I nɔmal fɔ mek yu fil fred we yu dɔktɔ tɛl yu se yu gɛt tumbu na yu rɛktum, we na di ɔda pat we de dɔŋ na yu big intestin. Yu kin de tink se, "O, a go gɛt fɔ kɔt yu bɛlɛ, a go gɛt fɔ de na ɔspitul fɔ sɔm dez, i go at bad bad wan," nɔto so? Bɔt nɔ wɔri. Teknɔlɔji dɔn rili go bifo tide. Tide, wi de tɔk bɔt Transanal Endoscopic Microsurgery (TEMS) , we na spɛshal ɔspitul we de pul di tumbu dɛn lɛk dis we nɔ de mek ɛni say na yu bɛlɛ, we dɛn de yuz smɔl smɔl tin dɛn we dɛn kin put insay yu rɛktum.
Fɔ tɔk am simpul wan, wetin na TEMS?
TEMS na wan ɔspitul we nɔ kin tek bɔku tin fɔ pul di tumbu ɛn smɔl smɔl kansa dɛn na yu rɛktum. Trade, fɔ pul wan tumbu na yu rɛktum, yu fɔ dɔn gɛt big ɔpreshɔn na yu bɛlɛ. Insay dis TEMS prosidur, di ɔspitul kin put spɛshal inschrumɛnt tru yu an ɛn yuz smɔl kamɛra ɛn ɔspitul inschrumɛnt fɔ pul di tumbu.
Di big bɛnifit fɔ dis na dat bikɔs dɛn nɔ kɔt di bɔdi na do , yu nɔ go fil pen pasmak, yu go wɛl kwik kwik wan, ɛn yu nɔ go gɛt bɔku prɔblɛm dɛn pas afta yu dɔn du big ɔpreshɔn.
Wetin na di difrɛns bitwin TEM ɛn TAMIS?
Yu go dɔn yɛri bak bɔt TAMIS. Dɛn tu we ya fiba smɔl, bɔt smɔl difrɛns de.
- TEMS (Transanal Endoscopic Microsurgery): dis de yuz wan lכng tik tik instrכmεnt we lεk tכb we dεn kכl ``Rectoscope.'' dεn de pas di kεmεra εn כda instrכmεnt dεm tru dis tכb.
- TAMIS (Transanal Minimally Invasive Surgery): Dis kin yuz wan smɔl, rawnd, fleksibul, we tan lɛk jel. dεn kin put am tru di anus εn dεn kin pul di tכmכro bay we dεn de yuz di sem instrכmεnt dεm we dεn kin yuz fכ laparoskopik כpεrayshכn.
Di dɔktɔ go chɛk yu sik ɛn pik di we we go fayn fɔ yu bay usay di tumbu de.
Udat TEMS ɔpreshɔn fit fɔ?
Dis ɔpreshɔn nɔto fɔ ɔlman, bɔt sɔm tɛm dɛn de, i kin rili fayn fɔ du am.
- Fɔ di wan dɛn we gɛt prɔblɛm fɔ bia wit big ɔpreshɔn bikɔs ɔf ɔda wɛlbɔdi prɔblɛm (e.g. at sik, dayabitis).
- Fɔ di wan dɛn we gɛt di fɔs stej rɛktal kansa.
- Fɔ yɔŋ pipul dɛn we nɔ gɛt kansa (benign) tumor.
- Fɔ ɛnibɔdi we want fɔ avɔyd big ɔpreshɔn, if di dɔktɔ disayd se i fayn.
Bɔt if di pozishɔn we yu spayna de mek i nɔ izi fɔ mek di inschrumɛnt rich di tɔŋ, ɔ if yu rεktum smɔl (stenosis), dis prɔsidyu nɔ kin pɔsibul. Na yu dɔktɔ we de du ɔpreshɔn kin disayd ɔl dis.
Kɔndishɔn dɛn we dɛn trit wit TEMS ɔpreshɔn
Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ pul di tɔŋ dɛn we de na di rɛktum. Dɛn kin yuse am fɔ trit dɛn sik ya:
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Benign rεktal tכmכro dεm | Nɔmal tɔŋ dɛm we nɔ kin bi kansa. |
| Kansa na di rεktal | Ɛspɛshali kansa tɔŋ dɛn we de na di fɔs stej. |
| Pɔlip dɛn we de na di rɛktal | sכm sכm sist dεm we de divεlכp pan di layn na di rεktum. |
| Fistulas we dɛn kɔl fistulas | sכm sכm infεkshכn pasεj dεm we de fכm bitwin di anus εn di skin we de rawnd am. |
| Di rεktal prolaps | pat pan di rεktum we de kכmכt frכm di anal opin. |
| Narrowing of di rεktum (Strictures) . | di rεktum dεn dכn sכmtεm fכ sכm rizin. |
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 insay dɛn ɔltogɛda . Dis go mek di dɔktɔ si di insay pat pan yu rεktum klia wan. Fɔ dis, yu dɔktɔ go gi yu spɛshal laxative.
Tipikli yu go gɛt instrɔkshɔn dɛn lɛk dis:
- Nɔ it tin dɛn we strɔng di de bifo di ɔpreshɔn.
- Drink klia wata nɔmɔ (wata, sɔl wata, Jeevani) 12-24 awa bifo dɛn du di ɔpreshɔn.
- Nɔ it ɔ drink ɛnitin frɔm midulnɛt di de we dɛn du di ɔpreshɔn.
- If yu de tek ɛnitin lɛk blɔd tin, mek shɔ se yu tɛl yu dɔktɔ bɔt am ɛn stɔp fɔ tek am sɔm dez bifo tɛm, lɛk aw i advays.
Di tin we impɔtant pas ɔl na fɔ fala ɔl di instrɔkshɔn dɛn we di dɔktɔ gi yu di rayt we. Dis rili impɔtant fɔ mek di ɔpreshɔn go bifo.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil ɛnitin we yu de du dis bikɔs dɛn go du di ɔpreshɔn ɔnda jenɛral anestezi, we min se yu go slip ɔl. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn:
1. di sajin de put di instrכmεnt ``Rεktoskop`` tru di anal opin insay di rεktum.
2. di rεktum de inflate sכmtεm wit gas fכ bεtε fכ si di εria we de rawnd di tכmכro.
3. Dɛn kin put kamɛra ɛn dilik ɔspitul inschrumɛnt dɛn tru di rɛktoskɔp ɛn dɛn kin kɔt di tɔŋ ɔ pɔlip, wit sɔm wɛlbɔdi tisu we de rawnd am ɛn pul am.
4. Dɔn dɛn kin lɔk di say we dɛn kɔt wit stich dɛn we dɛn kin sɔlv ɔ smɔl smɔl mɛtal klip dɛn.
Aw i kin tan lɛk afta dɛn dɔn du di ɔpreshɔn?
Yu kin gɛt sɔm prɔblɛm dɛn afta dɛn dɔn du yu ɔpreshɔn. Insay di fɔs 24 awa, yu kin si:
- wan tiub (`kateta`) we dεn put insay yu blad fכ drεn urine.
- gi di bכdi di wata we i nid tru wan salin infushכn (wan `IV layn`) insay wan vein na yu an.
- Antibayɔtik (IV antibayɔtik) we dɛn kin gi tru salin fɔ lɛk 24 awa fɔ mek dɛn nɔ gɛt di sik.
Yu kin bigin fɔ it ɛn drink lɛk wan de afta di ɔpreshɔn. Bɔku tɛm yu go ebul fɔ go na os afta wan ɔ tu dez na ɔspitul .
Wetin na di bɛnifit dɛn we dis we ya de du?
di TEMS mεtכd gεt bכku advantej pas laparotomy. Sɔntɛnde, big ɔpreshɔn kin mek i nɔ ebul fɔ kɔntrol di urinary, i kin mek i nɔ ebul fɔ du mami ɛn dadi biznɛs, ɛn ivin nid fɔ mek dɛn pul di kɔlostomi fɔ ɔltɛm. Di TEMS we dɛn kin yuz kin ridyus bɔku pan dɛn prɔblɛm ya.
| Bɛnifit | Fɔ ɛksplen |
|---|---|
| Blɔd nɔ kin bɔku | Na smɔl blɔd de kɔmɔt bikɔs dɛn nɔ kɔt am. |
| Fɔs kɔmplikeshɔn dɛn | Di risk fɔ infɛkshɔn ɛn intestinal ɔbstrukshɔn nɔ bɔku. |
| Kwik fɔ wɛl | Nɔmal tin dɛn kin bigin insay wan ɔ tu dez. |
| Shorter ɔspitul fɔ de na di ɔspitul | Yu kin go na os insay 1-2 dez. |
Yu nɔ tink se risk de pan dis?
Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de, bɔt di risk kin smɔl pas we pɔsin put in bɛlɛ.
- Blɔd we de kɔmɔt
- Fɔ gɛt infɛkshɔn
- Riktal ɔ bɛlɛ pen
- I nɔ izi fɔ yu fɔ pis (`Urinary retention`) .
- Sɔdan nid fɔ defecate (`Fecal urgency`)
If sɔntin lɛk dis apin, dɔktɔ dɛn kin rɛdi fɔ trit am.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Blɔd we de kɔmɔt pasmak
- Fiva ɔ fil kol
- I nɔ kin izi fɔ yu fɔ pis
- Pen we yu nɔ go ebul fɔ bia na yu bɛlɛ ɔ yu rɛktal
If na kansa, yu tink se dis na di wangren tritmɛnt?
If dɛn no se kansa na di rɛktal we i bigin, ɛn dɛn pul di tumbu ɔlsay wit TEMS ɔpreshɔn, ɔda tritmɛnt dɛn nɔ go nid fɔ du am. Bɔt fɔ sɔm pipul dɛn, i kin dipen pan di kayn tumbu, yu dɔktɔ kin tɛl yu fɔ tek kemotɛrapi ɔ redyushɔn tɛrapi apat frɔm dis ɔpreshɔn. Dis ɔl go bi afta dɛn dɔn chɛk yu kɔndishɔn.
Mɛsej we dɛn kin kɛr go na os
- TEMS na wan mɔdan, sef, ɛn nɔ-invasive ɔspitul we dɛn kin yuz fɔ pul di rεktal tכmכro dεm.
- Dis kin mek i nɔ kin fil pen, i kin wɛl kwik kwik wan, ɛn i kin de na ɔspitul fɔ shɔt tɛm.
- Dis nɔ fayn fɔ ɔlman. Yu dɔktɔ go disayd if dis fayn fɔ yu ɔ nɔ fayn fɔ yu.
- I rili impɔtant fɔ fala di instrɔkshɔn dɛn we dɛn gi yu bifo yu du ɔpreshɔn (fɔ klin yu bɛlɛ, it) ɛksaktɔli.
- Ivin if pɔsin kin wɛl kwik kwik wan, de wach fɔ no sayn dɛn lɛk fiva, pen pasmak, ɔ blɔd. If yu notis ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt