Sɔntɛnde, wi at kin wik smɔl, nɔto so? Jɔs lɛk motoka injin we dɔn wok fayn fɔ lɔng lɔng tɛm, in wok kin go dɔŋ as tɛm de go. εspεshali we i rich di εnd stej fכ di at fεil, i kin bi big chalenj fכ di at fכ pכmp blכd to di wan ol bכdi fכ insεf. Dɛn kayn tɛm dɛn de, wi de tɔk bɔt wan spɛshal mashin we go ɛp di at we wik.
Fɔ tɔk am simpul wan, wetin na dis LVAD?
di ful minin fכ LVAD na Lεft Ventrikulכr Asist Divays. insay sinhala, i min ‘divais we de εp di lεft vεntrikl’. Dis na rili mɛkanikal pɔmp. Dɛn kin put dis na di bɔdi fɔ pipul dɛm wae gɛt siriɔs at pwɛl hat.
di men pכmp chεmba na wi at na di lεft vεntrikl. Dis na wetin de sɛn blɔd we gɛt bɔku ɔksijɛn ɛn klin to di wan ol bɔdi tru di aorta. We di at wik, dis wok nɔ de wok fayn. di LVAD de εp da lεft vεntrikl de. dat min se i de tek bכdi na di lεft vεntrikl, pכmp am, εn sεnd am to di aorta. Dis rili impɔtant, bikɔs ɔl di sɛl dɛn na wi bɔdi nɔ go ebul fɔ liv if wi nɔ gɛt ɔksijɛn.
Aw dis divays de wok? Wetin na in pat dɛn?
di LVAD divays de atak di lכw pat pan di at εn dεn de put am insay di chεst. We i gɛt blɔd, dɛn kin sɛn am tru wan tiub insay di aɔta. Dis ɔl sistɛm gɛt sɔm men pat dɛn.
| Pat pan di divays | Di we aw pɔsin de wok |
|---|---|
| Pɔmp we dɛn kin yuz | Dis na di men pat. Dis na wetin dɛn kin put insay di at. Dis pɔmp de du di wok fɔ pɔmp blɔd. |
| Drayvlayn | Dis na kebul we de kɔmɔt na di pɔmp. i de kכmכt na di bכdi tru di skin na di bכdi εn i de kכnekt to di kכntrola we de na do. |
| Kɔntrola | Dis tan lɛk smɔl kɔmpyuta. I de kɔntrol aw di pɔmp de wok. If prɔblɛm de, wi kin no tru di signal (alarm) ɛn mɛsej dɛn we i de sɛn. |
| Pawa Saplai | I de wok wit batri dɛn we dɛn kin chaj bak. Ɔ yu kin plɔg am na ilɛktrik ɔlt. Di batri dɛn kin gi pawa fɔ lɛk 14 awa so. |
Us kayn pipul dɛn de yuz LVAD?
Dɛn kin yuse dis fɔ pipul dɛm wae de na di las stej wae dɛn at pwɛl. Dat sɛf fɔ tu men tin dɛn.
1. As brij to at transplant (Brij to Transplant - BTT) .
Imajin se sɔmbɔdi nid fɔ transplant in at. Bɔt dɛn fɔ wet te dɛn gɛt at we go gri wit dɛn. Insay dis tɛm, di sikman in kɔndishɔn kin wɔs. Ɔda pat dɛn lɛk di kidni ɛn di liva kin pwɛl bak.
Insay dɛn kayn tin ya, di LVAD kin ɛp fɔ mek di pɔsin nɔ liv in layf fayn ɛn fɔ mek i gɛt gud kwaliti layf te dɛn gɛt at transplant . I tan lɛk brij. We dɛn dɔn gɛt at fɔ transplant, dɛn kin pul di LVAD divays we dɛn de du ɔpreshɔn.
2. As tritmɛnt fɔ ɔl yu layf (Destination Therapy - DT) .
Sɔm pipul dɛn nɔ kin ebul fɔ gɛt at transplant bikɔs dɛn dɔn ol ɔ ɔda kayn mɛrɛsin. Fɔ dɛn kayn pipul ya, dɛn kin yuz dis LVAD fɔ sɔpɔt di at ɔl dɛn layf. Dɔktɔ dɛn kin tink bɔt dis opshɔn nɔmɔ we ɔl di ɔda tritmɛnt dɛn, ivin di mɛrɛsin dɛn ɛn fɔ chenj di we aw pɔsin de liv in layf, nɔ wok. Dis nɔr kin jɔs mek di sikman in layf lɔng, bɔt i kin ɛp bak fɔ mek di kwaliti fɔ liv bɛtɛ.
Aw fɔ pripia fɔ LVAD ɔpreshɔn?
Dɔktɔ dɛn kin du bɔku tɛst dɛn bifo dɛn disayd if yu fit fɔ gɛt LVAD.
- E.C.G., ɛn ɔda pipul dɛn. (Ilektrokardiogram - ECG) .
- X-ray na di chɛst
- Blɔd tɛst dɛn
- Ekokardiogram we dɛn kin du
- Kateshɔn fɔ di at
Bɔt, i nɔ fayn fɔ ɔlman we gɛt at prɔblɛm. Yu nɔ go ebul fɔ gɛt LVAD implant if yu gɛt ɛni wan pan dɛn tin ya:
- Sik dɛn we kin mek pɔsin blɔd klɔt
- Kidni sik we nɔ go mɛn
- Siriɔs sik na di liva
- Siriɔs sik we de mek pɔsin in lɔng
- Infεkshכn dεm we dεn nכ kin kכl wit antibaytik
Aw dɛn kin du di ɔpreshɔn?
Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Dat min se dɛn dɔn ful-ɔp yu anestez ɛn slip te di ɔpreshɔn dɔn.
Gi ɔksijɛn to yu bɔdi we yu de du ɔpreshɔnDɛn kin yuz wan mashin fɔ baypas na di at-lɔng. Dɛn go put yu bak pan ventilator fɔ blo fɔ yu. Di dɔktɔ we de du di ɔpreshɔn go kɔt di midul pan yu chɛst, opin di brɔst bon, ɛn akses yu at. Dɔn dɛn kin put di LVAD ɛn lɔk di say we dɛn kɔt bak. Di wan ol tin we dɛn kin du kin tek 4 to 6 awa.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Tin dɛn we yu fɔ pe atɛnshɔn to we yu go na os
Bifo yu kɔmɔt na ɔspitul, dɛn go gi yu gud trenin bɔt aw fɔ manej dis ikwipmɛnt ɛn wetin fɔ du we ɛnitin apin. Yu go nid bak fɔ sho se yu no bɔt dis bifo yu go na os.
Afta yu dɔn go bak na os, i rili impɔtant fɔ fala wɛlbɔdi layf .
- Fɔ lɛf fɔ smok kpatakpata.
- Fɔ yus to it we gɛt wɛlbɔdi.
- Stɔp fɔ drink rɔm.
- Fɔ du ɛksɛsayz lɛk aw di dɔktɔ tɛl yu fɔ du.
- Fɔ tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek, lɛk di wan dɛn we de mek yu blɔd tan (anticoagulants), di rayt tɛm.
I rili impɔtant bak fɔ tek pat pan wan program fɔ rihabilite yu at afta dɛn dɔn du yu ɔpreshɔn. Dɔn bak, dɛn kin stɔp fɔ du tin dɛn lɛk fɔ swim, fɔ es wet, ɛn fɔ spɔt we pɔsin kin kɔntakt. Yu fɔ tɔk bɔt ɔl dɛn tin ya wit yu dɔktɔ ɛn gɛt advays.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz LVAD?
Pan ɔl we dis nɔ de mɛn at sik, dɛn dɔn sho se di wan dɛn we gɛt LVAD kin liv lɔng pas di wan dɛn we de tek mɛrɛsin nɔmɔ.
| Bɛnifit | Tɔk bɔt |
|---|---|
| Di wok we di ɔgan dɛn de du | Di men ɔgan dɛn lɛk di kidni, di liva, ɛn di bren kin gɛt bɛtɛ blɔd flɔ, ɛn dis kin mek dɛn wok fayn. |
| Ridyus di simptom dɛm | Di sayn dɛm lɛk fɔ taya, fɔ blo shɔt, ɛn fɔ swel na yu bɔdi kin ridyus bad bad wan. |
| Ɛnaji ɛn aktiviti | As di bɔdi de gɛt trɛnk, i kin ebul fɔ du tin dɛn lɛk ɛksesaiz, we i nɔ bin ebul fɔ du trade. |
| Dischaj frɔm di ɔspitul | Yu nɔ nid fɔ de na ɔspitul. Yu gɛt di chans fɔ go na os ɛn liv nɔmal layf. |
Wetin na di risk ɛn kɔmplikeshɔn dɛm wae dis kin gɛt?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Yu mɛdikal tim go ɛksplen to yu dɛn prɔblɛm ya ɛn aw yu go ebul fɔ stɔp dɛn.
Di men tin dɛn we kin mek pɔsin gɛt infekshɔn, blɔd kin klɔt ɛn strok, blɔd we kin kɔmɔt pasmak, rayt at nɔ de wok fayn, ɛn divays nɔ de wok fayn. Bifo yu panik, i impɔtant fɔ tɔk to yu dɔktɔ opin wan ɛn aks ɔl yu kwɛstyɔn dɛn.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu mɛdikal tim wantɛm wantɛm.
| Imejɛnsi simptom dɛm fɔ wach fɔ | |
|---|---|
| Fiva | Rɛd ɔ swel usay di divays in drayvlayn de kɔmɔt na di skin |
| Chɛst ɔ bɛlɛ pen | Ebi ebi blɔd we de kɔmɔt |
| Swel na di leg ɔ di ɔda pat na di bak | I nɔ kin izi fɔ yu fɔ blo |
| Prɔblɛm wit sɔm pat pan di ikwipmɛnt | I kin pen na yu chɛst wantɛm wantɛm |
LVAD en pacemaker na di sem tin?
Nɔ, dɛn tu tin ya rili difrɛn. LVAD de ɛp di lɛft ventricle na di at fɔ pɔmp blɔd. Pesmɛka de kɔntrol di at bit we nɔ de bit ɔltɛm.
If yu fɔ gɛt LVAD ɔ nɔ fɔ gɛt na sɔntin we yu fɔ disayd fɔ du, so tɔk to yu dɔktɔ bɔt am fayn fayn wan ɛn ɔndastand klia wan di bɛnifit dɛn, di prɔblɛm dɛn we yu go gɛt, ɛn di bɛnifit dɛn we yu go gɛt frɔm am.
Mɛsej we dɛn kin kɛr go na os
- LVAD na wan mɛkanikal tin we de ɛp fɔ pɔmp blɔd to di at fɔ di wan dɛn we gɛt siriɔs at prɔblɛm.
- Dis nɔto kɔmplit mɛrɛsin fɔ di sik, bɔt na big ɛp fɔ mek yu liv lɔng ɛn fɔ mek yu liv bɛtɛ layf.
- Dɛn kin yuz dis divays as brij bifo dɛn transplant yu at ɔ as tritmɛnt fɔ ɔl yu layf.
- Bifo ɛn afta dɛn du LVAD ɔpreshɔn, i rili impɔtant fɔ chenj yu layf lɛk fɔ lɛf fɔ smok, it fayn it, ɛn fɔ du ɛksɛsayz.
- Bifo yu disayd fɔ du ɛnitin, i impɔtant fɔ mek yu tɔk to yu dɔktɔ opin wan bɔt di bɛnifit ɛn bad tin dɛn we go apin to yu ɛn ɔndastand am klia wan.
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