Lɛ wi lan bɔt Nephroureterectomy, we na ɔpreshɔn we dɛn kin pul di kidni ɛn di ureter.

Yu dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi se yu nid fɔ gɛt ɔpreshɔn we dɛn kɔl "Nephroureterectomy"? We yu yɛri da nem de, yu bin de fred smɔl, yu nɔ bin ebul fɔ no wetin i bi, nɔto so? I rili kɔmɔn. We wi yɛri wɔd dɛn lɛk dis, wi kin gɛt bɔku kwɛstyɔn dɛn. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn, rili simpul, insay wan we we yu go ɔndastand, lɛk se yu de tɔk to yu padi.

Fɔs, wetin na Nephroureterectomy?

Okay, dis na bit of long, strenj wod, no bi so? Mek wi brok am dɔŋ? Dɔn i kin izi fɔ ɔndastand.

• Nephro- (nephros): Dis kɔmɔt frɔm di Grik wɔd "nephros." I simpul minin na "kidni" ɔ sɔntin we gɛt fɔ du wit di kidni.
• Ureter: Dis na wi "ureter." Fɔ tɔk di kɔrɛkt tin, na di tin tiub we de kɛr di urine we de kɔmɔt na di kidni dɛn go na di blad.
• -ectomy (-ektomi): Dis na Grik wɔd bak. I min "fɔ kɔt kɔmɔt." Dat min se fɔ pul am tru ɔpreshɔn.

Naw, lɛ wi si wetin ɔl dis min. Nephroureterectomy na ɔpreshɔn we dɛn kin du we dɛn kin pul di kidni ɛn di wan ol ureter. Dɛn kin pul wan ɔda tin we dɛn de du dis ɔpreshɔn. dat na di sכmכl pat pan di tisu usay di ureter de kכnekt to di blad. Dɛn kɔl am di blad kɔf .

Fɔ tɔk am simpul wan, dis ɔpreshɔn de pul tri pat dɛn na yu bɔdi:

1. Wan kidni

2. Di wan ol urinary tract konekt to dat kidni

3. Blad kכf, na sכm sכm tisu usay di urethra de mit di blad

Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?

Bɔku tɛm, dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn if yu gɛt transishɔnal sɛl kansa, we dɛn kin kɔl bak urothelial cancer .

Dis kansa de divεlכp na di tisu dεm we de layn insay wi urinary sistεm. Dat min se i kin de na di kidni, di ureter, ɛn blad. εspεshali if dis kansa de divεlכp na di כp pat pan di urinary sistεm, dat na, na di kidni כ ureter, chans de fכ mek di kansa sεl dεm spre dכn insay di blad.

Dis na "radikal" ɔpreshɔn.Dɛn kin trit am lɛk dat. Radikal ɔpreshɔn nɔto fɔ pul di kansa nɔmɔ bɔt fɔ pul ɛni tisu ɔ ɔgan we de rawnd usay dɛn tink se di kansa dɔn skata. Fɔ ɛgzampul, if di kansa dɔn skata to di limf no dɛm we de nia am, di dɔktɔ go pul di limf no dɛm wit di kidni ɛn di ureter. Dɛn kɔl dis mɛtastasis .

Aw a fɔ rɛdi bifo dɛn du di ɔpreshɔn?

Okay, naw lɛ wi se di dɔktɔ tɛl yu se yu nid fɔ du dis ɔpreshɔn. Wetin yu fɔ du da tɛm de? Nɔ wɔri, di mɛdikal tim go ɛksplen ɔltin to yu. Bɔt i rili impɔtant fɔ mek yu no dɛn tin ya bak.

Bifo di ɔpreshɔn, yu go nid fɔ go to yu dɔktɔ. I go tek yu kɔmplit wɛlbɔdi istri ɛn chɛk yu ayt, wet, blɔd prɛshɔn, ɛn tɛmpracha fɔ mek shɔ se yu gɛt wɛlbɔdi fɔ mek dɛn du di ɔpreshɔn.

Sɔm impɔtant tin dɛn de we yu fɔ no ɛn tɛl yu dɔktɔ .

Wetin na di we dɛn fɔ du dis ɔpreshɔn?

Tu we dɛn de mɔ fɔ du dis ɔpreshɔn.

1. Opin nefroureterectomy

2. Robot-asist laparoskopik nεfroureterektכmi

Opin Ɔpreshɔn

Dis na di tradishɔnal we aw dɛn kin du am. Na ya, di dɔktɔ we de du di ɔpreshɔn kin kɔt wan ɔ tu big say dɛn na yu bɛlɛ. Dis say we dɛn kɔt kin lɔng lɛk 8-12 inch. Sɔntɛnde, dɛn kin nid fɔ pul wan rib bak. Dɛn kin yuz dis we if di kansa rili big ɔ i dɔn skata dip insay.

Laparoscopic Surgery we dɛn kin ɛp wit rɔbɔt

Dis na di mכst kכmכn we dεn kin yus mכst invasive mεtכd tide. Na dis na wetin kin apin:

Di dɔktɔ go mek 3 ɔ 5 smɔl smɔl say dɛn, we lɔng lɛk af inch, na yu bɛlɛ we de dɔŋ. Dɔn, tru wan pan di say dɛn we dɛn kɔt, dɛn go put wan tin tiub we gɛt kamɛra we dɛn tay ( laparoscope ). Dɛn kin du di ɔpreshɔn we dɛn de wach di pikchɔ dɛn we dɛn dɔn magnify frɔm dis kamɛra na kɔmpyuta skrin.

Dɛn kin put ɔspitul inschrumɛnt dɛn tru ɔda smɔl smɔl say dɛn we dɛn kɔt. Na wan rɔbɔt we de du ɔpreshɔn de yuz dɛn inschrumɛnt dɛn ya . Bɔt nɔ wɔri, di rɔbɔt nɔ de du ɛnitin fɔ insɛf. Di dɔktɔ we de du di ɔpreshɔn kin sidɔm na wan kɔnsol ɛn i kin kɔntrol di rɔbɔt ɔltogɛda. Insay dis we, i pɔsibul fɔ rich ivin di dip pat dɛn na di bɔdi wit big prɛsishɔn, ɛn yu nɔ go mek ɛni mistek. I tan lɛk se di dɔktɔ in an dɛn de bi mɔ dilik ɛn prɛsis.

Wetin kin apin di de we dɛn du di ɔpreshɔn?

Wan dɔktɔ we de anestez go kam fɔs ɛn gi yu jenɛral anestezi. Dis min se yu go slip ɔl te di ɔpreshɔn dɔn. Yu nɔ go fil ɛni pen ɛn yu nɔ go mɛmba ɛnitin. Dɔn dɛn go ful-ɔp yu bɛlɛ wit kabon dayɔgzayd gas fɔ mek ples fɔ di dɔktɔ we de du di ɔpreshɔn fɔ wok.

Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔt di say dɛn we dɛn de du di ɔpreshɔn ɛn bigin fɔ du di ɔpreshɔn.

• Di ɔpreshɔn we dɛn kin du na opin, dɛn kin kɔt di say dɛn we dɛn kin kɔt ɛn pul di ɔgan dɛn we gɛt di sik.
• di laparoskopik mεtכd involv f כ mek sכm sכm sכm insεshכn dεm εn pul di kidni εn ureter yuz laparoskop εn rכbכt ikwipment.

Fɔ dɔn, di dɔktɔ we de du di ɔpreshɔn kin lɔk di say dɛn we dɛn kɔt wit stich. Sɔntɛnde dɛn kin yuz drenaj tyub fɔ pul blɔd ɛn wata frɔm di say dɛn we dɛn kɔt.Yu kin put wan smɔl silikon tiub we dɛn kɔl ".

Dis ɔpreshɔn kin tek lɛk tu to 4 awa so.

Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?

We di ɔpreshɔn dɔn, di dɔktɔ we de mɛn yu go stɔp fɔ gi yu di anestezi. Yu go bigin fɔ wek smɔl smɔl. Dɔn dɛn go kɛr yu go na di rum usay dɛn de mɛn pipul dɛn . Na de, di wan dɛn we de wok na di dɔktɔ dɛn go tek tɛm wach yu wɛlbɔdi.

• Pen: We yu fil pen, dɛn kin gi yu mɛrɛsin fɔ am.
• Nɔs: Sɔm pipul dɛn kin fil nɔs bikɔs ɔf anestezi. If na so, dɛn kin gi mɛrɛsin fɔ dat bak.
• Fɔ it: Di fɔs de ɔ tu dez, dɛn kin gi dɛn tin fɔ it we gɛt wata. Dɔn dɛn kin bigin fɔ it tin dɛn we dɛn kin it ɔltɛm.
• Wach: Dɛn go aks yu fɔ grap na bed ɛn waka rawnd smɔl frɔm di de afta dɛn du di ɔpreshɔn. Dis rili impɔtant. We yu waka, dat kin mek yu nɔ gɛt bɔku blɔd na yu leg ɛn i kin mek yu nɔ gɛt tin dɛn lɛk nyumonia.

We dɛn dɔn no se yu sik go stebul, dɛn go alaw yu fɔ go na os. Fɔ tru, yu famili ɔ yu padi fɔ de wit yu we yu go na os. I rili fayn bak fɔ gɛt pɔsin fɔ kia fɔ yu fɔ di fɔs dez.

Advantej ɛn kɔmɔn risk dɛn we rɔbɔt ɔpreshɔn kin gɛt

Lɛ wi luk dɛn tu tin ya wan bay wan.

Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.

• Risk dɛn we gɛt fɔ du wit anestezi
• Prɔblɛm dɛn we de mek wund wɛl
• Sɔntɛm i nid fɔ gi blɔd
• Baktri infεkshכn dεm
• Blɔd we de klɔt (hɛmatoma) .
• Fluid kɔlɛkshɔn nia di say dɛn we dɛn kɔt (seroma) .

Nɔr frayd fɔ dɛn risk ya. Yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt dɛn ɛn if dɛn apin, dɛn go de manej dɛn.

Wetin a fɔ pe atɛnshɔn to afta a dɔn go na os?

Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt in jɛnɛral, yu fɔ rɛst fɔ lɛk siks wik.

• Drayv: Nɔ drayv fɔ at le tu wiks afta dɛn dɔn du di ɔpreshɔn.
• We yu de es di wet: Nɔ es di wet we ebi pas 9-10 kg (we na lɛk 10 lita wata). Nɔ du ɛksashɔn dɛn we de mek yu strɛs lɛk fɔ rɔn. Dɛn tin ya kin pwɛl di stich dɛn ɛn mek tin dɛn lɛk hεnia.
• We yu de waka: Fɔ waka rili fayn. I de ɛp fɔ mek i wɛl.
• Fɔ go bak na wokples: If yu wok nɔ rili tranga yu bɔdi, yu fɔ ebul fɔ go bak na wokples insay lɛk 4 wiks so. Bɔt if yu wok na fɔ es ebi ebi tin dɛn ɔ fɔ wok tranga wan, i go fayn fɔ mek yu tek lɔng tɛm smɔl.

Yu nid fɔ go to dɔktɔ bak? Wetin na di tin dɛn we yu nid fɔ tɔk to kwik kwik wan?

Yɛs, fɔ tru. Di dɔktɔ go gi yu wan de fɔ kam bak. Da de de, i go chɛk yu say dɛn we yu kɔt ɛn stich yu. If ɛni stich de we nɔ de sɔlv, dɛn go kɔt am ɛn pul am insay wan ɔ tu wik. If dreyn de, dɛn go pul dɛn bak.

Dɔn bak, dɛn go du tɛst fɔ mek shɔ se di ɔpreshɔn dɔn pul di kansa kpatakpata. If di kansa dɔn skata ɔ na wan kayn we we de agresiv mɔ, yu dɔktɔ go ɛksplen yu nɛks tritmɛnt step dɛm (e.g. kemotɛrapi).

If yu gɛt dɛn sik ya, nɔ delay, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).

• Blɔd we de kɔmɔt pasmak bikɔs dɛn kɔt am
• Wan wata we tan lɛk pus we dɔn chenj in kɔlɔ ɛn we de smɛl bad bad wan de kɔmɔt frɔm di say dɛn we dɛn kɔt
• Fiva (we i pas 38 digri sɛlshiɔs / 100 digri F)
• Stich dɛn de kam apat
• Di pen de wɔs mɔ ɛn mɔ.

If yu si sɔntin lɛk dis, nɔ de na os. Go to dɔktɔ wantɛm wantɛm.

Fɔ dɔn, na nɔmal tin fɔ mek yu gɛt fred, wɔri, ɛn dawt bifo yu du ɔpreshɔn lɛk dis. Kwɛshɔn dɛm lɛk "Wetin if di ɔpreshɔn nɔ go fayn?", "Di kansa go spre to ɔda pat dɛm na di bɔdi?", "Di wɛl bɔdi go tranga?" kin kam na yu maynd.

Na nɔmal tin fɔ gɛt dɛn tin dɛn de. Bɔt di sem tɛm, tink bɔt di bɛnifit dɛn we yu go gɛt we dɛn du dis ɔpreshɔn. I kin sev yu layf, i kin mek yu kwaliti fɔ liv bɛtɛ. Tɔk to yu dɔktɔ ɛn di mɛdikal tim bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. Dɛn de ya fɔ ɛp yu ɛn nɔ lɛf yu wan pan dis waka.