Yu smɔl pikin gɛt ol na dɛn at? Lɛ wi lan bɔt Ventricular Septal Defect (VSD) we wi nɔ fred!

we yu born yu likl pikin, di dokta se sohmtin lek, "Hmm, na likl hat murmur de" we i chek in hat? Ɔ yu bin fil lɛk se yu pikin gɛt prɔblɛm fɔ blo ɔ swet we i de gi in bɛlɛ ɔ rɔn rawnd? Sɔntɛnde, di tin we kin mek dɛn tin ya kin apin kin bi smɔl ol na di at. Insay mɛrɛsin, wi kin kɔl dis `(Ventricular Septal Defect)` ɔ `VSD` . So tide, wi go tok abaut dis ditail and rili simpul. No nid fɔ fred, bikɔs di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na VSD? Wetin rili apin?

Fɔ tɔk am simpul wan, VSD na wan ol na di wɔl (we dɛn kɔl di septum) bitwin di tu men chɛmba dɛn (we dɛn kɔl di ventricles) na wi at. Tink bɔt am lɛk smɔl os we gɛt 4 rum dɛn. Wɔl dɛn de bitwin dɛn rum dɛn ya fɔ mek blɔd nɔ miks wit dɛnsɛf. "Gud blɔd" we gɛt mɔ ɔksijɛn de flɔ na wan say, ɛn "bad blɔd" we nɔ gɛt bɔku ɔksijɛn de flɔ na di ɔda say.

Naw, wetin kin apin if dis na `VSD`, dat na if ol de na di wɔl bitwin dɛn tu ɔda chɛmba dɛn de? Di blɔd we gɛt mɔ ɔksijɛn de lik tru di ol ɛn go insay di blɔd we nɔ gɛt bɔku ɔksijɛn. Dɔn di at ɛn di lɔng dɛn fɔ wok tranga wan smɔl. Dis sik na wan pan di sik dɛm we dɛn kin gɛt we dɛn bɔn wit at . Sɔmtɛm dis `VSD` kin apin togɛda wit ɔda at sik dɛm.

Mɛmba se nɔto ɔl VSD dɛn denja. Bɔrku tɛm, smɔl smɔl ol dɛn kin lɔk fɔ dɛnsɛf ɛn nɔr kin si ɛni sayn.

Yu tink se kayn VSD de?

Yes, 4 men kayn VSD de, i dipen pan usay i de apin ɛn di kayn we aw di ol de. Lɛ wi si wetin dɛn bi:

• Membranous VSD: Dis na di kayn we we dɛn kin yuz mɔ. di ol de apin na di כp pat na di wכl bitwin di tu lכw chεmba dεm na di at.
• Mכskul VSD: Insay dis kayn, di ol de apin na di lכw, mכsul pat na di wכl. Sɔntɛnde, i kin pas wan ol na dis kayn VSD.
• inlet VSD: dis ol de jis dכn di trikuspid valv na di rayt vεntrikl na di at εn di mitral valv na di lεft vεntrikl. spεshal wan, nia usay bכdi de go insay di vεntrikl dεm.
• di כtlet VSD: insay dis kes, di ol de nia di pulmonari valv, we de kכri bכdi frכm di rayt vεntrikl to di lכng, εn di aorta valv, we de kכri bכdi frכm di lεft vεntrikl to di bכdi. dis min se bכdi fכ pas tru dis VSD we i kכmכt na di vεntrikl dεm.

If dɔktɔ se yu pikin gɛt VSD, dɛn go ɛksplen bak us kayn i bi.

Wetin na di sayn dɛm fɔ VSD? Dɛn difrɛn fɔ pikin dɛn ɛn big pipul dɛn?

Di sayn dɛm fɔ VSD dipen pan di sayz fɔ di ol. Wan ol we rili smɔl (we nɔ rich 3 milimita, we tan lɛk tutpik) nɔ kin mek yu gɛt ɛni sayn. Bɔt if di ol big smɔl (midul saiz, 3-5 milimita, ɔ big, 6-10 milimita, lɛk pis saiz), di sayn dɛn kin apin.

Di simptom dεm na di nyu bεlε pikin dεm

If pikin we dɛn jɔs bɔn gɛt big VSD, i kin gɛt sɔm sayn dɛn we tan lɛk we at nɔ de wok fayn . Dɛn tin ya na:

• I nɔ izi fɔ yu fɔ blo: Tin dɛn lɛk fɔ blo kwik kwik wan, fɔ tray tranga wan fɔ blo.
• Swet ɔ fil taya we i de gi in mama in bɛlɛ: Di pikin kin fil taya ivin afta i dɔn drink smɔl milk.
• Lak fɔ gɛt wet: If di pikin nɔ de gɛt wet di rayt we fɔ in ej.
• Infεkshכn wae de kam wit yu rεspiretכri bכku tεm: If yu gεt kol εn kכf bכku tεm.

Di sayn dɛm wae kin kam pan pikin dɛm wae dɔn big ɛn big pipul dɛm

If big pikin ɔ big pɔsin gɛt VSD, dɛn kin fil taya ɔ dɛn nɔ kin ebul fɔ blo fayn we dɛn de du bɔdi wok . If dɛn taya izi wan we dɛn de ple, rɔn, ɔ jomp, yu fɔ wɔri.

Yu tink se di sayz we di ol gɛt kin afɛkt am bak?

Yɛs, na fɔ tru. As wi bin dɔn tɔk, if di ol smɔl, sɔntɛm prɔblɛm nɔ go de. Bɔt as di ol de big, blɔd de lik bitwin di tu chɛmba dɛn na di at. Na da tɛm de di sayn dɛn kin sho.

Wetin mek dis VSD kin apin? Wetin na di tin dɛn we kin mek i apin?

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt VSD . i kin apin bכku tεm we di at nכ de divεlכp fayn we di pikin de gro na di bεlε. Dat min se di wɔl bitwin di chɛmba dɛn na di at nɔ kin lɔk ɔl.

כltu, sכmtεm VSD kin apin tכgeda wit כda kכndyushכn dεm we dεn bכn wit. fכ egzampl, pikin dεm we gεt jεnεtik kכndyushכn lεk Down syndrome kin gεt VSD.

Na smɔl tɛm nɔmɔ, at atak pan big pɔsin kin mek di wɔl bitwin di at in sɛl dɛn pwɛl ɛn mek nyu VSD fɔm. Dis nɔ kin apin so ɔltɛm.

Udat de pan ay risk fɔ gɛt VSD?

Dɛn dɔn si se sɔm tin dɛn kin mek di risk fɔ gɛt VSD smɔl smɔl:

• Bebi dɛn we dɛn bɔn bifo tɛm: Bebi dɛn we dɛn bɔn bifo di de we dɛn bɔn am.
• sכm jεnεtik kכndishכn dεm: As wi bin dכn tכk, kכndishכn dεm lεk ``Down syndrome''.
• Sɔm mɛrɛsin dɛn we dɛn kin tek we uman gɛt bɛlɛ: Mɛrɛsin dɛn lɛk valproic acid ɛn phenytoin, we dɛn kin yuz fɔ mɛn sik dɛn we kin mek pɔsin sik.
• Fɔ drink rɔm we yu gɛt bɛlɛ: Dɛn kin tink bak se dis kin mek yu gɛt prɔblɛm, bɔt dɛn nid fɔ du mɔ risach.

Dis na onli risk factors, en dem nor kin se VSD go divεlכp jכs biכs dεn tin ya de.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt VSD? Yu tink se dɛn tin ya denja?

We blɔd lik tru wan VSD, i kin at fɔ mek yu pikin in at wok fayn fayn wan. If di ol big, di at fɔ wok tranga wan. We di at wok dis tranga wan fɔ lɔng tɛm, difrɛn prɔblɛm dɛn kin apin na di at ɛn di lɔng. Sɔntɛnde, dɛn tin ya kin rili siriɔs .

Bikɔs di prɛshɔn we de na di tu chɛmba dɛn na di at difrɛn, mɔ blɔd kin go na di lɔng dɛn. Dis kin mek yu gɛt siriɔs sik dɛn lɛk pulmonary hypertension . If dɛn nɔ trit wan midul ɔ big VSD insay 2 ia , i kin mek pɔsin gɛt wan sik we dɛn kɔl Eisenmenger syndrome . Dis kin mek di blɔd vesel dɛn na di lɔng dɛn pwɛl fɔ ɔltɛm.

Ɔda prɔblɛm dɛn we kin apin kin bi:

• At we nɔ de wok fayn
• di aorta rigurgiteshכn
• di vεntrikl dεm we dεn big
• Infεkshכn na di insay layn na di at (Endocarditis) .
• Di at ritm we nɔmal
• Strok

Dis na di rizin we mek i impɔtant fɔ go to dɔktɔ in advays jɔs lɛk aw yu kam fɔ no se yu gɛt VSD.

Aw dɔktɔ dɛn kin no se pɔsin gɛt VSD?

Dɔktɔ go no if yu gɛt VSD bay di sayn dɛn we yu pikin gɛt, ɛgzam fɔ yu bɔdi, ɛn sɔm spɛshal tɛst dɛn. If di ol rili smɔl, i nɔ go pɔsibul fɔ no VSD bikɔs nɔr simptom nɔ de.

Bɔku tɛm dɛn kin no wan VSD we dɛn de du ɛgzam pan pɔsin in bɔdi . We dɔktɔ lisin to pikin in at wit stetɔskɔp, dɛn kin yɛri at de grɔmbul if VSD de. Dis sawnd kin gi wan rɔf aidia bɔt di sayz fɔ di ol.

difrεn tεst dεm de we kin sho chenj dεm na di at in strכkchכ, di at bit, εn blכd fכ fכlכ bikoz fכ wan VSD:

• Echocardiogram: Dis na di tɛst we impɔtant pas ɔl. I tan lɛk we dɛn de du ɔltra saund skan na di at. I kin sho di sayz fɔ di ol, usay i de, ɛn ɔmɔs blɔd de lik.
• Ilɛktrokardiogram (EKG): Na tɛst we de luk aw di at de wok wit ilɛktrik.
• Chɛst X-ray: Dɛn kin yuz dis fɔ si if di at dɔn big ɔ if blɔd bɔku na di lɔng.
• Kadyak CT skan we dɛn kin du
• Kadyak MRI `(Kadiak MRI)`
• Cardiac catheterization: Dis na fɔ pas wan smɔl tiub tru wan blɔd vesel insay di at fɔ mɛzhɔ prɛshɔn ɛn tek sɛmpul.

Aw yu kin trit pikin we gɛt VSD?

Bɔku pan di VSD dɛn rili smɔl ɛn dɛn nɔ de mek ɛni prɔblɛm. If na so i bi, di dɔktɔ go wach di sayn dɛn ɛn si if di ol lɔk insɛf. Bɔku tɛm , dɛn smɔl ol dɛn ya kin lɔk fɔ dɛnsɛf we dɛn ol 6 ia.. Sɔntɛnde, i kin tek lɔng tɛm. Bɔt afta 20 ia, i nɔ kin izi fɔ mek wan `VSD` klos fɔ insɛf.

If yu gɛt midul ɔ big VSD, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn ɔ ɔda we fɔ lɔk di ol . Insai dis tɛm, dɛn kin gi yu mɛrɛsin fɔ kɔntrol yu sik dɛn.

di imכtant tin na dat if dεn ripεr big VSD bifo i rich 2 ia, i kin mek di pikin in at εn in lכng dεm nכ pwεl. If nɔto dat, di damej kin bi fɔ ɔltɛm ɛn i kin wɔs as tɛm de go.

Mɛrɛsin dɛn we dɛn kin yuz

Fɔ kɔntrol di sik bifo dɛn du di ɔpreshɔn, ɔ if dɛn tink se di ol go lɔk insɛf, yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:

• Diuretics: Dɛn tin ya de wok bay we dɛn de ridyus di ɛkstra wata we de gɛda rawnd di pikin in at.
• di mεdikeshכn dεm we de fכ di pikin in at fεil: dεn ya de kכntro di spid εn trεnk we di pikin in at de bit.

Ɔpreshɔn ɔ ɔda tin dɛn we dɛn kin du

Tu men we de fɔ fiks wan `VSD`:

• Ɔpreshɔn: Wan dɔktɔ we de mɛn at kin lɔk di ol. Dɛn kin siŋ di ol, ɔ dɛn kin put pat we dɛn mek wit tin we dɛn mek wit sɔntin ɔ di pikin in yon tisu.
• Di we aw dɛn kin du transkateta: Dis nɔ min se dɛn fɔ du ɔpreshɔn. Dɛn kin pas wan smɔl tiub (kateta) tru wan big blɔd vesel na di leg ɔ an to di at, ɛn dɛn kin put spɛshal tin insay de fɔ lɔk di ol.

insay dεn tu mכt dεm ya, as tεm de go, di pikin in at tisu de gro rawnd di pat כ di divays, i de bi pat pan di at wכl insεf.

Di tɛm fɔ rikavari afta dɛn dɔn ripɛnt VSD dipen pan di we aw dɛn yuz am. Di we aw dɛn kin yuz transkateta kin tek sɔm dez to sɔm wiks fɔ mek i wɛl. Di ɔpreshɔn kin tek sɔm wik ɔ sɔm mɔnt. Bɔrku tɛm, di VSD simptom dɛm go stɔp afta dɛn tritmɛnt ya.

Ustɛm a fɔ go to dɔktɔ?

If yu ɔ yu pikin gɛt VSD, no bɔt di kɔmɔn sayn dɛm fɔ VSD, ɛn bak ɛni chenj we apin wantɛm wantɛm ɔ simptom dɛm we nɔ kɔmɔn. Jɛnɛral wan, if yu ɔ yu pikin gɛt prɔblɛm fɔ blo, ɔ if di skin, lip, ɔ finga nel dɛn tɔn blu/pale (dɛn kɔl dis saynosis), yu fɔ go na ɔspitul wantɛm wantɛm.

Tɔk to yu pikin in dɔktɔ if yu notis ɛni wan pan dɛn sayn ya:

• We yu de gɛt wet sloslo pas aw yu bin de tink.
• We yu de swet ɔ strɛs we yu de gi pikin in bɛlɛ.
• Nɔr kin rɛst ɔltɛm, i nɔ kin izi fɔ blo.
• Infεkshכn dεm we de apin na di rεspiretכri bכku tεm.

If yu gɛt VSD as big pɔsin, tɔk to yu dɔktɔ bɔt dɛn tin ya:

• If yu taya izi wan ɔ yu nɔ ebul fɔ blo fayn we yu de du yu bɔdi.
• If yu de pale ɔltɛm, ɔ if yu notis se yu finga dɛn ɔ yu lip dɛn de tɔn blu.

Dɔn bak, if yu gɛt VSD, yu fɔ tɛl yu dɔktɔ bifo yu du ɛni ɔda ɔpreshɔn ɔ tritmɛnt fɔ yu tit.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Yu kin aks yu pikin in dɔktɔ dɛn kwɛstyɔn ya:

• Aw big mi pikin in Ventricular Septal Defect?
• Us kayn tritmɛnt yu kin advays?
• A nid ɛkstra kalori fɔ ɛp mi pikin fɔ gɛt wet kwik kwik wan?
• Aw ɔltɛm mi pikin nid fɔ kam fɔ fala-ap apɔntinmɛnt?

Apat frɔm dɛn kwɛstyɔn ya, nɔ fred fɔ aks ɛnitin we yu go tink bɔt.

Wetin yu kin ɛkspɛkt we yu de liv wit VSD? Wetin mama ɛn papa dɛn kin du fɔ ɛp dɛn smɔl pikin?

If na midul ɔ big VSD, fɔ mek di ol fayn kin du fɔ mek i nɔ gɛt prɔblɛm. Na smɔl tɛm nɔmɔ, if nyu blɔd kɔmɔt rawnd di say we dɛn de ripɛnt, i kin nid fɔ du ɔpreshɔn bak.

Bɔrku big pipul dɛm wae de liv wit VSD nɔr kin ivin no se dɛn gɛt am, bikɔs i smɔl fɔ mek dɛn nɔr gɛt prɔblɛm. Bɔt if di VSD big (especially if dɛn nɔ ripɛnt am), i kin afɛkt yu layf. If big pɔsin gɛt VSD, i kin las fɔ ɔl in layf pas dɛn ripɛnt am.

Bɔrku pipul dɛm wae gɛt VSD de liv nɔrmal layf span, jɔs lɛk pɔrsin wae nɔr gɛt wan. Dis kin bi mɔ if di VSD smɔl ɛn i kin lɔk insɛf.

Bɔt pipul dɛn we gɛt midul ɔ big VSD (ilɛksɛf dɛn trit dɛn ɔ dɛn nɔ trit dɛn) kin gɛt shɔt layf we dɛn kin liv, mɔ if dɛn nɔ kɔrɛkt di VSD kwik. If wan sik lɛk Eisenmenger syndrome kam, di layf we pɔsin kin liv kin ridyus.

Tin dɛn we yu kin du as mama ɔ papa:

• If yu pikin gɛt sayn dɛn we de sho se i gɛt VSD, i go mɔs bi se di dɔktɔ go advays am fɔ rɛst ɛn nɔ fɔ du bɔku bɔku tin dɛn fɔ du . Ɛspɛshali if i gɛt Eisenmenger syndrome, i nɔ fɔ du ɛnitin we go put tumɔs strɛs pan di at.
• Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. Nɔ chenj ɔ stɔp yu mɛrɛsin if yu dɔktɔ nɔ advays yu.
• I nɔmal fɔ fil wɔri ɛn fred we yu kam fɔ no se yu pikin gɛt Ventricular Septal Defect. If yu de fil dis kayn we, i go fayn fɔ mek yu tɔk to yu pikin in dɔktɔ. Da we de, yu kin ɔndastand di sik gud gud wan ɛn wetin fɔ ɛkspɛkt. Yu dɔktɔ kin ɛp yu bak fɔ ɔndastand aw fɔ trit di sik, fɔ mek yu nɔ gɛt prɔblɛm dɛn, ɛn fɔ mek yu nɔ gɛt bɛtɛ impak pan yu pikin in layf.

Mɛsej we dɛn kin kɛr go na os:

Okay, so wi don tok plenti boht `VSD`. Mɛmba dis bak:

• `VSD` na ol na di wכl bitwin di tu lכw chεmba dεm na di at.
• VSD dεm we rili sכm kin kכloz dεn wan we nכ gεt nכ simptom.
• Big VSD kin mek yu gɛt sɔm sayn dɛm, mɔ pan yɔŋ pikin dɛm, lɛk fɔ taya ɛn i nɔ kin izi fɔ blo we dɛn de gi dɛn bɛlɛ.
• If yu sɔspɛkt se yu gɛt VSD, i impɔtant fɔ go to dɔktɔ ɛn du tɛst lɛk ɛkokadiogram.
• Ɔspitul tritmɛnt dɛn de fɔ big VSD, ɔ transkateta prosidyuz. Dɛn tin ya kin mek pɔsin gɛt bɔku gud tin dɛn fɔ du.
• Di tin we impɔtant pas ɔl na fɔ no di sik kwik kwik wan ɛn gɛt di tritmɛnt we yu nid. Dis kin go fa fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` VSD, ol na di at, ventricular septal defect, pikin hat sik, congenital hat difεkt, hat sik simptom dεm, VSD tritmεnt