Yu at wik ɛn i dɔn big? Lɛ wi tɔk bɔt Dilated Cardiomyopathy!

Wi at na rili wɔndaful ɔgan, nɔto so? Aw wi bisin bɔt dis at we de gi layf to wi wan ol bɔdi ɔltɛm? Sɔntɛnde, if wi nɔ ivin no, dis at kin gɛt difrɛn prɔblɛm ɛn sik dɛn bak. Tide wi go tɔk bɔt wan sik we de mek di at wik ɛn mek di at mɔsul big we nɔ nid, sik we gɛt sɔm kayn nem we de mek pɔsin fred, bɔt i rili impɔtant fɔ mek wi ɔl no bɔt. Dis na wetin dɔktɔ dɛn kin kɔl (Dilated Cardiomyopathy).

Wetin na Dilated Cardiomyopathy?

Fɔ tɔk am simpul wan, dis sik (Dilated Cardiomyopathy) na we di men pɔmp chɛmba na yu at, di lɛft ventricle , ɔ di men mɔsul na di at, de strɛch ɛn big pas aw i kin bi. Tink bɔt am lɛk rɔba band we de strɛch, bɔt insay dis kes, i nɔ fayn fɔ di at. We di at mɔsul wik, tan, ɛn big, di at kin ebul fɔ pɔmp blɔd fayn fayn wan kin stɔp. Wetin kin apin da tɛm de? Ɛnitɛm we di at bit, dɛn kin lɛf smɔl blɔd insay di at. Dis kin mek di ɔda pat dɛn na di bɔdi nɔ kin gɛt di rayt blɔd we gɛt ɔksijɛn. If i siriɔs, dis kin afɛkt ɔda pat dɛn na di at bak.

Risach pipul dɛm se na lɛk 36 pan ɔl 100,000 pipul dɛm na di jenɛral pipul dɛm kin sɔfa wit dis sik. Bɔt di gud nyus na dat, tritmɛnt dɛn de fɔ dis at sik. Ɛn tin dɛn de we yu kin du fɔ kɔntrol di sik.

Wetin na di sayn dɛm fɔ dis sik?

Bɔrku pipul, mɔr lɛk wae de sik dɔn bigin, nɔr kin sho ɛni sayn. Dat na di pat we de mek pɔsin fred pan dis sik. Bɔt as di at wok de wɔs smɔl smɔl, yu kin bigin fɔ fil mɔ ɛn mɔ sayn dɛn.

Di sayn dɛm fɔ Dilated Cardiomyopathy kin bi:

• Chɛst de pen ɔ tayt
• Kɔf ɛn kɔnjɛshɔn
• Diziz ɔ layt ed
• Fɔ mek pɔsin nɔ ebul fɔ du natin
• Fɔ fil taya we nɔ kɔmɔn ( Fatigue ) .
• Palpiteshɔn ɔ flɔt na yu chɛst
• Shortness of brith / dyspnea we yu nɔ de blo fayn
• swεla/εdima na di bכdi, di leg dεm, di ankכl dεm, εn di fut dεm
• Weit we yu nɔ bin de ɛkspɛkt frɔm we yu de kip wata

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek dis (Dilated Cardiomyopathy) kin apin?

"Wetin mek na di wɔl dis apin to mi?" yu kin de wɔnda. Infakt, bɔku tɛm, ivin masta sabi bukman dɛn nɔ kin ebul fɔ no di rayt tin we mek i apin. Bɔt, sɔm tin dɛn de we dɛn no se kin mek pɔsin gɛt dis sik. Dɛn na:

• Di at bit we nɔ de bit (prɔblɛm wit di ritm) ( Arrhythmia ) .
• Dizayd fɔ yuz rɔm
• Sɔm mɛrɛsin dɛn we de agens kansa (dɛn kin ambɔg di at - mɛrɛsin dɛn we de mek pɔsin in at ) .
• Kכmplikεshכn dεm we kin apin let we uman bεlε כ afta dεn bכn pikin
• Hat sik we dɛn bɔn wit
• Koronari at sik
• Shuga
• di kכndishכn dεm we dεn kin gεt frכm di mama εn papa tru di jin dεm (dεn kכl dis famili dilated cardiomyopathy . Dis kin mek pas 50% pan di kes dεm) .
• At atak
• Di sik we de mek pɔsin gɛt at valv
• Di ay blɔd prɛshɔn
• HIV infɛkshɔn
• Infεkshכn dεm lεk inflameshn na di at mכsul (fכ egzampl, mayokarditis ) .
• Yuz drɔgs lɛk kɔkɛyn
• Tayrɔyd sik
• Vayral ɛpatitis

Sɔntɛnde, pɔsin kin gɛt pas wan tin. Fɔ ɛgzampul, yu kin gɛt Dilated Cardiomyopathy bikɔs ɔf ɔda mɛrɛsin, pan ɔl we yu kin gɛt jɛnɛtik prɛdispɔz.

Udat de pan denja fɔ gɛt dis sik?

Sɔm pipul dɛn kin gɛt dis sik pas ɔda pipul dɛn. Dɛn na:

• Pipul dɛn we nɔ rich 50 ia yet
• Pipul dɛn we kɔmɔt na blak famili (pan ɔl we dis nɔ rili impɔtant to Sri Lanka, na sɔntin we dɛn kin si ɔlsay na di wɔl)
• Man wan wan pipul dɛn
• If pɔsin na di famili gɛt Dilated Cardiomyopathy (genetic influence) .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Dilated Cardiomyopathy?

If dis sik go bifo, dat na, na di las stej, difrɛn kɔmplikɛshɔn kin apin. Dɛn tin ya rili siriɔs, na dat mek i impɔtant fɔ go to tritmɛnt kwik kwik wan.

Dɛn prɔblɛm ya kin bi:

• Di at bit we nɔ de bi ( Arrhythmia ) .
• Chɛst pen ( Angina ) .
• Blɔd klɔt na di at (dɛn blɔd klɔt ya kin travul go na di lɔng ɛn mek wan denja tin we dɛn kɔl pulmonary embolism ) .
• Di at we de mek di at nɔ de wok
• At atak
• Hat fεl - Dis min se di at wik so dat i nכ kin ebul fכ mit di bכdi in nid dεm.
• Di sik we de mek pɔsin gɛt at valv
• Strok

Jɔs tink bɔt aw dɛn prɔblɛm ya siriɔs. Na dat mek yu fɔ wɔri if yu notis ivin di smɔl smɔl sayn.

Aw dɔktɔ dɛn kin no dis sik (Dilated Cardiomyopathy)?

We yu go to dɔktɔ, di fɔs tin we i kin du na fɔ tek yu mɛdikal istri.Yu dɔktɔ go aks bɔt yu mɛdikal histri (lɛk ɛni sik we yu bin dɔn gɛt bifo ɔ mɛrɛsin we yu bin de tek) ɛn yu famili histri (lɛk di sik dɛn we yu famili dɔn gɛt). Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi . Insay dis tɛm, di dɔktɔ go lisin to yu lɔng fɔ chɛk if wata dɔn bɔku. I sɔprayz fɔ no se dɔktɔ kin yɛri wan abnɔmal sawnd na yu at (at kin grɔmbul) bifo yu gɛt ɛni sayn.

Afta dat, yu go nid fɔ du difrɛn tɛst fɔ no aw di sik rili bad ɛn plan di tritmɛnt we go fayn fɔ yu.

Us tɛst dɛn kin du fɔ dis?

Tipikli, dεn kin du tεst dεm lεk dεn ya:

• Angiogram: Dis de chɛk fɔ si if ɛnitin de we de blok na di korona at we de gi blɔd to yu at.
• Blɔd tɛst: Dɛn tin ya kin chɛk fɔ si if yu at pwɛl ɛn ɔda prɔblɛm dɛn.
• Chest X-ray: Dis kin gi yu rough idea of ​​if yu hat big pas normal.
• Echocardiogram: Dis na tɛst we rili impɔtant. I tan lɛk ‘vidio’ fɔ di at. I kin sho aw di at de wok fayn, aw di mɔsul dɛn de wok, ɛn aw di valv dɛn de wok.
• Ilɛktrokardiogram (EKG/ECG): Dis de chɛk di ilɛktrik aktiviti na di at, we min if ɛni prɔblɛm de wit di ritm we di at de bit.
• Ɛksesaiz strɛs tɛst: Dis kin tɛst aw yu at de ansa we yu de ɛksesaiz.
• Jɛnɛtik tɛst: Dis tɛst de ɛp fɔ no if yu gɛt jɛnɛtik prɛdispɔzishɔn fɔ di sik.
• At MRI: Dis kin gi klia pikchɔ bak bɔt di sayz ɛn di wok we di at in chɛmba dɛn de du.
• Endomyocardial biopsy: Dɛn nɔ kin du dis bɔku tɛm. I min fɔ tek smɔl smɔl pat pan di at mɔsul ɛn chɛk am.

Aw dɛn kin trit Dilated Cardiomyopathy?

Yu kin nid difrɛn kayn tritmɛnt. Pan ɔl we bɔku tɛm dɛn tritmɛnt ya nɔ kin ebul fɔ mɛn di sik ɔltogɛda, dɛn kin ɛp fɔ kɔntrol di sayn dɛm ɛn ɛp yu fɔ liv wɛl, lɔng layf. Di kwik we dɛn bigin fɔ trit, na di mɔ di tin go fayn. Yu dɔktɔ we de mɛn yu at ɔ pɔsin we sabi bɔt at prɔblɛm go tɔk to yu ɛn disayd bɔt di bɛst tritmɛnt plan fɔ yu.

Dɛn kin sheb di we aw dɛn kin trit am to tri men kategori: mɛrɛsin, chenj in layf, ɛn ɔpreshɔn ɔ ɔda mɛrɛsin.

Mɛrɛsin dɛn we dɛn kin yuz

Bɔku kayn mɛrɛsin de we kin mek yu at wok fayn if yu gɛt Dilated Cardiomyopathy. Sɔm ɛgzampul dɛn na:

• ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
• Aldosterone antagonist dɛn we dɛn kin yuz
• Angiotensin risεptor/neprilysin inhibito dεm (ARNI) .
• Antiarrhythmics (mɛrɛsin fɔ mek yu at bit we nɔ de bit ɔltɛm) .
• Beta-blɔk dɛn
• Blɔd tin/anticoagulant - mɔ fɔ pipul dɛn we gɛt kɔndishɔn lɛk atrial fibrillation
• Mɛrɛsin dɛn we de ridyus di wata we nɔ nid na di bɔdi ( Diuretics ) .

I rili impɔtant fɔ tek ɔl dɛn mɛrɛsin ya lɛk aw di dɔktɔ tɛl yu fɔ tek am, di rayt we, ɛn di rayt tɛm.

Chenj dɛn na di abit dɛn we pɔsin kin gɛt ɛvride

If yu chenj smɔl smɔl tin dɛn we yu de du ɛvride, it, ɛn ɔda tin dɛn, yu kin mek yu mɛrɛsin dɛn wok fayn, ɛn sɔntɛm yu kin ivin delay ɔ avɔyd di nid fɔ ɔpreshɔn ɔltogɛda.

Dɛn chenj ya na:

• Protɛkt yu bɔdi: Limit di rɔm we yu de drink. Nɔ tek drɔgs we nɔ rayt. Protɛkt yusɛf frɔm infɛkshɔn lɛk vayral ɛpatitis ɛn HIV.
• It tin dɛn we go ɛp yu at: It bɔku mit dɛn we nɔ gɛt bɔdi (lɛk chukchuk ɛn fish), frut, ɛn vɛjitebul. If yu it it we nɔ gɛt bɔku sɔl, dat kin ɛp fɔ mek yu nɔ gɛt bɔku wata na yu bɔdi, ɛn dis kin mek yu at pwɛl.
• Fɔ mek yu bɔdi wok mɔ ɛn mɔ: If yu du ɛksesaiz saful saful we nɔ tu at fɔ di at, dat kin ɛp fɔ mek yu at wok fayn. Tɔk to yu dɔktɔ bɔt us ɛgzampul dɛn we fayn fɔ yu. Yu kin tink bak bɔt fɔ tek pat pan wan program fɔ mek yu at pwɛl . Dis na fayn ples fɔ bigin fɔ du ɛksɛsayz sef wan.

Ɔpreshɔn ɛn di tin dɛn we dɛn kin du we nɔ kin tek bɔku mɔni

If di sik dɔn go bifo ɛn di at nɔ de wok bɛtɛ bɛtɛ wan, yu kin nid fɔ du ɔpreshɔn ɔ ɔda spɛshal mɛrɛsin. Sɔm pan di tin dɛn we dɛn kin du fɔ mek pɔsin gɛt Dilated Cardiomyopathy na:

• Biventricular pacemaker: Dis na tin we de ɛp di at in chɛmba dɛn fɔ wok insay wan ritm we nɔ de chenj.
• Implantable cardioverter defibrillator (ICD): If yu at bit nɔ de bit ɔltɛm, dis divays de gi smɔl ilɛktrik shɔk fɔ mek yu at bit bak.
• At we nɔ de wok fayn ɔ we dɛn kin du ɔpreshɔn pan di at valv: Dɛn tin ya kin mek di at wok fayn.
• Left ventricular assist device (LVAD): Dis na mashin we de ɛp fɔ pɔmp blɔd to di at mɔsul we wik bad bad wan.
• At transplant: Dis na tin we nɔ kin apin so ɔltɛm, we dɛn kin tink bɔt we ɔl di ɔda tritmɛnt dɛn nɔ wok.

Yu tink se dɛn go ebul fɔ avɔyd dis sik?

Fɔ tɔk tru, dɛn nɔ go ebul fɔ stɔp dis sik ɔltɛm. I kin bi sɔntin we de rɔn na yu famili (jɛnɛtiks). Ɔ, i kin bi bikɔs ɔf kemotɛrapi fɔ sik lɛk kansa.I kin apin bak as sayd ɛfɛkt fɔ tritmɛnt.

Bɔt tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt Dilated Cardiomyopathy:

• Nɔ tek drɔgs lɛk kɔkɛyn ɔltogɛda.
• If yu de drink rɔm, ridyus am to smɔl smɔl.
• If yu gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, kɔntrol dɛn fayn fayn wan.
• Tek kia gud wan fɔ yu at fɔ mek yu nɔ gɛt at atak (gud it, ɛksesaiz, ɛn avɔyd fɔ smok).

Wetin yu kin ɛkspɛkt we yu de liv wit wan sik we dɛn kɔl Dilated Cardiomyopathy?

Yu prɔgnosis de dipen pan de kɔz ɛn aw yu sik bad. If yu de kia fɔ yu ɔltɛm, yu go ebul fɔ go bak na wokples ɛn bigin fɔ du tin dɛn we yu kin du ɛvride. Bɔt sɔntɛnde, yu sik kin wɔs as tɛm de go. If yu sik de wɔs ɔr prɔblɛm kam, i nɔ go izi fɔ yu fɔ bia wit am. Yu kin nid fɔ de na ɔspitul te yu sik dɛn bɛtɛ.

Fɔ bɔrku pipul dɛm, dilated cardiomyopathy kin wɔs as tɛm de go ɛn kin mek dɛn at pwɛl fɔ lɔng tɛm. Dis min se di at kin wik so dat i nɔ kin ebul fɔ du wetin di bɔdi want. If yu kidni nɔ de wok fayn ɛn yu at pwɛl bad bad wan na sayn fɔ se di sik nɔ go go fayn. Pipul wae gɛt sɔm kayn sik ivin wae dɛn de rɛst, ɔr wae nɔr kin ebul fɔ du ɛni bɔdi wok, kin gɛt de wɔs tin wae kin apun.

Bɔt nɔ wɔri! Di wɛl bɔdi ɛn layf ɛkspɛkt fɔ pipul dɛm wae gɛt Dilated Cardiomyopathy dɔn impɔtant pasmak insay di las ia dɛm. Dis na bikɔs ɔf di impɔtant tritmɛnt dɛm ɛn fɔ no am kwik kwik wan. Tide, pas 80% pan di pipul dɛm wae gɛt dis sik de liv fayn fayn wan fɔ et ia, wae nɔr nid fɔ gɛt at transplant.

Aw a kin kia fɔ misɛf?

De impɔtant tin wae yu kin du wae yu de liv wit dis sik na fɔ kia fɔ yusɛf. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

• Yu fɔ de wach fɔ sayn dɛm we de sho se yu gɛt prɔblɛm, lɛk fɔ gɛt bɔku bɔku wet wantɛm wantɛm, ɛvride.
• Mek di chenj dɛm we yu dɔktɔ se (e.g., fɔ it it we nɔ gɛt bɔku sɔl) ɛksaktɔli.
• Si yu dɔktɔ fɔ fala-ɔp visit bɔku tɛm insay di ia.
• Tek di mɛrɛsin we dɛn gi yu di rayt tɛm ɛn di rayt tɛm.

Ustɛm a fɔ go to mi dɔktɔ?

Bikɔs yu sik kin chenj as tɛm de go, i go fayn fɔ mek yu de tɔk to yu dɔktɔ ɛn de chɛk yu ɔltɛm. Dis na sɔntin we yu fɔ du ɔl yu layf. If yu fil se yu sik de wɔs, tɔk to yu dɔktɔ wantɛm wantɛm. I kin ɛp yu fɔ kɔntrol yu sik dɛn.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We dɛn jɔs no se yu gɛt wan sik, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn. Nɔ shek fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• I fayn fɔ mek dɛn du tɛst fɔ di ɔda pipul dɛn na mi famili?
• Yu tink se a fɔ avɔyd fɔ wok tranga wan?
• Sɔpɔt grup de we a kin jɔyn, ilɛksɛf na Sri Lanka ɔ na di intanɛt?
• Us it we rayt fɔ mi?
• Us kayn ɛksesaiz a fɔ du ɛn aw lɔng a fɔ du am?

Nɔbɔdi nɔ want fɔ no se dɛn at nɔ de wok fayn. Bɔt tide dɔktɔ dɛn kin gi yu difrɛn tritmɛnt dɛn fɔ ɛp yu at fɔ wok fayn fayn wan pan tin dɛn lɛk Dilated Cardiomyopathy. Simpul chenj dɛn de bak we yu kin mek fɔ mek yu sik bɛtɛ. Nɔ fred fɔ aks kwɛstyɔn ɛn ɔndastand di tin dɛn we yu go ebul fɔ du. Yu kin woke wit yu dɔktɔ fɔ fɛn di bɛst we fɔ go bifo wit dis sik.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

A op se naw yu dɔn ɔndastand di at mɔsul sik we wi bin tɔk bɔt tide (Dilated Cardiomyopathy) . Pan ɔl we dis na siriɔs sik, if yu no bɔt am ɛn manej am fayn, yu go ebul fɔ liv gud layf.

Di tin we impɔtant pas ɔl na fɔ no di sayn dɛm, go to dɔktɔ kwik kwik wan, ɛn fala di tritmɛnt ɛn instrɔkshɔn dɛm we yu dɔktɔ gi yu di rayt we. Nɔto yu wan, dɔktɔ ɛn wɛlbɔdi wokman dɛn de fɔ ɛp ɛn gayd yu pan dis waka. So kɔntinyu fɔ strɔng ɛn fes dis sityueshɔn.

` At sik, at we big, dilated cardiomyopathy, we di at mɔsul wik, we yu nɔ de blo shɔt, at nɔ de wok fayn, at tritmɛnt