Sɔntɛnde yu kin gɛt kray wata we de kɔmɔt na yu yay fɔ natin, ɛn yu kin fil wet rawnd yu yay? Yu kin gɛt fɔ was dɛn wit tisu ɔltɛm. Dis kin rili mek pɔsin vɛks. di men rizin fכ dis kin bi biכs di dilik tכb sistεm we de kכri di kray wata we de kכmכt na yu yay to yu nos, we dεn kכl di tכch dכkt, de blכk. Tide, wi go tɔk bɔt ɔpreshɔn we na di bɛst sɔlv fɔ dis.
Wetin na DCR ɔpreshɔn?
Fɔ tɔk am simpul wan, dacryocystorhinostomy, ɔ DCR fɔ shɔt, na wan we we de mek nyu rod fɔ mek yu kray wata flɔ if dɛn blok am.
Nɔmal wan, di kray wata we de kɔmɔt na wi yay kin go insay di smɔl smɔl ol dɛn we de na di kɔna dɛn na di yay, pas na di kray wata sak, ɛn flɔ insay di nos. Yu go mɛmba se we wi de kray, ɔ we sɔntin kam na wi yay ɛn kray wata kɔmɔt, wata bak kin kɔmɔt na wi nos. Dis na di rizin fɔ dis. So if dis wata dakt blok sɔmsay, di kray wata nɔ gɛt say fɔ go ɛn bigin fɔ kɔmɔt na di yay. Dis nɔ kin jɔs mek di yay dɛn wet ɔltɛm, bɔt sɔntɛnde siriɔs infɛkshɔn kin apin bak.
Yu kin si dis sik pan yɔŋ pikin dɛm, ɛn mɔ pan big pipul dɛm wae dɔn pas 65 ia.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bifo yu ɔ yu pikin du dis ɔpreshɔn, yu go nid fɔ go to spɛshal pɔsin. Dis ɔpreshɔn na ɔftalmɔlɔjis ɔ wan dɔktɔ we de mɛn yu yes, nos ɛn trot (ENT ɔspitul) kin du am. Sɔntɛnde, dɔktɔ dɛn we de na di sem dipatmɛnt kin du di ɔpreshɔn togɛda.
Yu dɔktɔ go ɛksplen to yu gud gud wan bɔt di ɔpreshɔn ɛn i go ɔda yu bak fɔ du bɔku tɛst fɔ si if yu na gud pɔsin fɔ di ɔpreshɔn.
Apat frɔm dat, dɔktɔ we de anestez go tɔk to yu, bikɔs dɛn de du dis ɔpreshɔn ɔnda anestezi.
We dɛn dɔn sɛt di de we dɛn fɔ du di ɔpreshɔn, yu dɔktɔ go advays yu bɔt dɛn tin ya:
- Di mɛrɛsin dɛn we yu de tek: If yu de tek ɛni mɛrɛsin, yu dɔktɔ go tɛl yu klia wan if yu nid fɔ stɔp fɔ tek ɛni wan pan dɛn bifo dɛn du yu ɔpreshɔn, ɛn if na so, aw fɔ tek am.
- Fɔ kip di skin klin: Fɔ mek yu nɔ gɛt di sik, dɛn kin advays yu fɔ was yu fes wit spɛshal sop di nɛt bifo yu du di ɔpreshɔn.
- Fastin: Dis rili impɔtant. Di dɔktɔ go tɛl yu ɔmɔs awa bifo di ɔpreshɔn yu fɔ stɔp fɔ it ɛn drink. Yu fɔ yuz am jɔs da tɛm de. biכs if it de na di bεlε we dεn de anεsthεsia, if yu vכmit εn dεn tin dεm de go insay di lכng, i kin mek yu gεt siriכs kכndyushכn we kin ivin mek yu layf de pan denja (`aspiration pneumonia`).
Aw dɛn kin du di ɔpreshɔn?
As di ɔpreshɔn bigin, dɛn go put wan IV layn ɔ salin tyub insay wan vein na yu an. Dis go gi yu anestezi ɛn wata. Dɔn dɛn go put yu ɔnda anestezi ɛn slip kpatakpata.
di dכkta kin du dis כpεrayshכn tu men we dεm: bay we i de mek wan say we dεn kכl am na do na di nos (external) כ insay di nos (endonasal).
| Di we aw dɛn kin du di ɔpreshɔn | Wetin kin apin (Procedure) . |
|---|---|
| DCR we de na do | Di dɔktɔ go mek wan rili smɔl say na di skin bitwin yu nos ɛn yu yay. afta dat, dεn go mek wan sכmכl ol na di bon we de separet di tεar dakt frכm di nos. tru dis ol, dεn go put wan tכn tכb (stεnt) insay di tכch dכkt, wit di כda εnd we dεn go dayrεkt insay di nos. Dis tiub go mek di nyu pasej we dɛn dɔn mek nɔ lɔk bak. Dɔn dɛn go lɔk di say we dɛn kɔt wit stich. |
| DCR we de na di ɛndonasal | Insay dis we, dɛn nɔ kin kɔt ɛni say we pɔsin kin si. Di dɔktɔ kin put wan tin we gɛt kamɛra we dɛn kɔl ɛndoskɔp insay di nos ɛn mek wan say we dɛn kɔt insay di nos. Tru am, i go na di ples usay di kray wata de ɛn mek wan ol na di bon. Dɔn, dɛn kin put wan tint tiub tru di ol we de na di kɔna na di yay, dɛn kin briŋ am insay di nos tru di ol we dɛn jɔs mek, ɛn fiks am. If na so i bi, dɛn kin yuz sɔntin lɛk fɔm fɔ kɔntrol di blɔd we de kɔmɔt. |
Aw lɔng dis ɔpreshɔn kin tek?
Tipikli, fכ fכs tεm כpεrayshכn, di εksternal mεtכd kin tek lεk 45-50 minit, εn di intranasal mεtכd kin tek lεk 30 minit. Bɔt dis tɛm kin difrɛn.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit fɔ dis na dat yu kin pul di anɔyntɛd tin we kin mek yu yay ɔltɛm kɔmɔt kpatakpata. Bak:
- Vishɔn kin bi klia.
- Di risk fɔ gɛt infɛkshɔn rawnd di yay kin ridyus.
Di impɔtant tin na dat dɛn tu we ya gɛt rili ay sakrifays rɛt.Di sakses rεt na 85% - 99%.
Ɛni risk ɛn prɔblɛm dɛn de we kin apin we dɛn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de. Sɔm prɔblɛm dɛn de bak we kin apin to dis ɔpreshɔn.
| Di kayn risk we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Risk dɛn we kɔmɔn | Pen, blɔd, infɛkshɔn. |
| Spɛshal risk dɛn | Ska tisu kin fɔm ɛn mek nyu blok, di stent kin kɔmɔt, ɔ if dɛn pul am na do, di wund kin opin bak ɔ ska kin fɔm. |
| Wan siriɔs prɔblɛm we nɔ kin apin so ɔltɛm | Sεribrospεnal Fluid (CSF) de lik . Dis na we di wata we de rawnd di bren de lik kɔmɔt na di nos. Dis nɔ kin apin so ɔltɛm. If i apin, dɛn go nid fɔ du ɔda ɔpreshɔn fɔ kɔrɛkt am. |
Yu dɔktɔ go ɛksplen to yu gud gud wan bɔt di prɔblɛm dɛn we yu go gɛt.
Wetin kin apin afta di ɔpreshɔn?
Dis na ɔutpatient prosidur. Dɛn go de wach yu fɔ sɔm awa afta yu wek frɔm di anestezi ɛn sɛn yu go na os. Di dɔktɔ go gi am mɛrɛsin fɔ mɛn pen ɛn antibayɔtik. I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek.
Dɛn go aks yu fɔ kam bak fɔ chɛk-ap lɛk wan wik afta di ɔpreshɔn. Dɔn dɛn go chɛk di wund ɛn pul ɛni dresin we dɛn yuz fɔ stɔp di blɔd. If dɛn bin kɔt di domɔt, dɛn go pul di stich dɛn bak dis tɛm.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek sɔm wik ɔ ivin mɔnt fɔ mek i wɛl, bikɔs di ol we dɛn mek na di bon kin tek sɔm tɛm fɔ wɛl.
Wan tin de we yu nɔ fɔ rili du di tɛm we yu de wɛl. Dat na fɔ blo yu nos. If yu du dat, i kin mek di wund opin bak ɛn di tiub kin muv rawnd. Yu fɔ avɔyd fɔ blo yu nos fɔ at le wan wik. Yu dɔktɔ go advays yu bɔt ɔda tin dɛn we yu fɔ avɔyd.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm:
- If yu gɛt fiva.
- If di say we dɛn du di ɔpreshɔn fil se i dɔn swel ɛn i wam.
- If di wund kɔntinyu fɔ blɔd ɔ di pus de flɔ, ɔ if di blɔd we de kɔmɔt na di nos nɔ stɔp.
- If di kray wata bigin fɔ flɔ bak.
Yu tink se ɔda we dɛn de fɔ du ɔpreshɔn pan DCR?
Yɛs, sɔm ɔda tin dɛn de we yu dɔktɔ go tɛl yu fɔ du instead fɔ du DCR ɔpreshɔn:
- Wae yu fɔ si: If yu nɔr de fil bad, yu nɔr nid tritmɛnt.
- Mɛrɛsin: Sɔmtɛm, yu kin tray fɔ kɔntrol di sik wit tin dɛm lɛk antibayɔtik ɛn stɛroyd ay drɔp.
- di tכb insεshכn: If dεn nכ du כpεrayshכn, dεn de put wan tin tyub insay di nεchכral tiar dakt εn lεf am na in ples fכ lεk 3-6 mכnt fכ si if i sכlv di prכblεm.
- Ɔda ɔpreshɔn dɛn: Ɔda spɛshal ɔpreshɔn dɛn de we dɛn kin du fɔ di wan dɛn we nɔ gɛt DCR ɔpreshɔn we dɔn wok fayn.
We yu de kray ɔltɛm na yu yay, dat kin rili mek yu fil pen. Bɔt DCR na rili sef ɛn fayn sɔlv fɔ dis prɔblɛm. If yu ɔ sɔmbɔdi na yu famili gɛt dis prɔblɛm, go to dɔktɔ we de mɛn yu yay fɔ advays. Na in go disayd di tritmɛnt we go fayn fɔ yu ɛn gi yu di advays we yu nid.
Mɛsej we dɛn kin kɛr go na os
- DCR na wan ɔpreshɔn we rili saksesful we dɛn kin du fɔ trit kɔndishɔn usay wata kin kɔmɔt na di yay ɔltɛm bikɔs di wata dakt dɛn kin blok.
- dis כpεrayshכn kin bi tu men we dεm (eksternal εn intranasal). Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- I go tek sɔm tɛm fɔ mek i wɛl ful wan. Insay da tɛm de, mek shɔ se yu fala wetin di dɔktɔ tɛl yu fɔ du, mɔ di advays we se yu nɔ fɔ pik yu nos tumɔs.
- If yu gɛt ɛni ɔda tin we nɔ kɔmɔn afta yu du di ɔpreshɔn, lɛk fiva, swel, ɔ we yu de blɔd pasmak, tɛl yu dɔktɔ wantɛm wantɛm.
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