Yu tink se di at nɔ de gɛt inof blɔd? Lɛ wi lan bɔt NSTEMI (Nɔn-ST-Ɛlevɛshɔn Mayokardial Infarkshɔn) .

Sɔntɛnde yu kin fil se yu chɛst kin tayt smɔl, yu kin fil strenj, ɔ yu kin fil smɔl fɔ blo? Sɔm pipul dɛn kin tink se i kin bi bikɔs ɔf gastritis. Bɔt nɔto so i kin bi ɔltɛm. I kin bi bak at prɔblɛm. Tide wi go tɔk bɔt wan kayn at atak lɛk dat, we na wan kɔndishɔn we dɛn kɔl NSTEMI.

Wetin na NSTEMI? Fɔ tɔk am simpul wan...

NSTEMI na wan kayn at atak. Dis na we wan pat pan yu at nɔr de gɛt inof ɔksijɛn. Jɔs tink bɔt dat, jɔs lɛk ɔl ɔda pat dɛn na wi bɔdi, di at nid ɔksijɛn frɔm di blɔd fɔ mek i wok. Na we dɛn ambɔg da ɔksijɛn saplai de, na in di prɔblɛm dɛn kin bigin.

I gɛt in nem bikɔs, lɛk di ɔda big kayn at atak, STEMI, nɔ klia, big chenj nɔ de na di ilɛktrik aktiviti na di at we de sho pan ECG. Bɔt i stil rili denja, we de mek pɔsin in layf de pan denja fɔ mɛn am . So if yu ɔ pɔsin we yu sabi de gɛt sayn dɛn we de sho se yu gɛt at atak, i rili impɔtant fɔ go na ɔspitul ɔ kɔl ambulans wantɛm wantɛm. If yu delay di tritmɛnt, dat kin mek yu at pwɛl fɔ ɔltɛm ɔ ivin day.

Wetin mek dɛn kɔl dis NSTEMI?

pan mεdikal tεm dεm, dεn kכl hat atak ``Myocardial Infarction''. ``Infarkshכn'' min se wan pat pan di bכdi de lכs bכdi fכ fכlכ εn da pat de bigin fכ day. ``Mayokardial'' min sɔntin we gɛt fɔ du wit di at mɔsul. So, we di at mɔsul nɔ gɛt inof blɔd, da pat de kin bigin fɔ wok fayn.

di ilektrikal aktiviti na wi at kin izi fכ si wit wan tεst we dεn kכl ``Electrocardiogram'' כ ``ECG''. Yu go dɔn si am, we na tɛst we dɛn kin put smɔl smɔl tin dɛn we de mek pɔsin no bɔt difrɛn pat dɛn na di bɔdi. Dis de sho di ilɛktrik wevfɔm na di at pan pepa ɔ pan monita. Difrɛn pat dɛn de na dis wevfɔm, we dɛn gi di nem wit lɛta dɛn lɛk P, Q, R, S, T.

insay STEMI hat atak, di pat pan dis wev fכm we dεn kכl ``ST sεgmεnt'' de go כp pas di nכmal lεvεl dεm. Dis de sho klia wan se na STEMI. STEMI kin apin we wan big korona at we de gi blɔd to di at dɔn blok ɔl.

כltu, insay NSTEMI, nכ signifyant εleveshכn de fכ di `(ST sεgmεnt)`. sכmtεm, yu kin si sכm sכm chenj dεm na di `ECG`, bכt i nכ kin klia lεk na STEMI. So, ɔda tɛst dɛn, mɔ di blɔd tɛst dɛn, rili impɔtant fɔ no if yu gɛt NSTEMI. insay dis, wan pat pan di korona at de blok, nכto komplit blok, כ wan sכm sכm vein we de branch kכmכt na wan men at de blok.

Udat kin gɛt mɔ chans fɔ gɛt NSTEMI? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Bɔku tin dɛn de we kin mek pɔsin gɛt at atak. Sɔm pan dɛn wi kin ebul fɔ kɔntrol, bɔt sɔm wi nɔ kin chenj.

Tin dɛn we wi kin chenj:

Dis na tin dɛn we gɛt fɔ du wit di we aw wi de liv wi layf.

• Smok ɛn smok: Dis na wan pan di men ɛnimi dɛn we de na di at.
• Lɛ yu bɔdi kam dɔŋ:Di tin dɛm we wi kin it ɛn drink, mɔ di it dɛm we gɛt bɔku sɔl (we kin mek yu blɔd prɛshɔn go ɔp), shuga (we kin mek yu gɛt dayabitis), ɛn ɔyl/fat (we kin mek yu gɛt kɔlɔstrel).
• Nɔ ebul fɔ du ɛksɛsayz: Dat min se i nɔ de ɛksesaiz.
• Yuz drɔgs we nɔ rayt: Ɛspɛshali tin dɛn we de mek pɔsin fil fayn, lɛk amfetamin ɛn kɔkɛyn, we kin afɛkt di at.

Tin dɛn we wi nɔ go ebul fɔ chenj:

• Ej: Di risk fɔ gɛt at sik kin bɔku wit di ej.
• Jɛnda: Man dɛn kin gɛt at sik pas uman dɛn. di risk de inkrεs fכ man dεm afta dεn ol 45 ia, we fכ uman dεm di risk de inkrεs afta dεn rich 50 ia (כ afta mεnopos).
• Famili istri: If yu papa ɔ yu brɔda bin gɛt at sik ɔ at atak bifo i ol 55 ia, ɔ yu mama ɔ sista bin gɛt at atak bifo i ol 65 ia, yu bak kin gɛt bɔku prɔblɛm.
• Di tin dɛn we pɔsin kin gɛt we i bɔn ɔ we i kam pan in jɛnɛtiks: Sɔm sik dɛn we pɔsin kin gɛt we i bɔn ɔ we pɔsin bɔn kin mek i gɛt at sik bak.

Aw NSTEMI kɔmɔn?

Fɔ tru, NSTEMI, we de pan di grup fɔ at sik dɛn we dɛn kɔl `(Acute Coronary Syndrome)`, na wan sik we dɛn kin si ɔlsay na di wɔl, inklud na wi kɔntri Sri Lanka. Akɔdin to Amɛrikan statystik, na 70% nɔmɔ pan di pasɛnt dɛn we dɛn no se gɛt `(Acute Coronary Syndrome)` na NSTEMI pasɛnt dɛn. Dat min se wi nid fɔ wɔri bɔt dis.

Wetin kin apin bifo ɛn di tɛm we dɛn de du NSTEMI?

NSTEMI na wan kכndyushכn we de insay wan brayt kεtכgrεf we dεn kכl ``Acute Coronary Syndrome.'' כda kכndyushכn dεm na dis kεtכgεri inklud STEMI εn ``Unstable Angina'' (unstable angina - chεst pen we de apin ivin we yu rεst, bכt i nכ de siriכs lεk hat atak).

we di at nכ de gεt di bכdi we i nid, wan kכndyushכn we dεn kכl ``Ischemia'' de apin. Fɔ tɔk am simpul wan, di pat pan di at we nɔ gɛt blɔd kin bigin fɔ day. difrεnt lεk כda mכsul dεm, di at mכsul sεl dεm nכ kin ebul fכ jεnarεt bak wans dεn day. Dis min se if dɛn nɔ mek di blɔd flɔ bak kwik kwik wan, di damej go de sote go.

Bɔku dairekt ɛn indayrɛkt kɔz dɛn kin de fɔ NSTEMI.

Di tin dɛn we kin mek di blɔd nɔ de go na di at dairekt wan:

• Plɛk we de bɔku: Dɛn tin ya na waks we de kɔmɔt frɔm kɔlɔstrel we de na wi blɔd. Jɔs lɛk aw dreyn we dɔn lɔk kin mek wata nɔ flɔ, na so di plek kin blok di at dɛn we de kɛr blɔd go na di at. Sɔntɛnde, we wan plek brok, blɔd kin klɔt pan am, ɛn i kin blok di at mɔ ɔ kpatakpata insay sɔm minit ɔ awa.
• `Vasospasm`: .Wi blɔd vesel dɛn gɛt wan layt we gɛt smɔl smɔl mɔsul dɛn insay we de kɔntrol aw di blɔd vesel dɛn de big ɛn smɔl. Jɔs lɛk aw mɔsul de shek shek na di leg, dis layt we de na di at dɛn na di at kin tayt wantɛm wantɛm ɛn kɔntrakt. dis dεn kכl am ``vasospasm''. Dis kin mek blɔd nɔ flɔ ɛn mek pɔsin gɛt at atak. Bɔt dis nɔ kin apin smɔl.
• Coronary Embolism: Dis na we blɔd we dɔn fɔm ɔdasay kin stɔp na wan at na di at. Dis na tin bak we nɔ kin apin so ɔltɛm.

Damej ɔ injury na di at:

Pan ɔl we di at sef insay wi chɛst, sɔntɛnde i kin pwɛl.

• Mayokarditis: Dis na inflamɛns na di at mɔsul. Bɔku tɛm i kin apin we wan vayral infɛkshɔn afɛkt di at mɔsul.
• Pɔyzin: Sɔm pɔyzin kin pwɛl di at mɔsul ɛn mek pɔsin gɛt at atak. Wan ɛgzampul na `(Carbon Monoxide)` pɔyzin.
• `Cardiac Contusion`: Dis na at we dɔn brus. Dis kin apin pan big aksidɛnt, lɛk motoka aksidɛnt. Dis kin apin bak we nɔ kin apin so ɔltɛm.

Rizin dɛn we nɔ rayt:

Dis min se di at fɔ wok tranga wan, so i nid mɔ ɔksijɛn, bɔt i nɔ gɛt da bɔku ɔksijɛn de.

• Siriɔs ay blɔd prɛshɔn (`Malignant Hypertension` ɔ `Hypertensive Emergency`) ɔ rili lɔw blɔd prɛshɔn (`Hypotension`): We di prɛshɔn tu smɔl, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd. we di prεshכn tu hכy, di at gεt fכ wok tranga wan bikoz fכ di rεsistεns na di bכdi vεsul dεm. Insay dɛn tu kes ya, di at nid mɔ ɔksijɛn.
• Tachycardia: We di at de bit tumɔs, i nɔ de pɔmp blɔd fayn fayn wan. Di at mɔsul nid mɔ ɔksijɛn bak fɔ wok wit da spid de.
• Aortic Stenosis: Dis na we di men valv we de kכri bכdi kכmכt na di at (aortic valve). We dis kin tranga, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd tru di valv we dɔn smɔl.
• Pulmonary Embolism: Dis kin apin we blɔd klɔt stɔp na blɔd vesel we de go na di lɔng. Dis kin mek di blɔd we gɛt ɔksijɛn nɔ go rich na di lɔng dɛn ɛn go bak na di at.

Wetin na di sayn dɛm fɔ NSTEMI?

Pɔrsin wae gɛt hat atɔk kin gɛt sɔm kayn sik lɛk dis:

• Chest pen or discomfort (Angina): Dis na di men sayn. I kin fil lɛk se yu chɛst de tayt, ebi, ɔ kɔnstrikt.
• I nɔ kin izi fɔ yu fɔ blo: I kin tan lɛk se yu gɛt prɔblɛm fɔ blo ɔ yu de swɛla.
• Nɔs, bɛlɛ at: Sɔm pipul kin gɛt bɛlɛ pen ɔr gastritis.
• Palpitations: Yu kin fil wan strenj tin lɛk se yu at de bit kwik kwik wan, skip bit, ɔ stɔp wantɛm wantɛm.
• Diziz we pɔsin kin gɛt(Diziz), fɔdɔm, fil lɛk se yu de kam fɔdɔm.

Impɔtant: Dɛn sayn ya nɔ kin apin di sem we fɔ ɔlman. Sɔm pipul dɛn kin gɛt wan sayn nɔmɔ, ɛn ɔda wan dɛn kin gɛt bɔku. Aw di pen kin tranga kin difrɛn bak.

Di sayn dɛm we uman dɛn kin fil mɔ:

Pan ɔl we uman dɛn kin gɛt di sik dɛn we wi dɔn tɔk bɔt bak, dɛn kin mistek tink se di prɔblɛm we de na di midul pan dɛn chɛst na gastritis. Dɛn kin ripɔt mɔr sayn dɛm bak lɛk:

• Taya pasmak, nɔr de blo fayn, ɔr nɔr de slip wae kin kam bifo yu gɛt hat atak.
• Pen we de spre to di jaw, nɛk, sholda, an (espɛshali di lɛft an), midul bak, ɔ bɛlɛ.
• Nɔs ɛn vɔmit.

Aw fɔ no dis sik?

Dɔktɔ kin no if pɔsin gɛt NSTEMI bay we i kin jɔyn sɔm tɛst dɛn ɛn infɔmeshɔn we di pɔsin we sik dɔn gi. Insay NSTEMI, di simptom dɛm ɛn di chenj dɛm na di ECG nɔ kin klia lɛk na STEMI, so i impɔtant fɔ luk ɔl dɛn tin ya togɛda.

Fɔs, di dɔktɔ go chɛk yu, lisin to yu at ɛn yu lɔng, ɛn chɛk yu blɔd prɛshɔn. Dɔn, dɛn go aks bɔt yu "mɛdikal histri," lɛk yu layf, famili histri, ɛn di mɛrɛsin dɛm wae yu de tek.

Tεst dεm we dεn kin yuz fכ no NSTEMI:

• Ilɛktrokardiogram (ECG ɔ EKG): Dis na di fɔs ɛn impɔtant tɛst fɔ no if pɔsin gɛt at atak. As wi bin dɔn tɔk, insay STEMI, di ST sɛgmɛnt de ɛlevɛt. Pan ɔl we nɔto so big chenj de na NSTEMI, dɛn kin si dɛn chenj ya (bɔt nɔto ɔltɛm):
• `(Transient ST-elevation)`: Di `(ST segment)` de rayz fɔ sɔm tɛm ɛn afta dat i de kam bak to nɔmal.
• `(ST-dipreshכn)`: Di `(ST sεgmεnt)` de go dכn nכmal.
• `(Nyu T-wev invεshכn dεm)`: i tan lεk se di `(T-wev)` (wev we nכmal fכ kכba כp) na di `ECG` de kכba dכn.
• bכdi tεst: we di at mכsul sεl dεm dεn dכn pwεl, wan kεmikכl we dεn kכl `(Troponin)` (Troponin) de kכmכt insay di bכdi. fכ mכsu di lεvεl fכ `(Troponin)` na di bכdi na di mכst rilibul we fכ no εni hat atak (inklud NSTEMI). כltu, i kin tek sεvεra awa (usually less dan 6 awa) fכ di `(Troponin)` lεvεl na di bכdi fכ rich wan lεvεl we dεn kin tεst, so dis tεst kin nid fכ du bכku tεm.
• Imej tɛst: If ɔda tɛst dɛn nɔ kin no, dɛn kayn imej tɛst ya kin ɛp bak.
• Echocardiography: Dis na ɔltra saund skan fɔ di at. I rili yusful na imejensi rum bikɔs dɛn kin du am nia di bed.
• Computed Tomography (CT) scan: Dis kin yuz X-ray fɔ mek tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ di at. Sɔntɛnde, dɛn kin du dis bay we dɛn injɛkt wan spɛshal wata we dɛn kɔl kɔntrast day. afta dat dis kin sho klia wan se di plek dεm de dכn εn di blכk dεm na di at dεm na di at.
• Magnɛtik Rɛsɔnans Imej (MRI): .Yu kin gɛt rili klia pikchɔ dɛn bɔt di at bay we yu yuz wan strɔng magnɛtik fil.

Wetin na di tritmɛnt dɛm fɔ NSTEMI?

Fɔ trit ɛni at atak na rɔn agens tɛm. Di fast we di blɔd de flɔ bak to di blɔd vesel we dɔn blok, na di mɔ i nɔ go pwɛl di at.

• Ɔksijɛn: If di ɔksijɛn lɛvɛl na di blɔd nɔ bɔku, dɛn kin gi am ɔksijɛn.
• Percutaneous Coronary Intervention (PCI): Dis na wetin bɔku pipul dɛn kin kɔl "stɛnt." Insay dis prɔsidyu, dɔktɔ we de mɛn yu at kin put smɔl tiub (kateta) tru wan big vein na yu an ɔ yu leg ɛn trɛd am insay di at we dɔn blok na yu at. Dɔn, dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di tiub fɔ mek di say we dɛn blok big. Bɔku tɛm, dɛn kin put stent (wan tin we tan lɛk mɛsh) fɔ mek di say we dɔn big nɔ lɔk igen. Di kwik we dɛn du dis, na di mɔ di tin dɛn we go apin go fayn.
• Mɛrɛsin: Bɔku kayn mɛrɛsin de we dɛn kin gi pɔsin we gɛt at atak (dɛn kin gi sɔm pan dɛn ivin bifo dɛn no se i gɛt di sik).
• Aspirin ɔ ɔda mɛrɛsin dɛn we de mek di blɔd nɔ gɛt di sik: Dɛn tin ya kin mek di pletlɛt dɛn we de na di blɔd nɔ gɛda togɛda ɛn mek blɔd klɔt. Dis kin mek di klot nɔ de wɔs.
• Anticoagulants: Dɛn tin ya kin mek bak blɔd nɔ klɔt, bɔt na difrɛn we.
• Angiotensin-Converting Enzyme (ACE) inhibitors: Dɛn mɛrɛsin ya de blok di protin we de mek di blɔd prɛshɔn go ɔp. Dis kin mek di blɔd prɛshɔn go dɔŋ. Dɛn kin gi dɛn to pipul dɛn we gɛt at prɔblɛm, we gɛt ay blɔd prɛshɔn, we gɛt prɔblɛm wit dɛn kidni, ɔ we gɛt dayabitis.
• Beta-blok dεm: dεn ya de slo di at rεt εn rεdכks di fכs we di at de pכmp wit. dis de ridyus di כksijεn we di at nid biכs di wok we di at de du de rεdכks. Bɔt dɛn tin ya nɔ kin fayn fɔ pipul dɛn we gɛt lɔw blɔd prɛshɔn, we gɛt at pwɛl, ɔ sɔm kayn at ritm disɔda (ari ritmia).
• Nitroglycerin: Dis mɛrɛsin de wok bay we i de mek di blɔd vesel dɛn big ɛn i de mek di blɔd flɔ fayn fayn wan. So, i kin rili ɛp fɔ mek pɔsin gɛt pen na in chɛst.
• Statin: Dɛn kin mek di kɔlɔstrel we de na di blɔd go dɔŋ ɛn i kin mek di plek dɛn we de na di korona at dɛn nɔ bɔku.
• Coronary Artery Bypass Grafting (CABG): Sɔntɛnde, if pas wan at na yu at dɔn blok bad bad wan, ɔpreshɔn kin bi di bɛst tin fɔ du. dis dεn kכl dis "baypas כpεrayshכn" (כ "open-hat כpεrayshכn"). Insay dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin tek wan blɔd vesel frɔm ɔda pat na yu bɔdi (lɛk yu leg ɔ insay yu chɛst) ɛn graft am fɔ mek nyu rod rawnd di at we dɔn blok na yu at. afta dat di bכdi kin "bypass" di εria we dεn blכk.

Wi go ebul fɔ mek pɔsin nɔ gɛt at atak?

Yɛs, bɔku tin dɛn de we wi kin du fɔ mek wi nɔ gɛt at atak, ɔ at ɔl fɔ delay am.Di tin we impɔtant pas ɔl na fɔ si yu famili dɔktɔ wan tɛm insay di ia fɔ wan kɔmplit mɛdikal chɛk-ap / wɛlbɔdi visit.

Bɔku sik dɛn lɛk ay blɔd prɛshɔn ɛn dayabitis nɔ kin sho dɛn sayn te dɛn dɔn rili go bifo. Bɔt ivin bifo di sayn dɛn de sho, dɛn tin ya kin kɔntinyu fɔ pwɛl di at ɛn di korona at, ɛn dis kin mek pɔsin gɛt at atak bad bad wan. Bɔt i izi fɔ no dɛn kɔndishɔn ya kwik kwik wan wit simpul tɛst dɛn we dɛn kin du we dɛn de chɛk-ap ɛvri ia. If ɛni prɔblɛm de we tan lɛk dis, yu dɔktɔ go gi yu di advays ɛn gayd we yu nid.

Sɔm pan di bɛst tin dɛn we yu kin du fɔ mek yu nɔ gɛt at atak na:

• Fɔ mek yu gɛt wɛlbɔdi wet.
• Fɔ it tin we balans (yu dɔktɔ kin tɛl yu fɔ it tin we fit yu, fɔ ɛgzampul, di it we yu de it na di Mɛditarenian).
• Fɔ de du tin wit yu bɔdi (at le 150 minit fɔ du ɛksɛsayz we gɛt mɔdaret-intɛnsity insay wan wik).
• Kip di mɛrɛsin we yu gɛt naw (lɛk blɔd prɛshɔn, dayabitis, kɔlɔstrel) ɔnda kɔntrol. If yu de tek mɛrɛsin fɔ dɛn, tek dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.
• If yu de yuz sigrɛt (inklud sigrɛt, beedis, siga, ɛn vaping), fɔ lɛf fɔ smok rili impɔtant fɔ mek yu nɔ gɛt at atak.

I sɔri fɔ no se sɔm pipul dɛn stil gɛt at atak, mɔ di wan dɛn we gɛt bɔku risk bikɔs ɔf dɛn famili histri ɔ ɔda mɛrɛsin. Bɔt if yu fala di tin dɛn we wi dɔn tɔk bɔt, yu kin delay fɔ mek yu at atak bigin ɔ yu kin ridyus di kayn we aw i kin at if yu gɛt am. Dɔn bak, if yu gɛt wɛlbɔdi, dat kin mek i izi fɔ mek yu wɛl afta yu gɛt at atak.

Aw lɔng a go gɛt fɔ de na ɔspitul?

Aw lɔng yu go de na ɔspitul kin dipen pan sɔm tin dɛn. Dɛn tin ya na aw yu at atak bad bad wan, yu jenɛral wɛlbɔdi, ɛn di kayn tritmɛnt we yu bin gɛt. Yu kin de fɔ tu to sɛvin dez. Tritmɛnt lɛk PCI (we dɛn put stent insay) kin tek smɔl tɛm, ɛn ɔpreshɔn kin tek lɔng tɛm.

Ustɛm yu go fil fayn?

Yu sik fɔ bigin fɔ bɛtɛ as yu de gɛt tritmɛnt. Bɔrku pipul kin fil taya smɔl ɛn wik afta dɛn gɛt at atak, bɔt dis go dɔn insay sɔm dez. Yu dɔktɔ go advays yu bɔt aw yu nid fɔ rɛst ɛn wetin yu go du fɔ ɛp yu fɔ wɛl.

Wetin na di lukin-grɔn afta wan NSTEMI?

Aw yu go fil afta yu dɔn gɛt NSTEMI de dipen pan sɔm tin dɛn. Di kayn we aw di at atak kin tranga ɛn yu ɔl wɛl bɔdi go ple big pat. Yu dɔktɔ go ɛksplen fayn fayn wan wetin fɔ ɛkspɛkt, wetin fɔ tek tɛm, ɛn wetin fɔ avɔyd.

Wetin ɔda tin yu kin ɛkspɛkt afta yu dɔn du NSTEMI?

If yu dɔn gɛt at atak wan tɛm, yu chans fɔ gɛt ɔda wan kin go ɔp. So, fɔ mek yu nɔ gɛt ɔda at atak, .Fɔ kia fɔ pipul dɛn ɔltɛm ɛn fɔ mek dɛn nɔ gɛt dis sik rili impɔtant. Yu dɔktɔ kin tɛl yu tin dɛn lɛk:

• Ripit mɛdikal tɛst ɛn `(imaging)` tɛst: Fɔ wach aw yu at de wok na wan pan di impɔtant we fɔ mek yu nɔ gɛt ɔda at atak.
• Cardiac Rehabilitation: Dis na program dɛm wae de ɛp yu fɔ mek yu gɛt wɛl bɔdi tru fɔ du tin wae de mek yu bɔdi fayn, wae dɔktɔ dɛn de kia fɔ yu. Di wan dɛn we sabi bɔt difrɛn tin dɛn, lɛk di wan dɛn we sabi bɔt it ɛn di wan dɛn we de tich yu fɔ du ɛksɛsayz, kin ɛp yu.

Ustɛm di nɔmal tin dɛn kin bigin fɔ du bak?

Wae yu kin go bak na woke, drayv, ɔr ɛksesaiz nɔmal wan go difrɛn difrɛn wan fɔ yu wɛl bɔdi. Yu dɔktɔ kin gi yu di bɛst advays. Tɔk to am bɔt di tin dɛn we yu dɔn plan fɔ du ɛn ustɛm yu go ebul fɔ bigin fɔ du tin. I bɛtɛ fɔ mek yu bigin smɔl smɔl, lɛk aw i tɛl yu.

Aw fɔ tek kia ɔf yu wɛlbɔdi afta yu gɛt at atak?

Bɔku pan wetin dɛn bin dɔn tɔk bifo tɛm ɔnda "Prevention" de apin bak fɔ tek kia ɔf yu wɛlbɔdi afta yu gɛt at atak. I impɔtant fɔ it gud it, ɛksesaiz ɔltɛm , kip yu wet fayn, tek di rayt mɛrɛsin fɔ ɔda sik dɛn, ɛn go to yu dɔktɔ di rayt tɛm.

Ustɛm yu fɔ kɔl di dɔktɔ?

Yu dɔktɔ go advays yu bɔt us prɔblɛm dɛn fɔ ɛkspɛkt, wetin yu fɔ wɔri bɔt, ɛn ustɛm fɔ tɔk to am. Dɔn bak, if yu gɛt nyu sik ɔ if wan sik we yu dɔn gɛt chenj (espɛshali if i kam wantɛm wantɛm ɔ bigin fɔ ambɔg yu ɛvride), tɔk to yu dɔktɔ.

Ustɛm yu fɔ go na ɔspitul ɔ na imejensi rum?

If yu gɛt sayn dɛn bak we gɛt fɔ du wit yu at wantɛm wantɛm, ɔ if yu sik kam bad bad wan we yu nɔ bin de tink se yu go gɛt, yu fɔ go na ɔspitul wantɛm wantɛm. Di men sayn dɛm wae de sho se yu nid fɔ gɛt mɛrɛsin kwik kwik wan na:

• Chɛst pen (Angina) ɔ pen we kin go na di say dɛn we de nia di bɔdi (nɛk, jaw, bak, an, sholda, ɔ bɛlɛ).
• I nɔ izi fɔ blo ɔ we yu nɔ de blo fayn.
• We pɔsin de swet pasmak.
• Di we aw pɔsin de blo.
• Nɔs ɔ vɔmit.
• Diziz (vertigo), fɔdɔm, ɔr nɔr de no natin.

If a nid tritmɛnt kwik kwik wan, a fɔ drayv go na ɔspitul mi wan?

Nɔto so atɔl! If yu tink se yu gɛt at atak, fɔ drayv yusɛf go na ɔspitul, nɔto fɔ yusɛf nɔmɔ, bɔt i kin bi denja to ɔda pipul dɛn bak we de na rod. So, kɔl 1990 (Suvaseriya) ɔ ɔda ambulans savis wantɛm wantɛm. Bɔku bɛnifit dɛn de fɔ go wit ambulans:

• Di wan dɛn we de wok na di ambulans kin asɛs yu kɔndishɔn ɛn bigin fɔ trit yu sik dɛn we yu de go na ɔspitul. Di infɔmeshɔn we dɛn kin gɛda kin ɛp fɔ sev valyu tɛm fɔ di dɔktɔ dɛn na di ɔspitul fɔ mek dɛn no di sik.

* If yu lɔs kɔnshɛns we yu de go, yu nɔ go de pan denja ɔ ɔda pipul dɛn nɔ go du yu bad bikɔs yu de travul wit ambulans.

* Di wan dɛn we de wok na di ambulans kin kɛr yu go dairekt na di Imejɛnsi Rum (ER). If yu go yu wan, i kin delay as yu de go insay tru di lɔbi.

De sayn dɛm wae de sho se pɔrsin gɛt hat atɔk kin mek yu frayd ɛn kɔnfyus. Bɔt gud tin na dat, we di sayɛns bɔt mɛrɛsin dɔn go bifo, di we aw dɛn de no ɛn trit pɔsin we gɛt at atak dɔn rili bɛtɛ. Di tritmɛnt opshɔn dɛm, mɛrɛsin dɛm, ɛn sayɛns ɔndastandin bɔt di at de go bifo ɔltɛm. Dat min se yu chans fɔ gɛt gud tin fɔ du de bɔku ɔltɛm. If yu ɔ pɔsin we yu lɛk de gɛt sayn dɛn fɔ gɛt at atak, duya go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Diya padi dɛm, a fɔ tɛl una se NSTEMI na siriɔs kayn at atak we wi nɔ fɔ tek layt.

• If yu gɛt sɔm kayn sik lɛk yu chɛst pen ɔr yu nɔr kin ebul fɔ blo, nɔr jɔs tink se na "gastric." Go to dɔktɔ wantɛm wantɛm.
• Fɔ mek simpul chenj na yu layf (fɔ it fayn, fɔ du ɛksɛsayz, ɛn fɔ avɔyd fɔ smok) kin ridyus dis prɔblɛm bad bad wan.
• Di tin we impɔtant pas ɔl na fɔ lisin to wetin di dɔktɔ dɛn se, mek dɛn du di tɛst, tek di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ du, ɛn tray fɔ liv fayn layf. Yu at gɛt valyu!

` NSTEMI, at atak, chɛst pen, ECG, at sik, at tritmɛnt, at wɛlbɔdi