Na nɔmal tin fɔ mek yu fred smɔl we yu dɔktɔ tɛl yu se yu gɛt prɔblɛm wit at valv. Ɛspɛshali we i se yu nid fɔ du ɔpreshɔn fɔ am. Bɔt di Ross Procedure we wi go tɔk bɔt tide na wan ɔpreshɔn we rili saksesful we kin gi nyu layf to pipul dɛn we gɛt at valv sik, mɔ di yɔŋ pipul dɛn. So lɛ wi tɔk bɔt dis ɛksaktɔli, simpul wan.
Fɔ tɔk am simpul wan, wetin na di Ross Procedure?
Dis na ɔpreshɔn we dɛn kin du fɔ mek dɛn at pwɛl smɔl, bɔt dɛn kin rili sabi fɔ du am. I min fɔ yuz yu yon bɔdi pat fɔ mek yu at valv we sik. Fɔ tɔk di kɔrɛkt tin, i gɛt fɔ du wit tu tin dɛn:
1. Dɛn kin pul di aɔta valv we gɛt sik na yu at ɛn put yu yon pulmonari valv we gɛt wɛlbɔdi .
2. afta dat, dεn de transplant wan pulmonari valv frכm wan hεlty dכna insay di ples usay di pulmonari valv we dεn pul bin de.
Tink bɔt am lɛk se yu de yuz wan pat pan yu yon bɔdi fɔ mek wan big prɔblɛm. Dis gɛt bɔku bɛnifit pas fɔ put atifishal valv.
Wetin mek wi nid fɔ du dis ɔpreshɔn?
di aorta valv lεk wan get we rili imכtant na wi at. Dis get de opin ɛn mek blɔd we gɛt ɔksijɛn ɛn klin kɔmɔt na di at ɛn go na di ɔda pat dɛn na di bɔdi. I de mek bak blɔd nɔ flɔ bak insay di at bitwin di at bit, as dis valv de lɔk.
Bɔt sɔntɛnde dis valv kin gɛt sik. Tu men we dɛn de:
- Stenosis: Dis na we di valv nɔ de opin fayn ɛn i de smɔl. Dis kin mek di bɔdi nɔ gɛt inof blɔd.
- Rigurgitation: Dis na we di valv nɔ de lɔk fayn ɛn i de lik, we de mek di blɔd go bak insay di at.
Dɛn tu prɔblɛm ya kin mek yu gɛt sɔm sayn dɛm lɛk fɔ taya ɛn fɔ blo shɔt. If dɛn nɔ trit dɛn, dɛn kin mek yu at pwɛl ɛn gɛt siriɔs infɛkshɔn. di Ross Procedure de pul di valv we sik ɛn mek di at wok fayn bak.
Wetin mek yu fɔ pik di Pulmonary Valve instead of di Aortic Valve?
Yu go de wɔnda wetin mek dɛn de mek dis kayn chenj, wetin mek yu nɔ jɔs gɛt ɔda atifishal valv? Bɔku patikyula rizin dɛn de fɔ dis.
- Prεshכn rεsistεns: di aorta valv de כnda bכku prεshכn, so di nyu valv we dεn put insay am nid fכ rili te εn strכng. Yu yon pulmonary valv na gud fit fɔ dis.
- Risk fɔ atifishal valv: Risk de fɔ mek blɔd klɔt we dɛn put atifishal valv dɛn insay. So, yu fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf. Bɔt we yu yuz yu yon tisu, i lɛf smɔl fɔ lɛ da risk de nɔ de.
- Fitin: di pulmonari valv rili fiba di aorta valv in saiz εn shep.
- lכw prεshכn zon: dεn de put wan dכna valv usay di pulmonari valv bin de bifo. Dat eria de ɔnda lɔw prɛshɔn. So ivin if da valv de wik smɔl, i nɔ go gɛt bɔku impak.
Udat fit ɛn nɔ fit fɔ dis ɔpreshɔn?
Di Ross Procedure nɔto ɔpreshɔn fɔ ɔlman. Dɔktɔ dɛn kin pik di wan dɛn we sik fɔ am bay sɔm tin dɛn.
| Di wan dɛn we kin jɔs fayn fɔ ɔpreshɔn | Pipul dɛn we nɔ kin fayn fɔ ɔpreshɔn |
|---|---|
| Pipul dɛn we nɔ rich 60 ia yet. | Pipul wae gɛt ɔtoimyun sik dɛm lɛk lupus ɛn rεumatoid arthritis. |
| Pipul dɛn we gɛt congenital aortic stenosis. | Pipul wae gɛt kɔnektiv tisu disɔda lɛk Marfan syndrome . |
| Pipul dεm wae gεt כda aorta valv sik dεm. | Pipul wae gɛt korona at sik, wae de blok na pas tri blɔd vesel dɛm na di at. |
| Pipul dεm we gεt aorta valv infεkshכn (aorta valv εndokarditis). | Pipul wae gɛt pulmonary valve disease. |
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ we de mɛn yu at go disayd if dis ɔpreshɔn fayn fɔ yu ɔ nɔ rayt fɔ yu.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Dis na ɔpreshɔn we dɛn rili plan fɔ du ɛn we kin tek sɔm awa.
1. Anɛstɛsia: .Fɔs, dɛn go put yu ɔnda jenɛral anestezi. So yu nɔ go fil ɛnitin ɛn yu nɔ go mɛmba di ɔpreshɔn.
2. Hat-lɔng mashin: Neks, dɛn go kɔnɛkt yu to wan mashin we de yuz di at ɛn pulmonari baypas . 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 di chɛst, dɛn kin kɔt di brɔst bon na di tu say dɛn (sternotomy) fɔ rich di at.
4. egzamin di valv: dεn de tek tεm egzamin di pulmonari valv fכ si if i hεlty fכ riples di aorta valv.
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6. dכna valv transplant: nεks, dεn de transplant wan valv we dεn tek frכm wan hεlty dכna insay di εmpti ples usay di pulmonari valv bin de.
7. Cardiac resuscitation: Afta dɛn dɔn put ɔl tu di valv dɛn na di rayt ples, dɛn kin stat yu at bak ɛn dɛn kin pul yu smɔl smɔl na di at-lɔng mashin. Dɛn kin chɛk ɔl tu di nyu valv dɛn bak fɔ mek shɔ se dɛn de wok fayn.
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Di bɛnifit ɛn di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn
Lɛk ɛni ɔpreshɔn, di Ross Procedure gɛt bɛnifit ɛn risk. Di prɔblɛm dɛn we kin apin kin smɔl if dɛn de du tritmɛnt ɔnda di sɔpɔtishɔn fɔ wan dɔktɔ we gɛt ɛkspiriɛns we de du dɛn tin ya ɔltɛm.
| Men Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Yu kin liv aktif layf, inklud fɔ ɛksesaiz ɛn drayv. | di bכdi de wayd nia di nyu valv (Aortic autograft dilation). |
| If uman dɛn want fɔ gɛt bɛlɛ, dɛn kin du am sef wan. | Di at bit we nɔ de bit ɔltɛm (Aritmia) . |
| di bכdi we de kכmכt fayn fayn wan (hεmodaynamiks) de apin ɔlsay na di bכdi. | At atak . |
| Yu nɔ nid fɔ tek blɔd tin fɔ di res ɔf yu layf. | Blɔd we de kɔmɔt pasmak (Ɛmoraji) . |
| Di sayn dɛm kin kɔmɔt kwik kwik wan. Di pɔsin we sik kin fil fayn jɔs afta di ɔpreshɔn. | Sik we de prɛd . |
| Valv we de lik ɔ we dɔn stɔp. |
Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn ɛn ustɛm fɔ go to dɔktɔ
Afta dɛn du di ɔpreshɔn, yu go gɛt kɔnshɛns bak na di Cardiac ICU . Fɔs, dɛn kin kɔnɛkt yu to ventilator fɔ ɛp yu fɔ blo. Yu go de na di ICU fɔ lɛk fayv dez so.
I kin tek sɔm mɔnt fɔ mek i wɛl bak afta i dɔn go bak na os. Insay dis tɛm, kɔnstipɛshɔn, nɔ kin want fɔ it, nɔ kin slip, yu kin swɛla ɛn swel rawnd di say we dɛn kɔt am na tin we kin apin.
Impɔtant: Wan pulmonari valv we dɛn gɛt frɔm pɔsin we gi am nɔ kin las sote go. Bɔku tɛm, i kin nid fɔ chenj afta 15-20 ia. So, fɔ chɛk-ap fɔ di mɛrɛsin fɔ ɔl yu layf ɛn fɔ wach am rili impɔtant.
If yu gɛt ɛni prɔblɛm we de sho se yu gɛt prɔblɛm afta dɛn dɔn du yu ɔpreshɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm . Yu fɔ no mɔ bɔt dɛn sik ya:
- Chɛst de pen
- Fiva ɔ kol kol
- Diziz ɔ fɔdɔm
- Fɔ kɔf blɔd
- Brus ɔ blɔd we nɔ kɔmɔn
- Di limb dɛn we de na di an ɛn fut dɛn kin swɛla
- Fɔ vɔmit
- Blɔd na di stɔl (brayt rɛd) .
Mɛsej we dɛn kin kɛr go na os
- Di Ross Procedure na di bɛst tritmɛnt fɔ pipul dɛm wae gɛt siriɔs aortic valve disease, mɔr yɔŋ pipul dɛm.
- dis involv fכ tek yu yon hεlty pulmonary valv εn transplant am fכ riples di aorta valv we sik.
- Bikɔs yu de yuz yu yon tisu, yu nɔ go nid fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan fɔ di res ɔf yu layf. Yu kin liv aktif layf bak.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, bɔt dɛn kin stɔp dɛn prɔblɛm dɛn ya if dɛn du tritmɛnt ɔnda dɔktɔ we gɛt ɛkspiriɛns fɔ du ɔpreshɔn.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta dɛn dɔn du yu ɔpreshɔn, go to yu dɔktɔ wantɛm wantɛm.
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