Yu at de na di rayt say? Lɛ wi tɔk bɔt (Dextrocardia)!

Yu dɔn ɛva tink if yu at de na di rayt say na yu bɔdi, nɔto di lɛft say? Ah, strenj, nɔto so? Bɔt i kin bi so. Dis na wetin wi kin kɔl `(Dextrocardia)`. Fɔ tɔk am simpul wan, yu at de na di rayt say na yu chɛst, ɛn i de fes to di rayt say. I tan lɛk miro pikchɔ we de sho at na di lɛft. Nɔmal wan, wi at kin de na di lɛft say na yu chɛst, ɛn i kin de na di lɛft say. dis kכndyushכn we dεn kכl `(Dextrocardia)` dεn kin kכnsidr am as di hat dεfεkt we dεn bכn wit . Dat min se, dɛn bɔn yu wit dis difrɛns.

Naw yu go de tink se, "Oh my God, na big tin?" fכ tru, if yu כnli gεt `(Dextrocardia)`, we min se di at de na di rayt say, mכst tεm i nכ de siriכs so . E nɔr de kɔz ɛni sayn, nɔr de kɔz kɔmplikeshɔn, ɛn nɔr nid tritmɛnt. Bɔt sɔmtɛm pipul dɛm wae gɛt `(Dextrocardia)` kin bɔn wit ɔda wɛl bɔdi prɔblɛm. Dɛn tin dɛn de kin mek pɔsin gɛt prɔblɛm ɛn i kin nid fɔ go to dɔktɔ.

Dis na tin we nɔ kin apin so ɔltɛm , we kin apin to lɛk wan pan ɛvri 12,000 bɛlɛ.

Wetin na di men kayn `(Dextrocardia)`? Yu tink se di at nɔmɔ de na di rayt say?

Yes, dis `(Dextrocardia)` kin kam insay difrεn fכm dεm. Sɔntɛm na di at nɔmɔ de na di rayt say, ɔ i kin kam wit chenj na di pozishɔn we ɔda ɔgan dɛn we de insay de de. Lɛ wi si wetin na di men kayn dɛn:

• Isolated Dextrocardia: Dis na we yu at de jɔs shift frɔm di lɛft say to di rayt say. Bɔt ɔl yu ɔda ɔgan dɛn de na di nɔmal pozishɔn. If nɔr ɔda at sik nɔr de, de hat de woke nɔrmal. Dis nɔ kin mek pɔsin gɛt ɛni sayn .
• `Situs Inversus` wit `(Dextrocardia)`: insay dis, yu hat de na di rayt say, lεk "mirror image", εn di כda כgan dεm na yu chεst εn bכdi dεm dεn tu de na di כpכsite dairekshכn. Tink bɔt am lɛk se di liva de na di lɛft say ɛn di splin de na di rayt say. dis `(Situs Inversu)` kכndyushכn kin bi sכmtεm wan sayn fכ wan jεnεtik sik we dεn kכl `(Primary Ciliary Dyskinesia)`. Dis sik kin kam wit difrɛn sayn dɛm frɔm we dɛn bɔn am.
• Dɛkstrokadia wit ɔda at prɔblɛm dɛn we dɛn bɔn wit: Bɔrku pipul dɛm wae gɛt dɛkstrokadia kin gɛt ɔda at sik dɛm bak we kin afɛkt aw di at de woke. Dɛn at sik ya kin mek yu gɛt sɔm kayn sik, kɔmplikeshɔn, ɛn nid fɔ gɛt tritmɛnt.
• `Heterotaxy Syndrome` wit `(Dextrocardia)`: insay dis kes, di at de na di rayt say, lεk "mirror image". Dɔn bak, ɔda ɔgan dɛn de na say dɛn we nɔmal, nɔto usay dɛn fɔ de. dis `(Heterotaxy Syndrome)` kin mek siriכs prכblεm na di fכnshכn fכ di כgan dεm.

Us simptom kin apin bikɔs ɔf `(Dextrocardia)`?

As wi bin dɔn tɔk, if yu dɔn aysol `(Dextrocardia),` we min se di at de na di rayt say nɔmɔ, nɔr simptom nɔ go de . Yu nɔ kin ivin no se yu at de na di rayt say, ɛn dɛn kin diskɔba am bay chans we dɛn de du `(Imaging Test)` fɔ sɔm ɔda rizin.

כltu, if di kכndyushכn `(Dextrocardia)` kכmbayn wit כda at dεfεkt כ jεnεtik dizכrd, den sכm simptom dεm kin sho. Bɔku tɛm, dɛn kin si dɛn tin ya we dɛn smɔl. Luk fɔ dɛn sayn ya:

• Fɔ fil se yu taya pasmak.
• Infεkshכn na di lכng bכku tεm כ infεkshכn na di sayn.
• Fɔ fil taya bad bad wan ɛn fɔ gɛt prɔblɛm fɔ blo we yu de du yu bɔdi.
• Di at we nɔ de bit ɔltɛm.
• di skin de luk blu (dεn kכl dis ``Cyanosis'', we min se כksijεn de sכmtεm na di bכdi).
• Di skin kin luk lɛk se i dɔn shayn.
• Di skin ɛn yay we de yɔlɔ (lɛk janda).
• I nɔ izi fɔ blo ɔ fɔ blo kwik kwik wan.
• di wet we yu de gεt εn di gכt prכblεm (especially fכ yכŋ pikin dεm).
• Kɔf wit mɔkus.

Impɔtant: If yu pikin gɛt dɛn kayn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ no wetin mek i gɛt dis sik. pan ɔl we dɛn simptom ya nɔ kin kɔmɔt frɔm `(Dextrocardia)` insɛf, tɛst kin no bak di kɔndishɔn `(Dextrocardia).`

Wetin mek dis `(Dextrocardia)` kin apin? Wetin na di tin dɛn we kin mek i apin?

di men kכz fכ dis `(Dextrocardia)` na di jεnεtik chenj dεm we de apin di fכs stej dεm fכ bεlε . I pas 60 jin dɛn we de ɛp fɔ no aw di ɔgan dɛn na wi bɔdi fɔ de. di risach pipul dεm stil de sכk fכ di εksakכt jin we de afekt `(Dextrocardia)`.

כlmost wan pan fכ pipul dεm we gεt `(Dextrocardia)` gεt jεnεtik kכndyushכn bak we dεn kכl `(Primary Ciliary Dyskinesia)`. dis jεnεtik kכndishכn kin kכz bay mכtεshכn insay mכr dan 30 jin dεm, lεk `DNAI1` εn `DNAH5`. sכm pipul dεn kin gεt mכtεshכn na dεn jin dεm ya bכt dεn nכ de sho sכmtεm dεm εn dεn na `(Cariers)`.

Aw dɔktɔ dɛn kin no bɔt dis sik?

sכmtεm, dכkta dεm kin no `(Dextrocardia)` as di pikin de divεlכp . Dɛn kin yuz wan `(Prenatal Ultrasound)` tɛst fɔ du dis. dis kin luk aw di pikin in at εn כda כgan dεm de divεlכp. dis `(Imaging Test)` kin sho `(Dextrocardia)` כ כda abnכmaliti dεm na di pikin. wan tεst we dεn kכl `(Fetal Echocardiogram)` dεn kin du bak fכ luk di at mכr ditayli.

Bɔt if di tɛst we dɛn du we dɛn gɛt bɛlɛ nɔ sho ɛni prɔblɛm, dɛn kin no di sik afta dɛn bɔn am. Sɔm pikin dɛn kin sho sayn dɛn fɔ gɛt at sik we dɛn bɔn wit jɔs afta dɛn bɔn dɛn. Dɔn dɔktɔ dɛn kin du tɛst fɔ no di prɔblɛm.

Bɔt if na `(Dextrocardia)` nɔmɔ de, nɔr simptom nɔ de, so pikin dɛm we nɔ gɛt big at prɔblɛm ɔ jɛnɛtik kɔndishɔn nɔ kin no bɔt am fɔ lɔng lɔng tɛm.

Dɔktɔ dɛn kin du ɛgzam pan dɛn bɔdi ɛn ɔda tɛst dɛn fɔ no if pikin dɛn, pikin dɛn, ɛn big pipul dɛn gɛt dɛkstrokardia. We dɛn de du di fyzikal ɛgzam, di dɔktɔ go lisin to yu at wit stetɔskɔp. If yu kin yɛri di at bit klia wan na di rayt say na yu chɛst, dat kin bi sayn fɔ dekstrokardia.

If dɛn tink se di bɔdi gɛt dɛkstrokardia, dɔktɔ dɛn kin du ɔda tɛst dɛn lɛk:

• Chɛst X -ray
• CT skan we dɛn kin du
• Echocardiogram (Echo) (Dis de tek pikchɔ fɔ di at) .
• Ilektrokardiogram (ECG/EKG) tɛst (Dis de mɛzhɔ di ilɛktrik aktiviti na di at) .
• Tɛst fɔ Jɛnɛtiks
• MRI fɔ di at

isolεt `(Dextrocardia)` kin bi insidεnt wan pan dεn tεst dεm ya, spεshal wan pan wan `(ECG/EKG)`. Dat min se, bɔku tɛm dɛn kin no am we di dɔktɔ de luk fɔ ɔda tin.

Us ɔda at sik dɛn kin gɛt fɔ du wit `(Dextrocardia)`?

Pipul dεm wae dεn no se dεn gεt ``Dextrocardia`` kin gεt כda kכndyushכn dεm we dεn bכn wit dεn at kכndyushכn dεm bak. Sɔm pan dɛn tin ya na:

• `Dכbl Inlet Lεft Vεntrikul` (we gεt tu we fכ mek bכdi go insay di lεft vεntrikl na di at)
• `Dכbul כtlet Rayt Vεntrikul` (di tu men bכdi vεsul dεm de stat frכm di rayt vεntrikul na di at)
• "Wan ol na di at" (`Atrial Sεptal Dεfεkt`, `Vεntrikul Sεptal Dεfεkt` כ `Atrioventrikulכr Sεptal Dεfεkt`)
• Pulmonary Atresia (di pulmonary artery valv nɔ de divɛlɔp fayn ɔ i dɔn lɔk ɔl) .
• Pulmonary Stenosis (we di pulmonary artery valv de smɔl) .
• Tetralogy of Fallot (na wan kɔmbaynshɔn fɔ 4 at prɔblɛm dɛn) .
• Transpɔzishɔn fɔ di Gret Atɛri dɛn
• `Tricuspid Atresia` (we di trikuspid valv de fεl fכ divεlכp fayn fayn wan)

Dɛn tin ya kin tan lɛk se dɛn kɔmplikt smɔl, bɔt dɔktɔ dɛn go ɛksplen to yu.

Aw dɛn kin trit `(Dextrocardia)`?

Fɔ tɔk am simpul wan, isol dextrocardia nɔ nid ɛni tritmɛnt . Bɔt i impɔtant fɔ mek ɛni dɔktɔ we de trit yu no se yu gɛt dis sik. Dis na bikɔs i kin ɛp fɔ mek dɛn no bɔt dis strɔkchɔral chenj na yu bɔdi we dɛn de du sɔm tɛst ɔ du tin dɛn lɛk ɔpreshɔn.

Bɔt if yu gɛt ɔda at sik ɔr yu gɛt jɛnɛtik disɔda wit ``(Dextrocardia)``, yu dɔktɔ go disayd di tritmɛnt we yu nid fɔ dɛn sik dɛn de. Fɔ dɛn tritmɛnt dɛn deDis kin inklud mɛrɛsin, di we aw dɛn kin du am, ɔ ɔpreshɔn.

Bɔrku tɛm, dɛn kin trit mɔr siriɔs at sik dɛn we dɛn smɔl. A ɔndastand se if yu pikin nid sɔntin lɛk dis, i kin rili strɛs yu. Bɔt di mɛdikal tim we de trit yu pikin go gi yu di sɔpɔt ɛn gayd we yu nid. Dɛn go ɛksplen ɔltin to yu, ivin wetin yu pikin nid ɛn aw fɔ kia fɔ am na os.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt `(Dextrocardia),` tɔk to dɛn dɔktɔ bɔt wetin fɔ ɛkspɛkt tumara bambay ɛn us sayn dɛm fɔ wach fɔ (espɛshali di wan dɛm wae gɛt fɔ du wit ɔda at sik ɔr sindrom).

If yu gɛt `(Dextrocardia),` tɔk to yu dɔktɔ fɔ no aw ɔda wɛl bɔdi prɔblɛm kin afɛkt yu bɔdi, us sayn dɛm fɔ wach fɔ, ɛn aw fɔ mɛn dɛn.

Aw lɔŋ pɔsin we gɛt `(Dextrocardia)` kin liv?

Pɔsin we gɛt `(Dextrocardia)` kin ɔltɛm liv lɔng layf . Bɔt, i dipen pan ɔda diagnosis. di pikin dεm we dεn bכn wit isol `(Dextrocardia)` (dat na, we nכ gεt כda at kכndyushכn כ sεndrכm) gεt nכmal layfspan. Bɔt pikin dɛn we dɛn bɔn wit at sik we dɛn bɔn wit ɔ we gɛt jenɛtik sindrom kin nid tritmɛnt ɔ ɔpreshɔn fɔ mek dɛn ebul fɔ kɔntrol dɛn sik dɛn de. So, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt ɛn wetin go apin to yu fɔ lɔng tɛm.

Dextrocardia na wan sik wae nɔr kin bɔrku, bɔt wi dɔn lan bɔrku tin bɔt am fɔ lɔng tɛm. Tink bɔt am, sayɛnsman dɛn dɔn no bɔt am frɔm di ia 1600! Dat min se na bin wan pan di fɔs at prɔblɛm dɛn we dɛn bɔn wit we dɛn no. Tide, wi no se i kin apin fɔ insɛf ɔ as sayn fɔ sɔm sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks. i kכmכn bak fכ pikin dεm we gεt dεkstrokardia fכ gεt כda hat dεm we dεn bכn wit.

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

If yu ɔ yu pikin gɛt `(Dextrocardia)`, nɔ panik . Gɛt di advays we yu nid frɔm yu dɔktɔ. Dɛn go ɛksplen to yu if ɛni ɔda prɔblɛm de we nid fɔ gɛt tritmɛnt.

De tin wae impɔtant pas ɔl na fɔ tɛl ɔl dɔktɔ ɔr wɛl bɔdi biznɛs pɔrsin wae de trit yu bɔt dis patikyula say na yu at. I kin rili impɔtant fɔ mek dɛn no dis infɔmeshɔn we dɛn de kia fɔ yu.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Dεkstrokardia, at na di rayt say, Situs Inversus, Congenital Heart Defect, at sik, jεnεtik sik, sik we dεn bכn wit