Sɔntɛnde yu kin fil lɛk se yu nɔ de blo fayn, yu fut ɛn yu anklɛ dɛn kin swel we yu taya smɔl? Ɔ yu kin wek na nɛt ɛn i nɔ kin izi fɔ yu fɔ blo? Dɛn tin ya kin bi smɔl sayn dɛn we de sho se yu at de wok smɔl. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn ‘Congestive Heart Failure’. Nɔ fred we yu yɛri dis nem. Dis nɔ min se yu at dɔn stɔp fɔ wok. Bɔt i min se di we aw i de wok dɔn go dɔŋ smɔl. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan.
Fɔ tɔk am simpul wan, wetin na at pwɛl?
Imajin se wi bɔdi na siti, ɛn di at na di men ples fɔ pɔmp wata we de gi wata to da siti de. Dis pɔmp steshɔn de pɔmp di wata (dat na di blɔd we wi bɔdi nid) go na ɔl os ɛn ɔlsay na di siti. Naw imajin, wetin go apin if di pawa we dis pɔmp steshɔn gɛt go dɔŋ smɔl? Di wata we dɛn de pɔmp kin bi inof. Dis kin mek wata nɔ kin rich sɔm say dɛn, ɛn na sɔm say dɛn (di paip dɛn) i kin lɔk wit wata.
Congestive Heart Failure na dis kayn sik. Yu at nɔ ebul fɔ pamp inof blɔd fɔ mit di bɔdi in nid. Dis min se di at nɔ de stɔp fɔ wok, bɔt in efyushɔn de ridyus. we dis blכd pכmp abiliti dכn dכn, bכdi kin bigin fכ kכlכ na difrεn pat dεm na di bכdi. I tan lɛk se wata de stɔp na paip. Di say dɛn we blɔd kin gɛda pas ɔl na di lɔng, leg, ɛn fut .
Bɔku men kayn tin dɛn de we kin mek pɔsin gɛt at pwɛl:
- Left-sayd at failure: Dis na di kayn we we dɛn kin gɛt mɔ.
- Rayt-sayd at we nɔ de wok fayn: Bɔku tɛm dis kin apin bikɔs di lɛft say wik.
- High-output hat failure: Dis na sɔm kayn tin we nɔ kin apin so ɔltɛm.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm wae de sho se yu at pwɛl kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak, ɛn ɔda wan dɛn kin gɛt siriɔs sayn dɛm. Sɔntɛnde, di sayn dɛm kin kam ɛn go. Bɔt if yu nɔ gɛt ɛni sayn fɔ sho se yu gɛt di sik, dat nɔ min se yu dɔn wɛl frɔm di sik kpatakpata.
Tek tɛm wit dɛn kwaliti dɛn ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Shot we yu de blo | Taya, mɔ we yu de waka, klaym stej, ɔ du ɛnitin. |
| We yu wek na nɛt wit shɔt briz | dis kכndyushכn kin apin bikoz fכ wata we de kכmכt na di lכng dεm we yu de ledɔm na bed. I kin bi bak se i nid fɔ slip wit tu ɔ tri pilo. |
| Di leg, ankles, ɛn bɛlɛ kin swel | dis swel de kכz fכ wata we de kכmכt na di lכw pat dεm na di bכdi. If i fil lɛk dimple we yu prɛs am wit finga, dat na sayn we impɔtant. |
| We yu gɛt bɔku bɔku wet wantɛm wantɛm | di wet we yu de gεt kin apin insay fכ dez, nכto fכ fεt, bכt biכs fכ di wata we de na di bכdi. |
| Fɔ taya ɔltɛm | Yu kin fil taya ɔltɛm bikɔs di ɔgan dɛn na yu bɔdi nɔ de gɛt bɛtɛ blɔd we gɛt ɔksijɛn. |
| Di we aw pɔsin de blo | Bikɔs di at wik, i kin tray fɔ bit mɔ ɛn mɔ fɔ kɔmpɛns. |
| Dray kɔf | Kɔf we nɔ de mek yu gɛt mɔt, mɔ we yu sidɔm fɔ lɔng tɛm. |
| I nɔ kin want fɔ it igen ɔ i nɔ kin gɛt nauses | Dɛn simptom ya kin apin bikɔs di blɔd we de flɔ to di dijestiv sistɛm de dɔŋ. |
Di tin we impɔtant pas ɔl na dat, if yu gɛt dɛn kwaliti dɛn ya, dat min se yu rili gɛt dɛnSi dɔktɔ ɛn gɛt advays. Di kwik we dɛn no am, na di mɔ i izi fɔ trit.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin in at pwɛl?
Di at na mɔsul. Ɛnitin we de pwɛl dis mɔsul ɔ put tumɔs strɛs pan am kin mek di at wik as tɛm de go.
Na sɔm pan di men rizin dɛn:
- At atak ɛn korona at sik: Di at mɔsul kin pwɛl bikɔs di blɔd vesel dɛn we de gi blɔd to di at kin blok.
- Ay blɔd prɛshɔn (Hypertension): Di at gɛt fɔ wok tranga wan as tɛm de go fɔ pɔmp blɔd agens ay blɔd prɛshɔn.
- Dayabitis: Dayabitis kin pwɛl di blɔd vesel ɛn di at mɔsul.
- Cardiomyopathy: di at mכsul de wik bikoz fכ di jεnεtik kכz, vayral infεkshכn, εtk.
- di at valv prכblεm dεm: We di at valv dεm nכ kכlok כ opin fayn, bכdi kin bigin fכ fכlכ bak.
- Kidni sik: We di kidni nɔ de wok fayn, wata ɛn sɔl kin gɛda na di bɔdi, we kin mek di blɔd prɛshɔn go ɔp ɛn put strɛs pan di at.
- Hat sik we dɛn bɔn wit: Sɔm prɔblɛm dɛn we de na di at we kin de we dɛn bɔn am.
- Layf we nɔ fayn:
- Fɔ yuz tabak ɛn drɔgs.
- Fɔ drink rɔm pasmak.
- Fat.
- Dayt we gɛt bɔku sɔl ɛn fat.
Lɛ wi no di stej dɛm wae de at pwɛl.
Dɔktɔ dɛn kin sheb di sik to 4 stej (A, B, C, ɛn D). Dis kin mek am izi fɔ ɔndastand aw di sik bad ɛn aw fɔ trit am. Mɔs impɔtant, di gol fɔ tritmɛnt na fɔ stɔp ɔ slo fɔ mek dɛn stej ya go bifo.
| Stej | Wetin dis min? |
|---|---|
| Faz A we dɛn kɔl | Dɛn pipul ya nɔr gɛt at pwɛl hat yet, bɔt dɛn kin gɛt bɔrku risk fɔ gɛt am tumara bambay (e.g. ay blɔd prɛshɔn, dayabitis, famili histri bɔt di sik). |
| Faz B we dɛn kɔl | Sɔm chenj na di strɔkchɔ ɔ wikɛd tin na di at dɔn bigin, bɔt di sayn dɛn nɔ dɔn sho yet . |
| Stej we nem C | Dɛn dɔn kɔnfyus se at nɔ de wok fayn, ɛn di sayn dɛm de ɔ bin dɔn de trade (lɛk fɔ shɔt briz, fɔ swel na yu leg). |
| Faz D. Di wan dɛn we de wok | Dis na di las stej fɔ di sik . I nɔ kin izi fɔ kɔntrol di sik dɛn wit standad tritmɛnt. Dɛn nid fɔ gɛt spɛshal tritmɛnt. |
Wetin na di tritmɛnt dɛn we yu kin gɛt?
De gud nyus na dat, bɔrku tritmɛnt de tide wae kin ɛp fɔ mɛn dis sik. Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔltogɛda, dɛn kin kɔntrol di sayn dɛm ɛn pɔrsin kin liv fayn ɛn gladi layf. Di tritmɛnt we dɛn kin pik kin dipen pan di stej we di pɔsin gɛt ɛn di tin we kin mek i gɛt am.
Laif stayl chenj (dis impɔtant fɔ ɔlman!)
- Sɔl kɔntrol: I impɔtant fɔ ridyus sɔl we yu de it. Sכl de mek di wata we de na di bכdi de kכmכt bכku, we de mek di at strεs.
- Fluid control: Sɔm pipul dɛn kin advays dɛn dɔktɔ fɔ lɛ dɛn nɔ drink bɔku wata fɔ wan de.
- Fɔ mek yu gɛt wɛlbɔdi: If yu lɛf fɔ it bɔku bɔku it dɛn, dat kin mek yu at nɔ strɛs.
- Ɛksesaiz: As yu dɔktɔ advays yu, if yu du ɛksesaiz saful saful lɛk fɔ waka, dat de mek di at mɔsul strɔng.
- Lɛf fɔ smok ɛn drink rɔm: Dɛn tin ya kin ambɔg di at dairekt wan.
Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ go gi yu wan ɔ mɔ mɛrɛsin dipen pan yu kɔndishɔn. Dɛn mɛrɛsin ya kin:
- Fɔ ridyus di lod we de pan di at.
- Fɔ kɔntrol di at bit.
- fכ pul di wata we pasmak we de kכmכt na di bכdi tru di urine (wi kכl dis `Diuretics` כ `water pills`).
- Fɔ kɔntrol blɔd prɛshɔn.
Impɔtant: Nɔ ɛva stɔp fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek ɔ chenj di mɛrɛsin fɔ yusɛf. Dis na bikɔs dɛn mek dɛn mɛrɛsin ya fɔ protɛkt yu at.
Speshal tritmɛnt ɛn ɔpreshɔn dɛn
Sɔntɛnde, dɛn kin nid ɔda tritmɛnt dɛn apat frɔm di mɛrɛsin dɛn.
- Implantable Cardiac Defibrillator (ICD): Na smɔl tin we dɛn kin put ɔnda di skin fɔ stɔp di denja at ritm irɛgyulariti.
- Biventricular Pacemaker: na tin we de ɛp di at in chɛmba dɛn fɔ kɔntrakt jɔs togɛda.
- Ɔpreshɔn: Dɛn kin nid ɔpreshɔn fɔ mek di at dɛn we dɔn blok na di at (baypas ɔpreshɔn) ɔ di valv dɛn (valv ɔpreshɔn).
- At Transplant: Na di las tin we dɛn kin tink bɔt fɔ di wan dɛn we de na di las stej fɔ di sik.
Wetin yu fɔ du? Aw fɔ kia fɔ yusɛf?
We yu de liv wit dis sik, yu fɔ tek kia ɔf yu bɔdi fayn fayn wan.
1. Wej yusɛf ɛvride: Wej yusɛf di sem tɛm, wɛr di sem klos. If yu gɛt 2 kilo wantɛm wantɛm insay wan ɔ tu dez, dat min se yu de gɛt wata wet. Tɛl yu dɔktɔ wantɛm wantɛm.
2. Pe atɛnshɔn to di sayn dɛm: Pe atɛnshɔn if yu gɛt prɔblɛm fɔ blo mɔ ɛn mɔ, swel, ɔ taya.
3. Tek yu mɛrɛsin di rayt tɛm: Nɔ ɛva mis wan doz fɔ mɛrɛsin.
4. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn: Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli. Atɛnd klinik dɛn di rayt tɛm.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
| Tɔk to yu dɔktɔ if dɛn sik ya na nyu tin ɔr de wɔs: | |
|---|---|
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| Go to di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm if yu gɛt dɛn sik ya: | |
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Dis na sik we kin de fɔ lɔng tɛm. So sɔntɛnde yu kin fil bad ɛn wɔri. Dat na nɔmal tin. Tɔk to yu fambul ɛn padi dɛn bɔt dis. If nid de, aks fɔ ɛp frɔm pɔsin we sabi bɔt mental wɛlbɔdi biznɛs. Tɔk to yu dɔktɔ bɔt ɔltin we yu de fil.
Mɛsej we dɛn kin kɛr go na os
- Congestive Heart Failure nɔr min se de hat dɔn stɔp fɔ woke. I min se di we aw i de wok fayn dɔn go dɔŋ.
- Yu fɔ no bɔt sɔm sayn dɛm lɛk fɔ blo shɔt, fɔ swel na yu leg, ɛn fɔ taya ɔltɛm. Nɔ ignore dɛn tin ya.
- Yu kin kɔntrol dis sik fayn fayn wan bay we yu chenj yu layf (yu nɔ de it sɔl, yu de du ɛksɛsayz) ɛn tek di mɛrɛsin we yu dɔktɔ dɔn tɛl yu.
- Kip trak fɔ yu wet ɛn chenj dɛn na yu sayn dɛm ɛvride. If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔto yu wan de. Dɔktɔ, fambul, ɛn padi dɛn de we go ɛp yu fɔ du dis waka. Nɔ fred fɔ aks fɔ dɛn sɔpɔt.
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