Nin kolotuguda operelikɛla in ye jɔn ye? An k’a dɔn tigitigi!

I bɛ se ka kabakoya dɔɔnin ni i ye ‘Colorectal Surgeon’ tɔgɔ mɛn, k’a miiri ko: "Nin ye jɔn ye? U bɛ mun kɛ?" Aw kana aw hakili ɲagami, a man gɛlɛn o cogo la. N’an y’a fɔ cogo nɔgɔman na, nin ye operelikɛla ye min ka baara ɲɛsinnen bɛ banaw furakɛli ma ani ka opereli kɛ i banakɔtaa belebele, i ka kɔkolo , ani i kɔnɔbara la . O la, an ka kuma nin kan dɔɔnin, i n’a fɔ i bɛ kuma i terikɛ fɛ, o bɛ ɲɛ wa?

Nin kolotuguda operelikɛla in ye jɔn ye? Yala a tun bɛ wele fɔlɔ ko proctologist wa?

Ɔwɔ, n’a sɔrɔ i ye ‘proctologist’ daɲɛ mɛn. Tiɲɛ na, fɔlɔ, dɔgɔtɔrɔ minnu tun bɛ nin bana suguya ninnu furakɛ, olu tun bɛ wele ko proctologists. ‘Colorectal surgeon’ ye tɔgɔ kura ye, min bɛ bi ta o furakɛli baara in na.

Danfara dɔɔnin bɛ o tɔgɔ fla ninnu cɛ kɔrɔko la. N’an y’a fɔ ko ‘proctologist’, a bɛ tali kɛ kɔkolo ni kɔnɔbara la kosɛbɛ. Nka n’an y’a fɔ ko ‘kolonɔbila’, a bɛ kolotuguda ni kɔnɔbara fila bɛɛ sen don a la. I b’a dɔn, nin fila in ye banakɔtaa yɔrɔ belebelebaw ye. Nka, waleyali la, nin tɔgɔ fila ninnu na, u mana wele cogo o cogo, o dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ o yɔrɔ bɛɛ furakɛ . O la sa, foyi tɛ yen ka miiri o la kojugu.

Mun na an ka kan ka taa kolotuguda operelikɛla dɔ fɛ?

Miiri k’a filɛ, dimi walima taamasiɲɛ dɔw bɛ aw kɔnɔbara duguma, o kɔrɔ ye ko aw kɔnɔbara dugumayanfan (GI). O kɔ, aw bɛ se ka taa dɔgɔtɔrɔba dɔ fɛ fɔlɔ walima kɔnɔboli furakɛla dɔ fɛ.

Ni dɔgɔtɔrɔ y’aw sɛgɛsɛgɛ kɔfɛ, a y’a miiri ko aw ka bana ka kan ka opere , a bɛna aw bila kolotuguda operelikɛla dɔ fɛ.

Kolotuguda bana dɔw minnu bɛ se ka kɛ opereli ye tuma caman na, olu ye:

• Kansɛri ni polipozi : O bɛ kansɛri banaw jira kolotuguda la walima falenfɛn misɛnniw (polyps) minnu bɛ se ka kɛ kansɛri ye.
• Banakɔtaa funu (IBD): O ye banakɔtaa kɔnɔna funu ye min bɛ mɛn senna. Misaliw ye banaw ye i n’a fɔ Crohn ka bana ani kɔnɔboli .
• Ischemie : O ye banakɔtaa yɔrɔ dɔ yejoli sɔrɔli dɔgɔyali walima a bɔnɛnen . Ni o kɛra, o yɔrɔ bɛ se ka sa yɛrɛ.
• Jateminɛ kɛcogo juguw : Misali la, fiɲɛbana (fistulas) - jɛɲɔgɔnya min tɛ banakɔtaa ni farikolo yɔrɔ wɛrɛ cɛ, kirinni - banakɔtaa yɔrɔ dɔ bɔli ka tɛmɛ yɔrɔ barikama dɔ fɛ, ani kɔnɔnatumu - farikolo yɔrɔ dɔ bɔli walima a bɔli, i n’a fɔ ɲɛgɛnɛsira.

Yala kolotuguda operelikɛlaw bɛ kolotuguda dɔrɔn de furakɛ wa?

Ayi, o tɛ tiɲɛ ye. hali ni kolotuguda operelikɛlaw kɛrɛnkɛrɛnnen don banakɔtaa la , u bɛ dege fana i n' a fɔ opereli bɛɛ lajɛlen .

Ka fara o kan, gɛlɛya min bɛ an farikolo yɔrɔ dɔ la, o bɛ se ka nɔ bila farikolo yɔrɔ wɛrɛw la, tiɲɛ tɛ? O la, o dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka kan ka farikolo yɔrɔ wɛrɛw furakɛ minnu ni kolotuguda bɛ tali kɛ ɲɔgɔn na walima bana kelen bɛ minnu na. O farikolo yɔrɔ suguw ye:

• Banakɔtaa fitini
• Banakɔtaa farikolo yɔrɔw (olu bɛ banakɔtaa ni sugunɛbaralabana kunbɛnni dɛmɛ) .
• Sugunɛ kɛcogo
• Muso ka bangeko siratigɛ la

Sɛbɛn jumɛnw de ka kan ka kɛ walasa ka kɛ kolotuguda operelikɛla ye?

Nin ye hakilina nafamaba ye tiɲɛ na. kolotuguda operelikɛla ye mɔgɔ ye min ka kalan ni dɔnniya ka bon kosɛbɛ . Misali la, jamana dɔ la i n’a fɔ Ameriki, walasa ka kɛ kolotuguda operelikɛla ye, mɔgɔ ka kan ka a yɛrɛ dege opereli bɛɛ lajɛlen na san duuru ni kɔ. O kɔfɛ, mɔgɔ ka kan ka san wɛrɛ walima ka tɛmɛ o kan sigiyɔrɔma kalan na kolotuguda cogoyaw la.

O kalan in kɔfɛ, u bɛ tɛmɛ sɛbɛnni ni da la sɛgɛsɛgɛliw fɛ, ka kɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ye minnu ka lakɔliso sɛbɛnw bɛ u bolo ka bɔ furakɛli tɔnw na minnu bɛ tali kɛ o ko la (misali la, Ameriki kolotuguda opereli tɔnba). O la i n’a fɔ aw ɲɛ b’a la cogo min na, nin tɛ taama nɔgɔn ye, o de y’a to an bɛ se ka da u ka dɔnniya n’u ka seko la.

Kolotuguda operelikɛla bɛ mun kɛrɛnkɛrɛnnen kalan ka tɛmɛ opereli bɛɛ kan?

O dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ banakɔtaa ni kɔnɔbara basigilen farikoloɲɛnajɛw sɛgɛsɛgɛ kosɛbɛ , o kɔrɔ ye ko o farikolo yɔrɔ ninnu bɛ baara kɛ cogo min na ani u bɛ ɲɔgɔn sɔrɔ cogo min na.

O dɔnniya jugu in sababu fɛ, gɛlɛya minnu bɛ sɔrɔ banakɔtaa ni kɔnɔbara lase kɛrɛnkɛrɛnnen b' u la ka farikolo gɛlɛya gɛlɛnw sɛgɛsɛgɛ ani ka furakɛli nɔgɔlenw wajibiyalenw di . Tiɲɛ na, olu de ye o baara in dɔnbagaw ye.

Kolotuguda operelikɛla bɛ mun kɛ tigitigi?

Kolotuguda operelikɛlaw bɛ baara kɛ ni endoskopi ni opereli fɛɛrɛ bɛɛ ye walasa ka aw ka dumunikɛcogo furakɛ. O kɔrɔ ye ko u mago bɛ baarakɛminɛn minnu na walasa ka bana gɛlɛnw furakɛ, olu bɛɛ bɛ u bolo.

U bɛ se ka aw furakɛ ni opereli tɛ (misali la, endoskopi fɛ), ni opereli ye min tɛ fɛn caman kɛ , walima ni a mago bɛ a la, ni opereli dafalen ye .

Kolotuguda operelikɛlaw bɛ fɛɛrɛ minnu kɛ, olu dɔw ye:

• Kolosinsinnan : O ye ka tubabukan finman dɔ don min bɛ se ka wuli (endoskopi) ni kamera ni yeelen ye ka tɛmɛ kɔnɔbara fɛ walasa ka banakɔtaa bɛɛ sɛgɛsɛgɛ . O bɛ se ka kɛ ka polipu misɛnniw bɔ ani ka farikolo yɔrɔw ta (biopsies).
• Enteroscopie : Nin fana ye banakɔtaa fitini sɛgɛsɛgɛli fɛɛrɛ ye ni endoskopu ye.
• Sigmoidoscopie : O bɛ banakɔtaa yɔrɔ laban sɛgɛsɛgɛ (colon sigmoïde), kɔnɔbara basigilen ani kɔnɔbara la.
• Laparoskopi : Tigɛ fitiniba dɔ bɛ kɛ kɔnɔbara la, kamera kɛrɛnkɛrɛnnen (laparoskopi) bɛ don o fɛ walasa ka kɔnɔbara kɔnɔna yɔrɔw sɛgɛsɛgɛ.
• Laparoskopi opereli : A bɛ fɔ fana ko "keyhole opereli", o ye fɛɛrɛ ye min bɛ kɛ ni tigɛ misɛnnin caman ye kɔnɔbara la ani ka laparoscope ni minɛn kɛrɛnkɛrɛnnenw kɛ. O bɛ a to opereli bɛ se ka kɛ k’a sɔrɔ tigɛba ma kɛ, o bɛ dɔ bɔ kɛnɛya waati la.
• Roboti opereli : Nin fana ye opereli sugu dɔ ye min bɛ kɛ ni laparoskopi ye. Nka, yan, operelikɛla bɛ robo bolo dɔ mara ɔridinatɛri kɔnɔ. o bɛ kɛ sababu ye ka opereli kɛ minnu ka nɔgɔn kosɛbɛ ani minnu ka gɛlɛn .

Opereli ni fɛɛrɛ minnu bɛ kɛ kolotuguda operelikɛlaw fɛ, olu dɔw ye:

• Polypectomy (Polypectomie) : Polipu (banakisɛ misɛnniw) bɔli kolotuguda la ni endoskopi ye.
• Endoscopique mucosal resection (EMR) / endoscopique submucosal dissection (ESD): Fɛɛrɛ kɔrɔlenw minnu bɛ kɛ ka banakɔtaa kɔnɔnatumuw bɔ endoskopi fɛ minnu bɔli ka gɛlɛn.
• Transanal endoscopic microsurgery : Opereli min bɛ kɛ ni minɛn kɛrɛnkɛrɛnnen dɔ (proctoscope) bɛ don kɔnɔbara fɛ walasa ka kuru belebelebaw walima kurukuruw bɔ ɲɛgɛnɛsira la.
• Banakɔtaa opereli : Banakɔtaa yɔrɔ dɔ walima a bɛɛ bɔli, ka kɛɲɛ ni a cogoya ye.
• Ostomi opereli : O ye ka banakɔtaa bɔcogo Changer ani ka stoma dilan ni banakɔtaa kun kelen ni kɔnɔbara fari sirili ye. O bɛ wele ko kolosinsinnan walima ileostomie.
• Anastomose opereli : Ka banakɔtaa yɔrɔ fila siri ɲɔgɔn na kokura ni ostomie min kɛra ka kɔrɔ, o bɔ.
• Ɲɛgɛnɛsiraw bɔli : Ɲɛgɛnɛsiraw bɔli ni a fununa (apendisiti).
• Anoplastie (Anoplastie): Ka ɲɛgɛnɛsira dilan walima k’a cogoya kura.
• Rectopexy (Kɔnɔbara basigilen): Opereli bɛ kɛ ka kɔnɔbara basigilen segin a cogo kɔrɔ la.
• Sacrocolpopexy : Basɔn yɔrɔ minnu bɛ bɔ kɔnɔbara la, olu dilancogo.
• Ɲɛgɛnɛsiraw dilancogo : Kɔnɔbara basigilenw dilancogo (misali la, kɔnɔbara basigilen, sɔgɔsɔgɔninjɛ tigɛlen) ni laparoskopi walima robo fɛɛrɛw ye.
• Cecostomy / antegrade colonic enema (ACE) opereli : Tubabufura bɛ don kolotuguda la walasa ka enemaji fura di ka kɛ bana dɔw furakɛli ye, i n’a fɔ kɔnɔboli.

U bɛ nin ɲɔgɔnna fɛnw fana kɛ walasa ka aw ka kolotuguda ni aw ka kɔnɔbara basigilen baara lajɛ:

• Ɲɛgɛnɛsiraw sɛgɛsɛgɛli nizɛrikan: Sɛgɛsɛgɛli min bɛ kɛ ni dɔgɔtɔrɔ bɛ bolokɔnincinin dɔ don ɲɛgɛnɛsira la.
• Anoscopie / Proctoscopie (Anoscopie / Proctoscopie) : Aw bɛ minɛn fitini dɔ don a kɔnɔ walasa ka ɲɛgɛnɛsira ni ɲɛgɛnɛsira dugumayanfan lajɛ.
• Nɔgɔ bɔli : Banakɔtaa sɛgɛsɛgɛli ni X-ray walima MRI ye.
• Endorectal ultrasound : O ye ɲɛgɛnɛsira ni a lamini yɔrɔw sɛgɛsɛgɛli ye ni ultrasound sonda dɔ donli ye ɲɛgɛnɛsira fɛ.
• Anorectal manometry (Anorectal manometry): A bɛ kɛ ka ɲɛgɛnɛsira ni kɔnɔbara basigilen fasaw degun ni u ka baara suman.

Kolotuguda operelikɛlaw bɛ bana suguya jumɛnw furakɛ?

Bana caman bɛ yen minnu ka kan ka taa kolotuguda operelikɛla dɔ fɛ. An k’u dɔw lajɛ kuluw kɔnɔ:

Kolotuguda kansɛri, misaliw:

• Kolotuguda kansɛri
• Kansɛri min bɛ kɛ kɔnɔbara la
• Kansɛri min bɛ kɛ kɔnɔbara la
• Kansɛri min bɛ sɔrɔ ɲɛgɛnɛsira la
• Peritoneal carcinomatosis - kansɛri jɛnsɛnni kɔnɔbara lamini na
• Kɔnɔnatumuw (GIST) .
• Tumu minnu bɛ sɔrɔ neuroendocrine fɛ
• Kansɛri bana dɔw, i n’a fɔ kolotuguda kansɛri min tɛ polipozi ye (HNPCC) walima Lynch syndrome

Kolotuguda polipuw ni polipozi ciyɛntalenw, misaliw:

• Denbaya ka polipose adenomatose syndrome (FAP) - O bɛ se ka kɛ sababu ye ka polipu kɛmɛ walima ba caman bila kɔnɔbara la.
• Lynch syndrome - (a kofɔlen don fana kansɛri jukɔrɔ) .
• Polipozi min bɛ sɔrɔ MUTYH fɛ (MAP) .
• Syndrome de polypose serrée (banakisɛfagalan min bɛ wele ko polipose serrée).
• Desmoid kurukuruw
• Peutz-Jegers ka bana ye
• Denmisɛnw ka polipozi bana
• PTEN hamartoma ka bana

Kɔnɔboli gɛlɛn (kɔnɔna fununi), misaliw:

• Diverticulitis - Banakisɛ walima funu min bɛ sɔrɔ foroko misɛnniw (diverticula) la banakɔtaa kogo la.
• Kɔnɔnatumuw (colite ulcéreuse).
• Crohn ka bana ye
• Kolotuguda min bɛ kɛ ni mikroskɔpi ye
• Pseudomembranous colitis - Bana min ka teli ka sɔrɔ banakisɛfagalan dɔw tali kɔfɛ.
• Ɲɛgɛnɛsiraw - Ɲɛgɛnɛsiraw fununi.
• Kɔnɔbara basigilen (Necrotizing enterocolitis) - Bana jugumanba don min bɛ den kuraw minɛ.
• Ischemic colitis - Funu min bɛ sɔrɔ joli bɔli dɔgɔyali fɛ kolotuguda la.

Banakɔtaa baarakɛbaliya, misaliw:

• Basɔn duguma baarakɛbaliya - bana min bɛ kɛ sababu ye ka nɔgɔ bɔli gɛlɛya.
• Sebaliya ka banakɔtaa kunbɛn (Fecal incontinence) .
• Nɔgɔ bɔli balilen
• Anismus - Sebaliya ka ɲɛgɛnɛsira fasaw lafiya ka ɲɛ nɔgɔ bɔli waati.

Jatebɔ nafamafɛnw, misaliw:

• Banakɔtaa belebelebaw bɔgɔbɔgɔli
• Kɔnɔbara basigilen - Tɛmɛsira min tɛ a yɛrɛ la, o bɛ kɛ fari ni banakɔtaa cɛ kɔnɔbara kɛrɛfɛ.
• Rectovaginal fistula - jɛɲɔgɔnya min tɛ kɔnɔbara ni musoya cɛ.
• Perineal hernie (banakisɛfagalan kɔnɔbara basigilen).
• Abscès (banakisɛfagalan) min bɛ sɔrɔ kɔnɔbara la
• Ɲɛgɛnɛsiraw bɔli
• Basɔn yɔrɔ dɔw bɔli

Kɔnɔnatumuw ka bana jugu wɛrɛw, misaliw ye:

• Kɔnɔbara basigilen / kɔnɔbara basigilen
• Kɔnɔbara basigilenw (fissures).
• Kɔnɔbara basigilenw
• Ɲɛgɛnɛsiraw
• Ɲɛgɛnɛsiraw bɛ kɛ kɔnɔbara la
• Kɔnɔboli ni nɔgɔ bɔli

Hakililajigin dɔɔni aw ka kolotuguda ni aw ka dumunikɛcogo duguma

aw ka banakɔtaa belebele ye aw ka kɔnɔbara dugumayanfan yɔrɔba dɔ ye . An bɛ dumuni minnu dun, olu bɛ tɛmɛ i ka dumunikɛminɛnw fɛ, wa o de sababu fɛ, fɛnɲɛnamafagalanw bɛ laban ka bɔ i fari la. O la, ni taamasiɲɛw bɛ aw la i n’a fɔ kɔnɔbara duguma dimi walima aw ka banakɔtaa caman yeli (misali la, joli bɔli, kɔnɔboli, kɔnɔboli), a ka ca a la o ye gɛlɛya ye aw kɔnɔbara dugumayanfan na.

O waati de la kolotuguda operelikɛla ka laadilikanw ni a furakɛli bɛ kɛ nafama ye. bana bɛɛ tɛ opereli wajibiya . Nka, ni opereli ka kan ka kɛ, ka taa dɔgɔtɔrɔso kɛrɛnkɛrɛnnen dɔ fɛ i n’a fɔ nin, o bɛ se k’aw dɛmɛ ka furakɛli ɲuman sɔrɔ. Aw ka dɔgɔtɔrɔba walima kɔnɔboli furakɛla bɛna aw bila kolotuguda operelikɛla dɔ fɛ ni u y’a ye ko nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnen in bɛ se ka aw ka bana ɲɛnabɔ ka ɲɛ.

A laban na, n ka kan k’a fɔ aw ye... (Take-Home Message)

N jigi b’a kan sisan ko aw ye hakilina ɲuman sɔrɔ kolotuguda operelikɛla ye jɔn ye, u bɛ min kɛ, ani u bɛ bana suguya minnu furakɛ.

min nafa ka bon , o ye ko nin dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ yen walasa k' aw dɛmɛ . Dɔnniya ni kalan minnu ka kan ka kɛ i ka bana in na, olu bɛ u bolo.

• Ni taamasiɲɛ dɔw bɛ aw la minnu tɛ deli ka kɛ, minnu bɛ tali kɛ aw kɔnɔbara la, aw ka kɔnɔbara la, walima aw ka kɔnɔbara la (misali la, kɔnɔdimi basigilen, joli bɛ don aw ka banakɔtaa la, banakɔtaa kɛcogo caman yeli, farikolo girinya dɔgɔyali min ɲɛfɔlen tɛ), aw kana aw ɲɛmajɔ o la Aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona.
• Ni dɔgɔtɔrɔ ye aw bila kolotuguda operelikɛla dɔ fɛ, aw kana siran . o kɔrɔ dɔrɔn ye ko aw mago bɛ furakɛli kɛrɛnkɛrɛnnen na .
• Aw k’aw hakili to a la ko ni bi furakɛli dɔnniya yiriwara, bana caman minnu bɛ tali kɛ o baara in na, olu bɛ se ka ɲɛnabɔ ka ɲɛ ani ka furakɛ .

O la sa, i ka kan ka to kɛnɛya la! Ni gɛlɛya dɔw bɛ aw la, min nafa ka bon kosɛbɛ, o ye ka laadilikan ɲumanw sɔrɔ ka bɔ yɔrɔ bɛnnen na.

` Kolotuguda operelikɛla, kɔnɔbaralabanaw, kolotuguda operelikɛla, kolotuguda kansɛri, kolotuguda, dumunikɛcogo, opereli