔs ɔf at atak: Angioplasty fɔ alaw blɔd fɔ flɔ tru wan blɔd vesel we dɔn blok ɛn sɔntɛm wan stent.
• If na bikɔs ɔf valv prɔblɛm: Ripa ɔ Riples di At Valv.
• Fɔ at we nɔ de bit fayn: Defibrillation (we de gi ilɛktrik shɔk) ɔ put pesmɛka insay.
• If wata de rawnd di at: Na we yu de yuz nidul fɔ pul di wata we pasmak we de prɛs pan di at.
• fכ di korona at dεm we blכk: Koronari Atεri Baypas Graft (CABG / Open-Heart Surgery) fכ alaw mכr bכdi fכ fכlכ to di at.
• fכ hat we nid εkstra εp: wan mashin we dεn kכl `ECMO (Extracorporeal Membrane Oxygenation)` fכ du di wok fכ yu at εn lכng, εn wan sכt tεm pכmp `(Short-term Pump in Aorta)` fכ εp di at fכ pכmp mכr bכdi.
• fכ hat we lεk se i de fεl: wan lכng tεm divays fכ εp di at dεn kכl am ``Left Ventricular Assist Device (LVAD).`` di nεks step na ``Hat Transplant.``

Aw lɔng i go tek fɔ mek i wɛl?

Di tɛm we yu go tek fɔ mek yu wɛl, dipen pan di tritmɛnt we yu de gɛt. Yu kin nid fɔ de na ɔspitul fɔ wan wik ɔ mɔ. Afta dat, e kin tek enisay frɔm sɔm wiks to sɔm mɔnt fɔ wɛl, ilɛksɛf na os ɔ na rihabiliteshɔn sɛnta. If yu go na program fɔ rihabilite yu at afta yu dɔn gɛt at atak, dat kin ɛp yu bad bad wan fɔ dis we aw yu de wɛl.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ hat atak ɔr kadiɔjɛnik shɔk, kɔl ambulans wantɛm wantɛm. Yu kin bigin fɔ trit yu na di ambulans.

Afta yu gɛt kardiogenic shock, yu go nid fɔ go to yu dɔktɔ fɔ fala-ɔp visit. If yu gɛt mɛrɛsin we de ɛp yu at fɔ wok fayn, yu go nid fɔ de chɛk yu ɔltɛm fɔ mek shɔ se i de wok fayn.

If yu gɛt ɛni nyu sayn, yu fɔ tɛl yu dɔktɔ bɔt am bak.

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Us kayn tin a fɔ tek tɛm wit tumara bambay?
• A nid fɔ mek ɛni chenj pan di tin dɛn we a de du ɛvride?
• Us mɛrɛsin dɛn a fɔ kɔntinyu fɔ tek ɛn fɔ aw lɔng?

Yu nɔ tink se dɛn go ebul fɔ stɔp dis?

Fɔ gɛt tritmɛnt kwik kwik wan fɔ at atak na di bɛst we fɔ mek yu nɔ gɛt at atak, bikɔs bɔku tɛm na at atak kin kam wit di at atak.

Si yu dɔktɔ fɔ no bɔt yu risk fɔ gɛt at sik ɛn tek step fɔ mek yu at wɛl bɔdi fayn. If yu gɛt korona at sik, go to yu dɔktɔ ɔltɛm ɛn fala di tritmɛnt plan we i tɛl yu fɔ du.

Wetin go apin if yu gɛt dis prɔblɛm?

Aw kadyojɛnik shɔk kin afɛkt yu layf dipen pan aw yu kin gɛt tritmɛnt kwik kwik wan. Di shɔt tɛm we yu de shok, na di mɔ i go bɛtɛ. Dat min se yu men ɔgan dɛn nɔ go pwɛl bɛtɛ. Di mɔ ɔgan dɛn we nɔ de gɛt inof blɔd, na di mɔ yu go gɛt prɔblɛm fɔ day bikɔs ɔf di sik we de mek yu at pwɛl.

Di chans fɔ sev frɔm di kadyojɛnik shɔk dɔn go ɔp as tɛm de go. Bɔt ivin if dɛn gɛt tritmɛnt, dis sik kin kil pɔsin. Bɔku pipul dɛn nɔ kin sev frɔm am.

Wetin na di difrɛns bitwin Kadiɔjɛnik Shɔk ɛn Sɛptik Shɔk?

Dɛn tu tin ya na shɔk kɔndishɔn. Dis min se yu ɔgan ɛn tisu dɛn nɔ de gɛt di ɔksijɛn we dɛn nid. Bɔt, difrɛn tin dɛn kin mek dɛn tu tin ya we kin mek pɔsin in layf de pan denja. Kardiogenic shock na bikɔs ɔf at sik. Sɛptik shɔk na infɛkshɔn kin kam. Sɔntɛnde, dɛn tu tin ya kin apin di sem tɛm.

Yu tink se Cardiogenic Shock na di sem tin wit Hat Atak?

Nɔ, di shɔk we pɔsin kin gɛt we i gɛt at atɔk nɔto di sem tin. Bɔt, at atak na di men tin we kin mek pɔsin gɛt prɔblɛm wit in at.

Wae yu sev frɔm hat atak ɛn cardiogenic shock, yu kin de fil bɔrku filin. I fayn fɔ tɔk bɔt wetin yu de go tru wit pɔsin we de gi yu advays, yu padi, ɔ pɔsin we de sɔpɔt yu. Nɔ fɔgɛt fɔ tek ɔl di mɛrɛsin dɛn we yu dɔktɔ gi yu. We yu go to yu dɔktɔ, dat kin ɛp yu fɔ go tru yu wɛl bɔdi.

Di impɔtant tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt na:

Okay, so naw yu don andastan gud gud wan fo wetin wi tok abaut tide, Cardiogenic Shock. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Cardiogenic shock na wan tin we kin apin wantɛm wantɛm we kin apin we di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
• Yu fɔ no bɔt di sayn dɛm: If yu gɛt sɔm kayn sik lɛk fɔ blo, yu chɛst de pen, yu nɔr de no natin, ɛn yu an ɛn fut kol, nɔr de delay.
• Go to dɔktɔ kwik kwik wan: If yu gɛt dɛn sik ya, go na ɔspitul wantɛm wantɛm. Kɔl wan ambulans.
• Hat atak na di men tin we kin mek yu gɛt at atak: so, if yu si sayn dɛm fɔ hat atak, go to tritmɛnt kwik kwik wan fɔ dat bak.
• Kɔntrol di tin dɛn we kin mek yu gɛt prɔblɛm: Nɔ smok, it fayn it, ɛksesaiz, ɛn kɔntrol dayabitis ɛn ay blɔd prɛshɔn. Dɛn tin ya kin ɛp yu fɔ protɛkt yusɛf frɔm dɛn kayn tin ya.

If yu want fɔ no mɔ bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Kadiɔjɛnik Shɔk, at atak, at sik, imejensi tritmɛnt, at, blɔd prɛshɔn