Prɔblɛm de wit yu at in aorta? Lɛ wi tɔk bɔt Aortopathy!

Yu dɔn ɛva wɔnda wetin na di blɔd vesel we big ɛn impɔtant pas ɔl na wi bɔdi? Na di aorta, ɔ di aorta . I tan lɛk di men rod we de na wi bɔdi. I de rɔn frɔm di at te to di bɛlɛ. Na di wan we de kɛr di blɔd we gɛt bɔku ɔksijɛn ɛn klin we di at de pɔmp to di wan ol bɔdi. So, if sɔntin nɔ go fayn wit dis aorta, i kin afɛkt di wan ol bɔdi. Dat na di grup fɔ sik dɛn we kin afɛkt di aorta, we wi kin kɔl Aortopathy .

Wetin na Aɔtopati? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, aortopathy na wan kɔlekɛshɔn fɔ di tin dɛn we de mek di wɔl dɛn na yu aorta wik ɔ pwɛl. Naw imajin, yu at de pɔmp blɔd dairekt insay dis aorta ɛvri tɛm we i de bit. So, dis atεri wכl dεm nid fכ rili strכng fכ bia da prεshכn de. Bɔt, wetin go apin if dɛn wɔl dɛn ya wik? Dɛn kin brok ɔ dissect. Dis na tin we rili denja. Di kayn aortopathy we yu gɛt go afɛkt di aorta difrɛn we.

Wetin na di men kayn aortopathy?

Difrɛn kayn aortopathy de. Lɛ wi tɔk bɔt sɔm pan di men wan dɛn.

Abdominal Aortic Aneurism (AAA) we de mek di bɔdi gɛt di sik.

Dis na we di wɔl na yu aorta we de rɔn tru yu bɛlɛ wik ɛn bulge kɔmɔt lɛk balyɔn. Wi kin kɔl dis bak aneurism . Dis sik kin afɛkt pipul dɛm wae pas 65 ia, pipul dɛm wae de smok, ɔr pipul dɛm wae gɛt ɔda tin wae kin mek dɛn gɛt at sik. Dis ``(AAA)`` denja bikɔs i kin bɔs wantɛm wantɛm ɛn mek blɔd we de mek pɔsin in layf de pan denja.

Tɔraks aɔtik anɛrizm (TAA) .

dis na we di pat pan di aorta we de rכn tru di chεst wik כ dilayshכn. Di kɔndishɔn `(TAA)` nɔ kɔmɔn lɛk `(AAA)`. Bɔt i kin rɔn mɔ na famili, we min se dɛn kin pas am to jɛnɛreshɔn. lεk `(AAA)`, di men risk fכ `(TAA)` na dat i kin rכp.

Di denja kɔndishɔn we dɛn kɔl Aortic Dissection

Dis na tin we kɔmplikt smɔl. wetin de apin ya na di insay layt na di wכl na di aorta de te. dis kin apin usay di wכl na di aorta wik. Sɔntɛnde, lɛk aw wi bin dɔn tɔk, i kin apin usay aneurysm de. Bɔt i kin apin bak if yu nɔ gɛt anɛrizm. Tu men kayn dis de. tayp A diseksh כn na di tεm we de na di pat pan di aorta we de nia di at (i.e., bifo di aorta arch). Tayp B diseksh כn na we dεn de te afta di aorta arch, na di chεst כ di bεlε. Dis ``(Aortic Dissection)`` na wan sik wae de mek yu layf de pan denja wae yu nid fɔ no ɛn trit yu kwik kwik wan .

Lɛ wi lan bɔt Familial Aortopathy?

Familial Aortopathy na wan jεnεtik kכndyushכn we de rכn na famili.Famili aortopathy na wan sik we de na di big at we gɛt fɔ du wit famili histri fɔ aorta sik. Dɛn pipul ya gɛt wan kayn jin we de mek dɛn gɛt aɔta sik. כltu, dis hεridita aortopathy kin afekt di big at dεm na di chεst, spεshal wan di aorta rכt כ di ascending aorta.

Tu men kategori de insay dis bak:

Wetin na Sindrɔmik Aɔtopati?

Wi kin kɔl dis bak `(Syndromic hereditary thoracic aortic disease)`. Fɔ tɔk am simpul wan, yu gɛt wan sik we de ambɔg yu aorta ɛn mek ɔda chenj dɛn na yu bɔdi. Sɔm sik dɛn we kin mek pɔsin gɛt aɔta sik na:

• `Loeys-Dietz sindrom`
• `Marfan sindrom`
• `Turner sindrom`
• ``Vaskulεr Ehlers-Danlos sεndrכm''.

Lɛ wi no bak bɔt Nɔn-syndromic Aortopathy

dis dεn kכl am ``Non-syndromic heritable thoracic aortic disease.'' Na ya, yu nכ gεt spεshal jεnεtik sεndrכm, bכt yu gεt wan jin vεryכnt we de inkrεs yu risk fכ gεt aorta sik. Sayɛnsman dɛn dɔn tɔk se i pas 50 tin dɛn we kin chenj na di jɛnɛtiks to dis aortopathy. Sɔm pan di jin dɛm we dɛn dɔn gɛt strɔng link na:

• `ACTA2` (Dis na di wan we dɛn kin si mɔ)
• `FƆKS3`
• `LOX`
• `MYH11`
• `MILK`

Mɛmba se if ɛnibɔdi na yu famili dɔn gɛt aneurysm ɔ disection of the aorta, tɔk to yu dɔktɔ bɔt fɔ tɛst yu jɛnɛtiks . If dɛn no se yu gɛt aɔta sik, yu go nid fɔ du yu jenɛtik tɛst fɔ si if ɔda pipul dɛn na yu famili sɛf de pan denja.

Wetin na Bicuspid Aortopathy?

dis dεn kכl am bak `(Bicuspid valve-associated aortopathy)`. Dis min se, wit di aorta stenosis, yu gɛt bak wan sik we yu bɔn wit we dɛn kɔl Bicuspid Aortic Valve (BAV) . dis `(BAV)` na kכmכn kכndyushכn we dεn bכn wit in at, we de afekt lεk wan pan 50 pikin dεm.

naw, yu aorta valv na wan pan fכ "get" dεm we de kכntro di fכ fכlכ bכdi na yu at. i de kכntro di fכlכ we bכdi de fכm frכm di lεft vεntrikl, we na di men chεmba we di at de pכmp, go insay di aorta. wan hεlty aorta valv gεt tri liflet dεm we de opin εn klos fכ kכntrכl di fכlכ fכ bכdi. כltu, wan bicuspid aortic valv gεt כnli tu liflet dεm. Dis nɔr kin kɔz ɛni big prɔblɛm fɔ sɔm tɛm, bɔt i kin kam wit kɔmplikeshɔn as tɛm de go.

if yu gεt bicuspid aortopathy, yu aorta valv gεt tu liflet dεm, εn yu aorta de wayd pas nכmal (dilated). pan pipul dεm we gεt bicuspid aorta, di dilayshכn kin apin bכku tεm na di aorta rכt כ ascending aorta. dis na di pat dεm na di aorta we de nia di at.

Kɔmplikɛshɔn dɛn we de kam wit Bicuspid Aortopathy

Aorta we big smɔl nɔ kin bi big prɔblɛm. Bɔt if i tu big, anɛrizm kin kam. dis anεvrizm de put εkstra prεshכn pan di wכl dεm na di aorta, we kin mek i rכp כ disεkshכn. Pipul wae gɛt bicuspid aortopathy kin gɛt lɛk nayn tɛm pas pipul dɛm wae nɔr gɛt dis sik.

Aw kɔmɔn dis aɔtopati?

I kin difrɛn difrɛn wan bay di kayn sik. di aortic aneurysm (AAA) na di kayn aortopathy we kin kכmכn pas כl, εn na di kayn aneurysm we kכmכn pas כl bak. Na Amɛrika nɔmɔ, na lɛk 200,000 pipul dɛn kin gɛt wan sik we dɛn kɔl AAA ɛvri ia. Ɔlsay na di wɔl, na lɛk 47,000 pipul dɛn kin day ɛvri ia bikɔs ɔf ɔl kayn aɔtopathy.

Wetin na di sayn dɛm fɔ Aortopathy? Nɔ ignore dɛn tin ya!

Bɔku tɛm, aɔtopathy nɔ kin gɛt ɛni sayn . Na dat denja pas ɔl. Na dat mek i impɔtant fɔ mek yu de chɛk yu ɔltɛm if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm.

Sɔm sayn dɛn de we kin apin we di anɛrizm de kam fɔ brok. Di sayn dɛn we de wɔn pipul dɛn we kin apia bifo i brok na:

• Fɔ fil ful ivin afta yu dɔn it smɔl.
• Pen we de kɔntinyu fɔ de na yu bak, yu bɔdi, yu bɔdi, yu leg, ɔ yu bɛlɛ.
• Fɔ fil se yu at de bit na di bɛlɛ eria.
• I nɔ kin izi fɔ yu fɔ blo.

Aneurism rupture ɛn aortic dissection na imejensi we kin mek pɔsin in layf de pan denja! If yu gɛt dɛn sik ya , kɔl 1990 wantɛm wantɛm fɔ ambulans, ɔ go na di ɔspitul imejensi rum we de nia yu:

• Wantɛm we pɔsin kin gɛt bad bad bɛlɛ pen.
• Wan wantɛm, shap, bad bad pen na di chɛst ɔ di ɔp pat na di bak. Dis kin fil lɛk se dɛn de kɔt am frɔm insay, lɛk se dɛn de chuk am wit nɛf, ɔ lɛk se dɛn de chuk am.
• Skin we de stika ɔ we yu de swet pasmak.
• Kɔnfyus.
• Diziz ɔ fɔdɔm.
• Di at rit de go ɔp.
• Nɔs ɛn vɔmit.
• I nɔ kin izi fɔ yu fɔ blo.
• I nɔ izi fɔ tɔk.
• I nɔ de si fayn igen.
• Wik ɔ swɛt na wan say na di bɔdi.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Aortopathy?

Bɔku tin dɛn de we kin mek pɔsin gɛt aɔtopathy. Sɔm kin de we dɛn bɔn pikin, ɛn ɔda wan dɛn kin divɛlɔp leta.

• Jεnεtiks: As wi bin dכn tכk, jεnεtik sεndrכm dεm εn di jεnεtiks vεryut dεm kin mek yu gεt aorta sik. bכku tεm dεn kin gεt famili aortopathy insay wan כtosom dכminant we. Dis min se if wan mama ɔ papa gɛt di jin, dɛn pikin gɛt 50% chans fɔ gɛt am.
• Hat sik we dɛn kin bɔn wit: Dɛn tin ya kin gɛt fɔ du wit aortopathy. Dis nɔ min se aortopathy na bikɔs ɔf at sik we dɛn bɔn wit, bɔt bɔku tɛm dɛn kin si dɛn tu togɛda. εgzampl dεm: `Bicuspid aorta valv`, `Kכarkteshכn fכ di aorta`, `Pulmonary atresia wit vεntrikulכr septal dεfekt (VSD)`, `Tεtralכji fכ Falot`, `d-Transposishכn fכ di big atεri dεm`, `Truncus arteriosus`. Aortopathy kin apin bak afta dɛn dɔn du ɔpreshɔn fɔ sɔm at sik dɛn we dɛn kin bɔn wit. εgzampl: `Aterial switch (ASO) opεreshכn`, `Atrial baffle (Mustard/Senning) opεreshכn`, `Di stej Norwood, Glenn εn Fontan כpεrayshכn`.
• Atεrosklεrosis: Dis na di fεt dεposit (plak) we de bכku insay di at dεm, we de mek dεn sכmtεm sכmtεm sכmtεm sכmtεm. di atεrosklεrosis na di aorta na di big tin we kin mek di aortopathy leta insay layf.

Udat de pan ay risk fɔ gɛt aortopathy?

Bɔku tin dɛn de we kin mek pɔsin gɛt aɔtopati:

• Smok ɛn yuz tabak: Dis na big tin we kin mek pɔsin gɛt dis sik . Bɔrku pan di anɛrizm kin apin pan pipul dɛm wae de smok ɔr dɔn smok trade.
• Ay blɔd prɛshɔn (Hypertension): Dis sik kin mek di wɔl dɛn na di at dɛn wik as tɛm de go.
• Ej: Di risk fɔ gɛt aneurysm kin bɔku afta i dɔn ol 65 ia.
• Famili histri: If wan biyolojikal famili mɛmba dɔn gɛt aneurism ɔ dissection, yu de pan risk mɔ.
• di ay kכlestכl כ hכy triglisεrayd: we di fεt (lipid dεm) we de na di bכdi de bכku, i de mek di fεt dεm we de na di at dεm go bכku.
• כtoimyun sik dεm: כtoimyun sik dεm lεk `Giant cell arteritis` εn `Takayasu arteritis` kin mek inflameshn na di wכl dεm na di big atεri dεm, we kin mek dεn wik.
• Infεkshכn: Na sכm tεm, infεkshכn lεk sifilis, כ baktri infεkshכn na di wכl na di big at dεm, kin mek i wik.

Aw yu kin no se yu gɛt aɔtopati?

Bɔku tɛm, di anɛrizm ɛn disekshɔn nɔ kin gɛt ɛni sayn ɔ wɔnin sayn, so dɛn nɔ kin no am te siriɔs prɔblɛm apin. Bɔt if yu gɛt tin dɛn we kin mek yu gɛt dis sik, yu dɔktɔ go chɛk yu aorta fɔ si if yu gɛt sayn dɛn fɔ di sik.

Di we dɛn we dɛn kin yuz fɔ no if pɔsin gɛt aɔtopati na:

• Fɔ ɛgzam fɔ yu bɔdi: Yu dɔktɔ go chɛk ɔl di tin dɛn we gɛt fɔ du wit yu wɛlbɔdi. I go ebul fɔ no bak di tin dɛn we kin mek yu gɛt at sik. Dis go inklud fɔ aks bɔt yu mɛrɛsin histri, aw yu de liv yu layf (lɛk fɔ smok), ɛn yu famili istri.
• Fɔ tɛst yu jɛnɛtiks: Yu dɔktɔ kin se yu fɔ tɛst yu jɛnɛtiks. Dis go sho if yu gɛt jɛnɛtik muteshon we gɛt fɔ du wit korona at sik.
• Imej tɛst: Yu dɔktɔ kin ɔda dɛn tɛst ya fɔ chɛk di sayz ɛn wɛlbɔdi fɔ yu aorta. Dɛn tɛst ya kin mɛzhɔ di dayamita fɔ yu aorta ɛn si if i wayd pas aw i kin bi.

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

• ``Kɔmpyut tomografi (CT) skan''.
• ``Magnetik rεsכnans imej (MRI)''.
• Transthoracic echocardiogram (TTE) (we dɛn kin skan di at) .
• Transesophageal echocardiogram (TEE) (na at skan we dɛn kin du tru di εsophagus) .
• Abdominal ultrasound (we na ɔltra saund skan fɔ di bɛlɛ) .

Ɛni tɛst gɛt in yon bɛnifit ɛn bad tin dɛn. Yu dɔktɔ go ɛksplen us tɛst yu nid ɛn wetin mek. Yu dɔktɔ kin yuz wan ɔ mɔ pan dɛn tɛst ya bak fɔ wach yu aorta as tɛm de go. Yu kin nid fɔ mek dɛn tek dɛn pikchɔ ya ɔltɛm (fɔ ɛgzampul, wan tɛm insay di ia). Aw ɔltɛm yu nid fɔ du dɛn tɛst ya de dipen pan di tin dɛn we de mek yu gɛt prɔblɛm ɛn di wɛlbɔdi we yu aorta gɛt naw.

Wetin na di tritmɛnt dɛm fɔ Aortopathy?

Di tritmɛnt dipen pan yu patikyula kɔndishɔn ɛn yu risk fɔ gɛt kɔmplikeshɔn. Yu dɔktɔ go mek yu tritmɛnt akɔdin to yu kɔndishɔn ɛn wetin yu nid. Di tritmɛnt dɛn we yu kin gɛt na fɔ chenj di we aw yu de liv yu layf, fɔ tek mɛrɛsin, fɔ du di mɛrɛsin, ɛn fɔ du ɔpreshɔn.

Lɛ wi bigin wit di chenj dɛn we wi de chenj di we aw wi de liv wi layf!

We yu chenj di we aw yu de liv yu layf, dat kin ɛp fɔ mek sɔm kayn aɔta sik nɔ go bifo kwik kwik wan ɛn i kin mek yu nɔ gɛt bɔku bɔku anɛrizm. If yu gɛt aɔta sik, i impɔtant fɔ du dɛn tin ya:

• Nɔ drink rɔm.
• Nɔ smok ɛn ɔl di tin dɛn we dɛn kin yuz fɔ smok.
• It tin dɛn we go ɛp yu at.
• Ɛksesaiz ɔltɛm (as yu dɔktɔ tɛl yu fɔ du).
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Kɔntrol di tin dɛn we kin mek pɔsin gɛt at sik lɛk ay blɔd prɛshɔn ɛn ay kɔlɔstrel.

If nid de, mɛrɛsin dɛn de bak lɛk dis.

Yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp fɔ mek yu blɔd prɛshɔn go dɔŋ. Blɔd prɛshɔn mɛrɛsin dɛn kin ridyus di prɛshɔn we blɔd kin gɛt pan yu at wɔl dɛn. dis kin ridyus di risk fכ wan big atεri anεvrizm fכ rכp כ disεkshכn. De kayn mɛrɛsin wae yu kin tek na:

• ``Angiotensin kכnvכlt εnzym (ACE) inhibito dεm''.
• ``Angiotensin rεsεptכr blכk dεm (ARB)''.
• `Beta-blɔk dɛn`
• `Kalsiɔm chanɛl blɔk dɛn`
• Diuretics (mɛrɛsin dɛn we de mek yu pis mɔ) .

Ɔpreshɔn ɛn ɔda tin dɛn we dɛn kin du fɔ mɛn pipul dɛn

Sɔm pipul dɛn nid mɛrɛsin ɔ ɔpreshɔn fɔ gɛt aortopathy. Dɛn tin ya na:

• Aneurism surgery (tradishɔnal opin ɔpreshɔn) .
• Ɔpreshɔn fɔ riples di aɔta rut
• εndovaskul aneurysm ripa (EVAR) - dis na tritmεnt we dεn de put wan tכb tru sכm sכm say we dεn kכl.
• di tכraks εndovaskul anεvrizm ripa (TEVAR) - dis na di sem kayn tritmεnt bak fכ di tכraks atεri.

Wetin wi kin du fɔ ridyus di risk fɔ gɛt aortopathy?

Yu kin ridyus yu risk fɔ gɛt aortopathy bay wae yu adopt layf wae fayn fɔ yu at. Na sɔm advays dɛn ya:

• Nɔ tek drɔgs: Sik, drɔgs, ɛn rɔm nɔ fayn fɔ yu at. Infakt, dɛn kin pwɛl yu at ɛn yu blɔd vesel dɛn. Lɛf fɔ smok ɛn tek drɔgs kpatakpata. We i kam pan rɔm, no gud gud wan wetin na `drink` ɛn limit di amount. Dɔktɔ dɛn se uman dɛn nɔ fɔ gɛt pas wan `drink` wan de ɛn man dɛn nɔ fɔ gɛt pas tu `drink` wan de.
• It tin dɛn we go ɛp yu at: Dis kin min fɔ it tin dɛn we nɔ gɛt bɔku sɛtyuret fat, trans fat, sɔdiɔm (sɔl), ɛn shuga. Limit rifin kabohaydrɛt (lɛk wayt bred) ɛn it mɔ ɔl gren (lɛk ɔl wit bred, brawn rays). Dɔn bak, no aw di it we yu de it kin afɛkt di kɔlɔstrel we yu gɛt.
• Ɛksesaiz: No wan say nɔ de fɔ ɛksesaiz. Du wetin yu lɛk. Dɔn bak, fala yu dɔktɔ in advays bɔt us ɛksesaiz we nɔ bad fɔ yu. Bɔku tɛm, dɔktɔ dɛn kin se yu fɔ du ɛksɛsayz fɔ 150 minit insay di wik. Dis kin min fɔ waka kwik kwik wan, fɔ rayd baysikul, ɔ fɔ swim.
• Manej strɛs: I nɔ izi lɛk aw i tan. Bɔt i impɔtant fɔ tray fɔ lan nyu we fɔ ɛp yu fɔ dil wit strɛs na yu layf ɛvride. Dɔn bak, tɔk to yu fambul ɛn padi dɛn bɔt di we dɛn we de wok fɔ dɛn.

Wetin na de luk fɔ pɔrsin wae gɛt Aortopathy? (Autluk) .

Di bɛst pɔsin fɔ aks bɔt yu tumara bambay na yu dɔktɔ. I go tɔk bɔt bɔku tin dɛn, fɔ ɛgzampul:

• Yu patikyula mɛdikal kɔndishɔn.
• Di rεt wae yu sik de go bifo.
• Yu ej ɛn yu jɛnɛral.
• Di tin dɛn we kin mek yu gɛt at sik.
• Yu famili mɛdikal istri.
• Yu ɔl di mɛdikal istri.

Tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt fɔ go bifo.

If a gɛt Aortopathy, aw a fɔ tek kia ɔf misɛf?

Yu dɔktɔ go gi yu advays fɔ kia fɔ yusɛf. Fɔ fala dɛn advays dɛn de gud gud wan, ɛn aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn. Yu go nid fɔ du dɛn tin ya:

• Nɔ ɛksesaiz tranga wan ɔ kɔntakt spɔt.
• Limit ɔ stɔp fɔ drink rɔm ɔltogɛda.
• Mek chenj dɛn na di it we yu de it.
• Stɔp fɔ smok ɔ yuz tin dɛn we dɛn kin yuz fɔ smok.
• Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am.

Bɛlɛ ɛn Aɔtopati

Bɛlɛ kin denja if yu gɛt korona at sik. Tɔk to yu dɔktɔ bifo yu plan fɔ gɛt bɛlɛ fɔ mek shɔ se i nɔ bad fɔ yu. Yu kin nid spɛshal kia we yu gɛt bɛlɛ (lɛk fɔ du imej tɛst ɔltɛm) fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn. Nɔ tek mɛrɛsin dɛn we nɔ sef we yu gɛt bɛlɛ. Yu dɔktɔ go nid fɔ chenj di mɛrɛsin dɛn we yu de tek.

Ustɛm a fɔ go to dɔktɔ?

Si yu dɔktɔ fɔ chɛk-ap ɛvri ia, ɛn go to ɔl di apɔntinmɛnt dɛn we dɛn kin du fɔ fala yu. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam fɔ chɛk.

If dɛn bin no se yu gɛt at sik we dɛn bɔn wit we yu bin smɔl, sɔntɛm yu bin gɛt dɔktɔ we de mɛn pikin dɛn we de kia fɔ yu sik. Bɔt, afta yu dɔn rich 18 ia, yu nɔ go dɔn fɛn nyu spɛshal pɔsin. Risach dɔn sho se bɔku pipul dɛn kin kɔnfyus we dɛn kin chenj frɔm we dɛn de kia fɔ pikin dɛn to big pipul dɛn. If dɛn bin gɛt tritmɛnt fɔ yu at sik we dɛn bɔn wit we yu bin yɔŋ, i impɔtant fɔ kɔntinyu fɔ wok wit dɔktɔ we de mɛn yu at we yu dɔn big. Dis na tru ilɛksɛf yu nɔ fil ɛni prɔblɛm. Yu dɔktɔ we de mɛn yu at go advays yu bɔt yu risk fɔ gɛt aortopathy ɛn ɔda tin dɛn we yu de du as yu de ol.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Aortopathy na siriɔs sik we kin mek pɔsin in layf de pan denja if dɛn nɔ no am ɛn trit am. If pɔsin na yu famili dɔn gɛt aneurysm ɔ dissection of di aorta, tɔk to yu dɔktɔ bɔt yu risk. Sɔm pipul dɛn kin gɛt mɔ risk bikɔs ɔf dɛn jɛnɛtiks, at sik we dɛn bɔn wit, ɔr tin dɛn we kin apin to dɛn layf lɛk fɔ smok. If yu liv yu layf fayn fayn wan, dat kin mek yu nɔ gɛt aɔtopathy ɛn i kin mek yu ɔl bɔdi strɔng.Tek kia ɔf yu at, bikɔs na di at bit na yu layf!

` Aortopathy, Aorta, At Sik, Aneurism, Aortic Dissection, Jɛnɛtik Sik, Chɛst Pen, Ay Blɔd Prɛshɔn, Smok, At Wɛlbɔdi