Yu tink se di dɔktɔ tɛl yu se di men blɔd vesel we de kɛr blɔd kɔmɔt na yu at to yu wan ol bɔdi dɔn wik ɛn gɛt bulge na di bays? Ɔ i bin tɛl yu se yu nid fɔ du ɔpreshɔn? Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri sɔntin lɛk dat. Bɔt dis na ɔpreshɔn we rili impɔtant we go sev yu layf. Tide, wi go tɔk bɔt wetin na dis Aortic Root Replacement ɔpreshɔn, aw dɛn kin du am, ɛn ɔl wetin yu nid fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na Aortic Root Replacement?
Di blɔd vesel we big ɛn impɔtant pas ɔl na di bɔdi, we na di aorta, gɛt sɔntin fɔ du wit wi at. di fכs pat pan dis aorta usay i de kכnekt to di at dεn kכl am di aorta rכt. Sɔntɛnde, di wɔl na dis pat kin wik ɛn bigin fɔ bɔl lɛk balyɔn. Dɛn kɔl dis wan anɛrizm.
di denja fכ gεt aneurism lεk dis na dat i kin "dissect" כ "rupture" εni tεm. If dat apin, i kin mek di bɔdi blɔd bad bad wan ɛn i kin ivin mek pɔsin in layf de pan denja.
so, `Aortic Root Replacement` כpεrayshכn involv fכ pul di wik εn swel rut na di aorta εn riples am wit atifishal chanεl (graft). Dis kin mek yu nɔ gɛt di denja kɔndishɔn dɛn we a bin tɔk bɔt ɛn sev yu layf.
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
Tu men we dɛn de fɔ du dis ɔpreshɔn. Yu dɔktɔ go pik di we we go fayn fɔ yu bay aw yu sik.
| Di kayn ɔpreshɔn we dɛn kin du | Tɔk bɔt |
|---|---|
| Aorta Rut Riplesmɛnt (ARR) ɔ Bɛntal prosidyushɔn | insay dis prosidכs, dεn de pul di aorta rכt εn di aorta valv we tay pan am εn put nyu atifishal wan. dis prosidur bεst if yu aorta valv wik (lik) כ tik (kalsifikכshכn). If dɛn put mɛkanikal valv, yu go nid fɔ tek antikɔagulant fɔ di res ɔf yu layf. |
| Valv-Sparing Rut Riplesmɛnt (VSRR) . | as di nem sho, dis prosidur involv fכ riples di pat we wik na yu aorta valv nכmכ we nכ de damej am. Dis prosidur bεst fכ pipul dεm we dεn du כpεrayshכn we dεn yכng, spεshal wan if yu valv de insay gud kכndishכn, spεshal wan dεm we gεt jεnεtik kכndishכn (lεk Marfan syndrome). Di men bɛnifit na dat yu nɔ nid fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf. Tu kayn dis prosidur de : di Yacoub prosidur ɛn di David prosidur. |
Sɔbpat dɛn fɔ di VSRR ɔpreshɔn
Dɛn sheb di VSRR ɔpreshɔn mɔ to tu we dɛn: di Yacoub ɛn David we dɛn de du.
- Yacoub prosidur: Dis involv fכ rimodεl di aorta valv. Dis kin fayn fɔ ol pipul dɛm we dɔn gɛt aneurism bikɔs ɔf tin dɛm we nɔto jɛnɛtik.
- Devid prosidur: Dis involv fɔ put di aorta valv bak. Dis na smɔl mɔ kɔmplikɛt pas di Yacoub prosidur, bɔt dɛn kin yuz am mɔ. I fayn mɔ fɔ yɔŋ pipul dɛn we gɛt jɛnɛtik sik lɛk `Marfan syndrome`.
Udat nid dis ɔpreshɔn ɛn ustɛm?
Ɛnibɔdi we gɛt di aɔta rut we dɔn swel ɛn we de pan denja fɔ brok ɔ te kin nid dis ɔpreshɔn. Sɔmtɛm dis kin apin bikɔs ɔf di chenj dɛm wae kin apin wit di ej. Dɔn bak, sik dɛn we de kɔmɔt na di bɔdi lɛk Marfan syndrome ɛn Loeys-Dietz syndrome kin mek dis denja aneurysm we i yɔŋ.
Bɔku tɛm, dɛn kin se dɛn fɔ du ɔpreshɔn bay di sayz we di anɛrizm gɛt ɛn ɔda tin dɛn we kin mek pɔsin gɛt dis sik.
- If no ɔda jɛnɛtik sik ɔ tin nɔ de we kin mek i gɛt dis sik, di dayamita fɔ di anɛrizm pas 5.5 sɛntimita .
- If yu gɛt Marfan syndrome, di dayamita pas 5.0 sɛntimita .
- If yu gɛt Marfan syndrome, we na famili histri bɔt dis kayn aneurism, yu de plan fɔ gɛt bɛlɛ, ɔ if di aneurism de gro fast pas 3 milimita insay wan ia, dɛn kin se yu fɔ du ɔpreshɔn ivin if i gɛt 4.5 sɛntimita in dayamita.
- If yu gɛt bicuspid aortic valve (na tu cusps nɔmɔ) ɛn ɔda tin dɛn we kin mek yu gɛt dis sik, lɛk ay blɔd prɛshɔn, dɛn kin se yu fɔ du ɔpreshɔn we di dayamita na 5.0 sɛntimita .
Di impɔtant tin na dat, dɛn tin ya we wi kin disayd fɔ du nɔto di sem tin fɔ ɔlman. Yu dɔktɔ go disayd di bɛst tɛm fɔ ɔpreshɔn bay yu ej, ɔl yu wɛlbɔdi, ɛn ɔda sik dɛn we yu gɛt.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, i nid fɔ tek tɛm pripia am. Yu dɔktɔ go chɛk yu gud gud wan ɛn ɔda fɔ du sɔm tɛst dɛn we yu nid.
- Blɔd tɛst: Chɛk aw di kidni de wok.
- CT ɔ MRI skan fɔ di at: Ɛksamin ɔl di pat dɛn na di aorta.
- Koronari angiografi: Luk di kɔndishɔn fɔ di korona at we de gi blɔd to di at.
- Duplex ultrasound: Chεk di hεlth fכ di atεri dεm na di nεk (carotid arteries).
Dɔn bak, yu fɔ rili tɔk to yu dɔktɔ bɔt dɛn tin ya:
- Bɔt ɔl di mɛrɛsin dɛn we yu de tek: Dis kin gɛt fɔ du wit vaytamɛn ɛn ivin tin dɛn we dɛn mek wit ɛbul. Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn bifo dɛn du yu ɔpreshɔn.
- Bɔt ɔda sik dɛn we yu gɛt: Tin dɛn lɛk ay blɔd prɛshɔn nid fɔ kɔntrol gud gud wan bifo dɛn du yu ɔpreshɔn.
- If yu de smok: Yu fɔ stɔp fɔ smok kpatakpata at le wan mɔnt bifo dɛn du di ɔpreshɔn. Aks yu dɔktɔ fɔ ɛp yu fɔ du dis.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, dɛn go put yu ɔnda anestezi ɛn slip kpatakpata. Dɔn dɛn go kɔnɛkt yu to wan mashin we de na di at-lɔng (cardiopulmonary bypass) . Dis mashin go du di wok we yu at ɛn yu lɔng dɛn de du we dɛn de du di ɔpreshɔn.
di dɔktɔ we de du di ɔpreshɔn kin kɔt di midul pan yu chɛst, i kin go na yu at, i kin pul di pat we wik na di at, ɛn i kin put nyu atifishal chanɛl (graft) insay am. afta dat di korona at dεm we de gi bכdi to di at de kכnekt to di nyu chanεl εn dεn de sכt di say we dεn sכk. Dis ɔpreshɔn kin tek bitwin 4 ɛn 6 awa .
Afta di ɔpreshɔn, yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ sɔm dez. Dɔn dɛn go transfa yu to wan rɛgyula wɔd. Di wan ol tɛm we yu de na ɔspitul kin tek lɛk wan wik so. Insay dis tɛm, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen, fɔ mek yu blɔd tan, ɛn ɔda tritmɛnt dɛn we yu nid.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek lɛk 6 to 12 wiks , ɔ sɔntɛm tu to tri mɔnt, fɔ mek i wɛl gud gud wan frɔm dis ɔpreshɔn. Dis na big ɔpreshɔn, so yu nid fɔ gi yu bɔdi tɛm fɔ wɛl.
- Fɔ 6 wik: Nɔ drayv ɔ es ebi ebi tin.
- Fɔ ɔfis wok: Yu go ebul fɔ kam bak insay lɛk 6-8 wiks.
- Fɔ wok we go mek yu bɔdi wok tranga wan: Yu fɔ wet fɔ lɔng tɛm.
If yu fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli ɛn tek pat pan di program dɛm fɔ rihab yu at go ɛp yu bad bad wan fɔ mek yu wɛl kwik kwik wan.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Afta yu dɔn go bak na os, if yu gɛt ɛni wan pan dɛn sik ya , kɔl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ | |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit ɔspitul insishɔn: | |
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| Ɔda tin dɛn we wi kin tɔk bɔt: | |
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Aw fɔ no if ɛnitin apin we nɔ izi fɔ yu?
If yu gɛt aneurysm we dɛn nɔ trit, dɛn sayn ya kin bi sayn fɔ se yu dɔn brok ɔ yu dɔn brok. If dis kayn tin apin , go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ kɔl di 1990 ambulans savis.
- Wan wan pen we yu nɔ go ebul fɔ bia na yu chɛst ɔ di ɔp bak (fɔ fil lɛk se sɔntin de kɔmɔt insay di bɔdi).
- Swet ɛn fil lɛk se yu gɛt klem.
- I nɔ kin izi fɔ yu fɔ blo.
- Diziz ɔ fɔdɔm.
- At bit kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Aortic Root Replacement na big ɔpreshɔn we kin sev layf we dɛn kin du pan di rut we wik na di aorta.
- Tu men kayn ɔpreshɔn de we dɛn kin du; wan we de riples di aorta valv (ARR) bak εn di כda wan we de כnli spay di valv (VSRR). Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- pan ɔl we i kin tek sɔm mɔnt fɔ ful-ɔp fɔ wɛl frɔm dis ɔpreshɔn, di sakrifays ɛn sɔvayv rɛt fɔ di ɔpreshɔn rili ay (arawnd 98%-99%).
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di ɔpreshɔn rili impɔtant fɔ mek i wɛl kwik kwik wan.
- Nɔ shem fɔ tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔr de fred. Pan ɔl we dis ɔpreshɔn na kɔmɔn tin fɔ dɔktɔ dɛn, i nɔmal fɔ mek yu gɛt wɔri bikɔs na nyu ɛkspiriɛns.
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