Yu tink se prɔblɛm dɛn we yu gɛt na yu lɔng kin afɛkt di rayt say na yu at bak? (Cor Pulmonale / Right-Sided Heart Failure) Lɛ wi tɔk bɔt dis!

Sɔntɛnde yu kin fil smɔl fɔ blo smɔl, ɔ yu kin fil sɔntin we strenj na yu chɛst? Sɔntɛm yu nɔr kin ivin tink bɔt am, prɔblɛm wit yu lɔng kin afɛkt yu at bak. Na dat wi go tok abaut tide. dis dεn kכl am `Cor Pulmonale` כ `Right-Sided Heart Failure`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

Wetin na `Kɔr Pulmonale`?

fכ simpul wan, `Cor Pulmonale` na wan kכndyushכn na yu lכng dεm we de mek di rayt say na yu at, di rayt vεntrikl , de big εn nכ ebul fכ wok fayn, sכmtεm i de wik yu at. Dis na rili wan kayn `Right-Sided Heart Failure` .

Naw, luk, na dis kin apin nɔmal wan. di rayt vεntrikl na yu at de pכmp blכd to di lכng fכ pik כksijεn. Dis blɔd de travul tru wan blɔd vesel we dɛn kɔl di pulmonary artery . Bɔt bikɔs ɔf sɔm sik dɛn we de na di lɔng, di blɔd prɛshɔn insay dis pulmonari at kin go ɔp bad bad wan. I tan lɛk wata paip we dɔn lɔk. afta dat di rayt vεntrikl gεt fכ wok tranga wan fכ pכmp blכd to di lכng dεm.

Imajin, yu de tray fɔ opin motoka domɔt di de we briz kin blo. Yu fɔ yuz bɔku pawa fɔ push di domɔt agens di briz, nɔto so? na dat kin apin to di rayt vεntrikl. di pulmonari at we nכmal fכ gεt lכw prεshכn, gεt fכ pכmp blכd εgεst hכy prεshכn. as i de kכntinyu fכ wok tranga wan lεk dis, di rayt vεntrikl de big sכmtεm, in mכsul dεm de wik, εn te go i nכ ebul fכ wok fayn. Na dat wi de kɔl `Cor Pulmonale`. Yu ɔndastand?

Yu tink se men kayn `Cor Pulmonale` de?

Yes, tu men kayn `Cor Pulmonale` de:

• Sudden `Cor Pulmonale` (`Acute Cor Pulmonale`): Dis na sכt tεm, sכdεn kכndyushכn. fכ egzampl, i kin kכz fכ sכmtin lεk bכdi we de kכlכt na di lכng (`Pulmonary Embolism`).
• Chronic Cor Pulmonale: Dis na di kayn we we dɛn kin gɛt mɔ. I de divεlכp sloslo fכ lכng tεm bikoz fכ wan lכng sik.

Aw kɔmɔn tin na `Cor Pulmonale`?

Akɔdin to di statystik frɔm kɔntri dɛm lɛk Amɛrika, dɛn se bitwin 6% ɛn 7% pan di at sik dɛm na `Cor Pulmonale`. Wi nid fɔ wɔri bɔt dis tin we de apin na wi kɔntri bak.

Wetin na di simptom dɛm fɔ `Cor Pulmonale`?

Na di fɔs tɛm, yu nɔ kin gɛt ɛni sayn. Bɔt, di sayn dɛm go bigin fɔ sho as di sik de go bifo. Mɛmba se dɛn simptom ya de apat frɔm di simptom dɛm fɔ di lɔng sik we bin mek di Cor Pulmonale.

De men sayn wae yu kin si na:

• I nɔ kin izi fɔ yu fɔ blo:Nɔto jɔs we yu taya smɔl, bɔt sɔntɛnde ivin we yu jɔs tinap, yu kin fil lɛk se yu nɔ gɛt bɛtɛ briz.
• Bulging neck veins: Yu kin si dis mɔ we yu de ledɔm wit yu ed we yu es ɔp smɔl.
• Di leg ɔ bɛlɛ we de swel: Di anklɛ ɛn fut kin swel. Sɔntɛnde di bɛlɛ kin swel bak lɛk se i ful-ɔp wit wata.
• Fɔ fil taya pasmak (`Fatigue`): Yu kin fil so taya ɛn taya dat yu nɔr kin ebul fɔ du natin.
• Chɛst pen: Sɔm pipul dɛn kin gɛt chɛst tayt ɔ pen.
• Faint episod: Pan ɔl we i nɔ kin apin so ɔltɛm, sɔm pipul dɛn kin fɔdɔm ɛn fɔdɔm.

Wetin na di tin dɛm we kin mek pɔsin gɛt `Cor Pulmonale`?

di men tin we de mek `Cor Pulmonale` na difrεn lכng sik dεm we de mek di lכng prεshכn bכku (`Pulmonary Hypertension`). Dat min se dis kכndyushכn kin kכz fכ eni lכng sik we de mek di prεshכn we de insay di blכd vesel dεm na di lכng bכku.

Na sɔm pan di men rizin dɛn:

• COPD (`Krכnik Obstrכktiv Pulmonary Disease`): Dis na di men tin we de mek `Krכnik Kכr Pulmonale`. COPD, fɔ tɔk am simpul wan, na sik we di lɔng dɛn kin pwɛl as tɛm de go ɛn smɔl smɔl i kin at fɔ blo. Dɛn kin si am mɔ pan pipul dɛn we de smok.
• Pulmonary Embolism: Na bכdi we de kכlכ t we de fכm insay wan bכdi we de na di lכng. Dis na tin we kin mek di at nɔ de wok wantɛm wantɛm.
• Ɔpreshɔn fɔ pul di lɔng tisu ɔ aksidɛnt: If dɛn gɛt fɔ pul wan pat pan di lɔng bikɔs ɔf ɔpreshɔn ɔ aksidɛnt.
• Damej we dɛn kin gɛt we dɛn de yuz mashin fɔ mek di briz kɔmɔt fayn: Sɔntɛnde, di wan dɛn we de na di say usay dɛn de kia fɔ pipul dɛn we sik kin gɛt dɛn kayn tin ya.
• Sklerodama: Na sik we de mek di skin ɛn di kɔnektiv tisu dɛn at.
• Sistik Faybrosis: Na sik we de kɔmɔt na di bɔdi we de mek di bɔdi in mɔkus tik.
• Nyuromɔskul dizayd we de afɛkt di we aw yu de blo: I nɔ izi fɔ blo bikɔs ɔf sik dɛn we de mek di mɔsul dɛn wik.
• di vein dεm na di lכng dεm we de blok.
• Pulmonary Fibrosis: Ska we de na di lɔng dɛn.
• Obstructive Sleep Apnea: Bɔrku pipul dɛm wae kin snor kin gɛt dis prɔblɛm. We yu nɔ de blo fayn, di prɛshɔn we de na yu lɔng dɛn kin go ɔp.
• Kyphosis: na fכd kכva fכ di spayna we de mek di lכng dεm nכ de εkspכnd fayn fayn wan.

Wetin na di risk factor dɛm fɔ `Cor Pulmonale`?

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• Yuz tin dɛn we dɛn kin yuz fɔ smok (lɛk fɔ smok, fɔ it betel nat): Dis na di men tin we kin mek pɔsin gɛt dis sik.
• Fɔ blo smoky, dɔti briz: Pɔlyushɔn we de na di envayrɔmɛnt gɛt impak bak.
• Fɔ gɛt sik dɛn na yu lɔng we kin mek yu gɛt bɔku bɔku blɔd prɛshɔn.

Wetin na di poshubul komplikashɔn dɛm fɔ `Cor Pulmonale`?

If dɛn nɔ trit di kɔndishɔn `Cor Pulmonale` fayn, siriɔs kɔmplikeshɔn kin apin. Dis min se di chans fɔ gɛt ɔda sik dɛn kin bɔku.

• Di at ritm dɛn we nɔmal.
• Rayt at we nɔ de wok fayn.
• di כksijεn lεvεl dεm we de dכn na di bכdi (`Hypoxia`).
• Nɔbɔdi nɔ kin no natin bɔku tɛm.
• Kidni sik.
• Liva sik.
• Bɔt i sɔri fɔ no se ivin day kin apin.

So, dεn nכ fכ tek di kכndishכn `Cor Pulmonale` layt. If yu gɛt sɔm sayn dɛn, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw fɔ no `Cor Pulmonale`?

We yu go to dɔktɔ, i go aks yu bɔt yu sik dɛn ɛn chɛk yu. I kin lisin to yu chɛst wit stetɔskɔp ɛn yɛri at sawnd dɛn we nɔmal. Dɔn i go ɔda sɔm tɛst fɔ kɔnfɔm di diagnosis fɔ `Cor Pulmonale`.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

• Echocardiogram: Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I kin sho aw di at chɛmba dɛn big, aw di at wɔl dɛn tik, ɛn aw di at de pɔmp blɔd fayn fayn wan. i kin sho bak if di rayt vεntrikl dכn big.
• Chɛst ɛkstrem rayt: Dis kin gi yu rɔf aydia bɔt di kɔndishɔn na di lɔng dɛn ɛn di saiz fɔ di at.
• Ilɛktrokardiogram (ECG): Dis de tɛst di ilɛktrik wok we di at de du. if di rayt vεntrikl big, dεn kin si chenj dεm na di ECG.
• Nyuklia mɛrɛsin imej: Dis kin gi patikyula infɔmeshɔn bɔt aw blɔd de flɔ na di at ɛn di lɔng.
• CT Angiogram: Dis rili impɔtant fɔ chɛk fɔ si if blɔd de klɔt na di blɔd vesel dɛn na di lכng (Pulmonary Embolism).
• Hat MRI: Yu kin gɛt klia pikchɔ bɔt aw di at de mek ɛn aw i de wok.
• VQ scan: Na tεst we de luk di rilayshכn bitwin di briz εn blכd fכ fכlכ na di lכng.
• Rayt at kateshɔn: Dis na tɛst we kɔmplikt smɔl. wan tin tכb (kateta) dεn de pas tru wan bכdi we de insay di rayt say na di at εn dεn de mכsu di prεshכn we de de. Dis kin ɛp fɔ no if yu gɛt pulmonary hypertension ɛn aw i tranga.

Aw dɛn kin trit `Cor Pulmonale`?

Di men tin we dɛn kin pe atɛnshɔn pan fɔ trit `Cor Pulmonale` na fɔ trit di lɔng sik we mek di kɔndishɔn.Bikɔs, na if dɛn sɔlv da prɔblɛm de fɔs, di impak we i kin gɛt pan di at kin ridyus.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ gi di ɔksijɛn we yu nid to di tisu dɛn na yu bɔdi.
• Fɔ ɛp di rayt ventricle na yu at fɔ wok bɛtɛ.
• Fɔ mek di blɔd vesel dɛn na di lɔng dɛn nɔ kɔnstrikt we nɔ nid fɔ de ɛn fɔ mek di blɔd flɔ izi wan.

I rili impɔtant fɔ bigin tritmɛnt kwik bifo di at pwɛl fɔ ɔltɛm.

Us patikyula mɛrɛsin ɔ tritmɛnt dɛn dɛn kin yuz?

Bɔku tritmɛnt dɛn de fɔ `Cor Pulmonale`:

• Ɔksijɛn tɛrapi: If di ɔksijɛn na di bɔdi nɔ bɔku, dɛn kin gi ɔksijɛn tru wan tiub we dɛn put na di nos ɔ tru wan mask we dɛn kin yuz fɔ mek yu mɔt.
• Bronchodilators: Dɛn mɛrɛsin ya kin mek di say dɛn we di briz de blo we dɔn smɔl na di lɔng dɛn big, ɛn dis kin mek i izi fɔ mek pɔsin blo. Dɛn kin yuse dɛn fɔ trit tin dɛn lɛk asma ɛn COPD.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di inflamɛns na di lɔng dɛn.
• Diuretics (wata pills): Dɛn mɛrɛsin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi tru di urine. Dɛn kin yuse dɛn fɔ trit tin dɛn lɛk we yu leg kin swel ɛn we yu blo.
• Anticoagulants (blood thinners): Dɛn kin gi dɛn mɛrɛsin ya fɔ mek blɔd nɔ klɔt ɔ fɔ sɔlv di blɔd we dɔn de. Dɛn tin ya impɔtant pan kɔndishɔn lɛk Pulmonary Embolism.
• Cardiac rehab: Na program we gɛt fɔ du wit ɛksɛsayz, ɛdyukeshɔn, ɛn advays. Dis kin ɛp fɔ mek di at gɛt wɛlbɔdi.
• Embolectomy: If na pulmonary embolism, sɔm tɛm dɛn kin gɛt ɔpreshɔn fɔ pul wan big blɔd we dɔn lod na di lɔng.
• Pulmonary vasodilators: Dis na spεshal mεdikeshכn dεm we de εp fכ kכntrכl pulmonary hypertension bay we dεn de mek di bכdi vεsul dεm na di lכng dεm big.
• Lɔng ɔ at-lɔng transplant: Dɛn kin tek am pan di kes dɛm we rili siriɔs usay nɔr ɔda tritmɛnt nɔr de woke fayn.

Ɛni kɔmplikeshɔn ɔ sayd ɛfɛkt de fɔ di tritmɛnt?

As wit eni mεdikal tritmεnt, pכtεnshal sayd ifekt כ komplikashכn dεm de we kin apin we dεn de trit `Cor Pulmonale`. Di mɛrɛsin we dɛn go gi yu go difrɛn difrɛn wan bay di tritmɛnt we dɛn de gi yu. Yu dɔktɔ go ɛksplen dɛn tin ya to yu. If yu notis ɛnitin we nɔ kɔmɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.

Us kayn layf pɔsin we gɛt `Cor Pulmonale` kin ɛkspɛkt?

Infakt, bɔrku pipul dɛm wae gɛt `Cor Pulmonale` kin gɛt sɔm kayn ridyus kwaliti fɔ layf. Bikɔs tin dɛn lɛk fɔ blo shɔt ɛn taya kin mek i nɔ izi fɔ du tin dɛn we pɔsin kin du ɛvride. Ivin wit tritmɛnt, di sayn dɛm kin kam bak.

Aw lɔŋ `Cor Pulmonale` kin las?

Cor Pulmonale kin bi wan sik wae kin teik lɔng tɛm. Bɔt akyu kɔ pulmonal, we kin kam bikɔs ɔf damej frɔm ventilatɔ ɔ imejensi lɛk pulmonari ɛmbolizm, kin bi fɔ shɔt tɛm, we min se i kin wɛl wans dɛn dɔn trit di ɔndalayn kɔz.

Wetin na di lukin-grɔn fɔ `Cor Pulmonale`?

Di lukin-grɔn (ɔ prɔgnosis) fɔ pɔsin we gɛt kɔr pulmonale de dipen pan di ɔndalayn lכng sik. Dat min se, aw di ɔrijinal lɔng sik kin tranga ɛn aw dɛn kin trit am fayn.

Fɔ ɛgzampul, if COPD mek `Cor Pulmonale`, di lukin-grɔn nɔ kin rili fayn if dɛn nɔ de manej di lɔng sik fayn fayn wan. Akɔdin to di statystik, na 30% pan di pipul dɛn nɔmɔ we gɛt `Cor Pulmonale` bikɔs ɔf COPD go liv fɔ ɔda fayv ia. So, i impɔtant fɔ trit di ɔrijinal sik fayn fayn wan.

Yu tink se dɛn kin mek dɛn nɔ gɛt `Cor Pulmonale`?

Yes, bay we yu avכyd di lכng sik dεm we de mek yu kכz `Cor Pulmonale`, yu kin bכn `Cor Pulmonale` bak. Yu kin ridyus yu risk bay:

• Nɔ it tin dɛn we dɛn kin yuz fɔ smok ɛn sigrɛt ɔltogɛda. I nɔ fayn bak fɔ de na say dɛn we ɔda pipul dɛn de smok.
• Nɔ pwɛl di briz. Stay na ples dɛn we klin briz de as mɔ as yu ebul.
• Nɔ it tin dɛn we de mek pɔsin gɛt ay blɔd prɛshɔn na yu pulmonari.
• If yu gɛt wan sik na yu lɔng, mek dɛn trit am kwik ɛn fayn. Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, ɛn fala wetin i tɛl yu fɔ du.

Aw a fɔ kia fɔ misɛf?

If yu gɛt `Cor Pulmonale`, i rili impɔtant fɔ mek yu tek kia ɔf yusɛf.

• Tek di mɛrɛsin we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm. Nɔ mis wan de.
• Kip ɔl di fɔlɔp apɔntinmɛnt dɛn wit yu dɔktɔ. Nɔ fred fɔ aks kwɛstyɔn if yu gɛt ɛni wan.
• If yu de yuz tabak prodakt, stɔp naw. Aks yu dɔktɔ fɔ ɛp yu.
• Ɛksasayz. Bɔt, aks yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu ɛn aw lɔng yu fɔ du dɛn.
• Gɛt vaysin wae kin mek yu nɔr gɛt flu ɔr ɔda sik wae kin afɛkt yu lɔng.

eni tin de we yu no kin it o drink we yu geht `Cor Pulmonale`?

Yu dɔktɔ go want mek yu nɔ gɛt bɔku sɔl ɛn wata we yu de drink (lɛk wata, ti, kɔfi, ɛn frut jus). Dis na bikɔs bɔku sɔl ɛn wata kin mek yu bɔdi gɛt wata ɛn mek yu swel mɔ. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Ustɛm a fɔ go to mi dɔktɔ?

If yu bin de na ɔspitul fɔ `Cor Pulmonale`, yu go nid fɔ go to `Cardiologist` ɛn `Pulmonologist`. Dɛn kin aks yu fɔ kam bak insay wan ɔ tu wiks. If ɛni chenj de pan yu sayn dɛm, fɔ ɛgzampul, if yu nɔr kin ebul fɔ blo fayn, yu leg kin swel mɔ, ɔr yu chɛst kin pen, go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Aks yu dɔktɔ ɛni kwɛstyɔn ɔ kɔnsyusɔn we yu gɛt bɔt `Cor Pulmonale`. Fɔ ɛgzampul:

• Wetin mek a de divɛlɔp `Cor Pulmonale`?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Wetin na di lukin-grɔn fɔ mi kɔndishɔn?
• Aw fa ɛn us kayn ɛksesaiz a kin du?
• Sɔpɔt grup dɛn de we de ɛp pipul dɛn wit dis kayn tin?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

`Cor Pulmonale` na lכng sik we di rayt vεntrikl na di at de big εn wik. Na nɔmal tin fɔ fil bad ɛn fil bad we yu gɛt wan sik we de mek i nɔ izi fɔ du wok ɛvride. Insay dɛn kayn tɛm dɛn de, nɔ shem fɔ aks yu fambul ɛn padi dɛn fɔ ɛp yu.

Yu dɔktɔ go ɛksplen di tritmɛnt dɛn we yu go ebul fɔ du we go fayn fɔ yu. If ɛnitin de we yu nɔ ɔndastand bɔt `Cor Pulmonale`, nɔ fred fɔ aks. If yu no bɔt dis sik kwik kwik wan, di rayt tritmɛnt, ɛn chenj yu layf, yu kin liv fayn layf wit dis sik. Di bɛst we fɔ mek yu nɔ gɛt `Cor Pulmonale` na fɔ stɔp fɔ smok ɔltogɛda ɛn fɔ gɛt tritmɛnt kwik kwik wan fɔ di sik dɛn we de na di lɔng.

` Cor Pulmonale, Rayt-sayd Hat Failure, Lɔng Sik, At Sik, Difikulti fɔ Brith, COPD, Pulmonary Hypertension, Pulmonary Hypertension