Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu dɔktɔ tɛl yu se yu at big smɔl pas aw i fɔ bi. Ɔ yu kin fil taya ɔltɛm, yu kin gɛt prɔblɛm fɔ blo we yu de klaym stej, ɔ yu leg dɛn kin swel? Dɛn tin ya kin bi sayn dɛn we de sho se yu at dɔn big. So tide, lɛ wi tɔk bɔt dis sik we dɛn kɔl Cardiomegaly, ɔ at we dɔn big. Lɛ wi ɔndastand gud gud wan wetin i bi, wetin mek i kin apin, ɛn wetin wi nid fɔ du bɔt am.
Wetin i kin rili min we di at kin big?
Fɔ tɔk am simpul wan, kardiomegaly na we yu at kin big pas aw i kin bi. Tu we dɛn de we dis kin apin. Wan na we di at mɔsul tik . Di ɔda wan na we di at chɛmba dɛn kin big .
Tink bɔt am dis we. Bifo wi waka na flat grɔn ɔl di de, wi kin klaym wan il ɛvride. Dɔn di mɔsul dɛn na wi leg dɛn fɔ wok tranga wan, ɛn as tɛm de go, dɛn mɔsul dɛn de kin big. Na so i bi. If di at fɔ wok tranga wan pas aw i kin wok fɔ pɔmp blɔd rawnd di bɔdi, di mɔsul dɛn na di at sɛf kin bigin fɔ big. Bɔt mɛmba se i nɔ tan lɛk se di mɔsul dɛn na di an ɛn leg kin big, ɛn at we big nɔ kin mek i wok fayn ɔltɛm. Sɔntɛnde, i kin ivin bi lɛk se i nɔ de wok fayn.
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.
- Famili istri: If yu mama, papa, ɔ yu fambul we de nia yu gɛt at we dɔn big, yusɛf de pan denja.
- Yuz rɔm pasmak: Fɔ di wan dɛn we de drink pasmak fɔ lɔng tɛm.
- Smok: Na bikɔs we pɔsin smok, i kin pwɛl di at dairekt wan.
- Ay blɔd prɛshɔn (Hypertension): We blɔd prɛshɔn go ɔp, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd.
- Hat atak histri: If yu ɔ sɔmbɔdi na yu famili dɔn gɛt at atak bifo.
- Nɔ ɛksesaiz: Fɔ di wan dɛn we de liv sidɔm layf ɛn nɔ de du bɔku tin dɛn fɔ du.
Wetin na di sayn dɛm we de sho se pɔsin in at big?
Sɔm pipul dɛn at kin big bɔt dɛn nɔ kin gɛt ɛni sayn. Bɔt ɔda pipul dɛn kin gɛt wan ɔ mɔ pan dɛn sayn ya:
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil shɔt we yu taya smɔl, we yu de klaym stej, ɔ ivin jɔs we yu tinap wansay. |
| Swɛlin (Edima) . | Swel, mɔ na di leg, anklɛ, ɛn sɔntɛnde na di bɛlɛ. Dis kin bi bikɔs wata we de bɔku na di bɔdi we di at nɔ de pɔmp blɔd fayn fayn wan. |
| Taya we nɔ kɔmɔn | Taya pasmak ɛn slip fɔ natin. |
| Wan strenja we de bit di at | Fɔ fil lɛk se yu at de bit fast, lɛk se yu de flɔt na yu chɛst, ɔ yu at nɔ de bit ɔltɛm. |
| Diziz we pɔsin kin gɛt | I kin apin bikɔs di bren nɔ kin gɛt bɛtɛ blɔd we gɛt ɔksijɛn. |
Wetin mek di at kin big? Wetin na di men rizin dɛn?
Eni mεdikal kכndyushכn wae de mek de hat woke tranga wan kin mek dis sik. Di men ɛn kɔmɔn tin we kin mek dis apin na Sri Lanka na korona at sik . Dis na wetin kin mek pɔrsin gɛt at atak bɔrku tɛm.
Di tin we impɔtant pas ɔl na fɔ fɛn di rayt tin we mek di at big ɛn trit am. Dɔn, dɛn kin ebul fɔ kɔntrol di bad tin dɛn we de apin to di at.
Apat frɔm dat, sɔm ɔda rizin dɛn kin de:
- Haypatɛnshɔn: We dɛn nɔ de kɔntrol blɔd prɛshɔn fɔ lɔng tɛm.
- At Valv Disease: We di valv dεm na di at nכ de wok fayn fayn wan.
- Cardiomyopathy: Di at mɔsul kin wik bikɔs ɔf di jɛnɛtik ɔ ɔda tin dɛn.
- Di sik we dɛn kin gɛt we dɛn bɔn wit at.
- Abnɔmal at ritm (Aritmia).
- Ɔda sik dɛn: Anemia, tayroyd prɔblɛm (Hyperthyroidism / Hypothyroidism), kidni we nɔ de wok fayn, ɛn ivin sɔm vayral infɛkshɔn kin mek dis apin.
- Bεlε: sכm uman dεn kin gεt bεlε fכ sכm tεm we dεn bεlε.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik ɛn yu famili in wɛlbɔdi istri. Dɔn, i go lisin to yu at wit stetɔskɔp fɔ chɛk fɔ ɛni abnɔmal sawnd (at de grɔmbul). I go chɛk bak fɔ si if yu leg dɛn swel ɛn if yu nɛk gɛt vein dɛn we de bɔl.
Afta dat, dɛn go ɔda fɔ du bɔku tɛst fɔ no di rayt kɔndishɔn ɛn fɔ no di tin we mek i apin.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| X-ray na di chɛst | Tek wan rɔf pikchɔ bɔt di at ɛn di lɔng dɛm ɛn gɛt wan bɛsik aidia bɔt di saiz fɔ di at. |
| ECG (Ilɛktrokardiogram) . | Chek di ilɛktrik aktiviti na di at fɔ luk fɔ prɔblɛm wit di at ritm ɛn sayn dɛm fɔ hat atak. |
| Ikokardiogram (Iko Tɛst) . | Dis na di tɛst we impɔtant pas ɔl. Yu kin yuz ɔltra saund wev fɔ si ustɛm di at big, aw in wɔl dɛn tik, aw di valv dɛn de wok fayn, ɛn aw i de pɔmp blɔd fayn fayn wan. |
| Tɛst fɔ Strɛs | Si aw yu at de ansa we yu de du ɛksɛsayz. |
| CT ɔ MRI skan | Gɛt mɔ ditayla 3D pikchɔ dɛm fɔ di at ɛn stɔdi di prɔblɛm dip wan. |
Aw dɛn kin trit am?
Tritmɛnt fɔ mek di at big na fɔ kɔntrol di ɔndalayn kɔndishɔn we mek i gɛt am. Dɛn kin sheb di we aw dɛn kin trit am to tri men kategori.
1. Di chenj dɛn we pɔsin de liv in layf
Dis rili impɔtant. Jɔs lɛk di mɛrɛsin we di dɔktɔ gi yu, yu nid fɔ du dɛn tin ya pan yu pat bak.
- Sɔl kɔntrol: Fɔ ridyus di sɔl we de insay it.
- Fɔ lɛf fɔ smok: Dis na sɔntin we yu fɔ du fɔ tru.
- Fɔ stɔp fɔ drink rɔm: Fɔ ridyus am as yu ebul ɔ fɔ stɔp am kpatakpata.
- Kɔntrol di wet we yu bɔdi gɛt: Fɔ mek yu gɛt wɛlbɔdi.
2. Mɛrɛsin (di kayn mɛrɛsin dɛn) .
Dipen pan di tin we mek yu gɛt dis sik, yu dɔktɔ go gi yu difrɛn mɛrɛsin dɛn.
- Mɛrɛsin fɔ blɔd prɛshɔn: Mɛrɛsin lɛk ACE inhibitor ɛn ARB kin kɔntrol blɔd prɛshɔn.
- Beta-blɔka: Dɛn kin ɛp fɔ kɔntrol blɔd prɛshɔn ɛn mek di at wok fayn.
- Diuretics: Dɛn kin kɔl am bak "wata pills," dɛn tin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi tru di urine.
- Anticoagulants: I de ridyus di risk fɔ mek blɔd klɔt.
- Antiarrhythmics: If di at bit nɔ de bit ɔltɛm.
3. Ɔpreshɔn ɛn divays dɛn
Sɔntɛnde, ɔda tritmɛnt dɛn kin nid fɔ de apat frɔm di mɛrɛsin dɛn.
- Pacemaker implantation: If yu hat rit tu fast, kip am in ritm ɔltɛm.
- Fɔ instɔl ICD (Implantable Cardioverter Defibrillator) divays: I de stɔp di denja at ritm irɛgyulariti we kin apin wantɛm wantɛm ɛn gi ilɛktrik shɔk to di at fɔ mek i kam bak to nɔmal.
- Valv ripa ɔ riples: If prɔblɛm de wit di at valv dɛn.
- Baypas Ɔpreshɔn ɔ Stɛnt Ples: If di at at dɛn dɔn blok.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm? (Wetin fɔ go na di ETU)
Bɔku tɛm, if at big nɔto imejensi. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm .
- Chɛst pen: Na pen we de fil lɛk se di chɛst de tayt ɔ kɔnstrikt.
- Pen we de rayt to di an, bak, nɛk, ɔ jaw.
- Wantɛm we yu nɔ de tink (fainting).
- I so at fɔ blo ivin we yu jɔs tinap wansay.
Mɛsej we dɛn kin kɛr go na os
- Cardiomegaly na wan sik wae de kam wae de hat gɛt fɔ woke tranga wan. Dis nɔto sɔntin fɔ fred, bɔt na sɔntin we dɛn fɔ rili pe atɛnshɔn to ɛn trit.
- Di tin we impɔtant pas ɔl na fɔ fɛn di rayt tin ɛn trit am. Dis go ɛp fɔ mek di at nɔ pwɛl mɔ.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de blo fayn, yu leg dɛn de swel, ɔ yu taya we nɔ kɔmɔn , nɔ ignore dɛn. Si yu dɔktɔ wantɛm wantɛm.
- Fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ du di rayt tɛm ɛn fɔ chenj di we aw yu de liv yu layf (fɔ ridyus di sɔl we yu de it, lɛf fɔ smok) rili impɔtant fɔ mek yu gɛt wɛlbɔdi.
- If dɛn no bɔt dis sik ɛn trit am kwik, bɔku pipul dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan ɛn liv nɔmal layf.
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