Yu at na wan pan di ɔgan dɛn we rili wɔndaful na wi bɔdi. But sometimes, a small germ that enters our body can travel to the heart valves and cause a bigger problem than you think. Tide wi go tɔk bɔt dis kayn siriɔs ɛn layf de pan denja we dɛn kɔl ‘Infective Endocarditis’ ɛn wetin mek i nid fɔ gɛt ɔpreshɔn. Pan ɔl we dis na tɔpik we kɔmplikt smɔl, lɛ wi tray fɔ ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, wetin na Infective Endocarditis?
Dis na wetin kin apin: Bɔku tɛm, we dɛn pul wi tut, we dɛn du ɛndoskopi, ɔ du ɔda ɔpreshɔn, jem lɛk baktri ɔ fɛns kin go insay wi blɔd. Nɔmal wan, dɛn jem ya nɔ kin ebul fɔ pwɛl di valv dɛn na di at we gɛt wɛlbɔdi. Dɛn gɛt di ebul fɔ tinap tranga wan fɔ mek dɛn nɔ gɛt di sik.
Bɔt if wi at, sik, ɔ prɔblɛm de we yu bɔn wit na yu at valv dɛn, di jem dɛn we de go insay di blɔd kin stik to dɛn valv dɛn de lɛk sid dɛn we de gro na fayn fayn grɔn, tek rut de, ɛn bigin fɔ bɔku. Dis na wetin wi kin kɔl `Infective Endocarditis`.
Aw dis tin kin afɛkt yu wɛlbɔdi?
if dεn nכ trit dεn jεm dεm ya de bכku pan di at valv dεm, we de fכm wetin lεk jεm dεm we de gro. Insay mɛrɛsin, wi kin kɔl dɛn plant dɛn ya . Dis na jɔs smɔl smɔl tin dɛn we de gro na di valv dɛn.
dis jεm dεm de mek εnzym dεm we de bigin fכ pwεl di hεlty hat valv tisu. Dis kin mek:
- di valv wik: di valv kin nכ klos fayn εn di bכdi kin bigin fכ lik bak (lik valv).
- Hat Failure: We di valv dεm nכ de wok fayn, di at nכ kin pכmp bכdi lεk aw i fכ pכmp. Dis nɔto at atak, bɔt na we di at de wik smɔl smɔl.
- Embolism: Di tin we denja pas ɔl na dat, smɔl pat pan wan pan dɛn plant dɛn de kin brok ɛn travul wit di blɔd ɛn blok wan blɔd vesel ɔdasay na di bɔdi. Wi kin kɔl dis brok brok pat embolis . If i stɔp na blɔd vesel na di bren, i kin mek pɔsin gɛt strok , ɛn if i stɔp na di lɔng dɛn, i kin mek pɔsin gɛt wan sik we de mek pɔsin in layf de pan denja we dɛn kɔl pulmonary embolism .
Di we aw dɛn de trit am ɛn di nid fɔ ɔpreshɔn
Di tritmɛnt fɔ dis sik de dipen pan di kayn jem we de mek pɔsin gɛt di sik ɛn aw di sik bad. If dɛn no di sik kwik kwik wan, dɛn kin mɛn am wit strɔng antibayɔtik fɔ sɔm wiks.
Bɔt if plant dɛn dɔn fɔm na di valv dɛn, if di valv dɛn dɔn pwɛl, ɔ if atifishal valv we yu dɔn ɔlrɛdi gɛt gɛt di sik, bɔku tɛm i kin nid fɔ du ɔpreshɔn.
Wetin fɔ ɛkspɛkt frɔm ɔpreshɔn:
- Fɔ pul di infɛkshɔn we dɛn nɔ kɔntrol kɔmplit wan.
- Fɔ mek di valv dɛn we dɔn pwɛl ɔ fɔ pul di valv we dɔn pwɛl ɛn put nyu wan.
- Fɔ mek yu nɔ gɛt siriɔs prɔblɛm lɛk paralayz.
Ustɛm dɛn fɔ du di ɔpreshɔn?
Di tɛm we dɛn go du di ɔpreshɔn go dipen pan aw yu sik siriɔs. Sɔntɛnde, dɛn kin nid fɔ du di ɔpreshɔn kwik, ɛn ɔda tɛm dɛn i kin tek smɔl tɛm. Lɛ wi tek tɛm luk wetin na dɛn tin dɛn de.
| Di Tɛm we Dɛn De Du di Ɔpreshɔn | |
|---|---|
| Situeshɔn dɛn we dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan | |
| Rizin | Tɔk bɔt |
| At we nɔ de wok fayn | If di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan bikɔs di valv dɛn dɔn pwɛl. |
| Big Big Vejiteshɔn dɛn | Risk de fɔ mek dɛn pis ya brok ɛn mek yu gɛt ɛmbolizm. |
| Fɔ nɔ ebul fɔ ansa to antibayɔtiks | If dɛn nɔ ebul fɔ kɔntrol di infekshɔn ivin afta dɛn dɔn gi am antibayɔtik. |
| Prostɛtik valv infɛkshɔn | If wan prɔstɛtik valv we dɔn de gɛt infɛkshɔn. |
| Absεs na di at | If di infεkshכn dכn mek absεs כ sist dεm fכm na di at mכsul. |
| Di Kes dɛn we Dɛn De Du Ɔpreshɔn we Dɛn Delay | |
| Di kɔmplikɛshɔn dɛn we kin apin to di nervɔs sistɛm | If di pɔsin dɔn ɔlrɛdi gɛt wan sik lɛk strok, dɛn kin put di ɔpreshɔn bifo te di sik na in bren stebul. |
| If dɛn kin kɔntrol di infɛkshɔn | If di infekshɔn nɔ siriɔs ɛn di risk fɔ kɔmplikeshɔn nɔ bɔku, dɛn kin du di ɔpreshɔn afta dɛn dɔn gi ful kɔs fɔ antibayɔtik ɛn di infekshɔn dɔn klia. |
Aw a go no if ɔpreshɔn fayn fɔ mi?
Dis nɔto tin we yu wan disayd fɔ du. Yu dɔktɔ ɛn wan tim we de mɛn yu at kin disayd fɔ du dis togɛda. Dɛn go du bɔku tɛst dɛn.
- Blɔd tɛst: Fɔ no di rayt kayn baktri ɔ fɛns we de mek di sik.
- Echocardiogram (TEE/TTE): Dis tan lɛk we dɛn de skan di at. I kin chɛk fɔ bɔku tin, lɛk di sayz fɔ di plant dɛn we de na di valv dɛn, di valv dɛn we dɔn pwɛl, ɛn if ɛni blɔd de lik.
- CT Scan: Fɔ chɛk fɔ si if i gɛt prɔblɛm dɛn na di bren ɔ ɔda pat dɛn.
Wetin kin apin afta di ɔpreshɔn? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ di fɔs sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dɛn go de wach aw yu at de wok. Yu go nid fɔ tek antibayɔtik insay yu bɛlɛ ɔ insay pil fɔ sɔm wiks te di infekshɔn dɔn kpatakpata. Yu fɔ gɛt bɔku rɛst afta yu dɔn go na os. I nɔmal fɔ fil taya ɛn fil pen.
Lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin. Dɛn tin ya na we yu blɔd de kɔmɔt pasmak, yu at nɔ de bit ɔltɛm (a ritmia), blɔd de klɔt, paralayz , ɛn infɛkshɔn na di nyu valv we dɛn dɔn put insay. Bɔt mɛmba se di prɔblɛm dɛn we kin apin we pɔsin nɔ du ɔpreshɔn, kin rili bɔku. Yu dɔktɔ go ɛksplen to yu dɛn prɔblɛm ya.
Ustɛm fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn
I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os.
- Chɛst pen ɔ fil se yu chɛst tayt.
- Pus ɔ blɔd we nɔ kɔmɔn frɔm di wund we dɛn du di ɔpreshɔn.
- Rɛd, swel, ɔ wam rawnd di wund.
- If yu fil fiva ɔ yu gɛt kol.
- If yu fil se yu nɔ de blo fayn ɔ yu at de bit fast (palpitations).
Infective Endocarditis nɔto sik we pɔsin fɔ tek am layt. Bɔt if dɛn trit dɛn di rayt tritmɛnt di rayt tɛm ɛn if nid de, dɛn du ɔpreshɔn, dɛn go sev bɔku pipul dɛn layf.
Mɛsej we dɛn kin kɛr go na os
- Infεkshכn εndokadaytis na siriכs infεkshכn we di jεm dεm we de kam insay di at valv dεm de kכz. I nid fɔ gɛt mɛrɛsin wantɛm wantɛm.
- Pan ɔl we fɔs dɛn kin mɛn am wit antibayɔtik, bɔku tɛm i kin nid fɔ du ɔpreshɔn we di valv dɛn dɔn pwɛl ɔ we big big plant dɛn de gro.
- Ɔpreshɔn kin kɔntrol di infɛkshɔn, mek di at nɔ wok fayn, ɛn i kin mek i nɔ gɛt siriɔs prɔblɛm dɛn lɛk paralayz.
- Na wan mɛdikal tim kin disayd di tɛm we dɛn go du di ɔpreshɔn bay aw yu gɛt di sik.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn no ɔltɛm bɔt sayn dɛn we de wɔn yu. Tɔk to yu dɔktɔ if yu gɛt ɛnitin fɔ wɔri bɔt.
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