Yu dɔn yɛri bɔt wan sik we kin ambɔg di smɔl smɔl blɔd vesel dɛn na yu at? Lɛ wi tɔk bɔt Maykrovaskyuɛl Korona Disizin (Smɔl Vesɛl Sik)!

Sɔntɛnde yu kin fil strenj nɔys ɔ pen na yu chɛst? Bɔt we yu go to dɔktɔ, dɛn kin se natin nɔ bad wit di big big vein dɛn? Na so i kin bi. Bikɔs, apat frɔm di big blɔd vesel dɛn na di at, wan nɛtwɔk de bak we gɛt rili smɔl smɔl blɔd vesel dɛn, we dilik lɛk wan strɛch pan ia. Sɔntɛnde, di prɔblɛm kin de. Na dat wi go tɔk bɔt tide.

Wetin na dis we dɛn kɔl `Maykrovaskul Koronari Disease`?

Fɔ tɔk am simpul wan, `Microvascular Coronary Disease` (MCD) na wan sik we de afɛkt di rili smɔl, dilik blɔd vesel dɛm (dɛn kin kɔl am bak `coronary microvasculature`) we de branch ɔf frɔm di men blɔd vesel dɛm na yu at. I tan lɛk se yu gɛt wata paip we de briŋ wata kam na yu os, bɔt if di smɔl paip we de go na di tap klos, di wata nɔ go kɔmɔt.

Ɔda nem dɛn de fɔ dis, we yu go dɔn yɛri:

• `Smɔl at sik`
• Smɔl vessel sik
• Di sik we dɛn kɔl Cardiac X syndrome
• Di sik we dɛn kɔl maykrovessel
• ``Nonobstructive coronary heart disease`` (na kכndyushכn we nכ de blok bikoz fכ fεt dεposit dεm na di big at dεm)

Wetin dis smɔl smɔl blɔd vesel sistɛm (Coronary Microvasculature) we de na di at de du?

Tink bɔt yu at lɛk smɔl motoka we de wok ɔltɛm. Fɔ mek dis motoka kɔntinyu fɔ wok fayn, i nid fɔ gɛt tin fɔ it ɛn ɔksijɛn ɔltɛm. dat imכtant wok na dis nεtwכk fכ sכm sכm sכm hεy dεm we dεn kכl di `koronary microvasculature.'

Dɛn smɔl smɔl vein dɛn ya de kɔntrol aw blɔd de pas na di at. Dɛn impɔtant bak insay wan kɔmpleks prɔses we dɛn kɔl kapilari ɛkshɛnj. di kapilari εkshεnj jכs min se dεn sכm sכm vein dεm ya de gi blכd we gεt כksijεn to di at in tisu dεm εn gi bak di bכdi we nכ gεt כksijεn to di at. I tan lɛk kɔriɔ savis, we de sɛn gud tin dɛn ɛn tek bad tin dɛn. Insay dis chenj, dɛn kin chenj bɔku tin dɛn, lɛk gas, tin dɛn we de mek pɔsin gɛt tin fɔ it, ɛn dɔti tin dɛn.

Wetin na di difrɛns bitwin dis `Microvascular Coronary Disease` ɛn di `Coronary Artery Disease` we wi kin yɛri bɔt?

Dɛn tu tin ya kin mek yu gɛt at atak . Bɔt smɔl difrɛns de pan aw dɛn kin afɛkt di at.

• Korona at sik: Dis kin afɛkt di big blɔd vesel dɛm we de rɔn go na yu at (koronari at dɛm). dis kin kכz fכ fεt dεposit dεm (plek - lεk dכti na wata paip) we de bil insay di at dεm, we de sכmtεm כ blכk di bכdi fכ fכlכ kכmplit wan.
• Maykrovaskul Korona Disiz: dis kin afekt di sכm sכm, dilik bכdi vεsul dεm (di `maykrovaskulεta`) we de branch kכmכt frכm di big bכdi vεsul dεm. Dis kin mek di at tisu nɔ gɛt di tin dɛn we i nid. dis nכ de kכz fכ fεt dεposit (`plaques`)., ɔ bikɔs dɛn smɔl smɔl vein dɛn ya dɔn pwɛl ɔ bikɔs dɛn nɔ de wok fayn.

Fɔ tɔk am simpul wan, wan tan lɛk trafik na big big rod (Coronary Artery Disease), ɛn di ɔda wan tan lɛk smɔl rod we gɛt brok brok brij (Microvascular Coronary Disease). Dɛn tu kin ambɔg di waka.

Udat kin gɛt `Microvascular Coronary Disease` mɔ?

dis kכndyushכn we dεn kכl `Smכl Vesεl Disease`, kin kam pan uman dεm pas man dεm. dis risk kin hכy pasmak pan uman dεm we gεt lכw lεvεl fכ di כmon `εstrojen` (fכ egzampl, we dεn de mεnopos).

Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Awtoimyun sik: Fכ egzampl, kכndyushכn lεk vaskulεt (inflamεshכn na di bכdi vεsul dεm). Dis na we wi bɔdi in yon imyun sistɛm de atak wi yon sɛl dɛn.
• Fat pasmak: We yu bɔdi wet pasmak, dat kin mek yu gɛt bɔku sik dɛn.
• Dayabitis: Dayabitis na wan sik wae de mek pɔrsin nɔr de kɔntrol di blɔd shuga. Dis kin pwɛl di blɔd vesel dɛn bak.
• It we nɔ fayn: Fɔ it bɔku sɔl, sɛtyuret fat, ɛn it dɛn we dɛn dɔn prosɛs.
• Ay blɔd prɛshɔn: Ay blɔd prɛshɔn nɔ kin fayn bak fɔ di vein dɛn.
• Ay kɔlɔstrel: Di fat we de na di blɔd kin bɔku.
• Rimatɔlɔjik disɔda: Fɔ ɛgzampul, sik dɛn lɛk lupus ɔr rεumatoid at.
• Fɔ liv yu layf we yu nɔ de sidɔm: We yu nɔ de du ɛksɛsayz na di men tin we kin mek yu gɛt bɔku sik dɛn.
• Smok: Smok nɔto jɔs bad fɔ di at, bɔt i bad fɔ di wan ol bɔdi.

Wetin mek dis `Maykrovaskul Coronary Disease` kin apin? Wetin na di tin dɛn we kin mek i apin?

Dis kכndyushכn de afekt di smol mכsul dεm na di wכl dεm na di sכm sכm at dεm na yu at. Insay di at we gɛt wɛlbɔdi, dɛn mɔsul dɛn ya fɔ kɔntrakt ɛn bɔku as nid de. Jɔs lɛk aw di lens na kamɛra kin big ɛn kɔntrakt fɔ mit di chenj we di at nid, na so dɛn kin kɔntrol di blɔd flɔ.

Bɔt pan pɔsin we gɛt `Microvascular Coronary Disease`, di insay wɔl dɛn na dɛn smɔl at dɛn ya kin pwɛl. biכs fכ dis damej, sכmtεm dεn at dεm kin tayt wan wan (`spasms`). Dɔn di blɔd we de go na di at kin ambɔg. Imajin am lɛk se wata paip de krɔs wantɛm wantɛm, di wata we de flɔ go dɔŋ.

Wetin na di sayn dɛm fɔ `Smɔl Vesɛl Disease`? Aw yu no?

di men sayn na di chεst pen כ diskomfכt we dεn kכl `angina` . Dis kin las fɔ 10 minit ɔ mɔ., ivin we yu de rɛst. Dis pen kin bɔku wit yu maynd strɛs, bɔt i nɔ kin bɔku we yu de ɛksesaiz yu bɔdi. Dɛn `Microvascular Coronary Disease` simptom ya kin mek i nɔ izi fɔ du ɛvride wok.

Ɔda sayn dɛn kin bi:

• Taya: Na filin fɔ taya pasmak.
• Fɔ blo shɔt: I nɔ kin izi fɔ blo ivin if yu tray smɔl.
• Prɔblɛm fɔ slip: Tin dɛn lɛk we pɔsin nɔ ebul fɔ slip.

Impɔtant: Chɛst pen kin bi sayn bak fɔ hat atak. So una fɔ no bɔt dɛn tin ya:

* If yu chɛst pen nɔ go ɔ i de wɔs.

* If yu gɛt ɔda sayn dɛn we gɛt at atak, lɛk fɔ blo shɔt, pen na yu bak, nɛk, ɔ yu an, wit pen na yu chɛst, kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul imejensi rum we de nia yu.

Aw yu kin no di rayt we fɔ no `Maykrovaskul Korona Disease`? (`Diagnosis`) .

Fɔ tɔk tru, i kin tranga smɔl fɔ no if yu gɛt maykrovaskyuɛl at sik. biכs di maykrovessel dεm so dilik, i at fכ si dεm wit standad hat tεst dεm. So, i bɛtɛ fɔ go to dɔktɔ we de mɛn yu at we spɛshal pan smɔl smɔl vessel sik. Dɔn yu kin gɛt kɔrɛkt diagnosis ɛn tritmɛnt kwik kwik wan.

di bεst tεst (di ``gold standad``) fכ kכnfכm if dis na ``Maykrovaskul Korona Disiz`` na ``Kadyak Katetarizεshכn`` (at kateshכn) wit ``Koronari Fכ Rizav (CFR)`` mεzjכmεnt. Dis na smɔl mɔ kɔmplikɛt tɛst. I de luk aw dɛn smɔl smɔl at dɛn de kin bɔku kwik kwik wan ɛn gi mɔ blɔd to di at, i kin dipen pan wetin yu bɔdi nid.

Apat frɔm dat, ɔda tɛst dɛn de we dɛn kin du fɔ no aw blɔd de go na di at:

• `Nyuklia kadyak strɛs tɛst (PET skan)`
• `Kadiak MRI wit perfyushɔn`

Wetin na de tritmɛnt fɔ dis sik? (`Tritmɛnt dɛn`)

Bɔku tɛm, dɛn kin gi dɛn mɛrɛsin as tritmɛnt. Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di blɔd vesel dɛn wok fayn ɛn dɛn kin mek di prɔblɛm dɛn we kin apin nɔ bɔku.

Dɛn tritmɛnt ya kin bi:

• Angiotensin-converting-enzyme (ACE) inhibitors: Dɛn wan ya de mek di blɔd vesel dɛn big ɛn mek di blɔd prɛshɔn go dɔŋ.
• Anticoagulants: Dɛn tin ya de mek blɔd nɔ klot.
• Aspirin: Dis kin ɛp bak fɔ mek blɔd nɔ klɔt.
• Beta-blockers: Slow di hat rit ɛn mek di blɔd prɛshɔn go dɔŋ.
• Di wan dɛn we de blok di kalsiɔm chanɛl: Dilayt di blɔd vesel dɛn.
• Diuretics: Di blɔd prɛshɔn dɔŋ bay we yu pul di wata ɛn sɔl we pasmak na di bɔdi.
• Statin: I de mek di kɔlɔstrel we de na di blɔd go dɔŋ.

Yu dɔktɔ go chɛk yu sik ɛn disayd us tritmɛnt go fayn fɔ yu.

Aw wi go protɛkt wisɛf frɔm dis `Smɔl Vesɛl Sik`? (`Prɛvenshɔn`)

If yu tek kia ɔf yu at gud gud wan, dat kin ɛp yu fɔ gɛt wɛl bɔdi ɛn ridyus di prɔblɛm dɛn we dɛn sik ya kin gɛt. Dɛn tin ya kin ɛp:

• Bi mɔ ɛn mɔ pan yu bɔdi: I impɔtant fɔ mek yu du sɔm ɛksesaiz ɛvride. If yu na nyu pɔsin fɔ du ɛksɛsayz, wan program fɔ rihab yu at kin ɛp.
• Fɔ it tin we go ɛp yu at: it we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Fɔ mek di blɔd prɛshɔn kɔntinyu fɔ de na di wɛlbɔdi lɛvɛl.
• Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
• Nɔ smok atɔl.
• Fɔ kɔntrol di blɔd shuga, mɔ if yu gɛt dayabitis.

Pan ɔl we i kin tan lɛk se i nɔ izi fɔ du dɛn tin ya, yu kin si big difrɛns we yu yus to am smɔl smɔl.

Wetin na di chans fɔ wɛl fɔ pɔrsin wae gɛt `Smɔl Vesɛl Disease`? (`Autluk`)

If dɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl ɛn dɛn kin ebul fɔ bigin fɔ du tin dɛn we dɛn kin du ɛvride bak. Bɔt i impɔtant fɔ kɔntinyu fɔ gɛt di kia we dɛn de fala fɔ mek shɔ se di tritmɛnt de wok fayn fayn wan.

Aw e tan lɛk fɔ liv wit `Maykrovaskul Hat Disease`?

I kin tek tɛm fɔ mek yu yus fɔ tek mɛrɛsin ɛn chenj di we aw yu de liv yu layf. Sɔm mɛrɛsin kin mek yu gɛt sɔm bad bad tin dɛn lɛk fɔ mek yu ed tɔn. I impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn tin ya we de mɔna yu. I kin ɛp yu, sɔntɛm i kin gi yu difrɛn mɛrɛsin, ɔ tich yu aw fɔ gɛt di bɛst pan di tritmɛnt we yu de gi yu.

Yu dɔktɔ kin aks yu fɔ rayt ɛvride dayari fɔ yu sayn dɛm ɛn tin dɛm lɛk yu blɔd prɛshɔn. Dis infɔmeshɔn kin ɛp dɛn fɔ mek yu tritmɛnt akɔdin to wetin yu nid ɛn wetin yu lɛk.

Fɔ dɔn, mɛmba se Maykrovaskyuɛl Korona Disiz na wan sik we de afɛkt di blɔd we de flɔ tru di smɔl smɔl blɔd vesel dɛm na di at. I nɔ de blok we di fat we de na di bɔdi lɛk korona at sik, bɔt i de pwɛl di blɔd vesel dɛn. Dis sik kin mek yu gɛt pen na yu chɛst ɔltɛm ɛn i kin mek yu gɛt at atak. Bɔt if dɛn tek di rayt mɛrɛsin ɛn chenj dɛn layf, bɔku pipul dɛn kin kɔntrol dɛn sik ɛn avɔyd prɔblɛm dɛn.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

• Maykrovaskul Coronary Disease na wan sik we de afɛkt di smɔl smɔl blɔd vesel dɛm na di at, difrɛn frɔm kɔmɔn at sik we kin kam bikɔs di big at dɛn kin blok.
• Dis kכndyush כn kin kכmכn pan uman dεm , εspεshali arawnd mεnopos.
• Di sayn dɛm kin bi we yu de fil pen na yu chɛst (angina), yu nɔ de blo fayn, ɛn yu taya. Nɔ ignore dɛn tin ya.
• Sɔntɛnde, i kin tranga fɔ no di sik, bɔt dɛn kin du am wit sɔm patikyula tɛst dɛn.
• Wan sik wae yu kin ebul fɔ mɛn fayn fayn wan wit mɛrɛsin ɛn chenj na yu layf.
• If yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ. Nɔ wɔri, wit di rayt tritmɛnt, yu gɛt gud chans fɔ wɛl.

Tek kia ɔf yu at!

` At sik, smɔl smɔl vessel sik, maykrovaskul korona sik, chɛst pen, uman dɛn wɛlbɔdi, at atak risk, at wɛlbɔdi