Ne míebu amekoko ŋu la, mía dometɔ akpa gãtɔ ƒe susu nɔa nu dziŋɔwo abe lãɖeɖe gã aɖe, kɔdzi nɔnɔ ŋkeke ʋɛ aɖewo, kple vevesese ɣeyiɣi didi ene ŋu, alo? Gake fifia, atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya de ŋgɔ ŋutɔ. Egbea la, míele nu ƒom tso amekoko wɔnuku aɖe ŋutɔ si wowɔna evɔ womeɖea ʋuʋudedi gã mawo o, gake to do sue aɖe ŋutɔ me ko. Esiae nye nusi míeyɔna be Minimally Invasive Surgery, alo MIS abe alesi woyɔnɛ zi geɖe le ɖɔktawo dome ene.
Kpuie ko la, nukae nye Amekoko si Me Womezãa Nu O (MIS)?
Enye nukpɔsusu bɔbɔe aɖe ŋutɔ. Tsɔe be ne wole dɔ wɔm na wò le mɔ si sɔ nu la, ahiã be ɖɔktaa natso nu gã aɖe, si ɖewohĩ wòadidi sentimeta geɖe, hafi aɖo teƒe si wole dɔa wɔm le. Gake le MIS gome la, amekolawo metsoa wò ŋutigbalẽ kple wò lãkusi ʋɛ aɖewo ko alesi woate ŋui. Ema fia be le esi teƒe be woatso nu gã ɖeka la, woɖea do ɖeka alo esi wu nenema si lolo abe safui ene .
Wotoa do sue siawo me la, wotsɔa mɔ̃ tsɛ aɖe si ŋu fotoɖemɔ̃ le (míeyɔa esia be endoscope) kple amekokodɔwɔnu didi siwo le sue siwo ŋu wotrɔ asi le etɔxɛe la dea ŋutilãa me. Esi wònye be woɖea nɔnɔmetata siwo tso fotoɖemɔ̃a me fiana le screen gã aɖe dzi (monitor) ta la, ɖɔkta la te ŋu kpɔa ŋutilãa ƒe eme nyuie ŋutɔ eye wòwɔa amekokoa pɛpɛpɛ ŋutɔ. Esia ɖea wò vevesese, kuxiwo, kple ɣeyiɣi si nàhaya dzi kpɔtɔna ŋutɔ.
Mɔnu vevi kawoe nye amekoko siawo wɔwɔ?
Mɔnu vovovo geɖewo le MIS mɔ̃ɖaŋununya me. Wonɔa te ɖe amekoko ƒomevi kple ŋutilã ƒe akpa si wole dɔ wɔm na dzi tiaa mɔnu siawo.
1. Amekoko le Safui me
Esiae nye mɔnu si ame geɖe zãna wu. Abe alesi míegblɔe le etame ene la, wowɔa amekokoa to lãɖeɖe sue geɖe wɔwɔ me, wotsɔa fotoɖemɔ̃ (`endoscope`) dea ɖeka me, eye amekokodɔwɔnuwo dea eme to bubuawo me.
- Le ƒodo ƒe amekoko me la, woyɔa fotoɖemɔ̃ sia be laparoscope . Míeyɔa amekoko mawo be amekoko to dɔgbo me .
- Thoracoscope nye fotoɖemɔ̃ si wozãna le amekoko siwo me akɔta ƒe do le me.
- Wozãa ƒunukpeƒekpɔmɔ̃ tsɔ léa ŋku ɖe ƒunukpeƒewo abe klo kple abɔta ene ƒe eme.
2. Robot ƒe Amekoko
Esia nye MIS mɔ̃ɖaŋununya ƒe akpa deŋgɔ bubu. Le afisia la, le esi teƒe be amekolaa natsɔ asi akpɔ dɔwɔnuawo dzi tẽ la, enɔa kɔmpiuta ƒe akpa aɖe hekpɔa robot ƒe alɔwo dzi . Wotsɔa robot-alɔ siawo toa lãɖeɖe suesuesuewo me. Mɔnu sia ɖea mɔ na amekoko siwo me kɔ ŋutɔ, siwo le sue ŋutɔ, siwo wɔa dɔ pɛpɛpɛ ŋutɔ. `Da Vinci Amekoko Dɔwɔɖoɖo` xɔŋkɔa nye robot ɖoɖo mawo dometɔ ɖeka.
3. Amekoko le Ʋukawo me
Esia nye mɔnu si wɔ nuku ŋutɔ. Nusi wowɔna le afisia enye be woatsɔ aŋe awɔ do sue aɖe ŋutɔ, eye woatsɔ mɔ̃ tsɛ aɖe (catheter) ato eme ade ʋuka aɖe me. Emegbe la, wotsɔa dɔwɔnu siwo hiã la toa mɔ̃ ma me, eye wowɔa amekokowo abe stent dede dzia me, abe ``stenting'', kple ``angioplasty'' ene. Ɣeaɖewoɣi la, mehiã be woatsoe le afisia gɔ̃ hã o.
4. Dzɔdzɔme Nutome Amekoko
Le mɔnu sia me la, womeɖea lã aɖeke le wò ŋutilã ƒe akpa aɖeke o. Ke boŋ wotsɔa dɔlékuiwutike toa dzɔdzɔmeʋu siwo le ŋutilãa me, abe nu kple ŋɔti ene, me, eye wowɔa dɔ abe dɔdzẽ siwo le dɔgboa kple nuɖuɖutome ɖeɖeɖa ene.
Nukawoe nye amekoko siwo wowɔna zi geɖe wu to MIS mɔnu zazã me?
Egbea la, wole amekoko gbogbo aɖewo siwo mexɔ se o wɔm to MIS mɔnu sia zazã me. Tabla si le ete ana nàkpɔe nyuie.
| Amekoko ƒomevi | Kpɔɖeŋuwo |
|---|---|
| Ƒodo (Laparoscopic) . | Gallbladder ɖeɖeɖa `(cholecystectomy)`, appendix ɖeɖeɖa `(appendectomy)`, hernia dzadzraɖo `(hernia dzadzraɖo)`. |
| Aɖuɖɔtoeŋutinunya | Ayiku ɖeɖeɖa `(nephrectomy)`, ayiku ɖeɖeɖa `(prostatectomy)`. |
| Akɔta ƒe akɔta | Spinal fusion, aklã me dɔdzẽwo ɖeɖeɖa. |
| Nusiwo do ƒome kple dzi | Dzi ƒe ʋuƒo dzadzraɖo (mitral valve dzadzraɖo), do siwo le dzia me tutu (atrial septal defect repair). |
| Ƒunukpeƒetetedɔ | Abɔta, klo alo akɔta ƒe abiwo dzadzraɖo. |
| Be woaɖe lolo dzi akpɔtɔ (Bariatric) . | Dɔgbo ƒe abɔta kple dɔgbo ƒe mɔɖeɖe ƒe amekoko. |
Amekae amekoko sia nyo na? Ðe wòate ŋu anɔ amesiame sia?
Le go geɖe me la, MIS mɔnu sia le dedie wu amekoko si wowɔna le gaglãgbe si wozãna tsã. Le nyateƒe me la, ɣeaɖewoɣi la, woate ŋu awɔ dɔ na amesiwo mete ŋu doa dzi le lãɖeɖe gã aɖe me o alo atikewɔwɔ me nɔnɔme bubuwo le wo ŋu gɔ̃ hã to mɔnu sia zazã me.
Ke hã, menye aleae wònɔna le amesiame gome ɣesiaɣi o. Wò amekola atso nya me nenye be mɔnu sia sɔ na wò ne elé ŋku ɖe wò lãmesẽnyawo ŋu nyuie vɔ.
Le kpɔɖeŋu me:
- Ðewohĩ womazã mɔnu sia le nɔnɔme siwo me wòhiã be woawɔ dɔ na ame kpata, abe amesi woxɔ ɖe ETU (Emergency Treatment Unit) le afɔku aɖe megbe ene o, elabena ebia dzadzraɖo aɖe.
- Le amekoko to dɔgboa me la, wotsɔa ya si woyɔna be carbon dioxide dea ƒodoa me be wòakpe ɖe ame ŋu wòakpɔ ŋutinuawo le susu me. Esia ate ŋu anye afɔku na amesiwo ŋu dzi alo lãkusi ƒe dɔléle aɖewo le .
Eyata ne èdi be woawɔ dɔ na ye la, anyo wu be nàƒo nu tso dɔdamɔnu sia ŋu na wò ɖɔkta eye nàbia eƒe aɖaŋuɖoɖo.
Viɖe kple kuxi kawoe le amekoko siawo ŋu?
Abe nusianu ene la, viɖewo le mɔnu sia ŋu eye kuxi aɖewo hã le eŋu.
Viɖe siwo le eŋu
- Nusiwo gblẽna le ŋutilãa ŋu (nuveviwɔame) le sue ŋutɔ.
- Ʋu ʋɛ aɖewo koe dona le amekokoa me.
- Afɔku si le kuxiwo me la le sue wu ne amekoko le gaglãgbe.
- Esi wònye be abi siwo wotso la le sue ŋutɔ ta la, abi siwo woxɔna le woƒe dɔyɔyɔ vɔ megbe la nɔa sue ŋutɔ alo womenɔa anyi kura gɔ̃ hã o.
- Ŋkeke siwo nènɔa kɔdzi la le kpuie wu. Àte ŋu ayi aƒeme gbemagbe ke le amekoko aɖewo megbe.
- Ɣeyiɣi si woatsɔ ada dɔe la le kpuie ŋutɔ. Togbɔ be lãɖeɖe gã aɖe ate ŋu axɔ ɣleti geɖe hafi wòahaya hã la, lã sue siawo hayana le kwasiɖa ʋɛ aɖewo ko me.
- Esi wònye be vevesese mebɔ o ta la, vevesesenutsitikewo megahiã o.
Nusiwo gblẽ le eŋu
- Esia bia amekola siwo wona hehee etɔxɛe kple dɔwɔnu tɔxɛ siwo xɔ asi .
- Ðewohĩ dɔwɔƒe sia manɔ kɔdziwo katã me o .
- Amekokoa ate ŋu axɔ ɣeyiɣi didi vie wu amekoko si wowɔna tsã.
- Abe alesi míegblɔe le etame ene la, menye ɣesiaɣie wòsɔ na nɔnɔme kpatawo o.
- Le ame aɖewo gome (vevietɔ amesiwo ŋu dzi/aɖuɖɔtoedɔ le) la, gas zazã hena amekoko ate ŋu ahe afɔku aɖewo vɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Minimally Invasive Surgery (MIS) nye egbegbe amekokomɔnu si zãa lãɖeɖe suesuesuewo abe safuiwo ene ɖe lãɖeɖe gãwo teƒe.
- Viɖe vevi siwo le emee nye vevesese sue aɖe ko, eƒe hayahaya kabakaba, ɣeyiɣi si wozãna ɖe kɔdzi si mebɔ o, kple abi sue aɖe ko.
- Wozãa MIS mɔnu vovovowo, abe laparoscopy kple robot-dɔdamɔnu ene, geɖe egbea.
- Mɔnu sia mesɔ na dɔnɔ ɖesiaɖe alo le nɔnɔme ɖesiaɖe me o.
- Ne ehiã be woawɔ dɔ na wò la, ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta tso nenye be MIS mɔnua sɔ na wò kple eƒe viɖe kple kuxiwo ŋu eye nàwɔ nyametsotso si me kɔ.
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