Imajin se yu na pɔsin we gɛt wɛlbɔdi, we nɔ gɛt ɛni patikyula sik ɔ pen, we de du wetin yu de du ɛvride. Yu de du ɛksɛsayz, it fayn, ɛn drink. Bɔt wantɛm wantɛm, we yu nɔ bin de ɛkspɛkt, yu kin fil shap pen na yu chɛst, yu kin fil tayt. Yu kin bigin fɔ swet, i nɔ kin izi fɔ yu fɔ blo, ɛn yu kin fil pen we kin go dɔŋ yu an. Wetin na di fɔs tin we kin kam na yu maynd? "O, a de get hat atak?" Nɔto dat na di fred? Bɔt dɛn sayn ya nɔr kin bi di sem ɔltɛm wit de sayn dɛm fɔ nɔrmal at atak wae wi no. Tide, wi go tɔk bɔt wan mɛdikal imejensi we tan lɛk, bɔt we difrɛn smɔl, mɔ pan yɔŋ uman dɛn we gɛt wɛlbɔdi. Wi kin kɔl dis `Spontaneous Coronary Artery Dissection` ɔ `(SCAD)` fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na SCAD?
Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, fɔ tru, i rili izi fɔ ɔndastand wetin de apin. Tink bɔt wi at lɛk motoka we de wok ɔltɛm. Dis motoka nid blɔd ɔltɛm, we min ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it, fɔ mek i wok. Dis blɔd de kɛr go na di at mɔsul dɛn bay blɔd vesel dɛn we tan lɛk smɔl paip sistɛm. Dis na wetin wi kin kɔl di korona at.
Naw, pan ɔl we dis korona at tan lɛk tiub, in wɔl gɛt tri layers we dɛn glu togɛda. Lɛk layt kek. insay di kes fכ SCAD, wetin kin apin na dat, fכ nכ rizin, wan sכm tεm de fכm wan pan di layεr dεm we de insay dis atεri wכl.
Imajin wetin kin apin we di insay pat pan wata paip kin rɔtin smɔl. Di wata prɛshɔn de mek wata lik tru di kray wata ɛn i kin trɔp bitwin di tu wɔl dɛn na di paip. Semweso, we wan at de kɔt, di blɔd we de flɔ ɔnda ay prɛshɔn kin lik bitwin dɛn tu mɛmbran ya ɛn i kin gɛda. We blɔd kin trɔp dis we, i kin bulj insay di at in wɔl da tɛm de, ɛn dis kin mek di blɔd nɔ flɔ. dis dεn kכl am ``hεmatoma``. We di blɔd flɔ smɔl ɔ blok ɔl dis we, di blɔd we de rich na di at mɔsul kin go dɔŋ. Na da tɛm de di sayn dɛn we de sho se pɔsin gɛt at atak we wi bin dɔn tɔk bɔt, kin apin.
Di impɔtant tin na dat SCAD nɔto at atak, we kin bi bikɔs ɔf di kɔlɔstrel we de dɔn (atherosclerosis) we de blok di at. Dis na tin we rili difrɛn.
Wetin na di sayn dɛm fɔ dis? Aw yu no am?
Di sayn dɛm fɔ SCAD kin rili fiba di wan dɛm wae kin gɛt nɔrmal at atak, so i izi fɔ kɔnfyus di tu. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ trit am lɛk se na mɛdikal imejensi .
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Chɛst pen ɔ prɛshɔn | Dis na di sayn wae kin kam pan pɔrsin. I kin fil lɛk se yu chɛst de tayt ɔ kɔnstrikt. |
| I nɔ kin izi fɔ yu fɔ blo | Yu kin fil shɔt fɔ blo ɛn yu chɛst kin fil ful. |
| Pen na yu an, yu sholda, yu nɛk, ɔ yu jaw | Chɛst pen kin kɔmɔt na di lɛft an, sholda, ɔ jaw. |
| We pɔsin de swet pasmak | Yu kin fil kol ɛn swet fɔ natin. |
| Diziz ɔ layt ed | Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm. |
| Nɔs ɛn vɔmit | Vɔmit kin kam wit bɛlɛ we de at. |
| Di we aw pɔsin de blo | Fɔ fil lɛk se yu at de bit fast fast. |
If yu gɛt ɛni wan pan dɛn sik ya, nɔ delay fɔ wan sɛkɔn. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl ambulans. Dis nɔto sɔntin we yu go ebul fɔ kip na os.
Udat de pan denja fɔ gɛt SCAD?
Dis na di tin we de mek wi sɔprayz pas ɔl bɔt SCAD. At atak kin kam pan pipul dɛm wae dɔn ol, gɛt tin dɛm wae kin mek dɛn gɛt dis sik lɛk shuga, ay blɔd prɛshɔn, ɛn kɔlɔstrel. Bɔt SCAD nɔ tan lɛk dat.
- Mɔs pan uman dɛn: Pan 10 pipul dɛn we gɛt SCAD, 9 na uman dɛn.
- We dɛn yɔŋ: Dis sik kin bɔku, mɔ pan uman dɛn we ol bitwin 40-50 ia, we gɛt wɛlbɔdi ɛn nɔ gɛt ɔda tin we kin mek dɛn gɛt at sik.
- I gɛt fɔ du wit bɛlɛ: Sɔm uman dɛn kin gɛt dis sik we dɛn gɛt bɛlɛ ɔ afta dɛn dɔn bɔn pikin. Dɛn biliv se na bikɔs ɔf di chenj dɛn we di ɔmon dɛn de chenj ɛn di strɛs we i kin gɛt we i de bɔn pikin.
- Bɔrku strɛs na yu bɔdi ɔr maynd: We yu es ebi ebi wet wantɛm wantɛm, yu de du ɛksɛsayz tranga wan, ɔ yu de fil bad ɔ yu at pwɛl, dat kin mek yu gɛt SCAD kɔndishɔn.
- Ɔda tin dɛn we kin apin to pɔsin: Pipul dɛn we gɛt Fibromuscular Dysplasia (FMD) (wan sik we kin mek di blɔd vesel dɛn wɔl wik), kɔnɛktiv tisu sik dɛn lɛk Marfan syndrome, ɛn lupus kin de pan denja bak.
Aw di dɔktɔ kin no bɔt dis?
We yu go na di imejensi rum, di fɔs tin we dɔktɔ dɛn kin du na fɔ chɛk fɔ si if yu gɛt at atak. Dɛn kin du bɔku tɛst fɔ no if yu gɛt at atak. Dɛn nid fɔ du spɛshal tɛst fɔ no if pɔsin gɛt SCAD kɔrɛkt wan.
| Tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| ECG (Ilɛktrokardiogram) . | Dɛn kin rayt bɔt aw di at de wok wit ilɛktrik ɛn dɛn kin chɛk di sayn dɛn we de sho se pɔsin gɛt at atak. |
| Tɛst fɔ Blɔd | di lεvεl dεm fכ di εnzym dεm we de kכmכt na di bכdi we di at mכsul dεm dεn de chεk. |
| Koronari Angiogram we dɛn kin du | Dis na di men ɛn impɔtant tɛst fɔ no if pɔsin gɛt SCAD.Dɛn kin put smɔl tiub tru wan vein na di an ɔ leg ɛn dɛn kin put spɛshal day insay di at dɛn na di at. Dɔn dɛn kin tek ɛkstrem rayt fɔ luk insay di at. If na SCAD, dis kin sho klia wan aw di at dɔn brok ɛn di blɔd flɔ dɔn blok. |
| IVUS ɔ ƆKT | dis na spεshal skan dεm we dεn kin du di sem tεm we dεn kin du di angiogram fכ si di insay pat pan di at mכr klia wan. |
Aw dɛn kin trit am? Aw lɔng i kin tek fɔ mek i wɛl?
Di tritmɛnt fɔ SCAD difrɛn smɔl frɔm fɔ trit pɔsin we gɛt at atak ɔltɛm. I sɔprayz fɔ no se bɔku pan di kes dɛm fɔ SCAD kin sɔlv fɔ dɛnsɛf as tɛm de go wit mɛrɛsin, ɛn dɛn nɔ kin du ɛni ɔpreshɔn ɔ big big tin fɔ du. Di bɔdi kin mɛn di at we dɔn rɔtin fɔ insɛf.
Di we aw dɛn kin trit am
- Drug tritmɛnt: Mɛrɛsin lɛk aspirin fɔ mek blɔd nɔ klɔt, beta-blɔka fɔ kɔntrol at rit ɛn blɔd prɛshɔn ɛn rilaks di at, ɛn mɛrɛsin fɔ kɔntrol di chɛst pen na di men tin.
- Ɔspitul: Dɛn kin kip di pɔsin na di ɔspitul in intensiv kia yunit ɔ wɔd fɔ sɔm dez, ɛn dɛn kin tek tɛm wach di at in wok.
- Angioplasty ɛn Stenting: Dɛn nɔ kin du dis bɔku tɛm. Na if di at dɔn blok ɔl ɛn di pɔsin in layf de pan denja, dɛn kin yuz balyɔn fɔ mek di at ful ɛn put wan tin we tan lɛk mɛsh (stɛnt) fɔ mek i opin.
- Baypas Ɔpreshɔn: Dɛn nɔ kin du dis fɔ SCAD.
De tɛm wae pɔrsin kin wɛl kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Yu go ɔltɛm gɛt fɔ de na ɔspitul fɔ lɛk 3-5 dez. I kin tek sɔm wik ɔ ivin sɔm mɔnt fɔ mek di at we dɔn rɔtin wɛl. Bɔt i rili impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn dɛn insay dis tɛm.
Afta we i dɔn wɛl
Ivin afta yu dɔn wɛl, yu go nid fɔ kɔntinyu fɔ go na di klinik ɔnda di sɔpɔtishɔn fɔ wan dɔktɔ we de mɛn yu at.
- Cardiac Rehab: Dis na tin we rili impɔtant. Dis program de ɛp yu fɔ ɛksesaiz sef wan ɔnda dɔktɔ, fɔ it tin dɛn we go ɛp yu at, ɛn fɔ kɔntrol yu strɛs.
- Chenj yu layf: Yu dɔktɔ go advays yu fɔ avɔyd fɔ es ebi ebi tin ɛn fɔ du tin dɛn we go mek yu bɔdi gɛt bɔku prɔblɛm.
We SCAD apin, na nɔmal tin fɔ fil wɔri ɛn wɔri, de wɔnda, "Sɔmtin lɛk dis go apin bak?" Tɔk opin wan bɔt dis wit yu dɔktɔ. Go to saykolojik advays if nid de.
Mɛsej we dɛn kin kɛr go na os
- SCAD na imejensi kכndyushכn wae de mek wan atεri na di at rכp wan wan, pan כl we i gεt di sem kayn sayn dεm lεk at atak, bכt i difrεn.
- Dis sik kin mɔs si pan wɛl bɔdi, yɔŋ uman dɛm wae nɔr de pan denja fɔ gɛt ɔda at sik dɛm.
- If yu gɛt sɔm sayn dɛm lɛk yu chɛst pen, yu nɔr kin ebul fɔ blo fayn, ɔr yu de swet pasmak, nɔr ignore dɛm. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Bɔku pan di wan dɛn we gɛt SCAD kin wɛl ɔlsay wit mɛrɛsin, ɛn dɛn nɔ kin nid fɔ du ɔpreshɔn pan dɛn.
- Afta yu dɔn wɛl, fɔ fala yu dɔktɔ in instrɔkshɔn, fɔ kɔntinyu fɔ go na di klinik, ɛn fɔ tek pat pan di program dɛm fɔ rihabilite yu at, rili impɔtant fɔ yu wɛlbɔdi tumara bambay.
- Nɔr shem fɔ tɔk to yu dɔktɔ bɔt de frayd ɛn wɔri wae yu kin gɛt afta yu dɔn gɛt dis kayn tin ɛn fɔ fɛn di saykolojik sɔpɔt we yu nid.
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