Yu gɛt ɔlo chɛst? (Pectus Excavatum) Lɛ wi tɔk bɔt am!

Sɔntɛnde yu kin dɔn si, ɔ ɛkspiriɛns, wan ol na di sɛntrɔm pan yu chɛst. fכ sכm pipul dεm, dis na כnli sכm pat pan di chεst, we fכ כda wan dεm, i kin rili notis, lεk se di chεst dכn sink insay dis na wetin dכkta dεn kכl `(Pectus Excavatum)`. Nɔr frayd tumɔs we yu yɛri dis nem, dis na kɔmɔn kɔndishɔn. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na dis chɛst pen, ɔ (Pectus Excavatum)?

fכ sכmtεm, `(Pectus Excavatum)` na di bon we de kכmכt na di midul pan wi chεst, dat na di stεnכm `(Sternum).` fכ bi prεsis, dis midul bon na di chεst de bεn insay. Bikɔs ɔf dis, yu kin si klia wan we di chɛst de sink, ɔ hol. Bɔku tɛm, lɛk 4 ɔ 5 rib dɛn na ɛni say na di chɛst kin kɔnɛkt to dis.

Dɛn kin kɔl dis bak "sunken chest" ɔ "funnel chest." dis kכndyushכn de rεdכks di spεs insay di chεst. Wetin kin apin da tɛm de? Nɔto inof rum de fɔ mek di at ɛn di lɔng dɛn wok fayn fayn wan.

`(Pectus Excavatum)` na wan sik we dɛn bɔn wit. Dat min se dɛn bɔn pɔsin wit dis sik. Bɔt bɔku tɛm, i kin bigin fɔ sho klia wan we i yɔŋ, we i ol tɛn ɔ fɔtin ia. Bɔt nɔ wɔri, dɔktɔ dɛn kin kɔrɛkt dis kɔndishɔn wit ɔspitul we nɔ kin tek bɔku mɔni ɔ we dɛn kin du tradishɔnal opin ɔpreshɔn.

Aw kɔmɔn dis sik (Pectus Excavatum)?

dis na di mכst kכmכn we dεn kin bכn wit di chεst wכl. Fɔ tɔk roughly, e kin afɛkt bitwin wan ɛn et pan ɛvri tawzin pipul dɛm. I kin apin mɔ pan bɔy pikin dɛn.

Wetin na di sayn dɛm fɔ (Pectus Excavatum)?

De sayn dɛm fɔ dis sik kin afɛkt pan bɔdi ɛn maynd.

Di sayn dɛn we pɔsin kin si na in bɔdi:

• I nɔ kin izi fɔ yu fɔ blo we yu de du ɛksɛsayz: Yu kin fil lɛk se yu nɔ de blo tumɔs ivin we yu de rɔn ɔ ple.
• Fɔ fil taya kwik pas ɔda kɔmpin dɛn: We yu de ple wit yu padi dɛn, yu kin fil taya bifo dɛn taya.
• Taya: Fɔ fil taya ɔltɛm fɔ no patikyula rizin.
• Chɛst pen: Sɔntɛnde, yu chɛst kin tayt ɔ pen.
• At nɔ de bit ɔltɛm: Fɔ fil lɛk se di ritm na yu at de chenj.
• At we de bit: Na we yu yɛri di sawnd we yu at de bit wantɛm wantɛm , ɔ yu fil se i de bit kwik kwik wan.

Di sayn dɛm we pɔsin kin gɛt na in maynd:

Imajin, if yu fil shem ɛn nɔ kɔmfyut we yu de go swim wit yu padi dɛn ɔ ple spɔt bikɔs ɔf dis chenj na yu chɛst... sɔntɛnde yu nɔ go ivin want fɔ pul yu T-shirt. Tin dɛn lɛk dis kin mek yu nɔ gɛt kɔnfidɛns pan yusɛf.

• Intɛns shem ɛn diskɔmfɔt we kin kam bikɔs di chɛst de apia.
• Di tin dɛn we gɛt fɔ du wit di we aw pɔsin de rɛspɛkt insɛf.
• Sɔntɛnde, dis sik kin ivin mek yu gɛt pwɛl hat sik .

Wetin na di tin dɛn we kin mek pɔsin gɛt (Pectus Excavatum)?

Wi nɔr no di rayt tin wae kin mek dis sik kin kam pan bɔrku pipul dɛm. Bɔt pan sɔm pipul dɛm, i kin gɛt fɔ du wit kɔnektiv tisu sik dɛm lɛk Marfan syndrome ɔ Ehlers-Danlos syndrome.

Yu tink se dis na tin we pɔsin kin gɛt?

Risach pipul dεm nכ ebul yet fכ fכn wan difinitiv jεnεtik link to dis kכndyushכn. Bɔt dɛn kin tink se sɔntɛm sɔntin de we de mek pɔsin gɛt sɔntin fɔ du wit in jɛnɛtiks . Dɛn dɔn si se bitwin 40% ɛn 53% pan di pipul dɛm wae gɛt Pectus Excavatum gɛt famili mɛmba wae gɛt dis sik.

Wetin na di risk factor dɛm fɔ (Pectus Excavatum)?

Bikɔs dɛn nɔ dɔn no di rayt tin we kin mek dis sik apin, i nɔ kin izi fɔ no di rayt tin dɛn we kin mek pɔsin gɛt dis sik. Bɔt if pɔsin na yu famili gɛt dis sik, ɔ if yu gɛt ɛni wan pan di sik dɛn we wi bin dɔn tɔk bɔt we dɛn dɔn no se gɛt fɔ du wit am, yu kin de pan denja fɔ gɛt dis sik.

Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?

Di kɔmplikeshɔn dɛn we kin apin wit Pectus Excavatum na:

• I nɔ ebul fɔ du ɛksɛsayz.
• Mitral valv prolaps (wan at valv we nɔ de lɔk fayn fayn wan).
• Kɔmpreshɔn pan yu at.

Aw dɛn kin no di sik we dɛn kɔl Pectus Excavatum?

Dɔktɔ kin no dis sik bay we i tek wan simpul bɔdi ɛgzam. Bɔku tɛm, dɔktɔ dɛn nɔ kin notis am te yu yɔŋ. Dɛn kin du difrɛn tɛst fɔ si aw Pectus Excavatum dɔn afɛkt yu at ɛn yu lɔng wok.

Us tɛst dɛn kin yuz fɔ no (Pectus Excavatum)?

Test fɔ dis kin inklud:

• Wan chɛst magnɛtik rɛsɔnans imej (MRI) skan.
• Wan CT skan na di chɛst.
• Tɛst fɔ ɛksesaiz fɔ di at ɛn di pulmonari.
• Ilɛktrokardiogram (EKG) we dɛn kɔl.
• Echocardiogram fɔ di at.
• Pulmonari Fכnshכn Tεst (PFTs).

Aw dɛn kin trit Pɛktus Ɛkskavatum?

Ɔspitul dɔktɔ kin kɔrɛkt dis kɔndishɔn (Pectus Excavatum) ɔ tru wan minimally invasive prosidur (Nuss procedure) ɔ wan opin prosidur (Ravitch procedure) . Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu us we fɔ du am we bɛtɛ fɔ yu. dis prosidur involv fכ riposishכn yu brεstbon (stεnכm) so dat i go rayz sכmtεm. Wit ɔl tu di prosidur dɛn:

• I de mek di prɛshɔn we de pan yu at ɛn yu lɔng dɛn nɔ bɔku, ɛn dis kin mek dɛn ɔgan dɛn de wok fayn fayn wan.
• Yu chɛst de bɛtɛ.

If yu gɛt bɔdi ɔ yu de gɛt prɔblɛm wit yu maynd bikɔs ɔf Pectus Excavatum, ɔpreshɔn kin bi gud opshɔn fɔ yu. Di bɛst tɛm fɔ du ɔpreshɔn na bitwin 10 ɛn 14 ia, we di chɛst wɔl stil fleksibul. Yu dɔktɔ go ɛp yu fɔ disayd di bɛst tɛm fɔ ɔpreshɔn.

Nuss Prosidyu fɔ du di wok

Dis na di we we nɔ kin ambɔg bɔku pipul dɛn. Insay dis, di dɔktɔ we de du di ɔpreshɔn:

• Dɛn kin put kamɛra insay di chɛst fɔ gayd di ɔpreshɔn.
• Dɛn kin kɔt tu smɔl smɔl say dɛn na ɛni say na di chɛst.
• Dɛn kin put wan spɛshal stɛl band ɔ band dɛn we dɛn mek fɔ kɔba ɔnda di midul pan di chɛst bon, ɛn dɛn kin ajɔst am fɔ es di bon ɔp.
• Dɛn kin tay dis bɛlt na di sayd dɛn na di chɛst wɔl ɛn i nɔ de mek da we de we de sag nɔ de igen.

Dɛn gɛt fɔ lɛf dis stɛl band na in ples fɔ sɔm ia. Dɔn, dɔktɔ we de du ɔpreshɔn kin pul am insay wan simpul ɔtpeshɛnt (we min se yu kin go na os di sem de).

Ravitch Prosidyu fɔ du tin

Dis na di tradishɔnal we fɔ opin ɔpreshɔn. Insay dis, di dɔktɔ we de du di ɔpreshɔn:

• Dɛn kin kɔt wan say na di fɔs pat na di chɛst.
• di kכnektiv tisu we dכn gro pasmak we de push di midul pan di chεst bon insay dεn de kכl am.
• di stεnכm dεn de muv am kכmכt frכm di at εn di lכng dεm, pul am fכ go bifo, εn bכn am na di kכrekt posishכn na di chεst wכl.
• Dɔn, we dɛn yuz smɔl plet ɛn smɔl skru dɛn , ɔ smɔl mɛtal band, dɛn kin mek di midul pan di chɛst bon stebul na di nyu pozishɔn.

Dɛn kin pul dis mɛtal band afta lɛk 6 to 12 mɔnt insay shɔt ɔtpeshɛnt prosidyushɔn. dis bכnd sכmכl pas di bכnd we dεn yuz na di ``Nuss prosidכs.'' dεn nכ de pul di plet dεm, so dεn nכ nid fכ du כda כpεrayshכn.

Di prɔblɛm dɛn we kin apin we pɔsin de trit am

Lɛk ɛni big ɔpreshɔn, ɔpreshɔn fɔ kɔrɛkt Pɛktus Ɛkskavatum kin gɛt sɔm prɔblɛm dɛn. Ɔl tu di Nuss prosidur ɛn di modifyed Ravitch tɛknik na sef ɛn ifɛktiv. Bɔt, kɔmplikeshɔn nɔ kin apin so ɔltɛm.

Posisibul komplikashכn dεm fכ `(Pectus Excavatum)` כpεrayshכn:

• Nyumotɔraks we de na di bɔdi.
• Blɔd we de kɔmɔt.
• Pleural efyushɔn we de kɔmɔt na di bɔdi.
• Sik we de prɛd.
• Get krayzi frɔm usay di bɛlt we dɛn put insay bin de.
• Rikɔrɛshɔn fɔ `(Pectus Excavatum)` kɔndishɔn afta dɛn pul di bɛlt.
• Damej to di tisu dɛn we de rawnd.
• Pen we nɔ de dɔn.

Aw lɔng e kin tek fɔ wɛl frɔm dis tritmɛnt?

Wit di advans we de pan aw fɔ mɛn di pen, di tɛm fɔ wɛl afta dɛn dɔn du di ɔpreshɔn dɔn shɔt naw ɛn i nɔ de fil pen pas aw i bin de fil bifo.

krayoablεshכn de friz di nεv dεm na di chεst wכl bitwin di rib dεm we de fil pen fכ sכm tεm. Dɛn kin put lokal anɛstɛtik insay dɛn nɛv dɛn de bifo ɛn afta di ɔpreshɔn, ɛn dɛn kin gi dɛn bak mɛrɛsin fɔ mek dɛn nɔ fil pen na dɛn mɔt.

Yuz dis ``Cryoablation'' we fɔ ridyus di bad bad pen we kin apin afta di ``Nuss prosidur'' dɔn ridyus di lɔng we pɔsin kin de na ɔspitul bad bad wan, ɛn bak di nid fɔ gɛt pen kil lɛk ``Opioids''.

Trade, bikɔs i kin tek lɛk wan mɔnt fɔ mek dɛn wɛl frɔm dis ``Nuss prosidur,'' skul pikin dɛn bin gɛt fɔ mek dɛn du am insay di lɔng ɔlide. Bɔt naw, tank to nyu we fɔ mɛn di pen lɛk ``Cryoablation,'' di ɔspitul we yu de de shɔt ɛn di wɛl bɔdi kin kwik, so dɛn kin du am ivin we yu de na shɔt skul ɔlide.

Tradishonal we fɔ mɛn di pen kin nid fɔ de na ɔspitul fɔ wan wik afta di Nuss prɔsidyu. Dɛn nid fɔ du epidural bak, dɔn dɛn fɔ tek sɔm wiks fɔ tek opioid pen kil we kin mek pɔsin adikshɔn.

Bɔt wit Cryoablation, bɔku pipul dɛn kin go na os di de afta dɛn du di ɔpreshɔn. Sɔm pipul nɔr nid IV ɔr ɔral opioid at ɔl wae dɛn de na ɔspitul. Ivin di wan dɛn we nid ɔral opioid kin stɔp fɔ tek dɛn insay wan ɔ tu dez. Cryoablation kin mek di chεst wכl nכm fכ siks mכnt to wan ia.

Yu tink se dɛn kin ebul fɔ stɔp Pɛktus Ɛkskavatum?

Nɔ, te dɛn fɛn wan patikyula kɔz fɔ `(Pectus Excavatum)`, no we nɔ de fɔ mek i nɔ apin.

If a gɛt (Pectus Excavatum), wetin a fɔ ɛkspɛkt?

Di men gol fɔ Pectus Excavatum ɔpreshɔn na fɔ ridyus di prɛshɔn we de pan yu at ɛn yu lɔng, we go mek dɛn wok bɛtɛ. Bɔku tɛm, dis kin mek i nɔ ebul fɔ blo fayn, i nɔ kin izi fɔ du ɛksɛsayz, ɛn i kin mek i gɛt pen na in chɛst. Yu go dɔn fil se yu brith ɛn trɛnk nɔmal bifo dɛn du di ɔpreshɔn, bɔt na afta di ɔpreshɔn yu go no aw i bɛtɛ.

Di wan dɛn we dɛn men prɔblɛm na di we aw dɛn bɔdi nɔ bin de luk fayn , dɔn si se dɛn dɔn rili gɛt bɛtɛ rɛspɛkt fɔ dɛnsɛf ɛn dɛn dɔn gɛt kɔnfidɛns pan dɛnsɛf afta dɛn dɔn du dɛn ɔpreshɔn.Big pipul dɛm we gɛt `(Pectus Excavatum)` nɔ kin notis klia limiteshɔn pan aktiviti dɛm te dɛn let 30s ɔ ivin 40s.

Aw lɔng (Pectus Excavatum) kin las?

Yu go gɛt dis sik te dɛn du ɔpreshɔn fɔ kɔrɛkt am.

Ustɛm a go ebul fɔ go bak to mi nɔmal tin dɛn?

Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ rɛst fɔ sɔm tɛm bikɔs yu go fil sɔm kayn prɔblɛm. Wae de diskɔmfɔt dɔn stɔp, yu kin bigin fɔ waka ɛn rɔn bak. Yu dɔktɔ we de du ɔpreshɔn go disayd ustɛm yu go bigin fɔ es wet ɛn ple kɔmpitishɔn spɔt bak.

Pikin dɛn we dɔn rich skul ej fɔ ebul fɔ go bak na skul insay tu to tri wik afta dɛn dɔn du `(Pectus Excavatum)` ɔpreshɔn.

Wetin na di lukin-grɔn fɔ (Pectus Excavatum)?

Ɔl tu di Nuss ɛn Ravitch prosidur dɛn gɛt rili gud rizɔlt. Afta pipul dɛn dɔn wɛl, bɔku tɛm dɛn kin satisfay wit aw dɛn de fil ɛn aw dɛn de luk. di rεkכrεshכn rεt less dan 1% fכ di tu prosidכs dεm.

Aw a kin kia fɔ misɛf?

Fɔ di wan dɛm we nɔ gɛt tritmɛnt `(Pectus Excavatum)`, ɔl tu di sik dɛm na dɛn bɔdi ɛn dɛn maynd na pat pan ɛvride layf. Pan ɔl we sɔm pipul dɛn kin se, "Na jɔs kɔsmɛtik prɔblɛm," dɛn nɔ kin gri se yu de fil. Fɛn dɔktɔ we ɔndastand yu sik dɛn ɛn we go ɛp yu fɔ kɔntrol dɛn.

Ustɛm a fɔ go to mi dɔktɔ?

We yu de chɛk yu dɔktɔ ɔltɛm, dat go ɛp dɛn fɔ disayd ustɛm yu nid fɔ du ɔpreshɔn (ɔ if yu sik rili bad fɔ mek yu nid ɔpreshɔn). Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ si yu dɔktɔ we de du ɔpreshɔn ɔltɛm te yu wɛl ɔl.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ bɔt `(Pectus Excavatum)`:

• " Yu kin rifer mi to kaunselɔ we kin ɛp mi wit di mental distres we a de gɛt bikɔs ɔf dis kɔndishɔn?"
• " Sɔpɔt grup de fɔ pipul dɛn we gɛt `(Pectus Excavatum)`?"
• " Yu rekomend opareshon fo mi kondishon?"
• " Na us ej a fɔ gɛt ɔpreshɔn?"

(Pectus Excavatum) kin wɔs wit di ej?

Yu sik kin wɔs as tɛm de go. Dis kin bi bikɔs ɔf di nɔmal we aw pɔsin kin ol. Dɔn bak, i kin at fɔ kɔmpɛns di tin dɛn we Pɛktus Ɛkskavatum kin put pan yu at ɛn yu lɔng as yu de ol.

If a nɔ gɛt ɔpreshɔn, (Pectus Excavatum) go pwɛl mi at ɛn mi lɔng, ɔ i go stɔp mi layf?

No pruf nɔ de fɔ se Pectus Excavatum de stɔp di layf we i de liv ɔ i de pwɛl di at ɛn di lɔng dɛn as tɛm de go. Bɔt yu sik kin wɔs if yu nɔ du ɔpreshɔn.

uman dεm we gεt `(Pectus Excavatum)` kin gεt nכmal bεlε εn bכn pikin.

If a gɛt (Pectus Excavatum) ɛn nid fɔ du ɔpreshɔn pan mi at, dɛn kin du ɔl tu di ɔpreshɔn dɛn di sem tɛm?

Yɛs. Di dɔktɔ dɛn we de du ɔpreshɔn dɔn du Pectus Excavatum kɔrɛkshɔn ɔpreshɔn wit at ɔpreshɔn wit rili gud rizɔlt. Dis nid fɔ mek di dɔktɔ dɛn we de du ɔl tu di ɔpreshɔn dɛn, gɛt gud kɔdineshɔn.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Pectus Excavatum, na wan sik wae de mek di chεst bon de gro abnכmal wan, kin mek yu at pwɛl bikɔs ɔf in fyzikal ɛn saykilɔjik simptom dɛm. Tɔk fɔ yusɛf ɛn gɛt de ɛp wae yu nid fɔ yu sik. Nɔr frayd fɔ tɔk to yu dɔktɔ bɔt yu sik. Dɛn de fɔ ɛp yu, jɔs lɛk aw dɛn dɔn ɛp ɔda pipul dɛn bifo yu. If ɔpreshɔn na di rayt tin fɔ yu, aks kwɛstyɔn dɛn fɔ ɔndastand us kayn ɔpreshɔn we go fayn fɔ yu. Mɛmba se, fayn tritmɛnt dɛn de fɔ dis sik, ɛn yu kin liv fayn layf, ɛn yu go ebul fɔ liv yu layf!

` Pectus excavatum, chɛst we dɔn sink, chɛst pen, chɛst ɔpreshɔn, Nass prosidur, Ravitch prosidur, shɔt briz, chɛst pen, sternum, kɔndishɔn we dɛn bɔn wit, chɛst we dɔn sink