Wi go tok abaut Mitral Valve Repair?

Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu dɔktɔ tɛl yu bɔt at ɔpreshɔn, mɔ fɔ mek yu ripɛnt mitral valv. "Wetin na dis ɔpreshɔn?", "Wetin mek a nid fɔ du dis?", "I denja?", ɛn ɔda tin dɛn Bɔku kwɛstyɔn dɛn kin kam na mi maynd. Tide, wi go tɔk bɔt ɔl dis insay wan rili simpul we we yu go ɔndastand.

Wetin na dis mitral valv? Wetin i min fɔ mek i fayn?

Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. di "do" we de na di lεft say na di at bitwin di כp chεmba (lεft atrium) εn di lכw chεmba (lεft vεntrikl) dεn kכl am di Mitral Valv . dis doa de opin fכ mek di bכdi we gεt כksijεn we de kכmכt na di lכng dεm go insay di lεft vεntrikl. afta dat di lεft vεntrikl de pכmp di bכdi to di rεst כf di bכdi.

so di prכblεm dεm de stat we dis valv, di mitral valv, nכ de wok fayn. As tɛm de go, dis kin pwɛl di at ɛn di lɔng dɛn. Mitral valv ripa involv opin-at ɔpreshɔn fɔ ripɛnt di difrɛns na dis valv. Dɔktɔ dɛn kin tray ɔltɛm fɔ mek yu yon valv pas fɔ chenj am ɔl. Dis na bikɔs i gɛt mɔ bɛnifit ɛn i nɔ gɛt bɔku prɔblɛm dɛn.

Insay us kɔndishɔn dɛn nid fɔ du dis ɔpreshɔn?

Di dɔktɔ kin tink bɔt dis ɔpreshɔn pan tri men mɛrɛsin dɛn.

If di lɛft say na yu at (lɛft ventricle) dɔn ridyus di blɔd flɔ to yu bɔdi (lɛft-sayd at nɔ de wok fayn) ɔ if yu at dɔn big, dis ɔpreshɔn kin nid bak. Bɔt if di sik dɔn bigin, dɛn kin kɔntrol am wit mɛrɛsin. Bɔku tɛm, yu dɔktɔ go du ɛkokadiogram fɔ wach aw yu at de.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

I rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu mɛdikal tim de gi yu bifo yu du di ɔpreshɔn. Dɛn kin tɛl yu tin dɛn lɛk:

• Dɛn go aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu kolat (e.g., aspirin, warfarin), sɔm wik bifo dɛn du di ɔpreshɔn.
• If yu de smok, i go ɛp yu fɔ lɛf fɔ smok .
• Di nɛt bifo di ɔpreshɔn, dɛn go aks yu fɔ was yu bɔdi wit antiseptik sop.
• Dɛn go tɛl yu us mɛrɛsin yu nid fɔ tek di mɔnin we dɛn de du di ɔpreshɔn.
• Dɛn go aks yu fɔ stɔp fɔ it ɛn drink afta sɔm tɛm di de we dɛn du di ɔpreshɔn.

Wetin kin rili apin we dɛn de du ɔpreshɔn?

Bikɔs dis na ɔpreshɔn we dɛn kin du fɔ opin yu at, dɛn go gi yu anestezi ɛn put yu fɔ slip. So yu nɔ go fil ɛnitin. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn, jɔs:

1. Anesthesia: Dis kin mek yu slip dip, we yu nɔ de fil ɛni pen.

2. Baypas mashin: We dɛn de du ɔpreshɔn, dɛn go kɔnɛkt yu to wan spɛshal mashin we dɛn kɔl ``Cardiopulmonary Bypass Machine'' fɔ du di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm.

3. Insishɔn: Di dɔktɔ we de du ɔpreshɔn kin mek wan insishɔn na di chɛst. Di sayz fɔ dis say we dɛn kɔt kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn de du.

4. Valv ripa: Dɔn di ɔspitul kin yuz difrɛn we dɛn fɔ mek di prɔblɛm we de na yu mitral valv. Bɔku tɛm, dɛn kin put wan ring we dɛn mek wit klos (annuloplasty ring) rawnd di valv fɔ sɔpɔt am. Dis kin mek di valv kam bak to in nɔmal pozishɔn.

5. Inspekshɔn: Dɛn kin chɛk di valv fɔ mek shɔ se dɛn dɔn ripɛnt am fayn fayn wan. Dɛn kin mek ɔda chenj dɛn if nid de.

6. Risasit: Dɛn dɔn diskonɛkt yu frɔm di baypas mashin ɛn mek yu at ɛn lɔng dɛn wok bak.

7. Faynal inspekshɔn:Dɛn kin yuz wan spɛshal tɛst we dɛn kɔl Transesophageal Echocardiogram (Echocardiogram) fɔ luk di valv ɛn kɔnfirm if di ɔpreshɔn bin wok fayn.

Wetin na di we dɛn we dɛn kin yuz fɔ du di ɔpreshɔn?

Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz difrɛn we dɛn fɔ du dis. Fɔ ɛgzampul, ivin di say we dɛn kɔt di chɛst kin difrɛn.

• Wan big say we dɛn kɔt dɔŋ di midul pat na di chɛst (Full Sternotomy) .
• pat pan di stεnכtomi (sכm sכm pat pan di chεst) .
• Wan smɔl say we dɛn kɔt bitwin tu rib dɛn (Right Thoracotomy) .
• Dɛn kin du rɔbɔt ɔpreshɔn bay we dɛn kin kɔt sɔm rili smɔl say dɛn bitwin di rib dɛn.

Difrɛn we dɛn de fɔ mek di valv fayn. Dɛn tin ya na fɔ kɔt di pat dɛn we dɔn pwɛl ɛn stich di pat dɛn we lɛf, ɔ fɔ riples di kɔda wit spɛshal sɛntetik trɛd dɛn lɛk Gore-Tex® if di kɔda dɛn lɔs. Yu dɔktɔ go ɛksplen dis to yu mɔ.

Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?

Afta di ɔpreshɔn, yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez. Na de, di mɛdikal tim go wach yu puls ɛn aw yu de blo gud gud wan. Afta dat, yu go de na rɛgyula wɔd fɔ sɔm dez mɔ bifo yu go na os. I kin tek lɛk 4 to et wiks fɔ mek i wɛl ɔl. Sɔm pipul dɛn kin tek lɔng tɛm.

Bɔku tin dɛn de we kin afɛkt aw yu kin wɛl kwik kwik wan:

• Di kayn we aw yu at sik kin tranga bifo dɛn du yu ɔpreshɔn.
• Yu ɔl wɛlbɔdi biznɛs bifo dɛn du yu ɔpreshɔn.
• Di we aw dɛn kin du di ɔpreshɔn we dɛn kin yuz fɔ du di ɔpreshɔn.

Afta yu dɔn go na os, sɛt smɔl gol dɛn ɛn smɔl smɔl bigin fɔ du yu nɔmal tin dɛn. Gɛt bɔku rɛst. Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ drayv, es wet, ɛn ɛksesaiz.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i de mek di say dɛn we dɔn pwɛl? Ɛni risk dɛn de we kin apin?

Bɔku bɛnifit dɛn de fɔ mek yu ripɛnt valv pas fɔ chenj am.

• Di chans fɔ liv ɛn fɔ liv fɔ lɔng tɛm afta dɛn dɔn ɔpreshɔn am kin bɔku.
• Bɛtɛ protɛkshɔn fɔ di at wok.
• Ridyus di risk fɔ kɔmplikeshɔn lɛk strok ɛn ɛndokarditis.
• Nɔ nid fɔ tek antikoagulant fɔ di res ɔf yu layf.

Jɔs lɛk ɔl di ɔpreshɔn dɛn, prɔblɛm dɛn de we kin apin. Fɔ ɛgzampul, di at nɔ kin ritm (arrhythmias), blɔd kin kɔmɔt, ɛn infekshɔn kin apin. Bɔt yu dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn if di bɛnifit dɛn we di ɔpreshɔn go gi yu pas di prɔblɛm dɛn we go apin fa fawe.Na bikɔs dɛn biliv dat. Dɛn ripɔt se ivin 10 ia afta dis ɔpreshɔn, lɛk 94% pan pipul dɛn nɔ kin gɛt big valv prɔblɛm igen. Dis min se dis na sɔlv we go rili wok fayn ɛn we go de fɔ lɔng tɛm.

Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du mi ɔpreshɔn?

Na nɔmal tin fɔ gɛt sɔm diskɔmfɔt insay di tɛm we yu de wɛl. Bɔt if yu gɛt wan ɔ mɔ pan dɛn sik ya, dat kin bi sayn fɔ se yu gɛt prɔblɛm. If na so i bi, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm.

If yu gɛt ɛnitin fɔ wɔri bɔt wan sayn, nɔ ɛva fred fɔ aks yu dɔktɔ bɔt am. I kin kɔrej wi fɔ no se nɔto siriɔs tin.