Fɔ ɛkspɛkt pikin na wan pan di tɛm dɛn we yu kin gladi pas ɔl na yu layf. Bɔt pan di sem tɛm, yu bɔdi de go tru bɔku chenj dɛn. We yu chenj dɛn tin ya, sɔntɛnde yu kin fred smɔl, mɔ we i kam pan at prɔblɛm. Bɔrku pipul kin frayd pasmak bikɔs dɛn nɔr no bɔrku tin bɔt dis. So, tide wi go tɔk bɔt ɔltin we yu nid fɔ no bɔt at sik we yu gɛt bɛlɛ, simpul ɛn klia wan.
Wetin na di sik we pɔsin kin gɛt we i gɛt bɛlɛ?
Fɔ tɔk am simpul wan, ɛni prɔblɛm we de afɛkt yu at we yu gɛt bɛlɛ, de insay dis kategori. Dis kin apin tu men we dɛn.
1. Hat kכndyushכn dεm we bin de bifo: Dis de tכk bכt at kכndyushכn dεm we yu bin gεt bifo yu bεlε. Sɔntɛm dɛn tin ya nɔ bin dɔn mek yu gɛt ɛni sayn ɔ big prɔblɛm bifo. Bɔt wit di chenj dɛn we kin apin na yu bɔdi we yu gɛt bɛlɛ, dɛn tin ya kin afɛkt yu difrɛn we ɛn mek yu gɛt prɔblɛm.
2. Nyu at sik we de bigin we yu bεlε: Dis na kכndyushכn dεm we yu nכ bin gεt bifo yu bεlε εn we de divεlכp insay dis tεm. Pan ɔl we sɔm pan dɛn tin ya nɔ bad, sɔm kin denja.
Di impɔtant tin na dat, bɔku uman dɛn we gɛt at sik kin gɛt bɛlɛ sef wan ɛn bɔn pikin we gɛt wɛlbɔdi, bɔt i nid fɔ gɛt di rayt advays ɛn sɔpɔt frɔm dɔktɔ.
Bɔt sɔmtɛm dis sik kin mek i gɛt siriɔs prɔblɛm dɛn. Infakt, na kɔntri dɛn lɛk Amɛrika, di sik dɛn we de ambɔg di at ɛn di blɔd na di men tin we kin mek mama dɛn day.
- 1 pan ɛvri 3 pipul dɛn we kin day bikɔs dɛn gɛt bɛlɛ, na bikɔs dɛn gɛt at sik.
- At sik kin afɛkt lɛk 4 pan ɔl 100 bɛlɛ dɛm.
- Tin dɛm lɛk ay blɔd prɛshɔn, fɔ fat (we yu bɔdi de wet pasmak), ɛn fɔ ol pas 40 ia fɔ mek yu gɛt dis prɔblɛm mɔ.
Nɔ fred fɔ lan dɛn tin ya. Dis na tin dɛn fɔ mek yu no. If yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ, i rili impɔtant fɔ no bɔt dis. Bifo dat, lɛ wi ɔndastand wetin kin apin to yu at ɛn blɔd vesel dɛn we yu gɛt bɛlɛ.
Wetin kin apin to yu at ɛn blɔd vesel dɛn we yu gɛt bɛlɛ?
Yu bɔdi de go tru bɔku wɔndaful chenj dɛn insay dis tɛm. Dɛn chenj ya kin put ɛkstra prɛshɔn pan yu bɔdi ɛn yu at kin gɛt fɔ wok tranga wan pas aw i kin wok. Dɛn chenj ya na nɔmal tin. dεn de fכ mek sכh se di pikin we de gro na di bεlε gεt di rayt כksijεn εn nyutriεnt dεm.
- di bכdi de bכku: di bכdi in bכdi de bigin fכ inkrεs frכm di fכs wik dεm we yu bεlε. bay di εnd fכ di bεlε, yu bכdi vכlyum dεn dכn inkrεs bay lεk 40% - 45%. Mɛmba se dis na bikɔs yu blɔd nid fɔ bɔku wit yu pikin.
- Di at rit we de go ɔp:i nכmal fכ yu at rεt fכ inkrεs bay lεk 10-20 bit pan minit insay dis tεm. dis kin bכku sכmtεm, i kin rich in mak insay di tכd trimεst.
- Cardiac Output: Dis na di blɔd we yu at de pɔmp fɔ wan minit. dis kin inkrεs bay 30% to 50% bitwin wik 28 εn 34. If yu de kכri twin, dis kin inkrεs bay 60%.
Dɛn chenj ya kin mek yu fil tin lɛk:
- Fɔ fil taya we yu nɔ go ebul fɔ bia (Fatigue).
- Fɔ fil se yu gɛt diziz.
- I nɔ izi fɔ yu fɔ blo, fil lɛk se yu de swɛla (Dyspnea).
- Palpitations (fɔ fil lɛk se yu at de bit fast fast).
Na ya i kin kɔnfyus smɔl. Dɛn sayn ya kin apin we uman gɛt bɛlɛ. Bɔt dɛn sem sayn ya kin bi sayn dɛn bak fɔ gɛt at sik . So, pan ɔl we yu gɛt di wɔnin sayn dɛm fɔ hat sik, yu kin tink se, "O, dis na jɔs sɔntin we gɛt fɔ du wit bɛlɛ." Na dat mek at sik we uman gɛt bɛlɛ kin rili denja. E kin tranga fɔ no if wan sayn na nɔrmal ɔr na sɔntin we yu fɔ wɔri bɔt.
If yu gɛt at sik we bin dɔn de bifo, yu kin gɛt prɔblɛm dɛn we yu gɛt bɛlɛ. Dis risk de pan de kayn sik wae yu gɛt ɛn aw i siriɔs.
Wetin yu go du if yu gɛt at sik we dɔn de bifo?
sכm hat kכndyushכn dεm kin gεt bכku risk fכ komplikεshכn dεm we uman bεlε. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, i impɔtant fɔ tɔk bɔt di prɔblɛm dɛn we kin apin to yu dɔktɔ bifo yu gɛt bɛlɛ.
Di sik we dɛn kin gɛt we dɛn bɔn wit at
Dis na prɔblɛm wit yu at we yu gɛt we yu bɔn yu. Sɔm pan dɛn tin ya kin bi smɔl smɔl, ɛn ɔda wan dɛn kin rili siriɔs. Dɛn kin trit pikin dɛn we gɛt siriɔs sik we dɛn yɔŋ. Bɔt sɔntɛnde, di at kin stil wok difrɛn we afta dɛn dɔn du di ɔpreshɔn.
So if yu gɛt at sik we dɛn bɔn yu, yu fɔ tɔk to yu dɔktɔ bifo yu gɛt bɛlɛ. I go rifer yu to dɔktɔ we de mɛn yu at. Dɛn go asɛs yu bɛlɛ risk ɛn gi yu di advays we yu nid.
Di prɔblɛm dɛn we kin apin mɔ to bɛlɛ uman dɛn we gɛt at sik we dɛn bɔn wit na:
- At nɔ de bit (Aritmia) .
- At we nɔ de wok fayn
- Fetal malformation ɔ di pikin we dɛn bɔn bifo tɛm
Situeshɔn dɛn we nɔ gɛt bɔku prɔblɛm:
- Mild pulmonari valv stεnosis.
- saksesful trit "ol dεm na di at" - (Atrial Septal Difεkt - ASD) εn (Ventrikular Sεptal Difεkt - VSD).
- Dɛn dɔn trit am fayn fayn wan (Patent Ductus Arteriosus - PDA).
Situeshɔn dɛn we gɛt ay risk:
- di aorta valv stenosis wit wan bicuspid aorta valv.
- Kכarktεshכn na di aorta.
- Tetralogy of Fallot (we dɛn dɔn trit).
- Transposishכn fכ di big atεri dεm (dεn trit dεm).
Bɔrku ɔda hat sik dɛn de we dɛn kin bɔn wit we nɔ de pan dis list. Ivin if dɛn nɔ rayt yu sik ya, i impɔtant fɔ tɔk to yu dɔktɔ if yu de tink bɔt fɔ gɛt bɛlɛ.
Di sik we dɛn kɔl Cardiomyopathy
Cardiomyopathy na wan big tin we kin mek pɔsin gɛt siriɔs prɔblɛm ɛn day we uman gɛt bɛlɛ. De risk de dipen pan de kayn wae yu gɛt ɛn aw i siriɔs. If yu gɛt dis sik, tɔk bɔt di prɔblɛm dɛn we kin apin bifo yu gɛt bɛlɛ.
Di sik we de mek pɔsin gɛt at valv
Bɔrku kayn hat valv sik de wae kin apun wae yu de liv yu layf. Sɔm smɔl smɔl valv sik dɛn nɔ kin afɛkt di bɛlɛ, we sɔm siriɔs tin dɛn kin mek i gɛt mɔ prɔblɛm. If yu gɛt histri fɔ gɛt valv sik, aks yu dɔktɔ if i sef fɔ gɛt bɛlɛ.
Sɔm uman dɛn kin gɛt prɔstɛtik at valv. Dɛn nid spɛshal kia we dɛn gɛt bɛlɛ. Dis na bikɔs di risk fɔ mek blɔd klɔt kin bɔku we uman gɛt bɛlɛ. Dɔn bak, we pɔsin gɛt prɔstɛtik valv, dat kin mek da risk de bɔku mɔ. Sɔm blɔd tin dɛn (anticoagulants) we dɛn tek fɔ dis kin ambɔg di pikin. So, if yu gɛt prɔstɛtik valv, mek shɔ se yu go to dɔktɔ we de mɛn yu at bifo yu plan fɔ gɛt bɛlɛ.
Us nyu at sik kin apin we uman gɛt bɛlɛ?
Ivin if yu nɔ bin gɛt at sik bifo, yu kin gɛt nyu at ɔ blɔd vesel prɔblɛm dɛn we yu gɛt bɛlɛ. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Simpul ɛksplen |
|---|---|
| Ay blɔd prɛshɔn (Hypertension) . | I kin afɛkt lɛk 1 pan ɛvri 10 uman dɛn we gɛt bɛlɛ. Difrɛn kayn dɛn de: - Gestational hypertension: di hεy bכdi prεshכn we de bigin afta 20 wik. - Preeclampsia: di bכdi prεshכn, di protin na di urine, כ di damej pan כda כgan dεm. If dis kam wit di sik we de mek pɔsin sik, dɛn kin kɔl am Ɛklampsia . - Krכnik haypatεnshכn:Ay blɔd prɛshɔn we dɔn de frɔm bifo uman gɛt bɛlɛ. |
| Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ | di hכy bכdi shuga lεvεl we de apin afta 20 wiks we di bεlε de. If dɛn nɔ trit am, prɔblɛm kin apin to mama ɛn di pikin. |
| At nɔ de bit (Aritmias) . | Di prɔblɛm dɛn we kin mek pɔsin gɛt at ritm. Di wan we kin bɔku pas ɔl na wan sik we dɛn kɔl supraventricular tachycardia (SVT) . |
| Spontan korona atεri dεsεkshכn (SCAD) . | Dis na imejensi we kin mek pɔsin in layf de pan denja usay di wɔl na wan at we de gi blɔd to di at kin kray. I kin apin insay wan wik afta di pikin bɔn. |
| Pɛripartum Kadiɔmayopati | Wan kayn at pwɛl hat we kin apin let we uman gɛt bɛlɛ ɔ jɔs afta di pikin bɔn. I kin apin pan uman dɛm wae nɔr bin gɛt hat sik bifo. |
| Blɔd we de klɔt (DVT ɛn Pulmonary Embolism) . | we uman bεlε, di risk de fכ mek bכdi kכlכt (Deep Vein Thrombosis - DVT) na di dip vein dεm na di bכdi (bכku tεm na di lεg dεm). if dis bכdi kכlכt travul go na di lכng dεm, dεn kכl am (Pulmonary Embolism - PE) . Dis na tin we rili denja. |
Aw fɔ no di sayn dɛm wae de sho se pɔrsin gɛt hat sik?
As wi bin dɔn tɔk, sɔm kayn at sik kin rili fiba di nɔmal bɛlɛ simptom dɛm, so i impɔtant fɔ no difrɛns bitwin di tu.
| di kכmכn simptom dεm we uman gεt bεlε | Wonin sayn dɛm wae kin sho se yu gɛt hat atak |
|---|---|
| - Fɔ taya pasmak - Fɔ pis bɔku tɛm - Smɔl shɔt briz - Di leg ɛn ankles de swɛla (Edima) . | - I nɔ izi fɔ blo ivin we yu rɛst - I at fɔ blo we de wek yu na nɛt - Di palpiteshɔn we de las pas 30 sɛkɔn - Fɔ mek yu nɔ fil fayn - Chɛst de pen ɔ tayt - Di vishɔn we nɔ klia |
I rili impɔtant: If yu gɛt pen na yu chɛst ɔ yu nɔ de fil fayn , nɔ ignore am. Kɔl 911 wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Kwik akshɔn na tɛm lɛk dis kin sev pɔsin layf.
Tɛl yu dɔktɔ bɔt ɔl di sayn dɛm wae yu kin gɛt. I go fayn if yu ebul fɔ rayt dɛn tin ya na buk.
- Di sayn we yu de fil.
- Deti ɛn tɛm.
- I siriɔs (pan skel we de frɔm 1-10).
- Wetin yu bin de du da tɛm de (e.g., fɔ du ɛksɛsayz, fɔ du homwok, fɔ rilaks).
Aw fɔ kɔntrol at sik we yu gɛt bɛlɛ?
Yu kin ebul fɔ mɛn at sik we yu gɛt bɛlɛ wit di rayt mɛrɛsin ɛn kia fɔ yusɛf. Na sɔm tin dɛn we yu kin du:
- Nɔ mis di mɛdikal apɔntinmɛnt: Yu go nid fɔ mek dɔktɔ we de mɛn uman dɛn we de bɔn pikin ɛn dɔktɔ we de mɛn yu at, de wach yu. Nɔ mis ɛni apɔntinmɛnt. Yu go nid fɔ du tɛst ɔltɛm (echocardiograms) fɔ chɛk aw yu at de wok.
- Nɔ gɛt bɔku bɔku wet: Aks yu dɔktɔ bɔt ɔmɔs wet yu go gɛt sef wan we yu gɛt bɛlɛ.
- Nɔ strɛs: Nɔ de fa frɔm tin dɛn we de mɔna yu as yu ebul. Fɛn we dɛn fɔ mek yu maynd kol. If yu dɔktɔ alaw am, tin dɛn lɛk yoga bifo yu bɔn kin ɛp yu.
- It tin dɛn we go ɛp yu at: Kɔnsul yu dɔktɔ bɔt us it dɛn fɔ it ɛn wetin yu nɔ fɔ it. Jɛnɛral wan, ridyus sɔl, shuga, sɛtyuret fat, ɛn trans fat.
- Ɛksesaiz sef wan: Aks yu dɔktɔ bɔt di kayn ɛksesaiz we fayn fɔ yu ɛn aw ɔltɛm yu fɔ du dɛn. Yu fɔ avɔyd tin dɛn we go mek yu at pwɛl pasmak.
Di mɛrɛsin dɛn we dɛn kin gi we uman gɛt bɛlɛ
Fɔ tek di mɛrɛsin dɛn we dɛn gi yu lɛk aw dɛn tɛl yu fɔ tek na impɔtant pat pan yu manejmɛnt plan. Sɔm at mɛrɛsin nɔ kin sef we yu gɛt bɛlɛ, so yu dɔktɔ kin chenj di mɛrɛsin dɛn we yu de tek.
Sɔm kayn mɛrɛsin dɛn we nɔ sef we uman gɛt bɛlɛ:
- (ACE inhibitor dɛn) .
- (Angiotensin rεsεptכr blכkεr dεm - ARB dεm)
- (Aldosterone antagonist dɛn) .
- Sɔm tin dɛn we de mek blɔd tan, lɛk Warfarin
Di tin we impɔtant pas ɔl na, nɔ stɔp ɔ bigin ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. If yu kam fɔ no se yu gɛt bɛlɛ we yu de tek wan pan dɛn mɛrɛsin ya, kɔl yu dɔktɔ wantɛm wantɛm.
Tink bɔt yu wɛlbɔdi afta yu bɔn pikin ɛn tink bak bɔt yu wɛlbɔdi tumara bambay.
Sɔm prɔblɛm dɛn kin apin te siks mɔnt afta dɛn bɔn di pikin. So, di dɔktɔ in sɔpɔtishɔn rili impɔtant ivin afta dɛn bɔn pikin. Ivin if yu rili bizi ɔ taya insay dis tɛm, nɔ mis di de dɛn we yu fɔ go to dɔktɔ.
If yu gɛt at sik ɔ ɔda tin we gɛt fɔ du wit am lɛk prɛeklampsia ɔ gestational dayabitis we yu gɛt bɛlɛ, dat kin mek yu gɛt mɔ sik fɔ gɛt di sik we de kam pan yu at ɛn blɔd tumara bambay.
- Di dayabitis we pɔsin gɛt we i gɛt bɛlɛ de mek di risk fɔ gɛt at sik tumara bambay bay 68%.
- di gεstεshכnal haypatεnshכn de inkrεs di risk fכ at sik insay di fכs tεm bay 67%.
- Preeclampsia de inkrisayz di risk fɔ day wit at sik tumara bambay bay 75%.
Nɔ mek yu fred fɔ dɛn nɔmba dɛn ya. Tink bɔt dɛn as sayn we de wɔn pɔsin. Yuz dis no fɔ tek step fɔ protɛkt yusɛf frɔm at sik tumara bambay. If yu dɔn gɛt dis kayn tin, tɔk to yu dɔktɔ afta yu dɔn bɔn yu pikin ɛn mek dɛn chɛk yu fɔ si if yu gɛt at sik. If yu chenj yu layf ɛn if nid de, yu kɔntinyu fɔ go to dɔktɔ we de mɛn yu at, yu go gɛt wɛlbɔdi fɔ lɔng tɛm.
If yu gɛt at sik ɛn yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ naw. Lan bɔt di prɔblɛm dɛn we kin apin ɛn aw fɔ kɔntrol yu sik we yu gɛt bɛlɛ. Ivin if yu nɔr gɛt hat sik, e fayn fɔ no bɔt yu at prɔblɛm wae yu nɔr de ɛkspɛkt. If yu tɔk to yu dɔktɔ, ridyus di tin dɛn we kin mek yu gɛt prɔblɛm, ɛn gɛt bɛlɛ we sef ɛn we gɛt wɛlbɔdi, yu kin ɛp fɔ mek yu nɔ gɛt at sik.
Mɛsej we dɛn kin kɛr go na os
- Bɛlɛ na tɛm we yu at kin gɛt ɛkstra strɛs. Dat na nɔmal tin.
- Sɔmtɛm di sayn dɛm lɛk fɔ taya ɛn nɔs we kin apin we uman gɛt bɛlɛ kin bi sayn dɛm fɔ hat sik. Yu fɔ no bɔt dis.
- If yu gɛt at sik we dɔn de bifo, bifo yu gɛt bɛlɛFɔ tru, go to dɔktɔ we de mɛn yu at ɛn gɛt advays.
- Trit pen na yu chɛst, yu nɔ de no natin, ɛn yu nɔ de blo bad bad wan ivin we yu rɛst as imejensi . Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Nɔ bigin ɔ stɔp ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Ivin afta yu dɔn bɔn pikin, tink bɔt yu wɛlbɔdi. Nɔ mis di mɛdikal chɛk-ap dɛn we dɛn dɔn sɛtul fɔ du.
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