yu dokta don eva tel yu se "smol blɔd de lik bak frɔm wan at valv"? Ɔ i dɔn ɛva tɛl yu se dis kin bi di rizin we mek yu de fil pen ɛn taya? infakt, wan pan di tritmεnt dεm we dεn kin du pan dεn kayn kes dεm ya dεn kכl am ‘Annuloplasty’. Dis kin tan lɛk wɔd we kɔmplikt, bɔt fɔ tru, i rili simpul. Insay dis atikul, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin na Annuloplasty?
Fɔ ɔndastand dis, fɔs lɛ wi tɔk smɔl bɔt di valv dɛn we de na wi at. Imajin se yu at tan lɛk os we gɛt 4 rum. Fo domɔt dɛn de bitwin dɛn rum dɛn ya. Dɛn domɔt dɛn ya na wetin wi kin kɔl valv. Dɛn domɔt dɛn ya gɛt spɛshal tin. Na wan say nɔmɔ dɛn kin opin. Dat min se afta we blɔd dɔn pas frɔm wan rum to di ɔda wan, dis domɔt kin lɔk, ɛn dis kin mek di blɔd nɔ flɔ bak. Dis na wetin kin apin na pɔsin in at we gɛt wɛlbɔdi.
Bɔt sɔntɛnde, dɛn domɔt dɛn ya, ɔ valv dɛn ya nɔ kin lɔk fayn. I tan lɛk we lɔk we dɔn brok na domɔt. Wetin kin apin da tɛm de? Sɔm blɔd kin lik bak, ɔ lik. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn valv rigurjiteshɔn . We dis kin apin, di at kin gɛt fɔ wok tranga wan pas aw i kin wok. As tɛm de go, dis nɔ kin fayn fɔ di at.
Fɔ tɔk am simpul wan, annuloplasty na ɔpreshɔn fɔ mek ɔ tayt wan at valv we de lik lɛk dis.
insay dis prosidכs, sכja dכn de put spεshal bכnd כ ring rawnd di ring rawnd yu at valv (dεn kכl am `annulus`) εn tayt am. Tink bɔt am lɛk we yu put smɔl freym rawnd domɔt we nɔ go lɔk fayn. Afta dɛn dɔn put di ring na in ples, di tu flap dɛn na di valv kin bigin fɔ lɔk fayn fayn wan bak. Dis kin mek di blɔd nɔ lik bak klos to ɔl.
Wetin na Annuloplasty Ring?
Di ring we dɛn kin yuz fɔ du dis ɔpreshɔn na spɛshal tin. Dɛn kin mek am wit tin we tan lɛk mɛsh, mɛtal, ɔ plastic. Dɛn mek am fɔ fit di natura l muvmɛnt ɛn fleksibiliti fɔ yu at valv.
We dɛn dɔn put dis na di at, i de de fɔ ɔltɛm . I nɔ ɛva pul am. I kin bi pat pan di at insɛf, we de ɛp di valv fɔ opin ɛn lɔk fayn fayn wan.
Udat nid fɔ du dis ɔpreshɔn?
Dis ɔpreshɔn na fɔ pipul dɛn we gɛt di sik we wi bin dɔn tɔk bɔt fɔs , usay blɔd kin lik bak tru wan at valv (Valve Regurgitation) . Dɛn kin du dis ɔpreshɔn pan ɛni wan pan di 4 men valv dɛn na wi at.
- Mitral Valve Annuloplasty: Dis na di kayn we we dɛn kin du mɔ.
- Aortic Valve Annuloplasty: dεn kin yuz dis prכsidכm bak fכ rεpair di aorta valv.
- Pulmonary Valve Annuloplasty: Dis nɔ kin apin smɔl, bɔt dɛn kin du am if nid de.
- Tricuspid Valve Annuloplasty: Dis ɔpreshɔn kin wok fayn bak fɔ lik na dis valv.
Yu dɔktɔ go disayd if dis ɔpreshɔn nid fɔ de ɔ nɔ nid fɔ du am bay we i go du difrɛn tɛst dɛn (fɔ ɛgzampul, ɛkokadiogram) ɛn chɛk aw yu valv de.
Wetin na di difrɛns bitwin Annuloplasty ɛn Valvuloplasty?
Bɔku tɛm, pipul dɛn kin kɔnfyus dɛn tu wɔd ya. Bɔt dɛn na tu tin dɛn we rili difrɛn. Lɛ wi ɔndastand dis difrɛns klia wan.
| Di pɔynt | Anuloplasti we dɛn kin du | Valvuloplasti we dɛn kin du |
|---|---|---|
| Di men tin we dɛn want fɔ du | Tayt/klɔg wan valv we de lik blɔd bak. | Fɔ opin/wayd wan valv we dɔn klos ɔ we dɔn smɔl. |
| Kɔndishɔn we dɛn de trit | Valv Rigurjiteshɔn | Valv Stenosis we pɔsin kin gɛt |
| Aw fɔ du am | Put wan spɛshal ring rawnd di valv. | Pas wan balyɔn tru di valv ɛn inflate am fɔ mek di blɔk nɔ de igen. |
Yu tink se ɔda tin dɛn de we yu go ebul fɔ du?
Yɛs. Dɛn nɔ kin du annuloplasty fɔ ɛvri valv lik. fכ egzampl, fכ mitral valv lik, sכmtεm dεn kin yuz wan sכmכl klip we dεn kכl `MitraClip`. Dɛn kin du dis bay we dɛn pas wan smɔl tiub tru wan vein. So na tin we simpul pas fɔ du ɔpreshɔn. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu.
Wetin kin apin bifo ɛn afta di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ di ɔpreshɔn.
- Dɛn kin aks yu fɔ fast (nɔ it ɛn drink) di nɛt bifo dɛn du di ɔpreshɔn.
- If yu de pan denja fɔ blɔd (fɔ ɛgzampul, if di blɔd tek lɔng tɛm fɔ stɔp), yu fɔ tɛl yu dɔktɔ bɔt am.
- If yu de tek mɛrɛsin dɛn we de mek yu blɔd tan (lɛk antikoagulant), dɛn kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez bifo dɛn du di ɔpreshɔn. Dis fɔ jɔs bi pan dɔktɔ advays.
We dɛn de du di ɔpreshɔn
Na dɔktɔ dɛn we de du ɔpreshɔn pan dɛn at kin du dɛn ɔpreshɔn ya. Dɛn kin gi yu jenɛral anestezi , so yu nɔ kin fil natin we dɛn de du di ɔpreshɔn, yu de slip. Dɛn kin du dis ɔpreshɔn tu men we dɛn.
| Di we aw dɛn kin du ɔpreshɔn | Aw fɔ du am |
|---|---|
| Anuloplasti we gɛt opin at | Di dɔktɔ kin kɔt big say na di chɛst eria. Dɔn, dɛn kin put di ring rawnd di valv we dɛn de tɔk bɔt ɛn dɛn kin lɔk di say we dɛn kɔt wit stich. |
| Minimally-invasive Annuloplasty (tru smɔl smɔl say dɛn we dɛn kɔt) . | Dis nɔ min se dɛn fɔ kɔt big say. Dɛn kin kɔt sɔm smɔl smɔl tin dɛn na di chɛst, ɛn dɛn kin put wan tiub we gɛt kamɛra (ɛndoskɔp) tru wan. Dɛn kin put smɔl smɔl ɔspitul inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt, ɛn dɛn kin put di ring we dɛn de wach di pikchɔ dɛn we dɛn si frɔm di kamɛra. Dɔn dɛn kin lɔk dɛn smɔl smɔl say dɛn ya wit stich ɔ wan spɛshal kayn ɔspitul glu. |
Afta di ɔpreshɔn
Afta di ɔpreshɔn, dɛn go de wach yu na say we yu go wɛl fɔ sɔm awa. If dɛn bin du ɔpreshɔn pan yu we nɔ go tek bɔku mɔni, yu go ebul fɔ go na os insay wan ɔ tu dez. Bɔt if dɛn bin du ɔpreshɔn pan yu at we opin, yu go nid fɔ de na ɔspitul fɔ lɛk sɛvin dez so.
Di bɛnifit, risk, ɛn di tɛm fɔ wɛl fɔ dis ɔpreshɔn
Wetin na di bɛnifit dɛn we wi kin gɛt?
- I de mek di valv we de lik strɔng.
- Blɔd we de pas na di at kin rili fayn.
- Di tray we di at de tray fɔ pɔmp blɔd de stɔp.
- Fɔ bɔku pipul dɛn, dɛn tin ya we kin apin kin las fɔ ɔl dɛn layf .
Ɛni risk dɛn de we kin apin?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Sɔm tin dɛn de we yu kin du afta yu dɔn ɔpreshɔn, lɛk we yu gɛt infekshɔn ɛn blɔd. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm. Di ɔl risk de pan yu wɛl bɔdi ɛn ɔda at prɔblɛm dɛn.
I bɛtɛ fɔ tɔk to yu dɔktɔ opin wan bɔt di patikyula prɔblɛm dɛn we kin apin to yu.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis kin dipen bak pan di kayn ɔpreshɔn we yu bin gɛt.
- I bɛtɛ fɔ lɛ yu nɔ du ɛni ebi ebi wok ɔ tranga tin fɔ at le wan wik afta dɛn dɔn du di ɔpreshɔn.
- If dɛn du am minimally-invasively, yu go ebul fɔ go bak na wok insay wan ɔ tu wik.
- Bɔt if yu de du wok we de mek yu at pwɛl, yu go nid fɔ wet fɔ lɔng tɛm.
- Yu dɔktɔ go tɛl yu klia wan wetin fɔ du ɛn wetin nɔ fɔ du we yu de wɛl. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
Aw lɔng dis ɛnjɛjmɛnt ring kin las?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Dɛn mek dis ring fɔ las fɔ bɔku bɔku ia, 20 ɔ 30 ia ɛn nɔ gɛt ɛni prɔblɛm . Bɔrku pipul nɔr go ɛva nid tritmɛnt fɔ dis igen na dɛn layf.
Di wɔndaful tin bɔt dis na dat as tɛm de go, yu at de gro rawnd dis ring. Na so i fɔ bi. Infakt, dis ring kin bi pat pan yu at.
Ustɛm a fɔ go to di dɔktɔ?
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, yu fɔ pe atɛnshɔn to yu bɔdi gud gud wan. If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm , ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If yu gɛt pen na yu chɛst (angina) .
- If yu gɛt ed we de at ɔ yu de fɔdɔm (syncope) .
- If yu fil lɛk se yu gɛt fiva ɔ yu de shek shek wit kol .
- If yu de fil lɛk se yu de nɔs ɔ yu de vɔmit .
- If pen ɔ swel de we nɔ de wɛl na di say we dɛn du di ɔpreshɔn ɔ na di leg dɛn.
Nɔ ignore dɛn sayn ya. If yu tɛl dɛn kwik kwik wan, dat kin mek big prɔblɛm nɔ kam.
Mɛsej we dɛn kin kɛr go na os
- Annuloplasty na ɔpreshɔn we kin wok fayn fɔ mek wan valv na di at we de lik blɔd bak.
- Insay dis, dɛn kin put spɛshal ring rawnd di valv, ɛn ajɔst am so dat i go lɔk fayn fayn wan.
- Dis ɔpreshɔn kin bi lɛk ɔpreshɔn we dɛn kin du fɔ opin at ɔ tru smɔl smɔl say dɛn we dɛn kɔt (minimal-invasive).
- Di tɛm fɔ wɛl ɛn fɔ de na ɔspitul dipen pan di kayn ɔpreshɔn we dɛn du.
- Dis ɛnjɛjmɛnt ring kin te ɛn i go las fɔ bɔku bɔku ia ɛn i nɔ go gɛt ɛni prɔblɛm.
- Afta yu dɔn du di ɔpreshɔn, fala wetin yu dɔktɔ tɛl yu fɔ du. Yu fɔ no bɔt sayn dɛn we de wɔn yu.
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