Di dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi se yu nid fɔ du ɔpreshɔn pan yu liva? Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu yɛri di wɔd ‘fɔ pul wan pat pan di liva’. Di liva na wan ɔgan we rili impɔtant na wi bɔdi. Bɔt if yu ɔndastand am kɔrɛkt wan , yu go ebul fɔ ridyus da fred de bad bad wan. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn, we de pul pat pan di liva, we dɛn kɔl ‘hepatectomy’, insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na ɛpatektomi?
Hepatectomy na ɔpreshɔn we dɛn kin du fɔ pul wan pat we gɛt sik ɔ ɔl di liva. Di wɔndaful ɛn bɛst tin bɔt dis na dat wi liva gɛt wɔndaful pawa fɔ mek insɛf bak. If di ɔda pat pan yu liva gɛt wɛlbɔdi, ilɛksɛf yu pul lɛk tu-tɛd pan am, di pat we lɛf kin gro bak to di say we i bin de fɔs insay shɔt tɛm. Yu nɔ tink se dat na wɔndaful tin?
Wetin mek i nid fɔ du dis kayn ɔpreshɔn?
Bɔku men rizin dɛn de we mek dɛn du dis ɔpreshɔn. Bɔku tɛm, dɛn kin du dis ɔpreshɔn fɔ pul di tumbu dɛn we dɔn fɔm na di liva. Sɔntɛnde, dɛn kin du dis ɔpreshɔn bak fɔ gi wan pat pan di liva fɔ sev ɔda pɔsin in layf.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Tumɔs dɛn we gɛt kansa | Rimov di kansa dεm we de stat na di liva (Primary Liver Cancer), εn bak di kεnsar dεm we dεn spre to di liva frכm כda כgan (e.g., di kכlon) (Secondary/Metastatic Cancer). di tכp dεm we kכmכn pas כl na di εpatosεlula kכrεkshכ n εn Cholangiocarcinoma . |
| Tumɔs dɛn we nɔ gɛt bɛtɛ wɛlbɔdi | Dɛn tin ya nɔto kansa, bɔt dɛn kin pul dɛn bikɔs dɛn kin gro na dɛn saiz ɛn kin mek pɔsin fil pen ɛn nɔ kin fil fayn. εgzampl dεm na Adenoma εn Liva Sist (sist dεm we fulכp wit wata na di liva). |
| Galston dɛn we de na di liva | If ston de blok di bayl dakt dɛn insay di liva ɛn mek pɔsin gɛt infɛkshɔn, dɛn kin pul da pat de. |
| Liv Liva Dona we de alayv | Pɔsin we gɛt wɛlbɔdi kin gi pat pan in liva to pɔsin we nid fɔ transplant in liva. Afta di ɔpreshɔn, ɔl tu di liva dɛn kin gro bak to ful saiz. |
Aw siriɔs dis ɔpreshɔn na? Ɛni risk dɛn de we kin apin?
Fɔ tɔk tru, yɛs. Dɛn kin tek dis as ɔpreshɔn we nɔ izi fɔ du ɛn we at fɔ du . Di men rizin na bikɔs di liva na ɔgan we gɛt bɔku blɔd. So, di risk fɔ mek blɔd kɔmɔt we dɛn de du di ɔpreshɔn kin bɔku. Fɔ dis rizin, na dɔktɔ dɛn we gɛt spɛshal trenin ɛn we gɛt ɛkspiriɛns pan dis wok kin du dɛn ɔpreshɔn ya.
Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn kin dipen pan di sayz we di liva sɛkshɔn we dɛn pul ɛn di ɔl wɛlbɔdi na yu liva.
- Smɔl Risekshɔn: If dɛn pul less dan af pan di liva, di risk dɛn nɔ go bɔku. Bɔku tɛm dɛn kin du dɛn tin ya bay we dɛn de yuz ‘kihol’ ɔpreshɔn (laparoskopik ɔpreshɔn) ɔ rɔbɔt ɔpreshɔn .
- Major Resection: If dɛn pul pas af pan di liva, di ɔpreshɔn kin kɔmpleks ɛn i kin gɛt prɔblɛm.
So if yu go du dis kayn ɔpreshɔn, i rili impɔtant fɔ pik spɛshal pɔsin we gɛt gud ɛkspiriɛns ɛn ɔspitul we gɛt tin dɛn fɔ du .
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo di dɔktɔ du yu ɔpreshɔn, i go tek tɛm chɛk sɔm tin dɛn.
Tin dɛn we di dɔktɔ kin tink bɔt
- Yu bɔdi strɔng fɔ bia we dɛn du dis kayn big ɔpreshɔn?
- Ples de na di liva usay dɛn kin ɔpreshɔn fɔ pul di tumbu?
- If na kansa, i dɔn skata to ɔda say dɛn we nɔ de na di liva?
- Yu tink se di pat we lɛf na di liva afta dɛn dɔn du di ɔpreshɔn, na in go du fɔ mek di bɔdi kɔntinyu fɔ wok?
Fɔ kɔnfirm dɛn tin ya, yu dɔktɔ go aks yu fɔ du sɔm tɛst dɛn.
- Imej Tɛst: Na CT skan ɔ MRI skan .
- Blɔd tɛst (Liver Function Tests): Fɔ no aw di liva de wok.
- Liva Bayopsi: Fɔ tek smɔl pat pan di liva fɔ ɛgzamin.
Sɔntɛnde, dɛn kin gi dɛn redyushɔn tɛrapi ɔ kemotɛrapi bifo dɛn du di ɔpreshɔn fɔ mek di kansa nɔ big ɛn fɔ mek i izi fɔ du di ɔpreshɔn ɛn fɔ mek i nɔ gɛt wan prɔblɛm.
Wetin na di we dɛn fɔ du di ɔpreshɔn?
Tu men we dɛn de: Open Surgery ɛn Minimally Invasive Surgery.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Opin Ɔpreshɔn | di כpεrayshכn de du bay we dεn de opin di bכdi tru wan sכm lכng insayshכn na di bכdi. Dis we ya na di bεst fכ pul di kכmpleks εn big tכmכro dεm. |
| Laparoskopik/Rɔbɔt Ɔpreshɔn | Dɛn kin du di ɔpreshɔn tru 4-6 smɔl smɔl say dɛn we dɛn kɔt, wit kamɛra ɛn spɛshal inschrumɛnt dɛn we dɛn kin put insay. Di say dɛn we dɛn kɔt smɔl, so i nɔ kin gɛt bɔku pen, i kin wɛl kwik kwik wan, ɛn smɔl smɔl skata dɛn kin de. |
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn kin 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 gɛt dreyn fɔ pul wata we de kɔmɔt na yu bɔdi ɛn di tyub dɛn we yu de gi yu. As yu de wɛl, dɛn go transfa yu to wan rɛgyula wɔd.
- Ɔspitul: Bɔrku tɛm, yu go gɛt fɔ de na ɔspitul fɔ lɛk wan wik so.
- Fɔ wɛl na os:
- If yu bin gɛt opin ɔpreshɔn, i kin tek bitwin 4 ɛn 8 wiks fɔ mek yu wɛl ɔl.
- If na ɔpreshɔn fɔ kihol, fɔ wɛl kin tek bitwin 2 ɛn 4 wiks .
- Impɔtant: Nɔ fɔ es ebi ebi tin ɔ fɔ du ɛksɛsayz we yu de tray tranga wan fɔ du dis tɛm. If yu waka fɔ shɔt tɛm ɛvride, dat go ɛp fɔ mek yu wɛl.
Risk/Kɔmplikeshɔn dɛn we kin apin we dɛn du ɔpreshɔn
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin. I impɔtant fɔ no bɔt dɛn tin ya.
- Sik we de prɛd:Infεkshכn kin apin na di wund we dεn du di כpεrayshכn, di lכng dεm, כ di urinary tract.
- Blɔd: Na big prɔblɛm we kin mek dɛn du ɔpreshɔn pan di liva. Sɔntɛm dɛn go nid fɔ transfyushɔn blɔd.
- Bayl Lik: If di bayl dakt pwɛl we dɛn de du ɔpreshɔn, di bayl kin lik insay di bɛlɛ.
- Kidni we nɔ de wok fayn: Sɔntɛnde, i kin afɛkt di we aw di kidni de wok.
- Liva Failure: Na rili siriɔs tin we kin apin if di ɔda pat pan di liva nɔ de wok fayn.
- Blɔd klɔt (Deep Vein Thrombosis): Risk de fɔ mek blɔd klɔt na di leg bikɔs yu de rɛst fɔ lɔng tɛm na bed afta dɛn dɔn ɔpreshɔn yu.
Yu dɔktɔ go ɛksplen to yu mɔ bɔt dɛn prɔblɛm ya.
Sayn dɛn we de wɔn pipul dɛn we nid fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) .
Yu fɔ no bɔt dɛn sik ya bad bad wan. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs sik.
- Fiva we de kɔntinyu fɔ de fɔ sɔm dez.
- Blɔd we de kɔmɔt frɔm wund we dɛn du ɔpreshɔn pan, lɛk blɔd ɔ pus .
- Di vɔmit ɔ dayarɛa we de kɔntinyu fɔ de .
- Fɔ sho se yu dɔn blo ɛn blo .
- Di yay ɛn di skin kin yɔlɔ (Jaundice) .
- Kɔnstipɛshɔn we kin las pas tri dez.
Liva ɔpreshɔn na big tin. Bɔt we dɛn du am wit di rayt mɛdikal tim ɛn plan we dɛn dɔn plan gud gud wan, i kin gi yu ɔ di pɔsin we gi yu liva nyu layf. Ɛspɛshali fɔ di wan dɛn we gɛt kansa, i kin bi di bɛst tritmɛnt we go sev dɛn layf.
Mɛsej we dɛn kin kɛr go na os
- Hepatectomy na big ɔpreshɔn we dɛn kin pul wan pat pan di liva. Bɔt i kin mɛn sik dɛn lɛk kansa ɛn sev pipul dɛn layf.
- Wi liva gɛt wɔndaful pawa fɔ mek insɛf bak. Di pat we lɛf we gɛt wɛlbɔdi go kam bak to in nɔmal saiz.
- Di wɛl bɔdi kin tek tɛm, so peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Nɔ drink rɔm kpatakpata afta dɛn dɔn du di ɔpreshɔn. I rili bad fɔ di liva.
- If yu notis ɛnitin we nɔ kɔmɔn, lɛk fiva, wund we de kɔmɔt na yu yay, ɔ yu yay we yɔlɔ, tɛl yu dɔktɔ we yu nɔ go te.
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