Sɔntɛnde yu kin fil smɔl tayt ɔ pen na yu chɛst? Ɔ i nɔ kin izi fɔ yu fɔ blo we yu taya smɔl? Dɛn tin ya kin bi sayn fɔ se di blɔd vesel dɛn na wi at (coronary arteries) kin blok smɔl smɔl. I tan lɛk dɔti we kin gɛda insay wata paip na wi os ɛn smɔl smɔl i kin blok. If dɛn nɔ trit dis, i kin ivin mek pɔsin gɛt at atak. Bɔt nɔ wɔri, di mɛrɛsin we dɛn de yuz tide gɛt tritmɛnt dɛn we rili wok fɔ dis. Tide wi go tɔk bɔt wan tritmɛnt we go mek dis kayn at gɛt layf bak.
Wetin na dis Korona Rivaskulayzeshɔn?
Dis kin tan lɛk se na lɔng wɔd we strenj, bɔt di minin we i gɛt rili simpul. "Koronary" de tכk bכt di bכdi we de kכnekt to di at. "Rivaskulεrayzeshn" min "fכ ri-establish bכdi fכ fכlכ." So, fɔ tɔk am simpul wan, Coronary Revascularization na tritmɛnt we de mek di blɔd flɔ bak to di at we di at mɔsul nɔ de gɛt di blɔd we i nid (wan kɔndishɔn we wi kɔl ischemia na mɛrɛsin) . Na bay we dɛn opin di blɔd vesel we dɔn blok bak ɔ bay we dɛn mek nyu rod fɔ rawnd di blɔd vesel we dɔn blok.
Dɛn tritmɛnt ya kin mek yu at nɔr pwɛl afta yu gɛt hat atak, ɛn kin mek yu nɔr gɛt am bak if yu gɛt ay risk fɔ gɛt at atak.
Wi de tɔk mɔ bɔt tu tritmɛnt we dɛn de du ɔnda dis:
1. Pεrkyutan Korona Intεrvεnshכn (PCI): Dis na wetin bכku pipul dεn kכl "stεnt plesmεnt." Dis min se dɛn fɔ go insay di blɔd vesel, pul di say we dɔn blok, ɛn mek wan rod fɔ mek blɔd go, ɛn dɛn nɔ go du ɔpreshɔn pan am.
2. Koronari Atεri Baypas Graftin (CABG): dεn kכl dis bak "Baypas כpεrayshכn." dis involv fכ mek nyu rod (baypas) rawnd di bכdi we dεn blכk yuz wan pat pan di bכdi we dεn tek frכm כda pat na di bכdi.
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan... |
|---|---|
| PCI (we dɛn de put stent) . | I tan lɛk we yu put waya insay paip we dɔn lɔk, blo am, ɛn mek di rod fayn. No big kot de. |
| CABG (Baypas Ɔpreshɔn) . | Jɔs lɛk aw dɛn kin bil nyu baypas fɔ pas wan bizi rod, na so dɛn kin transplant nyu blɔd vesel fɔ pas blɔd vesel we dɔn blok. Dis na ɔpreshɔn. |
Udat nid dis tritmɛnt?
Ɛnibɔdi we nɔ gɛt bɛtɛ blɔd fɔ go na in at kin bɛnifit frɔm dɛn tritmɛnt ya. Di men tin we kin mek dis apin na di sik we dɛn kɔl korona at . Di risk fɔ dis sik kin go ɔp wit di ej. So, bɔrku tɛm na pipul dɛm wae dɔn pas 65 ia kin nid dɛn tritmɛnt ya pas ɔl.
Imajin, wan tik tin we dɛn mek wit ɔyl ɛn kɔlɔstrel (wi kɔl am plek) kin gɛda smɔl smɔl insay wi blɔd vesel dɛn. Dɛn kɔl dis prɔses atrɔsklerɔsis . I tan lɛk se ɔyl kin stɔp na di kichin sink paip ɛn i kin klos. As tɛm de go, dis dipɔsit kin mek di blɔd vesel smɔl. If wan de dis dipɔsit bɔs, blɔd kin klɔt na da say de ɛn blok di blɔd vesel kpatakpata. Na da tɛm de wan pat pan di at kin stɔp fɔ gɛt blɔd, ɛn dis kin mek pɔsin gɛt at atak.
So, fɔ pipul dɛn we gɛt dis kayn blɔk, dɛn kin yuz dis tritmɛnt fɔ mek di blɔd flɔ bak kwik kwik wan bifo di at sɛl dɛn day.
Us kɔndishɔn dɛn kin trit wit dɛn tritmɛnt ya?
Dɛn kin yuz dɛn tritmɛnt ya mɔ fɔ di kɔndishɔn dɛn we de ɔnda di kategori fɔ akyu korona sindrom. Dat na:
- At atak: Di at mɔsul kin pwɛl bikɔs di blɔd vesel kin blok wantɛm wantɛm.
- Stebul Angina: Na tin we kin mek yu chɛst pen we yu de tray tranga wan, lɛk we yu de klaym stej, ɛn i kin stɔp we yu de rɛst.
- Angina we nɔ stebul: Na denja tin we kin mek pɔsin fil pen na in chɛst we kin wɔs ivin we i de rɛst.
Wetin kin apin bifo dɛn trit am?
We yu dɔn disayd fɔ du wan pan dɛn tritmɛnt ya, dɔktɔ dɛn go du bɔku tɛst fɔ no if yu sik kɔrɛkt wan ɛn fɔ plan di bɛst we fɔ trit yu.
| Tɛst | Wetin yu jɔs de du? |
|---|---|
| Ilɛktrokardiogram (ECG ɔ EKG) . | Dɛn kin chɛk di ilɛktrik wok we di at de du. |
| Ekokardiogram we dɛn kin du | I tan lɛk we dɛn de skan, we de chɛk aw di at de wok ɛn aw i saiz. |
| Kateshɔn fɔ di kadyak / Angiogram | Dɛn kin put spɛshal wata insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt fɔ si usay ɛn ɔmɔs dɛn dɔn blok. |
| CT skan angiografi | CT skan de luk fɔ si if di blɔd vesel dɛn dɔn blok. |
| Blɔd tɛst dɛn | Dɛn kin chɛk tin dɛn lɛk di ɛnzaym ɛn di kɔlɔstrel lɛvɛl fɔ si if di at dɔn pwɛl. |
If nɔto imejensi, yu go nid fɔ fast fɔ lɛk 8 awa bifo di prɔsidyu. Bifo di prosidur bigin, dɛn go put wan IV layn (wan tiub we de gi yu salin) insay wan vein na yu an. Dis na di say we dɛn go gi yu bɔdi di mɛrɛsin ɛn wata we yu nid. Fɔ PCI, dɛn go gi yu sɛdeshɔn. Fɔ CABG baypas ɔpreshɔn, dɛn go put yu ɔnda jenɛral anestezi.
Wetin kin apin we dɛn de trit am?
Pan ɔl we di gol fɔ ɔl tu di PCI ɛn CABG prosidyuz dɛn na di sem, di we aw dɛn de du dɛn rili difrɛn.
PCI (stɛnt plesmɛnt) prosidyushɔn
Na ya, di dɔktɔ kin put wan tiub we rili tan ɛn we kin chenj (kateta) insay wan big blɔd vesel, we kin pas tru yu an ɔ yu groin. Dɔn dɛn kin gayd di tiub to di blɔd vesel we dɔn blok na yu at ɔnda ɛkstrem rayt gayd.
Neks, dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di tiub na di say we di tiub dɔn blok. Dis kin mek di blɔd vesel we dɔn smɔl kin bɔku frɔm insay. Dɛn kɔl dis balyɔn angioplasti .
Imajin, wetin de apin ya tan lɛk we yu put balyɔn insay paip we dɔn klos ɛn blo am, push di dɔti we de insay di paip to ɔl tu di say dɛn, ɛn mek rod.
Dɔn fɔ mek di blɔd vesel we dɔn big nɔ go smɔl igen, dɛn kin put wan smɔl mɛtal frem we dɛn mek lɛk mɛsh na in ples. Dis na wetin wi kɔl stent . Sɔm stent dɛn kin gɛt wan mɛrɛsin insay dɛn we kin mek di blɔd vesel nɔ smɔl bak. Dɛn kɔl dɛn tin ya stent dɛn we de pul drɔgs . Afta dɛn dɔn du di wok, dɛn kin pul di tiub, put smɔl stich usay dɛn put am, ɛn dɛn kin dɔn di tritmɛnt.
CABG (Baypas Ɔpreshɔn) Mɛtɔd
Dis na ɔpreshɔn we dɛn kin du. Di dɔktɔ we de du di ɔpreshɔn kin tek wan pat pan di blɔd vesel we gɛt wɛlbɔdi fɔs frɔm ɔda say na yu bɔdi (bɔku tɛm na yu leg, yu an, ɔ insay yu chɛst).
Afta dat, di at kin rich tu we dɛn:
- Opin ɔpreshɔn: Dɛn kin kɔt sɔm inch dɔŋ di sɛntrɔm pan di chɛst, we de opin di brɔst bon (sternum) fɔ akses di at.
- Minimally-invasive surgery: Dis na fɔ mek wan ɔ mɔ smɔl smɔl say dɛn na di chɛst ɛn yuz kamɛra ɛn spɛshal inschrumɛnt dɛn fɔ rich na di at tru di rib dɛn. Sɔntɛnde, dɛn kin yuz rɔbɔt ɔpreshɔn fɔ du dis.
We dɛn de du ɔpreshɔn, dɛn kin stɔp di at fɔ sɔm tɛm ɛn kɔnɛkt am to at -lɔng baypas mashin fɔ du di wok. Bɔt dɛn kin du sɔm ɔpreshɔn dɛn we di at stil de bit (off-pump bypass).
Dɔn di dɔktɔ we de du di ɔpreshɔn kin yuz di blɔd vesel we dɛn bin dɔn pul bifo tɛm fɔ mek nyu rod bay we i kin kɔnɛkt di blɔd vesel we dɔn blok ɔp ɛn dɔŋ am. I tan lɛk se yu de mek nyu baypas fɔ pas wan bizi rod. dis de baypas di blכk εn mek di bכdi fכ fכlכ to di at mכsul along di nyu rod. We dɛn dɔn fɔ du di baypas, dɛn kin lɔk di chɛst, dɛn kin stich am, ɛn dɛn kin dɔn di ɔpreshɔn.
Wetin kin apin afta dɛn dɔn trit am?
Yu go nid sɔm tɛm fɔ wɛl afta di prɔsidyu. Dis tɛm dipen pan di kayn prɔsidyu we yu bin gɛt (PCI ɔ CABG) ɛn yu ɔl wɛl bɔdi. Bɔrku tɛm, yu go kam bak to nɔmal insay sɔm dez afta yu dɔn du PCI. Bɔt i kin tek sɔm wik ɔ ivin sɔm mɔnt afta dɛn dɔn du CABG ɔpreshɔn.
We yu de wɛl, yu dɔktɔ kin sɛn yu to wan program fɔ mek yu gɛt prɔblɛm wit yu at . Insay dɛn program ya, dɔktɔ dɛn, nɔs dɛn, pipul dɛn we de tich yu fɔ du ɛksɛsayz, ɛn pipul dɛn we sabi bɔt it, kin wok togɛda fɔ ɛp yu.
- Us ɛksesaiz fayn fɔ yu?
- Us it dɛn yu fɔ it?
- Aw fɔ tek mɛrɛsin kɔrɛkt wan?
- Aw fɔ liv wɛlbɔdi layf bak?
A go tɛl una bɔt ɔl wetin dɛn tɔk.
Dɔn bak, i impɔtant fɔ atɛnd di fɔlɔp apɔntinmɛnt dɛn we di dɔktɔ gi yu. Fɔ tek yu mɛrɛsin di rayt tɛm, fɔ kɔntrol di tin dɛn we yu de it, ɛn fɔ fala wetin yu dɔktɔ tɛl yu fɔ du, rili impɔtant fɔ mek yu wɛl kwik ɛn fɔ mek dis sik nɔ kam bak.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dɛn tritmɛnt ya kin gi?
Jɔs lɛk ɛni ɔda tritmɛnt, dɛn we ya gɛt bɛnifit ɛn prɔblɛm.
Wetin na di bɛnifit dɛn we wi kin gɛt?
- Pɔrsin kin sev layf: Dɛn tritmɛnt ya kin sev layf pan kes dɛm lɛk hat atak.
- Fɔ mek yu nɔ gɛt at atak: If yu no se yu blɔd vesel dɔn blok kwik, yu kin mek yu nɔ gɛt at atak bay we yu trit am bifo i apin.
- Fɔ protɛkt di at fɔ wok: If dɛn trit am kwik, i kin mek di at mɔsul nɔ pwɛl ɔ i nɔ go pwɛl igen.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin?
De risk de dipen pan de tritmɛnt, yu ej, ɛn ɔda mɛrɛsin wae yu gɛt (lɛk dayabitis ɛn ay blɔd prɛshɔn).
| Di we aw dɛn kin trit am | Risk dɛn we kɔmɔn |
|---|---|
| PCI (we dɛn de put stent) . | Di at ɔ di blɔd vesel dɛn we dɔn pwɛl, di at we nɔ de bit ɔltɛm (arrhythmias) , we blɔd de klɔt, strok, ɔ blɔd we de kɔmɔt. |
| CABG (Baypas Ɔpreshɔn) . | Risk dɛn we kin apin we dɛn du ɔpreshɔn. Fɔ ɛgzampul, pen, blɔd we de kɔmɔt pasmak, wund infɛkshɔn. |
Bɔt nɔ fred dɛn tin ya. Yu dɔktɔ go ɛksplen ɔltin to yu gud gud wan ɛn du ɔl wetin i ebul fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, aks yu dɔktɔ wantɛm wantɛm.
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a go nid fɔ go to dɔktɔ bak?
Pan ɔl we yu kin go bak to nɔmal layf insay sɔm dez afta PCI, i kin tek sɔm mɔnt fɔ rili wɛl frɔm CABG ɔpreshɔn. Yu dɔktɔ go tɛl yu ustɛm yu nid fɔ rɛst, wetin yu kin du ɛn wetin yu nɔ go ebul fɔ du.
Afta yu dɔn gɛt tritmɛnt, if dɛn tin ya apin, yu fɔ go to dɔktɔ wantɛm wantɛm .
- Chɛst pen (Angina) .
- I nɔ izi fɔ blo (Dyspnea) .
- Diziz ɔ fil lɛk yu ed layt
- Lɔs fɔ no bɔt sɔntin
Na nɔmal tin fɔ mek yu fred ɛn wɔri we yu yɛri bɔt at prɔblɛm. Bɔt dis tritmɛnt we dɛn kɔl Coronary Revascularization kin rili ɛp fɔ mek di at prɔblɛm dɛn bɛtɛ ɛn mek i nɔ wɔs. De tin wae impɔtant pas ɔl na fɔ ɔndastand dis tritmɛnt fayn fayn wan, gɛt di mɛrɛsin ɛp wae yu nid fɔ gɛt ɛn nɔr de fred, ɛn tray fɔ liv wɛl bɔdi layf bak.
Mɛsej we dɛn kin kɛr go na os
- Korona rivaskulayzeshɔn de tɔk bɔt tritmɛnt dɛn we de mek di blɔd flɔ bak to di blɔd vesel dɛn we dɔn blok na di at.
- PCI (stɛnt plesmɛnt) ɛn CABG (baypas ɔpreshɔn) na di tu men we dɛn.
- Dɛn tritmɛnt ya kin mek yu nɔ gɛt at atak ɛn sev pipul dɛn layf.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan, tek mɛrɛsin, kɔntrol di it dɛn we yu de it, ɛn ɛksesaiz.
- Tɔk opin wan wit yu dɔktɔ bɔt us tritmɛnt go fayn fɔ yu sik ɛn wetin de fayn ɛn bad.
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