I nɔmal fɔ mek ɛni mama ɔ papa wɔri we dɔktɔ se, "Di pikin gɛt ol na in at." We yu yɛri dɛn wɔd ya, yu kin tink bɔt bɔku tin dɛn. Bɔt if yu rili ɔndastand am, i nɔto natin fɔ fred. Tide wi de tɔk bɔt di tritmɛnt fɔ lɔk wan ol na di at we bɔku pipul dɛn dɔn yɛri bɔt bɔt nɔr rili no bɔt, we dɛn kɔl ASD Klɔz. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔs, lɛ wi si, wetin na dis ol na di at (ASD)?
okay, fכ put am simpul, dis na wan ol we dεn bכn na di wכl (dεn kכl am di ‘septum’) bitwin di tu כp chεmba dεm na wi at (we wi kכl di ‘atria’). Na mεdikal, wi kin kכl dis kכndyushכn (Atrial Septal Defect) , כ (ASD) fכ sכt.
Naw yu go tink se dis na sik. Di wɔndaful tin na dat, dɛn bɔn wi ɔl wit dis smɔl ol na wi at. Na nɔmal tin. Bɔku tɛm, dis ol kin lɔk insɛf insay sɔm wik ɔ mɔnt afta dɛn bɔn di pikin. Bɔt sɔntɛnde, sɔm pikin dɛn kin gɛt ol we big smɔl we nɔ kin lɔk fɔ insɛf. Na da tɛm de di prɔblɛm dɛn kin bigin fɔ kam.
Wetin mek yu nid fɔ lɔk dis ol?
If di ol smɔl, i nɔ go mek big prɔblɛm. Sɔntɛm dɛn nɔ nid ɛni tritmɛnt. Bɔt if dis (ASD) big, i kin kam wit bɔku prɔblɛm.
Imajin, we big ol de bitwin di tu ɔp pat dɛn na di at, di blɔd we de na wan chɛmba kin lik insay di ɔda wan. I tan lɛk ol bitwin tu wata tank dɛn. Dis kin mek di at ɛn di lɔng dɛn wok tranga wan pas aw dɛn kin wok. We dis kin apin as tɛm de go, difrɛn prɔblɛm dɛn kin apin.
Di tin we impɔtant pas ɔl na dat if big ol de, fɔ no ɛn trit am kwik, dat kin mek yu nɔ gɛt big big damej tumara bambay.
Si di tebul dɔŋ ya fɔ di men prɔblɛm dɛn we kin kam wit dis.
| Sɔm prɔblɛm we kin apin | Fɔ ɛksplen am simpul wan |
|---|---|
| At nɔ de bit (Aritmia) . | Di at we nɔ de bit ɔltɛm. I tan lɛk se mashin we de wok wit snɛl in pawa kin chenj in ritm wantɛm wantɛm. (Atrial Fibrillation) ɛn (Atrial Flutter) na dɛn kayn tin ya. |
| At we dɔn big | di at mכsul de big biכs fכ wok tranga wan. Dis nɔto fayn tin fɔ lɔng tɛm. |
| At we nɔ de wok fayn | Di at kin wik bikɔs i nɔ kin ebul fɔ bia di ɛkstra wet fɔ lɔng tɛm ɛn i nɔ kin ebul fɔ pɔmp di blɔd we di bɔdi nid. |
| Pulmonari Haypatɛnshɔn | di bכdi we de go na di lכng dεm de go כp, we de mek di prεshכn we de na di bכdi we de de go כp. Dis kin mek i nɔ izi fɔ blo. |
| Strok | Sɔntɛnde, smɔl smɔl blɔd we kin kam na di bɔdi kin travul tru dis ol ɛn stɔp na wan blɔd vesel na di bren. Dis na tin we nɔ kin apin smɔl. |
Na bikɔs ɔf dɛn risk ya yu dɔktɔ kin tɛl yu fɔ du ASD Closure, we na ɔpreshɔn fɔ lɔk dis ol. Dɛn kin du dis ɔpreshɔn pan yɔŋ pikin dɛn fɔ mek dɛn nɔ gɛt dis prɔblɛm we kin apin tumara bambay.
Aw dɛn kin du dis ɔpreshɔn? Tu we dɛn de fɔ du am!
Tu men we dɛn de fɔ lɔk wan ol na di at. Wan pan dɛn na ɔpreshɔn we dɛn kin du fɔ opin at , we gɛt fɔ du wit fɔ kɔt di chɛst. di כda wan na wan we we nכ de invayt bכku bכku wan , we involv fכ put sכm sכm tכb tru di groin.
Yu dɔktɔ we de mɛn yu at go disayd us we fɔ du am fayn fɔ yu ɔ yu pikin. Dis go dipen pan sɔm tin dɛn:
- Di sayz fɔ di ol ɛn usay i de na di at.
- Ɔda at sik dɛn we yu gɛt.
- Yu ɔl wɛlbɔdi biznɛs.
Naw, lɛ wi luk dɛn tu we ya wan bay wan.
1. Opin At Ɔpreshɔn (Sɔjik ASD Klos) .
Dis na di tradishɔnal we aw dɛn kin du am. Insay dis, dɛn kin anestez yu ɔltogɛda, we min se yu de slip so dip dat yu nɔ de fil natin.
- We dɛn de du di ɔpreshɔn:Yu go kɔnɛkt to wan spɛshal mashin (at-lɔng mashin) fɔ du di wok we yu at ɛn lɔng dɛn de du fɔ sɔm tɛm. Dɔn di dɔktɔ we de du di ɔpreshɔn go mek smɔl say na di midul ɔ rayt say na yu chɛst fɔ mek i rich yu at. Dɔn, dɛn go yuz wan smɔl tiub we gɛt kamɛra (ɛndoskɔp) fɔ fɛn di rayt say we di ol de.
- Aw fɔ lɔk di ol: Bɔku we dɛn de fɔ lɔk di ol.
- Dɛn kin kɔba am wit wan pat we dɛn mek wit sintetik tin.
- Ɔ yu kin kɔba am wit wan pat pan di tisu we dɛn pul na ɔda pat na yu yon at.
- Dɛn kin lɔk am wit sutura dɛn .
Pan ɔl we dis na big ɔpreshɔn, dɛn kin du am fayn fayn wan ɛn sef wan wit di tin dɛn we dɛn de yuz tide.
2. Transkateta ASD Kloz
Dis na di nyu we we bɔku pipul dɛn lɛk fɔ du. Na bikɔs i nɔ gɛt fɔ du wit big say we dɛn kɔt di chɛst. So, di tɛm we pɔsin kin wɛl kin rili shɔt. Bɔt dɛn kin jɔs du dis we aw di ol smɔl ɛn i de na di rayt ples na di at.
- Aw dɛn kin du am: Dɛn nɔ go ful-ɔp yu anestez, bɔt dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ slip. Dɔn, di dɔktɔ kin kɔt smɔl say na wan big vein na yu groin (femoral vein) ɛn put wan tin tiub we dɛn kɔl kateta tru am.
- Divays to di at: Na di ɛnd pan dis tiub na wan smɔl divays (kloz divays) we de lɔk di ol. Di dɔktɔ kin tek tɛm gayd dis tiub tru di vein to di at we i de luk pan tɛknɔlɔji dɛn lɛk ɛkstrem rayt ɛn ɛkokadiogram.
- Fɔ lɔk di ol: We di ol dɔn de na di at, di smɔl tin kin opin lɛk ambɔla ɛn lɔk di ol. Dɔn di dɔktɔ pul di kateshɔn. Na dat na so!
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Di tɛm fɔ wɛl go difrɛn difrɛn wan bay di we aw yu bin de du am.
- If dɛn bin dɔn ɔpreshɔn yu opin , yu go nid fɔ de na ɔspitul fɔ sɔm dez. Afta yu dɔn go na os, yu go nid fɔ avɔyd fɔ du tin dɛn we tranga fɔ sɔm wiks.
- If yu bin gɛt kateshɔn , yu kin go na os insay wan ɔ tu dez ɛn bigin fɔ du yu nɔmal tin dɛn bak insay wan wik.
Fɔ di fɔs 6 mɔnt afta di ɔpreshɔn, yu go nid fɔ tek mɛrɛsin fɔ stɔp yu blɔd fɔ mek i nɔ klot. Dɔn bak, if yu de du yu tit wok, i go mɔs bi se yu dɔktɔ go tɛl yu fɔ yuz antibayɔtik fɔ mek yu nɔ gɛt di sik.
Di tin we impɔtant pas ɔl na fɔ go na di klinik ɛvride we di dɔktɔ se fɔ kam (fɔl-ɔp apɔntinmɛnt) . Dɔn wi kin chɛk if di ol dɔn lɔk fayn ɛn if di at de wok fayn.
Ɛni risk dɛn de we kin apin? Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Dɛn tin ya nɔ kin bɔku, bɔt i fayn fɔ no bɔt dɛn.
- Alɛji to di tin dɛn we dɛn yuz fɔ du di ɔpreshɔn.
- Di at we nɔ de bit ɔltɛm (Aritmia).
- Blɔd we de kɔmɔt.
- Sik we de prɛd.
- Kidni dɛn we dɔn pwɛl.
- Strɔk ɔ transiɛnt ischemic atak.
Nɔ wɔri bɔt dɛn tin ya. Yu mɛdikal tim de du dɛn bɛst fɔ mek dɛn tin ya nɔ apin.
Bɔt if yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya we yu go na os afta dɛn dɔn du yu ɔpreshɔn, yu fɔ go na ɔspitul ɔ kɔl yu dɔktɔ wantɛm wantɛm.
| Ustɛm fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
| Wan chenj na di rod fɔ kɔt | If blɔd, pus, ɔ ɔda wata de kɔmɔt na di say we dɛn kɔt. |
| Chɛst de pen | Chɛst pen wantɛm wantɛm ɔ bad bad wan. |
| Ɔda tin dɛn we de apin | Fiva, i nɔ kin izi fɔ blo, yu nɔ kin no natin, yu kin fil wan strenj we yu de blo na yu chɛst. |
Aw layf go tan lɛk afta dɛn dɔn du di ɔpreshɔn?
Dis na di bɛst pat. Risach dɔn sho se if pɔsin we nɔ rich 25 ia yet gɛt dis ɔpreshɔn, di layf we i go liv na di sem wit pɔsin we nɔ ɛva gɛt ASD. Dat min se yu kin liv fayn layf ɛn nɔmal layf .
Di impɔtant tin na dat fɔ lɔk di ol de alaw yu fɔ liv lɔng, wɛlbɔdi layf pas fɔ gɛt (ASD) we yu nɔ gɛt tritmɛnt.
So, if di dɔktɔ se yu ɔ yu pikin gɛt ASD, nɔ wɔri bɔt am. Tɔk to yu dɔktɔ bɔt am. I go ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- atrial septal defect (ASD) na wan ol we de na di wכl bitwin di tu כp chεmba dεm na di at. Bɔku tɛm, i kin de we dɛn bɔn am.
- If di ol big, i kin put ekstra strɛs pan di at ɛn di lɔng, we kin mek difrɛn prɔblɛm dɛn apin as tɛm de go.
- Tritmεnt dεm de we rili saksesful fכ klos dis ol (ASD Closure), lεk opin at כpεrayshכn εn kateshכn.
- Di we aw dɛn kin yuz kateshɔn rili simpul ɛn i kin tek shɔt tɛm fɔ mek i wɛl, bɔt nɔto fɔ ɔlman. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu.
- Afta yu dɔn gɛt tritmɛnt, yu kin liv wɛl, nɔrmal layf. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
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