Sɔntɛnde yu kin fil lɛk se yu chɛst kin ebi, yu chɛst kin tayt, ɔ yu kin fil we yu de waka ɔp wan stej, rɔn fɔ go na bɔs, ɔ yu kin fil lɛk se yu de kam fɔdɔm? Yu kin tink se dis na nɔmal taya, bɔt sɔmtɛm i kin bi wan sik wae de kam pan yu at wae dɛn kɔl Hypertrophic Cardiomyopathy . Nɔ wɔri, tide wi de tɔk bɔt wan ɔpreshɔn we rili saksesful we dɛn kɔl Septal Myectomy , we dɛn kin du as tritmɛnt fɔ dis sik. Jɔs lɛk aw wi kin ɛksplen am to wi padi, lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn.
Fɔs, lɛ wi si wetin na dis tin we dɛn kɔl Hypertrophic Cardiomyopathy?
Fɔ ɔndastand dis simpul wan, lɛ wi kɔmpia wi at to wata pɔmp. Di wok we di pɔmp de du na fɔ pul wata tru paip ɛn sɛn am ɔlsay na di os. Wi at tan lɛk dat, in men wok na fɔ pɔmp blɔd ɔlsay na wi bɔdi.
Fo men rum dɛn de na wi at.
- wi kכl di tu כp chεmba dεm di atria (rayt εn lεft).
- wi kכl di tu chεmba dεm we de dכn di at vεntrikl dεm (rayt εn lεft).
fכ bi prεsis, wan wכl de fכ mכsul we de separet di lεft εn rayt chεmba dεm we de dכn. Wi kin kɔl dis di septum . insay haypatrכfik kadiomyopathy, dis septum, dat na dis wכl we de na di midul pan di at, de tik abnכmal pas nכmal.
Imajin wetin go apin if wan paip na da wata pɔmp de klos? Di ples fɔ wata fɔ flɔ kin ridyus, ɛn di pɔmp gɛt fɔ wok tranga wan fɔ push di wata kɔmɔt. Na dat de apin na ya bak. dis septum de tik εn i de kכmכt insay di lεft vεntrikl. Dɔn di we fɔ mek blɔd kɔmɔt na di lɛft ventricle, we na di men chɛmba we de pɔmp blɔd frɔm di at to di bɔdi, kin blok. bikɔs ɔf dis, di at gɛt fɔ wok tranga wan (ɔva wok) pas aw i kin wok fɔ pɔmp di blɔd we di wan ol bɔdi nid.
Dis sik kin bi hat sik wae dɛn kin bɔn wit sɔm pipul dɛm. Dis min se dɛn bɔn dɛn wit dis prɔblɛm. Fɔ ɔda pipul dɛn, i kin kam leta.
So wetin na dis ɔpreshɔn we dɛn kɔl Sɛptal Myectomy?
Fɔ tɔk am simpul wan, Sɛptal Mayɛktɔmi na ɔpreshɔn we dɛn kin du fɔ opin at we dɔktɔ we de mɛn di at kin kɔt ɛn pul wan pat pan di at wɔl we nɔ kin tik (septum).
Jɔs lɛk aw yu kin klin di rod bay we yu pul di tin we de blok na di wata paip, afta dis ɔpreshɔn, dɛn kin pul di tin we de ambɔg di blɔd we de flɔ na di at. Dɔn di at kin izi fɔ pɔmp blɔd ɔlsay na di bɔdi ɛn nɔ gɛt ɛnitin fɔ ambɔg am. Dis na di men tin we mek dɛn du dis ɔpreshɔn.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ?
Bɔku tɛm, dɔktɔ nɔ kin tɛl yu fɔ du dis ɔpreshɔn wantɛm wantɛm. Dɛn kin tray fɔs fɔ kɔntrol di sik dɛn bay we dɛn de gi dɛn mɛrɛsin. Bɔt,
- Fɔ di wan dɛn we dɛn nɔ kin ebul fɔ kɔntrol dɛn sik dɛn (lɛk we dɛn nɔ de blo fayn, we dɛn de fil pen na dɛn chɛst) wit mɛrɛsin.
- Fɔ di wan dɛn we gɛt wan rili tik wɔl na di lɛft say na dɛn at, we kin mek di blɔd nɔ ebul fɔ flɔ bɛtɛ .
- uman dεm we gεt Hypertrophic Cardiomyopathy we de plan fכ bεlε (ivin if di simptom dεm nכ siriכs, dεn kin rεkomεnd dis כpεrayshכn as prεkoshכn mεzhɔ as dεn de put di at כnda ekstra strεs we dεn bεlε).
Na insay kes dɛm lɛk dis, di dɔktɔ go tɔk to yu ɛn disayd se dis ɔpreshɔn na di bɛst opshɔn.
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid bifo dɛn du di ɔpreshɔn. Natin nɔ de we patikyula big fɔ du, bɔt sɔm tin dɛn de we yu fɔ no bɔt.
- If yu de tek ɛni mɛrɛsin, lɛk tin dɛn we de mek yu blɔd tan , dɛn kin aks yu fɔ stɔp fɔ tek am sɔm dez bifo dɛn du di ɔpreshɔn.
- If yu na pɔsin we de smok , i rili impɔtant fɔ tray fɔ lɛf fɔ smok bifo yu du di ɔpreshɔn, bikɔs fɔ smok kin ambɔg di we aw i de wɛl.
Apat frɔm dat, dɛn go du bɔku tɛst dɛn fɔ no di kayn we aw yu at tan. Dɛn kin du dɛn tin ya fɔ si aw yu at rɛdi bifo dɛn du yu ɔpreshɔn.
| Tɛst | Fɔ tɔk am simpul wan, wetin yu kin du wit am? |
|---|---|
| Tɛst fɔ Blɔd | Dɛn kin chɛk tin dɛm lɛk yu jenɛral wɛl bɔdi, kidni ɛn liva fɔ wok. |
| X-ray na di chɛst | Wach aw di at ɛn di lɔng dɛn shep ɛn saiz. |
| Ilɛktrokardiogram (ECG) . | di at in ilektrikal aktiviti, dat na di ritm we di at de bit, dεn de chεk. |
| Ikokardiogram (Echo) . | Dis tan lɛk we dɛn de skan di at. I kin si klia wan aw di at in chɛmba dɛn, di wɔl dɛn, ɛn di valv dɛn de wok, aw di wɔl dɛn tik, ɛn if ɛnitin de we de ambɔg di blɔd fɔ flɔ. |
| MRI we de na di at | Dɛn kin du dis tɛst fɔ gɛt rili klia, ditayli pikchɔ dɛn bɔt di at mɔsul. |
| Kadiak Kateterizashɔn | na tεst we dεn pas sכm sכm tכb tru wan vein na di an כ leg insay di at fכ chεk fכ blכk na di at in bכdi vεsul dεm εn di prεshכn we de insay di at. |
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Bikɔs dis na ɔpreshɔn we dɛn kin du fɔ opin yu at, dɛn go gi yu jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen, yu go de na dip slip. Yu nɔ go fil ɛnitin frɔm di biginin fɔ di ɔpreshɔn te di ɛnd.
Afta yu dɔn slip, di ɔspitul tim go fala dɛn tin ya:
1. Fɔ akses di at: di dɔktɔ we de du di ɔpreshɔn de mek wan vertikal say we de dɔŋ di midul pan yu chɛst, ɛn tek tɛm separet di brɔst bon (sternum) insay tu fɔ akses di at.
2. Kɔnekt to di At-Lɔng Mashin: Neks, yu go kɔnɛkt to wan at-lɔng mashin . Dis na wan wɔndaful mashin. We dɛn de du di ɔpreshɔn, na dis mashin de du di wok we yu at ɛn yu lɔng dɛn de du, we na fɔ pɔmp blɔd rawnd di bɔdi ɛn ad ɔksijɛn to di blɔd. Dis kin mek di dɔktɔ we de du di ɔpreshɔn stɔp di at ɛn du di ɔpreshɔn na say we kol ɛn nɔ gɛt blɔd.
3. Fɔ pul di pat we tik: Naw di men pat de kam. di dɔktɔ we de du di ɔpreshɔn go tek tɛm kɔt di ɛkstra mɔsul pat pan di tik wɔl (septum) na di at. Dɛn kin du dis nɔmɔ to di mak we dɛn nid fɔ pul di tin we de ambɔg di blɔd fɔ flɔ.
4. We yu de wef: Afta di ɔpreshɔn dɔn, yu go kɔmɔt na di at-lɔng mashin, ɛn yu at go bigin fɔ wok fɔ insɛf bak.
5. Fɔ lɔk di say we dɛn kɔt am:fכ finish, dεn de atak di stεnכm bak εn dεn de kכloz di chεst insayshכn wit stich dεm we dεn kin sכlv.
Bɔku tɛm di wan ol ɔpreshɔn kin tek lɛk tri ɔ 4 awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go admit yu dairekt na di Intensive Care Unit (ICU) , usay dɛn go de wach yu at rit ɛn blɔd prɛshɔn gud gud wan.
- fכ di fכs 24-48 awa, yu kin gεt wan urine kateta εn wan chεst drenaj tכb in ples fכ drεn di wata we pasmak. Nɔ wɔri, dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
- Afta lɛk 48 awa so, yu go bigin fɔ waka sloslo wit di ɛp we dɔktɔ we de mɛn yu bɔdi go ɛp yu.
- Bɔrku pipul dɛn kin de na ɔspitul fɔ lɛs pas fayv dez, afta dat dɛn kin go na os.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit dɛn de ɛn smɔl risk dɛn de. Bɔt, Sɛptal Mayɛktɔmi na ɔpreshɔn we kin rili wok fayn ɛn we nɔ kin gɛt bɔku prɔblɛm.
| Men bɛnifit dɛn we di ɔpreshɔn gɛt | |
|---|---|
| Disappearing of di sayn dɛm we de sho se di sik nɔ de igen | Afta dɛn dɔn du di ɔpreshɔn, di sayn dɛn lɛk we yu nɔ de blo fayn (dispnea), we yu de fil pen na yu chɛst (angina), ɛn we yu nɔ de fil fayn (syncope) go dɔn ɔlmost. Yu go ebul fɔ liv aktif layf bak. |
| Fɔ gɛt ay sakrifays | Dis ɔpreshɔn gɛt rili ay sakrifays rɛt. Wan stɔdi sho se 94% pan di pipul dɛn we dɛn du di ɔpreshɔn bin gɛt fridɔm frɔm di sik dɛn we dɛn bin gɛt. |
| Di tin dɛn we kin apin fɔ lɔng tɛm | Di tin dɛn we kin kɔmɔt frɔm dis ɔpreshɔn kin las fɔ lɔng tɛm. Afta di ɔpreshɔn, dɛn dɔn si se di layf we di sikman dɛn kin liv kin tan lɛk di wan we nɔmal pɔsin we gɛt wɛlbɔdi kin liv. |
| Posisibul kɔmplikeshɔn dɛm (Risks) - (Dis nɔr kin kɔmɔn) . | |
|---|---|
| Fluid we kin gɛda rawnd di at ɔ di lɔng | Sɔntɛnde, wata kin gɛda rawnd di at ɔ di lɔng. Bɔku tɛm, dɛn kin trit dis wit mɛrɛsin. |
| Atrial Fibrilashɔn we pɔsin kin gɛt | Wan at we nɔ de bit ɔltɛm. Bɔku tɛm, dɛn kin kɔntrol dis bak wit mɛrɛsin. |
| At Blɔk | Disrɔpshɔn na di at in ilɛktrik signal dɛm. Dis kin mek yu at bit fayn fayn wan (arrhythmias). Sɔm tɛm dɛn we nɔ kin apin so ɔltɛm, dɛn kin nid fɔ put pacemaker insay pɔsin in bɔdi as tritmɛnt. |
Mɛmba se, de risk fɔ dɛn kayn prɔblɛm ya kin bɔku pan pipul dɛm wae gɛt ɔda kayn at sik, pipul dɛm wae de smok, ɛn wae dɔn pas 65. Pan pɔrsin wae gɛt wɛl bɔdi, dis risk kin rili smɔl.
Aw yu go fil we yu de wɛl?
Yu go bigin fɔ fil fayn pasmak insay sɔm dez ɔr wik afta di ɔpreshɔn. Yu go notis di difrɛns as tin lɛk fɔ blo shɔt de go.
- Fɔs, yu kin fil smɔl pen ɔ tayt na yu chɛst, bɔt i nɔ fɔ bi tin we yu nɔ go ebul fɔ bia.
- Na nɔmal tin fɔ fil taya smɔl ɛn nɔ gɛt bɛtɛ trɛnk afta yu dɔn ɔpreshɔn, bɔt yu ɛnaji go kam bak to nɔmal insay sɔm wiks.
Ustɛm yu fɔ go to dɔktɔ?
I rili impɔtant fɔ wach aw yu de wɛl afta yu dɔn go na os. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm .
| Simptom dɛm fɔ wach fɔ | |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit kɔt | If nɔmal rɛdnɛs, swel, ɔ wam de rawnd di say we dɛn du di ɔpreshɔn (incision). |
| Fiva | If di bɔdi in tɛmpracha go ɔp pas 100.4 Fɛnayt (38 Sɛlshiɔs) . |
| We yu de gɛt mɔ wet | If yu gɛt mɔ pas 2.5 kg (5 paund) wet wantɛm wantɛm insay wan wik (dis kin bi sayn fɔ se yu nɔ gɛt wata). |
| I nɔ kin izi fɔ yu fɔ blo | If yu gɛt prɔblɛm fɔ blo wantɛm wantɛm ɔ yu chɛst de pen. |
Septal Myectomy na wan big ɔpreshɔn. Bɔt na tritmɛnt we rili saksesful ɛn we de chenj layf fɔ Hypertrophic Cardiomyopathy. Afta dis ɔpreshɔn, yu go ebul fɔ liv nɔmal layf we yu nɔ de fred, we yu nɔ go taya, bak. If yu gɛt dɛn sik ya, nɔ shem fɔ tɔk to yu dɔktɔ, du di tɛst dɛn we yu nid, ɛn aks mɔ bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Septal Myectomy na wan ɔpreshɔn we dɛn kin du fɔ opin at we dɛn kin du fɔ di sik we dɛn kɔl Hypertrophic Cardiomyopathy , we di at wɔl nɔ kin tik.
- Dis ɔpreshɔn na fɔ kɔt wan ɛkstra pat pan di at wɔl we tik, ɛn pul di tin we de ambɔg di blɔd fɔ flɔ na di at.
- Dɛn kin advays fɔ du dis ɔpreshɔn fɔ di wan dɛn we dɛn nɔ kin ebul fɔ kɔntrol dɛn sik wit mɛrɛsin.
- Dis na wan we we kin rili wok fayn, we nɔ kin gɛt bɔku prɔblɛm. Bɔrku pipul dɛn kin gɛt kɔmplit rilif frɔm di sayn dɛm afta dɛn dɔn du di prɔsidyu.
- Fɔ wɛl afta dɛn dɔn du di ɔpreshɔn kin tek sɔm wiks, ɛn i rili impɔtant fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu insay da tɛm de.
- If yu gɛt ɛnitin we nɔ kɔmɔn, lɛk fɔ swel di say we dɛn kɔt, fiva, ɔ fɔ gɛt bɔku bɔku wet wantɛm wantɛm, tɛl yu dɔktɔ wantɛm wantɛm.
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