Na nɔmal tin fɔ mek yu fred ɛn fred smɔl we yu dɔktɔ tɛl yu ɔ pɔsin na yu famili se yu nid fɔ baypas. Bikɔs dis na big ɔpreshɔn, yu kin gɛt bɔku kwɛstyɔn dɛn. "Wetin na dis?", "Wetin mek a nid dis?", "Dis denja?" Tin dɛn lɛk dat kin kam na mi maynd. So tide, lɛ wi tɔk bɔt dis baypas ɔpreshɔn, ɔ Coronary Artery Bypass Grafting (CABG) as dɛn kin kɔl am na mɛrɛsin, ɛn sɔm pipul dɛn kin kɔl am wit lɔv "kabij," ɛn lɛ wi tɔk bɔt am insay simpul wɔd dɛn.
Wetin mek yu nid dis baypas ɔpreshɔn?
Tink bɔt wi at lɛk motoka we de pɔmp blɔd ɔlsay na wi bɔdi. Dis motoka nid blɔd bak fɔ mek i wok fayn, nɔto so? Yɛs, wan sɛpret nɛtwɔk de we gɛt blɔd vesel dɛn we de gi blɔd to di at insɛf. Wi kin kɔl dɛn wan ya di korona at.
sכmtεm, tin dεm lεk כyl εn kכlestכl kin bכku insay dεn at dεm ya, lεk kכk we de insay wata paip, εn dεposit dεm we dεn k כl ‘plek’ fכm . Dɔn dɛn blɔd vesel ya kin smɔl, ɛn sɔntɛnde dɛn kin ivin blok ɔl. We dis kin apin, sɔm pat dɛn na di at nɔ kin gɛt di blɔd we dɛn nid. Wi kin kɔl dis kɔndishɔn ‘ischemia’ .
Fɔ tɔk am simpul wan, ischemia na we blɔd nɔ de go na di at mɔsul. If dis kin tranga, di at mɔsul sɛl dɛn kin bigin fɔ day. Wi kin kɔl dis at atak .
So, wetin baypas ɔpreshɔn kin du na fɔ mek nyu rod fɔ mek di blɔd baypas dis blɔd vesel we dɔn blok, we na ‘baypas’ rod . Dis kin mek blɔd flɔ fayn fayn wan to di pat pan di at we di sik dɔn afɛkt bak.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn nɔ go ebul fɔ du am wan tɛm. Bifo dat, dɛn go du sɔm tɛst dɛn fɔ mek dɛn ɔndastand yu bɔdi fayn fayn wan. Dɛn go rɛdi yu bak pan yu maynd ɛn yu bɔdi fɔ di ɔpreshɔn.
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
Dɛn kin du bɔku tɛst fɔ no if dis ɔpreshɔn fayn fɔ yu ɛn if i sef.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| Ilɛktrokardiogram (ECG/EKG) . | Test di ilɛktrik aktiviti na di at. |
| Ekokardiogram we dɛn kin du | Skan we de luk aw di at de wok ɛn aw i tan. |
| Ɛksesaiz Strɛs Tɛst | Fɔ si aw di at kin biev we i de du ɛksɛsayz. |
| Kadiak Kateshɔn/Angiogram | Test we de sho aw di blɔd vesel dɛn na di at dɔn blok. |
| Blɔd ɛn urine tɛst | Fɔ chɛk tin dɛn lɛk kɔlɔstrel, shuga lɛvɛl, ɛn di kidni fɔ wok. |
Fɔ tɛl yu
Yu dɔktɔ ɛn di wan dɛn we de wok na yu ɔspitul go tɔk to yu ɛn ɛksplen dɛn tin ya:
- Di mɛrɛsin dɛn we yu de tek: Dɛn go tɛl yu us mɛrɛsin yu nid fɔ kɔntinyu fɔ tek ɛn us mɛrɛsin yu nid fɔ stɔp fɔ tek bifo dɛn du yu ɔpreshɔn.
- Fɔ pripia fɔ di ɔpreshɔn: Dɛn go tɛl yu bɔku tin, lɛk spɛshal sop we yu fɔ yuz bifo di ɔpreshɔn, if pɔsin go de fɔ ɛp yu na os, ɛn wetin fɔ it ɛn drink.
- Afta dɛn dɔn du di ɔpreshɔn: Dɛn go tɛl yu bifo tɛm bɔt di tɛm we yu go wɛl, aw yu go fil, ɛn us sayn dɛn fɔ wach fɔ.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis na kɔmpleks ɔpreshɔn we kin tek sɔm awa. Dis na di step dɛm we dɛn kin fala.
1. Anestezi ɛn layf sɔpɔt: Fɔs, dɛn go put yu fɔ slip kpatakpata. So yu nɔ go fil ɛni pen. Dɔn, di we aw yu de blo go kɔnɛkt to wan ventilator . Dɔn bak, dɛn go put IV layn dɛn fɔ gi yu mɛrɛsin ɛn wata.
2. Hat-lɔng baypas mashin: Bɔku tɛm, dis mashin kin tek ova fɔ sɔm tɛm di wok we di at ɛn lɔng dɛn de du we dɛn de du ɔpreshɔn. Dis kin mek dɔktɔ dɛn ebul fɔ stɔp di at ɛn du di ɔpreshɔn fayn fayn wan we dɛn nɔ de muv am.
3. Baypas: Fɔ mek di nyu rod, dɛn kin tek wan pat pan di blɔd vesel we gɛt wɛlbɔdi frɔm ɔdasay na yu bɔdi. Dis kin kɔmɔt na yu leg, yu an, ɔ insay yu chɛst.Yu kin. dipכnt pan di nכmba fכ di at dεm we blכk (e.g. 2, 3, 4), yu kin nid fכ du sεvεra baypas lεk dis. Wi kin kɔl dɛn dabl, tripl, kwata baypas.
4. Ɔpreshɔn: Di dɔktɔ we de du di ɔpreshɔn kin kɔt di midul pan di chɛst fɔ mek i go ebul fɔ go na di at. afta dat di pat pan di bכdi we dεn pul, dεn kin kכnεkt am to di men at we de kכnεkt blכd kכmכt na di at (di aorta) εn to כda blכd vesel we de dכn di blכk. I tan lɛk se yu de bil nyu rod fɔ krɔs di rod we dɛn dɔn blok.
5. Fɔ dɔn di ɔpreshɔn: Afta dɛn dɔn du di baypas, dɛn kin stat di at bak, dɛn kin tay di chɛst bon bak wit waya, ɛn dɛn kin siŋ di say we dɛn kɔt am ɔp.
Difrɛn we dɛn fɔ du ɔpreshɔn
Nɔto ɔlman kin gɛt di sem kayn ɔpreshɔn. Dɛn kin yuz difrɛn we dɛn fɔ du tin, i kin dipen pan di tin dɛn we de apin to yu.
| Di nem fɔ di we aw dɛn de du am | Tɔk bɔt |
|---|---|
| CABG we de ɔf-pɔmp | Fɔ du ɔpreshɔn we di at stil de bit, we yu nɔ yuz mashin fɔ di at-lɔng. Dis na tin we nɔ izi fɔ du smɔl. |
| Minimally invasive CABG we nɔ gɛt bɛtɛ tin fɔ it | Bifo dɛn kɔt big say, dɛn kin du di ɔpreshɔn tru smɔl smɔl say dɛn we dɛn kɔt bitwin di rib dɛn. |
| CABG we dɛn de ɛp wit rɔbɔt | Dɛn kin du ɔpreshɔn bay we dɛn de kɔt smɔl smɔl say dɛn bay we dɛn de yuz rɔbɔt we dɔktɔ de kɔntrol. |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go admit yu na di Intensiv Keya Yunit (ICU) . Di wan dɛn we tren spɛshal wan go kia fɔ yu gud gud wan. Wae yu kɔndishɔn dɔn stebul, dɛn go transfa yu to wan rɛgyula wɔd. Yu go ɔltɛm de na ɔspitul fɔ lɛk 8-12 dez.
Afta yu dɔn go na os, dɛn kin aks bɔku pipul dɛn fɔ tek pat pan wan program fɔ mek dɛn gɛt prɔblɛm wit dɛn at . Dis rili impɔtant. Na ya, dɔktɔ dɛn, nɔs dɛn, pipul dɛn we de tich yu ɛksɛsayz, ɛn pipul dɛn we sabi bɔt it kin wok togɛda fɔ ɛp yu fɔ gɛt trɛnk bak ɛn gɛt wɛlbɔdi.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di bɛnifit dɛn we yu kin gɛt:
- Sakses fɔ lɔng tɛm:Dis na ɔpreshɔn we dɛn dɔn de du fayn fayn wan fɔ lɔng lɔng tɛm.
- Bɛst Sɔlv: Bɔku tɛm dis na di bɛst sɔlv fɔ pipul dɛn we gɛt bɔku bɔku blɔd vesel dɛn we dɔn blok.
- Nɔ nid fɔ trit bak: We dɛn du baypas ɔpreshɔn, di risk fɔ mek di prɔblɛm kam bak kin smɔl pas sɔm ɔda tritmɛnt dɛn (e.g., fɔ put stent).
Risk dɛn we kin apin:
Dis na big ɔpreshɔn, so sɔm prɔblɛm dɛn de we kin apin. Bɔt bɔku pan dɛn tin ya kin apin we pɔsin nɔ ebul fɔ avɔyd ɛn dɛn kin trit am.
- At ritm irɛgyulariti (Arrhythmias): I kin apin afta dɛn du ɔpreshɔn ɛn bɔku tɛm na fɔ shɔt tɛm nɔmɔ.
- Blɔd: Na prɔblɛm we kin mek dɛn du ɛni ɔpreshɔn.
- Infεkshכn: Dɛn tin ya nɔr kin apin naw, bɔt yu fɔ no bɔt sɔm sayn dɛm lɛk fiva ɛn kol.
- Di tin dɛn we kin apin to di kidni: I kin apin.
- Kɔnfyushɔn: Dis kin apin fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn, mɔ pan di wan dɛn we dɔn ol.
Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?
If yu gɛt ɛni wan pan dɛn sik ya we yu de na os, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- Diziz (vertigo) ɔr fɔdɔm
- Lɔs fɔ no bɔt sɔntin
- Palpitations (fɔ fil lɛk se yu at de bit fast) .
- Wan say na di fes de drɔp, wan say na di bɔdi de lɔs in trɛnk
- I nɔ izi fɔ tɔk
- Fiva ɔ kol kol
Mɛsej we dɛn kin kɛr go na os
- Coronary artery bypass grafting (CABG) na ɔpreshɔn we kin rili wok fayn ɛn we kin baypas di blɔd vesel dɛn we dɔn blok na di at ɛn mek di blɔd flɔ bak.
- Na nɔmal tin fɔ fil fɔ fred ɔ wɔri bɔt dis ɔpreshɔn. Aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
- I go tek sɔm wiks fɔ mek i wɛl ɔl we dɛn du di ɔpreshɔn. I impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn insay dis tɛm.
- Fɔ tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ du di rayt tɛm , fɔ tek pat pan program dɛn fɔ mek yu at pwɛl , ɛn fɔ liv fayn layf (gud it, ɛksesaiz) rili impɔtant fɔ mek yu wɛl fɔ lɔng tɛm.
- If yu fil ɛni saykilɔjik diskɔmfɔt (frustration, anxiety) afta di ɔpreshɔn, nɔr shem fɔ tɔk to yu dɔktɔ bɔt am.
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