Yu don eva yehri boht "hol na di hat"? Sɔntɛm yu yon dɔktɔ dɔn tɛl yu bɔt am. Infakt, wi ɔl gɛt smɔl ol lɛk dis na wi at we wi de na di bɛlɛ. Na tin we nid fɔ apin da tɛm de. Bɔt afta dɛn bɔn am, dis ol kin lɔk insɛf. Bɔt pan sɔm pipul dɛn, dis ol kin de we i nɔ kin lɔk ɔl. Wi kin kɔl dis Patent Foramen Ovale, ɔ `(PFO)` fɔ shɔt tɛm pan mɛrɛsin. Dis na kɔmɔn sik we na lɛk wan pan ɛvri 4 pipul dɛn nɔmɔ kin gɛt. Fɔ bɔku pipul dɛn, dis nɔ kin mek dɛn gɛt ɛni prɔblɛm. Bɔt fɔ sɔm pipul dɛn, i kin mek dɛn gɛt prɔblɛm dɛn. Na da tɛm de wi de tɔk bɔt di tritmɛnt `(PFO Klɔz)`.
Fɔ tɔk am simpul wan, wetin na PFO Klɔz?
PFO Klɔz na smɔl ɔpreshɔn fɔ lɔk di smɔl ol (PFO) bitwin di tu ɔpa chɛmba dɛn (atria) na yu at fɔ ɔltɛm. Bɔt, i nɔ nid fɔ kɔt big say. di dכkta de put wan tכb we rili tכn, we kin fכm, we dεn kכl ``kateta'', insay yu at tru wan big bכdi we de כda say na yu bכdi.
Tru dis tiub, dɛn kin put wan smɔl tin we dɛn mek spɛshal wan insay di ol we de na di at ɛn lɔk am. Tink bɔt dis divays lɛk smɔl yo-yo, ɔ smɔl bɔtin we gɛt tu sɛklɔ dɛn na di tu say dɛn. Wan sɛklɔ kɔba wan say na di ol, ɛn di ɔda sɛklɔ kɔba di ɔda say.
Insay sɔm dez afta dɛn put di divays, yu bɔdi in yon tisu kin bigin fɔ gro rawnd am. Afta lɛk tri to siks mɔnt so, di divays kin kɔba ɔl di at tisu dɛn, ɛn i kin bi pat pan di at wɔl.
Bɔt, lɛ wi se yu PFO big pas 25 milimita. If na so i bi, yu dɔktɔ kin disayd fɔ du opin ɔpreshɔn instead ɔf dis `(Catheter)` we. Bɔt dɛn kayn kes ya nɔ kin apin so ɔltɛm.
Uskayn kes dɛn dis tritmɛnt nid fɔ de?
Bɔrku pipul dɛm wae gɛt PFO nɔr nid ɛni tritmɛnt. Bɔt sɔm tɛm dɛn de, mɔ if blɔd we dɔn klɔt kin pas na di ol go na di bren ɛn mek prɔblɛm, dɔktɔ kin tɛl yu dis tritmɛnt.
| We PFO Klɔz Tritmɛnt kin Rikɔmɛnd | |
|---|---|
| Kriptojɛnik Strɔk | Ɛspɛshali if yɔŋ pɔsin dɔn gɛt bɔku bɔku strok lɛk dis. |
| Transiɛnt Ischemik Atak (TIA) . | Dis na lɛk mini-strok. If dis kin apin bak ɛn bak. |
| Di ɔksijɛn we de na di blɔd kin go dɔŋ | Sɔntɛnde, PFO kin mek di ɔksijɛn nɔ bɔku na di blɔd. |
| Maygren we kin kam | Pruf de fɔ se PFO gɛt fɔ du wit sɔm bad bad maygren kɔndishɔn dɛn. |
| Wan blɔd we de klɔt de travul | If blɔd we dɔn klɔt dɔn travul tru di PFO ɛn travul go na ɔda pat na di bɔdi. |
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Yu go nid fɔ du sɔm tɛst bifo dis tritmɛnt.
- X-ray na di chɛst
- Wan at skan (Echocardiogram) we dɛn kin du .
- ECG tɛst (Ilektrokardiogram) .
- Bɔku blɔd tɛst dɛn
Apat frɔm dat, dɛn go tɛl yu fɔ bigin tek mɛrɛsin lɛk aspirin ɛn klopidogrel fɔ mek blɔd nɔ klɔt. Yu dɔktɔ go tɛl yu di rayt de we yu fɔ bigin fɔ tek dɛn mɛrɛsin ya. We dɛn de trit yu, dɛn go gi yu ɔda mɛrɛsin dɛn bak fɔ mek yu blɔd nɔ klɔt.
Aw di tritmɛnt de wok stɛp bay stɛp
Dis tritmɛnt kin tek lɛk wan ɔ tu awa so. Na dis na wetin kin apin we dɛn dɔn du am:
1. Numbness: Fɔs, dɛn kin gi lokal anestetik fɔ numb di eria na di groin usay dɛn go put di kateshɔn. Sɔntɛnde, dɛn kin yuz jenɛral anestezi if nid de.
2. Smɔl say we dɛn kɔt: Dɛn kin kɔt wan rili smɔl say na di groin eria.
3. Fɔ put di kateshɔn insay: Dɛn kin put di kateshɔn insay wan big blɔd vesel tru di say we dɛn kɔt am.
4. Muv to di at: Dɔn, dɛn kin tek tɛm muv di kateshɔn to di at.
5. Imajin: Dɛn kin injɛkt spɛshal day na di at fɔ tek tɛm luk gud wan ɛn tek ɛkstrem rayt pikchɔ (Angiography). כlso, dεn kin yuz skan fכ di insay pat pan di at (Ultrasound) fכ mכsu di εksakכt saiz fכ di PFO.
6. Mekɔp di ol:Dɛn kin put kateshɔn we gɛt spɛshal balyɔn, dɛn kin blo am, ɛn dɛn kin mɛzhɔ di rayt sayz fɔ di ol.
7. insay di divays: Naw dεn de pas di PFO kloz divays tru di kateshכn insay di at εn sikyuכr am na di sayd dεm fכ klos di ol.
8. Fɔ kɔnfirm di say we yu de: Dɛn kin du ɔda skan (Transthoracic Echocardiogram) fɔ chɛk if di divays de na in ples.
9. Kɔmplit: If ɔltin fayn, dɛn kin tek tɛm pul di kateshɔn.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt, yu go nid fɔ rɛst na bed fɔ lɛk 6 awa so. I go mɔs bi se yu go ebul fɔ go na os di sem ivintɛm ɔ di nɛks mɔnin. Na sɔm tin dɛn we yu fɔ mɛmba afta yu dɔn go na os:
- Yu kin waka, bɔt nɔ waka fast.
- Nɔ drayv fɔ tu dez.
- Nɔ es pas 10 pawn (lɛk 4.5 kg) fɔ wan wik.
- Nɔ du ɛni ɛksesaiz we de mek yu strɛs fɔ wan mɔnt.
- Bɔku tɛm, yu kin go bak to yu nɔmal tin dɛn insay wan wik. Bɔt , i impɔtant fɔ tɔk bɔt ɔl dis wit yu dɔktɔ ɛn fala wetin i tɛl yu fɔ du.
Dɛn go gi yu mɛrɛsin fɔ yuz na os. Yu go nid fɔ tek aspirin ɔ ɔda tin dɛn we de mek yu blɔd tan ɛvride fɔ 6 mɔnt ɔ mɔ. Dɛn go tɛl yu fɔ tek antibayɔtik bifo yu du sɔm mɛrɛsin, lɛk fɔ klin yu tit. Yu dɔktɔ go ɛksplen ɔl dis to yu.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Bɛnifit dɛn
- I kin mek yu nɔ gɛt strok tumara bambay we dɛn nɔ go ebul fɔ fɛn ɛni kɔz fɔ am.
- Yu nɔ go fil dis divays na yu bɔdi.
- I nɔ go lɛf big skata.
- Fɔ lɔng tɛm naw, dɛn dɔn pruv se di tin dɛn we dɛn mek dis divays rili sef.
Risk dɛn we kin apin
Dis tritmɛnt kin rili sef we dɔktɔ we gɛt ɛkspiriɛns du am, bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin.
- Di at bit we nɔ de bi (Atrial Fibrillation).
- Blɔd we de klɔt.
- Blɔd ɔ infɛkshɔn na di say we di kateshɔn de.
- Di divays de muf frɔm di say we dɛn instɔl am (dis kin apin smɔl smɔl).
- Pipul wae dɔn pas 60 ia kin gɛt prɔblɛm smɔl.
If yu si ɛnitin we nɔ kɔmɔn, lɛk fɔ swel, pen pasmak, blɔd, ɔ fiva na di say we dɛn put di kateshɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm .
Mɛsej we dɛn kin kɛr go na os
- PFO na smɔl ol na di at we bɔku pipul dɛn gɛt ɛn i nɔ kin du bad.
- Dis PFO Klɔz tritmɛnt na fɔ mek dɛn nɔ gɛt sɔm patikyula risk kɔndishɔn lɛk strok.
- Dis na sef tritmɛnt we nɔ nid fɔ kɔt big say ɛn dɛn kin du am tru kateshɔn.
- Afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ tek di mɛrɛsin we di dɔktɔ tɛl yu fɔ tek di mɛrɛsin di rayt tɛm, di we aw yu tɛl yu fɔ tek am, ɛn fɔ fala wetin i tɛl yu fɔ du.
- Bifo yu disayd if dis tritmɛnt fayn fɔ yu, tɔk to yu dɔktɔ gud gud wan, ɔndastand di gud ɛn bad tin dɛn, ɛn disayd fɔ du sɔntin we una ɔl tu gri pan.
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