Di dɔktɔ tɛl yu se yu gɛt smɔl tumbu, we na polip, na yu rɛktum? We yu yɛri dat, bɔku kwɛstyɔn dɛn we de mek a fred kin kam na yu maynd, lɛk "Oh, a go gɛt fɔ kɔt mi bɛlɛ, aw lɔŋ a go gɛt fɔ de na ɔspitul, aw i go at?" Bɔt nɔ fred. Tide, mɛrɛsin dɔn rili go bifo. wan spεshal mכtכd de we kin pul dεn kayn tכmכro dεm ya we dεn nכ mek εni insayshכn na di bεlε, bay we dεn de put sכm sכm instrכmεnt dεm tru di rεktum. Na dat wi de tok abaut tide.
Wetin rili na TEMS?
Fɔ tɔk am simpul wan, Transanal Endoscopic Microsurgery (TEMS) na ɔpreshɔn we dɛn kin put rili smɔl ɔspitul inschrumɛnt dɛn ɛn kamɛra tru yu an, dat na, tru di ples usay di stɔl de kɔmɔt, fɔ pul di tɔŋ dɛn, polip dɛn, ɛn ɔda tin dɛn na di rɛktum, we na di pat we de dɔŋ pas ɔl na di big intestin.
Jɔs imajin, trade, fɔ pul wan tumbu lɛk dis we de jɔs insay di rɛktum, yu go gɛt fɔ kɔt di bɛlɛ opin ɛn du big ɔpreshɔn. I go tek lɔng tɛm fɔ mek i wɛl, i go rili pen, ɛn yu go gɛt fɔ de na ɔspitul fɔ sɔm dez.
Bɔt wit dis TEMS we, di ɔspitul kin go rayt tru di an, we i nɔ mek ɛni say na di bɛlɛ, rich di tɔŋ ɛn pul am fayn fayn wan. Dis min se yu nɔr de fil pen pasmak ɛn yu fɔ wɛl bɔdi kin shɔt pasmak.
Wetin na di difrɛns bitwin TEMS ɛn TAMIS?
Yu go dɔn yɛri bɔt TEMS ɛn bak bɔt TAMIS. Dɛn tu na kayn ɔpreshɔn we dɛn kin du tru di an. Bɔt sɔm smɔl smɔl tin dɛn de we difrɛn. Lɛ wi si wetin dɛn bi.
| Tin | TEMS (Transanal Ɛndoskopik Maykrosɔjri) . | TAMIS (Transanal Minimal Invasiv Ɔpreshɔn) . |
|---|---|---|
| Divays we dɛn yuz | Dɛn kin yuz wan strɛch, rigid tiub we tan lɛk inschrumɛnt (rɛktoskɔp). | Dɛn kin yuz wan pɔt we tan lɛk jel, we kin chenj, ɛn we kin mek lɛk se na sɛkɔndari. |
| Fɔ ebul fɔ chenj chenj | Bikɔs di divays strɔng, sɔntɛnde i kin at fɔ rich di tumbu. | di instrכmεnt dεm de fleksibul mכr, we de mek i izi fכ rich difrεn εria dεm na di rεktum. |
| Instrɔmɛnt dɛn fɔ ɔpreshɔn | Dɛn kin yuz spɛshal maykrosɔj inschrumɛnt dɛn fɔ dis. | Dɛn kin yuz di sem tin dɛn we dɛn kin yuz fɔ du ɔpreshɔn wit laparoskɔpik. |
Yu dɔktɔ we de du ɔpreshɔn go disayd us we we go fayn fɔ yu. I dipen pan di say we di tumbu de, di sayz, ɛn ɔda tin dɛn.
Udat fit fɔ dis ɔpreshɔn?
TEMS ɔpreshɔn nɔto fɔ ɔlman, bɔt i kin bi rili gud opshɔn pan dɛn kayn tin ya:
- Fɔ di wan dɛn we gɛt prɔblɛm fɔ bia wit big ɔpreshɔn we involv fɔ kɔt dɛn bɛlɛ opin bikɔs ɔf ɔda wɛlbɔdi prɔblɛm dɛn (fɔ ɛgzampul, at sik, dayabitis).
- Fɔ di wan dɛn we de na di fɔs stej fɔ gɛt kansa na di rɛktal.
- Fɔ pipul dɛm wae nɔr gɛt kansa (benign) tumor ɔ polyp, mɔr yɔŋ pipul dɛm.
- Fɔ di wan dɛn we want fɔ avɔyd prɔblɛm dɛn we kin apin afta dɛn dɔn du big ɔpreshɔn.
Us sik dɛn kin trit wit TEMS ɔpreshɔn?
Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ pul di tɔŋ dɛn we de gro na di rɛktum. Lɛ wi tek wan luk pan wetin dɛn bi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Benign rεktal tכmכro dεm | Dɛn tin ya nɔto kansa, bɔt if dɛn nɔ pul dɛn, dɛn kin mek prɔblɛm leta. |
| Kansa na di rεktal | We di kansa bigin, dis ɔpreshɔn kin rili fayn if di tumbu smɔl ɛn i nɔ skata. |
| Pɔlip dɛn we de na di rɛktal | sכm sכm bכdi dεm we de fכm insay di kכlon. I impɔtant fɔ pul sɔm polip bikɔs leta dɛn kin tɔn to kansa. |
| Di rεktal prolaps | sכmtεm dεn kin yuz dis prosidכs fכ kכrekt wan kכndishכn usay pat pan di rεktum de kכmכt tru di an. |
| Strikchכ dεm na di rεktum | i at fכ defek biכs fכ di rεktum we de sכmtεm sכmtεm. |
| Fistulas we dɛn kɔl fistulas | Infεkt sכm sכm pasεj dεm we de rawnd di anus. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Fɔ pripia fɔ dis tan lɛk we yu de pripia fɔ du kɔlon skɔpi. Di men tin na fɔ klin yu kɔlon ɔltogɛda. Dis go mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ si di insay pat pan yu rεktum klia wan.
Bɔku tɛm, yu dɔktɔ go gi yu dɛn tin ya:
- Nɔ it tin dɛn we strɔng di de bifo di ɔpreshɔn.
- Drink ɔl likwid (klia sup, ti, wata) 12-24 awa bifo di ɔpreshɔn.
- Nɔ it ɔ drink ɛnitin afta midulnɛt di de we dɛn du di ɔpreshɔn.
- Dɛn go gi yu spɛshal wata (laxative) fɔ drink fɔ klin yu bɔdi. Yu go nid fɔ go na di bafa bɔku tɛm afta yu dɔn drink am, so plan fɔ de na os da tɛm de.
- I rili impɔtant: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan . Dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Natin nɔ de fɔ mek wi fred. Bifo di ɔpreshɔn bigin, dɛn go gi yu jenɛral anestezi. Dis min se yu go slip ɔl ɛn yu nɔ go fil natin. Na sɔm tin dɛn we go apin we dɛn de du di ɔpreshɔn:
1. di sajin de put wan spεshal instrכmεnt (rεktoskop) tru yu rεktum.
2. afta dat, fכ ebul fכ luk insay di rεktum, dεn de fulכp sכm briz insay am εn inflate.
3. Naw, dɛn kin put wan rili smɔl kamɛra ɛn ɔspitul inschrumɛnt dɛn tru da divays de, ɛn we dɛn de wach pan monita, dɛn kin pul di tumbu ɔ di polip, wit smɔl wɛlbɔdi tisu we de rawnd am.
4. Dɛn kin lɔk di say we dɛn pul di tɔŋ wit stich dɛn we dɛn kin sɔlv ɔ smɔl smɔl mɛtal klip dɛn. Dɔn di bɔdi kin tek dɛn tin ya ɔ pas na di stɔl.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn gɛt?
di big advantej fכ TEMS כpεrayshכn na dat i kin rich ivin di כp pat dεm na di rεktum we dεn nכ sכk di bεlε. Trade, fɔ rich na dɛn kayn say dɛn de, dɛn bin gɛt fɔ du big ɔpreshɔn pan yu. Dɛn kayn big big ɔpreshɔn ya kin mek dɛn gɛt sayd ɛfɛkt dɛn we go de fɔ lɔng tɛm lɛk fɔ mek i nɔ izi fɔ pis, fɔ mek i nɔ ebul fɔ du mami ɛn dadi biznɛs, ɛn fɔ mek i nid fɔ wɛr bag we dɛn kin yuz fɔ stɔl fɔ ɔltɛm (colostomy).
Bɔt wit di TEMS we, di pen nɔ kin bɔku, di pɔsin kin wɛl kwik kwik wan, ɛn bɔku ɔda bɛnifit dɛn de.
- Blɔd nɔ kin bɔku.
- Di risk fɔ kɔmplikeshɔn lɛk infɛkshɔn ɛn intestinal blɔk rili smɔl.
- Di ɔspitul we dɛn kin de na di ɔspitul kin shɔt (bɔku tɛm wan ɔ tu dez).
- I nɔ go te igen yu go wɛl ɛn yu go ebul fɔ du tin dɛn we yu nɔ bin de du.
Ɛni risk ɔ prɔblɛm dɛn de we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt we yu kɔmpia am to tummy tuck, di risk dɛn kin smɔl. Smɔl smɔl prɔblɛm dɛn we kin apin na:
- Blɔd we de kɔmɔt
- Fɔ gɛt infɛkshɔn
- Riktal ɔ bɛlɛ pen
- I nɔ izi fɔ pis (Urinary retention) .
- Fɔ fil se yu nid fɔ defecate wantɛm wantɛm (Fecal urgency) .
If sɔntin lɛk dis apin, yu dɔktɔ go gi yu di tritmɛnt we yu nid.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis na ɔda big tin bɔt dis ɔpreshɔn.
- Yu kin grap ɛn waka di sem de we dɛn du yu ɔpreshɔn.
- Afta yu dɔn go na os, yu kin bigin fɔ du yu nɔmal tin dɛn bak insay lɛk wan ɔ tu dez so .
Yu stɔl kin lɔs smɔl fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. Dis na nɔmal tin. Yu kin nid fɔ go to pɔsin we sabi bɔt it ɔ pɔsin we sabi bɔt it fɔ mek chenj dɛn to yu it te yu bɔdi wok bak to nɔmal.
Situeshɔn dɛn we yu fɔ go to dɔktɔ wantɛm wantɛm
We yu go na os afta dɛn dɔn ɔpreshɔn yu, i impɔtant fɔ no ɛni prɔblɛm kwik kwik wan. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) fɔ gɛt tritmɛnt.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| 🔴 we yu de yuz | Blɔd we de kɔmɔt na di rɛktal pasmak. |
| 🔴 we yu de yuz | Siriɔs bɛlɛ pen ɔ rɛktal pen. |
| 🔴 we yu de yuz | Fiva ɔ kol kol. |
| 🔴 we yu de yuz | I nɔ izi fɔ pis ɔ nɔ urine kɔmɔt. |
Dis na di wangren ɔpreshɔn fɔ rɛkɛtal kansa?
Dis na prɔblɛm fɔ bɔku pipul dɛn.
If di kansa de na di fɔs stej , we min se di tumbu smɔl ɛn i nɔ dɔn spre to ɔda say dɛn, dɛn nɔ go nid ɔda tritmɛnt afta dɛn dɔn pul di tumbu ɔlsay wit TEMS ɔpreshɔn.
Bɔt sɔm tɛm dɛn de, apat frɔm ɔpreshɔn, dɛn kin nid ɔda tritmɛnt dɛn lɛk kemotɛrapi ɔ redyushɔn tɛrapi . Na yu dɔktɔ we de trit yu ɛn di dɔktɔ we de mɛn yu kansa togɛda fɔ disayd dis.
Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt tumbu. Bɔt mɛmba se wit di advans tɛknɔlɔji tide, ɔpreshɔn dɛn de we dɛn kin du we dɛn nɔ kɔt di bɛlɛ, we nɔ kin fil pen, ɛn we pɔsin kin wɛl kwik kwik wan. TEMS na wan pan dɛn kayn tritmɛnt we ya we rili sef ɛn we go wok fayn.
Mɛsej we dɛn kin kɛr go na os
- TEMS na wan ɔspitul we rili advans we de pul di tכmכro dεm bay we dεn de pas instrכmεnt dεm tru di rεktum, we dεn nכ de mek wan insayshכn na di bεlε.
- Dis we ya nɔ kin mek yu fil pen, di tɛm we yu kin de na ɔspitul kin shɔt, ɛn yu kin go bak to nɔmal layf kwik kwik wan.
- Dis na wan we we rili fayn fɔ pul di fɔs stej dɛm fɔ di rɛktal kansa ɛn di tɔŋ dɛm we nɔ gɛt kansa.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs bifo ɛn afta di ɔpreshɔn.
- If yu gɛt ɛni prɔblɛm afta yu dɔn ɔpreshɔn, lɛk fiva, pen pasmak, ɔ blɔd, go to dɔktɔ wantɛm wantɛm.
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