Lɛ wi lan bɔt aw fɔ put tiub na di chɛst (Toracostomy) insay wan simpul we.

Yu dɔn ɛva yɛri bɔt pɔsin we dɛn put in chɛst tyub insay afta aksidɛnt ɔ bikɔs i bin gɛt prɔblɛm fɔ blo? Sɔntɛm yu dɔn ivin si am na fim. Di mεdikal tεm fכ dis na Thoracostomy. Pan ɔl we i kin tan lɛk se i de mek pɔsin fred smɔl, i rili impɔtant fɔ sev layf. Okay, so lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.

Wetin na Thoracostomy?

Fɔ tɔk am simpul wan, thoracostomy na wan we we dɔktɔ kin kɔt smɔl pat na di sayd na yu chɛst, bitwin tu rib dɛn, ɛn put plastic tiub tru am. Wi kin kɔl dis tiub ‘chɛst tyub’.

Naw luk, tu tin mεmbran dεm de we de rawnd wi lכng dεm εn layn insay wi chεst wכl. di spεs bitwin dεn tu mεmbran dεm ya dεn kכl am di `pleural space`. Bikɔs ɔf sɔm mɛrɛsin ɔ aksidɛnt , briz, wata (lɛk wata), blɔd, ɔ pus kin gɛda na dis ples. We dis kin apin, di lכng dεm nכ kin ebul fכ blo כ deflat fayn fayn wan, we kin mek i at fכ brith εn i kin mek i fil bad bad wan.

If yu gɛt imejensi, mɔ we yu denja lɛk `Tension Pneumothorax`, usay yu kin blo insay bɔt yu nɔ kin ebul fɔ blo, dɔktɔ dɛn kin put nidul kwik kwik wan ɛn mek sɔm briz kɔmɔt bifo dɛn put dis chɛst tiub. dis dεn kכl am `Nidul Tכrakostomi`. Dis na wan we fɔ sev layf we dɛn kin du na di Imejɛnsi Dipatmɛnt (ETU).

Us kɔndishɔn dɛn kin du torakostomi fɔ?

Dɔktɔ dɛn kin du dis tritmɛnt fɔ difrɛn rizin dɛn. Lɛ wi luk di men rizin dɛn.

A nid fɔ rɛdi fɔ dis tritmɛnt bifo tɛm?

Bɔku tɛm, dɛn kin du dis if aksidɛnt ɔ ɛnitin apin, so tɛm nɔ de fɔ pripia bifo tɛm. If dɛn kayn tin ya apin, dɔktɔ dɛn we de na di Imejɛnsi Tritmɛnt Yunit (ETU) kin disayd kwik kwik wan ɛn dɛn kin du dis.

כltu, sכmtεm, bikoz fכ wan krεse kכndyushכn lεk fכ wata we de kɔntinyu fכ de na di chεst, dεn kin plan dis tכb εn put am. If na so i bi, yu dɔktɔ go gi yu sɔm tin dɛn fɔ du.

• Sɔm mɛrɛsin (especially blood thinners) kin nid fɔ stɔp sɔm dez bifo tritmɛnt.
• Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa bifo di tritmɛnt.
• Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek.
• If yu gɛt ɛni alɛji to ɛni mɛrɛsin, mek shɔ se yu tɔk bɔt am.
• Tɛl yu dɔktɔ bak if yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ .

Wetin kin rili apin we dɛn du torakostomi?

Dis prosidur kin tek lɛk 30 minit. Yu de wek di tɛm we dɛn de du dis prɔsidyu. Nɔ wɔri, di dɔktɔ dɛn go du ɔl wetin dɛn ebul fɔ mek shɔ se yu nɔ fil ɛni pen.

1. Fɔs, dɛn kin du ɛkstrem rayt na di chɛst fɔ mek shɔ se dɛn put di tiub kɔrɛkt wan.

2. Dɔn dɛn go aks yu fɔ ledɔm na di bed, es yu ed smɔl, ɛn put di an na di sayd usay dɛn go put di tiub ɔp yu ed.

3. Dɛn kin klin di skin na di chɛst usay dɛn go put di tiub fayn fayn wan ɛn was am wit antisɛptik sɔlvushɔn.

4. Neks, di tin we impɔtant pas ɔl. wan mεdisin we de mek yu sכmtεm (lεk `Lidocaine`) dεn injεkt insay di εria na di skin. Dis go ɛp yu nɔr fɔ fil bɔrku pen frɔm wetin yu de du afta dat.

5. Afta di skin dɔn swɛt, dɛn kin kɔt wan rili smɔl say bitwin tu rib dɛn.

6. tru da insishכn de, dεn kin tek tεm put wan plastic tכb (chεst tyub) insay di spεs we de rawnd di lכng dεm.

7. di כta εnd fכ di tכb de kכnekt to spεshal bכtul כ bag (drenaj kכntena) we de kכlekt wata כ briz we de kכmכt na di chεst.

8. Fɔ dɔn, dɛn kin put antiseptik ɔntmɛnt na di say we di tiub de go insay di skin ɛn kɔba am wit klin dresin.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?

Jɔs lɛk ɛni tritmɛnt, i gɛt bɛnifit ɛn i kin rili smɔl.

Men advantej dɛn

• dis na simpul prכsidכs we nכ nid fכ sכt big insishכn (minimally invasive).
• I impɔtant fɔ sev pipul dɛn layf we tin apin we nɔ izi fɔ du.
• Dis nɔ nid fɔ gɛt kɔmplit anɛstɛsia (fɔ lɔs kɔnshɛns).
• Dis kin gi big rilif to pɔsin we gɛt prɔblɛm fɔ blo bikɔs ɔf di wata we de kɔntinyu fɔ de na in chɛst.

Sɔm smɔl prɔblɛm dɛn we kin apin

Dɔktɔ dɛn de du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.

• Di tiub nɔ de na di say we i nɔ de ɔ i de kɔmɔt na di say we i de.
• Infekshɔn na wund.
• di ay akyumyuleshכn כnda di skin (`Subcutaneous emphysema`).
• Blɔd we de kɔmɔt.
• Na smɔl tɛm nɔmɔ, i kin pwɛl di nerv dɛn ɔ di tisu dɛn we de rawnd am.
• Fluid de bil arawnd di lכng dεm afta dεn dכn ri-inflet dεm (`Ri-εkspεns pulmonari εdima`).

Wetin kin apin afta dɛn dɔn trit am?

Afta dɛn dɔn put di tiub, dɛn go tek ɔda ɛkstrem rayt fɔ mek shɔ se i de na in ples. Dɔn di dɔktɔ ɛn di nɔs wokman dɛn go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ di tiub ɛn wund we yu de na di wɔd.

• Di wund fɔ klin ɛn dray .
• Di tiub fɔ mek i nɔ bɛn ɔ stɔp .
• Di tin we impɔtant pas ɔl: Ɔltɛm kip di drenaj kɔntena dɔŋ yu chɛst lɛvɛl . If nɔto dat, di tin dɛn we de insay di kɔntena kin lik bak insay yu chɛst.
• Tek pen kil ɛn ɔda mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.

Aw lɔŋ dɛn fɔ lɛf wan chɛst tyub insay?

Dis dipen pan di rizin we mek dɛn put di tiub. we ɔl di wata ɔ briz we de na di chɛst dɔn kɔmɔt, dɛn kin pul di tiub insay sɔm dez. Bɔt if di wata kɔntinyu fɔ bɔku bikɔs ɔf wan sik we nɔ de mɛn lɛk kansa, dɛn kin nid fɔ lɛf di tiub insay fɔ sɔm wiks. Aks yu dɔktɔ fɔ no mɔ.

Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?

If dɛn put yu chɛst tyub, tek tɛm bad bad wan pan dɛn sayn ya we de kam biɛn ya. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm.

If yu si sɔntin lɛk dis, tɛl di ɔspitul dɔktɔ ɔ nɔs wantɛm wantɛm. Nɔ ɛva fred fɔ aks bɔt am.