Na nɔmal tin fɔ mek yu fred ɛn shɔk we yu pikin in dɔktɔ tɛl yu se ol de na dɛn at. Yu go de tink se, "O mi Gɔd, wetin apin to mi pikin?" Bɔt nɔ wɔri. Dis sik kin rili kɔmɔn pan mɛrɛsin. Tide wi go tɔk bɔt dis ol na di at, we na wetin wi kɔl `(Atrial Septal Defect - ASD)` na mɛrɛsin, ɛn di tritmɛnt we dɛn kin yuz fɔ mɛn am, we na `(ASD Closure)`.
Fɔ tɔk am simpul wan, wetin na ASD?
Wi at gɛt 4 men rum dɛn. di tu chεmba dεm we de כp dεn kכl dεm di atria. wan wכl (septum) de bitwin dεn tu atria dεm ya. Atrial Septal Defect (ASD) na wan abnɔmal ol na dis wɔl.
Tink bɔt am, na lɛk ɔl pikin dɛn kin bɔn wit smɔl ol na dis wɔl. Dat na nɔmal tin. dis ol de klos insεf insay fכ wik כ mכnt afta dεn bכn di pikin. Bɔt sɔntɛnde, dis ol kin big smɔl, ɔ i nɔ kin ebul fɔ lɔk insɛf. Na da tɛm de wi kin kɔl am ASD.
Yu tink se dɛn nid fɔ lɔk dis ol? Udat nid dis tritmɛnt?
If di ol rili smɔl, i nɔ go mek ɛni prɔblɛm. Sɔntɛm dɛn nɔ nid ɛni tritmɛnt. Bɔt if di ol big, i kin bi prɔblɛm.
Wetin kin apin na bikɔs ɔf dis ol, blɔd we kɔmɔt na wan chɛmba na di at kin bigin fɔ lik insay di rɔng chɛmba. Dɔn di at ɛn di lɔng dɛn fɔ wok tranga wan pas aw dɛn kin wok. As tɛm de go, dis kin mek wi gɛt difrɛn prɔblɛm dɛn.
De tin wae impɔtant pas ɔl na fɔ trit dis bifo kɔmplikeshɔn kam. So if yu dɔktɔ tɛl yu fɔ du dis ɔpreshɔn, nɔ fred am.
di men komplikashכn dεm we kin apin bikoz fכ dis kכndyushכn na:
- di at ritm dεm we nכ de rεgulεr, we dεn kכl bak `(Arrhythmia)` kכndishכn dεm. fכ egzampl, `(Atrial Fibrillation)` כ `(Atrial Flutter)`.
- Di at we de mek di at big.
- Risk fɔ mek yu at pwɛl.
- Di ay blɔd prɛshɔn na di lɔng dɛn (Pulmonary Hypertension).
- I nɔ kin izi fɔ yu fɔ blo.
- Risk fɔ gɛt strok.
If yu ɔ yu pikin de pan denja fɔ gɛt dɛn prɔblɛm ya, yu dɔktɔ kin se yu fɔ lɔk di ol (ASD Closure). Dɔn bak, if dɛn de du ɔpreshɔn fɔ yu fɔ ɔda at sik, yu dɔktɔ kin disayd fɔ lɔk di ol di sem tɛm. Bɔku tɛm, dɛn kin du dis ɔpreshɔn pan yɔŋ pikin dɛn fɔ mek dɛn nɔ gɛt at pwɛl tumara bambay.
Aw fɔ lɔk di ol? Tu men we dɛn de fɔ du am!
Tu men we dɛn de we dɛn kin yuz fɔ lɔk dis ol: ɔpreshɔn we dɛn kin du fɔ opin at ɛn we dɛn nɔ kin du ɔpreshɔn we dɛn kin yuz kateshɔn. Yu dɔktɔ we de mɛn yu at go disayd us we fɔ du am fayn fɔ yu sityueshɔn.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| 1. Opin At Ɔpreshɔn (Ɔspitul Klɔz) . | insay dis, dεn kin sכk di chεst εria, we de akses di at dayrekt εn kכloz di ol. Dɛn kin yuz atifishal pat, ɔda tisu frɔm di bɔdi, ɔ stich fɔ lɔk di ol. Dɛn kin du dis ɔnda jenɛral anestezi. |
| 2. Transkateta Klos | Dis nɔ nid fɔ kɔt big say. wan tכb we rili tכn (kateta) dεn de pas tru wan bכdi we de na di groin εria to di at, εn dεn de pas wan spεshal tin (kloz divais) tru am fכ kכloz di ol. Di tɛm we pɔsin kin wɛl kin shɔt, ɛn no big skata nɔ lɛf. |
Smɔl mɔ bɔt Transkateta Klɔz
If di ol na yu at smɔl ɛn yu nɔ gɛt ɛni ɔda at sik, bɔku tɛm dɛn kin pik dis we. Insay dis we, di pɔsin nɔ kin slip ɔl. Dɛn kin yuz layt sɛdɛshɔn. di dכkta de yuz wan kateshכn we dεn put tru wan sכmכl insayshכn na di groin, εks-ray εn ``(Echocardiogram)`` fכ gayd di kateshכn insay di at. Dɔn, dɛn kin put di tin we de lɔk di ol di rayt we ɛn pul di kateshɔn. Rikɔvayshɔn kin rili fast pan dis we.
Wetin kin apin afta dɛn dɔn trit am? Aw lɔng i kin tek fɔ mek i wɛl?
Dipen pan di tritmɛnt we yu de gɛt, yu kin nid fɔ de na ɔspitul fɔ wan de ɔ mɔ. Di mɛdikal tim go wach yu gud gud wan.
- If dɛn dɔn du ɔpreshɔn pan yu opin , yu fɔ avɔyd fɔ du tin dɛn we tranga lɛk fɔ es ebi ebi tin dɛn fɔ sɔm wiks.
- If yu bin gɛt di kateshɔn prosidur , bɔku tɛm yu kin go bak to yu nɔmal aktiviti dɛn insay wan wik.
Afta tritmɛnt, mɛrɛsin fɔ mek blɔd nɔ klɔt fɔ lɛk 6 mɔntYu go gɛt fɔ tek am. Dɔn bak, mɔ if yu de gɛt tritmɛnt fɔ yu tit, yu dɔktɔ go advays yu fɔ tek antibayɔtik fɔ mek yu nɔ gɛt di sik.
Di tin we impɔtant pas ɔl na fɔ mek shɔ se yu go to dɔktɔ di de dɛn we yu dɔn plan fɔ go. Yu go nid fɔ mek dɛn du sɔm tɛst dɛn, lɛk ``Echocardiogram'' ɛn ``Electrocardiogram - ECG'', fɔ si if di tritmɛnt dɔn wok fayn.
Ɛni risk de fɔ dis tritmɛnt?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm smɔl smɔl tin dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt, bɔku tɛm, na tritmɛnt we rili sef ɛn we go wok fayn. Di prɔblɛm dɛn we kin apin na:
- Alɛji to di tin dɛm wae dɛn kin yuse fɔ trit.
- Di at bit we nɔ de bit ɔltɛm (Aritmia).
- Blɔd we de kɔmɔt.
- Di damej pan di at tisu ɔ di blɔd vesel (dɛn tin ya nɔ kin apin so ɔltɛm).
- Infεkshכn rawnd di say we dɛn kɔt ɔ divays we lɔk di ol.
- Strɔk ɔ Transiɛnt Ischemik Atak.
Yu dɔktɔ go tɔk to yu bɔt dɛn prɔblɛm ya. Natin nɔr de fɔ wɔri bɔt, bɔrku tɛm dɛn tin ya nɔr kin apin.
Us kayn tin yu nid fɔ go to dɔktɔ wantɛm wantɛm?
If yu si ɛni wɔnin sayn afta yu tritmɛnt, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| - Blɔd, pus, ɔ ɔda wata we de lik frɔm di kɔt. | - Chɛst pen. |
| - Lɔs pan kɔnshɛns ɔ kɔnfyushɔn. | - Fiva. |
| - Pen nɔ de go ɔp ɔ dɔŋ pan ɔl we yu de tek mɛrɛsin fɔ mek yu fil pen. | - I nɔ izi fɔ blo. |
| - di chenj dεm na di at ritm (dεn de fil lεk se yu de paund na di chεst). | |
Fɔ dɔn, ASD Klɔz na wan rili impɔtant tritmɛnt we de protɛkt di wɛlbɔdi fɔ di at ɛn lɔng, we de ɛp yu ɔ yu pikin fɔ liv lɔng, wɛlbɔdi layf.
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.
- Bikɔs big ol dɛn kin put ɛkstra strɛs pan di at ɛn di lɔng, i impɔtant fɔ lɔk dɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay.
- Ɔpreshɔn we dɛn kin du fɔ opin at ɛn we dɛn nɔ kin du ɔpreshɔn we dɛn kin yuz kateshɔn fɔ lɔk dis. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul.
- Dis tritmɛnt de mek pipul dɛn liv lɔng ɛn i kin ɛp fɔ liv wɛl bɔdi layf.
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