Yu sabi bɔt dis smɔl ‘pɔkit’ we de na yu at? – Lɛft Atrial Apɛndij

Wi ɔl no se wi at na wɔndaful ɔgan. Bɔt wi nɔ kin tɔk bɔku bɔt sɔm pan di smɔl smɔl pat dɛn na dis at, nɔto so? Wɛl, tide wi go tɔk bɔt wan smɔl pat we yu nɔ go dɔn yɛri bɔt bɔku, bɔt i kin rili impɔtant. Dat na di "Left Atrial Appendage" ɔ insay Inglish `(Left Atrial Appendage)`, ɔ wi go kɔl am `(LAA)` fɔ shɔt. Nɔ wɔri, dis na sɔntin we rili simpul fɔ ɔndastand.

Wetin na dis Lɛft Atrial Apɛndij?

Fɔ tɔk am simpul wan, di LAA na smɔl sak we gɛt mɔsul ɛn we de kɔnɛkt di ɔpa lɛft chɛmba na yu at, we na di lɛft atria. Tink bɔt am lɛk smɔl poket na yu shit.

Bɔku tɛm dɛn kin tɔk bɔt di LAA, mɔ pan pipul dɛn we gɛt sɔm kayn at prɔblɛm, lɛk Atrial Fibrillation (wan at bit we nɔ de bit ɔltɛm, we dɛn kin kɔl bak Afib), we dɔktɔ dɛn kin se dɛn fɔ lɔk, pul, ɔ blok di LAA fɔ ridyus di risk fɔ gɛt strok. dis na biכs bכku pan di bכdi we de fכm na di at fכ pipul dεm we gεt Afib de fכm insay dis sכmכl sak we dεn kכl LAA.

Bɔt di tin we impɔtant pas ɔl na ya na dat yu nɔ gɛt ɛni rizin fɔ fred . Bikɔs dis `(LAA)` nɔ impɔtant fɔ mek yu at du in wok dɛn we i de du ɛvride fayn fayn wan. Di at kin wok fayn if i nɔ gɛt am.

wetin kin apin to di lεft atrial apεndεj (LAA)? Wetin na di wok we i de du?

Dis smɔl LAA gɛt in yon spɛshal wok bak. Di men wok we i de du na fɔ ɛp fɔ kɔntrol di blɔd we de insay di at, ɔ di blɔd volyum. Aw yu no?

we di bכdi we de kam insay yu at de inkrεs, εn di wכl dεm fכ dis `(LAA)` de strεch, i de rilis wan spεshal kayn protin we dεn kכl `(Natriuretic Peptides)` insay di bכdi. Tink bɔt am lɛk smɔl signal sistɛm na wi bɔdi. dis kεmikכl mεsenja dεm we dεn kכl `(Natriuretic Peptides)`, we di bכdi de inkrεs, dεn kin go na di kidni dεm εn se, "Okay, naw di bכdi gεt sכl tu mכch sכl εn wata, mek wi kכl sכm pan dεm kכmכt wit urine." Dɔn bak, dɛn tin ya kin mek di blɔd vesel dɛn rilaks smɔl, lɛk fɔ lus tayt paip smɔl. Dɔn di blɔd kin flɔ izi wan, ɛn di blɔd prɛshɔn bak kin go dɔŋ.

Naw yu kin de wɔnda, wetin go apin to di lɛvɛl dɛn fɔ dɛn `(LAA)` ya if wi ɔpreshɔn ɔ blok dɛn? כltu, afta dεn du sכmtin lεk dat, dεn `(Pεptida)` lεvεl dεm kin bi sכm abnכmal fכ lεk tri mכnt. Bɔt afta dat, dɛn kin kam bak to dɛn nɔmal.

כda tin na dat we di lεvεl fכ `(Natriuretic Peptides)` na di bכdi inkrεs tumɔs, sכmtεm i kin bi sayn fכ wan kכndyushכn lεk `(Hat Failure)` (nכto at sik, bכt i wik fכ di at in wok). Bikɔs da tɛm de di bɔdi kin tray fɔ pul di ɛkstra wata, bikɔs i nɔ kin izi fɔ di at fɔ ol di ɛkstra blɔd.

Usay dis `(LAA)` de? Aw i tan lɛk?

Okay, naw lɛ wi si usay ɛksaktɔli dis `(LAA)` de na di at. i de na wan sכmכl we lεk kanal bitwin di lεft atrium (di כp lεft chεmba) εn di lεft vεntrikl (di lכw lεft chεmba) na yu at. כl di tεm dεm, i de oba di lεft vεntrikl כ oba di `(Main Pulmonary Artery)`, di men chanεl we de kכri bכdi frכm di at to di lכng dεm. כlso, lεk di rεst כf di at, dis `(LAA)` de tu insay di `(Pεrikardium)`, we na wan kכba we lεk sak we de protεkt we de rawnd di at.

we i kam pan pat dεm, di LAA kכnsis fכ wan opin we bכdi de fכlכ tru, εn wan sak we dεn mek wit mכsul dεm we kin kכntrakt. Blɔd de flɔ insay ɛn kɔmɔt tru dis opin.

we i kam pan di sayz, di LAA kin lכng lεk 46 milimita (sכmtεm כnda 2 inch). Bɔt sɔm pipul dɛn kin lɔng lɛk 27 to 60 milimita. Tink bɔt am lɛk di smɔl say na yu kredit kad. Dis smɔl bag kin ol lɛk 9 mililita (lɛk tu ti spɔnj) blɔd. di mכt, כ di opin, fכ di LAA kin bi oval. Bɔt sɔm pipul dɛn kin bi rawnd ɔ gɛt ɔda shep dɛn.

Difrɛn we dɛn de fɔ `(LAA)`? Yu tink se dɛn gɛt ɛnitin fɔ du wit am?

Yes, i sapraiz se no bi evribodi `(LAA)` na di sem shep. Jɔs lɛk wi finga prɛnt, i gɛt difrɛn shep dɛn. כltu, wan `(LAA)` gεt tu כ tri sכm pat dεm, we dεn kכl `(lobes)`. Bɔt sɔm pipul dɛn kin gɛt wan lob nɔmɔ, ɛn ɔda wan dɛn kin gɛt 4 ɔ mɔ. Sɔm men shep dɛn de we dɛn no:

• Chicken wing shape: Dis na di shep we pipul dɛn kin yuz mɔ. Smɔl bɛnd de na di midul pan di men lɔb. Dɛn se pipul dɛn we gɛt dis shep nɔ kin gɛt strok .
• Kaktus shep: Dis gɛt wan men petal we de na di sɛntral, ɛn i tan lɛk se di ɔda petal dɛn de kɔmɔt insay.
• Windsɔk shep: Dis gɛt wan lɔng, men lob nɔmɔ.
• Koliflawa shep: Dis na smɔl tin we kɔmplikt. I tan lɛk se sɔm peta dɛn we gɛt di sem saiz dɔn jɔyn togɛda. Dis na di shep we nɔ kin bɔku, ɛn dɛn kin tek am bak se na di wan we kin gɛt strok pas ɔl .

Naw yu ɔndastand, nɔto so? di shep fכ dis sכmtεm `(LAA)` kin afekt wi hεlth bak to sכm tεm.

Wetin na di kɔmɔn sik ɛn disɔda wae kin afɛkt di (LAA)?

Dis `(LAA)` kin mek sɔmtɛm difrɛn prɔblɛm dɛn. Fɔ ɛgzampul:

• Injuri dɛn we aksidɛnt kin mek:If yu gɛt motoka aksidɛnt ɔ ɔda bad bad trauma, dis LAA kin pwɛl ɔ rɔtin.
• Mitral Valve Stenosis: if di mitral valv na di at sכmtεm, di bכdi we de kכmכt na di lεft atria de slo. dis kin mek di bכdi fכ fכlכ tru di LAA kin slo bak.
• Atrial Fibrillation (Afib): As wi bin se, dis kכndyush כn de mek di blכd kכlכt fכ fכm insay di LAA. If dɛn klɔt ya brok fri, travul tru di blɔd, ɛn lod insay wan at we de na di bren, dɛn kin mek pɔsin gɛt strok. Dis na di men risk we gɛt fɔ du wit LAA.

Aw fɔ chɛk di wɛlbɔdi stetmɛnt fɔ `(LAA)`?

Dɔktɔ dɛn gɛt difrɛn we dɛn fɔ tɛst fɔ chɛk aw di LAA de. Di men wan dɛn na di we aw dɛn kin tek pikchɔ.

• Transesophageal Echo (TEE): Dis na echocardiogram bak, bɔt insay dis kes, dɛn kin put smɔl tin we tan lɛk kamɛra dɔŋ di trot ɛn dɛn kin si di at frɔm biɛn. Dɔn dɛn kin si di LAA klia wan.
• כltra saund tru wan kateshכn: sכmtεm, dεn kin egzamin di LAA bay we dεn de sεnd כltra saund wev dεm tru wan sכm sכm tכb (kateta) we dεn kin put insay di bכdi.
• Hat MRI (Magnetic Resonance Imaging): I de yuz magnɛtik fil ɛn redio wev fɔ mek di at pikchɔ dɛn we de na di at.
• Cardiac CT scan (Cardiac CT - Computed Tomography): dis de yuz X-ray fכ gεt kכros-sekshכnal imej dεm fכ di at.

Dɛn tɛst ya kin sho bɔku tin, lɛk di sayz ɛn shep we di LAA gɛt, ɛn if blɔd de insay am ɔ nɔ de.

Wetin na di tritmɛnt fɔ prɔblɛm dɛn we gɛt fɔ du wit `(LAA)`?

If prɔblɛm de wit di LAA, sɔm tritmɛnt dɛn de we dɛn kin du. Dɛn tin ya kin inklud sɔm ɔpreshɔn, ɔ dɛn kin bi ɔpreshɔn we nɔ kin tek bɔku tɛm.

• If di `(LAA)` inju, dɛn kin ripɛnt am .
• Mitral Valve Stenosis kin trit .
• Dɛn kin lɔk di LAA, pul am, ɔ blok am fɔ mek blɔd nɔ klɔt . Dis na tru mɔ fɔ pipul dɛm wae gɛt Afib wae gɛt bɔrku risk fɔ gɛt strok. Dɛn kin yuz difrɛn difrɛn tin dɛn fɔ du dis.

Aw a go kip mi `(LAA)` (dat na, mi ɔl at) wɛl?

Akchuali, notin speshal de we yu kin du fo `(LAA)` onli. Bɔt if yu kip yu ɔl at wɛl, `(LAA)` go de wɛl bak. So, na sɔm tin dɛn we yu kin du fɔ mek yu at gɛt wɛlbɔdi:

• Na fɔ lɛk 150 minit so insay di wik.Dat min se yu fɔ waka, rɔn, ɔ baysikul fɔ lɛk 30 minit so ɛvride.
• It tin dɛn we go ɛp yu at. Put vɛjitebul, frut, ligɛm, it dɛn we gɛt fayv, ɛn mit ɛn fish we nɔ gɛt bɛtɛ blɔd insay yu it. Ridyus yu it swit, sɔl, ɛn it dɛn we gɛt fat as yu ebul.
• Stɔp fɔ yuz tin dɛn we dɛn kin yuz fɔ smok (sigrɛt, beedis, ɛn ɔda tin dɛn) ɔltogɛda.
• Manej strɛs na yu ɛvride layf. Tin dɛn lɛk fɔ tink gud wan, fɔ du yoga, ɛn fɔ du tin dɛn we yu lɛk fɔ du kin ɛp yu.
• If yu gɛt mɛrɛsin lɛk ay blɔd prɛshɔn ɔ dayabitis, kɔntrol dɛn fayn fayn wan. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Bɔku pipul dɛn nɔ kin ivin yɛri bɔt di nem `(Left Atrial Appendage)`. Bɔt naw yu no se i gɛt smɔl wok bak insay di at. Bɔt if yu de pan denja fɔ gɛt strok bikɔs ɔf dis `(LAA)`, mɛmba se yu kin liv wɛl bɔdi layf ivin if yu nɔ gɛt am .

Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we dɛn du sɔntin to di at, lɛk ɔpreshɔn. Bɔt fɔ pɔsin we gɛt `(Afib)`, fɔ blok dis `(LAA)` kin alaw dɛn fɔ fri frɔm di layf-lɔng nid fɔ blɔd tin fɔ mek i nɔ gɛt strok.

So, tɔk to yu dɔktɔ opin wan bɔt wetin bɛtɛ fɔ yu sik ɛn wetin na di tritmɛnt we go fayn fɔ yu. Dɛn go ɛksplen ɔltin to yu. Nɔ fred fɔ aks kwɛstyɔn. Na yu de disayd bɔt yu wɛlbɔdi biznɛs, so i rili impɔtant fɔ no ɔltin.

` At, Lεft Atrial Apεndij, Lεft Atrial Apεndij, LAA, Strok, Atrial Fibrilashכn, Afib, Blɔd Klɔt, At Wεlth, At Sik