Udat dɛn kɔl dɔktɔ we de du at ɔpreshɔn? (Cardiac Surgeon) Lɛ wi lan bɔt dis!

Yu dɔn ɛva wɔnda udat wi fɔ si we wi nid fɔ du ɔpreshɔn fɔ wan at prɔblɛm? Ɔ udat na di dɔktɔ we de du ɔpreshɔn fɔ sev di at we i gɛt ɛnitin fɔ du wit am, ɛn wetin rili i de du? Wan pan dɛn pipul dɛn ya we rili impɔtant na dɔktɔ we de du ɔpreshɔn pan pɔsin in at. Tide, lɛ wi tɔk bɔt udat na dis dɔktɔ we de mɛn di at ɛn wetin i de du.

Wetin na Ɔpreshɔn fɔ di Kadyak?

Fɔ tɔk am simpul wan, ɛni ɔpreshɔn we dɛn du pan yu at ɔ di men blɔd vesel dɛn we de kɔnɛkt to am, dɛn kɔl am at ɔpreshɔn. Sɔntɛnde, i kin gɛt fɔ du bak wit ɔpreshɔn pan di tisu dɛn we de nia di at ɔ ɔda tin dɛn. Tink bɔt am, di at tan lɛk smɔl motoka na wi bɔdi, i rili impɔtant fɔ mek i kɔntinyu fɔ wok fayn! So, dɛn nid fɔ tek tɛm ɛn gɛt sɛns fɔ du dɛn kayn ɔpreshɔn dɛn de.

Difrɛn kayn dɔktɔ dɛn de we de mɛn at?

Yɛs, wi kin men wan sheb di dɔktɔ dɛn we de mɛn di at to tu kayn. Pan ɔl we bɔku tin dɛn de we fiba di wok we dɛn de du, dɛn kin put dɛn dis kayn we bikɔs ɔf sɔm big big difrɛns dɛn.

Di dɔktɔ we de mɛn di at ɛn di bɔdi

Sɔntɛnde dɛn kin kɔl dɛn dɔktɔ ya Kadiotɔraks Sɔjɔn ɔ Jɛnɛral Tɔraks Sɔjɔn . Di Grik wɔd ‘Toracic’ min ‘chɛst’. So, lɛk aw di nem sho, dɛn dɔktɔ ya kin du ɔpreshɔn pan bɔku pan di ɔgan dɛn we de na di chɛst. Fɔ ɛgzampul, dɛn kin du ɔpreshɔn pan di at ɛn di men blɔd vesel dɛn, di lɔng dɛn, di ɛsophagus , we kin kɛr it frɔm yu mɔt to yu bɛlɛ, ɛn di trakya .

Bɔt sɔm dɔktɔ dɛn we de mɛn di at kin jɔs pe atɛnshɔn pan sik dɛn we gɛt fɔ du wit di at, di sak we de rawnd di at (pericardium), ɛn di big big blɔd vesel dɛn na di at. Ɔda wan dɛn kin spɛshal pan sik dɛn nɔmɔ na di chɛst pas di at ɛn di big blɔd vesel dɛn.

Congenital/Pediatric At Surgeon we dɛn kin bɔn pikin dɛn

Dɛn dɔktɔ ya spɛshal fɔ mek di prɔblɛm dɛn we gɛt fɔ du wit di strɔkchɔ ɔ di tin dɛn we nɔ fayn na di at we kin de we dɛn bɔn am. fכ egzampl, dεn kin bכn sכm pikin dεm wit at valv prכblεm כ ol dεm na di wכl dεm bitwin di chεmba dεm na di at (lεk Ventricular Septal Defect כ Atrial Septal Defect) . Dis na di pipul dɛn we de de fɔ fiks tin dɛn lɛk dat.

Sɔm dɔktɔ dɛn kin du dɛn ɔpreshɔn ya pan big pipul dɛn – bikɔs sɔm tɛm dɛn kin no bɔt at sik we dɛn kin bɔn wit we dɛn big. Bɔt dɛn kin tren ɔda wan dɛn spɛshal wan fɔ du dɛn ɔpreshɔn ya pan yɔŋ pikin dɛn, bebi dɛn, ɛn pikin dɛn we dɛn jɔs bɔn. Dɛn wok rili spɛshal, ɛn na smɔl dɔktɔ dɛn we de du ɔpreshɔn pan pikin dɛn at pas di wan dɛn we de ɔpreshɔn big pipul dɛn nɔmɔ. Bikɔs dis na so dilik wok, i nid fɔ gɛt bɔku spɛshal trenin ɛn ɛkspiriɛns.

Ɔmɔs ɛkspiriɛns ɛn trenin nid fɔ bi dɔktɔ we de mɛn at?

Infakt, di edyukeshɔn ɛn trenin we pɔsin fɔ gɛt fɔ bi dɔktɔ we de mɛn di at rili bɔku . I kin tek lɛk 15 ia so. Sɔm spɛshal ɔpreshɔn dɛn we dɛn kin du fɔ mek pɔsin in at kin tek pas 20 ia. Imajin di dedikeshɔn! I tan lɛk se yu de rɔn maratɔn, bɔt fɔ lɔng tɛm.

Ɛni dɔktɔ we de mɛn di at fɔ du dɛn tin ya:

• Yu nid fɔ dɔn yu Bachelor’s degree insay lɛk tri to 4 ia so.
• Afta dat, yu nid fɔ stɔdi fɔ 4 ia na mɛdikal skul ɛn gɛt mɛdikal digri (Mɛdikal Dɔkta ɔ Dɔkta fɔ Ɔstiɔpatik Mɛdisin digri) .

Dɔn, yu nid fɔ pik wan pan dɛn tu tin ya:

• Fayv ia jenɛral ɔpreshɔn rɛzidɛns ɛn afta dat tu ɔ tri ia kadiɔtɔraks ɔpreshɔn rɛsidɛns .
• Ɔ, siks ia Integreted Cardiothoracic Surgery Residency (ICTSR) .

Fɔ bi Congenital Heart Surgeon, yu nid bak fɔ kɔmplit wan ia spɛshal trenin (Fellowship). Dat min se yu kin imajin ɔmɔs tɛm yu de spɛn fɔ lan, tren, ɛn gɛt ɛkspiriɛns. Dɛn kin du ɔl dis fɔ bi di bɛst pɔsin we go ebul fɔ kia fɔ yu at.

Us kayn sik dɔktɔ we de mɛn di at kin trit?

Dɔktɔ we de du ɔpreshɔn pan di at kin trit ɛni sik, kɔndishɔn, ɔ injuri we nid fɔ ɔpreshɔn fɔ mek i fayn ɔ fɔ kɔrɛkt am . Dis kin kɔmɔt frɔm injury frɔm aksidɛnt – tink bɔt motoka aksidɛnt, stab wund, ɔ gɔn shot wund – to fɔ ripɛnt damej pan di at frɔm sik ɔ wan kɔndishɔn we dɛn bɔn wit. Sɔm pan di men tin dɛn we kin mek pɔsin gɛt dɔktɔ we de mɛn di at na:

• Di sik dɛn we kin mek pɔsin gɛt at valv.
• At Ritm Disɔda (Aritmia) .
• At nɔ de wok fayn bikɔs ɔf at sik.
• Disekshɔn na di Aɔtik .
• di at difεkt dεm we dεn bכn wit lεk ol dεm bitwin di chεmba dεm na di at - fכ egzampl , Ventricular Septal Defect εn Atrial Septal Defect .

Us ɔpreshɔn ɛn tin dɛn we dɔktɔ dɛn we de du ɔpreshɔn pan dɛn at kin du?

Di dɔktɔ dɛn we de mɛn di at kin du bɔku bɔku ɔpreshɔn ɛn mɛrɛsin. Sɔm pan di wan dɛn we dɛn kin yuz mɔ na:

• Maze Procedure - Dɛn kin du dis fɔ sɔm at ritm irɛgyulariti.
• Koronari Atri Baypas Graftin (CABG) - Wi kin kɔl dis bak ‘baypas’. Dis kin min fɔ mek nyu rod dɛn we di at we de gi blɔd to di at dɔn blok.
• Ɔpreshɔn fɔ di at sik we dɛn bɔn wit.
• Hat valv ripa ɛn riplesmɛnt ɔpreshɔn.
• implant divays dεm insay di at - as εgzamplTin dεm lεk (Pacemakers) εn (Implantable Cardioverter Defibrillators - ICDs) . Bɔt sɔntɛnde, dɔktɔ we spɛshal pan di ilɛktrik wok na di at kin du dɛn tin ya (Electrophysiology) .
• Ɔpreshɔn fɔ haypatrofik kadiomayopathy .
• At Transplant - Dis na wan ɔpreshɔn we rili kɔmpleks.

Dɛn kin tren dɔktɔ dɛn we de du ɔpreshɔn difrɛn difrɛn we dɛn fɔ du di sem kayn ɔpreshɔn. Dɛn tin ya kin bi:

• Minimally Invasive Surgery: Dɛn tin ya tan lɛk ɔpreshɔn we dɛn kin du ɔltɛm we dɛn kin opin, bɔt dɛn kin du am tru smɔl smɔl say dɛn we dɛn kin kɔt ɛn wit spɛshal inschrumɛnt dɛn. Smɔl smɔl tin dɛn we dɛn kɔt kin mek i wɛl kwik kwik wan, i nɔ kin fil pen, i nɔ kin gɛt bɔku blɔd, ɛn bɔku tɛm i kin mek i nɔ gɛt bɛtɛ prɔblɛm.
• Ɔpreshɔn we dɛn de yuz rɔbɔt fɔ du ɔpreshɔn: Dɔktɔ we dɛn tren spɛshal wan kin du ɔpreshɔn wit rɔbɔt. Imajin se yu sidɔm na wan kɔntrol panɛl nia di ɔpreshɔn tebul, di dɔktɔ de ‘ɔpreshɔn’ di rɔbɔt. Dɛn kin yuz inschrumɛnt dɛn we dɛn tay na di rɔbɔt in an dɛn fɔ du di ɔpreshɔn. Dɛn kin put wan spɛshal kamɛra na di rɔbɔt insay di bɔdi tru wan say we dɛn kɔt am, ɛn dis kin mek di dɔktɔ ebul fɔ si insay di bɔdi. Bɔku tɛm wi kin si dis na tri dimɛnshɔn (3-D) , jɔs lɛk aw wi kin si di wɔl wit wi yon yay. Nɔto dat nɔmɔ, di rɔbɔt de mek am izi bak fɔ di dɔktɔ fɔ mek di inschrumɛnt dɛn we de insay di bɔdi, ɛn di say we di an kin muv kin pas (sɔm inschrumɛnt dɛn kin rɔta 360 digri, we pas di dɔktɔ in an fa fawe). Dis teknɔlɔji dɔn mek i pɔsibul fɔ du ɔpreshɔn wit mɔ prɛsishɔn.

Wetin na di wok we dɔktɔ we de mɛn di at fɔ du apat frɔm we i de du ɔpreshɔn?

Dɔktɔ we de du ɔpreshɔn pan di at nɔto jɔs pɔsin we de du ɔpreshɔn. In wok dɛn kin gɛt bak (ɛn nɔto fɔ jɔs) dɛn tin ya:

• Fɔ kip rɛkɔd: Yu nid fɔ kip ditayli rɛkɔd ɛn not dɛn bɔt di ɔpreshɔn dɛn we dɛn du ɛn wetin dɛn du da tɛm de. Dis rili impɔtant fɔ ɔda dɔktɔ dɛn ɛn fɔ tumara bambay.
• Tichin: Bɔku dɔktɔ dɛn we de mɛn di at kin wok na ɔspitul dɛn we de tich. Dis min se we dɛn de si di wan dɛn we sik, dɛn kin tich di dɔktɔ ɛn dɔktɔ dɛn we go du ɔpreshɔn tumara bambay bɔt aw fɔ ɔpreshɔn dɛn at ɛn aw i kin afɛkt di wan dɛn we sik.
• Trenin: Dɛn dɔktɔ ya de praktis wit ɔda dɔktɔ dɛn, dɔktɔ dɛn we de du ɔpreshɔn, ɛn pipul dɛn we de wok na di ɔpreshɔn rum, jɔs lɛk aw aktɔ dɛn de rɛdi fɔ ple, so dat dɛn go ebul fɔ du di rial ɔpreshɔn fayn fayn wan ɛn sef wan.
• Kɔntinyu fɔ Eduke ɛn Trenin: Ɔl dɔktɔ nid fɔ kɔntinyu fɔ lan ɛn praktis nyu tin dɛn. As mɛdikal sayɛns de go bifo ɛvride, dɛn nid fɔ no bɔt nyu we dɛn fɔ du ɔpreshɔn ɛn nyu mɛrɛsin dɛn. Dipen pan di lɔ dɛn na dɛn kɔntri ɔ stet, dɛn kin gɛt sɔm tin dɛn we dɛn fɔ du we dɛn fɔ mit. If dɛn nɔ mit dɛn tin ya, dɛn kin lɔs dɛn laysens fɔ du mɛrɛsin. Dis rili impɔtant.Dis inklud strɔng bod sɛtifiket ɛdyukeshɔn ɛn ɛgzam. Sɔm ɛgzam dɛn kin las fɔ lɔng lɔng tɛm, ivin sɔm dez.

Wetin mek yu go si dɔktɔ we de mɛn yu at? Wetin wi fɔ ɛkspɛkt?

Bɔku tɛm, ɔpreshɔn na di at kin rili siriɔs . Bɔrku tɛm dɛn kin du am we nɔr bɛtɛ opshɔn nɔr de – dat na, wae nɔr de we nɔr de fɔ ɛp yu we sef, we go wok fayn.

Bɔku tɛm, yu go gɛt tɛm fɔ lan bɔt di ɔpreshɔn we dɛn go du fɔ yu at, wetin fɔ ɛkspɛkt, ɛn aw fɔ pripia. Di dɔktɔ go ɛksplen ɔltin to yu.

Bɔt if ɛnitin apin we nɔ izi fɔ yu, yu go nid fɔ du ɔpreshɔn pan yu at ɛn nɔ de te. If na so i bi, di dɔktɔ we de du di ɔpreshɔn go tɔk to yu famili, di wan dɛn we yu lɛk, ɔ pɔsin we go ebul fɔ tɔk fɔ yu ɛn disayd fɔ du di mɛrɛsin. Di dɔktɔ we de du di ɔpreshɔn go du in bɛst fɔ ɛp yu fɔ ɔndastand wetin de apin, wetin mek yu nid ɔpreshɔn, ɛn wetin yu fɔ ɛkspɛkt.

Yu nid fɔ rifer yu fɔ go to dɔktɔ we de mɛn yu at?

Yɛs, na fɔ tru. Fɔ go to dɔktɔ we de mɛn yu at, yu nid fɔ rifer yu . Dat riferal kin kɔmɔt frɔm dɔktɔ we de mɛn at ɔ ɔda spɛshal pɔsin. Dis min se na ɔda spɛshal pɔsin ɔ dɔktɔ na di fɔs pɔsin fɔ no wan sik ɔ prɔblɛm we nid fɔ du ɔpreshɔn. If ɛnitin apin we nɔ izi fɔ yu, di dɔktɔ ɔ spɛshal pɔsin we de du yu wok kin tɔk bɔt yu sik wit di dɔktɔ we de du yu at, ɛn tɛl yu bɔt di bɛst we fɔ trit yu.

If yu nid ɔpreshɔn fɔ yu at, dat kin mek yu fred ɛn i kin mek yu at pwɛl . Laki se yu nɔ nid fɔ go tru am yu wan. Bihayn ɛvri pasɛnt we nid at ɔpreshɔn, na wan tim we gɛt wɛlbɔdi biznɛs ɛn pɔblisha dɛn, frɔm tɛknishian ɛn sɔpɔt wokman dɛn to nɔs, spɛshal pipul ɛn ɔspitul dɔktɔ dɛn. Bi at surgeon is a huge commitment , na wok we rili dimand, ɛn na di bɛst wan dɛn nɔmɔ kin ebul fɔ rich de. Dat min se wan big tim we gɛt skilful, tren, ɛdyukeshɔn ɛn pawaful mɛdikal pɔshɔnal dɛm we de du ɔl wetin dɛn ebul fɔ ɛp yu fɔ wɛl ɛn kam bak na yu layf.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Dɔktɔ we de du ɔpreshɔn pan di at na dɔktɔ we gɛt spɛshal trenin we de du ɔpreshɔn pan di at ɛn di men blɔd vesel dɛn we gɛt fɔ du wit am.

• Difrɛn kayn dɛn de, sɔm kin du ɔpreshɔn pan ɔlmost ɔl pat na di chɛst (Cardiothoracic Surgeon) , ɔda wan dɛn spɛshal pan at sik dɛn we dɛn kin bɔn wit (Congenital/Pediatric Heart Surgeon) .
• Fɔ bi dɔktɔ we de mɛn yu at , yu nid fɔ stɔdi ɛn tren fɔ lɔng tɛm, sɔntɛm fɔ 15-20 ia.Yɛs. I nid fɔ gi yu layf to Gɔd bɔku tɛm.
• Dɛn kin trit bɔku tin dɛn lɛk at valv sik, at at ritmi , at sik, ɛn at prɔblɛm we dɛn bɔn wit.
• Dɛn kin du baypas ɔpreshɔn (CABG) , riples di valv, ɛn naw dɛn kin du ɔpreshɔn bak we nɔ kin ambɔg bɔku ɛn we dɛn kin yuz rɔbɔt .
• Apat frɔm we dɛn de du ɔpreshɔn, dɛn wok na fɔ kip rɛkɔd, tich ɔda pipul dɛn, ɛn kɔntinyu fɔ lan nyu tin dɛn.
• Pan ɔl we na siriɔs at ɔpreshɔn, mɛmba se yu gɛt wan tim we gɛt sɛns fɔ ɛp yu. Bɔku tɛm dɛn go gɛt riferal fɔ go to dɔktɔ we de mɛn yu at frɔm dɔktɔ we de mɛn yu at .

So, a op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shek fɔ aks dɔktɔ! Fɔ kia fɔ yu at rili impɔtant.

` Kadyak Sɔjɔn, At Ɔpreshɔn, At Sik, Baypas Ɔpreshɔn, At Ɔpreshɔn, Kadiɔtɔraks Sɔjɔn, Kɔnjɛnital At Ɔpreshɔn, CABG, Pesmɛka