Yala dɔgɔtɔrɔ y’a fɔ aw ye walima aw dɔnbaga dɔ ko aw ka kan ka sugunɛ opereli kɛ wa? A ka ca a la ka siran dɔɔni ani ka siran dɔɔni ni i ye ‘sugunɛ yɔrɔ dɔ bɔli’ daɲɛ mɛn. Sugunɛ ye farikolo yɔrɔ ye min nafa ka bon kosɛbɛ an farikolo la. Nka n’i y’a faamu ka ɲɛ , o siran bɛ se ka dɔgɔya fo ka se hakɛ dɔ ma. O la bi, an ka kuma nin opereli in kan, min bɛ sugunɛ yɔrɔ dɔ bɔ, n’o bɛ wele ko ‘hepatectomy’, cogo nɔgɔmanba la, i bɛ se ka min faamuya.
N’an y’a fɔ cogo nɔgɔman na, sugunɛbilenni ye mun ye?
Sugunɛbilenni ye opereli ye min bɛ i ka sugunɛ yɔrɔ bananen dɔ walima a bɛɛ bɔ. Fɛn min ye kabako ye ani min ka fisa ni tɔw bɛɛ ye, o ye ko se kabakoma bɛ an ka sugunɛ na ka a yɛrɛ labɛn kokura . Ni aw ka sugunɛ yɔrɔ tɔ kɛnɛyara, hali ni aw ye a tilayɔrɔba fila bɔ, a yɔrɔ tɔ bɛ se ka bonya ka segin a bonya fɔlɔ la waati kunkurunnin kɔnɔ. Yala o tɛ kabako ye wa?
Mun na a ka kan ka nin opereli sugu kɛ?
Kunba caman bɛ nin opereli in na. A ka ca a la, opereli in bɛ kɛ walasa ka tumuw bɔ minnu bɔra sugunɛ na. Tuma dɔw la, o opereli in bɛ kɛ fana ka sugunɛ yɔrɔ dɔ di walasa ka mɔgɔ wɛrɛ ka ɲɛnamaya kisi.
| Kun | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Tumu minnu bɛ sɔrɔ kansɛri fɛ | Aw bɛ kansɛriw bɔ minnu bɛ daminɛ sugunɛ na (Primary Liver Cancer), ani kansɛri minnu jɛnsɛnna sugunɛ na ka bɔ farikolo yɔrɔ wɛrɛ la (misali la, kolotuguda) (Secondary/Metastatic Cancer). a suguya minnu ka teli ka sɔrɔ olu ye sugunɛbilenni kansɛri ni kolosinsinnanw ye . |
| Tumu ɲumanw (tumours benines). | Ninnu tɛ kansɛri ye, nka u bɛ bɔ a la barisa u bonya bɛ bonya ka dimi ni dusukasi bila mɔgɔ la. Misali la, Adenoma ani Liver Cysts (ji falen bɛ ji la sugunɛ na). |
| Galo kabakurunw bɛ sɔrɔ sugunɛ na | Ni kabakurunw bɛ ka biɲɛdimi siraw datugu sugunɛ kɔnɔ ani ka banakisɛ bila mɔgɔ la, o yɔrɔ bɛ bɔ. |
| Sugunɛ-donbaga ɲɛnama | Mɔgɔ kɛnɛman b’a ka sugunɛ yɔrɔ dɔ di mɔgɔ ma min mago bɛ sugunɛbilenni na. Opereli kɔfɛ, sugunɛ fila bɛɛ bɛ segin ka bonya ka se u bonya dafalen ma. |
O opereli in ka jugu cogo di? Yala farati dɔw bɛ yen wa?
Ni an b’a fɛ ka tiɲɛ fɔ, ɔwɔ. o bɛ jate opereli ye min ka gɛlɛn fɛɛrɛko siratigɛ la ani min ka gɛlɛn . O kunba ye ko sugunɛ ye farikolo yɔrɔ ye min joli ka ca. O la, joli bɔli farati ka bon opereli senfɛ. O de kama, opereli ninnu bɛ kɛ operelikɛlaw fɛ minnu ka kalan kɛrɛnkɛrɛnnen don ani minnu ka dɔnniya bɛ o baara in na.
Opereli faratiw bɛ bɔ sugunɛ yɔrɔ bɔlen bonya la ani aw ka sugunɛ kɛnɛya bɛɛ lajɛlen na.
- Resection minor : Ni sugunɛ tilancɛ ma bɔ, a farati ka dɔgɔn. A ka ca a la, olu bɛ kɛ ni ‘keyhole’ opereli ye (laparoscopique opereli) walima robo opereli .
- Resection Major : Ni sugunɛ tilancɛ ni kɔ bɔra, opereli bɛ gɛlɛya ka taa a fɛ ani farati bɛ a la.
O la, ni aw bɛna nin opereli suguya in kɛ, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ sugandi min ka dɔnniya ka ɲi ani dɔgɔtɔrɔso min ka baarakɛminɛnw bɛ yen .
Mun bɛ kɛ sani opereli ka kɛ?
Sani a ka opereli kɛ aw la, dɔgɔtɔrɔ bɛna fɛn caman sɛgɛsɛgɛ ka ɲɛ.
Dɔgɔtɔrɔ bɛ fɛn minnu jateminɛ
- Yala i farikolo kɛnɛya barika ka bon fo i bɛ se ka o opereli belebele sugu muɲu wa?
- Yala yɔrɔ dɔ bɛ sugunɛ na, opereli bɛ se ka kuru bɔ yɔrɔ min na wa?
- Ni kansɛri don, yala a jɛnsɛnna yɔrɔ wɛrɛw la sugunɛ kɔkan wa?
- Yala sugunɛ yɔrɔ tɔ opereli kɔfɛ, o bɛ se ka kɛ sababu ye ka farikolo ka baara kɛ ka taa a fɛ wa?
Walasa ka o kow dafa, aw ka dɔgɔtɔrɔ bɛna a ɲini aw fɛ aw ka sɛgɛsɛgɛli dɔw kɛ.
- Jaa sɛgɛsɛgɛliw: CT scan walima MRI scan .
- Joli sɛgɛsɛgɛli (Sugunɛ baarakɛcogo sɛgɛsɛgɛli): Aw bɛ sugunɛ baara jateminɛ.
- Sugunɛbilenni (Liver Biopsy): Aw bɛ farikolo yɔrɔ fitini dɔ ta ka bɔ sugunɛ na walasa ka a sɛgɛsɛgɛ.
Tuma dɔw la, kɛnɛyaji walima chimiothérapie bɛ se ka kɛ sani opereli ka kɛ walasa ka kansɛri bonya dɔgɔya ani ka opereli nɔgɔya ani ka kɛ farati ye.
Opereli kɛcogo jumɛnw bɛ yen?
Fɛɛrɛba fila bɛ yen: Opereli dafalen ani opereli min tɛ fɛn caman kɛ.
| Opereli kɛcogo | Cogojirali |
|---|---|
| Opereli da wulilen | Opereli bɛ kɛ ni kɔnɔbara da wuli ye ni tigɛ jan kelen ye kɔnɔbara la. Nin fɛɛrɛ in ka fisa ni kuru gɛlɛnw ni kuru belebelebaw bɔli ye. |
| Opereli min bɛ kɛ ni laparoskopi ye/robotiki ye | Opereli bɛ kɛ ni tigɛyɔrɔ misɛnni 4-6 ye, kamera ni minɛn kɛrɛnkɛrɛnnenw bɛ don a kɔnɔ. Tigɛyɔrɔw ka dɔgɔn, o la dimi ka dɔgɔn, u bɛ kɛnɛya joona, ani kuru fitiniw bɛ u la. |
Mun bɛ kɛ opereli kɔfɛ? A bɛ waati joli ta walasa ka kɛnɛya?
Opereli kɔfɛ, aw bɛ se ka to furakɛli gɛlɛnw yɔrɔ la (ICU) tile kelen walima tile fila kɔnɔ. Aw bɛna jibolisiraw sɔrɔ walasa ka ji bɔ aw fari la ani balodɛsɛbanakisɛw la. Ni aw bɛ kɛnɛya, aw bɛna taa dɔgɔtɔrɔso la min bɛ kɛ tuma bɛɛ.
- Dɔgɔtɔrɔso ladonni: A ka ca a la, aw bɛna to dɔgɔtɔrɔso la dɔgɔkun kelen ɲɔgɔn.
- Ka kɛnɛya so kɔnɔ:
- Ni aw ye opereli dafalen kɛ, a bɛ se ka dɔgɔkun 4 ni dɔgɔkun 8 cɛ walasa ka kɛnɛya pewu.
- Ni opereli don min bɛ kɛ ni kilisi ye, a kɛnɛyali bɛ se ka dɔgɔkun 2 ni dɔgɔkun 4 cɛ .
- Nafama: Aw bɛ aw yɛrɛ tanga fɛn gɛlɛnw kɔrɔtali ma walima farikoloɲɛnajɛ gɛlɛnw ma pewu o waati kɔnɔ. Ni aw bɛ taama dɔɔni don o don, o bɛna kɛnɛya taabolo dɛmɛ.
Faratiw/Gɛlɛya minnu bɛ sɔrɔ opereli la
I n’a fɔ opereli suguya bɛɛ, faratiw ni gɛlɛyaw bɛ yen minnu bɛ se ka sɔrɔ. A nafa ka bon ka o kow dɔn.
- Banayɛlɛma:Banakisɛw bɛ se ka sɔrɔ opereli joginda la, fogonfogon la, walima sugunɛbara la.
- Joli bɔli: Faratiba don sugunɛ opereli la. A bɛ se ka kɛ ko a ka kan ka joli don a la.
- Bili bɔgɔbɔgɔli : Ni jolisira dɔ tiɲɛna opereli senfɛ, bile bɛ se ka don kɔnɔbara la.
- Sugunɛbilenni : Tuma dɔw la, sugunɛ baara bɛ se ka tiɲɛ.
- Sugunɛbilenni : Bana juguba don min bɛ se ka sɔrɔ ni sugunɛ yɔrɔ tɔ ma baara kɛ ka ɲɛ.
- Joli kurulen (Deep Vein Thrombosis): Farati bɛ joli kurulen senw na ka a sababu kɛ dilan lafiɲɛbɔ jan ye opereli kɔfɛ.
Aw ka dɔgɔtɔrɔ bɛna o faratiw ɲɛfɔ aw ye ka ɲɛ.
Lakɔlɔsili taamasiɲɛ minnu bɛ taa dɔgɔtɔrɔso la
Ni nin taamasiɲɛ ninnu dɔ ye aw ye so opereli kɔfɛ, aw bɛ dɔgɔtɔrɔ ladɔnniya joona walima aw bɛ taa dɔgɔtɔrɔso ka kɔrɔtɔko ɲɛmɔgɔso la (ETU) .
Aw ye aw janto nin taamasiɲɛ ninnu na kosɛbɛ. Furakɛli teliya la, o bɛ se ka bana jugumanw bali.
- Sumaya basigilen min bɛ mɛn tile damadɔ kɔnɔ.
- Joli min bɛ bɔ opereli joginda la, i n’a fɔ joli walima nɔgɔ .
- Fɔɔnɔ walima kɔnɔboli basigilen .
- Walasa ka funu, funu ɲɛda jira .
- Ɲɛw ni fari jɛman (Jaundice) .
- Kɔnɔboli min bɛ mɛn ka tɛmɛ tile saba kan.
Sugunɛ opereli ye koba ye. Nka ni a kɛra ni dɔgɔtɔrɔso jɛkulu ɲuman ye ani ni fɛɛrɛ bolodalen don ka ɲɛ, o bɛ se ka ɲɛnamaya kura di i ma walima i ka sugunɛ dibaga ma. Kɛrɛnkɛrɛnnenya la kansɛribanatɔw fɛ, a bɛ se ka kɛ fura ɲuman ye min bɛ se ka u ni kisi.
Take-Home cikan
- Sugunɛbilenni ye opereliba ye min bɛ sugunɛ yɔrɔ dɔ bɔ. Nka a bɛ se ka banaw furakɛ i n’a fɔ kansɛri ani ka mɔgɔ kisi.
- Se kabakoma bɛ an ka sugunɛ na ka a yɛrɛ labɛn kokura. Yɔrɔ kɛnɛman tɔ bɛ laban ka segin a bonya la.
- A kɛnɛyali bɛ waati ta, o la aw bɛ muɲu ani ka dɔgɔtɔrɔ ka laadilikanw labato tigitigi.
- Aw bɛ aw yɛrɛ tanga dɔlɔ ma pewu opereli kɔfɛ. A bɛ kojuguba lase sugunɛ ma.
- Ni aw ye taamasiɲɛ dɔw ye minnu tɛ deli ka kɛ, i n’a fɔ farigan, joginda jibɔ, walima ɲɛ jɛman, aw bɛ aw ka dɔgɔtɔrɔ ladɔnniya aw ma mɛn.











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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