We yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn fɔ chenj yu aɔta valv bikɔs i nɔ de wok fayn, yu kin fred smɔl ɛn fred. Dat na tin we rili nɔmal. Bɔt dis na ɔpreshɔn we bɔku pipul dɛn kin du ɛn i kin kɔmɔt fayn. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn, dat na Surgical Aortic Valve Replacement (SAVR), insay wan rili simpul we we go klia ɔl yu dawt.
Wetin na ɛksaktɔli aɔta valv riplesmɛnt ɔpreshɔn (SAVR)?
Fɔ tɔk am simpul wan, SAVR na we di aɔta valv na yu at dɔn pwɛl so dat i nɔ de wok fayn igen, ɛn dɛn de ɔpreshɔn nyu valv insay in ples.
imajin se di aorta valv na di ‘do’ usay di men blɔd vesel na yu bɔdi (we wi kɔl di aorta) de kɔnɛkt to yu at. Ɛnitɛm we yu at bit, dis domɔt kin opin ɛn pɔmp blɔd insay yu bɔdi. Dɔn, di domɔt kin lɔk.
Sɔntɛnde, bikɔs ɔf di ej ɔ ɔda rizin, prɔblɛm kin kam wit dis domɔt.
- Doa dɛn we nɔ de opin fayn: Lɛk domɔt hinj we rɔsti, dis valv nɔ kin opin ɔl. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis aortic stenosis . Dɔn, pan ɔl we di at de bit, nɔto inɔf blɔd de pɔmp kɔmɔt na di bɔdi.
- Di domɔt nɔ de lɔk fayn: Jɔs lɛk ol wud domɔt we nɔ go lɔk fayn, dis valv kin nɔ lɔk ɔl. dis dεn kכl dis aorta rεgεrayshכn . Dis kin mek sɔm pan di blɔd we dɛn kin pɔmp insay di bɔdi kin lik bak insay di at.
We wan valv nɔ de wok fayn, yu at fɔ wok tranga wan pas aw i kin wok fɔ pɔmp di blɔd we yu bɔdi nid. I tan lɛk se wata pɔmp de tray tranga wan fɔ pɔmp wata tru paip we dɔn lɔk. Dis ekstra tray kin pwɛl yu at as tɛm de go. Yu kin gɛt sɔm sayn dɛm bak lɛk chɛst pen ɛn i nɔ kin izi fɔ yu fɔ blo. If dɛn nɔ trit dis sik, i kin mek pɔsin in layf de pan denja as tɛm de go.
So we yu gɛt nyu valv, di lod we de pan yu at kin kɔmɔt ɛn yu kin bigin fɔ fil fayn pasmak. Yu at de protɛkt bak ɛn yu gɛt di chans fɔ liv layf we gɛt wɛlbɔdi.
SAVR na wan opin ɔpreshɔn. Dis min se di dɔktɔ we de du di ɔpreshɔn kin kɔt yu chɛst fɔ mek i go ebul fɔ go na yu at. Bikɔs dis na big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt yu dɔktɔ go ɛksplen to yu klia wan bɔt di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi yu bay wetin yu de du.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu go nid fɔ du bɔku tɛst dɛn bifo dɛn du di ɔpreshɔn. Dis go ɛp yu wɛlbɔdi tim fɔ chɛk yu at fayn fayn wan ɛn disayd us ɔpreshɔn we bɛtɛ fɔ yu. Fɔ ɛgzampul, dɛn go disayd if SAVR ɔpreshɔn ɔ smɔl say we dɛn kɔl TAVR na di bɛst fɔ yu.
Na sɔm tɛst dɛn we yu go want fɔ tink bɔt:
- Kadiak Kateterizashɔn
- X-ray na di chɛst
- CT Skan we dɛn kin du
- Ekokardiogram (Ekokardiogram - Iko) .
- Wan ECG (Ilektrokardiogram - EKG) .
- Blɔd ɛn urine tɛst
Dɛn kin du ɔl dis fɔ mek shɔ se yu rɛdi gud gud wan fɔ di ɔpreshɔn ɛn fɔ mek yu bɔdi ebul fɔ du am. Afta dat, dɛn go gi yu klia tin dɛn bɔt aw fɔ rɛdi fɔ di de we dɛn go du di ɔpreshɔn.
- Aw lɔng bifo dɛn du di ɔpreshɔn a fɔ stɔp fɔ it ɛn drink?
- Yu nid fɔ stɔp ɛni wan pan di mɛrɛsin dɛn we yu de tek naw fɔ sɔm tɛm?
- Na tɛm fɔ kam na ɔspitul.
- Wetin fɔ kam wit we yu kam na ɔspitul ɛn wetin fɔ lɛf na os.
If ɛnitin de we nɔ klia bɔt dɛn instrɔkshɔn ya, nɔ shek fɔ aks yu dɔktɔ ɔ nɔs. If yu na pɔsin we de smok, if yu lɛf fɔ smok kwik kwik wan bifo dɛn du yu ɔpreshɔn, dat kin mek yu nɔ gɛt prɔblɛm dɛn bad bad wan.
Fɔ pik wan transplant valv: Wetin na di opshɔn dɛn?
Wan pan di impɔtant tin dɛn we yu go disayd fɔ du we yu de pripia fɔ SAVR ɔpreshɔn na us kayn valv yu go dɔn put insay. Tu men kayn valv dɛn de. Lɛ wi tek tɛm luk di gud ɛn bad tin dɛn we ɛni wan pan dɛn gɛt fɔ ɛp yu fɔ ɔndastand dɛn mɔ.
| Valv Tayp | Tɔk bɔt | Di tin we impɔtant pas ɔl / di tin we impɔtant pas ɔl |
|---|---|---|
| Bayolojikal/Bayoprostɛtik Valv dɛn | Dɛn kin mek dɛn tin ya wit pig, kaw, ɔ (we nɔ kin apin so ɔltɛm) mɔtalman tisu. Dɛn kin gɛt tin dɛn bak we dɛn dɔn ad pan dɛn. | If dɛn put dis valv, yu nɔ go nid fɔ tek antikoagulant mɛrɛsin fɔ di res ɔf yu layf.Bɔt dɛn tin ya kin taya as tɛm de go (lɛk 10-20 ia), dɔn yu kin nid fɔ du ɔda ɔpreshɔn. |
| Mekanikal Valv dɛn | Dɛn mek dɛn tin ya wit tin dɛn we kin te lɛk kabɔn ɛn stɛl. | Dɛn valv dɛn ya kin rili te. Bɔt if dɛn put wan insay, i kin mek yu blɔd klɔt, so fɔ mek dis nɔ apin, yu go nid fɔ tek wan mɛrɛsin we de mek yu blɔd blɔd lɛk Warfarin fɔ di res ɔf yu layf . |
Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu bɔt ɔl tu di tin dɛn we yu go du ɛn tɛl yu bɔt di valv we go fayn fɔ yu bay aw yu ol, yu wɛlbɔdi biznɛs, ɛn aw yu de liv yu layf. Tipikli, dɛn kin advays fɔ yuz mɛkanikal valv fɔ pipul dɛn we nɔ rich 50 ia yet, ɛn dɛn kin advays fɔ yuz bayolojikal valv fɔ pipul dɛn we nɔ rich 65 ia. Fɔ di wan dɛn we de bitwin dɛn, yu kin pik ɛni wan pan dɛn bay wetin yu lɛk ɛn wetin yu nid.
Wetin kin apin we dɛn de du di ɔpreshɔn?
SAVR ɔpreshɔn kin tek lɛk tu to 4 awa so. Yu nɔ go fil ɛnitin insay dis tɛm. Di step dɛn we dɛn kin du fɔ di ɔpreshɔn na jɔs dɛn wan ya:
1. Anestezi: Fɔs, di tim we de kia fɔ yu go gi yu anestezi. Dis go mek yu slip dip wan. Yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn ɔ mɛmba ɛnitin we de apin.
2. Fɔ kɔnɛkt to at-lɔng mashin: Neks, yu go kɔnɛkt to at-lɔng mashin. Dis min se yu blɔd nɔ de go na yu at ɛn yu lɔng dɛn we dɛn de du ɔpreshɔn, bɔt bifo dat, i de go tru dis mashin, usay dɛn kin klin am ɛn go bak na yu bɔdi. Dis tan lɛk we yu de gi yu at ɛn yu lɔng smɔl smɔl briŋ. Dis mashin de stɔp yu at bak fɔ sɔm tɛm. Dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ du di ɔpreshɔn sef wan pan at we nɔ de bit.
3. Insishכn: di sכjaman de mek wan vεtikal insishכn (sternotomy) we lכng lεk 6 inch na di midul pan yu chεst, along di brεstbon.
.
5. di chεst kloz: nεks, dεn de kכnekt di tu pat dεm we sεparat na di stεnכm bak bay we dεn de yuz waya. Bɔku tɛm, dɛn kin lɛf dɛn waya dɛn ya na dɛn ples fɔ dɛn layf. Fɔ dɔn, dɛn kin stich di say we dɛn kɔt di skin fɔ lɔk.
Di opshɔn dɛn we nɔ gɛt bɔku invasiv
Sɔntɛnde, dɔktɔ dɛn kin yuz smɔl smɔl say dɛn we dɛn kin kɔt dis ɔpreshɔn. Yu dɔktɔ go tɛl yu mɔ bɔt if dis fayn fɔ yu.
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk fayv dez so. Insay dis tɛm, di mɛdikal tim go de wach yu wɛlbɔdi. Dɛn go ɛp yu fɔ yus fɔ waka smɔl ɛvride ɛn fɔ go bak to yu nɔmal tin dɛn.
I kin tek 4 to et wiks fɔ mek yu wɛl ɔl afta yu dɔn go na os. Na nɔmal tin fɔ fil taya insay dis tɛm. Yu bɔdi nid fɔ rɛst. So nɔ rɔsh fɔ go bak to di tin dɛn we yu bin de du trade. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wae yu dɔn wɛl (afta 6-8 wik), yu dɔktɔ kin se yu fɔ du kadyak rihab. Dis na program we dɛn de supavayz ɛn we de ɛp yu fɔ du ɛksɛsayz bak smɔl smɔl ɛn sef wan. Dɛn go gi yu advays bak bɔt aw fɔ chenj yu layf, lɛk fɔ it tin dɛn we go ɛp yu at ɛn fɔ lɛf fɔ smok.
Wetin na di bɛnifit, risk, ɛn sakrifays we dis ɔpreshɔn de gi?
If yu chenj wan valv we nɔ de wok fayn, dat kin sev yu layf. Dis sik kin kil pɔsin if dɛn nɔ trit am.
Fɔ bɔrku pipul dɛm, de risk fɔ gɛt siriɔs prɔblɛm lɛk day ɔr strok kin rili smɔl. Dat na as low as 1% to 2%. Dis risk kin difrɛn difrɛn tin lɛk yu ej ɛn ɔl yu wɛl bɔdi. Yu dɔktɔ go ɛksplen to yu yu pasɔnal risk lɛvɛl.
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn kin apin.
- Di at bit we nɔ de bit ɔltɛm (Aritmia) .
- Nid fɔ mek dɛn put pɔsin we de mek pɔsin in peshɛnt we go de sote go
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Strok
- Day
Dɛn risk ya nɔr kin bi di sem fɔ ɔlman. Dɛn kin difrɛn fɔ yu ej ɛn ɔda sik dɛn we yu gɛt. Yu dɔktɔ go du ɔl wetin i ebul fɔ mek dɛn prɔblɛm ya nɔ bɔku.
Ustɛm yu fɔ tɔk to di dɔktɔ?
Wae yu de wɛl na os, e fayn fɔ tɛl yu dɔktɔ kwik kwik wan if yu gɛt ɛni risk sayn. Yu fɔ no mɔ bɔt dɛn sik ya:
| Denja simptom dɛm - If yu gɛt dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm! | |
|---|---|
| - Chɛst de pen ɔ tayt | - Pus ɔ wata we de lik frɔm di say we dɛn kɔt di ɔspitul |
| - Fiva ɔ kol | - Swɛl, rɛd, ɔ bad bad pen rawnd di say we dɛn kɔt |
| - Di leg ɔ fut de swel (Edima) . | - Fɔ fil se yu at de bit (lɛk se yu chɛst de paund) . |
| - di wet we yu de gεt pas 1.5 kg (mכr dan 3 lbs) insay wan wik. | |
Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu nid fɔ chenj yu at valv. Bɔt mɛmba se dis na tin we de ɛp yu at, lɛk fɔ mek sɔntin we dɔn brok na yu os. Afta dis ɔpreshɔn, yu at go ebul fɔ wok izi wan, ɛn yu go fil fayn. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ ɛn put yu maynd fayn.
Mɛsej we dɛn kin kɛr go na os
- SAVR na ɔpreshɔn we de riples wan aɔta valv we dɔn pwɛl wit nyu wan, ɛn i gɛt rili saksesful rizɔlt.
- Yu dɔktɔ go tɔk to yu if yu go gɛt bayolojikal ɔ mɛkanikal valv ɛn i go pik di kayn we we go fayn fɔ yu.
- I kin tek sɔm wiks fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn, ɛn i rili impɔtant fɔ rɛst ɛn fala di advays dɛn we di dɔktɔ gi yu da tɛm de.
- If yu notis ɛni risk sayn we yu de wɛl, lɛk fiva, di say we yu kɔt swel, ɔ yu chɛst de pen bad bad wan, kɔl yu dɔktɔ wantɛm wantɛm.
- Dis ɔpreshɔn de ridyus di lod we de pan yu at, ɛn ɛp yu fɔ liv wɛl ɛn liv lɔng layf.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt