Yala aw dusukun ka aorte valve bɛ ni flap kelen ye wa? (Unicuspid Aortic Valve) - An ka kuma nin kan !

Tuma dɔw la an b’a mɛn ko ‘E, dusukun gɛlɛya fitinin dɔ bɛ n den na, a wolola ni dusukun mugumugu ye’? Walima, ni ninakili gɛlɛyara funankɛnin dɔ la walima ni a disi bɛ dimi, dɔgɔtɔrɔw b’a fɔ ko: ‘Gɛlɛya fitinin dɔ bɛ dusukun tantanni na.’ O cogo de la an bɛna kuma dusukunnabana dɔ kan min man ca kosɛbɛ, nka a nafa ka bon kosɛbɛ ka a dɔn.

Nin ɲɛgɛnɛsira kelen-kelen (`Unicuspid Aortic Valve`) ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, aorte valve min bɛ i dusukun na, o bɛ ni sɛbɛnfura kelen dɔrɔn ye sanni a ka kɛ ni saba ye. Daɲɛ "unicuspid" kɔrɔ ye "sɛbɛn kelen-kelen". Miiri k’a filɛ i n’a fɔ da min bɛ ni dakun kelen dɔrɔn ye sanni ka kɛ fila ye.

O sɛbɛndenninw bɛ i n’a fɔ da fitininw. U bɛ da wuli ka da tugu walasa joli sanuman min falen don oksizɛni na, o ka tɛmɛ dusukun kininbolo fɛ - dusukun kiniyanfan fɛ - ka taa aorte la . O kɔfɛ, joli-sira-funu bɛ joli bɔ farikolo fan bɛɛ la. O la, ni sɛbɛnfura hakɛ dɔgɔyara o dawolo la, balilan misɛnninw bɛ se ka kɛ joli bɔli la.

Nin bana in bɛ mɔgɔ dɔw la, n’o ye Unicuspid Aortic Valve ye, dusukun gɛlɛya wɛrɛw fana bɛ se ka sɔrɔ. I n'a fo:

• Aortopathy : O kɔrɔ ye fanga dɔgɔyali ye aorta kogow la.
• Ventricular Septal Defect (VSD) : Dingɛ min bɛ kogo la dusukun duguma yɔrɔ fila ni ɲɔgɔn cɛ.
• Patent Ductus Arteriosus (PDA) : Joli sira min tun ka kan ka datugu bange kɔfɛ, o bɛ to da la.
• Koronawirisi : Yɛlɛma dɔw bɛ kɛ joli siraw la minnu bɛ joli di dusukun ma.

Nin ye bana ye min man ca kosɛbɛ. A bɛ mɔgɔ 0,02% ɲɔgɔn minɛ jamanaden bɛɛ lajɛlen na. Ani fana, a ka ca cɛw la.

Yala nin suguya dɔw bɛ yen wa?

Ɔwɔ, ``Unicuspid Aortic Valve'' suguya belebele fila bɛ yen. Danfara min bɛ nin sugu fla ninnu ni ɲɔgɔn cɛ, o ye 'yɔrɔ ye min na sɛbɛnfura (sɛbɛnni) fla bɛ Jὲ ni 'valve kogo ye, o min bɛ Weele ko ``Commissure'' . I bɛ se ka nin faamu nin cogo la. Miiri k’a filɛ i dawolo nɔrɔlen bɛ i ɲɛda la kudayi, nka u bɛ se ka fara ɲɔgɔn kan ka fara ɲɔgɔn kan, tiɲɛ tɛ? O de ye ``Commissure'' ye.

O sugu fla ninnu ye:

1. Acommissural type : Nin ye suguya ye min ka jugu kosɛbɛ . O cogo la, komisɛri tɛ yen, o kɔrɔ ye ko danfara tɛ yen. Wa a ni aorte tɛ ɲɔgɔn na. Valvew bɛɛ bɛ siri ɲɔgɔn na, a bɛ se ka kɛ i n’a fɔ u sirilen don ɲɔgɔn na. Joli bɛ woyo dingɛ fitinin dɔrɔn de fɛ, i n’a fɔ pinɛ.

2. Unicommissural suguya : .Nin juguya ka dɔgɔn dɔɔni ka tɛmɛ tɔ kelen kan, wa a fana ye suguya ye min ka teli ka kɛ . ``Commissure`` kelen b'a la, o kɔrɔ ye ko gap kelen. A fana bɛ tali kɛ aorte la. Ni nin bɔgɔdaga suguya in dabɔra, a bɛ kɛ i n’a fɔ layini. Mɔgɔ dɔw b’a suma ni jɛgɛ da ye.

Aw bɛ se ka bana taamasiɲɛ jumɛnw ye?

Ni nin bana in bɛ baliku dɔ la (Unicuspid Aortic Valve), a taamasiɲɛ minnu bɛ se ka ye tuma caman na, olu ye:

• Ninakilidegun : Ni aw sɛgɛnnen don dɔɔni, aw bɛ se ka a ye ko aw bɛna fasa ni aw bɛ yele ɛrɛzɛnsunw kan.
• Dimi : Ni aw wulila yɔrɔnin kelen, a bɛ se ka kɛ aw ɲɛnamini.
• Angina : O ye dimi walima disi sirili ye disi la. Mɔgɔ dɔw fɛ, o bɛ se ka jɛnsɛn fo ka se u dawolo, u kɔ, walima hali bolokɔniw ma.
• Fainting/fainting : Ka bɔ a hakili la yɔrɔnin kelen.

A ka ca a la nin bana in bɛ denmisɛn fitinin minnu na , olu bɛ bana dɔw sɔrɔ i n’a fɔ dusukun kiniyanfan fɛ . U fana ka teli ka u girinya dɔgɔya i n’a fɔ u si hakɛ denmisɛn tɔw, o kɔrɔ ye ko u girinya ka dɔgɔn kosɛbɛ.

``Acommissural`` suguya min kofɔra ka tɛmɛ, o ye suguya jugumanba ye, o bɛ taamasiɲɛw jira denmisɛnnin fitininw na . Nka ``Unicommissural`` suguya bɛ mɔgɔ minnu na, olu tɛ se ka taamasiɲɛ foyi jira fo u si bɛ san 20 walima san 30 la, o kɔrɔ ye ko fo u ka se balikuya ma.

Mun na o bɛ ka kɛ? O kun ye mun ye?

Nin bana in min bɛ wele ko ``Unicuspid Aortic Valve'', o bɛ sɔrɔ ni sɛbɛnfura saba minnu ka kan ka dilan cogoya la, olu bɛ daminɛ ka bɔ den kɔnɔ, o kɔfɛ sanni u ka fara ɲɔgɔn kan, u bɛ fara ɲɔgɔn kan ka kɛ kelen ye. o bɛ kɛ sani den yɛrɛ ka bange .

Hali ni ɲininikɛlaw ma se k’a jira fɔlɔ k’a jɛya, u bɛ sigasiga ko nin bɛ se ka kɛ ``bana ye min bɛ sɔrɔ ciyɛn fɛ.'' O kɔrɔ ye ko a bɛ se ka kɛ ko jamu dɔ bɛ yen.

O bɛ se ka gɛlɛya jumɛnw lase mɔgɔ ma?

Mɔgɔ min bɛ ni aorte unicuspide ye, o tigi bɛ se ka gɛlɛya suguya caman sɔrɔ waati tɛmɛnen kɔfɛ. Olu kunbabaw ye:

• Aortic valve stenosis : O bɛ kɛ ni dawolo ma da ka ɲɛ, o bɛ joli bɔli bali. O bɛ kɛ sababu ye dusukun ka baara kɛ kosɛbɛ walasa ka joli pɔnpe.
• Aortic valve regurgitation : Aortic valve regurgitation : Aorte valve tɛ datugu ka ɲɛ, o bɛ kɛ sababu ye ka joli pɔnpe dɔw bɔ ka segin dusukun na.
• Infective Endocarditis : Dusukun kɔnɔnatumuw, kɛrɛnkɛrɛnnenya la a dawololabanaw. Mɔgɔ minnu farikolojidɛsɛ tɛ kelen ye, olu farati ka bon.
• Farati bɛ bonya min bɛ kɛ ka ɲɛgɛnɛsira tigɛ : O ye bana barikama ye min ka jugu, aorte kogo bɛ tigɛ ka bɔ kɔnɔna na.

Nafama : A nafa ka bon kosɛbɛ ka bana in sɛgɛsɛgɛ ani k’a furakɛ waati bɛnnen na, sani o gɛlɛyaw ka na.

I bɛ o sɔrɔ cogo di?

Ni aw taara dɔgɔtɔrɔso la, a bɛna aw dusukun lamɛn ni stɛtisɔpu ye aw farikolo sɛgɛsɛgɛli senfɛ . Ni dɔgɔtɔrɔ ye dusukun mankan dɔ mɛn min tɛ a cogo la (``dusukun murmur``) aw ka aorte kɛrɛfɛ, a bɛ se ka sigasiga o la. O kɔ, a bɛ se ka sɛgɛsɛgɛli wɛrɛw kɛ.

Kɔrɔbɔli jumɛnw bɛ ka kɛ?

Sɛgɛsɛgɛli kunbaba minnu bɛ kɛ walasa ka nin ``Unicuspid Aortic Valve'' bana in sɔrɔli dafa ka ɲɛ, olu ye :

• Transthoracique Échocardiogramme (TTE) : O bɛ i n’a fɔ dusukun sɛgɛsɛgɛli ultrasound. A bɛ kɛ disi kan. A bɛ se ka dusukun cogoya n’a dawolo baara jateminɛ ka ɲɛ.
• Transesophageal Echocardiogramme (TEE) : Nin fana ye echocardiogramme ye. Nka, tubabufura fitini dɔ bɛ don dawolo la ka dusukun lajɛ dumunikɛminɛn fɛ. O bɛ se ka ja jɛlenw bɔ ka tɛmɛ TTE kan.
• Cardiac Computed Tomography (CT) scan : O bɛ se ka dusukun ni aorte ja 3D tigɛlenw dilan.
• Dusukun MRI (Magnetic Resonance Imaging) : O fana bɛ se ka kunnafoni caman di dusukun jɔcogo n’a baarakɛcogo kan.

A bɛ furakɛ cogo di?

O furakɛcogo bɛ ɲɔgɔn ta ka kɛɲɛ ni mɔgɔ si hakɛ ye ani a taamasiɲɛw juguya.

Furakɛli suguya minnu ka teli ka kɛ denmisɛnni fitiniw na olu ye:

• Opereli fɛ Valvotomy : O ye opereli kɛli ye walasa ka valve tissue tigɛ min sirilen don ɲɔgɔn na ani ka sɛbɛnfura kura dilan.
• Valvuloplasty : O ye ka fɛn dɔ kɛ i n’a fɔ balon walasa ka valve da.
• Commissurotomy : ``Commissure'' farali opereli fɛ, yɔrɔ min na a dawolo bɛ siri ɲɔgɔn na.
• Ross kɛcogo : Nin ye opereli ye min ka gɛlɛn dɔɔni. An bɛna kuma caman fɔ o kan kɔfɛ.

balikuw fɛ , a ka ca a la opereli ka kan ka kɛ walasa ka aortic valve dilan (Unicuspid Aortic Valve repair) walima ka a bila a nɔ na ni aortic valve kura ye (replacement) .

Yala furakɛli kɔlɔlɔ/gɛlɛya dɔw bɛ yen wa?

I n’a fɔ opereli tɔw bɛɛ, gɛlɛya dɔw bɛ se ka sɔrɔ furakɛli in na. Nka bɛɛ tɛna o kow sɔrɔ. Aw kana aw hakili ɲagami, aw ka dɔgɔtɔrɔ bɛna aw kunnafoni kosɛbɛ ninnu kan.

Gɛlɛya minnu ka teli ka sɔrɔ, olu dɔw ye:

• Banayɛlɛma
• Joli kurulenw
• Joli bɔli kojugu (`Joli bɔli`) .
• Endocardite (banakisɛ min bɛ sɔrɔ ɲɛgɛnɛsiralabanaw fɛ) .
• Gɛlɛya minnu bɛ sɔrɔ patɔrɔn dɔ la min bɛ kɛ ka valve dilan.
• Dusukun balili dafalen : Dusukun kuran taamasiɲɛw cili tigɛcogo.
• Dusukun tantanni
• Joli bɛ bɔ bɔgɔdaga la ka taa fan jugu fɛ.
• Dusukun tantanni min tɛ bɛn

A bɛ waati joli ta ka kɛnɛya?

O bɛna ɲɔgɔn ta ka kɛɲɛ ni aw ye fɛɛrɛ suguya min kɛ. A bɛ se ka kɛ yɔrɔ o yɔrɔ , k’a ta dɔgɔkun kelen na ka se kalo damadɔ ma walasa ka kɛnɛya. Aw ka dɔgɔtɔrɔ bɛna a fɔ aw ye tigitigi aw ka kan ka lafiɲɛ waati hakɛ min na ani waati min na aw bɛ se ka baara kɛcogo kɔrɔw daminɛ kokura.

Ɲɛnamaya bɛna kɛ cogo di ni nin ko in ye?

Ni Unicuspid Aortic Valve bɛ aw la, a ka ca a la aw mago bɛna kɛ opereli la . Tiɲɛ na, a bɛ se ka kɛ ko aw ka kan ka aw ka dawolo dilan walima ka a falen ka tɛmɛ siɲɛ kelen kan aw ka ɲɛnamaya kɔnɔ. Dusukun gɛlɛya wɛrɛw fana bɛ se ka kɛ aw la. Aw bɛ se ka to ka joli segin furaw (anticoagulants) fana ta opereli kɔfɛ, ka kɛɲɛ ni aw ka joli-sira-funu suguya ye.

Nka a ka kan fana k' a fɔ ko nin ``Unicuspid Aortic Valve'' in tɛ fɛn ye min bɛna kɛnɛya a yɛrɛma . O bana bɛ to o cogo kelen na fo ka se opereli kɛli ma walasa k’a latilen.

Kibaru duman bɛ yen. Sɛgɛsɛgɛli dɔ y’a jira ko mɔgɔ 97% minnu ye joli segin opereli kɛ bana dɔ la min bɛ wele ko ``Unicuspid Aortic Valve'' , olu tun bɛ balo la hali bi san 10 o kɔfɛ .

Nka, hakilina dɔ fana bɛ yen min b’a jira ko ni mɔgɔ min si tɛ san 65 bɔ, o tigi ye aorte prothèse (banakisɛfagalan) di a ma ka a sababu kɛ nin bana in ye, o bɛ se ka dɔ bɔ a si la ka tɛmɛ san 10 kan. O de kama ɲininikɛlaw b’a fɔ ko Ross ka taabolo ka fisa funankɛninw ma, minnu bɛ baara kɛ kosɛbɛ. Nin ``Ross kɛcogo`` in na, aw bɛ aw yɛrɛ ka fogonfogon dawolo ta ka a bila aorte banana yɔrɔ la. O kɔ, fogonfogon la homograft min bɛ bɔ mɔgɔ salen dɔ la, o bɛ don fogonfogon la, fogonfogon bɔlen tun bɛ yɔrɔ min na fɔlɔ. Hali n’o ka gɛlɛn dɔɔnin, a fɔra ko a nɔfɛkow ka ɲi.

I b’a fɛ ka mun kɛ i fan fɛ?

Opereli kɔfɛ, aw ka kan ka dɔgɔtɔrɔ ka laadilikanw labato ka ɲɛ aw ka tigɛyɔrɔw/tigɛyɔrɔw ladoncogo kan . A bɛna a fɔ aw ye fana aw ka kan ka lafiɲɛ waati hakɛ min na ani waati min na aw bɛ se ka bolifɛn boli ni don o don baara wɛrɛw daminɛ.

Aw kana ɲinɛ: A nafa ka bon kosɛbɛ ka aw ka furaw ta waati la, i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na, ani ka taa dɔgɔtɔrɔso la don bolodalenw na.

Tuma dɔw la, i b’a miiri ko: “O, ne ma kɔrɔbaya ka dusukunnabana sɔrɔ fɔlɔ,” nka hali bi disi dimi bɛ i la ani ninakili ka gɛlɛn.Ni nin fɛn ninnu dɔ bɛ aw la, aw ye aw jija ka taa dɔgɔtɔrɔso la. Opereli kɔfɛ Unicuspid Aortic Valve kama, aw bɛna to ka tugu-tugu ɲɔgɔn kɔ ni aw ka dɔgɔtɔrɔ ye. Ni gɛlɛya dɔ (i n’a fɔ banakisɛ) nana opereli kɔfɛ, a bɛ se ka kɛ aw mago bɛ furakɛli kɔrɔtɔlen na.

Aw ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Ni aw taara dɔgɔtɔrɔso la, aw kana siran ka ɲininkali o ɲininkali kɛ aw la. Aw bɛ se ka ɲininkali minnu kɛ, olu dɔw filɛ nin ye:

• Furakɛli min ka fisa ne ma, o ye mun ye?
• Danfara jumɛnw bɛ valve caman cili suguya wɛrɛw ni ɲɔgɔn cɛ? (i n’a fɔ, valve artificielle ni biyovalve) .
• Ne ka kan ka opereli kɛ joona cogo di?
• Valve kura min sigilen don, o bɛ mɛn waati joli kɔnɔ?

Ni i y’a mɛn ko fɛn dɔ bɛ i dusukun na, o tɛ baara kɛ ka ɲɛ, o man nɔgɔn. Nka, waati tɛmɛnen kɔfɛ, dɔgɔtɔrɔw ye fura ɲumanw labɛn o bana in kama. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ min ka fisa aw ma. Ikomi nin ye bana ye min man teli ka sɔrɔ , a ka fisa aw ma ka dɔgɔtɔrɔ dɔ sɔrɔ min bɛ se ka o ko dɔn . Misali la, ɲininikɛlaw b’a fɔ ko operelikɛla ka kan ka Ross ka baarakɛcogo 15 kɛ a dɔgɔyalenba la san kɔnɔ.

A laban na, fɛn min nafa ka bon kosɛbɛ i hakili la (Take-Home Message) .

O bɛ ɲɛ, o la n jigi b’a kan ko sisan aw ye faamuyali ɲuman sɔrɔ nin dusukunnabana in kan min bɛ wele ko `(Unicuspid Aortic Valve)` an kumana min kan bi. Aw k’aw hakili to a la ko nin ye fɛn ye min bɛ bange ni a ye, wa a man teli ka ye. Nka, ni a sɛgɛsɛgɛra ka ɲɛ ani ni a furakɛra a waati la, aw bɛ se ka ɲɛnamaya kɛ cogo ɲuman na . Ni nin taamasiɲɛ ninnu bɛ aw walima aw dɔnbaga dɔ la, aw kana siran ka taa dɔgɔtɔrɔso la ka laadilikanw sɔrɔ. Kɛrɛnkɛrɛnnenya la, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔso jɛkulu ŋana dɔ ka dɛmɛ sɔrɔ ni aw bɛ o bana suguw furakɛ minnu man ca. I janto i dusukun na. O ye nafolo nafamaba ye i ka ɲɛnamaya kɔnɔ!

` Dusukunnabana, Aortic Valve, Unicuspid Aortic Valve, Dusukun opereli, Dusukunnabana bangenen, Ninakili surunya, Disidimi