Imajin se dɛn dɔn du ɔpreshɔn fɔ chenj yu at valv ɛn yu de op se ɔltin de go fayn. Bɔku tɛm, ɔltin kin go fayn. bכt, sכmtεm, pan sכm sכm pipul dεm, sכm gap kin lεf bitwin di nyu atifishal valv we dεn put insay εn di at wכl, εn sכm blכd kin bigin fכ lik bak tru am. I tan lɛk we wi tayt wata paip, smɔl wata kin lik kɔmɔt na di jɔyn. Insay mɛrɛsin, wi kin kɔl dis ‘Paravalvular Leak’ (PVL) . So tide wi go tɔk bɔt wan rili simpul, mɔdan tritmɛnt we kin lɔk dis kayn lik we nɔ nid fɔ opin di chɛst ɛn du big ɔpreshɔn.
Fɔ tɔk am simpul wan, wetin na Paravalvular Leak Closure?
Dis na tin we rili simpul. Paravalvular Leak Closure na tritmɛnt we nɔ gɛt ɔpreshɔn. I de stɔp di blɔd we a bin dɔn tɔk bɔt we kin apin afta dɛn dɔn chenj wan at valv. Bɔku tɛm, we lik lɛk dis apin, dɛn kin jɔs mek am bak bay we dɛn du ɔda ɔpreshɔn. Bɔt tink bɔt aw i de pan denja fɔ lɛ pɔsin we dɛn dɔn ɔpreshɔn in at wan tɛm du dis kayn big ɔpreshɔn bak. Dis risk kin pasmak fɔ pɔrsin wae dɔn ol ɛn gɛt ɔda sik.
So, intavεnshכnal kכdiolojist dεm de yuz dis mכdan mεtכd fכ ridyus dis risk.
Bɔku tɛm, if di lik smɔl, yu dɔktɔ go gi yu mɛrɛsin. Bɔt if di mɛrɛsin nɔr de kɔntrol di lik ɛn yu fil se fɔ du ɔda ɔpreshɔn tu risky, yu dɔktɔ kin se yu fɔ lɔk di PVL. Dis na wan we we nɔ kin tek bɔku tin ɛn we kin mek di lik we de rawnd di at valv ɛn ridyus yu sik dɛn bad bad wan.
Udat rili nid dis tritmɛnt?
Nɔto ɔlman nid dis tritmɛnt. Bɔt sɔm spɛshal kes dɛn de we dis tritmɛnt kin rili bɛnifit. Lɛ wi si wetin dɛn bi.
| Pozishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| If yu dɔn du pas wan ɔpreshɔn | If yu dɔn ɔlrɛdi gɛt bɔku ɔpreshɔn fɔ chenj yu at valv, i go fayn fɔ mek dɛn du ɔda ɔpreshɔn. Dis we ya na di bɛst fɔ dɛn kayn pipul ya. |
| Blɔd we de flɔ bak | If di lik de mek bɔku blɔd de flɔ bak (mɔdaret ɔ siriɔs), dat min se di at fɔ wok tranga wan. Dis kin pwɛl di at. |
| I nɔ izi fɔ blo (Dyspnea) . | If yu gɛt prɔblɛm fɔ blo ivin we yu jɔs tinap ɔ du smɔl wok, dis lik kin bi di kɔz. Dis tritmɛnt kin ridyus da diskɔmfɔt de. |
| Ɛmolaytik Anemia | We blɔd lik tru da smɔl gap de wit ay rit, di rɛd blɔd sɛl dɛn kin bigin fɔ brok ɛn pwɛl. Dis kin mek pɔsin nɔ gɛt bɛtɛ blɔd, ɔ blɔd kin lɔs. Dɛn kɔl dis ɛmolaytik anemia . |
| di kכlsyכm dεposit dεm we de rawnd di valv (Calcification) . | If di anul we de rawnd di valv gɛt bɔku kalsifa, i kin at fɔ si am bak bay we dɛn du ɔpreshɔn. Dis we ya kin fayn bak pan dɛn kayn tin ya. |
| Infεkshכn dεm na at (Endocarditis) . | If dɛn de trit yu fɔ infɛkshɔn na di insay layn na di at (endocarditis), big ɔpreshɔn na risky. Dɛn kin stil tink bɔt dis we fɔ du tin we dɛn kayn tin ya apin. |
Bɔt i impɔtant fɔ mɛmba se dis tritmɛnt nɔto wan saiz fɔ ɔlman. I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt us tritmɛnt we bɛtɛ fɔ yu sik, ɛn na in go disayd fɔ du di bɛst.
Wetin kin apin bifo dɛn trit am?
Bifo yu du dis kayn tritmɛnt, yu dɔktɔ go du yu kɔmplit ɛgzam. Dɛn go asɛs yu wɛlbɔdi ɛn aw yu at de wok. Dɛn kin du sɔm blɔd kɔlchɔ bak fɔ mek dɛn nɔ gɛt infɛkshɔn na di at (endocarditis).
Apat frɔm dat, dɛn kin du sɔm spɛshal tɛst dɛn fɔ no ustɛm di lik de, aw i big, ɛn aw fɔ rich to am. Dɛn tin ya na fɔ tek pikchɔ dɛn bɔt di at.
- ECG (Electrocardiogram): Na tɛst we de luk aw di at de wok wit ilɛktrik.
- Echocardiogram: Na skan fɔ di at. Dis kin mek yu si klia wan di at in chɛmba dɛn, di valv dɛn, ɛn di blɔd we de flɔ.
- Transesophageal echocardiogram (TEE): Dis na ɛko skan bak. Bɔt dɛn kin put wan smɔl tiub we gɛt kamɛra tru di mɔt, pas am dɔŋ di εsophagus, ɛn tek klia pikchɔ dɛn na di bak pat na di at. Dis rili impɔtant fɔ fɛn di rayt say we di lik de.
- Angiogram: Na tin we dɛn kin du we dɛn kin tek ɛkstrem rayt pikchɔ dɛn fɔ di blɔd vesel dɛn na di at bay we dɛn kin put spɛshal wata insay dɛn.
- Kadyak CT skan ɛn kadyak MRI: Dɛn tin ya kin mek di at we gɛt bɔku bɔku tin dɛn, we gɛt tri dimɛnshɔnal (3D) pikchɔ dɛn.
Aw dɛn kin du di tritmɛnt ɛn aw yu kin pripia?
Na wan intavɛnshɔnal kadɔlɔjis de du dis tritmɛnt. Na pipul dɛn we sabi bɔt aw fɔ tek in at de ɛp am. Dɛn kin du dis na spɛshal lab na ɔspitul. Wi kin kɔl am di ‘Cardiac Catheterization Lab’ .
Yu pripia bifo tritmɛnt
Di dɔktɔ go gi yu klia instrɔkshɔn bɔt wetin fɔ du bifo yu gɛt tritmɛnt.
- Fɔ it ɛn drink: Dɛn go aks yu fɔ stɔp fɔ it ɛn drink sɔm awa bifo di tritmɛnt.
- Klos: Advays bɔt wetin fɔ wɛr da de de.
- Mɛrɛsin: Dɛn kin aks yu fɔ stɔp ɔ chenj di doz fɔ sɔm mɛrɛsin dɛn we yu de tek fɔ sɔm tɛm, mɔ di wan dɛn we de mek yu kolat blɔd ɔ di mɛrɛsin dɛn we nɔ de mek yu bɔdi nɔ gɛt stɛroyd (NSAID).
- Tin dɛn fɔ no: Yu fɔ rili tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt, ɛni mɛrɛsin, ɔ vaytamɛn we yu de tek.
Aw dɛn kin du di tritmɛnt
Nɔ fred we yu yɛri dis, na rili simpul prɔses.
1. Fɔs, dɛn go gi yu wan mɛrɛsin we de mek yu nɔ fil fayn fɔ mek yu nɔ fil pen. So yu nɔ go fil ɛnitin, yu go rilaks.
2. Dɔn, di dɔktɔ kin put wan rili fayn, tin tiub, we dɛn kɔl kateta , insay di men blɔd vesel (femoral artery) na yu ɔp leg, we de na yu groin.
3. Neks, ɔnda di gayd we skan mashin dɛn de gayd, dɛn kin pas wan waya we ivin fayn pas am tru dis kateshɔn to di rayt say we di lik de na di at.
4. We dɛn dɔn no usay di lik de, dɛn kin pas wan smɔl tin (kloz divays) along di waya, ɛn lɔk di gap kpatakpata. Dis tan lɛk we yu sial wan ol wit plɔg.
5. Afta dɛn dɔn skan ɛn kɔnfɔm se dɛn dɔn du di wok kɔrɛkt wan, di pɔsin we gɛt di tiub kin tek tɛm pul di tiub.
sכmtεm, if yu gεt tu prosthεtik valv dεm, insted fכ put dεm tru di groin, dεn kin mek wan rili sכmכl insay di sayd fכ di chεst εn dεn kin put di kateshכn tru dat. Di impɔtant tin na dat yu nɔ nid fɔ opin yu chɛst ɔl, lɛk aw yu go du wit big ɔpreshɔn.
Aw lɔng di tritmɛnt kin tek? Wetin kin apin afta dat?
Bɔku tɛm di wan ol tin kin tek lɛk tu to tri awa so . Yu go de wɔnda wetin kin apin to da smɔl tin de we dɛn dɔn put insay yu at. As tɛm de go, yu at tisu kin gro rawnd di divays, ɛn i kin bi natura pat na yu at.
Afta tritmɛnt, yu go de na ɔspitul fɔ wan nɛt fɔ mek dɛn wach yu. Bɔku tɛm, yu go ebul fɔ go na os di nɛks mɔnin. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ de na os, wetin fɔ du, ɛn wetin nɔ fɔ du. Yu kin aks yu dɔktɔ ustɛm yu go ebul fɔ go bak to yu nɔmal tin dɛn.
Bɔku tɛm, lɛk tri mɔnt afta di tritmɛnt, dɛn kin du skan bak fɔ chɛk if di lik dɔn lɔk ɔl ɛn if di valv de wok fayn.
Wetin na di bɛnifit dɛn we dis we fɔ du ɔpreshɔn gɛt pas di tradishɔnal ɔpreshɔn?
We yu kɔmpia am wit opin ɔpreshɔn, di PVL Klɔz we gɛt sɔm klia bɛnifit dɛn.
- Fɔ wɛl kwik kwik wan: Bikɔs dɛn nɔ kɔt big big say, di tɛm fɔ wɛl kin rili shɔt.
- Lɔw risk fɔ gɛt infɛkshɔn: Bikɔs no big wund nɔ de, di risk fɔ infekshɔn rili smɔl.
- Smɔl tɛm na ɔspitul: Bikɔs yu kin go na os fɔ wan nɛt, yu nɔ nid fɔ de na ɔspitul fɔ sɔm wiks.
- Smɔl smɔl kɔt ɛn skata: Na wan rili smɔl kɔt nɔmɔ lɛf na di bɔdi.
Ustɛm a fɔ go to di dɔktɔ bak?
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn atɛnd yu apɔntinmɛnt dɛn di rayt tɛm. If yu gɛt ɛnitin we nɔ kɔmɔn afta yu dɔn gɛt tritmɛnt, lɛk fiva we yu nɔ ɛksplen, pen na yu groin eria, ɔ swel , tɛl yu dɔktɔ wantɛm wantɛm.
If dɛn dɔn chenj yu at valv, i impɔtant fɔ mek yu de chɛk yu ɔltɛm. Sɔntɛnde, ivin nyu valv kin lik as tɛm de go. If dat apin, di tritmɛnt kin inklud mɛrɛsin, ɔpreshɔn bak, ɔ di Paravalvular Leak Closure prosidur we wi bin tɔk bɔt. Tɔk to yu dɔktɔ bɔt us opshɔn go fayn fɔ yu nid ɛn wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Paravalvular leak (PVL) na di lik we bכdi de lik rawnd wan at valv afta dεn dכn riples am.
- Paravalvular Leak Closure na wan mכdan, nכn-sכjεkshכnal tritmεnt we de kכloz dis lik we nכ de ri-inflat di chεst.
- Dɛn kin du dis tritmɛnt bay we dɛn de yuz wan tin tiub (kateta) we dɛn put insay wan blɔd vesel na di ɔp leg.
- Dis we ya kin gɛt bɔku smɔl tɛm fɔ wɛl, risk, ɛn fɔ de na ɔspitul pas big ɔpreshɔn.
- Yu dɔktɔ we de mɛn yu at go disayd if dis tritmɛnt fayn fɔ yu. Du wetin i tɛl yu fɔ du ɔltɛm.
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