Yu kin fil bak se yu nɔ de blo fayn ɔ yu de swɛt we yu taya smɔl, ɔ we yu de klaym wan stej? Ɔ yu leg dɛn kin swel? Yu kin tink se dis na nɔmal tin, na sɔntin we kin apin as yu de ol. Bɔt nɔto so i kin bi ɔltɛm. Sɔmtɛm, biɛn dɛn sayn ya, prɔblɛm kin de wit wan smɔl bɔt rili impɔtant pat na wi at. Tide wi de tɔk bɔt dis kayn impɔtant pat, we na di trikuspid valv na di at. I nɔmal fɔ mek yu fred we dɔktɔ tɛl yu se prɔblɛm de wit wan valv na yu at. Bɔt nɔ fred, wit di advans mɛdikal sayɛns tide, fayn tritmɛnt dɛn de fɔ dis. Lɛ wi ɔndastand ɔltin bɔt dis simpul wan.
Fɔs, lɛ wi si, wetin na di trikuspid valv?
Fɔ tɔk am simpul wan, wi at na wɔndaful mashin we gɛt 4 chɛmba dɛn. Tu chɛmba dɛn de ɔp ɛn tu chɛmba dɛn de dɔŋ. di bכdi in bכdi we nכ gεt כksijεn de fכs go insay di כp chεmba na di rayt say na di at (Right Atrium). Frɔm de, da blɔd de gɛt fɔ go na di ɔda chɛmba we de dɔŋ (Right Ventricle). Naw, di domɔt bitwin da ɔpa chɛmba de ɛn di ɔda chɛmba na in wi kɔl di trikuspid valv .
Dis tan lɛk domɔt we jɔs de opin na wan say. We blɔd de kɔmɔt ɔp to dɔŋ, dis domɔt kin opin, ɛn we di bɔtɔm chɛmba ful-ɔp wit blɔd, i kin lɔk bak. Dɔn di blɔd nɔ kin flɔ bak insay di rum we de ɔp. Fɔ tɔk di kɔrɛkt tin, dis valv gɛt tri liflet dɛn. Na dat mek dɛn kɔl am ‘tri’. Fɔ mek dis valv wok fayn fayn wan impɔtant fɔ mek blɔd go ɔlsay na wi bɔdi fayn fayn wan.
So us prɔblɛm dɛn kin kam wit dis valv?
as tεm de go, dis valv kin nכ de wok fayn fכ difrεn rizin dεm. Tu men kɔndishɔn dɛn de we dɛn kin si. Lɛ wi tek wan luk pan wetin dɛn bi.
| Kɔndishɔn | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Trikuspid we de kɔmɔt na di bɔdi | wetin kin apin insay dis na dat di valv flap dεm nכ de kכloz fayn fayn wan. afta dat, as di lכw chεmba de kכntrakt εn pכmp blכd insay di lכng, sכm pan di blכd de lik bak insay di כp chεmba. I tan lɛk se domɔt nɔ de lɔk fayn. |
| Trikuspid stenɔsis we de mek pɔsin gɛt sik | wetin kin apin insay dis kes na dat di valv liflet dεm kin tik εn stif, εn dεn nכ kin opin fayn fayn wan. Dis min se di flap dɛn kin stɔp togɛda lɛk rɔst. Dɔn dis kin mek di blɔd nɔ kɔmɔt na di ɔpa chɛmba to di ɔda chɛmba. |
Ilɛk wetin na di sik, na di sem tin kin apin. Wi at gɛt fɔ wok tranga wan fɔ pɔmp di blɔd we wi bɔdi nid. As tɛm de go, dis kin mek di at wik, we kin mek pɔsin gɛt tin dɛn lɛk we at nɔ de wok fayn.
I bɛtɛ fɔ mek di valv fayn ɔ fɔ put nyu wan?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Bɔku tɛm, dɔktɔ dɛn kin tray ɔltɛm fɔ mek yu yon valv. Na bikɔs natin nɔ de we bɛtɛ pas wan pat pan wi yon bɔdi.
Bɔt sɔntɛnde, if di damej pan di valv so bad dat dɛn nɔ go ebul fɔ mek am bak, dɛn kin nid fɔ pul am ɛn dɛn kin nid fɔ put nyu valv (riplesmɛnt). Tu kayn dɛn nyu valv dɛn ya de.
Mɛmba se yu dɔktɔ we de mɛn yu at go disayd us tritmɛnt go fayn fɔ yu. I go disayd fɔ du dat afta we i dɔn tek tɛm chɛk yu sik.
| Valv Tayp | Diskripshɔn ɛn spɛshal tin dɛn |
|---|---|
| Bayolojikal valv | Dɛn kin mek dɛn tin ya frɔm animal tisu (e.g. frɔm pig ɔ kaw) ɔ tisu frɔm mɔtalman we dɔn day. Di bɛnifit fɔ dis na dat yu nɔ nid fɔ tek antikɔagulant fɔ lɔng tɛm afta di ɔpreshɔn. Bɔt dɛn tin ya kin las fɔ 10-20 ia nɔmɔ. Afta dat, yu go nid fɔ du ɔda ɔpreshɔn. |
| Mekanikal valv | Dɛn mek dɛn tin ya wit sintetik tin dɛn we kin te lɛk kabɔn. Dɛn kin las fɔ ɔl yu layf. Bɔt bikɔs di risk de fɔ mek blɔd klɔt na dɛn valv dɛn ya, yu fɔ tek mɛrɛsin we de mek yu blɔd tan fɔ di res ɔf yu layf. I rili impɔtant fɔ tek da mɛrɛsin de jɔs lɛk aw dɛn tɛl yu fɔ tek am. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Okay, naw lɛ wi se di dɔktɔ disayd se yu nid fɔ du ɔpreshɔn. Bifo dat, yu go dɔn rɛdi gud gud wan.
- Aw fɔ no: Di mɛdikal tim go ɛksplen to yu ditayli wetin go apin bifo, di tɛm we dɛn de du di ɔpreshɔn, ɛn afta di ɔpreshɔn.
- Aks kwɛstyɔn: Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Nɔ kip ɛnitin fɔ yusɛf.
- Fɔ tɔk bɔt di prɔblɛm dɛn we kin apin: Lɛk ɔl di ɔpreshɔn dɛn, smɔl smɔl prɔblɛm dɛn de. Dɛn go tɛl yu bɔt dɛn wan dɛn de bak.
- Sayn fɔm fɔ kɔnsɛnt: Yu go nid fɔ sayn dɔkyumɛnt fɔ gi yu kɔnsɛnt fɔ di ɔpreshɔn.
- Tɛst: Yu go du bɔku tɛst fɔ si if yu fayn fɔ ɔpreshɔn.
- Blɔd tɛst dɛn
- Wan ECG (Ilɛktrokadiogram) .
- Chɛst X-ray ɛgzamin
- εkokardiogram (dis tan lεk we dεn skan di at. I kin chεk aw di valv dεm de wok) .
- Fɔ pripia na os: Yu go nid pɔsin fɔ ɛp yu we yu rich na os afta dɛn dɔn du yu ɔpreshɔn. Yu fɔ plan fɔ dɛn tin ya bifo tɛm.
Aw dɛn kin du di ɔpreshɔn?
Bɔku men we dɛn de fɔ du trikuspid valv ɔpreshɔn.
Tradishɔnal Ɔp-At Ɔpreshɔn
Dis na di we aw dɛn kin du am pas ɔl. insay dis, dεn kin akses di at tru wan say we dεn kin kɔt na di midul pan di chεst. We dɛn bin de du di ɔpreshɔn, .
1. Dɛn go anestez yu kɔmplit wan (put yu slip).
2. Di hat in wok de stɔp fɔ sɔm tɛm.
3. Da tɛm de, yu go kɔnɛkt to wan spɛshal mashin we de du di wok we yu at ɛn yu lɔng (at-lɔng baypas mashin).
4. Di dɔktɔ we de du di ɔpreshɔn kin mek ɔ chenj di valv.
5. Dɔn dɛn kin stat di at bak, pul am na di mashin, ɛn lɔk di say we dɛn kɔt am.
Di Opshɔn dɛn we Nɔ De Invayd
Naw we teknɔlɔji dɔn go bifo, nɔto ɔltɛm i nid fɔ kɔt big say. We dɛn de fɔ du dis ɔpreshɔn wit smɔl smɔl say dɛn we dɛn kɔt.
- Rayt thoracotomy: Dis min se yu fɔ mek smɔl say bitwin tu rib dɛn na di rayt say.
- Ɔpreshɔn we dɛn kin yuz rɔbɔt fɔ ɛp: Insay dis, di dɔktɔ kin kɔntrol di an dɛn na wan rɔbɔt mashin ɛn i kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn we dɛn kɔt na di chɛst.
- Di we aw dɛn de yuz transkateta:Dis na di nyu we aw dɛn kin du tin ɛn we nɔ kin ambɔg pipul dɛn. insay dis prosidכs, dεn de pas wan tכn tכb (kateta) tru wan big vein na di leg כ an to di at, we dεn kin pas כ riples di valv. Di tɛm fɔ wɛl afta dis prɔsidyu kin shɔt pasmak.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go de na di intensiv kia yunit na di ɔspitul fɔ sɔm dez. Dɔn dɛn go transfa yu to wan jenɛral wɔd. Di ɔl di ɔspitul we yu go de go difrɛn difrɛn wan fɔ yu kɔndishɔn ɛn di kayn ɔpreshɔn we dɛn du.
Na so i kin bi wit di tɛm we pɔsin kin mɛn.
- I kin tek sɔm mɔnt fɔ mek i wɛl bak afta dɛn dɔn ɔpreshɔn di at we opin .
- Afta wan prosidur lɛk transcatheter , yu kin bigin fɔ du nɔmal tin dɛn bak insay sɔm wiks.
Afta yu dɔn go na os, i rili impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm, rɛst, ɛn bigin fɔ du ɛksɛsayz smɔl smɔl.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ?
Afta yu rich na os, yu nid fɔ pe atɛnshɔn to yu bɔdi gud gud wan. If ɛnitin de we nɔ kɔmɔn, nɔ ignore am.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
| Diziz /fɔ fɔdɔm | If yu fil diziz we yu tinap ɔ na nɔmal tɛm. |
| Taya pasmak | If yu fil se yu taya pasmak fɔ du ɛnitin. |
| We yu gɛt bɔku bɔku wet wantɛm wantɛm | If yu gɛt mɔ wet wantɛm wantɛm ɛvri tu dez. |
| Di leg ɔ ankles we de swel | If di swɛlin na di leg dɛn go bɔku. |
| Sayn dɛm fɔ infɛkshɔn we gɛt fɔ du wit di ɔspitul wund - tɛl di dɔktɔ wantɛm wantɛm | |
| Fiva/chil we de mek pɔsin kol | If di bɔdi in tɛmpracha go ɔp. |
| Pus we de kɔmɔt na di wund | If wata de kɔmɔt na di say we dɛn kɔt am. |
| Rɛdnɛs rawnd di wund, i de mek di pen bɔku | If di wund rɛd ɛn di pen de go ɔp de go bifo. |
| If yu gɛt dɛn sik ya, go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm! | |
| Chɛst de pen | I kin tan lɛk se dɛn de swɛt mi chɛst, lɛk se dɛn de swɛt am. |
| Wantɛm wantɛm, i nɔ kin izi fɔ yu fɔ blo | If yu nɔ ebul fɔ blo wantɛm wantɛm. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | If yu lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm. |
Fɔ liv wit at valv prɔblɛm kin tranga. Bɔt dɛn ɔpreshɔn ya kin mek yu nɔ gɛt di sik ɛn mek yu liv nɔmal layf bak, ɛn du di tin dɛn we yu lɛk. So nɔ fred, tɔk to yu dɔktɔ, ɛn pik di tritmɛnt we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Trikuspid valv sik na wan sik we dɛn kin trit. If yu nɔ pe atɛnshɔn to am, dat kin mek yu at pwɛl.
- Pan ɔl we fɔ mek di valv na di fɔs tin we dɛn kin disayd fɔ du, i kin nid fɔ chenj am wit nyu wan if di bad bad tin dɔn pwɛl.
- Naw, dɛn dɔn gɛt di mɔdan we dɛn fɔ du ɔpreshɔn we nɔ de mek pɔsin in at pwɛl, lɛk ɔpreshɔn we pɔsin kin opin in at. Tɔk to yu dɔktɔ bɔt di we we go fayn fɔ yu.
- If yu gɛt ɛnitin we nɔ kɔmɔn (espɛshali yu chɛst pen, yu nɔ de blo fayn, yu nɔ de no natin) afta yu dɔn du yu ɔpreshɔn, go to dɔktɔ wantɛm wantɛm. Go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
- Nɔ wɔri. Dɛn ɔpreshɔn ya kin rili ɛp yu fɔ liv yu layf ɛn fɔ mek yu liv lɔng.
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