Yu de wɔri bɔt at wɛlbɔdi? Lɛ wi tɔk bɔt ɔltin bɔt di sik we de ambɔg di at ɛn di blɔd.

Wi ɔl dɔn yɛri bɔt "at sik." Sɔntɛnde wi kin yɛri se, "O, a bin de du wɛl, dɔn wantɛm wantɛm a gɛt at atak ɛn a day." We wi yɛri stori dɛn lɛk dis, wi kin rili fil fred smɔl. Bɔt dis "at sik" nɔto jɔs wan sik. Na wan kɔlekɛshɔn fɔ sik dɛn we de afɛkt wi at ɛn di vaskul sistɛm we de kɛr blɔd ɔlsay na di bɔdi. Insay mɛrɛsin, wi kin kɔl ɔl dɛn sik ya togɛda as sik we de ambɔg di at ɛn di blɔd . So tide wi go tɔk bɔt ɛksaktɔli dis, bikɔs i rili impɔtant fɔ no bɔt dis.

Fɔ tɔk am simpul wan, wetin na sik we de ambɔg di at ɛn di blɔd?

Imajin yu bɔdi lɛk siti. Di at na di men wata pɔmp na di siti. Di blɔd vesel dɛn tan lɛk di paip dɛn we de kɛr wata frɔm di wata pɔmp go na ɔl di os dɛn na di siti. So, if sɔntin go rɔng wit dis pɔmp ɔ di wata paip dɛn, di wan ol siti go lɔs wata, nɔto so? Na so i bi.

Di sik we de ambɔg di at ɛn di blɔd na ɛni sik we de afɛkt wi at (di pɔmp) ɔ wi blɔd vesel (di vaskul sistɛm). Bɔku men tin dɛn de we kin apin:

• di bכdi we de na di at כ כda כgan dεm na di bכdi de sכmtεm: lεk dכti we de kכl wata paip.
• Prɔblɛm wit at ɔ blɔd vesel we dɛn bɔn wit: Sɔntɛnde, sɔm wikɛd tin dɛn kin de na dis sistɛm we dɛn bɔn am.
• di At Valv dεm Nɔ De Wok Fam: pat dεm de insay di at we lεk dεm we de εp fכ blכd fכ fכlכ na wan say nכmכ. If dɛn nɔ lɔk ɔ opin fayn, prɔblɛm kin apin.
• Hat palpitations: Ɛni chenj na di ritm na di at, lɛk fɔ bit tumɔs, tu fast, ɔ we yu nɔ de bit.

Sɔm pipul dɛn kin sho sɔm kayn sik wae dɛn gɛt dɛn sik ya. Bɔt sɔm pipul dɛn kin gɛt dis sik na dɛn at ɛn nɔr kin si ɛni sayn. Na dat mek i impɔtant fɔ mek wi ɔl no bɔt dis.

Aw dɛn sik ya rili bɔku?

Fɔ tɔk tru, dis kin bɔku pas aw yu go tink. Di sik dɛn we de ambɔg di at ɛn di blɔd na di men tin we de mek pipul dɛn day na Sri Lanka ɛn bak na di wɔl.

Aw a go no if a gɛt dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Dis na prɔblɛm we bɔku pipul dɛn gɛt. Di we aw de sik kin difrɛn difrɛn wan fɔ di kayn sik. Sɔmtɛm de sayn dɛm wae kin apun pan ol pipul dɛm ɛn uman dɛm kin nɔr klia smɔl. Bɔt i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to dɛn sayn ya.

Lɛ wi si wetin na di men sayn dɛm na di tebul we de dɔŋ ya.

Wetin na di ɔda men sik dɛm wae de pan di kayn sik wae de kam pan pɔrsin wae gɛt dis sik?

As wi bin dɔn tɔk bifo tɛm, dis na kɔlekɛshɔn fɔ sik dɛn. Bɔku men kayn sik dɛn de we wi de tɔk bɔt.

• Aritmia: Dis na di at bit ɔ ritm we nɔ de ɔltɛm we di at in ilɛktrik sistɛm nɔ fayn.
• Valv Sik: Di at valv dɛm we nɔ de opin fayn ɔ lɔk fayn, we kin mek blɔd lik bak.
• Korona at sik: Kכlestכl εn כda tin dεm kin bכku na di bכdi vεsul dεm (korona atεri dεm) we de gi bכdi to di at, we de blכk dεm. Dis na di men tin wae kin mek pɔrsin gɛt at atɔk, lɛk aw wi ɔl no.
• Hat Fayla: Dis nɔ min se di at dɔn stɔp fɔ wok. Na wan sik wae de hat nɔr kin ebul fɔ pɔmp inof blɔd to di bɔdi. Dis kin mek wata bɔku na di lɔng ɛn leg.
• Pɛriferal At Diziz: Di at we de gi blɔd to di ɔgan dɛn na di an, leg, ɔ bɛlɛ kin smɔl ɔ blok.
• Aortic Disease: Prɔblɛm wit di aorta, we na di men blɔd vesel we de kɛr blɔd frɔm di at to di bren ɛn ɔda pat dɛn na di bɔdi. Fɔ ɛgzampul, wan anɛrizm.
• Conngenital Hat Disease: At difεkt dεm we de apin we dεn bכn am.
• Pɛrikardia sik: Prɔblɛm wit di tin we de rawnd di at. Fɔ ɛgzampul, i kin gɛt inflamɛns (pericarditis).
• Sεribrovaskul Sik: Na di bכdi we de blכk we de gi blɔd to di bren. Wan men tin we kin mek pɔsin gɛt strok.
• Dip Vein Thrombosis (DVT): Na bכdi we de kכlכt na di vein dεm we de dip insay di bכdi (especially in di leg dεm).

Wetin mek wi kin gɛt dɛn sik ya? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Nɔr wan tin nɔr de we kin mek pɔsin gɛt sik na in at ɛn blɔd. De tin wae kin mek pɔrsin kin gɛt dis sik kin difrɛn difrɛn wan fɔ di kayn sik. fכ egzampl, di men kכz fכ `Koronary Artery Disease` εn `Peripheral Artery Disease` na di dכpכshכn fכ fεt lεk kכlestכl na di atεri wכl dεm (Atherosclerosis).

Bɔt dɛn dɔn no klia wan di tin dɛn we kin mek pɔsin gɛt dɛn sik ya mɔ ɛn mɔ. Sɔm pan dɛn tin ya na tin dɛn we wi kin kɔntrol. Sɔm wi nɔ ebul fɔ kɔntrol.

Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?

If yu gɛt ɛni sayn ɔr tin wae kin mek yu gɛt dis sik, yu dɔktɔ go aks yu kwɛstyɔn fɔs. I go aks bɔt yu sik, yu famili histri, ɛn aw yu de liv yu layf. Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi.

Apat frɔm dat, dɛn kin du difrɛn tɛst dɛn fɔ no di sik kɔrɛkt wan.

• Blɔd tɛst: Blɔd wok kin no di kɔlɔstrel, di shuga lɛvɛl, ɛn spɛshal prɔtin dɛn we de sho se di at gɛt wɛlbɔdi.
• Ankle Brachial Index (ABI): Na simpul tɛst we de kɔmpia di blɔd prɛshɔn na di leg ɛn an fɔ chɛk if di vein dɛn na di leg dɛn dɔn blok.
• Ilɛktrokardiogram (EKG/ECG): I de rikodɔ di ilɛktrik wok we di at de du, we de mek yu ebul fɔ si tin dɛn lɛk aw yu at de bit ɛn sayn dɛn we de sho se yu gɛt at atak.
• Echocardiogram (Echo): Dis kin yuz sawnd wev fɔ mek wan pikchɔ we tan lɛk vidio bɔt di at. Dis kin mek yu si klia wan di at in chɛmba dɛn, di valv dɛn, ɛn aw i de pɔmp blɔd.
• Ultrasound Scan: Dɛn kin yuz sawnd wev fɔ si blɔd we de flɔ na di vein dɛn na di leg ɛn nɛk.
• Kadyak CT ɛn MRI Skan: Dɛn tin ya kin mek rili klia tri-dimɛnshɔnal (3D) pikchɔ dɛn bɔt di at ɛn di blɔd vesel dɛn.
• Stress Test (Exercise EKG): Dɛn kin tek EKG we yu de waka ɔ rɔn pan tredmil. Dis kin si if di blɔd we de na yu at kin go dɔŋ we yu de du ɛksɛsayz.
• Cardiac Catheterization (Angiogram): Dɛn kin pas wan tiub we rili tan tru wan vein na di an ɔ leg to di at in vein dɛn, dɛn kin injɛkt spɛshal wata, ɛn dɛn kin yuz ɛkstrem rayt fɔ si ustɛm di vein dɛn dɔn blok.

Wetin yu de du as tritmɛnt?

Di we aw dɛn de trit yu dipen pan di sik we yu gɛt ɛn aw i siriɔs. Bɔt dɛn kin sheb di tritmɛnt to sɔm men pat dɛn.

1. Di Chenj dɛn we Yu De Layf

Dis na di fawndeshɔn fɔ tritmɛnt.

• Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: Nɔ it bɔku sɔl, shuga, ɛn ɔyl, ɛn it mɔ vɛjitebul, frut, ɔyl, ɛn it dɛn we gɛt fayv.
• Ɛksesaiz ɔltɛm: Ɛksesaiz fɔ at le 30 minit insay di de, bɔku dez insay di wik.
• Nɔ smok kpatakpata: I impɔtant fɔ lɛ yu nɔ smok ɔl di tin dɛn we yu de yuz fɔ smok, ivin fɔ mek yu nɔ smok.

2. Di mɛrɛsin dɛn we dɛn kin yuz

Yu dɔktɔ go gi yu difrɛn mɛrɛsin dɛn fɔ kɔntrol yu blɔd prɛshɔn, kɔlɔstrel, dayabitis, fɔ mek yu blɔd nɔ klɔt, ɛn fɔ mek yu at wok fayn. I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu.

3. Di we aw dɛn kin du am ɔ di ɔpreshɔn we dɛn kin du

Dɛn tin ya kin nid fɔ de pan kes dɛm wae mɛrɛsin nɔmɔ nɔr kin ebul fɔ kɔntrol di sik.

• Stent: Fɔ put smɔl tiub we tan lɛk mɛsh insay wan at we dɔn blok fɔ opin am bak.
• Baypas Ɔpreshɔn:baypas di vein we blכk, fכ mek nyu rod we yu de yuz wan pat pan di vein we dεn tek frכm כda pat na di bכdi.
• Ablashכn: ‘Mεlt’ εn pwεl di εria dεm na di at we de sεnd fכlt ilektrikal signal dεm we de mek di at bit i nכ de bit.

4. Rihabiliteshɔn fɔ di Kadyak

Dis na ɛksɛsayz ɛn advays program we dɔktɔ de kia fɔ ɛn we kin ɛp fɔ mek di at strɔng.

Ustɛm yu nid fɔ si dɔktɔ kwik kwik wan ɔ go na di ETU?

Sɔm sayn dɛn de we yu nɔ fɔ ignore . Dɛn tin ya kin bi sayn dɛm fɔ hat atak ɔr strok. If yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.

Nɔ ignore dɛn sayn ya. Di tritmɛnt we dɛn gi am di rayt tɛm kin sev pɔsin in layf.