Yu de gɛt pen na yu chɛst ɛn i nɔ izi fɔ yu fɔ blo? Dis kin bi perikarditis!

Yu dɔn ɛva fil wan shap pen we de chuk yu na yu chɛst, we de mek i nɔ izi fɔ blo? Dis kin apin ivin afta yu dɔn wɛl frɔm kɔmɔn kol ɔr flu. Bɔku pipul dɛn kin fred se dis na at prɔblɛm. Infakt, i kin bi inflamɛns na di sak we de rawnd di at. Tide, wi go tɔk bɔt dis kɔndishɔn ditayli we dɛn kɔl ``pericarditis.''

Yu no wetin na pericarditis?

Fɔ tɔk am simpul wan, `Pericarditis` na inflamɛns ɔ swel na di `pericardium`, we na wan sak we rili tan, tu layers, we ful-ɔp wit wata we de rawnd wi at. I tan lɛk we dɛn kɔt wi skin we kin mek di say we wi de rɛd ɛn swel. di men wok we dis `pericardium` de du na fכ protεkt di at εn gi am di lכbrikshכn we i nid we i de bit. biכs fכ dis inflameshn, sכmtεm εkstra wata kin kכmכt bitwin di layεr dεm na di pεrikardium. dis dεn kכl am `pεrikardial efyushכn`.

Pɛrikarditis kin kam wantɛm wantɛm. Bɔt sɔntɛnde, i kin te fɔ sɔm wiks to sɔm mɔnt. Bɔrku tɛm, de sik kin dɔn insay tri mɔnt, bɔt pan sɔm pipul dɛm, i kin te fɔ lɔng tɛm.

Bɔku kayn pericarditis de, nɔto so?

Yes, difrɛn kayn `Pericarditis` de. Lɛ wi si wetin na di men kayn dɛn:

• Akyu Pɛrikaditis: Dis na di kayn we we dɛn kin gɛt mɔ. Dis inflamɛns kin apin wantɛm wantɛm, wit di biginin fɔ di sayn dɛm.
• Kronik Pɛrikarditis: Dis na di nem we dɛn kin gi inflamɛns we kin de fɔ tri mɔnt ɔ mɔ afta di fɔs akyu episɔd.
• Constrictive Pericarditis: Dis na wan sik we siriɔs pasmak. wetin de apin ya na di layεr dεm na di pεrikardium we dεn bin inflam de tik sכmtεm, ska tisu de fכm, εn stik togeda. I tan lɛk se di at de kɔnstrikt. Dis kin rili ambɔg di nɔmal wok we di at de du. dis kכndyushכn kin apin bכku tεm afta lכng tεm we dεn gεt `Acute Pericarditis`.
• Infεkshכn Pεrikarditis: Dis kכndyushכn kin kכz bay wan vayral, baktri, fכn, כ parasayt infεkshכn.
• Idiopathic Pericarditis: Sɔntɛnde, dɛn nɔ kin no wetin mek dis kin apin . Na dat mek dɛn kɔl am dis.
• Traumatic Pericarditis: Dis sik kin apin afta yu dɔn wund yu chɛst, fɔ ɛgzampul afta yu gɛt motoka aksidɛnt.
• Uremic Pericarditis: Dis kin apin pan pipul dɛm wae dɛn kidni nɔr de wok fayn.
• Malignant Pɛrikarditis: .Dis kכndyushכn kin apin bak bikoz fכ kεnsar we de divεlכp כdasay na di bכdi.

Wetin na di difrɛns bitwin Mayokarditis ɛn Pɛrikarditis?

Dɛn tu tin ya na inflammatory conditions na di at, bɔt dɛn kin apin na tu ples. Mayokarditis na wan inflamɛns na di at mɔsul. Pɛrikarditis na inflamɛns na di sak we de rawnd di at, we dɛn kɔl di perikardiɔm. Bɔku tɛm, na wan vayrɔs kin mek dɛn tu tin ya. Dɛn tu kin mek yu chɛst pen. Bɔt wit pericarditis, di chɛst pen fɔ dɔn we yu ledɔm bifo. Wit mayokarditis, yu go fil mɔ taya ɛn wik.

Udat kin gɛt Pɛrikaditis mɔ?

Ɛnibɔdi kin gɛt perikarditis. Bɔt i kin apin mɔ pan man dɛn we ol bitwin 16 ɛn 65. Frɔm wetin dɛn dɔn tɔk bɔt, dis sik kin apin to lɛk 28 pan 100,000 pipul dɛn ɛvri ia.

Wetin kin apin to di bɔdi we pɔsin gɛt perikarditis?

We yu gɛt pericarditis, di mɛmbran we de rawnd yu at kin rɛd ɛn swel. I tan lɛk di skin we de rawnd wan kɔt na yu an ɔ yu leg we de swel. Dis perikardium rili impɔtant. I de mek di at gɛt lɔbrik, i de protɛkt am frɔm infɛkshɔn ɛn kansa, ɛn i de ɛp fɔ mek i kɔntinyu fɔ de na di chɛst. I kin stɔp bak fɔ mek di at nɔ big tumɔs we di blɔd volyum de go ɔp. Dis kin ɛp di at fɔ wok fayn fayn wan.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt pɔrsin wae gɛt pɔrsin wae gɛt dis sik? Aw yu no am?

Di men sayn we de sho se pɔsin gɛt pericarditis na we i de fil pen na in chɛst. Dis pen gɛt sɔm patikyula tin dɛm bak:

• shap, stab pen (dis kin kכz bay di at we de rכb pan di pεrikardium we swel).
• Dis pen kin bɔku we yu kɔf, swɛla, tek dip briz, ɔ ledɔm.
• Bɔt we yu sidɔm ɛn ledɔm bifo, yu fɔ fil se di pen dɔn stɔp. Dis na wan sayn we rili impɔtant.

Sɔntɛnde yu kin fil se yu nid fɔ ledɔm bifo ɔ ol yu chɛst fɔ mek i izi fɔ yu fɔ blo.

Ɔda sayn dɛn de we kin sho se yu gɛt dis sik:

• Pen na yu bak, yu nɛk, ɔ yu lɛft sholda.
• I at fɔ blo we yu stɔp.
• Wan dray kɔf.
• Palpiteshɔn na filin fɔ mek yu at bit kwik kwik wan ɛn nɔ de bit ɔltɛm.
• Fɔ de wɔri ɛn taya ɔltɛm.
• Fiva.
• If i siriɔs, di leg, anklɛ, ɛn fut kin swel.

If yu leg, yu fut, ɛn yu anklɛ dɛn dɔn swel, ɔ yu gɛt prɔblɛm fɔ blo ivin we yu de du smɔl smɔl tin dɛn, dat kin bi sayn fɔ wan siriɔs sik we dɛn kɔl Kɔnstriktiv Pɛrikaditis. dis na we di pεrikardium tik εn i de mek di at nכ de εkspכnd fayn fayn wan. Dis kin mek di at nɔ ebul fɔ pamp blɔd fayn fayn wan. Dis kin mek di lɔng, bɛlɛ, ɛn leg ful-ɔp wit blɔd ɛn swel, we fiba di sayn dɛm fɔ Kɔnjɛstiv At Fɛil. di at ritm dεm we nכ nכmal kin apin bak.

If yu gɛt ɛni sayn fɔ `Acute Pericarditis`, go to yu dɔktɔ wantɛm wantɛm. If yu tink se yu sik na imejensi, go to tritmɛnt na di ɔspitul we de nia yu.

Wetin mek Pɛrikaditis kin apin? Wetin na di tin dɛn we kin mek i apin?

i sכprayz, insay lεk 90 pan 100 kes dεm, dεn nכ kin fכnshכn nכ spεshal kכz fכ dis ``pεrikarditis.'' dεn kכl dis ``idiopathic pεrikarditis.''

Bɔt bɔku ɔda rizin dɛn de we kin mek pɔsin gɛt perikarditis:

• As komplikashכn fכ wan vayral infεkshכn (bכku tεm na gεstrointestinal vayrus).
• Wan baktriyal infεkshכn, fכ egzampl, TB.
• Wan infεkshכn we dεn kin gεt fכ fכn.
• Wan infekshɔn we kɔmɔt frɔm wan parasayt.
• Bikɔs ɔf sɔm `Autoimmune Diseases`, fɔ ɛgzampul `Lupus`, `Rheumatoid Arthritis`, `Scleroderma`.
• Wan injuri na in chɛst, lɛk afta motoka aksidɛnt.
• Bikɔs ɔf `Kidni Failure`.
• Bikɔs ɔf kansa lɛk `Lymphoma`.
• Bikɔs ɔf di jɛnɛtik sik dɛm lɛk `Familial Mɛditarenian Fiva (FMF)`.
• biכs fכ sכm mεdikeshכn dεm we de sכpres di imyun sistεm (dis nכ kin bכku).

Dɔn bak, di risk fɔ gɛt Pɛrikaditis kin bɔku afta dɛn tin ya:

• Afta wan `Hat Atak`.
• Afta opin at ɔpreshɔn (Open Hat Ɔpreshɔn / Postpericardiotomy Syndrome).
• Afta we dɛn dɔn yuz redyushɔn tɛrapi.
• Afta sɔm tritmɛnt dɛn lɛk `Cardiac Catheterization` ɔ `Radiofrequency Ablation (RFA)`.

Insay dɛn kayn tin ya, di pɔrsin kin gɛt prɔblɛm wit di we aw di bɔdi de ansa di ɔpreshɔn ɔ di kɔndishɔn. Sɔntɛnde, i kin tek sɔm wiks fɔ mek di sayn dɛm fɔ pericarditis apia afta dɛn dɔn du baypas ɔpreshɔn. Tɔk to yu dɔktɔ we de du ɔpreshɔn bɔt dis.

Dɔktɔ, aw yu kin no se yu gɛt pericarditis?

Shap pen na yu chɛst ɛn biɛn yu sholda blad, mɔ we yu bɛn fɔ go bifo, ɛn chɛst pen we yu de blo na di tu big tin dɛn we de sho se yu kin gɛt pericarditis. Dis kin ɛp yu fɔ no if nɔto at atak. Yu dɔktɔ go aks yu bɔt yu sik, if yu dɔn sik dis biɛn tɛm, ɛni sik we yu dɔn gɛt trade, ɛni ɔpreshɔn we yu dɔn du, ɛn ɛni ɔda wɛlbɔdi prɔblɛm we go mek yu gɛt mɔ prɔblɛm wit yu bɔdi.

Dɔn di dɔktɔ go lisin to yu at. We di layers we dɔn swel na di pericardium rɔb togɛda, yu go yɛri sawnd lɛk tu lif dɛn we de rɔb togɛda, ɔ tu pat pan dray lɛda we de rɔb togɛda . dis dεn kכl dis ``pεrikardial rכb.'' dis sawnd de bεst fכ yεri we yu le fכs, ol yu brith, εn afta dat yu brith sכmtεm. dipכnt pan aw di inflameshn siriכs, yu kin yεri sכm ``krakl'' dεm bak na di lכng dεm. dis min se wata de na di spεs we de rawnd di lכng dεm, כ εkstra wata de na di pεrikardium.

Us tɛst dɛn de du fɔ dis?

Dɔktɔ dɛn go du difrɛn tɛst dɛn fɔ chɛk fɔ si if pɔsin gɛt pericarditis, ɛn bak fɔ gɛt prɔblɛm dɛn lɛk we pɔsin de kɔmɔt na di bɔdi ɔ kɔnstriktiv pericarditis. Yu go nid fɔ du wan ɔ mɔ pan dɛn tin ya:

• Chεst X-ray: Chεk di saiz fכ di at εn si if wata de na di lכng.
• Ilɛktrokardiogram (ECG ɔ EKG): I de chɛk fɔ si if di at ritm chenj. Na lɛk af pan pipul dɛm wae gɛt pericarditis go gɛt sɔm chenj dɛm wae dɛn kin notis pan dɛn ECG. Sɔm pipul dɛn nɔ kin gɛt ɛni chenj atɔl.
• Echocardiogram (Echo): Fɔ si aw di at de wok fayn ɛn if wata de rawnd di at (pericardial effusion). εko kin sho sayn dεm fכ kכnstrikt pεrikarditis, we na wan tik tik, tayt sak we de rawnd di at.
• Cardiac MRI: Fɔ chɛk fɔ si if i gɛt ɛkstra wata, inflamɛns, tik, ɔ at de grɔmbul na di pericardium . wan spεshal tin we dεn kכl `Gadolinium` dεn injεkt insay di at.
• CT Scan: Fכ si if di kalsiכm dεposit, wata, inflameshn, tכmכro, כ כda sik dεm de na di pεrikardium. Dis de yuz wan day we gɛt `Ayodin`. Lan mɔ bɔt inflamɛns. Dis tɛst rili impɔtant if yu nid fɔ gɛt ɔpreshɔn fɔ `Constrictive Pericarditis`.
• Cardiac Catheterization: I de chɛk di prɛshɔn we de insay di at. Dis kin kɔnfɔm if yu gɛt Kɔnstrikt Pɛrikaditis.
• Blɔd Tɛst: Fɔ mek shɔ se yu nɔ gɛt at atak, fɔ si aw yu at de wok fayn, fɔ chɛk di wata we de na di pericardium, ɛn fɔ ɛp fɔ no wetin mek yu gɛt pericarditis. if yu gεt pεrikarditis, yu ESR (Erythrocyt Sedimentation Rate) εn ultra-sensitiv C-reactive protein (CRP) lεvεl dεm kin hכy pas nכmal. Dɛn kin du ɔda tɛst dɛn bak fɔ chɛk fɔ ɔtoimyun sik dɛn lɛk lupus ɛn rεumatoid at.

Wetin na di tritmɛnt dɛm fɔ pericarditis?

Bɔrku tɛm, fɔ pipul dɛm wae gɛt perikarditis, mɛrɛsin nɔmɔ kin du fɔ dɛn, i kin dipen pan wetin dɛn tink se kin mek dɛn gɛt dis sik. Bɔt if wata dɔn gɛda na yu perikardium, i kin nid fɔ pul am. If yu gɛt kɔnstriktiv perikarditis, i kin nid fɔ du ɔpreshɔn.

Mɛrɛsin fɔ Pɛrikarditis

Dɛn kin trit akyu pericarditis wit pen ɛn inflamɛns mɛrɛsin, lɛk ibuprofen ɔ ay doz aspirin. Dipen pan wetin de mek yu gɛt perikarditis, yu kin nid antibayɔtik ɔ antifungal mɛrɛsin.

If yu gɛt siriɔs sik fɔ pas tu wiks, ɔ if dɛn kam bak afta yu dɔn wɛl, yu dɔktɔ kin gi yu bak wan mɛrɛsin we de mek yu nɔ gɛt inflammatory we dɛn kɔl Colchicine (Colcrys® ɔ Gloperba®). Kolchicine kin ɛp fɔ kɔntrol inflamɛns ɛn mek di pericarditis nɔ kam bak fɔ wik ɔ mɔnt. If yu gɛt sik na yu kidni, yu dɔktɔ kin gi yu bak wan stɛroyd we dɛn kɔl Prednisone, we kin mek i nɔ izi fɔ tek ibuprofen ɛn kolchicine.

If yu fɔ tek ay dos fɔ `Ibuprofen`, yu dɔktɔ go gi yu ɔda mɛrɛsin dɛn bak fɔ ridyus di prɔblɛm we yu gɛt na yu bɛlɛ. If yu de tek ay dos fɔ `NSAIDs (Nonsteroidal Anti-inflammatory Drugs)`, yu go nid fɔ gɛt `Fɔl-ap` tɛst ɔltɛm fɔ chɛk fɔ chenj na di kidni ɛn liva wok.

If yu gɛt `Chronic` ɔ `Recurrent` Pericarditis, yu kin nid fɔ tek `NSAIDs` ɔ `Colchicine` fɔ sɔm ia, ivin if yu gɛt wɛlbɔdi ɔda we. `Diuretics` ("water pills") kin ɛp fɔ pul di ɛkstra wata we kin gɛda bikɔs ɔf `Constrictive Pericarditis`. If yu gɛt prɔblɛm wit yu at ritm, yu dɔktɔ go tɔk to yu bɔt tritmɛnt fɔ dat.

Yu dɔktɔ kin tɔk to yu bak bɔt aw fɔ trit yu sik wit stɛroyd ɔ ɔda mɛrɛsin, lɛk `Azathioprine (Azasan® ɔ Imuran®)`, `IV Human Immunoglobulins`, ɔ `Anakinra` ɔ `Rilonacept`.

If na infekshɔn mek yu pericarditis, yu dɔktɔ go gi yu patikyula mɛrɛsin fɔ trit da infekshɔn de. If na kansa mek am, di bɛst tritmɛnt na fɔ trit di kansa.

Ɔpreshɔn ɛn prosidur fɔ pericarditis

we wata de bכku bitwin di layεr dεm na di pεrikardyכm, i de mek wan kכndyushכn we dεn kכl `Pericardial Effusion.` If dis wata bכlכp kwik, i kin mek `Cardiac Tamponade`, wan siriכs kכndyushכn we de put prεshכn pan di at εn i de ambɔg in wok. `Cardiac Tamponade` na wan mɛdikal imejensi we de mek pɔsin in layf de pan denja ɛn we nid fɔ gɛt tritmɛnt kwik kwik wan.

Dis wata we kin gɛda wantɛm wantɛm bitwin di layers na di at kin mek di at nɔ wok fayn ɛn mek di blɔd prɛshɔn go dɔŋ. Dis kin mek pɔsin in layf de pan denja, so dɔktɔ fɔ pul di wata wantɛm wantɛm.

If yu gɛt wata na yu pericardial effusion, we de mek yu at prɛshɔ, yu kin nid fɔ du wan prosidur we dɛn kɔl pericardiocentesis. Dis kin min se di dɔktɔ de yuz wan lɔng, tin tiub we dɛn kɔl kateta fɔ pul di wata we pasmak. dis tכb εn nidul de gayd insay di pεrikardial sak we dεn de yuz εkokardiogram כ CT skan.

if dεn nכ ebul fכ pul di wata wit nidul, di dכkta go du wan sכm sכm כpεrayshכn we dεn kכl ``pεrikardial winda.'' Dis involv fכ mek sכm sכm pat na di chεst εn mek wan ol na di pεrikardiכm fכ pul di wata.

If yu gɛt kɔnstriktiv perikarditis, yu kin nid fɔ pul wan pat pan yu at sak. Dɛn kɔl dis ɔpreshɔn, pɔrikardiɛktɔmi. Dɛn kin du am fɔ pipul dɛn we gɛt ska tisu na di at sak. Dɛn nɔ kin du am fɔ pipul dɛn we gɛt aktif inflamɛns ɛn chɛst pen frɔm perikarditis.

Dɛn nɔ kin yuz ɔpreshɔn as tritmɛnt fɔ pipul dɛn we gɛt perikarditis we kin kam bak, bikɔs di inflamɛns kin mek i nɔ izi fɔ mek dɛn wɛl afta dɛn dɔn du di ɔpreshɔn. Bɔt yu dɔktɔ kin tɔk bɔt dis wit yu if ɔda tritmɛnt dɛn nɔ dɔn wok.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Yu fɔ ansa di tritmɛnt insay wan wik, bɔt yu go nid fɔ tek mɛrɛsin fɔ lɛk tu wiks. Fɔ wɛl afta dɛn dɔn du di ɔpreshɔn kin tek lɔng tɛm. I kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl gud gud wan frɔm di pericarditis. I rili impɔtant fɔ mek yu rɛst bɔku tɛm da tɛm de.

Yu tink se di pericarditis we de kam bak kin ridyus?

Pan ɔl we yu nɔ go ebul fɔ stɔp wan ɛpisod fɔ `Acute Pericarditis`, yu kin ridyus di risk fɔ mek i kam bak bay we yu gɛt tritmɛnt kwik kwik wan ɛn fala di tritmɛnt ɛksaktɔli. Dɔn bak, fala wetin yu dɔktɔ tɛl yu bɔt ustɛm fɔ bigin fɔ du ɛksɛsayz bak. Vigorous exercise durin aktif `Pericarditis` kin mek di kondishon wos.

Wetin yu fɔ mɛmba we yu de liv wit pericarditis?

Wae yu dɔn wɛl frɔm pericarditis, yu fɔ ebul fɔ go bak to yu nɔrmal tin dɛm wae yu nɔr de wɔri. Bɔt nɔ bigin fɔ du ɛksasaiz bak te yu dɔktɔ gi yu di okay. Yu dɔktɔ go tɛl yu mɔ bɔt dis.

Aw lɔŋ di pericarditis kin las?

• Akyu Pɛrikaditis kin de bitwin 4 ɛn siks wik.
• `Incessant Pericarditis` (kɔntinyu) kin las pas dat, bɔt i nɔ kin rich tri mɔnt.
• Kronik Pɛrikaditis dɔn de fɔ pas tri mɔnt.
• Bitwin 15% ɛn 30% pan di pipul dɛm wae gɛt pericarditis kin gɛt episod wae de kam bak ɔva di ia dɛm.

If dɛn trit dɛn, pipul dɛn we gɛt `Acute Pericarditis` kin gɛt rili ay chans fɔ wɛl. Bɔku pipul dɛn kin wɛl kpatakpata. If yu gɛt smɔl kes, i kin sɔlv we yu rɛst. Bɔt if dɛn nɔ trit sɔm pipul dɛn, dɛn kin gɛt `Chronic Pericarditis`.

Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin dɛn jɔs lɛk aw di dɔktɔ tɛl yu ɛn fɔ go to di dɔktɔ di de dɛn we yu dɔn plan fɔ tek.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ `Constrictive Pericarditis`, go to dɔktɔ wantɛm wantɛm. Dɛn sayn ya na:

• I nɔ kin izi fɔ yu fɔ blo.
• Di leg ɛn fut dɛn kin swel.
• Wata we de kɔntinyu fɔ de na di bɔdi.
• Di we aw pɔsin de blo.
• Di bɛlɛ kin swel bad bad wan.

Pan ɔl we pen na in chɛst na kɔmɔn sayn fɔ pericarditis, i kin bi sayn bak fɔ hat atak. So, if yu gɛt pen na yu chɛst, i kin bi at atak, so go na di imejensi rum wantɛm wantɛm.

Fɔ dɔn, sɔm impɔtant tin dɛn

A op se naw yu dɔn ɔndastand dis sik we dɛn kɔl `Pericarditis`. Mɛmba,If yu gɛt pen na yu chɛst, mɔ we yu de bɛn fɔ go bifo ɛn we yu de blo, wit sɔm sayn dɛn lɛk fiva ɛn taya, i kin bi perikarditis. If dis apin, i go fayn fɔ mek yu go to dɔktɔ ɛn yu nɔ go fred.

If yu gɛt tritmɛnt kwik, bɔku tɛm yu kin mek yu wɛl ful wan. If yu fala di tritmɛnt fayn fayn wan, i kin ɛp bak fɔ mek di sik nɔ kam bak. So, i rili impɔtant fɔ yuz di mɛrɛsin we yu dɔktɔ gi yu di rayt we ɛn fɔ go fɔ di wan dɛn we de fala yu ɔltɛm. Yu fɔ no bɔt di sayn dɛm we de sho se pɔsin gɛt pericarditis, so dat if i apin bak, yu go gɛt tritmɛnt kwik kwik wan. A de wish yu wɛlbɔdi wɛlbɔdi!

` Pɛrikarditis, perikarditis, chɛst pen, shɔt briz, at sik, at atak, Kɔlchisin