Yu fil lɛk se yu at de kɔnstrikt? Lɛ wi tɔk bɔt Koronari Atɛri Spasm!

Sɔntɛnde, yu kin fil bak sɔntin we strenj, lɛk we yu chɛst tayt, we kin kam ɛn go, nɔto so? Sɔntɛm yu nɔ go pe atɛnshɔn tumɔs to am. Bɔt dis kin bi bikɔs di blɔd vesel dɛn na di at kin smɔl, we na wan sik we wi kin kɔl pan mɛrɛsin `Coronary Artery Spasm` . Lɛ wi tɔk mɔ bɔt dis tide, bikɔs dis nɔto sɔntin we wi fɔ ignore.

Wetin na dis korona at spasm? (`Koronari Atɛri Spasm`)

Okay, fɔs lɛ wi luk wetin na dɛn korona at ya. Yu at na wɔndaful ɔgan we de wok nɔ stɔp ɔl di de, ivin we yu de slip. So di blɔd vesel dɛn we de gi di at mɔsul di ɔksijɛn ɛn di tin dɛn we i nid fɔ mek i wok fayn na dɛn wi kɔl di korona at . Dis tan lɛk di plaba we de briŋ wata na os.

naw, wan `(Coronary Artery Spasm)` na we di korona atεri dεm we de kכri bכdi go na di at, lεk wan pis mit na wi leg we de twist. Wi kin kɔl dis tayt ` Kɔntrakshɔn` . Bɔrku tɛm dis nɔr kin te, ɛn yu nɔr kin ivin fil am insay sɔm minit. Bɔt dis sik kin mek yu gɛt at atak ɛn ɔda prɔblɛm dɛn we kin kam wit at sik. Na dat mek i impɔtant fɔ no bɔt dis.

Wetin na di difrɛns bitwin korona at sik ɛn angina?

Yu go mɔs dɔn yɛri di wɔd ‘Angina’, nɔto so? Fɔ tɔk am simpul wan, i min pen na in chɛst. di chεst pen kin apin we di korona at dεm de spam. Wi kin kɔl dis vasospastik angina .

כltu, di men tin we de mek angina na di blכk we di at dεm de blok bay tin dεm lεk kכlestכl (`Plaque`). Bɔt di spɛshal tin fɔ dis `(Vasospastic Angina)` na dat dis pen kin apin ivin we yu de rɛst . Ɔda kayn angina kin kam we wi taya, lɛk we wi de du ɛksɛsayz. Dis na di men difrɛns.

Udat kin gɛt ``Koronary Artery Spasm''?

Naw lɛ wi si udat go mɔs gɛt dis sik. If yu gɛt risk factor fɔ gɛt at sik, yu de pan risk bak fɔ dis `(Coronary Artery Spasm)`. Di men tin dɛm wae kin afɛkt dis na:

• Ay blɔd prɛshɔn (Hypertension).
• di ay kכlestכl lεvεl dεm na di bכdi (`Hyperlipidemia`).
• Fɔ yuz tabak, we min fɔ yuz sigrɛt ɛn beedis , na prɔblɛm we kin afɛkt bɔku pipul dɛn.
• Sɔm pipul dɛn we de yuz drɔgs we nɔ rayt .

Bɔt di tin we de sɔprayz na dat dis ``Coronary Artery Spasm`` kin apin bak pan pipul dɛm we nɔ gɛt ay blɔd prɛshɔn ɔ ay kɔlɔstrel. Wi kin notis mɔ se bɔku pan dɛn pipul ya kin smok ɔltɛm. So, wi kin tink se fɔ smok kin rili afɛkt dis.

Wetin de mek dis blok?

Okay, so wetin ekzakli kin mek yu gɛt ``Koronary Artery Spasm''? Sɔm hat sik kin mek i gɛt am:

• fεt de dכn na di at dεm, we de mek dεn sכmtεm sכmtεm (`Atherosclerosis`). Dis tan lɛk rɔst we de kam insay wan ol wata paip, we de mek di ol we de na di paip nɔ ebul fɔ waka.
• Di ay blɔd prɛshɔn .
• Ay kɔlɔstrel .

Apat frɔm dɛn ɔndalayn kɔz ya, sɔm tin dɛn kin mek dis blok. Dat min se, dɛn kin mek i apin wantɛm wantɛm. Tink bɔt am lɛk pɔsin we de wek layɔn we de slip. Dɛn tin ya we kin mek pɔsin gɛt dis sik na:

• Yuz tabak (sigrɛt, beedis). Dis na ɛnimi nɔmba wan.
• Fɔ de na say we kol pasmak. Tink bɔt sɔntin lɛk fɔ was insay wata we rili kol wan tɛm, ɔ fɔ go na say we kol pasmak.
• Stret we pasmak . Dis na sɔntin we kin afɛkt bɔku pipul dɛn, wit di prɔblɛm dɛn we wi kin gɛt na wi layf ɛvride. Prɔblɛm na wokples, famili prɔblɛm, ɔl dɛn tin ya kin afɛkt wi.
• Yuz sɔm kayn stimulant , fɔ ɛgzampul, ilɛgal drɔgs lɛk `(Amphetamines)` ɔ `(Cocaine)`.

Wetin na di sayn dɛm fɔ `(Coronary Artery Spasm)`?

Bɔrku tɛm, dis `(Coronary Artery Spasm)` kin de witout ɛni simptom . Na dat de mek pɔsin fred smɔl. Bɔt if yu gɛt sɔm sayn dɛn, na sɔm tin dɛn ya we yu go gɛt:

• Chɛst tayt ɔ prɛshɔn. I kin tan lɛk se sɔmbɔdi de swɛt yu chɛst, ɔ lɛk se wet de na yu chɛst.
• Chɛst de pen. Dis pen na mɔ:
• I kin apin we yu de rɛst . Bɔku tɛm dɛn kin si am afta midulnɛt ɔ ali mɔnin .
• Dis pen kin fil mɔ na di lɛft say na di chɛst.
• Sɔmtɛm dis `(Coronary Artery Spasm)` kin wek yu na nɛt .
• Dɛn blɔk ya kin apin smɔl smɔl lɛk sɔm tɛm insay di ia, to bɔku tɛm insay di de. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

Aw lɔng dis blɔk kin las? Aw i kin fil?

di tεm we ``Koronary Artery Spasm'' kin tek kin difrεn frכm pכsin to pכsin. I kin las ɛnisay frɔm fayv minit to 30 minit . Fɔ sɔm pipul dɛn, i kin shɔt, ɛn fɔ ɔda pipul dɛn, i kin lɔng smɔl.

As fɔ aw i kin fil, lɛk aw a bin dɔn tɔk bifo tɛm, sɔntɛnde yu nɔ kin fil ɛnitin atɔl. Ɔ yu kin fil tin dɛn lɛk dis:

• Chɛst tayt.
• Di pen kin fil lɛk se i de kɔmɔt na yu chɛst to yu nɛk, yu an (espɛshali yu lɛft an), ɔ yu jaw, lɛk aw yu gɛt at atak.

Aw yu kin no kɔrɛkt wan se yu gɛt ``Koronary Artery Spasm''?

Fɔ no dis sik kɔrɛkt wan, yu dɔktɔ go du bɔku tɛst fɔ chɛk yu at wɛlbɔdi. Dis nɔto sɔntin we pɔsin kin tɔk bifo tɛm bay we pɔsin de gɛs. Di men wan dɛn na:

• Echocardiogram (`Echocardiogram` - `Echo test`): Dis de yuz sawnd wev fɔ tek pikchɔ fɔ yu at. I tan lɛk di skan we dɛn kin du fɔ mama dɛn we gɛt bɛlɛ. I kin luk aw di at in chεmba dεm εn di valv dεm de wok.
• Ilɛktrokardiogram (EKG ɔ ECG): Dis de mɛzhɔ di ilɛktrik wok we yu at de du. I kin gi yu aidia bɔt aw yu at de bit ɛn if blɔd nɔ de go na di at.
• Koronari Angiografi : Dis na di mכst difinitiv diagnostik tεst. Insay dis tɛst, dɛn kin put spɛshal day insay di at dɛn na di at tru wan vein we de na di an ɔ di leg, ɛn dɛn kin tek ɛkstrem rayt pikchɔ dɛn. dis kin sho klia wan if eni narrowing כ spasm de na di at dεm.

Apat frɔm dat, yu dɔktɔ kin gi yu wan smɔl tin (wan `Ambulatory Monitor` ɔ `Holter Monitor`) fɔ wɛr na os. Dis kin rayt aw yu at de yuz ilɛktrik fɔ 24, 48, ɔ ivin lɔng awa we yu de du yu wok ɛvride. Dis impɔtant mɔ bikɔs `(Coronary Artery Spasm)` kin apin bɔku tɛm na nɛt ɔ we yu de rɛst, so i rili impɔtant fɔ rikodɔ aw yu at de du dɛn tɛm dɛn de.

Aw dɛn kin trit dis `(Coronary Artery Spasm)`?

Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ mek dɛn spam ya nɔ apin , ɛn di ɔda wan na fɔ mek di chɛst nɔ pen .

If yu gɛt spasm wantɛm wantɛm, dɛn kin gi yu wan mɛrɛsin we dɛn kɔl nitroglycerin (e.g. Nitrostat®) da tɛm de. I de wok bay we i de mek di at dɛn big, i de mek di blɔd flɔ fayn, ɛn i de mek di chɛst nɔ pen kwik kwik wan. Bɔku tɛm, dɛn kin gi am as smɔl tablɛt we dɛn kin put ɔnda di tɔŋ, so i kin go insay di bɔdi kwik kwik wan.

Fɔ mek yu nɔ gɛt dɛn blɔk ya fɔ lɔng tɛm, yu dɔktɔ kin gi yu ɔda mɛrɛsin fɔ yu fɔ yuz ɔltɛm:

• Di wan dɛn we de blok di kalsiɔm chanɛl : Fɔ ɛgzampul, mɛrɛsin dɛn lɛk Amlodipine (Norvasc®), Diltiazem (Cardizem®), ɔ Nifedipine (Procardia®). Dɛn tin ya kin wok bay we dɛn kin rilaks di wɔl dɛn na yu at, ɛn dis kin mek dɛn nɔ smɔl.
• Statin : Fɔ ɛgzampul, drɔgs lɛk Atorvastatin (Lipitor®) ɔ Simvastatin (Zocor®). Pan ɔl we dɛn mɛrɛsin ya na di mɛrɛsin dɛn we de mek di kɔlɔstrel nɔ bɔku, dɛn dɔn si bak se dɛn kin ɛp fɔ mek dis spam nɔ apin bay we dɛn de mek di insay layn na di at dɛn wok fayn fayn wan.

sכmtεm, dis `(Coronary Artery Spasm)` kin mek di at bit we nכ de rεgεl, we denja (`Ventricular Arrhythmia`) na di lכw chεmba dεm na di at. Dis na siriɔs sik, bikɔs i kin mek pɔsin in layf de pan denja. If yu gɛt dis kayn `(Ventricular Arrhythmia)`, yu dɔktɔ kin tɛl yu fɔ tek wan implantable cardioverter defibrillator (`ICD`) fɔ mek yu nɔ gɛt siriɔs prɔblɛm. di `(ICD)` de no if yu at de bit we nכ de bit εn i de yuz ilektrikal signal dεm fכ εp fכ kip yu at bit insay nכmal ritm.

Aw a go ridyus di risk fɔ gɛt korona at spasm?

If yu gɛt tin dɛn we kin mek yu gɛt dis sik lɛk ay kɔlɔstrel ɛn ay blɔd prɛshɔn, if yu trit dɛn kayn tin ya fayn fayn wan, dat kin mek yu nɔ gɛt dis `(Spasm)`. i rili imכtant bak fכ av כyd tin dεm (`Triggers`) we kin mek dis `(Coronary Artery Spasm)`.

Fɔ ɛgzampul, yu kin du tin dɛn lɛk fɔ avɔyd fɔ mek yu nɔ gɛt kol pasmak wantɛm wantɛm, lɛf fɔ smok ɔltogɛda (dis na sɔntin we yu fɔ du fɔ tru), ɛn fɛn we fɔ mek yu nɔ strɛs pasmak (lɛk fɔ tink gud wan ɛn yoga).

Dat min se yu fɔ chenj sɔm wɛlbɔdi layf. Dis kin min fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi (we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn yu nɔ gɛt bɔku frut ɛn vɛjitebul) ɛn du ɛksɛsayz ɔltɛm .

If a gɛt `(Coronary Artery Spasm)`, wetin a fɔ ɛkspɛkt?

Koronari At Spasm na wan sik we nɔ de mɛn . Dis min se i at fɔ mɛn am ɔl, bɔt dɛn kin ebul fɔ kɔntrol am. Yu go nid tritmɛnt fɔ lɔng tɛm ɛn dɔktɔ in sɔpɔtishɔn fɔ mek yu ebul fɔ manej am. Bɔt nɔ wɔri.

If dɛn trit dɛn fayn, bɔku pipul dɛn kin ebul fɔ kɔntrol dɛn sik ya, dɛn kin ridyus dɛn kayn atak ya, ɛn liv gud, nɔmal layf. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, tek yu mɛrɛsin dɛn di rayt tɛm, ɛn kɔntinyu fɔ chenj yu layf.

Ustɛm a fɔ go na di imejensi rum (ER)?

Dis na tin we rili impɔtant, i kin bi tin fɔ layf ɛn day . If korona at de spam fɔ lɔng tɛm, i kin tɔn to at atak. So, if yu si sayn dɛm fɔ hat atak, nɔ delay ivin wan minit ɛn kɔl 1990 (Suvaseriya) wantɛm wantɛm ɔ go na di imejensi rum na di ɔspitul we de nia yu.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt at atɔk? Luk fɔ wan ɔ mɔ pan dɛn sayn ya wit pen na yu chɛst:

• Diziz ɔ layt ed .
• Lɔs pan kɔnshɛns (`Syncope`).
• Fɔ fil lɛk se yu at de bit fast, yu chɛst de paund (`Palpitations`).
• Nɔs ɔ vɔmit, fil lɛk se yu nɔ de it fayn (`Nɔs` ɔ `Dyspepsia`).
• I nɔ izi fɔ yu fɔ blo, fil lɛk se yu de swɛla (Dyspnea).
• Kol swet dɛn.
• Taya wantɛm wantɛm, fil se yu taya pasmak.

If yu gɛt wan ɔr mɔr pan dɛn sik ya wit chɛst pen, nɔr jɔs de na os tink se na gastritis. Go to dɔktɔ wantɛm wantɛm. Taym na di tin we impɔtant pas ɔl fɔ sev pɔsin in layf.

Wetin na di mɛsej we wi want fɔ kɛr go na os frɔm dis stori?

Koronari At dɛn Spasm na we di at dɛn we de gi blɔd to di at kin kam wantɛm wantɛm, we kin smɔl ɔ we kin spam. Dɛn tin ya kin kam ɛn go witout pen. Bɔt dɛn kin mek pɔsin gɛt at atak mɔ ɛn mɔ. Dɛn kin apin mɔ na midul nɛt ɔ ali mɔnin ɛn dɛn kin wek yu.

Di bɛst tin na dat, tritmɛnt dɛn de fɔ dis. Yu kin ridyus di pen na yu chɛst ɛn mek dɛn nɔ blok dɛn ya. If yu gɛt sayn dɛn lɛk di wan dɛn we wi bin dɔn tɔk bɔt na dis atikul, i rili impɔtant fɔ go to dɔktɔ ɛn gɛt advays. Yu kin ridyus dis prɔblɛm bak bay we yu nɔ smok kpatakpata ɛn liv fayn layf. Tek kia ɔf yu at! Na yu prɔpati we gɛt valyu pas ɔl.

` At sik, korona at, chɛst pen, angina, at atak, Koronari At Spasm, at wɛlbɔdi