Yu dɔktɔ dɔn tɛl yu se yu nid fɔ du ɔpreshɔn fɔ pul wan pat pan yu kidni? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri sɔntin lɛk dat. "Wetin go hapun to mai kidni? A go fit liv laik bifo?" I go mɔs bi se bɔku kwɛstyɔn dɛn kin kam na mi maynd. Bɔt we yu no gud gud wan wetin na dis, wetin mek dɛn de du am, ɛn aw dɛn de du am, da fred de na yu maynd go dɔn bɔku pan am. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn we dɛn kɔl ‘Partial Nephrectomy’, rili simpul wan, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Partial Nephrectomy?
Patɛl Nɛfrɛktɔmi na ɔpreshɔn we dɛn kin pul di pat pan yu kidni nɔmɔ we gɛt sik, we dɔn pwɛl, ɔ we gɛt kansa, pan ɔl we dɛn kin kip di pat we lɛf we gɛt wɛlbɔdi. Dis nɔ de pul di wan ol kidni. I tan lɛk se yu de kɔt di bad pat nɔmɔ pan frut we dɔn rɔtin ɛn lɛf di gud pat.
Di men gol fɔ wi ɔspitul dɔktɔ dɛn na fɔ lɛf bɔku pan yu wɛlbɔdi kidni tisu as dɛn ebul na di bɔdi. Bikɔs, as yu no, di kidni na di tu men filta dɛn na wi bɔdi. di kidni dεm de filta εn separet di west prodakt dεm na di bכdi εn kכmכt lεk urine. So di kidni dɛn impɔtant fɔ layf. If wi ebul fɔ mek ɔl tu di kidni dɛn wok fayn, i rili impɔtant fɔ wi ɔl wi wɛlbɔdi.
Wetin na di men we dɛn fɔ du dis ɔpreshɔn?
Tri men we dɛn de fɔ du dis ɔpreshɔn. Yu dɔktɔ go disayd us we go fayn fɔ yu bay aw yu sik, di sayz fɔ di pat pan yu kidni we dɔn pwɛl, ɛn usay i de.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Opin Patɛl Nɛfrɛktɔmi | Dis na di tradishɔnal we aw dɛn kin du am. Na ya, dɛn kin kɔt smɔl (we na lɛk 12 inch) na yu bɛlɛ ɔ na di sayd we de dɔŋ yu rib dɛn, usay yu kidni de. Dɛn kin yuz dis we if di kidni tumbu rili big ɔ i dɔn spre to say dɛn we de nia de. |
| Laparoskɔpik Ɔpreshɔn | Dis nɔ min se dɛn fɔ kɔt big say. bifo dat, dεn kin mek 2-4 rili sכm sכm say dεm na di bכdi. dεn kin put wan tin tכb we gεt kεmεra na di εnd (laparoskop) tru wan pan di say dεm we dεn sכk fכ tek gud luk insay di bכdi. Dɛn kin put di tin dɛn we rili dilik we dɛn nid fɔ du di ɔpreshɔn tru di ɔda say dɛn we dɛn kɔt fɔ mek dɛn du di ɔpreshɔn. Dis prosidur nɔ nid fɔ gɛt smɔl tɛm fɔ wɛl. |
| Robotik Patɛl Nɛfrɛktɔmi | Dis na wan advans vεshכn fכ di laparoskopik mεtכd. Dɛn kin kɔt smɔl smɔl say dɛn bak na ya. Bɔt di dɔktɔ we de du di ɔpreshɔn nɔ de tɔch di inschrumɛnt dɛn dairekt wan, bɔt i de kɔntrol di ɔpreshɔn wit rɔbɔt an tru kɔmpyuta sistem. Dis kin mek dɛn ebul fɔ go na say dɛn we at fɔ rich wit an, ɛn i kin izi fɔ go na say dɛn we rili dilik, ɛn we dɛn kin du ɔpreshɔn we rili kɔrɛkt. Bɔku tɛm dɛn kin advays dis we if di tɔŋ we de na di kidni smɔl, ɔ if di kidni kin wok fayn if dɛn pul di wan ol kidni. |
Yu tink se dis na siriɔs ɔpreshɔn? Udat go want fɔ du dis?
Yɛs, Patɛl Nɛfrɛktɔmi na big ɔpreshɔn . Na bikɔs i min fɔ trit ɛn mek di kidni, we na wan ɔgan we de insay di bɔdi, kam bak. Bɔt bikɔs ɔf tɛknik dɛn lɛk rɔbɔt, we wi bin dɔn tɔk bɔt, dis ɔpreshɔn dɔn sef naw pas aw i bin de bifo, ɛn di tɛm we pɔsin kin gɛt fɔ wɛl kin shɔt. Yu dɔktɔ we de du ɔpreshɔn go ɛksplen to yu ditayli us we fɔ du am bɛtɛ fɔ yu ɛn wetin mek.
Mɛmba se, di prɔblɛm dɛn we kin apin we pɔsin liv wit sik we dɛn nɔ trit, bɔku pas di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn lɛk dis.
Bɔku kes dɛn de we dɛn kin advays fɔ du dis ɔpreshɔn:
- Kidni kansa: Dɛn kin du dis ɔpreshɔn mɔ fɔ pul di kansa tumbu dɛn na di kidni.
- Infεkshכn: We pat pan di kidni dכn pwεl bikoz fכ sכm bad bad infεkshכn dεm, dεn kin nid fכ pul da pat de.
- Damej frɔm kidni ston: If di kidni dɔn pwɛl bikɔs ɔf big kidni ston.
- Injury: We di kidni injuri bikɔs ɔf aksidɛnt.
- Difεkt we dεn bכn: If di kidni dεfεkt bin de we dεn bכn am.
- Ay blɔd prɛshɔn: Sɔntɛnde dɛn kin du dis ɔpreshɔn fɔ kɔntrol ay blɔd prɛshɔn we kin kam bikɔs ɔf prɔblɛm wit di blɔd vesel dɛn we de gi blɔd to di kidni dɛn.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Afta yu dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, yu go nid fɔ go to dɔktɔ. Dɛn go chɛk yu jenɛral wɛlbɔdi. Dɛn go mɛzhɔ tin dɛn lɛk blɔd prɛshɔn, puls, ɛn tɛmpracha.
Ɛn yu gɛt wan rili impɔtant wok .
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek . Dis nɔto jɔs di mɛrɛsin dɛn we dɛn kin gi pɔsin, bɔt i kin min bak di mɛrɛsin dɛn we dɛn kin bay na kɔt (OTC), vaytamɛn dɛn, tradishɔnal mɛrɛsin dɛn, ɛn ivin di mɛrɛsin dɛn we dɛn kin gi na Ayurveda. Dis impɔtant mɔ if yu de tek aspirin ɔ tin dɛn we de mek yu blɔd tan, bikɔs dɛn mɛrɛsin ya kin mek yu blɔd bɔku we yu de du di ɔpreshɔn.
- Tɛl wi bɔt ɛni alɛji we yu gɛt. Dis inklud alɛji to sɔm mɛrɛsin dɛm, tin dɛm wae de klin yu skin lɛk ayodin, lɛtɛks, ɔ it dɛm.
- Yu dɔktɔ go gi yu sɔm spɛshal instrɔkshɔn dɛn bɔt wetin fɔ it ɛn drink di de bifo dɛn du yu ɔpreshɔn. Bɔku tɛm, i go fayn fɔ mek yu nɔ it ɔ drink ɛnitin afta midulnɛt di nɛt bifo dɛn du yu ɔpreshɔn . If yu nid fɔ tek ɛni impɔtant mɛrɛsin, aks yu dɔktɔ if yu kin tek am wit jɔs wan sip wata.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Na wan tim we gɛt spɛshal dɔktɔ dɛn ɛn nɔs dɛn kin du dis ɔpreshɔn. Bɔku tɛm, dis tim kin gɛt dɔktɔ we de mɛn yu urolɔg, dɔktɔ we de anestez, ɛn nɔs dɛn.
Fɔs, di dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi . Dis min se yu go slip kpatakpata. Yu nɔ go fil ɛni pen ɛn yu nɔ go no natin we dɛn de du di ɔpreshɔn. Afta yu nɔ no natin, dɛn go put wan smɔl tiub (urinary catheter) fɔ mek yu urine kɔmɔt.
Wetin go apin afta dat go difrɛn difrɛn wan bay di ɔpreshɔn we yu pik.
Insay opin ɔpreshɔn (Open patɛl nɛfrɛktɔmi) .
Di dɔktɔ go mek big say na yu sayd, bitwin yu rib ɛn yu hip, fɔ mek yu kidni kɔmɔt na do. Dɔn, dɛn kin blok di blɔd vesel dɛn we de briŋ blɔd to ɛn kam na di kidni fɔ sɔm tɛm wit klem. Dɔn dɛn kin kɔba di kidni wit ays. Dɛn kin du dis fɔ ridyus di tɛmpracha na di kidni ɛn fɔ mek di tisu nɔ pwɛl we dɛn stɔp di blɔd fɔ flɔ. Dɔn dɛn kin pul di pat we gɛt di sik ɛn mek di kidni fayn.
We dɛn de du rɔbɔt ɔpreshɔn (Robotic partial nephrectomy) .
Na ya, di dɔktɔ kin mek sɔm rili smɔl smɔl say dɛn na yu bɛlɛ. Dɔn, dɛn kin put kamɛra ɛn rɔbɔt inschrumɛnt dɛn insay dɛn ol dɛn de. Dɔn, yu bɛlɛ kin ful-ɔp wit smɔl kabon dayɔgzayd gas. Dis kin mek ples insay di bɛlɛ, we kin mek i izi fɔ di dɔktɔ fɔ si di kidni bɛtɛ ɛn du di ɔpreshɔn. Dɔn, we dɛn de yuz rɔbɔt an dɛn, dɛn kin stɔp di blɔd, pul di pat we gɛt di sik, ɛn mek di kidni fayn.
We di ɔpreshɔn dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step. Sɔntɛnde, dɛn kin put smɔl smɔl silikon drenaj tyub dɛn fɔ pul ɛni blɔd ɔ wata we kin gɛda insay di wund. Dɛn kin pul dɛn tin ya afta sɔm dez. Di ɔl ɔpreshɔn kin tek lɛk 3-4 awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. As di tin dɛn we di anestezi de du de west, smɔl smɔl yu go gɛt kɔnshɛns bak. Bɔt, i nɔmal fɔ lɛ yu fil layt smɔl ɛn yu de slip fɔs.
Afta yu wek, di nɔs dɛn go gi yu mɛrɛsin fɔ mek yu fil pen. Rɔbɔt ɔpreshɔn nɔ kin mek yu fil pen pas fɔ opin ɔpreshɔn, bɔt yu go stil nid mɛrɛsin fɔ kɔntrol di pen. Di anestezi kin mek yu nɔs. If dis apin, dɛn go gi yu mɛrɛsin fɔ dat bak.
- Di it: Na wata nɔmɔ dɛn go gi yu fɔ wan ɔ tu dez afta dɛn dɔn du di ɔpreshɔn. Dis go gi yu bɔdi tɛm fɔ wɛl. Afta dat, yu kin it nɔmal it dɛn smɔl smɔl.
- Fɔ waka: Frɔm di de afta dɛn du di ɔpreshɔn, di nɔs dɛn go ɛnkɔrej yu fɔ grap na bed ɛn waka rawnd smɔl . Dis rili impɔtant. We yu waka, i de mek di blɔd go fayn, i de ɛp fɔ mek di wund dɛn wɛl kwik kwik wan, ɛn i de mek yu nɔ gɛt prɔblɛm dɛn lɛk we blɔd de klɔt na yu leg ɛn nyumonia.
- Yu go de na ɔspitul: If dɛn du yu rɔbɔt ɔpreshɔn, yu go de na ɔspitul fɔ 1-2 dez . If yu gɛt opin ɔpreshɔn, yu go de fɔ lɛk 3-4 dez .
We di dɔktɔ dɛn dɔn disayd se yu wɛl, yu kin go na os. Bɔt yu nɔ go ebul fɔ drayv motoka yu wan. Yu go nid fɔ mek yu fambul ɔ padi kam kam tek yu. I fayn bak fɔ gɛt pɔsin fɔ kia fɔ yu fɔ sɔm dez afta yu dɔn go na os.
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a go ebul fɔ go bak na wokples?
Di tɛm we yu go wɛl go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt ɛn yu jenɛral wɛlbɔdi.
- I kin tek lɛk 8-12 wik fɔ bigin fɔ du di nɔmal tin dɛn bak afta dɛn dɔn du di ɔpreshɔn we dɛn opin .
- di rεkכvεshכn afta rכbכt כpεraysh כn kin kכmכt kwik, wit di sikman dεm kin kam bak to nכmal insay 4-6 wik .
If yu wok na ɔfis ɛn nɔr de wok tranga wan pasmak, yu kin ebul fɔ go bak na woke insay 4 wiks. Bɔt if yu wok tranga fɔ yu bɔdi ɛn yu fɔ es ebi ebi tin dɛn, i go fayn fɔ lɛ yu de na os ɛn rɛst fɔ sɔm tɛm mɔ. Tɔk to yu dɔktɔ bɔt dis ɛn disayd fɔ tru.
Us sayn dɛn yu fɔ wach fɔ afta yu dɔn du di ɔpreshɔn?
Afta yu go na os, yu fɔ go na di klinik di de dɛn we di dɔktɔ tɛl yu. Dɛn go chɛk yu wund ɛn stich dɛn. If yu gɛt stich dɛn we nɔ de sɔlv, dɛn go kɔt dɛn ɛn pul dɛn insay lɛk wan ɔ tu wiks so.
Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Blɔd we de na di urine (Hematuria) . | If di urine tɔn pink, rɛd, ɔ dak brawn. |
| Blɔd we de kɔmɔt pasmak frɔm di wund | If di wund de blɔd sote di bandej wet ɛn kɔmɔt. |
| Pus we dɔn chenj in kɔlɔ | If yɔlɔ, grɛn, ɔ dɔti smel wata de kɔmɔt na di wund. |
| Fiva | If di bɔdi in tɛmpracha na 38 Sɛlshiɔs ɔ pas dat. |
| Wund fεmεntεshכn | If di say we de rawnd di wund rɛd, swel, ɛn fil wam we yu tɔch am. |
| Opin di sim | If di stich dɛn we de na di wund dɔn brok ɛn i tan lɛk se di wund de opin. |
| Pen we de mek pɔsin fil mɔ ɛn mɔ | If yu gɛt pen we de bɔku we yu nɔ go ebul fɔ kɔntrol ivin wit mɛrɛsin. |
Mɛsej we dɛn kin kɛr go na os
- Partial Nephrectomy na ɔpreshɔn we dɛn kin pul di pat pan di kidni we gɛt sik nɔmɔ, pas fɔ pul di wan ol kidni. Dis kin mek di pat pan di kidni we gɛt wɛlbɔdi kin kɔntinyu fɔ de.
- Dɛn kin du dis ɔpreshɔn opin, laparoskopik, ɔ rɔbɔt. Fɔ wɛl afta dɛn dɔn du am wit rɔbɔt ɔpreshɔn kin kwik.
- Bikɔs dis na big ɔpreshɔn, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn, mɔ bifo ɛn afta di ɔpreshɔn.
- Yu fɔ de wach fɔ di sayn dɛn we de wɔn yu afta yu dɔn ɔpreshɔn, lɛk fiva, blɔd we de kɔmɔt pasmak, ɛn wund infɛkshɔn. If yu notis ɛni wan pan dɛn tin ya, tɛl yu 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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