Sɔntɛnde, yu kin fil taya, yu nɔ kin blo smɔl, ɔ yu kin jɔs de nak yu chɛst? Bɔku tɛm wi kin fɔgɛt bɔt dɛn tin ya, ɛn tink se na nɔmal tin. Bɔt sɔntɛnde, dɛn tin ya kin bi smɔl smɔl sayn dɛn we wi at de gi wi. Tide wi go tɔk bɔt wan rili kɔmɔn tin we kin apin na di at, bɔt nɔto bɔku pipul dɛn no bɔt am. Dat na wan at valv we de lik. Nɔ fred, pan ɔl we di nem kin tan lɛk big tin, lɛ wi tɔk bɔt dis simpul wan.
Okay, wetin i min we hat valv ‘lik’?
Fɔ tɔk am simpul wan, dis na wan kayn sik we kin kam pan pɔsin in at valv. Dis kכndyushכn kin apin we wan pan di fכ valv dεm na wi at nכ de kכloz fayn fayn wan. Imajin wan domɔt na yu os we nɔ lɔk fayn. Dɔn, jɔs lɛk aw yu kin muv bak ɛn biɛn, we di at valv nɔ lɔk fayn, sɔm blɔd kin bigin fɔ flɔ bak na di rɔng say. Dis na wetin wi kin kɔl ‘lik’ ɔ, insay mεdikal tεm , at valv rigεt .
Wi at valv dɛn tan lɛk domɔt dɛn we jɔs de mek blɔd go na wan say. Di men wok we dɛn kin du na fɔ mek blɔd kɔntinyu fɔ flɔ di rayt say ɛn mek i nɔ flɔ bak. Bɔt sɔmtɛm, dɛn valv ya kin pwɛl bikɔs ɔf di at we dɛn bɔn wit ɔ sik dɛn we kin kam leta na layf. Na da tɛm de dɛn kayn lik ya kin apin.
Aw dis sik kin tranga kin dipen pan aw bɔrku blɔd de lik bak. If na smɔl tin (trace amount) de lik, yu nɔ go gɛt ɛni sayn. I nɔ go gɛt big impak pan di wok we di at de du. Bɔt if di lik na smɔl ɔ bad bad wan, di sayn dɛn kin apin ɛn dɛn kin nid tritmɛnt fɔ stɔp di damej we de na di at.
Dɔktɔ dɛn kin yuz ɔda nem dɛn fɔ dis sik:
- Di at valv we de tɔn bak
- At valv nɔ de wok fayn
- At valv inkɔmpɛtɛns
Ɔl dɛn tri nem ya de tɔk bɔt di sem tin we de apin.
Us kayn at valv kin lik?
Fo men valv dɛn de na wi at. So, ɛni wan pan dɛn 4 ya kin gɛt lik. Dɛn gi di kɔndishɔn in nem afta di valv we dɛn afɛkt. Lɛ wi luk dis fɔ ɔndastand am klia wan.
| Valve nem ɛn kɔndishɔn | Di wok we i de du ɛn wetin kin apin we i lik |
|---|---|
| Mitral valv rigεtεshכn | dis de bitwin di lεft atria εn di lεft vεntrikl na di at. di wok we i de du na fכ sεnd bכdi frכm di lεft atria to di lεft vεntrikl. we dis lik, sכm blכd de fכlכ bak insay di lεft atrium. |
| di aorta valv rigεtεshכn | dis na wetin de pכmp bכdi frכm di lεft vεntrikl insay di men bכdi we dεn kכl di aorta. we dis lik, sכm bכdi de lik bak insay di lεft vεntrikl. |
| Trikuspid valv rigεtεshכn | dis de bitwin di rayt atria εn di rayt vεntrikl. dis valv de sεnd bכdi frכm di rayt atria to di rayt vεntrikl. We i lik, sɔm blɔd kin flɔ bak na di rayt atria. |
| di pulmonari valv we de rigεt | dis de sεnd bכdi frכm di rayt vεntrikl to di men pulmonari at we de kכri bכdi to di lכng. we dis lik, sכm blכd de lik bak insay di rayt vεntrikl. |
di mכst kכmכn pan dεn wan ya na mitral valv rεgurjiteshכn.
Wetin na di sayn dɛm fɔ dis sik?
As a bin dɔn tɔk bifo tɛm, if di lik rili smɔl, yu nɔ kin gɛt ɛni sayn. Bɔrku pipul nɔr kin ivin no se dɛn gɛt dis sik, ɛn dɛn kin kam fɔ no am bay we dɛn de du tɛst fɔ ɔda rizin. Bɔt if di lik nɔ bɔku ɔ i rili bad, dɛn tin ya kin apin.
- Chɛst pen ɔ tayt: Na filin lɛk se sɔmbɔdi de swɛt yu chɛst.
- Kɔf: Na dray kɔf, mɔ we yu de kɔf.
- Fɔ fil taya ɔ wik kwik: Fɔ fil taya bad bad wan ivin afta yu dɔn du smɔl wok.
- Hat palpitations: Na filin wae de hat de bit lawd wan, kwik kwik wan, ɔr nɔr de bit ɔltɛm.
- I nɔ izi fɔ blo we yu de du ɛksɛsayz: Fɔ fil shɔt we yu de waka fɔ shɔt tɛm ɔ we yu de klaym stej.
- Swel na di leg ɛn fut (Edima):Bikɔs di at nɔ de pɔmp blɔd fayn, wata kin gɛda na di bɔdi ɛn mek di leg ɛn anklɛ dɛn swel.
If yu gɛt wan ɔr mɔr pan dɛn sik ya, i nɔr min se yu gɛt prɔblɛm wit yu at valv. Bɔt, i bɛtɛ fɔ lɛ yu nɔ pe atɛnshɔn to dɛn sayn ya. I bɛtɛ fɔ go to yu dɔktɔ fɔ advays.
Wetin mek valv dɛn kin lik lɛk dis? Wetin na di rizin dɛn?
Bɔku rizin dɛn de we mek di at valv kin lik. Sɔm kin kam bikɔs ɔf ol pipul dɛn, ɛn ɔda wan dɛn kin kam bikɔs ɔf ɔda sik dɛn we pɔsin kin gɛt. Na sɔm pan di men tin dɛn we kin mek i apin:
- Myxomatous degeneration: Dis na wan sik wae kin apun bɔrku tɛm wae pɔrsin de ol. di trεnk εn di fleksibiliti fכ di valv dεm de dכn.
- Cardiomyopathy: As di at mכsul de wik εn di at de big, di valv dεm we kכnεkt to am kin strεch εn nכ kin kכloz fayn.
- Hat sik we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit prɔblɛm na dɛn at ɔr valv.
- Endocarditis: Na infεkshכn na di insay layn na di at εn in valv dεm, we jεm lεk baktri dεm kin kכz. Dis kin mek di valv dɛn pwɛl fɔ ɔltɛm.
- Damej frɔm at atak we yu bin dɔn gɛt bifo: We blɔd flɔ to wan pat na di at bikɔs ɔf at atak, di mɔsul na da pat de kin pwɛl. Dis kin afɛkt di wok we di valv dɛn de du.
- di at tכmכro dεm: Dis dεm nכ kin rili sכmtεm, bכt i kin ambɔg di wok we di valv dεm de du.
- Rimatik at sik: Riumatik fiva, we kin apin we dɛn nɔ trit di strɛp trot fayn fayn wan we i smɔl, kin pwɛl di at valv dɛn. Dis kɔndishɔn nɔ kin bɔku naw na wi kɔntri.
- Thoracic aortic aneurysm: na di men at we de swel we de kכmכt na di at we kin afekt di aorta valv.
Wetin na di prɔblɛm dɛn we kin apin we valv de lik?
Imajin se yu de pɔmp wata wit wata pɔmp, bɔt wan ol de na di paip. Dɔn sɔm pan di wata kin go bak. Di pɔmp gɛt fɔ wok tranga wan fɔ mek di wata go usay wi nid am, nɔto so? Na so i bi.
we wan valv lik, di at in efyushכn de dכn. Bikɔs sɔm blɔd de go di rɔng we, di at gɛt fɔ wok tranga wan fɔ pɔmp di blɔd we di bɔdi nid. Dis ekstra lod kin mek difrɛn prɔblɛm dɛn apin as tɛm de go.
- atria fibrilashכn: di כp chεmba dεm na di at (atria) de bigin fכ bit rεgulεr εn rili kwik.
- At we dɔn big (Cardiomegaly): .Di at mɔsul kin big bikɔs i kin kɔntinyu fɔ wok tranga wan. Jɔs lɛk aw mɔsul kin big we yu de du ɛksɛsayz. Bɔt dis nɔ fayn fɔ di at.
- Hat fεil: Na kכndyushכn we di at nכ kin ebul fכ pכmp inof bכdi to di bכdi biכs di wok we de bכku as tεm de go.
- Pulmonary hypertension: Na di prɛshɔn we de go ɔp na di blɔd vesel dɛm we de kɛr blɔd go na di lɔng dɛm.
- Sudden cardiac arrest: Na di at we de stɔp fɔ wok wantɛm wantɛm. Dis na wan sik we rili siriɔs ɛn we nɔ kin apin so ɔltɛm.
Aw dɔktɔ dɛn kin no bɔt dis sik?
We yu go to dɔktɔ fɔ tɛl am bɔt yu sik, di fɔs tin we i kin du na fɔ chɛk yu gud gud wan.
- Dɛn go aks bɔt yu sayn dɛm ɛn di ditel dɛm bɔt yu ɔda sik dɛm.
- Dɛn kin chɛk tin dɛn lɛk yu blɔd prɛshɔn ɛn yu puls rit.
- Dɛn go fil say dɛn lɛk di leg ɛn bɛlɛ fɔ si if ɛni swel de.
- Di tin we impɔtant pas ɔl na fɔ put stetɔskɔp na di chɛst ɛn lisin to di at sawnd. if lik de na valv, yu kin yeri abnכmal sawnd (at murmur) lεk "hr...r...r" in ad pan di nכmal at sawnd dεm.
Afta dis fɔs ɛgzamin, dɛn go du sɔm ɔda tɛst dɛn fɔ kɔnfɔm di diagnosis ɛn fɔ no aw di lik siriɔs.
Men tɛst fɔ no if pɔsin gɛt di sik
di men εn imכtant tεst fכ no if valv lik na εchocardiogram. Wi kin kɔl am di "Echo test."
Dis tan lɛk we dɛn de skan di at. Dɛn kin yuz ay frikyuɛnsi sawnd wev (ultrasound) fɔ mek wan fim we de muv fɔ di insay pat pan di at. Dis kin mek di dɔktɔ si di rayt we aw di at in chɛmba dɛn shep, di valv dɛn, aw dɛn de wok, usay di blɔd de flɔ, ɛn aw di wata de lik.
Apat frɔm di ɛko tɛst, dɛn kin nid fɔ du dɛn tɛst ya bak:
- Blɔd tɛst: Chɛk fɔ ɔda tin dɛn we kin afɛkt di at.
- Cardiac catheterization: Na tɛst fɔ chɛk if di blɔd vesel dɛn na di at dɔn blok.
- Chɛst X-ray: Fɔ chɛk fɔ si if di at dɔn big ɛn di wata we de na di lɔng dɛn dɔn bɔku.
- Ilektrokardiogram (EKG/ECG): I de tεst di ilektrikal aktiviti na di at fכ chεk fכ eni irεgulεriti na di at bit.
- Hat MRI: Gεt mכr ditayl imej dεm fכ di at εn valv dεm.
Wetin na di tritmɛnt dɛm fɔ valv lik?
Di tritmɛnt dipen pan yu kɔndishɔn. If di lik smɔl ɛn yu nɔ gɛt ɛni sayn, yu nɔ go nid ɛni tritmɛnt. Yu dɔktɔ go tɛl yu fɔ kam bak fɔ chɛk-ap ɔltɛm. Dɛn kɔl dis "monitoring."
Bɔt if sɔm sayn dɛn de ɔ if di lik de mek di at strɛs, dɛn nid fɔ gɛt tritmɛnt. Tri men tritmɛnt dɛn de we yu kin du.
1. Mɛrɛsin: Mɛrɛsin nɔ kin ebul fɔ mek valv we de lik. Bɔt, mɛrɛsin kin ɛp fɔ kɔntrol di sik, fɔ mek i nɔ gɛt prɔblɛm, ɛn fɔ ridyus di wok we de na di at. Fɔ ɛgzampul, dɛn kin gi mɛrɛsin fɔ pul di wata we pasmak na di bɔdi, fɔ kɔntrol di blɔd prɛshɔn, ɛn fɔ mek di at rit fayn.
2. Hat valv ɔpreshɔn: Dɛn kin du ɔpreshɔn fɔ mek ɔ riples wan valv we dɔn pwɛl. Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ mek yu yon valv. If dat nɔ pɔsibul, dɛn kin put atifishal valv (mɛkanikal ɔ tisu valv) insay. Naw, ivin mεtכd dεm de we nכ de invayd bכku bכku wan we nכ nid fכ sכk big insish כn na di chεst lεk aw i bin de trade.
3. Di we aw dɛn kin du tin wit kateshɔn: Dis na simpul tin pas ɔpreshɔn. Dɛn kin put smɔl tiub (kateta) insay wan blɔd vesel na di leg ɔ an ɛn put am na di at fɔ chenj wan valv ɔ fɔ mek wan valv we dɔn de. Dis prosidur nɔ fayn fɔ ɔlman, ɛn na yu dɔktɔ disayd am.
Yu dɔktɔ go tɔk to yu bɔt us tritmɛnt go fayn fɔ yu ɛn ɛksplen di gud ɛn bad tin dɛn we ɛni wan pan dɛn gɛt bifo i disayd fɔ du sɔntin.
Wi go ebul fɔ mek dis tin nɔ apin?
Wi nɔr kin ebul fɔ stɔp sɔm tin dɛm wae kin mek pɔrsin nɔr de du wɛl, lɛk wae pɔrsin bɔn pikin ɔr ol. Bɔt bɔku tin dɛn de we wi kin du fɔ mek wi at ɛn di valv dɛn gɛt wɛlbɔdi.
- Nɔ smok kpatakpata. Smok kin rili ambɔg di at ɛn di blɔd vesel dɛn.
- Ɛksesaiz ɔltɛm. Ivin sɔntin we simpul lɛk fɔ waka kwik kwik wan fɔ 30 minit insay di de, 5 dez insay di wik.
- Fɔ fala di it we go ɛp yu at. Ridyus it dɛn we gɛt bɔku sɔl, shuga, ɛn fat. It mɔ frut, vɛjitebul, ligɛm, ɛn ɔl gren.
- Mek yu gɛt wɛlbɔdi wet. Fɔ fat na big lod pan di at.
- Nɔ ignore trot we de at lɛk strep trot, bɔt go to dɔktɔ wantɛm wantɛm ɛn tek antibayɔtik. Dis kin ɛp fɔ mek yu nɔ gɛt prɔblɛm lɛk rɔmatik fiva.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
Wae yu kam fɔ no se yu gɛt dis sik, na nɔrmal tin fɔ gɛt bɔrku kwɛstyɔn na yu maynd. Nɔ fred ɔ panik, bɔt aks yu dɔktɔ bɔt dɛn tin ya klia wan.
- "Dɔkta, us valv na mi at de lik?"
- "Aw siriɔs dis lik? (mild, moderate, ɔ siriɔs?)".
- "Wetin na di bɛst tritmɛnt plan fɔ mi?"
- "Us chenj a nid fɔ mek na mi layf?"
- "Aw often a fɔ kam bak fɔ chɛk-ap?"
Ustɛm dɛn nid fɔ gɛt tritmɛnt kwik kwik wan?
Bɔku tɛm, at valv we de lik nɔto imejensi. Bɔt if yu gɛt sayn dɛn we de sho se yu gɛt at atak ɔ strok , dat kin mek yu layf de pan denja. Kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
Di sayn dɛm fɔ at atak: I kin gɛt siriɔs pen ɔ prɛshɔn na di sɛntrɔm pat na di chɛst (dis pen kin go na di an, sholda, jaw, ɔ bak), i kin swet pasmak, i kin shɔt fɔ blo, ɛn i kin fɔdɔm.
Di sayn dɛm fɔ strok: wan say na di fes kin drɔp, wan an ɔ leg kin swɛ, i nɔ kin izi fɔ tɔk.
Mɛsej we dɛn kin kɛr go na os
- Hat valv we lik min se di at valv nɔ de lɔk fayn, we de mek sɔm blɔd go bak.
- Mild lik kin rili kɔmɔn ɛn bɔrku tɛm nɔr kin kɔz sɔm kayn sik ɔr siriɔs prɔblɛm.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ de blo fayn, taya, yu chɛst de pen, ɔ yu leg dɛn de swel, i impɔtant fɔ go to dɔktɔ.
- Di men tɛst we dɛn kin yuz fɔ no di sik kɔrɛkt wan na echocardiogram (Echo test).
- Dipen pan yu kɔndishɔn, fayn tritmɛnt dɛn de we yu kin gɛt, lɛk mɛrɛsin, fɔ ripɛnt valv ɔ ɔpreshɔn fɔ chenj. Nɔ fred.
- If yu tɔk to yu dɔktɔ, ɔndastand yu sik, ɛn fala di advays we dɛn gi yu, yu go ebul fɔ liv lɔng ɛn gɛt wɛlbɔdi.











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt