Wi at na rili wɔndaful mashin, nɔto so? Di 4 valv dɛn we de insay de wok lɛk domɔt dɛn we de opin na wan say nɔmɔ. Wan pan dɛn impɔtant domɔt dɛn ya na di Mitral Valv. Na dis valv de mek klin blɔd we gɛt bɔku ɔksijɛn pas frɔm wan chɛmba na di at to di ɔda wan. Bɔt imajin wetin go apin if sɔntin nɔ apin to dis valv? Dat min se if di blɔd nɔ lɔk fayn ɛn lik bak, ɔ if i nɔ opin fayn ɛn blok, dat min se di at kin fil bɔku strɛs. Na da tɛm de dɔktɔ dɛn kin disayd fɔ pul dis valv ɛn put am bak, if dɛn nɔ ebul fɔ mek am bak.
Fɔ tɔk am simpul wan, wetin na mitral valv riplesmɛnt?
Mitral valv riplesmεnt na opin - at כpεrayshכn. I involv fɔ pul yu mitral valv we sik, we nɔ de wok fayn ɛn put nyu valv fɔ chenj am. Dis nyu valv kin kam insay tu kayn.
- Mɛkanikal valv dɛn: Dis na atifishal valv dɛn we dɛn mek wit mɛtal dɛn lɛk kabɔn ɛn stɛl.
- Bayolojikal/Bayoprosthεtik valv dεm: Dis na valv dεm we dεn mek frכm hat tisu frכm pig, kaw, εn sכmtεm (we nכ kin bכku) mכtalman tisu.
Ivin if dis ɔpreshɔn na big tin, if yu dɔktɔ tɛl yu fɔ du am, i min se yu valv de wɔs ɛn i kin mek yu gɛt siriɔs prɔblɛm if yu nɔ du di ɔpreshɔn. I min bak se i nɔ go ebul fɔ ripɛnt.
Wetin mek yu nid fɔ du dis ɔpreshɔn?
di bכdi we gεt כksijεn we de kכmכt na wi lכng de go insay di lεft atria na di at, εn frכm de i de pas tru di mitral valv go na di lεft vεntrikl. dis lεft vεntrikl de rispansabl fכ pכmp bכdi כlsay na di bכdi. Naw, if yu gɛt mitral valv sik, dis valv nɔ de opin ɔ lɔk fayn fayn wan. Dis kin mek wi gɛt tu big prɔblɛm dɛn.
1. Mitral Valve Regurgitation: di bכdi de lik bak biכs di valv nכ de kכloz fayn fayn wan.
2. Mitral Valve Stenosis: di valv nכ de opin fayn, we de mek di bכdi nכ fכ fכlכ.
Dɛn tu tin ya kin mek bɔku strɛs na di lɛft say na di at. As tɛm de go, dis kin pwɛl di at ɛn di lɔng dɛn.
Bɔku tɛm, dɔktɔ dɛn we de du ɔpreshɔn kin tray fɔ mek di valv fayn ɛnitɛm we i pɔsibul, pas fɔ chenj am. Bɔt sɔntɛnde, dis nɔ kin pɔsibul.
Bɔku rizin dɛn kin de we mek dɛn nɔ kin ebul fɔ mek di say dɛn we dɔn pwɛl:
- Endocarditis ɔr rεumatik at sik) bin mek di valv pwɛl bad bad wan.
- Bɔku bɔku kalsiɔm depɔsit ɔ skata na di valv.
- siriכs damej pan di papillary mכsul dεm כ di chכda dεm we de sכpכt di valv.
So, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt yu sityueshɔn ɛn lan bɔt di tin dɛn we yu go ebul fɔ du.
Us kayn valv wi kin pik?
Yu ej, di we aw yu de liv yu layf, ɛn ɔda wɛlbɔdi prɔblɛm dɛn go ɛp yu fɔ pik di kayn valv we yu nid fɔ put insay. Lɛ wi tek wan luk pan di difrɛns bitwin di tu kayn.
| Tayp fɔ di valv | Diskripshɔn ɛn bɛnifit/disavantej dɛn |
|---|---|
| Mekanikal Valv dɛn |
|
| Bayolojikal Valv dɛn |
If yu ol bitwin 50 ɛn 65 ia, yu dɔktɔ go tɛl yu fɔ du wan pan dɛn tu kayn tin ya dipen pan yu sik. Di tin we impɔtant pas ɔl na fɔ tɔk bɔt dis gud gud wan ɛn pik di wan we go fayn fɔ yu.
Aw wi kin pripia bifo dɛn du di ɔpreshɔn?
Yu mɛdikal tim go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. Jɛnɛral wan, yu go nid fɔ rɛdi fɔ dɛn tin ya.
- Sɔm mɛrɛsin dɛn (especially blood thinners) we yu dɔktɔ gi yu kin nid fɔ stɔp sɔm wiks bifo dɛn du di ɔpreshɔn.
- Dɛn fɔ stɔp fɔ smok ɛn fɔ smok kpatakpata.
- Di nɛt bifo dɛn du di ɔpreshɔn, dɛn go tɛl yu fɔ was yu bɔdi wit sop we gɛt antiseptik .
- Di nɛt bifo dɛn du di ɔpreshɔn, yu go gɛt fɔ stɔp fɔ it ɛn drink kpatakpata, bɔku tɛm afta 12 midulnɛt .
- Na di mɛrɛsin dɛn nɔmɔ we dɛn tɛl yu fɔ tek fɔ di mɔnin we dɛn go du di ɔpreshɔn.
I impɔtant bak fɔ sɛt yu os ɛnvayrɔmɛnt so dat yu go fil fayn we yu go bak na os afta dɛn dɔn ɔpreshɔn yu. Fɔ ɛgzampul, i go fayn fɔ mek yu plan bifo tɛm, lɛk fɔ kip tin dɛn we yu go nid usay yu go ebul fɔ rich ɛn arenj fɔ mek pɔsin drayv yu go na os frɔm ɔspitul.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn na kɔmpleks tin we kin tek lɛk tu to 4 awa so. Bɔt yu nɔ gɛt natin fɔ wɔri bɔt. Wan mɛdikal tim we gɛt ɛkspiriɛns go kia fɔ yu gud gud wan. Na dis na step-by-step gayd fɔ wetin kin apin we dɛn de du di ɔpreshɔn.
1. Anestesia: Fɔs, dɛn go put yu fɔ slip kpatakpata. So yu nɔ go fil ɛnitin bɔt di ɔpreshɔn ɛn yu nɔ go mɛmba am we yu wek.
2. Kɔnɛkshɔn: Yu go kɔnɛkt to monita fɔ monitar yu at rit ɛn brith. Dɛn go gi yu antibayɔtik tru wan vein fɔ mek yu nɔ gɛt di sik.
3. Cardiopulmonary Bypass Machine: Neks, yu go kɔnɛkt to wan spɛshal mashin. Dis mashin kin tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm we dɛn de du di ɔpreshɔn. Yu at nɔ go bit insay dis tɛm.
4. Insishɔn: Di dɔktɔ we de du di ɔpreshɔn go mek wan insayshɔn na yu chɛst fɔ mek i go ebul fɔ go na yu at. Bɔku tɛm dɛn kin du dis tru wan sternotomy (dɛn kin kɔt am along di midul pan yu chɛst bon).
5. di valv riplesmεnt: dεn kin mek wan insayshכn na di lεft atria na di at fכ rich di mitral valv. Dɔn, dɛn kin tek tɛm pul di pat dɛn we dɔn pwɛl na di valv, ɛn put di nyu valv na in ples ɛn siŋ am tayt tayt wan.
6. Test: Chek fɔ si if di nyu valv de wok fayn ɛn if in domɔt dɛn opin ɛn lɔk fayn.
7. Ɛnd ɔf ɔpreshɔn: We ɔltin dɔn fayn, di say we dɛn kɔt na yu at go lɔk ɛn dɛn go pul yu smɔl smɔl na di at-lɔng mashin.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, bɛnifit ɛn prɔblɛm dɛn de, ɛn i impɔtant fɔ no bɔt dɛn tin ya.
| Bɛnifit dɛn | Risk/Kɔmplikeshɔn dɛn |
|---|---|
|
Nɔr frayd fɔ dɛn risk ya. Yu mɛdikal tim gɛt bɔku trenin fɔ ridyus di chans fɔ mek dɛn kayn tin ya apin ɛn fɔ manej dɛn if dɛn apin.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go gɛt fɔ de na ɔspitul fɔ lɛk wan wik so.
- Fɔ di fɔs ɔ tu dez, dɛn go kip yu na di intensiv kia yunit (ICU) ɛn dɛn go de wach yu kɔndishɔn gud gud wan.
- Dɔn dɛn go transfa yu to wan rɛgyula wɔd.
- I kɔmɔn fɔ mek yu at bit ɔltɛm afta yu dɔn ɔpreshɔn yu, ɛn yu kin nid mɛrɛsin ɔ ivin mek yu peshɛnt fɔ sɔm tɛm fɔ dis.
- Dɛn go bigin fɔ yuz tin dɛn we de mek blɔd tan fɔ mek di blɔd nɔ klin.
- Dɛn go tɛl yu bɔt wan program fɔ rihabilite yu at we go ɛp yu fɔ wɛl kwik kwik wan.
Bɔrku tɛm, i kin tek bitwin 4 ɛn 8 wik fɔ mek i wɛl. Bɔt dis tɛm kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dis kin afɛkt bay tin dɛm lɛk yu wɛl bɔdi bifo yu ɔpreshɔn ɛn aw yu sik kin tranga.
Di tin we impɔtant pas ɔl na fɔ nɔ rɔsh fɔ wɛl. Nɔto ɔlman na di sem. Gi yu bɔdi di tɛm we i nid fɔ wɛl, ɛn tek ɛp frɔm ɔda pipul dɛn.
Yu dɔktɔ go tɛl yu ustɛm yu kin bigin fɔ du tin dɛn bak lɛk fɔ drayv ɛn fɔ es wet. I impɔtant bak fɔ mek fɔ it tin dɛn we go ɛp yu at, fɔ avɔyd fɔ smok ɛn drink rɔm, fɔ gɛt wɛlbɔdi wet, ɛn fɔ kɔntinyu fɔ du ɛksɛsayz bi pat pan yu layf.
Wetin na di sayn dɛm wae pɔrsin nid fɔ pe atɛnshɔn to kwik kwik wan?
I rili impɔtant fɔ tek kia ɔf yu bɔdi we yu de wɛl. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Denja simptom dɛm - go to dɔktɔ kwik kwik wan! | |
|---|---|
| - Chɛst pen | - Siriv ed pen |
| - Sayn dεm fכ infεkshכn lεk fiva, kol, εn pus we de kכmכt frכm di kכt | - At nɔ de bit ɔltɛm (tu fast ɔ tu slo ) . |
| - Kɔf wit yɔlɔ ɔ grɛn mɔkus | - Pen, rεd, כ swel na di lכw leg |
| - Diziz ɔ layt ed | - I nɔ izi fɔ blo |
| - Di sayn dɛm fɔ strok lɛk fɔ at fɔ tɔk, fɔ tɔk slɔp | - Nɔs ɛn vɔmit |
Nɔ ignore am, tink se, "Dis kin bi sɔntin we smɔl." Ivin wan sayn we tan lɛk se i smɔl kin bi sayn fɔ sɔntin we siriɔs. So if yu gɛt ɛni dawt, nɔ shem fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Mitral valv riplesmɛnt ɔpreshɔn na big ɔpreshɔn we de sev layf ɛn naw bɔku pipul dɛn de du, so nɔ fred am we nɔ nid fɔ du am.
- Fɔ pik di rayt kayn valv fɔ yu, ilɛksɛf na mɛkanikal ɔ bayolojikal, i go dipen pan yu ej ɛn aw yu de liv yu layf. Tɔk bɔt dis wit yu dɔktɔ bifo yu disayd fɔ du sɔntin.
- I kin tek tɛm fɔ mek i wɛl gud gud wan afta dɛn dɔn du am ɔpreshɔn. Lisin to yu bɔdi ɛn peshɛnt.
- Fɔ tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek (espɛshali di wan dɛn we de mek yu blɔd tan) di rayt tɛm ɛn fɔ liv fayn layf, impɔtant fɔ mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.
- Yu fɔ no ɔltɛm bɔt sayn dɛn we de sho se yu denja. If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.
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