Yu kin gɛt prɔblɛm bak fɔ blo de to de bikɔs ɔf siriɔs ɛmfisema? Yu kin fil fɔdɔm ivin afta yu dɔn du smɔl smɔl wok dɛn? Ivin afta yu dɔn tek mɛrɛsin ɛn go na rihabiliteshɔn program, di prɔblɛm we yu gɛt fɔ blo nɔ kin go dɔŋ? If na so i bi, sɔntɛm yu dɔktɔ go tɔk to yu bɔt spɛshal ɔpreshɔn. Na dat wi de tɔk bɔt tide. Dɛn kɔl dis Lɔng Volyum Ridɔkshɔn Ɔpreshɔn, ɔ LVRS fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na LVRS ɔpreshɔn?
Tink bɔt yu lɔng dɛn lɛk tu spɔnj. We ɛmfisema rili bad, di briz bɔbul dɛn kin fɔm na sɔm pat dɛn na dis spɔnj, we kin mek dɛn blo. Dɛn say dɛn ya we dɔn pwɛl nɔ kin ebul fɔ blo igen, ɛn dɛn nɔ kin ebul fɔ tek ɔksijɛn insay di blɔd. Nɔto dat nɔmɔ, bɔt dɛn say dɛn ya we dɔn blo ɛn we nɔ gɛt yus fɔ blok bak di pat dɛn we gɛt wɛlbɔdi na di lɔng dɛn, ɛn dis kin mek dɛn nɔ ebul fɔ wok fayn.
LVRS ɔpreshɔn na fɔ kɔt ɛn pul dɛn pat dɛn de na di lɔng we dɔn pwɛl, we dɔn swel, ɛn we nɔ gɛt yus.
Dat min se di sayz fɔ di lɔng dɛn kin ridyus. Wetin kin apin we yu du dis? di rεst hεlty pat dεm na di lכng dεm dεn alaw fכ εkspכnd εn wok fayn fayn wan. Dɔn, di ɔksijɛn we de na di briz we yu de blo kin go insay di blɔd fayn fayn wan ɛn sɛn am ɔlsay na di bɔdi.
Di impɔtant tin na dat dis ɔpreshɔn nɔ de mɛn ɛmfisema ɔltogɛda. Ɛn i nɔ gɛt garanti fɔ mek yu liv lɔng. Di men gol fɔ dis ɔpreshɔn na fɔ ridyus di prɔblɛm we yu gɛt fɔ blo ɛn fɔ mek yu layf bɛtɛ.
Udat dɛn kin du dis ɔpreshɔn? Yu nɔ tink se i pɔsibul fɔ ɔlman?
Nɔ, dis ɔpreshɔn nɔ fayn fɔ ɔlman. Stɔdi dɔn sho se dis ɔpreshɔn kin wok fayn fɔ di wan dɛn nɔmɔ we mit sɔm krayteria dɛn. Yu dɔktɔ go tek tɛm chɛk yu fɔ no if yu na gud pɔsin fɔ du dis. Dɛn kin tink bɔt dɛn krayteria ya:
- Bikɔs i nɔ rich 75 ia yet.
- Fɔ gɛt siriɔs shɔt briz (dyspnea) we de kɔntinyu pan ɔl we dɛn de tek mɛrɛsin ɛn rihabiliteshɔn na yu pulmonary.
- di damej pan di lכng dεm fכ de mכst na di כp pat dεm. Dis min se di ɔda pat dɛn na di lɔng dɛn fɔ de fayn fayn wan.
- Pruf fɔ se di lɔng dɛn dɔn ful-ɔp pasmak ɛn di briz dɔn trap.
- Yu fɔ dɔn stɔp fɔ smok ɔltogɛda fɔ at le 4 mɔnt. Dɛn nɔ go du dis ɔpreshɔn pan pɔsin we kɔntinyu fɔ smok.
- Yu fɔ ebul fɔ tek pat pan pulmonari rihabiliteshɔn program fɔ 6-10 wik bifo di ɔpreshɔn ɛn 10-12 wik afta di ɔpreshɔn.
Wetin na di we dɛn we dɛn kin du ɔpreshɔn?
Tu men we dɛn de fɔ pul di pat dɛn na di lɔng we dɔn pwɛl. Yu dɔktɔ we de du ɔpreshɔn go disayd us we fɔ du am fayn fɔ yu bay aw yu sik.
| Di we aw dɛn kin du ɔpreshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Tɔrakskɔpi we dɛn kin du | dis involv fכ mek 3 כ 5 sכm sכm sכm pat dεm bitwin di rib dεm insted fכ mek big insεshכn na di chεst. Dɛn kin put kamɛra (vidioskɔp) tru wan say we dɛn kɔt fɔ luk di lɔng dɛn, ɛn dɛn kin put ɔspitul inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt fɔ pul di pat dɛn we dɔn pwɛl. Dɛn kin kɔl dis we bak VATS (Video-Assisted Thoracic Surgery) . Bikɔs dɛn nɔ gɛt big say we dɛn kɔt am, di tɛm we pɔsin kin wɛl kin go kwik smɔl. |
| Sternotomi we dɛn kin du | Dis na ɔpreshɔn we dɛn kin du opin wan. Dɛn kin du di ɔpreshɔn bay we dɛn kɔt di brɔst bon lɔng wan na di midul pan di chɛst ɛn opin di chɛst. di advantej fכ dis mεtכd na dat i izi fכ rich di tu lכng dεm tru wan insishכn. |
apat frכm dat, insay sכm kayn we dεn de we dεn kכl Bronchoscopic Lung Volume Reduction (BLR), we na fכ put sכm sכm valv dεm insay di lכng dεm we dεn de yuz bכnkoskop fכ mek di briz kכmכt na di say dεm we dεn dכn pwεl, we dεn nכ de du כpεrayshכn. Bɔt dat na sɛpret tɔpik.
Us tɛst dɛn kin du bifo dɛn du di ɔpreshɔn?
Fɔ no if yu na gud pɔsin fɔ dis ɔpreshɔn, yu dɔktɔ go aks yu fɔ du bɔku tɛst dɛn. Nɔ wɔri, dɛn kin du ɔl dɛn tɛst ya fɔ yu sef ɛn fɔ gɛt di bɛst rizɔlt frɔm di ɔpreshɔn.
- Imej Test: Chɛst X-ray ɛn ay-rɛzolushɔn CT skan kin sho ɔmɔs briz dɔn trɔp na di lɔng dɛn ɛn usay di mɔs damej de.
- Pulmonary Function Tests (PFT): Dɛn kin yuz dɛn tin ya fɔ no aw yu lɔng dɛn de wok fayn fayn wan. Dɛn kin luk tin dɛm lɛk yu FEV1 valyu fɔ prɛdikt aw bɔku bɛnifit yu go gɛt frɔm ɔpreshɔn.
- Ɛksesaiz Tɛst: Tin dɛn lɛk siks minit waka tɛst de mɛzhɔ aw fa yu kin ɛksesaiz.
- Lung Diffusion Test (DLCO): Dis de tɛst aw yu lɔng dɛn de tek ɔksijɛn fayn fayn wan insay yu blɔd.
- Tɛst fɔ yu at: Dɛn kin du tin dɛn lɛk EKG, ɛkokadiogram, ɛn strɛs tɛst fɔ mek shɔ se yu at de wok fayn fayn wan.
- Ɔda tɛst dɛm: Tin dɛm lɛk V/Q skan ɛn arterial blɔd gas tɛst de gi mɔ infɔmeshɔn bɔt di respiratory system.
Di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn. I impɔtant fɔ tɔk opin wan bɔt dis wit yu dɔktɔ ɛn gɛt gud ɔndastandin.
Wetin na di bɛnifit dɛn we wi kin gɛt?
- Di kwaliti fɔ layf dɔn rili impɔtant.
- Di shɔt briz we de shɔt.
- I de mek di lɔng dɛn wok fayn fayn wan.
- Di ebul fɔ ɛksesaiz mɔ.
- I izi fɔ blo.
Wetin na di prɔblɛm dɛn we kin apin?
Ɛni ɔpreshɔn kin gɛt prɔblɛm dɛn, ɛn dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Di bad tin dɛn we kin apin to pɔsin we dɛn tek anestezi.
- Lכng we kכlaps (nyumothorax).
- Air leakage frɔm di stich dɛn.
- Kɔndishɔn dɛn we kin mek pɔsin gɛt sik lɛk nyumonia.
- Wan at atak (mayokardial infarkshɔn).
Dis na siriɔs ɔpreshɔn. Akɔdin to di statystik, di risk fɔ day bikɔs ɔf dis ɔpreshɔn de bitwin 3% ɛn 5%. Na dat mek fɔ pik di rayt pɔsin we sik rili impɔtant.
Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ 3 to 7 dez. Afta yu go na os, dɛn go aks yu fɔ stat wan pulmonary rihabiliteshɔn program bak insay di fɔs wik. Dis rili impɔtant bikɔs dɛn ɛksesaiz ɛn trenin ya impɔtant fɔ mek yu gɛt di bɛst pan di ɔpreshɔn we yu de du.
Di fridɔm we pɔsin kin gɛt we i de blo we dɛn du ɔpreshɔn kin las fɔ tu to fayv ia. So, i rili impɔtant fɔ lɛ yu nɔ smok kpatakpata ɛn fala wetin di dɔktɔ tɛl yu fɔ du dis tɛm.
Ustɛm a fɔ go to dɔktɔ?
If ɛni wan pan dɛn tin ya apin afta dɛn dɔn du di ɔpreshɔn, yu fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm .
- Fiva.
- 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).
Mɛsej we dɛn kin kɛr go na os
- LVRS na ɔpreshɔn we dɛn kin du nɔmɔ pan sɔm pipul dɛn we dɛn dɔn pik we gɛt siriɔs ɛmfisema.
- If yu de plan fɔ du dis ɔpreshɔn, i rili impɔtant fɔ lɛf fɔ smok kpatakpata.
- Dis nɔto ɔpreshɔn we de mɛn pipul dɛn, in men gol na fɔ ridyus di prɔblɛm dɛn we pɔsin kin gɛt we i de blo ɛn fɔ mek di kwaliti fɔ layf bɛtɛ.
- Di rizulyt fɔ di ɔpreshɔn kin las fɔ sɔm ia, ɛn di pulmonary rihabiliteshɔn rili impɔtant fɔ mek dɛn maksimal.
- Bifo yu disayd fɔ du ɛnitin, tɔk to yu dɔktɔ bɔt di gud tin dɛn, bad tin dɛn, ɛn di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn fɔ mek yu ɔndastand am klia wan.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Leg Swelling / Peripheral Edema?
Dis nɔto jɔs yu leg dɛn we de stiff as yu de gɛt wet/ol! ‘Leg Swelling’ na wan kכndyushכn we wan pan yu leg dεm (bכt bכku tεm כl tu yu leg dεm), ankles εn sכl dεm kin bi big כnכmal bikoz fכ wata we de kכmכt (Edema) כnda di skin, we de mek i at fכ put shuz/waka. we yu pres pan dis say we swel wit yu finga, i go go dכn lεk pit fכ sכm tεm (Pitting edema). Dis na sayrin we de mek big, fatal damej to di bɔdi in ‘at ɔ kidni’!
💬 Wetin na di men tin wae kin mek yu fut en leg swel (Leg Swelling)?
4 men tin dεm de fכ dis: 1) ‘Hat Failure’ - We di at nכ ebul fכ pכmp bכdi/wik (lεk we yu stכk na plen), dat bכdi de bכku na di leg dεm bikoz fכ graviti εn i de swel. 2) ‘Kidney Failure/Nephrotic Syndrome’ - We di kidni dεm nכ ebul fכ prodyuz urine/di kidni dεm de lכs protin εn fulכp wit wata. 3) Di sayd ifekt dɛm fɔ sɔm blɔd prɛshɔn pils ɛn brɔst kansa mɛrɛsin dɛm. 4) Liva Sirosis - insay dis kes, di wan ol bכdi de fulכp wit wata εn i de big lεk balכn.
💬 We yu leg swel, wetin na di ‘layf-threatening/emergency situations’ we yu fɔ go na ɔspitul/imergency dipatmɛnt wantɛm wantɛm, we yu nɔ jɔs put ɔyl/balm?
i nכmal fכ gεt yu leg dεm we swel we yu bεlε εn fכ gεt swel afta yu tinap fכ lכng tεm (Mild leg edema - kip yu leg dεm εlevεt). Bɔt dis na di big denja! Along wit leg we swel, 1) ‘If na wan leg nɔmɔ (na wan sayd nɔmɔ) swel, rɛd ɛn bɔn (Wɔm/Rɛd/Siv Pen - DVT/blɔd klot)’, 2) If yu gɛt prɔblɛm fɔ blo wantɛm wantɛm ɛn yu chɛst tayt ɛn kɔf/vomit (Pulmonary Embolism / Heart Failure), yu kin day insay minit, yu nid fɔ go to di ɔspitul imejensi dipatmɛnt (Ambulans) wantɛm wantɛm!
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