Yu ɔ pɔsin we yu sabi ɔ yu tayt padi dɔn ɛva tɛl yu se yu gɛt prɔblɛm wit yu at in ‘Mitral Valve’ ɛn yu nid ɔpreshɔn? We wi yɛri di wɔd "at ɔpreshɔn," bɔku pan wi kin fred smɔl, nɔto so? Dat na nɔmal tin. Bikɔs wi dɔn yɛri bɔt ɔpreshɔn dɛn we gɛt fɔ du wit fɔ opin in chɛst ɛn du big big ɔpreshɔn dɛn. Bɔt yu bin no, mɛdikal sayɛns dɔn go bifo bɔku naw. fכ dat, wan nyu we de we kin riples dis valv we i nכ opin di chεst εn tru wan rili sכm sכm sכm. Tide, wi go tɔk bɔt wan tritmɛnt we dɔn bi big rilif fɔ bɔku pipul dɛn, we dɛn kɔl `Transcatheter Mitral Valve Replacement` ɔ TMVR fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na TMVR?
Okay, mek wi put am rili simpul. TMVR na wan prosidur we de riples di mitral valv na yu at. Bɔt di spɛshal tin bɔt am na dat, dɛn nɔ kin du am bay we yu opin yu chɛst ɔltogɛda lɛk ɔpreshɔn we yu kin du fɔ opin yu at. Bifo dat, dɛn kin put wan tin tiub (kateta) tru wan rili smɔl say we dɛn kɔt, ɛn afta dat dɛn kin put di nyu valv insay yu at.
Imajin se bifo yu pul wan big valv ɛn put nyu wan insay, yu tek di pat dɛn na di nyu valv tru wan smɔl ol ɛn fiks dɛn insay. Dis na tin we nɔ kin izi fɔ du pas big ɔpreshɔn. Di nyu valv we dɛn put dis we kin bi atifishal. Ɔ i kin bi bayolojikal valv we dɛn mek wit kaw, pig, ɔ mɔtalman at tisu. Afta dɛn dɔn put di nyu valv, i kin bigin fɔ du di sem tin we yu ol valv we gɛt sik bin de du.
Udat nid dis TMVR tritmɛnt?
fכ כndastand dis, lε wi fכs luk wetin na dis ‘mitral valv’ εn wetin de apin to am.
Wi at gɛt 4 men rum dɛn. Tu de ɔp ɛn tu de dɔŋ. di mitral valv de bitwin di lεft atrium εn di lεft vεntrikl. I tan lɛk domɔt bitwin tu rum dɛn. Dis domɔt gɛt tu flap dɛn (liflet dɛn). Ɛnitɛm we di at bit, dɛn flap ya kin opin ɛn lɔk. Dis kin mek di blɔd go na wan say nɔmɔ, frɔm di chɛmba we de ɔp to di chɛmba we de dɔŋ. Di men wok we dis valv de du na fɔ mek blɔd nɔ flɔ bak.
Bɔt sɔntɛnde, frɔm we dɛn bɔn am ɔ leta, difrɛn prɔblɛm dɛn kin apin wit dis valv. Na tu kayn prɔblɛm dɛn de mɔ.
| Di kɔndishɔn we di valv de | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Mitral valv rigεtεshכn | Wetin kin apin ya na dat di valv nɔ kin lɔk fayn. I tan lɛk se di tu domɔt lif dɛn nɔ de lɔk fayn ɛn smɔl gap de. Dɔn sɔm blɔd kin lik bak, insay di ɔpa chɛmba. |
| Mitral valv stεnɔsis | Wetin kin apin ya na dat di valv kin smɔl ɔ blok. Dat min se di domɔt nɔ de opin ɔl. Dɔn di bɔku blɔd we nid fɔ flɔ go bifo kin ambɔg. |
We dɛn kayn tin ya kin tranga, dɛn kin mek yu gɛt sɔm sayn dɛm lɛk fɔ blo shɔt, taya, ɛn pen na yu chɛst. Dɛn kin mek bak pɔsin gɛt mɔ siriɔs sik lɛk atrial fibrillation (at at bit we nɔ de bit ɔltɛm), pulmonary hypertension (high blɔd prɛshɔn na di lɔng dɛn), ɔ at pwɛl.
Dis tritmɛnt we dɛn kin kɔl TMVR, kin rili fayn fɔ pipul dɛn we dɔn ol ɛn we gɛt ɔda mɛrɛsin ɛn we nɔ kin ebul fɔ bia wit big big ɔpreshɔn we dɛn kin du to dɛn at.
TMVR ɛn MitraClip na di sem tin?
Nɔ, pan ɔl we dɛn ɔl tu na tritmɛnt dɛn we nɔ kin bɔku fɔ mitral valv prɔblɛm, difrɛns de bitwin dɛn tu.
- TMVR na wan totɛl valv riplesmɛnt .
- MitraClipTM na wan valv ripa . I tan lɛk se yu put smɔl klip bitwin di tu flap dɛn na valv we de lik, ɛn stɔp di lik.
Yu dɔktɔ we de mɛn yu at go disayd us tritmɛnt go fayn fɔ yu.
Wetin kin apin bifo TMVR tritmɛnt?
Bifo dis tritmɛnt, yu mɛdikal tim go tek tɛm chɛk yu. Dis go mɔs inklud dɛn tɛst ya:
- Echocardiogram: Dis na ɔltra saund skan fɔ di at. I kin si klia wan aw di at in chɛmba ɛn valv dɛn de wok.
- CT Scan: Dis kin tek tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ di at ɛn blɔd vesel dɛn ɛn ɛp fɔ plan di tritmɛnt.
Yuz di infɔmeshɔn frɔm dɛn tɛst ya, di mɛdikal tim kin plan di bɛst valv saiz ɛn tritmɛnt we fɔ yu.
Apat frɔm dat, dɔktɔ we de mɛn yu go tɔk to yu ɛn disayd di bɛst kayn anestezi fɔ mek yu nɔ fil pen we yu de du di ɔpreshɔn. Dɛn kin put yu fɔ slip ɔl (jenɛral anestezi), ɔr dɛn kin put yu na slip ɛn nɔr kin fil pen (conscious sedation).
Sɔm dez bifo yu tritmɛnt, yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ pripia. Dɛn tin ya kin bi:
- Sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek blɔd tan, kin nid fɔ lɛf fɔ tek am fɔ sɔm dez.
- Di de we dɛn go gi yu di tritmɛnt, dɛn go aks yu fɔ fast (we yu nɔ it ɔ drink) fɔ sɔm awa.
- Afta dɛn dɔn trit yu, dɛn kin aks fɔ arenj motoka fɔ kɛr yu go na os frɔm ɔspitul.
Wetin kin apin we dɛn de trit TMVR?
Bɔku tɛm, di wan ol tin we dɛn kin du kin tek lɛk tu to tri awa so ɛn na wan big tim we gɛt dɔktɔ dɛn kin du am, lɛk dɔktɔ dɛn we de mɛn di at, di wan dɛn we de mɛn di at, di wan dɛn we sabi fɔ tek pikchɔ, ɛn di wan dɛn we de anestez.
Na dis na simpul step-by-step brekdaun fɔ wetin kin apin we dɛn de trit am:
1. Fɔs, dɛn kin klin di say we dɛn go kɔt di say (bɔku tɛm di groin ɔ smɔl eria na di chɛst) ɛn pul di ia if nid de.
2. Dɔn, dɛn go put wan kanula (IV layn) insay wan vein na yu an, we dɛn go yuz di mɛrɛsin ɛn wata we yu nid.
3. Nεks, dεn kin tay di nyu valv na di εnd pan wan tint tכb we kin chenj we dεn kכl kateshכn .
4. Naw, dεn kin mek wan rili sכmכl say we dεn bin dכn disayd bifo tεm na di groin כ chεst, εn tru dat, dεn kin put dis kateshכn insay wan blכd vesel.
5. we dכkta dεn de yuz spεshal imej tεknכlכji lεk εks-ray, dεn tek tεm gayd dis kateshכn tru di blכd vεsul dεm to di mitral valv na di at.
6. We i dɔn put di nyu valv insay di ol valv we gɛt sik.
7. We di nyu valv dɔn de fayn fayn wan, dɛn kin tek tɛm pul di kateshɔn ɛn lɔk di smɔl say we dɛn kɔt.
Insay dis tɛm, di mɛdikal tim go kɔntinyu fɔ wach ɔltin frɔm yu blɔd prɛshɔn ɛn blɔd ɔksijɛn lɛvɛl to aw yu at de wok bay we dɛn de yuz ɛkokadiogram.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt dɔn, dɛn go kɛr yu go na rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Di mɛdikal tim go tek kia ɔf yu gud gud wan te yu wɛl frɔm di anestezi. Sɔm pipul dɛn kin nid fɔ de na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) fɔ sɔm tɛm. Bɔrku tɛm, yu go gɛt fɔ de na ɔspitul fɔ sɔm dez.
Bifo yu go na os, di dɔktɔ dɛn go ɛksplen klia wan wetin yu nid fɔ du nɛks.
- Kadyak rihabiliteshɔn: Advays bɔt ɛksɛsayz ɛn chenj dɛn layf fɔ ɛp fɔ mek di at strɔng bak.
- Fɔ fala di apɔntinmɛnt: De dɛn we yu nid fɔ go to dɔktɔ bak.
- Mɛrɛsin: Advays bɔt nyu mɛrɛsin fɔ stat ɔ ol mɛrɛsin fɔ stat bak.
- Nɔmal wok: Ustɛm yu kin go bak na wokples ɛn bigin fɔ du tin dɛn we yu kin du nɔmal wok bak?
Wetin na di bɛnifit dɛn we TMVR tritmɛnt kin gi?
We yu kɔmpia am to ɔpreshɔn we dɛn kin du fɔ opin at, dis we fɔ yuz kateshɔn gɛt bɔku bɛnifit dɛn.
- di mitral valv sik kin kכrekt.
- Ridyus di sayn dɛm wae de sik kin kam wit, lɛk wae yu nɔr de blo fayn ɛn yu taya.
- Ridyus risk fɔ gɛt siriɔs wɛlbɔdi prɔblɛm.
- Ebul fɔ wɛl kwik pas fɔ opin ɔpreshɔn.
- Ridyus impak pan di bɔdi ɛn pen.
Ɛni risk ɔr prɔblɛm de wit dis tritmɛnt?
Yɛs. Pan ɔl we di risk dɛn smɔl pas di ɔpreshɔn we dɛn kin du fɔ opin at, lɛk ɛni ɔda mɛrɛsin, TMVR kin gɛt sɔm risk ɛn kɔmplikeshɔn dɛn. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.
Di tin we impɔtant pas ɔl na dat, if ɛnitin apin we dɛn de du di tritmɛnt, di mɛdikal tim kin rɛdi fɔ chenj to ɔpreshɔn fɔ opin at wantɛm wantɛm if nid de.
Dis na sɔm pan di men prɔblɛm dɛn we kin apin:
- Blɔd klɔt: If dɛn blɔd ya travul go na di bren, strok kin apin.
- di tisu dεm we dεn dכn pwεl: Wan wכl na di at (lεft vεntrikul pεrforeshכn) כ wan bכdi vεsεl we de gi bכdi to di at (korona atεri) kin inju.
- di lεft vεntrikulכr כtfכlכ trakt obstrכkshכn: di nyu valv de obstrכk di rod we bכdi de fכlכ kכmכt na di lεft lכw chεmba.
- Valv muvmεnt: Muvmεnt fכ di valv frכm in fiks posishכn.
Sɔm prɔblɛm dɛn kin nid fɔ gɛt mɔ tritmɛnt ɔ ɔpreshɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔrku pipul kin kam bak to dɛn nɔrmal tin fɔ du ɛn woke insay sɔm wiks. Bɔt i kin tek tu to tri mɔnt fɔ mek i wɛl . Di tin we impɔtant pas ɔl na fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du. Nɔ rɔsh fɔ du ebi ebi wok ɔ fɔ du tin dɛn we de mek yu tranga.
Us kayn tin yu fɔ go to dɔktɔ afta yu dɔn gɛt tritmɛnt?
Dis na pat we rili impɔtant. We yu go na os afta yu dɔn gɛt tritmɛnt, yu fɔ pe atɛnshɔn to di chenj dɛn we de apin na yu bɔdi. Sɔm sayn dɛn de, if dɛn apia, yu fɔ go to dɔktɔ ɛn nɔ de te .
| Imejɛnsi: If yu gɛt dɛn sik ya, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm! | |
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| Ɔda tin dɛn we yu fɔ wach: Tɔk to yu dɔktɔ if yu gɛt dɛn tin ya. | |
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TMVR na wan rili valyu tritmɛnt opshɔn fɔ pipul dɛm wae gɛt mitral valv sik wae nɔr kin ebul fɔ du opin at ɔpreshɔn. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya nɔ fred fɔ tɔk to yu dɔktɔ. I go ebul fɔ ɛksplen di bɛst tritmɛnt fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- TMVR na wan mכdan tritmεnt we de riples di at in mitral valv tru wan sכm sכm insishכn, we nכ de opin di chεst.
- Dis kin fayn mɔ fɔ di wan dɛn we gɛt prɔblɛm fɔ bia we dɛn de du ɔpreshɔn pan dɛn at we opin.
- Di rεcovery kin fast εn di impak pan di bכdi kin sכm pas wit opin כpεrayshכn.
- Jɔs lɛk ɔl di tritmɛnt dɛm, sɔm prɔblɛm dɛn de, ɛn i impɔtant fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ.
- Afta yu dɔn gɛt tritmɛnt, if yu gɛt sayn fɔ strok ɔ at atak, yu fɔ go na ɔspitul wantɛm wantɛm.
- Na yu dɔktɔ we de mɛn yu at nɔmɔ go gi yu di kɔrɛkt advays bɔt us tritmɛnt we bɛtɛ fɔ yu.
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