Yu go mɔs dɔn yɛri bɔt ɔpreshɔn fɔ mek dɛn yuz at baypas, nɔto so? Sɔntɛm sɔmbɔdi na yu famili ɔ yu padi dɔn gɛt fɔ du dis kayn ɔpreshɔn. Bɔku tɛm, we wi de tɔk bɔt baypas ɔpreshɔn, wi kin tink bɔt wan big ɔpreshɔn we na fɔ stɔp di at ɛn kɔnɛkt am to mashin. Bɔt yu no se baypas ɔpreshɔn de bak we dɛn kin du we dɛn nɔ stɔp di at, dat na we di at stil de bit? Na dat wi kin kɔl "Off-pump" baypas ɔpreshɔn, ɔ "Beating Heart Surgery." Lɛ wi tɔk bɔt dis insay simpul wɔd dɛn tide.
Okay, wetin na dis baypas ɔpreshɔn we dɛn kin du we dɛn nɔ stɔp di at?
Fɔ tɔk am simpul wan, dis na wan kayn korona at baypas graft (CABG). Insay baypas ɔpreshɔn, dɛn kin mek nyu at fɔ baypas wan at we dɔn blok (koronari at) we de gi blɔd to di at. Dɛn kin du dis bay we dɛn de yuz wan wɛlbɔdi blɔd vesel (graft) we dɛn tek frɔm ɔda pat na di bɔdi, fɔ ɛgzampul, di leg ɔ di chɛst.
Imajin se bɔku bɔku trafik de na rod, so motoka dɛn nɔ de muf. Dɔn wi kin bil wan baypas rod fɔ avɔyd da trafik de. Dis kin mek blɔd go fayn fayn wan na di at bak.
Insay tradishɔnal baypas ɔpreshɔn (On-pump CABG) , di dɔktɔ dɛn we de du ɔpreshɔn kin stɔp di pɔsin in at ɔltogɛda. Dɔn, dɛn kin yuz wan spɛshal mashin fɔ du di wok we di at ɛn di lɔng dɛn de du te di ɔpreshɔn dɔn. Dɛn kɔl dis wan mashin we de yuz di kadyopulmonari baypas. Dis mashin de tek blɔd na di bɔdi, ad ɔksijɛn to am, pul di kabon dayɔgzayd, ɛn pɔmp klin blɔd bak insay di bɔdi.
Bɔt insay ɔf-pɔmp CABG, dɛn nɔ de yuz di at-lɔng mashin. Di dɔktɔ we de du di ɔpreshɔn de du di ɔpreshɔn we yu at de bit . Na dat mek dɛn kɔl am "Beating Heart" ɔpreshɔn.
Udat nid fɔ du dis ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn mɔ pan pipul dɛn we gɛt korona at sik (CAD). insay CAD, fεt dεposit dεm (plak) kin bכku insay di bכdi vεsul dεm na di at, we de mek di bכdi fכ fכlכ sכmtεm sכmtεm. Dis kin mek yu gɛt sɔm kayn sik lɛk aw yu de fil pen na yu chɛst ɛn yu nɔ de blo fayn. If dɛn vessel ya blok ɔl, di risk fɔ gɛt at atak kin rili bɔku.
We di sik tu tranga fɔ kɔntrol am wit chenj dɛn layf, mɛrɛsin, ɛn ɔda tritmɛnt dɛn, dɔktɔ dɛn kin se dɛn fɔ baypas ɔpreshɔn. Dis ɔpreshɔn kin mek di sik nɔ bɔku, i kin mek i nɔ gɛt at atak, ɛn i kin mek i nɔ day mɔ ɛn mɔ. So, fɔ sɔm pasɛnt dɛn we disayd fɔ gɛt baypas ɔpreshɔn, dis ɔf-pɔmp ɔpreshɔn kin bi fayn opshɔn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
If dɛn dɔn arenj fɔ mek dɛn du dis ɔpreshɔn, yu mɛdikal tim go gi yu instrɔkshɔn bɔt aw fɔ pripia. Dɛn instrɔkshɔn ya kin bi:
- If yu de smok, stɔp wantɛm wantɛm.
- Yu dɔktɔ go advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm, mɔ di wan dɛn we de mek yu blɔd blɔd.
- Di de bifo di ɔpreshɔn, dɛn go tɛl yu nɔ fɔ it ɔ drink ɛnitin frɔm midulnɛt.
Apat frɔm dat, dɛn kin du bɔku tɛst dɛn bak fɔ si if yu gɛt wɛlbɔdi fɔ mek dɛn du yu ɔpreshɔn:
- Blɔd tɛst dɛn
- Chɛst X-ray ɛgzamin
- Ikokardiogram (Echo) .
- ECG tɛst (Ilektrokardiogram) .
- Spɛshal tɛst dɛn lɛk Nyuklia Kadyak Strɛs Tɛst
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu dɔktɔ we de du di ɔpreshɔn go ɛksplen to yu wetin go apin we dɛn de du di ɔpreshɔn. Na sɔm tin dɛn we go apin ɔltɛm:
1. Anesthesia: Dɛn kin put yu na slip kɔmplit wan ɛn anestez so dat yu nɔ go fil ɛni pen.
2. Graft Harvesting: Dɛn kin tek di pat pan di blɔd vesel we gɛt wɛlbɔdi we yu nid fɔ mek di baypas na yu leg, an, ɔ insay chɛst.
3. Insishɔn: Dɛn kin kɔt am na di midul pan di chɛst, ɛn tek tɛm muv di brɔst bon to di tu say dɛn. Sɔntɛnde, dipen pan usay di dakt we dɔn blok de, dɛn kin kɔt smɔl say bitwin di rib dɛn na di lɛft say na di chɛst.
4. fכ mek di at stεbyul: biכs dεn de du di כpεrayshכn we di at de bit, dεn de yuz wan spεshal tin we dεn kכl ``Stabiliza`` fכ ol di sכmכl εria na di at we dεn de כpεret so dat i nכ go muv. Dis kin mek di dɔktɔ we de du di ɔpreshɔn nɔ de muv ɛn du di ɔpreshɔn klia wan.
. Dis kin mek di nyu baypas.
6. Klos: We di wok dɔn, di blɔd kin stɔp fɔ flɔ fɔ sɔm tɛm, dɛn kin tay di chɛst bon bak wit spɛshal waya dɛn, ɛn dɛn kin sutura di skin ɛn lɔk am.
Tradishɔnal ɔpreshɔn (On-pump) ɔ dis nyu we (Off-pump) bɛtɛ?
Risach stil de go bifo fɔ no uswan pan dɛn tu we ya bɛtɛ fɔ lɔng tɛm. Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu us we fɔ du am bɛtɛ fɔ yu. Lɛ wi luk di men difrɛns ɛn di gud ɛn bad tin dɛn we dɛn tu we ya gɛt.
| Speshal wok | Tradishɔnal Mɛtɔd (On-Pump) . | "Bit At" Mɛtɔd (Off-Pump) . |
|---|---|---|
| At kɔndishɔn | Di at kin stɔp we dɛn de du ɔpreshɔn. | Dɛn kin du di ɔpreshɔn we di at de bit. |
| Hat-lɔng mashin | Yuz yu. | Nɔto fɔ yuz am. |
| Di bɛnifit fɔ di dɔktɔ we de du di ɔpreshɔn | Dɛn kin du di ɔpreshɔn klia wan bikɔs nɔ muvmɛnt ɔ blɔd nɔ de. | Teknikli mɔ chalenj. I nid fɔ gɛt spɛshal trenin. |
| Di bɛnifit dɛn we pɔsin kin gɛt fɔ di pɔsin | Standard, we dɛn kin yuz bɔku tɛm. | Smɔl insishɔn, shɔt ɔspitul stey, fast recovery. I kin ridyus di risk fɔ gɛt prɔblɛm lɛk fɔ mɛmba tin, fɔ gɛt strok, ɛn fɔ gɛt infɛkshɔn. |
Di tin we impɔtant pas ɔl na dat nɔto ɔlman kin du dis ɔpreshɔn we nɔ de stɔp in at. Dɔn bak, fɔ du dis ɔpreshɔn, yu nid dɔktɔ we gɛt spɛshal ɛkspiriɛns pan am.
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 gɛt fayn fayn tin dɛn fɔ du. Di prɔblɛm dɛn we kin apin na:
- Blɔd we de kɔmɔt
- Blɔd klɔt (we kin mek pɔsin gɛt strok ɔ at atak) .
- Kɔmplikɛshɔn dɛn we kin kam bikɔs ɔf anestezi
- Infεkshכn dεm
- At we nɔ de bit ɔltɛm (Aritmia) .
- Kidni we nɔ de wok fayn
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm we yu go wɛl afta dɛn du di ɔpreshɔn, kin dipen pan bɔku tin dɛn lɛk yu ej, ɔl yu wɛlbɔdi, ɛn di sayz we di say we yu kɔt. I kin go lɛk dis:
- Yu kin bigin fɔ tek wata ɛn smɔl it 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.
- I rili impɔtant fɔ gɛt pɔsin fɔ ɛp yu insay di fɔs dez afta yu dɔn go na os.
- Dɛn go pul di stich dɛn insay lɛk tɛn wiks so.
- I bɛtɛ fɔ lɛ yu nɔ es ɛni wet fɔ sɔm wiks.
- I kin tek sɔm wiks ɔ pas dat fɔ mek i wɛl ɔl.
- Dɔktɔ dɛn go advays yu fɔ tek pat pan wan program fɔ rihabilite yu at fɔ mek yu gɛt trɛnk bak.
Uskayn kes dɛn yu fɔ go to dɔktɔ wantɛm wantɛm?
We yu de wɛl, yu go nid fɔ go na di klinik pan di de dɛn we dɛn dɔn sɛtul ɛn go to yu dɔktɔ. Bɔt 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.
| Simptom dɛm fɔ wach fɔ |
|---|
| Chɛst pen ɔ bɛlɛ pen we nɔ de go. |
| Fɔ fil kol ɔ fɔ swet pasmak. |
| wan sens we di brεstbon de muv כ mek "klik" sawnd. |
| At bit kwik kwik wan ɔ we nɔ de bit ɔltɛm. |
| Nɔs ɔ vɔmit. |
| I nɔ kin izi fɔ yu fɔ blo. |
| Sayn dεm fכ infεkshכn (fiva, rεd nia di say we dεn kɔt, swεla, pus drenaj). |
| di wet we yu de gεt wan wan (mכr dan 2 kg pan wik). |
Mɛsej we dɛn kin kɛr go na os
- Ɔf-pɔmp baypas ɔpreshɔn na spɛshal kayn baypas ɔpreshɔn we dɛn kin du pan at we de bit we nɔ de stɔp di at.
- Sɔm sik pipul dɛn kin bɛnifit frɔm dis we, lɛk fɔ lɛ dɛn nɔ de na ɔspitul, dɛn kin wɛl kwik kwik wan, ɛn dɛn nɔ kin gɛt sɔm prɔblɛm dɛn.
- Dis ɔpreshɔn nɔ fayn fɔ ɔlman we sik. I impɔtant fɔ no if di pɔsin we sik fit fɔ am ɛn if di dɔktɔ we de du di ɔpreshɔn gɛt spɛshal trenin fɔ am.
- If yu nid fɔ gɛt baypas ɔpreshɔn, tɔk to yu dɔktɔ we de mɛn yu at if di tradishɔnal we (on-pump) ɔ dis we (off-pump) na di bɛst fɔ yu.
- Fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn dɛn afta dɛn dɔn du di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik ɛn fayn fayn wan.
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