Wetin yu nid fɔ no bɔt Congenital Heart Disease

Yu smɔl pikin kin fil taya bad bad wan afta i dɔn drink sɔm milk? Yu dɔn notis se in lip, in tɔŋ, ɛn in skin kin tɔn blu? Sɔntɛnde, smɔl pikin dɛn kin slip fast pas ɔda pikin dɛn we dɛn de rɔn ɛn ple. Pan ɔl we dɛn tin ya kin tan lɛk se na nɔmal tin, sɔntɛnde, dɛn kin gɛt am bikɔs ɔf wan sik we dɛn bɔn wit in at. Nɔ wɔri, na dis wi de tɔk bɔt tide. Dis na wan sik wae bɔrku pipul kin gɛt, ɛn dɛn kin trit am.

Fɔ tɔk am simpul wan, wetin na at sik we pɔsin kin bɔn wit?

Wi de kol dis `CHD` fo shot. di simpul minin fכ dis na dat we dεn bכn pikin, sכm chenj כ defεkt de na di strכkchכ fכ in at, dat na di we aw di at de fכm. Bikɔs ɔf dis, blɔd nɔ de pas na di at fayn fayn wan.

Imajin se di at ɛn di blɔd vesel dɛn de wok lɛk wata sistɛm na wi os. If ɛni prɔblɛm de wit di paip ɛn valv dɛn, di wata go flɔ, nɔto so? Na so i bi. Dɛn bad tin ya kin bi difrɛn kayn tin dɛn.

• Hol na di at: Na ol we dɛn bɔn wit na di wɔl dɛn we de sheb di chɛmba dɛn na di at.
• Ishu wit blɔd vesel: Blɔd vesel we kɔnɛkt na di rɔng ples, tu smɔl, ɔ blɔd de flɔ na di rɔng say.
• Prɔblɛm dɛn we de wit di at valv dɛn: Di valv dɛn we de kɔntrol aw blɔd de flɔ nɔ de opin ɔ lɔk fayn fayn wan.

Sɔm CHD kɔndishɔn dɛn kin rili simpul. Dɛn nɔ kin ivin sho di sayn dɛm. Bɔt sɔm kin kɔmpleks smɔl ɛn kin afɛkt layf ɛn nid fɔ trit dɛn we dɛn smɔl. Sɔntɛnde, dɛn kin no dis sik we dɛn bɔn am. Bɔt fɔ sɔm pipul dɛn, dɛn kin no am we dɛn smɔl, we dɛn yɔŋ, ɔ we dɛn big.

Wetin na di men kayn at sik?

Dɛn kin sheb di at sik dɛn we dɛn kin bɔn wit to tu men kategori: wan bay di lɛvɛl we ɔksijɛn de na di blɔd.

1. Cyanotic Congenital Heart Disease: Dis na wan sik we di ɔksijɛn we de na di blɔd kin ridyus bikɔs ɔf wan prɔblɛm we de na di at. Dis kin mek di skin, di lip, ɛn di nel dɛn tɔn blu. Dis na wetin wi kin kɔl `Cyanosis`.

2. Acyanotic Congenital Heart Disease: Insay dis kayn, di ɔksijɛn lɛvɛl na di blɔd nɔmal. Dat min se, no blu kɔlɔ nɔ de. Bɔt di blɔd de flɔ na di at di we we nɔmal.

Lɛ wi luk dɛn tu kayn ya smɔl mɔ.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, i kin dipen pan di kayn at pwɛl hat, aw i tranga, ɛn di ej we de pɔrsin gɛt.

Di sayn dɛm we dɛn kin si pan bebi ɛn smɔl pikin dɛm:

• Saynosis: Na blu ɔ pepul kɔlɔ we de chenj na di lip, tɔŋ, skin, ɛn nel.
• I nɔ kin izi fɔ yu fɔ blo: yu kin blo kwik kwik wan, yu nɔ kin blo fayn.
• Taya we yu de drink milk: Ivin afta we di pikin dɔn drink smɔl milk, i kin fil taya, i kin swet, ɛn i kin stɔp fɔ drink milk afta sɔm tɛm.
• I kin slip ɔltɛm: Di pikin kin slip we nɔ kin izi fɔ am.
• We yu nɔ de gɛt bɔku bɔku wet: Di pikin nɔ de gɛt wet nɔmal wan.

Di sayn dɛm wae dɛn kin si pan big pikin dɛm ɛn big pipul dɛm:

• Fɔ taya kwik we yu de du ɛksɛsayz: Yu kin rili taya afta yu dɔn rɔn fɔ sɔm tɛm ɔ klaym stej.
• Chɛst pen: Chɛst pen, mɔ we yu de du ɛnitin.
• Faint: I nɔ kin no natin wantɛm wantɛm.
• Swɛlin: Na say dɛn lɛk di leg, anklɛ, ɛn bɛlɛ kin swel.
• At Murmur: Na abnɔmal ‘swooshing’ sawnd we dɛn kin yɛri frɔm di at we di dɔktɔ de chɛk am wit stetɔskɔp.

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

Infakt, bɔku tɛm i nɔ kin izi fɔ fɛn wan patikyula rizin fɔ dis. i kin bi fכ wan random tin we kin apin insay di fכs wik dεm we di pikin de divεlכp na di bεlε as di at de divεlכp. Bɔt dɛn dɔn no bɔku tin dɛn we kin mek di prɔblɛm bɔku.

• Jɛnɛtik kɔz: Di risk kin bɔku if pɔrsin na di famili gɛt CHD ɔr kromozom abnɔmal tin lɛk Down Syndrome.
• di mama in hεlth kכndishכn dεm we i bεlε:
• If di mama nɔ ebul fɔ kɔntrol in dayabitis we i gɛt bɛlɛ.
• If di mama gɛt vayral infɛkshɔn lɛk rubɛla .
• Fɔ smok, drink rɔm , ɔ fɔ smok we yu gɛt bɛlɛ.
• Yuz sɔm mɛrɛsin (e.g., sɔm mɛrɛsin fɔ ay blɔd prɛshɔn, ay kɔlɔstrel, ɛn akni) we yu nɔ gɛt dɔktɔ advays.

Aw dɛn kin no dis sik? Us tɛst dɛn dɛn kin du?

Bɔku we dɛn de fɔ no if pɔsin gɛt CHD. Sɔntɛnde, dɛn kin no am bifo dɛn bɔn di pikin, sɔm tɛm dɛn kin no am wantɛm wantɛm afta dɛn bɔn am, ɛn sɔm tɛm dɛn de leta.

1. di tεm we uman bεlε: if dεn no se di at abnכmaliti di tεm we dεn de du di rutin `Anomaly Scan`, dεn kin du `Fetal Echocardiogram`. Dis kin tek ditayl pikchɔ fɔ di pikin in at.

2. Afta dɛn bɔn am:

• Mɛdikal ɛgzamin: We di dɔktɔ de chɛk di pikin, i go chɛk fɔ si if i gɛt abnɔmal at sawnd (`Heart Murmur`) ɛn i gɛt blu kɔlɔ.
• Pulse Oximetry Screening: Dis na test we rili simpul, we nɔ de mek pɔsin fil pen. dεn kin put sכmכl sεns na di pikin in finga כ in fut fכ mכsu di כksijεn lεvεl na di bכdi. If di ɔksijɛn lɛvɛl smɔl, i kin bi sayn fɔ CHD.

3. Test fɔ kɔnfɔm:

• Echocardiogram (Echo): Dis na di tɛst we impɔtant pas ɔl. I tan lɛk ɔltra saund skan. I de yuz sawnd wev fɔ mek wan vidio pikchɔ bɔt di at. Dis kin mek yu si klia wan di at in chɛmba dɛn, di valv dɛn, ɛn di blɔd we de flɔ.
• Ilɛktrokardiogram (ECG): .Test we de rayt di ilɛktrik wok we di at de du. Dis kin chɛk fɔ ɛni tin we nɔ rayt na di at bit.
• Chɛst X-ray: We yu tek ɛkstrem na di chɛst, yu kin no di sayz ɛn shep we di at gɛt.
• Cardiac Catheterization: Dis na tɛst we kɔmplikt smɔl. wan tiub we rili tan (kateta) de pas tru wan vein na yu leg כ an to yu at, usay dεn de mכsu di prεshכn insay yu at εn tek sεmpl dεm. Sɔntɛnde, dɛn kin yuz dis sem tin bak fɔ mek smɔl smɔl tin dɛn we nɔ fayn.

Aw dɛn kin trit am?

Di tritmɛnt dipen pan di pɔsin in ej, di kayn ɛn aw di at pwɛl. Nɔto ɔl di kes dɛm fɔ CHD nid tritmɛnt. Sɔm smɔl smɔl tin dɛn we nɔ fayn (e.g., smɔl ol dɛn) go lɔk dɛnsɛf as tɛm de go.

Bɔku men we dɛn de fɔ trit pɔsin:

• Mɛrɛsin: Dɛn kin gi mɛrɛsin fɔ ɛp di at fɔ wok, fɔ kɔntrol di at rit, fɔ kɔntrol di blɔd prɛshɔn, ɛn fɔ pul di wata we pasmak na di bɔdi.
• di we aw dεn de du di kateshכn: if dεn nכ du כpεrayshכn, dεn kin pas wan tin tכb, lεk na `Cardiac Catheterization`, tru wan bכdi vεsεl fכ klos ol dεm na di at, fכ mek di valv dεm we sכmtεm big, כ fכ mek di bכdi vεsul dεm big.
• Opin-Hat Ɔpreshɔn: Kɔmpleks dɛfɛkt dɛn nid fɔ ɔpreshɔn fɔ mek dɛn ripɛnt. Wit di teknɔlɔji tide, dis ɔpreshɔn kin rili wok fayn.
• At Transplant: Dis na las tin we dɛn kin tink bɔt we di at dɔn pwɛl bad bad wan ɛn dɛn nɔ kin ebul fɔ mɛn am wit ɛni ɔda tritmɛnt.

Tin dɛm fɔ tink bɔt we yu de liv wit CHD

Wit di advans na mεdikal sayns, tide pas 90% pan di pipul dεm wae gεt CHD de liv te dεn big. Bɔku pipul dɛn kin liv nɔmal layf, gladi at, ɛn aktif layf. Bɔt, sɔm tin dɛn de we wi nid fɔ tek kia ɔf ɔl wi layf.

• Yu kin chɛk yu ɔltɛm to dɔktɔ: Ivin afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ go to dɔktɔ we de mɛn yu at ɔltɛm insay yu layf.
• Fɔ liv fayn layf: Fɔ it fayn fayn tin dɛn, fɔ du ɛksɛsayz we yu dɔktɔ tɛl yu fɔ du, ɛn fɔ mek yu gɛt wɛlbɔdi wet rili impɔtant.
• Dental hεlth: Baktri dεm we de kכmכt na di gכm sik kin go insay di bכdi εn afekt di at (endocarditis). So tek kia spɛshal wan pan yu tit ɛn yu mɔt wɛlbɔdi.
• Fɔ tɛl ɔda dɔktɔ dɛn:We yu go to dɔktɔ fɔ ɛni ɔda sik, mek shɔ se yu tɛl dɛn se yu gɛt CHD, di mɛrɛsin dɛn we yu de tek, ɛn ɛni ɔpreshɔn we yu dɔn du.
• Bɛlɛ: If uman we gɛt CHD de plan fɔ gɛt bɛlɛ, i impɔtant fɔ tɔk bɔt di tin wit dɔktɔ we de mɛn di at ɛn di dɔktɔ we de mɛn uman dɛn bifo tɛm.

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

If pɔsin we gɛt CHD gɛt wan ɔ mɔ pan dɛn sik ya, kɛr am go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.

• Bɔrku pen na yu chɛst
• I nɔ kin izi fɔ yu fɔ blo bad bad wan
• Diziz bad bad wan ɔ fɔdɔm (layt ed) .
• Wan difrɛn blu kɔlɔ to di skin ɔ di lip dɛn