Yu get ‘brij’ laik dis fo yu hat? (Myocardial Bridge) Lɛ wi lan bɔt am.

Sɔntɛnde na wi layf, di tin dɛn we wi nɔ kin tink bɔt kin apin, nɔto so? Ɛspɛshali we i kam pan wi bɔdi wɛlbɔdi, sɔm sik dɛn de we wi nɔ go ivin yɛri bɔt. Bɔt i rili impɔtant fɔ mek wi no bɔt dɛn. Tide wi go tɔk bɔt wan at sik wae kin strenj smɔl, bɔt kin afɛkt sɔm pipul dɛm. Dɛn kɔl dis (Myocardial Bridge). Sɔntɛm yu nɔ yɛri bɔt dis nem, bɔt wi go tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na dis mayokardial brij?

Fɔ tɔk am simpul wan, yu at gɛt blɔd vesel dɛn we de gi blɔd, we wi kɔl di korona at. Dɛn at ya kin de ɔp di at mɔsul. Dat min se, dɛn kin go oba di at. כltu, insay dis kכndyushכn we dεn kכl (Myocardial Bridge), wetin kin apin na dat insted fכ go oba di at mכsul, pat pan dis korona at we de na yu at de go כnda di mכsul. I tan lɛk smɔl tanɛl, ɔ lɛk fɔ go ɔnda brij. na dat dכkta dεn kכl di pat pan di at mכsul we de sidon oba di blכd vesel (Myocardial Bridge).

Naw imajin, sɔmtɛm, we di at de bit, dat min se we di at mɔsul kɔntrakt, di mɔsul brij we de ɔp kin prɛs di blɔd vesel we de dɔŋ. I tan lɛk se we pɔsin step pan wata paip, di wata we de flɔ slo. Wetin go apin if yu prɛs pan am da we de? Da prɛshɔn de kin mek di blɔd nɔ flɔ. Dɔn di at mɔsul nɔ go gɛt di blɔd we gɛt bɔku ɔksijɛn we i nid.

yu no, di korona at na chanεl dεm we de du wan rili imכtant wok. Wi at mɔsul dɛn, lɛk ɔl ɔda pat dɛn na wi bɔdi, nid ɔksijɛn. Dis ɔksijɛn na dɛn korona at dɛn de briŋ am kam to wi. So if dis blɔd nɔ de flɔ, prɔblɛm kin kam.

Bɔku tɛm, dɛn kin si dis sik (Myocardial Bridge) na di lɛft say na di at, di men at we de go dɔŋ (Left Anterior Descending Artery) , ɔ lɛk aw dɔktɔ dɛn kin kɔl am (LAD) . Dis na wan big vein we de gi blɔd to di fɔs wɔl na di at ɛn ɔda impɔtant pat dɛn. Bɔt dis sik kin apin na ɛni at we de briŋ blɔd to di at, fɔ bɔku ɔ smɔl.

Dis sik we dɛn kɔl (Myocardial Bridge) denja? Aw i kɔmɔn?

Bɔrku tɛm, fɔ gɛt mayokardial brij nɔ kin kɔz bɔku bad tin. Bɔrku pipul dɛn kin liv nɔrmal layf wae dɛn nɔr kin ivin no se dɛn gɛt am ɛn nɔr kin gɛt ɛni sayn. Na dat na di trut.

Bɔt sɔntɛnde, lɛk aw wi bin dɔn tɔk, if di at mɔsul nɔ gɛt ɔksijɛn, yu kin gɛt pen na yu chɛst we dɛn kɔl angina . Dis kin apin we yu at bigin fɔ bit fast fast, lɛk we yu de du ɛksɛsayz.

We dɛn aks di wan dɛn we de stɔdi bɔt aw dis sik kin bɔku, dɛn se di mayokardial brij na wan sik we kɔmɔn bɔt dɛn nɔ kin no bɛtɛ pas aw yu kin tink. Dis na bikɔs di pasɛnt kin difrɛn difrɛn wan bay di we aw dɛn yuz fɔ no am. Sɔm stɔdi dɔn sho se bitwin 16% ɛn 30% pan di pipul dɛm wae dɛn kin no se gɛt dis sik tru tɛst lɛk angiogram, kin se dis sik kin de pan bɔku pipul dɛm. Dis min se bɔku pipul dɛn kin gɛt am pas aw yu go tink.

Wetin na di sayn dɛm fɔ dis?

Bɔrku pipul dɛm wae gɛt mayokardia brij nɔr kin sho ɛni sayn. Bɔt as dɛn de ol ɔ gɛt ɔda sik dɛn (lɛk ay blɔd prɛshɔn ɔ dayabitis), sɔm pipul dɛn kin gɛt sɔm sayn dɛn. Sɔntɛnde, i kin tek sɔm ia fɔ mek di sayn dɛn de sho.

Di men sayn na di chɛst pen ((Angina)) . Bɔku tɛm, dɛn kin fil dis:

• We yu de du ɛksɛsayz, rɔn, ɔ klaym stej
• We yu fil bɔku prɛshɔn, wɔri, ɔr pwɛl hat
• Sɔntɛnde, i kin kam bak afta big it.

Di we aw dɛn kin tɔk bɔt dis pen kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm kin fil lɛk se dɛn de swɛt am, swɛt am, ɔ wet.

Sɔntɛnde ɔda sayn dɛn kin tan lɛk aw pɔsin kin gɛt at atɔk, so yu fɔ no bak bɔt dɛn tin ya:

• Shortness of breath : Fɔ fil lɛk se yu gɛt prɔblɛm fɔ blo ivin if yu tray smɔl.
• Hat palpitations : Di chɛst kin fil lɛk se i de bit ɔ de paund.
• Diziz : Yu kin fil diziz, sɔntɛm yu kin ivin fɔdɔm.

Impɔtant: If yu gɛt sɔm sayn dɛn we de sho se yu gɛt at atak (bɔku pen na yu chɛst, pen we de rayt dɔŋ yu an, yu de swet, yu de vɔmit), yu fɔ go na imejensi rum wantɛm wantɛm. Nɔ put am bifo.

Wetin mek dis (Myocardial Bridge) kin apin?

Dis na kwɛstyɔn we gɛt rili simpul ansa. Mayokardial Brij na wan sik we dɛn bɔn wit . Dat min se na sɔntin we dɛn bɔn yu wit . we di at de divεlכp insay di εmbrayo, da blכd vesel de de fכm di we we go go insay di mכsul. No spesifik rizin nɔ de fɔ am, i jɔs de apin.

Us prɔblɛm dɛn dis kin mek?

infakt, big big komplikashכn dεm we de kכmכt frכm wan mayokardial brij nכ kin rili sכmtεm. Bɔt sɔntɛnde, mɔ we dɛn kam togɛda wit ɔda mɛrɛsin, dɛn tin ya kin apin. Yu nɔ fɔ fred dɛn tin ya, bɔt una fɔ no bɔt dɛn:

• Myocardial Ischemia: As wi bin dɔn tɔk, we di blɔd vesel kin blok, di at mɔsul nɔ kin gɛt bɛtɛ ɔksijɛn. Dis na we tin lɛk chɛst pen kin apin.
• Coronary Vasospasm: Sɔntɛnde, dɛn at ya kin kɔnstrikt wantɛm wantɛm ɛn bad bad wan, we kin ambɔg di blɔd flɔ bak.
• di atεrosklεrosis plek we de bכku nia di mayokardial brij: dεn dכn fכnshכn se plek de bכku pan di wכl dεm na di bכdi we de nia di brij, we de mek di bכdi sכmtεm sכmtεm. Dis kin bi bikɔs di we aw blɔd de pas na di brij kin chenj.
• Akyu Coronary Syndrome: Dis kin bi hat atak ɔr angina we nɔ stebul.
• Ventricular Arrhythmias: di at bit we nכ de bit kin apin we de stat na di lכw chεmba dεm na di at.
• Broken Heart Syndrome: Dis na wae yu hat wik fɔ sɔm tɛm wae kin kam afta yu dɔn strɛs bad bad wan.
• At Atak: Pan ɔl we i nɔ kin apin so ɔltɛm, at atak kin apin if blɔd nɔ de flɔ kpatakpata.
• Sɔdɛn Kadyak Day: Dis nɔ kin apin so ɔltɛm, bɔt i pɔsibul.

Mɛmba se dɛn prɔblɛm ya nɔ kin apin so ɔltɛm .

Aw dɔktɔ dɛn kin no if dis (Myocardial Bridge) de?

Dɛn kin no am bay chans we yu go to dɔktɔ bikɔs yu gɛt sɔm kayn sik, ɔr we yu de du tɛst fɔ ɔda rizin. If dɔktɔ tink se yu gɛt mayokardia brij, dɛn kin du dɛn tɛst ya:

• Koronari angiogram: Dis na di tɛst we impɔtant pas ɔl. Insay dis tɛst, dɛn kin put smɔl tiub tru wan vein na yu an ɔ yu leg ɛn gayd am to di korona at na yu at. Dɔn dɛn kin put spɛshal day insay am ɛn tek ɛkstrem pikchɔ dɛn. dis de mek dεn kin si klia wan di at we de sכmtεm sכmtεm.
• Intravascular Ultrasound (IVUS): Insay dis, di sem tɛm we dɛn de du di angiogram, dɛn kin pas wan smɔl ɔltra saund divays insay di at fɔ si aw dɛn de swɛt di at in insay wɔl dɛn ɛn di brij tayt tayt wan.
• Optical Coherence Tomography (OCT): Lɛk IVUS, dis na ɔda advans we we de yuz layt fɔ si insay di at.
• Korona Kɔmpyuta Tomografi Angiogram (CT Angiogram): Dis na CT skan. dis de yuz day bak fכ mek tri dimenshכnal imej dεm fכ di at dεm na di at. Dis kin ɛp fɔ no if mayokardial brij de ɛn aw lɔng ɛn dip i.

So yu tink se tritmɛnt de fɔ dis? Aw yu de du am?

Yɛs, tritmɛnt dɛn de fɔ di wan dɛn we gɛt di sik. Nɔto ɔlman nid ɔpreshɔn. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu. Lɛ wi tek tɛm luk wetin na dɛn tritmɛnt ya:

• Mɛrɛsin: Bɔku tɛm, na di fɔs tin we pɔsin kin pik fɔ tek mɛrɛsin. Dɛn tin ya na (Beta-blockers) ɛn (Calcium Channel Blockers).Dɛn kin yuz mɛrɛsin dɛn we dɛn kɔl "okari". Dɛn mɛrɛsin ya kin kɔntrol di at rit smɔl, i kin mek di at de rilaks bitwin di at bit, ɛn dɛn kin ridyus di prɛshɔn we de pan di blɔd vesel. Fɔ sɔm pipul dɛn, dɛn kin gi dɛn bak wan mɛrɛsin we dɛn kɔl (Ivabradine) as ɔda mɛrɛsin.
• Ɔpreshɔn: Fɔ di wan dɛn we gɛt siriɔs sik we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, ɔ if di brij rili dip ɛn lɔng, dɛn kin se dɛn fɔ du ɔpreshɔn.
• Wan we aw dɛn kin du am na (Surgical Myotomy) . Dat min se, fɔ kɔt ɛn pul di mɔsul brij oba di blɔd vesel (unroofing). Bɔt dɛn kin jɔs du dis if di brij shɔt smɔl ɛn shalo.
• Di ɔda we aw dɛn kin du am na Koronary Artery Bypass Surgery (CABG) . Dis min se yu fɔ baypas di say we dɔn blok ɛn yuz wan pat pan di blɔd vesel we dɛn tek frɔm ɔda pat na di bɔdi (bɔku tɛm na di leg ɔ insay di chɛst) fɔ mek ɔda we fɔ mek di blɔd flɔ. Bɔku tɛm, dɛn kin du dis if di brij lɔng ɛn dip.
• Fɔ put stent: Wan ɔda tin we yu kin du na fɔ put stent. Stent na smɔl mɛtal tiub we tan lɛk mɛsh. Dɛn kin put am insay di blɔd vesel we dɔn blok ɛn dɛn kin blo am frɔm insay. Dɔn, ivin if di mɔsul dɔn blok, di stent kin mek di vessel opin, ɛn dis kin mek di blɔd flɔ izi wan. Bɔt difrɛn opinion dɛn de bɔt fɔ put stent pan dis kes. Sɔntɛnde, di stent kin brok ɔ blok bak, so dɔktɔ dɛn kin tek tɛm disayd fɔ du dɛn tin ya.

Wetin a fɔ ɛkspɛkt if a gɛt mayokardial brij?

Lɛk bɔku pipul dɛn, yu kin gɛt mayokardial brij ɛn yu nɔ kin gɛt ɛni sayn. Dɛn kayn pipul ya nɔ nid ɛni spɛshal tritmɛnt. If sɔm sayn dɛn de, bɔku tɛm dɛn kin kɔntrol dɛn wit mɛrɛsin.

If di sik nɔ impɔtant wit mɛrɛsin, dɛn fɔ tink bɔt ɔpreshɔn (myotomy ɔ bypass) ɔ fɔ put stent. If dɛn de du ɔpreshɔn fɔ pul wan brij we de na di mayokardia, i go fayn fɔ pik ɔspitul we gɛt ɛkspiriɛns ɔspitul dɛn we kin du dɛn kayn ɔpreshɔn dɛn de bɔku tɛm.

Dis (Myocardial Bridge) nɔto sɔntin we go wɛl fɔ insɛf if dɛn nɔ du am ɔpreshɔn. Bɔt bɔku pipul dɛn nɔ nid ɔpreshɔn.

Aw pipul dɛn de liv wit dis sik de bia?

Bɔrku pipul dɛm wae gɛt Myocardial Bridge de liv lɔng ɛn gɛt bɛtɛ wɛl bɔdi fɔ lɔng tɛm.

Di rεt wae yu de liv de dipכnt pan if yu gεt כda mεdikal kכndyushכn. Insay wan stɔdi, lɛk 90% pan di pipul dɛn we gɛt mayokardial infarkshɔn bin stil de alayv 10 ia afta dɛn dɔn no se dɛn gɛt di sik. Bɔt if dɛn bin gɛt ɔda at sik dɛn bak, lɛk korona at sik (CAD), di rit we dɛn bin de liv bin smɔl smɔl.

Aw a fɔ kia fɔ mi wɛlbɔdi biznɛs?

Bikɔs dɛn dɔn si se we yu gɛt mayokardia brij, dat kin mek yu gɛt smɔl fat we de na di at (atherosclerosis), yu dɔktɔ go advays yu fɔ kɔntrol ɔda tin dɛn we kin mek yu gɛt am. Dis impɔtant ilɛksɛf yu gɛt sɔm sayn dɛn ɔ yu nɔ gɛt am.

• Nɔ Smok: Di tin we impɔtant pas ɔl fɔ mek yu nɔ gɛt atherosclerosis na fɔ de fa frɔm di tin dɛn we yu de yuz fɔ smok ɔltogɛda. If yu na pɔsin we de smok, aks yu dɔktɔ fɔ ɛp yu fɔ lɛf fɔ smok.
• Kɔntrol ɔda tin dɛn we kin mek yu gɛt dis sik: If yu gɛt ay blɔd prɛshɔn, dayabitis, ɔ yu gɛt ay kɔlɔstrel lɛvɛl, kɔntrol dɛn fayn fayn wan.
• It we fayn: It it we nɔ gɛt bɔku ɔyl, shuga, ɛn sɔl, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Ɛksesaiz ɔltɛm: Tɔk to yu dɔktɔ fɔ no us ɛksesaiz dɛn we fayn fɔ yu, ɛn du am ɔltɛm.
• Tek di mɛrɛsin dɛn we dɛn dɔn gi yu kɔrɛkt wan: If yu dɔn ɔlrɛdi gɛt korona at sik (CAD), i impɔtant fɔ tek yu mɛrɛsin dɛn we de mek yu nɔ gɛt pletlet (we de mek yu blɔd tan) ɛn di mɛrɛsin dɛn we de mek yu nɔ gɛt bɔku kɔlɔstrel (di mɛrɛsin dɛn we de mek yu nɔ gɛt kɔlɔstrel) di rayt we ɛn di rayt tɛm lɛk aw yu dɔktɔ tɛl yu fɔ tek.

Ustɛm a fɔ go to di dɔktɔ?

I rili impɔtant fɔ kip yu fɔlɔp apɔntinmɛnt wit yu dɔktɔ. Yu dɔktɔ go nid fɔ si yu ɔltɛm fɔ mek shɔ se yu de tek di rayt mɛrɛsin ɛn aw yu sik dɛn de. I impɔtant bak fɔ go fɔ fala-ap apɔntinmɛnt afta dɛn dɔn du di ɔpreshɔn ɔ dɛn dɔn put stent.

As wi bin dɔn tɔk, if yu gɛt sɔm sayn dɛn we de sho se yu gɛt at atak (lɛk we yu de fil bad bad wan na yu chɛst, i nɔ izi fɔ blo, yu de swet), kɔl 911 wantɛm wantɛm ɔ go na di imejensi rum we de nia yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu kam fɔ no se yu gɛt mayokardial brij, i nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn na yu maynd. Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw ɔltɛm a nid fɔ kam fɔ fala mi?
• A nid mɛrɛsin ɔ a nid ɔpreshɔn?
• Wetin mek yu de rɛkɔmɛnd dis tritmɛnt opshɔn to mi? Wetin na di bɛnifit dɛn we a go gɛt? Ɛni bad tin dɛn de we kin apin to am?
• Us chenj dɛn a nid fɔ mek na mi it ɛn di we aw a de liv mi layf?
• A kin ebul fɔ du ɛksɛsayz? Us kayn ɛksesaiz fayn?

Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri se sɔntin nɔ de apin to yu at. Bɔt mɛmba se fɔ bɔku pipul dɛn, mayokardial brij nɔto sɔntin we dɛn fɔ wɔri bɔt. If yu gɛt sɔm kayn sik, tɔk to yu dɔktɔ fɔ no di bɛst tritmɛnt fɔ yu.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin tɔk bɔt (Myocardial Bridge). Fɔ sɔmtin:

• di mayokardial brij na wan kכndyushכn we dεn bכn wit we wan korona at we de na di at de pas tru wan mכsul.
• Fɔ bɔrku pipul, dis nɔr kin kɔz ɛni sayn ɛn nɔr kin du bad.
• Sɔm pipul kin gɛt sɔm kayn sik lɛk pen na dɛn chɛst (angina), mɔ we dɛn taya.
• Bɔku tɛm, dɛn kin kɔntrol di sik dɛn wit mɛrɛsin. Na smɔl tɛm nɔmɔ, i kin nid fɔ du ɔpreshɔn ɔ put stent.
• Di chenj na yu layf (fɔ lɛf fɔ smok, it fayn it, ɛksesaiz) impɔtant fɔ ridyus di risk fɔ gɛt atherosclerosis.
• If yu gɛt siriɔs pen na yu chɛst ɔ yu gɛt sayn dɛn we de sho se yu gɛt at atak, go to dɔktɔ wantɛm wantɛm.

I impɔtant fɔ tek kia ɔf yu at. If yu no bɔt dɛn kayn tin ya, dat go ɛp yu fɔ fɛn tritmɛnt kwik if nid de ɛn ɛp yu fɔ liv fayn layf.

` Mayokardial brij, at sik, angina, korona at, at ɔpreshɔn, stent, at wɛlbɔdi