Lɛ wi lan jɔs bɔt di tritmɛnt fɔ di wata we de gɛda rawnd di lɔng dɛn (Thoracentesis) .

I nɔ izi fɔ yu fɔ blo ɛn fil se yu chɛst tayt? Sɔntɛnde dis kin bi bikɔs wata we nɔ nid fɔ gɛda rawnd yu lɔng dɛn. insay mεdikal tεm dεm, wi kin kכl dis kכndyushכn `(pleural effusion)`. So tide wi go tɔk bɔt wan simpul, yet rili impɔtant tritmɛnt fɔ dis.

Wetin na Thoracentesis?

Fɔ tɔk am simpul wan, tink bɔt am dis we. Fɔ mek domɔt lɛch wok fayn ɛn nɔ stɔp, wi kin put sɔm ɔyl insay, nɔto so? semweso, we wi de brith, sכm fכs wata de na di spεs bitwin di lכng dεm εn di chεst wכl, we dεn kכl ``pleural space``, so dat wi lכng dεm nכ de stik pan di wכl dεm na di chεst εn i kin izi fכ εkspכnd εn kכntrikt.

Bɔt bikɔs ɔf sɔm sik dɛn, dis wata kin gɛda pasmak. afta dat di lכng dεm nכ gεt inof spεs fכ inflate fayn εn i kin at fכ brith. da tεm de, we dεn yuz wan instrכmεnt we lεk nidul, we dεn put insay di chεst frכm di bak εn pul dis εksyכs fכs fכs wata dεn kכl am `(Thoracentesis)`.

Yu tink se dis na big ɔpreshɔn?

Nɔ, nɔto so atɔl. Dis nɔto big ɔpreshɔn. dis na ``minimally invasive`` prosidכs, we min se dεn nכ de mek nכ big insishכn. Na smɔl ol nɔmɔ dɛn kin mek na di skin. So, di tɛm fɔ wɛl kin shɔt ɛn di risk dɛn kin rili smɔl.

Fɔ us rizin dɛn kin du toracentesis?

Dɛn kin du dis tritmɛnt fɔ tu men rizin dɛn: wan na fɔ no di sik, ɛn di ɔda wan na fɔ mek dɛn nɔ gɛt di sik.

Wetin kin mek wata ful-ɔp rawnd di lɔng dɛn lɛk dis?

Dɛn kin yuz thoracentesis fɔ trit wan sik we dɛn kɔl pleural effusion. Bɔt bɔku tin dɛn de we kin mek pɔsin gɛt dis sik. Sɔm pan dɛn na:

• Kɔnjɛstiv at we nɔ de wok fayn
• Kansa
• Nyumonia ɔ ɔda lɔŋ infɛkshɔn (baktri, vayral) .
• Ɔtoimyun sik dɛm lɛk lupus (Lupus/SLE) .
• Blɔd we de klɔt na di lɔng dɛn (pulmonary embolism) .
• Sɔm kayn ay blɔd prɛshɔn (pulmonary hypertension) .
• Inflameshɔn na di pankrias (pankrias) .
• Kidni ɔ liva sik
• Tubakulɔsis (TB) .

di mכst kכmכn pan dεm na fכ wata we de kכmכt rawnd di lכng dεm bikoz fכ di at kכndishכn.

Aw yu go rɛdi fɔ dis bifo tɛm?

Okay, naw lɛ wi se di dɔktɔ tɛl yu fɔ gɛt dis tritmɛnt. So wetin yu fɔ du? Di dɔktɔ go gi yu sɔm patikyula instrɔkshɔn dɛn. Ɛn yu fɔ tɛl di dɔktɔ bak bɔt dɛn tin ya.

• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Dis impɔtant mɔ if yu de tek mɛrɛsin we de mek yu blɔd tan .
• Tɛl wi if yu gɛt prɔblɛm wit blɔd: I rili impɔtant fɔ mek wi no if yu gɛt prɔblɛm we de mek yu blɔd nɔ klɔt izi wan.
• Tɛl wi if yu gɛt bɛlɛ ɔ yu sɔprayz se yu gɛt bɛlɛ.
• Tɛl wi if yu gɛt ɛni alɛji to ɛni mɛrɛsin, plasta, ɔ lɛtɛks.
• Dɛn kin aks yu bak fɔ kam wit pɔsin fɔ kɛr yu go na os afta dɛn dɔn trit yu.

Wetin kin apin we dɛn de du thoracentesis?

Bɔku tɛm, dɛn kin du dis na ɔspitul, ɛn di wan ol tin we dɛn kin du kin tek lɛk 15 minit so. Yu de wek insay dis tɛm.

Bifo dɛn trit am

Dɛn go chɛk yu blɔd prɛshɔn ɛn ɔksijɛn lɛvɛl. Dɛn go yuz ɛkstrem rayt, ɔltra saund, ɔ CT skan fɔ no di rayt say ɛn di wata we de insay di wata. Dɔn dɛn go aks yu fɔ sidɔm na tebul wit yu an dɛn na di tebul ɛn ledɔm bifo. Dis na di pozishɔn we izi pas ɔl. If yu nɔ ebul fɔ du dis, dɛn go aks yu fɔ ledɔm na yu sayd.

We dɛn de du tritmɛnt

1. Fɔs, dɛn go klin di say we dɛn go put di nidul na yu bak fayn fayn wan wit antiseptik sɔlvushɔn.

2. Dɔn dɛn kin injɛkt wan mɛrɛsin we de mek pɔsin nɔ fil fayn na di say we i de. I kin tan lɛk se smɔl ant de bit yu, bɔt afta dat di eria kin go numb ɛn yu nɔ kin fil ɛni pen.

3. We di say dɔn swɛt, di dɔktɔ go mek smɔl say, put nidul bitwin di rib dɛn, ɛn pul di wata we pasmak insay sirinj ɔ tyub insay bɔtul. Dɛn kin put di nidul insay bay we dɛn yuz ɔltra saund skan.

4. Yu kin fil smɔl prɛshɔn ɔ nɔ fil fayn we dɛn pul di wata, bɔt i nɔ fɔ mek yu fil pen. If yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, tɛl yu dɔktɔ wantɛm wantɛm.

5. Afta dɛn dɔn tek di wata we dɛn nid, dɛn kin pul di nidul ɛn put smɔl band-ɛd.

Afta dɛn dɔn trit am

Afta di tritmɛnt, yu kin du ɔda ɛkstrem rayt fɔ chɛk if yu lɔng dɛn wɛl. If yu kɔndishɔn fayn, yu kin go na os insay shɔt tɛm. Yu kin gɛt kɔf fɔ lɛk wan awa afta di tritmɛnt. Dis na nɔmal tin, nɔ wɔri. Dis na bikɔs yu lכng dεm de bεtεh fכ εkspεnd bak.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?

Lɛk ɛni mɛrɛsin, dis gɛt bɛnifit ɛn i gɛt smɔl smɔl prɔblɛm dɛn.

Aw lɔng i kin tek fɔ wɛl ɛn ustɛm yu fɔ go to dɔktɔ?

I nɔ kin tek lɔng tɛm fɔ mek i wɛl. Yu dɔktɔ go tɛl yu fɔ avɔyd fɔ du tin tranga wan fɔ lɛk tu dez so. Yu kin pul di bandej afta 24 awa.

Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, nɔ de te ɛn go to yu dɔktɔ wantɛm wantɛm. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• Fiva.
• Rɛd, swel, ɔ blɔd usay dɛn put di nidul.
• Chɛst pen ɔ pen we yu de tek dip briz.
• Fɔ kɔf blɔd (ɛmɔptaysis).
• I nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm.