Yu dɔktɔ dɔn tɔk se di men blɔd vesel we de kɛr blɔd we gɛt ɔksijɛn frɔm yu at ɔlsay na yu bɔdi dɔn wik ɛn i dɔn gɛt wan bulge we tan lɛk balɔ na in bays? Ɔ sɔntɛm dɛn dɔn tɛl yu se yu go nid ɔpreshɔn fɔ dis? Na nɔmal tin fɔ lɛ yu wɔri we yu yɛri dis, bɔt duya no se dis na impɔtant tin we dɛn mek fɔ sev yu layf. Tide, wi go tɔk bɔt ɛksaktɔli wetin na Aortic Root Replacement, aw dɛn kin du am, ɛn ɔl ɔda tin we yu nid fɔ no bɔt dis prosidur na Nirogi Lanka.
Fɔ tɔk am simpul wan, wetin na Aortic Root Replacement?
di aorta na di blɔd vesel we big pas ɔl ɛn we impɔtant pas ɔl na yu bɔdi, we gɛt kɔnekshɔn dairekt to yu at. di fכs pat we di aorta de atak yu at dεn kכl am "Aortic Root." Wan wan tɛm, di wɔl na dis pat kin wik ɛn bigin fɔ bɔl lɛk balɔ. Dis na wetin wi kin kɔl "Aneurysm."
Di praymar risk fɔ gɛt aneurism na dat i kin te (dissect) ɔ bɔrst (rupture) ɛni tɛm. If dis apin, i kin mek yu gɛt bad bad blɔd insay yu bɔdi, we na imejensi we kin mek yu layf de pan denja.
We dɛn de riples di Aɔta Rut, yu dɔktɔ kin pul di say we wik ɛn we dɔn bɔl na di aɔta ɛn put wan sintetik graft insay. Dis we aw dɛn kin du tin kin mek dɛn nɔ gɛt dɛn denja prɔblɛm ya ɛn i kin ɛp fɔ protɛkt yu layf.
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
Tu men we dɛn de fɔ du dis ɔpreshɔn. Bay di patikyula mɛrɛsin we yu gɛt, yu dɔktɔ go disayd di we we go mek yu wɛl.
| Tayp fɔ ɔpreshɔn | Tɔk bɔt |
|---|---|
| Aorta Rut Riplesmɛnt (ARR) / Bɛntal Prɔsidyu | insay dis prosidכs, dεn de riples di rut we dεn dכn pwεl na yu aorta wit di aorta valv we dεn de yuz sεntetik graft εn nyu valv. Dis na di gold standad if yu aorta valv de lik ɔ gɛt siriɔs kalsifa. If dɛn yuz mɛkanikal valv, yu go nid fɔ tek mɛrɛsin we go mek yu blɔd nɔ rɔtin fɔ yu layf fɔ mek yu blɔd nɔ klɔt. |
| Valv-Sparing Rut Riplesmɛnt (VSRR) . | as di nem sho, dis prosidur de riples כnli di pat we wik na di at we i de kip yu yon hεlty aorta valv. Dis na fayn tin fɔ yɔŋ pipul dɛn ɔ di wan dɛn we gɛt kɔnektiv tisu disɔda (lɛk Marfan sindrom) we gɛt wɛlbɔdi valv. Di men bɛnifit na dat, bɔku tɛm yu nɔ nid mɛrɛsin fɔ mek yu blɔd tan lɛk yu layf. Tu men we dɛn de: di Yacoub prosidur ɛn di David prosidur. |
Sabtayp dɛn fɔ VSRR
VSRR dεn de du am bay we dεn de yuz wan pan tu praymar tεknik dεm: di Yacoub εn David prosidכs.
- Yacoub prosidur: dis involv fכ rimodεl di aorta rכt fכ fit di כrijinal valv. Bɔku tɛm i kin fayn fɔ ol pipul dɛn ɔ di wan dɛn we nɔ gɛt ɛnitin fɔ du wit dɛn anɛrizm.
- Devid prosidur: Dis involv fɔ put di valv bak insay wan sɛntetik graft. Pan ɔl we i rili kɔmpleks pan tɛknik, dɛn kin yuz am bɔku bɔku wan ɛn dɛn kin rili kɔmɛnt am fɔ yɔŋ pipul dɛn we gɛt jɛnɛtik kɔndishɔn lɛk Marfan sindrom.
Udat Nid Dis Ɔpreshɔn ɛn Ustɛm?
If di rut fɔ yu aorta dɔn big, yu kin gɛt prɔblɛm fɔ brok ɔ kɔt am, ɛn dis kin mek i impɔtant fɔ mek yu du ɔpreshɔn. pan ɔl we dis kin apin bikɔs ɔf di we aw pɔsin de wɛr we i ol, di jɛnɛtik kɔndishɔn dɛn lɛk Marfan sindrom ɔ Loeys-Dietz sindrom kin mek dɛn denja anɛrizm ya de divɛlɔp bɔku kwik kwik wan na layf.
Di tin dɛn we dɛn kin disayd bɔt ɔpreshɔn kin bi bay di sayz we di anɛrizm gɛt ɛn yu patikyula risk prɔfayl:
- If yu nɔ gɛt ɛni ɔndalayn jenɛtik risk, dɛn kin rɛkɛmand fɔ du ɔpreshɔn we di dayamita rich 5.5 cm .
- If yu gɛt Marfan syndrome, di threshold kin bi 5.0 cm .
- If yu gɛt Marfan sindrom we dɛn kam togɛda wit famili histri fɔ di aorta dissection, plan fɔ gɛt bɛlɛ, ɔ fɔ gro kwik kwik wan (ɔva 3mm pan ia), dɛn kin se dɛn fɔ du ɔpreshɔn pan 4.5 cm .
- if yu gεt bicuspid aortic valve εn כda risk fכktכ dεm lεk hεy blכd prεshכn we yu nכ kכntro, dεn kin tink bכku tεm fכ intavεnshכn na 5.0 cm .
Di tin we impɔtant pas ɔl na dat, dɛn tin ya we pɔsin kin disayd fɔ du kin rili apin to pɔsin. Yu Nirogi Lanka ɔspitul dɔktɔ go disayd di bɛst tɛm fɔ yu prɔsidyu bay yu ej, ɔl yu wɛlbɔdi, ɛn yu mɛdikal istri.
Aw fɔ Pripia fɔ Yu Ɔpreshɔn
Bikɔs dis na big tin fɔ du, i rili impɔtant fɔ pripia gud gud wan. Yu mɛdikal tim go du wan kɔmplit ɛvalueshɔn:
- Blɔd tɛst: Fɔ evaluate yu kidni ɛn ɔl di sistɛm wok.
- CT ɔ Cardiac MRI: Fɔ gɛt ditayla map fɔ yu wan ol aorta.
- Koronari angiografi: Fɔ mek shɔ se di at dɛn we de gi yu at wɛl.
- Duplex ultrasound: Fɔ chɛk di wɛlbɔdi fɔ yu carotid arteries na di nɛk.
Yu fɔ tɔk to yu dɔktɔ klia wan bɔt:
- Ɔl di mɛrɛsin dɛn: Dis kin gɛt fɔ du wit vaytamɛn dɛn, ɛbul sɔpɔtmɛnt dɛn, ɛn mɛrɛsin dɛn we dɛn nɔ kin bay, ɛn sɔm pan dɛn tin ya kin nid fɔ stɔp bifo dɛn du di ɔpreshɔn.
- Di wɛlbɔdi kɔndishɔn dɛn we de naw: Dɛn fɔ de kɔntrol di tin dɛn lɛk ay blɔd prɛshɔn strikt wan bifo dɛn du di ɔpreshɔn.
- Smok: Yu fɔ lɛf fɔ smok at le wan mɔnt bifo dɛn du di ɔpreshɔn. Duya aks yu Nirogi Lanka tim if yu nid sɔpɔt fɔ lɛf fɔ wok.
Di tɛm we dɛn de du di wok ɛn Afta we dɛn de du di wok
We dɛn de du di ɔpreshɔn, dɛn go put yu ɔnda jenɛral anestezi. Yu go kɔnɛkt to wan mashin we dɛn kin yuz fɔ mek yu at ɛn yu lɔng dɛn , we kin tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm, ɛn dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ wok pan at we nɔ de chenj ɛn we nɔ de chenj.
Di dɔktɔ we de du di ɔpreshɔn go kɔt yu chɛst, pul di aɔta pat we wik, ɛn put wan sintetik graft insay. afta dat dεn kin atak di korona atεri dεm bak to di graft bifo dεn kכloz di say we dεn sכk. Di tin we dɛn kin du kin tek 4 to 6 awa .
Afta di ɔpreshɔn, yu go spɛn tɛm na di Intensiv Keya Yunit (ICU) bifo yu muf go na wan jenɛral rikavari wɔd. Tɔtɔl ɔspitul stey kin bi arawnd wan wik, insay da tɛm de dɛn go tek tɛm wach yu ɛn gi yu pen mɛnejɛmɛnt ɛn mɛrɛsin dɛn we yu nid.
Wetin na di Tɛm fɔ Rikɔv?
Fɔ wɛl afta dis big prɔsidyu kin tek 6 to 12 wik , ɛn sɔm tɛm, sɔm mɔnt. Yu bɔdi nid bɔku tɛm ɛn peshɛnt fɔ wɛl fayn afta yu dɔn du dis kayn kɔmpleks ɔpreshɔn.
- Fɔ di fɔs 6 wik: Nɔ drayv, es ebi ebi tin, ɔ du tin dɛn we de mek yu taya.
- Fɔ wok na di dɛsk: Yu kin ebul fɔ go bak na wokples insay lɛk 6-8 wiks.
- Fɔ wok we gɛt bɔku bɔku bɔdi: Yu go nid fɔ wet fɔ lɔng tɛm, lɛk aw yu wɛlbɔdi tim advays.
If yu fala yu dɔktɔ in instrɔkshɔn dɛn kɔrɛkt wan ɛn tek pat pan program dɛn fɔ rihabilite yu at, dat go rili ɛp yu fɔ wɛl kwik ɛn fayn fayn wan.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Afta yu go bak na os, if yu notis ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Di sayn dɛn we yu fɔ wach fɔ | |
|---|---|
| Di tin dɛn we de mɔna di pɔsin we dɛn kin kɔt we dɛn du ɔpreshɔn: | |
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| Ɔda tin dɛn we de mɔna wi: | |
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Aw fɔ No Wan Imejɛnsi
If yu gɛt aneurism we dɛn nɔ trit, dɛn sayn ya kin sho se i de brok ɔ i de te. If dis kayn tin apin, go to di imejensi kia kwik kwik wan bay we yu go na di imejensi dipatmɛnt we de nia yu ɔ kɔl 911 (ɔ yu lokal imejensi savis).
- Wan wan pen we yu nɔ go ebul fɔ bia na yu chɛst ɔ di ɔp bak (bɔku tɛm dɛn kin tɔk bɔt am se yu de te ɔ rip).
- Bɔku bɔku swet ɛn kol, klem skin.
- I nɔ kin izi fɔ yu fɔ blo.
- Diziz ɔ fɔdɔm.
- Wan at we de bit kwik kwik wan ɔ we nɔ de bit ɔltɛm.
Ki tek-away (Nirogi Lanka) .
- Aortic Root Replacement na wan ɔspitul we de sev layf we dɛn kin du pan di wik fɔs pat pan di aorta.
- tu praymar tכp dεm de fכ dis כpεrayshכn: wan we de riples di aorta valv (ARR) εn wan we de kip am (VSRR). Yu dɔktɔ we de du ɔpreshɔn go disayd di bɛst we fɔ du am.
- pan tap we ful rεkכvεshכn de tek sεvεra mכnt, di sakses εn sכvayv rεt fכ dis prosidכs de rili hכy (aprכksimatli 98%-99%).
- Strikt adherence to preoperative and postoperative medical guidance impɔtant fɔ mek yu wɛl fayn fayn wan.
- Nɔ shem fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de fred. Pan ɔl we dis na tin we pɔsin kin du ɔltɛm fɔ di wan dɛn we sabi bɔt mɛrɛsin, na impɔtant tin fɔ yu, ɛn i nɔmal fɔ mek yu gɛt tin dɛn we de mɔna yu.
Aorta Rut Riplesmɛnt, Aɔta, At Ɔpreshɔn, Anyurizm, Bɛntal prosidyushɔn, Marfan sindrom, Aɔta valv, At sik, Kadyak ɔpreshɔn
