Dɔktɔ dɔn ɛva tɛl yu bɔt ɔpreshɔn fɔ yu bɔdi? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dat. Bɔt nɔ wɔri. Tide wi go tɔk bɔt wan pan dɛn kayn ɔpreshɔn ya, we na "thymectomy." Lɛ wi jɔs ɔndastand wetin i bi, wetin mek dɛn du am, aw dɛn kin du am, ɛn wetin kin apin afta di ɔpreshɔn.
Fɔs, wetin na Taymɛktɔmi?
Fɔ tɔk am simpul wan, taymɛktɔmi na di ɔpreshɔn fɔ pul yu taymus gland. di taymus gland de na di כp chεst, jכs bifo di at.
Dis na wan rili spɛshal gland. I kin ɛp bɔku fɔ mek wi imyun sistɛm we wi yɔŋ. Bɔt as wi de ol, dis gland de smɔl. Sɔntɛnde, bikɔs ɔf sɔm prɔblɛm dɛn we de wit dis gland, dɔktɔ dɛn kin gɛt fɔ pul am. Dis nɔto ɔpreshɔn we dɛn kin du pasmak.
Us mɛrɛsin dɛn kin mek dɛn du dis ɔpreshɔn?
Bɔku men rizin dɛn de fɔ pul di taymus gland. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sik stetmɛnt | Wan simpul ɛksplen |
|---|---|
| Myasthenia Gravis we gɛt di sik | Dis na sik we de ambɔg di nerv ɛn mɔsul dɛm. Di men sayn na we di mɔsul dɛn wik na di bɔdi. Dɛn kin kɔntrol dɛn sik ya bay we dɛn pul di taymus gland. |
| Taymoma we gɛt di sik | dis na tכmכro we de divεlכp na di taymus gland. I kin bi kansa (thymic carcinoma) ɔ i nɔ kin gɛt kansa (benign). Dɛn kin du dis ɔpreshɔn fɔ pul dɛn kayn tumbu dɛn de. |
| Ɔda kayn nɛt dɛn | כda kayn tכmכro dεm we nכ kin apin lεk nyuroεndokrin tכmכro dεm kin divεlכp bak na di taymus gland. Dis ɔpreshɔn na sɔlv fɔ dɛnsɛf. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
If yu disayd fɔ pul di taym, yu dɔktɔ go tek tɛm chɛk yu ɛn tɔk bɔt yu mɛrɛsin istri. Apat frɔm dat, dɛn kin aks yu fɔ du sɔm ɔda tɛst dɛn.
- Pulmonary function test: Si aw yu lכng dεm de wok fayn fayn wan.
- EKG (Electrocardiogram): Lan bɔt aw di at de wok.
- Kadyak strɛs tɛst: Si aw yu at de ansa we yu de du ɛksɛsayz.
- CT skan (Computed Tomography scan) ɔ MRI (Magnetic Resonance Imaging): Fɔ si di taymus gland ɛn di ɔgan dɛn we de rawnd am klia wan.
- PET skan (Positron Emission Tomography scan): Fɔ chɛk fɔ si if di kansa sɛl dɛn de.
Di tin we impɔtant pas ɔl: If yu de tek ɛni mɛrɛsin (especially fɔ Myasthenia Gravis), mek shɔ se yu aks yu dɔktɔ if yu nid fɔ stɔp am bifo yu du di ɔpreshɔn. Nɔ stɔp ɛni mɛrɛsin we yu nɔ gɛt in advays.
Bɔku tɛm dɛn go advays yu fɔ stɔp fɔ it ɛn drink frɔm midulnɛt di nɛt bifo dɛn du di ɔpreshɔn.
Lɛ wi si aw dɛn de du di ɔpreshɔn.
Tu men we dɛn de fɔ du taymɛktɔmi. Wan na tru wan opin prosidur, ɛn di ɔda wan na tru sɔm smɔl smɔl say dɛn ɛn wan kamɛra. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
| Di we aw dɛn kin du ɔpreshɔn | Aw i kin apin |
|---|---|
| Opin Ɔpreshɔn (Transternal Aprɔch) . | insay dis, dεn de opin di chεst bay we dεn de kכt di midul bon (stεnכm) lεng wan, we lεk aw dεn de כpεrayshכn na di at we opin. Dɔn dɛn kin pul di taymus gland ɛn di tisu we de rawnd am. Fɔ dɔn, dɛn kin put wan ɔ tu chɛst tyub dɛn fɔ pul wata kɔmɔt na di chɛst, dɛn kin fiks di bon wit waya, ɛn dɛn kin siŋ di skin fɔ lɔk. |
| Minimal Invasive Surgery (Minimally Invasive - Rɔbɔtik ɔ VATS) | Dis prosidur nɔ min fɔ mek big say na di chɛst. Bifo dat, dɛn kin kɔt tri smɔl smɔl tin dɛn na di sayd we di chɛst de, wan wit kamɛra ɛn di ɔda wan wit spɛshal inschrumɛnt dɛn. We dɛn yuz dɛn tin ya (sɔntɛnde dɛn kin yuz rɔbɔt an fɔ ɛp am), dɛn kin pul di gland, put am na smɔl bag, ɛn pul am kɔmɔt tru wan pan di say dɛn we dɛn kɔt am. Dis prosidur nɔ kin mek i fil pen ɛn i nɔ kin gɛt bɛtɛ tɛm fɔ wɛl. |
Bɔku tɛm, dis ɔpreshɔn kin tek lɛk tu to 4 awa so.
Di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we dɛn du ɔpreshɔn
Di bɛnifit dɛn we dis ɔpreshɔn de gi
Dis ɔpreshɔn kin gi big rilif to pɔsin we gɛt Myasthenia Gravis.
- Di nɔmba fɔ pipul dɛn we de na ɔspitul bikɔs ɔf di sik de go dɔŋ.
- I pɔsibul fɔ ridyus di mɛrɛsin dɛn we yu de tek fɔ di sik (e.g. Prednisone).
- Di wik we di bɔdi wik kin go dɔŋ.
- Sɔm pipul dɛn kin gɛt kɔmplit rilif frɔm di sayn dɛm ɛn dɛn kin ebul fɔ du tin wae nɔr gɛt mɛrɛsin.
If dɛn nɔ du di ɔpreshɔn smɔl, yu nɔ go de na ɔspitul, yu nɔ go gɛt bɔku blɔd, yu nɔ go fil pen, ɛn yu kin go bak to yu nɔmal layf kwik.
Na lɛk 70% pan di pipul dɛm we de du taymɛktɔmi fɔ myasthenia gravis kin gɛt ridɔkshɔn pan di simptom dɛm ɛn dɛn nid fɔ tek mɛrɛsin. Bitwin 30% ɛn 40% kin gɛt kɔmplit rizɔlt fɔ di simptom dɛm.
Di prɔblɛm dɛn we kin apin (Kɔmplikeshɔn dɛn) .
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin to ɔlman.
- Damej pan di at, wan nerv, ɔ wan blɔd vesel we de nia am.
- Blɔd we de kɔmɔt.
- Nyumotɔraks we de na di bɔdi.
- Infεkshכn dεm lεk nyumonia.
- Myasthenic crisis na wan imejensi we nɔ kin apin ɔltɛm we kin kam bikɔs ɔf di strɛs we dɛn kin gɛt we dɛn du ɔpreshɔn.
Aw lɔng i kin tek fɔ wɛl ɛn wetin fɔ wach fɔ?
Di tɛm fɔ wɛl kin dipen pan if yu bin gɛt ɔpreshɔn fɔ opin ɔ yu bin gɛt ɔpreshɔn we nɔ bin de ambɔg yu. Bɔt yu go nid fɔ de na ɔspitul fɔ at le wan de. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen afta di ɔpreshɔn, we kin dɔn kpatakpata insay lɛk tu wiks so.
Di tɛm we yu go tek fɔ go bak na wokples, i go dipen pan di kayn wok we yu de du. If yu gɛt wok na di dɛsk, yu kin go bak na wokples kwik kwik wan. Bɔt if yu gɛt wok we yu nid fɔ es ebi ebi tin ɔ fɔ tinap fɔ lɔng tɛm, yu go nid fɔ tek smɔl tɛm fɔ mek yu wɛl.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
We yu go na os afta dɛn dɔn du di ɔpreshɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn sayn ya:
- I nɔ kin izi fɔ yu fɔ blo.
- Pen na wan say na di chɛst.
- Di rεt we yu de blo de go ɔp.
- Di at rit we de go ɔp.
- Fiva.
- Kɔf.
- Blɔd ɔ wata we de lik frɔm di say we dɛn kɔt di ɔpreshɔn.
- Myasthenia Gravis simptom dεm kin kam bak.
Fɔ dɔn, i nɔmal fɔ mek yu fred we dɛn de du ɔpreshɔn pan yu. Bɔt mɛmba se dɔktɔ dɛn we de du ɔpreshɔn kin du dis ɔltɛm. Dɛn de tray ɔltɛm fɔ gi yu di bɛst tin we pɔsin kin du. So nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Taymectomy na di ɔpreshɔn we dɛn kin du fɔ pul di taymus gland. Dɛn kin du am mɔ as tritmɛnt fɔ sik dɛn lɛk Myasthenia Gravis ɛn Thymoma.
- Tu men we dɛn de fɔ du di ɔpreshɔn (open ɛn minimal invasive). Tɔk to yu dɔktɔ bɔt us we go fayn fɔ yu.
- Di bɛnifit fɔ dis ɔpreshɔn fɔ di wan dɛn we gɛt Myasthenia Gravis rili bɔku, bɔt i kin tek sɔm tɛm fɔ si di rizɔlt.
- Fɔ wɛl afta dɛn dɔn ɔpreshɔn na tin we pɔsin kin ebul fɔ kɔntrol, ɛn fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi i rili impɔtant.
- No bɔt di wɔnin sayn dɛn we kin apin afta yu dɔn ɔpreshɔn ɛn tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt