We yu dɔktɔ tɛl yu ɔ pɔsin we yu no se yu nid fɔ gɛt ɔpreshɔn we dɛn kɔl ‘nephroureterectomy’, yu kin fil smɔl fred ɛn fred we yu yɛri di nem. Na wan rili big, kɔmplikɛt wɔd. Infakt, ɛnibɔdi kin fred smɔl we i yɛri dis nem. Bɔt nɔ fred. Tide, lɛ wi tɔk bɔt dis simpul we, lɛk se yu de tɔk to yu padi. Wi go tɔk bɔt wetin i bi, wetin mek dɛn du am, ɛn aw i kin apin.
Wetin na Nephroureterectomy?
Dis na smɔl wɔd we lɔng, so lɛ wi brok am fɔs ɛn ɔndastand am.
- Nephro-: Dis kɔmɔt frɔm wan Grik wɔd. I min "kidni."
- Yurita: Dis na di tכb we de kכri di urine we dεn prodyuz na wi kidni dεm to di blad.
- Ectomy (-ectomy): Dis min se "fɔ ɔspitul pul" .
Fɔ tɔk am simpul wan, nefroureterectomy na ɔpreshɔn we de pul sɔm pat dɛn na yu bɔdi. Dis na di pat dɛn we dɛn kin pul:
- Wan kidni kɔmplit wan.
- Di wan ol ureter bin kɔnɛkt to da kidni de.
- wan sכm pat pan di tisu usay di uretra de kכnekt to di blad dεn kכl am blad kכf.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku tɛm, dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn if yu gɛt kansa na yu ɔpa urinary tract, dat na yu kidni ɔ urethra (urothelial cancer ɔ transitional cell cancer). Dɛn kin tek dis as "radikal" ɔpreshɔn .
Wetin na "radikal" ɔpreshɔn? I min se di dɔktɔ nɔ de pul di kansa nɔmɔ, bɔt i de pul ɛni tisu ɔ ɔgan we de rawnd usay di kansa go dɔn skata. fכ egzampl, if di kansa dכn spre to di limf no dεm we de nia, dεn kin pul di kidni εn di ureter wit dεn limf no dεm de. Di men gol fɔ dis na fɔ pul di kansa kɔmɔt na di bɔdi kpatakpata ɛn ridyus di risk fɔ mek i kam bak.
Aw fɔ pripia bifo dɛn du di ɔpreshɔn?
Bifo di ɔpreshɔn, yu go mit wit yu dɔktɔ. I go tɔk bɔt yu mɛrɛsin istri ɛn chɛk yu ayt, wet, ɛn blɔd prɛshɔn fɔ si if yu rɛdi fɔ ɔpreshɔn. Dis na impɔtant tɛm fɔ yu. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ:
- Ɔl di mɛrɛsin dɛn we yu de tek:I impɔtant fɔ tɔk bɔt di mɛrɛsin dɛn we dɔktɔ gi, ɛn bak di mɛrɛsin dɛn we dɛn kin bay na kɔt (OTC), vaytamɛn dɛn, tradishɔnal mɛrɛsin dɛn, ɛn Ayurveda mɛrɛsin dɛn. I impɔtant mɔ fɔ tɔk bɔt tin dɛn we de mek blɔd tan lɛk aspirin.
- Alɛji: Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni alɛji to sɔm mɛrɛsin dɛn, tin dɛn we de klin yu skin lɛk ayodin, it, ɔ lɛtɛks.
Yu dɔktɔ go gi yu instrɔkshɔn bak bɔt wetin fɔ it ɛn drink di de bifo dɛn du di ɔpreshɔn. Dɛn go tɛl yu fɔ it klia wata nɔmɔ fɔ 24 awa bifo yu du di ɔpreshɔn, ɛn nɔ fɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo yu du di ɔpreshɔn. I rili impɔtant fɔ mek yu sef fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan.
Wetin na di men we dɛn fɔ du dis ɔpreshɔn?
Tu men we dɛn de fɔ du di nefroureterectomy. Lɛ wi luk di difrɛns bitwin dɛn tu.
| Di we aw dɛn kin du ɔpreshɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Opin nefroureterectomy we dɛn kin du | Dis na di tradishɔnal we aw dɛn kin du am. Di dɔktɔ kin mek wan ɔ tu big say dɛn na yu bɛlɛ. Sɔntɛnde, dɛn kin nid fɔ pul wan rib bak. Dɛn kin yuz dis we if di kansa rili big ɔ na ples we at fɔ pul. |
| Robot-asist laparoskopik nefroureterektomi | Dis na di we aw dɛn de du tin naw ɛn we bɔku pipul dɛn de yuz. i involv fכ mek כnli 3-5 vεri sכm sכm insεshכn dεm (kihol insishכn dεm) na di bכdi. Dɛn kin put wan tin inschrumɛnt (laparoskɔp) we gɛt kamɛra we dɛn tay tru dɛn say dɛn ya ɛn dɛn kin mek di ɔgan dɛn we de insay di bɔdi big pan kɔmpyuta skrin. Di dɔktɔ we de du di ɔpreshɔn kin kɔntrol di an dɛn na wan rɔbɔt mashin fɔ du di ɔpreshɔn wit bɔku prɛsishɔn ɛn prɛsishɔn. |
Laparoskopik ɔpreshɔn we dɛn de yuz rɔbɔt tɛknɔlɔji gɛt bɔku bɛnifit dɛn, lɛk smɔl smɔl skata dɛn, nɔ kin fil pen, ɛn i kin wɛl kwik kwik wan.
Wetin kin apin afta di ɔpreshɔn?
Bɔku tɛm, di ɔpreshɔn kin tek lɛk tu to 4 awa so. Afta dat, dɛn go kɛr yu go na di rum usay dɛn de mɛn pipul dɛn. Dɔktɔ ɛn nɔs dɛn go tek kia ɔf yu gud gud wan te yu gɛt kɔnshɛns bak.
- Pen: Na nɔmal tin fɔ fil sɔm pen afta dɛn dɔn du di ɔpreshɔn. Dɛn go gi yu mɛrɛsin fɔ mɛn yu pen fɔ ɛp wit dis.
- Nɔs: Sɔm pipul dɛn kin gɛt nɔys bikɔs ɔf anestezi. Mɛrɛsin dɛn de fɔ dat bak.
- Fɔ it: Dɛn kin gi wata it fɔ di fɔs wan ɔ tu dez. Dɔn, smɔl smɔl, yu fɔ it tin dɛn we yu kin it ɔltɛm.
- Fɔ waka: Dɛn go ɛnkɔrej yu fɔ waka frɔm di de afta dɛn du di ɔpreshɔn. Pan ɔl we i nɔ kin izi fɔ du, dis rili impɔtant. We yu waka, dat kin ɛp fɔ mek blɔd nɔ klɔt na yu leg ɛn nyumonia.
Bɔku tɛm, yu go ebul fɔ go na os afta sɔm dez, bɔt yu go nid fɔ gɛt pɔsin na yu fambul ɔ padi fɔ kɛr yu go na os.
Aw na di tɛm fɔ wɛl afta yu dɔn go na os?
Afta yu dɔn go na os, yu nid fɔ rɛst bɔku tɛm. Yu fɔ alaw yusɛf tɛm fɔ wɛl ɔl, we kin tek lɛk siks wiks so .
- Drayv: Nɔ drayv fɔ at le tu wiks.
- Fɔ es ebi ebi: Nɔ du tin dɛn we de mek yu tranga lɛk fɔ es pas 20 pawn (lɛk 9 kilogram) ɔ fɔ rɔn fɔ lɛk 6 wiks. Dɛn tin ya kin pwɛl di stich dɛn ɛn mek tin dɛn lɛk hεnia.
- We yu de waka: We yu de waka na fayn we fɔ ɛksesaiz.
Yu bɔdi kin wɛl difrɛn we pas ɔda wan dɛn. So, lisin to yu bɔdi. If i at, rɛst.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Dɛn go gi yu wan fɔl-ap apɔntinmɛnt, dat na, wan de fɔ si di dɔktɔ bak. Mek shɔ se yu go na dɛn de dɛn de. Dɔn dɛn go chɛk di stich dɛn ɛn if nid de, dɛn go kɔt dɛn ɛn pul dɛn. Bɔt if ɛni wan pan dɛn tin ya apin, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Ay fiva | If di bɔdi in tɛmpracha na 38 Sɛlshiɔs ɔ pas dat. |
| Blɔd we de kɔmɔt na di say we dɛn kɔt am | If di blɔd de bɔku ɛn i nɔ go stɔp. |
| Dischaj we nɔmal | If bad bad smel ɔ yɔlɔ/grin pus de kɔmɔt na di say we dɛn kɔt am. |
| Pen we de mek pɔsin fil mɔ ɛn mɔ | Di pen de wɔs de go de, ɛn dɛn nɔ kin ebul fɔ kɔntrol am ivin if dɛn tek mɛrɛsin. |
| Seam separeshɔn | If di stich dɛn na di say we dɛn kɔt am kɔmɔt ɛn di wund opin. |
Na nɔmal tin fɔ mek yu fil fred, wɔri, ɛn nɔ shɔ bifo yu du ɔpreshɔn. "Di ɔpreshɔn go bi saksesful?", "Wetin if di kansa dɔn skata to ɔda pat dɛm na di bɔdi?", "Di wɛl bɔdi go tranga?", ɛn ɔda tin dɛm Nɔ ol dɛn filin ya. Tɔk to yu dɔktɔ ɛn yu fambul bɔt am. Di mɔ yu no bɔt dis ɔpreshɔn, na di mɔ yu nɔ go fred.
Mɛsej we dɛn kin kɛr go na os
- Nephroureterectomy na ɔpreshɔn we dɛn kin du we dɛn kin pul wan kidni, di ureter we gɛt fɔ du wit am, ɛn wan smɔl pat pan di blad. Dɛn kin du am mɔ as tritmɛnt fɔ kansa.
- כl tu di we dεm de fכ opin εn laparoskopik (kihol) fכ du dis כpεrayshכn. Di laparoskopik we dɛn kin yuz nɔ kin mek pɔsin fil pen ɛn i nɔ kin gɛt bɔku skata.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn alɛji dɛn we yu de tek bifo dɛn du di ɔpreshɔn.
- I kin tek lɛk 6 wiks fɔ mek i wɛl ful wan. Nɔ es ebi ebi tin dɛn insay dis tɛm.
- If yu notis ɛnitin we yu de wɛl, lɛk fiva, pen bad bad wan, ɔ wata we nɔ kɔmɔn frɔm di wund, go to dɔktɔ wantɛm wantɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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