Yu dɔktɔ dɔn ɛva tɛl yu ɔ yu pikin bɔt fɔ gɛt ɔpreshɔn bikɔs ɔf prɔblɛm wit yu an ɔ prɔblɛm we dɛn bɔn wit? Yu go dɔn yɛri di wɔd "anoplasty." Dis nem kin mek yu fred smɔl, bɔt we yu ɔndastand wetin i bi ɛn wetin mek dɛn du am, yu fred ɛn dawt go dɔn. Tide, wi go tɔk bɔt dis anoplasty ɔpreshɔn.
Fɔ tɔk am simpul wan, wetin na anoplasty?
Anoplasty na ɔpreshɔn fɔ mek ɔ fɔ mek yu ans bak, we na di opin we di fes de kɔmɔt. di anus na di las pat pan wi big intestin. na tכb we lכng lεk 3-4 sεntimita, we sכkכla mכsul dεm de rawnd am. Wi kin kɔl dɛn mɔsul dɛn ya sfinktɔ . Na dɛn tin ya kin ɛp fɔ pul di dɔti. So, if difεkt de na di we aw dis ans nכ de wok fayn, dεn kin du anoplasty fכ fiks am. Sɔm pan dɛn bad tin ya kin apin we pɔsin bɔn wit. Ɔda wan dɛn kin gɛt leta bikɔs ɔf aksidɛnt ɔ sik.
Wetin mek i nid fɔ mek dɛn du dis ɔpreshɔn we dɛn kɔl anoplasty?
Bɔku men rizin dɛn de we kin mek dɛn du anoplasty. Lɛ wi si wetin dɛn bi. A go ɛksplen dis to una wit wan chɔt we izi fɔ ɔndastand .
| Mek | Simpul ɛksplen |
|---|---|
| Anal Stenosis we de mek pɔsin gɛt sik | Dis kin apin mɔ pan big pipul dɛn. di rεktum de sכmtεm bikoz fכ di ska tisu we de fכm na di rεktum. Dis kin apin as sayd ɛfɛkt fɔ wan ɔpreshɔn we dɛn bin dɔn du bifo ɔ bikɔs ɔf wan sik we dɛn dɔn gɛt fɔ lɔng tɛm. we di rεktum sכmtεm sכmtεm, di stכl nכ de strεch fayn lεk aw i fכ strεch, we de mek i rili pen fכ gεt bכdi muvmεnt. If ɔda tritmɛnt dɛn nɔ ebul fɔ mɛn di sik, i kin nid fɔ du ɔpreshɔn pan di anɔrektal. |
| Di Anɔrektal Malfɔmeshɔn dɛn | Dis na tin dεm we kin apin to pikin dεm we dεn bכn dεm. Fɔ ɛgzampul, Imperforate Anusdis na kכndyushכn we di pikin in ans nכ de opin כ i de blכk. Wan ɔda wan na wan fistula we dɛn kɔl perineal fistula . Dis na we di anus opin na di rɔng ples, nɔto usay i fɔ de. dis opin kin rili sכmtεm, εn i nכ de pas tru di mכsul dεm we de kכntro di bכdi muvmεnt, so di pikin nכ kin kכntrכl di bכdi muvmεnt. |
Ustɛm pikin fɔ du dis ɔpreshɔn?
If pikin we dɛn jɔs bɔn gɛt prɔblɛm lɛk dis, na nɔmal tin fɔ mek yu as mama ɔ papa vɛks bad bad wan. Bɔt mɛmba se, mɛdikal sayɛns gɛt fayn we fɔ sɔlv dis. Sɔm simpul prɔblɛm dɛn kin kɔrɛkt wit simpul anoplasty ɔpreshɔn insay sɔm dez afta dɛn bɔn am.
Bɔt pikin dɛn we gɛt mɔ kɔmpleks prɔblɛm dɛn go nid fɔ du bɔku ɔpreshɔn. If dɛn kayn tin ya apin, di dɔktɔ go fɔs du wan kɔlostomi . dis min se dεn de mek wan tεmporari opin (stoma) na di pikin in bεlε, we de mek di stכl pas tru am. Dɔn we di pikin dɔn big smɔl, dɛn kin du anoplasty di rayt tɛm fɔ mek di anus fayn fayn wan. afta dat, we di wund dεm hεl, dεn kin pul di כrijinal kכlostomi εn di pikin kin fכkכt nכmal wan tru di an.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
If yu na big pɔsin, yu dɔktɔ go tɛl yu fɔ klin yu bɔdi ɔlsay bifo dɛn du yu ɔpreshɔn. Dis involv fɔ gi yu wan spɛshal drink we dɛn kɔl bowel prep . Yu drink dis di de bifo di ɔpreshɔn. Dis go mek yu nid fɔ go na di bafa bɔku tɛm ɛn i go ɛmti yu bɔdi ɔlsay.
Dɛn go aks yu fɔ fala spɛshal it fɔ sɔm dez bifo yu tek dis drink. Bɔku tɛm, dɛn go advays yu fɔ it tin dɛn we nɔ gɛt bɔku fayv fɔ lɛk tu dez ɛn drink klia wata nɔmɔ di las de. Yu dɔktɔ go ɛksplen ɔl dis to yu klia wan.
Wetin kin apin we dɛn de du di ɔpreshɔn?
di men gol fכ anoplasty na fכ mek wan anus we de wok bak. Di step dɛm wae yu ɔspitul go fala kin difrɛn difrɛn wan bay aw yu sik.
Bɔku tɛm, dɛn kin put yu ɔnda jenɛral anestezi ɛn tɔn yu bak na yu bɛlɛ. Fɔs, di dɔktɔ dɛn we de du ɔpreshɔn kin yuz ilɛktrik stimulatɔ fɔ fɛn di say dɛn we di mɔsul dɛn na yu rɛktum kin kɔntrakt. dis kin mek dεn ebul fכ map εksεkt usay yu rεktum fכ de εn usay di mכsul dεm de.
- if di ans sכmtεm (Anal Stenosis): Dis involv fכ pul di ska tisu we mek di sכm sכmtεm sכmtεm. Dɔn di an kin opin bak. Bɔt we dɛn pul di skata, dɛn kin lɛf wan smɔl ol insay. Fɔ lɔk am, di dɔktɔ we de du di ɔpreshɔn kin tek wan smɔl pat pan di skin (skin flap) frɔm yu bɔdi (di skin we de rawnd di an), i kin lɔk di ol, ɛn stich am fɔ lɔk.
- Fɔ pikin we gɛt anɔrektal malfɔmeshɔn: If di pikin in an nɔ de ɔ i nɔ de na di rɔng ples, di dɔktɔ we de du di ɔpreshɔn go nid fɔ mek nyu an. dis nyu ans fכ pas tru di anal sphincter mכsul dεm we de na di εnd pan di pikin in big intestin εn opin na di rayt ples. If fistulas de we de opin na di rɔng ples, dɛn go nid fɔ lɔk dɛn bak.
Wetin kin apin afta di ɔpreshɔn? Us prɔblɛm dɛn kin apin?
Dipen pan di kayn ɔpreshɔn, yu kin go na os di sem de ɔ yu kin de na ɔspitul fɔ sɔm dez. Di dɔktɔ go wach yu gud gud wan te yu wund dɛn wɛl.
Di tin we impɔtant pas ɔl na fɔ du anal dilations lɛk aw yu dɔktɔ tɛl yu we di wund de wɛl. dis involv fכ put spεshal tin (dilator) insay di anכs evride fכ mek i big sכmtεm. dis dεn kin du fכ mek di nyu an we dεn mek nכ sכmtεm igen (stenosis) as i de hεl.
Jɔs lɛk ɛni ɔpreshɔn, smɔl chans de fɔ mek anoplasty ɔpreshɔn kin mek sɔm prɔblɛm dɛn ɔ prɔblɛm dɛn apin. Lɛ wi no bɔt dat bak.
| Tayp ɔf kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Kɔmplikɛshɔn dɛn we kin apin fɔ shɔt tɛm | |
| Sik we de prɛd | If di wund gɛt di sik we i de wɛl, i kin tek lɔng tɛm fɔ wɛl. Yu mɛdikal tim go tich yu aw fɔ mek dis nɔ apin. |
| Blɔd we de klɔt (Hematoma) . | Blɔd kin gɛda insay di wund ɛn mek wan klot. If yu put ays, prɛs, ɛn bandej, dat go ɛp. Yu kin nid fɔ du smɔl tin bak fɔ pul di blɔd. |
| I nɔ izi fɔ yu fɔ pis (Urinary Retention) . | Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pis afta dɛn dɔn du dɛn ɔpreshɔn. Dis kin kɔmɔt fɔ sɔm tɛm if yu tek mɛrɛsin ɔ if nid de, yu yuz kateshɔn. |
| Banbɛlɛ | Dis kin apin to pipul dɛm wae dɔn gɛt kɔnstipɛshɔn bifo. Di dɔktɔ go gi yu di mɛrɛsin we yu nid fɔ dat bak. |
| Kɔmplikɛshɔn dɛn we kin apin fɔ lɔng tɛm | |
| I nɔ ebul fɔ kɔntrol di stɔl (Fecal Incontinence) . | Ɔpreshɔn kin afɛkt di mɔsul dɛn ɔ di nɛv dɛn we de kɔntrol di we aw pɔsin de muv di bɔdi. Sɔm pikin dɛn we dɛn bɔn kin lɔs di nɛv ɛn mɔsul dɛn we dɛn nid. As tɛm de go, sɔm go gɛt kɔntrol, ɛn ɔda wan dɛn go lɔs am. Yu dɔktɔ go tɔk to yu bɔt dis ɛn wetin dɛn kin du bɔt am. |
| Stenosis we pɔsin kin gɛt | if dεn nכ du di dilayshכn fayn fayn wan we i de hεl, di ans kin sכmtεm sכmtεm bak. So, i impɔtant fɔ du am jɔs lɛk aw di dɔktɔ tɛl yu. |
| Diaper Rash we dɛn kin yuz | we di pikin dεm bigin fכ fכs tru dεn nyu an we dεn fכm, dεn kin gεt wan bad bad rash. Dis na bikɔs di skin nɔ bin dɔn gɛt fes bifo. Yu kin kɔntrol dis bay we yu put spɛshal ɔntmɛnt dɛn. |
Aw na di tɛm fɔ wɛl?
I kin tek bitwin 4 ɛn 8 wik fɔ mek di wund dɛn wɛl ɔl. I nɔmal fɔ mek yu blɔd smɔl we yu de dilayt ɛvride, so nɔ wɔri bɔt am. I nɔ kin rili mek pɔsin fil pen. Yu dɔktɔ go gi yu di mɛrɛsin we yu nid fɔ kɔntrol di pen. Dɛn go aks yu bak fɔ fala spɛshal it insay dis tɛm.
Fɔ di pikin dɛn we dɛn dɔn du kɔlostomi, dɛn kin du di las ɔpreshɔn fɔ pul di kɔlostomi wans di rɛktum dɔn wɛl ɔl.
Narrowing of di anus ɔ congenital defects na tin we nɔ kin apin so ɔltɛm, bɔt if i apin, i kin mek wi fil fayn fɔ no se dɛn kin gɛt saksesful rizulyt wit ɔpreshɔn lɛk anoplasty.
Mɛsej we dɛn kin kɛr go na os
- Anoplasty na spɛshal ɔpreshɔn we dɛn kin du fɔ kɔrɛkt di anus we dɔn smɔl ɛn we dɛn bɔn wit.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan we yu de wɛl afta yu dɔn ɔpreshɔn, mɔ we i kam pan dilayshɔn.
- If yu na di mama ɔ papa fɔ pikin we dɛn bɔn wit dis kayn prɔblɛm we dɛn bɔn, nɔto yu wan. Wok klos wit yu ɔspitul tim ɛn gɛt di sɔpɔt we yu nid.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, duya tɔk bɔt am wit yu dɔktɔ ɛn nɔ shem.
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