Tink bɔt yu at lɛk wata pɔmp. Insay dis pɔmp, smɔl smɔl domɔt dɛn de we de ɛp fɔ sɛn blɔd na wan say nɔmɔ. Wi kin kɔl dɛn tin ya "valv." Sɔntɛnde, wan pan dɛn domɔt ya nɔ kin lɔk fayn ɛn i kin opin smɔl. Dɔn, sɔm pan di blɔd we fɔ dɔn go bifo kin lik bak. semweso, di do bitwin di כp εn lכw chεmba dεm na di rayt say na wi at, di ‘Tricuspid Valve’ nכ de kכloz fayn εn bכdi de lik bak, we wi kכl Tricuspid Valve Regurgitation .
Fɔ tɔk am simpul wan, aw dis kin apin?
fכ כndastand dis situeshכn bεtεh, lε wi tek wan luk pan aw di trikuspid valv na wi at de wok.
di trikuspid valv de kכntro di fכ fכlכ bכdi frכm di כp chεmba (Right Atrium) na di rayt say na wi at to di lכw chεmba (Right Ventricle). Dis valv gɛt tri flap dɛn. we di at kכntrakt (systole), dεn flap dεm ya de kכloz tayt, we de mek bכdi nכ fכ fכlכ bak insay di כp chεmba. we di at rilaks bak (diastole), dεn flap dεm ya de opin, we de mek bכdi fכ fכlכ insay di lכw chεmba.
Bɔt pan pɔsin we gɛt trikuspid valv we de lik, we di at kɔntrakt, dɛn flap ya nɔ kin lɔk ɔl. Na smɔl ples de we lɛf. So, sכm pan di bכdi we fכ de go na di lכng dεm de lik bak insay di כp chεmba.
Di impɔtant tin na dat bɔku pipul dɛn kin gɛt wan rili smɔl lik (Trace/Trivial Regurgitation). Dis na nɔmal tin, i nɔ de kɔz ɛni bad tin, ɛn no sayn nɔ de. Bɔt if dis lik na smɔl ɔ i rili bad, di at fɔ wok tranga wan.
Wae na de men kayn dis sik?
di trikuspid valv rigεtεshכn kin sheb to tri men tכp dεm.
| Kayn | Minin |
|---|---|
| Praymari (Praymari/Ɔrganik) . | If na so i bi, di prɔblɛm de wit di valv insɛf. di valv insεf kin dכn pwεl bikoz fכ wan difεkt we dεn bכn wit (e.g., Ebstein in anomaly), infεkshכn, כ sכm כda kכz. |
| Sɛkɔndari/Fɔnshɔnal | na ya, di valv de insay gud kכndishכn, bכt biכs fכ כda at kכndishכn, di valv nכ de wok fayn. Dis na di kayn we we pipul dɛn kin gɛt mɔ. |
| Fa say | Dis na di sem tin wit di sɛkɔndari kayn. Bɔt di men tin we kin mek i apin ya na wan sik we dɛn kɔl atrial fibrillation, we kin mek di ɔpa chɛmba na di at big. Sɔntɛnde dis kin bi bak we dɛn put wan peshɛnt mɛka insay. |
Wetin na di sayn dɛm fɔ dis sik?
As wi bin dɔn tɔk, if yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔt if de sik kin kam smɔl ɔr kin tranga, yu kin gɛt sɔm sayn dɛm.
Di sayn dɛm wae yu kin gɛt
- Fɔ fil se yu nɔ gɛt bɛtɛ briz we yu de du ɛksɛsayz, waka, ɔ du wok.
- Fɔ fil se yu taya pasmak ɔ yu wik fɔ sɔm dez.
- swɛlin na di bɛlɛ, anklɛ, ɔ leg (ɛdima) . Dis kin apin we di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan, we kin mek wata gɛda na di bɔdi.
Di sayn dɛm we di dɔktɔ kin ɔndastand
- At grɔmbul na abnɔmal sawnd we yu kin yɛri we yu de lisin to yu at wit stetɔskɔp.
- Fɔ fil chenj na di we aw yu puls de bit na yu nɛk ɔ yu liva eria.
Wetin mek dis de apin? Wetin na di men rizin dɛn?
Bɔrku tɛm, di men tin we kin mek dis sik na di strɔkchɔral chenj dɛm we kin apin na di rayt say na di at. Fɔ tɔk am simpul wan, if dɛn kɔntinyu fɔ gɛt ay prɛshɔn ɔ tumɔs blɔd de flɔ na di rayt say na di at, di chɛmba dɛn na da say de (di atria ɛn di ventricle) kin bigin fɔ big.
Imajin if di opin fɔ domɔt big, di domɔt nɔ go ebul fɔ lɔk fayn. semweso, as di chεmba dεm na di at de big, di anul we de ol di valv liflet dεm de strεch bak εn i de big. Dɔn di tri liflet dɛn nɔ kin ebul fɔ klos togɛda fayn fayn wan. Dis na wetin wi kin kɔl sɛkɔndari rigɛteshɔn.
Di tin dɛn we kin mek di rayt say na di at big:
- Atrial Fibrilashɔn we pɔsin kin gɛt
- Cardiomyopathy - we di at mɔsul wik
- Koronari Atɛri Sik we pɔsin kin gɛt
- di wik we di lεft say na di at de wok (Left Ventricle Failure) .
- Pulmonari Haypatɛnshɔn
- Sivεr prכblεm wit di mitral כ aortic valv dεm na di at
rεli rεli, dis lik kin kכz bak bay we di valv stεm insεf dεn dכn pwεl. Dis na wetin wi de kɔlPraymari lik.
Di tin dɛn we kin mek di valv stem pwɛl:
- Rimatik At Sik we pɔsin kin gɛt
- At infεkshכn (Infective Endocarditis) .
- difεkt dεm we dεn bכn wit (e.g. Ebstein’s Anomaly) .
- Kɔmplikɛshɔn dɛn we kin apin we dɛn put divays dɛn lɛk peshɛnt mɛka
- Radiation therapy to di chɛst
- Siriɔs injuri dɛn na in chɛst frɔm wan big aksidɛnt
- Sɔm mɛrɛsin dɛn
Us prɔblɛm dɛn dis kin mek?
If dɛn nɔ trit dis sik ɛn i kin tranga, i kin afɛkt ɔda ɔgan dɛn.
- Kidni we nɔ de wok fayn
- Liva we nɔ de wok fayn
- Rayt-sayd At Failure
Aw di dɔktɔ kin no dis sik klia wan?
Yu dɔktɔ go chɛk yu fɔs. I go lisin to yu at wit stetɔskɔp ɛn chɛk yu puls na yu nɛk ɛn bɛlɛ.
Dɔn, di men tɛst fɔ kɔnfirm di sik na ɛkokadyografi tɛst. Dis tan lɛk we dɛn de skan di at. dis kin kכrekt fכ no bכku tin, lεk di digri we di valv de lik, if chenj de na di shep fכ di valv, εn if di at chεmba dεm dכn big.
Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ no wetin mek i apin:
- Tɛst fɔ Blɔd
- X-ray na di chɛst
- ECG tɛst we dɛn kin du
- MRI we de na di at
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan aw yu sik tranga ɛn aw i de mek yu gɛt am. Yu dɔktɔ go gi yu di tritmɛnt plan we fit yu pas ɔl.
1. Kɔntrol di sayn dɛm wit mɛrɛsin: Fɔ ɛgzampul, dɛn kin gi yu diuretik fɔ ridyus di wata we de na di bɔdi.
2. Fɔ trit di ɔndalayn kɔz: If di tin we mek di lik na ay blɔd prɛshɔn, trit am, ɛn ɔda tin dɛn If di kɔz na at atak, trit am.
3. Ɔpreshɔn fɔ ripɛnt ɔ riples di valv: If di kɔndishɔn rili bad, dɛn kin nid ɔpreshɔn fɔ mek di valv ɔ riples am wit nyu atifishal valv.
4. Transkateta Tεrapi dεm: Dis na mכdan mεtכd dεm we de rεpair di valv we dεn nכ du כpεrayshכn, bay we dεn de go insay di at tru wan tכb we dεn put tru di leg כ an.
Wetin wi go du fɔ ridyus di prɔblɛm?
Pan ɔl we dɛn nɔ kin ebul fɔ avɔyd dis sik ɔltɛm, fɔ mek yu gɛt gud at wɛlbɔdi, dat kin ridyus di prɔblɛm bad bad wan.
- Di it we go ɛp yu atFala. (Ɛgzampul: Mɛditarenian Dayt)
- Yu fɔ du ɛksɛsayz fɔ at le 150 minit fɔ smɔl tɛm insay di wik.
- Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak ɔltogɛda.
- Stɔp ɔ stɔp fɔ drink rɔm .
- Si dɔktɔ wan tɛm insay di ia fɔ mek dɛn chɛk am wit dɔktɔ .
Ustɛm yu fɔ go to dɔktɔ?
Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na di klinik dɛn di rayt tɛm. Dɔn bak, no bɔt dɛn tin ya:
| Chans | Wetin fɔ du |
|---|---|
| Kɔl yu dɔktɔ: | |
| If nyu sayn dɛm de sho ɔr di sayn dɛm wae dɔn de de wɔs. | Fɔ ɛgzampul, if i nɔ izi fɔ yu fɔ blo ɔ swel na yu leg dɛn kin bɔku. |
| If yu sayn dɛm de ambɔg yu ɛvride aktiviti dɛm. | If yu fil taya ivin afta yu dɔn waka smɔl, ɔ if i nɔ izi fɔ yu fɔ klaym stej. |
| Go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm: | |
| If yu gɛt sayn dɛm fɔ hat atak ɔr strok. | Dat na, di chɛst pen wantɛm wantɛm, i nɔ kin izi fɔ blo bad bad wan, ɛn i nɔ kin no na wan say na di bɔdi. |
| If yu gɛt fɔdɔm (especially if yu hit yu ed) we yu de tek blɔd thinners. | Risk de fɔ mek yu blɔd kɔmɔt insay yu bɔdi we yu de tek dis kayn mɛrɛsin. |
| Afta dɛn dɔn ɔpreshɔn di at, if di wund we dɛn du di ɔpreshɔn sho sayn dɛn fɔ se i gɛt infekshɔn. | Dat min se di wund kin swel, i kin rɛd, ɔ i kin fil wam we yu tɔch am. |
fכ kכnklud, trikuspid valv rεgurjiteshכn kin bi sכm sכm tin fכ sכm pipul dεm, εn layf-threatεnt wan fכ כda pipul dεm. Di tin we impɔtant pas ɔl na fɔ gɛt di rayt advays to dɔktɔ. Yu dɔktɔ go de wach yu at wɛlbɔdi gud gud wan. So, if prɔblɛm de, dɛn kin no am ɛn trit am bifo i siriɔs.
Mɛsej we dɛn kin kɛr go na os
- di trikuspid valv rigurjiteshכn na we wan do na di at nכ kכloz fayn, we de mek bכdi fכ fכlכ bak.
- Smɔl lik (trace/mild) we bɔku pipul dɛn gɛt nɔ kin denja. I nɔ nid fɔ gɛt tritmɛnt, bɔt i impɔtant fɔ de ɔnda dɔktɔ in sɔpɔtishɔn.
- If yu gɛt sɔm kayn sik lɛk wae yu nɔr kin ebul fɔ blo fayn ɛn yu leg kin swel, e kin bi wan kayn sik wae nɔr kin pasmak ɔr kin tranga. So go to dɔktɔ wantɛm wantɛm.
- Bɔrku tɛm na ɔda at sik kin kam wit dis, so i rili impɔtant fɔ trit da kɔz de.
- We di mɛrɛsin dɛn we dɛn de yuz tide dɔn go bifo, dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan bay we dɛn de tek mɛrɛsin, ɔpreshɔn, ɛn ɔda we dɛn. So nɔ fred, jɔs fala di kɔrɛkt advays we di dɔktɔ gi yu.
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