Sɔntɛnde, wi kin gɛt fɔ gɛt wɛlbɔdi prɔblɛm dɛn we wi nɔ kin ivin imajin. Fecal incontinence we yu nɔ ivin no ɔ bad bad kɔnstipɛshɔn we yu nɔ go ebul fɔ bia na wan pan dɛn. Aw i nɔ kin izi fɔ liv wit dɛn tin ya? Bɔku pipul dɛn kin sɔfa bikɔs dɛn kin shem ɛn shem we dɛn de go na pɔblik ɛn du dɛn wok. So tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we go ɛp wit dɛn kayn prɔblɛm dɛn ya ɛn mek layf izi bak.
Fɔ tɔk am simpul wan, wetin na sɛkɔstomi?
Sɛkostomi na ɔpreshɔn we dɛn kin du. We dɛn de du dis, di dɔktɔ dɛn we de du ɔpreshɔn kin kɔt smɔl pat na di rayt say na yu bɛlɛ ɛn put smɔl tiub insay di sɛkum, we na di fɔs pat pan di big intestin. wan εnd pan di tכb de insay di sεkum, we di כda εnd de kכmכt oba di skin na di bכdi. Dis na ɔpreshɔn we dɛn kin du to pikin ɛn big pipul dɛn.
Yu kin fred smɔl we yu yɛri dis. Yu kin de tink se, "Aw yu go gɛt tiub na yu bɛlɛ?" Bɔt i tan lɛk se na rili smɔl tin. Ɛn di bɛnifit dɛn we i kin gɛt rili bɔku. Lɛ wi tɔk mɔ bɔt am.
Udat nid fɔ du dis ɔpreshɔn?
Dis ɔpreshɔn nɔ nid fɔ de fɔ nɔmal kɔnstipɛshɔn ɔ fɔ mek pɔsin nɔ ebul fɔ kɔntrol in bɔdi wan wan tɛm. I fayn fɔ pipul dɛn we gɛt rili siriɔs fecal incontinence ɔ kɔnstipɛshɔn, mɔ we ɔda tritmɛnt dɛn nɔ dɔn wok fayn.
Sɔm pan de mɛrɛsin wae kin mek pɔrsin gɛt dɛn kayn sik ya na:
- di kכmplikεshכn dεm we uman kin gεt we dεn bכn: fכ egzampl, di anus nכ de fכm fayn we dεn bכn am (Imperforate anus).
- Hirschsprung sik: Dis na kכndyushכn we de mek i at fכ pas stכl bikoz fכ prכblεm wit di nεv sεl dεm na di big intestin.
- Klippel Feil syndrome: Dis na wan sik we nɔ kin apin so ɔltɛm we di vεrbra dεm we de na di spayna de fכm.
- Spina bifida: Na difεkt we dεn bכn we de divεlכp di spayna εn spεnal kכd.
Fɔ pikin ɔ big pɔsin we gɛt dɛn kayn sik ya, ɛvride layf kin rili tranga. Dis ɔpreshɔn kin rili ɛp dɛn.
Aw wan sɛkɔstomi tyub de ɛp wi? Di difrɛns bitwin inema ɛn sɛkostomi tyub
Fɔ ɔndastand dis, wi nid fɔ no fɔs wetin na ɛnima. Inɛma na we dɛn kin put wata insay di big intestin fɔ ɛp di stɔl fɔ pas izi wan. di tradishכnal mεtכd we wi no na fכ gi εnεma tru di anus.
Di spɛshal tin we dɛn kin du fɔ mek dɛn du ɔpreshɔn we dɛn kɔl sɛkostomi na dat i kin mek dɛn ebul fɔ du wan spɛshal we fɔ mek dɛn gɛt inɛma we dɛn kɔl antegrade enema . Naw lɛ wi luk di difrɛns bitwin dɛn tu we ya.
| We | Tɔk bɔt |
|---|---|
| Tradishonal enema (Retrograde enema) we dɛn kin yuz fɔ mɛn pipul dɛn. | dis na we fכ put di wata tru di anכs. Dis nid fɔ mek yu ledɔm. Yu fɔ wet bak fɔ lɛk wan awa so afta yu dɔn put di wata insay. Dis na tin we nɔ kin izi fɔ du ɛn i kin tek bɔku tɛm. |
| Antegrade enema (tru di sɛkɔstomi) . | di wata dεn de put am tru wan sεkostכmi tכb na yu bεlε. Yu kin du dis we yu sidɔm na tɔylɛt . We di wata dɔn kɔnɛkt to di tiub, i de go dairekt to di biginin fɔ yu big intestin, so yu bɔdi kin klin kwik ɛn fayn fayn wan. Dis na we we rili izi fɔ du, we pɔsin kin gɛt prayvet pat, ɛn we kin mek pɔsin fri. |
Dɔn gɛt am? Wit dis antegrade enema method, yu nɔ nid fɔ ledɔm na grɔn igen ɛn du di enema awkwardly. Yu kin du dis wok izi wan, sidɔm na tɔylɛt, yu wan.
Fɔ pripia fɔ ɔpreshɔn ɛn wetin kin apin
Di de bifo yu du di ɔpreshɔn, yu go nid fɔ klin yu insay (bowel prep) ɔltogɛda akɔdin to yu dɔktɔ in instrɔkshɔn.
We dɛn de du di ɔpreshɔn:
- Dɛn go gi yu jenɛral anestezi . Dis min se dɛn go gi yu mɛrɛsin fɔ mek yu slip so dat yu nɔ go fil ɛni pen.
- Di dɔktɔ kin kɔt smɔl say na di rayt say we de dɔŋ di bɛlɛ.
- we dεn de yuz spεshal imej tεknik dεm, dεn de put di sεkostכmi tכb tru di insayshכn insay di sεkum.
- di sεkum dεn kin put am nia di bכdi wכl εn dεn kin tay am wit sεvεra stich dεm.
- Dɛn kin put di ɔda ɛnd pan di tiub na di skin ɛn tay am wit plasta if nid de.
Wetin na di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we i du ɔpreshɔn we dɛn kɔl cecostomy?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
Bɛnifit dɛn:
- Di aksidɛnt dɛn we kin apin we pɔsin dɔti kin ridyus bad bad wan: Bikɔs yu kin ebul fɔ kɔntrol yu stɔl, yu kin klin ɔl di de.
- Di kɔnfidɛns pan yusɛf mɔ ɛn mɔ:Fɔ fil fayn bɔt yusɛf bikɔs yu nɔ de shem ɛn fred igen.
- Layf we gɛt mɔ aktif: Yu kin du tin dɛn fri wan lɛk fɔ go skul, wok, go wit yu padi dɛn, ɛn swim we yu nɔ de fred fɔ "ɔltɛm fɔ de nia tɔylɛt."
- Nɔ nid dayapɛt ɔ ɔndawea we de protɛkt am igen.
Di prɔblɛm dɛn we kin apin:
- Kɔmplikɛshɔn dɛn we gɛt fɔ du wit anestezi: Tin dɛn lɛk fɔ at na yu trot ɛn fɔ vɔmit afta yu wek.
- Bowel perforation: Na ol na di big intestin we kin apin bay aksidɛnt we dɛn de du ɔpreshɔn.
- Stomal stenosis: di pat pan di intestכn we de rawnd di sayt we di tכb insεt de sכm.
- Stomal lik: Enema fluid we de lik frכm rawnd di tכb insay di bכdi.
Dɛn risk ya nɔ kin bɔku, ɛn yu mɛdikal tim go du dɛn bɛst fɔ mek dɛn nɔ gɛt dɛn.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Sɔm tin dɛn de we yu fɔ fala we yu de wɛl ɛn afta yu dɔn wɛl.
- Dischaj frɔm ɔspitul: Bɔku pipul dɛn kin ebul fɔ go na os di sem de we dɛn du dɛn ɔpreshɔn.
- Pen: Yu kin fil sɔm kayn pwɛl hat ɛn pen afta yu dɔn go na os. Yu kin yuz pen kil we yu dɔktɔ gi yu fɔ dis.
- Di tin dɛn we yu nɔ fɔ du: Yu nɔ fɔ swim fɔ tu wiks afta yu dɔn du di ɔpreshɔn. Yu fɔ avɔyd bak fɔ spɔt ɛn fɔ es ebi ebi tin dɛn fɔ 4 to siks wiks .
- Di kia fɔ lɔng tɛm:
- Yu nid fɔ go to dɔktɔ insay wan ɔ tu wik fɔ mek dɛn pul di stich dɛn.
- Di mεdikal tim go bεst instrכkt yu bכt usεn εn aw fכ stat antegrεd εnεmas yuz di sεkostכmi tyub.
- Sɔntɛnde dɛn kin put tɛmporari tyub we dɛn de du di ɔpreshɔn ɛn afta dat dɛn kin chenj am to pɔrmanent, lɔng tɛm tyub we yu go na di klinik 6 wik afta dat. Dis na smɔl tin we nɔ de mek pɔsin fil pen, ɛn dɛn nɔ kin du am wit anestezi.
- di mכst imכtant tin na dat dis sεkostכmi tכb nid fכ chenj εvri 6 to 12 mכnt. Dis na simpul tin bak we dɛn kin du na di klinik.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
If yu si ɛnitin we de sho se yu gɛt prɔblɛm afta dɛn dɔn du yu ɔpreshɔn, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| - Pɔsin we de fil pen na di bɛlɛ | - If di sekostomi tiub dכn kכmכt frכm in ples |
| - If i at fכ pas di εnεma likwid tru di tכb | - Fiva. dis kin bi sayn fכ infεkshכn na di bכdi (peritonitis). |
| - If di difikulti fכ kכntrכl di bכdi muvmεnt de kכntinyu | - If pus de, blɔd de kɔmɔt, ɔ swel rawnd di tiub |
Mɛsej we dɛn kin kɛr go na os
- Sɛkostomi na ɔpreshɔn we de sev pɔsin in layf we dɛn kin du fɔ trit bad bad prɔblɛm dɛn we kin mek pɔsin nɔ ebul fɔ kɔntrol in bɔdi ɛn we pɔsin kin gɛt bɛlɛ.
- dis de alaw fכ wan fayn we we dεn kכl antegrade enema fכ klin di kכlon. Dis kin mek yu ebul fɔ du dis wok izi wan we yu sidɔm na tɔylɛt.
- Dis ɔpreshɔn de ridyus di bɔdi we pɔsin nɔ want fɔ muv, i de mek i gɛt kɔnfidɛns pan insɛf mɔ, ɛn i de mek i gɛt mɔ aktif soshal layf.
- Dis na sɔlv we go tek lɔng tɛm. Afta yu fɔ kia fɔ yu, lɛk fɔ chenj di tiub ɛvri 6-12 mɔnt, rili impɔtant.
- Nɔ ɛva fred fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni prɔblɛm we go apin we yu de du di ɔpreshɔn ɔ afta di ɔpreshɔn.
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