Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu dɔktɔ tɛl yu ɔ pɔsin we de nia yu se yu nid fɔ du ɔpreshɔn we dɛn kɔl "Esophagectomy." Yu kin gɛt bɔku kwɛstyɔn lɛk, "Wetin na dis ɔpreshɔn? Wetin mek dɛn de du am? Wetin go apin afta dat?" Bɔt nɔ wɔri. Wi go tɔk bɔt ɔltin insay simpul Sinhala we yu kin ɔndastand, rili fayn. Bay di tɛm we yu dɔn rid dis atikul, yu go dɔn ɔndastand dis gud gud wan.
Fɔ tɔk am simpul wan, wetin na Esophagectomy?
εsophagectomy na ɔpreshɔn we dɛn kin du we kin pul wan pat ɔ ɔl di εsophagus. di εsophagus na di tכb we de kכri it εn drink frכm di trot to di bεlε. I tan lɛk wata paip.
Naw yu go de wɔnda se, "Wetin mek dɛn de pul dis?" Di men rizin na kansa na di εsophageal . Dɔktɔ dɛn kin se bak fɔ du dis ɔpreshɔn if yu gɛt tin dɛn lɛk Barrett in esophagus, we kin mek yu gɛt kansa mɔ, ɔ we yu esophagus nɔ de wok fayn ɛn i nɔ kin izi fɔ yu fɔ swɛla.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul di pat we dɔn pwɛl na yu ɛsophagus. If na kansa, dɛn kin pul sɔm pan di limf no dɛm we de nia am bak ɛn sɛn dɛn fɔ tɛst. Dɔn, dɛn kin kɔnɛkt di ɔda pat dɛn bak ɛn mek yu it paip kam bak. dis min se dεn pul di bεlε op sכmtεm εn kכnekt to di rεst כf yu εsophagus. Dis we ya, dɛn kin mek yu it paip so dat yu go ebul fɔ it nɔmal wan bak.
Wetin na di difrɛn we dɛn fɔ du dis ɔpreshɔn?
Pan ɔl we ɔl di we aw dɛn kin pul di εsophagectomy kin gɛt fɔ du wit fɔ pul di εsophagus, di we aw yu ɔpreshɔn kin yuz kin difrɛn difrɛn tin dɛn lɛk usay yu tumbu ɔ di damej ɛn yu ɔl wɛlbɔdi.
Tu we dɛn de mɔ:
- Open Surgery: Na ya, dɛn kin kɔt wan lɔng say na di skin fɔ rich na di εsophagus.
- Minimally Invasive Surgery: Dis na wetin wi kin kɔl "laparoscopic surgery." Bifo dɛn kɔt wan big say, dɛn kin yuz sɔm smɔl smɔl say dɛn we lɔng lɛk wan inch fɔ du di ɔpreshɔn, ɛn dɛn kin yuz kamɛra ɛn inschrumɛnt dɛn. כpεrayshכn fכ akses di bכdi כgan dεm dεn kכl am `Laparoscopic surgery`, εn כpεrayshכn fכ akses di chεst כgan dεm dεn kכl am `Toracoscopic surgery`.
Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du dɛn we ya. Di tebul we de dɔŋ ya de ɛksplen mɔ bɔt dɛn.
| Tɛknik fɔ Ɔpreshɔn | Di say dɛn we dɛn kin kɔt di bɔdi |
|---|---|
| Transhiatal Ɛsofagɛktɔmi | Na di nεk εn di bεlε (bεlε) . |
| Ivor Lewis Ɛsofagɛktɔmi | Na di rayt say na di chɛst ɛn di bɛlɛ |
| McKeown Esophagectomy we dɛn kin du | Na di nɛk, di chɛst ɛn di bɛlɛ |
| Thoracoabdominal Esophagectomy we dɛn kin yuz fɔ mek di bɔdi | Wan lɔng kɔt frɔm di chɛst to di bɛlɛ ɛn wan ɔda wan kɔt na di nɛk |
Tɔk to yu dɔktɔ ɛn no us we go fayn fɔ yu ɛn wetin mek. Dis go mek yu ɔndastand mɔ bɔt di ɔpreshɔn ɛn di tɛm we yu go wɛl.
Aw wi kin rɛdi fɔ dis kayn big ɔpreshɔn?
Esophagectomy na big ɔpreshɔn, ɛn i kin tek sɔm tɛm fɔ mek i wɛl. So, i rili impɔtant fɔ mek yu rɛdi gud gud wan bifo dɛn du di ɔpreshɔn.
- Difrɛn tɛst dɛn: Fɔ plan di ɔpreshɔn, yu dɔktɔ go ɔda tɛst dɛn lɛk fɔ CT skan na yu chɛst ɛn yu bɛlɛ, Ɛndoskopik ɔltrasɔund (EUS), ɔ PET skan.
- Fɔ gɛt di fɔs tritmɛnt: If yu gɛt kansa, yu kin nid fɔ gɛt kemotɛrapi ɛn/ɔ redyushɔn tɛrapi bifo dɛn du yu ɔpreshɔn. Sɔm pipul dɛn kin gɛt bɛtɛ tin fɔ du we dɛn gɛt dɛn tritmɛnt ya bifo tɛm.
- Fɔ pripia yu bɔdi fɔ ɔpreshɔn: If yu gɛt ɛni mɛrɛsin lɛk dayabitis ɔ ay blɔd prɛshɔn, yu nid fɔ kɔntrol am bifo dɛn du di ɔpreshɔn. If yu de smok, yu fɔ rili lɛf fɔ smok. Smok kin rili delay di wɛl bɔdi prɔses.
- Fɔ rɛdi fɔ di tɛm we yu go wɛl: Bikɔs di we aw yu de it go chenj afta dɛn dɔn du yu ɔpreshɔn, yu kin aks pɔsin we sabi bɔt it . Yu kin lan bak frɔm wan speech-language pathologist (SLP) bɔt ɛksesaiz fɔ mek yu brith mɔsul dɛn strɔng fɔ mek yu nɔ gɛt prɔblɛm wit yu lɔng afta dɛn dɔn ɔpreshɔn yu.
- Fɔ pripia fɔ go na ɔspitul:Bikɔs yu go de na ɔspitul fɔ wan ɔ tu wiks, pripia di klos dɛn we yu nid, di mɛrɛsin dɛn, ɛn tin dɛn lɛk buk ɛn pilo we go mek yu fil fayn.
- Afta yu rich na os: Arenj fɔ mek pɔsin kam na os frɔm ɔspitul. I impɔtant bak fɔ gɛt pɔsin fɔ ɛp yu na os. Arenj yu os so dat yu go ebul fɔ gɛt di tin dɛn we yu nid izi wan.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bifo di ɔpreshɔn, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dis min se yu go slip kpatakpata. Afta di ɔpreshɔn, dɛn kin put wan epidural tyub bak na yu bak fɔ kɔntrol di pen.
Di dɔktɔ we de du di ɔpreshɔn kin kɔt di say dɛn we dɛn de it akɔdin to di we aw dɛn de du am ɛn pul di pat we sik na di εsophagus. Sɔntɛnde, dɛn kin pul smɔl pat pan di bɛlɛ bak. afta dat, dεn kin bכn di bεlε כ sכmכl intestכn insay di chεst εria εn kכnεkt am to di rεst כf di εsophagus.
Afta di ɔpreshɔn, dɛn go put wan tiub fɔ it insay yu bɛlɛ ɔ smɔl intestin fɔ gi yu it te yu ebul fɔ swɛla. Dɛn go put wan nasogastric tube bak tru yu nos fɔ ɛp fɔ pul di briz we pasmak na yu bɛlɛ ɛn ɛp yu fɔ wɛl. Dɛn kin put dreyn na yu chɛst bak fɔ pul wata kɔmɔt na yu chɛst. Dɛn kin du ɔl dis fɔ ɛp yu fɔ wɛl kwik kwik wan. Di ɔpreshɔn kin tek bitwin 3 ɛn 6 awa.
Wetin go apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kip yu na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) fɔ wan ɔ tu dez. Yu go stat pan wan fidin tyub. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Yu kin gɛt fɔ de na ɔspitul fɔ lɛk tu wiks so.
We i bin de na ɔspitul, .
- Dɛn go tɛl yu fɔ wɛr kɔmpreshɔn stɔkin ɛn waka fɔ mek blɔd nɔ klɔt .
- Yu fɔ du ɛksesaiz fɔ blo fɔ mek yu lɔng dɛn klin.
- Dɛn go tich yu aw fɔ kip di fidin tiub ɛn di wund klin.
Wetin na di sayd ɛfɛkt ɛn risk dɛm?
Ɛni ɔpreshɔn kin mek sɔm sayd ɛfɛkt, ɛn i impɔtant fɔ no bɔt di prɔblɛm dɛn we kin apin.
| Kɔmɔn sayd ɛfɛkt dɛn | Risk dɛn we yu fɔ no bɔt |
|---|---|
| We pɔsin taya | Prɔblɛm dɛn na di lɔng, mɔ di nyumonia |
| Fil fɔ it | Anastomotik lik |
| Pen we yu de swɛla | di at bit we nɔ de bit (`Atrial fibrillation`) . |
| Diskɔmfɔt lɛk gas ɛn blo | I nɔ izi fɔ tɔk ɔ swɛla (Dysphagia) . |
| Nɔs ɛn vɔmit | Blɔd we de kɔmɔt na di wund, infɛkshɔn, blɔd we de klɔt |
Bɔrku pan dɛn sik ya go stɔp as yu de wɛl, bɔt if yu gɛt ɛnitin fɔ wɔri bɔt, kɔl yu dɔktɔ wantɛm wantɛm.
Ustɛm a fɔ kɔl di dɔktɔ ɔ go na ɔspitul?
Sɔm prɔblɛm kin kam insay di tɛm we pɔsin de wɛl. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ wantɛm wantɛm.
- If di pen ɔ fiva de bɔku
- If di say we de rawnd di say we dɛn kɔt am rɛd ɛn fil wam
- If di bɔdi wik
- If yu gɛt prɔblɛm fɔ blo ɔ yu chɛst de bit
- If di bɛlɛ lɔs ɔ di stɔl blak
- If yu gɛt trot we de at
- If yu gɛt kɔf we nɔ de dɔn
- If di wayt pat na di yay ɔ di skin tɔn yɔlɔ (Jaundice) .
- If i nɔ izi fɔ yu fɔ swɛla ɔ kɔntinyu fɔ lɛf fɔ it bɔku bɔku it
Pe atɛnshɔn wantɛm wantɛm! If dɛn tin ya apin, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ kɔl 1990.
* If yu nɔ ebul fɔ swɛla ɔ blo.
* If yu de vɔmit blɔd.
* If yu gɛt bad bad pen, mɔ we yu de fil pen na yu chɛst.
Mɛsej we dɛn kin kɛr go na os
- Esophagectomy na impɔtant ɔpreshɔn we de sev layf we dɛn kin du fɔ sɔm mɛrɛsin dɛn.
- Gud rizulyt kin bi if yu lɛf fɔ smok ɛn kɔntrol sik dɛn lɛk dayabitis bifo yu du ɔpreshɔn.
- Di tɛm we pɔsin kin wɛl kin tek lɔng tɛm, so peshɛnt ɛn fala wetin di dɔktɔ tɛl yu fɔ du.
- Afta dɛn dɔn du di ɔpreshɔn, di we aw yu de liv yu layf, mɔ di we aw yu de it, go chenj. Yuz fɔ it smɔl smɔl it dɛn bɔku tɛm insay di de.
- Yu fɔ no di sayn dɛn we de sho se yu de wɔn yu. If yu gɛt ɛnitin fɔ wɔri bɔt, nɔ de te fɔ go to dɔktɔ.
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