Na bulge we tan lɛk balɔ na di at wɔl? Lɛ wi tɔk bɔt dis (Ventricular Aneurysm)!

Yu dɔn ɛva yɛri se wan pat pan di at wɔl kin wik ɛn bɔl lɛk balɔ? Dis na wan sik wae kin rili apun to sɔm pipul dɛm. I kin apin mɔ afta yu gɛt at atak. So, tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `(Ventricular Aneurysm)` insay wan simpul we, so dat yu go ɔndastand am.

Wetin na dis `(Ventricular Aneurysm)`? Fɔ put am rili simpul wan...

Okay, fɔs lɛ wi si wetin na dis. Yu no se wi at gɛt 4 men rum dɛn. di tu chεmba dεm we de dכn dεn ya na dεn wan dεm we de pכmp bכdi to di bכdi εn di lכng dεm. dεn lכw chεmba dεm na dεn wi kin kכl `(Ventricles)` . so, we wan ples na di wכl fכ wan pan dεn `(Ventricle)`, dat na wan pan di lכw chεmba dεm na di at, wik εn bulge kכmכt lεk balכn, wi jכs kכl am `(Ventricular Aneurysm)`. Tink bɔt am lɛk se wan saydwɔl na motoka taya wik ɛn bulge kɔmɔt lɛk bɔbul. We di at de pɔmp blɔd, da wik ples de kin bɔl kɔmɔt.

Dis kin denja, bikɔs sɔntɛnde di swɛlin kin brok . If dis apin, na imejensi we go mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm.

Yu tink se kayn Ventricular Aneurysm de?

Yɛs, dɔktɔ dɛn no tu men kayn Ventricular Aneurysm.

1. Tru Ventricular Aneurysm: Dis kin apin we wan pat pan di at wɔl, bɔku tɛm bikɔs ɔf at atak (Myocardial Infarction), day ɛn wik. Dɔn di wɔl we wik kin bɔl kɔmɔt ɛn mek wan sak we ful-ɔp wit blɔd. Dis na di kayn anɛrizm we bɔku pipul dɛn kin gɛt.

2. Falz Ventricular Aneurysm ɔ Pseudoaneurysm: Dis difrɛn smɔl. wetin de apin ya na di at wכl de pwεl, εn sכm bכdi de lik tru am εn kכlekt insay di tכn mεmbran we de rawnd di at (di pεrikardium). Dis min se di wɔl na di at insɛf nɔ de bɔl, bɔt i tan lɛk wan.

Aw kɔmɔn tin dis kin apin?

Lɛ wi si aw dis kin apin. Statistikin sho se lɛk 5 to 7 pan 100 pipul dɛm wae gɛt hat atak go gɛt dis sik (Ventricular Aneurysm). dis risk kin ivin hכy if di hat atak dכn afekt di כl tik na di at mכsul (Transmural Myocardial Infarction).

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Ventricular Aneurysm?

As wi bin dɔn tɔk, di men ɛn kɔmɔn tin we kin mek pɔsin gɛt at atak (`Myocardial Infarction`) . We pɔsin gɛt at atak, di blɔd we de go na di at mɔsul kin stɔp, ɛn dɛn pat dɛn de kin day. afta dat, ska tisu (`Scar Tissue`) de fכm na dεn dεd εria dεm. As tɛm de go, dis skata kin strɛch, tan, ɛn wik. Na da tɛm de wan ``Aneurysm`` de fɔm.

Bɔt nɔto ɔltɛm dis sik kin de we dɛn bɔn am. Dɛn kɔl dat wan sik we dɛn kin bɔn wit at.As a so, if wan de, dɛn nɔ go no am te i big ɛn i kin mek prɔblɛm leta.

Apat frɔm dis men rizin, sɔm ɔda rizin dɛn de we nɔ kin rili si:

• Infεkshכn na di insay layn na di at (endocarditis).
• Yuz pasmak pen kil lɛk stɛroyd ɛn nɔ-stɛroyd anti-inflammatory drugs (NSAID) fɔ lɔng tɛm.
• Riumatik Fiva.
• Sik dɛm we nɔ kin bɔku lɛk `(Sarcoidosis)`.
• As kɔmplikeshɔn fɔ ɔpreshɔn we dɛn kin du fɔ opin at.
• Sifi dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs lɛk sifilis.
• Aksidɛnt dɛn we kin mek pɔsin fil bad (injury na in chɛst) .
• Tubakulosis sik we dɛn kɔl Tuberculosis.
• `(Chagas Disease)` (Dis na infεkshכn we parasayt kin kכmכt, we nכ kin bכku na Sri Lanka).
• wan spεsifi k kכndishכn we di at mכsul de tik we dεn kכl ``Apical Hypertrophic Cardiomyopathy''.

Udat de pan ay risk fɔ gɛt Ventricular Aneurysm?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. Dɛn tin ya na:

• Uman dɛn we dɔn pas 65 ia.
• If pɔrsin na yu famili gɛt hat sik (`Cardiovascular Disease`), korona at sik (`Coronary Artery Disease`), ɔr i dɔn gɛt at atak. Dis na tin dɛn we kin mek pɔsin gɛt dis sik we pɔsin kin gɛt frɔm in mama ɛn papa.
• Pipul dɛn we gɛt at we dɔn big (Hypertrophic Cardiomyopathy). pan dis kכndyushכn, di at mכsul kin tik pasmak.

Wetin na di simptom dɛm fɔ wan `(Ventricular Aneurysm)`?

di amazing tin na dat mכst tεm, if dis ``(Ventricular Aneurysm)`` sכm, i kin bi asymptomatic. Sɔm pipul nɔr kin ivin no se dɛn gɛt dis, ɛn dɛn kin kam fɔ no am bay chans we dɛn de tɛst dɛn fɔ sɔm ɔda rizin.

Bɔt sɔm pipul dɛn kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Chɛst pen ɔ tayt, filin fɔ kɔnstrikshɔn (`Angina`). Dis kin fil lɛk se yu gɛt at atɔk.
• Ɛdima (we de swel na di bɔdi), mɔ na di leg ɛn anklɛ.
• Kɔnstant filin fɔ taya pasmak (`Fatigue`). Fɔ fil taya ivin afta yu dɔn du smɔl wok.
• Wan abnɔmal, kwik at bit, ɔ filin fɔ paund na di chɛst (`Hat Palpitations`).
• Fɔ Shot fɔ Briz. Fɔ fil se yu nɔ gɛt bɛtɛ briz ivin we yu de waka ɔ yu de tray tranga wan.
• Strok. Dis kin apin if blɔd klɔt fɔm insay di anɛrizm ɛn brok ɛn blok wan blɔd vesel na di bren.

Wetin na di poshubul komplikashכn dεm fכ dis `(Ventricular Aneurysm)`?

Dis na wetin wi nid fɔ pe atɛnshɔn to mɔ. If `(Ventricular Aneurysm)` de, i kin mek sɔm denja kɔmplikeshɔn dɛn.

Di big ɛn denja kɔmplikeshɔn na we di anɛrizm brok.If dat apin, na imejensi we go mek pɔsin in layf de pan denja ɛn i nid fɔ go na ɔspitul ɛn trit am wantɛm wantɛm.

כlso, na sכm tεm, wan kכndyushכn we dεn kכl ``Cardiogenic Shock'' kin apin. Fɔ tɔk am simpul wan, dis na we di at nɔ ebul fɔ pamp inof blɔd to di bɔdi. Dis na mɛdikal imejensi bak.

כda tin na dat dis anεrizm de mek di lεft vεntrikl na di at wik, we de mek i at fכ pכmp blכd to di bכdi. Dis kin mek yu at pwɛl . Dis min se smɔl smɔl di at kin wik ɛn i nɔ kin ebul fɔ du wetin di bɔdi nid.

apat frכm dat, Ventricular Aneurysm de inkrεs dεn risk dεm ya bak:

• Blɔd kin klɔt ɛn di strok we kin apin.
• di bכdi fכ fכlכ di at mכsul dεn dכn dכn (`Myocardial Ischemia`). Dis kin mek yu chɛst pen mɔ ɛn mɔ.
• Wan fast, denja abnɔmal at bit (`Ventricular Tachycardia`). Dis kin mek pɔsin in layf de pan denja bak.

Aw dɔktɔ dɛn kin no if pɔsin gɛt ventricular aneurysm?

As wi bin dɔn tɔk, bikɔs dɛn nɔ kin sho di sik ɔltɛm, if yu dɔn gɛt at atak bifo ɔ yu gɛt ɔda tin dɛn we kin mek yu gɛt am, yu dɔktɔ kin tɛl yu fɔ du difrɛn tɛst fɔ luk fɔ dis sik. Dɛn aneurism ya kin bigin fɔ fɔm insay lɛk tri mɔnt afta pɔsin gɛt at atak.

di men imej tεst dεm we dεn kin yuz fכ no dεn anεrizm dεm ya na:

• X-ray we dɛn kin du na di chɛst.
• Angiogram tɛst dɛn we dɛn kin du. Dis kin inklud spɛshal skan we dɛn kɔl Coronary Computed Tomography Angiogram (CCTA).
• CT skan we dɛn kin du.
• Ekokardiogram (`Ekokardiogram`). Bɔku tɛm dis na di fɔs tɛst we dɛn kin du, we fiba di ɔltra saund skan fɔ di at.
• Wan E.C.G. test (`Ilektrokardiogram - ECG`). Dis de chɛk di ilɛktrik wok we di at de du.
• MRI skan we dɛn kin du. Dis kin mek bak ditayli pikchɔ dɛn bɔt di at.

Wetin na di tritmɛnt dɛm fɔ dis `(Ventricular Aneurysm)`?

Wɛl, naw lɛ wi si wetin dis kin du.

• Smɔl anɛrizm dɛn we nɔ gɛt ɛni sayn: Dɛn tin ya nɔ go nid fɔ gɛt big ɔpreshɔn wantɛm wantɛm. Yu dɔktɔ go de wach yu. Dɛn go du di imej tɛst dɛm we wi dɔn tɔk bɔt ɔltɛm fɔ si if di aneurism de chenj in saiz ɔ if ɛni sayn de fɔ prɔblɛm.
• Laif stayl chenj ɛn kadyak rihabiliteshɔn: Kadyak rihabiliteshɔn afta at atakBɔrku pipul kin bɛnifit wae yu tek pat pan wan program wae dɛn kɔl hat-healthy lifestyle change program, usai masta sabi pipul dɛm kin ɛp yu fɔ mek yu hat wɛl bɔdi chenj na yu layf (lɛk aw yu de it ɛn ɛksesaiz). Dis kin mek yu at gɛt wɛl bɔdi ɛn i kin mek yu nɔ gɛt at sik tumara bambay.
• Di mɛrɛsin dɛn: Fɔ mek di dɔktɔ nɔ gɛt bɔku prɔblɛm dɛn, i kin gi yu mɛrɛsin dɛn lɛk:
• Aspirin ɔ ɔda mɛrɛsin dɛn we de mek blɔd nɔ klɔt (anticoagulants).
• Blɔd prɛshɔn kɔntrol mɛrɛsin.
• Mεdikeshכn dεm we de dכn kכlestכl, lεk ``Statins``.
• Mεdikeshכn dεm we dεn kin gi fכ hat fεil εn at arrhythmia.

Ɔpreshɔn fɔ wan Tru Vɛntrikular Anyurizm

Big, tru tru ventricular aneurysm we de mek yu chɛst de pen, yu nɔ de blo fayn, ɔ yu at nɔ de wok fayn, yu kin nid fɔ du ɔpreshɔn. Di dɔktɔ dɛn we de mɛn di at kin du wan ɔpreshɔn we dɛn kin du fɔ opin at we dɛn kɔl ventricular reconstructive surgery ɔ ventricular remodeling .

Dis ɔpreshɔn gɛt fɔ du wit:

• di pat pan di at mכsul we wik εn bulg (di anεvrizm) dεn de kכl am.
• Dɔn, dɛn kin siŋ di pat dɛn na di at we gɛt wɛlbɔdi, ɔ dɛn kin siŋ sɔntin lɛk sɛntetik pat fɔ mek di pat we wik strɔng.

If yu gɛt at ritm we nɔ de ɔltɛm (`Arrhythmia`) ɛn yu nɔ ebul fɔ kɔntrol am, yu kin nid fɔ du ɔpreshɔn fɔ put smɔl tin ɔnda di skin na yu chɛst we de rigul yu at rit. Wi kin kɔl dɛn tin ya `(Implantable Cardioverter Defibrillators - ICD)` ɛn `(Pacemakers)` .

Ɔpreshɔn fɔ wan ``Fals Ventricular Aneurysm'' ɔ ``Pseudoaneurysm''.

Dis na smɔl harsh wɔd, bɔt i fayn fɔ no. If dɛn nɔ trit dɛn, lɛk af pan di pipul dɛn we gɛt dɛn lay lay ventricular aneurysms, ɔ pseudoaneurysms, go day. Na so dɛn denja. So, yu dɔktɔ go mɔs tɛl yu fɔ du ɔpreshɔn pan yu at fɔ mek di pseudoaneurysm fayn.

yu kin ebul fכ mek dis `(Ventricular Aneurysm)` divεlכp?

Infakt, di bɛst we fɔ mek yu nɔ gɛt ventricular aneurysm na fɔ tray fɔ mek yu nɔ gɛt di men tin we kin mek yu gɛt at sik, we na at sik. Dat min se yu fɔ tek kia ɔf yu at wɛlbɔdi. Dɛn tin ya go ɛp fɔ du dat:

• It tin dɛn we go ɛp yu at. It tin dɛn we nɔ gɛt bɔku sɔl, ɔyl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Ɛksesaiz ɔltɛm. Ivin fɔ jɔs waka fɔ 30 minit insay di de, i fayn.
• Fɛn gud we fɔ mek yu nɔ strɛs. Tin dɛn lɛk fɔ tink gud wan, fɔ du yoga, ɛn fɔ du sɔntin we yu lɛk fɔ du.
• Nɔ drink rɔm, ɛn if i pɔsibul, stɔp fɔ drink am kpatakpata.
• If yu fat pasmak, lɔs yu wet ɛn kɔntinyu fɔ gɛt wɛlbɔdi.
• If yu gɛt tin dɛn we de mek yu at prɛshɔ, lɛk ay blɔd prɛshɔn, dayabitis, ɔ ay kɔlɔstrel, kɔntrol dɛn fayn fayn wan. Fɔ fala yu dɔktɔ in instrɔkshɔn ɛn tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek.
• If yu de smok, aks fɔ ɛp fɔ lɛf fɔ smok wantɛm wantɛm. I rili impɔtant bak fɔ avɔyd sɛkɔn-han smok.

Wetin na de luk fɔ pipul dɛm wae gɛt dis sik?

Na avrej, 9 pan 10 pipul dɛm wae gɛt ventricular aneurysm wae nɔr de kɔz big prɔblɛm stil de alayv fayv ia afta dɛn dɔn no bɔt dɛn sik. Dat min se if yu de manej yu fayn fayn wan, yu go ebul fɔ liv gud layf.

Bɔt we dɛn anɛrizm ya kin mek pɔsin gɛt sayn dɛn we nɔ go ebul fɔ trit, ɔ we kɔmplikeshɔn kin apin, di risk fɔ gɛt prɔblɛm dɛn we kin mek pɔsin in layf de pan denja kin bɔku. Na dat mek i impɔtant fɔ mek dɛn du tɛst ɛn trit yu lɛk aw dɔktɔ dɛn se.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul we de nia yu:

• Bɔrku pen na yu chɛst. I tan lɛk se pɔsin de swɛt yu chɛst, ɔ lɛk se sɔntin de wet yu.
• I nɔ kin izi fɔ yu fɔ blo bad bad wan.
• Ɔda sayn dɛm fɔ at atak (e.g., pen we de rayt dɔŋ di lɛft an, pen na di jaw, swet, nɔs)
• If yu fil wantɛm wantɛm se yu at de bit fast ɔ nɔ de bit ɔltɛm.

We dis kayn tin apin, nɔ west tɛm. Kɔl di 1990 (Suvaseriya) ambulans savis kwik kwik wan.

Wetin yu fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt ``Ventricular Aneurysm'', i fayn fɔ aks sɔm kwɛstyɔn dɛn lɛk dis. Da we de, yu go ebul fɔ ɔndastand di sik fayn fayn wan.

• Wetin mek a bin divεlכp dis `(Ventricular Aneurysm)`?
• Us kayn Ventricular Aneurysm a gɛt? (Rial ɔ Na Falz?)
• Aw big mi aneurism de?
• Wetin a fɔ du fɔ ridyus di risk fɔ mek dis anɛrizm bɔs?
• Us kayn mɛrɛsin a go gɛt fɔ tek?
• Wetin na di bad tin dɛn we dɛn mɛrɛsin dɛn de kin du?
• Yu tink se a go nid ɔpreshɔn?
• If dɛn du ɔpreshɔn pan mi, wetin na di prɔblɛm dɛn we kin apin?
• Us sayn dɛm fɔ kɔmplikeshɔn a fɔ wɔri bɔt?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

so, di ``Ventricular Aneurysm'' we wi bin tכk bכt na bulge we de apin bikoz fכ wik we di wכl na wan pan di lכw chεmba dεm na di at. Bɔrku tɛm, dɛn kin si dis sik pan pipul dɛm wae dɔn gɛt hat atɔk. dis dεm kin apin mכst na di lεft vεntrikl.

Di impɔtant tin na dat, pan ɔl we bɔku tɛm dis nɔ kin mek pɔsin gɛt di sik, if dɛn kayn sayn ya kin apin (lɛk we i kin fil pen na in chɛst, i nɔ kin izi fɔ blo), mɛrɛsin ɔ ɔpreshɔn de we dɛn kin yuz fɔ trit dɛn.כltu, if ``Ventricular Aneurysm'' bכs, i kin bi wan tin we de mek yu layf de pan denja bad bad wan.

So, if yu gɛt bad bad pen na yu chɛst, i nɔ izi fɔ blo, ɔ ɔda sayn dɛn we de sho se yu gɛt at atak, nɔ de te, kɔl 1990 wantɛm wantɛm ɛn go na ɔspitul. I go rili ɛp yu fɔ sev yu layf.

Tek kia ɔf yu at. Liv layf we gɛt wɛlbɔdi. Dɔn yu kin protɛkt yusɛf frɔm bɔku prɔblɛm dɛn lɛk dis.

` Ventricular Aneurysm, hat sik, hat atak, wik we di hat wol wik, hat opareshon, hat hεlth, chεst pen