Yu dɔktɔ dɔn tɛl yu se yu at wik so i nɔ ebul fɔ pɔmp blɔd fayn? Ɔ sɔmbɔdi na yu famili gɛt dis sik? Tide wi de tɔk bɔt wan spɛshal tin we dɛn kin yuz fɔ ɛp di at if di at dɔn pwɛl pasmak. Dɛn kɔl dis Ventricular Assist Device, ɔ VAD fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na dis VAD?
Tink bɔt yu at lɛk smɔl motoka we de pɔmp blɔd ɔlsay na yu bɔdi. Sɔntɛnde dis motoka kin wik. Dɔn i nɔ kin ebul fɔ wok fayn. Da tɛm de, VAD na wan mɛkanikal tin we de ɛp di at fɔ pɔmp blɔd frɔm di at to di ɔda pat dɛn na di bɔdi. I tan lɛk se yu ad ɔda smɔl motoka fɔ ɛp di wik motoka.
Bɔku kayn VAD dɛn de. Lɛ wi luk di men kayn dɛn.
| VAD tayp | Wetin yu de du? |
|---|---|
| Divays we de ɛp di lɛft ventrikul (LVAD) . | Dis na di kayn we we dɛn kin yuz mɔ. i de wok na di lεft say na di at (di lεft vεntrikl). I de ɛp fɔ pɔmp klin blɔd we gɛt ɔksijɛn frɔm di at to di ɔda pat dɛn na di bɔdi. |
| Rayt Ventrikul Ɛp Divays (RVAD) . | Dis kin ɛp di rayt say na di at. I de ɛp fɔ klin di bɔdi in klin blɔd (blɔd we nɔ gɛt ɔksijɛn) bay we i de sɛn am to di lɔng dɛn. |
| Biventrikular Ɛp Divays | Dis kin ɛp ɔl tu di say dɛn na di at. Dat min se, ɔl tu di lɛft ɛn rayt say. |
| VAD dɛn fɔ pikin dɛn | Dis na smɔl VAD dɛn we dɛn mek spɛshal fɔ yɔŋ pikin dɛn. Dɛn kin yuz dɛn frɔm pikin we dɛn jɔs bɔn to smɔl pikin. |
Wetin mek a nid fɔ gɛt VAD?
If yu gɛt advans hat fayl ɛn yu at nɔ ebul fɔ pɔmp inof blɔd to yu bɔdi fɔ insɛf, yu kin nid fɔ gɛt VAD. I gɛt tri men we dɛn fɔ yuz am.
- Brij fɔ transplant: Sɔm pipul dɛn fit fɔ gɛt at transplant. Bɔt dɛn fɔ wet fɔ sɔm tɛm fɔ mek dɛn gɛt at we mach. Insay da tɛm de, dɛn kin yuz dis VAD fɔ ɛp yu at we wik. I tan lɛk brij.
- Brij fɔ mek yu wɛl: Sɔntɛnde, di at kin wik fɔ sɔm tɛm. If dɛn trit di at fayn, as tɛm de go i kin wɛl. Te da at de wɛl, dɛn kin yuz dis VAD fɔ ɛp.
- Destination therapy: Sɔm sik pipul dɛn nɔ kin ebul fɔ gɛt at transplant bikɔs ɔf dɛn ej ɔ ɔda mɛrɛsin. Fɔ dɛn kayn sik pipul ya, dɛn kin yuz dis VAD as tin fɔ sɔpɔt dɛn at fɔ ɔl dɛn layf. Dis kin mek dɛn ebul fɔ liv lɔng wit bɛtɛ kwaliti layf.
Aw dis VAD mashin de wok?
Dis divays gɛt bɔku pat dɛn. Sɔm dɛn kin gɛt ɔpreshɔn fɔ tay pan di at ɛn dɛn kin de insay di bɔdi. Ɔda pat dɛn de na do na di bɔdi.
| Pat pan di divays | Simpul ɛksplen |
|---|---|
| Kanula we de kam insay di wata | Dis na smɔl tiub we de kɔnɛkt di at chɛmba. di bכdi we de na di at de go insay di mεkanikal pכmp tru dis tכb. |
| Mekanikal pɔmp | Dis na di men pat pan di VAD. Dis pɔmp de du di pɔmp wok we yu at de du. |
| Kanula we de kɔmɔt na do | Dis na tyub bak. I de kɛr blɔd frɔm di mɛkanikal pɔmp to di bɔdi in men blɔd vesel (aorta) ɔ to di blɔd vesel we de go na di lכng (pulmonary artery). |
| Drayvlayn | dis na strכng waya we de kכmכt na di VAD insay yu bכdi εn tru yu skin. Dis na di say we di VAD kɔnɛkt to di kɔntrol we de na do. |
| Kɔntrola | Dis tan lɛk smɔl kɔmpyuta. I de kɔntrol aw di VAD de wok. Yu ɛn yu dɔktɔ kin luk am fɔ si if di VAD de wok fayn fayn wan. |
| Bateri pak we de na do | Dis na di bateri pak we de gi di pawa we dɛn nid fɔ di VAD. Wan men bateri ɛn bak-ap bateri de. Di VAD de kɔnɛkt to dɛn batri ya tru di kɔntrol. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Nɔto ɔlman wae gɛt siriɔs at pwɛl hat kin gɛt VAD. Fɔ no if yu na gud kandidet, dɛn go du gud gud wan fɔ chɛk yu na di mɛrɛsin ɛn saykilɔjik. Dis go inklud fɔ chɛk yu at ɛn ɔda impɔtant pat dɛn (lɛk yu kidni ɛn liva) gud gud wan. Dɛn go chɛk bak fɔ ɔda mɛrɛsin dɛn. Sɔm pan di tɛst dɛn we dɛn kin du na:
- Ilɛktrokardiogram (ECG) .
- Ikokardiogram (Echo) .
- Kɔmpyuta tomografi (CT) skan
- Test fɔ ɛksesaiz
- Cardiac catheterization (tεst dεm we dεn kin du bay we dεn put kateshכn insay di at) .
Dɔn bak, yu ɛn yu famili go no gud gud wan bɔt aw fɔ liv wit VAD ɛn aw fɔ kia fɔ am ɛvride. E fayn fɔ put pɔrsin wae go ebul fɔ sɔpɔt yu, ilɛksɛf na yu fambul ɔr pɔrsin wae de nia yu, pan dis prɔses.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis na big ɔpreshɔn. Fɔ tɔk am simpul wan, wetin kin apin we i de du am na dɛn wan ya:
1. Anesthesia: Fɔs, dɛn go put yu fɔ slip ɔl (general anesthesia). So yu nɔ go fil ɛnitin ɛn yu nɔ go mɛmba di ɔpreshɔn.
2. Sɔpɔt fɔ brith: Afta di ɔpreshɔn , ɛn insay di fɔs dez na di intensiv kia yunit (ICU), wan ventilator go brith fɔ yu.
3. Ɔpreshɔn:Di dɔktɔ we de du di ɔpreshɔn kin kɔt di midul pan yu chɛst ɛn go usay yu at de.
4. Hat-lɔng baypas mashin: Neks, dɛn go kɔnɛkt yu to wan spɛshal mashin. dεn kכl am `Cardiopulmonary Bypass Machine`. We dɛn de du di ɔpreshɔn, na dis mashin de du di wok we di at ɛn di lɔng dɛn de du fɔ sɔm tɛm. Dɛn go gi yu bak wan mɛrɛsin we dɛn kɔl `Heparin` fɔ mek blɔd nɔ klɔt.
5. Implant di VAD: Dɔn di ɔspitul kin ataya di VAD divays na di rayt say dɛn na di at. afta dat dεn kin pul di drayvlayn tru di skin na di bכdi.
6. Fɔ on di mashin: We dɛn dɔn kɔnɛkt di VAD, dɛn kin opin am ɛn dɛn kin pul yu na di spɛshal mashin.
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Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz VAD?
Bɔku pipul dɛn kin bigin fɔ gɛt dɛn tin ya we dɛn de liv wit VAD:
- I izi fɔ blo: Di taya ɛn shɔt briz kin ridyus bad bad wan.
- Di ɔgan dɛn we de wok fayn: Ɔda ɔgan dɛn na di bɔdi kin gɛt bɛtɛ blɔd flɔ, so dɛn kin wok fayn.
- Rivitalization: Di taya pasmak we bin de bifo nɔ de igen, ɛn di bɔdi kin fil fayn ɛnaji.
Fɔ tɔk am simpul wan, VAD kin rili ɛp yu fɔ liv yu layf.
Wetin na di prɔblɛm dɛn we kin apin to dis?
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin, ɛn ivin we pɔsin yuz dis divays fɔ ɔl in layf, sɔm prɔblɛm dɛn kin apin.
- At we nɔ de bit ɔltɛm (Aritmias) .
- Blɔd we de kɔmɔt
- Blɔd we de klɔt
- Sik we de prɛd
- Divays nɔ de wok fayn
- Rayt-sayd at we nɔ de wok fayn
- Sɛribrovaskyuɛl aksidɛnt ( strok ) .
Nɔr frayd fɔ dɛn risk ya. Yu mɛdikal tim de wach ɔltɛm fɔ mek dɛn nɔ gɛt dɛn ɛn fɔ manej dɛn if dɛn apin.
Tin dɛn fɔ tink bɔt we yu de liv wit VAD
Afta di ɔpreshɔn, yu go gɛt fɔ de na di intensiv kia yunit (ICU) fɔ sɔm dez. Dɔn dɛn go transfa yu to wan rɛgyula wɔd. Di tɛm we yu de na ɔspitul, dɛn go tren yu fɔ liv wit dis ikwipmɛnt.
We yu go na os, tek kia ɔf dɛn tin ya:
- Tek di mɛrɛsin ɛksaktɔli:I rili impɔtant fɔ tek blɔd tin dɛn lɛk Warfarin, we dɛn kin gi fɔ mek blɔd nɔ klɔt, ɛksaktɔli ɛn di rayt tɛm. Yu fɔ tek ɔda mɛrɛsin dɛn bak fɔ mek yu gɛt ay blɔd prɛshɔn ɛn fɔ kɔntrol yu at rit ɛksaktɔli.
- Divays Keya: Dɛn go tɛl yu aw fɔ kip di divays, bateri, ɛn drayvlayn klin. Tek tɛm fala dɛn instrɔkshɔn ya.
- Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:
- Di divays nɔ fɔ ɛva put am insay wata. Dis min se yu nɔ go ebul fɔ was ɔ swim wit am. Bɔt wi go sho yu aw fɔ shawa wit di divays we yu tek tɛm kɔba.
- Yu fɔ avɔyd kɔntakt spɔt bikɔs, if yu de tek mɛrɛsin we de mek yu blɔd tan, ivin smɔl injuri kin mek yu blɔd bɔku.
- Yu nid fɔ kɔnɛkt to batri ɔ plɔg na di wɔl ɔltɛm.
- Wan layf we go mek yu at pwɛl: Nɔ smok ɔltogɛda. It tin dɛn we gɛt fayn fayn tin dɛn fɔ it. Du ɛksɛsayz di rayt we lɛk aw yu dɔktɔ advays yu.
Ustɛm fɔ go to di dɔktɔ
Fɔ liv wit VAD min se yu go nid fɔ go fɔ mek dɛn chɛk yu ɔltɛm. Pan ɔl we yu go nid fɔ go bɔku tɛm fɔs, di frɛkuɛns go stɔp as yu sik de bɛtɛ.
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm:
| Simptom dɛm na di bɔdi | Prɔblɛm dɛn we gɛt fɔ du wit di ikwipmɛnt dɛn |
|---|---|
| - Chɛst pen - Blɔd we de kɔmɔt - Dak urine - Fiva ɔ kol - Jɔyn pen - Rɛd, swel, ɛn pen usay di say dɛn we dɛn kɔt ɔ drayvlayn kɔmɔt - We yu gɛt wet wantɛm wantɛm ɔ swel na di an ɛn fut | - If i tan lɛk se di kɔntrol, drayvlayn, ɔ bateri dɔn pwɛl - If di kɔntrolɔ de sho mistek mɛsej dɛn - If alam de go ɔf ɛn yu nɔ no aw fɔ stɔp am |
Tink bɔt mental wɛlbɔdi bak
Na nɔmal tin fɔ fil pwɛl hat ɛn wɔri sɔm tɛm wae yu de liv wit dis kayn big chenj. Bɔt nɔ kip dɛn filin dɛn de to yusɛf. Na natin fɔ shem fɔ. If yu de fil dis kayn we, fɔ tru, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Ventricular Assist Device (VAD) na wan mashin we de ɛp di at we wik bad bad wan fɔ pɔmp blɔd.
- Dis kin yuse as sɔpɔt fɔ yu layf te yu transplant yu at, te di at wɛl, ɔ ivin fɔ di res ɔf yu layf.
- Pan ɔl we dis na big ɔpreshɔn, i go rili ɛp fɔ mek yu liv lɔng ɛn mek yu layf bɛtɛ.
- We yu de liv wit VAD, i rili impɔtant fɔ tek kia ɔf di divays fayn fayn wan, tek di mɛrɛsin kɔrɛkt wan, ɛn fala yu dɔktɔ in instrɔkshɔn.
- If yu notis ɛnitin we nɔ kɔmɔn na yu bɔdi ɔ yu ikwipmɛnt, go to dɔktɔ wantɛm wantɛm. Tek kia bak fɔ yu maynd wɛlbɔdi.
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