Na sik we de na di smɔl smɔl blɔd vesel dɛn na di at? Lɛ wi tɔk bɔt (Microvascular Coronary Disease) .

Sɔntɛnde yu kin fil wan strenj pen ɔ fil se yu chɛst tayt? We dat apin, wi kin fred ɛn go to dɔktɔ. Ivin afta dεn dכn du tεst lεk ECG εn skan, di dכkta se, "No blכk nכ de na di big blכd vesel dεm na di at." Dɔn wi kin tink se, "Dɔn wetin mek dis chɛst de pen?" Infakt, sɔntɛnde, di tin we kin mek dis apin nɔto di big blɔd vesel dɛn na di at, bɔt na di rili smɔl smɔl blɔd vesel dɛn we de branch frɔm dɛn. Na dat na di kɔndishɔn we wi de tɔk bɔt tide, `Maykrovaskul Korona Disease` ɔ `Smɔl Vesɛl Disease`.

Wetin na Maykrovaskul Korona Disiz?

Fɔ tɔk am simpul wan, dis na sik we kin ambɔg di smɔl smɔl blɔd vesel dɛn na wi at. Imajin wi at lɛk big siti. Dis siti gɛt big big rod dɛn (dɛn na di big big korona at dɛn) we de gi blɔd ɛn ɔksijɛn. Bɔt fɔ kɔmɔt na dɛn aywe dɛn de ɛn go na ɛvri os ɛn shɔp na di siti, yu nid smɔl smɔl sayd rod dɛn, kɔblston rod dɛn, nɔto so? na di sem we, εvri sכm sכm sכm sεl dεm na di mכsul dεm na wi at de bכn bכdi, כksijεn εn nyutriεnt dεm bay wan nεtwכk fכ rili fayn bכdi vεsεl dεm, we nכ tik pas wan strכng ia. dis na wetin wi kin kכl `(koronary microvasculature)`.

Insay wan kɔndishɔn we dɛn kɔl `Microvascular Coronary Disease`, pan ɔl we dɛn big big aywe dɛn de na gud kɔndishɔn, dɛn smɔl smɔl bayway ya kin pwɛl ɛn dɛn nɔ kin wok fayn. Dɔn di at mɔsul nɔ kin gɛt di ɔksijɛn ɛn it we i nid.

Bɔku ɔda nem dɛn de we dɛn kin yuz fɔ dis sik. Yu dɔktɔ kin yuz wan pan dɛn nem ya:

• Smɔl at sik
• Smɔl vessel sik
• Di sik we dɛn kɔl Cardiac X syndrome
• Di sik we dɛn kɔl maykrovessel
• Nonobstructive korona at sik

Aw dis difrɛn frɔm nɔmal at sik (Coronary Artery Disease)?

Bɔku pipul dɛn kin kɔnfyus dɛn tu tin ya bikɔs dɛn tu sik ya kin mek pɔsin gɛt at atak. Bɔt di we aw dɛn tu de wok difrɛn atɔl. Lɛ wi ɔndastand dis difrɛns klia wan.

Udat de pan denja fɔ gɛt dis sik?

Dis kכndyush כn kin kכmכn pan uman dεm pas man dεm, spεshal wan we di εstrojen lεvεl na di bכdi de dכn.

Apat frɔm dat, pipul dɛm wae gɛt dis sik kin gɛt dis sik bak:

• Fɔ gɛt dayabitis .
• Di ay blɔd prɛshɔn .
• Fɔ gɛt bɔku bɔku kɔlɔstrel na di blɔd .
• Fɔ fat ɛn fɔ gɛt bɔku bɔku bɔdi.
• Fɔ smok .
• Fɔ liv yu layf we yu nɔ de du ɛksɛsayz .
• Fɔ it bɔku sɔl, sɛtyuret fat, ɛn it dɛn we dɛn dɔn prosɛs .
• Fɔ gɛt ɔtoimyun sik dɛm lɛk lupus ɔr rεumatoid at.

Wetin mek dis sik kin apin?

Insay at we gɛt wɛlbɔdi, di dilik mɔsul dɛn we de na di wɔl dɛn na dɛn smɔl smɔl blɔd vesel dɛn ya kin kɔntrol di blɔd flɔ bay we dɛn kin kɔntrakt ɛn rilaks as nid de. Fɔ ɛgzampul, we wi de du ɛksɛsayz, di at nid mɔ blɔd, so dɛn vessel dɛn ya kin big ɛn pɔmp mɔ blɔd. We wi de rɛst, dɛn kin kam bak na dɛn nɔmal pozishɔn.

bכt insay di kes fכ `Microvascular Coronary Disease`, di insay wכl dεm fכ dεn sכm sכm bכdi vεsul dεm de pwεl. Dis damej de ambɔg dɛn wok. sכmtεm dεn chanεl dεm ya kin kכntrakt strכng wan wan wan (spasm). Dɔn di blɔd we de go na di at mɔsul kin ambɔg wantɛm wantɛm, ɛn dis kin mek pɔsin gɛt sayn dɛn lɛk pen na in chɛst.

Wetin na di sayn dɛm fɔ dis sik?

Di men ɛn kɔmɔn sayn fɔ dis sik na di chɛst pen we dɛn kɔl angina . Bɔt dis pen kin difrɛn smɔl frɔm di pen we kin apin pan nɔmal at sik.

• Bɔku tɛm i kin tek 10 minit ɔ mɔ .
• Dis pen kin apin we yu de du ɛksɛsayz ɛn bak we yu de rɛst .
• Pen kin bɔku we pɔsin gɛt strɛs na in maynd .
• Fɔ sɔm pipul dɛn, dis pen kin mek i nɔ izi fɔ dɛn fɔ ivin du di wok dɛn we dɛn kin du ɛvride fayn fayn wan.

Apat frɔm dis chɛst pen, ɔda sayn dɛn kin apin bak:

• Fɔ blo shɔt ɛn i nɔ kin izi fɔ blo .
• Taya pasmak fɔ natin .
• Slip prɔblɛm dɛn, lɛk we pɔsin nɔ ebul fɔ slip .

Aw fɔ no di sik kɔrɛkt wan?

Fɔ tɔk tru, fɔ no bɔt dis sik kin tranga smɔl bikɔs dɛn smɔl smɔl blɔd vesel ya tu smɔl fɔ si wit standad at tɛst. So, if yu gɛt dɛn kayn sik ya, i go fayn fɔ go to dɔktɔ we de mɛn yu at we spɛshal pan dɛn kayn sik ya.

di gold standad tεst fכ no dis sik na spεshal tεst we dεn kכl `Cardiac catheterization with coronary flow reserve (CFR).` Dis de mכsu aw kwik dis sכm sכm bכdi vεsul dεm kin dilayt εn gi mכr bכdi to di bכdi in nid dεm.

Apat frɔm dat, di dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn:

• Nyuklia kadyak strɛs tɛst (PET skan) .
• Kadyak MRI wit perfyushɔn

Wetin na di tritmɛnt dɛm fɔ dis?

Di men gol fɔ tritmɛnt na fɔ mek di blɔd vesel dɛn wok fayn, kɔntrol di sayn dɛm, ɛn ridyus di risk fɔ gɛt prɔblɛm lɛk at atak. Yu dɔktɔ kin gi yu bɔku mɛrɛsin fɔ ɛp yu fɔ du dis.

• Angiotensin-converting-enzyme (ACE) inhibitors: de ɛp fɔ kɔntrol blɔd prɛshɔn bay we dɛn de mek di blɔd vesel dɛn big.
• Anticoagulants: Na drɔgs we de mek blɔd nɔ klɔt.
• Aspirin: I de mek di blɔd pletlɛt dɛn nɔ stik togɛda ɛn i de mek di blɔd nɔ klɔt.
• Beta-blɔk: Kɔntrol di at rit ɛn mek di blɔd prɛshɔn go dɔŋ.
• Di wan dɛn we de blok di kalsiɔm chanɛl: Rilaks di mɔsul dɛn na di blɔd vesel dɛn, ɛn mek dɛn big.
• Diuretics: Rimov di wata ɛn sɔl we pasmak na di bɔdi, we go mek di blɔd prɛshɔn go dɔŋ.
• Statin: Na drɔgs we de mek di kɔlɔstrel we de na di blɔd go dɔŋ.

Wetin wi fɔ du fɔ mek wi nɔ gɛt dis sik ɛn kɔntrol am?

Apat frɔm mɛrɛsin, fayn fayn chenj dɛn na wi layf rili impɔtant fɔ kɔntrol dis sik.

• Fɔ fala di it we go ɛp yu at: Ridyus sɔl, ɔyl, shuga, ɛn it dɛn we dɛn dɔn prosɛs, ɛn it mɔ vɛjitebul, frut, ligɛm, ɛn it dɛn we gɛt fayv.
• Ɛksesaiz ɔltɛm: Gɛt ɛksesaiz fɔ at le 30 minit ɛvride, lɛk fɔ waka ɔ fɔ jok. If yu na nyu pɔsin fɔ du ɛksɛsayz, tɔk to yu dɔktɔ ɛn tink bɔt fɔ du program fɔ rihab yu at if nid de.
• Mek yu gɛt wɛlbɔdi bɔdi wet.
• Kip di blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl insay di rayt say.
• If yu de smok, stɔp am kpatakpata.

Bɔt fɔ liv wit dis sik

Fɔ yuz bɔku mɛrɛsin ɛn fɔ chenj yu layf lɛk dis kin tranga smɔl fɔs. Sɔm mɛrɛsin kin mek yu gɛt sayd ɛfɛkt lɛk diziz.

I kin rili ɛp bak fɔ rayt yu dayari fɔ yu sik dɛn ɛn blɔd prɛshɔn, bikɔs dis go ɛp yu dɔktɔ fɔ no klia wan bɔt yu sik ɛn mek yu tritmɛnt akɔdin to dat.