Bɔku tɛm yu kin fil tayt, ebi, ɔ pen na yu chɛst? Dis pen kin bɔku mɔ we yu taya smɔl, we yu de klaym stej, ɔ we yu de wɔri? Bɔt afta dat, yu bin gɛt ECG, sɔntɛm yu bin ivin du angiogram, bɔt di dɔktɔ bin se nɔbɔdi nɔ de blok na di big blɔd vesel dɛn na di at (koronary arteries), ɛn dɛn fayn pafɛkt wan. Yu kin de tink se, "Den wetin mek na dis wɔl a gɛt dis chɛst pen?" Dis na rili prɔblɛm we bɔku pipul dɛn gɛt. Nɔto yu wan de. Tide wi de tɔk bɔt wan kayn chɛst pen we nɔ kin izi fɔ no bay big big tɛst, bɔt i rili de. Wi kin kɔl dis maykrovaskul angina.
Wetin na Maykrovaskul Angina?
Fɔ tɔk am simpul wan, dis na angina bak, we na pen na di chɛst we kin kam bikɔs di blɔd we gɛt ɔksijɛn nɔ rich di at. Bɔt na dis difrɛns de. Insay di tipik angina, di prɔblɛm de na di men, big blɔd vesel dɛn we de gi blɔd to di at. Dɛn kin blok dɛn bay we dɛn de put fat.
Bɔt pan maykrovaskul angina, di prɔblɛm nɔ de na dɛn big blɔd vesel dɛn de. i de insay di rili fayn, sכm sכm bכdi vεsul dεm we de branch kכmכt frכm dεn big vεsul dεm (coronary microvasculature). Tink bɔt am, wi gɛt wan big paip we de briŋ wata kam na wi os. Dat na fayn tin. Bɔt if di smɔl paip dɛn we de go na di smɔl smɔl tap dɛn ɛn shawa dɛn we de insay di os, klos ɛn rɔsti, di wata nɔ go kɔmɔt. Na dat de apin na ya bak. we dis sכm sכm bכdi we de kכri כksijεn to di at mכsul nכ de wok fayn, yu kin fil pen na yu chεst.
Dis na di rizin we mek we yu luk yu big at dɛn pan tɛst lɛk angiogram, dɛn kin luk nɔmal. Bɔt di pen rili de de. Trade, dɔktɔ dɛn bin de kɔl dis sik ‘Cardiac Syndrome X.’
Wetin na di sayn dɛm fɔ dis sik?
Dɛn sayn ya kin rili fiba di wan dɛn we kin gɛt angina ɔltɛm. Di pen kin las fɔ 15 minit ɔ mɔ.
| Di sayn we de sho se di sik de | Fɔ ɛksplen |
|---|---|
| Chest pen ɔ diskɔmfɔt | Filin fɔ tayt, prɛshɔ, ɔr ebi na yu chɛst. Dis kin bɔku we yu de tray tranga wan ɔ yu de strɛs. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ kin izi fɔ yu fɔ blo ivin if yu tray smɔl, yu kin fil lɛk se yu gɛt strok. |
| Taya we nɔ kɔmɔn | Fɔ fil taya pasmak ɛn nɔ gɛt trɛnk fɔ natin. |
| Ɔda tin dɛn we de apin | Sɔm pipul kin gɛt tin dɛm bak lɛk fɔ swet, nɔs ɛn diziz, ɛn bɛlɛ pen. |
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik ɛn di tin dɛn we kin mek i gɛt prɔblɛm?
Bɔku rizin dɛn de fɔ dis. Dɔktɔ dɛn kin sheb am to tu kategori: praymari ɛn sɛkɔndari.
- Di men tin dɛn we kin mek i apin: Di prɔblɛm we de ya na di smɔl smɔl blɔd vesel dɛnsɛf. Dɛn kin tayt wantɛm wantɛm (spasm), ɔ dɛn nɔ kin dilay (open) fayn fayn wan we di bɔdi nid mɔ blɔd. dis dεn kכl am ``Koronary maykrovaskular sik''.
- Sɛkɔndari kɔz dɛm: Dis na we di prɔblɛm wit di smɔl smɔl blɔd vesel dɛm kin apin as sayd ɛfɛkt fɔ ɔda mɛdikal kɔndishɔn. Fɔ ɛgzampul, i kin kam bikɔs ɔf tin dɛn lɛk kadiomayopathy, we kin mek di at mɔsul wik, ɔ ɔtoimyun sik dɛn, we kin atak di bɔdi in yon sɛl dɛn.
Dɔn bak, sɔm pipul dɛn kin gɛt dis sik.
| Risk Factor | Udat dɛn de pan denja pas ɔlman? |
|---|---|
| Fɔ bi uman | Di uman dɛn we dɔn go tru menɔpauz kin gɛt mɔ risk mɔ. |
| Shuga | Na bikɔs dayabitis kin pwɛl di blɔd vesel dɛn. |
| Ay blɔd prɛshɔn (Hypertension) . | Di ay blɔd prɛshɔn kin pwɛl di blɔd vesel dɛn we nɔ gɛt wan bɔt. |
| Ay kɔlɔstrel `(Hyperlipidemia)` | I kin afɛkt di we aw di blɔd vesel dɛn de wok. |
| Yuz tin dɛn we dɛn mek wit tabak | Smok na di men tin we kin mek di blɔd vesel dɛn smɔl ɛn pwɛl. |
Aw dɛn kin trit dis?
Tu men we dɛn de fɔ mɛn dis sik. Laif stayl chenj ɛn mɛrɛsin. Dɛn tu tin ya impɔtant di sem we.
Fɔ chenj di we aw pɔsin de liv in layf
- If yu de smok, lɛf fɔ smok kpatakpata. Dis na di impɔtant tin we yu go du.
- Yu fɔ it tin dɛn we go ɛp yu at. Ridyus ɔyl ɛn rɛd mit, ɛn it mɔ vɛjitebul, frut, ɛn it dɛn we gɛt fayv.
- Ɛksesaiz ɔltɛm. Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit ɛvride kin rili bɛnifit yu. Bɔt aks yu dɔktɔ us kayn ɛksesaiz we fayn fɔ yu.
- Mek yu gɛt wɛlbɔdi wet.
- Gɛt gud slip ɛn ridyus strɛs. Tin dɛn lɛk fɔ tink gud wan ɛn yoga kin ɛp.
- If yu gɛt ɔda sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ kɔlɔstrel, kɔntrol dɛn fayn fayn wan.
Di mɛrɛsin we di dɔktɔ gi
Yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn fɔ mek dɛn blɔd vesel ya wok fayn ɛn fɔ mek yu nɔ fil pen.
- Di wan dɛn we de blok di chanɛl dɛn we gɛt kalsiɔm
- Beta-blɔk dɛn
- Naytrɛt - fɔ ɛgzampul, naytrɔglisrin
- Statin - fכ lכs kכlestכl
- ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
Di tin we impɔtant pas ɔl: Na yu dɔktɔ kin gi yu mɛrɛsin ya afta yu dɔn tek tɛm chɛk yu sik. Nɔ, fɔ ɛni rizin, yuz dɛn mɛrɛsin ya bay di advays we ɔda pipul dɛn gi yu ɔ as yu si se i fayn.
Ustɛm fɔ go to dɔktɔ? ɛn fɔ no if pɔsin gɛt di sik
Di simpul ansa na, if yu gɛt ɛni kayn pen na yu chɛst, yu fɔ rili go to dɔktɔ. I kin jɔs bi gastritis, bɔt na dɔktɔ fɔ no if na at prɔblɛm ɔ nɔto so.
Bikɔs i kin tranga fɔ no bɔt dis sik, i impɔtant fɔ mek yu tɛl yu dɔktɔ klia wan bɔt di sik dɛn we yu gɛt. Nɔ fred fɔ se, "A stil gɛt chɛst pen we a strɛs," ivin if tɛst sho se yu nɔ gɛt prɔblɛm wit yu big at.
If di dɔktɔ tink se i gɛt dis sik, i kin du sɔm ɔda spɛshal tɛst dɛn.
- Stress Test: Fɔ si if di blɔd we de flɔ na di at de go dɔŋ we yu de du ɛksɛsayz (Myocardial Ischemia).
- Koronari Flɔ Rizav (CFR) Tɛst: Fɔ no if di at kin mek in blɔd go ɔp fɔ mit di ɔksijɛn we i nid.
- Spɛshal skan: Nyuklia skan, MRI, ɔ spɛshal kadyak kateshɔn tɛst kin no se dɛn smɔl smɔl bɛlɛ dɛn ya nɔ de wok fayn.
If dɛn nɔ trit am, di blɔd we nɔ de go na di at ɔltɛm kin mek di at mɔsul pwɛl sote go. So nɔ dismis dis chɛst pen as jɔs wan sayn. Na impɔtant signal frɔm yu at.
Mɛsej we dɛn kin kɛr go na os
- Maykrovaskul angina na wan kayn chɛst pen we kin apin we di big blɔd vesel dɛn na di at de wok nɔmal wan, bɔt bikɔs ɔf prɔblɛm wit di wok we di rili smɔl blɔd vesel dɛn de wok.
- Chɛst pen, shɔt briz, ɛn taya pasmak na di men sayn dɛm.
- If yu kɔntinyu fɔ gɛt pen na yu chɛst pan ɔl we yu tɛst rizɔlt nɔmal, nɔ ignore am. Tɔk to yu dɔktɔ bɔt am bak.
- Dis kin apin mɔ pan uman dɛn, pipul dɛn we gɛt dayabitis, ay blɔd prɛshɔn, ɛn ay kɔlɔstrel.
- If dɛn no di sik ɛn trit am fayn fayn wan (di chenj na layf ɛn mɛrɛsin), dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan ɛn dɛn kin kɔntinyu fɔ gɛt gud kwaliti layf.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Bɔdi Aches?
Nɔto jɔs di bɔdi pen we kin kam afta yu dɔn wokɔt na di jim! ‘Bɔdi Aches’ na wan bad bad sayn we de mek yu fil lɛk se yu mɔsul dɛm, yu jɔyn dɛm, ɛn yu bon dɛm (Muscle/Joint pain) ɔl dɔn krɔs ɛn krɔs ɔl wan tɛm, we de mek yu nɔ ebul fɔ bia (Dull, widespread ache), ɛn mek i nɔ pɔsibul fɔ kɔmɔt na bed. Bɔku tɛm, dis na di fɔs sayn we de wɔn yu fɔ sho se big wɔ de apin insay yu bɔdi!
💬 Wetin na di men tin wae de mek yu bɔdi de at/pen so bad dat yu nɔr kin ebul fɔ kɔmɔt na bed?
3 men rizin de fɔ dis: 1) ‘Siv vayral infɛkshɔn’ - Dengue (Dengue - bon marrow failure), COVID-19, ɔ di kɔmɔn flu, we di imyun sistɛm insay di bɔdi de fɛt (Inflammatory response/Cytokines) di wan ol bɔdi kin inflam. 2) ‘Fibromyalgia’ - Pen amplified nyurolojik sik we de mek pen we yu nɔ go ebul fɔ bia na di jɔyn ɛn mɔsul dɛn ɔlsay na yu layf we nɔ gɛt ɛni sik. 3) Lupus (Lupus / Autoimmune diseases), ɛn Statins (Statins) pils we dɛn kin tek fɔ kɔlɔstrel, we kin mek bak di mɔsul dɛn west.
💬 Wetin na di ‘fatal/emergency situations’ we yu fɔ go na ɔspitul wantɛm wantɛm, we yu nɔ tek Panadol (Paracetamol) na nɛt we yu gɛt fiva?
Bɔrku tɛm, dis go stɔp insay 3-4 dez pan vayral fiva. Bɔt di big denja! If, wit di bɔdi we de at, 1) ‘hay fiva wit shek ɛn stif nɛk (Stiff neck / Meningitis - bren fiva)’ apin, 2) i nɔ izi fɔ blo / chɛst pen, 3) we yu de lɔs yu wet fɔ no rizin, yu de swet na nɛt (kansa / TB), 4) yu urine de tɔn dak kɔfi kɔlɔ (Dak urine / muscle weakness), yu nid fɔ go na ɔspitul wantɛm wantɛm!
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