Yu at tan lɛk di injin we de na yu bɔdi. Fɔ mek dis injin wok fayn, ɔl di pat dɛn we de insay am nid fɔ wok fayn. di pat dεm we impɔtant pas ɔl na di at na di valv dεm. Jɔs lɛk di domɔt dɛn we de bitwin di rum dɛn na os, dɛn valv dɛn ya kin ɛp fɔ mek blɔd go na wan say nɔmɔ. Wan pan dɛn valv ya na di Mitral Valv. sכmtεm, dis mitral valv kin bi difεktiv. Trade, fɔ mek i fayn, yu fɔ opin yu chɛst ɛn du big ɔpreshɔn. Bɔt naw, bikɔs ɔf di advans tɛknɔlɔji, dɛn kin du dis ɔpreshɔn tru smɔl ol dɛn we nɔ gɛt da kayn big say de. Na dat mek wi kɔl am ‘Minimally Invasive Mitral Valve Repair’. Wi de tɔk bɔt dis tide.
Fɔ tɔk am simpul wan, wetin na dis smɔl insishɔn mitral valv ripa?
I rili simpul. tink bɔt am, di mitral valv na di domɔt bitwin di ɔpa lɛft chɛmba (lɛft atria) ɛn di ɔda lɛft chɛmba (lɛft ventricle) na yu at. Di wok we dis domɔt de du na fɔ mek blɔd kɔmɔt ɔp to dɔŋ ɛn fɔ lɔk am so dat i nɔ go flɔ bak ɔp. So if dis domɔt nɔ lɔk fayn, ɔ i nɔ opin fayn, blɔd kin ambɔg. Na da tɛm de dɛn nid fɔ mek dis valv.
'Minimally invasive' min "dɛn du am wit smɔl damej." insted fכ mek wan inch lכng insishכn na di midul pan di chεst lεk di tradishכnal opin-at כpεrayshכn, dis mεtכd involv fכ mek wan כ mכr sכm sכm sכm sכm, fכ sεntimita lכng, na di sayd fכ di chεst bitwin di rib dεm.
Sɔntɛnde, dɛn kin yuz rɔbɔt ɔpreshɔn fɔ du dis. Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔntrol wan rɔbɔt an we kin pas na dɛn smɔl smɔl ol dɛn ya ɛn i kin mek di valv fayn fayn wan. I tan lɛk se yu brok big domɔt ɛn go insay os, ɛn luk tru di ki ol ɛn put smɔl waya insay fɔ fiks di lɔk.
Insay us kes dɛn dis ɔpreshɔn nid fɔ du?
dis כpεrayshכn de kכmכt mεntal bikoz fכ tu sik dεm we de apin na di mitral valv. Lɛ wi luk dɛn tu kɔndishɔn ya mɔ ditayli fɔ ɔndastand dɛn izi wan.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Mitral Valv Rigurjiteshɔn | wetin de apin ya na we di at de bit, di valv liflet dεm nכ de kכloz fayn fayn wan. I tan lɛk wan domɔt lɔk we dɔn brok. Dɔn di blɔd kin lik frɔm di ɔda rum we de dɔŋ bak go insay di rum we de ɔp. Dis kin mek di at wok tranga wan. |
| Mitral Valv Stenosis we de mek pɔsin gɛt sik | Wetin kin apin ya na dat di valv lif dɛn kin tik, stif , ɛn sɔntɛnde dɛn kin stɔp togɛda. I tan lɛk se di hinj dɛn we de na domɔt dɔn rɔsti. Dɔn di domɔt nɔ ebul fɔ opin fayn. Dat min se di rod we di blɔd de flɔ kin smɔl. Di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd. |
If di dɔktɔ se yu gɛt dis sik, dis ɔpreshɔn kin bi gud sɔlvishɔn.
Wetin na di difrɛns bitwin fɔ ‘ripa’ ɛn ‘riples’ valv?
Dis na kwɛstyɔn we rili impɔtant.
- Ripa: Wetin yu de du ya na fɔ kip yu yon valv ɛn fiks di bad tin nɔmɔ we de insay. I tan lɛk se yu de fiks chia leg we dɔn brok. Yu nɔ de bay nyu chia.
- Riplesmɛnt: Dis involv fɔ pul yu valv kɔmplit wan ɛn riples am wit atifishal valv (mɛkanikal valv) ɔ valv we dɛn mek wit animal tisu (frɔm pig ɔ kaw).
Dɔktɔ dɛn kin tray ɔltɛm fɔ mek di valv, bikɔs natin nɔ de we bɛtɛ pas yu yon natura valv . We dɛn dɔn ripɛnt am, yu nɔ go nid fɔ tek antikɔagulant fɔ di res ɔf yu layf. Bɔt sɔntɛnde, if di valv dɔn pwɛl so dat dɛn nɔ go ebul fɔ mek am bak, i kin nid fɔ chenj am.
So aw yu go mek di valv wit dis smɔl ɔpreshɔn?
Di dɔktɔ we de du di ɔpreshɔn kin yuz difrɛn we dɛn dipen pan di prɔblɛm we de wit yu valv.
- Annuloplasty: Dis na di tin we dɛn kin du mɔ. Fɔ mek di valv we de lik tayt, dɛn kin put wan ring we dɛn mek wit mɛsh ɔ mɛtal rawnd am ɛn siŋ am insay.Dis kin mek di valv in shep bak ɛn mek di liflet dɛn lɔk fayn fayn wan.
- fכ kכnekt di valv liflet dεm: sכmtεm di valv liflet dεm kin wik εn dכp. Dɔn, dɛn kin mek dɛn liflet dɛn de strɔng.
- Fɔ lɔk wan ol na di valv: If ol de na di valv, dɛn kin lɔk am.
- fכ pul di tisu we pasmak: sכmtεm, εkstra tisu kin gro di we we go mek di valv liflet dεm nכ kכloz fayn fayn wan. If na so i bi, dɛn kin kɔt di pat dɛn we dɛn nɔ want ɛn pul dɛn.
- di separeshכn fכ di valv liflet dεm we stכk: lεk di kes fכ stenosis, di liflet dεm we stכk tכgeda dεn de separet jכnt εn alaw fכ opin fayn fayn wan bak.
Udat fit fɔ dis ɔpreshɔn? Yu tink se ɔlman go ebul fɔ du am?
Nɔ, dis ɔpreshɔn nɔto fɔ ɔlman. Dɔktɔ dɛn kin tink bɔt bɔku tin dɛn fɔ disayd if yu fit fɔ dis ɔ yu nɔ fit fɔ du dis.
Di tin we impɔtant pas ɔl na dat, na yu dɔktɔ we de mɛn yu at ɛn dɔktɔ we de du ɔpreshɔn fɔ disayd fɔ du dis wok togɛda, afta dɛn dɔn tek tɛm chɛk yu sik.
| Di tin dɛn we yu fɔ tink bɔt | Tɔk bɔt |
|---|---|
| Di ɔl kayn we aw yu at de | Dɛn kin chɛk aw di at de wok ɛn if ɛni ɔda sik de. |
| If dɛn nid fɔ du ɔda ɔpreshɔn dɛn | If yu nid fɔ mek dɛn du ɔda tin di sem tɛm wit dis ɔpreshɔn, lɛk baypas ɔpreshɔn, yu kin gɛt fɔ go fɔ tradishɔnal opin ɔpreshɔn. |
| Di we aw pɔsin de liv in layf | Dis we ya nɔ kin fayn fɔ pipul dɛn we de smok ɔ we fat pasmak (BMI pas 30), bikɔs di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn kin bɔku. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Dis ɔpreshɔn nɔ go fayn if yu gɛt siriɔs korona at sik ɔ yu gɛt siriɔs prɔblɛm wit ɔda valv (aortic valve). |
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia bifo dɛn du di ɔpreshɔn
Afta yu dɔn disayd fɔ du ɔpreshɔn fɔ yu, yu dɔktɔ go gi yu di tin dɛn we yu nid ɛn i go du bɔku tɛst dɛn bak fɔ no mɔ bɔt yu at.
- Echocardiogram: Dis na ɔltra saund skan fɔ di at. I kin si klia wan aw di at in valv dɛn de wok ɛn aw blɔd de flɔ.
- Kadiak Kateshɔn: .dis de chεk fכ blכk na di at dεm we de gi bכdi to di at (korona at dεm).
- CT Scan: Dis kin mek bak ditayli pikchɔ dɛn bɔt di blɔd vesel dɛn na di at ɛn chɛst.
We dɛn de du di ɔpreshɔn
Dɛn tin ya kin apin we dɛn de du dis ɔpreshɔn, we kin tek bitwin tu ɛn 4 awa.
1. Di dɔktɔ we de anestez yu go put yu ɔnda jenɛral anestezi. Dis min se yu nɔ go fil natin, yu go slip ɔl.
2. di sajin go mek wan sכm sכm sכm sכmtεm we de lεk 4-6 sεntimita na di rayt say na yu chεst, bitwin di rib dεm.
3. tru dis insayshכn, dεn de put sכm sכm tכb (εndoskop) wit kεmεra we dεn tay pan am, εn dεn de yuz monita fכ si yu mitral valv ditayli.
4. Dɔn, dɛn kin put rili fayn, lɔng ɔspitul inschrumɛnt dɛn tru di say we dɛn kɔt ɛn mek di prɔblɛm we de na di valv fayn.
5. Afta dɛn dɔn du di wok, dɛn kin pul di inschrumɛnt dɛn ɛn siŋ di say we dɛn kɔt klos.
Wetin kin apin afta di ɔpreshɔn? Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kip yu na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) fɔ wan ɔ tu dez. Insay dis tɛm, dɛn go de wach yu at rit ɛn blɔd prɛshɔn. Yu kin mek dɛn put drenaj tyub dɛn bak na yu chɛst fɔ pul ɛni wata we go dɔn gɛda.
Dɔn dɛn go transfa yu to wan rɛgyula wɔd. Dɛn go ɛp yu fɔ grap ɛn waka insay wan ɔ tu dez. If mכkus de na yu lכng, dεn go tεl yu fכ du εksεsayz fכ brith fכ klin am. Yu go de na ɔspitul fɔ lɛk fayv dez bifo yu go na os.
| Di bɛnifit dɛn we dis ɔpreshɔn gɛt | Risk dɛn we kin apin |
|---|---|
| Fɔ wɛl kwik kwik wan ɛn fɔ wɛl. | Blɔd we de kɔmɔt ɛn blɔd we de klɔt. |
| Pen nɔ kin bɔku, so dɛn nɔ kin nid strɔng mɛrɛsin fɔ mɛn pen. | Kכndishכn dεm we de fכm infεkshכn. |
| Di risk fɔ gɛt infɛkshɔn ɛn blɔd nɔ bɔku. | At bit we nɔ de bit ɔltɛm (Aritmias). |
| Di skata rili smɔl. | Smɔl risk fɔ gɛt strok. |
| Di tɛm we dɛn kin spɛn na ɔspitul nɔ kin bɔku. |
Aw na di tɛm fɔ wɛl afta yu dɔn go na os?
Yu kin fil taya lɛk aw yu kin fil fɔ sɔm wiks afta yu dɔn go na os. Dis na nɔmal tin. Yu go gɛt yu trɛnk bak smɔl smɔl. Yu dɔktɔ go advays yu we yu go ebul fɔ go bak na wokples ɛn bigin fɔ du yu nɔmal tin dɛn bak. Yu fɔ avɔyd fɔ es ebi ebi tin dɛn fɔ sɔm wiks.
Dɔn bak, yu dɔktɔ kin tɛl yu fɔ tek pat pan wan program fɔ mek yu at pwɛl. Dis rili impɔtant. Dɛn program ya kin ɛp yu fɔ mek yu gɛt mɔ fitnɛs tru sef ɛksɛsayz ɛn it fayn fayn it.
Ustɛm yu fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
If yu si ɛnitin we de sho se yu gɛt prɔblɛm afta dɛn dɔn du yu ɔpreshɔn, yu fɔ go to yu dɔktɔ wantɛm wantɛm . Yu fɔ no mɔ bɔt dɛn sayn ya we de kam biɛn ya.
| Atɛnshɔn! If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. | |
|---|---|
| - Pus ɔ fluid we de lik frɔm di say we dɛn kɔt am. | - Fɔ fil lɛk se yu at de bit fast (palpitations). |
| - I de swel pasmak ɔ rɛd rawnd di say we dɛn kɔt am. | - di leg dεm כ di fut dεm we nכ de swεla (εdima). |
| - Fiva ɔ kol. | - di wet we yu de gεt pas 1.5 kg (3 paund) insay wan wik. |
fכ finish, sכmtεm dεn kin ivin intavεnshכn dεm fכ pεrkyuta fכ rεpair dεn kayn valv dεm ya. Dis min se yu fɔ pas wan tiub tru wan blɔd vesel na di groin to di at, ɛn put inschrumɛnt dɛn tru am fɔ mek di valv fayn. Yu dɔktɔ go ɛksplen us we fɔ du am bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- ‘Minimally invasive mitral valve repair’ na wan mכdan sכjεkshכn we de ripa mitral valv dεfεkt tru sכm sכm insishכn, we nכ de opin di chεst.
- Dis we ya nɔ kin mek pɔsin fil pen, i nɔ kin nid fɔ de na ɔspitul, i kin lɛf smɔl skata, ɛn i kin mek i wɛl kwik kwik wan.
- Dis ɔpreshɔn nɔ fayn fɔ ɔlman we sik. Yu mɛdikal tim go disayd if i fayn fɔ yu.
- Fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu jɔs afta di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik kwik wan.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta dɛn dɔn du yu ɔpreshɔn, nɔ shem fɔ tɛl yu dɔktɔ wantɛm wantɛm.
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