Yu dɔn ɛva fil taya, yu nɔ ebul fɔ blo fayn, ɔ yu leg dɛn dɔn swel? Yu kin dɔn si sɔntin we dɛn kɔl "Right Atrial Enlargement" na yu ECG ripɔt. Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri dis nem. Bɔt nɔ wɔri. Tide, wi go tɔk bɔt wetin na dis we dɛn kɔl rayt atrial ɛnlargement, wetin kin mek wi gɛt am, ɛn wetin mek wi nid fɔ no bɔt am.
Wetin na di Rayt Atrial Enlargement?
fכ simpul wan, dis min se di כp rayt chεmba na yu at, di ‘Rayt Atrium’, big pas nכmal. Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. di כp rayt chεmba na di rayt atrium.
di rayt atria na di fכs stכp fכ di bכdi we gεt כksijεn (wi kכl am ‘impure blood’) we dεn dכn pכmp כlsay na wi bכdi εn de kam bak na di at. I tan lɛk di men domɔt na os. di bכdi we de kam ya, afta dεn dכn opin di nεks valv (Tricuspid Valve), de go na di rayt vεntrikl dεm we de dכn. Frɔm de, dɛn kin pɔmp di blɔd go na di lɔng dɛn fɔ mek dɛn gɛt ɔksijɛn bak.
So, if fɔ sɔm rizin di blɔd we de kam insay dis rayt atria de go ɔp, ɔ if di prɛshɔn we de insay da chɛmba de go ɔp, jɔs lɛk balyɔn we dɛn kin blo we yu blo tumɔs briz insay am, dis chɛmba sɛf kin bigin fɔ big smɔl smɔl. De impɔtant tin na dat, dis sik nɔr kin apin fɔ insɛf. Na wan sayn fɔ sɔm ɔda prɔblɛm na di bɔdi, mɔ na di at ɔr lכng.
Yu tink se dis na siriɔs tin fɔ ɔlman?
Nɔto ɔltɛm. Fɔ ɛgzampul, di at mɔsul dɛn fɔ atlet dɛn we de ɛksesaiz ɔltɛm, lɛk ɔda mɔsul dɛn, kin strɔng ɛn big. Dat na nɔmal tin fɔ dɛn.
Bɔt if di rayt atria big pan pɔsin we nɔto atlet, dat min se ɔda tin de we wi nid fɔ pe atɛnshɔn to. Fɔ ɛgzampul:
- Pulmonary Hypertension: we di prεshכn na di lכng dεm de go כp, i kin at fכ di rayt vεntrikl fכ pכmp bכdi. Dis kin mek blɔd bak ɛn pul na di rayt atria, we kin mek i big.
- Valv dεm we de lik: if di valv dεm na di at nכ kכloz fayn εn di bכdi lik bak, di εkstra bכdi kin kכmכt na di rayt atria εn mek i swel.
- di rayt vεntrikul fεil: if di lכw chεmba (rayt vεntrikul) wik, i nכ kin pכmp כl di bכdi we de kam insay di bכdi we de rεst de mek prεshכn bכku, we de afekt di כp atrium.
Aw dis sik kin tranga kin dipen pan de ɔndalayn kɔz, yu sayn dɛm, ɛn di tritmɛnt wae yu de gɛt. Pipul wae gɛt dis sik kin gɛt smɔl risk pas di wan dɛm wae nɔr gɛt dis sik.
Us ɔda sik dɛn kin gɛt fɔ du wit dis sik?
di rayt atria big kin gɛt fɔ du wit difrɛn kayn mɛrɛsin. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Hat sik we dɛn bɔn wit | fכ egzampl, kכndyushכn dεm lεk Tetralogy of Fallot כ Pulmonary Stenosis (we di bכdi vessel de sכmtεm to di lכng dεm). |
| Di sik dɛn we kin mek pɔsin gɛt at valv | di valv dεm we de na di rayt sayd de sכmtεm (Tricuspid Stenosis) כ di bכdi de lik frכm dεm. |
| Sik dɛn we gɛt fɔ du wit di lɔng | Krכnik lכng sik (COPD) כ hεy blכd prεshכn na di lכng (Pulmonary Hypertension) de put εkstra strεs na di rayt say na di at (Cor Pulmonale). |
| Di at bit we nɔ de bit | di kכndishכn dεm lεk di at bit we nכ de bit (Atrial Fibrillation) כ di at bit kwik kwik wan (Atrial Flutter). |
| Rayt Ventrikul Haypatrofi | di lכw chεmba we de na di rayt say na di at big, we de afekt di כp chεmba bak. |
Aw fɔ fɛn dis sityueshɔn?
Di men ɛn izi we fɔ fɛn dis na wit ECG (Electrocardiogram) . We yu dɔktɔ luk yu ECG, i go luk spɛshal wan pan di ‘P wev’. dis P wev de riprizent di kכntrikshכn fכ yu tu atria. if di rayt atria big, dis P wev go lכng pas nכmal.
Bɔt mɛmba se if yu gɛt dis chenj na yu ECG, dat nɔ min se yu gɛt siriɔs wɛlbɔdi prɔblɛm. So, nɔ fred fɔ tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu bɔt yu ripɔt dɛn.
Apat frɔm di ECG, ɔda tɛst dɛn de fɔ kɔnfirm dis sik ɛn fɔ no di ɔndalayn kɔz.
- Transthoracic Echocardiogram (TTE): Dis na skan fɔ di at. I kin si klia wan di at in chɛmba dɛn, di valv dɛn, ɛn aw dɛn de wok.
- Kadyak CT Skan ɔ At MRI: Dɛn tin ya kin gɛt tri-dimɛnshɔnal (3D) pikchɔ dɛn bɔt di at ɛn chɛk am mɔ dip wan.
- Fetal Echocardiogram: Na spɛshal skan we dɛn kin du fɔ no ɛni at prɔblɛm we di pikin stil de na di bɛlɛ.
Yu tink se dis kin mɛn wit tritmɛnt?
Yɛs. De tin wae impɔtant pas ɔl na fɔ fɛn di ɔndalayn kɔz ɛn trit am. di rayt atria big na jɔs wan rizɔlt. We dɛn trit di tin we de mek pɔsin gɛt dis sik, dɛn kin ebul fɔ kɔntrol dis sik.
- If yu gɛt pulmonary hypertension, dɛn go gi yu mɛrɛsin fɔ am.
- If prɔblɛm de wit valv, i kin nid fɔ tek mɛrɛsin ɔ ɔpreshɔn.
- If at bit nɔ de bit ɔltɛm, dɛn go gi am mɛrɛsin fɔ kɔntrol am.
Na smɔl tɛm nɔmɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ mek di rayt atria smɔl. Afta yu dɔn du di ɔpreshɔn, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin fɔ mek yu blɔd nɔ klɔt ɛn fɔ kɔntrol yu at rit.
Ilɛk us we fɔ trit yu, yu dɔktɔ go ɛksplen am to yu klia wan.
Ustɛm yu fɔ go to dɔktɔ?
Sɔm pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni sayn. Bɔt if yu gɛt wan ɔ mɔ pan dɛn sayn ya, i impɔtant fɔ go to dɔktɔ.
| Simptom dɛm fɔ wach fɔ |
|---|
| At Palpitations: Na filin wae de hat de bit kwik ɔr strenj wan. |
| I nɔ kin izi fɔ yu fɔ blo: Fɔ fil se yu nɔ gɛt bɛtɛ briz ivin wit smɔl smɔl wok dɛn. |
| Di bɔdi we de swel:Swel, mɔ na di leg, anklɛ, ɛn fut. |
| Taya: Fɔ fil taya pasmak fɔ natin. |
Di sayn dɛm wae gɛt fɔ du wit at nɔr kin ɛva bi sɔntin fɔ ignore. Tɔk to yu dɔktɔ bɔt ɛnitin we tan lɛk se i nɔ kɔmɔn. If prɔblɛm de, i go fayn fɔ kech am kwik bifo i wɔs.
Mɛsej we dɛn kin kɛr go na os
- Rayt Atrial Enlargement kin bi sayn fɔ ɔda mɛrɛsin, nɔto sik insɛf.
- De tin wae impɔtant pas ɔl fɔ trit dis na fɔ fɛn ɛn trit de ɔndalayn sik wae mek i kam.
- If yu gɛt sɔm sayn dɛn lɛk at we de rɔn, i nɔ izi fɔ blo, ɔ yu leg we swel, nɔ ignore dɛn.
- If dɛn tɔk bɔt dis na yu ECG ripɔt ɔ ɔda mɛdikal rɛkɔd, nɔ fred fɔ tɔk to yu dɔktɔ ɛn ɛksplen am. If yu no di sik kwik kwik wan ɛn gɛt di rayt tritmɛnt, yu go ebul fɔ liv fayn layf.
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