Yu go mɔs dɔn yɛri di dɔktɔ se, "Yu gɛt wata rawnd yu lɔng" we yu gɛt prɔblɛm fɔ blo. Na nɔmal tin fɔ fil fɔ fred smɔl we yu yɛri dis. Bɔt nɔ wɔri, wan rili simpul, sef mɛrɛsin de we dɛn kin du fɔ trit dis sik ɛn fɛn di kɔz. Na dat wi kin kɔl thoracentesis. Tide, wi go tɔk bɔt am insay wan we we rili simpul ɛn we izi fɔ ɔndastand.
Wetin na Thoracentesis?
Fɔ tɔk am simpul wan, thoracentesis na di prɔses fɔ pul di wata we pasmak (wata) we de rawnd yu lɔng dɛn we yu de yuz wan tin we tan lɛk sirinj.
Imajin se wi lɔng dɛn de insay wi chɛst. wan rili sכm spεs de bitwin dεn lכng dεm ya εn di chεst wכl. wi kכl dis spεs di pleura spεs. tu membran dεm de we rili tכn na dis spεs. We wi de blo, wi lɔng dɛn kin bɔku ɛn kɔntrakt. fכ dis prכsεs fכ apin rili sכmtεm, we dεn nכ de bכmp pan dεn wan dεm, i nid fכ de fכ sכm sכm wata bitwin dεn tu mεmbran dεm de. Jɔs lɛk aw we wi put smɔl ɔyl pan domɔt hinj, dat kin mek i izi fɔ opin ɛn lɔk, dis kayn wata kin ɛp wi lɔng dɛn fɔ wok izi wan.
Bɔt bikɔs ɔf sɔm sik dɛn, mɔ wata kin bigin fɔ gɛda na dis ples pas aw i nid. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis pleura effusion . we dis wata fulכp, nכ de fכ di lכng dεm fכ εkspכnd fri wan, we kin mek yu gεt sכmtεm dεm lεk fכ brith at εn fכ fil fכ hεvi na di chεst.
So, wetin dεn kin du na tכrasεntesis tritmεnt na fכ pul dis εksyכs fכs fכs.
Difrɛns bitwin Thoracentesis ɛn Paracentesis
Dɛn tu tritmɛnt ya na tritmɛnt we de pul di wata we pasmak na di bɔdi. כltu, tכrasεntesis de pul wata na di chεst, dat na, rawnd di lכng dεm. Paracentesis de pul di wata we dɔn gɛda na di bɛlɛ (bɛlɛ).
Yu tink se toracentesis na big ɔpreshɔn?
Atɔl. Thoracentesis nɔto big ɔpreshɔn. Dɛn kɔl am ‘minimally invasive’ prosidur, we min se na tritmɛnt we nɔ de mek di bɔdi nɔ pwɛl bɛtɛ. No big say nɔ de we dɛn kɔt ɔ wund. So, di tɛm fɔ wɛl kin shɔt, ɛn di risk dɛn kin rili smɔl.
Wetin mek wi nid dis tritmɛnt?
Tu men rizin de fɔ mek dɛn du di thoracentesis.
1. Diagnostic: Fɔ no wetin mek wata de rawnd di lɔng dɛn. Dɛn kin pul wan sɛmpul pan di wata ɛn sɛn am na lab fɔ chɛk fɔ si if i gɛt infekshɔn, kansa sɛl dɛn, ɔ ɔda sayn dɛn fɔ di sik.
2. Fɔ mek yu nɔ gɛt di sik (Tɛrapi): If bɔku bɔku wata dɔn gɛda rawnd di lɔng ɛn de mek i nɔ izi fɔ yu fɔ blo, dɛn kin du dis tritmɛnt fɔ pul da wata de ɛn gi yu rilif.
Lɛ wi luk di tebul we de dɔŋ fɔ si wetin na di men tin dɛn we kin mek di pleura effusion.
| di posisibul kכz dεm fכ pleura effusion (fluid akyumyuleshכn arawnd di lכng) . | |
|---|---|
| Kɔnjɛstiv at we nɔ de wok fayn | Dis na kɔmɔn rizin. |
| Kansa | Dis kin kam bikɔs ɔf kansa na in lɔng ɔ ɔda kansa. |
| Nyumonia ɛn infekshɔn na di lɔng | I kin kam bikɔs ɔf baktri, vayral, ɔ fεn infεkshכn. |
| Tubakulɔsis (TB) . | Wan rizin we kɔmɔn bak na Sri Lanka. |
| Blɔd we de klɔt na di lɔng dɛn (Pulmonary embolism) . | Blɔd we de klɔt na wan blɔd vesel. |
| Kidni ɔ liva sik | biכs fכ chenj dεm na di bכdi in fluid bεlε. |
| Ɔtoimyun sik dɛm lɛk lupus/SLE | Di bɔdi in imyun sistɛm de atak in yon sɛl dɛn. |
Aw dis tritmɛnt kin wok? Na sɔntin we wi fɔ fred?
Nɔr nid fɔ fred dis tritmɛnt atɔl. Lɛ wi si wetin de apin stɛp bay stɛp.
Fɔ pripia bifo dɛn gɛt tritmɛnt
Yu dɔktɔ go gi yu sɔm instrɔkshɔn bifo dis tritmɛnt. Sɔm tin dɛn de bak we yu fɔ tɛl yu dɔktɔ bɔt.
- YuIf yu de tek tin dɛn we de mek yu blɔd tan ɔ mɛrɛsin lɛk aspirin, mek shɔ se yu tɔk bɔt am.
- If yu gɛt ɛni prɔblɛm we de mek yu blɔd klɔt , duya mek wi no.
- Tɛl wi bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek.
- Tɛl wi if yu gɛt ɛni alɛji to ɛni mɛrɛsin (especially di mɛrɛsin dɛn we de mek yu nɔ fil fayn), lɛtɛks, ɔ tep .
- Yu fɔ tɛl wi bak if yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt na ɔspitul. Di wan ol tin we dɛn kin du kin tek lɛk 15 minit so .
1. Pozishɔn: Dɛn go aks yu fɔ sidɔm na chia, ledɔm pan tebul bifo yu, ɛn put yu an dɛn pan yu hip. Dis pozishɔn de mek yu baksayd kɔmɔt na do. If i nɔ izi fɔ yu fɔ sidɔm, yu kin du dis bak bay we yu ledɔm na yu sayd.
2. Aw fɔ pripia: Dɛn go klin di say we yu want fɔ pul di wata fayn fayn wan wit antiseptik sɔlvushɔn ɛn kɔba am wit klos.
3. Numbing: Neks, dεn kin yuz wan rili sכm nidul fכ injεkt wan nכmbing mεdikeshכn na di εria. Dis tɛm ya, i kin tan lɛk se smɔl ant de bit yu, bɔt afta dat di say kin swɛla kpatakpata.
4. Fɔ pul di wata: Naw di dɔktɔ go put ɔda nidul na di say we de bitwin yu rib dɛn, jɔs ɔnda di skin, usay di wata de. Sɔntɛnde, dɛn kin yuz ɔltra saund skan fɔ ɛp fɔ gayd di say. Di ekstra wata go kɔmɔt tru wan tiub we dɛn tay pan di nidul.
5. Ɛnd: Afta dɛn dɔn pul di wata we dɛn nid, dɛn kin pul di nidul ɛn put smɔl bandej pan di say.
De tin wae impɔtant pas ɔl na fɔ mek yu no ɔltin na dis tritmɛnt. Yu nɔ go fil ɛni pen. Yu kin fil smɔl prɛshɔn ɔ yu nɔ kin fil fayn we dɛn pul di wata, bɔt i nɔ kin mek yu fil pen.
Afta dɛn dɔn trit am
Afta yu dɔn gɛt tritmɛnt, yu kin du ɔda ɛkstrem rayt ɔ skan fɔ chɛk aw yu lɔng dɛn de. Dɛn go de wach yu puls ɛn blɔd prɛshɔn fɔ sɔm awa bifo dɛn sɛn yu na os.
Na nɔmal tin fɔ kɔf smɔl fɔ lɛk wan awa so afta yu dɔn trit yu. dis na biכs di lכng dεm de εkspכnd bak afta di wata dכn klin.
Risk ɛn tɛm fɔ wɛl
Thoracentesis na wan we we rili sef . Di risk fɔ gɛt kɔmplikeshɔn dɛn rili smɔl. Na sɔm pan di prɔblɛm dɛn we kin apin:
- Blɔd: If di nidul nak smɔl blɔd vesel, sɔm smɔl blɔd kin de. Bɔku tɛm, dis kin stɔp fɔ insɛf.
- Sik we de prɛd:Jɔs lɛk ɛnitin we dɛn kɔt na di skin, chans rili smɔl fɔ mek jem dɛn go insay ɛn mek pɔsin gɛt infɛkshɔn.
- Nyumotɔraks: Na smɔl tɛm nɔmɔ di nidul kin pank di lɔng ɛn mek wan smɔl ol, we kin mek di briz lik tru. Dis kin mek di lɔng fɔdɔm.
- Pulmonary edema: If dɛn pul bɔku wata tumɔs kwik, di lɔng dɛn kin ful-ɔp wit wata.
I nɔ kin tek lɔng tɛm fɔ mek i wɛl. Di dɔktɔ go tɛl yu nɔ fɔ du ɛni wok we go mek yu tranga fɔ lɛk tu dez so . Dɛn kin pul di bandej insay lɛk 24 awa so.
If yu gɛt dɛn sik ya afta yu dɔn gɛt tritmɛnt, go to dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os afta yu dɔn gɛt tritmɛnt, kɔl yu dɔktɔ wantɛm wantɛm.
- Fiva
- Rɛd, swel, ɔ blɔd/ɔda wata usay dɛn put di nidul
- Chɛst pen ɔ pen we yu de tek dip briz
- Fɔ kɔf blɔd (Hemoptysis) .
- Wantɛm wantɛm, i kin at fɔ blo bad bad wan
If yu gɛt siriɔs prɔblɛm fɔ blo wantɛm wantɛm, i rili impɔtant fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Thoracentesis na wan we we rili sef ɛn simpul we fɔ pul di wata we pasmak we dɔn gɛda rawnd di lɔng dɛn.
- Dɛn kin du dis fɔ no wetin mek di wata de bɔku (diagnosis) ɔ fɔ ridyus di prɔblɛm fɔ blo (rilif).
- Dis nɔto big ɔpreshɔn. I kin tek lɛk 15 minit, wit mɛrɛsin fɔ mek yu nɔ fil fayn, ɛn yu kin wek.
- De risk kin rili smɔl, bɔt i impɔtant fɔ no bɔt de wɔnin sayn dɛm wae kin apun afta yu dɔn trit yu.
- Fluid rεtεnshכn kin bi fכ wan כndalayn mεdikal kכndyushכn. Tɔk to yu dɔktɔ bɔt dis.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk bɔt am wit yu dɔktɔ.
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