Dɔktɔ dɔn ɛva tɛl yu ɔ pɔsin we yu sabi se dɛn nid fɔ ɔpreshɔn fɔ pul wan pat pan yu lɔng? Na nɔmal tin fɔ mek yu fil bɔku fred ɛn wɔri we yu yɛri dɛn wɔd dɛn de. "Dem de pul wan pies of mai lung? A go fit brith afta dat? Dis wan denja?" Yu go mɔs gɛt bɔku kwɛstyɔn dɛn lɛk dɛn wan ya na yu maynd. Nɔ wɔri. Tide, wi go tɔk bɔt dis ɔpreshɔn, we dɛn kɔl lobectomy, insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na lobectomy?
Lobectomy na we yu ɔspitul fɔ pul wan pat, ɔ "lobe," na yu lɔng. yu no se wi rayt lכng gεt tri lob εn wi lεft lכng gεt tu? Dis ɔpreshɔn de pul di lob nɔmɔ we gɛt sik, ɛn lɛf di lob we gɛt wɛlbɔdi.
Bɔku tɛm dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ di fɔs tɛm we dɛn kin gɛt kansa na in lɔng. Na tritmɛnt we rili fayn, mɔ fɔ kansa we nɔ gɛt smɔl sɛl dɛn na in lɔng . Sɔntɛnde, di dɔktɔ kin disayd fɔ pul wan pat nɔmɔ pan wan pat. Dɛn kɔl dis sɛgmɛnt ɛkstɔmi .
| Men rizin dɛn fɔ mek dɛn pul am na di lobectomy | |
|---|---|
| Di tin dɛn we kin mek pɔsin gɛt kansa | fכ pul di lכng kεnsar (especially di εli stej), di lכng kansa tכmכro dεm, εn di mεtastas tכmכro dεm we dεn spre to di lכng frכm כda pat dεm na di bכdi. |
| Infɛkshɔn ɛn damej | fכ rivεs di damej we nכ de rivεrs na di lכng dεm we tin dεm lεk siriכs infεkshכn (e.g. TB) כ rεdyushכn tεrapi. |
| Prɔblɛm dɛn frɔm we dɛn bɔn am | fכ kכrekt sכm difεkt dεm we de apin we di lכng dεm de fכm we dεn bכn am. |
| Blɔd we de kɔmɔt | If blɔd de kɔmɔt we dɛn nɔ ebul fɔ kɔntrol bikɔs di lɔng dɛn dɔn pwɛl, dɛn kin nid fɔ pul da pat de. |
Wetin na di we dɛn we dɛn kin du ɔpreshɔn?
Trade, dɛn bin de du dis kayn ɔpreshɔn bay we dɛn kin kɔt big say na di chɛst ɛn pul di rib dɛn. Dɛn kɔl dis wan we dɛn kɔl thoracotomy . Bɔt naw, bikɔs ɔf di tin dɛn we dɛn dɔn lan bɔt tɛknɔlɔji, bɔku pan di ɔpreshɔn dɛn we dɛn kin du, dɛn kin yuz we dɛn we nɔ kin tek bɔku pipul dɛn . Fɔ tɔk am simpul wan, dɛn kin du dis ɔpreshɔn tru sɔm smɔl ol dɛn, ɛn dɛn nɔ kin kɔt big say.
- VATS (Video-Assisted Thoracoscopic Surgery): Dis kin min fɔ mek sɔm smɔl smɔl say dɛn na di sayd na di chɛst, put smɔl kamɛra tru wan, ɛn put ɔspitul inschrumɛnt dɛn tru di ɔda say dɛn we dɛn kɔt. Di dɔktɔ kin du di ɔpreshɔn we i de wach di insay pat pan di lɔng dɛn pan big skrin. Dis we ya nɔ nid fɔ brok ɔ muv di rib dɛn.
- RATS (Robot-Assisted Thoracoscopic Surgery): Dis kin rili fiba VATS. Bɔt na ya di dɔktɔ we de du ɔpreshɔn kin kɔntrol di inschrumɛnt dɛn tru wan sistem we gɛt rɔbɔt an dɛn. Dis kin mek dɛn ebul fɔ du di ɔpreshɔn mɔ dilik ɛn kɔrɛkt wan.
Dɛn nyu we ya kin mek i nɔ kin fil pen afta dɛn dɔn ɔpreshɔn am, i kin wɛl kwik kwik wan, ɛn i kin de na ɔspitul fɔ shɔt tɛm.
Aw wi kin rɛdi fɔ dis ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn go du bɔku tɛst dɛn bifo tɛm fɔ si aw yu bɔdi rɛdi fɔ am. Nɔ panik afta yu dɔn si dɛn tin ya. Dis na ɔl fɔ yu sef.
| Di tɛst we dɛn de du | Wetin yu si pan dat? |
|---|---|
| Fɔ chɛk yu bɔdi | Di dɔktɔ go ɔndastand yu jenɛral wɛlbɔdi kɔndishɔn gud gud wan. |
| Imej Skan dɛn | Dɛn kin yuz chɛst ɛkstrem rayt, CT skan, ɛn PET skan fɔ no di rayt say ɛn di say we di lɔng prɔblɛm de. |
| Pɔlmonari Fɔnkshɔn Tɛst dɛn | Dɛn go mɛzhɔ aw yu lɔng dɛn de wok fayn ɛn if yu go ebul fɔ blo nɔmal wan wit di pat we lɛf afta dɛn dɔn ɔpreshɔn yu. |
| Tɛst fɔ di At | Dɛn go du tɛst dɛn lɛk ECG (ilɛktrokadiogram) ɛn ɛkokadiogram fɔ no if yu at go ebul fɔ bia wit dis kayn big ɔpreshɔn. |
| Bayopsi we dɛn kin du | Sɔntɛnde, bifo dɛn du di ɔpreshɔn, dɛn kin tek smɔl smɔl pan di tumbu we de na di lɔng ɔ di limf no dɛn we de nia fɔ chɛk if i gɛt kansa ɔ nɔto kansa. |
Apat frɔm dɛn tɛst ya, yu go go bak to dɔktɔ we de mɛn yu at ɛn dɔktɔ we de anestez. Di dɔktɔ we de anestez go ɛksplen di anestezi we dɛn go gi yu we dɛn de du di ɔpreshɔn ɛn aw fɔ kɔntrol di pen afta di ɔpreshɔn.
Di tin we impɔtant pas ɔl: If yu na pɔsin we de smok, i rili impɔtant fɔ lɛ yu lɛf fɔ smok kwik kwik wan bifo dɛn du yu ɔpreshɔn. If yu lɛf fɔ smok, dat kin mek yu nɔ gɛt prɔblɛm dɛn afta yu dɔn ɔpreshɔn yu bad bad wan.
Di dɔktɔ go tɛl yu bak ustɛm yu fɔ stɔp fɔ it ɛn drink di nɛt bifo di ɔpreshɔn.
Wetin kin rili apin we dɛn de du ɔpreshɔn?
Yu nɔ nid fɔ wɔri bɔt dis atɔl. Dɛn go gi yu anestezi bifo di ɔpreshɔn bigin, so yu go slip kpatakpata. Yu nɔ go fil ɛni pen.
1. Dɛn kin put wan tiub dɔŋ yu trot ɛn kɔnɛkt am to mashin (ventilator) fɔ ɛp yu fɔ blo.
2. Dɛn go put IV tiub insay wan vein na yu an ɛn dɛn go gi yu di mɛrɛsin we yu nid tru am.
3. Dɔn di dɔktɔ kin bigin di ɔpreshɔn bay we i de kɔt di chɛst bay we i de yuz di we aw wi bin dɔn tɔk bɔt VATS, RATS, ɔ Thoracotomy.
. כltu, di bכdi vεsul dεm εn di brכnkial branch dεm we de go to di כda hεlty sεgmεnt dεm nכ de pwεl.
5. Dɛn kin put di pat we dɛn pul insay spɛshal bag ɛn pul am na di bɔdi.
6. If na kansa, dɛn go pul sɔm pan di wɛlbɔdi tisu dɛn we de rawnd am. Dɛn go pul sɔm limf no dɛm na di chɛst bak ɛn sɛn dɛn fɔ tɛst fɔ si if di kansa dɔn skata.
7. Afta ɔltin dɔn, tek tɛm chɛk fɔ ɛni say we blɔd de kɔmɔt ɛn was ɛn klin di insay pat na di chɛst fayn fayn wan.
8. Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step.
Bɔku tɛm, di wan ol ɔpreshɔn kin tek lɛk tu awa so, bɔt dis kin difrɛn difrɛn wan bay aw di ɔpreshɔn at.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Aw fɔ kia fɔ yu na ɔspitul
Afta di ɔpreshɔn, dɛn go wek yu ɛn kɛr yu go na say usay dɛn de mɛn pipul dɛn we de wɛl, usay dɛn go gi yu mɛrɛsin fɔ kɔntrol yu pen.
- We yu dɔn ful-ɔp wit kɔnshɛns, dɛn kin pul di tiub we yu de blo. Bɔku pipul dɛn nɔ kin ivin mɛmba dis.
- Dɔn dɛn go transfa yu to jenɛral wɔd ɔ sɔm tɛm dɛn go na di intensiv kia yunit (ICU).
- Yu go gɛt wan ɔ tu tiub (chɛst dreyn) we dɛn put na yu chɛst. Dɛn tin ya de pul di ɛkstra wata ɛn briz we de gɛda rawnd yu lɔng dɛn. Dɛn go pul dɛn insay sɔm dez.
- Kɔf ɛn brith ɛksesaiz: Di nɔs dɛn go ɛnkɔrej yu fɔ kɔf ɔltɛm ɛn tek dip briz. Pan ɔl we dis kin mek yu fil pen smɔl, i impɔtant fɔ mek yu lɔng dɛn big fayn fayn wan ɛn mek yu nɔ gɛt infɛkshɔn.
- Fɔ mek blɔd nɔ klɔt na yu leg dɛn we yu de na bed, yu kin tek mɛrɛsin dɛn we de mek yu blɔd tan ɛn wɛr spɛshal kɔmpreshɔn divays dɛn na yu leg dɛn.
- Frɔm di de afta di ɔpreshɔn, a bin gɛt fɔ bigin waka smɔl smɔl wit di ɛp we di nɔs dɛn bin de ɛp mi.
Lɛ wi no bak bɔt di bɛnifit ɛn prɔblɛm dɛn we kin apin.
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit dɛn de ɛn sɔm prɔblɛm dɛn bak.
Men advantej:
Fɔ di lɔng kansa we de bigin, dis ɔpreshɔn na di bɛst chans fɔ mek i wɛl kɔmplit wan .
Di prɔblɛm dɛn we kin apin (Kɔmplikeshɔn dɛn):
Dɛn tin ya nɔ kin apin to ɔlman, bɔt i impɔtant fɔ no bɔt dɛn.
- Atrial fibrillation - Dis na di komplikashכn we kכmכn pas כl.
- Blɔd we de kɔmɔt pasmak.
- di briz de lik frכm di lכng dεm we de las fכ sכm dez.
- Blɔd kin klɔt na di leg dɛn.
- Infεkshכn dεm na di chεst.
- Nyurolɔjik dizayd (e.g., vɔys chenj).
- I nɔ kin izi fɔ yu fɔ blo we yu de du ɛksɛsayz.
Di bɛst we fɔ ridyus dɛn prɔblɛm ya na fɔ pik ɔspitul we gɛt ɛkspiriɛns ɔspitul dɛn we kin du dɛn kayn ɔpreshɔn ya bɔku tɛm. If yu gɛt ɛnitin fɔ wɔri bɔt dɛn prɔblɛm ya, tɔk to yu dɔktɔ bɔt dɛn opin wan bifo di ɔpreshɔn.
Aw fɔ wɛl kwik kwik wan afta yu dɔn go na os?
If yu dɔn du ɔpreshɔn bay we dɛn yuz wan mɔdan we lɛk VATS ɔ RATS, yu go ebul fɔ go na os frɔm ɔspitul insay tu to tri dez . Di pen nɔ kin bɔku, so di tɛm fɔ wɛl kin kwik. Bɔku tɛm, yu kin go bak to layt wok, lɛk fɔ wok na ɔfis, afta lɛk tu wiks so. If yu gɛt wok we yu nid fɔ es ebi ebi tin dɛn, yu go nid fɔ rɛst fɔ at le 4 wiks.
If dɛn du yu opin ɔpreshɔn (thoracotomy), yu go gɛt fɔ de na ɔspitul fɔ tri to 4 dez , ɛn i go tek smɔl tɛm fɔ mek yu wɛl.
Afta yu dɔn go na os:
- Dɛn go gi yu strɔng pen kil fɔ lɛk wan wik so.
- I go fayn if sɔmbɔdi bin de arawnd fɔ ɛp di biginin.
- Sɔm pipul dɛn kin nid ɔksijɛn tɛrapi na os fɔ sɔm tɛm.
- Nɔ drayv te yu dɔn tek mɛrɛsin fɔ mek yu fil pen.
- Yu go gɛt fɔl-ap apɔntinmɛnt wit yu dɔktɔ insay 1-3 wik afta dɛn du di ɔpreshɔn. I kin tɔk bɔt yu tɛst rizɔlt, chɛk yu wund dɛn, ɛn gi yu advays bɔt aw fɔ go bifo.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva, kol, ɛn taya pasmak, kɔl yu dɔktɔ wantɛm wantɛm.
Sɔm ɔda kwɛstyɔn dɛn we yu go gɛt na yu maynd:
Yu tink se dis na big ɔpreshɔn?
Yɛs , fɔ pul lobectomy na big ɔpreshɔn bikɔs di lɔng dɛn gɛt blɔd vesel dɛn we rili dilik ɛn big. So sɔm risk de.
Wetin na di layf we pɔsin kin liv afta dɛn du di ɔpreshɔn?
Dis kin dipen ɔl pan di stej we di kansa de. Dɛn kin no dis frɔm di patɔlɔji ripɔt afta dɛn dɔn du di ɔpreshɔn. Bɔku tɛm, if dɛn pul am na di fɔs tɛm, dɛn kin ebul fɔ mɛn am kɔmplit wan.
Yu tink se di kansa kin kam bak?
Chans de fɔ du dat. Na dat mek dɛn kin wach yu wit CT skan ɛvri siks mɔnt fɔ fayv ia afta dɛn dɔn du di ɔpreshɔn. If di kansa nɔ kam bak afta fayv ia, dɛn kin tek yu as pɔsin we dɔn wɛl ɔltogɛda.
Yu kin fil lɛk se dɛn dɔn pul yu kɔmɔt na ɔda kɔntri ɔr sosayti dɔn aks yu fɔ gɛt kansa we yu de smok. Na nɔmal tin fɔ gɛt dɛn filin dɛn de, bɔt nɔ tink bɔt dɛn. Yu nid fɔ put ɔl yu trɛnk fɔ mek yu wɛl kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Lobectomy na we dɛn pul wan pat (lobe) na di lɔng. Dis na tritmɛnt we rili fayn fɔ mɛn kansa na di lɔng.
- Di mɔdan tɛknik dɛn lɛk VATS ɛn RATS naw kin mek pɔsin nɔ fil pen afta dɛn dɔn ɔpreshɔn am ɛn i kin wɛl kwik kwik wan.
- Tin dɛn lɛk fɔ lɛf fɔ smok bifo dɛn du yu ɔpreshɔn kin ridyus di prɔblɛm dɛn we kin apin to yu bad bad wan.
- Dis na big ɔpreshɔn, so gi yusɛf tɛm fɔ wɛl ɔl. Nɔ shem fɔ aks yu fambul ɛn padi dɛn fɔ ɛp yu.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, mek shɔ se yu tɔk bɔt am opin wan wit yu dɔktɔ. If yu no wetin de na yu maynd, dat go ɛp dɛn fɔ plan yu tritmɛnt.
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