Sɔntɛnde, yu dɔktɔ kin tɛl yu se yu gɛt smɔl lik na wan pan yu at valv dɛn. Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we yu yɛri sɔntin lɛk dis. Bɔt nɔ wɔri, tide wi go tɔk bɔt dis kɔndishɔn ɛn di spɛshal ɔpreshɔn we dɛn kin du fɔ am, we na Aortic Valve Repair. Wetin rili na dis? Aw dɛn kin du am? Wetin na di gud ɛn bad tin dɛn we de apin? Wi go tɔk bɔt ɔl dis rili simpul wan, di we we yu go ɔndastand.
Wetin na di Aɔta Valv Ripa?
Fɔ tɔk am simpul wan, dis na wan kayn ɔpreshɔn we dɛn kin du fɔ mek dɛn at pwɛl. dis כpεrayshכn dεn de du fכ mek di "do" bitwin di men bכdi vεsεl (aorta) we de kכri bכdi frכm wi at to di rεst כf di bכdi εn di at wok fayn fayn wan. Wi kin kɔl dis domɔt di aorta valv. Fɔ tɔk di kɔrɛkt tin, dis na valv. Dis valv de opin ɛn lɔk ɛvri tɛm we di at de bit, ɛn i de kɔntrol di we aw di blɔd de flɔ.
Imajin wetin go apin if yu nɔ ebul fɔ lɔk wan domɔt na yu os fayn fayn wan? Semweso, we dis valv pwɛl, i nɔ de opin ɔ lɔk fayn. Insay sɔm pipul dɛn, dis valv kin bigin fɔ lik. We wi de du mɛrɛsin, wi kin kɔl dis aortic regurgitation . wetin kin apin pan dis kes na biכs di valv nכ de kכloz kכmplit wan, sכm pan di bכdi we fכ go na di bכdi de lik bak insay di at. Wetin kin apin da tɛm de? Di at gɛt fɔ wok tranga wan fɔ pɔmp di blɔd we di bɔdi nid. We dis kin apin as tɛm de go, di at kin pwɛl.
Na we di valv lik bad bad wan ɛn di sayn dɛn we de sho se i gɛt di sik, na in dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ mek di valv fayn ɔ fɔ chenj am.
Bɔku tɛm, dɛn kin chenj di valv wit nyu wan. Bɔt sɔm sik pipul dɛn kin bɛnifit bɔku if dɛn mek dɛn valv fayn. Di dɔktɔ dɛn we de du ɔpreshɔn kin disayd fɔ du dis bay ɛni wan pan dɛn. Yu dɔktɔ go tink bɔt bɔku tin dɛn, lɛk aw yu valv shep ɛn aw i dɔn pwɛl, fɔ no if fɔ ripɛnt ɔ fɔ chenj di valv go fayn fɔ yu.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Di tin we impɔtant pas ɔl we yu de pripia fɔ ɔpreshɔn na di tɛst dɛn we dɛn kin du bifo tɛm. Di dɔktɔ we de du di ɔpreshɔn want fɔ mek shɔ se yu valv rili de na say we dɛn go ebul fɔ mek am bak. If sɔm pat dɛn dɔn pwɛl bad bad wan, i go bɛtɛ fɔ mek yu chenj di valv wit nyu wan pas fɔ mek am bak. Bɔku impɔtant tɛst dɛn de we yu go nid fɔ dɔn du fɔ ɛp yu wit dis.
| Tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| Transɛsofajial Ɛkokardiogram (TEE) . | fכ pas sכmכl kεmεra tru di εsophagus fכ gεt rili klia, klos-ap imej dεm fכ di at εn di valv dεm. |
| Kadiak Kateterizashɔn | Wan tɛst fɔ chɛk if di blɔd vesel dɛn we de go na di at dɔn blok. |
| X-ray na di chɛst | Fɔ chɛk di jenɛral kɔndishɔn fɔ di at ɛn di lɔng dɛn. |
| CT skan we dɛn kin du | Fɔ gɛt ditayla 3D pikchɔ dɛn fɔ di at ɛn di men blɔd vesel dɛn. |
| E.C.G., ɛn ɔda pipul dɛn. (EKG/ECG) we dɛn kɔl . | Fɔ rikodɔ di ilɛktrik wok we di at de du. |
| Blɔd ɛn urine tɛst | fכ chεk di כl hεlth fכ di bכdi εn aw di כgan dεm lεk di kidni dεm de 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 sɔntin de we yu nɔ ɔndastand, aks am bak. Dɛn instrɔkshɔn ya kin gɛt tin dɛn lɛk:
- Di tɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn.
- Us mɛrɛsin yu kin nid fɔ stɔp fɔ tek fɔ sɔm tɛm?
- Taim fɔ kam na ɔspitul fɔ ɔpreshɔn.
- Tin dɛn fɔ kam wit na ɔspitul ɛn tin dɛn fɔ lɛf na os.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn as ɔpreshɔn we dɛn kin du wit opin at , we min se dɛn kin kɔt wan lɔng pat na di midul pat na di chɛst. Bɔt sɔm tɛm dɛn de, dɛn kin du am bak as minimally invasive surgery , we na jɔs sɔm smɔl smɔl tin dɛn we dɛn kin kɔt na di chɛst. Yu dɔktɔ we de du ɔpreshɔn go ɛksplen to yu us we fɔ du am bɛtɛ fɔ yu.
Na dɛn tin ya we dɛn kin du di ɔpreshɔn:
1. Fɔs, dɛn go gi yu anestezi fɔ put yu na dip slip so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.
2. Neks, di dɔktɔ we de du di ɔpreshɔn kin kɔt ɔ sɔm say dɛn na di chɛst fɔ mek i rich na di at. dis kin bi siks inch insayshכn (sternotomy) we dεn mek tru di midul pan di brεstbon (sternum). Ɔ i kin bi tu to 4 inch we dɛn kin kɔt we dɛn nɔ opin di chɛst ɔl.
3. Dɔn yu go kɔnɛkt to wan at-lɔng mashin (`(at-lɔng mashin)`) . Dis mashin go du di wok we yu at ɛn yu lɔng dɛn de du we dɛn de du di ɔpreshɔn.
4. Naw di impɔtant pat de kam. Di dɔktɔ we de du di ɔpreshɔn go mek di valv akɔdin to wetin yu nid. Dɛn kin du dis bay we dɛn de yuz difrɛn we dɛn. Fɔ ɛgzampul, dɛn kin du wan anuloplasti, we kin mek di ring we de rawnd di valv strɔng ɛn mek i klos tayt wan. Ɔ dɛn kin chenj di shep fɔ di valv liflet dɛn, ɔ graft tisu fɔ tek ples fɔ di say dɛn we dɔn rɔtin ɔ di ol dɛn.
5. We dɛn de mek di valv, if ɔda prɔblɛm dɛn de, lɛk aneurism (bulging of the walls of the main blood vessel), dɛn kin mek am bak we dɛn de du dis ɔpreshɔn.
6. Afta dɛn dɔn dɔn ɔl di tin dɛn we dɛn nid fɔ mek, di dɔktɔ we de du di ɔpreshɔn go lɔk di say dɛn we dɛn kɔt. Dɔn dɛn go transfa yu to wan spɛshal yunit fɔ mek yu wɛl.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit ɛn prɔblɛm dɛn de. I impɔtant fɔ tɔk bɔt dɛn tin ya opin wan wit yu dɔktɔ.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Fɔ ebul fɔ kip yu yon valv: Dis na di big bɛnifit. Dis kin mek yu nɔ gɛt di prɔblɛm dɛn we kin apin we yu put atifishal valv. | Ri-ɔpareshɔn nid fɔ du: I kin nid fɔ ɔpreshɔn bak ɔ riples di valv if di valv we dɛn dɔn ripɛnt lik bak, i gɛt infɛkshɔn (ɛndokadaytis), ɔ i nɔ wok lɛk aw dɛn bin de op. |
| Nɔ nid fɔ tek blɔd tina: Bɔku tɛm, yu nɔ go nid fɔ tek blɔd tina (anticoagulants) fɔ di res ɔf yu layf. | At nɔ de bit: at nɔ de bit ɔltɛm (arithmia). |
| Fɔ mek di at wok bak. | Di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn na fɔ mek i gɛt blɔd, alɛji fɔ anestezi, at atak, strok, ɛn at we nɔ de wok fayn. |
Nɔto ɔlman de pan di sem risk. Pipul wae gɛt ɔda wɛl bɔdi prɔblɛm, lɛk wae gɛt siriɔs hat sik, kin gɛt bɔrku risk smɔl bifo dɛn du dɛn ɔpreshɔn. So tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we yu kin gɛt ɛn ɔndastand am.
Aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ 3 to 7 dez afta dɛn dɔn du di ɔpreshɔn. I kin tek lɛk 4 to 8 wiks fɔ mek i wɛl ɛn kam bak to di nɔmal tin dɛn we i bin de du. If dɛn bin du ɔpreshɔn pan yu we nɔ go tek bɔku mɔni, di tɛm fɔ mek yu wɛl go shɔt.
Na nɔmal tin fɔ lɛ pɔsin fil taya fɔ sɔm wiks. So tek am sloslo ɛn lisin to yu bɔdi. Nɔ tray fɔ du bɔku tin wan tɛm. Yu dɔktɔ go tɛl yu ustɛm yu kin drayv ɔ go wok. If yu tek pat pan wan kadyak rihabiliteshɔn program (`(Cardiac Rehab)`) kin ɛp yu fɔ wɛl sef ɛn yus to wɛlbɔdi layf.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Afta yu go na os afta yu dɔn ɔpreshɔn, yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn fɔ se yu gɛt prɔblɛm. Wach fɔ dɛn sayn ya:
- Chɛst de pen ɔ tayt.
- Pus ɔ wata we de kɔmɔt na di say we dɛn kɔt di ɔpreshɔn, we de swel, ɔ we de rɛd.
- Fiva ɔ fil kol.
- Fɔ fil lɛk se yu at de bit fast (`(Heart palpitations)`).
- Di leg ɔ fut kin swel (ɛdima).
- di wet we yu de gεt pas 1.5 kg insay wan wik.
If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
di aorta valv ripa nכto kכmכn כpεrayshכn lεk fכ riples di aorta valv. Bikɔs dis na ɔpreshɔn we dɛn rili spɛshal, i go fayn fɔ pik ɔspitul usay dɔktɔ dɛn we gɛt ɛkspiriɛns pan ɔpreshɔn ɛn we kin du dis kayn ɔpreshɔn bɔku tɛm.
Mɛsej we dɛn kin kɛr go na os
- Aortic valve ripair na spɛshal ɔpreshɔn we de mek di at valv we de lik.
- Di big bɛnifit fɔ dis na dat yu kin gɛt fɔ kip yu natura valv, so yu nɔ go nid fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf.
- I kin tek tɛm fɔ mek i wɛl. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ tek pat pan di program dɛn we dɛn kin du fɔ mek yu gɛt wɛlbɔdi bak.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ fred we yu gɛt bɔt di ɔpreshɔn.
- Yu fɔ no di sayn dɛn we de wɔn yu we kin apin afta yu dɔn du di ɔpreshɔn. If ɛni wan pan dɛn kayn sayn dɛn de sho, go to dɔktɔ wantɛm wantɛm.
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