Yu lɔng dɛn ful-ɔp wit wata? Lɛ wi lan bɔt dis sik we gɛt fɔ du wit at (Cardiogenic Pulmonary Edema)!

Sɔntɛnde, yu kin fil smɔl fɔ blo? Ɔ yu kin wek we yu de slip bikɔs i nɔ kin izi fɔ yu fɔ blo we yu de go slip? Sɔntɛm yu leg dɛnsɛf dɔn swel. If yu gɛt sayn dɛn lɛk dis, i nɔ fayn fɔ lɛ yu nɔ pe atɛnshɔn to am. Bikɔs, dis na sik we de involv di at ɛn ful-ɔp di lɔng dɛn wit wata, we kin mek pɔsin in layf de pan denja . Tide, wi go tɔk bɔt dis sik we dɛn kɔl `(Cardiogenic Pulmonary Edema)`.

Wetin dɛn kɔl dis swɛlin we gɛt fɔ du wit at na di lɔng dɛn? (Kɔdiɔjɛnik Pulmonari Ɛdima) .

Fɔ tɔk am simpul wan, `(Cardiogenic Pulmonary Edema)` na wata we nɔ nid fɔ gɛda na yu lכng . Dis kin rili denja. Di men rizin fɔ dis na bikɔs di prɛshɔn na di lɛft say na di at kin go ɔp ɛn blɔd kin gɛda. Bɔrku tɛm, dis kin apin bikɔs ɔf at pwɛl hat. We di lɔng dɛn ful-ɔp wit wata lɛk dis, apat frɔm we i nɔ kin izi fɔ blo, ɔda pat dɛn na di bɔdi kin pwɛl bak bay we dɛn nɔ gɛt bɛtɛ ɔksijɛn . Tink bɔt am, wi lɔng dɛn tan lɛk spɔnj. We i absɔb wata, i nɔ kin ebul fɔ wok fayn. Na so i bi.

Wetin na di difrɛns bitwin kadyak ɛdima ɛn pulmonari ɛdima?

Dɛn tu nem ya de tɔk bɔt di wata we de bɔku na yu lɔng, we de mek i nɔ izi fɔ blo. כltu, `(Cardiogenic Pulmonary Edema)` na wan kayn `(Pulmonary Edema)` we de k כz fכ at prכblεm . dat min se i de pat pan di big kategori `(Pulmonary Edema)`. na di כda say, `(Non-cardiogenic Pulmonary Edema)` de kכz fכ damej pan di lכng dεm sεf. Fɔ ɛgzampul, i kin kam bikɔs ɔf sɔntin lɛk bad bad infɛkshɔn ɔ we pɔsin inhal pɔyzin gas.

So wetin na kadyak εdima εn rεnal εdima?

Dɛn tu tin ya rili de tɔk bɔt di wata we de gɛda na wi ɔgan dɛn. insay `(Cardiac Edema)`, di wata we pasmak de na di lכng dεm. bכt insay `(Renal Edema)`, di wata we pasmak de na di kidni dεm. Sɔmtɛm, dɛn tu tin ya kin apin bikɔs ɔf at pwɛl. If prɔblɛm de wit di kidni dɛn, di kidni dɛn nɔ kin ebul fɔ filta wata fayn fayn wan frɔm di blɔd ɛn pul am kɔmɔt as urine. Dɔn, wata kin gɛda na di bɔdi.

Udat de pan ay risk fɔ gɛt kadyak ɛdima bikɔs ɔf at sik?

Dis sik kin afɛkt pipul dɛm wae gɛt hat sik , mɔr lɛk di wan dɛm wae gɛt wik at wok (Heart Failure). Jɔs tink, at sik na kɔmɔn tin na wi kɔntri bak. So, if yusɛf gɛt ɛni prɔblɛm we gɛt fɔ du wit yu at, i rili impɔtant fɔ tek kia ɔf dis.

Wetin na di sayn dɛm fɔ dis? Aw wi kin no am?

Si if yu gɛt wan ɔ mɔ pan dɛn kwaliti dɛn ya:

• I nɔ kin izi fɔ yu fɔ blo we yu de du ɛksɛsayz ɔ we yu de ledɔm? Sɔm pipul dɛn kin gɛt prɔblɛm fɔ blo we dɛn de ledɔm na bed, so dɛn kin gɛt fɔ slip wit tu ɔ tri pilo dɛn we dɛn es ɔp.
• Yu kin wek wantɛm wantɛm na nɛt ɛn yu nɔ kin ebul fɔ blo fayn? Dis na sɔntin we bɔku pipul dɛn kin gɛt.
• Yu fut ɛn yu anklɛ dɛn de swel? To di point we i at fɔ put yu sus.
• Yu kin fil taya ɛn taya ɔltɛm? Laik yu no get di enaji fo du enitin?
• Yu tink se yu de gɛt mɔ wet pas wan kilogram (lɛk tu pawn) wantɛm wantɛm fɔ wan de? Dis kin bi bikɔs ɔf di wata we de kɔntinyu fɔ de.

If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn yu nɔ go west yu tɛm .

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

di men tin we de mek yu gεt `(Cardiogenic Pulmonary Edema)` na `(Congestive Heart Failure ).` Dis na kכndyushכn we di at nכ kin ebul fכ pכmp inof bכdi to di bכdi. Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Aritmia : Di at nɔ de bit di rayt ritm.
• Cardiomyopathy : Di at mɔsul we wik ɔ tik.
• Prɔblɛm wit di valv dɛn na di lɛft say na di at : Fɔ ɛgzampul, di valv dɛn we de smɔl, ɔ we de tɔn bak.
• At Atak: Na wan at we de blok wantɛm wantɛm we de gi blɔd to di at.

Fɔ tɔk am simpul wan, we di at in pɔmp nɔ de wok igen, smɔl smɔl blɔd kin bigin fɔ gɛda na di lɔng dɛn, ɛn dis kin mek i gɛt prɛshɔn. Na da tɛm de di lɔng dɛn kin ful-ɔp wit wata.

Aw dɔktɔ kin no bɔt dis?

We yu go to dɔktɔ, di fɔs tin we i kin du na:

• Fɔ chɛk yu bɔdi na fɔ chɛk yu gud gud wan. Dɛn go lisin to yu chɛst wit stetɔskɔp ɛn chɛk fɔ si if yu leg dɛn dɔn swel.
• Fɔ aks bɔt yu mɛdikal istri . Tin dɛm lɛk sik dɛm wae yu dɔn gɛt bifo, if ɛnibɔdi na yu famili gɛt at sik, ɛn ɔda tin dɛm.
• Test na di prɔses fɔ du sɔm spɛshal tɛst dɛn .

Us tɛst dɛn kin du fɔ dis?

Afta di dɔktɔ dɔn chɛk yu, dɛn kin du dɛn tɛst ya fɔ no if yu gɛt di rayt sik:

• ECG (Electrocardiogram) : Dis kin mכnitor di ilektrikal aktiviti we di at de du, dat na di ritm we di at de bit.
• Chɛst X-ray : Dɛn kin tek ɛkstrem rayt na di chɛst fɔ chɛk if wata de na di lɔng ɔ at dɔn big.
• Echocardiogram : Dis tan lɛk ɔltra saund skan fɔ di at. I kin chɛk bɔku tin bɔt di at, lɛk in saiz, shep, aw in valv dɛn de wok, ɛn aw i de pɔmp.
• Blɔd Tɛst : Sɔm pat dɛn na di blɔd, fɔ ɛgzampul, di ɛnzaym dɛn we de kɔmɔt we di at pwɛl, ɛn dɛn kin tɛst di kidni dɛn we de wok.
• Pulmonary Arterial Catheter : Dis nɔto tɛst fɔ ɔlman. I kɔmplikt smɔl. Na tɛst we dɛn kin put smɔl tiub tru di nɛk ɔ di groin fɔ no di prɛshɔn we de na di blɔd vesel dɛn we de go na di lɔng dɛn.

Wɛl, wetin na di tritmɛnt dɛn fɔ dis?

Di we aw dɛn kin trit am kin dipen pan wetin de mek di sik ɛn aw i siriɔs. Bɔku men we dɛn de fɔ trit pɔsin:

Ɔpreshɔn ɛn patikyula tritmɛnt dɛn:

Sɔntɛnde, i kin nid fɔ gɛt tritmɛnt lɛk dis:

• PCI (Percutaneous Coronary Intervention) : If blɔk de na di blɔd vesel dɛn na di at, dɛn kin opin am bay we dɛn inflate dɛn wit balyɔn ɛn sɔntɛm dɛn kin put `Stent` (smɔl tin we tan lɛk mɛsh).
• Ventricular Assist Device (VAD) : Na smɔl tin we dɛn kin put insay ɔ ausayd di bɔdi we kin ɛp di at fɔ pɔmp blɔd.
• Hat Valv Riplesmɛnt : If siriɔs prɔblɛm de wit di at valv dɛn, na ɔpreshɔn fɔ riples di valv.
• Koronari Atεri Baypas Graft (CABG) : Wi כl no "baypas כpεrayshכn". I min fɔ mek nyu blɔd vesel dɛn na di at fɔ baypas di blɔd vesel dɛn we dɔn blok.
• Intra-aortic Balloon Pump (IABP) : Na balyɔn we dɛn kin put insay blɔd vesel fɔ sɔm tɛm fɔ ɛp fɔ pɔmp blɔd to di at.
• Extracorporeal Membrane Oxygenation (ECMO) : Dis na we dεn kin yus pan kes dεm we rili siriכs. I min fɔ ad ɔksijɛn to di blɔd we yu de yuz mashin we de na do na di bɔdi ɛn gi am bak to di bɔdi.
• Hat Transplant : Na las tin fɔ du if ɔl di ɔda tritmɛnt dɛn nɔ wok.

Di kayn drɔgs dɛn we dɛn kin yuz:

Yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:

• Vasodilators : Dɛn wan ya de wok bay we dɛn de mek di blɔd vesel dɛn big, we de mek am izi fɔ di at fɔ pɔmp blɔd.
• Diuretics : Wi kin kɔl dɛn tin ya "wata pills." Dɛn kin wok bay we dɛn de pul di wata we pasmak na di bɔdi tru di urine.

Di tin we impɔtant pas ɔl na dat if yu gɛt at prɔblɛm, yu dɔktɔ go tɛl yu fɔ ridyus di sɔl we yu de it . Dis nɔ jɔs min di sɔl we yu put insay yu it, bɔt i min bak di sɔl we yu ayd insay tin dɛn lɛk tin fɔ it, sup we dɛn pak, ɛn sos. So yu nid fɔ tek tɛm wit dat bak.

Yu kin chenj yu layf ɛn tin dɛn we yu kin du na os:

Dɛn tin ya go ɛp yu bak:

• Ɛksesaiz fɔ at le sɔm dez insay di wik. Ivin fɔ waka layt, i fayn. Bɔt aks yu dɔktɔ us ɛksesaiz dɛn we fayn fɔ yu.
• Kip yu leg dɛn we dɔn swel ɔp smɔl we yu sidɔm.
• If yu leg dεm swel, yu kin wɛr spεshal sכks we dεn kכl ``Compression Stockings'' lεk aw yu dכkta advays yu.
• If yu gɛt wata na yu lɔng, kip di ed pan di bed ɔp smɔl we yu de slip.

Wetin wi go du fɔ ridyus dis prɔblɛm?

Bɔku tɛm, Cardiogenic Pulmonary Edema (CPED) kin apin we yu dɔn ɔlrɛdi gɛt at prɔblɛm. So, di bɛst we fɔ ridyus dis prɔblɛm na fɔ mek yu at gɛt wɛlbɔdi ɛn strɔng .

Dɛn tin ya go ɛp fɔ du dat:

• It it dɛn we nɔ gɛt bɔku sɛtyuret fat ɛn trans fat . Put mɔ vɛjitebul, frut, ɛn ligɛm insay yu it.
• Ɛksesaiz ɛnitɛm we i pɔsibul. Ivin fɔ waka fɔ 30 minit ɛvride na fayn tin.
• Nɔ yuz tin dɛn we dɛn kin yuz fɔ smok (sigrɛt, beedis, ɛn ɔda tin dɛn) kpatakpata.
• Limit yu rɔm we yu de drink. I bɛtɛ fɔ lɛ yu stɔp kpatakpata if i pɔsibul.

Wetin go apin if dis apin? Yu tink se dɛn kin mɛn am?

Infakt, `(Pulmonary Edema)` na wan sik we de mek pɔsin in layf de pan denja . Bɔt, di rit we yu de wɛl kin dipen pan wetin mek i gɛt am. Fɔ ɛgzampul, lɛk 50% pan di pipul dɛn we gɛt `(Cardiac Edema)` kin liv fɔ wan ia afta dɛn dɔn dischaj dɛn na ɔspitul.

At pwɛl hat na wan kɔmɔn tin we kin mek dis apin. Na sik we nɔ de mɛn, we min se i kin de fɔ lɔng tɛm. Bɔt if dɛn trit am fayn, dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan .

Bifo yu fil sɔri, "O, a gɛt dis sik," wetin impɔtant na fɔ fala di dɔktɔ in instrɔkshɔn ɛn ajɔst yu layf.

Aw a kin kia fɔ misɛf?

If yu wej yusɛf di sem tɛm ɛvride, dat kin ɛp yu fɔ si if yu sik de wɔs. I bɛtɛ fɔ wej yusɛf fɔs na mɔnin, bifo yu it, ɛn afta yu dɔn yuz di bafa. If yu wet de go ɔp pas wan kilogram (lɛk tu pawn) ɛvride, i go mɔs bi se yu de kip wata. If dis apin, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• If i nɔ izi fɔ yu fɔ blo , ilɛksɛf yu taya smɔl ɔ we yu de ledɔm.
• If yu wek frɔm slip wit shɔt briz .
• If yu leg dɛn dɔn swel .

Nɔ ignore dɛn sayn ya. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ i go bɛtɛ.

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

If i nɔ izi fɔ yu fɔ blo ɔ yu de fil bad bad wan na yu chɛst , nɔ wet. Kɔl 911 (ɔ 1990 Sudhana Ambulance Service na Sri Lanka) wantɛm wantɛm ɔ go na ɔspitul wit pɔsin.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya. Da we de, yusɛf go ɔndastand yu sik gud gud wan.

• "Dɔkta, wetin mek a dɔn divɛlɔp dis `(Cardiac Edema)` kɔndishɔn?"
• "Dis kin mɛn bay we dɛn trit di kɔz?"
• "Us chenj a nid fɔ mek na mi layf?"

Di kwik we yu dɔktɔ no se yu gɛt sik ɛn bigin fɔ trit yu, na di mɔ yu go ebul fɔ du am fayn. Na dat mek i impɔtant fɔ go to yu famili dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. Da we de, yu kin kech ɛni at prɔblɛm bifo i wɔs. I impɔtant bak fɔ tek yu mɛrɛsin dɛn di rayt tɛm.

Fɔ dɔn, a fɔ se... (Tek-Home Message)

So, `(Cardiogenic Pulmonary Edema)` na wan kכndyushכn we di lכng dεm de fulכp wit wata bikoz fכ at prכblεm, εn na sכmtin we yu fכ kכnsy. If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu leg dɛn de swel, ɔ yu wek de blo fɔ blo , pe atɛnshɔn to am.

Fɔ no dis sik kwik kwik wan, fɔ gɛt di rayt tritmɛnt, ɛn fɔ liv fayn layf na di bɛst we fɔ protɛkt yusɛf frɔm ɛn kɔntrol dis sik. Tek kia ɔf yu at, bikɔs na yu layf blɔd!

` Cardiogenic Pulmonary Edema, wata we de ful-ɔp di lכng, at fεl, at fכ brith, at sik, εdima, at wik