Yu smɔl pikin kin gɛt sik we de mek i sik ɔltɛm? Yu fɔ rili wɔri bikɔs yu nɔ ebul fɔ kɔntrol dɛn pan ɔl di mɛrɛsin dɛn we dɛn de gi yu. Sɔntɛnde, dɔktɔ dɛn kin tɔk bɔt wan big ɔpreshɔn we dɛn kɔl ‘Hemispherectomy’ na dis kayn tin. Na nɔmal tin fɔ fil bad bad wan we yu yɛri dis nem. Bikɔs dis min se dɛn fɔ pul af pan di bren. Bɔt nɔ wɔri, tide wi go tɔk bɔt dis rili simpul wan, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Hemispherectomy?
εmisfεkכmi na we dεn de כpכt fכ pul כl כ pat pan di pikin in bren (wan sayd) כ fכ sכt in kכnεkshכn wit di rεst כf di bren. "Hemi" min "af." Dis na ɔpreshɔn we nɔ kin apin so ɔltɛm, we rili spɛshal.
Dɛn kin du dis mɔ fɔ pikin dɛn we gɛt ɛpilepshi we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin. Insay dɛn kayn pikin dɛn de, wan say na di bren nɔ kin fayn atɔl, ɛn na da say de kin mek dɛn sik. So di gol fɔ dis ɔpreshɔn na fɔ stɔp di sik dɛn we de mek pɔsin sik bay we dɛn pul ɔ diskɔnekt da pat de we gɛt sik.
Tu men kayn ɔpreshɔn de fɔ dis ɔpreshɔn.
Tu men we dɛn de fɔ du dis ɔpreshɔn. Dɔktɔ dɛn go pik di we we go fayn fɔ yu pikin bay aw yu pikin de.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan... |
|---|---|
| Fכnshכnal (Diskonektiv) Hεmisfεrεktכmi | Dis we ya na fɔ pul wan smɔl pat pan di say we sik na di bren, ɛn fɔ kɔt di kɔnekshɔn bitwin da say de ɛn di say we gɛt wɛlbɔdi kpatakpata. Dis nɔ de pul wan big pat pan di bren. So, di risk fɔ gɛt prɔblɛm dɛn nɔ kin bɔku. Bɔku tɛm, dɛn kin tray dis we fɔ du tin fɔs. |
| Anatomik Ɛmisfɛrektomi | insay dis prosidכs, di sכjaman de pul כl di fכ mεjכr lכb dεm na di bren (frכnt, parietal, tεmporal, εn כksipital lכb dεm) na di sayd we di sik afekt. Dis prosidur na if dεn nכ kכntrol di sik afta dεn du fכnshכnal כpεrayshכn. Risk de fɔ mek yu gɛt prɔblɛm dɛn smɔl, lɛk we yu de blɔd pasmak. |
Di impɔtant tin na dat di sakrifays fɔ ɔl tu di we dɛn na di sem. Dɛn tu we ya gɛt gud abiliti fɔ stɔp di fit.
Us kayn pikin dɛn nid dis ɔpreshɔn?
Dɛn nɔ kin du dis ɔpreshɔn fɔ ɔl pikin we gɛt fit. Dɛn kin du am pan rili spɛshal kes dɛn. If yu pikin gɛt dɛn sik ɔ tin ya, yu dɔktɔ kin tink bɔt fɔ du dis ɔpreshɔn:
- Fɔ gɛt fit (epilepsy) wae yu nɔr kin ebul fɔ kɔntrol wit mɛrɛsin .
- Wiknɛs na wan say na di bɔdi. Fɔ ɛgzampul, we pɔsin nɔ ebul fɔ yuz wan an lɛk aw i de yuz di ɔda wan.
- Lɔs di periferik vishɔn.
- We dɛn du MRI skan na di bren, i sho se na wan say nɔmɔ na di bren nɔ de wok fayn.
- di fit we i kin fit fכs kin mek di pikin de dilay fכ gro εn divεlכp .
Kɔndishɔn dɛm wae kin mek yu gɛt dɛn sik ya:
- di malfכmeshכn dεm fכ di kכtikal divεlכpmεnt: sכm difεkt dεm we de apin di tεm we di bren in kכtεks de divεlכp.
- Pɛrinatal Infarkshɔn (Stroke): Na strok we kin apin na di bɛlɛ ɔ afta dɛn bɔn am.
- Hemimegalencephaly: Wan say na di bren nɔ kin big pas di ɔda wan.
- Sturge-Weber Syndrome: Na wan sik wae de mek di blɔd vesel dɛn de gro fayn fayn wan. Dɛn tin ya kin apin bak na di bren.
- Rasmussen’s Encephalitis: Na wan sik we de afɛkt wan say nɔmɔ na di bren ɛn mek pɔsin fit bikɔs ɔf inflamɛns.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia yu pikin fɔ dis kayn big ɔpreshɔn kin bi big prɔblɛm fɔ yu, bɔt di dɔktɔ ɛn nɔs dɛn na di ɔspitul go ɛp yu bay we dɛn go ɛksplen ɔltin.
Bifo dɛn du di ɔpreshɔn
Di de bifo di ɔpreshɔn, dɛn go aks yu fɔ stɔp fɔ it ɛn drink afta sɔm tɛm. Dɛn go gi yu klia instrɔkshɔn bɔt us mɛrɛsin yu pikin de tek, uswan dɛn fɔ stɔp, ɛn us wan dɛn fɔ kɔntinyu fɔ tek. Yu kin kɔt sɔm ia ɔ pul am ɔl na di sayd we yu pikin in ed de usay dɛn go du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn
Dɛn kin gi di pikin jenɛral anestesia , we kin mek i slip ɔl ɛn i nɔ kin fil pen. Di ɔpreshɔn kin tek lɛk 5 awa so, sɔntɛnde i kin tek lɔng tɛm pas dat. Di dɔktɔ we de du di ɔpreshɔn go mɔs fala dɛn step ya:
1. fכ pul wan sכm pat pan di sכkul (dεn kכl dis `Craniotomy`).
2. Fɔ pul ɔ pul wan pat pan di tisu na di say we sik na di bren kpatakpata.
3. fכ kכt di fayv dεm we de kכnεkt di tu say dεm na di bren (corpus callosum). (dεn kכl dis `Corpus Callosotomy`).
4. Dɛn kin put di pat we dɛn pul na di skel bak na in ples ɛn dɛn kin siŋ di skin fɔ lɔk.
Wetin kin apin afta di ɔpreshɔn? Ɛn wetin na di tin dɛn we kin apin?
Afta di ɔpreshɔn, dɛn kin admit di pikin na di Intensiv Keya Yunit (ICU) ɛn dɛn kin wach am gud gud wan. Afta tu to tri dez, dɛn kin transfa dɛn to wan rɛgyula wɔd.
Di gud nyus na dat, di tin dɛn we kin kɔmɔt frɔm dis ɔpreshɔn kin rili fayn. Stɔdi dɔn sho se bitwin 66% ɛn 80% pan di pikin dɛn we dɛn de du di ɔpreshɔn nɔ kin gɛt fit at ɔl. Bɔrku ɔda pikin dɛm bak kin gɛt bɔrku ridɔkshɔn pan di frɛkuɛns fɔ fit.
Wan tim we gɛt spɛshal pipul dɛn de wok fɔ ɛp di pikin fɔ wɛl.
- Fizik Tɛrapi: I de ɛp yu fɔ waka, rɔn, ɛn balans.
- Occupational Therapy: De tich yu aw fɔ du ɛvride wok lɛk fɔ it ɛn drɛs yusɛf.
- Spich Therapy: I de ɛp fɔ pul di prɔblɛm dɛn we kin apin we pɔsin de tɔk ɛn tɔk wetin i de tink bɔt.
Nɔto prɔblɛm ɛn prɔblɛm dɛn de we kin apin?
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
| Tayp ɔf kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Posisibul kɔmplikeshɔn dɛn bifo | I kin apin we dɛn de du di ɔpreshɔn ɔ jɔs afta dɛn dɔn du di ɔpreshɔn. Fɔ ɛgzampul, blɔd we de lɔs pasmak, infekshɔn, ɛn hypothermia. |
| Sɔm prɔblɛm dɛn we kin apin leta | Di men wan na wan sik we dɛn kɔl Hydrocephalus . Dis na di we aw wata kin gɛda insay di bren. di chans fכ dis fכ apin we dεn de du fכnshכnal כpεrayshכn sכmtεm sכmtεm 5%. if dis apin, dεn fכ put wan sכm sכm tכb we dεn kכl ‘shunt’ fכ pul di wata. |
We yu nid fɔ tɔk to di dɔktɔ kwik kwik wan
Afta yu dɔn go na os frɔm ɔspitul, yu fɔ pe atɛnshɔn to yu pikin gud gud wan. If yu notis ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ kɛr yu pikin go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Fɔ sho sayn dɛm fɔ infekshɔn, lɛk fiva , swel, rɛd, ɔ pus frɔm di wund we dɛn du di ɔpreshɔn.
- Yu kin vɔmit ɔltɛm , yu ed kin at bad bad wan , ɛn yu kin chenj yu bihayvya (dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl Hydrocephalus).
- Rikɔrɛshɔn fɔ wan sik we dɛn kɔl seizure.
Fɔ disayd dis bɔt ɔpreshɔn nɔ kin izi fɔ mama ɛn papa dɛn. Na big big lod. Bɔt mɛmba se, dɔktɔ go jɔs tɛl am fɔ du dis kayn ɔpreshɔn if i rili shɔ se ɔda tin nɔ de we i go du ɛn i go bɛnifit di pikin in layf bad bad wan.
Mɛsej we dɛn kin kɛr go na os
- Hemispherectomy na wan ɔpreshɔn we kin rili wok fayn fɔ pikin dɛn we gɛt siriɔs ɛpilepsi we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin.
- Di chans fɔ mek di fit stɔp ɔl ɔ i go ridyus bad bad wan wit dis ɔpreshɔn rili bɔku.
- di rεst hεlty sayd na di pikin in bren de bigin fכ tek ova plεnti pan di wok dεm na di sayd we dεn pul as tεm. Dis na wɔndaful tin!
- Fyzikal, wok, ɛn tɔk tɛrapi (rihabiliteshɔn) afta di ɔpreshɔn impɔtant fɔ mek di pikin wɛl.
- Fil fri fɔ tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu wit yu dɔktɔ. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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