Yu kin fil taya bad bad wan ɛn yu nɔ de blo fayn ivin we yu de waka fɔ shɔt tɛm? Na kɔmɔn tin fɔ mek dɛn kayn sik ya kin apin we di at wok rili wik, dat na we at pwɛl bad bad wan. Di at kin lɔs di trɛnk we i nid fɔ pɔmp blɔd ɔlsay na di bɔdi. So sɔntɛnde lɛk dɛn tɛm ya, wit di wɔndaful tin dɛn we dɛn dɔn du na mɛrɛsin sayɛns, wan spɛshal tin de we go ɛp yu at. Wi go tɔk bɔt am tide. Dat na wan tin we dɛn kɔl LVAD (Left Ventricular Assist Device).
Fɔ tɔk am simpul wan, wetin na dis LVAD?
LVAD na mɛkanikal pɔmp we dɛn kin ɔspitul insay di bɔdi fɔ di wan dɛn we gɛt ɛnd-stej at fayl. In ɔda wɔd, i tan lɛk ‘asistant’ we de ɛp yu at.
Wi at gɛt 4 men rum dɛn. Di wan we de dɔŋ di lɛft say dɛn kɔl am di Lɛft Vɛntrikl . Na di wan we de du di men wok fɔ pɔmp blɔd we gɛt ɔksijɛn to di wan ol bɔdi. So, insay at atak, dis lεft vεntrikl kin wik. wetin di LVAD de du na fכ εp da wik lεft vεntrikl de. Na dat mek dɛn kɔl am Left Ventricular Assist Device.
Dis pɔmp kin tay na di ɔnda pat na di at, tek blɔd frɔm de, ɛn sɛn am tru wan tiub to di aorta . di aorta na di big bכdi we de na wi bכdi. Frɔm de, di blɔd we gɛt ɔksijɛn kin go ɔlsay na di bɔdi. So di LVAD de ɛp fɔ du ɛksaktɔli dis impɔtant wok.
Di impɔtant tin na dat LVAD nɔto atifishal at. I nɔto sɔntin we yu pul ɛn transplant na yu at. Bifo dat, na tin we de wok nia yu yon at ɛn sɔpɔt am.
Wetin na di men pat dɛm fɔ wan LVAD?
Di LVAD sistem gɛt sɔm men pat dɛn. Ɔl dɛn pat ya de wok togɛda fɔ mek dis wɔndaful divays wok. Lɛ wi tek tɛm luk wetin na dɛn pat dɛn de.
| Pat pan di divays | Simpul ɛksplen |
|---|---|
| Pɔmp we dɛn kin yuz | Dis na di men pat. dis pכmp dεn kin כpכt insay di chεst εn na in de tek bכdi frכm di lεft vεntrikl na di at εn pכmp am insay di aorta. |
| Drayvlayn | Dis na spɛshal kebul. i de kכmכt frכm di pכmp insay di bכdi, kכmכt tru di skin na di bכdi, εn kכnekt to di kכntrola we de na do. I rili impɔtant fɔ tek kia ɔf am gud gud wan ɛn kip am klin. |
| Kɔntrola | Dis tan lɛk smɔl kɔmpyuta. Na divays we dɛn kin kip na do na di bɔdi. I de kɔntrol aw di pɔmp de wok, chenj in spid, ɛn gi alam if prɔblɛm de. |
| Pawa Saplai | Di LVAD nid ilɛktrishɔn fɔ mek i wok. I de yuz batri dɛn we dɛn kin chaj bak. Dɛn batri dɛn ya kin gi pawa fɔ lɛk 14 awa so. We di batri chaj smɔl, yu nid fɔ chenj am wit nyu batri dɛn. Yu kin plɔg am bak dairekt na ilɛktrik ɔlt na os. |
Udat nid dis LVAD?
Dɛn kin yuz LVAD pan tu men tin dɛn. Yu dɔktɔ go tek tɛm luk yu sik ɛn disayd us we go fayn fɔ yu.
1. As brij to at transplant (Brij to Transplant - BTT) .
Sɔm sik pipul dɛn nid fɔ gɛt at transplant. Bɔt dɛn fɔ wet fɔ sɔm tɛm te dɛn gɛt at we mach di pɔsin we gi dɛn. Insay dis tɛm, di sikman in kɔndishɔn kin wɔs. Ɔda ɔgan dɛn lɛk di kidni ɛn di liva kin pwɛl bak.
insay dεn kayn kes dεm ya, di LVAD de wok lεk "brij" fכ kip di sikman hεlty εn strכng te hat de . Dis kin mek di pɔsin in layf bɛtɛ, i kin mek di sik nɔ bɔku, ɛn i kin mek dɛn gɛt trɛnk fɔ du ɔpreshɔn fɔ transplant in at fayn fayn wan. Dɛn kin pul di LVAD divays di tɛm we dɛn transplant di at.
2. As las tin fɔ du (Dɛstinɛshɔn Tɛrapi - DT) .
Sɔm sik pipul dɛn nɔ kin ebul fɔ gɛt at transplant bikɔs dɛn dɔn ol ɔ dɛn gɛt ɔda wɛlbɔdi prɔblɛm. If dɛn at de wok tranga wan pan ɔl we dɛn de du ɔl di ɔda tritmɛnt dɛn, lɛk mɛrɛsin ɛn chenj dɛn layf, dɛn kin nid sɔpɔt fɔ ɔl dɛn layf.Dɛn de put wan LVAD insay pɔsin in bɔdi.
Dɛn kɔl dis Destination Therapy. Na ya, di LVAD de sɔpɔt di at fɔ di res ɔf di pɔsin in layf, we de alaw dɛn fɔ liv bɛtɛ, mɔ aktif layf.
Aw fɔ pripia bifo dɛn du LVAD ɔpreshɔn?
Dɛn nɔ kin disayd fɔ put LVAD insay pɔsin in bɔdi fɔ wan nɛt. Wan tim we gɛt dɔktɔ dɛn go chɛk yu gud gud wan. Fɔ dis, dɛn go du sɔm tɛst dɛn, lɛk:
- ECG (Electrocardiogram): Fɔ chɛk di ilɛktrik aktiviti na di at.
- Chɛst X-ray: Fɔ si aw di at ɛn di lɔng dɛn de.
- Blɔd tɛst: Fɔ no di ɔl wɛlbɔdi na di bɔdi, di kidni ɛn di liva we de wok.
- Echocardiogram: Na skan fɔ si aw di at in chɛmba ɛn valv dɛn de wok ɛn aw dɛn de pɔmp blɔd.
- Mεtabolik strεs tεst: Fכ si aw di at de ansa we i de du εksεsayz.
- Hat kateshɔn: Fɔ chɛk fɔ si if di blɔd vesel dɛn na di at dɔn blok ɛn prɛshɔn.
Dɔn bak, sɔm mɛrɛsin dɛn de we kin mek LVAD implant nɔ fayn. Fɔ ɛgzampul:
- Sik dɛn we kin mek pɔsin blɔd klɔt
- End-stej rεnal fεil
- Siriɔs sik na di liva
- Siriɔs sik we de mek pɔsin in lɔng
- Infεkshכn dεm we dεn nכ kin kכntrol wit antibaytik
Aw dɛn kin du di ɔpreshɔn ɛn di tɛm afta dat
LVAD implantation na ɔpreshɔn we dɛn kin du fɔ opin at. I kin tek bitwin 4 ɛn 6 awa. Yu de ɔnda anestezi, we min se yu dɔn slip ɔl, ɔl di tɛm we dɛn de du di ɔpreshɔn.
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk 2 to 3 wiks. Insay dis tɛm, dɔktɔ, nɔs, ɛn spɛshal tim dɛn go tich yu aw fɔ liv wit di LVAD divays.
- Aw di divays de wok
- Aw fɔ chenj di bateri
- Aw fɔ kip di wund klin usay di drayvlayn de kɔmɔt
- Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du
Na afta dɛn dɔn kɔnfyus se yu ebul fɔ du ɔl dɛn tin ya, na in dɛn go alaw yu fɔ go na os.
Laif wit wan LVAD
Yu layf go chenj smɔl afta yu go bak na os, bɔt yu kin liv fayn fayn wan wit dɛn chenj dɛn de.
- Fɔ was: Yu nɔ go ebul fɔ was, swim, ɔ jɔs put di divays insay wata wit LVAD. Bɔt spɛshal tin dɛn de fɔ ɛp yu fɔ shaw.
- Mɛrɛsin: Yu go nid fɔ tek antikoagulant fɔ di res ɔf yu layf. Dis rili impɔtant.
- Di it: I rili impɔtant fɔ fala di it we gɛt wɛlbɔdi.
- Ɛksasayz:Yu kin tek pat pan program fɔ rihabilite yu at ɛn du ɛksɛsayz we fit, lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Wɛlbɔdi layf: Dɛn fɔ stɔp fɔ smok ɛn drink rɔm kpatakpata.
Wetin na di bɛnifit ɛn risk dɛn we LVAD gɛt?
Lɛk ɛni ɔpreshɔn, LVAD implantation gɛt bɛnifit ɛn sɔm risk dɛn bak.
Men advantej dɛn
- Big big ridɔkshɔn pan di sayn dɛm lɛk fɔ blo shɔt ɛn taya.
- I de mek blɔd go fayn to ɔda pat dɛn lɛk di kidni, di liva, ɛn di bren.
- Fɔ ebul fɔ kɔmɔt na ɔspitul, go na os, ɛn spɛn tɛm wit mi famili.
- I go ebul fɔ du ɛksɛsayz ɛn du tin dɛn we pɔsin kin du ɛvride.
- Ɔl togɛda, di we aw pipul dɛn de liv dɔn rili bɛtɛ .
- Di layfspan fɔ di wan dɛn we de liv wit LVAD divays kin go ɔp we yu kɔmpia am wit di wan dɛn we de tek drɔgs tritmɛnt nɔmɔ.
Risk dɛn we kin apin
Ɛni ɔpreshɔn gɛt prɔblɛm dɛn. Yu dɔktɔ go tɔk to yu bɔt aw fɔ stɔp dɛn prɔblɛm ya ɛn aw dɛn kin afɛkt yu.
| Risk sityueshɔn | Tɔk bɔt |
|---|---|
| Sik we de prɛd | Infεkshכn kin apin, spεshal wan usay di drayvlayn de kכmכt na di skin. So, i impɔtant fɔ mek da say de rili klin. |
| Blɔd Klɔt ɛn Strɔk | Risk de fɔ mek blɔd klɔt insay di divays. If dɛn tin ya travul go na di bren, strok kin apin. Dɛn kin gi antikoagulant fɔ mek dis nɔ apin. |
| Blɔd we de kɔmɔt | Bikɔs yu de tek mɛrɛsin we de mek yu blɔd tan, ivin we yu wund smɔl, i kin mek yu blɔd bɔku. |
| Rayt At we De Fayl | we di LVAD de εp di lεft say na di at, sכmtεm di rayt sayd nכ kin ebul fכ handle di prεshכn. |
| Divays nɔ de wok fayn | Bikɔs dɛn tin ya na mɛkanikal tin dɛn, mistek nɔ kin apin so ɔltɛm. Bɔt di pɔsin we de kɔntrol di tin kin tɛl yu bifo tɛm bɔt dɛn kayn tin dɛn de. |
Ustɛm yu fɔ go to dɔktɔ?
Wae yu gɛt LVAD, i impɔtant fɔ gɛt tayt padi biznɛs wit yu mɛdikal tim. Fɔs, dɛn go nid fɔ chɛk yu ɛvri wik, ɛn afta dat ɛvri mɔnt. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm .
- Fiva.
- Rɛd, swel, ɔ pus we de kɔmɔt usay di drayvlayn de kɔmɔt na di skin.
- Chɛst ɔ bɛlɛ pen.
- Blɔd we nɔ de kɔmɔt fayn.
- Swel na di leg ɛn bak.
- I nɔ kin izi fɔ yu fɔ blo.
- Prɔblɛm wit sɔm pat pan di LVAD divays ɔ wan abnɔmal signal (alarm) de kɔmɔt.
Fɔ disayd if fɔ gɛt LVAD ɔ nɔ fɔ gɛt LVAD na rili pɔsin ɛn big tin fɔ disayd. Tek tɛm tɔk to yu dɔktɔ ɛn yu fambul dɛn bɔt am. Aks ɔl yu kwɛstyɔn dɛn ɛn klia ɛni dawt we yu gɛt. Na dis teknɔlɔji de mek bɔku bɔku pipul dɛn we gɛt bad bad at sik de liv bɛtɛ layf naw.
Mɛsej we dɛn kin kɛr go na os
- LVAD nɔto atifishal at. Na mɛkanikal ɛp pɔmp we de ɛp yu yon at fɔ pɔmp blɔd if yu at pwɛl bad bad wan.
- Dɛn kin yuz dis mɔ as "brij" fɔ di wan dɛn we de wet fɔ gɛt at transplant ɔ as "layf tritmɛnt" fɔ di wan dɛn we nɔ ebul fɔ gɛt at transplant.
- Pan ɔl we di kwaliti fɔ layf afta dɛn dɔn ɔpreshɔn di LVAD kin rili bɛtɛ, i impɔtant fɔ mek yu ebul fɔ manej di divays fayn fayn wan, tek mɛrɛsin, ɛn fala wɛlbɔdi layf.
- If yu gɛt ɛni prɔblɛm wit di divays ɔ yu wɛlbɔdi prɔblɛm, i rili impɔtant fɔ tɛl yu mɛdikal tim ɛn nɔ de te.
- Dis na big tin fɔ disayd. Tɔk opin wan wit yu dɔktɔ bɔt ɔl di bɛnifit ɛn prɔblɛm dɛn ɛn mek di disayd we go fayn fɔ yu.
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