Yu at valv de lik smɔl? Mek wi lan bɔt Mitral Valve Regurgitation!

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm? Ɔ yu kin fil sɔntin we strenj, we ebi na yu chɛst? Sɔntɛnde, yu kin fil taya ivin afta yu dɔn du smɔl smɔl wok dɛn? Wan rizin fɔ dɛn kayn tin ya kin bi prɔblɛm wit smɔl domɔt na yu at, dat na valv. Tide wi go tɔk bɔt Mitral Valve Regurgitation, we na dis kayn kɔndishɔn. Nɔ wɔri, lɛ wi ɔndastand dis simpul wan.

Wetin na dis mitral valv na di at? Wetin kin apin we i nɔ de wok fayn?

Fɔ tɔk am simpul wan, di mitral valv na di domɔt bitwin di ɔpa chɛmba (lɛft atria) ɛn di ɔda chɛmba (lɛft ventricle) na di lɛft say na yu at. Tink bɔt am lɛk domɔt na yu os. Dis domɔt gɛt fɔ opin ɛn lɔk fayn fayn wan, we go mek blɔd kɔmɔt na di ɔp rum to di ɔda rum we de dɔŋ. Dɔn, dɛn fɔ lɔk dis domɔt fayn fayn wan fɔ mek blɔd kɔmɔt na di say we de dɔŋ to di ɔda pat dɛn na yu bɔdi. If nɔto dat, di blɔd go bigin fɔ lik bak insay di ɔpa chɛmba.

Bɔt sɔntɛnde dis domɔt nɔ kin lɔk fayn. Jɔs lɛk aw di domɔt dɛn na wi os sɔntɛnde nɔ kin lɔk fayn, ɛn dɛn kin lɛf smɔl ples. Dis kin bi bikɔs ɔf prɔblɛm wit di domɔt insɛf, dat na di valv tisu. Ɔ i kin bi bikɔs ɔf prɔblɛm wit di wɔl dɛn we de rawnd di domɔt, dat na di lɛft chɛmba dɛn na di at. Bɔt we dis domɔt nɔ lɔk fayn, sɔm blɔd kin lik bak, dat na, go insay di ɔpa chɛmba. dis na wetin wi kin kכl mitral valv rεgεshכ n כ ``Mitral rεgεshכn - MR''.

Tink bɔt am lɛk wata tap. If dɛn nɔ lɔk di tap fayn, wata go lik kɔmɔt, nɔto so? Na so i bi wit dis wan.

If dis lik smɔl, we min se di ples na di domɔt rili smɔl, i nɔ kin bi big prɔblɛm. Yu at kin ebul fɔ bia wit am, so yu nɔ go fil ɛni difrɛns. Bɔt if dis lik big, we min se di domɔt opin, yu at kin fil bɔku strɛs. Bikɔs di at gɛt fɔ wok tranga wan pas aw i kin wok fɔ pɔmp di blɔd we i nid fɔ pɔmp fɔ go bifo. As tɛm de go, di at nɔr kin ebul fɔ bia wit dis igen, ɛn yu kin gɛt sɔm kayn sik ɛn ɔda prɔblɛm dɛn.

Dɛn kin kɔl dis kɔndishɔn bak:

• Mitral valv insufisɛns (`(Mitral valv insufisɛns)`)
• Mitral valv inkɔmpɛtɛns
• Mitra valv we de lik (`(Mitra valv we de lik)`)

Infakt, mitral valv prolaps na di kayn hat valv sik wae kin pasmak na kɔntri dɛm lɛk Amɛrika. I kin mɔna pipul dɛn we dɔn ol, mɔ di wan dɛn we dɔn pas 65 ia.

Eni kayn mitral valv de lik?

Yɛs, tu kayn dɛn de mɔ:

1. Praymari mitral rigεtεshכn (`(Praymari mitral rεgεrjiteshכn)`) .: Insay dis kes, di prɔblɛm de wit di valv insɛf. i de kכz fכ di strכkchכral damej pan wan כ mכr pat dεm na di valv we de mek i nכ kכloz fayn fayn wan. Fɔ ɛgzampul, di valv liflet dɛn kin tu fleksibul ɛn dɛn nɔ kin ebul fɔ sidɔm fayn, ɔ dɛn kin tik ɛn dɛn nɔ kin ebul fɔ lɔk fayn.

. Fɔ ɛgzampul, wan sik we de na di at mɔsul (cardiomyopathy) kin mek di at big ɛn wik. dis chenj dεm kin mek di valv de muv rawnd εn i nכ de klos fayn.

I nɔ mata us kayn lik i bi, i kin rili bad wan wan (`(Acute)`), ɔ i kin divɛlɔp smɔl smɔl as tɛm de go (`(Chronic)`).

Us simptom kin apin if lik de na di mitral valv?

If di lik smɔl, yu nɔ go gɛt ɛni sayn. Bɔt we di lik kin big ɛn bigin fɔ afɛkt di we aw di at de wok, di tin we kin apin mɔ na we i nɔ kin blo fayn (dyspnea) . Yu kin fil lɛk se yu nɔ ebul fɔ gɛt bɛtɛ briz na yu lɔng, ɔ yu kin fil shɔt fɔ blo we yu jɔs tinap, ledɔm, tray fɔ slip, ɔ ivin du simpul wok dɛn.

Ɔda sayn dɛn kin de bak:

• Atypical chɛst pen.
• Kɔf.
• Swel na di leg ɔ fut (`(Edema)`).
• Fɔ fil taya bad bad wan (`(Fatigue)`).
• I kin fil lɛk se yu de fɔdɔm, bɔt i nɔ kin rili apin (`(Presyncope)`).
• Fɔ fil lɛk se yu at de chenj, lɛk se yu chɛst de paund (`(Hat palpitations)`).

Dɛn sayn ya kin kam smɔl smɔl ɔr kin bigin wantɛm wantɛm.

Dis na imejensi! If yu gɛt dɛn sik ya, go na ɔspitul wantɛm wantɛm!

If yu at de woke tumɔs, yu kin gɛt sayn dɛm wae de sho se yu at nɔr de woke fayn. Dɛn tin ya kin kam wantɛm wantɛm, so wach fɔ dɛn sayn ya:

• Fɔ blo lawd wan.
• Fɔ fil lɛk se yu de swɛla.
• I nɔ kin izi fɔ yu fɔ blo we yu de ledɔm.
• Fɔ fil se yu chɛst tayt.
• If puls ɔksimita na os sho se di ɔksijɛn lɛvɛl na di blɔd nɔ bɔku.

Akyu hat fεil na mεdikal imejensi wae de hat kin stכp fכ wok wan wan εn kin mek in layf de pan denja. So, i impɔtant fɔ mek yu go to tritmɛnt kwik kwik wan.

Wetin mek dis mitral valv nɔ de lɔk fayn? Wetin na di rizin dɛn?

as wi bin dכn tכk bכt, dis prכblεm de apin we di mitral valv nכ de kכloz fayn fayn wan. Dis valv gɛt tu flap dɛn (liflet dɛn). Dɛn kin opin ɛn lɔk fɔ mek blɔd kɔmɔt na di ɔp rum to di ɔda rum.

If dɛn liflet ya ɔ ɔda pat dɛn na di valv dɔn pwɛl, ɔ if difrɛn sik dɛn mek di valv nɔ lɔk fayn, smɔl blɔd kin lik bak ɛvri tɛm we di valv lɔk.

Di rizin fɔ dis kin difrɛn difrɛn wan bay di kayn MR we yu gɛt (praymari ɔ sɛkɔndari).

di praymar mitral valv rigεtεshכn kin kכz bay:

• Mitral valv prolaps (MVP) : Dis na di kכmכn kכzכn na divεlכp kכntri dεm.
• Rimatik hat sik : Dis na de big tin wae kin mek pɔrsin gɛt dis sik ɔlsay na di wɔl.
• Kכnektiv tisu sik dεm (`(Kכnektiv tisu sik dεm)`).
• Klɛft mitral valv na wan at prɔblɛm we dɛn bɔn wit.
• Infεkshכn na di insay layn na di at (endocarditis).
• At sik wae de kam wit redyushɔn tɛrapi (`(Radiation heart disease)`).
• Aksidɛntal injuri dɛn.

sεkכnd mitral valv rεgεjεshכn kin kכz bay:

• Ischemic cardiomyopathy (dis na di wan we kin kכmכn pas כl) kin kam we di bכdi we de gi di at kin blok.
• Atrial fibrillation, we na wan at we nɔ de bit ɔltɛm.
• Dilated cardiomyopathy (na sik we de na di at mɔsul we de mek di at big fɔ no rizin) .
• sik we kin kam we di at mכsul tik (`(Hypertrophic obstructive cardiomyopathy)`).

Us kɔmplikeshɔn kin apin if dis sik kam tranga?

If dɛn nɔ trit am, di mitral valv prolaps kin mek pɔsin in layf de pan denja. Na sɔm pan di prɔblɛm dɛn we kin apin:

• yu hat de stat fכ bit rεgulεr (`(Atrial fibrillation)`), we kin mek yu strכk sכmtεm.
• yu hat nכ ebul fכ pכmp inof bכdi to di bכdi (`(Hat fεil)`).
• di prεshכn na di at dεm we de kכri bכdi frכm di at to di lכng dεm de inkrεs (`(Pulmonary hypertension)`).
• di at kin stכp fכ bit wan wan (`(Sudden cardiac arrest)`).

Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?

Di fɔs tin we dɔktɔ kin du na fɔ chɛk yu gud gud wan. De:

• Dɛn kin aks bɔt yu sayn dɛm ɛn ɔda sik dɛm wae yu gɛt.
• Dɛn go chɛk yu impɔtant sayn dɛm, lɛk yu blɔd prɛshɔn ɛn yu puls rit.
• Dɛn kin chɛk di bɔdi fɔ si if i swel (ɛdima).
• Stetoskɔp go lisin to yu at ɛn yu lɔng. If yu yɛri abnɔmal at sawnd (a ``at murmur''), i kin bi sayn fɔ valv sik.

Dɔn di dɔktɔ go tɛl dɛn fɔ du bɔku tɛst fɔ no mɔ.

Us tɛst dɛn kin du fɔ no dis sik?

Bɔku tɛm, dɔktɔ dɛn kin du wan tɛst we dɛn kɔl transthoracic echocardiogram (TTE) fɔ luk fɔ wan lik na yu mitral valv. Dis na skan we nɔ de mek pɔsin fil pen ɛn we nɔ de ambɔg pɔsin. I kin chɛk fɔ si if lik na yu valv ɛn fɔ ɔda prɔblɛm dɛn wit di strɔkchɔ ɔ wok we yu at de du. If yu dɔktɔ want fɔ luk yu valv gud gud wan, dɛn kin du wan tɛst bak we dɛn kɔl transɛsophageal echocardiogram (TEE).

Yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst fɔ no aw yu sik bad ɛn plan aw fɔ trit yu. Dɛn tɛst ya kin bi:

• Wan `(CT skan)` na di at (`(Kadyak CT skan - kɔmpyuta tomografi skan)`).
• Wan `(Echocardiogram)` we dɛn du we dɛn de du ɛksɛsayz (`(Exercise stress echocardiogram)`).
• Wan at MRI (magnɛtik rɛsɔnans imej) tɛst.
• Kadyak kateshɔn, we dɛn kin kɔl bak kadyak kat ɔ korona angiogram.

Wetin na di tritmɛnt dɛm fɔ mitral valv lik?

Nɔtin nɔ de we dɛn kɔl "wan-sayz-fit-ɔl" tritmɛnt. Dɔktɔ dɛn go mek di tritmɛnt akɔdin to wetin yu nid. Dɛn go tɔk bɔt dɛn tin ya:

• di kayn mitral regurgitation we yu gεt (praymari כ sεkכnd).
• Di kayn we aw yu sik kin tranga. dεn kin dεskrεb am as stej A, B, C, D. D na di stej we de mכst siriכs.
• Di risk fɔ kɔmplikɛshɔn frɔm ɔpreshɔn.

Yu dɔktɔ go ɛksplen yu tritmɛnt opshɔn dɛn, inklud dɛn gud ɛn bad tin dɛn. Mek shɔ se yu aks kwɛstyɔn if ɛnitin de we yu nɔ ɔndastand. Da we de, yu go ebul fɔ disayd fɔ du sɔntin we yu no.

di mitral rigujiteshכn na di sεkכn rizin fכ di hat valv כpεrayshכn na di wεst kכntri dεm (di fכs wan na di aorta valv stεnosis).

Bɔku tritmɛnt dɛn de we yu kin pik:

Mitral valv ripa (`(Mitral valv ripa)`)

Di tin dɛn we yu kin pik fɔ du dis:

• Ɔpreshɔn we dɛn kin du fɔ opin at.
• Hat ɔpreshɔn we dɛn de yuz smɔl smɔl say dɛn we dɛn kɔt (`(Minimally invasive heart surgery)`).
• Mitral transcatheter edge-to-edge repair (TEER): Insay dis prosidur, di dɔktɔ de yuz wan lɔng, tin tiub (catheter) fɔ tay wan smɔl klip pan yu valv liflet dɛn. Dis klip de ɛp di liflet dɛn fɔ lɔk fayn fayn wan.

Mitral valv riplesmɛnt (`(Mitral valv riplesmɛnt)`)

Di tin dɛn we yu kin pik fɔ du dis:

• Dɛn go gi yu wan opin-at ɔpreshɔn (`(Open-hat ɔpreshɔn)`) ɛn dɛn go put nyu mitral valv insay. dis valv kin mek wit mεtal (`(mεkanikal)`) כ mek am wit animal tisu (`(bioprosthetic)`).
• transkateta mitral valv riplesmεnt (TMVR) na wan we we nכ de invayt bכku bכku wan.

Tritmɛnt fɔ pɔsin we gɛt at pwɛl

Dis kin inklud:

• Mɛrɛsin dɛn lɛk diuretics .
• Implantεshכn fכ wan lεft vεntrikul εsist divays (LVAD).
• Palliative kia fɔ yu.

Tritmɛnt fɔ atrial fibrilɛshɔn

Dis kin inklud:

• Mɛrɛsin dɛn we dɛn kin yuz.
• Di we aw dɛn fɔ du am.
• Ɔpreshɔn.

Aw mi wɛlbɔdi go tan lɛk if a gɛt dis sik?

Bɔku tin dɛn kin afɛkt aw yu wɛlbɔdi go de. Fɔ ɛgzampul:

• yu ej.
• Yu gɛt sɔm kayn sik ɛn aw dɛn kin tranga?
• Di kayn we aw di lik bin rili bad.
• Yu kin ebul fɔ mek yu valv?
• Di kayn we aw yu at dɔn pwɛl.

Bikɔs ɔl dɛn tin ya kin afɛkt yu sik, yu kin difrɛn frɔm ɔda pipul dɛn. Yu dɔktɔ na di bɛst pɔsin fɔ no gud gud wan aw yu sik go go bifo. I no yu, yu mɛdikal istri, ɛn di tritmɛnt dɛn we go ɛp yu.

aw kwik dis mitral valv lik de inkrεs?

Fɔ sɔm pipul dɛn, dis kin go bifo smɔl smɔl. Fɔ ɔda pipul dɛn, i kin go bifo kwik kwik wan. Yu dɔktɔ go tɛl yu aw yu sik de, aw ɔltɛm yu fɔ go to dɔktɔ fɔ chɛk-ap, ɛn aw dis sik kin afɛkt yu layf.

Yu tink se we dɛn de fɔ mek dɛn nɔ gɛt dis sik?

Sɔntɛm yu nɔ go ebul fɔ stɔp dis ɔltɛm. Bɔt yu kin wok wit yu dɔktɔ fɔ mek yu nɔ gɛt difrɛn kayn at sik dɛn. Yu dɔktɔ go rivyu yu mɛdikal histri ɛn di tin dɛn we kin mek yu gɛt prɔblɛm ɛn gi yu advays we go fayn fɔ yu. Jɛnɛral wan, yu kin du dɛn tin ya:

• Stɔp fɔ yuz tabak prɔdak dɛn (lɛk sigrɛt, beedis) kpatakpata .
• Ɛksesaiz ɔltɛm.
• It tin dɛn we go ɛp yu at.
• Mek yu gɛt wɛlbɔdi wet fɔ yu.
• Si dɔktɔ wan tɛm insay di ia fɔ chɛk-ap ɛn no ɛni prɔblɛm kwik kwik wan.
• If bɔku tɛm yu kin gɛt trot we de at wit fiva, ɔ if yu bin dɔn gɛt rεumatik fiva trade, go to dɔktɔ.

Aw a kin kia fɔ misɛf?

I fayn ɔltɛm fɔ kɔntrol yu blɔd prɛshɔn ɛn it bɔku frut ɛn vɛjitebul.

If yu tek pat pan wan kadyak rihabiliteshɔn program (`(Cardiac rehab)`) afta yu dɔn ɔpreshɔn yu at valv kin ɛp yu fɔ bigin fɔ du ɛksɛsayz bak.

If yu gɛt nyu prɔstɛtik valv, yu go nid fɔ tek mɛrɛsin afta yu dɔn tek am. Yu go nid fɔ tek antikoagulant (blɔd thinners) fɔ di res ɔf yu layf fɔ mek blɔd nɔ klɔt. Yu go nid bak fɔ tek antibayɔtik fɔ mek yu nɔ gɛt ɛndokadaytis (infɛkshɔn na di layn na di at) bifo yu du yu tit ɛn sɔm ɔpa respiratɔri tɛst.

Ustɛm a fɔ go to di dɔktɔ? Us kwɛstyɔn dɛn a fɔ aks?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ go to yu dɔktɔ fɔ mek dɛn chɛk yu. Di mɔ yu sik de tranga, na di mɔ yu go nid fɔ go to yu dɔktɔ ɛn du imej tɛst (lɛk skan). I impɔtant fɔ kip ɔl di apɔntinmɛnt dɛn we yu dɔn mek.Dɔn di dɔktɔ kin wach yu sik ɛn tɛl yu fɔ trit yu di rayt tɛm.

Na sɔm kwɛstyɔn dɛn wae yu kin aks yu dɔktɔ fɔ no mɔr bɔt yu sik:

• Aw siriɔs mi mitral valv lik?
• Us tritmɛnt opshɔn dɛn yu kin rɛkɔmɛnd fɔ mi?
• Wetin na di bɛnifit ɛn bad tin dɛn we di tritmɛnt dɛn gɛt?
• Us chenj dɛn we a nid fɔ chenj mi layf?
• Aw ɔltɛm a nid fɔ go to dɔktɔ ɔ fɔ du imej tɛst?
• Aw mi wɛlbɔdi go tan lɛk tumara bambay?

Sɔntin we yu fɔ tink bɔt

Na nɔmal tin fɔ fil bad we yu yɛri se yu gɛt at sik. Bɔt as yu de lan mɔ bɔt yu sik ɛn gɛt tritmɛnt, yu go ebul fɔ go bifo bak jisnɔ.

Mitral valv prolaps kin afɛkt ɔlman difrɛn we, so yu dɔktɔ go tayla yu tritmɛnt fɔ yu nid. Nɔ shek fɔ tɛl yu dɔktɔ bɔt yu kwɛstyɔn ɛn tin dɛn we de mɔna yu. I go ɛp yu fɔ ɔndastand mɔ bɔt aw yu at de wok. I go tɛl yu bak bɔt tritmɛnt ɛn chenj dɛn layf we go ɛp yu fɔ gɛt wɛlbɔdi ɛn liv di bɛst kwaliti layf.

` Mitral valv, hat valv sik, shɔt brith, hat atak, at ɔpreshɔn, ɛkokardiogram, mitral valv rigurgitation