We yu dɔktɔ tɛl yu bɔt pesmɛka, ɔ we yu luk pan at skan ripɔt, i bin tɔk bɔt di nem "Right Atrial Appendage"? Yu bin fil smɔl fɔ fred ɔ kɔnfyus we yu yɛri am? Yu bin tink se, "O mi Gɔd, wetin na dis nyu sik?" I rili nɔmal fɔ fil da we de. Bikɔs na nem we nɔbɔdi pan wi nɔ yɛri bɔku bɔt. Bɔt no rizin nɔ de fɔ mek wi fred. I rili simpul. Lɛ wi tɔk bɔt dis tide, lɛk se tu padi dɛn de tɔk, ɛn nɔ gɛt ɛni lod.
Fɔ tɔk am simpul wan, wetin na dis Rayt Atrial Apɛndij (RAA)?
Imajin se wi at tan lɛk smɔl os we gɛt 4 rum dɛn. di tu rum dεm we de na di כp fכl na dis os dεn kכl dεm di atria, εn di tu rum dεm we de dכn fכlכ dεn kכl dεm di vεntrikl dεm. di rum we de na di rayt say na dis tכp fכla, dat na , di rayt atria, na sכm pat we lεk paus we de kכmכt sכmtεm frכm di rayt atria, we wi kכl di Rayt Atrial Apεndij (RAA). Dis na pat pan di at sɛf, nɔto sɔntin we dɛn jɔs dɔn mek.
"So wetin mek dɔktɔ dɛn de tɔk bɔt dis?" yu kin de wɔnda. Di men rizin na bikɔs we sɔm pipul dɛn nid fɔ put peshɛnt mɛka, i kin izi ɛn sef fɔ put smɔl waya we dɛn kɔl lid insay di RAA. dis na biכs di RAA de rili nia di men sεntr we de sεnd ilektrikal signal to di at, di SA node (sinoatrial node) . So, we dεn put di peshכn waya de, dεn kin kכntro di at in wok fayn fayn wan.
Okay, so us savis dis smɔl pat de gi?
Dis smɔl sak we dɛn kɔl RAA gɛt impɔtant wok bak na wi bɔdi. We di blɔd we de na wi bɔdi go ɔp wantɛm wantɛm, di blɔd we de kam na di at kin bɔku bak. Dɔn di wɔl dɛn na dis RAA kin bigin fɔ strɛch.
Tink bɔt am lɛk balyɔn we ful-ɔp wit wata. Jɔs lɛk aw di balyɔn de bɔku we di wata de bɔku, na so di RAA de kɔntrakt smɔl we di blɔd de bɔku.
we di wכl dεm kכntrakt dis we, di RAA de kכl wan spεshal kayn protin we dεn kכl Natriuretic Peptides . dis protin dεm de signal wi bכdi fכ se, "Okay, naw wi gεt tu mכch wata na wi bכdi, wi nid fכ ridyus am sכmtεm." Dɔn dɛn prɔtin ya kin mek wi blɔd vesel dɛn big smɔl, ɛn dɛn kin gi sayn bak to di kidni dɛn fɔ ɛp dɛn fɔ pul di sɔl ɛn wata we pasmak tru di urine. Dis prɔses de mek di bɔdi in blɔd volyum ɛn blɔd prɛshɔn we dɔn go ɔp bak to nɔmal. Fɔ tɔk am simpul wan, dis tan lɛk natura l prɛshɔn rɛgyulatɔ na wi bɔdi.
Aw dis RAA luk ɛn fil lɛk?
Dis na rili smɔl eria. Na lɛk 3 skwea sɛntimita, we na lɛk tu tɛm pas wi big nel. Bɔt di wɔndaful tin na dat, nɔto ɔlman in RAA na di sem. Jɔs lɛk wi fes ɛn finga prɛnt, i kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm men shep dɛn de we dɔktɔ dɛn dɔn no.
- Parrot beak shep: Dis na di shep we pipul dɛn kin si mɔ.
- Ɔs ed shep: Sɔm pipul dɛn RAA shep lɛk dis.
- Shep we tan lɛk anvil: I tan lɛk trapezoid shep.
- Sel bot: Na triangul shep.
- Shep we nɔ de difayn: Sɔntɛnde dɛn kin put dis di kayn we we nɔ de pan ɛni shep.
Ilɛk wetin na di shep, bɔku tɛm i nɔ kin gɛt bɔku impak. Bɔt dɔktɔ dɛn kin wɔri bɔt dis shep we dɛn de du sɔm ɔpreshɔn dɛn na dɛn at.
Kɔndishɔn ɛn simptom dɛm wae kin afɛkt RAA
Bɔku tɛm, RAA nɔto siriɔs prɔblɛm. Bɔt sɔntɛnde, sɔm kayn mɛrɛsin kin afɛkt am. Dɔn bak, di sayn dɛm wae wi kin gɛt pan dɛn kayn sik ya kin rili fiba di wan dɛm wae wi kin gɛt pan ɔda at prɔblɛm.
| Posisibul mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Atrial Fibrilɛshɔn (Afib) . | dis na we di כp chεmba dεm na di at (atria) de bigin fכ bit kwik kwik wan, lεk se dεn de fכlכ. Dis kin mek di blɔd nɔ de flɔ ɔltɛm, ɛn blɔd kin klɔt na di RAA. כltu, blכd kכlכt nכ kin fכm ya we yu kכmpεr to di lεft atrial apεndεj. |
| Aksidɛntal injuri dɛn | Insay sɔntin lɛk big motoka aksidɛnt, if pɔsin blo bad bad wan na in chɛst, i kin pwɛl di RAA. |
| Aneurysm we de mek pɔsin gɛt di sik | Wetin kin apin insay dis na dat di wɔl na di RAA kin wik ɛn bulge kɔmɔt lɛk balyɔn. Dis na tin bak we nɔ kin apin so ɔltɛm. |
Di sayn dɛm wae yu kin fil pan dis kayn tin
| Di sayn we de sho se di sik de | Aw yu go fil |
|---|---|
| Chɛst de pen | Di pen kin fil lɛk pen we de tayt ɛn kɔnstrikt na di chɛst. |
| Taya | Filin fɔ taya pasmak ivin if yu nɔ du natin. |
| I nɔ izi fɔ blo (Dyspnea) . | I kin tan lɛk se yu de swɛla, i nɔ izi fɔ yu fɔ blo. |
| Diziz we pɔsin kin gɛt | Wan filin fɔ diziz ɛn blu yay. |
De tin wae impɔtant pas ɔl na, if yu gɛt ɛni wan pan dɛn sik ya, nɔr jɔs tink se, "Dis fɔ bi prɔblɛm wit RAA." Di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm ɛn no di rayt rizin.
Aw di dɔktɔ kin tɛst di RAA?
If yu dɔktɔ sɔspɛkt RAA afta i yɛri bɔt yu sik, sɔm spɛshal tɛst dɛn de fɔ chɛk aw i de.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, wetin yu de du wit dis? |
|---|---|
| Transɛsofajial Ɛkokardiogram (TEE) . | Dis na ɛko skan bak. Bɔt dɛn nɔ kin du dis na di chɛst. Dɛn kin put smɔl tin we tan lɛk kamɛra insay di mɔt, pas am dɔŋ di trot, ɛn dɛn kin tek pikchɔ dɛn rili nia di at. Dis mεtכd kin si sכm sכm pat dεm lεk di RAA rili klia wan. |
| Kadyak CT (Kɔmpyut Tomografi) . | Dis na spɛshal skan we dɛn kin yuz ɛkstrem rayt. I kin mek wan tri-dimɛnshɔnal (3D) imej fɔ di at. Dis kin rili ɛp fɔ si di shep ɛn saiz fɔ di RAA, ɛn if ɛni blɔd klɔt de de. |
| Transthorasik Ekokardiogram (TTE) we de sho aw fɔ du am. | Dis na wetin wi kin no as ɛko skan. Dɛn kin du am bay we dɛn put wan tin na di chɛst. I kin gi gud aidia bɔt aw di at de wok ɔlsay. |
Wetin na di tritmɛnt fɔ prɔblɛm dɛn we gɛt fɔ du wit RAA?
Di gud nyus na dat, ivin if prɔblɛm de wit RAA, dɛn kin trit am. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay di sik we yu gɛt.
- Antikoagulant: If blɔd klɔt dɔn fɔm insay di RAA, dɛn kin gi dɛn mɛrɛsin ya fɔ sɔlv dɛn klɔt dɛn de ɛn mek nyu klɔt nɔ fɔm.
- Ablashɔn Tritmɛnt: If di kɔz fɔ Atrial Fibrillation (Afib) na di tisu we gɛt fɔ du wit di RAA, spɛshal prɔsidyu kin pwɛl da tisu de ɛn mek di at ritm nɔmal bak.
- Ɔpreshɔn: If di RAA dɔn pwɛl bikɔs ɔf aksidɛnt, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di pat we dɔn pwɛl.
Aw a go kip mi at ɛn RAA wɛlbɔdi?
Dis na di pat we impɔtant pas ɔl. Natin nɔ de we spɛshal fɔ du fɔ di RAA. We wi tek kia ɔf wi ɔl at gud gud wan, ɔl pat na di at, ivin di RAA, kin gɛt wɛlbɔdi. So wetin wi fɔ du?
- Ɛksesaiz fɔ at le 150 minit insay di wik: Du sɔntin we yu lɛk, lɛk fɔ waka kwik kwik wan, fɔ rɔn, ɔ fɔ swim.
- It tin dɛn we go ɛp yu at: Put frut, vɛjitebul, ligɛm, ɔl gren, ɛn fish insay yu it. Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga as yu ebul.
- Nɔ smok kpatakpata: Di damej we smok kin du to di at rili siriɔs.
- Manej di strɛs: Rilaks yu maynd bay we yu de du tin dɛn lɛk fɔ tink gud wan, yoga, ɔ du sɔntin we yu lɛk fɔ du.
- Kɔntrol ɔda sik dɛn: If yu gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, fala wetin yu dɔktɔ tɛl yu ɛn kɔntrol dɛn fayn fayn wan.
We yu ad dɛn simpul tin ya to yu layf, yu at go tɛl yu tɛnki.
Mɛsej we dɛn kin kɛr go na os
- Rayt Atrial Apɛndij (RAA) na nɔmal, wɛl bɔdi pat na yu at. I nɔto nyu sik.
- Bɔku tɛm dɛn kin tɔk bɔt dis pan spɛshal kes dɛn, lɛk we dɛn de put pesmɛka insay pɔsin in bɔdi.
- Prɔblɛm wit RAA nɔ kin bɔku, bɔt tritmɛnt dɛn de we go ɛp dɛn.
- Di bɛst we fɔ protɛkt yu RAA na fɔ kip yu ɔl at wɛl. Dat min se wi fɔ it fayn, du ɛksɛsayz, ɛn avɔyd bad abit dɛn.
- If yu gɛt ɛni kwɛstyɔn, dawt, ɔ fred bɔt yu at, nɔ jɔs tink bɔt am nɔmɔ, tɔk to yu dɔktɔ opin wan . I go ɛksplen ɔltin to yu.
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