Yu at in aorta valv gɛt wan flap? (Unicuspid Aortic Valve) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde wi kin yɛri se, ‘O, mi pikin gɛt smɔl at prɔblɛm, dɛn bɔn am wit at grɔmbul’? Ɔ, we yɔŋ pɔsin nɔ kin ebul fɔ blo ɔ i kin fil pen na in chɛst, dɔktɔ dɛn kin se, ‘Smɔl prɔblɛm de wit at valv.’ Na so wi go tɔk bɔt wan at sik wae nɔr kin bɔrku, bɔt wae rili impɔtant fɔ no bɔt.

Wetin na dis wan-liflet aorta valv (Unicuspid Aortic Valve)?

Fɔ tɔk am simpul wan, di aɔta valv na yu at gɛt wan liflɛt nɔmɔ instead ɔf di tri we i kin gɛt. Di wɔd "unicuspid" min "single-leaflet." Tink bɔt am lɛk domɔt we gɛt wan lɔk nɔmɔ instead ɔf tu.

Dɛn liflet dɛn ya tan lɛk smɔl smɔl domɔt dɛn. dεn de opin εn klos fכ alaw di bכdi we gεt כksijεn klin fכ pas frכm di lεft vεntrikl na di at - di lεft chεmba we de dכn pan di at - to di aorta . Dɔn di aorta de pɔmp blɔd ɔlsay na di bɔdi. So, we di nכmba fכ di liflet dεm na dis valv dכn, sכm sכm tin dεm kin de we de mek di bכdi fכ fכlכ.

Sɔm pipul dɛm wae gɛt dis sik, Unicuspid Aortic Valve, kin gɛt ɔda at prɔblɛm bak. Fɔ ɛgzampul:

• Aortopathy : Dis min se yu wik na di wɔl dɛm na di aorta.
• Ventricular Septal Defect (VSD) : Na ol na di wכl bitwin di tu lכw chεmba dεm na di at.
• Patent Ductus Arteriosus (PDA) : Na blɔd vesel we fɔ dɔn lɔk afta dɛn bɔn pikin de kɔntinyu fɔ opin.
• Coronary Artery Anomalies : Sɔm chenj dɛn kin apin na di at we de gi blɔd to di at.

Dis na tin we nɔ kin apin so ɔltɛm. I de afɛkt lɛk 0.02% pan di jenɛral pipul dɛn. Dɔn bak, i kin apin mɔ pan man dɛn.

Yu tink se kayn tin dɛn de we kin apin to dis?

yes, tu men tכp dεm de fכ Unicuspid Aortic Valve''. di difrεns bitwin dεn tu tכp dεm ya na di gap usay di tu liflet dεm (liflet dεm) kכnekt to di valv wכl, we dεn kכ l Kכmishכn'' . Yu kin ɔndastand dis lɛk dis. Imajin se yu lip dɛn de tay pan yu fes sote go, bɔt dɛn kin kam togɛda ɛn separet, nɔto so? Na dat Commissure'' bi.

Dɛn tu kayn ya na:

1. Acommissural type: Dis na di kayn we we kin rili bad . Insay dis kes, kɔmishɔn nɔ de, dat min se gap nɔ de. Ɛn i nɔ gɛt kɔnekshɔn to di aorta. Di liflet dɛn ɔl kin stɔp togɛda, i kin tan lɛk se dɛn weld dɛn togɛda. Di blɔd jɔs de pas na wan smɔl ol, lɛk pinhol.

2. Yunikɔmisɔral tayp: .Dis nɔr kin tranga smɔl pas di ɔda wan, ɛn na di kayn tin bak wae kin pasmak . I gɛt wan Kɔmishɔn, dat na wan gap. I kin kɔnɛkt bak to di aorta. We dɛn opin dis kayn valv, i kin tan lɛk layn. Sɔm pipul dɛn kin kɔmpia am to fish in mɔt.

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Us sayn dɛn yu kin si?

If big pɔsin gɛt dis sik (Unicuspid Aortic Valve), di sayn dɛm we pɔsin kin si na:

• Shortness of breath : We yu taya smɔl, yu kin fil lɛk se yu go faint we yu de klaym stej.
• Diziz : We yu tinap wantɛm wantɛm, yu kin fil diziz.
• Angina : Dis na we yu de fil pen ɔ tayt na yu chɛst. Fɔ sɔm pipul dɛn, dis kin pas to dɛn jaw, nɛk, ɔ ivin dɛn an.
• Fainting/fainting : Wantɛm we yu nɔ no natin.

Yɔŋ pikin dɛn we gɛt dis sik kin gɛt tin dɛn lɛk we dɛn gɛt at pwɛl na dɛn lɛft say . Dɛn kin lɔs dɛn wet bak lɛk ɔda pikin dɛn we dɛn ej, we min se dɛn nɔ kin gɛt bɛtɛ wet.

di tכp we wi bin dכn tכk bכt di Acommissural tכp, we na di tכp we siriכs, de sho di simptom dεm na di bεlε pikin dεm we rili yכng . Bɔt di wan dɛn we gɛt di kayn Unicommissural nɔ kin sho ɛni sayn te dɛn ol 20 ɔ 30 ia, dat na te dɛn rich yɔŋ pɔsin.

Wetin mek dis de apin? Wetin na di rizin?

dis kכndyushכn we dεn kכl Unicuspid Aortic Valve'', de apin we di tri lif dεm we fכ fכm nכmal wan bigin fכ divεlכp we di pikin stil de na di bכdi, εn afta dat insted fכ sεparat, dεn de fכs tכgeda εn bi wan. Dis kin apin bifo dɛn ivin bɔn di pikin .

pan ɔl we di wan dɛn we de du risach nɔ ebul fɔ pruv am fɔ tru, dɛn de sɔprayz se dis kin bi inherited condition.'' Dat min se i kin bi se i kin gɛt jɛnɛtik inflɔwɛns.

Us prɔblɛm dɛn dis kin mek?

Pɔsin we gɛt yunikɔspid aɔta valv kin gɛt difrɛn prɔblɛm dɛn as tɛm de go. Di men wan dɛn na:

• aortic valve stenosis : dis kin apin we di valv nכ opin fayn, we de blok di bכdi fכ fכlכ. Dis kin mek di at wok tranga wan fɔ pɔmp blɔd.
• di aortic valve regurgitation : di valv nכ de kכloz fayn fayn wan, we de mek sכm pan di bכdi we dεn pכmp de lik bak insay di at.
• Infective Endocarditis : Na infεkshכn na di layn na di at, spεshal wan di valv dεm. Pipul wae gɛt abnɔmal valv kin gɛt bɔrku risk.
• di risk fכ Aorta Disεkshכn we de go כp : Dis na wan kכndyushכn we kin apin we di wכl na di aorta kin te frכm insay.

Impɔtant: I rili impɔtant fɔ no ɛn trit di sik insay di rayt tɛm, bifo dɛn kɔmplikeshɔn ya apin.

Aw yu kin fɛn dis?

We yu go to dɔktɔ, i go lisin to yu at wit stetɔskɔp we yu de du yu bɔdi ɛgzam . If di dɔktɔ yɛri abnɔmal at sawnd (a at murmur) nia yu aorta, i kin sɔprayz dis. Dɔn, i kin tɛl yu fɔ du sɔm ɔda tɛst dɛn.

Us tɛst dɛn de du?

di men tεst dεm we dεn du fכ kכnfכm di prεsεns fכ dis Unicuspid Aortic Valve'' kכndishכn kכrekt wan na:

• Transthoracic Echocardiogram (TTE) : Dis tan lɛk ɔltra saund skan fɔ di at. Dɛn kin du am na di say we di chɛst de. i kin bεtεh fכ no aw di at shep εn aw in valv dεm de wok.
• Transesophageal Echocardiogram (TEE) : Dis na echocardiogram bak. Bɔt dɛn kin put wan smɔl tiub insay di trot ɛn dɛn kin si di at tru di εsophagus. Dis kin mek pikchɔ dɛn klia pas TTE.
• Cardiac Computed Tomography (CT) scan : Dis kin mek kros-sekshɔnal 3D imej dɛn fɔ di at ɛn di aorta.
• Hat MRI (Magnetic Resonance Imaging) : Dis kin gi ditayla infכmeshכn bak bכt di strכkchכ εn di wok we di at de du.

Aw dɛn kin trit am?

Di tritmɛnt fɔ dis kin difrɛn wit di ej ɛn aw di sik kin tranga.

Di tritmɛnt we dɛn kin gɛt fɔ yɔŋ pikin dɛn na:

• Surgical Valvotomy : Dis involv fɔ du ɔpreshɔn fɔ kɔt di valv tisu we dɔn stɔp togɛda ɛn mek nyu liflet dɛn.
• Valvuloplasty : Dis na fɔ yuz sɔntin lɛk balyɔn fɔ opin di valv.
• Commissurotomy : fכ sכja di εria dεm we dεn kכl Commissures'' usay di aylid dεm de atak tכgeda.
• Ross Procedure : Dis na ɔpreshɔn we kin kɔmplikt smɔl. Wi go tɔk mɔ bɔt dis leta.

Fɔ big pipul dɛn , dɛn kin nid ɔpreshɔn fɔ mek di aɔta valv (Unicuspid Aortic Valve repair) ɔ fɔ riples am wit nyu valv (riplesmɛnt) .

Ɛni sayd ɛfɛkt/kɔmplikɛshɔn de fɔ di tritmɛnt?

Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin wit dis tritmɛnt. Bɔt nɔto ɔlman go gɛt dɛn tin ya. Nɔ wɔri, yu dɔktɔ go tɛl yu gud gud wan bɔt dɛn tin ya.

Sɔm kɔmɔn prɔblɛm dɛn we kin apin na:

• Sik we de prɛd
• Blɔd we de klɔt
• Blɔd we de kɔmɔt pasmak (Bleeding) .
• Endocarditis (wan valv infεkshכn) .
• Prɔblɛm wit wan pat we dɛn kin yuz fɔ ripɛnt valv.
• Kɔmplit At Blɔk : I de ambɔg di at in ilɛktrik signal transmishɔn.
• At atak
• Blɔd de lik frɔm di valv to di rɔng say.
• Di Ritm fɔ di At we Nɔ Nɔmal

Aw lɔng i kin tek fɔ mek i wɛl?

Dis go difrɛn difrɛn wan bay di kayn prɔsidyu we yu bin gɛt. I kin tek ɛnisay frɔm wan wik to sɔm mɔnt fɔ mek i wɛl. Yu dɔktɔ go tɛl yu ustɛm yu nid fɔ rɛst ɛn ustɛm yu go ebul fɔ du tin dɛn we yu nɔ bin de du.

Aw layf go tan lɛk wit dis sityueshɔn?

If yu gɛt Unicuspid Aortic Valve, yu go mɔs nid ɔpreshɔn . Infakt, yu go nid fɔ mek dɛn ripɛnt ɔ chenj yu valv pas wan tɛm insay yu layf. Yu kin gɛt ɔda at prɔblɛm dɛn bak. Yu kin nid bak fɔ kɔntinyu fɔ tek tin dɛn we de mek yu blɔd tan (anticoagulants) afta dɛn dɔn du yu ɔpreshɔn, i go dipen pan di kayn valv we yu gɛt.

bכt wi fכ se bak se dis Unicuspid Aortic Valve'' nכto sכmtin we go כtomatik bεtε . Di sik kin stil de di sem te dɛn du ɔpreshɔn fɔ kɔrɛkt am.

Gud nyus de. wan stכdi sho se 97% pan di pipul dεm we dεn du aorta valv כpεrayshכn fכ wan kכndyushכn we dεn kכl Unicuspid Aortic Valve'' bin stil de alayv 10 ia afta dat .

Bɔt wan opinion de bak se if dɛn gi pɔsin we nɔ rich 65 ia prostɛtik aɔta valv bikɔs ɔf dis kɔndishɔn, i kin ridyus di layf we pɔsin kin liv pas 10 ia. Na dat mek di wan dɛn we de stɔdi bɔt dis tɔk se di Ross Procedure bɛtɛ fɔ yɔŋ pipul dɛn we de wok tranga wan. insay dis Ross prosidur, yu de tek yu own pulmonary valv εn transplant am na di ples we di sik aorta valv de. afta dat, dεn kin transplant wan pulmonary homograft frכm pɔsin we dɔn day na di ples usay di pulmonary valv we dεn pul bin de. Pan ɔl we dis kin kɔmplikt smɔl, dɛn se di tin dɛn we kin apin kin fayn.

Wetin yu want fɔ du pan yu pat?

Afta yu dɔn ɔpreshɔn, yu fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bɔt aw fɔ kia fɔ di say dɛn we yu kɔt/kɔt . I go tɛl yu bak aw lɔng yu nid fɔ rɛst ɛn ustɛm yu kin bigin fɔ drayv ɛn ɔda tin dɛn we yu kin du ɛvride.

Nɔ fɔgɛt: I rili impɔtant fɔ tek yu mɛrɛsin di rayt tɛm, lɛk aw di dɔktɔ tɛl yu fɔ du, ɛn fɔ go na di klinik di de dɛn we dɛn dɔn sɛtul fɔ yu.

Sɔntɛnde yu kin tink se, "O, a nɔ dɔn ol fɔ gɛt at sik yet," bɔt yu stil gɛt pen na yu chɛst ɛn i nɔ kin izi fɔ yu fɔ blo.If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu go to dɔktɔ. Afta yu dɔn ɔpreshɔn fɔ wan Unicuspid Aortic Valve, yu go kɔntinyu fɔ gɛt fɔlɔp apɔntinmɛnt wit yu dɔktɔ. If wan kɔmplikeshɔn (lɛk infɛkshɔn) apin afta dɛn du di ɔpreshɔn, yu kin nid fɔ gɛt tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt. Na sɔm kwɛstyɔn dɛn we yu kin aks:

• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin na di difrɛns bitwin di difrɛn kayn valv riplesmɛnt? (i.e., atifishal valv vs. bayovalv)
• Aw kwik a nid fɔ gɛt ɔpreshɔn?
• Aw lɔng valv we dɛn jɔs dɔn instɔl kin las?

We yu yɛri se sɔntin na yu at nɔ de wok fayn, i nɔ kin izi. Bɔt as tɛm de go, dɔktɔ dɛn dɔn mek bɛtɛ tritmɛnt fɔ dis sik. Tɔk to yu dɔktɔ bɔt wetin bɛtɛ fɔ yu. Bikɔs dis na tin we nɔ kin apin so ɔltɛm , i go fayn fɔ yu fɔ fɛn dɔktɔ we gɛt ɛkspiriɛns wit am. Fɔ ɛgzampul, sɔm pipul dɛn we de stɔdi bɔt dis tɔk se dɔktɔ we de du ɔpreshɔn fɔ du at le 15 Rɔs ɔpreshɔn dɛn insay wan ia.