Wi at tan lɛk 4 rum dɛn na wan os. Doa dɛn de bitwin dɛn rum dɛn ya we de mek blɔd go ɛn kam bak. Wi kin kɔl dɛn tin ya "At Valv". Sɔntɛnde, dɛn domɔt dɛn ya nɔ kin opin fayn ɛn dɛn kin smɔl. Dɔn di at gɛt fɔ wok tranga wan fɔ pɔmp blɔd. Tide wi de tɔk bɔt wan tritmɛnt we dɛn kin yuz sɔntin lɛk balyɔn fɔ mek wan valv we dɔn smɔl, big.
Wetin rili na valvuloplasty?
Fɔ tɔk am simpul wan, Valvuloplasty na wan we we de mek di at valv we dɔn smɔl, big ɔ big. dis dεn kin du fכ stכp di blכk we di bכdi de fכlכ we di at valv nכ de wok fayn.
Dɛn kin kɔl dis bak `Balloon Valvuloplasty`. di rizin fכ dis na dat we yu dכkta de du dis tritmεnt, i de yuz wan tכb we rili tכn (`Catheter`) wit wan sכmכl balכn we dεn tay na di εnd. dis tכb de pas insay di valv we sכmtεm na yu at εn di balכn de fכm. Dɔn di valv we dɔn smɔl kin big, ɛn dis kin mek di blɔd flɔ izi wan bak.
Sɔm pipul dɛn kin kɔl dis bak `Valvotomy`. dis balכn tritmεnt dεn kכl am bak `Open-heart surgery` fכ mek di valv big. Bɔt tide wi de tɔk bɔt di we aw dɛn kin yuz balyɔn we nɔ de du ɔpreshɔn.
Uskayn kes dɛn dis tritmɛnt nid fɔ de?
Valvuloplasty na wan we we dɛn kin du fɔ mek di at valv big we i smɔl (stenosis). dis prosidur kin bi pan eni wan pan di fכ valv dεm na wi at. כltu, dεn kin du am mכst pan di tu valv dεm, di Mitral εn Aortic.
Sɔntɛnde, dɛn kin du dis tritmɛnt bak as sɔlv fɔ sɔm tɛm. Dat min se fɔ mek di at wok fayn fɔ sɔm tɛm te dɛn ebul fɔ put nyu valv leta. Valvuloplasty nɔto fɔ chenj di at valv , we impɔtant fɔ mɛmba.
Aw yu kin pripia bifo yu 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 di nɛt bifo di tritmɛnt (fastin).
- If yu de tek ɛni mɛrɛsin, lɛk antikoagulant, stɔp am lɛk aw yu dɔktɔ tɛl yu.
- Lɛf mɛtal jɔyri ɛn dɛnt we dɛn kin pul na os.
We yu go na ɔspitul, di mɛdikal tim go gi yu mɛrɛsin (`anestesia`) fɔ ɛp yu fɔ rilaks. Bɔrku tɛm, yu go wek we yu de du dis tritmɛnt, bɔt dɛn go du ɔl wetin dɛn ebul fɔ mek shɔ se yu nɔr fil ɛni diskɔmfɔt.
Aw di tritmɛnt de wok stɛp bay stɛp
Na wan dɔktɔ we de mɛn di at kin du dis tritmɛnt. Bɔku tɛm, i kin tek wan awa ɔ mɔ. Na sɔm tin dɛn we kin apin we dɛn de du di tritmɛnt:
1. Dɛn kin put wan tiub (sheath) we rili tan tru wan big blɔd vesel na yu groin, an, ɔ sholda.
2. afta dat, dεn de pas wan kateshכn we gεt wan balכn we nכ inflated na di εnd tru di tכb we dεn bin dכn put bifo insay di at.
3. dεn de gayd dis kateshכn to di kכrekt ples, εn dεn injεkt wan spεshal likwid (kכntrast day) we dεn de wach am yuz imej tεknכlכji lεk εks-ray.
4. we di kateshכn rich di valv we dכn sכmtεm, di balכn de fכm wit briz. Dɔn di valv we dɔn smɔl kin big.
5. Dɔn, dɛn kin pul di briz we de insay di balyɔn ɛn pul di kateshɔn ɛn di balyɔn.
6. Fɔ dɔn, dɛn kin lɔk di say we dɛn put di kateshɔn wit smɔl stich ɔ spɛshal kayn glu.
Sɔntɛnde, if risk de fɔ mek blɔd kɔmɔt, dɛn kin lɛf di shea we dɛn bin put fɔs na in ples fɔ lɛk siks awa so.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn i gɛt prɔblɛm dɛn bak. I impɔtant fɔ ɔndastand dɛn tu tin ya klia wan.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Fɔ wɛl kwik kwik wan pas fɔ ɔpreshɔn fɔ opin at. | Alɛji to di day we dɛn yuz. |
| Minimization of big big skata dɛn. | Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik. |
| Ridyus risk fɔ kɔmplikeshɔn. | Blɔd we de kɔmɔt. |
| Di pen we de kam dɔŋ. | Damej to wan blɔd vesel ɔ at chɛmba. |
| Di at rit we de go dɔŋ. | Valv de lik. |
| Fɔ ebul fɔ delay ɔ avɔyd ɔpreshɔn fɔ riples di valv. | Afta sɔm tɛm, di valv kin smɔl bak. |
| di at ritm pat dεm we nכ nכmal (Arrhythmias). | |
| Hat atak ɔ strok. |
De patikyula risk factor wae de afekt yu dipen pan yu ova ol hεlth, so opin bכt dis wit yu dכkta εn aks eni kεshכn wae yu gεt.
Di tɛm fɔ wɛl afta dɛn dɔn trit am
Afta di tritmɛnt, dɛn go kɛr yu go na say we yu go wɛl. Dɛn go put bandej oba di say we dɛn put di kateshɔn.
Di tɛm we dɛn spɛn na ɔspitul
If dɛn bin put di kateshɔn tru di groin, dɛn nɔ go alaw yu fɔ bɛn yu leg fɔ sɔm awa. Yu go nid fɔ de na bed fɔ tu to siks awa. Yu go nid fɔ drink bɔku wata fɔ ɛp di day we dɛn bin yuz fɔ kɔmɔt na yu bɔdi kwik kwik wan. If yu nid fɔ pis insay dis tɛm, yu go nid fɔ yuz spɛshal tin (urinal/bedpan). Afta sɔm awa, yu go ebul fɔ grap ɛn waka. Bɔku pipul dɛn kin go na os di nɛks de.
Afta we i dɔn go na os
Di tɛm fɔ wɛl kin dipen pan tin dɛm lɛk yu jenɛral wɛl bɔdi.
- Yu fɔ avɔyd fɔ du tin tranga wan ɛn fɔ swim fɔ fayv to sɛvin dez.
- Bɔku pipul dɛn kin kam bak na dɛn wokples insay lɛk wan wik so, bɔt if yu wok nid fɔ tray tranga wan, yu go nid fɔ wet smɔl.
- I kin tek lɛk 8 wiks fɔ bigin ɔltin bak na yu nɔmal layf.
- Fɔl-ɔp go de 3-6 mɔnt afta di tritmɛnt. Afta dat, yu fɔ go to dɔktɔ wan tɛm insay di ia.
Ustɛm fɔ kɔl di dɔktɔ wantɛm wantɛm
Afta yu dɔn go bak na os, if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm . Sɔntɛnde, yu kin nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Chɛst de pen
- Chil ɔ fiva
- Diziz ɔ fɔdɔm (`Syncope`) .
- Fluid ɔ blɔd we de kɔmɔt na di say we dɛn put di kateshɔn
- Nɔs ɔ vɔmit
- If di pen ɔ swɛlin de wɔs
- If yu bɔdi wet go ɔp pas 1.5 kg (3 lbs) insay wan de
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 kin ɛp yu fɔ put di ɔpreshɔn fɔ chenj di at valv bifo tɛm. Bɔt i nɔto wan saiz tritmɛnt. Yu dɔktɔ go chɛk yu sik ɛn disayd wetin bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Valvuloplasty na rili simpul we fɔ mek di at valv we dɔn smɔl big bay we dɛn de yuz balyɔn.
- Dis na we we nɔ kin mek pɔsin fil pen ɛn we kin mek pɔsin wɛl kwik pas fɔ ɔpreshɔn pan pɔsin in at we opin.
- Jɔs lɛk ɔl di tritmɛnt dɛn, sɔm prɔblɛm dɛn de we kin mek yu gɛt prɔblɛm, so tek tɛm tɔk bɔt dɛn wit yu dɔktɔ bifo yu trit yu.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs afta yu dɔn trit yu. If yu si ɛni sayn we de wɔn yu, tɛl yu dɔktɔ wantɛm wantɛm.
- Dis na sɔlv fɔ sɔm valv dɛn fɔ lɔng tɛm, ɛn ɔda tɛm dɛn, i kin bi sɔlv fɔ sɔm tɛm bifo dɛn du big ɔpreshɔn tumara bambay.
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