Yu dɔn ɛva yɛri pɔsin se, “Di kɔrɛnt stɔp di blɔd ” we dɛn de du ɔpreshɔn? Ɔ yu dɔn ɛva si dɔktɔ put smɔl tin na di say fɔ pul sɔntin lɛk mɔl ɔ tumbu? Dis tritmɛnt we dɛn kin mek, we kin mek yu fred smɔl we yu yɛri di nem, dɛn kɔl am `Ilektrosɔjri` na mɛdikal sayɛns. Pan ɔl we dis nem kin tan lɛk big tin, fɔ tru, na wan we we dɛn kin yuz bɔku bɔku wan ɛn we nɔ bad fɔ du ɔpreshɔn ɔlsay na di wɔl. So, lɛ wi tɔk bɔt am prɛsishɔn ɛn simpul wan tide.
Fɔ tɔk am simpul wan, wetin na Ilɛktrosɔj?
Ilɛktrosɔj na ɔpreshɔn we dɛn kin yuz ay frikyuɛnsi ilɛktrik kɔrɛnt fɔ kɔt di tisu, pwɛl di tisu we dɛn nɔ want, ɔ stɔp fɔ blɔd (coagulation). Insay dis, dɛn kin sɛn ilɛktrishɔn we wan mashin we dɛn kɔl ``Electrosurgical Unit (ESU)`` de mek to wan smɔl tin we tan lɛk pen (ilɛktrɔd) we di dɔktɔ de yuz. We di ilɛktrishɔn we de kɔmɔt na dis divays de go na di say we dɛn de trit, ɔt de kɔmɔt as di ilɛktrishɔn de pas na di tisu.
Tink bɔt am lɛk wata hita, bɔt wetin de ɔt ya na wan rili smɔl, patikyula eria na wi bɔdi.
Di ɔt we dɛn kin mek dis we kin pwɛl dɛn tisu dɛn we dɛn nɔ want. Bɔt dis damej na in de ɛp wi. If wi yuz dis we, wi kin pul di tin dɛn we de gro ɛn di wɔt dɛn we wi nɔ want na di skin. Dɛn kin yuz am bak fɔ lɔk smɔl smɔl blɔd vesel dɛn we dɛn kin kɔt we dɛn de du ɔpreshɔn ɛn stɔp fɔ blɔd. Sɔntɛnde dɛn kin du am as tritmɛnt fɔ insɛf, ɛn ɔda tɛm dɛn kin du am togɛda wit ɔda tritmɛnt dɛn.
Wetin na di men kayn ilɛktrosɔj?
Bɔku kayn dis we dɛn de we dɛn mek fɔ fit difrɛn nid dɛn. Lɛ wi si wetin dɛn bi.
| Tayp fɔ Ilɛktrosɔjri | Wetin kin jɔs apin |
|---|---|
| Ilɛktrofulgureshɔn we dɛn kin yuz | Insay dis, dɛn nɔ kin put di tip pan di divays dairekt pan di skin. Dɛn kin put am sɔm milimita ɔp am ɛn dɛn kin yuz ilɛktrik spak fɔ trit di layt we de ɔp nɔmɔ na di skin. |
| Ilɛktrodɛsikeshɔn | Na ya, dɛn kin put di tip fɔ di divays dairekt na di say we dɛn de trit. As di kɔrɛnt de pas, i de dray di tisu we de na da say de ɛn pwɛl am. Dɛn kin yuz dis fɔ pul smɔl smɔl tin dɛn we de na di skin ɛn di wɔt dɛn. |
| Ilɛktrokɔaguleshɔn | Dis we ya kin mek sɔm dip dip tisu dɛn pwɛl. Dɛn kin yuz am mɔ fɔ stɔp blɔd, dat na fɔ mek blɔd klɔt. |
| Ilɛktrosekshɔn | Dis tan lɛk ilɛktrik nɛf. Dɛn kin yuz am fɔ kɔt ɛn separet di tisu fayn fayn wan ɛn klin wan. Sɔm pipul dɛn kin tɔk se i “lɛk fɔ kɔt bɔta wit ɔt nɛf.” |
Yu tink se ilɛktrɔkɔtiri na sɔntin we difrɛn?
Yes, ` ilektrokautery` na difrεn mεtכd sכmtεm. Insay ilɛktrɔsɔj, ilɛktrishɔn kin pas dairekt wan tru di bɔdi in tisu. Bɔt insay ilɛktrɔkɔtiri , ilɛktrishɔn kin pas na di tip nɔmɔ na di inschrumɛnt. So di tip fɔ di inschrumɛnt kin wam. Dɔn, we da tip we wam tɔch di tisu, di dairekt ɔt kin pwɛl di tisu ɔ i kin stɔp di blɔd. Fɔ tɔk am simpul wan, insay wan kes, ilɛktrishɔn kin pas na di tisu, insay di ɔda wan, dɛn kin yuz inschrumɛnt we dɛn dɔn ɔt.
Us kayn kɔndishɔn dɛn kin yuz dis we fɔ du tin?
Ilɛktrosɔj na sɔntin we dɛn kin yuz fɔ du bɔku tin dɛn we dɛn kin du fɔ mɛn pipul dɛn.
- Dɛmatɔlɔji: Bɔku tɛm, dɔktɔ dɛn we de mɛn di bɔdi kin yuz dis we. I rili wok fɔ pul di fayn fayn lɛsin dɛn lɛk di wɔt ɛn di tɛg dɛn we de na di skin . Dɛn kin yuz am bak fɔ mɛn sɔm kayn kansa dɛn na di skin . Fɔ ɛgzampul, we dɛn de du ED&C (Electrodessication & Curettage) prosidur, di dɔktɔ kin fɔs skrap di kansa ɛn afta dat i kin yuz ilɛktrɔsɔj fɔ pwɛl ɛni kansa sɛl we lɛf .
- Ɔda ɔpreshɔn dɛn: Dis impɔtant fɔ ɔda ɔpreshɔn dɛn, mɔ di wan dɛn we gɛt fɔ du wit ɛndoskopi (ɛgzamin we dɛn kin yuz kamɛra fɔ luk insay di bɔdi), fɔ pul di tisu dɛn we dɛn nɔ want (e.g., smɔl smɔl tɔŋ dɛn) ɔ fɔ kɔntrol di blɔd we de kɔmɔt .
Wetin kin apin we dɛn de trit am?
Fɔs, dɛn go gi yu wan mɛrɛsin we de mek yu nɔ fil fayn fɔ mek di say we dɛn de trit nɔ fil fayn, ɔ dɛn kin anestez yu ɔltogɛda . Wetin kin apin nɛks de dipen pan if yu de gɛt `monopolar` ɔr `bipolar`.
Monopolar Ilɛktrosɔjri we dɛn kin du
Dis na di we aw dɛn kin yuz mɔ. “Mono” min “wan.” Na ya, na wan ilɛktrɔd tip nɔmɔ dɛn kin put na yu bɔdi.
1. Ilɛktrishɔn frɔm di ESU mashin de kam to di aktif ilɛktrɔd (di tin we tan lɛk pen we de na di dɔktɔ in an).
2. Dis ilɛktrishɔn de pas na di tisu dɛn na yu bɔdi ɛn i de wam da eria de.
3. Dɔn di ilɛktrishɔn de travul tru di bɔdi ɛn go to wan “grounding pad” (dispersive electrode) we dɛn tay pan yu shɔl ɔ ɔdasay.
4. Fɔ dɔn, di ilɛktrishɔn we de kɔmɔt na da grɔn pad de go bak to di ESU mashin, ɛn dɔn di sɔrkwit.
Bipolar Ilɛktrosɔjri we dɛn kin du
“Bi” min “tu.” Insay dis, dɛn kin put tu ilɛktrɔd tip dɛn na yu bɔdi. Imajin se di dɔktɔ de ol di tisu we dɛn de trit wit sɔntin we tan lɛk fɔs.
1. Ilektrik de go insay di tisu frכm wan say na di ilektroyd (aktiv ilektroyd).
2. Dat ilɛktrik de travul fɔ wan rili shɔt distans tru di tisu ɛn afta dat i de go na di ɔda say na di ilɛktrɔd (ritɔn ilɛktrɔd).
3. Frɔm de, di ilɛktrishɔn de go bak to di ESU mashin, ɛn dɔn di sɔrkwit.
insay monopolar, di ilɛktrishɔn de travul fɔ lɔng tɛm tru di bɔdi, we insay bipolar, i jɔs de travul tru wan rili smɔl pat pan di tisu bitwin di tu tip dɛn na di ilɛktrɔd. So, di bipolar mεtכd kin sef fכ pipul dεm we gεt hat divays lεk pesh כn mεk כr כ difibrilator.
Wetin na di bɛnifit dɛn we dis we ya de du?
Ilɛktrosɔj na wan we we gɛt bɔku bɛnifit pas fɔ jɔs kɔt wit skel.
- Tritmɛnt we dɛn de tɔk to: Na smɔl damej de pan di wɛlbɔdi tisu we de rawnd am.
- Ridyus ska: Di amount of ska we kin kam we dɛn pul di tisu dɛn kin ridyus.
- Spid: Dɛn kin pwɛl di tisu (ablation) kwik kwik wan.
- Stɔp fɔ blɔd : Dɛn kin stɔp di blɔd kwik kwik wan, we kin mek di tɛm we dɛn kin spɛn fɔ ɔpreshɔn nɔ bɔku.
Ɛni sayd ɛfɛkt ɔ risk de?
Dis na tin we rili sef we dɔktɔ we gɛt ɛkspiriɛns du am. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin. Bɔt, dɔktɔ dɛn kin du ɛnitin fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Bɔn: If i tan lɛk se di pawa we di ilɛktrik kɔrɛnt gɛt tumɔs, bɔn kin apin. Fɔ mek dis nɔ apin, dɔktɔ dɛn kin bigin ɔltɛm wit di pawa we smɔl pas ɔl .
- Ilɛktrik shɔk: If di grɔn pad nɔ kɔnɛkt fayn, yu kin gɛt ilɛktrik shɔk. Bɔt di chans fɔ mek dis apin rili smɔl, bikɔs dɛn kin chɛk ɔltin gud gud wan bifo dɛn trit am.
- Infεkshכn: Infεkshכn kin apin if dεn nכ stεrilayz di ikwipכmεnt we dεn yuz fayn fayn wan. Dɔn bak, 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ dis rizin, dɔktɔ dɛn kin yuz tin dɛn nɔmɔ we dɛn dɔn sterilayz ɛn dɛn kin du dɛn tritmɛnt dɛn ya na rum dɛn we gɛt smok we de mek pɔsin blo.
- Blɔd we de kɔmɔt: .Sɔntɛnde, di tisu dɛn we dɔn pwɛl kin mek pɔsin blɔd bɔku pas aw dɛn bin de tink, bɔt di dɔktɔ kin kɔntrol am bay we i chenj di sɛtin dɛn na di ESU mashin.
- Di kɔlɔ we di skin kin chenj: Afta sɔm kayn ilɛktrɔsɔjɛri, di skin kin wayt na di say we dɛn dɔn trit (hypopigmentation). Yu dɔktɔ go ɛksplen to yu bifo tɛm if prɔblɛm de fɔ dis frɔm di tritmɛnt.
- Prɔblɛm wit divays dɛn we dɛn put insay: As wi bin dɔn tɔk, di Monopolar we patikyula kin ambɔg di wok we ilɛktronik divays dɛn lɛk pesmɛka ɛn difibrilator de wok. If yu gɛt dis kayn tin, yu fɔ rili tɛl yu dɔktɔ bifo di ɔpreshɔn. Dɔn dɛn go pik di we we sef fɔ yu.
Aw lɔng i go tek fɔ mek i wɛl?
Dis kin dipen pan di kayn tritmɛnt we dɛn de gi.
- If dɛn pul sɔntin lɛk mol ɔ tumbu we de ɔp di skin, i go tek lɛk wan wik so fɔ mek di wund wɛl.
- If na wund we dip, i kin tek tu to 4 wik ɔ mɔ.
Di dɔktɔ go ɛksplen to yu di tɛm we yu go wɛl bay aw yu sik.
Ustɛm yu nid fɔ go to dɔktɔ?
Afta yu dɔn trit yu wund, if yu wund de blɔd ɛn i nɔ dɔn stɔp afta 20 minit we yu de kɔntinyu fɔ prɛs yu, kɔl yu dɔktɔ wantɛm wantɛm. If di blɔd bɔku, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Dɔn bak, if i tan lɛk se di wund de fεst, i de pen bɔku, ɔ if yu fil se i nɔ de wɛl lɛk aw yu bin de tink, nɔ delay fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- pan ɔl we ilɛktrɔsɔjɛri min ‘bɔn wit kɔrɛnt’, na ɔspitul we dɛn kin yuz bɔku bɔku wan we dɛn kin du insay wan we we dɛn rili kɔntrol, we sef.
- Dɛn kin yuz am fɔ pul di wɔt ɛn di bɔdi we de na di skin, fɔ mɛn kansa na di skin, ɛn fɔ stɔp di blɔd we dɛn de du ɔpreshɔn.
- Di risk kin rili smɔl we dɔktɔ we gɛt ɛkspiriɛns du am. Dɛn kin tek spɛshal tin dɛn fɔ mek dɛn nɔ bɔn ɛn gɛt infɛkshɔn.
- If yu gɛt pesmɛka, mek shɔ se yu tɛl yu dɔktɔ bifo yu gɛt tritmɛnt.
- If yu gɛt ɛni prɔblɛm we yu de wɛl afta yu dɔn gɛt tritmɛnt (blɔd pasmak, sayn dɛn fɔ se yu gɛt di sik), go to yu dɔktɔ wantɛm wantɛm.
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