Yu tink se wan at we de na yu at kin brok wantɛm wantɛm? Lɛ wi lan ɔltin bɔt SCAD (Spontaneous Coronary Artery Dissection)!

Yu dɔn ɛva tink bɔt aw pɔsin we gɛt wɛlbɔdi ɛn we de du ɛksɛsayz fayn go gɛt at atak wantɛm wantɛm? Ɔ aw yɔŋ uman we gɛt wɛlbɔdi ɛn we jɔs bi mama go gɛt pen na in chɛst wantɛm wantɛm? Tide wi go tɔk bɔt wan sɔm kayn strenj, bɔt rili impɔtant at kɔndishɔn. Dis na wetin wi kɔl SCAD, ɔ Spontaneous Coronary Artery Dissection .

Wetin na SCAD (Spontaneous Coronary Artery Dissection) we pɔsin kin du? Lɛ wi ɔndastand am rili simpul wan.

Fɔ tɔk am simpul wan, SCAD na we tu layers we de na di wɔl na di korona at we de kɛr blɔd go na wi at wantɛm wantɛm ɔ we de skata. Tink bɔt am dis we: blɔd vesel tan lɛk tin tiub. Di wɔl na dis tiub gɛt sɔm layers. Insay SCAD, wan pan dɛn layers ya kin te ɛn blɔd kin lik bitwin dɛn. Wetin kin apin da tɛm de? Dat blɔd kin gɛda ɛn lik insay di vein. I kin ful-ɔp lɛk balyɔn. Dis kin mek di blɔd we de go na di at kin blok, ɔ i kin bigin fɔ muv smɔl smɔl.

Dis tan lɛk smɔl tumbu we de gro insay wata paip ɛn blok am. Dɔn di at nɔ kin gɛt di ɔksijɛn ɛn di tin dɛn we i nid.

SCAD de mek yu gɛt wan sik we dɛn kɔl Acute Coronary Syndrome (ACS) . Dis na wan kayn korona at sik bak. Dis kin mek yu chɛst pen, ɔ angina . I kin mek bak pɔsin gɛt at atak, we kin mek pɔsin in layf de pan denja.

Wetin dɛn wɔd ya min?

If wi luk di minin fɔ dɛn tri wɔd ya SCAD sɛpret, yu go ɔndastand dis sik bɛtɛ.

• Spontaneous: Dis min se i kin apin wantɛm wantɛm, ɛn dɛn nɔ kin wɔn pɔsin .
• Koronari At: Dis na di men blɔd vesel dɛm we de gi wi at blɔd we gɛt ɔksijɛn ɛn klin. Wi gɛt tu men korona at, di lɛft ɛn rayt. Dɛn kin sheb to smɔl smɔl branch dɛn.
• Disekshכn: Insay mεdikal, dis wכd de tכk bכt di separeshכn fכ di tisu dεm to layεr dεm, lεk fכ tear.

Yu ɔndastand? Dat min se, wi kin kɔl dis SCAD we wan blɔd vesel na di at kin brok wantɛm wantɛm frɔm insay fɔ no rizin.

Wetin na Akyu Koronari Sindrom?

Dis nɔto wan sik. Na jεnarכl tεm fכ sεvεra difrεn kכndyushכn dεm we blכd fכ fכlכ to di at kin rεdכks wan wan. dis kin apin bכku tεm we di plek, we na fεt we de bכku insay di at dεm (dεn kכl am bak atεrosklεrosis כ "hardening of the arteries") rכp wan wan. Dis kin mek yu gɛt prɔblɛm dɛn we go mek yu layf de pan denja lɛk at pwɛl, at atak, ɔ strok .

Aw kɔmɔn dɛn kin kɔl dis sik SCAD?

Di wan dɛn we sabi bɔt mɛrɛsin se SCAD na sik we dɛn nɔ no bɔt. Dɛn se lɛk 4 pan ɛvri ɔndrɛd pipul dɛn we gɛt akyu korona sindrom (ACS) (4%) gɛt SCAD. Apat frɔm dat, SCAD na di kɔz fɔ lɛk wan pan ɛvri 4 (25%) ACS kes dɛm pan uman dɛm we nɔ rich 50 ia yet! Dis min se i kin bi mɔ pan yɔŋ uman dɛn pas aw yu tink.

Wetin mek SCAD kin apin? Wetin na di tin dɛn we kin mek i apin?

Di masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt SCAD. I sɔprayz fɔ no se bɔku pipul dɛn we kin gɛt dis sik kin yɔŋ, fit, ɛn gɛt wɛlbɔdi. Dɛn nɔr kin gɛt ɛni at sik bak we dɛn bin dɔn gɛt bifo.

Sɔm SCAD pasɛnt dɛn kin bɔn pikin i nɔ tu te yet . Dɛn dɔn si bak se SCAD kin apin mɔ we pɔsin de gɛt mɔnt ɔ afta i dɔn pas . So, pipul dεn de sכspεns se di chenj dεm na di uman כmon dεm kin ple rol pan dis.

SCAD nɔ kin bɔku pan man dɛn, i kin apin to less dan tɛn pasɛnt (10%). Bɔku tɛm pan man dɛn, dis kray wata kin apin afta we dɛn dɔn du ɛksɛsayz bad bad wan (we dɛn dɔn tren fɔ gɛt trɛnk) ɔ we dɛn dɔn es ebi ebi tin . Dis we aw pɔsin de tray tranga wan fɔ mek di bɔdi te, i kin kɔt di wɔl na di vein.

Na smɔl tɛm nɔmɔ, we yu vɔmit bad bad wan ɔ di pawa we yu de kɔf kin mek dis at in wɔl brok. Sɔntɛnde, wan korona at kin brok we pɔsin gɛt bad bad aksidɛnt ɔ we dɛn de du mɛrɛsin lɛk fɔ put kateshɔn na di at . Bɔt, rizin de fɔ dis.

Udat de pan ay risk fɔ gɛt SCAD?

Pipul wae gɛt sɔm kayn mɛrɛsin kin gɛt bɔrku risk fɔ gɛt korona at rɔp. Lɛ wi luk wetin dɛn bi:

• Kכnektiv tisu sik dεm - fכ egzampl , Marfan sεndrכm .
• Ay blɔd prɛshɔn (Dangerously high blood pressure).
• Fibromuscular Dysplasia (FMD) - Dis na sik we de afɛkt di at.
• Di tayroyd nɔ de wok fayn ( Hypothyroidism ).
• Inflammatory diseases - ɛgzampul dɛn na lupus , multiple sclerosis (MS) , ɛn sarcoidosis .
• Di prɔblɛm dɛn we kin apin we pɔsin de yuz sɔbstans .

Wetin na di sayn dɛm fɔ SCAD? Aw dɛn kin no se dɛn gɛt di sik?

We blɔd nɔ de go na di at bikɔs ɔf SCAD, i kin mek pɔsin gɛt at atak ɔ wan kayn pen na in chɛst we dɛn kɔl unstable angina . Dis kayn angina kin rili denja bikɔs i kin mek yu gɛt at atak.

SCAD na mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. If yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu gɛt at atak, kɔl 911 wantɛm wantɛm (na Sri Lanka, kɔl 1990 Suwaseriya Ambulance Service):

• Diziz ɔ fɔdɔm ( syncope ).
• Fɔ swet pasmak ( Hyperhidrosis ) ɔ fɔ fil kol.
• Di at we de bit ɔ we di at nɔ de rit .
• Mɔsul ɛn skel pen na di an, sholda, ɔ jaw eria.
• Nɔs ɛn vɔmit, ɔ fil se yu bɛlɛ nɔ de wok fayn ( indigestion ).
• Shot we yu de blo.
• Chɛst tayt, prɛshɔn, ɔ pen.

Dɛn sayn ya na di sem tin lɛk aw pɔsin kin gɛt at atɔk. So, if yu ɛkspiriɛns sɔntin lɛk dis , nɔ delay.

Aw dɛn kin no se pɔsin gɛt SCAD? (Diagnosis) .

Fɔ no bɔt SCAD kin tranga. If yu gɛt pen na yu chɛst ɔ ɔda tin dɛn we de sho se yu gɛt at sik, yu dɔktɔ kin ɔda fɔ du tɛst lɛk dis fɔ chɛk if yu gɛt SCAD:

• εnzym mak tεst: I de chεk fכ εlevεt lεvεl dεm fכ sכm kadyak εnzym dεm we de kכmכt na di bכdi we at atak de.
• Angiogram: Dis de mek yu si di blɔd we de flɔ na yu at insay tri dimɛnshɔnal (3D) pikchɔ dɛn we de muv. Dis kin inklud Korona Kɔmpyuta Tomografi Angiogram (CCTA) ɔ Magnɛtik Rɛsɔnans Angiogram (MRA) .
• Intravascular Optical Coherence Tomography (IVOCT): dis de mek dεn ebul fכ egzamin di at frכm insay aut.
• Intravascular Ultrasound (IVUS): dis kin mek yu mek rili klia, ditayli imej insay di at dεm.

Na dɛn tɛst ya kin mek dɔktɔ dɛn ebul fɔ no if yu gɛt korona at we dɔn rɔtin ɔ ɔda at sik.

Aw dɛn kin trit SCAD?

Bɔrku pipul dɛm wae gɛt SCAD, lɛk tri-kwata (75%), kin wɛl wit mɛrɛsin. Dis na di kayn mɛrɛsin we dɛn kin gi:

• Blɔd prɛshɔn mɛrɛsin dɛn (e.g., beta blɔk dɛn ).
• Mɛrɛsin dɛn we de kɔntrol di ay kɔlɔstrel lɛvɛl.
• Mɛrɛsin dɛn we de mek blɔd nɔ klot ( antiplatelet medications ).

Bɔt lɛk 14% pan di pipul dɛm wae gɛt SCAD kin gɛt siriɔs sik. Dɛn kayn pipul ya kin nid fɔ go na ɔspitul ɛn gɛt tritmɛnt kwik kwik wan. Dɛn kayn tritmɛnt ya na:

• Cardiac catheterization , korona angioplasti ɛn stent plesmɛntDis kin min fɔ mek yu blo di blɔd vesel we dɔn blok wit sɔntin lɛk balyɔn ɛn put smɔl mɛsh (stɛnt) fɔ mek i nɔ blok bak.
• Coronary Artery Bypass Grafting (CABG): Dis involv fɔ mek nyu rod fɔ wan blɔd vesel we dɔn blok.
• Fɔ instɔl mɛkanikal sakyulatɔri sɔpɔt divays, lɛk Lɛft Vɛntrikular Ɛsist Divays (LVAD) , ɔ Implantable Cardioverter Defibrillator (ICD) .
• Hat transplant - Dis kin rili rare.

Bɔku tɛm, dɔktɔ dɛn kin tray fɔ kɔntrol di sik wit mɛrɛsin, ɛn dis kin mek di at we dɔn rɔtin wɛl insɛf. Dɛn kin jɔs tek am se i nid fɔ du ɔpreshɔn if i rili nid fɔ du am.

Yu tink se dɛn kin mek dɛn nɔ gɛt SCAD?

If yu dɔn gɛt wan at we dɔn rɔtin, yu go nid fɔ stɔp sɔm tin dɛn we yu fɔ du wit yu bɔdi ɛn tren yu trɛnk fɔ mek i nɔ apin igen. Yu dɔktɔ kin rifer yu bak to wan program fɔ mek yu gɛt prɔblɛm wit yu at . Dis kin ɛp fɔ mek yu at gɛt wɛlbɔdi ɛn tich yu aw fɔ ɛksesaiz sef wan.

Pan ɔl we dɛn nɔ si ɛni dairekt link bitwin SCAD ɛn ɔmon bɔn kɔntrol, bɔku dɔktɔ dɛn kin se yu fɔ tink fɔs bɔt di tin dɛn we nɔ gɛt ɔmon fɔ kɔntrol bɔn pikin. Fɔ ɛgzampul, vasectomy fɔ man ɔ tubal ligation fɔ uman. Aks yu dɔktɔ us we fɔ du am bɛtɛ fɔ yu.

Yu kin du dɛn tin ya bak fɔ mek yu nɔ gɛt at sik:

• It tin we go ɛp yu at fɔ mek yu nɔ gɛt bɔku kɔlɔstrel.
• Ridyus di sɔl we yu de it ɛn kɔntrol di ay blɔd prɛshɔn.
• Limit yu rɔm we yu de drink. If yu gɛt prɔblɛm wit aw yu de drink rɔm, na fɔ ɛp yu.
• Yu fɔ no di kayn fat dɛn we yu de it ɛn ridyus di fat dɛn we nɔ fayn fɔ yu.
• If yu gɛt dayabitis , kɔntrol am fayn fayn wan.
• If yu de smok, gɛt ɛp fɔ lɛf fɔ smok.
• Stay fɔ du tin wit yu bɔdi ɛn kɔntinyu fɔ gɛt wɛlbɔdi wet.

Wetin na di lukin-grɔn fɔ pɔsin we gɛt SCAD?

SCAD na wan sik we de mek pɔsin in layf de pan denja. Na lɛk 5% pan di pipul dɛm wae gɛt am kin day. We yu te yu vein, dat kin mek yu gɛt dɛn prɔblɛm ya:

• Kronik angina: Smɔl pipul dɛn kin gɛt pen ɔ prɛshɔn na dɛn chɛst ɔltɛm. Dis nɔ kin ansa fayn to tradishɔnal mɛrɛsin dɛn lɛk naytroglycerin .
• Di sik we kin kam bak:Na lɛk wan pan ɛvri tɛn pipul dɛn (10%) go gɛt SCAD bak insay tri ia frɔm di fɔs tritmɛnt. Yu dɔktɔ go du tɛst ɔltɛm fɔ tray fɔ no dɛn kray wata ya kwik kwik wan.
• At inflamɛns: SCAD kin mek di sak we de rawnd di at inflamɛns, we dɛn kɔl perikarditis . Yu dɔktɔ kin ɔda fɔ du tɛst lɛk kadyak MRI ɔ angiogram fɔ chɛk fɔ dis prɔblɛm.

So, i rili impɔtant fɔ fala di mɛrɛsin instrɔkshɔn dɛn ɛksaktɔli ɛn du tɛst di rayt tɛm afta yu dɔn gɛt SCAD.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu gɛt at atak, kɔl 911 (1990 na Sri Lanka) wantɛm wantɛm.

Apat frɔm dat, go to dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• Chɛst pen ɔ prɛshɔn ( Angina ).
• Kol swet.
• Pen na yu an, yu jaw, ɔ yu sholda.
• I nɔ kin izi fɔ yu fɔ blo.
• Fɔ fil taya pasmak, diziz, ɔ wik fɔ natin.

Wetin a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt SCAD, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin mek a gɛt dis SCAD?
• A kin gɛt SCAD bak?
• Wetin a fɔ du fɔ protɛkt mi at wɛlbɔdi?
• A fɔ wɔri bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?

SCAD na wan sik wae kin mek pɔrsin gɛt sɔm kayn hat atak pan pipul dɛm wae nɔr gɛt bɛtɛ risk fɔ gɛt at sik, mɔr lɛk uman dɛm. Kɔl di imejensi mɛdikal savis wantɛm wantɛm if yu gɛt sayn dɛn fɔ hat atak. If tɛst kɔnfirm se yu gɛt SCAD, yu dɔktɔ go tɔk to yu bɔt di tritmɛnt opshɔn dɛm. Ivin wit tritmɛnt, risk de fɔ mek di at go brok bak. Yu dɔktɔ go wach yu at wɛlbɔdi gud gud wan fɔ ridyus da risk de.

Mɛsej we dɛn kin kɛr go na os

Okay, so wi don tok plenti abaut SCAD, no bi so? Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• SCAD na at atak we kin apin wantɛm wantɛm, we pɔsin nɔ kin ɛkspɛkt, we kin afɛkt yɔŋ uman dɛn we gɛt wɛlbɔdi mɔ.
• De sayn dɛm kin tan lɛk hat atak. If yu gɛt pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu de swet, nɔ ignore dɛn. Go to dɔktɔ wantɛm wantɛm.
• Fɔ no bɔt SCAD kin kɔmplikt smɔl, bɔt dɛn kin kɔnfyus am wit di rayt tɛst dɛn.
• Bɔku tɛm, dɛn kin mɛn am wit mɛrɛsin, bɔt sɔm pipul dɛn kin nid ɔpreshɔn ɔ ɔda tritmɛnt.
• I rili impɔtant fɔ mek chenj na yu layf ɛn fala di advays we di dɔktɔ gi yu afta SCAD. Dis kin ridyus di risk fɔ mek i gɛt dis sik bak.

If yu ɔr pɔrsin wae yu sabi gɛt dis sik, nɔr panik ɛn go to dɔktɔ wae yu nɔr de te. Di kwik we dɛn no se yu gɛt di sik, na di mɔ i go bi se di tritmɛnt go wok fayn. Stay wit wɛlbɔdi!

` Spontaneous Coronary Artery Dissection, SCAD, hat atak, chɛst pen, korona at, uman dɛn wɛlbɔdi, imejensi kia