Aw yu at de wok fayn? Mek wi tok abaut Cardiac Output!

Tide wi go tɔk bɔt di at, we na wan rili impɔtant ɔgan na wi bɔdi. Speshal, wi go tɔk bɔt aw di at de pɔmp blɔd ɔlsay na wi bɔdi fayn fayn wan, we dɛn kɔl kadyak autput . Pan ɔl we dɛn wɔd ya kin tan lɛk se dɛn nyu smɔl to yu, fɔ tru, dɛn rili simpul. Lɛ wi si wetin dis rili min, nɔto so?

Wetin na di kadyak autput? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, di we aw di at kin kɔmɔt na di at na di ɔl blɔd we yu at kin pɔmp ɔlsay na yu bɔdi insay wan minit. Dɛn kin mɛzhɔ dis insay lita. Dɔktɔ dɛn kin kɔl dis wit wan simpul iqwɔj. I nid tu tin dɛn:

1. Stroke Volume: Dis na di blɔd we yu at de pɔmp insay yu bɔdi ɛvri tɛm we i de bit, dat na wit wan at bit. Dis mɔnt kin difrɛn. Dis blɔd kin go ɔp ɔ dɔŋ dipen pan di wɛlbɔdi na yu at ɛn if yu de rɛst ɔ yu de du sɔm tin.

2. Hat Ret: Yu go mɔs dɔn yɛri bɔt dis wan. Dis na di nɔmba fɔ di tɛm we yu at de bit insay wan minit. Nɔmal wan, pɔrsin wae gɛt wɛl bɔdi in at fɔ bit bitwin 60 ɛn 100 bit pan minit we dɛn de rɛst. Dis kin bɔku we yu de du ɛksɛsayz ɛn i kin go dɔŋ we yu de rɛst.

So, we wi no ɔl tu dɛn tin ya, wi kin fɛn di tɔtal valyu yuz di ikwɛshɔn we se Kadiak Ɔtput = Strɔk Vɔlyum x At Rɛt .

Tink bɔt am dis we. Yu de klaym wan flayt stej fast fast. Yu mɔsul dɛn nid mɔ ɔksijɛn, nɔto so? So yu at de bit de go ɔp, ɛn yu at de tray fɔ mek di blɔd we i de pɔmp bɔku wan tɛm (strok volyum). Na da tɛm de yu kadyak autput de go ɔp, bikɔs yu bɔdi nid mɔ blɔd ɛn ɔksijɛn.

Ustɛm dɔktɔ dɛn kin luk fɔ dis tin we kin mek pɔsin in at kɔmɔt?

Okay, naw yu geht kweshon, na wich point dokta dem de luk fo dis cardiac output, no? Bɔku rizin dɛn kin de.

• If i nɔ izi fɔ yu fɔ ɛksesaiz lɛk aw yu bin de du trade , ɔ if i nɔ izi fɔ yu fɔ blo ivin if yu tray smɔl.
• If yu dɔktɔ sɔprayz se yu gɛt wan sik lɛk at pwɛl , we na sik we di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
• If yu nid fɔ no di sik kɔrɛkt wan.
• Dɛn kin mɛzhɔ dis bak fɔ mek shɔ se ɛni mɛrɛsin, divays, ɔ tritmɛnt we dɛn dɔn gi yu de wok fayn .

Us sayn dɛn kin apin if di at we de kɔmɔt na di at dɔn go dɔŋ?

If di blɔd we di at de pɔmp to di bɔdi, ɔ di we aw di at de kɔmɔt, go dɔŋ, difrɛn pat dɛn na wi bɔdi nɔ de gɛt bɛtɛ ɔksijɛn ɛn tin dɛn we go ɛp wi fɔ gɛt tin fɔ it. Dis kin mek yu gɛt sɔm kayn sik lɛk:

• I rili at fɔ du ɛksɛsayz:Ivin afta we a dɔn waka fɔ shɔt tɛm, a kin fil lɛk se a de tɔn diziz ɛn taya.
• Fɔ fil se yu taya bad bad wan: Fɔ fil se yu taya ivin we yu jɔs tinap.
• Swel na yu an ɛn yu leg: Di leg, mɔ di anklɛ, kin swel.
• Fɔ blo shɔt: Sɔntɛnde, i kin at fɔ blo ivin we yu de ledɔm.
• Nɔs ɛn vɔmit.
• Pɔsin we de fil pen na di bɛlɛ.

If yu gɛt dɛn kayn sik ya, dat nɔ kin min ɔltɛm se yu nɔ gɛt bɛtɛ kadyak autput. Bɔt if dɛn sik ya kɔntinyu, i go fayn fɔ mek yu go to dɔktɔ.

Aw dɔktɔ dɛn kin no aw di at kin kɔmɔt? Bɔku we dɛn de fɔ du am!

Bɔku we dɛn de we dɔktɔ dɛn kin yuz fɔ no aw di at de kɔmɔt. Sɔm dɛn rili simpul, ɛn ɔda wan dɛn nid spɛshal tin dɛn fɔ yuz. Lɛ wi tek wan luk pan wetin dɛn bi:

• כksijεn we yu de yuz: Dis de mכsu כl di כksijεn we wan patikyula כgan כ tisu na yu bכdi de yuz. Dɛn kin kɔl am bay we yu luk di difrɛns bitwin di ɔksijɛn we de na yu at ɛn di ɔksijɛn we de na yu vein, dɔn yu kin kɔl am wit di spid we blɔd de flɔ.
• Fɔ kɔmpia di blɔd tɛmpracha: Dɛn kin put spɛshal kateta insay difrɛn pat dɛn na di at, fɔ ɛgzampul, di vena cava ɔ di rayt atria, ɛn dɛn kin kɔmpia di tɛmpracha we di blɔd de de wit di tɛmpracha we di blɔd de na di pulmonari at dɛn we de kɛr blɔd go na di lɔng dɛn. Dɛn kin kɔl dis bak di tɛmmɔdilushɔn we dɛn kin yuz .
• fכ mכsu di prεshכn εn di rεsistεns: yu kin fכnshכn dis bay we yu tek di avεrej prεshכn na yu at dεm (Mean Arterial Pressure) εn divayd am bay di rεsistεns fכ blכd fכ fכlכ tru di bכdi vεsul dεm (Systemic Vascular Resistance).
• Pɔtabl divays dɛn: Pɔtabl divays dɛn de bak we gɛt spɛshal kayn gas dɛn we yu kin blo tru yu mɔt.
• Yuz Ilɛktrod: Wan tɛst de we dɛn kin put lɛk siks ilɛktrɔd dɛn na di chɛst. dis de mכsu di at rεt εn strכk vכlyum, εn kכl di kadyak autput.
• Transthoracic Echocardiography: Dis na skan fɔ di at. I kin gi gud aidia bɔt di strok volyum.
• At MRI: Yu kin gɛt infɔmeshɔn bɔt dis bak frɔm MRI skan fɔ di at.
• Day injekshɔn: Dɛn kin du dis bay we dɛn injekt spɛshal day na di rayt say na di at we blɔd de go insay, ɛn mɛzhɔ ɔmɔs day de kɔmɔt na di lɛft say na di at.

Wetin yu fɔ ɛkspɛkt we yu de tek dis tɛst?

Fɔ mek yu ebul fɔ no di at we yu de blo fayn fayn wan, yu dɔktɔ go nid fɔ mɛzhɔ ɔmɔs ɔksijɛn yu de blo ɛn tek blɔd sɛmpul frɔm yu at ɛn wan spɛshal kateta we dɛn put na yu lɔng at (Catheter in Pulmonary Artery). Dɛn kin du dis we dɛn de du tɛst we dɛn kɔl Right Heart Catheterization . Di de we yu go du dis tɛst, yu go ebul fɔ no aw yu at de kɔmɔt ɛn di difrɛn prɛshɔn dɛn we de insay yu at.

Wetin na di tin dɛn we kin apin? Wetin dɛn de tɛl wi?

Okay, naw lɛ wi si wetin dɛn rizɔlt ya se.

di kadyak autput fכ hεlty pכsin we i de rεst kin bi bitwin 5 εn 6 lita pan minit .

Bɔt if i bi atlet we tren gud gud wan, dis valyu kin pas 35 lita fɔ wan minit we i de du ɛksɛsayz! Dis min se dɛn at de wok fayn fayn wan.

Di we aw di at kin kɔmɔt kin bɔku we pɔsin we nɔto atlet de du ɛksɛsayz, bɔt nɔto lɛk atlet. כlso, we uman dεn bεlε, di uman in at kin kכmכt pas di nכmal lεvεl , biכs da tεm de, di mama in bכdi εn di pikin we de gro nid blכd.

Us tin dɛn kin afɛkt di we aw wi at kin kɔmɔt?

Di we aw wi at kin kɔmɔt nɔ kin bi di sem ɔltɛm. Bɔku tin dɛn de we kin afɛkt am. Lɛ wi luk di men tin dɛn we kin afɛkt am:

• Ay Blɔd Prɛshɔn: If yu gɛt ay blɔd prɛshɔn, yu at fɔ wok tranga wan fɔ push blɔd tru yu at. Tink bɔt am lɛk we yu de waka na big big briz, bikɔs di prɛshɔn we de insay yu at dɛn kin bɔku. Dɔn bak, if yu blɔd prɛshɔn ay na yu lɔng (sɔntɛm na bikɔs ɔf skata na yu lɔng ɔ wan sik lɛk ɛmfisɛma ), yu at fɔ wok tranga wan fɔ pɔmp blɔd de. Dis kin mek yu at nɔ bɔku.
• Ol ej: As wi de ol, di wɔl dɛn na wi at kin tik ɛn stif. Di at nɔ de ful-ɔp wit blɔd kwik kwik wan ɔ lɛk aw i bin de ful-ɔp. Dis kin mek di blɔd we i de pɔmp to di bɔdi nɔ bɔku.
• If di at dɔn pwɛl bikɔs ɔf at atak: If dis apin, di at nɔ go ebul fɔ pɔmp bɔku blɔd lɛk aw i bin de pɔmp bifo di at atak. Dɔn bak, wan infɛkshɔn na di at mɔsul we dɛn kɔl mayokarditis kin mek di at nɔ ebul fɔ pamp.
• di at ritm dεm we nכ nכmal, lεk atrial fibrilashכn: pan dis kכndyushכn, di כp chεmba dεm na di at (atria) nכ kin ebul fכ pכmp bכdi fayn fayn wan εn sεnd am to di bכdi tru di lכw chεmba dεm (mitra). Di tin we de kɔmɔt na di at kin ridyus bak.
• Aortic Stenosis na we di valv de sכmtεm we de go na di aorta:di aorta na di men blɔd vesel we de kɛr blɔd go na di bɔdi. So if di valv we de go to am smɔl, i nɔ go ebul fɔ sɛn inof blɔd to di bɔdi.
• Constrictive Pericarditis: If di sak we de protɛkt di at, we na di pericardium , tayt, di at nɔ go ebul fɔ rilaks fayn, ful-ɔp wit blɔd, ɛn pɔmp fayn. Dis kin mek bak di at nɔ ebul fɔ kɔmɔt fayn.

Aw wi kin kip wi kadyak autput na gud levul?

Okay, naw wi no wetin mek Cardiac Output impɔtant ɛn wetin factors de afɛkt am. So, wetin wi go du fɔ mek i kɔntinyu fɔ de na gud lɛvul? Fɔ mek wi at strɔng ɛn fɔ mek wi blɔd vesel dɛn gɛt wɛlbɔdi na di men tin. Na sɔm tin dɛn we go ɛp fɔ du dat:

• Ɛksesaiz ɔltɛm: Du sɔntin lɛk fɔ waka, rɔn, ɔ baysikul fɔ at le 30 minit ɛvride.
• Kɔntrol yu kɔlɔstrel lɛvɛl: Ridyus yu "bad" kɔlɔstrel (LDL) mɔ, ɛn kip yu "gud" kɔlɔstrel (HDL) lɛvɛl na wɛlbɔdi lɛvɛl.
• If yu gɛt dayabitis , i impɔtant fɔ fala wetin yu dɔktɔ tɛl yu ɛn kɔntinyu fɔ liv fayn layf.
• Nɔ it bɔku fat ɛn frɛsh it dɛn as yu ebul: Dɛn tin ya kin mek fat bɔku na di blɔd vesel dɛn.
• Fɔ mek yu gɛt wɛl bɔdi wet: If yu fat, dat kin mek yu at gɛt mɔ strɛs.
• Nɔ yuz tin dɛn we dɛn kin yuz fɔ smok: Fɔ smok kin rili ambɔg di at ɛn di blɔd vesel dɛn.
• If nid de, tek mɛrɛsin lɛk aw yu dɔktɔ tɛl yu ɛn kɔntrol yu blɔd prɛshɔn.

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

I impɔtant fɔ mek yu dɔktɔ no ɔmɔs blɔd yu at de pɔmp, we dɛn kɔl kadyak autput . E kin ɛp fɔ no if yu gɛt sik, si if tritmɛnt de woke, ɔr kin gi yu aidia bɔt yu at in wɛl bɔdi.

We yu dɔn gɛt dis infɔmeshɔn, yu dɔktɔ kin disayd wetin na di bɛst tin fɔ ɛp yu. If yu nɔ shɔ bɔt sɔntin, nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn. Di mɔ yu no bɔt yu wɛlbɔdi biznɛs, na di mɔ yu chans fɔ gɛt di bɛst rizɔlt. So, tek kia ɔf yu at!

` Kadyak Autput, Hat Rεt, Strok Vכlyum, At Wεlth, At Fεil, Blɔd Prεshכn, Blɔd Sεkyuleshכn