Sɔntɛm yu nɔ bin dɔn yɛri dɛn wɔd ya bifo. ‘Pelvic Exenteration’ na wan rili kɔmpleks, big ɔpreshɔn we dɔktɔ dɛn kin rɛkɔmɛnd as las tin fɔ du na pɔsin in layf we de fɛt kansa, we ɔl di ɔda tritmɛnt dɛn dɔn fel. Dis nɔto jɔs ɛni ɔpreshɔn. Dis kin bi op we go sev wi layf. Na dat mek i rili, rili impɔtant fɔ mek yu no bɔt dis gud gud wan bifo yu disayd fɔ du dis kayn siriɔs tin.
Fɔ tɔk am simpul wan, wetin na Pɛlvik Ɛksentareshɔn?
Imajin, dis na di big big ɔpreshɔn we dɛn kin du we kansa dɔn skata to di ɔgan dɛn na wi bɔdi ɛn no ɔda we nɔ de fɔ pul am. Wetin kin apin na we dɛn kin du ɔpreshɔn fɔ pul di kansa ɛn di ɔgan dɛn we go skata ɔltogɛda.
Pan ɔl we dɛn kin du dis ɔpreshɔn mɔ pan uman dɛn, sɔntɛnde, man dɛnsɛf kin gɛt dis ɔpreshɔn.
Bɔku tɛm, dɔktɔ dɛn kin jɔs du big ɔpreshɔn lɛk dis if ɔl di ɔda tritmɛnt dɛn lɛk kemotɛrapi ɛn redyushɔn nɔ ebul fɔ kɔntrol di kansa. Dis ɔpreshɔn kin ridyus di pen we di kansa kin gɛt ɛn sɔntɛnde i kin ivin mɛn di kansa kpatakpata. Bɔt i kin gɛt bak ay risk fɔ gɛt siriɔs prɔblɛm ɛn fɔ lɔng tɛm fɔ wɛl. So, e fayn fɔ tɔk to yu dɔktɔ bɔt de risk, bɛnifit, ɛn aw fɔ wɛl bifo yu disayd.
Yu tink se men kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, dɛn kin sheb dis ɔpreshɔn to tri men kayn dɛn dipen pan aw di kansa dɔn skata. insay eni wan pan dεn kayn dεm ya, dεn kin kכl di כgan dεm na di uman in riprodaktiv sistεm. Dat na:
- uterus: Usay pikin de divεlכp.
- di sεviks: Na di say we di uterus de go insay.
- Ovaries: Usay dɛn kin mek eg.
- di falopian tyub dεm: di tכb dεm we de kכri eg go na di uterus.
- Vagina.
Lɛ wi luk dɛn tri men kayn dɛn ya dis we fɔ ɔndastand dɛn klia wan.
| Di kayn ɔpreshɔn we dɛn kin du | Dɛn dɔn pul di men ɔgan dɛn |
|---|---|
| Anterior Pelvic Exenteration (Antiɔri ɔpreshɔn) . | apat frכm כl di כgan dεm na di rεprכdaktiv sistεmFɔ pul di blad. |
| Posita Pεlvik εksεnterεshכn (bכk כpεrayshכn) . | fכ pul pat pan di big intestinal (rεktum) in ad pan כl di כgan dεm na di rεprכdaktiv sistεm. |
| Tɔtɔl Pɛlvik Ɛksentareshɔn (tɔtal ɔpreshɔn) . | fכ pul כl di כ gan dεm na di riprodaktiv sistεm, di urinary sistεm, εn di lכw dijestiv sistεm (blad, rεktum, pat dεm na di kכlon). |
Wetin mek yu de du dis kayn big ɔpreshɔn?
Dɔktɔ dɛn kin disayd fɔ du dis big tin we dɛn nɔ gɛt ɔda tin fɔ du. Dɛn kin du dis ɔpreshɔn mɔ fɔ uman dɛn kansa we dɔn kam bak ɔ we nɔ kin mɛn wit ɔda tritmɛnt dɛn. Fɔ ɛgzampul:
- Kansa na di sɛvikal
- Kansa na di uterin
- Kansa na di vagina
- Vulva kansa
Dɛn kin du dis ɔpreshɔn bak pan man dɛn fɔ sik dɛn lɛk kansa we de kam bak na di yuret, usay dɛn kin pul ɔgan dɛn lɛk dɛn blad, rɛktum, ɛn prɔstat gland.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ rɛdi fɔ ɔpreshɔn
Bifo dɛn du big ɔpreshɔn lɛk dis, yu dɔktɔ go chɛk yu gud gud wan. Dɛn go du tɛst lɛk MRI ɛn CT skan fɔ si ustɛm di kansa dɔn skata. Dɛn go plan di ɔpreshɔn akɔdin to dat. Dɔn bak, dɛn go aks fɔ lɛ dɛn stɔp sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek blɔd tan bifo dɛn du di ɔpreshɔn. Yu go gɛt fɔ stɔp fɔ it ɛn drink bak di nɛt bifo di ɔpreshɔn. Ɔl dis fɔ fala jɔs lɛk aw yu dɔktɔ tɛl yu.
Aw dɛn kin du di ɔpreshɔn
Dɛn go gi yu jenɛral anestezi ɔl di tɛm we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛni pen. Dis ɔpreshɔn kin tek 10-12 awa ɔ ivin lɔng pas dat.
Di tin we impɔtant pas ɔl na dat if dɛn pul yu blad ɛn pat dɛn na yu kɔlon, yu go gɛt fɔ fɛn nyu we fɔ pul dɔti (urine ɛn fes) na yu bɔdi.
- Fɔ pas urine: Di dɔktɔ we de du ɔpreshɔn kin yuz pat pan yu yon insay fɔ mek sɔntin lɛk nyu blad. Ɔ, di tiub dɛn we de kɔmɔt na yu kidni dɛn kin kɔnɛkt dairekt to wan smɔl opin we dɛn mek na di skin na yu bɛlɛ. Dɛn kɔl dis urostomy.Dɔn dɛn kin gɛda di urine insay wan bag we dɛn kɔnɛkt to da opin de.
- fכ pas stכl: We dεn pul di pat dεm na di big intestinal lεk di rεktum, di rεst pat pan di intestin de kכnεkt to wan opin we dεn mek na di bכdi in skin. Dɛn kɔl dis kɔlostomi . Dɛn kin kɔnɛkt bag bak to dis fɔ gɛda stɔl.
Pan ɔl we i nɔ kin izi fɔ yus to dɛn we ya fɔs, as tɛm de go yu kin liv lɛk aw i de liv.
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Dis na di tɛm we i nɔ izi fɔ du. Yu kin gɛt fɔ de na ɔspitul fɔ sɔm wiks. Pan ɔl we dɛn de gi yu mɛrɛsin fɔ kɔntrol di pen, dɔktɔ ɛn nɔs dɛn kin wach yu wɛlbɔdi ɔltɛm.
Dɛn go tich yu aw fɔ kia fɔ di say dɛn we yu kɔt afta dɛn dɔn du yu ɔpreshɔn ɛn aw fɔ klin yu nyu kɔlostomi/urostomi bag dɛn we yu dɔn mek.
Di tɛm we pɔsin kin wɛl kin tek sɔm mɔnt.
- Yu nɔ go ebul fɔ du ɛnitin fɔ sɔm wiks.
- Dipen pan di kayn ɔpreshɔn, yu nɔ go ebul fɔ sidɔm fayn fɔ lɛk 6-8 wik. Yu kin ebul fɔ tinap, tɔn to di sayd, ɛn ledɔm wit yu an dɛn we yu es.
- I impɔtant fɔ gɛt pɔsin fɔ ɛp yu di biginin.
- Bikɔs dɛn kin pul bɔku bɔku ɔgan dɛn na di bɔdi, di sɔpɔt we de na di bɛlɛ kin stɔp, ɛn dis kin mek i nɔ izi fɔ sɔm pipul dɛn fɔ sidɔm stret fɔ sɔm mɔnt ɔ ivin ia. Fyzikal tritmɛnt ɛksesaiz kin ɛp fɔ mek di bɛlɛ mɔsul dɛn strɔng.
I kin tek tɛm fɔ mek di bɔdi ɛn maynd wɛl afta dis ɔpreshɔn. So, i rili impɔtant fɔ gɛt di sɔpɔt frɔm yu fambul ɛn padi dɛn, ɛn if nid de, yu fɔ go to saykilɔjik advays. Fɔ jɔyn sɔpɔt grup wit pipul dɛn we dɔn du di sem kayn ɔpreshɔn na big tin bak fɔ mek yu gɛt trɛnk.
Wetin na di sayn dɛm wae kin mek yu go to dɔktɔ kwik kwik wan?
Dɛn go gi yu ɔltɛm fɔl-ap apɔntinmɛnt afta dɛn dɔn du di ɔpreshɔn. Bɔt if yu gɛt ɛni wan pan dɛn sik ya , go to dɔktɔ wantɛm wantɛm.
- Blɔd ɔ swel pasmak frɔm di bɛlɛ eria.
- Fiva, rɛd, ɛn swel nia di say dɛn we dɛn kɔt (dɛn tin ya na sayn fɔ se yu gɛt di sik).
- Bɛlɛ pen bad bad wan.
- I nɔ izi fɔ pis ɔ fɔ pul dɔti.
- Nɔs ɛn vɔmit we de kɔntinyu fɔ de.
- Banbɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Pelvic Exenteration na wan ɔpreshɔn we rili kɔmpleks ɛn we gɛt risk we dɛn kin yuz fɔ mɛn kansa, we dɛn kin tek as las tin fɔ du.
- dis כpεrayshכn involv fכ pul di riprodaktiv כgan dεm, εn bak di blad εn/כ pat dεm na di intestinal, εn mek wan pεrmanεnt opin (stoma) na di bεlε fכ alaw di west fכ pas tru.
- Di tɛm fɔ wɛl kin rili lɔng, ɛn kin tranga na yu bɔdi ɛn maynd fɔ sɔm mɔnt. Famili sɔpɔt ɛn pɔsin we sabi du in wok rili impɔtant.
- Bifo yu disayd bɔt dis ɔpreshɔn, i impɔtant fɔ mek yu tɔk to yu dɔktɔ klia wan ɛn klia wan bɔt di siriɔs prɔblɛm dɛn ɛn bɛnifit dɛn we i go gɛt.
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