We di dɔktɔ tɛl yu se yu gɛt ol na yu at, yu go dɔn rili fred ɛn shɔk. Yu go mɔs dɔn tink se, "O mi Gɔd, ol de na mi at?" Bɔt nɔ wɔri. Dis nɔr denja lɛk aw wi kin tink, ɛn naw dɛn gɛt tritmɛnt dɛn we rili advans ɛn we dɔn wok fayn fɔ dis. De taya wae yu kin fil, de tranga fɔ blo wae yu de tray smɔl, kin bi bikɔs ɔf dis sik. So tide wi go tɔk bɔt dɛn ol ya na di at, ɛn bɔt di ‘Cardiac Closure Device’, we na smɔl tin we dɛn kin yuz fɔ lɔk dɛn.
Lɛ wi si fɔs, wetin na dis ol na di at?
Fɔ tɔk am simpul wan, wi at tan lɛk os we gɛt 4 rum dɛn. Tu rum dɛn de ɔp ɛn tu rum dɛn de dɔŋ. Wi kɔl dɛn tu rum ya we de ɔp di os di Atria. Di rayt atria ɛn di lɛft atria. Wan wɔl de bitwin dɛn tu rum ya. Wi kin kɔl dis wɔl di ‘Interatrial Septum’. Sɔntɛnde, wan ol kin fɔm na dis wɔl we dɛn bɔn am. Dis na wetin wi kin kɔl pan mɛrɛsin Atrial Sɛptal Difɛkt (ASD) .
Imajin se we dɛn de bil os, dɛn kin bil wɔl bitwin tu rum dɛn, ɛn lɛf smɔl ples we dɛn nɔ plasta. Dis na wan sik we dɛn bɔn wit.
Ɔda kɔndishɔn de we fiba dis, bɔt i difrɛn smɔl. Dɛn kɔl am Patent Foramen Ovale (PFO) . Dis nɔto rili rial ol lɛk ASD. we wi כl de insay di bεlε, sכmכl opin de bitwin dεn tu atria dεm ya. Bikɔs wi lɔng dɛn nɔ de wok da tɛm de, dis opin impɔtant fɔ mek blɔd go ɔlsay. Afta wi bɔn, we wi bigin fɔ blo, dis opin kin lɔk insɛf. Bɔt pan sɔm pipul dɛn, dis nɔ kin lɔk ɔl, bɔt i kin de lɛk smɔl lid. I kin opin we nid de. Dɛn kɔl dis PFO.
ASD na rial ol na di wɔl. PFO tan lɛk smɔl opin we nɔ de lɔk fayn. Dɛn tu de bitwin di tu ɔpa chɛmba dɛn na di at.
Wetin mek na prɔblɛm fɔ gɛt dɛn ol ya?
Okay, naw yu kin de aks, "So wetin kin apin we da ol de de?" Na dis na wetin kin apin.
Di lɛft say na wi at gɛt blɔd we gɛt bɔku ɔksijɛn ɛn klin. Dis blɔd de pɔmp ɔlsay na di bɔdi. Di rayt say gɛt blɔd we dɛn dɔn yuz, we nɔ gɛt ɔksijɛn, we nɔ klin. Dɛn kin sɛn dis blɔd na di lɔng dɛn fɔ mek dɛn gɛt ɔksijɛn bak.
Naw imajin, wetin go apin if ol de na di wɔl bitwin dɛn tu say ya? I tan lɛk ol bitwin wan tank we gɛt klin wata we dɛn dɔn filta fayn fayn wan ɛn wan tank we gɛt wata we dɛn dɔn yuz. Sɔm pan di gud blɔd we gɛt ɔksijɛn kin miks wit di blɔd we nɔ gɛt ɔksijɛn. Dɔn di blɔd we gɛt ɔksijɛn we nid fɔ go na di bɔdi kin go dɔŋ.
As a rizulta of dis, yu go:
- Fɔ fil taya ɛn taya .
- I nɔ kin izi fɔ yu fɔ blo.
- Di palpiteshɔn kin bigin fɔ fil lɛk se yu at de bit we nɔr nɔr fayn.
If na PFO, i kin rili denja. Smɔl smɔl blɔd we kin kam na wi bɔdi, mɔ na wi leg, kin travul go na di at sɔntɛnde. Nɔmal wan, dɛn kin travul go na di lɔng dɛn ɛn pul dɛn kɔmɔt de. Bɔt pan pɔsin we gɛt PFO ol, dis blɔd we de klɔt kin jomp frɔm di rayt say to di lɛft say ɛn go stret to di blɔd vesel dɛn we de go na di bren. If dat apin, di risk fɔ mek pɔsin gɛt strok kin bɔku.
Aw yu kin lɔk dis ol? - Di wok we di Kadyak Klɔz Divays de du
Trade, fɔ lɔk ol lɛk dis, yu fɔ du big ɔpreshɔn pan yu at we opin. Bɔt naw, bikɔs ɔf di advans tɛknɔlɔji, dɛn kin du dis insay wan rili simpul we pan pas 80% pan di kes dɛm. Na dat mek dɛn de yuz dis smɔl tin we dɛn kɔl Cardiac Closure Device .
I tan lɛk tu smɔl ɔmbrela dɛn we dɛn kɔnɛkt togɛda, ɔ wan tin we tan lɛk bɔtin. Dɛn mek am wit waya mɛsh we dɛn mek wit mɛtal alɔy we dɛn kɔl Nitinol, ɛn dɛn kɔba am wit poliɛsta klos.
Di we aw dɛn de trit am rili simpul.
Na wan dɔktɔ we de mɛn di at kin du dis.
1. Fɔs, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ no natin ɔ yu dɔn chak.
2. Dɔn, dɛn kin put wan smɔl tiub we dɛn kɔl kateta insay wan big blɔd vesel na yu leg.
3. Dɛn kin pas dis kateshɔn tru di blɔd vesel ɔlsay te to di at. Dɛn kin du ɔl dis ɔnda di gayd fɔ teknɔlɔji lɛk ɛkstrem rayt ɛn ɔltra saund.
4. we di kateshכn kam nia di ol na di at, dεn kin fכs put sכmtin lεk sכmכl balכn fכ mכsu di εksakכt saiz fכ di ol.
5. Dɔn, dɛn kin pas di tin we dɛn kin yuz fɔ lɔk, we na di rayt sayz, tru di kateshɔn we dɛn fold am to di say we di ol de.
6. We i de na di rayt ples, dɛn kin pul di kateshɔn. Dɔn di tu pat dɛn we dɛn fold we tan lɛk ambɔla kin opin na di tu say dɛn na di ol, ɛn dɛn kin lɔk di ol kpatakpata. I stɔp na di wɔl na ɔl tu di say dɛn, lɛk sanwij.
7. Afta dɛn dɔn kɔnfyus se di divays dɔn fayn fayn wan, dɛn kin pul di kateshɔn.
Na dat. Nɔ nid fɔ kɔba yu chɛst. No big kot nɔ de.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Transkateta we dɛn kin lɔk | Dɛn kin put wan smɔl tiub tru wan vein na di leg ɛn pas wan tin tru am to di at fɔ lɔk di ol. Dis na di we aw dɛn kin yuz mɔ, i simpul, ɛn i kin mɛn kwik kwik wan. |
| Ɔpreshɔn we dɛn kin du fɔ opin at | If di ol rili big ɔ ɔda prɔblɛm dɛn de, dɛn kin opin di chɛst ɛn dɛn kin stich ɔ pat di ol. Dɛn nɔ kin yuz dis bɔku tɛm naw. |
Wetin na di bɛnifit ɛn di sayd ɛfɛkt dɛm we dis tritmɛnt kin gɛt?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn sɔm prɔblɛm dɛn we nɔ kin apin so ɔltɛm.
Men advantej dɛn
- High success rate: Stɔdi dɔn sho se dis tritmɛnt kin pas 93%.
- Fɔ wɛl kwik kwik wan: If yu du ɔpreshɔn wit kateshɔn, yu jɔs gɛt fɔ de na ɔspitul fɔ wan nɛt. Yu kin kam bak to yu nɔmal layf insay lɛk tu wiks so. Yu kin wɛl kwik kwik wan pas we yu du ɔpreshɔn we yu opin.
- Smɔl pen: Na smɔl pen nɔmɔ de bikɔs dɛn nɔ de kɔt big say.
- Fɔ ridyus di risk fɔ gɛt strok: Ɛspɛshali fɔ pipul dɛm wae gɛt PFO, dis we ya kin ridyus di risk fɔ gɛt strok pas fɔ tek mɛrɛsin.
Sɔm sayd ɛfɛkt dɛn we kin apin (dɛn tin ya nɔ kin apin so ɔltɛm) .
- Blɔd we de klɔt: Blɔd kin klɔt rawnd di divays.
- Divays de shek: Na smɔl tɛm nɔmɔ di divays kin muf smɔl frɔm usay dɛn bin dɔn put am.
- di at ritm dεm we nכ nכmal: Di ritm we di at bit kin chenj fכ sכm tεm.
- Endocarditis risk: Dis na baktri infεkshכn na di insay layn na di at.
- Divays eroshɔn: Dis kin rili, rili rare (arawnd 0.04% - 0.3%). Di divays kin stɔp na di at wɔl ɛn pwɛl di wɔl as tɛm de go.
Nɔ wɔri! Yu dɔktɔ no ɔl dɛn bad tin ya ɛn i go du ɔl di tin dɛn we i nid fɔ mek i nɔ apin.
Wetin wi fɔ du fɔ avɔyd di bad tin dɛn we kin apin to wi?
Afta tritmɛnt, sɔm tin dɛn de we yu fɔ du pan yu pat. If yu fala dɛn tin ya gud gud wan, yu go ebul fɔ avɔyd ivin dɛn bad bad tin dɛn de we nɔ kin apin so ɔltɛm.
1. Fɔ mek blɔd nɔ klɔt
Yu dɔktɔ go tɛl yu fɔ tek wan mɛrɛsin we de mek yu nɔ gɛt blɔd ɔ we de mek yu nɔ gɛt blɔd, lɛk aspirin, ɛvride fɔ lɛk 6 mɔnt afta yu dɔn gɛt di tritmɛnt. I rili impɔtant fɔ tek dis mɛrɛsin di rayt tɛm ɛn nɔ ɛva fɔgɛt fɔ tek am .
2. Fɔ mek yu nɔ gɛt ɛndokadaytis infɛkshɔn (dis rili impɔtant!) .
Afta dɛn dɔn put di divays, i kin tek lɛk 6 mɔnt fɔ mek yu bɔdi in tisu dɛn gro ɛn kɔba am ɔl. Insay dis tɛm, if baktri dɛm we kɔmɔt ɔdasay na yu bɔdi go insay yu blɔd, i kin travul go na di divays ɛn mek yu gɛt infekshɔn. Fɔ mek dis nɔ apin:
- Kip yu tit ɛn yu gɔm rili klin. Brush yu tit fayn fayn wan ɛvride.
- Bifo yu du ɛni tritmɛnt fɔ yu tit (lɛk fɔ pul yu tut, fɔ klin, fɔ ful-ɔp), yu fɔ tɛl di dɔktɔ we de mɛn yu tit se yu gɛt dis kayn tin na yu at.
- Bifo yu du ɛni mɛdikal tɛst ɔ ɔpreshɔn we go mek yu blɔd , yu go nid fɔ tek antibayɔtik . Dis na fɔ protɛkt yusɛf frɔm di sik.
- If yu gɛt sayn dɛn we de sho se yu gɛt infekshɔn, lɛk fiva, bɔdi we de at, ɔ yu trot we de at, kɔl yu dɔktɔ wantɛm wantɛm.
Di dɔktɔ go gi yu wan kad we gɛt infɔmeshɔn bɔt dis. Kip am wit yu ɔltɛm.
Bak to nɔmal layf afta tritmɛnt...
If yu dɔn gɛt di tritmɛnt tru kateshɔn, yu go ebul fɔ de na ɔspitul fɔ wan nɛt ɛn go na os di nɛks de. Pan ɔl we yu go ebul fɔ du tin dɛn we yu nɔ bin de du insay tu to tri dez, i go fayn fɔ lɛ yu nɔ es ebi ebi tin ɔ fɔ du tin dɛn we go mek yu taya fɔ lɛk tu wiks so.
As tɛm de go, yu at tisu go gro ɛn kɔba dis divays kpatakpata. Dɔn i kin bi pat pan yu at. Yu nɔ go ivin fil se i de de. Yu go gɛt kɔmplit fridɔm fɔ liv nɔmal layf, fɔ ɛksesaiz, ɛn du ɛnitin we yu want.
If yu fɔ du MRI skan, sɔm tin dɛn kin de we dɛn nɔ fɔ du. So, bifo yu du ɛnitin, i go fayn fɔ mek yu tɔk to yu at dɔktɔ ɛn gɛt advays.
Mɛsej we dɛn kin kɛr go na os
- Hol na di at (ASD ɔ PFO) na wan sik we dɛn bɔn wit we kin ridyus di ɔksijɛn we di bɔdi de gɛt ɛn i kin mek i gɛt strok.
- Cardiac Closure Device na wan tin we rili wok ɛn sef we dɛn kin yuz fɔ lɔk wan ol na di at we dɛn de yuz kateta, we dɛn nɔ injekt di chɛst.
- Dis tritmɛnt we ya kin rili simpul, i nɔ kin mek pɔsin fil pen, ɛn i kin tek lɔng tɛm fɔ mek i wɛl.
- Afta yu dɔn trit yu, i impɔtant fɔ tek di mɛrɛsin we di dɔktɔ gi yu fɔ mek yu blɔd tan , jɔs fɔ di tɛm we yu tɛl yu.
- Bifo yu gɛt tritmɛnt fɔ yu tit ɔ ɔda ɔpreshɔn insay di fɔs 6 mɔnt, tɔk to yu dɔktɔ bɔt aw fɔ tek antibayɔtik fɔ mek yu nɔ gɛt di sik.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst ɔ yu nɔ de no natin, go to yu dɔktɔ wantɛm wantɛm. I rili impɔtant fɔ mek dɛn du di mɛdikal tɛst dɛn we yu nid .
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