Wi at na wɔndaful ɔgan we de wok 24 awa ɛvride, ɛn i nɔ de rɛst. I tan lɛk mashin we de rɔn nɔ-stɔp. So, fɔ mek dis at we de wok tranga wan ɛn in mɔsul dɛn wok fayn, dɛn nid fɔ gɛt klin blɔd we gɛt bɔku ɔksijɛn ɔltɛm. Bɔt imajin, wetin go apin if di fayn fayn chanɛl dɛn we de kɛr blɔd go na dis at bigin fɔ lɔk? Na dat wi kin kɔl Coronary Artery Disease ( CAD ) .
Fɔ tɔk am simpul wan, wetin na korona at sik (CAD)?
Fɔ tɔk am simpul wan, dis na we di korona at , we de gi blɔd we gɛt ɔksijɛn to wi at, kin smɔl ɔ blok. as tεm de go, tin dεm lεk kכlestכl de bil pan di wכl dεm na dεn at dεm ya, we de fכm wan layεr we wi kכl ‘plak’ .
Dis tan lɛk rɔst we de bɔku insay wan ol wata paip. Dis plek de mek di ples we de insay di blɔd vesel dɛn nɔ bɔku, ɛn dis de mek di blɔd nɔ go ebul fɔ go na di at.
Imajin se na wan aywe we gɛt tri len, bikɔs dɛn de mek rod, dɛn kin put ɔl di motoka dɛn na wan len wantɛm wantɛm. Dɔn di motoka dɛn kin muf rili sloslo, nɔto so? Na dat kin apin we dɛn blɔd vesel ya kin blok.
Bɔrku tɛm, dis sik kin kam insay di bɔdi fɔ lɔng lɔng tɛm ɛn nɔr kin gɛt ɛni sayn. Na dat mek sɔm pipul dɛn kin kɔl am di "silent killer." Sɔntɛnde, wan pan dɛn tin ya kin bɔs wantɛm wantɛm, ɛn mek blɔd klɔt we kin blok di at kpatakpata. Na da tɛm de wi kin gɛt di imejensi we wi kin kɔl at atak .
Tu men kayn dis sik de.
Wi de tɔk bɔt dis sik na tu men pat.
1. Stebul Ischemic Hat Disease: Dis na di kayn we de divεlכp sloslo as tεm de go. Yu korona at dɛn kin smɔl smɔl fɔ lɔng tɛm. Yu kin gɛt sɔm sayn dɛn (lɛk we yu de fil pen na yu chɛst ), mɔ we yu strɛs. Bɔt bɔku tɛm yu kin ebul fɔ du di tin dɛn we yu de du ɛvride.
2. Akyu Koronari Sindrom: .Dis na denja sik we kin apin wantɛm wantɛm ɛn i kin nid fɔ go to dɔktɔ wantɛm wantɛm. Wetin kin apin na dat wan plek we de insay di at kin brok wantɛm wantɛm, ɛn i kin mek blɔd klɔt pan am, ɛn i kin mek di blɔd nɔ flɔ kpatakpata. Dis na wetin kin mek pɔsin gɛt at atak. Dis na mɛdikal imejensi .
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku pipul nɔr kin gɛt ɛni sayn fɔ lɔng tɛm. Dis na bikɔs dɛn dipɔsit dɛn ya kin tek bɔku ia, ivin bɔku bɔku ia fɔ mek dɛn bɔku. Bɔt as di at dɛn bigin fɔ smɔl, yu kin bigin fɔ gɛt sɔm kayn sayn dɛn we nɔ klia. Dis na sayn dɛm fɔ sho se yu at de wok tranga wan pas aw i kin woke fɔ gɛt di ɔksijɛn we i nid.
Di men sayn dɛm wae de sho se yu gɛt dis sik na:
- Stebul Angina: Dis na de sik wae kin kam pan pɔrsin. I kin bi se yu chɛst kin tayt, yu kin ebi, yu kin fil pen, ɔ yu nɔ kin fil fayn. Bɔku tɛm, i kin apin we yu de du ɛksɛsayz, waka kwik, ɔ vɛks. Bɔrku tɛm, de pen kin dɔn afta yu dɔn rɛst fɔ shɔt tɛm.
- Dispnea: Sɔm pipul dɛn kin gɛt shɔt briz, bɔku tɛm dɛn kin gɛt prɔblɛm fɔ blo, ivin we dɛn de du simpul wok dɛn lɛk fɔ klaym stej.
Sɔm pipul dɛn kin no bɔt dis sik fɔs afta dɛn dɔn gɛt at atak, so i impɔtant fɔ no bɔt dɛn sayn ya.
Wetin mek wi kin gɛt dis sik? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Di men tin we kin mek pɔsin gɛt di sik we de mek pɔsin gɛt di at na di at . Dat min se, as wi bin dɔn tɔk, di kɔlɔstrel ɛn ɔda tin dɛn we de bɔku na di at in wɔl dɛn, we de mek plek. we dis kכndyushכn de afekt di at dεm na di at, wi kin kכl am CAD.
Bɔrku tin de wae kin mek pɔrsin gɛt dis sik. Sɔm pan dɛn wi nɔ kin ebul fɔ kɔntrol, bɔt bɔku pan dɛn wi kin kɔntrol wit layf we wi de chenj ɛn tek mɛrɛsin. Lɛ wi si wetin na dɛn tin ya.
| Tayp fɔ risk factor | Tɔk bɔt |
|---|---|
| Tin dɛn we pɔsin nɔ ebul fɔ kɔntrol | |
| Ej | Ɔva 45 ia fɔ man, pas 55 ia fɔ uman. |
| Famili istri (Jɛnɛtiks) . | If pɔsin we de nia in famili (papa, brɔda, mama, sista) dɔn gɛt at sik we i yɔŋ. |
| Tin dɛn we pɔsin kin kɔntrol | |
| Fɔ smok | Fɔ smok ɔ yuz tin dɛn we dɛn kin yuz fɔ smok. |
| Ay Blɔd Prɛshɔn | Di ay blɔd prɛshɔn we dɛn nɔ kin kɔntrol. |
| Kɔlestɔl we bɔku | Di bad kɔlɔstrel (LDL) we de go ɔp ɛn di gud kɔlɔstrel (HDL) we de go dɔŋ . |
| Shuga | Fɔ gɛt dayabitis we yu nɔ ebul fɔ kɔntrol. |
| Fat | Bɔdi mas indeks (BMI) we pas 25. |
| Bad abit fɔ it | Fɔ it it we gɛt bɔku tin dɛn we dɛn dɔn prosɛs, ɔyl, shuga, ɛn sɔl. |
| Nɔ ebul fɔ du ɛksɛsayz | Nɔ fɔ de du tin wit yu bɔdi. |
Aw dɔktɔ kin no bɔt dis sik?
Yu dɔktɔ go aks yu fɔs bɔt yu sik, aw yu de liv yu layf, ɛn ɛni mɛrɛsin we yu gɛt na yu famili. Dɔn i go du ɛgzam fɔ yu bɔdi ɛn chɛk yu blɔd prɛshɔn. Bay dis infɔmeshɔn, if i sɔprayz se yu gɛt di sik, i kin tɛl yu fɔ du ɔda tɛst fɔ no if yu gɛt di sik.
Sɔm pan dɛn na:
- Blɔd Tɛst: Chɛk tin dɛn lɛk kɔlɔstrel ɛn shuga lɛvɛl.
- ECG (Electrocardiogram): Chɛk di ilɛktrik aktiviti na di at.
- Exercise Stress Test (Treadmill Test): Dɛn kin yuz ECG fɔ wach yu at we yu de waka pan tredmil.
- Echocardiogram: Na skan fɔ di at.
- CT Coronary Angiogram: Na spɛshal CT skan we de tek tri dimɛnshɔnal pikchɔ dɛn fɔ di blɔd vesel dɛn na di at.
- Coronary Angiogram (Cardiac Catheterization): Insay dis, dɛn kin pas wan tin tiub tru wan vein na di an ɔ leg insay di at, dɛn kin injɛkt wan day, ɛn tek ɛkstrem rayt fɔ si ɛksaktɔli aw di at dɔn blok.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Tu men gol de fɔ trit korona at sik. Wan na fɔ kɔntrol di sayn dɛm ɛn fɔ mek yu liv bɛtɛ layf. Di ɔda wan na fɔ ridyus di risk fɔ gɛt siriɔs prɔblɛm dɛn lɛk at atak.
Dɛn kin sheb di we aw dɛn kin trit am to tri men kategori:
1. Di chenj dɛn we pɔsin de liv in layf
Dis na di tin we impɔtant pas ɔl ɛn we impɔtant pas ɔl.
- Fɔ lɛf fɔ smok kpatakpata.
- Di it we go ɛp yu at: Nɔ it bɔku sɔl, ɔyl, ɛn shuga, ɛn it mɔ vɛjitebul, frut, ɔyl, ɛn it dɛn we gɛt bɔku fayv.
- Ɛksesaiz ɔltɛm: Du ɛksɛsayz, lɛk fɔ waka kwik kwik wan, fɔ at le 30 minit insay di de, at le 5 dez insay di wik.
- Fɔ kɔntrol di bɔdi wet.
- Fɔ ridyus di strɛs.
2. Mɛrɛsin (mɛrɛsin) .
Yu dɔktɔ go gi yu difrɛn mɛrɛsin fɔ kɔntrol di tin dɛn we kin mek yu gɛt dis sik ɛn fɔ mek yu nɔ gɛt di sik.
- Mεdikeshכn dεm we de mek di kכlestכl dכn (Statins).
- Blɔd prɛshɔn kɔntrol mɛrɛsin.
- Mɛrɛsin dɛn we de mek blɔd nɔ klɔt (lɛk Aspirin).
- Mεdisin dεm we de kכntrכl di chεst pen (Angina).
3. Ɔpreshɔn ɛn ɔda we dɛn
Fɔ sɔm pipul dɛn, mɔ di wan dɛn we gɛt di tyub dɛn we dɔn blok bad bad wan, di mɛrɛsin nɔmɔ nɔ go du fɔ dɛn. If dɛn kayn tin ya apin, i nid fɔ yuz dis kayn tritmɛnt.
- Angioplasty and stenting (Percutaneous Coronary Intervention - PCI): Dis involv fכ pas wan tin tכb wit balכn insay di at we blכk, inflate am fכ opin di at bak, εn afta dat yu put wan sכm mεsh tכb we dεn kכ l stent fכ mek di at nכ sכm bak.
- Baypas ɔpreshɔn (Koronari Atɛri Baypas Graftin - CABG):Dis tan lɛk we yu de mek nyu rod fɔ go rawnd wan at we dɔn blok. wan hεlty bכdi we dεn tek frכm כda pat na di bכdi (bכku tεm na di leg כ chεst) de kכnεkt to di εria we blכk εn bak, we de mek nyu rod fכ blכd fכ fכlכ.
Ustɛm a fɔ si dɔktɔ kwik kwik wan/go na di ETU?
If yu si sayn dɛm fɔ hat atak , go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm ɔ kɔl ambulans. Taym na di men tin na ya.
Di men sayn dɛm wae de sho se pɔrsin gɛt hat atɔk:
- Wan bad bad pen we de swɛt, we de krɔs na di sɛntrɔm pan di chɛst.
- Dis pen kin go na di lɛft an, nɛk, jaw, bak, ɔ sholda.
- I nɔ kin izi fɔ yu fɔ blo.
- Ebi ebi swet, diziz, vɔmit.
Nɔ ignore dɛn sayn ya. Nɔ jɔs tink se, "Dis kin bi gastritis." If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.
If yu gɛt korona at sik, i impɔtant fɔ de kɔntakt yu dɔktɔ ɔltɛm. If yu gɛt nyu sayn dɛm, gɛt sayd ɛfɛkt frɔm yu mɛrɛsin dɛm, ɔr gɛt ɛni kwɛstyɔn bɔt yu sik, kɔl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Korona at sik (CAD) na we di at we de gi blɔd to di at kin blok. Dis na wan sik we rili siriɔs.
- Ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel, ɛn smok na di men tin dɛn we kin mek pɔsin gɛt dis sik.
- Yu kin kɔntrol dis sik fayn fayn wan bay we yu chenj yu layf (gud it, ɛksesaiz) ɛn tek di mɛrɛsin we yu dɔktɔ tɛl yu jɔs lɛk aw dɛn tɛl yu.
- Nɔr ignore sɔm sayn dɛm lɛk chɛst pen ɛn at fɔ blo.
- If yu si sayn dɛn fɔ gɛt at atak, go na ɔspitul wantɛm wantɛm ɛn nɔ de te.
- Nɔr pwɛl at if yu kam fɔ no se yu gɛt dis sik. If yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu go ebul fɔ liv lɔng ɛn gɛt wɛlbɔdi. Tɔk to yu dɔktɔ fɔ mek di bɛst tritmɛnt plan fɔ yu.
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