Sɔntɛnde, we yu dɔktɔ tɔk se yu ɔ pɔsin na yu fambul nid fɔ gɛt ɔpreshɔn na yu chɛst, dɛn kin yuz di wɔd “Toracotomy.” Fɔ fil se yu de wɔri ɔr de fil pasmak wae yu de yɛri dis na nɔrmal tin. Kɔmɔn kwɛstyɔn dɛn lɛk “Uskayn ɔpreshɔn dis?”, “I denja?”, ɔ “I go at?” na natura l tin dɛn. Na Nirogi Lanka , wi want fɔ ɛp yu fɔ ɔndastand gud gud wan wetin na toracotomy, wetin mek dɛn kin du am, ɛn ɔl wetin yu nid fɔ no bɔt di prosidur.
Wetin rili na Thoracotomy?
Fɔ tɔk am simpul wan, thoracotomy na ɔpreshɔn we dɔktɔ we de du ɔpreshɔn kin kɔt bitwin yu rib dɛn fɔ mek yu ebul fɔ go na di ɔgan dɛn we de insay yu chɛst fɔ mek dɛn go chɛk yu ɔ fɔ mek dɛn trit yu. Tink bɔt am lɛk we yu opin di kɔva fɔ buk fɔ rid di pej dɛn; fכ rich di כgan dεm we de insay di chεst kεviti, di sכjaman fכ mek wan opin.
di praymar כgan dεm we dεn kin akses we dεn de du dis prosidכs inklud:
- Lɔng
- At ɛn di men blɔd vesel dɛn we gɛt fɔ du wit am (lɛk di aorta) .
- Ɛsophagus we de na di bɔdi
- Trakya (windpaip) .
sכmtεm, dεn kin yus dis mεtכd bak fכ akses di fכnt pat pan di spayna. Dɛn kin kɔt di say we dɛn kɔt na di lɛft ɔ rayt say na di chɛst, i kin dipen pan us say nid fɔ gɛt tritmɛnt. di kכt kin bigin na di chεst εn i kin go na di εria כnda di an εn tכwεd di bak. Di sayz ɛn usay di say we dɛn kɔt di pɔsin kin difrɛn bay di patikyula kayn ɔpreshɔn we dɛn du. Sɔntɛnde, dɔktɔ we de du ɔpreshɔn kin nid fɔ kɔt ɔ pul wan rib fɔ mek i go ebul fɔ yuz am fayn fayn wan. Dɛn kin kɔl dis we aw dɛn kin du am bak “open surgery.”
Wetin mek i nid fɔ du Thoracotomy?
Bɔku rizin dɛn de we mek dɛn kin se dɛn fɔ pul di tɔrakot. Sɔntɛnde, dɛn kin du am fɔ gɛt tisu sɛmpul (bayopsi) fɔ no di sik kɔrɛkt wan. Ɔda tɛm dɛn, dɛn kin du am as di men tritmɛnt fɔ wan sik. Lɛ wi tɔk bɔt di men rizin dɛn we mek dɛn kin du dis ɔpreshɔn.
| Rizin fɔ mek dɛn du di ɔpreshɔn | Simpul Ɛksplen |
|---|---|
| Bayopsi we dɛn kin du | Fכ gεt tisu sεmpl fכ akכrd diagnosis we dεn sכspεkt wan lכng kכndishכn. |
| Kansa na di Lɔng | Fɔ pul di tumbu dɛn we gɛt kansa ɔ wan pat pan di lɔng. |
| Di Kɔndishɔn dɛn we de na di at ɛn di blɔd | Fɔ trit tin dɛn we gɛt fɔ du wit di at ɔ in men blɔd vesel dɛn. |
| Lɔng we dɔn fɔdɔm | Fɔ trit wan sik we dɛn kɔl Nyumothorax , usay di lɔng dɔn fɔdɔm. |
| Fluid Akyumyuleshɔn | fכ drεn wata rawnd di lכng (Pleural Effusion) כ at (Cardiac Tamponade) , spεshal wan we infεkshכn kכz am. |
| Sik dɛn we de na di ɛsophageal | Fɔ trit kansa ɔ nɔ kansa kɔndishɔn dɛn we de afɛkt di ɛsophagus. |
Wetin kin apin bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big tin fɔ du, yu go nid fɔ gɛt jenɛral anestezi. Yu mɛdikal tim go mek shɔ se yu gɛt wɛlbɔdi fɔ dis ɛn dɛn go gi yu patikyula instrɔkshɔn bɔt ustɛm yu fɔ stɔp fɔ it ɛn drink bifo yu ɔpreshɔn.
Impɔtant Mɛmba: Yu fɔ tɛl yu dɔktɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek—inklud di wan dɛn we yu bay na kɔwnta. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd tan, fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn. Duya fala dɛn instrɔkshɔn ya kɔrɛkt wan.
If yu ɔpreshɔn na fɔ yu, yu mɛdikal tim go advays yu tranga wan fɔ lɛf fɔ smok , bikɔs i kin rili ɛp yu fɔ wɛl.
Wetin kin apin we dɛn de du yu ɔpreshɔn?
We dɛn de du di prɔsidyu, yu go de fayn fayn wan na yu sayd wit wan an we yu es ɔp ɔp yu ed.
Yu anestezilɔg, we na spɛshal pɔsin we de du ɔpreshɔn pan yu tɔraks, go manej yu brith bay we i de yuz wan lɔŋ ventilashɔn . Dis kin mek di lɔng we dɛn de ɔpreshɔn fɔ rɛst fɔ sɔm tɛm we di ɔda lɔng de mek yu ebul fɔ blo. Dis kin gi di dɔktɔ we de du di ɔpreshɔn di say we i nid fɔ du di ɔpreshɔn sef wan.
Dɔn di ɔspitul go mek wan say bitwin yu rib dɛn ɛn yuz spɛshal inschrumɛnt dɛn (rɛtrakta) fɔ akses ɛn trit di say we di sik afɛkt.
We di ɔpreshɔn dɔn, dɛn go put wan chɛst tiub fɔ pul wata ɛn briz kɔmɔt na yu chɛst we yu bigin fɔ wɛl.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn ɛn aw lɔng pɔsin kin wɛl?
Yu kin op fɔ de na ɔspitul fɔ lɛk wan wik so, ɛn di chɛst tiub go de fɔ sɔm dez. Yu mɛdikal tim go de manej yu pen wit di rayt mɛrɛsin.
Yu aktif patisipeshon impɔtant fɔ mek yu wɛl fayn fayn wan:
- Yu tim go ɛnkɔrej yu fɔ kɔf ɛn tek dip briz ɔltɛm.
- Dɛn go aks yu fɔ yuz wan insentif spiromita fɔ du ɛksɛsayz fɔ blo.
- Dɛn go ɛnkɔrej yu fɔ waka wit ɛp kwik kwik wan.
Pan ɔl we dɛn tin ya kin fil se i nɔ izi fɔ du fɔs, dɛn impɔtant fɔ mek dɛn nɔ gɛt prɔblɛm dɛn lɛk nyumonia. We yu go bak na os, i kin tek lɛk tu mɔnt fɔ mek yu wɛl ɔl ɛn bigin fɔ du tin dɛn we yu kin du ɛvride bak. Duya go to yu dɔktɔ bɔt ustɛm yu go ebul fɔ go bak sef wan fɔ lif ebi ebi ɔ spɔt.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni big tin we dɛn kin du, we dɛn kin pul di tɔrakɔtɔmi kin gɛt sɔm prɔblɛm dɛn. Na Nirogi Lanka, wi mɛdikal tim de tek ɔl di prɛkoshɔn fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn we kin apin:
- Jɛnɛral Ɔspitul Risk: Tin dɛn we gɛt fɔ du wit anestezi, infɛkshɔn, blɔd, ɛn nɔ fil fayn.
- Kɔmplikɛshɔn dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn:
- Nyumonia: Na infekshɔn na di lɔng.
- Atelectasis: Na pat pan di lכng sεgmεnt dεm de kolכp כ stik.
- Pɔst-thoracotomy pain syndrome: Pen we kin de fɔ lɔng tɛm we kin de fɔ sɔm mɔnt afta di ɔpreshɔn.
Ustɛm yu fɔ go to yu dɔktɔ bak?
Afta dɛn dɔn dischaj yu na di ɔspitul, dɛn go gi yu patikyula de fɔ yu fɔlɔp klinik visit. Bɔt duya kɔntak yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya:
- Yu kin gɛt fiva.
- Yu notis se nyu blɔd de kɔmɔt na di say we dɛn kɔt am ɔ yu bigin fɔ kɔf blɔd.
- Yu kin gɛt prɔblɛm fɔ blo.
- Di say we dɛn kɔt am de sho sayn dɛn we de sho se i gɛt pus, i de swel, i de rɛd, ɔ i de chenj in kɔlɔ.
- Yu nɔ kin ebul fɔ kɔntrol yu pen ivin afta yu dɔn tek mɛrɛsin we dɛn dɔn tɛl yu fɔ tek.
If ɛnitin apin we nɔ izi fɔ yu fɔ blo ɔ we yu blɔd bɔku, we yu nɔ ebul fɔ kɔntrol, go na di Imejɛnsi Dipatmɛnt (ED) we de nia yu ɔ kɔl 911 .
Tek-Home Mesej frɔm Nirogi Lanka
- Thoracotomy na wan big tin we dɛn kin yuz fɔ trit di tin dɛn we de insay di chɛst. Pan ɔl we na nɔmal tin fɔ mek yu fil wɔri, duya mɛmba se bɔku tɛm dis na tin we go sev yu layf ɛn we impɔtant fɔ mɛn yu.
- Duya fala yu dɔktɔ in instrɔkshɔn dɛn strikt wan bifo yu du di ɔpreshɔn, mɔ we i kam pan fɔ lɛf fɔ smok ɛn fɔ mek pipul dɛn no bɔt ɔl di mɛrɛsin dɛn we yu de tek naw.
- Afta yu dɔn ɔpreshɔn, fɔ mɛn di pen fayn fayn wan ɛn fɔ du yu ɛksesaiz dɛn we yu de du dip dip briz rili impɔtant fɔ mek yu wɛl fayn fayn wan ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk nyumonia.
- Insay di tɛm we yu de wɛl, if ɛni wɔri ɔ wɔnin sayn de, tɛl yu mɛdikal tim wantɛm wantɛm.
thoracotomy, thoracotomy rikavari, chɛst ɔpreshɔn, lɔng ɔpreshɔn, at ɔpreshɔn, chɛst ɔpreshɔn gayd, ɔspitul prosidur, chɛst tyub, thoracotomy kia, lɔng kansa ɔpreshɔn, sternotomy, thoracostomy
