Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we yu dɔktɔ tɛl yu se, "Yu gɛt smɔl ol na yu at." Bɔt yu rili nɔ nid fɔ wɔri bɔt dis. Bikɔs dis kɔndishɔn we dɛn kɔl PFO we wi de tɔk bɔt tide kin afɛkt wan pan ɛvri 4 pipul dɛn nɔmɔ na di wɔl, ɛn bɔku tɛm i nɔ kin du bad. So lɛ wi kam fɔ no am mɔ.
Simply put, wetin bi dis PFO?
Di ful nem fɔ PFO na Patent Foramen Ovale . Fɔ tɔk am simpul wan, dis na smɔl ol bitwin di tu ɔpa chɛmba dɛn na wi at (we wi kɔl atria) we nɔ kin lɔk afta dɛn bɔn wi.
Naw yu kin de tink se, "O, a gɛt ol na mi at?" Bɔt di tru tin na dat: Wi ɔl gɛt dis ol na wi bren we wi de na di bɛlɛ. Wi kin kɔl am di ‘Foramen Ovale.’ Dis impɔtant.
Wetin dis ol na di bɛlɛ fɔ?
Tink bɔt am, pikin nɔ de blo tru in lɔng we i de na in mama in bɛlɛ. di pikin de gεt di bכdi we gεt כksijεn we i nid frכm di mama tru di כmbilikal kכd. so we dis bכdi we gεt כksijεn rich di at, i nכ de go na di lכng dεm, bכt insted i de go strεt frכm di כp rayt chεmba na di at to di כp lεft chεmba , we dεn kכl di ‘Foramen Ovale’. na de di bכdi de go na di pikin in bren εn di כda pat dεm na di bכdi.
we dεn bכn di pikin εn tek in fכs briz, di lכng dεm kin bigin fכ wok. Den no nid fo dat shotkat. so dis ol kin klos insεf, bכku tεm bifo di pikin ol 3 ia.
Di wɔd ‘Patent’ min ‘open’. So ‘Patent Foramen Ovale’ (PFO) min se di ol opin we i nɔ lɔk.
Aw PFO kin afɛkt mi bɔdi?
Bɔrku pipul (lɛk 1 pan 4 pipul dɛm) gɛt dis PFO, bɔt i nɔr kin kɔz ɛni sayn ɔr prɔblɛm. Dɛn kin liv nɔrmal layf ɛn nɔr ivin no se dɛn gɛt am.
Bɔt, na smɔl tɛm nɔmɔ, dis kin bi prɔblɛm fɔ sɔm pipul dɛn. Yu no aw fɔ du am?
Sɔntɛnde, smɔl smɔl blɔd kin kam na di dip vein dɛn na wi bɔdi, mɔ na wi leg dɛn. Wi kin kɔl dis dip vein trombosis (DVT) . Nɔmal wan, if blɔd klɔt brok ɛn travul go na di at, dɛn kin sɛn am frɔm di at to di lɔng dɛn. Wi lɔng dɛn kin wok lɛk filta , ɛn i kin kech dɛn blɔd ya ɛn sɔlv dɛn.
Bɔt pan pɔsin we gɛt PFO ol, dis blɔd klɔt kin ‘jɔmp’ frɔm di rayt say na di at to di lɛft say, tru da ol de. If dat apin, di blɔd we de klɔt kin pas di filta we de na di lɔng dɛn ɛn go stret na di bren, di kidni dɛn, ɔ ɛni ɔda say na di bɔdi.
If i travul go na di bren ɛn stɔp na smɔl at, i kin mek i gɛt ischemic strok.Dis na di men risk wae gɛt fɔ du wit PFO.
Udat dɛn kin no se i gɛt PFO?
Ɛnibɔdi kin gɛt PFO, bɔt dɛn kin no am bay we dɛn de tɛst am fɔ ɔda rizin. Pipul dɛn we de na dɛn grup ya kin gɛt PFO mɔ:
- Pipul wae gɛt kriptojɛnik strok: If strok apin pan pɔrsin wae nɔr rich 60 ia ɛn dɛn nɔr kin no klia kɔz, dɔktɔ dɛn go chɛk fɔ PFO, bikɔs lɛk wan pan ɔl tu pipul dɛm wae gɛt dis sik kin gɛt wan.
- Diva dɛn: We di wan dɛn we de dayvɔs de go ɔp kwik kwik wan, di chenj we di prɛshɔn de chenj kin mek bɔbul dɛn we di briz kin bɔn na di blɔd. dis bכbul dεm kin travul tru di PFO insay di bren, we kin mek prכblεm.
- Pipul dɛn we de klaym mawnten: Dɛn biliv se fɔ gɛt PFO kin mek sɔm pan di tin dɛn we kin apin na ay ay ples.
Wetin na di sayn dɛm fɔ PFO?
As wi bin dɔn tɔk, bɔrku pipul nɔr kin gɛt ɛni sik.
Bɔt nɔto ɔltɛm, if di ol big smɔl ɔ if i kam togɛda wit ɔda at sik, sɔm sayn dɛn kin sho.
- Di ɔksijɛn we de na di blɔd kin go dɔŋ.
- Ɛd we de at lɛk maygren.
- I nɔ izi fɔ blo we yu sidɔm ɔ tinap (platypnea-orthodeoxia syndrome).
- Di sayn dɛm we de sho se blɔd nɔ de flɔ na di bɔdi in an ɛn ɔgan dɛm lɛk di kidni dɛm.
Bɔt mɛmba se, bɔku tɛm dɛn kin no bɔt PFO afta pɔsin dɔn gɛt strok , transient ischemic attack (TIA) , ɔ at atak , we dɛn de tray fɔ no wetin mek i gɛt strok.
Aw dɔktɔ dɛn kin no if pɔsin gɛt PFO?
Bɔku tɛst dɛn de fɔ no if PFO de.
1. Fɔ lisin wit stetɔskɔp: Sɔntɛnde, we dɔktɔ de lisin to yu at, dɛn kin yɛri wan sawnd we nɔ kɔmɔn (murmur) as blɔd de flɔ tru di PFO. Bɔt dis nɔ kin rili kɔmɔn.
2. Echocardiogram: Dis na di men ɛn bɛst we fɔ no if pɔsin gɛt PFO. I tan lɛk we dɛn de skan di at. Tu men kayn dɛn de.
- Transthoracic echocardiogram (TTE): Dis min se yu fɔ put jel na yu chɛst ɛn put sɔntin we tan lɛk prob pan am fɔ tek pikchɔ dɛn bɔt yu at.
- Transɛsofagial ɛkokadyɔgram (TEE): .Dis kin mek pɔsin ebul fɔ si di at klia wan. wan sכmכl prob we dεn tay pan wan tin tכb dεn de put am tru di mכt, dכn di εsophagus, εn put am jכs bihayn di at. Dɛn go gi yu layt anestetik bifo dis du dis, so yu nɔ go fil ɛni prɔblɛm.
3. Bכbul Tεst: Dis kin bi di sem tεm we di εko de du. Dis min se yu fɔ shek smɔl salin sɔlshɔn te i bɔbul ɛn afta dat yu injɛkt am na yu vein. if yu gεt PFO, di salin bכbul go de klia wan pan di εko skan as i de pas tru di ol go na di כda say na di at.
PFO nid tritmɛnt?
Dis na di tin we impɔtant pas ɔl. Bɔrku pipul nɔr nid ɛni tritmɛnt. Ivin if dɛn gɛt PFO, if i nɔ de kɔz ɛni risk, di dɔktɔ go tɛl dɛn nɔ fɔ ivin tink bɔt am.
Bɔt if yu bin dɔn gɛt strok bifo ɛn yu tink se na di PFO, ɔ if yu gɛt bɔku risk fɔ mek yu blɔd klɔt, yu dɔktɔ go tɛl yu fɔ gi yu tritmɛnt.
Dɛn kin sheb di we aw dɛn kin trit am to sɔm men pat dɛn.
| Di we aw dɛn kin trit am | Simpul ɛksplen |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz | Dis involv fɔ gi mɛrɛsin dɛn we de mek blɔd tan (anticoagulants). Sɔm ɛgzampul dɛn na aspirin , klopidogrɛl , ɔ wɔfarin . Dɛn tin ya kin mek di blɔd nɔ kin rɔn. |
| Ɛndovaskyuɛl Ɔpreshɔn | Dis na di we aw dɛn kin lɔk di ol. I nɔ nid fɔ mek dɛn du big ɔpreshɔn. wan tin tכb (kateta) dεn kin put am tru wan big vein na di lεg כ an εn dεn de gayd am כl di we to di at. afta dat, dεn kin pas wan sכmכl divays tru di tכb εn dεn kin kכloz di PFO ol na di tu say dεm. Dis tan lɛk we yu lɔk di ol wit tu ɔmbrela. |
| Ɔpreshɔn fɔ di At | Dɛn kin yuz dis we aw dɛn tin ya we wi dɔn tɔk bɔt nɔ pɔsibul, ɔ we dɛn de du ɔda ɔpreshɔn pan di at. I kin bi ɔpreshɔn we dɛn kin du fɔ opin in at ɔ we dɛn kin kɔt pɔsin smɔl. Bɔt i nɔ kin izi fɔ mek dɛn gɛt fɔ du dis kayn big ɔpreshɔn jɔs fɔ lɔk wan PFO. |
Yu dɔktɔ go chɛk yu sik ɛn disayd us tritmɛnt we go fayn fɔ yu.
Ɛni kɔmplikeshɔn de pan di tritmɛnt?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin we dɛn trit dɛn ya. Bɔt, dɛn nɔ kin bɔku. Blɔd, at ritm we nɔrmal (atrial fibrillation), ɛn infɛkshɔn kin apin. Bɔt dɛn prɔblɛm ya kin rili smɔl we yu kɔmpia am to di bɛnifit dɛn we di tritmɛnt kin gi.
Aw mi fiuja go tan lɛk wit PFO?
Di ansa to dis rili simpul ɛn i de mek pɔsin fil fayn: i rili fayn!
Bɔrku pipul dɛn kin liv nɔrmal, wɛl bɔdi layf wae nɔr kin ivin no se dɛn gɛt PFO. Ivin if dɛn nid tritmɛnt, mɔ afta dɛn dɔn du ɔpreshɔn fɔ lɔk di ol, di tin dɛn we kin apin kin rili fayn. Bɔrku pipul kin wɛl wɛl, kin du dɛn ɛvride layf ɛn nɔr gɛt ɛni prɔblɛm, ɛn liv ful layf.
If dɛn tɛl nyu bɔn pikin se dɛn gɛt PFO, nɔ wɔri bɔt am. Bɔku tɛm, i go lɔk insɛf as dɛn de ol.
Mɛsej we dɛn kin kɛr go na os
- PFO (Patent Foramen Ovale) na sכmכl ol bitwin di tu כp chεmba dεm na di at we nכ de kכloz afta dεn bכn am. Dis na wan sik we kin rili kɔmɔn.
- Wi ɔl gɛt dis ol we wi de na di bɛlɛ. I impɔtant fɔ mek di pikin in blɔd go ɔlsay.
- Bɔrku pipul nɔr kin gɛt ɛni sayn ɔr wɛl bɔdi prɔblɛm bikɔs ɔf PFO.
- Di men tin we kin mek pɔsin gɛt prɔblɛm na dat, wan blɔd we kin klɔt na di bɔdi kin travul tru dis ol to di bren ɛn mek pɔsin gɛt strok. Bɔt dis nɔ kin apin so ɔltɛm.
- Bɔku pipul dɛn nɔ nid ɛni tritmɛnt. Na fɔ di wan dɛn nɔmɔ we gɛt ay risk fɔ gɛt strok, dɛn nid tritmɛnt.
- If dɛn no se yu gɛt PFO, nɔ panik ɛn tɔk opin wan wit yu dɔktɔ. I go gi yu ɔl di infɔmeshɔn ɛn gayd we yu nid.
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