wan nyu we fכ riples di at valv dεm we yu nכ de opin di chεst (Transcatheter Pulmonary Valve Replacement - TPVR)

Sɔntɛnde, yu go dɔn yɛri bɔt pikin we dɛn bɔn wit sɔm kayn at prɔblɛm we i bin yɔŋ. Sɔntɛm dɛn bin gɛt ɔpreshɔn da pikin de da tɛm de ɛn dɛn bin kɔrɛkt di sik. Bɔt we da kayn pikin de gro smɔl, we i rich yɔŋ ej, di at prɔblɛm we bin de da tɛm de we i bin smɔl kin kam bak difrɛn we. If na so i bi, tide wi go tɔk bɔt wan rili impɔtant tritmɛnt we go gi big trɛnk to layf.

So, wetin na TPVR?

Fɔ tɔk am simpul wan, TPVR , ɔ Transcatheter Pulmonary Valve Replacement , na spɛshal we fɔ chenj di pulmonary valv we nɔ de wok fayn na yu at, bɔt i nɔ de opin yu chɛst. Dis kin mek yu fil wɔndaful, nɔto so? Bɔku tɛm, we wi tink bɔt fɔ chenj di at valv, wi kin tink bɔt ɔpreshɔn we dɛn kin du fɔ opin at, we kin min se dɛn kin kɔt big pat na di midul pat na di chɛst. כltu, insay dis TPVR prכsidכm, di sכjaman de mek wan rili sכmכl insay di skin na yu groin εn i de du di כl prosidכs tru am.

di pulmonari valv na di get we de kכntro di pas we bכdi de kכmכt na wi at to wi lכng. If i nɔ wok fayn, di blɔd we de flɔ to di wan ol bɔdi go ambɔg. So tru dis we, we yu riples di valv we nɔ de wok fayn wit nyu wan, yu layf ɛn kwaliti layf go go ɔp bad bad wan. Dɔn bak, i go ɛp fɔ delay ɔ avɔyd fɔ mek dɛn nɔ nid fɔ du big ɔpreshɔn bɔku tɛm.

Wetin kin rili apin wit dis TPVR tritmɛnt?

Tink bɔt se insay tradishɔnal ɔpreshɔn we dɛn kin du fɔ opin at, dɔktɔ dɛn kin kɔt di chɛst bon ɛn transfa di at in wok fɔ sɔm tɛm to mashin (at-lɔng baypas mashin), dɔn dɛn kin pul di ol valv ɛn put nyu wan. Dis kin tek lɔng tɛm, i kin tek lɔng tɛm fɔ wɛl, ɛn i kin mek sɔm sik pipul dɛn gɛt dis kayn big ɔpreshɔn.

Bɔt di we aw dɛn de du TPVR rili difrɛn. Na wan we we nɔ kin tek bɔku pipul dɛn . Na dis na wetin kin apin:

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2. Insay dis kateshɔn na di nyu valv, we na wan smɔl balyɔn we dɛn fold oba.

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4. We di balyɔn dɔn put am na in ples, dɛn kin blo am. Di nyu valv, we dɛn bin fold, de pan ɛn snap na in ples usay di ol valv bin de.

5. Frɔm da tɛm de, di nyu valv kin bigin fɔ wok. di blɔd we de kɔmɔt na di at to di lɔng dɛn kin kam bak to di nɔmal tin.

Wan pan de big bɛnifit wae dis kin gɛt na dat bɔrku pipul dɛm wae dɔn gɛt dis tritmɛnt kin go na os kwik kwik wan. Di tɛm fɔ wɛl kin rili shɔt.

So, wetin kin apin if dis pulmonary valv nכ de wok fayn?

Tu men prɔblɛm dɛn de we kin apin wit di pulmonari valv.

Bikɔs ɔf dɛn tu tin ya, yu kin gɛt sɔm sayn dɛn lɛk fɔ blo shɔt (dyspnea) , yu leg ɛn bɛlɛ kin swel (edema) , yu chɛst kin pen , ɛn yu at kin bit ɔltɛm . Dɛn simptom ya go ridyus bad bad wan afta TPVR tritmɛnt.

Udat dis tritmɛnt fayn fɔ?

If dɛn bɔn yu wit at sik we dɛn bɔn yu ɛn dɛn bin gɛt ɔpreshɔn fɔ am we yu bin smɔl, chans de fɔ mek dis tritmɛnt fayn fɔ yu. Bikɔs di valv we dɛn bin put insay pikin we dɛn bin smɔl (bɔku tɛm na homograft) kin pwɛl as tɛm de go. Dɔn di tin dɛn we wi dɔn tɔk bɔt, lɛk stenosis ɔ rigurgitation, kin apin we yɔŋ pɔsin dɔn big. Na dat mek dɔktɔ dɛn kin advays dɛn kayn pipul ya fɔ yuz TPVR.

Dɛn kin yuz dis prɔsidyu fɔ trit dɛn at sik ya we dɛn bɔn wit:

• Tetralogy of Fallot: Na 4 defεkt dεm we dεn kכmbayn, inklud ol dεm na di at, we de mek gud εn bad blɔd miks.
• Pulmonary Atresia: Na sik we di pulmonary valv nɔ de fɔm we dɛn bɔn am.
• Truncus Arteriosus: di tu men bכdi vεsul dεm we kכmכt frכm di at (aorta εn pulmonary artery) de kכnekt togeda fכ mek wan.
• Transpozishכn fכ di Gret Atεri dεm: di tu men bכdi vεsul dεm de swich εn kכnekt na di rכng say dεm.

Wetin kin apin bifo ɛn afta tritmɛnt?

Fɔ pripia bifo dɛn gɛt tritmɛnt

Fɔ si if yu kin du TPVR, yu dɔktɔ go tek tɛm chɛk yu ɛn i kin du ɛksɛsayz strɛs tɛst. Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• Angiogram we dɛn kin du
• Kadyak CT skan we dɛn kin du
• MRI fɔ di at
• Ekokardiogram we dɛn kin du
• ECG tɛst we dɛn kin du

Afta yu dɔn tink bɔt ɔl dɛn tin ya, di dɔktɔ go disayd wetin na di bɛst sɔlv fɔ yu.

We dɛn de du tritmɛnt

Dɛn go anestez yu bifo di tritmɛnt bigin, so yu nɔ go fil ɛni pen. Di wan ol tin we dɛn kin du kin tek lɛk tu to tri awa so. Di dɔktɔ dɛn go put di kateshɔn, put di valv, chɛk aw i de wok, dɔn dɛn go pul di kateshɔn.

Afta dɛn dɔn trit am

Dɛn go kip yu na ɔspitul fɔ mek dɛn wach yu fɔ wan nɛt ɛn bɔku tɛm dɛn go sɛn yu na os di nɛks de. Yu go ebul fɔ bigin yu nɔmal tin dɛn bak insay lɛk wan wik so.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?

Lɛk ɛvri mɛrɛsin, dis wan gɛt bɛnifit ɛn sɔm prɔblɛm dɛn.

Na smɔl tɛm nɔmɔ, siriɔs prɔblɛm lɛk at atak, strok, ɔ day kin apin. So, i impɔtant fɔ tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we dis tritmɛnt gɛt bifo yu disayd fɔ du sɔntin.

Sɔm ɔda impɔtant tin dɛn we wi fɔ no

Aw lɔng nyu valv kin las?

Dis kin dipen pan yu ɔl wɛl bɔdi ɛn aw yu at de. Sɔm pipul dɛn kin nid fɔ du ɔda ɔpreshɔn afta sɔm tɛm. Bɔt di gud nyus na dat if nid de, yu kin mek dɛn chenj ɔda valv wit di TPVR prosidur.

Yu nid fɔ tek tɛm we yu de mɛn yu tit?

Yɛs, dis rili impɔtant. We dɛn de du tin dɛn lɛk we dɛn de pul di tut ɛn klin di tit, di baktri dɛm we de na di mɔt kin go insay di blɔd ɛn travul tru am fɔ mek i gɛt siriɔs sik we dɛn kɔl ɛndokadaytis , we na infekshɔn na di at valv we dɛn jɔs put insay. So, bifo yu gɛt ɛni dɛnt tritmɛnt, yu fɔ rili tɛl yu dɛntist se yu dɔn gɛt TPVR. Dɛn kin aks yu fɔ tek antibayɔtik bifo di tritmɛnt.

Ɛni prɔblɛm de wit di sikyɔriti na di aypɔt?

Nɔ, di X-ray we dɛn de du na di aypɔt ɛn we dɛn de chɛk di sikyɔriti nɔ go ambɔg yu. Bɔt if yu de tink bɔt fɔ du MRI skan, tɔk to yu dɔktɔ fɔs.