Laala dɔgɔtɔrɔ dɔ y’a fɔ aw ye walima aw ka denbaya kɔnɔmɔgɔ dɔ ye ko aw bɛna opereli kɛ ka aw ka sugunɛ bɔ, o bɛ kɛ sababu ye ka sugunɛbilenni kansɛri walima bana wɛrɛ min bɛ mɛn sen na. A ka ca a la, siran ni jɔrɔnankoba bɛ mɔgɔ la ni i ye ‘Cystectomy’ daɲɛ mɛn. Nka bi, an ka an janto nin ko in na kosɛbɛ. Nin opereli in ye mun ye? Mun na o bɛ kɛ? Mun bɛ kɛ o kɔfɛ? An ka kuma nin bɛɛ kan cogo nɔgɔman na.
Opereli sugu jumɛn ye kɔnɔbara basigilen ye?
N’an y’a fɔ cogo nɔgɔman na,
kɔnɔbara basigilen ye opereli ye min bɛ kɛ ka i ka sugunɛ yɔrɔ dɔ walima a bɛɛ bɔ. I n’a fɔ aw b’a dɔn cogo min na, sugunɛ ye farikolo yɔrɔ ye min bɛ i n’a fɔ bolola, min bɛ sugunɛ (sugunɛ) lajɛ ani k’a mara an ka sugunɛw fɛ. A ka ca a la nin opereli in bɛ kɛ sugunɛbaralabana fura ye. Nka tuma dɔw la dɔgɔtɔrɔw b’a latigɛ ka nin opereli in kɛ bana wɛrɛw la minnu tɛ kansɛri ye (bana jugumanw) fana. Nin tɛ opereli fitinin ye, nka
opereli belebele don . Sabula a bɛ farikolo yɔrɔ nafama dɔ bɔ an fari la, n’o ye sugunɛ ye.
Yala a bɛ se ka kɛ ka ɲɛnamaya kɛ ni sugunɛ tɛ wa?
Ɔwɔ, i bɛ se. A bɛ se ka kɛ aw bɛ kabakoya ka nin mɛn, nka a bɛ se ka kɛ ka ɲɛnamaya kɛ ni sugunɛ tɛ. Nka o kɔfɛ, aw bɛna fɛɛrɛ kura ɲini walasa ka sugunɛ min bɛ bɔ an ka sugunɛw la, o bɔ. Ni dɔgɔtɔrɔ ye sugunɛbara bɛɛ bɔ, a bɛ waati dɔ ta walasa aw ka se ka dege fɛɛrɛ kura in na. Nka aw kana aw hakili ɲagami, aw ye fɛn minnu kɛ sani opereli ka kɛ, aw bɛna se ka olu fanba kɛ, hali opereli kɔfɛ.
Aw ka kan ka mun dɔn sani aw ka opereli kɛ kɔnɔbara basigilen na?
Sani opereli ka kɛ, dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ ani ka aw ka kɛnɛya bɛɛ lajɛ. A bɛna opereli sugu min kɛ, a bɛna o fana ɲɛfɔ aw ye. O opereli suguya caman bɛ yen.
- Sistectomie partielle : O ye ka aw ka sugunɛbara yɔrɔ bananen dɔrɔn bɔ. Ni o kɛra kansɛri sababu la, a lamini ɲɛgɛnɛsiraw fana bɛ bɔ ka u lajɛ ni kansɛri jɛnsɛnna. O kɔ, aw ka sugunɛ yɔrɔ tɔ bɛ segin ka siri ɲɔgɔn na walasa ka baara kɛcogo ɲuman segin a cogo kɔrɔ la.
- Simple Cystectomy (sugunɛbilenni dɔrɔn bɔli): O ye ka sugunɛ dɔrɔn bɔ ka sɔrɔ a ma a lamini yɔrɔw tiɲɛ. A ka ca a la, o bɛ kɛ banaw kama minnu tɛ kansɛri ye . Misali la, sugunɛ gɛlɛya minnu bɛ sɔrɔ farikolojidɛsɛ fɛ ( neurogenic bladder ), fiɲɛ bilali fɛBana minnu bɛ sɔrɔ i n’a fɔ radiyodisi ani sugunɛbilenni minnu bɛ sɔrɔ furakɛli fɛ.
- Radical Cystectomy (sugunɛbilenni ni a lamini yɔrɔw bɔli): O la, sugunɛ bɛ bɔ pewu, ka fara a lamini ɲɛgɛnɛsiraw kan.
- Cɛ ta la, a ka ca a la , ɲɛgɛnɛsiraw bɛ tigɛ, ka ɲɛgɛnɛsira ni cɛya kurukuruw bɔ.
- Musow la, denso, denso, denso ani kɔnɔbara basigilen bɛ bɔ tuma caman na. Tuma dɔw la, musoya kogo yɔrɔ dɔ fana bɛ se ka bɔ.
A nafa ka bon ka fura minnu ta (minnu sɛbɛnnen don, fura minnu tɛ sɔrɔ dɔgɔtɔrɔso la, ani hali furabuluw) fɔ dɔgɔtɔrɔ ye sani aw ka opereli kɛ. Fura dɔw, kɛrɛnkɛrɛnnenya la joli segin furaw, olu bɛ se ka dɔ fara joli bɔli kan opereli senfɛ. O la, aw kana fura si tali dabila ni aw ma dɔgɔtɔrɔ ka laadilikan di.
Opereli bɛ kɛ cogo di?
O opereli bɛ kɛ dɔgɔtɔrɔw ka kulu dɔ fɛ min ɲɛmɔgɔya bɛ sugunɛbilennikɛla dɔ bolo. Anestezi caman bɛna di aw ma, o la aw tɛna dimi foyi sɔrɔ ani aw bɛna sunɔgɔ. Opereli kɛcogo kunba fila bɛ yen: 1.
Sistɛki da wulilen : O la, tigɛ bɛ kɛ kɔnɔbara ni kɔnɔbara cɛ, min bɛ se santimɛtɛrɛ 6-7 ma, dɔgɔtɔrɔ bɛ opereli kɛ o fɛ. 2.
Sistɛmu min tɛ fɛn caman kɛ: O bɛ se ka kɛ ni laparoscopie ye walima ni robo ye. O bɛ kɛ ni tigɛ misɛnnin 5-6 ye kɔnɔbara la, kamera ni minɛn nɔgɔlenw bɛ don minnu fɛ. Nafa min bɛ o la, o ye ko ŋɛɲɛ bɛ dɔgɔya ani a kɛnɛyali waati bɛ surunya.
Koli fɛɛrɛ kura dilancogo
Sugunɛ bɛɛ bɔlen kɔ, sira kura ka kan ka dabɔ sugunɛ ka bɔ farikolo la. O bɛ wele ko ‘opereli min bɛ mɔgɔ labɛn kokura.’ Fɛɛrɛba saba bɛ yen o kama.
| Segin-ka-bɔnye kɛcogo | Min bɛ kɛ dɔrɔn |
|---|
| Ileal ka kan ka kɛ | Banakɔtaa fitini dɔ bɛ ta ka sugunɛbaralabana siri a kun kelen na. A kun tɔ kelen bɛ nɔrɔ kɔnɔbara fari la, a bɛ da dingɛ dɔ kɔnɔ min bɛ wele ko stoma. Ostomi foroko bɛ bila stoma sanfɛ walasa ka sugunɛ lajɛ. |
| Continent Farikolo-yɔrɔ-ko-yɔrɔ-ko | Banakɔtaa fitini ni banakɔtaa belebele yɔrɔ dɔw bɛ kɛ ka foroko fitini (jidagayɔrɔ) dɔ dilan farikolo kɔnɔ min bɛ sugunɛ lajɛ. O fana bɛ tali kɛ kɔnɔbara fari la ni stoma ye. Nka kɛnɛma bɔrɔ tɛ yen. Siɲɛ caman tile kɔnɔ, aw bɛ tubabufura fitini (catheter) don a kɔnɔ walasa ka foroko in lankolonya. |
| Sugunɛbilenni (Neobladder). | Banakɔtaa yɔrɔ jan dɔ bɛ ta ka kɛ ka sugunɛ kura (Neobladder) dilan. O bɛ tali kɛ aw ka sugunɛbara la. O la aw bɛ se ka koli kɛ ka ɲɛ. Nka aw ka kan ka aw kɔnɔbara fasaw kuru walasa ka sugunɛ kɛ. Mɔgɔ dɔw ka kan ka baara kɛ ni katetɛri ye walasa k’a lankolonya pewu. |
Aw ka dɔgɔtɔrɔ bɛna baro kɛ ni aw ye ani ka a latigɛ fɛɛrɛ min ka fisa aw ma.
Mun bɛ se ka kɛ opereli kɔfɛ?
Opereli kɔfɛ, aw bɛna wuli ka taa dɔgɔtɔrɔso la. Tigɛyɔrɔw bɛna bandi siri. Dimimadafura bɛna di aw ma. Aw ka to dɔgɔtɔrɔso la waati jan bɛna ɲɔgɔn ta ka kɛɲɛ ni aw ye opereli suguya min kɛ. Ni tigɛ fitini dɔ kɛra, aw bɛ to dɔgɔtɔrɔso la tile kelen walima tile fila, ni opereli dabɔlen don, aw bɛ to dɔgɔtɔrɔso la dɔgɔkun kelen ɲɔgɔn. O waati kɔnɔna na, sɔgɔsɔgɔninjɛ baarakɛlaw bɛna aw ladon koɲuman. Ni ostomi bɔrɔ bɛ aw bolo, aw bɛna a baaracogo, a lankolonyacogo ani a caman cili kalan. A bɛ se ka
dɔgɔkun damadɔw fo kalo damadɔw kɛ walasa ka kɛnɛya pewu.
Farati jumɛnw bɛ o opereli in na?
I n’a fɔ opereli belebele tɔw bɛɛ, farati dɔw bɛ nin opereli in na.
- Joli bɔli
- Joli kurulen
- Banakisɛw
- Banakɔtaa gɛlɛyaw (kɔnɔboli, kɔnɔboli) .
- Sugunɛ balili ka a sababu kɛ sɔgɔsɔgɔninjɛ ye
- Tiɲɛni bɛ kɛ farikolo yɔrɔ wɛrɛw la
- Ji dalajɛli tigɛyɔrɔw la (seroma) .
Cɛ dɔw bɛ se ka gɛlɛya sɔrɔ cɛya la. Musow bɛ se ka gɛlɛya sɔrɔ kafoɲɔgɔnya la ni musoya yɔrɔ dɔ bɔra. Aw kana siran ka kuma aw ka dɔgɔtɔrɔ fɛ cɛnimusoya gɛlɛya ninnu kan.
Tuma jumɛn na aw ka kan ka taa dɔgɔtɔrɔso la joona?
Ni nin taamasiɲɛ ninnu dɔ ye aw ye aw ka opereli kɔfɛ,
aw bɛ aw ka dɔgɔtɔrɔ ladɔnniya joona walima aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la, o ka
kɔrɔtɔko ɲɛmɔgɔso (ETU) .
Lakɔlɔsili taamasiɲɛ minnu ka kan ka kɔlɔsi
| Banakisɛ sɔrɔli taamasiɲɛw | Sumaya, farigan, sugunɛ dibi walima sankaba. |
| Gɛlɛyaw bɛ sɔrɔ tigɛyɔrɔw la | Joli bɔli kojugu, funu, dimi, walima kuru bɔli ka caya. |
| Stoma gɛlɛyaw | Stoma ye nɛrɛmuguma ye, a ɲɛ ye bulama ye walima a ɲɛ ye bulama ye. |
| Taamasiɲɛ juguman wɛrɛw | Dusukunnata ni fɔɔnɔ basigilen, dimi min tɛ se ka muɲu, koli sebaliya walima koli gɛlɛya. |
Take-Home cikan
- Sistɛki ye opereli belebele ye, min bɛ mɔgɔ kisi, min bɛ kɛ bana dɔw kama i n’a fɔ sugunɛbaralabana kansɛri.
- A bɛ se ka kɛ ka ɲɛnamaya kɛ ni sugunɛ tɛ. Fɛɛrɛ suguya caman bɛ yen minnu bɛ se ka kɛ sababu ye ka farikolo dɛmɛ ka sugunɛ bɔ. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ fɛɛrɛ ɲuman kan min bɛ se ka kɛ aw bolo.
- A bɛ waati ta walasa ka i yɛrɛ dege fɛn caman na minnu bɛ kɛ i farikolo la opereli kɔfɛ. O ye ko ye min tɛ kojugu ye. I mago bɛ dɛmɛ min na dusukunnataw ni farikolo ta fan fɛ, i kana siga o la.
- Kɛnɛya waati, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔso ladilikan ɲini joona ni lasɔmini taamasiɲɛ dɔw bɔra a la.
- Ni aw bɛ a furakɛ ka ɲɛ ani ni aw ye hakilina ɲuman sɔrɔ, aw bɛ se ka ɲɛnamaya kɛcogo ɲuman mara hali opereli kɔfɛ.
Sistɛki, sugunɛ bɔli, sugunɛ kansɛri, sugunɛbaralabana, ostomi foroko, sugunɛbaralabana, opereli, sugunɛbaralabana, sugunɛ
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Ko foyi ma bila fɔlɔ. Aw ka kuma fɔlen fara a kan yan a siɲɛ fɔlɔ la.
Aw ka kuma fɔlen fara a kan