Di dɔktɔ dɔn tɛl yu se yu gɛt smɔl tumbu na yu kɔlon ɔ yu εsophagus we dɛn nid fɔ pul? We yu yɛri dat, bɔku pan wi kin fred ɛn wɔri, ɛn tink se, "O, a go gɛt fɔ du big ɔpreshɔn ?" Bɔt wit di advans mɛdikal tɛknɔlɔji we de tide, wɔndaful we dɛn de fɔ pul dɛn tin ya ɛn nɔ mek big say na di bɔdi. Tide, wi go tɔk bɔt wan spɛshal we fɔ trit pipul dɛn we nɔ de tek bɔku pipul dɛn.
Fɔ tɔk am simpul wan, wetin na Ɛndoskopik Sabmyukɔsal Disekshɔn (ESD)?
Dis na tin we rili simpul fɔ ɔndastand. Yu go mɔs dɔn yɛri bɔt wan ‘ ɛndoskopi ’ tɛst. Na we dɛn kin put wan fleksibul tiub wit kamɛra tru di mɔt ɔ di an fɔ chɛk di it paip . Dis na di sem tin. Bɔt i dɔn go bifo smɔl.
Insay ESD, wan dɔktɔ we de mɛn di bɛlɛ kin yuz ɛndoskɔp fɔ put fayn fayn ɔspitul inschrumɛnt dɛn. Dɔn, dɛn kin tek tɛm kɔt di abnɔmal tisu we de na di wɔl na yu dijestiv trakt, di pat we tan lɛk tumbu , ɛn pul am. Di bɛst pat na dat ɔl dis kin apin we yu nɔ mek ɛni say we yu de kɔt ɔdasay na yu bɔdi. Dis min se yu nɔ kin fil pen pas afta yu dɔn du big ɔpreshɔn, ɛn yu kin wɛl kwik kwik wan.
Us kayn kɔndishɔn di ESD we yu de yuz fɔ du am?
Dɛn kin yuz dis tritmɛnt fɔ pul di tin dɛn we kin gro we gɛt kansa ɔ we bin dɔn gɛt kansa, di polip , ɔ di say dɛn we di bɔdi kin gɛt na di dijestiv trakt. ESD kin wok fayn mɔ fɔ dɛn kɔndishɔn ya:
- di εsophagus fכ Barrett : Insay dis kכndishכn, di sεl dεm na di lכw pat pan di εsophagus de chenj abnכmal wan. Dɛn tin ya kin tɔn to kansa leta.
- Kansa we de na di kɔlɔrɛkt
- Kansa na di εsophageal
- Smɔl intestinal kansa
- Bɛlɛ kansa
Di tin we impɔtant pas ɔl na dat dis we fɔ du tindi ebul fכ pul di kεnsar sεl dεm כ di abnכmal tisu dεm kכmplit wan insay wan pat . Dis kin mek am izi fɔ no if dɛn dɔn pul di sik kɔmɔt kpatakpata.
Wetin na di difrɛns bitwin ESD ɛn EMR?
yu kin yεri bכt כda prכsidכm we dεn kכl `Endoscopic Mucosal Resection (EMR).` dεn tu prosidכs dεm ya na minimally invasive tritmεnt dεm we dεn de du we dεn de yuz εndoscope. Bɔt sɔm smɔl tin dɛn de we difrɛn bitwin dɛn tu. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tin | Endoskopik Mukosal Rεsεkshכn (EMR) . | Endoskopik Sabmyukosal Disekshɔn (ESD) . |
|---|---|---|
| Di say we yu want fɔ go | di tכmכro dεm we de na di sכfa fכ di insay layn na di dijestiv trakt (mכkusa) dεn de kכl dεm. | apat frכm di tכmכro dεm we de sכfayz, dεn kin pul di tכmכro dεm we dεn go dip sכmtεm insay di mεmbran bak. |
| Di we aw dɛn yuz am | Dɛn kin pul di tumbu bay we dɛn injekt wata ɔnda am, es am ɔp, ɛn kɔt am wit sɔntin lɛk mɛtal trap. Sɔntɛnde, dɛn kin pul am insay bɔku bɔku pat dɛn. | Dɛn kin yuz spɛshal ilɛktrik nɛf fɔ kɔt di frut fayn fayn wan rawnd ɛn ɔnda, ɛn pul am wan pat . |
| Di tɛm dɛn we fit pas ɔl | Fɔ nat dɛn we smɔl, we de ɔp ɔp. | Fɔ big, flat, ɔ smɔl ingrown tumɔs, mɔ if dɛn gɛt kansa tumor, i fayn fɔ pul am kpatakpata. |
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Dis nɔ nid fɔ pripia bɔku. Yu dɔktɔ go gi yu di rayt instrɔkshɔn dɛn we yu nid.
- If dɛn de put di ɛndoskɔp tru di mɔt (e.g. bɛlɛ, ɛsophagus): Dɛn go aks yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo di tritmɛnt.
- if dεn put am insay rεktal (e.g., insay di kכlon): dεn go aks yu fכ "bowel prep." Dis min se yu go nid fɔ tek wan laxative we yu dɔktɔ go gi yu fɔ klin yu kɔlon ɔltogɛda. Dis go mek di dɔktɔ si di insay pat pan yu kɔlon klia wan.
Wetin kin apin we dɛn de trit am?
No nid fɔ wɔri bɔt dis. Wan dɔktɔ we de mɛn yu bɔdi go ɔl tu put yu fɔ slip ɔl (`Jɛnɛral Anestesia`), ɔ gi yu mɛrɛsin fɔ mek yu rilaks ɛn nɔ gɛt pen. Yu nɔ go fil ɛnitin insay dis tɛm.
We dɛn de du di tritmɛnt, di dɔktɔ go fala dɛn tin ya:
1. dεn de put di εndoskop tכb tru di mכt כ di rεktum.
2. We yu luk tru di kamɛra, go usay da ɔnusual tumor de.
3. Dɛn kin mak usay di tumbu de wit spɛshal tin.
4. Fɔ mek dɛn nɔ pwɛl di wɛlbɔdi tisu we de ɔnda di tɔŋ, dɛn kin put spɛshal wata ɔnda di tɔŋ. dis de mek wan "kushכn" כnda di tכmכro, we de lif di tכmכro כp.
5. Dɔn, dɛn kin yuz ilɛktrik naif we gɛt ay frikyuɛnsi, dɛn kin kɔt di tumbu ɔlsay ɛn pul am.
Dis ɔltin kin tek lɛk wan to tri awa so.
Wetin kin apin afta dɛn dɔn trit am? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Afta tritmɛnt, dɛn go de wach yu na rum fɔ wɛl te yu wek frɔm di anestezi. Dɛn kin sɛn di tisu we dɛn pul na lɛbɔtri fɔ no if i gɛt di sik. Na de, wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk am fɔ si if ɛni kansa sɛl de ɛn if dɛn dɔn pul ɔl di kansa.
Yu kin ebul fɔ go na os di sem de, ɔ yu kin gɛt fɔ de na ɔspitul fɔ wan nɛt. Di tin we impɔtant pas ɔl na dat, i kin tek lɛk 24 awa so fɔ mek di ifɛkt dɛn we di anestezi gɛt fɔ west ɔl, so yu go mɔs nid fɔ kam wit pɔsin ɛn drayv dɛn go na os wit motoka.
Sɔntɛm yu kin gɛt smɔl prɔblɛm fɔ wan ɔ tu de afta di tritmɛnt, bɔt sɔm tin dɛn de we yu fɔ no bɔt.
| Kɔmɔn, tɛmporari sayd ɛfɛkt dɛm (i kin wɛl insay 1-2 dez) . | Ustɛm fɔ go to yu dɔktɔ ɔ di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm |
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Di prɔblɛm dɛn we kin kam wit ESD nɔ kin bɔku, bɔt dɛn kin inklud blɔd, di bɛlɛ we de kɔmɔt na di bɛlɛ, ɔ we di εsophageal strikt. Dɛn tin ya nɔ kin apin so ɔltɛm.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔrku pipul kin kam bak to dɛn nɔrmal aktiviti afta lɛk 5 dez. Bɔt if yu gɛt wok we de mek yu at pwɛl, yu dɔktɔ go advays yu fɔ rɛst fɔ sɔm tɛm. Yu bɔdi kin muv smɔl smɔl fɔ lɛk wan wik afta yu dɔn trit yu.
Dɛn go aks yu fɔ go to dɔktɔ bak lɛk tu wiks afta di tritmɛnt. Dɔn yu kin tɔk bɔt di rizɔlt fɔ di lab ripɔt ɛn if yu nid mɔ tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Endoscopic Submucosal Dissection (ESD) na wan tritmɛnt we rili advans we de pul di fɔs stej kansa ɔ abnɔmal tɔŋ dɛn na di dijestiv sistɛm we dɛn nɔ mek big say we dɛn kɔt na do na di bɔdi.
- Dis kin pul di abnɔmal tisu insay wan pat, we kin mek i izi fɔ kɔnfɔm se dɛn dɔn pul di sik kpatakpata.
- I nɔ kin pen pas tradishɔnal ɔpreshɔn, i kin wɛl kwik kwik wan, ɛn no big skata nɔ de.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tritmɛnt.
- If yu gɛt sɔm sayn dɛn lɛk we yu de blɔd pasmak, yu de fil pen bad bad wan, yu gɛt fiva, ɔ yu nɔ go ebul fɔ blo afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
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