Na nɔmal tin fɔ mek yu fred smɔl we yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn pan yu at. Bɔku pipul dɛn kin tink se na tin we kin mek pɔsin fil pen bad bad wan ɛn we kin mek dɛn kɔt big say na di midul pan di chɛst ɛn de na ɔspitul fɔ lɔng tɛm. Bɔt tide, mɛrɛsin sayɛns dɔn go bifo bɔku. Mεtכd dεm de we de trit di at tru fכ sכm sכm sכm ol dεm insted fכ mek big big say dεm lεk bifo. Na da we de wi kin kɔl Minimally Invasive Heart Surgery . Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Minimally Invasive Heart Surgery?
Imajin se, insay tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin yu at, di dɔktɔ kin kɔt di wan ol bɔdi (sternum) na di midul pan yu chɛst fɔ rich yu at. Dis kin tek lɔng tɛm fɔ wɛl, i kin rili pen, ɛn lɛf big skata.
Bɔt insay dis nyu we, we dɛn kɔl Minimally Invasive Surgery, nɔto so big say de. Bifo dat, dɛn kin kɔt wan ɔ mɔ rili smɔl smɔl say dɛn na di sayd we yu chɛst, bitwin yu rib dɛn. Dɔn, dɛn kin put ay-tek kamɛra dɛn, inschrumɛnt dɛn we rili dilik fɔ ɔpreshɔn, ɛn sɔntɛnde rɔbɔt an dɛn tru dɛn smɔl smɔl say dɛn ya fɔ mek dɛn du di ɔpreshɔn we yu nid fɔ du na yu at.
Aw di dɔktɔ we de du di ɔpreshɔn de si di at? I kin wach di klia pikchɔ dɛn frɔm wan kamɛra we gɛt ay pawa na wan monita ɛn i kin kɔntrol dɛn inschrumɛnt dɛn ya fayn fayn wan. I tan lɛk we yu de ple vidio gem, bɔt i rili kɔmpleks ɛn tek tɛm.
Lɛ wi luk di tebul we de dɔŋ fɔ mek wi no mɔ bɔt di difrɛns bitwin dɛn tu we ya.
| Tin | Minimally Invasive Surgery we dɛn kin du | Tradishɔnal Ɔp-At Ɔpreshɔn |
|---|---|---|
| Insishɔn we dɛn kin kɔt | lεk 1-3 sכm sכm sכm say dεm dεn kin mek na di sayd fכ di chεst. | wan big say we dɛn kɔt, we lɔng 6-8 inch, we dɛn mek na di midul pan di chɛst. |
| Pen | I rili smɔl. | Di pen kin tu bɔku afta di ɔpreshɔn. |
| Di tɛm fɔ mɛn pipul dɛn | Rili kwik kwik wan. di rεkכvεshכn kin apin insay 2-4 wik. | I kin tek 6-8 wik ɔ mɔ. |
| Taym na di ɔspitul | Bɔku tɛm, na fɔ sɔm dez. | Bɔku tɛm, yu kin gɛt fɔ wet fɔ wan wik ɔ mɔ. |
| Ska dɛn we de na di wɔl | Ska dɛn we rili smɔl, we pɔsin nɔ kin notis. | Wan big skata we pɔsin kin si kin lɛf na di midul pan di chɛst. |
| Risk fɔ gɛt di sik | Nɔ. | Tumɔs tin. |
Us kayn ɔpreshɔn dɛn ya na dɛn?
Tu men kayn ɔpreshɔn dɛn de we dɛn kin du fɔ ɔpreshɔn pan at we nɔ kin ambɔg di at.
1. Tɔrakskɔpik ɔpreshɔn: Insay dis, di ɔspitul kin put wan lɔng tiub wit kamɛra we dɛn kɔl tɔrakskɔp tru wan smɔl ol we de na di sayd na di chɛst. Di dɔktɔ we de du di ɔpreshɔn kin yuz lɔng ɛn tin inschrumɛnt dɛn we dɛn kin put insay ɔda ol dɛn fɔ du di ɔpreshɔn, ɛn i kin yuz pikchɔ dɛn frɔm dis kamɛra.
2. Ɔpreshɔn we dɛn kin yuz rɔbɔt fɔ ɛp yu at: Dis na di wan we dɔn go bifo pas ɔl dɛn we ya. Na ya bak, dɛn kin mek smɔl ol dɛn na di sayd we di chɛst de. Bɔt nɔto di dɔktɔ de du di ɔpreshɔn dairekt wan. I sidɔm bifo wan kɔmpyuta kɔntrol sistem (kɔnsol) ɛn i de kɔntrol di rɔbɔt an dɛn. Dɛn rɔbɔt an dɛn ya kin wok fayn fayn wan, kɔrɛkt wan, ɛn nɔ kin muv pas mɔtalman an. Dɔn bak, bikɔs dɛn kin gɛt tri-dimɛnshɔnal (3D) pikchɔ dɛn, dɛn kin du di ɔpreshɔn we dɛn de luk wan rili klia pikchɔ bɔt di at.
Us kayn at sik dɛn kin yuse dis we fɔ du?
Nɔto ɔl di at ɔpreshɔn dɛn kin du bay we dɛn yuz dis we. Bɔt naw, dɛn kin du bɔku ɔpreshɔn dɛn we dɛn kin du ɔltɛm fayn fayn wan bay we dɛn de yuz dis we. Yu dɔktɔ go disayd if dis we ya fayn fɔ yu.
- di valv ripa כ riples, spεshal כpεrayshכn we involv di mitral valv.
- kכndishכn dεm lεk atrial septal defect (ASD) , we de mek ol dεm na di at kכloz.
- Fɔ pul di tumbu na di at.
- Sɔm ɔpreshɔn dɛn we dɛn kin du fɔ baypas di korona at .
- Tritmɛnt dɛm lɛk di Maze prosidur fɔ di at ritm irɛgyulariti (arithmias).
- Instɔlɛshɔn fɔ wan ventrikular ɛp divays.
Wetin kin apin bifo ɛn afta di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn
Yu dɔktɔ we de du di ɔpreshɔn go gi yu instrɔkshɔn bɔt aw fɔ rɛdi fɔ di ɔpreshɔn. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek yu blɔd tan) sɔm dez bifo dɛn du di ɔpreshɔn. Dɛn go gi yu jenɛral anestesia so dat yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn.
Dɛn go kɔnɛkt yu to wan mashin we de na di at-lɔng fɔ mek di blɔd go ɔlsay na yu bɔdi we dɛn de du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn
As wi bin dɔn tɔk, di dɔktɔ we de du di ɔpreshɔn kin mek wan ɔ mɔ smɔl smɔl say dɛn na di sayd we di chɛst de. Tru dɛn tin ya, dɛn kin put kamɛra ɛn inschrumɛnt dɛn fɔ du di tin dɛn we dɛn nid fɔ mek di at, fɔ chenj di valv, ɔ fɔ du ɔda tritmɛnt. We dɛn dɔn fɔ du di wok, dɛn kin stich di smɔl ol dɛn. Dis ɔltin we dɛn kin du kin tek ɛnisay frɔm tu to siks awa .
Afta di ɔpreshɔn
Afta dɛn dɔn du di ɔpreshɔn, dɛn go de wach yu na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez. Yu kin gɛt sɔm smɔl smɔl drenaj tyub dɛn we dɛn put na do na yu chɛst fɔ mek wata nɔ go gɛda rawnd yu at.
Dɔn dɛn go transfa yu to wan rɛgyula wɔd. I sɔprayz fɔ no se dɛn go ɛp yu fɔ grap ɛn waka insay wan ɔ tu dez afta dɛn dɔn du di ɔpreshɔn. Dɛn go tich yu bak aw fɔ blo fɔ mek yu nɔ gɛt bɔku bɔku wata na yu lɔng. Bɔku tɛm, yu go ebul fɔ go na os insay sɔm dez.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt we yu kɔmpia am to ɔpreshɔn we dɛn kin du opin, di prɔblɛm dɛn we kin apin kin smɔl.
Di prɔblɛm dɛn we kin apin:
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Di at ritm irɛgyulariti (ari ritmia) .
- Strok
Na smɔl tɛm nɔmɔ, if di tɛm we dɛn de du di ɔpreshɔn di dɔktɔ fil se di we aw dɛn de du di ɔpreshɔn nɔ sef igen, dɛn kin chenj to ɔpreshɔn we dɛn opin wantɛm wantɛm. Dis nɔ kin apin so ɔltɛm, bɔt i impɔtant fɔ no bɔt am.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis na di big bɛnifit fɔ dis we fɔ du tin. Afta dɛn dɔn ɔpreshɔn yu opin, yu nɔ go ebul fɔ du ebi ebi wok ɔ drayv fɔ sɔm mɔnt. Bɔt afta dɛn dɔn du di ɔpreshɔn we dɛn kɔl Minimally Invasive, yu kin go bak to yu nɔmal tin dɛn insay lɛk tu to 4 wiks .
Yu kin fil taya smɔl pas aw yu kin fil fɔ di fɔs wik. Dis na nɔmal tin. I bɛtɛ lɛ yu nɔ du ɛnitin we ebi, lɛk fɔ es wet fɔ sɔm wiks. Yu dɔktɔ go tɛl yu aw fɔ inkrisayz yu aktiviti lɛvɛl smɔl smɔl as i fayn. Dɛn kin sɛn yu bak to wan program fɔ rihabilit yu at . Dis go ɛp yu fɔ lan aw fɔ ɛksesaiz sef wan ɛn it tin dɛn we go ɛp yu at.
Wetin na di sayn dɛm we de sho se yu fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- Pus ɔ fluid we de kɔmɔt frɔm di kɔt.
- swel pasmak ɔ rɛd rawnd di wund.
- Fiva ɔ fil kol.
- Fɔ fil se yu at nɔ de rit (at yu at de bit).
- di leg כ fut dεm we nכ de swεla (εdima).
- di wet we yu de gεt pas 1.5 kg (3 paund) insay wan wik.
Dɛn tin ya kin bi sayn fɔ infekshɔn ɔ ɔda prɔblɛm, so nɔ ignore dɛn.
Mɛsej we dɛn kin kɛr go na os
- Minimally Invasive Heart Surgery na wan advans ɔspitul we dɛn kin du tru smɔl smɔl say dɛn we dɛn kɔt na di chɛst, pas fɔ kɔt big say.
- Dis we fɔ du tin nɔ kin mek i fil pen, di tɛm we pɔsin kin wɛl kin go kwik, fɔ de na ɔspitul na fɔ sɔm dez nɔmɔ, ɛn nɔ big skata nɔ de.
- Di risk fɔ gɛt kɔmplikeshɔn dɛn bak kin smɔl pas aw dɛn kin du ɔpreshɔn we dɛn opin.
- Bɔku ɔpreshɔn dɛn lɛk fɔ mek di at valv dɛn fayn ɛn fɔ lɔk di ol dɛn na di at, dɛn kin yuz dis we.
- Yu dɔktɔ we de mɛn yu at na di bɛst pɔsin fɔ disayd if dis ɔpreshɔn fayn fɔ yu, so nɔ fred fɔ tɔk to am bɔt am.
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