Sɔntɛnde we dɔktɔ tɛl yu ɔ sɔmbɔdi na yu famili se yu nid fɔ du ɔpreshɔn pan yu chɛst, dɛn kin tɔk bak bɔt di wɔd "thoracotomy." Na nɔmal tin fɔ fil smɔl fred ɛn fred we yu yɛri dis wɔd. "Us kayn ɔpreshɔn i bi?", "I denja?", "I go at bɔku?" na ɔl kwɛstyɔn dɛn we kin kam na wi maynd. So tide, lɛ wi tɔk bɔt wetin rili bi dis ɔpreshɔn we dɛn kin du fɔ pul di bɔdi, us rizin dɛn kin du am fɔ, ɛn ɔl wetin yu nid fɔ no bɔt am.
Wetin rili na Thoracotomy?
Fɔ tɔk am simpul wan, thoracotomy na kɔt we dɔktɔ we de du ɔpreshɔn kin kɔt bitwin tu rib dɛn fɔ si ɔ trit di ɔgan dɛn we de insay yu chɛst. Tink bɔt am lɛk we yu opin di kɔva fɔ buk fɔ si di pej dɛn, di dɔktɔ we de du ɔpreshɔn fɔ opin di chɛst fɔ rich di ɔgan dɛn we de insay di chɛst.
di men כgan dεm we yu kin si we dεn opin di chεst dis we na:
- Lɔng
- di at εn di big bכdi we de wit am (fכ egzampl, di aorta) .
- Ɛsophagus we de na di bɔdi
- Trakia we de na di bɔdi
Sɔntɛnde dɛn kin yuz dis we fɔ rich di fɔs pat pan di spayna. Dɛn kin kɔt dis say na di lɛft ɔ rayt say na di chɛst. Dis dipen pan di sayd we di ɔgan we dɛn de trit de. di say we dεn sכk de stat na di chεst εn go dכn to di bak כnda di armpit. Di sayz ɛn di say we dɛn kɔt am kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn de du. Sɔntɛnde, di dɔktɔ we de du di ɔpreshɔn kin gɛt fɔ brok ɔ pul wan rib. Dɛn kin kɔl dis bak ‘open surgery’ .
Wetin mek wi nid fɔ du wan sik we dɛn kɔl thoracotomy?
Bɔku rizin dɛn de we mek dɛn kin du toracotomy. Sɔntɛnde dɛn kin du am fɔ gɛt tisu sɛmpul (bayopsi) fɔ no if pɔsin gɛt sik. Ɔda tɛm dɛn, dɛn kin du am as tritmɛnt fɔ wan sik. Lɛ wi luk di men rizin dɛn we mek dɛn du dis ɔpreshɔn.
| Rizin fɔ mek dɛn du di ɔpreshɔn | Wan simpul ɛksplen |
|---|---|
| Wan bayɔpsi we dɛn kin du | if pipul dεn saspek fכ wan lכng kכndyushכn, dεn kin gεt wan tisu sεmpl fכ no am klia wan. |
| Kansa na di Lɔng | Fɔ pul di kansa tɔŋ dɛm na di lɔng ɔ pat pan di lɔng. |
| Di Kɔndishɔn dɛn we de na di at ɛn di blɔd | Fɔ trit sɔm prɔblɛm dɛn na di at ɔ big blɔd vesel dɛn we gɛt kɔnekshɔn to di at. |
| Lɔng we dɔn fɔdɔm | Fɔ trit kes dɛm we di lɔng dɛn dɔn fɔdɔm, we dɛn kɔl nyumotɔraks . |
| Fluid akyumyuleshכn arawnd di lכng/at | Fɔ trit pleura effusion ɔ cardiac tamponade , mɔ we infɛkshɔn mek am. |
| Sik dɛn we de na di ɛsophageal | Fɔ trit kansa ɔ ɔda sik dɛn na di εsophagus. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Dis na big ɔpreshɔn ɛn yu go nid fɔ de ɔnda jenɛral anestezi. So yu nid fɔ gɛt wɛlbɔdi fɔ lɛ yu ebul fɔ bia wit dis kayn anestezi. Di mɛdikal tim go advays yu bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo di ɔpreshɔn.
I rili impɔtant: I impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek, ivin di wan dɛn we yu kin bay na kɔwnta. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu blɔd tan, kin mek yu stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Tek tɛm fala dɛn instrɔkshɔn ya.
If nɔto imejensi ɔpreshɔn, dɔktɔ dɛn go mɔs tɛl yu fɔ lɛf fɔ smok . I kin ɛp bɔku wit di hiling prɔses.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, di mɛdikal tim go tɔn yu to wan say ɛn put yu na fayn pozishɔn wit wan an ɔp yu ed.
Di dɔktɔ we de anestez yu we go anestez yu we dɛn de du dis ɔpreshɔn na spɛshal pɔsin we de du ɔpreshɔn pan yu chɛst. I go kɔntrol aw yu de blo so dat na wan lɔng nɔmɔ de wok (single lung ventilation) . Dis min se dɛn kin ɔf di lɔng we de na di sayd we dɛn de du di ɔpreshɔn fɔ sɔm tɛm ɛn dɛn kin alaw yu fɔ blo nɔmɔ frɔm di ɔda lɔng. Dis kin mek i izi fɔ di dɔktɔ we de du di ɔpreshɔn.
Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔt di tu rib dɛn, i kin yuz spɛshal tin dɛn (retractors) fɔ mek di say we dɛn kɔt am big, ɛn i kin chɛk di ɔgan dɛn we de insay ɔ du di tritmɛnt we i nid.
Afta di ɔpreshɔn dɔn ɛn dɛn dɔn lɔk di say we dɛn kɔt, dɛn kin put wan chɛst tiub fɔ pul ɛni wata ɛn briz we dɔn gɛda insay. Dis tan lɛk tyub.
Wetin kin apin afta di ɔpreshɔn ɛn aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan wik so. Di chɛst tiub go de na in ples fɔ sɔm dez. Insay dis tɛm, di mɛdikal tim go gi yu mɛrɛsin fɔ kɔntrol yu pen.
Yu kɔntribyushɔn impɔtant bak fɔ di hiling prɔses.
- Di mɛdikal tim go ɛnkɔrej yu fɔ kɔf ɛn blo dip dip wan .
- Dɛn kin se yu fɔ yuz wan tin we dɛn kɔl ‘incentive spirometer’ fɔ ɛksesaiz fɔ blo.
- I aks fɔ waka smɔl wit ɛp.
Pan ɔl we dɛn tin ya kin tranga smɔl fɔs, dɛn impɔtant fɔ mek yu nɔ gɛt infɛkshɔn na yu lɔng (lɛk nyumonia).
Afta yu dɔn go na os frɔm ɔspitul, i kin tek tu mɔnt fɔ mek yu wɛl ɔl ɛn bigin fɔ du tin dɛn we yu kin du ɔltɛm. Aks yu dɔktɔ ustɛm yu kin bigin fɔ du tin dɛn bak lɛk fɔ es wet ɛn fɔ ple spɔt.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, Thoracotomy ɔpreshɔn kin gɛt sɔm prɔblɛm dɛn. Nɔ wɔri, di mɛdikal tim go du dɛn bɛst fɔ stɔp dɛn prɔblɛm ya.
- Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn: prɔblɛm wit anestezi, infɛkshɔn, blɔd, ɛn pen.
- Di prɔblɛm dɛn we kin apin leta:
- Nyumonia: Na infekshɔn na di lɔng.
- Atelectasis: Na di pat dεm na di lכng de kכlaps כ kolכp.
- Pɔst-thoracotomy pain syndrome: Pen we kin de fɔ sɔm mɔnt afta dɛn dɔn du di ɔpreshɔn.
Ustɛm yu want fɔ si di dɔktɔ bak?
Afta yu kɔmɔt na di ɔspitul, dɛn go tɛl yu bɔt di de dɛn we yu nid fɔ go bak na di klinik. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- If yu gɛt fiva.
- If di kɔt bigin fɔ blɔd bak ɔ if blɔd kɔmɔt we yu kɔf.
- If yu gɛt prɔblɛm fɔ blo.
- If di say we dɛn kɔt am de kɔmɔt na di pus, i swel, i rɛd, ɔ i nɔ gɛt kɔlɔ.
- If yu nɔ ebul fɔ kɔntrol di pen ivin afta yu dɔn tek mɛrɛsin.
If yu gɛt imejensi, lɛk fɔ mek yu nɔ ebul fɔ blo bad bad wan ɔ fɔ mek yu blɔd bɔku, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
Mɛsej we dɛn kin kɛr go na os
- Thoracotomy na big ɔpreshɔn we dɛn kin du fɔ trit di ɔgan dɛn na di chɛst. Pan ɔl we na nɔmal tin fɔ fil se yu de fred bɔt am, i kin bi sɔntin we nid fɔ du ɛn we go sev yu layf. (Di sɛntɛns we bin de bifo bin gɛt wan Tamil frayz bay mistek. Fɔ kɔrɛkt am to klin Sinhala as dɛn tɛl am.) Bɔt i kin bi wan we we go sev layf ɛn we nid fɔ du am.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di ɔpreshɔn, mɔ we i kam pan fɔ lɛf fɔ smok ɛn fɔ tɛl am bɔt di mɛrɛsin dɛn we i de tek.
- Pɔst-ɔpareshɔn pen mɛnejɛmɛnt ɛn dip brith ɛksesaiz rili impɔtant fɔ mek yu wɛl kwik ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk nyumonia.
- If ɛni prɔblɛm ɔ denja simptom kam insay di tɛm we yu de wɛl, tɛl yu dɔktɔ wantɛm wantɛm.
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