Wi at na wan wɔndaful ɔgan. I tan lɛk smɔl pɔmp we de wok nɔ-stɔp. Dis pɔmp gɛt 4 pat dɛn we de ɛp fɔ sɛn blɔd na wan say nɔmɔ, we wi kin kɔl at valv dɛn na mɛrɛsin. Imajin wetin go apin if ivin wan pan dɛn domɔt ya brok, if i nɔ opin ɔ lɔk fayn. Di blɔd we de flɔ ɔlsay na di bɔdi go ambɔg, nɔto so? Tide, wi de tɔk bɔt wan ɔpreshɔn we kɔmplikt bɔt we kin rili wok fayn we dɛn kin du we di aɔta valv, we na wan pan di men valv dɛn na di at, kin sik.
Fɔ tɔk am simpul wan, wetin na di Ross Procedure?
Dis na wan spɛshal ɔpreshɔn we dɛn kin du. Dɔktɔ dɛn kɔl am pulmonary autograft prosidur. Dis na wan rili spɛshal tin we kin apin na ya. Dɛn kin yuz wan pat pan yu yon bɔdi fɔ du dis ɔpreshɔn.
Fɔ tɔk am simpul wan, di tu men tin dɛn we kin apin na ya na:
1. dεn kכl yu aorta valv we nכ de wok fayn εn riples am wit yu yon hεlty pulmonari valv.
2. afta dat, dεn kin transplant wan hεlty lכng valv (dכna valv) we dεn tek frכm pɔsin we dεn day na di εmpti ples usay di pulmonari valv bin de.
Naw yu kin de tink se, "Wetin mek yu du dat? Fɔ tek wan ɔf ɛn put ɔda wan pan, ɛn put ɔda wan pan tap dat, dat kin saund smɔl kɔmplikɛt, nɔto so?" Yɛs, na tru. Bɔt wan rili gud rizin de fɔ dat. Mek wi luk am.
Wetin mek dis ɔpreshɔn impɔtant? Wetin mek yu fɔ yuz yu yon pulmonary valv?
Wi at de pɔmp klin blɔd we gɛt ɔksijɛn ɔlsay na di bɔdi tru wan valv we dɛn kɔl di aɔta valv. Dis na di men valv. Na di valv bak we de stɔp di blɔd fɔ flɔ bak we di at de bit.
Bɔt sɔntɛnde dis valv kin blok we i nɔ opin fayn, we wi kin kɔl stenɔsis . Ɔ i nɔ kin ebul fɔ lɔk fayn ɛn blɔd kin lik bak, we wi kin kɔl regurgitation . If dɛn kayn tin ya kɔntinyu, di chans fɔ mek yu at pwɛl ɛn gɛt infɛkshɔn kin rili bɔku.
So we tin tranga lɛk dis, dɛn fɔ pul di valv we dɔn pwɛl ɛn put nyu wan.
So, wetin mek yu fɔ chenj yu yon pulmonary valv wit atifishal wan?
Bɔku rizin dɛn de fɔ dis:
- Witstand prɛshɔn: Di aɔta valv de ɔnda ay blɔd prɛshɔn. So di valv we dɛn put de nid fɔ rili strɔng. Bikɔs yu yon pulmonari valv na layf tisu, i kin ebul fɔ bia dis ay prɛshɔn fayn fayn wan ɛn i kin las fɔ lɔng tɛm pas atifishal valv dɛn.
- Smɔl risk fɔ mek blɔd klɔt: We dɛn put atifishal valv dɛn, di risk fɔ mek blɔd klɔt bɔku. So, dɛn gɛt fɔ tek blɔd tin fɔ dɛn layf. Bɔt we dɛn de yuz dɛn yon tisu, i lɛf smɔl fɔ lɛ da risk de nɔ de.
- Di say we di pulmonari valv de:di pulmonari valv de כnda lכw prεshכn, so wan dכna valv frכm pɔsin we day nכ go west kwik kwik wan. כlso, di aorta valv εn di pulmonari valv rili fiba pan saiz εn shep.
Fɔ tɔk am simpul wan, wetin di ɔspitul dɛn kin du na fɔ put yu strɔng "ɔrijinal" valv na di pat we impɔtant pas ɔl na di at, usay i de bia di mɔs wet, ɛn put "dɔna" valv na di pat we de bia di smɔl wet.
Udat dis ɔpreshɔn fit fɔ, ɛn udat i nɔ fayn fɔ?
Dis ɔpreshɔn nɔ fayn fɔ ɔlman. Dɔktɔ dɛn kin tek tɛm chɛk di sikman in kɔndishɔn ɛn disayd if dɛn fit fɔ dis ɔ nɔ fit fɔ du dis. Lɛ wi tek tɛm luk di tebul we de dɔŋ ya.
| Udat fit fɔ dis ɔpreshɔn? | Pipul dɛn we nɔ fayn fɔ dis ɔpreshɔn |
|---|---|
| Bɔku tɛm, na fɔ yɔŋ ɛn midul ej pipul dɛn we nɔ rich 60 ia yet . | Pipul wae gɛt ɔtoimyun sik dɛm lɛk lupus ɛn rεumatoid arthritis. |
| Fɔ di wan dɛn we de sɔfa wit congenital aortic stenosis. | Pipul wae gɛt kɔnektiv tisu disɔda lɛk Marfan syndrome. |
| Fɔ di wan dɛn we de sɔfa wit ɔda kayn aɔta valv sik. | Pipul wae gɛt blɔk na tri ɔr mɔr pan di men blɔd vesel dɛm wae de gi blɔd to di at (koronary artery disease). |
| Fɔ di wan dɛn we gɛt aɔta valv ɛndokadaytis. | Fɔ di wan dɛn we gɛt pulmonari valv kɔndishɔn. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di Ross prosidur na wan rili dilik ɛn tek tɛm prosidur we kin tek sɔm awa. Na wan tim we gɛt masta sabi dɔktɔ dɛn we de du ɔpreshɔn pan di at kin du am. Lɛ wi tek wan luk pan wetin kin apin we dɛn de du di prɔsidyu.
1. Anestezi: Fɔs, dɛn go put yu ɔnda jenɛral anestezi. Dis min se yu go de na dip slip te di ɔpreshɔn dɔn, so yu nɔ go fil ɛni pen. Yu nɔ go mɛmba ɛnitin bɔt di ɔpreshɔn.
2. Fɔ kɔnɛkt to at-lɔng mashin: Dɔn, dɔktɔ dɛn go kɔnɛkt yu to wan spɛshal mashin we dɛn kɔl kadiopulmonari baypas mashin. Dis mashin kin tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm we dɛn de du di ɔpreshɔn. Dis kin mek di dɔktɔ dɛn we de du di ɔpreshɔn sef wan ɛn nɔ stɔp yu at.
3. Fɔ opin di chɛst: Di dɔktɔ dɛn we de du ɔpreshɔn kin kɔt di midul pan yu chɛst, ɛn dɛn kin sheb di bɔdi (sternum) insay tu fɔ mek i go ebul fɔ go na di at. Dɛn kɔl dis we aw dɛn kin du am sternotomy .
4. egzamin di valv: nεks, dεn kin tek tεm egzamin di pulmonari valv fכ si if i gεt hεlth εn i fayn fכ transplant as riplesmεnt fכ di aorta valv.
5. Fɔ chenj di valv: If ɔltin go fayn, di dɔktɔ dɛn we de du ɔpreshɔn go pul di aɔta valv we dɔn pwɛl ɛn put yu yon pulmonari valv. afta dat, dεn de transplant wan hεlty pulmonari valv frכm wan dכna we dεn dכn insay di ɛmti ples usay di pulmonari valv we bin de bifo bin de.
6. Fɔ mek yu at gɛt layf bak: Afta dɛn dɔn put ɔl tu di nyu valv dɛn fayn fayn wan, di dɔktɔ dɛn we de du ɔpreshɔn go bigin yu at bak. Dɔn dɛn go pul yu wef smɔl smɔl frɔm di at-lɔng mashin.
7. Faynal chɛk ɛn klos: Dɛn kin chɛk di nyu valv dɛn bak fɔ mek shɔ se dɛn de wok fayn. If ɔltin wok fayn, dɛn kin tay di sternum bak wit waya, ɛn dɛn kin stich di say we dɛn kɔt di chɛst fɔ lɔk.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, Rɔs ɔpreshɔn gɛt in bɛnifit ɛn risk dɛn. Di prɔblɛm dɛn kin ridyus bad bad wan if dɛn du tritmɛnt ɔnda dɔktɔ we sabi du ɔpreshɔn ɛn we gɛt bɔku ɛkspiriɛns pan dis ɔpreshɔn ɛn we de du dis ɔpreshɔn ɔltɛm.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Yu nɔ nid fɔ tek blɔd tin fɔ di res ɔf yu layf. | di aorta כtograft dilayshכn (we di aorta de wayd nia di nyu valv we dεn implant). |
| Yu kin liv aktif layf we nɔ gɛt ɛnitin fɔ stɔp yu, du tin dɛn lɛk fɔ du ɛksɛsayz ɛn fɔ drayv. | Di at bit we nɔ de bit ɔltɛm (Aritmia). |
| Uman dɛn we de plan fɔ gɛt bɛlɛ kin bɔn pikin sef wan. | At atak. |
| di bכdi fכ fכlכ כlsay na di bכdi de na fayn fayn lεvεl (Excellent hemodynamics). | Blɔd we de kɔmɔt pasmak (Ɛmoraji). |
| Jɔs afta dɛn dɔn du di ɔpreshɔn, di sayn dɛn kin stɔp ɛn yu kin bigin fɔ fil se yu de wɛl kwik kwik wan . | Sik we de prɛd. |
| Bikɔs na in yon tisu, i kin te fɔ lɔng tɛm. | Hat valv we de lik. |
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn ɔpreshɔn yu, yu go wek na di Kadiak ICU. Fɔ di fɔs sɔm awa dɛn, dɛn kin kɔnɛkt yu to ventilator fɔ ɛp yu fɔ blo. Dɛn go de wach aw yu at de wok ɔltɛm. Yu go ɔltɛm de na di ICU fɔ lɛk 5 dez.
I kin tek sɔm mɔnt fɔ mek yu wɛl ɔl afta yu dɔn go na os. Insay dis tɛm, i kin kɔmɔn fɔ gɛt tin dɛn lɛk:
- Banbɛlɛ
- Disɔda wae de kam pan pɔrsin wae gɛt dis maynia sik lɛk pwɛl hat
- Nɔ ebul slip
- Fil fɔ it
- Numbness ɛn swelling arawnd di ɔspitul insishɔn
Insay dis tɛm, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul.
Yu tink se dɛn go nid fɔ gɛt tritmɛnt fɔ ɔl dɛn layf?
Yɛs. Afta di Ross prosidur, yu go nid fɔ de ɔnda dɔktɔ fɔ di res ɔf yu layf. Yu go nid fɔ gɛt skan ɔltɛm fɔ chɛk if di tu valv dɛn we dɛn transplant de wok fayn fayn wan.
Mɛmba se, wan dona pulmonary valve transplant nɔ kin las fɔ ɔl in layf. I kin nid fɔ chenj am bak, bɔku tɛm afta 15-20 ia. Bɔt nɔ wɔri. If dɛn kayn tin ya apin, bɔku tɛm, dɔktɔ dɛn kin yuz tin dɛn we nɔ kin ambɔg di valv, ɛn dɛn nɔ kin kɔt di valv. So, di tɛm fɔ wɛl kin shɔt pasmak.
Ustɛm yu fɔ go to dɔktɔ?
I rili impɔtant fɔ no ɛni sayn we de sho se yu gɛt prɔblɛm dɛn we yu go na os afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Chɛst de pen
- If yu fil fiva ɔ yu gɛt kol
- If yu fil diziz ɔ yu yay de tɔn blu
- If yu kɔf blɔd
- If yu gɛt brus ɔ blɔd we nɔ kɔmɔn
- If pɔsin de vɔmit
- If yu an ɛn fut dɛn nɔ gɛt bɛtɛ trɛnk
- If di stɔl brayt rɛd
Mɛsej we dɛn kin kɛr go na os
- Rɔs ɔpreshɔn na tritmɛnt we kin rili wok fayn fɔ pipul dɛn we gɛt siriɔs aɔta valv sik.
- Bikɔs dɛn de yuz yu yon pulmonary valv ya, di rizɔlt kin rili fayn ɛn i kin te.
- Wan pan di big bɛnifit dɛn we dis ɔpreshɔn gɛt na dat yu nɔ nid fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf.
- Afta dɛn dɔn du di ɔpreshɔn, yu go ebul fɔ liv yu layf we nɔ gɛt ɛnitin fɔ ambɔg yu.
- Bikɔs dis na ɔpreshɔn we rili kɔmpleks, i rili impɔtant fɔ go fɛn tritmɛnt frɔm dɔktɔ we gɛt bɔku ɛkspiriɛns pan dis wok.
- Dɛn nid fɔ de wach ɛn tɛst di mɛrɛsin fɔ ɔl dɛn layf afta dɛn dɔn du di ɔpreshɔn.
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