Wi no aw i nɔ kin izi fɔ fɛt kansa. Wɔd nɔ go ebul fɔ tɔk bɔt di pen we yu kin fil we di kansa kam bak afta ɔl di tritmɛnt ɛn ɔpreshɔn. If dis kayn tin apin, yu dɔktɔ kin de tɔk to yu bɔt wan big ɔpreshɔn we dɛn kɔl "Pelvic Exenteration." Na nɔmal tin fɔ mek yu fred ɛn shɔk we yu yɛri dis nem. Bɔt nɔ wɔri. Tide, wi go tɔk klia wan ɛn simpul wan bɔt wetin dis rili min, wetin mek dɛn de du am, ɛn wetin yu go gɛt fɔ fes afta am.
Fɔ tɔk am simpul wan, wetin na Pɛlvik Ɛksentareshɔn?
Pelvic exenteration na wan rili big ɛn kɔmpleks ɔpreshɔn fɔ trit kansa insay yu pelvis. Dɛn kin du am as las tin we ɔl ɔda tritmɛnt dɛn (lɛk kemotɛrapi ɛn redyushɔn tɛrapi) nɔ ebul fɔ kɔntrol di kansa ɔ we di kansa dɔn kam bak.
Dis ɔpreshɔn kin min fɔ pul di riprodaktiv ɔgan dɛn usay di kansa dɔn skata. Bɔku tɛm, dɛn kin du dis ɔpreshɔn pan uman dɛn. Bɔt sɔntɛnde, man dɛnsɛf kin gɛt fɔ du dis ɔpreshɔn.
Dis min se yu fɔ pul di ɔgan dɛn lɛk yu vagina, yu uterus, ɛn yu sɛviks. Dipen pan aw fa di kansa dɔn skata, dɛn kin nid fɔ pul sɔm pat dɛn na yu urinary tract ɛn digestive tract, lɛk yu blad ɛn yu bɔdi bak.
Bikɔs dis na big ɔpreshɔn, i kin mek pɔsin nɔ gɛt kansa ɛn sɔntɛnde i kin ivin mɛn di kansa kpatakpata. Bɔt, risk de fɔ mek yu gɛt prɔblɛm ɛn di tɛm fɔ wɛl kin tranga. So, i impɔtant fɔ tɔk to yu dɔktɔ bɔt di gud tin dɛn, bad tin dɛn, di prɔblɛm dɛn, ɛn di tɛm we yu fɔ wɛl bifo yu disayd fɔ du sɔntin.
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
di pεlvik εksεntεrayshכn כpεrayshכn fכ uman dεm kin sheb to tri men tכp dεm: Anterior, Posterior, εn Total. Yu dɔktɔ go no di kayn ɔpreshɔn we go fayn fɔ yu bay di say we yu gɛt ɛn usay yu kansa de.
I nɔ mata us kayn ɔpreshɔn yu gɛt, dɛn go pul yu ɔgan dɛn we de mek yu bɔn pikin. Yu kin gɛt klia aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Di kayn ɔpreshɔn we dɛn kin du | Dɛn dɔn pul di men ɔgan dɛn |
|---|---|
| Anterior Pεlvik εksεntεrεshכn (We yu de pul di pat we de bifo) |
|
| Posita Pεlvik εksεntεrεshכn (We yu de pul di bak pat) |
|
| Tɔtɔl Pɛlvik Ɛkstenreshɔn (Dɛn dɔn pul am kɔmplit wan) |
|
Wetin fɔ du if dɛn du dis ɔpreshɔn pan man dɛn?
If man gɛt dis ɔpreshɔn fɔ di kansa we de kam bak na in bɛlɛ (lɛk kansa na di urethral), di dɔktɔ dɛn kin pul di blad, di rɛktum, di an, ɛn wan pat pan di kɔlon. pan tap dat, dεn kin pul pat dεm na di riprodaktiv sistεm lεk di prכstat gland εn di sεminal vεsikul dεm bak.
Wetin mek dɛn kin se dɛn fɔ du dis kayn big ɔpreshɔn?
Bikɔs dis na big big ɔpreshɔn, dɔktɔ dɛn kin jɔs se na las tin fɔ du. Di men rizin dɛn na:
- We ɔda tritmɛnt (raydieshɔn, kemotɛrapi) nɔ kin ebul fɔ mɛn di kansa.
- Ivin if dɛn pul wan kansa tumbu tru ɔpreshɔn, di kansa kin kam bak na di sem say ɔ i kin go na di ɔgan dɛn we de nia am.
Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ uman dɛn we gɛt kansa. Fɔ ɛgzampul:
- Kansa na di vagina
- Kansa na di uterin
- Kansa na di sɛvikal
- Vulva kansa
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo dɛn du big ɔpreshɔn lɛk dis, dɛn go chɛk yu gud gud wan. Yu dɔktɔ go mɔs ɔda tɛst dɛn lɛk MRI skan ɔ CT skan fɔ gɛt klia pikchɔ dɛn bɔt yu bɔdi ɔgan dɛn. Dɛn pikchɔ dɛn ya go ɛp dɛn fɔ plan di ɔpreshɔn.
Apat frɔm dat, i de tɛl yu bak fɔ du tin dɛn lɛk:
- Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd tan, dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn.
- Dɛn kin tɛl yu se yu nɔ fɔ it ɔ drink ɛnitin di nɛt bifo di ɔpreshɔn.
- Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt ɔl dis.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, dɛn go gi yu wan jenɛral anestetik (drɔg we dɛn kin gi yu insay yu an). Dis min se yu go de slip ɔl di tɛm we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛni pen.
Di ditel dɛn bɔt di ɔpreshɔn go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu dɔn du. Di dɔktɔ we de du di ɔpreshɔn go kɔt yu bɛlɛ bɔku tɛm ɛn tek tɛm pul di ɔgan dɛn we gɛt kansa ɛn if nid de, i go pul ɔda pat dɛn. Sɔntɛnde, dɛn kin du wan tin we nɔ kin ambɔg di bɔdi.
Wan nyu we fɔ pul urine ɛn fes
Dis na di big difrɛns we de pan dis ɔpreshɔn.
- If dɛn pul yu blad: Yu go nid fɔ mek nyu we fɔ mek yu urine kɔmɔt na yu bɔdi. Sɔntɛnde dɛn kin tek wan pat pan yu yon intestinal ɛn yuz am fɔ mek sɔntin lɛk nyu blad. Ɔ, di tiub dɛn we de kɔmɔt na yu kidni dɛn kin kɔnɛkt to wan smɔl say we opin na di skin na yu bɛlɛ. Dɛn kɔl dis urostomy . Dɛn kin gɛda urine insay wan bag we dɛn kɔnɛkt to dis opin.
- if dεn pul pat pan di intestinal εn anus (Kכlon/Rεktum/Anus): dεn de mek nyu we fכ di sכt fכ kכmכt di sem we. di rεst pat pan di intestinal de kכnekt to wan ol we dεn mek na di skin na di bכdi. Dɛn kɔl dis kɔlostomi . Wan bag we dɛn kɔnɛkt to dis kin gɛda stɔl.
Dis ɔl ɔpreshɔn kin tek lɛk 12 awa so .
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu go gɛt fɔ de na di ɔspitul fɔ lɔng tɛm. Sɔm pipul dɛn kin gɛt fɔ de na ɔspitul fɔ sɔm wiks. Insay dis tɛm, dɔktɔ ɛn nɔs dɛn go de wach yu wɛlbɔdi gud gud wan ɛn gi yu mɛrɛsin fɔ kɔntrol di pen.
Sɔm uman dɛn kin disayd fɔ mek dɛn du di vagina bak ( vaginoplasty ) afta dɛn dɔn du dis ɔpreshɔn. If yu intres pan dis, yu kin tɔk to yu dɔktɔ bɔt am.
Afta yu go na os, di ɔspitul go gi yu ditayla instrɔkshɔn dɛn bɔt aw fɔ kia fɔ yu ɔpreshɔn insishɔn ɛn aw fɔ kip dɛn klin if yu gɛt kɔlostomi ɔ urostomy. I rili impɔtant fɔ fala di instrɔkshɔn dɛn fayn fayn wan fɔ avɔyd ɛni kɔmplikeshɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Di big bɛnifit we dis ɔpreshɔn de gi na dat i de mek pɔsin fil fri frɔm di bad bad pen we pɔsin kin gɛt we i gɛt kansa bak. I de gi chans bak fɔ mɛn kansa kpatakpata we ɔda tritmɛnt dɛn nɔ dɔn mɛn.
Bɔt lɛk ɔl di big big ɔpreshɔn dɛn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Dɛn tin ya na:
- Bowel obstruction, we min se di it nɔ de muv fayn.
- Sik we de prɛd.
- Prɔblɛm wit nyu opin (ostomies) we dɛn mek fɔ alaw di urine ɛn stɔl fɔ kɔmɔt.
- Spread of wan infεkshכn to di bכdi ( Sepsis ).
- Blɔd we de kɔmɔt bad bad wan ɔ we blɔd de klɔt .
- Di wund dɛn we dɛn kin du ɔpreshɔn pan kin swel, rɛd, ɔ kin opin bak.
- di vagina fistula na wan ol bitwin di vagina εn כda intanεt כgan dεm (e.g., di blad).
- Pan ɔl we i nɔ kin apin so ɔltɛm, i kin izi fɔ mek pɔsin day afta dis ɔpreshɔn. Yu dɔktɔ go tɔk bɔt dis opin wan wit yu.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis na di pat we at pas ɔl. Di tɛm we pɔsin kin wɛl kin lɔng ɛn i nɔ kin izi fɔ du am.
- Yu go nid fɔ rɛst ɔltogɛda fɔ sɔm wiks afta di ɔpreshɔn. I nɔ fayn fɔ du ɛnitin we yu de du wit yu bɔdi.
- Te yu fil fayn smɔl, yu go mɔs nid ɛp frɔm yu famili pan tin dɛn lɛk fɔ was, drɛs, ɛn waka.
- Dipen pan di kayn ɔpreshɔn we yu bin gɛt, yu nɔ go ebul fɔ sidɔm fɔ lɛk 8 wiks. Yu kin ebul fɔ tinap ɛn bɛn, bɔt i go at fɔ tinap fɔ lɔng tɛm.
- Sɔm pipul dɛn kin si am se i nɔ kin izi fɔ sidɔm stret fɔ sɔm mɔnt, ivin sɔm ia, afta dɛn dɔn du dɛn ɔpreshɔn. dis na biכs dεn dכn pul bכku כgan dεm εn tisu dεm we bin de gi strכkchכral sכpכt to yu bεlε εn yu bכdi.
- Aks yu dɔktɔ bɔt ɛksɛsayz ɛn fizik tritmɛnt we yu kin du fɔ mek yu bɛlɛ ɛn bak mɔsul dɛn strɔng.
- I rili impɔtant bak fɔ mek yu maynd strɔng insay dis tɛm. Fɔ advays ɛn tɔk to sɔpɔt grup wit pipul dɛm wae dɔn go tru dis ɔpreshɔn lɛk yu go bi big sɔs fɔ trɛnk.
Us kayn tin yu nid fɔ go to dɔktɔ wantɛm wantɛm?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Blɔd ɔ swel pasmak frɔm di bɛlɛ eria.
- Fiva, rɛd ɛn swel rawnd di ɔspitul wund (dɛn na sayn dɛm fɔ infɛkshɔn).
- Bɛlɛ pen we pɔsin nɔ go ebul fɔ bia.
- I nɔ izi ɔ i nɔ ebul fɔ kɔntrol di we aw yu de pis ɔ we yu de pul dɔti.
- Nɔs ɛn vɔmit.
- Banbɛlɛ.
Pelvic Exenteration na ɔpreshɔn we kin chenj in layf. Bɔt i kin bi tin we go sev layf ɛn sev layf. Bifo yu disayd dis, i impɔtant fɔ tɔk bɔt ɔl di tin dɛn we de mɔna yu wit yu dɔktɔ ɛn ɔndastand am klia wan ɛn rial.
Mɛsej we dɛn kin kɛr go na os
- Pelvic Exenteration na wan rili big ɛn kɔmpleks ɔpreshɔn we dɛn kin du we ɔda kansa tritmɛnt dɛn nɔ wok.
- dis de pul di כgan dεm na di riprodaktiv sistεm εn if nid de, di pat dεm na di urinary εn dijestiv sistεm.
- Afta di ɔpreshɔn, dɛn go nid fɔ mek wan ol (urostomy/colostomy) na di bɛlɛ skin fɔ mek di urine ɛn stɔl pas.
- Pan ɔl we dis kin ɛp fɔ pul kansa pen ɛn sev layf, i kin kam wit bɔku prɔblɛm dɛn ɛn di tɛm fɔ wɛl kin rili lɔng ɛn i kin tranga.
- Sɔpɔt frɔm famili, padi dɛn, ɛn di mɛdikal tim impɔtant fɔ mek pɔsin gɛt wɛlbɔdi na in bɔdi ɛn in maynd.
- Bifo yu disayd fɔ du ɛnitin, i rili impɔtant fɔ tɔk bɔt ɔl di gud tin dɛn, bad tin dɛn, ɛn di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn, fri wan ɛn ɔnɛs wan wit yu dɔktɔ.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt