Yu bin se yu want fɔ luk insay yu chɛst? Lɛ wi tɔk bɔt midiastinoskɔpi!

Sɔntɛnde, we dɔktɔ dɛn tink se sɔntin nɔ rayt na yu chɛst, dat na di say we de bitwin yu lɔng dɛn, dɛn go ɔda fɔ mek dɛn du spɛshal tɛst fɔ no wetin i bi. Dat na di tɛst we dɛn kɔl midiastinoskɔpi. Di nem kin tan lɛk se i strenj smɔl, bɔt tide wi go tɔk klia wan bɔt bɔku tin dɛn, lɛk wetin kin apin wit dis, wetin mek dɛn kin du am, aw dɛn kin du am, ɛn if yu fɔ fred am. If dɔktɔ dɔn tɛl yu bak se yu nid fɔ du dis kayn tɛst, a shɔ se dis stori go rili impɔtant to yu.

Wetin na dis midiastinoskopi?

Fɔ tɔk am simpul wan, mɛdiastinɔskɔpi na ɔpreshɔn we de mek yu dɔktɔ ebul fɔ luk fayn fayn wan na di midul pan yu chɛst, di say we de bitwin yu lɔng dɛn (we wi kin kɔl di mɛdiastinɔm pan mɛrɛsin) . Dis eria na di say we impɔtant ɔgan dɛn lɛk yu at, yu εsophagus , ɛn yu trachea .

So aw yu de luk dis? Dɔktɔ dɛn kin yuz wan spɛshal tin we dɛn kɔl mediastinoscope . I tan lɛk wan tint tiub. I gɛt smɔl layt ɛn kamɛra na wan ɛnd. Di dɔktɔ kin si wetin di kamɛra de si pan monita. Wan ɔda spɛshal tin we dis inschrumɛnt gɛt na dat i kin tek wan tisu sɛmpul , wan limf node (dɛn na pat dɛn na di sistɛm we de fɛt sik na wi bɔdi), ɔ ɛni ɔda tin we nɔ kɔmɔn, lɛk wan lump, ɛn sɛn am na di lab.

Wetin na di difrɛns bitwin Mediastinotomy ɛn Mediastinoscopy?

Yu go dɔn yɛri bɔt ɔda wɔd we dɛn kɔl mediastinotomy. dεn tu prכsidכs dεm ya involv fכ luk insay di εria we de na di midul pan di chεst we dεn kכl di mεdiastinum εn tek sεmpl frכm de. Dɛn kin yuz dɛn tu tin ya bak fɔ no if sik lɛk kansa dɔn skata.

Bɔt smɔl difrɛns de. insay di mεdiastinotomy, dεn kin mek wan sכmכl opin dεm dεn de mek di chεst, we min se dεn kin kכt di skin fכ mek wan pasej. insay mεdiastinoskopi, dεn kin mek wan rili sכm sכm pat εn dεn kin put di tכb we dεn kכl di mεdiastinoskop. Pan ɔl we di mɛdiastinotomi kin mek di dɔktɔ si smɔl mɔ ples, di say we dɛn kɔt kin big smɔl ɛn di tɛm we i kin wɛl kin lɔng smɔl. Insay midiastinoskopi, di say we dɛn kɔt kin smɔl, so i kin wɛl kwik kwik wan.

Wetin mek dɛn kin du wan mɛdiastinoskɔpi?

Bɔku rizin dɛn kin de we mek dɔktɔ go aks yu fɔ mek dɛn du dis tɛst.

• di men rizin na fכ chεk gud gud wan fכ si if eni prכblεm de na di spεs bitwin di tu lכng dεm (mediastinum).
• Tek di limf no dɛm de ɛn chɛk fɔ kansa.Sɔntɛnde dɛn kin du dis bak fɔ si if kansa frɔm ɔdasay dɔn skata to dɛn limf no dɛm ya.
• If yu gɛt kansa na yu lɔng, taymus gland (we na smɔl gland bak na di ɔp chɛst), ɔ yu it, dis tɛst kin ɛp fɔ no aw di kansa siriɔs, ɔ di stej .
• Pan ɔl we nɔto bɔku tɛm, sɔntɛnde dɛn kin du dis if yu tink se yu gɛt infekshɔn na yu lɔng .
• I kin no bak sik dɛn lɛk limfoma, sarkoidosis (wan sik we kin mek smɔl smɔl swel na difrɛn pat dɛn na di bɔdi), ɔ mɛsotelioma (wan kayn kansa na di lɔng) .

Pipul dɛn de we nɔ want fɔ tek dis tɛst?

Yɛs, nɔto ɔlman kin gɛt mediastinoscopy. Sɔm pipul dɛn nɔ kin fayn fɔ dis prosidur. Fɔ ɛgzampul:

• Pipul dɛn we gɛt wan tumbu we dɛn nɔ go ebul fɔ ɔpreshɔn we tu big fɔ pul am wit ɔpreshɔn.
• Pipul dɛm wae dɔn gɛt mediastinoscopy bifo (as e kin bi smɔl mɔ kɔmplikɛt di sɛkɔn tɛm arawnd).
• Pipul dɛm wae dɔn gɛt redyushɔn tɛrapi to di chɛst eria (bikɔs di tisu na da eria de kin dɔn chenj).

Fɔ rizin dɛn lɛk dis, na di dɔktɔ fɔ disayd if dis tɛst fayn fɔ yu ɔ nɔ rayt fɔ yu.

Udat de du dis mɛdiastinoskɔpi?

Dis na wan dɔktɔ we de mɛn di at ɛn di bɔdi ɔ wan dɔktɔ we de du jenɛral ɔpreshɔn . Dɛn kin du am bak na say usay dɛn kin du ɔpreshɔn . Bikɔs, if sɔntin apin wantɛm wantɛm, lɛk we yu de blɔd mɔ pas aw yu bin de tink, yu nid fɔ rɛdi fɔ go na big ɔpreshɔn fɔ kɔntrol am (dat na, ɔpreshɔn we go kɔt di midul bon na di chɛst - sternotomy , ɔ ɔpreshɔn we de kɔt bitwin di rib dɛn - thoracotomy) . So, dɛn kin du dis na ples we gɛt dɛn kayn tin dɛn de.

Aw yu kin rɛdi fɔ dis?

Wae yu dɔn schedul fɔ du mediastinoscopy, sɔm tin dɛn de we yu nid fɔ pripia fɔ sɔm dez bifo tɛm.

• Yu go nid fɔ mek dɛn du di tɛst dɛn we yu dɔktɔ tɛl yu fɔ du, we kin gɛt fɔ du wit ɛkstrem rayt na yu chɛst, CT skan, ɛn tɛst fɔ no aw yu pulmonary de wok .
• If yu de tek mɛrɛsin we de mek yu blɔd tan, yu dɔktɔ go tɛl yu fɔ stɔp fɔ tek am sɔm dez bifo di tɛst . Aks yu dɔktɔ fɔ patikyula instrɔkshɔn dɛn.
• Dɛn go aks yu fɔ stɔp fɔ it ɛn drink fɔ sɔm awa bifo di tɛst. Dis min se yu nid fɔ gɛt ɛmti bɛlɛ.

Yu dɔktɔ ɔ nɔs go ɛksplen ɔl dis to yu. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.

Yu tink se dis na tɛst we dɛn kin du di sem de?

Yes, bɔku tɛm yu kin go na os di sem de we yu de du yu mediastinoscopy (outpatient procedure) . Bɔt bifo yu go na os, yu dɔktɔ go chɛk fɔ si if yu ebul fɔ du dɛn tin ya:

• Yu go ebul fɔ waka we yu nɔ ɛp yu?
• Yu kin drink wata lɛk wata ?
• Yu kin pis nɔmal wan?
• Yu kin kɔntrol di pen we yu de fil ? (Dat min se, di mɛrɛsin we yu de tek dɔn ridyus di pen?)

If dɛn tin ya fayn, a go mek yu go na os.

Aw ɛksaktɔli dɛn kin du dis mɛdiastinoskɔpi?

Naw lɛ wi si aw fɔ du dis tɛst stɛp bay stɛp.

1. Fɔs, dɛn go gi yu jenɛral anestezi . Dis min se yu go slip ɔl ɛn yu nɔ go fil ɛnitin di tɛm we yu de du di wan ol ɔpreshɔn. Dɛn kin gi dis mɛrɛsin tru wan kanula we dɛn put na wan vein na yu an.

2. Dɔn dɛn kin put wan tiub fɔ blo tru yu trot . Dis min se mashin go du yu brith we yu de du di tɛst.

3. Neks, di sajin go mek wan rili smɔl say, we lɔng lɛk wan inch, jɔs ɔp yu chɛst, jɔs dɔŋ yu nɛk.

4. Tru da insishɔn de , dɛn kin put di inschrumɛnt we dɛn kɔl di mediastinoscope we a bin dɔn tɔk bɔt.

5. Den tek am sloslo go di ples we yu wan si.

.

7. We di wok dɔn, dɛn kin pul di midiastinoskɔp.

8. Kɔba da smɔl kɔt de wit trɛd we kin sɔlv ɔ plasta we kin adhesive.

9. Dɔn dɛn go wek yu frɔm di anestezi ɛn dɛn go pul di breathing tube.

Imajin, ɔl dis kin apin we yu de slip fayn fayn wan. So yu nɔ de fil ɛnitin.

Aw lɔng dis go tek?

Bɔku tɛm, di mɛdiastinoskɔpi kin tek lɛk wan awa so fɔ mek dɛn du am. Bɔt sɔntɛnde i kin tek lɔng tɛm if di dɔktɔ nid fɔ luk dip smɔl, tek mɔ sɛmpul, ɔ if wan prɔblɛm apin wantɛm wantɛm (lɛk we pɔsin de blɔd) ɛn i nid fɔ du big ɔpreshɔn, lɛk di sternotomy ɔ thoracotomy we wi bin dɔn tɔk bɔt, fɔ kɔntrol am.

Aw di tɛm fɔ wɛl kin tan lɛk afta di tɛst?

Yu go stil fil smɔl fɔ slip fɔ sɔm awa afta yu wek frɔm anestezi.Dis na nɔmal tin. If yu nɔ de fil pen tumɔs afta di tɛst, yu fambul ɔ yu padi kin drayv yu go na os. Yu nɔ go ebul fɔ drayv da de de bikɔs yu go gɛt anestezi.

Yu mɔt ɛn yu trot go fil smɔl fɔ sɔm awa. Dis na bikɔs ɔf di tiub we de blo. Fɔ mek yu sef, di dɔktɔ dɛn nɔ go alaw yu fɔ it ɔ drink te di swɛla dɔn stɔp. Di nɛks de, yu kin kɔf, yu kin kray, yu trot kin at, ɛn yu kin fil sɔm pen na di say we dɛn kɔt am . Dɛn tin ya go stɔp insay sɔm dez.

Sɔntɛnde, afta di tɛst, yu kin gɛt ɛkstrem na yu chɛst bak fɔ mek shɔ se prɔblɛm nɔ de wit yu lɔng.

Yu tink se dis kin mek pɔsin fil pen?

Yɛs, sɔm pen kin de usay dɛn du di tɛst. So yu go nid fɔ tek mɛrɛsin fɔ mek yu fil pen fɔ sɔm dez. Di dɔktɔ go gi yu di mɛrɛsin we yu nid. If yu tek di mɛrɛsin di rayt tɛm, yu kin kɔntrol di pen to bɔku bɔku wan.

Wetin na di prɔblɛm dɛn we kin apin?

Bɔrku tɛm, mɛdiastinoskɔpi nɔ kin mek ɛni big prɔblɛm. Bɔt, na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt dɛn tin ya:

• Nyumonia (infεkshכn na di lכng).
• Nyumotɔraks (na lɔng we de ful-ɔp wit briz ɛn smɔl pas aw i fɔ bi. Dis kin nid fɔ put smɔl tiub fɔ pul di briz.)
• Blɔd we de kɔmɔt. (Bɔku tɛm dis kin smɔl, bɔt i nɔ kin izi fɔ mek dɛn du ɔpreshɔn pan am.)
• Wund we gɛt di sik.

If wi tɔk bɔt di risk fɔ day pan dis kes, na smɔl tin, lɛk 0.09 pasɛnt. Dat min se nɔto wan pan ɛvri tɛn tawzin pipul dɛn we de du dis tɛst (lɛk nayn pan tɛn tawzin pipul dɛn) gɛt dis kayn siriɔs risk. So natin nɔ de fɔ wɔri bɔt. Bɔt bikɔs smɔl prɔblɛm de wit ɛni ɔpreshɔn, i fayn fɔ no bɔt dat bak.

Wetin na di prɔblɛm we kin apin pas ɔl?

Blɔd na prɔblɛm we kin apin smɔl pas ɔda prɔblɛm dɛn, bɔt bɔku tɛm dɛn kin ebul fɔ kɔntrol am.

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn de tɛl wi?

Di infɔmeshɔn we yu gɛt afta dɛn dɔn sɛn di bayɔpsi sɛmpul we dɛn tek we yu de du yu midiastinoskopi to di lɛbɔraytri fɔ mek dɛn tɛst am go ɛp yu dɔktɔ fɔ no di stej we yu kansa gɛt. Di stej we yu kansa gɛt na aw di tumbu big ɛn if i dɔn spre to say dɛn we de nia yu ɔ na say dɛn we de fa. Dis infɔmeshɔn go ɛp yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

I kin tek sɔm dez fɔ mek dɛn analayz di tisu sɛmpul dɛn na di lɛbɔraytri.Dɔn, if dɛn kɔnfyus se yu gɛt kansa, di dɔktɔ go nid sɔm mɔ tɛm fɔ mek wan tritmɛnt plan we go fayn fɔ yu bay dɛn rizɔlt dɛn de. So yu go gɛt fɔ peshɛnt te yu gɛt di rizɔlt.

Ustɛm yu nid fɔ kɔl di dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu.

• If di chɛst pen de bɔku, ɔ if nyu chɛst pen de apin.
• If yu gɛt bad fiva.
• If i at fɔ blo, if i tan lɛk fiva.
• If di say we dɛn kɔt am rili rɛd, i dɔn swel, ɛn di pus de kɔmɔt.

Nɔ ignore tin dɛn lɛk dis.

So, wetin na di impɔtant tin dɛn we wi fɔ mɛmba frɔm dis?

Okay, so a tink se yu naw geht beta andastan di mediastinoscopy we wi tok boht tide.

Mɛmba se dis na tɛst we nɔ bad bɔku tɛm. Dɔktɔ go ɔda dis fɔ mek dɛn ɔndastand yu sik klia wan ɛn gi yu di bɛst tritmɛnt we yu nid.

If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ. Dɛn go ɛksplen ɔltin to yu. Di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Dɔn ɔltin go go fayn. A de wish yu fɔ wɛl kwik kwik wan!

` Mediastinoscopy, Lכng egzamin, Chεst כpεrayshכn, Limf no dεm, Kansa diagnosis, Respiratory diseases