Sɔntɛnde wi kin liv wit smɔl chenj dɛn insay wi bɔdi we wi nɔ kin no, nɔto so? Sɔmtɛm dɛn kin no bɔt dɛn tin ya bay chans we dɔktɔ du sɔntin lɛk `skan` fɔ ɔda tin. dat na tru, dis `Atrial Septal Aneurysm` na sכmכl hat kכndyushכn we dεn kin bכn wit we bכku tεm nכ de sho εni big big simptom. So lɛ wi tɔk bɔt dis smɔl mɔ tide, nɔto so?
Wetin na `Atrial Sɛptal Aneurysm`? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, dis na tin we yu bɔn wit yu at . di wכl we de sheb di tu כp chεmba dεm na wi at, di atria (dεn kכl am bak atria), gεt wan kayn εkstra tisu insay. Fɔ tɔk di kɔrɛkt tin, wan pat pan da wɔl de wik ɛn i kin bɔl. Sɔntɛnde, dɔktɔ dɛn kin si dis we dɛn de du ɛkokadiogram, we na fɔ skan di at. Dɔktɔ dɛn kin kɔl dis bak intatrial septal aneurysm.
Bɔku pipul dɛn gɛt atrial septal aneurysm, bɔt i nɔ de ambɔg di blɔd we de pas na di at ɛn i nɔ nid ɛni spɛshal tritmɛnt. Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik bɔt ɔmɔs pipul dɛn gɛt dis sik, dɛn se i nɔ kin apin so ɔltɛm .
Yu tink se kayn tin dɛn de we kin apin to dis?
yes, fayv men tכp dεm de fכ `Atrial Septal Aneurysm`. Dɛn kin sheb dɛn tin ya akɔdin to us say na di at di ɛkstra tisu ɔ di tin we de kɔmɔt na di at de kɔmɔt mɔ. Tink bɔt am, di rayt say na di at, di lɛft say, ɔ ɔl tu di say dɛn.
- Tayp 1R: insay dis kes, di protrusion de tכwεd yu rayt atrium.
- tayp 2L: na ya di protrushכn de tכwεd di lεft atrium.
- tayp 3RL: di protrusion de mכst na di rayt atria sayd, bכt sכm sכm pat de bak na di lεft atria sayd.
- tayp 4LR: insay dis kes, di protrusion de mכst na di lεft atria sayd, wit sכm sכm na di rayt atria sayd bak.
- tayp 5: na ya di protrusion de kכlכsכl di sem na di rayt εn lεft atrium.
Pan ɔl we dis klasification impɔtant to dɔktɔ, nɔto sɔntin we yu fɔ wɔri bɔt. Wetin impɔtant na aw i de afɛkt yu.
Wetin na di simptom dɛm fɔ wan `Atrial Septal Aneurysm`?
Di gud nyus na dat bɔrku pipul dɛm wae gɛt atrial septal aneurysm nɔr kin gɛt ɛni simptom . Yu dɔktɔ kin si am bay chans we yu de du ɛkokadiogram fɔ ɔda rizin.
כltu, dis kכndyushכn kin kam wit כda at kכndyushכn dεm sכmtεm, lεk di at bit we nכ de bit (arrhythmias), bכdi we de kכlכt, כ patent foramen ovales (PFOs). If dis kin apin, yu kin gɛt sɔm kayn sik lɛk:
- Chest pen ɔ diskɔmfɔt.
- fכ fil chenj na di spid כ ritm we yu at de bit, we dεn kכl `palpitations`.
- Diziz we pɔsin kin gɛt.
Wetin mek dis `Atrial Septal Aneurysm` kin apin? Wetin na di kɔz?
Risach pipul dεm stil nכ no εksεkεkt wetin de mek wan intatrial septal aneurysm. Sɔm dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis biliv se i kin bi bikɔs ɔf di jɛnɛtiks ɔ di wik we di kɔnektiv tisu na wi bɔdi wik. Bɔt, dɛn stil de du risach bɔt dis.
Dis kin mek ɔda prɔblɛm dɛn apin?
If yu gɛt wan atrial septal aneurysm nɔmɔ, i nɔto big prɔblɛm. Bɔt sɔntɛnde, dis sik kin mek yu gɛt ɔda prɔblɛm dɛn wit yu wɛlbɔdi. Dɛn tin ya na:
- Ɔda tin dɛn we kin apin we pɔsin bɔn wit at.
- Stroke na wan sik wae de mek blɔd klɔt de travul go na di bren.
- At ritm irɛgyulariti (ari ritmia).
- Blɔd we de klɔt.
- wan kכndishכn we dεn kכl `Patent foramen ovale (PFO)` (dis na sכmכl ol bak bitwin di atria dεm na di at).
- wan kכndishכn we dεn kכl `Atrial septal defect (ASD)` (dis na ol bak na di wכl bitwin di atria).
Impɔtant: Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt na bikɔs ɔf dis risk we dɔktɔ dɛn kin wɔri bɔt am.
Aw yu go no if yu gɛt `Atrial Septal Aneurysm`?
כltu, dכkta kin du `echocardiogram` fכ si if dis na di kayn tin. as a bin se bifo, if di ekstra tisu kכmכt frכm di wכl bitwin di atria dεm na di at pas 10 milimita (sכm dכkta dεm se 15 milimita), dכkta dεm go no se na `Atrial Septal Aneurysm`.
Sɔntɛnde, if yu dɔktɔ want fɔ luk dis fayn fayn wan, i kin tɛl yu fɔ du spɛshal skan we dɛn kɔl transɛsophageal echocardiogram (TEE). Dis min se yu fɔ pas wan smɔl tin we tan lɛk kamɛra dɔŋ yu ɛsophagus (fud paip) fɔ mek yu si di wɔl we de bitwin di atria dɛn na yu at ful wan. dis kin εp fכ no wan atrial septal aneurism we kin mis wit rεgulεr εkokardiogram (transthoracic echocardiogram - TTE - dis dεn kin du tru di chεst).
Bɔrku tɛm, pipul dɛm nɔr kin ivin no se dɛn gɛt intatrial septal aneurysm. Dɛn kin no am bay we dɛn de du imej tɛst fɔ di at fɔ ɔda rizin. Dɛn tɛst ya na:
- wan `CT skan` fכ di at (`Kadyak kכmpyuta tכmografi (CT)`).
- Wan MRI skan fɔ di at (Hat MRI).
- Angiogram tɛst fɔ tɛst.
If dɔktɔ no se yu gɛt atrial septal aneurysm, i go mɔs bi se dɛn go chɛk bak fɔ ɔda at sik dɛn we gɛt fɔ du wit am, bikɔs, lɛk aw a bin dɔn tɔk bifo tɛm, sɔm pipul dɛn we gɛt dis sik kin gɛt ɔda at sik dɛn bak.
Wetin na di tritmɛnt dɛm fɔ dis?
If yu gɛt atrial septal aneurysm, bɔt yu nɔ gɛt ɔda at prɔblɛm ɔ tin dɛn we kin mek yu blɔd klɔt ɛn strok, sɔntɛm yu nɔ go nid ɛni tritmɛnt . Dis na tru fɔ bɔku pipul dɛn.
Bɔt fɔ sɔm pipul dɛn, dɔktɔ dɛn kin gi dɛn mɛrɛsin. di tritmεnt fכ wan intaatrial septal anεvrizm kin inklud bכdi tin dεm (lεk antikoagulεnt כ antiplatεlet). Dɛn kin gi dɛn mɛrɛsin ya fɔ mek blɔd nɔ klɔt, bikɔs sɔm pipul dɛn we gɛt dis sik kin gɛt smɔl risk fɔ mek blɔd klɔt.
Fɔ sɔm pipul dɛn, mɔ di wan dɛn we gɛt patɛnt fɔramen ovale (PFO) ɛn aneurism, wan tin we nɔ kin tek bɔku tin we dɛn kɔl patent foramen ovale (PFO) klos kin ɛp fɔ ridyus di risk fɔ gɛt strok. Afta dis prosidur, yu kin nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan we dɛn kɔl antiplatelet fɔ sɔm mɔnt, ɔ ivin fɔ di res ɔf yu layf (especially if yu bin dɔn gɛt strok bifo).
na sכm tεm, dat na, insay rili limited kes dεm, dεn nid fכ pul dis `Atrial Septal Aneurysm` wit כpεrayshכn.
Aw siriɔs wan na `Atrial Sɛptal Aneurysm`?
Fɔ gɛt atrial septal aneurysm nɔto di wangren tin we kin mek pɔsin wɔri . I nɔ kin rili mek big prɔblɛm fɔ insɛf. Bɔt if yu gɛt ɔda tin dɛn we kin mek yu gɛt strok (lɛk ay blɔd prɛshɔn, dayabitis, smok, ɔ gɛt PFO), den yu fɔ wɔri bak bɔt atrial septal aneurysm. Dis kin mek yu gɛt strok mɔ ɛn mɔ.
Wi fɔ fred fɔ wi layf wit dis sityueshɔn?
in jεnarכl, di layf we pipul dεm we gεt `Atrial Septal Aneurysm` de liv na di sem wit כda pipul dεm we gεt hεlth . Dis min se yu nɔ nid fɔ wɔri se dis go mek yu layf shɔt. Nɔto ɔlman in sityueshɔn na di sem. Yu pasɔnal sityueshɔn kin difrɛn difrɛn wan bay ɔda sik ɔr wɛl bɔdi prɔblɛm wae yu gɛt. So, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt dis.
Wetin yu go du fɔ kia fɔ yusɛf?
If yu dɔktɔ gi yu mɛrɛsin fɔ ɛp yu fɔ mek yu nɔ gɛt strok (lɛk wan we de mek yu blɔd tan), i rili impɔtant fɔ tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am, di doz we dɛn tɛl yu fɔ tek, ɛn fɔ di tɛm we dɛn tɛl yu fɔ tek am . Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ tɔk to yu dɔktɔ.
If yu gɛt smɔl ɔpreshɔn ɔ big ɔpreshɔn, yu dɔktɔ go kɛr yu fɔ go fala yu ɔltɛm . Mek shɔ se yu kip dɛn apɔntin dɛn ya. Yu kin nid bak fɔ du imej tɛst ɔ skan.
Ustɛm yu nid fɔ go na ɔspitul we yu gɛt imejensi?
Dis rili impɔtant. If yu ɔ pɔsin we yu de wit gɛt sayn dɛn fɔ strok , yu fɔ go na ɔspitul wantɛm wantɛm ɛn nɔ de te . If yu gɛt tritmɛnt kwik, dat kin mek yu nɔ gɛt siriɔs prɔblɛm we yu gɛt strok. Yu fɔ mɛmba dɛn sayn ya:
- I kin at fɔ tɔk, wɔd dɛn kin tandul.
- Wan say na di bɔdi (an, leg, sayd na di fes) kin fil lɛk se i nɔ gɛt bɛtɛ trɛnk, i kin swɛt, ɔ i kin wik.
- Wantɛm wantɛm, wan big big diziz kin kam.
- Wantɛm wantɛm, i nɔ kin si fayn, ɔ i nɔ kin si fayn na wan ɔ ɔl tu yay.
- Wantɛm wantɛm, wan ɔ mɔ pan wi sɛns dɛn kin stɔp fɔ wok (e.g., fɔ yɛri, fɔ smɛl).
- Wantɛm wantɛm, yu kin rili kɔnfyus ɛn lɛk se yu de fɔgɛt usay yu de.
- Wan ed we kin at bad bad wan ɛn we kin at wantɛm wantɛm.
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?
We yu kam fɔ no se yu gɛt `Atrial Septal Aneurysm`, i nɔmal fɔ gɛt bɔku kwɛstyɔn na yu maynd. Nɔ fred fɔ aks yu dɔktɔ bɔt dɛn tin ya:
- "Dɔkta, a nid ɛni tritmɛnt fɔ dis `Atrial Septal Aneurysm`?"
- "Aw soon a nid fo si di dokta bak (`follow-up appointments`)?"
- "A gɛt ɔda at kɔndishɔn dɛn we gɛt fɔ du wit dis `Atrial Septal Aneurysm`?"
- "Given mi kondishon nau, wetin di dokta tink abaut mi fiuja helt?"
Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .
Yu kin sɔprayz smɔl we dɔktɔ tɛl yu se yu gɛt `Atrial Septal Aneurysm`, mɔ if yu nɔr ɛva gɛt ɛni sik bifo. Bɔt bɔku tɛm, dis nɔto sɔntin we wi fɔ wɔri bɔt . Bɔrku pipul dɛn kin liv nɔrmal layf wit dis sik wae nɔr gɛt ɛni prɔblɛm.
Bɔt if yu dɔktɔ se yu de pan denja fɔ gɛt strok bikɔs ɔf dis anɛrizm, tɔk to am fayn fayn wan ɛn mek klia plan bɔt wetin yu nid fɔ du fɔ protɛkt yusɛf. E fayn bak fɔ tɔk to yu fambul, padi dɛm na yu woke, ɛn ɔda pipul dɛm bɔt de wɔnin sayn dɛm fɔ strok fɔ ɛp fɔ mek yu nɔr frayd. If yu no bɔt dɛn sayn ya, dat kin rili ɛp yu ɔ pɔsin we yu sabi tumara bambay. Ɔltɛm fala yu dɔktɔ in advays. Dɔn yu go ebul fɔ gɛt wɛlbɔdi!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Atrial Septal Aneurysm (ASA) na blɔd vesel we de bulg na di at?
Nɔ! pan tap we di wכd aneurism de saund lεk bכdi we de kam fכ bכst, ‘Atrial Septal’ de tכk bכt di ‘midul wכl’ (Septum) we de separet di tu כp chεmba dεm (Atria) na di at. dis na di kכndyushכn we dεn bכn wit we wan pat pan dis wכl wik εn de bulge abnכmal wan to di lεft כ rayt, lεk balכn we fulכp wit briz.
💬 Dis wol of mai hat, wen dem pul am laik balon, fit kil mi?
Nɔ wɔri! Dis na sɔntin we de insay lɛk 1% - 2% pan di pipul dɛn we gɛt wɛlbɔdi. Bɔrku tɛm, i nɔ kin kɔz ɛni ‘simptom’ ɔlsay na in layf (dɛn kin no am nɔmɔ we dɛn du Echo Scan fɔ ɔda tin). So, i nɔ de mek ɛnitin ambɔg di we aw di at de wok ɔ i nɔ de mek pɔsin day.
💬 Us ɔpreshɔn dɛn kin du fɔ pul dis wɔl?
Dis nɔ nid ɛni ɔpreshɔn ɔ mɛrɛsin pan 99% pan di kes dɛm! Bɔt wan prɔblɛm de, we na di pɔsibul fɔ mek blɔd klɔt insay di say we dɛn kɔt ɛn travul go na di bren, ɛn mek pɔsin gɛt strok. Fɔ dat, di dɔktɔ go jɔs tɛl yu fɔ yuz blɔd tin dɛn (Aspirin/Blood thinners).
` atrial septal aneurysm, hat sik, hat, ekokardiogram, ekokadiogram, strok, PFO, hat hεlth
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