Yu smɔl pikin de sɔfa wit kɔnstipɛshɔn? I kin go sɔm dez we i nɔ de muv in bɔdi ɛn fil bad bad wan? Ɔ i kin gɛt fecal incontinence we i nɔ ivin no? Yu, as pikin ɛn as mama ɔ papa, go mɔs de sɔfa bɔku pan dɛn prɔblɛm ya. Tide, wi go tɔk bɔt wan spɛshal tritmɛnt we go ɛp we i nɔ izi fɔ kɔntrol dɛn tin ya wit mɛrɛsin ɔltɛm.
Wetin na sɛkɔstomi insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, fɔ mek pɔsin du sɛkɔstomi na smɔl ɔpreshɔn. I min se yu fɔ put wan tiub tru di skin na yu bɛlɛ dairekt insay di fɔs pat na yu big intestin. Dis fɔs pat pan yu big intestin na di mɛrɛsin we dɛn kɔl di sɛkum . dis tכb dεn kכl am sεkostכmi tyub כ C tyub.
Naw yu kin de tink se, "Wetin mek dɛn go put tiub insay lɛk dis?" Di rizin na, dem go du enema tru dis tube. Inema na wata we dɛn kin put insay di kɔlon fɔ klin am. כltεm, wi kin du εnima tru di anus, we na di lכw εnd pan di kכlon. Di wata kin go ɔp. Dɛn kɔl dis wan we dɛn kɔl retrograde enema . Bɔt dis we ya nɔ kin rili klin di wan ol kɔlon.
Bɔt we yu du inɛma tru wan sɛkam tiub, di wata kin go insay di tap pat pan di big intestin. Dɔn di wata de travul dɔŋ di wan ol intestin, i de kɛr di stɔl, ɛn kɔmɔt na di an. I tan lɛk se yu de tɔn wata dɔŋ paip. Wi kin kɔl dis antegrade enemas . Dis we ya kin wok fayn bikɔs i kin klin di wan ol big intestin. Dis tritmɛnt na fɔ sɔm pipul dɛn fɔ sɔm tɛm, bɔt dɛn kin nid am fɔ lɔng tɛm fɔ ɔda pipul dɛn.
Udat rili nid dis tritmɛnt?
Dɛn kin yuz sɛkalostomi mɔ pan pikin dɛn mɛrɛsin . I kin ɛp mɔ fɔ pikin dɛn we gɛt siriɔs kɔnstipɛshɔn ɛn we nɔ ebul fɔ kɔntrol dɛn bɔdi (fecal incontinence). Imajin aw i go mek pikin fil bad fɔ lɛ i lik stɔl bay mistek we i de ple wit in padi dɛn na skul. Dis tritmɛnt kin mek big chenj na dɛn kayn pikin ya layf.
Apat frɔm dat, dis kin rili fayn bak fɔ pikin dɛn we dɛn bɔn wit sɔm prɔblɛm dɛn na dɛn intestinal. Fɔ ɛgzampul:
- di anorektal malfכmeshכn: di anorektal malfכ meshכn na di bכdi we dεn bכn wit di an.
- Hirschsprung disease: Na prɔblɛm wit di nerve cells na di intestin we de mek di stɔl nɔ de muv fayn.
- Spina bifida: Na difεkt we dεn bכn di spayna εn spεnal kכd we de afekt di bכdi εn blad kכntrכl.
Dɛn nɔ kin fayn fɔ mek big pipul dɛn du sɛkalostomi, bɔt insay spɛshal kes dɛm, di antegrade enemas we dɛn kin yuz ɛvride kin ɛp fɔ mek di bɔdi muv di tɛm we dɛn dɔn plan fɔ du am ɛn fɔ mek i nɔ muv di bɔdi we dɛn nɔ bin de ɛkspɛkt.
Us kayn tiub dɛn dɛn kin yuz?
Bɔku men kayn paip dɛn de we dɛn kin yuz fɔ dis. Si di tebul we de dɔŋ fɔ ɔndastand dɛn tin ya simpul wan.
| Tayp fɔ Tiub | Aw i tan ɛn aw i de tɔk bɔt am |
|---|---|
| C tyub we dɛn kin yuz | Dis na di tɛmporari tiub we dɛn kin put fɔs we dɛn de du ɔpreshɔn. Na wan lɔng ɛn tint kateshɔn. di εnd pan di tכb we de kכmכt de kכyl oba di bכdi. |
| Chait TrapdoorTM we de na di wɔl | Dis na tiub we dɛn kin yuz fɔ ɔltɛm . I tan lɛk smɔl bɔtin we dɛn kin put insay di bɛlɛ. Di pat we de insay di insay de kɔyl, so i de kɔntinyu fɔ de na in ples we dɛn nɔ stich am. |
| MiniACE® Ɛnema Bɔtin | Dis na tiub bak we tan lɛk bɔtin ɛn dɛn kin yuz am fɔ ɔltɛm, lɛk di wan we de ɔp. Bɔt dɛn kin put dis wan insay di insay wit wan smɔl balyɔn we dɛn kin blo. |
Aw dɛn kin du dis prɔsidyu?
Dis prɔses kin sheb to difrɛn pat dɛn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo yu du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ mek yu bɔdi fayn . Dis min se yu fɔ stɔp yu fɔ it ɛn drink fɔ sɔm dez, dɔn yu fɔ tek wan mɛrɛsin fɔ mek yu bɔdi ɛmti ɔltogɛda.
Di tin we impɔtant pas ɔl na dat if yu pikin go gɛt dis ɔpreshɔn, yu go ɛksplen ɔltin we go apin di we we i go ɔndastand, wit kol at, ɛn klia wan. We una, as mama ɛn papa, gɛt kɔnfidɛns, na big trɛnk fɔ di pikin bak.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, di dɔktɔ kin mek wan smɔl ol tru di skin na yu bɛlɛ insay wan pat pan yu big intestin we dɛn kɔl di sɛkum.
- Sɔntɛnde, dɛn kin du dis wit tin we tan lɛk nidul. Dɛn kɔl dis wan sik we dɛn kɔl percutaneous cecostomy . Bɔku tɛm, dis kin min fɔ mek di say nɔ gɛt maynd.
- Sɔntɛnde, dɛn kin du dis tru smɔl say we dɛn kɔt am. Dɛn kɔl dis ɔspitul sɛkɔstomi . Fɔ dis, dɛn go put yu ɔ yu pikin fɔ slip ɔnda jenɛral anestezi.
Afta i dɔn mek di ol, di dɔktɔ kin yuz spɛshal kamɛra tɛknɔlɔji (fluoroscopy ɔ endoscopy) lɛk X-ray fɔ put C-tyub tru di ol insay di intestinal. afta dat dεn de tay di tכb na di intestinal, εn di intestכn de atak di bכdi wכl.
Wetin kin apin afta di ɔpreshɔn?
Di ɔpreshɔn insɛf go tek lɛk wan awa so. Dɔn yu go de na ɔspitul fɔ sɔm dez. Insay dis tɛm, di mɛdikal tim go tek kia ɔf yu gud gud wan. Dɛn go gi yu IV antibayɔtik fɔ mek yu nɔ gɛt di sik. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen if yu de fil pen. yu intestכn dεm go "les" sכmtεm afta di כpεrayshכn, so yu go nid fכ it likwid it te dεn bigin fכ wok fayn bak.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
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Bɔt nɔ fred dɛn bad tin ya. Yu mɛdikal tim go tich yu aw fɔ kip di tiub klin ɛn kia fɔ am. If yu tek tɛm fala dɛn instrɔkshɔn dɛn de, yu go ebul fɔ ridyus dɛn prɔblɛm dɛn ya bad bad wan.
Aw lɔŋ i kin tek fɔ wɛl ɛn aw yu kin yuz di tiub?
I kin tek lɛk tu wiks so fɔ mek di say we dɛn du di ɔpreshɔn wɛl. Insay da tɛm de, i nɔ fayn fɔ du tin dɛn lɛk fɔ swim ɔ fɔ shaw. Yu go nid fɔ kam bak afta tu wik fɔ mek dɛn pul yu stich dɛn. Yu kin bigin fɔ yuz di tiub afta di fɔs wik.
Di C-tyub we dɛn kin put fɔs na fɔ shɔt tɛm nɔmɔ. Dɛn kin yuz am fɔ lɛk 6 to 8 wiks . Afta dat, yu nid fɔ go to yu dɔktɔ. i go pul da tכb de εn put wan pεrmanεnt tכb we lεk "bכtכn" lεk aw wi bin dכn tכk. I rili simpul.
dis tכb we lεk bכtכn de flat pan di bεlε, so i nכ de bכku fכ si am frכm do. We yu nid fɔ du inema, wan sɛpret pat de pan di tiub we yu kin kɔnɛkt to di bɔtin. Dɛn kin put di enema likwid tru am. Yu kin yuz dis pɔrmanent tiub as lɔng as nid de. Bɔt dɔktɔ dɛn se yu fɔ chenj dis tiub ɛvri 6 to 12 mɔnt fɔ mek yu klin.
Ɛni ɔda tɛm we yu nid fɔ go to dɔktɔ
If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Sayn dεm fכ infεkshכn: fiva, wata we lεk pus de kכmכt frכm di tכb sayt.
- Pen we nɔ kɔmɔn: Pen we yu nɔ go ebul fɔ bia, swel, ɔ blɔd de kɔmɔt rawnd di tiub.
- Paip prɔblɛm: If i tan lɛk se di paip dɔn muf frɔm in ples, ɔ if i dɔn kɔmɔt kpatakpata.
If di tiub kɔmɔt, na rili siriɔs imejensi. Na bikɔs di ol kin lɔk kwik kwik wan. So, if dat apin, yu fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Sɛkostomi na wan fayn tritmɛnt fɔ siriɔs kɔnstipɛshɔn ɛn fɔ mek dɛn nɔ ebul fɔ kɔntrol dɛn bɔdi, mɔ pan pikin dɛn.
- dis kin bi bay we dεn de fכs di kכlon frכm tכp to dכn (antegrade enema) fכ εp fכ kכl di stכl.
- Pan ɔl we sɔm prɔblɛm dɛn de we dɛn kin du dis we, dɛn kin stɔp dɛn if dɛn kia fɔ di paip ɛn di say we de rawnd am fayn fayn wan. Di bɛnifit dɛn pas dɛn fa fawe.
- Aks yu dɔktɔ aw fɔ klin di tiub, aw fɔ gi inɛma, ɛn wetin fɔ du we ɛnitin apin. Tek tɛm fala wetin i tɛl yu fɔ du.
- Dis tritmɛnt de gi di pikin ɔ yu big chans fɔ liv layf we dɛn kin kɔntrol ɛn fri bak.
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