Yu ɔ sɔmbɔdi na yu famili gɛt pesmɛka ɔ ɔda tin fɔ mek yu at pwɛl? If na so i bi, yu go dɔn yɛri bɔt wan smɔl waya we de kɔmɔt na di divays to di at. Bɔku tɛm, dɛn kin put dɛn tin ya insay pɔsin in bɔdi fɔ layf. Bɔt insay sɔm spɛshal kes dɛn, dɛn kin tek tɛm pul dɛn waya dɛn ya ɔ pul dɛn na di at. Dis na wetin wi kin kɔl ‘lid ɛkstrakshɔn’ na mɛrɛsin. Wetin mek dɛn kin du dis? Yu tink se i denja? Wi go tɔk bɔt dis rili simpul wan tide, di we we yu go ɔndastand.
Fɔs, lɛ wi si wetin dis we dɛn kɔl ‘lid’ min.
We yu tink bɔt ‘lid’, nɔ tink bɔt pensil lid! Dis na sɔntin we rili difrɛn. Fɔ tɔk am simpul wan, na wan waya we rili tan we dɛn rap wit spɛshal insuleshɔn. I de rɔn frɔm yu pesmɛka ɔ ICD (implantable cardioverter-defibrillator) divays insay yu at.
Yu no, dɛn kin yuz dɛn tin ya fɔ trit di at ritm abnɔmaliti, we na we di at de bit tumɔs, tu slo, ɔ tu irɛgyula (arrhythmias). So, we di at ritm nɔ go fayn, wan smɔl ilɛktrik signal frɔm di divays de travul along dis lid to di at. Na dat signal na in de mek di at bit nɔmal wan bak. I tan lɛk se yu de on di TV wit rimot.
So wetin na ‘Lead Extraction’?
Fɔ tɔk am simpul wan, dis de tɔk bɔt di ɔpreshɔn fɔ pul wan ɔ mɔ pan dɛn ‘lid’ waya dɛn ya insay di at.
Bɔt dis nɔ izi lɛk aw i tan. di rizin na dat afta dεn put dis waya insay di at, as tεm de go, wi bכdi de fכm fayn fayn ska tisu dεm rawnd am. dis ska tisu de mek di waya tay fayn fayn wan na di blɔd vesel ɛn di at wɔl. Dis kin mek i nɔ pɔsibul fɔ pul am nɔmal wan. If yu du dat, i go pwɛl di blɔd vesel dɛn.
So, spɛshal ikwipmɛnt ɛn di skil we dɔktɔ we gɛt bɔku ɛkspiriɛns pan di at gɛt impɔtant fɔ tek tɛm brok dis ska tisu ɛn rilis dis waya we nɔ go pwɛl di blɔd vesel dɛn.
Wɛl, wetin mek yu nid fɔ pul dɛn waya dɛn ya wantɛm wantɛm?
Bɔku rizin dɛn de fɔ dis. Sɔm na imejensi, sɔm dɛn kin plan bifo tɛm. Lɛ wi luk di men rizin dɛn.
| Rizin fɔ mek dɛn pul am | Wan simpul ɛksplen |
|---|---|
| Wan infekshɔn na di divays ɔ di waya | Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik . Infεkshכn na di bכdi (bacteremia) kin spre to di divays εn di waya. sכmtεm di at valv dεm kin gεt infεkshכn bak (infεkshכn εndokarditis). If na so i bi, i nid fɔ pul di wan ol sistɛm (divays ɛn waya) fɔ kɔntrol di infɛkshɔn. |
| Waya brok ɔ nɔ de wok fayn | As tɛm de go, di waya kin brok insay ɔ na do. Dɔn di signal we dɛn kin sɛn frɔm di divays nɔ kin rich di at fayn. So, dɛn fɔ pul di waya we dɔn brok, we nɔ gɛt yus. |
| ska tisu we de fכm pasmak (Exit Block) . | we di εnd pan di waya, usay i kכnekt to di at, tu tik wit ska tisu, di ilektrikal signal nכ kin pas da barεri de fכ go na di at. Dɛn kɔl dis ‘ɛkzit blɔk’. Dis kin mek di divays nɔ de wok fayn. |
| Ɔda prɔblɛm dɛn | Sɔntɛnde, di waya insɛf kin mek di at nɔ de rit ɔltɛm. Dɔn bak, blɔd kin klɔt rawnd di waya, ɛn dis kin mek di blɔd nɔ flɔ. |
| Rikɔl bay di wan we mek am | Na smɔl tɛm nɔmɔ di wan we mek am kin kɔl wan patikyula kayn waya bak bikɔs i nɔ fayn. Ivin da tɛm de, dɛn go gɛt fɔ pul dɛn kɔmɔt. |
Aw ɛksaktɔli dɛn kin du dis ɔpreshɔn?
Tu men we dɛn de fɔ du dis ɔpreshɔn. di mכst kכmכn mεtכd na tru di sכbklavian vein, we de כnda di kכlabon (klavikul). if dat nכ posεbul, dεn kin du am bak tru wan vein na di groin (femoral vein).
Na dis na wan simpul we fɔ ɛksplen wetin kin apin we dɛn de du di ɔpreshɔn:
1. Anestezi: Fɔs, dɛn go put yu ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin te di ɔpreshɔn dɔn, ɛn yu go de slip.
2. Fɔ put spɛshal tiub insay:Dɔn di dɔktɔ kin put wan spɛshal tiub we dɛn kɔl ‘sheath’ tru wan pan yu blɔd vesel dɛn ɛn gayd am to di ‘lid’ we de na yu at.
3. Fɔ kɔba di waya: Neks, dɛn kin kɔba di ol waya kɔmplit wan wit dis ‘sheath’, jɔs lɛk aw yu kin kɔba di kap fɔ pen wit kap.
4. Yuz layv X-ray: Dɛn kin du ɔl dis bay we dɛn de yuz layv X-ray imej (fluoroscopy). So di dɔktɔ kin si klia wan wetin de apin insay di bɔdi.
5. di ska tisu dεstrכkshכn: we yu yuz spεshal tin we de na di εnd pan di ‘sheath’, di ska tisu we de rawnd di waya de brok sכmtεm, we de fri di waya. Sɔntɛnde, dɛn kin ivin yuz lɛsa bim fɔ dis. Di laser enaji de vaypa di ska tisu ɛn pul am.
6. Fɔ pul di waya: we di waya dɔn fri frɔm ska tisu ɔltogɛda, dɛn kin tek tɛm pul am na di bɔdi wit di ‘sheath’.
7. Fɔ lɔk di wund: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich ɛn kɔba am wit bandej.
Yu go put nyu waya dɛn bak?
Dis dipen pan di rizin we mek dɛn pul di waya. Lɛ wi se di rizin na infekshɔn. If na so i bi, di infekshɔn fɔs fɔ wɛl kpatakpata . Dis kin nid fɔ tek antibayɔtik fɔ sɔm dez ɔ wik. Na afta di infekshɔn dɔn wɛl nɔmɔ dɛn go put nyu divays ɛn waya. Bɔt if di rizin na sɔntin lɛk waya we dɔn brok, dɛn kin put nyu wan di sem tɛm we dɛn de du di ɔpreshɔn fɔ pul di ol wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. Di prɔblɛm dɛn kin smɔl we wan dɔktɔ we gɛt ɛkspiriɛns du dis ɔpreshɔn.
| Men bɛnifit dɛn we pɔsin kin gɛt | |
|---|---|
| ✅ we yu de du | If infekshɔn bin de, dɛn bin ebul fɔ mɛn am kpatakpata. |
| ✅ we yu de du | Fɔ mek divays wok fayn bak bay we yu chenj di waya we dɔn brok ɔ we nɔ de wok fayn wit nyu waya we de wok fayn. |
| ✅ we yu de du | Fɔ sɔlv prɔblɛm dɛn lɛk we di at nɔ de rit ɔltɛm ɛn di blɔd we de klɔt we di waya de mek. |
Di tin we impɔtant pas ɔl na fɔ pik pɔsin we tren gud gud wan, we gɛt ɛkspiriɛns fɔ mɛn yu at ɛn ɔspitul, bikɔs dis na kɔmpleks ɔpreshɔn.
| Risk dɛn we kin apin (we nɔ kin apin so ɔltɛm) . | |
|---|---|
| ⚠️ | Damej pan blɔd vesel ɔ at wɔl ɛn blɔd we de kɔmɔt pasmak. |
| ⚠️ | We dɛn pul di waya, i kin brok ɛn smɔl pat kin lɛf insay di bɔdi. |
| ⚠️ | Blɔd de gɛda rawnd di at. |
| ⚠️ | Kɔmplikɛshɔn dɛn we gɛt fɔ du wit anestezi. |
A nid fɔ de na ɔspitul afta dɛn dɔn du di ɔpreshɔn?
Yɛs, bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez. I kin tek lɔng tɛm pas dat. Insay da tɛm de:
- Rɛst: Yu go nid fɔ ledɔm na bed ɛn rɛst fɔ sɔm awa, mɔ if dɛn du di ɔpreshɔn tru di groin.
- Fɔ gi antibayɔtik: If dɛn du di ɔpreshɔn bikɔs ɔf infekshɔn, dɛn go kɔntinyu fɔ gi di antibayɔtik insay di bɛlɛ.
- X-ray: Dɛn kin du ɛkstrem na di chɛst di nɛks mɔnin fɔ chɛk if di nyu waya dɛn de na di rayt say.
Afta yu go na os, wetin na di tɛm dɛn we yu nid fɔ tɔk to di dɔktɔ?
I rili impɔtant fɔ kip yu yay pan yu bɔdi chenj ivin afta yu dɔn go na os. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu .
- If yu gɛt prɔblɛm fɔ blo.
- If yu gɛt fiva (we pas 101°F) .
- If swel de, blɔd de kɔmɔt pasmak, ɔ wata we tan lɛk pus de kɔmɔt na di say we dɛn du di ɔpreshɔn.
- If yu notis se yu finga ɔ yu fut finga dɛn de swel we nɔ kɔmɔn .
Nɔ ignore dɛn sayn ya. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- Fɔ pul lid na spɛshal ɔpreshɔn we de pul di waya dɛn na di peshɛnt ɔ ICD divays dɛn na di at.
- Di men tin we kin mek dis apin na infekshɔn na di divays ɔ waya. Apat frɔm dat, di waya kin brok ɔ i nɔ kin wok fayn.
- Dis na kɔmpleks ɔpreshɔn we dɔktɔ we gɛt ɛkspiriɛns fɔ tek tɛm du am wit big kia, bikɔs ska tisu kin fɔm rawnd di waya as tɛm de go.
- I rili impɔtant fɔ no bɔt di wɔnin simptom dɛm (fiva, i nɔ izi fɔ blo, i kin swel) we kin apin afta dɛn du di ɔpreshɔn ɛn fɔ go to dɔktɔ wantɛm wantɛm if dis kayn tin apin.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ fɔ fred bɔt dis, tɔk bɔt am opin wan wit yu dɔktɔ we de mɛn yu at. Dɛn go ɛksplen ɔltin to yu.
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