Yu at wik? Lɛ wi lan bɔt wan Ventricular Assist Device (VAD) .

Sɔntɛnde, wi at kin rili wik. Di at mɔsul kin taya sote i nɔ go ebul fɔ kɔntrol am wit mɛrɛsin ɔ ɔda tritmɛnt. Wi kin kɔl dis kɔndishɔn Advanced Heart Failure. So, yu no se insay tɛm lɛk dis, dɛn kin put smɔl ‘ɛpman’ na di at ɛn dɛn kin gi sɔm pan di wok we di at de du? Dis divays na wetin wi kin kɔl Ventricular Assist Device, ɔ VAD fɔ shɔt tɛm pan mɛrɛsin. Tide, lɛ wi ɔndastand dis simpul wan, lɛk se wi de tɔk to wi padi.

Fɔ tɔk am simpul wan, wetin na VAD?

Tink bɔt yu at lɛk motoka we de pɔmp wata fɔ go na os. We dis motoka nɔ wok, di wata nɔ kin kɔmɔt na di wan ol os, nɔto so? Na so i kin bi wit wik at. VAD na smɔl mɛkanikal pɔmp we dɛn kin yuz fɔ ɛp di at we wik. I de tek blɔd frɔm wan ventricle na di at ɛn pɔmp am to di ɔda pat na di bɔdi. I tan lɛk se yu ad smɔl ɛkstra motoka to di wik motoka.

Bɔku men kayn dɛn de fɔ dɛn VAD ya.

Us kayn pipul dɛn nid VAD?

Nɔto ɔlman we gɛt siriɔs at prɔblɛm go gɛt VAD. Dɛn kin yuz am mɔ fɔ tri tin dɛn.

1. As Brij fɔ Rikɔv: Sɔntɛnde, di at kin wik bad bad wan fɔ sɔm tɛm. Insay dɛn kayn tin ya, dɛn kin yuz VAD fɔ gi di at sɔm rɛst ɛn sɔpɔt am te i ebul fɔ wok fɔ insɛf bak.

2. As Brij to Hat Transplant: Sɔm sik pipul dɛn nid at transplant. Bɔt dɛn fɔ wet fɔ sɔm tɛm fɔ mek dɛn gɛt at we go gri wit dɛn. Insay da tɛm de, dɛn kin yuz VAD fɔ sɔpɔt di at fɔ sev layf.

3. Destination Therapy: Fɔ di wan dɛn we nɔ fit fɔ gɛt at transplant bikɔs ɔf dɛn ej ɔ ɔda mɛrɛsin, dɛn kin yuz dis VAD fɔ ɔltɛm fɔ gi dɛn at sɔpɔt fɔ ɔl dɛn layf. Dis kin mek dɛn ebul fɔ liv lɔng ɛn gɛt bɛtɛ kwaliti layf.

Aw dis mashin de wok?

Bɔku pat dɛn de fɔ dis divays. Sɔm kin kɔnɛkt to di at we de insay di bɔdi, ɛn ɔda wan dɛn kin de na do na di bɔdi.

• Inflow Cannula: Dis na di tiub we de kכnekt to di at chεmba. I de tek blɔd na di at ɛn kɛr am go na di mɛkanikal pɔmp.
• Mechanical Pump: Dis na di hiro fo di tori. Na di wan we de du di pɔmp wok na di at.
• Outflow Cannula: Dis tכb de kכnekt di bכdi we dεn pכmp bak to di bכdi in men bכdi vεsεl (aorta) כ di tכb we de go na di lכng dεm.
• Drayvlayn: Dis na smɔl, strɔng kebul we de kɔnɛkt di pɔmp insay di bɔdi to di kɔntrol we de na do na di bɔdi. I kin kɔmɔt na do tru di skin.
• Kontrola: Dis na lek di bren of di VAD. Wan smɔl kɔmpyuta. Dis na wetin de kɔntrol aw di VAD de wok ɛn mek dɔktɔ dɛn ɛn di pɔsin we sik ebul fɔ si infɔmeshɔn frɔm am.
• Ekstanshal Batri Pak: Dɛn batri ya de gi di pawa we dɛn nid fɔ di VAD. Wan men bateri ɛn bak-ap bateri de fɔ ɛnitin we apin.

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Bikɔs dis na ɔpreshɔn we rili siriɔs, dɛn kin pik pɔsin fɔ gɛt VAD ɔpreshɔn afta dɛn dɔn du bɔku bɔku tɛst dɛn. Dɛn kin tek tɛm luk aw di at ɛn ɔda pat dɛn na di bɔdi (lɛk di kidni ɛn di liva) de naw.

Di tɛst dɛn we dɛn kin du na:

• Ilɛktrokardiogram (ECG) .
• Ekokardiogram (Ekokardiogram) .
• CT Skan we dɛn kin du
• Tɛst fɔ Ɛksesaiz
• Kadiak Kateterizashɔn

Dɔn bak, dɛn kin tich di pɔsin ɛn in famili fayn fayn wan aw fɔ liv wit VAD ɛn aw fɔ kia fɔ am. I impɔtant mɔ fɔ gɛt pɔsin na yu fambul ɔ yu tayt padi we go ebul fɔ ɛp di pɔsin we sik.

Aw dɛn kin du di ɔpreshɔn?

Dis na ɔpreshɔn we dɛn kin du fɔ opin at. Fɔ tɔk am simpul wan, na dis kin apin:

1. Dɛn go put yu ɔnda jenɛral anestezi. So yu nɔ go fil ɔ mɛmba ɛnitin.

2. We dɛn de du di ɔpreshɔn, dɛn go gi yu sɔpɔt fɔ blo wit ventilator .

3. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di midul pan di chɛst, we kin mek di at kɔmɔt na do.

4. Dɔn dɛn go kɔnɛkt yu to wan mashin we de yuz kadyopulmonari baypas . Dis mashin go kɔntinyu fɔ mek blɔd go ɔlsay na yu bɔdi ilɛksɛf yu at dɔn stɔp we dɛn de du di ɔpreshɔn.

5. nεks, dεn de atak di VAD pכmp na di rayt say na di at, εn dεn de pul di drayvlayn tru di bכdi wכl.

6. Afta yu dɔn aktiv di VAD ɛn mek shɔ se i de gi di bɔdi di blɔd saplai we nid, dɛn go pul yu na di baypas mashin.

7. Fɔ dɔn, dɛn kin tay di chɛst bon bak wit mɛtal waya, ɛn dɛn kin lɔk di wund wit stich dɛn we kin sɔlv.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?

Lɛk ɛni big ɔpreshɔn, VAD gɛt bɛnifit ɛn prɔblɛm dɛn.

Yu mɛdikal tim go de wach yu ɔltɛm fɔ manej dɛn risk ya.

Aw layf tan lɛk wit VAD?

Fɔ liv wit VAD min fɔ yus to nyu layf.

• Di tin dɛn we yu nɔ ebul fɔ du: Yu nɔ go ebul fɔ was ɔ swim bikɔs di divays nɔ de mek wata pas (bɔt dɛn go tɛl yu aw fɔ shawa wit spɛshal kɔva). Dɔn bak, yu fɔ avɔyd kɔntakt spɔt dɛn we gɛt bɔku risk fɔ injuri.
• Mentɛnans: Ɔltɛm kip di drayvlayn klin usay i de kɔmɔt na di skin. Chenj di batri dɛn, ɛn lan fɔ ɔndastand di alam dɛn frɔm di kɔntrol.
• Mɛrɛsin: Yu go nid fɔ tek antikɔagulant, lɛk Warfarin, fɔ di res ɔf yu layf. Yu go nid bak fɔ tek mɛrɛsin fɔ kɔntrol yu blɔd prɛshɔn.
• Medikal supavayshɔn: Yu nid fɔ go to dɔktɔ ɔltɛm, du blɔd tɛst, ɛn chɛk di VAD data. Pan ɔl we yu kin gɛt fɔ go ɔspitul bɔku tɛm di biginin, di frɛkuɛns go stɔp as tɛm de go.

Yu nid fɔ tink bak bɔt mental wɛlbɔdi?

Na tru se, yɛs. Sɔm pipul dɛn kin gɛt strɛs, pwɛl hat, ɔr wɔri we dɛn de liv wit dis kayn big chenj. Dat na nɔmal tin. If yu de fil da we de, nɔ sɔfa yu wan, bɔt fɔ tru, tɔk to yu dɔktɔ. I rili impɔtant fɔ gɛt ɛp fɔ dat.

We yu nid fɔ tɔk to di dɔktɔ

If yu gɛt dɛn sayn ɔ prɔblɛm ya, tɛl yu mɛdikal tim wantɛm wantɛm.

VAD na wɔndaful tɛknɔlɔji we kin gi sɛkɔn layf to pɔsin we de fɛt wit siriɔs at sik. Di bɛnifit dɛn we i de gi fɔ sev pipul dɛn layf rili valyu. Bɔt fɔ mek di pɔsin we sik gɛt di bɛst pan dɛn bɛnifit dɛn de, i rili impɔtant fɔ kia fɔ insɛf ɛn in divays gud gud wan.