Sɔntɛnde, yu kin fil se i nɔ izi fɔ yu fɔ blo, yu kin fil lɛk se yu chɛst de kɔnstrikt, ɔ yu kin fil fɔdɔm we yu de klaym stej ɔ du sɔntin we yu nid fɔ tray smɔl? Bɔrku rizin kin de fɔ dis sik. Wan pan di men rizin dɛn na we di at mɔsul de tik. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis ‘Hypertrophic Cardiomyopathy’. So, we i nɔ kin izi fɔ kɔntrol dis sik wit mɛrɛsin, spɛshal ɔpreshɔn kin de we dɔktɔ dɛn kin se. Tide wi de tɔk bɔt wan ɔpreshɔn we dɛn kɔl ‘Septal Myectomy’.
Fɔ tɔk am simpul wan, wetin dis tik we di at wɔl tik min?
Wi at na ɔgan we rili wɔndaful. I tan lɛk smɔl os we gɛt 4 rum dɛn. tu כp chεmba dεm (atria) εn tu lכw chεmba dεm (chεmba dεm). Di tu men chεmba dεm we de dכn dεn wan ya, dat na di rayt εn lεft chεmba dεm, na tik tik wכl we de midul dεn separet dεm. dis wכl we dεn mek wit mכsul dεm na in wi kכl di ‘septum’ .
insay wan kכndyushכn we dεn kכl ‘Hypertrophic Cardiomyopathy’, di mכsul we de insay dis septum de tik pasmak. Imajin wetin go apin if di wɔl we de sheb tu rum dɛn na yu os swel wantɛm wantɛm ɛn push wan rum insay. Na dat de apin ya. dis tik wכl de push insay, spεshal wan insay di lεft vεntrikl, di men chεmba we de pכmp bכdi to di bכdi.
Dɔn, di rod fɔ mek blɔd kɔmɔt na di at kin stɔp. Bikɔs ɔf dis, di at fɔ wok tranga wan pas aw i kin wok, ɔnda big prɛshɔn, fɔ pɔmp blɔd to di ɔda pat dɛn na di bɔdi. Dis na di rizin wae mek de sayn dɛm wae wi bin dɔn tɔk bɔt, lɛk wae yu nɔr de blo fayn ɛn yu de fil pen na yu chɛst, kin bigin fɔ sho. Dis sik kin kam pan sɔm pipul dɛm we dɛn bɔn wit, ɔr e kin kam leta na dɛn layf.
Udat nid fɔ gɛt Sɛptal Myectomy ɔpreshɔn?
Nɔto ɔlman we gɛt dis sik nid fɔ gɛt ɔpreshɔn. Yu dɔktɔ go tray fɔs fɔ kɔntrol di sik dɛn wit mɛrɛsin. Bɔt sɔntɛnde, ɔpreshɔn na di bɛst we fɔ sɔlv di prɔblɛm.
- Fɔ di wan dɛn we nɔ kin ebul fɔ kɔntrol di sik dɛn we dɛn kin gɛt wit mɛrɛsin: If dɛn nɔ kin ebul fɔ kɔntrol di sayn dɛn lɛk di pen na dɛn chɛst, i nɔ kin izi fɔ blo, ɛn diziz wit mɛrɛsin, yu dɔktɔ kin tink bɔt dis ɔpreshɔn.
- Fɔ di wan dɛn we gɛt at wɔl tik rili tik (septum): Pan ɔl we sɔm pipul dɛn nɔ kin gɛt bɛtɛ sayn, dɛn kin se dɛn fɔ du dis ɔpreshɔn if di septum tik bad bad wan ɛn i kin mek di blɔd nɔ flɔ bɛtɛ.
- Fɔ uman dɛn we de op fɔ gɛt bɛlɛ:If uman we gɛt dis sik de op fɔ gɛt bɛlɛ, ilɛksɛf di sik nɔ tu bad, sɔntɛnde dɛn kin advays fɔ du dis ɔpreshɔn. Bikɔs di prɛshɔn pan di at kin go ɔp we uman gɛt bɛlɛ, i bɛtɛ fɔ pul dis tin we de ambɔg am kwik kwik wan.
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, di dɔktɔ go du bɔku tɛst dɛn fɔ chɛk yu at gud gud wan. Natin nɔ de fɔ wɔri bɔt. Dɛn kin du dɛn tin ya fɔ gɛt ɔl di infɔmeshɔn we dɛn nid fɔ du di ɔpreshɔn sef wan ɛn fayn fayn wan.
| Tɛst | Fɔ tɔk am simpul wan, wetin mek dɛn kin du am? |
|---|---|
| Tɛst fɔ Blɔd | Chek di jenɛral wɛlbɔdi na di bɔdi ɛn if ɛni ɔda prɔblɛm de. |
| ECG (Ilɛktrokardiogram) . | Chek di ilɛktrik aktiviti na di at ɛn lan bɔt di ritm we di at de bit. |
| Ikokardiogram (Echo) . | Tek wan vidio fɔ di at ɛn mɛzhɔ kɔrɛkt wan aw di at in chɛmba dɛn, di valv dɛn, ɛn di wɔl dɛn tik. |
| MRI we de na di at | Tek rili klia, ditayli imej dɛm fɔ di at ɛn no di say we di mɔsul dɛn dɔn tik. |
| Kadiak Kateterizashɔn | Dɛn kin pas wan smɔl tiub tru wan blɔd vesel insay di at fɔ chɛk di prɛshɔn we de insay di at ɛn if ɛnitin dɔn blok na di blɔd vesel. |
Apat frɔm dat, if yu de tek ɛni mɛrɛsin lɛk tin dɛn we de mek yu blɔd tan, yu dɔktɔ go tɛl yu fɔ stɔp fɔ tek am sɔm dez bifo dɛn du di ɔpreshɔn.If yu na pɔsin we de smok, if yu lɛf fɔ smok bifo dɛn du yu ɔpreshɔn, dat go rili ɛp yu fɔ wɛl.
Aw dɛn kin du di ɔpreshɔn?
Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Bɔt wit di teknɔlɔji tide, dɛn kin du dɛn tin ya fayn fayn wan ɛn sef wan.
1. Anestezi: Fɔs, dɛn go ful-ɔp yu anestezi. Dis min se yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn, ɛn yu go de slip dip.
2. Ɔpreshɔn: di ɔspitul de mek wan say we dɛn kɔt na di midul pan di chɛst, tru di brɔst bon (sternum) na di tu say dɛn, fɔ rich di at.
3. Hat-Lכng Mashin: Nεks, yu go kכnekt to wan 'at-lכng mashin'. Dis mashin go du di wok we yu at ɛn yu lɔng dɛn de du we dɛn de du di ɔpreshɔn.
4. Fɔ pul di mɔsul dɛn: Dɔn di dɔktɔ tek tɛm kɔt ɛn pul di mɔsul pat na di sɛptum we dɔn tik we nɔ nid fɔ apin. Dis kin mek di blɔd we dɔn blok bak.
5. di εnd: Dɔn dεn kin kכnekt yu frכm di at-lכng mashin, dεn kin put yu stεnכm bak, εn dεn kin kכloz di chεst insayshכn wit stich dεm we kin sכlv.
Dis ɔl ɔpreshɔn kin tek lɛk tri to 4 awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go admit yu dairekt na di Intensiv Keya Yunit (ICU). Na de, dɔktɔ ɛn nɔs dɛn go de wach yu sik gud gud wan. Yu kin gɛt urinary catheter ɔ chest drein in ples fɔ wan ɔ tu dez, bɔt nɔ wɔri bɔt dɛn.
Insay lɛk tu dez so, wit di ɛp we dɔktɔ we de mɛn yu bɔdi go ɛp yu, yu fɔ ebul fɔ grap na bed ɛn bigin fɔ waka rawnd smɔl. Bɔku pipul dɛn kin de na ɔspitul fɔ lɛs pas fayv dez . Na nɔmal tin fɔ lɛ yu fil taya fɔ sɔm tɛm afta yu dɔn go na os. Yu go gɛt yu nɔmal trɛnk bak insay sɔm wiks.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn i gɛt smɔl smɔl prɔblɛm dɛn.
| Men advantej dɛn | Risk dɛn we kin apin |
|---|---|
| Di sayn dɛm lɛk we yu de fil pen na yu chɛst (Angina) ɛn we yu nɔ de blo fayn (Dyspnea) kin dɔn ɔlmost. | Fluid we kin gɛda rawnd di at ɔ di lɔng. |
| Fɔ ebul fɔ wok ɛn nɔ taya di at. | Atrial fibrillation (at ritm dizayd). |
| De ebul fɔ liv lɛk nɔrmal, wɛl bɔdi pɔrsin ɔl in layf. | Disrɔpshɔn pan di at in ilɛktrik signal dɛm (at blɔk). |
Dɛn risk ya nɔ kin apin to ɔlman. Na mɔtalman, di risk kin go ɔp smɔl pan pipul dɛm we gɛt ɔda at kɔndishɔn, pipul dɛm we de smok, ɛn di wan dɛm we dɔn pas 65. Bɔt ɔltogɛda, Sɛptal Mayɛktɔmi na ɔpreshɔn we gɛt rili ay sakrifays rɛt (ɔva 94%).
Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
Afta yu dɔn go na os, i rili impɔtant fɔ kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni sayn fɔ se yu gɛt prɔblɛm.
- Prɔblɛm dɛn we gɛt fɔ du wit wund: If di say we de rawnd di wund we dɛn du di ɔpreshɔn rɛd pasmak, swel, ɔ fil wam.
- Fiva: If yu gɛt fiva we pas 38 Sɛlshiɔs (100.4 Fɛnayt) pan tɛmɔmɔta.
- We yu de gɛt mɔ wet: If yu wet go ɔp wantɛm wantɛm pas 2.5 kg (5 lbs) insay wan wik (dis kin bi sayn fɔ se yu nɔ gɛt wata).
If yu gɛt ɛnitin lɛk dis, nɔ panik, bɔt tɛl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- ‘Septal Myectomy’ na opin-at ɔpreshɔn we dɛn kin du fɔ ‘Hypertrophic Cardiomyopathy’, we na sik we di at mɔsul kin tik.
- Dɛn kin du dis ɔpreshɔn pan pipul dɛm wae nɔr kin ebul fɔ kɔntrol dɛn sik wit mɛrɛsin.
- Di ɔpreshɔn na fɔ pul di tik tik mɔsul tisu we de ambɔg di blɔd flɔ na di at.
- Dis na ɔpreshɔn we kin rili fayn, ɛn i kin rili fri frɔm di sayn dɛn afta di ɔpreshɔn.
- Pan ɔl we dis na big ɔpreshɔn, di tin dɛn we kin apin kin rili fayn. Di tin we impɔtant pas ɔl na fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu bifo ɛn afta di ɔpreshɔn.
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