Dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi se dɛn nid fɔ pul wan kidni kpatakpata? Na nɔmal tin fɔ mek yu fred smɔl ɛn fred we yu yɛri dɛn wɔd dɛn de. Kwɛshɔn dɛn lɛk "Aw a go liv we a nɔ gɛt kidni?" sɔntɛm i kin kam na mi maynd. Bɔt nɔ wɔri. Lɛ wi tɔk bɔt dis ɔpreshɔn, we dɛn kɔl ‘Radical Nephrectomy’, insay simpul wɔd 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. Insay dis, dɛn kin pul yu wan ol kidni. insay mεdikal tεm, "nεfro" min "kidni" εn "εktomi" min "fכ pul." So di nem sho am, nɔto so?
Dis ɔpreshɔn nɔ de jɔs pul di kidni bɔt i de pul di fat we de rawnd am bak. Sɔntɛnde, dɛn kin nid fɔ pul di adrenal gland ɛn di limf no dɛm we de rawnd am bak.
Pan ɔl we bɔku pipul dɛn gɛt tu kidni, dɛn kin liv fayn wit jɔs wan wɛlbɔdi kidni we nɔ gɛt ɛni prɔblɛm. As tɛm de go, di kidni we lɛf go gro smɔl ɛn strɔng, ɛn bigin fɔ du di wok we tu kidni dɛn de du.
Wetin mek yu nid fɔ du dis ɔpreshɔn?
Bɔku tɛm, di men rizin we mek dɛn kin du dis ɔpreshɔn na fɔ pul wan tumbu we gɛt kansa na di kidni . Bɔt yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn fɔ ɔda rizin dɛn bak.
- Kidni infekshɔn ɔltɛm: Sɔm pipul dɛn kin gɛt kidni infɛkshɔn we kin kam bak.
- Kidni failure: We di kidni stɔp fɔ wok kpatakpata bikɔs ɔf sik ɔ aksidɛnt.
- Ɔda sik dɛn na di kidni ɔ damej: Na bikɔs ɔf ɔda mɛrɛsin dɛn we dɛn nɔ kin ebul fɔ kɔntrol.
- Kidni doneshɔn: Dɛn kin du dis ɔpreshɔn bak we pɔsin gi in wɛlbɔdi kidni to ɔda pɔsin.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, yu go tek tɛm rɛdi bifo tɛm.
- Mɛdikal tɛst: Dɛn go du blɔd ɛn urine tɛst fɔ chɛk aw yu kidni de wok naw. Dɛn go chɛk yu blɔd tayp bak if yu nid fɔ gi blɔd we dɛn de du di ɔpreshɔn. Dɛn go chɛk yu jenɛral wɛlbɔdi bak, lɛk fiva, puls, ɛn blɔd prɛshɔn.
- Infɔmeshɔn bɔt mɛrɛsin: I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu ɛn we yu nɔ de bay), ivin di vaytamɛn ɛn ɛbul sɔpɔtmɛnt dɛn . Sɔm tin dɛn we de mek pɔsin fil pen (NSAID) ɛn tin dɛn we de mek pɔsin blɔd tan (anticoagulants) kin mek i gɛt mɔ blɔd we dɛn de du ɔpreshɔn.
- Alɛji: Tɛl wi bɔt ɛni alɛji we yu gɛt. Fɔ ɛgzampul, alɛji fɔ sɔm mɛrɛsin dɛn, lɛtɛks, ɔ ayodin we dɛn kin yuz fɔ klin di skin.
- Nɔ it ɔ drink: Dɛn nɔ go alaw yu fɔ it ɔ drink ɛnitin fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Dis na bikɔs if yu gɛt it na yu bɛlɛ we yu de ɔnda anestezi, risk de fɔ mek yu vɔmit am ɛn i go go insay yu lɔng. Dis kin mek pɔsin denja.
Wetin na di we dɛn we dɛn kin du ɔpreshɔn?
Dɛn kin du radikal Nɛfrɛktɔmi ɔpreshɔn insay tri men we dɛn. Yu dɔktɔ go disayd di we we go fayn fɔ yu.
| Di we aw dɛn kin du ɔpreshɔn | Tɔk bɔt |
|---|---|
| Open Radikal Nɛfrɛktɔmi | We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt wan big say, we lɔng lɛk 12 inch. Dɛn kin yuz dis we if di tɔŋ we de na di kidni rili big ɔ if dɛn nid fɔ pul bɔku bɔku limf no dɛn we de rawnd am. |
| Laparoskopik Radikal Nεfrεktכmi | Dis na di we aw dɛn kin yuz mɔ naw. insted fכ wan big say, dεn kin mek sכm sכm sכm sכm pat dεm (lεk 1 sεntimita) na di bכdi כ di groin. Tru dɛn say dɛn ya, dɛn kin put wan tin we gɛt kamɛra (laparoskɔp) ɛn ɔda tin dɛn we dɛn kin yuz fɔ du ɔpreshɔn ɛn dɛn kin du di ɔpreshɔn. |
| Robotik Radikal Nεfrεktכmi | Dis tan lɛk di we aw dɛn kin yuz laparoskopik, bɔt na ya, dɛn kin yuz wan rɔbɔt an we di dɔktɔ kin kɔntrol fɔ mek di tin dɛn we dɛn kin yuz fɔ du di ɔpreshɔn. Dis kin mek dɛn ebul fɔ du ɔpreshɔn we rili dilik ɛn kɔrɛkt wan. |
Wetin kin apin afta di ɔpreshɔn?
Bɔku tɛm, di ɔpreshɔn kin tek tri awa ɔ mɔ. We di ɔpreshɔn dɔn, di dɔktɔ we de mɛn yu go wek yu. Bɔt yu go fil lɛk se yu de slip fɔ sɔm tɛm.
Dɛn go kɛr yu go na rum fɔ wɛl, usay dɛn go de wach yu wɛlbɔdi ɛn dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
- Fɔ it: Na likwid it nɔmɔ dɛn kin gi di fɔs de. Leta, yu kin it tin dɛn we yu kin it ɔltɛm.
- Wach: Dɛn kin ɛnkɔrej yu fɔ waka smɔl frɔm di de afta dɛn du di ɔpreshɔn. We yu waka, i kin mek yu blɔd go fayn, i kin ɛp yu fɔ wɛl kwik kwik wan, ɛn i kin ɛp bak fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk we blɔd kin klɔt na yu leg.
- Urinary catheter: Dɛn kin pul di urinary catheter we dɛn put we dɛn de du ɔpreshɔn di nɛks mɔnin.
- Dischaj frɔm ɔspitul: Dɛn go alaw yu fɔ go na os wans yu kɔndishɔn dɔn bɛtɛ. If dɛn bin dɔn ɔpreshɔn yu opin, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Afta dɛn dɔn du yu ɔpreshɔn wit laparoscopic, yu kin go na os jisnɔ. I rili impɔtant fɔ mek sɔmbɔdi go wit yu na os.
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm fɔ wɛl kin dipen pan di kayn ɔpreshɔn we yu bin gɛt. Open ɔpreshɔn kin tek lɔng tɛm fɔ mek i wɛl. Tipikli, i kin tek bitwin 8 ɛn 12 wiks fɔ ful-ɔp fɔ wɛl ɛn bigin bak fɔ du tin dɛn lɛk fɔ lif wet.
Yu kin go bak na layt wok, lɛk na ɔfis , insay lɛk 4 wiks . Bɔt if yu gɛt wok we de mek yu at pwɛl, i kin tek lɔng tɛm. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt di rayt advays.
Situeshɔn dɛn we yu nid fɔ go to dɔktɔ wantɛm wantɛm
I rili impɔtant fɔ wach yu kɔndishɔn afta yu dɔn go na os. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Blɔd we de kɔmɔt pasmak frɔm di wund we dɛn du di ɔpreshɔn.
- Fכ swεla, rεd, fכl fכ smεl fכ puls we de rawnd di wund, כ fiva we pas 37.8 Sεlshiכs (100 Fεnhayt) kin bi sayn fכ infεkshכn.
- Blɔd na di urine (hematuria).
If yu dɔn gɛt ɔpreshɔn fɔ kansa, yu dɔktɔ go ɔda fɔ du tɛst lɛk CT skan ɛn fɔ du blɔd ɛn urine tɛst ɔltɛm fɔ chɛk fɔ si if i kam bak. I rili impɔtant fɔ mek dɛn du dɛn tɛst ya ɔltɛm ɛn nɔ skip dɛn.
Mɛsej we dɛn kin kɛr go na os
- Radical nephrectomy na big ɔpreshɔn we kin pul wan kidni kpatakpata.
- Dɛn kin du dis mɔ fɔ trit siriɔs sik lɛk kidni kansa.
- Naw bɔku pipul dɛn de yuz laparoskɔpik ɔpreshɔn (ɔpreshɔn we dɛn kin du tru smɔl smɔl say dɛn we dɛn kɔt) ɛn i kin mek pɔsin wɛl kwik kwik wan.
- I rili pɔsibul fɔ liv nɔmal, wɛlbɔdi layf wit wan wɛlbɔdi kidni.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛnitin we yu de fred, dawt, ɔ kwɛstyɔn we yu go gɛt bɔt di ɔpreshɔn. Dis go mek yu gɛt bɔku kolat na yu maynd.
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