I nɔ kin izi fɔ yu fɔ blo, yu kin fil pen na yu chɛst, ɔ yu kin fil taya ɔltɛm? Sɔntɛm yu dɔktɔ dɔn tɛl yu se smɔl prɔblɛm de wit wan valv na yu at. I nɔmal fɔ mek yu fred smɔl ɛn wɔri we yu yɛri da stori de. Bɔt nɔ wɔri, tide wi de tɔk bɔt dis, spɛshal wan bɔt ɔpreshɔn fɔ di Aortic Valve. Wi go tɔk bɔt dis di we we yu ɔndastand, lɛk se yu de tɔk to yu padi.
Fɔ tɔk am simpul wan, wetin na Aortic Valve ɔpreshɔn?
Imajin se na wi at na di men motoka we de pɔmp blɔd ɔlsay na di bɔdi. di men get we de sכnd bכdi kכmכt na dis mכtal na di Aortic Valve . na tru dis get we di bכdi we gεt כksijεn klin de go to di wan ol bכdi tru di big bכdi we de na di bכdi (Aorta). So naw yu go dɔn ɔndastand aw i impɔtant fɔ mek dis get wok fayn.
Sɔntɛnde dis valv kin stɔp fɔ wok fayn fayn wan. Dɛn kɔl dis aɔta valv sik. Dis kin apin tu men we dɛn:
1. Aortic Valve Stenosis: dis min se di valv nכ de opin fayn εn i de blכk. Dɔn di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd kɔmɔt. I tan lɛk se yu de opin domɔt we rɔsti wit prɔblɛm.
2. Aortic Valve Regurgitation: Dis na we di valv nɔ de lɔk fayn, we de mek di blɔd lik bak. Dis kin mek sɔm pan di blɔd we dɛn dɔn pɔmp go bak na di at.
We dis kayn prɔblɛm apin, dɛn kin kɔl di tritmɛnt Aortic Valve surgery. Insay dis, dɔktɔ dɛn kin mek di valv we dɔn pwɛl ɔ dɛn kin pul am kpatakpata ɛn put nyu valv .
Pan ɔl we dis ɔpreshɔn kin tan lɛk big tin we yu yɛri bɔt am, i go sɔlv yu at prɔblɛm ɛn gi yu big chans fɔ liv fayn layf bak. I go ɛp bak fɔ protɛkt yu frɔm di big big prɔblɛm dɛm wae kin kam wit hat atak ɛn at pwɛl hat wae kin apun tumara bambay bikɔs ɔf dis sik.
Aw siriɔs dis ɔpreshɔn na?
Fɔ tɔk tru, di ɔpreshɔn we dɛn kin du na di Aortic Valve na siriɔs ɔpreshɔn . Bikɔs i kin tek sɔm wiks fɔ mek i wɛl ful wan afta dis. Dɔn bak, as wi bin dɔn tɔk bɔt, dis Aortic Valve na impɔtant pat na wi bɔdi fɔ mek wi kɔntinyu fɔ liv. So, dɛn kin tek tɛm du dis ɔpreshɔn ɛn na wan tim we gɛt masta sabi dɔktɔ dɛn kin du dis ɔpreshɔn. Bɔt mɛmba se tide bɔku bɔku pipul dɛn ɔlsay na di wɔl dɔn du dis ɔpreshɔn fayn fayn wan ɛn dɛn de liv fayn layf.
Us kayn ɔpreshɔn dɛn de we dɛn kin du?
Tu men kayn ɔpreshɔn dɛn de. Yu dɔktɔ go disayd uswan go fayn fɔ yu.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan... |
|---|---|
| Aorta Valv Ripair | Dis min se yu fɔ mek di tin we dɔn pwɛl na yu yon valv we yu nɔ pul am. Di gol ya na fɔ kip bɔku pan yu yon tisu as yu ebul. |
| Riplesmɛnt fɔ di aɔta valv (SAVR) . | insay dis prosidur, dεn kin pul di valv we dεn dכn kכmplit wan εn dεn kin put nyu valv insay in ples. Dis na di ɔpreshɔn we dɛn kin du pas ɔl. |
fכ sכm pipul dεm, dεn de yuz wan mכdan mεtכd we dεn kכl ``Transcatheter Aortic Valve Replacement - TAVR/TAVI'', we dεn de pas wan tכb tru wan bכdi we de na di lεg we dεn nכ opin di chεst. Bɔt i nɔ pɔsibul fɔ ɔlman. Yu dɔktɔ go ɛksplen to yu di we we fayn fɔ yu.
If yu de riples valv, us kayn valv yu de yuz?
Nyu valv kin kam insay tu men kayn. Dɛn ɔl tu gɛt bɛnifit ɛn bad tin.
1. Tisu Valves: Dɛn kin mek dɛn tin ya frɔm animal (kaw ɔ pig) at tisu. Di bɛnifit fɔ dɛn tin ya na dat, we dɛn dɔn put dɛn insay, yu nɔ nid fɔ tek antikɔagulant fɔ di res ɔf yu layf. Di bad tin na dat dɛn kin west afta lɛk 10-15 ia, ɛn yu kin nid fɔ du ɔda ɔpreshɔn.
2. Mɛkanikal Valv: Dɛn mek dɛn tin ya wit tin dɛn we kin te lɛk kabɔn. Dɛn kin las fɔ ɔl yu layf. No nid nɔ de fɔ ɔpreshɔn igen. Bɔt di men tin we nɔ fayn na dat, risk de fɔ mek blɔd klot na dis valv, so yu fɔ tek mɛrɛsin we de mek yu blɔd blɔd (lɛk Warfarin) ɛvride fɔ di res ɔf yu layf . Dɔn bak, yu fɔ de du blɔd tɛst ɔltɛm we yu de tek dis mɛrɛsin.
Yu dɔktɔ go tɔk to yu us kayn valv go fayn fɔ yu bay aw yu ol, aw yu de liv yu layf, ɛn aw yu gɛt wɛlbɔdi.
Aw wi kin pripia bifo dɛn du di ɔpreshɔn?
Bifo di ɔpreshɔn, di dɔktɔ go du bɔku tɛst fɔ si aw yu bɔdi rɛdi fɔ am.
- Echocardiogram (Echo): Dis de mek yu si klia wan aw di at ɛn di valv dɛn de wok.
- Ilɛktrokardiogram (EKG): .Dɛn kin chɛk di ilɛktrik wok we di at de du.
- Chɛst X-ray: Na ɛkstrem rayt fɔ chɛk di chɛst.
- Cardiac Catheterization: Insay dis, dɛn kin pas wan smɔl tiub tru wan blɔd vesel insay di at fɔ chɛk if di korona at dɛn dɔn blok.
- Blɔd ɛn urine tɛst: Chɛk tin dɛn lɛk aw di kidni de wok.
Afta dɛn tɛst ya, di dɔktɔ go gi yu wan sɛt fɔ instrɔkshɔn. I rili impɔtant fɔ fala dɛn di rayt we .
- Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink afta midnayt di nɛt bifo di ɔpreshɔn.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm pan di mɛrɛsin dɛn we yu de tek naw ɔ chenj di doz.
- I go tɛl yu ustɛm fɔ kam na ɔspitul.
If ɛnitin de we nɔ klia bɔt dɛn tin ya, aks di dɔktɔ bak fɔ no fɔ tru.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Na nɔmal tin fɔ fil fɔ fred smɔl we yu tink bɔt dis prɔses, bɔt ɔl dis kin apin we yu nɔ no, we yu de slip dip.
1. Fɔs, dɛn go gi yu mɛrɛsin dɛn we de mek yu nɔ fil fayn ɛn mek yu slip .
2. Dɔn di dɔktɔ we de du ɔpreshɔn kin kɔt di chɛst ɛn rich na di at.
3. Yu go kɔnɛkt to wan hat-lɔng 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 min se na dis mashin de gi di ɔksijɛn ɛn blɔd we de go na yu bɔdi.
4. Dɔn dɛn kin stɔp di at fɔ sɔm tɛm so dat di dɔktɔ we de du di ɔpreshɔn go ebul fɔ du di at we stil de.
5. Neks, dεn de ripεr כ riples di aorta valv.
6. Afta di valv dɔn fɔ wok, dɛn kin bigin di at bak .
7. Yu go diskonekt yu fo di hat-lung mashin.
8. Dɛn go stich di say we dɛn kɔt am ɛn dɛn go transfa yu to wan rikavari wɔd (ICU).
Bɔku tɛm, di ɔpreshɔn kin tek tu awa ɔ mɔ.
Wetin na di ɔpreshɔn we dɛn kin du?
| We | Tɔk bɔt |
|---|---|
| Tradishɔnal Ɔp-At Ɔpreshɔn | insay dis, dεn kin mek wan 6-8 inch lכng insishכn na di midul pan di chεst εn dεn kin opin di stεnכm fכ akses di at. |
| Minimally Invasive Surgery we dɛn kin du | insay dis mכtכd, dεn kin du di כpεrayshכn tru wan כ mכr sכm sכm 2-4 inch insayshכn dεm, pas fכ opin di כl chεst. Dis we ya kin mek i nɔ gɛt bɔku blɔd, i kin de na ɔspitul fɔ shɔt tɛm, ɛn i kin wɛl kwik kwik wan. |
Yu dɔktɔ go pik di we we go fayn fɔ yu bay aw yu sik, ɔda sik dɛn we yu gɛt, ɛn di kayn bɔdi we yu gɛt.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go admit yu fɔs na di Intensive Care Unit (ICU) . Na de, dɛn go de wach yu at rit ɛn blɔd prɛshɔn gud gud wan. Afta wan ɔ tu dez, dɛn go transfa yu to wan jenɛral wɔd. Di ɔl ɔspitul we yu de de kin las bitwin 5 ɛn 7 dez.
I kin tek bitwin 4 ɛn 8 wiks fɔ mek i wɛl ful wan afta yu dɔn go na os. If dɛn du di ɔpreshɔn wit smɔl smɔl say dɛn we dɛn kɔt, yu kin wɛl kwik kwik wan.
Yu go fil taya bad bad wan insay di fɔs wik dɛn. Dat na tin we rili nɔmal. Gi yu bɔdi rɛst. Na di sem tɛm, i rili impɔtant bak fɔ bigin waka ɛn du smɔl smɔl ɛksesaiz dɛn lɛk aw yu dɔktɔ se. Bɔku ɔspitul dɛn gɛt program dɛn fɔ mek dɛn at pwɛl . If yu tek pat pan dis, dat go ɛp yu fɔ mek yu wɛl.
Di dɔktɔ go tɛl yu fɔ kam si am lɛk wan wik afta di ɔpreshɔn ɛn bak insay lɛk 6 wik. Mek shɔ se yu go da tɛm de.
Sɔm pipul dɛn kin gɛt smɔl prɔblɛm wit dɛn maynd, dɛn kin fil bad, ɔr dɛn kin gɛt pwɛl hat afta dɛn dɔn du big ɔpreshɔn lɛk dis. Dis na tin bak we bɔku pipul dɛn kin gɛt. If yu fil dis kayn we, tɔk to yu dɔktɔ, yu fambul, ɔ yu padi we yu kin abop pan bɔt am.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit we dis ɔpreshɔn gɛt na dat na ɔpreshɔn we de sev pɔsin in layf . I kin mɛn wan at sik kpatakpata we kin kil pɔsin if dɛn nɔ trit am. Dis ɔpreshɔn nɔ jɔs de mek yu liv lɔng, bɔt i de pul di sik dɛn we yu kin gɛt ɛvride lɛk fɔ blo shɔt ɛn taya, ɛn dis kin mek yu layf izi pasmak.
Lɛk ɔl di ɔpreshɔn dɛn, dis wan gɛt sɔm prɔblɛm dɛn.
- Alɛji to mɛrɛsin dɛn we de mek pɔsin nɔ fil fayn
- Blɔd we de kɔmɔt
- Infεkshכn dεm na di say we dεn sכk, di at, כ di lכng
- Blɔd kin klɔt ɛn strok
- At ritm irɛgyulariti `(Aritmia)` (bɔku tɛm na fɔ shɔt tɛm) .
- di kidni fכnshכn de dכn fכ sכm tεm
Dɛn risk ya kin difrɛn difrɛn wan fɔ yu ej ɛn ɔda sik dɛn we yu gɛt. Bɔt mɛmba se yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
Wetin na di tɛm dɛn we yu fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| - Chɛst de pen ɔ tayt | - Swɛl, rɛd, ɔ pus we de kɔmɔt na di say we dɛn kɔt |
| - Fɔ fil se yu gɛt fiva ɔ yu kol | - Fɔ fil lɛk se yu at de bit fast (Palpitations) . |
| - Di leg ɔ fut de swel (Edima) . | - di wet we yu de gεt pas 1.5 kg insay wan wik |
Na nɔmal tin fɔ mek yu fred di aidia fɔ du ɔpreshɔn pan yu at. Bɔt tɔk to yu dɔktɔ bɔt am. Aks ɔl di kwɛstyɔn dɛn we yu gɛt. Tɔk to yu fambul ɛn padi dɛn bɔt am ɛn gɛt dɛn sɔpɔt. Dis nɔto sɔntin we yu fɔ fes yu wan. If yu gɛt di rayt mɛrɛsin ɛn di sɔpɔt we di wan dɛn we yu lɛk de gi yu, yu go ebul fɔ wɛl kwik kwik wan ɛn liv fayn layf bak.
Mɛsej we dɛn kin kɛr go na os
- Aɔta valv ɔpreshɔn na siriɔs tritmɛnt, bɔt i kin sev layf ɛn i kin mek pɔsin in layf bɛtɛ.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di ɔpreshɔn. Aks ɛn ansa ɛni kwɛstyɔn we yu gɛt.
- I kin tek tɛm fɔ mek i wɛl. Gi yu bɔdi di rɛst we i nid . Na di sem tɛm, smɔl smɔl, bigin fɔ du mɔ lɛk aw yu dɔktɔ tɛl yu.
- Wach fɔ di sayn dɛn we de wɔn yu afta yu dɔn ɔpreshɔn, lɛk we yu de fil pen na yu chɛst, fiva, ɛn wund we de swel. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ fil bad ɛn wɔri afta dɛn dɔn du yu ɔpreshɔn. Nɔ fred fɔ tɔk bɔt am ɛn aks fɔ ɛp .
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