We di dɔktɔ tɛl yu ɔ yu pikin se dɛn gɛt "ol na di at," yu kin fil bad bad wan. Na nɔmal tin fɔ kwɛstyɔn lɛk "Wetin a de du naw? A go gɛt fɔ du big ɔpreshɔn?" fɔ kam na wi maynd. Bɔt nɔ wɔri. Tide, mɛrɛsin sayɛns dɔn go bifo bɔku. Bifo yu fɔ opin di chɛst lɛk aw i bin de trade, i pɔsibul fɔ lɔk dɛn kayn ol dɛn de insay wan rili simpul we. Tide, wi go tɔk bɔt wan spɛshal tin we dɛn kin yuz fɔ dis, we na wan Kadiak Klɔz Divays.
Wetin na dis "ol na di at"? (ASD ɛn PFO)
Fɔ tɔk am simpul wan, wi at gɛt 4 men rum dɛn. di tu chεmba dεm we de כp dεn kכl dεm di atria. wan pat de we lεk di wכl bitwin dεn tu rayt εn lεft atria ya. dεn kכl dis di intatrial sεptum. Na bikɔs ɔf wan ol na dis wɔl we wi kin kɔl "ol na di at."
Na tu kayn tin ya kin mɔna:
1. Atrial Septal Defect (ASD): dis na esεntial wan "ol na di at." Wan ol de na dis wɔl we dɛn bɔn am. Blɔd de flɔ bak ɛn kam bitwin di tu chɛmba dɛn na di at tru dis ol.
2. Patent Foramen Ovale (PFO): Dis nɔto rili rial ol lɛk ASD. Tink bɔt am, we wi de na wi mama in bɛlɛ, wan smɔl opin de na di wɔl bitwin dɛn atria ya. I rili impɔtant da tɛm de. Afta dɛn bɔn wi, dis opin kin lɔk fɔ insɛf. Bɔt pan sɔm pipul dɛn, i nɔ kin lɔk fayn. I kin stil tan lɛk smɔl flap. Na dat dem de kol PFO.
Sɔntɛnde, dɛn ol ya kin lɔk fɔ dɛnsɛf, ɔ dɛn kin smɔl fɔ liv wit ɛn nɔ gɛt ɛni prɔblɛm. Bɔt sɔm pipul dɛn kin nid fɔ lɔk dɛn ol ya if dɛn gɛt sɔm sayn dɛn lɛk we dɛn nɔ kin ebul fɔ blo, dɛn kin taya ɔltɛm, ɔ dɛn at nɔ kin bit fayn .
Wetin mek yu nid fɔ lɔk dis ol?
Fɔ ɔndastand dis, yu nid fɔ no smɔl bɔt aw di at de wok. di lεft say na wi at de kכri "gud" bכdi we fulכp wit כksijεn εn nid fכ sεnd am to di bכdi. di rayt say de kכri "bad" bכdi we nכ gεt כksijεn εn nid fכ klin am frכm di bכdi.
Naw imajin wetin go apin if ol de bitwin dɛn tu say ya? Yɛs, sɔm blɔd we gɛt ɔksijɛn ɛn sɔm blɔd we nɔ gɛt ɔksijɛn go miks togɛda. Dɔn di sɛl dɛn na wi bɔdi nɔ go gɛt di rayt ɔksijɛn. Na dat mek wi kin taya ɛn gɛt prɔblɛm fɔ blo.
Ɛspɛshali fɔ pipul dɛm wae gɛt PFO kɔndishɔn, sɔmtɛm smɔl smɔl blɔd we de fɔm na di bɔdi kin pas na dis ol ɛn stɔp na blɔd vesel na di bren, we kin mek dɛn gɛt wan denja kɔndishɔn lɛk strok. So, i rili impɔtant fɔ lɔk dis ol fɔ mek i nɔ kam.
Aw yu kin put dis divays insay di at?
Trade, dɛn bin jɔs ebul fɔ du dis bay we dɛn de du ɔpreshɔn pan pɔsin in at we opin, we na fɔ opin di chɛst. Bɔt nɔto so i bi igen. Tide, pas 80% pan di ASD dεm dεn kin kכloz bay we dεn de yuz wan simpul prכsidכs we dεn kכl kadyak kateshכn.
Di we aw dɛn de du dis rili wɔndaful.
- Fɔs, dɛn kin put wan tin tiub (kateta) insay wan big blɔd vesel na yu leg, nia yu groin.
- Dɔn, di dɔktɔ de yuz tɛknɔlɔji we tan lɛk ɛkstrem rayt ɛn tek tɛm gayd di tiub nia di ol we de na di at.
- Dɛn kin kɛr di tin we dɛn kin yuz fɔ lɔk insay dis tiub. Dis tin tan lɛk tu smɔl ɔmbrela dɛn we dɛn kɔnɛkt togɛda.
- We yu rich nia di ol, jɔs lɛk aw yu pul am kɔmɔt na di tiub, wan say pan dis divays kin opin na wan say na di ol, ɛn di ɔda say na di ɔda say, ɛn i kin lɔk di ol kpatakpata lɛk bɔtin.
Dɛn divays dɛn ya gɛt difrɛn saiz dɛn, frɔm 4 to 40 milimita. Yu dɔktɔ go pik di divays we go fit di sayz fɔ di ol we de na yu at.
Di bɛnifit ɛn di sayd ɛfɛkt dɛn we dis we pɔsin kin gɛt
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn bak smɔl smɔl prɔblɛm dɛn de.
| Di bɛnifit dɛn we pɔsin kin gɛt | Di Sayd Ifɛkt dɛn we pɔsin kin gɛt |
|---|---|
| Di sakses ret rili ay (ɔva 93%). | Blɔd we de klɔt. |
| Smɔl pen ɛn diskɔmfɔt pas fɔ opin ɔpreshɔn. | Di at ritm dɛn we nɔmal. |
| Di ɔspitul we dɛn kin de na di ɔspitul kin shɔt (bɔku tɛm na wan nɛt). | Fɔ muv di divays frɔm in ples. |
| Yu kin wɛl kwik kwik wan. | Damej to di hat wol (Divays eroshon) - Dis kin rili rare (less dan 0.3%). |
| I kin wok fayn pas mɛrɛsin fɔ mek pɔsin nɔ gɛt strok we i kam pan PFO. | Smɔl blɔd we de kɔmɔt na di divays (bɔku tɛm i kin stɔp insay di fɔs ia). |
Wetin yu kin du fɔ mek yu nɔ gɛt sayd ɛfɛkt?
Dɔktɔ dɛn kin du difrɛn tin dɛn fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya.
- Fɔ mek blɔd nɔ klɔt: Dɛn go gi yu antikɔagulant fɔ di fɔs 6 mɔnt afta dɛn dɔn put di divays insay.
- Fɔ mek di divays nɔ ambɔg ɔda tritmɛnt dɛn: Dɛn mek di nyu divays dɛn so dat if dɛn nid ɔda tritmɛnt fɔ di at tumara bambay, dɛn kin pas di kateshɔn tru di sem tin.
- Fɔ pik di rayt saiz: Di men tin fɔ mek di at wɔl nɔ rɔtin na fɔ pik di rayt saiz divays fɔ ɛni sikman.
Tin dɛn we yu kin du fɔ yu sef
Fɔ protɛkt yusɛf frɔm ɛndokadaytis, we na infɛkshɔn we kin apin, mɔ we yu de trit yu tit, yu fɔ tek kia ɔf dɛn tin ya insay di fɔs 6 mɔnt.
- Tɛl ɔl dɔktɔ ɛn dɛntist we yu si se yu gɛt dis divays. I fayn fɔ kɛr kad we gɛt da infɔmeshɔn de.
- If yu gɛt sayn dɛm fɔ infekshɔn lɛk fiva, bɔdi we de at, ɔ trot we de at, kɔl yu dɔktɔ wantɛm wantɛm.
- Tek kia gud gud wan fɔ yu tit ɛn yu gam wɛlbɔdi. Brush yu tit ɛvride ɛn go to dɛntist ɔltɛm.
- Bifo yu du ɛnitin we go mek yu blɔd, lɛk fɔ pul yu tut ɔ fɔ klin, aks yu dɔktɔ fɔ mek i no if yu nid fɔ tek antibayɔtik.
Aw lɔng i kin tek fɔ wɛl ɛn ɔda tin dɛn
Wit dis kateshɔn we, yu jɔs gɛt fɔ de na ɔspitul fɔ wan nɛt afta dɛn dɔn put di divays. Afta dat, yu go gɛt fɔ avɔyd fɔ du tin dɛn we de mek yu tranga fɔ lɛk tu wiks so. Bɔt yu kin go bak to di nɔmal tin dɛn we yu kin du insay wan ɔ tu dez. Di tɛm fɔ wɛl kin shɔt pas we dɛn de du ɔpreshɔn we dɛn opin.
Dɛn kin mek dis divays bay we dɛn kin tay wan poliɛsta klos to wan waya freym we dɛn mek wit nikɛl-taytaniɔm alɔy (Nitinol). As tɛm de go, wi yon bɔdi in yon tisu kin gro rawnd dis divays, ɛn i kin bi pat pan di at insɛf.
Sɔm pipul dɛn nɔ kin ebul fɔ du dis kateshɔn we. If na so i bi, dɛn nid fɔ du ɔpreshɔn. Bɔt naw, tɛknɔlɔji de fɔ du da ɔpreshɔn de wit smɔl smɔl say we pɔsin kin kɔt (we nɔ kin ambɔg am bɛtɛ).
Yu fɔ tɔk to yu dɔktɔ bɔt if yu kin gɛt MRI skan afta dɛn dɔn put dis divays insay. Sɔm divays dɛn nɔ bad fɔ MRI, bɔt sɔm tin dɛn we dɛn nɔ kin ebul fɔ du.
Mɛsej we dɛn kin kɛr go na os
- "A hol in the heart" na natin fɔ fred. Wit di teknɔlɔji tide, tritmɛnt dɛn de we rili fayn ɛn we nɔ bad fɔ dis.
- Kateta-based klos na wan we we izi fɔ du, we nɔ de mek pɔsin fil pen, ɛn we de wɛl kwik kwik wan pas we dɛn de du ɔpreshɔn we dɛn opin.
- Afta yu dɔn put di divays, yuz di mɛrɛsin we yu dɔktɔ gi yu fɔ mek yu blɔd tan, jɔs fɔ di tɛm we yu dɔn tɛl yu.
- Tek spɛshal kia fɔ yu tit wɛlbɔdi. Tɔk to yu dɔktɔ we de mɛn yu at bifo yu go gɛt tritmɛnt fɔ yu tit.
- Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn, wɔri, ɔ dawt we yu gɛt bɔt dis. I impɔtant fɔ mek dɛn tɛst yu kɔrɛkt wan ɛn fala di instrɔkshɔn dɛn.
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