Yu gɛt smɔl difrɛns bak na yu at valv? Lɛ wi tɔk bɔt di Bicuspid Aortic Valve!

Yu dɔn ɛva tink bɔt di smɔl smɔl get dɛn we de insay yu at? Wi nɔ go ivin tink bɔt aw dɛn tin ya impɔtant na wi layf ɛvride. Bɔt, sɔm tɛm dɛn kin kam na dis wɔl wit smɔl chenj dɛn na dɛn smɔl smɔl get dɛn ya, dat na di valv dɛn na di at. Tide wi go tɔk bɔt wan pan dɛn kayn spɛshal at sik ya. Dɛn kɔl dis Bicuspid Aortic Valve Disease . Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na dis bikuspid aorta valv? Fɔ tɔk am simpul wan...

Tink bɔt yu at lɛk wata pɔmp. Dis pɔmp de pɔmp klin blɔd we gɛt ɔksijɛn ɔlsay na yu bɔdi. wan get de we rili impɔtant usay blɔd de kɔmɔt na di at to di big blɔd vesel na di bɔdi, we na di aorta. Wi kin kɔl dis get di aɔta valv .

Nɔmal wan, pan pɔsin we gɛt wɛlbɔdi, di aɔta valv gɛt tri pat, ɔ flap, lɛk tri lif dɛn na domɔt. dis tri flap dεm de opin εn kכloz fayn fayn wan f כ alaw bכdi fכ fכlכ na wan dairekshכn nכmכ – frכm di at to di aorta. Dɛn flap ya kin mek blɔd nɔ go bak na di at.

כltu, pכsin we gεt `Bicuspid Aortic Valve` gεt tu kusp dεm na di `Aortic Valve`. ``Bi'' min ``tu'' ɛn ``cuspid'' min ``liflet''. So, di nem kɔmɔt frɔm di fact se tu cusps de. dis na ``congenital'' kכndishכn , we min se i de we dεn bכn am.

Naw imajin, wetin go apin if wan domɔt gɛt tu lif instead fɔ gɛt tri lif? Sɔntɛm di domɔt nɔ go opin fayn, ɔ sɔntɛm i nɔ go lɔk fayn. Na dat kin apin to dis valv.

• If di valv nɔ opin fayn: I kin at fɔ mek di blɔd flɔ go bifo, dat na fɔ go insay di aorta. dis dεn kכl am ‘Aortic Stenosis’ , we jכs min se di valv de sכmtεm sכmtεm.
• If di valv nɔ lɔk fayn: Blɔd de lik bak insay di at frɔm di aorta. Dɛn kɔl dis aortic regurgitation , we min se blɔd de lik bak tru di valv.

Yu kin dɔn gɛt dis `Aortic Stenosis` ɔ `Aortic Regurgitation` fɔ lɔng tɛm, ɛn yu nɔ kin no bɔt am. Yu nɔ go sho ɛni sayn fɔ di sik. Bikɔs yu `Aortic Valve` de du in wok fayn fayn wan as i ebul. Bɔt i nɔ de wok fayn lɛk valv we gɛt tri liflet dɛn.

As tɛm de go, dis bicuspid valv kin mek yu at wok tranga wan . Dis kin mek yu gɛt siriɔs prɔblɛm dɛn .I kin apin. Pan ɔl we i nɔ kin izi fɔ gri wit dis trut, we yu lan bɔt dis sik, dat go ɛp yu fɔ ɔndastand am gud gud wan.

Aw siriɔs i bi fɔ gɛt bicuspid aortic valve?

Nɔto ɔlman we gɛt bicuspid aortic valve go gɛt kɔmplikeshɔn. Bɔt lɛk wan pan ɔl tri pipul dɛn go gɛt prɔblɛm dɛn. Sɔntɛnde, dɛn tin ya kin rili siriɔs ɛn ivin kin mek pɔsin in layf de pan denja . Na dat mek pipul dɛn we dɛn no se gɛt bicuspid aortic valve disease fɔ kɔntinyu fɔ du mɛdikal tɛst ɛn fɔ fala dɛn.

Dis kכndyushכn de afekt bitwin 1% εn 2% pan di jεnarכl pipul dεm. I kin apin lɛk tu tɛm so pan man dɛn pas uman dɛn. Pipul wae gɛt Turner syndrome kin gɛt dis kayn hat sik bak, mɔr di bicuspid regurgitation.

Bɔrku tɛm, yu nɔr kin notis de sayn dɛm te de sik dɔn pasmak ɔr mɛdikal imejensi kam. Bɔt, we yu de tɛst yu pikchɔ dɛn, yu kin no di chenj dɛn we nɔ klia bifo yu ivin notis di sayn dɛn we de sho se yu gɛt di sik. Ɛn di tin dɛn we yu dɔn go bifo pan tritmɛnt kin ɛp yu fɔ liv lɔng ɛn gɛt wɛlbɔdi .

Wetin na di sayn dɛm fɔ dis sik?

As wi bin dɔn tɔk, yu nɔ go gɛt ɛni sayn atɔl. Yu kin liv fɔ lɔng lɔng tɛm ɛn yu nɔ ivin no se yu gɛt dis smɔl chenj na yu at. bכt as tεm de go, di simptom dεm go bigin fכ sho bikoz fכ εither `Aortic Regurgitation` כ `Aortic Stenosis`.

Yɔŋ pikin dɛn ɛn bebi dɛn:

If yu pikin gɛt bicuspid aortic valve, insay sɔm siriɔs kes dɛm, di sayn dɛm kin sho jɔs afta dɛn bɔn am. Bɔt bɔku tɛm, dɛn sayn ya nɔ kin apin te leta.

• Pale ɔ blu skin (Cyanosis) .
• We yu nɔ want fɔ it, yu gɛt prɔblɛm wit yu wet

Di sayn dɛm wae kin kam pan big pipul dɛm:

• Fɔ fil taya (dis na di sayn wae kin mɔna yu) .
• Chest pen ɔ diskɔmfɔt
• Diziz ɔ fɔdɔm
• Di at we de blo
• I nɔ izi fɔ yu fɔ blo , mɔ we yu de du sɔntin

Bɔku pipul dɛn kin jɔs no se dɛn gɛt bicuspid aortic valve afta dɛn dɔn du mɛdikal tɛst. Dis na bikɔs i kin izi fɔ mis di sayn dɛm. Yu fambul ɔ padi dɛn kin notis di difrɛns pan yu bifo yu notis.

Tink bɔt aw bɔku wok yu go ebul fɔ du insay wan tipik de. Kɔmpia am to aw yu bin du wan ia bifo, ɔ ivin siks mɔnt bifo. Yu kin taya izi wan naw? Yu nid mɔ tɛm fɔ rɛst? If na so i bi, dat kin min se yu at de wok tranga wan fɔ mek yu ebul fɔ du di wok.

Na dat mek i rili impɔtant fɔ kip yu dɔktɔ in apɔntinmɛnt dɛn . Tɔk to yu dɔktɔ bɔt ɛni chenj we yu notis na yu layf ɛvride.

Wetin kin mek di bicuspid aorta valv de?

Risach pipul dεm nכ fכnshכn yet di εksakεt kכz f כ wan bicuspid aortic valve. Bɔt na di at sik we dɛn kin bɔn pas ɔl . I kin divεlכp ali we uman bεlε .

Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?

I tan lɛk se i pɔsibul, bɔt di wan dɛn we de stɔdi bɔt dis stil nɔ ɔndastand di ditil dɛn gud gud wan.

Bicuspid Aortic Valve kin rɔn insay famili. If yu fambul we de nia yu blɔd (mama ɔ papa, pikin, brɔda/sista) gɛt dis at sik, tɔk to yu dɔktɔ. Dɛn kin se yu fɔ du sɔm tɛst fɔ chɛk aw yu at tan ɛn aw i de wok .

If yu gɛt bicuspid aortic valve ɛn yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ. Pan ɔl we dɛn nɔ go ebul fɔ avɔyd dis sik, yu kin wach aw yu gɛt bɛlɛ ɛn tray fɔ no ɛni prɔblɛm kwik kwik wan .

Wetin na de prɔblɛm wae kin kam wit dis sik?

If dɛn nɔ trit am, Bicuspid Aortic Valve Disease kin mek yu gɛt siriɔs prɔblɛm. Sɔm pan dɛn na:

• Hat Failure: If na aortic stenosis, we na we di valv de sכmtεm, di at gεt fכ wok tranga wan fכ pכmp bכdi. di men pכmp chεmba na di at, di lεft vεntrikl, de tik εn i de big. I nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan. As tɛm de go, dis kin mek yu at pwɛl. Dis prɔses kin kwik if ɔda tin dɛn de we kin mek pɔsin gɛt prɔblɛm, lɛk fɔ smok ɛn fɔ gɛt bɔku kɔlɔstrel.
• Aorta Aneurysm Rupture ɛn Aortic Dissection:lεk wan pan tri pipul dεm we gεt bicuspid aortic valv kin gεt dilated, כ big, aorta oba di valv. as di aorta de big, in wכl dεm de lכs trεnk εn chenj shep. afta dat, dis kin mek di aorta aneurism, we na wan bulge we tan lεk balכn na di aorta wכl. if dis anεrizm rili big, i kin brok כ te tru di wכl (aortic dissection) . Dis na imejensi dɛn we kin mek pɔsin in layf de pan denja .

Aw dɛn kin no se pɔsin gɛt Bicuspid Aortic Valve?

Sɔntɛnde, dɔktɔ kin no di sik we dɛn de du ɔltrasɔund na di at bifo dɛn bɔn pikin we uman gɛt bɛlɛ. כda tεm dεm, dεn kin fכnshכn wan bicuspid aortic valve we dεn de du tεst we di pikin de gεt simptom dεm bikoz fכ כda at kכndyushכn.

Bɔt bɔrku pipul dɛn kin go fɔ lɔng lɔng tɛm ɛn nɔr kin no se dɛn gɛt dis sik. Di fɔs sayn kin bi at murmur , wan abnɔmal sawnd na di at we yu dɔktɔ kin yɛri wit stetɔskɔp. Dɔn, yu dɔktɔ kin du imej tɛst fɔ chɛk aw di at tan ɛn aw i de wok.

Us tɛst dɛn kin du fɔ no dis?

Yu dɔktɔ kin chɛk yu at ɛn du dɛn tɛst ya fɔ si if yu gɛt bicuspid aortic valve:

• Echocardiogram (Echocardiogram - echo) : Dis de mek yu si layv imej dεm fכ di at.
• CT scans (Computed Tomography scans) : Dis kin tek kכros-sekshכnal imej dεm fכ di at.
• `Hat MRI` (Magnetic Resonance Imaging) : Dis kin gεt ditayla imej dεm bak fכ di at.

Dɛn kin rifer yu bak fɔ mek dɛn du yu jenɛtik tɛst .

Aw dɛn kin trit di Bicuspid Aortic Valve?

Mɛrɛsin dɛm lɛk beta-blɔka ɛn diuretik kin ɛp fɔ kɔntrol di sik dɛm. Bɔt dɛn nɔ kin mɛn di sik kpatakpata . Na lɛk 4 pan ɛvri fayv pipul dɛm wae gɛt Bicuspid Aortic Valve Disease go nid ɔpreshɔn fɔ trit am. Yu dɔktɔ go mek yu aɔta valv ɔ put nyu valv insay . Dɛn kin mek ɔda prɔblɛm dɛn bak, lɛk wan aneurysm, we dɛn de du di sem ɔpreshɔn.

Yu dɔktɔ go chɛk yu sik, du sɔm tɛst dɛn, ɛn tɔk to yu bɔt aw fɔ trit yu. Di tritmɛnt we yu go gɛt go dipen pan di kɔndishɔn fɔ yu aorta valv ɛn aorta. Dɛn go tink bak bɔt yu at wɛlbɔdi, yu ej, ɛn ɔda sik dɛn we yu gɛt.

Di tin we impɔtant pas ɔl na fɔ du ɔpreshɔn kwik kwik wan, bifo di at pwɛl fɔ ɔltɛm. Ivin if yu nɔr gɛt di sik, yu dɔktɔ kin want fɔ trit di prɔblɛm naw fɔ mek yu nɔr gɛt prɔblɛm dɛn tumara bambay. Di bɛst tɛm difrɛn fɔ ɔlman. Yu mɛdikal tim go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du.

Nyu teknɔlɔji dɔn mek di tin dɛn we kin kɔmɔt fayn ɛn i dɔn mek di prɔblɛm dɛn we kin apin nɔ bɔku. Naw bɔku pipul dɛn kin yuz difrɛn we dɛn we nɔ kin tek bɔku pipul dɛn pas fɔ yuz tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin dɛn at .

di difrεns bitwin tradishכnal aorta valv כpεrayshכn εn minimally invasive כpεrayshכn

• tradishכnal (open hat) aorta valv כpεrayshכn: dis involv fכ mek 6-8 inch insayshכn na di midul pan di chεst, along di stεnכm. di dɔktɔ we de du di ɔpreshɔn kin sheb di sternum to tu fɔ mek i go ebul fɔ go na di at dairekt wan.
• Minimally invasive aortic valve surgery: dis involv fכ mek wan sכmכl, "J"-shεp insishכn we lכng lεk 2-4 inch. dis insayshכn kin bi na di tכp pat pan di brεstbon כ bitwin di rib dεm. Di dɔktɔ we de du di ɔpreshɔn nɔ nid fɔ opin di wan ol chɛst. Dis we ya kin mek di blɔd nɔ bɔku, i kin mek pɔsin go na ɔspitul kwik kwik wan, ɛn i kin mek di tɛm we i de wɛl shɔt.

Aortic Valve Ripair ɔ Aortic Valve Riplesmɛnt?

• Aortic Valve Repair: Dis na we fɔ mek yu valv ripɛnt we yu nɔ de chenj am. dis na gud opshכn fכ pipul dεm we gεt aortic regurgitation (blכd we de lik frכm di valv). כltu, i nכ kin trit di aorta stenosis (we di valv de sכmtεm). כltεm di sכja dεm kin du dis minimally invasive prosidכs tru wan "J" insishכn. Di dɔktɔ we de du di ɔpreshɔn kin shep di liflet dɛn na yu aɔta valv bak fɔ ɛp dɛn fɔ opin ɛn lɔk fayn fayn wan.

• Aortic Valve Replacement: Dis min se yu fɔ pul yu valv we yu nɔ go ebul fɔ ripɛnt ɛn put nyu wan. Di dɔktɔ dɛn we de du ɔpreshɔn kin chenj yu valv bay we dɛn de du tradishɔnal opin ɔpreshɔn ɔ tru wan we we nɔ kin ambɔg yu valv we dɛn kɔl Transcatheter Aortic Valve Replacement (TAVR) .

di nyu valv we dεn go fit yu kin bi ‘bayolojikal valv’ כ ‘mεkanikal valv’ .

• `Bayolojikal valv`: .di sכja dεm de yuz dis kayn valv 80% pan di tεm. Dɛn kin mek dis valv wit tisu frɔm pig ɔ kaw. I sef ɛn i kin las fɔ lɔng tɛm. Bɔt afta lɛk 10 ia so, yu go nid fɔ du ɔda ɔpreshɔn fɔ chenj di valv.
• Mɛkanikal valv: Dis atifishal valv kin rili te ɛn i kin las yu ɔl yu layf. Bɔt fɔ mek i wok fayn, yu go nid fɔ tek mɛrɛsin we de mek yu blɔd tan lɛk yu layf ɔl .

Bɔku pipul dɛn kin lɛk bayolojikal valv bikɔs dɛn nɔ nid fɔ tek blɔd tin fɔ mek dɛn gɛt blɔd. Bɔt i dipen pan yu ej, ɔda sik dɛn we yu gɛt fɔ mɛn yu, ɛn wetin yu lɛk. Yu dɔktɔ go tɔk to yu bɔt dɛn tin ya ɛn ɛp yu fɔ disayd wetin go fayn fɔ yu.

כda opshכn fכ riples di valv na di Ross prosidכs (dεn kכl am bak di switch prosidכs) . Dis involv fɔ tek yu pulmonary valv ɛn riples am wit yu aorta valv. Dis kin bi fayn tin if yu nɔ rich 50 ia yet ɛn yu want fɔ avɔyd fɔ tek blɔd tin fɔ lɔng tɛm.

Di prɔblɛm dɛn we kin apin we pɔsin de trit am

in jεnarכl, di risk fכ komplikεshכn frכm valv כpεrayshכn de sכm. Bɔt di prɔblɛm dɛn we kin apin kin bi:

• Infεkshכn dεm
• Blɔd we de kɔmɔt
• Blɔd we de klɔt
• Strok
• At atak
• At bit irɛgyulariti `(Aritmia)` (fɔ sɔm tɛm) .
• di kidni dεm we de wok dכn (fכ sכm tεm) .

Aw lɔng e kin tek fɔ wɛl frɔm dis tritmɛnt?

Aortic Valve Replacement ɔpreshɔn kin tek lɛk tu to tri mɔnt fɔ mek i wɛl ɔl. Aortic Valve Repair ɔpreshɔn kin tek lɛk wan to tu mɔnt fɔ mek i wɛl ɔl.

Yu tink se dɛn kin mek dɛn nɔ gɛt bicuspid aortic valve?

No we nɔ de fɔ mek dɛn nɔ gɛt bicuspid aortic valve. Na congenital , we min se dɛn bɔn yu wit am. Bɔt yu kin chenj di we aw yu de liv yu layf we go mek yu nɔ gɛt ɔda kayn at sik dɛn lɛk at at sik ɛn korona at sik. If yu gɛt bicuspid aortic valve, tɔk to yu dɔktɔ bɔt aw fɔ manej yu at sik risk factors. Dɛn tin ya na:

• Ay blɔd prɛshɔn (Hypertension) .
• Ay kɔlɔstrel `(Hyperlipidemia)`
• Shuga
• Tin dɛn we pɔsin kin liv in layf lɛk we pɔsin de smok ɛn we i de drink rɔm

If a gɛt bicuspid aortic valve, wetin a fɔ ɛkspɛkt?

Na lɛk 98% pan di pipul dɛm wae gɛt valv ɔpreshɔn de liv witout ɛni impak pan dɛn layfspan. If yu gɛt bicuspid aortic valve, yu kin liv lɔng lɛk pɔsin we nɔ gɛt di kɔndishɔn.. Bɔt yu go nid fɔ de fala yu ɔltɛm ɛn tɛst yu wit yu dɔktɔ. Yu dɔktɔ go chɛk yu valv ɛn mek shɔ se yu gɛt tritmɛnt we nid de. Tritmɛnt impɔtant fɔ mek dɛn nɔ gɛt prɔblɛm dɛn.

Aw a kin kia fɔ misɛf?

Wit bicuspid aortic valve, yu kin du bɔku pan di tin dɛm we yu lɛk. Yu go nid fɔ mek sɔm chenj dɛn na yu layf fɔ ɛp fɔ mek yu at gɛt wɛlbɔdi ɛn fɔ ridyus di strɛs we de pan yu at. Dɛn tin ya na:

• Fɔ it tin dɛn we go ɛp yu at.
• Big big ridyus di amount of sodium (salt) we yu de it.
• Fɔ avɔyd fɔ du tin pasmak.

Yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ chɛk aw yu at de wok. If dɛn dɔn du ɔpreshɔn pan yu, dɛn go gɛt fɔ fala yu na tu wik, tri mɔnt, ɛn siks mɔnt. Afta dat, yu go gɛt apɔntinmɛnt ɛvri ia. Dɛn apɔntin ya impɔtant fɔ mek yu gɛt wɛlbɔdi ɛn fɔ chɛk yu valv fɔ kech prɔblɛm bifo dɛn bi siriɔs.

Ustɛm a fɔ wɔri bɔt wan bicuspid aortic valve?

Yu fɔ wɔri bɔt wan bicuspid aortic valve we i bigin fɔ ambɔg di wok we yu at de du. Bicuspid aortic valve disease kin mek aortic stenosis ɛn rigurgitation. As tɛm de go, dɛn prɔblɛm ya kin mek di at pwɛl sote go.

Ustɛm a fɔ go to mi dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam fɔ apɔntin. If dɛn dɔn du ɔpreshɔn pan yu, sɔm pipul dɛn go fala yu insay di fɔs ia ɛn afta dat dɛn go du wan ɛvri ia afta dat.

If pɔsin na yu famili gɛt at valv prɔblɛm, bɔt dɛn nɔ no se yu gɛt am, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu at . Yu dɔktɔ we de mɛn yu at kin tɛst yu fɔ gɛt at sik ɛn gi yu advays.

Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt sayn dɛn we de sho se yu gɛt rupchɔ aneurism ɔ dissection , kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm :

• Wantɛm wantɛm, shap, chuk pen na di chɛst ɔ bak
• Skin kin fil lɛk se i stika ɛn i kin swet
• Diziz we pɔsin kin gɛt
• Diziz we pɔsin kin gɛt
• Di at we de blo
• Nɔs ɛn vɔmit
• I nɔ kin izi fɔ yu fɔ blo

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If dɛn no se yu ɔ yu pikin gɛt bicuspid aortic valve, tɔk to yu dɔktɔ bɔt yu at sik ɛn if yu nid tritmɛnt. Sɔm kwɛstyɔn dɛn we wi fɔ aks na:

• Yu tink se i nid fɔ du ɔpreshɔn?
• Yu kin tɛl yu fɔ chenj di we aw yu de liv yu layf we go ɛp yu at?
• Ɛni sayn dɛn de we de sho se di aorta de blɔd ɔ i de smɔl?
• Aw di we aw pɔsin go wɛl go tan lɛk?
• Us sayn ɔ prɔblɛm dɛn we a fɔ wach fɔ na os?
• Us tin dɛn we pɔsin kin du we kin mek pɔsin denja?
• Aw a go ridyus mi pikin in at sik tumara bambay?
• Yu gɛt tin dɛn we go ɛp mi fɔ ɛksplen dis diagnosis to mi pikin?

Fɔ dil wit bicuspid aortic valve kin tranga ɛn i kin mek yu aks bɔku kwɛstyɔn. Mɛmba se dɔktɔ ɛn ɔspitul dɛn de ya fɔ ɛp yu ɔ yu pikin fɔ gɛt wɛlbɔdi ɛn fɔ gɛt trɛnk. If dɛn jɔs dɔn no se yu ɔ yu pikin gɛt dis sik, tek sɔm tɛm fɔ no mɔ bɔt dis sik. Tɔk to yu dɔktɔ ɛn gɛt de infɔmeshɔn wae yu nid fɔ fil fayn fɔ mɛn de sik. Dɔn bak, mɛmba se dɛn gɛt di teknɔlɔji fɔ kech ɛn trit prɔblɛm dɛn kwik kwik wan.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

bicuspid aortic valve na wan kכndyushכn we dεn kin kכnεkt we dεn kin mεnεj. Nɔ panik, bɔt na fɔ no.

Di tin we impɔtant pas ɔl na fɔ fala di kɔrɛkt advays we dɔktɔ gi yu, du tɛst di rayt tɛm, ɛn liv fayn layf. Nɔto yu wan, dɔktɔ dɛn de we go ɛp yu. Wi op se dis infɔmeshɔn dɔn ɛp yu fɔ ɔndastand dis sik fayn fayn wan.

` Bicuspid hat valv, aorta valv, hat sik, we dεn bכn wit at, at כpεrayshכn, aorta stεnosis, aorta rεgεrjiteshכn