Yu kin imajin fɔ chenj di at valv we yu nɔ opin di chɛst ɔl? Yɛs, na rial tin naw. Tide wi de tɔk bɔt dis teknɔlɔji we dɔn briŋ nyu op to bɔku pipul dɛn we gɛt prɔblɛm wit dɛn pulmonari valv bikɔs ɔf di at sik we dɛn bɔn wit. Lɛ wi bigin dis wit wan tɔk we rili simpul ɛn we gɛt padi biznɛs wit wi.
Fɔ tɔk am simpul wan, wetin na TPVR?
TPVR, we tinap fɔ Transcatheter Pulmonary Valve Replacement , na ɔpreshɔn we de riples di pulmonary valv we nɔ de wok fayn na yu at wit nyu valv tru wan rili smɔl say we dɛn kɔt. Bɔku tɛm, we wi tink bɔt ɔpreshɔn fɔ di at, wi kin tink bɔt ɔpreshɔn we gɛt fɔ du wit fɔ kɔt big say na di midul pat na di chɛst ɛn opin di chɛst. Bɔt we dɛn de du dis, dɛn nɔ kin kɔt da kayn big say de.
Bifo dat, dɔktɔ dɛn kin mek wan smɔl ol na di skin na yu groin ɛn du di wok tru am. Dis pulmonari valv we de wok lɛk get we de sɛn blɔd frɔm yu at to yu lɔng, rili impɔtant. Pipul wae dɛn bɔn wit hat sik wae dɛn bɔn kin gɛt prɔblɛm wit dis valv as dɛn de ol afta dɛn dɔn du ɔpreshɔn as pikin. So, if yu riples da valv de wit dis we, dat kin rili ɛp yu fɔ liv yu layf ɛn yu layf bɛtɛ, ɛn yu nɔ go nid fɔ du big ɔpreshɔn bak ɛn bak.
Wetin kin rili apin na di TPVR sistɛm?
Insay tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin at, dɛn kin kɔt di chɛst bon, kɔnɛkt di pɔsin to wan mashin we de yuz di at-lɔng baypas, dɛn kin pul di ol valv, ɛn put nyu wan. Dis kin tek lɔng tɛm, i kin tek lɔng tɛm fɔ wɛl, ɛn fɔ sɔm pipul dɛn, dis ɔpreshɔn kin gɛt prɔblɛm.
Bɔt nɔto so i bi wit TPVR. wan intavεnshכnal kכdiכlכg de put wan sכmכl tכb (kateta) tru wan vein na yu groin εn gayd di nyu valv tru di tכb insay yu at. Dɛn kin du ɔl dis ɔnda di gayd fɔ teknɔlɔji lɛk ɛkstrem rayt. We i dɔn de na di rayt ples, dɛn kin blo di nyu valv wit balyɔn ɛn fiks am na in ples.
Dis tan lɛk we yu fit nyu domɔt frem insay ol domɔt frem we yu nɔ pul am.
afta dεn dכn du dis, di bכdi fכ fכm frכm di at to di lכng dεm de kam bak fayn fayn wan. Di wok we di at kin du kin ridyus, ɛn di bɔdi kin gɛt bɛtɛ ɔksijɛn. Bɔku tɛm, pɔsin we dɛn dɔn du dis ɔpreshɔn kin go na os di sem de .
Wetin kin apin if mi pulmonari valv nɔ de wok fayn?
tu men prכblεm dεm de we dεn kin si na di pulmonari valv. Lɛ wi tek tɛm luk dɛn tin ya.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Stɛnɔsis we de na di pulmonari | di valv kin sכmtεm εn i nכ kin opin fayn, we kin mek di bכdi fכ fכm frכm di at to di lכng dεm. Dis kin put bɔku strɛs na di rayt say na di at. As tɛm de go, di rayt atria na di at kin ivin pwɛl. |
| Pulmonary regurgitation (blɔd de lik frɔm di pulmonary valv) . | Bikɔs di valv nɔ kin lɔk fayn, sɔm pan di blɔd we dɛn kin pɔmp to di lɔng dɛn kin lik bak insay di at. Dis kin mek bak di blɔd we de go na di at nɔ bɔku, i kin mek di strɛs we de na di rayt say na di at bɔku ɛn i kin mek di at nɔ wok fayn. |
Na dɛn tu tin ya, yu kin gɛt sɔm kayn sik lɛk:
- I nɔ izi fɔ blo (dyspnea) .
- Di bɛlɛ ɛn di leg dɛn we de swel (ɛdima) .
- Chɛst de pen
- Fɔ fil lɛk se yu at de bit fast (palpitations) .
Dɛn sayn ya kin kam bikɔs yu at nɔ de wok fayn ɔ yu at nɔ de bit ɔltɛm (arrhythmias). Dɛn simptom ya kin bɛtɛ afta dɛn dɔn du TPVR ɔpreshɔn.
Udat dis TPVR ɔpreshɔn fit fɔ pas ɔl?
If dɛn bɔn yu wit wan sik we de afɛkt di pulmonary valv na yu at, yu kin bɛnifit frɔm dis ɔpreshɔn. Na mɔtalman, .
- Pipul dɛn we dɔn gɛt ɔpreshɔn pan dɛn pulmonary valv we dɛn bin smɔl.
- Big pipul ɛn yɔŋ pipul dɛn we dɔn gɛt da valv de kin blok ɔ lik as tɛm de go.
- Bɔku tɛm, dɔktɔ dɛn kin tink bɔt di TPVR we dɛn kin du fɔ pipul dɛn we gɛt homograft (wan valv transplant) frɔm pɔsin we gi am we dɛn yɔŋ, we da valv de wik as tɛm de go.
Sɔm pan di men tin dɛn we dɛn kin trit wit dis ɔpreshɔn na:
- Pulmonary Atresia: Na sik we di pulmonary valv nɔ de fɔm we dɛn bɔn am.
- Regurgitant Pulmonary Valve: na di kכndyushכn we di bכdi de lik bak tru di valv.
- Tetralogy of Fallot: Na wan sik we gud ɛn bad blɔd de miks bikɔs ɔf wan kɔmbaynshɔn fɔ 4 at prɔblɛm dɛn.
- Truncus Arteriosus: Na wan sik we di tu men blɔd vesel dɛn we de kɔmɔt na di at kin jɔyn togɛda.
- Transposishכn fכ di Gret Atεri: Na kכndyushכn we di tu men bכdi vεsul dεm na di at de swich εn kכnekt.
TPVR ɔpreshɔn dɔn prodyuz rili saksesful rizɔlt as tritmɛnt fɔ dɛn kayn kɔndishɔn ya.
Wetin kin apin bifo, di tɛm we dɛn de du di ɔpreshɔn ɛn afta di ɔpreshɔn?
Fɔ pripia bifo dɛn du di ɔpreshɔn
Fɔ disayd if dis ɔpreshɔn fayn fɔ yu, yu dɔktɔ go tek tɛm chɛk yu fɔs. I kin du bɔku tɛst dɛn, lɛk:
- Angiogram we dɛn kin du
- Kadyak CT skan we dɛn kin du
- MRI fɔ di at
- Ekokardiogram we dɛn kin du
- Ilɛktrokardiogram (ECG) .
Bay di rizɔlt fɔ dɛn tɛst ya, yu dɔktɔ go ɔl tu tɛl yu fɔ du TPVR ɔpreshɔn ɔ disayd fɔ wach yu kɔndishɔn fɔ sɔm tɛm. I go advays yu bak bɔt us it dɛn fɔ it ɛn us mɛrɛsin dɛn fɔ stɔp fɔ tek (especially blood thinners) bifo yu du di ɔpreshɔn. Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɛni alɛji we yu go gɛt.
We dɛn de du di ɔpreshɔn
Bifo di ɔpreshɔn bigin, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Na da tɛm de nɔmɔ di spɛshal pɔsin go bigin fɔ wok.
1. Fɔs, dɛn kin kɔt smɔl pat na yu groin (femoral vein) ɔ sɔntɛm na yu nɛk (jugular vein) ɛn dɛn kin put wan tiub (kateta) tru am.
2. afta dat, we dεn yuz tεknכlכji dεm lεk εks-ray, dεn de gayd di nyu valv tru di tכb εn along wan waya to di kכrekt ples na di at. Dɛn kin fold dis valv oba wan balyɔn.
3. We i rich di rayt pozishɔn, di balyɔn kin ful-ɔp. Di nyu valv de pan ɛn fit tayt insay di ol valv. Frɔm da tɛm de, di nyu valv kin bigin fɔ wok.
4. Fɔ dɔn, chɛk if di valv de wok fayn ɛn pul ɔl di tiub dɛn we yu put insay.
Dis ɔl dis kin tek lɛk tu ɔ tri awa so .
Afta di ɔpreshɔn
Afta di ɔpreshɔn, dɛn go kip yu na ɔspitul fɔ wan nɛt fɔ mek dɛn wach yu. If ɔltin go fayn, yu go ebul fɔ go na os di nɛks mɔnin . Yu dɔktɔ go gi yu sɔm tin dɛn we yu fɔ fala we yu go na os. Bɔku tɛm yu go ebul fɔ bigin fɔ du yu nɔmal tin dɛn bak insay lɛk sɛvin dez so .
Wetin na di bɛnifit ɛn risk dɛn we di TPVR we dɛn de yuz gɛt?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn smɔl risk dɛn de. Lɛ wi no bɔt dɛn tu tin ya.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Di tɛm fɔ wɛl na shɔt tɛm. | Pen, brus, ɔ swel usay dɛn put di tiub. |
| Di risk fɔ gɛt di sik nɔ bɔku. | Blɔd we de klɔt. |
| Di tɛm we dɛn kin de na ɔspitul kin shɔt. | Di blɔd vesel dɛn we dɔn pwɛl. |
| Big big skata nɔ de, na smɔl smɔl kɔt dɛn nɔmɔ de. | Infεkshכn dεm (sεf infεkshכn dεm na di insay layn na di at - εndokarditis). |
| Di risk nɔ de pas di ɔpreshɔn we dɛn kin du fɔ opin at. | Di at bit we nɔ de bit ɔltɛm (Aritmia). |
Na smɔl tɛm nɔmɔ, siriɔs prɔblɛm lɛk at atak, strok, ɔ day kin apin. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm. Yu dɔktɔ go tɔk to yu bɔt ɔl dɛn tin ya ditayli.
Sɔm ɔda kwɛstyɔn dɛn we yu go gɛt
Aw lɔng dis nyu valv go las?
I dipen pan bɔku tin, lɛk yu ɔl yu wɛl bɔdi ɛn aw yu at de wok. Sɔm pipul dɛn kin nid fɔ du dis kayn ɔpreshɔn bak afta sɔm tɛm.
A nid fɔ du ɛni spɛshal tin bifo a gɛt tritmɛnt fɔ mi tit?
Yɛs, dis rili impɔtant. We yu de trit yu tit, baktri dɛm we de kɔmɔt na yu mɔt kin go insay di blɔd ɛn mek yu gɛt infɛkshɔn na di nyu at valv (endocarditis). So, we yu go to dɛntist, yu fɔ tɛl dɛn bifo tɛm se dɛn dɔn mek yu at valv. Yu kin nid bak fɔ tek antibayɔtik bifo dɛn pul yu tut.
A kin go tru sikyɔriti chɛk na di aypɔt?
Yɛs, nɔto prɔblɛm. X-ray ɛn ɛropɔn sikyɔriti skan nɔ go ambɔg yu valv. Bɔt yu fɔ rili tɔk to yu dɔktɔ bifo yu du MRI skan.
Mɛsej we dɛn kin kɛr go na os
- TPVR na wan mכdan sכjεkshכn we de riples di at in pulmonari valv tru wan sכm sכm insεshכn na di groin, we nכ de opin di chεst.
- Dis kin fayn mɔ fɔ pipul dɛm we gɛt prɔblɛm wit dɛn pulmonary valv bikɔs ɔf di at sik we dɛn bɔn wit.
- I gɛt shɔt tɛm fɔ wɛl, i nɔ kin gɛt bɔku prɔblɛm dɛn, ɛn i kin de na ɔspitul fɔ shɔt tɛm pas di ɔpreshɔn we dɛn kin du fɔ opin at.
- Yu kin go bak to nɔmal layf insay sɔm dez afta dis ɔpreshɔn.
- If yu gɛt dis kayn sik, tɔk to yu dɔktɔ we de mɛn yu at bɔt dis tritmɛnt fɔ si if i fayn fɔ yu.
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