Sɔntɛnde yu kin fil pen na yu chɛst ɔ yu kin tayt? Yu kin si se i nɔ kin izi fɔ yu fɔ blo we yu de tray tranga wan? Yu dɔktɔ go dɔn tɔk to yu bɔt baypas ɔpreshɔn. Na nɔmal tin fɔ fil smɔl frayd ɔr nervɔs we yu yɛri di wɔd "bypass." Bɔt nɔ wɔri. Tide, wi go tɔk bɔt at baypas ɔpreshɔn, ɔ wetin dɛn kɔl di mɛrɛsin we dɛn kɔl Coronary Artery Bypass Grafting (CABG), insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na baypas ɔpreshɔn (CABG)?
Imajin se ebi ebi trafik de we yu de go wok ɛvride, ɔ di rod lɔk. Wetin yu kin du da tɛm de? Yu tek difrɛn rod, dat na sayd rod ɔ ɔda rod, nɔto so? Na dat kin apin wit dis ɔpreshɔn.
Wi gɛt di men blɔd vesel (arterie) we de gi blɔd to wi at. Wi kin kɔl dɛn wan ya di korona at. As tεm de go, tin dεm lεk kכlestכl we de kכmכt frכm di it we wi de it kin bכku insay dεn at dεm ya, lεk rכst we de kכlכp insay paip, we de mek di pasεj sכmtεm. Wi kin kɔl dis bil-ap matirial `(Plaque)` ɔ `(Atheroma)`. We di at dɛn kin smɔl dis we, di at mɔsul nɔ kin gɛt di blɔd we i nid. Na da tɛm de chɛst pen `(Angina)` kin kam. if dis blכk tu mכch, εn blכd kכlכt fכm εn blכk di pasεj we sכmtεm kכmplit wan, wan `(Hat Atak)` kin apin.
So, baypas ɔpreshɔn na fɔ mek nyu rod, nyu vein, fɔ mek blɔd go na di at, baypas da blɔd vesel we dɔn blok ɛn we dɔn smɔl. I tan lɛk se yu de mek nyu rod fɔ pas da trafik jam de. Fɔ mek dis nyu rod, dɛn kin pul wan blɔd vesel na yu yon bɔdi. Bɔku tɛm, dɛn kin yuz vein we dɛn pul na di leg, an, ɔ insay di chɛst fɔ dis.
dis ɔpreshɔn de mek nyu rod (baypas) fɔ mek blɔd flɔ rawnd di blɔd vesel dɛn we dɔn blok na di at. Dis kin mek yu at wok bak ɛn sev yu layf.
Sɔntɛnde, nɔto jɔs wan blɔd vesel kin blok. I kin blok tu, tri, ɔ ivin 4 bɔtul dɛn bak. We dat apin, dɛn fɔ mek nyu rod fɔ ɛni wan pan dɛn. Wi kin kɔl dat ``dabl (2),`` ``tripul (3),`` ɔ ``kwadrupl (4) baypas`` ɔpreshɔn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn go du bɔku tɛst dɛn fɔ chɛk yu bɔdi fayn bifo dɛn du di ɔpreshɔn. Na afta dɛn tɛst ya nɔmɔ yu go ebul fɔ du di ɔpreshɔn ɛn disayd if yu rili nid am.
| Di tɛst we dɛn de du | Fɔ tɔk am simpul wan, aw i tan lɛk? |
|---|---|
| ECG (Ilɛktrokardiogram) . | Dɛn kin chɛk di at in ilɛktrik aktiviti ɛn di we aw i de bit. |
| Ikokardiogram (Echo) . | Dis na at skan. I de luk di sayz, shep, ɛn aw di at de pɔmp blɔd fayn fayn wan. |
| Ɛksesaiz Strɛs Tɛst | We yu de waka na tredmil, yu de wach aw yu at de wok. |
| Kadiak Kateterizashɔn / Angiogram | Dis na di tɛst we impɔtant pas ɔl. Dɛn kin put smɔl tiub insay wan vein na yu an ɔ yu leg, dɛn kin put day insay di at dɛn na yu at, ɛn dɛn kin tek ɛkstrem rayt. Dis kin sho ustɛm ɛn aw bɔku di blɔk de. |
| Tɛst fɔ Blɔd ɛn Yurin | Lan bɔt aw di kidni de wok ɛn ɔda mɛrɛsin lɛk dayabitis. |
Apat frɔm dɛn tɛst ya, yu dɔktɔ go aks bɔt ɛni mɛrɛsin we yu de tek naw. Sɔm mɛrɛsin dɛn (especially blood thinners) go nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn. Yu kin nid bak fɔ stɔp fɔ it ɛn drink (fast) sɔm awa bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Dis kin tan lɛk se yu de fred smɔl, bɔt dɛn kin du dɛn tin ya we dɛn dɔn anestez yu ɔltogɛda, we min se yu de na dip slip usay yu nɔ de fil natin.
1. Anestezi: Fɔs, dɛn go anestez yu ɛn put yu na dip slip. Yu nɔ go fil ɛnitin te di ɔpreshɔn dɔn.
2. Hat baypas: bכku tεm, we dεn de du כpεrayshכn, dεn kin tכn di wok we di at εn di lכng dεm de du fכ sכm tεm to wan spεshal mashin we dεn kכl ``Hat-Lכng Baypas Mashin''. Dɛn kin du dis fɔ kɔntinyu fɔ gi di bɔdi ɔksijɛn ɛn blɔd. Sɔntɛnde, dɛn kin du dis ɔpreshɔn we di at stil de bit. Dɛn kɔl dis ``Off-pump CABG''.
3. Insishכn fכ di כpεreshכn: di sכjaman de mek wan insishכn na di midul pan di chεst, dכn along di stεnכm.
4. Fɔ opin di chɛst: Dɔn dɛn kin tek tɛm kɔt di brɔst bon dɔŋ di midul ɛn afta dat dɛn kin sheb am tu fɔ rich di at. Nɔ wɔri, dis go atak bak afta di ɔpreshɔn ɛn i go wɛl.
. Dis na aw dɛn mek di nyu rod.
6. Ɛnd ɔf di ɔpreshɔn: Afta dɛn dɔn du di baypas, dɛn kin stat di at bak ɛn diskonɛkt am frɔm di mashin. afta dat dεn kin tay di stεnכm bak wit spεshal waya, εn dεn kin kכl di chεst we dεn kכl wit stich.
Di ɔltin we dɛn kin du kin tek ɛnisay frɔm tri to siks awa , i kin dipen pan ɔmɔs baypas yu nid ɛn yu wɛlbɔdi kɔndishɔn.
Yu tink se difrɛn we dɛn de fɔ du di ɔpreshɔn?
Yɛs, we di tɛknɔlɔji dɔn go bifo, bɔku we dɛn de naw fɔ du dis ɔpreshɔn.
- Off-pump CABG: Dis nɔ de yuz di at-lɔng mashin. Di dɔktɔ we de du di ɔpreshɔn de du di ɔpreshɔn we di at stil de bit.
- Minimally Invasive CABG: insay dis, dεn nכ de mek big insishכn na di midul pan di chεst. Bifo dat, dɛn kin kɔt sɔm smɔl smɔl say dɛn bitwin di rib dɛn ɛn dɛn kin du di ɔpreshɔn tru dɛn.
- Robot-assisted CABG: Insay dis we, di dɔktɔ we de du di ɔpreshɔn kin yuz rɔbɔt fɔ du di ɔpreshɔn. Di say dɛn we dɛn kɔt bak rili smɔl.
Yu dɔktɔ we de du ɔpreshɔn ɛn di mɛdikal tim go disayd us we fɔ du am bɛtɛ fɔ yu.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, bɛnifit dɛn de ɛn i gɛt prɔblɛm dɛn bak, ɛn i impɔtant fɔ no bɔt dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Sɔlv fɔ lɔng tɛm: Dis na ɔpreshɔn we dɛn dɔn du fayn fayn wan ɔlsay na di wɔl fɔ lɔng lɔng tɛm. Di tin dɛn we kin apin kin rili fayn. | At we nɔ de bit ɔltɛm (Arhythmias) . |
| Di bɛst sɔlv fɔ bɔku bɔku blɔk dɛn:Bɔku tɛm dis na di bɛst tritmɛnt fɔ pɔsin we gɛt bɔku bɔku blɔd vesel dɛn we dɔn blok. | Blɔd we de kɔmɔt |
| di risk fכ nid fכ ri-trit: We yu kכmpεr di tritmεnt dεm lεk stent ples (Angioplasty), di risk fכ di atεri blכk bak afta baypas כpεrayshכn de sכm. | Infεkshכn pan wund dεm |
| Fɔ sev layf: I de mek yu nɔ gɛt pen na yu chɛst, i de mek yu nɔ gɛt at atak, ɛn i de mek yu liv fayn ɛn lɔng layf. | Kidni dɛn we dɔn pwɛl |
| Strɔk ɔ at atak (dɛn tin ya nɔ kin apin so ɔltɛm) . |
Mɛmba se yu mɛdikal tim de du ɔl di tin dɛn we yu nid fɔ mek ɔl dɛn prɔblɛm ya nɔ bɔku, so nɔ wɔri bɔt dis we nɔ nid fɔ apin.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Di tɛm we pɔsin kin wɛl...
Afta dɛn dɔn du di ɔpreshɔn, dɛn go admit yu fɔs na di ɔspitul in intensiv kia yunit (ICU) . Na de, dɛn go de wach ɔltin frɔm yu at rit ɛn blɔd prɛshɔn gud gud wan. Wae yu sik dɔn stebul, bɔrku tɛm insay wan ɔ tu dez, dɛn go transfa yu to rɛgyula wɔd.
Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ lɛk fayv to sɛvin dez , afta dat yu kin go na os.
Afta i dɔn go na os...
Bɔku tɛm, i kin tek lɛk siks wik so fɔ mek i wɛl ɔl. Insay dis tɛm, yu nid fɔ tek tɛm smɔl.
- Nɔ es ebi ebi tin: Bikɔs i kin tek tɛm fɔ mek di bɔdi wɛl, nɔ es ɔ push ebi ebi tin dɛn.
- Drayv: Dɔktɔ dɛn kin advays yu nɔ fɔ drayv fɔ 4-6 wik.
- Rɛst: Gɛt bɔku rɛst. Bɔt nɔ de na bed ɔl di de. Start fɔ waka rawnd ɛn du smɔl smɔl wok dɛn.
- Fɔ kia fɔ wund: Dɛn fɔ kip di wund dɛn na yu chɛst ɛn usay dɛn pul yu vein dɛn klin. Di ɔspitul go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ dɛn.
Yu want fɔ chenj yu layf afta dɛn dɔn du yu ɔpreshɔn?
Fɔ tru, na yɛs!Dis na di pat we impɔtant pas ɔl. Baypas ɔpreshɔn na jɔs fɔ mek yu at dɛn we dɔn blok. Bɔt di ɔndalayn kɔndishɔn we mek di blɔk, we na di kɔlɔstrel we de bɔku, stil de na yu bɔdi. Di prɔblɛm kin apin bak na di nyu at ɔ ɔda at.
So, i impɔtant fɔ mek yu liv fayn layf afta yu dɔn du yu ɔpreshɔn.
- Kɔntrol di it: Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga. It mɔ vɛjitebul, frut, grɛn, ɛn it dɛn we gɛt bɔku fayv.
- Ɛksesaiz: Start fɔ ɛksesaiz smɔl smɔl, lɛk aw yu dɔktɔ tɛl yu fɔ du. Fɔ waka ɛvride na fayn tin.
- Klos smok: If yu na pɔsin we de smok, lɛf fɔ smok tide. Smok kin rili bad to di at.
- Tek di mɛrɛsin kɔrɛkt wan: Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek (we de mek di kɔlɔstrel go dɔŋ, i de kɔntrol blɔd prɛshɔn, ɛn i nɔ de mek blɔd nɔ klɔt) di rayt tɛm, ɛn yu nɔ go mis wan de.
- Cardiac Rehab: Afta yu kɔmɔt na ɔspitul, i fayn fɔ atɛnd program lɛk dis. Dɛn go gi yu gayd fɔ aw fɔ ɛksesaiz ɛn kɔntrol yu it ɔnda dɔktɔ in sɔpɔtishɔn.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Afta yu go bak na os, if yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- Bɔrku pen na yu chɛst
- I nɔ kin izi fɔ yu fɔ blo
- Diziz ɔ fɔdɔm
- Lɔs fɔ no bɔt sɔntin
- Fɔ fil lɛk se yu at de bit fast fast
- Fiva ɔ kol kol
- I nɔ izi fɔ tɔk, we yu de drɔp wan say na yu fes, we yu nɔ de fil fayn na wan say na yu bɔdi (dɛn tin ya kin bi sayn dɛn fɔ sho se yu gɛt strok) .
Mɛsej we dɛn kin kɛr go na os
- Korona at baypas graftin (CABG) nɔto natin fɔ fred. Na wan prɔsidyu we kin rili wok fayn ɛn we kin gi yu at nyu layf ɛn sev yu layf.
- Dis ɔpreshɔn de pas di blɔd vesel dɛn we dɔn blok na di at ɛn mek nyu rod fɔ mek blɔd flɔ.
- I rili impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn bifo ɛn afta di ɔpreshɔn.
- Ivin if di ɔpreshɔn nɔ wok fayn, if yu nɔ liv fayn layf (gud it, ɛksesaiz, ɛn avɔyd fɔ smok), di prɔblɛm kin kam bak.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt dis. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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