Aw kana siran ka ‘jeni jikuruw fɛ’! An ka kunnafoni sɔrɔ Kuranko kan.

Yala i delila ka mɔgɔ dɔ mɛn min y’a fɔ ko: “Kuran ye joli bɔli dabila ” opereli senfɛ wa? Walima i delila ka dɔgɔtɔrɔ dɔ ye ka minɛn fitinin dɔ kɛ o yɔrɔ la walasa ka fɛn dɔ bɔ i n’a fɔ kuru walima kuru dɔ wa? Nin furakɛli fɛɛrɛ in, n’i mankan bɛ siran dɔɔnin n’i y’a tɔgɔ mɛn, o bɛ wele ko `Electrosurgery` furakɛli dɔnniya la. Hali ni nin tɔgɔ in bɛ se ka kɛ i n’a fɔ koba, tiɲɛ yɛrɛ la, a ye fɛɛrɛ ye min bɛ kɛ ka caya kosɛbɛ ani min tɛ mɔgɔ tɔɔrɔ opereli la diɲɛ fan bɛɛ. O la, an ka kuma o kan tigitigi ani cogo nɔgɔman na bi.

N’an y’a fɔ cogo nɔgɔman na, Electrosurgery ye mun ye?

Kuranko opereli ye opereli ye min bɛ kɛ ni kuran ye min bɛ kɛ ka farikolo yɔrɔw tigɛ, ka farikolo yɔrɔw tiɲɛ minnu man ɲi, walima ka joli jɔ (coagulation). O la, kuran min bɛ bɔ masin dɔ fɛ min bɛ wele ko ``Electrosurgical Unit (ESU)``, o bɛ ci ka taa minɛn fitinin dɔ la min bɛ i n’a fɔ sɛbɛnnikɛlan (elektrode) dɔgɔtɔrɔ bɛ baara kɛ ni min ye. Ni kuran min bɛ bɔ o minɛn in na, o ɲɛsinnen bɛ yɔrɔ la min bɛ furakɛ, funteni bɛ bɔ ni kuran bɛ tɛmɛ o yɔrɔ la.

Funteni min bɛ Bɔ o cogo la, o bɛ o farikolo yɔrɔw tiɲɛ minnu man ɲi. Nka o tiɲɛni in de b’an dɛmɛ. Ni an bɛ baara kɛ ni nin fɛɛrɛ in ye, an bɛ se ka falenfɛnw ni kurukuruw bɔ fari la minnu man ɲi. A bɛ kɛ fana ka joli sira misɛnniw datugu minnu bɛ tigɛ opereli senfɛ ani ka joli jɔ. Tuma dɔw la, a bɛ kɛ i n’a fɔ furakɛli jɔlen, tuma wɛrɛw la, a bɛ kɛ ka fara furakɛli wɛrɛw kan.

Kuranko opereli suguya jɔnjɔnw ye jumɛnw ye?

O fɛɛrɛ suguya damadɔ bɛ yen minnu dabɔra ka bɛn mago suguya wɛrɛw ma. An k’a lajɛ u ye min ye.

Yala kuran sɔgɔli ye fɛn wɛrɛ ye min tɛ kelen ye wa?

Ɔwɔ, ` electrocautery` ye fɛɛrɛ ye min ni tɔw tɛ kelen ye dɔɔnin. Kuran opereli la, kuran bɛ tɛmɛ farikolo yɔrɔw fɛ k’a ɲɛsin a yɛrɛ ma. Nka electrocautery , kuran bɛ tɛmɛ minɛn kuncɛ dɔrɔn fɛ. O la, fɔlifɛn kuncɛ bɛ sumaya. O kɔ, ni o kun sumalen magara farikolo yɔrɔ la, funteni tilennen bɛ farikolo yɔrɔ tiɲɛ walima ka joli jɔ. N’an y’a fɔ cogo nɔgɔman na, ko dɔ la, kuran bɛ tɛmɛ o fɛnɲɛnamafagalan fɛ, tɔ kelen na, minɛn sumalen dɔ bɛ kɛ.

Nin fɛɛrɛ in bɛ kɛ bana suguya jumɛnw de kama?

Kuranko ye fɛn ye min bɛ kɛ furakɛli baara caman na.

• Farikolodɔgɔtɔrɔso: Farikolodɔgɔtɔrɔw ka teli ka baara kɛ ni nin fɛɛrɛ in ye. a bɛ se ka joginda ɲumanw bɔ i n' a fɔ kurukuruw ni farilajidɛsɛ . a bɛ kɛ fana ka fari kansɛri suguya dɔw furakɛ . Misali la, ED&C (Electrodessication & Curettage) fɛɛrɛ dɔ la, dɔgɔtɔrɔ bɛ kansɛri kuru fɔlɔ sɔgɔ ka bɔ yen, ka tila ka kuran opereli kɛ walasa ka kansɛribana tolenw bɛɛ tiɲɛ .
• Opereli wɛrɛw : O nafa ka bon opereli wɛrɛw la, kɛrɛnkɛrɛnnenya la opereli minnu bɛ kɛ ni endoskopi ye (sɛgɛsɛgɛli minnu bɛ kɛ ni kamera ye walasa ka farikolo kɔnɔna lajɛ), walasa ka farikolo yɔrɔw bɔ minnu man ɲi (misali la, kuru misɛnniw) walima ka joli bɔli kunbɛn

Mun bɛ kɛ furakɛli waati?

Fɔlɔ, aw bɛna fura dɔ di aw ma min bɛ aw fari faga walasa ka yɔrɔ min furakɛ, aw bɛ o yɔrɔ lajɔ, walima aw bɛ se ka lafiya pewu . Min bɛ kɛ o kɔfɛ, o bɛ bɔ ni `monopolar` walima `bipolar` bɛ i la.

Elektɔ-cirurgie monopolar

Nin ye fɛɛrɛ ye min bɛ kɛ ka caya. “Mono” kɔrɔ ye “kelen.” Yan, elekitorode kun kelen dɔrɔn de bɛ kɛ i fari la.

1. Kuran min bɛ bɔ ESU masin na, o bɛ na ni elekitorode baarakɛta ye (minɛn min bɛ i n’a fɔ sɛbɛnnikɛlan min bɛ dɔgɔtɔrɔ bolo).

2. O kuran in bɛ tɛmɛ i farikolo yɔrɔw fɛ ka o yɔrɔ sumaya.

3. O kɔfɛ, kuran bɛ tɛmɛ farikolo la ka taa “grounding pad” (elektrode dispersive) dɔ la min sirilen bɛ i cɛmancɛ la walima yɔrɔ wɛrɛ la.

4. A laban na, kuran min bɛ bɔ o dugukolo-yɔrɔ la, o bɛ segin ka taa ESU masin na, ka kafoda dafa.

Bipolar Electrosurgery (Elektro-opération) min bɛ kɛ ni bipolar ye

“Bi” kɔrɔ ye “fila.” O la, elekitorode kun fila bɛ kɛ aw fari la. Miiri k’a filɛ, dɔgɔtɔrɔ bɛ ka farikolo yɔrɔ minɛ min bɛ furakɛ ni minɛn ye min bɛ i n’a fɔ foroko.

1. Kuran bɛ don farikolo yɔrɔ la ka bɔ elekitorode fan kelen fɛ (elektrode active).

2. O kuran bɛ taa yɔrɔ surunba la farikolo yɔrɔ la ka sɔrɔ ka taa elekitorode fan dɔ fɛ (elektɔri segin).

3. Ka bɔ yen, kuran bɛ segin ka taa ESU masin na, ka sɛrɛkili dafa.

Nafa jumɛnw bɛ o fɛɛrɛ in na?

Kuranko opereli ye fɛɛrɛ ye min nafa ka bon ka tɛmɛ tigɛ dɔrɔn kan ni sɔgɔsɔgɔninjɛ ye.

• Furakɛli min ɲɛsinnen don a ma: Tiɲɛni dɔɔni tɛ a lamini farikolo yɔrɔ kɛnɛmanw na.
• Joli dɔgɔyali : Nɔgɔ hakɛ min bɛ sɔrɔ farikolo yɔrɔw bɔli fɛ, o bɛ dɔgɔya.
• Teliya : Farikolo yɔrɔw tiɲɛni (ablation) bɛ se ka kɛ joona.
• Joli bɔli dabila : Joli bɛ se ka jɔ joona kosɛbɛ, o bɛ dɔ bɔ opereli waati la.

Yala kɔlɔlɔ walima farati dɔw bɛ a la wa?

Nin ye fɛɛrɛ ye min farati ka bon kosɛbɛ ni dɔgɔtɔrɔ dɔnbaga dɔ y’a kɛ. Nka, i n’a fɔ a bɛ kɛ cogo min na furakɛli kɛcogo bɛɛ la, farati dɔw bɛ o la. Nka, dɔgɔtɔrɔw bɛ fɛɛrɛ bɛɛ tigɛ walasa ka o faratiw dɔgɔya.

• Jeninida: Ni a bɛ i n’a fɔ kuran fanga ka bon kojugu, jeninida bɛ se ka kɛ. Walasa k’o bali, dɔgɔtɔrɔw bɛ daminɛ tuma bɛɛ ni fanga dɔgɔmannin ye .
• Kuran : Ni dugukolo-yɔrɔ ma siri ka ɲɛ, i bɛ se ka kuran sɔrɔ. Nka, o kɛcogo ka dɔgɔn kosɛbɛ, barisa fɛn bɛɛ bɛ lajɛ ka ɲɛ sani furakɛli ka kɛ.
• Banakisɛw: Banakisɛw bɛ se ka sɔrɔ ni minɛn minnu bɛ kɛ, olu ma sterilize ka ɲɛ. Ani fana, banakisɛw bɛ se ka jɛnsɛn sisi fɛ min bɛ bɔ ni farikolo yɔrɔw jeni. O de kama, dɔgɔtɔrɔw bɛ baara kɛ ni minɛn sterilize dɔrɔn de ye, wa u bɛ o furakɛli ninnu kɛ so minnu kɔnɔ, sisi fiɲɛbɔlanw bɛ minnu kɔnɔ.
• Joli bɔli: .Tuma dɔw la, farikolo yɔrɔw tiɲɛni bɛ se ka kɛ sababu ye ka joli bɔ ka tɛmɛ a tun bɛ fɔ cogo min na, nka dɔgɔtɔrɔ bɛ se k’a kunbɛn ni a ye ESU masin ka sigicogo caman Changer.
• Fari kulɛri jiginni : Kuranko opereli suguya dɔw kɔfɛ, fari bɛ se ka fin furakɛli yɔrɔ la (hypopigmentation). Aw ka dɔgɔtɔrɔ bɛna kɔn k’a ɲɛfɔ aw ye ni farati bɛ o la ka bɔ furakɛli la.
• Gɛlɛya minnu bɛ minɛnw na minnu bɛ don mɔgɔ kɔnɔ : I n’a fɔ a fɔra cogo min na ka tɛmɛ, kɛrɛnkɛrɛnnenya la, Monopolar fɛɛrɛ bɛ se ka ɛntɛrinɛti minɛnw baara bali i n’a fɔ pacemaker ani defibrillateurs. Ni o minɛn sugu bɛ aw bolo, aw ka kan ka dɔgɔtɔrɔ ladɔnniya kosɛbɛ sani opereli ka kɛ. O kɔ, u bɛna fɛɛrɛ min ka fisa ni tɔw bɛɛ ye, o sugandi aw ye.

A bɛna waati joli ta ka kɛnɛya?

O bɛ bɔ furakɛli suguya de la.

• Ni fɛn dɔ bɔra i n’a fɔ kuru walima kuru min bɛ fari sanfɛla la, a bɛ dɔgɔkun kelen ɲɔgɔn ta ka sɔrɔ joginda ka kɛnɛya.
• Ni joginda juguman don, a bɛ se ka dɔgɔkun fila fo dɔgɔkun naani walima ka tɛmɛ o kan.

Dɔgɔtɔrɔ bɛna kɛnɛya waati ɲɛfɔ aw ye ka kɛɲɛ ni aw ka bana ye.

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

Furakɛli kɔfɛ, ni joli bɛ bɔ aw joginda la , ni a ma jɔ miniti 20 degun basigilen kɔfɛ, aw bɛ dɔgɔtɔrɔ wele joona. Ni basi ka gɛlɛn, aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la, o ka kɔrɔtɔko yɔrɔ (ETU) .

Ani fana, ni a bɛ i n’a fɔ joginda bɛ ka wuli, dimi caman bɛ a la, walima ni aw y’a ye ko a tɛ kɛnɛya i n’a fɔ a tun bɛ fɔ cogo min na, aw kana mɛn ka kuma aw ka dɔgɔtɔrɔ fɛ.