Wetin kin apin to yu at valv dɛm? Lɛ wi tɔk bɔt At Valv Sik!

Sɔntɛnde, yu kin fil taya? Ɔ yu kin si am se i nɔ kin izi fɔ yu fɔ blo ivin we yu de waka sloslo? Sɔntɛm yu kin fil wan strenj throbbing ɔ pen na yu chɛst? Dɛn tin ya kin bi sayn fɔ prɔblɛm wit di valv dɛn we de wok lɛk smɔl domɔt dɛn na yu at. Tide wi go tɔk bɔt dis at valv sik . Nɔ wɔri, i rili impɔtant fɔ no bɔt dis.

Wetin na At Valv Sik?

Fɔ tɔk am simpul wan, at valv sik na wan ɔr mɔr pan di valv dɛm na yu at nɔr de wok fayn. Dɛn valv dɛn ya tan lɛk domɔt dɛn. Dɛn kin ɛp fɔ mek blɔd go na wan say nɔmɔ. we wi at de bit, di dilik pat dεm we lεk flap (dεn kכl dεm `liflet`) na dεn valv dεm ya de opin εn mek bכdi fכ fכdכn. Dɔn, insay di sɛkɔn pat pan di at bit, dɛn liflet ya kin lɔk ɛn stɔp blɔd fɔ flɔ bak.

Imajin wetin go apin if dɛn valv ya nɔ de wok fayn? Blɔd kin pwɛl, ɛn di at kin gɛt fɔ wok tranga wan. If dɛn nɔ trit dis sik, i kin bi siriɔs ɛn i kin ivin put in layf pan denja. Bɔt gud nyus de. Bɔku tɛm, yu dɔktɔ kin mek ɔ chenj dɛn valv dɛn ya wit wan tin we nɔ kin ambɔg yu. Dɔn yu kin kam bak to yu nɔmal.

Wetin na di 4 valv dɛn we de na yu at?

Fo men valv dɛn de na wi at. Dɛn na:

• di mitral valv: dis de bitwin di lεft atria εn di lεft vεntrikl.
• trikuspid valv: dis de bitwin di rayt atria εn di rayt vεntrikl.
• di aorta valv: dis de bitwin di lεft vεntrikl εn di aorta.
• di pulmonari valv: dis de bitwin di rayt vεntrikl εn di pulmonari at.

I rili impɔtant fɔ mek ɔl dɛn valv ya wok fayn, so dat blɔd go ebul fɔ flɔ fayn fayn wan ɔlsay na wi bɔdi.

Wetin na di kayn hat valv sik dɛm?

Bɔrku men kayn hat valv sik de. Sɔntɛnde, i kin afɛkt pas wan valv.

Stenosis we pɔsin kin gɛt

dis na we di liflet dεm na di valv de tik εn stif, we de mek di opin we di valv de opin tru, sכm. Tink bɔt am lɛk wata paip we dɔn lɔk, we de mek i nɔ izi fɔ mek wata flɔ. Sɔntɛm we yu smɔl smɔl, dat nɔ go rili afɛkt yu. כltu, if di valv rili sכmtεm (na dat mek dεn kכl am `stenotic`), di at in fכnshכn de pwεl, εn i gεt fכ wok tranga wan fכ pכmp bכdi. Dis kin mek di blɔd we de go na di wan ol bɔdi nɔ bɔku.

Rigurgitation ɔ valv lik

dis dεn kכl am bak `insufficiency`, εn sכm pipul dεn kכl am ``leaky valve.'' Wetin de apin ya na di valv liflet dεm nכ de kכloz fayn fayn wan. Dɔn di blɔd kin lik bak insay.I tan lɛk we domɔt nɔ lɔk fayn, i kin kam bak insay tru di say we dɛn lɔk. Dis kin mek di at gɛt fɔ pɔmp tranga wan wit da ɛkstra blɔd de. I kin mek bak di blɔd we de go na di ɔda pat dɛn na di bɔdi nɔ bɔku.

Prolaps we pɔsin kin gɛt

dis na tru spεshal fכ di mitral valv. dis na we di valv liflet dεm kin tu fleksibul, we kin mek dεn lik insay di lεft atria we di at de bit. Bɔrku tɛm, dis nɔr kin du bad, bɔt pan sɔm pipul dɛm, i kin mek dɛn rɔtin bak.

Atresia we dɛn kɔl Atresia

Valvular atresia na wan kכndyushכn we di at valv nכ de fכm כ nכ de opin we dεn bכn am. Dɔktɔ dɛn kin no dis we dɛn rili yɔŋ, insay di tɛm we dɛn de bɔn pikin.

Aw kɔmɔn sik na di at valv?

Na Amɛrika, lɛk 2.5% pan di pipul dɛm, we min se bɔku pan di big pipul dɛm, gɛt dɛn at valv sik ya. Dɛn se na lɛk 27,000 pipul dɛn kin day pan dis ɛvri ia. di mitral valv prolaps na wan pan di kכmכn pan dεn kכndyushכn dεm ya. Dɛn de si dis kɔndishɔn bak mɔ ɛn mɔ na Sri Lanka.

Wetin na di fɔs sayn dɛm fɔ gɛt at valv sik?

Bɔrku pipul dɛm wae gɛt hat valv sik nɔr kin sho ɛni sayn fɔs. Bɔt as di sik de wɔs as tɛm de go, di sayn dɛn kin bigin fɔ sho as di at kin gɛt fɔ wok tranga wan.

Si if yu gɛt ɛni wan pan dɛn kwaliti dɛn ya:

• Taya: Dis na di fɔs sayn we yu go fil.
• Fɔ blo shɔt mɔ: Ɛspɛshali we yu de du ɛnitin we yu de du, lɛk fɔ waka ɔ fɔ klaym stej.
• Hat palpitations: Na de bit na di chɛst, i de fil lɛk se di at de stɔp wantɛm wantɛm ɛn bit.
• Swɛlin (Edima): Na swɛlin na di anklɛ, leg, ɔ bɛlɛ.
• Wik ɔ diziz.
• We yu de gɛt bɔku bɔku wet wantɛm wantɛm.
• Chɛst pen: Ɛspɛshali we yu taya.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin na de tin wae kin mek pɔrsin gɛt hat valv sik?

Difrɛn tin dɛn de we kin mek pɔsin gɛt at valv sik. Na sɔm pan di men tin dɛn we kin mek i apin:

• Rimatik fiva: Na wan sik wae de kam wae yu nɔr trit yu strep trot.
• At damej bikɔs ɔf at atak .
• Ay blɔd prɛshɔn ( we i tu ay).
• di tin dεm we dεn bכn wit: fכ egzampl, di pulmonary כ aortic valv nכ de divεlכp fayn fayn wan.
• as tεm de go, di valv tisu de wik כ i nכ de wok bכku biכs fכ di kalsiכm dεposit (kalsifikכshכn).
• Thoracic aortic aneurysm: Dis na we di aorta de big. afta dat di aorta valv liflet dεm kin strεch εn lik.
• At we nɔ de wok fayn.
• At infεkshכn, fכ egzampl infεkshכn εndokadytis.
• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf lɛk lupus .
• Jɛnɛtik kɔndishɔn dɛn lɛk Marfan sindrom .

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Sɔm tin dɛn de bak we kin mek pɔsin gɛt at valv sik. Dɛn tin ya na:

• Yuz tin dɛn we dɛn kin yuz fɔ smok (smok).
• Fɔ it tin dɛn we nɔ gɛt bɛtɛ tin fɔ it.
• Fɔ nɔ ebul fɔ du bɔku tin dɛn fɔ du.
• Fɔ gɛt mɛrɛsin lɛk dayabitis ɔr ay blɔd prɛshɔn.
• Afta dɛn dɔn gɛt tritmɛnt wit redyushɔn fɔ kansa.
• Fɔ gɛt pesmɛka ɔ difibrilator (ICD) we dɛn dɔn instɔl.
• Fɔ bi man (man dɛn kin gɛt smɔl ay risk pas uman dɛn).
• We pɔsin de ol.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn nɔ trit di valv sik fayn, kɔmplikeshɔn dɛn lɛk dis kin kam as tɛm de go:

• At we nɔ de wok fayn.
• Di at bit we nɔ de bit ɔltɛm (Aritmia).
• Blɔd we de klɔt.
• di ay blכd prεshכn na di pulmonari atεri dεm (Pulmonary hypertension).
• Strok.
• Day wantɛm wantɛm bikɔs ɔf at atak (Cardiac arrest).

Na dat mek i impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn ɛn bigin di tritmɛnt we yu nid.

Aw dɛn kin no se pɔsin gɛt at valv sik?

We yu go to dɔktɔ, sɔntɛnde dɛn kin si sayn dɛn fɔ gɛt at valv sik we dɛn de du ɛgzam pan yu bɔdi. Fɔ ɛgzampul:

• Dɛn kin chɛk fɔ si if wata de gɛda na di lɔng dɛn.
• Chek fɔ si if di at dɔn big.
• At murmur na abnɔmal sawnd we dɛn kin yɛri wit stetɔskɔp. I kin sho se blɔd de flɔ tru wan valv we dɔn smɔl ɔ we de lik.
• Di ankles dɛn kin luk lɛk se dɛn dɔn swel.

Apat frɔm dat, difrɛn mɛrɛsin dɛn de we dɛn kin yuz fɔ no if yu gɛt at valv sik. We yu dɔktɔ ripit dɛn tɛst ya as tɛm de go, i go ebul fɔ si aw yu sik de chenj ɛn disayd bɔt tritmɛnt. Bikɔs valv sik kin wɔs as tɛm de go, sɔmtɛm dɔktɔ dɛn kin gi am wan stej. I kin stat wit A ɛn dɔn wit D. D na di stej we kin rili bad.

Us tɛst dɛn de du?

Na sɔm pan di men tɛst dɛm wae dɛn kin yuse fɔ no if yu gɛt at valv sik:

• Echocardiogram (Echocardiogram - at ɔltra saund): .dis involv fכ put wan divais we yu kin ol na yu an (wan `wand`) pan di sεf fכ di chεst εn yuz sawnd wev fכ tek wan imej we de muv fכ di at. I tan lɛk we dɛn kin du ɔltra saund skan fɔ pikin.
• Transesophageal echocardiogram (TEE): Dis na ɔltra saund tɛst bak fɔ di at. כltu, dis involv fכ put wan sכmכl divays we lεk kεmεra (wan `probe wit transducer`) dכn yu εsophagus εn egzamin am frכm bכku klos to yu at.
• Exercise stress echocardiogram: Insay dis tɛst, dɛn kin aks yu fɔ waka pan tredmil ɔ rayd baysikul, dɔn dɛn kin chɛk yu valv ɛn at fɔ si if i de wok.
• Chɛst X-ray: Dis na kwik chɛst X-ray tɛst.
• Cardiac catheterization (angiogram): Dis kin min fɔ tek ɛkstrem pikchɔ fɔ di at in korona at, di at chɛmba dɛn, ɛn di valv dɛn.
• Ilektrokardiogram (EKG ɔ ECG): sכm sכm εlektrod strip dεm de atak di skin εn rεkכd di ilektrikal aktiviti we di at de du.
• Magnɛtik rɛsɔnans imej (MRI): We dɛn jɔyn redio wev ɛn magnet, dat kin mek di at rili klia.

Aw dɛn kin trit di at valv sik dɛn?

Di tritmɛnt fɔ di at valv sik de dipen pan wetin mek di sik ɛn sɔm ɔda tin dɛn. Di men tin dɛn we dɛn kin du na:

• Fɔ protɛkt yu valv fɔ mek i nɔ pwɛl mɔ.
• Fɔ gi pipul dɛn mɛrɛsin.
• If nid de, du ɔpreshɔn ɔ ɔda tin dɛn we nɔ go ambɔg yu.
• Si yu dɔktɔ we de mɛn yu at ɔltɛm fɔ gɛt advays.

Pan ɔl we dɛn nɔ go ebul fɔ sɔlv di prɔblɛm we de na di at valv kpatakpata, dɛn kin trit di prɔblɛm. If dɛn trit am wit mɛrɛsin, ɔpreshɔn fɔ mek am, ɔ fɔ mek nyu valv, dɛn kin disayd bay sɔm tin dɛn. Dɛn tin ya na:

• Tayp fɔ di valv sik.
• Di kayn bad bad tin we dɔn apin.
• yu ej.
• Yu ɔda sik ɛn wɛl bɔdi istri.

If yu gɛt bɛlɛ ɛn yu gɛt at valv sik, yu kin nid fɔ tek ɛkstra rɛst ɛn/ɔ tek sɔm mɛrɛsin dɛn we nɔ bad fɔ yu pikin. If yu no bɔt yu valv sik bifo yu gɛt bɛlɛ, i fayn fɔ tɔk to yu dɔktɔ bifo yu tray fɔ gɛt bɛlɛ, du tɛst if nid de, ɛn go to dɔktɔ we de mɛn yu at. Da we de, yu kin gɛt di rayt tritmɛnt bifo yu gɛt bɛlɛ ɛn we yu gɛt bɛlɛ. If yu gɛt siriɔs valv prɔblɛm, yu dɔktɔ kin tɛl yu fɔ mek dɛn mek yu valv ɔ chenj bifo yu gɛt bɛlɛ.

Di mɛrɛsin dɛn we dɛn kin yuz

Mɛrɛsin nɔ kin ebul fɔ mɛn at valv sik kpatakpata. Bɔt, mɛrɛsin ɛn liv fayn layf kin ɛp fɔ kɔntrol di sayn dɛm ɛn ridyus di risk fɔ mek yu gɛt strok ɔr yu at nɔr de stɔp. Sɔm mɛrɛsin dɛn kin stɔp afta dɛn dɔn ɔpreshɔn di valv, bɔt sɔm mɛrɛsin dɛn fɔ tek fɔ layf.

Yu dɔktɔ kin gi yu mɛrɛsin fɔ tin dɛn lɛk:

• Nɔ mek di at nɔ ritm ɔltɛm (ari ritmi) ɔ blɔd nɔ klɔt.
• Lɔs yu blɔd prɛshɔn ɔ kɔlɔstrel lɛvɛl.
• Trit at pwɛl ɔ korona at sik.

Ɔpreshɔn ripɛnt ɔ riplesmɛnt

At valv sik na prɔblɛm we di valv flap dɛn de opin ɔ lɔk, ɛn yu kin nid ɔpreshɔn fɔ mek yu valv fayn ɔ chenj. Sɔm pikin dɛn we gɛt prɔblɛm wit dɛn valv we dɛn bɔn dɛn kin nid ɔpreshɔn we dɛn yɔŋ.

Bɔku tɛm, di dɔktɔ we de du di ɔpreshɔn ɛn di dɔktɔ we de mɛn di at kin no di bɛst tritmɛnt bifo di de we dɛn du di ɔpreshɔn. Bɔt sɔntɛnde, di dɔktɔ we de du di ɔpreshɔn kin disayd fɔ du di ɔpreshɔn, afta we i rili si di valv.

Bɔku tɛm, dɔktɔ dɛn kin du valv ɔpreshɔn wit ɔda ɔpreshɔn dɛn (fɔ ɛgzampul, baypas ɔpreshɔn ɔ ɔpreshɔn fɔ atrial fibrillation) fɔ trit di at sik kpatakpata.

Di hat valv ripa de alaw yu sajin fɔ ripɛnt yu valv we nɔ fayn, bɔku tɛm i nɔ kin yuz atifishal pat. Sɔntɛnde, fɔ ɛgzampul, if yu mitral valv smɔl, yu dɔktɔ kin yuz balyɔn pan kateshɔn fɔ mek di valv big ( valvuloplasty ). Ɔ dɛn kin du sɔntin we dɛn kɔl annuloplasty fɔ mek di ring we de rawnd di valv strɔng ɔ mek i strɔng so dat di valv go lɔk fayn fayn wan.

Di bɛnifit dɛn we pɔsin kin gɛt we i de mek di valv:

• Di risk fɔ gɛt di sik nɔ bɔku.
• Nɔr nid fɔ tek mɛrɛsin wae de mek yu blɔd tan fɔ yu layf.
• Di trɛnk ɛn di wok we di at mɔsul de du de kip.

If dɛn nɔ ebul fɔ mek di valv, dɔktɔ dɛn we de du ɔpreshɔn go gɛt fɔ chenj am. Fɔ chenj yu at valv min fɔ pul yu ol valv ɛn siŋ nyu wan insay di ol valv in ples. di nyu valv kin bi mεkanikal כ bayolojikal (dεn mek am frכm mכtalman, kaw, כ pig tisu). If di ripɛnt nɔ pɔsibul, dɛn nyu valv dɛn ya kin du di wok. Bɔt i go dipen pan di kayn valv we yu gɛt, yu kin nid fɔ tek mɛrɛsin fɔ mek blɔd nɔ klɔt ɔ fɔ mek dɛn put nyu valv insay ɛvri 10 to 15 ia.

Dipen pan di kayn valv prɔblɛm ɛn yu ɔda mɛrɛsin kɔndishɔn, yu kinI kin pɔsibul bak fɔ du wan minimally invasive valv ripa ɔ riplesmɛnt.

Di prɔblɛm dɛn we kin apin we pɔsin de trit am

Ol pipul dεm εn dεn wan dεm wae gεt כndalayn hεlth kכndyushכn kin gεt hכy risk fכ gεt kכmplikεshכn frכm valv riplesmεnt כpεrayshכn.

Dɛn kɔmplikeshɔn ya, pan ɔl we dɛn nɔ kin kil pɔsin, dɛn nɔ kin kil pɔsin. Dɛn na:

• Infεkshכn dεm.
• Atrial fibrillation ɔ ɔda abnɔmal at ritm.
• Blɔd we de kɔmɔt.
• Blɔd we de klɔt.
• Kidni we nɔ de wok fayn.
• Strɔk ɔ Transiɛnt ischemik atak (TIA).

Aw lɔng i kin tek fɔ mek pɔsin wɛl afta dɛn dɔn ɔpreshɔn di at valv?

Afta dɛn dɔn ɔpreshɔn yu at valv, yu go nid fɔ de na ɔspitul fɔ lɛk fayv to sɛvin dez. Afta dat, i kin tek lɛk 4 to et wiks fɔ mek i wɛl. Yu dɔktɔ kin rifer yu to cardiac rehab , we na wan program we dɛn kin wach gud gud wan ɛn we kin ɛp yu fɔ wɛl.

Aw fɔ ridyus di risk fɔ gɛt at valv sik?

Pan ɔl we sɔm tin dɛn we kin mek yu gɛt dis sik, lɛk fɔ ol, nɔ kin chenj, tin dɛn de we yu kin du fɔ mek yu nɔ gɛt at valv sik. Dɛn tin ya na:

• Trit infɛkshɔn dɛn kwik kwik wan.
• Fɔ bi pɔsin we de du tin wit in bɔdi.
• Fɔ it tin dɛn we go ɛp yu at.
• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu.
• If yu gɛt ay blɔd prɛshɔn ɛn/ɔ ay kɔlɔstrel, kɔntinyu fɔ tek di mɛrɛsin we dɛn dɔn tɛl yu fɔ tek.
• Nɔ yuz tin dɛn we dɛn mek wit tabak.
• Fɔ avɔyd fɔ yuz drɔgs fɔ ɛnjɔy yusɛf, mɔ fɔ tek drɔgs we yu kin put insay yu bɛlɛ (`IV drɔgs`), we kin mek yu gɛt infɛkshɔn na di at valv.

Aw yu go protɛkt yu valv fɔ mek i nɔ pwɛl mɔ?

If yu gɛt at valv sik, aks yu dɔktɔ bɔt di risk we yu kin gɛt fɔ gɛt wan sik we dɛn kɔl infɛkshɔn ɛndokadaytis . Dis infεkshכn kin pwεl כ pwεl yu at valv dεm, εn kin kil yu. Dis risk de ivin if dɛn dɔn du ɔpreshɔn fɔ mek yu ripɛnt ɔ chenj yu valv. Na sɔm tin dɛm wae yu kin du fɔ mek yu nɔ gɛt infɛkshɔn ɛndokarditis:

• Tɛl yu dɔktɔ ɛn dɛntist dɛm se yu gɛt valv sik.
• Kɔl yu dɔktɔ if yu gɛt sayn dɛn fɔ se yu gɛt di sik.
• Tek kia ɔf yu tit ɛn yu gɔm fayn fayn wan.
• Aks yu dɔktɔ we de mɛn yu at if yu nid fɔ tek antibayɔtik bifo ɛni tritmɛnt fɔ yu tit, big ɔ smɔl ɔpreshɔn, ɔ du invasive test.

Wetin yu kin ɛkspɛkt we yu de liv wit at valv sik?

If yu gɛt hat valv sik, i go de wit yu fɔ di res ɔf yu layf. Bɔt aw yu kin gɛt di sik kin dipen pan us valv de afɛkt ɛn aw di prɔblɛm kin tranga.

Sɔm pipul kin gɛt valv sik bɔt nɔr kin ɛva gɛt sɔm kayn sik. Ɔda wan dɛn kin gɛt bɔku sayn dɛn ɛn dɛn kin nid fɔ mek dɛn ripɛnt ɔ chenj dɛn valv. Ivin if yu dɔktɔ mek yu valv ɔ chenj yu valv, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin ɛn sɔntɛm dɛn go put nyu valv bak insay 10 to 15 ia.

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ ɔltɛm fɔ wach aw yu valv sik de go bifo as tɛm de go.

Aw a kin kia fɔ misɛf?

Kɔntinyu fɔ tek ɔl di mɛrɛsin dɛn we yu dɔktɔ dɔn tɛl yu. Ɛn go to ɔl di apɔntinmɛnt dɛn we yu fɔ fala. I rili impɔtant bak fɔ mek wi kɔntinyu fɔ liv fayn layf.

Ustɛm a fɔ go to dɔktɔ?

Yu go nid fɔ go to yu dɔktɔ we de mɛn yu at ɔltɛm fɔ mek shɔ se yu at valv dɛn de wok fayn fayn wan. Aks yu dɔktɔ aw ɔltɛm yu fɔ gɛt dɛn apɔntinmɛnt ya. Yu kin nid fɔ du tɛst bak, lɛk ɛkokardiogram.

If yu sik de wɔs ɔr de apin ɔltɛm, go to yu dɔktɔ fɔs. Yu fɔ tɛl yu dɔktɔ bak if yu gɛt infɛkshɔn ɛndokadaytis.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt ɛni wan pan dɛn sik ya afta dɛn dɔn ɔpreshɔn yu at valv, yu fɔ kɔl 911 ɔ yu lokal imejensi nɔmba:

• Syncope - we yu de lɔs yu kɔnshɛns.
• Fiva ɔ kol kol.
• Bɛlɛ kin at ɔ yu kin gɛt dayarɛa.
• Chɛst de pen.
• di at rit pas 150 bit insay wan minit.
• Bɔrku ed pen, wik, ɔr swɛla na yu an ɔr leg wae nɔr gɛt ɛni wɔnin.
• I nɔ kin izi fɔ yu fɔ blo we nɔ kin stɔp ivin we yu rɛst.
• Fɔ kɔf blɔd (layt rɛd).
• Dak blak stɔl ɔ brayt rɛd blɔd wit stɔl.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Yu tink se we a chenj di we aw a de liv mi layf, dat go ɛp mi?
• Us tin dɛn we a kin du fɔ mi bɔdi we nɔ bad fɔ mek a du?
• Aw kwik a go ebul fɔ du tin wit mi bɔdi afta dɛn dɔn du mi ɔpreshɔn?

Fɔ dɔn, mɛmba

I kin mek yu fil fayn bak fɔ no se yu taya ɛn yu nɔr de blo fayn nɔto jɔs nɔmal tin fɔ ol, bɔt i kin bi prɔblɛm wit yu at valv. Di gud nyus bɔt at valv prɔblɛm na dat dɛn kin ebul fɔ mɛn am wit mɛrɛsin ɛn/ɔ ɔpreshɔn. Yu dɔktɔ go tɔk to yu bɔt di bɛst tin fɔ yu. I nɔ mata us tritmɛnt yu dɔktɔ tɛl yu fɔ du, yu kin ɛp yusɛf bay we yu de du tin dɛn we go mek yu at pwɛl, ɛn nɔ it tin dɛn we yu de yuz fɔ smok. Mek shɔ se yu tek ɔl di mɛrɛsin dɛn we dɛn dɔn gi yu ɛn kip ɔl di apɔntinmɛnt dɛn we yu dɔn mek. Nɔto yu wan de, ɛn dɔktɔ ɛn pipul dɛn de we yu lɛk we go ɛp yu pan dis waka.

`At valv sik, at valv, hat sik simptom, hat ɔpreshɔn, at wɛlbɔdi, valv ripa, valv riplesmɛnt