Sɔntɛnde, bikɔs ɔf big big at atak, at ɔpreshɔn, ɔ ɔda siriɔs mɛrɛsin, wi at kin wik bad bad wan. Jɔs lɛk pɔsin we taya bikɔs i de wok tranga wan, di at nɔ kin ebul fɔ pɔmp inof blɔd na in bɔdi. We dis kayn tin tranga, wi go tɔk bɔt wan spɛshal tin we dɛn kin yuz fɔ mek di at rɛst smɔl ɛn ɛp am. Dɛn kɔl dis Intra-Aortic Balloon Pump, ɔ IABP fɔ shɔt tɛm.
Simply put, wetin bi dis IABP?
IABP na wan lɔng, tint mɛrɛsin we shep lɛk balyɔn. Dɛn kin put am insay di men blɔd vesel na wi bɔdi ɛn dɛn mek am fɔ mek i blo ɛn pul am akɔdin to aw di at de wok. Imajin, we yu at de wok tumɔs ɛn nɔ ebul fɔ pɔmp blɔd, dis balyɔn de akt lɛk smɔl "ɛp" we de kam ɛp am.
Di impɔtant tin na dat, dɛn kin jɔs lɛf dis na di bɔdi fɔ sɔm dez. I nɔto fɔ ɔltɛm. Na jɔs sɔpɔt fɔ sɔm tɛm te di at kam bak to nɔmal.
Aw dis tin de wok? I rili wɔndaful!
I rili izi fɔ ɔndastand aw dis kin wok. Wi at gɛt tu men wok dɛn, nɔto so? Wan na fɔ kɔntrakt (swɛt) ɛn pɔmp blɔd ɔlsay na di bɔdi. Di ɔda wan na fɔ rilaks (expand) ɛn ful-ɔp wit blɔd.
Di we aw IABP de si tin de ɛp dis prɔses fayn fayn wan.
- We di at de rɛst ɛn ful-ɔp wit blɔd: Di balyɔn de blo . We dis kin apin, mɔ blɔd kin go na di korona at, we kin gi blɔd to di at. Dis min se di at kin gɛt mɔ ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it.
- We di at kɔntrakt ɛn pɔmp blɔd to di bɔdi: Di ventricles de deflate . dis de mek wan sכm vaykum insay di men blכd vesel, we de ridyus di rεsistεns fכ di at in ebul fכ pכmp blכd. Dis min se di at kin pɔmp blɔd izi wan we i nɔ nid fɔ wok tranga wan.
Dis balyɔn na kɔmpyuta we dɛn tay pan am de kɔntrol am fayn fayn wan, we de wach aw yu at de bit ɛn ajɔst di we aw di balyɔn de wok akɔdin to dat.
Ustɛm dɛn nid IABP?
Dɔktɔ kin disayd fɔ yuz dis divays pan siriɔs kes dɛm we di at nɔ kin ebul fɔ wok fɔ insɛf. Lɛ wi si wetin na dɛn kes dɛn de.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Shok we de mek pɔsin in at | Wan rili siriɔs kɔndishɔn we di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi bikɔs ɔf sɔntin lɛk at atak. |
| Inflameshɔn na di at mɔsul (Myocarditis) . | di at mכsul de swel εn wik bikoz fכ wan kכz lεk vayral infεkshכn. |
| Afta sɔm ɔpreshɔn dɛn na di at | Afta kɔmpleks at ɔpreshɔn, as sɔpɔt te di at wɛl. |
| Angina we nɔ stebul | Bɔrku pen na yu chɛst we mɛrɛsin nɔr kin kɔntrol ɛn kin kam to at atak ɛnitɛm. |
Pipul dɛn de we dis tritmɛnt nɔ fayn fɔ?
Yɛs. Nɔto ɔlman kin du dis tritmɛnt. Dɛn nɔr kin yuse am fɔ pipul dɛm wae gɛt sɔm kayn mɛrɛsin. Fɔ ɛgzampul:
- Aortic Aneurysm ɔ Diskɛshɔn
- di aorta rigurgitashכn na we di aorta valv nכ de kכloz fayn εn di bכdi de fכlכ bak.
- Sepsis we dɛn nɔ kin kɔntrol (na wan bad bad infekshɔn we dɛn nɔ kin ebul fɔ kɔntrol) .
Dɔktɔ dɛn go tek tɛm chɛk yu fɔ no if yu gɛt dɛn sik ya ɔ yu nɔ gɛt am bifo dɛn disayd fɔ tek IABP tritmɛnt.
Aw yu kin put dis balyɔn insay di bɔdi?
Dɛn kin du dis na ɔspitul in imejensi rum (ETU), intensiv kia yunit (ICU), ɔ ɔpreshɔn rum. Dɛn kin du am bay we dɛn kin mek yu nɔ no natin (anestez) ɔ yu kin mek yu nɔ ebul fɔ du na di say nɔmɔ we dɛn de tɔk bɔt.
1. Fɔ put di kateshɔn: Di dɔktɔ kin put wan smɔl tiub (kateta) insay wan big blɔd vesel na yu groin.
2. fכ sεnd di balכn: dεn de sεnd di balכn we dεn dכn fכm along da tכb de tכwεd di at.
.
4. Fɔ kɔnɛkt to di mashin: Dɔn, dɛn kin kɔnɛkt di tiub we de na di ɔda ɛnd pan di balyɔn to di kɔmpyuta mashin we wi bin dɔn tɔk bɔt.
Wetin mek dɛn kin yuz ɛliyɔm gas fɔ dis?
Dis na tin we rili impɔtant. Dɛn kin yuz ɛliyɔm fɔ mek di balyɔn dɛn blo ɛn pul di wata. Di rizin fɔ dis na bikɔs ɛliyɔm na gas we rili layt ɛn we nɔ de wok. If smɔl gas we kɔmɔt na di balyɔn lik insay di blɔd, di ɛliyɔm nɔ go du bɔku bad tin. Bɔt if wi yuz sɔntin lɛk di briz we wi de blo, i kin mek briz bɔbul ɛn blok di blɔd vesel dɛn (Air Embolism). Dat rili denja. Na dat mek dɛn kin yuz ɛliyɔm fɔ mek pɔsin nɔ gɛt prɔblɛm.
Wetin kin apin afta dɛn dɔn trit am? Ɛni risk dɛn de we kin apin?
Afta dɛn dɔn put di IABP, yu go nid fɔ de na bed. I rili impɔtant fɔ mek di leg we gɛt di balyɔn stret, bikɔs if yu bɛn, di balyɔn kin muf rawnd. Dɔn bak, bɔku tɛm dɛn kin gi blɔd tin dɛn lɛk ɛparin fɔ mek blɔd nɔ klɔt.
Jɔs lɛk ɔl di mɛrɛsin dɛn, prɔblɛm dɛn de we kin apin. Bɔt mɛmba se, dɛn kin jɔs yuz dis we i rili nid fɔ sev pɔsin in layf.
- Risk: Blɔd, infɛkshɔn, damej pan blɔd vesel, balyɔn bɔs (rili rare), ɔ damej pan ɔgan dɛm lɛk di kidni frɔm di balyɔn we de na di rɔng ples.
- Di men bɛnifit: Dis kin sev yu layf. If pɔsin gɛt at atak, i kin ɛp fɔ mek di blɔd kɔntinyu fɔ go na di ɔda pat dɛn na di bɔdi.
Wach fɔ dɛn sik ya afta yu dɔn gɛt tritmɛnt
Bɔku tɛm, afta sɔm dez, we di at in sik dɔn bɛtɛ, dɔktɔ dɛn kin ridyus di wok we di balɔ de du smɔl smɔl ɛn si if di at kin wok fɔ insɛf. If ɔltin fayn, dɛn kin pul di balyɔn.
We yu go na os afta yu dɔn gɛt tritmɛnt, yu fɔ tɔk to yu dɔktɔ ɛn mek dɛn no if yu notis ɛni sayn fɔ se yu gɛt prɔblɛm. Yu fɔ no mɔ bɔt dɛn sik ya:
- swel pasmak ɛn rɛd na di say we dɛn put di balyɔn.
- Fiva we nɔ gɛt rizin.
- Fɔ fil lɛk se yu at de bit fast (palpitations).
- I kin at fɔ blo mɔ ɛn mɔ (dyspnea).
- Swel na say dɛm lɛk ankles ɛn an.
- di wet we yu de gεt pas 2-3 kg insay wan wik.
If yu gɛt ɛnitin lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Intra-Aortic Balloon Pump (IABP) na balyɔn divays we dɛn kin yuz fɔ sɔm tɛm fɔ sɔpɔt di at we i rili wik.
- dis de εkspεnd εn kכntrakt akɔdin to di at bit, we de ridyus di wok we di at de du εn i de gi mכr blכd to di at mכsul.
- Dis na tritmɛnt we de sev pɔsin in layf ɛn dɛn kin yuz am fɔ sɔm dez nɔmɔ na ɔspitul.
- I impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn dɛn we yu de du dis tritmɛnt ɛn afta yu dɔn gɛt dis tritmɛnt.
- If ɛni ɔda sayn we nɔ kɔmɔn apin, tɛl yu dɔktɔ wantɛm wantɛm.
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