Wi at na ɔgan we de wok lɛk wɔndaful pɔmp. Insay dis pɔmp, smɔl smɔl get dɛn de we de ɛp fɔ mek blɔd flɔ na wan say nɔmɔ. Wi kin kɔl dɛn at valv ya. Imajin wetin go apin if wan pan dɛn get ya nɔ opin fayn, blok, ɔ smɔl? Dɔn di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd. Wi kin kɔl dis kɔndishɔn stenɔsis. So tide wi de tɔk bɔt wan tritmɛnt we nɔ so kɔmplikt fɔ mek dis kayn valv we dɔn blok wok fayn bak, dat na fɔ mek di say we i opin big.
Fɔ tɔk am simpul wan, wetin na valvuloplasty?
Valvuloplasty na wan kɔmɔn tin we dɛn kin du fɔ mek di at valv we smɔl ɔ we dɔn blok opin big. I rili simpul. Yu dɔktɔ go yuz wan smɔl, tin tiub we dɛn kɔl kateshɔn. Di ɛnd pan dis tiub gɛt wan smɔl balyɔn we dɛn tay pan am.
Dɛn kin kɔl dis bak Balɔn Valvuloplasti . So, dis tiub we shep lɛk balɔ de pas tru wan pan yu blɔd vesel dɛn to di valv we dɔn smɔl na yu at. Dɔn we dɛn blo di balyɔn, i kin opin di valv we dɔn smɔl ɛn mek i big. We dɛn dɔn du di prɔsidyu, dɛn kin pul di balɔ ɛn pul di tiub. I rili simpul, nɔto so?
Sɔntɛnde dɛn kin kɔl dis "valvotomy." Bɔt sɔntɛnde dɛn kin yuz da nem de fɔ dis balyɔn we dɛn de du ɛn bak fɔ di ɔpreshɔn fɔ mek di valv big bay we dɛn de yuz ɔpreshɔn fɔ opin at. כltu, insay di "valvuloplasty" we wi de tכk bכt tide, dεn nכ de mek big insishכn.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Dɛn kin yuz dis tritmɛnt mɔ fɔ mek wan at valv we dɔn smɔl (stenosis) big. Dis kin bi pan ɛni wan pan di 4 men valv dɛn na wi at. כltu, dεn kin yus dis tritmεnt fכ narכ w di mitral valv εn di aorta valv .
Tink bɔt am dis we. Sɔntɛnde, dɛn kin du dis as sɔlv fɔ sɔm tɛm. Dat min se, afta dis tritmɛnt, yu kin gɛt rilif fɔ sɔm tɛm, ɛn leta yu kin gɛt fɔ du ɔpreshɔn fɔ put nyu valv (Valve replacement).
Di impɔtant tin na dat valvuloplasty nɔto nyu at valv transplant. I jɔs de mek di valv we dɔn de ɛn mek di say we i opin big.
Aw a fɔ pripia bifo a gɛt tritmɛnt?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ dis. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Nɔ it ɔ drink ɛnitin frɔm di nɛt bifo di tritmɛnt (fastin).
- If yu de tek mɛrɛsin we de mek yu blɔd tan (anticoagulants), yu go nid fɔ stɔp fɔ tek am fɔ sɔm tɛm, lɛk aw yu dɔktɔ tɛl yu.
- Rimov mɛtal jɔyri ɛn wach dɛn ɛn lɛf dɛn na os.
We yu go na ɔspitul, di mɛdikal tim go gi yu wan mɛrɛsin we de mek yu fil fayn (anestesia) fɔ ɛp yu fɔ rilaks. Bɔrku tɛm, yu go wek we yu de du dis tritmɛnt, bɔt yu nɔ go fil ɛni pen.
Wetin kin apin we dɛn de trit am?
Dis balyɔn valvuloplasty prosidur na wan dɔktɔ we de mɛn di at kin du am. Bɔku tɛm, i kin tek lɛk wan awa ɔ smɔl pas dat. Lɛ wi tek wan luk pan wetin kin apin we dɛn de du dis prɔsidyu.
| Step dɛn we yu fɔ du | Wan simpul ɛksplen bɔt wetin de apin |
|---|---|
| 1. Fɔ put di tiub insay | Di dɔktɔ kin put wan smɔl tiub we dɛn kɔl sheath insay wan big blɔd vesel na yu groin, yu an, ɔ yu sholda. |
| 2. Fɔ sɛn di kateshɔn | Insay da tiub de, dɛn kin tek tɛm pas wan kateta we gɛt tiub na di ɛnd along di blɔd vesel to di at. |
| 3. Tek kia of di rod | fכ si klia wan di rod we dis tכb de pas tru di bכdi vεsul dεm, dεn injεkt wan spεshal kayn ‘kכntrast day’. Dis day de mek pɔsin si di insay pat pan di vessel dɛn we yu luk am wit mashin lɛk ɛkstrem rayt. |
| 4. Balɔn infleshɔn | We di kateshɔn rich di rayt say we di valv we dɔn blok de, dɛn kin blo di balyɔn wit briz, ɛn dis kin mek di valv we dɔn blok opin ɛn mek i big. |
| 5. Fɔ pul di tiub | we di valv dεn dכn dilayt, dεn de dεflet di balכn εn dεn tek tεm pul di kateshכn εn di balכn. |
| 6. Fɔ lɔk di wund | Dɛn kin lɔk di say we dɛn put di tiub wit smɔl stich ɔ spɛshal kayn ɔspitul glu. |
Sɔntɛnde, if risk de fɔ mek yu blɔd kɔmɔt ɔ if yu nid fɔ wet te di mɛrɛsin dɛn we de mek yu blɔd tan, dɛn kin lɛf di fɔs tiub we dɛn put insay, we dɛn kɔl ‘sheath’, na in ples fɔ lɛk siks awa so ɛn afta dat dɛn kin pul am.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit ɛn prɔblɛm dɛn de. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli bay yu patikyula wɛlbɔdi kɔndishɔn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| di blɔd de go fayn ɛn di at nɔ kin gɛt bɛtɛ wok fɔ du fɔ pɔmp blɔd. | Alɛji to di day. |
| I kin pɔsibul fɔ delay ɔ avɔyd ɔpreshɔn fɔ riples di valv. | Kכndishכn dεm we de fכm infεkshכn. |
| Yu kin wɛl kwik kwik wan pas we yu du ɔpreshɔn pan yu at we opin. | Blɔd we de kɔmɔt. |
| I nɔ de lɛf big skata na di bɔdi. | Damej to wan blɔd vesel ɔ at. |
| Di risk fɔ gɛt kɔmplikeshɔn nɔ bɔku. | Wan lik frɔm di valv. |
| Di pen nɔ kin rili smɔl. | Dɔn di valv kin smɔl bak. |
| Di at bit we nɔ de bit. | |
| At atak ɔ strok (we nɔ kin apin so ɔltɛm) . |
Wetin kin apin afta dɛn dɔn trit am?
We dɛn dɔn fɔ gɛt di tritmɛnt, dɛn go transfa yu to say usay yu go wɛl. Dɛn go put bandej usay dɛn put di kateshɔn.
- If dɛn bin put di kateshɔn tru di groin, yu go nid fɔ kip yu leg stret fɔ sɔm awa. Bɔku tɛm yu go nid fɔ de na bed fɔ tu to siks awa.
- Dɛn go tɛl yu fɔ drink bɔku wata . Dis go ɛp fɔ flush di day we dɛn bin put insay yu bɔdi tru yu urine.
- If yu nid fɔ pis we yu de na bed, yu go nid fɔ yuz spɛshal tin (urinal/bedpan) fɔ du dat.
- Afta sɔm awa yu go ebul fɔ grap ɛn waka.
- Bɔku pipul dɛn kin ebul fɔ go na os di nɛks de .
Aw lɔng i kin tek fɔ mek i wɛl?
Dis kin dipen pan sɔm tin dɛm, lɛk yu jɛnɛral wɛl bɔdi ɛn yu at kɔndishɔn.
- Yu fɔ avɔyd fɔ du tin dɛn we de mek yu tranga lɛk fɔ wok ɛn fɔ swim fɔ lɛk fayv to sɛvin dez so .
- Bɔku pipul dɛn kin go bak na wokples insay lɛk wan wik so . Bɔt if yu wok nid fɔ tray tranga wan, yu dɔktɔ go advays yu fɔ rɛst smɔl.
- I kin tek lɛk 8 wiks fɔ kam bak to yu nɔmal layf.
- Dɛn go aks yu fɔ kam bak fɔ chɛk-ap insay lɛk 3-6 mɔnt afta dɛn dɔn trit yu. Afta dat, yu fɔ go to dɔktɔ wan tɛm insay di ia.
Us tɛm a fɔ kɔl di dɔktɔ?
We yu go na os afta yu dɔn gɛt tritmɛnt, pe atɛnshɔn to yu bɔdi gud gud wan. If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te ɛn kɔntak yu dɔktɔ wantɛm wantɛm.
| Imejɛnsi simptom dɛm fɔ wach fɔ | |
|---|---|
| - Chɛst pen | - Fɔ fil kol ɛn gɛt fiva |
| - Faint / Sinkɔp we pɔsin kin gɛt | - Fluid ɔ blɔd de kɔmɔt na di say we dɛn put am |
| - Nɔs ɔ vɔmit | - I de mek yu fil pen ɔ swɛlin mɔ ɛn mɔ |
| - di wet we yu de gεt pas 1.5 kg (3 lbs) insay wan de (dis kin bi sayn fכ di wata we de kכmכt) | |
We i kam pan ɔpreshɔn fɔ yu at, i nɔmal fɔ mek yu fil lɛk se yu de fred smɔl, ilɛksɛf nɔto ɔpreshɔn we yu de du fɔ opin yu at. Valvuloplasty na fayn we fɔ delay di nid fɔ gɛt nyu valv. Bɔt i nɔto wan saiz tritmɛnt. If yu gɛt ɛni kwɛstyɔn bɔt aw fɔ du di balɔ, nɔ shek fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Valvuloplasty na simpul tin we nɔ de insay pɔsin in bɔdi we de mek di at valv we dɔn smɔl big we yu de yuz balyɔn.
- Dis nɔto fɔ instɔl nyu valv, bɔt na fɔ mek di valv we dɔn de.
- Di men bɛnifit dɛn na we i kin wɛl kwik kwik wan, i nɔ kin fil pen, ɛn i nɔ kin gɛt bɔku skata pas di ɔpreshɔn we dɛn kin du fɔ opin at.
- If yu gɛt sɔm sayn dɛn lɛk pen na yu chɛst, fiva, ɔ yu de swel pasmak afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ we de mɛn yu at bɔt if dis tritmɛnt fayn fɔ yu ɛn wetin i bɛnifit ɛn bad bad tin dɛn.
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