Yu ɔ pɔsin we yu sabi dɔn gɛt ɔpreshɔn fɔ chenj di at valv? afta sכm tεm, di tisu dεm we de rawnd di nyu valv kin bigin fכ lik sכmtεm. Dis na wetin wi kin kɔl ‘Paravalvular Leak’ ɔ PVL pan mɛrɛsin. Dis kayn lik kin mek yu gɛt sɔm sayn dɛm lɛk fɔ blo shɔt ɛn taya. So tide wi go tɔk bɔt wan simpul tritmɛnt we kin sial ɔf lik lɛk dis we nɔ go nid fɔ go tru big ɔpreshɔn igen.
Wetin na Paravalvular Lik Klɔz?
Fɔ tɔk am simpul wan, dis na tritmɛnt we nɔto ɔpreshɔn. Imajin se yu gɛt wan prɔstɛtik valv we dɛn put na yu at, bɔt naw di valv de lik smɔl. Trade, fɔ fiks sɔntin lɛk dis, yu go gɛt fɔ opin yu chɛst bak ɛn du ɔpreshɔn pan yu at we opin. Bɔt nɔto ɔlman kin ebul fɔ gɛt ɔpreshɔn bak, i kin gɛt prɔblɛm.
Na dis na sɔlv fɔ dis, wan tritmɛnt we dɛn kɔl Paravalvular Leak (PVL) Closure dɔn kam. insay dis, wan intavεnshכnal kכdiכlכg de yuz wan vεri tכn tכb we dεn kכl kateshכn fכ go na di lik na di at εn i de kכloz di ol wit sכmכl divays (kloz divais). I tan lɛk se yu put ‘sil’ pan smɔl ol na wata paip.
Bikɔs dis nɔto ɔpreshɔn, di tɛm fɔ wɛl nɔ kin shɔt, di prɔblɛm dɛn we kin apin nɔ kin bɔku, ɛn di tɛm we dɛn kin de na ɔspitul kin rili shɔt.
Udat nid dis tritmɛnt?
Nɔto ɔlman we gɛt prɔstɛtik valv go gɛt dis sik, ɛn nɔto ɔlman we gɛt lik go nid dis tritmɛnt. Dɛn kin advays am fɔ pipul dɛm wae gɛt siriɔs lik wae nɔr kin ebul fɔ kɔntrol wit mɛrɛsin. Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu.
Dis tritmɛnt kin fayn fɔ pɔrsin wae gɛt dɛn kayn sik ya:
| Kɔndishɔn | Simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt bad bad wan | If di lik mek bɔku blɔd flɔ na di rɔng say. |
| I nɔ izi fɔ blo (Dyspnea) . | If yu gɛt prɔblɛm fɔ blo ivin we yu de du nɔmal tin dɛn. |
| Ɛmolaytik Anemia | Anemia kin apin bikɔs di rɛd blɔd sɛl dɛn kin brok we di blɔd de pas tru di lik. |
| Pipul dɛn we de du tritmɛnt fɔ endocarditis | If dɛn de trit yu fɔ infekshɔn na di insay layn na di at. |
| Di wan dɛn we gɛt ay risk fɔ mek dɛn du dɛn ɔpreshɔn bak | Fɔ di wan dɛn we dɔn ɔlrɛdi gɛt bɔku ɔpreshɔn ɛn we nɔ ebul fɔ pe fɔ ɔda ɔpreshɔn. |
Wetin yu kin du bifo yu gɛt tritmɛnt?
Bifo yu du dis tritmɛnt, yu dɔktɔ go tek tɛm chɛk yu wɛlbɔdi. I go du difrɛn tɛst dɛn fɔ chɛk aw yu at de wok.
- ECG (Electrocardiogram): Luk di ilɛktrik aktiviti we di at de du.
- Echocardiogram: Na skan fɔ di at.
- Transesophageal Echocardiogram (TEE): Dis na spɛshal skan. dεn pas wan sכmכl kεmεra tru di εsophagus fכ si di at valv dεm rili klia wan. Dis rili impɔtant fɔ fɛn di rayt say we di lik de.
- Kadyak CT skan ɔ MRI: Gɛt ditayla tri-dimɛnshɔnal (3D) imej dɛn fɔ di at.
- Blɔd tɛst: Chɛk fɔ si if yu gɛt infɛkshɔn.
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt ɛn ɛni mɛrɛsin we yu de tek (especially blood thinners).
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt na ɔspitul in kadyak kateshɔn lab. Dɛn go gi yu mɛrɛsin ɛn anestezi fɔ mek yu nɔ fil pen.
Afta dat, di spɛshal pɔsin kin fala dɛn tin ya:
.
2. Fɔ no usay di lik de: We dɛn de yuz skan tɛknɔlɔji (lɛk TEE), dɛn kin pas wan waya na di tiub ɛn gayd am to di rayt say we di lik de na di at.
3. Fɔ instɔl di divays:We dɛn dɔn no di rayt say we di lik de, dɛn kin pas wan spɛshal smɔl tin (kloz divays) we kin lɔk di ol tru di kateshɔn, sɛt am na in ples, ɛn lɔk am.
4. Fɔ pul di kateshɔn: We dɛn dɔn du di wok, dɛn kin tek tɛm pul di kateshɔn ɛn di waya dɛn.
Bɔku tɛm, di wan ol tin kin tek lɛk tu to tri awa so. As tɛm de go, yu at tisu kin gro rawnd di nyu tin we yu dɔn put insay, ɛn dis kin mek i bi pat pan yu at.
Afta di tritmɛnt ɛn di bɛnifit dɛn we i gɛt
Bɔrku tɛm, yu kin jɔs gɛt fɔ de na ɔspitul fɔ wan nɛt afta dis tritmɛnt. Yu kin go na os di nɛks de. Di dɔktɔ go advays yu bɔt aw fɔ de afta yu dɔn go na os, wetin fɔ du ɛn wetin nɔ fɔ du. Bɔku tɛm, dɛn go chɛk yu bak insay lɛk tri mɔnt so fɔ si if di lik dɔn lɔk fayn ɛn if di valv de wok fayn.
Sɔm pan di bɛnifit dɛn we dis we ya kin gɛt we yu kɔmpia am to ɔpreshɔn we dɛn kin du opin wan na:
- Fɔ wɛl kwik kwik wan: Bikɔs dɛn nɔ kɔt ɛni big say, yu kin bigin fɔ du yu nɔmal tin dɛn bak kwik kwik wan.
- Lɔw risk fɔ gɛt infɛkshɔn: Bikɔs no big wund nɔ de, di risk fɔ infekshɔn rili smɔl.
- Fɔ de na ɔspitul fɔ shɔt tɛm: Yu kin go na os fɔ wan nɛt.
- Smɔl ska: Na jɔs smɔl ol na di groin, nɔ big ska na di chɛst.
Ustɛm yu want fɔ si di dɔktɔ bak?
Afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn go na klinik dɛn di de dɛn we dɛn dɔn sɛtul.
If yu gɛt fiva we yu nɔ ɛksplen, yu gɛt pen ɔ swɛlin na yu groin eria, ɔ ɛni ɔda sayn we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm .
If yu dɔn gɛt at valv riplesmɛnt, i rili impɔtant fɔ de chɛk-ap ɔltɛm bikɔs sɔntɛnde dis kayn lik kin apin. Bɔt di bɛst tin na dat, dɛn kin trit dis naw we dɛn nɔ du ɔpreshɔn pan am. Tɔk to yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Paravalvular Leak (PVL) na di lik we bכdi de lik rawnd wan atifishal at valv afta dεn dכn put am insay.
- PVL Klɔz na tritmɛnt we nɔ de ɔspitul we de lɔk dis lik we nɔ de opin di chɛst, we dɛn de yuz smɔl tin we dɛn put tru kateshɔn.
- Dis we ya kin rili fayn fɔ di wan dɛn we gɛt ay risk fɔ mek dɛn du ɔpreshɔn bak ɛn di wan dɛn we gɛt siriɔs sik.
- Dis tritmɛnt kin gɛt shɔt tɛm fɔ wɛl, i kin gɛt smɔl risk, ɛn i kin de na ɔspitul fɔ shɔt tɛm.
- Mek shɔ se yu tɔk to yu dɔktɔ we de mɛn yu at fɔ no if dis tritmɛnt fayn fɔ yu.
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