Yu kin si se i nɔ kin izi fɔ yu fɔ blo ivin we yu de waka kwik kwik wan ɔ we yu de klaym stej? Yu fil se yu chɛst ful-ɔp wit briz ɛn yu nɔ ebul fɔ blo igen? Dis na kɔmɔn prɔblɛm we bɔku pipul dɛn kin gɛt wit ɛmfisema , we na wan bad bad kayn COPD (Chronic Obstructive Pulmonary Disease). Bɔt nɔr wɔri, mɔdan tritmɛnt dɛn de wae kin ɛp yu fɔ mɛn dis sik. Tide, wi go tɔk bɔt wan pan dɛn spɛshal tritmɛnt dɛn de.
Wetin na BLVR? Lɛ wi ɔndastand am simpul wan.
BLVR, we tinap fɔ Bronchoscopic Lung Volume Reduction , na tritmɛnt we, fɔ tɔk am simpul wan, de alaw di briz we nɔ nid fɔ trɔp na yu lɔng fɔ kɔmɔt.
Tink bɔt yu lɔng dɛn lɛk tu balyɔn. Insay ɛmfisema, di briz kin go insay sɔm pat dɛn na yu lɔng bɔt i nɔ kin ebul fɔ kɔmɔt ɔlsay. Dɔn di pat dɛn we dɔn pwɛl kin ful-ɔp, ɛn dis kin mek di say we di wɛlbɔdi pat dɛn na yu lɔng dɛn nɔ go ebul fɔ wok. Dis kin mek i nɔ izi fɔ blo, ɛn yu kin fil taya ɛn yu nɔ kin ebul fɔ blo fayn.
So insay dis BLVR tritmɛnt, dɔktɔ dɛn kin put brɔnkoskɔp , we na wan tin tiub we gɛt kamɛra we dɛn tay, dɔŋ yu trot ɛn insay yu lɔng. Dɔn, dɛn kin put sɔm smɔl smɔl wan-way valv dɛn insay di say dɛn we de na di lɔng we nɔ kin big.
Dɛn valv dɛn ya kin mek di briz we trɔp kɔmɔt we yu de blo, bɔt we yu blo bak, dɛn kin stɔp di briz fɔ go insay di say dɛn we dɔn pwɛl.
As tɛm de go, dis kin mek di briz we de na yu lɔng dɛn nɔ bɔku, i kin mek yu lɔng dɛn smɔl smɔl, ɛn bigin fɔ wok fayn fayn wan. Dis go rili ridyus yu shɔt briz ɛn taya.
Di impɔtant tin na dat BLVR nɔto mɛrɛsin fɔ ɛmfisema ɔ tritmɛnt we de mek pɔsin liv lɔng. Di men gol na fɔ kɔntrol di sayn dɛm ɛn fɔ mek yu liv bɛtɛ layf.
Udat dis tritmɛnt rili fayn fɔ?
BLVR tritmɛnt nɔto fɔ ɔlman. Sɔm spɛshal kwalifayeshɔn dɛn de fɔ dis. Yu dɔktɔ go tek tɛm chɛk yu fɔ si if yu mit dɛn kwalifayeshɔn ya.
| Wetin fɔ tink bɔt | Tɔk bɔt |
|---|---|
| Ej | Jɛnɛral wan, yu fɔ dɔn ɔnda 75 ia. |
| Di kayn we aw di sik kin siriɔs | Siriɔs dispnɛa ɛn taya kin kɔntinyu pan ɔl we dɛn tek di rayt mɛrɛsin ɛn pulmonari rihabiliteshɔn. |
| Di kɔndishɔn na di lɔng | Di lɔng dɛn fɔ ful-ɔp pasmak ɛn di briz fɔ trɔp. כlso, di briz nכ fכ de muv tru abnכmal path dεm insay di lכng dεm (nכ kolataral vεntileshכn fכ de). |
| Fɔ smok | Yu nɔ fɔ smok naw, ɛn yu nɔ fɔ smok fɔ at le 4 mɔnt. |
| Rihabiliteshɔn program dɛn | I fɔ ebul fɔ tek pat pan di scheduled pulmonary rihabiliteshɔn program bifo ɛn afta tritmɛnt. |
Us tɛst dɛn kin du bifo dɛn trit am?
Fɔ no if yu na gud pɔsin fɔ dis tritmɛnt, yu dɔktɔ go du wan kɔmplit ɛgzam fɔ yu bɔdi ɛn ɔda fɔ mek dɛn du bɔku tɛst dɛn. Sɔm pan dɛn na:
- Blɔd tɛst dɛn
- X-ray na di chɛst
- CT skan we gɛt ay rizɔlt
- Tɛst dɛn we di pulmonari de wok
- Atrial blɔd gas tɛst
- Wan Echocardiogram test we de chɛk aw di at de wok
- Siks minit wok test - Dis de mכsu aw yu at εn yu lכng dεm de wok.
Aw yu kin rɛdi fɔ tritmɛnt?
Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ pripia fɔ yu tritmɛnt. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn.
- Nɔ it ɔ drink ɛnitin fɔ 8 awa bifo yu trit yu (fastin).
- Yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin ɔ chenj di tɛm. Tɔk to yu dɔktɔ bɔt dis.
- Bikɔs yu go de na ɔspitul fɔ sɔm dez afta di tritmɛnt, arenj bifo tɛm fɔ lɛ pɔsin kɛr yu go na os.
Aw dɛn kin du di tritmɛnt ɛn di bɛnifit ɛn bad tin dɛn we i gɛt
Dis nɔto big ɔpreshɔn. Dɛn nɔ kin kɔt ɛni say. Dɛn de anestez yu (put yu fɔ slip). Di dɔktɔ kin put di brɔnkoskɔp dɔŋ yu trot, put lɛk 4 valv dɛn insay di lɔng we dɔn pwɛl, dɔn i kin pul di brɔnkoskɔp. Di wan ol tin we dɛn kin du kin tek 30 to 60 minit nɔmɔ.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| No kot nɔ de na di bɔdi. | Di tin dɛn we pɔsin kin du we i gɛt anestezi. |
| Short tɛm fɔ wɛl. | Nyumotɔraks we de na di bɔdi . |
| Abiliti fɔ pul ɔ riples valv dɛn if nid de. | Infεkshכn dεm lεk nyumonia . |
| Fɔs kɔmplikeshɔn dɛn pas di tradishɔnal ɔpreshɔn dɛn. | COPD flare-ap we de kam. |
| Di kwaliti fɔ layf dɔn rili impɔtant. | Siriɔs prɔblɛm dɛn lɛk blɔd, strok , ɛn mayokardial infarkshɔn (bɔku tɛm i nɔ kin apin so ɔltɛm). |
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt, yu go gɛt fɔ de na di ɔspitul fɔ at le 3 dez. Di mɛdikal tim go wach yu gud gud wan. Afta yu go na os, dɛn go aks yu fɔ stat wan pulmonary rihabiliteshɔn program insay 4-6 wik. Dis go rili ɛp fɔ mɛn yu wɛlbɔdi.
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn ɔr tin fɔ wɔri bɔt bifo ɔ afta yu tritmɛnt, nɔr delay fɔ tɔk to yu dɔktɔ. Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Fiva we nɔ gɛt rizin.
- Bɔrku pen na yu chɛst.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
- Blu di kɔlɔ we de chenj na di skin, di lip, ɔ di finga nel (Cyanosis) .
Nɔr mɛrɛsin nɔr de fɔ ɛmfisema, bɔt tritmɛnt lɛk BLVR kin ɛp yu fɔ blo izi ɛn liv smɔl fayn fayn wan. Tɔk to yu dɔktɔ fɔ disayd if dis na di rayt tritmɛnt fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- BLVR na wan mכdan, nכn-invasiv tritmεnt fכ siriכs εmfysema.
- Pan ɔl we dis nɔ kin mɛn di sik, i kin rili ɛp fɔ mek pɔsin in layf bɛtɛ bay we i kin mek i izi fɔ blo.
- Dis tritmɛnt nɔ fayn fɔ ɔlman ɛn i nid spɛshal kwalifayeshɔn.
- Jɔs lɛk ɔl di mɛrɛsin dɛn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn kin smɔl pas di ɔpreshɔn we dɛn kin du trade.
- Tɔk wit yu spɛshal dɔktɔ we de mɛn yu we fɔ blo if dis tritmɛnt fayn fɔ yu ɛn wetin na di bɛnifit ɛn bad tin dɛn we i gɛt.
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