We yu go to dɔktɔ fɔ pul smɔl mol ɔ tumbu na yu skin, yu go dɔn si am ‘skrap’ am wit smɔl inschrumɛnt. Da tɛm de, yu kin smɛl smɔl smok ɛn smel we de bɔn. Bɔku pipul dɛn kin tink se dis na tritmɛnt we dɛn kin yuz lɛsa. Bɔt fɔ tru, na spɛshal tritmɛnt we de yuz kɔrɛnt. Wi kɔl dis ilɛktrɔsɔjri. Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, dis na tin we rili sef ɛn we dɔn go bifo pan mɛrɛsin. Tide, wi go tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na ilɛktrɔsɔj?
Ilɛktrosɔjri na jɔs fɔ yuz ilɛktrik kɔrɛnt we dɛn kin kɔntrol fɔ du ɔpreshɔn. I kin ebul fɔ du tri men tin dɛn:
1. Kɔt: Dɛn kin yuz dis we fɔ kɔt tisu, jɔs lɛk ɔspitul nɛf.
2. Fɔ pwɛl di tisu: Dɛn kin yuz am fɔ pwɛl sɔntin we nɔ want we de gro na di skin, lɛk mol ɔ wɔt.
3. Stɔp fɔ blɔd: Dɛn kin yuz dis fɔ stɔp blɔd wantɛm wantɛm bay we dɛn de ‘sial’ blɔd vesel we de blɔd frɔm we dɛn kɔt am.
Wan spɛshal mashin de we dɛn kɔl Ilɛktrosɔjik Yunit (ESU) fɔ dis. Di kɔrɛnt we de kɔmɔt na dis mashin kin kɔnɛkt to wan smɔl tin we dɛn kɔl ilɛktrɔd we di dɔktɔ kin yuz. We dɛn put dis ilɛktrɔd nia di say we yu de trit (fɔ ɛgzampul, yu armpit), di bad bad wam we di ilɛktrishɔn de mek de pwɛl ɔ kɔt di tisu we dɛn de tɔk bɔt.
Tink bɔt am, di damej we dis kin du na fɔ rili mɛn damej. Dat min se i de pul tin dɛn we nɔ nid, i de stɔp blɔd, ɛn ɛp di bɔdi fɔ wɛl.
Wetin na di difrɛn we dɛn fɔ du dis tritmɛnt?
Dis we aw dɛn kin du ilɛktrɔsɔj nɔto jɔs wan we. Difrɛn we dɛn de we dɛn kin yuz fɔ du am dipen pan di nid. Lɛ wi luk dɛn tin ya dis we fɔ mek i izi fɔ ɔndastand.
| Di nem fɔ di we aw dɛn de du am | Aw dɛn kin mek am ɛn wetin dɛn kin yuz am fɔ? |
|---|---|
| Ilɛktrofulgureshɔn we dɛn kin yuz | Na ya, dɛn fɔ put di ilɛktrɔd dairekt pan di skin.Nɔ, i kin mek ilɛktrik spak bay we i put am sɔm milimita ɔp di skin. dis de כnli chenj di tכp layεr na di skin. |
| Ilɛktrodɛsikeshɔn | Na ya, dɛn kin put di ilɛktrɔd dairekt pan di say we dɛn de trit. di ilɛktrishɔn de pas tru di tisu ɛn ‘dray’ am. Bɔku tɛm dɛn kin yuz dis we fɔ pul di wɔt. |
| Ilɛktrokɔaguleshɔn | Dis kin mek sɔm damej pan di dip tisu dɛn. I kin mɔs mek blɔd klɔt ɛn stɔp fɔ blɔd. |
| Ilɛktrosekshɔn | Dis kin mek dɛn ebul fɔ kɔt di tisu dɛn rili prɛsis. I kin izi lɛk fɔ kɔt bɔta wit ɔt nɛf, ɛn yu nɔ go gɛt bɛtɛ blɔd. |
Yu tink se ilɛktrɔkɔtiri difrɛn?
Yɛs, smɔl difrɛns de. Bɔku pipul dɛn kin kɔnfyus dɛn tu tin ya. Insay di we dɛn we wi dɔn tɔk bɔt, ilɛktrishɔn kin pas na di bɔdi in tisu dɛn. Bɔt insay ilɛktrɔkɔtiri, dɛn kin yuz ilɛktrishɔn fɔ wam di tip nɔmɔ na di ilɛktrɔd. Dɔn, dɛn kin put di tip we dɔn ɔt pan di tisu fɔ pwɛl di tisu. Na ya, kɔrɛnt nɔ de pas na di bɔdi.
Us kɔndishɔn dɛn dɛn kin yuz ilɛktrɔsɔjɛri fɔ?
Dɛn kin yuz dis teknɔlɔji fɔ du bɔku tin dɛn fɔ mɛn pipul dɛn.
- Fɔ sik dɛn we de na di skin: Na di wan dɛn we de mɛn di bɔdi kin yuz dis. I kin rili wok fɔ pul di bad bad tin dɛn we de gro na di skin, di wɔt dɛn, ɛn di tin dɛn we de na di skin.
- Fɔ kansa na di skin: Dɛn kin yuz dis we bak fɔ trit sɔm kayn kansa na di skin, lɛk basal cell carcinoma ɛn squamous cell carcinoma. Dis kin min fɔ fɔs skrap di kansa layt wit shap inschrumɛnt (curettage), ɛn afta dat dɛn kin du ilɛktrɔsɔj fɔ pwɛl ɛni kansa sɛl we lɛf.
- Ɔda ɔpreshɔn dɛn: Dɛn kin yuz dis we fɔ du ɔpreshɔn lɛk ɛndoskopi (we dɛn kin yuz kamɛra fɔ luk insay di bɔdi) fɔ pul smɔl smɔl tumbu ɛn polip dɛn we de insay di bɔdi ɛn fɔ stɔp blɔd.
Wetin kin rili apin we dɛn de trit am?
Fɔs, dɛn kin gi yu anestezi fɔ mek yu nɔ fil pen so dat yu nɔ go fil ɛni pen. Wetin go apin nɛks de dipen pan di we aw dɛn yuz am. Tu men we dɛn de fɔ du am.
Monopolar we fɔ du am
Dis na di we aw dɛn kin yuz mɔ. "Mono" min "wan". Dis min se na wan ilɛktrɔd tip nɔmɔ dɛn kin put na yu bɔdi.
- Ilɛktrishɔn frɔm di ESU mashin de kam to di aktif ilɛktrɔd.
- We dɛn tɔch dis ilɛktrɔd to di say we dɛn de trit am, ilɛktrishɔn de travul tru di tisu dɛn na yu bɔdi.
- Dɔn di ilɛktrishɔn de travul go na wan pasiv ilɛktrɔd (dispersive electrode) we de atak ɔda pat na di bɔdi. Dis tan lɛk "earth plate." Dis kin bi pad we yu kin stik to yu shɔl.
- Fɔ dɔn, di ilɛktrishɔn frɔm da inaktiv ilɛktrɔd de go bak to di ESU mashin, ɛn dɔn di sɔrkwit.
Bipolar we fɔ du tin
"Bi" min "tu." Na ya, dɛn kin put tu ilɛktrɔd tip dɛn na yu bɔdi. Tink bɔt am lɛk tin we tan lɛk fɔs fɔs. Ilɛktrishɔn kin kam insay frɔm wan say ɛn kɔmɔt na di ɔda say.
- Ilɛktrishɔn frɔm di ESU mashin de kam na di ilɛktrɔd we de wok.
- di ilɛktrik de travul tru di tisu ɛn go na di ilɛktrɔd we de na di ɔda say na di sem ol.
- Di ilɛktrishɔn nɔ de travul fa tru di bɔdi, i jɔs de travul bitwin di tu ɛnd dɛn na di nidul ɛn afta dat i de go bak na di ESU mashin. Dɛn kin yuz dis fɔ ɔpreshɔn dɛn we rili dilik.
Wetin na di bɛnifit dɛn we dis we fɔ trit pɔsin gɛt?
Dis we ya gɛt bɔku bɛnifit dɛn pas fɔ kɔt wit nɛf we dɛn kin yuz ɔltɛm fɔ ɔpreshɔn.
- Na smɔl damej de pan di tisu we de rawnd, ɛn na di say we dɛn want fɔ trit nɔmɔ dɛn kin trit.
- Skaring nɔ kin apin so ɔltɛm.
- I kin pwɛl (ablate) tisu kwik kwik wan.
- Dɛn kin stɔp di blɔd wantɛm wantɛm. Dis na wan pan di big big bɛnifit dɛn.
we dεn yuz dis mεtכd fכ skin kεnsar, i gεt hכy rεt fכ kכl 90% - 95%.
Ɛni risk de we dis kin apin?
Ilɛktrosɔjɛri na tin we rili sef we dɔktɔ we gɛt ɛkspiriɛns du am. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Lɛ wi tek wan luk pan wetin dɔktɔ dɛn kin du fɔ mek dɛn nɔ gɛt dɛn.
| Denja | Wetin dɔktɔ dɛn kin du fɔ mek i nɔ gɛt am? |
|---|---|
| Bɔn dɛn | If di pawa we di ilɛktrik kɔrɛnt gɛt tumɔs, bɔn kin apin. Dɔktɔ dɛn kin mek dis nɔ apin ɔltɛm bay we dɛn kin bigin wit di pawa we smɔl pas ɔl ɛn yuz di kɔrɛkt sɛtin dɛn. |
| Ilɛktrik shɔk | Dis risk kin de if dɛn nɔ grind di ilɛktrishɔn fayn fayn wan. Di mɛdikal tim kin rili tek tɛm wit dis ɛn dɛn kin mek shɔ se dɛn put di ikwipmɛnt kɔrɛkt wan. |
| Infεkshכn dεm | Yu kin skata di jem dɛn bay we yu yuz tin dɛn we dɛn nɔ sterilayz. Dɔn bak, di smok we kin kɔmɔt we dɛn de trit am kin mek di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ dis rizin, dɔktɔ dɛn kin yuz tin dɛn we dɛn dɔn sterilayz ɔltɛm ɛn dɛn kin du dɛn tritmɛnt dɛn ya na rum dɛn we gɛt smok we de mek pɔsin blo. |
| Di kɔlɔ we di skin kin chenj (Hypopigmentation) . | Afta sɔm dip tritmɛnt dɛn, di skin we de na da say de kin layt smɔl pas di skin we de rawnd am. If risk de, yu dɔktɔ go tɛl yu bɔt dis bifo yu trit yu. |
| Ifɛkt pan divays dɛn we dɛn put insay di bɔdi | Pipul dɛn we gɛt tin dɛn we dɛn put insay dɛn bɔdi lɛk pesmɛka ɛn difibrilator kin afɛkt dis ilɛktrishɔn. If yu gɛt dis kayn tin, yu fɔ rili tɛl yu dɔktɔ bɔt am. Dɔn i go tek di tin dɛn we i nid fɔ tek tɛm wit. |
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a fɔ go to dɔktɔ?
Di tɛm fɔ wɛl kin dipen pan aw di tritmɛnt dip.
- If dɛn pul wan smɔl lump ɔ sɔntin lɛk wɔt na di skin, i go tek lɛk wan wik so fɔ mek di wund wɛl.Yu kin go.
- If na wund we dip, i kin tek tu to 4 wiks ɔ mɔ.
Di dɔktɔ go ɛksplen to yu di tɛm we yu go wɛl bay aw yu sik.
Ustɛm fɔ kɔl yu dɔktɔ:
If, afta yu dɔn trit yu skin, yu dɔn prɛs di wund fɔ 20 minit ɛn di blɔd nɔ stɔp , yu fɔ rili kɔl yu dɔktɔ. Dɔn bak, if di wund sho sayn dɛn fɔ infekshɔn (lɛk rɛd, swel, pus) ɛn i nɔ de wɛl lɛk aw yu bin de tink, go to dɔktɔ wantɛm wantɛm.
Yu tink se dis na di sem tin wit lɛsa ɔpreshɔn?
Nɔ, dis na tu tɛknɔlɔji dɛn we rili difrɛn.
- Ilɛktrosɔjɛri de yuz ilɛktrik ɛnaji .
- Laser ɔpreshɔn kin yuz layt ɛnaji .
Pan ɔl we dɛn tu we ya kin kɔt, pwɛl di tisu dɛn, ɛn stɔp fɔ blɔd, di prinsipul dɛn we dɛn kin yuz fɔ du dɛn wok difrɛn.
Fɔ dɔn, ilɛktrɔsɔjri na sef ɛn fayn we fɔ trit difrɛn kayn sik dɛn we yu de yuz di pawa we ɔt gɛt fɔ mɛn pipul dɛn. Yu kin ebul fɔ si dis we dɛn de pul yu tumbu. Yu nɔ go ivin no se dɛn yuz dis tɛknik bikɔs dɛn de anestez yu we dɛn de du wan big ɔpreshɔn, lɛk ɛndoskopi. Bɔt mɛmba se dɔktɔ dɛn de wok tranga wan fɔ mek yu nɔ gɛt prɔblɛm we yu de du dis tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Ilɛktrosɔjri na tritmɛnt we dɛn kin yuz ilɛktrishɔn we dɛn kin kɔntrol. Dis nɔto tritmɛnt we dɛn kin yuz lɛsa.
- Dɛn kin yuz am fɔ bɔku tin dɛn, frɔm we dɛn kin pul wan smɔl tin we de na di skin te to we dɛn kin stɔp fɔ blɔd we dɛn de du big ɔpreshɔn.
- We dɔktɔ we tren ɛn we gɛt ɛkspiriɛns du am, dis na tritmɛnt we rili sef.
- If yu gɛt sɔntin we dɛn put na yu bɔdi, lɛk pesmɛka, mek shɔ se yu tɛl yu dɔktɔ bɔt am bifo yu trit yu.
- If yu gɛt blɔd pasmak, sayn dɛn fɔ se yu gɛt di sik, ɔ yu de te fɔ wɛl afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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