Atɛrosklɛrosis na wan sik we di at we de kɛr blɔd go na yu at kin smɔl smɔl ɛn fat kin blok. We dis sik kin tranga, i kin mek yu chɛst pen ɛn i nɔ kin izi fɔ blo. Bɔrku tɛm, di fɔs tritmɛnt fɔ dis sik na fɔ tek mɛrɛsin. Bɔt sɔntɛnde, mɛrɛsin nɔmɔ nɔ kin ebul fɔ kɔntrol di sik. We dɛn kayn tin ya kin apin, dɔktɔ dɛn kin disayd fɔ du sɔntin we pas dat, dat na tritmɛnt we kɔmpleks smɔl. Tide wi go tɔk bɔt tu men tritmɛnt dɛn lɛk dis.
Fɔs we: Angioplasty ɛn Stent
Dis na di we aw dɛn kin yuz mɔ. Fɔ tɔk am simpul wan, i min fɔ opin di blɔd vesel we dɔn blok frɔm insay. Di we aw dɛn de du am rili intrestin.
fכs, di dכkta go du wan spεshal εks-ray tεst we dεn kכl ``Coronary Angiogram.`` Dis kin si εksakכt usai εn aw bכku pan di bכdi vεsul dεm na di at dεn blכk. Dɔn, dɛn kin pas wan tiub we rili tan (kateta) tru wan big blɔd vesel na di an ɔ leg to di at we dɔn blok na di at. Dɛn kin du dis fayn fayn wan.
Neks, dɛn kin injɛkt wan spɛshal wata (day) tru dis tiub. Dis likwid de klia wan na di X-ray skrin, so yu kin si di rayt say we di blɔk de. Naw di rial wok bigin.
Wan smɔl balyɔn we de na di tip na di tiub kin ful-ɔp na di say we di tiub dɔn blok. Dis kin opin di at we dɔn smɔl ɛn we dɔn smɔl ɛn mek di blɔd flɔ bak lɛk aw i bin de. Bɔku tɛm, afta dɛn dɔn ful-ɔp di balyɔn ɛn opin di at, dɛn kin put wan smɔl mɛsh tiub fɔ mek di opin nɔ lɔk igen. na dat wi kin kכl ``stεnt.'' Dis stent lεk spring we dεn put insay paip, we de εp fכ kip di atεri opin.
dis mεtכd dεn kin yus fכ rεliv di chεst pen fכ plεnti tεm (`Angina`) εn fכ opin wan at we blכk kwik kwik wan we at atak de. I nɔ kin gɛt bɔku prɔblɛm dɛn, ɛn yu kin wɛl kwik ɛn go na os insay smɔl tɛm lɛk wan de.
Sɛkɔn we: Kɔrona Baypas Ɔpreshɔn
Dis na big opareshɔn smɔl. Di wɔd ``Bypass`` rili min "rod we de go rawnd". Sɔntin we fiba dis kin apin na ya. Imajin se big big trafik jam de na rod, ɛn motoka nɔ de muf. Dɔn wetin wi de du na fɔ bil nyu rod, sayd rod, fɔ baypas da trafik jam de. Na dat kin apin we dɛn de du baypas ɔpreshɔn.
Di dɔktɔ we de du di ɔpreshɔn kin tek wan pat pan di blɔd vesel we gɛt wɛlbɔdi frɔm yu leg, an, ɔ yu chɛst wɔl.Dɛn kin tek am. Dɔn, dɛn kin yuz da pat de pan di tiub fɔ pas di at we dɔn blok na di at ɛn mek di blɔd flɔ na nyu rod. dat min se dεn de kכnekt dis nyu tכb oba εn dכn di blכk. afta dat di bכdi de fכlכ dis nyu "bypass path" insted fכ go tru di εria we dεn blכk.
Dɔktɔ dɛn kin kɔl dis ``Koronary Artery Bypass Grafting'' ɔ ``CABG'' fɔ shɔt. Wi pipul dɛn kin kɔl am bak ``kabij ɔpreshɔn'' na dɛn kɔlchɔ langwej.
Baypas ɔpreshɔn de gi bɔku rilif frɔm di pen na di chɛst. I kin ɛp bak fɔ mek pipul dɛn we gɛt dayabitis ɔ di wan dɛn we gɛt at we dɔn blok bad bad wan fɔ liv lɔng .
Bɔt mɛmba se dis na big ɔpreshɔn. As a so, e kin tek wik, ivin mɔnt, fɔ mek i wɛl. Bɔt naw dɛn de du risach bɔt di mɔdan baypas ɔpreshɔn dɛn we dɛn kin du wit smɔl smɔl say dɛn we dɛn kɔt.
Stent fɔ yuz am? Baypass fɔ du am? Uswan bɛtɛ fɔ yu?
Naw yu kin de wɔnda, "Stent ɔ baypas ɔpreshɔn bɛtɛ fɔ mi?" No izi ansa nɔ de. Dat disayd de dipen pan bɔku tin dɛn, lɛk aw yu sik, di nɔmba fɔ di at dɛn we dɔn blok, ɛn aw dɛn tan. Yu dɔktɔ na di bɛst pɔsin fɔ disayd fɔ du dat. Lɛ wi kɔmpia di gud ɛn bad tin dɛn we dɛn tu tin ya kin du.
| Wetin fɔ tink bɔt | Stent we dɛn kin yuz | Baypas ɔpreshɔn (CABG) . |
|---|---|---|
| Layf we bɔku dakt dɛn kin blok | Na smɔl klia pruf de fɔ se i de mek pipul dɛn liv lɔng. I bɛtɛ fɔ yuz am fɔ kɔntrol di sik dɛn. | Rili gud. Dɛn dɔn pruv se i kin mek di wan dɛn we gɛt at dɛn we dɔn blok bad bad wan kin liv lɔng. |
| Chɛst pen (Angina) we de mek pɔsin nɔ fil fayn | I kin kɔntrol di pen fayn fayn wan, bɔt di pen kin kam bak as tɛm de go. | I kin kɔntrol di pen fayn fayn wan ɛn i kin gi pɔsin rilif fɔ lɔng tɛm pas stent. |
| If ɛnitin apin (at atak) . | I fayn fɔ du am. Dɛn kin du am insay sɔm minit, so yu kin avɔyd di prɔblɛm dɛn ɛn di tɛm fɔ wɛl we dɛn du big ɔpreshɔn. | Nɔto ɔltɛm dɛn kin yuz am we ɛnitin apin we i gɛt ɛnitin fɔ du wit am. I nid mɔ tɛm ɛn pripia. |
| Di tɛm fɔ mek pɔsin wɛl | Na rili shɔt tɛm. Sɔntɛm yu kin go na os insay wan ɔ tu dez. | I kin tek tɛm. I kin tek ɛnisay frɔm sɔm wiks to sɔm mɔnt fɔ mek i wɛl ɔl. |
Ɔda we dɛn fɔ pul di at
Na smɔl tɛm nɔmɔ, sɔm tɛm dɛn kin de we dɛn kin yuz ɔda we dɛn apat frɔm stent ɔ baypas. dis dεm involv fכ pul di fεt layεr (plak) insay di at.
- Rotational Atherectomy: Dɛn kin rɔta wan inschrumɛnt we gɛt dayamɔn tip wit ay spid, ɛn pul di fat layt we dɔn at.
- Directional Atherectomy: Na bled we de rɔta de kɔt di fat layt, tek di pis dɛn insay kateta, ɛn pul dɛn kɔmɔt na di bɔdi.
Pan ɔl we dɛn we ya kin mek yu fil fayn, dɛn nɔ kin wok lɛk stent ɔ baypas. Bɔku tɛm dɛn kin yuz dɛn fɔ klia di at smɔl bifo dɛn put stent.
Wetin kin apin afta dɛn dɔn trit am? Mek wi stat layf rayt bak!
Dis na di tin we impɔtant pas ɔl. Mɛmba se, jɔs bikɔs yu gɛt stent ɔ baypas, i nɔ de stɔp di prɔses fɔ atɛrosklɛrosis. I jɔs de pul di big big blɔk we de de. Dis kin apin na ɔda at dɛn bak.
So, afta yu dɔn gɛt tritmɛnt lɛk dis, yu nid fɔ tek tɛm pas aw i bin de bifo. I impɔtant fɔ chenj di we aw yu de liv yu layf ɛn yuz di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ du am.
Must-have medisin we yu fɔ gɛt
Bɔku tɛm, afta dis kayn tritmɛnt, di dɔktɔ go gi yu sɔm mɛrɛsin dɛn fɔ mek yu tek ɛvride.
- Statin-tayp mεdikeshכn dεm: Ridyus di lεvεl כf bad kכlestכl na di bכdi.
- Aspirin: I de mek blɔd nɔ klot.
- Mεdikeshכn dεm lεk Clopidogrel, Prasugrel, Ticagrelor: Dis na mεdikeshכn dεm bak we de mek blכd kכlכt. Ɛspɛshali fɔ pɔsin we dɛn dɔn put stent, dɛn kin nid fɔ tek dɛn mɛrɛsin ya fɔ wan mɔnt to wan ia.
- Blɔd prɛshɔn mɛrɛsin: mɔ di mɛrɛsin dɛn lɛk `(Beta-blockers)` ɛn `(ACE inhibitors)`.
Abit dɛn we pɔsin fɔ gɛt
- Ɛksesaiz: Ɛksesaiz fɔ at le 30 minit insay di de, at le fayv dez insay di wik. Ivin fɔ waka fayn.
- Gud it: It at le 5 savis frut ɛn vɛjitebul ɛvride. Ridyus ɔyl, sɔl, ɛn shuga.
- Nɔ smok kpatakpata: Dis na di tin we impɔtant pas ɔl. If yu smok, nɔ pan dɛn tritmɛnt ya nɔ go wok fayn.
Afta dɛn tritmɛnt ya, yu go fil lɛk se yu gɛt nyu layf. Dɛn abit ya go mɔs ɛp yu fɔ liv da layf de wɛlbɔdi ɛn gladi at.
Mɛsej we dɛn kin kɛr go na os
- Atɛrosklɛrosis na wan sik we kin de fɔ lɔng tɛm. Stɛnt ɔ baypas tritmɛnt dɛn kin jɔs pul wan siriɔs blɔk we dɔn ɔlrɛdi apin, bɔt dɛn nɔ kin mɛn di sik ɔltogɛda.
- Yu dɔktɔ go disayd if stent ɔ baypas go fayn fɔ yu, i go dipen pan tin dɛn lɛk yu wɛlbɔdi kɔndishɔn, di nɔmba fɔ di tin dɛn we dɔn blok, ɛn aw i fɔ du am kwik kwik wan.
- Afta ɛni tritmɛnt, i impɔtant fɔ chenj yu layf ɛn tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek fɔ mek yu nɔ gɛt prɔblɛm dɛn tumara bambay.
- If yu gɛt ɛnitin we de mɔna yu ɔ dawt, tɔk bɔt am wit yu dɔktɔ ɔltɛm , pas fɔ disayd fɔ yusɛf. Nɔ ɛva stɔp ɔ chenj di mɛrɛsin dɛn we yu nɔ gɛt dɔktɔ advays.
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