Udat na dɔktɔ we de mɛn di at ɛn di bɔdi? Lɛ wi fɛn ɔltin!

Yu dɔn ɛva tink bɔt us kayn dɔktɔ yu go si if dɛn fɔ ɔpreshɔn yu impɔtant pat dɛn na yu chɛst lɛk yu at ɔ yu lɔng? Ɔ if yu bin gɛt fɔ du ɔpreshɔn bikɔs yu gɛt prɔblɛm wit yu ɛsophagus? Na da tɛm de wan dɔktɔ we de mɛn di at kin kam fɔ ɛp wi. Pan ɔl we di nem kin tan lɛk se i lɔng smɔl, dɛn pipul ya kin du ɔpreshɔn dɛn we rili kɔmpleks ɛn we kin sev dɛn layf. So, tide wi go tɔk bɔt udat na dɛn spɛshal pipul ya, wetin dɛn de du, ɛn ustɛm yu fɔ si dɛn.

Udat na dis Kardiothoracic Surgeon?

Fɔ tɔk am simpul wan, dɔktɔ we de du ɔpreshɔn pan yu at na yu chɛst na dɔktɔ we spɛshal fɔ du ɔpreshɔn pan di ɔgan dɛn we de insay yu chɛst . Dɛn ɔgan ya na yu at, yu lɔng, ɛn yu εsophagus (fud paip). Tink bɔt am, di at ɛn di lɔng na tu pan di tin dɛn we impɔtant pas ɔl na wi bɔdi fɔ mek wi kɔntinyu fɔ liv . Di at de pɔmp blɔd ɔlsay na di bɔdi, ɛn di lɔng dɛn de gi da blɔd de ɔksijɛn. So, fɔ du ɔpreshɔn pan dɛn kayn impɔtant ɔgan dɛn de, yu nid pɔsin we gɛt spɛshal trenin, nɔto so?

Dɛn dɔktɔ dɛn ya kin spɛn siks to et ia spɛshal trenin fɔ ɔpreshɔn afta dɛn dɔn gradyuet frɔm mɛdikal skul. Insay dis tɛm, dɛn kin lan dip tin bɔt di jenɛral ɔpreshɔn ɛn bak di ɔpreshɔn we gɛt fɔ du wit di at ɛn chɛst. Sɔm kin tek lɔng tɛm fɔ spɛshal pan wan sɔbfild na di sem fil, lɛk at sik we dɛn bɔn wit pikin dɛn.

Wetin rili dɛn dɔktɔ ya de du?

Wan dɔktɔ we de mɛn di at kin trit di kɔndishɔn dɛn we kin apin na di chɛst bikɔs ɔf sik ɔ injuri. Dɛn go fɔs no di sik , dɔn dɛn go tɔk to yu bɔt aw fɔ trit yu, du ɔpreshɔn if nid de, ɛn fala yu afta di ɔpreshɔn te yu wɛl.

Dɛn dɔktɔ ya kin trit sɔm pat dɛn na yu bɔdi we bɔku pipul dɛn sabi, ɛn bak pat dɛn we yu nɔ ɛva yɛri bɔt bifo. Na sɔm pan di men tin dɛn we dɛn kin trit:

• di at εn di pεrikardium: Wi כl no wetin na di at. di pεrikardium na wan tint sak we de protεkt we de rawnd di at. Dɛn kin du ɔpreshɔn pan dɛn tu tin ya.
• Coronary arteries: Dis na di smɔl smɔl blɔd vesel dɛm we de gi blɔd to di at. We dɛn tin ya kin blok, at atak kin kam.
• εsophagus: Dis na di tכb we de kכri di it we wi de it frכm wi mכt to wi bεlε.
• di chεst wכl: Dis inklud di mכsul dεm εn bon dεm na di chεst.
• Mediastinum: Dis na di ɛmti ples bitwin yu lכng dεm. I gɛt impɔtant ɔgan dɛn bak.
• Trachea: Na di men tiub we wi de blo tru.
• Dayafragm: .wan big mכsul we de separet di chεst kכva frכm di bכdi kכva. I kin ɛp bak fɔ blo.
• di lכng dεm εn di mεmbran we de rawnd dεm, di pleura: nכ nid fכ tכk bכt di lכng dεm. di pleura na wan kכva we de protεkt we de rawnd di lכng dεm.

Yu tink se difrɛn say dɛn de we dɔktɔ dɛn we de du ɔpreshɔn pan di at ɛn di bɔdi kin du?

Yes, sɔm ɔda sabspɛshaliti dɛn de insay dis men fil. Dis min se sɔm dɔktɔ dɛn kin pe atɛnshɔn mɔ pan wan ɔ mɔ pan dɛn tin ya.

• Di dɔktɔ dɛn we de du ɔpreshɔn pan di at: Dɛn pipul ya kin du ɔpreshɔn spɛshal wan pan di at ɛn di big blɔd vesel dɛn we gɛt kɔnekshɔn to am.
• Di dɔktɔ dɛn we de mɛn dɛn at: Dɛn pipul ya dɔn gɛt spɛshal trenin fɔ du ɔpreshɔn pan smɔl pikin dɛn fɔ di at sik dɛn we dɛn bɔn wit.
• Di dɔktɔ dɛn we de mɛn di at ɛn di blɔd: Dɛn pipul ya kin luk afta ɔpreshɔn we gɛt fɔ du wit di wan ol blɔd sistɛm, nɔto jɔs di at.
• Jɛnɛral tɔraks ɔspitul dɛn: Dɛn pipul ya kin du ɔpreshɔn pan di at ɛn ɔda pat dɛn na di chɛst, lɛk di lɔng ɛn ɛsophagus.
• Transplant surgeons: Na dɛn pipul ya gɛt ɛkspɛriɛns fɔ transplant at ɔ lɔng.

Us kayn sik dɛn spɛshal pipul ya kin trit?

Dɛn dɔktɔ ya kin trit bɔku difrɛn sik dɛn we gɛt fɔ du wit di chɛst. Sɔm pan dɛn na:

• Koronari at sik ɛn ɔda at sik dɛm: Prɔblɛm lɛk fɔ blok di at we de gi blɔd to di at.
• Atrial fibrillation: Na di at we nɔ de bit ɔltɛm.
• di aorta prכblεm dεm (e.g., aneurism): I de big כ כda prכblεm dεm we de apin na di bכdi in big bכdi vεsεl.
• Fɔ transplant yu at
• Transplant fɔ di lɔng
• Lכng sik dεm (e.g. Kεnsar): Difrεn sik dεm we de apin na di lכng, inklud kεnsar kכndishכn dεm.
• Sik dεm na di εsophagus (e.g., kεnsar): Sik dεm εn kεnsar dεm we de apin na di it paip.
• Emphysema : Na sik we de pwɛl di ay sak dɛm na di lɔng dɛm ɛn mek i nɔ izi fɔ blo.
• At nɔ de wok fayn: Di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
• I nɔ izi fɔ swɛla
• Aksidɛntal chɛst injuri
• Di at we dɛn bɔn wit: Dɛn tin ya kin afɛkt di we aw di at de wok.
• Hiatal hεnia: wan pat pan di bεlε de kכmכt tru di dayafragm insay di chεst.
• Prɔblɛm wit di mɔsul ɛn bon dɛn na di chɛst wɔl
• Aneurism na di chɛst at
• At valv nɔ de wok fayn
• Gastroesophageal reflux disease (GERD): Wi kin kɔl am wan akyu fכm fɔ gastritis, usay di bɛlɛ asid kin kam ɔp.

Wetin na di difrɛns bitwin Kadyak Surgeon ɛn Cardiothoracic Surgeon?

Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. di kadyak sכja na pכsin we spεshal כnli כpεrayshכn pan di at εn di big bכdi vεsul dεm we kכnekt dairekt to di at (e.g. di aorta).

Bɔt, Cardiothoracic Surgeon na pɔsin we de wok pan wan wok we bɔku pas am. I kin du ɔpreshɔn pan ɔlmost ɔltin we de na di chɛst apat frɔm di at. Dat min se ɔltin frɔm di lɔng dɛn to di ɛsophagus to di trakya de fɔdɔm ɔnda in fil. Fɔ tɔk am simpul wan, dɔktɔ we de du ɔpreshɔn pan di at na ɔda sɔbspɛshal wok we de insay di fild fɔ ɔpreshɔn pan di at.

Us kayn tɛst dɛn dɔktɔ ya kin du?

Dɛn dɔktɔ ya kin ɔda fɔ du difrɛn tɛst fɔ no if yu gɛt sik. Dɛn tɛst ya kin difrɛn difrɛn wan bay di sayn dɛm wae yu gɛt. Sɔm pan di tɛst dɛn we dɛn kin du mɔ na:

• Chɛst X-ray: Chɛk di bɛsis kɔndishɔn fɔ di ɔgan dɛn na di chɛst.
• CT skan: I de tek kכros-sekshכnal imej dεm fכ di insay pat na di bכdi fכ si mכr ditayli.
• MRI skan (magnetic resonance imaging): I de yuz magnɛtik fil ɛn redio wev fɔ mek ditayli imej dɛn.
• Ultrasound: Yuz sawnd wev fכ mek imej fכ di כgan dεm (bכku tεm di at lεk echocardiogram).
• Ilektrokardiogram (ECG/EKG): I de rikodɔ di ilɛktrik aktiviti we di at de du.
• Echocardiogram: Na ɔltra saund skan fɔ chɛk aw di at de wok ɛn aw in valv dɛn de.
• Cardiac catheterization: Na tεst fכ chεk fכ tin dεm lεk blכk na di at dεm na di at.
• Multigated Acquisition Scan (MUGA scan): Si aw di at de pɔmp blɔd fayn fayn wan.
• Ɛksesaiz strɛs tɛst: Si aw di at de ansa we yu de du ɛksɛsayz.
• Holter monitor: Na divais we de kɔntinyu fɔ rikodɔ di at in ECG fɔ 24 awa ɔ mɔ.
• Pulmonary function test: I de chɛk aw di lɔng dɛn de wok fayn fayn wan.
• Pulse oximetry: I de chɛk di ɔksijɛn lɛvɛl na di blɔd.
• כp εndoskopi: fכ egzamin di εsophagus εn bεlε yuz tכb wit kεmεra.
• Bayɔpsi tɛst: .Fɔ tek wan pat pan di tisu we dɛn kin sɔprayz pan ɛn chɛk am ɔnda maykroskɔp.
• εsophageal manometry: Si aw di mכsul dεm na di εsophagus de wok.

Ustɛm wi fɔ go to dɔktɔ we de mɛn wi at?

Bɔku tɛm, ɔda dɔktɔ go sɛn yu to spɛshal pɔsin. Dis kin bi di men pɔsin we de kia fɔ yu. Ɔ i kin bi dɔktɔ we de mɛn pipul dɛn we de mɛn dɛn pulmon ɔ we de mɛn dɛn at. Dɛn go rifer yu to spɛshal dɔktɔ if dɛn nɔr de kɔntrol yu sik wit mɛrɛsin ɔ ɔda tritmɛnt ɛn dɛn tink se dɛn nid fɔ du ɔpreshɔn. Dɔn bak, if yu want fɔ gɛt sɛkɔn opinion frɔm ɔda dɔktɔ, yu kin go to sɛkɔn dɔktɔ we de mɛn yu at ɛn yu bɔdi yusɛf.

Wetin yu fɔ ɛkspɛkt we yu go si spɛshal pɔsin lɛk dis?

We yu go to spɛshal dɔktɔ lɛk dis, i go fɔs chɛk yu bɔdi. Dɔn i go tek tɛm tɔk to yu bɔt di sayn dɛn we yu gɛt. Yu famili mɛdikal histri rili impɔtant, mɔ we i kam pan at sik. Bikɔs sɔm at sik dɛn kin rɔn na famili. So, rɛdi fɔ tɛl am di rayt we if ɛnibɔdi na yu famili dɔn gɛt at sik ɛn us kayn sik i bi.

I go want fɔ si di tɛst we yu bin dɔn du trade. If i dɔn te we yu nɔ du dɛn tɛst dɛn de, i kin aks yu fɔ du dɛn bak. Yu fɔ tɛl am bak bɔt ɛni mɛrɛsin we yu de tek naw.

Afta i dɔn chɛk yu ɛn luk ɔl di tin dɛn we yu gi yu, i kin gi yu mɛrɛsin. Ɔ, i kin se i nid fɔ du mɔ tɛst bifo i disayd wetin fɔ du nɛks. We i dɔn gɛt ɔl di tin dɛn we i nid fɔ ɔndastand yu sik gud gud wan, i go tɔk to yu bɔt di tritmɛnt dɛn we yu go gɛt, ivin fɔ du ɔpreshɔn if nid de. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu go gɛt.

Mɛmba se if yu nɔ ɔndastand sɔntin we di dɔktɔ ɛksplen am to yu, nɔ shem fɔ aks am bak. E fayn fɔ mek yu ɔndastand yu sik gud gud wan.

A nid fɔ gɛt riferal fɔ go to dɔktɔ we de mɛn mi at?

Dis kin difrɛn difrɛn wan bay yu inshɔrans plan. I fayn fɔ chɛk wit yu inshɔrans kɔmni. Bɔt, yu go mɔs nid fɔ rifer yu. Dis na frɔm di dɔktɔ we bin fɔs no bɔt yu sik bɔt we nɔ bin ebul fɔ trit am wit mɛrɛsin ɔ ɔda tritmɛnt. Dɔktɔ dɛn we kin rifer yu to dɔktɔ we de mɛn yu at na:

• Yu dɔktɔ we de mɛn yu at
• Yu Pɔlmonɔlɔjis
• Yu famili dɔktɔ (Praymari kia prɔvayda) .
• Yu gastroenterologist (fɔ ɛgzampul, fɔ prɔblɛm dɛn we gɛt fɔ du wit yu εsophageal) .

Pipul dɛn lɛk dat kin de insay.

Wetin na di spɛshal wok dɛn we dɔktɔ dɛn we de du ɔpreshɔn pan di at ɛn di bɔdi kin du?

As wi don tok abaut likl bifo, dis dokta dem get oda sab-speshaliti. Dat min se dɛn kin pe atɛnshɔn mɔ pan sɔm pat ɔ sik dɛn na di chɛst. Sɔm pan di men spɛshal it dɛn na:

• Ɔpreshɔn fɔ di at
• Ɔpreshɔn fɔ transplant at ɛn lɔng
• Ɔpreshɔn fɔ di at we dɛn bɔn wit
• Tɔraks ɔpreshɔn (ɔpreshɔn we gɛt ɔda pat dɛn we nɔto di at) .

Usay dɛn dɔktɔ ya de wok?

Di dɔktɔ dɛn we de mɛn di at ɛn di tɔraks kin wok na ɔspitul. Sɔm kin wok bak na prayvet mɛdikal sɛnta dɛn. Apat frɔm dat, sɔm dɔktɔ dɛn kin du risach bɔt mɛrɛsin ɔ tich di studɛnt dɛn we de stɔdi bɔt mɛrɛsin.

Mɛmba sɔm impɔtant tin dɛn (Take-Home Message) .

Cardiothoracic surgeons na pipul dɛm wae de du ɔpreshɔn pan sɔm pan di impɔtant ɔgan dɛm na wi bɔdi. Bɔku tɛm, di ɔpreshɔn dɛn we dɛn kin du kin rili kɔmpleks. So if dɛn de tɛl yu fɔ du ɔpreshɔn, mek shɔ se yu aks yu dɔktɔ ɛni kwɛstyɔn ɔ ɛnitin we de mɔna yu. Yu fɔ ɔndastand klia wan wetin mek yu nid fɔ du di ɔpreshɔn ɛn aw i go ɛp yu sik.

Afta yu dɔn du di ɔpreshɔn, tek ɔl di mɛrɛsin dɛn we yu dɔktɔ gi yu di rayt tɛm. Fɔ fala di instrɔkshɔn dɛn we dɛn gi yu fɔ kia fɔ yusɛf ɔ di pɔsin we yu lɛk. Nɔ mis ɛni fɔlɔp apɔntinmɛnt afta dɛn dɔn du di ɔpreshɔn. Na dɛn wan ya kin mek di dɔktɔ si aw yu de wɛl. Ɔltɛm, de pɔsitiv ɛn wish yu fɔ wɛl kwik kwik wan!

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