you do it one step at a time paying attention to order of operations
-(9y-8z/3y) + (5y+8z/3y) The problem
-9y + 8z/3y + 5y + 8z/3y Distribute the - (technically it is the same as times -1)
-9y + 5y +(8z/3y) + (8z/3y) group the terms added () to show the division as a fraction
-4y + 16z/3y sum the terms (the strange part of this is adding the 2 fractions)