Yu dɔn gɛt prɔblɛm fɔ blo, yu leg dɛn swel, ɔ yu gɛt at prɔblɛm ɛn yu dɔktɔ dɔn tɛl yu bɔt wan ɔpreshɔn we dɛn kɔl "Pericardiectomy"? Yu kin fred smɔl we yu yɛri da nem de, ɛn dat na nɔmal tin. Bɔt nɔ wɔri. Di bɛst we fɔ dil wit ɛnitin na fɔ no ɔltin bɔt am. So tide, wi go tɔk bɔt dis ɔpreshɔn, wetin mek dɛn du am, aw dɛn kin du am, ɛn wetin kin apin afta di ɔpreshɔn insay wan rili simpul we we yu go ɔndastand.
Fɔs, wetin na dis ‘pɛrikardium’?
Fɔ tɔk am simpul wan, di pɔrikardium na di sak we de protɛkt yu at we de rawnd yu at. Fɔ tɔk di kɔrɛkt tin, na sak we gɛt tu wɔl dɛn. Bitwin dɛn tu wɔl ya, na smɔl wata de. Dis wata de ɛp di at fɔ bit fayn fayn wan, we nɔ gɛt ɛni prɔblɛm, we nɔ gɛt frikshɔn. In ɔda wɔd, i de wok lɛk lɔbrik fɔ mek di at wok.
Bɔt yu go ebul fɔ liv we yu nɔ gɛt dis kɔva?
Yɛs, i rili pɔsibul. dis `Pεrikardium` nכ implεnt fכ di nכmal fכnshכn fכ di at. If yu lכng dεm εn di big mכsul dεm we de dכn we dεn kכl dayafragm fayn, fכ pul dis kכva, i nכ go mek yu gεt nכ prכblεm. infakt, if yu gεt kכndyushכn lεk `Pericarditis` (inflammation of the pericardium), di lכbrik prכpati dεm fכ yu `Pericarditis` dεn dכn כlrεdi lכs. So if yu pul am, dat nɔ go mek di sik wɔs.
So, wetin na di rizin dɛm fɔ du dis ɔpreshɔn (Pericardiectomy)?
Di men ɛn kɔmɔn rizin fɔ dis ɔpreshɔn na wan sik we dɛn kɔl Constrictive Pericarditis .
Imajin, wetin go apin if dis fleksibul sak we de rawnd yu at dray, tik, ɛn tan lɛk kokonat shel we at? I go mek yu at nɔ de bit fri wan ɛn ful-ɔp wit blɔd, nɔto so? Na dat dɛn kɔl `Constrictive Pericarditis`.
We di layn na di at tik ɛn at lɛk dis:
- Di at chɛmba dɛn nɔ de ful-ɔp wit inof blɔd.
- di bכdi we di at fכ pכmp de bigin fכ bak כp insay di lכng.
- Di at nɔ kin ebul fɔ pɔmp blɔd nɔmal wan.
- Di leg ɛn bɛlɛ bigin fɔ swel.
- Dis na sayn dɛm wae fiba wae pɔrsin gɛt at pwɛl hat.
if yu gεt siriכs `Constrictive Pericarditis`, di bεst sכlushכn na fכ כprayz fכ pul dis tik kכva.
Di tebul we de dɔŋ ya de sho sɔm tin dɛn we kin mek pɔsin gɛt `Constrictive Pericarditis`.
| Rizin | Tɔk bɔt |
|---|---|
| Di tin dɛn we dɛn nɔ no bɔt (Idiopathic) . | Bɔrku tɛm, dɛn nɔr kin ebul fɔ fɛn wan patikyula kɔz fɔ dis sik. |
| Di ɔpreshɔn dɛn we dɛn bin dɔn du fɔ di at trade | I kin apin as sayd ɛfɛkt fɔ di ɔpreshɔn we dɛn bin dɔn du to di at bifo tɛm. |
| Radiation tritmɛnt to di chɛst | If yu dɔn gɛt redyushɔn tritmɛnt to di chɛst eria fɔ sik dɛn lɛk kansa. |
| Ɔda sik dɛn | Sik dɛm lɛk Tuberculosis ɛn Mesothelioma. |
| Vayral ɔ baktriyal infɛkshɔn | Sivεr infεkshכn dεm we de afekt di at. |
Apat frɔm dis men rizin, dɛn kin du Pɛrikardiɛktɔmi ɔpreshɔn pan bɔku ɔda kes dɛn:
- Insay kes dɛm we gɛt perikarditis we de kam bak.
- Bikɔs ɔf di kɔmplikɛshɔn dɛn we kin kɔmɔt frɔm sɔm mɛrɛsin dɛn.
- na sכm tεm, wan kכndyushכn we dεn kכl `Cardiac Tamponade` kin apin we wata kin gɛda rawnd di at εn prεs pan di at.
Aw dɛn kin du di ɔpreshɔn ɛn di tɛm we dɛn kin wɛl
Pɛrikardiɛktɔmi na ɔpreshɔn we dɛn kin du fɔ opin in at. Di tim we de du ɔpreshɔn:
1. dεn kin mek wan insayshכn along di brεstbon (`sternum`) na di midul pan yu chεst fכ akses di at. Dɛn kɔl dis we aw dɛn kin du dis wok Median Sternotomy .
2. Bɔku tɛm yu go kɔnɛkt to mashin we de du di wok na yu at ɛn yu lɔng fɔ sɔm tɛm (cardiopulmonary bypass). Dis kin mek dɔktɔ dɛn ebul fɔ pul di layn we de na yu at bak ɛn sayd dɛn sef wan.
3. dεn tek tεm pul di tik, tכf kכva we de rawnd di at (`pericardium`).
4. afta di כpεrayshכn, dεn kin atak di stεnכm bak wit waya εn dεn kin kכloz di say we dεn sכk wit stich.
Dis ɔpreshɔn kin tek lɛk tu to tri awa so . Afta di ɔpreshɔn, dɛn go de wach yu na di intensiv kia yunit fɔ sɔm dez, ɛn dɛn go du am ɔltɛmYu go gɛt fɔ de na di ɔspitul fɔ bitwin 5 ɛn 7 dez .
I kin tek bitwin 6 ɛn 8 wik fɔ mek i wɛl. Yu nɔ fɔ es ebi ebi tin dɛn dis tɛm, bɔt smɔl smɔl yu kin bigin fɔ du tin dɛn we yu kin du na os bak.
Wetin na di bɛnifit ɛn bad tin dɛn we pɔsin kin gɛt we i du di ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn. Dɛn kin stɔp di prɔblɛm dɛn we kin apin if dɛn du di ɔpreshɔn to dɔktɔ we gɛt ɛkspiriɛns fɔ du di ɔpreshɔn pan di at.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| Klose to kɔmplit disappearance of symptoms. | Di prɔblɛm dɛn we kin apin we pɔsin de blɔd. |
| I go mɔs bi se i go wɛl kɔmplit wan pas fɔ tek mɛrɛsin. | Fɔ gɛt fɔ gɛt blɔd transfyushɔn. |
| Fɔ mek di at mɔsul nɔ pwɛl mɔ. | di at bit we nɔ de bit (Atrial Fibrillation). |
| Di kwaliti fɔ layf we de go ɔp. | Kidni dɛn we dɔn pwɛl. |
| Na smɔl tɛm nɔmɔ, di damej pan di nerve we de ɛp fɔ blo (phrenic nerve) kin apin. | |
| I rili smɔl, 1% - 2% risk fɔ day. |
Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
Afta yu dɔn go na os frɔm ɔspitul, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm if ɛni sayn we de sho se yu de wɔn yu.
- If yu gɛt siriɔs pen na yu chɛst .
- If yu gɛt fiva .
- If mɔ wata pas aw i kin bi de kɔmɔt na di ɔspitul wund.
Bɔku tɛm, yu go go to yu dɔktɔ we de mɛn yu at insay wan ɔ tu wik afta yu kɔmɔt na ɔspitul. Dɔn bak, dɛn go du ɛkokadiogram lɛk 6 wiks afta dat fɔ chɛk aw yu at de wok.
Mɛsej we dɛn kin kɛr go na os
- Pericardiectomy na big ɔpreshɔn we dɛn kin du we dɛn kin pul di tik, tranga ɔda tin we de na di at.
- Bɔku tɛm dɛn kin du dis as tritmɛnt fɔ wan sik we dɛn kɔl `Constrictive Pericarditis`.
- Pan ɔl we dis na ɔpreshɔn we dɛn kin du fɔ opin at, dɛn kin ebul fɔ du am fayn fayn wan we dɛn du am ɔnda di sɔpɔtishɔn fɔ wan tim we gɛt ɛkspiriɛns fɔ mɛn pipul dɛn.
- Pan ɔl we i kin tek lɛk 6-8 wiks fɔ mek i wɛl bak afta dɛn dɔn du di ɔpreshɔn, bɔku pipul dɛn kin gɛt rili gud rizɔlt fɔ lɔng tɛm.
- If yu gɛt ɛni fred ɔ kwɛstyɔn bɔt di ɔpreshɔn, tɔk bɔt am opin wan wit yu dɔktɔ. Dɛn go gi yu ɔl di infɔmeshɔn ɛn sɔpɔt we yu nid.
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