Ðewohĩ ɖɔkta aɖe gblɔ na wò alo wò ƒomea me tɔ aɖe be ahiã be woawɔ dɔ na wò tsinyegoe, le tsinyegoe me kansa alo nɔnɔme bubu si nɔa anyi didi ta. Enye nusi sɔ be nàse vɔvɔ̃ kple dzimaɖitsitsi gã aɖe ne èse nya ‘Cystectomy’. Gake egbea la, mina míanɔ ŋudzɔ ɖe esia ŋu geɖe wu. Nukae nye amekoko sia? Nukatae wowɔa esia? Nukae dzɔna le ema megbe? Mina míaƒo nu tso nusiawo katã ŋu bɔbɔe ŋutɔ.
Amekoko ka ƒomevie nye cystectomy?
Kpuie ko la,
cystectomy nye amekoko si wowɔna tsɔ ɖea wò tsinyegoe ƒe akpa aɖe alo eƒe akpa bliboa ɖa. Abe alesi nènyae ene la, tsinyegoe nye ŋutinu si le abe bɔl ene si ƒoa aɖuɖɔ (aɖuɖɔ) si míaƒe ayiku wɔna nu ƒu hedzrana ɖo. Zi geɖe la, wowɔa amekoko sia abe tsinyegoe me dɔdzẽ dada ene. Gake ɣeaɖewoɣi la, ɖɔktawo ɖonɛ be yewoawɔ dɔ sia na dɔléle bubu siwo menye kansa o (siwo me dɔlékui mele o) hã. Esia menye amekoko sue aɖe o, ke
boŋ amekoko gã aɖee . Elabena eɖea ŋutinu vevi aɖe si le míaƒe ŋutilã me, si nye tsinyegoe, ɖa.
Ðe wòanya wɔ be woanɔ agbe tsinyegoe manɔmeea?
Ẽ, àte ŋui. Ðewohĩ awɔ nuku na wò be nàse nya sia, gake anya wɔ be nànɔ agbe tsinyegoe manɔmee. Gake emegbe ahiã be nàdi mɔ yeye aɖe si dzi nàto aɖe aɖuɖɔ si míaƒe ayikuwo wɔna la ado goe. Ne ɖɔktaa ɖe tsinyegoe bliboa ɖa la, axɔ ɣeyiɣi aɖe hafi nàzu numame na ɖoɖo yeyea. Gake mègatsi dzi o, àte ŋu awɔ nu siwo nèwɔ do ŋgɔ na amekokoa ƒe akpa gãtɔ, le amekokoa megbe gɔ̃ hã.
Nukae wòle be nànya hafi woawɔ dɔ na wò be woaɖe vidzidɔa ɖa?
Hafi woawɔ dɔa na wò la, wò ɖɔkta ado wò kpɔ ahalé ŋku ɖe wò lãmesẽ bliboa ŋu. Aɖe amekoko si ƒomevi wòawɔ hã me na wò. Amekoko sia ƒomevi vovovowoe li.
- Akpaɖekedzimademade : Esia bia be woaɖe wò tsinyegoe ƒe akpa si ŋu dɔléle le ko ɖa. Ne kansa tae wowɔ esia la, woɖea ʋuka siwo ƒo xlãe hã ɖa heléa ŋku ɖe eŋu be kansa la kaka hã. Emegbe wogatsɔa wò tsinyegoe ƒe akpa susɔea ƒoa ƒui be wòagawɔ dɔ nyuie.
- Simple Cystectomy (tsinyegoe ɖeɖeko ɖeɖe ɖa): Esia bia be woaɖe tsinyegoea ɖeɖeko ɖa evɔ womagblẽ nu le ŋutinu siwo ƒo xlãe ŋu o. Zi geɖe la, wowɔa esia na nɔnɔme siwo menye kansa o . Le kpɔɖeŋu me, aɖuɖɔtoe me kuxi siwo tso lãmekawo ƒe gbegblẽ ( neurogenic bladder ), keklẽŋusẽ gbɔNɔnɔmewo abe keklẽŋusẽ ƒe cystitis kple urinary fistula si atikewɔwɔ hena vɛ.
- Radical Cystectomy (tsinyegoe kple ŋutinu siwo ƒo xlãe ɖeɖeɖa): Le esia me la, woɖea tsinyegoea ɖa keŋkeŋ, kpakple ʋuka siwo ƒo xlãe hã.
- Le ŋutsu gome la, zi geɖe la, wotsoa ʋuka siwo me ʋu sina tona, eye woɖea ʋuka siwo me ʋu sina tona kple tsinyenye ƒe ʋukawo ɖa.
- Le nyɔnuwo gome la, woɖea vidzidɔ, vidzidɔ, azigolo, kple vidzidɔa ɖa zi geɖe. Ɣeaɖewoɣi la, woate ŋu aɖe vidzidɔa ƒe gli ƒe akpa aɖe hã ɖa.
Ele vevie be nàgblɔ atike siwo katã zãm nèle (siwo woŋlɔ na wò, esiwo womexɔna le atikedzraƒe o, kple gbetikewo gɔ̃ hã) na wò ɖɔkta hafi woawɔ wò dɔ na wò. Atike aɖewo, vevietɔ atike siwo nana ʋu mekɔna o, ate ŋu ana ʋu nado le amekoko me ƒe afɔkua nadzi ɖe edzi. Eyata mègadzudzɔ atike aɖeke nono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
Aleke wowɔa amekokoae?
Ðɔktawo ƒe ƒuƒoƒo aɖe si tsinyegoeŋutinunyala aɖe kplɔnae wɔa amekoko sia. Woana atike si wua alɔ̃dɔdɔ wò, eyata màse veve aɖeke o eye àdɔ alɔ̃. Mɔnu vevi eve li siwo dzi woato awɔ amekokoa: 1.
Open Cystectomy: Le esia me la, woɖea lãkusi si didi sentimeta 6-7 le akɔta kple akɔta dome, si dzi ɖɔktaa tona wɔa dɔa. 2.
Minimally Invasive Cystectomy: Woate ŋu awɔ esia to laparoscopic alo robot dzi. Esia bia be woaɖe nu suesuesue 5-6 ŋutɔ le ƒodoa me, si dzi woato ade fotoɖemɔ̃ kple dɔwɔnu tsɛwo eme. Viɖe si le esia ŋue nye be abi mesɔ gbɔ o eye ɣeyiɣi si woatsɔ ada dɔa hã nɔa kpuie wu.
Alesi woawɔ mɔnu yeye aɖe si dzi woato aɖu aɖuɖɔ
Ne woɖe tsinyegoe bliboa ɖa vɔ la, ele be woawɔ mɔ yeye aɖe si dzi aɖuɖɔ ato ado le ŋutilãa me. Woyɔa esia be ‘amekoko si me wogbugbɔa ame ɖo.’ Mɔnu vevi etɔ̃e li na esia.
| Gbugbɔgatu ƒe Mɔnu | Nusi dzɔna ko |
|---|
| Ileal ƒe Tɔdzisasrã | Woɖea dɔgbo suea ƒe akpa sue aɖe eye wotsɔa tsinyegoeawo doa ka kple eƒe nugbɔ ɖeka. Eƒe nugbɔ kemɛa léna ɖe ƒodoa ƒe ŋutigbalẽ ŋu, eye wòʋuna ɖe do aɖe si woyɔna be stoma me. Wotsɔa ostomy kotoku aɖe dana ɖe stoma la dzi be woatsɔ aƒo aɖuɖɔ nu ƒu. |
| Anyigbagã dzi Ŋutilã ƒe Mɔɖeɖe | Wozãa dɔgbo sue kple gã ƒe akpa aɖewo tsɔ wɔa kotoku sue aɖe (nudzraɖoƒe) le ŋutilãa me si ƒoa aɖuɖɔ nu ƒu. Esia hã do ƒome kple ƒodo ƒe ŋutigbalẽ to stoma dzi. Gake gotagome akplo aɖeke meli o. Zi geɖe gbesiagbe la, wotsɔa mɔ̃ sue aɖe (catheter) dea eme be woatsɔ akɔ akplo sia me. |
| Neobladder ƒe ʋuka yeye | Woxɔa dɔgbo sue aɖe si didi eye wozãnɛ tsɔ wɔa tsinyegoe yeye (Neobladder). Esia do ƒome kple wò tsinyegoea tẽ. Eyata àte ŋu aɖu aɖuɖɔ le mɔ si sɔ nu. Gake ele be nàmi wò ƒodo ƒe lãmekawo be nàɖe aɖuɖɔ. Ele be ame aɖewo nazã catheter atsɔ akɔe keŋkeŋ. |
Wò ɖɔkta adzro eme kpli wò eye wòatso nya me le mɔnu si nyo na wò ŋu.
Nukae woakpɔ mɔ na le amekoko vɔ megbe?
Le dɔwɔwɔ vɔ megbe la, woaɖe wò ayi dɔnɔdzikpɔƒea. Woabla nu ɖe teƒe siwo wotso la ŋu. Woana vevesesenutsitike wò. Ɣeyiɣi didi si nànɔ kɔdzi la ato vovo le amekoko si ƒomevi wowɔ na wò nu. Le lãɖeɖe sue aɖe gome la, ànɔ kɔdzi ŋkeke ɖeka alo eve, eye ne wowɔ dɔ na wò le gaglãgbe la, ànɔ kɔdzi abe kwasiɖa ɖeka ene. Le ɣeyiɣi sia me la, dɔnɔdzikpɔlawo alé be na wò nyuie. Ne ostomy kotoku le asiwò la, woafia alesi nàzãe, akɔe, ahatrɔe wò. Ate ŋu axɔ
kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo hafi wòahaya keŋkeŋ.
Afɔku kawoe le amekoko sia me?
Abe amekoko gã ɖesiaɖe ene la, afɔku aɖewo le amekoko sia me.
- Ʋu si le dodom
- Ʋu ƒe sisi
- Dɔlékuiwo
- Dɔgbo me kuxiwo (aɖuɖɔtoe, aɖuɖɔtoe) .
- Aɖuɖɔtoe ƒe xexe le abi ƒe lãkusi ta
- Nusiwo gblẽ le ŋutinu bubuwo ŋu
- Lãmetsi ƒe ƒoƒo ɖe teƒe siwo wotso (seroma) .
Ŋutsu aɖewo ate ŋu akpɔ kuxi le tsitretsitsi ŋu. Gbɔdɔdɔ ate ŋu asesẽ na nyɔnuwo ne woɖe vidzidɔa ƒe akpa aɖe ɖa. Mègavɔ̃ be yeaƒo nu kple wò ɖɔkta tso gbɔdɔdɔ ƒe kuxi siawo ŋu o.
Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?
Ne èkpɔ dzesi siwo gbɔna dometɔ aɖe le wò dɔwɔwɔ vɔ megbe la,
na wò ɖɔkta nanya enumake alo yi kɔdzi si te ɖe ŋuwò ƒe
Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .
Nuxlɔ̃amedzesi siwo ŋu wòle be woalé ŋku ɖo
| Dɔlékuiwo ƒe dzesiwo | Asrã, vuvɔ, aɖuɖɔ si do viviti alo alilikpo. |
| Kuxi siwo le teƒe siwo wotsoe | Ʋu si dona fũu akpa, vuvu, vevesese, alo ʋuʋudedi ƒe dzidziɖedzi. |
| Stoma kuxiwo | Stoma la nyea yibɔ, aŋutiɖiɖi, alo aŋutiɖiɖi vivi. |
| Dzesi sesẽ bubuwo | Aɖuɖɔtoe kple ʋuʋudedi si nɔa anyi ɖaa, vevesese si womate ŋu ado dzi atsɔ o, aɖuɖɔtoe ƒe ŋutetemanɔamesi alo sesẽ. |
Gbedasi si Wotsɔ Yi Aƒeme
- Cystectomy nye amekoko gã aɖe si xɔa ame ɖe agbe, si wowɔna na nɔnɔmewo abe tsinyegoe me kansa ene.
- Ate ŋu adzɔ be woanɔ agbe tsinyegoe manɔmee. Mɔnu vovovowo li siwo dzi woato agbugbɔ ŋutilãa awɔ be wòakpe ɖe ŋutilãa ŋu wòaɖe aɖuɖɔ. Ðo dze kple wò ɖɔkta tso tiatia nyuitɔ si nàwɔ na wò ŋu.
- Exɔa ɣeyiɣi hafi nètrɔna ɖe tɔtrɔ siwo vaa wò ŋutilã me le amekoko vɔ megbe ŋu. Esia sɔ. Mègahe ɖe megbe le seselelãme kple ŋutilã me kpekpeɖeŋu si nèhiã la xɔxɔ me o.
- Le hayahayaɣi la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne nuxlɔ̃amedzesi aɖewo do mo ɖa.
- Ne èkpɔ egbɔ nyuie eye nɔnɔme nyui le asiwò la, àte ŋu alé agbe nyui me ɖe asi le amekoko vɔ megbe gɔ̃ hã.
Cystectomy, tsinyegoe ɖeɖeɖa, tsinyegoe me kansa, urostomy, ostomy bag, neobladder, amekoko, tsinyegoeŋutinunya, aɖuɖɔtoe
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