Ɛnibɔdi kin fred smɔl we i yɛri di wɔd at ɔpreshɔn, nɔto so? Ɛspɛshali if na ɔpreshɔn we gɛt fɔ du wit fɔ chenj wan pat pan di at we tan lɛk valv. Bɔt nɔ fred. Dis na ɔpreshɔn we bɔku bɔku pipul dɛn dɔn du fayn fayn wan. Tide, lɛ wi tɔk bɔt dis we dɛn kɔl Aortic Valve Surgery, wetin i rili de du, ɛn wetin mek i impɔtant to yu.
Fɔ tɔk am simpul wan, wetin na dis Aortic Valve?
Imajin yu at lɛk smɔl os we gɛt 4 rum dɛn, bɔt we gɛt pawa pasmak. di men get we de pamp klin blɔd we gɛt ɔksijɛn frɔm dis os to di wan ol bɔdi na di Aortic Valve . fכ bi prεsis, dis ‘get’ de bitwin di men pכmp chεmba na di at (di Lεft Vεntrikul) εn di men bכdi vεsεl (di Aorta) we de kכri bכdi to di כl bכdi. So naw yu go dɔn ɔndastand aw i impɔtant fɔ mek dis get wok fayn fɔ di wan ol bɔdi.
Wetin mek dis valv nid fɔ ɔpreshɔn?
As tεm de go, εn sכmtεm frכm we dεn bכn am, dis valv kin nכ de wok fayn. Tu men prɔblɛm dɛn kin apin.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Aortic Valve Stenosis (we di valv de smɔl) . | Wetin kin apin insay dis kes na dat di valv flap dɛn kin tik ɛn nɔ kin opin fayn. Dis kin put bɔku prɛshɔn pan di at, we kin mek i fil lɛk se i dɔn stɔp ɛn gɛt fɔ push di blɔd kɔmɔt. |
| Aortic Valve Regurgitation (valv we de lik) . | wetin de apin ya na dat di valv flap dεm nכ de kכloz fayn fayn wan. Dis kin mek sɔm pan di blɔd we dɛn bin dɔn pɔmp kɔmɔt kin lik bak insay di at. |
Dɛn tu prɔblɛm ya kin mek di at gɛt mɔ strɛs. As tɛm de go, dis sik kin wɔs te yu at nɔ de wok fayn ɔ yu at kin stɔp wantɛm wantɛm . Na dat mek i impɔtant fɔ ɔpreshɔn fɔ mek dis valv fayn.
Us kayn ɔpreshɔn dɛn de we dɛn kin du?
Tu men kayn ɔpreshɔn dɛn de.
- Aortic Valve Repair: Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ mek di bad tin we de na yu yon natura valv ɛn kip am. Dis min se yu fɔ kip bɔku pan yu yon tisu as yu ebul.
- Surgical Aortic Valve Replacement (SAVR): Sɔntɛnde, if di valv dɔn pwɛl sote dɛn nɔ ebul fɔ mek am fayn, dɛn kin pul am ɔl ɛn put nyu atifishal valv.
Aw di nyu valv tan lɛk?
If yu de mek dɛn chenj yu valv, yu dɔktɔ go tɔk to yu bɔt sɔm tin dɛn we yu go ebul fɔ du. sכm dεn mek frכm animal tisu (e.g., pig, kaw), we כda wan dεm na mכtalman tisu. Apat frɔm dat, wan kayn de we dɛn kɔl mɛkanikal valv , we dɛn mek ɔl wit mɛtal we de te. Ɛni kayn tin gɛt in yon bɛnifit ɛn bad tin dɛn. Fɔ ɛgzampul, if yu gɛt mɛkanikal valv, yu go nid fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf. I impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ ɛn pik di wan we go fayn fɔ yu.
Lɛ wi lan bak bɔt TAVR/TAVI: Wit di advans teknɔlɔji we de tide, wan we de we dɛn kin pas wan tiub tru wan blɔd vesel na di groin ɔ an to di at ɛn riples di valv we dɛn nɔ opin di chɛst ɔltogɛda. Dɛn kɔl dis Transkateta Aɔtik Valv Riplesmɛnt (TAVR/TAVI) . Bɔt dɛn nɔ go ebul fɔ du dis fɔ ɔlman. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu sityueshɔn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, yu dɔktɔ go chɛk yu ɛn ɔda fɔ du sɔm tɛst dɛn we yu nid.
- Wan at skan (Echocardiogram - Echo) .
- Chɛst X-ray ɛgzamin
- EKG tɛst (Ilektrokardiogram) .
- CT skan we dɛn kin du
- Cardiac Catheterization (na tɛst we dɛn kin pas kamɛra tru di blɔd vesel dɛn) .
- Blɔd ɛn urine tɛst
Afta ɔl dis, di dɔktɔ go tɛl yu wetin fɔ du di de bifo di ɔpreshɔn. Fɔ ɛgzampul, nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn, if yu nid fɔ stɔp fɔ tek ɛni mɛrɛsin, ɛn ustɛm yu fɔ kam na ɔspitul. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Aw dɛn kin du di ɔpreshɔn ɛn di we aw dɛn kin du am
We dɛn de du di ɔpreshɔn, dɛn go ful-ɔp yu anestez so yu nɔ go fil ɛni pen. Di dɔktɔ we de du di ɔpreshɔn kin yuz tu men we dɛn fɔ rich di at.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Tradishɔnal Ɔp-At Ɔpreshɔn | na ya, dεn kin mek 6-8 inch insay di midul pan di chεst fכ opin di stεnכm εn akses di at. |
| Minimally Invasive At Ɔpreshɔn | dis kin bi tru wan כ mכr sכm sכm 2-4 inch insayshכn dεm, we dεn nכ de opin di chεst kכmplit wan. Dis kin mek i nɔ gɛt bɔku blɔd, i kin de na ɔspitul fɔ shɔt tɛm, ɛn i kin wɛl kwik kwik wan. |
We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to wan spɛshal mashin (Heart-Lung Machine) fɔ du di wok we yu at ɛn lɔng dɛn de du fɔ sɔm tɛm. Dɔn di dɔktɔ we de du di ɔpreshɔn go stɔp yu at ɛn tek tɛm mek di valv ɔ chenj am. We dɛn dɔn fɔ du di wok, dɛn go bigin di at bak, dɛn go pul am na di mashin, ɛn dɛn go lɔk di say dɛn we dɛn kɔt am. Bɔku tɛm, di wan ol ɔpreshɔn kin tek lɛk tu awa so.
Afta ɔpreshɔn... di tɛm fɔ wɛl
Afta di ɔpreshɔn, dɛn go admit yu fɔs na di intensiv kia yunit (ICU) ɛn afta dat dɛn go transfa yu to wan rɛgyula wɔd. Yu go gɛt fɔ de na ɔspitul fɔ 5 to 7 dez. Afta yu dɔn go na os, i nɔmal fɔ lɛ yu fil taya bad bad wan fɔ sɔm wiks. So lisin to yu bɔdi ɛn rɛst bɔku.
Yu dɔktɔ kin tɛl yu fɔ mek yu du program fɔ mek yu at pwɛl . Dis kin min fɔ mek yu gɛt trɛnk smɔl smɔl bay we yu de du ɛksɛsayz ɔnda spɛshal pɔsin in sɔpɔtishɔn. Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ du tin dɛn bak lɛk fɔ es wet ɛn fɔ drayv. Bɔrku tɛm, i kin tek 4 to 8 wik fɔ mek i wɛl.
Sɔm pipul dɛn kin gɛt sɔm kayn pwɛl hat sik, dɛn kin fil bad, ɔr nɔr gɛt op afta dɛn dɔn ɔpreshɔn dɛn at. Dis na nɔmal tin ɛn dɛn kin trit am. If yu gɛt dis, tɔk to yu dɔktɔ bɔt am.
Simptom dɛm wae nid fɔ go to dɔktɔ kwik kwik wan
Afta yu dɔn go bak na os, if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- Chɛst de pen ɔ tayt
- Fiva ɔ fil kol
- Pus, swel, ɔ rɛdnɛs de frɔm di ɔpreshɔn we dɛn kɔt.
- Di at we de blo
- Leg we de swel (Edima) .
- di wet we yu de gεt pas 1.5 kg (3 paund) insay wan wik
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we fɔ ɔpreshɔn di aɔta valv na siriɔs tin, na tritmɛnt we kin sev yu layf ɛn i kin gɛt fayn fayn tin dɛn fɔ du.
- Difrɛn we dɛn de, lɛk fɔ ripɛnt valv, fɔ riples, fɔ opin ɔpreshɔn, ɔ fɔ ɔpreshɔn we nɔ de mek pɔsin in at pwɛl. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Na nɔmal tin fɔ fil taya afta dɛn dɔn du yu ɔpreshɔn. Gi yu bɔdi tɛm fɔ wɛl. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛnitin we yu de fred ɔ wɔri bɔt di ɔpreshɔn ɔ di tɛm we yu go wɛl.
- Di sɔpɔt we yu famili ɛn padi dɛn go gi yu go bi big trɛnk fɔ yu pan dis waka, so mek dɛn no bɔt dis bak.
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