Yu tink se di lɛft say na yu at sɛf wik? (Left-Sided Heart Failure) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin fil se yu nɔ ebul fɔ blo fayn? Ɔ yu kin fil smɔl fɔ blo we yu de waka, bɛn, ɔ du sɔm wok? Yu fɔ sidɔm na nɛt bikɔs yu kin fil se yu de swɛla we yu de ledɔm fɔ slip? Yu gɛt swel na yu leg ɛn ankles? Sɔntɛnde, dɛn tin ya kin bi sayn fɔ se di lɛft say na di at wik. Tide, lɛ wi tɔk bɔt dis sik we dɛn kɔl `(Left-Sided Heart Failure)` insay wan simpul we we yu go ɔndastand. Nɔr frayd, i rili impɔtant fɔ no bɔt dis.

Wetin na Lɛft-Sayd At Fayla?

Fɔ tɔk am simpul wan, dis min se di lɛft say na wi at nɔ ebul fɔ du in wok, we na fɔ pɔmp blɔd ɔlsay na di bɔdi, fayn fayn wan. Tink bɔt am lɛk wata pɔmp. If i nɔ de wok fayn, di wata nɔ go go na di tank. Na so i bi. Tu men kayn dis de:

1. Sistolik at fεil: dis na we di men pכmp chεmba na di lεft say na di at we dεn kכl di lεft vεntrikl de kכntrakt εn wik fכ pכmp bכdi כlsay na di bכdi. dis min se di bכdi we di at de pכmp (di εjekshכn frakshכn) de dכn. Jɔs lɛk we di pawa we motoka gɛt nɔ go du, di prɛshɔn we de pɔmp wata kin go dɔŋ.

2. Diastolic hat fεil: Dis na difrεn situeshכn. Pan ɔl we di lɛft ventricle strɔng, i nɔ de rilaks fayn ɛn i nɔ de strɛch lɛk aw i fɔ strɛch fɔ ful-ɔp wit blɔd. Dis min se di at chɛmba kin stif. I tan lɛk se yu de tray fɔ ful-ɔp wan balɔ we stif ɛn we nɔ de chenj wit wata, ɛn i nɔ kin izi fɔ mek i ful-ɔp wit blɔd. If na so i bi, di bכdi we di at de pכmp (ejection fraction) kin bi nכmal.

Yu ɔndastand di difrɛns bitwin dɛn tu kayn ya naw?

Aw di lɛft ɛn rayt say na wi at de wok?

Wi at na ɔgan we rili wɔndaful. I de wok lɛk pawaful pɔmp, we de wok nɔ-stɔp. I gɛt tu men say dɛn, di lɛft say ɛn di rayt say. Ɛni say de du difrɛn wok.

• Lɛft sayd: Dis sayd na di men pɔsin we wi de tɔk bɔt. Di lɛft say na di at kin gɛt ɔksijɛn ɛn klin blɔd frɔm di lɔng dɛn. Dɔn dis blɔd kin sheb ɔlsay na di bɔdi, frɔm di bren to di fut, to ɔl di ɔgan, mɔsul, ɛn tisu. Dis ɔksijɛn de gi ɛvri pat na wi bɔdi di ɛnaji ɛn layf we i nid fɔ du in wok.

• Rayt sayd: Di rayt say kin gɛda blɔd we dɛn dɔn yuz na di bɔdi, dat na blɔd we dɔn lɔs ɔksijɛn ɛn kabon dayɔgzayd we dɔn gɛda, ɛn sɛn am bak na di lɔng dɛn fɔ mek dɛn klin am. Na insay di lɔng dɛn wi kin pul di kabon dayɔgzayd ɛn ad nyu ɔksijɛn to di blɔd.

Dis we ya, di tu say dɛn kin wok togɛda fɔ mek di blɔd go fayn fayn wan na wi bɔdi.

Wetin kin mek di lɛft say na di at kin wik?

Imajin, wetin go apin if wi yuz di wata pɔmp na wi os fɔ lɔng lɔng tɛm we wi nɔ mentenɛns ɔ savis? Smɔl smɔl, in pat dɛn go west, di we aw i de wok go dɔŋ, ɛn leta i go stɔp fɔ wok, nɔto so? Na so i bi wit wi at. Sɔm sik ɛn wi bad abit kin pwɛl di lɛft say na di at as tɛm de go, ɛn dis kin mek i wik. Na sɔm pan di men rizin dɛn:

• Koronari at sik: Dis na we di fεt dεm de kכlכp insay di bכdi vεsul dεm (korona atεri dεm) we de gi bכdi to di at. Dis kin mek di at mɔsul nɔ gɛt di ɔksijɛn ɛn di tin dɛn we i nid.
• Hat atak: Hat atak na we blɔd nɔ de flɔ na di at wantɛm wantɛm. Dis kin mek wan pat pan di at day, ɛn dis kin mek di at nɔ ebul fɔ pɔmp.
• di hεy bכdi prεshכn (`High blood pressure`) we dεn nכ de kכntro fכ lכng tεm: We di prεshכn de hכy כltεm, di at gεt fכ wok tranga wan fכ pכmp bכdi. As tɛm de go, di at kin taya ɛn wik.
• di hat valv dεm (`Valvular heart disease`): If di valv dεm na di at nכ kכloz כ opin fayn fayn wan, di bכdi fכ fכlכ de ambɔg εn di at de fil bכku bכku.
• di at ritm dεm we nכ nכmal (Arrhythmia): We di at nכ de bit di rayt ritm, in pכmp efyushכn de dכn.
• sכm mεdikal kכndyushכn dεm we nכ kin apin: fכ egzampl, kכndyushכn dεm lεk `(Amyloidosis)` (diposishכn fכ wan abnכmal protin na di at) כ `(Sarcoidosis)` (fכmeshכn fכ sכm sכm sכm sכm sכm sכm sכm dεm na di at) kin mek bak di at mכsul stif εn wik.

Impɔtant: Wan ɔ mɔ pan dɛn tin ya kin mek di lɛft say na di at wik.

Apat frɔm dis, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt mɔ prɔblɛm . Dis min se pipul dɛm wae gɛt dɛn tin ya kin gɛt wikɛd tin na dɛn lɛft say na dɛn at:

• Sɔm kemotɛrapi tritmɛnt fɔ kansa kin mek yu gɛt sayd ɛfɛkt pan di at (cardiotoxicity).
• Shuga.
• Fat.
• Slip apnɛa fɔ slip.
• As wi de ol, natin nɔ de fɔ mek wi at wok smɔl smɔl.
• Fɔ smok ɛn blo ɔda pipul dɛn smok.
• Kɔntinyu fɔ yuz sɔm drɔgs ɛn ɛnaji drink dɛn, we kin ambɔg di at.
• Na smɔl tɛm nɔmɔ, sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ trit ɔda kɔndishɔn (e.g., ɔtoimyun sik, atɛnshɔn-dɛfisit/haypa aktiviti disɔda (ADHD)) kin afɛkt bak.

Wetin na di sayn dɛm fɔ dis sik?

Fɔs, we di lɛft say na di at bigin fɔ wik, yu nɔ go notis ɛni big sayn. Yu kin tink se , "O, na jɔs kol" ɔ "Na jɔs sɔntin we kin apin we yu dɔn ol." Bɔt as yu at de wok de wɔs, yu kin bigin fɔ notis tin dɛn lɛk:

• Kɔf we nɔ de chenj: Yu fɔ wɔri if yu kɔf, mɔ na nɛt ɔ we yu de ledɔm.
• Shot we yu de blo:
• We a waka smɔl, klaym sɔm stej dɛn, ɛn bɛn, a kin gɛt ed we kin at.
• We a wek na nɛt, a kin fil lɛk se i nɔ kin izi fɔ mi fɔ blo, lɛk se mi chɛst de kɔnstrikt.
• I nɔ kin izi fɔ slip we yu de ledɔm, ɛn i kin fil izi fɔ blo we yu sidɔm. (Dis na biכs mכr fכs wata de kכmכt na di lכng dεm we yu de ledɔm).
• We yu de gɛt bɔku bɔku bɔdi wantɛm wantɛm: Yu kin gɛt wan ɔ tu kilo insay sɔm dez. Dis nɔr de rili big, bɔt na fɔ kip wata.
• Swɛlin (edema): I kin swel na di anklɛ, leg, ɛn sɔm tɛm dɛn na di bɛlɛ. Dis kin bi bak we di wata we de na di bɔdi de kɔntinyu fɔ de.

As tɛm de go, as di at de wok tranga wan fɔ du in wok, prɔblɛm dɛn lɛk:

• Cardiogenic shock: Dis na imejensi. Di at nɔ kin ebul fɔ pamp inof blɔd, ɛn dis kin mek di blɔd nɔ de go na di impɔtant pat dɛn na di bɔdi.
• At we big: We di at wok tumɔs, in mɔsul dɛn kin tik ɛn di at kin big.
• di at bit abnכmaliti (`Arrhythmia`): di hat in ritm kin bi rεgulεr.

If yu gɛt ɛni wan pan dɛn sayn ya, duya go to dɔktɔ.

Aw dɔktɔ kin no dis?

We yu go to dɔktɔ, dɛn kin aks yu bɔku kwɛstyɔn dɛn fɔs. Wetin na yu sayn dɛm, aw lɔng yu dɔn gɛt dɛm, ɛnibɔdi na yu famili gɛt at sik, us mɛrɛsin yu de tek, ɛn ɔda tin dɛm. Dɔn dɛn kin chɛk yu. Dɛn kin lisin to yu at, chɛk yu lɔng, ɛn luk fɔ swel.

Apat frɔm dat, dɛn kin du dɛn tɛst ya (labɔraytri tɛst ɛn imej stɔdi) fɔ kɔnfɔm di rayt kɔndishɔn ɛn fɔ fɛn di kɔz:

• Blɔd tɛst (`Labɔraytri tɛst`): .
• BNP (B-type natriuretic peptide) bכdi tεst: Dis na spεshal bayomak. We di prɛshɔn we de na di at chɛmba dɛn go ɔp, dis ɔmon de kɔmɔt na di blɔd. di lεvεl dεm we i de gi kin gi yu aidia fכ no if di at wik.
• `Mεtabolik panεl`: dis de chεk di kidni εn liva fכ wok, εn di lεvεl dεm fכ di sכlt dεm na di bכdi, lεk sכdiכm εn potashכm. Dɛn tin ya impɔtant pan at sik.

• Stɔdi dɛn we dɛn kin du pan imej:
• Ilektrokardiogram (ECG/EKG): Dis de rikodɔ di ilɛktrik aktiviti we di at de du. I kin no tin dɛm lɛk at atak ɔr at ritm prɔblɛm.
• Echocardiogram (ECHO): Dis tan lɛk ɔltra saund skan fɔ di at. I kin si bɔku tin dɛn klia wan, lɛk di sayz we di at in chɛmba dɛn gɛt, di tik we di wɔl dɛn tik, aw di valv dɛn de wok, ɛn di we aw di at de pɔmp blɔd (ejection fraction).
• Koronari angiografi: .wan spεshal ``(X-ray)`` tεst fכ si if blכk de na di korona at dεm we de gi bכdi to di at.
• Cardiac MRI (Cardiac Magnetic Resonance Imaging): Dis kin tek rili klia, ditayli pikchɔ dɛn bɔt di at. I kin ɛp fɔ no tin dɛm lɛk di kɔndishɔn na di at mɔsul ɛn di say dɛm we dɔn pwɛl.

Bay di infɔmeshɔn we dɛn go gɛt frɔm dɛn tɛst ya, di dɔktɔ go disayd us kayn sik yu gɛt ɛn wetin na di bɛst tritmɛnt fɔ am.

Aw dɛn kin trit am? Us mɛrɛsin dɛn de we pɔsin kin gɛt?

Di gud nyus na dat, bɔku tritmɛnt dɛn de fɔ mek yu at pwɛl na yu lɛft say. Di tritmɛnt we rayt fɔ yu go dipen pan if yu gɛt di ``Systolic heart failure'' ɔr ``Diastolic heart failure'' we wi bin dɔn tɔk bɔt, ɛn bak aw di sik de tranga.

Bɔku tɛm, na mɛrɛsin dɛn kin bi di men tritmɛnt. Dɛn mɛrɛsin ya kin ɛp fɔ mek di at wok fayn, fɔ mek di sik nɔ bɔku, ɛn fɔ mek i liv lɔng. Na sɔm pan di mɛrɛsin dɛn we dɛn kin yuz mɔ:

• ACE inhibitors (angiotensin-converting enzyme inhibitors), Angiotensin II receptor blockers (ARBs), Angiotensin-receptor neprilysin inhibitors (ARNIs): Dɛn klas dεm ya de wok bay we dεn de rilaks di bכdi vεsul dεm, dכn blכd prεshכn, εn εp di at fכ rimodεl.
• Aldosterone antagonists: Dɛn wan ya kin kɔntrol di ɔmon dɛm we gɛt fɔ du wit strɛs ɛn mek di sayn dɛm nɔr de wɔs. Dɛn kin ɛp bak fɔ ridyus di swɛlin bay we dɛn de ridyus di wata we de kip (wan mild diuretic).
• Beta blɔk: Dɛn mɛrɛsin ya kin mek di at rit slo ɛn ridyus di wok we di at kin du, dat na di wok we i fɔ du.
• Digoxin: Dis mɛrɛsin kin ɛp sɔm pipul dɛm, mɔr di wan dɛm wae gɛt sɔm kayn at ritm disɔda, fɔ fil fayn ɛn kɔntrol dɛn at rit.
• Diuretics: Dɛn tin ya de wok bay we dɛn de pul di wata we pasmak na di bɔdi tru di urine, we kin ridyus di sayn dɛm lɛk fɔ blo shɔt ɛn fɔ swel.
• Sodium-glucose transport protein 2 (SGLT2) inhibitors: Dis nyu klas fɔ drɔgs rili yusful fɔ pipul dɛn we gɛt ɛn we nɔ gɛt dayabitis we gɛt at pwɛl. Dɛn kin ɛp bak fɔ ridyus di wata we pasmak na di bɔdi ɛn protɛkt di at.

Mɛmba se: I impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, di rayt doz, ɛn di rayt tɛm. Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.

Sɔm pipul dɛn fɔ gɛt spɛshal tritmɛnt (`procedures`)?

Yɛs, sɔm tɛm dɛn de, if dɛn nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin nɔmɔ, ɔ if tɛst sho se di at sik de wɔs, di dɔktɔ kin tɛl yu fɔ du spɛshal tin ɔ ɔpreshɔn. Na sɔm pan dɛn:

• Cardiac resynchronization therapy (CRT): dis involv fכ implant wan sכmכl divays (lεk pesmaker) כnda di skin we de gi ilektrikal stimulashכn fכ εp כl tu di lεft εn rayt chεmba dεm na di at kכntrakt di sem tεm. Dɛn kin kɔl dis bak biventricular pacemaker. dis de mek di at in pכmp akshכn mכr efyushכn.
• Electrical cardioversion: Na tritmɛnt we de gi ilɛktrik shɔk to di chɛst fɔ mek di at gɛt nɔmal at ritm bak we di at nɔ de ɔltɛm.
• Implantable cardioverter defibrillator (ICD): Dis na tin bak we dɛn kin put ɔnda di skin. I de no di denja at ritm irɛgyulariti ɛn i de sɛn ilɛktrik signal ɔtomɛtik fɔ mek i kam bak to nɔmal.
• Left ventricular assist device (LVAD): Dis na pɔmp we dɛn kin ɔspitul insay di at fɔ ɛp di at fɔ pɔmp blɔd. Dɛn kin yuse am fɔ pipul dɛm wae gɛt siriɔs at pwɛl hat wae de wet fɔ gɛt at transplant.
• Hat transplant: Fɔ di wan dɛn we gɛt at we wik bad bad wan we nɔ ebul fɔ du ɔl di ɔda tritmɛnt dɛn, fɔ transplant at we gɛt wɛlbɔdi frɔm pɔsin we dɔn day na di las tin we dɛn fɔ du.

Wetin wi go du fɔ avɔyd dis kayn tin? (Prɛvenshɔn) .

Wan wɔd de se "Prɛvenshɔn bɛtɛ pas fɔ mɛn." Dat kin apin na ya bak. If yu fala di we aw yu de liv yu at, dat kin rili ridyus di prɔblɛm we yu gɛt fɔ mek yu at pwɛl na yu lɛft say. If yu dɔn gɛt dis sik, gud abit kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn tumara bambay ɛn fɔ kɔntrol di sik.

Na sɔm tin dɛn we yu kin du:

• Kɔntrol yu blɔd prɛshɔn, kɔlɔstrel lɛvɛl, ɛn dayabitis if yu gɛt dɛn. Tek di mɛrɛsin dɛn we yu dɔktɔ gi yu.
• Ɛksesaiz ɔltɛm. Du simpul ɛksesaiz lɛk fɔ waka fɔ at le 30 minit insay di de.
• Mek tɛm fɔ slip fayn na nɛt . Yu nid fɔ slip fɔ 7-8 awa ɛvride.
• Mek yu gɛt wɛlbɔdi bɔdi wet. Fɔ fat na big lod pan di at.
• It tin dɛn we go mek yu gɛt wɛlbɔdi. It mɔ frut, vɛjitebul, ligɛm, ɛn it dɛn we gɛt fayv. Ridyus sɔl, shuga, ɛn ɔyl.
• Ridyus strɛs. Du tin dɛm lɛk yoga, mɛditeishɔn, ɛksesaiz fɔ brith (`rilaks tɛknik`). Engage in wan hobby we yu lɛk.
• If yu de smok, stɔp wantɛm wantɛm. Stay away frɔm ples dɛm we ɔda pipul dɛn de smok (`sɛkɔnd smok`).
• Limit ɔ stɔp fɔ drink rɔm ɔltogɛda .

Aw layf go tan lɛk if di lɛft say na di at wik? Wetin na di prɔblɛm dɛn we kin apin?

If yu fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, yuz yu mɛrɛsin dɛn kɔrɛkt wan, ɛn go fɔ fala-ap apɔntinmɛnt dɛn di rayt tɛm, yu go ebul fɔ kip yu wɛlbɔdi fayn fayn wan. Bɔku pipul dɛn kin liv nɔmal layf.

Bɔt if dɛn nɔ kɔntrol dis sik fayn, sɔm prɔblɛm dɛn kin apin. Na sɔm pan dɛn:

• di at ritm we nכ de rεgulεr (`Arrhythmias`): fכ egzampl, ``ventricular tachycardia`` (fast hat bit), ``atrial fibrillation / Afib`` (irrεgul hat bit fכ di atrium).
• Slip apnea (obstruktiv ɛn sɛntral slip apnɛa).
• di hat valv prכblεm (`Hat valv sik`), lεk di bכdi we de lik bak tru di valv dεm.
• Liva sik: We di at nɔ de pɔmp blɔd fayn, i kin afɛkt di liva bak.
• Rayt-sayd at we nɔ de wok fayn: We di lɛft say na di at wik, i kin afɛkt di rayt say bak.
• I nɔ kin gɛt bɛtɛ trɛnk ɛn di mɔsul dɛn kin wik.
• Anemia we nɔ gɛt bɛtɛ blɔd.
• Kidni sik: We di at wik, di blɔd we de flɔ to di kidni dɛn kin go dɔŋ, ɛn dis kin afɛkt di wok we dɛn de du.
• Pwɛl hat ɔr wɔri: Fɔ liv wit sik wae yu gɛt fɔ lɔng tɛm kin gɛt prɔblɛm wit yu maynd bak.

Wetin wi nid fɔ chenj we wi de liv wit dis sityueshɔn?

We yu de liv wit di lɛft ventricular dysfunction, sɔm impɔtant chenj dɛn de na yu layf we yu kin mek fɔ ɛp fɔ mɛn yu sik, ridyus di sayn dɛm, ɛn mek layf izi.

• Yu fɔ du ɛksɛsayz smɔl pas aw yu bin de du am bifo: Du ɛksɛsayz we fayn fɔ yu, lɛk aw yu dɔktɔ tɛl yu fɔ du.
• Chek yu blɔd prɛshɔn ɛvride: Rikɔd am lɛk aw yu dɔktɔ tɛl yu.
• Kɔntinyu fɔ tek yu at prɔblɛm mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek: nɔ mis wan de.
• Si yu dɔktɔ di rayt tɛm ɛn go na klinik: Dis go ɛp di dɔktɔ fɔ wach aw yu sik ɛn mek ɛni chenj we nid fɔ apin.
• Ridyus sɔl we yu de it: Sɔl kin mek wata kɔntinyu fɔ de na di bɔdi, ɛn dis kin mek yu swel ɛn i nɔ kin izi fɔ blo.
• Wej yusɛf ɛvri mɔnin: di sem tɛm, di sem we (e.g., afta yu dɔn yuz di bafa, bifo yu drɛs). If yu gɛt wan ɔ tu kilo insay wan ɔ tu dez, i kin bi se yu de kip wata. If dat apin, tɛl yu dɔktɔ.
• Drink di wata nɔmɔ (lɛk wata, ti, sup) we dɛn tɛl yu fɔ drink fɔ wan de: Sɔm pipul dɛn nid fɔ kɔntrol di wata we dɛn de it.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Fɔ tɔk am simpul wan, Left-Sided Heart Failure na wan sik we de mek di at nɔ ebul fɔ pamp blɔd, ɛn na sɔntin we wi fɔ wɔri bɔt. Dis kin bɔrku pan pipul dɛm wae gɛt hat sik lɛk ay blɔd prɛshɔn, korona at sik, ɛn at pwɛl.

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Bɔt, no rizin nɔ de fɔ mek wi fred. If yu no di sayn dɛm fɔ dis sik kwik, trit am fayn fayn wan akɔdin to di dɔktɔ in advays, yuse di mɛrɛsin we dɛn gi yu, ɛn fala di layf we go ɛp yu at, yu kin liv fayn ɛn fayn wit dis sik.

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So, if yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, di bɛst tin we yu go du fɔ yusɛf na fɔ go to dɔktɔ we sabi du di wok wantɛm wantɛm ɛn aks fɔ advays ɛn nɔ pe atɛnshɔn to am. Di kwik we dɛn no di sik, na di mɔ i go bi se di tritmɛnt go wok fayn. Wi de wish yu gud wɛlbɔdi!

` At nɔ de wok fayn, Lɛft-sayd At nɔ de wok fayn, yu nɔ de blo shɔt, yu de swel, yu at sik, At atak, Ay blɔd prɛshɔn