Na nɔmal tin fɔ mek yu fred ɛn fred smɔl we yu dɔktɔ tɛl yu ɔ pɔsin we yu no se dɛn nid fɔ gɛt ɔpreshɔn fɔ pul dɛn kidni. We yu yɛri di wɔd ‘nephrectomy’, bɔku kwɛstyɔn dɛn kin kam na yu maynd. "Yu kin liv wit wan kidni?", "Dis na big opareshon?", "Aw long i go tek fo rikova?"... So tide, wi go tok abaut Nephrectomy, di opareshon fo tek kidni, fo wan rili simpul we we yu go andastan.
Wetin na Nɛfrɛktɔmi?
Fɔ tɔk am simpul wan, Nɛfrɛktɔmi na ɔpreshɔn we dɛn kin pul pat pan wan pan yu kidni ɔ ɔl. Wi ɔl bɔn wit tu kidni. Bɔt yu kin liv fayn layf wit jɔs wan kidni. Bɔt di kidni we lɛf fɔ de wok fayn fayn wan.
Tu men kayn ɔpreshɔn de we dɛn kin du fɔ pul di nɛfrɛktɔm:
- Partial nephrectomy: Insay dis prosidur, di ɔspitul kin pul di pat pan yu kidni nɔmɔ we gɛt sik ɔ we dɔn pwɛl. Dɛn nɔ kin pul di wan ol kidni.
- Radical nephrectomy: Dis kin min fɔ pul di wan ol kidni. Sɔntɛnde, di dɔktɔ kin pul di ureter bak—di tiub we de kɛr urine frɔm di kidni to di blad—na di sem say. if nid de, dεn kin pul di adrenal gland εn di limf no dεm we de rawnd am bak.
Wetin mek yu nid fɔ pul wan kidni?
di men rizin fכ pul di kidni na wan tכmכro we de divεlכp na di kidni. Dis tכmכro kin bi kεnsar (malignant) כ nכn kansa (benign).
Apat frɔm dat, yu dɔktɔ kin tɛl yu bak fɔ pul di nɛfrɛktɔmi pan dɛn kayn tin ya:
- If yu gɛt infɛkshɔn na yu kidni we de kam bak (payelonephritis) .
- If wan pan yu kidni dɛn stɔp fɔ wok kpatakpata ɛn yu de gɛt ɔda prɔblɛm dɛn. (Bɔt if prɔblɛm nɔ de, yu kin kip di kidni we nɔ de wok na yu bɔdi).
- As tritmɛnt fɔ ɔda kidni kɔndishɔn (lɛk polycystic kidney disease ).
- If yu gi ɔda pɔsin wan wɛlbɔdi kidni .
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn, dɔktɔ go chɛk yu jenɛral wɛlbɔdi. Dɛn go chɛk yu tɛmpracha, yu puls, ɛn yu blɔd prɛshɔn. Dɛn go du blɔd tɛst bak fɔ no wetin na yu blɔd. Dis na bikɔs dɛn nid fɔ rɛdi if yu nid fɔ gi blɔd we dɛn de du di ɔpreshɔn.
I impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu gɛt ɛn ɛni mɛrɛsin we yu de tek (we dɔktɔ gi yu, we yu nɔ de bay, tradishɔnal mɛrɛsin, ivin vaytamɛn). Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) ɛn tin dɛn we de mek blɔd tan (anticoagulants) kin mek i gɛt mɔ blɔd we dɛn de du ɔpreshɔn.
I rili impɔtant bak fɔ tɛl wi bɔt ɛni alɛji we yu gɛt. Fɔ ɛgzampul:
- Fɔ mɛrɛsin dɛn
- Liquid dεm we de klin di skin (e.g. klorhεksidin, ayodin) .
- Fɔ lɛtɛks
- Fɔ sɔm it dɛn
Yu dɔktɔ go advays yu fɔ nɔ it ɔ drink ɛnitin di nɛt bifo yu ɔpreshɔn (fastin). Dis na bikɔs if yu gɛt it ɔ wata na yu bɛlɛ we dɛn de du di ɔpreshɔn, dɛn kin vɔmit ɔp ɛn go insay yu lɔng, we kin mek yu gɛt prɔblɛm dɛn we denja lɛk nyumonia.
Wetin na di we dɛn we dɛn kin du ɔpreshɔn?
Tu men we dɛn de fɔ du di nefrɛktɔmi. Lɛ wi luk di difrɛns bitwin dɛn tu.
| Di we aw dɛn kin du ɔpreshɔn | Aw i kin apin |
|---|---|
| Opin nefrɛktɔmi | We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt yu 12 inch na yu sayd ɔ yu bɛlɛ. Di dɔktɔ kin si dairekt insay di kidni we i nɔ gɛt kamɛra ɛn du di ɔpreshɔn. Dɛn kin yuz dis we if di kidni tumbu rili big. |
| Laparoskopik ɔpreshɔn (Laparoscopic/Robotic-assisted nephrectomy) . | Dɛn kɔl dis "kihol ɔpreshɔn." Bifo dɛn kɔt wan big say, dɛn kin kɔt sɔm smɔl smɔl say dɛn, we gɛt lɛk 1 sɛntimita. Dɛn kin put wan tin inschrumɛnt we gɛt kamɛra (laparoskɔp) tru wan say we dɛn kɔt ɛn dɛn kin du di ɔpreshɔn ɔnda di wachful yay we wan monita de wach. Dɛn kin mek wan say we dɛn kɔt am big smɔl fɔ pul di kidni. Dis we aw dɛn kin du am kin mek di tɛm we pɔsin kin wɛl shɔt ɛn i kin mek di pen nɔ bɔku. |
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kip yu na di Rikavari Rum ɛn tek tɛm wach yu te yu wek. Yu kin fil fɔ slip ɛn nɔs fɔ sɔm tɛm bikɔs ɔf di anestezi. Dis na nɔmal tin. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
Bɔku tɛm, dɛn nɔ kin gi dɛn sɔlid it fɔ wan ɔ tu dez. Dɛn kin gi likwid dɛn. Di de afta di ɔpreshɔn, dɛn kin ɛnkɔrej yu fɔ grap na bed ɛn waka rawnd smɔl. We yu waka, i de mek yu blɔd go fayn, i de ɛp yu fɔ wɛl kwik kwik wan, ɛn i nɔ de mek blɔd nɔ klɔt na yu leg (dip vein thrombosis).
Yu go gɛt fɔ de na ɔspitul fɔ bitwin 1 ɛn 5 dez. Dis go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt. Ivin afta yu go na os, i nɔ fayn fɔ du ɛnitin we ebi (lɛk fɔ es pas 4.5 kg) fɔ lɛk 6 wik.
Aw layf de wit wan kidni?
Dis na di big prɔblɛm we bɔku pipul dɛn gɛt. Nɔ wɔri. Yu kin liv kɔmplit nɔmal layf wit wan wɛlbɔdi kidni.
Afta dɛn dɔn du di ɔpreshɔn, yu kidni we lɛf go big smɔl insay sɔm dez ɛn bigin fɔ du di wok we yu bɔdi de du tu tɛm. Dis min se wan kidni de adap fɔ du di wok we tu kin du.
Mɛmba se fɔ gɛt wan wɛlbɔdi kidni instead fɔ gɛt tu wɛlbɔdi kidni nɔ go gɛt big impak pan yu layf. Yu kin liv nɔmal layf we ful-ɔp!
Bɔt yu nid fɔ protɛkt yu kidni dɛn we gɛt valyu. So, i fayn fɔ lɛ wi nɔ de nia spɔt dɛn we gɛt bɔku pipul dɛn lɛk ɔki, rɔgbi, ɛn rɛslɛshɔn. Dɔn bak, i impɔtant fɔ mek dɛn du tɛst fɔ di kidni we de wok ɔltɛm (lɛk `kreatinine kliarens`, `eGFR`) lɛk aw yu dɔktɔ tɛl yu.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Yu dɔktɔ go gi yu di de dɛn fɔ fala yu. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm:
- I nɔ izi fɔ blo (dyspnea) .
- Chenj na di urine (we yu de pis bɔku tɛm, chenj in kɔlɔ) .
- di leg, di bכtכm, כ di fes de swεla (εdima) .
- Leg de pen
- Di blɔd prɛshɔn we de go ɔp wantɛm wantɛm (haypa prɛshɔn) .
- Nɔs ɔ vɔmit
- Fɔg na di bren
Dɛn tin ya kin bi sayn fɔ prɔblɛm wit di kidni we lɛf, so nɔ ignore dɛn.
Mɛsej we dɛn kin kɛr go na os
- Nephrectomy na di ɔpreshɔn fɔ pul wan kidni. Bɔt yu kin liv ful, gladi layf wit wan wɛlbɔdi kidni.
- Dɛn kin du dis ɔpreshɔn fɔ siriɔs rizin lɛk kansa, ɛn bak fɔ fayn fayn tin dɛn lɛk fɔ gi kidni.
- I kin tek sɔm tɛm fɔ mek i wɛl. Insay da tɛm de, i rili impɔtant fɔ mek i wɛl kwik kwik wan.
- Tek kia ɔf yu kidni we lɛf lɛk gold. Nɔ du tin dɛn we go ambɔg am ɛn go de chɛk yu ɔltɛm.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ opin wan bɔt ɛnitin we yu de fred ɔ dawt.
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