Yu at valv dɔn blok? Lɛ wi tɔk bɔt (Aortic Stenosis)!

Sɔntɛnde yu kin fil pen na yu chɛst, yu nɔ kin blo fayn, ɔ yu kin gɛt diziz? Ɔ yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk ɔ yu ed kin tɔn wantɛm wantɛm? dis kin bi we wan pan di imכtant valv dεm na yu at, we na di aorta valv, sכm. Dɔktɔ dɛn kin kɔl dis sik Aortic Stenosis. We dis kin apin, i kin at fɔ mek di at pɔmp blɔd to di ɔda pat dɛn na di bɔdi. Di bɔdi nɔ kin gɛt inof ɔksijɛn. Dis nɔto sɔntin we yu kin wet fɔ, bikɔs i kin pwɛl yu at, mek yu gɛt siriɔs wɛlbɔdi prɔblɛm, ɛn sɔntɛnde i kin ivin put yu layf pan denja.

So wetin na dis `(Aortic Stenosis)`?

Fɔ tɔk am simpul wan, wi at tan lɛk smɔl os, i gɛt 4 rum dɛn. Bitwin dɛn chɛmba dɛn ya, usay blɔd de kɔmɔt na di at, sɔm pat dɛn de we tan lɛk domɔt. Wi kin kɔl dɛn at valv ya. wan pan dεn fכ valv dεm ya dεn kכl am di Aortic Valve. Dis na di las get we blɔd kin pas frɔm di at to di ɔda pat dɛn na di bɔdi. Lɛk pɔsin we de kia fɔ di get, dis get de jɔs mek blɔd flɔ na wan say ɛn i de stɔp am fɔ flɔ bak insay di at. dis Aortic Valve gεt tri sכm sכm flap dεm (liflet dεm). if dεn flap dεm ya nכ opin fayn εn blכk כ sכmtεm, den wan kכndyushכn we dεn kכl Aortic Stenosis de apin.

Tink bɔt am lɛk wata paip we kin stɔp na di midul ɛn i nɔ kin izi fɔ mek wata kɔmɔt. Na nɔmal tin fɔ fil smɔl fred we yu yɛri bɔt prɔblɛm wit dis ɛntrɛ. Bɔt naw bɔku advans we dɛn de fɔ trit dis sik , so nɔr nid fɔ wɔri.

Aw kɔmɔn dis sik (Aortic Stenosis)?

Dis kכndyushכn wae dεn kכl `(Aortic Stenosis)` na tru tru kכmכn pan pipul dεm wae pas 65. Bɔt i sɔri fɔ no se bɔrku pipul dεn nɔr kin no se dεn gεt dis kכndyushכn te di sayn dεm kin kam tranga. Sɔmtɛm dɛn kin no am we dɛn de du tɛst fɔ ɔda sik. Sɔm sik kin mek dis sik na di midul ej, arawnd 40-50 ia. na sכm tεm, dis `(Aortic Valve Stenosis)` kin apin bak pan yכŋ pikin dεm as ``Congenital condition``.

Wetin na di sayn dɛm fɔ dis?

Nɔto ɔlman we gɛt Aortic Stenosis go gɛt di sayn dɛn wantɛm wantɛm. Sɔm pipul dɛn nɔ kin notis ɛnitin fɔ lɔng lɔng tɛm. Bɔt wae de sik kin tranga pasmak, sɔm kayn sayn dɛm lɛk dis kin kam:

• Fɔ fil se yu taya pasmak: Yu kin fil so taya dat yu nɔ go ivin ebul fɔ du di wok dɛn we yu kin du ɔltɛm.
• Palpitations: Yu kin yɛri yu at de bit, ɔ yu kin fil se i de bit fast fast, ɔ yu chɛst kin fil lɛk se i de bit. Wi de kɔl dis ``Palpitations''.
• di leg dεm εn di ankכl dεm we de swεla: Di lכw pat dεm na di leg dεm εn rawnd di ankכl dεm kin swel.
• Chɛst pen: Dis na wetin dɛn kɔl `(Angina)`. I kin fil lɛk se yu de swɛt, tayt, ɔ ebi ebi na yu chɛst. Sɔntɛnde dis pen kin go na di nɛk, jaw, lɛft an, ɔ ivin di sayd na di bɛlɛ.
• I nɔ kin izi fɔ yu fɔ blo: Yu kin gɛt prɔblɛm fɔ blo, mɔ we yu taya smɔl, ɔ ivin jɔs we yu de rɛst.
• Diziz, fɔdɔm: Yu kin fil diziz, yu yay kin tɔn blu, ɛn yu kin ivin fɔdɔm.

Mɛmba se, jɔs bikɔs yu gɛt dɛn sik ya nɔ min se yu gɛt Aortic Stenosis. Bɔt if yu kɔntinyu fɔ gɛt dɛn, yu fɔ rili go to dɔktɔ . Di pɔsin we de kia fɔ yu fɔs kin sɛn yu to dɔktɔ we de mɛn yu at.

Aw kwik dis sik kin kam siriɔs?

Dis na difrɛn tin fɔ ɔlman. fכ sכm pipul dεm, dis `(Aortic Valve Stenosis)` kin wכs sכmtεm, ova ia. Fɔ ɔda pipul dɛn, i kin wɔs kwik kwik wan, ivin insay sɔm mɔnt. Di impɔtant tin na dat, if yu delay fɔ gɛt tritmɛnt, yu nɔ go ebul fɔ mek di tin we dɔn pwɛl na yu at. If yu gɛt siriɔs `(Aortic Stenosis)`, risk de fɔ mek yu at day wantɛm wantɛm. Na dat mek yu dɔktɔ go tɛl yu nɔ fɔ delay fɔ trit yu if yu gɛt sɔm sayn dɛn.

Wetin mek dis `(Aortic Stenosis)` kin apin? Wetin na di tin dɛn we kin mek i apin?

Tri men rizin dɛn de we mek big pipul dɛn kin gɛt Aortic Stenosis:

1. Degeneration wae gɛt fɔ du wit ej: Dis na de tin wae kin mek pɔrsin gɛt dis sik. As tɛm de go, lɛk laymskayl we de na wata paip, di kalsiɔm kin gɛda na yu at in aɔta valv. Dis kin mek di valv tik ɛn blok, we kin mek i nɔ opin ɛn lɔk fayn. Bɔku tɛm dis kin apin afta i dɔn ol 65 ia.

2. Damej frɔm infɛkshɔn: If dɛn nɔ trit sɔm baktri infɛkshɔn dɛn fayn, di baktri kin go insay di blɔd ɛn travul go na di at valv dɛn. Dɔn wi yon imyun sistɛm kin pwɛl dɛn valv dɛn ya. Fɔ ɛgzampul, if dɛn nɔ trit yu trot infɛkshɔn (Strep throat) ɔ Scarlet fiva fayn, wan sik we dɛn kɔl Rimatik fiva kin kam ɛn pwɛl di at valv dɛn. Dis damej kin tek sɔm ia, sɔm tɛm dɛn de fɔ bɔku bɔku ia, fɔ mek i klia. Dis kin afɛkt pipul dɛm wae dɔn pas 50 ia.

. Dɔn bak, dis risk kin bɔku pan pipul dɛm wae gɛt ɔtoimyun sik dɛm lɛk `(Lupus)` ɛn `(Rheumatoid arthritis)`.

Ɔda tin dɛn de we kin mek dis sik?

yes, sεvεra כda tin dεm de we de mek di risk fכ divεlכp `(Aortic Valve Stenosis):`

• Fɔ bi man.
• Bikɔs i dɔn pas 65 ia.
• di kכlestכl lεvεl dεm na di bכdi de inkrεs (Hyperlipidemia).
• Fɔ gɛt ay blɔd prɛshɔn.
• Yuz tin dɛn we dɛn kin mek wit tabak (lɛk sigrɛt, beedis).

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf dis `(Aortic Stenosis)`?

we yu gεt `(Aortic Stenosis)`, di at gεt fכ wok tranga wan fכ push bכdi tru da sכm sכm opin de. I tan lɛk se yu de tray fɔ push opin domɔt we dɔn stɔp. We di at wok tumɔs dis kayn we, i kin wik as tɛm de go. Dis na di rizin we mek:

• At atak
• Hat fεil ( we di at nɔ ebul fכ pכmp inof bכdi to di bכdi) .
• Di day we di at kin day wantɛm wantɛm
• Pulmonari haypatɛyshɔn
• Blɔd we de kɔmɔt pasmak
• wan infεkshכn na di insay layn na di at (`Infective endocarditis`) .

Siriɔs prɔblɛm dɛn kin apin.

Aw dɔktɔ dɛn kin no dis?

If yu sɔspɛkt se yu gɛt Aortic Stenosis, dɔktɔ we de mɛn yu at go chɛk yu. Dɛn kin no dis sik bay wae yu gɛt yu sik (if ɛni wan de) ɛn wan ɔr mɔr pan dɛn tɛst ya:

• Fɔ chɛk yu bɔdi: Di ​​dɔktɔ go chɛk yu leg ɛn anklɛ fɔ si if yu swel, dɔn i go lisin to yu at wit stetɔskɔp. If yu gɛt aortic stenosis, yu at de grɔmbul na kɔmɔn sayn.
• ECG test (`Electrocardiogram - ECG or EKG`): dis de mכsu di ilektrikal aktiviti fכ di at.
• Chɛst X-ray, Angiography, ɔ Cardiac CT scan: Ɔl dɛn tin ya kin yuz X-ray ɔ ɔda we fɔ luk insay di bɔdi, mɔ di at ɛn di lɔng dɛn.
• Echocardiogram: Dis na di men tεst we dεn kin yus fכ no di aortic stenosis. I de yuz ɔltra saund wev fɔ si klia wan aw di at valv dɛn de wok, if dɛn dɔn blok, ɛn aw blɔd de flɔ.
• Ɛksesaiz strɛs tɛst: I de mɛzhɔ tin dɛn lɛk aw yu at de wok ɛn chenj na yu ECG we yu de rɔn pan tredmil ɔ rayd baysikul.
• Cardiac catheterization: Insay dis prosidur, dɔktɔ kin put wan smɔl, tin tiub (catheter) insay wan vein na yu an ɔ leg ɛn trɛd am insay yu at fɔ mɛzhɔ di prɛshɔn we de na yu valv dɛn ɛn si aw dɛn tayt.
• Hat MRI (Magnetic Resonance Imaging): Dɛn kin yuz wan strɔng magnɛtik fil fɔ tek pikchɔ dɛn we rili ditayli bɔt di at.

Afta dɛn tɛst ya, yu dɔktɔ go klas yu sik bay di sayn dɛm we yu gɛt ɛn aw yu aɔta valv dɔn smɔl. Bɔku tɛm, 4 stej dɛn kin de: A, B, C, ɛn D, wit D na di wan we kin rili bad.

Wetin na di tritmɛnt dɛm fɔ `(Aortic Stenosis)`?

If yu gɛt `(Aortic Stenosis)` bɔt nɔr gɛt ɛni simptom, we min se di kɔndishɔn nɔr so bad, yu dɔktɔ go tɛl yu fɔ kam fɔ chɛk-ap ɔltɛm ɛn du `(Echocardiogram)` tɛst. Bɔt if yu gɛt sɔm sayn dɛn, dat min se yu go nid tritmɛnt. Bɔku men tritmɛnt dɛn de we yu kin pik:

• Mɛrɛsin: If di sik nɔr tu tranga, dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol de sik. Dɛn tin ya kin bi tin dɛn we de mek blɔd tan, tin dɛn we de mek pɔsin nɔ gɛt wata, ɛn mɛrɛsin fɔ mek pɔsin gɛt at ritm, ay blɔd prɛshɔn, ɛn at pwɛl. Bɔt mɛmba se, mɛrɛsin dɛn nɔmɔ kin kɔntrol di sayn dɛn we pɔsin kin gɛt; dɛn nɔ kin ebul fɔ stɔp di valv fɔ mek i nɔ wɔs.
• Valv ripa: Dɛn kin du dis tru ɔpreshɔn ɔ wan tin we dɛn kɔl balyɔn valvuloplasty.
• ɔspitul ripa (`Aortic valve surgery`): Ɔspitul kin mek wan say we dɛn kɔt yu chɛst ɛn go dairekt to di at valv, i kin pul di blɔk we dɔn blok, ɛn ripɛnt am.
• Balכn valvכplasti: insay dis prכsidכm, dεn kin fכm wan balכn we gεt sכm tכb (kateta) we dεn put insay di at insay di valv we sכm, we de mek di valv big. Dis kin mek yu nɔr gɛt di sik fɔ sɔm tɛm. Bɔrku tɛm dɛn kin du am fɔ pipul dɛm wae nɔr kin ebul fɔ gɛt ɔpreshɔn fɔ riples dɛn valv, ɔr as tɛmporari rilif bifo dɛn ɔpreshɔn.
• Valv riplesmɛnt: If di valv dɔn pwɛl tumɔs fɔ mek dɛn ripɛnt am, i go nid fɔ chenj am. Bɔku we dɛn de fɔ du dis:
• di ɔpreshɔn fɔ riples di aɔta valv: Dɛn kin pul di valv we dɔn pwɛl ɛn put nyu valv. Dis nyu valv kin bi mɔtalman dona (bɔku tɛm na pɔsin we dɔn day), bayɔprostɛtik valv (bɔku tɛm na kaw ɔ pig), ɔ mɛkanikal valv we dɛn mek wit mɛtal.
• Ross prosidur: Dis na spɛshal ɔpreshɔn. insay dis, dεn de tek yu כwn pulmonary valv εn transplant am to di ples we di aorta valv bin de bifo. afta dat, dεn kin put wan valv frכm wan dכna na di ples we di pulmonari valv bin de bifo.
• Transcatheter Aortic Valve Replacement (TAVR ɔ TAVI): Dis na di nyu ɛn advans prosidur. Na big ɔpreshɔn, we min se dɛn kin chenj di valv we dɛn nɔ opin di chɛst. dεn kin put wan sכm sכm tכb (kateta) tru wan big vein na di lεg כ an, εn dεn kin pas wan valv we dεn fold tru am go na di at, usay dεn kin fכs am insay di aorta valv we dεn blכk. Bɔku tɛm dɛn kin du dis fɔ ol pipul dɛn we nɔ kin ebul fɔ bia wit big ɔpreshɔn.

Aw lɔng e kin tek fɔ wɛl afta dɛn tritmɛnt ya?

Dis kin difrɛn difrɛn wan bay di tritmɛnt we dɛn yuz.

• If dɛn de du ɔpreshɔn pan yu:I kin tek sɔm tɛm fɔ mek i wɛl. Bɔku tɛm yu kin gɛt fɔ de na ɔspitul fɔ sɔm dez. Ivin afta yu dɔn go na os, i kin tek sɔm wiks, sɔntɛm wan ɔ tu mɔnt, bifo yu wɛl ɔl ɛn yu kin bigin fɔ du yu nɔmal tin dɛn bak.
• If yu dɔn gɛt prɔsidyu lɛk Balloon valvuloplasty ɔ TAVR: Dɛn prɔsidyu ya nid fɔ gɛt rili shɔt tɛm fɔ wɛl. Sɔntɛnde, yu kin go na os di sem de ɔ di nɛks de afta di ɔpreshɔn. Yu kin go bak to yu nɔmal layf insay sɔm dez.

we de fכ mek dis `(Aortic Stenosis)` nכ divεlכp?

Aortic Stenosis kin bi fɔ sɔm rizin dɛn. Na mɔtalman, i rili impɔtant fɔ trit baktriyal infɛkshɔn kwik ɛn fayn. Fɔ ɛgzampul, if yu gɛt strɛp trot infɛkshɔn, yu fɔ tek antibayɔtik jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. I nɔ fayn fɔ lɛ yu stɔp fɔ tek dɛn jɔs bikɔs di pen dɔn stɔp. If yu du dat, i go mek yu nɔ gɛt rεumatik fiva ɛn i nɔ go pwɛl di at valv dɛn.

Bɔt bɔku tɛm i nɔ kin izi fɔ mek dɛn nɔ gɛt ``Aortic Valve Stenosis'', we kin kam bikɔs ɔf ol, sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa, ɔ sɔm sik dɛn we nɔ de mɛn. Bɔt fɔ fala di we aw yu de liv yu at (gud it, ɛksesaiz, ɛn fɔ avɔyd fɔ smok) kin ɛp fɔ kɔntrol aw di sik de wɔs.

If a gɛt `(Aortic Stenosis)`, wetin a fɔ ɛkspɛkt?

Di fiuja fɔ yu Aortic Stenosis kɔndishɔn, dat na aw yu go de, go dipen mɔ pan aw yu go gɛt tritmɛnt kwik ɛn fayn fayn wan.

• If dɛn nɔ trit am: Aortic Stenosis, mɔ if i rili bad, kin mek pɔsin in layf de pan denja. Bɔrku pipul nɔr kin liv pas sɔm ia if dɛn nɔr gɛt tritmɛnt.
• Delay Tritmɛnt: If di tritmɛnt delay, di rizɔlt dɛn kin miks. I dipen pan if di at dɔn pwɛl fɔ ɔltɛm. Di mɔ damej de, na di mɔ di kɔndishɔn go wɔs. Yu go wɛl te to sɔm mak, bɔt i nɔ kin izi fɔ tink se yu go wɛl ɔltogɛda.
• If dɛn trit am kwik ɔ kwik: If dɛn trit am kwik ɛn fayn, di luk fɔ `(Aortic Stenosis)` rili fayn. Yu go nid fɔ go fɔ chɛk-ap ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn fɔ di res ɔf yu layf, bɔt ɔdasay yu kin bigin bak lɛk ɔl yu nɔmal tin dɛn ɛn liv gud layf.

Aw a kin kia fɔ misɛf?

• If yu aɔta stenɔsis nɔr de ɛn yu nɔr gɛt ɛni sayn, ɔl wetin yu nid fɔ du na fɔ de du ɛkokadiogram ɔltɛm ɛn go to yu dɔktɔ.
• If yu gɛt mɔdaret Aortic Valve Stenosis, yu kin nid fɔ wach di sik dɛn we yu gɛt, fɔ du ɛkokardiogram ɔltɛm, fɔ stɔp yu fɔ du tin (as yu dɔktɔ tɛl yu fɔ du), ɛn tek sɔm mɛrɛsin dɛn.
• If yu gɛt siriɔs aɔta valv stenɔsis, yu go nid fɔ kɔntinyu fɔ go to yu dɔktɔ ivin afta dɛn dɔn ripɛnt ɔ riples di valv. Sɔm mɛrɛsin dɛn kin nid fɔ tek fɔ di res ɔf yu layf.
• Na ɔl di lɛvul dɛn, yu dɔktɔ go tɛl yu fɔ it it we nɔ gɛt bɔku sɔl ɛn fat, ɛn fɔ ɛksesaiz ɔltɛm. Bɔt yu fɔ aks yu dɔktɔ us lɛvul fɔ ɛksesaiz we fayn fɔ yu.

Ustɛm a fɔ go to mi dɔktɔ?

Ilɛksɛf yu dɔn disayd nɔ fɔ go to tritmɛnt ɔ yu nɔ gɛt tritmɛnt yet, yu fɔ tɔk to yu dɔktɔ wantɛm wantɛm if ɛni wan pan dɛn tin ya apin:

• If nyu simptom fɔ `(Aortic Stenosis)` de apia, ɔ if di simptom dɛm we de naw de wɔs wantɛm wantɛm.
• If yu sik bigin fɔ ambɔg yu ɛvride layf.

Ustɛm a fɔ go na di imejensi rum (ER)?

Afta yu dɔn bigin fɔ tek nyu mɛrɛsin, go na di imejensi rum if ɛni wan pan dɛn tin ya apin:

• If yu gɛt wan bad bad sayd ɛfɛkt we yu nɔ bin de ɛkspɛkt frɔm wan mɛrɛsin (yu dɔktɔ go tɛl yu us sayd ɛfɛkt dɛn we yu nid fɔ go to dɔktɔ wantɛm wantɛm).
• If yu faint ɔ yu nɔ slip fɔ ɛni rizin, i nɔ bad.
• If yu tek blɔd thinner ɛn fɔdɔm, yu de pan ay risk fɔ blɔd insay yu bɔdi - mɔ afta yu dɔn fɔdɔm ɔ ɔda injury.

Ilɛksɛf afta dɛn dɔn ɔpreshɔn yu ɔ yu dɔn yuz kateshɔn, go na di imejensi rum if ɛni wan pan dɛn tin ya apin:

• If di say we yu kɔt rɛd, swel, ɔ wam we yu tɔch am, dɛn tin ya na sayn dɛn fɔ se yu gɛt infekshɔn we nid fɔ gɛt tritmɛnt kwik kwik wan.
• If yu gɛt siriɔs sayn dɛm fɔ Aortic Stenosis, lɛk wae yu nɔr kin ebul fɔ blo fayn, yu chɛst kin pen, yu at kin bit kwik kwik wan, ɔr yu kin fɔdɔm.
• If yu tek blɔd thinner ɛn fɔdɔm, na fɔ di sem rizin we wi bin dɔn tɔk bɔt.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Dɔktɔ, yu tink se mi sik dɛn go wɔs?
• A go gɛt fɔ chenj wan valv?
• Us kayn valv bɛtɛ fɔ mek a chenj?
• Ustɛm na di bɛst tɛm fɔ mek dɛn du mi ɔpreshɔn?
• Wetin na di las tritmɛnt fɔ dis?

Mɛsej we dɛn kin kɛr go na os

Okay, so naw yu dɔn ɔndastand di kɔndishɔn we wi bin tɔk bɔt we dɛn kɔl `(Aortic Stenosis)`. Yɛs, i kin rili mek yu fred fɔ gɛt pat pan yu at, dat na get we rili impɔtant, we nɔ de wok fayn. Bɔt di tin we impɔtant pas ɔl na fɔ lɛ wi nɔ fred ɛn go to dɔktɔ fɔ advays ɛn nɔ de te.

If yu gɛt ɛni wan pan dɛn tin ya, ɔ if pɔsin na yu famili gɛt at sik, mek shɔ se yu go to dɔktɔ ɛn mek dɛn chɛk yu at.

Pan ɔl we `(Aortic Stenosis)` na kɔmpleks kɔndishɔn, mɛrɛsin dɔn go bifo bɔku pan dɛn tɛm ya. Wit ɔpreshɔn ɛn di nyu kateshɔn-based tritmɛnt dɛm lɛk `(TAVR)` we wi bin tɔk bɔt, di ebul fɔ trit am nɔ ɛva bɛtɛ. So nɔ fred. If yu no di sik kwik kwik wan ɛn gɛt di rayt tritmɛnt, yu kin liv wɛl bɔdi layf bak. Tek kia of yu hat, okay?

` Aortic Stenosis, Hat Valv, At Sik, Chɛst Pen, Brith Difikulti, At Ɔpreshɔn, TAVR