Sɔntɛnde yu kin fil pen na yu chɛst, yu nɔ kin ebul fɔ blo fayn, ɔ yu kin fil se yu gɛt ebi ebi we yu de waka? We yu go to yu dɔktɔ, i kin tɛl yu se yu nid fɔ du spɛshal tɛst fɔ si if ɛnitin dɔn blok na di at we de gi blɔd to yu at (we wi kin kɔl di korona at). wan pan di imכtant tεst dεm we dεn kin du dεn kayn tεm ya na di ‘koronary angiogram’. Sɔm pipul dɛn kin fred smɔl ɛn fred we dɛn yɛri dis nem. "Oh, dis na big opareshon?", "I go at plenti?" "Ɛni risk de?" Bɔku kwɛstyɔn dɛn kin kam na mi maynd. So, insay dis atikul, wi go tɔk bɔt di rayt tin bɔt dis angiogram tɛst, aw dɛn kin du am, aw fɔ pripia fɔ am, ɛn ɔl wetin yu nid fɔ no bɔt am.
Wetin rili na korona angiogram?
Fɔ tɔk am simpul wan, korona angiogram na spɛshal ɛkstrem rayt tɛst we de chɛk aw blɔd de flɔ fayn fayn wan na yu at in korona at, we na di men blɔd vesel dɛn we de kɛr blɔd go na yu at mɔsul. Jɔs lɛk aw yu de chɛk di trafik na siti strit fɔ si if ɛnitin de we dɔn blok, we de blok, ɔ we de smɔl, na so i de chɛk fɔ si if ɛnitin dɔn blok ɔ smɔl na yu at in blɔd vesel dɛn.
We dɛn de du dis tɛst, dɛn kin put spɛshal day ɔ pigmɛnt insay di blɔd vesel dɛn ɛn tek sɔm ɛkstrem rayt pikchɔ dɛn. Dis day de mek dɛn ebul fɔ si di insay pat pan di blɔd vesel dɛn klia wan pan di ɛkstrem rayt. I tan lɛk se yu de shayn flashlayt insay dak rum ɛn si di rod. Dis kin mek di dɔktɔ si if di kɔlɔstrel dɔn bɔku na yu at (we dɛn kɔl atherosclerosis ) we dɔn mek di blɔd nɔ bɔku ɔ i nɔ ebul fɔ flɔ. Dis kayn blɔk na di men tin we kin mek pɔsin gɛt at atak leta.
Ɔnda us sikɔstɛms dɔktɔ go aks yu fɔ du dis tɛst?
Yu dɔktɔ go tɛl yu fɔ du dis tɛst if yu gɛt wan ɔ mɔ pan dɛn rizin ya. Lɛ wi tek wan luk pan wetin dɛn bi.
| Rizin | Simpul ɛksplen |
|---|---|
| Nɔmal tɛst ripɔt dɛn | If yu dɔn gɛt abnɔmal rizɔlt frɔm wan strɛs tɛst ɔ ECG (Electrocardiogram) we yu bin dɔn du bifo. |
| At sik we bin dɔn de bifo | If yu gɛt at valv sik, at atak, ɔ at pwɛl. |
| Bifo dɛn du di ɔpreshɔn | If dɛn dɔn plan fɔ du ɔda ɔpreshɔn pan yu at, fɔ chɛk aw di at in at dɛn de bifo i apin. |
| Chɛst pen (Angina) . | If yu gɛt nyu chɛst pen, ɔ if di kayn pen dɔn chenj. |
| Di sayn dɛm we dɛn nɔ ɛksplen | If yu gɛt unusual chɛst diskɔmfɔt ɔr yu gɛt prɔblɛm fɔ blo we ɔda tɛst nɔ go ebul fɔ fɛn. |
Di dɔktɔ go ɛksplen to yu wetin mek dɛn de aks yu fɔ du dis tɛst. Aks ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt am wantɛm wantɛm.
Aw yu fɔ pripia bifo di tɛst?
Pan ɔl we dis nɔto big tin lɛk ɔpreshɔn, i nid fɔ pripia smɔl. Yu dɔktɔ go ɛksplen dis to yu ditayli. Na dɛn tin ya dɛn go ɔltɛm aks yu fɔ du:
- Fɔ it ɛn drink: Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin pas wata fɔ lɛk 8 awa bifo di tɛst.
- Mɛrɛsin: If yu de tek ɛni mɛrɛsin lɛk antikoagulant, dayabitis mɛrɛsin, diuretik, ɔ sildenafil, yu dɔktɔ go aks yu if yu nid fɔ stɔp fɔ tek am ɔ ajɔst di doz insay di de dɛn bifo di tɛst. I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Alɛji: If yu dɔn ɛva gɛt alɛji to wan kayn kɔntrast day ɔ anestetik mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
- Bɛlɛ: Yu fɔ tɛl yu dɔktɔ bak if yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ.
- Transpɔt: Dɛn nɔ go alaw yu fɔ drayv di sem de afta di tɛst. So, if yu de go na os da de de, i impɔtant fɔ mek yu arenj fɔ mek pɔsin drayv yu.
Wetin kin apin we dɛn de du angiogram?
Dis na di big kwɛstyɔn we ɔlman gɛt. "Wetin de hapun insaid?" Imajin, dis na sɔntin we dɛn rili plan ɛn tek tɛm du. Lɛ wi si wetin de apin stɛp bay stɛp.
1. Fɔ pripia: Fɔs, dɛn go gi yu ɔspitul gɔn ɛn tɛl yu fɔ ledɔm pan spɛshal bed na di ɛgzam rum.
2. Sεdεshכn: Dɔn dεn kin put IV tyub (kanyula) insay wan vein na yu an, εn dεn gi yu wan sεdativ tru am. Dis go ɛp yu fɔ rilaks ɛn pul yu fred ɛn wɔri. Bɔt yu nɔ go lɔs kɔnshɛns, yu go kɔnshɛns fɔ lisin to wetin di dɔktɔ dɛn se, kɔf smɔl we dɛn tɛl yu fɔ du am, ɛn ol yu briz.
3. Fɔ wach aw yu at de wach: Dɛn kin put ECG stika dɛn na yu chɛst ɛn dɛn kin wach yu at rit ɔl di tɛm we dɛn de du di tɛst.
4. Numbness: Neks, di dɔktɔ go pik fɔ put smɔl tiub insay wan blɔd vesel na yu groin ɔ wrist. Di eria go numb wit wan lokal anestetik. So yu nɔ go fil ɛni pen. Bɔt yu kin fil smɔl smɔl we di dɔktɔ de wok.
5. Insay di kateshɔn: Afta dɛn dɔn anestez, dɛn kin put wan tiub we rili tan ɛn we kin chenj, we dɛn kɔl kateta , tru di blɔd vesel we dɛn dɔn pik.
6. Joyn to di at: Dɔn di dɔktɔ we de mɛn di at kin luk di ɛkstrem rayt ɛn tek tɛm gayd dis kateshɔn tru yu blɔd vesel dɛn to di korona at dɛn na yu at.
Di tin we impɔtant pas ɔl na dat yu nɔ go fil dis kateshɔn de go tru yu bɔdi atɔl, bikɔs nɔ nerv nɔ de insay di blɔd vesel dɛn we kin fil pen.
7. X-ray ɛn day: We di kateshɔn dɔn de, dɛn kin put spɛshal day insay di vein tru di kateshɔn. We dɛn injɛkt di day, yu kin fil wam smɔl ɔ yu kin bɔn fɔ sɔm sɛkɔn. Dis na nɔmal tin ɛn yu nɔ fɔ mek yu fred. As dɛn de pas di day na di vein, wan X-ray mashin (we dɛn kɔl fluoroscopy ) go de rɔn rawnd yu ɛn tek pikchɔ.
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Tipikli, dis ol prכsεs kin tek bitwin 30 εn 50 minit.
A kin gɛt tritmɛnt we dɛn de du di tɛst?
Yɛs. Sɔntɛnde, if di dɔktɔ si sɔntin we dɔn blok, i kin trit am wantɛm wantɛm. Dɛn kin sɛn wan balyɔn to di say we di blɔk ɛn dɛn kin blo am fɔ mek di at big ( angioplasty ). Dɔn dɛn kin put wan smɔl tin we tan lɛk mɛsh ( stent ) na di say fɔ mek di at nɔ smɔl igen. Bɔt nɔto ɔltɛm dɛn kin du dis. Sɔntɛnde, di dɔktɔ kin disayd se i bɛtɛ fɔ du ɔda tritmɛnt leta.
Wetin kin apin afta di tɛst?
We dɛn dɔn fɔ du di tɛst, di dɔktɔ go pul di kateshɔn. Dɔn fɔ mek di blɔd nɔ kɔmɔt, dɛn go put prɛshɔn ɛn bandej na di say we dɛn put di kateshɔn. Bɔku pipul dɛn kin go na os insay sɔm awa afta dɛn dɔn du di tɛst, ivin di sem de. Bɔt if di tɛst kɔmplikt ɔ if dɛn du am na de, yu go nid fɔ de na ɔspitul da nɛt de.
Yu kin fil taya smɔl afta yu dɔn go na os. Di say we dɛn put di kateshɔn kin wund smɔl ɛn brus fɔ lɛk wan wik so. Yu dɔktɔ go advays yu fɔ rɛst ɛn nɔ fɔ du tin tranga wan fɔ tu to tri dez.
Yu tink se ɛni prɔblɛm kin de we dis kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl risk de. Bɔt mɛmba se, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm. Ɛspɛshali if dɛn du di tɛst na ɔspitul wit dɔktɔ dɛn we gɛt ɛkspiriɛns ɛn we de du dis tɛst ɔltɛm.
| Risk dɛn we pɔsin kin gɛt (bɔt we nɔ kin apin so ɔltɛm). | |
|---|---|
| Alɛji to di day ɔ anestetik | Damej to wan blɔd vesel |
| Blid, infεkshכn frכm di say we dεn put kateshכn | At nɔ de bit ɔltɛm (ari at) . |
| Blɔd we de klɔt | Hat atak ɔ strok |
| Kidni damej (especially pan pipul dɛm wae dɔn ɔlrɛdi gɛt kidni sik) . | Fluid we de bɔku rawnd di at (cardiac tamponade) . |
Udat dɛn kin gɛt di risk smɔl?
- Fɔ di wan dɛn we dɔn pas 65 ia
- Fɔ di wan dɛn we gɛt dayabitis
- Fɔ di wan dɛn we gɛt sik na dɛn kidni
If yu gɛt ɛni kwɛstyɔn bɔt dɛn prɔblɛm ya, tɔk to yu dɔktɔ bifo yu du di tɛst ɛn tɛl yu gud gud wan.
Aw a go no di rizɔlt fɔ di tɛst?
Bɔku tɛm, yu dɔktɔ go tɛl yu di rizɔlt jɔs afta di tɛst dɔn.
- Nɔmal Rizɔlt: Dis min se nɔr de blok na yu korona at ɛn blɔd flɔ fayn. If na so i bi, di tin we kin mek yu gɛt di sik kin bi ɔda tin.
- Abnɔmal Rizult: Dis min se wan ɔ mɔ vein dɛn de blok ɔ smɔl. Di dɔktɔ go ɛksplen to yu ustɛm di vein dɔn blok, usay i de, ɛn aw di blɔk bad bad wan. i kin sho as pasεnshכn (fכ egzampl, 70% blכk).
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
If sɔntin blok, yu dɔktɔ go ɛksplen to yu di bɛst we fɔ du. Dis kin inklud:
- Angioplasty ɛn stent
- Fɔ bigin fɔ tek mɛrɛsin
- Yu kin chenj di we aw yu de liv yu layf, lɛk fɔ chenj di tin dɛn we yu de it ɛn fɔ du ɛksɛsayz
- Baypas ɔpreshɔn (Koronari Atɛri Baypas Ɔpreshɔn - CABG) .
Us tɛm yu want fɔ si di dɔktɔ bak?
Afta yu go na os, pe atɛnshɔn usay dɛn put di kateshɔn. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If blɔd de kɔmɔt pasmak frɔm da say de
- If di swɛlin de bɔku
- If yu si sayn dɛm fɔ infekshɔn, lɛk we yu skin gɛt kɔlɔ ɔ yu gɛt pus
- If yu fil se i nɔ izi fɔ mek blɔd go na yu an ɔ yu leg
Angiogram nɔto tin we kin rili mek pɔsin fil pen. Yu go jɔs fil smɔl pen we dɛn put di IV ɛn gi yu di mɛrɛsin we de mek yu nɔ fil fayn. Yu nɔ go fil se dɛn de put di kateshɔn ɔ dɛn de muv am tru yu bɔdi. If yu fil ɛni pen we yu nɔ go ebul fɔ bia we yu de du di ɔpreshɔn, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm.
Na nɔmal tin fɔ fil fɔ fred we dɛn tɛl yu se yu nid fɔ du angiogram. Bɔt mɛmba se di tin dɛn we yu go no bɔt dis tɛst go ɛp yu dɔktɔ fɔ no di rayt we aw yu at de ɛn plan di tritmɛnt we go fayn fɔ yu. So tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis. Dɛn de de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Koronari angiogram na wan tɛst we rili kɔmɔn ɛn we nɔ bad fɔ chɛk fɔ si if di blɔd vesel dɛn na di at dɔn blok.
- Bay di infɔmeshɔn we dɛn gɛt frɔm dis, di dɔktɔ kin no di bɛst tritmɛnt fɔ yu.
- Dis nɔto tin we kin rili mek pɔsin fil pen. Yu go jɔs fil smɔl diskɔmfɔt bikɔs ɔf di tingling sɛnseshɔn.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (fast, mɛrɛsin) jɔs bifo di tɛst.
- Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bifo di tɛst fɔ mek yu nɔ gɛt wan dawt.
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