Mek wi lan ɔltin bɔt Off-Pump Bypass Surgery!

Na nɔmal tin fɔ mek yu fred smɔl we yu dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ gɛt baypas ɔpreshɔn. Dat frayd de go ɔp mɔr we yu yɛri se "di at go stɔp ɛn kɔnɛkt to mashin." Bɔt yu no se wan spɛshal we de we dɛn kin yuz fɔ du dis ɔpreshɔn we dɛn nɔ go stɔp di at, dat na we di at stil de bit? Na dat wi go tɔk bɔt tide, we dɛn kɔl ‘Off-Pump Bypass Surgery.’

Wetin na Ɔf-Pɔmp Baypas Ɔpreshɔn?

Fɔ tɔk am simpul wan, dis na bak wan kayn baypas ɔpreshɔn (Coronary Artery Bypass Graft - CABG) we de mek nyu rod rawnd wan blɔd vesel we dɔn blok na di at. Insay tradishɔnal baypas ɔpreshɔn (On-Pump CABG), di ɔpreshɔn dɔktɔ kin stɔp di pɔsin in at fɔ sɔm tɛm we i de du di ɔpreshɔn. da tεm de, di wok we di at εn di lכng dεm de du na wan spεshal mashin we dεn kכl ‘Cardiopulmonary Bypass Machine’. Dis mashin de tek blɔd na di bɔdi, ad ɔksijɛn to am, pul di kabon dayɔgzayd, ɛn gi am bak to di bɔdi.

Bɔt insay dis ‘Off-Pump’ ɔpreshɔn, dɛn nɔ de stɔp di at. Di dɔktɔ we de du di ɔpreshɔn kin du dis ɔpreshɔn we di at de bit. Na dat mek dɛn kin kɔl am bak "Beating Heart Surgery."

Udat nid fɔ du dis ɔpreshɔn?

Dɛn kin du dis ɔpreshɔn mɔ pan pipul dɛn we gɛt korona at sik (CAD), we na wan big tin we kin mek pɔsin gɛt at atak.

Tink bɔt di smɔl smɔl at dɛn we de gi blɔd to wi at as rod. Insay CAD, di insay pat pan dɛn rod ya kin ful-ɔp wit fat ɛn kɔlɔstrel (we dɛn kɔl plek). Dis kin mek di at nɔ gɛt di blɔd we i nid, ɛn dis kin mek i gɛt sɔm sayn dɛn lɛk pen na in chɛst ɛn i nɔ kin blo fayn . If dis blɔk dɔn kɔmplit, at atak kin apin.

Bɔku tɛm, dɔktɔ kin tɛl pɔsin fɔ du baypas ɔpreshɔn we pɔsin chenj in layf, we i de tek mɛrɛsin, ɛn ɔda tritmɛnt dɛn we nɔ ebul fɔ kɔntrol di sik. Insay dɛn kayn tin ya, ‘Off-Pump’ ɔpreshɔn kin bi gud opshɔn fɔ sɔm pasɛnt dɛn.

Aw fɔ rɛdi fɔ ɔpreshɔn?

Yu ɔspitul tim go gi yu ɔl di instrɔkshɔn dɛn we yu nid bifo di ɔpreshɔn. Dɛn go ɔltɛm tɔk tin dɛn lɛk:

• If yu de smok, stɔp am kpatakpata.
• Dɛn kin aks yu fɔ stɔp sɔm pan di mɛrɛsin dɛn we yu de tek fɔ sɔm tɛm, mɔ di wan dɛn we de mek yu nɔ gɛt blɔd.
• Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin frɔm midulnɛt di de we dɛn du di ɔpreshɔn.

Us tɛst dɛn kin du bifo dɛn du di ɔpreshɔn?

Di dɔktɔ go tɛl yu fɔ du bɔku tɛst fɔ mek shɔ se yu gɛt wɛlbɔdi fɔ mek dɛn du yu ɔpreshɔn.

• Blɔd tɛst dɛn
• X-ray na di chɛst
• Ikokardiogram (Echo) .
• ECG (Ilektrokardiogram - EKG) .
• Spɛshal tɛst dɛn lɛk di nyuklia kadyak strɛs tɛst.

Wetin kin apin we dɛn de du di ɔpreshɔn?

Di ɔpreshɔn kin tek sɔm awa. Di dɔktɔ we de du di ɔpreshɔn go ɛksplen wetin go apin to yu bifo tɛm. Dis na di step dɛm wae kin apin.

1. Fɔs, dɛn go anestez yu ɛn mek yu slip kpatakpata. So yu nɔ go fil ɛni pen.

2. Dɔn, dɛn kin pul wan wɛlbɔdi blɔd vesel (graft) frɔm ɔda pat na yu bɔdi, fɔ ɛgzampul, yu leg ɔ yu chɛst wɔl . Dɛn kin yuz dis blɔd vesel fɔ mek nyu rod fɔ go na di say we dɛn dɔn blok.

3. Dɔn, dɛn kin kɔt di skin na di midul pan di chɛst, ɛn dɛn kin kɔt di bɔdi na di tu say, i kin rich na di at.

4. Bikɔs di at de bit, dɛn kin yuz spɛshal tin (stabilizer) fɔ mek i nɔ muv, ɛn na di say nɔmɔ we dɛn de du di ɔpreshɔn kin stebul so dat i nɔ go muv.

5. I de stɔp blɔd fɔ flɔ na di blɔd vesel we dɔn blok fɔ sɔm tɛm.

. Dis tan lɛk we yu de mek baypas fɔ pas rod we dɛn dɔn blok.

7. Afta dɛn dɔn mek di nyu rod, di blɔd de flɔ bak. Naw di blɔd de baypas di blɔk ɛn travul along di nyu rod.

8. fכ finish, dεn de atak di brεstbon bak wit tin dεm we lεk waya εn dεn de sutura di skin klos.

Uswan pan dɛn tu we ya bɛtɛ?

Risach stil de go bifo fɔ no if ɔpreshɔn pan pɔmp ɔ ɔf-pɔmp bɛtɛ. Yu dɔktɔ we de du ɔpreshɔn go disayd us we we go fayn fɔ yu. Lɛ wi luk di bɛnifit ɛn difrɛns bitwin dɛn tu we ya.

Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?

Jɔs lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt bɔku pipul dɛn kin wɛl fayn fayn wan. Na sɔm pan di prɔblɛm dɛn we kin apin:

• Blɔd we de kɔmɔt pasmak.
• Blɔd kin klɔt (we kin mek pɔsin gɛt strok ɔ at atak).
• Kɔmplikɛshɔn dɛn we kin kam bikɔs ɔf anestezi.
• Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik.
• Di at ritm dɛn we nɔ de ɔltɛm.
• Kidni we nɔ de wok fayn.

Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm we yu go wɛl kin dipen pan yu ej, ɔl yu wɛlbɔdi, ɛn ɛni prɔblɛm we kin apin afta dɛn du di ɔpreshɔn. in jεnarכl, di rεkכvεshכn prכsεs de luk lεk dis.

• Yu kin bigin fɔ drink wata ɛn it smɔl smɔl it dɛn di sem de ɔ di nɛks de afta dɛn dɔn du di ɔpreshɔn.
• Insay di fɔs ɔ tu dez, yu go ebul fɔ sidɔm na chia wit ɛp ɛn waka smɔl.
• Yu fɔ de na ɔspitul fɔ sɔm dez.
• Yu go nid pɔsin fɔ ɛp yu fɔ di fɔs dez afta yu dɔn go na os frɔm ɔspitul.
• Dɛn go pul di stich dɛn insay lɛk wan ɔ tɛn wik so.
• Yu fɔ avɔyd fɔ es wet fɔ sɔm wiks .
• I kin tek sɔm wiks ɔ pas dat fɔ mek i wɛl ɔl.
• Yu dɔktɔ go advays yu fɔ tek pat pan wan program fɔ rihabilite yu at fɔ ɛp fɔ mek yu gɛt trɛnk bak.

Wetin na di sayn dɛm we de sho se yu fɔ go to dɔktɔ wantɛm wantɛm?

Dɛn go gi yu de fɔ go to yu dɔktɔ di tɛm we yu de wɛl. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm . Ɔda we de fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• Chɛst pen ɔltɛm ɔ bɛlɛ pen.
• Fɔ fil kol ɔ fɔ swet pasmak.
• If yu brɔstbon fil lɛk se i de muv ɔ mek ‘klik’ sawnd.
• At rit we tu fast ɔ we nɔ de rit ɔltɛm.
• Nɔs ɔ vɔmit.
• I nɔ kin izi fɔ yu fɔ blo.
• Sayn dɛm fɔ infekshɔn, lɛk fɔ rɛd, swel, pus we de kɔmɔt na di say we dɛn sutura, ɔ fiva.
• di wet we yu de gεt wan wan we pas 2-3 kg insay wan wik.