Lɛ wi lan jɔs bɔt Coronary Revascularization (trit we de mek blɔd flɔ bak to di at).

Yu kin dɔn gɛt de diskɔmfɔt ɛn chɛst pen wae kin kam wae yu nɔr gɛt inof blɔd na yu at. Sɔntɛm yu bin ivin fred se yu go gɛt at atak. Di men tin we kin mek dis apin na we di korona at we de gi blɔd to di at kin blok. Laki, tide, advans tritmɛnt dɛn de we kin opin dɛn blɔd vesel ya we dɔn blok bak ɛn mek blɔd flɔ fayn fayn wan na di at. Tide, wi de tɔk bɔt dɛn tritmɛnt ya we kin mek di at gɛt layf bak.

Wetin na ‘Koronari Rivaskulayzeshɔn’?

Fɔ tɔk am simpul wan, dis na sɔm tritmɛnt dɛn we dɛn kin yuz fɔ mek blɔd go bak na yu at mɔsul we i nɔ de gɛt di blɔd we i nid. Dis kכndyushכn dεn kin kכl am pan mεdikal ``Ischemia''. Dɛn tritmɛnt ya kin ɛp fɔ mek yu nɔ gɛt at atak afta i dɔn apin, ɛn bak pan pipul dɛm wae gɛt bɔrku risk fɔ gɛt am.

Wi de tɔk mɔ bɔt tu tritmɛnt we dɛn de du dɔŋ ya:

• Pɛkyutan Korona Intɛrvɛnshɔn (PCI): Dis nɔto ɔpreshɔn. Na we dɛn kin put wan tint tiub insay blɔd vesel ɛn yuz am fɔ mek di say we dɛn blok big frɔm insay, ɛn mek di blɔd flɔ bak. Bɔku pipul dɛn no dis as ‘stenting’.
• Coronary Artery Bypass Grafting (CABG): Dis na ɔpreshɔn we de mek nyu ‘bypass’, ɔ sayd rod fɔ mek blɔd flɔ rawnd wan at we dɔn blok na di at.

Wetin mek dɛn kin yuz dɛn tritmɛnt ya?

Jɔs lɛk aw di dreyn dɛn na wi kichin sink kin lɔk wit ɔyl ɛn dɔti as tɛm de go, na so wan tin we tan lɛk fat kin bigin fɔ gɛda na di blɔd vesel dɛn na wi at. Wi kɔl dis plek . dis na di kכndyushכn we di plek de bכlכp insay di bכdi vεsul dεm εn i de sכmtεm sכmtεm dεm, we dεn kכl ``Atherosclerosis.`` Dis na big simptom fכ korona atεri sik.

As tɛm de go, dɛn tin ya kin rili smɔl na di blɔd vesel dɛn. Sɔntɛnde, if wan pan dɛn dipɔsit ya brok, blɔd kin klɔt ɛn blok di vessel kpatakpata. Dis kin mek wan pat pan di at nɔ gɛt blɔd ɛn di sɛl dɛn we de na da pat de kin bigin fɔ day. Dɛn kɔl dis at atak .

Dɛn tritmɛnt ya nid fɔ de fɔ ɛni at kɔndishɔn we de ɔnda di kategori we se ``Acute Coronary Syndrome''. Fɔ ɛgzampul:

• At atak
• Stebul angina - chεst pen we de rεliv we yu rεst εn i de wכs we yu de du εksεsayz
• Unstable angina - Chɛst pen we yu nɔ bin de ɛkspɛkt we kin apin ivin we yu rɛst

Wetin kin apin bifo dɛn trit am?

Bifo yu go du dis kayn tritmɛnt, dɔktɔ dɛn go du bɔku tɛst fɔ no if yu sik ɛn pik di tritmɛnt we go fayn fɔ yu. Sɔm pan dɛn na:

• ECG (Electrocardiogram): Fɔ tɛst di ilɛktrik wok we di at de du.
• Echocardiogram: Na skan fɔ di at.
• Cardiac Catheterization (Angiogram): Na we dɛn kin put day insay di blɔd vesel dɛn na di at ɛn dɛn kin yuz ɛkstrem rayt fɔ chɛk if i dɔn blok.
• X-ray Angiography ɔ CT Angiography: Fɔ chɛk di blɔd vesel dɛn we dɛn de yuz kɔmpyuta tomografi skan.
• Blɔd tɛst: Kɔmplit Blɔd Kɔnt, Kadyak Ɛnzaym, ɛn ɔda tin dɛn.

If di prɔsidyu nɔto imejensi, yu dɔktɔ go advays yu fɔ fast fɔ sɔm awa bifo di ɔpreshɔn. Dɔn bak, bifo di prɔsidyu bigin, dɛn go put wan IV layn insay wan vein na yu an. Dis go mek yu ebul fɔ gi yu di mɛrɛsin ɛn wata we yu nid izi wan. We dɛn de du PCI, dɛn go gi yu mɛrɛsin fɔ put yu na layt slip, we we dɛn de du CABG ɔpreshɔn, dɛn go gi yu wan jenɛral anestetik.

Wetin kin apin we dɛn de trit am?

Pan ɔl we PCI ɛn CABG gɛt di sem gol, di we aw dɛn de du dɛn difrɛn atɔl. Mek wi tek wan luk pan aw.

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 du, yu ɔl wɛlbɔdi, ɛn if na imejensi. Bɔku tɛm, i kin tek sɔm dez nɔmɔ fɔ mek i wɛl frɔm PCI. Bɔt i kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl ɔl we dɛn du CABG ɔpreshɔn.

Yu dɔktɔ kin tɛl yu fɔ tek pat pan wan program fɔ mek yu at pwɛl . Insay dɛn program ya, dɔktɔ dɛn, nɔs dɛn, pipul dɛn we de tich yu ɛksɛsayz, ɛn pipul dɛn we sabi bɔt it, kin wok togɛda fɔ tich yu aw fɔ ɛksesaiz di rayt we, aw fɔ kɔntrol aw yu de it, ɛn aw fɔ tek yu mɛrɛsin dɛn di rayt we.

Dɔn bak, i impɔtant fɔ go to di dɔktɔ bak di tɛm we dɛn dɔn sɛtul (fɔl-ɔp visit) ɛn du tɛst. If yu fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan, dat go ɛp fɔ mek yu wɛl kwik kwik wan.

Wetin na di bɛnifit dɛn we dɛn tritmɛnt ya kin gi?

• Fɔ mek yu nɔ gɛt at atak: If dɛn no se yu gɛt korona at atɔk bifo yu gɛt at atak, dis tritmɛnt kin mek yu nɔ gɛt am.
• Fɔ sev layf: Hat atak na imejensi we kin mek pɔsin in layf de pan denja. We dɛn kayn tin ya kin apin, dɛn tritmɛnt ya kin sev pipul dɛn layf.
• Fɔ mek di at nɔ wok fayn: If yu trit yu kwik kwik wan, dat kin mek di at sɛl dɛn nɔ day bikɔs ɔf ischemia. Dis kin mek di at nɔ pwɛl sote go.

Ɛni risk de fɔ dɛn tritmɛnt ya?

Jɔs lɛk ɛni ɔda tritmɛnt, prɔblɛm dɛn de we kin apin to yu, i kin dipen pan yu wɛlbɔdi biznɛs ɛn di tritmɛnt we dɛn de du.

• Fɔ PCI: Smɔl risk kin de fɔ mek di blɔd vesel pwɛl, at nɔ kin bit ɔltɛm (ari at), blɔd kin klɔt, strok, ɔ blɔd kin kɔmɔt.
• Fɔ CABG: Ɔpreshɔn kin mek pɔsin fil pen, blɔd, ɛn infekshɔn.

Tɔk bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis wit yu dɔktɔ . I go ɛksplen klia wan bɔt di prɔblɛm dɛn we kin apin dipen pan di tin dɛn we de apin to yu.

Ustɛm yu fɔ go to dɔktɔ bak?

Afta yu dɔn gɛt tritmɛnt, if dɛn sik ya kam bak , go to yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) .

• Chest pen ɔ tayt (Angina) .
• I nɔ izi fɔ blo (Dyspnea) .
• Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm
• Fɔ mek pɔsin nɔ ebul fɔ du natin

Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we yu lan bɔt at sik. Bɔt if yu ɔndastand advans tritmɛnt dɛn lɛk dɛn wan ya, yu go ebul fɔ pul da fred de, gɛt di tritmɛnt we yu nid, ɛn liv wɛlbɔdi layf bak.