Yu at dɔn chenj lɛk dis? Lɛ wi tɔk bɔt Hypertrophic Cardiomyopathy (HCM)!

Yu dɔn ɛva yɛri bɔt at sik usay di at mɔsul jɔs tik, i kɔmplikt smɔl? Sɔmtɛm yu nɔr kin ivin no se yu gɛt am, bikɔs sɔm pipul dɛn nɔr kin gɛt ɛni sayn. Bɔt i impɔtant fɔ no bɔt am bikɔs i kin afɛkt di at. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl hypertrophic cardiomyopathy, ɔ `HCM' bitwin dɔktɔ dɛm. Nɔ wɔri, wi go tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Mek wi si fos wetin na HCM?

Fɔ tɔk am simpul wan, hypertrophic cardiomyopathy (HCM) na wan kɔmpleks sik we kin afɛkt di mɔsul dɛn na yu at. I kin bi bikɔs ɔf sɔm men tin dɛn:

• di at mכsul we de tik: εspεshali di lכw chεmba dεm na di at, we wi kכl di vεntrikl dεm, gεt di wכl dεm we tik.
• di lεft vεntrikul stiffnεs: di men chεmba na di lεft say na di at (lεft vεntrikul) de stiff, i de bi lεs elastik, lεk rכba.
• di mitral valv de chenj: di chenj dεm we di mitral valv de du, we na imכtant valv na di at, kin apin.
• di chenj dεm na di sεl dεm: sכm abnכmal tin dεm de apin na di at mכsul sεl dεm (sεl chenj dεm).

Dɛn tin ya kin mek sɔm tin dɛn we de ambɔg di at wok.

Aw dis HCM kɔndishɔn kin afɛkt yu bɔdi?

Okay, naw lɛ wi si wetin dɛn chenj ya kin rili du to di bɔdi.

Mayokardiɔm de tik

Dis na di men sayn we dɛn kin si pan HCM. bכku tεm, dis tik de apin na di wכl we de sεparayt di lεft εn rayt sayd na di at, we dεn kכl di `(septum).` Imajin, we dis septum bitwin di lכw chεmba dεm na di at `(vεntrikul)` tik, i kin blכk di we aw bכdi de fכm frכm di lεft vεntrikl to di aorta, di men bכdi we de kכri bכdi כlsay na di bכdi. Wi kin kɔl dis `(ɔtflɔ trakt ɔbstrɔkshɔn)`. Dɔn di at fɔ wok tranga wan fɔ pɔmp blɔd pas dis blɔk. di kayn HCM we de blכk di we aw bכdi de fכlכ dεn kכl am `(Hypertrophic Obstructive Cardiomyopathy - HOCM)`.

sכmtεm כda pat dεm na di at lεk di εpiks, di rayt vεntrikl, כ di wan ol lεft vεntrikl kin tik. Insay dɛn kayn tin ya, di blɔd nɔ kin blok. Bɔt di blɔd we di ventrikl kin ebul fɔ ol kin ridyus. Dɛn kɔl dis Hypertrophic Nonobstructive Cardiomyopathy.

Lɛft Ventrikul Stiffnɛs

we di at mכsul tik, chenj dεm na dεn sεl dεm de mek di lεft vεntrikl nכ de rilaks fayn εn fulכp wit blכd. Wetin kin apin da tɛm de? Bikɔs blɔd nɔ bɔku na di chɛmba, dɛn nɔ kin sɛn blɔd we gɛt bɔku ɔksijɛn to di ɔda ɔgan ɛn mɔsul dɛn na di bɔdi. Dis we aw yu at kin at kin mek di prɛshɔn we de insay di at go ɔp bak, ɛn yu kin gɛt sɔm sayn dɛn lɛk:

• Chɛst de pen
• Shot we yu de blo
• Diziz ɔ fɔdɔm
• Fɔ fil lɛk se yu at de bit fast (palpitations) .

Mitral Valv Chenj dɛn

as wi bin dכn tכk, we di lεft vεntrikulכr כtfכl trakt de blok, di mitral valv na di at kin nכ fכ wok fayn fayn wan. dis kin mek di bכdi nכ fכ fכlכ εn i kin mek di prεshכn na di lεft vεntrikl bכku.

di kכz fכ dis blכk na di mitral valv we de hit di tik tik septum. we dis apin, di mitral valv nכ de kכloz fayn εn bכdi kin lik bak insay di lεft atrium.

Di Chenj dɛn we De na di Sɛl

If yu luk gud wan ɔnda maykroskɔp, di at mɔsul sɛl dɛn na pɔsin we gɛt HCM nɔ de arenj insay wan stret layn, bɔt dɛn arenj am insay sɔm kayn chaotic patɛn. dis dizayd kin mek chenj dεm na di ilektrikal signal dεm we de travul tru di lכw chεmba dεm na di at, we kin mek wan abnכmal at ritm we dεn kכl vεntrikulכr aritmia. Dis kin mek pɔsin denja.

Aw kכmכn dεn kכl dis kכndyushכn HCM?

Dɛn se na lɛk 1.5 milyɔn pipul dɛn na Amɛrika nɔmɔ, ɔ lɛk wan pan ɛvri 500 pipul dɛn, gɛt HCM. Dis kin kכmכn pas sik lεk ``(Multiple Sclerosis)''. So, i nɔto so rare.

Na us ej HCM kin divεlכp?

Bɔrku tɛm, dis at sik kin kam pan yɔŋ pipul dɛm, arawnd ettin ɔr twɛnti ia. Bɔt, i kin bigin pan ɛni ej.

If a gɛt HCM, risk de fɔ mek a gɛt bɛlɛ?

Yu kin nid spɛshal dɔktɔ, lɛk fɔ tek ɛkokadyografi ɔltɛm. Bɔt i go mɔs bi se yu go gɛt wɛlbɔdi bɛlɛ ɛn yu go bɔn pikin we nɔmal. Bɔt i impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ bifo yu gɛt bɛlɛ ɛn tɔk bɔt di prɔblɛm dɛn we kin apin. Yu dɔktɔ go tɛl yu bak us mɛrɛsin fɔ HCM yu kin kɔntinyu fɔ tek we yu gɛt bɛlɛ. Yu kin nid bak fɔ mek dɛn fit yu peshɛnt ɔ implantable cardioverter defibrillator (ICD) if nid de we yu gɛt bɛlɛ.

Wetin kin mek pɔsin gɛt HCM?

Bɔku tin dɛn de we kin mek pɔsin gɛt HCM:

• Jɛnɛtiks: Dis na di men tin we kin mek i apin. HCM na sik wae kin kam frɔm mama ɛn papa to pikin. Dis min se difεkt de na di jin dεm we de kכntro di kכntribyushכn dεm fכ di at mכsul. difrεn kayn jin dεm de we de mek HCM. Ivin if pɔsin we gɛt prɔblɛm wit in jɛnɛtiks, nɔto ɔlman na di famili go gɛt dis sik di sem we. Sɔm pipul dɛn kin gɛt di HCM jin bɔt dɛn nɔ kin ɛva gɛt di sik.
• Ay blɔd prɛshɔn: Ay blɔd prɛshɔn we dɔn de fɔ lɔng tɛm kin bi bak wan rizin fɔ dis.
• We yu de ol: I pɔsibul fɔ mek dis sik apin as yu de ol.
• Kes dɛm we dɛn nɔ no di kɔz:Sɔntɛnde, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ HCM.

Us sayn dɛm wae pɔrsin wae gɛt HCM kin gɛt?

Sɔm pipul dɛm wae gɛt HCM kin gɛt difrɛn kayn sayn dɛm, wae ɔda pipul dɛm nɔr kin gɛt ɛni sayn atɔl. De sayn dɛm wae kin kam pan pɔrsin na:

• Chɛst pen: Dis kin apin we yu de du ɛksɛsayz ɔ we yu de tray tranga wan, bɔt sɔntɛnde i kin apin we yu jɔs tinap ɔ afta yu dɔn it.
• Fɔ blo shɔt ɛn taya: Dɛn sik ya, mɔ we yu taya, kin apin to pipul dɛn we dɔn ol. dis kin bi fכ di prεshכn we de go כp na di lεft atria εn di lכng dεm.
• Faint ɔr fɔdɔm (syncope): Dis kin bi bikɔs di at nɔ de ritm (arrhythmias) ɔ di blɔd vesel dɛn nɔ de ansa we yu de du ɛksɛsayz. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin.
• Palpiteshɔn: Dis kin bi bikɔs ɔf wan abnɔmal at ritm, lɛk atrial fibrillation (atrial flutter) ɔ ventricular tachycardia (ventricular tachycardia). Na lɛk 25% pan di pipul dɛm wae gɛt HCM gɛt atrial fibrillation. Dis kin mek di blɔd klɔt ɛn at pwɛl.
• di vein dεm na di lכw bכdi כ nεk de swεla.

Us ɔda wɛlbɔdi prɔblɛm dɛn kin gɛt fɔ du wit HCM?

Bɔrku pipul dɛm wae gɛt HCM kin liv nɔrmal layf ɛn nɔr kin gɛt ɛni big wɛl bɔdi prɔblɛm. Sɔm nɔ ivin nid fɔ tek mɛrɛsin. Bɔt ilɛksɛf yu nɔ gɛt ɛni sik, yu dɔktɔ go advays yu fɔ mek yu nɔ du ɛksɛsayz we yu go tranga.

Bɔt sɔm pipul dɛm wae gɛt HCM kin gɛt hat sik wae kin mek dɛn liv shɔt ɔr kin ridyus dɛn kwaliti fɔ liv. Di men wan dɛn na:

Sɔdɛn Kadyak Arest ɛn Sɔdɛn Kadyak Day

di kadyak arest we di at de arכs wan wan na we di at de lכs fכ wok wan wan biכs fכ di at rεt we de fast we denja (e.g., Ventricular Tachycardia). If na so i bi, dɛn nid fɔ trit am kwik kwik wan, lɛk CPR ɛn difibrilɛshɔn, jɔs afta di sik bigin. If dɛn nɔ gi dis tritmɛnt fayn, di at kin day wantɛm wantɛm.

Bɔrku pipul dɛm wae gɛt HCM nɔr kin gɛt bɔrku risk fɔ day kwik kwik wan na dɛn at. Bɔt na HCM na di men tin we kin mek pipul dɛn we nɔ rich 35 ia yet day wantɛm wantɛm na dɛn at.

At we nɔ de wok fayn

Jɔs bikɔs yu gɛt `(Heart Failure)` nɔ min se yu at dɔn "fail" ɛn stɔp fɔ wok. I jɔs min se yu at nɔ de pɔmp blɔd fayn ɛn efyushɔn. Di sayn dɛm fɔ `(Hat Failure)` na:

• Shot we yu de blo.
• Fɔ fil taya we yu de aktif (taya).
• Di anklɛ, leg, ɛn bɛlɛ kin swel.
• Nid fɔ pis na nɛt we yu de rɛst.
• Diziz, kɔnfyushɔn, at fɔ kɔnsɛntret, fɔdɔm.
• Fɔ fil lɛk se yu at de bit fast (palpitations).
• Wan dray, hacking kɔf.
• Fɔ fil ful, blo, nɔ want fɔ it, ɔ yu bɛlɛ de pen.

Aw fɔ no if pɔsin gɛt HCM? (Diagnosis) .

Dɛn kin no HCM bay dɛn tin ya:

• Mɛdikal histri: Yu dɔktɔ go aks yu bɔt yu sik ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik.
• Fɔ ɛgzam fɔ yu bɔdi: Di ​​dɔktɔ go lisin to yu at ɛn yu lɔng. Pipul wae gɛt HOCM kin yɛri abnɔmal at sawnd (at murmur).
• Tεst dεm: Echocardiogram (echo) na di men tεst we dεn kin yuz fכ no HCM. Dis kin ɛp fɔ si if di wɔl dɛn na di at dɔn tik.

Ɔda tɛst dɛn de:

• Blɔd tɛst dɛn.
• Ilɛktrokardiogram (ECG) we dɛn kɔl.
• X-ray na di chɛst.
• Eksayz strɛs ɛko tɛst.
• Kadiak kateshɔn.
• Magnɛtik rɛsɔnans imej (MRI).

Wetin na di tritmɛnt dɛm fɔ HCM?

Yu dɔktɔ go disayd us tritmɛnt we fayn fɔ yu bay dɛn tin ya:

• εni blכk de na di we aw bכdi de kכmכt na di at (outflow tract narrowing)?
• Aw yu at de wok?
• Yu simptom dɛm.
• Yu ej ɛn aw yu de du tin.
• Yu gɛt abnɔmal at ritm (arrhythmias)?

Di men gol fɔ tritmɛnt na fɔ ridyus ɔr nɔr gɛt di sik ɛn fɔ ridyus di risk fɔ gɛt prɔblɛm lɛk at pwɛl hat ɛn day kwik kwik wan.

Dɛn kin du dɛn tin ya as tritmɛnt:

• No di prɔblɛm dɛn we kin apin ɛn kɔntinyu fɔ go to dɔktɔ.
• Di we aw pipul dɛn de liv dɛn layf kin chenj.
• Mɛrɛsin dɛn we dɛn kin yuz.
• Speshal we fɔ mɛn pipul dɛn.

Aw fɔ skrin fɔ HCM?

Bikɔs HCM na wan sik we kin pas frɔm wan jɛnɛreshɔn to jɛnɛreshɔn, if wan pan yu mama ɛn papa, brɔda ɛn sista, ɔ pikin (i.e., fɔs digri fambul) gɛt di sik, i impɔtant fɔ mek dɛn tɛst yu.

Di fɔs tin we yu fɔ du na fɔ mek dɛn chɛk yu at bay we dɛn yuz Ilɛktrokadiogram (ECG) ɛn Echocardiogram (echo). If dɛn tɛst ya sho sayn dɛm fɔ HCM, yu go nid fɔ go to dɔktɔ we spɛshal pan dis sik (cardiologist).

Sɔntɛnde, ivin if yu gɛt famili histri bɔt HCM, yu tɛst rizɔlt kin bi nɔmal. If na so, dɔktɔ dɛn kin se yu fɔ gɛt ɛko ɛn ECG ɛvri tri ia te yu ol 30 ia, ɛn afta dat ɛvri fayv ia.

Udat de pan ay risk fɔ mek in at day wantɛm wantɛm bikɔs ɔf HCM?

Bɔrku pipul dɛm wae gɛt HCM nɔr kin gɛt bɔrku risk fɔ day kwik kwik wan na dɛn at. Bɔt smɔl nɔmba pan pipul dɛm wae gɛt HCM kin gɛt bɔrku risk. E fayn fɔ no if yu gɛt dis sik. Yu dɔktɔ kin tɛl yu wetin yu go du fɔ ridyus di prɔblɛm we yu gɛt.

Pipul dɛn we gɛt ay risk fɔ day wantɛm wantɛm bikɔs dɛn gɛt HCM na:

• Pipul wae gɛt famili histri wae kin day kwik kwik wan.
• Pipul wae dɔn gɛt syncope bɔrku tɛm wae dɛn yɔŋ.
• Pipul dɛn we gɛt abnɔmal blɔd prɛshɔn we dɛn de du ɛksɛsayz.
• Pipul wae bin dɔn gɛt histri fɔ hat bit kwik kwik wan (arrhythmia).
• Dɛn wan wae gɛt siriɔs sik ɛn wae dɛn at nɔr de woke fayn.

Tɔk to yu dɔktɔ bɔt yu pasɔnal risk. If yu gɛt tu ɔ mɔ tin dɛn we kin mek yu day wantɛm wantɛm, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt ritm (mɛrɛsin dɛn we de kɔntrol aw at nɔ de rit) ɔ yu fɔ tek wan implantable cardioverter defibrillator (ICD) fɔ mek yu nɔ gɛt bɔku prɔblɛm.

Us mɛrɛsin dɛn kin yuz fɔ mɛn HCM?

Dɔktɔ dɛn kin gi yu difrɛn mɛrɛsin dɛn fɔ kɔntrol di sik dɛn we yu gɛt ɛn fɔ mek yu nɔ gɛt mɔ prɔblɛm dɛn. mεdikeshכn dεm lεk ``Beta blockers`` εn ``calcium channel blockers`` de rilaks di hat mכsul, we de εp am fכ fulכp wit bכdi εn pכmp bכdi mכr efyushכn. Ɔda mɛrɛsin kin kɔntrol yu at rit ɔr kin ridyus di risk fɔ gɛt abnɔmal at ritm (arrhythmias).

Dɛn kin tɛl yu nɔ fɔ tek sɔm mɛrɛsin dɛn, fɔ ɛgzampul naytrɛt (we de mek yu blɔd prɛshɔn go dɔŋ) ɔ digoxin (we de mek di at kɔntrakshɔn bɔku).

Sɔntɛnde yu kin nid fɔ tek antibayɔtik ɛn tek ɔda tin dɛn fɔ mek yu nɔ gɛt wan sik we de mek yu layf de pan denja we dɛn kɔl baktriyal ɛndokadaytis.

Us patikyula mɛrɛsin dɛn kin yuz fɔ trit HCM?

Bɔku we dɛn de fɔ trit Hypertrophic Obstructive Cardiomyopathy (HOCM), we na wan sik we kin mek blɔd nɔ de flɔ:

Sɛptal Mayɛktɔmi

Dis na ɔpreshɔn we dɛn kin du. insay septal mayctomy, di sajin de pul wan sכm sכm pat pan yu septal wכl we tik. dis de mek di autflow trakt big frכm di lεft vεntrikl to di aorta. Dɔktɔ dɛn kin jɔs tink bɔt dis ɔpreshɔn if mɛrɛsin nɔ ɛp. Bɔku tɛm dis kin sɔlv di mitral valv prɔblɛm.

Etanol Ablashɔn

dis dεn kכl am bak `(septal ablashכn)`. dis mכt dεn kin yus fכ pipul dεm we nכ kin gεt di `(septal myectomy)` כpεrayshכn we wi bin dכn tכk bכt. Insay dis, di dɔktɔ kin fɛn wan smɔl korona at we de gi blɔd to di ɔp pat na yu sɛptum. Dɔn i kin put balyɔn kateta insay da at de ɛn blo am. nεks, i injεkt wan day `(kontrast ejen)` fכ fכn di εksakכt lכkεshכn fכ di tik tik septal wכl we de blכk di bכdi fכ fכlכ.

We dɛn dɔn fɛn di say, di dɔktɔ kin injɛkt smɔl smɔl klin rɔm tru di kateshɔn. di alkol de kil di sεl dεm, εn insay di nεks fכ mכnt dεm di sεptum de shrin bak to in nכmal saiz. Dis kin mek di rod big fɔ mek blɔd flɔ.

Difibrilator (ICD) we dɛn kin put insay pɔsin in bɔdi (ICD) .

Wan implantable cardioverter defibrillator (ICD) kin ɛp pipul dɛm wae gɛt dis maynia sik wae kin mek dɛn day ɔr kin day kwik kwik wan. ICD na smɔl tin we dɛn kin put ɔnda yu skin. Na waya dɛn kin kɔnɛkt am to yu at. Di ICD de kɔntinyu fɔ wach yu at ritm. We i no se di at de bit kwik kwik wan, i de gi smɔl bɔt pawaful ilɛktrik shɔk to di at, we de mek i bit nɔmal wan bak. Yu dɔktɔ go tɛl yu if ICD fayn fɔ yu.

Manejmɛnt fɔ di At Failure

Bɔku we dɛn de fɔ kɔntrol di at pwɛl, frɔm chenj dɛn layf to mɛrɛsin dɛn we de ridyus di sayn dɛm ɛn ɛp di at mɔsul fɔ wok fayn fayn wan.

Aw a go ebul fɔ mek mi kwaliti layf bɛtɛ wit HCM?

Ilɛksɛf yu gɛt di sik ɔ nɔ gɛt di sik, if dɛn dɔn no se yu gɛt HCM, ɔ if pɔsin na yu famili gɛt am, bɔku tin dɛn de we yu kin du fɔ mek yu at gɛt wɛlbɔdi:

• Nɔ it bɔku wata ɛn sɔl (sɔdiɔm): If yu gɛt sayn dɛn we de sho se yu at nɔ de wok fayn, yu go nid fɔ stɔp fɔ it wata ɛn sɔl. Aks yu dɔktɔ fɔ patikyula advays bɔt yu it, lɛk rɔm ɛn kafin.
• Tek tɛm du ɛksasaiz: Yu dɔktɔ go tɔk to yu bɔt us ɛksesaiz we fayn fɔ yu. Bɔrku pipul dɛm wae gɛt HCM kin du nɔr kɔmpitishɔn aerobik aktiviti dɛm. Dɔktɔ dɛn nɔ kin se pɔsin fɔ es ebi ebi tin ɔ fɔ ple spɔt we gɛt bɔku pawa.
• Si yu dɔktɔ ɔltɛm: If yu gɛt HCM, yu fɔ go to yu dɔktɔ we de mɛn yu at ɔltɛm fɔ wach yu kɔndishɔn.
• Ridyus yu risk fɔ gɛt infɛkshɔn: If yu gɛt HCM, yu dɔktɔ go advays yu fɔ tek step fɔ ridyus yu risk fɔ gɛt infɛkshɔn we dɛn kɔl ``infective endocarditis''.

Aw yu go ridyus di risk fɔ gɛt Infective Endocarditis?

Pipul dεm we gεt HCM kin gεt baktriyal infεkshכn we dεn kכl ``bakterial εndokadytis'' כ ``infεkshכn εndokadytis''.

Baktri εndokadytis na infεkshכn na yu at valv dεm כ di layn na yu at (εndokadyכm). I kin apin we di jεm dεm (especially baktri dεm, bכt sכmtεm fכn εn כda maykro כganism dεm) kin kam insay yu bכdi εn atak di layn na yu at כ di valv dεm. Dis kin mek di valv dɛn tik, gɛt pɔt, ɔ gɛt skata. Bɔku tɛm dis kin mek di at valv kin lik. If dɛn nɔ trit am fayn, i kin kil pɔsin.

Yu kin tek dɛn step ya fɔ ridyus dis risk:

• Tek kia ɔf yu tit ɛn yu gɔm gud gud wan: Si dɛntist ɛvri siks mɔnt, brus yu tit ɛvride, yuz flos, ɛn chɛk if yu tut paste fit fayn fayn wan.
• Si dɔktɔ if yu gɛt sayn dɛn fɔ se yu gɛt di sik:
• Fiva we pas 100 digri F, swet, ɔ kol.
• Rash na di skin.
• Pen, tεnd, rεd, כ swel.
• Wund ɔ kɔt we nɔ de wɛl, ɔ wund we rɛd, wam, ɛn we de kɔmɔt na di pus.
• Trot de at, trot tayt, ɔ pen we yu de swɛla.
• Sayn we de kɔmɔt na di sayn, di nos we de rɔtin, ed we de at, ɔ pen along di ɔpa chɛst.
• Dray ɔ flegmy kɔf we kin las pas tu dez.
• Wait spat na yu mɔt ɔ yu tɔng.
• Nɔs, vɔmit, ɔ dayarɛa.

Nɔ delay fɔ go fɛn tritmɛnt. Kɔmɔn kol ɛn flu nɔ kin mek pɔsin gɛt ɛndokarditis. Bɔt ɔda infɛkshɔn dɛn we gɛt di sem kayn sayn kin mek pɔsin gɛt ɛndokardaytis. So, bi sef ɛn go to yu dɔktɔ.

• Tek antibayɔtiks we de mek yu nɔ gɛt sik bifo yu tek sɔm mɛrɛsin ɛn dɛnt prosidur. Tɔk to yu dɔktɔ bɔt di kayn antibayɔtiks we yu fɔ tek, di mɔnt, ɛn fɔ us kayn prɔsidyu yu fɔ tek dɛn.
• Kip wan baktriyal ɛndokadaytis aydentifikeshɔn kad we yu gɛt frɔm di American Heart Association.

Fɔ dɔn, dis na wetin yu gɛt fɔ tɔk (Take-Home Message) .

Bɔrku pipul dɛm wae gɛt HCM de liv nɔrmal, gladi layf. Bɔku tritmɛnt dɛn de fɔ di wan dɛn we gɛt di sik ɔ we de pan denja fɔ gɛt siriɔs prɔblɛm. Yu prɔgnosis dipen pan aw yu at mɔsul de wok fayn, wetin yu de si, ɛn aw yu de ansa ɛn fala yu tritmɛnt plan fayn fayn wan.

Aks yu dɔktɔ bɔt di prɔblɛm dɛn we yu kin gɛt ɛn wetin yu kin du fɔ mek yu gɛt bɛtɛ layf ɛn fɔ mek yu nɔ gɛt infɛkshɔn. If dɛn no se yu gɛt HCM ɛn yu gɛt sɔm sayn dɛn ɔ yu tink se yu gɛt di sik, go to yu dɔktɔ wantɛm wantɛm. Mɛmba se yu kin liv gud layf wit dis sik!

`Hypertrophic cardiomyopathy, HCM, at sik, at big, chɛst pen, shɔt briz, kadyak day wantɛm wantɛm