We yu dɔktɔ tɛl yu ɔ sɔmbɔdi na yu famili gɛt blad kansa, yu kin fil bad fɔ fred ɛn shɔk. Ɛn we dɛn tɛl yu se dɛn go gɛt ɔpreshɔn fɔ pul di wan ol blad, dat kin mek yu fred tu tɛm. Dat na tin we rili nɔmal. Bɔt nɔ fred. Wit di advansment na medisin tide, ways de fo du ivin big opareshon lek dis plenti sef, wit less pen, en wit wit kwik recovery pas bifo. Tide, wi go tɔk bɔt wan rili advans teknɔlɔji we dɛn kin yuz pan dɛn kayn tin ya, we dɛn kɔl "Robotic Cystectomy."
Fɔ tɔk am simpul wan, wetin na Robotic Cystectomy?
Dis na ɔpreshɔn bak fɔ pul di blad. Bɔt dɛn nɔ kin du am tru big say we dɛn kɔt di bɛlɛ lɛk aw dɛn bin de du am bifo. Dis na wan we we nɔ kin rili ambɔg pɔsin. Fɔ tɔk am simpul wan, di dɔktɔ we de du ɔpreshɔn kin mek sɔm rili smɔl ol dɛn na yu bɛlɛ ɛn put rɔbɔt an ɛn kamɛra insay yu bɔdi tru dɛn. Dɔn di dɔktɔ kin luk wan kɔmpyuta skrin ɛn kɔntrol di rɔbɔt an wit wan spɛshal kɔnsol fɔ du di ɔpreshɔn wit big prɛsishɔn.
Dɛn kin du dis ɔpreshɔn tu men we dɛn:
- Robotic Partial Cystectomy: Insay dis, na di pat pan di blad we gɛt di kansa nɔmɔ dɛn kin pul.
- Robotic Radical Cystectomy: Dis kin min fɔ pul di wan ol blad. Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ blad kansa.
Di dɔktɔ go ɛksplen to yu us ɔpreshɔn we bɛtɛ fɔ yu bay aw yu sik.
Us kes dɛn kin du dis ɔpreshɔn?
Bɔku tɛm di men rizin fɔ dis ɔpreshɔn na blad kansa . Bɔt sɔntɛnde dɛn kin advays bak fɔ trit di wan dɛn we dɛn bɔn wit di urinary anomalies.
Wetin dɛn kin pul we dɛn de du ɔpreshɔn?
Fɔs, dɛn kin pul yu blad ɛn di limf no dɛn we de rawnd yu. Apat frɔm dat, i kin nid fɔ pul sɔm pan di ɔgan dɛn we de rawnd am we gɛt fɔ du wit di riprodaktiv sistɛm na man ɛn uman bak. Dɛn kin du dis fɔ pul di kansa kpatakpata ɛn fɔ ridyus di risk fɔ mek i kam bak.
| Pɔsin | Apat frɔm dat, ɔgan dɛn we dɛn kin pul |
|---|---|
| Fɔ man dɛn |
|
| Fɔ uman dɛn |
|
If yu fɔ pul dis ɔgan ɔ nɔ fɔ pul am, na sɔntin we yu dɔktɔ go disayd fɔ du bay aw yu gɛt wɛlbɔdi. I go ɛksplen ɔltin to yu bifo dɛn du di ɔpreshɔn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo di ɔpreshɔn, yu go mit wit di dɔktɔ. I go ɛksplen ɔl di ditil dɛn bɔt di ɔpreshɔn to yu, tek yu kɔnsɛntmɛnt, ɛn du wan ɛgzam fɔ yu bɔdi fɔ si if yu gɛt wɛlbɔdi fɔ mek dɛn du di ɔpreshɔn.
Yu fɔ mɛmba fɔ tɛl di dɔktɔ dɛn tin ya:
- Ɔl di mɛrɛsin dɛn we yu de tek. Dat min se di wan dɛn we dɔktɔ dɛn gi, ɔva-di-kɔnta (OTC) mɛrɛsin, tradishɔnal Sinhala mɛrɛsin, vaytamɛn, Ayurveda mɛrɛsin, ɔltin. Bikɔs tin dɛn we de mek blɔd tan lɛk aspirin kin mek blɔd bɔku we dɛn de du ɔpreshɔn.
- Mek shɔ se yu tɛl wi bɔt ɛni alɛji we yu gɛt. Alɛji to sɔm mɛrɛsin dɛn, tin dɛn we de klin yu skin (ayodin), lɛtɛks, ɛn sɔm it dɛn.
Di dɔktɔ go gi yu klia instrɔkshɔn bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo yu du di ɔpreshɔn, ɛn if yu fɔ stɔp fɔ tek mɛrɛsin ɔ nɔ fɔ stɔp.
Yu tink se na rɔbɔt kin rili du rɔbɔt ɔpreshɔn?
Nɔ, na dis say bɔku pipul dɛn nɔ kin ɔndastand. Nɔto rɔbɔt de du dis ɔpreshɔn.
If na so i bi, na wan dɔktɔ we tren gud gud wan (Urologist) de kɔntrol di ɔpreshɔn ɔl. Di rɔbɔt na jɔs wan tin we rili advans ɛn we nɔ izi fɔ yuz, we di dɔktɔ de yuz. Tink bɔt am lɛk wan atis we sabi fɔ pikchɔ we de yuz wan brɔsh we rili dilik fɔ peint fayn fayn pikchɔ. Di rɔbɔt de gi di dɔktɔ dɛn bɛnifit dɛn ya:
- Yu kin si di say we dɛn de du di ɔpreshɔn klia wan insay 3D , ay difinishɔn, ɛn mek am big.
- I kin du muvmɛnt dɛn we so dilik, we kɔrɛkt, ɛn we nɔ de shek shek dat mɔtalman an nɔ go ebul fɔ muv.
So, na di dɔktɔ insɛf de du di ɔpreshɔn, ɛn di rɔbɔt jɔs de wok lɛk ɛkstenshɔn fɔ in an dɛn.
Aw dɛn kin du di ɔpreshɔn ɛn nyu we dɛn fɔ mek di urine flɔ
Afta yu dɔn pul yu blad ɔl, yu go nid fɔ mek nyu we fɔ mek yu urine kɔmɔt na yu bɔdi. dis dεn kכl am ``Urinary Diversion''. Di dɔktɔ go yuz wan pat pan yu yone intestinal fɔ mek dis nyu rod. Tri men we dɛn de fɔ du am.
1. Ileal Kɔndukt: .
- Wetin difrɛn: Dɛn kin tek wan pat pan yu yon smɔl intestinal ɛn mek am to tiub. di ureters frכm di kidni dεm de kכnekt to am. Dɛn mek di ɔda ɛnd fɔ kɔmɔt tru di skin na di bɛlɛ. Dɛn kɔl dis wan ``(Stoma)``.
- di urine de kכlekt: dεn de tay wan ostomy bag na di כdasay na dis stoma fכ kכlekt urine. Dis bag fɔ ɛmti ɔltɛm.
2. Kɔntinɛnt Kutan Dayvɔshɔn:
- Wetin difrεn: Na ya bak, dεn de yuz pat dεm na di intestin fכ mek wan sכmכl bag (rεsכva) we de kכlekt urine frכm insay di bכdi. i de kכnekt bak to di skin na di bכdi tru wan `stoma`.
- Yurin de gɛda: Bɔt yu nɔ nid bag we de na do. Yu kin ɛmti di bag insay bay we yu put smɔl tiub (kateta) bɔku tɛm insay di de.
3. Nioblad Rikɔnstrɔkshɔn: .
- wetin difrεn: insay dis prosidכs, dεn de tek wan lכng pat pan intestכn bak εn dεn de mek wan nyu blad lεk strכkchכ we dεn kכl ``Neobladder'' frכm am. I kin kɔnɛkt dairekt to yu urethra.
- Pis: Dis min se yu go ebul fɔ pis nɔmal wan, jɔs lɛk aw yu bin de pis bifo dɛn du yu ɔpreshɔn. Bɔt fɔs, yu go nid fɔ praktis tin dɛn lɛk fɔ tay yu bɛlɛ mɔsul dɛn fɔ mek yu pis.
Yu dɔktɔ go ɛp yu fɔ pik di we we go fayn fɔ yu frɔm dɛn tri we ya.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i de du ɔpreshɔn wit rɔbɔt?
Robot ɔpreshɔn gɛt bɔku bɛnifit dɛn pas tradishɔnal opin ɔpreshɔn.
| Bɛnifit | Tɔk bɔt |
|---|---|
| Blɔd nɔ kin bɔku | Di blɔd we de kɔmɔt we dɛn de du ɔpreshɔn kin ridyus bad bad wan. |
| Les pen | Bikɔs di pen nɔ kin bɔku afta dɛn dɔn du di ɔpreshɔn, i nɔ kin nid fɔ gɛt strɔng pen kil (opioids). |
| Kwik fɔ wɛl | Di tɛm we dɛn kin de na ɔspitul na shɔt tɛm. Yu kin go na os insay 3-5 dez. Yu kin kam bak to nɔmal layf kwik kwik wan. |
| Smɔl smɔl skata dɛn | Bikɔs sɔm smɔl smɔl ol dɛn de instead fɔ wan big say we dɛn kɔt, no big skata nɔ de lɛf na di bɔdi. |
Ɛni risk de fɔ dis ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt di advans tɛknɔlɔji kin mek dɛn prɔblɛm dɛn ya nɔ bɔku.
- Jɛnɛral risk dɛm: blɔd, blɔd klɔt, infɛkshɔn, riakshɔn to anestezi (vomit, ed pen).
- Spɛshal risk dɛn:
- Chenj we yu de pis: Di we aw yu de pis go chenj afta dɛn dɔn du yu ɔpreshɔn. I kin tek tɛm fɔ mek yu yus to am.
- Di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs:
- fכ man dεm: If dεn pul di prכstat gland εn di sεminal vεsikul dεm, di εjakulεshכn nכ go apin. Sɔm man dɛn kin gɛt prɔblɛm wit di erectile dysfunction.
- Fɔ uman dɛn: If dɛn pul wan pat pan di vagina, i kin at fɔ du mami ɛn dadi biznɛs. di nerv dεm we de involv fכ du mami εn dadi biznεs εn fכ ejakulεshכn kin afekt bak.
Ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis, tɔk to di dɔktɔ opin wan. I kin gi sɔlvishɔn ɛn advays.
Aw lɔng i kin tek fɔ wɛl ɛn ustɛm a fɔ go to dɔktɔ?
I kin tek sɔm wik to mɔnt fɔ mek i wɛl ɔl. Dis na big ɔpreshɔn, so gi yu bɔdi tɛm fɔ mek i wɛl. I nɔmal fɔ mek yu nɔ want fɔ it ɛn chenj yu bɔdi (dayarɛa, kɔnstipɛshɔn) afta dɛn dɔn ɔpreshɔn yu.
Bɔt if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).**
- Sayn dɛm fɔ sho se yu gɛt di sik, lɛk fiva, kol, ɛn shek shek .
- Nɔbɔdi nɔ go ebul fɔ stɔp amFɔ vɔmit .
- Ebi ebi blɔd we de kɔmɔt na di say dɛn we dɛn de du ɔpreshɔn.
- If pen de go ɔp, swel, ɔ di kɔlɔ de chenj (rɛd, brawn, blak) rawnd di say we dɛn kɔt.
- Di pen so bad dat di mɛrɛsin we di dɔktɔ gi am nɔ ebul fɔ kɔntrol am .
- If i at fɔ pis ɔ if di urine flɔ dɔn ridyus bikɔs ɔf di nyu rod.
Mɛsej we dɛn kin kɛr go na os
- Robotic cystectomy na wan tritmɛnt we rili advans, sef, ɛn we de wok fayn fɔ blad kansa.
- Nɔto rɔbɔt de du dis ɔpreshɔn, bɔt na dɔktɔ we tren gud gud wan ɛn we ebul fɔ kɔntrol am ɔl.
- I nɔ kin gɛt bɔku pen, i nɔ kin gɛt bɔku blɔd, i nɔ kin de na ɔspitul, ɛn i kin wɛl kwik kwik wan pas di tradishɔnal ɔpreshɔn.
- afta dεn dכn pul di blad, di bכdi de divεlכp nyu we fכ pas urine. I kin tek sɔm tɛm fɔ mek yu yus to am.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. If yu gɛt kɔrɛkt infɔmeshɔn, dat go ɛp yu fɔ mek yu nɔ fred.
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