Ivin we yu yɛri bɔt at ɔpreshɔn, dat na baypas ɔpreshɔn, yu kin fred smɔl ɛn fred, nɔto so? Ɛspɛshali we di dɔktɔ se yu nid fɔ du "triple bypass." Bɔt we yu ɔndastand klia wan wetin na dis rili, wetin mek dɛn nid fɔ du am, ɛn aw layf go tan lɛk afta dis, da fred de we de na yu at go dɔn bɔku pan am. Tide, wi go tɔk bɔt dis rili simpul wan, di we we yu go ɔndastand, lɛk se yu de tɔk to yu padi.
Fɔ tɔk am simpul wan, wetin na triplɛ baypas ɔpreshɔn?
Imajin se di men wata paip we de go na yu os dɔn lɔk wit dɔti na tri ples, ɛn di wata we de gi yu wata rili blok. Wetin wi kin du da tɛm de? If wi nɔ ebul fɔ pul dɛn ples dɛn de we dɛn dɔn blok, wi kin bil nyu layn bay we wi put nyu pat dɛn pan paip fɔ baypas dɛn ples dɛn de, nɔto so? Na dat dis ɔpreshɔn de du.
di blɔd vesel dεm we de gi blɔd to wi at (wi kכl dεn korona at dεm ya) kin kכl fεt εn kכlestכl. Insay mɛrɛsin, wi kin kɔl dis plek. Dis plek de blok di blɔd fɔ flɔ. Insay "triple bypass," di blɔd vesel dɛn kin blok na tri men ples dɛn .
So wetin di dɔktɔ de du na fɔ tek wan wɛlbɔdi blɔd vesel frɔm ɔda say na yu bɔdi (bɔku tɛm frɔm yu leg, an, ɔ insay yu chɛst) ɛn mek wan "nyu rod" rawnd di eria we dɔn blok. I tan lɛk baypas. Dis kin mek di at mɔsul gɛt di blɔd we i nid bak. Dɛn kin kɔl dis ɔpreshɔn bak Coronary Artery Bypass Graft, ɔ CABG.
Dis nɔto kɔmplit mɛrɛsin fɔ at sik, bɔt i kin ɛp fɔ stɔp di damej we de pan di at we di blɔd vesel dɛn kin blok, we kin sev yu layf ɛn mek yu layf bɛtɛ.
Udat go want fɔ mek dɛn du dis ɔpreshɔn?
Dɛn nɔ kin du dis ɔpreshɔn fɔ ɔlman. Dɔktɔ kin tɛl yu fɔ du am fɔ sɔm rizin dɛn. Men wan, e nid fɔ de fɔ pipul dɛm wae gɛt korona at sik.
- If yu gɛt pas 50% blɔk na di men lɛft at we de gi blɔd to yu at.
- if i pas 70% blok na di כda branch at dεm.
- if di blɔk we de na di blɔd vesel siriɔs ɛn kɔmpleks so dat dɛn nɔ go ebul fɔ du wan minimally invasive prosidur lɛk angioplasty (dis na wetin wi kin kɔl "stent placement").
- If yu kin gɛt pen na yu chɛst ɔltɛm (angina), i nɔ kin izi fɔ yu fɔ blo , ɔ yu de pan ay risk fɔ gɛt at atak bikɔs ɔf dɛn blɔk ya.
If dis kayn tin apin, di bɛst tin fɔ mek di at nɔ pwɛl mɔ na fɔ baypas ɔpreshɔn.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Afta di dɔktɔ dɔn disayd di de we dɛn go du di ɔpreshɔn, i go du bɔku tɛst dɛn fɔ no di sik we yu gɛt kɔrɛkt wan. Nɔ wɔri bɔt dɛn tin ya, dɛn kin du dɛn fɔ mek di ɔpreshɔn sef ɛn sakrifays as pɔsibul.
| Tɛst | Fɔ tɔk am simpul wan, wetin dis de luk fɔ? |
|---|---|
| Angiogram we dɛn kin du | We dɛn yuz spɛshal day ɛn ɛkstrem rayt, dɛn kin si ɔmɔs ɛn usay di blɔd vesel dɛn na yu at dɔn blok. |
| Chɛst X-ray ɔ CT skan | Chek di jenɛral kɔndishɔn fɔ yu at ɛn yu lɔng. |
| Tɛst fɔ Blɔd | Chɛk aw di kidni de wok, aw blɔd de klɔt, ɛn ɔda infɛkshɔn dɛn. |
| Ekokardiogram we dɛn kin du | Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I de luk aw di at mכsul dεm εn di valv dεm de wok. |
| Ilɛktrokardiogram (EKG) . | Chek di ilɛktrik aktiviti na di at, dat na di we aw di at de bit. |
Yu dɔktɔ go advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners) fɔ sɔm dez bifo dɛn du di ɔpreshɔn. I go tɛl yu bak fɔ stɔp fɔ it ɛn drink frɔm midulnɛt di de bifo dɛn du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di ɔpreshɔn go bigin afta dɛn gi yu jenɛral anestezi (`(Jɛnɛral Anestesia)`) ɛn put yu na slip. So yu nɔ go fil ɛni pen. Di ɔpreshɔn kin tek bitwin 3 ɛn 6 awa.
Bɔku tɛm, dɛn kin du dis as ɔpreshɔn we dɛn kin du fɔ opin at.
1. Fɔ mek di say we yu kɔt am: Di dɔktɔ we de du di ɔpreshɔn go mek wan say we yu de kɔt we i go tinap lɛk 6 inch dɔŋ di midul pan yu chɛst.
2. Fכ rich di at: dεn kin tek tεm sheb di bכdi (breastbone) we de na di midul pan di chεst to tu fכ rich di at. Afta di ɔpreshɔn, dɛn kin tay dis bon bak wit spɛshal waya dɛn, ɛn afta sɔm tɛm i kin wɛl bak.
3. Fɔ tek di nyu blɔd vesel: Neks, di blɔd vesel we yu nid fɔ mek di nyu rod go kɔmɔt na yu leg, an, ɔ insay yu chɛst.
4. Fɔ mek nyu rod: Fɔ dɔn, wan ɛnd pan di blɔd vesel de tay pan di men at we de kɛr blɔd kɔmɔt na di at, di aorta, ɛn di ɔda ɛnd de atak di say we dɔn blok dɔŋ. Insay "triple bypass," dɛn kin mek tri nyu rod dɛn.
Sɔntɛnde, di wan dɛn we rili pik kin gɛt ɔpreshɔn bay we dɛn de yuz smɔl smɔl say dɛn we dɛn kɔt. Bɔt i nɔ fayn fɔ ɔlman, ɛn yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to di intensiv kia yunit (ICU). Bɔku tɛm, yu go de de fɔ wan nɛt. Insay dis tɛm, yu go gɛt wan tiub na yu mɔt fɔ ɛp yu fɔ blo, bɔt dɛn go pul dis afta sɔm awa. Mashin dɛn go kɔntinyu fɔ wach yu at rit ɛn blɔd prɛshɔn.
- Yu de na ɔspitul: Afta di intensiv kia yunit, dɛn go transfa yu to jenɛral wɔd. Yu go de na di ɔspitul fɔ ɔda 3 to 5 dez.
- Afta yu dɔn go na os: I kin tek lɛk 6 wiks fɔ mek yu wɛl ful wan. Sɔm pipul dɛn kin tek lɔng tɛm smɔl ɔ smɔl.
- Waka: We yu de na ɔspitul, dɛn go aks yu fɔ grap na bed ɛn waka rawnd smɔl afta wan ɔ tu dez. Dis go ɛp yu fɔ wɛl kwik kwik wan.
- Drayv: Yu fɔ avɔyd fɔ drayv fɔ 6 wik, bikɔs i kin tek tɛm fɔ mek di sternum wɛl.
- Fɔ es ebi ebi: Dɔn bak, i nɔ fayn fɔ es ɛnitin we ebi pas 4-5 kilo (fɔ ɛgzampul, big wata bɔtul, smɔl gas silinda) insay dis tɛm.
- Cardiac Rehab: Afta yu go na os, yu dɔktɔ go mɔs tɛl yu fɔ du spɛshal ɛksɛsayz ɛn advays program fɔ ɛp fɔ mek yu at strɔng. I rili impɔtant fɔ tek pat pan am.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt in bɛnifit dɛn ɛn sɔm smɔl smɔl prɔblɛm dɛn bak.
Di bɛnifit dɛn we pɔsin kin gɛt
- I de mek di at nɔ pwɛl bay we i de mek di blɔd go bak na di at mɔsul.
- Di sayn dɛm lɛk fɔ de pen na yu chɛst ɔltɛm ɛn fɔ shɔt brith kin ridyus bad bad wan.
- Yu kwaliti fɔ liv go bɛtɛ pasmak.Yu kin wok ɛn go waka ɛn yu nɔ taya.
- Fɔ di wan dɛn we gɛt siriɔs tin we de ambɔg dɛn, i kin mek dɛn gɛt mɔ chans fɔ liv lɔng pas ɔda tritmɛnt dɛn.
Risk dɛn we kin apin
Fɔs, pas 95% pan di pipul dɛm wae gɛt baypas ɔpreshɔn nɔr kin gɛt siriɔs kɔmplikeshɔn. Dis na wan we we dɛn dɔn de du fayn fayn wan ɔlsay na di wɔl fɔ lɔng lɔng tɛm. Bɔt sɔm sik pipul dɛn (espɛshali di wan dɛn we gɛt ɔda mɛrɛsin ɔ di wan dɛn we dɛn de du ɔpreshɔn kwik kwik wan) kin gɛt sɔm prɔblɛm dɛn.
- Di kidni nɔ de wok fayn
- Strok
- Blɔd we de klɔt
- Ri-ɔklɔshɔn fɔ di blɔd vesel we dɛn yuz
- Infεkshכn dεm na di say we dεn insishכn
- Di at bit we nɔ de bit ɔltɛm (Atrial Fibrillation) .
Tipikli, di risk fɔ day frɔm triplɛ baypas ɔpreshɔn we dɛn dɔn plan fɔ du nɔ kin rich 1%. Yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
Ustɛm yu nid fɔ go to dɔktɔ afta yu dɔn go na os?
Yu nid fɔ tek kia ɔf yu bɔdi gud gud wan di tɛm we yu de wɛl afta yu dɔn go na os. I impɔtant fɔ wach if yu gɛt ɛni sayn fɔ se yu gɛt di sik.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di kwaliti we pɔsin gɛt | Wetin fɔ pe atɛnshɔn to |
| Blɔd ɔ pus we de kɔmɔt na di say we dɛn kɔt am | If blɔd stɛyn de na di klos, di say we dɛn kɔt kin rɛd, i kin swel, ɛn wata we tan lɛk pus kin kɔmɔt. |
| Fiva | If yu bɔdi tɛmpracha go ɔp, dat kin bi sayn fɔ se yu gɛt infekshɔn. |
| Di pen we de go ɔp na di say we dɛn kɔt am | If di pen de go ɔp de go de instead fɔ de stɔp smɔl smɔl. |
| Di at we de blo | If yu at fil lɛk se i de bit tumɔs fɔ natin. |
Dɔn bak, mek shɔ se yu go na ɔl di fɔlɔp apɔntinmɛnt dɛn we yu dɔktɔ tɛl yu fɔ kam afta di ɔpreshɔn. I rili impɔtant fɔ si if yu de wɛl fayn ɛn if di mɛrɛsin de wok fayn fayn wan.
Laif afta ɔpreshɔn...
Wan kwɛstyɔn we bɔku pipul dɛn kin aks na, "Aw lɔŋ yu kin liv afta yu dɔn du baypas ɔpreshɔn?" Wan gud ansa de fɔ dis. Ivin 10 ia afta dɛn dɔn du baypas ɔpreshɔn, pas 75% pan di sik pipul dɛn stil de alayv ɛn wɛl.
Bɔt mɛmba se ɔpreshɔn na fɔ sɔlv di prɔblɛm fɔ sɔm tɛm. Di ɔndalayn mɛdikal kɔndishɔn (kɔlestɔl, dayabitis, ay blɔd prɛshɔn) we mek di blɔd vesel dɛn smɔl stil de na yu bɔdi. So, di sakses fɔ di ɔpreshɔn fɔ lɔng tɛm dipen pan di we aw yu de liv yu layf.
- Fɔ lɛf fɔ smok ɛn fɔ smok kpatakpata.
- Fɔ it fayn it, we nɔ gɛt bɔku ɔyl ɛn shuga, ɛn we gɛt bɔku vɛjitebul ɛn frut.
- Ɛksesaiz ɔltɛm lɛk aw di dɔktɔ tɛl yu fɔ du.
- Fɔ tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek (kɔlestɔl, ay blɔd prɛshɔn, blɔd tin dɛn we de mek yu blɔd tan) di rayt tɛm.
- Fɔ kɔntrol di strɛs.
If yu du dɛn tin ya kɔrɛkt wan, yu go ebul fɔ liv fayn ɛn aktif layf lɔng afta dɛn dɔn du di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Tripul baypas ɔpreshɔn na ɔpreshɔn we kin rili wok fayn ɛn we dɛn kin du fɔ siriɔs at prɔblɛm. Nɔ fred am we yu nɔ nid fɔ fred.
- Dis ɔpreshɔn go mek yu nɔ gɛt di sik dɛn lɛk we yu de fil pen na yu chɛst ɛn we yu nɔ de blo fayn, ɛn i go mek yu layf bɛtɛ bad bad wan.
- I kin tek 6 wik ɔ mɔ fɔ mek i wɛl ful wan. Insay dis tɛm, i impɔtant fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
- Di sakrifays we di ɔpreshɔn go gɛt fɔ lɔng tɛm, dipen pan yu. Fɔ fala wɛlbɔdi layf ɛn tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ du, rili impɔtant.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt di ɔpreshɔn, tɔk bɔt am opin wan wit yu dɔktɔ.
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