Yu kin gɛt divɛrtikulayt, we na wan sik we kin mek yu bɛlɛ fil pen ɔltɛm ɛn yu kin gɛt fiva. We i nɔ izi fɔ kɔntrol yu sik pan ɔl we yu de tek mɛrɛsin ɛn ɔda tritmɛnt dɛn, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. So na nɔmal tin fɔ mek yu fred smɔl we i tɔk dat. Bɔt, we yu no gud gud wan wetin na dis ɔpreshɔn, aw dɛn kin du am, ɛn wetin kin apin afta dat, yu fred go dɔn. Tide, lɛ wi tɔk bɔt dis divɛrtikulayt ɔpreshɔn.
Wetin mek wi nid fɔ du ɔpreshɔn pan divɛrtikulayt?
Fɔ tɔk am simpul wan, divɛrtikulayt na di sik we smɔl paus (divɛrtikula) dɛn kin fɔm na di wɔl dɛn na wi kɔlon, we wi kin kɔl divɛrtikula , we kin gɛt infɛkshɔn ɔ inflam. Na we dis sik kin tranga nɔmɔ dɛn kin tink bɔt fɔ du ɔpreshɔn.
Yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn pan dɛn kayn tin ya:
- If dɛn nɔ ebul fɔ kɔntrol di sik pan ɔl we dɛn de tek mɛrɛsin ɛn ɔda tritmɛnt dɛn we nɔto ɔpreshɔn.
- If dis kכndyushכn kam bak afta tritmεnt (divεrtikulεt we de kam bak).
- wan abnכmal kכnεkshכn, lεk fistula , de fכm bitwin di wכl fכ di big intestin εn di כgan dεm we de nia lεk di blad כ di vagina.
Dis ɔpreshɔn kin min fɔ kɔt ɛn pul wan pat pan di big intestin we di sik dɔn afɛkt. Wi kɔl dis wan pat pan di kɔlektɔmi .
Bɔku tɛm, dɛn kin pul di sigmoid kɔlon, we na di las pat pan di big intestin. We dɛn pul dis pat, i kin lɛf smɔl fɔ lɛ di sik nɔ de igen.
Sɔntɛnde, afta dɛn dɔn pul wan pat pan dis intestinal, di dɔktɔ we de du di ɔpreshɔn kin gɛt fɔ du wan ostomy bak . Lɛ wi tek wan luk pan wetin na dat.
Us kayn ɔpreshɔn dɛn ya na dɛn?
Yu dɔktɔ kin pik wan pan dɛn ɔpreshɔn ya dipen pan yu kɔndishɔn.
| Di kayn ɔpreshɔn we dɛn kin du | Wan simpul ɛksplen |
|---|---|
| Opin Kɔlektɔmi | Insay dis, di dɔktɔ kin mek wan big vertikal say na yu bɛlɛ, pul di pat pan yu insay we gɛt sik, ɛn kɔnɛkt di tu pat dɛn we gɛt wɛlbɔdi bak. Dis na tradishɔnal we fɔ du tin. |
| Laparoskopik/Robotik Kɔlektɔmi | Na wetin wi kɔl "key-hole surgery." dεn kin du am bay we dεn kin mek fכ sכm sכm sכm sכm pat dεm na di bכdi εn put kεmεra (laparoscope) εn dilik instrכmεnt dεm. I nɔ kin mek pɔsin fil pen, ɛn di wund dɛn kin wɛl kwik kwik wan. |
| Ostomy ɔpreshɔn we dɛn kin du | dis kin bi we dεn dכn pul wan pat pan di intestin εn di rεst hεlty pat dεm nכ kin kכnεkt wan tεm. Dis involv fɔ mek wan say we opin fɔ sɔm tɛm na di skin na di bɛlɛ fɔ mek di stɔl pas. |
Smɔl mɔ infɔmeshɔn bɔt Ostomy ɔpreshɔn
Nɔ fred we yu yɛri dis. Tink bɔt am lɛk aw yu de bil rod, fɔ mek ɔda rod fɔ sɔm tɛm fɔ mek motoka dɛn pas. Sɔntin we fiba dis de apin na ya. Dɛn de bil dis tɛmporari rod fɔ mek di fes nɔ pas na di say we dɛn du di intestinal ɔpreshɔn te i wɛl.
- Kolostomi: wan pat pan di big intestin de kכnekt to di skin na di bכdi, we de mek wan opin. di stכl de kכmכt tru am εn i de kכlekt insay wan paus (colostomy bag) we de atak di bכdi.
- Ileostomy: dεn de mek dis opin we dεn de yuz wan pat pan di sכmכl intestin (ileum).
Di impɔtant tin na dat bɔku tɛm dɛn ɔpreshɔn ya we dɛn kin du fɔ mek pɔsin in ostomy na fɔ shɔt tɛm nɔmɔ . Insay sɔm mɔnt, afta di wund dɛn we de insay dɔn wɛl, dɛn kin du ɔda smɔl ɔpreshɔn fɔ lɔk di say we opin ɛn fɔ mek di bɔdi muv fayn bak.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu go nid fɔ pripia sɔm tin dɛn bifo di ɔpreshɔn. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Bɔku tɛm, dɛn tin ya kin apin.
- Ɔda skan dɛn: Dɛn kin aks yu fɔ mek yu du kɔmpyuta tomografi (CT) skan ɔ ɔda spɛshal ɛkstrem rayt tɛst dɛn.
- Wɛlbɔdi chɛk-ap: Yu kin nid fɔ du blɔd tɛst, kɔlonoskɔpi , EKG , ɛn ɔda tin dɛn Yu kin mit bak wit di anestesia tim.
- Bowel Prep: Dis na di pat we at pas ɔl. Dɛn go aks yu fɔ stɔp fɔ it fɔ sɔm awa bifo dɛn du di ɔpreshɔn ɛn jɔs drink wata lɛk wata ɛn sup. Dɛn go gi yu spɛshal mɛrɛsin bak fɔ klin yu insay klin ɔl.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Fɔ ɔl dɛn ɔpreshɔn ya, dɛn kin anestez yu ɔl (general anesthesia), we min se yu nɔ de fil natin, yu de slip.
1. Di dɔktɔ kin kɔt wan big say we dɛn de du opin ɔpreshɔn, ɔ sɔm smɔl smɔl say dɛn we dɛn de kɔt am we dɛn de du laparoskopik ɔpreshɔn fɔ rich na di big intestinal.
2. Dɔn dɛn kin pul di pat pan di intestinal we sik wit divɛrtikulayt .
3. dεn de kכnekt di tu hεlty pat dεm na di intestin bak bay we dεn de yuz step כ sutura.
4. If nid de, dεn kin du ostomy fכ kכnekt wan pat pan di intestinal to di skin.
5. Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt na di bɛlɛ.
Dis ɔpreshɔn kin tek lɛk tri to 4 awa so , bɔt dis tɛm kin difrɛn difrɛn wan bay aw yu sik ɛn di kayn ɔpreshɔn we dɛn de du.
Wetin kin apin afta di ɔpreshɔn? Ɛn aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dis go dipen pan aw yu go wɛl kwik kwik wan. Insay dis tɛm:
- Fɔ it ɛn drink: Fɔ di fɔs wik, yu go nid fɔ it tin dɛn we nɔ gɛt bɔku fayv, we nɔ gɛt bɔku wata lɛk pɔrit ɛn sup. Afta lɛk wan mɔnt so, yu kin it ɛnitin we yu nɔmal fɔ it.
- Ɛksesaiz ɛn fɔ es yu wet: Yu fɔ avɔyd fɔ es wet fɔ 6-8 wik .
- Drayv: Na afta yu dɔn stɔp fɔ tek mɛrɛsin fɔ mek yu fil pen nɔmɔ yu go ebul fɔ drayv.
- Fɔ kia fɔ yu wund: Di wan dɛn we de wok na di nɔs go tich yu aw fɔ kia fɔ yu wund. If yu gɛt ostomy, dɛn go tich yu bak aw fɔ yuz di bag.
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. I rili impɔtant fɔ peshɛnt.
Ɛni risk de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Anastomotic leak, blɔd, ɔ wund infɛkshɔn kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm. Dis ɔpreshɔn kin rili wok fayn , ɛn lɛk 98% pan di wan dɛn we sik nɔ kin gɛt divɛrtikulayt igen.
Ustɛm fɔ go to yu dɔktɔ bak
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn kam bak na os afta dɛn dɔn ɔpreshɔn yu, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm :
- Bɔrku pen na yu bɛlɛ wae nɔr de stɔp ivin afta yu dɔn tek mɛrɛsin ɛn de wɔs.
- Nɔ ebul fɔ pas stɔl.
- Sayn dɛm fɔ infekshɔn, lɛk fɔ swel, rɛd, fiva, ɔ fɔ vɔmit rawnd di wund.
Mɛsej we dɛn kin kɛr go na os
- Divɛrtikulayt ɔpreshɔn na tritmɛnt we rili fayn fɔ di bad bad tin dɛn we kin apin bak ɛn we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin.
- Tu men kayn ɔpreshɔn de: opin ɛn laparoskopik (ki-hol). Yu dɔktɔ go disayd uswan go fayn fɔ yu.
- sכmtεm dεn kin mek wan tεmporari opin (ostomy) fכ alaw di stכl fכ pas tru. Bɔku tɛm, dis kin apin fɔ shɔt tɛm, so nɔ wɔri.
- I kin tek sɔm mɔnt fɔ mek i wɛl ɔl we dɛn du di ɔpreshɔn. Insay dis tɛm, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tɔk wit yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn ɔ fred we yu go gɛt bifo dɛn du di ɔpreshɔn.
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