Mek wi lan bɔt Mitral Valve Prolapse.

Sɔntɛnde yu kin fil lɛk se yu chɛst de bit, yu kin gɛt prɔblɛm fɔ blo ivin we yu de waka fɔ shɔt tɛm, ɔ yu kin jɔs fil taya ɔl di de? Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde, smɔl prɔblɛm kin de na di at we de biɛn dis. Mitral Valve Prolapse na wan sik wae dɛn kin si pan bɔrku pipul, bɔt bɔrku tɛm nɔr kin denja. Lɛ wi tɔk bɔt dis jɔs tide.

Fɔ tɔk am simpul wan, wetin na Mitral Valv Prolaps (MVP)?

Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. Doa dɛn de bitwin dɛn rum dɛn ya we de mek blɔd go ɛn kam bak. Dɛn domɔt ya na wetin wi kin kɔl "valv" na mɛrɛsin. Dɛn tan lɛk domɔt dɛn we jɔs de opin wan we.

di Mitral Valv na di do bitwin di כp chεmba (lεft atrium) εn di lכw chεmba (lεft vεntrikl) na di lεft say na yu at. Dis valv de opin ɛn lɔk ɛvri tɛm we yu at de bit, ɛn i de kɔntrol di blɔd we gɛt ɔksijɛn fɔ flɔ di rayt say.

Mitral Valve Prolapse (MVP) na kכndishכn we di tu liflet dεm na dis valv nכ de kכloz fayn εn insted dεn de bεnd bak, tכwεd di lεft atrium. I tan lɛk domɔt we nɔ de lɔk fayn ɛn bɛn smɔl bak. Sɔntɛnde dis kin mek di valv nɔ lɔk ɔl.

Bɔt nɔ wɔri. Dis na wan sik wae kin pasmak, wae kin afɛkt bitwin 2% ɛn 3% pan di pipul dɛm na di wɔl. Bɔrku pipul nɔr kin ivin no se dɛn gɛt am bikɔs dɛn nɔr kin gɛt ɛni sayn. Dat na bikɔs di valv dɔn bɛn smɔl, bɔt i stil de wok fayn.

Us sayn dɛm wae pɔrsin wae gɛt MVP kin gɛt?

Pan ɔl we bɔku pipul dɛn nɔ kin gɛt dis sik, sɔm pipul dɛn kin gɛt dɛn tin ya. Dɛn sayn ya nɔ kin apin di sem we fɔ ɔlman.

Wetin mek sɔntin lɛk dis kin apin?

di men tin we de mek MVP na di wik we di valv tisu de wik. insay mεdikal tεm dεm, dεn kכl dis ``myxomatous degeneration''. Fɔ tɔk am simpul wan, di valv tisu kin wik ɛn strɛch, lɛk wan ol rɔba band. Nɔto ɔltɛm dɛn kin fɛn di rayt rizin.

• Heredity: Sɔntɛnde if i de rɔn na di famili, i kin afɛkt pikin dɛn bak. Dis min se wan jenɛtik inflɔwɛns de.
• Ɔda mɛdikal kɔndishɔn dɛm: Pipul dɛm wae gɛt sɔm kɔnɛktiv tisu disɔda kin gɛt mɔ risk fɔ gɛt MVP. Fɔ ɛgzampul, sik dɛn lɛk Marfan syndrome ɛn Ehlers-Danlos syndrome.
• Ɔda tin dɛm wae kin mek pɔrsin gɛt dis sik: Pipul dɛm wae gɛt dis sik lɛk rεumatik hat sik, skɔliosis, ɛn Graves in sik kin gɛt smɔl risk bak.

Dis kin mek ɔda prɔblɛm dɛn apin?

Pan ɔl we bɔku pipul dɛn nɔ kin gɛt ɛni prɔblɛm, sɔm pipul dɛn, mɔ di wan dɛn we gɛt mɔ sik, kin gɛt sɔm prɔblɛm.

di men komplikashכn na wan kכndyushכn we dεn kכl Mitral Regurgitation . dis na we di valv nכ de kכloz fayn fayn wan, we de mek di bכdi lik na di rכng say, frכm di lεft vεntrikl bak insay di lεft atrium. If dis lik de bɔku, di at fɔ wok tranga wan.

If Mitral Regurgitation bi siriɔs, dɛn kɔmplikeshɔn ya kin apin:

• At we nɔ de wok fayn
• Infεkshכn na di valv (`Infεkshכn εndokarditis`) .
• di at bit we nכ de bit, fכ egzampl `(Atrial fibrillation)`
• Strok
• sכm tεm, siriכs at ritm irεgulεriti (`Ventricular arrhythmias`) kin mek di kadyak day wan wan.

Aw yu go fɛn dis, Dɔktɔ?

We yu go to dɔktɔ, i go aks yu bɔt di sayn dɛn we yu gɛt ɛn if ɛnibɔdi na yu famili gɛt at sik. Dɔn i go lisin to yu chɛst wit stetɔskɔp.

We dɔktɔ de lisin to di at fɔ pɔsin we gɛt MVP, i kin yɛri wan difrɛn sawnd. Na ‘klik’ sawnd, dɔn ‘whoosh’ sawnd (a murmur) . Dis na di rizin we mek sɔm pipul dɛn kin kɔl dis kɔndishɔn ‘klik-murmur syndrome’.

If yu yɛri dis sawnd, yu dɔktɔ go tɛl yu fɔ du sɔm ɔda tɛst fɔ no if yu gɛt di sik ɛn fɔ no if i rili bad.

Wetin na di tritmɛnt dɛm fɔ dis?

Di gud nyus na dat bɔrku pipul dɛm wae gɛt MVP nɔr nid ɛni tritmɛnt . Yu dɔktɔ go tɛl yu fɔ kam insay fɔ chɛk-ap ɔltɛm. Na dɛn visit dɛn de, dɛn go du ɛkokadiogram fɔ si if di valv in kɔndishɔn dɔn chenj.

• Mɛrɛsin fɔ di sayn dɛm: If yu gɛt sayn dɛm lɛk diziz ɛn chɛst pen, yu dɔktɔ kin gi yu mɛrɛsin lɛk beta-blɔka fɔ kɔntrol dɛm.
• Mɛrɛsin fɔ mek blɔd nɔ klɔt: If yu gɛt wan sik lɛk atrial fibrillation ɔ yu bin dɔn gɛt strok bifo, dɛn go gi yu mɛrɛsin dɛn we dɛn kɔl antikoagulant fɔ mek blɔd nɔ klɔt.
• Ɔpreshɔn: If di rigurgitation bad bad wan ɛn i de afɛkt di at, i kin nid fɔ du ɔpreshɔn.
• Mitral valv ripa: Ɛnitɛm we i pɔsibul, dɔktɔ dɛn go tray fɔ mek yu yon valv. Dis na di bɛst tin fɔ du.
• Mitral valv riplesmɛnt: If di valv dɔn tu damej fɔ mek dɛn ripɛnt am, di opshɔn na fɔ riples am wit nyu valv (mɛkanikal ɔ bayolojikal).

Wit di advans teknɔlɔji tide, dɛn kin du dɛn ɔpreshɔn ya tru wan smɔl say we dɛn kɔt (minimally invasive surgery) we dɛn nɔ opin di chɛst ɔltogɛda.

Aw a go no if misɛf go nid ɔpreshɔn?

Nɔto ɔlman we gɛt MVP nid ɔpreshɔn. Na lɛk wan pan ɛvri 10 pipul dɛn go nid ɔpreshɔn. Yu kin nid fɔ gɛt ɔpreshɔn if:

• If yu sik dɛn de wɔs as tɛm de go .
• If di valv de lik bכdi (regurgitation) na wan siriכs lεvεl .
• if skan sho se di at dכn big (`lεft vεntrikul εn/כ lεft atrial dilayshכn`).
• If yu gɛt at bit we nɔ de bit ɔltɛm (arrhythmia).
• if di at nכ ebul fכ pכmp inof bכdi to di bכdi (di ejection fraction de rεdכks).

Ustɛm a fɔ go to dɔktɔ kwik kwik wan?

Mek shɔ se yu go de chɛk-ap ɔltɛm lɛk aw yu dɔktɔ advays yu. Bɔt if dɛn tin ya apin wantɛm wantɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .

• Wantɛm wantɛm, bad bad pen na in chɛst.
• I nɔ kin no natin, i kin gɛt diziz pasmak, ɔ i kin wik pasmak.
• Wantɛm wantɛm, i nɔ kin izi fɔ yu fɔ blo.
• If yu de tek mɛrɛsin we de mek yu blɔd nɔ klɔt ɛn yu gɛt aksidɛnt lɛk we yu fɔdɔm , go to dɔktɔ wantɛm wantɛm, ilɛksɛf yu nɔ gɛt ɛni bad bad tin we yu go si na do, bikɔs i kin mek yu blɔd kɔmɔt insay yu bɔdi.