We yu dɔktɔ tɛl yu se yu gɛt kansa, i tɛl yu bɔt di RPLND ɔpreshɔn? Yu go dɔn fil se yu de fred smɔl ɛn yu go dɔn fil bad fɔ di nem. Bɔt nɔ wɔri. Dis na rili impɔtant ɔpreshɔn we dɛn kin du fɔ stɔp di kansa sɛl dɛn we de skata na yu bɔdi. So lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Wetin na RPLND ɔpreshɔn?
Fɔ tɔk am simpul wan, RPLND (Retroperitoneal Lymph Node Dissection) na ɔpreshɔn we de pul di limf no dɛm frɔm wan patikyula eria na yu bɔdi. dεn kכl dis εria di ‘rεtroperitoneal’ εria.
Tink bɔt am dis we: di ɛmti ples na yu bɛlɛ biɛn yu men ɔgan dɛn, lɛk yu liva ɛn yu insay. na da εria de wi kin kכl di rεtropεritoneal rijyכn.
Naw lɛ wi si wetin na dɛn limf no dɛn ya. Dis na rili smɔl ɔgan dɛn we de ɛp fɔ mek wi bɔdi in imyun sistɛm gɛt wɛlbɔdi. Dɛn tan lɛk di sɛntinɛl dɛn na wi bɔdi. Bɔku bɔku pan dɛn de skata ɔlsay na wi bɔdi.
So, afta yu ɔspitul (surgical oncologist) dɔn pul di limf no dɛm we dɛn de du dis ɔpreshɔn, dɛn kin sɛn dɛn to pathologist fɔ mek dɛn chɛk dɛn. Na de, dɛn kin luk di limf no dɛm ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis ɔpreshɔn ‘retroperitoneal lymphadenectomy’.
Wetin mek a nid fɔ gɛt dis RPLND ɔpreshɔn?
Bɔku rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn. Lɛ wi tek tɛm luk di bɛnifit dɛn we dis ɔpreshɔn de gi.
| Men rizin | Fɔ tɔk am simpul wan... |
|---|---|
| Fɔ no di stej we di kansa de | If yu pul ɛn chɛk di limf no dɛm, dat kin ɛp fɔ no ustɛm di kansa dɔn skata na di bɔdi. Dɛn kɔl dis fɔ no di stej we di kansa de. |
| Stɔp fɔ mek kansa skata | if di kεnsar sεl dεm go insay di limf no dεm, dεn kin travul tru di limf vεsεl dεm to כda pat dεm na di bכdi. Dɛn kɔl dis mɛtastas. So, we yu pul dεn limf no dεm ya, i kin εp fכ stכp di spred. |
| Ridyus di risk fɔ mek kansa kam bak | If yu pul di limf no dɛm we gɛt kansa sɛl dɛm, dat kin rili ridyus di risk fɔ mek kansa kam bak tumara bambay. |
| As tritmɛnt if di kansa kam bak | Sɔntɛnde, if di kansa kam bak afta dɛn dɔn trit am, dɛn kin du dis ɔpreshɔn fɔ pul di limf no dɛn we gɛt kansa sɛl dɛn. |
sכmtεm dεn kin du RPLND fכ כl tu di stej εn tritmεnt fכ tεstikul kεnsar . Dɛn kin du am bak fɔ ɔda kayn kansa, lɛk kansa na di kidni, sɔm kansa dɛn na di uman in riprodaktiv sistɛm, ɛn sɔm kayn sarkoma.
Aw dɔktɔ dɛn go no if a nid RPLND?
If yu imej tɛst sho se di limf no dɛm biɛn yu bɛlɛ dɔn swel, yu dɔktɔ kin tɛl yu bɔt dis ɔpreshɔn. Dɛn kayn skan ya na:
- CT skan we dɛn kin du
- MRI skan we dɛn kin du
- PET skan we dɛn kin du
Yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn na ɔda say na yu kansa tritmɛnt joyn. Yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen wetin mek yu nid dis ɔpreshɔn. Na in no di tin we de apin to yu pas ɔlman. So nɔ shem fɔ aks am ɛni kwɛstyɔn we yu go gɛt.
Aw dɛn kin du dis RPLND ɔpreshɔn?
Bifo di ɔpreshɔn bigin, dɛn go ful-ɔp yu anestez. Dis min se yu go slip kpatakpata. So yu nɔ go fil ɛni pen.
Dɔn di dɔktɔ we de du di ɔpreshɔn kin kɔt yu bɛlɛ ɛn tek tɛm pul di limf no dɛn we de nia di kansa.
Di men gol fɔ dis ɔpreshɔn na fɔ pul ɔl di limf no dɛm we kin gɛt kansa sɛl dɛm ɛn stɔp di kansa fɔ skata kpatakpata. fכ rich dis gol, sכmtεm dεn kin nid fכ pul כda tin dεm apat frכm di limf no dεm.
- Bɔku ɔda limf no dɛm frɔm ɔda pat na di bɔdi.
- Wan ɔda ɔgan, lɛk kidni.
- Ɔda tumbu ɔ tisu dɛn we de na da say de.
Naw, sɔm ɔspitul dɛn kin du dis ɔpreshɔn as laparoskopik ɔpreshɔn, we dɛn kin du tru sɔm smɔl smɔl say dɛn we dɛn kɔt, ɔ yuz rɔbɔt ɔpreshɔn. Yu dɔktɔ go ɛksplen us we fɔ du am fayn fɔ yu.
Dis RPLND ɔpreshɔn kin tek ɛnisay frɔm tri to tɛn awa .
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ lɛk 4 to sɛvin dez afta di ɔpreshɔn. I nɔmal fɔ gɛt sɔm pen afta di ɔpreshɔn. Yu dɔktɔ go gi yu di pen kil we yu nid fɔ dat. So nɔ wɔri bɔt di pen we yu de fil.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, RPLND ɔpreshɔn gɛt sɔm prɔblɛm dɛn. Yu dɔktɔ go ɛksplen ɔl dɛn tin ya to yu bifo tɛm.
| Denja | Tɔk bɔt |
|---|---|
| Di blɔd vesel dɛn we dɔn pwɛl | Di dɔktɔ de du di ɔpreshɔn rili nia di men blɔd vesel dɛn na di bɔdi. So, i nɔ kin apin so ɔltɛm, dɛn blɔd vesel ya kin pwɛl ɛn ɔda blɔd kin kɔmɔt. |
| Fɔ afɛkt di we aw pɔsin kin bɔn pikin | Prɔblɛm fɔ ejakul kin apin afta dɛn dɔn du di ɔpreshɔn. dis na biכs di nεv dεm we de kכntro di εjakulεshכn de rכn tru di εria we dεn de du di כpεrayshכn. Bɔku tɛm, dɔktɔ dɛn we de du ɔpreshɔn kin protɛkt dɛn nerv dɛn ya fɔ mek dɛn nɔ pwɛl. Bɔt sɔntɛnde, wan tin we dɛn kɔl anejaculation kin apin. |
| Akyumyuleshכn fכ di limfatik fכluid (Lymphocele) . | di limf fכluid kin kכmכt na di spεs we di limf no dεm we dεn de pul. Fɔ pul dis ɛkstra wata, yu dɔktɔ kin put smɔl tiub (dreyn) na yu bɛlɛ. |
| Ɔda prɔblɛm dɛn we kin apin | Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek pɔsin gɛt di sik, i nɔ kin izi fɔ blo, i kin pwɛl ɔda pat dɛn na di bɔdi, i kin gɛt pen na di bɛlɛ we de dɔŋ, ɛn i kin gɛt kɔnstipɛshɔn. |
Wetin de insay di ripɔt afta di ɔpreshɔn?
Yu dɔktɔ go ɛksplen to yu di patɔlɔji ripɔt we yu kin gɛt afta yu dɔn chɛk yu limf no dɛm.
Yu kin yuz di wɔd dɛn "positiv" ɔ "negative" insay de.
- wan fayn rizulyt min se kansa sεl dεm bin de na di limf no dεm we dεn bin pul.
- If di tin nɔ apin, dat min se dɛn nɔ bin gɛt kansa sɛl dɛn.
Apat frɔm dat, di ripɔt tɔk bak bɔt ɔmɔs pan di ɔl di limf no dɛn we dɛn pul bin gɛt kansa sɛl dɛn. Bak,
- Tayp fɔ kansa.
- aw di kεnsar sεl dεm difrεn frכm nכmal sεl dεm (grεd).
- di rεt we di kεnsar sεl dεm de divayd (maytotik rεt).
Di ripɔt kin gɛt ɔda impɔtant tin dɛn lɛk:
Wetin kin apin nɛks afta dɛn dɔn gɛt di rizɔlt?
Bay di rizɔlt fɔ yu ripɔt, yu mɛdikal tim go disayd wetin fɔ du nɛks. I kin bi sɔntin lɛk dis:
- Obshɔbishɔn / sɔvɛlayshɔn we nɔ gɛt ɛni tritmɛnt
- Kimotɛrapi
- Redyushɔn tɛrapi
Us tɛm a fɔ kɔl di dɔktɔ?
We yu rich na os, yu nid fɔ tek kia gud gud wan fɔ mek yu wɛl. Tek tɛm mɔ bɔt aw di wund we yu dɔn ɔpreshɔn yu kin wɛl. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Wonin sayn dɛm - notis dɔktɔ wantɛm wantɛm | |
|---|---|
| Nɔs ɔ vɔmit | If yu de vɔmit sote yu nɔ ebul fɔ kip ivin smɔl wata na yu bɛlɛ. |
| Di pen we de na di bɛlɛ we de dɔŋ | If yu fil tayt, bad bad pen, ɔ pen we yu tɔch yu bɛlɛ we de dɔŋ. |
| Nɔ flatulɛns ɔ bɔdi muvmɛnt | If yu nɔ ebul fɔ pas di briz ɔ fɔ defecate. |
| Pus we de kɔmɔt na di wund | If wata de we tan lɛk pus we de kɔmɔt na di say we dɛn kɔt di ɔpreshɔn. |
| I kin fil pen bad bad wan | If yu gɛt siriɔs pen we yu nɔ go ebul fɔ kɔntrol ivin wit pen kil. |
Ɛni ɔpreshɔn kin mek pɔsin fred, mɔ we i gɛt kansa. Bɔt mɛmba se RPLND na wan we we de sev yu layf we de gi dɔktɔ dɛn impɔtant tin dɛn bɔt yu wɛlbɔdi ɛn i kin stɔp kansa fɔ skata.
If yu stil gɛt dawt ɔ fred fɔ du dis kayn big ɔpreshɔn, natin nɔ bad fɔ aks ɔda spɛshal pɔsin fɔ gɛt sɛkɔn opinion. Sɔntɛm we yu tɔk to ɔda dɔktɔ, dat go mek yu gɛt bɔku kolat na yu maynd ɛn gi yu di trɛnk we yu nid fɔ tink bɔt fɔ bia di ɔpreshɔn.
Dis ɔpreshɔn na big step na yu layf. Bɔt i kin sev yu layf. Yu mɛdikal tim de ya fɔ ɛp yu. So tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we yu de fred.
Mɛsej we dɛn kin kɛr go na os
- RPLND na big ɔpreshɔn we de pul di limf no dɛm we de biɛn di ɔgan dɛm na di bɛlɛ.
- Dɛn kin du dis mɔ fɔ si if di kansa dɔn skata, fɔ stɔp am fɔ skata, ɛn fɔ mek di kansa nɔ kam bak.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, lɛk we pɔsin de blɔd ɛn i kin afɛkt di we aw i kin bɔn pikin. Yu dɔktɔ go tɛl yu bɔt dɛn tin ya.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ no bɔt di sayn dɛm we de sho se yu gɛt di sik (fiva, pus frɔm di wund, bad bad pen).
- Bi opin wan bɔt di tin dɛn we yu de fred ɛn di tin dɛn we de mɔna yu wit yu mɛdikal tim. Nɔ ɛva shem fɔ gɛt sɛkɔn opinion if nid de.
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