Yu at na wɔndaful ɔgan, nɔto so? Bɔt sɔntɛnde, ivin smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dat na wan siriɔs, ivin we kin mek pɔsin in layf de pan denja we wi de tɔk bɔt tide, we dɛn kɔl ɛndokardaytis. E fayn fɔ no dis fayn fayn wan ɛn gɛt tritmɛnt kwik kwik wan.
Wetin na Ɛndokadaytis simpul wan?
Fɔ tɔk am simpul wan, ɛndokadaytis na infɛkshɔn ɛn inflamɛns na di insay layn na yu at (we wi kin kɔl ɛndokadiɔm pan mɛrɛsin) ɛn di at valv dɛm. Bɔku tɛm, na wan jem lɛk baktri .
Imajin, wan jem we kɔmɔt na yu mɔt, yu skin, ɔ sɔmsay na yu respiratory system de go insay yu blɔd. Dɔn, dis jem de travul wit di blɔd ɛn go na yu at. Hat we gɛt wɛlbɔdi nɔ kin gɛt di sik izi wan. Bɔt if sɔm tin dɛn we dɔn pwɛl ɔ wik na yu at valv dɛn, di jem kin go ɛn stik na dɛn wik say dɛn de, i kin tek rut de, ɛn bigin fɔ bɔku.
As dɛn jem ya de gro de, dɛn de mek smɔl smɔl tin dɛn we de gro, lɛk blɔd we de klɔt ɛn fayv tisu. Wi kin kɔl dɛn tin ya `vegetations`. dis `vεgεteshכn` kin mek siriכs damej to di at valv dεm. Dis kin mek di valv dɛn nɔ lɔk fayn, mek blɔd lik, ɔ ivin mek di at stɔp fɔ wok kpatakpata.
Tu men kayn dis de.
di εndokadaytis kin sheb to tu men tכp dεm.
1. Infective Endocarditis: Dis na di kayn we we pipul dɛn kin gɛt mɔ. As di nem sho, na we wan jem, lɛk baktri ɔ fɛns, de kam insay di at. Sɔntɛnde dɔktɔ dɛn kin kɔl am `(Bacterial Endocarditis - BE)`.
2. Nɔn-infɛkshɔn Ɛndokadaytis: Dis nɔ kin apin so ɔltɛm. na ya, di `vegetations` dεm na di at nכto wan jεm de kכz dεm. Wi kin kɔl dɛn tin ya `( steril vegetations)`. Dis sik kin apin wit sik dɛm wae kin mek di blɔd klɔt izi wan. fכ egzampl, yu kin si am wit kכndishכn dεm lεk `( lupus )` sik εn `( Antiphospholipid syndrome)`.
Wetin na di sayn dɛm wae de sho se yu gɛt ɛndokarditis? Aw yu no dɛn?
De sayn dɛm fɔ dis sik kin kɔmplikt smɔl, as dɛn kin apia wantɛm wantɛm, ɔr kin apia smɔl smɔl fɔ sɔm wik.
| Di kɔmɔn simptom dɛm fɔ infɛkshɔn ɛndokarditis | |
|---|---|
| • SMƆL TƆK: Fiva (we pas 38.4°C Sɛlshiɔs / 100°F Fahrenheit) | • Taya |
| • SMƆL TƆK: Fɔ fil kol, fiva, ɛn swet na nɛt | • SMƆL TƆK: I nɔ izi fɔ blo (Dyspnea) . |
| • SMƆL TƆK: Jɔyn ɛn mɔsul dɛn kin pen | • SMƆL TƆK: Chɛst de pen |
| • SMƆL TƆK: Yu nɔ go want fɔ it ɛn yu nɔ go gɛt bɔku bɔku bɔdi | • SMƆL TƆK: Di at bit kwik kwik wan (Tachycardia) . |
| • SMƆL TƆK: Skin rash | • SMƆL TƆK: Di bɛlɛ ɔ di leg dɛn kin swel |
| • SMƆL TƆK: Blɔd we de na di urine (Hematuria) . | • SMƆL TƆK: Na abnɔmal at sawnd we dɛn yɛri we dɛn de du dɔktɔ in ɛgzam (Hat murmur) . |
| If yu gɛt dɛn sik ya, go to ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis na tin we kin mek pɔsin in layf de pan denja. | |
Infεkshכn εndokadaytis kin kam insay tu kayn:
- Akyu: Dis kin bigin wantɛm wantɛm. I kin mek pɔsin in layf de pan denja insay sɔm dez, wit sɔm sayn dɛn lɛk ay fiva ɛn at bit kwik kwik wan .
- Subacute: Dis kin divεlכp sכmtεm, ova wik כ mכnt.Di sayn dɛm lɛk wae yu fil lɛk yu wik ɛn yu gɛt smɔl fiva na dɛn fɔs wan wae yu kin si.
Nɔn-infɛkshɔn ɛndokadaytis nɔ kin mek yu gɛt di sayn dɛm. Na di sayn dɛm fɔ di sik we de ɔnda am (lɛk lupus) we kin mek i apin.
Udat de pan big risk fɔ gɛt dis?
Ɛndokadaytis nɔto sik we kin rili bɔku, bɔt sɔm pipul dɛn kin gɛt am pasmak.
- Pipul dɛn we gɛt atifishal at valv , pesmɛka, ɔ difibrilator : Dɛn divays ya kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Pipul wae dɔn gɛt ɛndokardaytis bifo: If yu dɔn gɛt am wan tɛm, risk de fɔ mek i apin bak.
- Pipul dεm wae gεt sכm hat kכndyushכn dεm: spεshal wan hat valv sik εn haypatrכfik kadiomyopathy.
- IV drog yuza dɛm: Jɛm kin go insay di blɔd dairekt tru dɔti injɛkshɔn nidul dɛm.
- Pipul dεm wae nכ de kכmכt fayn fayn wan na dεn mכt εn dεn tit: Baktri dεm na dεn mכt kin izi fכ go insay di bכdi biכs dεn tut dεm de rεd εn gכm sik.
- Pipul wae gɛt wik imyun sistɛm: Pipul wae gɛt sik lɛk dayabitis ɔr pipul dɛm wae de tek mɛrɛsin wae de stɔp dɛn imyun sistɛm.
- Pipul dɛn we dɛn bin dɔn du ɔpreshɔn pan dɛn at valv bifo tɛm.
Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?
If dɛn nɔ no dis ɛn trit am di rayt tɛm, i kin gɛt siriɔs prɔblɛm dɛn. Dis nɔto sik we wi fɔ tek am layt.
Wetin kin apin if di tritmɛnt delay:
- di at valv dεm kin dכn kכmplit, we kin mek di bכdi lik (Leaky heart valve) .
- At we nɔ de wok fayn
- Absεs dεm we de rawnd di at
- At we nɔ de bit ɔltɛm (Aritmia) .
- Smɔl smɔl pat pan dɛn plant dɛn de kin brok ɛn blok wan blɔd vesel na di bren, ɛn dis kin mek pɔsin gɛt strok.
- Di infekshɔn kin skata ɔlsay na di bɔdi, ɛn i kin mek wan sik we dɛn kɔl sɛpsis we kin kil pɔsin.
- As tɛm de go, pɔsin kin ivin day.
Aw dɔktɔ dɛn kin fɛn dis?
If yu gɛt sɔm sayn dɛm ɛn tin dɛm wae kin mek yu gɛt dis sik, yu dɔktɔ go mek yu no if yu gɛt dis sik kwik kwik wan. Dis go mɔs gɛt fɔ du wit sɔm tɛst dɛn.
- Blɔd tɛst dɛn:
- Blɔd kɔlchɔ tɛst:Dis na aw yu kin no uskayn baktri de insay di blɔd.
- Kɔmplit blɔd kɔnt: Chɛk fɔ si if yu gɛt infekshɔn.
- C-reactive protein test: I de chεk fכ swel na di bכdi.
- Imej tɛst fɔ di at:
- Echocardiogram: Dis na skan fɔ di at. i kin si klia wan aw di at de wok, eni damej pan di valv dεm, εn if eni `vegetations` de.
- Transesophageal echocardiogram: Dis na wan kayn echo bak. Bɔt dɛn kin put wan smɔl tiub insay di trot ɛn skan am nia di at. Dis kin mek yu gɛt pikchɔ dɛn we klia mɔ.
- At MRI skan: Sɔntɛnde, dis tɛst kin nid bak.
Wetin na di tritmɛnt dɛn?
Endocarditis na wan sik wae de mek yu nid fɔ go na ɔspitul ɛn trit yu. Di men tritmɛnt na di antibayɔtik we dɛn kin put insay di bɛlɛ (IV antibayɔtik).
Dis tritmɛnt go kɔntinyu fɔ sɔm wiks, sɔmtɛm i kin te fɔ 6 ɔr 8 wik. We dɛn dɔn no di kayn baktri we de na yu blɔd, yu dɔktɔ go pik di rayt antibayɔtik fɔ am. We yu de trit yu, dɛn go de wach yu sik ɔltɛm, ɛn dɛn go du yu blɔd tɛst bak fɔ mek shɔ se di infekshɔn nɔ de igen.
Sɔntɛnde, if di infekshɔn dɔn pwɛl di at valv dɛn bad bad wan, i nɔ go pɔsibul fɔ trit dɛn wit mɛrɛsin nɔmɔ. If dɛn kayn tin ya apin , dɛn kin nid fɔ du ɔpreshɔn fɔ mek di valv we dɔn pwɛl ɔ fɔ put atifishal valv insay.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Pan ɔl we i nɔ pɔsibul fɔ mek wi nɔ gɛt am kpatakpata, tin dɛn de we wi kin du fɔ ridyus di prɔblɛm. Yu fɔ tek tɛm mɔ bɔt dɛn tin ya if yu de na say we gɛt bɔku prɔblɛm.
- Mek yu gɛt gud ɔral ɛn tit fayn fayn wan: Brus yu tit fayn fayn wan ɛvride. Klin bitwin yu tit dɛn. Go to yu dɛntist ɔltɛm fɔ chɛk yu ɔral wɛlbɔdi. Dis na di tin we impɔtant pas ɔl.
- Speshal advays fɔ pipul dɛn we gɛt ay risk: If yu gɛt prɔstɛtik valv, yu dɔn gɛt ɛndokadaytis trade, ɔ yu gɛt ɔda at sik dɛn we gɛt ay risk, yu dɔktɔ kin se yu fɔ tek prɔfylaktik antibayɔtik bifo sɔm tin dɛn we yu fɔ du fɔ mɛn yu tit (e.g., fɔ pul yu tut, ɔpreshɔn fɔ yu gɔm). Dis na fɔ kil baktri dɛm we kin go insay di blɔd we dɛn de du dɛn tit bifo dɛn rich na di at.
- Tɛl yu dɔktɔ dɛn se:Ɔltɛm, tɛl yu famili dɔktɔ ɛn dɛntist bɔt yu at sik ɛn di risk fɔ gɛt ɛndokadaytis.
Mɛsej we dɛn kin kɛr go na os
- Endocarditis na wan sik we rili siriɔs we wan jem de kam insay di at.
- Yu fɔ no bɔt de sayn dɛm lɛk fiva wae yu nɔr ɛksplen, wae yu de taya, yu de swet na nɛt, ɛn yu nɔr kin ebul fɔ blo fayn. Nɔ ignore dɛn tin ya.
- If yu gɛt dɛn sayn ya we wi dɔn tɔk bɔt, mɔ if yu gɛt at sik ɔ ɔda tin we kin mek yu gɛt prɔblɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Fɔ mek yu gɛt gud tit wɛlbɔdi na wan pan di bɛst we fɔ ridyus di risk fɔ gɛt ɛndokadaytis.
- If yu de na kategori we gɛt ay risk, i impɔtant fɔ tɛl yu dɔktɔ bifo ɛni mɛrɛsin ɔ dɛnt tritmɛnt.
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