Di abiliti fɔ pɔmp di at: Lɛ wi lan ɛksaktɔli bɔt Ejection Fraction!

Yu dɔn ɛva yɛri di wɔd ‘Ejection Fraction’? Yu go dɔn yɛri am frɔm yu dɔktɔ ɔr pɔsin na yu fambul we dɛn bin de tɔk bɔt at sik. Fɔ tru, na tin we rili impɔtant, ɛn na fɔ no aw wi at gɛt wɛlbɔdi. So, tide wi go tɔk ditayli bɔt wetin na dis ‘Ejection Fraction’ ɛn wetin i se bɔt di wɛlbɔdi na wi at.

Wetin na Ejection Fraction? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Ejection Fraction na fɔ no aw yu at de pɔmp blɔd fayn fayn wan. mכr prεsis, na di כmכnt כf bכdi we de kכmכt frכm di men chεmba dεm (dεn kכl dεm bak di vεntrikl dεm) na di bכtכm pat pan di at we i de bit εvri wan.

Fɔ ɔndastand dis, lɛ wi mɛmba smɔl bɔt aw blɔd de flɔ na di at:

1. di bכdi fכs go insay di כp rayt pat na di at (dεn kכl dis `rayt atrium`).

2. afta dat, we di sכt sכt sכt bitwin di at bit, dis bכdi de pas tru wan valv εn i de kכlekt insay di lכw chεmba (`lεft vεntrikl`) na di lεft say na di at.

3. Naw, we dis lεft vεntrikl fulכp wit bכdi, wit di nεks at bit, wan pat pan da bכdi de de pכmp kכmכt to di rεst כf di bכdi. di bכdi we dεn de pכmp kכmכt na in wi de mכsu bay di εjekshכn frakshכn.

Wetin na di nɔmal ejection fraction fɔ wan wɛlbɔdi at?

di ejekshכn frakshכn fכ wan hεlty, we de wok fayn fayn wan fכ nכmal fכ de bitwin 50% εn 70% . dis min se we di at bit wan tεm, bitwin 50% εn 70% pan di bכdi na di lεft vεntrikl de pכmp kכmכt na di bכdi.

Bɔt dis de bak. Sɔm pipul dɛn kin gɛt nɔmal ejection fraction, bɔt dɛn kin stil gɛt hat failure. wi kכl dis `Hat Fεil wit prεsiv Ijekshכn Frakshכn (HFpEF)`. Dis min se pan ɔl we di ejection fraction gud, di at we nɔ de wok fayn na ɔda prɔblɛm dɛn we de na di at.

Wetin mek i impɔtant fɔ no mi Ejection Fraction?

Yu Ejection Fraction na di men tin we de sho aw yu at de wok fayn fayn wan. Wan low Ejection Fraction kin min se yu gɛt ɔ yu de pan risk fɔ mek yu at pwɛl. So, fɔ no dis valyu rili impɔtant fɔ plan tritmɛnt ɛn fɔ wach aw yu at de.

Difrɛn kayn Ejection Fraction de?

yes, dis mכtalman kin tek mεntal wan na di lεft εn rayt chεmba dεm (`vεntrikul`) na di at.

Lεft Ventrikul εjεkshכn Frakshכn (LVEF) .

Wi kin tɔk bɔt di lɛft say na di at as Ejection Fraction. Bikɔs,di lεft vεntrikl de pכmp bכdi we gεt כksijεn to di כgan dεm we de כlsay na di bכdi. So, dis `LVEF` valyu de ɛp fɔ no if ɛni wikɛd tin de na di lɛft say na di at, ɛn if na so, aw i siriɔs.

Rayt Vεntrikul εjεkshכn Frakshכn (RVEF) .

dis de mכsu aw mכch כksijεn-poor, impur bכdi de pכmp frכm di rayt vεntrikl na di at to di lכng dεm (we כksijεn de ri-כksijεn). Dis RVEF valyu impɔtant if yu gɛt rayt-sayd at prɔblɛm. Bɔt dis sik nɔ kin bɔku lɛk aw at kin pwɛl na di lɛft say.

Wetin di Ejection Fraction valyu dɛn min?

Fɔ tɔk am simpul wan, di mɔ yu Ejection Fraction de dɔŋ, na di mɔ yu at nɔ go ebul fɔ pɔmp blɔd. Dɛn kin si dis pan pipul dɛm wae gɛt siriɔs at pwɛl hat. I kin smɔl bak we di at nɔ de wok fayn. Di tritmɛnt opshɔn dɛm dipen pan aw fa yu Ejection Fraction de frɔm nɔmal.

• if i de bitwin 40% εn 49%: dεn kכl dis `mid-rεnj εjekshכn frakshכn`. dis min se di hat in pawa fכ pכmp sכmtεm sכmtεm pas aw i nכmal. Yu nɔ go gɛt ɛni sayn fɔ sho se yu at nɔ de wok fayn. Ɔ, di sayn dɛn kin apin we yu de tray tranga wan, lɛk we yu de du ɛksɛsayz, ɛn i kin go we yu de rɛst.
• 39% ɔ less: Dɛn kɔl dis `Hat Failure wit ridyus Ejection Fraction (HFrEF)`. dis min se di abiliti fכ pכmp bכku bכku wan pas nכmal. di lכw di ejekshכn frakshכn, di hכy risk fכ layf-thrεtεnt kכmplikεshכn lεk di kכdiak arεst wan wan (`Cardiac Arrest`). Di sayn dɛm kin tranga, ɛn yu kin fil bad ivin we yu jɔs sidɔm.

Yu tink se at fεil (HFpEF) kin apin ivin if di εjekshכn frakshכn nכmal?

yes, lεk aw wi bin dכn tכk, insay di kכndishכn we dεn kכl `Hat Fεil wit prεserved Ejection Fraction (HFpEF),` di at de pכmp bכku bכku bכdi to di bכdi we i de bit. Bɔt di prɔblɛm na dat di ɔl blɔd we dɛn kin kip na di lɛft ventricle kin go dɔŋ. dis na biכs di at mכsul de tik כ stif, we de ridyus di sayz fכ di chεmba. Dɔn, di bɔdi nɔ kin ebul fɔ pɔmp bɔku blɔd lɛk aw i nid.

Yu kin de pan denja fɔ gɛt HFpEF fɔ dɛn rizin ya:

• Cardiac Tamponade (we wata kin gɛda rawnd di at) .
• Koronari Atɛri Sik we pɔsin kin gɛt
• Di sik we de mek pɔsin gɛt at valv
• Ay Blɔd Prɛshɔn

Wetin na di tin dɛm we kin mek di ejection fraction de dɔŋ?

hεlty hat mכsul fayb dεm nid fכ di at in vεntrikl dεm fכ kכntrakt εn pכmp blכd kכmכt. If sɔntin de we de mek di at mɔsul wik ɔ pwɛl, dis kɔntrakshɔn nɔ de apin fayn, ɛn di pɔmp efyushɔn de ridyus.

Dɔn di at gɛt fɔ wok tranga wan fɔ du in wok. Dis ekstra strεn kin mek di at swel כ divεlכp ska tisu. Dis kin mek i nɔ izi fɔ mek di chɛmba dɛn ful-ɔp wit blɔd ɛn pɔmp blɔd. Ivin if yu ejection fraction dɔn ridyus smɔl, yu nɔ go notis bɔku difrɛns fɔs. Bɔt if yu at de wok smɔl smɔl ɛn yu ejection fraction de wɔs, yu kin sik bad bad wan.

Wetin na di sayn dɛm fɔ wan low ejection fraction?

In jɛnɛral , di mɔ di ejection fraction smɔl, na di mɔ di simptom dɛm fɔ hat fayl kin tranga. Yu kin gɛt tin dɛn lɛk:

• Kɔnfyushɔn: I nɔ kin izi fɔ tink klia wan.
• Taya: Fɔ fil taya ivin we yu jɔs de na wokples.
• Hat palpitations: Na filin wae yu de nak ɔr de nak yu chɛst.
• Vɔmit.
• Dispnea: I nɔ kin izi fɔ yu fɔ blo, mɔ we yu de ledɔm.
• Wata rεtεnshכn: Na kכndyushכn we di bεlε כ di leg dεm kin swεla wit wata.
• Wik.

Mɛmba se if yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin fɔ du if di Ejection Fraction ay pas di nɔmal?

i rili rare fכ wan ejekshכn frakshכn fכ bi 75% כ hכy. Bɔt if i apin, i kin denja. dis kin apin to pipul dεm we gεt kכndyushכn lεk `Hypertrophic Cardiomyopathy` (abnכmal tik we di at mכsul de tik).

Udat in ejection fraction fɔ mɛzhɔ?

If yu gɛt sik ɔr risk factor wae kin mek yu at pwɛl, fɔ no yu ejection fraction kin rili yusful. Insay kes dɛn lɛk dɛn wan ya:

• Sik dεm lεk `ATTR Amyloidosis` we de afekt di at.
• Sɔm kemotɛrapi tritmɛnt fɔ kansa ɔ ɔda sik kin mek di at pwɛl (cardiotoxicity).
• Di sik we dɛn kin gɛt we dɛn bɔn wit at.
• If yu gɛt at atak.
• Di sik we de mek pɔsin gɛt at valv.
• Mayokarditis we gɛt di sik.
• Siriɔs ay blɔd prɛshɔn.
• di at bit we de bit di at chεmba dεm we nכ de bit (`Ventricular Arrhythmia`).

Aw dɛn kin yuz Ejection Fraction fɔ tritmɛnt?

Dis valyu de ɛp dɔktɔ dɛn fɔ pik di bɛst tritmɛnt fɔ yu at pwɛl hat. Dɔn bak, fɔ chɛk yu ejection fraction wan wan tɛm ɔlsay na yu tritmɛnt kin ɛp fɔ no if yu at de wok fayn.

Sɔm pan di men tritmɛnt dɛm wae dɛn kin gi pɔrsin wae gɛt hat atɔk na:

• Wan spɛshal kayn pesmɛka (`Biventricular pacemaker`).
• Di mɛrɛsin dɛn we de mek pɔsin in at nɔ wok fayn.
• Fɔ transplant yu at.
• Hat valv ripa ɔ riples.
• implant wan smɔl divays na di bɔdi we de gi imejensi ilɛktrik shɔk to di at (Implantable Cardioverter Defibrillator - ICD).

Aw dɛn kin mɛzhɔ di Ejection Fraction?

Bɔku we dɛn de fɔ mɛzhɔ di ejekshɔn frakshɔn. Di tɛst we dɛn kin yuz mɔ na ɛkokardiogram, we tan lɛk ɔltra saund skan fɔ di at.

Apat frɔm dat, dɛn tɛst ya kin mɛzhɔ bak di ejekshɔn frakshɔn:

• Kadiak Kateterizashɔn.
• wan `CT` skan fכ di at (`Cardiac Computed Tomography (CT) skan`).
• MRI fɔ di at.
• `MUGA` skan (`Multigated Acquisition Scan`), we dɛn kin kɔl bak `Nyuklia Strɛs Tɛst`.

A kin ebul fɔ mek mi Ejection Fraction bɛtɛ?

Yɛs, na fɔ tru. Hat fεil tεrapi dεm de trit di כndalayn kכz fכ di lכw ejekshכn frakshכn. fכ egzampl, if di lכw ejekshכn frakshכn na bikoz fכ di at bit we nכ de bit (arithmia), wan biventrikular pesmaker kin gi rilif. If na bikɔs ɔf ɔda tin dɛn lɛk ay blɔd prɛshɔn, dɛn kin nid fɔ tek mɛrɛsin.

Dɔn bak, yu kin du dɛn tin ya fɔ ridyus di strɛs we de pan yu at ɛn fɔ gɛt di bɛst pan yu tritmɛnt:

• Fɔ mek yu bɔdi wok mɔ ɛn mɔ: Wan program fɔ rihabilite yu at kin ɛp yu fɔ bigin fɔ du ɛksɛsayz sef wan.
• Fɔ mek yu gɛt wɛlbɔdi wet.
• Fɔ stɔp sɔl (sɔdiɔm) ɛn wata we de insay di it.
• Fɔ lɛf fɔ du bad tin lɛk fɔ smok, fɔ tek drɔgs, ɛn fɔ drink rɔm.

Aw a go no if mi ejection fraction de impruv?

If yu ejection fraction smɔl, yu go nid fɔ go to yu dɔktɔ bɔku tɛm fɔ wach am. I impɔtant fɔ atɛnd ɔl di mɛdikal apɔntinmɛnt dɛn, ilɛksɛf yu nɔ fil se yu sik.

If yu sik dɛn de bɛtɛ, i kin bi sayn fɔ se yu ejection fraction de bɛtɛ. Bɔt yu sik kin wɔs ɔr nyu sayn kin kam. Dɛn tin ya kin sho se yu ejection fraction de wɔs.

If sɔntin lɛk dis apin, tɛl yu dɔktɔ wantɛm wantɛm, ɛn yu nɔ wet fɔ yu nɛks dɔktɔ apɔntinmɛnt:

• I nɔ kin izi fɔ yu fɔ blo, mɔ we yu de ledɔm.
• Fɔ fil se yu at de bit kwik kwik wan we nɔ kɔmɔn.
• I nɔ kin want fɔ it igen ɔ i kin vɔmit.
• Di wet chenj wantɛm wantɛm (dis kin bi bikɔs di wata de kɔntinyu fɔ de).
• Wiknɛs ɔ diziz bin fil fɔ natin.

Aw ɔltɛm dɛn fɔ mɛzhɔ Ejection Fraction?

Dɔktɔ dɛn kin wɔri bɔt yu ejection fraction pan dɛn tin ya:

• If yu gɛt sayn dɛn fɔ mek yu at pwɛl.
• If yu gɛt hat atak ɔr ɔda kayn sik wae de afɛkt aw yu at de woke.
• If yu gɛt wan sik we de mek yu gɛt at sik mɔ ɛn mɔ.

Aw ɔltɛm yu fɔ gɛt dis tɛst afta dɛn dɔn no se yu gɛt at prɔblɛm de dipen pan bɔku tin dɛn, lɛk aw yu fɔs ejection fraction smɔl. If yu ejection fraction kɔntinyu fɔ wɔs, yu kin nid fɔ mek dɛn chɛk am mɔ ɛn mɔ. If i stebul, yu nɔ go nid fɔ tɛst yu ɔltɛm.

Na Ejection Fraction na di onli test fɔ asɛs di kɔndishɔn fɔ Hat Failure?

Nɔ, di ejection fraction na jɔs wan pan bɔku tin dɛn we dɔktɔ dɛn kin yuz fɔ no aw yu at tan. Dɛn nid fɔ du ɔda tɛst fɔ no wetin mek yu gɛt di sik ɛn fɔ gi yu di tritmɛnt we fit pas ɔl.

Dɛn ɔda tɛst ya kin bi:

• Angiografi we dɛn kin kɔl.
• X-ray na di chɛst.
• Ekokardiogram fɔ mek yu gɛt di sik.
• Ilektrokardiogram (`Ilektrokardiogram - EKG`).
• Ɛksesaiz Strɛs Tɛst.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Ejection Fraction na impɔtant tin we de sho di trɛnk we di at gɛt. I de mɛzhɔ ɔmɔs blɔd we gɛt bɔku ɔksijɛn di at de pɔmp kɔmɔt na di bɔdi ɛvri tɛm we i bit am. If yu ejection fraction smɔl na sayn fɔ se yu at nɔ de wok fayn. Bɔt nɔ wɔri. If yu gɛt di rayt tritmɛnt ɛn chenj yu layf, bɔku tɛm i pɔsibul fɔ mek yu ejection fraction kam bak to nɔmal. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn ɛn atɛnd chɛk-ap ɛn apɔntinmɛnt ɔltɛm. Dis go ɛp yu fɔ mek yu at gɛt wɛlbɔdi.

` Ejection Fraction, At Atak, At Wɛlbɔdi, LVEF, RVEF, At Simptom dɛm, At Tritmɛnt