Sɔntɛnde, yu kin fil se yu nɔ de blo fayn, yu kin swɛt, ɔ yu chɛst kin tayt ivin we yu de waka fɔ shɔt tɛm? Pan ɔl we dɛn tin ya kin tan lɛk nɔmal taya, smɔl prɔblɛm kin de na wi at biɛn dis. Tide wi go tɔk bɔt dis kayn tin, we dɛn kɔl ‘Mitral Valve Stenosis’ ɔ we dɛn kɔl ``Mitral Valve Stenosis'' pan mɛrɛsin. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Wetin na Mitral Valv Stenɔsis?
Fɔ tɔk am simpul wan, dis na we di mitral valv we de insay wi at de smɔl ɔ blok. Imajin se wan domɔt de bitwin tu rum dɛn na yu os. If dɛn nɔ go ebul fɔ opin da domɔt de ɔlsay, bɔt i jɔs opin smɔl, yu nɔ tink se i go at fɔ muv rawnd? Na dat de apin na ya bak.
di mitral valv na di get we bכdi de fכm frכm di כp chεmba (lεft atrium) to di lכw chεmba (lεft vεntrikl) na di lεft say na wi at. di bכdi we gεt כksijεn frכm di lכng dεm de fכs go insay dis כp chεmba. Frɔm de, i kin go na di say we de dɔŋ, usay i kin pɔmp blɔd we gɛt ɔksijɛn to di wan ol bɔdi.
so, we dis mitral valv sכmtεm, i kin at fכ mek bכdi fכ fכm frכm di כp chεmba to di lכw chεmba. I tan lɛk domɔt we nɔ go opin fayn. Dis kin mek di at wok tranga wan. As tɛm de go, dis kin kam wit difrɛn prɔblɛm dɛn wit aw di at de wok.
Aw dis tin kin apin na Sri Lanka?
Fɔ tru, dis nɔto sik we rili kɔmɔn we yu kɔmpia am to di divɛlɔp kɔntri dɛn. Di rizin fɔ dis na bikɔs naw wi gɛt gud antibayɔtik fɔ baktriyal infɛkshɔn, we na di men tin we kin mek pɔsin gɛt dis sik. Bɔt trade, dis sik bin rili kɔmɔn.
Dis kכndyushכn kin bכku pan uman dεm pas man dεm. Na divεlכp kכntri dεm, i kin bכku pan pipul dεm wae de pas 50 εn 60 ia, bכt dεn kin si am bak pan yכng pipul dεm na divεlכp kכntri dεm. Sɔntɛnde, dɛn kin bɔn yɔŋ pikin dɛn wit dis sik.
Wetin na di sayn dɛm fɔ dis?
Bɔrku tɛm, dis sik nɔr kin sho ɛni big big sayn te i kin tranga smɔl. Bɔt we di sayn dɛn de sho, yu kin si tin dɛn lɛk dis.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| I nɔ izi fɔ blo (dyspnea) . | Dis na di sayn wae kin kam pan pɔrsin. Yu kin gɛt prɔblɛm fɔ blo nɔto jɔs we yu de du ɛksɛsayz ɔ du wok, bɔt yu kin gɛt prɔblɛm bak we yu de ledɔm na bed. |
| Taya | Dis nɔto jɔs we pɔsin taya. Na wan filin wae de mek yu taya pasmak wae de mek yu nɔr ebul fɔ du wok fɔ wan de. Yu kin fil lɛk se yu bɔdi nɔ gɛt layf. |
| Infεkshכn dεm na di chεst כltεm (bronchitis) . | If yu at nɔ wok fayn, dat kin afɛkt di lɔng dɛn ɛn mek yu gɛt infɛkshɔn na yu chɛst bɔku tɛm. |
| Di we aw pɔsin de blo | Bikɔs tumɔs prɛshɔn de pan di ɔpa chɛmba na di at, di at kin bit di rayt we. Dɛn kɔl dis atrial fibrilɛshɔn . Dɔn yu kin fil lɛk se yu at de bit fast ɛn strenj wan. |
| Strok | Bikɔs di at nɔ de pɔmp blɔd fayn, wan blɔd klɔt kin fɔm ɛn travul go na di bren ɛn lod. Dis na tin we de mek pɔsin denja. |
| Fɔ kɔf blɔd | Di prɛshɔn we de kɔmɔt na di at kin afɛkt di vein dɛn na di lɔng, ɛn sɔntɛnde smɔl blɔd kin kɔmɔt wit di mɔk we yu kɔf. |
| Voys chenj (Hoarseness) . | Wan nerv we de kɔntrol wi vɔys de pas nia di at. if di כp chεmba na di at big εn dis nεv kכmprεs, di vכys kin kכmכt. |
| Di anklɛ, fut, ɔ bɛlɛ kin swel | We di at nɔ ebul fɔ pɔmp blɔd fayn, wata kin gɛda na di bɔdi ɛn say dɛn lɛk di leg ɛn bɛlɛ kin bigin fɔ swel. |
Simptom dεm wae dεn kin si pan yכŋ pikin dεm we dis kכndyushכn de apin
Yɔŋ pikin dɛm we dɛn bɔn wit dis sik kin sho sɔm sayn dɛm lɛk:
- I nɔ izi fɔ gi pikin in bɛlɛ ɔ fɔ swet we yu de gi pikin in bɛlɛ.
- Kɔf ɛn kol.
- Nɔ sho se di growth fit fɔ di ej.
- Infεkshכn dεm we de apin na di rεspiretכri bכku tεm.
- Fɔ taya kwik ɛn fɔ gɛt prɔblɛm fɔ blo ivin afta yu dɔn rɔn ɛn ple fɔ sɔm tɛm.
Impɔtant, sɔm pipul dɛn nɔ kin gɛt ɛni sayn pan ɔl we dɛn gɛt dis sik. Bɔku uman dɛn kin gɛt am, mɔ we dɛn gɛt bɛlɛ. dis na biכs di at gεt fכ wok tranga wan fכ pכmp blכd to di pikin we i bεlε.
Wetin mek dis de apin? Wetin na di men rizin dɛn?
Bɔku men rizin dɛn de fɔ dis.
- Di damej we infɛkshɔn kin kam wit: Di men ɛn kɔmɔn tin we kin mek dis apin na rεumatik fiva . If dɛn nɔ trit baktriyal infɛkshɔn na di trot (strep trot) fayn fayn wan we i smɔl, di bɔdi in imyun sistɛm kin ansa bay we i de pwɛl di at valv dɛn. Dis damej kin tek 20 to 30 ia bifo di sik sho. Na dat mek bɔrku pipul nɔr kin gɛt dis sik te dɛn rich midul ej.
- di chenj dεm we kin apin wit di ej: As wi de ol, di kalsiכm dεm kin bכku pan di valv dεm, we kin mek dεn tik εn sכmtεm. Bɔt bɔku tɛm dis narrowing nɔ kin rili bad ɛn i nɔ kin nid fɔ gɛt tritmɛnt.
- We dɛn bɔn pikin: Sɔm pikin dɛn kin bɔn wit di valv we smɔl. Dɛn kin no dis sik bifo dɛn ol 2 ia.
Ɔda kɔmplikeshɔn dɛm wae kin kam wit dis sik
If dɛn nɔ trit mitral valv stenɔsis insay di tɛm, ɔda wɛlbɔdi prɔblɛm dɛn kin apin, lɛk:
- Pulmonari Haypatɛnshɔn
- Pulmonari Ɛdima
- At we nɔ de wok fayn
- Blɔd kin klɔt ɛn strok
- Hat bit we nɔ de ɔltɛm `(Atrial Fibrillation)`
- Infεkshכn na di at valv dεm (Infective Endocarditis) .
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
We yu go to dɔktɔ, i go lisin to yu chɛst wit stetɔskɔp we i de chɛk yu. Dɔn, if yu yɛri abnɔmal sawnd we de kɔmɔt na di at, wi kin kɔl am ‘Hat Murmur’ , yu kin sɔprayz. Dɔn, i go rifer yu fɔ tɛst lɛk dis fɔ no if yu gɛt di sik.
| Tɛst | Wetin yu lan frɔm dis? |
|---|---|
| Ekokardiogram we dɛn kin du | Dis na di men tɛst wae dɛn kin yuse fɔ no dis sik. Dɛn kin yuz ɔltra saund wev fɔ tek vidio fɔ di at, we de sho klia wan aw di valv smɔl ɛn aw di at de wok. |
| ECG tɛst (Ilektrokardiogram) . | Dis de mekɔp di ilɛktrik wok we di at de du. I kin chɛk fɔ si if di at nɔ de bit ɔltɛm, lɛk atrial fibrillation. |
| Chɛst X-ray ɛgzamin | Dis kin ɛp fɔ no if chenj dɔn kam pan di shep ɔ saiz na di at bikɔs ɔf dis sik. |
| Kadiak Kateterizashɔn | sכm tεm we i kin tranga, dεn kin pas sכm sכm tכb tru wan vein na di an כ leg insay di at fכ mכsu di prεshכn we de insay di at chεmba dεm. |
Wetin na di tritmɛnt dɛm fɔ dis?
Tritmɛnt dɛn de fɔ dis. Bɔt dɛn tritmɛnt ya kin jɔs kɔntrol di sayn dɛm ɛn stɔp di sik fɔ wɔs. I rili impɔtant fɔ bigin tritmɛnt kwik kwik wan afta di sik dɔn bigin.
Mɛrɛsin dɛn we dɛn kin yuz
Di dɔktɔ go gi yu difrɛn mɛrɛsin fɔ kɔntrol di sik dɛn we yu gɛt.
- Kɔntrol di ay blɔd prɛshɔn.
- Ridyus di wata we de kip ɛn kɔntrol di swɛlin.
- Kɔntrol di we aw yu at de bit.
- Ridyus di risk fɔ gɛt strok bay we yu nɔ de mek blɔd klɔt.
Kateshɔn tritmɛnt
Dis na tin dɛn we simpul pas fɔ du ɔpreshɔn. Dɛn kin du dɛn bay we dɛn pas wan smɔl tiub tru wan vein na di an ɔ leg to di at.
- Balɔn Valvuloplasti:Dɛn kin put wan balyɔn nia di valv we dɔn blok ɛn dɛn kin blo am, ɛn dis kin mek di valv big.
- Transkateta valv riplesmɛnt (TMVR): Sɔntɛnde, dis we aw dɛn kin du am kin chenj di ol valv bak wit nyu wan.
Ɔpreshɔn ripa ɔ riples di valv
If di sik bad, i kin nid fɔ du ɔpreshɔn. Na ya, di dɔktɔ we de du di ɔpreshɔn kin:
- Ripa di valv: Yu kin separet di valv dɛn na wan valv we dɔn stɔp togɛda ɛn mek i wok bak.
- kɔmplit valv riplesmɛnt: Dɛn kin pul di valv we dɔn pwɛl ɛn put atifishal valv ɔ valv we dɛn mek wit animal tisu. Yu dɔktɔ go ɛksplen us we fɔ du am bɛtɛ fɔ yu.
Yu tink se dɛn kin mek yu nɔ gɛt mitral valv stenɔsis?
Yɛs, i rili pɔsibul. Bikɔs rεumatik fiva na di men tin we kin mek dis apin, i bεst fɔ trit baktriyal infεkshɔn (especially trot infεkshɔn) kwik ɛn fayn. If dɔktɔ gi yu antibayɔtik, yu fɔ tek am fɔ di ful tɛm we dɛn gi yu, ilɛksɛf di pen dɔn stɔp.
Pan ɔl we wi nɔ kin ebul fɔ stɔp di tin dɛn we kin apin as wi de ol, wi kin delay dɛn wit wɛlbɔdi layf (gud it, ɛksesaiz, wɛlbɔdi wet).
Ustɛm a fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit)?
If yu de gɛt tritmɛnt, pan dɛn kayn tin ya, yu fɔ go wantɛm wantɛm na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Afta yu stat di mɛrɛsin...
- If yu gɛt ɛni ɔda kayn bad bad tin we de apin to di mɛrɛsin (aks yu dɔktɔ bifo tɛm fɔ no wetin na dɛn tin dɛn de).
- If yu lɔs kɔnshɛns wantɛm wantɛm.
- If yu de tek mɛrɛsin we de mek yu blɔd tan, yu kin gɛt mɔ blɔd insay yu bɔdi if yu fɔdɔm.
- If di prɔblɛm fɔ blo go bɔku wantɛm wantɛm.
Afta ɔpreshɔn ɔ ɔda tritmɛnt...
- If di wund we dɛn du di ɔpreshɔn rɛd, i swel, ɔ i fil wam (dɛn tin ya na sayn dɛn fɔ se yu gɛt di sik).
- If yu gɛt fɔdɔm, yu chɛst de pen, ɔ yu at de bit kwik kwik wan.
- If yu de tek mɛrɛsin we de mek yu blɔd tan, yu fɔdɔm, ɔ yu gɛt blɔd we yu nɔ ebul fɔ kɔntrol, lɛk blɔd we de kɔmɔt na yu nos, blɔd we yu de vɔmit, ɔ blɔd we de na yu stɔl.
Mɛsej we dɛn kin kɛr go na os
- Mitral valv stenosis na we wan imכtant valv de blok na yu at.
- I nɔ izi fɔ blo ɛn fil taya izi wan na tu pan di men sayn dɛm.
- Di men rizin fɔ dis na bikɔs dɛn nɔ kin trit di trot infɛkshɔn fayn fayn wan we dɛn smɔl. So, if yu gɛt trot we de at, go to dɔktɔ ɛn gɛt di rayt mɛrɛsin.
- If yu no dis sik kwik kwik wan ɛn trit am di rayt tɛm, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn.
- If yu gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn aks fɔ advays. I go gi yu di gayd we yu nid.
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