We yu dɔktɔ tɛl yu se yu nid fɔ pul wan pan yu kidni dɛn kpatakpata, yu kin fil bad bad wan ɛn shɔk. "Wetin go hapun to mi if a get tu kidni and dem tek wan?" "Dis na big opareshon?" Yu go gɛt bɔku kwɛstyɔn dɛn na yu maynd. Dat na rili nɔmal tin. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn we dɛn kɔl Radical Nephrectomy, ɛn fɛn ansa to ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd.
Wetin na Radikal Nɛfrɛktɔmi?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn fɔ pul wan pan yu kidni dɛn kpatakpata . We wi de tɔk bɔt mɛrɛsin, "nephro" min "kidni." "ɛktɔmi" min "fɔ pul am." So, nephrectomy na fɔ pul wan kidni.
Insay dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul yu wan ol kidni, wit di fat we de rawnd am. sכmtεm, dεn kin nid fכ pul di adrenal gland we de oba di kidni εn di limf no dεm we de rawnd di kidni bak.
Bɔt mɛmba dis: Pan ɔl we wi ɔl gɛt tu kidni, wi kin liv nɔmal layf ɛn nɔ gɛt ɛni prɔblɛm wit wan wɛlbɔdi kidni. di כda kidni de tek ova di wok we di kidni we dεn pul de du εn i de big sכmtεm εn i de wok mכr pawa.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku tɛm, di men rizin we mek dɛn kin du dis ɔpreshɔn na fɔ pul wan tumbu we gɛt kansa na in kidni. Bɔt yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn fɔ sɔm ɔda rizin dɛn.
- Fɔ gɛt kansa na yu kidni: Ɛspɛshali if di kansa rili big ɔr risk de fɔ spre na do na di kidni.
- Infεkshכn na di kidni bכku tεm: If di kidni dεm dכn pwεl biכs fכ di infεkshכn dεm we de kכntinyu we dεn nכ kin kכntro wit tritmεnt.
- Kidni we nɔ de wok fayn: If wan kidni nɔ ebul fɔ wok bikɔs ɔf aksidɛnt, sik, ɔ ɔda tin.
- Kidni Doneshɔn: If yu de gi kidni to pɔsin we yu lɛk.
Dis na ɔpreshɔn we dɛn kin du ɛn we dɛn kin du bɔku tɛm, so nɔ fred am we nɔ nid fɔ du am.
Aw fɔ rɛdi fɔ ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, yu go tek tɛm rɛdi bifo tɛm.
1. Mɛdikal tɛst dɛn:Yu dɔktɔ go du sɔm blɔd tɛst dɛn fɔs. Dɛn tin ya go ɛp fɔ no aw yu kidni de wok fayn ɛn yu blɔd tayp. Dis go ɛp fɔ gɛt aidia bɔt aw yu kidni we lɛf go wok fayn afta dɛn dɔn ɔpreshɔn yu. I impɔtant bak fɔ no yu blɔd tayp if yu nid fɔ gi blɔd, ilɛksɛf na imejensi. Dɛn go chɛk yu jenɛral wɛlbɔdi bak, lɛk yu tɛmpracha, yu puls rit, ɛn yu blɔd prɛshɔn.
2. Fɔ tɛl di dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek: I impɔtant fɔ mek yu tɛl di dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ilɛksɛf na dɔktɔ gi yu dɛn , tin dɛn we de mek yu nɔ gɛt pen (lɛk NSAID), tin dɛn we de mek yu blɔd tan (lɛk antikoagulant), vaytamɛn, Ayurveda ɔ ɛbul mɛrɛsin. Sɔm mɛrɛsin dɛn kin mek yu gɛt mɔ blɔd we dɛn de du ɔpreshɔn.
3. Tɛl wi bɔt yu alɛji: If yu gɛt ɛni alɛji to sɔm mɛrɛsin dɛn, lɛtɛks, ɔ ayodin we dɛn kin yuz fɔ klin yu skin, yu fɔ rili tɛl wi bɔt dɛn.
4. Fɔ it ɛn drink: Dɛn go gi yu klia instrɔkshɔn bɔt ɔmɔs awa yu fɔ fast bifo yu du di ɔpreshɔn ɛn ustɛm yu fɔ stɔp fɔ drink wata. If yu gɛt it na yu bɛlɛ we yu de ɔnda anestezi, yu kin vɔmit ɛn di it kin go insay yu lɔng. Dis na denja. So fala di instrɔkshɔn dɛn di rayt we.
Wetin na di we dɛn fɔ du dis ɔpreshɔn?
Tri men we dɛn de fɔ du wan radikal nɛfrɛktɔmi. Yu dɔktɔ we de du ɔpreshɔn go disayd us we fɔ du am fayn fɔ yu bay aw yu sik.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Open Radikal Nɛfrɛktɔmi | We dɛn de du dis, di dɔktɔ kin kɔt wan big say we lɔng lɛk 12 inch ɛn du di ɔpreshɔn. Dɛn kin yuz dis we if di kidni kansa rili big ɔ if dɛn nid fɔ pul bɔku bɔku limf no dɛn we de rawnd am. |
| Laparoskopik Radikal Nεfrεktכmi | insay dis, insted fכ wan big say, dεn kin mek sכm sכm sכm sכm say dεm, we in sayz na lεk 1 sεntimita. Dɛn kin put wan tin inschrumɛnt we gɛt kamɛra (laparoskop) tru wan say we dɛn kɔt am, dɛn kin si am na monita, ɛn dɛn kin put fayn fayn tin dɛn tru ɔda say dɛn we dɛn kɔt fɔ pul di kidni. Dis na di we aw dɛn kin yuz mɔ naw. |
| Robotik Radikal Nεfrεktכmi | Dis tan lɛk ɔpreshɔn we dɛn kin du wit laparoskɔpik, bɔt na ya, dɛn kin yuz rɔbɔt an dɛn we di dɔktɔ kin kɔntrol fɔ mek di ɔpreshɔn inschrumɛnt dɛn. Dis kin mek dɛn ebul fɔ du di ɔpreshɔn mɔ dilik ɛn kɔrɛkt wan. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Afta dɛn kɛr yu go na di ɔpreshɔn rum, di dɔktɔ we de mɛn yu go gi yu jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen ɛn yu go slip fayn te di ɔpreshɔn dɔn.
Afta dat, .
- Dɛn go gi yu wan urinary catheter fɔ ɛmti yu blad.
- If na laparoskopik ɔ rɔbɔt ɔpreshɔn, dɛn kin kɔt sɔm smɔl smɔl tin dɛn ɛn ful-ɔp di bɛlɛ wit smɔl kabon dayɔgzayd gas fɔ mek ples bitwin di ɔgan dɛn.
- Di dɔktɔ kin tek tɛm klip di blɔd vesel dɛn we gɛt kɔnekshɔn to di kidni ɛn pul di kidni, di tisu we de rawnd am, ɛn ɔda pat dɛn if nid de.
- Afta dɛn dɔn du di ɔpreshɔn, dɛn kin put smɔl tiub (surgical drein) fɔ pul di wata ɛn blɔd we pasmak.
- Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step.
Dis ɔl prɔses kin tek 3 awa ɔ mɔ.
Wetin kin apin afta di ɔpreshɔn?
We dɛn dɔn du di ɔpreshɔn, dɛn go transfa yu to rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Di mɛdikal tim go tek kia ɔf yu gud gud wan te yu gɛt kɔnshɛns bak ɛn yu kɔndishɔn stebul.
- Kɔntrol di pen: We yu fil pen, dɛn kin gi yu di mɛrɛsin we yu nid.
- Fɔ it: Na wata nɔmɔ dɛn kin gi fɔ di fɔs wan ɔ tu dez. Dɔn, smɔl smɔl, yu fɔ it tin dɛn we yu kin it ɔltɛm.
- Wach: Dɛn go ɛnkɔrej yu fɔ waka smɔl frɔm di de afta dɛn du di ɔpreshɔn. We yu waka, i kin mek di blɔd go fayn ɛn i kin ɛp fɔ mek di wund dɛn wɛl kwik kwik wan. I rili impɔtant bak fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk we blɔd de klɔt na di leg ɛn nyumonia.
- Fɔ go na os: We di mɛdikal tim dɔn disayd se yu wɛl, dɛn go alaw yu fɔ go na os. Bikɔs yu nɔ go ebul fɔ drayv, aks yu fambul ɔ padi fɔ kam wit yu. I impɔtant fɔ gɛt pɔsin fɔ kia fɔ yu fɔ di fɔs dez afta yu dɔn go na os.
Aw lɔng i go tek fɔ mek i wɛl? Ɛn yu tink se i pɔsibul fɔ mek yu gɛt di sik bak?
Di tɛm we yu go tek fɔ mek yu wɛl, dipen pan di kayn ɔpreshɔn we yu bin du. pan ɔl we opin ɔpreshɔn kin tek lɛk 8-12 wik, fɔ wɛl afta laparoskopik ɔpreshɔn kin fast pasmak. Yu go nid fɔ avɔyd fɔ es ebi ebi tin dɛn ɛn fɔ du tin dɛn we go mek yu tranga fɔ sɔm tɛm.
Yu kin go bak na wokples insay lɛk 4 wiks. Bɔt if yu gɛt wok we de mek yu at pwɛl, yu go nid fɔ rɛst fɔ lɔng tɛm. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays.
If yu gɛt ɔpreshɔn fɔ kidni kansa, i nɔ kin izi fɔ mek di kansa kam bak na ɔda pat na yu bɔdi ɔ nia di say we dɛn du di ɔpreshɔn. Dis na di rizin we mek i rili impɔtant fɔ gɛt pipul dɛn we de fala yu ɔltɛm afta dɛn dɔn du di ɔpreshɔn.
Ustɛm fɔ go to dɔktɔ
Afta dɛn dɔn du di ɔpreshɔn, dɛn go mek arenjmɛnt fɔ mek dɛn chɛk yu wund dɛn ɛn pul di stich dɛn. If yu bin gɛt ɔpreshɔn fɔ kansa, yu go nid fɔ du tɛst lɛk CT skan , blɔd ɛn urine tɛst ɔltɛm fɔ chɛk fɔ si if i kam bak.
Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) .
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Blɔd we de kɔmɔt pasmak frɔm di wund | If blɔd de kɔntinyu fɔ kɔmɔt frɔm di say dɛn we dɛn kɔt. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Di wund swel, rɛd, i de kɔmɔt na wata we tan lɛk pus we de smɛl fayn, ɔ i gɛt fiva we pas 37.8 Sɛlshiɔs (100 Farenheit). |
| Blɔd we de na di urine (Hematuria) . | If yu gɛt blɔd na yu urine. |
| I kin fil pen bad bad wan | Bɔrku pen rawnd di wund ɔr na di bɛlɛ wae nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin. |
Mɛsej we dɛn kin kɛr go na os
- Radical nephrectomy na big ɔpreshɔn we dɛn kin pul wan kidni kpatakpata. Dɛn kin du am mɔ fɔ kidni kansa.
- If yu gɛt wan wɛlbɔdi kidni we lɛf, yu kin liv nɔmal, ful layf wit am. Di kidni we lɛf go strɔng as tɛm de go.
- Bifo yu du ɔpreshɔn, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek ɛn ɛni alɛji we yu gɛt.
- Fɔ wɛl afta dɛn dɔn du di ɔpreshɔn wit laparoskopik ɛn rɔbɔt kin kwik kwik wan.
- If yu si ɛni sayn we de wɔn yu afta yu dɔn ɔpreshɔn, lɛk fiva, blɔd we de kɔmɔt pasmak, ɔ pus frɔm di wund, go to dɔktɔ wantɛm wantɛm.
- Fɔ fala wɛlbɔdi layf ɛn fɔ go na di mɛdikal chɛk-ap dɛn we dɛn dɔn sɛtul afta dɛn dɔn du di ɔpreshɔn rili impɔtant fɔ mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.
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