Fluid we de rawnd di at? Mek wi tɔk bɔt Pericardial Effusion!

Yu dɔn ɛva fil wan strenj tayt na yu chɛst, i nɔ izi fɔ yu fɔ blo smɔl? Ɔ sɔntɛm dɔktɔ dɔn tɛl yu se sɔntin lɛk wata de gɛda rawnd yu at. Na dat wi go tɔk bɔt tide. dis na mεdikal kכl am `(Pericardial Effusion)`. Nɔ fred, wi go tɔk bɔt dis simpul wan, insay wan we we yu go ɔndastand.

Wetin dis wata we de ful-ɔp rawnd di at min? (Pɛrikardial Ɛfyushɔn)?

fכ simpul wan, `(Pericardial Effusion)` na di akyumyuleshכn fכ wata na di tכn sak we de rawnd yu at, we dεn kכl di `pericardium` . Tink bɔt yu at as valyu tin we gɛt smɔl sak rawnd am fɔ protɛkt am. Dis na di say we wata kin gɛda. Bɔku rizin dɛn kin de fɔ dis. Sɔmtɛm, dis sik kin kam bikɔs ɔf infekshɔn, injury, ɔr ɔda sik.

Bɔt if dis wata we de bɔku kin bɔku wan tɛm , ɔ tu kwik , i kin mek di at bit fast fast. If na so i bi, i kin bi tin we go mek pɔsin in layf de pan denja we i nid fɔ gɛt mɛrɛsin kwik kwik wan .

naw luk, as dis wata de bil sכmtεm, di sak we de rawnd di at, di pεrikardium, de εkspכnd sכmtεm εn mek rum fכ di εkstra wata. bכt if di wata fulכp wan tεm, di sak nכ gεt tεm fכ εkspכnd εn εkspεnd. Wetin kin apin da tɛm de? Di wata de put bɔku prɛshɔn pan di at. di chεmba dεm na di at kin fulכp wit bכdi εn dεn nכ gεt tεm fכ εkspכnd. Bikɔs ɔf dis, di blɔd we di at de pɔmp de go dɔŋ. Dɔn di ɔda pat dɛn na di bɔdi nɔ kin gɛt di blɔd we dɛn nid.

Fɔ tɔk dis simpul we, imajin se yu de blo balyɔn insay wan plastic bɔtul. Na ya, yu at na di balyɔn, ɛn di bɔtul na di pɔrikardium. We di bɔtul ɛmti, bɔku ples kin de fɔ mek di balyɔn blo, nɔto so? Bɔt if yu bigin fɔ ful-ɔp di bɔtul wit wata, di ples we de fɔ mek di balyɔn blo go dɔŋ. If yu kɔntinyu fɔ ful-ɔp di bɔtul wit wata, as tɛm de go di balyɔn nɔ go ebul fɔ blo atɔl. Na dat kin apin na `(Pericardial Effusion)`.

Aw dis sik kin kɔmɔn?

di pεrikardial efyushכn na rili wan kכmכn kכndyushכn. I kin apun pan ɛnibɔdi wae gɛt ɛni ej ɛn bakgrɔn, bikɔs bɔrku tin de wae kin mek pɔrsin gɛt dis sik.

Us prɔblɛm dɛn dis kin mek?

Wan pan di prɔblɛm dɛn we kin mek pɔsin gɛt wata we de kɔmɔt na di bɔdi we de na di bɔdi na di kadyak tamponade . nכmal wan, wan tכn layεr fכ wata de bitwin di insay wכl na di pεrikardium εn di at. Jɔs lɛk aw wi kin put bɔbul rap rawnd wan tin we nɔ kin brok insay bɔks, dis layt we gɛt wata kin gi di at kusɛns.

bכt insay wan kכndishכn we dεn kכl ``Cardiac Tamponade'', da wata de de bכku pasmak, we de mek di at nכ fulכp wit bכdi εn wok fayn fayn wan. If dɛn nɔ trit dis kwik, di at kin stɔp ɛn ivin mek pɔsin day insay sɔm awa.

Bɔt `(Cardiac Tamponade)` nɔto di wan kɔmplikɛshɔn fɔ dis. We di blɔd we di at de pɔmp go dɔŋ, di at kin bigin fɔ bit kwik kwik wan fɔ kɔmpɛns di blɔd we i lɔs. Bɔt as tɛm de go, di at nɔ kin ebul fɔ wok dis fast. Dɔn wan kɔndishɔn we dɛn kɔl `Cardiogenic Shock` kin apin. Dis sɛf kin kil pɔsin if dɛn nɔ trit am.

Wetin na di sayn dɛm fɔ dis?

If yu gɛt smɔl wata we de bɔku, yu nɔ go notis ɛni sayn. di simptom dεm kin apin mכr if di wata we de bכku kwik, if di wata we de fכm bכku bכku wan, כ if yu divεlכp di kכndyushכn we wi bin tכk bכt, ``Cardiac Tamponade''. Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• I nɔ kin izi fɔ yu fɔ blo (sɔntɛnde dɛn kin kɔl am ``Dyspnea'') .
• Chɛst tayt ɔ pen
• At bit kwik kwik wan ɔ chɛst de pen (palpitations) .
• Layt ed ɔ diziz
• Faint ɔr nɔr de mɛmba (`(Syncope)`)
• Fɔ fil taya bad bad wan (Fatigue) .
• Nɔr de rεst, kɔnfyus, ɔr de chenj in bihayvya (dεn kin kam bikɔs blɔd nɔr de go na di bren) .
• Saynosis ( blu/grey we de chenj di kɔlɔ na di lip ɔ ɔnda di finga nel bikɔs ɔksijɛn nɔ de na di blɔd) .

If di amount of dis fluid tu hכy, i kin put prεshכn pan di tisu כ nerv dεm we de rawnd, we kin mek yu gεt simptom dεm lεk:

• I nɔ izi fɔ swɛla (`(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?

Na divεlכp kכntri dεm, bכku tεm, dεn nכ kin fכn di εksakεt kכz fכ Pεrikardial Effusion. Bɔt na di divɛlop kɔntri dɛn, mɔ na kɔntri lɛk Sri Lanka, Tubakulosis na di men tin we kin mek dɛn gɛt dis.

Bɔku tin dɛn de we kin mek pɔsin gɛt `(Pericardial Effusion)`. Bɔku tɛm, i kin apin wit inflamɛns na di at, dat na wit di kɔndishɔn `Pericarditis` .

Wi kin kɔl ɔda rizin dɛn:

• Infεkshכn: Na vayrɔs, baktri dεm (fכ egzampl, HIV εn TB), fεn, כ parasayt dεm kin kכz am. Bɔt di perikardia efyushɔn insɛf nɔ kin pas.
• Kansa: Tumɔs we kin mek na di at ɔ di kansa sɛl dɛn we kin kɔmɔt na ɔda say na di bɔdi kin pwɛl di at layn.
• Imyun sistεm sik dεm כ inflammatory kכndishכn dεm: fכ egzampl, sik dεm lεk `(Lupus)`, `(Rheumatoid Arthritis)` כ `(Sjögren's syndrome)`.
• Prɔblɛm dɛn we gɛt fɔ du wit ɔmon: Wan ɛgzampul na `(Hypothyroidism)` (di tayroyd gland nɔ de mek inof tayroyd ɔmon).
• Trauma: Injury na in chɛst, bad bad blok lɛk motoka aksidɛnt, chuk, ɛn wund wit gɔn.
• di at sik כ di prכblεm dεm we de fכ di sεkyulatri sistεm: hat atak, at valv sik, separeshכn כ te di layεr dεm na di aorta (Aortic Dissection).
• Di tin dɛn we kin mek pɔsin gɛt mɛrɛsin: Afta dɛn dɔn du ɔpreshɔn pan di at, afta dɛn dɔn gɛt raytin fɔ gɛt kansa, ɔ as sɔm mɛrɛsin dɛn we kin mek pɔsin gɛt sayd ɛfɛkt.
• Ɔda tin: Dis kin apin bak wit tin dɛn lɛk at pwɛl, kidni sik we nɔ de mɛn, kidni we nɔ de wok fayn, ɔ liva sirosis.

Aw yu kin no bɔt dis? (Diagnosis) .

If yu gɛt sɔm kayn sik, dɔktɔ go no if yu gɛt Pɛrikardial Ɛfyushɔn afta i dɔn rivyu yu sik, yu mɛdikal istri, mɛdikal tɛst, ɛn ɛgzam pan yu bɔdi.

If yu nɔr gɛt di sayn dɛm, bɔrku tɛm dɛn kin diskɔba am bay chans. Fɔ ɛgzampul, dɛn kin si am pan ɛkstrem rayt na di chɛst we dɛn kin du fɔ ɔda rizin.

If dɔktɔ sɔspɛkt wan kɔndishɔn we dɛn kɔl ``Pericardial Effusion,'' dɛn kin du sɔm tɛst dɛn, lɛk:

• Ilɛktrokardiogram (EKG): Luk di ilɛktrik wok we di at de du.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
• Echocardiogram: Dis na di men ɛn impɔtant tɛst fɔ no dis sik. I tan lɛk we dɛn de du ɔltra saund skan fɔ di at.
• X-ray na di chɛst.
• CT skan na di chɛst.
• MRI fɔ di at.

We dɛn dɔn no se di blɔd de kɔmɔt na di bɔdi, di dɔktɔ kin tɛl dɛn fɔ du blɔd tɛst fɔ no wetin mek i de kɔmɔt. Fɔ ɛgzampul:

• Komplit Blɔd Kɔnt (`CBC`).
• Tɛst fɔ troponin.
• B-tayp natriuretik pεptida tεst.
• Tɛst fɔ di ɔmon we de mek pɔsin gɛt tayroyd.
• di imyun sistεm tεst (fכ luk fכ sik dεm כ inflammatory kכndishכn dεm na di imyun sistεm).

sכmtεm, dεn kin tεst di wata we dεn pul na di pεrikardium fכ no wetin mek dis kכndyushכn de.

Wetin na di tritmɛnt fɔ dis?

De tritmɛnt wae yu go gɛt go dipen pan aw yu sik siriɔs ɛn wetin de mek yu gɛt dis sik.

• If di wata we de na di wata smɔl, bɔt nɔr de si sayn: If di wata de go dɔŋ ɔr de de di sem, yu nɔ go nid ɛni tritmɛnt. If na so i bi, yu dɔktɔ go mɔs de wach di wata we de na di wata ɛn i go jɔs trit am if di sayn dɛn de ɔ if sayn dɛn de fɔ ɔda prɔblɛm.
• If di wata de bɔku kwik kwik wan, if sɔm sayn dɛn de, ɔ if na bikɔs ɔf siriɔs tin (espɛshali injuri ɔ kansa), yu kin nid tritmɛnt wantɛm wantɛm.

if di `(Pericardial Effusion)` big, i kin mek `(Cardiac Tamponade)`, we na wan kכndyushכn we nid imejensi mεdikal tritmεnt . If na so i bi, di wata nɔ go go insɛf if dɛn nɔ pul am. Dɛn tritmɛnt ya we dɛn kin du:

• Pɛrikardiosɛntɛsis: Afta dɛn dɔn numb wan patikyula eria na di chɛst, wit di ɛp fɔ wan imej tɛknik lɛk ɛkokadyografi ɔ fluoroskopi, dɔktɔ kin put nidul insay di pɔrikardiɔm. Dɔn dɛn kin pul di ɛkstra wata. Dɛn kin lɛf wan tin tiub na in ples fɔ sɔm dez te ɔl di wata dɔn.
• Ɔpreshɔn: Sɔntɛnde, ɔpreshɔn na di bɛst we fɔ pul di wata we pasmak na di pɔrikardium. Dis kin bi imejensi prosidur, ɔr e kin bi plan prosidur (we di wata we de bɔku na di sayn bɔt i de go ɔp smɔl smɔl ɛn nɔ denja). Wan kɔmɔn tin we dɛn kin du fɔ dis na fɔ du ɔpreshɔn we dɛn kin yuz vidio fɔ du di tɔraks (VATS) . dis involv fכ mek wan "windo" na di pεrikardכm (wan "pεrikardial winda"), we de alaw di wata fכ drεn insay di big kכva we de rawnd di lכng dεm (di "pleural cavity") we nכ de fulכp di pεrikardial spεs.

If di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ nid fɔ de ɛn nɔ denja, bɔku tɛm dɔktɔ kin ebul fɔ mɛn am wit mɛrɛsin ɔ ɔda tritmɛnt dɛn. Di tritmɛnt dipen pan di ɔndalayn kɔz. Sɔm ɛgzampul dɛn:

• Antibayɔtik fɔ infɛkshɔn lɛk TB.
• Anti-inflammatory drugs de ridyus di inflammation ɛn swelling.
• Dɛn kin advays fɔ tek kimotɛrapi ɛn redyushɔn tɛrapi fɔ di wan dɛn we gɛt perikardial effusion bikɔs ɔf kansa.
• Diuretics ɛn ɔda mɛrɛsin fɔ di wan dɛn we dɔn gɛt pericardial effusion bikɔs dɛn at nɔ de wok fayn.

Wetin na di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm wae de kam wit de tritmɛnt?

Di sayd ifekt dɛm wae kin apin wit tritmɛnt fɔ `(Pericardial Effusion)` dip pan di tritmɛnt ɔr mɛrɛsin wae yu de gɛt. Yu dɔktɔ kin ɛksplen to yu di bɛst we aw di mɛrɛsin dɛn we yu de tek kin ambɔg yu.

Wan prɔblɛm we kin apin na di sik we dɛn kɔl pericardial decompression syndrome . Dis kin apin we dɛn du yu ɔpreshɔn ɔ we dɛn de du ɔpreshɔn fɔ trit di wata we de kɔmɔt na yu bɔdi we de kɔmɔt na yu bɔdi. Pan ɔl we i nɔ kin kɔmɔn, na siriɔs tin we kin mek pɔsin in layf de pan denja. Bɔku tɛm i kin apin if dɛn pul bɔku bɔku wata kwik kwik wan. Fɔ mek dis nɔ apin, yu dɔktɔ kin pul di wata smɔl smɔl.

Aw kwik a go wɛl afta dɛn dɔn trit mi? Aw lɔng i go tek fɔ mek i wɛl?

Di tɛm we yu kin tek fɔ mek yu wɛl ɛn wɛl, kin dipen pan dɛn tin ya:

• Di rizin we mek di wata we de kɔmɔt na di bɔdi kin gɛda.
• Di siriɔs we aw di wata de gɛda.
• Di tritmɛnt we yu bin gɛt.
• Yu ɔl wɛl bɔdi ɛn if yu gɛt ɛni ɔda mɛrɛsin we gɛt fɔ du wit am.

If yu gɛt sayn dɛm fɔ `(Cardiac Tamponade)`, yu fɔ bigin fɔ fil fayn as dɛn de pul di wata ɛn di prɛshɔn pan yu at de ridyus. Jɛnɛral wan, yu dɔktɔ kin gi yu di bɛst aidia bɔt aw lɔng i go tek fɔ wɛl ɛn ustɛm yu fɔ bigin fɔ fil fayn.

Yu tink se dɛn kin mek dɛn nɔ gɛt Pɛrikardial Ɛfyushɔn?

Pɛrikardia efyushɔn na wan kɔndishɔn we yu nɔ kin no, so bɔku tɛm i nɔ kin izi fɔ mek yu nɔ gɛt am. Bɔt yu kin ridyus di prɔblɛm we yu gɛt if yu avɔyd tin dɛn we go mek yu gɛt am. Fɔ ɛgzampul:

• Fɔ lɛf wan infekshɔn we dɛn nɔ trit fɔ tu lɔng.
• Fɔ du spɔt ɔ fɔ du tin dɛn na do we gɛt bɔku prɔblɛm fɔ wund we yu nɔ yuz tin dɛn fɔ protɛkt yusɛf.

Wetin a fɔ ɛkspɛkt if a gɛt Pericardial Effusion?

Pɛrikardia efyushɔn kin bi siriɔs kɔndishɔn. Bɔt nɔto ɔltɛm na mɛdikal imejensi. If na imejensi we de mek pɔsin in layf de pan denja ɔ nɔto so i go dipen pan di tin we mek i apin, di wata we de insay am, ɛn di rit we di wata de ful-ɔp di pɔrikardium.

we wata de bכku kwik kwik wan, i nכ de fכ fכ mek wan denja kכndyushכn lεk `(Cardiac Tamponade)`. dis na biכs di pεrikardium nכ gεt tεm fכ mek rum fכ mכr wata. we `(Pericardial Effusion)` de divεlכp sloslo, i kin tek wik כ ivin mכnt fכ bi prכblεm.

Wan tin we de sho if di pericardial effusion siriɔs na wetin mek i apin fɔs. Ilɛksɛf na bikɔs ɔf injuri, at sik, prɔblɛm wit di blɔd we de kɔmɔt na di blɔd (ɔ ɛni ɔda tin we kin mek wata bɔku kwik kwik wan), i nid fɔ gɛt tritmɛnt kwik kwik wan fɔ mek i nɔ gɛt prɔblɛm dɛn we denja lɛk di kadyak tamponade.

Aw lɔŋ di Pericardial Effusion kin las?

Big big wata we de kכlekt εn we de kכlekt wata we de kכmכt kwik kwik wan na siriכs kכndyushכn dεm we nid fכ go to mεdikal kwik kwik wan. Ɛspɛshali pan imejensi, dɛn nɔ fɔ las pas aw dɛn fɔ no ɛn trit dɛn.

Di wata we de gɛda fɔ lɔng tɛm, mɔ di smɔl wan dɛn we nɔ gɛt ɛni sayn, kin las fɔ wik, mɔnt, ɔ ivin ia. Yu dɔktɔ kin se yu fɔ go fala yu ɔltɛm fɔ chɛk di wata we yu de drink ɛn if i de ambɔg yu wɛlbɔdi.

Outlook fɔ Pɛrikardial Ɛfyushɔn

Bɔku tɛm, dɔktɔ dɛn kin trit di wata we de kɔmɔt na di bɔdi we de kɔmɔt na di at. Sɔntɛnde, dipen pan aw dɛn kin tranga ɛn wetin mek dɛn de, dɛn kin ivin wɛl.

in jεnarכl, di pεrikardial efyushכn dεm we dεn nכ no kכz gεt gud prכgnosis. Di wata we de kɔmɔt na di bɔdi we gɛt injuri ɔ kansa kin mek pɔsin gɛt prɔblɛm ɛn i kin at fɔ trit. Pɛrikardia efyushɔn we gɛt fɔ du wit kansa ɔ HIV/AIDS gɛt smɔl sɔvayv rɛt.

Aw a kin kia fɔ misɛf?

If yu gɛt Pericardial Effusion, i impɔtant fɔ no bɔt ɛni sayn ɔ chenj na yu ɔl wɛl bɔdi. I impɔtant bak fɔ fala yu dɔktɔ in instrɔkshɔn, mɔ we i kam pan aw fɔ tek mɛrɛsin ɛn aw fɔ kɔntrol di tɛm we yu go wɛl.

Ustɛm a fɔ go to mi dɔktɔ?

If nid de, yu dɔktɔ go sɛtul fɔ fala yu fɔ wach yu sik. I go gi yu instrɔkshɔn bak bɔt aw fɔ kɔntrol yu sik dɛn ɛn ustɛm yu fɔ kɔl in ɔfis.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go na di ɔspitul imejensi rum wantɛm wantɛm. Dis kin bi sayn fɔ wan sik we dɛn kɔl ``Cardiac Tamponade``:

• Chɛst de pen.
• I nɔ izi fɔ blo ɔ fɔ blo kwik kwik wan.
• Di kɔlɔ we de na di skin kin chenj, mɔ di wan dɛn we kin shayn, we kin grey, ɔ we kin blu.
• Diziz, vertigo ɔ vertigo .
• Di we aw pɔsin de blo.
• wan puls rεt we pas 100 bit pan minit we yu de rεst (Tachycardia).

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di kɔz fɔ mi `(Pericardial Effusion)`?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin na di chans fɔ mek di pericardial effusion kam bak?
• Wetin na mi prɔgnosis?

Wetin na di difrεns bitwin `(Pericardial Effusion)` εn `(Pleural Effusion)`?

di pleura effusion sכm kayn we lεk di pεricardial effusion, bכt i de apin na difrεn pat na di chεst. di pleura cavity na di sak we de rawnd yu lכng dεm. di pleura effusion na di akyumyuleshכn fכ fכs wata na da spεs de. Wan pleura effusion kin mek yu lכng dεm nכ de εkspכnd fayn fayn wan, we kin mek i at fכ brith.

We yu gɛt prɔblɛm fɔ blo, we yu chɛst de at, yu jɔs want fɔ gɛt rilif. Yu nɔ go ivin no wetin mek yu gɛt pericardial effusion, we na sak we ful-ɔp wit wata rawnd yu at. Ilɛk wetin mek yu fil, yu fɔ fil fayn afta yu dɔn gɛt tritmɛnt. Nɔ shek fɔ aks yu dɔktɔ bɔt ɛnitin we nɔ klia to yu.

Mɛsej we dɛn kin kɛr go na os

di pεrikardial efyushכn na di wata we de kכmכt insay di sak we de rawnd yu at we dεn kכl di pεrikardכm. E kin bi smɔl tin, ɔr kin bi siriɔs sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

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If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu de fɔdɔm, go to dɔktɔ wantɛm wantɛm.

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Di tritmɛnt we dɛn kin pik kin dipen pan di tin we mek di sik ɛn aw i siriɔs. So i go fayn fɔ mek yu tɔk to yu dɔktɔ fɔ no us tritmɛnt go fayn fɔ yu. Nɔr wɔri, dɛn kin mɛn dis sik fayn fayn wan wit di rayt tritmɛnt.

` Pericardial Effusion, wata we de ful di pericardium, wata na di at, Cardiac Tamponade, Chɛst pen, I nɔ izi fɔ blo, At sik