Sɔntɛnde, yu kin fil se yu chɛst de ebi ɔ yu nɔ kin ebul fɔ blo we yu taya smɔl? Ɔ yu dɔktɔ dɔn tɛl yu se yu gɛt prɔblɛm wit wan valv na yu at ɛn yu nid fɔ mek dɛn ɔpreshɔn yu bak? Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri sɔntin lɛk dis. Bɔt nɔ wɔri. Tide wi de tɔk bɔt dis ɔpreshɔn, we dɛn kɔl ‘Surgical Aortic Valve Replacement’ (SAVR). Lɛ wi tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.
Wetin ɛksaktɔli min fɔ riples di aorta valv?
Tink bɔt wi at lɛk wata pɔmp. di men bכdi we de pכmp bכdi frכm dis at to di כl bכdi dεn kכl am ‘Aorta’. so, di ‘get’ bitwin di at εn dis men bכdi vεsul dεn kכl am di Aortic valve . Ɛnitɛm we di at bit, dis get kin opin ɛn blɔd kin kɔmɔt, dɔn i kin lɔk bak.
Sɔntɛnde, bikɔs ɔf di ej ɔ ɔda mɛrɛsin, dis domɔt kin stɔp fɔ wok fayn fayn wan.
- Di domɔt nɔ de opin fayn: Dɛn kɔl dis Aortic Stenosis . I tan lɛk domɔt we nɔ de opin ɔlsay, so ples nɔ de fɔ mek blɔd kɔmɔt na di at.
- di domɔt nɔ de lɔk fayn: Dɛn kɔl dis Aortic Regurgitation . Lɛk ol domɔt, we i nɔ lɔk fayn, sɔm pan di blɔd we dɔn kɔmɔt kin lik bak na di bak.
Insay dɛn tu kes ya, di at fɔ wok tranga wan pas aw i kin wok. I tan lɛk se yu de tray fɔ opin domɔt we dɔn stɔp. As tɛm de go, dis wok we wi de du pasmak kin pwɛl di at. I kin mek yu gɛt sɔm sayn dɛm bak lɛk pen na yu chɛst ɛn i nɔ kin izi fɔ blo. If dɛn nɔ trit dis sik, i kin mek pɔsin in layf de pan denja.
So, wi kin kɔl dis ɔpreshɔn, SAVR, usay wi kin pul dis valv we dɔn pwɛl ɛn riples am wit nyu wan. Dis kin mek yu nɔr gɛt bɛtɛ sik, protɛkt yu at, ɛn gi yu chans fɔ liv wɛl bɔdi layf fɔ lɔng tɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn go tek tɛm chɛk yu bifo i bigin. Dɛn tɛst ya go ɛp wi fɔ pik di tritmɛnt we go fayn fɔ yu wɛlbɔdi.
Tɛst dɛn we dɛn kin du ɔltɛm bifo dɛn du di ɔpreshɔn
Bɔku tɛm yu go gɛt fɔ du sɔm tɛst dɛn lɛk dis.
| Test Nem | Simply du dis... |
|---|---|
| Ikokardiogram (Echo) . | Wan skan fɔ chɛk aw di at ɛn in valv dɛn de wok. |
| Ilɛktrokardiogram (ECG/EKG) . | Test di ilɛktrik aktiviti na di at. |
| X-ray na di chɛst | Wan chɛst ɛkstrem fɔ chɛk aw di at ɛn di lɔng dɛn de. |
| Kadiak Kateterizashɔn | Dɛn kin pas wan smɔl tiub tru wan blɔd vesel insay di at fɔ chɛk di prɛshɔn we de insay di at ɛn di blɔd vesel dɛn. |
| Blɔd ɛn urine tɛst | Fɔ chɛk di ɔl wɛlbɔdi na di bɔdi, lɛk aw di kidni de wok. |
Apat frɔm dat, di mɛdikal tim go advays yu bɔt aw fɔ rɛdi fɔ ɔpreshɔn.
- Aw lɔŋ yu nid fɔ fast (we yu nɔ it ɔ drink) bifo dɛn du yu ɔpreshɔn?
- If yu nid fɔ stɔp fɔ tek ɛni mɛrɛsin we yu de tek naw fɔ sɔm tɛm .
- Na tɛm fɔ kam na ɔspitul.
- Tin dɛn fɔ briŋ kam na ɔspitul ɛn tin dɛn we yu nɔ fɔ briŋ.
Di tin we impɔtant pas ɔl: Nɔ fred fɔ aks yu dɔktɔ bɔt ɛnitin we yu nɔ ɔndastand ɔ ɛni kwɛstyɔn we yu gɛt. If yu de smok, if yu lɛf fɔ smok kwik kwik wan bifo yu du di ɔpreshɔn, dat kin mek yu nɔ gɛt prɔblɛm dɛn bad bad wan.
Mek wi pik nyu hairstyle we go fit yu.
Di impɔtant tin we yu go disayd bifo yu du di ɔpreshɔn na us kayn nyu valv yu go gɛt. Tu men kayn dɛn de.
| Valv Tayp | Diskripshɔn ɛn bɛnifit/disavantej dɛn |
|---|---|
| Bayolojikal / Bayoprostɛtik Valv | Dɛn kin mek dɛn tin ya wit pig, kaw, ɔ (rarely) mɔtalman tisu. Advantej: Yu nɔ nid fɔ tek antikoagulant fɔ di res ɔf yu layf. Disadvantage: Dɛn tin ya nɔ kin de sote go. Dɛn kin nid fɔ chenj dɛn afta 10-20 ia. |
| Mekanikal Valv we dɛn kɔl | Dɛn mek dɛn tin ya wit tin dɛn we kin te lɛk kabɔn ɛn stɛl. Advantej: Dɛn tin ya kin las fɔ ɔl yu layf. Yu nɔ go ɛva nid fɔ chenj dɛn igen. Disadvantage: Yu go gɛt fɔ tek wan blɔd thinner lɛk Warfarin fɔ di res ɔf yu layf fɔ mek yu nɔ gɛt di risk fɔ mek blɔd klɔt. |
Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu us valv go fayn fɔ yu bay aw yu ol, yu wɛlbɔdi, ɛn aw yu de liv yu layf. Tipikli, dεn kin rεkomεnd fכ mεkanikal valv fכ pipul dεm we nכ rich 50 ia, εn dεn kin rεkomεnd bayolojikal valv fכ pipul dεm we pas 65 ia.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Dis ɔpreshɔn kin tek tu to 4 awa, we yu kin slip dip ɛn nɔ kin fil natin.
1. Fɔs, yu go nɔ no natin atɔl (`Anesthesia`) .
2. Neks, yu go kɔnɛkt to wan mashin we de mek yu at ɛn lɔng . Dis mashin go tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm we dɛn de du di ɔpreshɔn. Dɛn go yuz am bak fɔ stɔp yu at fɔ sɔm tɛm (cardioplegia). Dis go mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ du di ɔpreshɔn sef wan we yu at nɔ go bit.
3. di sajin de mek wan insishכn we lכng lεk 6 inch na di midul pan yu chεst fכ opin di brεstbon (`Sternum`) εn akses di at. Dɛn kɔl dis wan `Sternotomy`.
4. dεn kin pul di ol aorta valv we dεn dכn pwεl εn put nyu valv we dεn sכn insay in ples.
5. afta dat, dεn kin atak di stεnכm we dεn opin bak bay we dεn de yuz waya dεm. Bɔku tɛm, dɛn kin lɛf dɛn waya dɛn ya na di bɔdi fɔ ɔl dɛn layf.
6. Fɔ dɔn, dɛn kin siŋ di say we dɛn kɔt di skin klos.
Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn
Afta di ɔpreshɔn, yu go gɛt fɔ de na di ɔspitul fɔ lɛk 5 dez. Insay dis tɛm, di mɛdikal tim go de wach yu sik ɔltɛm. Dɛn go ɛp yu fɔ waka smɔl smɔl ɛn du nɔmal tin dɛn.
Bɔku tɛm, i kin tek 4 to et wiks fɔ mek i wɛl ɔl.I kin tek te to wan ia. I nɔmal fɔ fil taya insay dis tɛm. Dis na bikɔs yu bɔdi de wɛl. Afta yu dɔn go na os, yu dɔktɔ go tɛl yu fɔ go na wan program fɔ mek yu gɛt prɔblɛm wit yu at. Dis go ɛp yu fɔ lan bɔku tin, lɛk fɔ yus fɔ du ɛksɛsayz ɛn fɔ it tin dɛn we go ɛp yu at.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit we dis ɔpreshɔn gɛt na dat i kin sev pipul dɛn layf . Aɔta valv sik kin kil pɔsin if dɛn nɔ trit am. Di sakses ret rili ay. Fɔ bɔku pipul dɛm, di risk fɔ day ɔr siriɔs kɔmplikeshɔn lɛk strok kin rili smɔl, arawnd 1% - 2%.
Bɔt lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
- Di at bit we nɔ de bit (`Aritmia`) .
- Nid fɔ gɛt pɔsin we de mek pɔsin in peshɛnt we go de sote go
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Strok
- Day
Dis risk nɔr kin bi di sem fɔ ɔlman. E kin difrɛn difrɛn tin lɛk yu ej ɛn ɔda mɛrɛsin sik. Yu ɔspitul dɔktɔ go ɛksplen to yu yu pasɔnal risk lɛvɛl.
| If dɛn sayn ya apin we yu de wɛl, kɔl yu dɔktɔ wantɛm wantɛm! |
|---|
|
Yu tink se ɔda we de fɔ du ɔpreshɔn pan SAVR?
Yɛs, fɔ sɔm pasɛnt dɛn, mɔ di wan dɛn we dɔn ol ɔ we gɛt ay risk fɔ gɛt big ɔpreshɔn bikɔs ɔf ɔda tin dɛn, wan we we dɛn kɔl Transcatheter Aortic Valve Replacement (TAVR) kin fayn fɔ dɛn. dis involv fכ put nyu valv insay di ol valv tru wan sכm sכm say we dεn kכl na di chεst, we dεn nכ opin am. Dis na simpul we fɔ du am ɛn i nɔ kin tek bɔku tɛm fɔ mek i wɛl. Yu mɛdikal tim go disayd if SAVR ɔ TAVR na di bɛst fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Surgical Aortic Valve Replacement (SAVR) na wan ɔpreshɔn we kin rili wok fayn ɛn we dɛn kin du ɔltɛm fɔ di aorta valv dɛn we dɔn pwɛl.
- Yu dɔktɔ go ɛp yu fɔ pik bayolojikal ɔ mɛkanikal valv bay yu ej ɛn wɛlbɔdi kɔndishɔn.
- I kin tek lɛk 4-8 wiks fɔ mek yu wɛl ful wan, ɛn i rili impɔtant fɔ fala di dɔktɔ dɛn advays insay dis tɛm.
- If yu notis ɛni sayn we de wɔn yu we yu de wɛl, lɛk fiva, pen na yu chɛst, ɔ chenj na di wund we yu dɔn ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ fred we yu gɛt bɔt dis.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt