We dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ gɛt ɔpreshɔn fɔ opin at, wan pan di big tin we kin kam na yu maynd na, "Dɛn go opin mi chɛst?" Wetin kin rili apin pan dis? di mεdikal tεm fכ dis "opin fכ di chεst" na "Sternotomy." Nɔ fred we yu yɛri dis nem, i nɔ de fred lɛk aw yu tink. Lɛ wi tɔk bɔt ɔltin rili simpul wan, frɔm A to Z.
Fɔ tɔk am simpul wan, wetin na Sternotomy?
stεrnotomi na we dεn kin separet di flat bon we de na di midul pan yu chεst, we na di stεnכm (brεstbon) fכ sכm tεm fכ כpεrayshכn. Tink bɔt dis we: di stɛp ɛn di rib dɛn de fɔ protɛkt impɔtant ɔgan dɛn lɛk di at ɛn di lɔng dɛn we de insay wi chɛst. I tan lɛk sef we gɛt valyu tin dɛn.
So, we at prɔblɛm (lɛk blɔd vesel we dɔn blok we de go na di at) nid fɔ kɔrɛkt am wit ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn nid fɔ gɛt gud akses to di at. Da tɛm de, dɛn kin tek tɛm kɔt dis brɔst bon we de protɛkt am dɔŋ di midul ɛn afta dat dɛn kin sheb am tu fɔ mek wan rod fɔ go na di at. Dɛn kɔl dis wan `Sternotomy`.
Jɔs lɛk aw dɛn kin pul domɔt frem fɔ sɔm tɛm ɛn tay am bak fɔ mek big tin go insay os, na so dɛn kin sheb dis bɔdi fɔ sɔm tɛm insay tu ɛn tay am bak afta dɛn dɔn du di ɔpreshɔn fɔ mek i izi fɔ di dɔktɔ dɛn we de du ɔpreshɔn fɔ rich na yu at.
sכmtεm, insted fכ kכt di stεnכm kכmplit wan, dεn kin mek sכm sכm pat (lεk 2-3 inch). dis dεn kכl am `mini-sternotomy`.
Yu tink se sternotomy na big ɔpreshɔn?
Yɛs, dɛn kin tek dis as big ɔpreshɔn. di men rizin na dat i kin tek lεk 8 wik, כ lεk tu mכnt, fכ di stεnכm fכ fulכp fכ hεl. Dɔn bak, dɛn kin du sternotomy as opin at ɔpreshɔn, we min se i kin pripia di we fɔ big ɔpreshɔn lɛk opin at ɔpreshɔn, so we yu tek dɛn tu ɔpreshɔn ya togɛda, i kin bi big ɔpreshɔn. Bɔt mɛmba se dis na ɔpreshɔn we kɔmɔn ɛn we kin wok fayn, we dɔktɔ dɛn we de du ɔpreshɔn pan di at ɔlsay na di wɔl kin du.
Aw dɛn kin du di ɔpreshɔn? Step by step
Na nɔmal tin fɔ mek yu fil fred we yu de tink bɔt ɔpreshɔn lɛk dis. Bɔt da fred de kin rili ridyus we yu no gud gud wan wetin go apin. Na dis na aw dɛn kin du di ɔpreshɔn stɛp bay stɛp.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ pripia | Dɛn go ful yu anestez, so yu nɔ go fil ɛni pen. Dɔn, dɛn go klin di skin na yu chɛst fayn fayn wan ɛn pul di ia if nid de. |
| 2. Fɔ kɔt di skin | Di dɔktɔ we de du di ɔpreshɔn go mek 6 inch insay di skin na yu chɛst, frɔm bitwin yu kɔlabɔn dɛn go dɔŋ. |
| 3. Stɛnɔm insishɔn | we yu yuz spεshal mεdikal saw (`sternal saw`), dεn kin tek di bכdi bכn fayn fayn wan εn kכrekt wan insay tu dכn di midul. |
| 4. Fɔ mek ples fɔ di at | wan spεshal divays (a ``retractor'') dεn de insay εn dεn de muv di tu bon fragmεnt dεm we dεn sεparayt to di sayd dεm, we de mek spεs so dat dεn go si di at klia wan. |
| 5. Fɔ du big ɔpreshɔn | dis na we dεn de du כpεrayshכn pan di at כ di כgan we rilet to am (e.g., baypas כpεrayshכn, valv riplesmεnt). |
| 6. Riatachmεnt fכ di stεnכm | we dεn kכmplit di כpεrayshכn, dεn kin put di stεnכm we dεn sεparayt bak tכgeda εn sikyuכr wit lεk 8 to 12 stenlεs stiεl waya dεm (stεnכtomi waya dεm). |
| 7. Fɔ stich di wund | Fɔ dɔn, dɛn kin sutura di tisu dɛn we de insay ɛn di skin, dɛn kin lɔk di wund, ɛn put ɔntmɛnt fɔ mek i nɔ gɛt di sik. |
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na di ɔspitul in intensiv kia yunit (ICU) fɔ sɔm dez. Dɔn dɛn go transfa yu to wan rɛgyula wɔd.
Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
- Di tɛm fɔ mek yu wɛl:i kin tek lεk tu mכnt fכ di stεnכm fכ fכlכ fכ hεl. Yu nid fɔ rili tek tɛm insay dis tɛm.
- Pen: Na nɔmal tin fɔ gɛt sɔm pen afta dɛn dɔn du di ɔpreshɔn. Bɔt bɔku pipul dɛn kin ebul fɔ manej di pen wit simpul pen kil lɛk `Paracetamol`. If yu gɛt pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ ɔ nɔs.
- Fɔ es wet: Dis rili impɔtant . insay di fכs tu mכnt, nכ lif pas 4-5 kg . Fɔ tɔk am simpul wan, i nɔ fayn fɔ es pas 4-5 lita milk.
- Aw fɔ yuz yu an: We yu de es sɔntin, yuz yu tu an. Dɔn bak, es yu tu an dɛn nia yu bɔdi. Nɔ es wet wit wan an ɔ push domɔt dɛn.
- Kɔf ɛn sniz: We yu de kɔf, sniz, ɔ laf, put pilo ɔ yu an we yu fold pan yu chɛst. dis go ridyus di prεshכn pan yu stεnכm εn ridyus di pen.
- Drayv: Bɔku tɛm yu go ebul fɔ drayv bak insay lɛk wan ɔ tu mɔnt so, bɔt i go fayn fɔ mek yu chɛk wit yu dɔktɔ fɔ mek shɔ.
Sayn dɛn we de sho se yu fɔ go to dɔktɔ
Afta yu dɔn go na os, i rili impɔtant fɔ pe atɛnshɔn to yu wund ɛn yu bɔdi. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm , ɔ go na di ɔspitul usay yu bin gɛt tritmɛnt.
- di bכdi de chenj: If yu fil se yu bכdi de muv, כ if yu yεri כ fil ‘klik’ כ ‘klik’ sawnd.
- Di pen we de go ɔp: Di pen fɔ stɔp smɔl smɔl as di wund de wɛl. Bɔt if di pen go bɔku wantɛm wantɛm.
- Di wund drenaj: If di wund de kɔmɔt yɔlɔ, grɛn, ɔ wata we tan lɛk pus we de smɛl fayn.
- Swel ɛn rɛd: If di say we de rawnd di wund rili rɛd, swel, ɛn fil wam we yu tɔch am.
- Fiva: If fiva de na di bɔdi.
Dɛn sayn ya kin sho se di wund gɛt infɛkshɔn ɔ di bon nɔ de wɛl fayn. So nɔ ignore dɛn.
Mɛsej we dɛn kin kɛr go na os
- sternotomy na wan we we rili kɔmɔn ɛn we sef we dɛn kin yuz fɔ mek ples fɔ ɔpreshɔn na di at. Nɔ fred am.
- I kin tek lɛk tu mɔnt fɔ mek di sternum we dɛn dɔn kɔt wɛl. Insay dis tɛm, nɔ es ebi ebi tin ɔ strɛs yu bɔdi ɛni we.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan aw fɔ es wet ɛn fɔ protɛkt yu chɛst.
- If di wund de fil pen, mek nɔys we nɔ kɔmɔn, ɔ gɛt sayn dɛn lɛk we di pus de kɔmɔt pan am, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis ɔpreshɔn, nɔ fred fɔ aks yu dɔktɔ we de du ɔpreshɔn. Na yu rayt.
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