Yu gɛt prɔblɛm fɔ blo, yu de fil pen na yu chɛst, ɔ yu de fil bad bad wan ivin we yu de du nɔmal tin dɛn? Yu dɔktɔ go dɔn tɛl yu se dis na bikɔs ɔf prɔblɛm wit wan at valv. I kin dɔn tɛl yu bak se yu nid fɔ du ɔpreshɔn fɔ chenj da valv de (Heart Valve Replacement Surgery). I rili nɔmal fɔ mek yu fred smɔl ɛn wɔri we yu yɛri sɔntin lɛk dis. Na dat mek wi bin tink se wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Wetin mek di at nid valv? Wetin dis min?
Fɔ tɔk am simpul wan, wi at tan lɛk pɔmp we gɛt 4 chɛmba dɛn. Bitwin dɛn chɛmba dɛn ya, 4 domɔt dɛn de we de ɛp fɔ mek blɔd kɔntinyu fɔ flɔ na wan say nɔmɔ. Dɛn domɔt dɛn de na wetin wi kɔl at valv .
Bikɔs dɛn valv dɛn ya kin opin ɛn lɔk fayn fayn wan, blɔd kin kɔmɔt fayn fayn wan.
- Frɔm wan pat na di at to di ɔda pat.
- Di lɔng dɛn kin gɛt ɔksijɛn.
- di men blɔd vesel (Aorta) de sɛn blɔd we gɛt ɔksijɛn to di wan ol bɔdi.
Imajin se di wata we de na wi sink nɔ de dray fayn. Di wata kin stɔp, ɔ i kin kɔntinyu fɔ flɔ. Na dat kin apin we valv we sik de. di blɔd nɔ de flɔ, ɔ di blɔd de lik bak (regurgitation). Dis kin mek di at wok tranga wan.
Insay dis kayn tin, di dɔktɔ go tray fɔs fɔ kɔntrol am wit mɛrɛsin. Bɔt if dat nɔ wok, dɛn kin nid fɔ mek di valv ɔ chenj am ɔl.
Us kayn valv dɛn kin yuz fɔ swich?
Tu men kayn valv dɛn de. Yu dɔktɔ go disayd us kayn we go fayn fɔ yu, ɛn i go tink bɔt tin dɛn lɛk yu ej, yu wɛlbɔdi, ɛn aw yu de liv yu layf.
1. Bayolojikal Valv dɛn
Dis na valv dɛn we dɛn mek wit tisu. Dɛn kin kɔl dɛn bak tisu valv ɔ bayɔprostɛtik valv .
- Bovin tisu: Frɔm di mɛmbran we de kɔba di at fɔ kaw.
- Porcine tissue: Frɔm wan pig in at valv.
- Homograft: Na mɔtalman at valv we dɛn tek frɔm pɔsin we dɔn day. Bɔku tɛm dɛn kin yuz dɛn tin ya fɔ yɔŋ pipul dɛn ɔ di wan dɛn we dɛn valv dɔn pwɛl bikɔs ɔf infekshɔn.
2. Mɛkanikal Valv dɛn
Dis na valv dɛn we dɛn mek wit tin dɛn we kin te lɛk kabɔn ɛn taytaniɔm. Dɛn mek dɛn fɔ wok lɛk yu yon valv dɛn. Dɛn kin te fɔ lɔng tɛm ɛn dɛn kin las fɔ ɔl dɛn layf.
We yu instɔl sɔm mɛkanikal valv dɛn, yu kin yɛri smɔl "klik" sawnd we i de opin ɛn lɔk. Dis na nɔmal tin ɛn nɔto natin fɔ wɔri bɔt.
Bayolojikal ɔ mɛkanikal? Aw yu kin pik?
Dis tin we dɛn disayd fɔ du rili impɔtant. So tek tɛm tɔk to yu dɔktɔ bɔt am. Di tebul we de dɔŋ ya go gi yu gud aidia bɔt di difrɛns bitwin dɛn tu.
| Tin | Bayolojikal Valv | Mekanikal Valv we dɛn kɔl |
|---|---|---|
| I kin te fɔ lɔng tɛm | I kin te fɔ 15-20 ia. I kin nid fɔ mek dɛn du ɔpreshɔn bak. | I kin rili te. Dɛn mek am fɔ las fɔ yu layf. |
| Di tin dɛn we de mek blɔd tan | Bɔrku pipul nɔr nid fɔ tek dɛn mɛrɛsin ya (e.g., Warfarin) fɔ di res ɔf dɛn layf. | I fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan (lɛk Warfarin) fɔ di res ɔf yu layf . |
| Udat i fayn fɔ? | I fayn fɔ pipul dɛn we dɔn pas 60-65 ia, di wan dɛn we nɔ want fɔ tek mɛrɛsin we de mek dɛn blɔd tan , ɛn uman dɛn we de plan fɔ gɛt bɛlɛ. | i bεst fכ yכng, mכr aktif pipul dεm (e.g., כnda 50 ia fכ Aortic valv, כnda 65 ia fכ Mitral valv). |
| Di bad tin dɛn we kin apin | As tɛm de go, i kin west ɛn nid fɔ chenj am. | I nid fɔ tek mɛrɛsin fɔ ɔl in layf ɛn fɔ du blɔd tɛst ɔltɛm. Risk de fɔ mek yu blɔd kɔmɔt. |
Wetin na di we dɛn fɔ du di ɔpreshɔn?
Naw bɔku we dɛn de fɔ du ɔpreshɔn fɔ chenj di valv.
1. Open-Heart Surgery: Dis na di tradishonal we. Dɛn kin du dis ɔpreshɔn tru wan big say we dɛn kɔt na di midul pan di chɛst bon.
2. Minimally Invasive Surgery: Dis involv fɔ mek smɔl say na di chɛst. Dis kin mek i nɔ kin tek lɔng tɛm fɔ wɛl, i nɔ kin gɛt bɔku blɔd, ɛn i nɔ kin gɛt di sik.
3. Transkateta Aorta Valv Riplesmεnt (TAVR): Dis na nyu εn advans prosidכs. Di chɛst nɔ de opin. wan kateta (tin tiub) de pas tru wan blɔd vesel insay di at tru wan smɔl say we dɛn kɔt na di groin ɔ chɛst, ɛn dɛn kin put di nyu valv insay di ol valv ɛn fiks am. Dis we aw dɛn kin du am fayn fayn wan fɔ di wan dɛn we nɔ kin ebul fɔ bia di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn na dɛn opin wan.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ mek dɛn wach yu fɔ wan ɔ tu dez. Dɔn dɛn go transfa yu to wan jenɛral wɔd. Di ɔl ɔspitul we yu de de kin tek lɛk 5-7 dez.
Di Tɛm fɔ Rikɔva:
- I kin tek wan ɔ tu mɔnt fɔ mek i wɛl ɔl. If dɛn bin du ɔpreshɔn we nɔ de tek bɔku mɔni, di tɛm we dɛn kin gɛt fɔ wɛl kin shɔt pasmak.
- Yu go fil taya kwik kwik wan insay di fɔs wik. Dat na nɔmal tin. Yu go gɛt yu trɛnk bak smɔl smɔl.
- Nɔ lif pas 10 paund (4.5 kg) fɔ 6-8 wik.
- Nɔ drayv fɔ sɔm wiks. Aks yu dɔktɔ fɔ advays bɔt dis.
Afta yu dɔn go na os frɔm ɔspitul, dɛn kin sɛn yu to wan program fɔ mek yu gɛt prɔblɛm wit yu at, ɛn dis go rili ɛp yu fɔ wɛl kwik kwik wan.
Ustɛm fɔ go to yu dɔktɔ wantɛm wantɛm
If yu gɛt wan ɔ mɔ pan dɛn sik ya, go to yu dɔktɔ ɔ go na ɔspitul ɛn nɔ de te:
- Fiva.
- Di wund we dɛn du di ɔpreshɔn kin swel, i kin rɛd, ɔ i kin gɛt pus we de kɔmɔt.
- Bɔrku pen na yu chɛst.
- di wet we yu de gεt 2-3 kg insay fכ de (i kin bi sayn fכ se wata de rεtεn).
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
- Bɔrku mental strɛs ɔr pwɛl hat.
Mɛsej we dɛn kin kɛr go na os
- Naw, ɔpreshɔn fɔ riples di at valv na tritmɛnt we dɔn rili wok fayn, we de sev yu layf, so nɔ fred am we yu nɔ nid fɔ du am.
- Di kayn valv (bayolojikal ɔ mɛkanikal) ɛn di ɔpreshɔn we go fayn fɔ yu, na yu dɔktɔ go disayd, ɛn i go tink bɔt tin dɛn lɛk yu ej ɛn yu wɛlbɔdi kɔndishɔn.
- If dɛn put mɛkanikal valv, yu go nid fɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt blɔd ɛn du mɛrɛsin tɛst ɔltɛm fɔ di res ɔf yu layf.
- I kin tek tɛm fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- If yu gɛt ɛni kwɛstyɔn bɔt di ɔpreshɔn ɔ ɛni prɔblɛm we go kam afta am, nɔ shem fɔ aks yu dɔktɔ.
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