Yu dɔn ɛva notis se sɔm pipul dɛn gɛt wan ol na dɛn chɛst midul? Sɔntɛm yu ɔ yu pikin gɛt dis. I kin rili nɔ kɔmfyut ɛn shem we yu wɛr T-shirt, mɔ we yu go na swimin pul. Dɔn bak, yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ blo ɛn taya kwik kwik wan we yu de rɔn rawnd ɛn ple? Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn Pectus Excavatum . So tide wi go tɔk bɔt ɔltin, rili simpul, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Pɛktus Ɛkskavatum?
I rili simpul. di flat bon we de na di midul pan wi chεst dεn kכl am di stεnכm. Na di strɔng bon we de na di midul pan di chɛst we yu kin fil we yu tɔch am. insay wan kכndyushכn we dεn kכl Pεctus Excavatum , dis bכdi nכ de kכmכt na do, bכt insted i de gro abnכmal wan insay di chεst. I kin sink insay di chɛst lɛk fɛnɛl. Dis na di rizin we mek sɔm pipul dɛn kin kɔl am "funnel chest."
we di stεnכm de sink insay, dεn kin pul di fכ כ fayv rib dεm we tay pan am insay di tu say dεm. Dis kin mek di ples we de insay di chɛst nɔ bɔku. Dis kin mek wi at ɛn wi lɔng dɛn nɔ gɛt bɛtɛ ples fɔ wok fri wan.
Dis na wan sik we dɛn bɔn wit . Dat min se dɛn kin bɔn pɔsin wit dis sik. Bɔt, i nɔ kin notis we dɛn bɔn am. Bɔku tɛm, dis chɛst dimpling kin sho mɔ we di pikin dɔn ol smɔl, mɔ we i ol 12-14 ia, we di bɔdi de gro kwik kwik wan.
We yu tink bɔt aw i kɔmɔn, i kin afɛkt lɛk wan to et pan ɛvri 1,000 pikin dɛn. I kin apin bak pan bɔy pikin dɛn pas gyal pikin dɛn.
Wetin na di sayn dɛm fɔ dis sik?
Dɛn kin sheb di sayn dɛm fɔ Pectus Excavatum to tu kategori. Wan na de diskɔmfɔt na in bɔdi, ɛn di ɔda wan na di saykilɔjik impak. Dɛn tu tin ya kin rili afɛkt pɔsin in layf.
| Tayp we gɛt kwaliti dɛn | Ɛksplen ɛn ɛgzampul dɛn |
|---|---|
| Di sayn dɛn we pɔsin kin gɛt na in bɔdi |
|
| Di sayn dɛn we pɔsin kin gɛt na in maynd |
|
Di tin we impɔtant pas ɔl na dat, if yu de fil dis kayn we, nɔ kip am to yusɛf. Nɔto yu fɔlt. Sɔm tritmɛnt dɛn de we go ɛp dis.
Wetin mek dis de apin? Wetin na di rizin?
Dɛn nɔ dɔn fɛn di rayt tin we mek Pectus Excavatum de pan bɔku pipul dɛn yet. Dis min se i kin jɔs apin fɔ natin.
Bɔt sɔm tɛm dɛn kin se i gɛt fɔ du wit ɔda mɛrɛsin dɛn, mɔ di sik dɛn we kin afɛkt di bɔdi in kɔnektiv tisu. Fɔ ɛgzampul:
- Marfan sindrom we gɛt di sik
- Ehlers-Danlos sindrom we gɛt di sik
Dis na sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks. So if yu gɛt dis kayn sik, yu de pan denja fɔ gɛt Pectus Excavatum.
Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?
Risach pipul dɛn nɔ dɔn no yet wan patikyula jin we de mek Pectus Excavatum. Bɔt dɛn kin tink se i go bi se na in jɛnɛtiks. Bitwin 40% ɛn 53% pan di pipul dɛm wae gɛt Pectus Excavatum gɛt famili mɛmba (lɛk papa ɔr brɔda) wae gɛt dis sik. So if pɔsin na yu famili gɛt am, yusɛf gɛt mɔ chans fɔ gɛt am.
Aw dɔktɔ kin no bɔt dis?
Nɔr kin tranga fɔ no bɔt dis sik. We yu go to dɔktɔ, dɛn kin no if yu gɛt am wit simpul bɔdi ɛgzam . Di dɔktɔ go ebul fɔ si dis dimple we i de chɛk yu chɛst.
Bɔt fɔ no ustɛm dis sik dɔn afɛkt yu at ɛn yu lɔng, di dɔktɔ go tɛl yu fɔ du sɔm ɔda tɛst dɛn.
Wetin na dɛn tɛst dɛn de?
- Chɛst CT skan (Computed Tomography) ɔ MRI skan (Magnetic Resonance Imaging): Dɛn skan ya kin tek tri dimɛnshɔnal pikchɔ dɛn we de insay di chɛst. afta dat dis kin mכsu kכrekt wan aw di stεnכm dכn sink insay εn aw di at εn di lכng dεn kכmprεs.
- Tɛst fɔ ɛksesaiz fɔ yu at ɛn pulmonari: Dis min se yu fɔ rɔn pan tredmil fɔ si aw yu at ɛn yu lɔng dɛn de wok wit ɛksesaiz.
- Ilɛktrokardiogram (EKG): Dis de tɛst di ilɛktrik wok we di at de du fɔ si if ɛnitin de we nɔ rayt na di at bit.
- Echocardiogram: Dis na skan fɔ di at. i de εp fכ si aw di at de wok εn di kכndishכn fכ di valv dεm (lεk mitral valv prolaps).
- Pulmonary Function Tests (PFTs): Dɛn tin ya de mɛzhɔ ɔmɔs briz yu lɔng dɛn kin tek ɛn kɔmɔt, ɛn dis kin mek yu no aw yu lɔng dɛn de wok fayn fayn wan.
Afta yu dɔn du ɔl dɛn tɛst ya, di dɔktɔ go disayd if yu nid ɔpreshɔn ɔ nɔ nid fɔ du ɔpreshɔn.
Wetin na di tritmɛnt dɛn? Yu tink se i nɔ go ebul fɔ mɛn am?
I rili pɔsibul! Tritmɛnt dɛn de we rili fayn fɔ dis. Tu men we dɛn de we dɛn kin yuz fɔ du ɔpreshɔn. dεn kin yuz dεn כpεrayshכn dεm ya fכ bכn di stεnכm we dεn invεst bak to in kכrekt posishכn, dat na fכ kכmכt na do.
Wit dɛn tu ɔpreshɔn ya:
- I de mek di strɛs we de pan yu at ɛn yu lɔng dɛn nɔ bɔku, ɛn dis de mek dɛn ebul fɔ wok fayn fayn wan.
- I de mek yu chɛst luk bak.
If yu gɛt sayn dɛm na yu bɔdi (i nɔ izi fɔ blo, yu chɛst de pen), ɔ if yu de gɛt siriɔs pwɛl hat bikɔs ɔf aw yu luk, ɔpreshɔn kin bi di bɛst sɔlvishɔn.
Dɛn kin tek di bɛst ej fɔ du dis ɔpreshɔn as bitwin 10 ɛn 14. Dis na bikɔs we i ol da ej de, di bon dɛn ɛn di katilej na di chɛst kin stil fleksibul. So, di ɔpreshɔn izi fɔ du ɛn di rizɔlt kin rili fayn.
Naw lɛ wi si wetin na dɛn tu ɔpreshɔn ya.
| Di we aw dɛn kin du ɔpreshɔn | Aw fɔ du am |
|---|---|
| Nuss prosidur fɔ du tin (Ɔpreshɔn we nɔ de tek bɔku mɔni) | Dis na di we we pipul dɛn de yuz pas ɔl di ɔda we dɛn na di wɔl tide. No big say nɔ de we dɛn kɔt am.
|
| Ravitch prosidur we dɛn kin du (Open ɔpreshɔn we dɛn kin du) | Dis na tradishɔnal opin ɔpreshɔn.
|
Yu dɔktɔ we de du ɔpreshɔn go chɛk yu ɛn disayd us ɔpreshɔn we go fayn fɔ yu.
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn? Yu tink se di pen rili bad?
Dis na sɔntin we bɔku pipul dɛn kin fred. Bɔt di bɛst nyus na dat, bikɔs ɔf di mɔdan we fɔ mɛn di pen, di pen we dɛn kin gɛt afta dɛn du di ɔpreshɔn nɔ kin bɔku ɛn di tɛm fɔ wɛl kin shɔt pasmak.
Wan pan di we dɛn we dɛn de yuz naw we dɔn wok fayn pas ɔl na krayoablashɔn .
Fɔ tɔk am simpul wan, dis min fɔ friz di nɛv dɛn we de kɛr pen go na di chɛst (bitwin di rib dɛn) fɔ sɔm tɛm bifo dɛn du di ɔpreshɔn. I tan lɛk se yu de numb yu gam bifo yu pul yu tut. Dis min se yu nɔ go fil bɔku pen fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn.
Bikɔs ɔf dis we aw dɛn de du tin:
- Yu nɔ go nid fɔ de na ɔspitul fɔ 5-7 dez lɛk aw yu bin de du trade. Bɔku tɛm yu kin go na os di de afta dɛn du di ɔpreshɔn.
- Yu nɔ go nid fɔ abop pan strɔng pen kil (opioid) fɔ pen lɛk aw yu bin de du trade.
- Trade, pikin we dɔn rich skul ej fɔ du dis ɔpreshɔn insay skul ɔlide bikɔs i kin tek lɛk wan mɔnt so fɔ wɛl. Bɔt naw dɛn kin go bak na skul insay tu to tri wiks.
So, no rizin nɔ de fɔ mek wi fred fɔ du ɔpreshɔn.
Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm
If a nɔ gɛt ɔpreshɔn, yu tink se dis sik go wɔs as a de ol?
Chɛst tayt nɔ kin wɔs as wi de ol. Bɔt as wi bɔdi in nɔmal wok de go dɔŋ as wi de ol, wi kin bigin fɔ fil mɔ sayn dɛm (shɔt briz, taya) we kin kam bikɔs ɔf di strɛs we de pan wi at ɛn lɔng.
Yu tink se di tɛm we a go liv mi layf go shɔt if a nɔ du ɔpreshɔn? Yu tink se mi at ɛn mi lɔng dɛn go pwɛl sote go?
Nɔ, no pruf nɔ de fɔ se Pectus Excavatum de mek pɔsin in layf shɔt ɔ i de mek in at ɔ in lɔng dɛn pwɛl fɔ ɔltɛm as tɛm de go. Bɔt if dɛn nɔ trit di sik, i kin at fɔ liv wit.
No we nɔ de fɔ mek dis nɔ apin?
Bikɔs wi nɔ no di rayt tin we kin mek dis apin, no we nɔ de fɔ mek i nɔ apin.
Ustɛm a go ebul fɔ du tin dɛn we nɔmal afta dɛn dɔn du mi ɔpreshɔn?
Yu go nid fɔ rɛst fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn. We di pen dɔn stɔp, yu kin bigin fɔ waka ɛn rɔn smɔl. Bɔt yu dɔktɔ go disayd ustɛm yu go bigin fɔ es wet ɛn ple spɔt bak. Bɔku tɛm, pikin we dɔn rich skul ej kin kam bak na skul insay 2-3 wik.
De tin wae impɔtant pas ɔl na fɔ nɔr de pwɛl hat bɔt aw yu bɔdi tan. If pɔsin tɛl yu se na jɔs kɔsmɛtik prɔblɛm, nɔ gri fɔ tek am. Di diskɔmfɔt we yu de fil na yu bɔdi ɛn aw yu de fil na rial tin. So tɔk to dɔktɔ bɔt am opin wan ɛn gɛt di ɛp we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Pectus Excavatum na wan kכndyushכn we di midul bon na di chεst (sternum) de sink insay. Dis na wan sik we dɛn bɔn wit.
- Dis kin mek yu gɛt sayn dɛm na yu bɔdi lɛk wae yu nɔr de blo fayn ɛn yu taya, ɛn yu kin shem ɛn yu maynd strɛs wae gɛt fɔ du wit aw yu luk.
- Dɔktɔ kin no dis if i du simpul ɛgzam. Dɛn kin kɔnfyus di kɔndishɔn mɔ wit tɛst lɛk CT ɔ MRI skan.
- dis kכndyushכn kin kכrekt bכku bכku wan wit כpεrayshכn (Nuss כ Ravitch prosidכs).
- Tɛnki fɔ di mɔdan pen mɛnejɛmɛnt tɛknik dɛm (lɛk Cryoablation), ɔpreshɔn nɔr de fil pen naw ɛn di tɛm fɔ wɛl dɔn shɔt pasmak.
- If yu ɔ yu pikin gɛt dis sik, nɔ fred ɔ shem. Go to dɔktɔ we sabi du in wok fɔ gɛt advays.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt