Most of wi laik to get likl ‘cool’ wen wi get togeda wit padi dem, fo pati. Dat na nɔmal tin. Bɔt yu no se we dis ɛnjɔymɛnt go pas di mak, wi nɔ no se wi kin pwɛl di ɔgan we gɛt valyu pas ɔl na wi bɔdi, we na di at? Tide wi de tɔk bɔt dis kayn siriɔs sik, bɔt nɔto bɔku pipul dɛn no bɔt am. Dat na sik we di at mɔsul kin wik ɛn sik bikɔs i de drink pasmak.
Fɔ tɔk am simpul wan, wetin na di bad tin we rɔm kin du to di at?
Dɛn kɔl dis sik we dɛn kɔl Alcohol-Induced Cardiomyopathy . Insay Sinhala, dɛn kin jɔs kɔl am "at mɔsul sik we kin kam wit rɔm." Wetin kin apin ya na dat we yu drink rɔm pasmak fɔ lɔng tɛm, di pɔyzin kemikal dɛn we de insay da rɔm de kin pwɛl yu at mɔsul.
Tink bɔt wan rɔba band. Wetin go apin if yu kɔntinyu fɔ strɛch am? Afta sɔm tɛm, i kin lɔs in ɛlastik ɛn i kin lɛf fɔ du sɔntin, nɔto so? Na dat kin apin to wi at. di pat dεm na di at, spεshal wan di men chεmba dεm we dεn kכl di vεntrikl dεm, de strεch sכmtεm εn big. As dɛn de big, di at mɔsul de wik. Di mɔsul dɛm we wik nɔ kin ebul fɔ pɔmp blɔd fayn lɛk aw dɛn bin de du trade. Dis kin mek di ɔksijɛn we kin go na di wan ol bɔdi kin bigin fɔ stɔp.
Udat dɛn de pan denja?
Dis kin apin to ɛnibɔdi we de drink tumɔs rɔm. Nɔto jɔs di wan dɛn we gɛt "alcohol use disorder." Bɔt i kin mɔs bi pan di wan dɛn we gɛt disɔda fɔ yuz rɔm ɛn pan pipul dɛn we gɛt jɛnɛtiks fɔ mek dɛn ebul fɔ mɛtabolayz rɔm sloslo.
Dis nɔto tin we rili kɔmɔn. I kin afɛkt ɔl 1% to 2% pan pipul dɛm wae de drink pas aw dɛn kin drink rɔm. Bɔt if yu de na da smɔl pasɛnt de, di bad tin dɛn we go apin to yu kin rili siriɔs.
Wetin na ‘binge drinking’?
We wi se "drinking too much," e kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt pan mɛrɛsin, wi de gi am klia difinishɔn.
- Fɔ uman dɛn: Fɔ drink pas 8 drink dɛn insay di wik.
- Fɔ man dɛn: Fɔ drink pas 15 drink dɛn insay di wik.
Naw yu kin de wɔnda, "Wetin na dis 'drink'?" I dipen pan di kayn rɔm we yu de drink.
| Di kayn rɔm we dɛn kin drink | Wan drink ikwal (aprɔksimat) . |
|---|---|
| Bia (Bia - 5% alkol) . | Na lɛk 350 ml (wan rɛgyula kan) . |
| Wayn (Win - 12% alkol) . | Na lɛk 150 ml (wan standad wayn glas) . |
| Spirit - 40% alkol | Na lɛk 45 ml (wan ‘shot’) . |
Di impɔtant tin na dat, ivin if yu drink rɔm insay dɛn limit ya, i nɔ min se yu nɔ de pan denja fɔ gɛt ɛni wɛlbɔdi prɔblɛm. I bɛtɛ ɔltɛm fɔ mek di at nɔ drink rɔm.
Aw dis sik kin afɛkt di bɔdi?
Dis na sik we de insay di kategori we dɛn kɔl Dilated Cardiomyopathy , we min se na sik we di at mɔsul kin strɛch ɛn di at kin big.
- di rεdukshכn fכ pכmp: di tu lכw chεmba dεm (chamba dεm) na di at de du di men wok fכ pכmp bכdi. di rayt vεntrikl de pכmp bכdi to di lכng dεm, εn di lεft vεntrikl de pכmp blכd to di rεst כf di bכdi. we dεn mכsul dεm ya wik, dis pכmp fכnshכn nכ de du fayn.
- Prɔblɛm dɛn we gɛt fɔ du wit ilɛktrik sistɛm: Wi at de bit bay we wi de yuz wan sistɛm we gɛt ilɛktrik signal. As di shep fɔ di at de chenj, di rod dɛn we dɛn ilɛktrik signal ya de travul kin ambɔg. Dis kin mek di at nɔ de bit ɔltɛm. Wi kin kɔl dɛn tin ya aritmi (at we nɔ de bit ɔltɛm). Sɔntɛnde, dɛn tin ya kin ivin mek pɔsin in layf de pan denja.
- ska tisu fכmeshכn: di tכxik ifekt dεm we rכkol kin mek kin mek ska tisu fכm na di at mכsul. Dis kin ambɔg di ilɛktrik wok bak na di at.
Yu tink se dis na jɔs prɔblɛm we dɔn de fɔ lɔng tɛm?
Nɔ, sɔntɛnde, ivin prɔblɛm dɛn we kin apin fɔ shɔt tɛm kin apin. Wan kɔndishɔn de we kin apin we yu drink bɔku bɔku rɔm wan tɛm. Sɔm pipul dɛn kin kɔl dis "Holiday Heart Syndrome." Dis kin apin we yu de pati ɛn drink tumɔs insay di ɔlide.
We pɔsin drink bɔku rɔm wan tɛm, di at kin bit kwik kwik wan, i nɔ kin ebul fɔ pɔmp fayn, ɛn i kin ivin shek. Dɛn kɔl dis fibrilɛshɔn .
| Di tin dɛn we nɔ de apin ɔltɛm | Wetin de apin ɛn di bad tin dɛn we kin apin to am |
|---|---|
| Atrial Fibrilashɔn we pɔsin kin gɛt | di כp chεmba dεm na di at (atria) nכ de pכmp fayn εn i de wik. Dis kin mek blɔd klɔt insay. If dis blɔd klɔt travul go na di bren, i kin mek pɔsin gɛt strok . |
| Ventrikulεr Fibrilεshכn | di lכw, men chεmba dεm (sεl dεm) na di at kin bigin fכ shek. Dis na tin we rili denja. Dis kin mek yu fɔdɔm, at atak, ɔ ivin in at kin stɔp. |
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku sayn dɛm kin kam bikɔs di at wik ɛn nɔr kin ebul fɔ pɔmp blɔd fayn fayn wan.
- Fɔ blo shɔt: I nɔ kin izi fɔ blo, mɔ we yu de du ɛksɛsayz, waka, ɔ ledɔm fɔ sɔm tɛm.
- Kɔf: Dray kɔf we de kɔntinyu fɔ kɔf kin apin.
- Swel (Edima): Leg, ankles, ɛn fut kin swel.
- Taya ɛn wik: Fɔ fil taya sote yu nɔ ebul fɔ du natin.
- Palpitations: Fɔ fil se yu at de bit fast na tin we nɔ kin izi fɔ yu.
- Chɛst pen: Ɛspɛshali we yu de aktif.
- Diziz ɛn fɔdɔm: Fɔ fil se yu de ed de tɔn, sɔntɛm yu nɔ go no natin ɛn fɔdɔm.
- Vein dɛn we de bɔl na di nɛk.
- I nɔ kin want fɔ it ɛn di mɔsul dɛn nɔ kin bɔku.
Aw fɔ no di sik?
Yu dɔktɔ go luk fɔ sɔm tin dɛn fɔ no bɔt dis sik. Dɛn nɔ go ebul fɔ no am wit jɔs wan tɛst.
1. Yu mεdikal histri εn aw yu de liv yu layf: Yu dכkta go aks yu bכt tin dεm lεk aw bכku rɔm yu de drink εn aw lɔng yu dɔn de drink. I impɔtant fɔ bi kɔmplit ɔnɛs ya.
2. Fɔ chɛk yu bɔdi: Di dɔktɔ go lisin to di at ɛn di lɔng wit stetɔskɔp ɛn chɛk fɔ si if di leg dɛn swel.
3. If yu nɔ put ɔda tin dɛn we kin mek yu at: Ɔda tin dɛn de we kin mek yu at big (e.g. jɛnɛtik sik, ɔda mɛrɛsin dɛn). Di dɔktɔ go mek shɔ fɔs se no ɔda tin nɔ de we kin mek i gɛt dis kayn tin.
Fɔ dis, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| Ekokardiogram (‘Echo’ tɛst) . | Dis na ɔltra saund skan fɔ di at. Wi kin si klia wan di sayz, shep, tik we di at in mɔsul dɛn gɛt, ɛn aw i de pɔmp blɔd. |
| Ilɛktrokardiogram (ECG/EKG) . | Dɛn kin chɛk di ilɛktrik wok we di at de du. dis kin no eni tin we nכ de apin na di at bit (arrhythmias). |
| X-ray na di chɛst | Yu kin chɛk fɔ si if di at dɔn big ɔ if wata dɔn gɛda na di lɔng dɛn. |
| Kadyak CT ɔ MRI skan | dis kin gi mכr ditayl tri-dimenshכnal (3D) imej dεm fכ di at εn stכdi di prכblεm dip wan. |
Wetin na di tritmɛnt dɛn? Yu tink se dɛn go ebul fɔ mɛn dis?
Di gud nyus ya na dat, bɔrku tɛm dɛn kin chenj dis kɔndishɔn, bɔt i kin nid fɔ mek yu gɛt bɔku kɔmitmɛnt.
Di fɔs ɛn impɔtant tin fɔ du fɔ tritmɛnt na fɔ stɔp fɔ drink rɔm kpatakpata.
We yu stɔp fɔ drink rɔm, di bad tin we de apin to yu at kin go dɔŋ smɔl smɔl, ɛn dis kin mek yu at gɛt chans fɔ wɛl. Afta lɛk 3-6 mɔnt, bɔku pipul dɛn go si se di sik dɔn ridyus bad bad wan. Sɔm pipul dɛn go wɛl kpatakpata.
We yu dɔn stɔp fɔ drink rɔm, yu dɔktɔ go gi yu mɛrɛsin fɔ kɔntrol yu sik dɛn.
- Beta-blɔk: Kɔntrol di at rit ɛn blɔd prɛshɔn.
- Diuretics: Rimov wata we nɔ nid (edema) we dɔn gɛda na di bɔdi.
Sɔntɛnde, i kin nid fɔ put tin lɛk peshɛnt mɛka fɔ kɔntrol di at in ritm ɔ fɔ du ɔpreshɔn fɔ mek di at valv dɛn we dɔn pwɛl.
Transplant fɔ di At
Di wangren we fɔ mɛn dis sik na fɔ transplant yu at. Bɔt, na tin we nɔ kin apin so ɔltɛm. Na bikɔs na smɔl at dɛn nɔmɔ de fɔ transplant. Dɔn bak, fɔ mek dɛn transplant di pɔsin in at, i fɔ lɛf fɔ drink rɔm kpatakpata .
Aw yu go ɛp yusɛf?
- Stɔp fɔ drink rɔm: Dis na di bɛst ɛn impɔtant tin we yu go du. If yu nɔ ebul fɔ stɔp, den ridyus am to di minimum. Bɔt fɔ stɔp kpatakpata na di bɛst.
- Fɔ fala yu dɔktɔ in instrɔkshɔn: Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm ɛn di rayt tɛm. Mek shɔ se yu go na di klinik dɛn.
- Di it we go ɛp yu at: Ridyus it dɛn we gɛt bɔku sɔl ɛn kɔlɔstrel. It mɔ vɛjitebul, frut, ligɛm, ɛn it dɛn we gɛt bɔku fayv.
- Vitamin ɛn minral: Pipul dɛn we de drink bɔku kin gɛt vaytamɛn ɛn minral we nɔ de. So, i rili impɔtant fɔ it tin dɛn we gɛt bɛlɛsin.
Ustɛm yu fɔ go to dɔktɔ?
If yu na pɔsin we de drink pasmak ɛn yu gɛt wan ɔ mɔ pan di sayn dɛn we wi dɔn tɔk bɔt, yu fɔ rili go to dɔktɔ. Go to dɔktɔ wantɛm wantɛm, mɔ if yu gɛt ɛni wan pan dɛn sik ya:
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| Si yu dɔktɔ. |
|
| Go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm. |
|
Fɔ dɔn, rɔm na tin we de kil pɔsin we nɔ de tɔk natin ɛn i kin pwɛl wi layf if wi drink am pasmak. If yu ɔ pɔsin we yu sabi gɛt prɔblɛm lɛk dis, nɔ fred fɔ aks fɔ ɛp. Yu dɔktɔ rɛdi fɔ ɛp yu ɛn sho yu di rayt rod. We yu lɛf fɔ drink rɔm, yu go gɛt wɛlbɔdi layf bak.
Mɛsej we dɛn kin kɛr go na os
- If yu drink rɔm pasmak ɛn fɔ lɔng tɛm, dat kin pwɛl yu at mɔsul dairekt wan, i kin mek i wik ɛn mek di at big.
- Nɔ ignore di sayn dɛm lɛk wae yu nɔr de blo fayn, yu leg dɛn de swel, yu taya pasmak, ɛn yu at de bit kwik kwik wan.
- Di bɛst ɛn impɔtant tritmɛnt fɔ dis sik na fɔ stɔp fɔ drink rɔm kpatakpata. Bɔrku tɛm, dis kin ɛp di at fɔ wɛl.
- If i nɔ izi fɔ yu fɔ lɛf fɔ drink rɔm, go to dɔktɔ ɛn sɔpɔt yu.
- Ɔltɛm fala yu dɔktɔ in instrɔkshɔn, tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ du, ɛn tek layf we go mek yu at pwɛl.
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