Sɔntɛnde yu kin fil tayt smɔl na yu chɛst, lɛk se yu de sniz? Ɔ i nɔ kin izi fɔ yu fɔ blo we yu de tray tranga wan smɔl? Sɔntɛnde, dɛn tin ya kin kam bikɔs wi gɛt prɔblɛm wit di valv dɛn na wi at, we de wok lɛk get. Tide wi go tɔk bɔt wan sik we gɛt fɔ du wit di Aortic Valve, we na wan pan di impɔtant "get" dɛm na di at. Dis na wetin wi kin kɔl `(Aortic Valve Disease)`.
Wetin na dis `(Aortic Valve Disease)`?
Fɔ tɔk am simpul wan, di aɔta valv de mek di blɔd kɔmɔt na di men pɔmp chɛmba na yu at (di lɛft ventricle) to di big blɔd vesel (di aorta) we de kɛr blɔd go na di ɔda pat na yu bɔdi. I de wok lɛk di men domɔt na os. Tink bɔt am, dis domɔt gɛt fɔ opin ɛn lɔk di rayt tɛm.
- we i opin: εvri tεm we di at de bit, dis valv fכ opin ful wan, fכ mek כl di bכdi fכ fכlכ kכmכt na di at, insay di aorta. Na da tɛm de nɔmɔ da blɔd de go gi di wan ol bɔdi ɔksijɛn ɛn tin dɛn fɔ it.
- We dɛn lɔk am: Afta sɔm blɔd dɔn kɔmɔt, dis valv fɔ lɔk tayt, we go mek blɔd nɔ flɔ bak insay di at.
If wan ɔ ɔl tu pan dɛn tin ya nɔ de wok fayn, dat min se wi de tɔk bɔt wan kɔndishɔn we dɛn kɔl `(Aortic Valve Disease)`.
Tu men kayn dis de, nɔto so?
Yes, tu men kayn `(Aortic Valve Disease)` de. 1.
`(Aortic Stenosis)` - di valv we de sכmtεm sכmtεm: dis na we di at in domɔt, dat na di aorta valv, de sכmtεm sכmtεm εn i nכ kin opin fayn fayn wan. Imajin se di domɔt jɔs opin smɔl. Dɔn, nɔto inof ples de fɔ mek blɔd kɔmɔt na di at. Di at gɛt fɔ wok tranga wan fɔ push di blɔd tru dis smɔl domɔt. 2.
`(Aortic Regurgitation)` - di valv de lik: Dis na we di do nכ de kכloz fayn fayn wan. If di domɔt nɔ lɔk fayn, sɔm pan di blɔd we dɔn kɔmɔt kin lik bak insay di at. Jɔs lɛk we dɛn nɔ ebul fɔ lɔk wata tap fayn, wata kin lik.
De impɔtant tin na dat, ilɛksɛf yu gɛt wan ɔ ɔl tu pan dɛn sik ya, yu nɔ go ivin no am fɔ sɔm tɛm. Dis na bikɔs bɔrku tɛm, de sik kin jɔs kam afta de sik dɔn go bifo smɔl. So i impɔtant fɔ no bɔt dis.
Udat dɛn kin gɛt dis sik mɔ?
pan ɔl we ɛnibɔdi kin gɛt dis sik we dɛn kɔl ``Aortic Valve Disease,'' sɔm pipul dɛn kin gɛt bɔku risk. Dɛn na:
- Pipul dɛn we dɔn pas 60 ia: As yu de ol, chenj kin apin na di valv dɛn.
- Pipul dεm we dεn bכn wit sכm difrεns na dεn at valv dεm: fכ egzampl, wan kכndyushכn de we dεn kכl `` Bicuspid Aortic Valve ''. nכmal wan, di aorta valv gεt tri liflet dεm. Bɔt dɛn pipul ya gɛt tu liflet.
- Na in dɛn bɔn amPipul wae gɛt hat sik (`(Congenital Heart Disease)`).
- Pipul dεm we dεn bin gεt rεdyushכn tεrapi to di chεst εria: Dεn kin gi rεdyushכn tεrapi to di chεst fכ sכm kayn kεnsar (e.g., Hodgkin Lymphoma). Dis kin afɛkt di valv dɛn as tɛm de go.
- Pipul dεm wae gεt Rimatik Hat Disease: Riumatik fiva, wae kin bigin as trot infεkshכn, kin pwεl di at valv dεm.
Na kɔntri dɛm lɛk Amɛrika ɛn Yurop, dɛn kin tek dis as di sik dɛm we kin bɔku ɛn we kin denja pas ɔl pan di at valv sik dɛm. Dɛn se 6 pan 10 pipul dɛm we kin day bikɔs ɔf at valv sik na bikɔs ɔf dis. Dat min se if yu ad ɔl di ɔda valv sik dɛm (mitral, pulmonary, tricuspid) togɛda, di nɔmba fɔ di wan dɛm we de day na mɔ.
Wetin na di sayn dɛm fɔ dis?
As wi bin dɔn tɔk,
nɔr kin gɛt ɛni sayn atɔl na di fɔs stej. Bɔt as di sik de go bifo, yu kin bigin fɔ gɛt tin dɛn lɛk:
- Chɛst de pen ɔ tayt: I kin tan lɛk se sɔmbɔdi de swɛt yu chɛst.
- Syncope: Na we yu nɔ de no natin wantɛm wantɛm.
- Hat palpitations: Yu kin fil lɛk se yu at de bit fast fast wan wan, ɔ yu kin yɛri "pounding" sawnd na yu chɛst.
- Dispnea: I nɔ kin izi fɔ yu fɔ blo , mɔ we yu de du sɔntin, we yu de du ɛksɛsayz, we yu de ledɔm, ɔ we yu de slip na nɛt.
- Ɛdima (di leg ɛn anklɛ dɛn kin swel): Di leg dɛn we de dɔŋ kin swel.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
difrεn rizin kin de we mek dis `(Aortic Valve Disease)` de divεlכp.
- Di valv kin west wit di ej: Dis na di men rizin. Jɔs lɛk aw di pat dɛn na mashin kin west we dɛn de yuz am.
- Rimatik At Sik: As wi bin dɔn tɔk, rεumatik fiva kin mek di valv dɛn pwɛl.
- At sik we dɛn bɔn wit: Fɔ ɛgzampul, we pɔsin gɛt baykuspid aɔta valv.
- Ay Blɔd Prɛshɔn : If yu gɛt ay blɔd prɛshɔn fɔ sɔm tɛm, dat kin afɛkt di valv dɛn bak.
- di hat valv infεkshכn (endocarditis): I de damej di valv dεm bikoz fכ baktri infεkshכn.
- Injury na di chɛst ɛn aksidɛnt.
- Thoracic Aortic Aneurysm: Di aorta de swel.
- Aortic Dissection: Na wata we de kɔmɔt na di wɔl na di aorta.
- Radiation therapy to di chɛst (fɔ tin dɛm lɛk kansa).
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Risk de fɔ gɛt dis sik wit tin dɛm lɛk:
- If yu dɔn pas 60 ia.
- if di valv tik εn kalsiכm de dכn (Aortic Valve Sclerosis) (insay dis kes, di valv nכ sכmtεm yet, bכt i kin bi fכs sayn fכ di sik).
- if yu gεt difεkt we yu bכn wit yu valv, spεshal wan `(Bicuspid Aortic Valve)`.
- If yu dɔn gɛt rεumatik fiva trade.
- If yu bin dɔn gɛt at valv infɛkshɔn (endocarditis).
- If yu gɛt sɔm ɔndalayn mɛdikal kɔndishɔn (fɔ ɛgzampul, Marfan Syndrome, Ehlers-Danlos Syndrome, Lupus).
Stej dɛm de fɔ dis sik?
Yɛs, dis sik kin go bifo smɔl smɔl. Dɔktɔ dɛn kin yuz 4 stej fɔ tɔk bɔt aw i siriɔs:
- Stej A (At Risk / Stej A): Yu aorta valv de wok fayn dis tɛm, bɔt yu gɛt at le wan risk factor fɔ mek yu gɛt di sik.
- Stej B (Progresiv): Dis na mild to moderate Aortic Valve Disease. Smɔl chenj de pan di wok we di valv de du, bɔt yu nɔ gɛt ɛni sayn yet.
- Stej C (Asymptomatic Severe / Stej C): Dis na wan bad bad fכm fכ Aortic Valve Disease. Yu nɔr kin gɛt sɔm kayn sik wae yu de du yu nɔrmal tin dɛm. Bɔt yu kin gɛt sɔm sayn dɛn we yu de du ɛksɛsayz strɛs tɛst.
- C1: Di at kin stil pamp inof blɔd to di bɔdi.
- C2: di at nכ kin pכmp dat bכku bכdi (Lεft Vεntrikul Ejekshכn Frakshכn - `(Lεft Vεntrikul Ijekshכn Frakshכn)` sכmtεm sכmtεm 50%).
- Stej D (Symptomatic Severe): Yu gɛt siriɔs aɔta valv sik we de mek yu gɛt sɔm sayn dɛn na yu ɛvride layf. Fɔs, di sayn dɛn kin apin nɔmɔ we yu de du ɛksɛsayz, bɔt leta, di sayn dɛn kin apin ivin we yu nɔ de du ɛksɛsayz.
Us prɔblɛm dɛn dis kin mek?
Dis na siriɔs sik, ɛn if dɛn nɔ trit am fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn.
Di prɔblɛm we kin apin mɔ ɛn we kin denja pas ɔl na we at kin pwɛl . Dis min se yu at nɔ ebul fɔ pamp inof blɔd to yu bɔdi. Dis kin mek yu nɔ ebul fɔ wok fayn ɔlsay na yu bɔdi. Ɔda prɔblɛm dɛn we kin apin na:
- At bit we nɔ de ɔltɛm (`(Aritmia)`).
- At atak.
- Sudden Cardiac Arrest (`(Sɔdan Kadiak Arest)`).
- Strɔk (`(Strok)`).
Aw yu no dis? Us tɛst dɛn dɔktɔ dɛn kin yuz?
Dɔktɔ dɛn kin no dis sik bay we dɛn kin chɛk yu ɛn du sɔm ɔda spɛshal tɛst dɛn. We dɛn de du ɛgzam, dɔktɔ go du dɛn tin ya:
- Dɛn kin aks bɔt yu mɛrɛsin, lɛk if ɛnibɔdi na yu famili gɛt at sik.
- Dɛn de chɛk yu impɔtant sayn dɛm (blɔd prɛshɔn, puls rit, ɛn ɔda tin dɛm).
- Dɛn kin lisin to di at wit stɛtoskɔp (`(Auscultation)`). If yu yɛri abnɔmal at sawnd (dɛn kɔl am `(Murmur)`), i kin bi sayn fɔ `(Aortic Valve Disease)`.
- Dɛn kin du wan ECG (ilɛktrokardiogram). Dis de chɛk di ilɛktrik wok we di at de du.
pan tap dat,
wan `(Echocardiogram)` (Echocardiogram) na di men εn bεst tεst fכ no `(Aortic Valve Disease)`. dis de yuz ay frikכnshכn sawnd wev dεm (`(Ultrasound)`) fכ tek layv pikchכ dεm fכ di at εn di valv dεm. Dis kin sho ɔltin frɔm if di valv de opin ɛn lɔk fayn fayn wan to if blɔd de flɔ bak. Ɔda tɛst dɛn we yu kin gɛt:
- Kadiak Kateterizashכn (`(Kadyak Kateterizεshכn)`).
- Wan CT skan fɔ di at.
- Wan ɛkstrem rayt na di chɛst.
- Wan korona angiogram (`(Koronari Angiogram)`).
- Eksayz Strɛs Tɛst (`(Eksayz Strɛs Tɛst)`).
- Wan MRI fɔ di at.
Wetin na di tritmɛnt?
Di tritmɛnt de dipen pan sɔm tin dɛm, lɛk di kayn Aortic Valve Disease wae yu gɛt (stenosis, regurgitation, ɔr ɔl tu),
aw i dɔn go bifo (stej), ɛn aw yu de si yu sik. Yu dɔktɔ go chɛk yu sik ɛn tɛl yu bɔt di bɛst tritmɛnt plan fɔ yu. Di tritmɛnt we dɛn kin pik kin bi:
- Mɛrɛsin: Mɛrɛsin nɔ go ebul fɔ mɛn yu valv prɔblɛm kpatakpata. Bɔt dɛn kin ɛp fɔ kɔntrol di sayn dɛm, ridyus di strɛs pan yu at, ɛn ridyus di risk fɔ mek yu gɛt prɔblɛm. Dɔktɔ kin gi yu mɛrɛsin fɔ mek yu at nɔ bit ɔltɛm, fɔ mek yu blɔd prɛshɔn go dɔŋ, fɔ kɔntrol di kɔlɔstrel, ɔ fɔ trit di at we nɔ de wok fayn.
- Valvuloplasty: Dis na smɔl tin we nɔ nid fɔ kɔt big say. Dɛn kin put smɔl tiub tru yu leg ɔ yu an, ɛn dɛn kin yuz balyɔn na di ɛnd fɔ mek yu aɔta valv we dɔn smɔl, big. If yu gɛt aɔta stenɔsis, dis kin mek di blɔd flɔ fayn fayn wan tru di valv. Bɔt bɔku tɛm, dis kin bi sɔlv fɔ sɔm tɛm.
- Hat Valve Surgery: Insay dis prosidur, wan sajin go ɔl tu ripɛnt yu aorta valv ɔ riples am wit nyu wan. Di nyu valv kin bi tisu valv ɔ mɛkanikal at valv we dɛn mek wit sɔntin lɛk mɛtal. Sɔntɛnde, dɔktɔ dɛn kin du valv ɔpreshɔn wit korona at baypas graftin (CABG) ɔ ɔda ɔpreshɔn fɔ di at.
- Transcatheter Aortic Valve Replacement (TAVR): TAVR na nyu, minimally invasive ɔltɛrnativ to tradishɔnal opin-at ɔpreshɔn. insted fכ mek big say na di chεst, dεn kin put sכm sכm tכb tru wan blכd vesel na di leg fכ put nyu aorta valv insay di at, εn dεn kin tay di ol valv insay.
- Ross Procedure: Dis na prosidur we nid nyu aorta valv, mɔ fɔ pipul dɛn we nɔ rich 60 ia yet.Dɔk we de du ɔpreshɔn kin chenj yu aorta valv wit yu yon pulmonary valv (di valv we de kɛr blɔd frɔm di at to di lɔng), dɔn i kin chenj di pulmonary valv we dɛn pul wit dona pulmonary valve. Dis na wan we we kɔmplikt smɔl.
Ɛni we dɛn de fɔ avɔyd dis?
Aortic Valve Disease nɔ kin izi fɔ mek yu nɔ gɛt am ɔltɛm. Bɔrku tɛm, e kin kam bikɔs pɔrsin dɔn ol, in at sik wae dɛn kin bɔn wit, ɔr pɔrsin kin gɛt lɔng tɛm mɛrɛsin wae nɔr kin izi fɔ kɔntrol. Bɔt yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt ɛn fɔ mek yu at valv dɛn wɛl as yu ebul:
- Nɔ tek tin dɛn we dɛn kin yuz fɔ smok ɛn drɔgs fɔ ɛnjɔy yusɛf ɔltogɛda. Dɛn tin ya rili bad fɔ di at.
- Ɛksesaiz fɔ at le 30 minit bɔku de dɛn insay di wik. Ivin sɔntin we simpul lɛk fɔ waka ɔ fɔ rayd baysikul fayn.
- We yu sik, mɔ if yu gɛt baktriyal infɛkshɔn lɛk strep trot, go to dɔktɔ wantɛm wantɛm. If dɛn nɔ trit dɛn tin ya, dɛn kin tɔn to rεumatik fiva ɛn pwɛl di at valv dɛn.
- Tek di mɛrɛsin dɛm we yu dɔktɔ tɛl yu fɔ tek (e.g., mɛrɛsin fɔ ay blɔd prɛshɔn ɔ kɔlɔstrel) kɔrɛkt wan ɛn di rayt tɛm.
- If yu gɛt valv sik, go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu so dat dɛn go ebul fɔ trit am kwik kwik wan. Di kwik we dɛn no am, na di mɔ di tritmɛnt go wok fayn.
Wetin yu nid fɔ no we yu de liv wit dis sik?
Wae dɛn dɔn no se yu gɛt Aortic Valve Disease, aw e go afɛkt yu kin dipen pan bɔrku tin. Dɛn tin ya na we dɛn bin no se yu gɛt dis sik,
aw di sik dɔn go bifo, ɛn yu ɔl yu wɛlbɔdi. I impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt yu tumara bambay. Dɛn kin gi yu klia aidia bɔt aw yu go du tritmɛnt ɛn wetin fɔ ɛkspɛkt. Yu dɔktɔ go gi yu advays bɔt aw yu go chenj yu layf ɛn aw yu go kia fɔ yusɛf ɛvride. Tek tɛm fala dɛn instrɔkshɔn ya, ɛn aks ɛni kwɛstyɔn we yu gɛt. Yu dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:
- Yu fɔ it tin dɛn we go ɛp yu at (lɛk di Mɛditarenian Dayt): It mɔ vɛjitebul, frut, ligɛm, fish, ɛn it dɛn we gɛt fayv. Ridyus sɔl, shuga, ɛn ɔyl.
- Ɛksesaiz: Bɔt, i kin dipen pan aw yu Aɔta Valv Sik bad, yu kin gɛt tin dɛn we yu nɔ fɔ du fɔ ɛksesaiz. I impɔtant fɔ aks yu dɔktɔ di rayt tin we yu fɔ du ɛn wetin yu nɔ fɔ du.
- Stɔp fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok kpatakpata.
- Fɔ mek yu nɔ gɛt at valv infɛkshɔn (endocarditis), i impɔtant fɔ tek kia ɔf yu tit ɛn yu gɔm fayn fayn wan: Fɔ brus yu tit ɛvride ɛn fɔ go to dɛntist ɔltɛm na impɔtant tin.
Ustɛm a fɔ go to di dɔktɔ?
Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ go to yu dɔktɔ.
I impɔtant fɔ mek yu kip ɔl yu apɔntinmɛnt dɛn. Yu dɔktɔ go du tɛst ɔltɛm, lɛk ɛkokadiogram fɔ wach aw yu at ɛn yu valv de wok. Dɛn tɛst ya kin ɛp
yu dɔktɔ fɔ tɛl yu fɔ gi yu di rayt tritmɛnt ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn tumara bambay.
Kɔl yu dɔktɔ wantɛm wantɛm if yu:- If yu sayn dɛm (lɛk we yu de fil pen na yu chɛst, yu nɔ de blo fayn) de wɔs.
- If yu gɛt nyu sayn dɛn.
- If yu gɛt sayd ɛfɛkt frɔm yu mɛrɛsin.
Ustɛm yu fɔ go na di imejensi rum?
If sɔntin lɛk dis apin to yu
, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm, ɔ kɔl 1990:- I nɔ bad if yu fɔdɔm ɔ yu nɔ no natin.
- If yu fɔdɔm we yu de tek mɛrɛsin dɛn we de mek yu blɔd tan (e.g. Warfarin, Aspirin). Dɛn mɛrɛsin ya kin mek yu gɛt blɔd insay yu bɔdi if yu fɔdɔm ɔ yu wund.
- If yu gɛt sayn dɛn fɔ infekshɔn na yu wund (rɛd, swel, fiva, pus we de smɛl fayn) afta dɛn dɔn ɔpreshɔn yu ɔ du ɔpreshɔn.
- If yu gɛt sayn dɛm fɔ at atak (`(Symptoms of a Heart Attack)`): yu chɛst de pen bad bad wan, yu nɔ de ebul fɔ blo, pen we de rayt to yu lɛft an, yu nɛk, yu jaw, yu de swet, yu de nɔs, yu de vɔmit.
- If yu gɛt siriɔs prɔblɛm fɔ blo wantɛm wantɛm.
- Di sayn dɛm wae de sho se yu gɛt strok na: yu nɔr de fil fayn ɔr wik na yu bɔdi, yu nɔr de tɔk fayn, yu de drɔp na wan say na yu fes, yu de si yu yay kwik kwik wan, ɛn yu ed de at bad bad wan.
Fɔ no se yu gɛt Aortic Valve Disease kin mek yu fred ɛn i kin mek yu at pwɛl. Dat na nɔmal tin. Bɔt di gud nyus na dat, wit di advans tritmɛnt dɛn tide, yu kin ridyus yu sik dɛn bad bad wan, ridyus yu risk fɔ gɛt prɔblɛm dɛn, ɛn liv wɛlbɔdi ɛn aktif layf. If yu de fil wɔri ɔr de wɔri bɔt tumara bambay, fɔ tɔk to ɔda pipul dɛm wae gɛt hat valv sik ɛn fɔ jɔyn sɔpɔt grup kin ɛp. Aks yu dɔktɔ bɔt am.
So, wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori?
Aortic Valve Disease na wan sik we de afɛkt wan rili impɔtant valv na wi at ɛn i kin rili siriɔs. Bɔt
nɔ fɔgɛt se if dɛn no am kwik, afta dat dɛn gi am di rayt advays we di dɔktɔ gi am, ɛn trit am fayn, dɛn go ebul fɔ kɔntrol am fayn fayn wan. If yu gɛt ɛni sayn, mɔ na yu chɛst pen, yu nɔ de blo fayn, yu taya, ɔ yu de fɔdɔm, nɔr ignore am ɛn tink se na "jɔs ɔda tin."
Si dɔktɔ wantɛm wantɛm ɛn gɛt advays. Mɛmba se fɔ kia fɔ yu at na di big ɛp we yu go ebul fɔ du fɔ yusɛf! At we gɛt wɛlbɔdi min fɔ gɛt wɛlbɔdi layf.
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