Yu dɔktɔ tink se yu ɔ pɔsin we de nia yu gɛt blad kansa? Ɔ, dɛn dɔn kɔnfyus am ɛn dɛn dɔn tɛl yu se yu nid fɔ gɛt ɔpreshɔn we dɛn kɔl ‘TURBT’? Yu kin fil fred smɔl we yu yɛri dis nem. Bɔt fɔ tru, na rili kɔmɔn ɛn sef tritmɛnt fɔ blad kansa. So, nɔ wɔri. Lɛ wi tɔk bɔt wetin na dis TURBT ɔpreshɔn, aw dɛn kin du am, ɛn aw fɔ bia wit am na simpul ɛn klia we.
Fɔ tɔk am simpul wan, wetin na TURBT?
di ful minin fכ TURBT na Transurethral Rεsekshכn fכ Blad Tכmכro . Na lɔng nem, nɔto so? Bɔt i rili simpul. Na prosidur we de du tu tin wan tɛm. Dat min se i kin no if yu gɛt blad kansa, ɛn i kin pul ɛn trit di kansa bak.
Imajin, di dɔktɔ du dis ɔpreshɔn we i nɔ mek ɛni say na yu bɔdi. Aw dat kin apin?
Dɛn kin yuz wan lɔng, tint, fleksibul tiub we dɛn kɔl rɛsɛktoskɔp. dis instrכmεnt de insay yu urethra, di tכb we de kכri urine frכm yu blad to yu bכdi. Na di ɛnd pan dis inschrumɛnt, dɛn put smɔl kamɛra, layt, ɛn smɔl lɔp we dɛn kin yuz fɔ kɔt ɛn pul di kansa. Di dɔktɔ tek tɛm pul di kansa we i de wach di pikchɔ dɛn frɔm dis kamɛra pan monita we de na di ɔpreshɔn rum.
Bikɔs dis we ya nɔ de mek ɛni kɔt na di skin, na smɔl tin nɔmɔ de pwɛl di bɔdi. Na dat mek dɛn kɔl am minimally invasive procedure.
Di dɔktɔ kin no sɔm rili impɔtant tin dɛn frɔm dis ɔpreshɔn.
- Us kayn kansa i bi?
- Wetin na di gred fɔ di kansa? (I nɔ gɛt bɔku prɔblɛm ɔ i nɔ gɛt bɔku prɔblɛm?)
- Aw dip di kansa dɔn spre insay di blad wɔl (stej).
Sɔntɛnde, i pɔsibul fɔ pul di wan ol kansa tumbu wit dis wan ɔpreshɔn.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Dis na ɔutpatient prosidur. Dis min se dɛn kin admit bɔku pipul dɛn na ɔspitul na mɔnin ɛn dɛn kin go na os di sem ivintɛm afta dɛn dɔn du dɛn ɔpreshɔn.
Dis na aw fɔ pripia bifo dɛn du di ɔpreshɔn:
Yu go mit wit yu dɔktɔ ɔ gɛt vidio kɔl lɛk wan wik bifo dɛn du yu ɔpreshɔn. Dɛn go disayd di kayn anestezi we dɛn go gi yu. Dɛn kin aks yu bak fɔ gi yu urine sɛmpul.
Bifo di ɔpreshɔn, yu dɔktɔ ɔ di wan dɛn we de wok na di ɔspitul go gi yu sɔm tin dɛn we yu fɔ fala. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
| Advays | Impɔtant ɛn diskripshɔn |
|---|---|
| Fɔd ɛn wata | Nɔ it ɛnitin fɔ 8 awa bifo yu du di ɔpreshɔn. Nɔ drink wata afta midnayt di de bifo di ɔpreshɔn. |
| Mɛrɛsin dɛn we dɛn kin yuz | If yu de tek tin dɛn we de mek yu blɔd tan (lɛk aspirin, ibuprofen, ɔ naproxen), tɛl yu dɔktɔ. Dɛn go tɛl yu fɔ stɔp fɔ tek dɛn lɛk wan wik bifo dɛn du di ɔpreshɔn. If yu de tek ɔda mɛrɛsin, tɔk to yu dɔktɔ bɔt dɛn bak. |
| Sɔmbɔdi fɔ ɛp | Arenj bifo tɛm fɔ mek sɔmbɔdi drayv yu go na os afta dɛn dɔn du di ɔpreshɔn. Yu nɔ go ebul fɔ drayv bikɔs ɔf di anestezi. |
| Fɔ mek yu klin | Tek gud shawa bifo yu go na ɔspitul. Bɔt nɔ yuz ɛni loshan, sɛnt, ɔ diɔdɔrant da de de. |
We dɛn de du di ɔpreshɔn...
Di ɔpreshɔn go bigin afta dɛn dɔn anestez yu. Bɔrku tɛm, dɛn go put yu na slip (jɛnɛral anestezi). Sɔntɛnde, yu go de numb frɔm yu wɛst dɔŋ (spinal anesthesia). Bɔt, yu nɔ go fil ɛni pen .
Di nɛks tin dɛn we yu fɔ du na:
1. Di dɔktɔ go tek tɛm put di rɛsɛktoskɔp tru yu urethra ɛn insay yu blad.
2. We dɛn luk di pikchɔ dɛn frɔm di kamɛra, dɛn kin fɛn di say dɛn we di kansa tumbu dɛn de.
3. Dɔn, yuz di lɔp we de na di divays fɔ kɔt ɛn pul di nɛt dɛn.
4. If blɔd kɔmɔt na di say we dɛn pul di tumbu, dɛn go kɔt di blɔd vesel dɛn fɔ stɔp di blɔd.
5. Fɔ dɔn, dɛn kin put kateta fɔ pul di urine ɛn blɔd na di blad ɛn fɔ mek di blɔd nɔ klɔt.
Di ɔpreshɔn kin tek bitwin 15 ɛn 90 minit , i kin dipen pan di saiz, nɔmba, ɛn usay di tumbu dɛn de.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm awa. Yu go nid bak fɔ de de fɔ wan nɛt.
Fɔ wɛl ɛn di sayn dɛm wae de sho se yu gɛt dis sik
- Pen: Yu kin fil smɔl bɔn ɔ pen we yu de pis fɔ sɔm dez to tu wiks afta dɛn dɔn du di ɔpreshɔn. Dis na nɔmal tin.
- Yurin kɔlɔ: Yu urine kin tɔn pink bikɔs blɔd de lɛf na di blad. Nɔ mek yu fred fɔ dis. Na nɔmal tin.
- Kateta: If yu dɔktɔ dɔn put kateshɔn, dɛn go pul am wans yu urine dɔn stɔp fɔ blɔd. Dɛn kin pul am na ɔspitul, ɔ yu kin nid fɔ kip am na os fɔ sɔm dez.
- Ɔda sayn dɛm: Fɔ pis kwik kwik wan ɛn fɔ pis ɔltɛm na di fɔs 48 dez.
Di bɛst we fɔ ridyus dɛn sik ya ɛn fɔ wɛl kwik na fɔ drink bɔku wata ɔl di de .
Di tin we impɔtant pas ɔl: Nɔ es ebi ebi tin ɔ du tin dɛn we go mek yu tranga fɔ sɔm wiks afta yu dɔn du di ɔpreshɔn. Dis inklud fɔ es pikin dɛn, animal dɛn we dɛn kin mɛn na os, ɛn bag dɛn. Yu dɔktɔ go advays yu bak fɔ avɔyd fɔ du mami ɛn dadi biznɛs fɔ sɔm tɛm.
di blad kin wɛl insay 2 to 4 wik. If yu stil gɛt pen, bɔn, ɔ blɔd na yu urine afta da tɛm de, mek shɔ se yu tɛl yu dɔktɔ.
Yu tink se dɛn go nid fɔ gɛt ɔda tritmɛnt?
Sɔntɛnde, TURBT kin pul di wan ol tumbu. Bɔt yu dɔktɔ kin tɛl yu fɔ tek kemotɛrapi fɔ kil ɛni kansa sɛl we lɛf ɛn fɔ mek di kansa nɔ kam bak.
if di kansa de kכnfyus na di blad, dεn kכl di tritmεnt `intravesical chemotherapy`. Dis min se dɛn kin put wan likwid kemotɛrapi drɔg insay di blad, lɛf am insay fɔ sɔm tɛm, dɔn dɛn kin pul am bak. Sɔntɛnde dɛn kin du dis di sem tɛm we dɛn kin du di TURBT ɔpreshɔn.
Ɛni risk de fɔ dis ɔpreshɔn?
TURBT na wan we we rili sef ɛn we de wok fayn . Di risk fɔ gɛt kɔmplikeshɔn nɔ pas 10%. Bɔt sɔm tin dɛn de we nɔ kin apin so ɔltɛm:
- Blɔd we yu nɔ ebul fɔ kɔntrol: Dis nɔ kin apin so ɔltɛm. If i apin, yu go nid fɔ du ɔda ɔpreshɔn fɔ stɔp di blɔd.
- Blad perforation: We dɛn de du ɔpreshɔn, di inschrumɛnt kin lod na di blad wɔl, ɛn dis kin mek smɔl ol. Dis bak nɔ kin apin so ɔltɛm ɛn dɛn kin trit am.
- Infɛkshɔn dɛn: .Smɔl chans de fɔ mek yu gɛt urinary tract infection afta dɛn dɔn du yu ɔpreshɔn. Dis kin izi fɔ trit wit mɛrɛsin.
Wetin na de tren fɔ wɛl frɔm kansa?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Pan ɔl we TURBT na wan we we ɔlman kin du, di chans fɔ mek dɛn gɛt kansa kɔmplit wan kin dipen pan di stej we di kansa de. Dɔktɔ dɛn kin tɔk bɔt di "fayv ia sɔvayv rɛt." Dis min se pan 100 pipul dɛm we gɛt wan patikyula stej pan kansa, ɔmɔs pipul dɛn stil de alayv afta 5 ia. Dis nɔ min se dɛn go day insay 5 ia. Dis na jɔs wan statystik.
| Stej we di Kansa gɛt | Fayv ia sɔvayv rɛt |
|---|---|
| Stej 0 (kansa na di surface nɔmɔ) . | 97% . |
| Stej I-II (we de skata insay di blad) . | 72% . |
| Stej III (dεn kin spre to di tisu dεm we de rawnd) . | 40% . |
| Stej IV (dεn kin spre to di כgan dεm we de fa) . | 9% . |
Nɔ mek yu fred wit dɛn statystik ya. Di mɔ we dɛn no di kansa kwik kwik wan, na di mɔ di chans fɔ mɛn am go bɛtɛ . Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.
Mɛsej we dɛn kin kɛr go na os
- TURBT na ɔpreshɔn we sef, we nɔ de tek bɔku pipul dɛn, we dɛn kin yuz fɔ no ɛn trit blad kansa.
- Nɔ pen nɔ de we dɛn de du di ɔpreshɔn. Di swel ɛn diskɔmfɔt we kin apin afta dat kin stɔp insay 2-4 wik.
- Na nɔmal tin fɔ mek yu urine tɔn pink afta dɛn dɔn du yu ɔpreshɔn. Nɔ wɔri. Bɔt drink bɔku wata.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ bɔt aw fɔ avɔyd fɔ du ebi ebi wok ɛn fɔ tek yu mɛrɛsin.
- Ivin afta dɛn dɔn du di ɔpreshɔn, dɛn kin nid ɔda tritmɛnt dɛn (lɛk kemotɛrapi) fɔ mek di kansa nɔ kam bak.
- Nɔ shem fɔ ɛni kwɛstyɔn ɔ fred we yu gɛt, ɛn tɔk to yu dɔktɔ opin wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt