Sɔntɛnde, wi smɔl pikin dɛn kin kam na dis wɔl wit smɔl chenj dɛn na dɛn at. I rili nɔmal fɔ mek yu, as mama ɔ papa, fil bad bad wan ɛn wɔri we yu yɛri sɔntin lɛk dat. Bɔt nɔ wɔri, bikɔs tide wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl ``Overriding Aorta'', we na wan sik we dɛn kin bɔn wit at sik. Wi go tɔk bɔt bɔku tin dɛn insay simpul wɔd dɛn, lɛk wetin na dis rili, wetin mek i kin apin, wetin na di sayn dɛm, ɛn wetin na di tritmɛnt dɛm. If yu ɔndastand dɛn tin ya kɔrɛkt wan, i go gi yu bɔku trɛnk fɔ gi yu pikin di bɛst mɛrɛsin.
Wetin na dis `(Overriding Aorta)`? Lɛ wi ɔndastand am simpul wan, nɔto so?
Okay, mek wi si fos wetin dis `(Overriding Aorta)` bi. Fɔ tɔk am simpul wan, dis na wan big blɔd vesel na wi pikin in at, we na di aorta, we de na di say we difrɛn smɔl pas usay i fɔ de.
naw luk, insay hat we nכmal hεlty, dis big atεri `(Aorta)` de na di lεft say na di at, dat na, i kכnekt to di lεft vεntrikl. Yu no wetin? Na de di blɔd we gɛt bɔku ɔksijɛn ɛn klin we de kɔmɔt na di lɔng dɛn kin sheb ɔlsay na di bɔdi. Na dat na di men wok we i de du.
bכt insay di kes fכ `(Overriding Aorta)`, dis aorta de oba di wכl bitwin di lεft εn rayt vεntrikl na di at (dεn kכl dis `Ventricular Septum`), כ oba wan ol na da wכl de (`Ventricular Septal Defect` כ VSD). Imajin, wetin de apin ya tan lɛk we yu put wata pɔmp hos na di rɔng tank.
Wetin kin apin bikɔs ɔf dis? di rayt say na di at gεt sכm כksijεn, we min se i dכn yus כp, sכmtεm "dכti" bכdi. biכs fכ da ol de (`VSD`) εn di aorta de na di rכng ples, sכm pan dis bכdi we nכ gεt כksijεn de go insay di aorta εn miks wit di bכdi we de sכkכt כlsay na di bכdi. dis min se di כksijεn we de na di bכdi we de rich difrεn pat dεm na di pikin in bכdi de dכn. Dis na di men prɔblɛm.
Wetin na di rilayshɔn bitwin dis ɛn di kɔndishɔn we dɛn kɔl `(Tetralogy of Fallot)`?
Fɔ ɔvarayd Aorta nɔto wan sik we kin apin in wan. Na wan pan di 4 men tin dɛm we de mek pɔsin gɛt wan kɔmpleks at sik we pɔsin kin bɔn wit we dɛn kɔl Tetralogy of Fallot . "Tɛtralɔji" min 4. So, pan dis kכndyushכn, dεn kin si fכ big at prכblεm dεm tכgeda:
1. `(Overriding Aorta)`: di aorta we wi jכs tכk bכt de na di rכng ples.
2. Ventricular Septal Defect (VSD): na ol na di wכl bitwin di lεft εn rayt chεmba dεm na di at. Dis kin mek blɔd we gɛt ɔksijɛn miks wit blɔd we nɔ gɛt ɔksijɛn.
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4. di wכl dεm na di rayt vεntrikl na di at de tik (`Right Ventricular Hypertrophy`):Bikɔs da pulmonary artery de blok, di rayt ventricle gɛt fɔ wok tranga wan fɔ pɔmp blɔd. jכs lεk aw di mכsul tisu de big we yu de du εksεsayz, di wכl dεm na dis vεntrikl de tik as tεm de go.
Imajin, i tan lɛk se nɔ wɔl nɔ de bitwin di say we dɛn de smok ɛn di say we dɛn nɔ de smok na rɛstɔrant. Dɔn di smok kin kɔmɔt na wan ples to di ɔda ples izi wan, ɛn nɔbɔdi nɔ kin fil fayn. Na dat kin apin na dis `(Tetralogy of Fallot)` kɔndishɔn. Blɔd we gɛt smɔl ɔksijɛn ɛn blɔd we gɛt bɔku ɔksijɛn kin miks.
Udat dɛn kin afɛkt mɔ pan dis sik (Overriding Aorta)?
dis kכndyushכn we dεn kכl ``Tetralogy of Fallot'', we inklud ``Overriding Aorta,'' dεn kin si am sכmtεm sכmtεm pan man pikin dεm pas uman bebi dεm.
כlso, pikin dεm we gεt sכm kromozom abnכmaliti dεm, lεk Daun sεndrכm, kin gεt Tetralogy of Fallot. Yu kin si dis hat prɔblɛm bak wit ɔda tin dɛm wae nɔr kin apin so ɔltɛm, lɛk Apert syndrome ɛn Williams syndrome.
Aw kɔmɔn tin dis kin apin?
Dɛn se lɛk wan pan ɛvri 100 pikin dɛn we dɛn bɔn na di wɔl kin gɛt sɔm kayn at prɔblɛm we dɛn bɔn wit. we yu luk am da we de, lεk 10% pan dεn pikin dεm we gεt at dεfεkt, dat na lεk wan pan 3,000 nyu bכbi dεm, kin gεt wan kכndyushכn we dεn kכl `(Tetralogy of Fallot)`, we inklud `(Overriding Aorta)`. So, dis nɔr kin bɔrku, bɔt na wan sik wae dɔktɔ kin si bɔrku tɛm.
Wetin na di sayn dɛm fɔ dis sik?
Nɔto ɔl pikin dɛn we gɛt Tetralogy of Fallot gɛt di sem sayn dɛn. Sɔm kin gɛt sɔm kayn sik wae nɔr kin pasmak, ɛn ɔda wan kin gɛt siriɔs sayn dɛm. di kayn we aw dεn simptom ya de dipכnt mכtalman pan aw bכku pan di pulmonari atεri dεn blכk. Dat min se, aw bɔku blɔd de go na di lɔng dɛn. If dɛn nɔ trit dɛn sik ya, dɛn kin wɔs smɔl smɔl as tɛm de go.
Smɔl smɔl sayn dɛn
Sɔm pikin dɛn kin sho sɔm kayn sik dɛn lɛk dis:
- Blu skin kכla (`Cyanosis`): Dis blu kכla de spεshal wan na di εria dεm lεk di lip, tכng, εn finga nεl. Dis kin bi bikɔs di ɔksijɛn we de na di blɔd de go dɔŋ.
- Fɔ fil taya kwik kwik wan: I kin tan lɛk se yu pikin de taya kwik kwik wan afta i dɔn ple ɔ gi in mama in bɛlɛ.
- Fɔ blo shɔt: Yu kin gɛt prɔblɛm fɔ blo, mɔ we yu de du tin.
- Prɔblɛm fɔ it ɛn fɔ gɛt bɔku bɔku wet: Di pikin nɔ kin it fayn ɛn i nɔ kin gɛt wet.
Sivεr Simptom dεm εn `(Tet Spells)`
sכmtεm, di pikin in כksijεn lεvεl dεm de dכn wan wan, we de mek ``Tεt spεl''.Wan denja kɔndishɔn we dɛn kɔl tet spɛl kin apin. Dis kin apin wantɛm wantɛm, ɛn i kin tek sɔm minit to sɔm awa. Imajin se bebi de ple ɛn wantɛm wantɛm i tɔn blu ɛn i nɔ izi fɔ blo.
Yu kin si siriɔs sik dɛn lɛk dis we yu de du Tet spɛl:
- Di skin kin tɔn dak blu wantɛm wantɛm.
- Fɔ fil taya bad bad wan, lɛk se yu bɔdi de go numb.
- Faint kin apin.
- Kɔnvulshɔn we pɔsin kin gɛt.
- I nɔ izi fɔ blo, fɔ blo kwik kwik wan.
- Di pikin kin bigin fɔ kray wantɛm wantɛm ɛn afta dat i kin pas.
afta ``Tet spell'' lεk dis, di pikin kin slip fכ lכng tεm. Dɛn ``Tet spɛl'' ya na wan kɔndishɔn we nid fɔ gɛt mɛrɛsin kwik kwik wan.
Wetin mek kondishɔn lɛk ``Overriding Aorta'' kin apin?
Infakt, bɔku tɛm, i nɔ kin izi fɔ fɛn patikyula rizin fɔ dɛn kayn bad bad tin ya we di pikin in at de gro na di bɛlɛ. Dat min se di kɔz nɔ klia (`rizin dɛn we wi nɔ no`). כltu, dεn fכnsh כn se lεk 25% pan di pikin dεm we gεt dis kכndyushכn `(Tetralogy of Fallot)` (we inklud `(Overriding Aorta)`) gεt sכm bכn dεfekt כ prכblεm na כda pat dεm na dεn bכdi .
Aw dɔktɔ dɛn kin no dis sik (Overriding Aorta)?
As yu bɔn yu pikin so, dɔktɔ ɛn nɔs dɛn na di ɔspitul go chɛk di pikin in wɛlbɔdi. Na di sem tɛm, dɛn go pe spɛshal atɛnshɔn to ɛnitin we nɔ fayn na di at.
- Pulse Oximetry: dεn kin put sכm sכm sεns na di pikin in an כ in leg fכ mכsu di כksijεn we de insay di bכdi. If ɔksijɛn nɔ bɔku, dat kin bi sayn fɔ gɛt at sik. Dis na simpul tɛst we nɔ de mek pɔsin fil pen.
- At Murmur: We di dכkta de lisin to di pikin in at wit stetoskop, if wan kכndyushכn de lεk ``Overriding Aorta'', dεn kin yεri difrεn sawnd, we dεn k כl ``hat murmur'' , apat frכm di nכmal at bit. Bɔt nɔto ɔl di grɔmbul dɛn kin denja, bɔt insay dis kes, na impɔtant sayn.
Test fɔ kɔnfɔm
If di sayn dɛm wae wi dɔn tɔk bɔt de, dɔktɔ dɛm go ɔda fɔ du tɛst lɛk dis fɔ no if yu gɛt di sik ɛn fɔ no udat na di at prɔblɛm:
- Echocardiogram (Echo): Dis tan lɛk ɔltra saund skan fɔ di at. i kin si כltin klia wan frכm di strכkchכ fכ di at, aw di valv dεm de wok, di we aw bכdi de fכlכ, di sayz fכ di VSD, εn usay di aorta de. Dis na di men tɛst fɔ no di Tetralogy of Fallot.
- Ilektrokardiogram (ECG/EKG): Dis de rikodɔ di ilɛktrik aktiviti we di at de du. I kin no tin dɛm lɛk di at chɛmba dɛm we dɔn big ɛn prɔblɛm wit di ritm.
- X-ray na di chɛst:dis kin gi yu aidia fכ tin dεm lεk di saiz εn shep fכ di at εn if di bכdi we de go na di lכng dεm tu sכm כ tu bכku.
- Kɔmpyuta Tomografi (CT) skan ɔ MRI skan fɔ di at: Sɔntɛnde, dɛn kin du dɛn tɛst ya if dɛn nid fɔ no mɔ bɔt di at ɛn big blɔd vesel dɛn.
- Cardiac Catheterization: Insay dis, dɛn kin pas wan rili tin tiub (catheter) tru wan blɔd vesel we de na di pikin in groin ɔ an to di at, usay dɛn kin mɛzhɔ di prɛshɔn insay di at, chɛk di ɔksijɛn lɛvɛl, ɛn sɔm tɛm dɛn kin injɛkt wan day ɛn tek ɛkstrem pikchɔ. Dis kin rili ɛp fɔ no di at kɔrɛkt wan bifo dɛn du di ɔpreshɔn.
- Blɔd tɛst: Dɛn tin ya kin ɛp fɔ chɛk tin dɛn lɛk di ɔksijɛn lɛvɛl na di blɔd ɛn di bɔku bɔku rɛd blɔd sɛl dɛn (Hemoglobin).
Aw dɛn kin trit dis `(Overriding Aorta)` kɔndishɔn?
di bεst εn כnli pεrmanεnt tritmεnt fכ dis kכndyushכn (Tetralogy of Fallot) na כpεrayshכn fכ kכrekt כl di fכ difεkt dεm na di at. Bɔku tɛm, dɛn kin du dis as ɔpreshɔn we dɛn kin du fɔ opin at .
- Di tɛm we dɛn fɔ du di ɔpreshɔn: Bɔku tɛm, dɔktɔ dɛn kin se fɔ du dis ɔpreshɔn bifo di pikin ol 6 mɔnt, ɔ insay di fɔs ia . tεm de we dεn kin du am ivin bifo fכ sכm pikin dεm, i kin dipכnt pan di pikin in kכndishכn.
- Wetin kin apin we dɛn de du di ɔpreshɔn?: Di dɔktɔ kin lɔk di ol we de na di wɔl bitwin di ventrikl dɛn (VSD) wit wan spɛshal pat. I kin pul bak di blɔk we de na di pulmonari at ɛn valv, we kin mek di blɔd flɔ fayn fayn wan. we dεn kכrekt dεn tin ya, di prכblεm fכ di כvarayd aorta εn di tik we di rayt vεntrikl tik de sכlv.
- Temporary Shunt: Sɔm pikin dɛn kin rili smɔl, ɔ dɛn pulmonary arteries kin rili smɔl, so i kin at fɔ du di ful ɔpreshɔn wantɛm wantɛm. If na so i bi, dɔktɔ we de du ɔpreshɔn kin put shunt fɔ sɔm tɛm . dis involv fכ tek wan branch frכm di pikin in aorta כ כda big at εn kכnekt am to di pulmonari at. dis kin mek di bכdi go bכku na di lכng, we de gi rilif te di pikin ol sכmtεm εn dεn kin du di ful כpεrayshכn.
Dɔktɔ dɛn dɔn de du dis opin-at ɔpreshɔn fɔ trit Tetralogy of Fallot frɔm di 1950 dɛm, so na wan we we dɛn dɔn establish fayn fayn wan na di mɛdikal fild.
Di kayn drɔgs dɛn we dɛn kin yuz
Apat frɔm ɔpreshɔn, dɛn kin yuz sɔm mɛrɛsin dɛn bak fɔ kɔntrol di sik dɛn ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn:
- Beta-blɔka mɛrɛsin (e.g. Propranolol): Dɛn wan ya de ɛp fɔ mek dɛn denja Tet spɛl dɛn de nɔ apin ɛn ridyus dɛn siriɔs if dɛn apin.
- Diuretics: Dɛn tin ya kin ɛp fɔ ridyus di wata we nɔ nid fɔ de na di bɔdi ɛn ridyus di prɛshɔn we de pan di at (insay kɔndishɔn lɛk we at nɔ de wok fayn).
- `(Antibaytik)` (Antibaytik): .di pikin dεm we gεt dis kayn at sik kin de pan risk fכ gεt infεkshכn na di insay layn na di at (`Infective Endocarditis`), spεshal wan we dεn de du sכm mεdikal prosidכs dεm lεk fכ pul di tut. So, dɛn kin gi dis mɛrɛsin fɔ mek dɛn nɔ gɛt dɛn kayn sik ya.
Ɛni prɔblɛm de wit di tritmɛnt?
Ivin if di ɔpreshɔn nɔ wok fayn, sɔm prɔblɛm dɛn kin apin as tɛm de go.
- We dɛn de mek di Tetralogy of Fallot, di dɔktɔ dɛn we de du ɔpreshɔn kin mek di pulmonary valv fleksibul smɔl, so bɔku pipul dɛn kin gɛt smɔl blɔd we de lik bak tru da valv de (pulmonary regurgitation).
- Dis kin mek di risk fɔ gɛt prɔblɛm wit di at ritm (ari ritmia).
- As tɛm de go, dis valv de lik kin bɔku, ɛn dis kin mek di at gɛt mɔ strɛs, we kin mek da pat de big, ɛn i kin ivin mek di at nɔ wok fayn.
- ia afta di ɔpreshɔn, tin dɛn lɛk di aorta we big (aortic root dilatation) ɔ wan trikuspid valv we de lik kin apin. If dis apin, yu go nid fɔ du mɔ ɔpreshɔn ɔ ɔda tritmɛnt. Na dat mek i impɔtant fɔ kɔntinyu fɔ de chɛk yu ɔltɛm.
Aw fɔ kɔntrol di pikin in sik dɛn te dɛn du am ɔpreshɔn?
Te di ɔpreshɔn dɔn, di dɔktɔ dɛn go du dɛn tin ya fɔ kɔntrol di pikin in sik dɛn ɛn fɔ mek di pikin fil fayn:
- If nid de, gi yu at mɛrɛsin (e.g., beta-blɔka).
- fכ mek sכh se di pikin de gεt inof wata εn it.
- Chek di blɔd in ɛmoglobin lɛvɛl ɔltɛm ɛn if nid de, gi am srɔp dɛn we gɛt ayɛn (fɔ mek yu nɔ gɛt anemia).
- Nɔ du tin dɛn we go mek di pikin strɛs pasmak, lɛk fɔ kray fɔ lɔng tɛm.
- if ``tet spell'' apin, fכ ol di pikin in kכn dεm nia in chεst (di ``knee-chεst posishכn'') kin gi rilif. Yu dɔktɔ go tich yu aw fɔ du dis.
Yu tink se dɛn kin ridyus di prɔblɛm we kin mek dis apin?
Pan ɔl we bɔku tɛm dɛn nɔ kin no di rayt tin we kin mek pikin dɛn we dɛn jɔs bɔn gɛt at sik, di wan dɛn we de stɔdi bɔt dis biliv se di mama in wɛlbɔdi ɛn di we aw i de liv in layf we i gɛt bɛlɛ kin afɛkt am. Dɛn tin ya kin mek di pikin gɛt at sik mɔ ɛn mɔ:
- Fɔ gɛt at sik we dɛn bɔn wit na yu mama, papa, ɔ ɔda pɔsin na yu famili.
- Mama de smok we i gɛt bɛlɛ.
- di mama kin gεt wan infεkshכn lεk ``Rubella`` (Jaman mizεl) ali we i bεlε.
- Di mama gɛt dayabitis we i nɔ ebul fɔ kɔntrol.
- fכ tek sכm mεdikeshכn dεm (e.g., sכm mεdikeshכn dεm we de mek yu sik) insay di fכs tri mכnt dεm we yu bεlε.
- Di we aw mama de drink rɔm.
- di it we dεn nכ de it we uman bεlε.
- di mama in ej pas 40 ia di tεm we i bεlε.
So, fɔ ridyus dis risk we yu gɛt bɛlɛ tumara bambay, i rili impɔtant fɔ tek kia ɔf yu wɛlbɔdi bifo yu gɛt bɛlɛ, kɔntrol di mɛrɛsin kɔndishɔn dɛn we de naw (lɛk dayabitis), avɔyd fɔ smok ɛn rɔm ɔltogɛda, ɛn nɔ tek ɛni mɛrɛsin we yu dɔktɔ nɔ gri fɔ tek am. If ɛnibɔdi na yu famili gɛt at sik, i go fayn bak fɔ mek yu aks pɔsin we de advays yu bɔt yu jɛnɛtiks advays.
Us kayn fiuja pikin we gɛt `(Overriding Aorta)` kin ɛkspɛkt?
Dis kin tan lɛk se yu de mek yu fred, bɔt di tru tin na dat, bɔku pikin dɛn kin go liv nɔmal, wɛlbɔdi layf afta dɛn dɔn du dɛn ɔpreshɔn.
- mכr dan 90% pan di pikin dεm we dεn du כpεrayshכn fכ Tetralogy of Fallot (we inklud Overriding Aorta) de gro fayn εn liv nכmal big pipul layf. Dɛn kin go skul, ple, wok, ɛn gɛt famili. Sɔm kin liv wɛl layf te dɛn ol 70 ɛn 80 ia.
- Bɔt if dɛn nɔ du di ɔpreshɔn, di sik kin denja. If dat apin, de sik go wɔs as tɛm de go, ɛn dis go mek yu nɔ go ebul fɔ liv bɛtɛ layf. Sɔntɛm yu nɔ go ivin liv fɔ 20 ia.
So, di tin we impɔtant pas ɔl na fɔ gi di rayt tritmɛnt di rayt tɛm.
Aw fɔ kia fɔ di pikin afta dɛn dɔn du di ɔpreshɔn?
We yu kam wit yu pikin na os afta dɛn dɔn du yu ɔpreshɔn, yu gɛt big wok fɔ du.
- Fɔ fala yu pikin ɔltɛm: Yu pikin go nid fɔ go fɛn yu pikin ɔltɛm wit dɔktɔ we de mɛn dɛn at. Dɛn tin ya kin apin mɔ fɔs, ɛn afta dat dɛn kin apin mɔ. Nɔ skip dɛn tin ya.
- Fɔ protɛkt yusɛf frɔm di sik we de kam pan di we aw yu de blo: Pikin dɛn we dɛn dɔn du ɔpreshɔn pan dɛn at lɛk dis kin gɛt infɛkshɔn na di say we dɛn de blo, we kin mek dɛn gɛt prɔblɛm dɛn kwik kwik wan. So kip yu pikin fa frɔm pipul dɛn we gɛt kol ɛn fiva. If dis kayn infekshɔn kam, go to dɔktɔ wantɛm wantɛm.
- Antibayɔtik: Dɔktɔ dɛn kin tɛl yu fɔ tek antibayɔtik bifo dɛn du sɔm dɛnt ɔ ɔda smɔl ɔpreshɔn fɔ mek yu nɔ gɛt at infɛkshɔn (endocarditis). Aks yu dɔktɔ bɔt dis.
- Nutrishɔn ɛn Growth: Tek kia ɔf yu pikin in it ɛn growth.
- Di tin dɛn we yu fɔ du: As yu pikin de ol, tɔk to yu dɔktɔ bɔt us wok ɛn gem dɛn i go ebul fɔ du. Bɔku tɛm, i kin ebul fɔ du ɔltin nɔmal wan.
As wi de ol, nyu at prɔblɛm kin kam, so i rili impɔtant fɔ kɔntinyu fɔ du dɛn at spɛshal ɛgzamɛn ya ivin te wi big.
Ustɛm a fɔ go to di dɔktɔ?
If yu pikin sho ɛni wan pan dɛn sayn ya, go to dɔktɔ ɔ kɛr am go na ɔspitul wantɛm wantɛm:
- If nyu sayn dɛn de sho.
- If i tan lɛk se yu skin, yu lip, ɛn yu tɔng de tɔn blu.
- If yu gɛt prɔblɛm fɔ blo.
- If yu nɔ want fɔ drink milk ɔ it tin fɔ it.
- If i tan lɛk se yu de taya kwik kwik wan.
Ustɛm a fɔ go na di imejensi rum (ER)?
If yu pikin de gɛt siriɔs ``Tet spell'', we min se i kin tɔn blu wantɛm wantɛm, i nɔ kin izi fɔ blo, ɔ i de kam fɔ pas, kɔl 911 wantɛm wantɛm ɔ kɛr dɛn go na di imejensi rum na di ɔspitul we de nia yu. na de, dεn kin gi dεm כksijεn εn/כ mεdikeshכn lεk ``Mכrfin'' fכ kכntrכl di kכndyushכn.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Na dis kayn tɛm, yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ fred fɔ aks yu dɔktɔ bɔt dɛn tin ya:
- A fɔ stɔp mi pikin in spɔt ɔ ɔda tin dɛn we i de du?
- Aw ɔltɛm mi pikin nid fɔ kam fɔ chɛk?
- Yu tink se mi pikin go nid fɔ du mɔ ɔpreshɔn? If na so i bi, ustɛm?
- Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm we wi fɔ ɛkspɛkt? Wetin dɛn kin du fɔ mek dɛn nɔ gɛt dɛn?
- Us mɛrɛsin dɛn fɔ gi di pikin? Aw lɔng dɛn fɔ gi dɛn? Dɛn gɛt bad bad tin dɛn we kin apin to dɛn?
Di tin dɛn we impɔtant pas ɔl we wi want fɔ kɛr go na os frɔm dis stori na
Okay, wi don tok plenti boht Overriding Aorta en Tetralogy of Fallot. I go mɔs bi se yu de fil bɔku prɛshɔn rayt naw. Bɔt, mɛmba dɛn tin ya:
- Ovariding Aorta na wan hat difεkt we dεn kin bכn wit we dεn kכl Tetralogy of Fallot. Dis na we di pikin in aorta nɔ de alaynɛd fayn, we de mek di blɔd we nɔ gɛt ɔksijɛn de flɔ ɔlsay na di bɔdi.
- Di sayn dɛm kin bi blu skin, taya kwik kwik wan, i nɔ kin izi fɔ blo, ɛn denja ``Tet spɛl''.
- Dɛn kin trit dis sik fayn fayn wan wit ɔpreshɔn. Fɔ lɔng lɔng tɛm naw, dɔktɔ dɛn we de du ɔpreshɔn dɔn de du dis ɔpreshɔn fayn fayn wan.
- Afta dɛn dɔn du di ɔpreshɔn, bɔku pikin dɛn kin liv wɛl, nɔmal layf.
- Fɔ chɛk yu dɔktɔ ɔltɛm ɛn fɔ fala dɔktɔ advays na di tin dɛn we impɔtant pas ɔl. Nɔto yu wan de na dis waka. Dɔktɔ dɛn, nɔs dɛn, ɛn pipul dɛn we sabi kia fɔ wɛlbɔdi biznɛs de fɔ ɛp ɛn gayd yu ɛn yu pikin. So tek yu at.
If yu nyu bɔbɔ de wet fɔ ɔpreshɔn, mek shɔ se yu aks di dɔktɔ ɛn di nɔs wokman dɛm bɔt tin dɛm we yu kin du fɔ ɛp yu pikin we dɛn de du di ɔpreshɔn, ɛn wetin fɔ du if ``tet spell'' apin. Da no de go ɛp yu bad bad wan.
` ovariding aorta, tetralogy of fallot, congenital hat difekt, ventricular septal defect, cyanosis, tet spells, opin at ɔpreshɔn, at sik, bɔn difεkt, blu pikin, tetralogy of fallot, at ɔpreshɔn, pikin at sik











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