Wi kin shem smɔl fɔ tɔk bɔt sɔm pat dɛn na wi bɔdi, nɔto so? Di anus na wan pan dɛn ples dɛn de. Bɔt i rili impɔtant fɔ mek wi no bɔt di wɛlbɔdi prɔblɛm dɛn we gɛt fɔ du wit dis pat. Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ sɔlv dɛn prɔblɛm ya. Tide wi de tɔk bɔt wan pan dɛn kayn ɔpreshɔn dɛn de, we dɛn kɔl Anoplasty. Ivin if yu nɔ yɛri bɔt dis, fɔ no dis infɔmeshɔn kin impɔtant fɔ yu ɔ pɔsin we de nia yu sɔmde.
Wetin na Anoplasty?
Fɔ tɔk am simpul wan, anoplasty na ɔpreshɔn we de mek yu ans fayn ɔ shep bak. As yu no, di anus na di las pat pan wi big intestin. na pat we lεk tכb we lכng lεk 3-4 sεntimita, we mכsul dεm de rawnd am. dis mכsul dεm (sphincters) de εp fכ pas stכl.
So, if difεkt de na di we aw di rεktum nכ de wok fayn, dεn kin du dis כpεrayshכn fכ kכrekt am. Sɔm pan dɛn bad bad tin ya kin apin we pɔsin bɔn wit, ɔda wan dɛn kin kam leta bikɔs ɔf aksidɛnt ɔ mɛrɛsin.
Anorectal surgery na wan kayn ɔpreshɔn we de involv di anus ɛn di las pat pan di big intestin (rεktum).
Wetin mek dɛn nid fɔ du dis ɔpreshɔn?
Tu men rizin dɛn de we mek dɛn kin du anoplasty. Lɛ wi ɔndastand dɛn klia wan.
| Men rizin | Fɔ tɔk am simpul wan... |
|---|---|
| Anal Stenosis we de mek pɔsin gɛt sik | Dis kin apin mɔ pan big pipul dɛn. ska tisu de fכm insay di rεktum, we de mek di pasej sכmtεm sכmtεm. Tink bɔt am lɛk se wata paip de klos wit dɔti. Dɛn kin kɔl dis bak "stricture." Dis kin mek i nɔ izi fɔ pas stɔl. Ɔpreshɔn kin jɔs nid we ɔda tritmɛnt dɛn nɔ ebul fɔ mek di sik bɛtɛ. |
| Di Anɔrektal Malfɔmeshɔn dɛn | Dis na difrɛn tin dɛn we dɛn kin bɔn pikin wit. fכ egzampl, Imperforate Anus na wan kכndyushכn we di opin (ol) fכ di ans nכ de כ i blכk. Fistula we de na di perineali min se di anal opin nכ de usay i fכ de, bכt i de na difrεn ples (bכku tεm כnda). Dis opin kin smɔl, ɛn i nɔ kin ebul fɔ kɔntrol di stɔl bak. |
Ustɛm dɛn kin du dis ɔpreshɔn pan smɔl pikin?
I nɔmal fɔ mek mama ɛn papa dɛn rili sɔprayz we dɛn kam fɔ no se pikin we dɛn jɔs bɔn gɛt prɔblɛm lɛk dis. Bɔt bikɔs ɔf di tin dɛn we dɛn dɔn du pan mɛrɛsin sayɛns, fayn fayn sɔlv dɛn de fɔ dis.
Sɔm simpul prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn am, dɛn kin mek am bak wit wan simpul ɔpreshɔn we dɛn kin du fɔ mek dɛn nɔ ebul fɔ du am, jɔs sɔm dez afta dɛn bɔn di pikin.
Bɔt pikin dɛn we gɛt mɔ kɔmpleks prɔblɛm dɛn kin nid fɔ du bɔku ɔpreshɔn.
If dɛn kayn tin ya apin, di dɔktɔ go fɔs du wan kɔlostomi . dis min se sכmכl opin (stoma) de kכmכt na di pikin in bεlε, we de mek wan tεmporari pasεj fכ di stכl fכ kכmכt. Dis kin mek di pikin ebul fɔ pul dɔti sef wan. Dɔn, di rayt tɛm we di dɔktɔ disayd, dɛn kin du anoplasty fɔ mek di ans fayn fayn wan. afta dat, we di wund dεm dכn hεl fayn, dεn kin pul di tεmporari colostomy, εn di pikin kin ebul fכ fכs nכmal wan tru di anus.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
If yu na big pɔsin, yu dɔktɔ go advays yu fɔ klin yu insay (bowel prep) ɔltogɛda bifo yu du di ɔpreshɔn. Dis involv fɔ gi yu spɛshal wata mɛrɛsin (laxative) fɔ drink. We yu drink dis, ɔltin we de na yu insay go kɔmɔt wit yu stɔl.
Yu go nid bak fɔ kɔntrol yu it fɔ wan ɔ tu dez bifo yu tek dis mɛrɛsin. Dɛn go tɛl yu fɔ it tin dɛn we nɔ gɛt bɔku fayv ɛn drink klia wata nɔmɔ di las de. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin apin we dɛn de du di ɔpreshɔn?
di men gol fכ anoplasty na fכ mek wan anus we de wok bak. Wetin yu dɔktɔ we de du yu ɔpreshɔn kin difrɛn difrɛn wan bay aw yu sik.
Bɔku tɛm dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi .
- Fɔ pɔsin we gɛt anal stenosis: Di dɔktɔ we de du di ɔpreshɔn kin pul di ska tisu we mek di skata smɔl. Dɔn di anɔs kin big bak. Bɔt afta dat, wan smɔl gap kin kam insay. fכ klos di gap, dεn kin tek sכm sכm skin (skin flap) frכm di כdasay na di an, frכm di bכtכm, εn graft am na da ples de εn sutura am.
- If pikin gɛt prɔblɛm we dɛn bɔn am (Anorectal Malformation):Di dɔktɔ we de du di ɔpreshɔn go gɛt fɔ mek wan nyu anal kanal. dis nyu kanal fכ stat frכm di intestinal, pas tru di anal sphincter mכsul dεm, εn opin aut na di kכrekt ples. If ɛni fistulas de we de opin na di rɔng ples, dɛn go lɔk am. if di pikin gεt tεmporari colostomy, i go de de te di nyu anal kanal we dεn kכriכt hεl.
Wetin na di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm ɛn prɔblɛm dɛn de we kin apin, ɛn i impɔtant fɔ no bɔt dɛn.
| Tayp ɔf kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Sɔm prɔblɛm dɛn we kin apin fɔ shɔt tɛm | |
| Sik we de prɛd | Infεkshכn kin apin we di wund de hεl. 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. Yu kin trit dis bay we yu put ays ɛn kɔmpreshɔn. |
| I nɔ izi fɔ yu fɔ pis (Urinary Retention) . | Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pis afta dɛn dɔn du dɛn ɔpreshɔn, ɛn dis kin nid fɔ tek mɛrɛsin ɔ fɔ yuz kateshɔn fɔ sɔm tɛm. |
| Banbɛlɛ | Kɔnstipɛshɔn kin apin afta dɛn dɔn du di ɔpreshɔn. Di dɔktɔ go gi yu di mɛrɛsin we yu nid fɔ dis. |
| Kɔmplikɛshɔn dɛn we kin apin fɔ lɔng tɛm | |
| Fekal inkɔntinɛns | Dis kin apin if di ɔpreshɔn pwɛl di mɔsul dɛn ɔ di nerv dɛn. Sɔm pikin dɛn we gɛt prɔblɛm wit dɛn bɔn kin lɔs di nɛv ɛn mɔsul dɛn we dɛn nid frɔm di biginin. Sɔm pipul dɛn kin ebul fɔ kɔntrol dis as tɛm de go. Yu dɔktɔ go tɔk to yu bɔt dis. |
| Stenosis we pɔsin kin gɛt | If di an nɔ de dilayt ɛvride we i de wɛl, chans de fɔ mek i smɔl bak. So, i impɔtant fɔ du dilayshɔn lɛk aw di dɔktɔ tɛl yu. |
| Diaper Rash we dɛn kin yuz | we di pikin dεm fכs bigin fכ fכs tru di anus, dεn kin gεt bad bad skin rash na da εria de. Dis na bikɔs dɛn nɔ de yuz di skin fɔ stɔl. Speshal ɔntmɛnt kin ɛp fɔ mek dis nɔ apin ɛn trit am. |
Aw na di tɛm fɔ wɛl?
di hεlin prכsεs kin tek lεk 4 to 8 wik. Insay dis tɛm, yu go nid fɔ du anal dilations ɛvride . Dis na rili impɔtant tin fɔ du fɔ mek i wɛl. dεn kin put spεshal tin (dilator) insay di anכs εvride εn pul am. Dɛn kin du dis fɔ mek di an nɔ smɔl bak ɛn mek skata we i de wɛl.
I nɔmal fɔ mek yu blɔd smɔl we yu de du dis, so nɔ wɔri. Di dɔktɔ go gi yu mɛrɛsin fɔ kɔntrol di pen. I go tɛl yu bak fɔ fala spɛshal it we yu de wɛl.
Mɛmba se dɛn tin ya nɔ kin rili apin. Bɔt if dɛn apin, anoplasty na tritmɛnt we rili fayn. Ɛspɛshali bikɔs pikin we gɛt siriɔs prɔblɛm we i bɔn nɔ go ebul fɔ kam bak to in nɔmal kpatakpata, dis ɔpreshɔn kin gi dɛn di chans fɔ liv nɔmal layf as dɛn ebul.
Mɛsej we dɛn kin kɛr go na os
- Anoplasty na ɔpreshɔn we dɛn kin du fɔ kɔrɛkt di anal stenosis pan big pipul ɔ we dɛn bɔn pikin dɛn we nɔ fayn.
- Sɔm pikin dɛn kin nid fɔ tek tɛmporari kɔlostomi fɔ pas stɔl bifo di men ɔpreshɔn.
- di anal dilayshכn evride afta di כpεrayshכn implεnt fכ mek di nyu pasεj we dεn kriyayt nכ sכm.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bɔt aw fɔ kia fɔ wund, aw fɔ it, ɛn aw fɔ go bifo yu wund.
- If yu gɛt ɛni prɔblɛm, lɛk we yu de fil bad bad wan, sayn dɛn we de sho se yu gɛt infekshɔn (we yu de swel, yu de rɛd, yu gɛt pus), ɔ yu gɛt siriɔs prɔblɛm fɔ pis/fɔ pul dɔti, tɛl yu dɔktɔ wantɛm wantɛm.
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