Yu at na wan wɔndaful pɔmp. Insay dis pɔmp, 4 pat dɛn de we de wok lɛk domɔt. Wi kin kɔl dɛn tin ya "valv." Ɛnitɛm we yu at bit, dɛn domɔt dɛn ya kin opin ɛn lɔk, ɛn dis kin mek blɔd de flɔ na di sem say. Bɔt sɔntɛnde we dɛn valv ya kin sik ɔ nɔ de wok fayn, di blɔd kin blok. Sɔntɛnde, di blɔd kin flɔ bak, ɔ di valv kin blok ɛn blɔd nɔ kin ebul fɔ flɔ go bifo. Na da tɛm de dɔktɔ dɛn kin tɔk bɔt "hat valv ɔpreshɔn." Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri dɛn wɔd ya, bɔt dis na fɔ ɛp yu at fɔ wok fayn bak. We yu at wok fayn, yusɛf kin fil fayn.
Wetin na di valv dεm na di at?
Wi at gɛt 4 men rum dɛn. fכ men kayn valv dεm de we de kכntro di fכlכ we blכd de fכlכ bitwin dεn chεmba dεm ya. Lɛ wi tek wan luk pan wetin dɛn bi.
| Valv Nem | Ples |
|---|---|
| Valv we gɛt trikuspid | Bitwin di ɔpa ɛn di ɔda chɛmba dɛn na di rayt say. |
| Di pulmonari valv | bitwin di rayt lכw chεmba εn di at we de kכri bכdi to di lכng dεm. |
| Mitral valv we yu de yuz | Bitwin di ɔpa ɛn di ɔda chɛmba dɛn na di lɛft. |
| di aorta valv | bitwin di lεft lכw chεmba εn di men at we de kכri bכdi to di bכdi (Aorta). |
Us kayn ɔpreshɔn dɛn de we dɛn kin du?
Di kayn ɔpreshɔn we yu nid go dipen pan bɔku tin dɛn. Yu dɔktɔ go tink bɔt dɛn tin ya:
- Di we aw yu at tan.
- yu ej.
- Ɔda sik dɛn we yu gɛt.
- Di we aw yu de liv yu layf.
Afta di tɛst dɛm, di dɔktɔ go no wetin na di prɔblɛm wit yu valv ɛn aw i siriɔs. Dɔn, i go pik di ɔpreshɔn we go fayn fɔ yu. Sɔntɛnde, dɛn kin du dis valv ɔpreshɔn togɛda wit ɔda at ɔpreshɔn. Fɔ ɛgzampul, dɛn kin du am togɛda wit baypas ɔpreshɔn ɔ ɔpreshɔn fɔ atrial fibrillation .
Tu men kayn ɔpreshɔn dɛn de.
1. Ɔpreshɔn fɔ ripɛnt di at valv
Dis min se yu fɔ mek di tin we nɔ fayn ɛn yu fɔ kip yu yon valv as yu ebul. I tan lɛk se yu de mek sɔntin we dɔn brok. dis mכt dεn kin yus fכ prכblεm wit di mitral valv. Bɔt dɛn kin du am fɔ ɔda valv dɛn bak.
2. Ɔpreshɔn fɔ riples di at valv
insay dis prosidur, dεn kin pul yu valv we sik kכmplit wan εn put nyu valv insay in ples. dis nyu valv kin bi bayolojikal (we dεn mek wit pig, kaw, כ mכtalman tisu) כ mεkanikal ( we dεn mek wit mεtal כ kabכn). I nɔ mata us kayn dɛn put am insay, yu bɔdi nɔ go rijek am.
Yu fɔ mɛmba se yu nɔ go ebul fɔ wɛl ɔl yu at valv prɔblɛm wit mɛrɛsin nɔmɔ. Pan ɔl we mɛrɛsin kin kɔntrol di sik dɛn fɔ sɔm tɛm, ɔpreshɔn na di sɔlv we go de sote go.
Ustɛm i nid fɔ du ɔpreshɔn?
We di mɛrɛsin dɛn we dɛn kin gi fɔ valv sik nɔ de wok igen, we min se yu kɔntinyu fɔ gɛt sɔm kayn sik lɛk dis, yu kin nid fɔ tink bɔt fɔ du ɔpreshɔn.
- Chɛst de pen.
- I nɔ kin izi fɔ yu fɔ blo.
- Fɔ put sil.
Yu nɔr nid fɔ wet te yu sik de kam tranga. Sɔntɛnde, dɔktɔ dɛn kin disayd se i bɛtɛ fɔ du ɔpreshɔn bifo di sayn dɛn ivin bigin. Dis na disizhɔn we yu, yu dɔktɔ we de mɛn yu at, ɛn yu dɔktɔ we de du ɔpreshɔn fɔ disayd togɛda.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu go nid fɔ du bɔku tɛst dɛn di de bifo di ɔpreshɔn.
- X-ray na di chɛst.
- Ekokardiogram fɔ mek yu gɛt di sik.
- Ilɛktrokardiogram (EKG) we dɛn kɔl.
- CT skan we dɛn kin du.
- Kadiak kateshɔn.
- Blɔd tɛst dɛn.
Nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. Tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek ɛn fɛn ɔl di tin dɛn we yu kin tek ɛn wetin yu fɔ stɔp fɔ tek bifo dɛn du yu ɔpreshɔn.
Di de we dɛn de du di ɔpreshɔn, wɛr klos we nɔ gɛt natin ɛn we fayn fɔ yu. Lɛf yu valyu tin dɛn to di pɔsin we go go wit yu. Bifo dɛn du di ɔpreshɔn, di wan dɛn we de wok na di ɔspitul go klin di say we dɛn de du di ɔpreshɔn ɛn pul ɛni ia, if nid de.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn bikɔs dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn tru wan vein.
Di dɔktɔ we de du di ɔpreshɔn go tray fɔ du di ɔpreshɔn tru smɔl say we dɛn kɔt am. We dɛn de du di ɔpreshɔn, dɛn kin transfa di wok we yu at ɛn yu lɔng dɛn de du to wan atifishal mashin (at-lɔng mashin). Dɔn dɛn kin mek di valv ɔ chenj am. We dɛn dɔn di wok, yu at kin bigin bak ɛn yu chɛst kin lɔk.
Bɔku we dɛn de fɔ du di ɔpreshɔn:
- Tradishonal opin-at ɔpreshɔn: Dɛn kin kɔt 6-8 inch na di midul pan di chɛst.
- Minimally invasive surgery: Dɛn kin du dis tru wan say we dɛn kɔt 3-4 inch ɔ smɔl pas dat. dis kin bi endoskopik כ rכbכt-asist.
- Transkateta: Dis we ya nɔ de involv fɔ kɔt di chɛst. Dɛn kin put kateta tru wan big blɔd vesel na di groin ɛn insay di at fɔ tek di valv in ples. Wan ɛgzampul fɔ dis na wan we we dɛn kɔl TAVR .
Bɔku tɛm, dis ɔpreshɔn kin tek bitwin tu ɛn fayv awa.
Wetin kin apin afta di ɔpreshɔn ɛn di tɛm we pɔsin kin wɛl
Afta di ɔpreshɔn, dɛn go admit yu na di Intensiv Keya Yunit (ICU). Na de, dɛn go de wach yu kɔndishɔn gud gud wan. Afta sɔm dez, dɛn go transfa yu to wan rɛgyula wɔd. Yu go de na di ɔspitul fɔ bitwin 5 ɛn 7 dez.
Yu kin gɛt tiub dɛn we dɛn put insay yu chɛst fɔ pul di wata we pasmak na yu bɔdi. Yu kin kɔnɛkt yu to mashin dɛn fɔ wach yu blɔd prɛshɔn ɛn yu at rit.
Dɔktɔ dɛn go ɛnkɔrej yu fɔ bigin waka kwik kwik wan. Yu kin bigin bay we yu de waka rawnd di rum ɛn afta dat yu kin mek di distans go ɔp smɔl smɔl. Dɛn kin sɛn yu bak to cardiac rehab, we na ɛksɛsayz program we dɛn de supavayz.
I kin tek bitwin 4 ɛn 8 wik fɔ mek i wɛl ful wan. Bɔt if dɛn bin du ɔpreshɔn pan yu we nɔ go tek bɔku mɔni, di tɛm we yu go gɛt fɔ wɛl go shɔt.
Aw yu kin kia fɔ yusɛf afta yu dɔn rich na os?
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul.
- Rɛst. Yu go fil taya kwik kwik wan insay di fɔs tri wik. Nɔ go wok we yu nɔ ebul fɔ du.
- Nɔ drayv fɔ sɔm wiks.
- Nɔ es pas 5-7 kg fɔ di fɔs 6-8 wik.
- Aks yu dɔktɔ ustɛm yu go ebul fɔ go bak na wokples.
Wetin na di bad tin dɛn ɛn bɛnifit dɛn we pɔsin kin gɛt we dɛn du ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di bɛnifit dɛn we pɔsin kin gɛt we i du di ɔpreshɔn, pas di prɔblɛm dɛn we kin apin we pɔsin nɔ du am.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
|
|
Dɛn prɔblɛm ya kin difrɛn fɔ yu ej, ɔda mɛrɛsin dɛn, ɛn aw di ɔpreshɔn at fɔ du. Yu dɔktɔ go ɛksplen dis to yu ditayli.
Ɛspɛshali afta dɛn dɔn ɔpreshɔn yu valv, yu kin gɛt smɔl risk fɔ gɛt wan sik we dɛn kɔl infɛkshɔn ɛndokadaytis . So tek tɛm bad bad wan bɔt di wɛlbɔdi we yu tit ɛn yu gɔm gɛt. Tɔk to yu dɔktɔ bifo yu du ɛni tritmɛnt fɔ yu tit.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn kam bak na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt pen na yu chɛst ɔ rawnd di say we dɛn kɔt .
- If yu fil bad bad wɔri ɔr pwɛl hat ( dis kin apin afta dɛn du ɔpreshɔn).
- If yu gɛt fiva (dis kin bi sayn fɔ se yu gɛt infekshɔn).
- If yu bɔdi wet go ɔp bay lɛk 2-3 kilo wan tɛm (dis min se wata de gɛda na di bɔdi).
Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm
Aw lɔng nyu valv kin las?
I dipen pan yu ej, di kayn ɔpreshɔn we yu bin du, ɛn di kayn valv we yu bin gɛt. di mεkanikal valv dεm kin las fכ lכng tεm, bכt di bayolojikal valv dεm kin nid fכ chenj εvri 10-20 ia, spεshal wan if dεn put dεm na yכng pכsin.
A nid fɔ kɔntinyu fɔ tek antikɔagulant afta dɛn dɔn du mi ɔpreshɔn?
- If dɛn gi yu mɛkanikal valv , yes, yu go gɛt fɔ tek blɔd tin dɛn fɔ di res ɔf yu layf.
- If yu bin gɛt valv ripa ɔ bayolojikal valv , yu kin jɔs nid fɔ tek dis mɛrɛsin fɔ sɔm wiks, ɔ yu nɔ go nid am atɔl.
A kin liv nɔmal layf afta di ɔpreshɔn?
Yɛs! Bɔku pipul dɛn kin go bak fɔ du di tin dɛn we dɛn bin dɔn du bifo dɛn du dɛn ɔpreshɔn. Yu wɛl bɔdi go dipen bak pan yu ɔl wɛl bɔdi. Na nɔmal tin fɔ mek yu fil fred we yu yɛri bɔt ɔpreshɔn pan yu at valv. Bɔt mɛmba se dis na sɔntin we yu de du fɔ chenj yu layf fɔ bɛtɛ. Tɔk to yu fambul ɛn padi dɛn bɔt dis. Na big sɔpɔt sistɛm fɔ gɛt pɔsin fɔ sɔpɔt yu di tɛm we yu de wɛl.
Mɛsej we dɛn kin kɛr go na os
- Hat valv ɔpreshɔn nɔto sɔntin fɔ fred, na sɔntin we de ɛp yu at fɔ wok fayn fayn wan bak.
- Tu men kayn ɔpreshɔn de: fɔ ripɛnt di valv ɛn fɔ riples di valv ɔl. Yu dɔktɔ go disayd uswan go fayn fɔ yu.
- I go tek sɔm wiks fɔ mek i wɛl ɔl. I rili impɔtant fɔ mek yu rɛst bɔku ɛn fala di advays we dɔktɔ gi yu insay dis tɛm.
- Ripɔt ɛnitin we nɔ kɔmɔn to yu dɔktɔ wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn.
- Nɔto yu wan de pan dis waka. Yu mɛdikal tim ɛn yu famili de fɔ sɔpɔt yu. Tɔk wit dɛn opin wan.
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