Yala aw delila ka endoskopi kɛ wa? Laala aw ka dɔgɔtɔrɔ y’a ɲini aw fɛ aw ka nin sɛgɛsɛgɛli in kɛ ni kɔnɔboli walima bana wɛrɛ bɛ aw la. Ni aw bɛ nin sɛgɛsɛgɛli in kɛ, tuma dɔw la dɔgɔtɔrɔ bɛ a ye ko joli bɛ bɔ joginda fitini dɔ la aw kɔnɔbara la walima aw banakɔtaa la, walima falenfɛn misɛnniw (polyps) bɛ sɔrɔ. Fɔlɔ, o tun bɛna kɛ opereli misɛnninw ye, nka ni bi fɛɛrɛ kɔrɔw bɛ yen, fɛɛrɛ dɔw bɛ yen minnu bɛ se ka o fɛnw furakɛ k’a sɔrɔ u ma tigɛ yɛrɛ. O ye furakɛli ɲɛtaa dɔ ye an bɛ kuma min kan bi. A bɛ fɔ a ma ko Argon Plasma Coagulation, walima APC ni a surunyalen don.
N’an y’a fɔ cogo nɔgɔman na, APC (Argon Plasma Coagulation) ye mun ye?
O bɛ ɲɛ, nin tɔgɔ in bɛ Se ka Kɛ ko a ka gɛlɛn dɔɔnin, nka min bɛ Kɛ nin na, o ka nɔgɔn kosɛbɛ. Miiri k’a filɛ, dingɛ fitinin dɔ bɛ tubabukan na an farikolo kɔnɔ (i n’a fɔ dumunikɛminɛnw) bɛ joli bɔ. Nin fɛɛrɛ in na min bɛ wele ko APC, dɔgɔtɔrɔ bɛ tubabukan finman wɛrɛ ci endoskopu tubabukan (scope) fɛ, ka gazi kɛrɛnkɛrɛnnen dɔ pikiri min bɛ wele ko ‘Argon’ o fɛ. O kɔ, kuran fitiniba dɔ bɛ kɛ ka gazi tasuma. Funteniba min bɛ sɔrɔ o fɛ , o bɛ joli bɔyɔrɔ jeni ka basi jɔ. Ani fana, ni falenfɛn misɛnniw (polyps) minnu man ɲi, olu bɛ yen, o fɛɛrɛ bɛ se k’u tiɲɛ pewu.
O bɛ i n’a fɔ ka gɛlɛya dɔ ɲɛnabɔ farikolo kɔnɔ, k’a sɔrɔ i ma tigɛ farikolo la, nka ka nɔgɔya kosɛbɛ ka bɔ kɛnɛma. O kɔrɔ ye ko kun t’a la ka taa operelibaw la. An b’o de Weele ko ‘minimally invasive’ furakɛli la.
Nin furakɛli in bɛ kɛ kɔnɔbolikɛla fɛ walima fogonfogonlabana dɔ fɛ.
Ko jumɛnw na o furakɛli in ka kan?
APC furakɛli bɛ kɛ kun suguya caman de kama. An k’a lajɛ a bɛ min kɛ kosɛbɛ.
| Bana min bɛ furakɛli la | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Joli bɔli dabila farikolo la | A bɛ kɛ ka joli bɔli furakɛ min bɛ sɔrɔ joginda fɛ kɔnɔbara ni banakɔtaa la, kɔkolo joli bɔli fɛ, walima bana dɔ min bɛ wele ko ‘watermelon stomach’ (Gastric Antral Vascular Ectasia Syndrome). |
| Farikolo/tumu minnu man ɲi, olu bɔli | Nin fɛɛrɛ in bɛ kɛ ka falenfɛn misɛnniw (polyps) walima farikolo yɔrɔ minnu bɛ se ka kɛ kansɛri ye banakɔtaa la, olu bɔ. A bɛ se ka kɛ fana ka kansɛribana dɔ dɔgɔya mɔgɔ la min tɛ se ka opereliba kɛ. |
| Barrett ka dumunikɛminɛnw furakɛli | O bɛ sɔrɔ kɔnɔboli kuntaalajan fɛ (GERD) min bɛ na ni fɛn caman yeli ye dumunikɛminɛnw kɔnɔ. APCw bɛ kɛ ka o farikolokisɛ caman caman cili bɔ sani u ka wuli ka kɛ kansɛri ye. |
| Kisɛya jiginni opereli kɔfɛ | Opereli dɔw kɛlen kɔ ka mɔgɔ farikolo girinya dɔgɔya, kɔnɔbara tun sirilen bɛ yɔrɔ min na, o bɛ se ka wuli ka bonya waati tɛmɛnen kɔfɛ. O kɔ, a girinya bɛna segin a kan. APC furakɛli bɛ kɛ ka o yɔrɔ sɔgɔlen siri ani ka a dɔgɔya tuguni. |
| Fogonfogon ni ninakili gɛlɛyaw | Nin fɛɛrɛ in bɛ kɛ fana ni fiɲɛbɔlan ye walasa ka kuru misɛnniw walima joli bɔyɔrɔw furakɛ fiɲɛbɔyɔrɔw la. |
Nin furakɛli in bɛ baara kɛ cogo di?
Labɛn dɔɔni bɛ yen aw ka kan ka min kɛ sani nin furakɛli in ka kɛ. A bɛ bɔ i b’a fɛ k’o kɛ cogo min na.
- Sanfɛla Endoskopi : O ye ka tubabufura don da la walasa ka kɔnɔbara ni dumunikɛminɛnw sɛgɛsɛgɛ.
- Kolosinsinnan : O ye ka tubabufura don ɲɛgɛnɛsira fɛ walasa ka banakɔtaa belebele sɛgɛsɛgɛ.
- Bronchoscopie : O ye ka tubabufura don nugu walima da la walasa ka fogonfogon lajɛ.
Sani o ka kɛ, dɔgɔtɔrɔ bɛna a ɲini aw fɛ aw kana dumuni walima minni kɛ lɛri damadɔ kɔnɔ . Ni kolosinsinnan ye, banakɔtaa labɛncogo dɔ bɛna di aw ma walasa ka aw dɛmɛ ka aw ka kolotuguda saniya. Ani fana, ni aw bɛ joli segin furaw ta i n’a fɔ asipirini, a bɛ se ka ɲini aw fɛ aw ka u tali dabila tile damadɔ kɔnɔ.
Furakɛli waati la...
1. Anestezi bɛna di aw ma walasa aw ka lafiya ani aw kana dimi foyi sɔrɔ. O ye ka tubabufura fitini (IV line) don jolisira dɔ la aw bolokɔni na ka fura di aw ma o fɛ.
2. O kɔ, a bɛna kɛ sababu ye ka aw da furakɛli dilan kan.
3. Dɔgɔtɔrɔ bɛ tubabufura finman dɔ don a kɔnɔ min bɛ se ka wuli (scope) ni kamera sirilen don farikolo la i n’a fɔ a bɛnnen don (da, nugu walima kɔnɔbara fɛ).
4. Walasa ka aw farikolo bali ka tiɲɛ kuran fɛ, aw bɛ fɛn dɔ siri aw fari la (a ka ca a la aw cɛmancɛ la).
5. O kɔfɛ, APC minɛn bɛ katetɛri min kɔnɔ, o bɛ tɛmɛ skɔpi fɛ ka taa yɔrɔ bɛnnen na.
6. Gazi argon bɛ pikiri fɔlɔ, o kɔfɛ kuran bɛ kɛ ka a tasuma don. O kɔ, farikolo yɔrɔ laɲininen bɛ jeni.
7. Dɔgɔtɔrɔ bɛ furakɛli dafa ni a bɛ minɛn lamaga i n’a fɔ a mago bɛ cogo min na, ka gazi ni kuran hakɛ kɔlɔsi.
8. Ni baara banna, u bɛ skɔpi, katetɛri ani dugukolo kan.
a ka c' a la , o baara bɛɛ bɛ kɛ miniti 15 fo lɛri kelen ɲɔgɔn .
Mun bɛ kɛ furakɛli kɔfɛ? Yala kɔlɔlɔ dɔw bɛ a la wa?
Furakɛli kɔfɛ, aw bɛna to kɛnɛyaso kɔnɔ waati dɔ kɔnɔ, wa aw bɛna bila so, anestezi nɔw bannen kɔfɛ. Dimi misɛnni dɔw bɛ se ka kɛ.
- A bɛ kɛ i n’a fɔ i kɔnɔbara falen don.
- Gazi tɛmɛni ani kɔnɔdimi dɔɔni min bɛ sɔrɔ o la.
- Sɛgɛn dɔɔnin, dimi dɔɔni.
A ka c’a la, o fɛnw tɛ kɛ cogo la. Hami foyi tɛ yen. O dusukasi ninnu bɛna ban lɛri damadɔ kɔnɔ. Aw tɛna dimi foyi sɔrɔ furakɛli senfɛ barisa anestezi bɛna di aw ma.
APC ye fɛɛrɛ ye min farati ka bon kosɛbɛ. Gɛlɛyaw man ca. Nka, i n’a fɔ a bɛ kɛ cogo min na furakɛli kɛcogo bɛɛ la, farati misɛnnin dɔw bɛ yen. Joli bɔli, anestezi gɛlɛyaw, dumunikɛminɛnw dɔgɔyali (stenosis), walima farikolo yɔrɔw kari, olu man teli ka kɛ. O de kama a nafa ka bon ka nin wale ninnu kɛ dɔgɔtɔrɔ dɔnbaga fɛ.
Taamasiɲɛ minnu ka kan ka taa dɔgɔtɔrɔso la joona
Ni aw seginna so, ni aw ye nin taamasiɲɛ ninnu dɔ ye, aw ka kan ka taa dɔgɔtɔrɔso la joona, kɛrɛnkɛrɛnnenya la, kɔrɔtɔko ɲɛmɔgɔso (ETU). Olu bɛ se ka kɛ fɛn jugu dɔ taamasiɲɛw ye, o la a nafa ka bon ka teliya ka wale kɛ.
| Lakɔlɔsili taamasiyɛn minnu ka kan ka kɔlɔsi! | |
|---|---|
| 🔴 | Kɔnɔdimi jugumanba min tɛ ban hali gazi tɛmɛnen kɔfɛ. |
| 🔴 | Disi dimi . |
| 🔴 | Ninakili gɛlɛya . |
| 🔴 | Joli fɔɔnɔ (min bɛ i n’a fɔ kafemugu bilenman walima kafemugu). |
| 🔴 | Joli bɛ bɔ ɲɛgɛnɛsira la (joli bilenman walima joli nɛrɛmuguma min bɛ kɛ banakɔtaa la). |
| 🔴 | Sumaya walima farigan. |
| 🔴 | Munumunu gɛlɛya walima galaka dimi caya. |
Aw seginnen kɔ so, aw bɛ dɔgɔtɔrɔ ka laadilikanw labato tigitigi.
- K’a sababu kɛ anestezifura nɔ ye, aw kana bolifɛn boli walima ka masin girinmanw baara o don.
- Aw ka na ni mɔgɔ ye min bɛna taa ni aw ye so. A ka fisa ni mɔgɔ dɔ tora aw fɛ lɛri damadɔ aw selen so.
- Aw kana dɔlɔ min.
- Dɔgɔtɔrɔ bɛna aw laadi aw bɛ se ka dumuni minnu dun ani waati min na aw bɛ se ka dumuni kɛ ka ɲɛ.
Take-Home cikan
- Argon Plasma Coagulation (APC) ye fura ye min ka bon kosɛbɛ, a tɛ don farikolo la, a bɛ kɛ ka joli bɔli dabila farikolo kɔnɔ ani ka farikolo yɔrɔw bɔ minnu man ɲi.
- O bɛ kɛ ni anestezi ye, o la aw tɛna dimi foyi sɔrɔ.
- Furakɛli kɔfɛ, aw bɛ se ka faritanabana misɛnniw sɔrɔ, i n’a fɔ funu ni gazi, nka a ka ca a la o bɛ ban joona.
- Ni aw taara so furakɛli kɔfɛ, aw bɛ dɔgɔtɔrɔ ka laadilikanw labato tigitigi.
- Ni aw ye lasɔmini taamasiɲɛ dɔw ye i n’a fɔ kɔnɔdimi jugumanba, disidimi, ninakili gɛlɛya, walima joli fɔɔnɔ, aw bɛ taa dɔgɔtɔrɔso la joona joona.











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