Yala i delila ka operelikɛla dɔ mɛn k’a fɔ k’u ye “ joli jɔ ni kuran ye” i ka opereli senfɛ wa? Walima laala i y’a ye ko dɔgɔtɔrɔ dɔ bɛ baara kɛ ni baarakɛminɛn kɛrɛnkɛrɛnnen dɔ ye walasa ka fari taamasiɲɛ walima a falen dɔ bɔ ‘kuran fɛ’ wa? Hali n’a tɔgɔ bɛ se ka kɛ siranfɛn ye, o furakɛli fɛɛrɛ in bɛ wele ko Electrosurgery. Hali n’a mankan bɛ cogo min na, a ye fɛɛrɛ ye min ka ca kosɛbɛ, min tɛ mɔgɔ tɔɔrɔ, wa a bɛ nɔ bɔ, min bɛ kɛ opereli kɛcogo la diɲɛ fan bɛɛ. Nirogi Lanka la, an b’a fɛ k’aw dɛmɛ k’a faamuya tigitigi nin bɛ min na, kuma nɔgɔmanw na.
N’an y’a fɔ cogo nɔgɔman na, Electrosurgery ye mun ye?
Kuranko opereli ye opereli fɛɛrɛ ye min bɛ kuran caman kɛ ka farikolo yɔrɔw tigɛ, ka farikolo yɔrɔw tiɲɛ minnu man ɲi, walima ka joli jɔ (coagulation). O kɛcogo senfɛ, Electrosurgical Unit (ESU) bɛ kuran bɔ, o kɔfɛ, a bɛ ci minɛn dɔ ma min bɛ i n’a fɔ sɛbɛnnikɛlan, n’o bɛ wele ko kuran, i ka dɔgɔtɔrɔ bɛ min minɛ. Ni o minɛn in magara yɔrɔ laɲininen na, kuran min bɛ tɛmɛ o yɔrɔ la, o bɛ funteni lawuli.
Aw bɛ miiri a la i n’a fɔ kuran jisumalan min bɛ ji suma, nka o nɔ na, a bɛ aw farikolo yɔrɔ fitinin tigitigi dɔrɔn de laɲini ani ka a sumaya.
O funteni in de bɛ a to operelikɛla bɛ se ka yɔrɔ furakɛ ka ɲɛ. A ka ca a la, a bɛ kɛ ka farilajiw, kurukuruw ani falenfɛn misɛnnin wɛrɛw bɔ. A nafa ka bon fana opereli waatiw la ka joli sira misɛnniw datugu walasa joli kana bɔ. Tuma dɔw la, o de ye fura fɔlɔ ye, tuma wɛrɛw la, a bɛ kɛ ni opereli fɛɛrɛ wɛrɛw ye.
Kuranko suguya jɔnjɔnw ye jumɛnw ye?
Kuranko opereli suguya kɛrɛnkɛrɛnnen damadɔ bɛ yen minnu dabɔra kɛnɛyaso mago suguya wɛrɛw kama:
| Ka sɛbɛen masin na | A bɛ baara kɛ cogo min na |
|---|---|
| Kuranko (Electrofulguration) bɛ kɛ | Elektɔri tɛ maga fari la k’a ɲɛsin a ma. A bɛ minɛ milimɛtɛrɛ damadɔw la, ka kuran sɔgɔsɔgɔninjɛ dɔ kɛ ka fari sanfɛla furakɛ. |
| Elektɔrodisiki (Electrodéssication) ye | Elektɔri kun bɛ maga laɲini yɔrɔ la k’a ɲɛsin a ma. Kuran bɛ ja ka farikolo yɔrɔ tiɲɛ, a ka ca a la, a bɛ kɛ ka farilaji walima kurukuruw bɔ. |
| Elektɔrokoagulation (Elektrocoagulation) (Elektrocoagulation). | O bɛ nɔ bila farikolo yɔrɔw la minnu ka dun, wa a bɛ kɛ fɔlɔ walasa ka joli kuruli sabati ani ka joli bɔli dabila. |
| Kuranko (Electrosection) bɛ kɛ | A bɛ kɛ i n’a fɔ kuran sɔgɔlan, o bɛ kɛ ka farikolo yɔrɔw tigɛ ani ka u fara ɲɔgɔn kan ka saniya ani ka u fara ɲɔgɔn kan ka ɲɛ. Tuma caman na, a bɛ suma ni “tulu tigɛ ni muru sumalen ye.” |
Yala Electrocautery tɛ kelen ye wa?
Ɔwɔ, kuran sɔgɔli ni ɲɔgɔn cɛ tɛ kelen ye dɔɔni. Kuranko opereli la, kuran bɛ tɛmɛ i farikolo yɔrɔw fɛ. Kuranko la, kuran bɛ minɛn nɛgɛ kun dɔrɔn de sumaya, o kɔfɛ, o kun min tun sumana ka kɔn, o bɛ maga farikolo yɔrɔ la walasa k’a tiɲɛ walima ka joli dabila. N’an y’a fɔ cogo nɔgɔman na: kelen na, jikuru bɛ taama i fɛ; tɔ kelen na , baarakɛminɛn funteniman dɔ bɛ Kɛ .
Nin bɛ kɛ cogoya jumɛnw de kama?
Kuranko opereli bɛ kɛ furakɛli kɛrɛnkɛrɛnnen caman na:
- Farikolodɔgɔtɔrɔso : Farikolodɔgɔtɔrɔw bɛ to ka baara kɛ ni nin ye walasa ka falenfɛn ɲumanw bɔ i n’a fɔ kurukuruw ni farilajidɛsɛ . a bɛ kɛ fana ka fari kansɛri dɔw furakɛ . Misali la, `ED&C (Electrodessication & Curettage)` kɔnɔ, aw ka dɔgɔtɔrɔ bɛ kurukuru in sɔgɔsɔgɔ ka sɔrɔ ka kuran opereli kɛ walasa ka kansɛribana tɔw bɛɛ tiɲɛ .
- Opereli bɛɛ lajɛlen : A nafa ka bon kosɛbɛ fɛɛrɛw la i n’a fɔ `Endoscopy`, a bɛ kɛ ka kɔnɔna falenfɛnw bɔ walima ka joli bɔli kunbɛn farikolo kɔnɔ.
Mun bɛ kɛ wale kɛtuma na?
Fɔlɔ, sigida la anestezi bɛ di aw ma walasa ka yɔrɔ in sɔgɔsɔgɔ walasa dimi kana kɛ aw la, walima aw bɛ se ka aw bila anestezi bɛɛ la ka kɛɲɛ ni a gɛlɛya ye. Min bɛ Kɛ o kɔ fɛ, o bɛ Bɔ ni `Monopolar` walima `Bipolar` fɛɛrɛ bɛ Kɛ.
Elektɔ-cirurgie monopolar
O de ye fɛɛrɛ ye min ka teli ka kɛ. “Mono” kɔrɔ ye “kelen.” O fɛɛrɛ in na, elekitorode (elektɔri) kun kelen dɔrɔn de bɛ maga i fari la walasa ka kuran lase, ka sɔrɔ dugukolo-yɔrɔ dɔ bɛ i farikolo yɔrɔ wɛrɛ la, o bɛ ciriw dafa.
1. ESU masin bɛ kuran fanga lase elekitorode baarakɛta ma (aw ka dɔgɔtɔrɔ bɛ minɛn min minɛ i n’a fɔ sɛbɛnnikɛlan).
2. O kuran in bɛ tɛmɛ i farikolo yɔrɔw fɛ, ka yɔrɔ laɲininen sumaya.
3. O kɔfɛ, jikuru bɛ tɛmɛ aw fari fɛ ka taa “dugukolo-yɔrɔ” (elektrode dispersive) dɔ la min bɛ bila aw cɛmancɛ la walima yɔrɔ wɛrɛ la min bɛnnen don.
4. A laban na, kuran bɛ bɔ dugukolo kan ka segin ESU masin na walasa ka kafoda dafa.
Bipolar Electrosurgery (Elektro-opération) min bɛ kɛ ni bipolar ye
“Bi” kɔrɔ ye “fila.” O fɛɛrɛ in na, elekitorode kun fila bɛɛ bɛ maga i fari la. Miiri k’a filɛ, aw ka dɔgɔtɔrɔ bɛ farikolo yɔrɔ laɲininen minɛ ni baarakɛminɛn ye min bɛ i n’a fɔ foroko fila.
1. Kuran bɛ don farikolo la ka tɛmɛ foroko fan kelen fɛ (elektrode active).
2. Kuran bɛ taa yɔrɔ surunba dɔrɔn na ka tɛmɛ farikolo yɔrɔ fɛ ka taa foroko fan dɔ fɛ (segin-ka-bɔn).
3. Ka bɔ yen, kuran bɛ segin ka taa ESU masin na, ka kafoda dafa.
Opereli kelen na, kuran bɛ taa yɔrɔ jan i farikolo la, k’a sɔrɔ Bipolar opereli la, a bɛ tɛmɛ farikolo yɔrɔ fitinin dɔrɔn de fɛ min bɛ foroko kun fila cɛ. O bɛ Bipolar fɛɛrɛ kɛ farati ye banabagatɔw ma minnu ka furakɛli minɛnw donna u la i n’a fɔ ` Pacemaker ` walima `Defibrillator`.
Nafa jumɛnw bɛ nin wale in na?
Kuranko opereli bɛ nafa caman lase mɔgɔ ma ka tɛmɛ laadala sɔgɔsɔgɔninjɛ opereli kan:
- Tiɲɛni: Tiɲɛni bɛ kɛ farikolo yɔrɔ kɛnɛmanw na, o ka dɔgɔn.
- Joli dɔgɔyali: A ka ca a la, joginda bɛ dɔgɔya ni farikolo yɔrɔ dɔw bɔra.
- Nafa sɔrɔli: Tissue ablation bɛ se ka kɛ joona.
- Joli jɔli (Joli bɔli kunbɛncogo) : A bɛ a to dɔgɔtɔrɔ ka joli jɔ o yɔrɔnin bɛɛ, o bɛ opereli waati dɔgɔya kosɛbɛ.
Yala kɔlɔlɔ walima farati dɔw bɛ a la wa?
Kuranko opereli farati ka bon kosɛbɛ ni a kɛra dɔgɔtɔrɔso baarakɛla ŋana dɔ fɛ. Hali ni i n’a fɔ fɛɛrɛ tɔw bɛɛ, faratiw bɛ yen minnu bɛ sɔrɔ a yɛrɛ la, aw ka dɔgɔtɔrɔso jɛkulu bɛ fɛɛrɛ bɛɛ tigɛ walasa ka u dɔgɔya.
- Jeninida: Ni fanga ka bon kojugu, fari jeninida kasaara bɛ se ka kɛ. Walasa ka o bali, aw ka dɔgɔtɔrɔ bɛna a daminɛ tuma bɛɛ ni fanga hakɛ fitinin ye min ka kan ka kɛ baara in na.
- Kuranko : O bɛ se ka kɛ ni dugukolo-yɔrɔ ma da ka ɲɛ. Nka, o ka dɔgɔ kosɛbɛ bawo i ka kulu bɛna ɲɔgɔndan bɛɛ lajɛ siɲɛ fila sani taabolo ka daminɛ.
- Banakisɛw: Walasa ka banakisɛw bali, aw ka jɛkulu bɛ baara kɛ kosɛbɛ ni minɛnw ye minnu sterililen don. An bɛ baara kɛ ni sisi bɔli fɛɛrɛw fana ye walasa ka a jira ko sɔgɔsɔgɔninjɛ min bɛ dabɔ farikolo yɔrɔw jeni waati la, o ka bɔ lafiya la.
- Joli bɔli : Tuma dɔw la, ka kɛɲɛ ni farikolo yɔrɔ ye, joli bɛ se ka caya ka tɛmɛ a tun bɛ miiri min na. Aw ka dɔgɔtɔrɔ bɛ se k’o ɲɛnabɔ nɔgɔya la ni a ye ESU sigicogo ladilan.
- Fari ɲɛgɛnɛsira caman yeli : Kuranko opereli suguya dɔw bɛ se ka kɛ sababu ye ka `Hypopigmentation` (fari yeelen bɔ yɔrɔ la). Aw ka dɔgɔtɔrɔ bɛna baro kɛ ni o ye farati ye aw ka furakɛli kɛrɛnkɛrɛnnen na.
- Fɛn minnu bɛ don fɛnw doncogo la:I n’a fɔ a fɔra cogo min na, kuran opereli monopolar bɛ se ka dusukun minɛnw bali i n’a fɔ `Pacemakers` walima `Defibrillators`. A nafa ka bon kosɛbɛ aw ka dɔgɔtɔrɔ ladɔnniya fɛn o fɛn na min bɛ don a la sani opereli ka kɛ walasa u ka se ka fɛɛrɛ ɲuman sugandi aw ye.
A kɛnɛyali bɛ waati joli ta?
Kɛnɛya waati bɛ bɔ aw ka fɛɛrɛ suguya de la pewu.
- Ni fɛɛrɛ misɛnniw kɛra, i n’a fɔ farilajidɛsɛ walima joginda misɛnni bɔli, a ka ca a la kɛnɛyali bɛ dɔgɔkun kelen ɲɔgɔn ta .
- Fɛɛrɛ minnu ka dun, olu bɛ se ka dɔgɔkun fila fo dɔgɔkun naani walima ka tɛmɛ o kan walasa ka kɛnɛya dafalen sɔrɔ.
Aw ka dɔgɔtɔrɔ bɛna kɛnɛya waati kɛrɛnkɛrɛnnen dɔ di aw ma min bɛ bɛn aw ka furakɛli ma.
Tuma jumɛn na ne ka kan ka taa n ka dɔgɔtɔrɔ fɛ?
Aw ka wale kɛlen kɔfɛ, ni aw ye basi sɔrɔ min tɛ jɔ ni aw ye degun basigilen kɛ miniti 20 kɔnɔ, aw bɛ taa dɔgɔtɔrɔso la joona. Ni joli ka bon walima ni a tɛ se ka kunbɛn, aw bɛ taa kɔrɔtɔko ɲɛmɔgɔso la min ka surun aw la (ED) .
Ka fara o kan, aw kana siga ka aw bolo kɔrɔta dɔgɔtɔrɔ fɛ ni aw ye banakisɛ taamasiɲɛw ye (i n’a fɔ kuru walima bilenni), dimi jugumanba, walima ni joginda tɛ kɛnɛya i n’a fɔ a tun bɛ fɔ cogo min na.
Takeaways (Takeaways) kunbabaw
- Kuranko opereli ye opereli fɛɛrɛ ye min bɛ kɔlɔsi kosɛbɛ, farati tɛ a la, ani min bɛ kɛ ka caya—a bɛ kɛ ka ɲɛ kosɛbɛ ka tɛmɛ “jeni ni kuran ye” daɲɛ b’a jira cogo min na.
- A bɛ kɛ ka ɲɛ walasa ka farilaji ni joginda bɔ, ka fari kansɛri dɔw furakɛ, ani ka joli bɔli kunbɛn joona opereli waati.
- Ni a kɛra dɔnnikɛla dɔ fɛ, faratiw ka dɔgɔn kosɛbɛ, ni sariya gɛlɛnw bɛ sigi sen kan walasa ka gɛlɛyaw bali i n’a fɔ jeninida walima banakisɛw.
- Ni furakɛlifɛn dɔ bɛ aw bolo i n’a fɔ Pacemaker, aw ka kan ka dɔgɔtɔrɔ ladɔnniya sani a ka kɛ.
- Ni aw ye taamasiɲɛ haminanko dɔw ye aw ka kɛnɛya waati la, i n’a fɔ joli caman bɔli walima banakisɛ taamasiɲɛw, aw bɛ taa dɔgɔtɔrɔso la joona.
