Na nɔmal tin fɔ mek yu fred smɔl ɛn fred we yu dɔktɔ tɛl yu se yu nid fɔ du ɔpreshɔn pan yu kɔlon, we na kɔlektɔmi. Wi ɔl kin fred smɔl we wi yɛri di wɔd "ɔpareshɔn." Bɔt we yu dɔn no gud gud wan wetin i bi, wetin mek dɛn du am, ɛn aw dɛn du am, yu fred go dɔn. So tide, lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Wetin na kɔlɛktɔmi?
Fɔ tɔk am simpul wan, 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. We dis pat dɔn pwɛl bikɔs ɔf wan mɛrɛsin, i kin stɔp fɔ wok fayn. Na da tɛm de dɔktɔ dɛn kin disayd fɔ du dis ɔpreshɔn.
Bɔku tɛm, dɛn kin se dɛn fɔ du dis ɔpreshɔn pan dɛn tin ya:
- Kɔlɔn kansa: Rimov di pat pan di kɔlon we gɛt kansa sɛl dɛn.
- Divεrtikulayt: Dis na di kכndyushכn we sכm sכm paus dεm de fכm na di wכl na di big intestinal, we de infεkt εn inflam.
- Blɔd we de kɔmɔt na yu bɛlɛ: If yu gɛt blɔd we yu nɔ ebul fɔ kɔntrol frɔm di intestinal.
- Big bɔdi we de ambɔg: If di intestin dɔn blok ɔl fɔ sɔm rizin.
- Sivεr inflammatory bowel disease: We kכndyushכn lεk Crohn’s disease כ ulcerative colitis kin bi siriכs.
Sɔntɛnde, if rili ay risk de fɔ gɛt kansa tumara bambay bikɔs ɔf di jɛnɛtik kɔndishɔn dɛn we dɛn gɛt frɔm dɛn mama ɛn papa (fɔ ɛgzampul, Lynch syndrome), dɛn kin du dis bak as prɛvɛntiv kɔlektɔmi fɔ ridyus da risk de.
Yu tink se difrɛn kayn ɔpreshɔn dɛn de we dɛn kin du?
Yɛs, dɛn kin sheb dis ɔpreshɔn to difrɛn kayn dɛn dipen pan di pat pan di intestin we dɛn pul. Na di dɔktɔ we de trit yu kin disayd dis bay aw yu de mɛn yu.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Tɔtɔl Kɔlektɔmi | Dɛn go pul yu wan ol kɔlon. |
| Patɛl Kɔlektɔmi | Na di pat we sik nɔmɔ na di kɔlon dɛn kin pul. Ɔda kayn dis de bak. |
| Ɛmikɔlɔktɔmi we dɛn kin du | Dɛn kin pul wan say na di big intestinal, ilɛksɛf na di rayt ɔ lɛft say. |
| Proktocolectomy we dɛn kin du | Dɛn kin pul di big intestinal ɛn di rεktum ɔl tu. |
| Sigmoid Kɔlektɔmi | di las pat pan di big intestכn, di sigmoid kכlon, we de kכnekt to di rεktum, dεn de kכl am. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, i rili impɔtant fɔ rɛdi fɔ am.
Fɔs, yu dɔktɔ go tɔk to yu ɛn ɛksplen di kayn ɔpreshɔn we yu go du, aw dɛn go du am (ilɛksɛf dɛn go du am tru big say we dɛn kɔt am ɔ wit kamɛra). Dɔn, dɛn go du sɔm tɛst dɛn fɔ si if yu bɔdi ebul fɔ du di ɔpreshɔn.
- Blɔd tɛst dɛn
- Kolonoskopi we dɛn kin du
- Wan EKG (Electrocardiogram) tɛst we de chɛk aw di at de wok
- Imej tɛst, lɛk CT skan ɔ MRI skan
Apat frɔm dat, di mɛdikal tim go tɛl yu bak bɔt di tin dɛn we yu nid fɔ fala sɔm dez bifo dɛn du di ɔpreshɔn. Dɛn tin ya na:
- Arenj fɔ mek pɔsin drayv yu go na os frɔm ɔspitul: Yu nɔ go ebul fɔ drayv yusɛf afta dɛn dɔn du yu ɔpreshɔn.
- Start fɔ it tin dɛn we gɛt wata: Dɛn go aks yu fɔ drink wata nɔmɔ lɛk sup ɛn frut jus fɔ sɔm dez bifo dɛn du yu ɔpreshɔn.
- Bowel prep: Di de bifo di ɔpreshɔn, dɛn go gi yu spɛshal likwid fɔ drink fɔ ɛmti yu bɔdi kpatakpata. Dis nɔ kin fayn smɔl, bɔt i rili impɔtant fɔ mek di ɔpreshɔn go bifo.
- Fastin: Yu nɔ go ebul fɔ it ɔ drink ɛnitin frɔm midulnɛt di de we dɛn du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
We dɛn de du di ɔpreshɔn, dɛn go anestez yu ɔl, so yu nɔ go fil natin. Di dɔktɔ we de du di ɔpreshɔn go mek wan lɔng say na yu bɛlɛ (Open Colectomy) ɔ sɔm smɔl smɔl say dɛn wit kamɛra (Laparoscopic Colectomy). Dɛn go pul di pat we sik na yu kɔlon ɛn kɔnɛkt di tu pat dɛn we gɛt wɛlbɔdi bak. Dɛn kɔl dis anastomosis .
Bɔt sɔntɛnde , i nɔ kin pɔsibul fɔ kɔnɛkt di tu pat dɛn we gɛt wɛlbɔdi togɛda. Fɔ ɛgzampul, if di gap bitwin di tu pat dɛn we lɛf tu big, ɔ if i nɔ pɔsibul fɔ kɔnɛkt dɛn wantɛm wantɛm bikɔs ɔf infekshɔn, di dɔktɔ we de du di ɔpreshɔn kin disayd fɔ mek wan ostomy .
Wetin na Ostomy?
di ostomy involv fכ bring di hεlty εnd fכ di intestin to di sεf fכ di skin na di bכdi, we de mek nyu opin (stoma) fכ di stכl fכ pas. Dɔn dɛn kin gɛda di stɔl insay wan spɛshal bag (ostomy bag) we dɛn tay pan da opin de.
Wi no se dis na big chenj na yu layf. Bɔt yu go gɛt ɔl di advays ɛn trenin we yu nid fɔ manej dis ɛn stil liv nɔmal layf na di ɔspitul. So nɔ fred am.
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez ɔ wan wik. Yu go de it likwid ɛn sɔft it fɔ di fɔs dez. Yu kin go bak to nɔmal it as yu de wɛl. I kin tek 6 wiks fɔ mek yu wɛl ful wan afta yu dɔn go na os. Bɔt bɔku pipul dɛn kin go bak to bɔku pan dɛn nɔmal tin dɛn insay tu wiks.
Ustɛm yu fɔ tɔk to di dɔktɔ?
I rili impɔtant fɔ no bɔt ɛni wɔnin sayn we go kam we yu go bak na os afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sayn ya, tɛl yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn wantɛm wantɛm.
| Ficha we de wɔn pipul dɛn | Tɔk bɔt |
|---|---|
| Ay fiva | Di bɔdi wam de go ɔp, yu de fil se yu wik. |
| Sayn dɛm fɔ infɛkshɔn na di say we dɛn kɔt am | Rɛd, swel, bad bad pen, ɔ pus rawnd di say we dɛn kɔt. |
| Smɔl smɔl, di bɛlɛ de pen mɔ ɛn mɔ | If di bɛlɛ pen de go ɔp smɔl smɔl instead fɔ stɔp. |
| I nɔ izi fɔ mek yu gɛt dɔti | Nɔ muvmɛnt ɔ flatulɛns fɔ sɔm dez. |
Wan kɔlektɔmi kin bi sɔntin we kin chenj in layf. I kin mek yu nɔr de fil pen, mɛn yu kansa, ɔr kin ɛp yu fɔ liv lɔng wit kansa. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Kɔlektɔmi na we dɛn du ɔpreshɔn fɔ pul wan pat pan di big intestin we dɔn pwɛl.
- Dɛn kin du dis ɔpreshɔn fɔ siriɔs mɛrɛsin lɛk kansa ɛn divɛrtikulayt.
- I rili impɔtant fɔ fala di tin dɛn we di dɔktɔ tɛl yu fɔ du, lɛk fɔ klin yu bɔdi bifo yu du di ɔpreshɔn.
- Yu kin nid ostomy bag fɔ pas stɔl, bɔt yu go gɛt ɔl di sɔpɔt we yu nid fɔ liv wit am.
- I kin tek tɛm fɔ wɛl, so du gud to yusɛf ɛn tek yu tɛm fɔ wɛl.
- If yu gɛt sayn dɛn we de wɔn yu lɛk fiva ɔ yu de fil bad bad wan afta dɛn dɔn du yu ɔpreshɔn, go to yu dɔktɔ wantɛm wantɛm.
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