Yu dɔktɔ bin tɔk to yu bɔt yu bɛlɛ we de at ɔ yu bɔdi prɔblɛm? I kin dɔn tɛl yu bak bɔt wan ɔpreshɔn we dɛn kɔl ‘Colectomy’. We yu yɛri dis nem, i kin mek yu fred smɔl. Bɔt if wi no gud gud wan wetin i bi, wi go ebul fɔ pul da fred de bɔku bɔku wan. Dis na ɔpreshɔn we dɛn kin pul wan pat pan di kɔlon we gɛt sik. Lɛ wi si insay simpul wɔd dɛn wetin i min, wetin mek dɛn de du am, ɛn aw fɔ dil wit am.
Fɔ tɔk am simpul wan, wetin na Kɔlektɔmi?
Kɔlektɔmi na we dɛn du ɔpreshɔn fɔ pul wan pat ɔ ɔl yu big intestin (kɔlɔn). di big intestin na wan rili imכtant pat pan wi dijestiv sistεm. Bɔt sɔm sik dɛn kin pwɛl dis big intestinal. Dɔn i nɔ kin ebul fɔ wok fayn. Na da tɛm de dɔktɔ dɛn kin disayd fɔ pul dis pat we dɔn pwɛl.
Us mɛrɛsin dɛn kin mek dɛn du dis ɔpreshɔn?
Dɔktɔ go jɔs tɛl yu fɔ du dis kayn big ɔpreshɔn if siriɔs rizin de. Bɔku tɛm, sɔm men rizin dɛn de we kin mek dɛn du kɔlektɔmi.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Kansa na di kɔlon | Dɛn kin du dis ɔpreshɔn fɔ pul di pat pan di intestinal we gɛt kansa sɛl dɛn ɛn stɔp di kansa fɔ mek i nɔ go skata. |
| Divɛrtikulayz | As tritmεnt fכ siriכs kכndyushכn dεm we sכm sכm pכch dεm we de fכm na di wכl dεm na di intestin εn infεkt. |
| Blɔd we de kɔmɔt na di bɛlɛ | If blɔd kɔntinyu fɔ kɔmɔt frɔm wan pat na di intestinal we dɛn nɔ go ebul fɔ kɔntrol wit ɔda we dɛn. |
| Big big bɔdi we de ambɔg | If di intestin blok kpatakpata bikos of tumor or oda tin, dem go nid fo komot dat pat. |
| Inflammatory bowel sik we de mek pɔsin in bɔdi wam | Kɔndishɔn lɛk Crohn’s disease ɔ ulcerative colitis we tu bad fɔ kɔntrol wit mɛrɛsin. |
Apat frɔm dat, sɔm pipul dɛn kin gɛt sik dɛn we dɛn kin gɛt frɔm dɛn mama ɛn papa, lɛk Lynch syndrome ɔ Familial adenomatous polyposis (FAP). Dɛn tin ya kin mek pɔsin gɛt kansa na in kɔlon tumara bambay. If dɛn kayn tin ya apin, dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ mek dɛn nɔ gɛt di sik bifo di sik bigin .
Us kayn ɔpreshɔn dɛn we dɛn kin du fɔ pul kɔlektɔmi?
Dɛn kin sheb dis ɔpreshɔn to difrɛn kayn dɛn dipen pan di kayn intestin we dɛn pul.
- Total colectomy: Insay dis, dɛn kin pul yu ɔl big intestinal.
- pat pan di kolεktomi: insay dis, na wan pat pan di big intestin nכmכ dεn kin pul. Bɔku ɔda sɔbtayp dɛn de fɔ dis.
| Di kayn ɔpreshɔn we dɛn kin du | Di pat we dɛn fɔ pul |
|---|---|
| Ɛmikɔlɔktɔmi we dɛn kin du | fכ pul pat pan di rayt כ lεft say na di big intestinal. |
| Proktocolectomy we dɛn kin du | Fɔ pul ɔl tu di big intestinal ɛn di rɛktum. |
| Sigmoid kolεktכmi | we yu pul di sigmoid sekshכn, di las bεnd fכ di big intestin, we de kכnekt to di rεktum. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, i nid fɔ tek tɛm pripia am. Yu gastrointestinal sajin go mit wit yu ɛn ɛksplen ɔl di ditil dɛm bɔt di ɔpreshɔn we yu go gɛt ɛn aw dɛn go du am.
Apat frɔm dat, dɛn go du bɔku tɛst dɛn fɔ si if yu go ebul fɔ bia we dɛn de du ɔpreshɔn pan yu.
- Blɔd tɛst dɛn
- Kolonoskopi we dɛn kin du
- EKG (Electrocardiogram) fɔ chɛk aw di at de wok
- Imej tɛst dɛn lɛk CT skan ɔ MRI skan
Di dɔktɔ go gi yu instrɔkshɔn bak bɔt wetin yu nid fɔ du sɔm dez bifo di ɔpreshɔn.
1. Sɔmbɔdi fɔ kɛr yu go na os: Arenj bifo tɛm fɔ mek sɔmbɔdi kɛr yu go na os frɔm ɔspitul afta dɛn dɔn du yu ɔpreshɔn.
2. Liquid diet: Dɛn go aks yu fɔ it klia likwid it nɔmɔ fɔ sɔm dez bifo dɛn du yu ɔpreshɔn. Fɔ ɛgzampul, tin dɛn lɛk sup wata ɛn ɔrɛnj jus.
3. Fɔ klin yu bɔdi: Bifo yu du ɔpreshɔn, yu nid fɔ ɛmti yu insay ɛn klin am. Dɛn go gi yu spɛshal likwid (bowel prep) fɔ drink. Dis kin mek yu nɔ fil fayn smɔl, bɔt i rili impɔtant fɔ mek di ɔpreshɔn go bifo.
4. Fastin: Dɛn advays yu fɔ nɔ it ɔ drink ɛnitin frɔm midulnɛt di de bifo di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu nɔ go fil natin we dɛn de du di ɔpreshɔn bikɔs di ɔpreshɔn go bigin afta dɛn dɔn anestez yu ɔl (jɛnɔral anestezi) ɛn yu dɔn slip fayn fayn wan.
Fɔ tɔk am simpul wan, na dis kin apin:
- Yu dɔktɔ we de mɛn yu bɔdi go put yu ɔnda jenɛral anestezi.
- Di dɔktɔ we de du di ɔpreshɔn kin mek wan lɔng say na yu bɛlɛ (open colectomy) ɔ sɔm smɔl smɔl say dɛn (laparoscopic colectomy ɔ robotic colectomy). Di rεcovery kin fast wit laparoscopic surgery.
- Dɔn, dɛn kin no di pat pan di insay we dɔn pwɛl ɔ we sik ɛn kɔt am.
- nεks, di tu εnd dεm na di rεst hεlty intestכn de jכyn togeda.
- Sɔntɛnde, tɛm kin de we dɛn tu ɛnd ya nɔ kin ebul fɔ kɔnɛkt togɛda. Insay dɛn kayn tin dɛn de, dɛn kin fala difrɛn we (wi go tɔk bɔt dat).
- Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich.
Dis ɔl ɔpreshɔn kin tek lɛk wan to 4 awa so.
Wetin na Anastomosis ɛn Ostomy? Dis rili impɔtant.
afta dεn dכn pul wan pat pan di intestכn, i rili implεnt fכ no wetin de apin to di tu pat dεm we rεst. Tu men we dɛn de fɔ du dis. Yu dɔktɔ go pik di we we go fayn fɔ yu.
Dis chenj kin gɛt big impak pan yu layf, so i impɔtant fɔ ɔndastand am gud gud wan.
| We | Tɔk bɔt |
|---|---|
| Anastomosis (rikɔnekshɔn) . | Dis involv fɔ siŋ di tu ɛnd dɛn na di wɛlbɔdi intestinal we lɛf afta dɛn dɔn kɔnɛkt di pat we dɛn pul bak. If dis wok fayn, yu bɔdi go bak to nɔmal. |
| Ostomy (we de mek wan say we de pas frɔm di bɛlɛ to di ɔdasay) . | sכmtεm di tu εnd dεm na di intestכn nכ kin kכnεkt wan tεm (fכ egzampl, bikoz fכ infεkshכn). insay dis kes, dεn kin mek wan opin so dat di εnd fכ di כp pat pan di intestin go kam na di sכfa fכ di skin na di bכdi. Dɛn kɔl dis wan stoma. Stɔl de kɔmɔt na dis opin, ɛn dɛn fɔ wɛr spɛshal bag (ostomy bag) fɔ gɛda am. Dis kin bi fɔ shɔt tɛm ɔ fɔ ɔltɛm. |
Na nɔmal tin fɔ fil frayd ɛn wɔri we dɛn tɛl yu se yu go gɛt fɔ liv wit ostomy. Bɔt di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn go tich yu di bɛst we fɔ yus to am, aw fɔ yuz di bag, ɛn aw fɔ liv nɔmal layf wit am.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, kɔlektɔmi ɔpreshɔn kin gɛt sɔm prɔblɛm dɛn, bɔt dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Anastomotic leak: di stכl de lik insay di bכdi kכnεkshכn frכm di sayt we di intestinal kכnεkshכn de.
- Blɔd we de kɔmɔt pasmak: Blɔd we de kɔmɔt pasmak we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn.
- Infεkshכn: Infεkshכn na di wund we dεn du כpכt כ insay di bεlε.
- di כgan dεm we de nia di damej: Sכm risk de fכ damej di כgan dεm we de nia, lεk di blad εn di sכmכl intestכn.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez, sɔntɛm te to wan wik. Insay dis tɛm:
- Te yu intestinal bigin fɔ wok bak, dɛn go fɔs gi yu wata we dɛn kin put insay yu bɛlɛ, dɔn dɛn go gi yu wata we yu kin it ɛn it sɔft.
- Di wan dɛn we de wok na di nɔs kin chɛk ɔltɛm fɔ si if di wund we dɛn du di ɔpreshɔn de wɛl ɛn if ɛni sayn de fɔ se i gɛt di sik.
- Dɛn go gi yu ditayli instrɔkshɔn bɔt aw fɔ kia fɔ di wund afta yu dɔn go na os.
- If yu gɛt ostomy, dɛn go gi yu spɛshal trenin bɔt aw fɔ kia fɔ di stoma ɛn aw fɔ chenj di bag.
- Afta yu go na os, dɛn go gi yu advays bɔt us it fɔ it ɛn smɔl smɔl tin dɛn we yu kin du (lɛk fɔ waka).
Insay dis tɛm, yu fɔ mɛmba bɔku tin dɛn wan tɛm. So i fayn fɔ mek yu gɛt yu fambul ɔ padi wit yu we di dɔktɔ de tɔk.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek siks wiks fɔ mek i wɛl afta yu dɔn go na os. Bɔt bɔku pipul dɛn kin bigin fɔ du bɔku pan dɛn nɔmal tin dɛn bak insay tu wiks. Bɔt nɔ rɔsh fɔ du am. Lisin to yu bɔdi. If yu fil se yu taya, rɛst.
Wetin a fɔ it afta dɛn dɔn ɔpreshɔn mi?
Bɔku tɛm, fɔ di fɔs mɔnt ɔ so, yu fɔ it tin dɛn we nɔ gɛt bɔku fayv . Bikɔs dɛn kin izi fɔ di intestinal fɔ digest. Yu kin it tin dɛn lɛk wayt rays, lentil we dɛn kuk fayn, vɛjitebul we dɛn kuk fayn, fish, ɛn chukchuk. Di dɔktɔ advays yu fɔ stɔp fɔ it tin dɛn we gɛt bɔku fayv lɛk grɛn vɛjitebul dɛn we gɛt lif ɛn ɔl gren fɔ sɔm tɛm.
Ustɛm yu fɔ tɔk to di dɔktɔ?
Tek tɛm bad bad wan bɔt yu bɔdi afta yu dɔn go na os. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm .
| Denja simptom dɛm - tɛl yu dɔktɔ wantɛm wantɛm! | |
|---|---|
| Bɛlɛ de pen | Wan bad bad bɛlɛ pen we kin wɔs as tɛm de go. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, rɛd, swel, pen, ɔ pus frɔm di wund we dɛn du di ɔpreshɔn. |
| I nɔ izi fɔ mek yu gɛt dɔti | Nɔ ebul fɔ pul dɔti ɔ yu kin gɛt dayarɛa we kin kɔntinyu fɔ de. |
Ɔpreshɔn lɛk dis na tin we kin chenj in layf. I kin mek yu nɔ gɛt pen, mɛn yu pan kansa, ɔ gi yu layf fɔ lɔng tɛm. Fɔ liv wit ostomy kin bi big chenj. Bɔt bɔku pipul dɛn de we go ɛp yu fɔ ajɔst to am. So tɔk klia wan bɔt yu kwɛstyɔn dɛn, di tin dɛn we yu de fred, ɛn di tin dɛn we de mɔna yu wit yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Kɔlektɔmi na ɔpreshɔn fɔ pul wan pat we sik ɔ ɔl di kɔlon.
- Dɛn kin du dis as tritmɛnt fɔ siriɔs sik lɛk kansa, intestinal ɔbstrakshɔn, ɛn siriɔs infɛkshɔn.
- Fɔ fala di dɔktɔ in instrɔkshɔn (di it, fɔ klin yu bɔdi) jɔs bifo yu du di ɔpreshɔn.
- I kin tek tɛm fɔ wɛl afta dɛn dɔn du di ɔpreshɔn, so peshɛnt ɛn gi yu bɔdi bɔku rɛst.
- Sɔntɛnde, dɛn kin nid fɔ mek wan opin (ostomy) na di say we di skin de na yu bɛlɛ fɔ mek di stɔl pas, ɛn di dɔktɔ dɛn go ɛp yu fɔ yus to am.
- If yu notis ɛni denja sayn lɛk fiva, bɛlɛ pen bad bad wan, ɔ pus we de kɔmɔt na di wund, kɔl yu dɔktɔ wantɛm wantɛm.
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