Dɔktɔ dɔn ɛva tɛl yu ɔ yu padi se dɛn gɛt ‘at blɔk’? Sɔntɛm yusɛf kin fil se yu chɛst tayt, yu kin fil pen, ɛn i nɔ kin izi fɔ blo we yu de klaym stej ɔ we yu de tray tranga wan? Tide wi go tɔk bɔt di tritmɛnt we dɔktɔ dɛn kin kɔl ‘Angioplasty’ ɔ ‘PCI’. Nɔ fred we yu yɛri dis nem, dis nɔto big ɔ invasive ɔpreshɔn lɛk aw yu go tink. Lɛ wi tɔk bɔt ɔltin simpul wan.
Wetin na PCI? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, Percutaneous Coronary Intervention (PCI) na wan we we de pul wan blɔk we de na di at we de kɛr blɔd go na di at (wi kɔl dɛn korona at) ɛn mek di blɔd flɔ bak. Tink bɔt am lɛk wata paip we gɛt blok insay ɛn we nɔ de flɔ fayn. PCI tan lɛk fɔ pul di blɔk ɛn klin di paip bak.
Bɔku pipul dɛn no dis tritmɛnt as angioplasty . Sɔntɛm yu dɔn yɛri bɔt am bifo. I min se yu fɔ trɛd wan tin tiub (kateta) tru wan vein na yu an ɔ yu leg to di at we dɔn smɔl na yu at, dɔn yu fɔ blo wan smɔl balɔ na di ɛnd pan di tiub fɔ mek di say we smɔl, big.
Afta di vein dɔn big, dɛn kin put wan smɔl tiub we tan lɛk mɛsh fɔ mek i nɔ fɔdɔm igen. Dis na wetin wi kɔl stent . I tan lɛk sɔpɔt insay wan tanɛl we de kam fɔdɔm.
Bɔku pan di nyu stent dɛn gɛt wan mɛrɛsin insay dɛn we de ridyus di risk fɔ mek di at blok bak. Wi kin kɔl dɛn wan ya ‘drug-eluting stents’. Dis kin mek wi gɛt bɛtɛ tin fɔ du.
Udat nid dis tritmɛnt?
As tɛm de go, tin dɛn lɛk ɔyl ɛn kɔlɔstrel kin bɔku na wi blɔd vesel dɛn, ɛn mek wan tik tik layt. I tan lɛk se rɔst de bɔku insay wan ol wata paip. Insay mɛrɛsin, wi kin kɔl dis layt ‘plek.’ ’ Dɛn kɔl di sik we dɛn plek ya kin gɛda na di at, we kin mek di wɔl dɛn smɔl ɛn tik, atherosclerosis .
Dis kin mek di vein dɛn smɔl ɛn di at nɔ kin gɛt di blɔd we i nid. Dis na we:
- We yu tray tranga wan smɔl, klaym stej, ɔ waka kwik, yu kin fil pen ɔ tayt na yu chɛst . Dɛn kɔl dis angina .
- I de kam tranga fɔ blo, a de fil lɛk se a de kray.
Fɔ pipul dɛm we gɛt dɛn sik ya, dɛn kin du PCI tritmɛnt fɔ pul di blɔk ɛn mek di blɔd flɔ bak.
Dɔn bak, at atak we pɔsin kin gɛt wantɛm wantɛmPCI na big tritmɛnt wae de sev layf fɔ pɔrsin wae gɛt hat atak. At atak na we di blɔd vesel dɔn blok ɔltogɛda, ɛn dis kin mek di blɔd nɔ go na wan pat pan di at. Dɔn, di blɔk nid fɔ opin kwik kwik wan ɛn dɛn kin pɔmp blɔd insay PCI kin du dat kwik ɛn ridyus di damej we de na di at bad bad wan.
Ɛni kes de we dɛn nɔ fɔ du PCI tritmɛnt?
Yu dɔktɔ we de mɛn yu at go disayd if yu nid dis, if yu kin ebul fɔ manej am wit mɛrɛsin nɔmɔ, ɔ if yu nid big ɔpreshɔn we dɛn kɔl korona at baypas graft (CABG). Dis kin difrɛn fɔ ɛnibɔdi.
We di dɔktɔ disayd fɔ du dat, i kin tink mɔ bɔt dɛn tin ya:
- Aw bɔku pan yu vein dɛn dɔn blok, aw di blɔk bad bad wan, ɛn usay dɛn de.
- Apat frɔm at sik, yu gɛt ɛni ɔda sik lɛk dayabitis ɔ kidni sik?
- Aw na di pɔmp akshɔn fɔ yu at mɔsul, tin dɛn lɛk yu ej.
So, di dɔktɔ go ɛksplen to yu us tritmɛnt go fayn fɔ yu.
Wetin yu fɔ du bifo yu gɛt tritmɛnt?
If na hat atak we yu gɛt wantɛm wantɛm, yu dɔktɔ go gi yu sɔm advays bɔt aw fɔ rɛdi fɔ dis.
- Fɔ it ɛn drink: Dɛn go ɔltɛm aks yu fɔ stɔp fɔ it ɛn drink 6-8 awa bifo di tritmɛnt.
- Mɛrɛsin: Di tin we impɔtant pas ɔl na dat if yu de tek mɛrɛsin we de mek yu blɔd tan ɔ ɛni ɔda mɛrɛsin, yu fɔ tɛl yu dɔktɔ. Dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo yu tritmɛnt. If nɔto dat, yu kin gɛt mɔ blɔd we yu de du di tritmɛnt. Yu fɔ du dis jɔs lɛk aw yu dɔktɔ tɛl yu. Nɔ ɛva stɔp ɔ chenj yu mɛrɛsin fɔ yusɛf.
Wetin kin apin we dɛn de trit am?
Nɔ fred we yu yɛri dis, i nɔto big tin lɛk aw yu tink. Na dɔktɔ we dɔn gɛt spɛshal trenin fɔ trit at sik (Interventional Cardiologist) kin du dis. Dɛn go gi yu layt anestetik fɔ mek yu rilaks ɛn kol. So yu nɔ go fil ɛni pen, bɔt yu go wek. Yu go yɛri wetin di dɔktɔ se.
Na dɛn simpul tin ya fɔ du fɔ di tritmɛnt:
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ gɛt akses | sכm sכm tכb (sheath) dεn de put insay wan big vein na yu an, nia yu an (radial artery) כ insay yu groin (femoral artery). Dis tan lɛk pɔtal we dɛn kin pas ɔda inschrumɛnt dɛn. |
| 2. Fɔ sɛn di kateshɔn | wan rili tin, fleksibul tכb (kateta) de pas tru di tכb we dεn bin dכn put bifo εn go insay di korona at na di at. Yu nɔ go fil dis. |
| 3. Fɔ tek kia ɔf di blɔk | wan spεshal likwid (kכntrast day) we de sho klia wan pan εks-ray dεn injεkt insay di vein tru di kateshכn. Dɔn di dɔktɔ kin si di rayt say usay di vein de ɛn aw i dɔn blok na di ɛkstrem raytin monita. |
| 4. Fɔ opin di vein | Neks, dɛn kin pas ɔda tin waya we gɛt balyɔn na di blɔk, ɛn dɛn kin blo di balyɔn fɔ prɛs di blɔd we dɔn trɔp pan di wɔl na di vein, ɛn dis kin mek wan rod fɔ mek blɔd flɔ. |
| 5. Fɔ put di stent | Fɔ mek di at nɔ blok bak, dɛn kin put wan stent ɛn fiks am na di say we dɛn opin. |
| 6. Fɔ dɔn | We dɛn dɔn du di wok, dɛn kin pul di kateshɔn ɛn ɔda tin dɛn, dɛn kin put prɛshɔn na di say we dɛn put di tiub, ɛn dɛn kin put bɛnd. |
di ol prכsεs kin tek enisay frכm 30 minit to lεk tu awa, i dipכnt pan di kayn we aw di blכk na yu vein dεm.
Wetin kin apin afta dɛn dɔn trit am?
Afta PCI, dɛn go kip yu na say we yu de wɛl fɔ sɔm awa fɔ wach yu at rit ɛn blɔd prɛshɔn. Sɔm brus ɔ sɔri kin de usay dɛn put di kateshɔn. Dis na nɔmal tin ɛn i go stɔp insay sɔm dez. Bɔku tɛm, yu go ebul fɔ go na os di sem nɛt ɔ di nɛks mɔnin.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Lɛk ɛni tritmɛnt, dis wan gɛt bɛnifit ɛn smɔl risk dɛn.
Men advantej dɛn
- Kwik fɔ wɛl: Bikɔs dis nɔto big ɔpreshɔn, yu kin wɛl ɛn go bak to nɔmal layf kwik pas baypas ɔpreshɔn.
- Di simptom rilif: Tin dɛm lɛk chɛst pen (angina) ɛn shɔt briz we yu de tray tranga wan (dyspnea) kin ridyus bad bad wan.
- Fɔ sev pipul dɛn layf: Dis kin sev pipul dɛn layf bay we dɛn nɔ de pwɛl di at we pɔsin gɛt at atak.
Risk dɛn we kin apin
Pan ɔl we PCI na wan we we rili sef , sɔm prɔblɛm dɛn de we kin apin smɔl smɔl.
- Blɔd ɔ infɛkshɔn na di say we dɛn put di tiub.
- di bכdi kכlכt we de fכm insay di stent (dεn de gi mεdikeshכn fכ mek dis nכ apin).
- Di vein we dɛn dɔn trit kin blok bak as tɛm de go.
- di kidni dεm we dεn dכn pwεl (especially pan pipul dεm we gεt kidni sik we bin de bifo).
- Na smɔl tɛm nɔmɔ, strok kin apin.
Bɔt mɛmba se we dɔktɔ dɛn yuz stent we de pul di mɛrɛsin, di chans fɔ mek di at blok bak nɔ kin rich 5%. Dat min se pan 95 pan 100 kes dɛm, di prɔblɛm nɔ go apin.
Aw lɔng i kin tek fɔ mek a wɛl ɛn wetin a fɔ wɔri bɔt?
Bɔku tɛm, yu kin go bak to yu nɔmal tin dɛn insay wan wik. Bɔt if yu gɛt wok we yu nid fɔ es bɔku bɔku tin dɛn ɔ yu nid fɔ tray tranga wan, i kin tek sɔm tɛm bifo yu go bak na wokples. Tɔk to yu dɔktɔ bɔt dis.
Dis na di tin we impɔtant pas ɔl:
Afta di tritmɛnt, yu dɔktɔ go gi yu mɛrɛsin dɛn we de mek yu nɔ gɛt blɔd (lɛk Clopidogrel, Prasugrel, Ticagrelor). I impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek, ɛn yu nɔ fɔ mis wan de. Dɛn mɛrɛsin ya kin mek blɔd nɔ klɔt insay di stent. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Us tɛm a fɔ go to di dɔktɔ bak?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Simptom dɛm fɔ wach fɔ |
|---|
| bכdi de kכntinyu fכ bכn, wata we lεk pus de lik frכm di say we dεn put di tiub, כ swεla pasmak na di sayt. |
| Rikɔrɛshɔn fɔ pen na yu chɛst (angina) ɔ fɔ shɔt brith lɛk bifo tritmɛnt. |
| Fɔ fil kol ɛn gɛt fiva. |
| Di an ɔ di leg usay dɛn put di tiub nɔ de swɛ ɔ kol. |
| Diziz ɔr fɔdɔm (syncope). |
| Nyu biginin fɔ difikulti fɔ brith (dyspnea). |
Mɛsej we dɛn kin kɛr go na os
- PCI na wan tritmɛnt we nɔ de ɔspitul, we rili wok ɛn sef fɔ opin di blɔk dɛn we de na di at na di at.
- Dis kin ridyus di sayn dɛm lɛk fɔ pen na yu chɛst ɛn fɔ blo shɔt bad bad wan. I impɔtant bak fɔ sev pipul dɛn layf if dɛn gɛt at atak.
- Afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ tek di blɔd tin dɛn we di dɔktɔ tɛl yu fɔ tek, ɛn yu nɔ fɔ mis wan de. I rili impɔtant fɔ yu layf.
- Ivin afta yu dɔn gɛt tritmɛnt, fɔ liv gud layf (we yu de it fayn fayn wan, fɔ du ɛksɛsayz, fɔ avɔyd fɔ smok ɛn fɔ drink rɔm, ɛn fɔ mek yu nɔ gɛt bɔku strɛs) kin ɛp fɔ mek di at dɛn nɔ blok bak.
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