Wi at na wɔndaful mashin we de pɔmp blɔd we de gi ɔksijɛn ɛn tin dɛn fɔ it to ɛvri sɛl ɛn ɔgan na yu bɔdi. I tan lɛk motoka we de gi wata to os. Bɔt sɔntɛnde dis motoka we dɛn kɔl at kin wik smɔl. Dɔn i nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi. Insay mɛrɛsin, wi kin kɔl dis sik At Failure , ɔ lɛk aw sɔm pipul dɛn kin kɔl am, Congestive Heart Failure (CHF) . Fɔ yɛri dis nem kin mek yu fred smɔl, bɔt fɔ tru, i nɔ kin mek yu fred lɛk aw yu go tink. Na bikɔs rili gud tritmɛnt dɛn de fɔ dis.
Wetin rili na At Failure?
Fɔ tɔk am simpul wan, di at na pawaful pɔmp we dɛn mek wit di mɔsul dɛn. We dis pɔmp wik, i nɔ kin ebul fɔ pɔmp blɔd fast ɔ pawaful fɔ mit di bɔdi in nid. Imajin se yu wata pɔmp dɔn ol ɛn wik. I kin tek lɔng tɛm fɔ pɔmp wata insay di tank, ɛn i nɔ kin ivin ebul fɔ ful-ɔp am ɔl. Di sem tin kin apin to di at.
Dɔktɔ dɛn kin trit dis sik wit chenj dɛn layf (lɛk fɔ kɔt sɔl ɛn ɛksesaiz) ɛn mɛrɛsin. Bɔrku pipul kin wɛl wit dɛn tritmɛnt ya. Bɔt fɔ sɔm pipul dɛn, dɛn tin ya nɔmɔ nɔ go du fɔ dɛn. Na da tɛm de dɛn kin tink bɔt fɔ du ɔpreshɔn. Ɔpreshɔn kin mek yu at wok fayn, i kin mek yu nɔ gɛt bɛtɛ sik, ɛn i kin ɛp yu fɔ liv lɔng.
Us kes dɛn i nid fɔ du ɔpreshɔn?
Bɔku rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan pɔsin we in at nɔ de wok fayn.
- Trit di men tin we mek yu at nɔ de wok fayn: Yu at kin pwɛl bikɔs yu gɛt prɔblɛm wit yu at valv ɔ yu blɔd vesel dɔn blok. We dɛn pul di men tin we mek yu gɛt am tru ɔpreshɔn, yu at go bigin fɔ wɛl.
- Mek di at ebul fɔ pɔmp fayn: Sɔm ɔpreshɔn dɛn de we kin ɛp di at dairekt wan. Fɔ ɛgzampul, fɔ put tin lɛk pɔmp we de ɛp di at.
- Sev pɔsin in layf: We di at wik tumɔs fɔ mek i nɔ ebul fɔ kɔntrol am wit mɛrɛsin ɛn ɔda tritmɛnt dɛn, ɔpreshɔn kin bi di las tin fɔ sev pɔsin in layf.
Us kayn ɔpreshɔn dɛn kin du fɔ Hat Failure?
Difrɛn kayn ɔpreshɔn dɛn de fɔ dis sik. Sɔm dɛn rili simpul, dɛn kin du am tru smɔl smɔl say dɛn we dɛn kɔt dɛn. Ɔda wan dɛn kin go te to ɔpreshɔn fɔ opin at ɛn fɔ transplant at. Lɛ wi tɔk bɔt ɛni wan pan dɛn.
Tritmɛnt dɛn fɔ Aritmia
Aritmia we nɔ de wok faynI min se di at nɔ de bit ɔltɛm bikɔs ɔf wan smɔl prɔblɛm we de na di at in ilɛktrik sistɛm. Dis kin bi wan tin wae de mek yu hat nɔr de woke fayn, ɛn e kin bi wan sayn bak.
- Catheter Ablation: Dis na rili smɔl tin we dɛn kin du. Yu dɔktɔ go put wan rili tin tiub (kateta) tru wan vein na yu leg ɔ yu an insay yu at. Dɔn, dɛn go fɛn di rayt say na yu at we de mek di ilɛktrik signal dɛn we nɔ de ɔltɛm ɛn ɔf am bay we dɛn put smɔl ɔt ɔ kol pasmak na da say de. Afta dis, yu at go bigin fɔ bit nɔmal wan bak.
- Divays dɛn we dɛn kin put insay di bɔdi: Tu kayn smɔl mashin dɛn de we dɛn kin put insay di bɔdi fɔ kɔntrol di we aw di at de rit. Dɛn pipul ya tan lɛk layf gad dɛn we de wach aw di at de rit.
| Divays nem | Wetin kin apin to am? |
|---|---|
| Difibrilator (ICD) we dɛn kin put insay pɔsin in bɔdi (ICD) . | If di at bit fast ɔ nɔ de bit we denja, dis divays kin no am ɛn gi smɔl ilɛktrik shɔk to di at fɔ mek di ritm kam bak. |
| Permanent Pesmɛka we go de sote go | We di at de bit tumɔs, dis tin de kɔntinyu fɔ mek smɔl smɔl ilɛktrik signal dɛn fɔ ɛp fɔ mek di at bit ɔltɛm. |
Dɛn bin de du ɔpreshɔn pan di vein dɛn we de gi blɔd to di at
- Coronary Artery Bypass Graft Surgery (CABG): As tɛm de go, di fat we de na di smɔl smɔl at dɛn we de gi blɔd to di at mɔsul, kin mek dɛn blok. Dis kin mek di at wik ɛn nɔ ebul fɔ gɛt di ɔksijɛn we i nid. Baypas ɔpreshɔn tan lɛk we yu mek nyu rod (baypas) rawnd wan at we dɔn blok. Di dɔktɔ we de du di ɔpreshɔn kin yuz wan pat pan di at we dɛn tek frɔm ɔda pat na yu bɔdi (lɛk yu leg ɔ yu chɛst) fɔ mek nyu rod fɔ mek blɔd go rawnd di at we dɔn blok.
- Coronary Angioplasty and Stent: Dis na tritmɛnt bak fɔ opin di at we dɔn blok, bɔt i simpul pas baypas ɔpreshɔn. Na ya, yu go:
1. Dɛn kin put smɔl kateshɔn insay wan blɔd vesel na yu an ɔ yu groin.
2. dεn de pas di kateshכn nia di at we dεn blכk na di at.
3. we dεn inflayt wan sכmכl balכn we de na di εnd pan di kateshכn, dεn de push di כyl we trכp na di sayd dεm εn di vein de opin.
4. Dɔn, dɛn kin put wan smɔl tiub we tan lɛk mɛsh (stɛnt) insay da vein de fɔ mek i nɔ blok bak.
Ɔpreshɔn fɔ di At Valv
di at valv dεm na di pat dεm we lεk doa bitwin di chεmba dεm na di at we de mek blכd fכ fכlכ na wan say nכmכ εn i nכ fכ fכlכ bak. Dɛn valv ya kin gɛt tu kayn sik. Wan na we di valv nɔ de lɔk fayn ɛn di blɔd de lik bak (regurgitation). di כda wan na we di valv tik εn i nכ opin fayn (stenosis). Insay dɛn tu kes ya, di at fɔ wok tranga wan pas aw i kin wok fɔ pɔmp blɔd. As tɛm de go, dis kin mek di at wik.
Dɛn kin yuz ɔpreshɔn fɔ mek dɛn valv dɛn ya, ɔ if dat nɔ pɔsibul, dɛn kin put nyu valv (riplesmɛnt) .
Tritmɛnt fɔ at we wik pasmak
- Left Ventricular Assist Device (LVAD): Sɔm pipul dɛn at kin wik so dat dɛn nɔ kin ebul fɔ pɔmp blɔd rawnd di bɔdi fɔ dɛnsɛf. LVAD na sכmכl pכmp we dεn kin put insay di lεft vεntrikl (di men pat pan di at we de pכmp blכd) fכ εp dεm. Dɛn kin yuz am as tritmɛnt fɔ lɔng tɛm, ɔ dɛn kin yuz am fɔ sɔm tɛm te dɛn gɛt at transplant.
- Hat Transplant: Dis na di las opshɔn fɔ pɔsin we gɛt ɛnd-stej at fayl. Insay dis, dɛn kin pul di pɔsin in at we wik ɛn transplant wan wɛlbɔdi at frɔm pɔsin we dɔn day. Bɔt bikɔs di at we di wan dɛn we gi di sik nɔ bɔku, dɛn fɔ mit rili strikt krayteria fɔ mek dɛn kwalifay fɔ dis ɔpreshɔn.
Wetin kin apin bifo, we dɛn de du di ɔpreshɔn, ɛn afta dɛn du di ɔpreshɔn?
Fɔ pripia fɔ ɔpreshɔn na big tin. Yu dɔktɔ go ɛksplen ɔltin to yu.
- Bifo dɛn du di ɔpreshɔn: Dɛn go gi yu instrɔkshɔn bɔt ustɛm fɔ stɔp fɔ it ɛn drink, us mɛrɛsin fɔ kɔntinyu fɔ tek ɛn wetin fɔ stɔp, ɛn wetin fɔ kam wit na ɔspitul. We dɛn admit yu na ɔspitul, wan nɔs go put kanula insay yu an fɔ gi yu salin. Dɛn go sheb di say we dɛn go du di ɔpreshɔn ɛn klin am. Bɔku tɛm, dɛn go ful-ɔp yu anestez (put to slip) fɔ di ɔpreshɔn.
- We dɛn de du di ɔpreshɔn: Wetin kin apin kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn de du. Ɔpreshɔn we dɛn kin du fɔ opin at, dɛn kin kɔt big pat na di midul pat na di chɛst. Bɔt smɔl ɔpreshɔn dɛn lɛk fɔ put kateshɔn, dɛn kin jɔs kɔt di an ɔ di leg smɔl. Dɛn kin dɔn smɔl ɔpreshɔn dɛn insay lɛk wan ɔ tu awa so.
- Afta dɛn dɔn du di ɔpreshɔn:Afta dɛn dɔn du di ɔpreshɔn, dɛn go transfa yu to di intensiv kia yunit (ICU) ɔ dairekt to wan wɔd. Di lɔng tɛm we yu go de na ɔspitul go difrɛn difrɛn wan bay di kayn ɔpreshɔn ɛn yu wɛlbɔdi. Sɔm pipul dɛn kin go na os insay wan de, ɛn ɔda wan dɛn kin nid fɔ de de fɔ sɔm wiks. Bifo yu go na os, yu dɔktɔ ɛn di wan dɛn we de wok na yu nɔs go gi yu klia plan bɔt aw fɔ kia fɔ yusɛf na os, aw fɔ tek yu mɛrɛsin dɛn, ɛn ustɛm yu fɔ kam bak.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, at ɔpreshɔn kin gɛt sɔm prɔblɛm dɛn. Di men tin dɛn we kin mek pɔsin day, strok, blɔd pasmak, ɛn infekshɔn. Dɛn risk ya kin difrɛn difrɛn wan fɔ yu ej ɛn ɔda sik dɛn we yu gɛt.
Ɔl di ɔpreshɔn dɛn kin gɛt sɔm prɔblɛm dɛn. Bɔt mɛmba se yu dɔktɔ de tɛl yu fɔ du di ɔpreshɔn bikɔs di bɛnifit dɛn we yu go gɛt we yu gɛt am, pas if yu nɔ du am. Yu dɔktɔ we de du di ɔpreshɔn go ɛksplen to yu ɔl dɛn prɔblɛm dɛn ya bifo dɛn du di ɔpreshɔn. Aks dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu da tɛm de.
Aw layf go tan lɛk afta dɛn dɔn du di ɔpreshɔn?
Hat Fail na wan sik wae de sik kin wɔs smɔl smɔl as tɛm de go. I kin mek i nɔ izi fɔ ivin du di wok dɛn we pɔsin kin du ɛvride. Bɔt afta dɛn dɔn du ɔpreshɔn, di sik dɛn we bɔku pipul dɛn kin gɛt kin rili ridyus, ɛn dɛn kwaliti fɔ liv ɛn layf kin go ɔp.
Aw yu rizɔlt go bi dipen pan sɔm tin dɛn:
- Yu at de wok ɛn di sayn dɛm bifo yu ɔpreshɔn.
- Di sakses we di ɔpreshɔn bin mek.
- Aw yu kin kia fɔ yusɛf fayn fayn wan afta dɛn dɔn du yu ɔpreshɔn ɛn fala wetin di dɔktɔ tɛl yu fɔ du.
Ustɛm yu nid fɔ go to yu dɔktɔ?
Hat Failure na wan sik wae de kam fɔ lɔng tɛm, so e fayn fɔ de tɔk to yu dɔktɔ. Tɛl yu dɔktɔ wantɛm wantɛm if yu sik de wɔs ɔ if yu gɛt nyu sik.
| Simptom dɛm fɔ wach fɔ | Wetin yu fɔ du? |
|---|---|
| Fɔ fil taya ɔ wik pas aw i kin fil | Tɛl yu dɔktɔ wantɛm wantɛm. |
| Shot we yu de blo | Tɛl yu dɔktɔ wantɛm wantɛm. |
| Di leg, anklɛ, fut, ɔ bɛlɛ we de swel (ɛdima) . | Tɛl yu dɔktɔ wantɛm wantɛm. |
Afta di ɔpreshɔn, fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul. If yu gɛt ɛni prɔblɛm ɔr nɔr fil fayn di tɛm we yu de wɛl, nɔr frayd fɔ tɔk to di dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Hat Failure na wae de hat de wik. Bɔt bɔku gud tritmɛnt dɛn de fɔ am, frɔm mɛrɛsin to ɔpreshɔn.
- We mɛrɛsin nɔmɔ nɔ ebul fɔ kɔntrol di sik, ɔpreshɔn na fayn tin fɔ du.
- Bɔku difrɛn kayn ɔpreshɔn dɛn de, frɔm smɔl ɔpreshɔn to at transplant. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
- Di men gol fɔ dɛn ɔpreshɔn ya na fɔ ridyus yu sayn dɛm, mek yu layf fayn, ɛn fɔ mek yu liv lɔng.
- Bi opin ɛn ɔnɛs to yu dɔktɔ bɔt ɔltin. Kip ɔndastandin gud gud wan bɔt yu tritmɛnt plan ɛn aw fɔ wɛl.
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