Yu pikin gɛt dis at prɔblɛm? Lɛ wi tɔk bɔt Coarctation of the Aorta

Na nɔmal tin fɔ mek yu fred ɛn shɔk we dɔktɔ tɛl yu smɔl pikin se dɛn gɛt at prɔblɛm we dɛn bɔn wit. Bɔt nɔ wɔri. If yu no gud gud wan bɔt di sik we wi go tɔk bɔt tide, we dɛn kɔl Coarctation of the Aorta, yu kin ebul fɔ bia wit am fayn fayn wan. Lɛ wi tek wan simpul luk pan wetin i bi, wetin mek i kin apin, ɛn wetin dɛn kin du.

Wetin na Koarktashɔn fɔ di Aɔta (CoA)?

Fɔ tɔk am simpul wan, Coarctation of the Aorta (CoA) na wan sik we dɛn kin bɔn wit at . I kin apin we wan pat pan di aorta, we na di men blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn frɔm wi at to di ɔda pat na wi bɔdi, kin smɔl. Di wɔd “coarctation” rili min “narrowing.”

Imajin wetin go apin if dɛn lɔk wan len na di rod wantɛm wantɛm we ebi ebi trafik jam de na di Kɔlɔmbɔ-Gale Rod? Ɔl di motoka dɛn go bigin fɔ muf, ɛn big big trafik go de. Na dat kin apin we wan pan di big big blɔd vesel dɛn na wi bɔdi kin blok. Di blɔd nɔ go ebul fɔ flɔ fayn.

dis blכk kin apin bifo di vein dεm we de kכri bכdi to di lכw pat dεm na di bכdi sheb. dis kin mek di bכdi prεshכn we de kכmכt na di at to di כp pat dεm (an, ed) de go כp, εn di prεshכn we de kכmכt na di bכdi to di lכw pat dεm na di bכdi (leg dεm) de dכn. Infakt, dis big difrɛns we dɔktɔ go si we i de chɛk di blɔd prɛshɔn na yu pikin in an ɛn leg na wan pan di men tin dɛn we go ɛp yu fɔ no dis sik.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Difrɛns de bitwin bebi ɛn big pikin?

Di sayn dɛm kin difrɛn difrɛn wan bay aw di blɔk kin tranga. If di blɔk bad bad wan, di pikin kin bigin fɔ sho di sik insay wan ɔ tu wiks afta dɛn bɔn am. Bɔt if di blɔk rili smɔl, di sayn dɛn nɔ kin apin te i smɔl, ɔ atɔl.

Sɔm pikin dɛn nɔ kin notis ɛni sayn. Sɔntɛnde, di fɔs tɛm we dɛn kin no dis prɔblɛm na we di dɔktɔ kin chɛk dɛn blɔd prɛshɔn na klinik ɔltɛm ɛn si se i ay.

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

Pan ɔl we wi nɔ no di rayt tin we kin mek dis apin, dɔktɔ dɛn biliv se i gɛt sɔntin we de mek i gɛt jɛnɛtiks . dis min se sכm jεnεtik chenj dεm we de apin we di pikin de divεlכp na di bεlε kin mek di aorta nכ fכm fayn fayn wan.

Wan men rizin fɔ dis na we di we aw wan smɔl blɔd vesel we dɛn kɔl di ductus arteriosus kin chenj.

apat frכm dat, pikin dεm we gεt sכm jεnεtik kכndyushכn, lεk Turner syndrome, kin gεt bכku risk fכ gεt dis CoA kכndyushכn.

Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit am?

If dɛn nɔ no dis sik ɛn trit am kwik, difrɛn prɔblɛm dɛn kin apin as tɛm de go.

• Ay blɔd prɛshɔn (Hypertension) ɔlsay na di bɔdi.
• di at mכsul we de tik pasmak (lεft vεntrikulכr haypatrכfi) .
• di fεt dεm we de na di at dεm we de gi bכdi to di at (koronary artery disease) fכs fכs pas aw i nכmal.
• wan bulge we lεk balכn (aneurysm) na di aorta כ wan bכdi we de na di bren.
• Wan sik wae de mek di at nɔr kin ebul fɔ pɔmp inof blɔd(at we nɔ de wok fayn) kin apin.

Aw dɔktɔ dɛn kin no dis sik kɔrɛkt wan?

Bɔku tɛm, na di wan dɛn we de mɛn pikin dɛn we de mɛn dɛn at kin no se dɛn gɛt dis sik. Dɛn kin du dis mɔ bay we dɛn de chɛk di pikin in bɔdi.

• Fɔ chɛk di difrɛns pan blɔd prɛshɔn na di an ɛn leg .
• Fɔ chɛk di puls na di nɛk ɛn di groin.
• At grɔmbul na difrɛn sawnd we dɛn kin yɛri we dɛn put stetɔskɔp na di chɛst ɛn bak.

Apat frɔm dat, dɛn kin du wan Echocardiogram (echo) , we na skan fɔ di at fɔ kɔnfirm di sik ɛn fɔ no aw di at dɔn blok. Sɔntɛnde, dɛn kin nid fɔ du CT ɔ MRI skan bak.

Ɔda at sik dɛm wae kin kam wit dis

כlmost 45% to 75% pan di pikin dεm we gεt CoA gεt wan kכndyushכn bak we dεn kכl bicuspid aortic valve . dis min se di valv we de kכri bכdi frכm di at to di aorta gεt tu kכsp nכmכ insted fכ tri. pan tap dat, dεn kin si kכndishכn dεm lεk ol dεm na di at (atrial septal dεfekt כ vεntrikulכr septal dεfekt) dεn kin si bak wit dis kכndyushכn.

Wetin na di tritmɛnt dɛn we yu kin gɛt?

Dɛn kin no aw fɔ trit di pikin bay di ej we di pikin ol, aw di aɔta stenɔsis dɔn rich, ɛn if ɔda at sik dɛn de.

Ɔpreshɔn

Di bɛst tritmɛnt fɔ bebi ɛn smɔl pikin dɛn na ɔpreshɔn.

• rεsεkshכn wit εnd-to-εnd anastomosis: dis involv fכ kכt di sכmכl pat pan di blכk εn kכnekt di tu pat dεm we hεlty bak.
• rεsεkshכn wit εkstend εnd-to-εnd anastomosis: if blכk de along di bεnd fכ di aorta, dεn de du dis mכr komplεks כpεrayshכn.

di pikin dεm we gεt siriכs simptom dεm we dεn bכn kin nid fכ gi dεm mεdikeshכn lεk prostaglandin (PGE-1) fכ mek di pikin in kכndishכn stebul bifo dεn כpεrayshכn.

Kadiak Kateterizashɔn

Dis na we we simpul pas ɔpreshɔn. Dɛn kin yuz dis we if di blɔk nɔ bɔku, ɔ if di blɔk kam bak afta dɛn dɔn du di ɔpreshɔn.

• Balɔn angioplasty: Dɛn kin put smɔl tin we tan lɛk balɔ insay blɔd vesel ɛn blo am fɔ mek di say we dɛn blok big.
• Balɔn angioplasty wit stent ples: Dɛn kin mek di say we dɛn blok big wit balyɔn, ɛn dɛn kin put wan smɔl tiub we tan lɛk mɛsh (stɛnt) insay fɔ mek di say nɔ blok bak.

Aw mi pikin in fiuja go tan lɛk?

Wit di advans diagnostik we ɛn tritmɛnt tide, pikin we gɛt CoA kin liv nɔmal, wɛlbɔdi layf. Pan ɔl we trade di avɛrej layf we dɛn sik pipul ya kin liv na lɛk 35 ia, naw dɛn kin liv wɛl layf fɔ 60 ia ɔ mɔ.

Di tin we impɔtant pas ɔl na dat, ivin afta yu dɔn gɛt tritmɛnt, yu nid fɔ go na dɔktɔ we de mɛn yu at fɔ di res ɔf yu layf.

Dɔn, Dɔktɔ, .

• Dɛn kin wach di pikin in blɔd prɛshɔn ɔltɛm.
• Dɛn kin du tɛst lɛk skan fɔ chɛk aw di at de wok.
• Gi advays bɔt aw fɔ it fayn ɛn ɛksesaiz.
• I kin gi yu mɛrɛsin if nid de.

We yu kam fɔ no se yu pikin gɛt dis sik, yu kin gɛt bɔku kwɛstyɔn dɛn. Yu go de wɔnda wetin mek dis apin. Mɛmba ɔltɛm se dis nɔto yu fɔlt. Yu dɔktɔ ɛn di mɛdikal tim go du ɔl wetin dɛn ebul fɔ ɛp yu ɛn yu pikin. Nɔ shek fɔ aks dɛn kwɛstyɔn ɛn tɔk bɔt wetin yu de fred.

Koarktashכn fכ di Aorta Sinhala, Kכrakshכn fכ di Aorta, Hat sik we dεn bכn wit, Bebi in at sik, Pikin dεm at sik, Ay blכd prεshכn, Kכnεkshכn at dεfεkt Sinhala