Lɛ wi jɔs lan bɔt Ischemic Cardiomyopathy, we na wan sik we di at kin wik bikɔs i nɔ gɛt bɛtɛ blɔd.

Sɔntɛnde yu kin fil lɛk se yu nɔ ebul fɔ klaym stej ɔ waka fɔ lɔng tɛm lɛk aw yu bin de du trade? Yu kin si am se i nɔ kin izi fɔ yu fɔ blo ivin we yu de du smɔl smɔl wok dɛn? Ɔ yu fut dɛn kin swel ɛn yu nɔ kin ivin ebul fɔ wɛr yu sus? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal taya, sɔntɛnde, i kin gɛt mɔ siriɔs rizin biɛn dis. Tide wi go tɔk bɔt dis kayn tin, dat na ‘Ischemic Cardiomyopathy’, we na sik we di at mɔsul de wik bikɔs di blɔd nɔ de flɔ to di at.

Fɔ tɔk am simpul wan, wetin na Ischemic Cardiomyopathy?

Imajin se wi bɔdi na big siti. Dɔn di at na di men ples fɔ pɔmp we de gi wata to da siti de. fכ mek dis pכmp steshכn (di at) kכntinyu fכ wok, i nid bak wan sεparat pawa sכs, dat na blכd saplai. Wi kin kɔl dɛn blɔd vesel ya we de gi blɔd to di at di korona at.

Naw imajin, wetin go apin if dɛn korona at dɛn ya bigin fɔ lɔk? Jɔs lɛk aw wata paip dɛn kin lɔk wit dɔti ɛn di wata we de flɔ kin go dɔŋ, na so tin dɛn lɛk kɔlɔstrel ɛn fat kin de insay dɛn at ya ɛn di blɔd kin smɔl. Dis na wetin wi kin kɔl Koronari At Diziz .

We dis blɔd flɔ smɔl, di at mɔsul nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we i nid. Jɔs lɛk aw tik kin day smɔl smɔl we i nɔ gɛt wata, na so di at mɔsul sɛf kin bigin fɔ wik ɛn i kin pwɛl. As tɛm de go, dis at we wik nɔ kin ebul fɔ pɔmp di blɔd we di bɔdi nid. di lεft vεntrikl, we na di men pכmp chεmba na di at, de wik εn i de big. dis na di komplit kכndyushכn we wi kכl `Ischemic Cardiomyopathy`.

Fɔ tɔk am simpul wan, dis sik na wan sik we di at mɔsul kin wik bikɔs di blɔd vesel dɛn we de gi di at kin blok, ɛn dis kin mek di at nɔ ebul fɔ pɔmp . Dis na di men tin wae kin mek pɔrsin gɛt at pwɛl na di wɔl.

Wetin na di sayn dɛm fɔ dis sik? Aw wi kin no am?

Bɔrku tɛm, dɛn sayn ya nɔr kin apin wan tɛm. Dɛn kin divɛlɔp smɔl smɔl. Sɔm pipul kin gɛt dis sik wae nɔr kin gɛt ɛni sayn at ɔl. Bɔt sɔm tin dɛn de we kin apin to pɔsin.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

As wi bin dɔn tɔk, di men tin we kin mek i sik na korona at.. Dat min se di blɔd vesel dɛn we de kɛr blɔd go na di at kin blok. Apat frɔm dat, at atak we i bin dɔn gɛt bifo tɛm na in bak na di men tin we kin mek i sik. At atak na we di blɔd we de go na wan pat pan di at dɔn blok ɔl ɛn di tisu we de na da pat de day.

so, di risk fכs dεm we de kכntribyut fכ divεlכpmεnt fכ korona atεri sik de kכntribyut bak fכ divεlכpmεnt fכ `Ischemic Cardiomyopathy`.

Di tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• Ay Blɔd Prɛshɔn: We blɔd prɛshɔn go ɔp, di blɔd vesel dɛn kin pwɛl ɛn di chans fɔ mek di kɔlɔstrel go insay dɛn kin go ɔp.
• Dayabitis: Dayabitis kin mek bak di wɔl dɛn na di blɔd vesel dɛn pwɛl.
• Ay Kɔlɔstrel: We di bad bad kɔlɔstrel (LDL) we de na di blɔd bɔku, i kin de na di blɔd vesel dɛn ɛn i kin mek di blɔd nɔ flɔ.
• Yuz tabak (smok): Smok na di big tin we kin mek di blɔd vesel dɛn pwɛl.
• Famili histri: If ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista) bin gɛt at sik we i bin yɔŋ, yusɛf kin gɛt bɔku prɔblɛm.
• Ovaweit ɛn Fat: We yu gɛt mɔ wet, yu at kin wok tranga wan. I kin mek bak yu gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn kɔlɔstrel.
• Nɔr de ɛksesaiz: Fɔ liv sidɔm na big rizin bak fɔ dis.

Aw di dɔktɔ kin no dis sik klia wan?

We yu go to dɔktɔ, i go tek tɛm lisin fɔs to yu sik dɛn ɛn yu famili mɛdikal istri. Dɔn i go chɛk yu bɔdi. Apat frɔm dat, i go ɔda fɔ mek dɛn du bɔku tɛst fɔ no if pɔsin gɛt di sik.

• Blɔd Tɛst: Chɛk tin dɛn lɛk di kɔlɔstrel lɛvɛl, di shuga lɛvɛl, ɛn di kidni we de wok.
• Ilɛktrokardiogram (ECG): Dis tɛst de rayt di ilɛktrik wok we di at de du ɛn i kin ɛp fɔ no if at atak bin dɔn gɛt am bifo ɔ if ɛnitin nɔ de na di at ritm.
• Chɛst X-ray: Chɛk fɔ si if at dɔn big ɛn wata dɔn gɛda na di lɔng dɛn.
• Echocardiogram (Echo): Dis tan lɛk we dɛn de skan di at. i de yuz sawnd wev fכ si klia wan di chεmba dεm na di at, di valv dεm, εn di we aw di at mכsul de pכmp (Ejection Fraction). Dis na wan rili impɔtant tɛst fɔ no dis sik.
• Ɛksesaiz Strɛs Tɛst: Dɛn kin tek ECG we yu de waka pan tredmil fɔ si if yu at de gɛt inof blɔd we yu de ɛksesaiz.
• Cardiac Catheterization / Angiogram: Dis na di bɛst we fɔ si ɛksaktɔli if yu at in blɔd vesel dɛn dɔn blok. Dɛn kin put wan tin tiub tru wan vein na yu an ɔ yu leg, pas am na di korona at na yu at, dɛn kin injɛkt wan spɛshal day, ɛn tek ɛkstrem rayt. Dis de sho di rayt we aw di blɔd vesel dɛn dɔn blok.

Wetin na di tritmɛnt dɛm fɔ dis?

Tri men gol dɛn de fɔ tritmɛnt:

1. Trit di kɔz (i.e. korona at sik).

2. Fɔ mek di at wok fayn.

3. Ridyus di sayn dɛm ɛn impruv kwaliti layf.

Fɔ dis, dɛn kin yuz sɔm tritmɛnt dɛn togɛda.

1. Mɛrɛsin (di kayn mɛrɛsin dɛn) .

Di mɛrɛsin dɛm wae dɛn kin gi fɔ dis kin ridyus di lod pan di at, i kin mek di at wok fayn, ɛn nɔr kin gɛt ɔda prɔblɛm dɛm.

Impɔtant:I impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm, ɛn di rayt doz. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz fɔ yusɛf.

2. Di chenj we pɔsin de liv in layf

Fɔ du dɛn tin ya impɔtant jɔs lɛk aw fɔ tek mɛrɛsin.

• Sɔl kɔntrol: Ridyus di sɔl we yu de it fɔ wan de. Sɔl nɔto jɔs di sɔl we yu de ad to yu it. Sɔl de bak we dɛn ayd insay tin dɛn lɛk it dɛn we dɛn dɔn pripia, sos, ketchup, biskit, ɛn bred.
• Ɛksesaiz: As yu dɔktɔ advays yu, du ɛksɛsayz na di lɛvul we yu ebul. Ivin fɔ jɔs waka fɔ 30 minit insay di de, i fayn.
• Nɔ smok: If yu de smok, stɔp am kpatakpata.
• It fayn it: It mɔ vɛjitebul, frut, ligɛm, ɛn ɔl gren. Ridyus it dɛn we gɛt bɔku ɔyl, shuga, ɛn flawa.
• We yu kɔntrol yu wet: Mek yu gɛt wɛlbɔdi wet fɔ yu ayt.

3. Ɔpreshɔn ɛn ɔda tritmɛnt dɛn

If dɛn nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin ɛn chenj dɛn layf nɔmɔ, di dɔktɔ kin sɛn yu to ɔda tritmɛnt opshɔn dɛn.

• Angioplasty and Stents: We dɛn de du angiogram, dɛn kin put di blɔd vesel we dɔn blok wit wan tin we tan lɛk balɔ, ɛn dɛn kin put wan smɔl tin we tan lɛk mɛsh we dɛn kɔl stent insay fɔ mek i nɔ blok bak.
• Korona At Baypas Ɔpreshɔn: If dɛn blok di blɔd vesel na bɔku say dɛn, dɛn kin mek nyu rod bay we dɛn de yuz blɔd vesel we dɛn tek frɔm ɔda pat na di bɔdi (leg ɔ chɛst) fɔ baypas di say we dɛn blok. Dɛn kɔl dis ‘baypas’ ɔpreshɔn.
• Divays dεm we dεn kin implant: if di at rεt nכ de rεgulεr כ di hat in pכmp abiliti rili wik, dεn kin put sכm sכm ilektronik divays lεk `ICD (Implantable Cardioverter Defibrillator)` כ `CRT (Cardiac Resynchronization Therapy)` כnda di skin na di chεst. Dɛn tin ya de kɔntrol aw di at de rit.
• At Transplant: Dɛn kin tek wan wɛlbɔdi at transplant as las tin fɔ di wan dɛn we de na di stej we di sik rili bad ɛn we nɔ dɔn ansa ɛni ɔda tritmɛnt.

Yu tink se dɛn go ebul fɔ avɔyd di sik?

Yɛs, na fɔ tru. di bεst we fכ mek yu nכ gεt `Ischemic Cardiomyopathy` na fכ mek di korona atεri sik we de mek i nכ de divεlכp. Dat min se wi fɔ kɔntrol di tin dɛn we kin mek pɔsin gɛt prɔblɛm we wi bin dɔn tɔk bɔt.

• It tin dɛn we go mek yu gɛt wɛlbɔdi.
• Ɛksesaiz ɔltɛm.
• Nɔ smok kpatakpata.
• Kɔntrol yu bɔdi wet.
• If yu gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ kɔlɔstrel, kɔntrol dɛn fayn fayn wan akɔdin to wetin yu dɔktɔ tɛl yu fɔ du.
• Kɔntrol strɛs.

Ustɛm yu fɔ go na ɔspitul (ETU) wantɛm wantɛm?

If yu gɛt dis sik ɔ yu de pan denja fɔ gɛt at sik, go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm if yu si dɛn sayn ya:

• If yu gɛt siriɔs pen na yu chɛst ɔ yu fil se yu chɛst tayt.
• If yu fil se i nɔ izi fɔ yu fɔ blo.
• If yu gɛt slip ɔ yu ed de tɔn.

Bikɔs dɛn tin ya kin bi sayn dɛn we de sho se pɔsin gɛt at atak, if pɔsin go fɛn tritmɛnt ɛn nɔ west tɛm, dat kin ivin sev pipul dɛn layf.