We yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn pan yu at, ɛn i min se yu fɔ opin yu chɛst, yu kin fred smɔl ɛn fred. Dat na nɔmal tin. Nɔbɔdi nɔ lɛk ɔpreshɔn. Bɔt na sɔntin we dɔktɔ dɛn we de mɛn at kin du bɔku tɛm ɛn dɛn kin du am fayn fayn wan. So no rizin nɔ de fɔ mek wi fred. Insay dis atikul, wi go jɔs tɔk bɔt wetin na sternotomy, wetin mek dɛn kin du am, aw dɛn kin du am, ɛn wetin yu nid fɔ no afta di ɔpreshɔn.
Wetin na sternotomy, fɔ tɔk am simpul wan?
Fɔ tɔk am simpul wan, sternotomy na di ɔpreshɔn we dɛn kin kɔt di flat bon we de na di midul pan yu chɛst, we na di sternum, insay tu fɔ di rizin fɔ di ɔpreshɔn. Sɔm pipul dɛn kin kɔl dis bak "median sternotomy."
Tink bɔt dis, dis sternum ɛn rib dɛn de fɔ protɛkt di rili impɔtant ɔgan dɛn we de insay wi chɛst, lɛk di at ɛn di lɔng dɛn. I tan lɛk sef kech. So, we prɔblɛm de wit yu at ɛn yu nid fɔ fiks am wit ɔpreshɔn, di bɛst ɛn izi we fɔ mek di dɔktɔ go na di at na fɔ kɔt dis sternum dɔŋ di midul ɛn mek wan rod na ɔl tu di say dɛn.
wan mεtכd de bak we dεn kכl "mini sternotomy" we dεn nכ de kכt di כl stεnכm, bכt dεn de mek sכm sכm sכm. insay dis, dεn kin mek sכm sכm pat we de lεk 2-3 inch.
Na dis na fɔ opin at ɔpreshɔn? Yu tink se dis na big ɔpreshɔn?
Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. sternotomy na wan we we de opin di rod fɔ opin at ɔpreshɔn . I tan lɛk se we yu want fɔ fiks sɔntin insay yu os, yu fɔ opin di domɔt fɔs. Na so i bi. sternotomy na di prosidur we de "open di doa" fכ go na di at. Open heart surgery na wan prosidur we de mek di hat fayn frɔm insay.
Yɛs, dɛn kin tek dis as big ɔpreshɔn . Na bikɔs i kin tek lɛk tu mɔnt so fɔ mek di bon wɛl ɛn tay bak afta dɛn dɔn kɔt am. Ɛn bikɔs dɛn kin du am as pat pan ɔda big ɔpreshɔn, lɛk ɔpreshɔn we dɛn kin du fɔ opin at, na big ɔpreshɔn we dɛn jɔyn dɛn tu.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Dɔktɔ kin yuz dis we fɔ rich to di ɔgan dɛn we di sternum ɛn di rib dɛn de protɛkt. Di men wan:
- At: Fɔ tin dɛm lɛk fɔ ripɛnt di at valv dɛm ɛn fɔ du korona at baypas ɔpreshɔn.
- Aorta: Fɔ prɔblɛm wit di aorta, we na di men blɔd vesel we de kɔmɔt na di at.
- Pulmonary arteries: Na di at dɛm we de kɛr blɔd frɔm di at to di lɔng dɛm.
Stenɔtomi nɔto mɛrɛsin fɔ ɛni sik. Na tin we dɛn kin du fɔ mek ples fɔ di ɔgan dɛn so dat di dɔktɔ we de du di ɔpreshɔn go ebul fɔ du in wok izi wan. Insay kɔntri lɛk Amɛrika, dɛn kin du pas 700,000 pan dɛn ɔpreshɔn ya ɛvri ia. Na dat kɔmɔn tin.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo dɛn du yu ɔpreshɔn, di dɔktɔ dɛn go gi yu sɔm tin dɛn lɛk:
- Dɛn kin tɛl yu fɔ shaw fayn ɛn kam klin bifo yu kam na ɔspitul.
- If yu gɛt ia na yu chɛst, dɛn go tek tɛm pul dɛn.
- Dɛn go gi antibayɔtik fɔ mek i nɔ gɛt di sik afta dɛn dɔn du di ɔpreshɔn.
- Di chɛst eria usay dɛn go du di ɔpreshɔn, dɛn kin klin am fayn fayn wan wit antiseptik sɔlvushɔn.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt mɛmba se , dɛn kin du ɔl dis afta dɛn dɔn gi yu anestezi ɛn yu dɔn slip fayn fayn wan. So yu nɔ go fil ɛnitin.
1. Fɔs, di dɔktɔ we de du di ɔpreshɔn kin kɔt di skin, i kin bigin bitwin yu sholda blad dɛn ɛn i kin go dɔŋ along di sternum.
2. afta dat, dεn de yuz spεshal mεdikal instrכmεnt we dεn kכl "sternal saw" fכ kכt di stεnכm insay wan nit layn frכm tכp to dכn.
3. dεn de put di tu bon fragmεnt dεm we dεn kכt sayd to sayd, εn dεn de put wan tin we dεn kכl "rεtraktכr" fכ mek i go ebul fכ go na di at.
4. nεks, di mεmbran we de protεkt we de rawnd di at, di pεrikardium, de opin.
5. Naw di dɔktɔ we de du di ɔpreshɔn kin si di at klia wan. afta dat dεn kin du di big כpεrayshכn we dεn want fכ du (e.g. baypas כpεrayshכn).
. I tan lɛk se yu tay sɔntin we dɔn brok.
7. Fɔ dɔn, dɛn kin siŋ di chɛst tisu ɛn di skin bak togɛda, ɛn dɛn kin put antibayɔtik ɔntmɛnt pan di wund.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go de na di intensiv kia yunit (ICU) fɔ wan ɔ tu dez, dɔn dɛn go transfa yu to wan rɛgyula wɔd.
- Pen: Yu kin gɛt sɔm pen afta di ɔpreshɔn, bɔt yu dɔktɔ go gi yu mɛrɛsin fɔ mɛn pen fɔ ɛp fɔ kɔntrol am. Bɔrku pipul kin ebul fɔ kɔntrol di pen wit mɛrɛsin wae de fɔ mɛn pen lɛk Paracetamol.
- Chɛst tyub: Dɛn kin put wan ɔ mɔ tiub dɛn na di chɛst fɔ pul di wata ɛn blɔd we pasmak na di wund. Dɛn go pul dɛn tin ya insay sɔm dez.
- Speshal advays fɔ uman dɛn: If yu bɔdi rili big, dɔktɔ dɛn kin advays yu fɔ wɛr bra we gɛt sɔpɔt fayn fayn wan 24 awa ɛvride fɔ wan to tu wiks afta yu dɔn kɔmɔt na ɔspitul fɔ mek di wund nɔ gɛt bɔku wet ɛn prɛshɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn smɔl prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Fɔ alaw di dɔktɔ we de du di ɔpreshɔn fayn fayn wan fɔ go na di at ɛn di men blɔd vesel dɛn we de rawnd am. | Infekshɔn na wund. |
| Bi wan saksesful we we bɔku pan di sik pipul dɛn kin telɛ fayn fayn wan. | Blɔd we de kɔmɔt pasmak. |
| Kwik ɛn izi fɔ du. | Abnɔmal tin dɛn we de apin na di at bit. |
| Di chans fɔ gɛt prɔblɛm dɛn rili smɔl. | Wund we de swel. |
Aw lɔng i kin tek fɔ mek i wɛl? Aw a go kia fɔ misɛf na os?
i kin tek lεk 8 wik fכ di stεnכm fכ fulכp fכ hεl. Insay dis tɛm, yu fɔ stɔp yu ɔpa bɔdi fɔ muv. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Mɛmba se yu sternum nid fɔ alaynɛd fayn fayn wan insay dis tɛm, so yu fɔ avɔyd ɔltin fɔ du tin dɛn we de put prɛshɔn we nɔ nid pan yu chɛst.
- Nɔ es di wet: Nɔ es ɛnitin we ebi pas 10 pawn (lɛk 4.5 kilogram). Fɔ tɔk am simpul wan, dat na lɛk di wet fɔ 4 lita milk.
- Yuz yu tu an: We yu de es sɔntin, yuz ɔl tu yu an fɔ es am ivin. Nɔ es di wet wit jɔs wan an.
- Kip yu an dɛn nia yu bɔdi: We yu de es sɔntin, kip yu an dɛn nia yu bɔdi.
Bɔt fɔ drayv
Yu go ebul fɔ drayv bak lɛk wan mɔnt afta di ɔpreshɔn. Bɔt bifo dat, yu fɔ rili aks yu dɔktɔ fɔ alaw yu fɔ du dat. Te yu sternum wɛl, i bɛtɛ fɔ sidɔm na di fɔs pasenja sit we yu de travul wit motoka. Ivin if yu nɔ fil fayn we di sit bɛlt prɛs pan yu chɛst, mek shɔ se yu wɛr sit bɛlt bikɔs i go protɛkt yu if aksidɛnt apin.
Wetin na di bɛst tɛm fɔ go to dɔktɔ?
Yu go gɛt fɔl-ap apɔntinmɛnt wit yu dɔktɔ ɔltɛm. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
| Chɛst bon pen | Fɔ gɛt mɔ siriɔs pen pas aw dɛn bin de tink. |
| Bon muvmɛnt | Filin lɛk se di chɛst bon de muv we yu de kɔf, laf, ɔ muv di bɔdi. |
| "Tuck" ɔ "pop" sawnd dɛn | fכ yεri "klik" εn "pop" sawnd dεm na di chεst εria. |
| Fluid we de kɔmɔt na di wund | Pus, blɔd ɔ ɔda wata we de kɔmɔt na di ɔspitul wund, rɛd ɔ swel. |
Fɔ pik di bɛst we fɔ du yu at ɔpreshɔn na sɔntin we yu dɔktɔ go disayd bay di patikyula tin we de apin to yu. Bɔrku tɛm, sternotomy na di bɛst we fɔ akses di at. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Sternotomy na wan we we kɔmɔn ɛn sef we dɔktɔ dɛn kin yuz fɔ opin di chɛst ɛn gɛt akses fɔ ɔpreshɔn fɔ di at.
- i kin tek lεk 8 wik fכ di stεnכm we dεn sכt fכ fulכp fכ hεl.
- I impɔtant fɔ fala ɛni wet liftin ɛn aktiviti we yu dɔktɔ gi yu strikt wan insay di tɛm we yu de wɛl.
- If yu notis ɛni sayn we de wɔn yu, lɛk fɔ yɛri sawnd dɛn we nɔ kɔmɔn na yu chɛst, fil se yu bon de muf, ɔ yu de kɔmɔt na wund, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛnitin we de mɔna yu bɔt di ɔpreshɔn we yu go du ɔ aw yu go wɛl, nɔ ɛva fred fɔ aks yu dɔktɔ kwɛstyɔn dɛn.
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