Yu at gɛt di sik? Lɛ wi tɔk bɔt (Endocarditis)!

Yu dɔn ɛva yɛri se di at kin gɛt di sik? Sɔntɛnde, dis kin rili siriɔs. Tide wi go tɔk bɔt wan sik we de afɛkt di insay layn na di at. Wi kin kɔl dis `(Endocarditis)`. Bikɔs dis kin rili siriɔs, i rili impɔtant fɔ no bɔt dis.

So wetin na dis `(Endocarditis)`?

fכ simpul wan, εndokadaytis na inflameshn כ swel na di insay layn na yu at, di tכn mεmbran we de layn di chεmba dεm εn spεshal wan di at valv dεm – wi kכl am di εndokadyכm. Jɔs lɛk di wɔl dɛn na os, di at sɛf gɛt tin layn insay. Na dat na di ɛndokadyɔm.

wit dis inflameshn, sכm sכm tin dεm we de gro lεk sprout dεm de bigin fכ fכm na di insay layn na di at. Wi kin kɔl dɛn tin ya `vegetations`. as dεn `vεgεteshכn` ya de kכntinyu, di hat tisu we de rawnd de bigin fכ pwεl sכmtεm sכmtεm. I tan lɛk insɛkt we de it lif frɔm tik. Dis kin mek yu at valv dɛn pwɛl bad bad wan. If dɛn nɔ trit am, `(Endocarditis)` kin kil pɔsin. So i rili impɔtant fɔ no bɔt dis.

Wetin na di men kayn `(Endocarditis)`?

Naw luk, tu men kayn `(Endocarditis)` de.

1. Infεkshכn εndokadytis

2. Ɛndokadaytis we nɔ gɛt infɛkshɔn

1. Wetin na Infεkshכn εndokadytis?

Dis na di kayn ɛndokarditis we kin bɔku pas ɔl. Wetin kin apin ya na dat, di jεm dεm – bכku tεm baktri dεm – kin stik to di tisu dεm we dεn dכn pwεl na yu at εn kin mek yu gεt infεkshכn. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis baktriyal ɛndokadaytis ɔ BE.

insay dis `(Infective Endocarditis)`, di `(vegetations)` we wi bin dכn tכk bכt na dεn tin ya de fכm:

• di tin dεm we de infεkt (lεk baktri dεm כ sכmtεm fכn) .
• `(Fibrin)` (Dis na protin we de ɛp fɔ mek blɔd klɔt)
• Plɛtlɛt (smɔl smɔl smɔl sɛl dɛn we de na di blɔd) .

Tink bɔt am, jɔs lɛk we yu put bandej pan wund, dɛn jem ya, `(Fibrin)` ɛn `(Platelets)` kin kam togɛda fɔ mek dɛn `(vegetations)` dɛn de insay di at.

2. Wetin na Nɔn-infɛkshɔn Ɛndokadaytis?

Dis kayn tin nɔ kin apin so ɔltɛm. na ya bak, dεn `(vegetations)` dεm de fכm pan di insay layεr na di at, bכt di kכz nכto infεkshכn. na dat mek dεn kכl dεn tin ya `(sterile vegetations)`, we min `(vegetations)` we nכ gεt jεm.

nכn-infεkshכn εndokadytis na wan kכndyushכn we de sho se i de mek yu bכdi kכlכt izi wan (a `hypercoagulable state`). Fɔ ɛgzampul:

• `(Antifosfolipid sindrom)`
• `(Lupus)` (Sɔm pipul dɛn kin kɔl dis bak `(Systemic Lupus Erythematosus)`)

Dɔktɔ dɛn kin yuz sɔm ɔda nem dɛn fɔ dis sik (Non-infective Endocarditis):

• `(Libman-Saks ɛndokarditis)`
• `(Nכn-baktri trombotik εndokadytis)` כ `(NBTE)`
• `(Marantik ɛndokarditis)`

Wetin na di sayn dɛm fɔ `(Endocarditis)`? Aw fɔ no am?

Naw lɛ wi si us sayn dɛm kin apin na dis `(Endocarditis)` kɔndishɔn. Yu fɔ rili tek tɛm wit dɛn sik ya.

Di sayn dɛn we de sho se pɔsin gɛt Infɛkshɔn Ɛndokadaytis:

Dis na de sayn dɛm wae dɛn kin si mɔr:

• Chɛst de pen
• Wan abnɔmal at sawnd (wan ``at murmur'' we dɔktɔ kin yɛri we i de lisin wit ``stethoscope'')
• Di at rit we de go ɔp (Tachycardia) .
• Taya
• Fiva (i kin pas 38.4°C ɔ 100°F)
• Chills ɛn nɛt swet
• I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi
• Mɔsul ɛn jɔyn dɛn kin at
• I nɔ izi fɔ blo (`(Dyspnea)`) .
• Wan skin rash, dat na rash lɛk rash.
• Swel na yu bɛlɛ ɔ yu leg dɛn
• Blɔd na di urine (`(Hematuria)`) .

Di tin we impɔtant pas ɔl na dat if yu gɛt dɛn sik ya, yu fɔ go na ɔspitul imejensi rum wantɛm wantɛm. Infective Endocarditis na wan sik we de mek pɔsin in layf de pan denja.

di kכndyushכn `(Infective Endocarditis)` kin afekt insay tu we dεm:

• Akyu: Dis kin bigin wantɛm wantɛm. I kin mek yu layf de pan denja insay sɔm dez, wit sɔm sayn dɛm lɛk ay fiva ɛn at bit kwik kwik wan.
• Subacute: Dis na tin we de apin smɔl smɔl. Di sayn dɛm kin sho smɔl smɔl fɔ sɔm wik ɔr mɔnt.

Di simptom dɛm fɔ Nɔn-infɛkshɔn Ɛndokadaytis:

Bɔrku tɛm nɔr kin gɛt sɔm patikyula sayn dɛm wae gɛt fɔ du wit dis kayn ɛndokarditis. Bɔt yu kin gɛt sayn dɛm fɔ wan ɔndalayn mɛrɛsin (lɛk lupus) we de mek yu gɛt am. Bɔrku pipul dɛm wae gɛt nɔr infεkshɔn ɛndokadytis nɔr no se dɛn gɛt am, ɛn dɛn kin no am bay chans we dɛn de du imej tɛst fɔ di at (lɛk ɛkokadiogram) fɔ ɔda rizin. Sɔntɛnde, dɛn kin fɛn di kɔndishɔn we dɛn de du ɔtopsi.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Ɛndokadaytis?

Bɔku tɛm, di men tin we kin mek pɔsin gɛt ɛndokadaytis na wan baktriyal infɛkshɔn . dis baktri dεm de kam insay yu bכdi frכm כda say na yu bכdi – fכ egzampl, yu mכt, yu skin, כ yu rεspiretכri sistεm – εn de travul tru di bכdi go na yu at.

Jɔs tink bɔt, if wi gɛt wund na wi mɔt, if jem de biɛn wi tit, if wi pul wan tut, sɔntɛnde dɛn jem dɛn de kin go insay di blɔd.

Bɔku tɛm, di at tisu we gɛt wɛlbɔdi nɔ kin gɛt infɛkshɔn. Dat min se, i nɔ kin gɛt di sik izi wan. כltu, if eni damej כ wik de na di at, di chans fכ divεlכp `(Endocarditis)` de hכy. Dɛn baktri dɛn de kin kam ɛn stik to di tisu we dɔn pwɛl ɛn bigin fɔ gro de. as wi bin dכn tכk, dεn de mek wetin dεn kכl `(vegetations)`, εn dεn de mek difrεn εnzym dεm bak. fכ dis prכsεs, di tisu dεm we de rawnd di at kin bigin fכ pwεl. Fɔ tɔk di kɔrɛkt tin, na di at valv dɛn kin pwɛl pas ɔl.

Us tin dεm de mek di risk fכ divεlכp `(Endocarditis)`?

Jɛnɛral wan, `(Endocarditis)` nɔto sik we kin rili kɔmɔn. Bɔt sɔm tin dɛn de we kin mek yu gɛt dis sik mɔ ɛn mɔ. Lɛ wi si wetin dɛn bi:

• If yu gɛt atifishal at valv, pesmɛka, ɔ difibrilator we dɛn put insay yu at, i izi fɔ mek baktri dɛn tay pan dɛn tin ya.
• If yu gɛt dayabitis. Dayabitis kin ridyus di bɔdi in ebul fɔ fɛt infɛkshɔn.
• Sɔm at kכndyushכn dεm, spεshal wan hat valv sik εn haypatrכfik kadiomyopathy (di at mכsul we de tik we nכ de nכmal).
• Yuz drɔg insay di bɛlɛ (IV sɔbstans yus). Dis kin mek di jem dɛn kam dairekt insay di blɔd bay we dɛn de yuz nidul dɛn we nɔ klin.
• Di tit wɛlbɔdi nɔ fayn ɛn di sik we de na di gɔm. di baktri dεm we de na di mכt kin go insay di bכdi εn travul go na di at.
• If yu dɔn gɛt `(Bacterial Endocarditis)` bifo dis tɛm.
• If yu dɔn gɛt ɔpreshɔn pan yu at valv bifo tɛm.
• If di imyun sistɛm wik, sik dɛn lɛk HIV/AIDS, tritmɛnt fɔ kansa, ɔ sɔm mɛrɛsin dɛn kin mek di imyun sistɛm wik.

Wetin na di poshubul komplikashכn dεm fכ `(Endocarditis)`?

Endocarditis nɔto sɔntin we pɔsin fɔ tek am layt. If dɛn nɔ no di sik ɛn trit am kwik, i kin mek i gɛt siriɔs prɔblɛm dɛn. Na dis na wetin kin apin:

• Abnɔmal tin dɛn we de apin na di at ritm (Arrhythmia) .
• Absεs dεm we de rawnd di at valv dεm
• At blɔk ( we di at in ilɛktrik signal dɛn kin ambɔg) .
• At we nɔ de wok fayn (at we nɔ de wok fayn) .
• Hat valv we de lik
• Sepsis (na wan bad bad sik we de skata ɔlsay na di bɔdi) .
• Strɔk (if sɔm pat pan di plant dɛn brok ɛn blok wan blɔd vesel na di bren) .
• Ivin day kin apin.

Na dat mek wi se fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt di sik, bikɔs if dɛn prɔblɛm ya apin, di tin kin rili siriɔs.

Aw dɔktɔ dɛn kin no se pɔsin gɛt Ɛndokadaytis?

If yu gɛt sayn dɛm fɔ `(Endocarditis)` ɛn yu gɛt risk factor dɛm, yu dɔktɔ go tray fɔ no di sik kwik kwik wan, bikɔs i rili impɔtant fɔ bigin tritmɛnt kwik kwik wan.

Dɛn kin du tɛst dɛn lɛk dis fɔ no if pɔsin gɛt Ɛndokadaytis:

Blɔd tɛst dɛn:

• Baktri kɔlchɔ tɛst: Dɛn tin ya kin no ustɛm baktri de na yu blɔd. Dis na impɔtant tin fɔ pik tritmɛnt.
• Kɔmplit blɔd kɔnt (CBC): Dɛn kin yuz dis fɔ chɛk di nɔmba fɔ di sɛl dɛn na di blɔd ɛn gi yu aidia bɔt wan infɛkshɔn.
• C-reactive protein test (CRP): dis de sho if inflameshn de na di bכdi.

Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:

dis tεst dεm kin chεk fכ at `vεgεteshכn` εn damej pan di at. Yu dɔktɔ kin tɛl yu fɔ du wan ɔ mɔ pan dɛn tɛst ya:

• Echocardiogram: Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I kin chɛk aw di at de wok, aw di valv dɛn de, ɛn if ɛni plant de.
• Transesophageal echocardiogram (TEE): Dis min se yu fɔ pas wan smɔl tiub we gɛt kamɛra dɔŋ di trot fɔ mek yu si di at klia wan tru di εsophagus. I kin mek pikchɔ dɛn klia pas di ɛkokardiogram we dɛn kin yuz ɔltɛm.
• At MRI: Dis kin gi yu bak ditayla imej dɛm fɔ di at.

Wetin na di tritmɛnt dɛm fɔ `(Endocarditis)`?

Ɛndokadaytis na sik we de mek pɔsin nɔ ebul fɔ liv igen. I nid fɔ gɛt tritmɛnt kwik kwik wan fɔ stɔp fɔ pwɛl yu at valv ɛn fɔ mek yu nɔ gɛt mɔ siriɔs prɔblɛm dɛn.

Antibayɔtik dɛn:

Yu go mɔs nid fɔ tek antibayɔtik we dɛn kin put insay yu bɛlɛ (IV antibayɔtik) fɔ sɔm wiks – bɔku tɛm na lɛk siks wik . Dis na wetin go mɛn di infekshɔn kpatakpata. We dɛn dɔn no di rayt kayn baktri we de na yu blɔd, yu dɔktɔ kin chenj di antibayɔtiks fɔ fit am.

Insay ɔl yu tritmɛnt, yu dɔktɔ go de wach yu sik ɔltɛm fɔ si if di tritmɛnt de wok. Dɛn go ripit di baktriyal kɔlchɔ tɛst dɛn bak.

Ɔpreshɔn:

If ɛndokadaytis dɔn pwɛl wan pan yu at valv ɔ ɔda pat na yu at, yu kin nid ɔpreshɔn bak. Fɔ ɛgzampul, yu go nid fɔ mek wan valv we dɔn pwɛl ɔ mek dɛn put nyu valv insay.

Yu tink se dɛn go ebul fɔ avɔyd dis sik?

Ɛndokadaytis nɔ kin ebul fɔ avɔyd ɔltɛm. Bɔt if yu gɛt bɔku risk fɔ gɛt dis sik (yu mɛmba di tin dɛn we kin mek yu gɛt dis sik?), ɔ if yu dɔn gɛt ɛndokadaytis bifo, yu dɔktɔ kin tɛl yu fɔ tek prɔfylaktik antibayɔtik bifo dɛn du sɔm tin dɛn fɔ mɛn yu tit. Sɔm ɛgzampul dɛn bɔt dɛn kayn tin ya we dɛn kin du fɔ mɛn dɛn tit na:

• Tritmɛnt fɔ yu gam
• Tritmɛnt dɛn we gɛt fɔ du wit di periapical eria na yu tit
• Tritmɛnt dɛn we gɛt fɔ du wit di ɔral mɔkɔs

I rili impɔtant fɔ tɛl yu dɔktɔ dɛm (jɛnɛral prɛktishɔn ɛn dɛntist) se yu gɛt at sik we de put yu pan ay risk fɔ gɛt `(Endocarditis)`. Dɔn bak, kip sɔntin lɛk ID kad na yu pɔs we gɛt di tin dɛn we yu nid fɔ du wit di antibayɔtik. Di `(American Heart Association)` de gi dɛn kayn kad ya (na Sri Lanka, yu kin aks yu dɔktɔ bɔt dis).

If a gɛt `(Endocarditis)`, wetin a fɔ ɛkspɛkt?

Yu kin ɛkspɛkt fɔ tek antibayɔtik fɔ tu to et wik fɔ mek di infekshɔn klia. Bɔrku pipul dɛn kin wɛl frɔm ɛndokardaytis wit gud, kwik tritmɛnt. Bɔt di risk fɔ gɛt siriɔs prɔblɛm ɔ day kin dipen pan tin dɛn lɛk:

• yu ej
• If yu gɛt atifishal at valv ɔ yu nɔ gɛt am
• Aw lɔŋ di infɛkshɔn dɔn de
• Us kayn ɔrganizm (tayp baktri) bin mek yu sik?
• Aw bɔku damej dɔn apin to yu at valv?

Yu dɔktɔ kin gi yu bɛtɛ aidia bɔt wetin fɔ ɛkspɛkt bay aw yu sik.

Wit gud tritmεnt, mכst pipul dεn kin bכn frכm `(Endocarditis)`. Yu fɔ no di sayn dɛm fɔ `(Endocarditis)` ɛn go na di imejensi rum wantɛm if yu tink se yu gɛt am. כlso, if yu kip yu tit εn mכt klin i kin ridyus yu risk fכ gεt `(Endocarditis)`. Dis inklud fɔ brus yu tit ɛvride ɛn fɔ go to yu dɛntist ɔltɛm fɔ chɛk-ap.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Okay, so wi don tok plenti boht `(Endocarditis)`. Fɔ tɔk smɔl, i fayn fɔ mek wi mɛmba dɛn pɔynt dɛn ya:

• εndokadaytis na inflameshn na di insay layn na di at, spεshal wan di valv dεm. Di men tin we kin mek dis apin na wan baktri infekshɔn.
• If yu gɛt sɔm sayn dɛm lɛk fiva, kol, taya, shɔt briz, ɔr chɛst pen , nɔr tek dɛm layt. Tek tɛm mɔ bɔt dɛn sayn ya if yu gɛt at sik, yu gɛt prɔstɛtik at valv, ɔ yu gɛt tin we kin mek yu gɛt dis sik lɛk dayabitis.
• If di sayn dɛn de sho, .Nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm. If yu gɛt tritmɛnt kwik kwik wan, dat kin sev pipul dɛn layf ɛn mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn.
• Fɔ kia fɔ yu ɔral wɛlbɔdi rili impɔtant. Brush yu tit fayn fayn wan ɛvride ɛn go to dɛntist ɔltɛm. Dis go ɛp fɔ mek yu nɔ gɛt `(Endocarditis)`.
• If yu de pan big risk fɔ gɛt ɛndokardaytis, tɔk to yu dɔktɔ bɔt if yu fɔ tek prɔfylaktik antibayɔtik bifo yu gɛt tritmɛnt fɔ yu tit.

Mɛmba se dis infɔmeshɔn na fɔ tich yu, nɔto fɔ mek yu fred. Aw fɔ no na tin we rili impɔtant fɔ mek yu gɛt wɛlbɔdi. If yu gɛt ɛnitin we de mɔna yu, nɔ ɛva fred fɔ tɔk to dɔktɔ.

` Ɛndokadaytis, at infɛkshɔn, at valv, baktri, fiva, shɔt briz, tit wɛlbɔdi