Na nɔmal tin fɔ fil wan lump na yu trot we yu de it. Bɔt if i nɔ kin izi fɔ yu fɔ swɛla it ɔltɛm ɛn fil lɛk se i dɔn stɔp na yu chɛst, dat min se dis nɔto nɔmal tin. Dis kin bi bikɔs ɔf prɔblɛm wit di mɔsul dɛn na yu ɛsophagus. Tide wi go tɔk bɔt wan spɛshal ɛn rili fayn tritmɛnt fɔ dɛn kayn kes ya.
Wetin na POEM?
Yu go sɔprayz fɔ yɛri di nem POEM. I tinap fɔ Ɔral Ɛndoskopik Mayotɔmi . Lɛ wi ɛksplen am simpul wan.
- Peroral: min "tru di mɔt."
- εndoskopik: i de tכk bכt sכmtin we dεn du we dεn de yuz wan tכb we de fכm we de fכm we dεn kכl εndoskop.
- Myotomy: Na di mεdikal tεm fכ "mכsul kכt."
Fɔ tɔk am simpul wan, POEM na wan we we yu kin put ɛndoskɔp insay yu mɔt, we yu nɔ mek ɛni kɔt na yu skin, ɛn kɔt ɛn rilaks di tayt mɔsul dɛn na yu ɛsophagus. I tan lɛk ɔpreshɔn, bɔt bikɔs dɛn nɔ kɔt yu bɔdi na do, di tɛm we yu go wɛl kin shɔt pasmak.
Udat nid dis tritmɛnt?
Dɛn kin yuz dis tritmɛnt mɔ fɔ pipul dɛn we gɛt disɔda we de mek dɛn nɔ ebul fɔ waka lɛk achalasia . pan dεn kכndyushכn dεm ya, di mכsul dεm na di lכw pat pan di εsophagus nכ de rilaks fayn fayn wan. Dɔn, we yu swɛla it, di it kin stɔp na di εsophagus instead fɔ go dɔŋ na di bɛlɛ. Dis kin mek i nɔ izi fɔ swɛla, i kin mek yu chɛst pen, ɛn it kin kam bak ɔp na yu trot. POEM tritmɛnt de wok bay we i de rilaks dɛn tayt mɔsul dɛn de, we de mek it pas tru to di bɛlɛ we nɔ gɛt ɛnitin fɔ ambɔg am.
Aw yu kin pripia bifo POEM tritmɛnt?
Yu nid fɔ du sɔm pripia bifo dis tritmɛnt. Bɔt nɔ wɔri bɔt am. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt ɔltin. Di tin we impɔtant pas ɔl na fɔ fala dɛn instrɔkshɔn dɛn de kɔrɛkt wan.
Na dɛn tin ya yu kin du:
- Yu go nid fɔ it ɔl di klia wata it fɔ tu dez bifo di tritmɛnt.
- Yu fɔ stɔp fɔ it ɛn drink kpatakpata 12 awa bifo di tritmɛnt.
Mɛmba se fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan rili impɔtant fɔ mek di tritmɛnt go bifo.
Wetin kin apin we dɛn de trit am?
Dis we aw dɛn kin du am kin tek lɛk wan to tri awa so. Insay dis tɛm, dɛn go gi yu jenɛral anestesia, so yu go slip ɔl. So, yu nɔ go fil ɛni pen. Lɛ wi tek wan step-by-step luk aw dɛn kin du di tritmɛnt.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ put di ɛndoskɔp insay | Di dɔktɔ go put ɛndoskɔp tru yu mɔt ɛn dɔŋ yu ɛsophagus. Di kamɛra we de pan am de mek yu ebul fɔ si di insay pat pan yu ɛsophagus. |
| 2. fכ put wan kכt pan di mכkus mεmbran | di insay layn na di εsophagus, di mכkus, dεn kכt am sכm sכm pat dεm. |
| 3. Fɔ mek wan tanɛl | di εndoskop dεn de put am tru da insayshכn de εn i de travul dכn wan rod we lεk tכnel along di sכbmכkus, we na wan layεr fכ tisu we de oba di mכsul layεr. |
| 4. Fɔ kɔt di mɔsul dɛn (Myotomy) . | we yu go dכn, di prכblεm εria, dat na di tayt mכsul dεm na di lכw pat pan di εsophagus εn di כp pat pan di bεlε, dεn kin kכt dεm εn lכs wit sכmכl naif we dεn tay pan di εndoskop. |
| 5. Fɔ lɔk di say we dɛn kɔt am | fכ finish, dεn kin kכloz di insayshכn we dεn mek na di mכkus wit fכ sכm sכm sכm klip dεm. Dɔn dɛn kin pul di ɛndoskɔp. |
Wetin kin apin afta tritmɛnt ɛn aw lɔng i kin tek fɔ mek i wɛl?
Afta di tritmɛnt, yu go nid fɔ de na ɔspitul fɔ lɛk wan de so. Dis go bi fɔ chɛk fɔ ɛni kɔmplikeshɔn. Di tɛm fɔ mek yu wɛl go bigin di nɛks de.
- Tɛst:Dɛn kin du barium X-ray fɔ si if di mɔsul dɛn dɔn rili rilaks ɛn di say we dɛn kin pas fɔ it klia.
- Fɔ it: Yu go nid fɔ it tin dɛn we gɛt wata fɔ di fɔs tu to tri dez. Afta dat, yu fɔ yus fɔ it tin dɛn we saf ɛn we nɔ gɛt bɔku fayv fɔ wan ɔ tu wiks.
- Fɔ go bak na wokples: Yu kin go bak na wokples insay lɛk sɛvin dez so. Bɔt if yu de du wok we gɛt fɔ du wit fɔ es ebi ebi tin ɔ fɔ wok tranga wan, i go fayn fɔ aks yu dɔktɔ bɔt di bɛst de fɔ go bak na wokples.
- Fɔ fala: Yu dɔktɔ go aks yu fɔ kam bak 10 dez afta dɛn dɔn trit yu ɛn bak 3 mɔnt afta dat. We dɛn de du di 3 mɔnt tɛst (ɛsophagram), dɛn go chɛk bak fɔ si if yu ɛsophagus de ɛmti fayn fayn wan afta yu dɔn swɛla.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Kɔmplikɛshɔn dɛn frɔm POEM tritmɛnt nɔ kin bɔku . Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn gɛt tritmɛnt, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn |
|---|
| - Siriɔs pen na yu chɛst |
| - Fɔ kɔf blɔd |
| - Fiva (38.3°C Celsius / 101°F Fahrenheit ɔ pas dat) |
| - Ekstrim taya, fɔdɔm |
| - Blak ɔ rɛd stɔl |
| - Siri pen na di trot |
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te. Si yu dɔktɔ kwik kwik wan. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- POEM na wan tritmɛnt we rili wok fayn, we de naw fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de swɛla lɛk achalasia.
- Dɛn kin du dis bay we dɛn de yuz ɛndoskɔp we dɛn put insay di mɔt, so dɛn nɔ kin kɔt ɛni ɔda say na di bɔdi.
- Risach dɔn sho se dis tritmɛnt kin mek lɛk 95 pan ɛvri 100 pipul dɛn nɔ kin izi fɔ swɛla.
- Pan ɔl we di tɛm we pɔsin kin wɛl kin shɔt, i rili impɔtant fɔ fala di tin dɛn we di dɔktɔ tɛl yu bɔt aw fɔ it ɛn aw fɔ du tin jɔs afta yu dɔn trit yu.
- If ɛni sayn we de sho se yu de wɔn yu afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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