Sɔntɛnde yu kin fil shɔt briz ɔ fil se yu chɛst de ebi we yu taya smɔl, ɔ we yu de klaym stej? Sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt wan prɔblɛm we gɛt valv na yu at. we di at valv nכ opin fayn εn i blok, wi kin kכl am ‘stenosis’. Tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du as tritmɛnt fɔ dis kayn sik. Bikɔs dis na tɔpik we rili impɔtant, lɛ wi ɔndastand ɔltin simpul wan.
Simpul wan, wetin na dis ‘commissurotomy’?
Okay, lɛ wi ɔndastand dis fɔs simpul wan. Yu at gɛt 4 men rum dɛn. Tink bɔt dɛn lɛk 4 rum dɛn. Fɔ mek blɔd kɔmɔt na wan rum to di ɔda wan, di domɔt dɛn we de bitwin dɛn fɔ opin ɛn lɔk fayn fayn wan. Dɛn domɔt dɛn de na wetin wi kɔl at valv .
Commissurotomy na di prosidur we de involv di mitral valv na yu at. i de bitwin di tu chεmba dεm na di at, di lεft atrium εn di lεft vεntrikl. Dis na di domɔt bitwin di tu rum dɛn. Dis domɔt gɛt tu flap dɛn.
Bikɔs ɔf sɔm mɛdikal kɔndishɔn, mɔ wan kɔndishɔn we dɛn kɔl ‘Mitral Valve Stenosis’ , dɛn tu domɔt ya nɔ de opin fayn. I tan lɛk domɔt we dɔn stɔp. Wetin kin apin da tɛm de? Di blɔd we de kɔmɔt na di ɔpa chɛmba to di ɔda chɛmba de ridyus. Dis kin mek di blɔd bak, ɛn dis kin put bɔku strɛs pan di at ɛn di lɔng dɛn. As tɛm de go, dis kin mek yu gɛt siriɔs prɔblɛm lɛk at pwɛl .
‘commissurotomy’ na sכjεkshכn we de involv fכ mek sכm sכm insεshכn εn separet di εria dεm (commissures) usay di liflet dεm fכ wan valv we blכk de atak, we de alaw di valv fכ opin fayn fayn wan bak. Dis kin mek blɔd go na di at izi wan bak.
Udat rili nid dis ɔpreshɔn?
Dis ɔpreshɔn nɔto fɔ ɔlman. Bɔku men rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn:
- If ɔda tritmɛnt dɛn (lɛk mɛrɛsin) we dɛn dɔn gi yu nɔ bin dɔn wok fayn.
- If yu nɔ fayn fɔ wan prɔsidyu we dɛn kɔl ‘Balloon Valvuloplasty’, we involv fɔ mek di valv big wit balyɔn.
- If yu gɛt ɔda ɔpreshɔn fɔ yu at, yu kin du dis ɔpreshɔn di sem tɛm.
Bɔt di tin we impɔtant pas ɔl na dat di sakrifays fɔ dis ɔpreshɔn de dipen pan di tin we mek yu mitral valv stenɔsis. Lɛ wi luk di tu men tin dɛn we kin mek wi du dis.
| Wetin kin mek di mitral valv prolaps? | Diskripshɔn ɛn fit fɔ ‘kɔmishɔnari’ ɔpreshɔn |
|---|---|
| Rimatik At Sik we pɔsin kin gɛt | Di damej pan di at valv dɛm bikɔs ɔf rεumatik fiva we i smɔl. Dis damej kin apin sɔm ia afta dat. dis na di say we di valv liflet dεm de fכs tכgeda (fyuz kכmishכn dεm). Di ‘commissarotomy’ ɔpreshɔn kin wok fayn pas ɔl na dis sityueshɔn. |
| Dijeneretiv Mitral Stɛnɔsis (Ej) . | As pipul dɛn de ol, sɔm pat dɛn na di valv kin pwɛl. If na so i bi, ɔda pat dɛn na di valv kin pwɛl pas di valv liflet dɛn we kin stik togɛda. So, kɔmissurotɔmi ɔpreshɔn nɔ kin fayn fɔ dɛn pipul ya. Dɛn nid fɔ mek ɔda valv ɔ fɔ riples di valv kɔmplit wan (Mitral Valve Replacement) . |
Wetin i min we valv kɔva dɛn stik?
Dis rili izi fɔ ɔndastand. Imajin se yu de smayl bifo miro wit yu lip lɔk. Luk di kɔna dɛn na yu ɔp ɛn dɔŋ lip. na de di tu flap dεm na di mitral valv de mit (di kכmishכn dεm). Naw imajin se sɔmbɔdi de ol di kɔna dɛn na yu lip wit tu finga. Yu kin opin yu mɔt fayn fayn wan? Nɔ, yu nɔ go ebul? na dat kin apin we di mitral valv blכk. ‘commissurotomy’ na ɔspitul we de fri dɛn tu kɔna dɛn de.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn kin bigin fɔ pripia sɔm wiks bifo tɛm. Yu mɛdikal tim (di dɔktɔ we de mɛn yu at, dɔktɔ we de mɛn yu at) go du yu gud gud wan fɔ chɛk yu.
- Wan kɔmplit ɛgzam fɔ di bɔdi
- Blɔd tɛst dɛn
- Fɔ tɔk lɔng bɔt yu sik ɛn mɛrɛsin histri
Dɛn go tɛst yu bak fɔ si if ɛnitin de we de blok na yu mitral valv ɛn ɔda at dɛn na yu at, lɛk:
- Echocardiography - Dis na skan fɔ di at.
- CT skan dɛn we dɛn kin du
- Koronari Angiografi
If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt di ɔpreshɔn, tɔk bɔt am ɔlsay wit di dɔktɔ ɛn put yu maynd fayn.If yu na pɔsin we de smok, i impɔtant fɔ lɛ yu lɛf fɔ smok kpatakpata bifo dɛn du yu ɔpreshɔn. Dis kin rili ridyus di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Na dis na di sikwins fɔ di tin dɛn we kin apin na di ɔpreshɔn rum:
1. Dɛn go gi yu anestezi fɔ mek yu slip kɔmplit wan.
2. dεn kin mek wan say we dεn kכl dכn di midul pan di chεst bon (sternum).
3. Yu go kɔnɛkt to wan mashin we de yuz di kadyopulmonari baypas . Dis na fɔ gi yu bɔdi di blɔd ɛn ɔksijɛn we i nid we yu at de stɔp we dɛn de du ɔpreshɔn.
4. di sajin de opin di lεft atria na di at εn i de egzamin di mitral valv.
5. dεn kin mek sכm sכm say dεm na di kכmishכn dεm na di valv fכ fri dεm.
6. Dɔn dɛn go pul yu na di at-lɔng mashin ɛn yu at go bigin bak.
7. fכ finish, dεn de du transεsophageal echocardiogram fכ kכnfכm se di valv de wok fayn fayn wan.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so. 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.
Bifo yu kɔmɔt na ɔspitul, yu dɔktɔ go advays yu bɔt dɛn tin ya:
- Cardiac Rehab: Dis kin rili ɛp fɔ mek yu gɛt trɛnk bak ɛn yus to nɔmal layf afta dɛn dɔn du yu ɔpreshɔn.
- Aw fɔ kia fɔ di say we dɛn kɔt am: Dis rili impɔtant fɔ mek yu nɔ gɛt di sik ɛn fɔ mek di wund wɛl kwik kwik wan.
- Bɔt ustɛm yu go ebul fɔ bigin drayv ɛn wok bak .
Rizult, risk, ɛn ustɛm fɔ go to dɔktɔ
Open mitral commissurotomy gɛt rili ay sakses rεt. I de mek blɔd flɔ fayn ɛn i de ridyus di sayn dɛn bad bad wan. Bɔt, i nɔto sɔlv we go de sote go. Bɔrku pipul dɛm wae gɛt dis prosidur kin nid fɔ gɛt ɔpreshɔn fɔ chenj dɛn valv sɔm tɛm tumara bambay.
Jɔs lɛk ɛvri ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin.
- Mitral Rigrɔjiteshɔn
- Ebi ebi blɔd we de kɔmɔt
- Infεkshכn dεm
- Di at bit we nɔ de bit ɔltɛm (Aritmia) .
- Strok
Bɔt dɛn nɔ kin gɛt bɔku prɔblɛm dɛn ya na wan big ɔspitul we gɛt ɛkspiriɛns ɔspitul dɔktɔ dɛn. If yu gɛt mɛrɛsin lɛk dayabitis, kidni sik, ɔr fat, di risk kin pas smɔl. Tɔk to yu dɔktɔ bɔt dis.
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm:
- Fiva
- Rɛd, swel, ɔ pus nia di say we dɛn kɔt am
- Chest pen ɔ prɛshɔn we de kam bak
If yu si sayn dɛm fɔ hat atak wantɛm wantɛm (bɔku pen na yu chɛst, i nɔ izi fɔ blo) ɔ yu gɛt sayn dɛm fɔ strok (we yu nɔ de tɔk fayn, yu de drɔp na wan say na yu fes), kɔl 1990 wantɛm wantɛm ɛn go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
Mɛsej we dɛn kin kɛr go na os
- ‘commissarotomy’ na opin-at ɔpreshɔn we dɛn kin du fɔ mek di mitral valv we dɔn blɔk wok fayn bak.
- di men tin we kin mek dis sik na di hat valv dεm we de pwεl bikoz fכ rεumatik fiva we i sכm pikin.
- Pan ɔl we dis na ɔpreshɔn we kin rili fayn, bɔku tɛm na fɔ sɔlv di prɔblɛm fɔ sɔm tɛm ɛn dɛn kin nid fɔ chenj di valv tumara bambay.
- Kadyak rihabiliteshɔn program dɛn rili impɔtant fɔ mek pɔsin wɛl kɔmplit wan afta dɛn dɔn ɔpreshɔn am.
- I rili impɔtant fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt yu sik, di ɔpreshɔn, ɛn di bad tin dɛn we kin apin to yu.
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