Yu dɔktɔ dɔn tɛl yu se yu mitral valv wik ɛn yu nid ɔpreshɔn? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we yu yɛri sɔntin lɛk dis. Bɔt nɔ wɔri. Dis na ɔpreshɔn we rili advans ɛn we dɔn wok fayn naw. Tide, wi go tɔk bɔt Mitral Valve Replacement, wetin i min, wetin mek dɛn du am, ɛn aw dɛn de du am, insay wan rili simpul we we yu go ɔndastand.
Fɔs, lɛ wi si, wetin na dis mitral valv?
Tink bɔt yu at lɛk os we gɛt 4 rum dɛn. Doa dɛn de bitwin dɛn rum dɛn ya we de mek blɔd go ɛn kam bak. Na wan say nɔmɔ dɛn domɔt dɛn ya kin opin. so, dis mitral valv na wan rili imכtant doa bitwin di כp chεmba (lεft atrium) εn di lכw chεmba (lεft vεntrikl) na di lεft say na di at.
Di blɔd we gɛt ɔksijɛn ɛn klin we kɔmɔt na di lɔng dɛn kin fɔs go insay dis ɔpa chɛmba we de na di lɛft say. afta dat, di mitral valv de opin εn da bכdi de go insay di lכw chεmba. Na frכm di lכw chεmba we dεn de pכmp blכd כlsay na di bכdi. So dis domɔt, dat na di valv, gɛt fɔ opin ɛn lɔk di rayt tɛm.
Bɔt bikɔs ɔf sɔm sik dɛn, dis valv nɔ de wok fayn. Dɔn di at kin fil bɔku prɛshɔn. As tɛm de go, dis kin pwɛl di at ɛn di lɔng dɛn.
insay us kes dεm i nid fכ riples wan mitral valv?
Dis ɔpreshɔn kin nid fɔ du mɔ bikɔs ɔf tu mɛdikal kɔndishɔn dɛn.
1. Mitral regurgitation: Dis na we di valv nכ de kכloz fayn fayn wan. Dɔn sɔm pan di blɔd we bin de go insay di ɔda rum we de dɔŋ kin lik bak insay di rum we de ɔp. I tan lɛk wan domɔt lɔk we dɔn brok.
2. Mitral Stenosis: wetin de apin ya na di valv nכ de opin fayn fayn wan. I kin smɔl ɛn i kin blok. Dɔn dɛn kin blok di rod fɔ mek blɔd kɔmɔt na di ɔpa chɛmba to di ɔda chɛmba. I tan lɛk se wan domɔt dɔn stɔp.
Dɔktɔ dɛn kin tray ɔltɛm fɔ mek yu yon valv. I bɛtɛ fɔ kip yu yon tisu. Bɔt if di valv dɔn pwɛl tumɔs fɔ mek dɛn ebul fɔ mek am, wan valv we dɛn go yuz fɔ chenj am na di bɛst ɛn di bɛst we fɔ du am.
Tipikli, di valv nɔ kin ripɛnt fɔ dɛn rizin ya:
- if di valv dεn dכn pwεl bad bad wan bikoz fכ wan infεkshכn na di at (endocarditis).
- If di valv dɔn gɛt skata ɛn tik bikɔs ɔf di rεumatik at sik (Rheumatic Heart Disease) we bin apin we i bin smɔl.
- If di kalsiכm dεposit dεm dכn fכm pan di valv εn i tan lεk ston.
- if di dilik kכd sistεm (papillary mכsul dεm כ chordae) we de sכpכt di valv dεn dכn pwεl.
Wetin na di nyu kayn valv dɛn?
If yu de gɛt nyu valv, tu men kayn dɛn de fɔ pik frɔm. Dɛn ɔl tu gɛt dɛn gud ɛn bad tin dɛn. Yu ɛn yu dɔktɔ go nid fɔ disayd togɛda uswan go fayn fɔ yu, bay aw yu ol, aw yu de liv yu layf, ɛn aw yu gɛt wɛlbɔdi.
| Valv tayp | Diskripshɔn ɛn bɛnifit dɛn | Kɔns ɛn tin dɛn we pɔsin kin notis |
|---|---|---|
| Mekanikal Valv we dɛn kɔl | Dis na valv dɛn we kin te we dɛn mek wit mɛtal lɛk kabɔn ɛn taytaniɔm. Bɔku tɛm, dɛn kin las fɔ ɔl dɛn layf. Dɛn nɔ nid fɔ gɛt ɔda ɔpreshɔn. | Yu go nid fɔ tek wan tin we de mek yu blɔd tin fɔ yu layf (Warfarin). Risk de fɔ blɔd we yu de tek dis mɛrɛsin. Yu go nid fɔ de tɛst yu blɔd ɔltɛm. Dis kin gɛt prɔblɛm fɔ uman dɛn we gɛt bɛlɛ ɛn di wan dɛn we kin fɔdɔm ɔltɛm. |
| Bayolojikal/Bayoprostɛtik Valv | Dɛn kin mek dɛn tin ya wit animal tisu (dɛn kin tek am frɔm pig ɔ kaw). De big advantej na dat yu nɔr nid fɔ tek mɛrɛsin wae de mek yu blɔd tan fɔ di res ɔf yu layf (eksept maybe fɔ di fɔs mɔnt dɛm). | Dɛn tin ya nɔ kin las fɔ lɔng tɛm lɛk di mɛkanikal valv dɛn. Dɛn kin west insay 10-20 ia. Dɔn yu fɔ du ɔda ɔpreshɔn ɛn mek dɛn put nyu valv insay. |
Dɔktɔ dɛn kin yuz wan gaydlayn lɛk dis:
- If i nɔ rich 50 ia: na mɛkanikal valv (lɛs i gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ).
- If yu ol bitwin 50 ɛn 65 ia: ɛni wan pan di tu kayn.
- If i pas 65 ia: wan bayolojikal valv.
Dis na big tin fɔ disayd, so nɔ shem fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de fred.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners) sɔm wiks bifo dɛn du di ɔpreshɔn.
- If yu de smok, stɔp am kpatakpata.
- Wash yu bɔdi wit antiseptik sop di nɛt bifo yu du di ɔpreshɔn.
- Stɔp fɔ it ɛn drink frɔm midulnɛt di nɛt bifo dɛn du di ɔpreshɔn.
- Arenj fɔ mek pɔsin ɛp yu we yu rich na os. Sɔntɛm i nɔ kin izi fɔ yu fɔ du ebi ebi es ɔ kuk fɔ sɔm tɛm. So, i rili impɔtant fɔ mek wi gɛt ɛp frɔm wi fambul ɔ padi.
We dɛn de du di ɔpreshɔn
Bɔku tɛm, dis na ɔpreshɔn we dɛn kin du fɔ opin in at. Dis min se dɛn kin du di ɔpreshɔn tru wan say we opin na di chɛst. Bɔt sɔm pipul dɛn kin mek dɛn du di ɔpreshɔn tru kateta (transkateta). Yu dɔktɔ go disayd if dis fayn fɔ yu.
We dɛn de du di ɔpreshɔn:
1. Dɛn go anestez yu ɔltogɛda. So yu nɔ go fil ɔ mɛmba ɛnitin.
2. We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to wan spɛshal mashin (Cardiopulmonary Bypass Machine) fɔ du di wok we yu at ɛn yu lɔng dɛn de du.
3. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di chɛst ɛn i kin rich na di at.
4. Dɔn, dɛn kin tek tɛm pul di mitral valv we dɔn pwɛl, ɛn dɛn kin siŋ di nyu valv insay in ples. Dɔktɔ dɛn kin tray fɔ kip bɔku pan yu yon wɛlbɔdi tisu as dɛn ebul.
5. Dɛn kin chɛk di nyu valv fɔ mek shɔ se i de wok fayn, dɛn kin lɔk di chɛst, ɛn afta dat dɛn kin pul yu na di at-lɔng mashin.
Dis ɔpreshɔn kin tek lɛk tu to 4 awa so.
Afta dɛn dɔn ɔpreshɔn am ɛn i dɔn wɛl
Yu go gɛt fɔ de na ɔspitul fɔ lɛk wan wik so afta dɛn dɔn du di ɔpreshɔn.
- Yu go spɛn di fɔs ɔ tu dez na di intensiv kia yunit (ICU), usay dɛn go de wach ɔltin frɔm yu at bit to aw yu de blo fayn fayn wan.
- Dɔn dɛn kin transfa dɛn to wan rɛgyula wɔd.
- I kɔmɔn fɔ gɛt at bit we nɔ de bit ɔltɛm (`Arrhythmias`) afta dɛn dɔn ɔpreshɔn am. Dɛn kin gi mɛrɛsin fɔ dis.
- Dɛn kin bigin fɔ gi mɛrɛsin fɔ mek blɔd nɔ klɔt (anticoagulation therapy).
- Dɛn go rifer yu to wan program fɔ rihabilite yu at fɔ mek yu wɛl kwik kwik wan.
I kin tek bitwin 4 ɛn 8 wik fɔ mek i wɛl. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dis tɛm kin difrɛn difrɛn tin lɛk yu ej ɛn yu wɛlbɔdi bifo dɛn du di ɔpreshɔn. So nɔ rɔsh am. Lisin to yu bɔdi ɛn gɛt bɔku rɛst.
Wetin na di risk simptom dɛm wae yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, nɔ ignore dɛn. Kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
| Di sayn dɛn we kin mek pɔsin gɛt prɔblɛm | |
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| If yu de tek mɛrɛsin we de mek yu blɔd tan, no bɔt dɛn tin ya bak: | |
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Mɛsej we dɛn kin kɛr go na os
- Mitral valv riplesmɛnt nɔto natin fɔ fred. Na ɔpreshɔn we kin rili wok fayn ɛn we kin sev yu layf ɛn mek yu layf bɛtɛ.
- Fɔ pik di rayt valv fɔ yu, bitwin mɛkanikal ɛn bayolojikal, na impɔtant tin we yu ɛn yu dɔktɔ fɔ disayd togɛda.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du am ɔpreshɔn. Insay da tɛm de, i rili impɔtant fɔ lɛ wi rɛst ɛn sɔpɔt di famili. Nɔ ɛva rɔsh tin dɛn.
- Yu fɔ no bɔt di tin dɛn we kin mek yu gɛt prɔblɛm afta yu dɔn go bak na os. If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.
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