Yu kin gɛt shɔt briz bak we yu taya smɔl, yu kin fil fɔ taya we yu de klaym stej, ɔ yu kin fil se yu chɛst kin ebi? Sɔntɛnde, di tin we kin mek wi gɛt dɛn sik ya kin bi prɔblɛm wit wan smɔl opin na wi at, we na wan valv. So tide wi go tɔk bɔt di mitral valv na di at ɛn di ripa ɔpreshɔn we kin nid bikɔs ɔf prɔblɛm wit am.
Wetin na mitral valv ripa?
Fɔ tɔk am simpul wan, fɔ ripɛnt di mitral valv na ɔpreshɔn we dɛn kin du we yu opin yu at we kin mek yu gɛt prɔblɛm wit di mitral valv we de na yu at.
Tink bɔt wi at lɛk os we gɛt 4 rum dɛn. di mitral valv na di get bitwin di כp chεmba na di lεft (lεft atrium) εn di lכw chεmba na di lεft (lεft vεntrikl). Di blɔd we gɛt ɔksijɛn ɛn klin we kɔmɔt na wi lɔng kin go insay di lɛft atria fɔs. afta dat, da bכdi de kכmכt tru di get we dεn kכl mitral valv εn go na di lεft vεntrikl. Frɔm de, dɛn kin pɔmp blɔd to di wan ol bɔdi.
so we dis valv, di mitral valv, nכ de wok fayn, we i sik, i de mek i at fכ di at fכ wok fayn fayn wan. As tɛm de go, dis kin mek di at ɛn di lɔng dɛn pwɛl. Dɛn mek dis ɔpreshɔn fɔ mek dɛn nɔ gɛt da damej de ɔ fɔ mek dɛn nɔ du dat.
If yu gɛt siriɔs mitral valv sik, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn fɔ mek di valv fayn ɔ fɔ chenj am. Bɔt bɔku tɛm, mɔ if di valv de lik blɔd, dɔktɔ dɛn go tray fɔ mek di valv fayn pas fɔ chenj am. Dat na bikɔs bɔku bɛnifit dɛn de ɛn smɔl risk dɛn de fɔ kip wan pat pan yu yon bɔdi.
Us kɔndishɔn dɛn dis ɔpreshɔn de trit?
Dɛn kin yuz dis ɔpreshɔn mɔ fɔ trit dɛn tin ya:
| Mɛdikal kɔndishɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Mitral valv rigεtεshכn | di tu flap dεm na di valv nכ de kכloz fayn, we de mek sכm bכdi de lik na di rכng say, dat na fכ bak. If dis lik bad ɔ mek yu gɛt sɔm sayn dɛn, i kin nid fɔ du ɔpreshɔn. |
| Mitral valv stεnɔsis | Di say we di valv opin kin smɔl, ɛn dis kin mek inof blɔd nɔ go pas insay. If di sayn dɛn rili bad ɔ di valv rili smɔl, i kin nid fɔ du ɔpreshɔn. |
| Mitral valv we de prolaps | di tu liflet dεm na di valv kin wik εn lכs. siks pan 10 mitral valv ɔpreshɔn dɛn kin du fɔ mek blɔd nɔ lik bikɔs ɔf dis kɔndishɔn. |
Dis ɔpreshɔn kin nid fɔ du if di lɛft say na yu at nɔ de pɔmp inof blɔd to di bɔdi (lɛft-sayd at nɔ de wok fayn) ɔ if yu at dɔn big. Bɔt if di sik nɔr tranga, yu dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol yu sik. Bɔt yu fɔ stil gɛt ɛkokardiogram ɔltɛm fɔ wach aw yu valv de. If di sik de go bifo ɔ yu at pwɛl, i go nid fɔ du ɔpreshɔn leta.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ ɛn di mɛdikal tim go ɛp yu fɔ rɛdi fɔ ɔpreshɔn. I rili impɔtant fɔ mek yu fala dɛn instrɔkshɔn dɛn di rayt we.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn: Dɛn kin aks yu fɔ stɔp fɔ tek tin dɛn we de mek yu blɔd tan (anticoagulants) lɛk aspirin ɛn warfarin sɔm wiks bifo yu du di ɔpreshɔn.
- Ɛp yu fɔ lɛf fɔ smok: If yu na pɔsin we de smok, yu dɔktɔ go ɛp yu fɔ lɛf fɔ smok.
- Yuz antiseptik sop: Dɛn go tɛl yu fɔ was yu bɔdi wit antiseptik sop di nɛt bifo yu du di ɔpreshɔn.
- Di mɛrɛsin dɛn we yu fɔ tek di de we dɛn du di ɔpreshɔn: Di dɔktɔ go tɛl yu us mɛrɛsin fɔ tek di mɔnin fɔ da de de.
- Fastin: Di de we dɛn du di ɔpreshɔn, dɛn kin advays yu fɔ nɔ it ɔ drink ɛnitin afta sɔm tɛm.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn go fiks wan ɔ mɔ prɔblɛm dɛn wit yu valv. Dis na di step dɛm we kin apin we dɛn de du di ɔpreshɔn.
1. Anesthesia: Dɛn go gi yu anestetik drɔgs fɔ put yu na dip slip, nɔ no natin.
2. Kכnekshכn to di at-lכng mashin:We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to wan spɛshal mashin (cardiopulmonary bypass machine) we go tek ova di wok we yu at ɛn yu lɔng dɛn de du.
3. Fɔ mek pɔsin kɔt: Dɛn kin kɔt am na di chɛst. di sayz fכ dis insayshכn de difrεn dipכnt pan di כpεrayshכn prosidכs.
4. Annuloplasty ring: Dɛn kin put wan ring we tan lɛk was we dɛn mek wit klos rawnd di valv. Dis de gi sɔpɔt to di valv ɛn ɛp am fɔ kam bak to in nɔmal shep.
5. di valv ripa: dεn de ripa di mitral valv bay we dεn de yuz wan כ mכr difrεn sכjεkshכn tεknik dεm.
6. Inspekshɔn: Chek se dɛn dɔn ripɛnt di valv fayn ɛn mek ɔda ajɔstmɛnt dɛn if nid de.
7. We yu de wef: Afta di ɔpreshɔn, dɛn go pul yu na di mashin. Dɔn yu at ɛn yu lɔng go bigin fɔ wok bak.
8. Fainal chεk: dεn de du spεshal εko tεst (transesophageal echocardiogram) fכ kכnfכm if dεn dכn rεpεr di valv fayn fayn wan.
Us ɔspitul we dɛn kin yuz fɔ du di ɔpreshɔn?
Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz difrɛn we dɛn fɔ du dis ɔpreshɔn. Tɔk to yu dɔktɔ bɔt di we aw dɛn de du yu ɔpreshɔn.
We dɛn fɔ aplay di kɔt
- Ful sternotomy: dεn de mek komplit insishכn stret kכros di midul pan di brεstbon.
- Pat pan di stεrnotomi: fכ kכt כnli pat pan di midul brεstbon.
- Rayt thoracotomy: Dɛn kin kɔt smɔl say bitwin tu rib dɛn na di rayt say.
- Di we aw dɛn kin yuz rɔbɔt: Dɛn kin du ɔpreshɔn bay we dɛn yuz rɔbɔt we dɛn kin yuz sɔm rili smɔl smɔl say dɛn na di rib dɛn.
Ɔda ɔpreshɔn dɛn we dɛn kin du
- Annuloplasty: As wi bin dɔn tɔk, dis kin min fɔ put ring rawnd di valv. dis kin bi bכku tεm we dεn de ripa mitral valv.
- Triangul ɔ kwadrangul rɛsekshɔn: Dɛn kin kɔt smɔl pat pan di valv we dɔn pwɛl ɛn pul am, ɛn dɛn kin stich di ɔda gud pat dɛn togɛda.
- ripɛnt di kɔda: If di smɔl smɔl fayv dɛn we tan lɛk string (kɔda) we de ol di valv na in ples dɔn pwɛl, dɛn kin pul di pat dɛn we dɔn pwɛl ɛn put atifishal wan dɛn (we dɛn mek wit tin lɛk Gore-Tex®) ɔ wit fayv dɛn we dɛn tek frɔm ɔda pat we gɛt wɛlbɔdi na di at.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu kin ɛkspɛkt dɛn tin ya:
- Yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez, usay di mɛdikal tim go de wach yu puls ɛn aw yu de blo.
- Afta dat, yu go gɛt fɔ de na wan rɛgyula wɔd fɔ sɔm dez mɔ.
- A go tɛl yu bɔt kadyak rihab .
- Afta yu go na os, dɛn go tɛl yu aw fɔ kia fɔ di wund we dɛn du di ɔpreshɔn.
Bɔrku pipul dɛn kin gɛt fɔ de na ɔspitul fɔ lɛk wan wik so afta dɛn dɔn du dis ɔpreshɔn.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we dɛn du dis ɔpreshɔn?
Bɔku bɛnifit dɛn de fɔ mek yu ripɛnt valv we dɔn de pas fɔ chenj am wit nyu wan.
- Di chans fɔ liv lɔng: Di chans fɔ liv lɔng ɛn wɛlbɔdi layf afta dɛn dɔn ɔpreshɔn de bɔku.
- di bɛst protɛkshɔn fɔ di at wok: Di damej pan di at wok nɔ kin bɔku.
- Ridכks risk fכ komplikashכn: Ridכks risk fכ komplikεshכn lεk strok εn εndokardaytis (infεkshכn na di at valv dεm).
- Nɔ nid fɔ tek blɔd tin fɔ lɔng tɛm: Bɔku tɛm, dɛn nɔ nid fɔ tek blɔd tina (anticoagulants) fɔ lɔng tɛm.
Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ mek wan valv pas fɔ chenj am, bikɔs na dat na di bɛst tin fɔ bɔku pan di wan dɛn we sik.
Aw di ɔpreshɔn kin wok fayn? Wetin na di prɔblɛm dɛn we kin apin?
Dis ɔpreshɔn kin rili fayn. Ripɔt dɔn sho se ivin 10 ia afta di ɔpreshɔn, lɛk 94% pan di sik pipul dɛn nɔ kin gɛt bɔku blɔd.
Bɔt lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin.
- Di at bit we nɔ de bit (Aritmia) .
- Blɔd we de kɔmɔt
- At blɔk
- At we nɔ de wok fayn
- Sik we de prɛd
- Strok
Tɔk to yu dɔktɔ bɔt dɛn prɔblɛm ya ɛn aw yu go ridyus dɛn.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔrku tɛm, i kin tek lɛk 4 to et wiks fɔ mek i wɛl gud gud wan frɔm dis ɔpreshɔn, pan ɔl we sɔm pipul dɛn kin tek lɔng tɛm.
De tin wae impɔtant pas ɔl na, nɔr kɔmpia yu wɛl bɔdi prɔses to ɔda pɔrsin in yon. Jɔs bikɔs yu neba bin wɛl insay wan mɔnt nɔ min se yu fɔ wɛl. Ɔlman in bɔdi difrɛn. If i tek yu lɔng, dat na nɔmal tin. Nɔ put prɛshɔn pan yusɛf fɔ mek yu wɛl kwik kwik wan.
Di tɛm we yu kin tek fɔ mek yu wɛl, kin dipen pan bɔku tin dɛn:
- Aw yu at sik kin tranga bifo dɛn du yu ɔpreshɔn: If yu at bin dɔn ɔlrɛdi pwɛl bifo dɛn du yu ɔpreshɔn, i go tek sɔm tɛm fɔ mek yu gɛt trɛnk bak.
- Yu jenɛral wɛlbɔdi bifo dɛn du yu ɔpreshɔn: Dis kin dipen pan if yu bin de aktif ɔ yu bin gɛt ɔda mɛrɛsin we bin mek i nɔ izi.
- Di we aw dɛn kin yuz fɔ du ɔpreshɔn:if dεn mek big say na di midul pan di chεst (median sternotomy), i go tek lεk 6-8 wik fכ di bon fכ hεl. If dɛn du di ɔpreshɔn tru smɔl smɔl say dɛn we dɛn kɔt, di wund dɛn go wɛl kwik kwik wan.
Ustɛm yu fɔ go to dɔktɔ?
Na nɔmal tin fɔ mek yu nɔ fil fayn afta dɛn dɔn du yu ɔpreshɔn. Yu dɔktɔ go gi yu pen kil fɔ dis. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, nɔ tink se na nɔmal tin ɛn go to yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Fiva, kol kol | Fɔ kɔf blɔd ɔ yɔlɔ/grin mɔkus |
| Chɛst de pen | I nɔ kin izi fɔ yu fɔ blo |
| Rɛd, swel, pus, ɔ pen rawnd di ɔspitul wund | Nɔs ɛn vɔmit |
| Bɔrku ed pen, diziz, nɔr kin no natin | I nɔ izi fɔ tɔk, fɔ tɔk smɔl (symptoms of a stroke) . |
| At bit we nɔ de bit ɔltɛm (tu fast ɔ tu slo) . | Pen, rɛd, ɔ swel na di ɔnda leg |
Sɔmtɛm yu nɔr kin no if dis na nɔrmal pat fɔ wɛl bɔdi ɔr sɔmtin wae siriɔs. If yu gɛt dawt, i go fayn fɔ kɔl yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Mitral valv ripa na wan ɔpreshɔn we rili saksesful fɔ at sik. No nid fɔ fred dis.
- Bɔku tɛm, i kin bɛnifit fɔ mek valv fayn pas fɔ chenj am.
- I kin tek tɛm fɔ mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn, so lisin to yu bɔdi ɛn peshɛnt.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu gɛt ɛni dawt ɔ yu gɛt ɛnitin we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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