Yu dɔn ɛva go to dɔktɔ, sɔntɛm fɔ mek dɛn du ɛndoskopi (we dɛn kin put kamɛra insay di layn na yu bɛlɛ) fɔ gɛt prɔblɛm wit yu bɛlɛ, ɛn di dɔktɔ tɔk sɔntin lɛk dis? "smɔl smɔl tin de gro insay yu kɔlon/bɛlɛ. Wi go pul am." Na nɔmal tin fɔ fil fɔ fred smɔl we yu yɛri sɔntin lɛk dis. Bɔt nɔ fred. dis sכm sכm growth dεm na dεn we wi de kכl mεdikal wan ``Polyps.'' di simpul we fכ pul dεm dεn kכl am ``Polypectomy.'' So tide, wi go tכk bכt כltin insay wan rili simpul we.
Wetin na ‘polyp’? Wetin mek dɛn nid fɔ pul dɛn kɔmɔt?
fכ simpul wan, polip na sכm sכm tisu we wi nכ want we de fכm na di insay wכl fכ wan כgan na wi bכdi, spεshal wan כgan we gεt kכva insay (fכ egzampl, di kכlon, di uterus, bεlε). Tink bɔt am lɛk wan wɔt we de gro insay di bɔdi.
Difrɛn kayn dɛn de fɔ dɛn `Polyps` ya:
- Benign: Dis na nɔmal tumor. Dɛn nɔ de kɔz ɛni bad tin.
- Kansa: Sɔntɛnde, dɛn tumbu ya kin tɔn to kansa sɛl.
- Prekansa: Dis na tumor wae nɔr gɛt kansa naw, bɔt gɛt bɔrku chans fɔ bi kansa tumara bambay.
Di prɔblɛm na, i at fɔ mek dɔktɔ tɛl 100% fɔ shɔ us kayn polip i jɔs bay we i luk am frɔm do. di bεst we fכ no fכ tru na fכ pul am εn sεnd am na lab fכ tεst (a ``(Biopsy)`').
Bɔku tɛm, dɔktɔ dɛn kin advays se i bɛtɛ fɔ pul wan pɔlip jɔs afta yu si am, pas fɔ wet fɔ mek i bi prɔblɛm leta.
| Men rizin fɔ pul wan pɔlip | |
|---|---|
| Rizin | Tɔk bɔt |
| Di sayn dɛm we de apin | Fɔ ɛgzampul, tin dɛn lɛk bɛlɛ pen, blɔd, ɛn chenj na di bɔdi. |
| Risk fɔ gɛt kansa | If di polip tan lɛk kansa ɔ dɛn tink se na wan kayn we kin bi kansa. |
| Difinitiv diagnosis we pɔsin kin gɛt | Fɔ tɛst am na di lɛbɔraytri fɔ no ustɛm na us kayn tumbu i bi. |
Yu tink se fɔ pul polypectomy na big ɔpreshɔn? Yu tink se i de mek pɔsin fil bad?
Nɔto so atɔl! Nɔ fred fɔ yɛri dis. `Polypectomy` na bכku tεm wan rili simpul, sכm כpεrayshכn. Insay mɛrɛsin, wi kin kɔl dis `(Minimally invasive procedure)`. Dat min se, na sɔntin we dɛn kin du smɔl smɔl, we dɛn nɔ kin kɔt big say.
dεn kin pul bכku polip dεm we dεn de tεst we dεn kכl kכlonoskopi (we dεn de yuz kεmεra fכ ɛgzamin di kכlon) כ εndoskopi (we dεn de yuz kεmεra fכ ɛgzamin di bεlε). As di dɔktɔ de put kamɛra tiub, i de pas smɔl smɔl tin dɛn na di tiub ɛn pul di polip. Yu nɔ go ivin fil am.
Bɔt sɔntɛnde, if di polip nɔ izi fɔ rich, ɔ if i rili big, di dɔktɔ kin gɛt fɔ du laparoskopi, we min se dɛn kin kɔt smɔl kihol na di bɛlɛ. Dis na tin bak we rili kɔmɔn naw.
As fɔ pen, yu nɔ go fil ɛni pen. Dis na bikɔs dɛn go gi yu wan anestetik bifo dɛn du di ɔpreshɔn. Sɔntɛnde, dɛn go put yu na slip (`(Jɛnɛral Anestesia)`). Ɔ, dɛn go gi yu wan drɔg we go put yu na layt slip (`(Sedation)`). So, pan ɔl we yu go fil smɔl prɛshɔn, yu nɔ go fil ɛni pen atɔl.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Fɔ pripia bifo dɛn du di ɔpreshɔn
Bɔku tɛm, dɛn nɔ nid ɛni spɛshal pripiamɛnt. כltu, if yu de du ``Colonoscopy`` wit ``Polypectomy``, yu bכdi nid fכ klin kכmplit wan. Fɔ dis, yu go nid fɔ drink wan spɛshal likwid mɛrɛsin (``(bowel prep formula)``) we yu dɔktɔ go gi yu. Apat frɔm dis, dɛn go advays yu fɔ kɔntrol yu it fɔ sɔm dez. Dɔn bak, if yu de tek ɛni ɔda mɛrɛsin, i impɔtant fɔ tɔk to yu dɔktɔ bɔt if yu nid fɔ stɔp am di de we dɛn go du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn...
Dis na tin we rili simpul fɔ du.
1. Anestezi: Fɔs, dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn tru IV (intravenous drip) insay wan vein na yu an. Afta sɔm tɛm, yu go fil fri ɔ yu go slip.
2. Fɔ put di ɛndoskɔp insay:Dɔn di dɔktɔ kin put wan lɔng, fleksibul tiub (ɛndoskɔp) wit kamɛra we dɛn tay tru wan natura opin na yu bɔdi (fɔ ɛgzampul, tru di an fɔ wan polip na di kɔlon, ɔ tru di mɔt fɔ wan polip na di bɛlɛ).
3. Fɔ pul di Polip: Dɛn kin si di pikchɔ dɛn we de na di kamɛra pan monita fɔ no usay di polip de. Dɔn, dɛn kin ol di pɔlip ɛn pul am bay we dɛn de yuz smɔl tin lɛk fɔsɛp ɔ waya snɛr we dɛn kin pas tru di tiub.
4. Fɔ stɔp di blɔd: Fɔ stɔp ɛni blɔd we de kɔmɔt na di say we dɛn pul di polip ɛn fɔ pul ɛni tisu we lɛf kpatakpata, dɛn kin kɔt di eria smɔl wit ilɛktrik kɔrɛnt divays (ilɛktrokɔtiri divays). Dɛn kɔl dis tin we dɛn kɔl cauterization.
Wetin kin apin afta di ɔpreshɔn? Ɛni risk dɛn de we kin apin?
Yu go ebul fɔ go na os jɔs afta di ɔpreshɔn. Bɔt yu kin fil smɔl diziz bikɔs ɔf di tin dɛn we di anestezi kin du, so i go fayn fɔ mek pɔsin gɛt pɔsin wit yu. Yu kin fil fayn smɔl ɛn yu kin blo fɔ sɔm dez. Dis na nɔmal tin.
Dɛn kin sɛn di polip we dɛn pul na lɛbɔtri. I kin tek lɛk wan ɔ tu wik so fɔ gɛt di ripɔt. Bɔrku tɛm, dɛn kin ripɔt dɛn tin ya as nɔr gɛt kansa (benign). If dɛn fɛn kansa sɛl dɛn, yu dɔktɔ go advays yu bɔt ɔda tɛst ɛn tritmɛnt.
Polypectomy na wan we we rili sef. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm.
- Blɔd we de kɔmɔt.
- Wan sik we de mek pɔsin gɛt sik kin apin.
- Wan ol ɔ te na di wɔl fɔ wan ɔgan. (`(Pɔrfɔreshɔn)`)
- sכm sכm bכn to tisu we dεn kכz fכ wan `ilεktrokautery` divays.
Dɛn tin ya nɔ kin apin so ɔltɛm. כda komplikashכn de bak we rili rεs we dεn kכl `Postpolypectomy coagulation syndrome (PPCS). dis na sכm sכm inflameshn na di tisu כnda di `Polyp` usay dεn bin bכn am. Dis nɔr siriɔs, ɛn i go wɛl insay sɔm dez wit mɛrɛsin. Bɔt if yu gɛt ɛnitin afta di ɔpreshɔn, lɛk we yu nɔ go ebul fɔ bia wit yu bɛlɛ, fiva, ɔ we yu de blɔd bɔku , yu fɔ tɔk to yu dɔktɔ wantɛm wantɛm.
I go jɔs tek sɔm dez fɔ mek i wɛl. Yu go ebul fɔ go bak to di nɔmal tin dɛn we yu bin de du insay wan ɔ tu dez.
Mɛsej we dɛn kin kɛr go na os
- Polypectomy na simpul, sef ɔpreshɔn fɔ pul smɔl smɔl tin dɛn we de gro (polyps) we de divɛlɔp insay di bɔdi.
- Bɔku tɛm dɛn tin ya nɔto kansa, bɔt fɔ no fɔ tru if dɛn gɛt kansa ɔ nɔto kansa, dɛn nid fɔ pul dɛn ɛn chɛk dɛn.
- Bɔku tɛm, di ɔpreshɔn nɔ kin mek pɔsin fil pen. Yu nɔ go fil ɛni prɔblɛm bikɔs dɛn go gi yu anestezi.
- If yu gɛt ɛnitin we nɔ kɔmɔn (bɔdi pen bad bad wan, fiva, bɔku blɔd de kɔmɔt) afta dɛn dɔn du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔr frayd fɔ du dis as na impɔtant tin fɔ mek yu nɔr gɛt siriɔs sik tumara bambay. Tɔk bɔt ɛnitin we de mɔna yu wit yu dɔktɔ.
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