Wi at na wɔndaful ɔgan we de wok we nɔ de stɔp. Insay dis at, 4 valv dɛn de we de wok lɛk 4 get fɔ kɔntrol di we aw blɔd de kɔmɔt fayn fayn wan. Dɛn tin ya kin mek blɔd go na wan say nɔmɔ. wan pan dεn valv dεm ya dεn kכl am 'Mitral valv'. dis de na di lεft say na di at bitwin di כp chεmba (lεft atrium) εn di lכw chεmba (lεft vεntrikl). bכt sכmtεm dis mitral valv kin sik. Dat min se blɔd kin lik bak we i nɔ lɔk fayn, ɔ i kin blok we i nɔ opin fayn. So insay dis kes, dɛn fɔ chenj da valv de.
So wetin na TMVR?
Fɔ tɔk am simpul wan, TMVR (Transcatheter Mitral Valve Replacement) na wan mɔdan tritmɛnt we de riples di mitral valv we dɔn pwɛl wit nyu valv we dɛn nɔ du big ɔpreshɔn pan di at we opin.
Imajin, insted fo big opareishon we involv fo opin di chest en stop di hat, dem pas wan tin tyub (catheter) tru wan rili smol insishon na di groin or chest, along wan blood vessel, insaid di hat, en dem put nyu valv tru di tyub en fix am in ples of di ol, sik valv. Dis nyu valv kin bi valv we mɔtalman mek, ɔ dɛn kin mek am wit animal tisu (kaw, pig). Insay dis we, dɛn nɔ kin pul di ol valv, bɔt bifo dat, dɛn kin put di nyu wan insay am ɛn fiks am.
Udat rili nid dis tritmɛnt?
Tu men kayn mitral valv sik de:
1. Mitral valv rigurgitation: dis na we di tu flap dεm na di valv nכ de kכloz fayn, we de mek sכm pan di bכdi we di at de pכmp de lik bak. I tan lɛk se wata de lik frɔm pɔt we dɔn brok.
2. Mitral valv stenosis: dis na we di valv de sכmtεm εn i nכ de opin fayn fayn wan. Dis kin mek di blɔd we kin flɔ go bifo nɔ bɔku. Jɔs lɛk we dɛn blok paip, di wata we de flɔ kin go dɔŋ.
We dɛn tu tin ya kin tranga, bad bad sayn dɛn lɛk we yu nɔ de blo fayn, atria fibrillation, pulmonary hypertension, ɛn at failure kin apin.
Bɔku tɛm, dɛn kin du ɔpreshɔn fɔ opin at pan kes dɛn lɛk dis. Bɔt TMVR na fayn tin fɔ di wan dɛn we dɔn ol, we gɛt ɔda mɛrɛsin, ɛn we nɔ ebul fɔ pe fɔ di prɔblɛm dɛn we kin apin we dɛn du dis kayn big ɔpreshɔn.
TMVR ɛn MitraClip na di sem tin?
Nɔ, pan ɔl we dɛn tu tritmɛnt ya na tritmɛnt dɛn we dɛn kin du we dɛn nɔ opin di at, dɛn na tu difrɛn we dɛn.
- MitraClipTM: Dis involv fɔ ripɛnt wan valv we de lik. Dis min se yu fɔ put smɔl tin we tan lɛk klip bitwin di tu liflet dɛn na di valv fɔ mek di blɔd nɔ lik.
- TMVR: 1.Dis nɔto fɔ mek dɛn ripɛnt, bɔt dɛn kin put nyu valv ɔlsay.
Wetin kin apin bifo TMVR tritmɛnt?
Afta dɛn dɔn disayd fɔ gi yu dis tritmɛnt, di mɛdikal tim go tek tɛm chɛk yu.
- tεst dεm: dεn kin du sεvεra tεst dεm, lεk ``Echocardiogram`` fכ chεk di wok we di at de du εn ``CT scan`` fכ chεk di strכkchכ fכ di at. Dɛn kin yuz dɛn tin ya fɔ plan di tritmɛnt.
- Tɔk bɔt anestezi: Wan spɛshal dɔktɔ go tɔk to yu bɔt di kayn anestezi we dɛn go gi yu fɔ mek yu nɔ fil pen we yu de du di tritmɛnt. Dɛn go disayd fɔ du am bay aw yu sik, if dɛn go gi yu jenɛral anestesia ɔ dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn.
- Instrɔkshɔn: Di dɔktɔ go gi yu sɔm spɛshal instrɔkshɔn dɛn.
- Sɔm mɛrɛsin dɛn (especially blood thinners) kin nid fɔ stɔp fɔ tek sɔm dez.
- Dɛn go aks yu fɔ fast fɔ sɔm awa di de we dɛn go gɛt di tritmɛnt.
- Dɛn go tɛl yu fɔ kam wit pɔsin na os afta dɛn dɔn trit yu.
Wetin kin apin we dɛn de trit am?
Dis tritmɛnt kin tek lɛk tu to tri awa so. Wan tim we gɛt spɛshal dɔktɔ dɛn, we gɛt dɔktɔ dɛn we de mɛn di at, di wan dɛn we de mɛn di at, ɛn di wan dɛn we de ɛp fɔ mek pɔsin anestez, de du dis.
Fɔ tɔk smɔl, na dɛn tin ya kin apin.
1. Dɛn kin klin di say we dɛn kɔt (groin ɔ chɛst) ɛn pripia am.
2. dεn de put wan kanula (IV layn) insay wan vein na di an, we dεn de gi di mεdikeshכn εn wata we nid fכ tru.
3. Dɛn kin tay di nyu valv na di ɛnd pan wan tin tiub (kateta).
4. Dɛn kin put dis tiub insay wan blɔd vesel tru wan smɔl say we dɛn kɔt na di groin ɔ chɛst.
5. we dεn de yuz spεshal imej tεknכlכji, dis tכb de gayd to di mitral valv na di at.
6. Dɛn kin put di nyu valv insay di ol valv we gɛt sik, put am kɔrɛkt wan, ɛn put am.
7. Dɔn dɛn kin pul di tiub ɛn lɔk di say we dɛn kɔt am.
Di mɛdikal tim de wach ɔltin, ivin yu blɔd prɛshɔn ɛn ɔksijɛn lɛvɛl, ɔl dis ɔl tɛm.
Wetin kin apin afta TMVR?
Afta di tritmɛnt, dɛn go kɛr yu go na rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Dɛn go de wach 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 wan ɔ tu dez. Bɔrku tɛm, yu go nid fɔ de na ɔspitul fɔ sɔm dez.
We yu go na os, yu dɔktɔ go advays yu bɔt dɛn tin ya:
- Aw fɔ tek pat pan di program dɛm fɔ rihabilite yu at.
- Fɔ fala di apɔntinmɛnt dɛn.
- Bɔt mɛrɛsin fɔ bigin bak ɛn nyu mɛrɛsin fɔ tek.
- Ustɛm a go ebul fɔ go bak to di nɔmal tin dɛn ɛn wok?
Benefit ɛn risk dɛm fɔ TMVR tritmɛnt
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn i gɛt prɔblɛm dɛn bak. Mek wi tek wan luk pan dem.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| Mitral valv sik de kɔrɛkt. | Risk de fɔ mek blɔd klɔt fɔm ɛn travul go na di bren, we kin mek pɔsin gɛt strok. |
| Wan notis dεkrεshכn pan di sayn dεm (lεk wae yu de blo shɔt). | Damej to di at tisu. fכ egzampl: Lεft vεntrikul pכrforeshכn. |
| Fɔ wɛl kwik pas ɔpreshɔn fɔ opin at. | Lεft vεntrikulכr כtfכlכ trakt obstrכkshכn. |
| Nɔ big ska ɛn less pen. | di valv we dεn implant kin muv כ shift frכm di say we i de. |
Di impɔtant tin na dat dɛn risk ya nɔ kin apin so ɔltɛm, ɛn if ɛni prɔblɛm kam, di mɛdikal tim kin rɛdi fɔ chenj wantɛm wantɛm to opin ɔpreshɔn ɔ tek ɔda tin dɛn we fit.
Ustɛm yu fɔ go to dɔktɔ we yu nid fɔ advays yu kwik kwik wan?
We yu go na os afta yu dɔn gɛt tritmɛnt, yu fɔ rili tek tɛm wit sɔm sayn dɛm. If yu gɛt dɛn sik ya , go to di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Go na ETU kwik kwik wan! | |
|---|---|
| Di sayn dɛn we de sho se pɔsin gɛt strok |
|
| Di sayn dɛn we de sho se pɔsin gɛt at atak | |
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ. | |
| Prɔblɛm dɛn we gɛt fɔ du wit kɔt | Stich dɛn de kam lus, blɔd de kɔmɔt frɔm di wund. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Pen, rɛd, pus ɔ wata we de kɔmɔt, fiva na di say we di wund de. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Pen, swel, ɛn di kɔlɔ we de chenj na say dɛn lɛk di shɔl, ni, ɔ anklɛ. |
| Ɔda sayn dɛn we de sho se pɔsin gɛt at atɔk | We yu gɛt bɔku bɔku wet wantɛm wantɛm, yu leg ɛn yu anklɛ dɛn kin swel. |
Mɛsej we dɛn kin kɛr go na os
- TMVR na wan mכdan tritmεnt we de riples di mitral valv we nכ de opin di at, wit lכw risk εn i de rεkכv kwik.
- Dis na fayn tin fɔ du, mɔ fɔ di wan dɛn we dɔn ol ɔ we gɛt ɔda sik dɛn we kin mek i nɔ izi fɔ mek dɛn du big ɔpreshɔn.
- If yu ɔ pɔsin we de nia yu gɛt mitral valv sik, tɔk to yu dɔktɔ we de mɛn yu at bɔt dis tritmɛnt opshɔn. Na in go disayd us tritmɛnt go fayn fɔ yu.
- Afta yu dɔn gɛt tritmɛnt, fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we rili impɔtant fɔ mek yu wɛl kwik kwik wan. Yu fɔ no ɔltɛm bɔt sayn dɛn we de wɔn yu.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt