Na nɔmal tin fɔ mek yu fred ɛn fred smɔl we yu dɔktɔ tɛl yu se yu fambul ɔ yu padi nid fɔ gɛt baypas ɔpreshɔn. Ɛspɛshali we yu yɛri di wɔd "triple bypass," da fred de kin ivin big. "Tripul baypas na big risk?" "A go ebul fɔ liv nɔmal afta dis?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. So, lɛ wi tɔk bɔt dis insay wan simpul, ɔndastandin we fɔ klia ɔl di tin dɛn we de mɔna yu bɔt am.
Wetin rili na ‘triple bypass’ ɔpreshɔn?
Di bɛst we fɔ ɔndastand dis na fɔ tink bɔt trafik jam na rod. Imajin se tri men rod dɛn de usay ɔl di motoka dɛn kin stɔp, ɛn dis kin mek big big trafik jam. So yu nɔ go ebul fɔ rich usay yu want fɔ go kwik kwik wan. Wetin wi de du dis tɛm? Wi de yuz baypas rod fɔ avɔyd dɛn trafik jam dɛn de, nɔto so?
Dis ɔpreshɔn na di sem tin. di men bכdi vεsul dεm we de gi bכdi to wi at (koronari at dεm) de blok bay fεt εn kכlestכl dεposit dεm (wi kכl dis `plak`). insay `triple bypass` כpεrayshכn, dεn kin mek tri nyu rod dεm fכ bכdi fכ fכlכ, baypas dεn tri εria dεm ya we dεn blכk.
Fɔ du dis, di dɔktɔ dɛn we de du ɔpreshɔn kin tek wan wɛlbɔdi blɔd vesel frɔm ɔda pat na yu bɔdi (bɔku tɛm frɔm yu leg, an, ɔ insay chɛst) ɛn transplant am, lɛk nyu ‘baypas’, rawnd di say we dɔn blok na yu at. Dis kin mek di at mɔsul ebul fɔ gɛt blɔd we nɔ gɛt ɛnitin fɔ ambɔg am. dis opεrayshכn dεn kכl am mεdikal wan `Koronary Artery Bypass Graft` כ `CABG`.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn?
Dis ɔpreshɔn kin bi fɔ pipul dɛn we gɛt korona at sik . Nɔto ɔlman, bɔt fɔ di wan dɛn we gɛt sɔm kɔndishɔn dɛn.
- If big big blɔk de na di men blɔd vesel dɛn we de gi blɔd to di at. fכ egzampl, if mכr dan 50% pan di lεft men at כ mכr dan 70% pan di כda branch at dεm dεn blכk.
- If dɛn blɔk ya kin mek yu gɛt sɔm sayn dɛn ɔltɛm lɛk pen na yu chɛst (angina) ɛn i nɔ kin izi fɔ blo .
- If yu de pan big risk fɔ gɛt at atak.
- If di blɔk tu kɔmpleks ɔ i bɔku fɔ mek dɛn trit am wit tritmɛnt we nɔ de insay di bɔdi lɛk angioplasty (na we dɛn kin yuz balyɔn fɔ mek di at big ɛn put stent), .
Fɔ tɔk am simpul wan, baypas ɔpreshɔn na di bɛst sɔlv fɔ mek di at nɔ wok fayn pan kɔmpleks kes dɛn we gɛt bɔku bɔku blɔk.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Afta yu dɔn disayd di de we dɛn go du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du bɔku tɛst fɔ no if yu sik bɛtɛ.
| Nem fɔ di tɛst | Fɔ tɔk am simpul wan, aw i tan lɛk? |
|---|---|
| Angiogram we dɛn kin du | Chek di rayt say ɛn di sayz we di blɔd vesel dɛn na di at de blok. |
| Ekokardiogram we dɛn kin du | Chɛk aw di at de wok, dat na aw di at de pɔmp fayn fayn wan. |
| ECG/EKG we dɛn kin yuz | Chek di at in ilɛktrik aktiviti ɛn ritm. |
| Chɛst X-ray ɔ CT skan | Chek di jenɛral kɔndishɔn fɔ di at ɛn di lɔng dɛn. |
| Tɛst fɔ Blɔd | Chek tin dɛm lɛk aw di kidni de wok ɛn di blɔd shuga lɛvɛl. |
Dɛn go advays yu fɔ avɔyd fɔ it ɔ drink ɛnitin frɔm midulnɛt di nɛt bifo dɛn du yu ɔpreshɔn. Yu kin nid bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan, fɔ sɔm dez.
We dɛn de du di ɔpreshɔn
Bɔku tɛm dɛn kin du dis as `open-heart surgery` . Dɛn kin ful yu anestez (put yu slip) ɛn di ɔpreshɔn bigin. di sajin de mek wan vertikal insishכn lεk 6 inch dכn di midul pan yu chεst, tek tεm sheb di midul bon na yu chεst (sternum) insay tu, εn i de rich di at. Dɔn, lɛk aw wi bin dɔn tɔk, dɛn kin yuz wan wɛlbɔdi blɔd vesel we dɛn pul na yu leg ɔ ɔda pat na yu bɔdi fɔ mek nyu rod rawnd di blɔk. Di ɔl di tin dɛn we dɛn kin du kin tek bitwin 3 ɛn 6 awa .
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ lɛk wan de so, usay dɛn go de wach yu gud gud wan. Insay dis tɛm, yu go gɛt wan tiub na yu mɔt fɔ ɛp yu fɔ blo, wan tiub fɔ pul wata we de kɔmɔt na yu bɔdi, ɛn mashin dɛn fɔ wach tin dɛn lɛk yu at rit ɛn blɔd prɛshɔn. Nɔr de ala pan dɛn tin ya, dis na ɔl nɔrmal tin wae dɛn kin du fɔ yu wɛl bɔdi.
Yu go ebul fɔ go bak na di jenɛral wɔd insay wan ɔ tu dez. Yu kin ebul bak fɔ bigin waka smɔl smɔl. Afta yu go na os, i kin tek lɛk 6 wik ɔ mɔ fɔ mek yu wɛl ful wan. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn insay dis tɛm.
- Drayv: Nɔ drayv te yu sternum wɛl (lɛk 6 wik).
- Hevi liftin: Nɔ es ɛnitin we ebi pas 4-5 kg (fɔ ɛgzampul, 5 lita bɔtul wata).
- Mεdikeshכn: Mεdikeshכn lεk `Aspirin`, we dεn kin gi fכ mek blכd kכlכt, kin nid fכ tek fכ layf. Dɛn fɔ tek ɔda mɛrɛsin dɛn lɛk aw dɔktɔ tɛl dɛn.
- Cardiac Rehab: Dɛn go advays yu bak fɔ du spɛshal ɛksɛsayz ɛn layf stayl trenin program ɔnda di sɔpɔtishɔn fɔ dɔktɔ dɛn fɔ mek yu at strɔng afta dɛn dɔn ɔpreshɔn yu. Dis na sɔntin we pɔsin fɔ du.
Ɛni risk de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin. Bɔt pas 95% pan di pipul dɛn we gɛt baypas ɔpreshɔn nɔ kin gɛt siriɔs prɔblɛm. Di risk fɔ day nɔ rich 1%, mɔ we dɛn plan fɔ du ɔpreshɔn. Di prɔblɛm dɛn we kin apin na:
- Di kidni dɛn we de wok fayn fayn wan
- Strok
- Blɔd we de klɔt
- Di blɔd vesel we dɛn transplant nɔ wok
- Infekshɔn na di wund we dɛn kɔt
- At bit we nɔ de bit ɔltɛm (`Atrial Fibrillation`) .
Tin dɛn lɛk dat kin de insay. Bɔt di chans fɔ mek dɛn tin ya apin rili smɔl.
Ustɛm yu nid fɔ go to dɔktɔ afta yu dɔn go na os?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
- Blɔd ɔ pus we de kɔmɔt frɔm di say we dɛn kɔt
- Fiva
- Di pen we de na di wund de bɔku mɔ ɛn mɔ.
- Di at rit de go ɔp
Dɔn bak, mek shɔ se yu go na di klinik dɛn ɛn si di dɔktɔ di de dɛn we dɛn dɔn plan fɔ du afta di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- ‘tripul baypas’ ɔpreshɔn na wan we we rili saksesful ɛn we kɔmɔn we de mek nyu we fɔ mek blɔd flɔ bay we dɛn baypas tri blɔd vesel dɛn we dɔn blok na di at.
- Dis kin protɛkt yu at mɔsul, i kin ridyus di sayn dɛm lɛk pen na yu chɛst, ɛn i kin mek yu layf bɛtɛ.
- I kin tek sɔm tɛm (6 wik ɔ mɔ) fɔ mek i wɛl. Insay dis tɛm, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Fɔ liv fayn layf afta dɛn dɔn ɔpreshɔn yu, i impɔtant fɔ it gud it, ɛksesaiz ɔltɛm , ɛn nɔ smok atɔl .
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. If yu no bɔt sɔntin, dat go mek yu gɛt bɔku trɛnk na yu maynd.
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