Yu tink se blɔd nɔ de go na sɔm pat dɛn na yu bɔdi? Lɛ wi lan bɔt Ischemia!

Yu dɔn ɛva yɛri bɔt wan sik we blɔd nɔ de flɔ fayn fayn wan na sɔm pat dɛn na di bɔdi? We dat kin apin, dɛn pat dɛn de nɔ kin gɛt bɛtɛ ɔksijɛn, ɛn dis kin mek dɛn gɛt siriɔs prɔblɛm. Dis kin rili siriɔs. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ischemia. Lɛ wi tek tɛm luk wetin i rili bi, wetin mek i kin apin, ɛn wetin yu kin du bɔt am.

Wetin rili na Ischemia?

Fɔ tɔk am simpul wan, Ischemia na we wan pat pan yu bɔdi nɔ gɛt inof blɔd. Naw yu no se wi blɔd de kɛr ɔksijɛn go na ɔl di sɛl ɛn tisu dɛn na di bɔdi. So we di blɔd nɔ de flɔ, dat min se di ɔksijɛn we dɛn de gi kin go dɔŋ bak. Dis na di rial prɔblɛm, bikɔs wi sɛl dɛn nid ɔksijɛn fɔ liv.

Bɔku tɛm, dis kin apin bikɔs ɔf di at we dɔn smɔl ɔ we di blɔd vesel dɔn blok.

Sɔmtɛm dis ischemia kɔndishɔn nɔ kin rili siriɔs ɛn nɔ kin kɔz ɛni big prɔblɛm. Bɔt as tɛm de go, i kin wɔs smɔl smɔl ɛn i kin tranga mɔ ɛn mɔ. If i rili bad, we min se bɔku sɛl dɛn de day, i kin mek pɔsin in layf de pan denja. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di men kayn ischemia?

Ischemia kin afɛkt difrɛn pat dɛn na di bɔdi. Wi kin klas am akɔdin to di eria we i afɛkt. Bɔku men kayn dɛn de we yu kin si:

• Myocardial ischemia: Dis na wan sik we kin apin we di blɔd we de go na di at mɔsul dɔn ridyus. Dis na di men tin wae kin mek pɔrsin gɛt dis sik wae wi ɔl dɔn yɛri bɔt. Tink bɔt am, di at tan lɛk pɔmp we de wok nɔ stɔp. Wetin fɔ du if i nɔ gɛt inof blɔd?
• Mesenteric ischemia: Dis sik kin apin we di blɔd vesel dɛm we de gi blɔd to sɔm pat dɛm na di dijestiv sistɛm, lɛk wi intestinal, kin blok. Dis nɔ kin apin sote, bɔt i kin tranga ɛn i kin kam wantɛm wantɛm.
• peripheral or limb ischemia: Dis na we di bכdi de dכn fכ fכlכ di an כ di leg dεm. Sɔntɛnde, di leg dɛn kin at we yu de waka, bɔt i kin jɔs bɛtɛ afta yu dɔn tinap fɔ sɔm tɛm. If tin tranga, di an ɔ di leg kin ivin paralayz.
• Ischemic stroke: Dis na strok we de afɛkt di bren ɛn i kin apin we wan blɔd vesel we de gi blɔd to di bren dɔn blok, ɛn dis kin mek wan pat pan di bren pwɛl, we nɔ gɛt ɔksijɛn. Dis kin rili denja bikɔs wans di bren sɛl dɛn dɔn day, dɛn nɔ kin ebul fɔ bɔn bak.
• Transient ischemic attack (TIA): Dis na bak we di bכdi we de fכm na di bren de dכn fכ sכm tεm. Pan ɔl we di sayn dɛn kin tan lɛk di wan dɛn we pɔsin kin gɛt we i gɛt strok, bɔku tɛm i kin go insay 24 awa, bɔku tɛm insay sɔm minit. Bɔt, na sayn we de wɔn pɔsin fɔ sho se big big strok de kam! So, if yu gɛt TIA, yu fɔ go to dɔktɔ wantɛm wantɛm.

Aw kɔmɔn dis sik we dɛn kɔl ischemia?

Infakt, dis ischemia kin bɔku pas aw yu go tink. Jɔs tink bɔt aw at sik na di men tin we de mek pipul dɛn day na di wɔl. Ɛn we i kam pan strok, bɔku pan dɛn na ischemic strok. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, dɛn kin se pɔsin kin gɛt strok ɛvri 40 sɛkɔn.

I pas 200 milyɔn pipul dɛn ɔlsay na di wɔl we gɛt dis sik we dɛn kɔl peripheral artery disease (PAD). Na lɛk 11% pan dɛn pipul ya gɛt krɛse sik we de mek dɛn gɛt prɔblɛm wit dɛn an ɛn fut.

כltu, di mεsεntrik ischemia we wi bin dכn tכk bכt nכ kin bכku. Dɛn kin si am mɔ pan pipul dɛn we sik bad bad wan na di Intensive Care Unit (ICU).

Wetin na di sayn dɛm fɔ Ischemia?

Di sayn dɛm fɔ ischemia kin difrɛn difrɛn wan bay usay na di bɔdi di blɔd saplai nɔ de. Dat min se, nɔto di sayn dɛn we kin apin we di at nɔ gɛt blɔd, bɔt na di sayn dɛn we kin apin we di leg dɛn nɔ gɛt blɔd. Lɛ wi luk sɔm pan di kɔmɔn sayn dɛm:

• Angina, we na pen na di chɛst ɔ tayt: Dis na wan big sayn fɔ di mayokardial ischemia. I kin fil lɛk se dɛn de prɛs yu ɔ yu de put wet na yu chɛst. Sɔntɛnde, dis pen kin go na yu lɛft an, nɛk, ɔ yu jaw.
• Fɔ blo shɔt: Yu kin gɛt shɔt briz, ivin we yu taya smɔl.
• Laythed ɔ diziz: Na filin fɔ spin, layt ed, ɔr fɔdɔm.
• I nɔ izi fɔ tɔk: Fɔ tɔk smɔl smɔl, fɔ nɔ ebul fɔ tɔk klia wan, ɛn ɔda pipul dɛn nɔ fɔ ɔndastand am. Dis na wan sayn mɔ fɔ di bren ischemia.
• Lɔs fɔ kɔdineshɔn: Fɔ stɔp we yu de waka, fɔ lɛf fɔ balans wantɛm wantɛm, fɔ gɛt prɔblɛm fɔ ol tin.
• Pen na yu an ɔ yu leg: Di pen kin kam wantɛm wantɛm, ɔ i kin kam we yu de du sɔntin (e.g., pen na yu leg we yu de waka). Dis pen kin stɔp afta yu dɔn rɛst fɔ shɔt tɛm, bɔt i kin kam bak we yu bigin fɔ du tin bak.
• An ɔ leg kin bi pale ɔ kol: Da an/leg de fil kol pas di ɔda say, ɛn di kɔlɔ kin chenj, sɔntɛm i kin ivin tɔn blu.
• Na yu an ɔ yu leg de swɛla ɔ yu de swɛt (Paresthesia): I kin tan lɛk pin ɛn nidul, ɔ di say kin swɛt ɔ i kin ebi.
• Sivεr bεlε (bεlε) pen: Wan bεlε pen we yu nכ kin bia. Dis kin bi sayn fɔ mesenteric ischemia.
• Bɔt bad bad wan: Na filin fɔ blo bad bad wan, lɛk se di bɛlɛ ful-ɔp wit gas.
• Daya: Sɔntɛnde, blɔd kin kam wit dayarɛa.
• Bɛlɛ we nɔ fayn, nɔs, ɛn vɔmit.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr ignore dɛm. I bɛtɛ fɔ mek yu go to dɔktɔ wantɛm wantɛm. Ɛspɛshali if yu gɛt sɔm kayn sik lɛk yu chɛst pen ɔr yu nɔr kin ebul fɔ tɔk, yu fɔ go na ɔspitul wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pɔsin gɛt ischemia?

Ischemia kin apin we sɔntin de blok di blɔd we de pas tru wan blɔd vesel to di tisu dɛn. sכmtεm, if di bכdi prεshכn dכn כ lכw כksijεn lεvεl de ɔlsay na di bכdi fכ lכng tεm, wan kכndyushכn we dεn kכl "global ischemia" kin apin.

Di men tin dɛn we kin mek pɔsin gɛt ischemia na:

• Atɛrosklɛrosis: Dis na di men tin we kin mek i gɛt dis sik. Fɔ tɔk am simpul wan, di fat we de (wi kɔl am kɔlɔstrel) kin gɛda insay di blɔd vesel dɛn, we kin mek di wɔl dɛn na di blɔd vesel dɛn tik ɛn di say dɛn we de opin kin smɔl. Dis kin mek blɔd nɔ flɔ fayn.
• Blɔd klɔt: Blɔd klɔt kin fɔm insay wan blɔd vesel ɛn blok di vein. Dis blɔd klɔt kin fɔm ɔdasay bak, travul wit di blɔd, ɛn lod insay wan vein.
• Strangulation of an abdominal hernia: Sɔntɛnde, wan pat pan di intestin kin strangul insay wan hernia, we kin mek di blɔd nɔ flɔ to am.
• Blɔd prɛshɔn we rili smɔl: We blɔd prɛshɔn go dɔŋ tumɔs, i nɔ kin izi fɔ di at fɔ pɔmp blɔd to sɔm pat dɛn na di bɔdi, mɔ di pat dɛn we de fa.
• Vasculitis: Dis na inflamɛns na di blɔd vesel dɛm. Dis kin mek bak di vein dɛn smɔl.
• Di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn: We dɛn de du sɔm ɔpreshɔn dɛn, we dɛn kin kɔnɛkt am to tin dɛn we dɛn kin yuz fɔ sev layf, ɔ bikɔs ɔf tin dɛn we dɛn kin put insay blɔd vesel, sɔntɛnde blɔd kin stɔp fɔ flɔ.

Us tin dɛn kin mek di risk fɔ gɛt ischemia?

Sɔm pipul dɛn kin gɛt ischemia pas ɔda wan dɛn. Lɛ wi tek wan luk pan wetin dɛn bi:

• If ischemia dɔn ɔlrɛdi de na ɔda pat na di bɔdi.
• Ay blɔd prɛshɔn ɔ lɔw blɔd prɛshɔn.
• Di ay kɔlɔstrel lɛvɛl na di blɔd.
• Dayabitis (Dayabitis Mɛlitus).
• Fɔ nɔ ebul fɔ du bɔku tin dɛn fɔ du.
• If pɔsin fat, dat min se i fɔ fat pasmak.
• Kronik Kidni Disizin (CKD).
• Yuz tin dɛn we dɛn kin yuz fɔ smok (smok, tabak we nɔ gɛt smok).
• If yu bin dɔn gɛt at atak bifo.
• If yu dɔn gɛt strok bifo.
• Slip apnɛa fɔ slip.
• Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt.
• Sɔm mɛrɛsin dɛn, fɔ ɛgzampul, pils fɔ kɔntrol bɔn pikin.

If yu gɛt wan ɔ mɔ pan dɛn risk factor ya, fɔ kɔntrol dɛn rili impɔtant fɔ mek yu nɔ gɛt ischemia.

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf ischemia?

If dɛn nɔ trit ischemia fayn, i kin mek i gɛt siriɔs prɔblɛm bikɔs di sɛl dɛn kin bigin fɔ day we dɛn nɔ gɛt ɔksijɛn.

• At atak: Dis kin apin we di blɔd we de gi di at mɔsul stɔp.
• Kritikal limb ischemia: Na sik we di blɔd we de gi yu an ɔ leg kin ridyus bad bad wan, ɛn dis kin mek di pat day. I kin ivin nid fɔ kɔt am.
• Stroke: We blɔd de flɔ to di bren stɔp.
• Transiεnt ischemik atak (TIA) we de apin.
• Pɔrfɔreshɔn na yu smɔl intestinal: We di intestinal nɔ gɛt inɔf blɔd, di intestinal wɔl kin wik ɛn i kin gɛt perforated.
• Gangrene, na wan sik we di tisu kin day ɛn rɔtin: Dis kin kam bak wit infɛkshɔn.

Na dat mek i impɔtant fɔ go to dɔktɔ as soon as di sayn dɛn we de sho se yu gɛt ischemia.

Aw yu kin no bɔt ischemia?

If yu gɛt sayn dɛm fɔ ischemia, we yu go to dɔktɔ, i go aks yu bɔt yu sayn dɛm ɛn ɛni sik we yu bin dɔn gɛt bifo. Dɔn i go du wan ɛgzam fɔ yu bɔdi, ɛn i go luk spɛshal wan pan di say we yu gɛt di prɔblɛm. Apat frɔm dat, i go ɔda sɔm tɛst dɛn fɔ no if i gɛt di sik. (Dɛn kɔrɛkt 'நிரணய' to wan Sinhala wɔd lɛk "தஹாவுரு").

Rivays: Apat frɔm dat, dɛn kin ɔda sɔm tɛst fɔ no if pɔsin gɛt di sik.

Us tɛst dɛn kin du fɔ no dis?

Difrɛn tɛst dɛn de we dɛn kin yuz fɔ no if ischemia de, aw i bad, ɛn usay i de. Sɔm pan dɛn na:

• Blɔd tɛst: Chɛk fɔ si if yu at pwɛl, yu gɛt kɔlɔstrel, ɛn if yu gɛt dayabitis.
• Ankle-brachial index test: Na simpul tɛst fɔ chɛk fɔ si if blɔd nɔ de flɔ fayn na di leg dɛn.
• Doppler ultrasound: Dɛn kin yuz dis fɔ si aw blɔd de flɔ tru di blɔd vesel dɛn ɛn if ɛnitin de we dɔn blok.
• Echocardiogram: Na ɔltra saund tɛst fɔ luk aw di at de wok, inklud di at chɛmba ɛn valv dɛn.
• Angiogram: Dɛn kin put spɛshal wata insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt fɔ no usay di vein dɛn dɔn blok ɛn smɔl smɔl.
• MRI (Magnetik Rizɔnans Imej) skan.
• CT (Kɔmpyuta Tomografi) skan.
• Ɛksesaiz strɛs tɛst:Dɛn kin luk aw yu at kin biev we yu de du ɛksɛsayz.
• Ilektrokardiogram (EKG/ECG): I de rikodɔ di ilɛktrik aktiviti we di at de du.
• PET scan (Positron Emission Tomography scan): I kin si tin dɛn lɛk di bɔku blɔd we de flɔ to di tisu dɛn.

Di dɔktɔ go disayd wetin fɔ du wit dɛn tɛst ya bay aw yu sik.

Aw dɛn kin trit Ischemia?

Di men gol fɔ trit ischemia na fɔ mek di blɔd flɔ bak fayn fayn wan to di pat na di bɔdi we nɔ gɛt ɔksijɛn. Dis kin apin tru mɛrɛsin, chenj di we aw pɔsin de liv in layf, ɛn sɔm mɛrɛsin ɔ ɔpreshɔn.

Mɛrɛsin dɛn we dɛn kin yuz

• Mɛrɛsin we de mek yu blɔd prɛshɔn go dɔŋ: If yu gɛt ay blɔd prɛshɔn.
• Mεdisin we de mek di kכlestכl dכn: Kכntrol di atεrosklεrosis.
• Antikoagulant - Blɔd tin dɛm: I de mek di blɔd klɔt nɔ fɔm ɛn stɔp di blɔd we dɔn de fɔ mek i big.
• Antiplatlɛt: Dis na wan kayn mɛrɛsin we de ridyus di blɔd we de klɔt (e.g. aspirin).
• Thrombolytics - mεdikeshכn dεm we de sכlv blכd kכlכt: dεn kin gi dεm we blכd vεsεl blכk wan wan bay blכd kכlכt (e.g., hat atak, strכk).
• Antibayɔtik if infekshɔn de.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Dɛn tin ya rili impɔtant, bikɔs na mɛrɛsin nɔmɔ nɔ go du fɔ dɛn.

• Ɛksesaiz fɔ lɛk fayv dez insay di wik, fɔ at le 30 minit insay di de.
• Fɔ mek yu gɛt wɛlbɔdi wet.
• Fɔ avɔyd tin dɛn we dɛn kin yuz fɔ smok kɔmplit wan.
• Yu fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it: It mɔ frut, vɛjitebul, grɛn, ɛn it dɛn we gɛt fayv. Ridyus ɔyl, shuga, ɛn sɔl.

Ɔpreshɔn ɔ ɔda tin dɛn we dɛn kin du fɔ mɛn pipul dɛn

Sɔntɛnde, if di mɛrɛsin nɔmɔ nɔ go du, dɔktɔ dɛn kin du tin dɛn lɛk:

• Angioplasty ɛn stent: Dɛn kin ful-ɔp wan blɔd vesel we dɔn smɔl wit wan tin we tan lɛk balɔ, ɛn dɛn kin put wan smɔl tin we tan lɛk mɛsh (stɛnt) fɔ mek i nɔ smɔl igen.
• Thrombectomy: Na we dɛn de pul di blɔd we de na di blɔd vesel.
• di pεrifεral atεri baypas כpεrayshכn: dεn kכnekt nyu at כ atifishal vein to di at we blכk fכ mek nyu rod fכ blכd fכ fכlכ.
• Atherectomy: I de pul di fεt dεposit (plaque) we dεn bכlכp insay di bכdi vεsul dεm.
• Coronary Artery Bypass Graft (CABG): Dis na baypas ɔpreshɔn we dɛn kin du pan di blɔd vesel dɛn na di at.
• Endarterectomy: Na ɔpreshɔn fɔ pul di fat layt we de insay wan at.
• Laparoscopic surgery ɔ laparotomy: Dis na ɔpreshɔn we dɛn kin du fɔ ischemic kɔndishɔn dɛn na di bɛlɛ.

Wetin kin apin if a gɛt ischemia?

Ischemia of eni kain na trɛt fɔ yu wɛlbɔdi. I min se yu sɛl dɛn nɔ de gɛt di ɔksijɛn we dɛn nid fɔ liv. Di tin we de apin to ɔlman difrɛn. Bɔt, di mɔ yu gɛt tritmɛnt kwik kwik wan, na di mɔ yu go ebul fɔ du am fayn. Fɔ ɛgzampul, if yu gɛt limb ischemia na yu an ɔ yu leg, yu gɛt 93% chans fɔ sev di limb if yu gɛt ɔpreshɔn wantɛm wantɛm. Bɔt if yu gɛt ɔpreshɔn insay 8 awa afta di ischemia bigin, da pasɛnt de go dɔŋ to 78%.

Imajin, if ischemia apin na wan impɔtant ɔgan lɛk di bren ɔ di at, tritmɛnt kwik kwik wan kin bi di difrɛns bitwin layf ɛn day. Ɛvri minit kin kɔnt. Na dat de sho aw di ischemia de damej ɛn aw i go afɛkt di ɔda pat na yu layf.

Aw fɔ ridyus di risk fɔ gɛt ischemia?

Laki, bɔku tin dɛn de we wi kin du fɔ ridyus wi risk fɔ gɛt ischemia:

• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it: tin dɛn lɛk frut, vɛjitebul, ligɛm, ɛn ɔl gren.
• Drink inof wata: Nɔ gɛt wata we de na yu bɔdi.
• Nɔ it tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda.
• Ɛnjɔy fɔ du ɛksɛsayz ɔltɛm.
• Manej di kɔndishɔn dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn ay kɔlɔstrel we kin mek yu gɛt ischemia.

Aw a kin kia fɔ misɛf?

If yu gɛt ischemia, i rili impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, ɛn yu nɔ fɔ mis wan de. If yu fɔgɛt fɔ tek yu mɛrɛsin, sɛt alam na yu fon. Ɔ yuz pil ɔganayza fɔ kip yu mɛrɛsin ɔganayz bay de.

I nɔ mata us kayn ischemia yu gɛt, yu kin tek kia ɔf yusɛf bay we yu chenj di abit dɛn we yu de du ɛvride ɛn manej ɔda tin dɛn we kin mek yu gɛt ischemia.

Ustɛm a fɔ go to mi dɔktɔ?

Nɔ mis yu fɔlɔp apɔntinmɛnt wit yu dɔktɔ. Tɛl am bɔt ɛni prɔblɛm we nɔ de go ɔ we de kɔntinyu fɔ kam bak. Tɛl am bɔt ɛni sayd ɛfɛkt we yu mɛrɛsin dɛn kin gɛt. If yu dɔn gɛt ɔpreshɔn ɔ ɔda mɛrɛsin, yu fɔ go bak fɔ fala-ɔp fɔ chɛk if yu wɛl.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

Go to dɔktɔ wantɛm wantɛm if yu gɛt dɛn sik ya:

• Wantɛm wantɛm, bad bad bɛlɛ pen.
• Di sayn dɛm fɔ at atak ɔ strok: (e.g. bad bad chɛst pen, i nɔ kin izi fɔ blo, i nɔ kin izi fɔ tɔk, i kin drɔp na wan say na di fes, i kin swɛla na wan an).
• Pen we yu nɔ go ebul fɔ bia na yu leg ɔ fut.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng a nid fɔ tek di mɛrɛsin we dɛn tɛl mi fɔ tek?
• Wetin na mi risk fɔ gɛt ɔda kayn ischemia?
• Mi pikin dɛn ɛn ɔda pipul dɛn na mi famili kin gɛt mɔ prɔblɛm wit ischemia bikɔs dɛn dɔn no se a gɛt dis sik?
• Aw ɔltɛm a fɔ si yu?

If yu dɔn gɛt wan mɛdikal imejensi we gɛt fɔ du wit ischemia, yu go de wɔnda wetin fɔ ɛkspɛkt nɛks. Yu dɔktɔ kin gayd yu fɔ du di nɛks tin dɛn we yu fɔ du fɔ trit yu. Bɔt yu fɔ tink bak bɔt us chenj yu go mek na yu ɛvride layf – ivin if na fɔ shɔt tɛm nɔmɔ. Dis na tɛm fɔ gɛda yu padi ɛn fambul dɛn rawnd yu. Dɛn kin want fɔ ɛp, bɔt dɛn nɔ kin no aw fɔ ɛp dɛn. Aks dɛn fɔ rɔn fɔ du wok ɔ ɛp fɔ du wok na os we yu de wɛl. Ɔda pipul dɛn kin ebul fɔ mek yu nɔ fred ɛn mek yu laf. Di sɔpɔt we ɔda pipul dɛn de gi yu kin rili ɛp yu fɔ mek yu wɛl.

Sɔma (Mɛsej we dɛn kin tek go na os) .

So, Ischemia, fɔ tɔk am simpul wan, na wan kɔndishɔn usay ɔksijɛn nɔ de na wan pat na wi bɔdi bikɔs di blɔd nɔ de flɔ. Dis kin afɛkt ɛni pat na di bɔdi, lɛk di at, di bren, di an ɛn fut dɛn, ɛn di intestinal. I impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho, bikɔs if yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs damej.

Nɔ wɔri, gud tritmɛnt dɛn de fɔ ischemia. Wi kin avɔyd dis sik bak bay we wi de liv fayn layf ɛn kɔntrol di tin dɛn we kin mek wi gɛt dis sik. I impɔtant bak fɔ fala di advays we yu dɔktɔ gi yu ɛn go fɔ chɛk yu ɔltɛm. Nɔto yu wan de, ɛn bɔku pipul dɛn de we go ɛp yu fɔ du dis waka.

` Ischemia, Ischemia, Blɔd sirkuleshɔn, Ɔksijɛn nɔ de, At atak, Strɔk, Simptom, Tritmɛnt, Atherosclerosis