Yu dɔn ɛva du ɛndoskopi? Sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ du dis tɛst fɔ si if yu gɛt ɔlsa na yu bɛlɛ ɔ ɔda tin we nɔ de mek yu fil fayn. We yu de du dis tɛst, sɔntɛnde di dɔktɔ kin si blɔd de kɔmɔt frɔm smɔl wund na yu bɛlɛ ɔ yu insay, ɔ smɔl smɔl tin dɛn we de gro (polyps) dɔn fɔm. Trade, dis bin fɔ dɔn nid fɔ gɛt smɔl ɔpreshɔn, bɔt wit di advans tɛknɔlɔji tide, we dɛn de fɔ trit dɛn tin ya we dɛn nɔ ivin kɔt. Dat na wan pan di advans tritmɛnt dɛm we wi de tɔk bɔt tide. Dɛn kɔl am Argon Plasma Coagulation, ɔ APC fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na APC (Argon Plasma Coagulation)?
Okay, dis nem kin soun likli komplikayt, bot wetin de hapun fo dis na rili simpul. Imajin se wan smɔl ol na wan tiub insay wi bɔdi (lɛk di dijestiv trakt) de blɔd. insay dis mכt we dεn kכl APC, di dכkta de sεnd כda tin tכb tru di εndoskop tכb (skop), εn dεn injεkt wan spεshal gas we dεn kכl ‘Argon’ tru am. Dɔn, dɛn kin yuz wan rili smɔl ilɛktrik kɔrɛnt fɔ mek di gas bɔn. Di ay ɔt we dis kin mek kin bɔn di say we di blɔd de kɔmɔt ɛn stɔp di blɔd. כlso, if sכm sכm sכm tin dεm we dεn nכ want (polyps) de, dis mεtכd kin pwεl dεm kכmplit wan.
Dis tan lɛk fɔ sɔlv prɔblɛm insay di bɔdi, we yu nɔ kɔt insay di bɔdi, bɔt rili dilikɛt wan frɔm do. Dis min se nid nɔ de fɔ go fɔ big ɔpreshɔn. Na dat wi kin kɔl ‘minimally invasive’ na mɛrɛsin.
Na wan dɔktɔ we de mɛn di bɛlɛ ɔ pɔsin we de mɛn di bɔdi kin du dis tritmɛnt.
Uskayn kes dɛn dis tritmɛnt nid fɔ de?
Dɛn kin yuz APC tɛrapi fɔ difrɛn rizin dɛn. Lɛ wi tek wan luk pan wetin i men wan de du.
| Kɔndishɔn we dɛn de trit | Wan simpul ɛksplen |
|---|---|
| Fɔ stɔp fɔ blɔd na di bɔdi | Dɛn kin yuz am fɔ trit blɔd we kin kɔmɔt frɔm di lɛsin dɛn na di bɛlɛ ɛn di intestinal, blɔd we de kɔmɔt na di rɛktal, ɔ wan tin we dɛn kɔl ‘watamɛlɔn bɛlɛ’ (Gastric Antral Vascular Ectasia Syndrome). |
| Rimov di tisu/tכmכr dεm we yu nכ want | dis prosidur dεn de yuz fכ pul sכm sכm sכm gro (polyps) כ tisu dεm we kin bi kεnsar na di intestinal dεm. Dɛn kin yuz am bak fɔ shrink wan kansa tumbu pan pɔsin we nɔ ebul fɔ du big ɔpreshɔn. |
| Fɔ Trit Barrett in Ɛsophagus | dis kin kכz fכ lכng tεm gastritis (GERD) we de mek chenj dεm na di sεl dεm na di εsophagus. dεn de yuz APC dεm fכ pul dεn chenj sεl dεm ya bifo dεn tכn to kεnsar. |
| We yu gɛt bɔku bɔku wet afta dɛn dɔn du yu ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi | Afta sɔm ɔpreshɔn dɛn we dɛn dɔn du fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, di say we di bɛlɛ bin tay kin strɛch ɛn big as tɛm de go. Dɔn di wet go gɛt bak. Dɛn kin yuz APC tritmɛnt fɔ tayt ɛn shrink da strɛch eria de bak. |
| Prɔblɛm dɛn we de na di lɔng ɛn di we aw pɔsin de blo | dis mεtכd dεn kin yus bak wit brכnkoskopi fכ trit sכm sכm tכmכro dεm כ di εria dεm we de bכn na di aywe dεm. |
Aw dis tritmɛnt kin wok?
Smɔl tin de fɔ pripia yu fɔ du bifo dis tritmɛnt. I dipen pan aw yu want fɔ du am.
- di כp εndoskopi: Dis na fכ put wan tכb tru di mכt fכ egzamin di bεlε εn di εsophagus.
- Kolonoskopi: dis involv fכ put wan tכb tru di rεktum fכ egzamin di big intestin.
- Bronchoscopy: Dis na fɔ put wan tiub tru di nos ɔ mɔt fɔ luk di lɔng dɛn.
Bifo dis, yu dɔktɔ go tɛl yu fɔ avɔyd fɔ it ɔ drink fɔ sɔm awa . We yu du kɔlon skɔpi, dɛn go gi yu wan bɔdi prɛparashɔn fɔ ɛp fɔ klin yu kɔlon. Dɔn bak, if yu de tek mɛrɛsin dɛn we de mek yu blɔd tan lɛk aspirin, dɛn kin aks yu fɔ stɔp fɔ tek am fɔ sɔm dez.
We dɛn de du tritmɛnt...
1. Dɛn go gi yu anestezi fɔ mek yu fil fayn ɛn nɔ fil ɛni pen. Dis min se yu fɔ put smɔl tiub (IV layn) insay wan vein na yu an ɛn gi yu mɛrɛsin tru am.
2. Dɔn dɛn go mek yu ledɔm na di tritmɛnt bed.
3. Di dɔktɔ kin put wan tin we kin chenj (skɔp) we gɛt kamɛra we dɛn tay insay di bɔdi as i fayn (tru di mɔt, nos, ɔ di an).
4. Fɔ mek ilɛktrik kɔrɛnt nɔ pwɛl yu bɔdi, dɛn kin tay flat pad (grɔn pad) na yu bɔdi (bɔku tɛm na yu shɔl).
5. Nεks, dεn de pas di kateshכn we gεt di APC divays tru di skop to di aprכpriet ples.
6. Dɛn kin injɛkt argon gas fɔs, dɔn dɛn kin yuz ilɛktrik kɔrɛnt fɔ bɔn am. Dɔn dɛn kin bɔn di tisu we dɛn want fɔ du.
7. Di dɔktɔ kin dɔn di tritmɛnt bay we i de muv di divays as nid de, ɛn i kin kɔntrol di gas ɛn ilɛktrik kɔrɛnt.
8. We di wok dɔn, dɛn kin pul di skɔp, kateshɔn, ɛn di grɔn pad.
Dis ɔl dis kin tek lɛk 15 minit to wan awa .
Wetin kin apin afta di tritmɛnt? Ɛni bad bad tin dɛn de we kin apin to am?
Afta di tritmɛnt, dɛn go kip yu na rum fɔ wɛl ɛn dɛn go sɛn yu na os afta di ifɛkt dɛn we di anestezi gɛt dɔn west. Sɔm smɔl smɔl diskɔmfɔt kin apin.
- Fɔ fil lɛk se yu bɛlɛ ful-ɔp.
- Gas we de pas ɛn di smɔl bɛlɛ pen we kin kɔmɔt frɔm dat.
- Taya smɔl, diziz smɔl.
Bɔku tɛm, dɛn tin ya na nɔmal tin. Natin nɔ de fɔ wɔri bɔt. Dɛn diskɔmfɔt ya go dɔn insay sɔm awa. Yu nɔ go fil ɛni pen we yu de du di tritmɛnt bikɔs dɛn go gi yu anestezi.
APC na wan we we rili sef. Kɔmplikɛshɔn dɛn nɔ kin apin so ɔltɛm. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Blɔd, prɔblɛm wit anestezi, di εsophagus we de smɔl (stenosis), ɔ di tisu rɔp kin apin smɔl smɔl. Na dat mek i impɔtant fɔ mek dɔktɔ we gɛt ɛkspiriɛns du dɛn tin ya.
Simptom dɛm wae nid fɔ go to dɔktɔ kwik kwik wan
Afta yu dɔn go bak na os, if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ go na ɔspitul wantɛm wantɛm, mɔ di Imejɛnsi Dipatmɛnt (ETU). Dɛn tin ya kin bi sayn fɔ se sɔntin siriɔs, so i impɔtant fɔ du sɔntin kwik kwik wan.
| Sayn dɛn we de wɔn pipul dɛn fɔ wach! | |
|---|---|
| 🔴 we yu de yuz | Bɔrku pen na yu bɛlɛ wae nɔr kin stɔp ivin afta yu dɔn pas gas. |
| 🔴 we yu de yuz | Chɛst pen . |
| 🔴 we yu de yuz | I nɔ kin izi fɔ yu fɔ blo . |
| 🔴 we yu de yuz | Blɔd we de vɔmit (lɛk rɛd ɔ kɔfi grɔn). |
| 🔴 we yu de yuz | Blɔd we de kɔmɔt na di rɛktɔ (rɛd ɔ dak blak blɔd na di stɔl). |
| 🔴 we yu de yuz | Fiva ɔ kol kol. |
| 🔴 we yu de yuz | I nɔ kin izi fɔ swɛla ɔ i kin mek yu trot pen mɔ ɛn mɔ. |
Afta yu go na os, fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Bikɔs ɔf di ifɛkt dɛn we di anɛstɛtik mɛrɛsin gɛt, nɔ drayv ɔ yuz ebi ebi mashin dɛn da de de.
- Bring pɔsin fɔ kɛr yu go na os. I bɛtɛ if pɔsin de wit yu fɔ sɔm awa afta yu rich na os.
- Nɔ drink rɔm.
- Di dɔktɔ go advays yu bɔt wetin yu kin it ɛn ustɛm yu kin bigin fɔ it nɔmal wan.
Mɛsej we dɛn kin kɛr go na os
- Argon Plasma Coagulation (APC) na wan advans, nɔ-invasive tritmɛnt we dɛn kin yuz fɔ stɔp blɔd insay di bɔdi ɛn pul di tisu we dɛn nɔ want.
- Dɛn kin du dis ɔnda anestezi, so yu nɔ go fil ɛni pen.
- Afta yu dɔn trit yu, yu kin gɛt smɔl prɔblɛm dɛn lɛk fɔ blo ɛn gas, bɔt dɛn tin ya kin dɔn kwik kwik wan.
- We yu go na os afta yu dɔn gɛt tritmɛnt, fala wetin di dɔktɔ tɛl yu fɔ du.
- If yu si ɛni sayn we de wɔn yu lɛk fɔ gɛt bad bad bɛlɛ pen, yu chɛst de at, yu nɔ go ebul fɔ blo, ɔ yu de vɔmit blɔd, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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