We dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ gɛt "chɛst ɔpreshɔn," na nɔmal tin fɔ mek yu fil fred smɔl. Di tink bɔt "big ɔpreshɔn we go pul di chɛst" na in kin kam na yu maynd. Bɔt tide, mɛrɛsin sayɛns dɔn go bifo bɔku. na dat mek naw wan "keyhole surgery" we de fכ trit bכku sik dεm na di chεst, we dεn kin du tru sכm sכm ol dεm we dεn nכ de mek dεn kayn big big say dεm. Na dat wi de kol VATS.
Wetin na VATS rili?
VATS min fɔ Vidio-Assisted Thoracic Surgery . Fɔ tɔk am simpul wan, na ɔpreshɔn we dɛn kin du insay di chɛst kaviti wit di ɛp we dɛn kin yuz vidio kamɛra. "Toracic" de tכk bכt di pat pan di chεst bitwin wi nεk εn wi bεlε. dis eria na di say we bכku imכtant כgan dεm lεk wi at, lכng, εn εsophagus de.
Imajin... Insay dis ɔpreshɔn, instead fɔ mek big say na yu chɛst, di dɔktɔ de mek wan rili smɔl say bitwin tu pan yu rib dɛn ɛn put wan tin tiub wit smɔl kamɛra (wi kɔl dis thoracoscope ) tru am. Di pikchɔ dɛn frɔm dis kamɛra de sho pan big skrin (monitɔ). Dɔn, dɛn kin kɔt wan ɔ tu ɔda smɔl smɔl say dɛn ɛn put di fayn fayn tin dɛn we dɛn nid fɔ du di ɔpreshɔn tru dɛn. Naw di dɔktɔ kin luk di pikchɔ dɛn we de na da skrin de ɛn trit di prɔblɛm we de insay di chɛst rili kɔrɛkt wan.
Dis na ɔpreshɔn we dɛn nɔ kin du bɔku tin. Dis min se di damej, skata, ɛn pen na di bɔdi nɔ bɔku pas di tradishɔnal ɔpreshɔn.
Insay us kes dɛn i nid fɔ du ɔpreshɔn pan VATS?
Dɛn kin yuz VATS mɔ fɔ no ɛn trit lɔng kansa ɛn kansa we dɔn pas, bɔt dɛn kin yuz am bak fɔ bɔku ɔda sik dɛn.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Kansa na di Lɔng | Fɔ no if pɔsin gɛt kansa (bayopsi) ɔ fɔ pul am. |
| Kansa na di εsophagus ɔ di taymus gland | Fɔ trit kansa na dɛn ɔgan ya. |
| Pleural Effusion we de mek pɔsin gɛt wata | if wata de kכmכt rawnd di lכng, fכn di kכz εn pul di wata. |
| Sɔm sik dɛn we de na di lɔng lɛk COPD | Insay di sik dɛm we nɔ de mɛn na di lɔng, fɔ pul di pat dɛm we dɔn pwɛl na di lɔng. |
| Di sik we dɛn kɔl hayparaydrosis | As tritmɛnt fɔ swet pasmak. |
| Myasthenia Gravis we gɛt di sik | fכ pul di taymus gland na dis sik we de wik di mכsul dεm. |
Men kayn VATS ɔpreshɔn dɛn
- VATS lכng rεsεkshכn: Dis involv fכ pul wan pat pan di lכng we sik. sכm sכm pat (`wedge resection`), wan ol lobe (`lobectomy`), כ i kin bi se dεn kin pul di כl lכng (`pneumonectomy`).
- Esophagectomy: Dɛn kin pul wan pat pan di εsophagus we gɛt sik.
- Taymektomi: Dɛn kin pul di taymus gland we gɛt sik.
- Dikɔrtikashɔn: Fɔ pul di mɛmbran dɛn we gɛt di sik ɔ di ska tisu we de rawnd di lɔng dɛn.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Dis rili impɔtant. Yu fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we .
- Dɛn go aks yu fɔ fast (nɔ it ɔ drink) fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, vaytamɛn dɛn, ɛn tin dɛn we dɛn mek wit ɛbul fɔ sɔm tɛm .
- If yu na pɔsin we de smok, yu rili nid fɔ stɔp .
- Apat frɔm dat, dɛn kin ɔda fɔ du sɔm tɛst dɛn bifo dɛn du di ɔpreshɔn, lɛk:
- Blɔd tɛst - fɔ ɛgzampul, wan kɔmplit blɔd kɔnt (CBC).
- tεst dεm we de chεk aw di at de wok - lεk ``(EKG)``.
- Imej tɛst dɛn lɛk chɛst ɛkstrem rayt, CT skan, ɔ PET skan.
- Tɛst fɔ di wok we di pulmonari de du.
- Tεst dεm lεk `Upper Endoscopy`.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Benefit ɛn risk de fɔ ɛni ɔpreshɔn, bɔt VATS ɔpreshɔn gɛt mɔ bɛnifit ɛn smɔl risk pas tradishɔnal opin ɔpreshɔn (`thoracotomy`).
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Na smɔl tɛm de fɔ spɛn na ɔspitul. | At bit irɛgyulariti (Aritmia). |
| Di pen ɛn skata nɔ kin bɔku afta dɛn dɔn du di ɔpreshɔn. | Blɔd kin klɔt ɔ strok. |
| di we aw yu de blo kin kam bak kwik kwik wan to nכmal. | Nyumotɔraks we de na di bɔdi. |
| Di risk fɔ gɛt di sik nɔ bɔku. | Blɔd we de kɔmɔt insay yu bɔdi ɔ infekshɔn. |
| Yu kin go bak to nɔmal tin dɛn kwik kwik wan. | Prɔblɛm dɛn we pɔsin kin gɛt we i de blo lɛk nyumonia. |
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go de na ɔspitul fɔ wan ɔ tu dez. Insay dis tɛm:
- Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen .
- Ɛnkɔrej fɔ du ɛksɛsayz fɔ blo dip dip wan ɛn fɔ waka. Dis go ridyus di risk fɔ gɛt prɔblɛm dɛn.
- Dɛn go pul di chɛst tyub we dɛn put insay di ɔpreshɔn bifo yu go na os.
Di tɛm we yu go wɛl, dipen pan di kayn ɔpreshɔn we yu bin gɛt. I kin tek tu wiks fɔ mek i wɛl ɔl. Sɔntɛnde i kin tek et wiks . Afta yu dɔn go na os, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Chenj dresin pan kot as nid de.
- Nɔ es di wet dɛn.
- Nɔ drayv ɛn go wok te di tɛm we dɛn dɔn tɛl yu fɔ du.
- Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.
- Waka at le tri tɛm insay di de fɔ mek blɔd nɔ klɔt na yu leg.
Wetin na di sayn dɛm wae kin mek yu kɔl yu dɔktɔ kwik kwik wan?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm .
- Bɔrku pen na yu chɛst
- I nɔ kin izi fɔ yu fɔ blo
- Di say we dɛn kɔt kin rɛd, i kin swel, ɔ i kin gɛt yɔlɔ wata.
- Fiva
Fɔ gɛt diagnosis fɔ gɛt kansa na tɛm we nɔ kin izi fɔ ɛnibɔdi. Na dis kayn tɛm, ɛni rilif frɔm tritmɛnt na big tin. VATS na wan we we dɛn de yuz tide we nɔ de mek pɔsin fil pen ɛn i de mek pɔsin wɛl kwik pas fɔ ɔpreshɔn we dɛn opin am. Yu dɔktɔ go ɛksplen to yu if dis fayn fɔ yu. Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- VATS na "keyhole surgery" tεknik we dεn kin yus fכ trit sik dεm na di chεst cavity.
- Bikɔs big big say nɔ de, i nɔ kin gɛt bɔku pen, skata, ɛn tɛm we dɛn kin spɛn na ɔspitul.
- Dɛn kin yuz dis we fɔ mɛn bɔku sik dɛn na in chɛst, lɛk kansa na in lɔng.
- I impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala di dɔktɔ in instrɔkshɔn dɛn bifo ɛn afta di ɔpreshɔn.
- If yu gɛt ɛnitin we nɔ kɔmɔn (yu de fil pen na yu chɛst, yu nɔ go ebul fɔ blo) afta yu dɔn du yu ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
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