di splin na sכmכl כgan we lεk fist saiz we de na di lεft say na yu bכdi, jכs oba yu rib dεm. Sɔntɛm yu nɔ bin dɔn yɛri bɔt am, bɔt na rili impɔtant pat pan wi imyun sistɛm. Fɔ tɔk am simpul wan, di men wok we di splin de du na fɔ mek wayt blɔd sɛl dɛn we de fɛt sik, ɛn fɔ filta di ol blɔd sɛl dɛn we dɔn pwɛl. So, if di splin nɔ ebul fɔ du dɛn wok ya fayn, ilɛksɛf na bikɔs ɔf aksidɛnt ɔ sik, i kin mek yu gɛt prɔblɛm. Na da tɛm de dɔktɔ dɛn kin disayd fɔ ɔpreshɔn fɔ pul di splin (splenectomy).
Yu tink se i pɔsibul fɔ liv we yu nɔ gɛt splin?
Dis kwɛstyɔn go dɔn kam to yusɛf. Yɛs, i rili ebul fɔ du am. Afta dɛn dɔn pul di splin, bɔku pan di wok we i bin de du na wi liva ɛn bon mɛro kin tek am. So, notin nɔ de we go ambɔg yu fɔ liv nɔmal, wɛlbɔdi, ɛn ful layf.
Bɔt wan tin de. Di splin na pawaful sojaman we de fɛt infɛkshɔn. So we i dɔn go, di ebul we wi bɔdi ebul fɔ fɛt di sik dɛn kin wik smɔl. So wi fɔ tek tɛm smɔl pas aw wi kin tek tɛm.
Dat min se wi nid fɔ tek tɛm mɔ bɔt tin dɛn lɛk fɔ gɛt vaysin di rayt tɛm ɛn fɔ wach bɔt di sayn dɛn we de sho se wi gɛt di sik.
Wetin mek yu nid fɔ pul dis splin?
Bɔku rizin dɛn de we mek dɛn kin pul di splin. Frɔm aksidɛnt to sik we pɔsin kin gɛt fɔ lɔng tɛm, bɔku rizin dɛn de fɔ dis. Lɛ wi tek tɛm luk di men rizin dɛn.
| Rizin | Tɔk bɔt |
|---|---|
| Spleen we dɔn brok | Dis na di imejensi we kin apin pas ɔl. Imajin se yu gɛt bad bad blo na yu bɛlɛ na yu lɛft say, ilɛksɛf na motoka aksidɛnt, we yu fɔdɔm frɔm ayt, ɔ we yu de ple spɔt. Dis kin pwɛl yu splin ɛn mek yu blɔd kɔmɔt insay. Dis kin mek pɔsin in layf de pan denja ɛn i kin nid fɔ du ɔpreshɔn wantɛm wantɛm. |
| Blɔd Dizayd | Dɛn kin pul di splin we ɔda tritmɛnt dɛn nɔ wok fɔ sɔm sik dɛn we gɛt fɔ du wit blɔd. Sɔm ɛgzampul dɛn na: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sikl Sɛl Anemia, ɛn Ɔtoimyun Ɛmolaytik Anemia. |
| Di kayn Kansa dɛn we pɔsin kin gɛt | If di splin big ɛn i de fil pen bikɔs ɔf kansa lɛk Hodgkin Lymphoma ɛn Non-Hodgkin Lymphoma, i kin nid fɔ pul am. Sɔntɛnde dɛn kin pul di splin bak we dɛn de du ɔpreshɔn pan pankrias kansa. |
| Splenomegaly we gɛt di sik | If di splin big fɔ no rizin ɛn i de mek sɔm sayn dɛn lɛk bɛlɛ pen, dɛn kin pul di splin fɔ fɛn di tin we mek i gɛt am ɛn kɔntrol di sik dɛn. |
| Infεkshכn dεm | Na smɔl tɛm nɔmɔ, if sɔntin lɛk abses fɔm insay di splin, dɛn kin nid ɔpreshɔn fɔ pul am. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
If dis ɔpreshɔn nɔto imejensi, bɔt na wan we yu dɔn plan, yu go gɛt sɔm tɛm fɔ rɛdi. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.
- Fɔ gɛt di vaysin: Dis rili impɔtant. Bikɔs di risk fɔ gɛt infɛkshɔn kin bɔku afta dɛn dɔn pul di splin, i impɔtant fɔ gɛt di vaysin dɛn we nid fɔ protɛkt yu frɔm dɛn infɛkshɔn dɛn de sɔm wik bifo di ɔpreshɔn. Dis we ya, yu bɔdi in imyuniti go de na in mak we dɛn du di ɔpreshɔn.
- Nɔ smok: If yu na pɔsin we de smok, if yu lɛf fɔ smok bifo dɛn du yu ɔpreshɔn, dat go rili ɛp yu wund dɛn fɔ wɛl kwik kwik wan.
- Mɛdikal tɛst: Yu dɔktɔ go chɛk yu, du blɔd tɛst, skan, ɛn ɔda tɛst fɔ mek shɔ se yu bɔdi de fayn fɔ ɔpreshɔn.
- Ɔda tin dɛn fɔ du: Yu dɔktɔ go advays yu bɔt ustɛm fɔ stɔp fɔ it ɛn drink di de bifo dɛn du di ɔpreshɔn, ɛn if yu nid fɔ stɔp fɔ tek sɔm mɛrɛsin fɔ sɔm tɛm, lɛk tin dɛn we de mek yu blɔd tan.
Aw dɛn kin du di ɔpreshɔn?
Tu men ɔpreshɔn dɛn de fɔ pul di splin. Insay ɔl tu di tin dɛn we dɛn kin du, dɛn kin put yu ɔnda jenɛral anestezi, so yu nɔ kin fil natin ɛn yu de slip.
Laparoskɔpik Ɔpreshɔn
Dis na di we aw dɛn kin yuz mɔ naw. Dɛn kin kɔl am bak "keyhole surgery." insted fכ mek big insεshכn na di bεlε, dεn kin du di כpεrayshכn tru 3 כ 4 rili sכm sכm sכm pat dεm, we dεn kin put kεmεra (laparoscope) εn dilik instrכmεnt dεm fכ כpεrayshכn tru. Di dɔktɔ we de du di ɔpreshɔn kin du di ɔpreshɔn we i de wach di pikchɔ dɛn frɔm di kamɛra na wan monita. Insay dis we, di say dɛn we dɛn kɔt kin smɔl, so i nɔ kin fil pen, i kin wɛl kwik kwik wan , ɛn i nɔ kin tek lɔng tɛm na ɔspitul.
Opin Ɔpreshɔn
If di splin rili big ɔ i de blɔd we yu nɔ ebul fɔ kɔntrol, i kin at fɔ pul am wit laparoskopik. Na da tɛm de dɔktɔ dɛn kin yuz opin ɔpreshɔn. Dis involv fɔ mek wan say we big smɔl na di bɛlɛ.
Wetin kin apin afta di ɔpreshɔn?
Yu go ebul fɔ go na os insay tu to tri dez if dɛn du yu ɔpreshɔn wit laparoskopik, ɛn insay lɛk fayv to sɛvin dez if dɛn du yu ɔpreshɔn we yu opin. Bifo yu go na os, di mɛdikal tim go ɛksplen to yu ditayli di tin dɛn we yu nid fɔ kia fɔ we yu nɔ gɛt splin.
- Fɔ gɛt di rayt vaysin: Dɛn go gi yu wan patikyula vaksin schedule. Dɛn tin ya na di vaysin dɛn we de agens Nyumokɔk, Mɛningokɔk, Ɛmofilis inflɔɛnsa tayp b (Hib), ɛn di flu vaksin we dɛn kin gi ɛvri ia ɛn di COVID vaysin. I impɔtant fɔ gɛt dɛn vaysin ya di rayt tɛm.
- Antibayɔtik: Sɔm pipul dɛn, mɔ pikin dɛn we nɔ rich 5 ia yet ɛn di wan dɛn we gɛt wikɛd imyun sistɛm, dɛn kin gi dɛn antibayɔtik ɛvride. Apat frɔm dat, yu dɔktɔ kin gi yu antibayɔtik we yu fɔ tek kwik kwik wan we yu gɛt sayn dɛn fɔ se yu gɛt infekshɔn, lɛk fiva ɔ kɔf.
- Mɛdikal ID: I rili impɔtant fɔ kɛr kad ɔ mɛdikal ID breslɛt ɔltɛm we de sho se dɛn dɔn pul yu splin. Dis go rili ɛp di wan dɛn we de trit yu if ɛnitin apin we nɔ izi fɔ yu.
- We yu de travul: If yu de go fɔ lɔng tɛm, mɔ na say usay sik dɛn lɛk malaria kin bɔku, go to yu dɔktɔ sɔm wiks bifo yu go fɔ gɛt di advays ɛn vaysin dɛn we yu nid.
Tin dɛn we yu fɔ wach ɛn ustɛm fɔ go to dɔktɔ
Fɔ pɔsin we nɔ gɛt splin, ivin smɔl infekshɔn kin bi siriɔs kwik kwik wan. So na fɔ rili no bɔt dɛn sayn ya. Dɛn kin kɔl dɛn tin ya bak "rɛd flag sayn dɛm."
| If yu gɛt dɛn sik ya, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm! | |
|---|---|
| Fiva (we pas 101°F / 38.5°C) | Shivering bikɔs ɔf kol |
| Dischaj we tan lɛk pus frɔm wan wund we dɛn du ɔpreshɔn pan | Rɛd ɛn swel rawnd di wund |
| Kɔf ɛn i nɔ kin izi fɔ blo | Bɛlɛ pen bad bad wan, nɔs, ɛn vɔmit |
| If animal bit yu (especially dog, cat) . | Pen we nɔ de stɔp pan ɔl we yu de tek mɛrɛsin fɔ mek yu fil pen |
OPSI (Overwhelming Post-Splenectomy Infection) na wan bad bad infεkshכn we kin apin afta dεn du di כpεrayshכn. Dis kin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik kwik wan. So , if yu gɛt ɛni wan pan dɛn tin ya we wi dɔn tɔk bɔt, nɔ west tɛm ɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Splenectomy na ɔpreshɔn fɔ pul di spleen. Pan ɔl we dis na big ɔpreshɔn, yu kin liv ful, wɛlbɔdi layf we yu nɔ gɛt splin.
- If yu nɔ gɛt splin, di ebul we yu bɔdi ebul fɔ fɛt infɛkshɔn kin ridyus smɔl. So fɔ protɛkt yusɛf frɔm infɛkshɔn na di tin we impɔtant pas ɔl.
- Gɛt ɔl di vaysin dɛn we yu dɔktɔ gi yu di rayt tɛm, ɛn nɔ skip ɛni wan pan dɛn.
- If yu gɛt ɛni sayn fɔ sho se yu gɛt di sik, lɛk fiva, kol, ɔ fɔ swel na di wund, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- If yu fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we, yu go ebul fɔ de sef ɛn gɛt wɛlbɔdi.
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