Yu kin gɛt chɛst pen bak na nɛt we yu de rɛst? I kin bi Prinzmetal Angina!

Imajin se yu dɔn wok tranga wan ɔl di de, dɔn ɔl yu wok, ɛn jɔs go slip na nɛt... Ɔ, pan ɔlide, we yu de wach TV, yu kin fil shap pen na yu chɛst wantɛm wantɛm, lɛk se sɔmbɔdi de swɛt yu. Di strenj tin na, yu nɔ taya atɔl, yu nɔ rɔn rawnd, yu nɔ de ɔnda ɛni prɛshɔn. Dis pen kin kam wae yu rilaks ɛn yu fil fri. Bɔrku pipul kin tink se dis na gastritis ɔr asid riflɔks sɔmtɛm lɛk dis. Bɔt dis na sɔntin we rili difrɛn, yu nid fɔ tek tɛm smɔl, i kin bi wan sik we nɔ kin apin so ɔltɛm we gɛt fɔ du wit at sik. Na dat wi go tɔk bɔt tide.

Wetin na Prinzmetal Angina rili?

Fɔ tɔk am simpul wan, Prinzmetal Angina na wan kayn pen we nɔ kin apin na yu chɛst (angina kɔndishɔn) . Di spɛshal tin fɔ dis na dat dis pen kin apin we yu de rɛst, mɔ bitwin midnayt ɛn mɔnin. Dɛn kin kɔl am bak variant angina, angina inversa, ɛn vasospastic angina.

Naw yu kin de wɔnda, "Wetin na angina?" Angina na chɛst pen we kin apin we wi at mɔsul dɛn nɔ gɛt bɛtɛ blɔd we gɛt ɔksijɛn. Jɔs lɛk aw wata pɔmp kin mek nɔys we in wata dɔn, na so di at kin gi sayn we i nɔ de gɛt inof blɔd. Dis kin bi bikɔs di kɔlɔstrel we de na di korona at we de gi blɔd to di at, we kin mek i smɔl.

Bɔt insay Prinzmetal Angina, sɔntin we difrɛn smɔl kin apin. Na ya, di at dɛn kin smɔl ɔ ivin blok. di men tin we kin mek dis apin na dat di korona at dεm na di at kin kכntrakt (spasm) כ spasm wan wan εn fכ no rizin. Imajin am lɛk se sɔmbɔdi swɛt wata paip wantɛm wantɛm. Dɔn dɛn kin kɔt di blɔd saplai fɔ sɔm tɛm kpatakpata. Na da tɛm de da bad bad chɛst pen de kam. Afta sɔm tɛm, we dis spam de dɔn fɔ insɛf, di pen sɛf kin stɔp.

Wetin na di difrɛns bitwin nɔmal angina ɛn Prinzmetal angina?

Pan ɔl we dɛn tu tin ya na pen na in chɛst, klia difrɛns de bitwin dɛn tu tin ya. Lɛ wi luk dis tebul fɔ mek i izi fɔ ɔndastand.

Udat dis tin kin afɛkt mɔ?

Prinzmetal Angina na wan sik we nɔ kin apin so ɔltɛm. Di American Heart Association se na tu pan ɔl 100 pipul dɛn we gɛt angina gɛt dis sik.

I kin afɛkt man ɛn uman. E kin pasmak pan pipul dɛm wae gɛt ɔda kayn sik wae kin mek dɛn blɔd vesel blok. Fɔ ɛgzampul:

• Maygren ed pen: Ɛd we kin kam bikɔs di blɔd vesel dɛn na di ed kin kɔnstrikt.
• Raynaud in phenomenon: Na sik we di blɔd vesel dɛn na di finga ɛn fut finga dɛn kin kɔnstrikt, we kin mek dɛn tɔn pale ɛn bluish we dɛn de na kol.

If yu gɛt dɛn tu tin ya, dat min se di blɔd vesel dɛn na yu bɔdi kin fil fayn ɛn i kin izi fɔ mek dɛn kɔnstrikt pas aw i kin bi. So i go mɔs bi se di blɔd vesel dɛn na yu at go biev di sem we.

I kin kam bak pan pipul dɛm wae gɛt ay kɔlɔstrel ɔr ay blɔd prɛshɔn. Bɔt di tin we kin mek wi sɔprayz na dat, ivin pɔsin we gɛt wɛlbɔdi ɛn we nɔ gɛt ɛni risk kin gɛt Prinzmetal Angina .

Dɛn nɔ no fɔ tru if dis na sik we pɔsin kin gɛt frɔm in mama ɛn papa. Bɔt sɔm stɔdi dɛn dɔn sho se sɔntɛm sɔntin de we gɛt fɔ du wit di jɛnɛtiks. Fɔ ɛgzampul, dis sik kin bɔku pan pipul dɛn na Jepan pas wayt pipul dɛn.

Wetin na di sayn dɛm fɔ Prinzmetal Angina?

If yu gɛt Prinzmetal Angina, yu kin gɛt dɛn sik ya:

• Bɔrku pen na yu chɛst: Na pen we yu de swɛt, swɛt, ɔ we tan lɛk prɛshɔn na di sɛntrɔm pan di chɛst. Dis pen kin kɔmɔt na yu lɛft an, sholda, nɛk, ɔ ed.
• Pain pattern: Dis pen nɔr kin de ɔltɛm. I kin tranga fɔ lɛk 5-15 minit ɛn afta dat i kin stɔp fɔ insɛf. Bɔt i kin kam bak di sem tɛm, di sem we, fɔ sɔm dez ɔ wik. Dis min se dɛn kayn pen ya kin apin akɔdin to wan patikyula patɛn.
• Ɔda sayn dɛm: Chɛst pen kin kam wit swet, nɔs, ɛn/ɔ fɔdɔm .
• Rilif wit mεdikeshכn: De pen kin rεliv kwik if yu tek naytrate-type mεdikeshכn (tablεt dεm we dεn kin put כnda di tכng) we dεn kin rεskrib fכ dis pen.

Wetin mek Prinzmetal Angina kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

as wi bin dכn tכk, di praymar kכz fכ Prinzmetal Angina na we di korona atεri dεm na di at de sכdεn (spasm). Bɔt di kwɛstyɔn na, "Wetin mek dɛn at dɛn ya kin smɔl we dɛn nɔ want?" Dɛn dɔn no bɔku men tin dɛn we kin mek dis sik kin afɛkt dis.

• Yuz tabak: Smok na di men ɛn siriɔs tin we kin mek pɔsin gɛt dis sik. Di nikotin ɛn ɔda tin dɛn we de insay tabak kin mek di blɔd vesel dɛn kɔnstrikt bad bad wan.
• Yuz drɔgs: If yu yuz drɔgs lɛk kɔkɛyn ɛn marijuana, dat kin mek yu blɔd vesel dɛn rili stɔp.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn gɛt di prɔpati fɔ mek di blɔd vesel dɛn stɔp. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn fɔ maygren (e.g. sumatriptan) ɔ ɛfɛdrin, we dɛn kin si insay sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt kol ɛn nos.
• Siriɔs strɛs: Strɛs we yu de fil kin chenj di ɔmon dɛn we de na di bɔdi ɛn mek di blɔd vesel dɛn kɔnstrikt.
• Fɔ gɛt kol: If yu de na say we kol pasmak, dat kin mek sɔm pipul dɛn gɛt dis sik bak.
• Ɛksesaiz: I sɔprayz fɔ no se sɔm pipul dɛn nɔ kin jɔs gɛt dis sik we dɛn de rɛst, bɔt dɛn kin gɛt dis sik bak we dɛn de du ɛksɛsayz. Bɔt, dis nɔ kin apin so ɔltɛm.

Aw dɛn kin no dis?

Prinzmetal Angina na smɔl chalenj fɔ no bikɔs, if yu gɛt ECG ɔ angiogram we yu nɔ de fil pen, bɔku tɛm ɔltin go luk nɔmal bikɔs di at dɛn nɔ kin blok da tɛm de.

So yu dɔktɔ go tek tɛm lisin to yu sayn dɛn. Tin dεm lεk wae de pen de apun, di patεn wae de pen, wetin yu de du, εtk.Dεn, dεn kin du sכm tεst fכ kכnfכm di diagnosis.

• Ambulatory Electrocardiogram: Dis tan lɛk smɔl EKG mashin we de tay pan yu bɔdi fɔ 24 ɔ 48 awa. I kin kɔntinyu fɔ rayt wetin yu at de du we yu de du wetin yu de du ɛvride. Dis kin ɛp yu fɔ si if yu at in EKG de chenj we yu gɛt chɛst pen na nɛt.
• Koronari Angiografi: Dis na fɔ injɛkt spɛshal day insay yu korona at ɛn fɔ chɛk aw dɛn at dɛn de de bay we yu de yuz ɛkstrem rayt. dis kin kכrekt fכ no if di at dεm dכn sכmtεm bikoz fכ di kכlestכl dεposit dεm.
• Provocation Test: Sɔntɛnde, wans dɛn dɔn kɔnfyus di diagnosis, dɔktɔ dɛn kin gɛt fɔ artificially induce di narrowing of di artery na di ɔspitul, ɔnda klos wach. fכ dis, dεn kin gi dεm lεk asetilkolin כ εrgonovin insay sכm sכm dכz dεm. If di at sכmtεm sכmtεm, dεn kin yus di chenj dεm na di EKG εn yu simptom dεm fכ no di sik kכrekt wan.

Di we aw dɛn de trit am ɛn aw fɔ mɛn am

Wae dɛn dɔn no dis kayn sik, nɔr nid fɔ panik. Dɛn kin kɔntrol am fayn fayn wan wit mɛrɛsin ɛn chenj dɛn layf.

Tritmɛnt wit mɛrɛsin

• Calcium Channel Blockers: Dis na di men kayn mɛrɛsin we dɛn kin yuz fɔ Prinzmetal Angina. Dɛn mɛrɛsin ya kin wok bay we dɛn kin rilaks di wɔl dɛn na di blɔd vesel dɛn ɛn mek dɛn nɔ kɔnstrikt. Diltiazem, Amlodipine, Verapamil na ɛgzampul fɔ dis kayn mɛrɛsin.
• Naytrɛt: Dis na mɛrɛsin dɛn we de wok fɔ lɔng tɛm ɛn dɛn kin gi am ɛvride. Dɛn kin tek dɛn bak as sɔblingual tablɛt dɛn we de wok shɔt, we dɛn kin put ɔnda di tɔŋ fɔ mek dɛn fil fayn kwik kwik wan if yu gɛt pen na yu chɛst wantɛm wantɛm. Dɛn tin ya kin wok bay we dɛn kin mek di blɔd vesel dɛn big kwik kwik wan ɛn mek di blɔd flɔ bak.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Apat frɔm mɛrɛsin, i impɔtant bak fɔ chenj yu layf, mɔ fɔ avɔyd di trig dɛm we wi bin tɔk bɔt kɔmplit wan.

• Stɔp fɔ smok wantɛm wantɛm: If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok kpatakpata rayt naw. Dis na di bɛst tin we yu go ebul fɔ du.
• Nɔ tek drɔgs: Nɔ yuz drɔgs lɛk kɔkɛyn ɛn marijuana kpatakpata.
• Nɔ tek mɛrɛsin dɛn we de mek yu sik: Tɔk to yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek. Sɔm tin dɛn we de mek di blɔd nɔ gɛt bɔku bɔku bɔdi, tin dɛn we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi, ɛn ivin tin dɛn we dɛn kin yuz fɔ drink ɛnaji kin gɛt tin dɛn we kin mek di blɔd vesel dɛn stɔp.

Us kayn op wi kin gɛt we wi de liv wit dis sityueshɔn?

If dɛn trit am fayn, di prɔgnosis fɔ pɔsin we gɛt Prinzmetal Angina kin rili fayn. Yu kin liv nɔmal layf. Bɔt yu fɔ gɛt lɔng tɛm tritmɛnt ɛn klinik fɔlɔp ɔnda dɔktɔ we de mɛn yu at.

Bɔt if Prinzmetal Angina de wit at bit we nɔ de bit ɔltɛm (arithmia), ɔ if di korona at dɛn de smɔl fɔ ɔltɛm bikɔs ɔf di kɔlɔstrel we dɛn dɔn put (koronari at sik), di tin kin kɔmplikt smɔl.

Prinzmetal Angina nɔto wan sik we de mek pɔsin in layf de pan denja. Na wan sayn we de sho se i gɛt di sik. Bɔt i de sho se prɔblɛm de wit di blɔd we de go na yu at. If dɛn nɔ trit am, dis we aw di at dɛn kin smɔl kin mek pɔsin gɛt at atak (mayokardial infarction) ɔ i kin mek i gɛt siriɔs aritmia. So nɔ tek dis kɔndishɔn layt.

Ustɛm yu fɔ go to dɔktɔ?

Dis na di pat we impɔtant pas ɔl.

Di dɔktɔ go du di tɛst dɛn we i nid ɛn fɛn di rayt tin we mek di pen.

If yu gɛt siriɔs pen na yu chɛst, i nɔ izi fɔ blo, yu de swet pasmak, ɔ yu fɔdɔm, i kin bi imejensi. If dɛn kayn tin ya apin, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.

If dɛn no se yu gɛt Prinzmetal Angina, fala yu dɔktɔ in instrɔkshɔn ɛn mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu. Mek di chenj dɛn we yu nid fɔ du na yu layf. Mɛmba se dis na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. Ɔl wetin yu nid na fɔ mek yu kɔmit ɛn fɔ tɔk to yu dɔktɔ ɔltɛm.