We yu ɔ pɔsin we yu sabi se dɛn nid fɔ du ɔpreshɔn pan dɛn chɛst, yu kin fred smɔl, nɔto so? We wi yɛri di wɔd "chɛst ɔpreshɔn," wi kin tink bɔt wan big say we dɛn kɔt, fɔ sɔm dez na ɔspitul, ɛn bɔku pen. Dat fred de rili rayt. Bɔt naw, mɛdikal sayɛns dɔn go bifo bɔku. Tide, wi go tɔk bɔt wan we fɔ ɔpreshɔn di chɛst we nɔ nid fɔ kɔt dɛn kayn big big say dɛn de, bɔt dɛn fɔ kɔt am smɔl smɔl. Dɛn kɔl dis VATS. Di bɛnifit fɔ di sik pipul dɛn, di tɛm we dɛn kin wɛl, ɛn bɔku ɔda tin dɛn difrɛn frɔm di tradishɔnal ɔpreshɔn. Lɛ wi tɔk bɔt dis ditayli .
Fɔ tɔk am simpul wan, wetin na VATS?
Di ful nem fɔ VATS na Vidio-assisted thoracic surgery . Insay Sinhala, i min "vidio-assisted thoracic surgery." Pan ɔl we di nem kin tan lɛk se i kɔmplikt, wetin kin apin pan dis we aw dɛn kin du dis wok rili simpul.
Tink bɔt am, nɔmal wan we yu de du ɔpreshɔn pan yu chɛst, yu fɔ mek big say na di chɛst eria, tru di rib dɛn fɔ rich ɔgan dɛn lɛk di lɔng ɔ at. Dɛn kɔl dis wan `(Toracotomy)`. Bɔt insay di VATS we, yu nɔ de mek da kayn big say de. Bifo dat, yu jɔs mek sɔm smɔl ol dɛn, we na lɛk wan ɔ af inch, bitwin di rib dɛn.
afta dat, dεn kin pas wan tin tכb we gεt kεmεra we dεn tay pan am (tכrakskop) tru wan pan dεn ol dεm ya insay di chεst kεviti. Dis kamɛra de mek ɔltin we de insay di chɛst big, ivin di ɔgan dɛn ɛn di tisu dɛn, ɛn i de sho am klia wan pan vidio monita. Naw di dɔktɔ we de du di ɔpreshɔn kin wach dis fim ɛn put fayn fayn tin dɛn we dɛn kin yuz fɔ du di ɔpreshɔn tru ɔda smɔl ol dɛn fɔ mek di ɔpreshɔn rili kɔrɛkt. I tan lɛk vidio gem, bɔt na wok we rili kɔmpleks ɛn we gɛt rɛspɔnsibiliti.
Dis na wan kayn ɔpreshɔn we dɛn nɔ kin du bɔku tin, we min se dɛn nɔ kin kɔt dɛn smɔl. Dis min se di pɔsin nɔ kin gɛt bɛtɛ pen, blɔd, ɛn tɛm fɔ wɛl.
Us kayn sik dɛn kin trit wit VATS ɔpreshɔn?
Dɛn kin yuz VATS ɔpreshɔn fɔ no ɛn trit bɔku sik dɛn na di chɛst. I pɔpul mɔ fɔ kansa na in lɔng . Dɛn kin yuz am bak fɔ mɛtastas kansa we dɔn spre to di lɔng dɛn frɔm ɔda say dɛn.
Apat frɔm dis men rizin, VATS ɔpreshɔn kin fayn fɔ bɔku ɔda sik dɛn. Lɛ wi si wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Kansa na di εsophagus ɔ di taymus | fכ pul kεnsar we de divεlכp na di it paip (εsophagus) כ di taymus gland na di כp chεst. |
| Pleural efyushɔn we de kɔmɔt na di bɔdi | wan wata we de kכmכt lεk wata insay di pleura, di mεmbran we de rawnd di lכng dεm. Dɛn kin du dis ɔpreshɔn fɔ pul dis wata ɛn fɛn di rizin. |
| Infεkshכn dεm na di lכng εn sik dεm | Fɔ trit kɔndishɔn lɛk COPD ɛn siriɔs lɔng infɛkshɔn. |
| Pɛrikardial efyushɔn (we wata kin gɛda rawnd di at) . | Fluid we de gɛda na di sak we de rawnd di at. Fɔ pul dɛn tin ya. |
| Fɔ swet pasmak (Hyperhidrosis) . | Fɔ kɔntrol di nerv dɛm we de mek pɔsin swet pasmak na di an ɛn ɔda pat dɛm na di bɔdi. |
| Myasthenia gravis we gɛt di sik | Fɔ pul di taymus gland we de insay wan sik we de mek di mɔsul dɛn wik. |
Di kayn ɔpreshɔn dɛn we dɛn kin du wit VATS
Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz VATS tɛknɔlɔji fɔ du difrɛn ɔpreshɔn dɛn, lɛk:
- VATS lכng rεsεkshכn: Dis involv fכ pul wan pat pan di lכng we sik.
- Wedge resection: Dɛn kin pul wan smɔl pat pan di lɔng tisu we tan lɛk kɔn.
- Lobectomy: Na we dɛn kin pul wan pan di lob dɛn na di lɔng kɔmplit wan.
- Nyumɔnektomi: Dɛn kin pul wan lɔng kɔmplit wan.
- Esophagectomy: Dɛn kin pul di it paip bikɔs ɔf sɔntin lɛk kansa.
- Taymektomi: Dɛn kin pul di taymus gland we gɛt sik.
- `Dɛkɔtikeshɔn`: .fכ pul di infεkt mεmbran dεm εn ska dεm we dεn fכm rawnd di lכng dεm εn alaw di lכng dεm fכ εkspכnd fayn fayn wan bak.
- di lכng volyum ridyusכn כpεrayshכn (LVRS): Insay kכndyushכn lεk COPD, dεn kin pul di pat dεm we dεn dכn pwεl na di lכng, we kin mek di pat dεm we gεt hεlth wok fayn fayn wan.
Aw a fɔ rɛdi fɔ dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan nid fɔ tek tɛm pripia. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Bɔku tɛm dɛn go aks yu fɔ du tin dɛn lɛk:
- Fast: Dɛn go advays yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
- Stɔp fɔ tek mɛrɛsin: Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu blɔd tan, vaytamɛn dɛn, ɛn Ayurveda mɛrɛsin dɛn, bifo yu du di ɔpreshɔn. Tɔk bɔt dis wit yu dɔktɔ.
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, i impɔtant fɔ lɛ yu lɛf fɔ smok ɔl, at le sɔm wiks bifo dɛn du di ɔpreshɔn. Smok kin mek yu gɛt prɔblɛm dɛn we yu de anestez ɛn i kin mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn.
Yu go nid bak fɔ du bɔku tɛst dɛn fɔ chɛk yu bɔdi fayn bifo dɛn du di ɔpreshɔn.
- Blɔd tɛst: Tɛst lɛk fɔ kɔnt ɔl di blɔd (CBC).
- At tεst: Na EKG כ wan `Eksεsayz strεs tεst`.
- Imej tɛst lεk chεst εks-ray כ CT skan / PET skan.
- Pulmonary function testing: Si aw yu lכng dεm de wok fayn fayn wan.
- Ɔpa ɛndoskopi ɔ barium swɛla X-ray.
Wetin kin apin we dɛn de du ɔpreshɔn?
Nɔ wɔri bɔt dis. Afta dɛn kɛr yu go na di ɔpreshɔn rum, dɛn go gi yu jenɛral anestezi fɔs. Dis min se yu go slip ɔl ɛn yu nɔ go fil natin. Yu nɔ go fil ɛni pen ɔ nɔ fil fayn te di ɔpreshɔn dɔn.
Dɔn di ɔspitul tim kin fala dɛn tin ya:
1. Dɛn go tɔn yu ɛn put yu na di sayd we de agens di sayd usay dɛn go du di ɔpreshɔn.
2. dεn kin mek sכm sכm sכm sכm pat dεm (dεn kin kכl 2-4) na di chεst, we de lεk wan inch apat, bitwin di rib dεm. Sɔntɛnde, ``yunipɔt VATS - U-VATS'' we de bak, we dɛn kin du tru wan ol.
3. Dɛn kin put kamɛra (thoracoscope) tru wan pan di ol dɛn ɛn dɛn kin si di insay pat pan di chɛst pan vidio skrin.
4. Dɛn kin put spɛshal ɔspitul inschrumɛnt dɛn tru di ɔda ol dɛn ɛn we dɛn de luk di pikchɔ dɛn we dɛn si na di fim, dɛn kin tek tɛm pul di sik ɔ di ɔgan pat we dɛn fɔ pul.
5. Afta di ɔpreshɔn, dɛn kin put wan chɛst tyub fɔ sɔm tɛm fɔ pul ɛni ɛksɛs ɛya ɔ wata we kin gɛda na di chɛst kaviti.
6. fכ finish, dεn kin kכloz di sכm sכm say dεm wit stich כ step dεm we dεn kin sכlv.
na sכm advans כspitul dεm, dεn kin ivin du dis כpεrayshכn bay we dεn de yuz `rכbכtik tεknכlכji`. Na de, di dɔktɔ kin du di ɔpreshɔn we i de luk na kɔmpyuta skrin ɛn kɔntrol wan rɔbɔt an. Wan VATS ɔpreshɔn fɔ lɔng kansa kin tek lɛk tu to tri awa so.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
di mכst imכtant, VATS na bכku mכr advantej pas tradishכnal opin chεst כpεrayshכn (`Toracotomy`). Bɔt jɔs lɛk ɛni ɔpreshɔn, i nɔ kin gɛt prɔblɛm dɛn.
Lɛ wi luk dɛn tu tin ya wan bay wan.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Short ɔspitul tɛm: Yu kin go na os insay 1-2 dez. | At bit irɛgyulariti (Aritmia). |
| Pen ɛn skata nɔ kin bɔku: Bikɔs dɛn nɔ kin kɔt big say, di pen nɔ kin bɔku ɛn di skata bak nɔ kin bɔku. | Blɔd kin klɔt ɛn strok. |
| di rεspiretכri fכnshכn fכ rεkכv kwik kwik wan: di lכng dεm de rεkכv kwik kwik wan. | di lכng kכlaps (`Pneumothorax`) כ di εya sak dεm na di lכng dεm nכ de fεl fayn fayn wan (`Atelectasis`). |
| Lɔw risk fɔ infɛkshɔn: Di say dɛn we dɛn kɔt smɔl, so di risk fɔ infɛkshɔn nɔ bɔku. | Blɔd we de kɔmɔt insay pɔsin in bɔdi ɛn we de blɔd pasmak. |
| Kwik kwik wan fɔ go bak to nɔmal layf: Yu kin go wok kwik kwik wan ɛn gɛt wok. | Infεkshכn dεm we de na di rεspiretכri lεk nyumonia. |
| - . | Damej pan di ɔgan dɛm we de rawnd, di nerv dɛm, ɔ di blɔd vesel dɛm. |
Wetin kin apin afta di ɔpreshɔn ɛn aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn kin sɛn di tisu we dɛn pul na lɛbɔtri fɔ mek dɛn tɛst am. Dɛn kɔl dis wan `Biopsy` . wan `Pathologist` de egzamin di tisu כnda maykroskop fכ si if eni kεnsar sεl dεm de, sayn dεm fכ infεkshכn, כ כda kכndishכn dεm. Dɛn go disayd fɔ yu ɔda tritmɛnt bay da ripɔt de.
Afta dɛn dɔn du di ɔpreshɔn, dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Dɔn bak, di nɔs dɛn ɛn di wan dɛn we de mɛn yu bɔdi go ɛnkɔrej yu fɔ du ɛksesaiz fɔ dip briz . Fɔ waka rili impɔtant bak fɔ mek yu wɛl kwik kwik wan.
Bifo yu go na os, dɔktɔ go pul di chɛst tyub.
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i kin difrɛn frɔm di kayn ɔpreshɔn we dɛn du. Sɔm ɔpreshɔn dɛn kin tek lɛk tu wiks fɔ mek dɛn wɛl, ɛn ɔda wan dɛn kin tek lɛk et wiks.
Tek kia ɔf dɛn tin ya afta yu dɔn go na os:
- Chenj dresin pan kɔt ɔltɛm lɛk aw yu dɔktɔ tɛl yu.
- Nɔ drayv ɔ es ebi ebi tin te di dɔktɔ tɛl yu fɔ du dat.
- Waka smɔl at le tri tɛm insay di de fɔ mek blɔd nɔ klɔt na yu leg.
- Tek di pen kil ɛn antibayɔtik dɛn we dɛn tɛl yu fɔ tek di rayt tɛm.
- Mek shɔ se yu go na di klinik di de we dɛn gi yu fɔ di ri-ɛgzam.
Ustɛm a fɔ kɔl di dɔktɔ?
If yu gɛt sɔm kayn sik dɛn lɛk dis afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- If yu gɛt siriɔs pen na yu chɛst .
- If yu fil se i nɔ izi fɔ yu fɔ blo .
- If yu notis sayn dɛn fɔ se yu gɛt infekshɔn . Fɔ ɛgzampul:
- Rɛd, swel, ɔ yɔlɔ dischaj rawnd di say we dɛn kɔt.
- Fiva.
Nɔ ignore dɛn sayn ya. I rili impɔtant fɔ go fɛn tritmɛnt kwik kwik wan.
Fɔ dɔn, VATS na big tin we dɔn apin pan di say we dɛn de du ɔpreshɔn pan di tɔraks. Fɔ pɔsin we de fɛt sik lɛk kansa, i kin rili fayn fɔ mek i ebul fɔ wɛl kwik kwik wan afta dɛn dɔn du am ɔpreshɔn, i nɔ kin fil pen bɛtɛ, ɛn i kin go bak to in nɔmal layf kwik kwik wan. If dɛn dɔn sɛtul yu fɔ dis kayn ɔpreshɔn, nɔ fred, tɔk to yu dɔktɔ bɔt am gud gud wan, ɛn aks ɔl di kwɛstyɔn dɛn we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- VATS na wan mɔdan ɔspitul we dɛn kin du we dɛn nɔ kɔt big say na di chɛst, ɛn dɛn kin yuz kamɛra tru smɔl ol dɛn.
- Di pen, ɔspitul, ɛn di tɛm fɔ wɛl nɔ bɔku pas di tradishɔnal ɔpreshɔn we dɛn kin du na di opin chɛst.
- Dɛn kin yuz dis we fɔ mɛn bɔku sik dɛn na di chɛst, lɛk kansa na di lɔng.
- Jɔs lɛk ɔl di ɔpreshɔn dɛn, sɔm prɔblɛm dɛn de we kin apin, so tek tɛm tɔk bɔt dɛn wit yu dɔktɔ bifo yu du di ɔpreshɔn.
- Fɔ mek pɔsin wɛl kwik ɛn fayn, i impɔtant fɔ tek tɛm fala di instrɔkshɔn dɛn we di dɔktɔ gi am bifo ɛn afta di ɔpreshɔn.
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