Yu dɔktɔ dɔn tɛl yu se yu gɛt smɔl abnɔmal tisu, tumbu, ɔ polip na yu dijestiv sistɛm, dat na, na yu bɛlɛ ɔ yu εsophagus? Wen wi hie dat, di frayd we de kom fo wi maind na, "Oh, a go get fo du big opareshon nau?" Bɔt wit di advans mɛdikal sayɛns tide, nid nɔ de fɔ du ɔpreshɔn we go mek dɛn kɔt big big say fɔ ɔltin. Na dat mek wi go tɔk bɔt wan fayn fayn tritmɛnt we kin mek di bɔdi nɔ pwɛl bɛtɛ ɛn i kin wɛl kwik kwik wan.
Fɔ tɔk am simpul wan, wetin na Ɛndoskopik Sabmyukɔsal Disekshɔn?
Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di we aw dɛn kin du am rili simpul. Endoscopic Submucosal Dissection , ɔ ESD fɔ shɔt, na wan we we nɔ de invayd we de pul di abnɔmal tisu, lumps ɔf sɛl dɛn we kin bi kansa, ɔ smɔl smɔl tumbu dɛn we de insay yu gastrointestinal trakt.
Imajin se na wan dɔktɔ we de mɛn di bɛlɛ de du dis. I de yuz wan lɔng tiub we kin chenj ɛn we gɛt kamɛra na di ɛnd. Wi kin kɔl dis ɛndoskɔp.
- If di prɔblɛm de na yu ɔpa dijestiv sistɛm (fɔ ɛgzampul, ɛsophagus, bɛlɛ), dɛn kin put dis ɛndoskɔp tru yu mɔt.
- if di prכblεm de na yu lכw intestinal trakt (big intestinal, rεktum), dεn kin put am tru di an.
Dɛn kin du dis bay we dɛn de yuz wan smɔl ɔspitul inschrumɛnt we dɛn kin put insay di tiub ɛn ɔnda di gayd we kamɛra de gayd am, dɛn kin yuz am fɔ tek tɛm kɔt ɛn pul di tisu we nɔ nɔmal. Di bɛst pat na dat, ɔl dis kin apin insay di bɔdi. Bikɔs no say nɔ de we dɛn kɔt na do, yu kin wɛl kwik kwik wan, yu nɔ go gɛt bɔku pen, ɛn yu nɔ go gɛt skata.
Us kayn kɔndishɔn dɛn kin yuz ESD fɔ?
Dis ESD tritmεnt dεn kin yus fכ pul di kεnsar dεm we bin de bifo kεnsar כ di εli stej kεnsar dεm na di dijestiv sistεm. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Barrett in εsophagus we i de yuz fɔ it | wan kכndyushכn we di layn na di εsophagus (fud paip) de chenj εn, as tεm de go, risk de fכ gεt kεnsar. |
| Kansa we de na di kɔlɔrɛkt | di εli stej kansa tכmכro dεm we de fכm na di kכlon כ rεktum. |
| Kansa na di εsophageal | di εli stej kansa na di εsophagus. |
| Smɔl intestinal kansa | kansa dεm we de divεlכp na di sכmכl intestכn, spεshal wan di duodenum, in fכs pat. |
| Bɛlɛ kansa | di εli stej kεnsar kכndyushכn dεm we de apin na di bεlε wכl. |
Wetin na di difrɛns bitwin ESD ɛn EMR?
Yu go dɔn yɛri bɔt ɔda tin we tan lɛk dis, we dɛn kɔl Endoscopic Mucosal Resection (EMR) . Pan ɔl we ɔl tu di tin dɛn we dɛn kin du nɔ kin rili ambɔg pɔsin, smɔl difrɛns de.
Di wɔl na wi dijestiv sistɛm gɛt sɔm layers. di tכn mεmbran we de insay dεn kכl am di mכkus.
- EMR mεtכd: dis de mεntal pul di tכmכro dεm we de כnli insay di insay layεr we dεn kכl di mכkus. Dis min se dɛn kin injɛkt wata ɔnda di tumbu, es am ɔp, ɛn kɔt am wit sɔntin lɛk mɛtal lɔp.
- ESD we: Dis na we we smɔl pas EMR. i kin pul di tכmכro dεm we de na di mכkus, εn di tכmכro dεm we dεn spre to di layεr we de jכs dכn am. Di big bɛnifit we dis kin gɛt na dat, dɛn kin pul di tisu we nɔmal, ilɛksɛf i big, insay wan pat . Dɔn i izi fɔ sɛn am na di lɛbɔraytri ɛn kɔnfɔm kɔrɛkt wan if dɛn dɔn pul di kansa kpatakpata.
Fɔ tɔk am simpul wan, di EMR we dɛn kin yuz kin fayn fɔ smɔl smɔl tɔŋ dɛn we de ɔp. di ESD mεtכd dεn de yuz fכ pul big כ dip tכmכro dεm na wan pis.
Aw a fɔ pripia bifo dis tritmɛnt?
Yu dɔktɔ go gi yu klia instrɔkshɔn bifo dis tritmɛnt. I rili impɔtant fɔ fala dɛn di rayt we.
- If yu de gɛt tritmɛnt na di ɔpa gastrointestinal trakt: (ɛsophagus, bɛlɛ) yu go nid fɔ avɔyd fɔ it ɛn drink ɔltogɛda fɔ sɔm awa bifo di tritmɛnt. Dis min se yu bɛlɛ fɔ ɛmti.
- If yu de gɛt tritmɛnt fɔ yu lɔwa gastrointestinal trakt: (big intestinal), dɛn go aks yu fɔ gɛt "bowel prep." Dis min se yu fɔ ɛmti yu big intestin ɔl bay we yu drink spɛshal wata ( laxative ). Dis kin mek di dɔktɔ ebul fɔ si di insay klia wan wit di ɛndoskɔp.
Wetin kin apin we dɛn de trit am?
Yu nɔ go fil ɛni prɔblɛm ɔ pen we yu de du dis tritmɛnt. Dis na bikɔs dɛn go anestez yu. Dɛn kin put yu fɔ slip ɔl (Jɛnɛral Anestesia), ɔ dɛn kin gi yu wan kayn anestezi we de mek yu fil lɛk se yu de slip ɛn rilaks (Monitored Anesthesia Care).
We yu de du tritmɛnt, yu dɔktɔ go fala dɛn tin ya:
1. dεn de put di εndoskop tru di mכt כ di rεktum.
2. we yu yuz di kamera, dεn de sεnd di εndoskop usay di abnכmal tisu de.
3. we dεn de yuz wan divays we dεn pas tru di εndoskop, dεn de mek mak rawnd di tכmכro we dεn go pul.
4. nεks, dεn kin injεkt wan spεshal wata insay di mεmbran כnda di tכmכro. dis de mek wan kushכn כnda di tכmכro, we de es am kכmכt frכm di hεlty tisu we de rawnd am. Dis kin mek i izi fɔ separet ɛn kɔt am.
5. Fɔ dɔn, we dɛn yuz spɛshal tin lɛk ay frikyuɛnsi ilɛktrik naif, dɛn kin tek tɛm kɔt di tumbu along di layn we dɛn mak ɛn pul am.
Di ɔl di tin we dɛn kin du kin tek bitwin wan ɛn tri awa , i kin dipen pan di sayz ɛn usay di tisu we dɛn de pul de.
Wetin kin apin afta dɛn dɔn trit am?
Afta dɛn dɔn di tritmɛnt, dɛn kin sɛn di tisu we dɛn pul na lɛbɔtri usay wan dɔktɔ we de mɛn sik dɛn kin chɛk am fɔ si if i gɛt ɛni kansa sɛl ɛn if dɛn dɔn pul am ɔl.
Dɛn go kɛr yu go na rum fɔ wɛl fɔ shɔt tɛm afta di tritmɛnt. We di tin dɛn we di anestezi kin du dɔn ful-ɔp, yu kin ebul fɔ go na os di sem de, ɔ yu kin nid fɔ de na ɔspitul fɔ wan nɛt. Sɔmbɔdi fɔ rili de wit yu na os , bikɔs i kin tek 24 awa fɔ mek di ifɛkt dɛn we di anestezi gɛt fɔ ful-ɔp.
Yu tink se bad tin dɛn de we kin apin to pɔsin ɛn we kin mek i sɔfa?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl smɔl sayd ɛfɛkt dɛn de ɛn risk dɛn we nɔ kin apin so ɔltɛm.
Sɔm smɔl sayd ɛfɛkt dɛn we pɔsin kin gɛt
Bɔku tɛm, dɛn tin ya kin dɔnawe wit dɛn kpatakpata insay wan ɔ tu dez.
- Fɔ ful-ɔp di bɛlɛ
- Bɛlɛ de at
- Gas ɛn di pen we i de mek
- Nɔs ɔ vɔmit
- Trot we de at (if dɛn put di ɛndoskɔp tru di mɔt) .
I kin bi nɔmal fɔ gɛt smɔl blɔd na yu stɔl, bɔt i fɔ stɔp insay 24 awa.
Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm
Di chans fɔ mek dɛn tin ya apin rili smɔl, bɔt i impɔtant fɔ no bɔt dɛn.
- Blɔd: Blɔd we de kɔmɔt na di say we dɛn pul di tisu.
- di gεstrointestinal pεrforeshכn: Na we dεn de pכrכshכn na di wכl na di gεstrointestinal trakt bay εndoskop כ instrכmεnt.
- Ska: εspεshali we yu de trit di εsophagus, ska we de apin we i de hεl kin mek di εsophagus sכmtεm (esophageal strictures).
Wetin na di bɛnifit dɛn we dis we ya de du?
Di ESD we dɛn de yuz gɛt bɔku bɛnifit dɛn we yu kɔmpia am wit opin ɔpreshɔn.
- Lɛs pen: I nɔ kin gɛt bɔku pen bikɔs dɛn nɔ kin kɔt am.
- Kwik fɔ wɛl: Yu kin go bak to nɔmal layf ɛn wok kwik kwik wan.
- Nɔ skata: Nɔ skata nɔ de apin na di ɔdasay na di bɔdi.
- Sɔm prɔblɛm dɛn we kin apin: Di risk fɔ gɛt prɔblɛm dɛn smɔl pas di ɔpreshɔn we dɛn kin du opin wan.
- Fɔ kip di ɔgan dɛn: Dis we ya kin avɔyd tin dɛn lɛk fɔ pul pat pan di bɛlɛ ɔ insay di bɔdi we dɛn bin fɔ dɔn du we dɛn de du big ɔpreshɔn.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
We yu go na os afta yu dɔn gɛt tritmɛnt, if yu gɛt ɛni wɔnin sayn, i rili impɔtant fɔ kɔl yu dɔktɔ ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɛn nɔ de te .
| Wonin simptom dɛm - pe atɛnshɔn wantɛm wantɛm! | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| Blɔd we de na di stɔl | If mɔ blɔd de na di stɔl pas jɔs smɔl ples na di tɔylɛt pepa. |
| Chɛst de pen | Wantɛm wantɛm, bad bad pen na in chɛst. |
| Diziz ɔ layt ed | If yu fil se yu diziz ɔ yu de fil fɔdɔm. |
| Fiva ɔ kol kol | If yu fil lɛk se yu gɛt fiva ɔ yu de shek shek. |
| I nɔ izi fɔ blo (Dyspnea) . | If i nɔ izi fɔ yu fɔ blo ɔ yu fil se yu de swɛla. |
| Blɔd we de vɔmit | If yu vɔmit blɔd. |
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku pipul dɛn kin go bak na dɛn wokples afta lɛk fayv dez so. Bɔt if yu de du wok we rili tranga, lɛk fɔ es ebi ebi tin, yu dɔktɔ go advays yu fɔ rɛst fɔ smɔl tɛm. Smɔl chenj kin de na di bɔdi fɔ lɛk wan wik afta dɛn dɔn trit am.
Yu go ɔltɛm si yu dɔktɔ bak insay lɛk tu wiks so. Da tɛm de, dɛn go ɛksplen to yu di rizɔlt fɔ di lab ripɔt ɛn disayd if dɛn nid fɔ gɛt ɔda tritmɛnt ɔ nɔ nid fɔ du am.
ESD na tritmɛnt we kin rili wok fayn. Sɔm stɔdi dɔn sho se di risk fɔ mek wan tumbu kam bak na di sem say pan pipul dɛn we dɔn du dis tritmɛnt kin smɔl lɛk 1%.
Mɛsej we dɛn kin kɛr go na os
- Endoscopic Submucosal Dissection (ESD) na wan advans, minimal invasive tritmεnt we de pul abnכmal tisu frכm di dijestiv trakt.
- Bikɔs dis nɔ kin min fɔ kɔt big big say dɛn, i nɔ kin mek i fil pen, i nɔ kin tek lɔng tɛm fɔ wɛl, ɛn i nɔ kin gɛt skata.
- Dis kin pul di abnɔmal tisu insay wan pat, so dɛn kin no kɔrɛkt wan if dɛn dɔn pul di kansa kpatakpata.
- If ɛni wɔnin simptom (e.g., ebi blɔd, fiva, chɛst pen) apin afta yu dɔn trit yu, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ ɛn mek ɔltin klia.
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