We yu luk yu pikin in chɛst, i tan lɛk se i dɔn sink insay? Ɔ i de kɔmɔt bifo lɛk pijin? Yu dɔn notis se yu pikin nɔ kin ebul fɔ blo ɔ i kin fil pen na in chɛst bikɔs ɔf dis sik? Sɔntɛm i nɔ kin want fɔ ple wit in padi dɛn ɔ go na swimin pul, ɛn i kin rili vɛks fɔ dis chenj na in bɔdi. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we kin ɛp fɔ gɛt dis kayn sik.
Wetin na di Ravitch Prosidyu?
Fɔ tɔk am simpul wan, di Ravitch prosidur na ɔpreshɔn fɔ kɔrɛkt wan pectus excavatum ɔ wan pectus carinatum. We dɛn de du dis, dɔktɔ kin opin yu pikin in chɛst (open surgery), i kin pul sɔm pan di bɔdi we nɔ fayn we de rawnd di midul pan di chɛst, we na di sternum , ɛn put di sternum bak.
Dis ɔpreshɔn kin ridyus di prɔblɛm dɛn we di pikin kin gɛt na in bɔdi, lɛk we i nɔ kin izi fɔ blo ɛn we i kin fil pen na in chɛst . Bɔt di tin we impɔtant pas ɔl na di rilif we i de gi di pikin in maynd. Imajin aw i kin mek yɔŋ pikin fil bad we i fil se in chɛst shep difrɛn frɔm ɔda pipul dɛn? Afta dis ɔpreshɔn, wans dɛn dɔn mek da apia de kam bak, di pikin kin gɛt kɔnfidɛns pan insɛf bad bad wan.
Aw kɔmɔn dis ɔpreshɔn?
Pectus Excavatum na wan kɔmɔn tin we kin mek di chɛst wɔl nɔ fayn. Dis sik kin afɛkt wan pan ɛvri 300 pipul dɛm ɛn wan pan ɛvri 1,000 pipul dɛm. Tu men kayn ɔpreshɔn de fɔ trit dis sik. Wan pan dɛn na di Ravitch Procedure . Di ɔda wan na di Nuss Procedure . Pan ɔl we Nuss ɔpreshɔn kin apin mɔ na sɔm kɔntri dɛn, di Ravitch ɔpreshɔn na wan ɔpreshɔn we dɛn kin rili abop pan, we gɛt gold standad ɔpreshɔn we dɛn dɔn du fayn fayn wan pan bɔku bɔku pipul dɛn ɔlsay na di wɔl fɔ pas 60 ia.
Aw yu ɛn yu pikin kin rɛdi bifo dɛn du di ɔpreshɔn?
Dis na impɔtant pat fɔ yu as mama ɔ papa. Risach dɔn sho se if mama ɛn papa dɛn de fred ɔ wɔri bifo dɛn du di pikin ɔpreshɔn, di pikin go fil di sem we. So, na big trɛnk fɔ di pikin fɔ kɔntinyu fɔ gɛt kol at as i ebul.
Yu kin mek yu pikin kol bay we yu tɔk dɛn tin ya:
- "Yu bin dɔn slip ɔl di tɛm we dɛn bin de du di ɔpreshɔn, so yu nɔ go fil ɛnitin ɔ fil ɛni pen ."
- "Di dɔktɔ dɛn go tek kia ɔf yu gud gud wan, ɛn wi go de rayt de."
Sɔntɛm fɔ plan di ɔpreshɔn, yu dɔktɔ go ɔda fɔ mek dɛn tek CT skan na yu pikin in chɛst.Dɛn kin aks fɔ mek dɛn tɛst dɛn. Ɛksplen to di pikin se na nɔmal skan we nɔ de mek i fil pen.
Apat frɔm dat, yu dɔktɔ go tɛl yu klia wan ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du yu ɔpreshɔn, ɛn i go tɛl yu aw fɔ kɔntrol di pen afta dɛn dɔn du yu ɔpreshɔn.
Wetin rili apin we dɛn de du di ɔpreshɔn?
Dis ɔpreshɔn kin tek lɛk tu to tri awa so. Lɛ wi tɔk smɔl bɔt di men tin dɛn we wi fɔ du.
| Step dɛn we yu fɔ du | Wan simpul ɛksplen bɔt wetin de apin |
|---|---|
| 1. Fɔ put wan kɔt we dɛn kɔt | di dכkta de mek wan כrizכnal insishכn na di skin na di pikin in chεst, oba di stεnכm. |
| 2. Fɔ es di mɔsul dɛn ɔp | di mכsul dεm we de kכba di chεst bon (Pectoralis mכsul dεm) dεn de es dεm jכnt כp εn pul dεm na sayd. |
| 3. Fɔ pul di katilej we nɔ fayn | di difכm kכstal kכtilaj dεm na di tu say dεm na di stεnכm, we dεn mek di shep chenj, dεn tek tεm pul dεm. |
| 4. Sternum kɔrɛkshɔn | I de es wan brɔst bon we dɔn sink insay ɔ i de put wan brɔst bon we dɔn kɔmɔt na do dɔŋ, ɛn i de kip am na di kɔrɛkt, di rayt pozishɔn we i fɔ de. |
| 5. Fɔ instɔl wan sɔpɔt | Fɔ mek di sternum kɔntinyu fɔ de di rayt say, dɛn kin put wan smɔl bar we dɛn mek wit stenlɛs stiɛl ɔnda am ɔ dɛn kin put plet dɛn pan am. |
| 6. Stich di say we dɛn kɔt | Fɔ dɔn, dɛn kin put di mɔsul dɛn bak usay dɛn bin de ɛn dɛn kin tek tɛm siŋ di say we dɛn kɔt di skin klos. |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go put tu smɔl smɔl dreyn dɛn na di pikin in chɛst wund fɔ pul di wata we pasmak. Dɛn go put kateshɔn bak fɔ mek di urine kɔmɔt. Nɔ wɔri bɔt dɛn tin ya. Dɛn go pul di kateshɔn insay wan ɔ tu dez. Dɛn go pul di chɛst tyub insay lɛk tu to tri dez.
Di tin we impɔtant pas ɔl na dat dɛn nid fɔ pul di stɛl sɔpɔt bar we dɛn put insay di chɛst we dɛn du smɔl ɔpreshɔn lɛk wan ia so afta dat . Bɔt i rili simpul, ɛn di pikin kin go na os di sem de. Sɔntɛnde, if dɛn put plet dɛn we dɛn tay wit skru, dɛn nɔ nid fɔ pul dɛn igen.
Ɛni risk ɔ prɔblɛm de wit dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt di gud nyus na dat di kɔmplikeshɔn rɛt fɔ di modifyed Ravitch prosidyushɔn nɔ rich 5% . Dat min se 95 pan 100 kes dɛn go dɔn kɔmplit wan. Na sɔm pan di prɔblɛm dɛn we kin apin.
| Sɔm prɔblɛm we kin apin | Simpul ɛksplen |
|---|---|
| Nyumotɔraks we de na di bɔdi | Lɔng kɔntrakshɔn. |
| Atelektasis we de mek pɔsin gɛt sik | Kɔlaps pan pat pan di lɔng. |
| Pleural efyushɔn we de kɔmɔt na di bɔdi | Fluid we de ful-ɔp rawnd di lɔng dɛn. |
| Pɛrikarditis we gɛt di sik | di membran we de kכba di at de swεla. |
| Sik we de prɛd | Wund ɔ infɛkshɔn na di bɔdi. |
| Jomp ɔf di bar | Muvmɛnt frɔm di fiks sɔpɔt. |
| Di sik kin kam bak | di brεst de kam bak to in shep we i bin de bifo afta sכm tεm (we nכ kin bכku). |
Aw lɔng i kin tek fɔ mek i wɛl?
Yu kin ɛkspɛkt fɔ ebul fɔ kɛr yu pikin go na os frɔm ɔspitul tri to 4 dez afta dɛn dɔn du di ɔpreshɔn. Sɔntɛnde, if dɛn yuz wan nerve cooling procedure (Nerve Cryoablation) fɔ kɔntrol di pen we dɛn de du ɔpreshɔn, dɛn kin ridyus di ɔspitul we dɛn kin de to less dan tri dez.
Bifo di pikin go na os, i kin se:
- Yu nid fɔ ebul fɔ kɔntrol di pen we yu de fil.
- Yu nid fɔ ebul fɔ it ɛn go na di bafa yu wan.
- Yu fɔ ebul fɔ waka smɔl.
Aks yu dɔktɔ ustɛm yu go ebul fɔ go bak na skul. Bɔt yu fɔ avɔyd kɔntakt spɔt te yu chɛst wɛl ɔl, we fɔ tek lɛk 6 to 8 wiks .
Afta di ɔpreshɔn, di dɔktɔ go aks yu fɔ kam bak fɔ wan fɔlɔp visit insay tu wik, tri mɔnt, ɛn wan ia.
Ustɛm yu nid fɔ kɔl di dɔktɔ wantɛm wantɛm?
If yu pikin gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya afta i dɔn go bak na os, kɔl yu dɔktɔ wantɛm wantɛm.
| If yu gɛt dɛn sik ya afta dɛn dɔn du di ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | Ay fiva, rɛd, swel, ɔ pus we de kɔmɔt na di wund. |
| Pen we pɔsin nɔ ebul fɔ kɔntrol | Di pen kin so bad dat yu nɔ kin ebul fɔ kɔntrol am wit di pen kil we dɛn gi am. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ kin izi fɔ di pikin fɔ blo ɔ i kin fil se i dɔn swɛla. |
Fɔ disayd fɔ du ɔpreshɔn fɔ pikin nɔto izi tin fɔ mama ɛn papa dɛn. Bɔt i nɔ kin izi bak fɔ wach yu pikin we de sɔfa pan bɔdi ɔ maynd bikɔs ɔf di we aw i tan. So bi yu pikin in advatayz. Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔr de fred. Tɔk to yu pikin, lisin to wetin dɛn de fil. Dis nɔto tin we pɔsin kin disayd fɔ du wan nɛt. Tɔk to di famili ɛn disayd wetin bɛtɛ fɔ ɔlman.
Mɛsej we dɛn kin kɛr go na os
- Di Ravitch Procedure na wan ɔpreshɔn we rili saksesful, we de tek lɔng lɔng tɛm fɔ kɔrɛkt di bɔdi we dɔn sag ɔ we de kɔmɔt na do.
- Dis kin gi gud sɔlv fɔ ɔl tu di pikin in bɔdi prɔblɛm (lɛk we i nɔ kin ebul fɔ blo) ɛn di prɔblɛm dɛn we i kin gɛt na in maynd (lɛk we i nɔ kin gɛt kɔnfidɛns pan insɛf).
- I rili impɔtant fɔ di pikin in maynd fɔ pripia fɔ mek di mama ɛn papa nɔ gɛt wanwɔd bifo di ɔpreshɔn.
- Fɔ mek pɔsin wɛl, i nid fɔ de na ɔspitul fɔ sɔm dez ɛn fɔ rɛst fɔ sɔm wiks na os, mɔ fɔ avɔyd kɔntakt spɔt.
- Nɔ ɛva shem fɔ tɔk to yu pikin in dɔktɔ bɔt ɛnitin we de mɔna yu ɔ dawt.
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