Yu at de pan denja? Lɛ wi lan bɔt Myocardial Rupture?

Hat atak na tin we rili denja, nɔto so? Sɔntɛnde, afta yu gɛt at atak, wan siriɔs prɔblɛm kin apin we yu nɔ kin ivin tink bɔt. wan pan dεn kayn kכmplikεshכn ya na di at we rכp, כ lεk aw dכkta dεn kכl am ``Myocardial Rupture''. Dis na smɔl siriɔs stori, bɔt lɛ wi tɔk bɔt am simpul wan. Dis kin apin wae pɔrsin gɛt hat atak ɔr insay di fɔs mɔnt afta hat atak. Bɔrku tɛm, dis kin apin insay fayv to tɛn dez afta yu gɛt at atɔk.

Udat de pan denja fɔ gɛt dis at atak?

Naw, dis hat atɔk nɔr kin apin to ɔlman. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Fɔ tɔk tru, na pɔsin nɔmɔ we dɔn gɛt bɔku damej pan in at bikɔs ɔf at atak nɔmɔ kin gɛt dis sik. Yu fɔ mɛmba dɛn pipul ya:

• Fɔ uman dɛn: Sɔm stɔdi dɔn sho se uman dɛn kin gɛt prɔblɛm smɔl pas man dɛn.
• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn: If yu gɛt ay blɔd prɛshɔn, dis risk kin go ɔp bikɔs di at kin gɛt fɔ bia ɛkstra wet ɔltɛm.
• Fɔ di wan dɛm wae kin gɛt pen na dɛn chɛst ɔltɛm: I kin min se sɔmtin nɔr de na dɛn at.
• Fɔ di wan dɛn we de delay fɔ go na ɔspitul we dɛn gɛt pen na dɛn chɛst: Mɛmba se ɛvri sɛkɔn kin kɔnt we dɛn gɛt at atak. If yu gɛt tritmɛnt kwik kwik wan, dat kin mek yu nɔ gɛt bɔku prɔblɛm.
• If dis na dɛn fɔs at atak: Sɔntɛm na bikɔs di at nɔr dɔn gɛt dis kayn tin bifo.
• Fɔ pipul dɛn we dɔn pas 60 ia: As di bɔdi pat dɛn kin wik we dɛn de ol, na so di at kin wik.
• fכ dεn wan dεm we gεt ``Atherosclerosis`` (dat na fεt dεposit dεm na di wכl dεm na di at dεm, we de sכm dεn sכmtεm): Dis de mek bכdi fכ fכlכ to di at.
• Fɔ di wan dɛn we de sɔfa wit at prɔblɛm: Dis min se di at nɔ de pɔmp blɔd fayn fayn wan.
• Fɔ di wan dɛn we dɔn gɛt strok bifo.
• Fɔ di wan dɛn we gɛt krɛse sik na dɛn kidni.

Aw dis sik kin kɔmɔn?

Dis nɔ kin rili kɔmɔn, bɔt nɔto sɔntin we pɔsin kin ignore bak. Tink bɔt, wan stɔdi dɔn sho se lɛk 30% pan di pipul dɛm we day wantɛm wantɛm wit at atak dɛnsɛf gɛt dis at rupchɔ, ɔ `(Myocardial Rupture)`.

bitwin 10% εn 20% pan di pipul dεm we gεt hat atak kin divεlכp wan tכch na di כta wכl (di ``Fri Wכl'') na dεn at in lεft vεntrikl. yu no se di lεft vεntrikl na di men chεmba na di at we de pכmp blכd to wi כl bכdi?

כltu, we di wכl rכp bitwin di tu lכw chεmba dεm na di at (di ``Ventricular Septum'') nכ kin rili apin. I kin apin pan less dan 0.4% pan pipul dɛm wae gɛt hat atak.

Wetin kin apin we di at brok?

Wetin kin apin kin dipen pan usay di at pwɛl. Tek wan luk pan dis diskripshɔn:

• if di wכl (`(Septum)`) bitwin di tu lכw chεmba dεm (sεl dεm - `(Ventricles)`) na di at rכp: dis de mek mכr bכdi fכ fכlכ insay di lכng pas aw i fכ fכlכ. dis kin mek di lכng dεm fulכp wit wata (`(Pulmonary Edema)`) εn i kin tranga fכ brith (`(Respiratory Failure)`).
• If wan mכsul na di mitral valv brok: Di sayn dεm fכ di at fεil kin kam kwik kwik wan. Dis na bikɔs blɔd kin bigin fɔ lik bak ɛn nɔ de pɔmp am fayn fayn wan na di bɔdi.
• if di כta wכl na di at (`(Fri Wall)`) rכp: Dis na di mכst kכmכn rכp. Bɔku tɛm, dis kin kil pɔsin. Bikɔs blɔd kin kɔmɔt na di at ɛn go insay di chɛst.

Wetin na di sayn dɛm fɔ dis?

Dis hat atɔk kin mek yu gɛt difrɛn kayn sayn dɛm. Sɔm pan dɛn kin rili wantɛm wantɛm ɛn dɛn kin rili bad:

• Bɔrku pen na yu chɛst: Dis kin tan lɛk de pen wae yu gɛt hat atak, ɔr e kin wɔs pasmak.
• Cardiogenic Shock: Dis min se di at kin wik sote i nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi.
• Cardiac Arrest: Di at kin stɔp fɔ bit wantɛm wantɛm.
• Hat Failure: Di hat in pawa fɔ pɔmp nɔ de wok fayn.
• Pulmonary Edema ɔ Respiratory Failure: I nɔ izi fɔ blo.
• Cardiac tamponade: Di tin we de rawnd di at kin ful-ɔp wit blɔd, we kin mek di at prɛshɔn.

Wetin na di rizin fɔ dis?

Fɔ tɔk am simpul wan, we di at mɔsul pwɛl we pɔsin gɛt at atak, i kin wik. Na smɔl tɛm nɔmɔ, di pawa we di at de du we i de pɔmp kin mek da say de we wik kin te, ɔ brok. Na dat na di men tin we kin mek pɔsin gɛt dis at atɔk.

Aw dɔktɔ dɛn kin no dis?

Yu dɔktɔ go lisin to yu at fɔs. Dɛn kin yɛri wan abnɔmal sawnd (a ``murmur'') we dɛn de lisin wit ``stɛtoskɔp''. Dɔn, dɛn go ɔda fɔ du sɔm tɛst fɔ no if pɔsin gɛt di sik.

Di fɔs tɛst we dɛn kin du na Transthoracic Echocardiogram (TTE) . Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I kin chɛk aw di at shep, aw i de wok, ɛn if ɛnitin de we nɔ fayn.

If dat nɔ gi yu inof infɔmeshɔn, yu kin du mɔ tɛst:

• Transesophageal Echocardiogram (TEE): Dis na εko bak na di at, bכt dεn kin put sכm sכm tכb dכn di trot fכ luk klos na di at.
• Cardiac Catheterization: Insay dis, dɛn kin pas wan smɔl tiub tru wan blɔd vesel na di an ɔ leg insay di at fɔ chɛk di prɛshɔn insay di at, di blɔd we de flɔ, ɛn ɛnitin we nɔ fayn.
• Wan CT skan we dɛn kin du.
• Wan MRI na di at.

Aw yu kin trit pɔsin we in at pwɛl?

Dis na tin we kɔmplikt smɔl. Pan ɔl we mɛrɛsin kin mek pɔsin fil fayn fɔ sɔm tɛm, di bɛst tritmɛnt fɔ pɔsin we gɛt at atak na fɔ ɔpreshɔn.

Dipen pan yu sik, yu dɔktɔ go nid fɔ du ɔpreshɔn wantɛm wantɛm . Ɔ, dɛn kin yuz tɛmporari mɛkanikal divays fɔ ɛp yu te di de we dɛn du di ɔpreshɔn.

Fɔ ɛgzampul, if yu gɛt prɔblɛm wit yu at valv, dɔktɔ dɛn biliv se di risk fɔ day we yu du ɔpreshɔn fɔ mek i fayn, kin smɔl if yu wet fɔ lɛk sɛvin dez so. Dis na bikɔs bay da tɛm de di mɔsul dɔn wɛl smɔl ɛn di stich dɛn kin ol togɛda fayn fayn wan. Bɔt if yu sik nɔ stebul, i kin mek yu delay fɔ di ɔpreshɔn. Dis na bikɔs di prɔblɛm kin wɔs.

Na tɛm lɛk dis, yu dɔktɔ ɛn yu famili fɔ kam togɛda, tɔk bɔt di gud ɛn bad tin dɛn we de pan di tritmɛnt dɛn we de, ɛn disayd wetin bɛtɛ fɔ yu sityueshɔn.

Us mɛrɛsin ɛn tritmɛnt dɛn dɛn kin yuz?

Dɛn kin yuz dɛn tin ya fɔ mɛn pɔsin we gɛt at we dɔn brok:

• Diuretics: Ridyus di wata we pasmak na di bɔdi.
• Inotropes (`(Inotropes)`): de inkrεs di fכs fכ kכntrikshכn na di at.
• Vasodilators: I de mek di blɔd vesel dɛn big ɛn mek i izi fɔ mek di blɔd flɔ.
• ECMO: Fɔ gi di at ɛn di lɔng dɛn rɛst ɛn fɔ mek mashin du dɛn wok.
• wan intra-aortic balכn pכmp (`(Intra-aortic Balloon Pump)`) de εp fכ pכmp bכdi insay di at.
• wan lεft vεntrikul εp divays (`(Lεft vεntrikul εp Divays / LVAD)`).
• Klos di kray wata insay wan we we nɔ go ambɔg di wata bay we yu de go tru wan blɔd vesel.
• Ɔpreshɔn we dɛn kin du fɔ opin at kin gɛt fɔ du wit fɔ mek di say we i dɔn brok wit pat.

Mɛmba se pan ɔl we ɔpreshɔn na di bɛst tritmɛnt fɔ pɔsin we gɛt at atak, i kin gɛt prɔblɛm bak. Bɔt afta dɛn dɔn du di ɔpreshɔn fayn fayn wan, yu kin liv fɔ bɔku ia.

Aw a go ridyus dis risk?

Dis na kwɛstyɔn we rili impɔtant. If yu gɛt sayn fɔ sho se yu gɛt at atak, di bɛst tin fɔ du na fɔ gɛt ɛp kwik kwik wan. Dɔn yu gɛt bɛtɛ chans fɔ sev we yu gɛt at atak ɛn avɔyd prɔblɛm dɛn lɛk at atak.

If yu ɛva tink se yu go gɛt at atak, nɔ delay fɔ du tɛst. Na bikɔs ɛni sɛkɔn na layf valyu.

Wetin kin apin if a gɛt at atak? (Wetin dɛn tink se go apin)

Yu prɔgnosis (`(Prognosis)`) de dipen pan us pat pan yu at dɔn pwɛl.

• if di כta wכl na di at (`(Outer or Free Wall)`) dכn rכt, bכku tεm i kin kil. Na bikɔs tɛm nɔ de fɔ mek dɛn ripɛnt am wit ɔpreshɔn. Ilɛksɛf dɔktɔ dɛn tray fɔ mek am fayn, i nɔ go ebul fɔ du am.
• If di wɔl bitwin di tu ɔda chɛmba dɛn (ventrikl) na di at dɔn brok, dɔktɔ kin mek am bak wit ɔpreshɔn. Bɔt dis ɔpreshɔn gɛt di nɔmba fɔ pipul dɛn we de day we na lɛk 43%, we pas ɛni ɔda at ɔpreshɔn.
• If yu kray wata de na di mɔsul na di mitral valv, dɔktɔ kin ebul fɔ mek am bak wit ɔpreshɔn.

Hat atak na wan sik we rili siriɔs. Af pan di wan dɛn we kin gɛt am kin day. Bɔku pan dɛn day ya kin apin pan pipul dɛn we kin day wantɛm wantɛm na do na ɔspitul. If dɛn nɔ du ɔpreshɔn, di prɔgnosis fɔ mek i wɛl nɔ kin rili fayn.

Afta dɛn dɔn du ɔpreshɔn, bɔku pipul dɛn kin gɛt prɔblɛm dɛn lɛk we dɛn de blɔd ɛn we dɛn at nɔ kin kɔmɔt fayn. Bɔt we di wan dɛn we de stɔdi bɔt dis bin luk pipul dɛn afta fayv ia, dɛn kam fɔ no se pipul dɛn de du wɛl afta dɛn dɔn du dɛn ɔpreshɔn.

Yu tink se i pɔsibul fɔ liv wit at we brok?

Yɛs, yu kin liv wit at we dɔn brok, bɔt yu nid fɔ no di sik kwik kwik wan ɛn trit yu. If yu du ɔpreshɔn pan yu at we yu opin, dat kin mek yu liv mɔ ɛn mɔ.

Aw a kin kia fɔ misɛf?

Dis na tin bak we rili impɔtant.

• Kip ɔl di fɔlɔp apɔntinmɛnt dɛn wit yu dɔktɔ.
• Tek ɔl di mɛrɛsin dɛn we dɛn kin gi yu di rayt tɛm.
• If yu fil lɛk se yu gɛt ɔda at atak, go to ɛp wantɛm wantɛm.

Wetin a fɔ aks mi dɔktɔ?

If yu ɔr pɔrsin wae yu lɛk gɛt dis sik, nɔr fɔgɛt fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Usay dis krak krak na mi at rili de?
• Wetin na di bɛst tritmɛnt fɔ mi sik?
• Wetin na di lukin-grɔn fɔ mi patikyula sityueshɔn?

If yu pɔsin we yu lɛk gɛt at atak, yu go nid fɔ tink bɔt di bad tin dɛn ɛn bɛnifit dɛn we difrɛn tritmɛnt dɛn kin gɛt. Nɔr frayd fɔ aks kwɛstyɔn fɔ gɛt bɛtɛ ɔndastandin bɔt de tritmɛnt dɛm ɛn wetin dɛn kin du ɛn nɔr kin du. If di pɔsin we yu lɛk nɔ ebul fɔ tek pat pan dis tɔk, tink bɔt wetin dɛn go disayd fɔ du insay dis kayn tɛm.

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba frɔm dis stori na

Mayokardial Rupchɔ na wan prɔblɛm we rili denja ɛn we de mek pɔsin in layf de pan denja we kin apin afta pɔsin gɛt at atak. Na wan sik we di wɔl, mɔsul, ɔ valv dɛn na di at kin te.

If yu gɛt sayn dɛm fɔ hat atak wit chɛst pen, i impɔtant fɔ go na ɔspitul kwik kwik wan. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt bɔku prɔblɛm dɛn lɛk dis.

If dis sik apin, ɔpreshɔn na di men tritmɛnt. Pan ɔl we i kin gɛt prɔblɛm, afta dɛn dɔn du ɔpreshɔn fayn fayn wan, chans de fɔ mek i wɛl ɛn gɛt gud layf.

So, tek kia ɔf yu at. Yu fɔ no di sayn dɛn we pɔsin kin gɛt we i gɛt at atak. Go to dɔktɔ kwik kwik wan we nid de.

` Mayokardial Rupchɔ, At kɔmplikɛshɔn, At rupchɔ, Chɛst pen, At ɔpreshɔn, At imejensi