Sɔntɛnde, bikɔs ɔf sik dɛn we kin afɛkt wi lɔng, mɔ siriɔs tin dɛn lɛk kansa, dɔktɔ dɛn kin gɛt fɔ disayd fɔ du sɔntin we rili siriɔs. If na so i bi, dɛn kin gɛt ɔpreshɔn fɔ pul di wan ol lɔng we gɛt di sik. Dis na wetin wi kin kɔl ‘Pneumonectomy’ na mɛrɛsin. Bikɔs dis na big ɔpreshɔn, i rili impɔtant fɔ mek yu no gud gud wan wetin fɔ ɛkspɛkt.
Wetin rili na nyumɔnektomi?
Fɔ tɔk am simpul wan, nyumɔnektomi na we dɛn du ɔpreshɔn fɔ pul wan pan yu lɔng dɛn. if dεn pul di rayt lכng, dεn kכl am ‘rayt-sayd nyumonεktכmi’, εn if dεn pul di lεft lכng, dεn kכl am ‘lεft sayd nyumonεktomi’.
Dis na di big kayn ɔpreshɔn we dɛn kin du na di lɔng, bikɔs sɔntɛnde ɔpreshɔn dɛn kin de we dɛn kin jɔs pul wan smɔl pat pan di lɔng.
- (Lobectomy) - dis involv fכ pul wan pat (lobe) nכmכ na di lכng.
- (wedge resection) - insay dis, dεn de pul wan ivin sכm pat pan di lכng.
Dɛn kin du nyumɔnektomi ɔpreshɔn tu men we dɛn.
| Di kayn ɔpreshɔn we dɛn kin du | Tɔk bɔt |
|---|---|
| Standart Nyumonɛktɔmi | Insay dis, di dɔktɔ we de du ɔpreshɔn kin pul yu wan ol lɔng nɔmɔ. I kin pul sɔm pan di nerv ɛn tisu dɛn we de nia am bak. |
| Ekstrapleural Nyumɔnektomi (mɔ big ɔpreshɔn) . | Dis na tin we kɔmplikt smɔl. Apat frɔm di lɔng dɛn, dɛn kin pul bɔku ɔda tin dɛn. Dat na: - Lɔng - Di kכva we de rawnd di lכng dεm (Pleura) . - di kכva we de rawnd di at (pεrikardium) . - dεn kin pul wan pat pan di dayafragm bak. |
Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz tu we dɛn fɔ du dis ɔpreshɔn. Wan pan dɛn na ɔpreshɔn we dɛn kin du opin wan we dɛn kɔl thoracotomy . Di ɔda wan na smɔl ɔpreshɔn we dɛn kin du fɔ kɔt pɔsin in bɔdi we dɛn kɔl video-assisted thoracic surgery (VATS) . Pan ɔl we VATS nɔ kin bɔku, i nɔ fayn fɔ ɔl di sik pipul dɛn.
Us kayn tin dɛn kin du dis ɔpreshɔn fɔ?
Bɔku tɛm dɛn kin du dis ɔpreshɔn as tritmɛnt fɔ lɔng kansa, bɔt dɛn kin du am bak fɔ ɔda sik dɛn.
- Kansa na di lɔng
- Kansa tכmכro dεm we de fכm na di lכng
- Pleural mesothelioma, na kansa we de fכm na di layn na di lכng
- Siriɔs injuri dɛn we kin apin na di lɔng
- Wan siriɔs fɛns infɛkshɔn we dɛn kɔl Aspergillosis
- Bronchiectasis na sik we di aywe dɛn kin dilayt fɔ ɔltɛm.
- Tubakulosis sik we dɛn kɔl Tuberculosis
- We wan kayn kansa we dɛn kɔl disseminated thymoma de skata
Nyumɔnektomi na di tritmɛnt we dɛn kin yuz fɔ mɛn kansa na dɛn lɔng, bɔt nɔto ɔl di wan dɛn we gɛt kansa kin du dis.
Udat dis ɔpreshɔn fayn fɔ?
Yu kin fit fɔ gɛt dis ɔpreshɔn pan dɛn kayn tin ya:
- If di kansa de na wan lכng nכmכ (εn i nכ spre to כda εria) εn dεn kin pul di lכng εn di kansa kin kכl kכl.
- dipכnt pan di say we di kansa tכmכro de, na wan pat pan di lכng nכmכ dεn kin pul εn di wan ol tכmכro nכ kin pul.
- If yu at, yu blɔd vesel, ɛn ɔda ɔgan dɛn gɛt gud wɛlbɔdi.
Udat nɔ fit fɔ dis ɔpreshɔn?
- Fɔ di wan dɛn we nɔ gɛt bɛtɛ wok na dɛn lɔng.
- Fɔ di wan dɛn we gɛt siriɔs at valv sik.
- Fɔ di wan dɛn we gɛt siriɔs pulmonari haypatɛyshɔn (ay prɛshɔn na di blɔd vesel dɛn we de kɛr blɔd go na di lɔng dɛn).
- Fɔ di wan dɛn we nɔ gɛt bɛtɛ at pɔmp abiliti (Poor ventricular function).
Bifo dɛn du di ɔpreshɔn ɛn fɔ pripia fɔ di ɔpreshɔn
Fɔ sɔm dez ɔ wik bifo di ɔpreshɔn, yu dɔktɔ go du sɔm tɛst fɔ si aw yu at ɛn yu lɔng dɛn de wok.
- (VQ skan)
- Tɛst dɛn we di pulmonari de wok
- Tɛst fɔ di at (Echocardiogram).
- X-ray na di chɛst
- (PET skan) ɛn (CT skan) .
- Blɔd tɛst dɛn
Aw yu fɔ pripia?
Bikɔs dis na big ɔpreshɔn, yu nid fɔ pripia gud gud wan bifo tɛm.
- Arenj fɔ mek pɔsin tek kia ɔf di os wok ɛn di animal dɛn we yu de mɛn we yu de na ɔspitul.
- Tɔk to pɔsin fɔ kam tek yu we yu kam na os frɔm ɔspitul.
- I rili impɔtant fɔ gɛt pɔsin fɔ ɛp yu fɔ sɔm tɛm afta yu dɔn rich na os. Plan fɔ dat bak.
- If yu de smok, stɔp wantɛm wantɛm. Dis rili impɔtant. If yu gɛt prɔblɛm fɔ lɛf fɔ smok, aks yu dɔktɔ fɔ ɛp yu.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. I kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn ɔ chenj di tɛm bifo dɛn du di ɔpreshɔn.
- If yu gɛt ɛni alɛji to mɛrɛsin, tɛl wi bɔt dɛn bak.
- Di dɔktɔ go tɛl yu nɔ fɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, dɛn go anestez yu ɔl, so yu nɔ go fil natin. Di dɔktɔ we de mɛn yu go wach yu ɔl di tɛm we yu de du di ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn go kɔt di sayd na yu chɛst, bitwin tu rib dɛn, ɛn muv di rib dɛn apat fɔ rich na di lɔng. Dɔn, di dɔktɔ we de du di ɔpreshɔn go pul sɔm pan di briz we de na di lɔng ɛn tek tɛm pul am. If nid de, dɛn go pul ɔda tisu dɛn, ɛn dɛn go siŋ di rib dɛn, di mɔsul dɛn, ɛn di skin bak togɛda. Dis ɔpreshɔn kin tek sɔm awa.
Afta di ɔpreshɔn...
Afta di ɔpreshɔn, yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez.
- Di mɛdikal tim go kɔntinyu fɔ wach yu ɔksijɛn lɛvɛl, yu at rit, ɛn blɔd prɛshɔn.
- Dɛn go gi dɛn mɛrɛsin fɔ mɛn di pen fɔ kɔntrol di pen.
- Fyzikal tritmɛnt pipul dɛn go kam tich yu fɔ du ɛksɛsayz fɔ blo, ɛp yu fɔ grap na bed ɛn waka.
Wetin kin apin to da ɛmti ples de we dɛn pul di lɔng?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. As dɛn pul wan lɔng so, di ples kin ful-ɔp wit briz. Afta sɔm tɛm, wata kin chenj da briz de. As tɛm de go, dɛn kin push yu at, yu dayafragm, ɛn ɔda pat dɛn na da say de. di lכng lכng we de rεst de big sכmtεm bak. Wi bɔdi kin ajɔst to dis nyu tin we kin apin to wi fayn fayn wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
| Bɛnifit dɛn | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| If pɔsin gɛt kansa, dɛn kin pul di wan ol tumbu fɔ mek di kansa nɔ go skata, ɛn i kin ivin wɛl ɔl. | Absεs na di chεst (Empyema) . |
| I kin mek yu nɔ gɛt infɛkshɔn we kin kil pɔsin (baktri, fɛns) we kin apin bikɔs ɔf di lɔng we dɔn pwɛl. | Di at bit we nɔ de bit ɔltɛm (Aritmia) . |
| Di we aw pɔsin de blo fayn | |
| Nyumonia | |
| Pɔlmonari ɛmbolizm | |
| Bronchopleural fistula (ol bitwin di trakya ɛn di layn na di lכng) . | |
| Risk de fɔ mek kansa kam bak ivin afta dɛn dɔn du di ɔpreshɔn. |
Impɔtant: Bikɔs ɔf di strɔkchɔ na di bɔdi, di risk fɔ gɛt kɔmplikeshɔn dɛn we dɛn de du ɔpreshɔn fɔ pul di rayt lɔng kin pas smɔl pas di lɛft.
Fɔ wɛl ɛn layf we de bifo
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Insay dis tɛm:
- Dɛn kin stɔp tin dɛn lɛk fɔ es wet ɛn fɔ drayv.
- Fɔ fil taya pas aw i kin fil.
- Yu nid fɔ rɛst ɔltɛm.
- I kin tranga fɔ du nɔmal wok dɛn we pɔsin kin du ɛvride.
Sɔm pan dɛn tin ya go go as yu de wɛl, ɛn sɔm tin kin bi pat pan yu "nyu nɔmal."
Wetin wi kin tɔk bɔt di layf we pɔsin kin liv?
Dis kin dipen pan bɔku tin dɛn. Di men rizin we mek dɛn du di ɔpreshɔn na di rizin we mek dɛn du am. Fɔ ɛgzampul, i pas 3 pan ɔl 4 pipul dɛn we dɛn kin du ɔpreshɔn fɔ TB, kin liv fɔ pas 10 ia. Bɔt sɔv dɛn sho se na 1 pan ɔl 3 pipul dɛn we dɛn dɔn ɔpreshɔn fɔ gɛt kansa na dɛn lɔng, na in nɔmɔ de liv fɔ pas 5 ia. So, i impɔtant fɔ mek yu tɔk to yu dɔktɔ bɔt wetin de apin to yu.
Ustɛm fɔ go to dɔktɔ
Pe atɛnshɔn gud wan to di chenj dɛn we de apin na yu bɔdi we yu de wɛl.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| - If di bandej we de pan di ɔspitul wund wet wit blɔd. | - If di wund gɛt dɔti smel ɔ difrɛn kɔlɔ wata we de kɔmɔt. |
| - Kɔf we gɛt bɔku bɔku mכkus ɔ mכkus we nɔ gɛt kɔlɔ. | - Fiva. |
| - Nɔs ɔ vɔmit. | - Pen we nɔ de go ivin afta yu tek mɛrɛsin. |
| If yu gɛt dɛn sik ya, go na di ɔspitul in ETU (Emergency Treatment Unit) wantɛm wantɛm. | |
| - If yu de kɔf blɔd. | - I kin tranga fɔ blo bad bad wan. |
| - Chɛst pen wantɛm wantɛm wit prɔblɛm fɔ blo. | - Lɔs pan kɔnshɛns. |
Mɛsej we dɛn kin kɛr go na os
- Nyumɔnektomi na ɔpreshɔn we rili siriɔs. Dɛn kin jɔs du am pan tin dɛn we rili bad, we nɔto bɔku ɔda tritmɛnt dɛn de.
- I kin tek sɔm mɔnt fɔ mek i wɛl ɔl we dɛn dɔn du di ɔpreshɔn, ɛn i impɔtant fɔ peshɛnt insay dis tɛm.
- Pan ɔl we i pɔsibul fɔ liv wit wan lɔng fɔ lɔng tɛm, sɔm chenj dɛn na layf go nid fɔ chenj.
- Fil fri fɔ tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bifo ɔ afta dɛn du di ɔpreshɔn wit yu dɔktɔ. Na da tɛm de nɔmɔ yu go ebul fɔ disayd fɔ du di bɛst tin fɔ yu wɛlbɔdi.
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