Acute Heart Failure: Wetin yu nid fɔ no

Yu dɔn ɛva fil lɛk se yu de drawn na wata, yu chɛst tayt, yu fut dɛn swel, yu sus dɛn so swel dat yu nɔ ivin ebul fɔ wɛr am? Yu bin fil taya pasmak, yu nɔ bin ivin ebul fɔ klaym wan flayt stej... Nɔ jɔs dismis dɛn tin ya as bɔdi pen. Dɛn tin ya kin bi siriɔs sayn dɛm fɔ akyu at fayl . Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja. So, nɔ panik. Tide, wi go tɔk bɔt ɔltin simpul ɛn ɔndastand.

Okay, wetin na dis wan we de mek yu at pwɛl wantɛm wantɛm (Acute Heart Failure)?

Fɔ tɔk am simpul wan, dis min sɔntin we wi at nɔ kin ebul fɔ pɔmp di blɔd we gɛt ɔksijɛn we di bɔdi nid wantɛm wantɛm.

Imajin se yu bɔdi na big siti, ɛn yu at na di men ples fɔ pɔmp wata we de gi wata to da siti de. As lɔng as dis pɔmp steshɔn de wok fayn, ɔl os ɛn ɔl ples na di siti kin gɛt wata. Bɔt, wetin kin apin if dis pɔmp steshɔn wik ɔ brok wantɛm wantɛm? Di siti de lɔs wata, nɔto so? Na so i bi. We di pɔmp we dɛn kɔl wi at wik wantɛm wantɛm, impɔtant ɔgan dɛn na wi bɔdi lɛk di bren, kidni, ɛn liva nɔ kin gɛt di ɔksijɛn ɛn it we dɛn nid. Dɛn kɔl dis Akyu At Fɛil.

Dis kɔndishɔn nɔ kin apin wan nɛt. Bɔku tɛm, we di at gɛt fɔ bia ɛkstra lod as tɛm de go, i kin bigin fɔ chenj smɔl smɔl.

• At we big: Jɔs lɛk aw pɔsin we de es wet in mɔsul dɛn kin big, we yu fɔ wok tumɔs, di at mɔsul kin tik ɛn di at kin big.
• Di blɔd we de go dɔŋ: As di at de wik, di blɔd we i de pɔmp de go dɔŋ.
• Di blɔd vesel dɛn we de tan: As di bɔdi de tray fɔ adap to dis, ivin di blɔd vesel dɛn kin tan.
• Hat bit kwik ɔ we nɔ de bit ɔltɛm (Arrhythmia): Di prɛshɔn we de pan di at de mek i nɔ de bit in nɔmal ritm.
• Di at mɔsul we de stif: Di at mɔsul kin stif ɛn i nɔ kin ebul fɔ chenj.

Dɛn chenj ya kin rili smɔl fɔs. Sɔntɛm yu nɔ go fil ɛni sayn fɔ di sik. Bɔt as tɛm de go, dɛn chenj ya kin bɔku ɛn we di at nɔ ebul fɔ bia wit di lod igen, wan imejensi we dɛn kɔl Acute Heart Failure kin apin.

Dis na di men tin we kin mek pipul dɛn we dɔn pas 65 ia go na ɔspitul.Bɔt mɛmba se dis kin apin to ɛnibɔdi we ol ɛni ej.

Yu tink se difrɛn kayn dis de?

Yɛs, na tu kayn dɛn de mɔ.

1. Acute Decompensated Heart Failure (ADHF): Dis kin apin if yu dɔn ɔlrɛdi gɛt at sik (fɔ ɛgzampul, korona at sik, ay blɔd prɛshɔn). Dis na di nem we dɛn kin gi we yu at dɔn wik fɔ lɔng tɛm, ɛn fɔ sɔm rizin (lɛk fɔ nɔ tek mɛrɛsin, fɔ it bɔku sɔl), de sik kin wɔs wantɛm wantɛm.

2. 2. .De Novo Acute Heart Failure: Insay dis kayn tin, yu nɔ gɛt ɛni at sik bifo. Bɔt ɔda sik lɛk dayabitis dɔn de pwɛl yu at fɔ lɔng tɛm we yu nɔ no, ɛn dis sik kin kam wantɛm wantɛm.

Wetin na di sayn dɛm fɔ dis? Aw yu go no am kwik kwik wan?

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ɛn nɔ de te. Dis nɔto sik we pɔsin kin kip na os.

Wi kin ɔndastand dɛn sayn ya klia wan frɔm di tebul we de dɔŋ ya.

Wetin mek dis kin apin? Wetin na di rizin dɛn?

Ɛnitin we de put ɛkstra prɛshɔn ɔ strɛs pan di at kin mek dis apin. Na sɔm pan di men tin dɛn we kin mek i apin:

• Korona at sik: Di at dɛn we de gi blɔd to di at kin lɔk bikɔs ɔf di kɔlɔstrel we de na di at.
• Ay blɔd prɛshɔn: We yu nɔ kɔntrol di ay blɔd prɛshɔn, dat kin mek di at wok tranga wan as tɛm de go.
• At Valv Disease: We di valv dεm na di at nכ de kכloz כ opin fayn, bכdi de bigin fכ fכlכ bak.
• Cardiomyopathy: Di at mɔsul de wik, tik, ɔ big bikɔs ɔf difrɛn tin dɛn.
• At bit we nɔ de bit ɔltɛm (Arrhythmia): Na at bit we nɔ de bit fast ɔ we nɔ de bit ɔltɛm.
• Pulmonary Embolism: Dis na imejensi kכndyushכn wae de mek yu prεshכn wan wan, hεy prεshכn na di rayt say na di at.
• Dayabitis we pɔsin nɔ ebul fɔ kɔntrol: Dayabitis kin pwɛl di blɔd vesel ɛn nerv dɛn ɛn mek di at wik.
• Kidni sik: We di kidni dɛn nɔ de wok fayn, wata ɛn sɔl kin gɛda na di bɔdi, ɛn dis kin mek di at strɛs.
• Alcohol Use Disorder: If pɔsin drink pasmak fɔ lɔng tɛm, i kin pwɛl di at mɔsul dairekt wan.
• Vayral infεkshכn: Sɔm vayrɔs (fɔ ɛgzampul, di vayrɔs we gɛt fɔ du wit rεumatik at sik) kin infεkt di at mכsul εn wik am.

Wetin na de risk factor wae kin mek dis sik?

Ivin if yu gɛt wan pan dɛn tin ya we wi dɔn tɔk bɔt, sɔm tin dɛn kin mek yu gɛt Acute Heart Failure wantɛm wantɛm. Wi kin kɔl dɛn tin ya ‘trig’.

• Nɔ tek di mɛrɛsin we dɛn gi yu fayn:If yu nɔ tek yu mɛrɛsin fɔ ay blɔd prɛshɔn, dayabitis, ɔ at sik fayn fayn wan, di sik kin kɔmɔt ɔnda kɔntrol ɛn put mɔ prɛshɔn pan yu at.
• Nɔ kɔntrol di sɔl ɛn wata we yu de it: If yu dɔktɔ tɛl yu fɔ ridyus di sɔl ɛn nɔ tek bɔku wata, yu fɔ rili fala dɛn. If yu it bɔku sɔl, dat kin mek yu bɔdi gɛt wata. Yu at we wik gɛt fɔ wok tranga wan fɔ pɔmp dis wata we pasmak.
• Yuz rɔm ɛn drɔgs: Dɛn tin ya kin pwɛl di at dairekt wan.
• Sɔm pen kil (NSAID): Fɔ kɔntinyu fɔ yuz sɔm pen kil, lɛk ibuprofen, we yu nɔ gɛt dɔktɔ advays, i nɔ kin fayn bak fɔ di at.

Aw di dɔktɔ no dis?

We yu go na di Imejɛnsi Tritmɛnt Yunit (ETU), dɔktɔ dɛn go chɛk yu kwik kwik wan ɛn tray fɔ no if yu gɛt di sik.

1. Dɛn kin aks yu bɔku kwɛstyɔn: bɔt yu sayn dɛm, ɔda sik dɛm we yu gɛt, if ɛnibɔdi na yu famili gɛt at sik, di mɛrɛsin dɛm we yu de tek, ɛn if yu de smok.

2. Fɔ chɛk di bɔdi: Dɛn kin lisin to di chɛst ɛn di lɔng dɛn wit stetɔskɔp. dεn de chεk di leg dεm fכ swel εn dεn de chεk di vein dεm na di nεk. Dɛn kin mɛzhɔ di blɔd prɛshɔn.

Dɔn, dɛn kin du bɔku tɛst dɛn fɔ no if pɔsin gɛt di sik.

Wetin na di tritmɛnt dɛm fɔ dis?

Dɛn kin sheb di tritmɛnt to tu pat: tritmɛnt fɔ imejensi ɛn fɔ mɛn am fɔ lɔng tɛm.

Imejɛnsi tritmɛnt

Na di ETU, di dɔktɔ dɛn fɔs gol na fɔ mek yu kɔndishɔn stebul.

• Ɔksijɛn Tɛrapi: Dɛn kin gi ɔksijɛn tru fes mask fɔ mek i nɔ izi fɔ blo ɛn fɔ mek di ɔksijɛn kam bak na di blɔd.
• Diuretics - "water pills": Dɛn kin gi dɛn mɛrɛsin ya as injɛkshɔn fɔ ɛp di bɔdi fɔ pul di wata we pasmak kɔmɔt na di bɔdi kwik kwik wan tru urine. Dis kin mek di wata we de na di lɔng dɛn nɔ bɔku, ɛn dis kin mek i izi fɔ blo ɛn i kin mek i nɔ swel.
• Vasodilators: Dɛn mɛrɛsin ya kin mek di blɔd vesel dɛn big, i kin mek di at nɔ ebul fɔ pɔmp blɔd, ɛn i kin mek di prɛshɔn we de pan am nɔ bɔku.

Tritmɛnt ɛn manejmɛnt fɔ lɔng tɛm

Afta di imejensi, dɛn nid fɔ trit di ɔndalayn sik we mek i kam.

• Mεdikeshכn dεm: Yu go nid fכ kכntinyu fכ tek difrεn mεdikeshכn dεm (e.g., beta-blockers, ACE inhibitors) we de mek di at wok fayn, kכntro blכd prεshכn, εn protεkt di at.
• Ɔpreshɔn ɛn ɔda we dɛn: Sɔntɛnde, di mɛrɛsin nɔmɔ nɔ kin du. If na so i bi, yu go nid fɔ yuz tin dɛn lɛk:
• Angioplasty ɛn Stenting: Fɔ opin wan korona at we dɔn blok ɛn put wan tin we tan lɛk mɛsh (stɛnt) fɔ mek i nɔ blok bak.
• Baypas Ɔpreshɔn: Ɔpreshɔn fɔ mek nyu rod fɔ mek blɔd go rawnd wan at we dɔn blok.
• Valv Ripa/Riplɛsmɛnt: Ripa di at valv dɛn we nɔ fayn ɔ put atifishal valv insay.
• implant peshכn כ ICD divays: If di at bit nכ de bit, dεn de put dεn divays dεm ya כnda di skin na di chεst fכ mek i kam bak nכmal.
• Fɔ Transplant di At: .Transplant fɔ wɛl at frɔm pɔsin we in bren dɔn day na di ɛnd-stej at kɔndishɔn we nɔ go ebul fɔ mɛn wit ɛni ɔda tritmɛnt.

Aw fɔ liv wit dis sityueshɔn?

Fɔ tɔk tru, dis na rili siriɔs kɔndishɔn. Pɔsin wae dɔn gɛt dis sik kin gɛt bɔrku risk fɔ gɛt am bak. Sɔm stɔdi dɔn sho se bɔrku pipul dɛm wae gɛt dis sik kin day insay wan ia.

Bɔt, nɔ wɔri. I nɔ de di sem fɔ ɔlman. Na sɔm tin dɛn go sho di rod we yu go waka tumara bambay:

• Di ɔndalayn sik wae mek dis sik ɛn aw i siriɔs.
• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Yu ɔl wɛl bɔdi ɛn aw yu bɔdi de ansa to tritmɛnt.
• Wetin impɔtant pas ɔl: yu kɔmitmɛnt fɔ liv yu at-hɛlth layf.

If yu kɔmit ɛn fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli, yu kin ebul fɔ mɛn dis sik fayn fayn wan ɛn liv lɔng layf.

Wetin a fɔ du afta a dɔn kɔmɔt na ɔspitul?

We yu go na os frɔm ɔspitul, dat nɔ min se i dɔn dɔn. Infakt, yu nyu layf we go mek yu at pwɛl, de bigin de.

• Tek yu mɛrɛsin di rayt tɛm: Nɔ skip wan doz.
• Wej yusɛf ɛvri mɔnin: Wej yusɛf di sem tɛm, we yu nekɛd ɔ wɛr layt klos, ɛn rayt am na buk. If yu gɛt 1-2 kilo wantɛm wantɛm insay wan ɔ tu dez, dat kin min se yu de kip wata. If dis apin, tɛl yu dɔktɔ wantɛm wantɛm.
• Kɔntrol sɔl: Stɔp fɔ ad sɔl to yu it ɛn it tin dɛn we gɛt bɔku sɔl, lɛk pikɛl, fish we dɛn dɔn dray, sos, ɛn sosish.
• Wata ɛn wata: Nɔ pas di wata (inklud wata, ti, milk, ɛn sup) we yu dɔktɔ se yu fɔ drink fɔ wan de.
• Stɔp fɔ smok ɛn drink rɔm kpatakpata.
• Layt ɛksesaiz: Du layt ɛksesaiz lɛk fɔ waka lɛk aw yu dɔktɔ tɛl yu fɔ du.
• Go na klinik dɛn di de we dɛn dɔn sɛtul: Mek shɔ se yu go to dɔktɔ di de dɛn we i gi yu fɔ si am.