Sugunɛbilenni ye kɛnɛyako gɛlɛya ye, mɔgɔ caman bɛ ka min sɔrɔ an ka jamana kɔnɔ. Tuma dɔw la, o kabakurunw ka dɔgɔn kosɛbɛ, o la u bɛ se ka bɔ fari la ni fura tali ye ani ka ji caman min. Nka tuma dɔw la, o kabakurunw bɛ se ka bonya dɔɔni. Ni u bonyalen don o cogo la, u tɛ bɔ u yɛrɛ ma, wa u bɔli fana ka gɛlɛn ni furakɛli nɔgɔman wɛrɛw ye. O cogo la, bi an bɛna kuma opereli kɛrɛnkɛrɛnnen dɔ kan, dɔgɔtɔrɔw bɛ min fɔ. O bɛ wele ko ‘Percutaneous Nephrolithotomy’ walima PCNL ni a surunyalen don.
PCNL opereli ye mun ye? An k’a faamu cogo nɔgɔman na
Hali n’a tɔgɔ bɛ se ka kɛ ko a ka gɛlɛn dɔɔnin, tiɲɛ yɛrɛ la, a kɛcogo ka nɔgɔn kosɛbɛ. "Percutaneous" kɔrɔ ye "fari fɛ ." "Nephrolithotomy" kɔrɔ ye "ka kabakuru bɔ sugunɛ na." O la, n’an b’a fɔ cogo nɔgɔman na, PCNL ye opereli ye min kɔnɔ, tigɛ fitiniba dɔ bɛ kɛ fari la, ka minɛn dɔ don a kɔnɔ walasa ka kabakurunba dɔ bɔ sugunɛ na.
Nin ye opereli sugu dɔ ye min bɛ wele ko "minimally invasive". O kɔrɔ ye ko sanni ka tigɛba kɛ kɔnɔbara la i n’a fɔ fɔlɔ, opereli in bɛ kɛ tigɛli fitininba dɔ fɛ. A bɛ i n'a fɔ "keyhole opereli".
Nka hali ni o bɛ kɛ ni tigɛ fitini ye, a man kan ka ta nɔgɔya la. PCNL bɛ jate opereliba ye . Nka a nafa ye ko a gɛlɛyaw ka dɔgɔn ka tɛmɛ fɛɛrɛ kɔrɔw kan, wa a bɛ se ka kɛnɛya joona.
Jɔn mago bɛ nin opereli in na tiɲɛ na?
Nin opereli in tɛ kɛ mɔgɔ o mɔgɔ la sugunɛbaralabana bɛ min na. A ka ca a la, dɔgɔtɔrɔ bɛna nin opereli in fɔ nin ko ninnu na:
- Ni aw ka sugunɛbilenni ka bon kosɛbɛ (misali la, a ka bon ni santimɛtɛrɛ 2 ye).
- Ni kabakurun tɛ se ka bɔ ni fura wɛrɛw ye, i n’a fɔ shock wave lithotripsy walima laser ureteroscopy, .
- Ni sugunɛbilenni bɛ ka tiɲɛni kɛ walima ka dimi jugumanba lase mɔgɔ ma.
Nin opereli in ɲɛtaa hakɛ bɛ se 75% fo 98% ma. O kɔrɔ ye ko a bɛ se ka dafa ka ɲɛ a fanba la.
Opereli bɛ kɛ cogo di?
Nin opereli in bɛ kɛ dɔgɔtɔrɔ dɔ fɛ min ka baara ɲɛsinnen bɛ banaw ni sugunɛ opereli ma. An b' a wele ko Urologist . An ka opereli kɛcogo lajɛ senfɛ-senfɛ.
1. Anestezi : Fɔlɔ, an bɛna i bila anesteziba la anestezikɛla dɔ fɛ. O kɔrɔ ye ko aw tɛna dimi foyi sɔrɔ, wa aw bɛna sunɔgɔ pewu.
2. Tigɛ:O kɔfɛ, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen bɛna tigɛ fitiniba dɔ kɛ (santimɛtɛrɛ 1 ɲɔgɔn) aw kɔ walima aw kɔ la, aw sugunɛ bɛ yɔrɔ min na.
3. Tubabu doncogo : Tubabu min bɛ mɔgɔ tanga (sɔgɔsɔgɔninjɛ) bɛ don a tigɛyɔrɔ fɛ ka don sugunɛ na.
4. Kabakuru sɔrɔli : O kɔ, minɛn fitininba dɔ bɛ don a kɔnɔ min bɛ ni kamera ye (nephroscope) ka tɛmɛ tubabukan na walasa ka kaba in sɔrɔ sugunɛ kɔnɔ.
5. Kabakuru bɔli : Ni kabakurun ka dɔgɔn, a bɛ bɔ ka ɲɛ. Ni kabakurun ka bon, a bɛ kari ka kɛ fɛn misɛnninw ye ni laser (laser) ye walima ni mankan-minɛn kɛrɛnkɛrɛnnen ye (lithotripter).
6. Walasa ka dɛmɛ don kɛnɛya la: Kaba bɔlen kɔfɛ, tubabufura fitini dɔ (`jibɔlan`) walima sugunɛbaralabana bɛ don a kɔnɔ tuma dɔw la walasa ka sugunɛ dɛmɛ ka taa ka ɲɛ ani ka joginda kɛnɛya joona. A laban na, yɔrɔ min bɛ fari la, o bɛ datugu ni sɔgɔsɔgɔninjɛ ye.
A ka c’a la, o baara bɛɛ bɛ sanga fila fo lɛri naani ɲɔgɔn ta.
Fɛn minnu ka kan ka dɔn sani opereli ka kɛ ani opereli kɔfɛ
Labɛn dɔ ka kan ka kɛ aw fɛ sani opereli ka kɛ ani opereli kɔfɛ. An ka o lajɛ.
| Kunnandiya | I ka kan ka min kɛ |
|---|---|
| Sani opereli ka kɛ |
|
| Opereli kɔfɛ |
Yala farati dɔw bɛ nin opereli in na wa?
I n’a fɔ opereli suguya bɛɛ, farati dɔw bɛ o la. Ninnu man ca kosɛbɛ, nka a nafa ka bon ka i janto u la.
- Farati minnu bɛ sɔrɔ anestezi la.
- Banakisɛ sɔrɔli opereli yɔrɔ la.
- Joli bɔli kojugu walima joli kurulen (hématoma).
- Tiɲɛni dɔw bɛ sugunɛ na.
- Sugunɛbana jugumanba (i n’a fɔ sepsis).
- A man teli, a tɛ se ka kɛ ka kabakurun bɔ pewu.
Aw kana aw hakili ɲagami o faratiw la. Aw ka dɔgɔtɔrɔ bɛna opereli labɛn cogo la min bɛ se ka ninnu bɛɛ ɲɛnabɔ.
Waati min na aw ka kan ka dɔgɔtɔrɔ ka ladilikan ɲini joona
Ni aw sera so opereli kɔfɛ, aw bɛ aw janto aw farikolo la kosɛbɛ. Ni aw ye fɛn dɔ kɔlɔsi min tɛ deli ka kɛ, aw ka kan ka dɔgɔtɔrɔ wele o yɔrɔnin bɛɛ. Aw ye aw janto nin taamasiɲɛ ninnu na kɛrɛnkɛrɛnnenya la:
- Ni tigɛda bɛ joli bɔ ka caya.
- Ni aw bɛ joli kurumu gɛlɛnw tɛmɛ i n’a fɔ tomati mugu ni aw ka sugunɛ ye.
- Ni sugunɛ kɛra bilen dibiman walima bulama dibiman ye.
- Ni farigan bɛ aw la ka tɛmɛ santimɛtɛrɛ 38 kan (Fahrenheit 100) .
- Ni aw bɛ farigan ni aw yɛrɛyɛrɛ.
- Ni dimi bɛ ka juguya.
Ni aw ye nin taamasiɲɛ jugumanw sɔrɔ i n’a fɔ nin, aw kana siga ka taa dɔgɔtɔrɔso la furakɛli kɔrɔtɔlen yɔrɔ la (ETU) .
Take-Home cikan
- PCNL ye opereli ye min bɛ ɲɛ kosɛbɛ, wa a farati tɛ, a bɛ kɛ ka sugunɛbaralabana belebelebaw bɔ.
- Hali ni nin ye opereliba ye, a tigɛyɔrɔ ka dɔgɔn kosɛbɛ, o la a kɛnɛyali waati ka surun.
- A nafa ka bon ka kɛnɛya joona ka dɔgɔtɔrɔ ka laadilikanw labato ka ɲɛ sani opereli ka kɛ ani opereli kɔfɛ.
- Ni ɲininkali dɔw bɛ aw fɛ opereli ko la, aw kana siran ka dɔgɔtɔrɔ ɲininka.
- Ni taamasiɲɛ minnu tɛ deli ka kɛ, olu dɔw bɔra kɛnɛya waati la, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona.
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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