Di dɔktɔ dɔn tɛl yu se yu gɛt prɔblɛm wit at valv ɛn yu go nid fɔ chenj am? Na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri we yu yɛri sɔntin lɛk dis. I nɔ sɔprayz fɔ tink se, "O, a go gɛt fɔ du ɔpreshɔn pan mi at?" Bɔt fɔ tru, dis na ɔpreshɔn we dɛn de du rili fayn na di wɔl ɛn na wi kɔntri naw, ɛn i de ɛp fɔ sev bɔku pipul dɛn layf. So, lɛ wi fɛn ansa to ɔl di kwɛstyɔn dɛn bɔt dis tide. Lɛ wi tɔk bɔt dis ɔpreshɔn rili simpul, insay wan we we yu go ɔndastand, okay?
Wetin mek yu nid fɔ chenj wan at valv?
Fɔ tɔk am simpul wan, wi at na wɔndaful mit. I tan lɛk smɔl pɔmp we de pɔmp blɔd ɔlsay na wi bɔdi. Fɔ du dis wok, 4 pat dɛn de insay di at we de wok lɛk 4 domɔt dɛn. Wi kin kɔl dɛn at valv dɛn ya . Dɛn valv dɛn ya kin jɔs opin ɛn lɔk na wan say, so blɔd kin flɔ na di sem say ɔltɛm.
Tink bɔt di wata we de na yu os lɛk pɔt. If di pɔt nɔ lɔk fayn, wata kin lik. If i nɔ opin fayn, di wata we de flɔ kin blok. Na so i kin apin we dɛn valv ya sik.
- Stenosis: Sɔntɛnde di valv nɔ kin opin fayn ɛn i kin smɔl, we kin mek di at fɔ wok tranga wan fɔ pɔmp blɔd.
- Valv Lik (Regurgitation): Sɔntɛnde di valv nɔ kin lɔk fayn ɛn blɔd kin lik bak. Dɔn di at gɛt fɔ wok tu tɛm pas dat.
We dis sik kin tranga, yu kin gɛt sɔm kayn sik lɛk pen na yu chɛst, yu nɔ kin blo fayn, ɛn yu kin fɔdɔm . Na da tɛm de dɔktɔ dɛn kin disayd fɔ pul di valv we sik ɛn we nɔ de wok fayn ɛn put nyu wan we nɔ de wok fayn. Dɛn kɔl dis at valv riplesmɛnt .
Us kayn nyu valv dɛn de?
Tu men kayn valv dɛn de we dɛn kin yuz fɔ chenj, ɔ valv dɛn we dɛn mek wit prɔstɛtik. Dɛn ɔl tu gɛt bɛnifit ɛn bad tin. Yu dɔktɔ go ɛp yu fɔ pik di kayn we we go fayn fɔ yu.
| Valv Tayp | Di bɛnifit dɛn we pɔsin kin gɛt | Di tin dɛn we yu fɔ tink bɔt |
|---|---|---|
| Bayolojikal Valv dɛn Dɛn mek am wit animal (kaw, pig) ɔ mɔtalman tisu. | Yu nɔ nid fɔ tek blɔd tin fɔ di res ɔf yu layf (lɛk if dɛn nid am fɔ ɔda mɛrɛsin). | As tɛm de go (bɔku tɛm fɔ 10-20 ia), dɛn valv ya kin west, so dɛn kin nid fɔ chenj dɛn tumara bambay tru ɔpreshɔn. |
| Mekanikal Valv dɛn Dɛn mek am wit tin dɛn we kin te lɛk kabɔn ɔ mɛtal. | I kin rili te. Bɔku tɛm dɛn kin yuz am fɔ ɔl yu layf. Nɔ nid fɔ mek dɛn du di ɔpreshɔn bak. | Yu go nid fɔ tek wan blɔd tin lɛk Warfarin fɔ di res ɔf yu layf. Yu go nid fɔ du blɔd tɛst ɔltɛm (INR tɛst) fɔ mek shɔ se yu de tek di rayt doz fɔ dis mɛrɛsin. Sɔm pipul dɛn kin yɛri smɔl "tik" sawnd we di valv de opin ɛn lɔk. |
Naw yu go de wɔnda se, "Uswan a fɔ pik?" Nɔ wɔri. Yu dɔktɔ go tink bɔt bɔku tin dɛn, lɛk yu ej, wɛlbɔdi, di prɔblɛm dɛn we kin apin we yu tek mɛrɛsin we de mek yu blɔd tan, ɛn aw yu go ebul fɔ du ɔda ɔpreshɔn tumara bambay , ɛn i go tɔk to yu us valv go fayn fɔ yu. Dis na disizhɔn we yu ɛn yu dɔktɔ go disayd togɛda.
Aw dɛn kin du di ɔpreshɔn? Wetin na di we dɛn we dɛn kin du am?
Tu men we dɛn de fɔ chenj di at valv. Dis na di tradishɔnal opin ɔspitul we ɛn di mɔdan kateshɔn we. Yu dɔktɔ go pik di bɛst we fɔ du am bay aw yu sik.
Ɔpreshɔn we dɛn kin du fɔ opin at
Dis na di tradishɔnal we we dɛn dɔn de yuz fɔ lɔng tɛm. Insay dis ɔpreshɔn, dɛn kin kɔt di midul pan di chɛst, dɛn kin stɔp di at, ɛn dɛn kin transfa di wok we di at ɛn di lɔng dɛn de du fɔ sɔm tɛm to wan mashin we dɛn kin yuz fɔ mek di at ɛn lɔng . Sɔm ɛgzampul dɛn fɔ di ɔpreshɔn dɛn we dɛn kin du we dɛn yuz dis we na SAVR (Surgical Aortic Valve Replacement) .
Di we aw dɛn kin du tin we dɛn de yuz kateta
Dis na di we aw dɛn kin yuz mɔ tide, we nɔ kin rili strɛs pan di bɔdi. na ya, we dεn nכ opin di chεst, dεn kin mek wan rili sכmכl insay wan ples lεk di groin, dεn kin put wan tin tכb (kateta) tru am, εn dεn kin pas di nyu valv along da tכb de go na di at εn put am insay.
Di big bɛnifit fɔ dis we na dat di wund we dɛn du di ɔpreshɔn kin rili smɔl, di tɛm we dɛn kin de na ɔspitul nɔ kin te, ɛn i kin wɛl kwik kwik wan.
Sɔm ɛgzampul dɛn bɔt ɔpreshɔn we dɛn kin du we dɛn yuz dis we na:TAVR (Transcatheter Aortic Valve Riplesmɛnt) ɛn TMVR (Transcatheter Mitral Valv Riplesmɛnt) .
Yu dɔktɔ go ɛksplen to yu ɔl tu di we dɛn ɛn no uswan we sef ɛn we go wok fɔ yu.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Di ɔspitul go gi yu sɔm instrɔkshɔn dɛn wan ɔ tu de bifo di ɔpreshɔn.
- Dɛn go tɛl yu ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du yu ɔpreshɔn.
- Dɛn go advays yu fɔ no if yu fɔ stɔp fɔ tek ɛni mɛrɛsin we yu kin tek nɔmal wan (espɛshali di wan dɛn we de fɔ dayabitis ɛn blɔd prɛshɔn).
- Bɔku tɛst dɛn kin de we dɛn nid fɔ du bifo dɛn du di ɔpreshɔn.
- We yu kam na ɔspitul, wɛr fayn klos we izi fɔ wɛr.
- I impɔtant bak fɔ arenj bifo tɛm fɔ mek pɔsin kɛr yu go ɛn kam bak na ɔspitul.
Wetin kin rili apin we dɛn de du ɔpreshɔn?
Bɔku tɛm, di ɔpreshɔn kin tek lɛk wan to 4 awa so. Na dis na wetin kin apin insay dis tɛm, fɔ mek i go bifo:
1. Anestesia: Fɔs, dɛn kin put yu fɔ slip kpatakpata. So yu nɔ go fil ɛni pen. Yu nɔ go mɛmba ɛnitin.
2. Insishɔn: Dipen pan di kayn ɔpreshɔn we dɛn de du, dɛn kin kɔt am na di chɛst ɔ di groin eria na di rayt say.
3. Hat-Lung Mashin: Insay opin ɔpreshɔn, dɛn kin transfa di wok we di at de du fɔ sɔm tɛm to dis mashin. Dis nɔ kin nid fɔ di kateshɔn we dɛn kin yuz.
4. Fɔ Riples di Valv: Di dɔktɔ tek tɛm pul di valv we gɛt di sik ɛn put nyu bayolojikal ɔ mɛkanikal valv fɔ chenj am. Insay sɔm we dɛn de du tin tide, dɛn kin put di nyu valv insay di ol valv.
5. Klos di Insishɔn: Afta yu mek shɔ se di nyu valv de wok fayn, dɛn go stich di insayshɔn fɔ lɔk. Dɔn dɛn go kɛr yu go na di Intensiv Keya Yunit (ICU).
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go put yu fɔs na di Intensiv Keya Yunit (ICU). Na de, dɔktɔ ɛn nɔs dɛn go de wach yu sik gud gud wan. We yu dɔn wɛl smɔl, dɛn go transfa yu to wan rɛgyula wɔd.
Di tɛm we pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin, bɔt i kin tek bitwin wan ɛn tri mɔnt fɔ mek i wɛl ɔl. If dɛn bin du di ɔpreshɔn tru kateta, di tɛm fɔ mek i wɛl kin shɔt.
- Yu kin fil taya kwik kwik wan insay di fɔs wik. Dat na nɔmal tin.
- Di dɔktɔ advays yu fɔ nɔ drayv fɔ sɔm wiks.
- Yu go gɛt fɔ de fa frɔm tin dɛn we de mek yu strɛs lɛk fɔ es wet fɔ sɔm tɛm.
- Yu kin nid fɔ rɛst fɔ sɔm wik ɔ mɔnt bifo yu go bak na wokples.
- Dɛn kin rifer yu to wan program fɔ rihab yu at , we go ɛp yu bad bad wan fɔ gɛt yu trɛnk bak.
Ustɛm a fɔ kɔl di dɔktɔ?
Afta yu dɔn go na os, pe atɛnshɔn to yu bɔdi gud gud wan. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If yu fil fiva ɔ yu gɛt kol
- If yu puls fil se i nɔ de ɔltɛm
- If di wund we dɛn du di ɔpreshɔn swel, rɛd, i de fil pen, ɔ i de kɔmɔt na di pus
- Pen, rɛd, ɔ swɛlin na di ɔnda leg (dis kin bi sayn fɔ se blɔd dɔn klot) .
- If yu gɛt mɔ wet wantɛm wantɛm ɔ yu leg ɔ yu anklɛ dɛn swel.
Di tin we impɔtant pas ɔl: If yu gɛt sayn dɛn we de sho se yu gɛt at atak ɔ strok (e.g., yu chɛst de pen bad bad wan wantɛm wantɛm, yu an nɔ de fil fayn, yu mɔt de tɔn to wan say), nɔ west tɛm ɛn go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
As yu bigin yu nyu layf wit nyu valv, yu kin gɛt difrɛn kayn filin dɛn. Na nɔmal tin fɔ gɛt miks pan fred, gladi, ɛn rilif. Bɔt mɛmba se nɔto yu wangren de. Dɛn ɔpreshɔn dɛn ya dɔn rili fayn naw. Wit di advans in teknoloji, dem de bi sef evride. Yu mɛdikal tim go gi yu ɔl di gayd we yu nid fɔ du dis joyn.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn fɔ riples di at valv na rili saksesful, lɔng tɛm sɔlvishɔn fɔ wan siriɔs mɛdikal kɔndishɔn. I kin rili ɛp yu fɔ liv yu layf.
- tu kayn valv dεm de fכ riples (bayolojikal εn mεkanikal). Ɛni wan pan dɛn gɛt in bɛnifit ɛn bad tin dɛn. Yu dɔktɔ go pik di wan we bɛtɛ fɔ yu.
- Tu men we dɛn de fɔ du di ɔpreshɔn (open surgery ɛn catheter method). Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- I kin tek sɔm tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan impɔtant fɔ mek yu wɛl kwik kwik wan.
- If yu gɛt ɛnitin we nɔ kɔmɔn we yu de wɛl, nɔ shek fɔ tɔk to yu dɔktɔ.











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