Yu at mɔsul de "slip" ɔ "stɔk"? (Hibernating Myocardium and Stunned Myocardium) Lɛ wi lan bɔt am!

yu don yehri boht pat na di hat de go "slip"? Ɔ "stuck" wantɛm wantɛm? Pan ɔl we dɛn tin ya kin tan lɛk strenj wɔd dɛn, fɔ tru, dɛn tin ya na tu sik dɛn we kin afɛkt wi at. Nɔ wɔri, wi go tɔk bɔt dɛn simpul wan we izi fɔ ɔndastand. Wi go luk wetin dɛn bi, wetin mek dɛn kin apin, aw fɔ no dɛn, ɛn if dɛn kin mɛn.

Wetin na "hibernating" at mכsul? (Mayokardium we de mek pɔsin slip insay di hibernating) .

Fɔ tɔk am simpul wan, we wan pat pan yu at mɔsul (wi kɔl am `(Myocardium)`) nɔ gɛt blɔd flɔ, i kin ridyus in wok smɔl smɔl ɛn leta i kin stɔp. I tan lɛk se yu de go slip bikɔs i taya. dis na wetin wi kin kכl `(Hibernating Myocardium)` כ "sleeping heart muscle." Dis kin apin fɔ sɔm mɔnt, sɔntɛm ivin fɔ lɔng lɔng tɛm.

Imajin se we sɔm plant dɛn na yu gadin nɔ gɛt wata igen, dɛn kin kɔl ɛn i kin tan lɛk se dɛn dɔn dray, nɔto so? Na so i bi wit dis wan. di hat mכsul mεnli nid fεt asid fכ wok (i.e. fכ kכntrakt). bכt we bכdi nכ de, dis mכsul de stat fכ yuz glukכs (i.e. wan kayn shuga) fכ kip in sεl dεm alayv. Bɔt i nɔ gɛt bɛtɛ ɛnaji fɔ pɔmp blɔd to di at dis tɛm. so, dis "slip" mכsul nכ de εp di hat in pכmp prכsεs.

wetin i min we di at mכsul "stכm" כ "go insay kכma"? (Stɔnd Mayokardium) .

Dis kכndyushכn difrεn sכmtεm frכm di dormant stet we wi bin dכn tכk bכt. I kin apin kwik kwik wan, insay sɔm minit ɔ sɔm awa. if di bכdi fכ fכlכ to di at mכsul dכn rεdכks כ stכp wan wan, di mכsul de stכp fכ wok, lεk se i "stכk" כ "paralayz." dis dεn kכl am `(Stunned Myocardium)`.

di strenj tin na, sכmtεm ivin we dכkta dεn trit di blכk (fכ egzampl, bay we dεn de put stent, dilayt di at we blכk wit balכn, כ fכ sכlv wan blכd kכlכt) fכ mek di blכd fכ fכlכ bak, dεn "stכk" mכsul sεgmεnt dεm ya nכ de kam bak to nכmal wans. I kin tek sɔm dez, ɔ ivin sɔm wiks fɔ mek dɛn mɔsul dɛn de bigin fɔ kɔntrakt fayn fayn wan bak.

Aw dɛn tin ya difrɛn frɔm we pɔsin gɛt at atɔk?

Dis na kwɛstyɔn we rili impɔtant. Hat atak na di kayn sik wae de kam pan pɔrsin wae gɛt korona at. Dis kin apin we wan ɔ mɔ pan di at we de gi blɔd to di at kin blok ɔl bay wan fat tin we dɛn kɔl plek, we kin mek di at mɔsul sɛl dɛn day. di dεd hat mכsul sεl dεm de riples wit ska tisu. Dis ska tisu nɔ kin ebul fɔ ɛp di at fɔ pɔmp fayn fayn wan. Dis kin mek yu at pwɛl.

כltu, di tu kכndishכn dεm ``Hibernating Myocardium'' εn ``Stunned Myocardium'' na fכ sכm tεm. Wetin kin apin ya na dat di at mɔsul nɔ de wok fayn, bɔt in sɛl dɛn stil de alayv.if di bכdi εn כksijεn saplai kam bak, dεn "slip" כ "stכk" mכsul pat dεm kin bigin fכ wok bak. Dat na di tin we impɔtant pas ɔl!

Wetin na di tin dɛm we kin mek pɔsin gɛt `Hibernating Myocardium`?

Dɛn kin si dis sik mɔ pan pipul dɛm wae gɛt siriɔs korona at sik. insay dis sik, fεt dεposit dεm (wi kכl dis ``plak'') de bil insay di at dεm we de kכri bכdi to di at, we de mek dεn blok. we atεri tu sכm, di at mכsul nכ de gεt inof כksijεn εn nyutriεnt fכ de alayv εn εp di at fכ pכmp bכdi. so, di mכsul de "slip" fכ kכnsyuv εnεji fכ mεnten in bεsik sεlyul fכnshכn dεm.

Wetin na di tin dɛm we kin mek pɔsin gɛt `Stunned Myocardium`?

di mayokardial stunning, we dεn kכl bak "stכk" fכ di at mכsul, kin apin bak we dεn de trit di korona at sik. Pan ɔl we di tritmɛnt kin mek di blɔd go bak, sɔm pat dɛn na di at mɔsul nɔ kin wɛl wantɛm wantɛm. Apat frɔm dat, dis sik kin apin fɔ sɔm ɔda rizin dɛn:

• Seizures (abnɔmal ilɛktrik aktiviti na di bren).
• Stress Cardiomyopathy na wan sik wae de afɛkt di at bikɔs ɔf strɛs.
• Wan sik we tan lɛk strok.
• Blɔd we de kɔmɔt na di bren (Subarachnoid Hemorrhage).

Wetin na di sayn dɛm fɔ dɛn tu tin ya?

Bikɔs pan dɛn tu tin ya, na wan pat ɔ bɔku pan di at mɔsul nɔmɔ kin afɛkt, bɔku tɛm di sayn dɛn kin tan lɛk di wan dɛn we dɛn kin si pan at pwɛl. Dɛn tin ya na:

• I nɔ kin izi fɔ yu fɔ blo
• Chɛst de pen
• Leg we de swel

If yu gɛt dɛn kayn sik ya, i go fayn fɔ mek yu go to dɔktɔ ɛn mek dɛn chɛk yu.

Aw fɔ no di sik we dɛn kɔl `Hibernating Myocardium`?

Fɔ no dis sik kɔrɛkt wan, dɛn nid fɔ du bɔku tɛst dɛn we nɔ izi fɔ du. dis tεst dεm kin εp fכ no difrεns bitwin di pat dεm na di at mכsul we "slip" כ "stכk" bכt dεn kin gεt layf bak , εn pat dεm we dεn day εn skata εn we dεn nכ kin gεt layf bak .

Sɔm pan di men tɛst dɛn we dɔktɔ dɛn kin yuz fɔ du dis na:

• `Dobutamine Stress Echocardiogram`: Dis involv fɔ gi yu wan mɛrɛsin (we dɛn kɔl `(Dobutamine)`) fɔ mek yu at wok lɛk se i de du ɛksɛsayz. Dɔn di dɔktɔ we de mɛn yu at go wach aw yu at de wok we i de rɛst ɛn aw i de wok we dɛn ad di doz fɔ di mɛrɛsin. if di at mכsul in ebul fכ wok inkrεs we dεn gi yu di mεdisin, i min se yu gεt wan kכndyushכn we dεn kכl `(Stunned Myocardium)` כ `(Hibernating Myocardium)`. If di mɔsul nɔ kɔntrakt ivin afta dɛn dɔn ad di doz fɔ di mɛrɛsin, dat min se di mɔsul dɔn day ɛn i gɛt skata.
• MRI fɔ di kadyak:Dis kin yuz pawaful magnet ɛn redio wev fɔ mek yu at mɔsul pikchɔ dɛn we rili klia ɛn we gɛt ditayli. bay we dεn luk di at mכsul dεm we de sho εn tik na dεn pikchכ dεm ya, dכkta dεn kin no εksεkshכn us tisu we skata (dεd), wetin nכmal, εn wetin "dכmant" כ "stכk."
• Cardiac Positron Emission Tomography (PET) scan: Dis de yuz sef lɛvɛl fɔ redioaktiv matirial ɛn spɛshal kamɛra. I de sho us pat pan yu at mɔsul de wok nɔmal wan ɛn us pat dɛn gɛt skata ɔ day tisu.

Pan ɔl we dɛn tɛst ya kin tan lɛk se dɛn at fɔ du smɔl, dɛn rili impɔtant fɔ ɔndastand di rayt tin we yu gɛt ɛn pik di tritmɛnt we go fayn fɔ yu.

Yu tink se dɛn kin mɛn `Hibernating Myocardium` (slip hat mɔsul)? Wetin na di tritmɛnt dɛn?

Yɛs, dis na di bɛst nyus! Dis sik kin wɛl wit tritmɛnt. Di men tin we yu fɔ du na fɔ mek di blɔd flɔ fayn bak to di pat pan di at mɔsul we dɔn mek di blɔd flɔ fayn fayn wan. Tu men tritmɛnt dɛn de fɔ dis:

• Angioplasty: Dis na fɔ yuz wan lɔng, tin tiub (kateta) fɔ go insay di blɔd vesel we dɔn blok ɛn inflate wan smɔl balyɔn na di ɛnd pan di tiub fɔ pul di plek ɛn mek di vesel big. Sɔntɛnde, dɛn kin put wan tin we tan lɛk mɛsh (stɛnt) insay di vessel fɔ mek i nɔ lɔk igen.
• Coronary Artery Bypass Surgery (CABG): Dis na ɔspitul we yu kin tek wan wɛlbɔdi blɔd vesel frɔm ɔda pat na yu bɔdi (lɛk yu leg ɔ yu chɛst) ɛn mek nyu rod fɔ mek blɔd flɔ tru am, baypas di at we dɔn blok na yu at. I tan lɛk se yu de bil baypas we dɛn dɔn blok rod.

Afta dɛn tritmɛnt ya, dɛn kin sɛn yu bak to ``Cardiac Rehabilitation'' program fɔ ɛp fɔ mek yu wɛl. Dis na ɛksɛsayz program we dɔktɔ de sɔpɔt yu we de ɛp yu fɔ mek yu gɛt mɔ trɛnk ɛn fitnɛs, ɛn gɛt abit dɛn we go ɛp yu at.

Wetin na di tritmɛnt dɛm fɔ `Stunned Myocardium`?

Di tritmɛnt fɔ di at mɔsul we dɔn blok na di sem wit di standad tritmɛnt fɔ korona at sik ɛn at pwɛl hat. Sɔm pan di mɛrɛsin dɛn we dɛn kin yuz mɔ na:

• Aspirin we dɛn kin yuz
• Beta-blɔk dɛn
• Statin (drɔg dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel) .
• `ACE inhibitors` ɔ `Angiotensin II receptor blockers` (mɛrɛsin dɛm we de kɔntrol blɔd prɛshɔn ɛn protɛkt di at)

Di dɔktɔ go chɛk yu sik ɛn gi yu di mɛrɛsin we fit yu pas ɔl.

Aw fɔ protɛkt yusɛf frɔm dɛn tin ya?

Di bɛst we fɔ ridyus di risk fɔ dɛn kayn tin ya na fɔ kia fɔ yu at gud gud wan. Dat min se:

• Fɔ fala di it we gɛt wɛlbɔdi:Di it we nɔ gɛt bɔku ɔyl, shuga, ɛn sɔl, ɛn we gɛt bɔku vɛjitebul ɛn frut.
• Ɛksesaiz ɔltɛm: Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit insay di de, i fayn.
• Nɔ smok: Fɔ smok bad bad wan fɔ di at.
• Fɔ stɔp fɔ drink rɔm.
• Fɔ mek yu gɛt wɛlbɔdi wet.
• Fɔ kɔntrol di strɛs.
• If yu gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ ay kɔlɔstrel, kɔntrol dɛn fayn fayn wan.
• If yu dɔktɔ dɔn tɛl yu fɔ tek am, tek mɛrɛsin lɛk statin fɔ mek yu nɔ gɛt bɔku kɔlɔstrel ɔ aspirin fɔ mek yu blɔd nɔ klɔt ɛvride.

Yu kin yuz bak risk kɔlkyulɛta frɔm ɔganayzeshɔn dɛn lɛk di American College of Cardiology ɔ di European Society of Cardiology fɔ no yu pasɔnal risk ɛn tritmɛnt nid. Bɔt if yu dɔn ɔlrɛdi gɛt at sik, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt di prɔblɛm we yu go gɛt. Insay dɛn kayn tin ya , dɛn dɔn sho se di mɛrɛsin we dɛn kin gi pɔsin we gɛt gaydlain kin ridyus di risk fɔ gɛt at atak, at pwɛl, ɛn ivin day.

Wetin na di prɔgnosis?

di fכs hεlth fכ pכsin we gεt dis kכndyushכn (wi kכl dis ``prognosis``) de dipכnt pan sεvεra tin dεm. Fɔ ɛgzampul:

• Aw di at in pawa fɔ pɔmp dɔn dכn.
• If yu de yuz di rayt mɛrɛsin we di dɔktɔ gi yu.
• If yu fit fɔ `(Angioplasty)`/`(Stent)` ɔ `(CABG)` ɔpreshɔn.

Pipul wae gɛt korona at sik kin gɛt risk fɔ gɛt at prɔblɛm fɔ lɔng tɛm tumara bambay. if yu korona at dεm blok bak, yu at mכsul kin "hibernate" bak.

Impɔtant: Hibernating Myocardium kin apin we di blɔd flɔ to di at mɔsul tisu kin stɔp fɔ lɔng tɛm bikɔs wan korona at kin blok bad bad wan pan pipul dɛn we gɛt korona at sik. Stunned Myocardium kin apin we di bכdi fכ fכlכ dכn rεdכks wan wan. If blɔd flɔ bak, yu at mɔsul fɔ ebul fɔ kɔntrakt bak insay shɔt tɛm. Dɛn tu sik ya kin bi trit. I impɔtant fɔ tek kia ɔf yu at gud gud wan fɔ mek dɛn kayn tin ya nɔ kam bak.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Hibernating Myocardium εn Stunned Myocardium na tu kכndyushכn dεm we de apin bikoz di bכdi fכ fכlכ di at mכsul dεn dכn dכn.
• pan dεn tu kכndyushכn ya, di at mכsul nכ de day, bכt i nכ de wok fayn. Dis difrɛn frɔm we pɔsin gɛt at atɔk.
• Bɔku tɛm, dɛn ɔl tu sik ya kin mɛn! I impɔtant fɔ mek di blɔd go bak ɛn if nid de, go to dɔktɔ.
• If yu gɛt sɔm sayn dɛm lɛk wae yu nɔr de blo fayn, yu chɛst de pen, ɔr yu leg de swel, go to dɔktɔ ɛn nɔr west yu tɛm.
• De risk fɔ dɛn kayn tin ya kin ridyus if yu fala wɛl bɔdi layf ɛn mɛna di mɛdikal kɔndishɔn dɛm wae dɔn de (lɛk dayabitis ɛn ay blɔd prɛshɔn).
• If yu gɛt at sik, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn du tɛst ɔltɛm.

Yu at na yu prɔpati we yu valyu pas ɔl. So tek kia ɔf am. A op se dis infɔmeshɔn go yusful to yu!

` At sik, hibernating myocardium, stun myocardium, hat atak, korona at sik, angioplasti, baypas ɔpreshɔn