We wi yɛri di wɔd at sik ɔ at blɔk, bɔku pan wi kin fil fɔ fred wantɛm wantɛm. Di nɛks tin we wi kin tink bɔt na big ɔpreshɔn lɛk baypas ɔpreshɔn. We wi tink bɔt fɔ spɛn de dɛn na ɔspitul, di tɛm we wi go wɛl, ɛn di pen we wi de fil kin mek wi shek, nɔto so? Bɔt yu no se bikɔs ɔf di advans mɛdikal sayɛns tide, dɛn kin trit bɔku at sik dɛn we dɛn nɔ mek big say, bay we dɛn put wan tin tyub (kateta) tru wan smɔl ol na di an ɔ di groin? Da wɔndaful ɛn rili sef mɛrɛsin de na wetin wi kɔl Interventional Cardiology . Tide, wi go tɔk bɔt dis rili simpul wan, so dat yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Intɛrvɛnshɔnal Kadiɔlɔji?
Imajin se wata paip na yu os dɔn lɔk wit dɔti. Naw di wata de flɔ sloslo. Tu we dɛn de fɔ fiks dis. Wan na fɔ brok di wɔl, pul di paip, ɛn put nyu paip. Dis na bɔku wok, i gɛt dɔti, i de mek nɔys, i de tek bɔku tɛm, ɛn i de dia. Di ɔda we na, if yu nɔ brok di wɔl, yu put wan tin we tan lɛk waya insay wan ɛnd pan di paip, pul di dɔti we dɔn lɔk, ɛn klin di rod. Aw i izi fɔ dis? Na dat kin apin na Intɛrvɛnshɔnal Kadiɔlɔji.
Tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin at na big ɔpreshɔn we kin mek dɛn brok di wɔl. Intɛrvɛnshɔnal Kadiɔlɔji na ɔpreshɔn we dɛn kin du fɔ klin di at wit wan fayn fayn tin we dɛn nɔ fɔ brok di wɔl.
Dis na ɔda advans branch na di mɛdikal fild we dɛn kɔl Cardiology. Na ya, dɔktɔ dɛn, we na Interventional Cardiologists , kin yuz tiub dɛn we rili tan ɛn we kin chenj we dɛn kɔl kateta fɔ no ɛn trit difrɛn sik dɛn na di at ɛn di blɔd vesel dɛn. Dis nɔ nid fɔ kɔt big say. dis kateshכn de insay di bכdi tru wan sכmכl nidul we dεn put insay wan bכdi we de na di an כ di groin. So, dεn kכl dis bak "Minimally Invasive" tritmεnt.
Wetin na di bɛnifit dɛn we dis we dɛn kin du pas di big big ɔpreshɔn we dɛn kin du na di at?
Dis we ya gɛt bɔku bɛnifit dɛn pas ɔpreshɔn fɔ mek di bɔdi big. I rili impɔtant fɔ mek yu no dis.
| Bɛnifit | Dat min... (Wetin i min...) |
|---|---|
| Smɔl smɔl say dɛn we dɛn kɔt (Smɔl smɔl kɔt dɛn) | Bifo dɛn kɔt big say, na nidul nɔmɔ dɛn kin pank am. Dat go wɛl kpatakpata insay sɔm dez. No nid nɔ go de fɔ stich. |
| Di risk fɔ mek blɔd nɔ bɔku (Di risk fɔ lɛ pɔsin lɔs blɔd smɔl) | Bikɔs dɛn nɔ kɔt big big blɔd, nɔto bɔku blɔd de lɔs na di bɔdi. So, di nid fɔ transfyuz blɔd na do bak nɔ kin apin so ɔltɛm. |
| Gɛt wɛlbɔdi kwik kwik wan (Fasta tɛm fɔ wɛl) | I kin tek sɔm wiks, ivin sɔm mɔnt fɔ mek i kam bak to in nɔmal afta dɛn dɔn du big ɔpreshɔn. Bɔt wit dis we, yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay sɔm dez. |
| Di tɛm we dɛn kin spɛn na ɔspitul nɔ kin shɔt. (Shɔt ɔspitul we dɛn kin de) | Bɔrku tɛm, yu kin jɔs gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez afta dis kayn tritmɛnt, ɛn yu kin ivin ebul fɔ go na os di sem de. |
Wetin ɛksaktɔli Intɛrvɛnshɔnal Kadiɔlɔjis kin du?
Di men tin we dɛn dɔktɔ ya want na fɔ mek shɔ se di blɔd vesel dɛn na yu bɔdi, mɔ di wan dɛn we de kɔnɛkt to yu at, de wok fayn fayn wan. Jɔs lɛk di trafik polis dɛn we de na di rod, dɛn kin fɛn say dɛn we di blɔd vesel dɛn dɔn blok, dɛn kin fɛn di tin dɛn we kin mek dɛn blɔd, dɔn dɛn kin pul dɛn fɔ mek di blɔd go bak fayn fayn wan.
Di tin we impɔtant pas ɔl na dat, dɛn dɔktɔ ya nɔ de du ɔpreshɔn fɔ opin at lɛk di dɔktɔ dɛn we de du ɔpreshɔn pan di at. Dɛn kin du ɔl dɛn wok tru wan kateshɔn.
Di tritmɛnt we dɛn kin yuz mɔ na angioplasty ɛn stent.
Dis na di tritmɛnt we dɛn kin gɛt pas ɔl na dis wok. Na imejensi tritmɛnt wae dɛn kin yuse fɔ sev pipul dɛm layf, mɔr lɛk wae hat atak kin kam. Lɛ wi si aw dis kin apin.
1. Fɔ no di blɔd: Fɔs, dɛn kin du wan ɛkstrem rayt tɛst we dɛn kɔl angiogram fɔ si if blɔk de na wan pan di korona at we de gi blɔd to yu at.
2. Fɔ put di kateshɔn insay:Dɔn, dɛn kin pas wan tint kateshɔn tru wan vein na yu an ɔ yu groin ɛn go insay wan blɔd vesel na yu at. Yu nɔ go ivin fil am.
3. Angioplasty: Wan smɔl balyɔn de na di ɛnd pan di kateshɔn. We di dɔktɔ rich na di say we dɛn dɔn blok, dɛn kin blo di balyɔn. Dɔn di kɔlɔstrel layt we dɔn blok kin stik na di wɔl na di at, ɛn i kin opin di we fɔ mek blɔd flɔ bak.
4. Stent fɔ kip di pasej opin: Bikɔs di pasej we dɛn opin wit di balyɔn kin lɔk bak, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent na di ples fɔ mek i nɔ apin. Dis tan lɛk fɔ gi sɔpɔt to wan tanɛl we de kam fɔdɔm. Dis stent de mek di blɔd vesel opin.
Dɛn kin du dis prɔsidyu wantɛm wantɛm pan pɔsin we gɛt at atak, ɛn dis kin mek di at nɔ pwɛl bɛtɛ ɛn sev in layf.
Us ɔda tɛst ɛn tritmɛnt dɛn kin du wit dis we?
Apat frɔm angioplasty ɛn stent ples, dɛn kin yuz dis we fɔ bɔku ɔda kɔndishɔn dɛn. Na sɔm pan dɛn.
| Nem fɔ di tritmɛnt/tɛst | Wetin kin apin wit dis? |
|---|---|
| Kadiak Kateterizashɔn | Dis na di tɛst we pas ɔl. Dɛn kin put kateta insay di at in chɛmba ɛn blɔd vesel fɔ mɛzhɔ tin dɛn lɛk prɛshɔn, blɔd flɔ, ɛn ɔksijɛn lɛvɛl. |
| Atherectomy we dɛn kin du | Sɔntɛnde, if di kɔlɔstrel layt tu tik, i nɔ kin izi fɔ tay am wit di balyɔn. Da tɛm de, dɛn kin skrap di layt wit wan smɔl tin we tan lɛk bled we dɛn kin pas na di kateshɔn. |
| Atrial Sɛptal Difɛkt (ASD) Klɔz | ol na di at we de we dεn bכn am (congenital heart disease) nכ nid fכ gεt chεst tyub. wan sכmכl tin we lεk "ambrela" kin pas tru wan kateshכn fכ klos di ol. |
| Riplesmɛnt ɛn Ripair di At Valv | Dɛn kin yuz dis we fɔ mek ɔ riples di at valv dɛn we dɔn smɔl ɔ we de lik. TAVI/TAVR na wan pɔpul tritmɛnt fɔ dis sik. |
| Trombolysis we dɛn kɔl trombolysis | If blɔd klɔt stɔp insay blɔd vesel, dɛn kin yuz kateta fɔ go na di say we di blɔd klɔt ɛn injɛkt mɛrɛsin we de sɔlv am. |
Ɔnda us sikɔstɛms dɛn go rifer yu to Intɛrvɛnshɔnal Kadiɔlɔjis?
If yu famili dɔktɔ ɔ jenɛral dɔktɔ we de mɛn yu at tink se yu gɛt prɔblɛm wit yu at ɔ yu blɔd vesel, dɛn kin sɛn yu to dɔktɔ we de ɛp yu fɔ no wetin i bi ɔ fɔ trit am.
Bɔku tɛm, dɛn kin nid dɛn ɛp pan dɛn mɛrɛsin ya:
- Atherosclerosis: As wi bin dɔn tɔk, dis min se di kɔlɔstrel kin gɛda insay di blɔd vesel dɛn, ɛn dis kin mek di say we di blɔd de pas smɔl.
- Korona at sik: Di at we de gi blɔd to di at de blok. Dis kin mek yu chɛst de pen (angina).
- At Valv Sik: At valv nɔ de wok fayn.
- di At Kכndishכn dεm we dεn bכn wit: di at dεm we de fכm we dεn bכn am (lεk ol dεm na di at).
- Pεrifεral Atεri Disease: di atεri dεm we de kכri bכdi to di an εn leg dεm de blok.
- Aneurism: Na bulge we tan lɛk balɔ na blɔd vesel.
- Blɔd Klɔt: Blɔd we de klɔt.
Bɔt mɛmba se dis we fɔ du tin nɔ fayn fɔ ɔlman we sik. Dipen pan yu situeshɔn, big ɔpreshɔn kin bi di bɛst sɔlv. Na di dɔktɔ we de chɛk yu go disayd fɔ du dat.
Dɔn bak, if yu gɛt sɔntin lɛk at atak wantɛm wantɛm, dɛn kin admit yu dairekt na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU), usay wan Intɛrvɛnshɔnal Kadiɔlɔjis kin trit yu.
Wetin yu fɔ ɛkspɛkt we yu go si dɔktɔ?
Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu de go to spɛshal dɔktɔ lɛk dis. Bɔt nɔ fred am.
Fɔs, di dɔktɔ go aks yu bɔt di sayn dɛn we yu gɛt. Ustɛm di pen na in chɛst bigin, aw i kin fil, ɛn aw lɔng i dɔn de? Dɔn, dɛn go aks if ɛnibɔdi na yu famili gɛt at sik.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.Dat min se nɔto fɔ jɔs tek mɛrɛsin dɛn we dɛn kin gi yu, bɔt yu fɔ tek mɛrɛsin dɛn we yu kin yuz fɔ mɛn pen, vaytamɛn, ɛn tradishɔnal mɛrɛsin (Sinhala mɛrɛsin) we yu kin yuz na di famasi, ɛn yu nid fɔ tɛl dɛn ɔl. Di bɛst tin fɔ du na fɔ rayt dɛn ɔl.
Dɔn di dɔktɔ go chɛk yu. I go du simpul tɛst dɛn lɛk fɔ lisin to yu at wit stetɔskɔp ɛn fɔ mɛzhɔ yu blɔd prɛshɔn.
If yu nid kateshɔn ɔ tritmɛnt, dɛn go du am pan wan sɛpret de (lɛs na imejensi). Bifo dat, yu dɔktɔ go ɛksplen to yu di we aw dɛn fɔ du am, ɛn di bɛnifit dɛn we yu go gɛt ɛn di smɔl smɔl prɔblɛm dɛn we yu go gɛt, ɛn aw fɔ rɛdi fɔ am.
Mɛsej we dɛn kin kɛr go na os
- Interventional Cardiology na wan advans we fɔ trit at sik. Bifo dɛn du big ɔpreshɔn pan pɔsin in at, dɛn kin yuz wan rili fayn tiub (kateta) fɔ du tritmɛnt.
- Di bɛnifit dɛn we dis we ya kin gɛt na we i nɔ kin gɛt bɔku pen, i kin wɛl kwik kwik wan, i nɔ kin de na ɔspitul igen, ɛn i nɔ kin gɛt big big skata.
- Bɔku tin dɛn lɛk at atak, blɔd vesel we blok, at valv prɔblɛm, ɛn at prɔblɛm we dɛn bɔn wit, dɛn kin trit fayn wit dis we.
- If yu gɛt at sik, tɔk to yu dɔktɔ fɔ no if dis tritmɛnt fayn fɔ yu. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt.
- Bifo yu fred we yu yɛri bɔt at sik, if yu no bɔt di advans tritmɛnt dɛn we de tide, dat go mek yu gɛt bɔku trɛnk na yu maynd.
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