Yu dɔktɔ dɔn tɛl yu se yu gɛt Atrial Fibrillation, we na wan at bit we nɔrmal fast? Yu go mɔs no se pipul dɛm wae gɛt dis sik kin gɛt strok tri to fayv tɛm pas ɔda pipul dɛm. Di men rizin fɔ dis na di blɔd we de klɔt we kin mek insay di at. So tide wi de tɔk bɔt wan spɛshal tritmɛnt we dɔn briŋ bɔku rilif to bɔku pipul dɛn ɛn we dɛn de yuz fɔ ridyus dis denja risk.
Fɔ tɔk am simpul wan, wetin na Lɛft Atrial Apɛndij Klɔz?
Okay, dis kin tan lɛk se na kɔmplikɛt nem, bɔt di stori rili simpul. Tink bɔt di lɛft atria, we na di ɔp pat na wi at. Wan smɔl pat de we tan lɛk pɔch we de kɔmɔt na di wɔl na dis chɛmba. Na dat dɔktɔ dɛn kin kɔl di Left Atrial Appendage (LAA) .
Nɔmal wan, we di at bit fayn, blɔd kin flɔ insay dis sak ɛn afta dat i kin kɔmɔt bak. Bɔt pan pɔsin we gɛt Atrial Fibrillation (Afib), di ɔpa chɛmba dɛn na di at nɔ kin kɔntrakt fayn, bɔt insted dɛn kin shek. Dɔn, blɔd kin gɛda insay da sak de we dɛn kɔl LAA, ɛn blɔd kin bigin fɔ klɔt. 90% pan di bכdi kכlכt we de mek strכk pan pipul dεm we gεt Afib de fכm insay dis sכmכl sak we dεn kכl LAA.
So, Left Atrial Appendage Closure (LAA Closure) na ɔpreshɔn we dɛn kin du, ɔ smɔl say we dɛn kin kɔt, we kin yuz smɔl say fɔ lɔk di LAA, we na di bag usay blɔd kin klɔt. We dɛn lɔk dis, ivin if blɔd klɔt fɔm de, dɛn nɔ kin ebul fɔ go insay di blɔd ɛn travul go na di bren. Dis kin ridyus di risk fɔ gɛt strok bad bad wan.
di bεst pat na fכ klos dis pat pan di LAA nכ de afekt di rεst כf di at in fכnshכn. Di at kin wok fayn fayn wan if i nɔ gɛt am.
Udat nid dis tritmɛnt?
Dis tritmɛnt na fɔ pipul dɛm wae gɛt Atrial Fibrillation (Afib) wae gɛt bɔrku risk fɔ gɛt strok. Na gud sɔlvishɔn mɔ fɔ di wan dɛn we gɛt prɔblɛm wit tin dɛn we de mek blɔd tan.
Bɔku tɛm, dɔktɔ dɛn kin gi yu mɛrɛsin fɔ mek yu blɔd tan lɛk warfarin (Coumadin®) fɔ mek yu nɔ gɛt strok. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn mɛrɛsin ya:
- Fɔ tɛst yu blɔd ɔltɛm: Yu nid fɔ du blɔd tɛst ɔltɛm fɔ mek shɔ se yu de tek di rayt mɛrɛsin.
- Kɔntrol di it: Sɔm it dɛn lɛk vɛjitebul dɛn we gɛt vaytamɛn K, kin nid fɔ gɛt smɔl it.
- Risk fɔ mek yu blɔd kɔmɔt: Dis mɛrɛsin kin mek di blɔd slo ivin if yu gɛt smɔl injury. Dis kin denja fɔ pɔrsin wae kin fɔdɔm ɔltɛm ɔr kin de pan denja fɔ mek blɔd kɔmɔt na in intestinal.
- Dis mɛrɛsin nɔr de woke fɔ sɔm pipul dɛm.
Apixaban (Eliquis®), rivaroxaban (Xarelto®) we nɔ gɛt wɔfarinPan ɔl we nyu mɛrɛsin dɛn de lɛk dɛn wan ya, dɛn nɔ kin wok fɔ ɔlman. Dɛn kin dia fɔ sɔm pipul dɛn, ɛn dɛn kin gɛt prɔblɛm bak fɔ mek dɛn blɔd kɔmɔt.
So, fɔ di wan dɛn we gɛt prɔblɛm fɔ kɔntinyu fɔ tek mɛrɛsin we de mek dɛn blɔd tan fɔ rizin dɛn lɛk dis, yu kin tɔk to yu dɔktɔ bɔt wan tritmɛnt we dɛn kɔl LAA Klɔz.
Us we dɛn kin yuz fɔ lɔk di LAA?
Difrɛn we ɛn divays dɛn de fɔ lɔk dis pat pan di LAA. Sɔm pan dɛn tin ya na:
| Di kayn divays we yu de yuz | Aw i de wok | Ɛgzampul dɛn |
|---|---|---|
| Divays dɛn we de lɔk di opin fɔ di LAA | Dɛn tin ya tan lɛk bɔtul kap. di mכt fכ di LAA, usay i de kכnekt to di lεft atrium na di at, dεn kin kכloz am wit dis divays. Dɔn, ivin if blɔd klɔt fɔm insay, dɛn nɔ kin ebul fɔ kɔmɔt. | WATCHMANTM, AmuletTM, WevKrɛstTM, ɛn ɔda pipul dɛn |
| Klip we de ol di bays fɔ di LAA | Dis tan lɛk tin we dɛn kin yuz fɔ kɔt klos. Dis klip de yuz fɔ ol di LAA in ples (na di bays) ɛn lɔk am. | AtriKlipTM we dɛn kɔl |
| Di we dɛn fɔ lɔk we dɛn de yuz lɔp ɔ stich | Dɛn kin put spɛshal band ɔ lɔp rawnd di bays pan di LAA ɛn tay am fɔ lɔk am. | LariatTM, SierraTM, ɛn ɔda pipul dɛn |
Fɔ pripia fɔ ɛn du di tritmɛnt
Bifo dɛn trit am
Bifo yu du dis tritmɛnt, yu dɔktɔ go chɛk yu at wit wan Transesophageal Echocardiogram (TEE).Dɛn kin du wan skan we dɛn kɔl TEE ɔ kadyak CT skan. TEE involv fכ put sכmכl kεmεra dכn di εsophagus fכ mכsu di εksεkshכn shep εn saiz fכ di LAA na di at. Dis na bikɔs nɔto ɔlman in LAA na di sem. Sɔm pipul dɛn LAA dɛn shep lɛk chukchuk wing, we ɔda wan dɛn LAA dɛn shep lɛk bɔtaflay. Dɛn kin yuz dis skan fɔ pik di rayt divays ɛn saiz fɔ yu.
Apat frɔm dat, dɛn go advays yu fɔ stɔp fɔ it ɛn drink (fast) fɔ sɔm awa bifo di tritmɛnt.
We dɛn de du tritmɛnt
Tu men we dɛn de fɔ du dis.
1. Fɔ du am di sem tɛm wit ɔda at ɔpreshɔn: If yu de du ɔda big ɔpreshɔn pan yu at, lɛk baypas ɔpreshɔn, di ɔpreshɔn kin kɔt ɛn pul dis pat pan di LAA di sem tɛm, ɔ siŋ am klos.
2. Minimally Invasive: Dis na di we we dɛn kin yuz mɔ. No big insishɔn nɔ de ya. Dis na wetin kin apin:
- Dɛn kin kɔt smɔl pat na di skin nia di groin, ɛn dɛn kin pas wan tint tiub we dɛn kɔl kateta tru wan blɔd vesel we de de go na di at.
- dis tכb de insay frכm di rayt atrium to di lεft atrium, tru wan sכmכl ol na di wכl bitwin di tu chεmba dεm. (Nɔ wɔri, dis ol kin lɔk insɛf insay 6 mɔnt).
- afta dat dεn de advans di tכb to di LAA, εn dεn fכs di divays we dεn bin dכn sεlekt fכ klos di mכt fכ di LAA.
- Dɛn kin du ɔl dis bay we dɛn luk insay wit skan dɛn lɛk Fluoroscopy (X-ray video) ɛn TEE .
- We dɛn dɔn fɔ du di wok, dɛn kin pul di kateshɔn.
Wetin kin apin afta dɛn dɔn trit am?
If dɛn du dis tritmɛnt tru smɔl say we dɛn kɔt, sɔntɛm yu go jɔs gɛt fɔ de na ɔspitul fɔ wan nɛt ɛn yu go ebul fɔ go na os di nɛks de.
Di mɛrɛsin plan go chenj smɔl afta yu dɔn go na os.
- Bɔku tɛm, fɔ di fɔs 45 dez , dɛn go tɛl yu fɔ tek wan antikɔagulɛnt ɛn aspirin. Insay da tɛm de, di skin tisu go fɔm rawnd di divays, ɛn sidɔm am tayt wan.
- Wans TEE skan afta 45 dez kɔnfyus se di LAA dɔn lɔk ɔl, yu kin stɔp fɔ tek blɔd tina. Dɔn dɛn go gi yu klopidogrel (Plavix®) ɛn aspirin fɔ 6 mɔnt .
- Sɔntɛnde, di dɔktɔ kin advays fɔ tek aspirin fɔ lɔng tɛm.
Di tin we impɔtant pas ɔl na dat, nɔ stɔp fɔ tek ɛni mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. Mek shɔ se yu go na di fɔs apɔntinmɛnt dɛn di rayt tɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn smɔl risk dɛn de. Yu dɔktɔ go ɛksplen ɔl dɛn tin ya to yu.
| Di bɛnifit dɛn we pɔsin kin gɛt we i gɛt tritmɛnt | Risk/Kɔmplikeshɔn dɛn we pɔsin kin gɛt |
|---|---|
|
|
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm.
- Fiva ɔ ɔda sayn dɛn we de sho se yu gɛt di sik (we de swel, di say we dɛn kɔt rɛd).
- Wan at bit we nɔrmal, we yu kin fil se yu de flɔt na yu chɛst.
- Bɔrku pen na yu chɛst.
- I nɔ kin izi fɔ yu fɔ blo.
Fɔ liv wit Afib kin mek yu strɛs, mɔ if yu gɛt prɔblɛm wit yu blɔd tin dɛn. LAA Klɔz nɔto fɔ ɔlman, bɔt i kin bi opshɔn fɔ yu. So tɔk klia wan bɔt am wit yu dɔktɔ we de mɛn yu at, aks yu kwɛstyɔn dɛn, ɛn disayd fɔ du di bɛst fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Lɛft Atrial Apɛndij (LAA) Klɔz na saksesful tritmɛnt fɔ ridyus di risk fɔ strok pan pipul dɛm we gɛt Atrial Fibrillation (Afib).
- dis dεn kin du fכ mek blכd kכlכt nכ fכm insay wan sכmכl sak na di at we dεn kכl LAA, bay we dεn de kכlos da sak de.
- Dis kin bi gud sɔlv fɔ di wan dɛn we gɛt prɔblɛm fɔ kɔntinyu fɔ tek mɛrɛsin we de mek dɛn blɔd tan.
- Yu fɔ tɔk to yu dɔktɔ if dis tritmɛnt fayn fɔ yu.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu ɛn fɔ go tɛst yu di rayt tɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt