Yu gɛt prɔblɛm wit yu at in mitral valv? Mek wi tɔk bɔt Mitral Valve Disease!

Sɔntɛnde, yu kin fil smɔl pen na yu chɛst, i nɔ kin izi fɔ yu fɔ blo, ɔ yu at kin chenj wantɛm wantɛm? Yu go tink se dɛn tin ya na nɔmal tin. Bɔt sɔmtɛm, dɛn tin ya kin bi sayn fɔ sɔm wikɛdnɛs na di mitral valv na yu at. Nɔ wɔri, tide wi go tɔk bɔt dis simpul mitral valv sik (`Mitral Valve Disease`) .

Wetin na di mitral valv? Aw i de wok na di at?

Fɔ tɔk am simpul wan, yu at na wɔndaful ɔgan. I gɛt 4 men chɛmba dɛn. I tan lɛk di rum dɛn we de na os. As blɔd de travul bitwin dɛn chɛmba dɛn ya, smɔl smɔl get dɛn de we de mek di blɔd de flɔ na wan say nɔmɔ. Na dat wi kin kɔl valv . di mitral valv de bitwin di כp chεmba na di lεft say na yu at (di lεft atrium) εn di lכw chεmba (di lεft vεntrikl). I tan lɛk smɔl get. di men wok we i de du na fכ mek di bכdi we gεt כksijεn frכm di lכng dεm pas frכm di lεft atria to di lεft vεntrikl. afta dat di lεft vεntrikl de pכmp di bכdi כlsay na di bכdi. Di mitral valv tan lɛk trafik polisman , we de mek di blɔd flɔ na wan say nɔmɔ ɛn nɔ de bak kɔmɔt. So, if sɔntin dɔn pwɛl na dis mitral valv, ɔ if i nɔ wok fayn, dɛn kin kɔl am Mitral Valve Disease . Dis kin apin wantɛm wantɛm, ɔ i kin kam as tɛm de go. Sɔm pipul kin bɔn wit dis sik (congenital).

Wetin na di men kayn mitral valv sik?

Tri men kayn mitral valv sik de. Lɛ wi luk wetin dɛn bi. Tink bɔt yu mitral valv lɛk domɔt we gɛt tu flap (`liflet` ɔ `cusps`). Dɛn flap ya nid fɔ opin ɛn lɔk fayn fayn wan fɔ mek blɔd go pas. 1. Mitral Valve Stenosis: Dis na we di flap dεm de tik, stif, εn dεn nכ de opin fayn fayn wan. dis de mek di rod fכ bכdi sכmtεm frכm di lεft atria to di lεft vεntrikl. I tan lɛk wata paip we dɔn lɔk. Dis kin mek di at wok tranga wan fɔ pɔmp blɔd. 2. Mitral Valve Prolapse: dis na we di flap dεm de tu fleksibul, εn we di at kכntrakt, dεn de kכmכt na di lεft atrium. Dɛn kin sag lɛk ol klos. Dis kin mek di valv nɔ lɔk fayn. if dis apin, sכmtεm di bכdi kin bigin fכ lik bak (`regurgitation`). 3. Mitral Valv Rεgεrjiteshכn: dεn kin kכl dis ` `lik valv`` כ ``mitral insufficiency``.Dɛn kin kɔl am bak. wetin de apin ya na dat di flap dεm na di valv nכ de kכloz togeda fayn fayn wan. afta dat, sכm pan di bכdi we go insay di lεft vεntrikl de lik bak insay di lεft atria. I tan lɛk se briz de lik kɔmɔt na balyɔn we dɛn dɔn pank. Sɔm pipul dɛn kin gɛt pas wan pan dɛn kayn tin ya.

Udat kin gɛt mitral valv sik? Aw i kɔmɔn?

Dis sik kin kam pan ɛni ej. Sɔm pikin dɛn kin bɔn wit dis prɔblɛm. Sɔm big pipul dɛn kin gɛt am wantɛm wantɛm, bikɔs ɔf at infekshɔn ɔ at atak . Bɔt i kin bi smɔl smɔl pan pipul dɛn we dɔn ol as di valv de wik. di tכp we dεn kכl `Mitral Valve Prolapse` de mכr kכmכn pan uman dεm. Bɔt i kin denja smɔl if i kam pan man dɛn, bikɔs dɛn kin gɛt siriɔs rigurgitation.

• Mitral Valve Stenosis nɔ kin bɔku smɔl na kɔntri dɛn lɛk Amɛrika, bɔt i kin bɔku na kɔntri dɛn usay rεumatik fiva kin kam.
• Mitral Valve Prolapse na tin we kin apin mɔ. Na lɛk 1 pan ɛvri 33 pipul dɛn na Amɛrika kin gɛt dis sik. Bɔt nɔto ɔlman go gɛt siriɔs blɔd lik.
• Mitral Valve Regurgitation na tin we kɔmɔn bak. Dɛn se lɛk wan pan ɛvri 10 pipul dɛn na Amɛrika kin gɛt lik na dɛn at valv. di kayn lik we kכmכn pas כl na di mitral valv.

Wetin na di sayn dɛm fɔ mitral valv sik?

Di sayn dɛm wae yu kin gɛt kin dipen pan di kayn mitral valv sik wae yu gɛt ɛn aw i kin tranga. Sɔntɛnde yu nɔ kin gɛt ɛni sayn atɔl . Ɔ yu kin gɛt tin dɛn lɛk:

• Chɛst de pen ɔ tayt.
• Kɔf , sɔntɛnde wit smɔl blɔd.
• Diziz ɔ fɔdɔm.
• Taya ɛn taya (` Taya` ) .
• Di at we de blo . Yu kin fil se yu at de bit kwik kwik wan ɔ yu kin yɛri di sawnd we yu at de bit.
• Sɔm pipul dɛn kin gɛt maygren .
• Wan kɔndishɔn we dɛn kɔl "Mitral facies." Dis na we di chɛst dɛn kin tan lɛk pinkish-pɔpul kɔlɔ.
• "Orthostatic hypotension" min se yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm we yu tinap.Fɔ mek di blɔd prɛshɔn go dɔŋ .
• Shortness of breath , mɔ we yu taya ɔ we yu de ledɔm.
• Di leg, anklɛ, ɛn fut kin swel .

Dɛn sayn ya kin gɛt fɔ du bak wit ɔda at sik dɛm (atrial fibrillation, at failure).

Wetin na di tin dɛm wae kin mek yu gɛt mitral valv sik?

Bɔku rizin dɛn kin de fɔ dis. Lɛ wi luk di men wan dɛn:

• Di at we dɛn bɔn wit: Dɛn kin bɔn sɔm pipul dɛn wit prɔblɛm wit di mitral valv.
• di sik dεm we de kam wit di kכnektiv tisu: εgzampl dεm na di kכndyushכn dεm lεk Marfan sεndr כm εn Ehlers-Danlos sεndrכm .
• Hat infεkshכn (endocarditis): Infεkshכn insay di at kin pwεl di valv dεm.
• di lεft vεntrikul εnlarjmεnt: bכku tεm dis kin bi fכ at atak כ wan kכndyushכn lεk kכ diכmayopati (we di at mכsul wik).
• We yu de ol: As yu de ol, di kalsiɔm kin gɛda na yu at valv dɛn. dis kin mek di valv dεm tik εn nכ de wok fayn.
• Rεdyushכn tεrapi: Pipul dεm we dεn bin gεt rεdyushכn tεrapi to di chεst εria kin gεt hat valv dεm we dεn dכn pwεl 10-20 ia afta dat.
• Rimatik fiva: Dis na fiva we kin kam bikɔs ɔf baktriyal infɛkshɔn. If dɛn nɔ trit am fayn, i kin pwɛl di at valv dɛn fɔ lɔng tɛm. Trade, dis na bin di men tin we kin mek pɔsin gɛt Mitral Valve Stenosis. Naw, bikɔs ɔf di antibayɔtiks, dis dɔn go dɔŋ bad bad wan.

Aw dɛn kin no bɔt mitral valv sik?

Na we dɔktɔ chɛk yu ɛn du sɔm tɛst dɛn nɔmɔ yu go ebul fɔ no dis .

Fɔ chɛk yu bɔdi

Di dɔktɔ go put stetɔskɔp na yu chɛst ɛn lisin to yu at sawnd. Dɔn dɛn go luk fɔ spɛshal sawnd dɛm (murmurs) we gɛt fɔ du wit difrɛn kayn mitral valv sik.

• insay `Mitral Valve Stenosis` : yu kin yeri sawnd as bכdi de pas tru di valv we sכmtεm sכmtεm εn ``snap`` sawnd we di valv de opin.
• Insay `Mitral Valve Prolapse` : yu kin yɛri wan `klik` sawnd, we yu kin yɛri wan `murmur`. Dɛn kin kɔl dis bak `klik-murmur sindrom`.
• Insay `Mitral Valve Regurgitation` : Dɛn kin yɛri wan `murmur` as blɔd de lik bak.

Apat frɔm dat, dɛn go aks bɔt yu sik ɛn if ɛnibɔdi na yu famili gɛt at sik.

Test dɛn fɔ no if pɔsin gɛt di sik

Echocardiogram (echo) na di bɛst tɛst fɔ dis. I kin luk pan bɔku tin, lɛk aw di at valv dɛn de, aw di at big, ɛn aw i de wok. I tan lɛk we dɛn de du ɔltra saund skan. Apat frɔm dat, i kin du tɛst dɛn lɛk:

• Ilɛktrokadyografi (ECG/EKG): Dis de mɛzhɔ di ilɛktrik wok we di at de du.
• di chεst εks-ray: dεn kin yuz dis fכ chεk fכ di lεft vεntrikl big εn fכ wata we de kכmכt na di lכng dεm.
• Cardiac Catheterization: Dɛn kin put smɔl tiub insay di at tru wan blɔd vesel fɔ no di prɛshɔn we de insay di at. dis kin εp fכ chεk fכ mitral valv stεnosis. Dɛn kin du dis bak bifo dɛn du di ɔpreshɔn fɔ chɛk fɔ si if i gɛt prɔblɛm wit di korona at.

Aw dɛn kin trit mitral valv sik?

If yu nɔ gɛt di sik, sɔntɛm yu nɔ nid tritmɛnt. Yu dɔktɔ go de wach yu ɔltɛm ɛn wach yu kɔndishɔn. If yu gɛt sɔm sayn dɛn, dɛn go nid fɔ trit dɛn. Di tritmɛnt kin dipen pan bɔku tin, lɛk aw yu sik, yu ej, ɛn if yu gɛt ɔda sik. Bɔku men tritmɛnt dɛn de we yu kin pik:

• Di mɛrɛsin dɛn we dɛn kin yuz:

Yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol yu sik dɛn. Fɔ ɛgzampul, diuretik, beta-blɔka ɔ kalsiɔm chanɛl blɔk , ɛn blɔd prɛshɔn mɛrɛsin. Dɛn kin gi yu bak mɛrɛsin fɔ mek blɔd tan ɔ fɔ mek yu nɔ gɛt bɔku blɔd.

• `Balɔn Valvotomi`: .

Dis na fɔ pipul dɛm wae gɛt `Mitral Valve Stenosis`. Dɛn kin pas wan smɔl kateshɔn we tan lɛk balɔ tru wan blɔd vesel insay di at, ɛn dɛn kin blo di balyɔn nia di valv we dɔn blok, ɛn dis kin mek di valv opin ɛn mek di say we di blɔd go pas big.

• Mitral valv ripa ɔpreshɔn: .

Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ mek di valv fayn pas fɔ pul am. Dis kin mek yu ebul fɔ kip yu yon valv ɛn avɔyd sɔm pan di prɔblɛm dɛn we kin kam wit atifishal valv.

• Mitral valv riplesmɛnt ɔpreshɔn:

Sɔntɛnde, if di valv dɔn pwɛl tumɔs fɔ mek dɛn ebul fɔ mek am, dɛn kin pul am ɛn put atifishal valv insay.

• Minimal invasiv ɔpreshɔn (`Minimally invasive mitral valv ripa`):

Dɛn we ya kin mek pɔsin wɛl kwik kwik wan bikɔs dɛn kin du di ɔpreshɔn tru smɔl smɔl say dɛn pas fɔ kɔt big big say dɛn. mεtכd dεm de lεk `Right mini-thoracotomy` , `partial upper sternotomy` , εn `robotically-assisted repair` .

• Di tin dɛn we dɛn kin du we dɛn kin yuz pɔrkyutan:

Dis na tritmɛnt dɛn we dɛn kin yuz kateshɔn. Dɛn kin rili fayn fɔ pipul dɛn we gɛt at we dɔn big ɛn we wik. fכ pipul dεm we gεt `Mitral Valve Regurgitation`, dεn kin atak wan sכmכl divays we dεn kכl `MitraClipTM` pan di valv, we de mek i kכloz fayn fayn wan εn ridyus di bakfכ fכ bכdi.

• Pɛrkyutanɛs mitral valv riplesmɛnt:

Fɔ di wan dɛn we gɛt ay risk fɔ ɔpreshɔn bɔt we gɛt fayn valv pozishɔn, sɔntɛnde dɛn kin put nyu valv frɔm insay di ol valv we gɛt sik.

Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt di tritmɛnt we go fayn fɔ yu.

Sɔm prɔblɛm dɛn we kin apin we dɛn de trit am

Bɔku tɛm, dɛn ɔpreshɔn ɛn tritmɛnt dɛn ya kin rili wok fayn. Di risk fɔ gɛt kɔmplikeshɔn nɔ bɔku. Bɔt jɔs lɛk ɛni ɔpreshɔn pan pɔsin in at, dɛn tin ya kin apin:

• At bit we nɔ de bit ɔltɛm (`Aritmia`) .
• Blɔd we de kɔmɔt
• Blɔd we de klɔt
• At atak
• At blɔk
• Sik we de prɛd

Dɛn risk ya kin difrɛn fɔ di tritmɛnt wae yu de gɛt ɛn yu wɛl bɔdi, so tɔk to yu dɔktɔ bɔt dis bak.

Yu tink se dɛn kin ebul fɔ avɔyd mitral valv sik?

Bɔrku tɛm e kin tranga fɔ mek dɛn nɔr gɛt dɛn valv sik ya. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt as yu de ol:

• Mek yu gɛt wɛlbɔdi wet. I rili fayn fɔ yu at ɛn yu blɔd vesel.
• Tek di antibayɔtik dɛm we yu dɔktɔ gi yu fɔ tin dɛm lɛk strɛp trot ɔ skarlet fiva jɔs fɔ di tɛm we dɛn gi yu.
• Si dɔktɔ wan tɛm insay di ia fɔ mek dɛn chɛk yu wɛlbɔdi .

If yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt tin dɛn we yu kin du fɔ ridyus di risk fɔ mek yu pikin gɛt at prɔblɛm we dɛn bɔn wit. I go mɔs bi se i go advays yu fɔ avɔyd fɔ smok, fɔ drink rɔm, ɛn fɔ tek drɔgs. If pɔsin na yu famili gɛt histri bɔt at sik we dɛn bɔn wit ɔ kɔnektiv tisu sik, yu kin tink bɔt fɔ tɛst yu jɛnɛtiks .

Aw lɔŋ yu kin liv wit mitral valv sik?

Dis kin dipen pan bɔku tin, lɛk di kayn sik we yu gɛt, aw i bad, aw i dɔn pwɛl yu at, ɛn ustɛm yu gɛt tritmɛnt. So, tɔk to yu dɔktɔ bɔt di tin we de apin to yu.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn fɔ mitral valv sik, go to dɔktɔ wantɛm wantɛm . If yu no am kwik, dat kin ɛp fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn leta. If yu sik nɔr tu, yu dɔktɔ go aks yu fɔ kam insay ɔltɛm fɔ wach yu sik. Nɔ fɔgɛt fɔ go fɔ fala-ɔp visit afta yu dɔn gɛt tritmɛnt.

Kes dɛm we nid fɔ gɛt tritmɛnt kwik kwik wan

If sɔntin lɛk dis apin, yu fɔ kɔl 1990 wantɛm wantɛm ɔ go na di ɔspitul we de nia yu:

• Bɔrku pen na yu chɛst.
• I nɔ kin no natin, i kin gɛt diziz, ɔ i kin wik pasmak.
• If di at de bit fast ɔ i nɔ de bit ɔltɛm.
• Wantɛm wantɛm, i kin at fɔ blo bad bad wan.
• If yu gɛt sayd ɛfɛkt we yu nɔ bin de ɛkspɛkt frɔm wan mɛrɛsin we yu de tek.

If yu de tek mɛrɛsin we de mek yu blɔd tan (anticoagulants), go to dɔktɔ wantɛm wantɛm if yu fɔdɔm. I impɔtant fɔ mek dɛn chɛk yu, ivin if yu nɔ si ɛni sayn na do fɔ se yu dɔn pwɛl, bikɔs i kin mek yu blɔd kɔmɔt insay yu bɔdi.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Wae dɛn dɔn no se yu gɛt mitral valv sik, i impɔtant fɔ lan mɔ bɔt am. Aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw bad mi kɔndishɔn de?
• Yu tink se dis kin wɔs as tɛm de go?
• Yu tink se a nid ɔpreshɔn? If na so i bi, ustɛm?
• A kin gɛt ɔpreshɔn we nɔ de tek bɔku mɔni ɔ tritmɛnt tru kateshɔn?
• Yu tink se dɛn kin mek mi valv, ɔ a nid fɔ gɛt nyu valv?
• Aw di tritmɛnt kin bi?
• Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tritmɛnt kin gi?
• Aw lɔng i kin tek fɔ mek i wɛl?
• Aw ɔltɛm a nid fɔ kam fɔ fala mi?
• A go gɛt fɔ tek ɛni mɛrɛsin naw ɔ afta dɛn dɔn trit mi? Fɔ aw lɔng?
• Us chenj dɛn a nid fɔ mek na mi layf?

Valv ripa na kɔmpleks tin, so i rili impɔtant fɔ fɛn spɛshal pɔsin we gɛt ɛkspiriɛns.

Aw a go tek kia ɔf misɛf?

Yu dɔktɔ go advays yu bay aw yu sik. Jɛnɛral wan, dɛn tin ya impɔtant:

• Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am.
• Tek kia ɔf yu tit ɛn yu gɔm fayn fayn wan. (Oral wɛlbɔdi kin afɛkt di at bak)
• Ɛksesaiz lɛk aw di dɔktɔ se.
• Nɔ smok, rɔm, ɛn drɔgs.
• Kɔntrol strɛs .
• Slip fayn fayn wan.

Update yu imejensi mɛdikal infɔmeshɔn kad.

If yu gɛt ɛni valv sik, yu fɔ tɛl ɔl yu dɔktɔ ɛn dɛntist. Yu kin nid fɔ tek antibayɔtik bifo dɛn du sɔm tin dɛn fɔ mɛn yu tit ɔ fɔ mɛn yu. I rili impɔtant bak fɔ kip yu imejensi mɛdikal infɔmeshɔn kad wit yu. I fɔ gɛt dɛn tin ya:

• Yu ful nem ɛn di de we dɛn bɔn yu.
• Di tɛlifon nɔmba fɔ pɔsin fɔ notis we i gɛt ɛnitin fɔ du wit am.
• Ditiɛl dɛn bɔt yu praymari kia dɔktɔ.
• Yu alɛji dɛn.
• Ɛvri mɛrɛsin we yu de tek.
• Di kayn valv sik we yu gɛt.
• Yu bin ripɛnt ɔ riples di valv?
• If yu tek blɔd thinners.

If yu nɔ no aw fɔ du dis, aks yu dɔktɔ. Yu kin rayt dɛn tin ya na smɔl kad ɛn kip am na yu pɔs ɔ walet.

Fɔ dɔn, a fɔ se... (Tek-Home Message)

Mitral valv sik nɔ de afɛkt ɔlman di sem we. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn. Ɔda pipul dɛn kin gɛt big prɔblɛm wit di tin dɛn we dɛn kin du ɛvride. Di tin we impɔtant pas ɔl na fɔ go to yu dɔktɔ ɔltɛm ɛn wach yu wɛlbɔdi. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni nyu sayn ɔ chenj na yu sik. Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd valv sik bɔku tɛm, if yu liv layf we go mek yu at pwɛl, dat kin ɛp fɔ mek yu nɔ jɔs gɛt yu valv dɛn bɔt yu wan ol at wɛl. Nɔ wɔri, wit di rayt mɛrɛsin advays ɛn tritmɛnt, yusɛf kin ebul fɔ mɛn dis sik fayn fayn wan ɛn liv wɛl bɔdi layf! Mitral Valv Sik, At Sik, Valv Sik, I nɔ izi fɔ blo, Chɛst Pen, At Ɔpreshɔn, Mitral Valv Sik