Mek wi no bɔt Koronari Atɛri Spasm!

Yu dɔn ɛva gɛt pen wantɛm wantɛm, swɛt, ɔ kɔnstrikt pen na yu chɛst fɔ no rizin, mɔ na midul nɛt ɔ ali mɔnin? I kin go fɔ insɛf afta sɔm tɛm. Pan ɔl we sɔm pipul dɛn kin tink se dis na nɔmal tin, dis na rili wɛlbɔdi prɔblɛm we wi nɔ kin tɔk bɔt bɔku, bɔt wi fɔ rili no bɔt. Tide wi de tɔk bɔt dis sik we di blɔd vesel dɛn na di at kin kɔnstrikt wantɛm wantɛm, ɔ we wi de tɔk bɔt mɛrɛsin, Coronary Artery Spasm .

Fɔ tɔk am simpul wan, wetin na Koronari At Spasm?

Fɔ ɔndastand dis, lɛ wi tek wan smɔl ɛgzampul. Imajin wan rɔba paip we de kɛr wata. Wata de flɔ tru am ɛn nɔ gɛt ɛnitin fɔ ambɔg am. Bɔt wetin go apin if pɔsin swɛt di paip tayt wan wantɛm wantɛm? Di wata we de flɔ kin stɔp ɔ i kin go dɔŋ bad bad wan, nɔto so? Na dat kin apin na wi at.

Wi at na mɔsul we de wok ɔltɛm. di כksijεn εn di nyutriεnt dεm we dis at mכsul nid na di korona atεri dεm , we de na di at sכfa. Koronari at spasm na we di wɔl dɛn na dɛn blɔd vesel ya kin kɔntrakt ɔ blok wantɛm wantɛm. I tan lɛk se yu de swɛt wata paip.

Dis spasm de blok ɔ stɔp blɔd fɔ flɔ to di at fɔ sɔm tɛm. Bɔrku tɛm, dis spasm nɔr kin las fɔ lɔng tɛm. Sɔm pipul dɛn nɔ kin ivin notis am. Bɔt if dis sik kin apin ɔltɛm, i kin mek yu gɛt siriɔs prɔblɛm lɛk at atak .

Dis na di sem tin wit angina pen? Wetin na di difrɛns?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Angina na chɛst pen we kin apin we di at nɔ gɛt inof blɔd. di men εn di mכst kכmכn tin we kin mek dis apin na di kכlestכl (plak) we de bכku na di at dεm na di at, we kin mek di at dεm blכk. Wi kin kɔl dis atɛrosklɛrosis . Bɔku tɛm, dis kayn angina pen kin apin we yu de du ɛksɛsayz, we yu taya, ɔ we yu de klaym stɛp. I kin go dɔŋ we yu rɛst.

Bɔt di pen we di angina kin gɛt we di korona at kin gɛt kin difrɛn smɔl. Wi kin kɔl am Vasospastik Angina . De spɛshal tin bɔt dis na dat dis pen kin apin bɔrku tɛm wae yu de rɛst, wae yu nɔr de tray tranga wan.Dis pen kin apin mɔ na nɛt ɔr na mɔnin. Dis na di men difrɛns.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Di sem risk factor wae kin afekt hat sik kin afɛkt dis bak. Dat na:

• Ay blɔd prɛshɔn (Hypertension): Ay blɔd prɛshɔn min se di at dɛn kin pwɛl ɔltɛm.
• di ay kכlestכl lεvεl na di bכdi (Hyperlipidemia): Dɛn tin ya de dכn na di vein dεm εn i de ridyus dεn fleksibiliti.
• Fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok: Dis na di men ɛn siriɔs tin we kin mek pɔsin gɛt dis sik . Di kemikal we de insay tabak we dɛn kɔl nikotin kin mek di blɔd vesel dɛn stɔp.
• Yuz drɔgs we nɔ rayt: mɔ di drɔgs dɛn we de mek pɔsin fil fayn lɛk kɔkɛyn.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis spasm?

Apat frɔm di tin dɛn we kin mek pɔsin gɛt prɔblɛm, sɔm tin dɛn kin mek dis blɔk bigin wantɛm wantɛm. Wi kin kɔl dɛn tin ya ‘trig’.

• Yuz tabak: Dis kin apin ivin afta yu dɔn smok sigrɛt.
• Fɔ gɛt kol pasmak: Tin dɛn lɛk fɔ shaw wantɛm wantɛm wit wata we kol pasmak ɔ fɔ go insay rum we gɛt AC we wam pasmak.
• Stret Stress: Na fɔ vɛks kwik kwik wan, fɔ fil bad, ɔr de mɔna am.
• Stimulants: Drugs lɛk amphetamine ɔ kɔkɛyn.

Wetin na di sayn dɛm fɔ dis? Aw i kin fil?

Sɔm pipul kin gɛt dis sik wae nɔr kin gɛt ɛni sayn. Bɔt if di sayn dɛn kin apin, yu kin gɛt tin dɛn lɛk:

• Chɛst tayt ɔ tayt: I kin tan lɛk se dɛn de swɛt yu chɛst wit bɛlt.
• Pen: Bɔku tɛm, di pen kin kɔmɔt na di lɛft say na di chɛst.
• Pen we de skata: Dis pen kin bigin na di chɛst ɛn i kin go na di nɛk, jaw, sholda, ɔ an.
• Pen we yu de rɛst: Dis pen kin apin mɔ afta midnayt ɔ ali mɔnin ɛn i kin wek yu frɔm slip.

Dis spasm kin las frɔm smɔl lɛk 5 minit to lɛk 30 minit. Fɔ sɔm pipul dɛn, i kin apin wan ɔ tu tɛm insay di ia, bɔt fɔ ɔda pipul dɛn, i kin apin bɔku tɛm insay di de.

Aw dɔktɔ kin no bɔt dis?

If yu gɛt dɛn sik ya, yu fɔ rili go to yu dɔktɔ . I go chɛk yu ɛn if nid de, i go rifer yu fɔ sɔm pan dɛn tɛst ya.

• Ilɛktrokardiogram (EKG): Dis de rayt di ilɛktrik wok we di at de du, ɔ di ritm we di at de bit. If dɛn tek EKG di tɛm we pɔsin de spam, dɛn kin si patikyula chenj dɛn.
• Echocardiogram (Echo test): Dis tan lɛk ɔltra saund skan fɔ di at. I kin luk aw di at in chεmba dεm, di valv dεm, εn di at mכsul dεm de wok.
• Ambulatory Monitor: Yu dɔktɔ kin gi yu wan smɔl tin fɔ wɛr fɔ wan ɔ tu dez. Dɛn kin kɔl dis bak Holter Monitor. I de rayt yu at rit ɔl di de we yu de du yu nɔmal tin dɛn. Dis na impɔtant tin fɔ no if pɔsin gɛt spasm we kin apin na nɛt.
• Koronari Angiografi: .Dis na di bɛst tɛst fɔ kɔnfirm dis kɔndishɔn. insay dis tεst, dεn kin put wan tכb we rili tכn tru wan vein na yu an כ yu leg insay di korona at dεm na yu at. Dɔn, dɛn kin put spɛshal day insay am, ɛn dɛn kin yuz ɛkstrem fim fɔ si aw di blɔd de flɔ. If di at dεm nכ blכk bay kכlestכl, dεn kin gi wan spεshal mכg we de mek i spam bak we dεn de du dis tεst fכ si if di at dεm blכk.

Wetin na di tritmɛnt dɛn? Yu tink se dɛn go ebul fɔ mɛn dis?

Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ mek di pen nɔ de igen, ɛn di ɔda wan na fɔ mek di spam nɔ kam bak.

Imejɛnsi pen tritmɛnt

Nitroglycerin (Nitrostat®) na wan mɛrɛsin we dɛn kin yuz fɔ pul pen jɔs afta i apin. I kin kam lɛk smɔl tablɛt fɔ put am ɔnda di tɔŋ ɔ as sprɛy. I kin mek di blɔd vesel dɛn big kwik kwik wan, i kin mek di blɔd nɔ bɔku, ɛn i kin mek di blɔd go bak.

Tritmɛnt fɔ lɔng tɛm

Yu dɔktɔ go gi yu mɛrɛsin fɔ tek ɛvride fɔ mek yu nɔ gɛt spasm bak.

• Calcium Channel Blockers: Drug dɛm lɛk Amlodipine ɛn Diltiazem de pan dis grup. Dɛn tin ya kin wok bay we dɛn kin mek di mɔsul dɛn we de na di wɔl dɛn na di blɔd vesel dɛn rilaks. dis de mek di vein dεm we de kכnstrikt.
• Statin: Drɔg dɛn lɛk Atorvastatin ɛn Simvastatin. Pan ɔl we dɛn kin yuz dɛn tin ya mɔ fɔ mek di kɔlɔstrel nɔ bɔku, dɛn dɔn si bak se dɛn kin ɛp bak fɔ mek di blɔd vesel dɛn wok fayn ɛn fɔ mek i nɔ gɛt spam.

Sɔm kayn bad bad tin ya, dis spam kin mek di at bit denja we nɔr de ɔltɛm. Wi kin kɔl dis Vɛntrikular Aritmia . Fɔ di wan dɛn we de pan denja, di dɔktɔ kin se dɛn fɔ put wan smɔl tin we dɛn kɔl ICD (Implantable Cardioverter Defibrillator) ɔnda di skin na di chɛst. Dis kin no we di at nɔ de bit fayn, i kin sɛn smɔl ilɛktrik signal, ɛn i kin mek di ritm kam bak.

Ustɛm yu fɔ go na ɔspitul we yu gɛt imejensi?

Dis rili impɔtant. If spam de te fɔ lɔng tɛm, i kin tɔn to at atak. So, if yu gɛt wan ɔ mɔ pan dɛn sayn ya wit chɛst pen, nɔ de te. Kɔl ambulans wantɛm wantɛm ɔ go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU).