Ɔlman kin fred smɔl we dɛn yɛri se dɛn dɔn du ɔpreshɔn pan ples dɛn lɛk di trot, di bak pat na di mɔt, ɔ di say we di tɔŋ de, nɔto so? Bɔt naw tɛknɔlɔji dɔn go bifo bɔku. we de fכ du dis kayn כpεrayshכn insay di mכt, we yu nכ de mek big big say dεm na di nεk εn jaw lεk bifo. Dis las we we dɛn kin du wit di ɛp we rɔbɔt de ɛp, dɛn kɔl am TORS, we tinap fɔ Transoral Robotic Surgery. Tide, wi go tɔk bɔt dis insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na TORS?
TORS na wan we we dɔktɔ we de du ɔpreshɔn kin yuz kɔmpyuta fɔ kɔntrol di rɔbɔt an dɛn. Imajin se dɛn put wan smɔl kamɛra ɛn inschrumɛnt dɛn fɔ ɔpreshɔn tru yu mɔt ɛn dɔŋ yu trot. Di dɔktɔ de kɔntrol di rɔbɔt an dɛn frɔm kɔmpyuta kɔnsol we i de wach di klia 3D we yu de si frɔm di kamɛra.
Dɛn rɔbɔt an dɛn ya tan lɛk we dɔktɔ in an dɛn de ɛkstɛnd. Bɔt dɛn mek dɛn fɔ bi tin we nɔ izi fɔ du, we nɔ de chenj, ɛn we de chenj chenj pas mɔtalman an. dis kin mek dεn ebul fכ pul di tכmכro dεm we gεt kansa dip insay di mכt, lεk di wan dεm we de na di trot εn di bכs pat na di tכng, we nכmal fכ at fכ rich, we dεn nכ de mek εni say we dεn kכl na do. di tεknכlכji we dεn kin yus fכ dis na di ``da Vinci® Surgical System``.
Trade, fɔ pul wan tumbu we de na dis say, yu fɔ du mandibulotomy (we na ɔpreshɔn we dɛn kin kɔt di lɔwa jaw bon). Na bin wan ɔpreshɔn we bin rili kɔmplikt we bin tek lɛk 10-12 awa ɛn i bin tek lɔng tɛm fɔ wɛl. Tɛnki fɔ TORS, dat tranga prosidur naw dɔn bɔku pan dɛn dɔn pul am.
Us kɔndishɔn dɛn kin trit wit TORS ɔpreshɔn?
Pan ɔl we dɛn kin yuz TORS ɔpreshɔn mɔ fɔ ed ɛn nɛk kansa, naw dɛn kin yuz am bɔku bɔku wan fɔ sik dɛn we nɔ gɛt kansa bak.
| Tayp fɔ di mɛdikal kɔndishɔn | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Hɛd & Nɛk Kansa dɛn | |
| Kansa we de na di ɔrofarinj | Kansa we kin apin na di bak pat na di trot, mɔ na di say we di tɔŋ de ɔ na di tɔŋ. Kansa dɛn we gɛt fɔ du wit HPV kin bɔku pan dɛn wan ya. |
| Kansa we de na di haypofarinj | Kansa we kin apin na di pat we de dɔŋ pas ɔl na di trot, dɔŋ di larynx. |
| Kansa na di laryngeal | Kansa we de apin na di larynx (voice box), we de mek yu vɔys. |
| Kɔndishɔn dɛn we Nɔ Gɛt Kansa | |
| Tumɔs ɛn gland dɛn we nɔ gɛt kansa | Benign tumor dεm εn sist dεm we fulכp wit wata na di mכt. |
| Obstruktiv slip apnɛa | As tritmεnt fכ wan kכndyushכn we i kin tranga fכ brith biכs fכ bכn di aywe we yu de slip. |
| Lingual tonsilaytis we pɔsin kin gɛt | di tכnsil dεm we de na di bכs pat pan di tכng de swεla εn infεkshכn. |
Udat fit fɔ dis ɔpreshɔn?
TORS ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ go disayd if yu na gud kandidet fɔ am. Dɛn go tink bɔt bɔku tin dɛn, lɛk aw yu gɛt wɛlbɔdi, aw yu ed ɛn yu nɛk tan, ɛn aw di kansa big .
Dis ɔpreshɔn nɔ kin fayn fɔ pipul dɛn we gɛt dɛn sik ya:
- If di kansa dɔn skata te dɛn nɔ ebul fɔ pul am wit ɔpreshɔn.
- If anestezi de risky bikɔs ɔf di prɔblɛm fɔ blo.
- If i at fɔ put di inschrumɛnt dɛn bikɔs di mɔt tu smɔl ɔ fɔ sɔm ɔda rizin.
- If risk de fɔ mek yu blɔd bɔku we dɛn de du di ɔpreshɔn.
Di dɔktɔ we de chɛk yu go jɔs rɛkɔmɛnd TORS if i biliv se na di tritmɛnt we sef ɛn we go wok fɔ yu, afta i dɔn tink bɔt ɔl dis.
Aw dɛn kin du di ɔpreshɔn ɛn di tɛm we dɛn kin gɛt fɔ wɛl
Fɔ pripia bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go ɔda fɔ du tɛst lɛk fɔ skan fɔ plan fɔ du yu ɔpreshɔn. Yu kin nid bak fɔ go to dɔktɔ we de stɔdi bɔt aw pɔsin kin tɔk ɛn i kin ɛp yu fɔ no aw i nɔ kin izi fɔ swɛla afta dɛn dɔn du di ɔpreshɔn. Yu dɔktɔ go gi yu instrɔkshɔn bak fɔ nɔ it ɔ drink afta midnayt di nɛt bifo di ɔpreshɔn ɛn fɔ stɔp sɔm mɛrɛsin dɛn lɛk fɔ mek yu blɔd tan .
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn kin du di ɔpreshɔn we dɛn dɔn ful-ɔp yu anestez (put to slip). So yu nɔ go fil ɛni pen. Di dɔktɔ go put rɔbɔt kamɛra ɛn inschrumɛnt dɛn na yu mɔt ɛn wach na kɔmpyuta skrin fɔ pul di kansa kpatakpata. sכmtεm, dεn kin mek sכm sכm sכm limf no dεm na di nεk fכ si if di kεnsar dכn spre to di limf no dεm na di nεk εn dεn kin du ``nεk disekshכn'' fכ pul sכm limf no dεm .
di כpεrayshכn insεf de tek lεk 1.5 - 2 awa, εn di כl prכsεs kin tek lεk 4-5 awa.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis na wan pan di big big bɛnifit dɛn we TORS gɛt. Yu kin go na os afta 2-3 dez na ɔspitul. Yu kin bigin fɔ du yu nɔmal tin dɛn bak insay sɔm wiks.
- Trot kin at ɛn i kin at fɔ swɛla fɔ lɛk 2-3 wik afta dɛn dɔn du di ɔpreshɔn.
- Insay dis tɛm, dɛn kin nid fɔ gi yu di it we yu nid, ɛn yu kin nid fɔ put tɛmporari fidin tyub tru yu nos.
- Fɔ wɛl kin difrɛn fɔ ɔlman, so i impɔtant fɔ lisin to yu bɔdi ɛn tek yu tɛm fɔ wɛl.
Wetin na di men bɛnifit dɛn we TORS ɔpreshɔn gɛt?
Bɔku bɛnifit dɛn de fɔ TORS we yu kɔmpia am wit tradishɔnal opin ɔpreshɔn.
- Ay prɛsishɔn: Bikɔs di rɔbɔt an so dilik, i kin pul di kansa sɛl dɛn nɔmɔ wit big prɛsishɔn, we kin mek i nɔ pwɛl di wɛlbɔdi tisu we de rawnd am.
- Kwik kwik fɔ wɛl ɛn shɔt ɔspitul: We yu bin de gɛt fɔ de na ɔspitul fɔ 1-2 wik, naw yu kin go na os insay 2-3 dez.
- Nɔ ska we pɔsin kin si: Bikɔs dɛn kin du di ɔpreshɔn ɔlsay insay di mɔt, no big ska nɔ de na di nɛk ɔ in fes.
- Ridyus sayd ɛfɛkt: Di risk fɔ blɔd pasmak, prɔblɛm fɔ lɔng tɛm fɔ tɔk ɛn fɔ swɛla kin rili smɔl.
- I nɔ nid fɔ gɛt ɔda tritmɛnt dɛn igen: Dis kin mek di raytin ɔ kemotɛrapi we dɛn nid afta dɛn dɔn du di ɔpreshɔn nɔ bɔku ɔ ivin pul am kpatakpata.
Risk ɛn ustɛm fɔ go to dɔktɔ
Jɔs lɛk ɛni ɔpreshɔn, TORS kin gɛt sɔm prɔblɛm dɛn. Bɔt dɛn tin ya kin smɔl pas di ɔpreshɔn we dɛn kin du opin wan. Sɔm prɔblɛm dɛn de we kin mek pɔsin blɔd pasmak (blɔd we de kɔmɔt na in bɔdi), we pɔsin kin put it ɔ wata insay di lɔng, ɛn i nɔ kin izi fɔ blo. Wan dɔktɔ we gɛt ɛkspiriɛns fɔ du ɔpreshɔn kin ridyus dɛn prɔblɛm ya mɔ.
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Sayn dɛm fɔ infekshɔn lɛk fiva.
- Sayn dɛm fɔ mek yu nɔ gɛt wata lɛk yu mɔt we dray ɛn yu urine dak.
- Blɔd we de kɔmɔt na di say we dɛn du di ɔpreshɔn.
- I nɔ kin izi fɔ yu fɔ blo ɔ fɔ swɛla bad bad wan.
- Nɔs ɛn vɔmit.
- Di swɛlin we nɔmal.
Mɛsej we dɛn kin kɛr go na os
- TORS na wan mɔdan, minimally invasive robotic surgery technique we dɛn kin yuz fɔ pul kansa dɛn na di bak pat na di trot ɛn mɔt.
- I gɛt bɔku bɛnifit dɛn pas tradishɔnal ɔpreshɔn, lɛk i kin wɛl kwik kwik wan, i nɔ kin fil pen, ɛn i nɔ kin gɛt skata na do.
- Yu dɔktɔ go no if dis ɔpreshɔn fayn fɔ yu afta i dɔn chɛk yu mɛrɛsin ɛn yu wɛlbɔdi.
- Pan ɔl we di tɛm we pɔsin kin wɛl kin shɔt, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn ripɔt ɛnitin we nɔ kɔmɔn wantɛm wantɛm.
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