Yu at in mitral valv de ‘lɔs’ smɔl? (Mitral Valve Prolapse) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde yu kin fil se yu chɛst kin tayt smɔl, i nɔ kin izi fɔ yu fɔ blo smɔl, ɔ yu at kin chenj? Dis kin bi bikɔs ɔf smɔl chenj na wan smɔl valv na yu at. Bɔku pipul dɛn nɔ kin ivin no bɔt dis, bɔt i rili impɔtant fɔ no. Nɔ wɔri, tide wi go tɔk bɔt dis kɔndishɔn (Mitral Valve Prolapse) insay simpul wɔd.

Wetin na Mitral Valv Prolaps?

Fɔ tɔk am simpul wan, wi at gɛt wan valv we dɛn kɔl Mitral Valve . I de wok lɛk domɔt. i de na di lεft say na di at bitwin di כp chεmba (lεft atrium) εn di lכw chεmba (lεft vεntrikl). dis valv de εp fכ fכlכ bכdi we gεt כksijεn klin klin frכm di lεft atria to di lεft vεntrikl.

Naw imajin, dis valv gɛt tu flap (liflet) . I tan lɛk tu domɔt. Ɛnitɛm we di at bit, dɛn flap ya kin opin ɛn lɔk. insay wan kכndishכn we dεn kכl Mitral Valve Prolapse (MVP), dεn flap dεm ya nכ de kכloz fayn, εn dεn de dכp sכmtεm tכwεd di lεft atrium. I tan lɛk domɔt we nɔ de lɔk fayn. Dis kin mek di valv nɔ lɔk fayn.

Dis kɔndishɔn (MVP) nɔr siriɔs lɛk aw yu kin tink. I kin afɛkt lɛk 2 to 3 pan ɔl 100 pipul dɛm na di jenɛral pipul dɛm. Bɔrku pipul dɛn kin liv witout ɛni sayn ɛn nɔr kin ivin no se dɛn gɛt am. Dis na bikɔs dɛn valv stil de wok fayn. Bɔt fɔ sɔm pipul dɛn, we di sik kin tranga, dɛn kin sho se dɛn gɛt di sik ɛn dɛn kin nid fɔ gɛt tritmɛnt. Sɔntɛnde, fɔ tink bɔt fɔ du ɔpreshɔn kin mek yu fred, bɔt di gud nyus na dat bɔku pipul dɛn de we dɔn du dis kayn ɔpreshɔn fayn fayn wan.

Wetin na di sayn dɛm fɔ dis?

Bɔrku pipul dɛm wae gɛt MVP nɔr kin gɛt ɛni sik, bɔt sɔm kin gɛt sɔm kayn sik lɛk:

• Chɛst pen: Nɔto jɔs shap pen lɛk at atak, bɔt i kin fil lɛk sɔm diskɔmfɔt ɔ prɛshɔn na di chɛst.
• I nɔ izi fɔ blo (dyspnea): Yu kin fil shɔt fɔ blo, mɔ we yu de du ɛksɛsayz ɔ klaym stej.
• Diziz: Yu kin fil lɛk se yu ed de spin wantɛm wantɛm.
• Taya: Yu kin jɔs fil taya ɛn yu nɔ gɛt layf.
• Hat palpitations: Dis na tin wae bɔrku pipul kin gɛt. Imajin se yu at de bit kwik kwik wan, ɔ yu kin yɛri yu at de bit na do, ɔ yu chɛst kin fil lɛk se i de bit.

De impɔtant tin na dat nɔr to ɔlman wae gɛt dis sik kin gɛt siriɔs sik (MVP). Sɔmtɛm, nɔr kin gɛt ɛni impɔtant rilayshɔn bitwin de sik ɛn aw de sik kin tranga. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ.

Wetin na di tin dɛm we kin mek mitral valv prolaps?

di men tin we kin mek i apin na we di valv tisu wik. Dɛn kɔl dis myxomatous degeneration insay mɛdikal sayɛns. I nɔ klia klia wan wetin mek dis tisu de wik. Sɔntɛnde, i kin kɔmɔt frɔm in mama ɛn papa. Dis min se di sik kin pas frɔm mama ɛn papa to pikin dɛn. Risach pipul dεn fכnshכn sεvεra jin dεm we de asai wit di kכndyushכn (MVP). fכ egzampl, dεn fכnshכn se jin dεm we dεn kכl (FLNA), (DCHS1), (DZIP1) εn (PLD1) de involv insay dis.

כlso, pipul dεm we gεt sכm kכnektiv tisu dizכrd dεm kin gεt dis kכndyushכn bak (myxomatous degeneration). Fɔ ɛgzampul:

• Marfan sindrom we gɛt di sik
• Ehlers-Danlos sindrom we gɛt di sik
• Loeys-Dietz sindrom we gɛt di sik

Bikɔs pipul dɛn we gɛt dɛn sik ya kin gɛt sɔm wikɛd tin na di kɔnektiv tisu dɛn na di bɔdi, i kin afɛkt di at valv dɛn bak.

Udat de pan denja fɔ gɛt dis (MVP)?

Mitral Valve Prolapse kin afɛkt pipul dɛm wae gɛt ɛni ej. Sɔm pipul dɛn kin bɔn wit dis sik, mɔr lɛk di wan dɛm wae gɛt di sik dɛm wae wi bin dɔn tɔk bɔt. Apat frɔm dat, dɛn kɔndishɔn ya kin mek di risk fɔ MVP bɔku:

• Rimatik hat sik: Na sik wae kin leta afɛkt di at if dɛn nɔ trit di trot infekshɔn fayn fayn wan.
• Skoliosis: Na wan sik we di spayna de kɔba.
• Graves’ disease: Na tayroyd gland we de wok pasmak.

pan ɔl we MVP kin bɔku pan uman dɛn, man dɛn kin gɛt di siriɔs mitral rigurgitation (blɔd we de lik bak) we kin kɔmɔt frɔm am.

Us prɔblɛm dɛn dis kin mek?

di men komplikashכn we kin apin pan pipul dεm we gεt MVP na mitral regurgitation. Fɔ tɔk am simpul wan, di valv nɔ de lɔk fayn, we de mek di blɔd lik bak frɔm di lɛft ventricle go na di lɛft atria. MVP na di men tin we de mek dis sik. If di lik bad bad wan, dɛn kin nid fɔ du ɔpreshɔn ɔ ɔda tritmɛnt fɔ mek di valv wok fayn.

Pipul wae gɛt ɔl tu di Mitral Valve Prolapse ɛn Regurgitation kin de pan risk fɔ gɛt kɔmplikeshɔn lɛk:

• At nɔ de wok fayn: Di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi.
• Infεkshכn εndokardaytis: Na infεkshכn na di insay layn כ valv dεm na di at.
• Atrial fibrillation: Na di at bit we nɔ de bit ɔltɛm.
• Ventricular arrhythmias: Dis na bak we yu at nɔ de bit ɔltɛm, we kin mek yu at day wantɛm wantɛm.
• Stroke: I de ambɔg di blɔd we de flɔ na di bren.

Aw dɛn kin no dis sik (Mitral Valve Prolapse)?

Dɔktɔ dɛn kin no if yu gɛt MVP bay we dɛn de chɛk yu ɛn du sɔm tɛst dɛn. Dɔktɔ kin no bɔku tin bay we i lisin to yu at wit stetɔskɔp . If yu gɛt MVP, yu dɔktɔ kin yɛri ‘klik’ sawnd as yu at de bit, dɔn ‘murmur’ (sawnd lɛk saful briz we de blo tru di at). biכs fכ dis difrεnt sawnd, dεn kכl MVP bak "klik-mכr sεndrכm."

We di dɔktɔ de chɛk yu, i go tɔk bak bɔt yu past mɛdikal istri ɛn yu famili mɛdikal istri . (MVP) Dis infɔmeshɔn rili impɔtant bikɔs sɔntɛnde i kin rɔn na famili.

If yu dɔktɔ sɔspɛkt se yu gɛt MVP ɔ ɔda valv prɔblɛm, dɛn go ɔda at le wan tɛst fɔ kɔnfirm di diagnosis.

Us tɛst dɛn kin du fɔ dis?

di men tεst we dεn kin yuz fכ no MVP na εchocardiogram . Dis de yuz ɔltra saund teknɔlɔji fɔ chɛk aw di at tan ɛn aw i de wok. Yu kin gɛt wan ɔ ɔl tu pan dɛn kayn tin ya:

• Transthoracic echocardiogram: Dis min se yu fɔ put ɔltra saund transducer na difrɛn say dɛn na yu chɛst fɔ tek pikchɔ fɔ di at in valv ɛn chɛmba dɛn.
• Transesophageal echocardiogram: Dis involv fɔ pas wan smɔl ɔltra saund transducer dɔŋ yu esophagus fɔ tek klia pikchɔ.

Apat frɔm dat, yu dɔktɔ kin ɔda fɔ du tɛst lɛk dis fɔ no mɔ bɔt yu at:

• Ilɛktrokadyografi (ECG/EKG): I de chɛk di ilɛktrik wok we di at de du.
• X-ray na di chɛst.
• di kadyak kateshכn: dεn de pas wan tin tכb insay di vein dεm εn di chεmba dεm na di at fכ egzamin dεm.

Aw dɛn kin trit dis?

Bɔrku pipul dɛm wae gɛt MVP nɔr nid ɛni tritmɛnt. If yu gɛt smɔl kes, yu dɔktɔ kin wach yu ɔltɛm. Dɛn kin gi mɛrɛsin bak lɛk beta-blɔka fɔ kɔntrol di sayn dɛm lɛk diziz ɛn palpitɛshɔn.

If yu gɛt atrial fibrillation ɔ yu bin dɔn gɛt strok bifo, yu go nid fɔ tek antikoagulant , ɔ blɔd tin fɔ mek yu blɔd tan. Tɔk to yu dɔktɔ fɔ disayd us mɛrɛsin fayn fɔ yu.

Fɔ sɔm pipul dɛn, di bɛst tritmɛnt fɔ MVP na ɔpreshɔn ɔ transkateta.I pɔsibul. Di we we go wok fayn pas ɔl go difrɛn difrɛn wan bay di tin dɛn we de apin to ɛnibɔdi. Di opshɔn dɛn fɔ ɔpreshɔn/prɔsidyural na:

• Mitral valv ripa: Dis involv fɔ ripɛnt yu yon valv ɛn mek i wok fayn fayn wan. Dis prosidur de alaw yu fɔ kip yu yon valv, we de avɔyd sɔm pan di risk ɛn kɔmplikeshɔn dɛn we gɛt fɔ du wit atifishal valv.
• Mitral valv riplesmɛnt: Fɔ sɔm pipul dɛn, nyu valv kin bi di bɛst, if nɔto di wan nɔmɔ. Yu dɔktɔ go ɛksplen wetin mek ɛn di kayn valv (mɛkanikal ɔ bayolojikal) we yu kin gɛt.
• Minimally invasive mitral valve repair: Dis nɔ kin invasive pas opin-hat ɔpreshɔn bikɔs dɛn kin du di ɔpreshɔn tru wan smɔl say we dɛn kɔt.
• transkateta mitral valv riplesmεnt: Dis mεtכd, we dεn de pas kateshכn tru wan blכd vεsεl, de yuz sכm sכm sכm pat dεm bak pas כda כpεrayshכn dεm.

Wetin na di bɛst tritmɛnt fɔ mi?

Di ansa to dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt plan fɔ yu. Mek shɔ se yu ɔndastand di bɛnifit ɛn risk dɛm fɔ ɛni (MVP) tritmɛnt. Di bɛst tritmɛnt plan fɔ yu go dipen pan bɔku tin dɛn, lɛk:

• Yu ej: Pipul dɛn we pas 80 ia kin gɛt bɔku prɔblɛm fɔ mek dɛn du dɛn ɔpreshɔn.
• Yu wɛlbɔdi istri we yu bin dɔn gɛt trade.
• Di wɛlbɔdi we yu gɛt naw.
• If yu gɛt ɔda at prɔblɛm dɛn we nid fɔ mek yu ripɛnt: Sɔntɛnde, dɔktɔ dɛn kin du di valv ripa ɛn wan tin we dɛn kɔl Coronary Artery Bypass Grafting (CABG) di sem tɛm.

Aw a go no if a nid tritmɛnt fɔ Mitral Valve Prolapse?

Na lɛk 1 pan ɛvri 10 pipul dɛm wae gɛt Mitral Valve Prolapse go nid fɔ go to dɔktɔ fɔ mek dɛn ripɛnt ɔr chenj dɛn valv. Yu kin nid fɔ ripɛnt ɔ riples di valv if:

• If yu sik dɛn de wɔs as tɛm de go.
• If yu mitral valv lik tumɔs blɔd (sivɛri rigurgitashɔn).
• if tεst sho se yu at de big (lεft vεntrikul εn/כ lεft atrial dilayshכn), tin dεm lεk valv prכblεm εn hεy blכd prεshכn kin mek yu lεft atria כ lεft vεntrikul big.
• If yu gɛt aritmia (at yu nɔ de bit ɔltɛm).
• If yu at nɔ ebul fɔ pɔmp inof blɔd to yu bɔdi. Yu (ejekshɔn frakshɔn) .if di lεft vεntrikl (di bכdi we di lεft vεntrikl kin pכmp wan tεm) tu lכw, i kin mek di at fεl.

Yu tink se dɛn kin mek di mitral valv nɔ kɔmɔt na di bɔdi?

No surefire way nɔr de fɔ mek yu nɔr gɛt Mitral Valve Prolapse. Bɔt yu kin ridyus yu risk fɔ gɛt akwyayz at valv sik as yu de ol . Na sɔm advays dɛn ya we go ɛp yu fɔ du dat:

• Yu fɔ du tin dɛn we yu de du fɔ yu bɔdi ɛvride. Bɔt aks yu dɔktɔ if yu gɛt ɛnitin fɔ stɔp yu.
• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak.
• Yuz to it we go ɛp yu at.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Kɔntrol kɔndishɔn lɛk ay blɔd prɛshɔn ɛn dayabitis. Tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek.
• Manej strɛs tru we dɛn lɛk yoga, dip briz, ɛn tɔk to ɔda pipul dɛn.

If yu fala dɛn advays ya, dat go ɛp yu bak fɔ strɔng fɔ gɛt ɔpreshɔn if yu nid am.

Aks yu dɔktɔ wetin yu tink se yu kin mek. Start smɔl, ɛn mɛmba se ɛni smɔl chenj we yu mek kin ad pan big impak tumara bambay.

Wetin a fɔ ɛkspɛkt if a gɛt Mitral Valve Prolapse?

Bɔrku tɛm, Mitral Valve Prolapse nɔr kin kɔz ɛni prɔblɛm, ɛn yu nɔr nid tritmɛnt. MVP nɔ kin ambɔg yu bɔdi. Bɔt fɔ sɔm pipul dɛn, MVP kin mek dɛn gɛt regurgitation ɛn ɔda prɔblɛm dɛn.

If dɛn dɔn no se yu gɛt Mitral Valve Prolapse, tɔk to yu dɔktɔ bɔt aw i siriɔs ɛn wetin yu fɔ ɛkspɛkt.

Aw lɔŋ yu kin liv wit Mitral Valve Prolapse?

Di layfspan fɔ pipul dɛm wae gɛt (MVP) de dipen pan bɔrku tin dɛm. Dɛn tin ya na:

• If rigurgitation dɔn apin bikɔs ɔf di stɔl we lɔs.
• Ilɛksɛf ɔda at sik dɛn de ɔr mɛrɛsin sik dɛn we gɛt fɔ du wit am.
• If yu go gɛt tritmɛnt ɛn ustɛm yu go gɛt.

Mitral valv ripa kin ɛp yu fɔ liv as lɔng as pipul dɛn we nɔ gɛt valv prɔblɛm. Wan stɔdi sho se pipul dɛn we dɛn dɔn ripɛnt valv bin gɛt layf we fiba di wan we di jenɛral pipul dɛn kin liv. Dis na bin tru fɔ pipul dɛn we ol bitwin 40 ɛn 89 ia.

So, if yu gɛt Mitral Valve Prolapse, i rili impɔtant fɔ mek yu de chɛk yu dɔktɔ ɔltɛm ɛn tɛl yu dɔktɔ bɔt ɛni nyu ɔ chenj we yu de si. Dis we ya, yu kin gɛt tritmɛnt we yu nid am.

Pipul dεm wae gεt siriכs rεgurjiteshכn wae nכ de du valv rεpair de fεs siriכs kכnsekvεns. Dɛn gɛt 20% risk fɔ day insay wan ia ɛn 50% risk fɔ day insay fayv ia.

Yu dɔktɔ kin tɛl yu bɔt yu sik ɛn di prɔgnosis we yu go gɛt tumara bambay.

Ustɛm a fɔ wɔri bɔt Mitral Valv Prolaps?

Tɔk to yu dɔktɔ bɔt wetin fɔ ɛkspɛkt ɛn ustɛm yu fɔ wɔri. Na kɔmɔn tin fɔ mek pipul dɛm wae gɛt Mitral Valve Prolapse fil wɔri bɔt dɛn kɔndishɔn. Bɔt bɔku tɛm, di sayn dɛm wae nɔr kin gɛt bɛtɛ sik nɔr kin mek pɔrsin wɔri. Yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol di sik dɛn lɛk we yu at de bit kwik kwik wan ɔ we yu at de bit.

Bɔt i impɔtant fɔ no di sayn dɛm we dɛn kin gɛt. Nɔr sayn nɔr tu smɔl fɔ ripɔt to yu dɔktɔ. Ivin if yu tink se na jɔs wan sayn, tɛl yu dɔktɔ bɔt wetin yu de fil. Dɛn go chɛk yu we nid de ɛn mek arenjmɛnt fɔ mek yu layf izi ɛvride.

Wetin a fɔ avɔyd if a gɛt (Mitral Valve Prolapse)?

Sɔm pipul dɛm wae gɛt Mitral Valve Disease kin nid fɔ avɔyd fɔ du tin wae kin tranga. I impɔtant fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we yu nɔ ebul fɔ du ɛn di tin we yu dɔn no bɔt. Di tin dɛn we dɛn kin stɔp fɔ du di wok kin dipen pan bɔku tin dɛn. Dɛn tin ya na:

• Yu dɔn ɛva fɔdɔm bifo?
• Sɔm aritmia, lɛk supraventricular tachycardia .
• Sivεr mitral valv rεgεrjiteshכn.
• Ridyus lεft vεntrikul εjεkshכn frakshכn.
• Wan istri bɔt aw blɔd bin dɔn klɔt trade .
• Wan famili histri fɔ day wantɛm wantɛm na di at we gɛt fɔ du wit Mitral Valve Prolapse.

No aktiviti restrikshɔn nɔr de fɔ pipul dɛm wae gɛt MVP. Bɔt tek tɛm ɛn aks yu dɔktɔ bifo yu bigin ɛni nyu ɛksesaiz program.

Yu tink se Mitral Valve Prolapse kin wɔs wit di ej?

Mitral Valve Prolapse kin wɔs as yu de ol. Na dat mek i impɔtant fɔ kip yu dɔktɔ in apɔntinmɛnt. Dɛn kin wach yu valv ɛn tɔk to yu bɔt di tritmɛnt opshɔn dɛm if nid de.

Valv sik kin bɔrku pan pipul dɛm wae dɔn pas 65. Wan rizin fɔ dis na di strɛs wae yu at kin put pan am na ɛvride layf. Bɔt at prɔblɛm lɛk korona at sik ɔ at pwɛl kin afɛkt yu valv dɛn bak, mɔ di mitral valv. Dis kin apin mɔ fɔ pipul dɛn we dɔn pas 75 ia.

Tɔk to yu dɔktɔ fɔ no mɔ bɔt aw ol pɔsin kin afɛkt yu mitral valv.

Aw a kin kia fɔ misɛf?

I go mɔs bi se yu dɔktɔ go tɛl yu fɔ si am ɔltɛm, ɛn fɔ du bɔku tin dɛn ɔltɛm. Yu kin avɔyd bak tin dɛn we de mek yu at strɛs, lɛk:

• Drink dɛn we gɛt rɔm.
• Di tin dɛn we dɛn kin mek wit tabak.
• Drug dɛn we dɛn kin tek fɔ ɛnjɔy dɛnsɛf.

Ustɛm a fɔ go to mi dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam fɔ fala-ɔp visit. I rili impɔtant fɔ go na ɛni apɔntinmɛnt. Yu kin nid bak fɔ du imej tɛst ɔltɛm fɔ chɛk di wɛlbɔdi na yu mitral valv.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Kɔl 911 ɔ yu lokal imejensi nɔmba if yu gɛt ɛni wan pan dɛn sik ya:

• Chɛst de pen.
• Diziz, layt ed, ɔ wik pasmak.
• I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm ɛn bad bad wan.
• Wan sayd ɛfɛkt we yu nɔ bin de ɛkspɛkt frɔm yu mɛrɛsin.

If yu de tek mɛrɛsin we de mek yu blɔd tan (anticoagulants) ɛn yu de fɔdɔm, go to dɔktɔ wantɛm wantɛm. Di tin dɛn we de mek blɔd tan, kin mek di blɔd kɔmɔt insay pɔsin in bɔdi. Ivin if yu fil fayn, i impɔtant fɔ mek dɔktɔ chɛk yu. Blɔd we de kɔmɔt insay pɔsin in bɔdi kin kil pɔsin if dɛn nɔ trit am.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu jɔs dɔn no se yu gɛt Mitral Valve Prolapse, yu kin gɛt bɔku kwɛstyɔn dɛn lɛk:

• Aw siriɔs mi sik de?
• Aw a go ebul fɔ kɔntrol mi sik dɛn?
• A nid fɔ ripɛnt ɔ riples di valv? If na so, yu kin ɛksplen to mi ɛni step fɔ di prosidur ɛn fɔ wɛl?
• Aw a go mek mi sik nɔ wɔs?
• Us tin dɛn we a fɔ avɔyd fɔ du?
• Aw ɔltɛm a nid fɔ kam fɔ fala mi?
• Yu tink se lokal ɔ ɔnlayn sɔpɔt grup de we a kin jɔyn?

Dɛn kin tek Mitral Valve Prolapse as at sik?

Yes, Mitral Valve Prolapse na wan kayn hat valv sik . di hat valv sik de fכl כnda di כmbrela tεm we dεn kכl kכdivaskyul sik. Di sik we de ambɔg yu at ɛn yu blɔd na ɛni sik we de afɛkt yu at ɔ yu blɔd vesel.

Sɔntɛnde dɛn kin kɔl di Mitral Valv Prolaps "floppy valve syndrome." Na wan kayn sik we dɛn kɔl myxomatous valve disease. dis min se di tisu we de insay yu mitral valv liflet dεm de abnכmal elastik, we de mek dεn de lכs.

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

Mitral Valve Prolapse (MVP) na wan kɔmɔn sik wae bɔrku tɛm nɔr kin mek big difrɛns to yu layf. Bɔt i kin mek mitral rigurgitation.If yu gɛt valv we de lik blɔd bak, yu kin wɔri fɔ mek dɛn du ɔpreshɔn fɔ mek yu valv fayn. Tɔk to yu dɔktɔ bɔt di bɛnifit ɛn prɔblɛm dɛn we kin apin we yu ripɛnt di valv, ɛn lan bɔt ɔl di tin dɛn we yu kin du.

If yu nid fɔ mek di valv, i impɔtant fɔ pik ɔspitul we de du dɛn kayn ɔpreshɔn ya ɛvride. Ɔspitul dɛn we gɛt bɔku bɔku tin dɛn, gɛt ɔl wetin yu nid fɔ yuz di laytst tɛknɔlɔji fɔ ridyus di prɔblɛm dɛn we yu gɛt ɛn fɔ gi yu di bɛst rizɔlt.

Go fɔ chɛk yu dɔktɔ ɔltɛm, pe atɛnshɔn to di sayn dɛn we de sho se yu gɛt di sik, ɛn liv fayn layf. Dɔn yu kin gɛt wɛl bɔdi ivin wit dis (MVP) kɔndishɔn.

` Mitral Valv Prolaps, At Sik, At Valv Sik, Chɛst Pen, I nɔ izi fɔ Brith, At Palpitashɔn, (Mitral Valv Prolaps), (MVP), At Wɛlbɔdi