We wi yɛri di wɔd "brain surgery," wi bɔdi kin go numb, nɔto so? I kin kam na wi maynd wantɛm wantɛm as sɔntin we rili siriɔs ɛn we denja. I mek sɛns fɔ tink so bikɔs fɔ tru, na ɔpreshɔn na di men sɛnta we de kɔntrol wi wan ol bɔdi. Bɔt bikɔs mɛrɛsin dɔn go bifo tide, ɔpreshɔn na in bren na tritmɛnt we sef ɛn we go wok fayn pas aw i bin de bifo. So, fɔ pul di fred ɛn dawt bɔt dis, lɛ wi tɔk jɔs bɔt wetin rili bi ɔpreshɔn na di bren.
Fɔ tɔk am simpul wan, wetin na dis bren ɔpreshɔn?
Bren ɔpreshɔn na wan we fɔ trit wan abnɔmal kɔndishɔn ɔ prɔblɛm na yu bren ɔ rawnd yu bren. As yu no, di bren na di men tin we de kɔntrol wi bɔdi. Wi de tɔk, tink, waka, mɛmba, ɛn ɔl ɔda tin na di bren de kɔntrol am. So di men gol fɔ dis ɔpreshɔn na fɔ trit wan prɔblɛm na di bren, we nɔ go pwɛl di impɔtant tin dɛn we wi dɔn tɔk bɔt.
Bɔku rizin dɛn de we mek dɛn kin du dis kayn ɔpreshɔn. Fɔ ɛgzampul, dɛn kin du am fɔ pul wan tumbu na di bren, fɔ pul pat pan di bren fɔ wan sik lɛk ɛpilepsi, ɔ fɔ ridyus di prɛshɔn we de go ɔp insay di bren bikɔs ɔf blɔd we dɔn klɔt ɔ ɔda tin. dεn kin yus כpεrayshכn na di bren bak fכ trit kכndyushכn dεm lεk abnכmal bכdi vεsul dεm na di bren (aneurysms).
Sɔm prɔblɛm dɛn de we kin apin we dɛn du dɛn ɔpreshɔn ya, na dat mek dɛn go kip yu na ɔspitul afta dɛn dɔn du di ɔpreshɔn ɛn di mɛdikal tim go de wach yu gud gud wan aw yu de wɛl.
Udat kin du dɛn ɔpreshɔn dɛn ya?
Na wan dɔktɔ we de mɛn di nyuro sajin kin du ɔpreshɔn pan di bren . Na wan big tim we gɛt dɔktɔ ɛn nɔs dɛn we dɛn dɔn tren spɛshal wan de ɛp am. Wan dɔktɔ we de anestez de de bak fɔ gi yu di anestetik we yu nid so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.
Wetin na di men kayn ɔpreshɔn we dɛn kin du na di bren?
Bɔku kayn ɔpreshɔn dɛn de fɔ di bren. Nɔto ɔlman dɛn kin trit di sem we. Dɔktɔ dɛn go disayd di kayn ɔpreshɔn we go fayn fɔ yu bay aw yu sik. Lɛ wi luk sɔm pan di kayn ɔpreshɔn dɛn we pipul dɛn kin du.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan, wetin kin apin wit dis? |
|---|---|
| Bayopsi we dɛn kin du | Dɛn kin tek wan rili smɔl pat pan di tisu ɔ wata sɛmpul frɔm di bren ɛn tɛst am. Dɛn kin du dis mɔ fɔ no if wan tumbu na di bren gɛt kansa. Sɔntɛnde, dɛn kin tek dis sampul we dɛn nɔ opin di skel, dɛn kin yuz smɔl tin we tan lɛk nidul. |
| Kraniɔtomi we dɛn kin du | Dis na wetin wi kin kɔl ‘open brain surgery’. Na ya, di dɔktɔ we de du di ɔpreshɔn kin pul wan smɔl pat pan di skel fɔ sɔm tɛm fɔ mek i go ebul fɔ go na di bren. Dɔn, dɛn kin du di tritmɛnt we dɛn nid (lɛk fɔ pul wan tumbu ɔ blɔd we dɔn klɔt) ɛn dɛn kin tay di pat pan di skel we dɛn pul bak. |
| Kraniɛktɔmi we dɛn kin pul | Dis fiba di we aw wi bin dɔn tɔk bɔt am. Bɔt na ya di pat pan di skel we dɛn pul nɔ kin tay bak wantɛm wantɛm. di rizin fכ dis na fכ stכp di prεshכn fכ inkrεs biכs fכ di posisibul fכ di bren swel afta di כpεrayshכn. Leta, dɛn kin tay di pat pan di skel bak insay wan ɔda ɔpreshɔn. |
| Dip Bren Stimulashɔn (DBS) . | Na tritmɛnt fɔ nyurolɔjik kɔndishɔn lɛk Pakinsin sik. insay dis, dεn kin put εlektrod dεm dip insay di bren. Wan smɔl tin we de na do na di bɔdi kin sɛn ilɛktrik signal dɛn tru dɛn ilɛktrɔd dɛn ya fɔ kɔntrol di kɔndishɔn. |
| Ɛndovaskyuɛl Ɔpreshɔn | Wan mɔdan we we nɔ de opin di skel. Na ya, dɛn kin kɔt wan rili smɔl say na di groin eria, ɛn dɛn kin put wan rili tin tiub we dɛn kɔl kateta tru am insay wan blɔd vesel. Dis tiub de pas along di blɔd vesel to di bren fɔ pul di blɔd we de klɔt ɔ fɔ mek di blɔd vesel dɛn fayn. |
| Nyuroɛndoskɔpi | Dis na tin bak we dɛn nɔ kin du bɔku tin. Bifo dɛn kɔt di skel, dɛn kin pas wan tint tiub we gɛt kamɛra we dɛn tay, we dɛn kɔl ɛndoskɔp, tru di nos ɔ mɔt to di bren. Dɔn dɛn kin pas di ɔspitul inschrumɛnt dɛn tru di tiub fɔ du tin dɛn lɛk fɔ pul di tɔŋ dɛn. |
Us kayn sik dɛn kin trit wit ɔpreshɔn na di bren?
Bɔku rizin dɛn de we mek dɛn kin se dɛn fɔ du ɔpreshɔn pan in bren. Sɔm pan dɛn na:
- Bren Tumɔs dɛn
- Blɔd Klɔt na di Bren
- Bren Anɛrizm dɛn
- Epilepsy we pɔsin kin gɛt
- Traumatik Bren Injuri ɛn Skul Fraktrɔs
- Blɔd we de kɔmɔt na di bren (Emorrhages) .
- Akyumyuleshכn fכ wata na di bren (Hydrocephalus) .
- Strok
- Dis sik we dɛn kɔl Parkinson
Aw yu kin rɛdi fɔ ɔpreshɔn?
Bren ɔpreshɔn na tin we dɛn rili plan fɔ du, ɛn yu mɛdikal tim go rɛdi yu fayn fayn wan fɔ am.
Test dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn
Bifo yu du di ɔpreshɔn, yu dɔktɔ go du yu bɔdi ɛgzam ɛn du bɔku blɔd tɛst fɔ mek shɔ se yu gɛt wɛlbɔdi. Apat frɔm dat, dɛn go du tɛst dɛn lɛk dɛn wan ya fɔ gɛt wan rili klia, ditayli pikchɔ bɔt yu bren:
- MRI (Magnetik Rizɔnans Imej) skan
- CT (Kɔmpyut Tomografi) Skan
- PET (Positron Ɛmishin Tomografi) skan
- Angiography - fכ egzamin di bכdi vεsul dεm
Di pikchɔ dɛn we dɛn kin pul na dɛn skan dɛn ya kin ɛp di dɔktɔ fɔ no di rayt say we dɛn nid fɔ trit.
Yu nid fɔ pripia.
Yu dɔktɔ we de du di ɔpreshɔn go tɛl yu bɔt dɛn tin ya bifo dɛn du di ɔpreshɔn:
- Chenj yu wɛlbɔdi abit: If yu na pɔsin we de smok, yu fɔ stɔp fɔ smok kpatakpata fɔ sɔm wiks bifo dɛn du yu ɔpreshɔn . Smok kin mek yu gɛt prɔblɛm dɛn we yu de du ɔpreshɔn ɛn i kin mek di wund nɔ wɛl.
- Aw fɔ yuz mɛrɛsin: Yu go nid fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners ) sɔm dez bifo dɛn du di ɔpreshɔn. Yu dɔktɔ kin tɛl yu bak fɔ bigin fɔ tek nyu mɛrɛsin fɔ mek yu bren nɔ swel, fɔ mek yu nɔ gɛt infɛkshɔn, ɔ fɔ mek yu nɔ gɛt sik.
- Aw fɔ Ɔndastand di Ɔpreshɔn: Yu dɔktɔ go ɛksplen di we aw dɛn fɔ du am, di bad tin dɛn we kin apin to yu, ɛn wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn. Aks ɛni kwɛstyɔn ɔ tin we de mɔna yu da tɛm de.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu de du. fכ egzampl, lε wi tek wan stεp-by-stεp luk pan aw fכ du ‘open bren כpεrayshכn' (`Craniotomy`).
1. Fɔs, di dɔktɔ we de anestez yu go put yu ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin, yu go de slip.
2. Dɛn kin pul di ia we de rawnd di say we dɛn de du di ɔpreshɔn ɛn klin di say fayn fayn wan.
3. Di dɔktɔ we de du ɔpreshɔn kin kɔt di skin na di skel.
4. Dɔn, dɛn kin tek tɛm pul wan smɔl pat pan di skel bay we dɛn de yuz spɛshal ɔspitul inschrumɛnt (`shɔjik drɔl`).
5. naw we dεn dכn akses di bren, dεn de du di tritmεnt we nid (e.g., fכ pul wan tכmכro, fכ pul wan bכdi we de kכlכt).
6. Afta di tritmɛnt dɔn, dɛn kin tay di pat we dɛn pul na di skel bak usay i bin de fɔs, ɛn dɛn kin yuz spɛshal smɔl plet dɛn ɛn skru dɛn.
7. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt di skin wit stich.
Impɔtant: Nɔto ɔl ɔpreshɔn dɛn kin gɛt fɔ opin di skel. insay di prosidכs dεm lεk `Neuroendoscopy`, dεn de pas instrכmεnt dεm tru di nos כ tru di groin along di bכdi vεsul dεm insay `Endovascular` כpεrayshכn, we de alaw fכ trit di bren we dεn nכ mek εni big insishכn.
A go wek we dɛn de du di ɔpreshɔn?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Sɔntɛnde, yes, dɛn kin kip yu wek we dɛn de du di ɔpreshɔn.
Bɔku pan di ɔpreshɔn dɛn kin du we dɛn dɔn ful-ɔp yu anestez. Bɔt sɔm kayn tumbu dɛn na yu bren ɛn ɔpreshɔn fɔ mek yu gɛt ɛpilepsi, yu fɔ wek. Nɔ wɔri, yu ed go numb wit anestetik, so yu nɔ go fil ɛni pen.
di sajin de du dis fכ mek 100% sכh se di imכtant wok dεm na di bren (lεk fכ tכk εn muv) nכ de pwεl. We dɛn de du di ɔpreshɔn, dɔktɔ dɛn go tɛl yu fɔ tɔk, fɔ no udat yu gɛt pikchɔ, ɔ muv yu an ɔ yu fut. We yu du dɛn tin ya, di dɔktɔ we de du di ɔpreshɔn kin du di ɔpreshɔn ɛn i nɔ go pwɛl di pat dɛn na di bren we de insay dɛn tin dɛn de.
Wetin kin apin afta di ɔpreshɔn? Wetin na di prɔblɛm dɛn we kin apin?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kip yu na ɔspitul fɔ mek dɛn wach yu fɔ sɔm dez. Afta dɛn dɔn ɔpreshɔn yu opin, yu kin de fɔ lɛk 10 dez so. Dɛn kin kip yu bak na di intensiv kia yunit (ICU) fɔ di fɔs ɔ tu dez.
I nɔmal fɔ fil taya, fil pen, ɛn gɛt ed we de at afta dɛn dɔn du di ɔpreshɔn. Di mɛdikal tim go gi yu pen kil fɔ ɛp wit dis. Dɛn go gi yu mɛrɛsin bak fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn.
Di prɔblɛm dɛn we kin apin ɛn di sayd ɛfɛkt dɛn we kin apin
Lɛk ɛni ɔpreshɔn, ɔpreshɔn na in bren gɛt sɔm prɔblɛm dɛn.
| Di kayn risk we pɔsin kin gɛt | Wetin de insay? |
|---|---|
| Kɔmɔn risk dɛn we gɛt fɔ du wit ɔpreshɔn | Blɔd, infɛkshɔn, bad bad tin dɛn we kin apin to pɔsin we dɛn tek anestezi, ed we kin at. |
| Sɔmtɛm sayd ɛfɛkt dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn | I nɔ izi fɔ tɔk, di bren we de swel, kɔnfyushɔn, diziz, prɔblɛm wit fɔ waka ɔ balans. |
| Risk dɛn we kin apin fɔ lɔng tɛm | I kin chenj di we aw pɔsin de biev, i nɔ kin mɛmba bɛtɛ, i nɔ kin ebul fɔ tɔk fayn, i kin wik in an ɛn fut, ɛn sɔm in bren kin pwɛl. |
Impɔtant tin na dat, dɛn dɔn ridyus dɛn risk ya bad bad wan wit di mɔdan, minimal invasive ɔspitul tɛknik dɛn. Yu dɔktɔ go tɔk klia wan bɔt di prɔblɛm dɛn we kin apin to yu.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis kin difrɛn bak fɔ di kayn ɔpreshɔn. If yu du ɔpreshɔn we nɔ de tek bɔku mɔni, yu kin wɛl insay sɔm wiks. Wit opin ɔpreshɔn, i kin tek ɛnisay frɔm 6 wik to sɔm mɔnt fɔ mek i wɛl ful wan.
Sɔm pipul dɛn nid fɔ gɛt rihabiliteshɔn afta dɛn dɔn ɔpreshɔn dɛn, we min se dɛn fɔ ɛp fɔ mek dɛn bɔdi wok fayn bak tru tin dɛn lɛk tɔk tɛrapi ɛn fisiotɛrapi.
Ustɛm fɔ go to dɔktɔ
Na nɔmal tin fɔ mek yu nɔ fil fayn afta dɛn dɔn du yu ɔpreshɔn. Bɔt sɔm sayn dɛn de we yu fɔ no bɔt. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ wantɛm wantɛm:
- I nɔ izi ɔ i nɔ ebul fɔ kɔntrol di we aw yu de pis.
- I nɔ kin izi fɔ lɛ pɔsin slip ɔ i nɔ kin izi fɔ wek.
- Fiva, vɔmit, ɔ nɔs.
- I de at bad bad wan ɔ yu nɛk kin stif.
- Sivεr mental kכnfyushכn, big chenj na bihayvya.
- I nɔ izi fɔ si, yɛri, ɔ tɔk.
- Di an, fut, ɔ fes kin swɛla ɔ nɔ kin fil fayn.
- Nɔbɔdi nɔ kin no natin.
Dis na imejensi dɛn! Go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm!
- I nɔ kin izi fɔ yu fɔ blo
- Fɔ gɛt sik we de mek pɔsin sik (kɔnvulshɔn) .
- Di sayn dɛm fɔ strok (we yu de drɔp na wan say na yu fes, yu an nɔ de fil fayn, i nɔ izi fɔ tɔk) .
Mɛsej we dɛn kin kɛr go na os
- Bren ɔpreshɔn na tritmɛnt we rili advans ɛn sef tide, so nɔ fred am we yu nɔ nid fɔ du am.
- Bɔku kayn ɔpreshɔn dɛn de. Nɔto ɔl ɔpreshɔn dɛn kin gɛt fɔ opin di skel. Dɔktɔ dɛn go pik di we we sef ɛn we fit fɔ yu sik.
- I rili impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn bifo ɛn afta di ɔpreshɔn. Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu ɔ we yu de fred.
- Dɛn kin du ɔpreshɔn pan di bren fɔ sev pipul dɛn layf ɛn fɔ mek di layf bɛtɛ. So, na rili impɔtant tritmɛnt fɔ siriɔs sik.
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