Di at na di smɔl injin na wi bɔdi we de wok nɔ stɔp ɛn nɔ de ɛva tek briŋ. Dis at de wok kɔntinyu ivin we wi de slip, wok, rɔn, jomp. Bɔt wetin kin apin if dɛn put di at ɔnda tumɔs prɛshɔn? jכs lεk we wi es hεvi wet εn di mכsul dεm na wi an dεm de big, we di at taya tu, in wכl dεm, spεshal wan di wכl dεm na di men chεmba (di lεft vεntrikl) we de pכmp bכdi to di bכdi, de bigin fכ tik εn gro. Insay mεdikal, wi kin kכl dis kכndyushכn ‘Left Ventricular Hypertrophy’ כ LVH. Dis na wan tin we rili kɔmɔn bitwin wi na Sri Lanka. So, lɛ wi tɔk bɔt dis jɔs tide, di we we yu go ɔndastand.
Wetin na di ɛksaktɔli Lɛft Vɛntrikular Haypatrɔfi (LVH)?
Fɔ tɔk am simpul wan, LVH na di tik we di mɔsul wɔl na di lɛft ventricle, we na wan pan di 4 men chɛmba dɛn na wi at tik. dis lεft vεntrikl de rispansabl fכ wan pan di imכtant wok dεm na wi at. Dat min se fɔ pɔmp blɔd we gɛt bɔku ɔksijɛn frɔm di lɔng dɛn ɛn go insay di aorta, we na di big blɔd vesel na wi bɔdi. Frɔm de, blɔd de sheb ɔlsay na di bɔdi, frɔm di skel te to di fut dɛn.
So, fɔ sɔm rizin, we tumɔs prɛshɔn ɔ tin we de ambɔg dis blɔd pɔmp prɔses, dis lɛft ventricle gɛt fɔ wok tranga wan pas aw i kin wok. I tan lɛk wata pɔmp we de mek bɔku nɔys we i blok. We yu wok tumɔs as tɛm de go, di mɔsul dɛn na da chɛmba de kin tik smɔl smɔl ɛn big. Dɛn kɔl dis LVH. Sɔntɛnde, dis chɛmba kin strɛch ɛn big fɔ ebul fɔ handle di ɛkstra blɔd volyum. Stɔdi dɔn sho se na lɛk wan pan ɛvri fayv pipul dɛn kin gɛt dis sik.
Yu tink se kayn LVH de?
Yɛs, dɔktɔ dɛn kin sheb yu lɛft ventricle to difrɛn kayn dɛn bay di sayz ɛn tik we in wɔl dɛn gɛt. I impɔtant fɔ mek yu no dis.
| LVH tayp | Fɔ tɔk am simpul wan, na dis kin apin. |
|---|---|
| Kɔnsɛntrik | di wכl dεm na di at chεmba dεm de tik insay, we de mek di spεs (insay di chεmba) fכ fulכp wit bכdi de sכm sכm. |
| Eksentrik | Di at chambaI kin strɛch ɛn i kin big. Dis kin mek di ples (insay di chɛmba) we ful-ɔp wit blɔd big. |
| Konsentrik rimodelin (CR) . | Pan ɔl we di wɔl dɛn tik, di ɔl mɔsul dɛn na nɔmal tin. |
Us sayn dɛm pɔrsin wae gɛt LVH kin gɛt?
di big prכblεm wit dis na dat LVH kin bi asymptomatic in in fכs stej . Bɔku pipul dɛn kin jɔs no se dɛn gɛt am we dɛn du mɛrɛsin tɛst fɔ ɔda rizin. Bɔt as di sik de wɔs, ɛn di prɛshɔn pan di at de go ɔp, yu kin gɛt sayn dɛn lɛk dis.
| Di sayn we de sho se di sik de | Aw dis kin fil? |
|---|---|
| Chɛst de pen | Yu chɛst kin fil tayt ɛn kɔnstrikt, mɔ we yu taya ɔ yu de du ɛksɛsayz. |
| Diziz ɔr fɔdɔm (Syncope) . | Wantɛm wantɛm, yu ed kin spin, yu yay kin tɔn blu, ɛn sɔntɛnde yu kin ivin nɔ no natin ɛn fɔdɔm. |
| At bit fast ɔ i nɔ de bit ɔltɛm | Di at rit kin go ɔp wantɛm wantɛm, ɔ i kin tan lɛk se i de bit we i nɔ gɛt ritm. |
| Di we aw pɔsin de blo | We yu go slip, we yu kwayɛt, yu kin yɛri ɛn fil di sawnd we yu at de bit "dug dig". |
| We pɔsin taya | Ivin we a de du di smɔl smɔl tin dɛn we a kin du, a kin taya kwik kwik wan. A fil lɛk se a nɔ gɛt layf we lɛf na mi bɔdi. |
| I nɔ kin izi fɔ yu fɔ blo | We a waka smɔl, klaym wan stej, ɔ bɛn, i nɔ kin izi fɔ mi fɔ blo, ɛn a kin fil lɛk se a de tɔn. |
Wetin mek dis LVH kɔndishɔn kin apin? Wetin na di tin dɛn we kin mek i apin?
Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt LVH na di ay blɔd prɛshɔn, we dɛn kin kɔl bak haypatɛyshɔn. We yu blɔd prɛshɔn go ɔp, di prɛshɔn we de insay yu blɔd vesel dɛn de go ɔp. So yu at gɛt fɔ wok tranga wan pas aw i kin wok fɔ pɔmp blɔd agens dis prɛshɔn we de go ɔp. We yu wok dis tranga wan fɔ lɔng tɛm, di at mɔsul kin tik.
Bɔt nɔto jɔs prɛshɔn, bɔku ɔda rizin dɛn de we kin afɛkt dis.
- At valv sik: Di valv dɛm na di at tan lɛk domɔt. Dɛn kin mek blɔd flɔ wan say ɛn mek i nɔ flɔ bak. if dεn valv dεm ya sכmtεm (stenosis) כ lik (regurgitation), di at fכ wok tranga wan fכ pכmp bכdi.
- Dayabitis: Dayabitis we dɛn nɔ kin kɔntrol kin mek di blɔd shuga bɔku. Dis kin pwɛl di at as tɛm de go.
- Cardiomyopathy: Bikɔs ɔf sɔm jenɛtik ɔ ɔda rizin dɛn, di at mɔsul kin jɔs tik ɔ wik.
- di aortic coarctation: Dis na wan kכndyushכn we de de we dεn bכn am. Di men blɔd vesel we de kɛr blɔd go na di bɔdi kin smɔl na wan ples. So di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd tru da say de we smɔl.
- כda mεdikal kכndyushכn dεm: Kadyak amyloidosis (protein dεposit dεm na di at), rεnal atεri stεnosis (di bכdi we de gi blɔd to di kidni dεm we de sכmtεm sכmtεm sכmtεm), εn vεntrikulכr septal dεfekt (VSD) (we de bitwin di chεmba dεm na di at) kin mek bak LVH.
- Intense athletic training: Atlet dɛn we de ɛksesaiz ɛn tren pasmak kin gɛt at we kin big smɔl. Bɔt dis nɔto sik we pɔsin kin gɛt we i de mɛn pipul dɛn. Dɛn at kin wok di rayt we.
De impɔtant tin na dat ivin if yu gɛt wan ɔr mɔr pan dɛn kayn tin ya, i nɔr min se yu go gɛt LVH. Bɔt di risk kin pas dat. So, i impɔtant fɔ kɔntrol dɛn tin ya fayn fayn wan.
Udat de pan ay risk fɔ gɛt LVH?
Sɔm pipul dɛn kin gɛt dis sik pas ɔda pipul dɛn.
- Fat pasmak: We yu gɛt bɔku bɔku bɔdi wet, yu at fɔ wok tranga wan fɔ pɔmp blɔd ɔlsay na yu bɔdi. Yu risk kin pasmak if yu BMI pas 30.
- Kidni sik we nɔ de dɔn: We di kidni dɛn nɔ de wok fayn, di wata ɛn sɔl we de na di bɔdi kin bɔku, ɛn dis kin mek pɔsin gɛt ay blɔd prɛshɔn.
- Obstructive sleep apnea: Dis sik wae de kam wae yu de blo kin stɔp bɔrku tɛm wae yu de slip, kin put bɔrku prɛshɔn pan di at.
- Mistek we yu de mek yu layf: Tin dɛn lɛk fɔ tek tabak, fɔ ad bɔku sɔl to yu it, ɛn fɔ nɔ du ɛksasaiz bak kin mek yu gɛt prɔblɛm.
Wetin kin apin if dɛn nɔ trit LVH?
Dis na di say we wi ɔl nid fɔ pe atɛnshɔn. LVH na sayn we de sho se di at de aks fɔ ɛp. If wi nɔ pe atɛnshɔn to am, as tɛm de go, di at in pawa fɔ pɔmp kin wik ɛn siriɔs prɔblɛm kin apin.
- At bit irɛgyulariti `(Aritmia)`
- At atak
- Di at we de mek di at nɔ de wok
- At sik `(At we nɔ de wok fayn)`
- Strok
- Dimɛnshɔnal sik
Di risk fɔ gɛt dɛn siriɔs kɔndishɔn ya kin bɔku wit LVH, so i rili impɔtant fɔ no dis sik ɛn bigin fɔ trit am kwik kwik wan.
Aw dɔktɔ kin fɛn dis?
Ivin if yu nɔ gɛt ɛni sayn, yu dɔktɔ kin sɔprayz dis we yu de chɛk yu ɔltɛm. Dɛn go du bɔku tɛst fɔ no if LVH de ɛn fɔ no di tin we mek i gɛt am.
- Echocardiogram (Echo): Dis na di tɛst we impɔtant pas ɔl. I tan lɛk se dɛn de skan bebi. I kin si klia wan aw di at in chɛmba dɛn saiz, aw di wɔl dɛn tik, aw di valv dɛn de wok, ɛn aw di at de pɔmp blɔd.
- Ilektrokardiogram (ECG ɔ EKG): Dis de rayt di ilɛktrik wok we di at de du. If di at big, yu kin si chenj na di ECG.
- MRI Skan: Sɔntɛnde, i kin nid fɔ mek dɛn du MRI skan fɔ stɔdi di we aw di at tan klia wan.
- Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ chɛk fɔ ɔda mɛrɛsin, lɛk dayabitis ɛn kidni sik.
Wetin na di tritmɛnt dɛm fɔ dis?
Di men gol fɔ trit LVH na fɔ trit di ɔndalayn kɔz fɔ di kɔndishɔn. dis go ridyus di strεs pan di at εn stכp כ slo di prכgreshכn fכ LVH.
| Di we aw dɛn kin trit am | Wetin kin apin wit dis? |
|---|---|
| Di we aw pipul dɛn de liv dɛn layf chenj | Yu kin kɔntrol yu blɔd prɛshɔn bay we yu it tin dɛn we nɔ gɛt bɔku sɔl, we gɛt wɛlbɔdi, ɛksesaiz ɛvride, kɔntrol yu wet, ɛn avɔyd fɔ smok. Dis na di fawndeshɔn fɔ tritmɛnt. |
| Blɔd prɛshɔn mɛrɛsin dɛn | I impɔtant fɔ tek di blɔd prɛshɔn mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm ɛn di rayt tɛm. Dɛn mɛrɛsin ya kin ridyus di prɛshɔn pan di at ɛn mek LVH nɔ wɔs. |
| Ɔda mɛrɛsin dɛn | Dɛn dɔn si se sɔm mɛrɛsin dɛn fɔ dayabitis (lɛk SGLT2 inhibitors) kin ɛp fɔ mɛn LVH. |
| Ɔpreshɔn fɔ di at valv | If LVH na bikɔs di at valv dɔn smɔl, if yu du ɔpreshɔn fɔ chenj ɔ ripɛnt da valv de, dat kin mek di prɛshɔn we de na di at nɔ bɔku. |
| Ɔpreshɔn fɔ lɔs yu wet (Bariatric ɔpreshɔn) . | If dɛn nɔ ebul fɔ kɔntrol di pɔsin we fat bad bad wan, sɔntɛnde dis kayn ɔpreshɔn kin ɛp fɔ ridyus di wet ɛn kɔntrol di blɔd prɛshɔn. |
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn.
If yu gɛt siriɔs pen na yu chɛst, yu nɔ kin ebul fɔ blo bad bad wan, yu gɛt sayn dɛn fɔ se yu dɔn strok (we yu de drɔp na wan say na yu fes, yu an nɔ de fil fayn, yu nɔ ebul fɔ tɔk), ɔ yu at de bit kwik kwik wan ɔ we nɔ de bit ɔltɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.**
Apat frɔm dat, if yu dɔktɔ dɔn tɛl yu se yu gɛt LVH, tɛl yu dɔktɔ bɔt ɛni chenj ɔ inkris pan yu sayn dɛm.
Yu tink se dɛn kin rivɛns LVH?
Dis na di gud nyus. Yɛs, sɔm tɛm dɛn de, dɛn kin ebul fɔ kɔntrol LVH, kɔntrol am, ɛn ivin chenj am kpatakpata!Stɔdi dɔn sho se we dɛn kɔntrol di blɔd prɛshɔn fayn fayn wan, di at mɔsul we tik kin kam bak to sɔm mak.
Bɔt dis kin dipen pan aw yu sik bad, aw lɔng yu dɔn gɛt ay blɔd prɛshɔn, ɛn if yu gɛt ɔda mɛrɛsin lɛk fɔ fat. So di bɛst tin we yu go du na fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du. I rili impɔtant fɔ tek yu mɛrɛsin, chenj yu layf, ɛn go na di klinik di rayt tɛm.
Mɛsej we dɛn kin kɛr go na os
- Left Ventricular Hypertrophy (LVH) na we di wכl dεm na di at in men pכmp chεmba tik. Di men tin we kin mek dis apin na di ay blɔd prɛshɔn.
- Sɔntɛm no sayn nɔ go de na di fɔs tɛm, so mek dɛn chɛk yu blɔd prɛshɔn ɔltɛm ɛn mek dɛn chɛk yu na dɔktɔ.
- Di bɛst we fɔ kɔntrol LVH na fɔ trit di sik we de ɔnda am fayn fayn wan (espɛshali di ay blɔd prɛshɔn) we de mek di sik.
- Fɔ liv fayn layf (gud it, ɛksesaiz, fɔ kɔntrol yu wet) kin ɛp fɔ kɔntrol dis sik bad bad wan.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ opin wan. If yu no kwik kwik wan ɛn trit yu fayn, yu go ebul fɔ liv fayn layf.
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