Yu blɔd vesel dɛn kin kɔnstrikt wantɛm wantɛm? Dɛn kɔl dis (Vasospasm)!

Yu dɔn ɛva fil wan pat na yu bɔdi wantɛm wantɛm, tayt, ɔ pen? I kin bi bikɔs wan pan yu blɔd vesel dɛn kin stɔp wantɛm wantɛm. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis vasospasm , ɔ we di blɔd vesel dɛn kin stɔp . Fɔ tɔk am simpul wan, i tan lɛk se wata paip kin blok wantɛm wantɛm, ɛn i kin kɔt di wata we de flɔ. I impɔtant fɔ ɔndastand dis bikɔs i kin afɛkt bɔku difrɛn pat dɛn na yu bɔdi.

Wetin na dis rili (Vasospasm)?

Fɔ tɔk am simpul wan, vasospasm na we di at dɛn ɔ di blɔd vesel dɛn na yu bɔdi kin stɔp wantɛm wantɛm ɛn fɔ lɔng tɛm . Imajin wetin go apin if yu klem yu fist dɛn ɛn pul yu finga dɛn fɔ sɔm tɛm? I kin bigin fɔ at afta sɔm tɛm, nɔto so? Na dat kin apin if yu at dɛn kin kɔnstrikt ɔltɛm.

Na mɔsul dɛn mek wi at wɔl dɛn . Dɛn mɔsul dɛn ya kin kɔntrakt ɛn rilaks ɔltɛm fɔ kɔntrol blɔd prɛshɔn. Dis na nɔmal tin. Bɔt insay vasospasm, dɛn mɔsul dɛn ya kin kɔntrakt nɔmal wan ɛn fɔ tu lɔng tɛm . Dis kin mek di blɔd we de pas na da at de nɔ bɔku. dis de ridyus di כksijεn we de rich di tisu dεm we de rawnd. If dis kɔntinyu, di at in wɔl dɛn kin pwɛl.

spεshal wan, usay abnכmal tin dεm de na di bכdi vεsul dεm, wi kכl dεm (endothelial dysfunction) , bכku chans de fכ (vasospasm) fכ apin.

Wetin kin apin we vasospasm apin?

we vasospasm de apin, di smol smol mכsul dεm na di wכl dεm na di at dεm de riak pasmak to signal dεm fכ kכntrakt. Nɔmal wan, dɛn mɔsul dɛn ya kin kɔntrakt fɔ sɔm tɛm. Bɔt insay vasospasm, dɛn kin kɔntrakt fɔ lɔng tɛm pas aw i nid.

Aw (Vasospasm) kin afɛkt mi bɔdi?

Vasospasm kin apin na bɔku difrɛn at dɛn na wi bɔdi, bɔt i kin apin mɔ na sɔm say dɛn. Fɔ ɛgzampul:

• Koronari At: We vasospasm de apin na di at we de gi blɔd to di at, dɛn kin kɔl am Prinzmetal angina . Dis kin mek di blɔd nɔ go na di at ɛn mek i gɛt at atak. Imajin, wantɛm wantɛm, wan shap pen na di chɛst eria, ɛn sɔntɛnde i kin mek i nɔ izi fɔ blo.
• sεribra atεri dεm: if di at dεm we de gi bכdi to di bren (vasospasm) apin, di bכdi fכ fכlכ to di bren kin rεdכks, we kin mek di bren tisu dεm dεm (sεribra infarkt) , we na wan kכndyushכn we lεk ``at atak'' to di bren. Dis kin mek i nɔ izi fɔ tɔk ɛn di limb dɛn nɔ kin wok fayn igen.
• di atεri dεm na di finga dεm εn di fut dεm: If vasospasm de apin na di finga dεm, di finga dεm kin kol, sכmtεm sכmtεm, εn di kכla kin chenj. Dis na kɔndishɔn we nɔ kin rili fayn.
• Nipple Vasospasm: If dis kכndyushכn apin pan mama dεm we de gi pikin bεlε, fכ gi pikin bεlε kin rili pen.

Aw kɔmɔn tin na vasospasm?

sכm stכdi dεm sho se 20% pan di mama dεm we de gi pikin bεlε kin gεt vasospasm na dεn milk dakt dεm. כlso, bitwin 50% εn 90% pan dεn wan dεm we de gεt wan kכndyushכn lεk we blכd vεsεl rכp na di bren (aneurysm) de pan risk fכ divεlכp vasospasm.

Wetin na di sayn dɛm fɔ vasospasm?

di simptom dεm kin difrεn dipכnt pan usay di vasospasm de apin. Lɛ wi si aw i de wok.

Di simptom dɛm fɔ di Koronari Vasospasms

Bɔku tɛm, dɛn tin ya kin apin we dɛn rɛst, na nɛt, ali mɔnin, ɛn afta dɛn dɔn kol bad bad wan . Sɔm risach dɔn sho se dɛn kin gɛt fɔ du bak wit tin dɛn we kin apin to pɔsin in maynd lɛk fɔ wɔri ɛn pwɛl at .

Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Kadyak arɛst ɔ abort sɔdɛn kadyak day.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Stebul angina: Dis min se yu de fil pen na yu chɛst, mɔ we yu de tray tranga wan.
• Akyu korona sindrom: Dis kin bi hat atak ɔr angina we nɔ stebul.

Di simptom dɛm fɔ di Sɛribra Vasospasm dɛm

Vasospasm na di bren kin mek yu gɛt sɔm sayn dɛn lɛk:

• Wan ed we kin at wantɛm wantɛm ɛn we kin wɔs insay sɔm sɛkɔn dɛn.
• Fɔ slip pasmak.
• Nɔr kin fil fayn ɔr nɔr kin ebul fɔ muv yu an, yu leg, ɔr wan say na yu bɔdi.

Di sayn dɛm fɔ Vasospasm na di An ɔ di Fut

If yu gɛt vasospasm na yu an, yu leg, ɔ yu finga, yu kin gɛt dɛn sayn ya:

• Finga dɛn we kol ɔ we nɔ gɛt bɛtɛ trɛnk.
• Skin kɔlɔ kin chenj (i kin tɔn wayt, blu, rɛd).
• Throb ɔ tingling sensation na di finga dɛn.

Di simptom dɛm fɔ di Nipple Vasospasms na Mama dɛm we de gi pikin in bɛlɛ

If mama we de gi pikin in bɛlɛ gɛt dis sik, i kin gɛt sɔm sayn dɛn lɛk:

• Bɔku pen na di bɔdi .
• di kכla we di mama in milk dakt de chenj (i kin tכn wayt, dεn kin tכn rεd, blu, כ pepul).

Wetin na di tin dɛn we kin mek pɔsin gɛt vasospasm?

difrεn tin dεm de we kin mek di vasospasm na difrεn pat dεm na di bכdi.

Di tin dɛn we kin mek pɔsin gɛt vasospasm na di at

Pan ɔl we dɛn nɔ no di rayt tin we kin mek pɔsin gɛt dis sik, sɔm tin dɛn de we gɛt fɔ du wit dis sik:

• Di kemikal we dɛn kɔl Serotonin .
• Anti-kansa tritmɛnt (Kɛmotɛrapi).
• Yuz drɔgs lɛk kɔkɛyn, amfɛtamin, ɔ kanaba .
• Di chenj dɛn we de apin na di jɛnɛtiks.
• Swɛl.
• Maygren we kin kam.

Di tin dɛn we kin mek pɔsin gɛt Vasospasm na di Bren

Vasospasm na di bren kin bi bikɔs ɔf:

• Wan anɛrizm na di bren we dɔn brok.
• Ɔda tin dɛn we kin mek pɔsin blɔd kɔmɔt rawnd di bren.
• Eksposhɔn to vasoactive substances ɔ mɛrɛsin dɛn.
• Wan blɔd we de klɔt rawnd di bren (Subarachnoid blood clot).

Di tin dɛn we kin mek yu gɛt Vasospasm na di An ɔ di Fut

Di men rizin dɛn fɔ dis na:

• Di tin we Raynaud kin du: Insay dis, di blɔd we de flɔ to di finga dɛn nɔ kin wok fayn we i gɛt kol ɔ strɛs.
• Skleroderma: Dis na sik we de mek di skin tik ɛn at.
• Atherosclerosis: di at dεm de sכmtεm sכmtεm bikoz fכ fεt dεposit dεm na di atεri wכl dεm.
• Blɔd we de klɔt.

di tin dεm we kin mek di vasospasm na di bεlε milk dakt dεm na mama dεm we de gi pikin in bεlε

Bɔku rizin dɛn de we kin afɛkt dis:

• Di tin we Raynaud bin du.
• Sɔm mɛrɛsin dɛn.
• Bikɔs dɛn bin dɔn du ɔpreshɔn pan in bɔdi.
• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf.
• Fɔ de na kol.
• Fɔ pul di pikin wantɛm wantɛm afta di pikin dɔn fɔ drink.
• Topical antifungals ɛn sɔm krim dɛn lɛk APNO krim.
• di damej pan di mama in milk dakt dεm bikoz di pikin nכ de drink fayn כ di yus fכ di bכbi pכmp.
• Yuz fɔ smok.
• Di tin dɛn we dɛn nɔ no bɔt.

Aw fɔ no (Vasospasm)?

Dɔktɔ fɔ chɛk yu bɔdi rili impɔtant fɔ no if yu gɛt di sik. Bɔt dɛn kin du dɛn tɛst ya bak:

• ECG (Electrocardiogram - EKG): Luk di ilektrikal aktiviti we di at de du.
• Angiogram: Na tɛst we dɛn kin injɛkt wan mɛrɛsin na di at na di at fɔ mek di vasospasm.
• Positron Emission Tomografi (PET) skan we dɛn kin skan.
• CT skan (Kɔmpyut Tomografi - CT).
• MRI skan (Magnetik Rɛsɔnans Imej - MRI).
• Echocardiogram: Na ɔltra saund ɛgzamin fɔ di at.

Wetin na di tritmɛnt fɔ (Vasospasm)?

di tritmεnt de difrεn dipכnt pan usay di vasospasm de apin.

Tritmɛnt fɔ Vasospasm na di At At

• Tek mɛrɛsin na di kalsiɔm chanɛl blɔk grup.
• Tek mɛrɛsin dɛn na di naytrɛt grup.
• Fɔ lɔs yu wet.
• Fɔ stɔp fɔ yuz drɔgs ɛn tabak.
• If di at ritm nɔ de rigul lɛk ventricular tachycardia, yu fɔ instɔl wan tin we dɛn kɔl Implantable Cardioverter Defibrillator (ICD) .

Tritmɛnt fɔ Vasospasm na di Bren

• Fɔ drink mɔ wata.
• Blɔd prɛshɔn we de go ɔp (na dɔktɔ advays).
• Fɔ pul di tin we de mek di vasospasm.
• Gi mεdikeshכn lεk vεrapamil כ nimodipine tru wan vein (intravenous - IV). Dis na vasodilators.
• Na smɔl tɛm nɔmɔ, if nid de, dɛn kin gi intra-arterial dilator mɛrɛsin.

Tritmɛnt fɔ Vasospasm na di An ɔ di Fut

• We yu wɛr sɔks, mit, ɛn ɔda wam klos.
• Fɔ avɔyd fɔ yuz tabak.
• Fɔ tek mɛrɛsin frɔm di kalsiɔm chanɛl blɔk grup, fɔ ɛgzampul felodipine ɔ amlodipine (Norvasc® ɔ Katerzia®).
• Fɔ du ɔpreshɔn ɔ fɔ gɛt botulinum toxin injɛkshɔn.

Tritmɛnt fɔ vasospasm na di mama gland dɛn

• Wam ɛn kip di mama in milk pɔt dɛn kɔba.
• Tin dɛn we kin mek di blɔd vesel dɛn kɔnstrikt, fɔ ɛgzampul, fɔ smok.
• If di we dɛn we wi dɔn tɔk bɔt nɔ kɔntrol am, sɔntɛnde dɛn kin nid wan kalsiɔm chanɛl blɔk we dɛn kɔl nifedipine (Nifedical®XL ɔ Procardia®XL) ɔ wan Selective Serotonin Reuptake Inhibitor (SSRI) .

Ɛni bad tin de we di tritmɛnt kin du?

Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ vasospasm kin mek yu gɛt sayd ɛfɛkt lɛk:

• Ed de at.
• Bɛlɛ nɔ kin fil fayn.
• Diziz we pɔsin kin gɛt.
• Layt ed we pɔsin kin gɛt .
• Seizures - Dis kin rili rare.

Aw fɔ ridyus di risk fɔ gɛt vasospasm?

Sɔm we fɔ ridyus di risk fɔ gɛt vasospasm na rili gud fɔ di ɔl wɛlbɔdi fɔ yu at ɛn blɔd vesel (cardiovascular).

• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• Kip yu kɔlɔstrel lɛvɛl insay di nɔmal rɛnj.
• Limit fɔ drink rɔm.
• If yu gɛt Tayp 2 dayabitis, kɔntrol am fayn fayn wan.
• If yu gɛt ay blɔd prɛshɔn, kɔntrol am.
• Nɔ yuz drɔgs lɛk kɔkɛyn.

Aw fɔ mek yu nɔ gɛt (Vasospasm)?

Fɔ mek yu nɔ gɛt vasospasm, mɔ na di bren, dɔktɔ kin du tin dɛn lɛk:

• Chek di list fɔ di mɛrɛsin dɛn we yu de tek ɛn mek shɔ se nɔ vasoactive mɛrɛsin de we de kɔnstrikt blɔd vesel.
• Prεvεnt hεy intrakranial prεshכn.
• Gi yu wan kalsiɔm chanɛl blɔk mɛrɛsin lɛk nimodipine ɔ verapamil.

Impɔtant: Dis infɔmeshɔn na fɔ jɔnaral infɔmeshɔn nɔmɔ. If yu gɛt ɛni sayn ɔr yu want fɔ no mɔ bɔt dis, duya go to dɔktɔ.

Yu tink se Vasospasms na siriɔs sik?

Vasospasm na di finga dɛm, fut finga dɛm, ɔr nipples kin mek yu fil pen ɛn i kin mɔna yu. Bɔt dɛn nɔ de mek pɔsin in layf de pan denja .

Bɔt if vasospasm apin na yu at ɔ yu bren , di blɔd we nɔ de flɔ to dɛn ɔgan dɛn de kin mek di tisu dɛn pwɛl. Dis kin gɛt siriɔs impak pan aw di at ɛn di bren de wok.

lεs dan 5% pan di kεys dεm we di korona vasospasm de rεsult in at fεil. Bɔt, tritmɛnt fɔ at pwɛl kin mek yu gɛt bɛtɛ layf.

Pipul wae gɛt siriɔs bren vasospasm kin gɛt fɔ de na ɔspitul fɔ sɔm wiks.

Aw a kin kia fɔ misɛf?

• Yuz di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.
• If yu sik nɔr bɛtɛ, tɛl yu dɔktɔ.
• If yu nɔ it tin dɛn we de mek yu gɛt vasospasm, dat kin ɛp fɔ mek yu nɔ gɛt dis sik.
• If yu gɛt sayn dɛm fɔ hat atak (e.g., yu chɛst de pen bad bad wan, i nɔ izi fɔ blo, yu de vɔmit), go na imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt (vasospasm) ɔ yu tink se yu gɛt am, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• If di mɛrɛsin we de naw nɔ ɛp, ɔda mɛrɛsin dɛn de we a kin tek?
• yu kin rifer mi to speshalis we kin ep wit laktashn ishu (if a geht vasospasm na di milk dakt)?
• Aw ɔltɛm a fɔ si yu (fɔl-ap apɔntinmɛnt)?
• Wetin na di prɔgnosis fɔ mi kɔndishɔn?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Vasospasm kin afɛkt wi bɔdi difrɛn we dɛn. Sɔm kayn vasospasm de we wi kin kɔntrol ɛn protɛkt. So, if yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, nɔ shem ɛn tɔk to yu dɔktɔ . I go advays yu bɔt di tritmɛnt plan we fit yu pas ɔl ɛn di we dɛn fɔ mek yu nɔ gɛt dis sik. Stay wit wɛlbɔdi!

` Vasospasm, bכdi vεsεl dεm we de kכntrikt, atεrial kכnstrכkshכn, at sik, bren sik, bכdi prכblεm, blכd vεsεl dεm we de sכmtεm na di finga dεm