A ɔndastand aw i kin at fɔ mek dɔktɔ tɛl yu mama ɔ papa se yu pikin we yu jɔs bɔn gɛt at prɔblɛm we dɛn bɔn wit. Na dis kayn tɛm, we yu yɛri bɔt ‘BTT shunt’, yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin i bi, wetin mek dɛn du am, i go ambɔg di pikin, ɛn if ɛni risk de. Nɔ wɔri. Tide, wi go tɔk bɔt ɔltin klia wan ɛn simpul wan.
Simply put, wetin bi dis BTT Shunt?
BTT shunt, ɔ Blalock-Taussig-Thomas shunt, na spɛshal ɔpreshɔn we dɛn kin du fɔ ɛp pikin dɛn we nɔ de gɛt inof ɔksijɛn na dɛn bɔdi. Dis sik kin kam bikɔs ɔf wan at sik we dɛn bɔn wit .
Tink bɔt am, wi bɔdi kin gɛt ɔksijɛn frɔm di briz we wi de blo na wi lɔng. Dis ɔksijɛn nid fɔ ad to di blɔd ɛn kɛr am go ɔlsay na di bɔdi. Bɔt pan sɔm pikin dɛn we gɛt at sik, di men blɔd vesel we de kɛr blɔd frɔm di at to di lɔng , we na di pulmonary artery , nɔ kin gɛt inof blɔd. Dɔn di bɔdi nɔ kin gɛt inof ɔksijɛn.
So, wetin BTT shunt de du na fכ mek nyu rod bay we i de put sכmכl atifishal tכb (shunt כ graft) frכm di men bכdi we de kכri bכdi frכm di at to di bכdi to di lכng. I tan lɛk smɔl baypas rod we de pas wan bizi rod. Dis kin mek di blɔd we de go na di lɔng dɛn bɔku, ɛn di bɔdi kin gɛt bɛtɛ ɔksijɛn.
Di impɔtant tin na dat, dis kin bi sɔlv fɔ sɔm tɛm. We di pikin dɔn ol smɔl ɛn strɔng, dɛn kin du big ɔpreshɔn fɔ kɔrɛkt di fɔs at prɔblɛm kpatakpata. We dɛn de du da ɔpreshɔn de, dɛn kin pul di BTT shunt. Bɔt, na smɔl tɛm nɔmɔ, sɔm pikin dɛn kin nid fɔ gɛt dis shunt as sɔlv fɔ lɔng tɛm.
Us kayn at sik dɛn we nid fɔ gɛt BTT Shunt ɔpreshɔn?
Dis ɔpreshɔn kin fayn fɔ sɔm at sik dɛn we dɛn kin bɔn wit we kin mek di blɔd nɔ flɔ na di lɔng dɛn.
| Di at kɔndishɔn dɛn we dɛn bɔn wit |
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| Hypoplastic lef hat sindrom |
| Tetraloji ɔf Falɔt (TOF) . |
| Truncus arteriosus we de na di bɔdi |
| Ebstein in anomaly we i gɛt |
| Atresia we de na di pulmonari |
| Trikuspid atresia we dɛn kɔl trikuspid |
| sכm fכm dεm fכ transposishכn fכ di big at dεm |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo di ɔpreshɔn, yu pikin in mɛdikal tim go gɛda ɔl di infɔmeshɔn we dɛn nid. Dɛn go tek tɛm chɛk yu pikin ɛn tek tɛm luk in wɛlbɔdi istri frɔm we yu gɛt bɛlɛ. Dɛn kin du sɔm tɛst dɛn bak we nɔ kin ambɔg pɔsin.
| Di kayn tɛst dɛn we dɛn kin du |
|---|
| Wan at skan (Transthoracic echocardiogram) we dɛn kin du . |
| Blɔd tɛst dɛn |
| X-ray na di chɛst |
| ECG tɛst (Ilektrokardiogram) . |
| Sɔntɛnde, dɛn kin du angiogram ɔ CT angiogram (Koronary angiogram ɔ CT angiogram) . |
Yu go gɛt instrɔkshɔn bak bɔt aw fɔ was yu pikin bifo dɛn du di ɔpreshɔn ɛn ustɛm fɔ stɔp fɔ it ɛn gi in bɛlɛ.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn kin tek sɔm awa ɛn i kin rili dilik. Di dɔktɔ we de du ɔpreshɔn kin du dɛn tin ya mɔ:
- Di bon we de na di midul pan pikin in chɛstdi at de akses bay we dεn kכt tru di stεnכm .
- Fɔ mek i go nia di at, dɛn kin pul di taymus gland we de nia de kpatakpata.
- as wi bin dכn tכk, wan sεntetik graft de kכnekt bitwin wan men at we de gi bכdi to di bכdi (di sabklavian at) εn di at we de gi bכdi to di lכng (di pulmonari at).
- Dɛn kin tek tɛm chɛk dis kɔnɛkshɔn fɔ si if i de wok fayn, if ɛni blɔd klɔt, ɔ if ɛni blɔd de lik.
- If ɔltin fayn, di pikin in chɛst go lɔk bak.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go admit yu pikin na di intensiv kia yunit (ICU) .
Nɔ mek yu fred fɔ dis. Yu kin fil smɔl we yu si yu pikin afta di ɔpreshɔn. di pikin go gεt bכku tכb dεm εn waya dεm we dεn tay pan am. Bɔt mɛmba se ɔl da ikwipmɛnt de de fɔ ɛp di pikin fɔ wɛl kwik kwik wan. So una kɔntinyu fɔ strɔng.
Dɛn kin gi di pikin wan tin we de mek di blɔd tan lɛk ɛparin fɔ mek di blɔd nɔ klɔt. Dɛn kin bigin fɔ yuz aspirin bak . Di pikin go gɛt fɔ tek dis aspirin fɔ di res ɔf in layf. Na smɔl tɛm nɔmɔ, sɔm pikin dɛn kin nid di ɛp frɔm wan tɛmporari layf sɔpɔt mashin, lɛk ECMO .
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di men bɛnifit:
di big bεnεfit we dis כpεrayshכn de gi na dat i de mek di כksijεn we de rich di pikin in bכdi sεl dεm. dis de ridyus di blu kכla (cyanosis) we dεn kin si na sכm pikin dεm in skin, lip, εn finga nεl bikoz dεn nכ gεt כksijεn. Dis na fayn brij fɔ di pikin fɔ gɛt wɛlbɔdi ɛn strɔng te di nɛks big ɔpreshɔn.
Risk ɛn kɔmplikeshɔn dɛn:
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli. Sɔm pan di prɔblɛm dɛn we kin apin na:
- mכr bכdi de fכlכ tru di shunt to di lכng dεm pas aw i nid (pulmonary overcirculation).
- Blɔd we de klɔt.
- damej pan wan nεv nia di say we dεn de du di כpεrayshכn (sεf di nεv we de afekt di dip we di pikin in vכys de).
- Di at bit we nɔ de bit (Aritmia).
- Di at we de mek di at nɔ de wok.
Dɛn risk ya kin rili smɔl, ɛn di mɛdikal tim de du ɔl wetin dɛn ebul fɔ mek tin dɛn lɛk dis nɔ apin.
Aw lɔng i kin tek fɔ mek a wɛl ɛn ustɛm a fɔ go to dɔktɔ?
Di pikin go de na ɔspitul fɔ lɛk tu wiks so. Di fɔs wik ɔ so dɛn go spɛn am na di intensiv kia yunit (ICU). Ivin afta yu go na os, yu go nid fɔ kɛr yu pikin go fɔ chɛk am ɔltɛm. Bɔku tɛm, di fɔs visit go bi insay wan ɔ tu wiks afta dɛn dɔn go na os.
Afta yu dɔn go bak na os, if yu notis dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ |
|---|
| Swel na di say we dɛn du di ɔpreshɔn ɔ ɔdasay na di bɔdi |
| Rɛdnɛs rawnd di ɔspitul wund |
| If di skin ɛn di lip dɛn tan lɛk blu bak |
| If i tan lɛk se di pikin taya pasmak ɔ i taya pasmak |
| If yu gɛt fiva |
| If wata de lik frɔm di wund we dɛn du di ɔpreshɔn |
As mama ɔ papa, wi no se yu want fɔ gi yu pikin di bɛst we yu ebul. Di bɛst tin we yu kin du dis tɛm na fɔ aks di mɛdikal tim ɔl di kwɛstyɔn dɛn we yu gɛt. Tɔk klia wan bɔt aw yu pikin de sik, aw dɛn go du di ɔpreshɔn, ɛn wetin go apin tumara bambay. If yu pik ɔspitul ɛn dɔktɔ dɛn we gɛt bɔku ɛkspiriɛns pan dɛn kayn ɔpreshɔn dɛn de, dat go mek yu gɛt bɔku kolat bak na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- BTT Shunt na ɔpreshɔn we dɛn kin du pan bebi dɛn we gɛt at sik we dɛn bɔn wit fɔ mek di blɔd we de flɔ to di lɔng dɛn go ɔp ɛn gi ɔksijɛn to di bɔdi.
- Bɔku tɛm, dis kin bi sɔlv fɔ sɔm tɛm. We di pikin dɔn gro, dɛn go nid fɔ du ɔda ɔpreshɔn fɔ kɔrɛkt di at prɔblɛm we de ɔnda am.
- Afta di ɔpreshɔn, di pikin go nid tritmɛnt fɔ kia fɔ am bad bad wan ɛn i kin nid fɔ tek mɛrɛsin lɛk aspirin fɔ di res ɔf in layf.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin. Tɔk opin wan wit yu dɔktɔ bɔt dɛn.
- Afta yu go na os, pe atɛnshɔn gud wan to yu pikin in bihayvya, in skin kɔlɔ, fiva, ɛn ɔda tin dɛn If yu notis ɛni chenj, go to dɔktɔ wantɛm wantɛm.
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