Yu no bɔt di saylɛn at atak?

We wi yɛri di wɔd "at atak," wi kin tink wantɛm wantɛm bɔt pɔsin we de na fim we kin ol dɛn chɛst ɛn ala pan pen bifo i fɔdɔm na grɔn. Na tru se bɔku pan di at atak dɛn kin kam wit shap pen na di chɛst. Bɔt yu no se sɔm at atak kin kam witout ɛni sawnd, i kin tan lɛk se pɔsin kin wispa? Dis na wetin wi kin kɔl "silent heart attack" na mɛrɛsin. Dis kin rili denja bikɔs wi nɔ kin no am ɛn wi nɔ kin gɛt tritmɛnt insay di rayt tɛm.

Fɔ tɔk am simpul wan, wetin na dis Saylent At Atak?

Hat atak we nɔ de tɔk natin tan lɛk nɔmal at atak. pan mεdikal tεm, dis na di sem kכndyushכn lεk ``Myocardial Infarction''. Fɔ tɔk am simpul wan, wi at na pɔmp we dɛn mek wit mɔsul dɛn. Dɛn mɔsul tisu ya nid ɔksijɛn ɛn blɔd we gɛt bɔku tin fɔ it ɔltɛm fɔ mek dɛn ebul fɔ wok. dis bכdi de fכ sכm sכm bכdi we dεn kכl ``Koronary Arteries'' insay di at insεf.

Imajin se wan blɔd vesel gɛt bɔku bɔku kɔlɔstrel, we dɛn kɔl plek, ɛn smɔl smɔl i kin blok. Wan de, dis plek kin bɔs, blɔd kin klɔt, ɛn di blɔd vesel kin blok ɔl. Dɔn di at mɔsul we da blɔd vesel de gi blɔd kin stɔp fɔ gɛt blɔd. We da mɔsul de lɔs ɔksijɛn, i kin bigin fɔ day. Na dat dɛn kin kɔl at atak.

Insay nɔmal at atak, dis kin apin wit siriɔs chɛst pen. Bɔt pan sayn at atak, dis damej pan di at kin apin witout ɛni sayn, ɔr wit rili smɔl smɔl sayn dɛm wae wi nɔr kin pe atɛnshɔn to. Di tin we de mek pɔsin fred na dat, di damej kin bi di sem pan ɔl tu di kes dɛm. Bɔt bikɔs no sayn nɔr de, yu nɔr no se yu nid tritmɛnt.

Wi rili ɔndastand di difrɛns pan di sayn dɛm?

Dis na di tin we impɔtant pas ɔl. Wi nid fɔ no di difrɛns bitwin di sayn dɛm wae de sho se pɔrsin gɛt nɔrmal at atak ɛn de sayn dɛm wae de kam wae pɔrsin gɛt saylɛn at atak. Imajin if yu padi se i gɛt pen na in chɛst wantɛm wantɛm, yu go kɛr am go na ɔspitul wantɛm wantɛm. Bɔt if i se, "A de fil smɔl diziz," wi nɔ go pe atɛnshɔn to dat, nɔto so? Luk dis difrɛns.

Udat dɛn de pan denja mɔ?

Sɔm pipul dɛn kin gɛt at atak pas ɔda wan dɛn. Wi kin kɔl dɛn tin ya "risk factors." Sɔm pan dɛn tin ya wi kin ebul fɔ kɔntrol, bɔt sɔm wi nɔ kin chenj.

Risk factors we wi kin kɔntrol

• Ay Blɔd Prɛshɔn: We blɔd prɛshɔn go ɔp, di at kin fil bɔku strɛs ɛn di blɔd vesel dɛn kin pwɛl.
• di ay Kכlestכl: "Bad" kכlestכl (LDL) de bכku na di bכdi vεsul dεm εn i de kכl dεm.
• Dayabitis: Pipul dɛm wae gɛt shuga kin gɛt bɔrku blɔd vesel dɛm wae de pwɛl bikɔs dɛn gɛt bɔrku shuga na dɛn blɔd. Saylent hat atak kin kɔmɔn mɔ pan pipul dɛm wae gɛt shuga ɛn uman dɛm.
• Smok: Smok na wan pan di big ɛnimi dɛm fɔ di at. I kin mek di blɔd vesel dɛn kɔnstrikt ɛn i kin mek di blɔd klɔt mɔ.
• Fat ɛn nɔr de du ɛksɛsayz: We yu bɔdi de wet pasmak ɛn yu nɔr de du ɛksɛsayz, i de opin di domɔt fɔ ɔltin frɔm ay blɔd prɛshɔn to kɔlɔstrel ɛn dayabitis.
• Stret pasmak: Fɔ kɔntinyu fɔ strɛs nɔ kin fayn bak fɔ di at.
• Fɔ it tin we nɔ fayn: Fɔ it tin dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga nɔ fayn fɔ di at.

Risk factors we wi nɔ go ebul fɔ chenj

• Ej: Di risk kin go ɔp wit di ej, mɔ afta di ej fɔ 45 ia fɔ man dɛn ɛn afta dɛn dɔn menɔpauz fɔ uman dɛn.
• Famili istri: If wan pan yu fambul dɛn we de nia yu (mama, papa, brɔda ɛn sista) dɔn gɛt at sik we i yɔŋ, yu bak kin gɛt bɔku prɔblɛm.

Aw yu go no if yu dɔn gɛt saylɛn at atak?

Dis na di big prɔblɛm. Bɔku tɛm, pɔsin kin jɔs kam fɔ no se i dɔn gɛt saylɛn at atak sɔm wik, mɔnt, ɔ ivin sɔm ia afta dat. Dat sɛf na aksidɛnt. Imajin se yu go to dɔktɔ fɔ sɔm ɔda rizin ɛn yu gɛt `ECG` (Electrocardiogram). Na da tɛm de di dɔktɔ si se sɔm damej dɔn de na yu at bifo.

Di tɛst dɛm wae dɛn kin yuse fɔ no dis na:

• ECG (Electrocardiogram): Dis de tɛst di ilɛktrik wok we di at de du fɔ si if ɛnitin dɔn pwɛl di at mɔsul.
• Echocardiogram (Echo): Dis tan lɛk we dɛn de skan di at. I kin chɛk aw di at de wok, aw i de pɔmp blɔd, ɛn if ɛnitin dɔn pwɛl.
• Blɔd Tɛst: We pɔsin gɛt at atak, sɔm ɛnzaym dɛn (Cardiac Enzymes) we kɔmɔt na di at mɔsul kin kɔmɔt na di blɔd. Dɛn kin tɛst dɛn tin ya.
• Stress Test: Dɛn kin tek ECG we dɛn de waka pan tredmil fɔ si aw di at kin ansa we pɔsin tray tranga wan.

Wetin fɔ du if yu gɛt ɛni dawt? Wetin na di tritmɛnt dɛn?

Dis na imejensi! If yu gɛt ɛni sayn fɔ hat atak, ilɛksɛf i nɔ at atak, nɔ tray fɔ go na ɔspitul fɔ yusɛf.

1. Kɔl 1990 wantɛm wantɛm: Ambulans na di bɛst ɛn sef. Di paramedik dɛm we de na di ambulans kin bigin di fɔs ɛp we dɛn nid we dɛn de kɛr yu go na ɔspitul.

2. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU): If yu nɔ ebul wet fɔ ambulans, go na di ETU kwik kwik wan wit pɔsin in ɛp.

Na di ɔspitul, di dɔktɔ dɛn go chɛk yu sik kwik kwik wan ɛn bigin fɔ trit yu.

• Fɔ gi ɔksijɛn.
• Fɔ gi mɛrɛsin lɛk aspirin fɔ stɔp di blɔd we nɔ de klɔt.
• Gi mɛrɛsin fɔ ridyus pen.
• Tritmɛnt fɔ opin di blɔd vesel we dɔn blok. Tu men we dɛn de fɔ du dis:
• angioplasty: insay dis prosidur, dεn de put wan sכm sכm tכb we dεn kכl ``catheter`` tru di leg כ an insay di blכd vεsεl we blכk na di at, εn dεn de inflate wan balכn fכ opin am. כltεm, dεn kin put wan strכkchכ we lεk mεsh we dεn kכl ``stεnt`` fכ mek i nכ blok bak.
• Coronary Artery Bypass Graft (CABG): If di blɔd vesel blo bad bad wan, dɛn kin tek wan pat pan di blɔd vesel frɔm ɔda pat na di bɔdi (lɛk di leg) ɛn dɛn kin mek nyu rod rawnd di say we dɛn blok. Dis na big ɔpreshɔn.

Wetin dɛn fɔ du fɔ mek sɔntin lɛk dis nɔ apin igen?

Afta yu gɛt at atak, yu fɔ tɔn nyu pej na yu layf. Na nɔto sɔntin fɔ fred, na sɛkɔn chans we yu gɛt fɔ protɛkt yu at.

• Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt we: Dɛn go gi yu bɔku mɛrɛsin fɔ tek fɔ di res ɔf yu layf. dis dεm na mεdikeshכn dεm lεk ``Statins`` we de lכs kכlestכl, ``Antiplatelets`` we de kכntro bכdi prεshכn, εn ``Antiplatelets`` we de mek bכdi nכ kכlכt. Nɔ mis wan de pan dɛn tin ya.
• Di it we go ɛp yu at: Ridyus ɔyl, sɔl, ɛn shuga as yu ebul. Put vɛjitebul, frut, grɛn, ɛn smɔl fish insay yu it.
• Ɛksesaiz: Wach fɔ at le 30 minit insay di de. Aks yu dɔktɔ us kayn ɛksesaiz we fayn fɔ yu.
• Stɔp fɔ smok kpatakpata: Nɔ smok wan sigrɛt.
• Kɔntrol yu wet: Mek yu gɛt wɛlbɔdi wet fɔ yu ayt.
• Manej strɛs: Yu kin ridyus strɛs bay we yu de du tin dɛn lɛk fɔ tink gud wan, yoga, ɛn du sɔntin we yu lɛk fɔ du.
• Tek pat pan di Kadyak Rihab Program: Sɔm ɔspitul dɛn gɛt rihabiliteshɔn program spɛshal fɔ di wan dɛn we gɛt at. Frɔm dɛn tin ya, yu kin lan bɔku tin bɔt ɛksɛsayz, it, ɛn fɔ gɛt wɛlbɔdi.