Yu bin gɛt hit bad bad wan na yu chɛst? Lɛ wi lan bɔt mayokardial kɔntushɔn?

Sɔntɛnde, aksidɛnt kin apin na wi layf we wi nɔ kin ivin tink bɔt, nɔto so? Smɔl fɔdɔm, motoka aksidɛnt, ɔ ɔda tin we wi de ple spɔt... Yu no se if sɔntin lɛk dis nak wi chɛst tranga wan, i kin afɛkt wi at bak? Wan tin we kin apin da kayn tɛm de, dɛn kin kɔl am at mɔsul injury. Lɛ wi tɔk bɔt dis smɔl mɔ tide, bikɔs dis nɔto sɔntin we wi fɔ ignore.

Wetin na dis mayokardial kɔntushɔn?

Fɔ tɔk am simpul wan, we yu gɛt mayokardial kɔntushɔn na brus na yu at mɔsul. I tan lɛk brus we dɛn bit wi sɔmsay, bɔt dis kin apin to di at. dis kin apin we wan had blow de pan di chεst frכm di כdasay, we min se i nכ de brok di skin, bכt i de impכkt di insay. Bɔku tɛm, di men tin we kin mek dis apin na motoka aksidɛnt . Tink bɔt am lɛk se motoka bang yu.

Dis at mɔsul injury kin bi smɔl smɔl brus sɔmtɛm, ɛn i nɔ kin bi big prɔblɛm. Bɔt sɔntɛnde i kin bi siriɔs injury , ɛn yu at mɔsul nɔ kin ebul fɔ wok fayn. So i rili impɔtant fɔ no bɔt dis.

I bεst fɔ nɔ kɔnfyus mayokardial infarkshɔn wit kadyak tamponade, nɔto so?

Sɔntɛnde, de sayn dɛm fɔ ɔl tu di sik kin fiba, bɔt na tu difrɛn tin dɛm.

• Mayokardial kɔntushɔn na di brus we de na di at mɔsul we wi de tɔk bɔt naw.
• di kadyak tamponade na wan kכndyushכn we wata de bכku insay di tכn sak we de rawnd di at (di pεrikardium), we de put prεshכn pan di at.

Dɛn kin du blɔd tɛst fɔ no uswan pan dɛn tu tin ya de mek di prɔblɛm. I kin no bak if at atak de.

Udat dɛn go mɔs afɛkt dis kayn tin?

Hat atak kin apin to ɛnibɔdi , ilɛksɛf i ol. Jɔs tink bɔt dis:

• Wan yɔŋ pɔsin kin gɛt aksidɛnt we i de ple spɔt we denja.
• Wan man we ol midul ej bin fɔdɔm frɔm wan lɔng kɔnstrɔkshɔn sayt.
• Wan man we ol 80 ia bin wund in chɛst we i bin gɛt motoka aksidɛnt.

Dat min se dis risk de pan ɛni aksidɛnt we hit di chɛst tranga wan.

Aw dis sik kin kɔmɔn?

Infakt, at atak nɔ kin apin so. כltu, dεn kin si am pan lεk 10% pan di kes dεm we di midul bon na di chεst, di stεnכm , brok. Frakshכn dεm na di stεnכm dεm dεn tu kin rili rεs.

Blunt trauma to di chɛst de mek di at pwɛl insay lɛk 15% pan di kes dɛm nɔmɔ. Bɔt, i impɔtant fɔ no bɔt dis bikɔs i kin rili siriɔs.

Wetin na di sayn dɛm wae de sho se yu at pwɛl? (Di Simptom dɛn we kin kam pan pɔsin in at) .

If yu at mɔsul injury na smɔl , yu nɔ go gɛt ɛni ɔda sayn pas fɔ bit kwik kwik wan.

Bɔt if di brus bad bad wan , yu kin fil lɛk se yu gɛt at atak.

Dis na di sayn dɛm wae yu kin si in jɛnɛral:

• I nɔ kin izi fɔ yu fɔ blo
• Diziz (vɛrtigo) .
• Fɔ fil lɛk se yu bɛlɛ dɔn pwɛl
• Palpitations (fɔ fil lɛk se yu at de bit fast) .
• Pen na di chɛst, mɔ na di rib eria

If dɛn sik ya apin afta dɛn dɔn blo yu chɛst, yu fɔ rili go to dɔktɔ.

Wetin kin bi di tin dɛn we kin mek dis apin?

Bɔku tɛm, at atak kin apin bikɔs ɔf aksidɛnt . Na sɔm rizin dɛn ya:

• Wan pɔsin we fɔdɔm frɔm ayt we pas 20 fit ɔ mɔ.
• Injuri we pɔsin kin gɛt we i de ple spɔt (e.g., spɔt we gɛt ay impak lɛk rɔgbi ɛn bɔksin).
• Trak aksidɛnt (dis na di men tin we kin mek pɔsin gɛt aksidɛnt).
• Sɔntɛnde, ivin we dɛn de du CPR (Cardiopulmonary Resuscitation) , we de sev pɔsin in layf, we pɔsin kɔmpreshɔn na in chɛst kin mek i gɛt dis kayn brus. Dis nɔ min se yu nɔ fɔ du CPR, bikɔs na tin we go sev yu layf, bɔt i fayn fɔ no bɔt dis sayd ɛfɛkt we yu kin gɛt.

Aw dɔktɔ dɛn kin no bɔt dis?

Sɔntɛnde, i kin at smɔl fɔ no if di at mɔsul dɔn kɔntyushɔn , bikɔs ivin if nɔ big wund ɔ abrashɔn nɔ de we pɔsin kin si na di ɔdasay na di chɛst, i kin rili pwɛl di at frɔm insay.

Di dɔktɔ go chɛk yu ɛn du sɔm tɛst dɛn we yu nid.

If yu gɛt at atak, yu kin si tin dɛn lɛk:

• Sayn dεm we de sho se di rib dεm brok (lεk "krak krak" sawnd we yu tכch di chεst).
• Lɔw blɔd prɛshɔn .
• Di at bit we nɔ de bit.
• Di rεt we yu de blo de go ɔp.
• Chɛst skrach ɔ brus.

Us kayn tɛst dɛn go du? (Tɛst dɛn) .

Fɔ no if pɔsin gɛt injury na di at mɔsul, dɛn kin du dɛn tɛst ya:

• Chɛst X-ray: Dis kin sho tin dɛn lɛk we di rib dɛn brok ɛn di lɔng dɛn we dɔn pwɛl.
• Chest CT (Computed Tomography) Scan: Dis na tɛst we dɛn kin du mɔ pas ɛkstrem rayt. I kin sho klia wan aw di at dɔn pwɛl ɛn di damej we di tisu dɛn we de rawnd am dɔn pwɛl.
• Echocardiogram (Echo): Dis de chɛk aw di at de wok, aw di at chɛmba ɛn valv dɛn de wok, ɛn if ɛnitin dɔn pwɛl di at wɔl bikɔs ɔf di brus. I tan lɛk we dɛn de du ɔltra saund skan na di at.
• Ilektrokardiogram (EKG / ECG): dis de mכsu di ilektrikal aktiviti we di at de du, כ di ritm we di at de bit. I kin ɛp fɔ no if di ritm dɔn chenj bikɔs ɔf di injuri.
• At MRI: Dis na bak wan tɛst we rili ditayli. I kin si klia wan aw di at mɔsul dɔn pwɛl.
• Blɔd tɛst: Spɛshal wan, dɛn kin luk fɔ wan ɛnzaym we dɛn kɔl troponin (Troponin I ɔ Troponin T) . dis εnzym de kכmכt na di bכdi we di at mכsul dεm dכn pwεl. Di kayn we aw dis kin apin kin mek pɔsin no aw di tin dɔn pwɛl.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt fɔ wan Mayokardial Kɔntushɔn)

Nɔr patikyula tritmɛnt plan nɔr de fɔ hat atɔk. Dat min se, no "na di mɛrɛsin yu nid fɔ gi." Bɔt, dɔktɔ dɛn go de wach yu gud gud wan ɛn trit ɛni prɔblɛm we go apin da tɛm de.

Insay di Imejɛnsi Dipatmɛnt, dɛn kin gi yu dɛn tin ya:

• Ɔksijɛn .
• Fluid dεm lεk salin we dεn gi insay wan vein na di an (IV fluid dεm) .
• Mɛrɛsin fɔ di at ritm abnɔmal, blɔd prɛshɔn we de dɔŋ, ɔ pen.
• Wan tɛmporari pesmɛka fɔ kɔntrol di at bit fɔ sɔm tɛm.
• If ɔda blɔd dɔn gɛda rawnd di at, dɛn kin put wan chɛst tiub fɔ pul am.

If yu blɔd tɛst sho se yu at mɔsul dɔn pwɛl, dɛn go admit yu na ɔspitul. Dɛn go de wach yu troponin lɛvɛl ɛn dɛn go tɛst yu blɔd bak difrɛn tɛm.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Hat atak kin mek yu gɛt sɔm siriɔs prɔblɛm dɛn, na dat mek i impɔtant fɔ mek dɛn chɛk am kwik kwik wan.

• At nɔ de wok fayn: Di at nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan.
• Mayokardial rupture: Dis kin rili denja, na rupture na di wol na di hat.
• Cardiac tamponade: As wi bin dɔn tɔk, wata kin gɛda rawnd di at, ɛn dis kin mek di at prɛshɔn.
• Cardiogenic shock: Na siriɔs tin we de mek di at nɔ ebul fɔ pamp inof blɔd, we kin mek di blɔd nɔ de go na di wan ol bɔdi.
• Abnɔmal at ritm / Aritmia.
• Sɔntɛnde, pɔsin kin day wantɛm wantɛm ɛn dɛn nɔ kin wɔn pɔsin . Na dat mek i nɔto sɔntin we pɔsin fɔ tek am layt.

Aw lɔng i go tek fɔ mek i wɛl? (Tɛm fɔ Rikɔva)

di tεm we di at mכsul kin kכntushכn kin kכmכt frכm fכ wik to fכ mכnt . I dipen pan yu kɔndishɔn ɛn aw di injury siriɔs. I nɔ kin tek di sem tɛm fɔ ɔlman.

Yu nid fɔ tek tɛm wit it ɛn drink?

If yu gɛt wan sik lɛk at pwɛl afta yu gɛt at atak, yu dɔktɔ kin tɛl yu fɔ it tin we nɔ gɛt bɔku sɔl bikɔs sɔl kin mek yu bɔdi nɔ gɛt bɔku wata, ɛn dis kin mek yu at pwɛl mɔ ɛn mɔ.

Wetin na di mɛrɛsin ɛn tritmɛnt dɛn we dɛn kin gi pɔsin? (Mɛdikeshɔn/Tritmɛnt dɛn we dɛn kin yuz fɔ Kɔmplikɛshɔn)

Dɛn kin no aw fɔ trit ɛn aw fɔ tek mɛrɛsin bay di prɔblɛm dɛn we yu gɛt. Dis min se di tritmɛnt we dɛn kin gi ɛnibɔdi kin difrɛn.

• If yu gɛt at pwɛl , dɛn kin gi yu blɔd prɛshɔn mɛrɛsin we kin mek i izi fɔ mek di at pɔmp blɔd.
• Tamponade fɔ di atfכ ridyus di prεshכn we de pan di at, dεn kin du wan tin we dεn kכl pεrikardiosεntesis , we de pul di wata we pasmak na di sak we de rawnd di at (pεrikardyכm).
• di at ritm dεm we nכ nכmal (arrhythmias) kin nid fכ tek mεdikeshכn כ peshכn mεka.
• If yu gɛt kadyojɛnik shɔk , dɛn kin yuz mɛrɛsin ɔ tɛmporari tin fɔ ɛp di at fɔ pɔmp blɔd.
• If di at mɔsul brok (myocardial rupture) , dɛn kin nid fɔ du ɔpreshɔn fɔ mek i fayn. Bɔt dis nɔ kin apin so ɔltɛm ɛn i kin rili siriɔs.

Ɛni bad tin de we di tritmɛnt kin du? (Kɔmplikeshɔn/Sayd Ɛfɛkt dɛn we di Tritmɛnt kin gɛt)

Yɛs, sɔm tritmɛnt dɛn kin mek yu gɛt sayd ɛfɛkt ɔ prɔblɛm dɛn. Dis kin difrɛn bak frɔm wan tritmɛnt to ɔda tritmɛnt.

• Sɔm at mɛrɛsin kin mek yu gɛt sayd ɛfɛkt lɛk fɔ tɔn diziz .
• Infεkshכn כ bכdi kin kכmכt afta dεn כpεrayshכn כ pεrikardiosεntesis.
• Sɔntɛm di mɛrɛsin dɛn we dɛn kin yuz nɔ kin wok fayn.

Bɔt, dɔktɔ dɛn kin trit di wan dɛn we sik bay we dɛn de tink bɔt ɔl dɛn tin ya.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

If yu yuz tin dɛn we de ɛp di at fɔ pɔmp blɔd, dɛn go bigin fɔ mek di tin bɛtɛ wantɛm wantɛm bikɔs dɛn kin ɛp fɔ mek di blɔd muv ɔlsay na di bɔdi.

Di mɛrɛsin dɛn we dɛn kin put insay di bɛlɛ (IV) kin bigin fɔ wok bak kwik kwik wan .

Wetin wi go du fɔ mek dis nɔ apin? (Prɛvenshɔn) .

Fɔ mek wi nɔ gɛt at atak, wi nid fɔ tray fɔ avɔyd di prɔblɛm dɛn we kin mek wi gɛt am. Na tru se nɔto ɔl di prɔblɛm dɛn we kin apin kin apin. Bɔt, tin dɛn de we wi kin du:

• I bɛtɛ fɔ drayv motoka we gɛt aybag .
• Ɔltɛm wɛr sit bɛlt we yu de rayd motoka.
• Yuz sef ikwipmɛnt we yu de wok na say dɛn we ay.
• We yu de ple spɔt, wɛr tin dɛn fɔ protɛkt yusɛf we fit fɔ da spɔt de.

Nɔ fɔgɛt se dɛn smɔl smɔl tin ya kin sev yu frɔm big aksidɛnt.

Wetin fɔ Ɛkspɛkt if Yu Gɛt At Atak?

If yu gɛt at atak, dɔktɔ dɛn go wach yu gud gud wan fɔ 24 to 48 awa . Insay da tɛm de, dɛn go de wach yu at ritm wit EKG (ilɛktrokardiogram) . Dɛn kin du dis fɔ no kwik kwik wan if yu at chenj wantɛm wantɛm.

Di at ritm dɛm we nɔrmal (arrhythmias) we kin kam wit at atak kin dɔn insay 24 awa . Big big prɔblɛm dɛn we kin de fɔ lɔng tɛm nɔ kin bɔku.

Wetin wi go si di tin we go apin? (Autluk) .

Bɔrku pipul dɛm wae gɛt smɔl injury ɛn nɔrmal at ritm nɔr kin gɛt kɔmplikɛshɔn . Bɔku tɛm, pipul dɛn we gɛt smɔl smɔl kɔntushɔn na dɛn at mɔsul kin wɛl ful wan .

Bɔt if yu kɔnkyushɔn bad bad wan , chans de fɔ mek yu gɛt at pwɛl ɔ yu at ritm we nɔ fayn leta.

Aw a fɔ kia fɔ misɛf? (We yu de kia fɔ yusɛf) .

Yu nid fɔ gi yu bɔdi tɛm fɔ wɛl frɔm at atak. Dat min se yu go gɛt fɔ stɔp fɔ ple di spɔt we yu lɛk fɔ sɔm tɛm. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Nɔ rɔsh tin.

Ustɛm a fɔ go to di dɔktɔ bak? (Wetin fɔ go to dɔktɔ)

Afta yu go na di imejensi rum, yu fɔ rili go to yu praymari wɛlbɔdi prɔvayda (famili dɔktɔ) . Yu kin nid fɔ kɔntinyu fɔ trit fɔ di prɔblɛm dɛn we kin kam wit yu brus. If na so, kip yu fɔl-ap apɔntinmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu.

Bikɔs sɔm prɔblɛm dɛn we nɔ kin apin kin apin leta, i go fayn fɔ mek yu go to dɔktɔ fɔ chɛk-ap tri to siks mɔnt afta di wund .

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ? (Kwɛstyɔn dɛn fɔ aks yu dɔktɔ)

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Ustɛm a go bigin fɔ drayv ɛn ple spɔt bak?
• Wetin a go du fɔ protɛkt misɛf nɛks tɛm?
• Aw lɔŋ de kɔmplikeshɔn dɛm wae kin kam wit dis sik go las?

Aksidɛnt nɔto sɔntin we yu plan fɔ du. So na nɔmal tin fɔ lɛ pɔsin fil wɔri. Bɔt, wans yu gɛt ɛp fɔ ɛp yu kwik kwik wan, yu de na gud an. If dɛn tɛl yu fɔ de na ɔspitul fɔ mek dɛn wach yu, nɔ jɔs se, "O, a fayn," ɛn go na os. Fɔ de de na fɔ yu yon gud. Bikɔs di dɔktɔ dɛn want fɔ mek shɔ se yu nɔ gɛt ɛni siriɔs prɔblɛm frɔm di aksidɛnt. Afta yu kɔmɔt na ɔspitul, mek shɔ se yu go na yu dɔktɔ in apɔntinmɛnt ɛn tek di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek.

Lɛ wi mɛmba dɛn pɔynt ya (Take-Home Message) .

Mayokardial kɔntushɔn nɔto sɔntin we pɔsin fɔ tek am layt . If yu gɛt had blo na yu chɛst, i kin afɛkt di at.

• Yu fɔ no bɔt di sayn dɛm (di at fɔ blo, yu chɛst de pen, yu at de bit kwik kwik wan).
• If yu gɛt dɛn sik ya afta yu gɛt aksidɛnt , go to dɔktɔ wantɛm wantɛm .
• Fɔ fala di tritmɛnt ɛn instrɔkshɔn dɛn we dɔktɔ dɛn gi yu .
• Tek sef tin dɛn fɔ avɔyd aksidɛnt as yu ebul.
• Gi yusɛf tɛm fɔ wɛl ɛn gɛt di rayt mɛdikal fɔlɔp .

Yu at na tin we rili valyu. Na yu wok fɔ kia fɔ am.

` Mayokardial Kɔntyushɔn, Kadyak Kɔntushɔn, Chɛst Injuri, At Atak, Aksidɛnt, Tritmɛnt, Simptom dɛm