Lɛ wi lan jɔs bɔt Thoracoscopy, we na ɛgzam we dɛn kin put kamɛra insay di chɛst.

Yu dɔktɔ dɔn tɛl yu fɔ du ‘Toracoscopy’? Sɔntɛm yu bin de fred smɔl we yu yɛri di nem. "Wetin dis?" "Na big opareshon?" "I rili at?" Bɔku kwɛstyɔn dɛn lɛk dis go dɔn kam na mi maynd. Bɔt fɔ tru, i nɔ de mek pɔsin fred lɛk aw yu tink. Na wan we we rili kɔmɔn, we nɔ kin sef, ɛn we rili simpul. So tide, lɛ wi tɔk bɔt am na wan rili simpul we, insay wan we we go pul ɔl di kwɛstyɔn ɛn fred we yu go gɛt bɔt am.

Fɔ tɔk am simpul wan, wetin na Thoracoscopy?

Imajin, di dɔktɔ de sɔprayz se sɔntin nɔ rayt insay yu chɛst, dat na di say we di lɔng dɛn de. Bɔt nɔto ɛkstrem rayt ɔ CT skan nɔ ebul fɔ no di rayt tin we i bi. Na tɛm lɛk dis, aw i go fayn if yu go insay ɛn tek wan luk? Na dat dɛn kin yuz dis we aw dɛn kɔl Thoracoscopy.

Fɔ tɔk am simpul wan, dis min fɔ mek wan rili smɔl say na di skin na di chɛst ɛn put smɔl kamɛra tru am. Dɛn kɔl dis kamɛra tɔrakskɔp . Na wan tint tiub we di sayz tan lɛk pensil. I gɛt kamɛra ɛn layt na di ɛnd. We dɛn put dis kamɛra, di dɔktɔ kin si klia wan yu lɔng, di say we de rawnd di lɔng (we wi kin kɔl di pleura space ), di dayafragm, ɛn ɔltin we de insay, lɛk di chɛst wɔl, pan big TV skrin (monitor).

Bɔku tɛm dɛn kin du dis wok as pat pan wan ɔpreshɔn we dɛn kɔl Video-Assisted Thoracoscopic Surgery (VATS) . Dis min se di dɔktɔ we de du di ɔpreshɔn nɔ de luk yu bɔdi, bɔt i de luk di pikchɔ dɛn we de na da big TV skrin de, ɛn i de du di ɔpreshɔn rili fayn, ɛn i de yuz smɔl smɔl inschrumɛnt dɛn. Dis na teknɔlɔji we rili advans.

Dɛn de du dis as tɛst ɔ as tritmɛnt?

Di ansa to dis kweshon na rili, "Yu kin du ɔl tu." I kin difrɛn difrɛn wan bay di rizin we mek yu de du dis.

• Diagnostic Thoracoscopy: Sɔntɛnde di dɔktɔ kin jɔs want fɔ si wetin de apin insay. Ɔ, dɛn kin want fɔ tek wan rili smɔl pat pan di tisu frɔm wan say we dɛn tink se dɛn go ebul fɔ chɛk. Wi kin kɔl dis bayɔpsi . I tan lɛk se ditektiv de go insay ɛn de luk fɔ pruf. Sɔntɛnde dɛn kin kɔl dis Pleuroscopy .

• Fɔ tritmɛnt (Therapeutic Thoracoscopy): Sɔntɛnde, dɛn kin no di rayt tin we mek di prɔblɛm kam. Dɔn dɛn kin yuz dis we fɔ trit da prɔblɛm de. Dat min se dɛn kin du am as pat pan ɔpreshɔn.

Ustɛm i nid fɔ du torakoscopy?

Bɔku rizin dɛn de we mek dɔktɔ go tɛl yu fɔ du dis. Di men wan dɛn na:

• Fɛn infɔmeshɔn we dɛn nɔ bin ebul fɔ fɛn pan tɛst dɛn lɛk chɛst ɛkstrem rayt, CT skan, ɛn ɔltra saund skan.
• Rimov pat pan di insay layεr na di chεst wכl (pleura).
• Rimov di pat dεm we dεn dכn pwεl na di lכng dεm (dεn kכl dis `lכng vכlyum rεdukshכn כpεrayshכn`).
• Rimov di ay poket dɛn we de na di lɔng dɛn.
• If kansa de na di lכng, pul di kansa pat (lכng rεsεkshכn).
• pul di wata we pasmak we dɔn gɛda rawnd di lכng dεm εn yuz mεdikeshכn fכ mek di wata nכ kכlכm bak (dεn kכl dis `pleurodesis`).

Dis ɔpreshɔn kin nid fɔ du am, mɔ fɔ pipul dɛn we gɛt sik lɛk lכng kansa ɔ mεsotelioma (kansa na di layn na di lכng). Dɛn kin yuz am bak fɔ trit kansa na di taymus gland ɔ di εsophagus na di chɛst.

Wetin na di difrɛns bitwin Thoracoscopy ɛn Thoracotomy?

Yu go mɔs dɔn yɛri di wɔd thoracotomy . Pan ɔl we dɛn ɔl tu na ɔpreshɔn na in chɛst, big difrɛns de bitwin dɛn tu. Thoracoscopy na lεk "luk tru wan kihol." Thoracotomy na lεk "open wan doa."

Lɛ wi luk di difrɛns bitwin dɛn tu we ya dis we.

Sɔntɛnde, afta dɛn dɔn bigin fɔ du torakoscopy, if di dɔktɔ si se dɛn nɔ go ebul fɔ dɔn di ɔpreshɔn sef wan tru dɛn smɔl smɔl say dɛn ya, dɛn kin chenj to thoracotomy wit big incision. Dɛn kin du dis fɔ mek yu sef.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

Pan ɔl we dis nɔto big ɔpreshɔn, i nid fɔ pripia sɔm tɛm.

• Tɔk to yu dɔktɔ: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn we yu de tek. Ɛspɛshali if yu de tek tin dɛn we de mek yu blɔd tan (lɛk aspirin, klopidogrel, ɔ warfarin ), aks if yu nid fɔ stɔp fɔ tek dɛn sɔm dez bifo dɛn du yu ɔpreshɔn.
• Fast: Di de we dɛn du di ɔpreshɔn, dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin fɔ sɔm awa (bɔku tɛm na 6-8 awa) bifo di ɔpreshɔn. dis na fכ mek di tin dεm we de insay di bεlε nכ go כp insay di winda paip we dεn de anεsthεsia.

Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp

Di de we dɛn go du yu ɔpreshɔn, if yu no wetin fɔ ɛkspɛkt na di ɔpreshɔn rum, dat go ɛp fɔ mek yu nɔ wɔri. Di ɔpreshɔn kin tek ɛnisay frɔm af awa to sɔm awa, i kin dipen pan wetin dɛn de du insay.

1. Anestezi: Fɔs, dɛn go put yu ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn ɛn yu go slip ɔl. Dɛn go gi di mɛrɛsin tru wan smɔl tiub (IV kanula) we dɛn put na yu an.

2. Fɔ kɔnɛkt to ventilatɔ: afta yu dɔn slip, dɛn kin put wan tiub tru yu trot insay yu winda paip ɛn kɔnɛkt am to mashin we de blo (wan `ventilator`). Dis mashin go blo fɔ yu te di ɔpreshɔn dɔn. Yu nɔ go fil ɛni wan pan dɛn tin ya.

3. Fɔ mek smɔl smɔl kɔt dɛn:Neks, di dɔktɔ we de du di ɔpreshɔn go mek tu ɔ tri smɔl smɔl say dɛn, we nɔ go pas af inch, na yu chɛst, bitwin yu rib dɛn.

4. Fɔ put di kamɛra ɛn di inschrumɛnt dɛn: Tru wan say we dɛn kɔt, dɛn kin put di kamɛra (di `thoracoscope`) we wi bin dɔn tɔk bɔt bifo tɛm. Tru ɔda say dɛn we dɛn kɔt, dɛn kin put di rili fayn, lɔng inschrumɛnt dɛn we dɛn nid fɔ di ɔpreshɔn.

5. Egzamin ɔ tritmɛnt: Naw di dɔktɔ de luk di TV skrin ɛn tek tɛm chɛk di insay pat na di chɛst. If dɛn nid fɔ tek bayɔpsi, dɛn kin tek am, if pat de we dɛn fɔ pul, dɛn kin pul am, ɔ dɛn kin du di tritmɛnt we dɛn nid.

6. Fɔ pul di ikwipmɛnt: Afta dɛn dɔn du di wok, dɛn kin pul di kamɛra ɛn ɔl di ɔda ikwipmɛnt dɛn.

7. di chεst tyub insay: nεks, dεn de put wan plastic tכb (`chεst tyub`) insay di chεst kεviti tru wan pan di insayshכn dεm. Dɛn kin du dis fɔ pul ɛni briz ɔ wata we kin dɔn gɛda afta di ɔpreshɔn. Dis go nid fɔ lɛf am fɔ wan ɔ tu dez.

8. Stich di say dɛn we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di smɔl smɔl say dɛn we dɛn kɔt wit stich.

9. We yu wek frɔm anestezi: Naw di dɔktɔ we de anestez go wek yu smɔl smɔl. We yu ebul fɔ blo yusɛf, dɛn go pul di tiub we bin de na yu trot.

Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?

Afta di ɔpreshɔn dɔn, dɛn go transfa yu na di wɔd.

• Drɔw: Bikɔs ɔf di ifɛkt dɛm we di anestetik gɛt, yu go fil fɔ slip ɛn nɔ gɛt layf fɔ sɔm tɛm.
• Trot we de at: Bikɔs dɛn put di tyub fɔ blo, i kin at smɔl na di trot ɛn i kin chenj in vɔys fɔ wan ɔ tu dez.
• Pen: Yu go fil sɔm pen na di say dɛn we dɛn kɔt am. Dɛn go gi yu mɛrɛsin fɔ mɛn yu pen fɔ ɛp wit dis.
• Chɛst Tiub: Di chɛst tyub go de na in ples fɔ wan ɔ tu dez. Yu go nid fɔ de na di ɔspitul te dɛn pul am.
• Chɛst X-ray: Dɛn go du chɛst ɛkstrem bak fɔ si if di lɔng dɛn de wok fayn.
• Fɔ it: Yu trot ɛn yu mɔt kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk fɔs. Dɛn nɔ go alaw yu fɔ it ɔ drink te di swɛla dɔn go.

Bɔku tɛm, yu kin bigin fɔ du tin dɛn bak ɛvride afta lɛk tu wiks so. I kin tek 4 to 6 wiks fɔ mek i wɛl ɔl.

Risk de pan dis?

Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl prɔblɛm de we kin apin. Bɔt, na tin we rili sef fɔ du am. Di rεt fכ mכtalman rili lכw, na 0.3%. Di prɔblɛm dɛn we kin apin bak kin rili smɔl.

Sɔm prɔblɛm dɛn we kin apin (Risks) .

• Fɔ mek i flɔ.
• Kɔt ɔ infekshɔn na di lɔng.
• Fiva.
• di briz we de kכmכt nia di say we dεn sכk כ na di lכng spεs.
• Di lɔng we dɔn fɔdɔm.
• Fluid we de gɛda rawnd di lכng dεm.

If sɔntin lɛk dis apin, yu dɔktɔ ɛn di wan dɛn we de wok na di ɔspitul dɔn rɛdi fɔ trit am. So nɔ wɔri bɔt am.

Afta yu go na os, ustɛm yu fɔ go to dɔktɔ?

I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni prɔblɛm afta yu dɔn go na os frɔm ɔspitul. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

I rili impɔtant fɔ pe atɛnshɔn to dɛn kwaliti dɛn ya.