Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. Doa dɛn de bitwin dɛn rum dɛn ya we de mek blɔd go ɛn kam bak. wan pan dεn imכ tant ‘do’ dεm na di at na di Aortic Valve. dis na di get we de kכntro di fכlכ we bכdi de kכmכt na di at to di men at (Aorta) we de kכri bכdi to di wan ol bכdi. Dis get de opin ɛn lɔk ɛvri at bit. So imajin, wetin go apin if sɔntin pwɛl na dis get? Na da tɛm de di prɔblɛm dɛn kin bigin.
Fɔ tɔk am simpul wan, wetin na Aortic Valve Repair?
di aorta valv ripa na wan kayn at ɔpreshɔn we dɛn kin du fɔ mek wan prɔblɛm we de na di men get na di at, we na di aorta valv, we wi bin tɔk bɔt ɔp, ɛn mek i wok fayn fayn wan.
Imajin if yu nɔ bin ebul fɔ lɔk wan domɔt na yu os fayn fayn wan. di sem we, sכm pipul dεn aorta valv nכ de kכloz fayn εn bכdi kin bigin fכ lik (aortic regurgitation) . Dɛn kɔl dis aortic regurgitation insay mɛdikal sayɛns. We dis kin apin, sɔm pan di blɔd we fɔ kɔmɔt na di at to di bɔdi kin lik bak insay di at. Dɔn di at gɛt fɔ wok tranga wan fɔ pɔmp di blɔd we di wan ol bɔdi nid. We dis kin apin as tɛm de go, di at kin pwɛl. Na dat mek pipul dɛm wae gɛt siriɔs aortic regurgitation ɛn di wan dɛm wae gɛt dis sik nid fɔ gɛt ɔpreshɔn fɔ mek dɛn ripɛnt ɔr riples dis valv.
Bɔku tɛm, dɔktɔ dɛn kin chenj dis valv wit wan we rili nyu. Bɔt sɔm sik pipul dɛn kin ripɛnt ɛn yuz dɛn yon valv. Dis nɔ pɔsibul fɔ ɔlman. Di dɔktɔ dɛn we de du ɔpreshɔn kin tink bɔt bɔku tin dɛn we dɛn de pik pɔsin fɔ dis ɔpreshɔn. Di dɔktɔ go disayd if i bɛtɛ fɔ mek yu mek di valv ɔ fɔ put nyu wan, bay bɔku tin dɛn lɛk aw yu valv shep ɛn aw di valv dɔn pwɛl.
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
We yu de pripia fɔ ɔpreshɔn, di tin we impɔtant pas ɔl na fɔ mek dɛn du di tɛst dɛn bifo tɛm. Di dɔktɔ we de du di ɔpreshɔn nid fɔ no fɔ tru if dɛn go rili ebul fɔ mek yu aɔta valv. If di valv pat dɛn dɔn pwɛl bad bad wan, i go bɛtɛ fɔ mek dɛn put nyu valv pas fɔ mek am bak.
di men tεst fכ dis na Transesophageal Echocardiogram (TEE) . Dis min se yu fɔ put wan smɔl tiub we gɛt kamɛra dɔŋ yu trot fɔ tek pikchɔ dɛn we rili klia, we yu de nia yu at. Dis kin mek yu dɔktɔ ebul fɔ luk gud wan bɔt aw di valv ɛn ɔda pat dɛn na yu at de.
Mɛmba se dɛn kin du ɔl dɛn tɛst ya fɔ gi yu di tritmɛnt we sef ɛn we go wok fayn, so nɔ fred.
Apat frɔm dis TEE tɛst, yu go nid fɔ gɛt sɔm ɔda tɛst dɛn.
| Nem fɔ di tɛst | Wetin yu si pan dat? |
|---|---|
| Kadiak Kateterizashɔn | chεk fכ blכk na di vein dεm we de gi bכdi to di at (korona atεri dεm). |
| X-ray na di chɛst | Chek di jenɛral kɔndishɔn fɔ di at ɛn di lɔng dɛn. |
| Kɔmpyuta Tomografi (CT) skan | Gɛt ditayl 3D pikchɔ dɛn fɔ di at ɛn di aorta. |
| Ilɛktrokardiogram (ECG) . | Chek di at in ilɛktrik aktiviti ɛn aw di at de bit. |
| Blɔd ɛn urine tɛst | Chek yu jenɛral wɛlbɔdi ɛn yu kidni fɔ wok. |
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we. If ɛnitin de we yu nɔ ɔndastand, mek shɔ se yu aks yu dɔktɔ ɔ nɔs. Dɛn instrɔkshɔn dɛn de kin gɛt tin dɛn lɛk:
- Di tɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn.
- If yu nid fɔ stɔp fɔ tek ɛni wan pan di mɛrɛsin dɛn we yu kin tek fɔ sɔm tɛm.
- Taim fɔ kam na ɔspitul fɔ ɔpreshɔn.
- Wetin fɔ kam wit na ɔspitul ɛn wetin fɔ lɛf na os.
Aw dɛn kin du di ɔpreshɔn?
Di ɔpreshɔn we dɛn kin du fɔ mek di aɔta valv dɛn, dɛn kin du am lɛk ɔpreshɔn we dɛn kin du fɔ mek dɛn gɛt opin at . Dat min se dɛn kin du ɔpreshɔn tru wan big say we dɛn kɔt na di midul pat na di chɛst. Bɔt sɔm tɛm dɛn de, dɛn kin du ɔpreshɔn tru smɔl smɔl say dɛn we dɛn kin kɔt (minimally invasive surgery).Dɛn kin du dis bak difrɛn we. Dɛn kin du di ɔpreshɔn bay we dɛn kin kɔt sɔm smɔl smɔl say dɛn na di chɛst. Di dɔktɔ we de du di ɔpreshɔn go tɛl yu us we fɔ du am bɛtɛ fɔ yu.
Dis na di step dɛm we dɛn kin du di ɔpreshɔn:
1. Anestesia: Fɔs, dɛn go gi yu mɛrɛsin fɔ mek yu slip kpatakpata. So yu nɔ go fil ɛnitin ɔ ɛni pen we yu de du di ɔpreshɔn.
2. Fɔ mek di say we dɛn kɔt am: Dɔn, di dɔktɔ we de du di ɔpreshɔn kin kɔt wan ɔ mɔ say na di chɛst fɔ mek i rich di at. insay opin ɔpreshɔn, dɛn kin kɔt wan say we lɔng lɛk 6 inch na di midul pan di brɔst bon ( sternum ).
3. Kɔnɛkshɔn to at-lɔng mashin: We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to at-lɔng mashin fɔ du di wok we yu at ɛn lɔng dɛn de du. Dis mashin de mek blɔd go ɔlsay na yu bɔdi ɛn ad ɔksijɛn to di blɔd.
4. Valv ripa: Dɔn di ɔspitul go ripɛnt yu aorta valv. Di we aw dɛn kin du dis go difrɛn frɔm wan pɔsin to ɔda pɔsin. I go dipen pan di shep we yu valv gɛt ɛn di damej we i gɛt. fכ egzampl, annuloplasty na wan we de mek di valv in bays (ring) strכng εn mek di valv kכloz fayn fayn wan. I de yuz difrɛn we dɛn bak, lɛk fɔ chenj di shep we di valv in liflet dɛn gɛt ɛn fɔ tay di tisu pat dɛn to ol ɔ kray wata we de insay dɛn.
5. Fɔ fiks ɔda prɔblɛm dɛn: If ɔda prɔblɛm dɛn de wit di at ɔ di aorta dis tɛm, fɔ ɛgzampul, aneurysm , dɛn go mek dɛn bak we dɛn de du dis ɔpreshɔn.
6. Fɔ dɔn di ɔpreshɔn: We dɛn dɔn du ɔl di tin dɛn we dɛn nid fɔ mek, di dɔktɔ go lɔk ɛn stich di say dɛn we dɛn kɔt. Dɔn di mɛdikal tim go kɛr yu go na wan rum usay dɛn kin wɛl.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go de na di ɔspitul fɔ lɛk tri to sɛvin dez. Insay dis tɛm, di mɛdikal ɛn nɔs tim dɛn go de wach yu gud gud wan . Dɛn go chɛk fɔ si if yu wɛl bɔdi de go fayn. Dɛn go ɛp yu fɔ waka ɛn muf smɔl smɔl.
Bifo yu go na os, dɛn go tɛl yu bɔt di program dɛn we dɛn kin du fɔ rihab yu at . Dɛn tin ya go ɛp yu bad bad wan fɔ mek yu wɛl.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn de gi?
di men advantej fכ aorta valv ripa כpεrayshכn na dat yu gεt fכ kip yu כwn nכchral valv. Dis kin ɛp yu fɔ avɔyd sɔm pan di prɔblɛm dɛn we kin apin we yu gɛt nyu valv. Mɔtalman, i kin ɛp yu fɔ avɔyd fɔ tek antikɔagulant fɔ di res ɔf yu layf. Yu dɔktɔ go tɛl yu mɔ bɔt di bɛnifit dɛn we dis ɔpreshɔn go gɛt, i go dipen pan di tin dɛn we de apin to yu.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Aorta valv ripa na big ɔpreshɔn. So, i kin gɛt sɔm prɔblɛm dɛn. Bɔt nɔ wɔri, dɛn kin stɔp dɛn prɔblɛm ya ɔnda di sɔpɔtishɔn fɔ wan ɛkspiriɛns mɛdikal tim.
Di men prɔblɛm we kin apin na we dɛn nid fɔ du mɔ ɔpreshɔn . Bɔku rizin dɛn de we mek dis kin apin:
- di bכdi de lik frכm di valv ivin afta dεn du di כpεrayshכn ( rikarεnt aorta rεgurjiteshכn ).
- Infεkshכn na di valv ( εndokarditis ).
- Pat dɛn pan di valv we dɛn dɔn ripɛnt nɔ de wok lɛk aw dɛn bin de ɛkspɛkt.
Apat frɔm dɛn tin ya, sɔm kɔmɔn risk dɛn de we kin apin we dɛn de du ɛni ɔpreshɔn pan di aɔta valv:
- Di at ritm we nɔ nɔmal ( aritmia ) .
- Alɛji to mɛrɛsin dɛn we de mek pɔsin nɔ fil fayn
- Blɔd we de kɔmɔt pasmak
- At atak
- At we nɔ de wok fayn
- Strok
Ɔlman in risk lɛvɛl difrɛn. Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu bɔt di prɔblɛm dɛn we yu kin gɛt bifo dɛn du yu ɔpreshɔn. E fayn fɔ mek yu ɔndastand ɔl di prɔblɛm dɛn we kin apin ɛn aw dɛn kin afɛkt yu. Mek shɔ se yu aks if ɛnitin de we yu nɔ ɔndastand. Pipul wae gɛt siriɔs wɛl bɔdi prɔblɛm bifo dɛn du dɛn ɔpreshɔn (fɔ ɛgzampul, wae dɛn at kin pwɛl bad bad wan) kin gɛt smɔl smɔl prɔblɛm.
Aw lɔng i kin tek fɔ mek i wɛl?
I go tek lɛk 4 to et wiks fɔ mek yu wɛl ɔl we dɛn dɔn du di ɔpreshɔn. If dɛn bin du ɔpreshɔn pan yu we nɔ go tek bɔku mɔni, di tɛm fɔ mek yu wɛl go shɔt.
I nɔmal fɔ fil taya fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. I impɔtant fɔ rɛst . Nɔ du tumɔs wok wan tɛm. Yu dɔktɔ go tɛl yu we i sef fɔ mek yu bigin fɔ du tin dɛn we yu kin du ɔltɛm (lɛk fɔ drayv ɔ fɔ go wok). If yu tek pat pan di program dɛm fɔ rihabilite yu at kin ɛp yu bak fɔ yus to wɛlbɔdi layf ɛn fɔ bi aktif bak sef wan.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm!
I rili impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn fɔ kɔmplikeshɔn afta yu dɔn go na os afta dɛn dɔn ɔpreshɔn yu. Yu fɔ no mɔ bɔt dɛn sik ya:
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
|---|---|
| Chɛst de pen ɔ tayt | Chɛst pen wantɛm wantɛm ɔ we de bɔku mɔ ɛn mɔ. |
| Pus we de drayn frɔm di kɔt | Yɔlɔ, grɛn, ɔ dɔti smel wata we de kɔmɔt na di say we dɛn kɔt am. |
| Fiva ɔ kol kol | Fiva ɔ kol fɔ no rizin kin bi sayn fɔ se yu gɛt di sik. |
| Di we aw pɔsin de blo | Fɔ fil lɛk se yu at de bit fast ɔ nɔ de bit ɔltɛm. |
| Pen/rɛdnɛs/swɛlin rawnd di say we dɛn kɔt | If di pen, rɛd, ɔ swel we de rawnd di say we dɛn kɔt de wɔs. |
| Swel na di leg ɔ fut (Edima) . | Di leg, anklɛ, ɔ fut kin swel wantɛm wantɛm. |
| We yu gɛt bɔku bɔku wet wantɛm wantɛm | di wet we yu de gεt pas 1.5 kg insay wan wik (na sayn fכ se wata de rεtεn di bכdi). |
Sɔm ɔda impɔtant tin dɛn we yu fɔ no
di כpεrayshכn fכ ripa di aorta valv dεn nכ kin du bכku bכku wan pas di כpεrayshכn fכ riples di aorta valv. infakt, lεs dan 5% pan di aorta valv כpεrayshכn dεm na ripa כpεrayshכn. Di men rizin fɔ dis na bikɔs na ɔpreshɔn we rili spɛshal ɛn we kɔmpleks. So, nɔto ɔl ɔspitul ɔ ɔl dɔktɔ we de du ɔpreshɔn kin du dis ɔpreshɔn.
Dis ɔpreshɔn de trit wan sik we dɛn kɔl aortic regurgitation (wan valv we de lik) . Sɔntɛnde, valv-sparing aorta rut riplesmɛntdis valv ripa dεm dεn kin du am bak as pat pan wan כpεrayshכn we dεn kכl aortic aneurysm ripair. dis involv fכ ripεr εn kip yu כwn valv we yu de trit wan swel (aneurysm) na di men pat pan di aorta we kכnekt to yu at.
Na nɔmal tin fɔ fil fɔ fred ɛn fred bikɔs dis na big ɔpreshɔn. Bɔt mɛmba se we dɔktɔ we gɛt ɛkspiriɛns du dis ɔpreshɔn, yu at go gɛt di kia we i nid fɔ wok fayn ɛn strɔng fɔ lɔng tɛm. As yu de pripia fɔ ɔpreshɔn, tɔk bɔt ɛni kwɛstyɔn ɛn tin we de mɔna yu wit yu mɛdikal tim. Dɛn go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- Aortic valve ripair na at ɔpreshɔn we de ripɛnt ɛn mek yu yon at valv kam bak, pas fɔ riples am wit nyu wan.
- Di men bɛnifit fɔ dis na dat yu kin gɛt fɔ kip yu yon natura valv, we kin rili mek yu nɔ nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd klɔt fɔ yu layf.
- Dis ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ go disayd if dis ɔpreshɔn go fayn fɔ yu, i go dipen pan di kɔndishɔn we yu valv de.
- I kin tek lɛk 4-8 wiks fɔ mek i wɛl ful wan afta dɛn dɔn du di ɔpreshɔn. Insay dis tɛm, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- If yu gɛt ɛni ɔda tin we nɔ kɔmɔn afta yu dɔn go na os, lɛk we yu de fil pen na yu chɛst, fiva, ɔ we yu kɔt di say we yu kɔt, tɛl yu dɔktɔ wantɛm wantɛm.
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