Yu at de fil lɛk se i de kɔnstrikt? I kin bi Kɔnstrikt Pɛrikaditis!

Yu dɔn ɛva tink bɔt aw wi at valyu ɛn aw i de wok fayn fayn wan? Sɔntɛnde, nɔto jɔs di at sɛf, bɔt di kɔva we de protɛkt am we de rawnd am kin ambɔg di wan ol at fɔ wok. Dat na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl `(Constrictive Pericarditis)`. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na dis (Constrictive Pericarditis)? Dɔktɔ?

Fɔ tɔk am simpul wan, wan tin we tan lɛk pilo de rawnd yu at we de protɛkt am. Wi kin kɔl am di pɔrikardium. insay dis kes, insted fכ bi nכmal fכ fleksibul, di pεrikardium de tik εn i de stif. Tink bɔt am lɛk pɔmp, di at nid fɔ ebul fɔ bɔku ɛn kɔntrakt fɔ pɔmp blɔd. bכt we dis pεrikardium stif, di at nכ de gεt inof rum fכ εkspכnd εn fulכp wit blכd. Na da tɛm de di prɔblɛm dɛn kin bigin. Dis na siriɔs tin we kin ivin mek pɔsin in at nɔ wok fayn . Bɔt di gud nyus na dat bɔku tɛm dɛn kin trit am ɛn mɛn am, mɔ if dɛn kech am kwik .

Wetin rili de apin na dis sityueshɔn?

Wi bin tɔk bɔt di pɔrikardium. I gɛt tu layers, ɛn wata de bitwin dɛn. Dis wata na in de kushɔn di at, if ɛni aksidɛnt apin. nכmal wan, dis pεrikardium kin rili elastik εn fεksibul. So, no tin nɔ de we go ambɔg am fɔ ful-ɔp am wit blɔd we di at de bit.

Bɔt pan pɔsin we gɛt Kɔnstrikt Pɛrikaditis, di pɔrikardiɔm kin tik ɛn stif. I tan lɛk ol rɔba band, ɛn i nɔ de strɛch. Dɔn di at nɔ kin gɛt di chans fɔ ful-ɔp wit inof blɔd.

We di at nɔ ebul fɔ ful-ɔp wit blɔd fayn fayn wan, i nɔ kin izi fɔ pɔmp inof blɔd to di bɔdi. Fɔ kɔmpɛns, di prɛshɔn we de insay di at kin go ɔp. If dis kɔntinyu, i kin mek yu at pwɛl . Sɔm pipul dɛn kin kɔl dis bak `(Restrictive Pericarditis)`, bɔt naw dɛn kin yuz di nem `(Constrictive Pericarditis)` mɔ. Dɛn ɔl tu na di sem kɔndishɔn.

Udat kin gɛt dis sik pas ɔlman?

Pan ɔl we ɛnibɔdi kin gɛt dis sik (Constrictive Pericarditis), sɔm pipul dɛn kin gɛt bɔku prɔblɛm.

• Fɔ di wan dɛn we dɛn bin dɔn du ɔpreshɔn pan dɛn at bifo dis tɛm .
• Fɔ di wan dɛn we dɔn gɛt redyushɔn tɛrapi to di at eria.
• fכ dεn wan dεm we gεt inflameshn na di pεrikardiכm we dεn nכ kin fכnshכn kכz fכ (wi kכl am ``idiopathic pericarditis``) כ we dεn gεt inflameshn na di pεrikardiכm bikoz fכ wan vayral infεkshכn (``vayral pεrikarditis``).
• Insay divɛlop kɔntri dɛn, lɛk wi kɔntri fɔ ɛgzampul, TB (TB) na di men tin we kin mek pɔsin gɛt dis sik.

I kin izi fɔ mek man dɛn gɛt tu to tri tɛm pas uman dɛn. I nɔ kin bɔku bak pan yɔŋ pikin dɛn.

Aw dis sik kin kɔmɔn?

Constrictive Pericarditis na rili wan sik we nɔ kin apin so ɔltɛm . I kin apin pan lɛk 9% pan pipul dɛm wae gɛt akyu perikarditis. Ɛn dɛn kin si da akyu pericarditis de pan lɛk 5% pan di pipul dɛn we kin kam na di imejensi rum wit chɛst pen. So yu kin imajin aw i nɔ kin bɔku.

Wetin na di sayn dɛm fɔ dis sik?

De sayn dɛm fɔ dis sik kin kam smɔl smɔl. Sɔntɛnde, dɛn kin kam wantɛm wantɛm. De men sayn dɛm wae dɛn kin si na:

• I nɔ izi fɔ blo (dyspnea): Fɔ fil se yu nɔ de blo fayn we yu taya smɔl, ɔ ivin jɔs tinap.
• Chest pain : Na pen we de swɛt, we de swɛt.
• Fatigue, fatigue : Fɔ fil so taya dat yu nɔ ebul fɔ du natin.
• Diziz : I kin fil lɛk se yu ed de spin, sɔm tɛm dɛn kin tan lɛk se yu de kam fɔ lɔs kɔnshɛns.
• Swel : Fluid kin gɛda ɛn swel, mɔ na say dɛn lɛk di bɛlɛ ɛn di leg dɛn (arawnd di anklɛ dɛn).
• di mכsul dεm we de wik εn west : di bכdi de lכs di mכsul dεm.
• Lɔs fɔ it ɛn fil ful ivin afta yu it smɔl : Yu nɔ kin fil fɔ it, bɔt yu kin fil ful ivin afta yu it smɔl.

Yu tink se difrɛn kayn dis sik de?

Yes, sεvεra difrεn sכbtayp dεm de fכ `(Constrictive Pericarditis)`. Lɛ wi si wetin dɛn bi:

• Akyu tכp : Insay dis kayn, skata na di pεrikardium kin apin kwik kwik wan, insay fכ dez.
• Subacute type : Dis kin fiba di acute type, bɔt di sayn dɛm nɔr kin so bad.
• Effusive-constrictive pericarditis : Dis kayn pericarditis de kכz fכ wata we de kכmכt insay di pεrikardiכm (pericardial effusion). As dis wata de bɔku, i de put prɛshɔn pan di at. Dɛn kɔl dis kadyak tamponade. Tink bɔt am lɛk balyɔn we de insay balyɔn, ɛn if yu ful-ɔp di balɔ we de na do wit wata, di balyɔn we de insay go kɔmprɛs. As tɛm de go, di at kin stɔp fɔ bit. if dεn pul di εkstra wata bכt di prεshכn insay di at de stil hכy, dεn kכl dis effusive constriction.
• Transient constrictive pericarditis : Dis kin bi wan akyu fכm fכ pericarditis, we na wan kכndyushכn we di pεrikardiכm kin inflamεd εn kכnstrikt. Dɛn kin trit am wit mɛrɛsin dɛn we de mek pɔsin nɔ gɛt inflammatory .
• Occult constrictive pericarditis : Insay mɛrɛsin, di wɔd "occult" min "hidden." Dis nem kɔmɔt frɔm di tru tin se dis kayn tin at fɔ no. Bɔku tɛm, dɛn kin no am bay we dɛn de du ɔda tɛst.

Wetin kin mek dis apin?

Konstriktiv Pεrikarditis na wan kכndyushכn we di pεrikardiכm de tik εn stif. Dis kin bi mɔ bay di ska tisu frɔm di mɛdikal kɔndishɔn dɛn we bin dɔn de bifo. difrεn rizin dεm de we mek dis pεrikardium kin stiff:

• Infεkshכn : Na divεlכp kכntri dεm, TB na di bכku bכku bכku bכku bכku infεkshכn dεm. Na lɛk 20% to 30% pan di kes dɛm we gɛt fɔ du wit TB we gɛt fɔ du wit TB kin go bifo to dis kɔndishɔn. Insay divɛlop kɔntri dɛn, di vayral infɛkshɔn kin bɔku.
• At sik ɛn prɔblɛm wit di blɔd sistɛm : At atak ɔ ɔda tin dɛn we kin afɛkt di big blɔd vesel dɛn we de nia di at.
• Trauma : Inflameshɔn we pɔsin kin gɛt we i wund na in chɛst (lɛk we pɔsin blo, we pɔsin chuk am, ɔ we pɔsin shot am) kin tɔn to skata leta.
• Imyun sistεm sik dεm כ inflammatory kכndishכn dεm : fכ egzampl, sik dεm lεk `(Lupus)`, `(Rheumatoid arthritis)`, כ `(Sjögren's syndrome)`.
• Di tin dɛn we kin mek pɔsin gɛt mɛrɛsin : Di pɔrikardium kin tik ɛn gɛt skata afta dɛn dɔn ɔpreshɔn di at, di raytin tɛrapi fɔ kansa, ɔ as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn.
• Kansa : Kansa na di perikardium insɛf ɔ kansa we dɔn skata frɔm ɔdasay na di bɔdi.
• Ɔda tin dɛn we kin mek i apin : Sɔntɛnde, dɛn nɔ kin fɛn ɛni kɔz fɔ ``Constrictive Pericarditis.'' Bɔku tɛm, dɔktɔ dɛn kin tink se dɛn tin ya na vayral infɛkshɔn, ɔ dɛn kin grup di tin dɛn we dɛn nɔ no bɔt ɛn di vayral kɔz dɛn togɛda na di statystik.

Yu tink se dis kin pas?

Nɔ, pan ɔl we Constrictive Pericarditis kin kam bikɔs ɔf infɛkshɔn (sɔm pan dɛn kin pas), di sik insɛf nɔ kin pas .

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ kin no dis sik bay we i luk yu sayn dɛm, yu mɛdikal histri (lɛk di sik dɛm we yu bin dɔn gɛt trade, ɔpreshɔn), fɔ chɛk yu bɔdi, ɛn sɔm spɛshal tɛst dɛm. Sɔntɛnde, i kin tranga fɔ no bɔt dis sik, mɔr lɛk if yu sik nɔr kin tranga ɔr if yu gɛt ɔda kayn sik wae gɛt di sem kayn sik.

Us tɛst dɛn de du fɔ dis?

If dɔktɔ tink se yu gɛt Constrictive Pericarditis, dɛn kin du dɛn tɛst ya:

• Test fɔ Tubakulosis .
• Blɔd tɛst fɔ chɛk if di imyun sistɛm sik dɛn .
• Echocardiogram (lɛk ɔltra saund skan fɔ di at).
• Ilɛktrokardiogram (ECG) (na tɛst we de chɛk aw di at de wok wit ilɛktrik).
• Chɛst X-ray .
• Hat kɔmpyuta tomografi (CT skan) .
• Hat magnɛtik rɛsɔnans imej (MRI) skan .
• di lεft εn rayt at kateshכn (na tεst we de mכsu prεshכn bay we dεn pas wan tin tכb insay di at).

Aw fɔ trit dis?Yu tink se dɛn kin mɛn am?

Dis sik kin ɔltɛm fɔ trit , ɛn bɔrku tɛm dɛn kin mɛn am.

Bɔku tɛm, dɛn kin fala tu men tin dɛn fɔ mɛn dis:

• fכ ridyus di prεshכn pan di at biכs fכ di at we nכ ebul fכ kכntrakt.
• Fɔ trit di ɔndalayn kɔz ɔr di sayn dɛm wae gɛt fɔ du wit am.

Wetin na di mɛrɛsin ɛn tritmɛnt fɔ dis?

Bɔrku tɛm, na dɛn tritmɛnt ya fɔ dis sik:

• Ɔpreshɔn : Ɔpreshɔn we dɛn kɔl pericardiectomy de pul di wan ol pericardium. Dis na di bɛst we fɔ trit di sik. Pɛrikardiɛktɔmi nɔ nid fɔ mek yu kɔntinyu fɔ liv . Bɔrku pipul dɛn kin wɛl afta dɛn du di ɔpreshɔn ɛn nɔr kin gɛt ɛni prɔblɛm ɔr kin du tin fɔ lɔng tɛm.
• Mɛrɛsin : Dipen pan di ɔndalayn kɔz ɛn di sayn dɛm, dɛn kin yuz difrɛn mɛrɛsin fɔ trit di sayn dɛm fɔ dis sik dairekt wan, ɔr fɔ tray fɔ mɛn am bay we yu stɔp di kɔz. Sɔntɛnde, dɛn kin trit am wit mɛrɛsin nɔmɔ we dɛn nɔ nid fɔ du ɔpreshɔn, ɔ fɔ di wan dɛn we nɔ kin ebul fɔ du ɔpreshɔn, mɛrɛsin kin ɛp fɔ kɔntrol di sik dɛn we de sho se dɛn gɛt am.

Us kayn mɛrɛsin dɛn kin yuz?

De mɛrɛsin wae dɛn kin yuse fɔ trit dis sik na:

• Diuretics : Dɛn mɛrɛsin ya kin ɛp yu kidni fɔ pul ɛkstra wata na yu bɔdi.
• NSAID (Non-steroidal anti-inflammatory drugs) : Dɛn wan ya de ridyus inflamɛns ɛn mek yu nɔ fil pen. Ɛgzampul dɛn na `(Ibuprofen)` ɔ `(Naproxen)`.
• Steroid : Di anti-inflammatory prɔpati dɛm fɔ dɛn mɛrɛsin ya de ɛp fɔ trit dis sik.
• Kɔz-spɛsifi k mɛrɛsin : Fɔ ɛgzampul, antibayɔtik fɔ baktriyal infɛkshɔn lɛk TB.

Wetin na de kɔmplikeshɔn ɔr sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?

Di prɔblɛm dɛn we kin apin kin difrɛn difrɛn wan bay di tritmɛnt ɛn di mɛrɛsin. Di kɔz ɔ di kayn Constrictive Pericarditis kin afɛkt dis bak. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to yu bɔt di sayd ɛfɛkt ɔ prɔblɛm dɛn we kin apin, mɔ wit mɛrɛsin. Dis na bikɔs i kin gi yu infɔmeshɔn we fit yu patikyula kɔndishɔn ɛn sityueshɔn. I go tɛl yu bak wetin fɔ ɛkspɛkt, aw fɔ sɔlv dɛn prɔblɛm ya, ɛn wetin yu go du fɔ mek dɛn nɔ gɛt dɛn atɔl.

Sɔm pan di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn na:

• At we nɔ de wok fayn .
• At bit we nɔ de bit ɔltɛm (`Aritmia`) .
• Infεkshכn εn sepsis (blɔd pɔyzin).
• Day (dis na tin we nɔ kin apin so ɔltɛm).

Aw a go ebul fɔ kɔntrol di sayn dɛm if a nɔr de kia fɔ misɛf?

Constrictive Pericarditis nɔto sɔntin we yu fɔ trit ɔ manej fɔ yusɛf , bikɔs tɛst ɛn skan impɔtant fɔ no am. Dis impɔtant mɔ bikɔs sɔm pan di sayn dɛm fɔ dis sik kin apin bak wit tin dɛm wae kin mek pɔrsin in layf de pan denja lɛk kadyak tamponade ɔr hat atak. So, yu fɔ tɔk to dɔktɔ fɔs ɛn gɛt gayd fɔ wetin yu go du bɔt dis sik.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

I kin tek sɔm dez ɔ sɔm wiks fɔ mek yu fil fayn, i kin dipen pan wetin mek yu gɛt dis sik ɛn di tritmɛnt we yu de gi yu. If yu gɛt ɔpreshɔn, yu go nid fɔ ad di tɛm we yu go wɛl frɔm di ɔpreshɔn to di tɛm we yu go tek fɔ mek yu fil fayn. Bɔrku pipul dɛn kin fil fayn insay tri mɔnt , bɔt sɔm pipul dɛn kin tek sɔm mɔnt fɔ mek dɛn wɛl ɔl.

A kin mek dis nɔ apin ɔ a kin ridyus di prɔblɛm?

Constrictive Pericarditis na wan sik wae kin apun wae yu nɔr bin de ɛkspɛkt, so dɛn nɔr kin ebul fɔ avɔyd am. De onli tin wae yu kin du fɔ ridyus yu risk fɔ gɛt dis sik na fɔ avɔyd tin dɛm wae kin mek yu gɛt dis sik. Fɔ ɛgzampul, if yu gɛt baktri, go to tritmɛnt kwik kwik wan. Wan ɔda wan na fɔ stɔp di damej we di mɛdikal wokman dɛn kin du to yu perikardium if yu de tek redyushɔn tɛrapi.

Wetin a go ɛkspɛkt if a gɛt dis sik? Yu tink se dɛn go ebul fɔ mɛn dis?

Di we aw yu de si dis kayn tin kin dipen pan de tin wae de mek yu sik, aw yu sik bad, aw yu de trit yu, ɛn ɔda kayn wɛl bɔdi prɔblɛm wae yu gɛt. Yu dɔktɔ na di bɛst pɔrsin fɔ tɛl yu wetin fɔ ɛkspɛkt frɔm dis sik ɛn aw yu go si yu.

Bikɔs dis sik kin apun bɔrku tɛm wit ɔr kin kam wit siriɔs ɔr layf de pan denja, de luk kin bi bad. Dis kin bi mɔ if na redyushɔn tɛrapi mek am, ɔ if yu gɛt bak:

• Advans kidni sik ɔ kidni fayl .
• At we nɔ de wok fayn .
• Liva sik .
• Pɔlmonari haypatɛyshɔn .

Bikɔs ɔf dɛn prɔblɛm ya, di bɛst tin kin apin we dɛn no di sik kwik kwik wan ɛn trit am . Ivin insay di transiɛnt fɔm, gud autkam kin mɔs bi. Ivin da tɛm de, lɛk 5% - 10% pan di pipul dɛm we dɛn kin du ɔpreshɔn nɔ kin liv (di autkam kin bɛtɛ na ɔspitul dɛm we spɛshal pan at sik).

Bɔt bɔku pipul dɛn kin wɛl ɛn dɛn kin du wɛl . Na lɛk 80% pan di pipul dɛm wae gɛt ɔpreshɔn fɔ dis sik kin liv at le fayv ia, ɛn lɛk 60% kin liv at le tɛn ia.

Aw lɔng dis go las? Ustɛm a go ebul fɔ bigin fɔ du tin dɛn we a nɔ bin de du?

Aw lɔng dis sik kin te kin dipen pan di kayn, kɔz, ɛn tritmɛnt wae yu de gɛt. Sɔntɛnde, dis sik go sɔlv fɔ insɛf ɔr wit mɛrɛsin. Bɔku tɛm, i kin tek sɔm wiks to sɔm mɔnt. Di mɔ di sik ɔ di tin we kin mek yu gɛt dis sik, na di mɔ i go tek lɔng tɛm fɔ mek yu wɛl.

Aw a kin kia fɔ misɛf?

If yu gɛt dis sik, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. Dis inklud:

• Tek mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am : Dɛn fɔ tek di mɛrɛsin fɔ dis sik lɛk aw dɛn tɛl yu fɔ tek am, ɛn i nɔ fayn fɔ stɔp af-af jɔs bikɔs yu fil fayn.
• Fɔ fala advays bɔt it : Bɔku pipul dɛn go nid fɔ stɔp fɔ it sɔl. di sodium we de insay di sכl kin mek di wata we de na di bכdi de rεtεn, we kin mek dis kכndyushכn wɔs.
• Limit fyzikal aktiviti if nid de : Dis kin ɛp fɔ ridyus di strɛs pan yu at ɛn fɔ mek di at mɔsul nɔ pwɛl ɛn stɔp.

Ustɛm a fɔ go to mi dɔktɔ? Ustɛm a fɔ go to dɔktɔ?

Bɔrku pipul dɛn go nid fɔ kɔntinyu fɔ go to dɛn dɔktɔ te dɛn wɛl frɔm dis sik. As yu sik de go bifo, bɔku tɛm yu dɔktɔ go tɛl yu fɔ ridyus di nɔmba fɔ di visit dɛn we yu kin go.

If yu fil se yu sik de kam bak, ɔr if yu sik chenj ɛn bigin fɔ afɛkt yu nɔrmal tin fɔ du, yu fɔ kɔl yu dɔktɔ ɔr mek apɔntinmɛnt.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Bɔrku pan de sayn dɛm fɔ dis sik kin apin bak wit mɛdikal imejensi dɛm wae kin mek pɔrsin in layf de pan denja. So, yu fɔ go to dɔktɔ kwik kwik wan if yu gɛt ɛni wan pan dɛn sik ya:

• I nɔ izi fɔ blo (Dyspnea) .
• Chɛst pen .
• Diziz ɔ fil lɛk se yu nɔ gɛt bɛtɛ ed .
• Faint ɔ pas ɔt .

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Constrictive Pericarditis na wan sik wae nɔr kin bɔrku ɛn wae nɔr kin no bɔt. De sayn dɛm wae de kam pan am kin fiba bɔrku ɔda sik dɛm, so sɔmtɛm i kin tranga fɔ no bɔt am. Bɔt gud tin na dat, we di sayɛns ɛn tɛknɔlɔji dɔn go bifo pan mɛrɛsin, i dɔn izi naw fɔ no dis sik wit sɔm skan dɛn. Di tritmɛnt fɔ dis sik dɔn impɔtant bak. Dis min se bɔrku tɛm, dɛn kin trit dis sik, ɛn sɔmtɛm i kin ivin wɛl ɔl. So, if yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ ɛn aks fɔ advays ɛn nɔ fred.

` Constrictive Pericarditis, konstrikshɔn na di pericardium, at sik, chɛst pen, shɔt briz, at ɔpreshɔn, pericardiectomy