Yu smɔl pikin gɛt dis kayn at prɔblɛm? Lɛ wi lan bɔt Endocardial Cushion Defect!

We dɛn bɔn yu pikin, yu kin wɔri bɔku bɔt ɔltin bɔt am, nɔto so? Sɔntɛnde, smɔl pikin dɛn kin gɛt at prɔblɛm we dɛn bɔn wit. Wan pan dɛn kayn at sik ya, pan ɔl we i kɔmplikt smɔl, we rili impɔtant fɔ no bɔt na in dɛn kɔl Ɛndokardial Kushin Difɛkt (ECD) . Di nem kin tan lɛk se i de mek pɔsin fred smɔl, bɔt nɔ wɔri. Mek wi tok abaut dis simpul, fo we we yu go andastan, okay?

Wetin na dis Ɛndokardial Kushɔn Difɛkt?

Fɔ tɔk am simpul wan, dis na prɔblɛm we de na wi smɔl pikin dɛn at, we na tin we dɛn bɔn wit , dat min se na bad tin we kin apin we dɛn stil de na di mama in bɛlɛ. Tink bɔt wi at lɛk os we gɛt 4 rum dɛn. tu rum dεm de na di tכp fכla (we wi kכl atria), εn tu rum dεm de na di bכtכm fכl (we na di vεntrikl dεm). Dɛn rum dɛn ya gɛt wɔl dɛn (septums). Bikɔs ɔf dɛn wɔl dɛn ya, blɔd de flɔd ɔdasay, na wan say nɔmɔ.

Dɔn bak, valv dɛn de we tan lɛk get bitwin dɛn chɛmba dɛn ya we de ɛp fɔ mek blɔd flɔ na wan say nɔmɔ. in patikyula, di trikuspid valv εn di mitral valv, we de bitwin di כp chεmba dεm (atria) εn di lכw chεmba dεm (mitral chεmba dεm), fכ fכm pafεkt wan.

כltu, insay pikin we gεt dis εndokadyal kushכn dεfekt (ECD), di pat dεm na di at we dεn k כl εndokadyal kushכn – di bεsik tisu we de fכm dεn wכl dεm εn valv dεm ya – nכ de divεlכp fayn fayn wan. Dis kin mek di wɔl dɛn we de sheb di chɛmba dɛn na di at nɔ kin divɛlɔp fayn, ɔ dɛn nɔ kin de atɔl. di tu imכtant valv dεm we wi bin mεnshכn (tricuspid εn mitral) kin nכ de divεlכp fayn bak.

Naw imajin, wetin kin apin we dɛn difrɛns ya na di at, dɛn wɔl ya, nɔ de wok fayn, ɛn di valv dɛn, lɛk get dɛn, nɔ de wok fayn? Di ɔda we aw blɔd de flɔ insay di at kin ambɔg.

• mכr bכdi pas aw i nכmal de fכlכ insay di pikin in lכng , we de mek di bכdi prεshכn na di bכdi vεsul dεm we de insay di lכng (pulmonary high blood pressure).
• Bikɔs ɔf dis ay prɛshɔn na di lɔng, blɔd kin bigin fɔ flɔ na di rɔng say. Dɔn , blɔd we gɛt ɔksijɛn, we klin ɛn we nɔ gɛt ɔksijɛn, we dɔti, kin bigin fɔ miks togɛda .
• Di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd wit dis disrɔb blɔd flɔ. I tan lɛk se yu de klaym mawnten. As tɛm de go, dis kin mek di pikin in at mɔsul wik.

difrεn kayn εndokadyal kushכn dεfεkt (ECD) de?

Yɛs, bɔku kayn dis sik de, i kin dipen pan aw i dɔn pwɛl. sכm pikin dεm kin gεt prכblεm nכmכ wit di wכl bitwin di כp chεmba dεm na di at (atria). כda wan dεm kin gεt prכblεm wit di wכl bitwin di lכw chεmba dεm (vεntrikul dεm). Sɔntɛnde, dɛn tu prɔblɛm ya kin apin togɛda. כlso, di dεfεkt dεm na di mitral εn trikuspid valv dεm kin difrεn.

dis kכndyushכn we dεn kכl εndokadyal kushכn dεfekt (ECD), dεn kכl am bak atrioventricular septal defect (AVSD) כ atrioventricular canal defect .

Sɔntɛnde dis sik kin gɛt fɔ du wit ɔda at prɔblɛm dɛn we dɛn kin bɔn wit. Fɔ ɛgzampul:

• Tetralogy fɔ Falɔt
• Dabl ɔutlet rayt vεntrikl
• transposishכn fכ di big atεri dεm (transposishכn fכ di tu mεjכr bכdi vεsul dεm na di rכng ples dεm) .
• Patent daktus atεriɔs
• Singl vεntrikl (singl vεntrikl) .

Aw dis sik kin kɔmɔn?

If yu luk di statystik na kɔntri dɛm lɛk Amɛrika, lɛk wan pan ɛvri 1,800 pikin dɛm we dɛn kin bɔn ɛvri ia kin gɛt dis endocardial cushion defect (ECD). Wan ɔda impɔtant tin na dat lɛk 20% pan di pipul dɛm wae gɛt Daun sindrom gɛt dis ECD kɔndishɔn.

Aw ECD kin afɛkt mi pikin in bɔdi?

If dɛn nɔr de manej dis ECD kɔndishɔn fayn fayn wan, i kin tranga mɔ ɛn mɔ ɛn mek siriɔs prɔblɛm.

• di lכng dεm we de pwεl: As wi bin dכn tכk bכt, if blɔd fכ fכlכ pasmak na di lכng, di prεshכn de go כp, εn as tεm de go, i kin mek di lכng dεm pwεl fכ tεm.
• di at ritm we nɔr de wok fayn: Di ilɛktrik wok na di at kin ambɔg, ɛn di at kin bit ɔltɛm.
• Congestive heart failure: Na wan sik wae de mek di at wik ɛn nɔr kin ebul fɔ pɔmp inof blɔd to di bɔdi.
• Eisenmenger syndrome: Dis na wan sik we rili siriɔs. Di prɛshɔn we de na di lɔng dɛn kin go ɔp bad bad wan, ɛn dis kin mek di blɔd we de flɔ bak kpatakpata, ɛn dis kin mek di blɔd we nɔ gɛt ɔksijɛn go ɔlsay na di bɔdi.

Sɔntɛnde, dis sik kin ivin mek pɔsin in layf de pan denja .

Dɔn bak, ivin afta dɛn dɔn kɔrɛkt di prɔblɛm wit ɔpreshɔn, yu pikin kin gɛt wan sik we dɛn kɔl ɛndokadaytis . So, dɔktɔ dɛn kin se yu fɔ tek antibayɔtik bifo yu du sɔm tin dɛn fɔ mɛn yu tit.

Wetin na di sayn dɛm fɔ dis sik?

sכmtεm, pikin dεm we gεt pat pan di εndokadyal kushכn dεfεkt nכ kin sho εni simptom te dεn rili yכng. כltu, pikin dεm we gεt komplit εndokadyal kushכn dεfεkt (kכmplit ECD) kin gεt di simptom dεm insay fכ wik afta dεn bכn dεm. I impɔtant fɔ de wach dɛn sayn ya:

• Fast at bit
• Pale ɔ blu skin: .Luk fɔ blu kɔlɔ we dɔn chenj, mɔ di lip, tɔŋ, ɛn finga dɛn. Dɛn kɔl dis saynosis.
• Trɔbul fɔ it ɛn fɔ gɛt mɔ wet: Si if yu pikin de ful-ɔp, i de swet afta i dɔn drink milk, ɔ i nɔ de gɛt wet fayn.
• Nɔ gɛt trɛnk: Yu pikin kin slip ɔltɛm ɛn i nɔ kin lɛk fɔ ple?
• Fɔ brith fast ɔ at fɔ blo: Chɛk fɔ si if di pikin in chɛst de fil tayt, i de blo kwik, ɔ if di chɛst de go insay we i de blo.
• Infεkshכn we yu kin gεt plεnti tεm: Yu fɔ no se yu kin gɛt infεkshכn ɔltɛm, mɔr di infεkshכn dεm we yu kin gɛt we yu de blo.

Wetin kin mek dis ɛndokardial kusɛn dɛfekt?

di εksεkεkt kכz fכ di εndokadyal kushכn dεfεkt (ECD) dεn nכ no yet. Bɔt dɛn dɔn si se i gɛt sɔntin fɔ du wit di sik we dɛn kɔl Down syndrome . dis difεkt de apin ali we di pikin de divεlכp na di bεlε. di men prכblεm na dat di tisu we dεn kכl εndokadyal kushכn we wi bin tכk bכt fכs nכ de divεlכp fayn. dis na di wכl dεm εn di valv dεm we leta de sheb di chεmba dεm na di at.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Yu pikin in dɔktɔ go fɔs gi yu pikin wan kɔmplit bɔdi ɛgzam . Dɔn, if dɛn yɛri wan abnɔmal sawnd (at grɔmbul) we yu de lisin to di at wit stɛtoskɔp, i kin bi sɔntin we go sho se yu gɛt dis sik.

Apat frɔm dat, dɛn kin du sɔm ɔda tɛst dɛn:

• Ilɛktrokardiogram (EKG/ECG): Dis de tɛst di ilɛktrik wok we di at de du.
• Echocardiogram: Dis na di tɛst we impɔtant pas ɔl. I de yuz sawnd wev fɔ tek pikchɔ fɔ di at. I kin si ɔltin klia wan frɔm di shep we di at gɛt, to di ol dɛn we de na in wɔl ɛn aw di valv dɛn de wok.
• Chɛst X-ray: Dis kin chɛk di saiz fɔ di at ɛn di kɔndishɔn fɔ di lɔng dɛn.
• At MRI: Sɔntɛnde dɛn kin du dis tɛst if dɛn nid fɔ no mɔ.
• Cardiac catheterization: Insay dis prosidur, dɛn kin pas wan smɔl tiub (catheter) tru wan blɔd vesel insay di at fɔ mɛzhɔ di prɛshɔn we de insay di at ɛn tek blɔd sɛmpul. Dis kin nid fɔ bi bifo dɛn du di ɔpreshɔn.

Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ go to yu dɔktɔ we yu gɛt bɛlɛ ɛn du ɔltra saund skan.Fɔ mek i rayt. sכmtεm, dεn kin no ECD bifo dεn bכn di pikin, tru wan skan we dεn du we di pikin stil de na di bεlε (fetal echocardiogram). we dεn no dis kwik, i pכsibul fכ plan fכ di tritmεnt we nid fכ bigin jכs we dεn bכn di pikin.

Aw dɛn kin trit dis?

di men εn bεst tritmεnt fכ dis εndokadyal kushכn dεfεkt (ECD) na כpεrayshכn. Bɔt te dɛn du di ɔpreshɔn, dɛn kin gi am sɔm mɛrɛsin dɛn fɔ ɛp di pikin fɔ gɛt trɛnk ɛn fɔ gɛt mɔ wet. fכ egzampl, diuretics (dεn kכl dεm bak ‘wata pills’) we de ridyus di wata we pasmak na di bכdi εn digoxin (Cardoxin® כ Lanoxin®) we de εp fכ mek di at wok fayn to sכm mak.

Wetin kin apin afta di ɔpreshɔn?

We dɛn de du di ɔpreshɔn, di dɔktɔ dɛn we de mɛn di at kin lɔk di ol dɛn we de mek blɔd de lik bitwin di chɛmba dɛn na di at. Dɛn kin yuz wan spɛshal pat fɔ du dis. כlso, if di pikin gεt wan valv nכmכ, dεn go mek tu difrεnt mitral εn trikuspid valv dεm frכm am. sכmtεm, if di pikin in mitral valv lik, dεn kin ripεr am כ riples am bak if nid de.

Bɔku tɛm dɛn kin du dis ɔpreshɔn pan pikin we ol bitwin 3 ɛn 6 mɔnt . Bɔt if yu pikin gɛt kɔmplit ɛndokadyal kusɛn we nɔ fayn, i impɔtant fɔ mek dɛn du di ɔpreshɔn bifo di pikin ol wan ia . Dis na di wangren we fɔ mek di lɔng dɛn nɔ pwɛl fɔ ɔltɛm.

Sɔntɛnde, di pikin kin sik tumɔs ɔ i nɔ kin gɛt bɛtɛ wet fɔ mek dɛn du am ful ɔpreshɔn. If na so i bi, di dɔktɔ dɛn go fɔs du ɔda ɔpreshɔn we izi fɔ du fɔ mek di blɔd nɔ go na di pikin in lɔng. Dɛn kɔl dis pulmonary artery banding . Dis kin ɛp fɔ kɔntrol di sik dɛn te di pikin strɔng ɛn gɛt mɔ wet. Dɔn, di rayt tɛm, dɛn kin du di ful ripɛnt.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin afta dɛn dɔn du ECD ɔpreshɔn. Bɔt bɔku tɛm, dɛn kin ebul fɔ kɔntrol dɛn tin ya.

• mitral valv we de lik: Sɔntɛnde afta dɛn dɔn du di ɔpreshɔn, di mitral valv nɔ kin lɔk fayn ɛn sɔm blɔd kin lik bak.
• di at ritm we nɔr nכmal: Sɔm tin dεm we nɔr de rεgulεr na di at bit kin apin.

Sɔntɛnde, dɛn prɔblɛm ya kin kam we di pikin dɔn big smɔl, ivin we i yɔŋ. Na dat mek i impɔtant fɔ de chɛk yu dɔktɔ ɔltɛm.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Bikɔs wi nɔ no di rayt tin we kin mek pɔsin gɛt ECD, i nɔ kin izi fɔ tɔk aw fɔ avɔyd am kpatakpata. Bɔt if pɔsin na yu famili dɔn gɛt dis kayn at prɔblɛm (ECD) ɔ ɔda tin dɛn we gɛt fɔ du wit in jɛnɛtiks, i go fayn fɔ mek yu gɛt kɔyl fɔ yu jɛnɛtiks bifo yu gɛt bɛlɛ.

If mi pikin gɛt ECD, wetin a fɔ ɛkspɛkt?

Dis na di big kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt. Di gud nyus na dat afta dɛn dɔn du ɔpreshɔn fɔ kɔrɛkt ECD, bɔku pan di pikin dɛn kin go liv nɔmal, wɛlbɔdi layf. Bɔt di pikin in wɛlbɔdi tumara bambay de dipen pan tin dɛn lɛk aw in ECD siriɔs, if in lɔng dɛn dɔn pwɛl, ɛn ɔl in wɛlbɔdi.

akɔdin to di statystik, di chans fɔ liv insay di fɔs ia afta dɛn du di ɔpreshɔn na lɛk 80%. di chans fכ liv fכ כda 10 ia na bכt 75%, εn di chans fכ liv fכ 20 ia na bכt 65%.

Ivin afta dɛn dɔn du di ɔpreshɔn, sɔm pikin dɛn kin gɛt prɔblɛm dɛn leta. wan kכmכn prכblεm na dat di mitral valv nכ de kכloz fayn εn bכdi de lik. If dis apin, dɛn kin du ɔda ɔpreshɔn fɔ kɔrɛkt am.

Aw lɔŋ di ECD stetɔs kin las?

Dis rili impɔtant. Endocardial cushion defect (ECD) nɔto wan sik we go wɛl fɔ insɛf. Di prɔblɛm go de te dɔktɔ we de mɛn di at du ɔpreshɔn fɔ kɔrɛkt di prɔblɛm. If dɛn nɔ du ɔpreshɔn, bɔku pikin dɛn nɔ go liv pas 2 ɔ 3 ia. Na dat mek i impɔtant fɔ mek dɛn du ɔpreshɔn di rayt tɛm.

Aw a go kia fɔ mi pikin?

Afta dɛn dɔn no se yu pikin gɛt ECD, ɛn ivin afta dɛn dɔn du di ɔpreshɔn, yu pikin go nid fɔ de chɛk yu pikin ɔltɛm to dɔktɔ we de mɛn yu at . Dɛn fɔlɔp apɔntinmɛnt ya kin bi wan ɔ tu tɛm insay di ia. Dɛn chɛk-ap ya go kɔntinyu ɔl di tɛm we yu pikin smɔl ɛn te i big. Dis kin mek di dɔktɔ ebul fɔ wach yu pikin in kɔndishɔn, chɛk fɔ ɛni prɔblɛm wit di pat ɔ valv, lɛk we i lik, ɛn i kin ɛp am kwik if nid de.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ?

If yu pikin sho ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• Fɔ gɛt prɔblɛm fɔ blo
• Fɔ taya we yu nɔ tray tranga wan afta yu dɔn rɔn ɛn ple fɔ sɔm tɛm
• Nɔ de gro ɔ gɛt wet lɛk aw dɛn bin de tink
• Fɔ gɛt blu skin tɔyn

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I rili impɔtant fɔ mek yu klin ɛni dawt we yu gɛt. Nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• "Dɔkta, mi pikin gɛt kɔmplit ɔ pat pan di ɛndokadyal kusɛn dɛfɛkt?"
• "Us tritmɛnt plan di dɔktɔ rikɔmɛnd fɔ mi pikin in kɔndishɔn?"
• "Dɔkta, ɔmɔs ECD ɔpreshɔn yu dɔn du lɛk dis?"
• "Us spɛshal tin a nid fɔ tek kia ɔf afta ɔpreshɔn?"

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Sɔntɛm yu nɔ bin ɛva drim fɔ mek dɛn du ɔpreshɔn fɔ yu smɔl pikin. Bɔt ɔpreshɔn na di bɛst ɛn di bɛst we fɔ kɔrɛkt wan ɛndokadyal kusɛn dɛfɛkt (ECD). Dis prɔblɛm nɔ go bɛtɛ fɔ insɛf. So, if ɛnitin de we yu nɔ ɔndastand, aks yu dɔktɔ fɔ ɛksplen am to yu.

Di tin we impɔtant pas ɔl na dat, nɔto yu wangren de. Dɔktɔ, nɔs, ɛn di wan ol wɛlbɔdi tim de fɔ ɛp yu ɛn gi yu trɛnk pan dis joyn. Ivin afta di ɔpreshɔn, nɔ mis yu pikin in klinik ɛn fala di dɔktɔ in instrɔkshɔn dɛn lɛk aw dɛn tɛl yu. Da we de, yu ɛn yu smɔl pikin go ebul fɔ no ɛni prɔblɛm we go kam tumara bambay ɛn bia wit dɛn fayn fayn wan. Stay strɔng!

` Endocardial Cushion Defect, AVSD, hat sik, bɔn difrɛns, pikin dɛn at sik, at ɔpreshɔn, Daun sindrom, at sik we dɛn bɔn wit, pikin dɛn kadiɔlɔji