yu don eva du endoskopi en di dokta se, "smohl tumor de na yu bele, wi nid fo pul am"? Ɔ "smɔl polyp de na yu kɔlon, lɛ wi pul am bifo i bi kansa"? We yu yɛri dat, yu go mɔs de tink se, "Oh, ɔpreshɔn?". Yu go de wɔnda if yu go gɛt fɔ kɔt yu bɛlɛ, de na ɔspitul fɔ sɔm dez, ɛn aw i go mek yu fil pen. Bɔt yu kin gladi, bikɔs nɔto ɔltin nid fɔ gɛt big ɔpreshɔn igen. Tide wi go tɔk bɔt wan rili advans ɛn sef teknɔlɔji we de pul dɛn abnɔmal tisu ya insay yu ɛndoskopi tiub, we nɔ de kɔt yu bɛlɛ.
Wetin na Ɛndoskopik Mukɔs Rɛsekshɔn (EMR)?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt fɔ tru, i rili simpul. Mek wi kol am EMR fo shot.
Fɔ tɔk am simpul wan, dis nɔto ɔpreshɔn. Na wan we we de pul di abnɔmal tisu dɛn we de insay yu dijestiv trakt, we nɔ de mek ɛni kɔt na yu bɛlɛ. Dis abnɔmal tisu kin bi kansa sɛl, ɔ i kin bi prɛkansa growth we kin tɔn to kansa tumara bambay.
Tink bɔt yu dijestiv sistɛm lɛk wan lɔng tiub. di abnכmal sεl dεm de gro na di insay wכl na dis tכb (wi kכl am di mכkus). Insay EMR prosidur, jɔs lɛk aw yu go du wit ɛndoskopi, dɛn kin put wan lɔng, fleksibul tyub we gɛt kamɛra we dɛn tay pan am (ɛndoskɔp) tru yu mɔt ɔ rɛktum, insay di say we di abnɔmal tisu de, ɛn yuz smɔl smɔl inschrumɛnt dɛn we dɛn kin pas tru di tiub, di ɔspitul kin kɔt jɔs da pat pan di tisu ɛn pul am.
Na wan dɔktɔ we de mɛn di bɛlɛ kin du dis. Di big bɛnifit fɔ dis we na dat, nɔrbɔdi nɔr kin kɔt na do, so yu kin fil smɔl pen, ɛn yu kin wɛl kwik ɛn kam bak to yu nɔmal layf.
Us kayn sik dɛn de yuz dis EMR sistɛm fɔ?
Dɛn kin yuz dis we fɔ mɛn kansa ɛn di tin dɛn we kin apin bifo kansa. Impɔtant tin na dat, dis we fɔ du tin kin wok fayn if dɛn no di sik kwik kwik wan . dat min se we di abnכmal tisu de כnli insay di insay layt na di wכl na di εsophagus.
Di EMR we dɛn kin yuz mɔ na dɛn tin ya:
- εsophageal cancer: di εli stej kansa na di εsophagus (di tכb we wi de swεl it tru).
- Barrett in εsophagus: Dis na we di sεl dεm we de insay yu εsophagus de chenj εn i kin izi fכ divεlכp to kansa. dis prosidur dεn de yuz fכ pul dεn abnכmal sεl dεm ya.
- Bɛlɛ kansa: Di fɔs stej kansa we kin bigin na di say we di bɛlɛ in wɔl de.
- Kansa we de na di kɔlɔrɛkt: .dis we ya de rili wok fכ pul di polip dεm כ di εli stej kεnsar dεm na di kכlon כ rεktum.
- Smɔl intestinal kansa: Dɛn kin yuz dis bak fɔ kansa we kin apin na di fɔs pat pan di smɔl intestinal (duodenum).
Di tin we impɔtant pas ɔl na fɔ no ɛn pul di kansa bifo i gro, go insay di wɔl, ɛn go ɔlsay. EMR na di pafɛkt sɔlvishɔn fɔ dat.
Udat dis tritmɛnt fit fɔ?
Yu dɔktɔ go disayd if EMR tritmɛnt fayn fɔ yu. I dipen pan bɔku tin dɛn. di men wan dεm na di sayz fכ di abnכmal tisu εn aw dip i dכn spre .
Dis tritmɛnt kin jɔs fayn fɔ yu:
- If yu abnɔmal tisu (tumor ɔ mas) smɔl pan saiz.
- εnles i dכn go insay di dip layεr dεm na di wכl na di dijestiv trakt.
Bɔt if di tɔŋ big ɔ i dɔn go dip dip wan insay di wɔl, EMR nɔmɔ nɔ go du fɔ am. If na so i bi, yu go nid fɔ yuz ɔda tritmɛnt dɛn.
| Di we aw dɛn kin trit am | Yuz sɛnɛriɔ |
|---|---|
| EMR (Ɛndoskɔpik Mukɔs Rɛsekshɔn) . | Fɔ smɔl, supεrfishal kansa dεm we de bigin ɔr sεl dεm we kin bi kansa. |
| Endoskopik Sabmyukosal Disekshɔn (ESD) . | Wan ɔda ɛndoskopik we dɛn kin yuz fɔ kansa dɛn we big smɔl pas EMR ɛn we dɔn go dip smɔl insay di wɔl. |
| Ɔpreshɔn | If di kansa big, dip, ɔ i dɔn skata to di limf no dɛm, dɛn kin kɔt di bɛlɛ ɛn pul da pat de. |
| Kimotɛrapi / Rɛdieshɔn Tɛrapi | We di kansa dɔn skata to ɔda pat dɛn na di bɔdi ɔ as adjuvant tritmɛnt bifo/afta ɔpreshɔn. |
Aw yu kin pripia fɔ dis prɔses bifo tɛm?
Yu dɔktɔ go gi yu klia tin dɛn bɔt aw fɔ pripia fɔ dis, ɛn i rili impɔtant fɔ fala dɛn kɔrɛkt wan.
- Fɔ di ɔpa dijestiv trakt (ɛsophagus, bɛlɛ): Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink ɔltogɛda fɔ sɔm awa bifo di prɔsidyu. Dis na bikɔs di dɔktɔ kin si klia wan ɛn sef wan fɔ pul di tisu if di bɛlɛ ɛmti.
- fכ di big intestכn (kכlon): fכ dis, yu go nid fכ gεt "bowel prep." Di dɔktɔ go gi yu spɛshal mɛrɛsin ( laxative ) fɔ drink. Afta yu dɔn drink dis, yu go nid fɔ go na di bafa bɔku tɛm. Pan ɔl we dis nɔ kin fayn smɔl, i impɔtant fɔ du dis fɔ klin di insay pat pan yu kɔlon gud gud wan. Dis go mek di dɔktɔ si klia wan we i de put di tiub insay.
Wetin kin apin we dɛn de du di wok?
Wi go tek di step dɛm we nid fɔ mek shɔ se yu nɔ fil ɛni diskɔmfɔt ɔ pen we yu de du dis prɔses.
Dɛn go put yu ɔnda jenɛral anestezi , we min se yu go slip ɔl. Sɔntɛnde yu go fil lɛk se yu wek, bɔt yu nɔ go mɛmba ɛnitin afta dat (conscious sedation) . So yu nɔ go fil ɔ mɛmba ɛnitin.
Dɔn di dɔktɔ kin fala dɛn tin ya:
1. If yu ɔpa dijestiv trakt afɛkt, dɛn kin du di tritmɛnt tru di mɔt . If yu digεstiv trakt we de dכn afekt, dεn de put di εndoskop tכb sכmtεm tru di an .
2. we yu yuz di kamɛra, di tiub de dayrɛkt to di rayt say we di abnɔmal tisu de.
3. Dɔn, dɛn kin pas smɔl smɔl ɔspitul inschrumɛnt dɛn tru di tiub ɛn pul di tisu. Bɔku we dɛn de fɔ du dis. Sɔntɛnde dɛn kin pul di tisu ɔp bay we dɛn de yuz sɔkshɔn, ɔ dɛn kin injɛkt wata ɔnda di tisu ɛn es am ɛn kɔt am, ɔ dɛn kin kɔt am wit ilɛktrik waya lɔp.
4. Tek tɛm pul di pat pan di tisu we dɛn dɔn pul.
Dis ɔltin we dɛn kin du kin tek 30 to 60 minit .
Wetin kin apin afta di prɔsidyu?
Afta di tritmɛnt dɔn, dɛn go transfa yu to rum fɔ wɛl. Yu go nid fɔ de ɔnda dɔktɔ fɔ sɔm awa te di tin dɛn we di anestezi dɔn du dɔn.
- We wi de go na os:Bikɔs i kin tek 24 awa fɔ mek di tin dɛn we di anestezi de du fɔ ful-ɔp, yu go mɔs nid pɔsin fɔ kɛr yu go na os. Dɛn nɔ go alaw yu fɔ drayv ɔ go na os yu wan.
- Tisu egzamin: Dɛn kin sɛn di tisu we dɛn pul na lɛbɔraytri. Na de, wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk am ɔnda maykroskɔp ɛn gi am ditayli ripɔt, lɛk if i gɛt kansa sɛl dɛn, if dɛn pul am kɔmɔt kpatakpata, ɛn wetin i tan.
Ɛni smɔl smɔl bad tin dɛn de we kin apin to am?
Yɛs, yu kin gɛt sɔm smɔl smɔl prɔblɛm dɛn fɔ wan ɔ tu dez. Dis na nɔmal tin ɛn i go go kwik kwik wan.
- Fɔ blo
- Kramp we de mek pɔsin kray
- Gas pen ɛn flatulɛns
- Nɔs ɔ vɔmit
- Smɔl trot we de at if dɛn put di tiub tru di mɔt
Bɔku tɛm, dɛn tin ya kin wɛl ɔlsay insay wan ɔ tu dez.
Wetin na di bɛnifit ɛn risk dɛn we dis EMR sistɛm gɛt?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn di prɔblɛm dɛn we kin apin rili smɔl.
| Bɛnifit dɛn | Risk - (I rili rare) . |
|---|---|
| Dɛn kin pul di kansa bifo i gro ɛn skata. | Blɔd: Sɔm smɔl smɔl blɔd kin kɔmɔt na di say we dɛn pul di tisu. Bɔku tɛm dɛn kin kɔntrol dis we dɛn de du ɛndoskopi. |
| I nɔ de kɔt di bɛlɛ lɛk big ɔpreshɔn. | Gastrointestinal perforation: Na sכmtεm tεm, tכb כ divays kin pank di wכl. Dis na imejensi. |
| Di pen nɔ kin rili smɔl. | di εsophageal strictures: If dεn pul bכku tisu na di εsophagus, di εria kin sכmtεm bikoz fכ di skata we de apin we i de hεl. |
| Yu go wɛl kwik kwik wan ɛn yu go ebul fɔ go bak na wokples insay wan ɔ tu dez. | |
| Nɔ skata nɔ de lɛf na di ɔdasay na di bɔdi. |
Na nɔmal tin fɔ fil fɔ fred we yu yɛri di wɔd "kansa." Bɔt wit nyu teknɔlɔji dɛm lɛk EMR, i pɔsibul fɔ trit dɛn tin ya we dɛn bigin ɛn nɔ nid fɔ du big ɔpreshɔn.
Aw lɔng i kin tek fɔ wɛl ɛn wetin a fɔ du afta dat?
Wan pan di big advantej dɛm fɔ di EMR we na fɔ wɛl kwik kwik wan.
- Fɔ go wok: Bɔku pipul dɛn kin go bak to dɛn nɔmal tin dɛn di nɛks de .
- Di it: I go mɔs bi se yu dɔktɔ go tɛl yu fɔ it wata we gɛt wata fɔ sɔm dez te yu dijestiv trakt wɛl. Afta dat, yu kin chenj smɔl smɔl bak to it ɔltɛm.
- Fɔ fala: Dɛn go aks yu fɔ kam bak fɔ si yu dɔktɔ lɛk 12 wik afta yu tritmɛnt. Dɛn go du ɛndoskopi fɔ chɛk if dɛn dɔn pul ɔl di abnɔmal tisu dɛn kpatakpata ɛn if di say dɔn wɛl fayn fayn wan. Bay di tisu ripɔt, dɛn go disayd if yu nid mɔ tritmɛnt ɔ nɔ nid am.
Wetin na di imejensi dɛm we yu fɔ kɔl di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn trit yu, nɔ ignore dɛn. Kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu ɛn nɔ de te.
- If yu gɛt blɔd na yu stɔl (blak ɔ dak rɛd) .
- Bɔrku pen na yu chɛst
- If yu fil se yu diziz ɔ yu de fil fɔdɔm
- If yu gɛt fiva ɔ yu de kol ɛn yu de shek shek
- I nɔ izi fɔ blo (dyspnea) .
Dis kin bi sayn fɔ de kɔmplikeshɔn wae wi bin dɔn tɔk bɔt, so i impɔtant fɔ go to dɔktɔ kwik kwik wan.
EMR nɔto big ɔpreshɔn, na minimally invasive prosidur. Mɔdan tɛknɔlɔji dɛm lɛk dis kin ɛp fɔ ridyus de frayd ɛn wɔri wae kin kam wae yu no se yu gɛt kansa ɔr yu de pan denja fɔ gɛt kansa. We yu kɔmpia am to di tɛm we yu kin wɛl ɛn di pen we yu kin gɛt afta dɛn dɔn du big ɔpreshɔn, EMR kin mek yu go bak to wɛlbɔdi layf kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Endoscopic Mucosal Resection (EMR) nɔto big ɔpreshɔn. Na tritmɛnt we dɛn kin du tru ɛndoskɔp, we dɛn nɔ kin kɔt di bɛlɛ.
- dis prosidur kin pul di kansa dεm we de fכs εn di abn כmal sεl dεm we kin tכn to kεnsar na di dijestiv trakt.
- If yu kɔmpia am to tradishɔnal ɔpreshɔn, dis nɔ kin mek i fil pen, di tɛm fɔ wɛl kin shɔt pasmak , ɛn no skata nɔ de na di bɔdi na do.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (fast, klin di bɛlɛ, it) ɛksaktɔli bifo ɛn afta tritmɛnt.
- If yu si ɛni sayn we de wɔn yu afta yu dɔn trit yu, lɛk fiva, pen bad bad wan, ɔ blɔd na yu stɔl, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul.
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