wan prכblεm we bכku uman dεn gεt na di growth fכ dεn tכmכro dεm na di uterus. Sɔm pipul dɛn kin kɔl dɛn tin ya bak fibroid. Bikɔs ɔf dis, yu kin sɔfa bak wit tin dɛn lɛk we yu de gɛt bɔku blɔd we yu de gɛt mɔnt ɛn yu bɛlɛ pen we yu nɔ go ebul fɔ bia. Dis kin bi big strɛs fɔ pɔsin we de op fɔ bɔn pikin. So, di bεst sכlushכn fכ pul dεn tכmכro dεm ya, bכt i nכ de damej di uterus εn kip di abiliti fכ bכn pikin insay di fכs tεm, na ‘myomectomy’ כpεrayshכn. Lɛ wi tɔk bɔt dis ditayli, rili simpul, tide.
Fɔ tɔk am simpul wan, wetin na dis Myomectomy ɔpreshɔn?
Myomectomy na ɔpreshɔn fɔ pul di uterin fibroids, ɔ leiomyomas lɛk aw sɔm pipul dɛn kin kɔl dɛn, na yu uterus. dis tכmכro dεm na kכnektiv tisu εn mכsul sεl dεm. Dɛn kin gro insay ɔ ausayd di uterus. Di gud nyus na dat dɛn tumbu ya nɔto kansa (benign) . Dɛn kin apin lɛk wan ɔ mɔ fibroid dɛn we gɛt difrɛn sayz.
We dɛn de du mayomɛktomi, di dɔktɔ kin pul di fibroid dɛn nɔmɔ ɛn kip di tisu dɛn na yu uterus ɛn nɔ pwɛl dɛn. Dis min se yu stil gɛt di pawa fɔ gɛt bɛlɛ fɔ pikin tumara bambay. Dis na di big bɛnifit we dis ɔpreshɔn gɛt.
Bɔku pipul dɛn kin kɔnfyus dis wit di hysterectomy, we na we dɛn kin pul di uterus kɔmplit wan. Bɔt dɛn tin ya na tu we dɛn we rili difrɛn. we dεn kכl myomectomy, i de כnli pul di fibroid dεm, we di hysterectomy de pul di כl uterus.
Insay us kes dɛn i nid fɔ mek dɛn kɔt di mayomɛktomi?
If yu fibroid de mek yu gɛt dɛn sik ya, yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn:
- Pen we de kɔntinyu fɔ de na di bɛlɛ.
- Blɔd we nɔ de kɔmɔt ɔltɛm, ɔ bitwin di tɛm we yu de gɛt di bɛlɛ.
- Ebi ebi blɔd we de kɔmɔt na yu mɔnt.
- Filin we yu kin fil se yu nɔ ebul fɔ ɛmti di blad ɔltogɛda.
Ɛspɛshali, if yu de op fɔ bɔn pikin tumara bambay ɛn yu want fɔ mek yu nɔ ebul fɔ bɔn pikin, di ɔpreshɔn we yu go du fɔ mek yu gɛt mayomɛktomi na fayn tin fɔ yu.
Lɛ wi no di rayt difrɛns bitwin di ɔpreshɔn we dɛn kin du fɔ mek dɛn du di ɔpreshɔn we dɛn kɔl Myomectomy ɛn Hysterectomy.
Bɔku pipul dɛn nɔ kin ɔndastand dɛn tu ɔpreshɔn ya klia wan. Lɛ wi luk di men difrɛns bitwin dɛn tu ɔpreshɔn ya na tebul lɛk dis. Dis go ɛp yu fɔ gɛt bɛtɛ aidia.
| Tin | Myomectomy we dɛn kin du | Di we aw dɛn kin pul di bɛlɛ |
|---|---|---|
| Wetin dɛn de pul? | Jɔs fibroid dɛn. | di כl uterus dεn de kכl am wit di fibroid dεm. |
| Wetin kin apin to di uterus? | di uterus nכ go du bad, i go de lεk aw i de. | Bikɔs dɛn pul di uterus, i nɔ de igen. |
| We yu de gɛt mɔnt | Afta dɛn dɔn du di ɔpreshɔn, di mɔnt go kam bak lɛk aw i bin de. | Menstrueshɔn kin stɔp kpatakpata. |
| Abiliti fɔ bɔn pikin dɛn | Di pɔsibul fɔ bɔn pikin dɛn tumara bambay stil de di sem. | Di ebul fɔ bɔn pikin dɛn dɔn lɔs kpatakpata. |
Wetin fɔ ɛkspɛkt bifo dɛn du di ɔpreshɔn?
Yu dɔktɔ go gi yu ditayli instrɔkshɔn dɛn bɔt wetin yu nid fɔ du bifo dɛn du yu ɔpreshɔn. Fɔ ɛgzampul, aw lɔng yu fɔ stɔp fɔ it ɛn drink bifo dɛn du yu ɔpreshɔn, ɔ if yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn.
Tɔk bɔt ɔltin bifo tɛm, ivin aw lɔng yu go de na ɔspitul afta dɛn dɔn du yu ɔpreshɔn, ɛn wetin fɔ tek tɛm wit afta yu dɔn go na os. Aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt bifo dɛn du di ɔpreshɔn.
Di de we dɛn du di ɔpreshɔn, dɛn tin ya kin apin:
- Dɛn go put wan IV layn na wan vein na yu an. Dis na di say we dɛn go gi yu wata ɛn mɛrɛsin we dɛn de du di ɔpreshɔn. I go gi yu anestezi bak fɔ mek yu nɔ fil pen.
- We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to monita dɛn fɔ no aw yu at de bit ɛn ɔda impɔtant sayn dɛn.
- Dɛn kin put kateta fɔ mek di urine kɔmɔt we dɛn de du di ɔpreshɔn.
Yu tink se kayn ɔpreshɔn de we dɛn kin du fɔ pul mayomɛktomi?
Yɛs, tri men kayn ɔpreshɔn dɛn de we dɛn kin du fɔ pul mayomɛktomi. Di kayn ɔpreshɔn we go fayn fɔ yu go dipen pan bɔku tin dɛn lɛk di sayz we yu fibroid dɛn gɛt, ɔmɔs pan dɛn yu gɛt, ɛn usay dɛn de na yu uterus.
1. Opin Mayɔmɛktɔmi
Dɛn kin kɔl dis bak Abdominal Myomectomy. Dis min se yu fɔ kɔt yu bɛlɛ. Dis say we dɛn kɔt kin bi vertikal ɔ ɔrizɔntal. Dis we ya kin bɛtɛ fɔ pipul dɛn we gɛt bɔku bɔku fibroid . Dis na bikɔs di dɔktɔ we de du di ɔpreshɔn kin si ɔl di ɔgan dɛn we de na yu bɛlɛ klia wan. Bikɔs dis na big ɔpreshɔn, di tɛm fɔ wɛl kin lɔng smɔl.
- Yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez.
- I kin tek lɛk siks wiks fɔ mek i wɛl ɛn bigin fɔ du tin dɛn we i nɔ bin de du bak.
2. Minimally Invasive Laparoskopik ɔ Rɔbɔtik Mayɔmɛktɔmi
Dis na di we we dɛn kin yuz mɔ tide. Dɛn ɔpreshɔn ya nɔ kin tek bɔku tɛm fɔ mek i wɛl ɛn dɛn nɔ kin fil fayn.
- Laparoscopic ɔ Robotic Myomectomy: Dis na fɔ put smɔl kamɛra tru yu vagina, mek sɔm smɔl smɔl say dɛn na yu bɛlɛ, ɛn put ɔspitul inschrumɛnt dɛn tru dɛn fɔ pul di fibroid dɛn. afta dat dεn kin pul di fibroid dεm tru di vagina כ tru dεn sכm sכm say dεm we dεn sכk. Sɔm dɔktɔ dɛn kin yuz rɔbɔt (Robotic Myomectomy) fɔ du dis ɔpreshɔn.
- Singl port myomectomy: insay dis prosidכs, dεn de put כl di instrכmεnt dεm tru wan singl insishכn nia di an, we nכ de lεf nכ ska na di bכdi.
3. Hysteroscopic Myomectomy (ɔpareshɔn we nɔ gɛt ɛni say we dɛn kɔt am) .
Dis we ya nɔ nid fɔ kɔt ɛnitin . if di fibroid dεm de dip insay di uterus, di dכkta kin put spεshal kεmεra tru di vagina insay di uterus εn pul di fibroid dεm. We yu kɔmpia am to ɔda we dɛn, dis na tin we kin apin kwik kwik wan.
Wetin na di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm. Yu mɛdikal tim go du dɛn bɛst fɔ mek dɛn nɔ gɛt dɛn.
- Blɔd we de kɔmɔt pasmak
- Sik we de prɛd
- Blɔd we de klɔt
- Damej to di ɔgan dɛn we de rawnd
- Alɛji fɔ anestezi
- Di risk fɔ mek dɛn gɛt sizarian sɛkshɔn we dɛn de bɔn pikin tumara bambay, go bɔku.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Di tɛm fɔ wɛl kin dipen dairekt pan di kayn ɔpreshɔn we yu bin gɛt. Sɔm pen kin de fɔ di fɔs dez. Di dɔktɔ go gi yu pen kil fɔ dat. Dɔn bak, dɛn go advays yu fɔ muv rawnd smɔl afta di ɔpreshɔn fɔ mek blɔd nɔ klɔt.
- Open Myomectomy (ɔpareshɔn we gɛt fɔ du wit fɔ kɔt di bɛlɛ): I kin tek lɛk siks wiks fɔ mek i wɛl ful wan ɛn bigin fɔ du di nɔmal tin dɛn bak.
- Laparoscopic Myomectomy (ɔpreshɔn we dɛn kin du tru smɔl say we dɛn kɔt): Yu kin ebul fɔ go na os di sem de. I kin tek lɛk tu to 4 wiks fɔ mek i wɛl frɔm os.
- Hysteroscopic Myomectomy (ɔpreshɔn we dɛn kin du we dɛn nɔ kɔt): Yu kin wɛl ɔlsay insay sɔm dez.
Ekspekt dɛn tin ya afta dɛn dɔn du di ɔpreshɔn
- Smɔl blɔd ɔ wata kin kɔmɔt na di vagina fɔ sɔm wiks.
- Nɔ lif pas 2-4 kilo insay di fɔs wik. Dis tɛm kin lɔng if yu dɔn du ɔpreshɔn pan yu bɛlɛ.
- Nɔ du mami ɛn dadi biznɛs fɔ siks wiks. I nɔ fayn fɔ put ɛnitin insay di vagina di tɛm we i de wɛl.
- Start yu rutin we yu de du ɛvride smɔl smɔl. Nɔ bigin fɔ du ɔltin wantɛm wantɛm di we aw yu bin de du trade.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn go na os afta dɛn dɔn ɔpreshɔn yu, go to yu dɔktɔ wantɛm wantɛm ɛn nɔ de te. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Blɔd we de kɔmɔt pasmak.
- Flu simptom dɛm lɛk fiva, kol, ɛn shek shek.
- Bɔrku pen wae yu nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin.
- Chɛst pen ɔ i nɔ kin izi fɔ blo.
- Leg dɛn kin rɛd, swel, ɛn pen (dis kin bi sayn fɔ se blɔd dɔn klɔt).
Mɛsej we dɛn kin kɛr go na os
- di ɔpreshɔn we dɛn kin du fɔ mek di uterus nɔ pwɛl na di bɛst we fɔ mek di uterus nɔ pwɛl we dɛn de pul di fibroid dɛn. Dis rili valyu fɔ pɔsin we de op fɔ gɛt pikin tumara bambay.
- Bɔku kayn ɔpreshɔn dɛn de (laparotomy, percutaneous, incisionless), ɛn yu dɔktɔ go disayd di we we go fayn fɔ yu.
- Di tɛm fɔ wɛl kin difrɛn bad bad wan dipen pan di kayn ɔpreshɔn we yu dɔn du.
- Bifo di ɔpreshɔn, tɔk bɔt ɔl yu kwɛstyɔn ɛn fred wit di dɔktɔ ɛn ɔndastand ɔltin klia wan.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di ɔpreshɔn rili impɔtant fɔ mek i wɛl kwik kwik wan.
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