Yu at taya smɔl? Lɛ wi lan bɔt Congestive Heart Failure insay wan simpul we!

Sɔntɛnde yu kin fil lɛk se yu gɛt prɔblɛm fɔ blo ivin we yu de waka fɔ shɔt tɛm ɔ klaym stej? Ɔ yu kin fil lɛk se yu leg ɔ yu anklɛ dɛn de swel? Dis kin bi yu at we de tɛl yu sɔntin. Tide wi go tɔk bɔt Congestive Heart Failure , ɔ lɛk aw sɔm pipul dɛn kin kɔl am, congestive heart failure . Nɔ wɔri, if yu ɔndastand dis fayn ɛn manej am fayn, yu kin fayn.

Wetin rili na Kɔnjɛstiv At Fɛil?

Fɔ tɔk am simpul wan, Congestive Heart Failure na we yu at nɔ ebul fɔ pɔmp blɔd fayn fayn wan lɛk aw i nid. Tink bɔt yu at as big say fɔ sheb tin dɛn. εvri paket we kam insay (i.e. bכdi) nid fכ dεliv am na di rayt ples (i.e. כgan dεm) pan tεm. Bɔt wetin kin apin we dis sɛnta wik smɔl ɛn nɔ ebul fɔ sɛn ɔl di paket dɛn di rayt tɛm? Di paket dɛn kin bɔku, nɔto so? Na dat de apin na ya bak. We di at nɔ ebul fɔ pɔmp blɔd fayn, di blɔd kin bak ɛn gɛda na difrɛn pat dɛn na di bɔdi, mɔ na di lɔng, leg, anklɛ, ɛn bɛlɛ . Dis na wetin wi kɔl (Congestive), we min se "kɔlɛkshɔn" de.

Yu tink se men kayn tin dɛn de we kin mek pɔsin in at pwɛl?

Yɛs, bɔku men kayn dɛn de:

• Left-sayd at failure: Dis na di kayn we we dɛn kin gɛt mɔ. dis na we di lεft say na di at (di lεft vεntrikl) nכ ebul fכ pכmp bכdi כlsay na di bכdi. Dis kin mek blɔd gɛda na di lɔng, ɛn dis kin mek i nɔ izi fɔ blo.
• Rayt-sayd hat fεil: Dis kin kכmכt bכku tεm we di lεft-sayd at fεil. we di rayt say na di at nכ ebul fכ pכmp blכd frכm di lכng dεm fayn fayn wan, di bכdi de pul na di venus sistεm εn mek i swel na di say dεm lεk di leg, di ankכl dεm, εn di bכdi.
• Hat failure wae gɛt bɔrku bɔrku tin: Dis na kayn tin wae nɔr kin bɔrku. pan dis kכndyushכn, di at de pכmp blכd fayn fayn wan, bכt biכs di bכdi in bכku dimand (fכ egzampl, siriכs anemia, haypa tayroyd), di at nכ kin ebul fכ mit da dimand de.

Aw dis sik kin kɔmɔn?

Bɔku bɔku pipul dɛn ɔlsay na di wɔl de sɔfa wit dis sik. I kin apin mɔ pan pipul dɛn we dɔn pas 65 ia , ɛn na in kin mek dɛn put dɛn na ɔspitul pan da ej de. So, e fayn fɔ no bɔt dis sik.

Wetin na di sayn dɛm wae de sho se yu gɛt Congestive Heart Failure?

Dɛn sayn ya kin difrɛn frɔm pɔrsin to ɔda pɔrsin, ɛn kin difrɛn bak fɔ di kayn sik wae de kam pan pɔrsin. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin si:

• Fɔ blo shɔt: Fɔ fil lɛk se yu go fɔdɔm we yu de du layt wok, waka smɔl, ɔ klaym sɔm stej. If i sik bad bad wan, i kin at fɔ blo ivin we yu tinap wansay.
• We yu wek na nɛt wit prɔblɛm fɔ blo:If yu wek wantɛm wantɛm we yu de slip ɛn yu nɔ ebul fɔ blo fayn, dat bak na dis sayn fɔ dis.
• Chɛst pen ɔr nɔr de fil fayn: Sɔm pipul kin fil tayt ɔr ebi na dɛn chɛst.
• At de bit: De hat kin fil lɛk se i de bit lawd wan, kwik kwik wan, ɔr nɔr de bit ɔltɛm.
• Fɔ fil taya pasmak we yu de du tin: Fɔ fil taya tumɔs fɔ du tin dɛn we bin izi trade.
• Di leg, ankles, ɛn bɛlɛ kin swel: Ankles ɛn fut finga dɛn kin swel te i nɔ kin izi fɔ wɛr sus ɔ pul di ring dɛn.
• We yu de gɛt bɔku bɔku wet wantɛm wantɛm: If yu gɛt sɔm kilo insay sɔm dez, i kin bi bikɔs yu gɛt wata.
• Nid fɔ pis bɔku tɛm na nɛt.
• Dray, hacking kɔf we kin kam pan fɔ natin: Dis kɔf kin wɔs, mɔ we yu de kɔf.
• Fɔ fil se yu bɛlɛ ful ɔ tayt.
• Nɔr kin want fɔ it ɔr kin fil sik (nausea).

Mɛmba se sɔmtɛm, dɛn sayn ya kin rili klia, ɔr kin ivin nɔr de. Bɔt dat nɔ min se yu nɔ gɛt at prɔblɛm. Di sayn dɛm kin kam ɛn go. Na kɔmɔn tin fɔ mek de sik wɔs as tɛm de go. So if yu gɛt wan ɔ tu pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin na de tin wae kin mek pɔrsin gɛt Congestive Heart Failure?

Bɔku rizin dɛn kin de we mek di at kin wik. Sɔm pan di men rizin dɛn na:

• Korona at sik ɛn/ɔ at atak: Di at mɔsul kin pwɛl bikɔs di at dɛn we de gi blɔd to di at kin blok.
• Cardiomyopathy: Dis kin bi bikɔs ɔf di jɛnɛtik kɔz, vayral infɛkshɔn, ɔ ɔda tin dɛn, we kin mek di at mɔsul wik ɔ tik.
• Hat sik we dɛn bɔn wit: Dɛn bɔn am wit at prɔblɛm.
• Dayabitis: Dayabitis fɔ lɔng tɛm kin afɛkt di at.
• Ay blɔd prɛshɔn: We yu nɔ kɔntrol di ay blɔd prɛshɔn, dat kin mek di at wok tranga wan.
• Di at we nɔ de bit ɔltɛm (Arrhythmia): We di at nɔ de bit ɔltɛm, dat de mek di at nɔ wok fayn.
• Kidni sik: We di kidni nɔ de wok fayn, di wata ɛn sɔl we de na di bɔdi kin bɔku, ɛn dis kin mek di at prɛshɔn.
• Bɔdi mas indeks (BMI) we pas 30 (we fat pasmak).
• Tabak ɛn drɔgs we nɔ rayt.
• Fɔ drink rɔm pasmak.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, sɔm kemotɛrapi mɛrɛsin dɛn we dɛn kin yuz fɔ kansa kin ambɔg di at.

Wan ɔda tin we yu fɔ no na dat, we yu at pwɛl na yu lɛft sayd na di men tin we kin mek yu at pwɛl na yu rayt sayd. we di lεft sayd nכ de wok fayn, bכdi de fכlכ bak tru di lכng dεm εn i de afekt di rayt sayd bak.

Udat de pan denja pas ɔl fɔ dis?

Sɔm pipul dɛn kin gɛt dis sik. Dɛn tin ya we kin mek pɔsin gɛt prɔblɛm na:

• I dɔn pas 65 ia.
• Yuz tin dɛn we dɛn kin yuz fɔ smok, drɔgs lɛk kɔkɛyn, ɔ rɔm.
• Wan layf we pɔsin kin sidɔm ɛn we nɔ de du tin wit in bɔdi.
• Fɔ it tin dɛn we gɛt bɔku sɔl ɛn fat bɔku tɛm.
• Fɔ gɛt ay blɔd prɛshɔn.
• Fɔ gɛt korona at sik.
• Bikɔs i bin dɔn gɛt at atak bifo tɛm.
• Fɔ gɛt famili histri bɔt Kɔnjɛstiv At Fɛil.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Kɔnjɛstiv At Fɛil?

If dɛn nɔ trit dis sik fayn ɔ kɔntrol am, ɔda prɔblɛm kin apin.

• Di at we nɔ de bit ɔltɛm.
• We di at kin stɔp wantɛm wantɛm, i kin ivin mek pɔsin day.
• Prɔblɛm dɛn we gɛt fɔ du wit di at valv.
• Fluid akyumyuleshכn na di lכng dεm (Pulmonary edema).
• Pulmonari haypatɛyshɔn.
• Kidni damej ɔ kidni nɔ de wok fayn.
• Liva dɔn pwɛl.
• Malnutrishɔn.

Aw yu go no if yu gɛt Congestive Heart Failure?

If yu gɛt dɛn sik ya, we yu go to dɔktɔ, i go aks yu kwɛstyɔn dɛn fɔs.

• Tin dɛm lɛk us sayn dɛm yu gɛt ɛn aw lɔng yu dɔn gɛt dɛm.
• Ɔda mɛrɛsin wae yu gɛt (lɛk dayabitis, ay blɔd prɛshɔn).
• Ɛnibɔdi na yu famili dɔn ɛva gɛt at sik ɔ day wantɛm wantɛm?
• Yu kin yuz tabak, rɔm, ɔ drɔgs?
• If yu dɔn gɛt kemotɛrapi ɔ redyushɔn fɔ kansa bifo.
• Us mɛrɛsin dɛn yu kin yuz?

Dɔn di dɔktɔ go chɛk yu bɔdi. Dɛn go lisin to yu at, chɛk yu lɔng, ɛn chɛk yu leg fɔ si if i swel.

Wetin na di 4 stej dɛm wae de mek pɔrsin gɛt Congestive Heart Failure?

Bikɔs dis na sik we kin wɔs smɔl smɔl as tɛm de go, na 4 stej dɛn de. dεn kכl dεn stej dεm ya A, B, C, εn D. Dat min se, wan joyn frכm wan lכw risk lεvεl to wan hεy risk lεvεl.

Stej A (Stej A - Prε-hat fεil) .

Dis min se yu de pan big risk fɔ gɛt at prɔblɛm. Dis kin bi bikɔs sɔmbɔdi na yu famili dɔn gɛt dis sik. Ɔ i kin bi bikɔs yu gɛt wan ɔ mɔ pan dɛn tin ya:

• Ay blɔd prɛshɔn (Hypertension).
• Shuga.
• Koronari at sik.
• Mεtabolik sεndrכm.
• Wan histri bɔt di sik we pɔsin kin gɛt we i de yuz rɔm.
• Fɔ gɛt rεumatik fiva.
• Fɔ gɛt famili histri bɔt di sik we dɛn kɔl cardiomyopathy.
• Wae yu dɔn yuse mɛrɛsin wae kin pwɛl yu at (e.g., sɔm anti-kansa drɔgs).

Stej B (Stej B - Prε-hat fεil) .

na dis stej, yu lεft vεntrikl (di men chεmba we de pכmp bכdi כlsay na di bכdi) nכ de wok fayn, כ sכm chenj de insay in strכkchכ (e.g. i de tik). Bɔt yu nɔ gɛt sayn dɛn yet fɔ mek yu at pwɛl.

Stej we nem C

Dɛn dɔn ɔfishal wan no se pipul dɛm wae de na dis stej gɛt Congestive Heart Failure. Dɛn kin gɛt sayn bak naw, ɔr dɛn kin dɔn gɛt sɔm kayn sik bifo bɔt naw nɔr gɛt ɛni wan.

Stej D ɛn Ridyus Ijekshɔn Frakshɔn (EF) .

Dɛn pipul ya gɛt wan sik we rili advans (Advanced) (Heart Failure) . Ivin wit tritmɛnt, i nɔ kin izi fɔ kɔntrol di sayn dɛm. di amoun fכ bכdi we de kכmכt frכm di at wan tεm, dat na, `(Ejection fraction - EF)`, de rili lכw εn i kin gεt `(HFrEF - hat fεil wit ridyus ejection fraction)`. Dis na di las stej fɔ (Hat Failure).

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Dɔktɔ dɛn kin du bɔku tɛst fɔ no if yu gɛt kɔnjɛstiv at fayl, us stej i de, ɛn wetin rili de mek yu gɛt am:

• Blɔd tɛst: Dɛn tin ya kin no ɔda tin dɛn we kin afɛkt di at (e.g., anemia, kidni sik, tayroyd prɔblɛm) ɛn if di at dɔn pwɛl (bay we dɛn de chɛk sɔm ɛnzaym lɛvɛl dɛn).
• di kadyak kateshכn: dεn kin du dis fכ chεk fכ blכk na di korona atεri dεm na di at.
• Chɛst X-ray: Dɛn kin yuz dis fɔ chɛk fɔ si if di at dɔn big ɛn if wata dɔn bɔku na di lɔng dɛn.
• Echocardiogram (Echo): Dis tan lɛk ɔltra saund skan fɔ di at. i kin si klia wan bכku tin dεm lεk di at in chεmba dεm, di valv dεm, di at mכsul dεm fכ wok, εn aw i de pכmp bכdi fayn fayn wan (di ``Ejection fraction - EF'').
• MRI (Magnetic Resonance Imaging) fɔ di at.
• CT (Computed Tomography) skan fɔ di at.
• Ilɛktrokardiogram (EKG ɔ ECG): Dis kin ɛp fɔ si tin dɛn lɛk di ilɛktrik aktiviti na di at ɛn di ritm we di at de bit.
• MUGA scan (Multigated Acquisition Scan): Dɛn kin yuz dis bak fɔ si aw di at chɛmba dɛn de pɔmp blɔd fayn fayn wan.
• Stress test: Dɛn kin tek ECG we yu de waka pan tredmil ɔ rayd baysikul fɔ si aw yu at de du ɛksɛsayz.
• Jɛnɛtik tɛst: Sɔntɛnde, mɔ if famili histri de, dɛn kin du dɛn tɛst ya fɔ luk fɔ di jenɛtik kɔz.

Aw dɛn kin trit Kɔnjɛstiv At Fɛil?

Di tritmɛnt dipen pan di kayn at pwɛl hat wae yu gɛt, di kɔz wae de kam, ɛn di stej wae yu de pan.Mɛdikeshɔn ɛn chenj na yu layf na impɔtant pat pan ɛvri tritmɛnt plan. Yu dɔktɔ go tɔk to yu bɔt di bɛst tritmɛnt plan fɔ yu.

De impɔtant tin na, (Hat Failure) nɔto sik we pɔsin kin mɛn ɔltogɛda. As i de wɔs, di blɔd we di at de pɔmp to di ɔgan dɛn de go dɔŋ, ɛn yu de go to di nɛks stej. Yu nɔ go ebul fɔ go bak frɔm dɛn stej ya. So, di men gol fɔ tritmɛnt na fɔ stɔp yu fɔ go to di nɛks stej, fɔ delay am, fɔ kɔntrol di sik dɛn ɛn fɔ mek yu kwaliti fɔ liv bɛtɛ.

Lɛ wi si aw di tritmɛnt kin chenj frɔm wan stej to ɔda stej:

Tritmɛnt fɔ stej A:

Dɛn pipul ya nɔr gɛt at pwɛl hat yet, bɔt de risk bɔrku. Na dat mek dɛn kin du tin fɔ ridyus di risk.

• Ɛksesaiz ɔltɛm, lɛk fɔ waka ɛvride.
• Fɔ lɛf fɔ it tin dɛn we dɛn kin mek wit tabak kpatakpata.
• Tritmɛnt fɔ ay blɔd prɛshɔn (mɛrɛsin, it we nɔ gɛt bɔku sɔl, aktif layf stayl).
• Tritmɛnt fɔ di ay kɔlɔstrel lɛvɛl.
• Fɔ avɔyd fɔ drink rɔm ɛn fɔ tek drɔgs we nɔ rayt.
• If yu gɛt ɔda wɛlbɔdi prɔblɛm lɛk korona at sik, dayabitis, ɔ ay blɔd prɛshɔn, dɛn kin gi yu wan Angiotensin-converting enzyme inhibitor (ACE-I) ɔ Angiotensin II receptor blocker (ARB).

Tritmɛnt fɔ stej B:

Dɛn pipul ya gɛt at prɔblɛm, bɔt nɔr gɛt ɛni sayn.

• Ɔl di tritmɛnt dɛn we dɛn tɔk bɔt na Faz A.
• If yu `(Ejection fraction - EF)` na 40% ɔ less, `(ACE-I)` ɔ `(ARB)` na di rayt mɛrɛsin.
• If yu dɔn gɛt at atak bifo ɛn yu EF na 40% ɔ smɔl pas dat (if yu nɔ de tek am yet), yu fɔ tek wan mɛrɛsin we dɛn kɔl beta-blɔka.
• If yu bin dɔn gɛt at atak bifo ɔ if yu EF na 35% ɔ smɔl pas dat, yu kin nid mɛrɛsin we dɛn kɔl Aldosterone antagonist.
• Sɔntɛnde, dɛn kin nid ɔpreshɔn ɔ ɔda tin fɔ du fɔ tin dɛn lɛk korona at sik, at we nɔ de wok fayn, valv sik (valv ripa ɔ riplesmɛnt), ɔ at sik we dɛn bɔn wit.

Tritmɛnt fɔ stej C (HFrEF - fɔ di wan dɛn we gɛt ridyus blɔd pɔmp abiliti):

Dɛn pipul ya gɛt (Heart Failure) ɛn gɛt/bin gɛt sɔm kayn sik.

• Tritmɛnt dɛn we dɛn tɔk bɔt na stej A ɛn B.
• `(Beta-blɔka)` ɛn `(Aldosterone antagonist)` mɛrɛsin dɛn.
• wan klas fכ dכg dεm we dεn kכl `(Sכdiכm-glukoz transpכt 2 inhibito dεm - SGLT2i)`.
• Dɛn kin yuz wan kɔmbayn drɔg we dɛn kɔl ``(Hydralazine/nitrate)`` if ɔda tritmɛnt nɔ kin kɔntrol di sik, mɔ pan pipul dɛn we kɔmɔt na Afrikan Amɛrikin.
• If di at rit pas 70 bit pan minit ɛn di sayn dɛm nɔ de apin, na mɛrɛsin fɔ mek di at bit.
• If di sayn dɛm (especially swel ɛn i nɔ izi fɔ blo) kɔntinyu, dɛn kin gi am wan diuretic (we wi kɔl wata pils).
• Fɔ stɔp di sɔl (sɔdiɔm) we de insay it.
• Wej yusɛf ɛvride. If yu gɛt ɔ lɔs pas 2 kilogram (4 pawn) insay wan ɔ tu dez, tɛl yu dɔktɔ wantɛm wantɛm.
• Yu kin nid bak fɔ stɔp di wata we yu de drink fɔ wan de.
• Sɔm pipul dɛn nid fɔ gɛt spɛshal pesmɛka divays we dɛn dɔn instɔl we dɛn kɔl ``Cardiac resynchronization therapy - CRT``, ɔ ``biventricular pacemaker``.
• Dɛn kin put wan tin we dɛn kɔl implantable cardiac defibrillator (ICD) pan pipul dɛn we de pan denja fɔ gɛt di at ritm we nɔ de wok fayn we go mek dɛn day.
• Ivin if di simptom dεm bεtεh wit tritmεnt, i rili impɔtant fɔ kɔntinyu fɔ trit fɔ delay di kכndyushכn frכm go bifo to stej D.

Tritmɛnt fɔ stej D:

Dɛn pipul ya gɛt siriɔs sik (Heart Failure).

• Ɔl di tritmɛnt dɛn we dɛn tɔk bɔt na stej A, B, ɛn C. Apat frɔm dat, dɛn de tink bɔt mɔ advans tritmɛnt dɛn:
• Fɔ transplant yu at.
• mεkanikal divays dεm we de sכpכt di at (Ventricular assist devices - VADs) .
• Speshal at ɔpreshɔn dɛn `(Hat ɔpreshɔn)`.
• Kɔntinyu fɔ intravenɔs inotropik drɔgs (mɛdisin dɛn we de mek di at kɔntrakshɔn bɔku).
• Palliative care ɔ hospice kia.

Stej C ɛn D (HFpEF - fɔ di wan dɛn we nɔ gɛt prɔblɛm fɔ pɔmp blɔd frɔm di at):

insay dis kayn we, pan ɔl we di at in ebul fɔ kɔntrakt (ejection fraction) na nɔmal tin, prɔblɛm de we di at ful-ɔp wit blɔd (diastolic function) we kin mek di at nɔ wok fayn.

• Tritmɛnt dɛn we dɛn tɔk bɔt na stej A ɛn B.
• Fɔ trit ɔda mɛdikal kɔndishɔn dɛm we kin mek ɔ mek at pwɛl (e.g., atrial fibrillation, ay blɔd prɛshɔn, dayabitis, fat, korona at sik, krɛse sik, ay kɔlɔstrel, kidni sik).
• Diuretics (wata pills) fɔ ridyus ɔ pul di sik dɛn.

Nɔ fɔgɛt se fɔ kɔntrol yu ɔda mɛrɛsin sik dɛm (dayabitis, kidni sik, anemia, ay blɔd prɛshɔn, tayroyd sik, asma, krɛse sik) na impɔtant tin fɔ kɔntrol dis sik (Hat Failure) .

Ɛni sayd ɛfɛkt ɔ kɔmplikeshɔn de fɔ di tritmɛnt?

Sɔm tritmɛnt dɛn kin gɛt smɔl smɔl sayd ɛfɛkt dɛn.

• Lɔw blɔd prɛshɔn (Hypotension).
• Efεkt dεm pan di kidni fכnshכn (Kidni fεil).
• We pɔsin de na ɔspitul ɔltɛm, mɔ wit mɛrɛsin we dɛn kin put insay in bɛlɛ (sɛntral IV), i kin mek i gɛt infɛkshɔn.

Tɔk to yu dɔktɔ bɔt dis ɛn tɛl yu.

Aw fɔ ridyus di risk fɔ (Congestive Heart Failure)?

Pan ɔl we wi nɔ kin ebul fɔ chenj tin dɛn lɛk di ej ɛn famili histri, wi kin ridyus di risk fɔ gɛt dis sik (Hat Failure) bay we wi chenj wi layf.

• Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
• Fɔ it tin we go ɛp yu at (lɛs sɔl, shuga, ɔyl, mɔ vɛjitebul ɛn frut).
• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ manej strɛs fayn fayn wan.
• Fɔ lɛf fɔ yuz tin dɛn we dɛn kin mek wit tabak kpatakpata.
• Nɔ drink rɔm ɔ drink am smɔl smɔl.
• Nɔ yuz drɔgs we nɔ rayt.
• If yu gɛt ɔda sik dɛn we de mek yu gɛt mɔ prɔblɛm (lɛk ay blɔd prɛshɔn, dayabitis, ay kɔlɔstrel), mek dɛn trit dɛn fayn ɛn kɔntrol dɛn.

Us kayn fiuja pɔrsin wae gɛt Congestive Heart Failure kin ɛkspɛkt?

If yu gɛt di rayt tritmɛnt, chenj yu layf, ɛn fala wetin yu dɔktɔ tɛl yu fɔ du, bɔku pipul dɛn kin liv gladi layf pan ɔl we dɛn gɛt Kɔnjɛstiv At Fayla. Yu tumara bambay go dipen pan dɛn tin ya:

• I dipen pan aw yu at mɔsul de wok fayn.
• Dipen pan di kayn ɛn aw yu sik kin tranga.
• I dipen pan aw yu de du di tritmɛnt plan fayn fayn wan.
• I dipen pan aw yu de fala yu tritmɛnt plan fayn fayn wan (mɛrɛsin, it, ɛksesaiz).

Sɔm stɔdi dɔn sho se pipul dɛm wae gɛt dis sik kin liv fɔ 10 ia pas di wan dɛm wae nɔr gɛt dis sik. Bɔt dis kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. So i bɛtɛ fɔ mek yu tɔk to yu dɔktɔ opin ɛn ɔnɛs bɔt yu sik. At pwɛl hat na wan sik wae de mɛk pɔrsin nɔr de mɛn, ɛn wae pɔrsin de fil fɔ ɔl in layf. I nid fɔ gɛt tritmɛnt ɛn manejmɛnt fɔ ɔl in layf.

Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

Wae yu de liv wit Hat Fail, e fayn fɔ mek yu tek kia ɔf yusɛf.

• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm. Nɔ mis wan de.
• Stay aktif as yu ebul. Aks yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu.
• Fɔ fala di it we nɔ gɛt bɔku sɔl. Di it dɛn we dɛn pak, we dɛn put insay tin, ɛn we dɛn kin it fast fast, gɛt bɔku sɔl.
• Chek yu wet ɛvride. If yu notis ɛni wet we yu de gɛt wantɛm wantɛm (e.g., 1-2 kilo insay wan ɔ tu dez), tɛl yu dɔktɔ .
• If nyu sayn dɛn de sho, ɔ if di sayn dɛn we dɔn de de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.
• Mek shɔ se yu go to di dɔktɔ pan di tɛm we dɛn dɔn sɛtul fɔ fala yu.
• Bikɔs dis na sik we kin kil pɔsin, i fayn fɔ mek yu dɔktɔ ɛn fambul no wetin yu want bɔt yu mɛrɛsin (e.g., if yu want tritmɛnt we go mek yu liv lɔng/fɔ go na ɔspitul). Dis kin bi bay we yu fil ``advans dairektv'' ɔ ``living will''. I fayn fɔ pripia dis we yu stil gɛt gud maynd if yu nɔ ebul fɔ disayd fɔ du dɛn tin ya leta.

Wetin na de tin wae yu nɔr kin ebul fɔ it ɛn drink wit (Congestive Heart Failure)?

Bɔku pipul dɛn we gɛt at prɔblɛm nid fɔ stɔp fɔ it sɔl ɛvride . Sɔm pipul dɛn kin nid bak fɔ stɔp fɔ it wata (lɛk wata, ti, sup). Yu dɔktɔ ɔ pɔsin we sabi bɔt it go advays yu bɔt dis.

Ustɛm a fɔ go to di dɔktɔ?

I rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni nyu sayn ɔ if di sayn dɛm we yu dɔn gɛt fɔ yu at pwɛl de wɔs. Ɛspɛshali if yu gɛt ɛni wan pan dɛn tin ya:

• If yu gɛt prɔblɛm fɔ blo ivin we yu de rɛst.
• If di swɛlin go bɔku na di leg, anklɛ, ɔ bɛlɛ.
• If yu gɛt wet wantɛm wantɛm (mɔ pas 1-2 kg insay wan ɔ tu de).
• If yu de fil taya ɛn slip ɔltɛm.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu at pwɛl dɔn wɔs wantɛm wantɛm (e.g., yu nɔ de blo bad bad wan, yu chɛst de pen bad bad wan), yu nid fɔ gɛt tritmɛnt kwik kwik wan. Dɔktɔ dɛn kɔl dis akyu dikɔmpɛns at fayl . If na so i bi, dɛn kin gi yu mɛrɛsin ɛn ɔksijɛn fɔ ɛp fɔ mek yu sik bɛtɛ. If yu go na ɔspitul kwik kwik wan ɛn yu nɔ go west yu tɛm, dat kin sev yu layf.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fred fɔ aks kwɛstyɔn dɛn we de na yu maynd.

• "Us stej fɔ (Congestive Heart Failure) a gɛt?"
• "Wetin bi di bes tritment fo mi fo dis stej?"
• "Wetin bi som sef eksasaiz we a fit du? Aw long a shud du dem?"
• "Us chenj a fɔ mek to mi it?"
• "Sɔpɔt grup dɛn de fɔ pipul dɛn we gɛt (Congestive Heart Failure)?"
• "Wetin a fɔ du if mi sik dɛn de wɔs?"

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Congestive Heart Failure nɔto natin fɔ fred, bɔt i nɔto sɔntin bak fɔ tek am layt. If yu gɛt dis sik, bɔrku tin de wae yu kin du fɔ mek yu at gɛt wɛl bɔdi.

• Tek yu mɛrɛsin di rayt we ɛn di rayt tɛm.
• It tin dɛn we nɔ gɛt bɔku sɔl ɛn we go ɛp yu at.
• Stay aktif as yu ebul.
• Chek yu wet ɛvride ɛn no se di chenj dɛn we de apin wantɛm wantɛm.
• Mek shɔ se yu go to dɔktɔ di de dɛn we yu dɔn plan fɔ du.
• Kip yu rikodɔ fɔ yu sik dɛn ɛn tɛl yu dɔktɔ if dɛn wɔs.

If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu mɛrɛsin, chenj dɛn layf, ɔ ɛni ɔda tin na yu tritmɛnt plan, tɔk to yu dɔktɔ opin wan. Dɛn de fɔ ɛp yu fɔ kɔntrol dis sik ɛn liv di bɛst layf. Mɛmba se nɔto yu wangren de!

`At atak, at atak, at sik, chɛst pen, i nɔ kin izi fɔ blo, kɔnjɛstiv at nɔ de wok, di at nɔ kin wok fayn, di leg dɛn kin swel