Wi ɔl dɔn yɛri di wɔd "at atak" bɔku, nɔto so? Sɔntɛm wan pan wi famili ɔ wi padi dɔn gɛt wan. Bɔt yu no se difrɛn kayn at atak dɛn de? Tide wi go tɔk bɔt wan kayn we siriɔs smɔl ɛn nid tritmɛnt kwik kwik wan. Dɔktɔ dɛn kin kɔl dis STEMI. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Wetin mek dɛn kɔl am STEMI? Wetin i min?
Fɔ tɔk am simpul wan, at atak na we wan at we de gi blɔd to di at kin blok wantɛm wantɛm, ɛn dis kin mek di blɔd nɔ go na di at mɔsul. insay mεdikal tεm dεm, dεn kכl dis ``Myocardial Infarction''.
Naw lɛ wi si aw di nem STEMI kam. Yu go mɔs dɔn si we dɛn tek ECG na ɔspitul. Dat na tɛst we de chɛk di ilɛktrik aktiviti na di at. Insay dis, dɛn kin sho di at bit lɛk layn grafik. I tan lɛk wev layn, lɛk il ɔ slop.
wan spεshal pat de pan dis ECG, we dεn kכl di ``ST-segment''. Insay pɔsin we gɛt wɛlbɔdi, dis pat kin flat. Bɔt we wan big at we de gi blɔd to di at dɔn blok ɔl, dat na we siriɔs at atak apin, dis ST pat de go ɔp. Lɛk wan smɔl il.
dis dεn kכl am ST-Elevation Myocardial Infarction biכs di ST sεgmεnt na di ECG de εlevεt. Di shɔt we aw dɛn yuz am na STEMI .
Dis chenj na ECG na sayn we rili impɔtant fɔ dɔktɔ, bikɔs i min se big pat pan di at nɔ de gɛt inof blɔd, ɛn da pat pan di at de day. Dis min se dɛn fɔ bigin di tritmɛnt wantɛm wantɛm, ɛn dɛn nɔ fɔ delay fɔ ivin wan minit .
Aw STEMI kin apin? Wetin kin apin insay di bɔdi?
bכku tεm, dis kin kכz fכ plek, we fεt εn kכlestכl de kכlכp insay di bכdi vεsul dεm na di at (koronari atεri dεm). Tink bɔt am lɛk rɔst we de mek smɔl smɔl insay wata paip.
Dɛn plek dɛn ya kin big smɔl smɔl. Wan de, wan pan dɛn plek ya kin bɔs wantɛm wantɛm. Dɔn wi bɔdi kin tink se injuri de de. So i kin mek blɔd klɔt fɔ mɛn da wund de. Bɔt dis blɔd we de klɔt kin big wantɛm wantɛm ɛn blok da vein de kpatakpata.
Na da tɛm de di rial prɔblɛm kin bigin.
1. We di at dɔn blok ɔltogɛda, di at mɔsul sɛl dɛn we de gɛt blɔd frɔm am nɔ de gɛt ɔksijɛn. Wi kin kɔl dis kɔndishɔn `(ischemia)`.
2. If ɔksijɛn nɔ de, dɛn mit ya kin bigin fɔ day smɔl smɔl.
3. If big pat pan di at nɔ wok dis we, di at nɔ go ebul fɔ pɔmp inof blɔd to di bɔdi. dis kin mek yu gεt wan kכndyushכn we de kil pipul dεm we dεn kכl ``cardiogenic shock``.
4. Dɔn bak, di at mɔsul we dɔn pwɛl kin ambɔg di at in ilɛktrik aktiviti, we kin mek di at stɔp fɔ bit wantɛm wantɛm (cardiac arrest).
Bɔku tɛm, STEMI na at atak we rili siriɔs. Na dat mek i impɔtant fɔ go na ɔspitul jɔs lɛk aw di sik bigin. If yu ebul fɔ opin di at we dɔn blok kwik kwik wan ɛn mek blɔd flɔ bak, yu kin ridyus di damej we de na di at bad bad wan.
Wetin na di difrɛns bitwin STEMI ɛn NSTEMI?
Yu go dɔn yɛri bak bɔt NSTEMI. Sɔm impɔtant tin dɛn de we difrɛn bitwin dɛn tu.
| Di kwaliti we pɔsin gɛt | STEMI (di kayn we we siriɔs) . | NSTEMI (tayp we nɔ tu siriɔs) . |
|---|---|---|
| Blɔd vesel dɛn we de blok | Dɛn dɔn blok am ɔltogɛda. Di blɔd fɔ flɔ dɔn stɔp kpatakpata. | Na pat pan am nɔmɔ dɛn kin blok. Sɔm blɔd flɔ stil de apin. |
| ECG chenj | di ST sεgmεnt de klia wan εlevεt (ST-Elevation). | ST segmεnt εleveshכn nכ de. Wi kin si ɔda smɔl smɔl chenj dɛn. |
| At pwɛl hat | Bɔku tɛm, dɛn kin du mɔ damej. | Di damej nɔ bɔku. |
| Fɔ no udat i bi | Dɛn kin no am wantɛm wantɛm wit ECG. | Fɔ no am, dɛn nid fɔ du tɛst we de luk fɔ wan ɛnzaym we dɛn kɔl Troponin na di blɔd. |
Udat de pan denja fɔ gɛt dis?
Dɛn kin sheb de tin wae kin mek pɔrsin gɛt hat atak to tu kayn tin: di wan dɛm wae wi kin kɔntrol ɛn di wan dɛm wae wi nɔr kin ebul fɔ kɔntrol.
| Risk factors wi kin modify | Risk factors we wi nɔ go ebul fɔ chenj |
|---|---|
| 🚬 Smoking: Dis na di big ɛnimi. | 👴 Ej: Di risk de go ɔp wit di ej. |
| 🍔 Ay kɔlɔstrel: Na it dɛn we gɛt bɔku ɔyl ɛn fat. | 👨 👩 👧 Famili histri: Mama ɛn papa, brɔda ɛn sista dɛn we gɛt at sik we dɛn yɔŋ. |
| 🩺 Ay Blɔd Prɛshɔn: Nɔ de kɔntrol am. | 🧍 ♂️ Jɛnda: Man dɛn kin jɔs de pan ay risk we dɛn yɔŋ. Uman dɛn kin gɛt ay risk afta dɛn dɔn lɛf fɔ gɛt bɛlɛ. |
| 🍬 Dayabitis: Nɔ de kɔntrol di blɔd shuga lɛvɛl. | 🧬 Jɛnɛtik kɔz: Sɔm kɔndishɔn dɛn kin kɔmɔt frɔm dɛn mama ɛn papa. |
| ⚖️ Fat pasmak ɛn bɛlɛ we de kɔmɔt na do. | |
| 🏃 Nɔr de du ɛksɛsayz ɛn yu nɔr de sidɔm. | |
| 😥 Stret pasmak. |
Wetin na di sayn dɛm wae dɛn kin no?
De sayn dɛm wae de sho se pɔrsin gɛt hat atak nɔr kin di sem fɔ ɔlman, bɔt de sayn dɛm wae kin kam pan pɔrsin na:
- Chɛst pen ɔr nɔr de fil fayn: Dis na di men sayn. I kin fil lɛk se yu gɛt tayt, ebi, ɔ kɔnstrikt na di midul pan di chɛst. Dis pen kin las fɔ pas sɔm minit.
- Pen we de skata to ɔda say dɛn: Chɛst pen kin go na di lɛft an, ɔl tu an, sholda, nɛk, jaw, bak, ɔ ɔp bɛlɛ.
- I nɔ kin izi fɔ yu fɔ blo: Yu kin fil se yu nɔ de blo fayn, wit ɔ nɔ gɛt pen na yu chɛst.
- Swet: Yu kin fil kol wantɛm wantɛm ɛn bigin fɔ swet.
- Nɔs ɛn vɔmit: I kin fil lɛk se yu bɛlɛ de pwɛl, lɛk gastritis.
- Diziz ɛn fɔdɔm: Fɔ fil diziz ɛn nɔ ebul fɔ tinap.
- Fɔ fil se yu de fred bad bad wan: Yu kin fil bad bad wan, ivin fred fɔ day, fɔ natin.
Karakta dɛn we spɛshal fɔ uman dɛn
Sɔntɛnde, uman dɛn nɔ kin fil di pen we dɛn kin fil na dɛn chɛst lɛk aw dɛn kin fil. Bifo dat, dɛn kin gɛt sayn dɛn lɛk dis.
- Taya we nɔ kɔmɔn: Fɔ fil taya pasmak fɔ sɔm dez.
- Nɔ ebul slip.
- I nɔ kin izi fɔ yu fɔ blo.
- Pen na di bak, sholda, ɛn jaw.
- Nɔs ɛn vɔmit.
Di tin we impɔtant pas ɔl na dat, if yu gɛt sɔm kayn sik lɛk dis, nɔ jɔs tink se, "Dis kin bi gastritis," bɔt go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Us kayn tritmɛnt dɛn kin du na di ɔspitul?
Insay STEMI, tɛm na di men tin fɔ sev pipul dɛn layf, so tritmɛnt kin rili kwik.
1. Diagnosis kwik kwik wan: As soon as dem bring yu to di ETU, dem tek ECG fo konfam if na STEMI.
2. Mεdikeshכn fכ blכd kכlכt: Na sכm כspitul dεm, dεn kin gi injεkshכn (thrombolysis) fכ sכlv di blכd kכlכt we trכp.
3. Angioplasty ɛn stent plesmɛnt (PCI): Dis na di bɛst ɛn mɔdan tritmɛnt fɔ STEMI. insay dis, dεn de put wan tכb we rili tכn tru wan vein na di an כ leg insay di at to di at we dεn blכk. afta dat, dεn de inflate wan sכmכl balכn we de na di εnd pan di tכb fכ opin di at we dεn blכk, εn dεn de put wan mεsh lεk divays we dεn kכl ``stεnt`` na da ples de fכ mek i nכ blok bak. dis dεn kכl am ``(Pεrkyutan Korona Intεrvεnshכn - PCI)``.
4. Baypas ɔpreshɔn (CABG Ɔpreshɔn): If bɔku blɔd vesel dɛn blok ɔ PCI nɔ pɔsibul, dɛn kin du ɔpreshɔn fɔ mek nyu blɔd vesel dɛn. Dis na lɛk fɔ bil nyu ‘flyover’ fɔ baypas di rod we dɛn dɔn blok.
5. Ɔda mɛrɛsin dɛn:Apat frɔm dɛn tritmɛnt ya, yu go nid fɔ tek bɔku mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan (lɛk aspirin), mɛrɛsin dɛn we de mek yu nɔ gɛt bɔku bɔku kɔlɔstrel (statins), ɛn mɛrɛsin dɛn we de mek yu at rit (beta-blockers), fɔ di res ɔf yu layf.
Wetin a fɔ du if ɛnitin apin we nɔ izi fɔ mi? A kin kɔl 1990? Ɔ a kin go insay motoka?
Dis na kwɛstyɔn we rili impɔtant. If yu tink se yu ɔ pɔsin we de nia yu gɛt sayn dɛn we de sho se yu gɛt at atak, nɔ ɛva drayv yusɛf go na ɔspitul. Nɔ ɛva aks ɔda pɔsin fɔ drayv yu.
Di bɛst tin fɔ du na fɔ kɔl ambulans savis wantɛm wantɛm, lɛk 1990.
wetin mek na dat?
- Dɛn tren di ɔfisa dɛn we de na di ambulans spɛshal wan fɔ dɛn kayn imejensi dɛn ya. Dɛn kin bigin fɔ gi yu di bɛsis tritmɛnt (lɛk ɔksijɛn) we dɛn de kɛr yu go na ɔspitul.
- Dɛn kin tɛl di ɔspitul in ETU bifo tɛm ɛn gi di ditel bɔt di pɔsin. Dɔn, we yu rich, di dɔktɔ dɛn ɛn di nɔs dɛn go rɛdi fɔ trit yu. Dat de sev valyu tɛm.
- If ɛnitin apin, lɛk we in at nɔ de wok, di ambulans gɛt di tin dɛn we i nid (lɛk difibrilator) fɔ trit am. Yu nɔ go ebul fɔ du dat na motoka we yu de yuz na os.
Mɛmba se, ɛvri sɛkɔn de kɔnt insay wan STEMI. So if wi disayd fɔ du di rayt tin, dat kin sev pɔsin in layf.
Mɛsej we dɛn kin kɛr go na os
- STEMI na wan kayn at atak we rili siriɔs we wan at we de gi blɔd to di at dɔn blok ɔltogɛda.
- Di men sayn dɛm na we yu de fil pen bad bad wan na di midul pat na yu chɛst, yu nɔ de blo fayn, ɛn yu de swet. Nɔ ignore am bikɔs na gastritis.
- If yu gɛt ɛni wan pan dɛn sik ya, kɔl ambulans ɛn go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
- Taym na di men tin. If dɛn kin bigin fɔ trit am kwik, di bad tin we kin apin to di at kin ridyus bad bad wan.
- Yu kin ebul fɔ avɔyd dis sik if yu nɔ smok, kɔntrol kɔlɔstrel, blɔd prɛshɔn, ɛn dayabitis, it fayn it, ɛn du ɛksɛsayz. Tɔk to yu dɔktɔ bɔt dis ɔltɛm.
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