Ni aw walima aw dɔnbaga dɔ bɛ ka opereli kɛ walasa k’a ka kɔnɔbara yɔrɔ dɔ bɔ, a ka ca a la aw bɛ siran dɔɔni ani ka ɲininkali kɛ. Kɛrɛnkɛrɛnnenya la ni daɲɛw fɔcogo ka gɛlɛn dɔɔnin. O opereli sugu dɔ bɛ wele ko laparoscopique proctosigmoidectomie. Hali n’a tɔgɔ bɛ se ka kɛ siranfɛn ye, an ka kuma a kɔrɔ nɔgɔman kan. Miiri k’a filɛ i teri dɔnbaga dɔ b’o ɲɛfɔ i ye.
Mun na o opereli bɛ ka kɛ? O sababu ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, opereli in bɛ kɛ ni i ka kolotuguda ni i ka kɔkolo yɔrɔ bananen tigɛ ka bɔ a la. Kɛrɛnkɛrɛnnenya la, aw ka kɔnɔbara yɔrɔ min bɛ i n’a fɔ S, kolotuguda sigmoid , ani aw ka kɔnɔbara sanfɛla yɔrɔ min bɛ a jukɔrɔ.
Dɔgɔtɔrɔw bɛ nin opereli in fɔ kɛrɛnkɛrɛnnenya la i n’a fɔ furakɛli bana dɔw furakɛli. An k’a lajɛ o fɛnw ye mun ye.
| Dɔgɔtɔrɔso cogoya | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Kɔnɔbara ni kɔnɔbara kansɛriw | Ni kansɛribanakisɛw jɛnsɛnna banakɔtaa yɔrɔ ninnu na, opereli in bɛ kɛ walasa ka bana yɔrɔ bɔ pewu. |
| Kɛnɛya minnu tɛ kansɛri ye | Tuma dɔw la, fɛn dɔw i n’a fɔ polipu, minnu tɛ kansɛri ye nka u bɛ se ka gɛlɛya lase mɔgɔ ma, olu bɛ se ka kɛ o yɔrɔw la. O fɛɛrɛ in fana bɛ Kɛ k’u Bɔ. |
| Diverticulitis gɛlɛn | O ye waati ye ni bɔrɔ misɛnniw bɛ kɛ banakɔtaa kogo la, minnu bɛ kɛ banakisɛ ye, ka sɔgɔsɔgɔ, ka pɛrɛn tuma dɔw la. O ko gɛlɛn sugu la, yɔrɔ tiɲɛnen ka kan ka bɔ. |
‘Laparoscopique’ daɲɛ kɔrɔ ye mun ye?
Nin ye fɛn kɛrɛnkɛrɛnnen ye nin opereli in na. ‘Laparoscopic’ kɔrɔ ye ‘ keyhole surgery ’ ye, i n’a fɔ an bɛɛ b’a dɔn cogo min na. Sani operelikɛla ka tigɛ jan kɛ i kɔnɔbara la i n’a fɔ fɔlɔ, operelikɛla bɛ tigɛ misɛnnin damadɔw kɛ i kɔnɔbara la (milimɛtɛrɛ 5-10 ɲɔgɔn) ka opereli kɛ o dingɛw fɛ.
O ye ka baara kɛ ni minɛn fitinin ye min bɛ i n’a fɔ tubabu, n’o bɛ wele ko laparoscope , kamera fitinin dɔ sirilen bɛ a la. Ni o donna kɔnɔbara la, operelikɛla bɛ se ka kɔnɔbara kɔnɔfɛnw ye ka jɛya monitor (kɔlɔsilikɛlan) kan ani ka opereli kɛ ka ɲɛ kosɛbɛ. Nin fɛɛrɛ in nafa ye ko a tɛ dimi dɔɔni, a bɛ kɛnɛya joona, wa a tɛ kuruba to a la.
Miiri k’a filɛ, sanni i ka da belebele dɔ da wuli ka don so dɔ kɔnɔ, min bɛ kɛ, o bɛ i n’a fɔ ka i lajɛ konnɛgɛ dingɛ kɔnɔ ani ka baara kɛ ni baarakɛminɛn misɛnninw ye walasa ka baara kɛ so kɔnɔ.
Opereli kɛcogo kunbaba duuru ye jumɛnw ye?
A ka c’a la, o opereli in bɛ kɛ ni fɛɛrɛ kunbaba duuru ye. An k’u faamu kelen-kelen ni kuma nɔgɔmanw ye.
1. Laparoskopu ni minɛnw doncogo
Fɔlɔ, anestezi caman bɛna di aw ma , o la aw tɛna foyi ye opereli senfɛ, aw bɛna sunɔgɔ pewu. O kɔ, operelikɛla bɛna tigɛ fitini dɔ kɛ santimɛtɛrɛ kelen ɲɔgɔn na aw kɔnɔbara kɛrɛfɛ (kɔnɔbara) ka kamera laparoscopique don o fɛ ka don aw kɔnɔbara la. Sisan a bɛ se ka i kɔnɔbara kɔnɔna ye. O kɔ, a bɛna tigɛ misɛnnin duuru walima wɔɔrɔ ɲɔgɔn wɛrɛw kɛ walasa ka minɛn nɔgɔlen tɔw don minnu ka kan ka kɛ opereli kama.
2. Ka banakɔtaa yɔrɔ bananen hɔrɔnya
Sisan an ka kan ka kolotuguda sigmoid bananen ni ɲɛgɛnɛsira yɔrɔ dɔ tigɛ. Nka sanni o ka kɛ, an ka kan k’o yɔrɔ hɔrɔnya ka bɔ farikolo yɔrɔ wɛrɛw la.
an banakɔtaa bɛ siri kɔnɔbara kogo la ni fɛn dɔ ye min bɛ wele ko mesentery . O bɔgɔdaga in kɔnɔ, joli siraba (artéries) kunbabaw bɛ yen minnu bɛ joli lase o banakɔtaa yɔrɔ ma. Operelikɛla bɛ o joli siraw tigɛ ka ɲɛ, k’u siri ka u datugu (walasa ka joli bɔli dabila). O kɔ, banakɔtaa yɔrɔ min bananen don, o bɛ bɔ o kɔnɔbara la. A laban na, banakɔtaa yɔrɔ min bananen don, o bɛ bɔ ka fara banakɔtaa yɔrɔ bananen kan.
Tuma dɔw la, ni ɲɛgɛnɛsira bɛɛ ka kan ka bɔ, a bɛ wele ko Total Proctosigmoidectomy.
3. Ka banakɔtaa jɛɲɔgɔnya kura labɛn
Bana yɔrɔ bɔlen kɔ, banakɔtaa yɔrɔ kɛnɛman fila tɔw ka kan ka ɲɔgɔn fara ɲɔgɔn kan kokura. O kɔrɔ ye ko kolotuguda laban kɛnɛman min bɛ sanfɛ, o ka kan ka siri ɲɛgɛnɛsira tɔ kɛnɛman na duguma.
Walasa ka o kɛ, operelikɛla bɛ banakɔtaa yɔrɔ kɛnɛman dɔ bɔ dɔɔni kɔnɔbara la, walasa a ka se ka sama ka jigin nɔgɔya la. A bɛ ɲɛgɛnɛsira tɔ fana bila. O fla bɛ Se ka Jὲ ɲɔgɔn fɛ. Ni kansɛri bɛ a la, ɲɛgɛnɛsira tɔ bɛ ko ka saniya ni fura kɛrɛnkɛrɛnnen ye walasa ka kansɛribana banakisɛw jɛnsɛnni dɔgɔya .
4. Banakɔtaa yɔrɔ bananen bɔli farikolo la
Ikomi ‘kɔlɔsili’ tigɛyɔrɔw ka dɔgɔn kosɛbɛ, banakɔtaa yɔrɔ tigɛlen tɛ se ka bɔ u fɛ. Fɛɛrɛ kɛrɛnkɛrɛnnen dɔ bɛ kɛ o kama. Operelikɛla bɛ tigɛ fɔlɔ dɔ kɛ ka bonya dɔɔni ka foroko kɛrɛnkɛrɛnnen dɔ don kɔnɔbara la o fɛ. O kɔ, banakɔtaa yɔrɔ tigɛlen bɛ bila foroko kɔnɔ ka foroko sama ka bɔ ni hakilisigi ye.
5. Ka banakɔtaa dakun fila fara ɲɔgɔn kan kokura (Anastomosis) .
O ye opereli taabolo laban ye min nafa ka bon kosɛbɛ. Banakɔtaa dakun kɛnɛman fila sirili ɲɔgɔn na, o bɛ wele ko anastomose furakɛli siratigɛ la.
O kama, operelikɛla bɛ fɛn kɛrɛnkɛrɛnnen dɔ don a kɔnɔbara la. O minɛn bɛ sɔgɔsɔgɔninjɛ bololanɛgɛ dɔ tasuma, ka banakɔtaa dakun fila nɔrɔ ɲɔgɔn na. O kɔfɛ, operelikɛla bɛ a lajɛ ni fɛn o fɛn bɔra a siriyɔrɔ la, ka sɔrɔ ka kɔnɔbara ko ka ɲɛ.
Tuma dɔw la, ‘jibɔlan’, n’o ye tubabufura fitini ye, o bɛ se ka bila tile damadɔ kɔnɔ opereli kɔfɛ walasa ka dɛmɛ don ka ji fɛn o fɛn lajɛ min bɛ lajɛ a kɔnɔ. A laban na, tigɛyɔrɔ bɛɛ bɛ datugu ni sɔgɔsɔgɔninjɛ walima ni kaseti kɛrɛnkɛrɛnnen ye.
Opereli kɔfɛ kɛnɛya waati bɛ kɛ cogo di?
Opereli kɔfɛ kɛnɛya waati nafa ka bon i n’a fɔ opereli ɲɛtaa.
- Aw kana girinya kɔrɔta: Aw ka kan ka girinya kɔrɔta dabila pewu ani ka farikoloɲɛnajɛ kɛ minnu bɛ aw kɔnɔbara degun (i n’a fɔ sigili) dɔgɔkun 6 kɔnɔ opereli kɔfɛ.
- Taama ka ɲi kosɛbɛ: Dɔ fara i ka baara hakɛ kan dɔɔni dɔɔni i selen so. Taama ye farikoloɲɛnajɛ bɛɛ la ɲuman ye i bɛ se ka min kɛ o waati kɔnɔ. Taama bɛ fanga di i ma, ka joli lamagacogo ɲɛ ani ka joli kurulenw bali, wa a bɛ dɛmɛ don ka fogonfogonw to kɛnɛya la.
- Dumuni ni minfɛn: Aw bɛ se ka dumuni fanba dun ni aw taara so. Nka, aw ka kan ka jiridenw ni nakɔfɛn kɛnɛw dun waati dɔ kɔnɔ. A ka fisa aw ka dumuni “nɔgɔlen” labato fo aw ka taa dɔgɔtɔrɔso la opereli kɔfɛ (opereli kɔfɛ sɛgɛsɛgɛli). Ni kɔnɔboli bɛ aw la ka a sababu kɛ nin dumuni in ye, aw bɛ dɔgɔtɔrɔ wele joona walasa ka laadilikan sɔrɔ.
- Degeli wɛrɛw: Ni aw tun bɛ farikoloɲɛnajɛ kɛ sani opereli ka kɛ, aw bɛ se ka farikoloɲɛnajɛ daminɛ kokura ni aw lafiyalen don ani ni aw ka dɔgɔtɔrɔ ko: “A ɲɛ, aw bɛ a daminɛ sisan.”
Min nafa ka bon kosɛbɛ, o ye ka i farikolo lamɛn. Ni aw sɛgɛnnen don, aw bɛ aw lafiɲɛ. Ni ɲininkali dɔw bɛ aw fɛ, aw kana u to aw yɛrɛ la ani ka kuma aw ka dɔgɔtɔrɔ fɛ.
Take-Home cikan
- Laparoscopique proctosigmoidectomy ye opereli ye min bɛ kɛ ni ‘keyhole’ ye, min bɛ kolotuguda yɔrɔ bananen dɔ bɔ. Tigɛba kelen nɔ na, dingɛ misɛnnin damadɔ dɔrɔn de bɛ kɛ.
- Nin opereli in bɛ kɛ ka caya bana dɔw furakɛli la i n’a fɔ kɔnɔbara kansɛri, kuru minnu tɛ kansɛri ye, ani diverticulitis gɛlɛn.
- ‘Kili dingɛ’ fɛɛrɛ bɛ kɛ sababu ye ka dimi dɔgɔya, ka dɔgɔtɔrɔso kɛ waati kunkurunnin kɔnɔ, ka kɛnɛya joona, ani ka joginda dɔgɔya.
- A nafa ka bon ka aw yɛrɛ tanga girinya kɔrɔta ma dɔgɔkun 6 opereli kɔfɛ ani ka farikoloɲɛnajɛ nɔgɔmanw kɛ i n’a fɔ taama.
- Ni ɲininkali dɔ bɛ aw fɛ dumunikɛcogo kan walima fɛn wɛrɛ kan, aw kana jateminɛ kɛ.Aw bɛ ladilikan ɲini aw ka operelikɛla walima dɔgɔtɔrɔ fɛ tuma bɛɛ.
Laparoskopi, kilisi opereli, kolotuguda opereli , kɔnɔbara kansɛri, kolotuguda sigmoid, proctosigmoidectomy sinhala, laparoscopie sinhala
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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