Yu aorta dɔn inflam? Lɛ wi tɔk bɔt aortitis!

Yu dɔn ɛva tink se ivin di big blɔd vesel na wi bɔdi kin gɛt prɔblɛm? Sɔmtɛm, de pen wae wi kin fil fɔ no rizin, ɔr de diskɔmfɔt wae wi kin fil na wi bɔdi, kin bi sayn fɔ sɔmtin lɛk dis. Tide wi go tɔk bɔt aortatis, we na wan sik we kin apin na di aorta, we na di men blɔd vesel na wi bɔdi.

Wetin na aɔtaytis? Lɛ wi ɔndastand am rili simpul wan.

Fɔ tɔk am simpul wan, aortatis na inflamɛns na yu aorta . Naw tink bɔt wetin na dis aorta. Na di at we big pas ɔl na wi bɔdi. I tan lɛk di men wata paip we de gi wata to wi os. na dis aorta de branch aut εn de gi כksijεn-rich, klin bכdi to εvri כgan εn tisu na wi bכdi. So, bikɔs dis aorta na blɔd vesel bak, wi kin si dis sik we dɛn kɔl aortatis as wan pat pan vasculitis , ɔ inflamation of blood vessels.

Sɔntɛnde, aortatis kin jɔs bi na di aorta. כ, i kin apin wit inflameshn fכ כda bכdi vεsul dεm na di bכdi (dεn kכl am sistεmik vaskulεt). Bɔrku kayn sistɛm vaskulaytis de. Dɔktɔ dɛn kin no dɛn tin ya bay us blɔd vesel dɛn afɛkt ɛn us ɔda sayn dɛn we dɛn gɛt.

Aortatis kin mek yu aorta big. Wi kin kɔl am aortic aneurysm . Ɔ, di aorta kin smɔl. Dɛn kɔl dis aɔta stenɔsis . Dɛn tu tin ya kin mek pɔsin in layf de pan denja . Bikɔs di aorta na di men at we de kɛr blɔd we gɛt ɔksijɛn ɔlsay na wi bɔdi. If prɔblɛm de wit am, i kin afɛkt di wan ol bɔdi sistɛm.

De sayn dɛm wae yu kin gɛt, aw dɛn kin no yu, ɛn de tritmɛnt wae yu kin gɛt kin dipen pan sɔm tin dɛm:

• Us pat pan yu aorta dis sik kin afɛkt .
• If inflamɛns de na ɔda blɔd vesel dɛn bak.
• If di dɔktɔ dɔn no wetin de mek i sik ɔ di sik we gɛt fɔ du wit am.

Yu tink se Aortitis na sik we pɔsin kin gɛt we i de fɛt insɛf?

Yɛs, bɔku dɔktɔ dɛn kin tek vasculitis (we kin mek di blɔd vesel dɛn wam) na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dis na we yu bɔdi in yon imyun sistɛm de atak in yon tisu dɛm, we kin mek yu inflamɛns. I tan lɛk se yu de bɔn yu yon os.

Aw kɔmɔn dis sik we dɛn kɔl aɔtaytis?

Aw kɔmɔn aɔtaytis de dipen pan di ɔndalayn kɔndishɔn ɔ kɔz. Dat min se, if i gɛt fɔ du wit ɔda sik ɔ i nɔ gɛt fɔ du wit am. Jɛnɛral wan, aɔtaytis nɔto wan sik we kin rili kɔmɔn .

Wetin na di sayn dɛm fɔ Aortitis?

De sayn dɛm wae de sho se yu gɛt aɔtayt kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen pan if na wan ɔndalayn kɔndishɔn we dɛn kɔl vasculitis ɔ ɔda inflammatory ɔ infectious disease de kam wit am. Sɔntɛnde, pipul dɛm wae gɛt aɔtaytis nɔr kin gɛt ɛni sayn atɔl . Na dat mek i de mek pɔsin fred smɔl.

Bɔt na sɔm sayn dɛn we kin apin:

• Chest pen: Imajin se yu de fil pen wantɛm wantɛm, we yu de swɛt ɔ chuk yu chɛst.
• Bɛlɛ pen (blɛ pen): Pen kin apin na di bɛlɛ we de dɔŋ, di chɛst, ɔ ɔlsay na di bɛlɛ.
• Bak pen: Pen, mɔ na di ɔp pat na di bak.
• Ed pen : Nɔto lɛk nɔmal ed pen, bɔt na smɔl ed we de at ɛn we nɔ de chenj.
• Vishɔn chenj: Yu nɔ de si fayn ɔ yu nɔ de si wantɛm wantɛm.
• Fiva: Di bɔdi kin wam ɛn fiva fɔ natin.
• Fɔ blo shɔt: I kin tan lɛk se yu gɛt prɔblɛm fɔ blo ivin if yu tray smɔl.
• Di leg dɛn we de swel: Di ankles dɛn na di tu leg dɛn kin swel.
• Pen na di limb dɛm (we yu de yuz): Pen kin apin we yu de muv yu an ɔ yu fut ɔr de du wok.
• Di sayn dɛm wae gɛt fɔ du wit inflamɛns: tin dɛm lɛk fɔ taya, fɔ lɛf fɔ it bɔku bɔku it, ɛn fɔ lɛ yu nɔr want fɔ it.
• Simptom dɛm wae gɛt fɔ du wit vasculitis wae de afɛkt ɔda blɔd vesel dɛm.
• Simptom dɛm wae gɛt fɔ du wit wan ɔndalayn sik (if ɛni wan de).

Us ɔda tin dɛn we aɔtaytis kin gɛt pan mi bɔdi?

Apat frɔm di sayn dɛm, pipul dɛm wae gɛt aɔtaytis kin gɛt difrɛn prɔblɛm dɛm. Dɛn tin ya rili siriɔs :

• Kidni we nɔ de wok fayn: Dis kin apin if di vein dɛn we de gi blɔd to di kidni dɛn afɛkt.
• Strɔk: If prɔblɛm de wit di blɔd vesel dɛn we de gi blɔd to di bren.
• At atak: If prɔblɛm de wit di at we de gi blɔd to di at.
• At nɔ de wok fayn: Di at nɔ kin ebul fɔ wok fayn fayn wan.
• Rup ɔ te di aorta: Dis na di wan we denja pas ɔl. If di aorta brok, i nɔ kin izi fɔ sev yu layf.

Wetin na di tin dɛn we kin mek pɔsin gɛt Aɔtaytis?

Bɔku men tin dɛn de we kin mek pɔsin gɛt aɔtaytis. i kin bi pat pan wan כndalayn kכndyushכn we dεn kכ l sεstεmik vaskulεt (inflamεshכn we de afekt di bכdi vεsul dεm כlsay na di bכdi). Ɔ i kin gɛt fɔ du wit ɔda sik we de mek pɔsin in bɔdi wam. Insay dɛn kayn tin ya, dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt di sik ɛn di aɔtaytis we gɛt fɔ du wit am . Dɔn bak, sɔm infɛkshɔn dɛnAɔtaytis kin kam bak.

Sɔntɛnde, we dɛn de du ɔpreshɔn pan di aɔta, dɛn kin no se pɔsin gɛt aɔtayt we dɛn nɔ bin de ɛkspɛkt. dis we ya, dεn kכl am "isolated focal aortatis."

Sεstεmik vaskulεt εn כda inflammatory sik dεm

Sɔm pan di sik dɛm wae kin mek pɔrsin gɛt aɔtaytis na:

• Jaynt sεl atεrayt: Dis na wan kכndyushכn we kin afekt di atεri dεm na di ed εn nεk, bכku tεm na pipul dεm we pas 50 ia.
• Takayasu arteritis: Dis na sik we de afɛkt di aorta ɛn in big branch dɛm, mɔs pan yɔŋ uman dɛm.
• Cogan syndrome: Na sik we nɔ kin apin so ɔltɛm we kin afɛkt di yay ɛn yes ɛn i kin mek pɔsin gɛt aɔtaytis.
• Behçet’s disease: Na sik wae kin mek yu gɛt sɔl na yu mɔt ɛn yu bɔdi, yu gɛt prɔblɛm wit yu skin, ɛn yu yay kin gɛt inflamɛns.
• Kawasaki sik: Dis na sik wae kin pasmak pan yɔŋ pikin dɛm . I kin mek di blɔd vesel dɛn inflamɛns.
• Polyarteritis nodosa: Na sik we de afɛkt di midul saiz at.
• Ɔda kayn `sεstεmik vaskulεt`.
• Ankylosing spondylitis: Na sik we de mek di joyn dεm na di spayna inflameshn.
• Rimatɔyd at: Na sik we bɔku pipul dɛn sabi ɛn we kin mek yu jɔyn dɛn inflamɛns.
• Systemic lupus erythematosus (SLE): Na ɔtoimyun sik we kin afɛkt difrɛn pat dɛn na di bɔdi.
• Rilaps polychondritis: Na sik we de afɛkt di katilej tisu.
• Sarcoidosis: Na sik we sכm sכm inflammatory nodules (granulomas) de fכm na difrεn כgan dεm na di bכdi.
• Immunoglobulin 4 (IgG4)-rεlatεd sik: Na fayv εn inflammatory kכndyushכn we de afekt difrεn כgan dεm.
• Inflammatory bowel diseases: lɛk di sik we dɛn kɔl Crohn’s disease ɛn ulcerative colitis.

Infεkshכn dεm

Sɔm bad bad infɛkshɔn kin mek pɔsin gɛt aɔtaytis bak. Sɔm ɛgzampul dɛn na:

• Salmonella: Na baktri we de mek pɔsin gɛt pɔyzin fɔ it.
• Sifilis: Na sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs.
• Staphylococcus: Na baktri we de mek pɔsin gɛt infɛkshɔn na di skin ɛn ɔda siriɔs infɛkshɔn.
• Rɔki Mawnt spɔt fiva: Na sik we tik kin kam wit.
• Gonococcal infεkshכn: Gכnoria.
• Tubakulosis: Na baktri infεkshכn we kin afekt di lכng dεm mεntal.
• Epataytis B ɛn C: Vayral infɛkshɔn we kin afɛkt di liva.
• Di vayrɔs dɛn we gɛt hεpis:
• Infεkshכn dεm we dεn kin gεt fכ fכn:

Aw dɛn kin no se pɔsin gɛt Aɔtaytis?

Fɔ no fɔ tru if yu gɛt aɔtaytis, yu dɔktɔ go fala dɛn tin ya:

• Dɛn go tɔk bɔt yu mɛdikal histri: dɛn go aks bɔt yu sik dɛn we yu bin dɔn gɛt trade, yu famili in sik dɛn, ɛn di mɛrɛsin dɛn we yu de tek.
• Dɛn go du wan ɛgzam fɔ yu bɔdi: Dɛn go chɛk yu bɔdi.
• dεn כda imej tεst dεm: tεst dεm we kin gεt bεtε luk pan yu aorta εn in mεjכr branch dεm.
• Dɛn ɔda fɔ du blɔd tɛst: Dɛn tin ya kin chɛk di lɛvɛl we di inflamɛns de na yu bɔdi.
• If yu dɔn gɛt ɔpreshɔn we gɛt fɔ du wit di aorta, dɛn go chɛk wan tisu sɛmpul we dɛn tek da tɛm de ɔnda maykroskɔp.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt Aɔtaytis?

Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:

• Echocardiogram: Na tεst fכ luk aw di at de wok εn di strכkchכ.
• transesophageal echocardiogram: Dis na echo test bak, bכt dεn de pas sכm sכm instrכmεnt tru di εsophagus fכ si di at εn aorta klia wan.
• Abdominal ultrasound: Luk di aorta na di bɛlɛ.
• kכmpyuta tכmografi (CT) skan: CT skan de tek kכros-sekshכnal imej dεm fכ di bכdi εn i de gi ditayli fכ si di aorta εn di tisu dεm we de rawnd am.
• Magnɛtik rɛsɔnans imej (MRI): I de yuz magnɛtik fil ɛn redio wev fɔ mek difrɛn difrɛn pikchɔ dɛn.
• Positron emission tomography (PET) scan: I de ɛp fɔ no di say dɛn we di bɔdi de inflamɛns.

Blɔd tɛst dɛn:

• Erythrocyt sedimentation rate (ESR): Na tεst we de sho se inflameshn de na di bכdi.
• C-reactive protein (CRP): Dis na ɔda impɔtant tɛst we de sho se yu gɛt inflamɛns.
• Kɔmplit blɔd kɔnt: Dis de sho di kayn sɛl dɛn we de na di blɔd ɛn dɛn nɔmba.
• Kεmεstri dεm we de tεst di kidni εn liva fכ wok:
• If nid de, ɔda spɛshal blɔd tɛst fɔ no di sistɛm vaskulaytis, ɔda inflammatory diseases, ɔ infɛkshɔn.

Aorta tisu egzamin:

If yu de du ɔpreshɔn fɔ wan aortic aneurysm , yu ɔpreshɔn kin tek wan tisu sɛmpul we dɛn de du di ɔpreshɔn fɔ chɛk if yu gɛt inflamɛns. Sɔm pipul dɛn kin gɛt aɔtaytis we dɛn de du dis kayn ɔpreshɔn, ɛn dɛn nɔ kin gɛt ɛni sayn bifo.

Aw dɛn kin trit Aɔtaytis?

Dɛn kin trit aɔtaytis wit mɛrɛsin ɛn/ɔ ɔpreshɔn . Dɔktɔ dɛn go disayd fɔ tritmɛnt bay dɛn tin ya:

• Us pat pan yu aorta de afɛkt ?
• If aneurism ɔ narrowing dɔn apin bikɔs ɔf aortitis, ɛn aw i siriɔs .
• If sik de we gɛt fɔ du wit am ɔ ɔda tin we kin mek i sik .
• If i de afɛkt ɔda blɔd vesel dɛn bak .

di imכtant tin na dat if yu gεt "isolated focal aortitis" (we min se i de limited to di aorta, wit nכ כda kכz) εn yu dכn כpεrayshכn fכ pul am kכmplit, εn nכ sik de we de כndalayn, yu nכ nid fכ trit mכr. Bɔt i impɔtant fɔ mek yu dɔktɔ kɔntinyu fɔ wach yu . If ɛni nyu sayn de kam, dɛn kin nid fɔ trit yu difrɛn we.

Wetin na di mɛrɛsin dɛm wae dɛn kin yuse fɔ Aortitis?

If yu dɔktɔ no se yu gɛt ɔndalayn aktif sistɛm vaskulaytis kɔndishɔn, ɔda inflammatory sik, ɔ infɛkshɔn, dɛn kin gi yu mɛrɛsin lɛk:

• Anti-inflammatory ɔ immunosuppressive mɛrɛsin dɛm: Fɔ sistɛm vasculitis ɔ ɔda ɔndalayn inflammatory kɔndishɔn dɛm. Dɛn mɛrɛsin ya we de mek di bɔdi nɔ ebul fɔ fɛt di sik de wok bay we dɛn de stɔp di bɔdi in imyun sistɛm.
• Antibayɔtik drɔgs: If aɔtaytis dɔn kam bikɔs ɔf infekshɔn.

Ɛni bad tin de we dɛn tritmɛnt ya kin du?

Yɛs, mɔ di mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi kin mek yu bɔdi nɔ ebul fɔ fɛt di sik dɛn we yu gɛt. So, yu dɔktɔ go ɛksplen to yu di prɔblɛm ɛn bɛnifit dɛn we ɛni tritmɛnt gɛt. I go tɔk to yu bak bɔt aw fɔ ridyus dɛn prɔblɛm ya. Nɔr frayd, tɔk to yu dɔktɔ ɛn ɔndastand ɔltin.

Ustɛm i nid fɔ du ɔpreshɔn fɔ aɔtaytis?

Yu kin nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:

• If yu gɛt aortic aneurysm, if i fil se i big fɔ bɔs, ɔ if di aneurysm de afɛkt di wok we di at de du.
• If yu aorta de smɔl, we de mek di blɔd we de go na di impɔtant ɔgan dɛn nɔ bɔku bad bad wan.

Aw a go ridyus dis risk?

Bɔrku tɛm, i nɔ kin izi fɔ mek dɛn nɔ gɛt aɔtaytis bikɔs i kin gɛt fɔ du wit sistɛm vaskyulaytis, wan ɔndalayn inflammatory sik, wan inflammatory prɔses, ɔ wan infɛkshɔn.

Bɔt fɔ pipul dɛn we gɛt aɔtaytis, i rili impɔtant fɔ ridyus ɔda tin dɛn we kin mek dɛn blɔd vesel dɛn pwɛl . Dɛn tin ya na:

• Fɔ kɔntrol di ay blɔd prɛshɔn.
• Fɔ mek di kɔlɔstrel lɛvɛl go dɔŋ.
• Fɔ lɛf fɔ yuz tin dɛn we dɛn kin mek wit tabak kpatakpata.
• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu.

If a gɛt aɔtaytis, udat fɔ de na mi wɛlbɔdi tim?

Bikɔs aɔtaytis kin kam pan bɔku difrɛn we dɛn ɛn yu nid difrɛn tritmɛnt dɛn, yu kin nid sɔm pipul dɛn we de kia fɔ yu wɛlbɔdi biznɛs fɔ ɛp yu. Fɔ ɛgzampul:

• Praymari kia: Na pɔsin we de kia fɔ yu jenɛral wɛlbɔdi.
• Cardiologist: Na spɛshal pɔsin we sabi bɔt di at ɛn di at.
• Riumatɔlɔjis: Na spɛshal pɔsin we sabi bɔt jɔyn, mɔsul, ɛn ɔtoimyun sik dɛm, bikɔs bɔku vaskulaytis kɔndishɔn dɛn kin fɔdɔm insay dis kategori.
• Infɛkshɔn sik ɛkspɛkt: If dɛn tink se i gɛt infekshɔn.
• Kardiothoracic ɔ vascular surgeon: If dɛn nid fɔ du ɔpreshɔn.

Wetin na di lukin-grɔn fɔ aɔtaytis?

Aw yu kin gɛt aɔtaytis kin dipen pan sɔm tin dɛn:

• Us pat pan yu aorta de afɛkt ɛn aw i bad .
• If aɔtaytis kin mek prɔblɛm dɛn .
• If sik de we gɛt fɔ du wit am ɔ ɔda tin we kin mek i sik .
• Di rispɔns to tritmɛnt (if dɛn nid tritmɛnt) ɛn if di tritmɛnt kɔz ɛni sayd ɛfɛkt .

Aw a kin kia fɔ misɛf?

Di tin we impɔtant pas ɔl na fɔ atɛnd ɔl di fɔlɔp apɔntinmɛnt dɛn wit yu dɔktɔ, tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu, ɛn mek yu dɔktɔ no wantɛm wantɛm if yu gɛt ɛni nyu sayn ɔ yu nɔ fil fayn. Nɔ panik, di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn to yu bɔdi.

Ustɛm a fɔ go to mi dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ go to yu dɔktɔ ɔ du tɛst. If yu gɛt nyu sik ɔr ol sik kam bak, kɔl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Di kɔmplikeshɔn we denja pas ɔl we di aɔta anɛrizm kin gɛt na we i kin brok ɔ i kin bɔs. Dis na wan sik we rili siriɔs, bikɔs yu aorta na di men at we de kɛr bɔku bɔku blɔd go na yu bɔdi. If yu gɛt ɛni wan pan dɛn sayn ya, i kin bi se di aorta we dɔn brok:

* If yu gɛt bad bad pen wantɛm wantɛm na yu chɛst, yu bak, ɔ yu bɛlɛ (bɛlɛ) we yu nɔ wɔn yu.

* If di at bit fast.

* If yu fil se yu de tɔn diziz.

* If yu fil wik ɔ yu fes, yu an, ɔ yu leg de swɛ, ɔ i nɔ izi fɔ tɔk ɔ si.

If yu de tek imyun supreshɔn mɛrɛsin fɔ aɔtaytis, ɔ if yu gɛt ɔndalayn sistɛm vaskulaytis ɔ inflammatory sik, yu kin gɛt ɔda siriɔs prɔblɛm dɛn we go nid fɔ go to dɔktɔ wantɛm wantɛm. Yu dɔktɔ go ɛksplen to yu us sayn dɛm we yu fɔ go na di imejensi rum, bay yu patikyula diagnosis ɛn manejmɛnt plan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

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

• Yu tink se dɛn kin fɛn wan ɔndalayn sik ɔ kɔz fɔ mi aɔtaytis?
• Wetin na di bɛst tritmɛnt plan fɔ mi?
• Aw di dɔktɔ de wach mi sik?
• A nid fɔ go to ɔda spɛshal pipul dɛn?
• Us sayn dɛn a fɔ luk fɔ?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Bikɔs aɔtaytis kin bi wan sik we kin mek pɔsin in layf de pan denja, i impɔtant fɔ kɔntinyu fɔ go to pɔsin we sabi kia fɔ wɛlbɔdi biznɛs ɛn we no bɔt aɔtaytis ɛn di tin dɛn we kin mek i gɛt am . Yu go nid fɔ mek dɛn chɛk yu ɔltɛm fɔ mek dɛn ebul fɔ wach yu aorta. Dis kin inklud fɔ go to dɔktɔ, fɔ tɛst blɔd, ɛn fɔ tek pikchɔ dɛn.

Fɔ ɔndastand yu patikyula aɔtayt kɔnsyans, fɔ no di sayn dɛm fɔ siriɔs kɔmplikeshɔn, ɛn fɔ no usay fɔ go fɔ ɛp we yu nid am go ɛp yu fɔ manej yu aɔtaytis sityueshɔn. Fes dis wit maynd ɛn nɔ fred. Nɔto yu wan de.

` Aorta, Aorta, Inflameshɔn, At sik, Blɔd Vesɛl, Chɛst Pen, Aorta Aneurism, Vasculitis