Tink bɔt yu at lɛk wata pɔmp we de wok nɔ stɔp. Insay dis pɔmp, 4 smɔl pat dɛn de we tan lɛk domɔt we de ɛp fɔ mek blɔd go na wan say nɔmɔ. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dɛn at valv ya. If dɛn domɔt dɛn ya nɔ opin ɛn lɔk fayn, na big prɔblɛm, nɔto so? Semweso, tide wi de tɔk bɔt spɛshal ɔpreshɔn we dɛn kin du we di mitral valv, we na wan pan di impɔtant valv dɛn na wi at, nɔ opin fayn ɛn i smɔl.
Wetin na kɔmisrɔtomi?
Fɔ tɔk am simpul wan, kɔmistɔmi na ɔpreshɔn we de mek blɔd go tru wan valv na yu at. i kin kכmכn pan di mitral valv . di mitral valv de bitwin di כp lεft chεmba (lεft atrium) εn di lכw lεft chεmba (lεft vεntrikl).
Imajin se dis domɔt nɔ de opin fayn ɛn i stɔp ɛn smɔl. wi kכl dis kכndishכn mitral valv stεnosis. Wetin kin apin na dat di rod fɔ mek blɔd kɔmɔt na di ɔpa chɛmba to di ɔda chɛmba kin blok. Dis kin mek di blɔd bak ɛn put bɔku strɛs pan di at ɛn di lɔng dɛn. As tɛm de go, dis kin ivin mek pɔsin gɛt siriɔs prɔblɛm lɛk at pwɛl.
dis kכmisכrכtomi כpεrayshכn dεn de yuz am as tritmεnt fכ di εli stej dεm fכ mitral valv stεnosis. Bɔt fɔ tɔk tru, dɛn nɔ kin du am bɔku tɛm dɛn tɛm ya. Na bikɔs dɛn kin du am lɛk ɔpreshɔn we dɛn kin du fɔ opin at . I gɛt sɔm prɔblɛm dɛn we kin mek i sɔfa. So, ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ yuz simpul we dɛn we nɔ gɛt bɔku prɔblɛm. Wan pan di men tritmɛnt dɛn we dɛn de du naw na we dɛn de du balɔ valvuloplasty . Insay dis, dɛn kin put wan tin tiub ɛn put sɔntin lɛk balɔ insay di valv we dɔn smɔl, ɛn mek i big.
Bɔt fɔ sɔm pipul dɛn, dɛn nɔ kin ebul fɔ du di we aw dɛn de du di balɔ bikɔs ɔf di say we dɛn at de ɔ ɔda rizin dɛn. If dɛn kayn tin ya, na di bɛst we fɔ du ɔpreshɔn we dɛn kɔl kɔmisɔrɔtɔmi.
Udat rili nid dis ɔpreshɔn?
If yu gɛt mitral stenosis ɛn ɛni wan pan dɛn tin ya de apin, yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn:
- If yu nɔ bin dɔn wɛl wit ɔda tritmɛnt dɛn.
- If yu nɔ ebul fɔ du balɔ valvuloplasty.
Apat frɔm dat, if yu dɔn du ɔda ɔpreshɔn pan yu at, dɛn kin du dis ɔpreshɔn di sem tɛm.
Bɔt wan tin impɔtant fɔ mɛmba. Nɔto ɔlman we gɛt mitral valv stenɔsis kin du dis ɔpreshɔn. I dipen pan di tin we mek yu valv stenosis.
Tu men rizin dɛn de:
1. Damej wae de kam wit Riumatik Hat Disease:Riumatik fiva, we kin fala we pɔsin gɛt infεkshɔn na in trot we i smɔl, kin pwɛl di at valv dɛn sɔm ia afta dat.
2. Dijeneretiv Mitral Stenosis: As tεm de go, di valv de wik sכmtεm, i de sכmtεm sכmtεm, εn i de kכba wit kalsiכm dεposit dεm.
Kɔmishɔn ɔpreshɔn kin ɛp mɔ fɔ pipul dɛn we gɛt rεumatik at sik . insay dis kכndishכn, di tu kכna dεm na di valv usay di tu liflet dεm de mit, we dεn kכl di kכmishכn , kin tik εn sכmtεm dεn kin stik togeda.
Fɔ ɔndastand dis, tink bɔt am dis we. Go bifo miro ɛn smayl wit yu lip dɛn we yu lɔk. Yu kin si di tu kɔna dɛn usay yu ɔp ɛn dɔŋ lip dɛn kin mit? na dεn kכmishכn dεm na di mitral valv. Naw, tray fɔ opin yu mɔt bay we yu prɛs dɛn tu kɔna dɛn de wit yu indeks finga dɛn so dat dɛn nɔ go ebul fɔ muv. I at fɔ opin yu mɔt big wan, nɔto so? na dat de apin we di mitral valv de sכmtεm sכmtεm. Bikɔs di tu kɔna dɛn na di valv kin stik togɛda, i nɔ kin opin fayn, ɛn di blɔd nɔ kin flɔ fayn.
insay kɔmisrɔtomi ɔpreshɔn, dɛn kin mek smɔl smɔl say dɛn na di tu kɔna dɛn na di valv ɛn dɛn kin kɔmɔt. Dɔn di valv kin bigin fɔ opin fayn fayn wan bak. Bɔt pan pipul dɛn we dɔn pwɛl di valv bikɔs ɔf di ej, di kɔmishɔn dɛn nɔ kin pwɛl. Bifo dat, dɛn nid fɔ mek ɔda pat dɛn na di valv. So, dis ɔpreshɔn nɔ fayn fɔ dɛn. Dɛn go gɛt fɔ du difrɛn kayn valv ripa ɔ kɔmplit valv riplesmɛnt (mitral valv riplesmɛnt).
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Di pripiamɛnt kin bigin fɔ sɔm wiks, sɔm tɛm dɛn kin sɔm mɔnt, bifo di de we dɛn go du yu ɔpreshɔn. Yu mɛdikal tim (yu famili dɔktɔ, dɔktɔ we de mɛn yu at, ɛn dɔktɔ we de mɛn yu at) go kam togɛda fɔ mek dɛn du yu wan gud mɛdikal ɛgzam.
| Tɛst ɛn ɛvalueshɔn dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn | |
|---|---|
| Fɔ chɛk yu bɔdi | Fɔ chɛk di jenɛral wɛlbɔdi na yu bɔdi. |
| Blɔd tɛst dɛn | Fɔ chɛk aw di ɔgan dɛn lɛk di kidni ɛn di liva de wok ɛn aw di blɔd de wok. |
| Di sayn dɛm ɛn di sik histri | Tɔk ditayli bɔt de diskɔmfɔt wae yu de fil ɛn de sik wae yu bin dɔn gɛt trade. |
| Speshal tɛst fɔ di at |
|
If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt di ɔpreshɔn, tɔk to yu dɔktɔ bɔt am. Nɔ kip ɛnitin fɔ yusɛf. I rili impɔtant fɔ no ɔltin ɛn go insay di ɔpreshɔn wit rilaks maynd.
Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn, inklud ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn, ɛn ɛni chenj we yu mek pan yu mɛrɛsin dɛn.
Di tin we impɔtant pas ɔl na dat, if yu na pɔsin we de smok, i impɔtant fɔ lɛf fɔ smok kpatakpata bifo yu du di ɔpreshɔn fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn afta yu du di ɔpreshɔn. If yu nid ɛp fɔ du dis, aks yu dɔktɔ.
Aw dɛn kin du di ɔpreshɔn?
Insay di ɔpreshɔn rum, di mɛdikal tim kin fala dɛn tin ya:
1. Fɔs, dɛn go gi yu anestezi ɛn dɛn go put yu na slip te di ɔpreshɔn dɔn. Yu nɔ go fil ɛni pen.
2. Neks, di sajin de mek wan say na di midul pan yu chεst, dכn di brεstbon (sternum). Dɛn kɔl dis midyan stɛnotɔmi .
3. Yu go kɔnɛkt to wan mashin we de yuz di kadyopulmonari baypas . Dis mashin kin tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm we dɛn de du di ɔpreshɔn. Dis kin mek di dɔktɔ ebul fɔ du di ɔpreshɔn we yu stil de, ɛn yu at nɔ kin bit.
4. dεn opin di lεft atria na di at εn dεn de egzamin di mitral valv.
5. afta dat, dεn kin mek fayn fayn say dεm na di tu kכna dεm (kכmishכn) dεm na di valv we dεn stכk εn tik, dεn de separet dεm frכm wan an εn fri dεm.
6. Afta di wok dɔn, dɛn go diskɔnekt yu frɔm di at-lɔng mashin ɛn yu at ɛn lɔng dɛn go bigin fɔ wok bak.
7. Fכ finish, wan transεsophageal echocardiogramDɛn kin du spɛshal skan fɔ no if di valv de wok fayn ɛn if ɔltin de wok fayn.
Sɔntɛnde, dɛn kin du ɔda ɔpreshɔn dɛn na di at, lɛk fɔ mek ɔda at valv dɛn (aortic valve ɔ tricuspid valve), di sem tɛm we dɛn du dis ɔpreshɔn. If dis nid de, di mɛdikal tim go ɛksplen dis to yu bifo tɛm.
Wetin kin apin afta di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ lɛk wan wik afta di ɔpreshɔn. Fɔ di fɔs ɔ tu dez, dɛn go kip yu na di intensiv kia yunit (ICU) ɛn dɛn go de wach yu gud gud wan. Dis na fɔ ɛp fɔ no ɛni prɔblɛm we kin apin afta di ɔpreshɔn kwik kwik wan.
Bifo yu go na os frɔm ɔspitul, yu dɔktɔ go gi yu infɔmeshɔn bɔt:
- Cardiac Rehab: Dis kin rili bɛnifit pipul dɛn we de wɛl afta dɛn dɔn ɔpreshɔn dɛn at. I de ɛp yu fɔ gɛt yu trɛnk bak ɛn bigin fɔ du nɔmal tin dɛn.
- Aw fɔ kia fɔ di say we dɛn kɔt am: I rili impɔtant fɔ kip di say we dɛn kɔt am klin fɔ mek yu nɔ gɛt infɛkshɔn ɛn fɔ mek di wund wɛl kwik kwik wan.
- Di tin dɛn we yu nɔ fɔ du: Advays bɔt aw lɔng fɔ wet bifo yu bigin fɔ du tin dɛn bak lɛk fɔ drayv ɔ fɔ du ebi ebi wok.
Bifo yu go na os, nɔ fɔgɛt fɔ arenj fɔ mek pɔsin kam tek yu.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di bɛnifit dɛn we pɔsin kin gɛt
dis כpεrayshכn kin rεliv di simptom dεm lεk fכ brith sכt εn taya we di mitral valv sכmtεm sכmtεm. I kin protɛkt yu bak frɔm siriɔs prɔblɛm dɛn we kin apin tumara bambay. Dis na rili gud tritmɛnt fɔ pipul dɛm wae dɛn sik nɔr bad fɔ riples di valv ɔltogɛda ɛn wae nɔr dɔn bi saksesful wit ɔda tritmɛnt dɛm.
Risk ɔ Kɔmplikɛshɔn dɛn
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin. di komplikashכn we kכmכn pas כl na mitral valv rεgurjiteshכn .
| Ɔda prɔblɛm dɛn we kin apin |
|---|
| - Advεs rεakshכn to anεsthεsia. |
| - At ritm irɛgyulariti (Aritmia). |
| - Blɔd we de kɔmɔt pasmak. |
| - Fluid akyumyuleshכn rawnd di at (cardiac tamponade). |
| - Chenj na di tink ɔ kɔnfyushɔn. |
| - Hat atak. |
| - Infεkshכn dεm na di say we dεn insishכn. |
| - Strok. |
Bɔku pan dɛn prɔblɛm ya kin ridyus if dɛn gɛt tritmɛnt na big ɔspitul we gɛt tin dɛn fɔ du ɛn dɔktɔ dɛn we gɛt ɛkspiriɛns fɔ du ɔpreshɔn pan dɛn at.
Wetin go apin afta di ɔpreshɔn?
Open commissurotomy gɛt rili ay sakrifays rɛt. Dis ɔpreshɔn kin kɔrɛkt di valv we smɔl ɛn mek di blɔd flɔ bak.
Bɔt i impɔtant fɔ ɔndastand se dis nɔto di las sɔlv. Bɔrku pipul dɛm wae gɛt dis ɔpreshɔn kin nid fɔ gɛt mitral valv riplesmɛnt ɔpreshɔn leta na layf.
Yu dɔktɔ go ebul fɔ tɛl yu bɔt yu wɛlbɔdi tumara bambay. Ɔlman kin wɛl difrɛn we. Bɔku tin dɛn kin afɛkt dis, lɛk yu ej, ɔl yu wɛlbɔdi, ɛn aw yu valv dɔn pwɛl bifo dɛn du yu ɔpreshɔn.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni sayn fɔ se yu gɛt di sik we yu de wɛl na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
- Chɛst de pen, tayt, ɔ nɔ de fil fayn.
- Fiva.
- Rɛdnɛs ɔ wata we tan lɛk pus we de kɔmɔt na di say we dɛn kɔt am.
If yu gɛt ɛni wan pan dɛn bad bad sayn ya, kɔl yu lokal imejensi nɔmba wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu:
- Di sayn dɛm wae de sho se yu gɛt at atak (bɔrku pen na yu chɛst, yu nɔr kin ebul fɔ blo, yu kin vɔmit, yu kin swet).
- Di sayn dɛm fɔ paralayz (i nɔ kin izi fɔ tɔk, i kin drɔp na wan say na di fes, i nɔ kin fil fayn na yu an ɔ yu leg).
Mɛsej we dɛn kin kɛr go na os
- Commissurotomy na ɔpreshɔn we dɛn kin du fɔ opin at we kin trit mitral stenosis.
- Dis kin wok mɔ fɔ di wan dɛn we gɛt valv damej bikɔs ɔf rεumatik at sik.
- Dis na di bɛst opshɔn we simpul tritmɛnt dɛn lɛk di balɔn we nɔ pɔsibul.
- Pan ɔl we di ɔpreshɔn bin rili fayn, i pɔsibul se dɛn go nid fɔ du ɔpreshɔn fɔ chenj di valv tumara bambay.
- I rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu bifo ɛn afta yu du di ɔpreshɔn. Fɔ no di wɔnin sayn dɛm we kin apin afta yu dɔn ɔpreshɔn impɔtant fɔ mek yu sef.
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