yu no dεn tin ya bכt di lεft vεntrikl na yu at? (Left Ventricular Non-Compaction - LVNC) Lɛ wi tɔk!

Tide wi go tɔk bɔt wan sik we kɔmplikt smɔl, bɔt we kin rili impɔtant na di at. Sɔntɛm yu nɔ bin dɔn yɛri bɔt dis bifo. Dɛn kɔl am Left Ventricular Non-Compaction (LVNC) lɛk aw dɔktɔ dɛn kin kɔl am. Di nem kin tan lɛk big tin, bɔt nɔ wɔri, lɛ wi kip am simpul.

So wetin na di lεft vεntrikulכr nכn kכnjεstiv hat fεil (LVNC)?

Fɔ tɔk am simpul wan, dis na sik we kin apin we di lכw chεmba na di lεft say na wi at, di Lεft Vεntrikl, nכ de divεlכp fayn fayn wan. Tink bɔt am, nɔmal wan dis lɛft ventricle na wi at na wan mit we rili strɔng, we smol. Na di men pat we de pɔmp blɔd to wi wan ol bɔdi. bכt insay pכsin we gεt dis (LVNC), di lεft vεntrikl de lεk spכnj, i tik sכmtεm, εn i arenj lεk nεt. I gɛt wan il, lɛk di insay pat pan bred.

Dɛn kin tek dis as sik we dɛn bɔn wit at. Dis min se yu kin gɛt dis sik na yu at frɔm di tɛm we dɛn bɔn yu . If dɛn nɔ trit am fayn, dis (LVNC) kin mek yu gɛt siriɔs at prɔblɛm, dat na, at sik.

Aw dis LVNC kכndyushכn de afekt di wok we di at de du?

naw luk, di lεft vεntrikl na wi at gεt wan rili imכtant wok. Na dis wan de pɔmp di blɔd we gɛt bɔku ɔksijɛn frɔm di lɔng dɛn to di wan ol bɔdi. Jɔs lɛk wata motoka. כltu, we dis (LVNC) kכndishכn de apin, di lεft vεntrikl we lεk spכnj nכ kin kכntrakt כ rilaks fayn fayn wan. Dat min se i nɔ kin izi fɔ mek i tayt ɛn push di blɔd fɔ go bifo, ɔ fɔ rilaks ɛn ful-ɔp am wit blɔd bak. So, di rizulyt na dat di wok we i de du fɔ pɔmp blɔd to di wan ol bɔdi nɔ de apin fayn . Dis na di rizin we mek difrɛn prɔblɛm dɛn kin bigin fɔ kam.

Aw rare dis kכndyushכn dεn kin kכl am LVNC?

Dis na rili wan tin we nɔ kin apin so ɔltɛm. Di wan dɛn we sabi bɔt mɛrɛsin se na lɛk twɛlv pipul dɛn nɔmɔ pan wan milyɔn pipul dɛn kin gɛt dis sik ɛvri ia. Bɔt di rial nɔmba kin pas dat fa fawe . De rizin na bikɔs sɔm pipul dɛn nɔr kin sho ɛni sayn. Dɔn dɛn nɔ kin go to dɔktɔ, ɛn dat mek dɛn nɔ kin gɛt diagnosis.

Wetin na di sayn dɛm fɔ LVNC?

Dis na di tin we impɔtant pas ɔl. Sɔm pipul dɛn nɔ kin sho ɛni sayn . Bɔt ɔda pipul dɛn kin gɛt siriɔs at prɔblɛm. Fɔ ɛgzampul, di at kin day wantɛm wantɛm. Na lɛk tu-tɛd pan di pipul dɛn we gɛt LVNC kin gɛt prɔblɛm wit dɛn at .

Okay, so lɛ wi si us kayn sik pɔsin we gɛt (LVNC) kin sho:

Di sayn dɛm we dɛn kin si bɔku tɛm:

• Blɔd kin klɔt. Dɛn tin ya rili denja, bikɔs if dɛn klɔt ya travul go na di bren ɔ di lɔng, i kin bi big prɔblɛm.
• Yu kin gɛt prɔblɛm fɔ blo we yu de ledɔm na bed.
• Fɔ mek pɔsin nɔ ebul fɔ waka .
• di at de bit - Dis kin fil lεk aw drum de bit insay di chεst, כ lεk se di at de rεs.
• We yu nɔ ebul fɔ du ɛksɛsayz, yu nɔ de blo shɔt ivin if yu tray smɔl (Dyspnea) .
• At ritm we nɔ de ɔltɛm (Arrhythmia) .
• di leg dεm de swεla (Lymphedema) - spεshal wan na di ankכl dεm.
• Shortness of breath / Dyspnea - Fɔ fil lɛk se yu nɔ de blo ivin wit smɔl tray.

Wetin mek dis LVNC kɔndishɔn kin apin? Wetin na di tin dɛn we kin mek i apin?

כl di tεm dεm, dis (LVNC) kכndyushכn de kכz fכ wan jεnεtik chenj (Jεn mכtεshכn) we de apin bifo yu bכn. Dis na tin we rili kɔmpleks. Dis chenj na yu jɛnɛtiks kin apin bay wilful, we min fɔ natin, ɔ yu kin gɛt am frɔm yu mama ɛn papa. Dat min se i kin bi sɔntin we de rɔn na famili. Jɔs tink bɔt aw sɔm famili dɛn kin gɛt dis kayn at sik.

כlso, wan rili sכm pasεnshכn pan uman dεm kin gεt LVNC fכ di fכs tεm we dεn bεlε fכ nכ rizin. Dɔktɔ dɛn tink se dis kin bi bikɔs di at mɔsul kin strɛs pasmak we uman gɛt bɛlɛ. Fɔ sɔm uman dɛn, dɛn sik ya kin go afta dɛn dɔn bɔn pikin. Bɔt fɔ ɔda pipul dɛn, LVNC kin gɛt lɔng tɛm ifɛkt.

Aw dɔktɔ dɛn kin no dis LVNC kɔndishɔn?

Dɔktɔ go du sɔm tɛst fɔ no if yu gɛt dis (LVNC) kɔndishɔn ɔ nɔ gɛt am. Lɛ wi tek wan luk pan wetin dɛn bi:

• Echocardiogram: Dis de luk aw yu at de pamp blɔd fayn fayn wan, aw di valv dɛn de wok fayn, ɛn if ɛni prɔblɛm de wit di valv dɛn. I tan lɛk we dɛn de du ɔltra saund skan na di at. dis na di say we yu fכs si di spכnj nכchכ fכ di lεft vεntrikl.
• Ilɛktrokardiogram (ECG): Dis de sho aw yu at de wok wit ilɛktrik. I kin no ɛni prɔblɛm wit yu at ritm.
• Spɛshal imej tɛst dɛn: Dɛn tin ya na kadyak CT skan ɛn magnɛtik rɛsɔnans imej (MRI). Dɛn tin ya kin sho aw di at tan lɛk aw dɛn mek di at ɛn aw in wɔl dɛn tik. insay LVNC, di we aw i tan lεk sכpכn de sho klia wan pan dεn skan dεm ya.
• Koronari angiogram: Dis de tɛst aw blɔd de flɔ tru di korona at we de gi blɔd to di at, ɛn if ɛnitin de we de blok. Sɔntɛnde, dɛn kin nid fɔ du dis tɛst bak fɔ mek dɛn nɔ gɛt ɔda at prɔblɛm dɛn.

Wetin na di tritmɛnt fɔ dis LVNC kɔndishɔn?

Di tritmɛnt fɔ LVNC kin difrɛn difrɛn wan dipen pan yu simptom dɛm. Nɔto ɔlman dɛn kin trit di sem we. Fɔ ɛgzampul, if yu gɛt at prɔblɛm, yu dɔktɔ kin gi yu mɛrɛsin lɛk:

• di angiotensin-kכnvεrt εnzym inhibito dεm (ACE inhibito dεm): fכ egzampl, benazepril (Lotensin®) כ lisinopril (Prinivil®, Zestril®) כ sacubitril-valsartan (Entresto®) (angiotensin-neprilysin inhibito dεm). Dɛn tin ya de wok bay we dɛn de rilaks ɛn opin yu blɔd vesel dɛn (vein ɛn atria) fɔ mek i izi fɔ mek blɔd flɔ tru dɛn. Dis kin mek di wok we de na di at nɔ bɔku.
• Beta-blɔka: Fɔ ɛgzampul, mɛtoprolɔl (Lopressor®, Toprol XL®) ɔ atenɔlɔl (Tenormin®). dis dεm de blכk sכm כmon dεm (e.g. adrenaline), we de dכn bכdi prεshכn εn kכntro di at rεt.
• Digoxin (Digoxin®, Lanoxin®): Dis de kɔntrol yu at rit, i de mek yu at gɛt trɛnk fɔ pɔmp smɔl, ɛn i de mek di blɔd go fayn fayn wan.
• Diuretics ɔ "water pills": Dɛn tin ya de wok bay we dɛn de mek di bɔdi pul di sɔl ɛn wata we pasmak tru di urine. Dis kin mek di at nɔ swel ɛn i kin mek di at nɔ bɔku.

Sɔntɛnde, if risk de fɔ mek yu at stɔp wantɛm wantɛm, di dɔktɔ kin se yu fɔ put wan tin we dɛn kɔl Implantable Cardioverter Defibrillator (ICD) ɔnda di at skin. Dis na smɔl tin we dɛn kin yuz batri fɔ yuz. I de no wan fast, layf-threating ritm na di at ɛn gi ilɛktrik shɔk to di at fɔ mek i gɛt di nɔmal ritm bak. If i rili siriɔs, if ɔda tritmɛnt dɛn nɔ wok, i kin nid fɔ mek dɛn transplant di at .

Yu tink se dis LVNC kɔndishɔn kin wɛl ɔltogɛda? Yu tink se dɛn kin chenj am?

Oh no. Naw, no mɛrɛsin nɔ de fɔ LVNC . Dat min se, dɛn nɔ go ebul fɔ rivɛns am. Bɔt nɔ wɔri. Tritmɛnt kin mek yu kwaliti layf bɛtɛ ɛn ridyus di prɔblɛm dɛn we kin apin bikɔs ɔf at sik . Ɛn, lɛk aw a bin dɔn tɔk bifo tɛm, insay di kes dɛn we kin rili bad, i kin nid fɔ transplant at.

Aw wi go avɔyd dis LVNC sityueshɔn?

No we nɔ de fɔ mek dɛn nɔ gɛt LVNC. Dis na bikɔs bɔku tɛm na di tin dɛn we de mek pɔsin in jɛnɛtiks kin mek i apin. Bɔt if yu gɛt di jin muteshɔn we de mek yu gɛt dis sik, ɔ if yu tink se yu kin gɛt am (fɔ ɛgzampul, if pɔsin na yu famili gɛt dis sik), fɔ tɛst yu jɛnɛtiks kin rili ɛp.Wan pɔsin we de advays yu bɔt yu jɛnɛtiks go ɛksplen to yu ɛn yu famili bɔt yu tɛst rizɔlt. Dɛn go ɛp yu fɔ ɔndastand wetin i min fɔ gɛt LVNC ɛn wetin yu risk fɔ pas am to yu pikin dɛn.

Ɔda mɛdikal kɔndishɔn dɛn de we gɛt fɔ du wit dis LVNC kɔndishɔn?

Yɛs. sכmtεm dεn kin si dis kכndyushכn we dεn kכl (LVNC) bak as pat pan כda jεnεtik kכndishכn dεm (syndromes). dis dεm kin kכmplikt sכmtεm, bכt dכkta dεm kin tink bak fכ dεn kכndyushכn ya we dεn de no fכ (LVNC). Na sɔm ɛgzampul dɛn ya:

• Di sik we dɛn kɔl Barth syndrome
• Noonan sindrom we gɛt di sik
• Sindrom we gɛt di sik we dɛn kɔl Roifman
• Toriello Carey sindrom we gɛt di sik

Wetin na di fiuja fɔ pɔsin we gɛt LVNC? Wetin na di layf we pɔsin kin liv?

De luk fɔ pɔrsin wae gɛt LVNC kin difrɛn. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. If dɛn trit am fayn, dɛn kin ebul fɔ kɔntrol di sik dɛn , ɛn sɔm pipul dɛn kin liv lɛk aw dɛn kin liv.

LVNC na wan sik we kin kil pɔsin, bɔt nɔto ɔltɛm i kin bi . Bɔrku pipul dɛm wae gɛt LVNC nɔr kin day pan dis sik. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ we de mɛn yu at ɔltɛm ɛn du tɛst . I kin ɛp yu fɔ kɔntrol yu at wɛlbɔdi ɛn ridyus yu risk fɔ gɛt prɔblɛm dɛn.

If mi ɔ mi pikin gɛt LVNC, us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

If yu ɔ yu pikin gɛt (LVNC), ɔ if yu gɛt ɛnitin fɔ wɔri bɔt, i go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di tin we kin mek mi/mi pikin gɛt LVNC kɔndishɔn? (i.e. na jenɛtik ɔ ɔda tin)
• Yu kin rεkomεnd fכ du jεnεtik tεst fכ LVNC? If na so i bi, yu tink se i go impɔtant fɔ ɔda pipul dɛn na di famili?
• Us tɛst mi/mi pikin nid fɔ gɛt fɔ no se i gɛt LVNC? Wetin a go ɛkspɛkt frɔm dɛn?
• Wetin na di tritmɛnt opshɔn dɛm fɔ LVNC? Us tritmɛnt bɛtɛ fɔ mi/mi pikin? Ɛni bad tin de we dɛn tritmɛnt ya kin du?
• If mi ɔ mi pikin gɛt at pwɛl wantɛm wantɛm, wetin na di sayn dɛn we de sho se i gɛt dis sik? Wetin a fɔ du wantɛm wantɛm?

Dɛn kwɛstyɔn ya go ɛp yu fɔ tɔk bɔt dɛn wit yu dɔktɔ ɛn ɔndastand yu sik gud gud wan.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

di lεft vεntrikulכr nכn-fכnshכn at (LVNC) na wan at sik we nכ kin gεt bכku tεm we dεn kin kכnεkt. dis na we di lεft vεntrikl na di at nכ de divεlכp fayn fayn wan. Bifo i bi wan smɔl smɔl mɔsul we strɔng, i kin tik ɛn tan lɛk spɔnj. Dis kin mek di at nɔ de pɔmp blɔd fayn fayn wan.

If yu gɛt (LVNC), .Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ we de mɛn yu at ɔltɛm ɛn fala dɛn advays. Pan ɔl we no mɛrɛsin nɔ de fɔ dis, di tritmɛnt we yu dɔktɔ de gi yu kin mek yu nɔ gɛt prɔblɛm dɛn ɛn i kin mek yu liv bɛtɛ layf. I impɔtant fɔ mek yu nɔ fred ɛn gɛt di rayt tritmɛnt . Mɛmba se nɔto yu wangren de, ɛn dɔktɔ dɛn de fɔ ɛp yu.