Yu dɔktɔ dɔn tɛl yu se yu nid fɔ du midiastinoscopy? Yu go mɔs dɔn fred smɔl we yu yɛri da nem de, nɔto so? Yu go mɔs dɔn gɛt bɔku kwɛstyɔn dɛn lɛk, ‘Wetin na dis? Yu tink se na big ɔpreshɔn? Yu tink se i go mek i fil bad?’ I rili nɔmal. I nɔ sɔprayz fɔ no se we yu yɛri nyu wɔd, ɛn ivin we dɛn kɔl am ɔpreshɔn, yu kin fred smɔl. So tide, lɛ wi tɔk bɔt wetin na dis mediastinoscopy, wetin mek dɛn kin du am, aw dɛn kin du am, ɛn wetin kin apin afta dat, insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Mediastinoscopy?
Okay, mek wi brok dis daun fos. Mediastinoscopy na ɔpreshɔn we de mek yu dɔktɔ tek tɛm luk insay yu chɛst, mɔ di spes bitwin yu lɔng dɛn (we wi kɔl di mediastinum insay mɛrɛsin).
Tink bɔt dis, dis spɛs bitwin di tu lɔng dɛn we de insay wi chɛst rili impɔtant. Na bikɔs bɔku impɔtant ɔgan dɛn lɛk wi at, trakya, ɛn ɛsophagus de ya. So wi kin yuz dis we we wi want fɔ si if ɛnitin de we nɔ kɔmɔn na dis say, lɛk tumbu ɔ limf no we dɔn big.
Dɛn kin yuz wan spɛshal inschrumɛnt we dɛn kɔl mediastinoscope fɔ dis prosidur. I tan lɛk tint tiub we gɛt kamɛra ɛn layt we dɛn tay pan am. We dɔktɔ dɛn yuz dis inschrumɛnt, dɛn kin si klia wan wetin de insay di chɛst. nכto nכmכ dεn kin si, bכt dεn kin tek wan tisu sεmpl frכm wan limf node כ כda tכmכro we de de εn sεnd am fכ egzamin (wi kכl dis bayopsi).
Wetin na di difrɛns bitwin Mediastinoscopy ɛn Mediastinotomy?
Yu kin yɛri bak di wɔd mediastinotomy. dεn kin du dεn tu fכ luk di mεdiastinum εria na di chεst. Bɔt smɔl difrɛns de.
- Mediastinoscopy: Dis na fɔ mek smɔl say (lɛk wan inch) na di nɛk ɛn put skɔp tru am. Di say we dɛn kɔt smɔl, so i kin wɛl kwik kwik wan.
- Mediastinotomy: Dis involv fɔ mek wan say we big smɔl na di chɛst ɛn luk dairekt insay. Dis we ya de mek di dɔktɔ si mɔ insay, bɔt di say we dɛn kɔt am big, so di tɛm fɔ wɛl kin lɔng.
Fɔ tɔk am simpul wan, we pɔsin de du midiastinoskopi, i tan lɛk se i de luk tru di ki ol na rum domɔt. Mediastinotomy tan lɛk we yu opin di domɔt ɛn luk insay. Pan ɔl we di rizin fɔ dɛn tu tin ya na di sem, di we aw dɛn kin du am ɛn di tɛm we dɛn kin gɛt fɔ wɛl kin difrɛn.
Wetin mek yu want fɔ tek dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go ɔda dis tɛst. Di men rizin dɛn na:
- Kɔnfɛm pɔsin we yu tink se gɛt kansa:If yu si sɔntin we nɔ kɔmɔn na yu chɛst pan ɛkstrem rayt ɔ CT skan, yu nid fɔ tek wan pat pan di tisu ɛn chɛk am fɔ no fɔ tru if na kansa ɔ nɔto kansa. Dis we fɔ du tin rili impɔtant fɔ dat.
- Fɔ no di stej we di kansa gɛt: If dɛn dɔn ɔlrɛdi no se pɔsin gɛt kansa na in lɔng, taymus gland kansa, ɔ kansa na in bɔdi , dɛn kin du dis tɛst fɔ si aw i dɔn skata. Na mɔ, i kin ɛp fɔ si if di kansa dɔn skata to di limf no dɛm we de nia de. Dis na aw dɛn kin no di stej we di kansa gɛt ɛn dɛn kin pik di bɛst tritmɛnt.
- Fɔ no ɔda sik dɛn: Nɔto kansa nɔmɔ, sɔm tɛm dɛn kin yuz dis tɛst fɔ luk fɔ infɛkshɔn na di lɔng, ɛn fɔ no ɔda sik dɛn lɛk limfoma, sarkoidosis, ɔ mɛsotelioma .
Pipul dɛn de we nɔ want fɔ mek dɛn du dis ɔpreshɔn?
Yɛs, dis ɔpreshɔn nɔ fayn fɔ ɔlman. Sɔntɛnde, i kin mek i gɛt prɔblɛm. Ɛspɛshali fɔ pipul dɛn lɛk:
- Fɔ di wan dɛn we gɛt wan tumbu we dɛn nɔ go ebul fɔ ɔpreshɔn we tu big fɔ mek dɛn ebul fɔ pul am wit ɔpreshɔn.
- Fɔ di wan dɛn we dɔn gɛt midiastinoscopy bifo (bikɔs di ska tisu frɔm di fɔs say we dɛn kɔt kin mek i at ɛn risky fɔ du am sɛkɔn tɛm).
- Fɔ di wan dɛn we dɔn gɛt redyushɔn tɛrapi to di chɛst eria (ɔpareshɔn kin kɔmplikt bikɔs di tisu na da eria de dɔn chenj bikɔs ɔf redyushɔn).
Yu dɔktɔ go chɛk yu ɛn disayd fɔ du di bɛst tin bɔt dis.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na ɔpreshɔn, yu dɔktɔ go tɛl yu aw fɔ pripia bifo tɛm. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
| Di pat we dɛn fɔ pripia | Wetin yu nid fɔ du |
|---|---|
| Tɛst dɛn we dɛn kin du fɔ mɛn pipul dɛn | Bifo yu du di ɔpreshɔn, yu dɔktɔ go ɔda tin dɛn lɛk fɔ tek ɛkstrem rayt na yu chɛst, CT skan, ɛn tɛst fɔ no aw yu pulmonari de wok. Mek dɛn du ɔl dɛn tin ya di rayt tɛm. |
| Mɛrɛsin dɛn we yu de tek | If yu de tek ɛnitin we de mek yu blɔd nɔ klɔt (blɔd tin dɛn), yu go nid fɔ stɔp fɔ tek am sɔm dez bifo dɛn du di ɔpreshɔn. Mek shɔ se yu tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays. Tɛl am bɔt ɔl di mɛrɛsin dɛn we yu de tek. |
| Fɔ fast | Dɛn go aks yu fɔ stɔp fɔ it ɛn drink ɔltogɛda sɔm awa bifo dɛn du di ɔpreshɔn (bɔku tɛm arawnd midulnɛt). Fɔ fala dɛn instrɔkshɔn ya gud gud wan. |
Aw dɛn kin du di ɔpreshɔn?
Okay, naw mek wi si wetin de hapun insaid di opareshon rum. Nɔ wɔri, ɔl dis kin apin ɔnda jenɛral anestezi, we min se dɛn kin put yu na slip so dat yu nɔ go fil natin.
1. Anestezi: Fɔs, dɛn kin put IV insay wan vein na yu an ɛn dɛn kin gi yu mɛrɛsin we go mek yu slip ɔl.
2. Breathing tube: If yu nɔ no, dɛn kin put wan breathing tube dɔŋ yu trot ɛn dɛn kin alaw yu fɔ blo tru mashin (ventilator).
3. Smɔl say we dɛn kɔt: Dɛn kin kɔt smɔl tin lɛk wan inch dɔŋ yu nɛk, jɔs ɔp yu brɔst bon.
4. Fɔ put di inschrumɛnt insay: Di dɔktɔ we de du ɔpreshɔn kin put wan inschrumɛnt we dɛn kɔl mediastinoscope tru da say we dɛn kɔt am.
5. Egzamin ɛn sampul: Di dɔktɔ de put am insay ɛn luk di say dɛn we dɛn fɔ ɛgzamin wit kamɛra. If ɛni limf no ɔ tisu we dɛn tink se de, dɛn kin tek sɛmpul (bayɔpsi) we dɛn yuz smɔl tul we tan lɛk siza pan di sem inschrumɛnt.
6. Fɔ pul di divays ɛn siŋ am: Afta dɛn dɔn du di wok, pul di divays ɛn siŋ di smɔl say we dɛn kɔt wit trɛd we kin sɔlv ɔ rɛgyula trɛd.
7. We yu wek frɔm anestezi: Fɔ dɔn, dɛn go wek yu bak ɛn pul di tiub we yu de blo.
Dis ɔl dis kin tek lɛk wan awa so , bɔt sɔntɛnde i kin tek smɔl tɛm.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Yu go stil fil smɔl smɔl fɔ sɔm awa afta yu wek frɔm di anestezi. Bɔrku tɛm, dis na ɔutpatient prosidur, we min se yu nɔr nid fɔ de na ɔspitul.
- Go na os: Bɔt bikɔs dɛn dɔn gi yu anestezi , yu nɔ go ebul fɔ drayv. Yu go nid yu fambul ɔ padi fɔ drayv yu go na os.
- Di prɔblɛm dɛn we kin apin:Bikɔs dɛn put di tyub fɔ blo, yu kin gɛt tingling na yu trot ɛn mɔt, yu kin fil pen, ɛn yu kin kɔf fɔ di nɛks de. Nɔ wɔri bɔt dat. Di say we dɛn kɔt am go bak smɔl fɔ sɔm dez. Di dɔktɔ go gi yu pen kil fɔ dat.
- Test: Sɔntɛnde afta dɛn dɔn du di ɔpreshɔn, yu kin gɛt ɛkstrem na yu chɛst fɔ mek shɔ se prɔblɛm nɔ de wit yu lɔng.
Wetin na di risk dɛm we pɔsin kin gɛt we i de du midiastinoskopi?
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de. Pan ɔl we di chans fɔ mek dɛn tin ya apin rili smɔl, i impɔtant fɔ no bɔt dɛn.
| Risk / Kɔmplikɛshɔn | Wan simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt | Dis na di prɔblɛm we kin apin pas ɔl, bɔt dɛn kin manej am we dɛn de du ɔpreshɔn. |
| Infεkshכn na di lכng (Nimonia) . | Afta di ɔpreshɔn, di jεm dεm kin go insay di lכng dεm εn mek infεkshכn (nyumonia). |
| Nyumotɔraks we de na di bɔdi | Na smɔl tɛm nɔmɔ di divays kin mek smɔl ol na di lɔng, we kin mek i fɔdɔm (nyumothorax). Dɛn kin trit dis bak ɛn kɔrɛkt am. |
| Infεkshכn na wund | Di say we dɛn kɔt am kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. I impɔtant fɔ mek di wund klin. |
Di risk fɔ day frɔm dis ɔpreshɔn rili, rili smɔl (arawnd 0.09%). So nɔ fred dis we yu nɔ nid fɔ fred.
Aw lɔng i kin tek fɔ mek di tin dɛn we kin apin?
Dɛn go sɛn di bayɔpsi na lɛbɔtri fɔ mek dɛn tɛst am, ɛn i kin tek sɔm dez fɔ mek di ripɔt kam. We di ripɔt dɔn kam, yu dɔktɔ go ɛksplen am to yu ɛn tɔk bɔt di nɛks tin dɛn we yu fɔ du ɛn di tritmɛnt.
Ustɛm a fɔ go to di dɔktɔ?
Na nɔmal tin fɔ gɛt sɔm smɔl smɔl pen ɛn pen afta yu dɔn go na os. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Bɔrku pen na yu chɛst
- Wan fiva we rili ay
- I nɔ kin izi fɔ yu fɔ blo
- If di say we dɛn kɔt am rili rɛd, i swel, ɛn dischaj we tan lɛk pus de kɔmɔt insay
Nɔ ignore tin dɛn lɛk dis.
Mɛsej we dɛn kin kɛr go na os
- Mediastinoscopy nɔto ɔpreshɔn we denja fɔ fred. Na wan rili impɔtant ɛn sef tɛst we dɛn kin yuz fɔ no di sik dɛn lɛk kansa kɔrɛkt wan.
- Dɛn kin du dis tru wan smɔl say we dɛn kɔt di nɛk, so yu kin wɛl kwik kwik wan. Bɔku tɛm, yu kin go na os di sem de.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo yu du di ɔpreshɔn (lɛk fɔ stɔp fɔ it ɛn drink, fɔ stɔp fɔ tek mɛrɛsin).
- I nɔmal fɔ gɛt trot we de at, kɔf, ɛn pen na di say we dɛn kɔt am fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn.
- If yu gɛt siriɔs pen na yu chɛst, yu gɛt fiva, ɔ yu nɔ ebul fɔ blo afta yu dɔn go bak na os, tɛl yu dɔktɔ wantɛm wantɛm ɛn nɔ de te.
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