We yu yɛri di wɔd "hat ɔpreshɔn," wetin kin kam na yu maynd? Bɔku tɛm, wi kin tink bɔt wan big ɔpreshɔn we dɛn kin du fɔ opin di chɛst, nɔto so? Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, naw dɛn dɔn gɛt bɔku simpul tritmɛnt dɛn we nɔ gɛt bɔku prɔblɛm fɔ sɔm at prɔblɛm dɛn. Tide, wi go tɔk bɔt wan pan dɛn kayn nyu tritmɛnt ya we dɔn wok fayn.
Wetin na TAVR? Lɛ wi ɔndastand am simpul wan.
Di ful minin fɔ TAVR na Transkateta Aɔtik Valv Riplesmɛnt . Sɔntɛnde dɛn kin kɔl am bak TAVI (Transcatheter Aortic Valve Implantation). Dɛn tu nem ya de tɔk bɔt di sem we fɔ trit pɔsin.
Fɔ tɔk am simpul wan, TAVR na we fɔ riples di aɔta valv na di at tru wan rili smɔl say we dɛn kɔt, we dɛn nɔ de opin di chɛst.
Tink bɔt wi at lɛk wata pɔmp na os. Dis pɔmp de sɛn blɔd to di wan ol bɔdi tru wan men paip. Dɛn kɔl dis men paip di aorta. We blɔd kɔmɔt na di at to dis aorta, sɔntin de we tan lɛk get we de kɔntrol da blɔd de flɔ. Na dat wi kin kɔl di aɔta valv. If dis valv nɔ opin ɔ lɔk fayn, siriɔs prɔblɛm kin apin we di blɔd de go na di wan ol bɔdi. TAVR involv fɔ riples di valv we dɔn pwɛl ɛn we nɔ de wok fayn wit nyu valv.
Udat nid di TAVR prosidur?
Dis tritmɛnt kin nid mɔ fɔ pipul dɛm wae gɛt wan sik wae dɛn kɔl aortic stenosis . dat min se di aorta valv we wi bin tכk bכt fכs de sכmtεm sכmtεm. Lɛk get we rɔsti, dis valv nɔ de opin ɔl.
Bɔku men rizin dɛn de we mek di valv kin smɔl dis we:
- We pɔsin de ol: Bɔku tɛm pan pipul dɛn we dɔn pas 70 ia, di kalsiɔm kin bɔku na di valv, ɛn dis kin mek i tik ɛn stif.
- כda mεdikal kכndyushכn dεm: Dis valv kin dεm bak kwik kwik wan bikoz fכ kכndyushכn dεm lεk rεumatik at sik כ sכm hat dεm we dεn bכn wit (e.g., bicuspid aortic valve).
we di valv sכmtεm, di at gεt f כ wok tranga wan pas aw i bin de wok bifo fכ pכmp di bכdi we di bכdi nid. I tan lɛk se motoka fɔ pɔmp mɔ wata tru paip we dɔn klos. As tɛm de go, dis ɛkstra strɛs we de pan di at kin mek di at mɔsul wik, ɛn leta i kin mek di at nɔ wok fayn.
Wetin kin apin bifo TAVR?
Bifo yu du TAVR, yu dɔktɔ go du sɔm tɛst fɔ no if yu sik kɔrɛkt wan. Dɛn tɛst ya kin mek yu no klia wan aw blɔd de pas na yu at ɛn if ɛni ɔda prɔblɛm de.
Dis na di tɛst dɛm we dɛn kin du:
- Blɔd tɛst dɛn
- Echocardiogram - Dis tan lɛk we dɛn de skan di at.
- Ilɛktrokardiogram (ECG) .
- CT skan ɔ MRI skan
- di kadyak kateshכn - dis de chεk fכ blכk na di korona at dεm we de gi bכdi to di at.
Afta dɛn dɔn du ɔl dɛn tɛst ya, di dɔktɔ go tɔk to yu ɛn ɛksplen ɔltin bɔt di tritmɛnt, wetin fɔ ɛkspɛkt afta dat, ɛn aw dɛn go gi yu anestezi. Yu kin aks ɛni kwɛstyɔn we yu gɛt dis tɛm.
Dɛn go aks yu fɔ stɔp fɔ it ɛn drink 4-6 awa bifo di tritmɛnt. Dɔn bak, yu fɔ aks yu dɔktɔ if yu nid fɔ stɔp fɔ tek ɛni mɛrɛsin ɛn ustɛm.
Aw dɛn de du TAVR tritmɛnt
Dis na rili simpul we fɔ du tin. Dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dɛn go gi yu mɛrɛsin bak fɔ mek blɔd nɔ klɔt.
Dɔn, wan intavɛnshɔnal kadɔlɔjis de fala dɛn step ya:
1. Fɔ mek smɔl say: Dɛn kin kɔt am rili smɔl, bɔku tɛm na nia wan big blɔd vesel (femoral artery) na di ɔp pat na yu shɔl, nia di groin.
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3. Fɔ instɔl di nyu valv: Dɛn kin tek di nyu valv tru dis kateshɔn, put am insay yu ol valv we dɔn pwɛl, ɛn i kin mek i big. Dɔn dɛn kin put di nyu valv jɔs na da ples de. Di ol valv de push am na sayd bay di nyu wan ɛn i de de.
4. Test: Dɛn kin chɛk di nyu valv fɔ si if i de wok fayn ɛn if ɛnitin de lik.
5. Fɔ pul ɛn sutura: If ɔltin fayn, dɛn kin tek tɛm pul di kateshɔn, dɛn kin sutura di smɔl say we dɛn bin dɔn kɔt fɔs, ɛn put plasta.
Bɔku tɛm, dis wan ol tin kin tek lɛk wan ɔ tu awa so.
Wetin na di bɛnifit dɛn we dis kin gɛt?
TAVR gɛt bɔku bɛnifit pas tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin at.
Di TAVR we na wan mɔdan teknɔlɔji we de alaw fɔ mek pɔsin nɔ fil pen ɛn fɔ mek i wɛl kwik kwik wan we dɛn nɔ kɔt big say ɔ opin in chɛst.
| Bɛnifit | Tɔk bɔt |
|---|---|
| I simpul pas ɔpreshɔn | We dɛn de opin ɔpreshɔn, dɛn kin kɔt big say na di chɛst, ɛn dɛn kin ivin opin di chɛst bon dɛn. Bɔt insay TAVR, na wan rili smɔl say nɔmɔ dɛn kin kɔt. |
| I izi fɔ mek yu wɛl ɛn i kin kwik. | Bikɔs di say dɛn we dɛn kɔt smɔl, di bɔdi nɔ kin tek lɔng tɛm fɔ wɛl ɛn di pen bak kin smɔl. |
| Shorter ɔspitul fɔ de na di ɔspitul | Bɔku tɛm, yu kin go na os di sem de ɔ di nɛks de afta TAVR. Dis kin dipen pan yu kɔndishɔn. |
Pan ɔl dɛn bɛnifit ya, ɔpreshɔn fɔ opin at kin fayn fɔ sɔm sik pipul dɛn. Yu fɔ tɔk to yu dɔktɔ if TAVR ɔ opin ɔpreshɔn na di bɛst tritmɛnt fɔ yu.
No sayd ɛfɛkt nɔ de? Lɛ wi tɔk bɔt di prɔblɛm dɛn we kin apin bak
TAVR na tritmɛnt we kin rili wok fayn. Bikɔs di tin dɛn we dɛn dɔn lan bɔt tɛknɔlɔji dɔn go bifo, naw, prɔblɛm dɛn nɔ kin apin so ɔltɛm. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin.
- Di ilɛktrik sistɛm na di at kin afɛkt, ɛn dis kin mek dɛn nid fɔ put wan pesmɛka .
- Blɔd we de kɔmɔt rawnd di nyu valv.
- Strok.
- Blɔd we de kɔmɔt.
- Sik we de prɛd.
- Damej na di kidni, at, ɔr blɔd vesel.
Yu dɔktɔ go ɛksplen to yu gud gud wan bɔt dɛn bad tin ya. Bikɔs na wan mɛdikal tim we gɛt bɔku ɛkspiriɛns kin du dis, di prɔblɛm dɛn we kin apin kin rili smɔl.
Di TAVR prosidur nɔ fayn fɔ ɔlman?
Pan ɔl we dis tritmɛnt kin rili bɛnifit, i nɔ fayn fɔ ɔlman. Yu dɔktɔ nɔ go tɛl yu fɔ tek TAVR fɔ pɔsin we gɛt dɛn sik ya:
- If yu dɔn gɛt at atak insay wan mɔnt.
- If yu gɛt kɔmpleks we yu bɔn wit at prɔblɛm.
- if prכblεm de wit כda hat valv dεm (e.g. Mitral regurgitation).
- If yu nɔ tu te yet we yu gɛt strok ɔ TIA (Transient ischemic attack).
- If yu gɛt siriɔs kidni sik.
Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay di ɔl yu wɛlbɔdi kɔndishɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔrku pipul kin go na os frɔm ɔspitul insay wan ɔ tu dez afta dɛn dɔn gɛt TAVR tritmɛnt. Di tɛm we i kin tek fɔ mek i wɛl, kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Bɔku tɛm, yu kin bigin fɔ du bɔku pan di tin dɛn we yu kin du ɛvride insay sɔm dez.
- Yu fɔ wet lɛk wan wik so bifo yu du tin dɛn lɛk fɔ es wet.
- Yu kin go wok insay lɛk tu wiks so ɛn drayv insay lɛk wan mɔnt so.
- I kin tek bitwin 6 ɛn 10 wiks fɔ mek i wɛl ɔl.
Yu dɔktɔ go advays yu bɔt aw yu nid fɔ rɛst, wetin fɔ du, ɛn wetin yu nɔ fɔ du. Fɔ fala da advays de rili impɔtant fɔ mek yu wɛl kwik kwik wan.
Apat frɔm dat, dɛn kin sɛn yu to wan program fɔ mek yu at pwɛl , we na sɔm spɛshal ɛgzampul dɛn fɔ mek yu at strɔng. Dis go mek yu wɛl kwik kwik wan.
Ustɛm yu nid fɔ go to dɔktɔ?
Afta TAVR tritmɛnt, dɛn go aks yu fɔ go chɛk-ap, lɛk wan tɛm insay di mɔnt ɛn afta dat wan tɛm insay di ia. Dɛn fɔlɔp visit ya rili impɔtant fɔ mek shɔ se di nyu valv de wok fayn fayn wan. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
| Situeshɔn dɛn usay yu fɔ rili go to dɔktɔ | |
|---|---|
| • Fiva | • SMƆL TƆK: Chɛst de pen |
| • SMƆL TƆK: Blɔd de bɔku, pen, ɔ brus frɔm di say we dɛn kɔt am | • SMƆL TƆK: Diziz |
| • SMƆL TƆK: Rɛd ɔ swel na di say we dɛn kɔt am | • SMƆL TƆK: I nɔ izi fɔ blo |
If ɛnitin apin lɛk we yu de fil bad bad wan na yu chɛst ɔ yu at fɔ blo bad bad wan , go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- TAVR na wan mכdan, saksesful tritmεnt we de riples di aorta valv na di at tru wan sכm sכm insεshכn, we nכ de opin di chεst.
- Di men bɛnifit dɛn we dis kin gɛt na we i nɔ kin gɛt pen, i kin wɛl kwik kwik wan, ɛn i nɔ kin de na ɔspitul igen.
- Di risk rili smɔl bikɔs na wan mɛdikal tim we gɛt bɔku ɛkspiriɛns de du dis.
- If yu gɛt prɔblɛm wit di aɔta valv, tɔk to yu dɔktɔ we de mɛn yu at bɔt if di TAVR we dɛn de du fayn fɔ yu.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di tritmɛnt rili impɔtant fɔ mek yu wɛl kwik kwik wan.
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