Yu dɔn ɛva tink se smɔl smɔl get dɛn de insay wi at we de mek blɔd go na wan say nɔmɔ? Yɛs, na tru. Bɔt sɔntɛnde, dɛn get ya kin gɛt smɔl lik. Na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl `(Aortic Regurgitation). Fɔ tɔk am simpul wan, di get we de pɔmp blɔd insay di at in men blɔd vesel nɔ kin lɔk fayn, ɛn sɔm blɔd kin lik bak insay di at. Nɔ wɔri, wi go tɔk bɔt dis ditayli.
Wetin na `(Aortic Regurgitation)`? Lɛ wi ɔndastand am simpul wan!
Imajin se wan men get de na yu at, we wi kɔl di `(Aortic Valve)`. dis de rayt bitwin yu at εn di `(Aorta)`, we na di big bכdi we de na di bכdi. εvri tεm we yu at de bit, klin, כksijεn-rich bכdi de go tru dis `(Aorta)` to di כl bכdi.
so, we di men pכmp chεmba na di at, di lεft vεntrikl, kכntrakt, dis aorta valv de opin fכ mek bכdi kכmכt. afta dat, we di lεft vεntrikl rilaks, dis valv fכ klos tayt. Na da tɛm de di blɔd de flɔ stret bifo i nɔ kam bak na di at.
Bɔt pan pɔsin we gɛt Aortic Regurgitation, di Aortic Valve nɔ kin lɔk fayn. dis min se evri tεm we di lεft vεntrikl rilaks, sכm bכdi de lik bak insay da chεmba de. Pan ɔl we dis na rial tin we de mɔna pipul dɛn, bɔt gud tin na dat, dɔktɔ dɛn gɛt we fɔ trit am.
Aortic Regurgitation na wan pan di kayn hat valv sik wae kin pasmak. I kin difrɛn frɔm di kayn we aw i kin siriɔs to we i nɔ kin rili bad . Sɔntɛnde, dɔktɔ dɛn kin kɔl am bak Aortic Insufficiency.
Wetin na di men kayn `(Aortic Regurgitation)`?
Dɔktɔ dɛn kin sheb Aortic Regurgitation to tu men kayn dɛn:
1. Akyu tayp: Dis na tin we kin apin wantɛm wantɛm, we kin apin wantɛm wantɛm.
2. Krεse kayn sik: Dis na sik wae de kam sכmtεm sכmtεm as tεm de go. Dɛn kin si dis kayn sik wae nɔr de mɛn na kɔntri dɛm lɛk Amɛrika.
Apat frɔm dat, dɔktɔ dɛn kin sheb dis sik mɔ, dipen pan di kayn prɔblɛm. Dɛn kin sheb di sik bak to stej A, B, C, ɛn D, i kin dipen pan aw i siriɔs . Stej D na di stej we kin rili bad.
Wetin na di simptom dɛm fɔ `(Aortic Regurgitation)`?
Chek if yu gɛt ɛni wan pan dɛn sayn ya:
- Fɔ fil pen ɔ tayt na yu chɛst .
- A gɛt kɔf.
- Fɔ fil taya ɔltɛm.
- At palpitations na we di at de bit abnɔmal wan, lɛk we pɔsin de flɔt.
- Sɔmtɛm yu kin lɔs kɔnshɛns (syncope).
- Yu kin gɛt shɔt briz (dyspnea) we yu de du ɛksɛsayz. Leta, yu kin gɛt shɔt briz we yu de ledɔm ɔ we yu de tray fɔ slip.
- Ankles ɛn fut dɛn kin swel (ɛdima).
Bɔt mɛmba se, .If yu gɛt mild, chronic aortic regurgitation, yu nɔ kin gɛt ɛni sayn fɔ lɔng tɛm. Di sayn dɛm go jɔs apia smɔl smɔl as di sik de wɔs.
Wetin na di tin dɛm we kin mek pɔsin gɛt `(Aortic Regurgitation)`?
Bɔku rizin dɛn de we kin mek dis kayn tin apin. Lɛ wi tek wan luk pan wetin dɛn bi:
- Valv wik we yu de ol: Dis na di tin we kin apin pas ɔl na Amɛrika ɛn Wɛstin Yuropian kɔntri dɛm.
- Rimatik Hat Disease: Dis na de big tin wae kin mek pɔrsin gɛt dis sik na bɔrku divɛlop kɔntri dɛm. I kin kam wit rεumatik fiva, we kin apin afta yu gεt trot infεkshכn we dεn nכ trit.
- Di ay blɔd prɛshɔn.
- Endocarditis: Dis kin bi bikɔs ɔf wan infekshɔn we de go insay di blɔd.
- Trauma to di chɛst: Fɔ ɛgzampul, sɔntin lɛk motoka aksidɛnt.
- Tɔraks Aɔtik Anɛrizm.
- Disekshɔn na di Aɔtik.
- Sɔm tin dɛn we kin apin we pɔsin bɔn wit di Aɔta Valv: Fɔ ɛgzampul, wan sik we dɛn kɔl Bicuspid Aortic Valve. dis min se di valv, we nכmal fכ gεt tri kכsp, nכmכ gεt tu kכsp.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Sɔm chenj dɛn na yu aɔta valv ɛn ɔda wɛlbɔdi prɔblɛm dɛn kin mek yu gɛt dis valv sik we de lik. Yu kin de pan denja if yu:
- if yu gεt `(Bicuspid Aortic Valve)` כ כda kכnεkshכn valv dεfekt: Pipul dεm we gεt `(Bicuspid Aortic Valve)` kin כlwayz bigin fכ lik dis valv bitwin di ej fכ 20 εn 40 ia.
- di kalsifikεshכn na di aorta valv liflet dεm: Pipul dεm we gεt dis prכblεm kin ol pas 60 ia, εn dεn kin gεt mכr dan wan valv prכblεm.
- Fɔ gɛt wan sik we de afɛkt di aorta we de go ɔp to di at (Aortopathy).
- If yu bin dɔn gɛt rεumatik fiva bifo ɔr dɛn dɔn no se yu gɛt rεumatik at sik.
- If yu bin dɔn gɛt aɔta valv riplesmɛnt bifo: Sɔntɛnde di bayɔprostɛtik valv kin bigin fɔ wok fayn smɔl smɔl as tɛm de go.
Wetin na di prɔblɛm dɛn we kin apin we di Aortic Regurgitation kin apin?
imajin, we di `(Aortic Valve)` lik, ekstra bכdi de fכlכ bak insay di `(Left Ventricle)` na di at. Dɔn, di say we dɛn de pɔmp kin ful-ɔp wit blɔd. as a rizulyt, di `(Left Ventricle)` gεt fכ wok tranga wan fכ dil wit dis εkstra bכdi εn pכmp di bכdi we dεn nid insay di `(Aorta)`.
as tεm de go, dis kin mek di mכsul wכl dεm na di lεft vεntrikl tik εn big. Dɛn kɔl dis Left Ventricular Hypertrophy. Dis kin mek di at nɔ wok fayn.
Dis kin mek ɔda prɔblɛm dɛn lɛk at pwɛl ɛn at at pwɛl.
akyu aorta rigεt kin mek i gεt siriכs kכndyushכn lεk pulmonari εdima εn di kadyak autput dεm we de dכn.
Aw dɛn kin no dis sik?
Dɔktɔ dɛn kin no di Aortic Valve Regurgitation tru wan fyzikal ɛgzam ɛn difrɛn tɛst dɛn.
We dɛn de chɛk yu bɔdi, yu dɔktɔ go:
- Tɔk bɔt yu mɛdikal istri.
- Dɛn kin chɛk di sayn dɛn we impɔtant, lɛk yu blɔd prɛshɔn.
- Yu dɔktɔ go lisin to yu at wit stetɔskɔp ɛn chɛk fɔ wan difrɛn sawnd we dɛn kɔl aortic regurgitation murmur. dis sawnd de kכmכt we di bכdi de fכlכ bak insay di lεft vεntrikl.
we yu de mכsu bכdi prεshכn, if big gap de (mכr dan 40 mmHg) bitwin di כp εn lכw valyu dεm, dis na sayn bak se di aorta valv kin de lik.
Us tεst dεm dεn kin du fכ no if yu gεt `(Aortic Regurgitation)`?
Di men tɛst we dɛn kin yuz fɔ no dis sik ɛn we dɛn kin tek as "gold standad" na di ``Echocardiogram'' ɔ ``Echo'' tɛst. dis de yuz ay frikכnshכn sawnd wev dεm ``Ultrasound'' fכ tek pikchכ fכ di at. di dכkta kin yuz difrεn mεtכd dεm, lεk ``Doppler Ultrasound'', fכ chεk aw yu valv dεm de wok. ``Doppler Ultrasound'' de sho di spid εn di dairekshכn we di bכdi de fכlכ tru di at.
Ɔda tɛst dɛm wae dɛn kin nid fɔ no bɔt dis sik ɔr fɔ plan tritmɛnt na:
- X-ray na di chɛst
- Ilɛktrokardiogram (ECG/EKG) .
- At MRI tɛst
- Koronari Angiogram we dɛn kin du
- CT skan fɔ di at
- Ɛksesaiz Strɛs Tɛst
Aw dɛn kin trit di Aortic Regurgitation?
Aortic regurgitation kin trit am wit mɛrɛsin ɔ ɔpreshɔn . If yu gɛt akyu sik, yu go nid tritmɛnt wantɛm wantɛm.
Dipen pan aw yu sik bad, yu kin nid fɔ du ɔpreshɔn fɔ mek yu ripɛnt ɔ fɔ chenj yu aɔta valv ɔltogɛda. Yu dɔktɔ go chɛk yu ɛn disayd if i nid fɔ du ɔpreshɔn. Dɛn go ɛksplen bak to yu di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn. Tin dɛm lɛk fɔ yuz tabak ɛn ɔda mɛrɛsin wae dɛn nɔr kin kɔntrol kin mek pɔrsin gɛt mɔr prɔblɛm ɛn kin mek i nɔr izi fɔ mek i wɛl.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ if di ɔpreshɔn fayn fɔ yu ɛn wetin de apin to yu.
If valv ɔpreshɔn nɔto opshɔn fɔ yu, yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol yu at we nɔ de wok fayn ɛn fɔ mek yu liv bɛtɛ layf. Ɔda mɛrɛsin dɛn kin mek yu nɔ gɛt bɔku blɔd ɛn yu nɔ gɛt strok. Bɔt mɛmba se pan ɔl we mɛrɛsin kin kɔntrol di sayn dɛm, dɛn nɔ kin ebul fɔ stɔp ɔ mɛn di bad bad aɔta we de kɔmɔt na di bɔdi.
Wetin na de kɔmplikeshɔn ɔr sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?
Pipul dɛn we dɛn dɔn ripɛnt ɔ riples wan aɔta valv kin nid fɔ gɛt ɔda ɔpreshɔn tumara bambay. Risk dɛn de bak lɛk:
- Strok
- At Atak we pɔsin kin gɛt
- Blɔd we de kɔmɔt
- Sik we de prɛd
- At bit irɛgyulariti `(Aritmia)`
Afta yu dɔn riples di aɔta valv, yu go nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (anticoagulants) fɔ mek yu blɔd nɔ klɔt. Dɛn kin tek dɛn tin ya fɔ sɔm mɔnt (fɔ bayɔprostɛtik valv dɛn we dɛn mek wit pig, kaw, ɔ mɔtalman tisu) ɔ fɔ layf (fɔ mɛkanikal valv dɛn). Sɔntɛnde, di valv we dɛn dɔn chenj kin muf ɔ lik.
If yu gɛt nyu valv, yu dɔktɔ kin advays yu fɔ tek antibayɔtik bifo yu go to dɛntist. dis kin εp fכ mek di infεkshכn nכ de insay di at (endocarditis).
Yu tink se dɛn kin mek di Aortic Regurgitation nɔ apin?
Nɔr kin ebul fɔ avɔyd at valv sik ɔltɛm. Bɔt yu kin du dɛn tin ya fɔ mek yu nɔ gɛt bɔku prɔblɛm:
- Nɔ yuz tin dɛn we dɛn kin mek wit tabak.
- Nɔ yuz drɔgs.
- Du tin dɛn we yu de du fɔ yu bɔdi lɛk aw yu dɔktɔ tɛl yu fɔ du.
- If yu sik ɔ yu gɛt infekshɔn, go to dɔktɔ wantɛm wantɛm.
- Tek ɔl yu mɛrɛsin dɛn fayn fayn wan, ivin di wan dɛn we de mɛn yu blɔd prɛshɔn.
- If yu aorta dɔn dilayt, stɔp fɔ es ebi ebi.
Us kayn fiuja pɔsin we gɛt `(Aortic Regurgitation)` kin ɛkspɛkt?
Yu kin gɛt krɛse aortic regurgitation fɔ lɔng tɛm ɛn nɔr gɛt ɛni simptom. Bɔt, i kin wɔs as tɛm de go. Yu kin notis am if yu bigin gɛt prɔblɛm fɔ blo ɔ yu chɛst de pen.
Di we aw yu de si tin dipen pan bɔku tin dɛn, sɔm pan dɛn tin ya na:
- Di tɛm we yu bigin fɔ gɛt di sik.
- Aw fa di sik dɔn go bifo.
- If yu gɛt at prɔblɛm.
- Di tɛm we yu bin gɛt tritmɛnt.
- Yu ɔl wɛlbɔdi biznɛs.
Risach dɔn sho se pipul dɛn we dɛn kin du ɔpreshɔn fɔ chenj di valv bifo dɛn at pwɛl kin gɛt gud tin fɔ si fɔ lɔng tɛm, ilɛksɛf dɛn sik bad bad wan. Fɔ pipul dɛm wae gɛt at pwɛl hat, de luk kin smɔl smɔl.
Pipul wae gɛt mild to moderate aortic regurgitation kin du fayn afta tritmɛnt. di 10 ia we dεn de liv de bitwin 80% εn 95%.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we yu go du tumara bambay. Yu dɔktɔ no yu ɛn yu mɛdikal istri gud gud wan, so dɛn kin yuz da infɔmeshɔn de fɔ gi yu aidia bɔt wetin fɔ ɛkspɛkt.
Aw a kin kia fɔ misɛf?
Du wetin yu dɔktɔ tɛl yu fɔ kia fɔ yusɛf, lɛk aw fɔ tek mɛrɛsin ɛn chenj aw yu de liv yu layf. Jɛnɛral wan, i impɔtant fɔ tek ɔl yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek ɛn di sem tɛm ɛvride . Yu dɔktɔ kin tɛl yu bak bɔt sɔm chenj dɛn na yu layf, lɛk:
- Fɔ it tin dɛn we go ɛp yu at: Fɔ ɛgzampul, di Mɛditarenian Dayt. Yu dɔktɔ kin tɛl yu bak fɔ ridyus di sɔl we yu de it.
- Yu fɔ de du ɛksɛsayz ɔltɛm: Aks yu dɔktɔ ɔmɔs ɛksesaiz yu kin du ɛn us kayn ɛksesaiz we nɔ bad.
- Nɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok: Aks fɔ ɛp yu fɔ lɛf fɔ smok.
- Nɔ yuz drɔgs: Ɛspɛshali drɔgs we dɛn kin put insay yu bɛlɛ (IV drɔgs), bikɔs dɛn kin mek yu gɛt ɛndokardaytis.
- Tek kia ɔf yu tit ɛn gam gud gud wan fɔ mek yu nɔ gɛt at valv infɛkshɔn (endocarditis): Dis kin min fɔ go to dɛntist ɛvri siks mɔnt.
Ustɛm a fɔ go to mi dɔktɔ?
If yu gɛt Aortic Regurgitation, i impɔtant fɔ kip yu apɔntinmɛnt so dat yu dɔktɔ go ebul fɔ wach yu kɔndishɔn. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam.
fכ chεk di wok we yu valv dεm εn at de du, yu go nid fכ du ``Echocardiogram'' rεgulεr intaval (εvri siks mכnt to εvri fayv ia). Fɔ go na di mɛrɛsin ɔltɛm impɔtant fɔ no ɛni sayn we de sho se i de wɔs ``Aortic Regurgitation''. Dis we ya, yu kin gɛt tritmɛnt di rayt tɛm ɛn mek yu nɔ pwɛl yu at fɔ ɔltɛm.
If dɛn dɔn du ɔpreshɔn pan yu at valv, tek tɛm fala di schedule we yu dɔktɔ dɔn mek fɔ fala yu. Yu dɔktɔ go wach yu gud gud wan fɔ mek shɔ se yu at de wok fayn ɛn fɔ mek yu nɔ gɛt at pwɛl ɔ ɔda prɔblɛm.
If yu gɛt nyu sayn dɛm, if di sayn dɛm wae dɔn de de wɔs, ɔr if yu gɛt kwɛstyɔn bɔt yu sik, kɔl yu dɔktɔ ɛnitɛm.
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?
If yu gɛt sayn fɔ hat atak ɔ strok, kɔl 911 ɔ yu lokal imejensi nɔmba wantɛm wantɛm. Dɛn tin ya na imejensi we kin mek pɔsin in layf de pan denja ɛn dɛn kin nid fɔ go to dɔktɔ wantɛm wantɛm.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Fɔ liv wit at valv sik kin mek yu strɛs. Yu kin gɛt bɔrku kwɛstyɔn bɔt yu sik, bɔt yu nɔr kin no usai fɔ bigin. Na sɔm kwɛstyɔn dɛn ya yu kin aks yu dɔktɔ fɔ no mɔ:
- Aw siriɔs mi `(Aortic Regurgitation)` kɔndishɔn?
- A gɛt ɔda prɔblɛm dɛn we gɛt fɔ du wit at valv?
- A nid tritmɛnt? If na so i bi, ustɛm?
- Wetin di tritmɛnt inklud?
- Aw ɔltɛm a nid fɔ kam fɔ fala-ap apɔntinmɛnt?
- Us chenj dɛn we a fɔ chenj mi layf fɔ sɔpɔt mi at wɛlbɔdi?
Yu tink se wan smɔl kɔndishɔn we dɛn kɔl `(Aortic Regurgitation)` kin wɔs ɔltɛm?
mכr dan 25% pan di pipul dεm we gεt lεft vεntrikul disfכnkshכn kin gεt di simptom dεm insay wan ia. Bɔt pan wan stɔdi pan pipul dɛm wae gɛt mild to moderate aortic regurgitation, bɔrku pipul dɛm nɔr bin gɛt ɛni wɔs pan dɛn kɔndishɔn. Di stɔdi bin fala dɛn fɔ lɛk fayv ia so. So, nɔto ɔlman kin wɔs, bɔt i impɔtant fɔ mek dɛn chɛk yu ɔltɛm.
Yu tink se di Aortic Regurgitation de mek yu layf pan denja?
If di sik tranga ɛn i kin apin wantɛm wantɛm, i kin mek pɔsin in layf de pan denja. I kin mek yu at nɔ wok fayn, mayokardial ischemia, ɔ ivin day wantɛm wantɛm. If yu gɛt sɔm sayn dɛn we gɛt fɔ du wit bad bad tin we de kɔmɔt na yu bɔdi wantɛm wantɛm, yu nid fɔ du ɔpreshɔn wantɛm wantɛm.
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Fɔ no se yu gɛt lik aɔta valv kin mek yu fred ɛn yu kin wɔnda wetin go apin tumara bambay. Bɔt di gud nyus na dat, we dɛn dɔn go bifo pan mɛrɛsin sayɛns, dɛn kin ɛp bɔku pipul dɛn we gɛt aɔta rigurgitashɔn.
De tin wae impɔtant pas ɔl na fɔ nɔr frayd ɔr wɔri, bɔt fɔ tɔk to yu dɔktɔ bɔt yu tritmɛnt opshɔn dɛm ɛn tɔk bɔt uswan go fayn fɔ yu. If yu gɛt tritmɛnt di rayt tɛm ɛn fala yu dɔktɔ in advays, yu go ebul fɔ liv fayn layf. Tek kia ɔf yu at!
` aortic regurgitation, hat valv sik, hat sik, shɔt brith, chɛst pen, echocardiogram, at ɔpreshɔn
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