Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu dɔktɔ tɛl yu ɔ pɔsin we yu sabi bɔt ɔpreshɔn na yu nɛk. Ɛspɛshali we yu yɛri di nem ‘Neck Dissection’, yu kin wɔnda us kayn tin dis na. Bɔt we yu dɔn ɔndastand gud gud wan wetin i bi ɛn wetin mek dɛn du am, yu fred go dɔn. Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Wetin rili bi dis we dɛn kɔl Nɛk Disɛkshɔn?
Fɔ tɔk am simpul wan, Nɛk Disɛkshɔn na di ɔspitul we dɛn kin pul di limf no dɛm, ɔ "limf no dɛm" lɛk aw wi kin kɔl dɛn, na di nɛk.
Naw yu go de wɔnda se, "Wetin mek wi de pul dɛn smɔl smɔl lays ya?" Wɛl, bɔku bɔku pan dɛn lays ya skata ɔlsay na wi bɔdi. Dɛn tan lɛk smɔl smɔl filta dɛn. di men wok we dεn de du na fכ filta εn klin di wata we dεn kכl limf we de kכmכt frכm di sεl dεm εn tisu dεm na di bכdi.
Imajin, if pɔsin gɛt kansa, sɔntɛnde dɛn kansa sɛl ya kin travul tru di limf wata ɛn stɔp insay dɛn sɛl dɛn ya we de nia am. So dɔktɔ dɛn kin du dis ɔpreshɔn fɔ tu men rizin dɛn:
1. No gud gud wan if di kansa dɔn skata: If yu gɛt kansa na yu ed ɛn nɛk, yu gɛt kansa na yu tayroyd, ɔ yu gɛt sɔm kansa na yu skin, i rili impɔtant fɔ no if di kansa dɔn skata to di limf no dɛm. Dis kin ɛp fɔ no di stej we di kansa gɛt kɔrɛkt wan ɛn pik di bɛst tritmɛnt.
2. As tritmɛnt: If kansa dɔn skata to di limf no dɛm, we yu pul dɛn no dɛm de, i go mek di kansa nɔ go skata mɔ. Sɔntɛnde, dis ɔpreshɔn kin ivin mek dɛn nɔ nid fɔ tek redyushɔn ɔ kemotɛrapi.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, i nid fɔ pripia bɔku tɛm bifo dat. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis, bɔt nɔ shem fɔ aks ɛni kwɛstyɔn we yu gɛt.
Yu fɔ no dɛn tin ya bifo yu du di ɔpreshɔn:
- Di abit dɛn we yu fɔ stɔp: If yu de smok ɔ drink rɔm, tray fɔ no ustɛm bifo yu du di ɔpreshɔn yu nid fɔ stɔp. Dɛn tin ya kin afɛkt di we aw pɔsin kin wɛl.
- Mɛrɛsin: Aks gud gud wan if yu nid fɔ stɔp fɔ tek ɛni mɛrɛsin fɔ sɔm tɛm (espɛshali di wan dɛn we de mek blɔd tan), vaytamɛn, ɔ ɔyl ɔ sɔpɔtmɛnt, ɛn ustɛm yu fɔ du am.
- Fɔ it ɛn drink: Dɛn go gi yu instrɔkshɔn bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn.
- Klos: Aks if i fayn fɔ wɛr jɔy, diɔdant, ɛn krim di de we yu go na ɔspitul.
- Fɔ pripia fɔ yu ɔspitul: Pripia di klos ɛn ɔda tin dɛn we yu nid bikɔs yu go de na ɔspitul fɔ sɔm dez.
- Taym fɔ lɛf fɔ wok: Gɛt wan rough aidia bɔt aw lɔng yu go nid fɔ tek tɛm fɔ lɛf fɔ wok.
- Famili sɔpɔt: Tɔk bifo tɛm bɔt ɔmɔs famili sɔpɔt yu go nid we yu go wɛl.
Aw dɛn kin du di ɔpreshɔn? Wetin na di kayn dɛn?
Di ɔpreshɔn kin apin na wan ɔspitul ɔpreshɔn rum. Fɔs, dɛn go gi yu jenɛral anestesia fɔ mek yu slip kpatakpata. Dɔn, di dɔktɔ we de du di ɔpreshɔn go pul di tin dɛn we de na yu lɛft say, rayt say, ɔ sɔntɛnde ɔl tu di say dɛn na yu nɛk.
Di tin dɛn we dɛn kin pul kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we dɛn kin du. Lɛ wi luk di men kayn dɛn.
| Di kayn ɔpreshɔn we dɛn kin du | Na jɔs diskripshɔn |
|---|---|
| Radikal Nɛk Disekshɔn | Dɛn kin pul ɔl di nɛf dɛn we de na di say we di sik afɛkt. Apat frɔm dat, dɛn kin pul wan nerv we de ɛp yu fɔ es yu an (spinal accessory nerve), wan mɔsul we de ɛp yu fɔ tɔn yu nɛk ɛn ed (sternocleidomastoid muscle), ɛn wan big blɔd vesel (internal jugular vein) bak. |
| Modified Radikal Nɛk Disekshɔn | Dis tan lɛk di wan we wi dɔn tɔk bɔt, bɔt dɛn kin lɛf wan ɔ mɔ pan di tin dɛn we wi bin dɔn tɔk bɔt, lɛk wan nɛv, mɔsul, ɔ blɔd vesel . |
| Selektiv Nɛk Disekshɔn | dis de pul כnli fכ grup dεm fכ sεl dεm usay di kεnsar kin sכmtεm, we i nכ de ambɔg כda imכtant strכkchכ dεm. |
| Ekstend Radikal Nɛk Disekshɔn | Dɛn kin du dis we, apat frɔm di ɔpreshɔn we dɛn kin du bad bad wan, i nid fɔ pul ɔda nerv dɛn, blɔd vesel dɛn, ɔ pat dɛn na di mɔsul dɛn. |
Afta dɛn dɔn ɔpreshɔn, dɛn kin put wan ɔ mɔ smɔl tiub dɛn (dreyn) fɔ pul ɛni wata we kin gɛda insay di wund. Dis kin ɛp di wund fɔ wɛl kwik kwik wan. Fɔ dɔn, dɛn kin lɔk di wund wit stich ɔ step.
Dɛn kin sɛn di tisu we dɛn pul na wan lɛb fɔ chɛk if di kansa sɛl dɛn de. Dɛn kɔl dis limf node bayɔpsi . Bɔku tɛm, di tin dɛn we kin apin kin apin insay lɛk wan ɔ tu wik so.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Mɛmba se, dɔktɔ dɛn kin jɔs se dɛn fɔ du dis kayn ɔpreshɔn if di bɛnifit dɛn pas di prɔblɛm dɛn we kin apin fa fawe.
Di men bɛnifit na dat dɛn kin no di kansa stej kɔrɛkt wan, ɛn dɛn kin bigin fɔ trit am bay we dɛn pul di kansa sɛl dɛn wantɛm wantɛm.
Dɔn bak, jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Apat frɔm di wan dɛn we kɔmɔn lɛk fɔ blɔd ɛn infɛkshɔn, sɔm prɔblɛm dɛn de we kin apin we dɛn du dis ɔpreshɔn. Dɛn tin ya kin gɛt fɔ du wit di damej we di nɛv dɛn na di nɛk ɛn fes kin pwɛl.
- Pɔrmɛnt ɔ fɔ shɔt tɛm na di say we dɛn de du di ɔpreshɔn.
- I nɔ izi fɔ swɛla, it, ɔ tɔk .
- Di we aw wan pat pan di fes de sho na di sayd usay dɛn du di ɔpreshɔn sagging .
- Sɔlda de drɔp ɔ i nɔ izi fɔ es di sholda na di sayd we dɛn de du di ɔpreshɔn.
Bɔt di impɔtant tin na dat dɛn prɔblɛm ya kin difrɛn bad bad wan bay di kayn ɔpreshɔn we dɛn du . Dɔn bak, bɔku tɛm, dɛn prɔblɛm ya kin apin fɔ shɔt tɛm nɔmɔ. Sɔm kin wɛl kpatakpata wit fizik tritmɛnt. Tɔk wit yu dɔktɔ opin wan bɔt di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn we yu go du.
Wetin a fɔ du we a rich na os afta dɛn dɔn ɔpreshɔn mi?
Yu go nid fɔ de na ɔspitul fɔ tu to fayv dez afta di ɔpreshɔn. Insay dis tɛm, di wan dɛn we de wok na di mɛrɛsin go tek kia ɔf yu gud gud wan. Dɛn go gi yu pen kil, mɛrɛsin fɔ mek yu nɔ gɛt di sik, ɛp yu fɔ waka rawnd smɔl, fid yu, ɛn tek kia ɔf di dreyn.
Yu go gɛt sɔm instrɔkshɔn dɛn we yu fɔ fala we yu go bak na os.
- Fɔ kia fɔ di wund: Kip di wund klin fɔ mek i nɔ gɛt infɛkshɔn. Dɛn kin aks yu fɔ put antibayɔtik ɔntmɛnt te di stich dɛn kɔmɔt.
- Tek kia ɔf di dreyn: If yu gɛt dreyn we dɛn put na os, yu go nid fɔ lan aw fɔ klin am, ɛmti am, ɛn rayt ɔmɔs wata we de gɛda.
- Fɔ was: Bɔku tɛm, dɛn kin tɛl yu nɔ fɔ was te dɛn pul di dreyn. Afta dat, we yu de was, yu fɔ was di wund fayn fayn wan ɛn nɔ rɔb am tranga wan.
- Fɔ it ɛn drink: Yu go bigin wit tin dɛn we gɛt wata ɛn smɔl smɔl yu go go it tin dɛn we gɛt sɔlid. Dɛn go gi yu advays bɔt aw fɔ it we go gi yu di it we yu nid.
- Tin dɛn:Dɛn kin se yu fɔ du simpul ɛksesaiz fɔ mek yu nɛk ɛn sholda nɔ stif. Dɛn kin tɔk bak se yu fɔ du ɛksɛsayz fɔ blo fɔ mek yu lɔng dɛn gɛt wɛlbɔdi.
Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu notis ɛni wan pan dɛn sayn ya we yu de wɛl, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm .
- Sayn dɛm fɔ se yu gɛt di sik: fiva, rɛd rɛd na di say we dɛn du di ɔpreshɔn, wam, pen de bɔku, ɔ pus drenaj.
- If di wund bigin fɔ blɔd bak .
- If yu gɛt prɔblɛm fɔ swɛla ɔ yu fil lɛk se it de stɔp.
- If i nɔ izi fɔ yu fɔ blo . Dis na imejensi, so go na di ETU (Emergency Treatment Unit) na di ɔspitul we de nia yu wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- di nεk disεkshכn na wan rili imכtant כpεrayshכn fכ si if di kεnsar sεl dεm dכn spre to di limf no dεm na di nεk εn fכ pul dεm. Nɔ fred di nem.
- Bikɔs dis na big ɔpreshɔn, i impɔtant fɔ pripia ɛn kia fɔ am fayn fayn wan bifo ɛn afta i dɔn du am. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, mɔ di wan dɛn we gɛt fɔ du wit di nerv dɛn. Bɔt bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. Tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin we dɛn du yu ɔpreshɔn.
- If yu gɛt ɛni sayn we yu de wɛl, lɛk fiva, blɔd ɔ pus frɔm di wund, ɔ i nɔ izi fɔ swɛla ɔ blo, go to dɔktɔ wantɛm wantɛm .
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