Yu dɔn ɛva si pɔsin we gɛt tiub we stɔp na in chɛst? Sɔntɛm na TV, na fim, ɔ ivin na rial ɔspitul. I kin bi sɔntin we de mek pɔsin fred ɛn we nɔ kin izi fɔ si. "Wetin mek dem de du dis? Dis mos de at plenti, no bi so?" Yu go tink se yu go tink. Bɔt yu no se fɔ put tiub na yu chɛst na rili impɔtant mɛrɛsin we dɛn kin du bɔku tɛm fɔ sev pɔsin in layf? Tide, wi go tɔk bɔt dis prɔsidyu, we dɛn kɔl thoracostomy na mɛrɛsin, insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Thoracostomy?
Thoracostomy na wan we we dɔktɔ we de du ɔpreshɔn kin kɔt smɔl say na di sayd na yu chɛst ɛn put wan tiub insay yu chɛst. Dɛn kin kɔl dis tiub chɛst tyub. di men rizin fכ du dis na fכ drεn εni εksyכ s εya, wata, blכd, כ pus we dεn kכlכm na di spεs we de rawnd yu lכng (we wi mεdikal kכl pleura spεs).
Tink bɔt wi lɔng dɛn lɛk tu balyɔn. Dɛn tu balyɔn ya de insay di chɛst. wan rili sכm spεs de bitwin di lכng dεm εn di insay wכl na di chεst kεviti. Nɔmal wan, natin nɔ de na dis ples. Bɔt bikɔs ɔf sɔm sik dɛn ɔ we aksidɛnt apin, dis ples kin ful-ɔp wit tin dɛn lɛk briz ɛn wata. Dɔn di lɔng dɛn kin kɔmprɛs ɛn dɛn nɔ kin ebul fɔ blo fayn fayn wan. I kin at fɔ blo, ɛn pen kin de na in chɛst. Na da tɛm de dɔktɔ dɛn kin put wan chɛst tiub fɔ pul dis tin we dɔn gɛda.
Insay sɔm imejensi, mɔ di tɛnsiɔn nyumotɔraks, dɛn kin du nidul tɔrakstɔmi fɔ mek di prɛshɔn nɔ bɔku bay we dɛn kin pul di briz we dɔn trɔp bifo dɛn put di chɛst tyub. Dɛn kin du dis na say we dɛn gɛt ɛnitin fɔ du wit am, lɛk na di Imejɛnsi Dipatmɛnt (ETU), fɔ sev di pɔsin in layf.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Bɔku rizin dɛn de we mek dɛn kin du torakostomi. Dɛn kin yuz am mɔ pan kes dɛm we tin we dɛn nɔ want kin gɛda rawnd di lכng. Lɛ wi tek tɛm luk sɔm pan dɛn tin ya we kin apin.
| Kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Nyumotɔraks (lɔng we dɔn fɔdɔm) . | Wan kɔndishɔn we di briz kin gɛda rawnd di lɔng dɛn ɛn push dɛn apat. I tan lɛk se balyɔn de bɔs ɛn mek di briz kɔmɔt. Dis kin kam bikɔs ɔf aksidɛnt ɔ sɔm sik dɛn. |
| Pleural effusion (fluid we de rawnd di lכng) . | Fluid (wata) de bכku na di spεs we de rawnd di lכng dεm. Dis kin kam wit tin dɛm lɛk at sik, kidni sik, ɛn kansa. |
| Empyema (pus we de ful-ɔp rawnd di lɔng dɛn) . | wan kכlekshכn fכ pus rawnd di lכng dεm bikoz fכ wan lכng infεkshכn, spεshal wan kכndyushכn lεk nyumonia. |
| Ɛmotɔraks (blɔd we de ful-ɔp di chɛst) . | di bכdi we de kכlekt rawnd di lכng dεm bikoz fכ wan trauma na di chεst (lεk aksidεnt, wan wund we dεn stab). |
| Chylothorax (we wata kin gɛda na di chɛst) . | biכs fכ di damej pan wi bכdi in limf sistεm, di limf fכluid de kכmכt rawnd di lכng dεm. |
| Infεkshכn dεm na di lכng | Dɛn kin yuz dis we bak fɔ pul wata we kin gɛda pan sɔm bad bad infɛkshɔn dɛn na di lɔng. |
Aw yu fɔ rɛdi fɔ dis?
Dis na kwɛstyɔn we rili impɔtant. Bɔt di ansa kɔmplikt smɔl. Bikɔs bɔku tɛm, dɛn kin du dis tin we dɛn kɔl Thoracostomy we i gɛt ɛnitin fɔ du wit am. Imajin se sɔmbɔdi dɔn gɛt motoka aksidɛnt na rod ɛn dɛn kɛr am go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). If in lɔng dɛn dɔn pwɛl ɛn i ful-ɔp, di dɔktɔ dɛn fɔ put wan chɛst tyub kwik kwik wan fɔ sev in layf. We dis kayn tin apin, tɛm nɔ de fɔ rɛdi.
Bɔt sɔmtɛm, bikɔs ɔf wan mɛdikal kɔndishɔn we bin dɔn de bifo (fɔ ɛgzampul, pɔsin we gɛt wata we de kɔntinyu fɔ de rawnd di lɔng dɛn), dɛn kin plan dis bifo tɛm. If na so i bi, yu dɔktɔ go tɛl yu aw fɔ pripia. Dɛn instrɔkshɔn ya kin bi:
- Frɔm sɔm dez bifo di tritmɛntDɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners).
- Dɛn kin aks yu fɔ chenj di tɛm we yu de tek di mɛrɛsin.
- Dɛn go aks yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo di tritmɛnt.
- Sɔntɛm dɛn go aks yu fɔ wɛr fayn klos we nɔ gɛt natin fɔ du wit am.
Di tin we impɔtant pas ɔl na fɔ tɔk fri wan ɛn ɔnɛs to yu dɔktɔ. Yu fɔ rili tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ivin vaytamɛn ɛn sɔpɔtmɛnt dɛn), ɛni alɛji we yu gɛt, ɛn if yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ.
Wetin kin rili apin we dɛn de trit am?
Okay, naw mek wi si aw fɔ du dis. Nɔ fred fɔ rid dis. Dɛn kin du dis we dɛn nɔ kin fil pen ɛn we nɔ gɛt wan prɔblɛm.
Fɔs, di dɔktɔ go du ɛkstrem rayt na in chɛst ɔ ɔda skan fɔ no di rayt say usay dɛn fɔ put di tiub. Dɔn di tritmɛnt go bigin.
1. Pozishɔn: Dɛn go aks yu fɔ ledɔm na di bed, wit yu ed ɔp smɔl, ɛn di an we de na di sayd usay dɛn go put di tiub go de ɔp yu ed. dis go opin di spes bitwin yu rib dεm, we go mek i izi fכ put di tכb insay.
2. Klin: Nεks, dεn kin klin di εria na di chεst we dεn pik fכ di tכb gud gud wan wit antiseptik sכlushכn. Dɛn kin du dis fɔ mek ɛni jem nɔ go insay di bɔdi.
3. Numbness: Naw na di pat we impɔtant pas ɔl. Fɔ mek yu nɔ fil ɛni pen, dɛn kin put wan lokal anestetik , lɛk Lidocaine , na di say we yu de. Yu kin fil smɔl smɔl we yu gi yu di injɛkshɔn, bɔt insay sɔm minit dɛn, di wan ol eria go swɛt kpatakpata. So yu nɔ go fil ɛnitin afta dat.
4. Fɔ mek di say we yu kɔt: Naw we yu dɔn numb, di dɔktɔ go mek wan rili smɔl say bitwin tu pan yu rib dɛn. Dis nɔto big say we dɛn kɔt, na jɔs inof fɔ put di tiub insay.
5. insay di tכb: nεks, dεn kin tek tεm put di chεst tכb tru di say we dεn kכl insay di spεs we de rawnd di lכng dεm. di כda εnd pan dis tכb de kכnekt to sכmtin lεk wata bכtul (drenaj kכntena). di briz εn wata we de na di chεst go fכlכ tru dis tכb εn kכlekt insay da bכtul de.
6. Protεkshכn: fכ finish, dεn kin put wan stεril dresin rawnd di say we dεn put am εn kכba am. Sɔntɛnde, dɛn kin put smɔl stich pan di skin fɔ mek di tiub tayt na di skin fɔ mek i nɔ muv rawnd.
Dis ɔl dis kin tek lɛk 30 minit so .
Wetin kin apin afta dɛn dɔn trit am?
Afta dɛn dɔn put di tiub, yu go gɛt ɔda ɛkstrem rayt na yu chɛst fɔ mek shɔ se i de na in ples ɛn yu lɔng dɛn dɔn ful-ɔp fayn fayn wan. Dɔn di dɔktɔ ɛn di nɔs dɛn go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ di tiub.
- Di say we dɛn kɔt am fɔ klin ɛn dray .
- I de gi instrɔkshɔn bɔt aw fɔ kia fɔ di tiub ɛn di bɔtul we dɛn kɔnɛkt to am (drenaj kɔntena). Di tin we impɔtant pas ɔl na fɔ nɔ mek di tiub bɛn ɔ stɔp ɛnisay . Dɔn bak, dɛn fɔ kip di bɔtul dɔŋ di chɛst lɛvɛl ɔltɛm . Da we de, di tin dɛn we de insay di chɛst go flɔ izi wan insay di bɔtul akɔdin to di graviti.
- Yu nid fɔ tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek di rayt tɛm .
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
Pan ɔl we dis kin tan lɛk se i de mek pɔsin fred smɔl, i gɛt bɔku bɛnifit dɛn.
- Dis nɔto big ɔpreshɔn (Minimally invasive): Bikɔs dɛn kin du am tru smɔl say we dɛn kɔt am, pas fɔ kɔt am big wan, i nɔ kin pwɛl di bɔdi bɛtɛ ɛn i kin wɛl kwik kwik wan.
- I kin sev layf pan imejensi: Dis kin sev pɔsin layf kwik kwik wan if aksidɛnt ɔ in lɔng fɔdɔm. I kin gi fridɔm bak frɔm di tin dɛn we kin apin fɔ lɔng tɛm.
- Nɔ nid fɔ put di pɔsin we sik kɔmplit wan fɔ slip: Bɔku tɛm dɛn kin du dis ɔnda anestezi, so no risk nɔ de fɔ gɛt big anestezi.
- Kwik rilif fɔ shɔt briz: Pɔsin we gɛt prɔblɛm fɔ blo bikɔs wata de ful-ɔp in lɔng go fil big rilif wantɛm wantɛm afta i dɔn du dis.
Ɛni sayd ɛfɛkt ɔ risk de?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ du fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Dɛn kin put di tiub na di rɔng ples ɔ i kin muf frɔm usay i bin de fɔs.
- Infekshɔn na di say we dɛn kɔt am.
- sכbkutan εmfysema (we di briz de kכmכt כnda di skin).
- ri-εkspεns pulmonari εdima (fluid we de fulכp rawnd wan lכng we dεn dεflet afta i εkspεnd bak wan wan).
- Blɔd we de kɔmɔt.
- Smɔl damej pan di nerves ɔ di tisu we de rawnd.
Di chans fɔ mek dɛn tin ya apin rili smɔl. Bɔt i fayn fɔ no bɔt tin dɛn lɛk dis. If yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ.
Aw lɔng dɛn fɔ lɛf di tiub insay? Aw lɔng i kin tek fɔ mek i wɛl?
di lεng tεm we di chεst tyub de insay de dipכnt pan di rizin we mek dεn put am.
- If dɛn pul smɔl blɔd ɔ briz afta aksidɛnt, dɛn kin pul di tiub insay sɔm dez afta i dɔn drayn ɔl.
- Bɔt if di wata kɔntinyu fɔ ful-ɔp bikɔs ɔf wan kɔndishɔn we dɔn te, yu kin nid fɔ mek di tiub insay fɔ sɔm wiks . Yu dɔktɔ go ɛksplen dis to yu.
afta dεn dכn pul di tכb, i kin tek tri to fכ wik fכ di say we dεn sכt fכ fכlכ fכ hεl. Insay da tɛm de, yu dɔktɔ go advays yu bɔt aw fɔ kia fɔ di wund ɛn if yu fɔ avɔyd fɔ du tin dɛn we de mek yu tranga.
If yu si ɛnitin lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm.
If yu gɛt chɛst tyub, wach fɔ dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm .
| Sayn fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | Fiva, swel na di say we dɛn put di tiub, di pen we yu nɔ bin de ɛkspɛkt, di kɔlɔ we di skin kin chenj (rɛd), ɛn pus. |
| Prɔblɛm dɛn we gɛt fɔ du wit paip | di tכb kin kink כ klos, di tכb de lכs, di wata we de kכmכt frכm di tכb de dכn כ stכp wan wan. |
| I nɔ kin izi fɔ yu fɔ blo | Rikɔrɛshɔn ɔ wɔs fɔ shɔt briz, chɛst pen. |
| Ɔda kwɛstyɔn dɛn | If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt aw fɔ kia fɔ di wund ɔ di tiub. |
Wetin na di difrɛns bitwin Thoracostomy, Thoracentesis, ɛn Thoracotomy?
Dɛn tri wɔd ya kin tan lɛk se dɛn fiba, bɔt dɛn na tri difrɛn tritmɛnt dɛn. Bɔku pipul dɛn kin kɔnfyus bitwin dɛn. Lɛ wi si wetin na di difrɛns.
| Di we aw dɛn kin trit am | Wetin fɔ du simpul wan | Di men tin we dɛn want fɔ du |
|---|---|---|
| Tɔrakstɔmi we dɛn kin du | Fɔ put wan chɛst tiub tru wan smɔl say we dɛn kɔt. | Kɔntinyu fɔ drɛb briz, wata, ɛn blɔd fɔ sɔm dez ɔ wik. |
| Di sik we dɛn kɔl Thoracentesis | Fɔ pul smɔl wata na di chɛst yuz nidul ɛn sirinj. | Fɔ no di sik (fɔ tek wata sɛmpul) ɔ fɔ pul smɔl wata ɛn gi rilif wantɛm wantɛm. |
| Thoracotomy we dɛn kin du | Opin di chεst cavity bay we yu mek big say bitwin di rib dεm. Dis na big ɔpreshɔn. | fכ du כpεrayshכn pan di lכng, at, כ כda כgan dεm (e.g., fכ pul wan kansa tכmכro). |
Fɔ tɔk am simpul wan, fɔ pul di tɔraktɔ na big ɔpreshɔn. afta da opareshכn de, dεn kin put tכrakostomi (chεst tyub) fכ pul di wata we de kכmכt na di chεst.
Mɛsej we dɛn kin kɛr go na os
- Thoracostomy (chɛst tyub we dɛn put) na wan we we de sev layf we de pul di briz, wata, blɔd, ɔ pus we dɛn nɔ want we kin gɛda rawnd di lɔng dɛn.
- Pan ɔl we dis kin tan lɛk se i de mek pɔsin fred, dɛn kin du am wit smɔl pen. Dis nɔto big ɔpreshɔn.
- Dɛn kin du dis tritmɛnt na imejensi ɔr we dɛn dɔn plan fɔ du am bifo tɛm.
- Afta dɛn dɔn put di tiub, i rili impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala di instrɔkshɔn dɛn we di dɔktɔ ɛn di nɔs dɛn gi am di rayt we.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt