Asma na sik wae de mek pɔrsin vɛks bad bad wan ɛn de ambɔg ɛvride layf, na di wan dɛm wae de sɔfa wit am nɔmɔ no. Dɛn kin swɛt ɔltɛm, fil lɛk se dɛn chɛst dɔn kɔnstrikt, dɛn nɔ kin ebul fɔ go ɛnisay we dɛn nɔ gɛt dɛn inhala... Tin dɛn lɛk dis kin mek i nɔ pɔsibul fɔ du dɛn ɛvride wok fayn fayn wan, nɔto so? Dis kin mek dɛn strɛs mɔ fɔ di wan dɛn we nɔ ebul fɔ kɔntrol dɛn asma ivin afta dɛn dɔn yuz di mɛrɛsin we di dɔktɔ tɛl dɛn ɛn di tin we dɛn de inhala fayn fayn wan. So, tide wi go tɔk bɔt wan spɛshal, mɔdan tritmɛnt we kin ɛp pipul dɛn we gɛt dis kayn bad bad asma. Dat na Brɔnchial Tɛmoplasti .
Fɔ tɔk am simpul wan, wetin na Bronchial Thermoplasty?
Okay, mek wi put dis rili simpul. Imajin se wan smɔl mɔsul de rawnd di briz paip (wi kɔl am di trakya) insay yu lɔng. Na pɔsin we gɛt asma, dis mɔsul kin kɔntrakt we i nɔ nid, dat min se i kin tayt. Dɔn da winda paip de kin smɔl. Jɔs lɛk we yu swɛt wata paip, i kin at fɔ flɔ, we di brɔnchi dɛn kin smɔl, i kin at fɔ blo. We wi gɛt asma, na dat kin mek wi swɛt ɛn wi chɛst tayt.
Bronchial Thermoplasty na tritmɛnt we dɛn kin yuz kɔntrol ɔt pan dɛn mɔsul dɛn ya we stif ɛn tik, we kin ɛp fɔ mek dɛn rilaks. Fɔ tɔk di kɔrɛkt tin, na dɔktɔ we de mɛn pipul dɛn we de mɛn dɛn pulmon kin du dis. I kin yuz wan tint tiub fɔ go insay yu aywe ɛn put ɔt pan di mɔsul dɛn. We dɛn mɔsul ya rilaks, dɛn nɔ kin ebul fɔ kɔntrakt tayt lɛk aw dɛn bin de du trade. Dis kin mek di say dɛn we di briz de blo opin, ɛn dis kin mek i izi fɔ blo.
Di impɔtant tin na dat dis nɔto mɛrɛsin fɔ asma. Bɔt i kin rili ridyus di kayn we aw di asma kin tranga ɛn di frɛkuɛns we asma kin gɛt .
Udat dis tritmɛnt fayn fɔ?
Dis nɔto tritmɛnt fɔ ɔl di wan dɛn we gɛt asma. Dɛn kin rɛkɛmand fɔ du Bronchial Thermoplasty fɔ pipul dɛm wae gɛt siriɔs asma wae nɔr kin ebul fɔ kɔntrol am wit standad tritmɛnt dɛm.
Lɛ wi luk wetin dɛn min bay "severe asthma" dis we.
| Pozishɔn | Simpul ɛksplen |
|---|---|
| Nɔto standad tritmɛnt dɛn de kɔntrol am | If yu asma simptom dɛm (we yu de swɛt, kɔf, yu chɛst tayt) de kɔntinyu pan ɔl we yu de yuz ay doz inhala, mɛrɛsin we yu de it, ɔ spɛshal injɛkshɔn (biologics). |
| Impekt pan kwaliti fɔ layf | If yu asma de kɔntinyu fɔ ambɔg yu ɛvride, slip, wok, ɛn ɛksesaiz. |
| Asma kin atak am ɔltɛm | If yu gɛt mɔ asma atak ɛn i nɔ kin izi fɔ yu fɔ blo pas aw yu kin blo. |
| Fɔ gɛt fɔ go na ɔspitul | If yu asma kam tranga, dat min se yu nɔr kin ebul fɔ blo ɛn yu nid fɔ go na ɔspitul fɔ tritmɛnt. |
If yu gɛt dis kayn sik, yu kin tɔk to yu dɔktɔ bɔt di tritmɛnt we dɛn kɔl Bronchial Thermoplasty ɛn disayd if i fayn fɔ yu.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
We yu ɛn yu dɔktɔ dɔn disayd fɔ gɛt dis tritmɛnt, sɔm tin dɛn fɔ pripia fɔ yu. Bɔku tɛm, di dɔktɔ go gi yu instrɔkshɔn dɛn lɛk dis:
- Dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ at le et awa bifo di tritmɛnt.
- Dɛn go aks yu fɔ tek wan stɛroyd pil (e.g. prednisolone) fɔ tu to tri dez bifo di tritmɛnt. Dis na fɔ kɔntrol di swel ɛn di sayn dɛm we kin apin afta di tritmɛnt.
- Bikɔs dɛn kin du di tritmɛnt ɔnda anestezi, yu nɔ go ebul fɔ drayv afta di tritmɛnt. So dɛn go aks yu fɔ arenj fɔ mek sɔmbɔdi kɛr yu go na os bifo tɛm .
Wetin kin apin we dɛn de trit am?
Wetin kin apin di de fɔ dis tritmɛnt kin rili sistɛm.
1. Fɔs, dɛn go gi yu anestezi tru wan vein so dat yu nɔ go fil ɛni pen ɔ nɔ fil fayn. So, yu go de slip ɔl di tɛm we dɛn de du di tritmɛnt.
2. Dɔn, di dɔktɔ de yuz brɔnkoskɔp.Wan, na wan tint, fleksibul tyub we gɛt kamɛra we dɛn tay, de pas tru yu mɔt insay di aywe dɛn na yu lɔng dɛn.
3. dεn de put כda spεshal divays tru dis tכb εn i de gi kכntro כt (`radiofrequency energy`) to di εria dεm we di mכsul dεm we tik de. Dis ɔt kin mek di mɔsul dɛn tan.
4. Afta di dɔktɔ dɔn trit ɔl di say dɛn we i nid, i kin tek tɛm pul di brɔnkoskɔp.
Dis ɔltin kin tek bitwin 45 minit ɛn wan awa .
Afta tritmɛnt ɛn di ɔl tritmɛnt rijim
Afta di tritmɛnt dɔn, dɔktɔ ɛn nɔs dɛn go de wach yu fɔ sɔm awa te yu wek frɔm di anestezi. If yu asma simptom de wɔs ɔr yu gɛt ɔda sayd ɛfɛkt, yu kin nid fɔ de na ɔspitul da nɛt de.
De tin wae impɔtant pas ɔl na wae dɛn nɔr kin du dis tritmɛnt wan tɛm. Fɔ trit ɔl di say dɛn na di lɔng, yu go nid fɔ atɛnd tri tritmɛnt sɛshɔn dɛn .
- di lכw pat pan di rayt lכng dεn kin trit insay wan sεshכn.
- Insay ɔda sɛshɔn, dɛn go trit di ɔda pat we de dɔŋ na di lɛft lɔng.
- Insay di tɔd sɛshɔn, dɛn kin trit di ɔp pat dɛn na di tu lɔng dɛn.
Na fɔ at le tri wiks difrɛns de bitwin dɛn sɛshɔn ya.
Wetin na di bɛnifit, risk, ɛn sayd ɛfɛkt dɛm fɔ dis tritmɛnt?
Jɔs lɛk ɛni mɛrɛsin, Bronchial Thermoplasty gɛt in bɛnifit dɛn ɛn sɔm risk ɛn sayd ɛfɛkt dɛn bak. I impɔtant fɔ mek wi ɔndastand dɛn tin ya klia wan.
| Bɛnifit dɛn | Risk & Sayd Ifɛkt dɛn |
|---|---|
| Ridyus pan di siriɔs ɛn frɛkuɛns fɔ di asma simptom dɛm. | Fɔ sɔm tɛm, di sayn dɛm kin go ɔp (kɔf, swɛt, chɛst pen) fɔ sɔm dez afta dɛn dɔn trit am (dɛn tin ya kin stɔp insay wan wik). |
| Ridyus di insidɛns fɔ asma atak . | Smɔl risk fɔ go na ɔspitul bikɔs ɔf di siriɔs simptom dɛm. |
| Fɔ mek di kwaliti fɔ layf bɛtɛ. | Risk fɔ gɛt infɛkshɔn na di lɔng. |
| Risach dɔn sho se di fayn tin dɛn we kin apin kin las fɔ at le 10 ia. | na sכm tεm, risk de fכ kכndyushכn lεk fכ kolכp pat pan di lכng (`atelectasis`) כ we di aywe dεm de wayd (`bronchiectasis`). |
Ustɛm fɔ go to dɔktɔ ɛn go na ɔspitul wantɛm wantɛm
Afta tritmɛnt, i impɔtant fɔ no di difrɛns bitwin nɔmal, ɛkspɛkt diskɔmfɔt ɛn siriɔs kɔndishɔn we nid fɔ pe atɛnshɔn kwik kwik wan.
| Situeshɔn dɛn we yu fɔ pe atɛnshɔn to | |
|---|---|
| Tɔk to yu dɔktɔ: | |
| Tɔk bɔt ɛni kɔmɔn kwɛstyɔn ɔr tin wae de mɔna yu bifo ɔr afta tritmɛnt. Fɔ ɛgzampul, "Dɔkta, a gɛt smɔl kɔf, na nɔmal tin?" | |
| Go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm: | |
|
Asma kin bi wan sik wae de mek pɔrsin in layf de pan denja. Ɛspɛshali if yu asma kin kam ɔltɛm, yu kin mis sɔm pan di tin dɛn we yu kin ɛnjɔy pas ɔl na layf. Bronchial Themplasty nɔto wan saiz-fit-ɔl sɔlvishɔn. Bɔt if yu fil se yu asma de afɛkt yu layf bad bad wan, ivin afta yu dɔn tek di mɛrɛsin dɛn we yu dɔn gi yu, i go fayn fɔ mek yu tɔk to yu dɔktɔ fɔ tɔk bɔt if dis tritmɛnt ɔ ɔda tritmɛnt dɛn fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Bronchial Thermoplasty na spɛshal tritmɛnt fɔ siriɔs asma we dɛn nɔ kin ebul fɔ kɔntrol wit kɔmɔn tritmɛnt.
- Dis kin mek di mɔsul dɛn we dɔn tik rawnd di say dɛn we di briz de blo wam ɛn mek dɛn tan, ɛn dis kin mek i izi fɔ blo.
- Dis nɔ kin dɔn insay wan sɛshɔn, bɔt i kin gɛt tri tritmɛnt sɛshɔn dɛn we de bitwin lɛk tri wik so.
- Pan ɔl we dis nɔto mɛrɛsin fɔ asma, i kin rili ridyus di sayn dɛm ɛn di asma atak we kin apin .
- Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de ɛn sɔm sayd ɛfɛkt dɛn de fɔ sɔm tɛm.
- Yu fɔ rili tɔk bɔt dis tritmɛnt wit yu pulmonɔlɔjis ɔ yu dɔktɔ fɔ no if i fayn fɔ yu.
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