Di lɛft atria na yu at dɔn big? (Left Atrial Enlargement) Lɛ wi no bɔt dis!

Yu dɔn ɛva yɛri se sɔm pat dɛn na di at kin big smɔl? Sɔntɛm yu dɔktɔ dɔn tɛl yu sɔntin lɛk dat. Dis na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl Left Atrial Enlargement. Nɔ wɔri, wi go tɔk bɔt wetin i bi, wetin mek i kin apin, ɛn wetin fɔ du bɔt am.

Wetin na di Lɛft Atrial Enlargement?

Fɔ tɔk am simpul wan, Lɛft Atrial Enlargement na we wan pan di chɛmba dɛn na yu at, we na di lɛft atria, big pas aw i kin bi. Dis nɔ kin apin wan tɛm, i kin apin smɔl smɔl as tɛm de go. I tan lɛk se we wata lik insay wan wɔl na wi os, i kin swel smɔl smɔl.

Imajin se wi at tan lɛk smɔl os we gɛt 4 rum dɛn. tu rum dεm de na di tכp fכla (atria) εn tu rum dεm de na di bכtכm fכl (vεntrikl dεm). Di rum we de ɔp na di lɛft say dɛn kɔl am di lɛft atria . di bכdi we gεt כksijεn frכm di lכng dεm de fכs go insay dis lεft atria. Dɔn da blɔd de go na di lɛft ventricle, usay dɛn kin pɔmp am to di wan ol bɔdi.

Naw, if prɔblɛm de na ɔda pat dɛn na di at, fɔ ɛgzampul, if i gɛt ay blɔd prɛshɔn , ɔ if prɔblɛm de wit di at valv dɛn (espɛshali di mitral valv bitwin di lɛft atria ɛn di lɛft ventrikl), bɔku prɛshɔn kin de na di lɛft atria. Ɔ tumɔs blɔd kin gɛda de.

I tan lɛk big brɔda ɛn sista na famili we go ɛp ɔda pipul dɛn ɛn insɛf kin gɛt prɔblɛm bay we i de es bɔku bɔku wet. di lεft atria de strεch sכmtεm εn big as i de tray fכ adap to εn bia wit dis prεshכn we de כp. dis strεch kin pwεl di wכl dεm na di atria εn mek yu skata.

Udat dis tin kin afɛkt mɔ? (Udat i kin afɛkt?)

Pan ɔl we ɛnibɔdi kin gɛt dis sik we dɛn kɔl lɛft atria ɛnlargement, sɔm pipul dɛn kin gɛt mɔ risk. Lɛ wi tek wan luk pan udat dɛn bi:

• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn . Wi ɔl no wetin "high blood pressure" min.
• Fɔ di wan dɛn we gɛt mitral valv sik . Dis na impɔtant valv we de na di lɛft say na di at.
• Fɔ di wan dɛn we gɛt aɔta valv sik . dis na di valv we de kכnekt di men at we de kכri bכdi frכm di lεft vεntrikl to di bכdi.
• Fɔ pipul dɛn we gɛt korona at sik . Dis na di at we de gi blɔd to di at insɛf.
• Fɔ pipul dɛm wae gɛt sɔm kayn hat mɔsul sik (Cardiomyopathy) .
• Fɔ pipul dɛm wae gɛt wan sik wae dɛn kɔl diastolic dysfunction . Dis na we di at chɛmba dɛn nɔ de opin fayn ɛn ful-ɔp wit blɔd.
• Lεft vεntrikulכr haypatrכfi(we di lכw lεft chεmba na di at big).
• Fɔ di wan dɛn we gɛt at sik we dɛn bɔn wit .

wan stכdi na Itali sho se insay 10 ia, lεk 12% pan di big pipul dεm gεt dis kכndyushכn we de mek di lεft atria big. Dis min se i nɔ kin apin so ɔltɛm. Insay da stɔdi de, di pipul dɛn we bin afɛkt pas ɔl na di wan dɛn we ol 40 ɛn 50 ia.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Na dis na di impɔtant tin. Nɔ patikyula sayn nɔ de we de sho se di lɛft atria de big. Bɔt yu kin gɛt sɔm sayn dɛm fɔ de ɔndalayn mɛrɛsin wae mek yu gɛt dis sik. Lɛ wi si wetin dɛn bi:

• Fɔ mek pɔsin nɔ ebul fɔ du natin
• Fɔ fil taya ɔltɛm
• At palpiteshɔn - Fɔ fil lɛk se drɔm de bit insay di chɛst.
• We yu gɛt bɔku bɔku wet wantɛm wantɛm
• I nɔ izi fɔ yu fɔ blo - Fɔ fil lɛk se yu go fɔdɔm ivin if yu tray smɔl.
• Swel na yu an ɔ yu leg

Apat frɔm dat, we di lɛft atria big, i kin mek di at nɔ de rit ɔltɛm, ɔ i kin mek i nɔ ritmi . Dɛn sayn ya kin bi:

• Palpitations (hat bit fast ɔ i nɔ de bit ɔltɛm) .
• Chɛst we de flɔt
• Chɛst de pen
• Fɔ mek pɔsin nɔ ebul fɔ du natin

Wetin kin mek di lɛft atria big? (Wetin de mek LAE?)

Bɔku tin dɛn de we kin mek dis apin. Sɔm na tin dɛn we dɛn bɔn wit, ɛn ɔda wan dɛn kin kam as tɛm de go. Lɛ wi luk sɔm pan di men tin dɛn we kin mek wi gɛt dis sik:

• Ay blɔd prɛshɔn - Dis na di tin we kin mek pɔsin gɛt mɔ blɔd.
• di aorta valv stenosis - we dis valv nכ opin fayn, i kin at fכ mek bכdi fכ fכdכn.
• di mitral valv stenosis - dis de mek i at bak fכ mek bכdi fכ fכm frכm di lεft atria to di lεft vεntrikl.
• di mitral valv rigurgitation - di valv nכ de kכloz fayn fayn wan, we de mek bכdi fכ fכlכ bak insay di atrium.
• fכ gεt mas כ tכmכro na di lεft atrium.
• Arteriovenous fistulas - dis na we di bכdi de fכlכ dεn wan dεm frכm di atεri dεm to di vein dεm, we dεn nכ de yuz intamεdiεt fayn chεnal dεm (kapilari dεm).
• Atlet in at - Di hat saiz fɔ di wan dɛn we de tren tranga wan ɔltɛm kin big smɔl pas aw i kin bi.
• diastolik disfכnkshכn na di lεft vεntrikl.
• Lεft vεntrikul fεil .
• Di at prɔblɛm dɛn we dɛn bɔn wit:
• wan ol bitwin di vεntrikl dεm (Ventrikular septal dεfεkt - VSD) .
• Patent ductus arteriosus (PDA) - Dis na prɔblɛm bak we dɛn kin bɔn wit at dakt.

Aw dɛn kin no dis?

Di men tɛst we yu dɔktɔ kin yuz fɔ no dis sik na ECG (electrocardiogram) . Wi ɔl no wetin na ECG.

wan difrεnt sayn we de sho se di lεft atria de big pan ECG na wan abnכmal lכng "P wev." dis P wev de sho di kכntrikshכn fכ di tu atria dεm na di at. Nɔmal wan, dis fɔ smɔl pas 120 milisekɔnd. if i ikwal ɔ i pas dat, dɛn kin sɔprayz se di lɛft atria kin big.

Apat frɔm dat, ɔda tɛst dɛn de fɔ no if pɔsin gɛt dis sik:

• Transthoracic echocardiogram (TTE) - dεn kin kכl dis "Echo scan". Dis kin mek wi ebul fɔ si insay di at.
• Kadyak CT skan `(Kadyak CT - kɔmpyuta tomografi)`
• At MRI skan

Aw dɛn kin trit am?

Na sɔntin we wi fɔ ɔndastand. Nɔ patikyula tritmɛnt nɔ de fɔ mek di lɛft atria big. Dɔn bak, if dis sik dɔn de fɔ pas wan wik, i nɔ kin izi fɔ mek dɛn chenj am.

Bɔt nɔ wɔri! Dɔktɔ dɛn de trit di ɔndalayn kɔndishɔn we mek dis apin. Fɔ trit di kɔz kin stɔp di lɛft atria fɔ mek i nɔ big.

Dɛn kin du dɛn tin ya as tritmɛnt:

• Fɔ ɛksesaiz ɔltɛm.
• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak.
• Fɔ it tin we nɔ gɛt bɔku sɔl.
• Fɔ ridyus di we aw pipul dɛn de drink rɔm.
• Fɔ tek mɛrɛsin fɔ kɔntrol blɔd prɛshɔn.
• Ɔpreshɔn ɔ ɔda tin dɛn fɔ fiks prɔblɛm dɛn we de wit di at valv dɛn .
• Fɔ tek mɛrɛsin fɔ ridyus di sayn dɛm wae de kam wit valv prɔblɛm.
• Fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (anticoagulants) fɔ mek yu nɔ gɛt strok .
• Fɔ tek mɛrɛsin fɔ mek yu at pwɛl .

Ɛni bad tin de we di tritmɛnt kin du? (Kɔmplikeshɔn/sayd ɛfɛkt dɛm fɔ tritmɛnt?)

Di gud chenj dɛm we yu de mek na yu layf (ɛksɛsayz, it fayn) go du yu gud, nɔto bad. Bɔt di mɛrɛsin dɛn we yu de tek kin gɛt sɔm bad bad tin dɛn.

Di sayd ɛfɛkt dɛn we kin apin we di mɛrɛsin dɛn we dɛn tek fɔ trit di tin we kin mek di lɛft atria big:

• Diziz we pɔsin kin gɛt
• Fɔ mek pɔsin nɔ ebul fɔ du natin
• di abnכmal εlektrolayt lεvεl dεm na di bכdi

We dɛn de du ɔpreshɔn, i kin izi fɔ mek i blɔd ɔ gɛt infɛkshɔn. If yu ripɛnt ɔ riples di valv, i kin gɛt dɛn prɔblɛm ya:

• At atak
• Strok
• Kidni we nɔ de wok fayn
• Di at ritm we nɔmal

Sɔm pan dɛn prɔblɛm ya kin ivin mek pɔsin in layf de pan denja. Na dat mek yu nid fɔ tɔk bɔt ɔl dis wit yu dɔktɔ bifo yu disayd fɔ du ɛnitin.

Aw lɔng i kin tek fɔ mek i wɛl? (Tɛm fɔ wɛl?)

If yu gɛt valv fɔ ripɛnt ɔ riples, yu go nid fɔ de na ɔspitul fɔ sɔm dez to wan wik. Dipen pan di kayn ɔpreshɔn, i kin tek tu to tri mɔnt fɔ mek i wɛl ɔl.

A kin mek di lɛft atria nɔ big? (Aw a go mek a nɔ gɛt LAE?)

Yɛs, i rili pɔsibul! di bεst tin fכ du na fכ kip yu at hεlth εn protεkt yusεf frכm hat sik dεm we de mek yu lεft atria big.

Wan stɔdi dɔn sho se we pɔsin du dɛn tin ya, i kin ɛp fɔ mek di lɛft atria nɔ big:

• Kip yu blɔd prɛshɔn nɔmal.
• Mek yu bɔdi wet fayn.
• Prɛvɛnt di lɛft ventrikul haypatrofi.
• Lɛf fɔ smok.
• Kɔntrol di rɔm we yu de drink (if yu du am, drink smɔl smɔl).

Wetin a go ɛkspɛkt if a gɛt dis sik?

Risach pipul dɛn dɔn si se if di lɛft atria big, di risk fɔ gɛt at sik tumara bambay go bɔku:

• At we nɔ de wok fayn
• Atrial fibrillation (di at bit we nɔ de bit ɔltɛm na di atria) .
• Haptensive hat sik (at sik wae kin kam wae yu gɛt bɔrku blɔd prɛshɔn) .
• Strok

Wae yu dɔn no dis, yu kin woke wit yu dɔktɔ fɔ mek plan fɔ mek yu at wɛl bɔdi fayn fayn wan frɔm naw. Tek dis as wɔnin ɛn du am.

Aw siriɔs LAE de?

di lεft atrial εnlarjmεnt nכto siriכs prכblεm fכ insεf. Bɔt, e kin bi sayn fɔ ɔda siriɔs ɔndalayn kɔndishɔn. I tan lɛk se lik na os. Di lik nɔto di prɔblɛm, bɔt na sayn fɔ se big ol de na di ruf.

So if yu gɛt dis sik, e fayn fɔ fɛn de kɔz ɛn trit am. If dɛn nɔ trit di tin we de mek pɔsin gɛt dis sik, i kin mek wi gɛt prɔblɛm dɛn tumara bambay.

Pɔsin we gɛt in lɛft atria we dɔn big kin liv nɔmal layf? (Yu kin liv wit LAE?)

Yɛs, i pɔsibul. Bɔt, yu nid fɔ no wetin na di kɔz. Wae yu dɔn no de kɔz, yu nid fɔ gɛt di rayt tritmɛnt fɔ am.

Ustɛm a fɔ go to mi dɔktɔ?

Ivin if yu nɔ gɛt ɛni sayn, yu dɔktɔ go want fɔ du amMek dɛn chɛk yusɛf ɛvri ia ɛn gɛt tin dɛn lɛk ɛko skan. Dis kin ɛp yu fɔ ɔndastand aw yu at de.

If yu si wan wan sayn dɛm fɔ strok (we yu de drɔp na wan say na yu fes, i nɔ izi fɔ tɔk, yu an nɔ de wok fayn) ɔ yu gɛt hat atak (we yu de fil pen bad bad wan na yu chɛst, yu nɔ de ebul fɔ blo), kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul we de nia yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu dɔktɔ tɛl yu se yu lɛft atria dɔn big, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Wetin de mek mi lɛft atria de big?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Yu tink se dɛn fɔ tɛst di ɔda pipul dɛn na mi famili fɔ si dis?

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

If dɔktɔ tɛl yu se yu gɛt Left Atrial Enlargement, tek am se na sayn we de wɔn yu . I min se na tɛm fɔ pe atɛnshɔn to sɔntin we de na yu at.

Fɛn ɔut wetin na de kɔz ɛn woke wit yu dɔktɔ fɔ mek wan tritmɛnt plan. Fɔ kia fɔ yu at na gud tin ɔltɛm. I nɔ nid fɔ bi big tin. Ivin smɔl tin dɛn lɛk fɔ pak motoka fa frɔm di stoa ɛn waka smɔl, ɔ fɔ it lɛtis instead fɔ it tin dɛn we gɛt fat wit yu rays, kin mek big difrɛns. Yu dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn. Fɔ kɔntrol yu blɔd prɛshɔn na wan pan di big tin dɛn we yu go du fɔ mek yu gɛt wɛlbɔdi.

So, tek kia ɔf yu at. Na bikɔs na in de mek yu kɔntinyu fɔ liv!

` At sik, Left Atrial Enlargement, At prɔblɛm, Ay blɔd prɛshɔn, At valv sik, ECG, Echo