Yu kin fred smɔl we yu dɔktɔ tɛl yu se yu gɛt prɔblɛm wit wan valv na yu at ɛn yu nid fɔ chenj am. Yu kin de tink se, "O, dis na big opareshɔn we go opin yu chɛst?" Na tru se dɛn kayn ɔpreshɔn ya kin siriɔs smɔl ɛn i kin tek lɔng tɛm fɔ wɛl. Bɔt tide wi go tɔk bɔt wan mɔdan tɛknɔlɔji we de mek yu ebul fɔ chenj yu at valv we yu nɔ du dis kayn big ɔpreshɔn, bɔt na tru wan rili smɔl say we yu kɔt am. Dɛn kɔl dis TAVR.
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 tin ya na di sem tin.
Fɔ tɔk am simpul wan, dis min se yu fɔ chenj di men valv na yu at, we na di aɔta valv, we yu nɔ opin yu chɛst.
Tink bɔt yu at lɛk wata pɔmp na os. Jɔs lɛk aw dis pɔmp de sɛn wata to di wan ol os, na so di at de pɔmp klin blɔd we gɛt bɔku ɔksijɛn to di wan ol bɔdi. di men get we dis blכd de kכmכt na di at na di aorta valv . Dis tan lɛk domɔt we jɔs de opin wan we. I kin opin we di blɔd kɔmɔt, ɛn i kin lɔk we i tray fɔ kam bak. Dis na wok we rili impɔtant.
Us kayn mɛdikal kɔndishɔn we nid fɔ gɛt TAVR ɔpreshɔn?
di men rizin fכ du TAVR na wan kכndyushכn we dεn kכl Aortic Stenosis . Dat min se di Aortic valve we wi bin tɔk bɔt dɔn blok ɔ smɔl . I tan lɛk se di tu domɔt dɛn nɔ de opin fayn, bɔt dɛn jɔs opin smɔl.
Bɔku men rizin dɛn de we mek di valv kin stɔp lɛk dis:
- We yu de ol: As yu de ol, pas 70 ia, di valv kin tik ɛn nɔ kin wok fayn bikɔs ɔf di kalsiɔm we de de. Dis na di tin we kin mek pɔsin gɛt dis sik.
- כda mεdikal kכndyushכn dεm: pan sכm pipul dεm, dis valv kin wik kwik kwik wan bikoz fכ kכndyushכn dεm lεk hat sik we dεn bכn wit (e.g., Bicuspid Aortic Valve) כ rεumatik at sik we de divεlכp we dεn sכm pikin.
Wetin kin apin we di valv kin blok lɛk dis? Di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd ɔlsay na di bɔdi. I tan lɛk fɔ put ɛkstra lod pan motoka fɔ pɔmp wata tru paip we dɔn blok. We dis kin apin fɔ lɔng tɛm, di at mɔsul kin wik, ɛn leta i kin mek di at nɔ wok fayn.
Wetin fɔ du bifo dɛn du TAVR?
If yu disayd fɔ du TAVR, yu dɔktɔ go du bɔku tɛst dɛn bifo tɛm fɔ no di kayn we aw yu at de ɛn fɔ no bɔt ɛni prɔblɛm we kin apin we dɛn de du di ɔpreshɔn.
Bay dɛn tɛst rizɔlt ya, di dɔktɔ go mek di las disizhɔn fɔ no if TAVR ɔ opin-chɛst ɔpreshɔn na di bɛst fɔ yu.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, wetin yu kin du wit am? |
|---|---|
| Tɛst fɔ Blɔd | Dɛn de luk tin dɛm lɛk di jenɛral wɛlbɔdi na di bɔdi ɛn di kidni fɔ wok. |
| Ikokardiogram (Iko Skan) . | Dis na skan fɔ di at. Dɛn kin luk aw di valv dɛn de wok ɛn aw dɛn tayt. |
| Ilɛktrokardiogram (EKG) . | di at in ilektrikal aktiviti (ritm) dεn de chεk. |
| CT Skan ɔ MRI Skan | dεn tek tri dimεnshכnal (3D) imej dεm fכ di at εn bכdi vεsul dεm fכ mכsu di sayz fכ di valv dεm εn di posishכn fכ di bכdi vεsul dεm. |
| Kadiak Kateterizashɔn | Dɛn kin chɛk fɔ ɔda tin dɛn we dɔn blok na di korona at we de gi blɔd to di at. |
Afta dɛn tɛst ya, di dɔktɔ go tɔk to yu bɔt di ɔpreshɔn, di anestezi, ɛn ansa ɛni kwɛstyɔn we yu gɛt. Dɛn go aks yu fɔ stɔp fɔ it ɛn drink 4-6 awa bifo di ɔpreshɔn.
Aw dɛn kin du TAVR ɔpreshɔn?
Bikɔs dis nɔto ɔpreshɔn fɔ mek yu bɔdi bɔku, yu nɔ nid fɔ nɔ no natin atɔl. Bɔrku tɛm, dɛn go gi yu mɛrɛsin wae de put yu na layt slip (sedation). So yu nɔ go fil ɛni pen.
Dɛn kin du di ɔpreshɔn stɛp bay stɛp lɛk dis:
1. Di intavεnshכnal kadyכlכg de mek wan rili sכm sכm pat na yu כp pat (כ i kin bi כdasay na yu nεk כ chεst).
2. Dɛn kin pas wan tiub we rili tan ɛn we kin chenj we dɛn kɔl kateta, de pas tru di say we dɛn kɔt, along wan big blɔd vesel, to di at.
3. na insay dis tכb dεn de fold di nyu valv insay wan sכmכl pat εn put am na di at usay di ol valv we kכlok de.
4. We di nyu valv dɔn de na in ples, dɛn kin mek di nyu valv big. Dɔn i kin snap insay in ples. Dɛn nɔ de pul di ol valv , di nyu valv de push am na sayd.
5. Chɛk fɔ si if di nyu valv de wok fayn ɛn if ɛni blɔd de lik.
6. Fɔ dɔn, dɛn kin pul di kateshɔn, dɛn kin lɔk di smɔl say we dɛn kɔt wit wan ɔ tu stich, ɛn dɛn kin put bandej pan am.
Bɔku tɛm di wan ol tin kin tek lɛk wan ɔ tu awa so .
Wetin na di bɛnifit ɛn risk dɛm fɔ TAVR ɔpreshɔn?
TAVR gɛt bɔku bɛnifit pas tradishɔnal opin at ɔpreshɔn.
Men advantej dɛn
- Nɔ big insayshɔn: Nɔ nid fɔ kɔt di bɔdi ɔ pul di rib dɛn. Na wan rili smɔl say nɔmɔ dɛn kɔt am.
- I kin wɛl kwik kwik wan: Bikɔs no big injuri nɔ de, i nɔ kin fil pen, i nɔ kin gɛt bɛtɛ strɛs pan di bɔdi, ɛn i kin wɛl kwik kwik wan.
- Shorter hospital stay: In most cases , yu kin go na os di sem de afta yu du di ɔpreshɔn. Yu go nid fɔ de de fɔ tu ɔ tri dez.
- I fayn fɔ di wan dɛn we gɛt ay risk: Dis we ya na fayn tin fɔ di wan dɛn we dɔn ol bad bad wan, we gɛt bɔku ɔda sik dɛn, ɛn we nɔ ebul fɔ bia wit big ɔpreshɔn.
Risk situeshɔn dɛn
Jɔs lɛk ɛni mɛdikal prɔsidyu, TAVR kin kɛr sɔm smɔl smɔl risk dɛn. Bɔt wit di advans tɛknɔlɔji tide, di chans fɔ mek dɛn tin ya apin rili smɔl .
- Di ilɛktrik sistɛm na di at kin afɛkt, ɛn sɔntɛm dɛn kin nid fɔ put pesmɛka .
- Smɔl blɔd de lik frɔm di sayd dɛn na di nyu valv.
- Smɔl risk fɔ gɛt strok.
- Blɔd ɔ infɛkshɔn na di say we dɛn kɔt am.
- Damej to di kidni ɔ blɔd vesel.
Yu dɔktɔ go tɔk to yu bɔt ɔl dis ɛn ɛksplen aw i go woke fɔ yu sityueshɔn ɛn wetin de pan denja.
Di we aw pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn ɛn aw fɔ tek tɛm wit am
Afta di ɔpreshɔn, dɛn go put yu na bed fɔ sɔm awa fɔ rɛst. Dɛn go klem di blɔd vesel dɛn usay dɛn kɔt di say we dɛn kɔt di blɔd fɔ stɔp fɔ blɔd. Dɛn go gi yu mɛrɛsin fɔ mek yu nɔ gɛt di sik ɛn fɔ mek yu blɔd stɔp.
Afta yu dɔn go na os, nɔ fɔ es ɔp ɔ du tin dɛn we go mek yu taya fɔ wan ɔ tu wiks. Yu kin go bak to yu nɔmal tin dɛn insay lɛk tu wiks so. I kin tek lɛk 6 to 10 wiks fɔ mek i wɛl.
Apat frɔm dat, dɛn go sɛn yu to wan program fɔ mek yu at pwɛl , we tan lɛk spɛshal ɛksɛsayz program we dɔktɔ tɛl yu fɔ mek yu at strɔng.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, mek shɔ se yu tɛl yu dɔktɔ.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Fiva | I kin bi sayn fɔ se pɔsin gɛt infɛkshɔn na di bɔdi. |
| Chenj dɛn na di say we dɛn kɔt am | Pen de bɔku, blɔd de kɔmɔt, brus, rɛd, ɔ swel. |
| Chɛst de pen | Nyu ɔ nɔmal chɛst pen. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ blo shɔt ivin if yu tray smɔl. |
| Diziz we pɔsin kin gɛt | Fɔ fil se yu ed de tɔn ɔ yu de fil fɔdɔm. |
Mɛsej we dɛn kin kɛr go na os
- TAVR na wan advans mεdikal prכsidכm we de riples di aorta valv na di at tru wan sכm sכm insεshכn, we nכ de opin di chεst.
- Dis kin mek i nɔ kin fil pen, i kin wɛl kwik kwik wan, ɛn i nɔ kin spɛn bɔku tɛm na ɔspitul.
- Dis na fayn sɔlv, mɔ fɔ di wan dɛn we dɔn ol ɛn we gɛt ɔda mɛrɛsin ɛn we nɔ ebul fɔ bia di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn na dɛn opin.
- TAVR kin nɔ rayt fɔ ɔlman. I impɔtant fɔ tɔk to yu dɔktɔ we de mɛn yu at fɔ no us tritmɛnt go fayn fɔ yu.
- Fɔ fala di dɔktɔ in instrɔkshɔn afta dɛn dɔn du di ɔpreshɔn ɛn fɔ atɛnd di fɔs apɔntinmɛnt dɛn di de we dɛn dɔn sɛtul fɔ mek yu wɛl kwik kwik wan.
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