Aw yu go fil if yu de wɛl frɔm at atak ɛn wantɛm wantɛm yu gɛt wan strenj pen na yu chɛst bak? Na nɔmal tin fɔ fred ɛn tink se, "O, dis na di sem ol tin bak?" Bɔt nɔ wɔri. Nɔto ɛvri chɛst pen na ɔda at atak. Sɔmtɛm, e kin bi ɔda sik wae kin kam afta pɔrsin gɛt hat atɔk. Dat na wan pan dɛn kayn tin ya we nɔ kin apin so ɔltɛm, bɔt we impɔtant fɔ no bɔt.
Fɔ tɔk am simpul wan, wetin na Dressler’s Syndrome?
Tink bɔt wi at lɛk sɔntin we valyu insay wan tint bag we de protɛkt wi. Dis bag we de protɛkt di at na in dɔktɔ kɔl am di pericardium . Dressler’s Syndrome na wan sik wae, sɔm wiks afta yu gɛt hat atak, yu bɔdi in yone imyun sistɛm kin inflam ɛn swel. Dɛn kɔl dis inflamɛns perikarditis .
Fɔ tɔk am simpul wan, Dressler’s Syndrome na wan kayn pericarditis we kin apin afta pɔsin gɛt at atak. Trade, dis sik bin de apin to lɛk 3-5 pan ɛvri 100 pipul dɛm wae gɛt hat atak . Bɔt naw, bikɔs ɔf di advans tritmɛnt dɛn , i nɔ kin apin to ivin wan pan ɛvri 100 pipul dɛn we gɛt at atak. Dat na gud nyus, nɔto so?
Dis sik kin apin wantɛm wantɛm, ɛn nɔr kin si ɛni sayn fɔ sɔm dez ɔr wik afta yu gɛt hat atak . dis swεla de mek di at εn di sak we de rawnd am, di pεricardial sak, de kכlכp, we de mek di chεst pen we wi bin tכk bכt. Sɔntɛnde dis sak kin ful-ɔp wit wata we gɛt wata. Dɛn kɔl dis wan pericardial effusion . If dis wata bɔku, i kin put prɛshɔn pan di at.
Wetin mek dis de apin? Wi yon bɔdi de tɔn agens wi?
di εksakεt kכz fכ dis dεn nכ no yet 100%, bכt di men aidia na dat na sכm sכm misכndastandin fכ wi imyun sistεm we de mek i se כda tin.
Tink bɔt am dis we. Hat atak na damej pan di at mɔsul. we dis damej de apin, wi imyun sistεm we lεk "sכja" na wi bכdi de atak da injuri de.I kam fɔ mɛn usay i bin de. Bɔt sɔntɛnde, we dis de apin, wi imyun sistɛm kin kɔnfyus smɔl ɛn mistek se di at mɔsul we dɔn pwɛl na ɛnimi. Ɛn afta dat, i kin bigin fɔ fɛt am. As wan sayd ɛfɛkt fɔ dis fɛt, da inosɛnt pɔrikardium we de rawnd di at kin swel.
Bikɔs dis na di imyun rispɔns we kin apin afta di at dɔn pwɛl, yu dɔktɔ kin kɔl am bak Post-Cardiac Injury Syndrome (PCIS) . Na wan jenɛral nem we dɛn kin yuz fɔ sɔm kɔndishɔn dɛn lɛk dis.
Wetin na di sayn dɛm fɔ dis sik? Aw yu no am?
Bɔrku tɛm, di sayn dɛm kin sho insay tu to 4 wiks afta yu gɛt hat atak. Dɛn tin ya difrɛn smɔl frɔm di sayn dɛm wae de sho se pɔrsin gɛt hat atɔk. Lɛ wi tek tɛm luk gud wan pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Di we aw i de fil |
|---|---|
| Chɛst de pen | Dis na di men sayn we de sho se yu gɛt dis sik. Shap pen, lɛk we pɔsin de chuk naif . Dis pen kin bɔku we yu de blo dip, swɛla, kɔf, ɛn ledɔm. I sɔprayz fɔ no se di pen kin stɔp we yu ledɔm bifo ɛn sidɔm . Dis na wan rili patikyula sayn. |
| I nɔ kin izi fɔ yu fɔ blo | Yu kin fil se i nɔ izi fɔ yu fɔ blo, mɔ we yu bɛn ɔ ledɔm. |
| Taya | Fɔ fil taya ɛn taya fɔ natin. |
| Fiva | Filin fɔ wam, bɔt nɔto ay fiva. |
| Jɛnɛral diskɔmfɔt | Fɔ fil bad ɛn nɔ fil fayn. |
Di tin we impɔtant pas ɔl na dat, dɛn nɔ fɔ ignore ɛni kayn chɛst pen afta yu gɛt at atak. I fayn fɔ mek yu tɔk to yu dɔktɔ wantɛm wantɛm.
Dis kin mek prɔblɛm dɛn we kin mek pɔsin denja?
Dressler’s Syndrome kin bi wan sik wae yu kin trit if yu trit am kwik kwik wan. Bɔt nɔ kin apin so ɔltɛm, siriɔs prɔblɛm kin apin if dɛn nɔ trit am. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu dɔn si di sik.
- Cardiac Tamponade: Dis na di kɔmplikeshɔn we denja pas ɔl. di sak we de rawnd di at (pεrikardium) de fulכp wit wata we i nכ kin pכmp fayn fayn wan. Dis na mɛdikal imejensi . Di sayn dɛm na di at bit kwik kwik wan ɛn di blɔd prɛshɔn we de dɔŋ.
- Constrictive Pericarditis: Dis na wan sik we di pericardium kin swel, tik, ɛn stif as tɛm de go. Dis kin mek di at nɔ ebul fɔ bit fri wan. Dis kin mek yu gɛt siriɔs prɔblɛm lɛk at pwɛl hat.
Dɛn tin ya kin mek pɔsin fred fɔ yɛri. Bɔt mɛmba se dɛn nɔ kin bɔku ɛn dɛn kin ebul fɔ avɔyd dɛn kpatakpata if dɛn trit dɛn di rayt tɛm .
Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?
Yu dɔktɔ kin tink se yu gɛt at atak afta i yɛri bɔt yu sik, mɔ if yu jɔs gɛt at atak. Dɛn kin rɔn sɔm tɛst fɔ kɔnfirm wetin yu de sɔprayz.
Di fɔs tin we di dɔktɔ du
Di fɔs tin we yu go du na fɔ put di stetɔskɔp na yu chɛst ɛn tek tɛm lisin. Dɔn, yu go yɛri tu rili patikyula sawnd dɛn.
1. Pericardial Friction Rub: Na sawnd we de mek we di pericardium we dɔn swel de rɔb pan di at. I de mek yu yɛri lɛk tu pat pan dray lɛda we de rɔb togɛda.
2. Pleural Rub: sכmtεm dis swel kin afekt di layn dεm we de rawnd di lכng dεm bak (pleura). Dis kin mek yu gɛt di sem sawnd we yu de blo.
Neks tɛst dɛn
Dɛn tɛst ya kin kɔnfirm di sik mɔ.
| Tɛst | Wetin yu de luk fɔ insay de? |
|---|---|
| Tɛst fɔ Blɔd | Dɛn kin luk fɔ inflamɛns na di bɔdi, spɛshal wan de chɛk fɔ si if di C-reactive protein (CRP) ɛn wayt blɔd sɛl dɛn dɔn bɔku. |
| ECG (Ilɛktrokardiogram) . | dis tεst we de luk pan di ilektrikal aktiviti we di at de du, kin no sכm spεshal chenj dεm we de rilet to di swel we di pεrikardium de swεla. |
| X-ray na di chɛst | If wata de rawnd di at, i kin tan lɛk se di at dɔn big pan di ɛkstrem rayt. |
| Ikokardiogram (Echo) . | Dis na skan fɔ di at. I kin chɛk gud gud wan if wata de rawnd di at, ɔmɔs wata de, ɛn if i de afɛkt di at. |
| MRI we de na di at | If ɔda tɛst dɛn nɔ ebul fɔ gi klia pikchɔ, dis MRI skan kin sho klia wan se di at ɛn di pɔrikardium de swel. |
Wetin na di tritmɛnt? Yu tink se dɛn go ebul fɔ mɛn dis?
Yɛs, fɔ tru! Tritmɛnt fɔ Dressler’s Syndrome rili simpul ɛn i kin wok fayn. Bɔrku tɛm, mɛrɛsin kin kɔntrol di swel ɛn pul di sayn dɛm.
Yu dɔktɔ kin gi yu bɔku bɔku aspirin , bɔt wan mɛrɛsin we dɛn kɔl kolchisin kin ɛp bak fɔ ridyus di swɛlin ɛn mek i nɔ kam bak.
I rili impɔtant fɔ tek dɛn mɛrɛsin ya lɛk aw yu dɔktɔ tɛl yu fɔ tek sɔm wiks, sɔntɛm fɔ sɔm mɔnt . Nɔ stɔp fɔ tek di mɛrɛsin af-af jɔs bikɔs di pen dɔn stɔp. If yu du dat, i go mek yu gɛt mɔ chans fɔ mek di sik kam bak.
So, wetin a fɔ du?
Wae yu de wɛl frɔm wan big sik lɛk hat atɔk, na nɔrmal tin fɔ frayd ɛn fil bad wae sɔmtin lɛk dis apin bak. Bɔt di tin we impɔtant pas ɔl na fɔ ɔndastand se dis na tin we pɔsin kin kɔntrol.
- Fɔ fala wetin di dɔktɔ se: Tek yu mɛrɛsin jɔs di rayt tɛm, fɔ di ful tɛm we dɛn tɛl yu fɔ tek.
- Nɔ mis di apɔntinmɛnt fɔ fala yu: Ivin if yu fil fayn, mek shɔ se yu kam bak di de we yu dɔktɔ tɛl yu fɔ kam bak. Dis na impɔtant tin fɔ si aw di tritmɛnt de wok fayn fayn wan.
- Yu fɔ no bɔt di sayn dɛm: If di sik kam bak ɔr wɔs, tɛl yu dɔktɔ wantɛm wantɛm.
- Aks kwɛstyɔn: If yu gɛt ɛni kwɛstyɔn bɔt dis sik ɔr di mɛrɛsin, aks yu dɔktɔ fɔ mek i no yu klia wan.
Dressler’s Syndrome na wan sik wae kin kam bak sɔmtɛm ivin afta dɛn dɔn trit yu, na dat mek i impɔtant fɔ kɔntinyu fɔ de ɔnda dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Dressler’s Syndrome na wan sik wae kin apun sɔm wiks afta yu hat atak, bɔt naw i nɔr kin apin so ɔltɛm .
- Di tin we kin mek dis apin na we di bɔdi in yon imyun sistɛm de ansa, nɔto ɔda at atak.
- Di men sayn na we yu de shap shap pen na yu chɛst we de go dɔŋ we yu bɛn fɔ go bifo.
- Dɛn kin kɔntrol dis sik fayn fayn wan ɛn mɛn am ɔlsay wit mɛrɛsin.
- Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛni pen na yu chɛst we yu gɛt afta yu gɛt at atak. If yu nɔ panik ɛn du di rayt tin, yu go ebul fɔ mek ɛni prɔblɛm nɔ kam.
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