Dɔktɔ dɔn ɛva tɛl yu ɔ pɔsin we yu lɛk se dɛn nid fɔ du ɔpreshɔn pan dɛn at valv? Na nɔmal tin fɔ mek yu fred smɔl ɛn fred we yu yɛri dɛn wɔd dɛn de. Udat nɔ lɛk di wɔd "at ɔpreshɔn," nɔto so? Bɔt we yu dɔn no gud gud wan wetin na dis ɔpreshɔn, yu fred go dɔn. So, tide wi go tɔk bɔt at valv ɔpreshɔn insay simpul wɔd, insay langwej we yu go ɔndastand.
Wetin na di at valv ɔpreshɔn?
Fɔ tɔk am simpul wan, ɔpreshɔn na yu at valv na ɔpreshɔn fɔ ripɛnt (fiks) ɔ riples wan ɔ mɔ valv dɛn na yu at.
Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. Bitwin dɛn 4 chɛmba dɛn ya, sɔm pat dɛn de we tan lɛk domɔt dɛn we de mek blɔd go na wan say nɔmɔ. Na dat wi kin kɔl valv . Ɛnitɛm we di at bit, dɛn valv dɛn ya kin opin ɛn lɔk, ɛn dis kin mek di blɔd kɔntinyu fɔ flɔ ɔganayz wan we.
Bɔt sɔntɛnde, dɛn valv dɛn ya kin sik. Either dεn nכ de kכloz fayn εn blכd de stat fכ lik bak . Ɔ di valv kin tik ɛn smɔl, ɛn dis kin mek di blɔd nɔ go bifo . Ilɛk wetin apin, di at nɔ kin ebul fɔ wok fayn. Dat min se di at fɔ wok tranga wan pas aw i fɔ wok fɔ pɔmp blɔd. Na da tɛm de dɔktɔ dɛn kin tink bɔt ɔpreshɔn.
Fo men kayn valv de na wi at.
| Valv Nem | Ples |
|---|---|
| Trikuspid Valv we dɛn kɔl | Bitwin di כp εn di lכw chεmba dεm na di rayt say na di at |
| Valv we de na di pulmonari | bitwin di rayt vεntrikl εn di pulmonari at |
| Mitral Valv we de na di wɔl | bitwin di כp εn di lכw chεmba dεm na di lεft say na di at |
| Di Valv fɔ di Aɔtik | bitwin di lεft vεntrikl εn di men at we de kכri bכdi to di bכdi (Aorta) . |
Wetin na di kayn ɔpreshɔn dɛn we dɛn kin du?
Bɔku tin dɛn go sho di kayn ɔpreshɔn we dɛn go du yu. Fɔ ɛgzampul, yu ej, di kayn we aw yu at de, ɛn ɛni ɔda mɛrɛsin we yu go gɛt. Di dɔktɔ go du tɛst fɔ no ustɛm prɔblɛm yu gɛt wit yu valv ɛn aw i bad. Na da tɛm de nɔmɔ i go disayd di ɔpreshɔn we go fayn fɔ yu.
Tu men kayn ɔpreshɔn dɛn de.
Valv Ripa Ɔpreshɔn
Dis min se yu fɔ kip yu yon valv as yu ebul ɛn fɔ jɔs mek di tin we nɔ fayn. Bɔku tɛm, dis na di fɔs tin we dɔktɔ dɛn we de du ɔpreshɔn kin pik bikɔs na big bɛnifit fɔ ebul fɔ kip yu yon tisu.
Valv Riplesmɛnt Ɔpreshɔn
Sɔntɛnde, di valv kin pwɛl tumɔs fɔ mek dɛn ebul fɔ mek am bak. If na so i bi, dɛn kin pul di valv we nɔ fayn kpatakpata ɛn put nyu valv insay in ples. Dis nyu valv kin bi bayolojikal (we dɛn mek wit pig, kaw, ɔ mɔtalman tisu) ɔ mɛkanikal (we dɛn mek wit mɛtal ɔ kabɔn). Dɛn mek dɛn tin ya fɔ fit di bɔdi, so yu bɔdi nɔ go rijek dɛn.
Yu tink se at valv kin wɛl fɔ insɛf?
Nɔ, i nɔ go ɛva du dat. Dis na di tin we impɔtant pas ɔl we wi ɔl nid fɔ ɔndastand. At valv sik na wan sik wae kin wɔs as tɛm de go. Pan ɔl we mɛrɛsin kin kɔntrol di sik fɔ sɔm tɛm, i nɔ kin mɛn di sik. Di wangren sɔlv we go de sote go na ɔpreshɔn. So if yu dɔktɔ disayd se i nid fɔ du ɔpreshɔn, i nɔ go fayn fɔ put am bifo.
Bɔku tɛm, dɛn kin tink bɔt ɔpreshɔn we di sayn dɛn lɛk pen na in chɛst, we i nɔ de blo fayn, ɛn we i de tɔn diziz, tu tranga fɔ mek dɛn nɔ ebul fɔ kɔntrol am wit mɛrɛsin. Sɔntɛnde, i kin bɛtɛ fɔ mek dɛn du ɔpreshɔn bifo di sayn dɛn we yu gɛt.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu go nid fɔ du bɔku tɛst dɛn lɛk wan de bifo di ɔpreshɔn.
- X-ray na di chɛst
- Skan fɔ di at (Echocardiogram) .
- ECG tɛst (Ilektrokardiogram) .
- CT skan we dɛn kin du
- Tεst dεm lεk kadyak kateshכn
- Blɔd tɛst dɛn
Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. Dɔn bak, tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek ɛn no ustɛm yu nid fɔ stɔp fɔ tek bifo di ɔpreshɔn ɛn uswan yu nid fɔ kɔntinyu fɔ tek.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu go de ɔnda anestezi ɛn yu go de slip dip ɔl di tɛm we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛni pen. Di dɔktɔ we de du di ɔpreshɔn go mek smɔl say na yu chɛst fɔ mek i go ebul fɔ go na yu at. We dɛn de du di ɔpreshɔn, dɛn go yuz wan spɛshal mashin (at-lɔng mashin) fɔ du di wok we yu at ɛn yu lɔng dɛn de du. Dɔn di mɛdikal tim go mek ɔ chenj di valv. We di ɔpreshɔn dɔn, dɛn go bigin di at bak ɛn dɛn go lɔk di say we dɛn kɔt am.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin at | dɛn kin kɔt am lɛk 6-8 inch na di chɛst. |
| Ɔpreshɔn we nɔ kin tek bɔku mɔni | Dɛn kin yuz 3-4 inch ɔ smɔl say we dɛn kɔt am. Dɛn kin yuz rɔbɔt-asist teknɔlɔji bak. |
| Di we aw dɛn de yuz transkateta | Dɛn kin du di ɔpreshɔn we dɛn nɔ opin di chɛst, bay we dɛn put wan smɔl tiub (kateta) tru wan blɔd vesel na di groin. TAVR na wan we we bɔku pipul dɛn sabi fɔ du dis kayn we. |
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔrku tɛm, i kin tek lɛk 4 to 8 wiks fɔ mek i wɛl. Bɔt if dɛn bin du ɔpreshɔn pan yu we nɔ go tek bɔku mɔni, di tɛm we yu go gɛt fɔ wɛl go shɔt.
Afta di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez, dɔn dɛn go transfa yu to wan rɛgyula wɔd. Yu go de na di ɔspitul fɔ lɛk 5-7 dez. I nɔmal fɔ fil taya smɔl fɔs ɛn fil sɔm pen na di say we dɛn kɔt am.
Mɛmba dɛn tin ya we yu de wɛl:
- Nɔ fɔgɛt fɔ go na ɛni fɔlɔp apɔntinmɛnt we di dɔktɔ gi yu.
- Nɔ es ebi ebi wet (mɔ pas 7 kg) fɔ di fɔs 6-8 wik.
- Nɔ drayv we yu nɔ go to yu dɔktɔ.
- Start fɔ waka kwik kwik wan. Fɔs, insay os, dɔn smɔl smɔl, yu fɔ mek di distans go ɔp.
- Yu kin ebul fɔ go bak na yu woke afta 6-12 wik. Tɔk to yu dɔktɔ bɔt dis.
Ustɛm yu fɔ kɔl yu dɔktɔ?
I rili impɔtant fɔ tɛl di dɔktɔ wantɛm wantɛm if ɛni prɔblɛm kam we yu de wɛl.
| Ficha fɔ pe atɛnshɔn to | Wetin fɔ du |
|---|---|
| Pen, rɛd, swel, ɔ pus rawnd di say we dɛn kɔt. | Tɛl yu dɔktɔ wantɛm wantɛm. Dis kin bi sayn fɔ se pɔsin gɛt di sik. |
| Fiva. | Wan ɔda sayn fɔ se yu gɛt di sik. Go to dɔktɔ wantɛm wantɛm. |
| di wet we yu de gεt wan wan (e.g. mכr dan 2 kg). | Dis kin bi sayn fɔ se wata de kɔntinyu fɔ de. Tɛl yu dɔktɔ. |
| I kin pen bad bad wan na yu chɛst ɔ i nɔ kin izi fɔ blo. | Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
Sɔm ɔda kwɛstyɔn dɛn we yu go gɛt na yu maynd
A go gɛt fɔ tek antikɔagulant fɔ di res ɔf mi layf?
Dis dipen pan us kayn valv yu gɛt.
- If yu gɛt mɛkanikal valv , yes. Yu go gɛt fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf. I de mek blɔd nɔ klɔt na di valv.
- Yu bin gɛt valv ripa , nɔto so? Dɛn bin put wan bayolojikal valv insay.If na so, yu kin jɔs nid fɔ tek dis mɛrɛsin fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. Sɔntɛm yu nɔ go nid am atɔl. Yu dɔktɔ go tɛl yu di rayt tin fɔ du.
A kin liv nɔmal layf afta di ɔpreshɔn?
Yɛs, bɔku pipul dɛn kin ebul. Yu kin bigin bak fɔ du di tin dɛn we yu bin de du bifo yu du di ɔpreshɔn, fɔ du ɛksɛsayz, ɛn ɔda tin dɛn Bɔt mɛmba se nɔto ɔlman na di sem. Di we aw yu de wɛl kin difrɛn frɔm ɔda pɔsin in yon. So gi yusɛf sɔm rɛst ɛn lisin to yu bɔdi.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn fɔ di at valv nɔto sɔntin we pɔsin fɔ fred. Naw, na ɔpreshɔn we dɔn rili wok fayn, we de sev pɔsin in layf, ɛn we de mek pɔsin in layf bɛtɛ.
- Valv we gɛt sik nɔ go wɛl fɔ insɛf. De sik go wɔs as tɛm de go, so i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn.
- Di kayn ɔpreshɔn we yu go du (ripa, rikostrɔkshɔn, opin ɔpreshɔn, ɔ minimally invasive) go dipen pan yu yon wɛlbɔdi kɔndishɔn.
- Peshɛnt we yu de wɛl. Gi yu bɔdi di tɛm we i nid fɔ wɛl.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt. Dɛn de de fɔ ɛp yu.
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