Ɛnibɔdi we yɛri se dɛn dɔn ɔpreshɔn fɔ pul in wan ol lɔng, kin fred smɔl, nɔto so? Na big big ɔpreshɔn. Bɔt di impɔtant tin we yu fɔ no na dat, insay sɔm kes dɛm, mɔ pan kes dɛm lɛk lɛng kansa, i kin bi wan tin we go sev yu layf. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn we dɛn kɔl Nyumɔnektomi, di gud ɛn bad tin dɛn we i gɛt, ɛn wetin kin apin afta di ɔpreshɔn insay wan simpul we we pɔsin kin ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis Nyumɔnektomi?
Nyumɔnektomi na we dɛn du ɔpreshɔn fɔ pul wan pan yu lɔng dɛn. Wi gɛt tu lɔng, wan na di rayt ɛn wan na di lɛft. If dɛn pul di rayt lɔng, dɛn kin kɔl am rayt-sayd nyumɔnektomi, ɛn if dɛn pul di lɛft lɔng, dɛn kin kɔl am lɛft-sayd nyumonɛktɔmi.
dis dεn kin kכnsidr dis as di big lכng rεsεkshכn biכs i kכmpleks pas כpεrayshכn lεk ``lobectomy`` כ ``wedge rεsεkshכn``, we de pul כnli sכm pat pan di lכng.
Tu men kayn ɔpreshɔn de we dɛn kin du fɔ pul nyumonia:
- Simpul/Standard Nyumonɛktɔmi: Dis kin min fɔ pul yu ɔl yu lɔng, ɛn sɔntɛm sɔm pan di nɛv ɛn tisu dɛn we de nia yu.
- Extrapleural Pneumonectomy: Dis na ɔpreshɔn we big smɔl. Insay dis, di dɔktɔ we de du di ɔpreshɔn kin pul dɛn tin ya:
- Ful lɔng.
- Pleura na di mεmbran we de rawnd di lכng dεm εn di chεst wכl.
- di kכva we de rawnd di at (pεrikardium).
- di pat dεm na di dayafragm, di mכsul dεm we de dכn di lכng dεm.
Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz tu we dɛn fɔ du dis ɔpreshɔn. Wan pan dɛn na tradishɔnal thoracotomy, we min fɔ kɔt di chɛst opin. Di ɔda wan na smɔl say we dɛn kin kɔt 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 kansa we dɔn skata to ɔ frɔm di lɔng dɛn. Bɔt i kin bi sɔlv bak fɔ sɔm ɔda tin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Kansa na di lɔng | Dis na di men rizin we mek dɛn kin du ɔpreshɔn fɔ pul nyumonia. |
| Pleural mesothelioma we gɛt di sik | Kansa we kin apin na di layn na di lɔng dɛn. |
| Siriɔs prɔblɛm dɛn we kin apin na di lɔng | Lɔng dɛn we ɔda tritmɛnt dɛn dɔn pwɛl we nɔ go ɛva chenj. |
| Aspergillosis we dɛn kɔl Aspergillosis | Wan siriɔs fɛns infɛkshɔn na di lɔng dɛn. |
| Bronchiectasis we dɛn kɔl Bronchiectasis | Di aywe dɛn we de dilayt fɔ ɔltɛm ɛn we dɔn pwɛl. |
| Tubakulosis sik we dɛn kɔl Tuberculosis | Tuberculosis, na sik we pɔsin nɔ go ebul fɔ mɛn wit mɛrɛsin ɛn we dɔn pwɛl di lɔng dɛn bad bad wan. |
Udat fit fɔ dis ɔpreshɔn?
Dɔktɔ dɛn go disayd if yu fit fɔ dis ɔpreshɔn bay sɔm tin dɛn.
- If yu kansa de na wan lɔng nɔmɔ (ɛn nɔr dɔn spre to ɔda say dɛm) ɛn yu kin ebul fɔ gɛt kɔmplit mɛrɛsin bay we yu pul di lɔng.
- Dipen pan usay di kansa de, i nɔ go pɔsibul fɔ pul am ɔl if dɛn nɔ pul di wan ol lɔng .
- If yu at, di blɔd vesel dɛn, ɛn di lɔng we lɛf gɛt wɛlbɔdi fɔ bia di ɔpreshɔn .
Dɔn bak, dɛn nɔ kin fayn fɔ mek dɛn du dis ɔpreshɔn fɔ pipul dɛn we nɔ gɛt bɛtɛ blɔd wok, we gɛt siriɔs at valv sik, ɔ we nɔ ebul fɔ pamp blɔd fayn.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ sɔm dez ɔ wik bifo dɛn du di ɔpreshɔn, yu dɔktɔ go du bɔku tɛst fɔ chɛk aw yu at ɛn yu lɔng dɛn de wok. Dɛn tin ya kin bi fɔ tɛst di pulmonari wok, ɛkokadiogram, CT skan, ɛkstrem rayt na di chɛst, ɛn blɔd tɛst.
Di tin we impɔtant pas ɔl na, if yu na pɔsin we de smok, fɔ stɔp fɔ smok kpatakpata bifo dɛn du yu ɔpreshɔn.Rili. Dis go ɛp yu fɔ wɛl bɔku bɔku wan.
Di de we dɛn go du di ɔpreshɔn, dɛn go ful-ɔp yu anestez, so yu nɔ go fil ɛni pen, ɛn yu nɔ go mɛmba ɛnitin we apin. di sajin go mek wan say bitwin tu pan yu rib dεm na yu sayd εn bak, muv di rib dεm apat sכmtεm fכ rich di lכng. Dɔn, dɛn kin pul di briz we de na di lɔng ɛn tek tɛm pul am. If nid de, dɛn kin pul ɔda tisu dɛn we dɔn pwɛl ɛn dɛn kin siŋ di say we dɛn kɔt bak togɛda. Dis ɔltin we dɛn kin du kin tek sɔm awa.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Insay dis tɛm, di mɛdikal tim go wach yu ɔksijɛn lɛvɛl ɛn yu at rit, ɛn dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
Wetin kin apin to di ɛmti ples afta dɛn dɔn pul di lɔng?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. We dɛn pul wan lɔng, di ples kin ful-ɔp wit briz. Bɔt smɔl smɔl, fɔ sɔm dez, di ples kin ful-ɔp wit wata we de na di bɔdi . As tɛm de go, yu at, yu dayafragm, ɛn ɔda pat dɛn kin push smɔl na da ples de. Yu lכng we de rεst de big bak εn i de ajɔst to in nyu posishכn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, nyumɔnectomy gɛt bɛnifit ɛn risk. I impɔtant fɔ tɔk bɔt dɛn tin ya opin wan wit yu dɔktɔ.
| Bɛnifit dɛn | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| If kansa gɛt kansa, dɛn kin pul di wan ol tumbu, ɛn dis kin gi di chans fɔ stɔp di kansa fɔ mek i nɔ go skata . | Akyumyuleshכn fכ pus na di chεst kεviti (Empyema). |
| Protεksh כn εgεst infεkshכn dεm we kin kil (baktri, fכn) we kin apin bikoz fכ wan lכng we dεn dכn pwεl. | di brכnkopleural fistula na wan ol bitwin di trakya εn di layn na di lכng. |
| Fɔ win di prɔblɛm dɛn we di sik kin kam wit ɛn go bifo wit layfFɔ gɛt chans. | Nyumonia, infεkshכn, chenj na di at ritm (Arrhythmia). |
| Pulmonary embolism (blɔd we de klɔt we de travul go na di lɔng dɛn). | |
| Di we aw pɔsin de blo fayn. | |
| Risk de fɔ mek kansa kam bak. |
Wan tin we wi fɔ no mɔ na dat, i dipen pan di we aw di bɔdi tan, di prɔblɛm dɛn we kin apin kin bɔku smɔl we dɛn du ɔpreshɔn fɔ pul di rayt lɔng pas we dɛn du ɔpreshɔn fɔ pul di lɛft lɔng .
Fɔ wɛl ɛn liv wit wan lɔng
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Insay dis tɛm, i nɔ kin izi fɔ yu fɔ wok fayn fayn wan.
- Dɛn go stɔp fɔ du tin dɛn lɛk fɔ es wet ɛn fɔ drayv.
- Yu go fil taya pas aw yu kin fil ɛn yu go nid fɔ rɛst bɔku tɛm.
- Sɔntɛm i kin at fɔ blo.
Sɔm pan dɛn tin ya go go as yu de wɛl, ɔda wan dɛn kin bi yu "nyu nɔmal." I go tek tɛm fɔ ajɔst to am.
Aw fɔ mek i izi fɔ mek pɔsin wɛl?
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Du di ɛgzampul dɛn ɛn di ɛgzampul dɛn fɔ blo jɔs lɛk aw dɛn tɛl yu fɔ du.
- Tek yu mɛrɛsin di rayt tɛm.
- Mek shɔ se yu go pan di de dɛn we dɛn se kam bak fɔ sho yu.
- If yu gɛt ɛni prɔblɛm ɔ prɔblɛm, tɔk to di dɔktɔ bɔt am.
Aw lɔng yu kin liv wit wan lɔng kin dipen pan tin dɛm lɛk di rizin fɔ di ɔpreshɔn, yu ej, ɛn yu ɔl wɛl bɔdi. Di layf we pɔsin we dɛn dɔn ɔpreshɔn fɔ ɔda infekshɔn kin liv kin difrɛn frɔm pɔsin we dɛn dɔn ɔpreshɔn fɔ kansa.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt dɛn sik ya we yu de wɛl, kɔl yu dɔktɔ wantɛm wantɛm :
- If blɔd de siep tru di bandej fɔ di wund we dɛn du di ɔpreshɔn.
- If wata de we de smɛl fayn ɛn we gɛt difrɛn kɔlɔ we de kɔmɔt rawnd di wund.
- If yu gɛt kɔf wit bɔku bɔku mucus ɔ mucus we dɔn chenj in kɔlɔ.
- Fiva.
- Pen we yu nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin.
If yu gɛt dɛn sik ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm:
- Fɔ kɔf blɔd.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan.
- Chɛst pen wantɛm wantɛm wit prɔblɛm fɔ blo.
- Nɔbɔdi nɔ kin no natin.
Mɛsej we dɛn kin kɛr go na os
- Nyumɔnektomi na wan big ɔpreshɔn we dɛn kin du fɔ siriɔs mɛrɛsin. Dɛn kin du am we ɔda tritmɛnt dɛn nɔ bɔku.
- Bɔrku pipul kin liv fɔ lɔng tɛm wit wan lɔng. Di bɔdi kin adap to dis nyu tin as tɛm de go.
- Di tɛm we pɔsin kin wɛl kin tek lɔng tɛm, so i impɔtant fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
- Bifo yu du di ɔpreshɔn, tɔk klia wan wit yu dɔktɔ ɛn yu fambul dɛn bɔt di bɛnifit dɛn, di prɔblɛm dɛn we yu go gɛt, ɛn ɔda tritmɛnt dɛn fɔ disayd fɔ du di bɛst.
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