‘Glossectomy’... Dat min se ivin we yu yɛri bɔt ɔpreshɔn fɔ pul di tɔng, yu bɔdi kin fil smɔl smɔl, nɔto so? Infakt, we yu gɛt fɔ tɔk bɔt dis kayn big ɔpreshɔn, we yu gɛt fɔ fes am, i nɔmal fɔ mek yu fred, wɔri, ɛn bɔku big big kwɛstyɔn dɛn fɔ kam na yu maynd. "A nɔ go ɛva ebul fɔ tɔk igen?", "A nɔ go ɛva ebul fɔ it?", "Aw mi layf go tan lɛk tumara bambay?" Dɛn tin ya kin ekɔ na yu maynd. Bɔt if wi no di rayt ɛn klia infɔmeshɔn bɔt dis, di fred ɛn nɔ shɔ we yu de fred kin ridyus bad bad wan. So lɛ wi tɔk bɔt dis glossectomy ɔpreshɔn tide, lɛk se yu de tɔk to yu yon padi ɔ yu fambul.
Fɔ tɔk am simpul wan, wetin na ‘Glossectomy’?
Glossectomy na ɔpreshɔn fɔ pul yu tɔng. Bɔt nɔto ɔltɛm dɛn kin pul di wan ol tɔŋ. I dipen pan di kayn sik ɛn aw i big. Dɛn kin sheb am to sɔm men kayn dɛn.
| Di kayn ɔpreshɔn we dɛn kin du | Simpul ɛksplen |
|---|---|
| Patɛl Glossectomy (we dɛn pul wan pat pan di glossum) . | Dis min se yu fɔ kɔt ɛn pul di pat nɔmɔ na di tɔŋ we gɛt sik. Dis kin bi smɔl pat pan di tɔŋ. |
| Hemiglossectomy (dɛn kin pul af pan di tɔŋ) . | As di nem sho, dis min se yu fɔ pul af pan yu tɔŋ, ɔ fɔ se wan say, kɔmɔt kpatakpata. |
| Total Glossectomy (dɛn kin pul di wan ol tɔŋ) . | Dis na di ɔpreshɔn we dɛn kin du we big pas ɔl. Insay dis, dɛn kin gɛt ɔpreshɔn fɔ pul di wan ol tɔŋ. |
So, wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku tɛm, dɛn kin du glossectomy as tritmɛnt fɔ kansa na dɛn tɔŋ. Dis kin nid fɔ pul di kansa sɛl dɛn ɛn stɔp dɛn fɔ skata to ɔda pat dɛn na di bɔdi.
Bɔt nɔto ɔltɛm di tin we kin mek pɔsin gɛt kansa. Sɔntɛnde, dɛn kin gɛt fɔ du dis ɔpreshɔn fɔ sɔm ɔda rizin dɛn.
- Obstructive Sleep Apnea: Sɔm pipul dɛn kin gɛt wan sik we dɛn tɔŋ kin fɔdɔm bak we dɛn de slip, ɛn dis kin blok dɛn aywe. If dis bad bad wan ɛn ɔda tritmɛnt dɛn nɔ wok, dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul wan pat pan di tɔŋ ɛn kip di say we di briz de blo opin.
- Macroglossia (enlarged tongue): If di tong big abnɔmal wan, ilɛksɛf na bikɔs dɛn bɔn am ɔ ɔda mɛrɛsin, i kin mek i nɔ izi fɔ tɔk, it, ɔ ivin fɔ blo. We dɛn kayn tin ya apin, dɛn kin du dis ɔpreshɔn fɔ mek di tɔng nɔ big.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
We yu disayd fɔ du dis kayn ɔpreshɔn, di dɔktɔ dɛn nɔ kin jɔs rɔsh yu fɔ du ɔpreshɔn. Bɔku tɛst ɛn pripiamɛnt dɛn de we dɛn nid fɔ du bifo dat.
1. Mɛdikal ɛgzamin: Fɔs, di dɔktɔ go chɛk yu ɔl. I go tek tɛm chɛk yu mɔt, yu tɔŋ, ɛn yu nɛk eria.
2. Imej Tεst: Neks, dεn go aks yu fכ du tεst lεk CT skan כ MRI skan fכ si εksakכt aw fa di prכblεm na yu tכng dכn spre εn aw i dip.
3. Bayopsi: Dis na tin we rili impɔtant. insay dis, dεn de tek wan rili sכm tisu frכm di say we dεn sכspεkt na di tכng εn sεn am na labכtכri fכ tεst am. Dis na wetin go kɔnfɔm ɛksaktɔli if na kansa ɔ nɔto kansa, ɛn if na so, us kayn.
Afta ɔl dis, di dɔktɔ go gi yu sɔm tin dɛn bɔt wetin yu nid fɔ du bifo dɛn du di ɔpreshɔn. Fɔ ɛgzampul, fɔ stɔp fɔ it ɛn drink di nɛt bifo di ɔpreshɔn, ɛn gi yu advays bɔt ɔda mɛrɛsin dɛn we yu fɔ tek. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We yu go insay di ɔpreshɔn rum, dɛn go gi yu jenɛral anestezi fɔs so dat yu nɔ go fil ɛni pen ɔ nɔ fil fayn. Dis min se yu go slip kpatakpata te di ɔpreshɔn dɔn.
Dɔn, di dɔktɔ we de du di ɔpreshɔn go du di rayt ɔpreshɔn bay aw yu sik.
- Insay pat pan di glossectomy: Di dɔktɔ tek tɛm pul di pat nɔmɔ na di tɔng we gɛt sik ɛn lɔk di ɔda wan wit stich. Sɔntɛnde, dɛn kin yuz smɔl tisu (tissue graft) we dɛn tek frɔm ɔda pat na di bɔdi fɔ ful-ɔp di gap we dɛn pul we dɛn pul am.
- Insay ɛmiglosɛktomi: we dɛn pul af pan di tɔŋ, chans de fɔ mek i nɔ izi fɔ blo bikɔs di tɔŋ de swel afta di ɔpreshɔn. So, sɔm tɛm dɛn kin du tracheostomy bak di sem tɛm we dɛn de du dis ɔpreshɔn. Nɔ wɔri, dis involv fɔ mek wan smɔl ol fɔ sɔm tɛm na di fɔs pat na di nɛk fɔ mek i izi fɔ blo. Yu dɔktɔ go tɔk bɔt dis wit yu bifo dɛn du di ɔpreshɔn.
- insay Total Glossectomy: we dεn pul di כl tכng, dεn de mek nyu strכkchכ we lεk tכng fכ fulכp di gap. Fɔ dis, dɔktɔ dɛn we de du ɔpreshɔn kin tek di skin ɛn tisu frɔm ɔda pat na yu bɔdi, lɛk yu an, yu chɛst, ɔ yu shɔl . di nyu tisu de kכnekt to di blכd vesel dεm na yu nεk fכ mek di bכdi fכ fכlכ. Dis na ɔpreshɔn dɛn we rili kɔmpleks ɛn we dɔn go bifo.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez, bɔku tɛm te to wan wik. Insay dis tɛm, di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn go de chɛk yu sik ɔltɛm.
Insay dis tɛm, yu go mit pɔsin we rili impɔtant. Da pɔsin de na di Speech and Language Pathologist . I go ɛp yu fɔ lan fɔ tɔk ɛn swɛla fayn bak afta dis ɔpreshɔn.
Sɔntɛnde, mɔ if dɛn bin du ɔpreshɔn fɔ pɔsin we gɛt kansa, yu dɔktɔ kin tɛl yu bak fɔ yuz redyushɔn tɛrapi fɔ pwɛl ɛni kansa sɛl we lɛf ɛn fɔ mek di kansa nɔ kam bak.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔda tritmɛnt, dis ɔpreshɔn gɛt in bɛnifit ɛn risk dɛn.
Di men bɛnifit we pɔsin kin gɛt
Di big ɛn impɔtant bɛnifit fɔ dis ɔpreshɔn na dat i rili fayn fɔ mɛn kansa na yu tɔŋ. Dis ɔpreshɔn na di men tritmɛnt fɔ kansa, mɔ na di say we de muv na di tɔŋ. I gɛt rili ay chans fɔ sev pɔsin in layf.
Risk dɛn we kin apin
Jɔs lɛk ɛni ɔpreshɔn, risk ɛn prɔblɛm dɛn de we kin apin, ɛn i impɔtant fɔ no bɔt dɛn tin ya bifo tɛm.
| Risk/Kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Blɔd we de kɔmɔt | Blɔd kin kɔmɔt na di wund afta dɛn dɔn du di ɔpreshɔn. |
| Sik we de prɛd | Risk de fɔ mek yu gɛt infɛkshɔn na di wund. |
| I nɔ izi fɔ swɛla it | I kin tranga fɔ swɛla it, mɔ we i bigin fɔ swɛla. |
| Na di nerve injury | Smɔl risk de fɔ mek di nɛf dɛn we de na di say we dɛn de du di ɔpreshɔn pwɛl. |
| Di we aw di briz de blo bikɔs i de swel | If di wund swel, i kin mek i nɔ izi fɔ blo. |
| Rijekshɔn fɔ graft | sכm chans de fכ mek di bכdi rijek di tisu we dεn transplant fכ bil di tכng bak. |
| Kansa we kin kam bak | Ivin afta dɛn dɔn du di ɔpreshɔn, i kin izi fɔ mek kansa kam bak. |
Aw lɔng i kin tek fɔ mek i wɛl? Laif afta ɔpreshɔn...
Dis na di big kweshon wae plenti pipul get: "Aw long e go tek for mi fo get bak to liv normal life?"
Fɔ tru, di tɛm we yu go wɛl kin dipen ɔl pan ɔmɔs pan yu tɔŋ dɛn pul.
- Patɛl Glossectomy (if dɛn pul pat pan di tɔŋ): Yu go ebul fɔ it ɛn drink nɔmal wan insay lɛk tu wiks.
- Total Glossectomy (if dɛn pul di ɔl glossectomy): di ebul fɔ swɛla kin lɔs ɔl. insay dεn kayn kes dεm ya, dεn kin nid fכ gi likwid nyutrishכn tru wan nasogastric tכb (NG tכb) כ wan tכb we kכnekt to di bεlε (PEG tכb).
Ɛni we aw i bi, i impɔtant fɔ kɔntinyu fɔ wok wit yu tɔk ɛn langwej tritmɛnt.
Wetin kin apin to di ebul we pɔsin ebul fɔ tɔk?
Dis kin dipen bak pan di kayn tɔŋ we dɛn pul.
- Pipul dɛn we dɛn dɔn pul pat pan dɛn tɔŋ:Di ebul fɔ kɔl bɔku sawnd ɛn wɔd dɛn kin kɔntinyu fɔ de. Dis abiliti kin bεtεh mɔr wit spεch tεrapi.
- Pipul dɛn we dɛn dɔn pul dɛn wan ol tɔŋ: Dɛn nɔ kin ebul fɔ tɔk igen, bɔt dat nɔ min se dɛn nɔ kin gɛt tayt padi biznɛs wit di wɔl igen. Dɛn kin yuz tɛknɔlɔji fɔ tɔk to ɔda pipul dɛn, lɛk pen ɛn pepa, tablɛt, ɔ kɔmpyuta .
Wetin kin apin to di sɛns fɔ te?
Wi kin ɔndastand dis prɔblɛm, bikɔs di we aw wi kin no di tin dɛn we wi de it kin de na di tɔŋ. Risach dɔn sho se pipul dɛn we gɛt at le af pan dɛn tɔŋ bays we nɔ pwɛl kin gɛt gud sɛns fɔ teist. Bɔt if dɛn pul pas af pan di tɔŋ, i kin mek i nɔ izi fɔ no ɛn no sɔm tin dɛn we pɔsin lɛk (dysgeusia) .
Bɔt i sɔprayz fɔ no se ivin sɔm pasɛnt dɛn we dɛn dɔn pul dɛn wan ol tɔŋ (total glossectomy) dɔn ripɔt se dɛn gɛt sɔm digri fɔ teist ɛn ebul fɔ ɛnjɔy it.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
We yu dɔn go bak na os afta dɛn dɔn du yu ɔpreshɔn, i impɔtant fɔ pe atɛnshɔn gud wan to di chenj dɛn we de apin na yu bɔdi. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Blɔd we de kɔmɔt na yu mɔt pasmak | Tek akshɔn wantɛm wantɛm. |
| If di swɛlin go bɔku afta di fɔs sɔm dez | Dis kin bi sayn fɔ se pɔsin gɛt di sik. |
| Nɔ ebul fɔ it ɔ drink atɔl | Dɛn nid tritmɛnt fɔ mek yu nɔ gɛt wata na yu bɔdi. |
| Vɔmit ɔ nɔs | Ɛspɛshali if i kɔntinyu fɔ du dat. |
| Sayn dɛm fɔ infekshɔn lɛk fiva ɛn kol | Wan sayn we de sho se di wund gɛt infɛkshɔn. |
| Choking we yu de chok | Dis na imejensi. |
| I nɔ kin izi fɔ swɛla it bad bad wan | If di diskɔmfɔt de bɔku, tɛl yu dɔktɔ . |
| Bɔrku pen wae nɔr kin stɔp pan ɔl wae yu de tek mɛrɛsin | I kin bi sayn fɔ ɔda prɔblɛm. |
Glossectomy na rili ɔpreshɔn we kin chenj in layf. Fɔ disayd fɔ du dis kayn tin na tin we pɔsin kin du fɔ insɛf ɛn i nɔ kin izi fɔ disayd. So, tɔk to yu dɔktɔ gud gud wan ɛn mek shɔ se yu ɔndastand ɔl di tritmɛnt dɛn we yu kin gɛt. Aks ɛni kwɛstyɔn we yu gɛt bɔt di gud ɛn bad tin dɛn we dis ɔpreshɔn gɛt ɛn wetin fɔ ɛkspɛkt afta di ɔpreshɔn. Di we aw pɔsin kin wɛl kin tranga, bɔt mɛmba se yu gɛt wan tim we gɛt dɔktɔ dɛn, nɔs dɛn, ɛn mɔ di wan dɛn we de ɛp yu fɔ tɔk. If dɛn ɛp yu, yu go lan fɔ tɔk, swɛla, ɛn mek yu layf bɛtɛ.
Mɛsej we dɛn kin kɛr go na os
- Glossectomy na ɔpreshɔn we dɛn kin du fɔ pul di tɔŋ. Bɔku tɛm dɛn kin du am as tritmɛnt fɔ kansa na yu tɔŋ.
- Di impak pan aw pɔsin de tɔk, swɛla, ɛn teist kin difrɛn difrɛn wan bay aw dɛn du di ɔpreshɔn (pat, af, ɔ di wan ol tɔŋ).
- Di sɔpɔt we pɔsin we de mɛn pipul dɛn we de tɔk ɛn langwej kin gi impɔtant fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Dɛn go ɛp yu fɔ ebul fɔ swɛla ɛn tɔk to dɛnsɛf bak.
- Na nɔmal tin fɔ mek yu fil fred ɛn wɔri we yu de gɛt ɔpreshɔn lɛk dis. Bi opin wan bɔt aw yu de fil ɛn kwɛstyɔn dɛn wit yu mɛdikal tim.
- If yu gɛt sayn dɛn we de wɔn yu lɛk fiva, blɔd we de kɔmɔt pasmak, ɔ we yu de fil bad bad wan afta dɛn dɔn du yu ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
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