Pericardial Effusion: Dis na sɔntin fɔ wɔri bɔt?

Yu dɔn ɛva yɛri bɔt wan stori bɔt ‘wata we de ful-ɔp rawnd di at’? Sɔntɛm wan pan yu padi dɔn mek dis apin to am. Ɔ sɔntɛm yusɛf dɔn de fil smɔl na yu chɛst ɛn i nɔ izi fɔ yu fɔ blo dɛn tɛm ya. Dis na rili tin we de mek pɔsin fred smɔl. So tide wi de tɔk bɔt dis kɔndishɔn we dɛn kɔl `Pericardial Effusion` na mɛdikal sayɛns. Wetin na am, wetin mek i kin apin, i denja, ɛn wetin wi fɔ du, lɛ wi tɔk insay wan rili simpul we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na Pericardial Effusion?

Lɛ wi ɔndastand dis dis we. Wi at nɔto jɔs wan ɔgan. Wan tin sak we tan lɛk tin we de kɔba am rawnd am. Wi kin kɔl dis ``Pɛrikardiɔm``. Di at de insay dis sak. nכmal wan, sכm sכm wata de bitwin dis sak εn di at we de εp di at fכ slayv izi wan we i nכ de bit dεn wan we i de bit. I tan lɛk ɔyl we de insay injin.

di pεrikardial efyushכn na we, fכ sכm rizin, bכku mכr fכs wata pas nכmal de kכmכt insay dis sak.

Imajin se yu de tray fɔ blo wan balyɔn insay wan plastic wata bɔtul. We di bɔtul ɛmti, yu kin gɛt ples fɔ blo di balyɔn as yu ebul. Bɔt if yu ad smɔl wata to di bɔtul, di rum we di balyɔn de blo fɔ mek i blo go dɔŋ. If yu ful-ɔp am wit mɔ wata, as tɛm de go di balyɔn nɔ go ebul fɔ blo atɔl.

Na di sem tin kin apin to wi at. Di at tan lɛk balyɔn. di sak we de rawnd am (di `pericardium`) na di botul. as dis sak de fulכp wit wata (fluid), di spεs fכ di at fכ pכmp fri wan εn ful wit bכdi de dכn.

• As wata de bɔku: di sak we de rawnd di at gɛt tɛm fɔ strɛch ɛn big. So yu nɔ go fil bɔku diskɔmfɔt te bɔku wata dɔn gɛda.
• We wata de bɔku wan tɛm: Dis kin denja. Dis kin apin pan sɔntin lɛk aksidɛnt. Den di sak no get taim fo drain. Ivin smɔl wata kin mek di at stif ɛn i nɔ kin wok igen.

Wetin na di tin dɛn we dis kin mek pɔsin denja?

Yɛs, sɔntɛnde dis sik kin bi imejensi we kin mek pɔsin in layf de pan denja. Wi kin kɔl am `Cardiac Tamponade` .

Fɔ tɔk am simpul wan, `Cardiac Tamponade` na we di at ful-ɔp wit wata, we de mek i so kɔmprɛs dat i nɔ gɛt rum fɔ muv ɔ ful-ɔp wit blɔd. Imajin se di bɔtul ful-ɔp wit wata, ɛn di balyɔn nɔ de blo atɔl.

If di at nɔ ful-ɔp wit blɔd, i nɔ go ebul fɔ pɔmp blɔd to di ɔda pat dɛn na di bɔdi. We blɔd nɔ rich na di bren, kidni, ɛn liva, dɛn ɔgan dɛn de nɔ de wok igen. dis kכndyushכn dεn kכl am `Cardiogenic Shock`. Dis na tin we rili denja. If dɛn nɔ trit am wantɛm wantɛm, i kin day insay sɔm minit ɔ ivin sɔm awa.

Wetin na di sayn dɛm fɔ dis sik?

If di wata we de gɛda smɔl, yu nɔ go gɛt ɛni sayn. Bɔt we di wata we de insay di wata go bɔku, ɔ we i kam pan imejensi lɛk `Cardiac Tamponade`, di sayn dɛn kin sho.

Lɛ wi si wetin na di men sayn dɛm na di tebul we de dɔŋ ya.

Apat frɔm dat, we di wata we de rawnd di at tumɔs, i kin prɛs pan di ɔgan dɛn we de nia am, lɛk di lɔng dɛn, di nerv dɛn, ɔ di εsophagus. Simptom dɛm lɛk dis kin apin bak:

• I nɔ kin izi fɔ swɛla it (Dysphagia) .
• Hiccups we pɔsin kin gɛt
• Fɔ kɔf ɔ fɔ mek yu ala lawd lawd wan

Wetin mek dis de apin? Wetin na di rizin dɛn?

Nɔto wan rizin de we mek wata de ful-ɔp rawnd di at, bɔku rizin kin de. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin. Bɔt sɔm men tin dɛn de we kin afɛkt am.

• Infεkshכn: Dis kכndyushכn kin kכz difrεn vayral εn baktri infεkshכn dεm. Tubakulosis na big tin we kin mek pɔsin gɛt dis sik, mɔ na kɔntri dɛn lɛk Sri Lanka. HIV infɛkshɔn kin bi bak wan tin we kin mek pɔsin gɛt dis sik.
• Kansa: Kansa we de apin na di at insɛf ɔ kansa we dɔn skata to di at (mɛtastasis) frɔm ɔdasay na di bɔdi kin pwɛl di layn we de rawnd di at ɛn mek i ful-ɔp wit wata.
• Imyun sistɛm sik dɛm: If sik dɛn we de atak di bɔdi in yon sɛl dɛm lɛk lupus (SLE) ɛn rεumatoid at, kin mek wata bɔku.
• Prɔblɛm dɛn we gɛt fɔ du wit ɔmon: Kɔndishɔn dɛn lɛk haypo tayroyd.
• Chɛst injuri: Siriɔs injuri lɛk we pɔsin blo bad bad wan na in chɛst we pɔsin gɛt motoka aksidɛnt ɔ we pɔsin chuk am wit chukchuk.
• At sik: Kɔndishɔn lɛk at atak, at valv sik, ɔr aorta dissection.
• Ɔda tin dɛn we kin mek pɔsin gɛt mɛrɛsin: I kin apin bak afta dɛn dɔn du ɔpreshɔn pan dɛn at, afta dɛn dɔn tek di raytin fɔ gɛt kansa, ɔ as sɔm mɛrɛsin dɛn kin gɛt sayd ɛfɛkt.
• Ɔda mεdikal kכndyushכn dεm: Dis kכndyushכn kin apin bak bikoz fכ di wata we de kכmכt bכku na di bכdi bikoz fכ sik dεm lεk kidni fεil εn liva sirosis.

Aw yu go fɛn dis, Dɔktɔ?

If yu gɛt sɔm sayn dɛn, yu dɔktɔ go aks yu kwɛstyɔn dɛn ɛn chɛk yu fɔ no if yu gɛt di sik. Sɔntɛnde, dɛn kin si am bay chans we dɛn de du ɛkstrem na in chɛst fɔ ɔda rizin.

Di dɔktɔ go ɔda fɔ du bɔku tɛst fɔ no if dis sik de ɛn fɔ no di tin we mek i gɛt am.

• Ilɛktrokardiogram (ECG): I de chɛk aw di at de wok wit ilɛktrik.
• Echocardiogram: Dis na di tɛst we impɔtant pas ɔl. I tan lɛk se dɛn de skan bebi. I kin si klia wan aw bɔku wata de rawnd di at ɛn if i de afɛkt aw di at de wok fayn fayn wan.
• Chɛst X-ray: If bɔku wata de, di shado na di at go big.
• CT Skan ɔ MRI Skan:Dɛn tin ya kin mek yu no mɔ bɔt di at ɛn di tin dɛn we de rawnd am.
• Blɔd tɛst: Blɔd tɛst kin rili ɛp fɔ no di kɔz. fכ egzampl, `Kכmplit Blכd Kכnt (CBC), `Troponin` (fכ chεk fכ at sik), di tayroyd כmon lεvεl, εn tεst fכ di imyun sistεm sik dεm.

Wetin na di tritmɛnt dɛm fɔ dis?

De tritmɛnt dipen pan aw siriɔs yu sik ɛn wetin de mek yu gɛt am.

Bɔt if di wata we de na di wata go ɔp kwik kwik wan, yu gɛt sɔm sayn dɛn, ɔ if wan imejensi kɔndishɔn lɛk di kadyak tamponade dɔn kam, yu nid fɔ gɛt tritmɛnt kwik kwik wan.

Tu men we dɛn de fɔ trit pɔsin:

1. Fɔ pul likwid we i gɛt imejensi

Dis min se yu fɔ pul di wata we pasmak we de rawnd di at, ɛn mek di at ebul fɔ wok fri wan.

• Pɛrikardiosɛntɛsis: Insay dis prɔsidyu, dɛn kin mek di skin na di chɛst nɔ gɛt bɛtɛ trɛnk, dɛn kin put wan tint nidul insay di sak we de rawnd di at ɔnda di gayd fɔ ɛkokadiogram, ɛn dɛn kin pul di wata we pasmak bay we dɛn yuz sirinj. Sɔntɛnde dɛn kin lɛf wan smɔl tiub na in ples fɔ sɔm dez fɔ kɔntinyu fɔ pul di wata.
• Ɔpreshɔn fɔ pul di wata: Sɔntɛnde, i kin nid fɔ du ɔpreshɔn. insay wan prosidכs we dεn kכl ``Video-assisted thoracic surgery (VATS),`` dεn de put kεmεra tru wan sכm sכm insεshכn εn dεn de mek wan sכmכl "window" insay di sak we de rawnd di at. afta dat di wata we pasmak de kכmכt insay di big kכva we de rawnd di lכng dεm, usay i de abzכp insay di bכdi.

2. Fɔ trit di ɔndalayn kɔz

afta dεn dכn pul di wata, fכ stכp di wata fכ fulכp bak, dεn fכ trit di כndalayn kכz.

• If infekshɔn de, dɛn kin gi am antibayɔtik .
• If na bikɔs ɔf di swɛlin, dɛn kin gi am mɛrɛsin dɛn we de mek pɔsin nɔ fil bad .
• If na bikɔs ɔf kansa , dɛn kin yuz kemotɛrapi ɔ redyushɔn tritmɛnt .
• If yu gɛt sik na yu kidni, yu go nid fɔ du dayalaysis .

Wetin kin apin afta dɛn dɔn trit am? Aw lɔng i kin tek fɔ mek i wɛl?

Aw kwik yu kin wɛl ɛn aw lɔng i kin tek fɔ wɛl kin dipen pan sɔm tin dɛm:

• Di rizin fɔ di fluid we dɛn de ful-ɔp.
• Di kayn we aw di sik kin tranga.
• Di tritmɛnt we yu bin gɛt.
• Yu ɔl wɛlbɔdi biznɛs.

Insay imejensi sityueshɔn lɛk `Cardiac Tamponade`, yu go bigin fɔ fil big rilif jɔs afta dɛn pul di wata we de rawnd di at. Bɔku tɛm, yu dɔktɔ go bi di bɛst pɔsin fɔ gi yu wan aidia bɔt di tɛm we yu go wɛl.

If na siriɔs tin, lɛk kansa ɔr aksidɛnt, di chans fɔ wɛl kin smɔl. Bɔt if dɛn nɔ ebul fɔ no di tin we kin mek i sik, ɔ if na sɔntin lɛk simpul infɛkshɔn, di chans fɔ mek i wɛl ful wan kin bɔku.

Ustɛm yu nid fɔ go na ETU wantɛm wantɛm?

Dis na di pat we yu fɔ pe atɛnshɔn to pas ɔl . If yu no se yu gɛt `Pericardial Effusion`, ɔ if yu gɛt wan ɔ mɔ pan dɛn sik ya wantɛm wantɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (`ETU`) wantɛm wantɛm. Dis kin bi sayn dɛm fɔ `Cardiac Tamponade`.

Tek tɛm bad bad wan bɔt dɛn sayn ya. Di tritmɛnt we yu de gi yu di rayt tɛm kin sev yu layf.