Yu at gɛt di sik lɛk dis? Lɛ wi lan bɔt Infective Endocarditis!

Di at na wan ɔgan we rili impɔtant na wi bɔdi. I tan lɛk di injin na wi bɔdi. Bɔt sɔntɛnde dis at kin gɛt difrɛn sik dɛn bak. Tide wi go tɔk bɔt wan sik we kin kam na di at, we nid fɔ tek kia smɔl, bɔt yu kin kɔntrol am if yu no gud gud wan. Dat na sik we dɛn kɔl `(Infective Endocarditis)` . Sɔntɛm yu nɔ yɛri bɔt dis nem, bɔt i rili impɔtant fɔ no bɔt dis.

Wetin na dis `(Infective Endocarditis)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `(Infective Endocarditis)` min se wan jεm de go insay di insay layt na yu at, dat na di `(Endocardium)` , כ di at valv dεm (Valves), εn i de mek infεkshכn. Tink bɔt am, di valv dɛn we de na wi at tan lɛk domɔt dɛn. Dɛn valv dɛn ya de ɛp fɔ mek di blɔd flɔ na wan say nɔmɔ. nכmal wan, dεn valv dεm ya rili strכng εn i izi fכ rεsist jεm (baktri, fכn). na dat mek dis kכndyushכn we dεn kכl `(Infective Endocarditis)` nכ kin bכku. Bɔt if i apin, i kin rili siriɔs smɔl.

Aw dis kin apin? Aw di jem dɛn kin rich na di at?

Okay, naw lɛ wi luk aw dis `(Infective Endocarditis)` de divɛlɔp. I kin bigin we baktri (Bacteria) ɔ fεn (Fungi) sɔm kayn we de kam insay yu blɔd. כl di tεm dεm, dat na lεk fכ pan εvri fayv kes dεm, na baktri dεm we dεn kכl `(Streptococcus)` εn `(Staphylococcus)` de kכz am.

Yu kin de tink se, "O, aw dɛn bɔdi ya go go insay di blɔd?" Tink bɔt am, if yu kɔt smɔl na yu gam we yu de brus yu tit, baktri kin go insay di blɔd. Ɔ, ivin if dɛn de du big ɔpreshɔn pan yu, mɔ we dɛn de du ɔpreshɔn pan yu at we opin, baktri kin kam insay.

Baktri dɛm we de go insay di blɔd, travul tru di blɔd, ɛn setul na say dɛm we bin dɔn pwɛl bifo, lɛk di ɛndokadyɔm ɔ di valv dɛm na di at. Jɔs lɛk aw dɔst patikyula dɛn kin stik pan say we dɔti. Na de, dɛn baktri ya kin mek kɔloni dɛn. Wi kin kɔl dɛn tin ya "vegetations." dis kכloni dεm de rilis tכxin dεm εn εnzym dεm. Dɛn tin ya kin pwɛl di sɛl dɛn we gɛt wɛlbɔdi ɛn dɛn kin ambɔg di we aw dɛn kin wɛl.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Pan ɔl we ɛnibɔdi kin gɛt infɛkshɔn ɛndokadaytis, sɔm pipul dɛn kin gɛt mɔ risk. Dis kin bi mɔ fɔ pipul dɛn we gɛt strɔkchɔral at sik . Dis inklud:

• Pipul wae gɛt pwɛl hat valv bikɔs ɔf ɔda mɛrɛsin: Fɔ ɛgzampul, di wan dɛm wae gɛt pwɛl hat valv bikɔs ɔf `(Rheumatic Heart Disease)`.
• Pipul wae gɛt Congenital Hat Disease: Dat na, pipul dɛm wae dɛn bɔn wit sɔm kayn at prɔblɛm.

Dɛn tin ya kin afɛkt di we aw di at valv dɛn de wok. Fɔ ɛgzampul:

• Aorta Valv Stenosis we de mek pɔsin gɛt sik
• `(Bicuspid Aortic Valve Disease)` (Bikuspid aorta valv sik)
• Rigurgitation (we blɔd de lik frɔm di at valv dɛn) .
• Mitral Valv Prɔlaps

Apat frɔm dis, ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Man dɛm: Man dɛm kin gɛt dis sik lɛk tu tɛm pas uman dɛm.
• Ol ej: Dis kin apin mɔs pan pipul dɛm wae dɔn pas 50 ia.

Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?

If dɛn nɔ no ɛn trit wan sik we dɛn kɔl ``Infective Endocarditis'' kwik, di baktri kin gro ɛn skata, we kin mek i gɛt siriɔs sayd ɛfɛkt. Wan pan di men tin dɛn na we pɔsin in at nɔ de wok fayn.

כlso, if di fכs tritmεnt nכ wok fayn, wan kכndyushכn we dεn kכl `(Emboli)` kin apin. `(Emboli)` na sכm sכm bכdi kכlכt dεm we de brok frכm di baktriyal kכloni dεm we wi bin dכn tכk bכt `(Vegetations). If dɛn tin ya travul tru di blɔd ɛn stɔp na blɔd vesel, dɛn kin blok di blɔd fɔ flɔ to wan impɔtant ɔgan. Dis kin mek yu gɛt prɔblɛm dɛn we kin ivin mek yu layf de pan denja.

Imajin, dis tan lɛk we wan dɔti kin stɔp na wata paip, di wata kin stɔp fɔ flɔ.

Di poshubul sayd ifekt dɛm fɔ dɛn `(Emboli)` ya na:

• Spleen de big ɛn pen.
• Kidni dɛn we dɔn pwɛl.
• di bכdi we de kכlכt we de travul go na di lכng dεm (Pulmonary Embolism).
• Strok.
• Di damej pan di distal limb dɛm, lɛk di finga dɛm.

Wetin na di men tin dɛm we kin mek pɔsin gɛt `(Infective Endocarditis)`?

Sɔm at sik ɛn at tritmɛnt kin mek baktri dɛm go insay di blɔd. Dis na di men tin wae de mek yu gɛt ``Infective Endocarditis``.

• Atifishal At Valv dεm: Dɛn wan ya kin gɛt infεkshכn pas di nεchכral valv dεm.
• di tin dεm we de mek dεn nid fכ put divays dεm lεk pesmaker: εspεshali if di waya dεm fכ dεn divays dεm ya pas tru di blכd vesel dεm.
• If yu dɔn gɛt at transplant.
• wan kכndyushכn we dεn kכl `(Hypertrophic Cardiomyopathy)` (di at mכsul de tik).
• If dɛn dɔn du ɔpreshɔn pan yu at we opin.
• If yu bin dɔn gɛt `(Infective Endocarditis)` bifo.

Yu tink se ɔda rizin dɛn de?

Na smɔl tɛm nɔmɔ, dis sik kin apin to pipul dɛm wae gɛt wɛl bɔdi at. Di tin dɛn we kin mek i apin na:

• Kateshɔn na sɔntin we kin de na di blɔd vesel fɔ lɔng tɛm: fɔ ɛgzampul, kateta dɛn we dɛn kin yuz fɔ lɔng tɛm fɔ gi kemotɛrapi to pipul dɛn we gɛt kansa.
• Sik dɛm wae de mek di imyun sistɛm wik: Fɔ ɛgzampul, `(HIV)` ɛn `(AIDS)`.
• Fɔ gɛt infɛkshɔn ɔdasay na di bɔdi.
• Fɔ injekt drɔgs na strit insay yu bɛlɛ we yu de yuz dɔti nidul , rili denja.
• Nɔr fɔ klin yu mɔt fayn: Dis kin mek bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔrku bɔdi.
• Yuz dɔti nidul we yu de injekt mɛrɛsin insay vein fɔ mɛrɛsin rizin.

Wetin na di sayn dɛm fɔ dis sik? Tin dɛn we yu kin si...

di simptom dεm fכ `(Infective Endocarditis)` kin afekt yu at εn yu rεspiretכri sistεm. Yu kin gɛt tin dɛn lɛk:

• Chɛst de pen.
• wan abnכmal at sawnd (wan ``Hat Murmur'' we dכkta de yεri we i de lisin wit ``stεtoskop'').
• I nɔ izi fɔ blo (Dyspnea).
• At bit kwik kwik wan (Tachycardia).

Apat frɔm dis, ɔda sayn dɛn kin sho:

• Blɔd we de na di urine (Hematuria).
• Chills we de mek pɔsin kol.
• Taya.
• `(Janeway Lesions)`: Rεd, spat dεm we nכ de fil pen we de sho na di palm εn di sכl dεm na di fut.
• Jɔyn Pen.
• Nɔbɔdi nɔ kin want fɔ it ɛn i kin lɛf fɔ it wet we yu nɔ kin ɛksplen.
• Wan lɔw-grɛd fiva we de kɔntinyu fɔ de we dɛn nɔ go ebul fɔ fɛn ɛni kɔz fɔ am.
• Mɔsul dɛn kin pen.
• Fɔ swet pasmak na nɛt (Night Sweats).
• Osler Nodules: Lump dεm we de mek yu fil pen we de sho na di an εn fut.
• Splinter Hemorrhages: Smɔl smɔl say dɛn we tan lɛk blɔd we yu kin si ɔnda di nel dɛn.
• Subconjunctival Hemorrhage: Na blɔd we de sho na di wayt pat na di yay.
• Swel na di bɛlɛ ɔ di bɔdi we de dɔŋ.

Dɛn sayn ya kin apin wantɛm wantɛm ɔr smɔl smɔl. Sɔmtɛm dɛn tin ya kin tan lɛk nɔmal flu, bɔt i impɔtant fɔ no bɔt dɛn sayn ya, mɔ if yu gɛt at sik.

Aw dɛn kin no dis sik? Wetin dɔktɔ dɛn kin du?

Di diagnosis kin bigin wit yu symptom ɛn mɛdikal histri. If yu dɔn gɛt at valv sik bifo ɛn yu gɛt fiva fɔ natin, dat na big saspek. Dɔn bak, if yu gɛt kɔmbayn ɔda sayn dɛm we gɛt fɔ du wit di sik `(Infective Endocarditis)`, yu kin sɔprayz. Bɔt fɔ no fɔ tru, yu nid fɔ du tɛst.

Us tɛst dɛn go du?

• Bacteria Culture Test: Dis kin ɛp fɔ no if baktri de na di blɔd, ɛn if na so, us kayn.
• Apat frɔm dat, dɛn kin nid fɔ du ɔda tɛst fɔ plan di tritmɛnt. Dɛn tin ya na:
• Antibodi Serology Tests: Dis kin kכnfכm di εksakכt kayn baktri dεm we de insay di bכdi.
• di hat `(Echocardiogram)` tεst dεm: dis kin chεk di kכndishכn fכ di at valv dεm, if baktri kכloni dεm de we dεn kכl `(Vegetations)`, εn aw big dεn bi. Tu kayn `(Echocardiogram)` de:
• Transthoracic Echocardiogram (TTE): Dis na skan we dɛn kin du na di say we di chɛst de.
• Transesophageal Echocardiogram (TEE): Dis involv fɔ put smɔl prob tru di trot ɛn skan di at. Dis kin mek pikchɔ dɛn klia pas TTE.

Us tritmɛnt de fɔ dis?

di praymar tritmεnt fכ infεkshכn εndokarditis na antibaytik. Dɛn kin gi bɔku bɔku antibayɔtiks fɔs. Dɛn tin ya kin ɛp fɔ pul di sik, bɔt dɛn nɔ kin du fɔ mek di infekshɔn klin ɔltogɛda.

Wae di rizulyt fɔ di ``Antibody Serology Test'' we wi bin dɔn tɔk bɔt kam bak, di dɔktɔ dɛn go swich yu to wan ``Targeted Antibiotic'' we de tɔch di patikyula kayn baktri dɛm na yu blɔd. Dis tritmɛnt kin nid fɔ de insay di bɛlɛ (IV) fɔ 4 to siks wik. Dis kin min se yu fɔ de na ɔspitul.

Yu tink se a go gɛt fɔ du ɔpreshɔn?

if di baktriyal kכloni dεm, כ `(Vegetations),` sכm, antibaytik nכmכ kin bi infεkt. כltu, if dεn `(Vegetations)` dεm big, i kin nid כpεrayshכn (Infective Endocarditis Surgery) fכ pul dεm εn riples di valv dεm we dεn dכn pwεl.

כlso, if dεn `(Vegetations)` dεm ya spre to di tisu dεm we de rawnd, i kin nid fכ du כpεrayshכn. Sɔntɛnde, i kin bɛtɛ fɔ mek yu du ɔpreshɔn bifo yu bigin fɔ tek antibayɔtik. Bɔt di wan dɛn we de stɔdi bɔt dis stil de stɔdi bɔt di tin dɛn we kin apin we pɔsin du ɔpreshɔn bifo dɛn gi am antibayɔtik.

Aw a go mek dis nɔ apin? Prɛvenshɔn na di bɛst!

Trade, dɛn bin de gi pipul dɛn we de pan risk fɔ gɛt ``Infective Endocarditis`` antibayɔtik ɛvride. Bɔt naw dɛn dɔn chenj dis we fɔ du tin bikɔs i de mek di risk fɔ gɛt baktri dɛn we nɔ de tek antibayɔtik.

Naw, dɔktɔ dɛn kin gi dɛn antibayɔtik fɔ shɔt tɛm bifo dɛn du sɔm mɛrɛsin dɛn, lɛk fɔ mɛn dɛn tit. Dɛn kin yuz prɔfylaktik antibaytik nɔmɔ pan pipul dɛn we gɛt ay risk fɔ gɛt infɛkshɔn ɛndokadaytis, lɛk pipul dɛn we gɛt prɔstɛtik at valv.

Di tin we impɔtant pas ɔl na fɔ tek tɛm kia fɔ yu mɔt ɛn yu tit wɛlbɔdi. Fɔ brus yu tit fayn fayn wan tu tɛm insay di de ɛn fɔ yuz dɛnt flos rili impɔtant.

Wetin na di chans fɔ mɛn dis sik?

If dɛn nɔ no di sik kwik kwik wan ɛn dɛn trit am wit antibayɔtiks kwik ɛn agresiv, di chans fɔ wɛl frɔm dis sik nɔ kin bɔku. Dat min se, di mɔ we dɛn de delay fɔ di tritmɛnt, na di mɔ di sik kin siriɔs. If dɛn trit am kwik ɛn fayn, di chans fɔ mek i nɔ day kin bɔku. Bɔt if di sayd ɛfɛkt dɛn apin, di tɛm fɔ wɛl kin lɔng.

Aw layf go tan lɛk afta yu dɔn gɛt `(Infective Endocarditis)`?

If yu dɔn gɛt Infective Endocarditis wan tɛm, yu de pan ay risk fɔ gɛt am bak. Bɔt nɔ wɔri, tin dɛn de we yu kin du fɔ ridyus yu risk:

• Brush ɛn flos tu tɛm insay di de. Ɔral wɛlbɔdi na di tin we impɔtant pas ɔl.
• Tɔk to ɔlman, inklud yu dɔktɔ ɛn dɛntist, bɔt yu risk fɔ gɛt `(Infective Endocarditis)`. Kɔntinyu fɔ no bɔt dɛn.
• Mek dɛntist klin yu tit ɛvri siks mɔnt.
• If yu gɛt at valv sik, tek tɛm fala yu dɔktɔ in instrɔkshɔn fɔ mek yu nɔr wɔs.

Infεkshכn εndokadaytis na baktriyal infεkshכn na di layn na yu at valv dεm. Pan ɔl we dis nɔ kin apin so ɔltɛm, i kin tranga fɔ trit am. Bɔt, i pɔsibul fɔ mek i wɛl. If yu de pan denja, i impɔtant fɔ mek yu nɔ gɛt bɔku bɔku bɔd dɛn. Yu kin du dis bay we yu de kia fɔ yu tit ɛn yu gɔm fayn fayn wan. If yu go du mɛrɛsin, tɔk to yu dɔktɔ bɔt aw fɔ protɛkt yusɛf.

So, wetin na di tin dɛn we wi fɔ mɛmba frɔm dis stori?

Okay, wi don tok plenti boht `(Infective Endocarditis)` naw. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

* `(Infective Endocarditis)` na siriכs infεkshכn na di insay layn na di at כ in valv dεm.

* Pan ɔl we dis nɔ kin apin so ɔltɛm, dɛn fɔ trit am kwik kwik wan if i apin.

* Fɔ klin yu mɔt ɛn yu tit rili impɔtant! Nɔ fɔgɛt fɔ brus ɛn flos yu tit ɛvride.

* If yu gɛt at sik, na fɔ no mɔ bɔt di sayn dɛn lɛk fiva ɛn taya.

* Bifo ɛni mɛrɛsin, tɛl yu dɔktɔ if yu de pan denja fɔ `(Infective Endocarditis)`.

* Nɔ panik, bɔt na fɔ no. If dɛn no am kwik, dɛn kin trit am fayn fayn wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, aks yu famili dɔktɔ ɔ dɔktɔ we de mɛn yu at. At we gɛt wɛlbɔdi impɔtant to ɔlman!

` At sik, at infεkshכn, εndokarditis, baktriyal infεkshכn, at valv, simptom dεm, tritmεnt