We wi yɛri di wɔd chɛst ɔpreshɔn ɔ ɔpreshɔn, bɔku pipul dɛn kin fred smɔl. I rili nɔmal. Bikɔs insay wi chɛst, ɔgan dɛn de we impɔtant fɔ mek wi gɛt layf, lɛk di at ɛn di lɔng dɛn. So i nɔ kin izi fɔ fil smɔl we wi yɛri di wɔd ɔpreshɔn na dis kayn ples. Bɔt nɔ wɔri, tide wi go tɔk bɔt ɔltin rili simpul, insay wan we we yu go ɔndastand.
Wetin rili na ɔpreshɔn we dɛn kin du na di tɔrak?
Fɔ tɔk am simpul wan, ɛni ɔpreshɔn we dɛn du pan yu chɛst (tɔraks) de insay dis kategori. We wi tink bɔt di chɛst, di at kin kam na wi maynd wantɛm wantɛm, bɔt nɔto jɔs di at nɔmɔ dɛn kin du dɛn ɔpreshɔn ya. Apat frɔm dat, bɔku ɔda ɔpreshɔn dɛn we gɛt fɔ du wit ɔgan dɛn kin insay dis kategori.
Imajin, ɔpreshɔn dɛn we dɛn kin du fɔ ɔgan prɔblɛm dɛn lɛk dɛn wan ya:
- Lɔng: Dɛn kin du ɔpreshɔn fɔ si if pɔsin gɛt tumbu, kansa, ɔ ɔda tin dɛn we de na di lɔng.
- Esophagus: Na di tiub we de kɛr di it we wi de it go na di bɛlɛ.
- Trachea: Na di men tiub we wi de blo tru.
- Dayafragm: Na di big mɔsul we de sheb di chɛst ɛn di bɛlɛ.
- di chεst wכl: Dis inklud di rib dεm, di brεstbon we de na di midul, εn di mכsul dεm we de rawnd am.
- Mediastinum: Dis na di spes bitwin di lכng dεm. I gɛt tin dɛn lɛk di at ɛn di men blɔd vesel dɛn.
Naw yu go dɔn ɔndastand aw dis big.
Tu we dɛn de fɔ ɔpreshɔn.
Dɔktɔ dɛn kin du dɛn ɔpreshɔn ya tu men we dɛn. I dipen pan tin dɛm lɛk yu mɛdikal kɔndishɔn ɛn di kayn ɔpreshɔn.
1. Opin Ɔpreshɔn: Dis kin min fɔ mek wan say we nɔ tu big ɛn opin di chɛst. Dis we ya de fɔ sɔm kɔmpleks ɔpreshɔn dɛn.
2. Minimally Invasive Surgery: Dis na di we we dɔn go bifo pas ɔl naw. Bifo dɛn kɔt big say, na sɔm rili smɔl smɔl say dɛn nɔmɔ dɛn kin kɔt. Dɛn kin put smɔl kamɛra insay di chɛst tru wan say we dɛn kɔt am. Dɔn, dɛn kin put tin, lɔng inschrumɛnt dɛn tru ɔda say dɛn we dɛn kɔt ɛn di dɔktɔ kin du di ɔpreshɔn we i de wach di pikchɔ dɛn frɔm di kamɛra. dis mכt dεn kכl am ``VATS כpεrayshכn'' we dεn du am pan di chεst εn ``laparoskopik כpεrayshכn'' we dεn du am pan di bεlε. Sɔntɛnde, dɛn kin kɔnɛkt dɛn inschrumɛnt dɛn ya ɛn di kamɛra to rɔbɔt, ɛn di dɔktɔ kin kɔntrol di rɔbɔt ɛn du di ɔpreshɔn.
Us kayn sik dɛn kin trit wit dɛn ɔpreshɔn ya?
Dɛn kin yuz dɛn ɔpreshɔn ya fɔ trit bɔku tin dɛn we kin apin na di chɛst ɛn di ɔp pat na di bɛlɛ. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Anɛrizm dɛn | di men blכd vesel dεm na di chεst kin wik εn swεla lεk balכn. If dɛn nɔ trit dɛn tin ya, dɛn kin bɔs. |
| Hat sik we dɛn bɔn wit | Fɔ kɔrɛkt ol ɔ ɔda tin dɛn we nɔ fayn na di at we sɔm pikin dɛn kin gɛt we dɛn bɔn dɛn. |
| At bit we nɔ de bit ɔltɛm | Kɔntrol di at bit we nɔrmal fast ɔ we nɔ de bit ɔltɛm. |
| At we nɔ de wok fayn | Ɛp di at we i wik ɛn nɔ ebul fɔ pɔmp inof blɔd to di bɔdi. |
| Koronari Atɛri Sik we pɔsin kin gɛt | di at dεm we de gi blɔd to di at de blok. Wi ɔl no se dɛn kin du ‘baypas ɔpreshɔn’ (CABG) fɔ dis. |
| Hat ɔ lɔng transplant | Transplant ɔgan we gɛt wɛlbɔdi fɔ tek ples fɔ di at ɔ lɔng we nɔ de wok fayn. |
| Prɔblɛm dɛn we gɛt fɔ du wit di at valv | Ripa ɔ riples di valv dɛn na di at we dɛn nɔ lɔk fayn ɔ we dɛn smɔl. |
| Kansa na di Lɔng | Ɔpreshɔn fɔ pul di kansa tɔŋ dɛn na di lɔng dɛn. |
| Sist na di tayroyd ɔ taymus gland | fכ pul di nכmal כ kansa tכmכro dεm na dεn כgan dεm ya. |
| I nɔ kin izi fɔ swɛla (Dysphagia) . | Ɔspitul sɔlvishɔn fɔ sɔm kɔndishɔn dɛn we kin mek i nɔ izi fɔ swɛla it. |
| Asid riflɔks (GERD) . | Dɛn kin du ɔpreshɔn we dɛn nɔ kin ebul fɔ kɔntrol di bɛlɛ asid riflɔks (we gɛt siriɔs gastritis) wit mɛrɛsin. |
Us ɔpreshɔn dɛn kin du mɔ? Yu tink se dɛn tin ya siriɔs?
Tu ɔpreshɔn dɛn de we dɛn kin du mɔ na Sri Lanka, ɛn bak na di wɔl.
1. Koronari Atεri Baypas Graftin (CABG): Dis na di "baypas" we wi כl no. Na di ɔpreshɔn we dɛn kin du pas ɔl di ɔda ɔpreshɔn dɛn na di wɔl.
2. Lobectomy: Dis na ɔpreshɔn fɔ pul wan pat (lobe) na di lɔng. Bɔku tɛm dɛn kin du am fɔ sik dɛn lɛk kansa na in lɔng.
Naw yu go de aks, yu tink se dɛn ɔpreshɔn ya siriɔs? Yɛs, fɔ tru, bɔku pan di ɔpreshɔn dɛn we dɛn kin du na in chɛst na siriɔs ɔpreshɔn dɛn we kin at fɔ du. Di rizin fɔ dis na bikɔs, lɛk aw wi bin dɔn tɔk, di at ɛn di lɔng na impɔtant ɔgan dɛn fɔ mek wi bɔdi wok fayn.
Bɔt di impɔtant tin we yu fɔ mɛmba na ya na dat, na wan big tim we de kia fɔ wɛlbɔdi biznɛs, we gɛt dɔktɔ dɛn, nɔs dɛn, ɛn dɔktɔ dɛn we de anestez, de du dis ɔpreshɔn, wit di wangren aim fɔ gi yu di bɛst tin we pɔsin kin du. So, i rili impɔtant fɔ lɛ wi abop pan dɛn.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Aw wi kin pripia?
Wan tɛm de bifo dɛn du di ɔpreshɔn usay dɛn kin chɛk yu gud gud wan. Dis na fɔ si aw yu bɔdi go ebul fɔ bia wit di ɔpreshɔn.
- Kɔmɔn tɛst: Dɛn kin du tin lɛk blɔd tɛst ɛn urine tɛst fɔ ɔlman.
- Fɔ ɔpreshɔn we gɛt fɔ du wit at: Dɛn kin du ECG, Echo tɛst, ɛn angiogram fɔ chɛk aw di at de wok.
- Fɔ ɔpreshɔn na di lɔng: Dɛn go du ɛkstrem rayt na di chɛst, CT skan, ɛn ɔda tin dɛn. dεn go gi yu spεshal tεst dεm bak we dεn kכl ``Pulmonary function tests`` fכ si aw yu lכng dεm de wok fayn fayn wan. sכmtεm dεn kin nid fכ tek sכm sכm tisu frכm yu lכng fכ tεst (``Biopsy``).
Di dɔktɔ we de du di ɔpreshɔn kin plan fɔ du yu ɔpreshɔn bay di rizɔlt fɔ ɔl dɛn tɛst ya.
Na dis na wetin yu nid fɔ pripia pan yu pat:
Dis na pat we rili impɔtant. If yu pripia fayn fayn wan, dat go rili afɛkt di we aw di ɔpreshɔn go wok fayn.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (di wan dɛn we dɔktɔ gi yu ɛn di wan dɛn we yu bay na famasi, ivin di wan dɛn we de mɛn pen ɛn vaytamɛn dɛn).
- Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek yu blɔd tan) sɔm dez bifo dɛn du yu ɔpreshɔn. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Dis rili impɔtant: If yu na pɔsin we de smok, yu fɔ rili lɛf fɔ smok at le wan mɔnt bifo dɛn du yu lɔng ɔpreshɔn. Dɛn dɔn kam fɔ no se if yu nɔ smok fɔ wan mɔnt afta dɛn dɔn du di ɔpreshɔn, yu kin ridyus di prɔblɛm dɛn we kin apin we yu wund, yu go gɛt af.
- Yu fɔ stɔp fɔ it ɛn drink di nɛt bifo dɛn du di ɔpreshɔn ɔ di tɛm we yu dɔktɔ tɛl yu.
- Mek wan plan fɔ mek yu wɛl. Arenj bifo tɛm fɔ mek sɔmbɔdi kam na os frɔm ɔspitul ɛn sɔmbɔdi fɔ ɛp yu fɔ sɔm dez afta yu rich na os. I fayn bak fɔ mek it bifo tɛm ɛn kip am na friza.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Afta dɛn kɛr yu go na di ɔpreshɔn rum, di dɔktɔ we de mɛn yu go gi yu mɛrɛsin tru wan kanula fɔ mek yu slip ɔl. Dɔn, dɛn go put wan tiub fɔ ɛp yu fɔ blo. pan sכm big at כpεrayshכn dεm, wan mashin we dεn kכl ``at-lכng mashin`` go tek ova di wok we yu at εn lכng dεm de du we yu de du di כpεrayshכn.
Dɔn di dɔktɔ we de du di ɔpreshɔn:
1. As dɛn dɔn plan, dɛn kin mek di say dɛn we dɛn nid fɔ kɔt dɛn bay we dɛn de yuz wan we we opin ɔ we nɔ de invayd smɔl. di chεst kin opin bay we dεn mek wan say we dεn kכl along di stεnכm (sternotomy) כ bitwin tu rib dεm (thoracotomy).
2. Dɛn kin mek di ɔgan we gɛt prɔblɛm, pul am, ɔ transplant nyu wan.
3. Chek gud wan fɔ si if ɛni blɔd de kɔmɔt.
4. Fɔ dɔn, dɛn kin sutura ɔl di say dɛn we dɛn kɔt klos.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go wek na di intensiv kia yunit (ICU) ɔ di rum fɔ wɛl.
- We yu bigin fɔ blo fayn, dɛn go pul di tiub we yu de blo.
- Dɛn kin put wan ɔ mɔ chɛst dreyn fɔ pul wata kɔmɔt na di chɛst. Dɛn kin put kateshɔn bak fɔ gɛda di urine.
- Wae yu kɔndishɔn dɔn stebul, dɛn go transfa yu to wan rɛgyula wɔd.
- I rili impɔtant fɔ grap na bed ɛn bigin fɔ waka kwik kwik wan, wit di ɛp we nɔs dɛn de ɛp yu. Dɛn go tich yu bak fɔ du ɛksɛsayz fɔ blo we go ɛp yu lɔng dɛn fɔ opin bak.
- Yu kin go na os we yu dɔn rich di gol dɛm we yu dɔktɔ dɔn sɛt (lɛk fɔ waka fayn, fɔ kɔntrol pen). Dis kin tek lɛk 3 to 10 dez, i kin dipen pan di kayn ɔpreshɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis kin difrɛn bak bɔku bɔku wan dipen pan di ɔpreshɔn we dɛn bin du yu. Ɔpreshɔn we nɔ de tek bɔku mɔni kin wɛl kwik kwik wan. Bɔt i kin tek wan mɔnt ɔ mɔ fɔ mek i wɛl ɔl afta dɛn dɔn ɔpreshɔn am opin wan.
Bɔku tɛm, dɛn nɔ go alaw yu fɔ drayv fɔ lɛk wan mɔnt so afta dɛn dɔn du di ɔpreshɔn. Dɛn go aks yu bak fɔ limited liftin wet fɔ lɛk 6 wiks.
Wetin na di bɛnifit ɛn risk dɛn we dɛn ɔpreshɔn ya kin gɛt?
Di men bɛnifit na dat dɛn ɔpreshɔn ya kin sev yu layf ɔ mek yu liv lɔng. Dɛn kin mek yu layf bɛtɛ bak bay we dɛn de mek yu at ɔ yu lɔng dɛn wok fayn fayn wan. Dɛn kin ɛp bak wit tin dɛm lɛk wae i nɔr kin izi fɔ swɛla ɛn mek i izi fɔ liv ɛvride.
Lɛk ɛni ɔpreshɔn, dɛn ɔpreshɔn ya kin gɛt sɔm prɔblɛm dɛn bak .
- Infɛkshɔn, mɔ nyumonia.
- Lɔng we de fɔdɔm.
- Blɔd we de klɔt.
- Pwɛl at.
- At bit we nɔ de bit ɔltɛm.
- At sik.
- Ɛdima we de na di pulmonari.
Yu dɔktɔ go ɛksplen to yu gud gud wan bɔt dɛn bad tin ya bifo yu du di ɔpreshɔn.
Situeshɔn dɛn we yu nid fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ kwik kwik wan ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Bɔrku pen na yu chɛst.
- I nɔ kin izi fɔ yu fɔ blo.
- Blɔd ɔ pus we de kɔmɔt na di wund.
- Di wund dɔn swel ɛn rɛd.
- Fiva we nɔ gɛt rizin.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn na di tɔrak nɔto jɔs sɔntin we dɛn kin du pan di at. Dɛn kin du am pan ɛni ɔgan na di chɛst, ivin di lɔng ɛn di trakya.
- Naw, bikɔs di tɛknɔlɔji dɔn go bifo, sɔm we dɛn de fɔ du ɔpreshɔn we nɔ de mek pɔsin want fɔ du am, we dɛn kin du smɔl smɔl tin dɛn pas fɔ kɔt big big say dɛn.
- Fɔ rɛdi gud gud wan fɔ ɔpreshɔn, mɔ fɔ lɛf fɔ smok, rili impɔtant fɔ mek yu gɛt sakrifays.
- Di tɛm we pɔsin kin wɛl kin lɔng smɔl, ɛn i impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan insay dis tɛm.
- Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt yu ɔpreshɔn, di prɔblɛm dɛn we i go gɛt, ɛn di tɛm we yu go wɛl. I go rili mek yu fil fri fɔ no ɔltin klia wan.
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