Yu gɛt kalsiɔm we de na yu at at? (Kalsifikɛshɔn na di Koronari Atɛri) .

Yu dɔn ɛva tink if smɔl smɔl tin dɛn we gɛt kalsiɔm kin gɛda insay di men at we kin kɛr blɔd go na yu at? I tan lɛk laymskayl we de na wata paip dɛn as tɛm de go. dis na wetin wi mεdikal kכl korona atεri kalsifikεshכn (CAC) . Sɔmtɛm, dis kin apin wae yu nɔr gɛt ɛni sayn wae yu kin si. Bɔt fɔ no dis rili impɔtant fɔ di wɛlbɔdi na yu at.

Wetin na Koronari At Kalsifikeshɔn?

Fɔ tɔk am simpul wan, dis na we di kalsiɔm kin gɛda insay di wɔl dɛn na di tu men at dɛn we de gi blɔd to yu at, we dɛn kɔl di korona at . Dis nɔ kin apin wan nɛt. I kin tek lɛk fayv ia so fɔ mek di kalsiɔm kam insay yu at, afta sɔm tɛm we yu gɛt bɔku bɔku plek (we dɛn kɔl atherosclerosis ). Tink bɔt am lɛk paip we gɛt dɔti ɛn dɔti we dɔn gɛda, dɔn da dɔti de kin tik mɔ ɛn mɔ.

di kalsiכm dεposit na dεn at dεm ya na imכtant indikεt f כ korona atεri sik . Dis kin mek yu dɔktɔ ebul fɔ no if yu gɛt at sik.

We dɛn fat ya kin gɛda insay di at, i kin mek di blɔd nɔ flɔ. Yu no, di korona at dɛn de gi di at mɔsul blɔd we gɛt ɔksijɛn. So, if di blɔd nɔ de pas na dɛn at ya, yu kin gɛt pen na yu chɛst (angina) , ɔ di tin we wɔs pas dat, yu kin gɛt at atak .

Tu men kayn kalsiɔm de:

Dɔktɔ dɛn kin si dis tu men we dɛn, i kin dipen pan di layt we gɛt kalsiɔm we de na di at in wɔl:

1. Intimal diposishכn: dis de apin na di insay layεr na di atεri wכl. dis kayn we dεn kin si am mכst na di korona atεri dεm.

2. di mεdial dεposishכn: dis de apin na di midul layεr na di atεrial wכl.

wetin na di rilayshכn bitwin di kalsiכm dεposit na di atεri dεm εn di atεrosklεrosis?

Big kɔnekshɔn de bitwin dɛn tu. di כmכnt כf kalsiכm na yu at dεm kin gi yu wan aidia fכ aw bכku atεrosklεrosis yu gεt, we na di bכku fεt dεposit dεm na yu at dεm. Atεrosklεrosis na we fεt dεm de kכlכp insay yu at dεm, we de mek dεn sכmtεm sכmtεm. I de mek i nɔ izi fɔ mek blɔd flɔ fayn fayn wan. Kalsiɔm kin mek dis sik wɔs.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Pipul wae gɛt korona hat sik kin si kalsiɔm dɛposit na dɛn at ya.

• Wit di ej:If wi luk pan pipul dɛm wae dɔn pas 70 ia, pas 90% pan man dɛm ɛn 67% pan uman dɛm gɛt dis sik. Bifo uman dɛn kin lɛf fɔ gɛt bɛlɛ, dɛn kin protɛkt dɛn smɔl frɔm di risk fɔ gɛt dis (atherosclerosis) bikɔs ɔf di ɔmon we dɛn kɔl ɛstrojen . Na dat mek uman dɛn kin gɛt dis sik lɛk 10-15 ia afta pas man dɛn.
• Race/Ethnicity: Sɔm stɔdi dɔn sho se wayt pipul dɛn kin gɛt dis sik pas ɔda rays.
• Fɔ man dɛn: Man dɛn kin gɛt bɔku risk fɔ gɛt dis (Coronary Artery Calcification).

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? (If yu gɛt dɛn tin ya, yu kin de pan denja bak)

Sɔm pipul dɛn kin gɛt dis sik. Chek fɔ si if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik:

• If yu gɛt sik we nɔ de mɛn na yu kidni .
• If yu gɛt prɔblɛm wit yu blɔd shuga lɛk Dayabitis Mɛlitɔs .
• if di lεvεl fכ bad kכlestכl (LDL - Low-Density Lipoprotein) hכy εn di lεvεl fכ gud kכlestכl (HDL - High-Density Lipoprotein) lכw.
• BMI (Body Mass Index) valyu, dat na if di bɔdi mas indeks ay (obesity).
• If pɔsin na yu famili gɛt histri fɔ gɛt kalsiɔm we de na di korona at (hɛridit prɛdispɔzishɔn).
• If yu gɛt ay blɔd prɛshɔn .
• If yu gɛt histri fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Wit di ej we de go ɔp.
• If abnɔmal tin dɛn de na di paratayroyd ɔmon .
• If di fכsfεt lεvεl na di bכdi hכy.
• If di kalsiɔm lɛvɛl na di blɔd ay.

Wetin dis kin du to di bɔdi? Aw i kin afɛkt am?

We di kalsiɔm bɔku na yu korona at, i kin mek dɛn stif . Dis kin mek dɛn nɔ ebul fɔ kɔntrakt ɛn bɔku fayn fayn wan. Dis kin mek yu gɛt mɔ at sik.

Fɔ tɔk am simpul wan, dis kalsiɔm we de bɔku de mek di blɔd we de rich na yu at mɔsul nɔ bɔku. Tink bɔt am lɛk motoka we de wok we nɔ de stɔp. If i lɔs in blɔd, i go gɛt prɔblɛm, nɔto so?

Wan ɔda tin na dat we di kalsiɔm de na di at, i kin at fɔ mek dɔktɔ dɛn du sɔm tritmɛnt dɛn, lɛk Percutaneous Coronary Intervention (PCI) , ɔ as wi ɔl no , Angioplasty, bikɔs dɛn kalsiɔm ya kin ambɔg di rayt we aw dɛn kin put di stent we dɛn put insay di at.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Bɔrku tɛm, pipul dɛm wae gɛt dis sik (Coronary Artery Calcification) nɔr kin sho ɛni sayn . Dat na di tin we denja pas ɔl. Bɔt as tɛm de go, as dis sik de wɔs, sɔm sayn dɛn kin sho. Dɛn na:

• Stebul Angina: Dis na pen ɔr nɔr kin fil fayn na yu chɛst we kin apin we yu de du ɛksɛsayz ɔ we yu de klaym stej. I kin stɔp we i de rɛst.
• Shot we yu de blo.
• Wan at atak we pɔsin kin gɛt.

Impɔtant: If yu gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ.

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

Bɔku tɛm afta wi dɔn ol 40 ia, di kalsiɔm we de na wi blɔd kin bigin fɔ gɛda na difrɛn pat dɛn na wi bɔdi. spεshal wan, di wכl dεm fכ di at dεm we dεn dכn pwεl, inflam, כ we dεn de ripεr na dεn kin mek dεn kכlsiכm dεm ya kin bכku.

Dis prɔses kin rili bigin as yu ol 20 ia , bɔt dɔktɔ kin jɔs si am we i big fɔ si am pan imej tɛst. Ɛn, bɔku pipul dɛn we ol 20 ɛn 30 ia nɔ kin gɛt dɛn tɛst ya ɔltɛm.

di kalsiכm dεposit dεm de stat as rili sכm patikyula dεm (0.5μm - maykromita dεm). as tεm de go, as di fεt dεm de kכmכt, dεn kalsiכm dεposit dεm ya kin gro pas 3 milimita. di wan dεm we de du risach biliv se dεn sכm sכm kalsiכm dεposit (maycrocalcification) dεm na di intimal layεr na di atεri wכl de bigin wit di day we di smol mכsul sεl dεm de day.

Aw yu kin fɛn dis? Us kayn tɛst dɛn kin du?

spεshal imej tεst dεm de we kin no dis kכndyushכn (Coronary Atherosclerosis), dat na fεt dεposit dεm na di at dεm, bifo i bi siriכs. Wan pan di impɔtant wan dɛn na di (Computed Tomography - CT) skan, ɔ (Multidetector Computed Tomography - MDCT) .

Wan kadyak CT skan kin sho klia wan di kalsiɔm we de na yu korona at. Dɛn kɔl dis korona at kalsiɔm (CAC) tɛst . I men wan de luk fɔ:

• Ɔmɔs kalsiɔm dɛn kin put insay?
• Wetin na di density fɔ dɛn dipɔsit dɛn de?
• Aw dɛn big ?

Yu dɔktɔ yuz dis infɔmeshɔn, i kin kɔl wan valyu we dɛn kɔl Agatston skɔ . Dis mak kin kɔmɔt frɔm 0 to 400 ɔ ivin pas dat. Di mɔ di mak, na di mɔ yu go gɛt at atak ɔ strok insay di nɛks 10 ia.

Dɔktɔ dɛn dɔn si se dis (CAC) tɛst kin kɔrɛkt wan fɔ no di prɔblɛm dɛn we kin apin to di at ɛn blɔd tumara bambay. Bɔt yu kin gɛt fɔ pe fɔ dis tɛst frɔm yu yon poket.

Wetin di CAC skɔ (Agatston Skɔ) min?

Na dis na aw dɛn kin ɛksplen dɛn sayn dɛn de:

• Skɔ 0: Nɔ mɛdikal kɔndishɔn.
• Skɔ 1 to 99: Mild sik.
• Skɔ frɔm 100 to 399: Mɔdaret lɛvɛl fɔ sik.
• Skɔ pas 400: Siri sik.

apat frכm dis (CAC) tεst, כda tεst dεm de we nכ de invayd bכku we kin chεk fכ di kכlsyכm dεposit dεm na yu korona atεri dεm:

• Cardiac Intravascular Ultrasound (IVUS): Dis de yuz ɔltra saund divays we gɛt kateshɔn (tin tiub) we dɛn tay na di ɛnd fɔ luk insay di at. di risal dεm dεn grεd frכm Klas I to Klas IV, wit Klas IV we de sho di mכst siriכs kalsiכm dεposit dεm.
• Intravascular Optical Coherence Tomography (IVOCT): Dis de sho aw bɔku kalsiɔm de na yu at ɛn aw i tik. I de yuz layt we de nia infrarɛd fɔ mek pikchɔ dɛn we de insay di at dɛn.

Wetin na di tritmɛnt dɛm fɔ dis?

Dɔktɔ dɛn nɔ gɛt standad tritmɛnt yet fɔ korona at kalsifikeshɔn. Bɔt if di sik bad, sɔm dɔktɔ dɛn de yuz wan nyu tritmɛnt we dɛn kɔl intravascular lithotripsy . dis involv fכ pas wan divays tru wan kateshכn insay di at εn yuz am fכ gi prεshכn wev fכ brok di kalsiכm dεposit dεm na di at wכl. Dɔn dɛn kin put stent fɔ mek di at opin.

Sɔm ɔda tritmɛnt dɛn we dɛn kin yuz fɔ mek di blɔd flɔ fayn fayn wan na di at na:

• Rotational, orbital or laser atherectomy: dis involv fכ kכt εn pul di fεt dεposit (plak) εn kalsiכm frכm insay di atεri.
• fכ kכt, skכr כ hεy prεshכn balכn angioplasty: Dis involv fכ inflate wan balכn fכ push di fεt dεposit dεm εn kalsiכm pan di atεri wכl dεm.

Yu tink se kɔmplikeshɔn kin apin we dɛn de trit am?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn kin apin wit dis tritmɛnt.

Kɔmplikɛshɔn dɛn we kin kam wit Intravaskyuɛl Litɔtripsi:

• Aritmia ( at nɔr de bit) .
• Aneurysm ( we di blɔd vesel de bul ɔ wik) .
• Di prɔblɛm dɛn we kin apin we pɔsin de blɔd
• Strok
• Day (we nɔ kin apin so ɔltɛm) .

Di kɔmplikɛshɔn dɛn we kin apin we pɔsin de yuz Rotational Atherectomy:

• Disekshɔn na di at
• At atak
• Day (we nɔ kin apin so ɔltɛm) .
• Imejɛnsi Koronari Atɛri Baypas Graft (CABG) .

Koronari Angioplasty Kɔmplikɛshɔn dɛn:

• At atak
• Strok
• Aritmia we nɔ de wok fayn
• Blɔd we de kɔmɔt
• Blɔd we de klɔt

Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt i impɔtant fɔ no bɔt dɛn. Yu dɔktɔ go ɛksplen dɛn prɔblɛm ya we dɛn tɛl yu fɔ gi yu tritmɛnt.

Aw a go ridyus dis risk?

di bεst tin fכ du na fכ kכntrכl di prכblεm dεm we de inkrεs di risk fכ divεlכp di korona atεri kalsifikεshכn. Dɛn tin ya na:

• If yu gɛt dayabitis, kɔntrol am fayn fayn wan.
• If yu kɔlɔstrel lɛvɛl nɔ nɔmal, kɔntrol am.
• If yu gɛt ay blɔd prɛshɔn , kɔntrol am.
• If yu gɛt kidni sik , gɛt di rayt tritmɛnt fɔ am.

Apat frɔm dɛn tin ya, i rili impɔtant fɔ fala wɛlbɔdi layf.

Wetin kin apin if a gɛt dis sik? Wetin a go ɛkspɛkt?

If dɛn no se yu gɛt Korona Atri Kalsifikeshɔn, yu go gɛt Korona Atri Disease ɛn Major Adverse Cardiovascular Events (MACE) .

Bɔt we i kam pan di sakrifays rɛt fɔ di tritmɛnt we dɛn de yuz, Intravascular Lithotripsy dɔn saksesful pan pas 92% pan di kes dɛm. semweso, Rotational Atherectomy dεn dכn sho bak se 90% sakses rεt.

Bɔt di kalsiɔm we de na di at dɛn kin mek di tritmɛnt dɛn lɛk balyɔn angioplasty nɔ wok . I kin at bak fɔ put stent fayn fayn wan insay di at.

Aw a go tek kia ɔf misɛf? Wetin a fɔ du?

If yu gɛt korona at kalsifikeshɔn, i impɔtant fɔ fala yu at-hɛlth layf. Dat min se:

• It tin dɛn we nɔ gɛt bɔku fat (ridyus ɔyl, it dɛn we dɛn dɔn frɛsh, ɛn it dɛn we dɛn kin it fast fast as yu ebul).
• Stɔp fɔ yuz tin dɛn we dɛn kin yuz fɔ smok (sigrɛt, beedis, ɛn ɔda tin dɛn) ɔltogɛda.
• Ɛksesaiz ɔltɛm (sɔntin lɛk fɔ waka fɔ at le 30 minit insay di de).
• Kip yu blɔd prɛshɔn ɛn kɔlɔstrel lɛvɛl nɔmal (tek mɛrɛsin lɛk aw yu dɔktɔ tɛl yu ɛn kɔntrol yu it).

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ay blɔd prɛshɔn ɛn/ɔ yu gɛt ay kɔlɔstrel, go to dɔktɔ ɔltɛm fɔ mek shɔ se dɛn kɔntrol dɛn sik dɛn de fayn fayn wan.If yu nid plan fɔ mek yu at ɛn blɔd wɛl bɔdi, i go fayn fɔ mit wit dɔktɔ fɔ tɔk bɔt am.

Ustɛm a fɔ go na ɔspitul kwik kwik wan (ETU) ?

If yu gɛt sɔm sayn dɛn we gɛt at atak, lɛk we yu de fil bad bad wan na yu chɛst, yu nɔ de fil fayn ɛn yu de vɔmit, ɛn yu nɔ de blo bɛtɛ , kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul we de nia yu . Taym kin bi di difrɛns bitwin layf ɛn day na tɛm lɛk dis.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Yu nid fɔ tɛst mi fɔ si if di korona at gɛt kalsifikeshɔn?
• Aw bad bad sik de (Coronary Artery Calcification)?
• Us tritmɛnt yu kin advays fɔ mi sik?
• Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tritmɛnt kin gi?
• Us chenj dɛn a nid fɔ mek na mi layf?

Lɛ wi mɛmba insay sɔmari (Take-Home Message) .

Fɔ no if yu gɛt kalsiɔm we de na yu korona at, impɔtant fɔ mek yu dɔktɔ mek wan plan fɔ ɛp yu. Yu kin nid tritmɛnt fɔ pul di kalsiɔm na yu at, ɔ yu kin jɔs nid fɔ put sɔm abit dɛn we go ɛp yu at na yu layf. Ivin if yu nɔ gɛt prɔblɛm wit yu at ɛn yu blɔd, fɔ it tin dɛn we nɔ gɛt bɔku fat, fɔ du ɛksɛsayz, ɛn fɔ de fa frɔm tin dɛn we yu kin yuz fɔ smok kin ɛp fɔ mek yu gɛt wɛlbɔdi. Mɛmba se, fɔ gɛt wɛlbɔdi at na di men tin we go mek yu gɛt wɛlbɔdi!

` Kalsiכm na di at dεm na di at, korona atεri kalsifikεshכn, at sik, kכlestכl, hεy blכd prεshכn, dayabεtis, at atak, atεrosklεrosis