Dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi se dɛn nid fɔ ɔpreshɔn fɔ gɛt prɔblɛm wit dɛn lɔng? Na nɔmal tin fɔ fil smɔl frayd, want fɔ no mɔ, ɛn gɛt bɔku kwɛstyɔn dɛn na di tɛm lɛk dis. Yu kin de wɔnda tin dɛm lɛk, "Dis na big ɔpreshɔn? I go at? Wetin kin apin afta dat?" So tide wi go tɔk insay wan rili simpul ɛn padi we bɔt wan big ɔpreshɔn we dɛn kin du na di lɔng we dɛn kɔl ‘lobectomy.’ Lɛ wi si wetin i bi, wetin mek dɛn du am, ɛn wetin yu nid fɔ no bɔt am.
Wetin na lobectomy insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, lobectomy na we dɛn du ɔpreshɔn fɔ pul wan pat (lobe) na yu lɔng. Wi lɔng dɛn gɛt bɔku bɔku lob dɛn, ɔ lob dɛn. di rayt lכng gεt tri lob dεm εn di lεft lכng gεt tu lob dεm. Dis ɔpreshɔn de pul di pat nɔmɔ na di lɔng we gɛt sik, ɛn i de kip di ɔda pat dɛn na di lɔng we gɛt wɛlbɔdi.
Bɔku tɛm dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ di fɔs stej lɔng kansa (nɔ-smɔl sɛl lɔng kansa). Dɔn bak, sɔntɛnde di dɔktɔ kin disayd fɔ pul wan smɔl pat nɔmɔ pan di lob instead fɔ pul di wan ol lob. Dɛn kɔl dis segmentɛktɔmi.
Apat frɔm kansa na di lɔng, dɛn kin du dis ɔpreshɔn fɔ sɔm ɔda rizin dɛn.
| Rizin dɛn fɔ mek dɛn pul di lobectomy |
|---|
| - Sɔm prɔblɛm dɛn we pɔsin kin gɛt we i bɔn na in lɔng. |
| - Lɔng damej bikɔs ɔf infɛkshɔn ɔ redyushɔn tɛrapi. |
| - Kεnsar we dεn spre to di lכng dεm (mεtastas) frכm כda pat dεm na di bכdi. |
| - Blɔd we de kɔmɔt bikɔs ɔf di lɔng damej. |
Aw dɛn kin du dis ɔpreshɔn?
Nɔ lɛk trade, dɛn tɛm ya, dɛn kin du dis ɔpreshɔn bɔku tɛm we dɛn nɔ opin di chɛst, ɛn dɛn kin yuz smɔl smɔl say dɛn we dɛn kɔt. Wi kin kɔl dis ‘minimally invasive methods’. Tu men we dɛn de fɔ du am.
1. VATS (Vidio-Assisted Thoracoscopic Surgery) we dɛn kin du:Dis involv fɔ mek sɔm rili smɔl smɔl say dɛn na yu rib, put smɔl vidio kamɛra tru wan ɛn ɔspitul inschrumɛnt dɛn tru ɔda say dɛn insay yu chɛst. Di dɔktɔ we de du di ɔpreshɔn de du di ɔpreshɔn we i de wach klia pikchɔ bɔt yu lɔng dɛn na big skrin. Dis we ya nɔ nid fɔ brok ɔ muv ɛni rib.
2. RATS (Robot-Assisted Thoracoscopic Surgery): Dis fiba VATS, bɔt na ya di ɔspitul de kɔntrol di ikwipmɛnt wit di ɛp we sɔm rɔbɔt an dɛn de ɛp am.
Di big bɛnifit fɔ dɛn tu we ya na fɔ lɛ i nɔ gɛt pen, i kin wɛl kwik kwik wan, ɛn i kin de na ɔspitul fɔ shɔt tɛm.
Bɔt sɔm kɔmpleks kes dɛn, dɔktɔ dɛn kin gɛt fɔ du ɔpreshɔn bay we dɛn kin kɔt big pat na di chɛst ɛn muv di rib dɛn smɔl. Dɛn kɔl dis we aw dɛn kin du am thoracotomy .
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dɛn du big ɔpreshɔn lɛk dis, dɛn kin du bɔku tɛst dɛn fɔ no if yu gɛt wɛlbɔdi.
- Wan kɔmplit ɛgzam fɔ di bɔdi.
- Imej tɛst dɛn lɛk ɛkstrem rayt na di chɛst, CT skan, ɔ PET skan.
- Pulmonary function test fɔ chɛk fɔ si if i nɔ izi fɔ blo.
- fכ tek sכm sכm pat pan di lכng tisu כ limf no dεm fכ egzamin (bayopsi).
- Blɔd tɛst dɛn.
- tεst dεm lεk `(ECG)` εn `(echocardiogram)` fכ chεk aw di at de wok.
If yu gɛt lɔng kansa, fɔ no if i dɔn spre to ɔda pat dɛn na yu bɔdi (stej) impɔtant fɔ plan tritmɛnt. Dɔn bak, if yu dɔn gɛt at sik, yu go nid fɔ go to dɔktɔ we de mɛn yu at bifo dɛn du yu ɔpreshɔn. Di dɔktɔ we de anestez go ɛksplen aw fɔ kɔntrol di pen we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn.
Di tin we impɔtant pas ɔl: If yu de smok, i impɔtant fɔ lɛ yu stɔp fɔ smok ɔl sɔm wiks bifo yu du di ɔpreshɔn. If yu du dat, dat kin rili ridyus di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn.
Di dɔktɔ go tɛl yu bifo tɛm bak ustɛm yu fɔ stɔp fɔ it ɛn drink di nɛt bifo di ɔpreshɔn.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, dɛn go wek yu ɛn sɛn yu na di say usay dɛn de mɛn pipul dɛn we dɔn wɛl. Na ya, dɛn go gi yu mɛrɛsin fɔ kɔntrol yu pen. We yu dɔn no gud gud wan, dɛn go pul di tiub we yu de blo. Bɔku pipul dɛn nɔ de mɛmba dis.
- Dɔn dɛn go transfa yu to jenɛral wɔd ɔ sɔm tɛm dɛn kin go na di intensiv kia yunit (ICU).
- Dɛn go put wan ɔ tu chɛst dreyn na yu chɛst fɔ pul di wata ɛn briz we pasmak na di say we dɛn du di ɔpreshɔn. We di wata we de kɔmɔt pan dɛn dɔn go dɔŋ, di dɔktɔ go pul di tiub dɛn.
- Di wan dɛn we de wok na di dɔktɔ go ɛnkɔrej yu fɔ kɔf ɔltɛm ɛn du ɛksashɔn fɔ dip briz . Dis rili impɔtant fɔ mek yu lɔng dɛn wɛl.
- Dɛn kin yuz tin dɛn we de mek blɔd tan ɛn kɔmpreshɔn divays fɔ mek blɔd nɔ klɔt na di leg dɛn we yu de na bed.
- Fɔ ɛp yu fɔ waka di de afta di ɔpreshɔn na impɔtant pat bak pan di wɛlbɔdi prɔses.
If dɛn du ɔpreshɔn pan yu we yu de yuz wan we lɛk VATS ɔ RATS, yu go jɔs nid fɔ de na ɔspitul fɔ tu ɔ tri dez . Fɔ wɛl bak kwik kwik wan. If dɛn du ɔpreshɔn pan yu chɛst we opin, yu go nid fɔ de na ɔspitul fɔ tri to 4 dez . We yu go na os, dɛn go gi yu strɔng pen kil fɔ yuz fɔ lɛk wan wik so. Pan ɔl we yu kin du yu yon wok na os, i fayn fɔ mek pɔsin de nia yu fɔ ɛp yu.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit we dis ɔpreshɔn gɛt na dat i de gi di bɛst chans fɔ mek pɔsin we gɛt kansa na in lɔng we i dɔn bigin fɔ mɛn am kɔmplit wan . Dat na big big op. Ɛn lɛk ɔl di ɔpreshɔn dɛn, sɔm prɔblɛm dɛn de we kin apin.
| Risk dɛn we kin apin we pɔsin du ɔpreshɔn | |
|---|---|
| Di at bit we nɔ de bit ɔltɛm | di at bit we kכmכn we nכ de rεgulεr na ``Atrial Fibrillation``. |
| Blɔd we de kɔmɔt | I kin nid fɔ opin di chɛst bak ɔ gi blɔd. |
| Di briz de lik frɔm di lɔng dɛn | Wan briz lik we kin las fɔ pas fayv dez. |
| Ɔda prɔblɛm dɛn we kin apin | Blɔd kin klɔt na yu leg, di nerve dɛn kin pwɛl, infɛkshɔn kin kam, ɛn yu nɔ kin blo fayn we yu de du ɛksɛsayz. |
Yɛs, fɔ pul di lobectomy na big ɔpreshɔn. Bɔt day we dɛn du dis ɔpreshɔn nɔ kin apin so ɔltɛm. Dɛn kin ridyus di prɔblɛm dɛn mɔ if dɛn gɛt tritmɛnt na ɔspitul ɛn bay wan mɛdikal tim we gɛt ɛkspiriɛns fɔ du dis kayn ɔpreshɔn bɔku tɛm.
Ustɛm yu want fɔ si di dɔktɔ bak?
Afta yu dɔn go na os, if yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva, kol, ɛn taya pasmak , yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
Yu dɔktɔ go sɛtul fɔ go fɔ fala yu 1 to 3 wik afta dɛn dɔn du yu ɔpreshɔn. I go tek ɛkstrem rayt na yu chɛst, chɛk yu wund dɛn, ɛn tɔk bɔt aw yu de go bifo. Dipen pan di stej we yu kansa gɛt, dɛn kin sɛn yu to dɔktɔ we de mɛn kansa . Dɛn go de wach yu kɔndishɔn wit CT skan ɔltɛm fɔ di nɛks fayv ia.
Mɛsej we dɛn kin kɛr go na os
- Lobectomy, pan ɔl we na big ɔpreshɔn, na di bɛst tritmɛnt fɔ di fɔs stej lɔng kansa we kin mek i wɛl kɔmplit wan.
- Di mכdan mεtכd dεm lεk VATS εn RATS de rεsult in less pen εn fast rεkכvεshכn.
- 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.
- Fɔ fala di dɔktɔ in instrɔkshɔn (lɛk fɔ ɛksesaiz fɔ blo ɛn fɔ waka) jɔs afta dɛn dɔn du di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik kwik wan.
- Nɔ ɛva fred fɔ aks yu dɔktɔ bɔt ɛnitin we yu nɔ ɔndastand ɔ we yu de wɔri bɔt.
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