Na nɔmal tin fɔ fil smɔl frayd ɛn fred we di dɔktɔ tɛl yu ɔ pɔsin we yu lɛk fɔ mek dɛn du "hat ɔpreshɔn." Bɔku pan wi kin fred we wi yɛri di wɔd dɛn "ɔpareshɔn" ɛn "ɔpareshɔn." Bɔt nɔ wɔri. Tide, wi go tɔk bɔt dis insay wan rili simpul we, jɔs lɛk aw wi go tɔk to wi padi. Bay di tɛm we yu dɔn rid dis atikul, yu go ɔndastand dis mɔ.
Wetin rili na at ɔpreshɔn?
Fɔ tɔk am simpul wan, at ɔpreshɔn na ɛni ɔpreshɔn we dɛn du pan yu at ɔ di men blɔd vesel dɛn we de kɔnɛkt to am. Dis na tin we kɔmplikt smɔl. Na dat mek dɔktɔ dɛn de we de du ɔpreshɔn pan di at we spɛshal pan dis.
Tink bɔt am, di injin fɔ wi bɔdi na di at. We sɔntin nɔ apin to dis injin, dis ɔpreshɔn na fayn savis fɔ mek i fayn ɛn mek i wok fayn bak. Dis kin mek yu at wok fayn, di we aw blɔd de go na di bɔdi, ɛn gi yu nyu layf, nyu layf. Sɔm pipul dɛn kin kɔl dis bak ɔpreshɔn fɔ mek pɔsin in at.
Ustɛm i nid fɔ du ɔpreshɔn pan di at?
Bɔku rizin dɛn de we kin mek i nid fɔ du ɔpreshɔn pan in at. Sɔmtɛm dɛn kin bi prɔblɛm wae dɛn bɔn wi wit (Congenital Heart Disease). Ɔda tɛm dɛn kin bi bikɔs ɔf sik dɛn we wi kin gɛt leta na layf.
Bɔku tɛm, dɔktɔ nɔ kin disayd se yu nid fɔ du ɔpreshɔn wantɛm wantɛm. Dis disizhɔn kin bi afta yu dɔktɔ we de mɛn yu at dɔn chɛk yu, du ɔl di tɛst dɛn we yu nid, ɛn no se ɔpreshɔn na di bɛst ɔ di wangren sɔlv fɔ yu at prɔblɛm.
Bɔt sɔntɛnde, dɛn kin gɛt fɔ du dis bak as imejensi tritmɛnt . Fɔ ɛgzampul, if yu gɛt at atak wantɛm wantɛm, ɔ if yu kam fɔ no wantɛm wantɛm se yu blɔd vesel dɔn blok bad bad wan, yu go nid fɔ du ɔpreshɔn wantɛm wantɛm fɔ sev yu layf.
Nɔto ɔl di at prɔblɛm dɛn we pɔsin kin gɛt fɔ du ɔpreshɔn. Wit di advans teknɔlɔji tide, ivin tritmɛnt dɛn de we nɔto ɔspitul we involv fɔ mek smɔl say we dɛn kɔt (fɔ ɛgzampul, Percutaneous Coronary Intervention - PCI). Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
Men kɔndishɔn dɛn we dɛn kin trit wit at ɔpreshɔn
Lɛ wi luk sɔm pan de sik dɛm wae dɛn kin trit wit at ɔpreshɔn dɔŋ ya. Nɔ fred fɔ si dɛn nem ya, lɛ wi ɔndastand dɛn simpul wan.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Koronari Atɛri Disizin (CAD) . | di at dεm we de gi bכdi to di at (koronari at dεm) kin kכl wit kכlestכl dεm we de dכn, jכs lεk aw dכti kin bכku insay wata paip, we kin mek di wata fכ fכlכ dכn. |
| Di sik we de mek pɔsin gɛt at valv | di pat dεm we lεk doa (valv dεm) insay di at we de alaw bכdi fכ fכlכ wan say nכ de wok fayn. Dɛn nɔ kin opin ɔ lɔk fayn. |
| At we nɔ de wok fayn | Di at nɔ kin ebul fɔ pɔmp blɔd tranga wan lɛk aw i fɔ pɔmp. Dis nɔ min se di at de stɔp fɔ wok, bɔt i nɔ min se i nɔ de wok fayn. |
| Anɛrizm dɛn | Di wɔl dɛn na di at ɔ di big blɔd vesel dɛn kin wik ɛn bulge lɛk balɔn. Dis kin denja, bikɔs i kin bɔs. |
| Aritmia dɛn we de mek pɔsin nɔ ebul fɔ du di wok | Di at we nɔ de bit ɔltɛm. Dat min se di at de bit tu fast, tu fast, ɔ i nɔ de bit. |
| Di sik we dɛn kin gɛt we dɛn bɔn wit at | At prɔblɛm dɛn we kin de we dɛn bɔn am, fɔ ɛgzampul, wan ol na di at. |
Wetin na di men kayn ɔpreshɔn fɔ di at?
Di kayn ɔpreshɔn dɛn kin difrɛn difrɛn wan bay di sik we dɛn de trit. Lɛ wi tek tɛm luk sɔm pan di kayn ɔpreshɔn dɛn we dɛn kin du mɔ.
Baypas ɔpreshɔn (Koronari Atɛri Baypas Graftin - CABG) .
Dis na di "bypass" opareshɔn we bɔku pipul dɛn dɔn yɛri bɔt. We dɛn blok wan at we de gi blɔd to di at, dɛn kin mek nyu rod fɔ mek i nɔ blok. I tan lɛk se yu tek sayd rod fɔ pas wan bizi rod. Dɛn kin yuz wan wɛlbɔdi at frɔm yu yon leg ɔ insay yu chɛst fɔ mek dis nyu rod. dipכnt pan di nכmba fכ di at dεm we dεn blכk, dεn kכl dis bak "dכbul" כ "tripul" baypas.
Ripair ɔ riplesmɛnt fɔ di at valv (Hat Valve Surgery) .
If wan valv (lɛk domɔt) na di at nɔ de wok fayn, dɛn kin mek am ɔ pul am ɛn put atifishal valv insay. Dis kin mek blɔd flɔ fayn bak.
Ripair fɔ di Aneurism
Dis min se dɛn kin pul di wik pat pan di blɔd vesel we dɔn tan lɛk balɔ ɛn put atifishal tiub (graft) insay am. Dis kin mek di vein nɔ bɔs.
Divays we De Insay di Kadyak
Dɛn kin put difrɛn ilɛktronik tin dɛn na di at fɔ ɛp pipul dɛn we nɔ de bit ɔltɛm ɔ di wan dɛn we gɛt at pwɛl.
- Pesmɛka: I de ɛp pipul dɛn we nɔ de bit ɔltɛm fɔ mek dɛn kɔntinyu fɔ gɛt dɛn nɔmal ritm.
- ICD (Implantable Cardioverter Defibrillator): If di at rit denja fast, i de no am ɛn gi smɔl ilɛktrik shɔk fɔ mek i kam bak to nɔmal.
- LVAD (Left Ventricular Assist Device): Na smɔl pɔmp we de ɛp di at fɔ pɔmp blɔd fɔ pipul dɛn we gɛt siriɔs at prɔblɛm.
- Total Artificial Heart (TAH): Na mashin we dɛn kin yuz fɔ sɔm tɛm fɔ pɔsin we in at dɔn pwɛl kpatakpata te dɛn gɛt at transplant.
Transplant fɔ di At
Dis na di las tin we dɛn fɔ du. If pɔsin in at nɔ de wok fayn atɔl ɛn i nɔ ebul fɔ mɛn am wit ɛni ɔda tritmɛnt, dɛn kin transplant wɛlbɔdi at frɔm pɔsin we dɔn day. Dis na ɔpreshɔn we rili kɔmpleks ɛn dɛn nɔ kin du ɔltɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Aw yu fɔ pripia?
We yu dɔn disayd fɔ du ɔpreshɔn, i kin tek sɔm wik ɔ mɔnt fɔ rɛdi fɔ am. Insay dis tɛm, yu dɔktɔ dɛn go tek tɛm chɛk yu.
- Mɛdikal tɛst: Dɛn go tɔk bɔt yu mɛdikal istri, famili mɛdikal istri, ɛn blɔd tɛst fɔ chɛk tin dɛn lɛk kɔlɔstrel na yu blɔd.
- Spɛshal tɛst dɛn: Dɛn kin du bɔku tɛst dɛn fɔ no aw di at de kɔrɛkt wan:
- ECG (Ilɛktrokardiogram) .
- Iko Tɛst (Ikokardiogram) .
- X-ray na di chɛst
- Tɛst fɔ Strɛs
- Koronari Angiogram we dɛn kin du
- Kadyak CT ɔ MRI skan
Afta ɔl dis, di dɔktɔ go tɛl yu klia wan us ɔpreshɔn yu nid fɔ du ɛn aw fɔ rɛdi fɔ am.
Di tin we impɔtant pas ɔl na, .Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn bifo dɛn du yu ɔpreshɔn. Dɛn kin aks yu fɔ stɔp fɔ it ɛn drink di nɛt bifo dɛn du di ɔpreshɔn (fastin). If yu de smok, yu fɔ rili stɔp. If yu fala dɛn instrɔkshɔn ya gud gud wan, dat kin rili ridyus di prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bɔku we dɛn de fɔ du ɔpreshɔn. Di mɛdikal tim go disayd us we fɔ du am fayn fɔ yu.
1. Open-heart Surgery: Dis na di tradishonal we. 6-8 inch insay di midul pan di chεst, εn dεn kin kכt di stεnכm na di tu say fכ rich di at. Dis tɛm ya, dɛn go kɔnɛkt yu to wan mashin we de yuz at-lɔng baypas. Dis mashin de du di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm (i de pɔmp blɔd ɛn gi yu ɔksijɛn). Dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ du di at we nɔ de bit ɛn we nɔ de chenj.
2. Ɔf-pɔmp Baypas Ɔpreshɔn: Dis tan lɛk opin ɔpreshɔn, bɔt di at nɔ kɔnɛkt to at-lɔng mashin. Dɛn kin du di ɔpreshɔn we di at de bit. Dɛn kin du dis fɔ baypas ɔpreshɔn.
3. Minimally Invasive Surgery: Dɛn kin kɔl dis bak "keyhole surgery." Bifo dɛn kɔt big say, dɛn kin du di ɔpreshɔn tru sɔm smɔl ol dɛn na di chɛst, ɛn dɛn kin yuz kamɛra ɛn spɛshal inschrumɛnt dɛn. Sɔntɛnde, dɛn kin yuz rɔbɔt ɔpreshɔn bak fɔ dis. Di bɛnifit fɔ dis we na dat i kin wɛl kwik ɛn nɔ kin lɛf smɔl skata.
Baypas ɔpreshɔn kin tek lɛk 3-6 awa. Dɛn go anestez yu (numb) ɔl di tɛm we dɛn de du di prɔsidyu, so yu nɔ go fil ɔ mɛmba ɛnitin.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kɛr yu go na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . Yu go nid fɔ de na di ICU fɔ at le wan de. Na de, dɔktɔ ɛn nɔs dɛn go kɔntinyu fɔ wach yu sik. Afta dat, dɛn go transfa yu to wan rɛgyula wɔd.
Aw lɔng yu nid fɔ de na ɔspitul de dipen pan di ɔpreshɔn we dɛn bin du yu ɛn aw yu wɛl kwik kwik wan. Bɔku tɛm, i kin tek lɛk 6 to 12 wiks fɔ mek i wɛl ɔl we dɛn du ɔpreshɔn pan pɔsin in at we opin.
Na nɔmal tin fɔ fil tin lɛk dis we yu de wɛl:
- Sɔm brus, swel, ɛn pen de na di say we dɛn kɔt am.
- wan "klik" sawnd frכm insay di chεst (dis go go insay wan כ tu wik).
- Lɔs fɔ apɛtit, nɔs.
- Banbɛlɛ.
- Pen na di sholda ɛn ɔp bak.
- Nɔto fɔ slip.
- Fɔ fil sɔri, yu maynd kin chenj.
Pan ɔl we dɛn tin ya na nɔmal tin, if yu nɔ go ebul fɔ bia wit di pen ɔ yu gɛt ɔda tin we nɔ fayn fɔ yu, nɔ fred fɔ tɛl di mɛdikal tim.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn pan in at?
Lɛk ɛni ɔpreshɔn, at ɔpreshɔn gɛt sɔm prɔblɛm dɛn. Bɔt wit di tɛknɔlɔji we dɛn de yuz tide, dɛn ɔpreshɔn ya kin rili wok fayn. Sɔm pan di prɔblɛm dɛn we kin apin na:
- Alɛji fɔ anestezi.
- Blɔd we de kɔmɔt pasmak.
- Infεkshכn na di say we dεn kɔt am כ insay di chεst.
- At we nɔ de bit ɔltɛm (Aritmias).
- Strok.
- Ifekt pan di kidni dɛm.
If yu gɛt ɔda sik dɛn lɛk dayabitis, chronic obstructive pulmonary disease (COPD), kidni sik, yu de smok , ɔ yu fat , yu risk kin pas smɔl. Na dat mek i impɔtant fɔ kɔntrol ɔl dɛn tin ya bifo yu du ɔpreshɔn.
Ustɛm yu fɔ tɔk to di dɔktɔ?
Afta yu dɔn go na os, i rili impɔtant fɔ kɔl yu dɔktɔ wantɛm wantɛm if ɛni risk simptom kam we yu de wɛl.
Go to dɔktɔ wantɛm wantɛm if yu gɛt dɛn sik ya:
- Bɔrku pen na yu chɛst we nɔ de stɔp as tɛm de go.
- Fiva .
- I nɔ kin izi fɔ yu fɔ blo .
- If di say we dɛn kɔt am rɛd, swel, ɛn wata we tan lɛk pus de kɔmɔt (sayn dɛn fɔ infɛkshɔn).
- Nɔs ɛn vɔmit we de kɔntinyu fɔ de .
- Di sayn dɛm fɔ strok, lɛk wae i nɔr kin izi fɔ tɔk ɛn fɔ drɔp wan say na in fes.
Sɔmtɛm e kin tranga fɔ no if dis na pat pan de wɛl bɔdi ɔr na siriɔs prɔblɛm. If yu gɛt dawt, nɔ ɛva shem fɔ kɔl ɛn aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn fɔ yu at nɔto sɔntin we yu fɔ fred, na tritmɛnt we go gi yu nyu layf.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di ɔpreshɔn, mɔ di wan dɛn we gɛt fɔ du wit fɔ lɛf fɔ smok ɛn fɔ tek mɛrɛsin.
- I rili impɔtant fɔ rɛst yu bɔdi di tɛm we yu de wɛl afta dɛn dɔn du di ɔpreshɔn. Nɔ es ebi ebi tin dɛn ɛn nɔ fɔ du tin dɛn we go mek yu taya.
- Na nɔmal tin fɔ gɛt diskɔmfɔt ɛn pen we yu de wɛl. Bɔt if yu gɛt ɛni ɔda tin we nɔ kɔmɔn (bɔku pen, fiva, i nɔ izi fɔ blo), tɛl yu dɔktɔ wantɛm wantɛm.
- If yu adopt wɛlbɔdi layf (gud it, ɛksesaiz) afta yu dɔn ɔpreshɔn yu at, dat go ɛp fɔ mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.
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